scholarly journals Hematologic profiles of Plasmodium vivax Malaria patients

2018 ◽  
Vol 2 (2) ◽  
pp. 8-15
Author(s):  
Gita Dwi Prasasty ◽  
Thia Prameswarie ◽  
Muhaimin Ramdja ◽  
Dwi Handayani

Abstract Background: Malaria infections cause various symptoms ranging from asymptomatic infections to severe disease complications. Plasmodium vivax malaria has been recognized as a disease that attacks blood cells, causing various hematologic changes, especially anemia, leukopenia, leukocytosis, neutropenia, neutrophilia, and thrombocytopenia with different percentages. Plasmodium vivax, formerly known to cause mild malaria, was later proven to cause severe malaria, even cerebral malaria such as Plasmodium falciparum. This study aims to determine the hematologic profile in patients with Plasmodium vivax malaria. Method: This research use descriptive cross sectional design. This research was conducted in Puskesmas (PKM; Primary Health Care) Sukamaju and Puskesmas (PKM; Primary Health Care) Karang City in August until December 2017. Samples were taken by consecutive sampling. A total of 37 samples expressed  positive Plasmodium vivax, examined their hematologic profiles specifically hemoglobin, erythrocytes, leucocytes, platelets, lymphocytes, neutrophils, monocytes and hematocrit using automatic hematology cell counter. Results: Based on the results of this study, 56.76% of patients had anemia, 45.90% of patients had  leukopenia, 89.20% thrombocytopenia, 2.70% neutrophilia, 10.80% neutropenia, 2.70% lymphocytosis, 35.10% lymphopenia, and 13.50% pancytopenia. Conclusion: In patients with Plasmodium vivax malaria infection there may be a change in hematologic profiles, this change may be affected by the acute phase of infection and host immune system.   Keywords: Plasmodium vivax malaria, hematologic profiles

2015 ◽  
Vol 3 (1) ◽  
pp. 11
Author(s):  
Achmad Djunawan ◽  
Setya Haksama

ABSTRACTAntenatal care in last three years at Kecamatan Kejayan did not reach the target, 100% for K1 and 95% for K4. This research aims to analyze the correlation of midwife’s cooperation, motivation, attitude, and performance on antenatal care in non insurance and insurance patients group. This is a quantitative research with cross sectional design. Spearman Correlation and Coeficient Contingency were used in this research to analyze the data. 36 midwifes were interviewed to obtain data.The results show that majority midwifes has cooperation with primary health care. Midwife’s motivation was high and attitude was positive. Midwife’s performance to non insurance and insurance patients was very high. There was moderate correlation (r=0,446) between cooperation (midwife with primary health care) and the performance to non insurance patients. There was very weak correlation (r=0,111) between cooperation (mindwife with doctor) and performance to insurance patients, and weak correlation (r=0,311) to non insurance patients. There was weak correlation (r=0,086) between motivation and performance to insurance patients, whereas correlation to non insurance was moderate (r=0,521). There was strong correlation (r=0,707) between attitude and performance to non insurance patient. The conclusion, attitude has most significant with performance in non insurance patient group. Keywords: antenatal care, attitude, cooperation, motivation, performance


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayu Novia Kurnia ◽  
Atik Nurwahyuni

 Abstrak Berdasarkan PMK No. 69 Tahun 2013, tarif kapitasi ditetapkan sama untuk semua kelompok umur, hanya dibedakan antar FKTP. Tarif kapitasi tersebut tidak disesuaikan dengan risiko individu. Penelitian ini bertujuan untuk menghitung tarif kapitasi berdasarkan risiko umur menggunakan metode penelitian cross sectional. Hasil dari penelitian ini yaitu tarif kapitasi berdasar­kan kelompok umur pada puskesmas, DPP, dan klinik. Hasil tarif kapitasi tersebut menunjukkan bahwa terdapat perbedaan tarif antar kelompok umur dengan kapitasi tertinggi terdapat pada kelompok umur 0-4 dan ≥ 50 tahun dan tarif kapitasi cenderung turun pada kelompok umur produktif. Abstract Based on PMK No. 69 in 2013, capitation is set at the same tariff for all age groups and only distinguished for each primary health care. Capitation is not adjusted by individual risk. This study aimed to calculate the capitation by age, using cross sectional design. The result of this study was capitation by age groups at the primary health care level. It was indicated that there was different capitation between age groups, with higher capitation observed in the age group of 0-4 and ≥50 years old and declining in productive age.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayu Novia Kurnia ◽  
Atik Nurwahyuni

 Abstrak Berdasarkan PMK No. 69 Tahun 2013, tarif kapitasi ditetapkan sama untuk semua kelompok umur, hanya dibedakan antar FKTP. Tarif kapitasi tersebut tidak disesuaikan dengan risiko individu. Penelitian ini bertujuan untuk menghitung tarif kapitasi berdasarkan risiko umur menggunakan metode penelitian cross sectional. Hasil dari penelitian ini yaitu tarif kapitasi berdasar­kan kelompok umur pada puskesmas, DPP, dan klinik. Hasil tarif kapitasi tersebut menunjukkan bahwa terdapat perbedaan tarif antar kelompok umur dengan kapitasi tertinggi terdapat pada kelompok umur 0-4 dan ≥ 50 tahun dan tarif kapitasi cenderung turun pada kelompok umur produktif. Abstract Based on PMK No. 69 in 2013, capitation is set at the same tariff for all age groups and only distinguished for each primary health care. Capitation is not adjusted by individual risk. This study aimed to calculate the capitation by age, using cross sectional design. The result of this study was capitation by age groups at the primary health care level. It was indicated that there was different capitation between age groups, with higher capitation observed in the age group of 0-4 and ≥50 years old and declining in productive age.


