e-Journal Badan Penelitian dan Pengembangan Kesehatan / National Institute of Health Research and Development
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Flight Hours in 7 Consecutive Days and Physical Exercise among the Civil Pilot in Indonesia
Abstrak Latar belakang Tidak tersedianya waktu merupakan salah satu hambatan melakukan latihan fisik yang sering dilaporkan di negara berkembang. Berdasarkan Peraturan Keselamatan Penerbangan Sipil bagian 121, jam terbang maksimal pilot sipil komersial dalam 7 hari terakhir adalah 30 jam. Oleh karena itu perlu dilakukan penelitian mengenai hubungan jam terbang 7 hari terakhir terhadap kebiasaan latihan fisik pada pilot sipil di Indonesia. Metode Penelitian potong lintang terhadap 600 orang pilot sipil yang melakukan pengujian kesehatan personil penerbangan di Balai Kesehatan Penerbangan pada bulan April 2016 dan memenuhi kriteria inklusi/ekslusi. Data yang dikumpulkan yaitu karakteristik demografi, pekerjaan, kebiasaan olahraga, tinggi dan berat badan. Pengambilan data dilakukan dengan wawancara dan pemeriksaan fisik. Pilot dikategorikan memiliki kebiasaan latihan fisik sesuai rekomendasi ACSM apabila melakukan latihan fisik dengan intensitas sedang selama 150 menit per minggu atau latihan fisik dengan intensitas berat selama 75 menit per minggu. Hasil Jam terbang 7 hari terakhir merupakan faktor dominan terhadap kebiasaan latihan fisik. Jika dibandingkan dengan pilot dengan jam terbang 7 hari terakhir < 3,5 jam, maka pilot dengan jam terbang 7 hari terakhir 3,5-14 jam berisiko 24% lebih rendah memiliki kebiasaan latihan fisik sesuai [RRa= 0,76; p=0,032]. Simpulan Faktor risiko yang berpengaruh terhadap kebiasaan latihan fisik adalah jam terbang 7 hari terakhir. Kata kunci: Jam terbang 7 hari terakhir, kebiasaan latihan fisik, pilot sipil Indonesia Background The most frequently reported barrier of doing physical exercise in developed countries is lack of time. Based on the Civil Aviation Safety Regulation part 121, the maximum working hour for commercial pilot in 7 consecutive days is 30 hours. The study objective is to identify the relation between flight hours in 7 consecutive days and the physical exercise habit among the civil pilots in Indonesia. Method A cross sectional study towards 600 civil pilots, who did their medical examination at the Aviation Medical Center, Jakarta and met the inclusion/exclusion criteria. The collected data were demographic and job characteristics, physical exercise habits, body weight, heights. The data was obtained through interview and physical examinations. Pilot was categorized as having an appropriate physical exercise habit if he/she spent 150 minutes of moderate intensity exercise per week or 75 minutes of vigorous intensity exercise per week. Results Flight hour in 7 consecutive days was a dominant factor to the physical exercise habit. Compared to the pilot who had flight hours in 7 consecutive days less than 3.5 hours, pilot who had flight hours in 7 consecutive days 3.5-14 were having less 24% risk of appropriate physical exercise [RRa= 0,76; p=0,032]. Conclusion Risk factor to the physical exercise habit among the civil pilot is flight hour in 7 consecutive days. Key words: Flight hours in 7 consecutive days, physical exercise, civil pilot in Indonesia
Serologic observation and risk factor of yaws in Hamadi Public Health Center, Jayapura
