Sanus Medical Journal

Hubungn antara Jenis Pekerjaan, Masa Kerja dan Pola Kerja Terhadap Risiko Penyakit Jantung Koroner pada Tenaga Kesehatan Rumah Sakit Islam Jakarta Pondok Kopi

2025-08-12T10:47:21+07:00

Coronary heart disease is often found in workers, including hospital health workers. The purpose of the study was to determine the relationship between the type of work, working period and work pattern on the risk of coronary heart disease in health workers at the Jakarta Islamic Hospital Pondok Kopi. This study is an analytical research with a cross sectional method. Samples were obtained by taking primary data from questionnaires and secondary data from medical check-up results. A total of 70 people met the inclusion criteria as a sample. The risk of cardiovascular disease is calculated using the Framingham score online. Based on the results of the analysis using SPSS 21.0, the relationship between the working period and the risk of CHD was obtained with a value of p=0.029 (p<0.05). Meanwhile, the type of work and work pattern were not found to be associated with the risk of Coronary Heart Disease (p=0.361 and p=0.735).

Penyakit jantung koroner sering dijumpai pada pekerja antara lain tenaga kesehatan rumah sakit. Tujuan penelitian untuk mengetahui hubungan antara jenis pekerjaan, masa kerja dan pola kerja terhadap risiko penyakit jantung koroner pada tenaga kesehatan Rumah Sakit Islam Jakarta Pondok Kopi. Penelitian ini merupakan penelitian analitik dengan metode cross sectional. Sampel diperoleh dengan pengambilan data primer kuesioner dan data sekunder dari dokumen hasil medical check up. Sebanyak 70 orang memenuhi kriteria inklusi sebagai sampel. Risiko penyakit cardiovaskuler dihitung menggunakan skor Framingham secara online. Berdasarkan hasil analisis menggunakan SPSS 21.0 didapatkan hubungan antara masa kerja dengan risiko PJK dengan nilai p=0,029 (p<0,05). Sedangkan jenis pekerjaan dan pola kerja tidak didapatkan hubungan dengan risiko Penyakit Jantung Koroner (nilai p=0,361 dan p=0,735).

Pengaruh Pendidikan dan Kepemilikan BPJS terhadap Akses Layanan Primer di Puskesmas Sidotopo

2025-08-11T15:50:34+07:00

Introduction: Equitable access to primary health services is a critical element in achieving Universal Health Coverage (UHC). Aims: This study aims to analyze the influence of educational level and BPJS ownership on access to primary healthcare services within the working area of Sidotopo Public Health Center (Puskesmas), Surabaya. Method: This research applied a quantitative approach with an analytical observational design utilizing a cross-sectional framework. A total of 84 respondents residing in RW 6, Sidotopo Subdistrict, were selected using a purposive sampling technique. Data were obtained from structured interviews and health center records. Results: The analysis showed that among respondents with middle-level education (junior and senior high school), 61.7% had used Puskesmas services, while only 45.2% of those with higher education had done so. In contrast, respondents with BPJS were more likely to use Puskesmas services (59.2%) than those without BPJS (25.0%), with a p-value of 0.064, approaching statistical significance. Conclusion: Although the relationship between education level and access to Puskesmas services was not statistically significant, there was a tendency for individuals with middle-level education to utilize primary services more frequently. These findings indicate the need to strengthen health literacy and expand the reach and effectiveness of the BPJS program, especially among underserved population groups.

Pendahuluan: Akses yang merata terhadap layanan kesehatan primer merupakan elemen penting dalam pencapaian Universal Health Coverage (UHC). Tujuan penelitian: Penelitian ini bertujuan untuk menganalisis pengaruh tingkat pendidikan dan kepemilikan BPJS terhadap akses layanan kesehatan primer di wilayah kerja Puskesmas Sidotopo, Surabaya. Metode: Studi ini menggunakan metode penelitian kuantitatif dengan desain observasional analitik serta pendekatan cross-sectional. Sebanyak 84 responden yang berdomisili di RW 6 Kelurahan Sidotopo dipilih dengan metode purposive sampling. Data diperoleh dari wawancara terstruktur dan catatan Puskesmas. Hasil: Analisis menunjukkan bahwa dalam kelompok responden dengan pendidikan menengah (SMP–SMA), 61,7% tercatat pernah memanfaatkan layanan Puskesmas, sementara hanya 45,2% pada kelompok berpendidikan tinggi. Sebaliknya, responden yang memiliki BPJS lebih banyak memanfaatkan layanan Puskesmas (59,2%) dibandingkan mereka yang tidak memiliki BPJS (25,0%), dengan nilai p = 0,064, yang mendekati signifikansi statistik. Kesimpulan: Meskipun hubungan antara tingkat pendidikan dan akses layanan Puskesmas tidak signifikan secara statistik, terdapat kecenderungan bahwa individu dengan pendidikan menengah lebih sering memanfaatkan layanan primer dibandingkan kelompok lainnya. Temuan ini menunjukkan perlunya penguatan literasi kesehatan dan perluasan cakupan serta efektivitas program BPJS, terutama pada kelompok masyarakat yang belum terjangkau secara optimal.

