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Total working period and other risk factors related to eating protein foods habits among civil pilots in Indonesia 印尼民航飞行员的总工作时间和其他与食用蛋白质食品习惯相关的风险因素
Pub Date : 2017-07-17 DOI: 10.22435/HSJI.V8I1.5346
Indah Imelda Hutabarat
ABSTRAK Latar belakang: Kebiasaan makan protein yang berlebihan dapat menyebabkan penyakit ginjal dan hati serta meningkatkan risiko penyakit kardiovaskular yang dapat menyebabkan terjadinya inkapasitasi pada pilot. Tujuan penelitian ini adalah mengidentifikasi faktor sosiodemografi dan faktor lainnya terhadap kebiasaan makan protein berlebih pada pilot sipil di Indonesia. Metode: Penelitian potong lintang menggunakan data sekunder Survei kebiasaan makan, minum dan latihan fisik pada pilot  sipil di Indonesia 2016. Data yang dikumpulkan adalah karakteristik demografi, kebiasaan latihan fisik, pengetahuan, indeks massa tubuh dan karakteristik penerbangan. Analisis regresi cox dipakai untuk menganalisis faktor-faktor dominan yang berhubungan dengan kebiasaan makan protein berlebih. Hasil: Di antara 528 pilot yang berusia 19-64 tahun, 194 (36.74%) pilot memiliki kebiasaan makan protein berlebih. Lama masa kerja dan indeks massa tubuh menjadi faktor risiko dominan yang berkaitan dengan kebiasaan makan protein berlebih pada pilot. Jika dibandingkan dengan pilot dengan lama masa kerja 1 – 9 tahun, pilot dengan masa kerja 10 – 40 tahun berisiko 35% lebih kecil memiliki kebiasaan makan protein berlebih (RRa = 0.65 ; 95% CI 0.49 – 0.87). Jika dibandingkan dengan pilot dengan indeks massa tubuh normal, pilot yang overweight berisiko 34% lebih  kecil  memiliki kebiasaan makan protein berlebih (RRa = 0.66 ; 95% CI 0.47 – 0.93). Kesimpulan : Masa kerja yang lebih panjang dan overweight merupakan faktor protektif terhadap risiko kebiasaan makan protein berlebih Kata kunci : kebiasaan makan protein, lama masa kerja, indeks massa tubuh, pilot sipil Indonesia ABSTRACT Background: Excessive protein eating habits may cause kidney and liver disease and increase the risk of cardiovascular disease leading to incapacitation of the pilot. The purpose of this study was to identify sociodemographic and other factors on protein eating habits among civilian pilots in Indonesia. Methods: A cross-sectional study using secondary data from the survey of eating, drinking and physical exercise habits among civilian pilots in Indonesia 2016. Data collected were demographic characteristics, physical exercise habits, smoking habits, knowledge, body mass index and flight characteristics. Cox regression analysis was used to analyze the dominant factors associated with protein eating habits. Results: Among 528 pilots aged 19-64 years, 194 (36.74%) pilots had excessive protein eating habits . Long working period and body mass index were the dominant risk factors associated with protein eating habit in pilots. Compared to pilots with 1-9 years working period, pilots with 10-40 years working period had 35% lower risk of excessive protein eating habits (RRA = 0.65; 95% CI 0:49 - 0.87). Compared to pilots with normal body mass index, overweight pilots had 34% lower risk of excessive protein eating habits (RRA = 0.66; 95% CI 0:47 - 0.93). Conclusion: Long working period and overweight were p
