scholarly journals Papsmear Examination for Diagnosing PreCancer Lesion in Invisible SquamoColumnar Junction

Author(s):  
Laila Nuranna ◽  
Sulaeman Daud ◽  
Gatot Purwoto ◽  
Hariyono Winarto ◽  
Kartiwa H Nuryanto

Objective: To know the concealed pre-cancer lesion in women with invisible squamo-columnar junction (SCJ) by Papsmear examination. Method: This study was a descriptive cross-sectional design starting from August 2014 to March 2015 at several Public Health Cares in Jakarta. A total of 1,682 subjects were screened by Acetoacetate Visual Inspection (AVI) examination. After the data was collected, the process was continued by verification, editing, and coding. The descriptive analysis showed the percentage of SCJ in age distribution, the percentage of AVI examination based on SCJ, and the percentage of Papsmear examination in invisible SCJ according to negative AVI result. Result: There were 1,484 (88.2%) women with the visible SCJ and 198 (11.8%) women with invisible SCJ. The percentage of invisible SCJ in the menopausal women group was 122 (61,6%); meanwhile, in the non-menopausal women group, it was 76 (38.4%). Almost half of the percentage from visible SCJ was found in menopausal women group 45.8% (103/225 women). The positive AVI result was 4 (7.1%) in the menopausal women group and 52 (92.9%) in non-menopausal women group. The result of Papsmear examination with invisible SCJ were 197 (100%) normal. Conclusion: Almost half of visible SCJ was found in menopausal women group. Most of positive AVI result was found in the nonmenopausal women group. All women with the invisible SCJ have a normal Papsmear result. Keywords: acetoacetate visual inspection, papsmear, pre-cancer lesion, squamo-columnar junction

2020 ◽  
Vol 17 (2) ◽  
pp. 159
Author(s):  
WISNU TRI PAMUNGKAS ◽  
INDIRA RA ◽  
IRMA ANDRIANI PASARIBU

<p><strong>Abstrak</strong></p><p><strong>Latar Belakang : </strong>Prevalensi Hipertensi di Indonesia semakin meningkat mencapai 25,8% pada penduduk berusia 18 tahun keatas.  Amlodipin merupakan salah satu pilihan obat untuk terapi Hipertensi yang termasuk golongan Calsium Channel Blocker (CCB). Penggunaan obat antihipertensi sendiri merupakan salah satu faktor risiko yang menyebabkan sindroma mata kering.</p><p><strong>Tujuan : </strong>Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan obat antihipertensi terhadap sindroma mata kering pada penderita Hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya.</p><p><strong>Metode penelitian : </strong>Penelitian ini adalah penelitian observasional analitik dengan metode cross-sectional. Subyek pada penelitian ini adalah 48 responden yang didapatkan dibagi kedalam 2 kelompok yakni, kelompok minum obat antihipertensi &gt;6 bulan dan tidak minum obat. Dilakukan pengisian kuesioner DEQ-5 dan pemeriksaan schirmer I.</p><p><strong>Hasil penelitian : </strong>Analisa deskriptif dari tes schirmer I frekuensi sindroma mata kering lebih tinggi pada responden yang mengkonsumsi obat antihipertensi dari pada responden yang tidak minum obat antihipertensi. Hasil analisa statistik menggunakan uji chi-square signifikansinya yaitu sebesar &lt;0,001 atau dapat dikatakan bahwa p&lt;α (0,05), menunjukkan ada pengaruh pemberian obat antihipertensi terhadap sindroma mata kering yang berdasarkan tes Schirmer pada pasien Hipertensi di wilayah kerja puskesmas Jagir  kota Surabaya.</p><p><strong>Simpulan : </strong>Penggunaan obat antihipertensi berpengaruh terhadap sindroma mata kering pada penderita hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya</p><p><strong>Kata Kunci : </strong>Sindroma mata kering, obat antihipertensi, hipertensi</p><p><strong> </strong></p><p><strong>Abstract</strong></p><p><strong>Background: </strong>Hypertension prevalence in Indonesia is increasing to reach 25.8% in the population aged 18 years and over. Amlodipine is one of the drugs for hypertension therapy which is included in the Calcium Channel Blocker (CCB) class. The use of antihypertensive medication itself is one of the risk factors that cause dry eye syndrome.</p><p><strong>Purpose</strong>: This study aims to determine the effect of the use of antihypertensive drugs on dry eye syndrome in patients with hypertension at Jagir Public Health Center in Surabaya working area.</p><p><strong>Methods:</strong> This study was an observational analytic study with a cross-sectional method. The subjects in this study were 48 respondents found divided into 2 groups namely, the group taking antihypertensive drugs&gt; 6 months and not taking medication. The DEQ-5 questionnaire was completed and Schirmer I was examined.</p><p><strong>Results:</strong> Descriptive analysis of the Schirmer I test for the frequency of dry eye syndrome was higher in respondents who took antihypertensive drugs than those who did not take antihypertensive drugs. The results of statistical analysis using the chi-square test of significance that is equal to &lt;0.001 or it can be said that p &lt;α (0.05), indicates there is an effect of antihypertensive drug administration on dry eye syndrome based on the Schirmer test in hypertension patients at Jagir Public Health Center in Surabaya..</p><p><strong>Conclusion:</strong> The use of antihypertensive drugs has an effect on dry eye syndrome in patients with hypertension at the Jagir Public Health Center in Surabaya</p><strong>Keywords:</strong> Dry eye syndrome, antihypertensive drugs, hypertension


