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  Subjects -> HEALTH AND SAFETY (Total: 1353 journals)
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HEALTH AND SAFETY (564 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 40)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 31)
American Journal of Health Promotion     Hybrid Journal   (Followers: 27)
American Journal of Health Sciences     Open Access   (Followers: 7)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 207)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 9)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 8)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 6)
BMC Pregnancy and Childbirth     Open Access   (Followers: 21)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 9)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 3)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 19)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 20)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 4)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 4)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 5)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 7)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 7)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 13)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 6)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 7)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 56)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 19)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 41)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 2)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 51)
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 13)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 13)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 12)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access  
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 2)
interactive Journal of Medical Research     Open Access  
International Archives of Health Sciences     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 6)

        1 2 3 | Last

Journal Cover
Global Medical & Health Communication
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2301-9123 - ISSN (Online) 2460-5441
Published by Universitas Islam Bandung Homepage  [4 journals]
  • Efek Konsumsi Suplemen Kalsium dan Magnesium terhadap Dismenore Primer dan
           Sindrom Premenstruasi pada Perempuan Usia 19–23 Tahun

    • Authors: Fen Tih Fen Tih, Cherry Azaria, Julia Windi Gunadi, Rizna Tyrani Rumanti, Alfred Tri Susanto, Alissa Amelia Santoso, Firsty Tasya Evitasari
      Pages: 159 - 166
      Abstract: Dismenore merupakan gangguan menstruasi dengan prevalensi terbesar diikuti gejala sindrom premenstruasi yang mencakup gejala fisik dan psikologis. Asupan mikronutrien kalsium dan magnesium dapat membantu mengatasi keluhan ini. Penelitian ini dilakukan untuk mengetahui pengaruh konsumsi suplemen kalsium dan magnesium terhadap dismenore dan gejala sindrom premenstrual pada perempuan berusia 19–23 tahun. Penelitian ini merupakan eksperimental kuasi dengan rancangan pretes dan postes. Penelitian dilakukan di Universitas Kristen Maranatha Bandung pada bulan Juli–Desember 2016. Subjek penelitian adalah 60 orang perempuan berusia 19–23 tahun, dibagi menjadi dua kelompok secara acak untuk pemberian bahan uji kalsium (1.000 mg/hari) atau magnesium (250 mg/hari) yang diberikan mulai hari kedua menstruasi sampai siklus menstruasi yang berikutnya. Kadar kalsium atau magnesium serum diukur dengan metode spektrofotometri. Dismenore diukur dengan skala nyeri visual analog scale (VAS), sedangkan skor sindrom premenstrual diukur dengan shortened premenstrual assessment form sebelum dan sesudah pemberian bahan uji. Konsumsi kalsium menurunkan skor skala VAS rata-rata pada dismenore dari 6,97 menjadi 3,80 (p=0,000) dan skor total gejala sindrom premenstrual rata-rata dari 15,07 menjadi 10,80 (p=0,000). Konsumsi magnesium mengurangi skor skala VAS rata-rata pada dismenore dari 7 menjadi 4 (p=0,000) dan skor total gejala sindrom premenstrual rata-rata dari 12,27 menjadi 9,87 (p=0,001). Simpulan penelitian ini adalah konsumsi suplemen kalsium atau magnesium mengurangi keluhan dismenore dan gejala sindrom premenstrual pada perempuan usia 19–23 tahun.
      EFFECT OF CALCIUM AND MAGNESIUM SUPPLEMENTS ON PRIMARY DYSMENORRHEA AND PREMENSTRUAL SYNDROME IN 19–23 YEARS OLD WOMENDysmenorrhea is a menstrual disorder with the greatest prevalence followed by premenstrual syndrome that includes physical and psychological symptoms. Micronutrients intake of calcium and magnesium can help overcome these complaints. This research was conducted to find out the effect of calcium and magnesium supplements consumption on dysmenorrhea and premenstrual syndrome symptoms in 19–23 years old women. This was quasi experimental research with pre- and post-test design. The research was conducted in Maranatha Christian University Bandung from July to December 2016. The subjects of research were 60 women aged 19–23 years old, divided into two groups randomly. One group given calcium (1,000 mg/day) or magnesium (250 mg/day), which was given at the second day of menstruation until the next menstrual cycle. Serum levels of calcium or magnesium were measured with spectrophotometry method. Dysmenorrhea was measured with visual analog scale (VAS), whereas score of premenstrual syndrome was measured with shortened premenstrual assessment form, before and after treatment. The consumption of calcium lowers the VAS score average on dysmenorrhea from 6.97 to 3.80 (p=0.000) and the mean score of premenstrual syndrome from 15.07 to 10.80 (p=0.000). Consumption of magnesium reduces the VAS score average on dysmenorrhea from 7 to 4 (p=0.000) and the mean score of premenstrual syndrome from 12.27 to 9.87 (p=0.001). In conclusion, consumption of calcium or magnesium supplements reduce dysmenorrhea and premenstrual syndrome in women aged 19–23 years old.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2161
      Issue No: Vol. 5, No. 3 (2017)
       
  • Hubungan Stadium Hipertensi dengan Derajat Perlemakan Menggunakan Indeks
           Hepatorenal Sonografi