背景ABSTRAK:过量摄入蛋白质会导致肾脏和心脏病,并增加心血管疾病的风险,从而导致飞行员丧失行动能力。这项研究的目的是确定与印尼民用飞行员多吃蛋白质习惯有关的社会人口因素和其他因素。方法:使用二级数据进行交叉研究2016年印度尼西亚民用飞行员的食品、饮料和体育锻炼调查。收集的数据包括人口统计学特征、体育训练习惯、知识、体重指数和飞行特征。Cox回归分析用于分析与多吃蛋白质习惯相关的主导因素。结果:在528名19-64岁的飞行员中,194名(36.74%)飞行员有蛋白质饮食习惯。在飞行员身上,长时间工作和体重指数成为与多吃蛋白质习惯相关的主要风险因素。如果与工作时间为1-9年的飞行员相比,工作时间为10-40年、风险降低35%的飞行员的蛋白质饮食习惯更高(RRa=0.65;95%CI 0.49-0.87)。结论:较长的工作时间和超重是防止摄入更多蛋白质风险的保护因素。-印尼民用飞行员摘要背景:过量的蛋白质饮食习惯可能会导致肾脏和肝脏疾病,并增加患心血管疾病的风险,导致飞行员丧失能力。这项研究的目的是确定印尼平民飞行员蛋白质饮食习惯的社会人口统计学和其他因素。方法:一项横断面研究,使用2016年印尼民用飞行员饮食和体育锻炼习惯调查的二次数据。收集的数据包括人口统计学特征、体育锻炼习惯、吸烟习惯、知识、体重指数和飞行特征。Cox回归分析用于分析与蛋白质饮食习惯相关的主导因素。结果:528名年龄在19-64岁的飞行员中,194名(36.74%)飞行员有过量蛋白质饮食习惯。长期工作和体重指数是飞行员蛋白质饮食习惯的主要危险因素。与工作期为1-9年的飞行员相比,工作期为10-40年的飞行员养成过量蛋白质饮食习惯的风险降低35%(RRA=0.65;95%CI 0:49-0.87)。结论:长期工作和超重是避免蛋白质饮食习惯风险的保护因素关键词:蛋白质饮食习惯、总工作时间、体重指数、印度尼西亚文职飞行员
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引用次数: 0
In vitro study of eight Indonesian plants extracts as anti Dengue virus 八种印尼植物提取物抗登革热病毒的体外研究
Pub Date : 2017-07-17 DOI: 10.22435/hsji.v8i1.6601.
L. Saptawati, R. Febrinasari, R. D. Yudhani, Hudi Yono, A. Faza, Sarah Luthfiani, Hutami Sri Ummiyati, T. M. Sudiro, B. Dewi
800x600 Latar Belakang: Demam Berdarah Dengue (DBD) yang disebabkan oleh virus dengue masih merupakan masalah utama di negara tropis. Sampai saat ini belum tersedia vaksin maupun terapi yang efektif untuk DBD. Oleh karena itu, penelitian untuk menemukan antivirus spesifik untuk virus dengue sangat diperlukan. Indonesia kaya akan tumbuhan herbal yang mungkin berpotensi memiliki aktivitas antivirus, diantaranya adalah Psidium guajava (Jambu biji), Euphorbia hirta (Patikan kerbau), Piper  bettle L. (Sirih), Carica papaya (Pepaya), Curcuma longa L. (Kunyit/turmeric), Phyllanthus niruri L. (Meniran), Andrographis paniculata (Sambiloto), dan Cymbopogon citratus (Serai). Penelitian sebelumnya menunjukkan bahwa beberapa tumbuhan herbal tersebut memiliki khasiat antibakteri, antivirus maupun keduanya. Namun, penelitian yang mengeksplorasi potensi beberapa herbal tersebut dalam melawan virus dengue masih terbatas. Tujuan: Penelitian ini bertujuan untuk mengetahui apakah beberapa tanaman herbal tersebut berpotensi memiliki aktivitas antivirus terhadap virus dengue secara in vitro. Metode: Ekstrak daun dari delapan tanaman herbal asli Indonesia diperoleh dari Solo, Jawa Tengah. Ekstrak kasar herbal tersebut diuji secara in vitro terhadap dengue virus serotype 2 (DENV-2) strain NGC menggunakan cell line Huh7it-1. Aktivitas antivirus beberapa ekstrak kasar