Pub Date : 2021-06-09DOI: 10.31965/infokes.vol19.iss1.484
Jelita Siska Herlina Hinonaung, Astri Juwita Mahihody, G. Wuaten
Postpartum mothers from the first day of childbirth up to six weeks will undergo changes both physically and psychologically making intensive care indispensable. Conditions in which the postpartum mother does not get the correct and timely postnatal care lead to postpartum complications that can cause death. The objective of the study is to identify factors related to poor postnatal care in Sangihe Regency, North Sulawesi. This research was a correlation cross-sectional study. The population was postpartum mothers in the working area of The Kuma Health Center of Sangihe Regency. In this study, researchers sampled 62 respondents. The variables included age, culture, mode of delivery, support, and knowledge. The relationship between age, culture, mode of delivery, support, and knowledge with poor postnatal care was measured less using the chi-square test. In contrast, the determinants of poor postnatal care were identified employing logistics regression. The results showed that factors influencing poor postnatal care were age, culture, mode of delivery, support, and knowledge. Mode of delivery was discovered as the most dominant variable influencing poor postnatal care. This research concluded that age, culture, mode of delivery, support and knowledge had a correlation with poor postnatal care, and the most dominant variable was the mode of delivery. Researcher hopes that these findings could help health workers and local governments to direct appropriate postpartum care, especially other postnatal care requiring further research.
{"title":"Factors Influencing Poor Postnatal Care in Sangihe Regency","authors":"Jelita Siska Herlina Hinonaung, Astri Juwita Mahihody, G. Wuaten","doi":"10.31965/infokes.vol19.iss1.484","DOIUrl":"https://doi.org/10.31965/infokes.vol19.iss1.484","url":null,"abstract":"Postpartum mothers from the first day of childbirth up to six weeks will undergo changes both physically and psychologically making intensive care indispensable. Conditions in which the postpartum mother does not get the correct and timely postnatal care lead to postpartum complications that can cause death. The objective of the study is to identify factors related to poor postnatal care in Sangihe Regency, North Sulawesi. This research was a correlation cross-sectional study. The population was postpartum mothers in the working area of The Kuma Health Center of Sangihe Regency. In this study, researchers sampled 62 respondents. The variables included age, culture, mode of delivery, support, and knowledge. The relationship between age, culture, mode of delivery, support, and knowledge with poor postnatal care was measured less using the chi-square test. In contrast, the determinants of poor postnatal care were identified employing logistics regression. The results showed that factors influencing poor postnatal care were age, culture, mode of delivery, support, and knowledge. Mode of delivery was discovered as the most dominant variable influencing poor postnatal care. This research concluded that age, culture, mode of delivery, support and knowledge had a correlation with poor postnatal care, and the most dominant variable was the mode of delivery. Researcher hopes that these findings could help health workers and local governments to direct appropriate postpartum care, especially other postnatal care requiring further research.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47202587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.31965/infokes.vol19.iss1.416
S. R. Pakadang, Ismat Marsus, Ihsanawati Ihsanawati
Endophytic fungi live and associate in plant tissues and have a mutualistic relationship. Endophytic fungi produce various compounds such as steroids, terpenoids, phenolics, alkaloids which are the same as secondary metabolites from their host plants. The objective of this study is to isolate and identify endophytic fungi from mangrove fruit (Sonneratia alba) and to determine the antibacterial activity of endophytic fungi isolates against the growth of Staphylococcus aureus and Escherichia coli. The type of research is pre-experimental design, one shoot case study. The methods used are isolation, identification and agar diffusion. The pieces of mangrove fruit were disinfected and then cultured on SDA media to grow endophytic fungi isolates. The isolates were cultured repeatedly until pure isolates were obtained. The test of isolate activity against antibacterial was determined by the agar diffusion method with the test material of 2 isolates of endophytic fungi on Nutrient Agar (NA) media. The results showed that the mangrove fruit (Sonneratia alba) produced two isolates of endophytic fungi that could inhibit the growth of Staphylococcus aureus and Escherichia coli. It was concluded that the mangrove fruit culture produced 2 isolates, which are isolate 1 Aspergillus niger and isolate 2 Aspergillus flavus. Isolate 1 and isolate 2 had the potential as antibacterial against the growth of Staphylococcus aureus and Escherichia coli. Isolate 2 was more effective than isolate 1 in inhibiting the growth of Staphylococcus aureus. It is recommended to test the pharmacological and microbiological activity of the findings of isolates 1 and 2 in vivo.
