Community Service Program: Training on Rational Supplementation of Midwives for Pregnant Woman and Using Instagram as Education Media

Rational drugs use is a must know-knowledge in preventing disability and death due to unnecessary drug use. Giving supplementation during pregnancy aims to reduce infant mortality and disability. Refreshing the rational use of supplementation in pregnancy and sharing knowledge in how to use Instagram as an education and communication media between midwives and pregnant women aims in improving the midwives’ skills as educators and good communicators. The method of this activity was divided into three stages, preparation, implementation, and evaluation. In the implementation stage, midwives’ knowledge about supplementation rational and social media use were increasing. the evaluation stage showed that the midwives could use Instagram as education and communication media between midwives and pregnant wome

TELEMEDICINE AS AN OPTION FOR HEALTH SERVICE LIMITATIONS IN COVID-19 PANDEMIC ERA

Coronavirus disease 2019 (COVID-19) pandemic era provides a new habit in form of self-quarantine or physical distancing. The recommendation is to delay visits to health facilities if it is not in the emergency condition to slow down the spread of COVID-19 transmission. This study aims to develop a telemedicine system that integrates three main components, namely doctors, patients, and hospital management in Gotong Royong Hospital Surabaya to minimize the transmission of COVID-19 while still provides comprehensive health services. The development of telemedicine service is divided into 3 stages. In the first stage, emergency screening was carried out by developing Frequently Asked Questions (FAQs). The second stage was continued with prototype testing and the last part was improving the system to create a better referral system. Gotong Royong Hospital telemedicine has been active since June 2021, within 2 months, 45 patients are willing to use telemedicine services. The results showed that telemedicine was easily accepted by patients in internal medicine clinic services (

POST COVID-19 SYNDROME EFFECT ON DAILY LIFE ACTIVITIES

The Covid-19 pandemic had a big impact on the world over the past two years., and it is estimated that 1 in 10 people have been infected. The development of prevention and treatment systems can reduce mortality, but a new problem has emerged in the group of survivors. New clinical complaints, Getting COVID-19 again or having ongoing symptoms of COVID-19 for four weeks after the first infection, can affect a wide variety of organ functions. The long-term effects of having COVID-19, like feeling tired, having trouble breathing, chest pain, difficulty thinking, and joint pain, can make life worse. The study was conducted using a qualitative descriptive method using an online questionnaire. The results showed that some residual symptoms that respondents still felt after four weeks since being infected with COVID-19, such as fatigue easily (80%), joint pain (63.3%), insomnia (56.7%), depressive symptoms (53.3%), shortness of breath (50%), impaired concentration and memory (50%), livelihood disorders (43.3%), cough (40%), respiratory disorders (36.7%), weight loss and appetite (33.3%), fever (26.7%). Overall, it was found that 20% of COVID-19 survivors experienced daily activity disruptions assessed using the Modifications of Barthel Index and EQ-5D-5L questionnaires

Perbedaan indeks massa tubuh dan profil lipid antara penderita diabetes melitus tipe 2 dan bukan penderita diabetes melitus

Jumlah penderita diabetes melitus mengalami peningkatan hingga mencapai 592 juta jiwa dalam kurun kurang dari 25 tahun. Salah satu faktor risiko yang berperan dalam timbulnya diabetes melitus tipe 2 adalah kelebihan berat badan. Penderita diabetes melitus tipe 2 juga memiliki peningkatan risiko kejadian dislipidemia. Penelitian ini bertujuan untuk mengetahui perbedaan indeks massa tubuh dan profil lipid antara penderita diabetes melitus tipe 2 dan bukan penderita diabetes melitus yang dilakukan di Rumah Sakit PHC Surabaya periode Januari-Juli 2015. Penelitian dilakukan dengan menggunakan metode penelitian analitik observasional dengan desain studi case control secara cross sectional yang kemudian dilakukan analisis dengan menggunakan uji Chi Square dan uji t independen. Hasil analisis menunjukkan tidak terdapat perbedaan bermakna Indeks Massa Tubuh antara kasus dan kontrol (p>0,05), tidak terdapat perbedaan bermakna kadar kolesterol total antara kasus dan kontrol (p>0,05), terdapat perbedaan bermakna kadar trigliserida antara kasus dan kontrol (p0,05) serta tidak terdapat perbedaan bermakna kadar HDL antara kasus dan kontrol (p>0,05)

PERBEDAAN PROFIL LIPID TIKUS RATTUS NORVEGICUS PADA PEMBERIAN DIET KETOGENIK LEMAK JENUH DAN LEMAK TIDAK JENUH SELAMA EMPAT MINGGU

