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PENGETAHUAN DAN TINDAKAN KADER TB DALAM UPAYA PENGENDALIAN PENYAKIT TB PARU DI KABUPATEN KEPULAUAN MERANTI Pebryanty, Putri; Restuastuti, Tuti; ", Zahtamal
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 4, No 2 (2017): Wisuda Oktober Tahun 2017
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTTuberculosis is contagious disease that caused by Mycobacterium tuberculosis. Public health office of Riau Province stated that Case Detection Rate (CDR) of pulmonary TB in 2013 was 35,7% of 5.648.523 people. The case finding of TB with positive acid-fast bacilli in 2014 in Meranti Islands Regency was 16,95%. Meranti Islands Regency is one of regency having trained people to be TB cadre. This research aimed to know the knowledge and action of cadre in managing pulmonary TB in Meranti Islands Regency. This research was conducted on February 2017 in Alai Public Health Centre, West Tebing Tinggi District, Meranti Islands Regency. This research used qualitative descriptive design. Data was taken by deep interview with cadre that fulfilled critetria, then triangulation was done with supporter informants. This research showed that the knowledge of TB cadre to TB was good enough especially about the definition, symptomps, and risk people having TB. While they still had lack of knowledge about the causing agent and transmission of TB. The action of TB cadtre in Alai Public Health Centre was not ideal especially in referring TB suspect. While case finding of TB, counseling, supervision for administering medication, and motivating had been good.Keyword: Knowledge, action, management of TB, TB cadre
Pengaruh Kondisi Kesehatan Lingkungan Terhadap Kepuasan dan Jumlah Kunjungan Pasien di Puskesmas Kota Pekanbaru Sulistiawati, Mailinda; Zulkarnaini, Zulkarnaini; Zahtamal, Zahtamal
Dinamika Lingkungan Indonesia Vol 5, No 1 (2018)
Publisher : Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.29 KB) | DOI: 10.31258/dli.5.1.p.57-62

Abstract

Given the importance of environmental health at puskesmas in the environmental health care system to create a healthy environment that can provide protection for patients and puskesmas. This study aims to analyze the partial and simultaneous influence between the buildings outside, building in the building, sanitation facilities and hygiene management on environmental health condition, analyze the effect of Puskesmas environment condition to the satisfaction and number of patient visit at Pekanbaru Health Center. This study used survey methods conducted at all public health centers in Pekanbaru City from April to August 2017. The sample size was 20 Puskesmas and 400 patients visited the Puskesmas. The tools and materials used in this research are observation instruments and use checklists and questionnaire interview instruments (questionnaires). The partial simultaneous effect of outbuildings, in-building buildings, sanitation facilities and hygiene management on the health condition of the puskesmas was used multiple regression tests, with the result of correlation of the condition of outsides to 0.321 outbuildings, buildings in 0.834, sanitation facilities 0.876 and cleanliness management 0.640. The direction of positive relationships shows the greater the assessment of the four variables will increasingly make the score of environmental health assessments getting bigger as well. Influence of health condition of environment of puskesmas toward patient satisfaction using multiple linear regression test and the result is 0,669. This shows a strong influence between environment health variable of puskesmas and satisfaction of respondent who come to visit puskesmas. R Square 0,448 or coefficient of determination mean 44,8% satisfaction of respondent can be explained by environment health variable of puskesmas. The influence of health condition of puskesmas on the number of patient visit using simple linear regression test and the result is 0,628. This shows a strong correlation between environment health variables of puskesmas with respondent visit coming to visit puskesmas. R Square 0,394 or coefficient of determination mean 39,4% of respondent visit can be explained by environment health variable of puskesmas while the rest is explained by other cause. It is necessary to increase health promotion and education about the importance of environmental health of puskesmas for the community about the health condition of the environment that fulfill the health requirement and increasing the role of Dinas Kesehatan in supervision of health of puskesmas environment to be better and become the reference of accreditation of puskesmas according to standard from the Ministry of Health RI.
Analisis Hubungan Sanitasi Lingkungan Terhadap Keluhan Penyakit Kulit Zahtamal, Zahtamal; Restila, Ridha; Restuastuti, Tuti; Anggraini, Yuni Eka; Yusdiana, Yusdiana
Jurnal Kesehatan Lingkungan Indonesia Vol 21, No 1 (2022): Februari 2022
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.21.1.9-17

