scholarly journals ACID-FAST BACILLI CONVERSION OF BEIJING AND NON-BEIJING STRAIN OF PULMONARY TUBERCULOSIS IN SOUTH SULAWESI

2019 ◽  
Vol 7 (5) ◽  
pp. 99
Author(s):  
Ni Made Mertaniasih

Beijing strains are a major part of the Mycobacterium tuberculosis Asian phylogenetic lineage. Beijing strains represent about 50% of all TB strains in East Asia and at least 13% of strains worldwide. Beijing strain of Mycobacterium tuberculosis is presumed as the factor of the increase in bacteria virulence and drug resistance, and the contributor in treatment failure. The aim of this study was to analyze the association between acid-fast bacilli conversion with strain genotipe Beijing and non-Beijing of pulmonary tuberculosis in South Sulawesi. The design of research was observational analytic with prospective approach. The sampling technique used consecutive sampling. Data were taken from active pulmonary tuberculosis patients’ medical record in Balai Besar Kesehatan Paru Masyarakat Makassar (Pulmonary Health Center of Makassar) and Community Health Center in Gowa Regency, South Sulawesi from March to June 2018. Collected sputum samples were screened for AFB and identified as Beijing strain and non Beijing strains using Multiplex PCR in Tropical Disease Institute of Universitas Airlangga. The results is showed that the characteristics of the respondents consisted of 12 respondents (33.3%) aged 56-65 years, 25 respondents (69.4%) men and 28 respondents (77.8%) had low category gradation of AFB smear. Univariate analysis showed 6 respondents (16.7%) with Beijing strains, 30 respondents (83.3%) with non-Beijing strains, 32 respondents (88.9%) conversion sputum AFB and 4 respondents (11.1%) non conversion sputum AFB. Bivariate analysis with Chi-Square statistical test shows that p value 0.022 < 0,05, that means there was association of Beijing strains with BTA conversion. Microscopic examination of BTA can be used to monitor and evaluate the treatment of new pulmonary TB patients undergoing treatment and the Beijing Mycobacterium tuberculosis strain has a significant correlation with the treatment failure of anti-tuberculosis drugs in South Sulawesi.

2020 ◽  
Vol 1 (2) ◽  
pp. 51-58
Author(s):  
Idris Idris ◽  
Enggar Enggar

Breastfeeding is a physiological process to provide optimal nutrition for babies and one of the first steps for humans to have a healthy and prosperous life. The low coverage of exclusive breastfeeding is still a big problem for the State of Indonesia. There are several ways that can be done to increase exclusive breastfeeding, one of which is health education. The use of video as a means of education is now starting to be developed in line with current technological advances. The purpose of this study was to determine the effect of exclusive breastfeeding counseling with audio visual on the knowledge and attitudes of pregnant women in the work area of Singgani Health Center. This research is a pre-experimental study with the design of one group pretest-posttest. The number of samples is 33 respondents. The sampling technique uses purposive sampling. The analysis used in this study was the Wilcoxon test. The results of the univariate analysis of data on pretest knowledge with good categories were 24 people (72.7%) and the poor categories were 9 people (27.3%) Knowledge of posttest with good categories as many as 21 people (63.6%) were less than 12 people (36.4%). The pretest attitude in the good category was 16 people (48.4%), the poor category was 17 people (51.6%). The posttest attitude in the good category was 21 people (63.6%) in the poor category of 12 people (36.4%). The results of the bivariate analysis of the knowledge of the pretest posttest knowledge (p-value 0.002). The posttest pretest attitude (p-value 0.363. The conclusion shows that there is the influence of exclusive breastfeeding counseling with video media on the knowledge of pregnant women in the Singgani Health. There is no effect of exclusive breastfeeding counseling with audio visual on the attitudes of pregnant women in the Singgani Health Center. The suggestion is that midwives are expected to further increase the use of increasingly developing technology, one of which is the use of audio visual to provide counseling


