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Perbandingan Tingkat Penyembuhan Tulang Antara Isolated Tibial Diaphyseal Fracture, Both Tibial dan Fibula Diaphyseal Fracture Setelah Terapi Interlocking Intramedullary Solid Nail
Get PDFABSTRACTOne of the fixation method is interlocking intramedullary solid nail that can enhance the callus formation in tibial diaphyseal fracture through the secondary healing. The research aimed to compare the rate of bone healing between isolated tibial diaphyseal fracture and both diaphyseal tibial and fibular fracture after therapy solid interlocking intramedullary nail. This research was conducted by comparing the results of the cure rate among patients with isolated fractures of the tibia and fracture of the tibia with fractures of the fibula during November 2007 to December 2015. The first group, comprising 29 patients and the second group comprised 47 patients. All patients had solid action intramedullary nail. The evaluation was done 30 weeks post-surgery, to assess the Union Rate using Radiographic Union Score for tibial Fractures (RUST). Data were analyzed using non-parametric test of Mann-Whitney test for comparing the union rate between the two groups. The results showed that 27 of 29 patients with isolated tibial fractures had RUST score > 7 and 2 patients with RUST score 7 and 3 patients with a score < 7. Keywords: Interlocking intramedullary solid nail, Isolated Tibial Diaphyseal Fracture Radiographic Union Score, Unionrat
Identifikasi Candida albicans pada Wanita Dewasa di Kota Kendari secara Makroskopis dan Mikroskopis
Get PDFABSTRACTBackground: Candida albicans is a major cause of invasive fungal infections and the common health problems that occur in the community. It was reported that 85-90% of C. albicans is a major cause of candidiasis vulvovaginalis (CVV) infections worldwide. Reports from the University of Manchester in England and Wayne State University in the United States of America specified that the prevalence of CVV cases in Indonesia is ranked fourth in the world with 4 million cases. Research Purposes: This research aims to determine the macroscopic and microscopic depiction of C. albicans from vaginal swab in Kendari City. Research Methods: The present research is a descriptive study conducted in adult women who visit the Clinical Laboratory Maxima Kendari to do pap smear of both with and without complaints. The total sampling technique was used for collecting 36 samples. The variables being studied consist of independent variables by macroscopically and microscopically and C. albicans is the dependent variable. Research Result The results showed that as of 36 samples of the secret vaginal, 4 samples (11.1%) were identified positive Candida sp. on direct examination with 10% KOH, 15 samples (41.7%) were positive Candida sp. resulting from gram stain test and culture of sabouraud dextrose agar, and there were 12 samples (80%) detected as positive C. albicans on biochemistry test. Conclusion: Research concluded that C. albicans can be identified by both macroscopic and microscopic analysis. As of 36 secret vaginal samples, 6 samples with complaint and 9 samples without complaint positive contain C. albicans, yet 14 samples with complaint and 7 samples without complaint do not detected C. albicans. Keywords : Candida albicans, swab vagina, macroscopic, microscopi
Relationship between Quality of Health Services and Satisfaction of National Health Insurance Participant in the District Hospital of North Buton in 2018
Get PDFABSTRACTLatar Belakang: Kualitas layanan kesehatan merupakan upaya yang dilakukan oleh petugas kesehatan, dokter, perawat, dan paramedis lainnya dalam hal memenuhi kebutuhan dan keinginan pelanggan dan penyediaan pengiriman untuk mengimbangi harapan pelanggan. Kualitas layanan kesehatan yang diberikan terdiri dari aspek bukti fisik, keandalan, daya tanggap, jaminan danempati. Tujuan Penelitian: Tujuan penelitian ini adalah untuk mengetahui hubungan kualitas pelayanan kesehatan dengan kepuasan peserta Asuransi Kesehatan Nasional di RSUD Buton Utara. Metode Penelitian: Penelitian ini menggunakan metode analitik-observasional dengan pendekatan cross sectional. Populasi penelitian ini adalah pasien yang berpartisipasi dalam Asuransi Kesehatan Nasional di Rumah Sakit Kabupaten Buton Utara dari Agustus hingga September 2018 dengan populasi 64. Dengan sampel 55 sampel diambil menggunakan metode accidental sampling. Data tentang kualitas layanan dan kepuasan pasien diperoleh melalui kuesioner. Analisis data menggunakan metode uji korelasi Spearman rank dan dianggap signifikan jika p <0,05. Hasil Penelitian: Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara kualitas layanan dan kepuasan pasien. Hal ini dapat dilihat dari dimensi reliabilitas, yaitu p -value 0,000 (<0,05), dari dimensi responsi yaitu p-value 0,000 (<0,05), dimensi jaminan adalah p-value 0,000 (<0,05)), dan dari dimensi empati itu adalah nilai p-value 0,000 (<0,05) sedangkan pada dimensi buktifisik yang diperoleh p-value adalah 0,000 (<0,05). Dalam penelitian ini diperoleh responden yang menyatakan puas dengan pelayanan kesehatan dengan persentase 80,0% sedangkan mereka yang menyatakan ketidakpuasannya dengan persentase 20,0%. Simpulan: simpulan dari penelitian ini, terdapat hubungan antara kualitas pelayanan dan kepuasan peserta Asuransi Kesehatan Nasional di RSUD Buton Utara. Kata Kunci: bukti fisik, jaminan, keandalan, kepuasan pasien, pasien JK
