scholarly journals FAKTOR RISIKO DAN PROTEKTIF PEKERJA PENGGUNA NARKOBA YANG MENJALANI REHABILITASI DI BNNP JAWA BARAT

Author(s):  
Rahma Dilla Arnanda ◽  
Ahmad Gimmy Prathama

Drug abuse is increasing and spreading throughout all circles, including workers. During this time many studies related to drug abuse focused on adolescents, even though workers also have a high-risk factor. Risk factor is something that can predict an increase in the likelihood of violations or mistakes later on. One step that can be done to reduce risk factors of drug abuse is to undergo rehabilitation. Therefore, this study aimed to explore the risk factors of drug abuse on workers who are undergoing rehabilitation in the Badan Narkotika Nasional Provinsi (BNNP) Jawa Barat. This study involved four drug user workers who are undergoing rehabilitation at BNNP Jawa Barat, which was obtained using convenience sampling technique. Data collection was carried out by structured interviews. This research used a qualitative approach with collective case studies design. The results showed that risk factors of drug abuse involved internal and external factors. Internal factors such low of self-esteem and difficulties to reject invitations from friends to use drugs. External factors consist of family factor, friends, environment, and socio-economic status. In addition to risk factors, researcher also found protective factors that are the user’s awareness about negative impact of drug abuse and motivation for having a better life. Besides family factors, especially social support that come from their wife and work environment that demand for professionals also become a protective factor for drug abuse. Keywords: Risk Factor, Protective Factor, Drug Abuse, Workers, BNNP Jawa Barat Penyalahgunaan narkoba semakin hari semakin meningkat dan menyebar di berbagai kalangan, termasuk pada kalangan pekerja. Selama ini banyak penelitian terkait penyalahgunaan narkoba yang berfokus pada remaja, padahal para pekerja juga memiliki faktor risiko yang tinggi. Faktor risiko adalah sesuatu yang dapat memprediksi peningkatan kemungkinan pelanggaran atau kesalahan di kemudian hari. Salah satu langkah yang dapat dilakukan mengurangi faktor risiko penggunaan narkoba adalah dengan menjalani rehabilitasi. Maka dari itu penelitian ini bertujuan untuk mengeksplorasi faktor risiko pada pekerja pengguna narkoba yang menjalani rehabilitasi di Badan Narkotika Nasional Provinsi (BNNP) Jawa Barat. Penelitian ini melibatkan empat orang pekerja pengguna narkoba yang sedang menjalani rehabilitasi di BNNP Jawa Barat, yang diperoleh dengan menggunakan teknik convenience sampling. Pengumpulan data dilakukan melalui cara wawancara terstruktur. Penelitian ini menggunakan pendekatan kualitatif dengan rancangan collective case studies. Berdasarkan penelitian, diperoleh hasil bahwa faktor risiko yang berperan terhadap penggunaan narkoba berasal dari faktor internal dan faktor eksternal. Faktor internal berupa self-esteem yang rendah dan sulitnya menolak ajakan dari teman. Adapun faktor eksternal terdiri dari faktor keluarga, teman dan lingkungan, serta keadaan sosio-ekonomi. Selain faktor risiko, peneliti juga menemukan adanya faktor protektif yang berasal dari internal pengguna berupa kesadaran akan dampak negatif dari narkoba dan keinginan akan kehidupan yang lebih baik. Selain itu faktor keluarga, terutama dukungan dari istri dan lingkungan kerja yang menuntut untuk profesional juga menjadi faktor protektif penggunaan narkoba. Kata Kunci: Faktor Risiko, Faktor Protektif, Penyalahgunaan Narkoba, Pekerja, BNNP Jawa Barat.

