COAGULATION ASSAYS AND AT-III ON LEVONORGESTREL IMPLANT ACCEPTORS

2021 ◽  
pp. 283-287
Author(s):  
Muhammad Iqsan ◽  
Ichwanul Adenin ◽  
Muhammad Rizki Yaznil ◽  
Hotma Partogi Pasaribu ◽  
Yudha Sudewo ◽  
...  
Keyword(s):  
P Value ◽  
Cross Sectional ◽  
Coagulation Assays ◽  
At Iii ◽  
Abnormal Bleeding ◽  
The Government ◽  
Cross Sectional Design ◽  
Mean Differences ◽  
And Control ◽  
Populous Country

Background: Indonesia is the fourth most populous country in the world, so the government has focused Family Planning Program using contraception. Implants and IUDs are two most effective reversible contraceptive methods and often used in Indonesia. Implant releases progestin, with most common reported side effect of abnormal bleeding. Specically for levonorgestrel implants, changes in menstrual intervals, duration, volume of menstrual ow can occur. Progestins are believed to cause changes in platelet and blood vessel, leading to hypercoagulability state, which can be assessed through coagulation assays (PT, TT, aPTT) and level of AT-III. Objective: This aims to determine the differences in coagulation assays and AT-III levels between levonorgestrel implant versus IUD acceptors. Methods: This study was an observational analytic study with retrospective cross-sectional design. The population were case population (levonorgestrel implant acceptors) and control population (IUD). A total of 74 respondents were chosen by consecutive sampling. Characteristics data were obtained by interview, anthropometric measurements, and medical records; PT, TT, aPTT, and AT-III data were obtained from blood samples by ELISA method. An independent T-test was used to analyze the data. Results: Mean PT was the same for implant and IUD users, 13.11 seconds (SD=0.81 seconds) (p=0.1,000). Mean TT of implant users was 14.78 seconds (SD=1.18 seconds) and IUD 14.58 seconds. (SD=1.18 seconds) (p=0.75). Mean aPTT for implant users was 30.22 seconds (SD=4.65 seconds) and IUD 30.55 seconds (SD=2.79 seconds) (p=0.200). Mean of ATIII in implant users was 92.18% (SD=9.72%) and IUD 84.79% (SD=14.74%) (p=0.250). Conclusion: No signicant mean differences for PT, TT, aPTT, and AT-III between groups of levonorgestrel implant and IUD acceptors (p value> 0.05).

scholarly journals CORRELATION BETWEEN SMOKE-FREE AREAS AND SMOKING BEHAVIOR IN INDONESIA

2020 ◽  
Vol 8 (2) ◽  
pp. 117
Author(s):  
Mohamad Anis Fahmi
Keyword(s):  
Public Awareness ◽  
Smoking Behavior ◽  
Secondary Data ◽  
Computer Application ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
The Government ◽  
Cross Sectional Design ◽  
The Impact

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.

SOCIODEMOGRAPHIC RELATIONSHIP AND HISTORY OF CONCOMITANT DISEASES WITH CORONARY HEART DISEASE IN ACEH PROVINCE (SECONDARY DATA RISKESDAS 2018)

2021 ◽  
Vol 7 (1) ◽  
pp. 82-90
Author(s):  
Naimah Naimah ◽  
Asnawi Abdullah ◽  
Fahmi Ichwansyah
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Secondary Data ◽  
Provincial Government ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Aceh Province ◽  
The Government ◽  
Cross Sectional Design

Background: Coronary Heart Disease (CHD) in Indonesia, especially Aceh Province, is the number one contributor to death at this time. The prevalence of CHD by province at the age ≥ 15 years was reported that Aceh ranks in the top two with the highest CHD provinces (D 0.7% and D/G 2.3%). This research needs to be analyzed further aimed to determine the determinants of CHD in Aceh Province because CHD in Indonesia is one of the main problems most noticed by the government. Various programs to anticipate and find solutions of health problems, especially CHD has beeen made for the good of the people of Indonesia. Methods: Further analysis of this secondary data is descriptive analytic using cross-sectional design. The research location in Aceh Province was conducted in May-June 2013. The secondary data was reprocessed by researchers in 2019. The population and samples in this study were 11.617 households and 40,951 household members. Data analysis was performed using univariate and bivariate analysis. Result: The results showed that there is a relationship between age and coronary heart disease (p value 0.001), gender (p value 0.001), low education level (p value 0.002), employment status (p value 0.008), Diabetes mellitus (p value 0.001), hypertension (p value 0.001), and smoking (p value 0.0001). Recommendation: It is hoped that the provincial government implements the No Smoking Area (KTR) policy in every public area such as schools, terminals, hospitals and create qanuns that truly public health precision.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN MEMBUANG SAMPAH DI LINGKUNGAN IV KELURAHAN HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2017

