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The Resistance of Aedes aegypti to Permethrin 0.25% Insecticide, Malathion 0.8%, and Transfluthrin 25% in the Universitas Islam Bandung Tamansari Campus 伊斯兰大学万隆-塔曼萨里校区埃及伊蚊对0.25%氯菊酯、0.8%马拉硫磷和25%Transfluthrin的耐药性
Pub Date : 2019-12-31 DOI: 10.29313/GMHC.V7I3.3662
R. D. Astuti, I. Ismawati, L. H. Siswanti
Massive and long term insecticide use causes resistance of mosquitos to insecticides. This research has a goal for assessing the resistance of Aedes aegypti to the insecticides of permethrin 0.25%, malathion 0.8%, and transfluthrin 25% in the Universitas Islam Bandung Tamansari campus. The Aedes aegypti resistance in the Universitas Islam Bandung Tamansari campus Bandung city to insecticides measured with the susceptibility test in September 2015. The susceptibility test to the permethrin 0.25% and malathion 0.8% insecticides implemented by using WHO standard instruments and methods. The susceptibility test to transfluthrin 25% implemented by using commercial insecticide according to the usage suggestion. The total mosquitos that died after the exposure of permethrin 0.25%, transfluthrin 25%, and malathion 0.8% for 60 minutes were 20%, 23%, and 80%. The WHO criteria state that mosquitos were still susceptible to insecticides if the death rate is 98–100%, tolerant if the death rate is 80–97%, and mosquitos are resistant if the death rate is less than 80%. In conclusion, the Aedes aegypti mosquitos in the Universitas Islam Bandung Tamansari campus are already resistant to the insecticides permethrin 0.25% and transfluthrin 25% and tolerant to malathion 0.8%. RESISTENSI AEDES AEGYPTI TERHADAP INSEKTISIDA PERMETHRIN 0,25%, MALATHION 0,8%, DAN TRANSFLUTHRIN 25% DI KAMPUS UNIVERSITAS ISLAM BANDUNG TAMANSARI Penggunaan insektisida secara masif dan jangka panjang menimbulkan resistensi nyamuk terhadap insektisida. Penelitian ini bertujuan menilai resistensi resistensi Aedes aegypti terhadap insektisida permethrin 0,25%, malathion 0,8%, dan transfluthrin 25% di kampus Unversitas Islam Bandung Tamansari. Resistensi Aedes aegypti di kampus Unversitas Islam Bandung Tamansari Kota Bandung terhadap insektisida diukur dengan uji kerentanan pada bulan September 2015. Uji kerentanan terhadap insektisida permethrin 0,25% dan malathion 0,8% dilakukan menggunakan alat dan metode uji standar WHO. Uji kerentanan terhadap transfluthrin 25% dilakukan menggunakan insektisida komersial sesuai dengan anjuran penggunaan. Jumlah nyamuk yang mati dalam jangka waktu 60 menit setelah paparan permethrin 0,25%, transfluthrin 25%, dan malathion 0,8% berturut-turut adalah 20%, 23%, dan 80%. Kriteria WHO menyatakan nyamuk dikategorikan masih rentan terhadap insektisida jika tingkat kematiannya 98–100%, toleran jika kematiannya 80–97%, dan resisten apabila jumlah kematian nyamuk kurang dari 80%. Simpulan, nyamuk Aedes aegypti yang terdapat di kampus Universitas Islam Bandung Tamansari telah resisten terhadap insektisida permethrin 0,25% dan transfluthrin 25%, serta toleran terhadap malathion 0,8%.
大规模和长期使用杀虫剂会导致蚊子对杀虫剂产生耐药性。这项研究的目的是评估伊斯兰万隆-塔曼萨里大学校园内埃及伊蚊对0.25%氯氰菊酯、0.8%马拉硫磷和25%转基因蛋白杀虫剂的抗性。2015年9月,在万隆市伊斯兰大学塔曼萨里校区,通过易感性测试测量了埃及伊蚊对杀虫剂的耐药性。采用世界卫生组织标准仪器和方法进行了25%氯氰菊酯和0.8%马拉硫磷杀虫剂的药敏试验。根据使用建议,使用市售杀虫剂进行25%转毒蛋白敏感性试验。在暴露于0.25%氯氰菊酯、25%转氟脲和0.8%马拉硫磷60分钟后,死亡的蚊子总数分别为20%、23%和80%。世界卫生组织的标准指出,如果蚊子的死亡率为98–100%,它们仍然对杀虫剂敏感,如果蚊子死亡率为80–97%,它们是耐受的;如果蚊子死亡率低于80%,它们是抗药性的。总之,万隆-塔曼萨里伊斯兰大学校园内的埃及伊蚊已经对0.25%的氯氰菊酯和25%的转基因蛋白具有抗性,对0.8%的马拉硫磷具有抗性。和大学班杜姆原理样本中的25%转基因杀虫剂大量长期使用杀虫剂会产生蚊子对杀虫剂的耐药性。这项研究旨在评估埃及伊蚊对塔曼萨里大学伊斯兰大学0.25%的氯氰菊酯杀虫剂、0.8%的马拉硫磷和25%的转基因蛋白的抗性。伊斯兰大学班达尔城市公园的埃及伊蚊耐药性通过2015年9月的耐药性测试来衡量对杀虫剂的耐药性。使用世界卫生组织标准测试工具和方法对氯氰菊酯杀虫剂0.25%和马拉硫磷0.8%进行置信度测试。根据使用结构,使用市售杀虫剂进行针对25%转毒蛋白的置信度测试。连续使用0.25%的氯氰菊酯、25%的反氟脲和0.8%的马拉硫磷60分钟内死亡的蚊子数量分别为20%、23%和80%。世界卫生组织的标准指出,如果被分类的蚊子的死亡率为98-100%,它们仍然容易受到杀虫剂的侵害,如果它们的死亡率为80-97%,它们是耐受的,如果它们死亡率低于80%,它们是抗药性的。Tamansari大学伊斯兰大学的Simpulan和埃及伊蚊对氯氰菊酯杀虫剂的抗性为0.25%,对转基因蛋白的抗性为25%,对马拉硫磷的抗性为0.8%。
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引用次数: 0
VEGF-A and PD-L1 Immunoexpression Association with Meningioma Histopathology Grade VEGF-A和PD-L1免疫表达与脑膜瘤组织病理学分级的关系
Pub Date : 2019-12-31 DOI: 10.29313/GMHC.V7I3.4202
Yunnica Yunnica, Afiati Afiati, H. Usman, B. Hernowo