2019 ◽  
Vol 131 (3) ◽  
pp. 941-948
Author(s):  
Eric S. Nussbaum ◽  
Kevin Kallmes ◽  
Jodi Lowary ◽  
Leslie A. Nussbaum

OBJECTIVEUndiagnosed hepatitis C virus (HCV) and HIV in patients present risks of transmission of bloodborne infections to surgeons intraoperatively. Presurgical screening has been suggested as a protocol to protect surgical staff from these pathogens. The authors sought to determine the incidence of HCV and HIV infection in elective craniotomy patients and analyze the cost-effectiveness of universal and risk factor–specific screening for protection of the surgical staff.METHODSAll patients undergoing elective craniotomy between July 2009 and July 2016 at the National Brain Aneurysm Center who did not refuse screening were included in this study. The authors utilized rapid HCV and HIV tests to screen patients prior to elective surgery, and for each patient who tested positive using the rapid HCV or HIV test, qualitative nucleic acid testing was used to confirm active viral load, and risk factor information was collected. Patients scheduled for nonurgent surgery who were found to be HCV positive were referred to a hepatologist for preoperative treatment. The authors compared risk factors between patients who tested positive on rapid tests, patients with active viral loads, and a random sample of patients who tested negative. The authors also tracked the clinical and material costs of HCV and HIV rapid test screening per patient for cost-effectiveness analysis and calculated the cost per positive result of screening all patients and of screening based on all patient risk factors that differed significantly between patients with and those without positive HCV test results.RESULTSThe study population of patients scheduled for elective craniotomy included 1461 patients, of whom 22 (1.5%) refused the screening. Of the 1439 patients screened, 15 (1.0%) tested positive for HCV using rapid HCV screening; 9 (60%) of these patients had active viral loads. No patient (0%) tested positive for HIV. Seven (77.8%) of the 9 patients with active viral loads underwent treatment with a hepatologist and were referred back for surgery 3–6 months after sustained virologic response to treatment, but the remaining 2 patients (22.2%) required urgent surgery. Of the 9 patients with active viral loads, 1 patient (11%) had a history of both intravenous drug abuse and tattoos. Two of the 9 patients (22%) had tattoos, and 3 (33%) were born within the age-screening bracket (born 1945–1965) recommended by the Centers for Disease Control and Prevention. Rates of smoking differed significantly (p < 0.001) between patients who had active viral loads of HCV and patients who were HCV negative, and rates of smoking (p < 0.001) and IV drug abuse (p < 0.01) differed significantly between patients who were HCV rapid-test positive and those who were HCV negative. Total screening costs (95% CI) per positive result were $3,877.33 ($2,348.05–$11,119.28) for all patients undergoing HCV rapid screening, $226.29 ($93.54–$312.68) for patients with a history of smoking, and $72.00 ($29.15–$619.39) for patients with a history of IV drug abuse.CONCLUSIONSThe rate of undiagnosed HCV infection in this patient population was commensurate with national levels. While the cost of universal screening was considerable, screening patients based on a history of smoking or IV drug abuse would likely reduce costs per positive result greatly and potentially provide cost-effective identification and treatment of HCV patients and surgical staff protection. HIV screening found no infected patients and was not cost-effective.


2021 ◽  
Vol 13 ◽  
Author(s):  
Antoine M. Hakim

There is growing consensus that certain lifestyles can contribute to cognitive impairment and dementia, but the physiological steps that link a harmful lifestyle to its negative impact are not always evident. It is also unclear whether all lifestyles that contribute to dementia do so through the same intermediary steps. This article will focus on three lifestyles known to be risk factors for dementia, namely obesity, sedentary behavior, and insufficient sleep, and offer a unifying hypothesis proposing that lifestyles that negatively impact cognition do so through the same sequence of events: inflammation, small vessel disease, decline in cerebral perfusion, and brain atrophy. The hypothesis will then be tested in a recently identified risk factor for dementia, namely hearing deficit. If further studies confirm this sequence of events leading to dementia, a significant change in our approach to this debilitating and costly condition may be necessary, possible, and beneficial.


2021 ◽  
Vol 5 (9) ◽  
pp. 871-878
Author(s):  
M. Farhan Fadhillah ◽  
Chairil Anwar ◽  
Iche Andriyani Liberty

