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The relationship between body mass index, sleep quality, stress conditions and menstrual cycles in female adolescents

International Journal of Public Health Science (IJPHS) Vol 8, No 1: March, 2019
Publisher : Institute of Advanced Engineering and Science

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Abstract

Background: Menstrual cycles are an important indicator of women's health. Menstrual cycles can be affected by BMI, sleep quality, and stress. Objective: To analyse the relationship between BMI, sleep quality, stress and the menstrual cycle. Method: The subjects of this research were the female adolescents at the age of at least 15 years old that had experienced menstruation for at least 2 years. The dependent variable is the menstrual cycle while the independent variables are BMI, sleep quality, and stress conditions. Observational analytic research method with cross sectional design was used in this research. The subjects were 148 female students. The BMI data were obtained through the anthropometric measurement. The sleep quality data were taken with PSQI questionnaire, and the stress condition data obtained from PSS-10 questionnaire which were then analysed using Chi-Square test and Logistic Regression. Results: There is a significant relationship between BMI, sleep quality, stress conditions and the adolescent menstrual cycle. The results of the multivariate analysis showed that the female adolescents with abnormal BMI are at risk of having menstrual cycle disorders 1.91 times. The adolescents with poor sleep quality are at risk experiencing menstrual cycle disorders 2.05 times, and the adolescents with stress conditions at risk of the menstrual cycle disorders 2.26 times. Conclusion: There is a relationship between BMI, sleep quality, stress conditions and the menstrual cycle. Stress conditions most influence the regularity of the menstrual cycle.

COST EFFECTIVENESS ANALYSIS DALAM PENENTUAN KEBIJAKAN KESEHATAN: SEKEDAR KONSEP ATAU APLIKATIF?

Jurnal Manajemen Pelayanan Kesehatan Vol 10, No 03 (2007)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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TERSEDIA DALAM FILE

Relationship between calcium supplementation dose and vegetable intake with preeclampsia

International Journal of Public Health Science (IJPHS) Vol 8, No 1: March, 2019
Publisher : Institute of Advanced Engineering and Science

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Preeclampsia is one of the cause of high maternal mortality rates. Risk factors for preeclampsia include a lack of nutrients such as vitamin A, calcium, sodium and potassium. Calcium intake in pregnant women is not only obtained from calcium supplementation, but also obtained from consumed foods such as vegetables. to analyzed the relationship between calcium supplementation dose and vegetable intake with preeclampsia in third trimester of pregnant women. observational analytic used a prospective cohort design. A total of 65 third trimester pregnant women participated in the study in Bantul, Yogyakarta. The calcium supplementation dose was obtained through interview using a questionnaire, while vegetable intake was obtained through the food frequency and food recall 2x24 hours. 16 third trimester pregnant women experienced preeclampsia. The mean calcium dose consumed per day was 476.2 mg. The average intake of vegetables per day for pregnant women was 250.9 gr. Kaplan-Mier with the log rank method states that there was a significant difference between calcium supplementation dose (p=0.007) and preeclampsia. There was a significant difference between vegetable intake (p=0.007) and preeclampsia. there was a significant relationship between calcium supplementation dose and vegetable intake with preeclampsia in third trimester pregnant women.

Asosiasi Paparan Iklan Rokok dengan Pengetahuan, Sikap, dan Perilaku Merokok pada Remaja

Nexus Kedokteran Komunitas Vol 1, No 1 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Knowledge and attitude are factors influence smoking behavior among teenagers. Previous studies show that cigarette advertisements do not consistently affect on teenagers’ smoking behavior. This studyaimed to determine the association between cigarette advertisement exposure, knowledge, attitude, and smoking behavior among teenagers. Methods:A cross-sectional study was conducted during March 2012 among 98 students in SMP Negeri 01 Colomadu, Karanganyar. The sampling technique was a multistage cluster sampling. Cigarette advertisement exposure, knowledge, attitude, and smoking behavior data were collected using questionnaires, which were tested for its validity and reliability before. The data analyses used Spearman correlation and Chi-Square tests. Results:The study found a significant relationship between cigarette advertisement exposure and knowledge (r=-0.267; p=0.009). There was no significant relationship between cigarette advertisement exposure and teenagers’ attitude (r=-0.129; p=0.206). There were no significant relationships between cigarette advertisement exposure 1-10 times per week and past smoking(p=1,000; OR=0,917; CI95% 0,258-3,262),and with current smoking among teenagers (p=1,000; OR=0,971; CI95% 0,931-1,012). Cigarette advertisement exposure more than 11 per week increased a risk for past smoking 2.406 times (p=0,500; Cl95% 0,521-11,104), but not significantly. Conclusions:Cigarette advertisement exposure more than 11 per week associated with teenagers’ knowledge about cigarette and teenagers attitude to cigarette and smoking. There is no significant relationship between cigarette advertisement exposure and smoking behavior among teenagers. Keywords:cigarette advertisement, knowledge, attitude, behavior, and smoking.