Histopathology grade of meningioma is one of the most common factors determining the prognosis and affects the risk of recurrence and aggressiveness of the tumor. Biological factors related to histopathological grade are vascular endothelial growth factor A (VEGF-A) and programmed death-ligand 1 (PD-L1). This research aimed to understand the association between VEGF-A and PD-L1 with meningioma histopathology grade. This is in vivo research on 60 paraffin blocks of meningioma cases at Dr. Hasan Sadikin General Hospital Bandung from April to November 2018. Paraffin block samples consist of grade I (30), grade II (15), and grade III (15) meningioma. Immunohistochemical staining of VEGF-A and PD-L1 performed to all samples. Data analyzed using the chi-square test with SPSS version 24.0 for Windows. The result shows a significant association between VEGF-A and PD-L1 immunoexpression with meningioma histopathology grade. PD-L1 is the most potent factor that influenced the histopathology grade of meningioma. The study concluded that the histopathology grade of meningiomas influenced by angiogenesis and immune checkpoints. VEGF-A and PD-L1 immunoexpression in meningioma considered as a factor that influences the aggressiveness of meningioma. HUBUNGAN IMUNOEKSPRESI VEGF-A DAN PD-L1 DENGAN DERAJAT HISTOPATOLOGI MENINGIOMA Derajat histopatologi meningioma merupakan salah satu faktor yang paling umum menentukan prognosis serta memengaruhi risiko rekurensi dan agresivitas tumor. Faktor biologi yang berhubungan dengan derajat histopatologi adalah vascular endothelial growth factor A (VEGF-A) dan programmed death-ligand 1 (PD-L1). Penelitian ini bertujuan mengetahui hubungan imunoekspresi VEGF-A dan PD-L1 dengan derajat histopatologi meningioma. Penelitian in vivo dilakukan pada 60 blok parafin kasus meningioma di Departemen Patologi Anatomi RSUP Dr. Hasan Sadikin Bandung dari April hingga November 2018. Sampel blok parafin terdiri atas meningioma derajat I (30), derajat II (15), dan derajat III (15). Pulasan imunohistokimia VEGF-A dan PD-L1 dilakukan terhadap semua sampel. Data dianalisis menggunakan uji chi-square dengam SPSS versi 24.0 untuk Windows. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara VEGF-A dan PD-L1 dengan derajat histopatologi meningioma. PD-L1 merupakan faktor paling kuat yang memengaruhi derajat histopatologi meningioma. Simpulan penelitian ini adalah derajat histopatologi meningioma dipengaruhi oleh faktor angiogenesis dan immune check point . Imunoekspresi VEGF-A dan PD-L1 pada meningioma dapat dipertimbangkan sebagai faktor yang memengaruhi agresivitas meningioma.
脑膜瘤的组织病理学分级是决定预后的最常见因素之一,并影响肿瘤复发和侵袭性的风险。与组织病理学分级相关的生物学因素是血管内皮生长因子A(VEGF-A)和程序性死亡配体1(PD-L1)。本研究旨在了解VEGF-A和PD-L1与脑膜瘤组织病理学分级之间的关系。这是2018年4月至11月在万隆Hasan Sadikin综合医院对60例脑膜瘤病例进行的体内研究。石蜡块样本包括I级(30)、II级(15)和III级(15个)脑膜瘤。对所有样本进行VEGF-A和PD-L1的免疫组织化学染色。数据分析采用卡方检验,SPSS 24.0 for Windows。结果显示VEGF-a和PD-L1的免疫表达与脑膜瘤的组织病理学分级显著相关。PD-L1是影响脑膜瘤组织病理学分级的最有力因素。研究得出结论,脑膜瘤的组织病理学分级受血管生成和免疫检查点的影响。VEGF-A和PD-L1在脑膜瘤中的免疫表达被认为是影响脑膜瘤侵袭性的一个因素。VEGF-A和PD-L1免疫表达与组织病理性脑膜瘤的关系组织病理学脑膜瘤的程度是决定预后、影响复发风险和肿瘤侵袭性的最常见因素之一。与组织病理学相关的生物学因素是血管内皮生长因子A(VEGF-A)和程序性死亡配体1(PD-L1)。本研究旨在确定VEGF-A和PD-L1免疫表达与脑膜瘤组织病理学程度的关系。2018年4月至11月,在RSUP解剖病理科Hasan Sadikin Bandung博士对60块石蜡切片脑膜瘤进行了体内研究。石蜡块的样品由等级I(30)、II(15)和III(15)组成。对所有样本进行免疫组织化学脉冲VEGF-A和PD-L1。数据分析采用卡方检验,SPSS 24.0版本适用于Windows。研究表明,VEGF-a和PD-L1与脑膜瘤的组织病理学程度有显著关系。PD-L1是影响脑膜瘤组织病理学程度的最强因素。本研究基于脑膜瘤的组织病理学受血管生成因素和免疫检查点的影响程度。VEGF-A和PD-L1在脑膜瘤中的免疫表达可被认为是影响脑膜瘤侵袭性的一个因素。
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引用次数: 1
Relation between Vitamin D Level and Knowledge and Attitude Towards Sunlight Exposure among Asthma Outpatients in Surabaya 泗水市哮喘门诊患者维生素D水平与日光暴露知识态度的关系
Pub Date : 2019-12-31 DOI: 10.29313/gmhc.v7i3.3094
Amelia Lorensia, R. V. Suryadinata, Gebriella Ayuni Amir
Asthma has become one of the health problems in the world. Asthma is characterized by chronic inflammation of the respiratory tract which leads to breathlessness, wheezing, and airflow limitation. Inflammatory reaction in asthma is related to inadequate vitamin D level. Vitamin D is a vitamin produced naturally by the body when exposed to sunlight that has immunomodulatory properties can reduce inflammation. Knowledge and positive attitude to sun exposure are necessary to prevent severe asthma attacks. This was a cross-sectional study involving 26 subjects in a private university in east Surabaya during January–June 2017 that was aimed to determine the relation between vitamin D and knowledge and attitude towards sunlight exposure. Data were collected by measuring the vitamin D level in blood serum and through the use of a questionnaire that consisted of two aspects, level of knowledge and attitude to sun exposure. Chi-square test was used to analyze the relationship between vitamin D level, knowledge, and attitude. No relationship was found between blood vitamin D level of asthma respondents and level of knowledge