scholarly journals Relationship between Environmental Factors and Rheumatic Heart Disease

2021 ◽  
Vol 9 (B) ◽  
pp. 1795-1798
Author(s):  
Tina Christina Lumban Tobing ◽  
Teddy Ontoseno ◽  
Sri Rahayuningsih ◽  
Ratna Akbari Ganie ◽  
Yahwardiah Siregar

Background. Rheumatic fever (RF) and rheumatic heart disease (RHD) are the most common acquired heart diseases in children. Environmental factors have been reported to play an important role in RHD’s prevalence Aim. The main purpose of this study is to assess the associations between environmental factors and RHD in children. Methods. A case control study was conducted in the Department of Child Health, Haji Adam Malik Hospital from April to June 2017. The case group consisted of children aged 5-18 years with RHD while control group consisted of healthy children. Demographic, anthropometric, and laboratory data were collected along with environmental factors. Statistical analysis was done using Statistical Product and Service Solution (SPSS). A P value of <0,05 with 95% confidence interval was considered significant. Results. A total of 39 children were enrolled in each group. Subjects’ father who only went to elementary and junior high school had a higher risk of having children with RHD (OR 28; p = 0.032 and OR 15.75; p = 0.011, respectively). Subjects’ mother who only went to junior high school had 7 times higher risk of having children with RHD (p = 0.026). Low monthly income increased the risk of RHD (OR 3,68; p = 0,009). Tap water usage, meat consumption more than once per week, and feasibility to buy clothes >1 pair per year decreased the risk of RHD at 0,31 (p = 0,013), 0,3 (p = 0,016), and 0,04 times (p <0,001) respectively. Conclusion. Parent’s education, monthly family income, water source, frequency of meat consumption, and feasibility to buy clothes are related to RHD in children.

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
S Kotit

Abstract Introduction Rheumatic Heart Disease (RHD) remains a major health problem in many low and middle-income countries. The paucity of systematic screening studies and differences in the diagnostic criteria might underestimate greatly the reported prevalence rates. The standardized WHF criteria is the gold standard for the echocardiographic diagnosis of RHD. Keeping in mind the setting and the implementation of screening programs which require screening of large groups of individuals with limited resources, we have developed a simplified protocol for the swift recognition of RHD features (Image 1). Purpose Validation of a simplified protocol for the echocardiographic diagnosis of RHD in endemic areas based on screening and follow-up of a large sample of school children in comparison with the WHF criteria. Methods A systematic cross-sectional echocardiographic screening was performed in 3062 randomly selected schoolchildren, aged 5 to 15 years. Follow-up of 72 children with a definite or possible diagnosis of RHD together with a control group of 80 healthy children was carried over 48 to 60 months. The diagnosis of RHD was based on the current WHF criteria and compared to the simplified protocol (Image 2). Results Based on the WHF criteria 60 children were diagnosed with definite RHD (19.6/1000) vs 75 (24.5/1000) and 35 with possible disease (11.4 per 1000) versus 41 (13.4/1000) with the simplified criteria. No significant differences were found in progression or regression rates between both criteria. The appearance of isolated structural changes in 7 controls (8.8%) would lead to borderline diagnosis in the simplified criteria. Conclusion There is no significant difference in progression and regression rates between both criteria. Importantly, the simplified criteria would diagnose 7 children from the control group as possible RHD, which could show the accuracy of the criteria in diagnosing subtle valvular lesions. FUNDunding Acknowledgement Type of funding sources: None. Image 1. Simplified RHD criteria Image 2. Progress of RHD based on criteria


2019 ◽  
Author(s):  
Anna Farhiya Ulfah

The goal of this research is gaining description on science literacy improvement of junior high school students regarding the topics of earthquake and flood as an effect of Contextual Based Learning (CBL) implementation during science instruction. Quasi-experiment serves as the method of this study with non-equivalent control group pre-test post-test design. Jigsaw cooperative learning method functions as the control treatment. Research subjects involve 52 students of grade VII in a state junior high school in Bandung Regency, West Java. Those research subjects are divided into two classes namely experiment class and control class. The instrument used to collect relevant data is science literacy test covering aspects of science content, science competence, and attitude towards science. Two independent sample t-test is applied to analyze the comparison of science literacy improvement reached between experiment and control class. The result of statistical calculation for two independent sample t-test N-gain using version 23 SPSS software shows a significant value of 0.00 &lt; α. 0.05 for all aspects. The findings indicate that CBL implementation during science instruction within topics of earthquake and flood is proven to be valid to improve students’ science literacy compared to jigsaw cooperative model.


