348 research outputs found

    PERAN POLA KONSUMSI TIOSIANAT TERHADAP KEJADIAN GONDOK PADA SISWA SEKOLAH DASAR DI DAERAH ENDEMIK DAN NON-ENDEMIK GONDOK DI KABUPATEN JEMBER

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    Goitre still become one of especial health problem in Indonesia. Prevalency TGR (Total Goitre Rate) is true tend to downhill, however there is endemic area tendency extend to coastal area and lowland.This research target is know the relation of thiocyanat consumption on the thyroid occurence in area non-endemic (Countryside Wirolegi ) and endemic area (Countryside Kamal) in Regency Jember.This research was inclusive of analytic descriptive. This sample research was consisted of  30 school age children become 2 group, that was thyroid patient group and non thyroid patient group. Goitre identified by palpasi, hereinafter sampel taken  their urine to know the rate of urine iodine and thiocyanat. As supporter data also interviewed by questionnaire to measure food intake and food frequency. Data which have been gathered to be analysed by using Regresi Logistics to see the variable relation with the thyroid occurence.Result of statistical test show there is relation which significant  between rate of Thiocyanat Urine with the thyroid occurence. Thiocyanat has the character of goitrogen personating of competitor and blocking agent in course of thyroid hormone forming. Sufficiency of energy and fat needed in contributing protein function in thyroid hormone forming, insufficiency of protein will bother the thyroid hormone forming process.Concluded that thyroid occurence not because of iodine insufficiency but because height of rate of thiocyanat as well as lowering sufficiency  consume the protein. Hence suggestion which we give is furthermore research to know the source of high and thiocyanat, as well as furthermore research use the more complete indicator, perform the counselling about food processing to eliminating thiocyanat. Keywords : rate of thiocyanat urine, thiocyanat consumption and Goitr

    Karakteristik Intake Kalori dan Gula Darah pada Penderita Diabetes II yang Berpuasa Ramadhan dan Tidak Berpuasa Ramadhan

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    Fasting is unfavorable situation for people with diabetes mellitus (DM) type 2 because it can lead to hyperglycemia and hypoglycemia when breaking before breaking the fast. Therefore, setting the proper feeding schedule, the amount of calories consumed, as well as administration and dosage schedules should be adjusted when the patient fasting. Types of observational studies with treatment of patients with type 2 diabetes who Ramadan fasting through consecutive sampling. One group of data taken during fasting compared to 2 months later the same group of data taken when non fasting. The data retrieved is the number of calories consumed daily and blood glucose levels sunset, 2 hours after sunset meals, predawn, and 2 hours postmeal. Based on the test paired samples T-test in patients with type 2 diabetes obtained significant differences in caloric intake while fasting against nonfasting  (p-value<0.05). The pattern also shows differences in caloric intake during after the sunset meals (69 %) compared to when the predawn (31 %). Blood glucose levels found significant differences between the fasting and nonfasting (p-value<0.05). Mean blood glucose levels when not fasting total of 190.05 mg/dl higher than the mean fasting total of 168.22 mg/dl. When fasting blood glucose levels rise in average at sunset meals and predawn of 75.11 mg/dl and 59.84 mg/dl respectively. When nonfasting blood glucose rise at breakfast higher at 63.08 mg/dl than at dinner by 24.46 mg/dl. Incidence of hypoglycemia during fasting four times as many (10.8%) than when nonfasting (2.7%). Patients with type 2 diabetes mellitus is obtained: the number of calories and blood glucose profile that fasting is lower than that is nonfasting; there is a positive relationship between the rise in blood sugar to rise in the level of calories. Ramadan fasting in patients with type 2 diabetes mellitus is positive dietary therapy but little risk of mild hypoglycemia when sunset and hyperlycemia when sunset meals. Keywords : Diabetes Mellitus II, fasting Ramadan , calories, blood glucose profiles, hypoglycemia

    EFEKTIVITAS SOSIALISASI PROGRAM JAMINAN KESEHATAN TERHADAP PENGETAHUAN DAN SIKAP RUMAH TANGGA USAHA PERTANIAN NON PBI DI KABUPATEN JEMBER TAHUN 2015

