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Comparison of Inacbgs, Hospital, Unit Cost Based on The Activity Based Costing Method Delivery at Class C Private Hospitals 基于作业成本法的民营三级医院单位成本交付比较
Pub Date : 2023-03-25 DOI: 10.46799/jhs.v4i3.861
Fahmi Basya, Arrozi Arrozi, Muhammad Natsir
The era of the National Health Insurance (JKN) made hospitals have to make efficiency in their services, one of which is childbirth. Payment of BPJS Kesehatan through INACBGS is deemed insufficient to cover the hospital's profit margin. Moreover, the INACBGS rates is currently a rates product issued in 2016. It makes hospitals have to make efficient service rates so that they can develop their service quality and sustain them. Dinda Hospital is a class C private hospital with a business focus and BPJS Kesehatan patient care and has excellence in maternal care. The unit cost calculation technique using the Activity Based Costing (ABC) technique can provide an overview of rates efficiency. The purpose of this study was to compare the differences of 3 hospital rates, INACBGS rates, and ABC rates for normal delivery and caesarean section. Research is comparative analytic with cross sectional design. The clinical pathway is used to calculate ABC rates. The sample used was 30 samples of BPJS class 1 patients from each action (normal delivery and caesarean section) and the three rates were compared, namely hospital rates, INACBGS rates, and ABC rates using t-test dependent. Showed a significant difference in rates (p <0.005) between the INACBGS rate and the hospital rate for normal delivery (mean INACBGS 2,227,700, mean rate rs 5,491,462) and Caesarean (mean INACBGS 6,965,200, mean rate of rs. 6,557,208). there was a significant difference (p <0.005) between the hospital rate and the ABC rate for normal delivery (mean ABC rate 2,206,588) and caesarean section (mean ABC rate 4,328,672). The caesarean section rate is more profitable than normal delivery. Efficiency is needed so that the hospital can develop better services in the future
国民健康保险(JKN)时代使医院必须提高服务效率,其中之一就是分娩。通过INACBGS支付的BPJS Kesehatan被认为不足以支付医院的利润率。此外,INACBGS利率目前是2016年发行的利率产品。这就要求医院必须提高服务效率,才能保证服务质量的持续发展。丁达医院是一家以商业为中心,以BPJS Kesehatan病人护理为特色的三级民营医院,在产妇护理方面有卓越的表现。使用作业成本法(ABC)的单位成本计算技术可以提供费率效率的概览。本研究的目的是比较三家医院正常分娩和剖宫产率、INACBGS率和ABC率的差异。研究是用截面设计进行比较分析。临床路径用于计算ABC率。使用的样本是来自每个行动(正常分娩和剖腹产)的30例BPJS 1级患者的样本,并使用t检验依赖比较三种率,即住院率,INACBGS率和ABC率。显示了INACBGS率与正常分娩率(INACBGS平均2,227,700,平均比率5,491,462卢比)和剖腹产率(INACBGS平均6,965,200,平均比率6,557,208卢比)之间的显着差异(p <0.005)。正常分娩(平均ABC率2,206,588)和剖宫产(平均ABC率4,328,672)住院率与ABC率之间存在显著差异(p <0.005)。剖腹产比正常分娩更有利可图。要提高效率,医院才能在未来发展更好的服务
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引用次数: 0
Penyuluhan Kesehatan pada Ibu Hamil Tentang Pemberian ASI Eksklusif 准妈妈的专业护理
Pub Date : 2023-03-25 DOI: 10.46799/jhs.v4i3.863
M. Marlina, Yusnidaryani Yusnidaryani, Anda Syahputra, Cut Reka Novinda, Eriska Apelino
The target audience for the Community Partnership Program (PKM) are pregnant women who are in the working area of the Syamtalira Aron Health Center, totaling 30 people. The aim of implementing activities is to improve the quality of human resources through exclusive breastfeeding by increasing knowledge about exclusive breastfeeding, increasing knowledge about breast care during pregnancy and postpartum, increasing skills about breast care during pregnancy and postpartum. The method that will be used to address the problems of the target audience is the Implementation of Community Service which will be carried out by means of health counseling to pregnant women about exclusive breastfeeding and demonstrations of breast care for women during and after childbirth in the working area of the Syamtalira Aron Health Center, North Aceh district. On the first day, before the counseling was carried out, a pre-test was carried out first, and on the second day, a demonstration of breast care was carried out, after which it was continued with a post-test. This activity was carried out from 5 to 6 September 2022, after evaluating an increase in knowledge of 70% and skills of 76.6%, the expected achievement targets were successful. The output that is expected to be achieved from this activity is National publications with ISSN and e-ISSN. Obtain IPR for health education modules and leaflets on exclusive breastfeeding and breast care leaflets during pregnancy and postpartum. Publication has been done through online media. This program is expected to provide benefits to the community, especially the target audience, thereby increasing the quality of human resources.