{"title":"Antibacterial Activity of Endophytic Fungus Isolates of Mangrove Fruit (Sonneratia alba) Against Staphylococcus aureus and Esherichia coli","authors":"S. R. Pakadang, Ismat Marsus, Ihsanawati Ihsanawati","doi":"10.31965/infokes.vol19.iss1.416","DOIUrl":"https://doi.org/10.31965/infokes.vol19.iss1.416","url":null,"abstract":"Endophytic fungi live and associate in plant tissues and have a mutualistic relationship. Endophytic fungi produce various compounds such as steroids, terpenoids, phenolics, alkaloids which are the same as secondary metabolites from their host plants. The objective of this study is to isolate and identify endophytic fungi from mangrove fruit (Sonneratia alba) and to determine the antibacterial activity of endophytic fungi isolates against the growth of Staphylococcus aureus and Escherichia coli. The type of research is pre-experimental design, one shoot case study. The methods used are isolation, identification and agar diffusion. The pieces of mangrove fruit were disinfected and then cultured on SDA media to grow endophytic fungi isolates. The isolates were cultured repeatedly until pure isolates were obtained. The test of isolate activity against antibacterial was determined by the agar diffusion method with the test material of 2 isolates of endophytic fungi on Nutrient Agar (NA) media. The results showed that the mangrove fruit (Sonneratia alba) produced two isolates of endophytic fungi that could inhibit the growth of Staphylococcus aureus and Escherichia coli. It was concluded that the mangrove fruit culture produced 2 isolates, which are isolate 1 Aspergillus niger and isolate 2 Aspergillus flavus. Isolate 1 and isolate 2 had the potential as antibacterial against the growth of Staphylococcus aureus and Escherichia coli. Isolate 2 was more effective than isolate 1 in inhibiting the growth of Staphylococcus aureus. It is recommended to test the pharmacological and microbiological activity of the findings of isolates 1 and 2 in vivo.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43894087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.31965/infokes.vol18.iss2.304
Haeranah Ahmad, Fajar Akbar, Askur Askur
The transportation sector plays a major role in air pollution in urban areas. Operators of Public Fuel Filling Stations are at risk of inhaling pollutants from motor vehicle emissions such as CO, NO, SO2 and dust particulates. The objective of this study is to determine the relationship of Total Suspended Particulate (TSP) to the occurrence of impaired lung function at SPBU operators. This type of research is observational with a cross sectional study design with sampling technique using total sampling on the entire population, which is performing lung function examinations on 34 operators at three gas stations in Mamuju Regency. Examination of lung function used spirometry while the measurement of total dust concentration used a High Volume Air Sampler (HVAS). Data analysis was performed using the Chi-square test. The results showed that there was no significant relationship between TSP levels and impaired pulmonary function. Even though TSP exposure levels did not have a significant relationship with lung pulmonary function, efforts to control dust exposure were still necessary because most respondents worked in a working environment with high TSP levels. The results of this study are expected to be a reference for the implementation of health and safety programs for workers and the implementation of working environment monitoring and occupational health surveillance.
