Level Kontaminasi Senyawa Organotin Di Produk Seafood Dari Indonesia

Contamination level of TBT and DBT in seafood products such as fish and mussels collected from several locations in Indonesia were compared with Indonesian Tolerable Average Residue Levels (TARL). TARL were calculated based on the Tolerable Daily Intake (TDI) of TBT and the seafood consumption of the average consumer in Indonesia. TARL for TBT in seafood from Indonesia is 360 ng/g per day for a person with an average body weight of 60 kg. Level concentration of TBT and TBT+DBT in fish and mussels from Indonesia still below the TARL for Indonesia. However these concentration levels have been increased to those from 1995 and indicating field ecotoxicological impact of TBT has been observed as occurring gastropod imposex in Eastern Indonesia. Therefore continuing research and significant study planning with cover more areas and variety of species of seafood products are needed

Pencemaran Laut Oleh Senyawa Organotin

Organotin compounds have attracted to focusing study due to theirbioaccumulative potential and deleterious effects to the aquatic organisms. These compounds are ubiquitous contaminants in the environment and have been used commercially for many years and in a variety of diverse applications as polyvinyl chloride (PVC) stabilizers, industrial catalysts, wood preservatives and biocides. Direct exposure to organotin into aquatic environments generally through the USAge of TBT in antifouling paints applied for boat, marine infrastructures and aquaculture net. Due to its persistency and biological effects at various organisms, many developed countries have banned and restricted the TBT USAge for boating and aquaculture purposes. In this paper the aquatic ecotoxicology of organotin based on a multidisciplinary approach is reviewed

Asuhan Keperawatan Pada Sistem Pencernaan Tn. H dengan Post Op Herniotomy dibangsal Cempaka RSUD Pandan Arang di Boyolali

Background: Hernia is a bump on skin which initially looks small and it is getting bigger and bigger. It usually appears on thigh fold and it doesn’t show any pain in common case. However, the pain is usually appear on epigastrium area or paraumbilika and the it is visceral pain. Objective: this research is to find out the analysis, diagnosis, planning, action and evaluation of nursery care for post op herniotomy patient. Result: after the nursery care given for the patient for 3 x 24 hours, it resulted in the decrease of pain, no sign of infection and the increase of knowledge about the care. Conclusion: patient was diagnosed with discontinuously severe painful b.d on herniotomy tissue, there existed a risk of b.d strange agent injury, and the knowledge of d was low. All happening on Mr. H., had been overcome for three days

Telehealth dalam Pelayanan Keperawatan

Pelayanan kesehatan akan sangat berkembang seiring perkembangan tekhnologi dan informasi. Termasuk juga pelayanan keperawatan di masa ke depan akan memanfaatkan perkembangan tekhnologi informasi, misalnya mengaplikasikan telehealth. Telehelath dalam keperawatan bisa dikembangkan untuk digunakan dalam bidang pendidikan maupun bidang pelayanan keperawatan. Dalam bidang pelayanan keperawatan telehealth dapat membantu kegiatan asuhan keperawatan pada pasien di rumah atau dikenal dengan home care. Dengan adanya kontribusi telehealth dalam pelayanan keperawatan di rumah atau homecare, akan banyak sekali manfaat yang dapat dirasakan oleh pasien dan keluarga, perawat, instansi pelayanan kesehatan dan termasuk juga pemerintah dalam hal ini adalah Departemen Kesehatan. Namun demikian untuk bisa mengaplikasikan telehealth dalam bidang keperawatan banyak sakali tantangan dan hambatannya misalnya: faktor biaya, sumberdaya manusia, kebijakan dan perilaku

Pengaruh Terapi Brain Gym Terhadap Peningkatan Fungsi Kognitif Pada Lanjut Usia Di Posyandu Lanjut Usia Desa Pucangan Kartasura

The increasing age of humans, the aging process occurs which affects generative changes in humans, one of which is throwback of cognitive function status. Brain Gym is one method of motion and train the brain, which is useful to improve cognitive function, especially in the elderly. The purpose of this study was to determine the effect of Brain Gym on the level of cognitive function in posyandu lansia of Pucangan village Kartasura. This type of research is Quasi Experimental Design with Pretest-Posttest Control Group Design, The population are 286 people. The sampling method used was purposive sampling. Overall sample in this study met the inclusion criteria of 20 people. To compare the cognitive level of the respondents before and after brain exercises using the Mini Mental State Examination (MMSE) were analyzed by paired t-test. Based on the results of the study, respondents had significant cognitive improvement. Analysis of research data in the experimental group using Paired Sample t-test with a significance value (α = 0.05). With tcount -4.452; p = 0.002 <0.05) and the average value sattus cognitive function before the Brain Gym therapy at 19.00 and at 21.80 after intervention. The average level of cognitive elderly control group with tvalue -2.714; (p = 0.024 <0.05). Thus the conclusion can be made that there is an influence of Brain Gym to increase cognitive function in the elderly

