scholarly journals THE DIFFERENCESS OF DISCONTINUITAS IUD IN POST PLACENTAL AND INTRA-CESAREAN IN MADIUN

2021 ◽  
Vol 5 (3) ◽  
pp. 299
Author(s):  
Melynda Trilamsari Putri ◽  
Ashon Sa'adi ◽  
Ivon Diah Wittiarika ◽  
Gadis Meinarsari
Keyword(s):  
Health Center ◽  
Service Providers ◽  
Ultrasound Examination ◽  
Fisher Exact Test ◽  
Expulsion Rate ◽  
Cross Sectional ◽  
Exact Test ◽  
The Family ◽  
Independent Variable ◽  
Post Placental

 AbstractBackground: Intra Uterine Device (IUD) which is placed after delivery of the placenta is an attempt to reduce the rate of population growth. However, the achievement is still very low, especially in the post-placental IUD insertion. It is this high expulsion rate that continues to be a concern for service providers, so this method is acceptable. The purpose of this study is to compare the sustainability of IUD acceptors in post-placental and intra-cesareann placement. Methods: The design of this study was cross sectional with an observational analytic method. Location of this research  in the family planning clinic of Dr. Soedono Madiun Hospital, Banjarejo Health Center, Tawangrejo Health Center, and PMB Ny. “P” Madiun City in 2019.The sample used consecutive sampling as many as 114 acceptors. The independent variable was the time of IUD insertion. The dependent variable is the discontinuity of the IUD acceptor. The instrument used was the 2019 IUD acceptor medical record. The Fisher Exact Test on SPSS was used to perform data analysis. Results: From 114 acceptors, there was no difference in the discontinuity of IUD acceptors in post-placental and intra-cesarean placement (p=0.1). The incidence of expulsion was found in post-placental insertion (p=0.02). In intra-cesarean IUD acceptors more confirmed using ultrasound examination (p = 0.03). There was no perforation in both. Conclusion: There is no difference in IUD acceptor discontinuity in post-placental and intra-cesarean placement. 

scholarly journals MUTU PELAYANAN GIZI DENGAN TINGKAT KEPUASAN PASIEN

2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Iin Rachmawati ◽  
Wiwik Afridah
Keyword(s):  
Significant Relationship ◽  
Fisher Exact Test ◽  
Hospital Service ◽  
Test Statistic ◽  
Cross Sectional ◽  
Exact Test ◽  
Patient’S Satisfaction ◽  
Independent Variable ◽  
The Relationship

The quality of nutritional service is one of the indicators of the quality hospital service. Therefore, the purpose of this research was to find out the relationship between the quality of hospital nutritional service and the level of patient’s satisfaction hospitalized in Teratai Room of Islamic Hospital located on Jemursari, Surabaya.The design of research was analytic cross sectional. The population of patient’s hospitalized ≥ 3 days in Teratai Room of Islamic Hospital located on Jemursari, Surabaya by 40 respondents, a sample of 36 respondents, taken using a consecutive sampling.The independent variable was the quality of hospital nutritional service, where as the dependent one was the level of patient’s satisfaction. Instrument using a questionnaire sheet. Analysis of the data by the Fisher Exact Test. The result of research showed that most of the respondent (52,2%) said the quality of nutritional hospital service is good and nearly half (47,2%) said they were satisfied. Fisher’s Exact Test statistic test value obtained ρ = 0.007 describing that there was a significant relationship between the quality of hospital nutritional service and the level of patient’s satisfaction hospitalized in the hospital. The research has concluded that most of the quality nutritional of hospital service is have good and patient’s have satisfaction. The nutritional official must be through, when process and prepare a dish up a food a patient

scholarly journals Korelasi teknik pelaksanaan Inisiasi Menyusu Dini (IMD) dengan kejadian perdarahan post partum

2019 ◽  
Vol 6 (1) ◽  
pp. 6-12
Author(s):  
Suprapti Suprapti
Keyword(s):  
Postpartum Haemorrhage ◽  
Health Workers ◽  
Post Partum ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test ◽  
Independent Variable ◽  
The Subject ◽  
Observational Design ◽  
The Relationship

