scholarly journals PENGETAHUAN DAN PENGGUNAAN ANTIBIOTIK SECARA SWAMEDIKASI PADA MASYARAKAT DI KOTA MANADO

PHARMACON ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 780
Author(s):  
Hendra Tandjung ◽  
Weny Indayany Wiyono ◽  
Deby Afriani Mpila

ABSTRACTAntibiotics are drugs to prevent and treat infections disease, the use of antibiotics must be in accordance with a doctor’s prescription therefore it is safe for patients. Improper use of antibiotics is often done in self-medication. Incorrect use of antibiotics will cause negative impacts, such as resistance to one or several antibiotics, increased drug side effect, expensive health care costs and even death. This research was conducted to determine the level of knowledge and behaviour of using antibiotics in the community in Manado City. This research is a prospective study using a descriptive – analytic research method that is observational to 323 respondents who fit the inclusion criteria. The results show that at the level of knowledge of the respondent’s antibiotics 25% falls in good category, 24% in enough, and less category 51%. At the level of antibiotics use, the percentage of respondent’s were in the categorized as good 25%, in enough 54%, and 21% in less. Spearman test results obtained a significant value of 0,000, the correlation coefficient value of 0,322, and the direction of the correlation is positive (+). This study shows a meaningful correlation between knowledge and use of antibiotics in the community of Manado City. Keyword  : Knowledge, Uses, Antibiotics, Self-Medicated, Resistance ABSTRAKAntibiotik merupakan obat untuk mencegah dan mengobati penyakit infeksi, penggunaanya harus sesuai dengan resep dokter supaya aman bagi pasien. Penggunaan antibiotik yang tidak tepat sering dilakukan dalam swamedikasi. Penggunaan antibiotik yang salah akan menimbulkan dampak negatif, seperti terjadi resistensi terhadap satu atau beberapa antibiotik, meningkatnya efek samping obat, biaya pelayanan kesehatan yang mahal bahkan akan mengakibatkan meninggal dunia. Penelitian ini dilakukan untuk mengetahui tingkat pengetahuan dan perilaku penggunaan antibiotik pada masyarakat di Kota Manado. Penelitian ini merupakan penelitian prospektif dengan menggunakan metode penelitian deskriptif - analitik yang bersifat observasional tehadap 323 responden yang sesuai dengan kriteria inklusi. Hasil menunjukkan bahwa pada tingkat pengetahuan antibiotik responden yaitu kategori baik 25%, cukup 24% dan kurang 51%. Pada tingkat penggunaan antibiotik responden yaitu kategori baik 25%, cukup 54% dan kurang  21%. Hasil uji spearman didapatkan nilai signifikan 0,000, nilai koefisien korelasi sebesar 0,322, dan arah korelasi yaitu positif (+). Penelitian ini menunjukkan bahwa adanya hubungan yang bermakna antara pengetahuan dan penggunaan antibiotik pada masyarakat di Kota Manado Kata Kunci : Pengetahuan, Penggunaan, Antibiotik, Swamedikasi, Resistensi

2019 ◽  
Vol 10 (1) ◽  
pp. 92-102
Author(s):  
Sugeng Suhardi Wiyono ◽  
Titus Priyo Harjatmo

Chronic Energi-Deficient (CED) is mainly caused by an imbalance of nutrient intake that can lead to the growth of the body both physically and mentally imperfect.CED in pregnant women is also at risk of giving birth to babies with low birth weight (LBW).LBW has a complex impact to adulthood, including increasing the risk of coronary heart disease, diabetes, metabolic and immune disorders and physical endurance which results in the economic burden of individuals and society.This study aims to determine the risk factors associated with CED.While the research hypothesis is that there is a correlation between socioeconomic level and energi intake, level of knowledge and level of education with CED of pregnant women . The study was conducted in 10 villages in Purwojati District, Banyumas, Central Java.97 respondents of pregnant women were taken accidentally respectively2 pregnant women every village.As the inclusion criteria, pregnant women live in the study area and are willing as respondents, while as an exclusion criterion are pregnant women who do not allow the upper arm to be measured.A small percentage of gestational age is less than 12 weeks, and a small proportion of pregnant women are a pre-prosperous category and 10.0% of pregnant women suffer from CED.For energi intake and macro nutrients only a small portion is greater than 80.0% RDA.While for all micronutrient intake above 100.0% RDA.The statistical test results concluded that there was no correlation between socioeconomic status (p = 1,000), energi intake (p = 0.632), knowledge level (p = 0.491) and education level (p = 0.309) with CED status for pregnant women .