Comparison of Effect between Inhalative Anesthetics with Isoflurane and Sevoflurane on Oxygen Saturation

Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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ABSTRACT   Background: Inhalative anesthesia with isoflurane and sevoflurane are known to lower the oxygen saturation in patients. Both of these agents reduce the ventilation response to hypoxia. This study aimed to compare the effect of giving inhaled anesthetics isoflurane and sevoflurane to changes in oxygen saturation. Methods: This study was an observational analytic study with cross-sectional approach. The study was conducted at the Central Installation of Surgery dr. Moewardi Hospital. Samples were taken by consecutive sampling. There were two groups in this study, the group that received isoflurane anesthesia and sevoflurane anesthesia. Each group was observed for the changes in oxygen saturation during the operation using the bed side monitor. The data which have been collected then be analyzed using the Mann Whitney test and Pearson correlation test. Results: These results revealed that in both groups, isoflurane and sevoflurane, there was a decrease in oxygen saturation in the induction phase (sevoflurane = 97.42 ± 0.90; isoflurane = 97.00 ± 0.75; p = 0.113). However, after the induction phase the oxygen saturation among the patients of the isoflurane group was more fluctuating than the ones of the sevoflurane group (p intubation = 0.001; p incision 5’ = 0.117; p incision 10’ = 0.001; p incision 15’ = 0.048). The further analysis showed no statistically significant difference in oxygen saturation between the isoflurane and the sevoflurane groups (p = 0.113). Conclusions: There are no significant differences in changes of oxygen saturation between the isoflurane and sevoflurane anesthesia on the induction phase, 5 minutes after incision and 15 minutes after incision. Anesthesia with sevoflurane in oxygen saturation is more stable compared with isoflurane anesthesia on intubation phase up to 15 minutes after incision. Keywords: inhalation anesthesia, sevoflurane, isoflurane, hemodynamic, oxygen saturation

Efek Anestesi Inhalasi Sevofluran dan Isofluran Terhadap Frekuensi Nadi

Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Anesthesia is an important part of the surgery. Sevoflurane and isoflurane are two inhalation anesthesia drugs have been commonly used. During anesthesia, one of indicators should be monitored is frequency of pulse. This research aimed to know the effects of these two drugs to the frequency of pulse. Methods: This research was an analytical observational research with the approach of cross sectional. The sample was taken by consecutive sampling after being selected based on the inclusion and exclusion criteria. Totally, 50 patients were divided into two groups of inhalation anesthetic sevoflurane and inhalation anesthetic sevoflurane and isoflurane. Data was analyzed with independent t test. Results: The p values on t-independent test in the early phase of the pulse frequency, phase induction and phase intubation were 0.04; 0.00; 0.02, and of the phase 5’ of incision, 10’of incision and 15’of incision were 0.02; 0,0; 0.03. This results showed statistical significant of mean of pulse-frequency difference between sevoflurane and isoflurane in each of phase of inhalation anesthesia. Conclusions: Both sevoflurane and isoflurane influence the frequency of pulse. The mean of pulse frequency by isoflurane is higher than sevoflurane. However, inhalation anesthesia sevoflurane provides better stability than isoflurane. Keywords: Anesthetic Inhalation, Frequency of Pulse, Isoflurane, Sevoflurane

PENINGKATAN KUALITAS PELAYANAN TUBERKULOSIS DI RUMAH SAKIT DI INDONESIA: PEKERJAAN YANG BELUM SELESAI

Jurnal Manajemen Pelayanan Kesehatan Vol 16, No 01 (2013)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Editorial

PENGUKURAN KEMAMPUAN BELAJAR MANDIRI PADA MAHASISWA PENDIDIKAN PROFESI DOKTER

Jurnal Penelitian dan Evaluasi Pendidikan Vol 16, No 2 (2012)
Publisher : Graduate School, Yogyakarta State University

