scholarly journals HUBUNGAN INFESTASI CACING YANG DITULARKAN MELALUI TANAH DAN EOSINOFILIA PADA SISWA SD GMIM BUHA MANADO

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Yeti Teresia Matei ◽  
Novie Rampengan ◽  
Sarah M. Warouw

Abstract: Infestation of soil transmitted helminth is often found among communities in developing countries. This helminthic infestation can affect nutritional state, physical growth, mental, cognition, and intellectual deterioration in children. Increased eosinophils (eosinophilia) is often associated with diseases caused by worms and allergy. This study aimed to determine the links between investastion of soil transmitted helminth and esinophilia among students in SD GMIM Buha Manado. This was a prospective observational study with a cross-sectional approach. According to exclusive and inclusive criteria, 80 samples were obtained. Data were analyzed by using the Fisher Exact and Phy correlation coefficient analysis. The resluts showed that 17.5 % students were infected by Ascaris lumbricoides, meanwhile Trichuris trichiura and hookworm were not evident. The corelation test showed that there was a significant relationship between infestation of soil transmitted helminth and eosinophilia with a P-value = 0.001. Conclusion: There was a high significant relationship between infestation of soil transmitted helminth and eosinophilia among students of SD GMIM Buha Manado. The most frequent found was Ascaris lumbricoides and its infestation was marked by eosinophilia. Keywords: Soil transmitted helminth, eosinophilia, students of SD GMIM Buha Manado.   Abstrak: Infestasi cacing yang ditularkan melalui tanah banyak ditemukan pada masyarakat di negara berkembang. Infestasi cacing bisa berdampak terhadap gizi, pertumbuhan fisik, mental, kognitif, dan kemunduran intelektual pada anak. Peningkatan eosinofil sering  dikaitkan dengan penyakit yang disebabkan oleh cacing dan alergi. Penelitian ini bertujuan untuk mengetahui hubungan infestasi cacing yang ditularkan melalui tanah dan eosinofilia pada siswa SD GMIM Buha Manado. Penelitian ini merupakan penelitian prospektif observasional dengan pendekatan potong lintang.cross – sectional. Berdasarkan kriteria eksklusi dan inklusi diperoleh 80 sampel. Analisis korelasi yang digunakan ialah uji Fisher Exact dan analisis koefisien korelasi Phi. Hasil penelitian memperlihatkan 17,5% siswa terinfestasi cacing Ascaris lumbricoides, sedangkan Trichuris trichiura dan cacing tambang tidak ditemukan. Hasil uji korelasi menunjukkan bahwa terdapat hubungan yang sangat bermakna antara infestasi cacing yang ditularkan melalui tanah dan eosinofilia dengan P = 0,001. Simpulan: Terdapat hubungan yang sangat bermakna antara infestasi cacing yang ditularkan melalui tanah dan eosinofilia Cacing yang paling banyak menginfestasi siswa SD GMIM Buha Manado ialah Ascaris lumbricoides. Adanya infestasi Ascaris lumbricoides ditandai dengan peningkatan eosinofil. Kata Kunci: Infestasi cacing yang ditularkan melalui tanah, eosinofilia, siswa SD GMIM Buha Manado.

2019 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Sri Wantini ◽  
Eka Sulistianingsih

Kebiasaan mengkonsumsi sayuran mentah perlu hati-hati terutama jika dalam pencucian kurang baik sehingga kemungkinan masih terdapat telur cacing pada sayuran tersebut. Pada umumnya pedagang kaki lima menjual menu andalannya dengan cara membuka tempat yang tidak permanen di pinggir jalan, sehingga kebersihan tempat perlu dijaga. Cara penularan telur cacing <em>Soil Transmitted Helmints</em> ke manusia dapat dikarenakan memakan sayuran yang kurang matang, dan tidak dicuci dengan bersih menggunakan air mengalir secara langsung, serta meminum air yang terkontaminasi telurcacing. Hampir seluruh penduduk Indonesia mengkonsumsi sayuran. Jenis penelitian kuantitatif desain penelitian cross sectional dengan Uji <em>Chi Square</em>, untuk mengetahui hubungan higiene sanitasi terhadap telur cacing nematoda usus pada lalapan mentah di warung sepanjang jalan Z.A.Pagar Alan Bandar lampung. Hasil Penelitian univariat dari 12 warung yang memiliki higiene sanitasi baik sebanyak 5 (41,7%) dan yang memiliki higiene sanitasi buruk sebanyak 7 (58,3%). Pada sampel kemangi ditemukan telur <em>Ascaris lumbricoides</em> sebanyak 1 ( 8,3%) sedangkan paada kubis ditemukan telur <em>Ascaris lumbricoides</em> sebanyak 4(33,3%) dan telur <em> Trichuris trichiura</em> sebanyak 1 (8,3%). Hasil penelitian bivariat didapatkan nilai <em>p value 0,014 &lt; α 0,05 </em>yang artinya ada hubungan  higiene sanitasi terhadap telur nematoda usus pada lalapan mentah di warung pecel lele sepanjang jalan Z.A. Pagar Alam Bandar Lampung.