Potensi Estrak Daun Miana (Coleus atropurpureus) Menghambat Pertumbuhan Malassezia furfur pada Penderita Pityriasis versicolor
Get PDFABSTRACTBackground: Pitryasis versicolor is one of the fungal infections of the skin caused by the fungusMalassezia furfur often infecting residents in tropical climates due to the temperature and humidity suitable for the growth of the fungus, so an alternative drug is needed such as herbs such as miana leaves which contain plants flavonoids, saponins, steroids, tannins, essential oils, eugenol, polyphenol compounds, alkaloids, ethyl salicylates, calcium oxalate, and rosmarinic acid (RA) compounds.Pusrpose: The purpose of this study was to determine the antifungal potential of miana leaf extract against Malassezia furfur fungi isolated from patients with Pitryasis versicolor (Panu). Method: This type of research is a laboratory experiment with the paper disk method. Result: The research results obtained from the inhibitory test were Miana leaf extract with a concentration of 250 mg / ml, 125 mg / ml, 62.5 mg / ml, 31.25 mg / ml, and 15.625 mg/ ml, with the diameter of each inhibition zone 0.00 mm. Conclusion: From the results of the study it can be concluded that miana leaf extract does not have the potential to inhibit the growth of Malassezia furfur fungus due to Tinea versicolor.Keywords: inhibition test, Malassezia furfur, Pitryasis versicolo
Karakteristik Penderita Tuberculosis Multidrug Resistant (TB MDR) di Sulawesi Tenggara Tahun 2014-2017
Get PDF ABSTRACTBackground:MDR TB is one type of bacterial tuberculosis resistance to first-line anti-TB drugs, Isoniazid and Rifampicin. Data from the Provincial Health Office of Southeast Sulawesi cases of MDR TB increase every year that is in 2014 there are 7 patients with MDR TB, 2015 there are 8 patients with MDR TB, 2016 there are 23 patients with MDR TB, and in 2017 there are 28 patients with MDR TB. The purpose of this study is to explain the characteristics of patients with MDR TB in Southeast Sulawesi in 2014-2017. Research Purpose: This study is to explain the characteristics of patients with MDR TB in Southeast Sulawesi in 2014-2017. Research Method: The location of this study was in the Provincial Health Office of Southeast Sulawesi and Bahteramas General Hospital of Southeast Sulawesi Province with study population included all patients diagnosed with MDR TB in Southeast Sulawesi Province 2014-2017. The research data is processed to know the number and percentage of each characteristic of MDR TB patients in Southeast Sulawesi 2014-2017. Research result: The conclusion of the result of the study is characteristic of MDR TB patient in Southeast Sulawesi 2014-2017 dominated by age 15-55 years old, male gender, entrepreneur job, case of drop out treatment, examination of chest X-ray in the form of infiltrate and cavity, sputum smear examination (+1), the type of Rifampicin resistance, and is still temporarily treated.Keyword: MDR TB, age, sex, occupation, medical history, investigation, type of resistance and treatment outcome
Perbandingan Visual Analogue Scale antara Pemberian Analgetik Asam Mefenamat, Paracetamol dan Ibuprofen Peroral Sebelum Sirkumsisi
Get PDFABSTRAK Latar belakang: Nyeri akibat operasi merupakan keadaan yang sangat dikuatirkan oleh pasien sebelum menjalani operasi. Warfield dan Kahn melaporkan 57% dari pasien yang akan dioperasi menaruh perhatian yang serius terhadap kekuatiran nyeri pasca operasi dan 80% dari mereka ternyata mengalami nyeri sedang sampai berat setelah operasi. Dalam sirkusmsisi analgesik yang biasa digunakan yaitu Asam Mefenamat, Paracetamol, dan Ibuprofen. Tujuan: Penelitian ini beetujuan untuk mengetahui perbandingan visual analogue scale (VAS) 1 jam setelah sirkumsisi (T1),2 jam setelah sirkumsisi (T2) dan 3 jam setelah sirkumsisi (T3) antara pasien dengan pemberian analgetik asam mefenamat, paracetamol, dan ibuprofen peroral pre sirkumsisi. Metode: Jenispenelitian ini termasuk penelitian quasi-experimental dengan model posttest design only yang dilakukan di wilayah Kec. Abuki. Jumlah sampel pada penelitian ini adalah 30 sampel, yang terdiri dari 10 sampel asam mefenamat, 10 sampel paracetamol, dan 10 sampel ibuprofen. Penelitan ini dianalisis menggunakan SPSS dengan uji kruskal-wallis. Hasil: Pada T1 menunjukan bahwa terdapat perbedaan rata – rata pada tiap kelompok pemberian obat. Asam mefenamat memiliki nilai rata - rata VAS 2,50, paracetamol 3.00 dan ibuprofen 2,30 dengan p-value 0,018. Pada T2 rata – rata VAS yaitu asam mefenamat 4,30, paracetamol 4,70 dan ibuprofen 4,10 dengan p-value 0,252. Pada T3 rata – rata VAS tiap kelempok obat yaitu, asam mefenamat 7,00, paracetamol 7,50, dan ibuprofen6,40 dengan p-value 0,003. Simpulan: Terdapat perbedaan rata-rata VAS pada T1, T2 dan T3, dengan kelompok terendah yaitu pada kelompok ibuprofen.Kata kunci : Asam mefenamat, Ibuprofen, Paracetamol, Sirkumsisi, Visual analogue scale