{"title":"Total Suspended Particulate and Impaired Lung Function at Operators of Public Fuel Filling Stations in Mamuju Regency","authors":"Haeranah Ahmad, Fajar Akbar, Askur Askur","doi":"10.31965/infokes.vol18.iss2.304","DOIUrl":"https://doi.org/10.31965/infokes.vol18.iss2.304","url":null,"abstract":"The transportation sector plays a major role in air pollution in urban areas. Operators of Public Fuel Filling Stations are at risk of inhaling pollutants from motor vehicle emissions such as CO, NO, SO2 and dust particulates. The objective of this study is to determine the relationship of Total Suspended Particulate (TSP) to the occurrence of impaired lung function at SPBU operators. This type of research is observational with a cross sectional study design with sampling technique using total sampling on the entire population, which is performing lung function examinations on 34 operators at three gas stations in Mamuju Regency. Examination of lung function used spirometry while the measurement of total dust concentration used a High Volume Air Sampler (HVAS). Data analysis was performed using the Chi-square test. The results showed that there was no significant relationship between TSP levels and impaired pulmonary function. Even though TSP exposure levels did not have a significant relationship with lung pulmonary function, efforts to control dust exposure were still necessary because most respondents worked in a working environment with high TSP levels. The results of this study are expected to be a reference for the implementation of health and safety programs for workers and the implementation of working environment monitoring and occupational health surveillance.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48172755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.31965/infokes.vol18.iss2.483
Ensar Durmuş, Fatih Guneysu
The COVID-19 disease occurred in the final weeks of 2019. As part of the fight against COVID-19, countries have taken actions such as travel restrictions, suspension of border crossings and international flights, voluntary home isolation, public activities restriction, and curfews. The objective of this study is to identify the effect of curfew enforcement during the COVID-19 pandemic to determine and identify whether curfew has a positive effect on the health care workload. The number of patients admitted to Sakarya University Training and Research Hospital, their means of arrival, hospitalization-discharge, demographic characteristics were examined retrospectively for the period of curfew in April and May 2020 and the corresponding days in 2019. The significant statistical differences between the two periods were analyzed. The results of this research reveal that24.488 patients were admitted to our emergency department. Of these patients, 12813 (52.3%) were male, 11675 (47.7%) were female. The number of emergency department admissions of the pediatric age group decreased from 1822 (8.9%) to 33 patients (0.8%). Moreover, the number of patients admitted to the emergency service in the related period of 2019 was 20548 (83.9%), while this figure decreased to 3940 individuals (16.1%) during the curfew period. It was impliedthat curfew could reduce the unnecessary admissions to hospitals, the number of ambulance usage, and provide a positive contribution to the reduction in traumas, car accidents, work accidents, and forensic cases during pandemic.
{"title":"The Effect of Curfew Enforcement on Health Care Provision in COVID-19 Pandemic","authors":"Ensar Durmuş, Fatih Guneysu","doi":"10.31965/infokes.vol18.iss2.483","DOIUrl":"https://doi.org/10.31965/infokes.vol18.iss2.483","url":null,"abstract":"The COVID-19 disease occurred in the final weeks of 2019. As part of the fight against COVID-19, countries have taken actions such as travel restrictions, suspension of border crossings and international flights, voluntary home isolation, public activities restriction, and curfews. The objective of this study is to identify the effect of curfew enforcement during the COVID-19 pandemic to determine and identify whether curfew has a positive effect on the health care workload. The number of patients admitted to Sakarya University Training and Research Hospital, their means of arrival, hospitalization-discharge, demographic characteristics were examined retrospectively for the period of curfew in April and May 2020 and the corresponding days in 2019. The significant statistical differences between the two periods were analyzed. The results of this research reveal that24.488 patients were admitted to our emergency department. Of these patients, 12813 (52.3%) were male, 11675 (47.7%) were female. The number of emergency department admissions of the pediatric age group decreased from 1822 (8.9%) to 33 patients (0.8%). Moreover, the number of patients admitted to the emergency service in the related period of 2019 was 20548 (83.9%), while this figure decreased to 3940 individuals (16.1%) during the curfew period. It was impliedthat curfew could reduce the unnecessary admissions to hospitals, the number of ambulance usage, and provide a positive contribution to the reduction in traumas, car accidents, work accidents, and forensic cases during pandemic.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42299367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.31965/infokes.vol18.iss2.475
Lina Ayu Marcelina, I. Rachmawati, W. Kurniawati
Postpartum mothers with twins are more prone to mental health problems, particularly anxiety. However, research regarding the appropriate interventions to overcome anxiety in postpartum mothers with twins is limited. Anxiety has an impact on the health of both mother and baby. We conducted a pilot study to minimize the risks to mothers and babies, which was supportive postpartum care (SPC). The study was performed to five postpartum mothers with twins during hospitalization. SPC was employed by providing physical support, which was in the form of breast care and oxytocin massage, psychological support in the form of relaxation techniques, information support in the form of education, and advocacy support in the form of husband involvement. This method was effective for postpartum mothers with twins in reducing anxiety, increasing breastfeeding effectiveness, increasing knowledge, and improving the husband’s involvement in care. This study showed that SPC can reduce postpartum anxiety among postpartum mothers with twins effectively. A very good increase of LATCH score and knowledge were reported in 3 out of 5 mothers. Families, especially husbands, were advised to continue providing care support through the role division at home.
