scholarly journals Risk Factors that Affect The Incidence of Dengue Haemorrhagic Fever in The Work Area of Puskesmas Pare

2018 ◽  
Vol 10 (4) ◽  
pp. 417
Author(s):  
Ericha Fitria Widyatama

Pare Community Health Center or Puskesmas is one of Puskesmas in Kecamatan Pare which has the highest number of Dengue Hemorrhagic Fever incidence that is 64 incidence in 2016. The purpose of this study is to analyze the risk factors that affect the incidence of Dengue Hemorrhagic Fever in the work area of Puskesmas Pare. It was an observational study with cross sectional approach. Interviews and environmental observations were conducted on 100 respondents, randomly, in the working area of Puskesmas Pare, Desa Tulungrejo. The independent variables of the research were larvae existence , maya index status and 4M Plus behavior, with the dependent variable of the research was Dengue Hemorrhagic Fever incidence in 2016.This data was analized by binary logistic regression test.The results of this study indicate that risk factors that affect the incidence of Dengue Hemorrhagic Fever is the action of 4M Plus (p = 0,017).Therefore, the 4M Plus actions should be further improved independently and promoted evenly to the community in order to suppress the incidence of Dengue Hemorrhagic Fever.

Author(s):  
Verra Widhi Astuti ◽  
Tasman Tasman ◽  
Lola Felnanda Amri

ABSTRAK Pendahuluan: Hipertensi disebut sebagai "silent killer" artinya dapat menyebabkan kematian secara diam-diam. Hanya melalui pengukuranlah deteksi dapat dilakukan. Penelitian ini bertujuan untuk mengetahui prevalensi hipertensi dan faktor-faktor yang mempengaruhi hipertensi di Wilayah Kerja Puskesmas Nanggalo, Padang. Metode: Penelitian ini menggunakan metode survei analitik dengan pendekatan cross sectional. Penelitian dilakukan pada masyarakat usia > 18 tahun di wilayah Kerja Puskemas Nanggalo dengan sampel sebanyak 438 responden. Hasil: Hasil penelitian menunjukkan bahwa proporsi hipertensi di masyarakat Wilayah Kerja Nanggalo tahun 2019 sebesar 13,7 yang terdiri dari 10,7% hipertensi stage 1 dan 3% hipertensi stage 2. Sedangkan 19,2% responden sudah memasuki tahap pra hipertensi. Responden paling banyak pada usia produktif yaitu pada rentang usia 18-50 tahun; responden antara laki-laki dan perempuan jumlahnya hampir sama; sebagian besar memiliki status gizi (IMT) normal (64,2%), sebagian besar responden beraktivitas fisik secara rutin (77,9%); sebagian besar responden tidak merokok (61%); dan konsumsi makanan tinggi lemak jenuh dan rendah lemak jenuh hampir sama. Kesimpulan: Ada hubungan yang signifikan antara usia, berat badan (IMT) dan aktivitas fisik dengan kejadian hipertensi. Serta tidak ada hubungan yang signifikan antara jenis kelamin, kebiasaan merokok, dan makan makanan berlemak jenuh dengan kejadian hipertensi. Hasil penelitian ini diharapkan mampu meningkatkan kesadaran responden terhadap faktor-faktor risiko hipertensi.   Kata kunci: Faktor risiko, hipertensi,  prevalensi.   ABSTRACT Introduction: Hypertension is called the "silent killer" which means it can cause death silently. Therefore, detection can only be done through measurement. This study aims to determine the prevalence of hypertension and the risk factors that influence hypertension in the working area of ​​the Nanggalo Community Health Center, Padang. Methods: This study used an analytic survey method with a cross sectional approach. The research was conducted on people aged> 18 years in the working area of ​​Puskemas Nanggalo with 438 respondents as a sample. Result: The results showed that the proportion of hypertension in Nanggalo Work Area was 13.7 consisting of 10.7% stage 1 hypertension and 3% stage 2 hypertension. While 19.2% of respondents had entered the pre hypertension stage. Most respondents are in productive age, namely in the age range 18-50 years; the number of respondents between men and women is almost the same; most of them had normal nutritional status (BMI) (64.2%), most of the respondents had regular physical activity (77.9%); most of the respondents do not smoke (61%); and consumption of foods high in saturated fat and low in saturated fat is about the same. Conclusion: There is a significant relationship between age, body weight (BMI) and physical activity with the incidence of hypertension. And there is no significant relationship between gender, smoking habits, and eating saturated fatty foods with the incidence of hypertension. The results of this study are expected to be able to increase respondents' awareness of risk factors for hypertension.   Keywords: Hypertension, prevalence, risk factor