of sun exposure related to vitamin D (p=0.444, p>0.05). The same was also true for the relationship between blood vitamin D level of asthma respondents and attitude to sun exposure related to vitamin D (p=0.768, p>0.05). The closeness of the relationship between knolwedge and attitude was also relatively low (0.093). In conclusion, there is no correlation between vitamin D level, knowledge, and attitude. In addition, there is also no correlation between knowledge and attitude with low relationship between the two variables. HUBUNGAN KADAR VITAMIN D DENGAN PENGETAHUAN DAN SIKAP TENTANG PAPARAN SINAR MATAHARI PADA PASIEN ASMA RAWAT JALAN DI SURABAYA Asma telah menjadi masalah kesehatan di dunia. Asma ditandai oleh peradangan kronis pada saluran pernapasan yang menyebabkan sesak napas, mengi, dan keterbatasan aliran udara. Reaksi peradangan pada asma terkait dengan kadar vitamin D yang tidak memadai. Vitamin D merupakan vitamin yang diproduksi secara alami oleh tubuh ketika terkena sinar matahari yang memiliki sifat imunomodulator dapat mengurangi peradangan. Pengetahuan dan sikap positif terhadap paparan sinar matahari diperlukan untuk mencegah risiko keparahan asma. Penelitian ini menggunakan metode cross-sectional yang melibatkan 26 subjek di sebuah universitas swasta di Surabaya Timur pada Januari–Juni 2017 yang bertujuan menentukan hubungan vitamin D dengan pengetahuan dan sikap terhadap paparan sinar matahari. Data dikumpulkan dengan mengukur kadar vitamin D dalam serum darah dan melalui penggunaan kuesioner yang terdiri atas dua aspek, tingkat pengetahuan dan sikap terhadap paparan sinar matahari. Uji chi-square digunakan untuk menganalisis hubungan antara kadar vitamin D, pengetahuan, dan sikap. Tidak ada hubungan yang ditemukan antara kadar vitamin D darah responden asma dan tingkat pengetahuan paparan sinar matahari yang terkait
哮喘已成为世界上的健康问题之一。哮喘的特点是呼吸道慢性炎症,导致呼吸困难、喘息和气流受限。哮喘的炎症反应与维生素D水平不足有关。维生素D是人体在阳光下自然产生的一种维生素,具有免疫调节特性,可以减少炎症。对阳光照射的知识和积极态度对于预防严重哮喘发作是必要的。这是一项横断面研究,涉及2017年1-6月期间东泗水一所私立大学的26名受试者,旨在确定维生素D与对阳光照射的知识和态度之间的关系。通过测量血清中的维生素D水平和使用问卷收集数据,问卷包括知识水平和对阳光照射的态度两个方面。卡方检验用于分析维生素D水平、知识和态度之间的关系。哮喘受试者的血液维生素D水平与维生素D相关的日晒知识水平之间没有相关性(p=0.444,p>0.05),哮喘受试人的血液维生素D水平与维生素D相关的日晒态度之间也没有相关性(p=0.768,p>0.05%)总之,维生素D水平、知识和态度之间没有相关性。此外,知识和态度之间也没有相关性,两个变量之间的关系较低。维生素D被通知了,在帕森斯在ASMA SURABAYA观察情况的物质准备夫人会议上,维生素D一直是一个世界性的健康问题。阿斯玛的特点是长期暴露于呼吸道,导致呼吸、充盈和气流受限。植物对哮喘的反应与不适当的维生素D水平有关。维生素D是人体在阳光照射下自然产生的一种维生素,具有免疫调节特性,可以减少生长。对阳光的知识和积极态度是预防哮喘风险所必需的。这项研究采用了一种横断面方法,涉及2017年1-6月东泗水一所私立大学的26名受试者,旨在确定维生素D与对阳光的知识和态度的关系。数据是通过测量血清中的维生素D水平和使用由知识水平和对阳光的态度两个方面组成的评分来收集的。卡方检验用于分析维生素D水平、知识和态度之间的关系。哮喘反应的维生素D血液水平与与维生素D相关的阳光知识水平之间没有关系(p=0.444;p>0.05)。这同样适用于哮喘反应的维生素D血液水平与对与维生素D相关的阳光展示的态度之间的关系(p=0.768;p>0.05)。知识和态度之间的关系也相对较低(0.093)。总之,维生素D、知识和态度之间没有相关性。此外,知识和态度之间的关系并不低。
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引用次数: 5
Impact of Integrated Reproductive Health Module Implementation on Junior High School Student Behavior Changes 综合生殖健康模块实施对初中生行为改变的影响
Pub Date : 2019-12-31 DOI: 10.29313/GMHC.V7I3.3202
D. Handayani, Ariyati Mandiri, I. Aprillani
Socio-cultural changes, low understanding of religion, development of information technology, and limitation of appropriate information sources, causes sexual and reproductive behavior problems in adolescents. The solutions are through the application of an integrated reproductive health module as a teaching guide for teachers by using student center learning approach. The objectives of this study are to analyze the implementation effect of an integrated reproductive health module on changes in student behavior. This study using a quasi-experimental pretest-posttest design with control groups, which conducted from March to May 2017. The subject in this research is the students of class VII in 5 (five) Bandung city areas by inclusion and exclusion criteria. A total of 36 students from the five junior secondary schools as the research group received an integrated learning module, while 38 students from different classes in the same school as the control group using the reproductive health module based on the 2013 Curriculum. The data collection used questionnaires to assess behavior based on self-assessment, friends, and parents. The results of this study indicate that the interpersonal communication behavior increased by 5.74%, reproductive health behavior increased by 18.65%, and sexual behavior increased by 9.07%, with a significant difference compared to students who received the 2013 Curriculum (p<0.001). In conclusion, the implementation of the integrated reproductive health module