{"title":"Supportive Postpartum Care Reduces Postpartum Anxiety in Mothers with Twins: A Pilot Study","authors":"Lina Ayu Marcelina, I. Rachmawati, W. Kurniawati","doi":"10.31965/infokes.vol18.iss2.475","DOIUrl":"https://doi.org/10.31965/infokes.vol18.iss2.475","url":null,"abstract":"Postpartum mothers with twins are more prone to mental health problems, particularly anxiety. However, research regarding the appropriate interventions to overcome anxiety in postpartum mothers with twins is limited. Anxiety has an impact on the health of both mother and baby. We conducted a pilot study to minimize the risks to mothers and babies, which was supportive postpartum care (SPC). The study was performed to five postpartum mothers with twins during hospitalization. SPC was employed by providing physical support, which was in the form of breast care and oxytocin massage, psychological support in the form of relaxation techniques, information support in the form of education, and advocacy support in the form of husband involvement. This method was effective for postpartum mothers with twins in reducing anxiety, increasing breastfeeding effectiveness, increasing knowledge, and improving the husband’s involvement in care. This study showed that SPC can reduce postpartum anxiety among postpartum mothers with twins effectively. A very good increase of LATCH score and knowledge were reported in 3 out of 5 mothers. Families, especially husbands, were advised to continue providing care support through the role division at home.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47574064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.31965/infokes.vol18.iss2.396
Y. M. V. B. Aty, Elisabeth Herwanti, Aemilianus Mau, M. I. Ayatullah, Fialisa Asriwhardani
Caring behavior is the center of nursing practice, a very dynamic technique, where nurses work with care for their patients. The better the nurse's caring behavior in providing nursing services to patients, the better the level of patient satisfaction with nursing services. Currently, there are nurses and other health workers who are not friendly enough in providing services. The objective of this study is to determine the factors that influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province, which are age, gender, education, training, employment status, marital status, work stress, work motivation and respect for nurse caring behavior. This research is a type of quantitative research with a cross-sectional design. The population is all nurse administrators who work in 5 Regional Public Hospital of East Nusa Tenggara Province, amounting to 803 people. The number of samples of 161 nurses was taken by simple random sampling. Determination of the number of samples using the rule of thumb formula, namely 5 independent variables x 32 = 160 respondents. The instrument used was a questionnaire. Bivariate data analysis at a significant level of 5% (α = 0.05) using the Pearson Chi-Square test. Multivariate analysis using logistic regression test. The results showed that the factors that influence nurse caring behavior are employment status (p value 0.001) and motivation (p value 0.005). The results of the Odds Ratio (Exp. B) show that employment status is a determinant factor in the caring behavior of nurses in East Nusa Tenggara with an OR of 3,634, which means that nurses with civil servant status are 3.6 times more likely to behave in caring than nurses with contract employment status. It is suggested to examine other factors that can influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province.