    • Authors: Dede Marina, Harry Galuh Nugraha, Leni Santiana, Lanny Noor Diyanti
      Pages: 167 - 173
      Abstract: Hipertensi merupakan prekursor perkembangan perlemakan hati nonalkoholik. Modalitas pencitraan USG paling banyak digunakan untuk menegakkan diagnosis perlemakan hati nonalkoholik. Saat ini dikembangkan teknik USG menggunakan parameter indeks hepatorenal sonografi yang dihitung dengan program software ImageJ dan digunakan untuk memprediksi derajat perlemakan hati. Penelitian ini bertujuan mengetahui hubungan antara stadium hipertensi dan derajat perlemakan hati nonalkoholik menggunakan indeks hepatorenal sonografi. Penelitian menggunakan studi observasional analitik dengan rancangan cross sectional, pengambilan sampel dilakukan secara consecutive admission. Penelitian dilaksanakan di Bagian Radiologi RSUP Dr. Hasan Sadikin Bandung periode Juni–Agustus 2016. Subjek penelitian 50 orang, laki-laki 22 orang, perempuan 28 orang, usia termuda 25 tahun, dan tertua 77 tahun. Hasil penelitian melalui uji statistik chi-square menunjukkan derajat perlemakan hati nonalkoholik ringan lebih banyak pada prehipertensi (9 dari 16), derajat sedang pada hipertensi stadium I (10 dari 19), dan derajat berat pada hipertensi stadium II (8 dari 15) dengan p<0,001. Perlemakan hati nonalkoholik derajat sedang dan berat lebih sering ditemukan pada perempuan dengan hipertensi (p=0,005) Simpulan, terdapat hubungan antara stadium hipertensi dan derajat perlemakan hati nonalkoholik menggunakan indeks hepatorenal sonografi.
      THE ASSOCIATION OF HYPERTENSION STAGE AND NON-ALCOHOLIC FATTY LIVER DEGREE USING HEPATORENAL SONOGRAPHY INDEXHypertension is considered as a precursor to the development of non-alcoholic fatty liver disease (NAFLD). Ultrasonography techniques have been developed using sonography hepatorenal index parameter calculated by ImageJ, that can predict the degree of NAFLD. This study aim to determine the relationship between hypertension stage and the degree of NAFLD using sonography hepatorenal index. The research is an observational using cross sectional methods, with consecutive admission sampling method. The study was performed at Dr. Hasan Sadikin Hospital Bandung from June to August 2016. A total of 50 subjects, 22 men and 28 women, with the youngest 25 and the oldest 77 years old participated. Results  indicated that the mild degree of NAFLD were higher on prehypertension (9 of 16), the moderate degree on stage I hypertension (10 of 19), while the severe degree found on stage II hypertension (8 of 15), with p<0.001. Moderate and severe degree of NAFLD in hypertensive patient is more common in women (p=0.005). In conclusion, there was a relationship between hypertension stage and the degree of NAFLD. 
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2175
      Issue No: Vol. 5, No. 3 (2017)
       
  • Faktor Pendukung dan Penghambat Penderita Diabetes Melitus dalam Melakukan
           Pemeriksaan Glukosa Darah

    • Authors: Rizana Fajrunni'mah, Diah Lestari, Angki Purwanti
      Pages: 174 - 181
      Abstract: Diabetes melitus (DM) adalah sekelompok gangguan metabolisme bersifat kronik yang ditandai peningkatan kadar glukosa darah serta gangguan metabolisme karbohidrat, lemak, dan protein. Setiap tahun lebih dari empat juta orang meninggal akibat DM, dan jutaan orang mengalami efek buruk atau kondisi yang mengancam jiwa seperti serangan jantung, strok, gagal ginjal, kebutaan, dan amputasi. Kemampuan individu mengelola kehidupan sehari-hari serta mengendalikan dan mengurangi dampak penyakit yang dideritanya dikenal dengan self-management, yaitu mengikuti pola makan sehat, meningkatkan kegiatan jasmani, menggunakan obat DM dan obat pada keadaan khusus secara aman dan teratur, melakukan pemantauan kadar gula darah, serta perawatan kaki secara berkala. Beberapa penelitian melaporkan bahwa masih sedikit penderita DM melakukan pemantauan gula darah dengan baik. Penelitian ini bertujuan memperoleh pemahaman mendalam tentang pengalaman penderita DM dalam pemeriksaan kadar glukosa darah dengan menggunakan metode penelitian kualitatif pendekatan fenomenologi. Penelitian dilaksanakan pada bulan Juli–September 2016 di wilayah kerja Puskesmas Jatiwarna, Bekasi. Hasil analisis data teridentifikasi faktor pendukung pemeriksaan glukosa darah adalah faktor psikologis, sosial, edukasi, ekonomi, dan akses. Faktor penghambatnya adalah faktor psikologis, sosial, edukasi, penggunaan obat, sikap terhadap penyakit, dan persepsi terhadap jaminan kesehatan. Hasil penelitian diharapkan dapat menjadi masukan dalam meningkatkan kualitas edukasi dan pendampingan tenaga kesehatan kepada pasien sehingga pasien terbantu meningkatkan adaptasi dan kemampuannya memantau glukosa darah secara mandiri.
      SUPPORTING AND INHIBITING FACTORS OF DIABETES MELLITUS PATIENTS IN PERFORMING BLOOD GLUCOSE EXAMINATIONDiabetes mellitus (DM) is a chronic metabolic disorder marked by an increase in blood glucose levels and impaired metabolism of carbohydrates, fats, and proteins. Every year more than four million people die because diabetes and millions of people experience the ill effects of diabetes or life-threatening conditions such as heart attack, stroke, kidney failure, blindness, and amputation. The individual's ability to manage life, control and reduce the impact of the disease known as self-management is to follow a healthy diet, increasing physical activity, using the drug safely and regularly, monitoring blood sugar levels as well as maintenance feet regularly. Several studies reported only small number of DM patients examined blood glucose levels routinely. This study aim to gain a thorough understanding of individual experience with DM in examining blood glucose levels. This study used qualitative research with a phenomenological approach from July to September 2016 at Jatiwarna, Bekasi. The results identified factors supporting blood glucose examination were: psychological factors, social, educational, economic, and access to health care. The inhibiting factors were psychological factors, social, educational, drug use, attitudes toward the disease, and perceptions of health insurance. The results expected to improve the quality of education and mentoring for health workers. It will help patients improving the adaptability and the ability to blood glucose self-monitoring.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2181
      Issue No: Vol. 5, No. 3 (2017)
       
