scholarly journals Layanan Informasi melalui Voluntary Counseling and Testing pada Kelompok Resiko Tinggi (Analisis Bimbingan Konseling Islam)

Author(s):  
Anis Lud Fiana ◽  
Amrizarois Ismail ◽  
Sri Maullasari ◽  
Isa Aulia Rohman

<p class="06IsiAbstrak"><strong>Information Services through Voluntary Counseling and Testingfor High-Risk Groups (Islamic Counseling Guidance Analysis)</strong>. Information services allow clients to receive and understand various information in various fields such as education, social, health, and others. The counseling program in the information service Voluntary Counseling and Testing (VCT) aims to provide knowledge about maintaining health to reduce the spread of HIV/AIDS. Anyone can experience cases of contracting the HIV/AIDS virus, one of which is the high-risk group for sex men (MSM), transgender (TG), and people who inject drugs (PWID). This study aims to provide an analysis of the implementation of information services through VCT in the prevention of HIV/AIDS transmission in high-risk groups. The design of this study used a descriptive qualitative method by taking samples from assisted groups in PKBI Semarang City. Information services in VCT contain the knowledge of HIV/AIDS transmission and prevention. This study shows the effectiveness of information services provided by officers in the VCT process in preventing transmission of HIV/AIDS in the high-risk group to be analyzed using the Islamic counseling guidance model.</p><strong>Keywords:</strong> Information Services, Voluntary Counseling, and Testing, HIV AIDS, High-Risk Groups

Author(s):  
Hubaybah Hubaybah ◽  
◽  
Evy Wisudariani ◽  
Usi Lanita ◽  
◽  
...  

Background: The number of people infected HIV/ AIDS continues to increase, including in Jambi. The reports from January to September showed 51 people with HIV infection occurred in Jambi. The accessibility of HIV/ AIDS voluntary counseling and testing (VCT) services are important in high risk area. This study aimed to investigate the HIV/ AIDS prevention program through the implementation of voluntary counseling and testing services at primary health center, Jambi. Subjects and Method: The mix-method study was conducted at three locations, including Tanjung Pinang, Rawasari, and Pakuan Baru Community Health Centres, from March to May 2020. The study’s informants were HIV/ AIDS counselors, laboratorian/ pharmacists, and HIV / AIDS risk groups who visited the VCT clinic. The data were collected through in-depth interviews and direct observations. The data were reported descriptively. Results: The implementation of the VCT program was generally good (82%), i.e., counselors had attended the training at least once, and the education level of health workers was standard. The health professionals were friendly and used simple and understandable language to communicate with clients. The facilities and infrastructure showed that the cleanroom was clean, but the other facilities were still incomplete. There was only one door in the counseling room and the absence of an information board for the VCT service flow. Some of these HIV/ AIDS counselors also had responsibility for some other programs besides VCT services. There was a WhatsApp group with risk groups. Conclusion: The VCT program is well implemented. Some improvements in terms of periodic evaluation of the implementation of VCT services, upgrading staff skills and providing an adequate number of facilities and infrastructure. Keywords: VCT, HIV/ AIDS, counsellor Correspondence: Hubaybah. Faculty of Medicine and Health Sciences, Universitas Jambi. Jl. Letjend Soeprapto No 33 Telanai Pura Jambi. Email: [email protected]. Mobile: +628117453224. DOI: https://doi.org/10.26911/the7thicph.02.35


2021 ◽  
Vol 9 (4) ◽  
pp. 439
Author(s):  
Suarnianti Suarnianti ◽  
Yusran Haskas

Intervensi perilaku sangat penting dilakukan dalam pencegahan HIV sebagai intervensi dalam upaya meningkatkan status kesehatan. Tujuan: Mengetahui bentuk intervensi perilaku untuk mengukur outcome dari pencegahan terjadinya HIV terutama pada kelompok berisiko. Metode:  Electronic database dari jurnal yang telah dipublikasikan melalui ProQuest, PubMed., dan ScienceDirect. Hasil: Review dari delapan jurnal yang telah dipilih menyatakan bahwa intervensi perilaku memberi pengaruh terhadap peningkatan pengetahuan tentang HIV/AIDS, konseling bagi kelompok dengan rIsiko tinggi seperti pada Lelaki Seks dengan Lelaki (LSL) dan juga pelaksanaan tes HIV atau yang dikenal dengan Voluntary Counseling and Testing (VST). Instrumen penelitian yang  digunakan untuk mengukur behavioral intervention pada penelitian kuantitaif yakni kuesioner, instrumen berbasis komputer dan internet seperti sosial media, sedangkan pada penelitian kualitatif menggali informasi dengann indepth interview dan Focus Group Discussion (FGD). Hasil penelitian menunjukkan bahwa penguatan intervensi perilaku dalam pencegahan HIV memberi manfaat dalam peningkatan pengetahuan, persepsi dan perilaku pencegahan HIV positif, serta penurunan stigma bagi ODHA. Simpulan: Penguatan intervensi perilaku dapat mencegah terjadinya HIV pada kelompok berisiko sehingga dapat meningkatkan derajat kesehatan.Kata kunci: intervensi perilaku, pencegahan HIV, LSL