Prevalensi Bakteriuria Asimtomatik pada Ibu Hamil di Daerah Pesisir
Get PDFABSTRACTBackground: Pregnant women more often experience urinary tract infections, especially asymptomatic bacteriuria. Asymptomatic bacteriuria in pregnant women increases the risk of preterm labor, low birth weight, and pyelonephritis.Objectives: This study aimed to determine the prevalence of asymptomatic bacteriuria in pregnant women in coastal areas.Method:This study design was analytic observational with cross sectional method. The research was carried out in the coastal area of Kendari city. The population was pregnant women who performed antenatal care in the working area of Puskesmas Mata, Puskesmas Nambo and Puskesmas Abeli in May-October 2016. Sampling was simple random sampling. Data analysis used Chi square test with significance level <0.05.Result:In this study 268 urine samples were obtained from respondents who performed antenatal care in the coastal area of Kendari City. The highest respondents aged 26-30 years old (42.1%), high school education (49.6%), third trimester (55, 6%) and the entrepreneurial husband (41.8%). Examination of bacteriuria showed positive test with nitrite and leukocytes (24.6%) and positive nitrite and/or leukocytes (30.9%). The highest prevalence of bacteriuria occurs in the third trimester (36.9%). Chi-square test showed a significant difference in the prevalence of bacteriuria according to gestational age (p <0.00).Conclusion: The prevalence of asymptomatic bacteriuria in pregnant women in coastal areas was 30.9%. The highest prevalence occurs in third trimester of pregnancy.Key words :asymptomatic bacteriuria, gestational age, pregnant wome
Pengaruh Senam Jantung Sehat terhadap Tekanan Darah Penderita Hipertensi di Wilayah Kerja Puskesmas Lepo-Lepo
Get PDFABSTRACTHypertension is the increase in systolic and diastolic blood pressure that occurs persistently. Healthy heart gymnastic is one of the non pharmacologic therapies for hypertensive patients. Healthy heart gymnastic can increase activity of parasympathetic nerve and decrease activity of sympathetic nerve, so that could lead decrease of blood pressure. The aim of this research was to find out the effect of healthy heart gymnastic towards blood pressure before and after exercise in hypertensive patients. Research design was quasi experimental with pre test and post test control group design. The Samples were 20 hypertensive patients aged 18 to 65 years, determined by using purposive sampling techniques. Samples were divided into two groups, i.e control group (n=10) consisted of 3 males and 7 females and intervention group (n=10) consisted of 10 females. Healthy heart gymnastic Intervention implemented during four weeks with modrate intensity (60% MHR) and fifth times in a week. The research was held in Health Centers Lepo-Lepo, Kendari, Southeast Sulawesi. Measurement of blood pressure by indirect method and measurements of pulse pressureby pulse meter. Data were analyzing by paired t test for systolic blood pressure in intervention group and Wilcoxon test for diastolic blood pressure in intervention group. Data have considered if p value < 0,05. The results have shown there were significant differences in systolic blood pressure (p = 0,000) and diastolic blood pressure (p = 0,004) before and after healthy heart gymnastic in intervention group. Conclusion of this research is healthy heart gymnastic can decrease blood pressure in hypertensive patients, so that usable as one of alternative treatment in hypertensive patients.Key Words: healthy heart gymnastic, hypertension, decrease of blood pressure, health centers lepo-lep
Formulasi dan Uji Antijerawat Gel Ekstrak Etanol 70% Buah Belimbing Wuluh (Averrhoa Bilimbi Linn.) terhadap Bakteri Propionibacterium acnes
