scholarly journals Pengaruh Media Leaflet Terhadap Pengetahuan dan Sikap Dalam Upaya Pencegahan Covid-19 Pada Pedagang di Pasar

2022 ◽  
Vol 6 (3) ◽  
pp. 186-196
Author(s):  
Sintha Purimahua ◽  
Indriati Andolita Tedju Hinga ◽  
Ribka Limbu ◽  
Sarinah Basri K
Keyword(s):  
P Value ◽  

Pengetahuan yang tepat dan memiliki sikap yang benar dapat mencegah penularan covid-19. Melalui media leafleat dalam upaya pencegahan dapat berdampak positif karena membentuk keyakinan orang untuk beriperilaku sesuai keyakinannya.  Penelitian ini bertujuan mengetahui pengaruh media leaflet terhadap pengetahuan dan sikap  dalam upaya pencegahan Covid-19 pada pedagang di Pasar Oesapa Kota Kupang. Jenis penelitian ini adalah penelitian analitik dengan pendekatan Pra Eksperimen. Jumlah sampel pada penelitian ini berjumlah 30 responden. Berdasarkan analisis univariat, responden lebih banyak usia 46-55 tahun (53.3%), Jenis kelamin perempuan lebih banyak (53.3%), pendidikan responden paling banyak adalah SMA (20%), jenis dagangan paling banyak adalah penjual ikan (26.7%). Rerata nilai pengetahuan responden sebelum mendapatkan penyuluhan adalah 44.66 dan sesudah pemberian penyuluhan melalui media leaflet adalah 94.22 yang artinya terjadi peningkatan rerata nilai sebelum dan sesudah pemberian leaflet. Hasil pengujian hipotesis menggunakan uji Wilcoxon,diperoleh nilai z-score sebesar 4.807 dengan nilai p value sebesar 0.000 yang artinya p<0.005 yang berarti Ada Pengaruh Peggunaan media leaflet terhadap Pengetahuan pedagang tentang Covid-19. Untuk variabel sikap, rerata nilai sikap responden sebelum mendapatkan penyuluhan adalah 72.85 dan sesudah pemberian penyuluhan melalui media leaflet adalah 97.46 yang artinya terjadi peningkatan rerata nilai sebelum dan sesudah pemberian leaflet. Hasil pengujian hipotesis menggunakan uji Wilcoxon,diperoleh nilai z-score sebesar 4.793 dengan nilai p value sebesar 0.000 yang artinya p<0.005 yang berarti Ada Pengaruh Peggunaan media leaflet terhadap Sikap pedagang tentang Covid-19. Oleh karena itu direkomendasikan Puskesmas Oesapa agar lebih meningkatkan frekuensi kunjungan pemberian edukasi kesehatan kepada pedagang pasar tradisional di Kelurahan Oesapa.

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Robert A Palermo ◽  
Samuel S Gidding ◽  
Stehpanie S DeLoach ◽  
Scott W Keith ◽  
Bonita Falkner

Purpose: The aim of this study was to identify risk factors associated with cardiac structure in a cohort of African American adolescents oversampled for obesity and high blood pressure (BP). Additional associations of cardiac structure with a pro-inflammatory adipokine profile (low adiponectin, elevated IL6, PAI-1 and CRP) were sought. Methods: A cross-sectional study was conducted using a two-by-two factorial design with four groups of African American adolescents based on BP (prehypertension or stage 1 hypertension=high BP) and body mass index (BMI > 95% =obese) designation. Measurements included: echocardiogram, anthropomorphics, BP (on 3 separate occasions), high sensitivity CRP and plasma adipokines (adiponectin, IL6, PAI-1). Standardized echocardiogram measurements were used to obtain left ventricular mass index (LVMI, g/m 2.7 ) and left atrial diameter index (LADI, mm/m 2 ). Ordinary least-squares regression with model selection by Mallow's Cp was used to determine if pro-inflammatory adipokine profile predicted LV mass and LA diameter in models including age, gender, BMI z-score, and systolic BP. Results: Data on 251 African American adolescents, ages 13-19, were analyzed. BMI-z score was strongly associated with a pro-inflammatory adipokine profile whereas high BP was not. Variation in LADI was significantly associated with BMI (β=0.12, p<0.01) and female gender (β=0.08, p=0.04). LVMI variation was significantly associated with BMI (β=3.53, p<0.01), age (β=0.71, p<0.01), female gender (β=-4.32, p<0.01), and systolic BP (β=0.10, p=0.03). Though significant in univariate models, inflammatory markers were not significantly associated with LADI or LVMI after BMI adjustment. Conclusions: In African American adolescents, BMI is an important determinant of LADI and LVMI. Obesity is associated with a pro-inflammatory adipokine profile but LADI and LVMI are not. Table. Regression modeling results after variable selection by Mallow C p : Left Atrium Diameter Index and Left Ventricular Mass Index (N = 251) LADI LVMI Estimate (95% CL) p-value Estimate (95% CL) p-value Age (yr) 0.00063 (-0.021, 0.023) 0.955 0.71 ( 0.18, 1.24) 0.009 Gender (F) 0.08 ( 0.01, 0.16) 0.036 −4.32 (-6.13,-2.51) <.001 BMI z-score 0.12 ( 0.08, 0.16) <.001 3.53 ( 2.66, 4.40) <.001 Systolic BP 0.0019 (-0.0017, 0.0055) 0.306 0.0952 ( 0.0085, 0.1819) 0.032