2019 ◽  
Vol 14 (3) ◽  
pp. 262-266
Author(s):  
Rika Kurnia Kandacong ◽  
Samsualam Samsualam ◽  
Andi Surahman Batara

Salah satu upaya dalam strategi nasional penanggulangan HIV/AIDS di Indonesia Tahun 2010-2014 adalah program pelayanan konseling dan testing HIV sukarela (Voluntary Counselling and Testing-VCT) (KPA, 2010). Jumlah orang dengan HIV dan AIDS (ODHA) semakin meningkat sehinggah kebutuhan terhadap layanan kesehatan juga semakin meningkat. Penelitian ini bertujuan untuk mendapatkan informasi, mengkaji dan menganalisis secara mendalam tentang perilaku pasien HIV/AIDS terhadap pemanfaatan pelayanan Voluntary Counseling and Testing ( VCT)  dan analisis strategi pemanfaatan pelayanan VCT (Voluntary Conseling And Testing) di Rumah Sakit Labuang Baji. Jenis Penelitian ini adalah penelitian Kualitatif. Informan dalam penelitian ini adalah 2 orang konselor VCT, Kepala Ruangan VCT, dan 5 Pasien HIV/AIDS. Hasil penelitian menunjukkan pengetahuan pasien HIV/AIDS terhadap pemanfaatan pelayanan VCT sudah baik, Motivasi pasien HIV/AIDS terhadap pemanfaatan pelayanan VCT adalah karena adanya risiko terkena HIV/AIDS. Dukungan keluarga terhadap pemanfaatan pelayanan VCT pada pasien HIV/AIDS sudah baik, Strategi dilakukan petugas kesehatan agar pasien HIV/AIDS mau memanfaatkan pelayanan VCT yang ada di Rumah Sakit adalah melakukan Screening pada semua pasien yang dirawat di Rumah sakit Labuang Baji dengan mengajak pasien yang berisiko untuk ikut konseling secara privasi dan rahasia, Sarana dan Prasarana tehadap pemanfaatan pelayanan VCT di Rumah Sakit Labuang Baji sudah cukup lengkap namun belum maksimal, jumlah konselor yang melayani masih kurang apalagi di lihat dari peningkatan pasien HIV/AIDS yang datang berobat.


2020 ◽  
Author(s):  
Jihang Luo ◽  
Puyu Liu ◽  
Leibo Wang ◽  
Yi Huang ◽  
Yuanyan Wang ◽  
...  

Abstract Background Colon cancer is the most common type of gastrointestinal cancer and has high morbidity and mortality. Colon adenocarcinoma(COAD) is the main pathological type of colon cancer. There is a lot of evidence describing the correlation between the prognosis of COAD and the immune system. The objective of the current study was the development of a robust prognostic immune-related gene pairs (IRGPs) model for estimating overall survival of COAD. Methods The gene expression profiles and clinical information of patients with colon adenocarcinoma come from TCGA and GEO databases and are divided into training and validation cohorts. Immune genes were selected which show significantly association with prognosis. Results Among 1647 immune genes, a 17 IRGPs model was built which was significantly associated with OS in the training cohort. In the training and validation data set, the IRGPs model divided patients into high-risk groups and low-risk groups, and the prognosis of the high-risk group was significantly worse( P <0.001). Univariate and multivariate Cox proportional hazard analysis confirmed the feasibility of this model. Functional analysis confirmed that multiple tumor progression and stem cell growth-related pathways in high-risk groups were up-regulated. T cells regulatory and Macrophage M0 were significantly highly expressed in the high-risk group. Conclusion We successfully constructed an IRGPs model that can predict the prognosis of COAD, which provides new insights into the treatment strategy of COAD.