2018 ◽  
Vol 1 (1) ◽  
pp. 27-30
Author(s):  
Rezqi Handayani

Pharmacological therapy in fever patients is to provide Antipyretic drugs, can be done by using a doctor's prescription or by self-treatment. The condition that occurs in the community is self-medication conducted in the category of irrational treatment therapy because it is not in accordance with the condition of the patient. So, it is necessary to do education using Active Mother�s Ways of Learning Method to the housewives about rational fever self-treatment. The sample in this study were 40 housewives in the Flamboyant Bawah, divided into two major groups namely the control and treatment groups. Each group was given a pretest and posttest in a questionnaire of fever management. In the treatment group, fever drug education given before posttest by used CBIA method. The results showed an increase in knowledge of housewives from before education and after education was seen from the acquisition of grades. The mean pretest value in the control group was 74.38 and the treatment group was 69.69. Statistical test results show there was no significant difference in the mean value between the control group and the treatment group. The mean posttest value in the control group was 77.81 and the treatment group was 87.50. There was a significant difference between the mean value of the control group and treatment group. From the results of the statistical analysis showed that the level of knowledge of the treatment group given education by used the CBIA method produced a higher value than the control group that was not given education.


2022 ◽  
Vol 4 (2) ◽  
pp. 1134-1139
Author(s):  
Nurhidayati Harun ◽  
Firdawati Firdawati ◽  
Nia Kurniasih

The use of drugs for pregnancy and breastfeeding needs to be self-medication and the importance of counselling to increase the mother's knowledge about the correct use of drugs so that pregnant and lactating women's level of health and knowledge increases. The counselling purpose was to determine the mother's level of knowledge and whether there was a difference in the knowledge level of the use of drugs during pregnancy and lactation. The method used is pre and post-media analysis (flipchart). Data analysis obtain by scoring questionnaires, univariate analysis, and statistical analysis. Mann-Whitney test results showed that in the post-test or after giving counselling using flipchart media, there was a change in respondents' knowledge from before being given a flipchart and after being given a flipchart. The hypothesis from this counselling is accepted, which means that giving flipcharts affects the level of knowledge. The calculations using the spearman test obtained p-value pretest 0.732 and p-value post-test 0.253 for pregnant women and obtained p-value pretest and post-test of 0.033 (p <0.05) for breastfeeding mothers, then there is a relationship between the education level pregnant and lactating mothers with knowledge. The Wilcoxon test data pretest and post-test knowledge of pregnant and lactating mothers had a p-value of 0.003 (p 0.05), the effect of counselling concluded with flipchart media on the knowledge of pregnant and lactating mothers about the use of drugs.


1970 ◽  
Vol 5 (2) ◽  
pp. 01
Author(s):  
Didit Damayanti ◽  
Pria Wahyu R.G ◽  
Muhanni’ah Muhanni’ah

Introduction: Disaster management is a dynamic, continual, and integrated process as to increase the qualities of the actions which are relevant to the process of observation and analysis of disaster as well as minimalizing the negative impacts, mitigation, readiness, early warning, immediate emergency, rehabilitation and reconstruction. The aim of this research is to analyse theconnection between disaster management and the prevention of community breakdown in order to face a volcanic eruption for every head of household. Method: The design of this research is correlational research with a cross sectional approach. The demographic group that is used for this research is the head of households in Rt 06/Rw 01 dusun Puncu desa Puncu, by using the purposive sampling technique which has been collected from the sampling of the 33 heads of households. Independent variable is the knowledge of disaster management, and the dependent variable is the prevention of community breakdown in the handling of the disaster. The data has been received by using the questionnaire, and the results have been analysed by using spearman rho test. Result:  As according to the statistics test, it is found that p-value= 0,000 on the significant level (α) = 0,05 and r = 0,752. It is concluded that there is a connection between knowledge and the prevention of community breakdown in handling of the volcanic eruption in Rt 06/Rw 01. This research shows that the level of knowledge within the community about disaster management and prevention in handling volcanic eruption has been increasing. Conclution: This is shown by the capability of the community in mitigating the effects of the disaster. It is hoped that the community will further engage in training education and simulation to reduce the negative impacts of a disaster. The location where the participants resideis Kelud Volcano, and it is therefore hoped that the communities are willing to participate in better handling of any disaster by joining the education training and simulation; Kata kunci : Pengetahuan, Manajemen bencana, Prevention.


