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Non-dirt house floor and the stimulant of environmental health decreased the risk Acute Respiratory Infection (ARI) Suriyasa, Putu; Balgis, Balgis; Sapton, Ristu; Hapsari, Mantrini I.
Medical Journal of Indonesia Vol 15, No 1 (2006): January-March
Publisher : Faculty of Medicine Universitas Indonesia

The risk factors related to acute respiratory infection (ARI), among others, is house floor. The aim of this research was to identify the influence of the Family Health and Nutrition program (FHN) and other risk factors related to ARI. Data was obtained from a survey conducted in 5 provinces in Indonesia, which received the project of Family Health and Nutrition (FHN) in 2003. The number of subjects was 1,500 families, selected by stratified random sampling method. The questionnaire completion and the observation were done on the spot in the subjectâs house by special trained interviewers. The use of non-dirt house floor built prior to the project of FHN decreased the risk of ARI cases of 51% than the use of dirt house floor [Odds Ratio (OR) = 0.49; 95% Confidence Interval (CI) = 0.25-0.96]. The risk of ARI decreased of 52% among those who received than those which never received the stimulant of environmental health Family Health and Nutrition program (OR = 0.48; 95% CI =0.33-0.70). To decrease the risks of ARI cases, the program of environmental health is necessarily continued. (Med J Indones 2006; 15:60-5)Keywords: ARI, non-dirt house floor, and stimulant of environmental health

Potable water source and the method of garbage disposal in lowering the risk of diarrhea Suriyasa, Putu; Balgis, Balgis; Saptono, Ristu; Hapsari, Mantrini I.
Medical Journal of Indonesia Vol 13, No 2 (2004): April-June
Publisher : Faculty of Medicine Universitas Indonesia

The problem of diarrhea can be controlled through environmental factors and good habits. The Ministry of Health of the Republic of Indonesia has designed a simple indicator to evaluate the family health potential, the Family Health Potential Index (FHPI). This study aims to evaluate the effect of FHPI and other indicators on the risk of diarrhea. The data were obtained through a survey carried out by a team from the Family Physician Studies, Graduate Program of the Universitas Sebelas Maret. The survey was held from August to September 2003 in 5 provinces receiving the Family Health and Nutrition (FHN) project. The subjects were 1500 heads of poor families chosen by stratified random sampling. Interviews and observations were carried out by special trained interviewers and held in the subjectsâ homes. The use of potable water from the water system and well source built during the FHN project lowered the risk of diarrhea by 66% compared to the use of water from other sources (adjusted odds ratio= 0.34; 95% confidence interval = 0.16 - 0.70). Disposing of garbage using pits, sewers, rivers, or simply burying in the ground, increased the risk of diarrhea by twice compared with the specific method. Providing potable water from the water system or well and proving special tank for garbage disposal were important in order to lower the risk of occurrence diarrhea in a family. The use of non-dirt floors of houses as an FHPI specifically for diarrhea should be studied further. (Med J Indones 2004; 13: 119-26) Keywords: diarrhea, potable water, garbage disposal, family health potential index, poor family

ANALISIS PROSES PELAKSANAAN ANGGARAN DANA BANTUAN OPERASIONAL KESEHATAN (BOK) PADA DINAS KESEHATAN KABUPATEN BUOL Balgis, Balgis; Muslimin, Muslimin; Yusnita, Nina
Katalogis Vol 6, No 3 (2018)
Publisher : Katalogis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.913 KB)

The research is aimed to determine the process of execution of health operational funds that includes some steps: planning, disbursement, distribution and accountability, and reporting. The research is qualitative with study case approach. It defines 18 informants, people who are responsible for managing the health operational funds, with purposive sampling technique. The study results show that the planning process is not on target due to the late publication of the guidelines, which slows down the budget execution. The human resource is lack of competency in managing the process, and also lack of coordination and miscommunication occurred in the process of budget verification. The department, and the other one is done in the PPKAD. Delay in fundsâ€™ disbursement in the beginning of the year has caused health centers are overwhelmed in preparing paper works of accountability. Alternative solution or recommendation of this study is the need to prepare adequate human resources, regulation according to the needs, and standard operating procedures in the implementation of related activities.