Author(s):  
Aulia Rahmani ◽  
Nur Melani Sari ◽  
Vita Indriasari

Background: Overall five-year survival rate of Wilm’s Tumor (WT) in developing countries is still poor. Delayed diagnosis is one of the contributing factors, whereas early diagnosis is an important thing for the outcome. It is caused by the WT burden in developing countries that was not comparable with the number of facilities for diagnosis and treatment. Ultrasonography (USG) is the mandatory first-line imaging modality in children with a suspected abdominal mass and an overall sensitivity of 76%. Additionally, it can be found in many health facilities at a lower cost, quick, non-invasive, and carries no risk of radiation. Therefore, the relationship between USG and histopathology should be measured. Materials and Methods: A cross-sectional study with an analytical approach was performed in pediatric (0 untill 18 year of age) renal malignancy and neuroblastoma that admitted to Dr. Hasan Sadikin Hospital, Bandung between 2015-2018. Data were collected from medical records. Statistical analyses using Fisher exact test were done to determine the significance of the relationship between USG and histopathology. Results: Forty-three samples were obtained based on inclusion criteria, such as WT (n=33), neuroblastoma (n=6), renal clear cell carcinoma (n=2) and no specific type of renal malignancy (n=2). Fisher exact test revealed no-significant relationship between USG and histopathology with p-value > 0.05 Conclusion: There is no significant relationship between USG and histopathology. Therefore, centralized unity for USG interpretation is recommended.


2021 ◽  
Vol 8 (20) ◽  
pp. 1549-1553
Author(s):  
Adarsh Hegde ◽  
Nalini Kotekar

BACKGROUND Comorbidity in elderly has negative impact on physiological and cognitive functions, the prevalence of which is increasing. Management of multiple comorbidities has resulted in polypharmacy in elderly. Comorbidity Polypharmacy Score (CPS) is a clinical tool to quantify severity of comorbidities using polypharmacy as surrogate for intensity of treatment required to adequately manage comorbidities. We wanted to evaluate CPS as predictor of post-operative outcomes in geriatric patients undergoing elective surgeries. METHODS A prospective observational study was conducted in a tertiary care centre among elderly patients (more than 65 years) undergoing elective surgeries satisfying inclusion criteria. Calculated sample size was 250. CPS was calculated by assigning one point to each comorbidity and medication taken and sum calculated was categorised. Primary outcomes were defined by hospital length of stay and Barthel index at day 3 and day 5. RESULTS We found moderate positive correlation using Pearson Correlation with CPS and Barthel index at day 3 (p - value = 0.0024, correlation coefficient = - 0.191) and day 5 (p - value = 0.0013, correlation coefficient= -0.202). ANOVA test was applied to compare age with Barthel index at day 3 (p - value = 0.0005) and day 5 (p - value < 0.0001) which was statistically significant. Advanced age was not associated with longer Length of Stay (LOS) (p - value = 0.32). CPS was also not associated with longer LOS (p - value = 0.821). CONCLUSIONS CPS is an easy to measure tool for the evaluation of elderly surgical patients. CPS can be used to predict recovery in terms of activities of daily living (ADL) after surgery thereby preparing patient and family to cope up with stress of surgery and its financial and psychological outcomes. KEYWORDS Geriatric Anaesthesia, Comorbidity-Polypharmacy Score, Activities of Daily Living, Length of Stay, Barthel Index


