scholarly journals GAMBARAN KARAKTERISTIK DAN STATUS IMUNISASI PENDERITA DIFTERI DI PROVINSI JAWA TIMUR TAHUN 2018

IKESMA ◽  
2019 ◽  
Vol 15 (1) ◽  
pp. 22
Author(s):  
Dwi Rismayanti Wigrhadita

In 2016 East Java was the region with the highest cases of diphtheria, namely 209 cases with 6 deaths. In 2017 diphtheria cases in East Java increased to 460 cases with 16 deaths, and continued to increase in 2018, namely 758 cases with a death rate of 3 people. This research aims to describe the characteristics and immunization status of diphtheria sufferers in East Java Province in 2018. This research is a descriptive research type with a cross sectional study design. The research population were all people who were declared diphtheria in East Java Province in 2018. The method of sampling is to use the total population. The variables were the characteristics and immunization status of diphtheria sufferers. Data were analyzed using univariate analysis with frequency table. The result shows that characteristics of diphteria sufferers were dominated by age ≥19 years (33.11%) and male sex (50.6%). Diphtheria sufferers are dominated by incomplete immunization status (98.15%). The conclusion shows that completeness of 7-dose diphtheria immunization plays an important role in the occurrence of diphtheria cases in East Java Province in 2018, especially patients who have not carried out immunizations at all.

2019 ◽  
Vol 7 (2) ◽  
pp. 103
Author(s):  
Dwi Rismayanti Wigrhadita

Background: East Java Province is the region with the highest incidence of diphtheria in Indonesia. In the past three years, the number of diphtheria cases amounted to 758 cases and resulted in three mortalities. Objective: This study aims to describe the epidemiological characteristics and diphtheria immunization status of patients in East Java province in 2018. Methods: This study employed descriptive research with cross-sectional design. This study utilized secondary data of publication profiles from the East Java Provincial Health Office in 2018. The population was the entire diphtheria patients in East Java province, 2018. The samples were taken by using the total population sampling technique. The variables in this study were epidemiological characteristic and immunization status of diphtheria patients. The data analysis employed a univariate analysis by providing the frequency table. Results: Based on the records, diphtheria infected the children more often but, in 2018, it was also found in adults. This circumstance is proven by the findings that the patients were aged ≥19 years (33.11%) and were males (50.60%). In 2018, diphtheria patients number experienced an increase and decrease fluctuatingly as well as quite prevalence in some areas in the province of East Java. Diphtheria patients were predominanted by incomplete immunization status and unimmunized patients. Conclusion: The completeness status of diphtheria immunization has a very important role in the incidence of diphtheria cases in East Java Province in 2018, particularly the status of patients who is not complete and unimmunized.


2019 ◽  
Vol 7 (2) ◽  
pp. 147
Author(s):  
Putri Yuliasari ◽  
Pujo Suwanto

Background: Umrah pilgrims have a high potential risk of getting infected by Meningococcus Meningitis . Even though meningitis cases had never happened in Indonesia, The vaccination carried out less than 14 days in the Port Health Office Class I of Surabaya (PHO) was still found in December 2018. Purpose: The research aims to analyze the accuracy of Meningococcus Meningitis immunization in the Port Health Office Class I Surabaya (PHO) at Tanjung Perak Port Work Area in December 2018. Methods: The research was carried out in a quantitative descriptive study with a cross-sectional study design. The research samples included all Umrah pilgrims who were vaccinated with Meningococcus Meningitis immunization. The variables consisted of age, time-range of vaccination implementation, gender, and domicile/residence of respondents. The data analysis was carried out using univariate analysis and displayed in the form of a frequency table. Results: This study indicated that almost all pilgrims were vaccinated in more than or equal to 14 days (76%). Meanwhile, the others (24%) were vaccinated at less than 14 days, i.e., at 5-6 days before departure. The majority of pilgrims with a history of vaccinations on less than 14 days of departure were female (56.12%) and lived in Surabaya (55.27%). Conclusion: The majority of the pilgrims in PHO Class I of Surabaya had carried out Meningococcus Meningitis vaccination promptly. However, a small number of pilgrims did not carry out vaccinations under the specified time. Female pilgrims, mostly domiciled in Surabaya, dominated the vaccination on less than 14 days.


