Limbah medis padat memiliki risiko terhadap kesehatan seperti penularan penyakit. Tenaga kesehatan di rumah sakit rentan terhadap risiko pengelolaan limbah medis. Penelitian ini bertujuan untuk mengetahui gambaran dan hubungan pengetahuan dan sikap tenaga kesehatan terhadap pengelolaan limbah medis padat. Penelitian ini merupakan observasional komparatif yang dilakukan pada tenaga kesehatan di salah satu RSKIA Kota Bandung pada bulan Agustus 2016. Metode penelitian adalah cross-sectional dengan metode sampling propotional random sampling. Jumlah sampel sebanyak 159 responden. Terdapat 56,6% tenaga kesehatan yang memiliki pengetahuan baik, 25,8% sedang dan 17,6% memiliki pengetahuan kurang. Diketahui pula 82,4% tenaga kesehatan memiliki sikap yang baik dan 17,6% sikap kurang baik terhadap pengelolaan limbah medis padat. Hubungan antara pengetahuan pengelolaan limbah medis padat dengan tenaga kesehatan dokter dan non dokter (p < 0,001) sedangkan sikap pengelolaan limbah medis padat tidak memiliki hubungan dengan tenaga kesehatan dokter dan non dokter (p = 0,300). Dokter memiliki pengetahuan dan sikap terhadap pengelolaan limbah medis padat lebih baik dibandingkan non dokter. Terdapat hubungan antara pengetahuan pengelolaan limbah medis padat dengan tenaga kesehatan tetapi tidak terdapat hubungan antara sikap terhadap pengelolaan limbah medis padat dengan tenaga kesehatan.Kata Kunci: Limbah medis padat, pengelolaan, pengetahuan, sikap

Bad sleep quality is often associated with rise in blood pressure. However, there are still differences between measurement done in elderly respondents and other age categories. Thus, the aim of this study is to determine association between quality of sleep with blood pressure among elderly in Tresna Werdha nursing home city of Bandung. This study uses analytical method with cross-section design. Respondents in this study are 51 people with elderly age category. Instruments used are Pittsburgh Sleep Quality Index (PSQI) questionnaire, mercury sphygmomanometer, and stethoscope. PSQI questionnaire is used to measure sleep quality with good sleep quality scores < 5, and bad sleep quality scores ≥ 5. Blood pressure with measurement result < 120 for systolic pressure and < 80 mmHg for diastolic pressure is categorized as normal blood pressure, and hypertension is categorized with measurement result ≥ 140 for systolic pressure and ≥ 90 mmHg for diastolic pressure.This study uses Chi-square analysis test with significance value p<0.05. Result of this study shows p = 0.113 for systolic pressure and p = 0.543 for diastolic pressure, it can be concluded that there is no association between sleep quality and blood pressure among elderly in Tresna Werdha nursing home city of Bandung. Keywords: sleeping quality, elderly, nursing home, blood pressure

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Background: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures. Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the risk factors of recurrent febrile seizures. Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia. Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables. Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy. Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure.

EFFORTS TO IMPROVE EARLY DETECTION OF BREAST CANCER IN CIJULANG 1 VOCATIONAL HIGH SCHOOL, PANGANDARAN REGENCY. The high mortality rate of breast cancer (BC) patients in Indonesia is associated with conditions of most patients come to doctor in an advanced stage of BC. This is due to the low BC awareness of Indonesian women. This community service program (PPM) is intended to increase knowledge of adolescent women about early detection of BC. This action was conducted by BC awareness workshop to 114 female students of Vocational High School (SMK) 1 Cijulang, Pangandaran district, West Java. The profile of participants showed that 64% of participants are 17 years old and mostly from Cijulang and Cimerak sub-districts. In addition, the majority of participants were not aware of BC, indicated by lack of knowledge of BC signs and symptoms (97%), and low confident of doing breast self-examination (BSE) (30%). Moreover, there were 7% of the participants were smoking which is known to be one of the major risk factors for BC. These findings point out conducting a program for increasing BC awareness among students. The program was managed by mini-lecture that focuses on BC risk factors, BC early detection and BSE (SADARI) using videos and simulation on a mannequin. This program was expected to have an impact on their families, indirectly. Ultimately, this will increase the finding of new cases of BC which will increase their life expectancy.