tersebut diskrining dengan dosis 20mg/mL. Ekstrak yang menunjukkan aktivitas penghambatan virus dengue, selanjutnya diuji dengan variasi dosis untuk menentukan CC 50 and IC 50 . Hasil: Dari uji penapisan awal terhadap 8 ekstrak tanaman herbal dengan dosis 20 mg/mL, Psidium guajava (Jambu biji) dan Carica papaya (Pepaya) memiliki efek sitotoksik sebesar 11,3% dan 2,5% dan mampu menghambat replikasi virus dengue masing-masing hingga 92,6% dan 89,5%. Dose dependent assay pada P. guajava menunjukkan CC 50 , IC 50 dan indeks selektivitas berturut-turut sebesar 153,18 μg/mL, 7,2 μg/mL dan 21,28. Sedangkan C. papaya menunjukkan CC 50 , IC 50 dan indeks selektivitas berturut-turut sebesar 244,76 μg/mL, 6,57 μg/mL dan 37,25. Kesimpulan: Psidium guajava dan Carica papaya memiliki potensi aktivitas antivirus melawan virus dengue in vitro. K ata kunci : Virus Dengue, ekstrak herbal, aktivitas antivirus, Psidium guajava, Carica papaya. Background : Dengue hemorrhagic fever (DHF) caused by dengue viruses is still a major problem in tropical countries. Until nowadays, there is no vaccine or effective therapy is available as yet. Thus research on discovering specific antiviral against dengue is needed.  Indonesia is rich in indigenous herbal plants, which may has potential antiviral activity, such as Psidium guajava (Jambu biji), Euphorbia hirta (Patikan kerbau), Piper  bettle L. (Sirih), Carica papaya (Pepaya), Curcuma longa L. (Kunyit/turmeric), Phyllanthus niruri L. (Meniran), Andrographis paniculata (Sambiloto), and Cymbopogon citratus (Serai). Previous studies showed that these plants, some have antibacterial propertie
800x600背景:登革热病毒引起的登革热(DBD)在热带国家仍然是一个主要问题。到目前为止,还没有针对DBD的疫苗或有效的治疗方法。因此,研究登革热病毒的特异性抗病毒药物是非常必要的。印尼将种植可能具有抗病毒活性的草药,包括番石榴(Jambu seed)、大戟(Patikan kerbau)、胡椒(Piper _ bettle L.)、番木瓜(Pepaya)、姜黄(Kunyit/turmeric)、Phyllanthus niruri L.(Tower)、穿心莲(Sambiloto)和香茅(Serai)。先前的研究表明,这些植物中的一些具有抗菌特性、抗病毒特性或两者兼有。然而,探索其中一些草药对抗登革热病毒潜力的研究仍然有限。目的:本研究的目的是确定其中一些植物是否有可能在体外对登革热病毒具有抗病毒活性。方法:从中央广场的Solo提取八种印尼本土草药的叶子。使用Huh7it-1细胞系在体外测试这些粗草药提取物对抗血清型2型登革热病毒(DENV-2)株NGC。其中一些粗提取物的抗病毒活性在20mg/mL的剂量下是谨慎的。显示登革热病毒抑制活性的提取物,然后用剂量变化测试以测定CC50和IC50。结果:在20 mg/mL剂量的8种草药提取物的初步过滤试验中,番石榴(种子土豆)和番木瓜(Pepaya)的细胞毒性分别为11.3%和2.5%,并能将每种病毒的复制延迟至92.6%和89.5%。番石榴的剂量依赖性测定显示CC50、IC50和连续选择性指数分别为153.18μg/mL、7.2μg/mL和21.28。木瓜显示CC50、IC50,选择性指数依次为244.76μg/mL、6.57μg/mL和37.25。结论:番石榴和番木瓜在体外对登革热病毒具有抗病毒活性。要点:登革热病毒,草药提取物,抗病毒活性,番石榴,番木瓜。背景:登革热病毒引起的登革出血热(DHF)在热带国家仍然是一个主要问题。到目前为止,还没有疫苗或有效的治疗方法。因此,需要研究发现针对登革热的特异性抗病毒药物。[UNK]印度尼西亚拥有丰富的本土草本植物,这些植物可能具有潜在的抗病毒活性,如番石榴(Jambu biji)、大戟(Patikan kerbau)、胡椒(Sirih)、番木瓜(Pepaya)、姜黄(Kunyit/turmeric)、下珠(Meniran)、穿心莲(Sambiloto)和香茅(Serai)。先前的研究表明,这些植物,有些具有抗菌特性,抗病毒特性或两者兼有。然而,对这些植物对抗登革热病毒的研究有限。目的:本研究的目的是了解这些植物在体外是否具有对抗登革热病毒的潜在活性。方法:上述8种本土草本植物的叶提取物均来源于爪哇中部的索罗。使用Huh7it-1细胞系对粗提取物进行体外抗登革病毒血清型2(DENV-2)株NGC的试验。使用20mg/mL的剂量筛选这些粗提取物的抗病毒活性。在各种剂量下进一步测试显示出抑制活性的候选物,以确定CC50和IC50。结果:在20mg/mL剂量的8种叶提取物中,番石榴和番木瓜的细胞毒性分别为11.3%和2.5%番石榴的CC50、IC50和选择性指数分别为153.18μg/mL、7.2μg/mL和21.28。木瓜的CC50、IC50和选择性指数分别为244.76μg/mL、6.57μg/mL和37.25。结论:番石榴和木瓜对登革热病毒具有潜在的体外抗病毒活性。关键词:登革热病毒,天然提取物,抗病毒活性,番石榴,番木瓜正常0假EN-US X-NONE X-NONE