2018 ◽  
Vol 7 (1) ◽  
pp. 67
Author(s):  
Ilafi Rumaisya Nursyi

Women feel anxious when facing menopause, so many simple problems become so big and can even make a woman desperate. The menopausal phase is usually preceded by a premenopausal phase occurring at an age between 48–55 years. The attitude of women in the face of changes in the menopause is influenced by their knowledge. The purpose of this study was to know the description of knowledge and attitude of women aged 48–55 years about menopause in the Village Weru RT 02 RW 05, Sukoharjo. Descriptive research design with cross sectional approach. Research population of all women aged 48–55 years amounted to 44 people in Weru Village in April 2015. Using Sampling Purposive Sampling technique, 36 respondents can be sampled from the entire population. Data collection tools are questionnaires. Data analysis using univariate analysis of knowledge using percentage and attitude using scale range. The results of knowledge of women are on the category enough with the number of respondents 22 (61.2%). This can be seen that the knowledge of respondents about the majority of menopause already in the category enough even between the respondents are knowledgeable and less comparable. The desired expectations of the majority are experienced well but the results have not been as expected. While most women have enough attitude of 21 (58.3) categories less 8 respondents (22.3%) and minority in good category of 7 respondents (19.4). There are several factors that affect the knowledge and attitude of women 48–55 years in the face of changes in menopause.


2018 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Ni Wayan Noviani ◽  
Ni Komang Sari Suindani

<p><strong><em>Abstract: Knowledge of Pregnant Women About Sexual Relations Position During Pregnancy</em></strong><em>. The purpose of this study was to determine the knowledge of pregnant women about the position of sexual relations during pregnancy in BPM Wahidah, S.ST Year 2017. This research type is descriptive research with cross sectional approach by using accidental sampling technique. The population of this study were pregnant women who did the examination in BPM Wahidah, S.ST. The number of samples is 50 respondents who meet the inclusion criteria. This research started from 6-21 february 2017. The result showed that pregnant woman's knowledge about the position of sexual relationship during pregnancy was mostly (54%) knowledgeable enough. A small percentage of respondents aged 20-35 years ie 11 people (22%) have enough knowledge, from the work showed that almost half of respondents ie 23 people (46%) who do not work have enough knowledge, from education showed that almost half of respondents or 16 people (32%) who have medium education have enough knowledge, and from parity shows that almost half of respondents are 14 people (28%) who are multiparous have enough knowledge.</em></p><p><strong> </strong></p><p><strong>Abstrak : Pengetahuan Ibu Hamil Tentang Posisi Hubungan Seksual Pada Masa Kehamilan. </strong>Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan di BPM Wahidah, S.ST Tahun 2017. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan <em>cross sectional </em>dengan menggunakan teknik <em>accidental sampling. </em>Populasi penelitian ini adalah ibu hamil yang melakukan pemeriksaan di BPM Wahidah, S.ST.Jumlah sampel sebanyak 50 responden yang memenuhi criteria inklusi.Penelitian ini dimulai dari tanggal 6-21 februari 2017. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan sebagian besar (54%) berpengetahuan cukup. sebagian kecil responden umur 20-35 tahun yaitu 11 orang (22%) memiliki pengetahuan cukup, dari pekerjaan menunjukkan bahwa hampir setengahnya responden yaitu 23 orang (46%) yang tidak bekerja memiliki pengetahuan cukup, dari pendidikan menunjukkan bahwa hampir setengahnya responden atau 16 orang (32%) yang berpendidikan menengah mempunyai pengetahuan cukup, dan dari paritas menunjukkan bahwa hampir setengahnya responden yaitu 14 orang (28%) yang multipara memiliki pengetahuan cukup.</p>


2020 ◽  
Vol 16 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Nessrine Akasbi ◽  
Siar Nihad ◽  
Zoukal Sofia ◽  
El Kohen Khadija ◽  
Harzy Taoufik