Author(s):  
Steven A. Seepersaud

Objective The purpose of the study was to determine risk factors associated with COVID-19 ICU hospitalisation at Georgetown Public Hospital Corporation (GPHC), Guyana. Methods A retrospective chart-review was conducted on all COVID-19 admissions from March to September 2020. The predictive factors were demographics, comorbidities, signs and symptoms of COVID-19 and laboratory findings on admission. Descriptive frequency analysis was done for all independent variables and the Chi-square test was used to compare differences between groups where suitable. Univariate and multivariate binary logistic regression was used to examine the association between the independent variables and the risk for ICU hospitalisation. Results There were 136 patients with COVID-19 at GPHC during March to September 2020 and after exclusion, 135 patients were used in the study. There were 72 (53.4%) patients who required non-ICU care, while 63 (46.6%) ICU care and average age ± SD (median) was 51 ±16 (n= 49) and 56 ±18 (n= 60), respectively. In the multivariate regression model, the odds of ICU admission for those aged 40-65 was 0.14 (p <.01) compared to those > 65 years. Patients with class 2 and above obesity had higher odds of ICU admission compared to non-obese patients OR 11.09 (p= .006). Patients with 2 and 3 or more comorbidities also had higher odds of ICU admission compared to those with no comorbidities OR 7.83 (p= .03) and 132 (p <.001), respectively. Patients with LDH 228-454 U/L and > 454 U/L on admission had higher odds of ICU admission compared to those with normal LDH OR 19.88 (p= .001) and 23.32 (p= .001), respectively. Patients with albumin < 3.50 mg/dL on admission also had higher odds of ICU admission compared to those with normal albumin OR 5.78 (p= .005). Conclusion Risk factors associated with ICU hospitalisation were advanced age, obesity, multiple comorbidities, elevated LDH and low albumin. Protecting the population at risk for ICU admission and prioritizing them for vaccination is recommended to reduce the risk of running out of ICU capacity.


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Hendrikus Nara Kwureh

Dengue hemorrhagic fever (DHF) is one of the infectious diseases transmitted by mosquito bites that are found in tropical and subtropical areas around the world. The high cases of dengue fever show a lack of prevention efforts against dengue hemorrhagic fever. The purpose of this research is to know the factors related to dengue fever prevention efforts (DHF) in Kapuas Kanan Hulu Village Working Area of Durian River Community Health Center in 2018. This research method is quantitative with a cross sectional approach. The sampling technique uses Sample Random Sampling. The sample used was 97 families. The results showed that there was a correlation between education and prevention of DHF in Kelurahan Kapuas Kanan Hulu Sintang District in 2018 with p value of 0.012. OR = 3,150, there is correlation between knowledge with prevention effort of DHF in Kelurahan Kapuas Kanan Hulu Kabupaten Sintang 2018 with p value equal to 0,025. OR = 2,786, there is correlation between attitude and prevention of DHF in Kelurahan Kapuas Kanan Hulu Kabupaten Sintang 2018 with p value 0,007. OR = 3,411, There is no correlation between information media with prevention effort of DHF in Kelurahan Kapuas Kanan Hulu Kabupaten Sintang 2018 with p value 0,907. OR = 0,877, There is correlation between health officer support and prevention effort of DHF in Kelurahan Kapuas Kanan Hulu Kabupaten Sintang 2018 with p value 0,004. OR = 3,700. Suggestions are expected for the community to carry out routine prevention of dengue hemorrhagic fever, both for those who have suffered from Dengue Hemorrhagic Fever or who have never suffered so as to reduce the incidence of Dengue Hemorrhagic Fever in the Kapuas Kanan Hulu Village.


2020 ◽  
Vol 40 (3) ◽  
pp. 191-199
Author(s):  
Abdulellah Almohaya ◽  
Abdulwahab Aldrees ◽  
Layan Akkielah ◽  
Alshaima Talal Hashim ◽  
Fahad Almajid ◽  
...  