{"title":"Factors Affecting Nurse Caring Behavior","authors":"Y. M. V. B. Aty, Elisabeth Herwanti, Aemilianus Mau, M. I. Ayatullah, Fialisa Asriwhardani","doi":"10.31965/infokes.vol18.iss2.396","DOIUrl":"https://doi.org/10.31965/infokes.vol18.iss2.396","url":null,"abstract":"Caring behavior is the center of nursing practice, a very dynamic technique, where nurses work with care for their patients. The better the nurse's caring behavior in providing nursing services to patients, the better the level of patient satisfaction with nursing services. Currently, there are nurses and other health workers who are not friendly enough in providing services. The objective of this study is to determine the factors that influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province, which are age, gender, education, training, employment status, marital status, work stress, work motivation and respect for nurse caring behavior. This research is a type of quantitative research with a cross-sectional design. The population is all nurse administrators who work in 5 Regional Public Hospital of East Nusa Tenggara Province, amounting to 803 people. The number of samples of 161 nurses was taken by simple random sampling. Determination of the number of samples using the rule of thumb formula, namely 5 independent variables x 32 = 160 respondents. The instrument used was a questionnaire. Bivariate data analysis at a significant level of 5% (α = 0.05) using the Pearson Chi-Square test. Multivariate analysis using logistic regression test. The results showed that the factors that influence nurse caring behavior are employment status (p value 0.001) and motivation (p value 0.005). The results of the Odds Ratio (Exp. B) show that employment status is a determinant factor in the caring behavior of nurses in East Nusa Tenggara with an OR of 3,634, which means that nurses with civil servant status are 3.6 times more likely to behave in caring than nurses with contract employment status. It is suggested to examine other factors that can influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42772923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.31965/infokes.vol18.iss2.445
A. Dogan, Hatun Öztürk Çerik, Atila Gürgen, Aykut Özturan
The ongoing outbreak of the coronavirus disease 2019 (COVID-19), as named by the World Health Organization, has millions of confirmed cases worldwide and has claimed hundreds of thousands of lives. The virus was named SARS-CoV-2 in February by the International Committee on Taxonomy of Viruses. COVID-19 presents as fever, dry cough, dyspnea, headache, and pneumonia. In a small subset of severe cases, the disease quickly progresses to respiratory failure and even death. This study aimed to know the effects of clinical and laboratory features on investigated death. The diagnosis was based on typical findings in thoracic computed tomography (CT) and positive results of the Real-Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) SARS-CoV-2. The demographic characteristics of COVID-19 patients treated, accompanying comorbid conditions and laboratory criteria (blood lymphocyte counts, C Reactive Protein (CRP), D-dimer, Interleukin 6 (IL-6), blood neutrophil count/lymphocyte counts) were collected retrospectively. The results show that 121 cases, 66 (54.54%) were male, 55 (45.46%) were female, and the mean age was ± Std (Min-Max), 59.63 ± 17.4 (22-91). Neutrophil percentage (p = 0.027), neutrophil / lymphocyte ratio (NE / LE) (p = 0.028), CRP (p = <0.001), PCT (p = 0.004), D dimer (p = 0.021) and IL 6 (p = 0.047) in patients with a fatal course, higher values were found than those recovered. Blood lymphocyte count (p = 0.001) and percent (p <0.001) were lower. Number of blood white spheres (p = 0.010), blood neutrophil counts (p = 0.001) and percentage (p <0.001), NE / LE (p0.001), CRP (p <0.001), PCT (p = 0.003) and IL -6 (p <0.001) levels were higher in patients with severe clinical findings than in mild cases. The case death rate was observed as 9%. Covid-19 patients should consider blood neutrophil percentage, blood lymphocyte count, blood lymphocyte percentage, NE / LE, CRP, D dimer, and IL 6 values as an early warning in terms of prognosis. More experience was needed to assess the benefits of immune plasma, tocilizumab, IVIG treatments, and remdesivir therapy recently introduced to the treatment protocol.