2017 ◽  
Vol 14 (2) ◽  
Author(s):  
Isroah Isroah ◽  
Ponty S.P. Hutama ◽  
Amanita Novi Yusita
Keyword(s):  
P Value ◽  

Penggelapan pajak berdampak pada terdistorsinya prinsip-prinsip alokasi sumber daya pada pasar sempurna dan juga menghambat pembangunan, terutama dalam penyediaan infrastruktur. Penggelapan pajak di hampir semua negara berkembang begitu meluas. Penggelapan pajak telah membuat basis pajak atas pajak pendapatan menjadi sempit dan mengakibatkan begitu besarnya kehilangan potensi pendapatan pajak yang dapat digunakan untuk mengurangi beban defisit anggaran negara. Penelitian ini menguji apakah penggelapan pajak dapat dimaklumi dengan alasan etis (ethically justifiable) dan bagaimana perilaku wajib pajak ketika pemerintah dinilai/diduga melakukan korupsi.Penelitian ini dilakukan untuk memahami perilaku wajib pajak, terutama dalam hal penggelapan pajak di lingkungan UNY. Objek dalam penelitian ini adalah dosen, karyawan mahasiswa S1, dan mahasiswa pascasarjana UNY. Penelitian ini diuji dengan merubah skor menjadi distribusi standar yang normal dan kemudian menghitung z-score (nilai z) untuk membuat inferensi setelah memperoleh p-value dari pernyataan-pernyataan dalam kuesioner, dengan tingkat signifikansi lima persen (5%).Penelitian ini diharapkan untuk memberi manfaat kepada penyelenggara perpajakan agar dapat dipastikan bahwa wajib pajak tidak melakukan penggelapan pajak. Penelitian ini juga diharapkan mampu mengungkap alasan-alasan mengapa pajak digelapkan dan mampu memberi pemahaman yang lebih baik mengapa wajib pajak melakukan penggelapan pajak.Lebih jauh lagi, penelitian ini juga diharapkan untuk dapat memberikan manfaat kepada peneliti lainnya dan mahasiswa akuntansi bahwa penggelapan pajak adalah salah satu aspek penting dalam perpajakan. Diharapkan pula, penelitian ini bisa menjadi referensi untuk peneliti-peneliti selanjutnya dan para pembuat kebijakan.  Kata kunci: Penggelapan Pajak, Etika Pajak, Sistem Pajak, Perilaku dalam Membayar Pajak


2020 ◽  
Vol 30 (5) ◽  
pp. 663-667 ◽  
Author(s):  
Emanuele Monda ◽  
Adelaide Fusco ◽  
Daniela Melis ◽  
Martina Caiazza ◽  
Felice Gragnano ◽  
...  