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引用次数: 19
Association between hemoconcentration and longer hospitalization day of dengue patients 登革热患者血液浓度与住院时间延长的关系
Pub Date : 2017-07-17 DOI: 10.22435/hsji.v8i1.6434.19-24
Christine Ernita Banggai, V. Lisdawati, Suliati Suliati, Dyani Kusumowardhani, Iman Firmansyah, Maya Marinda Montain
Latar Belakang: Identifikasi dini kondisi klinis serta penanganan yang tepat terhadap pasien dengue merupakan hal penting untuk mencegah perkembangan penyakit menjadi lebih berat. Hal ini akan berdampak positif bagi perawatan pasien yang menjadi lebih singkat dan dengan sendirinya biaya semakin rendah. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang mempengaruhi lama perawatan pasien dengue di R S PI Prof. Dr. Sulianti Saroso. Metode: Studi potong lintang secara random sampling yang dilakukan terhadap catatan medis pasien dengue yang dirawat inap di RSPI Prof. Dr. Sulianti Saroso periode Januari 2014 s/d Desember 2015. Analisis dilakukan secara multivariat dengan regresi Cox. Hasil: Pada 153 sampel catatan medis pasien dengue yang dianalisis, hasil menunjukkan terdapat 41,2% pasien yang dirawat lebih dari 5 hari. Kondisi hemokonsentrasi memiliki pengaruh signifikan dan berisiko 1,8 kali lebih besar  untuk lama perawatan pasien lebih dari 5  hari di rumah sakit [aRR=1.75; P=0.003]. Kesimpulan: Kondisi hemokonsentrasi pada pasien dengue memiliki risiko lebih besar untuk lama waktu perawatan. Kata k unci: Dengue, hemokonsentrasi, l ama perawatan Background s : Early identification of clinical conditions and proper treatment to dengue patients is essential to prevent the development of more severe condition. This can lead to shorter length of stay and lower cost of patient care in hospitals. The objective of this study was to determine the factors that affect length of stay of dengue patients in RSPI Prof. Dr. Sulianti Saroso. Methods: A cross-sectional study conducted by random sampling on the medical records of dengue patients hospitalized in RSPI Prof. Dr. Sulianti Saroso period January 2014-December 2015. Multivariate analyzes were performed with Cox regression. Results: There were 153 samples of dengue patient’s medical record for analysis, 41.2% of them were hospitalized over 5 days. Hemoconcentration were significant and had higher risk  by 1,8 times to length of stay more than 5 days  [aRR = 1.75; P = 0.003]. Conclusion: Hemoconcentration in dengue patients had higher risk to length of stay. Keywords: Dengue, hemoconcentration, length of stay