Latar belakang: Penyakit frambusia masih menjadi masalah yang belum terselesaikan di Kota Jayapura sebab terdapat daerah kantong frambusia di Kota Jayapura. Penelitian ini bertujuan untuk mendapatkan data status frambusia secara serologi dan faktor risikonya. Metode: Penelitian deskriptif yang dilakukan secara potong lintang. Pemeriksaan laboratorium standar yang digunakan berupa uji Treponema pallidum haemagglutination (TPHA) pada 322 kasus yang didiagnosis Yaws di Puskesmas Hamadi dari Januari – Oktober 2016. Hasil: Faktor risiko frambusia berupa riwayat pernah mengalami frambusia memiliki potensi dua kali lebih besar untuk mengalami frambusia kembali. Faktor risiko frambusia meningkat dua kali lebih besar pada kasus yang kurang berperilaku hidup bersih dan sehat yaitu: jarang mandi dan tanpa menggunakan sabun dan mempunyai kebiasaan jarang/tidak pakai sandal. Potensi risiko meningkat tiga kali pada kebiasaan pakai handuk bersama. Kesimpulan: Secara serologi dengan TPHA yang positif didapat pada 111 sampel dari kasus dan kontak. Periaku hidup yang kurang bersih dan sehat merupakan faktor risiko yang mempengaruhi kejadian frambusia. Kata kunci: TPHA, frambusia, faktor risiko, perilaku hidup bersih dan sehat Background: Yaws remained an unfinished health problem in Jayapura City, as there still yaws case found. This research aimed to obtain serological prevalence data and determine the risk factors for yaws transmission in Jayapura. Methods: These was descriptive and cross-sectional research, and TPHA was the standard laboratory test used during the research. Results: The risk factor of a frambusia in the history of having experienced frambusia has twice as much potential for experiencing frambusia again. The risk factor of frambusia has increased twice as much in less healthy behaviors: rarely bathing and without using soap and having a rare / non-slip habit. Potential risk increased three times in the habit of sharing a towel together. Conclusion: Serology with positive TPHA was obtained in 111 samples of cases and contacts. Not clean and healthy behavior is a risk factor that affects the incidence of frambusia.Keywords: TPHA, yaws, risk factor, personal hygiene
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAYANAN BAYI DI INDONESIA: PENDEKATAN ANALISIS MULTILEVEL
Background: Improving maternal and child health is one of the national development priorities of 2015-2019. Efforts to reduce infant mortality require information on appropriate infant health intervention model in Indonesia. Objective: The study aimed to identify factors related to infant health services in order to reduce infant mortality rate in Indonesia. Method: This study used multilevel analysis of data from 2010 Riskesdas, 2010 PODES and 2011 Rifaskes, with dependent variable of child survival, and independent variables were infant, maternal, household and area factor (Puskesmas). Results: Factors that contribute to the survival of infants were ANC, history of complications and preterm status, as the factor of preterm birth is twice as high as infant mortality compared to other factors. Conclusion: Factors that contribute to improving infant health services are the handling of premature infants, well handled complication cases and ANC services and postpartum contacts that meet the standards
STATUS PROTEINURIA DALAM KEHAMILAN DI KABUPATEN SUMBA BARAT DAYA, NUSA TENGGARA TIMUR TAHUN 2016
AbstractBackground: Maternal mortality rate in Indonesia is still high. The three most causes of maternal death are hypertension in pregnancy, postpartum hemorrhage followed by infection. Eclampsia is one of the pregnancy hypertension which has negative impact to mother and fetus. Early detection can prevent maternal death by pregnancy hypertention. Proteinuria is one of the signs used for early detection of eclampsia and other pregnancy disorders. Objective: In order to determine the status of proteinuria in pregnancy in Southwest Sumba District, East Nusa Tenggara in 2016. Method: This is a cross sectional study conducted in 3 villages, namely Weetebula, Hombakaripit, and Palla. A total of 97 pregnant women participated in the study. The proteinuria status was examined using dipstick urine. Hypothesis testing of the relationship between gravida, hypertension status, age group, and trimester with the proteinuria occurrence was performed using Mann Whitney test Results: A total of 89.5% of respondents showed positive proteinuria and other 10% were negative. Of those with positive proteinuria, 39,1% were plus minus, 48,3% were positive 1, and 12,7% were positive 2. Respondents who suffered from hypertension counted for 4,1%, 1 of whom suffered from preeclampsia. Conclusions: The vast majority of respondents showed proteinuria, but the hypothesis test results indicated that gravida, hypertension, age and trimester status were not associated with proteinuria