{"title":"The Effect of Prognostıc Factors and Potentıal Treatment Regımens on Fatality Covid-19 Patıents","authors":"A. Dogan, Hatun Öztürk Çerik, Atila Gürgen, Aykut Özturan","doi":"10.31965/infokes.vol18.iss2.445","DOIUrl":"https://doi.org/10.31965/infokes.vol18.iss2.445","url":null,"abstract":"The ongoing outbreak of the coronavirus disease 2019 (COVID-19), as named by the World Health Organization, has millions of confirmed cases worldwide and has claimed hundreds of thousands of lives. The virus was named SARS-CoV-2 in February by the International Committee on Taxonomy of Viruses. COVID-19 presents as fever, dry cough, dyspnea, headache, and pneumonia. In a small subset of severe cases, the disease quickly progresses to respiratory failure and even death. This study aimed to know the effects of clinical and laboratory features on investigated death. The diagnosis was based on typical findings in thoracic computed tomography (CT) and positive results of the Real-Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) SARS-CoV-2. The demographic characteristics of COVID-19 patients treated, accompanying comorbid conditions and laboratory criteria (blood lymphocyte counts, C Reactive Protein (CRP), D-dimer, Interleukin 6 (IL-6), blood neutrophil count/lymphocyte counts) were collected retrospectively. The results show that 121 cases, 66 (54.54%) were male, 55 (45.46%) were female, and the mean age was ± Std (Min-Max), 59.63 ± 17.4 (22-91). Neutrophil percentage (p = 0.027), neutrophil / lymphocyte ratio (NE / LE) (p = 0.028), CRP (p = <0.001), PCT (p = 0.004), D dimer (p = 0.021) and IL 6 (p = 0.047) in patients with a fatal course, higher values were found than those recovered. Blood lymphocyte count (p = 0.001) and percent (p <0.001) were lower. Number of blood white spheres (p = 0.010), blood neutrophil counts (p = 0.001) and percentage (p <0.001), NE / LE (p0.001), CRP (p <0.001), PCT (p = 0.003) and IL -6 (p <0.001) levels were higher in patients with severe clinical findings than in mild cases. The case death rate was observed as 9%. Covid-19 patients should consider blood neutrophil percentage, blood lymphocyte count, blood lymphocyte percentage, NE / LE, CRP, D dimer, and IL 6 values as an early warning in terms of prognosis. More experience was needed to assess the benefits of immune plasma, tocilizumab, IVIG treatments, and remdesivir therapy recently introduced to the treatment protocol.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48847970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.31965/INFOKES.VOL17.ISS1.221
Yayuk Eliyana, Mukhamad Nooryanto, Sri Poeranto
Preeklampsia selama kehamilan bisa menetap pada masa postpartum dan biasanya akan kembali normal pada minggu pertama postpartum. Angka kejadian preeklampsia atau hipertensi postpartum secara keseluruhan terjadi sekitar 57,1%. Teknik non farmakologis untuk mengatasi hipertensi telah dikembangkan, salah satunya adalah bekam kering sebagai pilihan menurunkan tekanan darah. Penelitian quasy experiment dengan non equivalent control group design. Lokasi penelitian di RSUD Dr. Saiful Anwar Malang. Waktu penelitian dimulai bulan agustus-september 2018. Populasi dalam penelitian ini adalah 34 ibu preeklampsia postpartum dengan kriteria tekanan darah sistolik minimal 140 mmHg dan telah mendapatkan terapi MgSO4 sebelumnya. Sampel penelitian terdiri dari 17 sampel pada kelompok perlakuan dan 17 sampel pada kelompok kontrol. Teknik pengambilan sampel menggunakan consecutive sampling. Variabel independen penelitian ini adalah terapi bekam kering, sedangkan variabel dependen adalah tekanan darah. Uji statistik yang digunakan paired t test dan uji wilcoxon untuk menganalisis perbedaan sebelum dan setelah perlakuan. uji independent sampel t-test dan uji mann whitney untuk menganalisis perbedaan antara kedua kelompok. Hasil uji beda dengan uji wilcoxon didapatkan nilai p-value pada tekanan darah sistolik dan diastolik lebih kecil dari taraf signifikansi α = 0,05, maka dapat disimpulkan bahwa ada perbedaan bermakna tekanan darah ibu preeklampsia postpartum sebelum dan setelah diberikan terapi bekam kering dan terapi standar. Hasil analisis mann whitney diperoleh data bahwa terdapat perbedaan bermakna pada selisih tekanan darah sistolik antara kelompok yang diberi terapi standar dan kelompok yang diberi terapi standar ditambah terapi bekam kering. Berdasarkan hasil penelitian tersebut maka terapi bekam kering bisa digunakan sebagai terapi pendamping untuk menurunkan tekanan darah pada ibu preeklampsia postpartum.