社区伙伴方案的目标对象是在Syamtalira Aron保健中心工作区域的孕妇,共计30人。实施活动的目的是通过增加纯母乳喂养的知识,增加怀孕期间和产后乳房护理的知识,增加怀孕期间和产后乳房护理的技能,提高纯母乳喂养的人力资源质量。将用于解决目标受众问题的方法是实施社区服务,该服务将通过向孕妇提供关于纯母乳喂养的健康咨询以及在北亚齐区Syamtalira Aron保健中心的工作区域为分娩期间和分娩后的妇女提供乳房护理示范来开展。第一天,在进行咨询之前,首先进行了预测试,第二天,进行了乳房护理示范,之后继续进行后测试。本次活动于2022年9月5日至6日进行,经过评估,知识增长了70%,技能增长了76.6%,达到了预期的成就目标。预计这项活动的产出是具有ISSN和e-ISSN的国家出版物。获取知识产权,用于健康教育模块和关于纯母乳喂养的传单,以及孕期和产后母乳护理传单。通过网络媒体进行出版。该计划有望为社区,特别是目标受众提供利益,从而提高人力资源的质量。
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引用次数: 0
Methycillin-Resistant Staphylococcus Aureus (Mrsa) Pada Ulserasi Septum Nasi
Pub Date : 2023-03-25 DOI: 10.46799/jhs.v4i3.848
Agus Bayu Dianindra Putra, I. G. A. D. Susantini
Staphylococcus aureus is a gram-positive, which belongs to the Staphylococcus aureus family forming grape-like cluster. Staphylococcus aureus can be found in parts of the human body such as the skin, skin glands, mucous membranes, nose and intestines. Methycillin-resistant Staphylococcus aureus (MRSA) is a Staphylococcus aureus that has mutations in penicillin-binding protein (PBP), namely the mecA gene with decreased affinity for most penicillins. Reported one case of a 59-year-old man with MRSA in nasal septal ulceration. Diagnosis is based on anamnesis, physical examination and laboratory test like complete blood count and antibiotic culture test. The therapy in this case was giving tetracycline 4 x 500mg for 14 days.
金黄色葡萄球菌为革兰氏阳性,属金黄色葡萄球菌科,形成葡萄状簇。金黄色葡萄球菌可在人体的皮肤、皮肤腺体、粘膜、鼻子和肠道等部位发现。耐甲氧西林金黄色葡萄球菌(MRSA)是一种具有青霉素结合蛋白(PBP)突变的金黄色葡萄球菌,即对大多数青霉素亲和力降低的mecA基因。报告1例59岁男性患MRSA鼻中隔溃疡。诊断是基于记忆,体格检查和实验室检查,如全血细胞计数和抗生素培养试验。本例患者给予四环素4 × 500mg,疗程14天。
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引用次数: 0
Edukasi Perawatan Kaki pada Penderita Diabetes Mellitus di Wilayah Kerja Puskesmas Syamtalira Aron 阿伦·普拉塔利什地区糖尿病患者的足部护理教育
Pub Date : 2023-03-25 DOI: 10.46799/jhs.v4i3.855
Ainil Yusra, Syahabuddin Syahabuddin, M. Marlina
A serious complication that is often found in people with Diabetes Mellitus (DM) is diabetic foot ulcers. One of the primary prevention efforts for complications of diabetes mellitus such as the risk of neuropathy and foot ulcers is to provide health education about foot care for people with diabetes mellitus to increase knowledge and skills in performing routine and independent foot care. The target of this community service program is people with diabetes mellitus in the working area of the Syamtalira Aron Health Center, Syamtalira Aron District, totaling 25 people. The problem encountered is that DM sufferers still lack information about how to properly and correctly treat diabetic feet. There is no health team that provides direct education to DM sufferers about diabetic foot care techniques. The method used in this activity is to provide education and simulation/practice of diabetic foot exercises using power point media and distributing leaflets about the management and care of feet in people with DM. After educational activities and foot care simulations were carried out on November 14 and 15 2022 there was an 80% increase in knowledge in the good category and after the foot exercise simulation/exercise there was an increase in skills in doing foot care, namely 96%. This shows the target achievement in accordance with the expected results. The output that is expected to be achieved from this activity is that this program can provide benefits to the community, especially the target audience, thereby increasing the quality of human resources and the results can be published nationally with the ISSN and e-ISSN.
