scholarly journals Faktor-Faktor Yang Berhubungan Dengan Kejadian Filariasis Di Kecamatan Buaran Kabupaten Pekalongan

2017 ◽  
Vol 16 (1) ◽  
pp. 22
Author(s):  
Suryo Sularno

Latar belakang: Filariasis merupakan salah satu penyakit infeksi, disebabkan oleh cacing filaria yang hidup di kelenjar limfa dan darah manusia, termasuk penyakit tular vektor. Kecamatan Buaran Kabupaten Pekalongan merupakan daerah endemis filariasis tinggi dengan mf rate 3,9%, Selain itu, hasil survei darah jari yang pernah dilakukan, di wilayah ini ditemukan 37 orang positif mikrofilaria dalam darahnya. Penelitian ini bertujuan untuk menggambarkan faktor lingkungan dan perilaku masyarakat sebagai faktor risiko kejadian filariasis di Kecamatan Buaran kabupaten Pekalongan.Materi dan Metode: Penelitian ini menggunakan disain kasus kontrol. Subyek penelitian dibagi menjadi kelompok kasus dan kelompok kontrol masing-masing 74 orang. Variabel bebas yang dikaji dalam penelitian ini adalah spesies keberadaan nyamuk di dalam dan luar rumah, kawat kasa, persawahan, saluran air, genangan air, tumbuhan air, dan ternak. Faktor perilaku meliputi kebiasaan penggunaan kelambu, menggantung pakaian, penggunaan obat anti nyamuk, keluar ada malam hari, pengetahuan dan layanan kesehatan. Variabel terikatnya adalah kejadian filariasis. Pengumpulan data dilakukan dengan wawancara, observasi, dan penangkapan nyamuk. Analisis data hasil penelitian menggunakan regresi logistik.Hasil: Dari 17 variabel bebas yang dikaji, hasil penelitian ini menemukan ada tiga variabel yang mempunyai asosiasi signifikan dengan kejadian filatiasis di Kecamatan Buaran Kabupaten Pekalongan. Variabel tersebut meliputi tinggal di sekitar rumah penderita, kepadatan hunian, dan kepatuhan minum obat. Hasil analisis regresi logistik menunjukkan bahwa kepadatan hunian merupakan faktor yang paling dominan pengaruhnya terhadap kejadian filariasis dengan OR=6,145 (CI:1,051 – 35,938).Simpulan: Penelitian ini menyimpulkan bahwa tinggal di sekitar rumah penderita, kepadatan hunian dan kepatuhan minum obat filariais mempunyai kontribusi terhadap kejadian filariasis. Peneliti menyarankan upaya perbaikan lingkungan yang sehat dan kepatuhan minum obat oleh masyarakat perlu diupayakan semaksimal mungkin guna menekan kejadian penyakit tersebut di masa mendatang. AbstractTitle: Factors Related toThe Incidence of Lymphatic Fillariasis in Buaran, Pekalongan DistrictBackground: Filariasis or elephansiasis is one of infectious disease, is a systemic infection caused by filarial worms that live in the lymph nodes (lymph) and human blood that transmitted by mosquitoes (vector-borne disease). The survey result endemicity of filariasis in 2007 found that the highest area was in Buaran District with the number of microfilariae (mf) rate of 3.9% and according to the data Filariasis Research 2015, the result of Finger-prick Blood in Subdistrict Buaran discovery of microfilariae are 37 people. Based on this fact the purpose of this research is to describe environmental condition and behaviour society as a risk factor for the incidence of filariasis in Subdistrict Buaran Pekalongan regency.Method: This study was observational study with case control design. The subjects consisted of two groups of case and control, with each sample of 74 people. The independent variables studied were the vectors inside and outside the home existing, marshes existing, rice fields existing, trenches existing, ditches, puddles, aquatic plants existing, bushes existing, cattle existing, wire netting on the ventilation esiting, the habit of using nets, habits of hanging clothes have been used, the habit of using anti-mosquito drugs, the habit outdoors at night, knowledge and health efforts. While the dependent variable was the incidence of filariasis. Data was collected through interviews, observation, and measurement. Data would be analyzed using univariate, bivariate chi-square, and multivariate logistic regression at level of significance 0.05 (5%).Result: Bivariate analyze of 17 variables are the vectors inside and outside the home existing, marshes existing, rice fields existing, trenches existing, ditches, puddles, aquatic plants existing, bushes existing, cattle existing, wire netting on the ventilation esiting, the habit of using nets, habits of hanging clothes have been used, the habit of using anti-mosquito drugs, the habit outdoors at night, knowledge and health efforts, indicated that there were three variables that have a correlation to incidence of filariasis. They were staying or being around filariasis sufferers, density residential, and medication adherence. Results of multivariate analysis that density residential is the most dominant factor related to the incidence of filariasis with p-value = 0.044; OR = 6,145 (1,051 - 35,938). Conclusion: This study concluded that environment factors need to be improved, especially for staying or being around filariasis sufferers, density residential, and medication adherence to reduce fillariasis incident.