Latar Belakang. Diet ketogenik merupakan diet populer untuk menurunkan berat badan dengan efek terhadap profil lipid masih inkonsisten. Tujuan Penelitian. Menganalisis perbedaan profil lipid tikus Rattus norvegicus pada pemberian pakan ketogenik dengan komposisi  lemak 80% (jenuh dan tidak jenuh), protein 15% dan karbohidrat 5%  selama 4 minggu. Metodologi. Desain penelitian true experimental dengan posttest only control group design. Tikus jantan dengan berat badan 125-150 g  dibagi secara random dalam 3 kelompok (P0, P1 dan P2) menerima diet 25-30 kkal/hari sesuai dengan kebutuhan energi harian tikus. P0 kelompok kontrol menerima pakan tikus biasa. P1 menerima diet ketogenik lemak jenuh dari margarin. P2 menerima diet ketogenik lemak tak jenuh dari minyak zaitun ekstra virgin. Kolesterol total, LDL, HDL dan trigliserida diperiksa pada minggu ke 2 dan 4. Data dianalisis dengan Uji t Independen dan Mann Whitney (p<0,05). Hasil. Pada P1 terdapat perbedaan kadar HDL yang signifikan (38 menjadi 22,40 mg/dL, p=0,005) namun perbedaan kadar kolesterol total, LDL dan kadar trigliserida tidak signifikan. Pada P2 didapatkan perbedaan yang signifikan pada kadar kolesterol total (93,20 menjadi 67,80 mg/dL, p=0,042), HDL (29,40 menjadi 22,20 mg/dL, p=0,004), LDL (25,60 menjadi 13,80 mg/dL, p=0,009), dan trigliserida (100,80 menjadi 51,40 mg/dL, p=0,016). Pada P0 tidak ada perbedaan yang signifikan. Kesimpulan. Diet ketogenik dengan lemak tidak jenuh selama 4 minggu  menunjukkan efek yang menguntungkan dalam menurunkan kadar kolesterol total, LDL dan trigliserida pada tikus Rattus norvegicus. kata kunci: diet ketogenik, lemak jenuh, lemak tidak jenuh, kolesterol total, HDL, LDL, trigliserid

The risk perception of tuberculosis infected diabetes mellitus patients

The number of people with Diabetes Mellitus (DM) increases from year to year. Indonesia is in the sixth highest rank globally for the number of people with DM. Moreover, the level of risk of DM suffering TB is higher. The consequences can be prolonged if not treated immediately. However, the dangers of DM should be the concern of everyone. A non-healthy lifestyle such as high consumption of fast food and a sedentary lifestyle has a negative impact. DM will be worsened and can even lead to various diseases, including blindness, heart disease, kidney failure, stroke, or even amputation. Methods: This research was conducted in East Java and assessed the correlation between behavior, perception, perceived behavior control, and social support so that people can be motivated to seek information about the risk of TB in DM patients. This comprehensive community-based research combines quantitative and qualitative using a cross-sectional method on people who had been diagnosed with diabetes mellitus for at least one year. Information gathered concerning things to know for prevention and the desire to do the prevention. Result: The result of this research is the establishment of a brief video animation explaining the risk of TB in DM patients. Based upon data processing, DM patients diagnosed under five years are more active in seeking information about diabetes mellitus and its complications, including tuberculosis, as seen in table 3. Conclusion: The information is at their most plentiful access from social media (Facebook, Instagram), followed by radio, newspapers, television, and WhatsApp/ Line. Even more surprising, from the result of this research, it was found that the role of doctors or nurses was in the bottom two in providing information related to the risk of DM and TB. Similarly, health facilities (public health services, hospitals, clinics) are the third bottom after doctors and nurses. Of course, this is very unfortunate because the transfer of information from the primary source, in this case, health workers, did not occur properly

Phago pharmacology on the go. gamification approach in case learning process

Learning process among medical students have developed along with technological advances so that it can be useful for users. One of the breakthroughs in the world of medical education is the development of serious games using multimedia technology that are relatively small in size so that they can be accessed using computers or devices named Pharmacology on the Go (PHAGO). The implementation stage was done by testing prototype game on 88 users since October 20, 2021. Evaluation was done by using a feedback questionnaire for PHAGO users, shows 79 (89.8%) users who agree and strongly agree that the PHAGO application helps users understand the use of Pharmacology for clinical application. The results of the Wilcoxon test in evaluating the increase in students' knowledge with Pre Test and Post Test showed that there was a significant difference (p = 0.000). The existence of serious game stimulates an active learning process to create a learning environment that encourages the development of interpersonal, communication and problem solving skills. PHAGO is expected to be a forum that supports students to be able to independently study pharmacology in a fun and easy-to-understand way

PHAGO PHARMACOLOGY ON THE GO. GAMIFICATION APPROACH IN CASE LEARNING PROCESS

Learning process among medical students have developed along with technological advances so that it can be useful for users. One of the breakthroughs in the world of medical education is the development of serious games using multimedia technology that are relatively small in size so that they can be accessed using computers or devices named Pharmacology on the Go (PHAGO). The implementation stage was done by testing prototype game on 88 users since October 20, 2021. Evaluation was done by using a feedback questionnaire for PHAGO users, shows 79 (89.8%) users who agree and strongly agree that the PHAGO application helps users understand the use of Pharmacology for clinical application. The results of the Wilcoxon test in evaluating the increase in students' knowledge with Pre Test and Post Test showed that there was a significant difference (p = 0.000). The existence of serious game stimulates an active learning process to create a learning environment that encourages the development of interpersonal, communication and problem solving skills. PHAGO is expected to be a forum that supports students to be able to independently study pharmacology in a fun and easy-to-understand way