糖尿病足溃疡是糖尿病患者经常出现的严重并发症。糖尿病并发症(如神经病变和足部溃疡的风险)的主要预防措施之一是对糖尿病患者进行足部保健的健康教育,以提高他们进行常规和独立足部保健的知识和技能。这项社区服务计划的对象是Syamtalira Aron区Syamtalira Aron保健中心工作区域内的糖尿病患者,共计25人。遇到的问题是,糖尿病患者仍然缺乏关于如何正确和正确地治疗糖尿病足的信息。目前还没有医疗团队直接向糖尿病患者提供糖尿病足部护理技术方面的教育。这个活动中使用的方法是提供教育和模拟/糖尿病足的实践练习使用灵能点媒体和发传单的管理和护理英尺DM患者。在教育活动和足部护理模拟进行了2022年11月14和15有一个80%的增长知识的好类别和脚运动仿真/运动后,在做足部护理技能的增加,即96%。这表明目标的实现与预期的结果一致。本次活动的预期产出是,该项目可以为社区,特别是目标受众提供利益,从而提高人力资源的质量,并且成果可以通过ISSN和e-ISSN在全国范围内发表。
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引用次数: 0
Determination of Leadership Style System with Rewards, Penalties Influence Hospital Employees' Job Satisfaction Index 带奖惩的领导风格体系对医院员工工作满意度的影响
Pub Date : 2023-03-25 DOI: 10.46799/jhs.v4i3.854
Dimas Indramanto, Hasyim Hasyim, Wahyuni Dian Purwati
In the current novel coronavirus (nCoV-19) pandemic, it has had a very significant impact, namely a big shift in the world order of life, especially in countries that have recorded nCoV-19 cases and those countries concentrate, focus on in tackling it. Port Medical Center Hospital, in terms of staffing which often provides rotation/promotion/demotion to employees in lower/middle/upper leadership levels. The purpose of this study both simultaneously and partially is to analyze the effect of leadership style, organizational culture and work discipline together on employee satisfaction at the Port Medical Center Hospital. The research method used is quantitative research with causality explanation research. The sampling technique used a saturated sample, so the sample in this study were all employees who worked at the Port Medical Center Hospital as many as 70 nurses(zusters-bruders), midwives and supporting medical proffessionals. The data analysis method used in this study is multiple regression analysis with the help of the SPSS version 24 program. The results of this study indicate that simultaneously and partially leadership style (0,506), organizational culture (0,368) and work discipline (0,215) jointly affect job satisfaction of employees at the Port Medical Center Hospital. Management Implication for Port Medical Center Hospital from Analytic findings is to attentending the implementation of (0 zero tolerance, rewards & punishments system in var.ind1 Leadership), reassured of (service excellence, continuous improvement, Monitoring & Evaluation system in var.ind2 Organization Culture), alignment to (Creative Work & Time value in var.ind3 Disciplin) all employees. Lastly the affects of (a good Job Role in var Job Satisfaction Level).