GAMBARAN PILIHAN PERSALINAN OLEH TENAGA NON KESEHATAN/TANPA PERTOLONGAN DI INDONESIA
Background: Delivery by health personnel is an attempt to reduce maternal and infant mortality. However, delivery by non-health workers is still high, especially in some provinces and districts in Indonesia. Objective: In order to obtain an overview of delivery by traditional birth attendant/none and the influencial factors Method: This cross-sectional study used the 2013 Basic Health Research (Riskesdas) data and routine data from Board of Development and Empowerment Human Resources for Health (BPPSDMK), Ministry of Health. Data were analyzed bivariately by using generalized linear models (GLM). Results: The results of the analysis showed that the delivery by traditional birth attendant or none is still high in eastern Indonesia, especially in remote areas, islands, and borders. Bivariate tests showed that low education, low socioeconomic status and travel time to health facility had significant effect (p<0.05) to the high rate of proportion of deliveries by non-health workers. However, the ratio of midwives per 1000 population was vice versa. Conclusion: Low education, low socioeconomic status, and travel time to health facilities affect the choice of traditional birth (with the help of traditional birth attendant, relatives or no assistance at all)
PENGARUH SARI MARKISA UNGU (PASSIFLORA EDULIS VAR EDULIS) BERBAGAI DOSIS TERHADAP PROFIL LIPID TIKUS WISTAR MODEL HIPERKOLESTEROLEMIA
Hypercholesterolemia is still be the biggest risk factor for cardiovascular disease. This study aims to explore the potential of purple passion fruit juice as an antihypercholesterolemic agent, as well as the effective dose in improving lipid profile. A total of 30 male Wistar rats aged 8-12 weeks weighing 180-220g, were randomly divided into 5 groups: K1 (normal control), K2 (hypercholesterolemic control), K3 (treatment with purple passion juice 1.1 mL/200gBW, K4 (treatment with purple passion juice 2.1 mL/200gBW), and K5 (treatment with purple passion juice 4.2 mL/200gBW). Induction of hypercholesterolemia with lard 3 mL/200gBW/day and duck egg yolk 2 mL/200gBW/day for 10 days, and treatment for 14 days by oral gavage. Parameter of lipid profile, namely total cholesterol, LDL, HDL and triglycerides were analyzed before and after treatment with enzymatic-photometric method. Total cholesterol and HDL were measured by CHOD-PAP method, triglyceride levels with GPO-PAP method, while LDL is calculated by the Friedewald formula. Results: The provision of various dose of purple passion juice can improves lipid profile, where dose of 4.2 ml/200gBB/day can significantly lower total cholesterol levels (89.62 ± 15.24 mg/dL to 58.63 ± 12.86 mg/dL, p = 0.034) and LDL (40, 03 ± 9.53 mg/dL to 13.28 ± 3.77 mg/dL, p = 0.000). Conclusion: The purple passion juice may improves blood lipid profiles, with an effective dose of 4.2 mL/200 gBW/day. Hiperkolesterolemia hingga saat ini masih menjadi faktor resiko terbesar penyakit kardiovaskuler. Penelitian ini bertujuan untuk mengeksplorasi potensi sari buah markisa ungu sebagai agen antihiperkolesterolemia, serta dosis efektifnya dalam memperbaiki profil lipid darah. Sebanyak 30 ekor tikus jantan Wistar berusia 8-12 minggu dengan berat badan 180-220 g, dibagi 5 kelompok secara acak: K1 (kontrol