Author(s):  
Sri Susanti Sri Susanti

ABSTRACT Male adolescent are vulnerable group in doing risky behavior, one of them is smoking behavior. Smoking behavior of male adolescent do are influenced by several factors. The dependent variable in this research is the behavior of smoking and the independent  variables are the knowledge, the influence of peers, and family environment. The sample in this research is total sampling as many as 112  respondents. The research used a analytic survey method with cross sectional approach. Data analysis is using chi square test with 95% confidence level ( α = 0.05 ) . The results if the research showed that 39.3 % of male adolescent smoke and 60.7 % of the male adolescent  do not smoke. The result of Chi-square statistical test showed no significant relationship between knowledge variable ( p value = 0.844 ) and smoking behavior of male adolescent, while peer influence variable ( p value = 0.000 ) and family environment ( 0.000 ) showed a significant relationship with smoking behavior in SMP Negeri 40 Palembang. This research suggests to the school to increase positive activities in groups that can divert adolescents from smoking behavior, for example by  extracurricular activities, sports and so forth, and entered into cooperation between programs with health institutions in giving information about adolescent development and adolescent health problems, especially the dangers of smoking behavior in adolescents.   ABSTRAK Remaja putra merupakan kelompok yang rentan dalam melakukan perilaku berisiko, salah satunya adalah perilaku merokok. Perilaku merokok yang dilakukan remaja putra dipengaruhi oleh beberapa faktor. Variabel dependen dalam penelitian ini adalah perilaku merokok dan variabel indevenden adalah pengetahuan, pengaruh teman sebaya, dan lingkungan keluarga. Sampel dalam penelitian ini adalah Total Sampling dengan jumlah responden 112 remaja putra. Jenis penelitian yang digunakan metode survey analitik dengan pendekatan cross sectional. Analisis data menggunakan uji chi square dengan tingkat kepercayaan 95% (α=0,05). Hasil penelitian menunjukkan bahwa 39,3% remaja putra yang merokok dan 60,7% dari remaja putra yang tidak merokok. Hasil uji statistik chi square menunjukkan tidak ada hubungan bermakna antara variabel pengetahuan (p value= 0,844) dengan perilaku merokok remaja putra, sedangkan variabel pengaruh teman sebaya (p value = 0,000) dan lingkungan keluarga (0,000) menunjukan adanya hubungan yang bermakna dengan perilaku merokok di SMP Negeri 40 Palembang. Penelitian ini menyarankan pada pihak sekolah untuk meningkatkan kegiatan positif yang bersifat kelompok yang dapat mengalihkan remaja dari perilaku merokok misalnya dengan mengadakan kegiatan ekstrakurikuler, olahraga dan lain sebagainya, dan mengadakan kerja sama lintas program dengan Instansi kesehatan dalam pemberian informasi tentang perkembangan remaja dan permasalahan kesehatan remaja, khususnya bahaya perilaku merokok pada remaja.    


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 449.1-449
Author(s):  
S. Mizuki ◽  
K. Horie ◽  
K. Imabayashi ◽  
K. Mishima ◽  
K. Oryoji

Background:In the idividuals with genetic and enviromental risk factors, immune events at mucosal surfaces occur and may precede systemic autoimmunity. Anti-citrullinated protein antibodies (ACPA) are present in the serum for an average of 3-5 years prior to the onset of rheumatoid arthritis (RA) during an asymptomatic period. In ACPA-positivite individuals, the additional presence of RA-related risk factors appears to add significant power for the development of RA. To date, there have been few reports in which clinical courses of ACPA-positive asymptomatic individuals were investigated prospectively.Objectives:To observe the clinical time course of ACPA-positive healthy population for the development of RA.Methods:Healthy volunteers without joint pain or stiffness, who attended the comprehensive health screening of our hospital, were enrolled in this prospective observational study. The serum ACPA levels were quantified by Ig-G anti-cyclic citrullinated peptide enzyme-linked immunosorbent assay with levels > 4.4 U/mL considered positive. ACPA-positive subjects were followed by rheumatologists of our department clinically or a questionnaire sent by mail for screening to detect arthritis.Results:5,971 healthy individuals without joint symptons were included. Ninty-two (1.5%) were positive for ACPA. Of these, 19 (20.7%) developed RA and two were suspected as RA by mail questionnaire. Their average age were 58-years, and women were 68%. The average duration between the date of serum sampling and diagnosis was 10.7 months. ACPA-positive individuals who developed to RA had higher serum ACPA and Ig-M rheumatoid factor levels than ACPA-positive individuals who did not (P value by Mann-Whitney U test: 0.002, 0.005, respectively).Conclusion:Among ACPA-positive asymptomatic individuals, 20% developed RA. The higher titer of ACPA and Ig-M rheumatoid factor levels are risk factors for devoloping RA.Disclosure of Interests:None declared


2019 ◽  
Vol 7 ◽  
pp. 205031211983209 ◽  
Author(s):  
Seung-Joo Nam ◽  
Sung Chul Park ◽  
Sang Hoon Lee ◽  
Dong Wook Choi ◽  
Sung Joon Lee ◽  
...  