PENGARUH PEMBERIAN ANGKAK (Red Yeast Rice) TERHADAP KADAR KOLESTEROL TOTAL DAN TRIGLISERIDA PADA WANITA PENDERITA HIPERLIPIDEMIA Balgis, Balgis; Panunggal, Binar
Journal of Nutrition College Vol 2, No 4 (2013): Oktober 2013
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Latar Belakang : Hiperlipidemia merupakan salah satu faktor risiko terjadinya penyakit jantung dan pembuluh darah. Angkak mengandung Monakolin K, yaitu metabolit sekunder yang dapat menghambat kerja enzim HMG-KoA reduktase sehingga menghambat sintesis kolesterol. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian angkak (Red Yeast Rice) terhadap kadar kolesterol total dan trigliserida pada wanita penderita hiperlipidemia. Â Metode : Jenis penelitian adalah true experiment dengan rancangan control group pre test â€“ post test. Subjek adalah 38 wanita hiperlipidemia dengan kadar kolesterol total â‰¥200 mg/dl dan atau kadar trigliserida â‰¥150mg/dl, kelompok perlakuan mendapat 4.8 g/hari angkak dan kelompok kontrol mendapat plasebo. Intervensi dilakukan selama 14 hari. Metode CHOD-PAP digunakan untuk menganalisis kadar kolesterol total dan metode GPO-PAP digunakan untuk menganalisis kadar trigliserida, darah diambil setelah subyek berpuasa selama 10 jam. Uji normalitas menggunakan Shapiro Wilk. Analisis statistik menggunakan uji dependent t-test, Wilcoxon, independent t-test dan Mann Whitney.Hasil : Rerata kadar kolesterol total dan trigliserida sebelum intervensi kelompok perlakuan berturut-turut yaitu 227,52 mg/dl dan 166,57 mg/dl. Rerata kadar kolesterol total dan trigliserida setelah intervensi kelompok perlakuan berturut-turut yaitu 234.31 mg/dl dan 123.36 mg/dl. Konsumsi angkak dengan dosis 4.8 g/hari tidak berpengaruh terhadap kadar kolesterol total (p=0.370) dan trigliserida (p=0.099). Tidak ada perbedaan kadar kolesterol total (p=0.442) dan trigliserida (p=0.447) antara kelompok kontrol dan kelompok perlakuan. Kesimpulan : Konsumsi angkak tidak berpengaruh terhadap kadar kolesterol total dan trigliserida pada wanita penderita hiperlipidemia. Tidak terdapat perbedaan kadar kolesterol total dan trigliserida antara kelompok kontrol dan perlakuan.