normal), K2 (kontrol hiperkolesterolemia), K3 (perlakuan markisa ungu dosis 1,1 ml/200gBB), K4 (perlakuan markisa ungu dosis 2,1 ml/200gBB), dan K5 (perlakuan markisa ungu dosis 4,2 ml/200gBB). Induksi hiperkolesterolemia dengan minyak babi 3 mL/200gBB/hari dan kuning telur bebek 2 mL/200gBB/hari selama 10 hari, dan perlakuan selama 14 hari melalui sonde lambung. Parameter profil lipid yaitu kolesterol total, LDL, HDL dan trigliserida dianalisis sebelum dan sesudah perlakuan dengan metode enzymatic-photometric. Kadar kolesterol total dan HDL diukur dengan metode CHOD-PAP, kadar trigliserida dengan metode GPO-PAP, sedangkan LDL dihitung dengan formula Friedewald. Hasil: pemberian perlakuan sari markisa ungu berbagai kelompok dosis dapat memperbaiki profil lipid darah, dimana dosis 4,2 ml/200gBB/hari secara signifikan dapat menurunkan kadar kolesterol total (89,62±15,24 mg/dL menjadi 58,63±12,86 mg/dL, p=0,034) dan LDL (40,03±9,53 mg/dL menjadi 13,28±3,77 mg/dL, p=0,000). Kesimpulan: Markisa ungu dapat memperbaiki profil lipid darah, dengan dosis efektif 4,2 ml/200 gBB/hari.Hypercholesterolemia is still be the biggest risk factor for cardiovascular disease. This study aims to explore the potential of purple passion fruit juice as an antihypercholesterolemic agent, as well as the effective dose in improving lipid profile. A total of 30 male Wistar rats aged 8-12 weeks weighing 180-220g, were randomly divided into 5 groups: K1 (normal control), K2 (hypercholesterolemic control), K3 (treatment with purple passion juice 1.1 mL/200gBW, K4 (treatment with purple passion juice 2.1 mL/200gBW), and K5 (treatment with purple passion juice 4.2 mL/200gBW). Induction of hypercholesterolemia with lard 3 mL/200gBW/day and duck egg yolk 2 mL/200gBW/day for 10 days, and treatment for 14 days by oral gavage. Parameter of lipid profile, namely total cholesterol, LDL, HDL and triglycerides were analyzed before and after treatment with enzymatic-photometric method. Total cholesterol and HDL were measured by CHOD-PAP method, triglyceride levels with GPO-PAP method, while LDL is calculated by the Friedewald formula. Results: The provision of various dose of purple passion juice can improves lipid profile, where dose of 4.2 ml/200gBB/day can significantly lower total cholesterol levels (89.62 ± 15.24 mg/dL to 58.63 ± 12.86 mg/dL, p = 0.034) and LDL (40, 03 ± 9.53 mg/dL to 13.28 ± 3.77 mg/dL, p = 0.000). Conclusion: The purple passion juice may improves blood lipid profiles, with an effective dose of 4.2 mL/200 gBW/day. Hiperkolesterolemia hingga saat ini masih menjadi faktor resiko terbesar penyakit kardiovaskuler. Penelitian ini bertujuan untuk mengeksplorasi potensi sari buah markisa ungu sebagai agen antihiperkolesterolemia, serta dosis efektifnya dalam memperbaiki profil lipid darah. Sebanyak 30 ekor tikus jantan Wistar berusia 8-12 minggu dengan berat badan 180-220 g, dibagi 5 kelompok secara acak: K1 (kontrol normal), K2 (kontrol hiperkolesterolemia), K3 (perlakuan markisa ungu dosis 1,1 ml/200gBB), K4 (perlakuan markisa ungu dosis 2,1 ml/200gBB), dan K5 (perlakuan markisa ungu dosis 4,2 ml/200gBB). Induksi hiperkolesterolemia dengan minyak babi 3 mL/200gBB/hari dan kuning telur bebek 2 mL/200gBB/hari selama 10 hari, dan perlakuan selama 14 hari melalui sonde lambung. Parameter profil lipid yaitu kolesterol total, LDL, HDL dan trigliserida dianalisis sebelum dan sesudah perlakuan dengan metode enzymatic-photometric. Kadar kolesterol total dan HDL diukur dengan metode CHOD-PAP, kadar trigliserida dengan metode GPO-PAP, sedangkan LDL dihitung dengan formula Friedewald. Hasil: pemberian perlakuan sari markisa ungu berbagai kelompok dosis dapat memperbaiki profil lipid darah, dimana dosis 4,2 ml/200gBB/hari secara signifikan dapat menurunkan kadar kolesterol total (89,62±15,24 mg/dL menjadi 58,63±12,86 mg/dL, p=0,034) dan LDL (40,03±9,53 mg/dL menjadi 13,28±3,77 mg/dL, p=0,000). Kesimpulan: Markisa ungu dapat memperbaiki profil lipid darah, dengan dosis efektif 4,2 ml/200 gBB/hari