Introduction. Pediculosis capitis is a disease of the scalp caused by infestation of Pediculus humanus capitis with symptoms such as itching and sensation of movement in the hair. The purpose of this study was to determine the risk factors and incidence of pediculosis capitis in the Baturaja orphanage.Methods. This research is an analytic observational study using a cross-sectional design with field and laboratory research. The population of this study were all children in the Baturaja orphanage who met the inclusion and exclusion criteria, as many as 172 children. All children present were taken as subjects. Data obtained by questionnaires, interviews and direct observation of the sample.Results. The results of this study showed the prevalence of pediculosis capitis in the Baturaja orphanage was 19.1%. In this study, it was found that there was a significant relationship between age (p = 0.000), education (p = 0.000), the use of shared pillows (p = 0.000), the use of shared combs (p = 0.000), the use of shared towels (p = 0.000), knowledge (p = 0.000), attitudes and behavior (p = 0.000) with the incidence of pediculosis capitis. Multivariate analysis showed that the most dominant risk factor for the incidence of pediculosis capitis in the Baturaja orphanage was age (p=0.036), while behavior was a protective factor for the incidence of pediculosis capitis.Conclusion. There is a significant relationship between age, education, use of shared pillows, use of shared combs, use of shared towels, knowledge, attitudes, behavior with the incidence of pediculosis capitis. The most dominant risk factor for the incidence of pediculosis capitis in the Baturaja orphanage is age, while behavior is a protective factor for the incidence of pediculosis capitis.


Hypertension ◽  
2014 ◽  
Vol 64 (suppl_1) ◽  
Author(s):  
MENFIL A ORELLANA-BARRIOS ◽  
Kenneth Nugent ◽  
Camilo Pena ◽  
Herman Sanchez-Barrios ◽  
Jose R Lopez-Gutierrez

Background: Hypertension epidemiological studies in developing regions of the world like rural Guatemala are lacking. Methods: A sample size of 1,104 subjects (552 females, all 18 years or older) was obtained through quota and geographical clustering in the entire Department of Sololá, Guatemala. Descriptive statistics and logistic regression were used. Results: Average systolic, diastolic and mean arterial pressures were significantly higher in men compared to women (116.24 vs. 113.80 mmHg, 75.24 mmHg vs. 72.69 mmHg, and 88.91 mmHg vs. 86.39 mmHg, respectively; all with p<0.05). The crude prevalence of HT was 12.5 % with no gender differences. Women had a significantly higher mean BMI than men (26.25 vs. 24.71, p< 0.001). An abnormally high WC was found in 12.7% of men and in 50.7% of women. Significant associations were found between the presence of HT, age ≥ 55 years and an elevated WC. The single most important isolated risk factor for HT was age in women (OR 6.76, CI 95% 3.59-12.72) and WC in men (OR 3.23, CI 95% 1.52-6.87). Increased BMIs (≥ 25 to 30 or ≥30) were not associated with HT in this study. Residing in Sololá's capital was a protective factor in women (OR 0.33, CI 95% 0.13-0.83). Conclusion: Hypertension and associated anthropometric risk factors are present in rural regions of Guatemala. Significant associations are found between gender, age ≥ 55 years, and increased WC but not with an increased BMI in this population.


2020 ◽  
Vol 12 (10) ◽  
pp. 4152 ◽  
Author(s):  
Yan Wang ◽  
Yujie Wang ◽  
Xiuyu Wu ◽  
Jiwang Li

Due to the relatively long period and large capital flow of public-private partnership (PPP) projects, PPP participants are faced with a complex risk situation impeding the sustainable project delivery. In recent years, risk management of PPP projects has received increasing attention. In this paper, twenty risk factors associated with infrastructure PPP projects were identified by literature review and in-depth case studies. Relationship data for these twenty typical risk factors were obtained through structured interviews. Based on the obtained data, the risk relationship network within infrastructure PPP projects was identified, and the network structure characteristics were analyzed, including individual node attributes and the influence and cohesion of subgroups. The results indicate that key risk factor nodes can form a reaction chain via bridge nodes that can trigger a risk domino effect within PPP projects. Specifically, the key risk factors of PPP projects are divided into two categories, the first of which include risk factors that have powerful and independent influence, such as delay in government approval, government credit, and imperfect legal and regulatory systems. The second category includes risk factors that are highly vulnerable and easily influenced, such as completion risks, insufficient revenue in the market, and fee change. A key risk factor reaction chain is one in which legal change leads to a decline in government credit rating, triggering a contract risk. Twelve bridge nodes were identified that play an important intermediary role in the network, e.g., legal change, public objection, and financing risk. This paper extends the application of social network analysis in PPP projects management research and identifies the key risk factors and crucial factors influencing chain reactions in PPP projects. The results provide a more in-depth understanding of sustainable PPP project management for government agencies and private enterprises.