2019 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Hendra Budi Sungkawa ◽  
Inten Ayu Kusuma

Abstract : Pipetting is one of the most important activities in health laboratory analysis. Knowledge of pipetting must be owned by every health laboratory. Students of health analyst as a candidate of health laboratory who will become medical support service unit is expected to be able to do the pipetting precision and accurately. To get a thorough and accurate results then the results of the analysis must be located within a specifc control area and both in precision and accuracy. Precision and accuracy are responsible for analytical interpretation of test results and testing procedures. The method use in this research is the forward method by 61 people research samples which determined by simple random sampling. While the research design used was observational analytics. Based on the results of the research obtained the level of knowledge of respondents research is 71,38; precision pipetting 99,69% and accuracy pipetting 99,58%. From the data that has been obtained then analyzed statistically using tau kendau test. The result indicates that the level of knowledge and precision has a p=0,640 and correlation coeffcient of -0,044 so that the Ho is accepted, meaning there is no relationship between the level of knowledge and precision meaningful. Meanwhile, the level of knowledge and accuracy of the p=0,574 and correlation coeffcient value is -0,053 so that Ho is accepted, it means there is no relationship between the level of knowledge with accuracy. Abstrak: Pemipetan merupakan salah satu kegiatan yang sangat penting dalam analisa laboratorium kesehatan. Pengetahuan pemipetan harus dimiliki oleh setiap tenaga laboratorium kesehatan. Mahasiswa analis kesehatan sebagai calon tenaga laboratorium kesehatan yang akan menjadi unit pelayanan penunjang medis diharapkan mampu melakukan pemipetan dengan teliti dan akurat. Untuk mendapatkan hasil yang teliti dan akurat maka hasil analisa harus terletak di dalam daerah kontrol tertentu dan baik dalam presisi maupun akurasi. Presisi dan akurasi bertanggung jawab terhadap interpretasi analitik hasil pengujian serta prosedur pengujian. Metode yang dilakukan dalam penelitian ini adalah metode forward oleh sampel penelitian sebanyak 61 orang yang ditentukan secara simple random sampling. Sedangkan desain penelitian yang digunakan adalah observasional analitik. Berdasarkan dari hasil penelitian diperoleh nilai tingkat pengetahuan responden penelitian adalah 71,38; presisi pemipetan 99,69% dan akurasi pemipetannya 99,58%. Dari data yang telah didapatkan kemudian dianalisis secara statistik menggunakan uji kendal tau. Untuk tingkat pengetahuan dengan presisi didapatkan hasil nilai p=0,640 dan koefsien korelasi -0,044 sehingga Ho diterima, berarti tidak ada hubungan antara tingkat pengetahuan dan presisi. Untuk tingkat pengetahuan dengan akurasi nilai p=0,574 dan koefsien korelasi adalah -0,053 sehingga Ho diterima, berarti tidak ada hubungan antara tingkat pengetahuan dengan akurasi.


Author(s):  
Sunghoon Kim ◽  
Monica Menendez ◽  
Hwasoo Yeo

Perimeter control is used to regulate transfer flows between urban regions. The greedy control (GC) method takes either the minimum or the maximum for the control inputs. Although it has the advantage of simplicity for real-time feasibility, a few existing studies have shown that it can sometimes have negative impacts because of unnecessary transfer flow restrictions. To reduce unnecessary restrictions, this study provides a method that gives flexibility to ease the strict conditions of the conventional GC. First, we propose a modification as a way of granting exceptions to the flow restriction under specific conditions. Second, we develop an algorithm to determine the threshold dynamically for accepting the exception, by comparing the possible outflow loss of the subject region and the possible outflow gain of its neighboring regions. The test results show that this flexible greedy control can handle the balance between the transfer demands and the greed of regions for securing the supply level, while increasing the performance in both vehicle hours traveled and trip completion.