Early breastfeeding is an initial activity in providing breast milk to babies which have the advantage on the health of your baby's growth and development and fostering ties of affection between mother and baby. Early breastfeeding is also an effort to increase the contractions of the uterus that can reduce the occurrence of bleeding. The purpose of this study is to determine the relationship between technical implementation of IMD with the incidence of postpartum haemorrhage.This research uses analytic observational design by the cross sectional approach. Independent variable is the technical implementation of the IMD and the dependent variable was the incidence of postpartum haemorrhage. The subject of this study was 30. Data was collecting by a checklist and be analyzed using the Fisher Exact Test. The results show that mothers who carry out technical implementation of the corresponding IMD were 21 people (70%) and who carry out technical implementation of the IMD that does not fit as many as 9 people (30%). While mothers who experience postpartum haemorrhage are 3 people (10%) and did not experience postpartum haemorrhage are 27 people (90%). The fisher exact test show score of ρ value was 0.207. So there is no relationship between the technical implementation of the IMD with the incidence of postpartum haemorrhage. So this result can be used as the basis to give the information for the health workers (midwives) about the importance of prevention of postpartum haemorrhage by remaining obediently carry out the standard APN by IMD and by improving human resources through sustainable education, and joining the training for the health care.

scholarly journals Early Detection of Cervical Cancer with Visual Inspection using Acetic Acid (VIA)

2019 ◽  
Vol 6 (1) ◽  
pp. 027-034 ◽  
Author(s):  
Nonik Ayu Wantini ◽  
Novi Indrayani
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Health Center ◽  
Sampling Technique ◽  
P Value ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Middle Income ◽  
Exact Test ◽  
Cross Sectional Design

Introduction: Cervical cancer is the fourth most frequent cancer in women with an estimated 570,000 new cases in 2018 representing 6.6% of all female cancers. Approximately 90% of deaths from cervical cancer occurred in low- and middle-income countries. The high mortality rate from cervical cancer globally could be reduced through a comprehensive approach that includes prevention, early diagnosis, effective screening and treatment programmes. Until 2016, the coverage of VIA in Indonesia was 4.34% which was still far from the national target of 10% at the end of 2015. Sleman Regency was the district with the lowest achievement compared to 4 other districts in DIY to achieve the target of early detection (0.01%).Method: Type of analytical survey research with cross sectional design. The study was conducted at the Kalasan Public Health Center, Sleman, DIY on March 19 to May 4 2018. The study sample was all women aged 19-49 years who visited the Kalasan Health Center, domiciled in Kalasan Subdistrict, fulfilling the inclusion and exclusion criteria. The number of samples was 350 people selected by consecutive sampling technique. Test the validity of the questionnaire with 2 experts. The instruments used were questionnaires and data collection techniques with interviews. Data analysis used chi square.Result: Knowledge of cervical cancer is mostly in the low category (97%). A positive attitude towards early detection of cervical cancer is 96%. 80% believe cervical cancer will heal if it is found early. As many as 92% did not do VIA test in the last 3 years. Factors related to early detection of cervical cancer are knowledge (fisher exact test results, p-value = 0.003). Discussion: There is no relationship between attitudes, beliefs with early detection of cervical cancer because there are other factors that are more influential. According to the results of the study, 68.9% did not do VIA because they did not know about VIA.Keyword : knowledge, attitude, trust, IVA, cervical cancer

A year of hepatocellular carcinoma at a glance. Demographics, biochemical and radiological characteristics and treatment modalities from a specialized facility of Pakistan

2021 ◽  
pp. 1-6
Author(s):  
Laima Alam
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cross Sectional Study ◽  
Treatment Modalities ◽  
Fisher Exact Test ◽  
Tumour Staging ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Team Meetings ◽  
Contrast Enhanced Ct

