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Nilai Prognostik Hiperglikemia terhadap Kejadian Gagal Jantung pada Penderita Sindroma Koroner Akut
Get PDFHyperglycemia is a important prognostic factor in acute coronary syndrome patients. Recent decades data shows significant relationship between admission hyperglycemia and heart failure that increase among acute coronary syndrome(ACS) patients. Aim of study is to assess relationship between hyperglycemia and heart failure among ACS patients. This is a prospective cohort study, which was held on March to April 2014 among 83 ACS patients in CVCU Wahodin Sudorohusodo Hospital. Patients was grouped into two groups, hyperglycemic ACS group and normoglycemic one. Heart failure events at each group was observed within first 30 days after infarction. In this study, it found heart failure event were higher in hyperglycemic group than in normoglycemic group (30 vs 8, RR 2.7, p = 0.04). Conclusion of this study was hyperglycemia is related to heart failure event among ACS patients.Keyword: acute coronary syndrome, hyperglycemia, heart falur
Timpanogram pada Anak Usia 1-5 Tahun
Get PDFABSTRACT Tympanometry is an objective examination that used to test condition of middle ear, mobility of tympanic membrane and the ossicles.The results are displayed in a curve called timpanogram. Timpanogram influenced by several factors, including age and race.The purpose of this study was to provide normal values of tympanogram in children aged 1 to 5 years. This study was an analytic research with cross sectional approach in 90 normal children aged 1-5 years through a routine examination with ear otoscopy and tympanometry. From the 90 samples (180 ears) the average value of the volume of the ear canal / Vea was 0.469 mL in the right ear and 0,495 mL in the left ear, the mean compliance / SAA 0.396 mL in the right ear and 0.380 mL in the left ear, and the average pressure / TPP -56.78 daPa on the right ear and the left ear daPa-53.26. Compared with the results of existing studies, the average value of the ear canal volume/ Vea and mean compliance/ SAA in children aged 1-5 years in Bandung showed lower. Statistically, in the Vea, there was a significant differences between men and women, with p = 0.041 in the right ear and p = 0.027 in the left ear. There was a correlation between variables Vea with SAA. Keywords: tympanogram, children ages 1-5 years
Analisis Faktor yang Berhubungan dengan Status Gizi Anak Balita di Wilayah Pesisir Kecamatan Soropia
Get PDFBackground: Children under five years old (Balita) are susceptible to health risk and malnutrition. Research Purpose: This research aims to identify the relation of the level of mother’s knowledge, infectious diseases, and the eating habit culture to the nutrirtional status of childrean under five years old in the coastal areas of Kecamatan Soropia. Research Method:The research design using the quantative and cross-sectional analytic. Implemented on October - December 2017 in the coastal areas of Kecamatan Soropia specifically at Sorue Jaya Villlage, Mekar Village, Saponda Darat Village, and Saponda Laut Village. Sampling technique using stratified random sampling with the total of the samples are 93 children under five years old. Data obtained through interviews using instrument quesioner and weight measurement then would be read by using Z-score table to determine the nutritional status (BB/U). Data analysis using chi-square statistical test (0,05). Research Result: Result of the research indicates that the factors related to nutritional status of children under five years old in the coastal areas of Kecamatan Soropia are the level of mother’s knowledge (p-value = 0,003) and infectious diseases (p-value = 0,000). The factors that not relate to the nutritional status is the eating habit culture (p-value = 0,097).Conclusion:Conclusion of the research was that the level of mother’s knowledge and infectious diseases are the factor that related to the nutritional status of children under five years old in coastal areas of Kecamatan Soropia, while eating habit culture is the factor was not.Keywords: nutritional status, childrean under five years old, mother's knowledge, infectious diseases, eating habits culture, coastal area
Uji Aktivitas Ekstrak Etanol Daun Tembelekan (L.camara L.) terhadap Pertumbuhan Bakteri Salmonella typhi
Get PDFBackground: Infectious diseases are the prime reason of high morbidity and mortality rate especially in developing countries like Indonesia which is mostly caused by bacteria. One of the plants which can be used as an antibacterial alternative ingredient is tembelekan leaf. Research Purpose: This study aimed to determine the activity of ethanol extract of tembelekan leaf on the growth of S.typhi. Research Method: The research uses post test only control design.Independent variable is the ethanol extract of tembelekan leaf and dependent variable is the inhibition zone of the growth of bacteria. Antibacterial activity was tasted using pitting diffusion method.Chloramphenicolusedas a positive controland aquadest as a negativecontrol. Testing activity by concentration of 12,5%, 10%, 7,5% and 5% in threetimesrepetition. Research result: Ethanol extract of tembelekan leafwith concentration 12,5%, 10% and 7,5% resulted inhibitory zone of the growth of S.typhi, respectively for 6,6 mm, 5,3 mm and 2,6 mm. Conclution:The conclusion of the research was ethanol extract of tembelekan leaf has antibacterial activity against S.typhi.Keywords :tembelekan leaf (L.camara L.), S.typhi, infectio