2018 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Napis Alfikri ◽  
Wisnu Hidayat ◽  
Vierto Irennius Girsang
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Bivariate Analysis ◽  
P Value ◽  
Analytic Method ◽  
Care Providers ◽  
Cross Sectional ◽  
Public Figures ◽  
The Government ◽  
Cross Sectional Design

Garbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day.  which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action   Throwing Garbage  

scholarly journals Hubungan antara lama menjalani hemodialisis dengan kualitas hidup pasien yang menjalani hemodialisis di Unit Hemodialisis RSUP. Prof. Dr. R. D. Kandou Manado

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Moch. T. S. A. Rahman ◽  
Theresia M. D. Kaunang ◽  
Christofel Elim
Keyword(s):  
Quality Of Life ◽  
Hemodialysis Patients ◽  
Electrolyte Imbalance ◽  
P Value ◽  
Cross Sectional ◽  
Hemodialysis Unit ◽  
Cross Sectional Design ◽  
And Control ◽  
The Relationship

Abstract: Chronic kidney disease (CKD) results in a decrease in kidney function that is irreversible and requires treatment in the form of a kidney transplant or hemodialysis. The main goal of hemodialysis is to prevent and control uremia, fluid overload, and electrolyte imbalance. Problems that commonly associate hemodialysis patients are physical and psycological stress that affect the quality of life. This study aimed to obtain the relationship between the duration of hemodialyis and the quality of life. This was an observational analytical study with a cross sectional design. The study included all hemodialysis patients in Dahlia and Melati Hemodialysis Unit Prof. Dr. R. D. Kandou Hospital Manado. There were 34 patients that met the inclusion criteria. The results showed that the correlation between the duration of hemodialyis and the quality of life had a p value of 0.579. Conclusion: The duration of hemodialysis did not correlate significantly with the quality of life of hemodialysis patients.Keywords: The duration of hemodialysis, quality of life.Abstrak: Gagal ginjal kronik (PJK) mengakibatkan penurunan fungsi ginjal yang ireversibel, yang memerlukan terapi berupa transplantasi ginjal atau hemodialisis. Tujuan utama hemodialisis yaitu mengendalikan uremia, kelebihan cairan dan ketidakseimbangan elektrolit. Permasalahan yang muncul pada pasien hemodialisis ialah masalah fisik, psikologi, perubahan sosial, dan gaya hidup; hal tersebut memengaruhi kualitas hidup pasien. Peneltian ini bertujuan untuk mencari hubungan antara lama menjalani hemodialisis dengan kualitas hidup. Metode penelitian yang digunakan ialah observasional analitik dengan pendekatan potong lintang Penelitian ini melibatkan semua pasien hemodialisis di Unit Hemodialisis Dahlia dan Melati RSUP Prof. Dr. R. D. Kandou Manado yang memenuhi kriteria inklusi yaitu sebanyak 34 orang. Hasil penelitian menunjukkan korelasi antara lama menjalani hemodialisis dengan kualitas hidup dengan nilai P=0,579. Simpulan: Tidak terdapat hubungan antara lama menjalani hemodialisis dengan kualitas hidup pada pasien hemodialisis.Kata kunci: lama menjalani hemodialisis, kualitas hidup.

scholarly journals THE INFLUENCE OF MATERNAL ANXIETY TOWARDS THE SELECTION OF MATERNITY PLACES DURING COVID- 19

2021 ◽  
Vol 1 (2) ◽  
pp. 155-162
Author(s):  
Cut Yulia ◽  
Maidar Maidar ◽  
Melania Hidayat ◽  
Asnawi Abdullah ◽  
Marthoenis Marthoenis
Keyword(s):  
Pregnant Women ◽  
Virus Disease ◽  
Sampling Technique ◽  
Survey Method ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
The Government ◽  
And Control