2017 ◽  
Vol 3 (2) ◽  
pp. 84-89
Author(s):  
Chuanqiang Qu ◽  
Yuanyuan Zhao ◽  
Qinjian Sun ◽  
Yifeng Du

Objective To discuss the correlation among intracranial arterial stenosis and its risk factors. Methods A total of 486 patients with transient ischemic attack (TIA) or ischemic cerebral infarction were examined using color doppler flow imaging (CDFI) and transcranial doppler ultrosonography (TCD). According to the degrees of extracranial arterial stenosis, patients with mild-to-moderate extracranial stenosis were classified into group A (435 cases) while those with constant severe stenosis or occlusion were classified into group B (51 cases). The differences between the two groups of risk factors were compared, and the multi-factor logistic regression analysis of risk factors associated with moderately severe intracranial arterial stenosis was performed. Results ① The risk factors that were significantly associated with intracranial arterial stenosis included age (P = 0.034) and gender (P = 0.044). ② Intracranial artery stenosis was observed in both anterior and posterior cerebral arteries in patients with hypertension, diabetes, and coronary heart disease respectively (P < 0.05). ③ Compared with group A, patients in group B were older (P = 0.000), with a higher proportion of men (P = 0.037), and the intracranial arterial stenosis degrees were significantly higher (P = 0.013). ④ Multi-factor logistic regression analysis showed that diabetes is a risk factor for moderately severe intracranial arterial stenosis (P < 0.05), and hyperlipidemia is a protective factor (P = 0.012). Conclusions Age, gender, hypertension, diabetes, coronary heart disease, and smoking are risk factors for the distribution of intracranial arterial stenosis. The degrees of intracranial arterial stenosis are related with extracranial arterial stenosis. Diabetes is a risk factor for moderately severe intracranial arterial stenosis while hyperlipidemia is a protective factor.


2017 ◽  
Vol 8 (6) ◽  
pp. 5-8
Author(s):  
Rizaldy Taslim Pinzon ◽  
Rosa De Lima Renita Sanyasi ◽  
Andre Dharmawan Wijono

Background: Understanding about risk factors of stroke based on its pathology is very important. Previous study about the vascular risk factors in patients with stroke in Indonesia is very limited.Aims and Objective: Measure the comparison between traditional vascular risk factors in patients with hemorrhagic stroke and non-hemorrhagic (ischemic) stroke.Materials and Methods: This was a nested case-control study using secondary data from electronic medical record and electronic stroke registry of Bethesda Hospital Yogyakarta Indonesia. The stroke was diagnosed with standard way by well-trained neurologist and confirmed with CT Scan. The traditional risk factors were defined systematically. We used Dupont Power and Sample Size calculation software and StatCal EpiInfo software with significance level 0,05.Result: The data of 200 subjects consisted of 100 patients with hemorrhagic stroke and 100 patients with non-hemorrhagic stroke. Hypertension was main vascular risk factor in both Group but it was more common in hemorrhagic stroke (OR: 2,528, 95% CI: 0,069 ; 0,316, p < 0,002). Dyslipidemia was a protective factor against hemorrhagic stroke (OR: 0,147, 95% CI: 1,415 ; 4,516, p < 0,001). Diabetes was more common in ischemic stroke compared with hemorrhagic stroke (68% and 32%) respectively.Conclusion: Hypertension, dyslipidemia, and diabetes were modifiable traditional vascular risk factors which significantly had effect on stroke. Asian Journal of Medical Sciences Vol.8(6) 2017 5-8


2013 ◽  
Vol 142 (4) ◽  
pp. 820-825 ◽  
Author(s):  
R. BASSAL ◽  
A. REISFELD ◽  
I. NISSAN ◽  
V. AGMON ◽  
D. TARAN ◽  
...  

