Imam Djamaludin Mashoedi
Bagian Parasitologi Fakultas Kedokteran Universitas Islam Sultan Agung (UNISSULA)
Articles
3
Documents
Faktor Perilaku yang Berpengaruh terhadap Kejadian Malaria di Daerah Endemis Malaria The Behavioral Factor Associated with The Incidence of Malaria in Endemic Area

Jurnal Sains Medika Vol 3, No 2 (2011)
Publisher : Fakultas Kedokteran UNISSULA

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Abstract

ABSTRACTBackground: Magelang Regency is one of the endemic area of malaria in central Java. The working areaof Health centre of Kajoran I, Banjaretno, has the highest incidence of malaria annually (Dinkes Magelang,2010). Malaria is is transmitted through the bite of female Anopheles infected by Plasmodium sp. Its mosteffective prevention is vector eradication. This study was aimed at finding out the behavioral risk for theincidence of malaria.Design and Methods: In this observasional study using case control design include 40 cases and 40 controlsusing the simple random sampling. Chi square test followed by double-logistic regression was applied forthe data analysis with p=5%.Results: Bivariate analysis on the 6 factors resulted in p<0.05 and 2 factors resulted in p>0.05. multivariateanalysis showed that the habit factor of going out in the evening, installing wire gauze on the ventilation,hanging used clothes, mowing lawn, the existence of closed waste basket, washing the curtain resulted inthe p=0.010 (OR = 10; 95% CI = 3.4-39.2), p=0.001 (OR = 4.1; 95% CI = 3.5-15.8), p=0.018 (OR = 3.3; 95% CI =1.9 -16.2), p=0.044 (OR = 6.5; 95% CI = 2.1-30.9), p=0.380 (OR = 0.43; 95% CI = 0.1-1.2), p=0.002 (OR = 2.4; 95%CI =3.4 -5.6) respectively.Conclusion: The habit of going out in the evening has been shown to be most important behavioral factorassociated with the malaria incidence (Sains Medika, 3(2):168-184).Pendahuluan: Kabupaten Magelang merupakan salah satu daerah endemis malaria di Jawa Tengah.Desa Banjaretno di Wilayah kerja Puskesmas Kajoran I merupakan daerah dengan angka kasus malariatertinggi pada hampir setiap tahunnya (Dinkes Magelang, 2010). Penyakit malaria ditularkan melaluigigitan vector nyamuk Anopheles betina yang sudah terinfeksi oleh Plasmodium sp. Cara penanggulanganyang paling tepat hingga saat ini adalah dengan memberantas vektor. Penelitian ini dilakukan untukmengetahui faktor perilaku manakah yang paling berpengaruh terhadap kejadian malaria.Metode: Jenis penelitian ini merupakan observasional dengan pendekatan Case control. Sampel terdiridari 40 kasus dan 40 kontrol, teknik sampling menggunakan simple random sampling. Data yang diperolehdianalisis menggunakan uji Chi square dan selanjutnya dianalisis multivariat dengan uji regresi logistikganda dengan tingkat kemaknaan 5%.Hasil: Analisis bivariat menunjukkan 6 (enam) faktor perilaku yang mempunyai nilai p<0,05 dan 2 (dua)faktor perilaku mempunyai nilai p >0,05. Pada analisis multivariate faktor kebiasaan keluar rumah padamalam hari mempunyai nilai p=0,010 (OR = 10; 95% CI = 3,4-39,2), kebiasaan memasang kawat kasa padalubang ventilasi p=0,001 (OR = 4,1; 95% CI = 3,5-15,8), kebiasaan menggantung baju bekas pakai di dalamrumah p=0,018 (OR = 3,3; 95% CI = 1,9 -16,2), kebiasaan membersihkan semak-semak p=0,044 (OR = 6,5;95% CI = 2,1-30,9), keberadaan tempat sampah yang tertutup p=0,380 (OR = 0,43; 95% CI = 0,1-1,2),kebiasaan mencuci korden p=0,002 (OR = 2,4; 95% CI =3,4 -5,6).Kesimpulan: Faktor perilaku yang paling berpengaruh terhadap kejadian malaria adalah kebiasaan keluarrumah pada malam hari (Sains Medika, 3(2):168-184).

The Behavioral Factor Associated with The Incidence of Malariain Endemic Area

Sains Medika Vol 3, No 2 (2011): Juli-Desember 2011
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Show Abstract | Original Source | Check in Google Scholar | Full PDF (155.943 KB)

Abstract

Background: Magelang Regency is one of the endemic area of malaria in central Java. The working area of Health centre of Kajoran I, Banjaretno, has the highest incidence of malaria annually (Dinkes Magelang, 2010). Malaria is is transmitted through the bite of female Anopheles infected by Plasmodium sp. Its most effective prevention is vector eradication. This study was aimed at finding out the behavioral risk for the incidence of malaria.Design and Methods: In this observasional study using case control design include 40 cases and 40 controls using the simple random sampling. Chi square test followed by double-logistic regression was applied for the data analysis with p=5%. Results: Bivariate analysis on the 6 factors resulted in p<0.05 and 2 factors resulted in p>0.05. multivariate analysis showed that the habit factor of going out in the evening, installing wire gauze on the ventilation, hanging used clothes, mowing lawn, the existence of closed waste basket, washing the curtain resulted in the p=0.010 (OR = 10; 95% CI = 3.4-39.2), p=0.001 (OR = 4.1; 95% CI = 3.5-15.8), p=0.018 (OR = 3.3; 95% CI = 1.9 -16.2), p=0.044 (OR = 6.5; 95% CI = 2.1-30.9), p=0.380 (OR = 0.43; 95% CI = 0.1-1.2), p=0.002 (OR = 2.4; 95% CI =3.4 -5.6) respectively.Conclusion: The habit of going out in the evening has been shown to be most important behavioral factor associated with the malaria incidence (Sains Medika, 3(2):168-184).

THE IMPACT OF PINEAPPLE (ANANAS COMOSUS (L.) MERR.) JUICE ON FUNDAL HEIGHT IN PRIMIGRAVIDA MOTHERS DURING POSTPARTUM PERIOD

Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Failure in the process of uterine involution can result in bleeding if not treated immediately. Provision of pineapple (Ananas Commosus (L). Merr) juice can be administered as a medicinal plant therapy to prevent sub involution of the uterus and is considered to speed up the recovery process of the uterine involution. Objective: This study aims to examine the effect of pineapple (Ananas Commosus (L). Merr) juice to decrease fundal height in primigravida mothers during postpartum period.Design: This was a quasi experimental study with non-equivalent control group, conducted in the working area of the health center (Puskesmas) of Jekulo Kudus on 1-30 December 2016. There were 28 respondents recruited using consecutive sampling technique, consisted of 14 respondents in the intervention group and 14 respondents in the control group. Data were analyzed using independent t-test and paired t-test.Results: Findings showed that there was a mean difference of the height of the uterine fundus after given pineapple juice in the intervention group with mean score 13.80 in pretest and 5.80 in posttest, while there was also a decrease in fundal height in the control group with mean score 13.35 in pretest and 7.01 in posttest The mean of fundal height in the intervention group was 8.15 cm in 7 days, and in the control group was 6.09 cm. There was significant difference of the average of the decrease of fundal height between both groups with p-value (0.000).Conclusions: Pineapple (Ananas comosus (L.) Merr) juice had a significant effect in the decrease of fundal height. It is suggested that pineapple juice can be used as herbal or medicinal plants, which can be used during postpartum period that is processed naturally without involving the use of chemical; and incorporated into the procedure standard of midwives in postnatal care.