在当前的新型冠状病毒大流行中,它产生了非常重大的影响,即世界生活秩序发生了重大变化,特别是在有新冠病毒病例的国家和那些集中精力应对新冠病毒的国家。港口医疗中心医院,在人员配置方面,经常为低/中/高层领导级别的员工提供轮岗/晋升/降职。本研究的目的是分析领导风格、组织文化和工作纪律对港口医疗中心医院员工满意度的影响。研究方法为定量研究和因果关系解释研究。抽样技术采用饱和样本,因此本研究的样本是在港口医疗中心医院工作的所有员工,多达70名护士(zusters-bruders),助产士和辅助医疗专业人员。本研究使用的数据分析方法是多元回归分析,使用SPSS 24版程序。本研究结果显示,领导风格(0,506)、组织文化(0,368)和工作纪律(0,215)同时或部分地共同影响港口医疗中心医院员工的工作满意度。分析结果对港口医疗中心医院的管理启示是参与实施(var.ind1领导中的零容忍、奖惩制度),确保(var.ind2组织文化中的卓越服务、持续改进、监测和评估制度),与(var.ind3纪律中的创造性工作和时间价值)保持一致。最后,研究了良好的工作角色对工作满意度的影响。
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引用次数: 0
Pemberian Makanan Tambahan Modifikasi Terhadap Status Gizi Balita 对幼儿营养状况的额外促进食品
Pub Date : 2023-03-08 DOI: 10.46799/jhs.v4i2.801
Mamik Ratnawati, Ririn Probowati, Monika Sawitri Prihatini, Septi Fitrah Ningtyas, Ana Farida Ulfa
The occurrence of malnutrition in children is not only due to the nutritional content of the food served, but also caused by the occurrence of health problems, so that the ability to endure and dream of eating will be reduced and susceptible to disease so that the child can experience malnutrition. The purpose of this study was to compare the nutritional status of children under five before and after being given a modified supplementary diet. The research method uses a quasi-experimental research design with pre-test - post-test design with treatment. The sample is a number of toddlers in Puton Village, Diwek District, Jombang Regency. The study was conducted for 4 weeks by providing additional modified food to toddlers with nutritional problems. The sample by means of total sampling. The dependent variable in this study is the ability to provide additional modified food, the independent variable is the nutritional status of children under five. Data analysis using t-test. The results showed that most (70%) nutritional status of children under five improved after being given additional modified food. This study is expected to provide knowledge about other modified food additives and the intervention time of 4 weeks is not optimal enough to improve the nutritional status of toddlers so that it takes a longer time for this intervention to get maximum results.
儿童营养不良的发生,不仅是由于所服务的食物的营养含量不高,而且是由于健康问题的发生,使进食的忍受能力和梦想能力降低,容易患病,使孩子经历营养不良。本研究的目的是比较五岁以下儿童在接受改良补充饮食前后的营养状况。研究方法采用准实验研究设计,采用前测-后测结合治疗设计。样本是中邦县迪威克区普顿村的一些幼儿。这项研究进行了四周,为有营养问题的幼儿提供了额外的改良食物。用总抽样的方法进行抽样。本研究的因变量是提供额外改良食品的能力,自变量是五岁以下儿童的营养状况。数据分析采用t检验。结果显示,大多数(70%)5岁以下儿童的营养状况在给予额外的改性食品后得到改善。本研究旨在提供关于其他改性食品添加剂的知识,4周的干预时间不足以改善幼儿的营养状况,因此需要较长的时间才能达到最大的效果。
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引用次数: 0
The Influence of Knowledge, Motivation and Workload on Implementation of Medical Compliance in SIRS 知识、动机和工作量对SIRS医疗依从性实施的影响
Pub Date : 2023-02-25 DOI: 10.46799/jhs.v4i2.853
Muh. Tan'iem Nawawi, A. Andry, Kemala Rita Wahidi
Based on the Law of the Republic of Indonesia Number 44 of 2009 concerning Hospitals Article 32 it is stated that every Hospitals are required to record and report on all Hospital management activities in the form of a Hospital Management Information System. The effect of knowledge, motivation and workload in the implementation of SIRS with medical personnel compliance as an intervening variable at the Kemayoran Athlete's Wisma RSDC. This study uses quantitative analysis using a cross sectional. This research was conducted in December-January 2021 with 161 samples, the sampling technique was random sampling. Data analysis using univariate and bivariate with  test  chi-square with p < 0.05. The results showed that there was a significant relationship between knowledge and SIRS compliance (P Value = 0.000), Motivation (P Value = 0.000), Workload (P Value = 0.000). The author recommends evaluating several aspects such as networking, system requirements development, human resource development to be reviewed and the addition of a personnel information subsystem to the SIRS service.