Author(s):  
Ellahe Mohyadin ◽  
Zohreh Ghorashi ◽  
Zahra Molamomanaei

AbstractBackgroundAnxiety and fear of labor pain has led to elevated cesarean section rate in some countries. This study was conducted to investigate the effect of yoga in pregnancy on anxiety, labor pain and length of labor stages.MethodsThis clinical trial study was performed on 84 nulliparous women who were at least 18 years old and were randomly divided into two groups of yoga and control groups. Pregnancy Yoga Program consisting of 6 60-min training sessions was started every 2 weeks from week 26 of pregnancy and continued until 37 weeks of gestation. Anxiety severity at maternal admission to labor was measured by the Spielbergers State-Trait Anxiety Inventory, and labor pain was measured by Visual Analogue Scale (VAS) at dilatation (4–5 cm) and 2 h after the first measurement. Data were analyzed using Chi-Square and t-test.ResultsIntervention group reported less pain at dilatation (4–5 cm) (p=0.001) and 2 h after the first measurement (p=0.001) than the control group. Stat anxiety was also lower in intervention group than the control group (p=0.003) at the entrance to labor room. Subjects in the control group required more induction compared to intervention group (p=0.003). Women in intervention group experienced shorter duration of the first phase of the labor than the control group (p=0.002). Also, the total duration of two stages of labor was shorter in intervention group than the control group (p=0.003).ConclusionsPracticing yoga during pregnancy may reduce women’s anxiety during labor; shorten labor stages, and lower labor pain.


2016 ◽  
Vol 8 (11) ◽  
pp. 11 ◽  
Author(s):  
Mahbobeh Sajadi ◽  
Mozhgan Bagheri ◽  
Davood Hekmatpou ◽  
Hamid Borsi

<p><strong>INTRODUCTION:</strong> Asthma is a prevalent disease with a multitude of complication. The present research was aimed at investigating the effects of implementing sensitization care model on medication adherence in asthmatic patients.</p><p><strong>METHODS &amp; MATERIALS:</strong> In this interventional study, 74 subjects were selected using accessibility sampling method and were randomly classified into 2 separate groups, intervention (37 subjects) and control group (37 subjects). Data were collected with questionnaire. A month later, the subjects in both groups (control and intervention) completed questionnaire again. The collected data were analyzed using SPSS software, Independent t-test, Paired t-test and Chi-Square.</p><p><strong>RESULTS:</strong> Data analysis showed that the average age of participants was 41 years (range 21-83). The most and lowest frequencies of marital status in both sexes were 66.2% married and 33.8% single, respectively. There was no significant difference before intervention between two groups. However, after the intervention, there was a significant difference between the two groups (P=0.0001).</p><p><strong>DISCUSSION:</strong> The results of the present study showed that implementing sensitization care model had a positive effect on medication adherence among asthmatic patients. Therefore, application of this model is recommended to care and treatment asthmatic patients.</p>


2016 ◽  
Vol 2 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Tshe Ten ◽  
Laigden Dzed ◽  
Sangay Thinley ◽  
Deki Tshomo ◽  
Karma Dechen ◽  
...  

