Sam Ratulangi Journal of Public Health

Hubungan antara Status Gizi, Asupan Protein, dan Asupan Vitamin C dengan Kadar Asam Urat Pegawai RSJ Prof. Dr. V. L. Ratumbuysang Manado

Rodela Agnesia Irot — Wed, 04 Oct 2023 00:00:00 +0800

Abstrak

Latar Belakang: Penyakit tidak menular (PTM) menjadi penyebab utama kematian secara global. Data WHO menunjukkan bahwa dari 57 juta kematian yang terjadi di dunia sebanyak 36 juta atau hampir dua pertiganya disebabkan oleh penyakit tidak menular. PTM juga membunuh penduduk dengan usia yang lebih muda. Salah satu penyakit tidak menular adalah asam urat atau gout arthritis. Penyakit asam urat diperkirakan terjadi pada 840 orang dari setiap 100.000 orang. Metode Penelitian: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Penelitian ini dilakukan di RSJ Prof. Dr. V. L. Ratumbuysang Manado pada bulan Juni 2020 sampai April 2022. Responden dalam penelitian ini yaitu pegawai RSJ Prof. Dr. V. L. Ratumbuysang Manado. Jumlah responden dalam penelitian ini yaitu 208. Variabel penelitian yaitu status gizi, asupan protein, asupan vitamin C dan kadar asam urat. Data dianalisis secara univariat dan bivariat. Hasil Penelitian: Hasil uji spearman status gizi, asupan protein, dan asupan vitamin C dengan kadar asam urat yaitu diperoleh hasil dengan nilai p value sebesar 0,000 dengan nilai Î± = 0,05. Hasil uji dengan nilai p value (0,000) lebih kecil dari Î± (0,05) artinya terdapat hubungan yang bermakna. Kesimpulan: Kesimpulan pada penelitian ini yaitu hasil angka koofisien korelasi status gizi dan asupan protein yang diperoleh bernilai positif artinya semakin tinggi status gizi berdasarkan IMT maka semakin tinggi kadar asam urat, semakin tinggi asupan protein maka semakin tinggi kadar asam urat. Sedangkan untuk vitamin C bernilai negatif artinya semakin rendah asupan vitamin C semakin tinggi kadar asam urat.

Kata Kunci: Status Gizi; Asupan Protein; Asupan Vitamin C; Kadar Asam Urat

Analisis Hambatan Praktik Aktivitas Fisik Pada Mahasiswa Kedokteran Dalam Mendukung Gerakan Masyarakat Hidup Sehat (GERMAS)

Thu, 29 Sep 2022 00:00:00 +0800

Background: Physical activity is any form of body movement produced by skeletal muscles that releases energy. Lack of physical activity has been identified as the fourth leading cause of death globally (6% of global deaths). The purpose of this study is to analyze what are the barriers to the practice of physical activity in medical students in supporting GERMAS. Methods:This research was conducted using a qualitative method on medical students of the Faculty of Medicine, Unsrat Manado in 2020-2021, using a purposive sampling technique. The target population is all students at the Faculty of Medicine, Unsrat Manado and the affordable population in this study are representatives of students and leaders of the Faculty of Medicine, Unsrat Manado, who are informants. Informants in this study were based on the principles of appropriateness and adequacy. The informants in this study were 7 people consisting of the Dean of the Faculty of Medicine UNSRAT, Deputy Dean III of the Faculty of Medicine UNSRAT, Koas students and regular students. The instruments used are interview guide, note book, cellphone voice recorder, and cellphone camera. Data collected in this study through in-depth interviews and direct observation. Data analysis using content analysis. Results: The results showed that based on the results of in-depth interviews and document observations, the results that 1) The perception of medical students towards the practice of physical activity is not an obstacle, 2) The availability of time for medical students to practice physical activity to support GERMAS is an obstacle, 3) Institutional support in implementing programs that encourage medical students to do physical activity in support of GERMAS has only been carried out informally and has not been implemented formally.Conclusion: This research can be concluded that medical students encounter obstacles in practicing physical activity.

Implementasi Balanced Scorecard dalam Penyusunan Rencana Strategis di Rumah Sakit Cantia Tompasobaru

James Komaling, Jeini Ester Nelwan, Diana Vanda Daturada Doda — Thu, 29 Sep 2022 00:00:00 +0800

Background: The vision and mission of the hospital must be achieved by every hospital. This requires planning as outlined in a document called a strategic plan. There are many approaches to strategy formulation, one of which is the Balanced Scorecard (BSC). BSC is an approach that is widely used today, including in hospitals. The purpose of this research was to formulate a strategic plan for Cantia Tompasobaru Hospital using the Balanced Scorecard method. Methode: This is a qualitative research with a case study design. This research was conducted in April-July 2022 at Cantia Tompasobaru Hospital. The number of informants, namely 10 informants consisting of key informants, namely level 2 of the hospital, consisted of 3 deputy directors, while the other informants, namely level 3 of the hospital, were the heads of each room and installation, totaling 7 people. The variables studied are the BSC perspective, namely the perspective of finance, customers, internal business processes, as well as learning and innovation. Data were obtained through interviews, focus group discussions, document review and field observations. The data obtained were analyzed by content analysis method. Result: The results showed that the customer perspective BSC strategy, there are 2 strategic goals, namely retaining old customers and attracting new customers. The strategic goals to retain existing customers have 4 strategies, namely meeting medical service expectations, meeting tariff and service quality expectations, meeting consumer service expectations and providing incentives or bonuses. The target strategy to attract new customers consists of 4 strategies, namely adding service products, providing price certainty, building relationships with doctors and increasing brand awareness. The internal business perspective BSC strategy has 2 strategic objectives, namely increasing key capabilities and improving business processes. The target strategy to increase the main capabilities has 3 strategies, namely improving clinical results, increasing value propositions, and improving customer service. The target strategy for improving business processes consists of 4 strategies, namely improving organizational structure, improving management systems, optimizing and improving processes and reducing loss/waste costs. The BSC strategy from a growth and development perspective has 2 strategic goals, namely increasing employee professionalism and improving the work environment. The target strategy for increasing employee professionalism has 2 strategies, namely increasing work direction and increasing knowledge and skills. The target strategy to improve the work environment consists of 2 strategies, namely maximizing the placement of staff/number of human resources and increasing work morale. The BSC hospital strategy from a financial perspective has 3 strategic objectives, namely increasing profit, increasing revenue and reducing costs. The target of the strategy to increase profits aims to enable hospitals to increase profits in order to support hospital development. The target strategy to increase revenue aims to increase the number of customers. The target strategy is to reduce costs with 4 strategies, namely increasing efficiency, main capabilities, business processes and productivity Conclusion: It can be concluded that the customer perspective BSC strategy, there are 2 strategic goals, namely retaining old customers and attracting new customers. The internal business perspective BSC strategy has 2 strategic objectives, namely increasing key capabilities and improving business processes. The BSC strategy from a growth and development perspective has 2 strategic goals, namely increasing employee professionalism and improving the work environment. The BSC hospital strategy from a financial perspective has 3 strategic objectives, namely increasing profit, increasing revenue and reducing costs.