Asuhan Keperawatan Pada Tn. W Dengan Gangguan Sistim Pernafasan : Penyakit Paru Obstruksi Kronik (PPOK) Di Ruang Anggrek Bougenvile RSUD Pandan Arang Boyolali

NURSING CARE ON MR.W WITH RESPIRATORY SYSTEM DISORDERS: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IN PANDAN ARANG GOVERNEMENT HOSPITAL OF BOYOLALI Abstract Background: Chronic Obstructive Pulmonary Disease (COPD) is a disease that affects many Indonesian people. Incidence of COPD in Indonesia is the fifth highest in the world with 7.8 million cases recorded. The most common cause of COPD that often found in general hospitals is because people’s unhealthy lifestyle, such as smoking habit and the air pollution, which can trigger COPD.Objective: To determine the nursing care in patients with COPD include assessment, intervention, implementation, and evaluation of nursing care.Methods: The method used was to perform nursing care in patients with COPD that includes assessment, intervention, implementation and evaluation of nursing care.Results: In patients Mr.W with COPD, he experienced shortness of breath, difficult to move and insomnia, so the defined diagnosis were: ineffectiveness airway clearance was associated with excess of mucus production; activity intolerance was related to imbalance demand and supply of oxygen and sleep patterns interference was associated with environmental factors (too crowded). Implementation: The implementation of the nurse was by teaching a deep breath and cough effectively, motivating the patient to rest in between his activities and also motivating the patient to get enough sleep. Based on the implementation conducted, the result were 10 cc of sputum production, patient walked with a 10 meters distance by 3 sets with 1 set break and the patient could sleep soundly. Conclusion: Patients with COPD usually experienced shortness of breath and fatigue, therefore nursing care team should cooperate with patients and families to monitor oxygen therapy. Therapeutic communication could encourage more cooperative clients and could avoid things that cause shortness of breath recurred. Keywords: Chronic Obstructive Pulmonary Disease (COPD), shortness of breath, unhealthy lifestyle (smoking

HUBUNGAN ANTARA BEBAN KERJA PERAWAT DENGAN KOMUNIKASI TERAPEUTIK PERAWAT KETIKA MELAKUKAN TINDAKAN KEPERAWATAN DI RSUD Dr. MOEWARDI SURAKARTA

Keberhasilan rumah sakit dalam menjalankan fungsinya ditandai dengan adanya mutu pelayanan prima rumah sakit. Mutu pelayanan rumah sakit sangat dipengaruhi oleh beberapa faktor, yang paling dominan adalah sumber daya manusia. Komunikasi terapeutik adalah komunikasi yang direncanakan secara sadar dan kegiatannya bertujuan untuk kesembuhan pasien. Pada dasarnya komunikasi terapeutik merupakan komunikasi professional yang mengarah pada tujuan yaitu penyembuhan pasien. Beban kerja perawat yang tinggi menyebabkan komunikasi terapeutik perawat yang kurang baik. RSUD Dr. Moewardi Surakarta merupakan rumah sakit rujukan untuk wilayah Jawa Tengah, kondisi ini menyebabkan jumlah pasien yang dirawat sangat banyak dan berhubungan dengan tingkat beban kerja tinggi yang dihadapi oleh perawat. Hasil observasi awal komunikasi perawat kepada pasien menunjukkan lebih dari 60% keluarga pasien mengatakan perawat kurang tanggap dengan kondisi pasien. Bahkan perawat cenderung bersikap emosional saat pasien membutuhkan pertolongan, seperti saat menanggapi keluhan atau komplain dari pasien. Dilihat dari jumlah perawat, rata-rata jumlah perawat dalam satu bangsal tidak seimbang dengan jumlah pasien yaitu hanya mencapai 72% dari jumlah perawat yang seharusnya. Tujuan penelitian ini adalah mengetahui hubungan antara beban kerja perawat dengan komunikasi perawat ketika melakukan tindakan keperawatan pada pasien. Penelitian ini adalah penelitian deskriptif korelatif dengan pendekatan cross sectional. Populasi penelitian adalah perawat di ruang rawat inap kelas tiga di RSUD Dr. Moewardi Surakarta yang berjumlah 141 perawat dan diambil sampel sebanyak 104 perawat. Pengumpulan sampel penelitian menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner beban kerja yang diadopsi dari Nursalam dan observasi komunikasi terapeutik yang diadopsi dari Suwardi. Teknik pengolahan data menggunakan teknik analisis Kendall Tau. Berdasarkan penelitian dan pembahasan menunjukkan bahwa ada hubungan yang signifikan antara beban kerja dengan komunikasi terapeutik perawat. Dan kesimpulan dari penelitian ini adalah: (1) beban kerja perawat di RSUD Dr. Moewardi Surakarta sebagaian besar tinggi (39%), (2) komunikasi terapeutik perawat di RSUD Dr. Moewardi Surakarta sebagaian besar sedang (46%), dan (3) terdapat hubungan beban kerja dengan tingkat komunikasi terapeutik perawat di RSUD Dr. Moewardi Surakarta (p-value = 0,002)

