scholarly journals Hubungan antara Kondisi fisik rumah, Sirkulasi udara, dan Riwayat Kontak dengan Pasien TB Paru Terhadap kejadian TB Paru di Klinik Irenk Medical Center Tahun 2019-2020.

2021 ◽  
Vol 1 (02) ◽  
pp. 68-75
Author(s):  
Anissa Triani Sari

Introduction: The total number of pulmonary TB cases in Indonesia in 2019 was 562,049 cases. West Java became the top 3 provinces with the incidence of pulmonary TB in Indonesia. in Depok City there are 4,695 cases of pulmonary TB cases. Irenk Medical Center Clinic serves Pulmonary TB Referral services, with a total of 90 cases in 2019-2020. This study aims to determine whether there is a relationship between the physical condition of the house, air circulation, and history of contact with pulmonary TB patients. The benefits of this research are that it can be used as a reference and consideration in making a program that can solve problems in environmental-based pulmonary TB cases, especially in the city of Depok and information facilities add public insight in making environmental health efforts, especially the home environment. Methods: The research design used was case control, the population of this study was people with pulmonary TB, and the control population was people who did not have pulmonary TB. The sample of this study amounted to 74 respondents, consisting of 37 cases and 37 controls, the instrument used was a questionnaire and the data were analyzed by univariate, bivariate, and multivariate with logistic regression test. The variables studied included the physical condition of the house, air circulation, and history of contact with pulmonary TB patients. Multivariate analysis was performed by logistic regression test Results: There are three variables related to the incidence of pulmonary TB, namely the physical condition of the house, air circulation, and history of contact with patients with pulmonary TB. The physical condition of the house is a risk factor for the incidence of pulmonary TB with an aOR of 11.95 (2.86-50.89; p=0.039). Air circulation has an aOR value of 5.86 (1.09-31.46; p=0.000), history of contact with patients with pulmonary TB has an aOR value of 27.39 (5.42-138.48); p=0.001). Discussion: Health promotion strategies need to be carried out in the form of counseling to control the incidence of pulmonary TB. Especially in the service area of the Irenk Medical Center Clinic, Depok. The counseling is centered on improving physical conditions and air circulation in the house as well as maintaining contact with sufferers

2020 ◽  
Vol 4 (1) ◽  
pp. 64-69
Author(s):  
Santa Betty ◽  
Indasah Indasah ◽  
Yenny Puspitasari

Preeclampsia is a hypertension caused by pregnancy that is characterized by hypertension, edema,and proteinuria after the 20 week. One of the causes of maternal death is preeclampsia. The purpose of this study was to determine the factors that influence the incidence of preeclampsia at Sultan Imanuddin Pangkalan Bun The population is 236 respondents and the sample is 148 respondents with a random sampling technique. Data collection is observation. Data analysis using logistic regression test . Based on the logistic regression test results obtained a history  of  significance hypertensi  (0,000)., Gemelly significance (0.999)., Obesity significance (0.000). Simultaneously influenced the incidence of preeclampsia. The most influential variable was a history of hypertension with values (Exp.B: 131,238). History of hypertension (X1) obtained p value 0.000 <0.05 so there is a influence with the incidence of preeclampsia (Y) means H1 is accepted. Gemelly (X2) obtained p value 0.999> 0.05 so there is no influence with the incidence of preeclampsia (Y) means H1 is rejected. Obesity (X3) obtained p value 0.000 <0.05 so there is a influence with the incidence of preeclampsia (Y) means H1 is accepted The most dominant factor influenced the incidence of preeclampsia is a history of hypertension with a significance value of 0.000 <0.05 with (ExpB 131.238).


