Hubungan Kepatuhan Terapi Kelasi Dengan Kadar Feritin Serum Pada Pasien Thalasemia B Mayorpada Anak Di Rsam Provinsi Lampung

2021 ◽  
Vol 1 (2) ◽  
pp. 101-112
Author(s):  
Zulhafis Mandala ◽  
Festy Lady ◽  
Muhammad Fahrin Ramadhan

ABSTRACT: RELATIONSHIP OF COMPLIANCE WITH KELSI THERAPY WITH SERUM FERITIN LEVELS IN THALASSEMIA β MAYOR PATIENTS IN CHILDREN AT BANDAR LAMPUNG HOSPITAL Background: Thalassemia is a heterogeneous group of hereditary anemia caused by mutations in hemoglobin synthesis (Cunningham et al., 2009). In the world, thalassemia annually reaches 1 in 100,000 people. The incidence of thalassemia in the world is based on data from the World Health Organization or the World Health OrganizationPurpose To determine the relationship between chelation therapy provision and serum ferritin levels in Thalassemia B Mayor patients in Dr. Hi Abdul Moeloek, Lampung Province in 2019.Aim: To find out the relationship between the adherence to iron therapy with serum ferritin levels at RSAM in 2019.Methods: This research is quantitative with the observational analytic method with a cross-sectional approach. The total population was 115 patients. A sample of 60 patients thalassemia β mayor. This research was conducted from Feb 2020 to completion. Analysis through univariate analysis.Results: the relationship of compliance with kelasi therapy with serum feritin levels in thalasemia β mayor patients at rsam hospital 2019, 34 respondents who obeyed chelation therapy, as many as 21 respondents (61.8%) had no risk ferritin levels (≤1000), of the 36 respondents who did not comply with chelation therapy, as many as 6 respondents (23.1%) had levels ferritin No Risk (≤1000) The results of the analysis also obtained an OR value of 5.38 (95% CI 1.7-16.9), which means that respondents who are adherent to iron therapy are at risk of having ferritin levels at risk (≥ = 1000) 5.38 times greater than who do not adhere to iron therapy.Conclusion: It is known that there is a relationship between adherence to iron therapy and serum ferritin levels at rsam hospital in 2019. Keywords: Thalassemia, Iron Therapy, Ferritin LevelsINTISARI: HUBUNGAN KEPATUHAN TERAPI KELASI DENGAN KADAR FERITIN SERUM PADA PASIEN THALASEMIA β MAYOR PADA ANAK DI RSAM BANDAR LAMPUNG  Latar Belakang : Thalasemia merupakan salah satu kelompok heterogen anemia herediter yang disebabkan oleh mutasi pada sintesis hemoglobin (Cunningham et al., 2009). Di dunia, insiden thalasemia setiap tahunnya diperkirakan mencapai 1 dari 100.000 orang. Angka kejadian penyakit thalasemia di dunia berdasarkan data  dari Badan Organisasi Kesehatan Dunia atau World Health OrganizationTujuan Mengetahui hubungan kepatuhan terapi kelasi dengan kadar feritin serum pada pasien Thalasemia B Mayor Di RSUD Dr. Hi Abdul Moeloek Provinsi Lampung Tahun 2019Metode Penelitian : Penelitian ini adalah kuantitatif dengan metode analitik observasional dengan pendekatan cross sectional. Jumlah populasi 115 pasien. Sampel 60 pasien dengan diagnosis thalassemia β mayor. Peneltian ini dilakukan pada bulan februari 2020 sampai dengan selesai. Analisa melalui analisa bivariat.    Hasil : hubungan kepatuhan terapi kelasi dengan kadar ferritin serum pada pasien thalsemia β mayor di RSAM bandar lampung tahun 2019 34 responden yang patuh dalam terhadap terapi kelasi, sebanyak 21 responden (61,8%) memiliki kadar ferritin Tidak Beresiko (≤1000), dari 36 responden yang tidak patuh dalam terhadap terapi kelasi, sebanyak 6 responden (23,1%) memiliki kadar ferritin Tidak Beresiko (≤1000. Hasil analisis diperoleh pula nilai OR 5,38 (95% CI 1,7-16,9) yang berarti bahwa responden yang patuh dalam terhadap terapi kelasi, berisiko memiliki kadar feritin beresiko (≥=1000) 5,38 kali lebih besar dibandingkan dengan yang tidak patuh dalam terhadap terapi kelasi.Kesimpulan : Diketahui terdapat hubungan kepatuhan terapi kelasi dengan kadar ferritin serum di RSAM Bandar Lampung tahun 2020 Kata kunci     :  Thalasemia, Terapi Kelasi, Feritin Serum