  • Efektivitas Latihan Penguatan terhadap Kemampuan Fungsional Anggota Gerak
           Atas pada Pasien Strok Iskemi Fase Subakut

    • Authors: Cice Tresnasari, Andi Basuki, Irma Ruslina Defi
      Pages: 182 - 188
      Abstract: Stroke merupakan suatu penyakit dengan gejala utama kelemahan. Kelemahan anggota gerak atas menyebabkan penurunan kemampuan fungsional anggota gerak atas.  Kekuatan adalah salah satu indikator performa fungsional anggota gerak atas.  Tujuan penelitian ini adalah mengetahui efektivitas latihan penguatan anggota gerak atas dengan pita dan bola elastik terhadap peningkatan kekuatan dan kemampuan fungsional anggota gerak atas pada pasien stroke iskemi fase subakut.  Rancangan penelitian adalah eksperimental, dilaksanakan di Rumah Sakit Hasan Sadikin periode Desember 2013-Juli 2014. Subjek terdiri atas 21 pasien stroke iskemi fase subakut berusia 40-59 tahun. Latihan penguatan dengan pita dan bola elastik dilakukan oleh semua subjek, 3 kali seminggu, selama 6 minggu, 2 set setiap latihan, 8 repetisi setiap set.  Sebelum, setelah 2 minggu, 4 minggu dan 6 minggu latihan dilakukan penilaian kekuatan dan fungsi anggota gerak atas.  Hasil menunjukkan bahwa latihan penguatan meningkatkan kekuatan anggota gerak atas (p<0,001) dan meningkatkan fungsi anggota gerak atas (p<0,001).  Simpulan, latihan penguatan anggota gerak atas dengan pita dan bola elastik efektif meningkatkan kekuatan dan fungsi anggota gerak atas pada pasien stroke iskemi fase subakut. THE EFFECTIVENESS OF STRENGTHENING EXERCISES ON UPPER LIMBS FUNCTIONAL ABILITY OF SUBACUTE PHASE ISCHEMIC STROKE PATIENTSStroke is a disease with the primary symptoms of weakness. The weakness of the upper limbs caused a decrease in functional ability. Strength is one indicator of upper limb functional performance. The purpose of this study was to determine the effectiveness of upper limb strengthening exercises to increase strength and functional ability of upper limbs in patients with subacute phase ischemic stroke using elastic band and balls. The study was conducted using experimental method, performed at the Medical Rehabilitation Division, Dr. Hasan Sadikin General Hospital Bandung from December 2013 to July 2014. Subjects consisted of 21 patients with ischemic stroke subacute phase aged 40–59 years. The strengthening exercises with elastic band and elastic ball were done by all subjects, 3 times a week, for 6 weeks. Each exercise consisted of 2 sets with 8 repetition of each set. Assessment of the strength and upper limbs function done before, after 2 weeks, 4 weeks and 6 weeks of strengthening exercises. Results showed that strengthening exercises increases the strength of the upper limbs (p<0.001) and increases the upper limbs function (p<0.001). Conclusions, upper limbs exercise strengthening with elastic band and elastic ball effectively increased the strength and upper limb function in ischemic stroke subacute phase patients.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2231
      Issue No: Vol. 5, No. 3 (2017)
       
  • Ekspresi Caspase-3 pada Kanker Payudara Tikus Setelah Pemberian
           Antikanker Brusein-A

    • Authors: Muhartono Muhartono, Subeki Subeki
      Pages: 189 - 193
      Abstract: Brusein-A diduga menyebabkan apoptosis. Salah satu protein yang berperan dalam proses apoptosis adalah caspase-3. Penelitian ini bertujuan mengetahui aktivitas antikanker brusein-A terhadap ekspresi caspase-3 pada kanker payudara. Penelitian menggunakan rancang acak lengkap. Sebanyak 27 ekor tikus betina berumur 12 minggu diberi dimethylbenzanthracene (DMBA) 20 mg/kgBB per oral selama 3 minggu sampai terbentuk kanker payudara. Selanjutnya, dibagi dalam 9 kelompok perlakuan brusein-A, yaitu 0; 2,5; 5; 7,5; 10; 12,5; 15; 17,5; dan 20 mg/L selama 28 hari. Parameter yang diukur adalah ekspresi caspase-3 yang dinilai berdasar atas persentase sitoplasma yang berwarna coklat. Penelitian ini dilakukan di Laboratorium Patologi-Anatomi dan Laboratorium Biokimia, Pusat Penelitian Ilmu Pengetahuan dan Teknologi (Puspiptek) Serpong tahun 2015–2016. Hasil penelitian menunjukkan ekspresi caspase-3 rata-rata pada dosis 0 mg/L sebesar 4%, 2,5 mg/L sebesar 15,3%, 5 mg/L sebesar 21%, 7,5 mg/L sebesar 25%, 10 mg/L sebesar 41%, 12,5 mg/L sebesar 65%, 15 mg/L sebesar 75,3%, 17,5 mg/L sebesar 84%, dan 20 mg/L sebesar 94,7%. Hasil uji one way ANOVA menunjukkan perbedaan ekspresi caspase-3 rata-rata yang signifikan antarkelompok perlakuan (p=0,0001). Uji korelasi Spearman menunjukkan hubungan yang sangat erat dan positif antara dosis brusein-A dan ekspresi caspase-3 (r=0,994). Simpulan, brusein-A meningkatkan ekpresi caspase-3 pada kanker payudara tikus yang diinduksi DMBA.
      CASPASE-3 EXPRESSION ON BREAST CANCER RATS AFTER BRUSEIN-A ADMINISTRATIONBrusein-A is thought to cause apoptosis. Caspase-3 is a protein that plays a role in the process of apoptosis. This study aims to determine anticancer activity of brusein-A on the expression of caspase-3 in breast cancer. This study uses a completely randomized control design. A total of 27 female rats, 12 week aged, were given 20 mg dimethylbenzanthracene (DMBA)/kgBW peroral for 3 weeks until they had breast cancer. They divided into 9 treatment group of brusein A, that were 0, 2.5, 5, 7.5, 10, 12.5, 15, 17.5, and 20 mg/L for 28 days. Parameter measured were caspase-3 expression, assessed on the percentage of brown cytoplasm. This research was conducted in Pathology-Anatomy Laboratory and Biochemistry Laboratory, Research Center for Science and Technology (Puspiptek) Serpong in 2015–2016. The results showed caspase expression rate of 4%, 15.3%, 21%, 25%, 41%, 65%, 75.3%, 84%, and 94.7% on the dosage of , 2.5, 5, 7.5, 10, 12.5, 15, 17.5, and 20 mg/L respectively. The one way ANOVA test results showed significant difference of caspase-3 expression between treatment group (p=0.0001). Spearman's rank correlation test showed that a very close and positive relationship between brusein-A dose and caspase-3 expression (r=0.994). In conclusion, brusein-A increased caspase-3 expression in DMBA induced breast cancer rats.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2263
      Issue No: Vol. 5, No. 3 (2017)
       