2018 ◽  
Vol 2 (2) ◽  
pp. 61-67
Author(s):  
Prihatina Anjela ◽  
Rachmat Hidayat ◽  
Debby Handayanti Harahap

Background :. Stunting among children is one of the major health problems in developing countries. Globally, 45% of deaths among children are caused by malnutrition, meanwhile stunting, as one of the factors, plays an important role. Children who experience stunting can not achieve optimal growth and cognitive potential. Hence, that will have an impact on future productivity. Muara Enim district is included in one district with stunting prevalence, which is above 20%, i.e. 26.9%. This study was to identify the risk factors of stunting children in Pulau Panggung district, Muara Enim, South Sumatera. Methods: This study applied observational analytic research using cross sectional design. It was conducted on August to October 2017 at public health center in Pulau Panggung district, Muara Enim. There were 83 children who fullfilled the inclusion criteria. The relationship between risk factors and stunting was analyzed using  Chi square test and Logistic Regression test was applied to identify the risk factor that play the most role to stunting. Results: 49,4% out of 83 children suffer from stunting, with a mean age of 29,37±13,69 months where the number of children stunting with male gender is 53.7% while female gender is 46.3%. Chi square analysis showed that there was a significant relationship among birth weight, birth length, mother's occupation, history of infection, exclussive breastfeeding and stunting  (p< 0.05) but no significant relationship was found among sex, mother's education, maternal height and income with stunting (p> 0.05). Multivariate Logistic Regression test showed that mother's occupation and history of infection are the risk factors that contibute the most to stunting among children aged 6-59 months in Pulau Panggung district. The risk of stunting among working mothers is higher 5 times than unworking  mothers and children with infection history have risk of stunting 3 times compared to children without infection history. Conclusion: Mother's occupation and infection history are risk factors that contribute the most to stunting among children at Pulau Panggung district, Muara Enim, South Sumatera.


2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Titin Susiyanti ◽  
Byba Melda Suhita ◽  
Nurdina Nurdina

The biggest cause of maternal mortality rates in developing countries, one of which is bleeding after childbirth or commonly called postpartum hemorrhage (PPP). This study was conducted to determine factors that influence the incidence of postpartum hemorrhage. Observational research design with a case control approach. held on 1 - 31 August 2018 with a population of 109 people and a sample of 90 mothers giving birth, sample random sampling technique. Data collection is independent and dependent variable by observation and questionnaire. Data analysis uses logistic regression test. Based on the results of logistic regression test obtained variable bleeding history postpartum p value value of 0.019, preeclampsia p value of 0.012, anemia p value of 0.009 at α = 0.05, the effect of the incidence of postpartum hemorrhage was influenced by a history of postpartum hemorrhage, preeclampsia and anemia significantly. Anemia is a dominant risk factor contributing to the incidence of postpartum hemorrhage. It is recommended that pregnant women take precautions as early as possible with regular pregnancy checks, knowing the factors preventing the occurrence of postpartum hemorrhage, be more careful to prevent complications at the time of delivery.


2015 ◽  
Vol 68 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Danielle Grossi ◽  
Eliane Aparecida Del Lama

AbstractThis paper presents the evaluation of the conservation of the Monument to Ramos de Azevedo through a study of the ultrasound pulse velocity. The Monument to Ramos de Azevedo is of great importance for the history of the city of São Paulo (Brazil), because it honors the architect who was fundamental in the architectural and social development of the city. This monument was built with Itaquera Granite, a stone widely used in the cultural heritage of the city, which is more specifically called biotite monzogranite. The equipment used was the V-Meter Mark III and only P waves were used with 54 kHz transducers. Several measurements were taken on the monument and on fresh stone, and the results were compared. Results showed that the stone is in good condition even after changing locations twice because the values are very close to those of the fresh sample. The low values were attributed to internal discontinuities or biotite enclaves, the latter being very common in the Itaquera Granite.


