scholarly journals INFLUENCE OF DOSAGE ON RETENTION IN PATIENTS METHADONE MAINTENANCE THERAPY PROGRAM FOR MAINTENANCE PHASE OF H. ADAM MALIK MEDAN CENTRAL GENERAL HOSPITAL

Author(s):  
Robiatun Rambe ◽  
Urip Harahap ◽  
Citra Julita Tarigan

  Objective: This study aims to see the effect of methadone dose on patient retention in following the program.Materials and Methods: This study is a clinical study with cross-sectional study design. Data obtained from the patient’s medical record and patient’s primary data. The study was conducted at Methadone Clinic of H.Adam Malik Hospital Medan. Results: The number of research samples is injecting drug users who follow PTRM as many as 39 people. From a study of 39 patients, the percentage of male patients (100%) was obtained; age between 25 and 35 years (64.1%); junior high school education equal to 84.6%; already married 46.2%; already working 69.2%; and the distance of the average residence with the clinic is 16.93 km. The results showed that the smallest maintenance dose of maintenance phase was 2 mg; the largest maintenance dose in the maintenance phase was 165 mg; the mean maintenance stage dose of 62.35 mg with a retention value >2 years or more (>730 days) was 79.5%.Conclusion: There was a significant effect on retention which is the biggest maintenance dose with p=0.04 value and take home dose with p=0.027. Percentage of drug use and other substances that is benzodiazepines (BZO) (64,1%); amphetamines (AMP) (38.5%); methamphetamine (MET) (20.5%); and THC (20.5%). There was no significant effect between the use of other substance to retention with p value of BZO (0.389); p AMP (0.360); p MET (0.195); and p THC (0.470). It can be concluded that the greater the dose of methadone has an effect on its retention.

2020 ◽  
Vol 8 (2) ◽  
pp. 112-118
Author(s):  
Yulaeka Yulaeka

Anemia is a condition when the levels of hemoglobin and erythrocytes are lower than normal. The normal value of hemoglobin in women is 12 -16 g / dl with erythrocytes from 3.5 to 4.5 jt / mm3. This study aimed to determine the relationship between nutritional status and Anemia of teenage girl. This research is analytic with cross sectional study design. The samples taken are 66 teenage girls, chosen by quote sampling. The data of this research used primary data obtained through checking up of body mass index and hemoglobin level. The data analysis used univariate analysis and bivariate analysis used Chi-square test. The results of this study indicate that there is a relationship between nutritional status and Anemia (p value 0.001).


2018 ◽  
Vol 8 (01) ◽  
pp. 696-702
Author(s):  
Ny. Hikma

Background: Visual Inspection with Acetic Acid (IVA) is a simple way to detect cervical cancer as early as possible. IVA is the examination of the cervix (cervical) by looking directly (with the naked eye) cervix after cervical neck with a solution of acetic acid 3-5%.Objective: To know the factors associated with the IVA examination in the Mother Age Fertile Age at Wara Palopo Public Health Center of 2017.Method: This research use analytic survey with cross sectional study approach. The population in this study were all mothers of fertile age couples in Wara Puskesmas of East Luwu Regency as many as 6,276 people. The sample in this research is part of population with sampling technique yiatu purposive sampling counted 98 people. Data collection through primary data (questionnaire) and secondary data. The data were processed using Statistical Product and Servise Solutions (SPSS) version 20.0 and analyzed univariat and bivariate with chi square statistical test and presented in the form of frequency distribution table.Results: There is a knowledge relationship with IVA examination (p Value = 0.002 <0.05 and there is an implementation relationship with IVA examination (p Value = 0,000 <0.05).Conclusion: There is a relationship of knowledge with IVA examination at Puskesmas Wara Kota Palopo Year 2017. There is an implementation relationship with IVA examination at Wara Palopo Public Health Center of 2017 Keywords : IVA Examination, Knowledge, Implementation


2012 ◽  
Vol 9 (2) ◽  
pp. 54-56 ◽  
Author(s):  
P R Gyawali ◽  
B R Joshi ◽  
C K Gurung