Objective: To compare Helicobacter pylori ( H. pylori) eradication rate of type 2 diabetic patients with non-diabetic subjects. Methods: In this multicenter prospective observational study, H. pylori-infected subjects were enrolled from three university-affiliated hospitals. Eradication regimen was triple therapy with standard dose of proton pump inhibitors (b.i.d), amoxicillin (1.0 g b.i.d), and clarithromycin (500 mg b.i.d) for 7 days. Urea breath test was performed 4 weeks after treatment. Various clinical and laboratory data were collected for identification of factors associated with successful eradication. Results: Totally, 144 subjects were enrolled and 119 (85 non-diabetic and 34 diabetic patients) were finally analyzed. Eradication rate was 75.6% and there was no difference between diabetic patients and non-diabetic subjects (73.5% vs 76.5%, p value: 0.814). Adverse drug reactions were reported in 44.5% of patients. In multivariate analysis for predicting H. pylori eradication in diabetic patients, HbA1c (⩾7.5%) was a significant factor affecting eradication rate (adjusted odds ratio: 0.100, 95% confidence interval: 0.011–0.909, p value: 0.041). Conclusion: Diabetes itself is not a major factor affecting H. pylori eradication. However, poor glucose control may harmfully affect H. pylori eradication.


2016 ◽  
Vol 1 (1) ◽  
pp. 13-20
Author(s):  
Gabriel Naibaho

High motivation in a person will encourage them to act properly so that it will affect the productivity of work, conversely, if the nurses are not guided by a strong desire and motivation to work it will have an impact on work satisfaction of the nurses and it reflects a low caring behavior that make the nurses become lazy and in doing their activities of serving and taking care of the patients. Goal:The purpose of this study to analyze the effects of exercise range of motion The objective of this study is to investigate the correlation between work motivation with nurses’ caring behaviors in internist room of Santa Elisabeth Hospital Medan. Methods:This study uses a correlative descriptive research design with cross sectional approach. The technique of sampling was performed by using non-probability technique with convenience sampling, with 51 respondents using questionnaire sheets of work motivation 20 statements and 42 statement of the nurses’ caring behavior. Result:The result of the study shows that work motivation category good is as many as 44 (86.3%) nurses, and category good enough is 7 (13.7%) nurses. The nurses’ caring behavior with good category is 16 (31.4%) nurses, good enough is 35 (68.6%) nurses. Conclusion:Based on spearman’s rho test P value = 0.001 and correlation coefficient = 0.603 it can be concluded that research hypothesis (Ha) is accepted that is there is correlation between work motivation with nurses’ caring beahvior in internis room of Elisabeth Hospital Medan. It is suggested to nurses to improve the knowledge, attitudes and skills especially when carrying out their role as executor of professional nursing actions.


2021 ◽  
Vol 2 (1) ◽  
pp. 222-229
Author(s):  
Yuanita Panma

The stress experienced by most students is academic stress. This academic stress is closely related to students' academic processes and the environment that affects the academic process. The purpose of this study was to determine the relationship between academic stress and student learning achievement. This study was a cross-sectional design with purposive sampling of 126 respondents. Data were collected at a nursing academy in Jakarta in 2018. The instrument used was the Student Life Stress Inventory (SLSI) questionnaire. Results showed most students were female(88.9%), from Senior High School majoring in science (38.9%), very satisfyinglearning achievement (91.3%), and experience severe academic stress (55.6%). There is no significant relationship between learning achievement and academic stress (p = 0.317) and gender (p-value 0.370). There is a significant relationship between learning achievement and sebior high school majoring (p=value 0.005) and age (p-value 0.007). Institutions should identify sources of the academic stressor and apply appropriate coping mechanisms to reduce academic stress.Keywords:academic stress, learning achievement, nursing student.


2015 ◽  
Vol 55 (3) ◽  
pp. 136 ◽  
Author(s):  
Nelly Simarmata ◽  
Tiangsa Sembiring ◽  
Muhammad Ali

Background Soil-transmitted helminth (STH) infections remain a public health problem in developing countries. Their prevalence is particularly high in rural areas with people of low socioeconomic level. A single or mixed STH infection rarely causes death, but can affect nutritional status, growth, cognitive development and human health, especially in children.Objective To compare the nutritional status of STH-infected and uninfected children.Methods This cross-sectional study was conducted in June 2010 in children from 3 primary schools in the Simpang Empat and Kabanjahe Subdistricts, Karo District, North Sumatera Province. Fecal examinations were done by the Kato-Katz method to diagnose STH infections. Participants of this study consisted of 140 infected children and 141 uninfected children. Nutritional status classification was based on the 2000 Centers for Disease Control growth charts. All categorical data were analyzed by Chi-square test.Results Of 140 infected children, 8.6% were infected with Ascaris lumbricoides, 17.1% with Trichuris trichiura and 74.3% with mixed infections (Ascaris lumbricoides and Trichuris trichiura). We found significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also found significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity.Conclusion We find significantly more STH infected children with mild to moderate malnutrition than the uninfected group. We also find significantly more mildly to moderately malnourished children with moderate infection intensity than mild infection intensity. Higher severity of infection is associated with lower nutritional status.


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