根据2009年印度尼西亚共和国关于医院的第44号法律,第32条规定,每个医院都必须以医院管理信息系统的形式记录和报告所有医院管理活动。知识、动机和工作量对SIRS实施的影响,医务人员依从性是Kemayoran运动员Wisma RSDC的干预变量。本研究采用横断面定量分析。本研究于2021年12月至2021年1月进行,样本161个,抽样方法为随机抽样。数据分析采用单因素和双因素,检验卡方p < 0.05。结果显示,知识与SIRS依从性(P值= 0.000)、动机(P值= 0.000)、工作量(P值= 0.000)存在显著相关。作者建议对几个方面进行评估,如网络、系统需求开发、人力资源开发等方面进行审查,并向SIRS服务添加人事信息子系统。
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引用次数: 0
Pengaruh Hiv yang Mengalami UTI, HIP Dislocation, Sciatic Nerve Pain, Penggunaan Kontrasepsi Disertai Ptsd 艾滋病毒影响UTI, HIP Dislocation,坐骨神经痛,避孕措施与Ptsd
Pub Date : 2023-02-25 DOI: 10.46799/jhs.v4i2.852
R. Javier, Andisa Fadhila Rialdi, Abdillah Budi Ksatria, Bima Mahardhika Aji, Budi Prakoso, M. T. Chalid, Bambang Widiwanto, Mochamad Aleq Sander, Risma Karlina Prabawati, Rachmat Budi Prasetyo
HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system making the body susceptible to various diseases, such as TB, TORCH and others. Knowing the effect of the incidence of HIV (Human Immunodeficiency Virus) which has CD-8 T Cell maturity accompanied by UTI (Urinary Tract Infection) and Hip Dislocation with Sciatic Nerve Pain using the minipill as emergency contraception accompanied by PTSD (Post Traumatic Syndrome Disorder) in Commercial Sex Workers. This research is a Systematic Review using the Preferred Reporting Items for Systematic Reviews and Meta-analyses method or commonly called PRISMA, this method is carried out systematically by following the correct research steps or protocols. Sources were taken from the PubMed site and the Google Scholar site with journals published in 2017-2022 and then screening was carried out to obtain 20,486 results. Journal clustering was carried out and the number of Scopus Q1 indexed journals was 1 journal, 2 journals Q2, 1 journal indexed Sinta S1, so that 4 journals were extracted. The majority of journals discuss age related to the influence of HIV (Human Immunodeficiency Virus) events which experience CD-8 T Cell maturity accompanied by UTI (Urinary Tract Infection) and Hip Dislocation with Sciatic Nerve Pain using the minipill as emergency contraception accompanied by PTSD (Post Traumatic Syndrome) Disorder) in commercial sex workers.
HIV(人类免疫缺陷病毒)是一种攻击免疫系统的病毒,使人体容易感染各种疾病,如结核病、TORCH等。了解商业性工作者使用小丸作为紧急避孕伴PTSD(创伤后综合症)的HIV(人类免疫缺陷病毒)(CD-8 T细胞成熟伴尿路感染)和髋关节脱位伴坐骨神经痛发生率的影响。本研究是使用首选报告项目进行系统评价和荟萃分析方法或通常称为PRISMA的系统评价,该方法通过遵循正确的研究步骤或协议系统地进行。来源来自PubMed网站和谷歌Scholar网站,其中包含2017-2022年发表的期刊,然后进行筛选,获得20,486项结果。进行期刊聚类,Scopus Q1索引期刊数为1篇,Q2索引期刊数为2篇,Sinta S1索引期刊数为1篇,共提取4篇。大多数期刊讨论年龄与HIV(人类免疫缺陷病毒)事件的影响有关,在商业性工作者中,CD-8 T细胞成熟伴有尿路感染和髋关节脱位伴坐骨神经疼痛,使用迷你丸作为紧急避孕,并伴有创伤后综合症(创伤后综合症)障碍。
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引用次数: 0
The Influence of Leadership Style, Communication Style on Nurse Performance With Control System as an Intervening Variable Hospital 领导方式、沟通方式对护士绩效的影响:控制制度为中介变量
Pub Date : 2023-02-25 DOI: 10.46799/jhs.v4i2.845
Mas Andika Cakra Purnama, Csp. Wekadigunawan, Hasyim Hasyim
The performance of nurses is an important aspect in hospitals because it is an indicator of the quality of health services. Nurses as human resources in carrying out health services in hospitals are an important resource and are needed to achieve optimal performance. Improving the performance of nurses will increase the effectiveness and productivity of the hospital. Therefore, to achieve good performance, leadership and communication styles are also needed. The purpose of this study was to determine the leadership style and communication with the control system as an effort to assess the performance of nurses. This research is a cross-sectional research design. Data collection was carried out at the Inpatient Unit of RS X Tangerang in June-July 2020 with a total sample of 77 people as research samples. The results  there was no influence between the leadership style on the nurse's performance; the leadership style on the control system; communication on the nurse's performance; between the leadership style and communication on the nurse's performance with the system control as mediation. However, there was an influence between communication on the control system and the control system on the nurse's performance.
