scholarly journals Urinary screening for detection of renal abnormalities in asymptomatic pre-school children referred to Ardabil city health centers from 2016 to 2017

2020 ◽  
Vol 7 (11) ◽  
pp. 3643
Author(s):  
Susan Mohammadi-Kebar ◽  
Javed Zarea-Noghabi ◽  
Saeid Hoseininia ◽  
Davoud Mahmoudi

Background: Urinary screening for detection of proteinuria, hematuria, and pyuria for early diagnosis curable or preventable renal disease in three decade has been considered. The aim of this study was urinary screening for Detection of renal abnormalities in asymptomatic pre-school children referred to health center in Ardabil city from 2016 to 2017.Methods: This was a cross-sectional descriptive study that has been done on urine specimens of 350 children who referred to Ardabil city health center to injection DTP vaccine from April 2016 to Sep 2017. In these infants, proteinuria, hematuria, pyuria and urinary casts were examined and abnormal finding were referred to future investigation to nephrologist. Information was collected and analyzed by statistical methods in SPSS version 21.Results: A total of 350 children were enrolled in the study. There were 196 (56%) boys and 154 (44%) girls. The prevalence of urinary abnormalities in all children was 8.3%. Of all urinary abnormalities, proteinuria and hematuria were detected in 12 children (3.44 %). Of all infants, 9 children (2.57%) had pyuria. Also, 6 children (1.8%) had urinary casts that of them two cases had acid ureic cast and four cases had calcium oxalate cast.Conclusions: This study showed that the prevalence of urinary abnormalities in Ardabil city children was similar to other studies in other country or cities. The reasons of this may be different in race and ethnic. We suggest that routine urinalysis should be part of screening of children at the school entry in Ardabil.

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


Author(s):  
Wulan Citra Sari, Ana Safitri Wulan Citra Sari, Ana Safitri

ABSTRAK   Pneumonia masih merupakan masalah kesehatan yang penting karena menyebabkan kematian bayi dan balita yang cukup tinggi yaitu kira-kira satu dari empat kematian yang terjadi. Tujuan penelitian ini adalah diketahuinya hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Populasi pada penelitian ini adalah semua ibu yang membawa atau memeriksakan balitanya yang umur < 5 tahun di Puskesmas Cambai tahun 2016, pada saat penelitian. Pengambilan sampel tersebut secara Non Random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan ada hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan bayi dan balita di Puskesmas Cambai , serta lebih sering melaksanakan penyuluhan tentang pneumonia dan penyuluhan mengenai makanan 4 sehat 5 sempurna, agar terciptanya balita sehat.     ABSTRACT Pneumonia is an important health problem because it causes the death of infants and toddlers are quite high, roughly one in four deaths. The purpose of this study is known huubungan between toddler age and maternal knowledge with pneumonia incidence in infants in health centers Cambai 2016. This study used a survey method with the Analytical cross-sectional approach. The population in this study were all mothers who carry their babies or check the age < 5 years at Health Center Cambai in 2016, at the time of the study. The sampling is non- random with accidental sampling technique. Data analysis was done using univariate and bivariate statistical test Chi - Square with significance level α = 0.05. The results of this study showed association between maternal age and knowledge toddlers with pneumonia incidence in infants in Health Center Cambai in 2016. From these results, researchers expect health care workers to improve health services in health centers babies and toddlers Cambai, and more frequently to conduct information about pneumonia and counseling about 4 healthy 5 perfect food , in order to create a healthy toddler.


2014 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Wahyu Wijayanto ◽  
Prijono Satyabakti

  ABSTRACTHypertension being a risk factor for the entrance of various degenerative diseases such as coronary heart disease, stroke and other vascular Penyait. One factor that may increase the risk of hypertension one of them is poor lifestyle such as smoking, excessive consumption of salt in the diet and lack of exercise. This study was conducted to determine the level of knowledge about the relationship with the regularity of visits Complications of Hypertension Hypertension in Patients 45 years of age at the Tembok Dukuh  health center at Surabaya. The study was an observational cross-sectional study design. Sample size were 48 people that hypertensive patients more than 45 years old  who were treated at the Tembok Dukuh  health center. Independent variables, namely knowledge about the complications of hypertension patients and dependent variable is the regularity of visits to theTembok Dukuh health center patients with hypertension  Data analysis using the crosstab tes The results with cross-tabulation (crosstab) can be seen as many as 30 people from 48 respondents have less knowledge and affect the regularity of visits to the Tembok Dukuh health center. The conclusion can be drawn that most hypertensive patients more than 45 years old whose came to Tembok Dukuh  health centers has less knowledge about hypertension complications that result in hypertensive patients regularity of visits decreasedKeyword : hypertension, knowledge, regularity of visits 