  • Faktor-faktor yang Berhubungan dengan Perilaku Merokok pada Remaja Kampung
           Bojong Rawalele, Jatimakmur, Bekasi

    • Authors: Erlina Wijayanti, Citra Dewi, Rifqatussa'adah Rifqatussa'adah
      Pages: 194 - 198
      Abstract: Salah satu perilaku berisiko yang memiliki prevalensi tinggi di usia remaja adalah merokok, sedangkan seseorang yang merokok pada usia lebih muda akan lebih sulit berhenti dibanding dengan yang mulai merokok pada usia lebih tua. Tujuan penelitian ini mengidentifikasi faktor-faktor yang berhubungan dengan perilaku merokok pada remaja. Penelitian yang dilakukan merupakan penelitian deskriptif dengan desain cross-sectional. Penelitian dilakukan di Kampung Bojong Rawalele, Pondok Gede, Bekasi, Jawa Barat periode Januari–Februari 2017. Populasi penelitian adalah remaja di kampung tersebut. Subjek penelitian adalah individu usia 10–19 tahun. Sampel yang diambil sebanyak 94 responden dengan teknik snowball sampling. Remaja yang terlibat berpendidikan belum tamat SD sampai sudah tamat SMA. Di antara 19 remaja perokok (20%), merokok rata-rata sebanyak 5–6 batang per hari dan sudah merokok rata-rata selama 2–3 tahun. Sebagian besar (95%) perokok tersebut ingin berhenti merokok. Analisis bivariat menunjukkan bahwa jenis kelamin, usia, pengalaman, pengetahuan, dan sikap berhubungan signifikan dengan perilaku merokok (p<0,05). Pendidikan tidak berhubungan dengan perilaku merokok (p≥0,05). Simpulan, prediktor perilaku merokok pada remaja di Kampung Bojong Rawalele adalah jenis kelamin, usia, pengalaman, pengetahuan, dan sikap. Disarankan kepada orangtua maupun sekolah untuk memperhatikan kelompok berisiko merokok pada remaja.
      FACTORS ASSOCIATED WITH TEENAGER’S SMOKING BEHAVIOR AT BOJONG RAWALELE, JATIMAKMUR, BEKASIOne among risky behaviors of teenager was smoking. Someone who smoked at younger age would be more difficult to stop than who started smoking at an older age. The purpose of this study was to identify factors associated with smoking behavior in teenagers. This is a cross-sectional study on 94 teenagers 10 to 19 years old using snowball sampling technique. The study conducted from January to February 2017 at Bojong Rawalele, Pondok Gede, Bekasi, West Java. Results showed respondents have primary school to senior high school education. Among 19 smokers, ciggaretes were consumed 5–6 stems per day and they had smoked for 2–3 years on average. Most of the smokers wanted to stop smoking (95%). The bivariate analysis showed that gender, age, experience, knowledge, and attitude significantly associated with smoking behavior (p<0.05). However, education was not associated with smoking behavior (p≥0.05). In conclusion, the predictors of smoking behavior were gender, age, experience, knowledge, and attitude. It was suggested to parents and schools to pay attention to risky groups on smoking behavior.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2298
      Issue No: Vol. 5, No. 3 (2017)
       
  • Identifikasi Virus Hepatitis A pada Sindrom Penyakit Kuning Akut di
           Beberapa Provinsi di Indonesia Tahun 2013