Author(s):  
Raditya Angga Pradipta

Logging the forest production is a high risk work. The condition of the forest acreage is difficult, the imbalance between the tools used by condition of the field and the skills of workers can lead to accidents. One of supporting job in the process of logging the forest production is the operation of the chainsaw that has hazards and risks which must be controlled. The main objective of this research was to risk assessment in the operational of the chainsaw in the work to cutting down trees in Perhutani KPH Madiun. This research was an observational research that conducted using cross sectional design and descriptive analysis. Data were used primary data based on interviews, observations and secondary data collected from the company. This research performed based on work activities of operating chainsaw. The result showed that based on idetification of hazards in activities of operating chainsaw in cutting trees, there were18 hazards Risk assessment showed that from 18 pure risks, there were 4 low risks,7 medium risks and 7 high risks. The conclusion from this research is the risk most dominant obtained from the risk assessment is high risk and risks while each one had the amount of 7 danger or 39 % of all the potential here hazards, to at a job should not be continued, work that needs to be set repeated or attempts to control at work to reduce the risk. Control must be reviewed for conformity before work began.Keywords: cut timber, identification hazards, risk assessment


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ireine S. Waworuntu ◽  
John . Porotu'o ◽  
Olivia A. Waworuntu

Abstract: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis (M. tuberculosis). In Indonesia, there are about 430.000 new cases, of which 61.000 cases ended in death. This disease has many clinical varieties, therefore, a gold standard for the right and exact diagnosis is needed. The examination of sputum by using Ziehl-Neelsen staining must be more improved for public health service. This study aimed to determine the profile of Mycobacterium tuberculosis (acid-fast bacteria) among patients with coughing ≥2 weeks at Ranotana, Wenang and Sario Primary Health Cares (PHCs) by using Ziehl-Neelsen staining. This was a descriptive study with a cross sectional design. Samples were obtained by using total sampling method during the period of September 2015 - December 2015. The results showed that there were 38 cases of coughing ≥2 weeks as follows: 15 cases at Wenang PHC, 13 cases at Ranotana PHC, and 10 cases at Sario PHC. The examination of acid-fast bacteria from the 38 cases of three PHCs showed that 1 case (2.7%) had acid-fast bacteria (++). Conclusion: In this study, there was only one case (2,7%) with positive Mycobacterium tuberculosis. Keywords: cough more than two weeks, tuberculosis, BTA Abstrak: Tuberkulosis adalah suatu penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis (M. tuberculosis). Indonesia memiliki sekitar 430.000 kasus baru dimana 61.000 kasus berakhir dengan kematian. Penyakit ini memiliki gejala klinis yang bervariasi sehingga perlu ditetapkan standar baku untuk menegakkan diagnosis lebih cepat dan akurat. Pemeriksaan sputum dengan pewarnaan Ziehl-Neelsen harus lebih ditingkatkan pada pelayanan kesehatan masyarakat. Penelitian ini bertujuan untuk mendapatkan gambaran Mycobacterium tuberculosis (basil tahan asam, BTA) dengan pewarnaan Ziehl-Neelsen pada pasien batuk ≥2 minggu di Puskesmas Wenang, Puskesmas Ranotana, dan Puskesmas Sario Kota Manado. Jenis