Background Urinary stones disease is common pathology encountered in urological practice in Nepal. Supersaturated urine and its stagnation are well known facts for the development of urolithiasis. Metabolic disorders like hypercalciuria, hyperuricaemia, hypocitraturia are also responsible for formation of urolithiasis. Objective The aim of this study was to identify the level of calcium, phosphorus, uric acid, and magnesium in the blood and urine of Nepalese patients with urinary stones. Methods This study was conducted over a period of six months (From May to November 2010). It is a descriptive cross sectional study and quantitative method was used for analysis. Primary data were collected and utilized from 79 cases. Results: The prevalence of urolithiasis in male patients was 65.8% and 34.2% in female patients (p<0.05). Serum calcium in stone former and non-stone former was 8.3±1.2 and 7.5±1.5 (p<0.01) respectively. Serum phosphorus and uric acid in both groups were statistically not significant (p value 0.269 and 0.597 respectively) though in 24 hours urine of stone formers value of phosphorus was 447.9±182.4 but in non-stone formers it was 186.5±118.7 (p<0.001). Magnesium level in urine was 48.1±69.7 and 131.4±86.9 (p<0.001) respectively. Conclusion Higher level of calcium in serum was found in patients with urolithiasis in our population. Though phosphate level in blood serum was not different in the both groups but in urine phosphate and magnesium levels were significantly different. DOI: http://dx.doi.org/10.3126/kumj.v9i2.6289  Kathmandu Univ Med J 2011;9(2):54-6


2018 ◽  
Author(s):  
Susianti Asry

Background: infant with macrosomia is a baby weighing more than 4,500 grams or for Indonesia if the baby weighs 4,000 grams, or more than two standard deviations or above 90 years of normal weight percentile. Objective: to find out the factors associated with macrosomia occurrences at Sawerigading Regional Hospital of Palopo City in 2017. Method: This study used an analytical survey using Cross Sectional Study approach. The population of this study was all maternal mothers who gave birth with baby’s weight more than 4000 grams recorded in register book of Sawerigading Regional Hospital of Palopo City from January to March 2017 accounting for 30 babies. The samples of this study was maternal mothers who gave birth with baby’s weight more than 4000 grams in whcih accounting for 30 respondents using total sampling technique. Data collection was through primary data (questionnaires) and secondary data. The data were processed using statistical product and service solution (SPSS) 20 and analyzed using univariate and bivariate with Chi-square statistical test and presented in the tabular form of frequency distribution. Result: there was a relationship between diabetes melitus and macrosomia incidences (p Value = 0,005 ˂,034), there was a relationship between heredity and macrosomia occurrences (p Value = ,034 &lt;0,05), and there was a relationship between multiparity and macrosomia (p Value = ,011 &lt;0,05). Conclusion: there was a relationship between heredity, multiparity and diabetes mellitus with macrosomia occurrences at Sawerigading Palopo General Hospital in 2017


2021 ◽  
Vol 16 (1) ◽  
pp. 16-24
Author(s):  
Oktarianita Oktarianita ◽  
Andry Sartika ◽  
Nopia Wati ◽  
Bintang Agustina Pratiwi

Background: Puskesmas as First Level Health Facilities (FKTP) plays a vital role during the Covid-19 pandemic in preventing and controlling the number of Covid-19 cases by anticipating, detecting, responding to events. However, at this time, the puskesmas are still underutilized by the community. The highest confirmed positive cases in Bengkulu City were in the Gading Cempaka District, with 990 cases. This study aimed to determine the variables related to the utilization of puskesmas in Bengkulu City. Methods: This research was quantitative research with a cross-sectional study design. Data collection was carried out by distributing questionnaires to respondents using an accidental sampling technique executed in March-August 2021. The research population was the entire community of Bengkulu City, with a sample of 110 respondents from the Gading Cempaka District, Bengkulu City. Data were analyzed by univariate to multivariate logistic regression. Results: The results show that 88 respondents (78.2%) have utilized the puskesmas, as many as 86 (78.2%) were female, 86 respondents (60.9%) belonged to the young age group, respondents with higher education were 73 respondents ( 66.4%), 73 respondents (66.4%) worked and as many as 79 respondents (71.8%) have income <UMP. The bivariate analysis results showed that the factors related to the utilization of the puskesmas (p<0.05) were variables of age, education, occupation, and income despite no relationship between gender, distance, knowledge, and family support (p>α). The results of the multivariate analysis showed that education was the dominant factor influencing the utilization of the puskesmas with (p-value = 0.010; B = 2.707; 95% CI = 1.892-118.569). Conclusion: The community has taken advantage of the puskesmas in terms of preventing Covid-19. The utilization of puskesmas is affected by age and education level.