Ekspresi CD3 dan CD26 pada Limfosit T sebagai Biomarker Potensial Penyakit Systemic Lupus Erythematosus Suselo, Yuliana Heri; Balgis, Balgis; Indarto, Dono
Majalah Kedokteran Bandung Vol 48, No 3 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Systemic lupus erythematosus (SLE) merupakan penyakit autoimun yang sering dijumpai pada wanita. Penyakit ini ditandai oleh hiperautoreaktivitas limfosit T dan B. Di dalam sistem imun, CD3 dibantu CD26 sebagai molekul kostimulator berkaitan erat dengan aktivasi dan migrasi limfosit T. Pada penyakit SLE, ekspresi CD3 dan CD26 serta aktivitas enzim CD26 belum diketahui. Tujuan penelitian ini adalah mengetahui ekspresi CD3 dan CD26 dalam darah serta kultur limfosit T pasien SLE. Rancangan penelitian ini bersifat eksperimen laboratorium dengan pendekatan studi retrospektif. Penelitian dilakukan di Laboratorium Biomedik, Fakultas Kedokteran Universitas Sebelas Maret Surakarta selama lima bulan (Meiâ€“September 2012). Diagnosis SLE ditentukan menurut kriteria dari American College of Rheumatology (ACR). Darah vena diambil dari tiga pasien SLE dan dua orang sehat. Satu Âµg/mL phytohaemmaglutinin (PHA) digunakan untuk stimulasi kultur limfosit T. Ekspresi CD3 dan CD26 ditentukan dengan flows sytometry. Substrat H-Gly-Pro pNA digunakan untuk menguji aktivitas enzim CD26. Data yang terkumpul dianalisis dengan uji t. Ekspresi CD3 dan CD26 menurun dalam darah dan kultur limfosit T pada pasien SLE dibanding dengan kontrol, sedangkan aktivitas enzim CD26 pada kultur limfosit T pasien SLE lebih tinggi daripada kontrol (0.042 vs 0.030 U/mL), tetapi perbedaan tersebut tidak bermakna secara statistik (p>0.05). Simpulan, terdapat penurunan ekspresi CD3 dan CD26 baik disirkulasi darah maupun di kultur limfosit T subtipe CD4+. CD3 dan CD26 berpotensi sebagai biomarker penting untuk SLE. Namun, riset lanjutan masih perlu dilakukan untuk menjelaskan peran keduanya dalam patogenesis penyakit SLE. [MKB. 2016;48(3):140â€“7]Kata kunci: CD3, CD26, systemic lupus erythematosus (SLE)CD3 and CD26 Expression on T Lymphocytes as a Potential Biomarker of Systemic Lupus ErithematosusSystemic lupus erythematosus (SLE) is an autoimmune disease that is frequently found in women and characterized by hyperautoreactivity of T and B cells. In the immune system, expressions of CD 3 and CD26 (as co-stimulatory molecule) are related to T cells activation and migration. Co-expression of CD3 and CD26 in SLE patients has not been determined. The aim of this study was to investigate the co-expression of CD3 and CD26 in blood and T cell culture of SLE patients. This was an analytical descriptive study with a retrospective approach. This study was performed at the Biomedical laboratory, Faculty of Medicine, Sebelas Maret University, for five months (Mayâ€“September 2012). SLE diagnosis was determined by using the criteria from the American College of Rheumatology (ACR). Vein blood was collected from three female patients with SLE and two healthy female controls. T cells isolated from the blood were cultured and stimulated with 1 Âµg/mL phytohaemmaglutinin (PHA). Flow cytometry was used to determine the coexpression of CD3 and CD26. CD26 enzyme activities in T cell culture were spectrophotometrically measured using H-Gly-Pro pNA substrate. Collected data were then analyzed using Studentâ€™s t test. Decreased coexpression of CD3 and CD26 was lower in blood samples and T cell cultures of SLE female patients than in control. Meanwhile, CD26 enzyme activities in SLE T cell cultures were higher than control (0.042 vs 0.030 U/mL) but no statistical difference was found (p>0.05). In conclusion, there is a decreased coexpression of CD3 and CD26 in blood circulation and T cell cultures subtype CD4+. CD3 and CD26 in SLE patients could be a prospective biomarker. Further research is required to unravel the roles of CD3 and CD26 in SLE pathogenesis. [MKB. 2016;48(3):140â€“7]Key words: CD3, CD26, systemic lupus erythematosus (SLE)Â

The influence of body image and gender in adolescent obesity Vita Pertiwi; Balgis Balgis; Yusuf Ari Mashuri
Health Science Journal of Indonesia Vol 11 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v11i1.3068

Latar Belakang: Body image adalah persepsi penampilan fisik diri sendiri. Mispersepsi berat badan pada remaja dapat menyebabkan rasa ketidakpuasan terhadap tubuh dan obesitas pada remaja. Jenis kelamin juga berperan dalam obesitas remaja dan body image. Remaja yang obes memiliki risiko penyakit tidak menular lebih besar dibandingkan remaja dengan berat badan normal. Maka dari itu, penelitian ini bertujuan untuk melihat pengaruh body image dan jenis kelamin pada obesitas di remaja. Metode: Desain penelitian ini adalah observasional dengan pendekatan cross sectional. Penelitian ini dilakukan pada bulan November 2019 di SMK Negeri 9 Surakarta. Jumlah subjek dari penelitian ini sebanyak 57 siswa yang dipilih dengan cara two stage sampling. Body image dan obesitas dinilai melalui kuesioner MBSRQ-AS, Grafik IMT berdasarkan usia dan lingkar pinggang. Data yang telah terkumpul diolah dengan independent T-test, fisher exact test, uji regresi logistik dengan nilai signifikansi p <0,05. Hasil: Terdapat perbedaan yang signifikan dalam skor body image antara kelompok obesitas dan non obesitas (p = 0,006) dan rata - rata skor laki-laki lebih tinggi dibandingkan perempuan. Selain itu, laki – laki memiliki skor lebih tinggi dalam setiap aspek body image dibandingkan perempuan. Hubungan signifikan juga ditemukan antara body image dan obesitas (p = 0,045), dan jenis kelamin dengan obesitas (p = 0,009). Kesimpulan: Ada hubungan yang signifikan antara citra tubuh dan jenis kelamin dengan obesitas pada remaja dan skor citra tubuh berbeda secara signifikan antara kelompok obesitas dan non obesitas dan antara siswa pria dan wanita. Kata kunci: body image,obesitas, jenis kelamin, remaja Abstract Background: Body image is a perception of our physical appearance. Weight misperception in adolescent lead to body dissatisfaction and obesity in adolescent. Gender also plays a role in adolescent obesity and body image. Obese adolescents have greater risk of non-communicable diseases than adolescents with normal weight. therefore, this research aims to discover body image and gender influence on adolescent obesity. Method: This study is an observational design with cross sectional approach. The study was conducted in November 2019 at SMK Negeri 9 Surakarta. The subjects were 57 sophomore that were chosen randomly with simple random sampling. Body image and obesity were measured using MBSRQ-AS questionnaire, BMI for Age Charts and waist circumference. Data was processed by independent T-test, fisher exact test, logistic regression test with significance value p <0.05. Results : There is a significant difference in body image scores between obese and non obese group (p = 0.006) and male students scored higher in every aspect of body image than female students. A significant relationship was found between body image and obesity (p=0,045), and gender with obesity (p = 0.009). Conclusion: There is a significant relationship between body image and gender with obesity in adolescents and body image scores differ significantly between obese and non obese group and between male and female students. Keywords: body image, obesity, gender, adolescents