2018 ◽  
Vol 3 (1) ◽  
pp. 38
Author(s):  
Rahmat Haji Saeni ◽  
Erdiawati Arief

The World Health Organization (WHO) in 2011 estimates that more than 2 billion people are infected with worms around the world, about 300 million suffer from severe worm infections and about 150,000 deaths occur annually due to STI (Soil transmitted helminths) infections. Deworming has a major impact on society because it affects intake, digestion, absorption and food metabolism. Cumulatively worm infections can cause nutritional loss of calories and proteins and blood loss that can cause anemia, inhibit physical development, mental, intellectual decline in children and work productivity, can decrease the body's resistance so easily affected by other diseases. The purpose of this study was to determine the relationship between hand washing habits and bathing habits with the incidence of worms. The research method used is cross sectional. The results of this study showed that there was a relationship between hand washing before eating and hand washing after  to the occurrence of worm infestation with p value of 0.02 and 0.04 respectively. The relationship of bathing habits also showed a statistical relationship with a p value of 0.03, whereas there was feces in the nails also showed a statistical relationship with a p value of 0.00. Conducting efforts to promote clean and good living behavior both at school and community. Improve the promotion of handwashing, especially handwashing with soap.


Author(s):  
Ayu Kurniati ◽  
Enny Fitriahadi

IN 2013, the World Health Organization, released data in the form of Maternal Mortality Rate (MMR) worldwide, and the number reached 289,000 per 100, 000 live births, which 99% of cases occurred in developing countries. Research aims to discover the relationship of antenatal class towards mothers’ knowledge of the dangerous sign during pregnancy. The result showed that there is a relationship of antenatal class towards mothers’ knowledge of dangerous sign during pregnancy, From this result, the researcher concludes that antenatal class could increase mothers’ knowledge of dangerous sign during pregnancy and may decrease the complication risk during the childbirth.


2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.


2019 ◽  
Vol 3 (2) ◽  
pp. 31
Author(s):  
I Gede Purnawinadi ◽  
Joshua Edward Gerson Kumayas

The Electric cigarette is a device created to convert nicotine into smoke that is different from ordinary cigarettes. World Health Organization (WHO) termed e-cigarettes as Electronic Nicotine Delivery System (ENDS). Smoking behavior can be influenced by various factors including knowledge and attitudes. The purpose of this study was to determine the relationship between knowledge and attitudes with the behavior of electric cigarette users in Airmadidi District. The research design used was an analytic survey with a cross-sectional approach. The sampling technique used was accidental sampling with a sample of 63 respondents who used electric cigarettes. The process of collecting data using a questionnaire, and tested statistically using the Spearman correlation formula with a significant 95% (α <0.05%). The results of the study for the relationship of knowledge and behavior of e-cigarette users showed a value of p = 0.164> 0.05, which means there was no relationship between the knowledge and behavior of e-cigarette users in the District of Airmadidi, while for the relationship of attitudes with the behavior of e-cigarette users showed a value of p = 0, 00 <0.05 with a correlation coefficient (r) of 0.724, which means that there is a significant relationship between the attitudes and behavior of electric cigarette users in Airmadidi District. Recommendations for e-smokers are expected to change attitudes and behavior gradually to avoid the dangers of e-cigarettes.  Keywords: Knowledge, Attitude, Behavior, Vaper.   Abstrak Rokok elektrik merupakan suatu alat yang diciptakan untuk mengubah nikotin menjadi asap berbeda dari rokok biasa. World Health Organization (WHO) mengistilahkan rokok elektrik sebagai Electronic Nicotine Delivery System (ENDS). Perilaku merokok dapat dipengaruhi oleh berbagai faktor diantaranya adalah pengetahuan dan sikap. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan dan sikap dengan perilaku pengguna rokok elektrik di Kecamatan Airmadidi. Desain penelitian yang digunakan adalah survei analitik dengan pendekatan cross-sectional. Teknik sampling yang digunakan adalah Accidental sampling dengan jumlah sampel 63 responden yang menggunakan rokok elektrik. Proses pengumpulan data menggunakan kuesioner, dan diuji statistik menggunakan rumus Spearman correlation dengan signifikan 95% (α <0,05%). Hasil penelitian untuk hubungan pengetahuan dan perilaku pengguna rokok elektrik menunjukkan nilai p=0,164 > 0,05 yang artinya tidak ada hubungan antara pengetahuan dan perilaku pengguna rokok elektrik di Kecamatan Airmadidi, sedangkan untuk hubungan sikap dengan perilaku pengguna rokok elektrik menunjukkan nilai p=0,00 < 0,05 dengan nilai koefisien korelasi (r) 0,724 yang artinya ada hubungan yang signifikan antara sikap dan perilaku pengguna rokok elektrik di Kecamatan Airmadidi. Rekomendasi untuk perokok elektrik diharapkan untuk mengubah sikap dan perilaku secara bertahap agar terhindar dari bahaya rokok elektrik. Kata Kunci: Pengetahuan, Sikap, Perilaku, Vaper.