Get PDFABSTRACT Belimbing wuluh fruit known have flavonoids that has a function as natural anti bacterial for acne treatmeant. To easer in using it, so it formulated in the form of gel. The aims of research was to know the influence of variation concentration ethanol extract 70% belimbing wuluh fruit to physical characteristic of gel and antibacterial activity of Propionibacterium acnes which a bacteria causes acne. Belimbing wuluh fruit extract was obtained by maceration. Extract formulated in the form of gel with variation concentration 4,17%w/v, 8,33% w/v, 12,5%w/v, 16,67%w/v, and 20,83%w/v. Antibacterial activity test was conducted by cup plate technique difusion methode and physical characteristic test covered organoleptic test, spreadibility test, and adhesivity test. The result of antibacterial test and physical characteristic test were analyzed statistically using Kruskall Wallis test and Mann Whitney test with 95% level confidence. The result of research showed that with an increasing concentration of extract could affect physical characteristic of gel and will increase antibacterial activity. The higher concentration extract, the color of gel obtained more concentrated, pH of gel be acid, decreasing adhesive power, spread power obtained smaller and inhibition diameter obtained bigger. The result of research obtained that formula 2 was a good formula with pH value 5, average adhesive power was 4,63 seconds ± 0,57, average spread power was 11,34 cm2 ± 0,44 and average diameter obstruent was 5 mm ±1,41. Based on the research could be concluded that gel extract ethanol 70% belimbing wuluh (Averrhoa bilimbi Linn) fruit had antibacteria activity against Propionibacterium acnes. Minimal concentration which could inhibit growth that bacteria found at concentration 5% and formula which had a good physical characteristic at formula 2.Keywords : Gel, Etanolic extract 70%; Averrhoa Bilimbi Linn, Propionibacterium acnes
Hubungan Karakteristik Kontainer dengan Keberadaan Jentik Nyamuk Aedes aegypti di Wilayah Kerja Puskesmas Poasia Kota Kendari
Get PDFABSTRACT Date of DHF patients in the working area of Poasia Health Center of Kendari City shows that in 2015 31 people, where in January 6 patients, February 10 patients, while in 2016 as many as 48 patients ie January 1 patients and February 2 patients. In the year 2017 ie in January there were no patients and in February as many as 7 patients and there is 1 patient died. From these data it can be concluded that almost every month in every year occur DHF incidence, because DHF is a contagious disease and endemic disease that quickly lead to death if not handled appropriately. This study aims to determine the relationship of kontainer characteristics with the presence of larvae Aedes aegypti mosquitoes in the working area of Poasia public health center of kendari city. The type of this research is observational research with cross sectional study approach.The population in this study is all the houses in the working area of Poasia Health Center of Kendari City. samples of 85 samples. the statistical test used is chi square and phi test. The results showed that there was a correlation of kontainer material (X2hit) = 4,504 and φ = 0,258), kontainer location (X2hit) = 4,032 and φ = 0,242), kontainer color (X2hit) = 4,210 and φ = 0,246), condition of kontainer cover (X2hit ) = 5,171 and φ = 0,279) with presence of Aedes aegypti mosquito larvae. The public is expected to raise awareness in considering the condition of kontainers such as the color of bright kontainers, the kontainers must always be closed, the kontainer is not made of soil and glass and improve the behavior of Mosquito Nest Eradication.Keywords: Aedes aegypti mosquito larvae, kontainer characteristicsABSTRACT Date of DHF patients in the working area of Poasia Health Center of Kendari City shows that in 2015 31 people, where in January 6 patients, February 10 patients, while in 2016 as many as 48 patients ie January 1 patients and February 2 patients. In the year 2017 ie in January there were no patients and in February as many as 7 patients and there is 1 patient died. From these data it can be concluded that almost every month in every year occur DHF incidence, because DHF is a contagious disease and endemic disease that quickly lead to death if not handled appropriately. This study aims to determine the relationship of kontainer characteristics with the presence of larvae Aedes aegypti mosquitoes in the working area of Poasia public health center of kendari city. The type of this research is observational research with cross sectional study approach.The population in this study is all the houses in the working area of Poasia Health Center of Kendari City. samples of 85 samples. the statistical test used is chi square and phi test. The results showed that there was a correlation of kontainer material (X2hit) = 4,504 and φ = 0,258), kontainer location (X2hit) = 4,032 and φ = 0,242), kontainer color (X2hit) = 4,210 and φ = 0,246), condition of kontainer cover (X2hit ) = 5,171 and φ = 0,279) with presence of Aedes aegypti mosquito larvae. The public is expected to raise awareness in considering the condition of kontainers such as the color of bright kontainers, the kontainers must always be closed, the kontainer is not made of soil and glass and improve the behavior of Mosquito Nest Eradication.Keywords: Aedes aegypti mosquito larvae, kontainer characteristic