SUMMARYThis matched case-control study investigated the risk factors for sporadicSalmonellaInfantis infection in 263 affected children and 263 age-, gender- and neighbourhood-matched controls. Information about exposure to potential risk factors was obtained via telephone interview and evaluated by conditional logistic regression analysis. Age groups ⩽1 year (n = 77) and >1 year (n = 186) were analysed separately. Of those aged ⩽1 year, breastfeeding was a significant protective factor against infection [matched odds ratio (mOR) 0·24, 95% confidence interval (CI) 0·10–0·59,P < 0·01]. In the older group, consumption of eggs (mOR 1·87, 95% CI 1·00–3·49,P = 0·05) was a significant risk factor and thawing chicken in water (mOR 2·55, 95% CI 0·94–6·91,P = 0·07) was borderline risk factor, while consumption of carrots (mOR 0·46, 95% CI 0·26–0·83,P < 0·01), drinking tap water (mOR 0·44, 95% CI 0·22–0·85,P = 0·02), religious lifestyle (mOR 0·40, 95% CI 0·21–0·74,P < 0·01) and having a high number of children in the household (mOR 0·72, 95% CI 0·58–0·88,P < 0·01) were significant protective factors. Consumers should avoid eating undercooked eggs and food handlers should be educated regarding proper handling and cooking of eggs. Breastfeeding should be strongly encouraged by public health authorities. The public must be educated on stringent hygiene practices, especially proper cooking of eggs to reduce infection rates.


2021 ◽  
Vol 5 (3) ◽  
pp. 843-850
Author(s):  
M. Farhan Fadhillah ◽  
Chairil Anwar ◽  
Iche Andriyani Liberty

Introduction. Pediculosis capitis is a disease of the scalp caused by infestation of Pediculus humanus capitis with symptoms such as itching and sensation of movement in the hair. The purpose of this study was to determine the risk factors and incidence of pediculosis capitis in the Baturaja orphanage.Methods. This research is an analytic observational study using a cross-sectional design with field and laboratory research. The population of this study were all children in the Baturaja orphanage who met the inclusion and exclusion criteria, as many as 172 children. All children present were taken as subjects. Data obtained by questionnaires, interviews and direct observation of the sample.Results. The results of this study showed the prevalence of pediculosis capitis in the Baturaja orphanage was 19.1%. In this study, it was found that there was a significant relationship between age (p = 0.000), education (p = 0.000), the use of shared pillows (p = 0.000), the use of shared combs (p = 0.000), the use of shared towels (p = 0.000), knowledge (p = 0.000), attitudes and behavior (p = 0.000) with the incidence of pediculosis capitis. Multivariate analysis showed that the most dominant risk factor for the incidence of pediculosis capitis in the Baturaja orphanage was age (p=0.036), while behavior was a protective factor for the incidence of pediculosis capitis.Conclusion. There is a significant relationship between age, education, use of shared pillows, use of shared combs, use of shared towels, knowledge, attitudes, behavior with the incidence of pediculosis capitis. The most dominant risk factor for the incidence of pediculosis capitis in the Baturaja orphanage is age, while behavior is a protective factor for the incidence of pediculosis capitis.


2018 ◽  
Vol 18 (1) ◽  
pp. 208
Author(s):  
Listautin Listautin

Diarrhea is one of health problem in the world including Indonesia. The Morbidity survey undertaken by Sub-Directorate of diarrhea, Health Department from 2007 to 2010is improved. According to the data gained from Puskesmas in Tanjung Pinang Jambi in 2017, it is found out that 5 different districs in Tanjung Pinang are the district which has the highest rate of diarrhea sufferers. The aim of this study is to find out the risk factors of the flies density and the dwelling sanitation to the occurance of diarrhea in Tanjung Pinang Jambi in 2017. This study is quantitative study by using case control design. The sample of this study is 68 people who consists of 34 samples of case group and 34 samples of control group. This study is analyzed through univariate and bivariate analysis by using chi-square test. The instruments of this study are the reviewed document, ceklist, and the measurement through fly grill. The result of analysis are found out that toilet is the main risk factor for the occurance of diarrhea with odds ratio (OR) value is 3,519. Sewerage (SPAL) is one the risk factor of the diarrhea occurance with odds ratio (OR) value is 3,361. The waste is the other risk factors for the occurance of diarrhea with odds ratio (OR) value is 4,418. The flies density is the protective factor for the diarrhea occurance with odds ratio (OR) value is 0,773.Based on the result of this study, it can be concluded that it is necesarry to do the coorporation across program to optimize the noticing of information to public concerning on the importance of good dwelling sanitation and the low flies density in order to avoid from the occurance of diarrhea.Keyword : Diarrhea, Dwelling Sanitation, Flies Density


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