penelitian ini deskriptif dengan desain potong lintang. Pengambilan sampel menggunakan cara total sampling pada kurun waktu September 2015 - Desember 2015. Hasil penelitian mendapatkan 38 kasus batuk ≥2 minggu yaitu 15 kasus di Puskesmas Wenang, 13 kasus di Puskesmas Ranotana dan 10 kasus di Puskesmas Sario. Pada pemeriksaan (BTA) di Puskesmas Wenang, Puskesmas Ranotana dan Puskesmas Sario didapatkan BTA (++) 2,7% sedangkan BTA (-) 97,3%.Simpulan: Pada penelitian ini didapatkan 1 kasus (2,7%) Mycobacterium tuberculosis positif


Author(s):  
Elsya Vira Putri

Introduction: The workload that exceeds individual work capacity will increase the pulse rate rapidly. The purpose of this research was to study the correlation between physical workload and the increase in workers’ pulse rate. Methods: This research utilized cross-sectional design by using the observational method with 23 workers from the BRF area of PT X Sidoarjo as respondents. This research was conducted by conducting the direct observation by calculating the workload received by the worker by using %CVL method and calculating the resting and working heart rates. Results: The result showed that all workers were male and had the productive age distribution of 60.9% in the age range of 25-50 years. Based on the calculation of workload, the majority of workers have the workload on the moderate %CVL category, amounting to 56.5%. Based on the measurement of the resting and working heart rates, it was found that all workers experienced the pulse rate increase. Based on the result of Pearson correlation statistical test, the result was p<0.05, which means that there was a significant correlation between the workload and the increase in the workers’ pulse rate. Moreover, the correlation coefficient was 0.911, that indicated a very strong and positive correlation. Conclusion: This research concludes that there is a strong and positive correlation between workload and the increase in the workers’ pulse rate. Keywords: %CVL, cardiovascular load, workload, pulse rate 


2019 ◽  
Vol 6 (1) ◽  
pp. 77-80
Author(s):  
Ni Wayan Suniyadewi ◽  
G.N Indraguna Pinatih

Abstract Objective Carbohydrates, proteins, and fats are energy sources needed by the body for performing daily activities and generating primary energy substances. In women who have undergone menopause, the function of thyroid hormone in their body begins to decline and thus affects the ability of the body to produce energy. The purpose of this study was to determine the correlation between the intakes of carbohydrates, proteins, and fats and random blood sugar levels in menopausal women. Methods This study was a correlational analytical research with a cross-sectional design, which was conducted in 72 menopausal women recruited by the purposive sampling technique. In this study, a 24-hour food recall form was used, and randomized blood sugar levels were measured using a glucometer. The analysis of the data was performed using a Pearson product moment and multiple linear regression. Results Carbohydrates and fats together affected random blood sugar levels with an F-value of 25.810 and a p-value of 0.000. Meanwhile, adjusted R2 showed the value of 0.411, indicating that the difference in the intake of carbohydrates and fats together affected random blood sugar levels by 41.1%. Conclusions Intake of carbohydrates and fats affected random blood sugar levels, whereas the rest were influenced by other factors, and protein intake was unrelated to random blood sugar levels in menopausal women.