2020 ◽  
Vol 15 (4) ◽  
Author(s):  
Maria K I J Yustheresani ◽  
Fajaria Nurcandra ◽  
Azizah Musliha Fitri ◽  
Annisa Ika Putri ◽  
Dyah Utari

One of the photokeratitis risk factors is acute reversible radiation of ultraviolet (UV) rays, which injure the cornea's epithelial tissue. Informal welding workers are susceptible populations to UV rays exposure. This study aimed to confirm the influence of UV radiation exposure on photokeratitis complaints in welding workers in Cimanggis, Depok, West Java. A cross-sectional study was conducted from February to June 2019 and used to select 100 welding workers purposively. A semi-structured questionnaire was used to determine photokeratitis complaints, age, education level, eye protection, safety knowledge, and work period; the UV radiation measured by A UV meter. Data were analyzed using a logistic regression test. We found the proportion of photokeratitis to be 84.0%, with 76.0% of UV radiation exceeding the Threshold Limit Values (TLV). The logistic regression test showed a significant effect of UV radiation on photokeratitis after controlling confounding variables (education level, eye protection, safety knowledge, and welding distance) (p-value = 0.006; AdjOR = 7.236; 95% CI: 1.74–30.07). It can be concluded that UV radiation, more than TLV, constitutes the primary risk factor for photokeratitis complaints. Risks for photokeratitis were influenced by low education level, poor eye protection, limited safety knowledge, and welding distance ≤ 45 cm.


2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Sofyan Rais Addin ◽  
Tarmono Djojodimedjo ◽  
Fikri Rizaldi

Objective: To evaluate the prognostic value of presepsin and procalcitonin in patient with urosepsis. Material & Method: This is an observational prospective study. Patients who fulfilled the criteria for urosepsis at Soetomo Hospital Surabaya were enrolled. Presepsin and procalcitonin were measured at first admission. All patients were managed according to standard urosepsis therapy. At the 28th day of treatment, patients were evaluated and classified into survivor and non-survivor. The statistical analysis were tested with logistic regression test using software SPSS 23. Results: 30 urosepsis patients were included in this study with average age was 48.3 years (range 21-77 years). There were 23 survivor and 7 non-survivor. Mean presepsin values were higher in non-survivor than in survivor but the difference was not significant (4405 ± 4664 vs 4042 ± 2643, p=0.259). Mean procalcitonin value was significantly higher in non-survivor than in survivor (7.68 ± 6.81 vs 3.27 ± 2.74, p=0.013). Using the cut off value ≥2.24 ng/ml, procalcitonin can predict mortality in 28 days with sensitivity 71.4% and specificity 47.8%. Conclusion: Presepsin can not be used to determine the prognosis of urosepsis patients. Procalcitonin showed a significant correlation with outcome of urosepsis patients so it can be use to determine the prognosis of urosepsis.


2001 ◽  
Vol 05 (04) ◽  
pp. 261-267 ◽  
Author(s):  
BOHUA CHEN ◽  
STEVE LAVENDER ◽  
GUNNAR B. J. ANDERSSON

This paper aims to estimate the prevalence rates of MRI change in LBP out-patients and to determine the relationship between abnormalities in an MRI and personal and occupational factors. The MRI records were obtained from 200 out-patients with LBP (114 males and 86 females) who received a diagnostic MRI at St. Luke's Medical Center. The mean and standard deviation of this sample's age were 43.8 years and 14.8 years, respectively. Based on the MRI, each lumbar disc was scored as normal or degenerated. Bulging and herniated were also recorded. Each patient completed a short questionnaire that included the measures of height, weight, age, and present occupation and any history of "heavy manual labor". Occupations were grouped into white collar sedentary, white collar professional, blue collar exposed to prolonged sitting and vibration, blue collar exposed to heavy, unemployed or retired, and homemaker. Chi-square tests were used to determine the statistical significance of these trends. A multiple logistic regression was used to develop a predictive model of spine pathology based on a subject's individual characteristics and occupational classification. Normal discs were found in 26% of the patients and degenerated discs in 47.5%. There were bulging/herniated disks in 26.5%. In men who were younger than 29 years, 50% had herniated disks, and 50% were normal. Three fourth of the women in the same age group showed normal discs. Forty-three percent of the subjects reported a history of performing heavy labor. Using the logistic regression model there were two variables predictive of observable MRI pathology: age and prior history of heavy labor. The analysis indicated that an older individual who had a history and heavy labor was more likely to show one or more pathological model discs in an MRI scan.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
K Y Diao ◽  
S Huang ◽  
Y Gao ◽  
S He ◽  
Z G Yang ◽  
...  

