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Determinan Sosial Pasien Tuberkulosis Sebagai Faktor Resiko Penularan Tuberkulosis Riwayat Kontak Serumah di Wilayah Kerja Puskesmas Panjang dan Sukaraja Annas Fadhillah Bilqishti; Dyah Wulan Sumekar; T.A. Larasati
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.22

Abstract

Pulmonary tuberculosis (TB) is transmitted through droplets. The possibility of TB infection is greater in groups close to patient, especially at home. Risk factors that influence TB are social determinants in the form of education level, employment, income and social class; The purpose of this study was to determine the effect of social determinants as risk factors for pulmonary TB transmission with a history of household contact. This research uses Case Control method. Case population was taken from smear TB patients (+) in July-December. Case and control samples were taken by respondents amounted of 30 people. Data analysis was performed by Chi Square test. Results The proportion of respondents from the case sample (53%) was male. For the control sample it was found (76%) that was also male. There was no relationship between education and household contact with TB (P = 0.605) work (P = 0.605), income ((P = 0.193), nor social class (0.111). Risk factors for household contact TB: Social determinants are not a risk factor for transmission of household contact tuberculosis
Hubungan Konsumsi Suplemen Kalsium yang Kurang Selama Kehamilan sebagai Risiko Kejadian Preeklampsia di Rumah Sakit Umum Daerah (RSUD) Kota Agung Kabupaten Tanggamus Rendika Oktavia Widiastuti; Dyah Wulan Sumekar; Ratna Dewi PS; Rodiani
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.49

Abstract

Preeclampsia is one form of hypertension in pregnancy. The proportion of hypertension in pregnancy as the leading cause of maternal mortality is increased compared with bleeding and infection. There are potential benefits from the consumption of calcium supplements during pregnancy that decrease preeclampsia. The Purpose of this study was to determine the risk of consuming fewer calcium supplement during pregnancy to the incidence of preeclampsia at RSUD Kota Agung Kabupaten Tanggamus. The design of this study is case-control. The case population was pregnant women with preeclampsia and the control population was pregnant women without preeclampsia. The sample of case consists 46 respondents and sample of control consists 46 respondents. Incidence of preeclampsia data was obtained from the KIA book, while consumption of calcium supplement from the questionnaire. Bivariate analysis using Chi-square. In pregnant women with preeclampsia more who consuming less calcium (65.2%) than the control group (34.8%). Based on bivariate analysis, p = 0.004 and OR 3.875 (95% CI: 1.632 – 9.203). Consumption of fewer calcium supplements during pregnancy may increase the risk of preeclampsia by 3.8 times when compared with those consuming enough calcium supplements during pregnancy.
Hubungan Tingkat Pengetahuan Setelah Pendidikan tentang Upaya Berhenti Merokok (UBM) dengan Tingkat Keterampilan Konseling Sebaya di SMKN 2 Bandar Lampung Geta Okta Prayogi; Dyah Wulan Sumekar; Sutarto; Riyan Wahyudo
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.56

Abstract

Smoking is a bad habit that danger the smoker and the non smoker. In SMKN 2 Bandar Lampung, some students have started smoking. Therefore, it is urgent to conduct socialization and found anti-smoking agents. This research is aim to identify knowledge level after education of smoking cessation efforts and peer counseling skill level, and also strength of relationship between knowledge level and peer counseling skill level. The research used cross sectional method with one group posttest design about smoking cessation efforts and peer counseling skill. Sampling technique was total sampling. The research was carried out in May-June 2017 at SMKN 2 Bandar Lampung. Sample consists of 21 peoples. Data was obtained from knowledge questionnaires and skill checklist of peer counseling. The result showed that the majority of student had good knowledge (86%) and skills (90,5%). The result of bivariate analyze obtained p value=0,014<0,05 which means there is relationship between knowledge level and skill level. There was a significant relationship between knowledge level after education about smoking cessation efforts and peer counseling skill level in SMKN 2 Bandar Lampung.
Peningkatan Pengetahuan Siswa SMKN 2 Bandar Lampung Tentang Bahaya Rokok Melalui Penyuluhan Nisrina Aulia Amirah; Dyah Wulan Sumekar; Tri Umiana Soleha; Mukhlis Imanto
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.65