2021 ◽  
Vol 2 (6) ◽  
pp. 723-732
Author(s):  
Amran Sebayang

In patients with mental disorders, almost all patients experience recurrence repeatedly. Data from medical records at the Sepatan Health Center, the presentation of recurrence of mental illness patients at the Sepatan Health Center in 2019 was 26.8%. The same was true for the Kedaung Barat Puskesmas at 22%. To determine the relationship between the level of control adherence and the recurrence rate of mental disorders clients at the Sepatan Public Health Center and the Kedaung Barat Tangerang Public Health Center in 2020. Including an analytical survey with a cross sectional approach. The population in this study were all schizophenia patients at the Sepatan Health Center and the Kedaung Barat Health Center, Tangerang Regency in 2020, as many as 109 people. Samples were taken based on the slovin as many as 109 respondents. This study used univariate and bivariate analysis with the Chi Square test. Based on univariate analysis of 109 people, the majority with mental disorders clients who did not relapse were 58 people (53.2%), and the adherence level of adherent controls was 61 people (56%). The results of the bivariate analysis with the chi square test found that there was a relationship between control compliance (p-value 0.000), with mental disorders client recurrence. There is a relationship between the level of control adherence with the recurrence rate of mental disorders clients, with a possible rate of 29,871. It is hoped that it can provide information and be able to provide education on nursing services, especially for the client's family of mental disorders to motivate clients with mental disorders to comply with control.


2018 ◽  
Vol 4 (2) ◽  
pp. 67
Author(s):  
Maftuchah Maftuchah ◽  
Anita Indra Afriani ◽  
Agustin Maulida

Kecenderungan para ibu untuk tidak menyusui bayinya secara eksklusif semakin besar. Hal ini dapat dilihat dengan besarnya jumlah ibu menyusui yang memberikan makanan tambahan atau susu formula lebih awal sebagai pengganti ASI. Berbagai alasan dikemukakan oleh ibu-ibu sehingga dalam pemanfaatan ASI secara eksklusif kepada bayinya rendah, antara lain adalah pengaruh iklan/promosi pengganti ASI, ibu bekerja, lingkungan sosial budaya, pendidikan, pengetahuan yang rendah serta dukungan suami yang kurang. Salah satu puskesmas dengan cakupan ASI Eksklusif terendah tahun 2015 yaitu di Puskesmas Tlogosari Wetan Kota Semarang sebesar 55,30 % . Meskipun mengalami peningkatan di tahun 2016 namun pencapaian ASI Eksklusif di Puskesmas Tlogosari Wetan yaitu 16,4 % belum mencapai target renstra Kota Semarang yaitu 65 % . Tehnik sampling yang digunakan adalah total sampling. Uji analisis yang digunakan adalah analisis univariat dan analisis bivariat menggunakan Chi Square. Hasil penelitian menunjukkan bahwa  ada hubungan pengetahuan dan pekerjaan dengan penggunaan susu formula sebagai pengganti ASI eksklusif (p value 0.031 dan 0,015). Sedangkan pendidikan dan peran petugas kesehatan tidak ada hubungan dengan penggunaan susu formula sebagai pengganti ASI eksklusif di Kelurahan Penggaron Kidul-Semarang (p value 0.303 dan 0.846). Saran bagi masyarakat diharapkan tetap memberikan ASI eksklusif kepada anaknya meskipun ditinggal bekerja. Kata Kunci : Susu Formula; ASI Eksklusif  FACTORS AFFECTING THE USE OF FORMULA MILK AS AN ALTERNATIVE EXCLUSIVE BREASTFEEDING. ABSTRACT The tendency of mothers  who do not breastfeed exclusively the babies are growing. It can be seen by the large number of nursing mothers who provide formula milk as breast milk alternative. The various reasons are put forward by the mothers so that the use of exclusive breast milk is low. These reasons include, the influence of advertisement / breastfeed altenatives, working mother, socio-cultural environment, education, low knowledge, and lack of husband support. One of public health center with the lowest coverage exclusive breastfeeding by 55.30% in 2015 is Tlogosari Wetan Health Center at Semarang City. Although in 2016 it has been incerased by 16,4%, however, that number has not fulfilled the strategic plan target of Semarang City as much as 65%. The sampling technique was used Total Sampling. The analysis test was used univariate analysis and Bivariate analysis using Chi-Square. The result showed that there is a relationship between the knowledge and the occupation with the use of formula milk as an alternative for exclusive breastfeeding (p value 0.031 and 0.015). while education and the role of health practitioner have no relation with the use of formula milk as an alternative for exclusive breastfeeding (p value 0.303 and 0.846). The mothers are expected to continue giving exclusive breastfeeding to the babies even if left to work. Keywords: Formula Milk; Exclusive breastfeeding


2021 ◽  
Vol 21 (3) ◽  
pp. 1288
Author(s):  
Delli Aridasari ◽  
Erma Puspita Sari ◽  
Siti Aisyah Hamid ◽  
Eka Rahmawati