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Theresia Rhabina Noviandari Purba

Jamkesmas was public health insurance organized by the Indonesian government that aims to ensure the health needs of the poor. Jamkesmas organized to increase the coverage of the poor who cannot access health services. This study aimed to examine the factors associated with utilization Jamkesmas in primary health care.This study is a quantitative research which uses cross sectional design. 100 respondents were selected by random sampling. Method of administration is face-to-face structured interview.The results show 54% people used Jamkesmas in primary health care. According to the result of statistical analyses, factors related to utilization of Jamkesmas in primary health care are accessibility (p= 0.0005) and supports from family and health workers (p=0.0005). In order to increase utilization of Jamkesmas, people need supports from their family and health workers to using primary health care. Health workers, such as doctor and nurse, have to increase quality of services to make patient more comfortable and build trust between doctor and patient. Easier accessibility, included distance, time, cost of transportation, are also needed to increase utilization.Keywords:Jamkesmas, utilization, primary health care


2021 ◽  
Vol 1 (3) ◽  
pp. 246-253
Author(s):  
Nurul Ramadhini ◽  
Delmi Sulastri ◽  
Dolly Irfandi

Latar Belakang. Stunting atau disebut juga dengan kerdil adalah keadaan dimana tinggi badan anak tidak sesuai dengan usianya dikarenakan kekurangan asupan gizi pada saat didalam kandungan dan awal kehidupan. Salah satu faktor yang mempengaruhi terjadinya stunting pada anak adalah riwayat antenatal care ibu selama hamil. Objektif. Mengetahui hubungan antenatal care terhadap kejadian stunting pada balita berusia 0 – 24 bulan di wilayah kerja Puskesmas Seberang Padang tahun 2019. Metode. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional pada 79 anak usia 0-24 bulan di wilayah kerja Puskesmas Seberang Padang yang dipilih melalui simple random sampling. Analisis data dilakukan dengan uji chi square. Hasil. Penelitian dilakukan dengan wawancara dan observasi buku KIA serta hasil pengukuran panjang badan anak menggunakan infantometer. Prevalensi stunting (13,9%), sebagian besar ibu memiliki kunjungan antenatal care lengkap (19,4%) dan mendapatkan kualitas antenatal care yang baik (15,8%). Nilai signifikansi kunjungan antenatal care 0,325 dan kualitas antenatal care 0,720. Simpulan. Antenatal care tidak berhubungan secara signifikan dengan kejadian stunting karena p>0,05. Kata kunci : pemeriksaan rutin selama hamil, kerdil, puskesmas, balita 0-24 bulan.   Background. Stunting or also called dwarf is a condition where the height of the child does not match his age due to lack of nutritional intake at the time during pregnancies and early life. One of the factors that influence stunting in children is a history of maternal antenatal care during pregnancy. Objective. To determine the relationship of antenatal care to the incidence of stunting in infants aged 0-24 months in the working area of ​​ Seberang Padang Primary Health Center Care in 2019. Methods. This research was an observational analytic study with cross sectional design in 79 children aged 0-24 months in the working area of ​​Seberang Padang Primary Health Care which was selected through simple random sampling. Data analysis was performed with the chi square test. Results. The research was conducted by interviews and observations of maternal and child health books and the results of measurements of children's body length using an infantometer. The prevalence of stunting (13.9%), most mothers have complete antenatal care visits (19.4%) and get good quality antenatal care (15.8%). The significance value of antenatal care visits is 0.325 and the quality of antenatal care is 0.720. Conclusion. Antenatal care is not significantly related to the incidence of stunting because of p>0.05. Keywords : antenatal care, stunting, primary health care, toddlers 0-24 month.  


2020 ◽  
Vol 9 (2) ◽  
pp. 1380-1389
Author(s):  
Putri Permatasari

The application of Good Corporate Governance is believed to provide a strategic contribution in improving the performance of health personnel. The principles of GCG include transparency, accountability, responsibility, independence and fairness which are used in this study. This study aimed to analyze the relation between principles of GCG and the performance of health personnel at the Cikulur Primary Health Care. This study used a cross sectional design with 81 research samples consisting of health personnel. Based on the results of the study, principles of transparency, accountability, and independence in GCG significantly related to the performance of health personnel. While other variables such as the principle of accountability and independence are not related. In this research, suggested that in improving performance, all parties in the need to realize the importance of applying the principles of GCG, especially the principles of transparency, accountability and independence. Keywords: Performance, Good Corporate Governance, Health Personnel


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.


2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra

Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.


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