Abstract

Smoking is a global health problem, almost every country experiences an increase in adolescent smokers. Indonesia is the third largest country with the highest number of smokers after China and India. Various methods have been used to reduce the number of smokers at an adolescent. One effective method of preventing an increase in the number of adolescent smokers is counseling about cigarette risk knowledge. In preliminary research, we got there are around 90% of smoking students especially male students. The cause is lack adolescent knowledge against the dangers of smoking. This research aims to know the effect of counseling on cigarette risk knowledge in student SMKN 2 Bandar Lampung. It was carried out in April 2017, place in SMKN 2 Bandar Lampung. The results of the hypothesis with the values of the t-test paired obtained p = 0000 that indicate a difference of knowledge comparison before and after counseling on Students of SMKN 2 Bandar Lampung. So it can be inferred that the counseling intervention can increase cigarette risk knowledge on students SMKN 2 Bandar Lampung.
Hubungan Kebersihan Diri dengan Kejadian Diare pada Petugas Kebersihan Tempat Pembuangan Akhir Bakung Bandar Lampung Agung Satria Utama H; Dyah Wulan Sumekar; Sofyan Musyabiq Wijaya
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.87

Abstract

Personal hygiene means the act of maintaining one's personal hygiene and health for their physical and psychological well-being. Personal hygiene is one of the factors that can increase the risk of diarrhea. Janitors are a group of workers who have a high risk of experiencing health problems because of continuous exposure to garbage. The objective is to identify the relation of personal hygiene with diarrhea occurrence at janitor in Bakung landfills Bandar Lampung. The design of this survey is the analytical method with a cross-sectional approach to 58 respondents. This study used a questionnaire to assess the respondent’s personal hygiene and the incidence of diarrhea. The data obtained were calculated using the Chi-square test. Out of 58 participants, 40 participants (69%) were found to have good personal hygiene and 18 participants (31%) were found poor personal hygiene, while 24 participants (41,4%) were found experienced diarrhea and 34 (58,6%) were found did not experience diarrhea. Chi-square test result showed that there was a correlation between personal hygiene and diarrhea occurrence with a p-value of 0,02 (p<0,05). The findings in this study can be understood as there was a correlation between personal hygiene and diarrhea occurrence at janitor in Bakung landfills Bandar Lampung.
Permodelan Probabilitas Kejadian Stunting Sutarto Sutarto; Dyah Wulan Sumekar; Sofyan Musyabiq Wijaya; Reni Indriyani
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2198

Abstract

Stunting atau perawakan pendek (shortness) adalah suatu keadaan tinggi badan (TB) seseorang yang tidak sesuai dengan umurnya. Berbagai hal penting untuk perlu dipahami di Indonesia mempunyai masalah gizi, ditandai banyak kasus gizi kurang anak balita, sehinga dapat berakibat stunting. Sangat banyak dan beragam faktor risiko yang berpengaruh terhadap stunting, sehingga rumusan masalahnya adalah belum ada permodelan kejadian stunting di Lampung Selatan. Untuk mengetahui permodelan determinan kejadian stunting di Kecamatan Ketapang Kabupaten Lampung Selatan. Menggunakan desain Case Control Study, dilakukan di Kabupaten Lampung Selatan dengan populasi balita/orang tuanya di desa Kemukus dan Bangun Rejo, Kecamatan Ketapang dan sampel terpilih sebanyak kasus 52 orang dan kontrol 52 orang. Hasil akhir uji permodelan stunting yang paling baik dalam penelitian ini, berupa persamaan model kejadian stunting (Y) = -2,713 + 1,768 (Jenis ANC) + 1,543 (Tindakan Persalinan) + 1,135 (Kelengkapan ANC). Persamaan ini merupakan perwujudan dari persamaan P=(1/1+e-y). Persamaan model stunting ini dapat digunakan untuk memprediksi kemungkinan (probabilitas) kejadian stunting di wilayah ini. Misalkan ke-3 variabel di atas tidak ada maka probabilitas stunting sebesar 93,7% dan jika sebaliknya, probabilitas stunting sebesar oleh 15,2%. Status permodelan stunting cukup baik, menurut test Hosmes dan Lemeshow (77,9%) dan nilai kualitas 682 (68,2%). Determinan kejadian di wilayah kecamatan Ketapang adalah pada kualitas pelayanan antenatal care dan jenis tindakan persalinan, yaitu jenis petugas pelayanan antenatal care (ANC), jenis tindakan persalinan dan kelengkapan sewaktu ANC. Upaya menekan kejadian stunting di wilayah Ketapang, harus dilakukan tindakan peningkatan kualitas pelayanan ANC dan tindakan persalinan disarankan dilakukan di unit fasilitas pelayanan kesehatan.Kata kunci: permodelan, determinan, stunting