    • Authors: Eka Pratiwi, Triyani Soekarso, Kindi Adam, Vivi Setiawaty
      Pages: 199 - 204
      Abstract: Penyakit kuning akut dapat disebabkan oleh infeksi virus hepatitis A, B, C, dan E dengan Hepatitis A dan E sebagai penyebab utama wabah. Gejala kuning pada kasus infeksi virus Hepatitis A (HAV) muncul pada 2−6 minggu setelah pasien terinfeksi. Umumnya infeksi HAV tidak akan berkembang menjadi kronis, namun HAV dapat menyebabkan wabah. Pada tahun 2013 terjadi peningkatan penyakit kuning akut pada empat provinsi, yaitu Banten, Kepulauan Riau, Kalimantan Barat, dan Kalimantan Selatan. Penelitian ini bertujuan mengetahui penyebab penyakit kuning akut yang terjadi pada kejadian luar biasa di empat provinsi tersebut. Pengumpulan data dilakukan dari merebaknya kasus penyakit kuning akut selama tahun 2013 di empat provinsi di Indonesia. Spesimen dikumpulkan dan dikirim ke laboratorium Virologi di Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan (Puslitbang BTDK), Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. Spesimen diuji antibodi IgM HAV menggunakan metode enzyme immunoassay. Puslitbang BTDK menerima 102 spesimen dari tujuh kali laporan peningkatan kasus di empat provinsi, yaitu Banten, Kalimantan Selatan, Kalimantan Barat, dan Kepulauan Riau. Dari keseluruhan 102 spesimen, 38 spesimen (37%) positif IgM HAV, meliputi Banten 3 (2,9%), Kalimantan Selatan 7 (6,9%), Kepulauan Riau 4 (3,9%), dan Kalimantan Barat 24 (23,5%). Lebih banyak kasus perempuan dibanding dengan laki-laki dan dominan pada usia dewasa. Infeksi HAV adalah penyebab sindrom penyakit kuning akut di empat provinsi di Indonesia.
      HEPATITIS A VIRUS IDENTIFICATION ON ACUTE JAUNDICE SYNDROME IN SOME PROVINCES IN INDONESIA IN 2013Acute jaundice can be caused by hepatitis A, B, C and E virus. Hepatitis A and E are often as the main cause of the jaundice outbreak. The symptoms of Hepatitis A virus infection (HAV) appear  2−6 weeks after the patient infected. Generally HAV infection will not develop into chronic stages, but HAV can cause an outbreak. In 2013 there was an increase of acute jaudice syndrome in four provinces that are Banten, Riau Islands, West Kalimantan and South Kalimantan. The study aims to determine the cause of acute jaundice syndrome that occurs in extraordinary events in the four provinces. Data collection was conducted from outbreaks of acute cases of jaundice during 2013 in four provinces in Indonesia. Specimens were collected and sent to the Virology Laboratory at the Center for Research and Development of Biomedical and Basic Health Technology (Puslitbang BTDK), National Institute of Health Research and Development, Ministry of Health. The specimens tested using IgM HAV antibody enzyme immunoassay method. Puslitbang BTDK received 102 specimens from seven extraordinary reports in four provinces namely Banten, South Kalimantan, West Kalimantan and Riau Islands. From all 102 specimens, 38 specimens (37%) were positive IgM HAV, including Banten 3 (2.9%), South Kalimantan 7 (6.9%), Riau Islands 4 (3.9%) and West Kalimantan 24 (23.5%). Female cases were more dominant than males. HAV infection is the cause of acute jaundice syndrome in four provinces in Indonesia.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2386
      Issue No: Vol. 5, No. 3 (2017)
       
  • Mosquito Survey in the Campus Area of Universitas Padjadjaran Jatinangor
           in September to November 2016

    • Authors: Lia Faridah, Radiah Baizura, Sri Yusnita
      Pages: 205 - 211
      Abstract: Sumedang regency reported being one of dengue endemic areas in West Java. The number of dengue fever patients in Sumedang District General Hospital increased in the last quarter of 2015. Universitas Padjadjaran (Unpad) is one of most significant areas in Jatinangor Sumedang where many people are doing their activity day and night. The purpose of the study was to identify what types of mosquito genera exist in Unpad campus according to the time and location. A field survey was conducted at 22 locations in Unpad campus using modified electric light trap placed indoor and outdoor at each site from September to November 2016. The modified electrical trap was turned on for 24 hours, and samples collected every 12 hours. Mosquitoes trapped were put into the plastic cup, labeled according to time collected, and brought to Parasitology Laboratory of Unpad for identification. The study result identified four types of mosquito genera which were Culex spp. (405), Armigeres spp. (70), Aedes spp. (33), and Anopheles spp. (10). Prevention toward potential breeding sites and protection using window net should be considered to reduce the risk of vector-borne diseases. In conclusion, Aedes spp. is the most active mosquito during the day while Culex spp. and Armigeres spp. are the most active mosquito during the night.
      SURVEI NYAMUK DI KAWASAN KAMPUS UNIVERSITAS PADJADJARAN JATINANGOR PADA BULAN SEPTEMBER–NOVEMBER 2016Kabupaten Sumedang dilaporkan sebagai salah satu daerah endemik demam berdarah di Jawa Barat. Jumlah pasien demam berdarah yang datang ke Rumah Sakit Umum Daerah Sumedang meningkat dalam tiga bulan terakhir pada tahun 2015. Universitas Padjadjaran (Unpad) merupakan salah satu wilayah yang terluas di Jatinangor Sumedang sebagai tempat banyak orang melakukan aktivitas pada siang dan malam hari. Tujuan penelitian ini adalah mengidentifikasi jenis genera nyamuk yang ada di kampus Unpad Jatinangor berdasar atas waktu dan lokasi. Survei lapangan dilakukan pada 22 lokasi di kampus Unpad Jatinangor pada bulan September–November 2016 menggunakan perangkap nyamuk cahaya yang dimodifikasi. Perangkap nyamuk ditempatkan di dalam dan luar ruangan untuk setiap lokasi. Perangkap nyamuk dipasang selama 24 jam, kemudian nyamuk dikumpulkan setiap 12 jam. Nyamuk yang terperangkap dikumpulkan dan dimasukkan ke dalam cangkir plastik, diberi label sesuai dengan waktu pengambilan, kemudian dibawa ke Laboratorium Parasitologi Unpad untuk diidentifikasi. Hasil penelitian menunjukkan 4 genera nyamuk ditemukan di kampus Unpad Jatinangor, yaitu Culex spp. (405), Armigeres spp. (70), Aedes spp. (33), dan Anopheles spp. (10). Pencegahan pada tempat yang berpotensi menjadi sarang nyamuk dan perlindungan menggunakan kawat nyamuk pada jendela harus dipertimbangkan untuk menurunkan risiko penyakit tular vektor. Simpulan penelitian ini, Aedes spp. merupakan nyamuk yang paling aktif pada siang hari serta Culex spp. dan Armigeres spp. yang paling aktif pada malam hari.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2533
      Issue No: Vol. 5, No. 3 (2017)
       
  • Spatial Distribution of Dengue Hemorrhagic Fever (DHF) in Urban Setting of
           Bandung City