AbstractBackground:Marfan syndrome is an autosomal dominant disorder of the connective tissue, whose cardinal features affect eyes, musculoskeletal, and cardiovascular system. Despite prevalence and natural history of cardiovascular manifestation are well known in adults, little is known about children and young adult patients. The aim of this study was to describe a well-characterised cohort of consecutive children and young patients with marfan syndrome, looking at the impact of family history and presence of bicuspid aortic valve on disease severity.Methods:A total of 30 consecutive children and young patients with Marfan syndrome were evaluated. All patients underwent a comprehensive clinical–instrumental–genetic evaluation. Particular attention was posed to identify differences in prevalence of cardiovascular abnormalities between patients with and without family history of Marfan syndrome or bicuspid aortic valve.Results:Of these 30 patients, family history of Marfan syndrome and bicuspid aortic valve were present in 76 and 13%, respectively. Compared to patients with family history of Marfan syndrome, those without showed higher prevalence of aortic sinus dilation (87 versus 32%, p-value = 0.009), greater aortic sinus diameters (4.2 ± 2.1 versus 1.9 ± 1.1 z score, p-value = 0.002), and higher rate of aortic surgery during follow-up (37 versus 0%, p-value = 0.002). Compared to patients with tricuspid aortic valve, those with bicuspid aortic valve were younger (3.2 ± 4.3 versus 10.7 ± 6.8 years old, p-value = 0.043), showed greater aortic sinus diameters (4.2 ± 0.9 versus 2.2 ± 1.6 z score, p-value = 0.033), and underwent more frequently aortic root replacement (50 versus 4%, p-value = 0.004).Conclusions:In our cohort of patients with Marfan syndrome, the absence of family history and the presence of bicuspid aortic valve were associated to severe aortic phenotype and worse prognosis.


Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 3800-3800
Author(s):  
Adeboye H. Adewoye ◽  
Michael F. Holick ◽  
Lillian C. McMahon ◽  
Qanli Ma ◽  
Martin H. Steinberg

Abstract Among the many complications of sickle cell disease (SCD) are osteopenia and osteoporosis. We and others have previously documented a high prevalence of low serum 25-OH vitamin D level with accompanying osteopenia and osteoporosis in patients with SCD; however the long-term effects of treatment on BMD have not been reported. We hypothesized that supplementation with oral vitamin D and calcium will result in an improvement in BMD and accordingly, treated 6 adult subjects with SCD for 12 months with oral supplementation with vitamin D and calcium and studied the effects of treatment on BMD. Subjects with serum 25-OH D levels <20 ng/ml were placed on 50,000 IU of oral vitamin D weekly for 8 weeks, followed by 50,000 IU every other week for 44 weeks; subjects also received 1000 mg of elemental calcium daily. We evaluated BMD at weeks 1 and 52. Subjects had a mean pre-treatment plasma 25-OH vitamin D of 9.1 ng/ml. BMD was abnormal in all subjects; 4 subjects had osteoporosis with a Z-score <-2.5, and 2 subjects had osteopenia with a Z-score −1.9 to −2.5 (in the lumbo-sacral vertebrae). All subjects had mildly elevated intact PTH levels which were within the reference range but declined further post-treatment. Following one year of treatment with vitamin D and calcium, we observed a mean post-treatment increase in BMD of 5.4% (p value <0.02) and a 176% increase in plasma 25-OH D level (from 9.1ng/ml to 28ng/ml; p value <0.009). All patients with SCD we have studied have hypovitaminosis D that in adults is associated with low BMD. In patients followed for one year who received supplementation with calcium and vitamin D, 25-OH D level increased in all and BMD improved in four of six subjects. These results suggest that this treatment regimen can be effective is restoring BMD. The reasons for apparent unresponsiveness in some patients must be further evaluated. Clinical trials to document the effectiveness of treatment for this ubiquitous problem should be instituted. Mean change in 25-OH vitamin D level Mean change in 25-OH vitamin D level Mean Change in BMD: Pre and Post Treatment Mean Change in BMD: Pre and Post Treatment


2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Emanuele Monda ◽  
Federica Verrillo ◽  
Michele Lioncino ◽  
Ippolita Altobelli ◽  
Martina Caiazza ◽  
...  

