scholarly journals Hubungan antara Proteinuria dan Hipoalbuminemia pada Anak dengan Sindrom Nefrotik yang Dirawat di RSUP Dr. M. Djamil Padang periode 2009-2012

2013 ◽  
Vol 2 (2) ◽  
pp. 90
Author(s):  
Pratiwi Dian Pramana ◽  
Mayetti Mayetti ◽  
Husnil Kadri

AbstrakSindrom nefrotik terdiri dari proteinuria massif, hipoalbuminemia, edema, serta dapat disertai hiperkolesterolemia. Proteinuria merupakan gejala utama pada sindrom nefrotik, sedangkan gejala klinis lainnya dianggap sebagai manifestasi sekunder. Kehilangan protein melalui urin menyebabkan terjadinya hipoalbuminemia. Penelitian ini bertujuan mengidentifikasi hubungan antara proteinuria dan hipoalbuminemia pada anak dengan sindrom nefrotik. Metode yang digunakan adalah studi retrospektif dengan desain Cross Sectional. Data sekunder diambil dari rekam medik pasien yang didiagnosis sebagai Sindrom Nefrotik Anak di Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil Padang Periode Januari 2009 - April 2012. Penelitian berlangsung dari Oktober 2011- Desember 2012. Hasil penelitian menunjukan insiden tertinggi sindrom nefrotik pada kelompok umur >6 tahun terutama pada anak laki-laki dengan rasio 1,43:1. Sebagian besar pasien memiliki kadar protein urin semikuantitatif +3 dengan rata-rata kadar protein urin kuantitatif 3,121 ± 2,157 gr/24 jam. Hampir seluruh pasien mengalami hipoalbuminemia (98,2%). Analisis statistik menunjukkan tidak terdapat hubungan yang bermakna antara proteinuria dan hipoalbuminemia (p > 0.05). Hal ini mungkin disebabkan oleh jumlah subjek yang kurang, sehingga penelitian selanjutnya diharapkan berlangsung lebih lama agar didapatkan jumlah subjek yang lebih besar.Kata kunci: Anak dengan sindrom nefrotik, Proteinuria, HipoalbuminemiaAbstractNephrotic syndrome consist of massive proteinuria, hypoalbuminemia, edema, and may be accompanied by hypercholesterolemia. Proteinuria is a major symptom of nephrotic syndrome, while the other clinical symptoms considered secondary manifestations. Loss of protein in the urine leads to hypoalbuminemia. This study aims to identify the relationship between proteinuria and hypoalbuminemia in children with Nephrotic Syndrome. Method of this research performed a retrospective study with cross sectional design. Secondary data were taken from medical record of patients that were diagnosed as Nephrotic Syndrome Children in General Hospital Dr. M. Djamil Padang period January 2009 - April 2012. The study was held on October 2011 - December 2012. The result of this study showed that the highest incidence of Nephrotic Syndrome in the age group >6 years old especially in male with the ratio 1,43:1. Most of patients have levels of semiquantitative urinary protein +3 with average levels of quantitative urinary protein 3.121 ± 2.157 gr/24 hours. Almost all of the patients had hypoalbuminemia (98.2%). Statistical analysis showed that there was no significant relationship between proteinuria and hypoalbuminemia (p> 0.05). This may be due to the less number of subjects, so further research is expected to last much longer in order to have a larger number of subjects.Keywords:Nephrotic syndrome children, Proteinuria, Hypoalbuminemia

2020 ◽  
Vol 11 (1) ◽  
pp. 44
Author(s):  
Mei Ahyanti

<p>Environmental-based diseases (PBL) are a health problem and occur in almost all geographical regions in the world. Every year, environment-based diseases are always found and reported to spread evenly at every Puskesmas in Bandar Lampung City. Settlement sanitation is an important aspect directly related to health and society. "Waterborne Disease" disease is still high, proving that there are still sanitation problems in settlements. The study aims to determine the relationship of settlement sanitation with environmental-based diseases in the city of Bandar Lampung. The study used a cross-sectional design, the population is all households in Bandar Lampung City. The sample was 384 respondents, taken randomly using multistage sampling. The results found 14,3% of respondents had a physical component of an unhealthy house, 45,3% of respondents had an unhealthy sanitation facility, 40,1% of the occupants of the house behaved in an unhealthy manner. The test results statistically concluded that there was a significant relationship between settlement sanitation and the incidence of environmental-based diseases.</p>