    • Authors: Titik Respati, Ardini Raksanagara, Henni Djuhaeni, Asep Sofyan
      Pages: 212 - 218
      Abstract: The proximity of urban area provides fertile ground for the exchange of bacteria, virus and other health problem. One of the diseases which have a close relationship with the environment and people interaction is dengue. At present, it still is one of the major health problems for Indonesia. One method to understand the disease is by using spatial analysis that the prevention program can be focusing on the area most affected. This study aims to analyze the spatial distribution of dengue cases in Bandung city. The method used was the mapping of dengue cases using geographic information system (GIS) with ArcView software. Data were collected from August 2015 to March 2016 in Bandung city. Results showed that dengue cases increased with fluctuated hyperendemic years especially in the year 2009, 2012, and 2013. Spreading pattern of the disease was from north of Bandung to east. The conclusion of this study dengue cases in Bandung city showed an increased trend with fluctuated hyperendemic year especially in the year 2009, 2012, and 2013. Pockets of highest reported cases were found in north to middle and east for the whole year. The spread of this disease, especially in east Bandung, showed wider affected areas in the observed year. Land usage for residential purposes without good development plan might be on factors that increase the disease transmission. DISTRIBUSI SPASIAL KASUS DEMAM BERDARAH DENGUE DI DAERAH URBAN KOTA BANDUNGKedekatan dalam wilayah urban memberikan kemudahan dalam pertukaran bakteri, virus, dan masalah kesehatan lainnya. Salah satu penyakit yang erat hubungannya dengan kedekatan pemukiman, lingkungan, dan interaksi manusia adalah demam berdarah dengue (DBD). Sampai saat ini DBD masih menjadi masalah kesehatan di Indonesia. Pencegahan suatu penyakit akan lebih mudah dilakukan apabila pemahaman mengenai penyakit tersebut sudah dapat dilakukan dengan baik. Dengan pemetaan (distribusi spasial), kasus DBD akan lebih mudah dimonitor sehingga program pencegahan dapat difokuskan pada wilayah dengan angka kejadian yang tinggi. Penelitian ini bertujuan melihat distribusi spasial kasus DBD mempergunakan geografic information system (GIS) di Kota Bandung. Metode penelitian ini adalah pemetaan kasus di wilayah tertentu dengan GIS menggunakan ArcView software menggunakan data kasus DBD dan data spasial dilaksanakan pada tahun 2015 di Kota Bandung. Hasil penelitian kasus DBD di Kota Bandung menunjukkan peningkatan dengan pola tahun hiperendemik berfluktuasi terutama pada tahun 2009, 2012, dan 2013. Pola pergerakan kasus tampak berawal dari arah utara menuju timur. Kantong wilayah dengan kasus DBD yang tinggi terkumpul di daerah utara menuju timur Kota Bandung sepanjang tahun. Simpulan penelitian ini, penyebaran kasus di wilayah Bandung menunjukkan daerah sebaran yang semakin besar dari tahun ke tahun. Pemanfaatan lahan sebagai pemukiman memiliki keterkaitan terhadap kejadian DBD.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2535
      Issue No: Vol. 5, No. 3 (2017)
       
  • Penggunaan Aplikasi Sayang ke Buah Hati (SEHATI) terhadap Asupan Zat Gizi
           Anak dan Pengetahuan Ibu Menerapkan Konsumsi Aneka Ragam Makanan Gizi
           Seimbang pada Anak Sekolah Dasar

    • Authors: Giyawati Yulilania Okinarum, Irvan Afriandi, Dida Akhmad Gurnida, Herry Herman, Herry Garna, Tono Djuwantono
      Pages: 219 - 227
      Abstract: Kesehatan dan gizi yang buruk pada anak usia sekolah dapat menghambat pertumbuhan fisik, perkembangan, dan kecerdasan. Konsumsi pangan masyarakat Indonesia belum sesuai dengan pesan gizi seimbang. Aplikasi Sayang ke Buah Hati (SEHATI) diharapkan dapat menjadi alat strategi promosi kesehatan untuk meningkatkan asupan zat gizi anak dan pengetahuan ibu menerapkan konsumsi aneka ragam makanan gizi seimbang. Tujuan penelitian ini menganalisis perbedaan asupan zat gizi anak dan pengetahuan ibu menerapkan konsumsi aneka ragam makanan gizi seimbang pada anak sekolah dasar sebelum dengan sesudah diterapkan aplikasi SEHATI. Periode penelitian 2–18 Maret 2017 di SDIT Jabal Nur Yogyakarta. Subjek adalah ibu yang memiliki anak usia sekolah dasar (8–12 tahun) dan anaknya yang memenuhi kriteria penelitian. Penelitian ini merupakan randomized controlled trial (RCT). Pengambilan sampel dilakukan secara acak. Kelompok intervensi mendapatkan pemasangan aplikasi SEHATI dan kontrol diberikan pendidikan kesehatan, tiap-tiap kelompok terdiri atas 30 responden. Data diolah dengan uji nonparametrik, yaitu uji t berpasangan pada data yang berdistribusi normal dan uji Mann-Whitney pada data yang tidak berdistribusi normal. Terdapat perbedaan bermakna penggunaan aplikasi SEHATI terhadap peningkatan pengetahuan ibu pada kelompok intervensi (25,9%; p≤0,001), terjadi peningkatan skor asupan zat gizi anak pada kelompok intervensi yang bermakna, yaitu karbohidrat (13,8%; p=0,038) dan vitamin A (51,5%; p=0,005). Simpulan, terdapat perbedaan peningkatan asupan zat gizi dan pengetahuan ibu menerapkan konsumsi aneka ragam makanan gizi seimbang pada anak sekolah dasar sebelum dengan sesudah penggunaan aplikasi SEHATI.
      SAYANG KE BUAH HATI (SEHATI) APPLICATION USAGE ON CHILDREN NUTRIENT INTAKE AND MOTHERS’ KNOWLEDGE IN IMPLEMENTING NUTRITIONALLY BALANCED FOOD VARIETY AMONG PRIMARY SCHOOL CHILDRENNutrient imbalance affects children growth and development. Sayang ke Buah Hati (SEHATI) was an application developed for health promotion strategies to increase children nutrient intake and mothers’ knowledge in implementing consumption on nutritionally balanced food variety. The purpose of this study was to analyze the differences of children nutrient intake and mothers’ knowledge in implementing consumption of a variety of nutritionally balanced food on primary school children before and after applying the SEHATI application. Subjects were 30 randomly selected mothers who have primary school age children (8−12 years) and their children. This study is a randomized controlled trial (RCT) conducted on 2–18 of March 2017 in SDIT Jabal Nur Yogyakarta. The intervention group got the SEHATI application installed and health education. The data collected is processed by the paired t test on normally distributed data and Mann Whitney tests on data that are not normally distributed. Results showed significant increased knowledge of mothers in the intervention group significantly (25.9%, p≤0.001). Increased nutrients scores of children in the intervention group were carbohydrates (13.8%, p=0.038) and vitamin A (51.5%, p=0.005). In conclusions, there are differences of child nutrient intake and mothers’ knowledge in implementing consumption of a variety of nutritionally balanced food in primary school children before and after SEHATI application usage.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2576
      Issue No: Vol. 5, No. 3 (2017)
       