Abstract Aims This study sought to describe the characteristics and the natural course of left ventricular hypertrophy (LVH) in a well-characterized consecutive cohort of infants of diabetic mothers (IDMs). Methods and results Sixty consecutive IDMs with LVH have been retrospectively identified and enrolled in the study. All IDMs were evaluated at baseline and every 6 months until LV wall thickness regression, defined as the decrease of wall thickness measurement into the normal reference range for cardiac parameters (z-score &gt; −2 and &lt;2). A comprehensive assessment was performed in those patients with diagnostic markers suggestive of a different cause and/or without significant reduction of the LVH during follow-up. At 1-year follow-up, all IDMs showed a significant reduction of maximal wall thickness MWT [6.00 mm (IQR: 5.00–712) vs. 5.50 mm (IQR: 5.00–6.00), P-value &lt;0.001; MWT-z-score: 4.86 (IQR: 3.93–7.61) vs. 1.72 (IQR: 1.08–2.85), P-value &lt;0.001] compared to baseline, and all patients showed LV wall thickness regression or residual mild or moderate LVH (57%, 28%, and 12%, respectively), except two patients with persistent severe LVH, that after a comprehensive clinical-genetic assessment were diagnosed as Noonan syndrome with multiple lentigines. At multivariate analysis, MWT was negatively associated with LV wall thickness regression at 1-year follow-up [MWT-mm: OR: 0.48 (0.29–0.79), P-value = 0.004; MWT-z-score: OR: 0.71 (0.56–0.90), P-value = 0.004]. Conclusions LVH in IDMs represents a benign condition with complete regression during the first years of life. In those patients without LV wall thickness regression, combined with clinical markers suggesting a specific disease, a complete work-up is required for a definite diagnosis.


2020 ◽  
Vol 1 (2) ◽  
pp. 146
Author(s):  
Devi Kesumawati ◽  
Nurul Hidayah

Introduction: In Indonesia stunting still the main problem and concern in the field of nutrition, this condition in mark with height not according to age measured use the z-score. Children said stunting if the z-score <- 2SD until ≥- 3 SD and very short if < - 3 SD. Methods: This study to attemps to analyze the determinant. Stunting using study correlation with case design study case control done measurements on past (retrospektif) 38 group with the total sample case and 38 respondents. Results: The control group thr kind of data used primary data. Respondents who experienced anemia is 20 and 15 respondents (39,5 %) have children stunting and 5 responden (13,5 %) has a normal, with p-value p= 0,019 (p < 0,005) showing there the relationship between the anemia as the stunting in the work area Puskesmas Kasreman Conclusion: The conclusion of research is several factors such in minutely in the work area Puskesmas Kasreman, risk heving the anemia higher have children stunting. Expected health service, parents and knowledge of the factor causing people to stunting to prevent the occurrence stunting


2018 ◽  
Vol 33 (1) ◽  
pp. 17-20
Author(s):  
Christine Anne C. Maningding ◽  
Rodante A. Roldan

Objective: To translate the Sino-Nasal Outcome Test (SNOT)  22 into Filipino, and establish the validity and reliability of the Filipino version of the Sino-Nasal Outcome Test (SNOT)  22.   Methods: Design:           Prospective Cohort Setting:           Tertiary Government Training Hospital Participants: Twenty one (21) patients with rhinosinusitis with or without nasal polyposis were administered the Filipino SNOT 22 to determine reliability. Sixty three (63) patients with rhinosinusitis with or without nasal polyps and forty eight (48) controls were recruited for the validity study.   Results: The Filipino SNOT 22 had a Pearson correlation of 0.618 significant at the 0.01 level and a Cronbach’s alpha of 0.76. The calculated Z-Score was 7.21 with p-value < .00001 significant at p < .05. The value of U was 300 with a critical U value at 1512.   Conclusion: The self administered Filipino SNOT 22 is a reliable and valid tool for measuring QOL among Filipino patients with rhinosinusitis.   Keywords: sinusitis, reliability and validity, quality of life, sino-nasal outcome test 22    


2018 ◽  
Vol 13 (1) ◽  
pp. 88-94
Author(s):  
Sri Wahyuni ◽  
Tutik Rahayu

Abstract: The purpose of this study is to identify the effectiveness ofendorphine massage on female sexual function during menopause inNgampel District of Kendal Regency. Sampling was done by samplingcriteria acsidental aged less than 60 years old, have a husband, in a healthycondition. Data processing was performed using the Wilcoxon test todetermine differences in sexual function before and after the interventionwhile endorphine effectiveness of massage performed by using MannWhitney.Hasil research: Wilcoxon test showed that there are significantdifferences in sexual function before and after being given endorphineMassage with p value 0.00. While Mann Whitney test showed p value of0.13 and the value of z score of -2.828, which means there is a stronginfluence among endorphine Massage to increased sexual function soendorphine Massage is effective for improving sexual function.