2018 ◽  
Vol 10 (1) ◽  
pp. 59-67
Author(s):  
Hani Siti Hanifatun Fajria ◽  
Annisa Annisa Dwi Yuniastari

During pregnancy, pregnant women would usually have complaints. Moderated exercise such as pregnancy exercise would make your feet and heels more comfortable. Percentage of antenatal care in health centers of West Navan especially for K1 and K4 already met the target of 95% . The purpose of this studied is analysis of factors associated with the implementation of the health center pregnancy exercise in Navan western region in 2013. This researched used analytic studied with cross -sectional correlation. The population in this study were all pregnant women in the region checkups Navan West Health Center in 2012 as many as 871 pregnant women then took sample of 59 samples using accidental sampling methode. Analyzed used univariate and bivariate analysis with the chi square test. These results it could be concluded that most of the samples have a relatively good knowledge (67.8 %), good attitude (69.5 %) , not working (55.9 %) , support pregnant women during pregnancy (67.8 %) and doing pregnancy exercise (71.2 %). Thechi-square statistical test found no relationship between knowledge , attitude and family support with the implementation of the pregnancy exercise with each value p = 0.005 , p = 0.001 and p = 0.005 then found that there was no relationship between job execution pregnancy exercise with p = 0.362.


2018 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Tirta Adikusuma Suparto ◽  
Asih Purwandari Wahyoe Puspita ◽  
Yanti Hermayanti ◽  
Slamet Rohaedi ◽  
Lisna Annisa Fitriani

ABSTRAK Sistem jaminan kesehatan nasional di Indonesia baru beroperasi sejak 2014 melalui Badan Penyelenggara Jaminan Sosial (BPJS) kesehatan. Dalam pelaksanaannya, pemberian pelayanan kesehatan pada pasien BPJS menggunakan sistem rujukan berjenjang, dimulai dari Fasilitas Kesehatan (FasKes) tingkat pertama, salah satunya yaitu Puskesmas. Hasil studi pendahuluan menunjukkan bahwa program BPJS kesehatan ini, teridentifikasi dapat memengaruhi pemberi pelayanan kesehatan, termasuk salah satunya dapat memengaruhi Kualitas Kehidupan Kerja Perawat/Quality of Nursing Work Life (QNWL) perawat di Puskesmas Kota Bandung. Padahal QNWL tersebut, pada akhirnya sangat memengaruhi komitmen dan kinerja perawat (Gray & Smelzer, 1990). Penelitian ini bertujuan untuk mengetahui gambaran QNWL dan mengetahui gambaran faktor demografi beserta pengaruhnya terhadap QNWL. Metode penelitian yang digunakan dalam penelitian ini adalah deskriptif kuantitatif dengan pendekatan  cross-sectional survey. Penelitian ini dilakukan pada tahun 2017 di 15 Puskesmas Kota Bandung. Data dikumpulkan dengan kuesioner, dan dianalisis menggunakan  uji beda 2 mean independen (uji t) dan uji Anova (α=5%). Hasil penelitian ini menunjukkan bahwa:  1) perawat di Puskesmas Kota Bandung memiliki nilai QNWL secara keseluruhan dan dimensi-dimensi QNWL yang berada dalam kategori baik. Namun demikian terdapat 3 komponen yang masih bermasalah, yaitu: masih banyaknya tugas non keperawatan, alat dan bahan untuk perawatan pasien yang kurang memadai, tempat perawat/tempat istirahat/loker yang kurang memadai; 2) tidak terdapat pengaruh yang signifikan faktor-faktor demografi (umur (p=0.096), jenis kelamin (p=0.776), status pernikahan (p=0.953), tingkat pendidikan (p=0.183), status kepegawaian (p=0.217), lama bekerja sebagai perawat (p=0.162))  terhadap Quality of Nursing Work Life (QNWL) perawat di Puskesmas Kota Bandung. Implikasi penelitian ini adalah perlu adanya upaya perbaikan komponen-komponen dan faktor-faktor QNWL yang masih bermasalah. Selain itu, perlu adanya upaya peningkatan status kepegawaian perawat kontrak BLUD menjadi PNS atau minimal setara dengan PNS ABSTRACT National health insurance system in Indonesia has been operated since 2014 by the Social Insurance Administration Organization (BPJS). Practically, the provision of health services used tiered referral system, from the first-level health facilities (FasKes), such as Health Center. The result of preliminary studies showed that BPJS program may affect health care providers, including one that can affect the Quality of Nursing Work Life (QNWL) nurses at the health center of Bandung. In the end, QNWL affects the commitment and performance of nurses (Gray &Smelzer, 1990). This research aimed to describe QNWL and to find out demographic factors and its influence on QNWL.  The method used in this research is quantitative descriptive cross-sectional survey. This research was conducted in 2017 in 15 health centers in Bandung. The data were collected through questionnaire and analyzed using independent sample t Test and Anova. The results of this study showed (1) Nurses at the health center of Bandung were in a good category on both overall scores of QNWL and dimensions. However, there are three components which are still problematic, namely: a huge number of non-nursing tasks, inadequate tools and materials for patients’ care, inadequate nurses’ restrooms/locker rooms; (2) There is no significant effect of demographic factors, age (p=0.096), sex (p=0.776), marital status (p=0162), level of education (p=0.183), employment status (p=0.217), length of nursing experience (p=0.162)  to the Quality of Nursing Work Life (QNWL) nurses in 15 health centers in Bandung. The implications of this research are the need to improve problematic components and factors of QNWL. Moreover, improving the employment status of contract nurses BLUD to civil servants or at least equal to PNS is also needed