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Latar belakang: Masalah sanitasi lingkungan antara lain ketersediaan air bersih, kondisi fisik rumah, keberadaan vektor dan binatang pembawa penyakit masih menjadi pemicu tingginya penyakit kulit di masyarakat. Tujuan penelitian ini adalah mengetahui hubungan sanitasi lingkungan terhadap keluhan penyakit kulit di masyarakat.Metode: Jenis penelitian ini adalah analitik dengan desain  cross sectional. Variabel dependen adalah keluhan penyakit kulit, sedangkan variabel independen antara lain sumber air bersih dan air minum, jamban, saluran pembuangan air limbah (SPAL), kondisi rumah (tata ruang, sekat pada dapur, dinding rumah, ventilasi ruang keluarga dan kamar tidur, lubang udara pada dapur, dan kepadatan hunian kamar tidur), tanda keberadaan binatang dan vektor pembawa penyakit (tikus, kecoa, nyamuk, serangga). Pengumpulan data variabel independen dilakukan dengan wawancara dan observasi, sedangkan variabel dependen dilakukan melalui variabel dependen (keluhan penyakit kulit) dilakukan melalui pemeriksaan klinis dan hasil diagnosis oleh dokter spesialis kulit dan kelamin.  Populasi penelitian adalah seluruh masyarakat di desa Ranah. Jumlah sampel menggunakan rumus estimasi proporsi didapatkan jumlah sampel 245 orang. Teknik pengambilan sampel menggunakan purposive sampling.  Data dianalisis dengan chi-square dan regresi logistik berganda.Hasil: Hasil penelitian ini menunjukkan 36,73% (95% CI: 30,69% - 42,76%) responden mengalami keluhan penyakit kulit. Analisis bivariat didapatkan hanya ventilasi tidak memenuhi syarat yang berhubungan signifikan terhadap masalah kesehatan kulit (p value 0,001). Sementara sumber air bersih dan air minum, jamban,SPAL), jenis lantai rumah, kondisi rumah lainnya dan keberadaan binatang dan vektor pembawa penyakit tidak berhubungan signifikan terhadap keluhan penyakit kulit (p value>0,05).  Analisis multivariat diperoleh hasil faktor risiko yang paling berhubungan adalah ventilasi ruang keluarga (p value 0,0001, adjusted OR 6,34), kemudian SPAL (pvalue 0,02 adjusted OR 2,51), dan keberadaan vektor pembawa penyakit (serangga) (p value 0,007 adjusted OR 2,44)Simpulan: Penelitian ini membuktikan faktor lingkungan yang berpengaruh terhahap keluhan penyakit kulit  adalah ventilasi, sumber air minum, SPAL,  dan keberadaan serangga. ABSTRACT Title: Relationship of Environmental sanitation with Complaints of Skin DiseaseBackground: Environmental sanitation problems include the availability of clean water, the physical condition of the house, the presence of vectors and disease-carrying animals that still trigger high levels of skin disease in the community. The purpose of this study was to determine the relationship between environmental sanitation and complaints of skin diseases in the community.Method: This study used a quantitative approach with a sectional corss study design. Data collection for the independent variables was carried out by interview and observation, while the dependent variable was carried out through clinical interviews. The environmental aspects studied were sources of clean and drinking water, latrines, sewerage (SPAL), house conditions (layout, kitchen partition, walls of permanent houses, house and bedroom ventilation, air holes in the kitchen, and room density), and signs of the presence of animals and disease-carrying vectors (rats, cockroaches, mosquitoes, insects, and flies). The number of samples was 245 people taken by purposive sampling. Data were analyzed by chi-square and multiple logistic regression.Result: The results of this study showed that 36.73% (95% CI: 30.69% - 42.76%) of respondents had complaints of skin disease. Bivariate analysis found that only ventilation had a significant effect on skin health problems (Pvalue 0.001). Meanwhile, clean and drinking water sources, latrines, sewerage), types of house floors, other house conditions and the presence of animals and disease-carrying vectors did not have a significant relationship with skin problems (p value> 0.05). Multivatiate analysis showed that the most influential risk factors were house ventilation (p value 0.0001, adjusted OR 6.34), then SPAL (p value 0.02 adjusted OR 2.51), and the presence of disease-carrying vectors (insects) (p. value 0.007 adjusted OR 2.44)Conclusion: Environmental factors that affect symptoms of skin disease in the community are air ventilation, SPAL, and the presence of insects. The sanitation factor was not significantly related.
Analisis Pemberdayaan Masyarakat di Bidang Kesehatan Tuti Restuastuti; Zahtamal Zahtamal; Fifia Chandra; Ridha Restila
Jurnal Kesehatan Melayu Vol 1, No 1 (2017): September 2017
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.584 KB) | DOI: 10.26891/jkm.v1i1.2017.14-19