2018 ◽  
Vol 3 (1) ◽  
pp. 15 ◽  
Author(s):  
Rika Hardani ◽  
Dwi Hastuti ◽  
Lilik Noor Yuliati

<p> </p><p> </p><p><strong>Abstract.</strong> The purpose of research is to identify the pornography behavior ofJunior High School student. We used cross-sectional study as research design. Locations were taken by purposive in South Tangerang city conducted in four junior high school. Schools were selected purposively based on the recommendation of the Ministry of Education in South Tangerang. Participants used are 600 children, boys 278 and girls 322 children. Data were collected by questionnaires filled out by participants.</p><p>The pornography  behavior of junior high school student that have been studied are viewing  pornographic web, reading books or comics that contain pornographic pictures, hearing or saying things porn, think of things related to pornography. This study also want to know the things that encourage the child to thepornographic behavior and the diference pornography behavior between boys and girls.</p><p>The results showed that the behavior of pornography on boys is higher than girls. The pornography behavior on boys and girls there are no statistically significant differences (p value = 0:03 *, p &lt;0.05).</p><p><em>Key words :pornography behavior, junior high school student, internet influence</em></p>


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Indah Paradifa Sari ◽  
Arina Widya Murni ◽  
Masrul Masrul

Abstrak   Setiap individu memiliki pola defekasi berbeda-beda yang dipengaruhi oleh beberapa faktor diantaranya adalah asupan serat. Secara fisiologis serat makanan didefenisikan sebagai karbohidrat yang resisten terhadap enzim hidrolisis saluran pencernaan manusia. Berdasarkan data RISKESDAS 2013, Sumatera Barat menempati urutan ketiga terendah konsumsi serat di seluruh provinsi Indonesia. Tujuan penelitian ini adalah menentukan hubungan antara konsumsi serat dan pola defekasi pada mahasiswi Fakultas Kedokteran Unand angkatan 2012. Ini merupakan penelitian analitik dengan rancangan cross sectional yang dilakukan pada 114 responden. Data primer dikumpulkan dengan wawancara menggunakan kuesioner dan food recall 2x24 jam dan diolah dengan menggunakan Nutrisurvey untuk food recall dan uji statistik chi-square. Hasil analisis univariat menunjukkan bahwa sebagian besar mahasiswi Fakultas Kedokteran Unand angkatan 2012 mengkonsumsi serat rendah dan mengalami resiko terjadinya konstipasi. Hasil analisis bivariat menunjukkan tidak adanya hubungan yang bermakna antara konsumsi serat terhadap pola defekasi dengan nilai p > α (0,408 > 0,05).Kata kunci: konsumsi serat, pola defekasi, kuesioner, food recall AbstractEach individual has a different pattern of defecation which is influenced by several factors such as intake of fiber. Dietary fiber is defined as carbohydrates that are resistant to hydrolysis enzymes in human digestive. Based on data RISKESDAS 2013, West Sumatra ranks third lowest fiber intake across Indonesian provinces. The objective of this study was to determine the relationship between fiber intake and defecation pattern in the student of the Faculty of Medicine Unand 2012. This was a cross sectional study that conducted on 114 respondents. Primary data was collected by interviews using questionnaires and food recall 2x24 hours and processed using Nutrisurvey for food recall and  chi-square statistic test. Results of univariate analysis showed that most of the student of the Faculty of Medicine Unand 2012 consume low fiber and the risk of experiencing constipation. Results of bivariate analysis showed no significant association between fiber intake and defecation patterns with p-value > α (0.408> 0.05). Keywords: fiber consumption, defecation pattern, questionnaires, food recall