背景:早期临床疾病识别和正确治疗登革热患者是预防病情恶化的关键。这将对病人的治疗产生积极的影响,他们的治疗时间越短,成本就越低。研究的目的是确定影响登革热病人在PI医生体内长期治疗的因素。方法:在2014年1月至2015年12月期间,登革热患者住院的医疗记录中进行了随机抽样研究。对考克斯回归的多元分析。结果:153例对登革热患者的医疗记录进行分析,发现治疗时间为5天以上的患者占41.2%。血液浓度状况对长期住院治疗时间超过5天的病人有显著影响,风险为1.8倍。P = 0.003)。结论:登革热患者在治疗时间内的血液浓度增加。说:登革热,血液浓度,s和背景治疗:用于治疗登革热病人的早期识别和保证对病情的发展至关重要。这可能导致医院中较低的病人护理的持续时间。这项研究的目的是确定这一事实是否影响了Sulianti Saroso教授住院期间登革热病人的能力。方法:由登革热病人住院医师Sulianti - Saroso潜行医学记录的交叉研究结果。多变量分析结果对考克斯进行了逆转。结果:有153例登革热患者分析医疗记录的样本,其中41.2%已住院5天以上。血液的强度是有意义的,最高风险为1.8倍,停留时间超过5天[aRR = 1.75;[千]结束语:登革热患者的血液稀释风险更大。登革热,止血,停留期限
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引用次数: 1
Flight hours within 7 days and risk of fatigue on the civilian pilots in Indonesia 7天内的飞行时间和印尼民用飞行员的疲劳风险
Pub Date : 2017-06-29 DOI: 10.22435/HSJI.V8I1.6804.53-58
febi arya hidayat
Background : In aviation world, fatigue may cause incapacitation among pilot which can lead to aircraft accidents. Flight hours is believed to be one of the factors related to the risk of fatigue. The purpose of this study is to identify relationship between flight hours in seven day and other factors to the risk of fatigue among civilian pilot in Indonesia. Methods : A cross sectional study with consecutive sampling was conducted among civilian pilots who attended medical check-up at Aviation Medical Center in Jakarta on June 2016. Demographic characteristics, employment related factors, habits and flight hours were obtained through questionnaire and interviews. Fatigue data were obtained through fatigue self-questionnaire form and measured with Fatigue Severity Scale which had been validated. Fatigue was categorized into non-fatigue (FSS score 30 hours/week compared to ≤30 hours/week, had 1.37-fold higher risk of fatigue [adjusted relative risk [RRa=1.37; CI=1.14-1.65; p=0.001]. The subject with ATPL license compared to CPL license had 1.28-fold higher risk of fatigue [RRa=1.31; CI=1.11-1.54; p=0.001). Furthermore, subjects who have appropriate exercise had 32% lower risk of fatigue (RRa=0.68; CI= 0.39-1.19; p=0.094). Conclusions : Civilian pilots in Indonesia who had more than 30 hours flight time in 7 days and ATPL type pilots have an increased risk of fatigue. Appropriate exercise decreased the risk of fatigue. Keywords : fatigue, flight hours. civilian pilots. Indonesia
背景:在航空界,疲劳可能导致飞行员丧失能力,从而导致飞机事故。飞行时间被认为是与疲劳风险相关的因素之一。本研究的目的是确定印度尼西亚民用飞行员七天飞行时间和其他因素与疲劳风险之间的关系。方法:对2016年6月在雅加达航空医疗中心参加体检的文职飞行员进行了连续抽样的横断面研究。通过问卷调查和访谈获得人口统计学特征、就业相关因素、习惯和飞行时间。疲劳数据通过疲劳自评量表获得,并用已验证的疲劳严重程度量表进行测量。疲劳分为非疲劳(FSS评分为30小时/周,与≤30小时/周相比,疲劳风险高1.37倍[调整后的相对风险[RRa=1.37;CI=1.14-1.65;p=0.001]。持有ATPL许可证的受试者疲劳风险比CPL许可证高1.28倍[RRa=1.33;CI=1.11-1.54;p=0.001)。此外,进行适当运动的受试者疲劳风险降低32%(RRa=0.68;CI=0.39-19;p=0.094)。结论:印度尼西亚7天飞行时间超过30小时的民用飞行员和ATPL型飞行员疲劳风险增加。适当的运动可以降低疲劳的风险。关键词:疲劳,飞行时间。民用飞行员。印度尼西亚
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引用次数: 1
The Impact of Vitamin a Fortified Vegetable Oil on Vitamin a Status of Children Under Five Years of Age: a Cohort-like Study 维生素a强化植物油对5岁以下儿童维生素a状况的影响:一项队列研究
Pub Date : 2017-01-01 DOI: 10.22435/hsji.v8i2.6792.