had affected the student behavior change in maintaining reproductive health, sexual, and interpersonal communication. PENGARUH PENERAPAN MODUL PEMBELAJARAN KESEHATAN REPRODUKSI TERINTEGRASI TERHADAP PERUBAHAN PERILAKU SISWA SEKOLAH MENENGAH PERTAMA Perubahan sosial budaya, pemahaman agama yang rendah, perkembangan teknologi informasi, dan keterbatasan sumber informasi yang tepat menyebabkan permasalahan perilaku seksual dan kesehatan reproduksi pada remaja. Salah satu upaya yang dilakukan adalah melalui penerapan modul kesehatan reproduksi terintegrasi sebagai pedoman mengajar bagi guru dengan menggunakan pendekatan student center learning . Tujuan penelitian ini menganalisis pengaruh implementasi modul pembelajaran kesehatan reproduksi terintegrasi terhadap perubahan perilaku siswa. Penelitian ini menggunakan quasi-experimental pretest-posttest design with control groups yang dilakukan dari bulan Maret hingga Mei 2017 . Subjek penelitian adalah siswa kelas VII di 5 (lima) wilayah Kota Bandung dengan kriteria inklusi dan eksklusi. Sebanyak 36 siswa dari lima sekolah menengah pertama sebagai kelompok perlakuan mendapatkan modul kesehatan reproduksi terintegrasi dan 38 siswa dari kelas yang berbeda di sekolah yang sama sebagai kelompok kontrol menggunakan materi kesehatan reproduksi berdasar atas Kurikulum 2013. Pengumpulan data menggunakan kuesioner penilaian perilaku oleh diri sendiri, teman, dan orangtua. Hasil menunjukkan bahwa perilaku komunikasi interpersonal s
社会文化的变化、对宗教的不了解、信息技术的发展以及适当信息来源的限制,导致青少年的性和生殖行为问题。解决办法是采用以学生为中心的学习方法,将综合生殖健康模块作为教师的教学指南。本研究的目的是分析综合生殖健康模块对学生行为改变的实施效果。本研究采用准实验前测后测设计,对照组于2017年3月至5月进行。本研究以万隆市五(五)城区七班学生为研究对象,采用纳入和排除标准。作为研究小组的五所初中共有36名学生接受了综合学习模块,而来自同一所学校不同班级的38名学生作为对照组,使用了基于2013年课程的生殖健康模块。数据收集采用基于自我评估、朋友和父母的问卷来评估行为。本研究结果表明,与2013年课程的学生相比,人际交往行为增加了5.74%,生殖健康行为增加了18.65%,性行为增加了9.07%,差异具有统计学意义(p<0.001)。综上所述,综合生殖健康模块的实施影响了学生在维持生殖健康、性和人际交往方面的行为改变。PENGARUH PENERAPAN模块PEMBELAJARAN KESEHATAN reduksi TERINTEGRASI TERHADAP PERUBAHAN peraku SISWA SEKOLAH MENENGAH PERTAMA PERUBAHAN social budaya, pemahaman agama yang rendah, perkembangan tecknologi informasi, dan keterbatasan sumnumber informasi yang tepat menyebabkan permasalahan peraku seksual dan KESEHATAN reduksi padremaja。Salah satu upaya yang dilakukan adalah melalui penerapan模块kesehatan reduksi terintegrasi sebagai pedoman mengajar bagi guru dengan menggunakan pendekatan学生中心学习。Tujuan penelitian ini menganalispenaruh实现了一个模块pembelajaran kesehatan reduksi terintegrasi terhadap perubahan perakaku siswa。孟古那坎准实验前测后测设计与对照组[j]。学科名称penelitian adalah siswa kelas VII di 5 (lima) Kota Bandung dengan标准inklui和eksklui。2013年8月8日,四川四川大学教育管理硕士研究生毕业论文,硕士研究生毕业论文,硕士研究生毕业论文,硕士研究生毕业论文,硕士研究生毕业论文。彭普兰的数据,孟古纳坎kuesioner, penaiaiperaku, oleh diri sendiri, teman,丹猩猩。Hasil menunjukkan bahwa perilaku komunikasi人际关系siswa meningkat 5,74%, perilaku menjaga kesehatan reduksi meningkat 18,65%, dan peraku sesual sehat siswa meningkat 9,07%, dengan perbedaan yang signifikan dibanding dengan siswa yang mendapatkan Kurikulum 2013 (p< 0.001)。Simpulan, penerapan模块pembelajaran kesehatan reduksi terintegrasi berpengaruh terhadap perubahan perhaku kesehatan reduksi siswa。
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引用次数: 0
Effectiveness of Cadres Training in Improving Maternal and Neonatal Health in Soreang Subdistrict 干部培训在改善Soreang街道孕产妇和新生儿健康方面的效果
Pub Date : 2019-12-31 DOI: 10.29313/GMHC.V7I3.3986
Merry Wijaya, Fardila Elba, Ariyati Mandiri, Wenny Friska, Balkis Fitriani Faozi, D. Hilmanto
The high maternal mortality rate (MMR) and neonatal mortality rate (NMR) are indicators of low health quality in society. Most maternal and neonatal mortality cases prevented through early detection and quick and accurate responses. Other factors that contribute to maternal and neonatal mortality are the quality of health care, the uneven distribution of health workers, and the inadequate health-supporting facilities. The government’s efforts in improving fair health workers distribution and quality of healthcare services by involving integrated health service post ( pos pelayanan terpadu / posyandu ) cadres, as the front-liners of health care programs (especially concerning maternal and neonatal health), should be able to provide better healthcare services to the people. Hence, cadres training is crucial for improving the cadres’ knowledge and skills in healthcare services. This study aims to analyze the effect of cadres training implementation on the development of cadres’ knowledge and skills in giving maternal and neonatal (infant) health counseling. This study