Uji Antioksidan Ekstrak Etanol Buah dan Biji Mengkudu (Morinda citrifolia L.) dengan Metode DPPH (1,1-diphenyl-2-picrylhydrazyl)
Get PDFABSTRACT Background: Free radicals and antioxidant were widely discussed in world of health because most of the diseases were initiated by presence of oxidation reaction in the body. The process of free radical formation could be inhibited by the presence of antioxidant. Antioxidant was a compound that can protect the biological system in the body. Research Purpose: This research aimed to analyze the potential of fruits and seeds of Morinda citrifolia L. as antioxidant which could counteract free radicals using DPPH (1,1-diphenyl-2-picrylhydrazyl) method. Research Method:This research used experimental method with post test only control design. The research was located in Integrated Laboratory of Faculty of Medicine and Pharmacy Laboratory of Faculty of Pharmacy of Halu Oleo University. Samples of this research were fruit and seed ethanol extract of Morinda citrifolia L.which were taken in West Kendari, Kendari City. The independent variables from this research were fruit ethanol extract and seed ethanol extract of cheese fruit and dependent variable was antioxidant potential. Potential and antioxidant activity (IC50) were tested by measuring DPPH (1,1-diphenyl-2-picrylhydrazyl) uptake using a spectrophotometer. Antioxidant activity (IC50) was analyzed using a linear regression equation. Research Result:The result of this research showed that there was a color changing of DPPH from purple to yellow on fruits ethanol extract and seeds ethanol extract of Morinda citrifolia L. and had antioxidant activity about IC50 398,99 ppm and 401,37 ppm, respectively.Conclusion: Conclusion from this research revealed that fruit ethanol extract and seed ethanol extract of Morinda citrifolia L.has weak antioxidant activity.Keywords : Antioxidant activity, DPPH method, IC50, Morinda citrifolia L
Hubungan Kadar Kolesterol Total dan Trigliserida dengan Kejadian Diabetes Mellitus Tipe 2 di Daerah Pesisir Kota Kendari
Get PDFBackground: Type 2 Diabetes mellitus is a common health problem which may result chronic complications. Risk factors such as dyslipidemia, obesity, family history, and genetics play important role in the pathogenesis of the disease. Study on total cholesterol and trygliseride have been carried out in several countries which show relations between total cholesterol and trygliseride with type 2 diabetes mellitus. Purpose: This study aims to determine the relationship between total cholesterol and trigliseride with type 2 diabetes mellitus in the coastal areas of Kendari City. Methods: This study used analytical observational method, with case control approach. The independent variables used in this research is cholesterol total and trigliseride meanwhile the dependent variable is the type2 diabetes mellitus. The location of this research is working area of Public Health Centre located in the coastal area of Kendari City. Result: total cholesterol levels show sig. p value 1,369 based on Chi Square Test, which showed there was no difference in total cholesterol levels. Meanwhile, the triglyceride levels also did not show a significant difference between case and control groups. (p = 0.101). Conclusion: There was no correlation between the increase of total cholesterol level and triglyceride levels with the incidence of DM Type 2 in Kendari City.Keyword: Total Cholesterol, Trigliseride, Type 2 Diabetes mellitus, Coastal Area
Pengalaman Hidup Pasien Stoma Pasca Kolostomi di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung Jawa Barat Tahun 2014
Get PDFABSTRACTPatient with colostomy followed colorectal has been cancer increasing significantly in Indonesia. Colostomy caused not only physical problems but also psychological and social problems. Health care profesional, especially nurses need to provided hollistic care services to the patients after colostomy. Study with Qualitative method to describe the live experience of the colostomy patient was important. This study was a phenomenological qualitative approach. Data obtained with in-depth interviews to 8 informants consisting of 5 men and 3 women, aged between 30-73 years. The length of time living with a colostomy between 4 months to 6 years. Data were analyzed by using Colaizzi method. Themes emerged from this study: colostomy caused limitations, psychosocial changed, spiritual distres, sexual changed. Living with a stoma required serious attention by health care profesional, access to health services that were important, and decision-making about colostomy influenced by interdisciplinary team and the adequacy of information.Keywords : Lived Experiences, Colostomy, Bandun
