Ida Srisurani Wiji Astuti, Ida Srisurani Wiji
Fakultas Kedokteran Universitas Jember
Uji Sensitivitas Amoksisilin dan Eritromisin terhadap Infeksi Sekunder dari Spesimen Pasien Infeksi Saluran Pernafasan Akut (Sensitivity Test of Amoxicillin and Erythromycin againts Secondary Infections from Acute Respiratory Infection Speciments)

Pustaka Kesehatan Vol 3, No 1 (2015)
Publisher : Pustaka Kesehatan

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Acute respiratory infections (ARI) is one of health problems in Indonesia, which are caused by viruses. But on a visit to health facility, physicians prescribe antibiotics as therapy. Irrational prescribing of antibiotics led to bacterial resistance. The use of amoxicillin and erythromycin as the first and second line drugs in patients with ARI causes high resistance to them. This study aimed to determine differences sensitivity of amoxicillin and erythromycin against secondary infection of ARI. This was a descriptive analytical study, using Mann-Whitney different test and determination of Minimum Inhibitory Concentration (MIC) antibiotics using logarithmic regression. The sample was obtained from specimens of patient ARI with secondary infection who visited UPT Pelayanan Kesehatan Universitas Jember. Five of twenty two specimens successfully cultured in Blood Agar Plate (BAP). The cultures showed five bacteria with Gram-positive cocci morphology and two with Gram-negative bacilli morphology. Mann-Whitney test showed significant difference between two drugs (p=0.008), where 85% bacteria were resistant to amoxicillin and 40% were to erythromycin. Logarithmic regression results, obtained amoxicillin’s MIC was 7.48-9.02 mg/L and erythromycin’s was 0.23-4.95 mg/L. It can be concluded, there was a significant difference between two drugs, where bacteria that cause secondary infections are no longer sensitive to amoxicillin.   Keywords: Amoxicillin, Erythromycin, ARI

Faktor-faktor yang Berhubungan dengan Higienitas Pasien Skabies di Puskesmas Panti Tahun 2014 (Factors Related to Hygiene of Scabies Patients in Panti Primary Health Care 2014)

Pustaka Kesehatan Vol 3 No 3 (2015)
Publisher : UPT Penerbitan Universitas Jember

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Scabies is one of the health problems in developing countries and developed countries. Scabies is easier to invest in people who have poor personal hygiene. Risk factors that may affect the hygiene of scabies consist of internal and eksternal factors. The purpose of this study was to analyze the factors which affect the hygiene of scabies patients. This study was a quantitative research with cross sectional approach. Sample was obtained by quota sampling from patients who visited Panti primary health care in 2014. The factors studied were age, gender, education, occupation, marital status and residence. Data analysis was performed by chi square test and logistic regression. Chi square test found significant factors related to the hygiene were age (p=0,002), education (p=0.015), occupation (p=0,029), marital status (p=0,029) and residence (p=0.015) while other factors did not significant. Results of logistic regression test for age p=0.019 OR=0.000, education p=0.045 OR=4.327, occupation p=1,000 OR=0,000, marital status p=0,999 OR=0,000 and residence p=1,000 OR=2,989. Based on this study, it can be concluded that education was the most affecting factor correlated to hygiene of scabies patients. Keywords: hygiene, scabies, Panti primary health care

Perbedaan Kualitas Pelayanan Berdasarkan Waktu Tunggu serta Rasio Rujukan Pasien Dokter keluarga

STOMATOGNATIC- Jurnal Kedokteran Gigi Vol 12, No 1 (2015)
Publisher : Fakultas Kedokteran Gigi Universitas Jember

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Quality services doctor are represented by referral ratio and waiting time. In fact, the referral ratio in Jember shows higher than national value (15%). This study will analiyze the difference between payment system method, Fee For service and capitation in family doctor’s quality services. This is an observasional study with cross sectional approach. Knowing the level of satisfaction, 214 patients who visited family doctor as both general and health insurance patients are testing by questionnare. In otherwise, 21 family doctors in Jember are represented referrals ratio by using referrals data. Using Kolmogorof Smirnov and Man Whitney data analysis, the results showed a significant number.In addition, physicians with capitation payment method referred more patients by 3 times in average compared to physicians with Fee For service payment method. This was seen from the p-value (0.002) < α(0,05). Similarly, waiting time variable with p-value (0,028) less than α (0,05). Capitation patients need more time ± 3,77 minute thanFee For service.This mean there is significant different between capitation and Fee For service patient in waiting time.


