Efek Samping Terapi Antiretroviral dan Kepatuhan Berobat Penderita HIV/AIDS

<p>Antiretroviral treatment side-effects and patient compliance with medical instructions continue to be a growing challenge for HIV/AIDS patients. Arv therapy has resulted in a substantial intervention that has been successful in preventing transmission and opportunistic infection. The main objective of this study was to analyze the association between side-effects of ARV therapy and medication adherence as well as another potential confounding such as opportunistic infection, family support, stress level, knowledge of ARV, marital status, and occupation. This study is a quantitative approach by using cross-sectional methods. A total of 244 respondents from 1.180 patients with confirmed HIV registered in the Care Support and Treatment (CST) service and Sriwijaya Community in the City of Palembang to respond to the survey. Non-random sampling was used to collect the samples. As the result, the majority of the respondents were male (84,43 %), ≥30 years old (57,4%), and secondary school graduates (52%). After adjusting with stress and opportunistic infection variable, a Multivariate regression analysis revealed a positive relationship between side effects and medication adherence (p-value of 0,041; 0,05), OR Adj 2,131 (1,190-4,988). PLHV who had adverse effects had a 2.131 times worse adherence rate than those who did not. In conclusion, medication adherence must be greatly improved in light of therapeutic side effects, stress levels, and opportunistic infection.</p>

Optimasi Penggunaan Faktor Eksposi Pemeriksaan Ossa Manus dengan Kualitas Citra Objektif dan Subjektif

<p>In producing a good radiographic image, an optimization method is needed. This study was conducted to seek optimization of the radiographic examination of the manus ossa with objective and subjective image quality analysis. The research method is quantitative experimental, using a variety of exposure factors: 40kV 4 mAs, 40kV 10 mAs, 46 kV 5 mAs, 53 kV 2,5 mAs, 61kV 1,25 mAs. Then an objective quality analysis is carried out by measuring the pixels value, Signal to Noise Ratio (SNR), and the Exposure Index (EI) value as an indicator of exposure. For subjective image analysis with the assessment of image anatomy criteria using the method Visual Grading Analysis (VGA), then the test was carried out Wilcoxon to determine the relationship of respondents to VGA assessment. The results of the study obtained that the optimization method of the examination manus ossa at the exposure factor of 46 kV 5 mAs with the results of an objective image quality analysis of the range of pixel value 183,7 - 3, the SNR range of 12,2-1,77 while the subjective image quality analysis of the results VGA all images on a variety of exposure factors can be used in establishing a diagnosis. For the exposure indicator with the lowest EI at an exposure factor of 46 kV 5 mAs. The results of the Wilcoxon p-value&gt;0,05 so that there was no difference in the VGA value by 2 radiographers, therefore all image results on variations in exposure factors could be used in the radiographic examination of the ossa manus.<em></em></p>

Pengolahan Limbah Cair Rumah Sakit dengan Metode Lahan Basah Buatan (Constructed Wetland) dan Tanaman Air Typha latifolia

<p>Utilization of the aquatic plant Typha latifolia, in the treatment of hospital wastewater with the method of an artificial wetland system (constructed wetland), is expected to be able to treat the liquid waste of health care facilities. This study aims to determine the ability of the aquatic plant Typha latifolia in degrading the parameters contained in the wastewater of health facilities using the Artificial Wetland Method. Quasi-experimental research design. The measurement of liquid waste parameters (BOD, COD, TSS, Fatty Oil, and Ammonia) is carried out by taking samples at the inlet and outlet of each pot, then analyzed in the laboratory. The study reported an average influent BOD level of 66.2mg/L, an average effluent in a circular cross-sectional pot increased by 99.6mg/L, an influent COD level of 190.8mg/L, an effluent in a rectangular pot four decreased by an average of 31.6mg/L, the influent TSS parameter was 106mg/L, the average effluent in a circular cross-sectional pot was 283.6mg/L, the influent Oil &amp; Fat parameter averaged 1.2mg/L, average effluent 1.2mg/L, ammonia influent parameter 12mg/L, effluent 2.62mg/L. The rectangular cross-section has a good ability compared to other cross-sections in reducing hospital waste, namely; BOD=64%, COD=40%, TSS=48%, Ammonia=67%, Oil and Fat parameters did not decrease because the influent parameter levels were already below the Liquid Waste quality standard. The researcher concluded that the rectangular cross-sectional pot planted with Typha latifolia could reduce the wastewater parameters better than other cross-sectional types. </p>

Pengaruh Karakteristik Individu terhadap Fungsi Paru pada Petugas Penyapu Jalanan

The increase in the number of vehicles in Samarinda City occurs significantly every year this has the potential to decrease environmental quality, namely air pollution. People who are at risk of air pollution are street sweepers who work on the streets every day so that it can have an impact on health. Therefore, the purpose of this study was to determine the individual characteristics of lung function among street sweeping officers in Samarinda City. This research is a type of observational analytic study with a cross-sectional research design that has the aim of analyzing the risks to the consequences that are caused together. This research is included in the quantitative description. The research location was carried out along the protocol road in Samarinda City. The study population was street sweeping officers who were taken randomly amounting to 55 people. This study consisted of the dependent variable, namely lung function, and the independent variables were gender and year of service. Data analysis her use fisher’s exact. Data were collected using questionnaires and interviews, measuring lung function on street sweeping officers using a spirometer, while interviews were carried out to determine the sex and year of service of the officers while working as a street sweeper in Samarinda City. The results of the bivariate analysis of individual characteristics, namely between gender and lung function obtained <em>p-value</em>=0,674, while the bivariate results between a work period and lung function obtained <em>p-value</em> 0,219. There was no significant relationship between gender, work period, and lung function.

Hubungan antara Asupan Gizi dengan Status Gizi Remaja Putri

<p>Three burdens of malnutrition, namely undernutrition, overnutrition, and lack of macronutrients are problems faced by adolescents in Indonesia. Nutritional problems related to development and growth are often experienced by adolescents because the adolescent's body requires more energy and nutrients than children. Previous studies on nutritional intake and nutritional status in adolescents reported inconsistent results. This study aims to determine the relationship between nutritional intake and nutritional status in adolescent girls in Buleleng Bali. This study uses a cross-sectional analytic observational design conducted in two high schools in Buleleng Regency with 163 respondents. The instruments used in this study were a questionnaire, 2x24 hour food recall, weight measurement with a weight scale, height measurement with a mechanical meter, and the World Health Organization (WHO) AnthroPlus software to calculate the body mass index by age (z-score). Spearman correlation test was performed for bivariate analysis and multiple linear regression for multivariate analysis. Bivariate analysis showed that the variables of fat intake (p-value=&lt;0,001) and total energy intake (p-value=0,008) showed a significant correlation with the z-score. In multivariate analysis, the variable that showed a significant relationship with the z-score was fat intake (β=0,023, 95%CI=0,013-0,033, p-value=&lt;0,001). Nutritional intake that has a significant relationship with nutritional status in adolescent girls in Buleleng Regency is fat intake. Limitation of fat consumption needs to be done.</p>