scholarly journals Faktor-Faktor yang Berhubungan dengan Kejadian Diare pada Balita di Desa Buru Kaghu Kecamatan Wewewa Selatan Kabupaten Sumba Barat Daya

2019 ◽  
Vol 1 (4) ◽  
pp. 119-126
Author(s):  
Enosius Dapa Suda ◽  
Engelina Nabuasa ◽  
Indriati A. Tedju Hinga

Diarrhea is the loss of body fluids within 24 hours with the frequency of bowel movements more than three times a day. Number of patients with diarrhea in health centers Teke Tena last three years has risen in 2016 as many as 150 people, in 2017 250 in 2018 328 people. Buru village Kaghu in 2016-2018 had the highest diarrhea patients from four other villages, namely the village Werilolo 17 cases, 40 cases Weebaghe village, village Milla Ate 35 cases, 35 cases Bedu Pasono village, almost every year from 2016 to 2018 outbreak of diarrhea in infants that result in death if not treated quickly. The purpose of this research is to know the factors related to the occurrence of diarrhea in infants in Buru village Kaghu 2019, this type of research is analytic research with, sample of 90 people with a  statistical analysis using Chi-Square test. The results of this study indicate that there is a relationship between the mother's knowledge with the incidence of diarrhea in infants (p value = 0.012), there is a correlation between drinking water treatment (p value 0.000), there is a correlation between the availability of latrines (p value = 0.015), there was no relationship between the wash hands with soap and clean water with the incidence of diarrhea in infants (p value = 0.158), there was no relationship between the provision of breastfeeding with the incidence of diarrhea in infants (p value = 0.823), there was no correlation between the cleanliness of the equipment with the incidence of diarrhea in infants (p value 0.652).

2021 ◽  
Vol 2 (5) ◽  
pp. 16-25
Author(s):  
Putri Junita Sembiring ◽  
Aisyah Simanjorang ◽  
Nur Aini

The purpose of this research is to investigate the variables that affect the use of medical services. At the Putri Hijau Level II Hospital, you may get checked out. It was decided to employ a kuantitatif research design with a cross sectional design for this particular investigation. Patients who came in for a medical check-up at the Putri Hijau Level II Hospital were included in the research study. According to the results of the first survey, the total number of patients who had medical examinations in 2019 was 2135 individuals. We needed to look at 100 different individuals for our experiment. The chi square test and multiple linear regression were the statistical tests that were used. The results of the chi square test study revealed that the variable service quality (reliability p-value = 0,000, responsiveness p-value = 0,000, assurance p-value = 0,036, empathy p-value = 0,003, physical evidence p-value = 0,026) obtained a p-value less than 0.05, the variable facility p-value = 0.000, the variable rate / price p-value = 0.000, and the variable patient perception obtained a p-value Patient views of the use of Medical Check Up services are associated with service quality (reliability, responsiveness, assurance, empathy, physical evidence) as well as medical facilities, rates / pricing and patient perceptions of the usage of Medical Check Up services (p-value = 0.039 0.05). Using multivariate analysis, it was discovered that one of the variables in this research, the Facility variable, had the most influence on the outcome.


2019 ◽  
Vol 2 (1) ◽  
pp. 15-20
Author(s):  
Samuel Marganda Manalu ◽  
Astrie Kartika Putri

The purpose of this study was to look the relationship between river water utilization with the incidence of dermatitis symptoms in the village of Lantasan Lama, Patumbak District, Deli Serdang Regency. This research was analytical with cross-sectional research design, which is to find out the relationship between river water utilization with the incidence of dermatitis in the village of Lantasan Lama, Patumbak District, Deli Serdang Regency. The population of this study were housewives who used river water that was totaling 108 respondents with purposive sampling. The data used primary and secondary data. Data were analyzed by using the chi-square test. The results showed that the largest percentage based on the age of the respondents was at the age of 36-45 years. The largest percentage based on respondent's education was high school education. River users used river water were quite bad. River users use river water with the largest percentage of washing. River users mostly got dermatitis symptoms. There was a relationship between river water utilization and the incidence of dermatitis (p-value = 0.001). It is hoped that the peoples around Lantasan Lama river increase their knowledge about their habits that can pollute Lantasan Lama River and it can caused symptoms of dermatitis and change their behavior to better one.