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Kemampuan belajar mandiri adalah otonomi pembelajar dalam me-ngontrol proses pembelajarannya. Kemampuan belajar mandiri bisa dikem-bangkan dalam proses pembelajaran. Penelitian terdahulu tentang pembel-ajaran pendidikan profesi dokter menyatakan masih adanya hambatan dalam kemampuan belajar mandiri mahasiswa. Tujuan penelitian ini adalah mengetahui perbedaan kemampuan belajar mandiri mahasiswa tahap pen-didikan profesi sebelum dan sesudah menjalani pembelajaran di suatu departemen klinik. Penelitian ini merupakan penelitian observasional de-ngan pendekatan comparative cross sectional. Subjek penelitian adalah maha-siswa pendidikan profesi dokter yang menjalani pendidikan profesi di satu bagian dengan masa pembelajaran 4 minggu, selama Agustus- September 2012, sejumlah 33 orang, dengan teknik purposif sampling. Lokasi peneli-tian di salah satu rumah sakit pendidikan di Surakarta. Instrumen yang digunakan merupakan alih bahasa dan modifikasi kuesioner yang dikem-bangkan oleh Fischer, King dan Tague tahun 2001. Analisis data dilakukan dengan uji-t. Hasil penelitian menunjukkan tidak ada perbedaan yang sig-nifikan secara statistik antara rerata kemampuan belajar mandiri mahasiswa sebelum (149,6) dan sesudah (151,9) menjalani pembelajaran tahap pendi-dikan profesi di satu bagian pendidikan profesi dokter (p=0,47). Ini berarti tidak ada perbedaan yang signifikan secara statistik antara kemampuan belajar mandiri mahasiswa sebelum dan sesudah menjalani pembelajaran tahap pendidikan profesi di satu departemen. Perlu penelitian lebih lanjut tentang alternatif intervensi yang perlu dilakukan untuk meningkatkan kemampuan belajar mandiri mahasiswa dalam pembelajaran profesi dokter. Kata kunci: kemampuan belajar mandiri, pendidikan profesi dokter, mahasiswa pendidikan profesi dokter______________________________________________________________MEASUREMENT ON SELF-STUDY PERFORMANCE OF MEDICAL EDUCATION PROFESSIONALS STUDENTAbstract The ability of self directed learning is learners’ autonomy to control their learning process. The ability to perform self-directed learning can be developed during the learning process. Previous studies showed potential barriers to perform self-directed learning among medical students. This study aimed to analyse difference of self-directed learning ability among medical students before and after undergoing professional education program in a certain clinical department.This study was an observational study with comparative cross-sectional approach. The subjects were medical students on the professional education program at a certain clinical department at a teaching hospital Surakarta city. Thirty-three students undergoing a 4-week program from August to September 2012, were selected by purposive sampling.  The instrument used from Fischer, King and Tague was further translated into Bahasa Indonesia and validated. Data was analysed using t-test. The study found no statistically significant difference on average self-directed learning ability before (149,6) and after (151,9) following the professional education program at a certain clinical department (p=0,47). More studies are needed particularly to investigate alternatives of interventions to increase self-directed learning ability in the professional phase of medical education.Keywords: self-directed learning, medical professional education, medical students  

PENGARUH PELIBATAN KELUARGA DALAM PROGRAM PROLANIS TERHADAP KEPATUHAN MINUM OBAT DAN PENGENDALIAN GULA DARAH PASIEN DIABETES MELITUS TIPE2

Jurnal Manajemen Pelayanan Kesehatan Vol 18, No 1 (2015)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Latar Belakang: Prevalensi penyakit Diabetes Melitus (‘diabetes’) untuk semua kelompok umur di seluruh dunia terus meningkat. Kepatuhan minum obat dan pengendalian gula darah merupakan masalah umum dalam penanganan penyakit diabetes. Program Pengelolaan Penyakit Kronis (Prolanis) telah dilaksanakan oleh PT Askes (BPJS Kesehatan) pada pelayanan dokter keluarga untuk menangani penyakit kronis secara komprehensif. Kegiatan prolanis dapat dikembangkan dengan melibatkan keluarga dalam kegiatan-kegiatannya.Tujuan: untuk mengukur pengaruh pelibatan keluarga dalam program Prolanis terhadap kepatuhan minum obat dan pengendalian kadar gula darah pada pelayanan dokter keluarga.Metode: Penelitian ini merupakan penelitian eksperimen murni dengan rancangan Single Blind Randomized Controlled Trial yang dilaksanakan dalam bulan November 2013. Subjek penelitian adalah 36 pasien diabetes tipe 2 pada satu klinik dokter keluarga di Surakarta yang ikut sebagai peserta aktif Prolanis dan memenuhi kriteria inklusi. Sampel dibagi menjadi dua kelompok yaitu kelompok perlakuan (dengan pendamping) dan kelompok kontrol (tanpa pendamping) secara random. Analisis bivariat kepatuhan minum obat dan kadar gula darah diukur sebelum dan sesudah pelaksanaan program. Kepatuhan minum obat di analisis dengan uji chi square, sedangkan gula darah dianalisis dengan uji mann-whitney. Analisis perbedaan efek dengan mengendalikan variabel umur, menggunakan regresi logistik multivariat.Hasil: Sebelum pelaksanaan intervensi, tidak terdapat perbedaan signifikan antara kedua kelompok dalam hal kepatuhan minum obat (p=0,182) dan pengendalian kadar gula darah (p=0,798). Sesudah pelaksanaan program tidak terdapat perbedaan signifikan antara kedua kelompok dalam hal pengendalian kadar gula darah (p=0,171) namun diperoleh bahwa kepatuhan minum obat kelompok perlakuan secara signifikan lebih baik dibandingkan kelompok kontrol (p=0,034). Efek pada kepatuhan minum obat tetap signifikan, setelah mengendalikan variabel umur pasien pada analisis regresi logistik multivariate (p=0,013).Kesimpulan: Pelibatan keluarga dalam kegiatan Prolanis meningkatkan kepatuhan minum obat tetapi tidak berpengaruh terhadap pengendalian kadar gula darah pasien diabetes tipe 2. Kata kunci:     Pendampingan keluarga, kepatuhan minum obat, kadar gula darah, diabetes melitus tipe 2