2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Restiayuh Patandianan

Abstract : Dengue hemorrhagic fever (DHF) is an infectious disease caused by the dengue virus and transmitted by Aedes mosquitoes. DHF affects children tend to further increase the morbidity and mortality that needed more attention, both clinical symptoms and laboratory results. In laboratory hemoglobin levels and platelet counts normal weight changes corresponding degree of illness. This research was an analytic retrospective with a cross-sectional. Data sources were secondary data from medical records at BLU RSUP Prof. Dr. R. D. Kandou Manado. Samples were obtained 56 patients who met the inclusion criteria DHF of the total population sample of 137 patients. The results of the data obtained is then processed into statistical data using parametric test (Pearson test) for found the relationship between hemoglobin levels with platelet counts with α = 0,05. . It was found that there was no relationship between hemoglobin levels with platelet counts (p=0,097). Conclusion In this study there was no significant correlation between hemoglobin levels with platelet counts in DHF.Keywords: dengue hemorrhagic fever, hemoglobin levels, platelet counts.Abstrak: Demam berdarah dengue merupakan penyakit infeksi yang disebabkan oleh virus dengue dan ditularkan oleh nyamuk Aedes. DBD yang menyerang anak-anak cenderung lebih meningkatkan morbiditas dan mortalitas sehingga diperlukan perhatian lebih, baik pada gejala klinis maupun hasil laboratorium. Pada pemeriksaan laboratorium kadar hemoglobin dan jumlah trombosit biasa mengalami perubahan. Penelitian ini bersifat analitik retrospektif dengan pendekatan cross sectional. Sumber data merupakan data sekunder dari rekam medik Depertemen Ilmu Kesehatan Anak di BLU RSUP Prof. Dr. R. D Kandou Manado. Sampel penilitian diperoleh 56 pasien DBD yang memenuhi kriteria inklusi dari total populasi sampel 137 pasien. Hasil penelitian diuji menggunakan uji parametrik (Uji Pearson), untuk mengetahui hubungan kadar hemoglobin dengan jumlah trombosit dengan α = 0,05. Uji Pearson menunjukkan tidak ada hubungan antara kadar hemoglobin dengan jumlah trombosit (p=0,097). Disimpulkan bahwa tidak ada hubungan antara kadar hemoglobin dengan jumlah trombosit.Kata Kunci: demam berdarah dengue, hemoglobin, trombosit


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Gian P.S. Sumayku ◽  
Djemi Tomuka ◽  
Erwin Kristanto

Abstract: Child abuse is all forms of painful treatment physical or emotional, sexual abuse, trafficking, neglect, commercial exploitation including sexual exploitation of children resulting in injury/loss of actual or potential harm to the child's health, child survival, child development or dignity children, conducted in the context of a relationship of responsibility, trust, or power. Early marriage can be defined as an inner and outer bond between a man and a woman as husband and wife at a young age/adolescent. This study was aimed to determine the relationship between marriage age and child abuse in Manado. This was a retrospective study with a cross-sectional design using secondary data from several sources in Manado from October 2014 to October 2016. The results showed that many cases of child abuse occured with parents at susceptible age of 21-25 years in 8 cases (47.1%), followed by age 31-35 years in 4 cases (23.5%), susceptible age of 26-30 years and >35 years, each in 2 cases (11.8%), and the least at the marriage age of 15-20 years in 1 case (5.88%). Conclusion: Parents/step parents that married at the age of 21-25 years had the higher percentage of child abuse compared to those that maried at the ages of 15-20 years and over 25 years.Keywords: marriage age, child abuse Abstrak: Kekerasan terhadap anak adalah semua bentuk/tindakan perlakuan menyakitkan secara fisik ataupun emosional, penyalahgunaan seksual, trafiking, penelantaran, eksploitasi komersial termasuk eksploitasi seksual komersial anak yang mengakibatkan cidera/kerugian nyata ataupun potensial terhadap kesehatan anak, kelangsungan hidup anak, tumbuh kembang anak atau martabat anak, yang dilakukan dalam konteks hubungan tanggung jawab, kepercayaan atau kekuasaan. Perkawinan usia muda dapat didefenisikan sebagai ikatan lahir batin antara seorang pria dengan wanita sebagai suami istri pada usia yang masih muda/remaja. Penelitian ini bertujuan untuk mengetahui hubungan usia waktu menikah dengan kekerasan pada anak di Kota Manado. Jenis penelitian ialah retrospektif dengan desain potong lintang dengan menggunakan data sekunder yang diperoleh dari RS Bhayangkara, Polresta Manado, dan BKKBN Manado. Hasil penelitian ini menunjukan kasus kekerasan pada anak banyak terjadi pada usia 21-25 tahun yang berjumlah 8 kasus (47,1%), diikuti usia 31-35 tahun yang berjumlah 4 kasus (23,5%), usia 26-30 tahun dan >35 tahun masing-masing berjumlah 2 kasus (11,8%), dan yang paling sedikit pada usia waktu menikah 15-20 tahun berjumlah 1 kasus se (5,88%). Simpulan: Orang tua kandung/tiri dengan usia waktu menikah 21-25 tahun yang paling banyak melakukan kekerasan pada anak dibandingkan usia waktu menikah dini 15-20 tahun atau usia di atas 25 tahun. Kata kunci: usia menikah, kekerasan pada anak