2018 ◽  
Vol 14 (1) ◽  
pp. 69
Author(s):  
Laras Bani Waseso ◽  
Basuki Supartono ◽  
Cut Fauziah

Abstract: Osteoporosis is three times more likely to happen to menopause patients with low physical activity because it causes the bone mass to decrease. Standard examination for osteoporosis is a bone mass examination or also known as BMD (Bone Mass Densitometry). This research aims to identify the correlation between physical activity and bone strength in menopause patients. This is an observational analytical research which used cross-sectional design. The sample consists of 74 patients from Kemenpora National Hospital in 2017. The data were analyzed by using Chi-square test. The result shows that 37% of low physical activity patients have normal bone strength, 63% of which have osteopenia and 20% of the patients have osteoporosis. Meanwhile, 52% of medium physical activity patients have normal bone strength, 19% of the patients have osteopenia, and 33% of the patients have osteoporosis. 16% of patients with high physical activity have normal bone strength, 18% of the patients have osteopenia, and 47% of the patients have osteoporosis. This research proves that there is a correlation between physical activity and bone strength in menopause patients (p = 0,004). Keywords: Physical Activity, Bone Mass Densitometry, Menopausal Women


2019 ◽  
Vol 3 ◽  
pp. 79
Author(s):  
Geraldine Alves dos Santos ◽  
Päivi Sanerma

ABSTRACTMany studies have been carried out, mainly in the last decades, to understand the normal and pathological process of aging in the different areas of knowledge. However, many gaps still remain in the progress of science. In this sense, the overall objective of the present study was to evaluate the comparison between the performance of congruent elderly people in Brazil and Finland. The study method had a quantitative, descriptive cross - sectional design. The sample consisted of 194 subjects of both sexes, aged between 60 and 79 years, residing in the municipality of Ivoti / Rio Grande do Sul / Brazil and 93 subjects, both genders aged 65 to 85 years residing in Riihimäki / Finland. The instrument used was the Mini Mental State Examination (MMSE). Data were analyzed statistically in SPSS version 25.0 through descriptive analysis of frequency and comparison of means by the Mann Whitney test (p≤0.05). The results showed that the cognitive performance of elderly people in the Ivoti group was significantly higher than those of Riihimäki. It can be concluded that cultural variables influenced outcomes, such as experiences in the early stages of human development and current interpersonal relationships.Keywords: Cognitive performance. Successful aging. Elderly. RESUMOMuitos estudos têm sido realizados, principalmente nas últimas décadas, para compreender o processo normal e patológico de envelhecimento, nas diferentes áreas do conhecimento. Entretanto, muitas lacunas ainda se mantêm presentes no progresso da ciência. Neste sentido, o objetivo geral do presente estudo foi avaliar a comparação entre o desemepnho congitivo de pessoas idosas residentes no Brasil e na Finlândia. O método do estudo teve um delineamento quantitativo, descritivo e transversal. A amostra compreendeu 194 sujeitos, de ambos os sexos, com idade entre 60 e 79 anos, residentes no município de Ivoti/Rio Grande do Sul/Brasil e 93 sujeitos, de ambos os sexos com idade entre 65 e 85 anos residentes em Riihimäki/Finlândia. O instrumento utilizado foi o Mini Exame do Estado Mental (MEEM). Os dados foram analisados estatisticamente no programa SPSS versão 25.0 através de análises descritivas de frequência e de comparação de médias pelo teste Mann Whitney (p≤0,05). Os resultados demonstraram que o desempenho cognitivo das pessoas idosas do grupo de Ivoti foi significativamente maior que os de Riihimäki. Pode-se concluir que variáveis culturais influenciaram os resultados, tais como experiências nas fases iniciais do desenvolvimento humano e as relações interpessoais atuais.Palavras-chave: Desempenho cognitivo. Velhice. Idosos.