Pelatihan Kader Posyandu Dan Posbindu Untuk Meningkatkan Performa Kader Di Wilayah Puskesmas Gondangrejo Kabupaten Karanganyar Siti Marufah; Endang listyaningsih; selfi Handayani; balgis balgis; slamet Riyadi; Arif Setyoko
Smart Society Empowerment Journal Vol 2, No 1 (2022): Smart Society Empowerment Journal
Publisher : Fakultas Kedokteran UNS

Pendahuluan: Kader yang merupakan tangan panjang dari Puskesmas memiliki peranan yang penting dalam bidang kesehatan, karena memiliki fungsi strategis dalam menangani masalah kesehatan perseorangan maupun masyarakat. Setiap bulan kader melaksanakan kegiatan layanan pemeriksaan di posyandu lansia dan balita serta posbindu dengan supervisi bidan pembina wilayah serta dibawah tanggungjawab Puskesmas. Puskesmas Gondangrejo terdapat di Kabupaten karanganyar yang memiliki 93 buah posyandu dengan 240 kadernya yang tersebar di seluruh wilayah kecamatan. Hampir 100% kader merangkap sebagai kader posyandu lansia maupun balita serta posbindu. Oleh karena itu kemampuan dan ketrampilan kader perlu selalu ditingkatkan melalui pelatihan untuk meningkatkan kualitas layanan kesehatan. Pengabdian ini bertujuan untuk memberikan pelatihan kader posyandu dan posbindu di wilayah Puskesmas Gondangrejo Karanganyar.Metode : Pengabdian dilakukan dengan memberikan pelatihan kader tentang antropometri kepada kader baik untuk dewasa, lansia dan bayi (materi dan praktik), pelatihan juga diisi motivasi sebagai kader kesehatan melalui kegiatan ice breaking dilanjutkan dengan analisis hasil secara diskriptif, selain itu dilakukan evaluasi keberhasilan program pengabdian. Pengabdian dilaksanakan di Puskesmas Gondangrejo pada bulan februari 2020 dengan subyek kader kesehatan.Hasil dan Pembahasan : Pengabdian dilaksanakan dengan baik dan mendapat dukungan penuh oleh kepala puskesmas. Puskesmas mendapatkan manfaat dengan meningkatnya pengetahuan dan ketrampilan kader, sehingga meningkatkan performa dari kader. Pengabdian ini juga memberikan sumbangsih besar dalam peningkatan motivasi kader. Antusiasme kader kesehatan terlihat dari disiplinnya kader yang mengikuti program juga keaktifan dalam diskusi. Pemahaman materi mengalami peningkatan dilihat dari nilai rata-rata nilai postest yang meningkat 27%. Motivasi kader meningkat menjadi 100% dengan peningkatan ketrampilan sebesar 98% dan kader merasakan kebermanfaatan sebanyak 100% dari pengabdian ini.Kesimpulan :Pengabdian ini memberikan sumbangsih bagi peningkatan performa kader posyandu dan posbindu di wilayah puskesmas gondangrejo Karanganyar. Kata kunci: Pelatihan; Kader; Performa; Puskesmas.

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