2020 ◽  
Vol 16 (4) ◽  
pp. 519-529
Author(s):  
Ajeng Tias Endarti ◽  
Nydia Andriani ◽  
Eko Setyo Pambudi

The prevalence of depression among the general population in CentralSulawesi was the highest in Indonesia (12.3%). Scholars revealed thatdisability was one of the main contributing factors of depression and in Central Sulawesi almost half of population was reported having disability (42.1%). This study was intended to identify the association of disability and depression in Central Sulawesi. Cross sectional design study was conducted with utilization of secondary data collection from Riskesdas 2018. Depression, as the main outcome, was assessed by the Mini International Neuropsychiatric Interview (MINI), meanwhile, disability was assessed by the WHODAS instrument. The relationship between these two variables was adjusted by several confounders, namely age, gender, marital status, educational status, and employment status. A 11,9% of 11,926 respondent aged 18-59 years old, was depressed and almost half of them reporting disability (42.1%) and among those who were disabled, one-fifth weredepressed. The risk of depression among respondents with disabilities was 3.25 times higher (p=0.000; 95% CI 2.9-3.6) compared to respondentswithout disability after controlled by confounders (gender, marital status,educational status, and employment status). It is recommended that routine mental health screening needs to be done at Posyandu, Posbindu and among patients at Primary Health Care. Besides, health promotion focused on physical activity in a community such as community gymnastics during theweekend.


Author(s):  
Widya Widya ◽  
Mateus Sakundarno Adi

There were 813 cases of pneumonia in toddler (children under five years old) at Bandarharjo Public Health Center, 328 cases in 2018 and there was an increase of 485 cases in 2019. Notably high number of pneumonia in toddler at Bandaharjo Public Health Center, and there were no research on the situation. The purpose of research is to obtain situation of pneumonia in toddler in 2018-2019 at Bandaharjo Public Health Center in Semarang City. The research method was used descriptive with cross-sectional design used secondary data of diagnosed pneumonia from Bandaharjo Public Health Center. The data obtained were number of cases per year, number of cases per village, age, sex, and number of visits of toddler with cough/difficulty breathed symptoms. The results of the study show that there was an increased of 485 cases in 2019, with the highest cases found in Bandaharjo Village by 273 cases while the lowest cases found in Dadapsari Village with 93 cases. It also showed that toddler age ≥1-5 year old is the highest by 76.1%, male toddler by 55.7%, and toddler with cough/difficulty breathed symptoms in 2018 by 41% and in 2019 by 59%. Conclusions is that there was an increase in the number of pneumonia cases in toddler from 2018 to 2019, the average age group most affected is toddler 1-5 year old with male toddler found higher, also number of visits of toddlers with cough/difficulty breathing symptoms increased from 2018 to 2019. Keywords: pneumonia; descriptions of pneumonia cases; Bandaharjo ABSTRAK Puskesmas Bandarharjo terdapat 813 kasus pneumonia pada balita, pada tahun 2018 sebesar 328 kasus dan tahun 2019 sebesar 485 kasus. Tingginya kasus pneumonia pada balita di Puskesmas Bandaharjo, dan belum ada yang melakukan penelitian mengenai situasi pneumonia pada balita di Puskesmas Bandaharjo tahun 2018-2019. Tujuan penelitian ini adalah diperolehnya situasi kasus pneumonia pada balita tahun 2018-2019 di Puskesmas Bandaharjo Kota Semarang. Jenis penelitian menggunakan data sekunder Puskesmas Bandaharjo tahun 2018-2019 yang terdiagnosis pneumonia. Data yang diperoleh yaitu jumlah kasus per tahun, jumlah kasus per kelurahan, umur, jenis kelamin, dan jumlah kunjungan balita yang batuk. Hasil penelitian diatas menunjukkan bahwa pada pada tahun 2019 mengalami kenaikan sebesar 485 kasus, dengan penemuan kasus pneumonia tertinggi pada balita di Kelurahan Bandaharjo sebesar 273 kasus, sedangkan penemuan kasus pneumonia terendah yakni di Kelurahan Dadapsari sebesar 93 kasus. Usia 1-5 tahun lebih banyak terkena pneumonia yaitu sebesar 76,1% dengan jenis kelamin laki laki sebesar 55,7%, memiliki gejala seperti batuk /kesukaran bernapas pada tahun 2018 sebesar 41% pada tahun 2019 sebesar 59%. Kesimpulan adalah bahwa setiap tahunnya mengalami kenaikan jumlah kasus pneumonia pada balita, dan rata-rata kelompok umur yang paling banyak terkena pneumonia adalah kelompok umur 1-5 tahun dengan jenis kelamin laki-laki, serta balita yang memiliki gejala seperti batuk /kesukaran bernapas di tahun 2018 mengalami kenaikan pada tahun 2019. Kata kunci: pneumonia; gambaran kasus pneumonia; Bandaharjo