Determinan Keaktifan Melakukan Senam Diabetes Mellitus Pada Anggota Komunitas Diabetesi Sehat Puskesmas Ngrambe Kabupaten Ngawi

Prevalensi diabetes mellitus terus meningkat, hal ini berkaitan dengan meningkatnya status sosial, yang diikuti perubahan pola hidup yang kurang sehat seperti kurangnya aktivitas fisik. Sejak 2008 diabetes mellitus menempati peringkat 5 dengan kunjungan terbanyak, sehinnga dibentuklah komunitas diabetesi sehat di Puskesmas Ngrambe. Faktor-faktor yang mempengaruhi aktivitas fisik antara lain pendidikan, lama keanggotaan, jarak rumah, sikap, dukungan keluarga, sarana dan fasilitas, jenis kelamin, status pekerjaan, kualitas interaksi, dan keparahaan penyakit. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi keaktifan melakukan senam DM pada anggota komunitas diabetesi sehat Puskesmas Ngrambe. Penelitian ini adalah penelitian kuantitatif menggunakan metode korelasonal. Sampel penelitian adalah 68 anggota komunitas diabetesi sehat Puskesmas Ngrambe Ngawi. Teknik pengumpulan data menggunakan kuesioner dan dokumentasi. Teknik pengolahan data menggunakan teknik Chi Square dan Regresi Logistik. Berdasarkan hasil penelitian dan pembahasan, maka kesimpulan dari penelitian ini adalah: Tingkat pendidikan sebagian besar adalah pendidikan dasar, sikap dalam kegiatan Senam DM sebagian besar adalah cukup, lama mengikuti senam DM sebagian besar adalah baru (< 1 tahun), persepsi jarak domisili sebagian besar adalah cukup, dukungan keluarga sebagian besar adalah cukup, keaktifan mengikuti senam DM pada anggota kelompok diabetes sehat Puskesmas Ngrambe sebagian besar adalah tidak aktif, ada pengaruh tingkat pendidikan, sikap, jarak dan dukungan keluarga anggota kelompok diabetes sehat Puskesmas Ngrambe terhadap keaktifan mengikuti senam DM

Asuhan Keperawatan Pada An. N Dengan Gangguan Kardiovaskuler : Penyakit Jantung Bawaan Di Ruang Cempaka III RSUD Pandan Arang Boyolali

Background : Infant and child mortality rate caused by Congenital Heart Disease quite high in both developed countries and developing countries (including Indonesia). With a population of 235 million in Indonesia, it was estimated that 50,000 babies would born with congenital heart disease so that the number of prevalence was quite high. Lack of parents’knowledge and attention towards congenital heart disease one of the problems in handling children with congenital heart disease. It was required a sophisticated medical treatment so that children are able to survive soon after their birth. Objective : To implement nursing care in patients with congenital heart disease include assessment, intervention, implementation and evaluation of nursing care. Methods : The method used was case study approach that was defined as a scientific menthod to collect data, analyze the data method was to collect data, analyze the data and draw conclusions. Results :The emerging diagnosis on the case were of decreased cardiac output related to malformations ofthe heart, ineffective breathing pattern related to pulmonal congestion and intolerance activity were related to the imbalance of oxygen consumption by body and supply of oxygen to the cells. After 3x24 hours nursing care,it was obtained that intolerance activity was resolved, decreased heart output did not occur and breathing pattern effective. Conclusion : The written was doing nursing care, intolerance activity was resolved, ineffective breathing pattern were partially resolved and decreased heart output was not resolved so thus required further treatment and cooperation with other medical team. Keywords: Congenital Heart Disease (CHD), shortness of breath, weakness, cardiac abnormality, decreased cardiac output