Perbedaan Kekuatan Genggam Berdasarkan Status Gizi pada Pasien DM Tipe 2 (Handgrip Strength Difference based on Nutritional Status in Type 2 Diabetic Patients)

Indonesian Journal of Human Nutrition Vol 3, No 1 (2016): Suplemen "Malang Current Issues On Nutrition (MCION)"
Publisher : Jurusan Gizi, Fakultas Kedokteran, Universitas Brawijaya Malang

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AbstrakDiabetes melitus (DM) merupakan masalah utama kesehatan masyarakat. Kondisi malnutrisi dapat terjadi pada pasien DM. Malnutrisi menyebabkan kelainan sensorimotor dan pengecilan otot yang bervariasi pada tiap tahapannya. Penilaian penurunan kekuatan genggam disarankan sebagai metode untuk mendeteksi kekurangan gizi di bidang klinik. Penelitian ini bertujuan untuk mengetahui perbedaan kekuatan genggam berdasarkan status gizi IMT pada pasien DM tipe 2. Penelitian ini bersifat observasional dengan rancangan cross sectional. Jumlah sampel adalah 153 pasien DM tipe 2 di Poliklinik Penyakit Dalam rawat jalan RSUD Dr. Moewardi Surakarta. Teknik pengambilan sampel adalah purposive sampling. Semua sampel diukur kekuatan genggam menggunakan handgrip dynamometer dan untuk Indeks Massa Tubuh (IMT) dengan penimbangan berat badan menggunakan timbangan digital dan pengukuran tinggi badan menggunaan microtoise kemudian dimasukkan rumus IMT. Analisis yang digunakan yaitu uji t independen untuk mengetahui perbedaan nilai rerata kekuatan genggam, perhitungan koefisien korelasi Pearson untuk mengetahui hubungan kekuatan genggam dengan IMT, dan model regresi linear untuk prediksi skor dari karakteristik ke variabel kekuatan genggam. Hasil penelitian menunjukkan bahwa pada 153 subjek memiliki rentang usia 38-68 tahun dengan rata-rata 56±7,13 tahun. Terdapat perbedaan kekuatan genggam berdasar jenis kelamin dan pekerjaan pada status gizi baik dan kurang, sedangkan perbedaan kekuatan genggam berdasar pendidikan hanya pada status gizi baik. Nilai kekuatan genggam antara status gizi kurang vs. status gizi baik = 22,28±9,69 kg vs. 22,98±8,27 kg (p=0,807). Dapat disimpulkan bahwa tidak terdapat perbedaan yang signifikan kekuatan genggam antara status gizi kurang dan status gizi baik berdasarkan IMT pada pasien DM tipe 2.Kata kunci : Kekuatan genggam, IMT, DM Tipe 2 AbstractDiabetes mellitus is a major health problem. Malnutrition is common among diabetic patients. Malnutrition may cause sensory motor disorders and muscle wasting in varying degrees. Handgrip strength (HGS) asessment is recommended to detect undernutrition in clinical practice. The aim of this study was to determine the HGS in type 2 diabetic patients. This was an observational study with cross sectional design. 153 type 2 diabetes outpatients of internal medicine clinic in Dr Moewardi Hospital, Surakarta were recruited using purposive sampling technique. HGS level was measured using handgrip dynamometer. The bodyweight and height were measured using digital weight scale and microtoise, respectively. The body mass index (BMI) was determined from body weight in kilograms divided by the square of height in meters. Independent sample t test was used to determine the difference of HGS level based of BMI index; Pearson correlation coefficient  measures the correlation between HGS and BMI while linear regression models were used to predict score from characteristic to HGS variable. Overall, 153 type 2 diabetes patients aged 38-68 year-old were participated in this study. The mean level of age was 56±7,13 year-old. The difference of HGS level was found based on gender and type of jobs, both normoweight and underweight group while HGS difference based on educational level was only found in normoweight group. HGS between underweight vs. normoweight group was 22,28±9,69 vs 22,98±8,27 kgs (p=0,807). There was no significant difference of HGS in type 2 diabetic patients with underweight and normoweight status.Keywords: Handgrip Strength, BMI, Type 2 Diabetes.