Abstract Background ST-elevation myocardial infarction (STEMI) Patients suffered from progressive heart failure, for which progressive and aggravated Left ventricle stiffness was one of the major culprit. Myocardial deformation in the early diastole is largely affected by the left ventricle compliance which could partly reflect chamber stiffness and potentially predict left ventricular remodeling for post-STEMI patients. Purpose To determine the value of diastolic strain rate in detecting left ventricle stiffness and early heart failure in post-STEMI patients. Methods A number of 52 (M/F: 46/6, age: 54.27 [46.8–62.3]yrs) patients with STEMI three months ago were prospectively recruited from 2016 to 2017. Follow-up was done until 2018. The primary end points were the symptoms of heart failure (NYHA II-IV). Consent was acquired from each patient and 3.0 T MRI was arranged. Imaging analysis was performed on Cvi 42 (V5.9.3 Canada). Peak radial strain (PS) and strain rate (SR) were extracted both from 2D short- and long-axis cine images, while peak circumferential parameters only from the short axis slices and longitudinal the long axis slices. The diastolic strain rate ratios (DSRRs) were calculated as the peak early diastolic SR divided by the peak late diastolic SR, which were derived from the two peak points on the corresponding curve of time-to-SR curve in the diastole (Figure 1a). Receiver-operating characteristics curve analysis and Logistic regression test were done for statistical analysis on R project and P<0.05 was considered as significant. Results Three patients were excluded due to unsatisfied cine images. Among the 52 patients, none of the patients died or had congestive heart failure. 23/52 (44.2%) patients complained of heart failure symptoms at the one-year follow-up. No significant difference was found in LVEF and three directional peak strain values or systolic peak strain rates between the patients with and without heart failure. Patients with symptoms had lower Longitudinal PS (P=0.049), early diastolic radial SR (P=0.01798), longitudinal SR (P=0.0042), and decreased DSRR in all directions (Figure 1b). Multivariate Logistic regression test showed that only DSRR in the radial direction on the short axis (DSRR-SR) was the independent predictor of the heart failure symptoms (6.59; range, 6.71–3.68; P=0.026). ROC analysis demonstrated that the DSRR-SR of 2.35 had sensitivity 91.3% and specificity 58.6% for the prediction of heart failure (Figure 1c). Figure 1 Conclusion DSRR especially DSRR-SR was more sensitive to left ventricle stiffness change and help predict the progression of heart failure for Post-STEMI patients. Further studies were needed to verify the its association with other cardiovascular clinical events. Acknowledgement/Funding the National Natural Science Foundation of China (81600299,81471721, 81471722, 81771887, and 81771897,);


Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1666
Author(s):  
Mihaela-Daiana Popa ◽  
Abhinav Sharma ◽  
Nilima Rajpal Kundnani ◽  
Otilia Lavinia Gag ◽  
Ciprian Ilie Rosca ◽  
...  

Background: Poorly informed college students tend to adopt the habit of cigarette smoking. This habit often continues into their adulthoods, adversely affecting the population’s health and increasing the burden on healthcare systems. Aim: We aimed at exploring the predictors of the avoidable habit of smoking. We performed an analysis of the correlation between the potential predictors (marijuana use among peers and truancy) and the tobacco smoking statuses of the students. Material and method: Our study sample included 2976 students from colleges in Timis County, Romania, during the 2018–2019 period. The gender distribution of the participants was 62.5% girls and 37.5% boys, between the ages 18 and 25 years. A logistic regression test was performed to determine the impact of some personal and environmental factors, which are responsible for heavy smoking in this population. Results: Our findings suggest that the degree of marijuana smoking among friends and the frequency of college truancy are meaningful predictors of heavy smoking among young adults. The students with higher cigarette smoking rates had significantly more marijuana-smoking friends when compared to the students with average smoking rates. The truancy was higher among the students with higher cigarette smoking rates, compared to the students with average smoking rates.