2020 ◽  
Vol 13 ◽  
pp. 175628482097976
Author(s):  
Renske W. M. Pauwels ◽  
Christien J. van der Woude ◽  
Nicole S. Erler ◽  
Annemarie C. de Vries

Background and aims: Early prediction of the effect of vedolizumab (VDZ) in inflammatory bowel disease (IBD) is of paramount importance to guide clinical decisions. This study assessed whether early fecal calprotectin (FC) can predict endoscopic response and histologic remission after VDZ initiation. Methods: This was a prospective study. Inclusion criteria were endoscopic inflammation and FC >100 µg/g. FC was determined at baseline and weeks 2, 4, 8 and 16. At week 16, endoscopies with ileal and colonic biopsies were performed. FC changes were assessed with Wilcoxon Rank Sum tests. ROC statistics were used to assess the diagnostic accuracy of FC. Results: In total, 45 patients [27 Crohn’s disease (CD), 16/2 ulcerative colitis (UC)/IBD-unclassified] [40% males, median age 39 (28–51) years] were included. Week 16 endoscopic response and histologic remission rates were 58% and 33%. A median 37% decline in FC at week 2 was observed only in endoscopic responders, p = 0.025. FC <250 µg/g at week 8 predicted endoscopic response in both UC and CD (positive predictive value 100%), whereas absence of FC decline at week 8 corresponded with absence of endoscopic response in CD [negative predictive value (NPV) 82%] and absence of histologic remission in both UC and CD (NPV 90%). Conclusion: The onset of a decline in FC as early as week 2 is associated with endoscopic response to VDZ induction. FC <250 µg/g at week 8 is associated with endoscopic response, whereas absence of FC decline at week 8 is associated with absence of both endoscopic response and histologic remission. FC levels 8 weeks after the start of VDZ could be used to guide clinical decisions and might substitute for endoscopic response evaluation.


2012 ◽  
Vol 1 (2) ◽  
pp. 119-122 ◽  
Author(s):  
BG Karmacharya ◽  
P Kumar

Background: Ventriculoperitoneal shunt is one of the most commonly performed neurosurgical procedure, both on the elective and emergency basis. However this procedure is dreaded because of complications. There is lack of prospective studies on complications of shunt procedure. In this study, the indications for shunt, the types used and complications of ventriculoperitoneal shunts were studied. Methods: This was a prospective study carried out in the national neurosurgical referral centre, Bir hospital, Kathmandu from April 2004 to March 2005. Results: There were 109 ventriculoperitoneal shunt procedures during the study period. Among them 60 consecutive patients who fulfilled the inclusion criteria were enrolled for the study. There were 43 male and 17 female patients, with age ranging from 4 months to 75 years. Fourteen patients (23.3%) developed complications which included shunt block, shunt infection, over drainage and shunt extrusion. Conclusion: About one fourth all patients who underwent ventriculoperitoneal shunt surgery developed complications. Shunt block and infections were the major complications. DOI: http://dx.doi.org/10.3126/njms.v1i2.6612 Nepal Journal of Medical Sciences. 2012;1(2): 119-22


2019 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Eka Putri Primasari

Abstract: Breast milk is the best food for babies, especially in the first month of life. Breast milk contains all nutrients to build and provide the energy needed by the baby. The low rate of breastfeeding is a threat to child development. Several factors related to the success of exclusive breastfeeding are the level of knowledge of the mother and husband's support. The purpose of this study was to determine the relationship between the level of knowledge of mothers and husband's support  towards the success of exclusive breastfeeding in Lubuk Kilangan Puskesmas in 2017. This study was analytical with a cross sectional design. The population in this study amounted to 153 respondents. A sample of 31 respondents obtained by simple ramdom sampling. Data were analyzed bivariate. The statistical test results obtained p-value = 0,000. It can be concluded that there is a relationship between the knowledge of mothers about exclusive breastfeeding and husband's support for the success of exclusive breastfeeding.


Author(s):  
M Sobrino-García

Background: The prevalence of hypersensitivity reactions to radiological contrast media (RCM) is increasing due to the greater performance of diagnostic and therapeutic tests that require RCMs. Objective: We carried out a year-long real-life observational study to prospectively evaluate the patients referred to the Allergy Service from Primary Care, Emergency Room, and other Services with suspected moderate to severe RCM hypersensitivity. Methods: To study the costs of RCM hypersensitivity evaluation, we systematically recorded direct and indirect costs. Results: Sixty-nine patients with previous reactions to RCM were evaluated in the Allergy Service from June 1st, 2017, to May 31st, 2018. Total direct health care costs were € 10715.84, with a mean cost per patient of € 155.30 ± 77.08. Specifically, direct non-health costs reached € 1605.42 (mean € 23.27 ± 41.14), and indirect costs were € 6490.85 (mean € 94.07 ± 110.61). In summary, the total cost was € 18812.11, which means a mean cost of € 272.64 ± 164.77. Conclusions: Our study reflects that the costs of an elective evaluation of hypersensitivity to RCM are low. This fact reaffirms that correct and safe management of these patients could be cost-effective, so our efforts should be directed to implement the necessary logistics.


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