Sandjaja Sandjaja, I. Jus’at, Sudikno Sudikno
Introduction: Sub-clinical vitamin A deficiency (VAD) and anemia remain major nutritional problem in Indonesia. Although the government has implemented distribution of vitamin A capsules (VAC), there are one third of children missed VAC distribtion. The prevalence of anemia is also still high. Objectives: Part of this study was conducted to measure the effectiveness of vitamin A fortification in unbranded cooking oil among 6-59-month-old children of poor families in 2 districts in Indonesia prior mandatory vitamin A fortification in cooking oil. Materials and Methods: Total number of samples were 126 children. Venous blood was drawn by trained phlebotomist. Serum retinol and hemoglobin were measured by HPLC and hemoque respectively at baseline just before cooking oil fortification and 12 months after at endline. Trained enumerators collected data of morbidity and measurement of vitamin A content in cooking oil from the households, food stalls and markets was done periodically during the study. There was not any intervention from the study team on distribution and purchase of fortified cooking oil by the families, because cooking oil was distributed and sold through exsisting market mechanism. Enumerators collected socio-demographic variables. They also collected 24-hr dietary recall and food frequency questionnaires to measure nutrient intakes at base- and endline. Results: Serum retinol significantly increased by 5.07, 6.82, 6.01 µg/dL in 6-11, 12-23, and 24-59 month-old children respectively. Hemoglobin increased by 0.13 (p>0.05) , 0.56 (p<0.05), 0.81 g/dL (p<0.05) in 6-11, 12-35, 36-59 month-old children respectively. Conclusions: Vitamin A fortification in cooking oil significantly improved serum retinol in underfive children in all age groups and hemoglobin only in older age groups
亚临床维生素A缺乏症(VAD)和贫血仍然是印度尼西亚主要的营养问题。虽然政府实施了维生素A胶囊(VAC)的分发,但仍有三分之一的儿童错过了维生素A胶囊的分发。贫血的患病率仍然很高。目的:本研究的部分目的是测量印度尼西亚2个地区贫困家庭6-59个月大的儿童在强制强化食用油中维生素A之前在无品牌食用油中添加维生素A的有效性。材料与方法:共126例儿童。静脉血由训练有素的采血师抽取。采用高效液相色谱法(HPLC)和血色素法(hemque)分别测定食油强化前基线和强化后12个月的血清视黄醇和血红蛋白。训练有素的计数员收集了发病率数据,并在研究期间定期从家庭、食品摊档和市场测量食用油中维生素A的含量。由于食用油的分配和销售是通过现有的市场机制进行的,因此研究小组没有对家庭分配和购买强化食用油进行干预。普查员收集了社会人口统计变量。他们还收集了24小时饮食回忆和食物频率问卷,以测量基线和终点的营养摄入量。结果:6-11、12-23、24-59月龄患儿血清视黄醇分别显著升高5.07、6.82、6.01µg/dL。6 ~ 11月龄、12 ~ 35月龄、36 ~ 59月龄患儿血红蛋白分别升高0.13 (p<0.05)、0.56 (p<0.05)、0.81 g/dL (p<0.05)。结论:在食用油中添加维生素A可显著改善所有年龄组5岁以下儿童的血清视黄醇,仅可改善老年儿童的血红蛋白
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引用次数: 0
Biochemical Characterization of Insecticide Resistance and Exposure in Aedes Aegypti Population From Wonosobo, Central Java, Indonesia 印度尼西亚中爪哇沃诺索博地区埃及伊蚊抗药性及暴露的生化特征
Pub Date : 2017-01-01 DOI: 10.22435/hsji.v8i2.6854
Dyah Widiastuti
Resistance to insecticides mainly occurs due to changes in insect metabolic enzyme. Increased metabolism is often caused by qualitative or quantitative changes of esterase and glutathione S-transferase. Susceptibility test and biochemical assay to detect organophosphate and synthetic pyrethroid resistance were conducted on Aedes aegypti from Wonosobo (new highland Dengue endemic area). The test were performed on F1 generation of Ae.aegypti field caught mosquitoes which aimed to determine the resistance mechanisms regarding two detoxifying enzymes i.e. esterase and glutathione S-transferase. Susceptibility test showed 23.4 and 46.7% mortalities after exposure to 0.8% malathion and 0.05% cypermethrin. The biochemical assay result suggested that esterase, monooxygenase and glutathione s-transferase activity tend to increase in Ae.aegypti in Wonosobo. Interview and questionaires conclude that synthethic pyrethroid was the only insecticide type used in vector control program by Wonosobo Health Office and was the most frequent insecticide type to be used in household by Wonosobo society to control Ae.aegypti population. Knowledge of localized resistance and underlying mechanisms helps in making rational decisions in selection of appropriate and effective insecticides in the event of a dengue outbreak.