2019 ◽  
Vol 3 (2) ◽  
pp. 1-11
Author(s):  
Edison Siringoringo ◽  
Asri

According to World Health Organization (WHO) in 2015 had 42 million children who were overweight. This figure rose 31 million from 2000. Obesity adolescents tend to have an impact on learning achievement and on their health.The purpose of this study was stundents in senior high school 3 bulukumba. 265 respondents sampling technigue used consecutive sampling technigue this type of research is an analytical study with a cross sectional approach. The test used for the relationship of obesity whit student achievement is the fisher’s exect test while the test used for the relationship of parental work with student achievement is the kolmogorov smirnov test.The results of the study are respondents with type 1 obesity with good achievement scores of 27 respondents (87.1%) and achievement scores of less than 4 respondents (12.9%). While respondents with type 2 obesity with good performance scores were 9 respondents (56.2%) and achievement scores were less than 7 respondents. And the work of parents as PNS with a good achievement value of  15 respondents (93.8%) and less achievent scores of 1 respondents (1.6%). While respondents with the work of parents as entrepreneurs with good achievement scores of 10 respondents (55.6%) and achievement scores of less than 8 respondents (44.4%). Then the work of parents as farmers with good performance scores as many as 11 respondents. While the achievement score is less than 2 respondents (3.8%).The conclusion of this study is theres is a relationship of obesity with the achievement of students in senior high scholl 3 Bulukumba between parental work and the achievement of students in high school 3 Bulukumba. As for the suggestion in this study can add library references and student insights on Sitekes Panrita Husada Bulukumba.


2019 ◽  
Vol 3 (3) ◽  
pp. 121-128
Author(s):  
Wiwi Yuniarti ◽  
Muriyati ◽  
Hamdana

According to the world health organization 2015, says that hypertension is one of the main causes of premature death throughout and hypertension kills nearly 8 billion people every year in the world. Obesity is one of the risk factors for hypertension, because of the accumulation of fat in the body, the higher a person's body mass index, the higher the risk of developing hypertension. The purpose of this study is to know the relationship between obesity and the incidence of hypertension in the village of Taccorong caused Bulukumba district in 2018. The population in this study was the obese community in Taccorong village, Bulukumba regency, a population of 68 respondents, a sampling technique used by a purposive sampling technique. This type of research is analytic research with a cross-sectional approach. The test used for the relationship of obesity with the incidence of hypertension in Taccorong village Bulukumba district in 2018. Is the Pearson Chi-Square test, with the results of the study that obese respondents who experienced grade 1 hypertension were 18 respondents (85.7%) and obesity 1 respondents who had hypertension grade 2 were 3 respondents (14.3%). While the obese 2 respondents who experienced grade 1 hypertension were 6 respondents (31.6%) and obesity 2 respondents who experienced grade 2 hypertension as many as 13 respondents (68.4%). Based on the test results obtained values (p=0.000) then Ho is rejected and Ha is accepted. The conclusion of this study is that there is a correlation between obesity and the incidence of hypertension in Taccorong village, Bulukumba district in 2018. It is recommended for the Puskesmas Bonto Nyeleng Institution to pay attention to its working area to detect total obesity.