Objectives:Relation of demographics of hepatocellular-carcinoma with the aetiology.Tumour characteristics in relation to anti-viral therapy and presence of viral-DNA/RNATreatment modalities offeredMethods: This cross-sectional study enrolled all the patients aged 18-70 years with diagnosed hepatocellular carcinoma either through Triphasic Contrast-Enhanced-CT scan and/or Magnetic Resonance Imaging or biopsy presenting to the Outpatient-Department or multi-disciplinary-team meetings for the year 2019. Demographic variables, biochemical analysis including liver profile and stage of cirrhosis, viral-status, tumour staging and the treatment modalities offered were all noted. ANOVA (normal) and Kruskal-Wallis (non-normal) tests were used to compare quantitative data whereas chi-square-test and fisher-exact-test were used to compare qualitative-data.Results: Out of 195 patients with hepatocellular carcinoma, 76% were males in their fifth to sixth decades of life, 96% had cirrhosis, 94% corresponded to viral hepatocellular-carcinoma (82% Hepatitis-C-Virus, 9% Hepatitis-B-Virus and 3% coinfection), 60% of the cirrhotics landed in Child-Pugh A category with tumour staging BCLC-B being the predominant one (43.6%) and single and multiple bilateral nodules were the commonest lesions encountered. Platelets and Alanine-Transaminase had a significant relation across aetiological groups. Lymph-nodes were the most common extra-hepatic organs for metastasis and the presence of viral PCR had a significant impact on the tumour aggressiveness. Thirty-two percent of the patients were amenable to curative treatment.Conclusion: Viral infection is the main cause of rising prevalence of this tumour in Pakistan. Treatment modalities are expensive and expertise are lacking. A nationwide cancer registry is required for the exact disease burden and tumour behaviour for our population. Continuous....

scholarly journals Dukungan Keluarga dan Perilaku Pengaturan Diet pada Penderita Diabetes Melitus

2019 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Margareta H. Nurti ◽  
Engelina Nabuasa ◽  
Helga J. N. Ndun
Keyword(s):  
Health Center ◽  
Family Support ◽  
Sampling Technique ◽  
Dietary Management ◽  
Chronic Complications ◽  
Cross Sectional ◽  
Continuous Care ◽  
Health Promotion Programs ◽  
The Family ◽  
The Relationship

Diabetes mellitus (DM) is a chronic disease requiring continuous care and sustainable self-management. It also needs adequate family support to prevent acute complications and reduce chronic complications. The purpose of this study was to analyze the relationship between family support with the dietary management of DM patients in the working area of Pasir Panjang Health Center Kupang City Year 2017. The research method was an analytical survey with a cross-sectional approach. The population in this study was all new cases of diabetes collected from January to July 2017 of which a sample of 53 people selected using a random sampling technique. The results showed that the appreciation support p = 0,000 < p = 0,05, instrumental support p = 0,000 < p = 0,05, informational support p = 0,000 < p = 0,05 and emotional support p = 0,000 < p = 0,05 were associated with the dietary rules behavior of the diet of DM patients. Health center needs to involve the family in health promotion programs related to dietary management for DM patients.

scholarly journals Future Living Arrangement for Aging Parents and Its Associated Factors

2019 ◽  
Vol 14 (3) ◽  
Author(s):  
Rahmi Setiyani ◽  
Made Sumarwati ◽  
Dian Ramawati
Keyword(s):  
Older People ◽  
Marital Status ◽  
Associated Factors ◽  
Living Arrangement ◽  
Well Being ◽  
Cross Sectional Study ◽  
Family Type ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test

Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in living arrangement of older people. Objectives: The purpose of this study is to examine adult children’s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. Descriptive statistics, Chi-Square and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) preferred parents to live at home, in multi-generational household with children and/or grandchildren (84.5%) in their old age. The choice was significantly influenced by children gender, marital status of parent, and family type (p=0.00; p=0.05, and p=0.05 respectively). Conclusions: In certain circumstances, living in multigenerational household still became a favorable option of living arrangement for elderly parents. Children gender, parent’s marital status and family type were likely to influence the choice. Further researches are needed to investigate which best living arrangement that support older people well-being.

scholarly journals Pengaruh Tingkat Pendidikan, Pekerjaan Dan Pendapatan Keluarga Yang Mendapat Pendidikan Kesehatan Terhadap Penatalaksanaan Diet Diabetes Melitus Dalam Keluarga Di Rumah Sakit Umum Daerah Gambiran Kediri

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Sucipto Sucipto
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Analytical Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Education ◽  
The Family ◽  
Chi Square Test ◽  
Independent Variable ◽  
Lower Education