UNEJ e-Proceeding 2016: Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UNEJ e-Proceeding

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An American study (Nawal,M. 2008) saidthat“Approximately 529,000 women die frompregnancy-related causes annually and almost all(99%) of these maternal deaths occur indeveloping nations. One of the United Nations’Millennium Development Goals is to reduce thematernal mortality rate by 75% by 2015. Causes ofmaternal mortality include postpartumhemorrhage, eclampsia, obstructed labor, andsepsis. Many developing nations lack adequatehealth care and family planning, and pregnantwomen have minimal access to skilled labor andemergency care. Basic emergency obstetricinterventions, such as antibiotics, oxytocics,anticonvulsants, manual removal of placenta, andinstrumented vaginal delivery, are vital to improvethe chance of survival.”Nationally, East Java province occupies the top fivethe rising trend in maternal mortality continues tooccur in East Java. There were 487 cases in 2008,535 cases in 2009, 598 cases in 2010 and 627 casesin2011. The area of ‘Tapal Kuda’ contributes thehighest maternal mortality rate, particularlyJember, Banyuwangi, Situbondo, Bondowoso, andLumajang. Based on data from Health Profile ofEast Java Province in 2011, Jember occupied thetop rank of 38 regencies/cities in East Java. 54cases of maternal death illustrate the poor state. Itcan be said that for four consecutive years (2008-2011), Jember Regency had not shifted from thefirst rank (Dinkes Propinsi Jatim, 2012).In 2012, from January 1st until December 31thSoebandi hospital noted that 423 mothers withpreeclampsia which 319 were severe preeclampsia(Adawiyah, 2014).Perinatal outcome assessment could be done byusing Apgar Score (AS). Less value AS which babydetected in the first minute did not endorse theout come in the future. A retrospective researchconcluding that AS in the early five minute stillbeing important predictor for neonatal deaths, butit cannot use to know about long life outcome. Inother data, amount 13.399 the premature baby(less than 26-36 week) revealed neonatal deathshigher ( 315/ 1000) with AS 0-3 in the first minutethan ( 5/1000 ) with AS 5-7 in the early fiveminutes (Brian, M, et al. 2014).Equal to the imunologic theory by Sudhaberata(2001), due to the mother on the first pregnant willbe formed blocking antibodies. In other side, in thefirst pregnant being performed Human LeucocyteAntigen Protein G (HLA) which conducted maternalimunity. This can make mother rejects product ofconception (placenta) or being intoleratedbetween mother and placenta wich can conductpreeclampsia. Beside that, Desfauza (2008)claimed that any relationship significantly betweenquantity of give birth with asphyxia of the newbornbaby. Data showed mother with 1 - >3 times givebirth ( 60,5% asphyxia) more higher risk than 2 – 3times give birth (36,7% asphyxia).Gestational nutritional status very important toreach well being health status for mother andbaby. Women with low body mass index can getnegative effect when labor such as preterm andlow weight body of the baby (Papathakis, 2005).Conversely, the women with over BMI gets morehigh risk in gestational such as abortion, labor withsectio caesare, preeclampsia, trombosis, perinataldeaths, and macrosomia (Yu, 2006).