Synergistic Anti-inflammatory Activity of Tinospora crispa L. and Zingiber officinale: A BSA Assay Study

2025-08-18T19:30:15+07:00

Ginger rhizome (Zingiber officinale) and Tinospora crispa L. (Tinospora crispa L.) extracts contain various active compounds that have the potential to be anti-inflammatory agents. This study aims to evaluate the anti-inflammatory activity of ginger rhizome and Tinospora crispa L. leaf extracts, both singly and in combination, using the BSA test method. Extraction was carried out using the maceration method with 70% ethanol solvent. Anti-inflammatory activity tests were carried out in vitro at 75, 100, and 150 μg/mL concentrations by measuring the extract's ability to prevent heat-induced BSA denaturation. The yield of Tinospora crispa L. extract reached 41.39% and that of ginger extract 25.63%. The combination of 150 μg/mL extracts showed the highest anti- inflammatory activity (96.82%) of all the extract test samples. In comparison, the lowest anti-inflammatory activity was found in 75 μg/mL ginger extract, at 89.21%. Statistical tests showed a significant difference between the 75 μg/mL ginger extract and the 150 μg/mL combination (p=0.047). The combination of ginger and Tinospora crispa extract has the potential to be developed as a natural anti-inflammatory agent.

Impact of Housing Quality on Acute Respiratory Infections in Flood-Prone Urban Settlements: A Mixed-Methods Study in Dukuh Kupang, Surabaya, Indonesia

2025-08-31T20:04:21+07:00

Penyakit jantung koroner Latar Belakang: Kualitas hunian merupakan faktor penting yang memengaruhi kesehatan pernapasan, khususnya di wilayah perkotaan rawan banjir. Di Kelurahan Dukuh Kupang, Surabaya, ventilasi buruk, kelembaban tinggi, dan kepadatan hunian diduga meningkatkan risiko Infeksi Saluran Pernapasan Atas (ISPA). Untuk mendukung intervensi kesehatan perkotaan, penelitian ini menganalisis hubungan antara kualitas hunian dan insiden ISPA.Metode: Penelitian menggunakan pendekatan mixed methods, menggabungkan survei rumah tangga pada 80 responden dari 8 Rukun Warga dengan wawancara informan kunci. Faktor-faktor seperti jenis lantai, jenis dinding, luas ventilasi, kelembaban udara, suhu ruangan, dan kepadatan hunian menunjukkan kualitas hunian. Gejala dan tingkat keparahan ISPA diidentifikasi melalui kuesioner dan catatan medis. Analisis regresi logistik digunakan untuk menguji hubungan statistik.Hasil: Sebanyak 62% rumah memiliki ventilasi tidak memadai, 55% memiliki kelembaban tinggi, dan 48,8% memiliki kepadatan hunian tinggi. Kejadian ISPA mencapai 71,3%, dengan gejala batuk (90,0%) dan demam (82,5%) paling sering dilaporkan. Ventilasi buruk berhubungan signifikan dengan ISPA (OR = 4,02; 95% CI: 1,78–9,08; p < 0,01).Kesimpulan: Risiko infeksi saluran pernapasan akut (ISPA) meningkat secara signifikan di daerah perkotaan yang rentan banjir. Studi ini menekankan pentingnya meningkatkan kondisi fisik perumahan, terutama ventilasi dan lingkungan dalam ruangan, sebagai strategi kritis dalam intervensi kesehatan masyarakat untuk mengurangi risiko ISPA di daerah-daerah rentan tersebut.