Background: According to the new classification criteria developed by The Assessment of SpondyloArthritis International Society, patients with axial spondyloarthritis (axSpA) can be classified in 2 subgroups: Patients with radiographic axial spondyloarthritis: ankylosing spondylitis patients (AS) and those with non-radiographic axial spondyloarthritis (nr-axSpA). Objective: The aim of the present study is to describe and discuss the differences and similarities between the two subgroups. Patients and Methods: A cross-sectional study was conducted in a single rheumatology hospital in Morocco. These included patients diagnosed as having axial spondyloarthritis according to ASAS criteria 2010, during a period of 6 years. The AS and the nr-axSpA subgroups were compared for the various axSpA-related variables. Results: Of the 277 patients with a diagnosis of axial SpA who were included in this study, 160 had AS and 117 had nr-axSpA. AS and nr-ax-SpA shared a similar age at diagnosis, similar prevalence of low back pain, lumbar stiffness, extra-articular manifestations, BASDAI and BASFI. In the multivariate analysis, AS patients were mainly male with cervical stiffness, enthesitis, coxitis and high level of ESR (erythrocyte sedimentation rate). The females generally had a family history of SpA and arthritis and were associated to the nr-axSpA form in the univariate analysis. Conclusion: This was the first study to characterise patients with AS and nr-axSpA in Morocco. Consistent with other studies published, this study showed that patients with nr-axSpA and patients with AS shared a comparable degree of disease burden.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Funda Kosova ◽  
Nurcan Çelik ◽  
Hanife Nurseven Şimşek ◽  
Seval Cambaz Ulaş

AbstractObjectivesLearning approach in a certain learning process is based on the student’s intentions, behaviors, and habits according to his/her perceptions of the task of learning and determines the amount and quality of learning. The objective of this study is to evaluate the learning approaches of 1st and 4th grade midwifery students to biochemistry course and the change, if there is any, through their education.MethodsThis is an observational, cross-sectional study. The research population consisted of the voluntary students (86.47%, n:147) of the 2017–2018 season of the 1st and 4th class of Manisa Celal Bayar University, Health Science Faculty, Midwifery Department (n:170). Data were collected by using the “Introductory Information Form” and the “Learning Approach Scale”, and evaluated in the SPSS package program by performing number, percentile, mean, standard deviation, independent t test.ResultsThe mean age of the students was 20.82 ± 1.81. Over 95% of the students stated that biochemistry lesson was necessary, while 59.9% reported that their biochemistry knowledge was insufficient. Over 87% of the student expressed their belief that the content of the biochemistry classes will help them in their professional career. Mean score of deep approach for Learning Approach Scale was 34.13 ± 6.07 (Min:19.00–Max:50.00), and mean score of superficial approach for Learning Approach Scale was 26.94 ± 6.37 (Min:15.00–Max:50.00). There was a significant relation between deep approach scale score and the perception of high importance of biochemistry in the professional life (p<0.05).ConclusionsMidwifery students, who believe that biochemistry is necessary for their professional career have a higher motivation for learning biochemistry, thus perform a deeper approach to learning. In general, creating effective and dynamic educational environments that support deep learning is necessary for enhancing the learning of biochemistry.


2021 ◽  
pp. 1-10
Author(s):  
Jonathan M. Chemouny ◽  
Mickaël Bobot ◽  
Aurélie Sannier ◽  
Valentin Maisons ◽  
Noémie Jourde-Chiche ◽  
...  

<b><i>Introduction:</i></b> Kidney biopsies (KBs) are performed in patients with type 2 diabetes (T2D) to diagnose non-diabetic or hypertensive kidney disease (NDHKD) potentially requiring specific management compared to diabetic and or hypertensive nephropathy (absence of NDHKD). Indications for KB are based on the presence of atypical features compared to the typical course of diabetic nephropathy. In this study, we assessed the association of different patterns of atypical features, or KB indications, with NDHKD. <b><i>Methods:</i></b> Native KBs performed in patients with T2D were analyzed. Data were collected from the patients’ records. KB indications were determined according to the presence of different atypical features considered sequentially: (1) presence of any feature suggesting NDHKD which is not among the following ones, (2) recent onset of nephrotic syndrome, (3) low or rapidly declining estimated glomerular filtration rate (eGFR), (4) rapid increase in proteinuria, (5) short duration of diabetes, (6) presence of hematuria, or (7) normal retinal examination. <b><i>Results:</i></b> Among the 463 KBs analyzed, NDHKD was diagnosed in 40% of the total population and 54, 40, 24, and 7% of the KBs performed for indications 1–4 respectively. Conversely, no patient who underwent KB for indications 5–7 displayed NDHKD. Logistic regression analyses identified eGFR<sub>CKD-EPI</sub> &#x3e;15 mL/min/1.73 m<sup>2</sup>, urinary protein-to-Cr ratio &#x3c;0.3 g/mmol, hematuria, HbA1c &#x3c;7%, and diabetes duration &#x3c;5 years as predictors of NDHKD, independently from the indication group. <b><i>Conclusion:</i></b> NDHKD is frequent in T2D. Despite the association of hematuria with NDHKD, our results suggest that presence of hematuria and absence of DR are insufficient to indicate KB in the absence of concurrent atypical features. Conversely, rapid progression of proteinuria and rapid deterioration of eGFR are major signals of NDHKD.