Pengaruh Dukungan Keluarga terhadap Tingkat Depresi Pasien Chronic Kidney Disease Stadium 5D yang Menjalani Hemodialisis di RSD dr. Soebandi Jember (The Influence of Family Support on Depression Level of Chronic Kidney Disease Stage 5D Patient's during H

Pustaka Kesehatan Vol 5 No 1 (2017)
Publisher : UPT Penerbitan Universitas Jember

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Chronic Kidney Disease (CKD) is a disease with progressive and irreversible reduction in kidney function. Patient with CKD Stage 5D requires hemodialysis to support their life. Hemodialysis should be conducted for their long life which can be a stressor lead to depression. Therefore, family support is necessary to treat depression in CKD patients. The aim of this study was to analyze the effect of family support on depression level of patient with CKD stage 5D undergoing hemodialysis. This was a correlation analytical study design with cross sectional approach involving 30 correspondents. Data were collected by using HDRS questionnaire to measure patient's depression level and Family Support questionnaire to measure family's support level. Data were analyzed by using Spearman correlation test. The results showed that 50% of respondents had mild depression and 50% of respondents got good family support. Spearman correlation test showed significance (p) of 0.010 with correlation coefficient (r) of -0.462. Thus, we can conclude that there was an influence of family support on depression level of patient with CKD stage 5D undergoing hemodialysis at dr. Soebandi Hospital Jember. The higher the family support, the lower the patient's depression level.   Keywords: Chronic Kidney Disease (CKD), Depression, family support, hemodialysis  

Titer Widal pada Populasi Sehat di Universitas Jember (Widal Titre among Healthy Population in University of Jember)

Pustaka Kesehatan Vol 6 No 2 (2018)
Publisher : UPT Penerbitan Universitas Jember

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  Enteric fever is endemic in developing countries including Indonesia. Widal test in a single serum sample is commonly used as laboratory diagnosis especially where culture facilities are not available. Examination of the single Widal test in endemic countries such as Indonesia, will give less accurate results with the large number of false-positive or false-negative. One of false-positive results is single Widal interpretation of test in endemic areas where the majority of the healthy population had contact or infected previously, and showed a positive result of Widal test. Widal titre examination in healthy population both men and women have not been investigated in Jember. So the aim of this study was to determine Widal titres among apparently healthy population in Jember University. In this cross-sectional study, blood samples were collected as much as 3 mL from healthy men (n=47) and women (n=47) and were analyzed for the presence of Salmonella antibodies by carrying out the Widal slide agglutination test. The data was analyzed using SPSS version 23 descriptively. The result showed that the most frequent antibody titres of O, H, AO, AH, BO, and BH antigens were 1/320 (37,2%), 1/320 (38,2%), 1/320 (86,1%), 1/320 (67,0%), 1/320 (77,7%) and 1/40 (27,7%) respectively in healthy population. In conclusion, antibody titre of AO dominated the most positive results in healthy population.   Keywords: Widal test, healthy population, Indonesia  

Analysis of Varicose Vein in Lower Extremities Risk Factors on Woman Laborers of Tobacco Picker at Ajung District Jember Regency

Journal of Agromedicine and Medical Sciences Vol 5 No 1 (2019)
Publisher : Medical Faculty of Jember University

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Varicose vein (VV) in lower extremities are common diseases in the clinic but there is little concern from clinicians as they are considered mild and low mortality. The complications of VV can be ulcers or worst like Congestive Heart Failure (CHF). Several risk factors that can affect the occurrence of VV are women, age, long standing, overweight, pregnancy multiparity, and hormonal contraception. The general purpose of this research is knowing the relationship between risk factors mentioned above and the prevalence of VV on female laborers of tobacco picker at Ajung District Jember District. This research use observational analytic method with cross sectional study design to 72 people who meet the inclusion criteria by purposive sampling method. The sample were given questionnaire, informed consent, then measured by weight scales and microtoise staturemeter. The diagnosis of VV was obtained from the photos that been consulted to cardiothoracic surgeon at dr. Soebandi Hospital Jember. The result of contingency coefficient C correlation test said that only age has significant relation to VV occurrence states (p = 0,044; r = 0,231; OR = 3,053), while others are not significant (p> 0,05 and r < 0.2). The conclusion of this study is that only the age factor has a statistically significant relationship and the positive correlation with the weak correlation to the occurrence of lower extremities VV on woman laborers of the tobacco picker of Ajung District, Jember Regency. Keywords: Varicose Vein, Lower Extremities