2020 ◽  
Vol 3 (2) ◽  
pp. 75-82
Author(s):  
Laily Puji Astuti ◽  
Muhammad Nur Wangid

The aim of the research is to determine the effectiveness of cognitive restructuring techniques to increase learning motivation in students of State Islamic Junior High School 6 Bantul. The type of research is experimental research. The research design uses quasi-experiment. The design uses Non-equivalent Control Group Design. The research population was 8th grade students of State Islamic Junior High School 6 Bantul, amounting to 149 students. The sampling technique in the research used purposive sampling. The criteria for determining the sample in the research are students of State Islamic Junior High School 6 Bantul at 8th grade which indicated to have low learning motivation. The data collection method uses a scale of learning motivation that has gone through validation processes. Data analysis using non-parametric statistics with the Wilcoxon Signed Rank Test. The results showed that there were differences in the results of the experimental group's learning motivation before (M=72.17) and after (111.67) the treatment was given (p=0.027<0.05). These results can be concluded that cognitive restructuring techniques are effective to increase students learning motivation.


2021 ◽  
Author(s):  
Herlawan

The main purpose of this study to investigate the ability of mathematical communication ofHigh School Students, as a result of learning mathematics through application RealisticMathematics Education (RME). Research design used was a quasi experimental. Subjects inthis study consisted of 70 students of class VII Junior High School, Junior High School on oneof the states in Bandung academic year 2015/2016. Subject determined by purposivesampling techniques, and this study using pretest-posttest design of the control group. Datacollected with a mathematical communication ability test descriptions. Data were analyzedusing parametric statistical tests which is Test Independent Sample T-Test and nonparametrical tests which is Test Mann-Whitney. The results showed that: (1) students wholearn math with RME approach has a better ability mathematical communication of studentswho do not learn math with RME; (2) increasing mathematical communication ability ofstudents who learn with RME better than students who do not learn with RME; (3) students'attitudes toward learning mathematics through RME showed a positive attitude.


2018 ◽  
Vol 2 (1) ◽  
pp. 59
Author(s):  
Agnes Berlina Printina

ABSTRAKPendahuluan: Penyalahgunaan narkoba merupakan masalah yang serius di berbagai negara bahkan di Indonesia. Keterbatasan informasi menjadi kendala kurangnya pengetahuan remaja tentang narkoba. Penelitian ini bertujuan untuk mengetahui pengaruh video vlog terhadap tingkat pengetahuan tentang penyalahgunaan narkoba pada siswa siswi di SMP Strada Jakarta Selatan. Metode: Penelitian ini merupakan quasi eksperiment dengan pre -post test control group design yang dilakukan pada Oktober 2017. Kelompok kontrol terdiri dari 52 responden dari SMP Asisi Jakarta Selatan dan 67 responden merupakan kelompok intervensi dari SMP Strada Marga Mulia Jakarta Selatan. Responden didapatkan dengan cara Total Sampling. Data dianalisa dengan Uji t-test independent dan paired sampel t-test. Hasil: Penelitian ini menunjukan terdapat perbedaan tingkat pengetahuan antara kelompok kontrol yang tidak diberikan perlakuan dan kelompok intervensi yang diberikan promosi kesehatan melalui video vlog dengan p value 0,000. Penelitian ini juga menunjukan pengaruh yang signifikan terhadap tingkat pengetahuan pada kelompok intervensi dengan video vlog  p value 0,000. Simpulan: Promosi kesehatan dengan video vlog bagi siswa dapat meningkatkan pengetahuan tentang penyalahgunaan narkoba sehingga dapat terhindar dari penyalahgunaan  narkoba. Kata Kunci: promosi kesehatan,  pengetahuan,  narkoba, vlog ABSTRACT Introduction: Drug abuse is a serious problem in many countries include Indonesia. The limitdness informations of knowledge for teenegers being obstacle. This purpose of this study was to determine the influence of health promotion through a vlog toward on the level knowledge about drug abuse at students in Strada Marga Mulia Junior High School. Method: this study is an quasi eksperiment with pre test post test control group design that alrady implemented on October 2017. The control group consist of 52 respondents in Asisi Jakarta Selatan Junior High School and 62 respondents of intervention group in Strada Marga Mulia Junior High School. The respondents obtained by total sampling. The data are analysed with independent t-test anda paired sampel t-test. Result: this study show that there is difference of knowledge’s level between control group that no treatment and intervention group that significant health promotion through vlog with p value 0,000. This study show the significant influence toward knowledge level in intervention group of vlog with p value 0,000. Conclution: health promotion with vlog for students can improve the knowledge about drug abuse, allowing can be escape by drug abuse. Keywords: health promotion, knowledge, narcotics, vlog 