Based on Permenkes No.97 of 2014 Article 14, i.e. paragraph one states that childbirth must be carried out in a health facility. Based on data from the 2019 RI Ministry of Health, South Sumatra Health Office 2019, Riskesdes 2019, South Sumatra Health Office 2019, Muara Enim District Health Office and Sukarami Health Center there are still deliveries that are not carried out in health facilities. Deliveries that are not carried out at a health facility will lead to complications of childbirth, delay in getting services if complications occur and increase the risk of infection.  The purpose of this study was to determine the relationship between knowledge, mother's attitude and family support with the lack of interest of mothers giving birth in health facilities. This study uses an analytical survey with quantitative methods with a cross sectional research design. This research was conducted in August 2021 at the Sukarami Health Center, Sungai Rotan District, Muara Enim Regency, South Sumatra. The population of this study were all mothers giving birth in the work area of the Sukarami Health Center in 2021, amounting to 301 people. The sample used amounted to 75 of the population taken by using the formula for determining the sample. Data analysis used univariate analysis (proportion) and bivariate analysis (chi square test). The results of the analysis showed that knowledge (p value = 0.022), Mother's Attitude (p value = 0.032) and Family Support (p value = 0.018) had a significant relationship with mothers giving birth in health facilities. The conclusion of this study is that there is an influence between knowledge, mother's attitude and family support with the lack of interest of mothers giving birth in health facilities.


2021 ◽  
Vol 5 (1) ◽  
pp. 31-35
Author(s):  
Maryati Agustina Tatangindatu ◽  
Melanthon Juneidi Umboh

Tuberculosis (TB) merupakan penyakit infeksi bakteri menahun yang disebabkan oleh Mycobakterium Tuberculosis. TB merupakan salah satu dari sepuluh tertinggi penyebab kematian di seluruh dunia. Di Indonesia angka kematian akibat TB mencapai 140.000 orang per tahun. Di Kabupaten kepulauan Sangihe Tuberkulosis Paru masih menjadi masalah kesehatan. Pada tahun 2018 jumlah kasus TB di Wilayah Puskesmas Manenete berjumlah 21 kasus dan terjadi peningkatan kasus pada tahun 2019 menjadi 44 kasus.Tujuan dari penelitian ini untuk mengetahui hubungan antara faktor lingkungan fisik rumah dengan kejadian TB Paru di Wilayah Puskesmas Manente. Jenis penelitian ini merupakan penelitian survei analitik dengan pendekatan cross sectional. Hasil analisis bivariat menggunakan uji chi square menunjukkan variabel kepadatan hunian, ventilasi rumah serta jenis dinding rumah memiliki P value kurang dari 0.05 (<0.05). Untuk variabel jenis lantai diperoleh nilai P value lebih dari 0.05 (>0.05). Berdasarkan hasil penelitian dapat disimpulkan bahwa terdapat hubungan antara kepadatan hunian, ventilasi rumah dan jenis dinding rumah dengan kejadian TB Paru serta tidak terdapat hubungan antara jenis lantai rumah dengan kejadia TB Paru di Wilayah Puskesmas Manente. Pemerintah dan instansi terkait perlu melakukan promosi kesehatan secara rutin terkait upaya pencegahan TB Paru serta mengedukasi masyarakat untuk dapat meningkatkan daya tahan tubuh dengan menerapkan pola hidup bersih dan sehat.   Tuberculosis (TB) is a chronic bacterial infection caused by Mycobacterium tuberculosis. TB is one of the top ten causes of death worldwide. Death caused by TB amount 140,000 people in a  year. In Sangihe District, Pulmonary Tuberculosis was a health problem. In 2018 the number of TB cases in Manente Health Center area were 21 cases and increased in 2019 44 cases. The purpose of this study was to determine the relationship between house physical condition factors with the incidence of pulmonary tuberculosis in the Manente Health Center area. Those reseach were analytic survey research with a cross sectional approach. The results of bivariate analysis used the Chi Square Test showed that the variables of house density, house ventilation and type of house walls had a P value of less than 0.05 (<0.05). For the floor type variable, the P value was more than 0.05 (> 0.05). Based on the results the reaseach concluded that those was a relationship between house density, house ventilation and type of house wall with the incidence of Pulmonary Tuberculosis and there was no relationship between the type of floor of the house and the incidence of Pulmonary Tuberculosis in Manente Health Center area. The government and related officer need to carry out regular health promotions about how to prevent Pulmonary Tuberculosis and educate the public able to increase endurance by implementing a clean and healthy lifestyle.