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Kanker payudara dapat dideteksi dini dengan melakukan pemeriksaan payudara sendiri (SADARI) yang bertujuan mencegah risiko tingkat lanjut dan dapat menurunkan angka kematian pada penderita, karena kanker dapat ditemukan lebih awal sehingga akan memberikan harapan hidup yang lebih lama. Tujuan peneliti ini untuk mengetahui faktor keterlambatan pengobatan pada wanita penderita kanker payudara di RSUD Kabupaten Simeulue tahun 2018. Penelitian ini meggunakan kualitatif yaitu metode penelitian yang dilakukan dengan tujuan utama untuk membuat gambaran atau deskripsi tentang Faktor keterlambatan pengobatan pada wanita penderita kanker payudara di RSUD Kabupaten Simeulue. Analisis data meliputi pengelolahan data dengan tahapan data reduction, data display, dan conclusion or verificasion. hasil penelitian diperoleh informasi terjadinya keterlambatan pengobatan kanker payudara salah satunya oleh tingkat pendidikan informan, pengentahuan dan fasilitas pengobatan yang kurang lengkap, sehingga mengakibatkan terjadinya keterlambatan dalam penanganan kanker payudara. Sedangakan faktor pendukung keluarga, teman dan petugas kesehatan hanya meyakinkan informan untuk segera mengobati penyakitnya secara tuntas. Faktor keterlambatan pengobatan yaitu pendidikan dan pengetahuan rendah, keterlambatan pengobatan di tempat pengobatan sebelumnya tidak lengkap, faktor keterlambatan pengobatan karena ketiga komponen faktor ini baik keluarga, teman ataupun petugas kesehatan hanya menguatkan informan untuk segera mengobati penyakitnya.
{"title":"Analisis Faktor Yang Mempengaruhi Keterlambatan Pengobatan Pada Wanita Penderita Kanker Payudara Di Rumah Sakit Umum Daerah Simeulue Tahun 2018","authors":"Kartini Kartini, Namora Lamongga Lubis, Tengku Moriza","doi":"10.31965/INFOKES.VOL17.ISS1.240","DOIUrl":"https://doi.org/10.31965/INFOKES.VOL17.ISS1.240","url":null,"abstract":"Kanker payudara dapat dideteksi dini dengan melakukan pemeriksaan payudara sendiri (SADARI) yang bertujuan mencegah risiko tingkat lanjut dan dapat menurunkan angka kematian pada penderita, karena kanker dapat ditemukan lebih awal sehingga akan memberikan harapan hidup yang lebih lama. Tujuan peneliti ini untuk mengetahui faktor keterlambatan pengobatan pada wanita penderita kanker payudara di RSUD Kabupaten Simeulue tahun 2018. Penelitian ini meggunakan kualitatif yaitu metode penelitian yang dilakukan dengan tujuan utama untuk membuat gambaran atau deskripsi tentang Faktor keterlambatan pengobatan pada wanita penderita kanker payudara di RSUD Kabupaten Simeulue. Analisis data meliputi pengelolahan data dengan tahapan data reduction, data display, dan conclusion or verificasion. hasil penelitian diperoleh informasi terjadinya keterlambatan pengobatan kanker payudara salah satunya oleh tingkat pendidikan informan, pengentahuan dan fasilitas pengobatan yang kurang lengkap, sehingga mengakibatkan terjadinya keterlambatan dalam penanganan kanker payudara. Sedangakan faktor pendukung keluarga, teman dan petugas kesehatan hanya meyakinkan informan untuk segera mengobati penyakitnya secara tuntas. Faktor keterlambatan pengobatan yaitu pendidikan dan pengetahuan rendah, keterlambatan pengobatan di tempat pengobatan sebelumnya tidak lengkap, faktor keterlambatan pengobatan karena ketiga komponen faktor ini baik keluarga, teman ataupun petugas kesehatan hanya menguatkan informan untuk segera mengobati penyakitnya.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43077852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.31965/infokes.vol17.iss1.220