2016 ◽  
Vol 9 (3) ◽  
pp. 147 ◽  
Author(s):  
David Forkuor ◽  
Prince Osei Wusu Adjei

<p>The research investigated into the operations and activities of the sub-district structures of local government in Ghana. Three districts in the Asante Region were studied using a cross-sectional study design. Data were collected from both primary and secondary sources. In addition to literature review, a sample size of 79 was used and responses from mainly the Chairmen of the sub-district structures represented the primary data. Data were analysed using both quantitative and qualitative techniques. Results from the analysis indicated that sub-district structures are confronted with a number of constraints that militate against the realization of their potential  for inducing grassroots development. The constraints include: poor or no office accommodation, lack of commitment from district assemblies and sub-metropolitan units to provide the needed assistance to the sub-district structures. However, the Unit Committees representing the last tier of the local government structure are more effective and efficient in keeping touch with the grassroots than the Town, Area, Zonal and Urban councils. Recommendations are made to the Local Government Ministry but worthy of note among the recommendations are the urgent need to officially inaugurate all sub-district structures that have not been inaugurated and initiate a process to review the Legislative Instrument establishing Sub-district structures in Ghana.</p>


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mohammed Taher Al-Khalidi ◽  
Misk Al-Marzook ◽  
Zainab Hassan

Background Hepatitis B and C are infectious diseases caused by the hepatitis B Virus (HBV) and C virus respectively, that affects the liver. Hepatitis viruses are transmitted by blood-to-blood contact associated with dialysis, poorly sterilized medical equipment, needle-stick injuries, blood transfusion, and intravenous drug users. Methods this is a cross-sectional study conducted in the Hemodialysis Unit of Baghdad Teaching Hospital between the period of April and September 2018. Ninety-eight patients were enrolled in this study after adopting informed consent. All patients were on regular hemodialysis as a renal replacement therapy with different durations. Full history was taken from them including age, gender, occupation, marital status, and past medical and surgical histories. Blood test results were also recorded. all data were analyzed using SPSS20 with 95%confidence which means a p-value less than 0.05 to be statistically significance. Results The percentage of Hemodialysis patients infected with Hepatitis C was (43%) while those infected with Hepatitis B was (3%). There is no statistically significant association between age and infection with Hepatitis B & C (P>0.05). The mean age of patients infected with Hepatitis B was (65.8±8.2), while for patients infected with Hepatitis C it was (45.3±14.7). Conclusion Hepatitis C is more prevalent than Hepatitis B in the Hemodialysis Unit and the infection was not statistically associated with the age or gender of the patients  


2021 ◽  
Vol 5 (1) ◽  
pp. 1-7
Author(s):  
Amanda Aurellia

Surabaya Surgical Hospital has quality indicators on personnel affairs to maintain the quality of employees in providing services. One indicator is the number of delays and the fast return of structural officials. The average number of structural official delays in 2017 reached 74.94% of the predetermined standard of 0%. The indicator is used as a benchmark for assessing employee work discipline. This study was conducted to analyze the effect of human capital components consisting of individual motivation and organizational climate on employee work discipline at Surabaya Surgical Hospital. This research was an observational analytic study with cross sectional study design. Data analysis used in this study is Logistic Regression. The results of statistical test of individual motivation on work discipline show an influence, with a p value of 0.019 (smaller than α = 0.05). Statistical test results of influence organizational climate on work discipline showed an influence, namely with a p value of 0.046 (smaller than α = 0.05). The conclusion of this study is individual motivation and organizational climate have an influence on employee work discipline. It is necessary to increase employee motivation and change in the organizational climate at Surabaya Surgical Hospital with the implementation of a system reward for employees who obey the rules and give punishment to employees who violate.


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