Background: In urban areas that are susceptible to flooding, the condition of housing is a critical determinant of respiratory health. In Dukuh Kupang, Surabaya, poor ventilation, high humidity, and overcrowding are suspected to elevate Acute Respiratory Infection (ARI) risk. This study investigated the correlation between the incidence of ARI and the condition of housing in order to inform urban health interventions.Methods: A mixed-methods approach was applied, combining a household survey of 80 residents from 8 neighbourhood units with key informant interviews. Housing indicators included floor type, wall type, ventilation area, humidity, temperature, and occupancy density. ARI symptoms and severity were assessed through questionnaires and clinical records. Logistic regression tested statistical associations.

Results: A high occupancy density of 48.8%, 55% of houses had excessive humidity, and over 62% of houses lacked adequate ventilation. The incidence of acute respiratory infections (ARIs) was 71.3%, with fever (82.5%) and cough (90.0%) being the most prevalent. ARI was significantly correlated with inadequate ventilation (OR = 4.02, 95% CI: 1.78–9.08, p < 0.01).Conclusion: Urban areas that are susceptible to inundation experience a substantial increase in the incidence of acute respiratory infections (ARIs). This study emphasizes the importance of improving physical housing conditions, particularly ventilation and indoor environments, as a critical strategy in public health interventions to reduce the risk of ARI in these vulnerable areas.

Fahr Disease : A Case Repor

2022-02-24T01:42:32+07:00

In Indonesia, life expectancy has risen significantly. The rise in life expectancy is, of course, directly proportional to the rise in the elderly population (elderly). Coronary heart disease, hypertension, metabolic disorders, and arthritis are all problems that the elderly face on a daily basis. To improve the quality of life of the elderly, preventive efforts that are tailored to their physiological needs are required. However, descriptive data on the parameters to be examined in this group are required before conducting an intervention. The authors are encouraged to know the description of total cholesterol levels in the elderly who are in the DPC Muhammadiyah Pondok Aren environment based on the background of the problems described above. Glucose, hemoglobin, and total cholesterol levels in plasma will be measured. This study collects primary data from respondents by taking finger blood samples, which are then measured using the Easy Touch® tool. Total sampling was used, and the number of samples that met the inclusion criteria was 13 people. The data is analyzed to generate distributions and percentages. The findings revealed that 85.19 percent of the elderly had normal blood glucose levels. According to age, the elderly aged 60-74 years have 83.33 percent normal blood glucose levels, while the elderly aged 75-70 years have 86.67 percent normal blood glucose levels. According to gender, elderly men with normal blood glucose levels account for approximately 84.21 percent of the population, while elderly women with normal blood glucose levels account for approximately 87.50 percent. It was determined that over half of the elderly in PSTW

Penggunaan Β-Blockers Pada Pasien Gagal Jantung Fraksi Ejeksi Menurun

2025-08-12T11:05:38+07:00

Pendahuluan: Pengertian dari gagal jantung adalah sebuah sindroma klinis dimana jantung mengalami kegagalan dalam menjalankan tugasnya baik. Fungsi dari Beta- blocker adalah menghambat adrenoreseptor beta di jantung, pembuluh darah perifer, bronkus, pankreas, dan hati. Artikel ini menjelaskan mengenai kegunaan Beta- blocker pada pasien gagal jantung dengan fraksi ejeksi yang menurun beserta pengaruhnya terhadap komorbid kardiovaskular dan non kardiovaskular.
Pembahasan: Beta-blocker merupakan terapi yang direkomendasikan diberikan pada pasien heart failure dengan ejection fraction yang menurun. Obat golongan beta-blocker membantu mencegah gejala heart failure, meningkatkan remodeling ventrikel kiri, menurunkan resiko rawat inap dan kematian dini. Beta-blocker tidak digunakan pada gangguan nafas fase akut karena dapat memperburuk gagal jantung, bradikardia atau blok jantung dan hipotensi. Pemberian beta-blocker juga direkomendasikan pada pasien aritmia karena berperan dalam kontrol laju ventrikel serta memperlihatkan mortalitas yang lebih rendah dan prognosis yang lebih baik pada pasien atrial fibrilasi yang mendapatkan terapi beta-blocker.
Kesimpulan: Beta-blocker direkomendasikan sebagai terapi pada pasien gagal jantung dengan fraksi ejeksi menurun. Tetapi, perlu diperhatikan adanya komorbid kardiovaskular maupun non-kardiovaskular yang dapat mempengaruhi pemberian terapi beta-blockers. Pemberian terapi beta-blocker diharapkan dapat mengurangi mortalitas atau morbiditas pada pasien gagal jantung dengan fraksi ejeksi yang berkurang (HFrEF).