2016 ◽  
Vol 04 (01) ◽  
pp. 023-030
Author(s):  
Vimal Kumar ◽  
Pallak Arora ◽  
Manish Khatri ◽  
Shivani Sharma ◽  
Sumit Malhotra ◽  
...  

Abstract Objective: To estimate the prevalence of periodontal disease with different indices. Methods & materials: The study population consisted of multistage stratified random sample of 1300 subjects from total population of district Ghaziabad. A cross-sectional study was conducted with multi stage stratified random sampling techniques to select the sample population. The subjects were divided into different age groups and the periodontal assessment was made on the basis of CPITN index and ESI Index. Results: The CPITN has shown to estimate incorrect periodontal disease prevalence because of its underestimation of the disease severity. A huge difference was noticed in the prevalence rate of periodontitis when subjects were examined with ESI index. Conclusion Periodontal disease was found to be highly prevalent in the study population and severity of disease increased with age. More number of subjects in younger age group were found to be healthy.


2021 ◽  
Vol 11 (1) ◽  
pp. 187-194
Author(s):  
Gasmelseed Ahmed ◽  
Zainab Almoosa ◽  
Dalia Mohamed ◽  
Janepple Rapal ◽  
Ofelia Minguez ◽  
...  

Background: During the long wait and the global anxiety for a vaccine against COVID-19, impressively high-safety and effective vaccines were invented by multiple pharmaceutical companies. Aim: We aimed to assess the attitudes of healthcare providers and evaluate their intention to advocate for the vaccine. Methods: This was a cross-sectional study conducted in a tertiary private hospital where an electronic survey was distributed among healthcare providers (HCPs). The survey contained two sections: socio-demographic characteristics and Likert-scale perception, with 72% internal consistency. Results: The response rate to the email survey was 37% (n = 236). In addition, 169 (71.6%) of respondents were women, with more than half (134, 56.8%) aged ≤35 years. A total of 110 (46.6%) had over 10 years of experience, and most of them were nurses (146, 62%). Univariate analysis revealed that older participants significantly accepted and advocated for the new vaccine more than the younger ones. In the multivariate analysis, men were significantly more likely than women to accept and advocate for the new vaccine, as were those with chronic illnesses. Participants with allergy were significantly less likely to accept the vaccine than others. odds ratio (OR) and p-values were 2.5, 0.003; 2.3, 0.04; and 0.4, 0.01, respectively. Conclusion: The acceptance rate for the newly-developed COVID-19 vaccines was average among HCPs. Sex, age, presence of chronic illnesses, and allergy were significant predictors of accepting the vaccine.


Author(s):  
Demeke Demilew ◽  
Berhanu Boru ◽  
Getachew Tesfaw ◽  
Habtamu Kerebih ◽  
Endalamaw Salelew

Abstract Background Alcohol use disorder increase the risk of physical harm, mental or social consequences for patients and others in the community. Studies on alcohol use disorder and associated factors among medical and surgical outpatients in Ethiopia are limited. Therefore, this study is meant to provide essential data on alcohol use disorder and associated factors among alcohol user medical and surgical outpatients to intervene in the future. Methods An institution-based cross-sectional study was conducted by using the systematic random sampling technique. Alcohol use disorders were assessed using the World Health Organization’s 10-item Alcohol Use Disorder Identification Test (AUDIT) questionnaire. Bivariate and multivariate logistic regression analyses were performed, a P-value less than 0.05 were considered statistically significant in the multivariate analysis and the strength of association was measured at a 95% confidence interval. Results The prevalence of alcohol use disorder was 34.5% with a 95% CI (29.20, 39.80) among study participants. In the multivariate logistic regression analysis, male sex (AOR = 3.33, 95%CI: 1.40, 7.93), history of mental illness (AOR = 2.68, 95%CI: 1.12, 6.38), drinking for relaxation (AOR = 1.88, 95%CI: 1.02, 3.48) and history of lifetime tobacco use (AOR = 5.64, 95%CI: 1.95, 16.29) were factors significantly associated with alcohol use disorder. Conclusion The prevalence of alcohol use disorders among medical and surgical outpatients was found to be high. Male sex, history of mental illness, alcohol use for relaxation and lifetime cigarette smoking need more attention during the assessment of patients in the medical and surgical outpatient departments.


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