Background: A suspected peripheral neuropathy outbreak was reported from Dechentsemo Central School, Thinleygang, Punakha, following which the investigation team was immediately dispatched in the field.Objective: The aim of investigation was to ascertain the cause and risk factor for the outbreak in order to implement control measures.Methods: A case control study was devised for the investigation to study about the past exposure or deficiencies in order to find out the suspected cause and risk factors.  A semi-quantitative food frequency questionnaire was administered to both cases and controls to collect information on the type of food they have consumed. The information garnered was analyzed using Chi-Square or Fischer Exact test for categorical variables and Man-Whitney U-test for quantitative variables. Results: All 17 cases were females with mean age of 13 years (SD 2.7 years). The average daily amount of thiamine intake was 0.6 mg/day for case and 0.8 mg/day for controls against the recommended daily allowance (RDA) of 1.2 mg/day. Case and control patients differed significantly with respect to fat intake (p-value = 0.02), more strongly with folate and iron intake (p-value 0.01).Conclusion: The outbreak of peripheral neuropathy in Dechentsemo Central School appears to be linked to reduced dietary intake rich in vitamin B1 coupled with low intake of folate and iron in their diet.


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2018 ◽  
Vol 3 (2) ◽  
pp. 54
Author(s):  
Agnes Dewi Astuti ◽  
Reny Sulistyowati ◽  
Natalansyah Natalansyah

Aging is a a natural process in life. Aging is characterized by loss of slowly ability organ tissue repair itself and  is irreversible. The elderly are the final statge of a person’s life cycle and experience the aging process with change in various physical or physiological, psychological and social aspects (Miller, 2012). Hanges dues to aging eldely comple raises enormous opportunity for the elderly are at risk of depression.  The objective of this study was to determine the factors that influence the risk of depression in elderly at Puskesmas Jekan Raya of Palangka Raya City with descriptive correlational research design using cross sectional approach. The sampling technique in this research is by using probability sampling technique that sampling technique giving equal oppurtinity to every individual in the population to be the research sample.The statistical test used was descriptive test and Chi Square test. The result indicate that factors influencing the risk of depression in the elderly is functional impairment were settled with p value= 0,000. Conclusion of the elderly who have other diseases besides DM  settle a vulnerable population at risk of depression. The most dominant factor is the functional disturbances persist  after controlling the variable of age, live event s and other diseases (other than DM) with OR=39. Recommended in elderly nursing decision making in order to improve the health of elderly family based programs to prevent depression in the elderly and especially carring by elderly family members.


2020 ◽  
Vol 17 (2) ◽  
pp. 110-120
Author(s):  
Tri Yulianti ◽  
Lusi Anggraini

Diabetes mellitus is a chronic metabolic with high prevalence and it can increase the risk of the complications, if it not handled properly. Medication adherence is one of the determining factor to achive therapeutic outcome. This research aims to determine the affecting factors of adherence in  diabetes mellitus type 2 outpatient at RSUD Sukoharjo in 2020. This research type is  cross sectional with a purposive sampling technique. A total of 85 patients diabetes mellitus type 2 outpatient at RSUD Sukoharjo with inclusion criteria received OAD therapy (Oral Antidiabetic Drugs) or a combination of OAD with insulin for at least 1 month, recruited in this study. The data was collected from medical records and questionnaires. Adherence was measured by using the MARS 5 questionnaire (Medication Adherence Report Scale 5). Factors contributing to medication adherence was analyzed by using chi-square test. The results showed that 37 respondents (43.5%) were obedient. The significant factors of medication adherence are monthly income (p-value = 0.018 and OR = 2.887), Medication (p - value = 0.007 and OR = 3,551), the frequency of treatment (p-value = 0.006 and OR = 3,529) and blood glucose level (p-value = 0.006 and OR = 3,529).