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Pemberdayaan masyarakat  merupakan lini terdepan dalam promosi kesehatan dan wajib dilaksanakan oleh seluruh puskesmas. KepMenKes no 128/MenKes/SK/2/2004, Dinas Kesehatan bertanggung jawab menyelenggarakan kesehatan masyarakat, salah satu fungsi peran puskesmas merupakan pusat pemberdayaan masyarakat dengan strategi kemitraan dengan kelompok masyarakat. Penelitian ini bertujuan menggambarkan pemberdayaan masyarakat dalam bidang kesehatan di Kota Pekanbaru.Penelitian ini merupakan penelitian deskriptif dengan menggunakan metode survei.Sampel penelitian adalah sepuluh puskesmas di Kota Pekanbaru, pengambilan data dilakukan dengan cara pengisian kuesioner, catatan program  dan data sekunder dari profil Puskesmas.Hasilnya dari delapan Organisasi Masyarakat, untuk Posyandu  seluruh Puskesmas sudah dilaksanakan. Gambaran aspek pemberdayaan masyarakat di Kota Pekanbaru yang terdiri dari (3 aspek) : keaktifan tokoh masyarakat, ketersediaan organisasi kemasyarakatan dan UKBM, pemanfaatan sarana dan material dari masyarakat sudah terlaksana secara optimal. Namun, pada 4 aspek, yaitu ketersediaan dana masyarakat, penggunaan pengetahuan masyarakat, teknologi dari  masyarakat, dan pembuatan keputusan oleh masyarakat belum terlaksana seluruhnya. Masih banyak kegiatan organisasi dan UKBM yang tidak berjalan optimal kecuali posyandu aktif. UKBM polindes masih sangat sedikit dilakukan di wilayah kerja puskesmas di Kota Pekanbaru. Keterkaitan pelaksanaan fungsi pemberdayaan oleh puskesmas dengan sumber daya dan proses manajerial puskesmas sudah dalam kategori baik. Sedangkan pada ketersediaan jejaring dan organisasi termasuk kategori cukup
Faktor-Faktor yang Mempengaruhi Kejadian Pedikulosis Kapitis pada Murid Kelas III, IV, V Dan VI SDN 019 Tebing Tinggi Okura Kecamatan Rumbai Pesisir Pekanbaru Aprilia Zulinda; Yolazenia Yolazenia; Zahtamal Zahtamal
Jurnal Ilmu Kedokteran Vol 4, No 1 (2010): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (41.18 KB) | DOI: 10.26891/JIK.v4i1.2010.65-69

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Pediculosis capitis disease spread on to the whole world and found mostly in people with low in hygiene and socioeconomic.This Pediculosis capitis could be found in all age people especially in student age. The purpose of thisresearch was to know description the factors that affect Pediculosis capitis case in IIIrd, IVth, Vth and VIth graders ofSDN 019 Tebing Tinggi Okura in Rumbai Pesisir subdistrict of Pekanbaru. This cross sectional research had beendone in March until August 2009 period. Sampel examination was done in macroscopicaly using serit comb to find thelouse eggs and mature louses. From this study, 53 (39,3%) of 135 sampel student were infected by Pediculus humanuscapitis. Based on data analyses, there were known that sex, hair length, parents education, social and economicalcondition of the family, hair washing frequence, using tools related to hair together and comb cleaning custom variableshad significant relation that affect Pediculosis capitis (p<0,05).
Analisis Faktor Perilaku Kaitannya dengan Permasalahan Pelayanan Kesehatan Ibu dan Anak (KIA) di Provinsi Riau Zahtamal Zahtamal; Tuti Restuastuti; Fifia Chandra
Jurnal Ilmu Kedokteran Vol 4, No 1 (2010): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (76.218 KB) | DOI: 10.26891/JIK.v4i1.2010.20-29

