INISIASI MANAJEMEN KESEHATAN MENTAL PADA SEKOLAH BERBASIS PESANTREN

Abstrak: Kesehatan mental pada remaja semakin membutuhkan perhatian selama pandemi COVID-19. Sekolah didorong juga berperan dalam mengawasi kesehatan mental remaja. Sayangnya, Poskestren sebagai upaya kesehatan berbasis sekolah masih dominan berorientasi pada upaya kuratif kesehatan fisik. Pengabdian kepada masyarakat ini dilakukan untuk menginisiasi kapabilitas sekolah dalam mengelola pelayanan kesehatan jiwa di Poskestren Al Amin sekaligus meningkatkan kesadaran siswa tentang perilaku di sekolah yang dapat memicu masalah kesehatan mental. Menggunakan konsep pendampingan dimana tim pengabdian masyarakat membantu mitra untuk dapat secara mandiri mengidentifikasi masalah kesehatan mental yang ada dan menentukan bentuk intervensi yang paling tepat. Hasilnya, dalam pengabdian masyarakat ini Poskestren mampu mengelola kesehatan mental secara mandiri melalui proses di setiap pengabdian masyarakat. Capaian keberhasilannya adalah 100% pada setiap langkah dan melebihi target hingga 145% pada langkah deliver. Instrumen yang digunakan dalam pendampingan juga membantu Poskestren dalam menilai dan mengidentifikasi kesehatan mental. Pengabdian kepada masyarakat telah berhasil merumuskan penyesuaian yang diperlukan untuk menginisiasi manajemen kesehatan jiwa sekolah berbasis pesantren. Abstract: Mental health among teenagers is gaining more attention todays. Schools are encouraged to be able provide monitoring function for this issue. However, Poskestren as school based health effort is still curative physical health oriented. This community service is carried out to initiate school’s capability in managing mental health services at the Al Amin Poskestren and at the same time increase students’ awareness on daily behaviour which could triggering mental health problems. It used the concept of mentoring where the community service team helps partners to be able to independently identify existing mental health problems and determine the most appropriate form of intervention. As the results, in this community service, Poskestren was able to manage mental health independently through the process in every community service. We achieved 100% target in each steps and exceeded 145% on deliver step’s target. The instruments used in mentoring also assist Poskestren in assessing and identifying mental health. Community service has succeeded in formulating the adjustments needed to initiate the mental health management of pesantren-based schools.

Immature Platelet Fraction di Demam Dengue dan Demam Berdarah Dengue (Immature Platelet Fraction in Dengue Fever and Dengue Hemorrhagic Fever)

Thrombocytopenia is a hematological abnormality found in the majority of Dengue Virus Infection cases with manifestations such as Dengue Fever (DF) and Dengue Hemorrhagic Fever (DHF). Bone marrow response to the decrease in platelets is by increasing thrombopoiesis which can be identified by Immature Platelet Fraction (IPF) examination as an indirect indicator of bone marrow response to thrombocytopenia. The examination of IPF in venous blood was performed on 29 subjects who met the 1997 WHO criteria, carried out from January until August 2012. The EDTA blood samples were examined twice, on the day of their admittance and two days later, based on a flowcytometry principle using Sysmex XE-2100. The IPF was derived from the immature platelet ratio against the total number of platelets (IPF %). The test results were statistically analyzed by using SPSS 20. It was found, that IPF in DHF compared between the first and the third day of their admittance was statistically significantly different with p = 0.033 compared to DF with p = 0.444. The Pearson’s correlation showed an inverse correlation between IPF and platelets with r = -0.675 and p = 0.01. The statistical analysis revealed a significant difference in IPF between moderate- and mild-thrombocytopenia on the first and third day of their admittance with p = 0.014 and 0.001, respectively. Based on this study it can be concluded that IPF can be used to indicate the bone marrow response in both DF and DHF related to thrombocytopenia