2019 ◽  
Vol 10 (1) ◽  
pp. 196
Author(s):  
Nor Asiyah ◽  
Anny Rosiana Mashitoh ◽  
Dwi Kristiani

Abstrak Latar Belakang: Dalam proses Bounding Attachment ada beberapa faktor yang mempengaruhi, diantaranya Sibling Rivalry atau Perilaku anak ataupun bayi dengan keluarga yang dapat tumbuh dari diri anak itu sendiri dan orang tua dalam mendidik. perlakuan orang tua terhadap anak merupakan faktor kunci yang menentukan seberapa besar persaingan yang terjadi antara saudara kandung. Respon anak pertama terhadap adik bayinya dapat mempengaruhi proses bounding attachment, bayi akan merasa terganggu dengan cara menangis. Jika terjadi berulang-ulang, maka tujuan bounding attachment yang mengharapkan bayi dapat mengadakan eksplorasi menjadi terbatas, sehingga  menumbuhkan sikap sosial berkurang, dan menumbuhkan perilaku meniru sikap kakaknya. Faktor yang paling dominan terjadinya sibling rivalry pada anak yaitu sikap orang tua. Orang tua membagi perhatian dengan orang lain, mengidolakan anak tertentu, perasaan kesal, dan membanding-bandingkan anak dapat memicu terjadinya sibling rivalry. perlakuan orang tua yang adil dapat menjalin Kedekatan  emosi orang tua dengan anak  sehingga akan slalu memiliki ikatan batin (kasih sayang) yang kuat. Tujuan: Diketahuinya Hubungan Sibling Rivalry dengan Bounding Attachment pada Ibu Nifas di Desa Bae Kudus. Metode: Jenis penelitian analitik korelasi dengan pendekatan cross sectional, dengan popuasi 52 responden. Dengan accidental sampling sebesar 46 responden. Pengambilan sampel dengan cara purposive sampling menggunakan kriterian inklusi dan eksklusi dengan alat uji menggunakan chi square (X2) dengan menggunakan  dan 95% confidence  intervel (CI). Hasil: Hasil uji chi square Sibling Rivalry Dengan Bounding, Sibling Rivalry Dengan Bounding Attachment diperoleh nilai p value sebesar= 0,027. Kesimpulan: Ada Hubungan Sibling Rivalry Dengan Bounding Attachment Pada Ibu nifas di Desa Bae Kudus. Kata kunci : Sibling Rivalry, bounding attachment Abstract Background: In the Bounding Attachment process, there are several factors influencing the process including Rivalry Sibling or the behavior of child or baby with family that can grow from the child himself and the parents in giving education. Parental treatment to children is a key factor that determines the competition occuredamong the siblings. The first child's response to youger sister (baby) can affect the process of bounding attachment in the way that the baby will be disturbed by crying. If it happens repeatedly,  the goal of bounding attachments that the baby will carry out exploration becomes limited, therefore it will reduce social attitudes and imitate his brother's attitude.The most dominant factor in sibling rivalry is the attitude of parents. This means that parents share attention with others, idolize certain children, feel upset with certain children, and compare children so that it may trigger sibling rivalry. Fair parental treatment will create close emotional betweenparents and children so that they will always have a strong inner bond (love). Objective: this study is to know the relationship between Sibling Rivalry and Bounding Attachment in Postpartum Mothers in Bae of Kudus. Method: This study used analytical correlation research with cross sectional approach. The population were 52 respondents. Taken accidental sampling, the samples were 46 respondents. Sampling was done by purposive sampling using inclusion and exclusion criteria of chi square (X2) test using 95% confidence intervals (CI). Results: The results of chi square test of Sibling Rivalry With Bounding, Sibling Rivalry with Bounding Attachment obtained p value of = 0.027. Conclusion: There is relationship between Sibling Rivalry and Postpartum Bounding Attachment in Bae Kudus Keywords: Sibling Rivalry, bounding attachment


2021 ◽  
Vol 13 (1) ◽  
pp. 35
Author(s):  
Ratih Lukmitarani ◽  
Mufiadzatul Ardiyah ◽  
R Azizah