昆虫对杀虫剂产生抗药性主要是由于昆虫代谢酶的变化。代谢增加常由酯酶和谷胱甘肽s -转移酶的定性或定量变化引起。对来自沃诺索博(新高地登革热流行区)的埃及伊蚊进行了药敏试验和生化检测有机磷抗性和合成拟除虫菊酯抗性。对伊蚊F1代进行试验。目的:探讨埃及伊蚊对酯酶和谷胱甘肽s -转移酶两种解毒酶的抗性机制。药敏试验显示,0.8%马拉硫磷和0.05%氯氰菊酯处理后,死亡率分别为23.4%和46.7%。生化分析结果表明,酯酶、单加氧酶和谷胱甘肽s-转移酶活性有升高趋势。埃及伊蚊在沃诺索布。访谈和问卷调查表明,合成拟除虫菊酯类杀虫剂是Wonosobo卫生厅病媒控制规划中唯一使用的杀虫剂类型,也是Wonosobo社会在家庭中控制伊蚊最常用的杀虫剂类型。蚊数量。了解局部耐药性和潜在机制有助于在发生登革热疫情时作出合理决定,选择适当和有效的杀虫剂。
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引用次数: 0
Improving the Use of Curcuma Aeruginosa Roxb. as Anthelmintic for Children in Indonesia 改善铜绿姜黄的利用。作为印度尼西亚儿童驱虫剂
Pub Date : 2017-01-01 DOI: 10.22435/HSJI.V8I2.6051
S. Siahaan
This article based on the study results aims to improve the knowledge, attitude and practice (KAP) of mothers about self-medication of worm infections using Curcuma aeruginosa Roxb., a natural plant easily found in Indonesia. It consists of assessment and intervention to mothers(189) and children(204). Samples were collected from two Village Integrated Health Post in Cibungbulang village Bogor Municipality West Java Province. The KAP of mothers increased after they got health education a information and 95% of children who joined Curcuma treatment confirmed curing from worm infections, most of them 3 years old. Deworming program for children with Curcuma should be carried out routinely at least twice a year.
本文旨在根据研究结果,提高母亲对铜绿姜黄虫感染自我用药的认识、态度和做法。这是一种在印度尼西亚很容易找到的天然植物。它包括对母亲(189)和儿童(204)的评估和干预。样本是从西爪哇省茂物市Cibungbulang村的两个村综合卫生站收集的。在接受健康教育和信息后,母亲的KAP有所增加,参加姜黄治疗的儿童中95%的人确认从蠕虫感染中治愈,其中大多数是3岁。对于患有姜黄病的儿童,应该每年至少进行两次常规的驱虫计划。
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引用次数: 0
Modification of Calgary-Cambridge Observation Guide, a More Simplified and Practical Guide for Daily Consultation Practice 卡尔加里-剑桥观察指南的修改,一个更简化和实用的日常咨询实践指南
Pub Date : 2017-01-01 DOI: 10.22435/hsji.v8i2.7906.
H. Herqutanto
Background: The Calgary-Cambridge Observation Guides (CCOG) is a guide that is widely used to assess Doctor-Patient Communication. The guide consists of 56 points divided into 6 categories that describe a routine consultation process, plus 15 optional points in giving explanation and planning. Due to its quite numerous points, it is quite impractical to use the guide in daily consultation practice. Therefore, a more simplified and more practical version would be favourable. Method: Six experts from different background evaluated and analysed the 56 points of CCOG based on the level of importance in daily practice. Two rounds of Delphy were used. The result of the two rounds was then recirculated to obtain confirmation of the final modified version of CCOG. Result and Discussion: A final modified version of CCOG consisting of 35 points was formed. The first step of a consultation process, Initiating the session consists of 5 points (originally 7 points). Gathering information step consists of 5 points (originally 11 points), Providing structure of 3 points (originally 4 points), Building relationship of 7 points (originally 10 points), Explanation and Planning of 11 points (originally 20 points), and Closing the Session consisting of 4 points. The modified CCOG version is still comprehensive, yet more practical for daily practice. Conclusion: Modified version of CCOG can be used as a simple, practical guide to assess Doctor Patient Communication in daily consultation practice.