2020 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Dedi Mahyudin Syam ◽  
Herlina S Sunuh

Environmental factors, birth weight and food intake can influence the incidence of stunting. The prevalence of stunting in toddlers in Central Sulawesi Province in 2015 was very short by 11.4% and short by 23.9%. 2-16 very short categories by 10.2% and short categories by 21.8%. 2017 the very short category was 14.0% and the short category was 22.1%. The purpose of this research was to know handwashing with soap, treating drinking water and food related to stunting in Central Sulawesi. The type of research was analytic with the approach of cross sectional survey with a sample 289 people in 4 (four) Regency Areas (Banggai, Donggala, Sigi and Palu). Data processing and analysis include univariate and bivariate were used chi square test. Results of 289 respondents carry out handwasing with soap 176 (60.9%), not carry out handwasing with soap activity 113 (39.1%), statistical test obtained p value = 0.000. Treating drinking water and food 270 (93.4%), not treating clean water and food only 19 (6.6%), stunting status 133 (46.0%), not stunting 155 (56.0%), statistical test obtained p value = 0.001. Conclusion There was a relationship between hand washing with soap, treating drinking water and food with stunting in Central Sulawesi.Faktor lingkungan, berat badan lahir dan asupan makanan dapat mempengaruhi kejadian stunting. Prevalensi stunting pada balita di Provinsi Sulawesi Tengah tahun 2015 kategori sangat pendek sebesar 11.4% dan pendek sebesar 23.9%. 2-16 kategori sangat pendek sebesar 10.2% dan kategori pendek sebesar 21,8%. 2017 kategori sangat pendek sebesar 14.0% dan kategori pendek sebesar 22.1%. Tujuan penelitian adalah diketahuinya cuci tangan pakai sabun (CTPS), mengelola air minum dan makanan berhubungan  dengan stunting di Sulawesi Tengah. Jenis penelitian adalah analitik dengan pendekatan cross sectional survey dengan sampel berjumlah 289 orang di 4 (empat) daerah Kabupaten (Banggai, Donggala, Sigi dan Palu). Pengolahan dan analisis data meliputi univariat, Bivariat menggunakan uji chi square. Hasil penelitian menunjukkan dari 289 responden melaksanakan CTPS 176 (60,.9%), tidak CTPS 113 (39,1%), Uji statistik diperoleh nilai p = 0,000. Sudah mengelola air minum dan makanan 270 (93,4%), tidak mengelola air bersih dan makanan 19 (6,6%), status gizi stunting 133 (46,0%), tidak stunting 155 (56,0%), uji statistik diperoleh nilai p = 0,001. Kesimpulan ada hubungan cuci tangan pakai sabun, pengelolaan air minum dan makanan dengan stunting di Sulawesi Tengah.  


Author(s):  
Rini Mayasari Rini Mayasari

ABSTRACT According to the health of the World Health Organization (WHO) in poor countries and developing countries, mortality in infants and young children from diarrhea about two million children each year, the purpose of this study was to determine the relationship between education and employment to women with the incidence of diarrhea in children in health centers in 2011 Pelembang Basuki Rahmat This study uses survey Cross sectional analytic approach. The population in this study were all mothers who have young children who come to visit the health center Palembang Basuki Rahmat which amounts to 448 people and a random sample random sampling. Variable that is examined in the analysis using univariate and bivariate analysis via Chi-Square test at α = 0.05. The results of univariate analysis showed that mothers who have children diagnosed with diarrhea as many as 94 people (65.7%) and diarrhea are not diagnosed in 49 men (34.3%), mothers with higher education as many as 68 people (47.6%) and low education as many as 75 people (52.4 %) and mothers who worked as many as 91 people (63.6%) and that does not work as many as 52 people (36.4%). The results of bivariate analysis showed that the incidence of diarrhea in toddlers higher education less mothers were 36 (52.9%) compared with the incidence of diarrhea in children with poorly educated mothers as much as 58 (77.3%), the incidence of diarrhea in infants whose mothers work as much as 72 larger (79.1 %) compared with the non-occurrence of diarrhea in infants whose mothers worked were 19 (20.9%). chi-square test showed no significant association between education with incidence of diarrhea (p value = 0.004) and there was a significant association between maternal work (p value = 0.000) with the incidence of diarrhea in health centers Basuki Rahmat Palembang in 2011. Expected to health workers in order to improve health services, especially education about risk factors for the incidence of diarrhea in infants.     ABSTRAK 21       Menurut badan kesehatan world health organization (WHO) di negara negara miskin dan sedang berkembang, kematian pada bayi dan anak anak akibat diare berkisar dua juta anak tiap tahunnya tujuan penelitian ini adalah untuk mengetahui hubungan antara pendidikan dan pekerjaan ibu dengan kejadian diare pada balita di puskesmas basuki rahmat pelembang tahun 2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah semua ibu yang mempunyai anak balita yang datang berkunjung ke puskesmas basuki rahmat Palembang  yang berjumlah 448 orang dan pengambilan sampel secara random sampling. Variable yang di teliti di analisis dengan menggunakan analisis univariat dan bivariat melalui uji Chi-Square pada α = 0,05.  Hasil analisis univariat menunjukkan ibu yang memiliki balita yang terdiagnosa diare sebanyak 94 orang (65.7%) dan yang tidak terdiagnosa diare sebanyak 49 orang ( 34.3%), ibu dengan pendidikan tinggi sebanyak 68 orang (47.6%) dan pendidikan rendah sebanyak 75 orang (52.4%) dan ibu yang bekerja sebanyak 91 orang (63.6%) dan yang tidak bekerja sebanyak 52 orang (36.4%). Hasil analisis bivariat menunjukkan kejadian diare pada balita yang pendidikan ibunya tinggi lebih kecil sebanyak 36 (52.9%) dibandingkan dengan terjadinya diare pada balita dengan ibu berpendidikan rendah sebanyak 58 (77.3%), kejadian diare pada balita yang ibunya bekerja lebih besar sebanyak 72 (79.1%) dibandingkan dengan tidak terjadinya diare pada balita yang ibunya bekerja sebanyak 19 (20.9%). uji chi-square menunjukkan ada hubungan yang bermakna antara pendidikan dengan kejadian diare ( p value = 0,004) dan ada hubungan yang bermakna antara pekerjaan ibu (p value =0,000) dengan kejadian diare di Puskesmas Basuki Rahmat Palembang tahun 2011. Diharapkan kepada petugas kesehatan agar dapat meningkatkan pelayanan kesehatan terutama penyuluhan tentang faktor  resiko kejadian diare pada balita.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21509-e21509 ◽  
Author(s):  
Richard Tancredi ◽  
Sara Stefani ◽  
Lorenzo Gervaso ◽  
Vittorio Fregoni ◽  
Priti Poojary ◽  
...  