ABSTRACT BACKGROUND: Health-care workers (HCW) are susceptible to latent tuberculosis infection (LTBI). The prevalence of LTBI in HCW in Saudi Arabia has not been reported using the fourth-generation interferon gamma release assay QuantiFERON-TB Gold Plus (QFT-Plus). OBJECTIVE: Determine the prevalence of LTBI in a large heterogeneous HCW population and assess risk factors for LTBI. DESIGN: Cross-sectional and case-control study. SETTING: Tertiary academic hospital, Riyadh, Saudi Arabia. PATIENTS AND METHODS: Medical records of HCWs who had QFT-Plus performed between January to December 2018 were reviewed and included in the cross-sectional study. In a subset analysis, randomly selected positive QFT-Plus cases were compared with controls selected from the same areas of work. Univariate and binary logistic regression analyses were performed to assess the significance of other factors to QFT-PLus positivity. MAIN OUTCOME MEASURES: Prevalence of LTBI in HCWs and potential risk factors for LTBI. SAMPLE SIZE: 3024 HCWs in the cross-sectional analysis; 294 cases and 294 controls in the case-control analysis. RESULTS: Twenty-four percent (n=733) of the HCWs had a positive QFT-Plus. The median (interquartile range) age was 34.0 (31.0-37.1) years, 71% were female, and only 24.8% were of Saudi nationals. Nursing represented 57.7% of HCWs, and 24.7% were working in a non-clinical area. Only 20.3% worked in TB-related departments. A higher risk of LTBI was present in HCWs who were older than 50 years (OR=1.95), from either Philippines (OR=4.7) or the Indian subcontinent (OR=4.1), working as a nurse (OR=2.7), allied health profession (OR=2.1), radiology technician (OR=3.1), or in the emergency room (OR=2.4) or intensive care unit (OR=2.1). In the binary logistic regression, independent predictors for positive QFT-Plus were age group older than 50 years (aOR=2.96), known TB exposure (aOR=1.97), and not receiving BCG at birth (aOR=3.08). LIMITATION: Single-center, retrospective, possible recall bias for BCG vaccination. CONCLUSION: The high prevalence of LTBI among HCW emphasizes the need to continue pre-employment screening, especially for employed personnel from high endemic areas, with targeted annual screening for the same group and other identified high-risk groups. These findings can aid in the development of national screening guidelines for LTBI in HCW. CONFLICT OF INTEREST: None.


2019 ◽  
Vol 7 (15) ◽  
pp. 2444-2446
Author(s):  
Bella Kurnia ◽  
I Wayan Bikin Suryawan

BACKGROUND: Dengue is a mosquito-borne disease caused by any one of four closely related Dengue virus (DENV 1-4). The clinical sign Dengue virus infection can vary from mild (mild febrile illness), Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) to Dengue Hemorrhagic Fever with shock (Dengue Shock Syndrome, DSS). AIM: This study was designed to determine the relationship of obesity with the severity of Dengue Hemorrhagic Fever in children. METHODS: It is a case-control study. The data of patients were retrospectively collected from the Department of Child Health at the Wangaya General Hospital between March 2019 to May 2019. It uses consecutive sampling. The total sample of 22 children with DHF with shock and 22 children with DHF without shock were investigated. Statistical analysis has been performed by SPSS Statistics 20.0 for Mac (IBM Corp., Armonk, New York, USA). DHF positive results were compared by the Chi-square test and binary logistic regression. RESULTS: Prevalence of DHF with shock is fifty per cent's and DHF without shock is 50%. Prevalence of obesity is 40.9%. The result of binary logistic regression analysis of obesity in children and the severity of DHF was significantly correlated with P-value 0.004 and OR = 7.734. CONCLUSION: Obesity is associated with the severity of Dengue Hemorrhagic fever in children.


2021 ◽  
Author(s):  
Ali dehghani ◽  
Habib Dehghani Ashkezari ◽  
Hossein Fallahzadeh ◽  
Mohammadhosein Soltani

Abstract Background: The prevalence of coronary heart disease (CHD) is increasing worldwide. The main purpose of this study was to investigate the prevalence of CHD and related risk factors in the population of Shahedieh cohort in Yazd, central Iran.Method: This cross-sectional analytical study was performed on the data of the first phase of the Yazd Shahedieh cohort study, which started in 2016 and included about 10,000 people from the urban population of 35-70 years old in Yazd Shahedieh – Yazd, Iran. Descriptive statistics were used to describe the variables and Chi-square test and multiple binary logistic regression models were used for analysis by reporting the modified odds ratio. All analyzes were performed in SPSS 19 software with a significance level of 5%. Results: The prevalence of the CHD was 8.08% (769 patients). The results of multiple binary logistic regression identified aging, low level of education, smoking, female gender, abnormal LDL, family history, diabetes and blood pressure as risk factors for CHD. The odds of getting CHD over the age of 60 was about 6 times than those aged 30-40, in the illiterate people it was about two times than the university. Smoking, family history, hypertension and diabetes increased the odds of getting CHD by 1.67, 1.59, 3.48 and 1.64. Smoking, family history, hypertension and diabetes increased the odds of getting CHD by 1.67, 1.59, 3.48 and 1.64, times than others, respectively.Conclusion: The prevalence of the disease in Iran was relatively high. According to the effect size, the most important risk factors for the disease were age over sixty years and blood pressure.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Elvi Juliansyah Jamari ◽  
Agustini - Elisabet

Stunting is a nutritional problem seen from the inappropriate length or height according to age. Nutritional status was monitored through the TB / U index. From the data from the Puskesmas Pandanus, the prevalence of stunting is 31.71% in 2018 of the total 719 children under five. This research aims to determine the risk factors for stunting in the work area of the Pandan Community Health Center, Sintang District. This type of research is quantitative using a cross sectional approach with a population of mothers who have children under five as many as 719 and this sample is 257 mothers under five. The primary data collection tool used a questionnaire using a survey method for mothers of toddlers who were used as samples in this study to obtain primary data. The results of this study are based on statistical tests known that associated with the incidence of stunting in children under five is parenting (p = 0.011), tradition (p = 0.001), and access to information (p = 0.003). All parties related to the incidence of stunting in toddlers teach good parenting by reducing traditions that have an impact on the health of toddlers, and constantly convey the importance of toddler health for the future.