2021 ◽  
Author(s):  
Álvaro Galiana ◽  
Igor Paredes ◽  
Sebastián Ruiz ◽  
José Antonio Fernández Alén ◽  
Adolfo Gómez Grande ◽  
...  

Abstract PURPOSE: SSFS is an underdiagnosed complication of craniectomized patients, which mainly presents with headache, motor weakness, and cognitive impairments. In these patients, cranioplasty improves these symptoms. Furthermore, patients without a classical SSFS have been shown to improve their neurological functions after reconstructive surgery. Amongst the many different pathophysiological theories proposed, the changes of CBP caused by the cranial defect might have a role in the neurological deficiencies. We have studied CBP in twelve cortical areas of both hemispheres, using 99mTc-HMPAO SPECT-CT before and after cranioplasty.METHODS: Twenty-eight craniectomized patients subject to reconstructive surgery were studied with 99mTc- HMPAO in three different times, before cranioplasty, a week after, and three months later. The images were processed with quantification software comparing CBP of 24 cortical areas with a reference area , and with a database of normal individuals. A mixed effects model was used to determine the signification of CBP changes in the cortex regions of both the damaged and undamaged brain hemispheres.RESULTS: CBP increased significantly in both hemispheres after cranioplasty both in ratio (β=0.019 p-value=0,030 first post-surgical SPECT-CT and β=0.021 p-value=0,015 in the second study, vs. pre-surgical) and Z-score (β=0.220 p-value=0,026 and β=0.279 p-value=0,005 respectively). Nine of twelve areas of the damaged side had a significant lower CBP ratio and Z-score than the undamaged. Posterior cingulate showed an increased CBP ratio (p-value=0,034) and Z-score(p-value0,028) in the first post-surgical SPECT-CT.CONCLUSION: CBP changes significantly in specific cortical areas after cranioplasty, which might explain the clinical improvements observed. Posterior cingulate changes might explain some improvements in attention impairments described. 99mTc-HMPAO SPECT-CT might be a valid tool to assess CBP changes in these patients and could have a role in the management of craniectomized individuals.CLINICAL TRIAL REGISTRATIONNot applicable


2020 ◽  
Vol 7 (8) ◽  
pp. 1728
Author(s):  
L. Sushanth Prabhath Reddy ◽  
Prahlad Kadambi ◽  
S. Mohammed Aashiq ◽  
P. Suresh

Background: Fever is the most common complaint with bringing children for hospital consultation. Dengue is a cause of public health concern with case fatality rate of 1%. Ferritin is an acute-phase reactant which is produced in response to infection and inflammation. Liver enzymes are also considered as markers of febrile illness. Aim of this study was to assess serum ferritin levels, aspartate-aminotransferase (AST) and alanine-aminotransferase (ALT) levels in pediatric inpatients with febrile illness, to correlate it with patient’s Dengue profile and to analyse these parameters with sub-group analysis of dengue and OFI.Methods: Among 120 children admitted for fever of more than 3 days duration were included in the study. 58 were Dengue-NS1 positive and the remaining 62 were considered to be OFI. Serum ferritin levels, AST and ALT were the investigative parameters measured at the time of admission for the study and treated as per WHO Dengue Guidelines. Data was coded and entered in Microsoft Excel 2013. Data was analysed using SPSS v16. p value of <0.05 was considered statistically significant.Results: Ferritin levels were higher in Dengue-IgM positive subgroup than in OFI subgroup (U= 173, Z score -6.09, p<0.00001). AST levels are higher in Dengue-NS1 positive subgroup than in OFI subgroup (U= 103, Z score -8.08, p<0.00001). AST levels were also higher in Dengue-IgM positive subgroup than in OFI subgroup (U= 377.5, Z score -4.86, p<0.00001). ALT levels are higher in Dengue-NS1 positive subgroup than in OFI subgroup (U=76, Z score -8.95, p<0.00001) as well as in Dengue-IgM positive subgroup than in OFI subgroup (U= 417, Z score -4.4, p<0.00001).Conclusions: Hyperferritinemia and elevation of hepatic-transaminases is seen in dengue. Although elevated in other febrile illnesses, it is elevated more so in dengue. This can be a predictor of severity of dengue fever, but needs to be confirmed in larger studies.


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