e21509 Background: End-of-life palliative chemotherapy does not improve quality of life nor does it prolong survival of terminal cancer patients. On the contrary, it is related not only to increased health costs, but also to severe therapy related side effects and to patient and caregiver distress. The first point of the ASCO’s Top Five List, released in 2012, tried to address the issue of chemotherapy overuse near the end of life. We tried to determine the aggressiveness of end of life care at our Institute by evaluating the number of patients who received end-of-life chemotherapy. We also aimed to verify whether the recent ASCO recommendations were followed or not. Methods: Electronic medical records were examined to identify patients who received at least one cycle of palliative chemotherapy and who died either in the Oncology or in the Palliative Care unit of the ICS Maugeri hospital between January 2014 and December 2015. Results: 181 patients were included in the study. 22% (40 patients) of these received chemotherapy in the last 4 weeks, and 6% (10 patients) in the last 2 weeks of life. 45% (18) of patients who were actively treated in the last month of life began a new chemotherapeutic regimen within the same period of time. Recently diagnosed patients were more likely to be treated aggressively in their last weeks of life (chi-square test, p value = 0.007). 12% of patients (7 patients) who started a new chemotherapeutic regimen within 90 days of death had already received 3 or more previous regimens. Futhermore, 16% of them (19 patients) had an ECOG PS of 3 or 4 at the beginning of the last regimen. The median survival since the beginning of the last chemotherapeutic regimen was 63 days for patients with a PS of 1 or 2 and 32 days for patients with a PS of 3 or 4 (Logrank test, p = 0.005). Conclusions: Almost 1 patient out of 4 receives end-of-life chemotherapy at our institute. About 30% of our patients began a new chemotherapeutic regimen even though they were in compromised clinical conditions or did not respond to 3 or more previous regimens. Our data highlight a relevant abuse of active anticancer treatments; efforts should be done to reduce these figures and to focus on supportive care near the end of life.


2018 ◽  
Vol 29 (05) ◽  
pp. 458-461
Author(s):  
Oskar Zgraj ◽  
Anna Taczanowska-Niemczuk ◽  
Wojciech Gorecki