e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Nancy Kojo ◽  
James Siwu ◽  
Johannis F. Mallo

Abstract: Determination of time of death is very important in criminal or civil cases. Exhumation is demolition of grave or autopsy which is conducted for justice by the authorities and stakeholders and the corpse is subsequently examined by a forensic expert. It is expected that there will be some clues to reveal the time and cause of death. This study aimed to determine the effectiveness of exhumation by using the time span ratio of deaths according to the autopsy report and deaths according to the results of the examination after exhumation. This was a retrospective descriptive study with a cross-sectional design using secondary data in the Forensic Medicine and Medicolegal Department, Prof Dr. R. D. Kandou Hospital Manado. There were 13 cases of exhumation from October untul December 2014, with a percentage of 46% effective and ineffective 54%. From the 7 ineffective cases, 3 cases with undetermined time of death because they were preserved. Four cases had the comparison between the letter of request and the results of the examination. The other 6 cases had accuracy of effective. Conclusion: Exhumation cases became ineffective due to the lack of cases found and preservation of the corpses.Keywords: time of death, exhumationAbstrak: Menentukan saat kematian penting dilakukan baik pada kasus kriminal atau sipil. Ekshumasi adalah penggalian mayat atau pembongkaran kubur yang dilakukan demi keadilan oleh yang berwenang dan berkepentingan dimana selanjutnya mayat tersebut diperiksa secara ilmu kedokteran forensik. Dari hasil ekshumasi dapat dilihat temuan pemeriksaan pada mayat yang dapat menentukan atau memperkirakan lama kematian dan penyebab kematian. Penelitian ini bertujuan untuk menentukan efektif atau tidaknya ekshumasi dilihat dari perbandingan rentang waktu lama kematian menurut permintaan visum dan lama kematian menurut hasil pemeriksaan setelah ekshumasi. Penelitian ini bersifat deskriptif retrospektif dengan pendekatan potong lintang. Data sekunder diperoleh di Bagian Forensik dan Medikolegal FK Unsrat RSUP Prof. Dr. R. D. Kandou Manado bulan Oktober – Desember 2014. Kasus ekshumasi yang didapat sejumlah 13 kasus: 46% efektif dan 54% tidak efektif. Dari 7 kasus yang tidak efektif, 3 kasus tidak dapat ditentukan lama kematian menurut hasil pemeriksaan karena telah diawetkan terlebih dahulu dan 4 kasus mempunyai perbandingan hari antara surat permintaan dan hasil pemeriksaan. Enam kasus lainnya mempunyai ketepatan atau efektif. Simpulan: Pada penelitian ini, sebagian kasus ekshumasi tidak efektif karena minimnya kasus yang ditemukan dan sebagian kasus sudah dilakukan pengawetan.Kata kunci: saat kematian, ekshumasi


2017 ◽  
Vol 5 (3) ◽  
pp. 321-325 ◽  
Author(s):  
Kashyap Adhikari ◽  
Hari Bahadur Rana ◽  
Krishna Kaphle ◽  
Tanka Khanal ◽  
Rabin Raut