Author(s):  
Mesele Damte Argaw ◽  
Binyam Fekadu Desta

Background: Since 1995, the Ethiopian health system has been managed through decentralizing functions, resources, and authorities to local levels. As a result, health centers are led and managed by governing boards. In addition, the national health system strives to transform the performance of health centers through the implementation of reforms. Therefore, this study aims to examine the relationship between governing board functions and health center performances within a health reform context in 4 agrarian regions of Ethiopia. Methods: A cross-sectional survey was conducted from August 28, 2018 to September 30, 2018. Primary data were collected from governing board chairpersons or their designees using interviewer-administered structured questionnaires. The performance of each health center was rated out of 100 percentage points against the Ethiopian Health Center Reform Guideline (EHCRIG) standards. Secondary data were abstracted from a routine health information database using customized tools to capture achievements on 69 EHCRIG standards and its 174 validation criteria. Since the data violate the assumptions of the parametric test, the Spearman’s rank (rho) correlation test, (a non-parametric test) was employed to see if any correlation exists among 4 parameters; namely: structure, roles and responsibilities, training and development of governing boards, and performance of health centers against EHCRIGs standards. A statistically significant relationship was claimed at P<.050. Results: All 83 health center governing boards or designees who were approached for this study, participated. The mean health center governing board function score with standard deviation was 56.0% (SD ± 14.5%). The overall performance of health centers against EHCRIGs was 70.4% (SD ± 15.0%). There was a statistically significant and strong correlation (Spearman rho correlation coefficient) between health center performance scores measured against reform standards with governing board scores of (rho=0.866, P<.001) and overall governance scores (rho=0.828, P<.001). Conclusion: Based on the results of this study, we can conclude that well-functioning health center governing boards can improve the performance of health centers against clinical, and management reform standards. Therefore, continuous strengthening of the capacity of governing boards, focusing on improving implementation of their roles and responsibilities, and continuing training on business management is recommended.


2012 ◽  
Vol 4 (3) ◽  
pp. 551-555 ◽  
Author(s):  
Prince Parakh ◽  
Nisha K Bhatta ◽  
Om P Mishra ◽  
Pramod Shrestha ◽  
Sunil Budhathoki ◽  
...  

2020 ◽  
Vol 5 (5) ◽  
pp. 456-466
Author(s):  
Maharani Ulfah ◽  
◽  
upriyadi Hari Respati ◽  
Bhisma Murti ◽  
◽  
...  