背景:卡尔加里-剑桥观察指南(CCOG)是一种广泛用于评估医患沟通的指南。该指南包括56分,分为6类,描述了常规咨询过程,加上15分的解释和计划。由于其要点较多,在日常的咨询实践中使用该指南是很不实际的。因此,一个更简化和更实用的版本将是有利的。方法:由6位不同背景的专家根据日常实践中的重要程度对CCOG的56个分项进行评价分析。使用了两发德尔菲子弹。然后再循环两轮的结果,以获得CCOG最终修改版本的确认。结果与讨论:最终形成了由35点组成的CCOG修改版本。协商过程的第一步,启动会议由5点组成(原来是7点)。收集信息步骤包括5分(原11分),提供结构3分(原4分),建立关系7分(原10分),解释和计划11分(原20分),结束会议4分。修改后的CCOG版本仍然是全面的,但更实用的日常练习。结论:改进后的CCOG可作为日常会诊实践中评估医患沟通的简单实用指南。
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引用次数: 1
The Characteristics of Mothers Who Experienced Perinatal Depression and the Characteristics of Their Babies in Three Community Health Center in Jakarta and Bogor. 雅加达和茂物三个社区卫生中心围产期抑郁母亲的特征及其婴儿的特征
Pub Date : 2017-01-01 DOI: 10.22435/hsji.v8i2.7371.
S. Idaiani
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引用次数: 0
Effect of Fever Duration Before Hospitalization and Hemoconcentration to Length of Stay of Dengue Patients 住院前发热时间及血液浓度对登革热患者住院时间的影响
Pub Date : 2017-01-01 DOI: 10.22435/hsji.v8i1.6434.
Christine Ernita Banggai
Backgrounds: Early identification of clinical conditions and proper treatment to dengue patients is essential to prevent the development of more severe condition. This can lead to shorter length of stay and lower cost of patient care in hospitals. The objective of this study was to determine the effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients. Methods: A cross-sectional study conducted by random sampling on the medical records of dengue patients hospitalized in RSPI Prof. Dr. Sulianti Saroso period January 2014-December 2015. Multivariate analyzes were performed with Cox regression. Results: There were 153 samples of dengue patient's medical record for analysis, 21.6% of them were hospitalized over 6 days. Duration of fever before hospitalization and hemoconcentration were significant to length of stay more than 6 days. Subjects with duration of fever for 3 days [aRR = 0.38; P = 0.024] and more than 3 days before hospitalization [aRR = 0.27; P = 0.000] were significant to length of stay more than 6 days. Subjects with hemoconcentration had higher risk by 1,8 times to length of stay more than 6 days [aRR = 1.84; P = 0.042]. Conclusion: Fever duration for 3 days, for more than 3 days before hospitalization, and hemoconcentration in dengue patients were significantly related to length of stay more than 6 days.
背景:早期识别临床状况并对登革热患者进行适当治疗对于防止发展为更严重的疾病至关重要。这可以缩短住院时间,降低患者在医院的护理成本。本研究的目的是确定住院前发热时间和血液浓度对登革热患者住院时间的影响。方法:采用横断面随机抽样方法,对2014年1月至2015年12月期间在RSPI住院的Sulianti Saroso教授的登革热患者病历进行研究。采用Cox回归进行多因素分析。结果:153份登革热病例病例分析,住院6 d以上病例占21.6%。住院时间大于6 d的患者入院前发热时间和血液浓度差异有统计学意义。发热持续3天的受试者[aRR = 0.38;P = 0.024]且住院前3 d以上[aRR = 0.27;P = 0.000]与住院时间大于6天有显著性差异。住院时间超过6天,血液浓度高的患者风险增加1.8倍[aRR = 1.84;P = 0.042]。结论:登革热患者住院前发热时间为3天、住院前发热时间为3天以上、住院时间为6天以上与患者血液浓度显著相关。
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引用次数: 0
期刊
Health Science Journal of Indonesia
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