Introduction The management of melanocytic nevi involves many various practitioners with a high number of patients. Data on failure to achieve goals of treatment are scarce. We aimed to determine percentage of incompletely excised nevi and the risk factors responsible. Materials and Methods In this retrospective cohort study, histology reports of all melanocytic nevi excised within our department between January 2014 and June 2015 were considered. Those aimed for stage excision and those with inconclusive histology reports were excluded. Patients' age, sex, anatomical location of the lesion, its size, as well as source of specimen (general surgical outpatients, surgical oncology outpatients, and operating room), and performing surgeon (trainee vs. consultant) were recorded. Chi-square test was used for statistical analysis with a p-value of < 0.05 considered significant. Results A total of 739 nevi in 541 patients were analyzed. Positive margins were found in 80 (11%) of all specimens. There was significantly increased rate of incomplete excision of nevi from the facial area (42%; p < 0.001) versus other areas and, surprisingly, those excised in the operating room under general anesthesia (19%; p = 0.009). Nevi excised at our surgical oncology outpatients had the lowest rate (8%, p = 0.013) of incomplete excisions. There were no statistically significant differences in other variables. Conclusion We identified facial location and operating room environment as risk factors for incomplete excision of melanocytic nevi. We suggest that human factors play a key role in achieving a good quality of service.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S128-S128
Author(s):  
Deniz Akyol ◽  
Ayşe Uyan Önal ◽  
Uğur Önal ◽  
Damla Akdağ ◽  
Cansu Bulut Avşar ◽  
...  

Abstract Background In this study it was aimed to compare the effects of qSOFA (Quick Sequential Organ Failure Assessment) score with modified qSOFA score (PLoS One. 2018 Sep 26;13(9):e0204608) for predicting one month survival in patients with diagnosed septic shock (SS) in a tertiary-care educational university hospital in a developing country. Methods Modified qSOFA was created by adding age factor (>50 years=1 point) to patients with qSOFA scale 1 or 2 or 3 who had SS (sepsis+hypotension+adrenergic agent) and consulted by Infectious Diseases consultants between December 2013-December 2018. Arterial lactate level of >2 mmol/L criterion was added as an including criteria for SS according to 3rd International Sepsis and Septic Shock Consensus Statement after 23rd February 2016. Statistical analysis was performed via Chi-square test and a p-value <0.05 was considered significant. Results The number of patients with qSOFA score of 1 or 2 or 3 from 527 patients are in Table1 [some of the cases were diagnosed as septic shock according to elder definition (without lactate criterion) and there was a subgroup with qSOFA score 1]. Among the >50-year aged group, the 30-day survival rate was lower in patients with qSOFA3 vs. qSOFA 2 vs. qSOFA 1 (Table1, 3x2 Chi Square test, P = 0.0057). Among the <50 years group, the qSOFA one month survival rate was lower in patients with qSOFA 3 vs. qSOFA 2 vs. qSOFA 1 (Table, 3x2 Chi Square Test, P = 0.0052). According to modified qSOFA, there was a significant difference for one month survival among SS cases with scores of 1, 2, 3 and 4 (12/21 57% vs. Fifty/126 40% vs. 78/269 29% vs. 22/111 20%, 4x2 Chi-square test, P = 0.0003). On the other hand, there was no significant difference in terms of one month survival when we performed subgroup analysis in qSOFA score 1, 2, or 3 subgroups, as ≤50 years vs. >50 years (table, Chi-square test, 12/21 vs. 39/97 P = 0.224, 11/29 vs. 75/244 P = 0.526, 3/25 vs. 22/111 P = 0.572). Conclusion In terms of survival at one month, there was a significant difference between qSOFA score 1, 2, 3 and 4 subgroups. In patients with qSOFA score of 1 or 2 or 3, being under 50 years did not have a significant effect on one-month survival. Modified qSOFA may be beneficial to foresee the probable mortality but these findings need to be validated in larger cohorts Disclosures All authors: No reported disclosures.


2013 ◽  
Vol 8 (2) ◽  
pp. 66
Author(s):  
Wanti Wanti ◽  
Enni Rosida Sinaga ◽  
Irfan Irfan ◽  
Mitrawati Ganggar