  • The Association between Risk Factors and Blood Pressure in the Textile
           Industry Workers

    • Authors: Sumardiyono Sumardiyono, Hartono Hartono, Ari Probandari, Prabang Setyono
      Pages: 228 - 235
      Abstract: Noise exposure is often found in the industrial environment that exposed workers at risk for increasing blood pressure. This study aimed at investigating the association between noise level, duration of noise exposure, age, use of earplugs, and body mass index with blood pressure on textile industry workers. An observational study with the cross-sectional design conducted during August to October 2016. The study population was 180 textile industry workers in Surakarta selected by consecutive sampling method. Statistical analysis used was multiple logistic regression. Results showed that variables associated with systolic blood pressure were the use of earplugs (OR=12.7), noise level (OR=7.2), body mass index (OR=5.3), age (OR=4.4) and duration of noise exposure (OR=3.5). Variables associated with diastolic blood pressure were the use of earplugs (OR=6.9), age (OR=6.6), noise level (OR=6.1), body mass index (OR=4.4), and duration of noise exposure (OR=3.1). In clonclusion, the risk factors for blood pressure increased among industrial workers are the use of earplug, noise level, body mass index, age and duration of noise exposure.
      ASOSIASI ANTARA FAKTOR RISIKO DAN TEKANAN DARAH PADA PEKERJA INDUSTRI TEKSTILPaparan kebisingan yang mengekspos pekerja sering ditemukan di lingkungan industri sehingga berisiko terjadi peningkatan tekanan darah. Penelitian ini bertujuan mengetahui hubungan tingkat kebisingan, durasi paparan kebisingan, usia, penggunaan sumbat telinga, dan indeks massa tubuh dengan tekanan darah pada pekerja industri tekstil. Penelitian ini menggunakan jenis observasional dengan desain cross-sectional yang dilakukan pada bulan Agustus–Oktober 2016. Populasi penelitian adalah pekerja industri tekstil di Surakarta. Terpilih 180 orang pekerja dengan menggunakan metode sampling konsekutif. Analisis statistik yang digunakan adalah regresi logistik berganda. Variabel yang berhubungan dengan tekanan darah sistole adalah penggunaan sumbat telinga (OR=12,7), tingkat kebisingan (OR=7,2), indeks massa tubuh (OR=5,3), usia (OR=4,4), dan durasi paparan kebisingan (OR=3,5). Variabel yang terkait dengan tekanan darah diastole adalah penggunaan sumbat telinga (OR=6,9), usia (OR=6,6), tingkat kebisingan (OR=6,1), indeks massa tubuh (OR=4,4), dan durasi paparan kebisingan (OR=3,1). Simpulan, faktor risiko peningkatan tekanan darah di kalangan pekerja industri tekstil adalah penggunaan sumbat telinga, tingkat kebisingan, indeks massa tubuh, usia, dan durasi paparan kebisingan.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2650
      Issue No: Vol. 5, No. 3 (2017)
       
