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    Hubungan antara simtom depresi dengan kecenderungan perilaku bunuh diri pada pasien gangguan jiwa

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    Background: generally to got the description about the correlation between depression symptom and willingness to comitted suicide behavior in mentally illness patient. Specially the purpose of this study was described about depression symptom, depression's level, willingness to comitted suicide, correlation between depression symptom and willingness to committed suicide, correlation bedween depression's level and willingness to comitted suicide, the factors that correlate with depression dan the factors that correlate with willingness to comitted suicide behavior in mentally illness patient in Grhasia Hospital, Yogyakarta. Method: this was non-experimental study, descriptive analitic correlation, with cross sectional design. The variables of this study were depression symptom and willingness to comitted suicide behavior. The instruments of this study were using Beck Depression Inventory (BDI) and comitted suicide scale. Data was collected by documentation study and questionaire. Data was analized by univariat analysis for descriptive variabel analyzing and test for dare normality, bevariate analysis for spread analyzing and correlation test between variables, data was analized by SPSS for Windows version 10.05. Results and conclusion: there was a middle correlation's level between depression symptom and willingness to comitted suicide behavior, the level of significancy was p = 0,013 and the correlation value was r = 0,238, and there was a middle correlation's level between depression level and willingness to comitted suicide behavior, the level of significancy was p = 0,003 and the correlation value was r = 0,264. Another results showed depression symptom in mentally illness patient majority was on mild scor, level of depression in mentally illness patient majority was on mild level of depression, the willingness to comitted suicide behaviour in mentally illness patient majority was on middle risk, there was a positive correlation between sex and the willingness to comitted suicide behavior and there was negative correlation between fungtional status and the willingness to comitted suicide behaviour in mentally illness patient and there was not any correlation between respondent's characteristics and level of depression in metally illness patient in Grhasia Hospital, Yogyakarta. Keywords: depression symptom, and willingness to comitted suicide behavior, mentally illnes

    Gambaran pemberian nutrisi enteral pada pasien dewasa

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    Background: A high prevalence of malnutrition in hospitals leads to the increasing of more attention paid for nutrition management. Enteral nutrition feeding in a proper way will give advantages such as protecting nutrition status in order not to go worse and preventing or reducing the occurrence of metabolic complication and infection, It requires specific knowledge and expertise in nutrition area, management of enteral nutrition feeding is a part of nurse's responsibilities. Method: This study was aimed to obtain a description of technical feeding of enteral nutrition to adult patient at Dr. Sardjito Hospital Yogyakarta,The type of this study was descriptive explorative by means of quantitative method, data was collected through observation to research subject who are the patients undergoing enteral nutritional therapy with a total number of 21 patients. This study was done within December 19t" 2005 — January 91h 2006. Result: The result showed that a high percentage of enteral nutrition feeding done by family was 40 actions (63.49%) while that done by nurses was 23 actions (36.51%). Enteral nutrition feeding that was considered as properly done was only 20 actions (31,75%) while that considered as improperly done was 43 actions (68.25%). The most frequent things that were not done in enteral nutrition feeding were checking the intestinal distortion before and after the nutrition feeding, aspirating residual volume of stomach before nutrition feeding. considering the rate of feeding, and some did not set the position of semifowler (30° — 45°) during enteral nutrition feeding. Conclusion: This study showed that most of enteral feeding had not been done based on theoretical standard. Keywords: Technical feeding. enteral nutrition, adult patien

    Beberapa faktor yang berhubungan dengan kejadian hepatitis B dan C pada pendonor darah

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    Background: Hepatitis B virus (HBV) and Hepatitis C virus (HCV) infection transmitted through blood product remains the major infectious problems in developing countries. There was an increase of HBsAg and anti-HCV prevalence among blood donors in Yogyakarta in the last five years. Objective: of this study was to identify factors associated with HBV and HCV infections in this group. Methods: This cross sectional study was conducted among blood donors in five units of blood transfusion unit in the Yogyakarta Municipality Red Cross. The status of HBV infection was ascertained with the presence of HbsAg using EIA or immunochromatography, and HCV infection was determined by the presence of anti HCV using Enzyme lmmuno Assay (EIA) or rapid test, Histories of blood transfusion, use of injection needles, tattooing, body piercing, acupuncture, dental treatment. family history of hepatitis, sexual activities, and use of shared tooth brushes and razor blades were collected using questionnaire. Result: Out of 805 subjects screened 2.2% and 0.6% were HBV positive and HCV positive, respectively. Only sexual activity with partners other than spouse was significant predictor of infections in the multivariate analysis (ORwyr-5,86, 95%CI 2,10-16,34 and ORHevr. 14.62; 95% CI 2,29-93,45). Conclusion: The high prevalence of HBV and HCV infections among blood donors found in this study should alert public health practitioner. Providing health education on reproductive health and risk of sexual transmission of HBV and HCV should therefore be among the major focuses of health authority. Keywords: Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Blood Donors, HBsAg, anti-HC