Corona Virus Disease (COVID-19) pandemic is currently engulfing almost the entire world, including Indonesia. As of August 12, 2021, there were 3,774,155 positive cases of Covid-19 in Indonesia, 24,709 new cases and 113,664 deaths. The group of maternal is a vulnerable group, where there are 4.9% of pregnant women who are confirmed positive for COVID-19 from 1,483 confirmed cases that have accompanying condition data. Therefore, maternal, perinatal, postpartum and newborns are vulnerable targets for transmission of COVID-19 infection and this condition is feared to increase maternal and perinatal morbidity and mortality. The general objective of this study was to determine the effect of the anxiety level of pregnant women on the choice of place of delivery during the COVID-19 period. This study used a survey method with a cross sectional approach. The study was conducted in Aceh Barat Regency, in March-June 2021. The population in this study were 637 third trimester pregnant women in 2021. The number of samples in this study was 246 samples calculated by the slovin formula and using accidental sampling technique. Data analysis used logistic regression test. The results of the bivariate analysis showed that there was a significant effect between the level of mild anxiety and the choice of place of delivery during the COVID-19 pandemic with a value (OR=5.6, 95% CI=2.04-15.3, p-value=0.001), . While the level of moderate anxiety had no significant effect on the choice of place of delivery during the Covid-19 period (OR=2.1, 95% CI=0.4-12.4, p-value=0.383) The level of severe anxiety in pregnant women was also not significant. effect on the choice of place of delivery during the Covid-19 period (OR=1.1, 95% CI=0, p-value=0.989). Expected to the government can improve education programs and supervision of the prevention and control of the Covid 19 pandemic, especially groups of pregnant women in order to minimize the possibility of excessive anxiety in pregnant women during the Covid 19 pandemic.

scholarly journals COVID-19: Preventive Strategies among Workers in a Tertiary Health Institution in South-east Nigeria

2021 ◽  
pp. 17-27
Author(s):  
Jacinta Chinyere Elo-Ilo ◽  
Chioma Chetachukwu Ajator ◽  
Dorothy Amauche Ezeagwuna ◽  
Ahoma Victor Mbanuzuru ◽  
Chioma Phyllis Nnamani
Keyword(s):  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Contributory Factor ◽  
P Value ◽  
Cross Sectional ◽  
Health Institution ◽  
The Government ◽  
And Control

Background and Aim: Healthcare workers have the highest risk of exposure to COVID-19 infection due to the nature of their occupation which daily exposes them to infectious agents/people with COVID-19. The study aimed to determine the knowledge of healthcare workers towards COVID-19 infection prevention strategies and factors that affect infection prevention against COVID-19. Materials and Methods: A hospital-based cross-sectional analytical study conducted in a tertiary health institution. One hundred and ninety-five participants were recruited consecutively into the study. Data was collected using a 13-question semi-structured self-administered questionnaire. The knowledge, perceptions and factors contributing to COVID-19 infection, prevention and control (IPC) were measured. Data was analyzed using SPSS version 23. The test of significance was set at p-value <0.05. Results: The knowledge of COVID-19 Infection, Prevention and Control (IPC) was 31.8%, 63.6% of the participants were aware of IPC program at the hospital but majority (74.9%) had not received any training. There was no significant association between knowledge of COVID-19 IPC and sociodemographic characteristics. Less than half of the participants (37.4%) had a good perception of the hospital’s readiness for COVID-19 pandemic, 52.8% reported that breeching IPC rules can cause an outbreak of COVID-19 in the hospital. Lack of resources to fulfil Infection, Prevention and Control need is the single most important contributory factor to the spread of COVID-19 infection. Conclusion: The knowledge of COVID-19 infection, prevention and control was poor in the study and the majority of the healthcare workers had not received any training regarding Infection, Prevention and Control. Therefore, there is need for the hospital management with the financial backup from the government to train healthcare workers on Infection prevention and control strategies.