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    Jember as a regional center for agriculture and plantations in East Java has a population with considerable professional farmers. Health insurance for farmers is indispensable as by the implementation of a national health insurance program as of 1 January 2014. The problem that arises was that the number of informal sector workers (including farmers not PBI) which register was still very little. Therefore, it was necessary to study on theeffectiveness of the program socialization JKN on knowledge and attitudes of family farmers. This type of research wasa descriptive observational where researchers conducted interviews and questionnaires as well as performing measurements on several variables being studied without the intervention of the research object. This study was conducted in three (3)districts which have a number of farming households highest in Jember, in August 2015. The variables in the research was the respondents' knowledge, attitude, and information source.The results showed that only 40 respondents (45.4%) had knowledge of the health insurance program. Of the 40 respondents, only 20% were aware of how the mechanism ofregistration, 22.5% know the mechanism of payment, and 20% know how to take advantage of health services in the health insurance program. Sources of information that most (52.5%) are in the vicinity (word of mouth). The attitude of the majority of respondents rejected thehealth insurance program participants (68.9%).the socialization of the health insurance program as part of a policy of running less effective communication, especially in the aspect of the transmission, clarity, and consistency.Keywords: socialization, participation, health insurance

    Pengaruh Komunikasi Terapeutik yang dilakukan oleh perawat terhadap tingkat kecemasan pasien yang mengalami Hospitalisasi di RSU se-Kabupaten Jember

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    Anxiety is a condition where individual or group has anxious feeling (estimate/opinion) and the act of nervous system to respond a vague threat,non-spesific.This research uses Pre-Experiment design with a frame of Pre-Post Test design without control,purpose to identify the influence of therapheutic communication toward the decrease of patient’s anxiety level for Pre-Operation patients cured in Surgery Room RSU in Jember Regency using Consecutive Sampling technigue. The intervention process uses introduction of analytical therapheutic communikative intraction process. A result of the process applies on regres test on which t calculation is much bigger than t table, that is 4,479 > 2,093. In conclusion, every Pre-operation patient has anxiety, and therapheutic communication give meaningful and significant influence to decrease Pre-operation of patient’s anxiety level. As remmendation, in this research, the therapheutic communication done well will be able to decrease patien’s anxiety level so it must be applied in nursing service especially Pre-operation. Key word: Therapheutic Communication, Anxiet

    PENDEKATAN CLTS (COMMUNITY LEAD TOTAL SANITATION) UNTUK MENGUBAH PERILAKU KESEHATAN PADA MASYARAKAT DESA KENONGO KECAMATAN GUCIALIT KABUPATEN LUMAJANG

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    This article describes the implementation of CLTS (Community Lead Total Sanitation) are applied to change the unhealthy defecation behavior in the community of Kenongo village Sub Gucialit Lumajang successful in a short time. In general, the success of this program due to full community involvement in the form of awareness of the need for healthy living. Uniting perception program objectives and interests of the community do well through the 5 stages of CLTS triggers. This success is also supported by the real condition of the community of Kenongo village who already has material and immaterial capital in the form of local cultural values so that local capital could act as predeposisi, enabling and reinforcing. Key words : innovation, healthy behaviors, CLTS approac

    DEMAND MASYARAKAT KECAMATAN SUKORAMBI TERHADAP PELAYANAN KESEHATAN PUSKESMAS SUKORAMBI DI KABUPATEN JEMBER

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    The demand of residents of Sukorambi sub-district for health care of Public Health Center (Puskesmas) at the sub-district decreased by 0.82% on 2007, and the target of 50% public visit could not be fulfilled. The objective of this research is to analyze the demand of residents of Sukorambi sub-district for health care that are provided by the Puskemas of Sukorambi sub-district in relation with the sub-district’s characteristics of demography, residents’ trust in health care, frequency of disease infection, residents’ level of knowledge as well as residents’ level of income. This study uses a descriptive method of survey of which the sample-taking procedure is by means of proportional allocation and simple random sampling technique. The results of research indicate that the percentage of residents of Sukorambi sub-district who had the demand for health care of the Puskesmas was 59.05%, whereas the residents who did not have the demand for health care of the Puskesmas was  40.95%. The majority of residents of Sukorambi sub-district who had the demand for health care of the Puskesmas was female, that was 53.51%, of which the highest percentage was elderly residents–that was 53.89%, had trust in the medical services–that reached 89.62%, had less frequency of disease infection–that was 54.72%, had a high level of knowledge–that was 72.69%, and had a relatively low income–that reached 53.77%.   Keywords: demand, residents, health car

    STATUS GIZI ANAK USIA BALITA PADA KELUARGA SADAR GIZI (KADARZI) DAN NON KADARZI DI DESA SUKOJEMBER KECAMATAN JELBUK KABUPATEN JEMBER