The research was done in cross sectional design to study about the prevalence of Haemonchus contortus in goats of Western Chitwan of Nepal. A total of 252 fecal samples were collected through purposive sampling. Fecal samples were examined through sedimentation and floatation method. Egg per gram (EPG) was calculated through Mac Master Counting Technique of positive samples. Total prevalence was found to be 13.89%. Infection of parasite was more prevalent in males (15.18%) than in female (12.86%) but was statistically non-significant (P>0.05). In non-dewormed goats (40.32%), the prevalence was significantly (P<0.05) higher than in dewormed goats (5.26%). The results regarding the relationship between different age groups of goats and H. contortus showed that highest prevalence (14.54%) of parasite was observed in age group of below 1 year and the lowest (12.96%) in age group of  above 2 year, statistically non-significant (P>0.05). Maximum goats were found with medium level of infestation through EPG. This study shows higher prevalence of Haemonchus in non-dewormed than in dewormed goats which is statistically significant at (P<0.05). Thus, effective deworming programme and management must be maintained in order to upgrade the health status and maximize the benefits from the animal.Int. J. Appl. Sci. Biotechnol. Vol 5(3): 321-325


2018 ◽  
Vol 7 (2) ◽  
pp. 137-143
Author(s):  
Nursiyam Nursiyam

The direct causes of maternal mortality in Indonesia is bleeding (32%), postpartum hemorrhage, eclampsia (13%), unsafe abortion (11%), infection (10%) and obstructed labor (9%). P4K with stickers is a breakthrough in reducing maternal mortality and newborn. The high incidence of obstetric complications in the District of Talbot District Seluma. The purpose of the study to determine the relationship stikerisasi P4K with handling complications in postpartum mothers. The study design was a descriptive, cross-sectional design. Data obtained from secondary data sheet checklist. The samples were puerperal women who experience complications. Sampling with a total sampling technique. The results showed 81.4% had 87.3% stikerisasi P4K and already getting treatment complications. The results showed no relationship between stikerisasi P4K with handling complications (p = 0,000 < ,005 and OR = 55,688). Expected midwife as further improve performance by IEC on P4K.


2019 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Anindhita Syahbi Syagata

<p><em>This study aims to understand the relation between energy intake and waist circumference with the risk of T2DM. It was an observational study with a cross-sectional design using secondary data (ethical number, 476/KEP-UNISA/V/2018). Sample collected by simple random sampling. The minimum sample size was calculated using the Fisher formula. In this study, obtained 67 sample with inclusion criteria were not taking drugs to lower blood glucose levels. The independent variable in this study was T2DM risk, while the dependent variable was diet and waist circumference. The normality test of data used Kolmogorov-Smirnov. The Spearman correlation analysis used for knowing the relation between energy intake and waist circumference with blood glucose. The result showed that there was no relation between energy intake and blood glucose (r=0.19; p=0.12). There was no relation between waist circumference and blood glucose (r=0,18; p=0,16). There were 91 % of subjects having a high risk of T2DM and 52.2 % of subjects having a high total cholesterol. There is no relation either energy intake or waist circumference and blood glucose. Almost all subjects have high risk in T2DM.</em></p>


2021 ◽  
Vol 10 (1) ◽  
pp. 27-34
Author(s):  
Muhammad Ilham Arifin Munthaha ◽  
Retno Indar Widayati ◽  
Liza Afriliana ◽  
Aryu Candra

Background: Atopic dermatitis is a chronic and residive inflammatory skin disease with mild to severe itching and occurs mostly in infant and children. The cause not certainty known and multifactorial.Objective: This study aims to Know the Characteristics of Atopic Dermatitis in Puskesmas Masaran 1, Sragen Regency.Method: This study is descriptive with a retrospective cross-sectional design. Secondary data retrieved from medical records atopic dermatitis patients at Puskesmas Masaran 1 in the period 1 January-31 December 2019 with a sample 248 people then analyze using a computer program.Result: The most atopic dermatitis sufferers were the adult age group (151 people), female gender (139 people),  not working (96 people), atopic history disease found in 112 patients, site of the most lesions was lower extremities (71 patients), and the choice therapy is polytherapy with three types of drugs in 103 patients. Types of drugs are corticosteroids (224 patients), antihistamines (212 patients), and vitamins/minerals (200 patients).Conclusion: Characteristics of atopic dermatitis in Puskesmas Masaran 1 are the most age group is adults, gender is female, types of work is not working, atopic history is atopic dermatitis, and therapeutic options are corticosteroids, antihistamines, and vitamins/minerals.


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