  • Medical Student Career Choice’s Determinants: A Qualitative Study

    • Authors: Rizma Adlia Syakurah, Yayi Suryo Prabandari, Doni Widyandana, Amitya Kumara
      Pages: 236 - 240
      Abstract: Choosing a career is an essential stage in medical students’ life. Previous researchers all across the world have been conducted studies to examine determinants of career choices in general and medical careers in sociodemographic and behavioral perspectives. While most of the studies centered on general career choices determinants and located mostly in western countries with general career choices as their topics, few studies explore about medical students’ career choices determinants in a collectivist culture like Indonesia. Hence, this study aimed to explore and describe determinants of medical students’ career choices in collectivist culture setting. Participants, 62 students in total, were recruited from all stages of undergraduate medical students in Sriwijaya University in November 2015 until January 2016. Each of focus groups was led by a facilitator to explore medical students’ career choices’ determinants. Transcripts encoded according to recurring topics and themes that came up during their discussions. Eight themes identified from the discussions were: four major, two intermediate and two minor issues. Major themes were financial gain, prestige, personal interest and family influence. In conclusion, some points can be used to increase medical students’ interest in various medical career fields. Exposure to medical career information should not target merely on medical students but also to their family and the community as well. Government roles in providing financial incentives as well as career opportunities to medical fields to increase the interest of medical students in the certain medical field.
      DETERMINAN KARIR MAHASISWA KEDOKTERAN: SEBUAH STUDI KUALITATIFPemilihan karir merupakan salah satu fase yang penting dalam kehidupan seorang mahasiswa kedokteran. Berbagai penelitian di seluruh dunia telah dilakukan dalam menemukan dan menganalisis determinan pemilihan karir seseorang, baik secara umum, maupun dalam dunia kedokteran secara khusus yang dilakukan pada perspektif sosiodemografi dan perilaku. Saat ini masih sedikit sekali penelitian yang dilakukan pada mahasiswa kedokteran yang bertujuan mengeksplorasi determinan pemilihan karirnya, terutama dalam lingkungan dengan kultur kolektivisme seperti di Indonesia. Penelitian ini ditujukan mengeksplorasi dan menjelaskan alasan pemilihan karir mahasiswa kedokteran pada lingkungan dengan kultur kolektivisme. Partisipan adalah semua mahasiswa kedokteran preklinik di Fakultas Kedokteran Universitas Sriwijaya yang berjumlah 62 orang. Penelitian dilakukan pada bulan November 2015–January 2016. Tiap kelompok diskusi terarah dipimpin oleh seorang fasilitator yang melakukan eksplorasi terkait alasan pemilihan karir mereka. Hasil diskusi dicatat dan transkrip dikelompokkan sesuai dengan tema yang sering muncul selama kegiatan diskusi berlangsung. Delapan tema teridentifikasi dalam diskusi, yaitu empat tema mayor, dua tema menengah, dan dua tema minor bergantung pada seringnya tema tersebut muncul dalam semua diskusi. Tema mayor yang muncul adalah pendapatan, prestise, minat pribadi, dan pengaruh keluarga. Keterpaparan informasi karir kedokteran perlu dilakukan tidak hanya pada mahasiswa, tetapi juga pada keluarga dan lingkungan. Pemerintah juga berperan dalam memberikan insentif dan peluang pada bidang karir yang membutuhkan lebih banyak tenaga kerja di masa yang akan datang untuk meningkatkan minat mahasiswa pada bidang karir tersebut.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.2799
      Issue No: Vol. 5, No. 3 (2017)
       
  • Neopterin Serum sebagai Prediktor Dini Luaran Perburukan pada Sepsis
           Neonatorum

    • Authors: Ahmad Hafidz, Tetty Yuniati, Purboyo Solek
      Pages: 241 - 246
      Abstract: Neopterin telah diketahui sebagai biomarker untuk diagnostik sepsis neonatorum awitan dini. Hingga saat ini belum diketahui peran neopterin sebagai biomarker untuk memprediksi luaran sepsis neonatorum awitan dini maupun awitan lanjut. Tujuan penelitian ini menentukan neopterin serum sebagai biomarker prediktor sepsis neonatorum awitan dini dan lanjut. Penelitian dilakukan pada bulan Mei–Juli 2017 di RSUP Dr. Hasan Sadikin Bandung. Seluruh neonatus yang memenuhi kriteria sepsis neonatorum, yaitu didapatkan skor Tollner ≥10, dilakukan pemeriksaan neopterin serum menggunakan metode ELISA. Subjek kemudian diikuti dan dikelompokkan menjadi luaran perbaikan dan perburukan. Analisis menggunakan receiver operating characteristic (ROC) untuk mendapatkan luas area under curve, menentukan titik potong serta sensitivitas dan spesifisitas. Subjek penelitian terdiri atas 42 neonatus, mayoritas karakteristik neonatus yang mengalami luaran perburukan berjenis kelamin laki-laki (10 subjek), sepsis awitan dini (11 subjek), cara persalinan dengan operasi (11 subjek), dan tempat persalinan di RS (14 subjek). Temuan kadar neopterin pada luaran perburukan lebih tinggi dibanding dengan luaran perbaikan dan disimpulkan terdapat perbedaan yang bermakna (p<0,01). Kadar neopterin rata-rata yang didapatkan pada sepsis luaran perburukan 60,97 ng/mL dengan rentang kadar 40,63–92,04 ng/mL. Luas area di bawah kurva ROC kadar neopterin adalah 0,981 (95% IK=0,882–1,000; p<0,001). Kadar titik potong neopterin >43,13 dengan sensitivitas 94,1% dan spesifisitas 96,0%. Simpulan, kadar titik potong neopterin adalah 43,13 ng/mL serta memiliki sensitivitas 94,1% dan spesifisitas 96,0%. Biomarker ini dapat menjadi salah satu parameter dalam memprediksi dini luaran perburukan sepsis neonatorum awitan dini dan awitan lanjut.
      NEOPTERIN SERUM AS EARLY PREDICTOR OF POOR OOUTCOME IN NEONATAL SEPSISNeopterin was known as the biomarker for diagnosed early onset neonatal sepsis. Nowadays it has been proven for neopterin as predictors of poor outcome in early and late neonatal sepsis. The objective of this study was to determine serum levels of neopterin as predictors of poor outcome in early and late neonatal sepsis. The study held from May to July 2017 in Dr. Hasan Sadikin General Hospital Bandung. All subjects were neonatal sepsis with Tollner score ≥10 observed for serum levels of neopterin with ELISA method and then followed during hospitalization. The outcome defined as good and poor outcomes. The data were analyzed using receiver operating characteristic (ROC) for getting area under curved, cut-off point and also sensitivity, specificity. Research subjects consisted of 42 neonates, the majority which experienced poor outcomes were male (10 subjects), early onset sepsis (11 subjects), section cesarean procedure (11 subjects) and were born in a hospital (14 subjects). Serum neopterin levels findings significantly correlated with poor outcomes. Mean of poor outcomes in sepsis was 60.97 ng/mL with observed levels 40.63–92.04 ng/mL. Area under the ROC curve of neopterin were 0.981 (95% CI=0.882–1.000; p<0.001). Cut off levels of neopterin >43.13 with sensitivity 94.1% and specificity 96.0%. In conclusion, cut off levels of neopterin >43.13 with sensitivity 94.1% and specificity 96.0%. Neopterin defined as a biomarker for the early predictor of poor outcome in early and late onset neonatal sepsis.
      PubDate: 2017-12-27
      DOI: 10.29313/gmhc.v5i3.3101
      Issue No: Vol. 5, No. 3 (2017)
       
 
 
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