Background: Immunization aims to reduce morbidity, mortality, and disability due to vaccine-preventable diseases. Many children in Indo­nesia have not received any immunization, or their immunization status is incomplete. Efforts should be made to raise awareness of parents to participate in completing their child's immunization. This study aimed to analyze the behavioral factors that influence the complete­ness of immunization in infants Subjects and Method: A cross-sectional study conducted at 21 health centers in Karanganyar, Central Java, from January to March 2020. Subjects were 200 mothers with children aged 12-23 months that were selected using a fixed disease sampling technique. The dependent vari­able was the completeness of immunization. The independent variables at level 1 were edu­cation, knowledge, information and education, perceived benefits, perceived barriers, intentions, subjec­tive norms, and attitudes. The independent vari­ables at level 2 were the contextual health center. The data were collected by question­naire and analyzed using a multilevel analysis. Results: Complete immunization in infants probably occurred with high maternal education (OR = 24.02; 95% CI = 1.61 to 359.17; p = 0.021), information obtained (OR = 52.31; 95% CI = 1.35 to 2021.69; p = 0.034), good knowledge (OR = 49.20; 95% CI = 71.54 to 1574.62; p = 0.028), high perceived benefit (OR= 31.26; 95% CI= 1.28 to 762.77; p= 0.035), strong intention (OR= 17.84; 95% CI= 1.59 to 199.83; p= 0.019), sup­portive subjective norm (OR = 94.69; 95% CI = 1.91 to 4683.14; p = 0.022), positive attitude (OR= 68.71; 95% CI= 2.40 to 1967.08; p= 0.013). Completeness of immunization in infants decre­as­ed with big perceived barrier (OR= 0.02; 95% CI= 0.01 to 0.67; p= 0.028). Health center acc­re­ditation showed a contextual effect on the level of completeness of immunization with Intra-Class Correlation (ICC)= 20.42%. Conclusion: Immunization completeness in infants increases with high maternal education, good knowledge, high perceived benefits, strong intentions, supportive subjective norms, positive attitudes. Completeness of immunization decre­as­ed with a big perceived barrier. Health centers have a large contextual influence on the comple­teness of immunization in infants. Keywords: immunization completeness, health center context, multilevel analysis Correspondence: Maharani Ulfah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: maharaniulf­[email protected]. Mobile: +62821­35­58003557.


2018 ◽  
Vol 1 (2) ◽  
pp. 1-7
Author(s):  
Siswanto Siswanto

Occupational health services shall be an effort to provide occupational health and safety protection to workers' communities, which have the objective of maintaining and improving the health status of the working-class community, Preventing the occurrence of health problems and protecting workers from health hazards and placing workers in the work environment in accordance with their physical and psychological abilities workers. Objective Analysis research is to analyze the completeness of facilities, workforce competencies to the implementation of Occupational Health and Safety in Puskesmas District of Tulungagung. The design used in the study was cross-sectional. The population is Puskesmas District of Tulungagung. The sample size was 32 respondents Health Center by using simple random sampling technique. Independent research variables are Infrastructure and Labor Competencies. The dependent variable is the implementation of Safety Management. Data was collected using kuesoner, then the data were analyzed using linear regression test with a significance level of α ≤ 0.05. The results showed more than half of the health center has the facilities and infrastructure K3 (Occupational Health and Safety Management) is complete as many as 23 respondent’s health centers (76.7%), more than half Puskesmas. as having the competence K3 Officers who are not trained as much as 23 respondents health centers (76.7%). more than half of Puskesmas.have health and safety management that less as much as 19 respondent of health center (63,3%). The result of statistical test shows that there is no influence between K3 infrastructure and worker with K3 management (0,340). The result of statistic test obtained by Pseudo R square value at Nagelkerke is 0,086, which means infrastructure and competence in explaining MK3 implementation is 0,086 (8,6%) and there are 91,4% other factors outside model in implementation of safety and health management MK3).The conclusion of this study is that occupational health safety management can be influenced by many factors. All the supporting factors in the implementation of occupational health safety management should be synergized to achieve optimal work safety objectives.


2016 ◽  
Vol 5 (02) ◽  
pp. 4782
Author(s):  
Khodabakhsh Karami* ◽  
Narges Nazari Harmooshi ◽  
Mehrdad Sharifi

To study TB incidence trend and its epidemiological aspects in recent years in Ahvaz East Center. As national and international Emphasis for detecting Smear positive pulmonary tuberculosis and eliminate the disease rate and global target internationally to eliminate TB by 2050 based on 1990 rate. In this cross – sectional descriptive-analytic study the records of all TB patients referred to Health centers and preventive diseases units in East of Ahvaz in 5 years (2009-2013) were evaluated. Data were derived from patients' records and entered to check lists and then analyzed using SPSS 17 software. During the studied years a total of 990 cases were reported by all centers and units under cover of Ahwaz Main East Health Center. Among them 232 cases (23.43%) was external pulmonary TB. Male subjects had a higher incidence of 62% compared to females. The age group between 25 - 45 year, was the most affected group. Smear positive rate varied from 58% to 76%. Cure rate in 5 studied years has not too differentiation, was varied 81% to 87%. The results show most affected TB cases in 5 studied years were pulmonary (73-84.5%), this obey the national pattern of the disease. Smear positive rate   that varied from 58% to 76% was more than the national rate (53%). Morbidity in centers and units under cover of Ahwaz Main East Health Center was younger age pattern in compare to whole country rate. Incidence rate of TB was higher than national rate.


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