    Penatalaksanaan diare di Rumah pada balita

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    Background: Diarrhoea! diseases are a leading cause of childhood morbidity and mortality in developing countries, and an important cause of malnutrition. Most diarrhoea! deaths are caused by failure to treat acute dehydration properly and to correct electrolyte imbalances. Studies from both the developing and developed world demonstrate that morbidity and mortality can be drastically reduced by the prompt introduction of two simple treatments: oral rehydration therapy and early refeeding. Mother's actions in treating diarrhoea at home, especially in giving oral rehydration and feeding, are very important to reduce morbidity and mortality due to diarrhoea. Methods: This was an observational and cross-sectional study among 245 families with under-five-year-old children with diarrhoea within the last 2 weeks before the survey. The study was based on the longitudinal survey in Purworejo Regency in 2000-2002 by the LPKGM, Gadjah Mada University School of Medicine. Results: Based on the bivariate and multivariate analysis, the variables which related to diarrhoea! duration are the treatment on diarrhoea and the children age. The diarrhoeal treatment showed a very significant relationship with the diarrhoea! duration (p= 0.003). Better diarrhoea! treatment had probability 2.2 times shorter diarrhoeal duration compared with worse diarrhoea! treatment (OR= 2.2; CI 95%= Conclusions: There was a relationship between diarrhoea! treatments at home with the diarrhoea! duration on under-five-year-old children. Better diarrhoeal treatment would have shorter diarrhoeal duration compared with worse diarrhoeal treatment., Another factor influenced the diarrhoea] duration was the children age. Keywords : diarrhoeal treatment. diarrhoeal duration, under-five-year-old childre

    Sistem informasi hospital-based cancer registry berbasis web

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    Background: Information access from conventional medical record takes time and not fully centralizes for data in Pathology Clinic, Laboratory Clinic and other supporting Unit in Dr. Sardjito Hospital. Whereas in fact the data and information are needed for treatment by physician such as to prove diagnose of patients and to decide appropriate therapy to be taken. Therefore, Physician and provider should take data and information from many units which need times. Objectives: This Research build Information System of Hospital-Based Cancer Registry use web programming include input, output, database and implementation. Method: This research is developing research using system developtment life cycle (SDLC) method. SDLC is done in several steps, System analysis, system design and system implementation. Research design use crossectonal approach which has done in August to December 2005 against medical record paper (conventional) regarding children cancer in Dr. Sardjito Hospital. Result: This information system based on web application. This information system will be used for processing data regarding cancer patient including patient identity and clinical data in supporting data from laboratory, progress note and medical therapy had been taken. Data Output from this system are post hospital treatment, top ten cancer disease both outpatients and inpatients, average of visitor number, cancer patient based on region mapping. Model expressed in Data Flow Diagram so that user can find scope of work and how the system works easily. Input form shows detail fields to accommodate data and information more detail and optimal. Control design focused to security access such as input form, data and information with three different level of user that is ordinary user, administrator and super administrator. Conclusion: This Information System can be use to process a data of patients such as patient identity, social data, laboratory data, and progress note, and treatment data of patients. The output or Information's from this information system are made in Map, line graph, pie graph, and histrogram. Keywords: medical record, hospital-based cancer registry, system development life cycle. posthospital treatmen

    Pengaruh hipnosis lima jari terhadap penurunan kecemasan pasien kanker leher rahim

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    Background: The incidence of cervical cancer in Indonesia is still the highest among gynecological cancers. Cervical cancer patients generally have anxiety since the uterus has biological and psychological meaning for women. When the anxiety persists and is severe, it can decrease the body immune system. Therefore, an effective way should be sought to decrease anxiety. This study was aimed at examining the role of five-digit hypnosis in reducing anxiety of cervical cancer patient. Methods: The research was a quasi experiment with an equivalent control group design. The subjects of the study were 30 people who were given treatment of five-digit hypnosis and 30 people without treatment. Sample was selected with simple random sampling. The data collection method was questionnaire. The anxiety difference score of the patient was analyzed with pair samples test, while independent samples test was used to examine the influence of five-digit hypnosis with significance level p=0.05. Result and Discussion: The result indicated that there were no significant difference in age, education and length of medication between the two groups (p>0.05). There was a significant anxiety differenc

    Pengaruh media ceramah, leaflet dan vcd dalam pencegahan gangguan akibat kekurangan iodium

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    Background: Iodine Deficiency Disorder (1DD) is still one among nutritional problems in Indonesia. Primary School teachers are the target group of health promotion for IDD control in the education institution because the general impact of IDD toward the primary school students could cause mental retardation and the declining of intelligence level until 10 points below their abilities. The total of Goiter Rate (TGR) of Maluku Province tends to increased. Objectives: This research was aimed at finding out the influence of speech with media of VCD and leaflet through health promotion toward teacher in the effort of IDD prevention among Primary School's students. Methods: This study was quasi experimental with pretest and posttest control group design. The sample was sport and health education teacher (Penjaskes) in the sub district of Amahai and Teon Nila Serua (TNS). It was chosen purposively. Data was taken by using questionnaire. Crosscheck of student's knowledge was also implemented in order to find out teacher's practice. Analysis was using statistical test of paired t-test and t-test for difference test with significance level of p = 0,05. Results: There was a significant influence of a health promotion regarding 1DD toward the improvement of knowledge, attitude and teacher's practice. There was a more significant improvement in the intervention group than control group. There was also a significant improvement on knowledge of primary school children regarding IDD. Conclusion: Speech method that is supported by leaflet and VCD could improve knowledge, attitude and practice of teacher through health promotion regarding IDD as well as it could improve knowledge of students regarding IDD through teacher's practice.Keywords: IDD, Primary School student, Central Maluk

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