used a quasi-experimental pretest-posttest design conducted from July to November 2017. The sample consists of 32 active cadres from 12 villages in Soreang sub-district who satisfy the inclusion criteria. Data is collected through questionnaires to measure knowledge improvement and checklists to measure cadres’ skills development. The findings show that cadres training implementation can improve cadres’ knowledge and skills in maternal and neonatal (infant) health counseling. EFEKTIVITAS PELATIHAN KADER DALAM MENINGKATKAN KESEHATAN IBU DAN BAYI DI KECAMATAN SOREANG Angka kematian ibu (AKI) dan angka kematian bayi (AKB) yang tinggi menjadi indikator status kesehatan masyarakat yang rendah. Sebagian besar kasus kematian ibu dan bayi dapat dicegah melalui deteksi dini dan penanganan yang cepat dan tepat. Faktor lain yang memengaruhi kematian ibu dan bayi adalah kualitas pelayanan kesehatan, distribusi tenaga kesehatan belum merata, dan sarana pendukung pelayanan kesehatan yang belum memadai. Upaya pemerintah dalam meningkatkan pemerataan tenaga kesehatan dan pelayanan kesehatan dengan melibatkan kader pos pelayanan terpadu (posyandu) sebagai ujung tombak program kesehatan, khususnya ibu dan anak, seyogianya mampu memberikan pelayanan kesehatan yang baik kepada masyarakat. Oleh karena itu, pelatihan kader untuk meningkatkan pengetahuan dan keterampilan dalam penanganan kesehatan mutlak diperlukan. Penelitian ini bertujuan menganalisis pengaruh implementasi pelatihan kader terhadap peningkatan pengetahuan dan keterampilan dalam melakukan penyuluhan kesehatan ibu dan anak. Penelitian ini menggunakan desain quasi-experimental pretest-posttest yang dilakukan dari Juli hingga November 2017. Sampel penelitian adalah 32 kader aktif dari 12 desa di Kecamatan Soreang yang memenuhi kriteria inklusi. Pengumpulan data menggunakan kuesioner untuk menilai perubahan pengetahuan dan daftar tilik untuk men
产妇死亡率(MMR)和新生儿死亡率(NMR)高是社会健康质量低的指标。大多数孕产妇和新生儿死亡病例通过早期发现和快速准确的反应得以预防。造成孕产妇和新生儿死亡率的其他因素是卫生保健质量、卫生工作者分布不均以及卫生支助设施不足。政府努力改善卫生工作者的公平分配和卫生保健服务质量,让综合卫生服务岗位(pos pelayanan terpadu/posyandu)干部作为卫生保健计划(特别是孕产妇和新生儿健康)的前线,应该能够为人民提供更好的卫生服务。因此,干部培训对于提高干部的医疗保健知识和技能至关重要。本研究旨在分析干部培训实施对干部母婴健康咨询知识和技能发展的影响。本研究采用了2017年7月至11月进行的准实验性前测后测设计。样本包括来自Soreang街道12个村庄的32名符合入选标准的在职干部。数据是通过问卷调查来衡量知识进步和检查表来衡量干部的技能发展来收集的。研究结果表明,实施干部培训可以提高干部在母婴健康咨询方面的知识和技能。训练有效性,其中母亲和婴儿在疼痛中的安全母亲死亡人数(AKI)和婴儿死亡人数(AKB)是社会健康状态的高指标。大多数母婴死亡病例都可以通过早期发现和及时准确的治疗来预防。影响母亲和婴儿死亡的另一个因素是卫生保健的质量、卫生能量的无限分配以及不适当的卫生保健支持。政府努力改善卫生能源和卫生服务,将一个令人困惑的后框架作为卫生计划的终点,特别是母亲和儿童,能够为公众提供良好的卫生服务。因此,需要进行框架培训,以提高绝对医疗保健方面的知识和技能。本研究旨在分析实施框架培训对提高妇幼健康教育知识和技能的影响。本研究采用了2017年7月至11月进行的准实验性前测后测设计。研究样本是索朗区12个村庄的32个符合纳入标准的活跃框架。数据收集使用衔接来评估知识的变化,并使用视图列表来衡量框架技能的变化。研究表明,实施框架培训可以提高开展妇幼健康教育的框架知识和技能。
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引用次数: 0
D-Dimer Level with Cerebral Venous Sinus Thrombosis (CVST) Occurrence Using Digital Subtraction Angiography (DSA) 数字减影血管造影(DSA)诊断脑静脉窦血栓形成(CVST)的d -二聚体水平
Pub Date : 2019-01-01 DOI: 10.29313/gmhc.v7i3.5341
A. Putra, Eppy Buchori, Hilman Hilman, L. Amalia
Cerebral venous sinus thrombosis (CVST) is a cerebrovascular disease in the form of occlusion due to thrombus in the venous and cerebral sinuses. It rarely occurs and has varied clinical symptoms and radiological features and challenging to diagnose. D-dimer used as a diagnostic marker for cases of venous thromboembolism, with a sensitivity of around 90–92%. However, the specificity is not too high (70–73%) because it can also increase in other conditions. Digital subtraction angiography (DSA) is a gold standard examination to establish the diagnosis of CVST. The purpose of this study was to determine the relationship between the D-dimer level and CVST using DSA at Dr. Hasan Sadikin General Hospital in Bandung. This study used an observational analytic method with a case-control study design using retrospective data from medical records at Dr. Hasan Sadikin General Hospital in January 2017–August 2019. The research subjects divided into two groups, namely the high D-dimer levels and the normal/low D-dimer level. Forty people meet the inclusion criteria, ages averaging from 44.77±14.40 years, and consists of 9 male patients (22%) and 31 women patients (78%). For normal/low D-dimer levels 20 patients (50%) and high D-dimer levels 20 patients (50%). Statistical test results measuring D-dimer and CVST levels found a significant relationship (p<0.05). In conclusion, there is a relationship between D-dimer levels with CVST events that have been done by DSA. The higher the D-dimer level, the higher the suspicion of CVST.