Hubungan antara Pengetahuan tentang Kanker Serviks dengan Pemeriksaan IVA
Get PDFIntroduction: Cervical cancer is the most of gynecological malignancies that cause death, especially in developing countries. The behavior to conduct a medical examination is determined bypredisposing, supporting and reinforcing factors. Predisposing factors for carrying out medical examinations include knowledge and attitude. Objective : To determine corrrelation between knowledge about cervical cancer and VIA examination in Puskesmas Lepo-Lepo. Method :This study was analytic observational design with cross sectional method. The study was conducted in Puskesmas Lepo-Lepo with total samples was 347 women. Samples were taken using proportional stratified random sampling. Data were analyzed using Chi-Square with significancy value < 0.05. Result: The most participant in urban and rural areas was the age group 31-40 years old (38,6%), high school level (44,4%), as housewife (67,8%), have less knowledge about cervical cancer (70,9%) and got information about cervical cancer from the mass media (40,6%). There was correlation between knowledge about cervical cancer and VIA examination in Puskesmas Lepo-Lepo (p = 0.000). Conclusion: There was a significant correlation between knowledge about cervical cancer and VIA examination in Puskesmas Lepo-Lepo.Keywords: Cervical Cancer, Knowledge, Visual Inspection with Acetic Aci
Evaluasi Rasionalitas Penggunaan Obat Ditinjau dari Indikator Peresepan Menurut World Health Organization (WHO) di Seluruh Puskesmas Kota Kendari Tahun 2016
Get PDFABSTRACTBackground: Puskesmas is a first level of health facility in the public health services and for that, rationality drug used is important to achieve a better quality of life supporting productivity and nationality endurance. Aim: This study aim to evaluated rationality of drug used thorough WHO prescribing indicator to all subdistrict public health (Puskesmas) in Kendari City. Method: This was a cross sectional observational study at 15 subdistrict public health service with restrospective data collected. Total sample was 1680 prescription for 2016 period. Data compare with WHO standard indicator. Result: Result of this study showed that average drug prescriber was 3.23, average percentace of medicine prescribed by generic name was 96.08%, average percentage encounters with antibiotic prescribed was 36.85%, average percentage encounters with injection prescribed was very low 0.16%, average percentage of medicine with National Formularium was 75.07%. Result showed that drug used at all Puskesmas was still irrational except injection used and there was significant difference (p<0.005) between Puskesmas except injection used. There were three Puskesmas (Puskesmas Labibia, Puskesmas Kemaraya, and Puskesmas Benu-benua) has achieved standard of percentage of drug prescribed. Antibiotic achieved standard used was Puskesmas Nambo, Puskesmas Benu-benua, Puskesmas Wua-wua, Puskesmas Labibia and Puskesmas Perumnas. There were no one Puskesmas has achieved generic names and national formularium prescribed.Conclusion: Puskesmas Benubenua was most rational drug use with prescribing indicator of WHO.Keywords: Rational Drug Use, Prescribing Indicator, Puskesmas, Kendari Cit
Analisis Faktor yang Berhubungan dengan Ketidaklancaran Produksi ASI pada Ibu Nifas di Ruang Nifas BLUD RSU Provinsi Sulawesi Tenggara Tahun 2011
Get PDFAccording to WHO’s data, the coverage of exclusive breastmilk is still low for both develop and poor countries. One of the reasons of that condition is low breastmilk production of porturition woman. It reveals that the failure of giving breastmilk, particularly exclusive breastmilk is caused by breastmilk production deficiency since the first day of baby’s birth. Therefore, the baby is more often given prelactal food which is not good. This research investigated relationship of nutrient state, breast treatment, ANC Story, and IMD with breastmilk production deficiency. A cross sectional design study was conducted for 138 samples (samples were determined with simple random sampling method). There were two statistic test, those were bivariate statistic test by chi square and multivariate by logistic regression.The results showed that nutrient state (p = 0.000), breast treatment (p = 0.000), ANC Story (p = 0.000) and IMD (p = 0.000) had a relationship to breastmilk production deficiency. It was obtained from logistic regression test that IMD was the most influent factor involved in breastmilk production deficiency (wald 23.670; p = 0.000).Those results indicated that counseling training program for midwife about giving breastmilk need to be increased and IMD implementation acquire to be optimized. It is also important to increase elucidation and socialization about the importance of giving exclusive breastmilk everytime the pregnant woman doing checkup.Key words : Breastmilk production deficiency, IM