Wihelmus Olin, Rafael Paun, Agustina W. Djuma
Latar Belakang: kecamatan Aesesa merupakan salah satu kecamatan yang terletak di Kabupaten Nagekeo, pada tahun 2019 jumlah ibu hamil sebanyak 1273 orang yang terdistribusi di 18 desa dengan jumlah ibu hamil terbanyak berada di desa Denga dengan jumlah ibu hamil sebanyak 265 orang. Cakupan pemberian tablet besi sudah mencapai 100%, akan tetapi jumlah ibu hamil dengan anemia masih tinggi. Tujuan penelitian ini adalah Menyusun Model Kepatuhan Konsumsi tablet besi dan pengaruhnya terhadap Kejadian Anemia Ibu Hamil Trimest II Di Desa Denga Kecamatan Aesesa Kabupaten Nagekeo. Metode: jenis penelitian ini adalah dengan pendekatan kuantitatif dan rancangan penelitian Cross Sectional Study, dimana penelitian dilakukan serentak pada satu waktu untuk mengetahui hubungan antara variabel bebas (pengetahuan, sikap, dan efek samping tablet (Fe), niat dan variable antara yaitu kepatuhan Konsumsi tablet Fe sedangkan variable terikat kadar haemoglobin ibu hamil. Tenik pengumpulan data melalui pengukuran kadar Hb ibu hamil dan dilanjutkan dengan wawancara menggunakan kuesioner dan dianalisis dengan Regresi Linier Berganda. Hasil: penelitian ini menunjukkan tingat pengetahuan, sikap dan niat ibu hamil berpengaruh positif terhadap kepatuhan ibu hamil Konsumsi obat tablet besi dan kepatuhan Konsumsi tablet besi pada ibu hamil trimester 2 di Kecamatan Aesesa Kabupaten Nagekeo. Kesimpulan: Tingkat kepatuhan ibu hamil Konsumsi tablet besi dipengaruhi pengetahuan, sikap dan niat ibu.
{"title":"Model Kepatuhan Konsumsi Tablet Besi Pada Ibu Hamil Trimester Ii Di Kecamatan Aesesa Kabupaten Nagekeo","authors":"Wihelmus Olin, Rafael Paun, Agustina W. Djuma","doi":"10.31965/infokes.vol17.iss1.220","DOIUrl":"https://doi.org/10.31965/infokes.vol17.iss1.220","url":null,"abstract":"Latar Belakang: kecamatan Aesesa merupakan salah satu kecamatan yang terletak di Kabupaten Nagekeo, pada tahun 2019 jumlah ibu hamil sebanyak 1273 orang yang terdistribusi di 18 desa dengan jumlah ibu hamil terbanyak berada di desa Denga dengan jumlah ibu hamil sebanyak 265 orang. Cakupan pemberian tablet besi sudah mencapai 100%, akan tetapi jumlah ibu hamil dengan anemia masih tinggi. Tujuan penelitian ini adalah Menyusun Model Kepatuhan Konsumsi tablet besi dan pengaruhnya terhadap Kejadian Anemia Ibu Hamil Trimest II Di Desa Denga Kecamatan Aesesa Kabupaten Nagekeo. Metode: jenis penelitian ini adalah dengan pendekatan kuantitatif dan rancangan penelitian Cross Sectional Study, dimana penelitian dilakukan serentak pada satu waktu untuk mengetahui hubungan antara variabel bebas (pengetahuan, sikap, dan efek samping tablet (Fe), niat dan variable antara yaitu kepatuhan Konsumsi tablet Fe sedangkan variable terikat kadar haemoglobin ibu hamil. Tenik pengumpulan data melalui pengukuran kadar Hb ibu hamil dan dilanjutkan dengan wawancara menggunakan kuesioner dan dianalisis dengan Regresi Linier Berganda. Hasil: penelitian ini menunjukkan tingat pengetahuan, sikap dan niat ibu hamil berpengaruh positif terhadap kepatuhan ibu hamil Konsumsi obat tablet besi dan kepatuhan Konsumsi tablet besi pada ibu hamil trimester 2 di Kecamatan Aesesa Kabupaten Nagekeo. Kesimpulan: Tingkat kepatuhan ibu hamil Konsumsi tablet besi dipengaruhi pengetahuan, sikap dan niat ibu.","PeriodicalId":34064,"journal":{"name":"Jurnal Info Kesehatan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48598452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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