护士的工作表现是医院的一个重要方面,因为它是卫生服务质量的一个指标。护士作为医院开展保健服务的人力资源,是实现最佳绩效所必需的重要资源。提高护士的绩效将提高医院的效益和生产力。因此,要取得良好的绩效,还需要领导和沟通风格。本研究的目的是确定领导风格和沟通与控制系统的努力,以评估护士的表现。本研究为横断面研究设计。数据收集于2020年6 - 7月在RS X Tangerang住院部进行,总样本为77人作为研究样本。结果不同领导方式对护士工作绩效无显著影响;控制系统的领导方式;护士工作表现的沟通;以制度控制为中介的领导方式与沟通对护士绩效的影响。然而,沟通对控制系统的影响和控制系统对护士绩效的影响是存在的。
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引用次数: 0
Perilaku Seksual Sebagai Risiko Seropositif Imunoglobulin G (IgG) Toxoplasma Gondii Pada Pria Homoseksual Penderita HIV 性行为是艾滋病毒男同性恋女性脱欧血浆G的风险
Pub Date : 2023-02-25 DOI: 10.46799/jhs.v4i2.833
Nur Rizky Ramadhani, Rizky Fajar Meirawan
Sexual behavior is one of the factors thought to be associated with Toxoplasma gondii infection. Several studies have shown that sexual behavior such as oral sex, a history of injuries to the genital organs during sexual intercourse, and working as a sex worker are associated with Toxoplasma gondii infection. In addition, a history of injecting narcotic use is also associated with Toxoplasma gondii infection. One method to determine infection status is serological examination, through measurement of immunoglobulin G (IgG). IgG seropositivity is the basis for determining the status of Toxoplasma gondii infection in the chronic or latent phase. This study aims to determine the relationship between sexual behavior and history of injecting drug use with Toxoplasma gondii infection based on IgG serological status. The study population in this study were 56 homosexual men with Human Immunodeficiency Virus (HIV) in the DKI Jakarta area, Bogor Regency and City, and Depok City. In this study, the infection status of Toxoplasma gondii was measured by the ELISA method at the Department of Parasitology, Faculty of Medicine, University of Indonesia. Sexual behavior and history of injecting drug use were measured using a questionnaire. The results of the study proved that 38 samples had positive serological status, 17 samples had negative serological status, and 1 sample was in the borderline range. Based on an analysis using the logistic regression test, age, education, getting paid for having sex, using condoms during oral sex, and a history of injuries to the genital organs during sex are risk factors for Toxoplasma gondii infection.
性行为被认为是与弓形虫感染相关的因素之一。一些研究表明,口交等性行为、性交过程中生殖器官受伤史以及从事性工作者工作与弓形虫感染有关。此外,注射麻醉品使用史也与刚地弓形虫感染有关。确定感染状态的一种方法是血清学检查,通过测量免疫球蛋白G (IgG)。IgG血清阳性是判断刚地弓形虫感染处于慢性或潜伏期的基础。本研究旨在通过IgG血清学检测弓形虫感染患者的性行为与注射用药史之间的关系。本研究的研究人群是DKI雅加达地区、茂物摄政区和德波市的56名人类免疫缺陷病毒(HIV)男同性恋者。本研究在印度尼西亚大学医学院寄生虫学教研室采用ELISA法检测刚地弓形虫感染情况。性行为和注射吸毒史采用问卷调查。研究结果表明,38份标本血清学阳性,17份标本血清学阴性,1份标本处于边缘范围。根据logistic回归检验的分析,年龄、受教育程度、性行为获得报酬、口交时使用安全套以及性行为中生殖器官的损伤史是感染弓形虫的危险因素。
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引用次数: 0
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Jurnal Health Sains
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