2019 ◽  
Vol 5 (1) ◽  
pp. 68
Author(s):  
Saputri Indah Lestari ◽  
Lies Andriani

This research was instigated by the problem in the field showing that their mathematic concept understanding ability was low at Islamic Junior High School of Al Hidayah Singingi Hilir. One of learning anternative strategy could direct to the students in increasing mathematic concept understanding ability was scoffolding learning straytegy. the research aimed at investigating whether there was or not difference mathematic concept understanding ability between students joining Scaffolding learning strategy and student joining teacher implementing based on their learning motivation at Islamic JuniorHigh School of Al Hidayah Singingi Hilir.  It was quasi experimental research with nonequivalent posttest-only control group design. Population of this research were the students at the eight grade of Islamic Junior High School of Al Hidayah Singingi Hilir. Sample of this research was used sampling purposive technique. VIII of B as experimental group was given Scaffolding learning strategy and VIII of A as the control group given teacher learning implementing.Instrument of collecting data was used decription test to measure their mathematic concept understanding and questionnaire to measure their learning motivation. Two way ANOVA was the technique of data analysis.  Based the data analysis could be concluded that         1) there was a difference student mathematic concept understanding ability joining Scaffolding learning strategy and did not joining Scaffolding learning Strategy. 2) There was no an interaction between Scaffolding learning strategy and their learning motivation toward their mathematic concept understanding abilityKeywords:  Scaffolding, Mathematic Concept Understanding Ability Student Learning, Motivation


2021 ◽  
Vol 15 (2) ◽  
pp. 209-218
Author(s):  
Deswandito Dwi Saptanto ◽  
Tri Arie Bowo ◽  
Ratih Laily Nurjanah

This study focuses on improving students’ abilities in learning English with the support of Pictorial Metaplan as a teaching aid. The use of this Metaplan aims to improve speaking skills in formal and non-formal contexts. This pictorial Metaplan is a realia in the form of an illustrated carpet with a theme Getting Direction. Pictorial Metaplan focuses on the topic Getting Direction and applied directly to 15 students in the 8th grade of junior high school. The implementation of the use of the Pictorial Metaplan begins with distributing questionnaires and implementing Pre- Test and Post-Test, then direct implementation of using Pictorial Metaplan combined with Total Physical Response (TPR) method. The treatment for students was carried out by dividing two class groups, the control group, and the experimental group. The control group used conventional methods, without using learning aids, while the second group used the Pictorial Metaplan as a teaching aid. Based on the results of Pre-Test and Post-Test show an increase in the results of the values before and after implementing the Pictorial Metaplan. Thus it can be concluded that learning in the experimental group using Pictorial Metaplan is more effective than learning using conventional methods.