The effect of the level of education, job, and income that gets the health education on the management of the diet for the diabetes mellitus in a family. Unless Diabetes Mellitus (DM) is well-handled, it will affect the complication on the various vital organs of the human body. By well experiences such as the cooperation among patient, family and medical staff, the complication of DM can be prevented, or at least, can be slowly halted its development. To target the point, the participation of the patient, the family of the sufferer to care for is badly needed. The aim of the research is to know the effect of the level of education, job and income that gets the health education on the management of the diet for the diabetes mellitus in a family. The method of the research is the analytical descriptive method by using cross sectional approach. The research was applied in November 2008. The population are the family and the sufferers of the DM who were treated in the Gambiran Public Hospital in Kediri. The sample uses the purposive sampling, and the total of respondents is 60. The data collecting is questioner. The data is represented in pictures, tables and narrative. The analytical data with statistical Chi-square test is supposed to know the relation of the variables. Whereas, to know the effect of all, the independent variable and dependent variable use the logistic binary regressive analysis with SPSS Program version 12. The result of the research shows that the higher education probably reaches 3.4 times, the management of DM is much better than that of the lower education (OR = 3.369, CI = 0.728 – 15. 604), and the other factors that improve the management of the diet in family are jobs, incomes and ages. The research concludes that the level of education, job, income and age are the main factors to improve the management of the diet in family. The health guides (nutritionists) are advisably giving guidance in accordance with the backgrounds of education, job, income, and age of the target points.

scholarly journals Analisis faktor kejadian wasting pada anak balita 12-59 bulan di Puskesmas Bulili Kota Palu: Studi cross sectional

2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Public Health Problem ◽  
Sampling Technique ◽  
P Value ◽  
Fisher Exact Test ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Exact Test

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.

scholarly journals Pengaruh perilaku pedagang es campur terhadap penggunaan bahan kimia

2018 ◽  
Vol 3 (1) ◽  
pp. 82
Author(s):  
Fajriansyah Fajriansyah
Keyword(s):  
Negative Impact ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test ◽  
Food Dyes ◽  
Chemical Content ◽  
Cross Sectional Design ◽  
Counseling And Guidance ◽  
Rhodamin B ◽  
Banda Aceh

Es campur merupakan salah satu makanan jajanan yang sangat umum dimasyarakat. Es campur yang dijual bebas dipasar mempunyai kandungan zat warna yang sangat berbahaya bagi masyarakat. Rendahnya pengetahuan pedagang serta tindakan mereka berdampak negatif bagi konsumen. Penelitian ini bertujuan untuk mengukur hubungan pengetahuan dan tindakan pedagang es campur terhadap penggunaan bahan kimia di Kota Banda Aceh. Penelitian menggunakan desain potong lintang yang dilakukan pada 23 pedagang es campur di Kota Banda Aceh. Data yang dikumpulkan meliputi data pengetahuan, tindakan dan data penggunaan bahan kimia. Pengumpulan data dlakukan secara wawancara dan pengujian laboratorium. Uji statistik yaitu fisher ecxact test pada CI95%. Hasil penelitian menunjukan rendahnya pengetahuan (60,9%) dan tindakan (69,6%) pada pedagang, serta tingginya kandungan Rhodamin pada es campur (52,2%). Pengentahuan dan tindakan pedagang mempunyai hubungan signifikan dengan tingginya kandungan bahan kimia pada es campur (p < 0,05). Kesimpulan, rendahnya pengetahuan dan kurang baiknya tindakan pedagang sangat signifikan terhadap tingginya kandungan bahan kimia Rhodamin B pada es campur. Saran, perlu penyuluhan dan pembinaan secara rutin kepada pedagang tentang bahaya zat warna non pangan dan akibatnya terhadap kesehatan. Kata Kunci : Pengetahuan, tindakan, Rhodamin B, es campur  Ice mix is one of the most common food snacks in the community. The mixed free-mixed ice on the market has a very dangerous dye content for the community. The low knowledge of traders, as well as their actions, have a negative impact on consumers. This study aims to measure the correlation of knowledge and action of the merchant of mixed ice against the use of chemicals in Banda Aceh. The study used a cross-sectional design performed on 23 ice-mix traders in Banda Aceh City. The data collected includes data on knowledge, action, and data on the use of chemicals. Data collection was conducted by interview and laboratory testing. The statistical test is Fisher exact test at CI95%. The results showed low knowledge (60.9%) and action (69.6%) on traders, as well as the high content of Rhodamine on mixed ice (52.2%). Trader's knowledge and actions have a significant relationship with the high chemical content in the mixed ice (p <0.05). Conclusion, low knowledge and lack of merchant action are very significant to the high content of Rhodamin B chemicals on the mixed ice. Advice, need counseling and guidance on a regular basis to the trader about the dangers of non-food dyes and the consequences on health. Keywords: Knowledge, action, Rhodamine B, mixed ice