Kasus frambusia yang tercatat di Puskesmas Bondo Kodi Kabupaten Sumba Barat Daya, Nusa Tenggara Timur (NTT) terus meningkat dari 174 kasus tahun 2009 menjadi 327 kasus pada tahun 2010 dan 369 kasus pada tahun 2011. Pada tahun 2012, frambusia tertinggi terjadi di Desa Mali Iha di Kecamatan Bondo Kodi dengan 43 kasus. Penelitian ini bertujuan untuk mengetahui faktor-faktor lingkungan, perilaku, dan pengetahuan masyarakat yang berhubungan dengan kejadian penyakit frambusia pada anak-anak. Penelitian observasional ini menggunakan rancangan studi kasus-kontrol, dengan kondisi sarana air bersih (SAB), perilaku hidup bersih dan sehat (PHBS), dan pengetahuan masyarakat tentang frambusia sebagai variabel bebas. Sampel penelitian adalah 30 orang anak yang menderita frambusia (kasus) dan 30 orang anak sehat (kontrol) yang diambil dengan metode purposive sampling. Data dan informasi mengenai SAB, praktik PHBS, dan pengetahuan masyarakat tentang frambusia didapatkan dengan observasi dan wawancara, kemudian dianalisis dengan uji kai kuadrat. Ditemukan, secara statistik kejadian frambusia berhubungan bermakna dengan kondisi SAB (OR = 15,16 dan nilai p = 0,035) dan PHBS (OR = 7 dan nilai p = 0,048), tetapi tidak berhubungan dengan pengetahuan masyarakat tentang frambusia (nilai p = 0,283). Penelitian ini menyimpulkan bahwa kondisi SAB dan PHBS merupakan faktor risiko frambusia.Frambusia cases recorded at Bondo Kodi Primary Health Care in Sumba Barat Daya District, East Nusa Tenggara (NTT) were continously increasing from 174 in 2009 to 327 in 2010 and 369 in 2011. In 2012, the highest frambusia occurred in Mali Iha Village with 43 cases. The present research was to define environmental, behavioural, and knowledge factors associated with the frambusia in children. This observational study employed case-control design with condition of clean water source, practices of personal hygiene and health behavior, and community knowledge about frambusia as independent variables. Samples were 30 children with frambusia (cases) and 30 healthy children (control) who were selected using purposive sampling. Data and information on environmental condition, behavioral practices, and community knowledge were collected by interview and direct observation and were analyzed using chi-square test. It was found that statistically the frambusia cases were associated significantly with the condition of clean water source (OR = 15.16, p value = 0.035) and personal hygiene and healthy behavior (OR = 7, p value = 0.048), but were not associated with community knowledge (p value = 0.283). It concludes that condition of clean water sources and personal hygiene and healthy behavior are risk factors of frambusia in children.


2021 ◽  
Vol 1 (1) ◽  
pp. 22-32
Author(s):  
Putri Permatasari ◽  
Ridwan Manda Putra ◽  
Agrina Agrina

In hospital health care facilities, sanitation problems are the most important thing, the existence of problems such as clean water, sewage systems, conditions of garbage bins, sewerage systems and sanitation of building spaces cause discomfort for patients being treated. The inpatient room is part of the inpatient installation and is the most important part of the hospital. Therefore, this study aims to determine the effect of sanitation on the satisfaction level of inpatients at the General Hospital of Kuantan Singingi Regency. This research is a quantitative study using the spearmank rank analysis method. The research subjects were patients or their families who were waiting for the patient in the ward. The sample in this study amounted to 70 respondents, with the sampling technique incidental sampling. The analysis was carried out by using the Chi-Square test, the results showed that there was an influence between clean water sources, the P value = 16,556, the sewage system (X2), the P value = 16,170, the trash bin condition (X3), the P value = 16,640 variables. condition of sewerage (X4) obtained P value = 12,685 and  sanitation of building space (X5) obtained P value = 17,637 level of patient satisfaction at the General Hospital of Kuantan Singingi Regency. The results concluded that there is an influence between all independent variables (sanitation) and the dependent variable (satisfaction). Based on the results of research on inpatient respondents at the Kuantan Singingi Hospital, namely the patient was satisfied and comfortable with the services provided. The satisfaction of these patients can improve the image and quality of the Kuantan Singingi Hospital to be good among the public and the government in Kuantan Singingi Regency.


2020 ◽  
Vol 20 (2) ◽  
pp. 670
Author(s):  
Rusdiana Rusdiana ◽  
Ahmad Fickry Faisya

The payment of capitation funds affects the motivation and performance of health workers in providing quality services at the Puskesmas. The work motivation of doctors can affect the quality of service and the performance of other health workers. The purpose of this study is to determine the effect of the distribution of capitation funds on the work motivation of doctors in Puskesmas in Indonesia. This study uses secondary data from Risnakes 2017 research results with cross-sectional design. The sample was all doctors in the puskesmas in Indonesia who were successfully interviewed and had independent variables is 4.012 sample. Data analysis was performed descriptively and statistically using chi-square test and logistic regression. From the results of the study found there is a relationship between the suitability of the distribution of capitation funds with the work motivation of doctors in urban health centers in Indonesia with a P value of 0,000 and PR 1,309 (95% CI 1,153 - 1,487). This means that the appropriate distribution and capitation have an influence of 1,309 times in increasing the work motivation of doctors in Indonesian health centers. The distribution of capitation funds must be in accordance with the workload of doctors at the puskesmas to increase motivation and performance of quality services at the puskesmas and the existing regulations must be regularly evaluated. 


Sign in / Sign up

Export Citation Format

Share Document