GAMBARAN MEDIAN TINGGI BADAN DAN BERAT BADAN MENURUT KELOMPOK UMUR PADA PENDUDUK INDONESIA YANG SEHAT BERDASARKAN HASIL RISKESDAS 2013
The availability of weight and height data based on age group of Indonesian population are needed to assess the appropriate nutrition intake in every gender and age group. However, threre are many problems during determining recommended dietary allowances (RDA) for Indonesians due to un intregated available aquired data in a survey. This analyced data aimed to present aquired information for arranging RDA base on gender and age group. Weight and height data were axtracted from baseline health survey of Indonesia (Riskesdas) 2013. The weight and height data included in the analyses were individu should have good nutritional status, free from chronic diseases and came from wealth economic status. The median of weight and of height were compare to recommended weight and height in RDA 2012 in same gender and same age group. Results show that median weight and height were looked lower than RDA one, the results can be considered on determining of the coming RDA for Indonesian. Tersedianya data berat badan dan tinggi badan menurut kelompok umur pada penduduk Indonesia bermanfaat untuk menilai asupan gizi yang tepat pada setiap kelompok umur dan jenis kelamin. Namun demikian dalam penetapan AKG (Angka Kecukupan Gizi) selama ini masih terkendala karena beberapa informasi yang diperlukan ketersediannya terbatas, seperti data berat badan, tinggi badan, serta asupan zat gizi belum dilakukan dalam suatu survei yang terintegrasi. Analisis ini bertujuan untuk mendapatkan informasi tentang nilai median berat badan dan tinggi badan penduduk Indonesia menurut kelompok umur berdasarkan data Riskesdas 2013 dan membandingkan dengan median tinggi badan dan berat badan yang digunakan dalam AKG 2012. Data yang digunakan dalam analisis ini adalah data berat badan dan tinggi badan individu yang memiliki tingkat soaial ekonomi baik, status gizi normal dan tidak menderita penyakit kronis. Hasil analisis menunjukkan bahwa median berat badan dan tinggi badan pada jenis kelamin yang sama dan kelompok umur yang sama tampak lebih rendah dibandingkan dengan median berat badan dan tinggi badan dari setiap kelompok umur dalam AKG 2012. Dengan diperolehnya angka median berat badan dan tinggi badan menurut kelompok umur dan jenis kelamin diharapkan dapat digunakan sebagai bahan pertimbangan dalam menentukan AKG yang akan datang
KECENDERUNGAN PERTUMBUHAN ANAK USIA 0-12 BULAN MENURUT KONDISI RUMAH, KEBERSIHAN LINGKUNGAN DAN PERILAKU PENGASUHAN
The early life of a child is a very important period for their growth and development. Children growth is influenced by many factors, including environmental factors and parenting behaviours. This study aims to assess the growth trend based on weight for age (w/a) Z-score in children aged 0-12 months and differences based on house condition, environment hygiene, and nurturing behaviour.This is a longitudinal study, part of Child Growth Cohort Study organized by The National Institute of Health Research and Developmend of Republic Indonesia. Samples are children aged 0-23 months in September 2015 and domiciled in the Babakan Pasar dan Ciwaringin Village, Bogor. The growth data analized based on the w/a Z-score value. Presented the w/a Z-score each month to see the trend of growth in children. The differences in the children growth base on house condition, environment hygiene, and nurturing behaviour are assessed at 0, 3, 6, 9, and 12 months with T-independent test. House condition consist of walls, roofs, and bathroom availability. Environmental include house and environment hygiene. Nurturing behaviourinclude breastfeeding, colostrum