scholarly journals Hubungan Penerapan Perilaku Kadarzi (Keluarga Sadar Gizi) dengan Status Gizi Balita di Kabupaten Tulungagung

2017 ◽  
Vol 1 (4) ◽  
pp. 379
Author(s):  
Santik Wijayanti ◽  
Triska Susila Nindya
Keyword(s):  
Vitamin A ◽  
Nutritional Status ◽  
Vitamin A Deficiency ◽  
Fisher Exact Test ◽  
Height Measurement ◽  
Cross Sectional ◽  
Exact Test ◽  
Children Under Five ◽  
Under Five ◽  
Nutritional Status Of Children

 Background: Family conscious nutrition (Kadarzi) is an Indonesia government program that aims to address the nutrition problem. The family expected to be able to independently giving the best nutrition to improve health. Each Kadarzi indicator has an important role to resolve and prevent the occurrence of utrition problem as indicator of vitamin A supplementation is used to resolve vitamin A deficiency.  Nutrition problems can be seen by using nutritional status. Children under five years are age-prone to experiencenutritional problem such as underweight, stunting, and wasting. Objective: The purpose of this study was to analyze the relationship between the application of Kadarzi behavior with the nutritional status of children under five (WAZ, HAZ, and WHZ). Method: The research was an analytic obsevation research, using cross sectional design. The sample consist of 72 toddlers in Salakkembang Village, Kalidawir Subdistrict, Tulungagung Regency. The data were collected by using weight and height measurement, also Kadarzi bahavior questionnaire. The data were analyzed using Fisher Exact test. Result: The results of the study showed that there was a correlation between Kadarzi behavior with nutitional status of toddlers based on WAZ (p=0.010), and HAZ (p=0.000) but not with WHZ (p=0.368). Conclusion: The better apllication of Kadarzi behavior, the better the nutritional status of toddlers WAZ and HAZ. Mothers should apply Kadarzi behavior to prevent toddlers from nutritional problems. ABSTRAK Latar belakang: Keluarga Sadar Gizi (Kadarzi) merupakan program pemerintah Indonesia yang bertujuan mengatasi masalah gizi. Keluarga diharapkan dapat secara mandiri mewujudkan keadaan gizi yang sebaik-baiknya untuk meningkatkan kesehatan. Setiap indikator Kadarzi memiliki peran penting untuk mengatasi dan mencegah terjadinya masalah gizi seperti indikator pemberian suplemen vitamin A digunakan untuk mengatasi kekurangan vitamin A. Masalah gizi dapat dilihat salah satunya dengan menggunakan status gizi. Balita merupakan usia yang rawan mengalami masalah gizi seperti underweight, stunting, dan wasting.Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan antara penerapan perilaku Kadarzi dengan status gizi balita (BB/U, TB/U, dan BB/TB).Metode: Penelitian ini merupakan penelitian observasinol analitik, dengan desain penelitian cross sectional. Sampel terdiri dari 72 balita di Desa Salakkembang, Kecamatan Kalidawir, Kabupaten Tulungagung. Pengumpulan data menggunakan penimbangan berat badan, tinggi badan, dan kuesioner perilaku Kadarzi. Data dianalisis menggunakan Fisher Exact test. Hasil: Hasil dari penelitian menunjukkan terhadap hubungan antara perilaku Kadarzi dengan status gizi balita BB/U (p=0,010) dan TB/U (p=0,000) namun tidak dengan BB/TB (p=0,368).Kesimpulan: Semakin baik penerapan perilaku Kadarzi maka semakin baik status gizi balita BB/U dan TB/U. Ibu dan seluruh anggota keluarga seharusnya menerapkan perilaku Kadarzi agar balita terhindar dari masalah gizi.

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