脑静脉窦血栓形成(CVST)是一种因静脉窦和脑窦血栓阻塞而形成的脑血管疾病。它很少发生,具有多种临床症状和影像学特征,诊断困难。d -二聚体用作静脉血栓栓塞病例的诊断标志物,敏感性约为90-92%。然而,特异性不太高(70-73%),因为它也可能在其他情况下增加。数字减影血管造影(DSA)是诊断CVST的金标准检查。本研究的目的是确定d -二聚体水平与万隆哈桑·萨迪金医生总医院使用DSA的CVST之间的关系。本研究采用观察性分析方法,采用病例对照研究设计,使用哈桑·萨迪金综合医院2017年1月至2019年8月的病历回顾性数据。研究对象分为高d -二聚体组和正常/低d -二聚体组。40例患者符合纳入标准,平均年龄44.77±14.40岁,其中男性9例(22%),女性31例(78%)。正常/低d -二聚体水平20例(50%),高d -二聚体水平20例(50%)。d -二聚体与CVST水平有统计学意义(p<0.05)。总之,d -二聚体水平与DSA所做的CVST事件之间存在关系。d -二聚体水平越高,CVST的怀疑程度越高。
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引用次数: 0
Evaluation on the Implementation of Rural-Based Program for Undergraduate Medical Student 医学本科学生农村化培养方案实施评价
Pub Date : 2018-09-27 DOI: 10.29313/GMHC.V6I2.2986
N. Arisanti, I. Arya, I. Amelia, K. Mutyara, E. Setiawati
Evaluation of a program is needed to determine whether the program could be implemented and generate inputs to improve the program. The objective of this study was to evaluate the implementation of community-based programs for medical clerkship students in rural areas.  This research was a qualitative study using interpretivism paradigm and case study approach. Data collection method was focus group discussions with the head of public h ealth center (puskesmas) and preceptor. Data were analyzed through transcription, coding, categorization, and generating theme. The study was conducted from August 2015 to November 2016 in Sukabumi and Cianjur, West Java. Triangulation method and member check were conducted to elicit valid and reliable data. Two focus group discussions were conducted with 11 informants comprises 5 heads of puskesmas and 6 preceptors. There were 7 themes generated from the discussion. The themes were socialized and disseminate the information ; collaboration and local government involvement ; integration of education and service ; encourage lifelong learning ; encourage the improvement of performance ; skill enhancement ; and sustainability. Implementation of community-based medical education curriculum in rural areas has been implemented. Sustainability of the curriculum is needed to contribute to the improvement of community health status. EVALUASI IMPLEMENTASI PROGRAM  ILMU KESEHATAN MASYARAKAT DI DAERAH PEDESAAN UNTUK PROGRAM PROFESI DOKTER Evaluasi sebuah program dibutuhkan untuk mengetahui apakah program tersebut dapat dilaksanakan dan mendapatkan masukan yang akan digunakan dalam rangka memperbaiki program. Tujuan penelitian ini adalah melakukan evaluasi pelaksanaan program pendidikan kedokteran berbasis daerah pedesaan untuk mahasiswa profesi dokter. Penelitian ini merupakan penelitian kualitatif dengan paradigma interpretivism dan pendekatan studi kasus. Pengumpulan data dilakukan dengan diskusi kelompok terarah kepada kepala puskesmas dan preseptor lapangan. Pengambilan data dilakukan pada bulan Agustus 2015 sampai November 2016 di Sukabumi dan Cianjur, Jawa Barat. Analisis data hasil wawancara dilakukan melalui proses transkripsi, koding, kategorisasi, dan penyusunan tema. Triangulasi dan member check dilakukan untuk mendapatkan data yang valid dan reliabel. Dua diskusi kelompok terarah dilakukan kepada 11 informan yang terdiri atas 5 orang kepala puskesmas dan 6 orang preseptor. Berdasar atas hasil diskusi didapatkan 7 tema dalam evaluasi kurikulum pendidikan, yaitu sosialisasi dan diseminasi informasi; kolaborasi dan keterlibatan pemerintah setempat; integrasi pendidikan dan pelayanan; mendorong pembelajaran sepanjang hayat; mendorong peningkatan kinerja staf; pemahiran keterampilan; serta keberlanjutan. Pelaksanaan kurikulum pendidikan kedokteran berbasis komunitas di daerah pedesaan telah dilakukan dengan baik, hal ini terlihat dari beberapa manfaat yang dikemukakan oleh informan. Agar implementasi kurikulum ini memb
需要对程序进行评估,以确定程序是否可以实施,并生成改进程序的输入。本研究的目的是评估农村地区医学见习生社区项目的实施情况。本研究采用解释主义范式和个案研究方法进行定性研究。数据收集方法是与公共卫生中心(puskemas)负责人和导师进行焦点小组讨论。数据通过转录、编码、分类和生成主题进行分析。该研究于2015年8月至2016年11月在西爪哇的Sukabumi和Cianjur进行。进行了三角测量法和成员检查,以获得有效和可靠的数据。与11名线人进行了两次焦点小组讨论,其中包括5名脓疱瘤负责人和6名线人。讨论产生了7个主题。主题被社会化并传播信息;合作和地方政府的参与;教育与服务一体化;鼓励终身学习;鼓励改进绩效;技能提升;以及可持续性。在农村地区实施了以社区为基础的医学教育课程。课程的可持续性是有助于改善社区健康状况的必要条件。对方案执行情况的评价本研究的目的是评估以农村为基础的医生医学教育计划的实施情况。本研究是一项定性研究,采用解释范式和案例研究方法。在进行数据收集时,重点小组向图书馆负责人和现场预审员进行了讨论。数据收集于2015年8月至2016年11月在西爪哇省的Sukabumi和Cianjur进行。通过转录、编码、分类和主题化过程对面试结果进行分析。进行三角测量和成员检查,以获得有效和可靠的数据。与11名线人进行了两次理论讨论,其中包括5名图书馆馆长和6名馆长。根据讨论结果,在评估教育课程时获得了7个主题,即社会化和信息传播;地方政府的合作和参与;教育和服务一体化;鼓励终身学习;鼓励改进工作人员的业绩;技能创造;和进步。社区医学教育课程在农村的实施做得很好,这可以从举报人提供的一些好处中看出。为了实施这一课程,为社会带来更好的结果,需要继续实施这一方案。
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引用次数: 2
Influence of A Clear Vision on Nurse Performance at Al Islam Hospital Bandung 清晰视野对万隆伊斯兰医院护士绩效的影响
Pub Date : 2018-08-30 DOI: 10.29313/GMHC.V6I2.2703
Caecielia Wagiono, Prathama Gilang