2021 ◽  
Vol 105 (1-3) ◽  
pp. 559-563
Author(s):  
Seungmin Lee ◽  
Kwang Yeol Paik

Background The aim of this study is to examine whether pancreaticogastrostomy (PG) or pancreaticojejunostomy (PJ) is the better reconstructive method to reduce postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD) according to the fistula risk. Methods An institutional database was reviewed for patients undergoing PD between January 2008 and August 2019. A total of 159 patients were stratified into 4 groups according to the Clinical Risk Score-Pancreatic Fistula. POPF according to 4 risk groups was compared between PJ and PG. Results Of the 159 patients, 82 underwent PG (51.6%) and 77 underwent PJ (48.4%) reconstruction. POPF rate was 17.1% (n = 14) in the PG group and 12.9% (n = 10) in the PJ group (P = 0.51). POPF rates were not different in intermediate, low, and negligible risks between 2 reconstructive methods. In the high-risk group (n = 47), there were 4 POPFs (22.2%) in PJ group and 9 (31.0%) in the PG group, respectively (P = 0.74). Conclusion In PD, there was no superior method of reconstruction with regard to POPF, even in high-risk glands.


2017 ◽  
Vol 2 (2) ◽  
pp. 112
Author(s):  
Maya Dinama ◽  
Supriyadi Supriyadi ◽  
Nurnaningsih Herya Ulfah

Abstract :The incidence of HIV/AIDS in Malang Regency in 2008-2014 hasincreased prevalence. The distribution of HIV/AIDS cases in Malang Regency is based on the risk factor of heterosexual 74%, 13% injecting drug users, 4% homosexuals, 5% from mother, 0%, 0% bisexual, and 3% unknown. Sumberpucung Sub-District was ranked second highest with 79 new cases. One of the prevention efforts of HIV / AIDS is through the service Voluntary Counseling and Testing (VCT). The study aims to find out the implementation of HIV/AIDS VCT service program at Sumberpucung CHC of Malang Regency. This research is descriptive research using quantitative method. Variables in research are input, process andoutput. Determination of research subjects using non probability samplingtechnique. Data collection is done by direct observation and documentation. The instrument used is a checklist. Data analysis uses descriptive statistics to calculate mean, median, mode. Categorization is done on each subvariabel using Paretto theory. The result of the research of the input variable on the availability of human resources is less good, the availability of facilities is less good, the availability of infrastructure is good, and the availability of the forms is good. The results ofresearch on the process variables in pre-testing counseling are less good and post-testing counseling is less good. The results of the output variables on sustainable support services are less good.Key Words :Implementation, VCT Services, HIV/AIDSAbstrak: Angka kejadian HIV/AIDS di Kabupaten Malang pada tahun 2008-2014 mengalami peningkatan prevalensi. Distribusi kasus HIV/AIDS di Kabupaten Malang berdasarkan faktor resikonya yaitu heteroseksual 74%, pengguna narkoba suntik 13%, homoseksual 4%, tertular ibunya 5%, mantan TKW 0%, biseksual 1%, dan tidak diketahui penyebabnya 3%. Kecamatan Sumberpucung menempati urutan kedua tertinggi dengan 79 kasus baru. Salah satu upaya preventif penanganan HIV/AIDS adalah melalui layanan Voluntary Counselling and Testing (VCT). Penelitian bertujuan untuk mengetahui implementasi program layanan VCTHIV/AIDS di Puskesmas Sumberpucung Kabupaten Malang. Penelitian inimerupakan penelitian deskriptif menggunakan metode kuantitatif. Variabel dalam penelitian adalah input, proses dan output. Penentuan subyek penelitian menggunakan teknik non probability sampling. Pengumpulan data dilakukan dengan observasi langsung dan dokumentasi. Instrumen yang digunakan adalah checklist. Analisis data menggunakan statistik deskriptif untuk menghitung mean,median, modus. Pengkategorian dilakukan pada setiap subvariabel menggunakan teori Paretto. Hasil dari penelitian variabel input pada ketersediaan SDM tergolong kurang baik, ketersediaan sarana tergolong kurang baik, ketersediaan prasarana tergolong baik, dan ketersediaan form-form tergolong baik. Hasil penelitian variabel proses pada konseling pra-testing tergolong kurang baik dan konseling pasca-testingtergolong kurang baik. Hasil penelitian variabel output pada pelayanan dukungan berkelanjutan tergolong kurang baik.Kata Kunci :Implementasi, Layanan VCT, HIV/AIDS


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Morten Lindhardt ◽  
Nete Tofte ◽  
Gemma Currie ◽  
Marie Frimodt-Moeller ◽  
Heiko Von der Leyen ◽  
...  