giving, and in house smoking.The average children are in normal nutritional status.The child's growth began to falter after 3 months of age and continue until 12 months. No significant differences in growth of children based on house condition, environmental hygiene and in house smoking. There is significant differences, that children who are exclusively breastfeed and given whole colostrum have better growth than otherwise.Awal kehidupan anak merupakan periode sangat penting bagi tumbuh kembangnya.Pertumbuhan anak dipengaruhi banyak faktor, termasuk faktor lingkungan dan perilaku pengasuhan. Studi ini bertujuan melihat kecenderungan pertumbuhan (status gizi) berdasarkan nilai Z-Score berat badan menurut umur (BB/U) pada anak usia 0-12 bulan dan melihat perbedaan pertumbuhan berdasarkan kondisi rumah, kebersihan lingkungan dan perilaku pengasuhan. Studi ini merupakan studi observasional, dengan rancangan longitudinal yang merupakan bagian dari Studi Kohor Tumbuh Kembang Anak yang diselenggarakan oleh Balitbangkes RI.Sampel adalah anak yang September 2015 berusia 0-23 bulan, berdomisili di Kelurahan Babakan Pasar dan Ciwaringin, Bogor.Untuk melihat kecenderungan pertumbuhan anak disajikan nilai Rerata Z-Score BB/U tiap bulan. Perbedaan pertumbuhan dinilai pada titik usia 0, 3, 6, 9, dan 12 bulan berdasar kondisi rumah, kebersihan lingkungan dan perilaku pengasuhan dilakukan menggunakan uji T-Independen. Kondisi rumah meliputi variabel dinding, atap rumah dan ketersediaan kamar mandi.Kondisi lingkungan adalah kebersihan lingkungan didalam dan diluar rumah.Perilaku pengasuhan meliputi pemberian ASI, kolostrum dan kebiasaan merokok dalam rumah.Hasil menunjukkan Rerata anak berada di status gizi normal.pertumbuhan anak terganggu mulai usia 3 bulan dan terus berlanjut sampai 12 bulan. Tidak terdapat perbedaan signifikan pada pertumbuhan anak berdasar kondisi rumah, kebersihan didalam dan diluar rumah dan kebiasaan merokok dalam rumah.Terlihat ada perbedaan pertumbuhan pada anak yang bermakna, anak yang di berikan ASI saja dan anak yang diberikan keseluruhan kolustrum lebih baik pertumbuhannya dibandingkan sebaliknya Awal kehidupan anak merupakan periode sangat penting bagi tumbuh kembangnya. Pertumbuhan anak dipengaruhi banyak faktor, termasuk faktor lingkungan dan perilaku pengasuhan. Studi ini bertujuan melihat kecenderungan pertumbuhan (status gizi) berdasarkan nilai Z-Score berat badan menurut umur (BB/U) pada anak usia 0-12 bulan dan melihat perbedaan pertumbuhan berdasarkan kondisi rumah, kebersihan lingkungan dan perilaku pengasuhan. Studi ini merupakan studi observasional, dengan rancangan kohor prospektif yang merupakan bagian dari Studi Kohor Tumbuh Kembang Anak yang diselenggarakan oleh Balitbangkes RI. Sampel adalah anak yang September 2015 berusia 0-23 bulan, berdomisili di Kelurahan Babakan Pasar dan Ciwaringin, Bogor. Untuk melihat kecenderungan pertumbuhan anak disajikan nilai rata-rata Z-Score BB/U tiap bulan. Perbedaan pertumbuhan dinilai pada titik usia 0, 3, 6, 9, dan 12 bulan berdasar kondisi rumah, kebersihan lingkungan dan perilaku pengasuhan dilakukan menggunakan uji T-Independen. Kondisi rumah meliputi variabel dinding, atap rumah dan ketersediaan kamar mandi. Kondisi lingkungan adalah kebersihan lingkungan didalam dan diluar rumah. Perilaku pengasuhan meliputi pemberian ASI, kolostrum dan kebiasaan merokok dalam rumah. Hasil menunjukkan rata-rata anak berada di status gizi normal. pertumbuhan anak terganggu mulai usia 3 bulan dan terus berlanjut sampai 12 bulan. Tidak terdapat perbedaan signifikan pada pertumbuhan anak berdasar kondisi rumah, kebersihan didalam dan diluar rumah dan kebiasaan merokok dalam rumah. Terlihat ada perbedaan pertumbuhan pada anak yang bermakna, anak yang di berikan ASI saja dan anak yang diberikan keseluruhan kolustrum lebih baik pertumbuhannya dibandingkan sebaliknya