Nurses have to work as a team to be able to perform their job effectively. One of the factors that play roles in building good teamwork is a clear vision. This study aimed to review the influence of a clear vision towards nurse performance at Al Islam Hospital Bandung in 2017. This study was a cross-sectional verification quantitative case study on a population of 212 nurses working at the inpatient unit of Al Islam Hospital Bandung. A sample of 147 nurses participated in the survey after the proportional stratified random sampling was applied based on the inpatient room and the length of the work period. Data collected by distributing questionnaires to nurses and head nurses. The statistical analysis was then performed using simple linear regression analysis. Pearson correlation coefficient formula was used to discover the correlation between two variables, followed by the determination coefficient analysis to explain the strength of the influence the X variable has on the Y variable. Results showed that a clear vision gave 56.6% influence on the quantity of nurse performance, 57.9% influence on the quality of nurse performance, and 76.5% influence on both quantity and quality of nurse performance. In conclusion, a clear vision gives a positive impact towards nurse performance both quantitatively and qualitatively. Hence, clearer vision means better nurse performance. PENGARUH VISI YANG JELAS TERHADAP KINERJA PERAWAT DI RUMAH SAKIT AL ISLAM BANDUNG Perawat harus bekerja sama dalam satu tim agar memiliki kinerja yang tinggi. Salah satu yang berperan untuk membentuk kerja sama tim yang baik adalah visi yang jelas. Penelitian ini bertujuan mengkaji pengaruh visi yang jelas terhadap kinerja perawat di Rumah Sakit Al Islam Bandung pada tahun 2017. Metode penelitian yang digunakan adalah studi kasus dengan jenis penelitian analisis kuantitatif yang menggunakan rancangan cross sectional dan verifikatif. Populasi penelitian ini adalah perawat yang bekerja di Unit Rawat Inap Rumah Sakit Al Islam Bandung sebanyak 212 orang. Sampel diambil menggunakan proportional stratified random sampling berdasar atas ruang rawat inap dan masa kerja perawat, yaitu sebanyak 147 orang. Teknik pengumpulan data dilakukan dengan membagikan kuesioner kepada perawat dan kepala perawat. Data dianalisis dengan analisis regresi linear sederhana. Untuk mengetahui korelasi kedua variabel digunakan rumus koefisien korelasi Pearson, kemudian analisis koefisien determinasi untuk menjelaskan seberapa besar perubahan nilai pada variabel Y dapat diprediksi oleh perubahan variabel X. Hasil analisis data menunjukkan bahwa visi yang jelas memberikan pengaruh sebesar 56,6% terhadap kuantitas kinerja perawat, 57,9% terhadap kualitas kinerja perawat, dan 76,5% terhadap kuantitas dan kualitas kinerja perawat. Simpulan, visi yang jelas memberikan pengaruh positif terhadap kinerja perawat baik secara kuantitas maupun kualitas, semakin tinggi atau kuat visi yang jelas maka semakin meningkat kinerj
护士必须作为一个团队才能有效地完成他们的工作。在建立良好的团队合作中发挥作用的因素之一是清晰的愿景。本研究旨在回顾2017年万隆伊斯兰医院明确愿景对护士绩效的影响。本研究是对万隆伊斯兰医院住院部212名护士进行的横断面验证定量案例研究。根据住院病房和工作时间长短,采用比例分层随机抽样的方法,抽取147名护士参与调查。通过向护士和护士长发放问卷收集数据。然后采用简单线性回归分析进行统计分析。使用Pearson相关系数公式来发现两个变量之间的相关性,然后使用决定系数分析来解释X变量对Y变量的影响程度。结果表明,清晰的愿景对护士绩效数量的影响为56.6%,对护士绩效质量的影响为57.9%,对护士绩效数量和质量的影响均为76.5%。总之,清晰的愿景对护士在数量和质量上的表现都有积极的影响。因此,更清晰的视力意味着更好的护士表现。彭加鲁访问了杨杰拉斯·特哈德斯·吉拉斯·吉拉斯·吉拉斯·吉拉斯·吉拉斯·吉拉斯·吉拉斯·吉拉斯。Salah satu yang berperan untuk membentuk kerja sama tim yang baik adalah访问yang jelas。Penelitian ini bertujuan mengkaji pengaruh访问yang jelas terhadap kinerja perawat di Rumah Sakit Al Islam万隆日,2017。方法penpenelitian yang digunakan adalah研究kasus dengan jenis penpenelitian分析定量yang menggunakan ranancan横断面dan验证。人民网:人民网:人民网:人民网:人民网:人民网:人民网:人民网:人民网:人民网:人民网:人民网:人民网:人民网。样本比例分层随机抽样,数据来源:云南云南,云南云南,云南云南,云南云南。日本人口普查数据,日本人口普查数据,日本人口普查数据,日本人口普查数据。数据分析,线性分析,回归分析。Untuk mengetahui korelasi kedua variabel digunakan rumus koefisien korelasi Pearson, kemudian analysis koefisien determinasi Untuk menjelaskan seberapa besar perubahan nilai parada variable Y dapat diprediksi oleh perubahan变量X. Hasil analysis data menunjukkan bahwa visi yang jelas memberikan pengaruh sebesar 56,6% terhadap kuantitas kinerja perawat, 57,9% terhadap kualitas kinerja perawat, 76,5% terhadap kuantitas dan kualitas kinerja perawat。Simpulan, visi yang jelas memberikan pengaruh positif terhadap kinerja perawat baik secara kuantitas maupun kualitas, semakin tinggi atau kuat visi yang jelas maka semakin meningkat kinerja perawat。
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引用次数: 1
Stepping Up to New and Better Us 迎接新的更美好的我们
Pub Date : 2018-08-30 DOI: 10.29313/GMHC.V6I2.4003
T. Respati, H. Garna
This is another milestone for our Journal, Global Medical and Health Communication (GMHC). Starting from this volume in August 2018, GMHC will only publish in English. This move is following our mission to be involved in the global arena. The best approach is by publishing in one of United Nation Language official and working languages, and we choose English.