2020 ◽  
Vol 6 (1) ◽  
pp. 16-24
Author(s):  
ARNOF YERNI

ABSTRACT Indoplant as one of the methods of contraception under the skin, is officially used in several countries including Indonesia and is quickly accepted by the public and is one of the programmed methods of contraception. However, there are still many acceptors who do not carry out re-control after installation. This study aims to determine the factors that influence the Indoplant acceptors in carrying out re-control at TanjungBerigin Health Center in Langkat Regency in 2018. This study uses a descriptive design with cross-sectional approach. The population in this study were all indoplant acceptors after 13 months installation at Tanjung Beringin Health Center, as many as 68 people and the sampling technique was total sampling .The result of univariate analysis was the highest age of respondents>  = 0.05) found the effect of age on the re-contro (p-value = 1000) and the influence of education (p-value = 0.023) and the influence of parity (p-value = 0.034) and the influence of knowledge (p-value = 0.015).a35 years 37 people (54.4%) higher education 42 people (61.8%) high parity 41 people (60.3%), high knowledge 39 people (57.4%) and those who re-controlling 53 people (77.9%). While the results of the bivariate analysis using the chi square test (95% CI and Based on the results of the study it is expected that health workers, especially midwives, can provide counseling or complete information about indoplant, especially the implementation of re-control. Keywords: Indoplant acceptors, re-control


2019 ◽  
Vol 7 (1) ◽  
pp. 13-18
Author(s):  
Avilia Chandrawita ◽  
Kuswardani Susari P ◽  
Hidayati Hidayati

Background of the study: Exclusive breastfeeding is only receives breastmilk without any addition of other liquids or foods before reaching 6 months of age, where exclusive breastfeeding is the best source of nutrition and contains important nutrients that affect on the growth and the development of teeth eruption in infants. Objective: This study intended to find out the relationship of giving exclusive breastfeeding with the eruption of deciduous teeth in infants age 6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center. Method: This study used observational anaysis method with cross-sectional design. The sample taken by using Random Sampling technique in infants age 6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center as many as 95 infants. Data retrieval was carried out by interview using a questionnaire and then performed dental eruption examination. Data analysis used Chi-Square test. Result: The result of univariate analysis obtained that most of infants age6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center receive exclusive breastmilk and timing of teeth eruption on time. The result of bivariate analysis obtained p value < 0,05. Conclusion: There is significant relationship between the giving of exclusive breastfeeding with the eruption of deciduous teeth in infants age 6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center.


2019 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Idris Idris ◽  
Enggar Enggar

Breastfeeding is a physiological process to provide optimal nutrition for babies and one of the first steps for humans to have a healthy and prosperous life. The low coverage of exclusive breastfeeding is still a big problem for the State of Indonesia. There are several ways that can be done to increase exclusive breastfeeding, one of which is health education. The use of video as a means of education is now starting to be developed in line with current technological advances. The purpose of this study was to determine the effect of exclusive breastfeeding counseling with audio visual on the knowledge and attitudes of pregnant women in the work area of Singgani Health Center. This research is a pre-experimental study with the design of one group pretest-posttest. The number of samples is 33 respondents. The sampling technique uses purposive sampling. The analysis used in this study was the Wilcoxon test. The results of the univariate analysis of data on pretest knowledge with good categories were 24 people (72.7%) and the poor categories were 9 people (27.3%) Knowledge of posttest with good categories as many as 21 people (63.6%) were less than 12 people ( 36.4%). The pretest attitude in the good category was 16 people (48.4%), the poor category was 17 people (51.6%). The posttest attitude in the good category was 21 people (63.6%) in the poor category of 12 people (36.4%). The results of the bivariate analysis of the knowledge of the pretest posttest knowledge (P value 0.002 (<0.05). The posttest pretest attitude (P value 0.363 (> 0.05). The conclusion shows that there is the influence of exclusive breastfeeding counseling with video media on the knowledge of pregnant women in the Singgani Health. There is no effect of exclusive breastfeeding counseling with audio visual on the attitudes of pregnant women in the Singgani Health Center. The suggestion is that midwives are expected to further increase the use of increasingly developing technology, one of which is the use of audio visual to provide counseling. Keywords: Exclusive Breastfeeding, Audio Visual, Knowledge, Attitude,


2019 ◽  
Vol 13 (2) ◽  
pp. 92-101
Author(s):  
Wahid Tri Wahyudi ◽  
Suprihatin Suprihatin