Introduction: Indonesia is a country with a high geographical distribution of hepatitis A. In June 2019, the government established the status of hepatitis A outbreaks in Pacitan District, which is spread across several districts. Based on data from the District Health Office of Pacitan, there were 1,310 peoples with hepatitis A on October 2019. Through this study, the relation between knowledge, attitudes, and personal hygiene as risk factors of hepatitis A outbreaks in Pacitan District can be identified. Methods: Observational analytic methods and case control research design were used in this study. The population was 280 people. The sample consisted of 60 peoples with case of 30 peoples and control of 30 peoples. Case and control samples were taken randomly (simple random sampling). The research data were collected using the interview method, then analyzed using the Chi Square test and the Contingency Coefficient. Results and Discussion: There was a correlation between knowledge level with the occurrence of hepatitis A outbreaks (p-value = 0.002 <0.05), attitudes with hepatitis A (pvalue = 0.004 <0.05), and personal hygiene with the occurrence of hepatitis A outbreaks (pvalue = 0.001 <0.05). Conclusion: Inadequate knowledge, inappropriate personal hygiene lead to the spread of hepatitis A outbreaks in the working area of Primary Health Care of Ngadirojo, Pacitan District.


2020 ◽  
Vol 8 (3) ◽  
pp. 396
Author(s):  
Nurasih Nurasih ◽  
Endang Nurrochmi

In Indonesia, Yoga is currently one of the most popular sports, not only for the general public but also for pregnant women. Many benefits can be obtained from prenatal yoga including the mother feeling comfortable and relaxed throughout pregnancy and during childbirth, training the pelvic floor muscles and perineum, keeping the body's muscles relaxed, balanced during childbirth, reducing stress, increasing and improving oxygen circulation to the body and fetus. . This study aims to determine the effect of prenatal yoga on optimizing fetal position on third trimester Primigravida maternal delivery output at Puskesmas Cirebon City. This research is a quasi-experimental research pre post control group design and only post control group design with T test and Chi Square test. Paired T Test results of the intervention group (mean difference = 3.111, P value = 0.000, control group (mean difference = 0.833, P value = 0.318). Independent T Test results obtained (average difference = -1.944, P value = 0.024), Chi Square test obtained a value of P = 0.73. There is a difference in the average anxiety before and after the intervention in the intervention group, there is no difference in average anxiety before and after the intervention in the control group. There is a difference in the average anxiety between the intervention and control groups. There is a difference in mean Long I stage between the intervention and control groups There was no effect of prenatal yoga on the type of labor.


2021 ◽  
Vol 7 (2) ◽  
pp. 47
Author(s):  
Jean Bosco Harelimana ◽  
Beline Mukarwego

This research was econometrically analyzing Service sector as an engine of growth: empirical analysis of Rwanda from 1995 to 2020. The data were collected from BNR and were analyzed using Eviews7. The study used different opinions of economists concerning the Philips curve, by constructing short-term and long-term Philips curves in Rwanda by making some conclusions about the results at the end. We pay special attention in our research to the study of Phillips curve made by some economists of the last period the findings of this study indicate the following results: *, ** and *** indicates rejection of the null hypothesis of unit root at 10, 5% and 1% significant level, respectively. The SERV, FDI, LR, GR series are not stationary at level, and then we should test the Stationarity at the first difference. (*), (**) & (***) represent respectively 10%, 5% and 1% level of significance.The results give an indication for the existence of long-run relationship between SERV and growth. The max and trace values statistic strongly reject the null hypothesis for “none “cointegration vector in favor of at least one cointegrating vectors at the 1 percent significance level. The cointegrating vector representing the long run relationship between service and growth. The above is endogenous because its probability of chi-square 0.000025 is less than 5% level of significance and it answers the second hypothesis of a Variable that can help national bank of Rwanda to control money supply in the short-run.The P- value of chi-square which is 0.0791 and this is greater than 0, 05 level of significant therefore, there is no short run causality between variables running from SERV, FDI, LR and GR at 5% level of significant. The results revealed out from the above table; LSERV, LFDI, LLR and LGR does Granger Cause LSERV at 10% level of significant due to their probability of 0.0284 which is less than 0.10 level of significance but LSERV does not Granger Cause LSERV, LFDI, LLR and LGR at 10% level of significant due to their probability of 0.1224 which is greater than 0.10 level of significance.


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