2018 ◽  
Vol 3 (2) ◽  
pp. 68-78
Author(s):  
Edison Siringoringo ◽  
Asri

According to World Health Organization (WHO) in 2015 had 42 million children who were overweight. This figure rose 31 million from 2000. Obesity adolescents tend to have an impact on learning achievement and on their health.The purpose of this study was stundents in senior high school 3 bulukumba. 265 respondents sampling technigue used consecutive sampling technigue this type of research is an analytical study with a cross sectional approach. The test used for the relationship of obesity whit student achievement is the fisher’s exect test while the test used for the relationship of parental work with student achievement is the kolmogorov smirnov test.The results of the study are respondents with type 1 obesity with good achievement scores of 27 respondents (87.1%) and achievement scores of less than 4 respondents (12.9%). While respondents with type 2 obesity with good performance scores were 9 respondents (56.2%) and achievement scores were less than 7 respondents. And the work of parents as PNS with a good achievement value of  15 respondents (93.8%) and less achievent scores of 1 respondents (1.6%). While respondents with the work of parents as entrepreneurs with good achievement scores of 10 respondents (55.6%) and achievement scores of less than 8 respondents (44.4%). Then the work of parents as farmers with good performance scores as many as 11 respondents. While the achievement score is less than 2 respondents (3.8%).The conclusion of this study is theres is a relationship of obesity with the achievement of students in senior high scholl 3 Bulukumba between parental work and the achievement of students in high school 3 Bulukumba. As for the suggestion in this study can add library references and student insights on Sitekes Panrita Husada Bulukumba.


2021 ◽  
pp. 0261927X2110263
Author(s):  
David M. Markowitz

How do COVID-19 experts psychologically manage the pandemic and its effects? Using a full year of press briefings (January 2020–January 2021) from the World Health Organization ( N = 126), this paper evaluated the relationship between communication patterns and COVID-19 cases and deaths. The data suggest as COVID-19 cases and deaths increased, health experts tended to think about the virus in a more formal and analytic manner. Experts also communicated with fewer cognitive processing terms, which typically indicate people “working through” a crisis. This report offers a lens into the internal states of COVID-19 experts and their organization as they gradually learned about the virus and its daily impact.


2021 ◽  
pp. 104365962110469
Author(s):  
Giorgia Rudes ◽  
Claudia Fantuzzi

Introduction: The World Health Organization states that suicide is the second leading cause of death among youngs, and racism has been proven to have detrimental effects on both physical and mental health. These two plagues represent a public health priority, especially for susceptible minorities. Method: This systematic review analyzed 23 studies from multiple database searches, to understand the relationship between racism and suicidality in young minority groups. Results: The review demonstrated the correlation between racism and suicidality with the consequent development of mental disorders. There is strong evidence that the main suicide risk factor is acculturation, interpreted as the assimilation of the dominant culture with the loss of values from one’s cultural background. Discussion: Health care professionals should not underestimate the risk of suicidality associated with racism. Prevention is crucial and it should be implemented from a young age, in schools, through a joint intervention with children and their families, aiming toward integration without acculturation.


2016 ◽  
Vol 1 (2) ◽  
pp. 48-60
Author(s):  
Oktafiana Manurung ◽  
Ermawaty Arisandi Siallagan

According to the World Health Organization (WHO) Indonesian women have According to the World Health Organization (WHO) Indonesian women have very bad criteria in terms of health, marriage, employment, education, equality with men. This condition is thought to lead to low maternal access to antenatal care. Goals : Antenatal care in accordance with antenatal care standards may decrease Maternal and Infant Mortality due to regular antenatal care can detect early problems that occur in the mother during pregnancy.Methods : The type of this research is analytical descriptive with cross sectional design which aims to analyze the influence of access and motivation of pregnant mother to mother behavior in doing antenatal visit. The research was conducted in Pancur Batu Puskesmas Working Area. The population is 181 people and the sample size is 61 people. Data analysis was performed using univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with multiple logistic regression test.Result : The result of this research indicate that physical accessibility variable is the availability of unrelated officer (p = 0,461) to mother behavior in antenatal visit, social accessibility variable (p = 0,005) and attitude (p = 0,023), and for motivation variable is motive P = 0.005) and expectations (p = 0.019) had a significant effect on maternal behavior in antenatal visits.Conclution : Based on the results of research suggested Head of Pancur Batu Puskesmas to conduct training to officers especially midwives who provide services mainly about hospitality in providing services and to officers implementing services further improve the communication of information and education so that every pregnant women have a good understanding that can eventually cause attitude Positive, high motivation and expectation that can affect the mother in conducting standardized antenatal visits.


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