Abstract Background and Aims In the PRIORITY study, it was recently demonstrated that the urinary peptidome-based classifier CKD273 was associated with increased risk for progression to microalbuminuria. As a prespecified secondary outcome, we aim to evaluate the classifier CKD273 as a determinant of relative reductions in eGFR (CKD-EPI) of 30% and 40% from baseline, at one timepoint without requirements of confirmation. Method The ‘Proteomic prediction and Renin angiotensin aldosterone system Inhibition prevention Of early diabetic nephRopathy In TYpe 2 diabetic patients with normoalbuminuria trial’ (PRIORITY) is the first prospective observational study to evaluate the early detection of diabetic kidney disease in subjects with type 2 diabetes (T2D) and normoalbuminuria using the CKD273 classifier. Setting 1775 subjects from 15 European sites with a mean follow-up time of 2.6 years (minimum of 7 days and a maximum of 4.3 years). Patients Subjects with T2D, normoalbuminuria and estimated glomerular filtration rate (eGFR) ≥ 45 ml/min/1.73m2. Participants were stratified into high- or low-risk groups based on their CKD273 score in a urine sample at screening (high-risk defined as score &gt; 0.154). Results In total, 12 % (n = 216) of the subjects had a high-risk proteomic pattern. Mean (SD) baseline eGFR was 88 (15) ml/min/1.73m2 in the low-risk group and 81 (17) ml/min/1.73m2 in the high-risk group (p &lt; 0.01). Baseline median (interquartile range) urinary albumin to creatinine ratio (UACR) was 5 (3-8) mg/g and 7 (4-12) mg/g in the low-risk and high-risk groups, respectively (p &lt; 0.01). A 30 % reduction in eGFR from baseline was seen in 42 (19.4 %) subjects in the high-risk group as compared to 62 (3.9 %) in the low-risk group (p &lt; 0.0001). In an unadjusted Cox-model the hazard ratio (HR) for the high-risk group was 5.7, 95 % confidence interval (CI) (3.9 to 8.5; p&lt;0.0001). After adjustment for baseline eGFR and UACR, the HR was 5.2, 95 % CI (3.4 to 7.8; p&lt;0.0001). A 40 % reduction in eGFR was seen in 15 (6.9 %) subjects in the high-risk group whereas 22 (1.4 %) in the low-risk group developed this endpoint (p&lt;0.0001). In an unadjusted Cox-model the HR for the high-risk group was 5.0, 95 % CI (2.6 to 9.6; p&lt;0.0001). After adjustment for baseline eGFR and UACR, the HR was 4.8, 95 % CI (2.4 to 9.7; p&lt;0.0001). Conclusion In normoalbuminuric subjects with T2D, the urinary proteomic classifier CKD273 predicts renal function decline of 30 % and 40 %, independent of baseline eGFR and albuminuria.


2020 ◽  
Vol 2020 ◽  
pp. 1-15
Author(s):  
Jianfeng Zheng ◽  
Benben Cao ◽  
Xia Zhang ◽  
Zheng Niu ◽  
Jinyi Tong

Cervical cancer (CC) is a common gynecological malignancy for which prognostic and therapeutic biomarkers are urgently needed. The signature based on immune-related lncRNAs (IRLs) of CC has never been reported. This study is aimed at establishing an IRL signature for patients with CC. A cohort of 326 CC and 21 normal tissue samples with corresponding clinical information was included in this study. Twenty-eight IRLs were collected according to the Pearson correlation analysis between the immune score and lncRNA expression ( p < 0.01 ). Four IRLs (BZRAP1-AS1, EMX2OS, ZNF667-AS1, and CTC-429P9.1) with the most significant prognostic values ( p < 0.05 ) were identified which demonstrated an ability to stratify patients into the low-risk and high-risk groups by developing a risk score model. It was observed that patients in the low-risk group showed longer overall survival (OS) than those in the high-risk group in the training set, valid set, and total set. The area under the curve (AUC) of the receiver operating characteristic curve (ROC curve) for the four-IRL signature in predicting the one-, two-, and three-year survival rates was larger than 0.65. In addition, the low-risk and high-risk groups displayed different immune statuses in GSEA. These IRLs were also significantly correlated with immune cell infiltration. Our results showed that the IRL signature had a prognostic value for CC. Meanwhile, the specific mechanisms of the four IRLs in the development of CC were ascertained preliminarily.


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