2017 ◽  
Vol 1 (2) ◽  
pp. 187
Author(s):  
Aprilia Aprilia ◽  
Nursalam Nursalam ◽  
Candra Panji Asmoro

Introduction. Centralized drug is a management of the entire drug which is entirely done by nurses to administration to patients. Right medication is the process of right drug administration which is done by nurses based on 6 rights of medication, and wary of side effects. The purpose of this study was to analyze the corelation between centralized drug, team leadership, and nurse`s knowledge with right medication among nurses. Methods.The design of the study was descriptive corelational with cross-sectional approach. The population was inpatient nurses in RSUD Sidoarjo. Total sample was 114 respondents was selected by purposive sampling. The independent variables in this study: centralized drug, team leadership, and nurse`s knowledge. The dependent variable was right medication. Data were collected by using questionnares for independent variables and dependent variable. Data were analyzed by using Binary Logistic Regression with degree of significance α>0,05. Results. Binary Logistic Regression test showed non significance level between centralized drug with right medication (P=0.501), team leadership with right medication (P=0.874), and nurses`s knowledge with right medication (P=0.243). Discussion. This study concluded centralized drug, team leadership, and nurse`s knowledge were good. But, there are nurses that have negative value at right medication, however right medication in RSUD Sidoarjo has majority positive value. Keywords: centralized drug, right medication


2017 ◽  
Vol 41 (2) ◽  
pp. 102-111 ◽  
Author(s):  
Ana C Mafla ◽  
Ximena A Cerón-Bastidas ◽  
Maria E Munoz-Ceballos ◽  
Diana C Vallejo-Bravo ◽  
Maria C Fajardo-Santacruz

Objective: This manuscript examined the prevalence and extrinsic risk factors for dental erosion (DE) in early and middle adolescents in Pasto, Colombia. Study design: Dental erosion was evaluated in a random sample of 384 individuals aged 10–15 years attending three primary and high schools in this cross-sectional study. Clinical dental assessment for DE was done using O'Sullivan index. Data on general sociodemographic variables and extrinsic risks factors were obtained. Descriptive and univariate binary logistic regression analyses were performed. Results: Dental erosion was observed in 57.3% of individuals. The univariate binary logistic regression analysis showed that frequency of drinking natural fruit juices (OR 2.670, 95% CI 1.346 – 5.295, P=0.004) and their pH (OR 2.303, 95% CI 1.292 – 4.107, P=0.004) were more associated with the odd of DE in early adolescence. However, a high SES (OR 10.360, 95% CI 3.700 – 29.010, P&lt;0.001) and frequency of snacks with artificial lemon taste (OR 3.659, 95% CI 1.506 – 8.891, P=0.003) were highly associated with the risk of DE in middle adolescence. Conclusions: The results suggest that DE is a prevalent condition in adolescents living in a city in southern Colombia. The transition from early to middle adolescence implies new bio-psychosocial changes, which increase the risk for DE.


2021 ◽  
Vol 10 (2) ◽  
pp. 148-152
Author(s):  
Erlin Yustin Tatontos ◽  
Fihiruddin Fihiruddin ◽  
Nurul Inayati

Dengue Hemorrhagic Fever (DHF) caused Dengue virus which transmitted through the bite of the Aedes sp. Detection of dengue virus serotypes is essential for epidemiology as well as potential disease pathogens. RT-PCR method was more effective in mosquitoes, because the virus contained in the mosquito body is passed on to the next generation (trans ovarian). The purpose of this research is to know the serotype of DHF virus accurately through vector mosquito using RT-PCR method in Mataram City, so that vector control, early diagnosis and management of DHF disease could be done quickly and precisely. This research was a laboratory explorative research with cross sectional design that determines serotype of DHF virus through vector mosquito using RT-PCR method in Mataram City. The population of this study were Aedes aegypti female mosquitoes from eggs. Collected from houses located in Community Health Center Mataram city worked area with high dengue cases: Pagesangan, Karang Taliwang, Karang Pule, Tanjung Karang, Mataram, and Selaparang especially around the house’s sufferers. The results showed that only the mosquito group from the worked area of the Mataram Community Health Center showed the ribbon image with the base pair in accordance with serotype 1 (DENGUE 1), the other negative.


Sign in / Sign up

Export Citation Format

Share Document