HUBUNGAN LAMA WAKTU MENDERITA STROKE DENGAN TINGKAT KEMANDIRIAN KLIEN DALAM MELAKUKAN AKTIVITAS PEMENUHAN KEBUTUHAN SEHARI-HARI

2018 ◽  
Vol 1 (2) ◽  
pp. 58
Author(s):  
Setia Budi ◽  
Ria Dila Syahfitri
Keyword(s):  
Data Analysis ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Stroke Incidence ◽  
Bivariate Data ◽  
Cross Sectional Design ◽  
Interviewing Techniques ◽  
Need For Rehabilitation

The rate of stroke incidence is about 200 per 100,000 people throughout the world. This study aims to determine the Relation Suffer Stroke With Independence Level In Neurology Polyclinic TK II DR Ak Gani Palembang Year Hospital 2017. The research method used is descriptive quantitative with cross sectional design that is done by interviewing techniques with questionnaires on 42 respondents with Accidental sampling technique. This research was conducted in August 2017. Data analysis used is univariate data analysis and bivariate data analysis with one way anova test result. The results of univariate analysis showed that the duration of the respondents suffering from stroke was between 2.10 years to 3.38 years. Also found that most respondents were at the level of independence f; independent, except bathing, dressing, moving, and one other function with a total of 12 respondents. The results showed that there was a significant relationship between the long suffering stroke with the level of independence with the value of p value 0.025. For that the need for rehabilitation to patients and families of patients in order to help improve the independence of stroke patients in doing their daily activities. Keywords : Long Suffer Stroke, Level of Independence

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD

An Exploratory Study of Trade Union Pluralism in Ghana

2019 ◽  
Vol 42 ◽  
Author(s):  
Kenneth E. Parku ◽  
Yvonne Ayerki Lamptey
Keyword(s):  
Trade Union ◽  
Snowball Sampling ◽  
Freedom Of Association ◽  
Cross Sectional ◽  
Trade Union Movement ◽  
Union Movement ◽  
Legal Provisions ◽  
Enterprise Level ◽  
The Government ◽  
Cross Sectional Design

The practice of trade union pluralism at an enterprise level is seen as problematic for both the management of enterprises and the trade union movement. The problems arise from inter-union rivalries, competition and disputes over demarcations of privileges and rights. This article explores the practice of trade union pluralism at the enterprise level in Ghana with the aim of creating awareness of the effect of the practice on the general trade union movement. This qualitative study employed a cross-sectional design and used purposive and snowball sampling methods in selecting the participants. The data was analysed thematically. The findings from the study show that union pluralism is stimulating the decline in general union membership, the breakaway of local unions from the federations, and employers’ classification of workers based on their qualifications once they are employed by organisations, and their assignment to specific unions (automatic membership at enterprise level). It is suggested that employment laws encourage union breakaways, which weakens the unions especially at the enterprise level. It is recommended that the state, labour officials and policy-makers should enforce labour laws, especially regarding freedom of association, and consider revisiting or amending some labour laws to curb their abuse. The government and labour institutions need to work together to operationalise the implementation of legal provisions on freedom of association or consider amending the provisions to curb the existing abuse.

HUBUNGAN INTELEGENSI DENGAN PERILAKU NERS TINGKAT II STIKES SANTA ELISABETH MEDAN

2016 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Imelda Derang
Keyword(s):  
Student Nurses ◽  
Sampling Technique ◽  
P Value ◽  
Test Results ◽  
Cross Sectional ◽  
Intelligence Level ◽  
Level Ii ◽  
Study Population ◽  
Cross Sectional Design ◽  
The Relationship

Intelligence is the ability to apply the knowledge and experiences that have been gained into the effort tasks are challenging and flexible book. Behaviour is an action that involves aspects of affective, cognitive, and psychomotor. Goal: This study aims to determine the relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Method: This study uses correlation with cross sectional design. The study population was all students / i Ners Level II STIKes Santa Elisabeth Medan as 65. The samples used were 65 respondents, the sampling technique in this research is using purposive sampling. The instrument of this study using questionnaire and observation sheets by using product moment test person. Result: Intelligence students as many as 30 people (46.2%) classified as having an average level of intelligence. A total of 32 people (49.2%) classified as well-behaved students. Person product moment test results obtained p value = 0.172 where a significant level of p> 0.05 so that this value proves that the absence of a relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Conclusion: Recommended for institutions, motivating students in balancing the behavior and intelligence. 

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