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    Nutrition problem is one of the determinant of human resource quality. One of the strategy in conquering the nutrition problem is Kadarzi program. The purpose of this research is to analyze the difference of nutrition status of child under five years old at Kadarzi and non Kadarzi. Research design is analytic observational and based on the time was cross sectional. The number of samples were 101 samples, consisted of 38 Kadarzi and 63 non Kadarzi. The data which had been obtained were analyzed statistically by using Mann-Whitney’s test, with α=0,05. The result of research showed that there was no significantly difference on the father’s educational level (p=0.397), family’s income (p=0.106), TB/U nutrition status index (p=0.369) and BB/TB nutrition status index (p=0.051). The result with Mann-Whitney’s test showed that there was significantly difference on the mother’s educational level (p=0.024), family’s nutrition knowledge (p=0.003), energy consumption (p=0.023), protein consumption (p=0.033), BB/U nutrition status index (p=0.016) and combined nutrition status index (p=0.029). Continual nutrition counseling for family, especially non Kadarzi was needed to improve nutrition knowledge. Keywords : nutrition status, child under five years old, keluarga sadar gizi (Kadarzi

    KUALITAS INFORMASI DARI SISTEM INFORMASI POSYANDU (SIP) BERBASIS KOMPUTER UNTUK MENDUKUNG SURVEILANS KESEHATAN IBU & ANAK OLEH MASYARAKAT PADA DESA SIAGA

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    One of the Alert Village activities is implementation of surveillance based on community namely surveillance of maternal and child health through activities which are conducted at the Integrated Health Services Post.  Surveillance activities are conducted by a cadre who records and reports using information system of the integrated health services. The resulted information is weight,  child’s nutritional status, immunization, risk level of pregnant women, immunization of Tetanus Toxoid, list of mothers and children who are either life or lifeless, and presence of health workers during providing services. Based on the previous study, resulted information was difficult to reaccess and had not resulted the complete, accurate, and clear information. The objective of this research was to develop information system of the integrated health services post for supporting surveillance of maternal and child health based on community at the alert village. Design of this research was pre-experimental (one group pretest-posttest). Subject consisted of the end user  (cadres of the integrated health services post). Data were analyzed using considered average of resulted information between before and after developing the information system.The score of the considered average on the new system (3.07) was higher than the score of the considered average on the old system (2.54). It means that the new system could overcome problems related with quality of information namely accessibility, completeness, accurateness, and clarity. Keywords          : Information System, Integrated Health Services Post, Information Qualit

    Gambaran Sanitasi Dasar Pengelolaan Limbah Rumah Tangga di Kecamatan Kaliwates Kabupaten Jember

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    Elementary sanitation is minimal requirement senviron mental health that must beowned by every family to meet their daily needs. The scope of basic sanitary facilities are water supply, house hold toilets, waste disposal facilities, and waste water disposal. Fromthe data, there are three primary health centers Kaliwates are as have a higherpercentage of owner shipbins and toilets are low. Workupexamined 7,951 househ olds from 10.327 house holds in the Puskesmas Kaliwates show slatrine ownership of 66.06%. This research purpose to descri be the basic elementary management of house hold waste in the Kaliwates Sub-District in Jember. This researchis a descriptive study. The method used in this study is the observation and interviews with 40 responden  and sampling method was carried out by using a purposive sampling technique. The results sho wed that for elementary sanitation facilities associated with waste disposal, management of house hold waste, means of excreta disposal and management of  stoolis still in the low category.   Keyword: Elementary Sanitation, Household Waste Managemen

    GAYA HIDUP SEKSUAL WARIA NON PEKERJA SEKS KOMERSIAL KOTA SEMARANG

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    Being transvestites is not merely bringing a biological problems, but also psychological and sociological. Most transvestites were having a low self concept due to their confusion on their sexual identity. The ambiguity place them isolated from community. Social pressure forms stigmatization and discrimination toward thisgroup of people, which lead them to have more risky sexual practice. This study aims to analize the sexual life style of non-commercial transvestites in Semarang. It was a qualitative study involved informants aged 25-54. Most of them reconstruct their face and body in order to maximize their sexual appeal as a female. Most of respondents were having steady single or married partner. However, the status was not limiting them to have sexual relationship with others. Less respondent found their partner from chatting, hang-out in a hot spot (cebongan), and using gigolos services. All the respondents only needed a few of time to finally engage in sexual intercourse with their partner. First sight, first date and sexual intercourse were occurred in a quick encounter. The reasons of having sexual intercourse (anal and or oral sex) were to show their love to their partner and just for fun. They were mostly prefer anal or oral sex, however, some of them also practicing petting with “es gosrok†style of commonly called clamping style. Although most of them negotiate with their partner to use condom, there were some of them were not because they did not practicing penetration anal sex. Keywords : transvestites, non-commercial, sexual lifestyle, sexual scrip

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