ABSTRACT: KNOWLEDGE AND DETECTION OF PULMONARY TUBERCULOSIS AMONG COMMUNITY IN LAMPUNG-INDONESIABackground: Tuberculosis of Lung is an infectious disease caused by the bacterium mycobacterium tuberculosis, which most commonly affects the lungs. Mortality and morbidity due to mycobacterium tuberculosis bacteria in indonesia in 2009 there were 1.7 million people died. The incidence of tuberculosis of lung in Lampung until the end of December 2015, tuberculosis of lung is 8,492 cases from the estimated cases in 2015 as many as 32,128. Efforts to prevent the increase in cases of tuberculosis in Indonesia carried out with a description of the case detection efforts can be measured by knowing the number of TB cases found and recorded indicators of Case Notification Rate (CNR).Purpose: This study aims to determine the relationship of knowledge with the early detection tuberculosis of lung in the work area of the Way Kanan public health center district in 2017.Methods: The type of this research is quantitative research with cross sectional approach. The population in this research is all citizens suspect in working area of Public Health Center of Way Kanan regency. Instrument of data collection in this research use questioner. The data analysis used is chi square.Results: The statistical results show that there is a correlation between knowledge with early detection of pulmonary tuberculosis (p value = 0,00).Counclusion: Suggestions in the research are expected to motivate the community to actively participate in lung tuberculosis examination program.Keywords : Pulmonary, tuberculosis, knowledge, detection.Pendahuluan: Tuberkulosis Paru (TB Paru)  adalah  penyakit  menular  yang  disebabkan  oleh  bakteri mycobacterium tuberculosis, yang paling umum mempengaruhi paru-paru. Angka  kematian dan kesakitan akibat kuman mycobacterium tuberculosis di indonesia pada tahun 2009 terdapat  1,7  juta  orang meninggal. Angka kejadian TB paru di Lampung hingga akhir Desember tahun 2015, angka penemuan kasus penderita TB paru sebanyak 8.492 kasus dari estimasi kasus di tahun 2015 sebanyak 32.128. Upaya pencegahan peningkatan kasus TBC di Indonesia dilakukan dengan gambaran upaya penemuan kasus dapat diukur dengan mengetahui banyaknya kasus TB yang ditemukan dan tercatat indikator Case Notification Rate (CNR).Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dengan upaya deteksi dini penyakit tb paru di wilayah kerja puskesmas Negeri Agung kabupaten Way Kanan tahun 2017.Metode : Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Populasi  dalam  penelitian  ini adalah semua warga suspect di wilayah kerja puskesmas Negeri Agung kabupaten Way Kanan. Sampel dalam penelitian ini sebanyak 133 pasien. Tehnik pengambilansampel dengan metode Cross sectional.Analisa data menggunakan uji chi square.Hasil penelitian : Hasil penelitian menunjukkan terdapat hubungan antara pengetahuan dengan upaya deteksi dini penyakit tuberkulosis paru (p value = 0,00).Simpulan: Peneliti menganjurkan agar Puskesmas melakukan pencegahan berupa; Melakukan pencegahan deteksi dini melalui pemeriksaan-pemeriksaan sesuai kebijakan yang telah ditetapkan puskesmas dan Memotivasi masyarakat supaya aktif berpartisipasi dalam program pemeriksaan tuberkulosis paru


2020 ◽  
Vol 5 (1) ◽  
pp. 74-79
Author(s):  
Rani Oktarina

Based on the results of the 2014 National Socio-Economic Survey, the number of elderly people in Indonesia reached 20.24 million or around 8.03% of the total population of Indonesia. The purpose was to determine the relationship between nutritional status and physical activity with the incidence of dementia in Prabumulih City Market Health Center in 2019. This study uses Analytical Survey using the Cross-Sectional approach. The population is elderly people aged 45-59 years, amounting to 94 people. The sample amounted to 94 respondents. In the univariate analysis of 94 respondents, it was found that respondents with good nutritional status were 56 respondents (59.6%) and respondents with malnutrition status were 38 respondents (40.4%). Good physical activity was 52 respondents (55.3%) and respondents who had bad physical activity were 42 respondents (44.7%). Bivariate analysis showed Nutritional Status had a significant relationship with the incidence of dementia (p-value 0.003) and Physical Activity had a significant relationship with the incidence of dementia (p-value 0.001). This study concludes that there is a relationship between nutritional status and physical activity with the incidence of dementia in Prabumulih City Market Health Center in 2019.


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