2021 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Putri Ayu Anjani ◽  
Khairizka Citra Palupi ◽  
Mertien Sa’pang ◽  
Dudung Angkasa ◽  
Vitria Melani

Constipation marked by feces hard one, dry, and difficult issued. About 73.9% pregnant women experience constipation. Increase in the hormone progesterone for pregnant women resulted in drop motility gastrointestinal tract. Constipation affects psychology and causes swelling of the rectum area.To determine the relationship between the level of fiber adequacy, to consumption of Fe tablets and depression and to see the combined risk factors for depression and adherence to consumption of Fe tablets with the incidence of constipation in pregnant women. Design this research is observational analytics with Cross Sectional design. The sample of pregnant women is 55 people with purposive sampling data collection technique. Taking data done with use questionnaire. Statistic test used the chi-square test. 58.2% of pregnant women experienced constipation; 92.7% insufficient fiber sufficiency level; 40.0% adhered to consuming Fe tablets; 55.4% experienced depression; 23.6% of depression was adherent. The results of the chi-square test showed that there was no significant relationship between the level of fiber adequacy and the incidence of constipation in pregnant women (p = 0.298) and a significant relationship with the incidence of constipation in pregnant women, namely consuming Fe tablets (p = 0.039; OR = 4.080), depression (p = 0.026; OR = 4.125), risk factors for the combination of depression and adherence to consumption of Fe tablets (p = 0.005).Compliance with Fe tablet consumption and depression can increase the risk of constipation in pregnant women by 4,080 times and 4,125 times.


2019 ◽  
Vol 11 (1) ◽  
pp. 69
Author(s):  
Tifal - Dakwani

Food Processing Premise is a place for processing food raw ingredients to become ready to consume food. In order to function optimally, the premises are needed to be controlled frequently particularly in the port area where many visitors and staffs are in needs of health protection during their activities in this area.  For this purpose, the authority has been attempting to increase and maintain food and baverage quality in this area therefore it could avoid any public health menaces from food contamination and intoxication for the population. As basic health survey (RISKESDAS) in 2013 reported diseases contributed as public health threats such as diarrhea 3.5%, typhoid 2.2%, hepatitis 1.2% (Riskesdas, 2013). The study aims to analyse the hygiene and sanitation implementation of food processing center in Gudang 100 warehouse at Tanjung Perak Sea Port of Surabaya. This present study is an observational study with cross sectional design. The sample was obtained based on 2017 data and mapping of 60 food tenant premises. 5 places were observed during study period. The variables observed were including of location, building, sanitation facilities, dining room, food storage, ingredients, food, the process, serving, food stuff, and the employee. The variables were observed using the total score as enacted by Indonesian Ministry of Health regulation NO.1098/MENKES/SK/VII/2003 regarding of Hygiene and sanitation standards for food stalls and restaurant. The result of the study shows there are 2 food stalls (B and C) with score <700 while the other stalls (A, D and E) reach score >700. The conclusion of this study highlights the needs of adjusting the requirement of the hygiene and sanitation of food stalls and restaurant as well as provide regular trainings for food handlers.


2021 ◽  
Author(s):  
Hanum Nurma Azuro ◽  
Moch Yunus ◽  
Rara Warih Gayatri

Based on the Basic Health Research (Riskesdas) 2018, the incidence of periodontitis in Indonesia was reported at 74.1%, which makes it one of the most common oral health problems in the country. Overall, 2,759 patients, aged 19–64 years underwent periodontal examinations at the Public Health Centres in Malang between January and September 2019. The present study aimed to determine the description of periodontitis patients at the Public Health Centres, Malang, by conducting an early detection of periodontitis against the risk of the disease. This study used a cross-sectional design and a proportional random sampling technique. In total, 277 respondents visited the Public Health Centres in Malang during the study period. The early detection result is based on the number of questionnaire scores on signs, symptoms, and exposures to risk factors for periodontitis, which are divided into three categories: high, moderate, and low risks. The instrument used in this study is a modification of the previous research instrument by Renatus. The result showed that 58 respondents had moderate (21%), 4 (1.4%) had high, and 215 (77.6%) had low risks of periodontitis. Respondents who had a lower risk of periodontitis were more than the respondents who had high and moderate risks of periodontitis. Keywords: periodontitis, history of gingivitis, heredity (family history), oral hygiene, history of tobacco use


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