2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Eni Yulvia Susilayanti ◽  
Irvan Medison ◽  
Erkadius Erkadius

AbstrakTuberkulosis masih merupakan masalah kesehatan di Indonesia karena prevalensi yang masih tinggi,i terutama di negara berkembang. Karena penyebarannya yang tinggi, maka perlu diketahui bagaimana profil penderita penyakit ini agar penularannya bisa diminimalkan. Tujuan dari penelitian ini adalah untuk mengetahui profil penderita tuberculosis paru BTA positif yang berobat di Balai Pengobatan Penyakit Paru (BP4) Lubuk Alung periode 1 Januari 2012 – 31 Desember 2012. Penelitian ini bersifat deskriptif retrospektif. Instrumen yang digunakan adalah data dari rekam medik di Balai Pengobatan Penyakit Paru (BP4) Lubuk Alung sejak 1 Januari 2012 – 31 Desember 2012. Populasi yang ada seluruhnya dijadikan subjek penelitian. Kemudian dilakukan pencatatan dari beberapa variabel yang diteliti. Hasil penelitian ini menunjukkan bahwa dalam periode tersebut jumlah penderita yang berobat ke BP4 Lubuk Alung adalah 19.440 orang, sebanyak 3.224 orang diantaranya suspek. Penderita BTA (+) 1.109 orang. Jenis kelamin laki-laki (70,8%) lebih banyak dari perempuan. Usia terbanyak adalah 21-30 tahun (23,2%). Daerah asal terbanyak adalah Kab. Padang Pariaman (29,4%). Derajat kepositifan BTA sputum terbanyak berupa positif tiga (+3) adalah (44,2%). Tipe penderita terbanyak merupakan penderita kasus baru sebanyak (91,7%). Keluhan terbanyak yang dirasakan ketika berobat adalah batuk (99%). Sebanyak (13,4%) memiliki penyakit penyerta selain tuberkulosis. Riwayat penggunaan obat sebelumnya sebanyak (11,3%). Sebanyak (99%) dirujuk ke puskesmas dan unit pelayanan kesehatan terdekat. Berdasarkan pendataan profil penderita TB Paru BTA Positif bisa dilihat paling banyak adalah derajat (+3) dan dirujuk ke unit pelayanan terdekat.Kata kunci: profil, tuberkulosis paruAbstractTuberculosis is still a health problem in Indonesia because the prevalence is still high, especially in developing countries. Due to the speed of spread, it is necessary to know the profile of people who suffer from this disease, so the transmission can be minimized. The purpose of this study was to determine the profile of positive acid-fast-bacilli (BTA) in pulmonary tuberculosis patients who seek treatment at Medical Center for Pulmonary Diseases (BP4) Lubuk Alung during the period 1 January 2012-31 December 2012.This is a descriptive retrospective study by taking the data from medical records in BP4 Lubuk Alung. Using the enterety of the population. The results of this study indicate that in this period the number of people who went to BP4 Lubuk Alung were 19.440 people, 3.224 of them suspected tuberculosis. Patients with BTA (+) was 1.109 people. We found male 70.78%. Most are 21-30 years of age 23.2%. The area of origin mostly from Kab. Padang Pariaman 29.4%. The degree of sputum smear positivity mostly positive three (+3) was 44.2%. Type of most patients are people with new cases 91.7%. Most complaints was cough 99%. A total of 13.44% had concomitant diseases other than tuberculosis. History of previous anti tuberculosis drugs (OAT) we found in 11.3%. And 99% are referred to hospitals and health care units nearby. Based on the data collection, profile of positif pulmonary TB patients is (+3) and mostly referred to the nearest health center and service unit.Keywords:profile, pulmonary tuberculosis


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