2019 ◽  
Vol 4 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Ugi Supriatna ◽  
Achmad Samsudin ◽  
Ridwan Efendi

The misconception of the Solar System topic is still found in students so that it becomes one of the obstacles in the learning process. The purpose of this study is to analyze the effectiveness of the implementation of Predict-Observe-Explain-Apply (POEA) learning to change the junior high school students' conception in the Solar System topic. Quasi-experimental research with the non-equivalent control group design was conducted in one of the private junior high schools in Bandung city. Samples were selected based on the test of the average significance of the pretest score of the population. Furthermore, 30 students of the experimental class and 32 students of control class were selected. The research instrument, which consisted of 15 four-tier diagnostic test questions about Solar System were used to collect data before and after treatment. The tests were analyzed quantitatively by using the Mann-Whitney statistical test to determine the significance of the difference in the acceptable conception changes (Acceptable Change) of students in the experimental class with changes in the conception of students in the control class. The results of the research show that the implementation of POEA learning is significantly more effective than POE learning in changing the conception of Solar System topic. The findings of this study can be an alternative for junior high school teachers in planning learning about the Solar System, especially in an effort to change students' misconception about the Solar System.


2020 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
Wa Ode Nurhawa ◽  
Relsas Yogica ◽  
Indra Hartanto ◽  
Syamsurizal Syamsurizal

The research problem at Junior High School 20 Padang  is that the learning model used has not varied, the low competency of students from the aspects of knowledge, attitudes, and skills as well as the implementation of learning models with science literacy. The efforts that can be done are applying the talking chips model with science literacy to the students at Junior High School 20 Padang on the material of climate change and its impact for the ecosystem. The purpose of this research is to find out The Effect of Talking Chips model containing science literacy on students’ learning competencies in the material of climate change and its impact on ecosystems at Junior High School 20 Padang. This research is quasi-experimental research with design randomized control-group posttest only design. The population used was all class VII students’ of Junior High School 20  Padang 2018/2019. Sampling was done using the cluster sampling technique, we selected VII.2 as experimental class and class VII.7 as control class. Based on the results of the students' competency knowledge research  tcount 2.85 > ttable 1.67, the competency attitudes tcount 1.78 > ttable 1.67, and the skills competency tcount 1.78 > ttable 1.67. It showed the hypothesis is accepted. Application of the talking chips model containing science literacy can improve the competencies of class VII students of Junior High School 20 Padang.


2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Kebiao Chen ◽  
Li Qin ◽  
Xin Lu ◽  
Tao Xia ◽  
Qing Gu

Objectives: To explore the efficacy of amiodarone in the treatment of atrial fibrillation for patients with rheumatic heart disease after valve replacement. Methods: Eighty-six patients with rheumatic heart disease who were hospitalized between June 2016 and June 2017 and developed atrial fibrillation after valvular heart valve replacement were randomly divided into a control group and an observation group, 42 cases in each group. The control group was treated with routine medical treatment, while the observation group was given amiodarone on the basis of routine treatment. The cardiac function of the two groups were observed and recorded. Postoperative atrial fibrillation conversion rate, sinus rhythm maintenance rate, intensive care unit (ICU) monitoring time and hospital stay were compared between the two groups. Results: Compared with the control group, the improvement of cardiac function indexes of the observation group was better, and the difference was statistically significant (P<0.05). The atrial fibrillation conversion rate and the maintenance rate of sinus rhythm of the observation group were 76.2% and 47.6% respectively, which were significantly higher than 57.1% and 33.3% of the control group; the differences had statistical significance (P<0.05). The ICU monitoring time and hospitalization time of the patients in the observation group were (1.69±0.91) d and (10.24±1.11) d respectively, which were significantly shorter than (2.83±0.95) d and (14.07±1.17) d in the control group (P<0.05); the differences were statistically significant (P<0.05). Conclusion: Amiodarone can effectively treat valve replacement associated atrial fibrillation of patients with rheumatic heart disease. It can significantly improve the heart function, prevent the recurrence of atrial fibrillation, maintain sinus rhythm after operation, and shorten the time of ICU monitoring and hospitalization. doi: https://doi.org/10.12669/pjms.35.4.1298 How to cite this:Chen K, Qin L, Lu X, Xia T, Gu Q. Amiodarone in the treatment of atrial fibrillation of patients with rheumatic heart disease after valve replacement. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.1298 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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