这是我们《全球医疗与健康通讯》杂志的又一个里程碑。从2018年8月的这一卷开始,GMHC将只以英文出版。这一举措是按照我们参与全球舞台的使命采取的。最好的方法是用联合国语言的官方语言和工作语言之一出版,我们选择英语。
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引用次数: 0
Difference Duration of Labor at BC-MK15 Birth Chair with Conventional Bed in Multiparous BC-MK15分娩椅与常规床在多胎分娩中的产程差异
Pub Date : 2018-08-30 DOI: 10.29313/GMHC.V6I2.2847
F. Fitriani, J. Mose, Herry Herman
Prolonged labor increases the mortality and morbidity of mother and baby. The philosophy of childbirth is a natural process by taking the upright positions. The BC-MK15 birth chairs can facilitate the vertical position of the delivery mother. This study aims to analyze the difference of childbirth duration in the BC-MK15 birth chair with the conventional bed in multiparous. This research was an experimental study of posttest-only control group design. Experimented at Pelayanan Obstetri Neonatal Emergensi Dasar /PONED (Basic Emergency Obstetric and Neonatal Care/BEONC) Puskesmas (Public Health Center) Garuda, Puter, and Ibrahim Aji Bandung from 17 April–26 May 2017. The research samples were 30 multiparous on their first stage active phase of treatment and control group. Sampling method using a random permuted block. Birth measurements using the digital Q & Q stopwatch. The results of the duration during the active phase of first stage BC-MK15 was shorter 250.44 minutes than conventional bed 271.61 minutes (p=0.038). The second stage of the BC-MK15 birth chair was shorter 20.67±2(1.02) minutes than the conventional beds of 26.06±2(1.08) minute (p=0.001). The total duration of the labor of BC-MK15 was 269.42 minutes shorter than conventional bed 299.09 minutes (p=0.011). In conclusion, the duration of childbirth is shorter in the BC-MK15 birth chair than the conventional bed in multiparous. PERBEDAAN LAMA PERSALINAN DI KURSI PERSALINAN BC-MK15 DENGAN TEMPAT TIDUR KONVENSIONAL PADA MULTIPARA Persalinan lama meningkatkan mortalitas dan morbiditas ibu dan bayi. Upaya yang dapat dilakukan sesuai filosofi persalinan adalah proses alamiah dengan memanfatkan posisi tegak. Kursi persalinan BC-MK15 dapat memfasilitasi posisi tegak pada ibu bersalin. Penelitian ini bertujuan menganalisis perbedaan lama persalinan di kursi persalinan BC-MK15 dengan tempat tidur konvensional pada multipara. Penelitian ini merupakan studi eksperimental posttest-only control group design . Sampel penelitian multipara kala I fase aktif di Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) Garuda, Puter, dan Ibrahim Aji Kota Bandung. Penelitian dilakukan pada 17 April−26 Mei 2017 yang memenuhi kriteria inklusi berjumlah 30 sampel tiap-tiap kelompok perlakuan dan kontrol. Pengambilan sampel menggunakan random permuted block . Pengukuran lama persalinan menggunakan stopwatch digital merek Q&Q. Hasil penelitian lama persalinan kala I fase aktif kursi persalinan BC-MK15 lebih singkat 250,44 menit daripada tempat tidur konvensional 271,61 menit (p=0,038). Kala II kursi persalinan BC-MK15 lebih singkat 20,67±2(1,02) menit daripada tempat tidur konvensional 26,06±2(1,08) menit (p=0,001). Total lama persalinan kursi persalinan BC-MK15 lebih singkat 269,42 menit daripada tempat tidur konvensional 299,09 menit (p=0,011). Simpulan, lama persalinan lebih singkat pada kursi persalinan BC-MK15 daripada tempat tidur konvensional pada multipara.
长期分娩会增加母亲和婴儿的死亡率和发病率。分娩的哲学是一个自然的过程,通过采取直立的姿势。BC-MK15分娩椅可以方便产妇垂直放置。本研究旨在分析BC-MK15分娩椅与常规床在多胎分娩中分娩时间的差异。本研究是一项仅测试后的对照组设计的实验研究。2017年4月17日至5月26日,在产科新生儿急救中心进行实验。研究样本为治疗组和对照组第一阶段活动期的30个多胎。使用随机排列块的采样方法。使用数字问答秒表进行出生测量。第一阶段BC-MK15活动期的持续时间比常规床271.61分钟短250.44分钟(p=0.038)。第二阶段BC-MK15分娩椅比常规床26.06±2(1.08)分钟短20.67±2(1.02)分钟(p=0.001)。BC-MK1五的总产程比常规床299.09分钟短269.42分钟(p=0.011)。总之,在BC-MK15分娩椅上分娩的持续时间比传统床上分娩的时间短。BC-MK15转移类中的首次转移在多次转移的非常规时间——旧转移会增加母亲和婴儿的死亡率和发病率。根据翻译哲学可以做出的努力是一个使用固定位置的自然过程。BC-MK15移植椅可以帮助确定出生母亲的确切位置。本研究的目的是分析BC-MK15机器座椅与传统床在多对床上的旧差异。本研究是一项仅进行后测的对照组设计实验研究。主要新生儿急诊产科中心(PONED)Garuda、Puter和Ibrahim Aji市万隆多阶段I期积极研究的例子。该研究于2017年4月17日至5月26日进行,符合标准,包括每个治疗组和对照组30个样本。使用随机排列块进行采样。旧机器尺寸使用Q&Q数字秒表。一期活动BC-MK15转换座椅的长期研究结果比传统床短250.44分钟271.61分钟(p=0.038)。第二个BC-MK15转移座比传统床短20.67±2(1.02)分钟26.06±2(1.08)分钟(p=0.001)。BC-MK15转换座椅总长度比传统床短269.42分钟299.09分钟(p=0.011)。简而言之,BC-MK15上的旧版本比多对床上的传统床更短。
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引用次数: 5
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Global Medical Health Communication
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