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The low of health community status for this time is still health problems in Indonesia, marked with the high maternalmortality and infant mortality rate. According to health survey, there are still many indicators of maternal, newbornand child health (MNCH), show low achievement. The aim of this study was to find the situation of MNCH servicesand to describe determining factors of the problems in Riau Province. Method of this research was a descriptive designwith quantitative and qualitative data. Result obtained in this research described that some indicators of MNCH servicesperformance were achievable and some were not. The profile of community on health behavior about maternal healthwas shown with good knowledge, neutral attitude, and good practice. Then, the profile of community health behaviorabout newborn and child health was shown with middle level of knowledge, positive attitude, and good practice. Keyperson, mostly categorized as a decision maker for health action was husband/wife. Viewed from quickly action onresponse of sick/unhealthy family members for MNCH services indicated that there was not late decision. There werestill many communities’ beliefs, not match with health value, especially for MNCH.
Perilaku Masyarakat Dalam Menghadapi Dampak Kesehatan Akibat Bencana Banjir Di Desa Lubuk Siam, Kabupaten Kampar, Riau Gebrina Reski; Zahtamal Zahtamal
Jurnal Ilmu Kedokteran Vol 15, No 2 (2021): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v15i2.2021.69-78

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Riau Province is one of the areas in Indonesia that is prone to flooding, one of which is in the village of Lubuk Siam, Siak Hulu District, Kampar Regency. Flood conditions that have a negative impact are often caused by the low behavior of the community. The purpose of this study was to determine the behavior of the community in dealing with the health impacts of the flood disaster. This type of research is descriptive qualitative with a phenomenological approach. This research was conducted in Lubuk Siam Village, Siak Hulu District, Kampar Regency, Riau Province. The informants in this study were 16 participant consisting of the community, the village head and staff, representatives of the puskesmas, community leaders and youth leaders who were obtained by purposive sampling technique. The data in this study were analyzed by content analysis. Data collection uses focus group discussions, in-depth interviews, and observations. The results of this study obtained that community behavior in dealing with health impacts due to flooding is still not ideal, some efforts to prevent health impacts and flood disaster management have been good and some have not. In terms of preparedness to face floods, the community has not as a whole prepared evacuation facilities during floods, logistics and medicines as first aid during floods. Treatment efforts if there are family members who experience health effects are still not optimal. Treatment efforts seem to be meager.
Hubungan Derajat Akne Vulgaris dengan Kepatuhan Pengobatan pada Mahasiswa di Fakultas Kedokteran Universitas Riau Alida Widiawaty; Zahtamal Zahtamal; Normalina Sandora; Amelinda Amelinda; Mugen Adi Suryo; Sysca Priastiwi
Jurnal Ilmu Kedokteran Vol 12, No 1 (2018): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (46.071 KB) | DOI: 10.26891/JIK.v12i1.2018.25-31

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Successful treatment of acne vulgaris (AV) can impact patient’s quality of life. AV treatment outcome is associated with the patient adherence. The aim of this study was to know the association between acne vulgaris and adherence among medical students of Universitas Riau. The samples were students with AV according to inclusion criteria as 39 respondents. In this study, respondents got check the grade of the AV according to Lehmann classification, the adherence was measured using the translation and modification of Elaboration d’un outil d’evaluation de l’observance des traitements medicamenteux (ECOB) Questionnaire that has been tested. In this study, mild AV was found among 69.23% of the respondents as the most AV grade found among the respondents. Adherence rate was found to be poor as 53.85% of the respondents have poor adherence to medication. Statistic test showed there was a correlation between AV grade and adherence with the p-value of 0,006 (p<0,05).
Gambaran Kesadaran dan Intensi Remaja Kurus Tentang Latihan Fisik Farah Diba; Zahtamal Zahtamal; Imelda Pardede
Jurnal Ilmu Kedokteran Vol 14, No 1 (2020): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v14i1.2020.59-67

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Underweight is a public health problem and the incidence rate is still increasing worldwide, including in Indonesia. This condition is more common in adolescents due to inadequate food intake and lack of nutritional knowledge. The other factor that determines nutritional status is physical exercise. The purpose of this study was to describe the awarenesss and intentions of underweight adolescents about physical exercise. This research was a quantitative descriptive study. It was conducted at SMA Negeri 5 and 3 in Pekanbaru. Ninety two underweight subjects were obtained by purposive sampling technique. Data collected using questionnaire and then analyzed by univariate analysis. The results of this study found that 63% underweight adolescent were female and they were experiencing mild to severe  underweight. Most subjects have moderate awareness (77.2%) and good intention (64.13%) about physical exercise. It can be concluded that underweight adolescents have moderate awareness and good intention about physical exercise, despite they are being underweight.
Pengaruh Kombinasi Latihan Beban dengan Metode Pyramid set dan Konsumsi Susu Tinggi Protein Terhadap Peningkatan Massa Otot Melfi Triani Siska; Zahtamal Zahtamal; Fachriani Putri
Jurnal Ilmu Kedokteran Vol 13, No 2 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v13i2.2019.36-45

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Weight training with pyramid set method and high protein milk are the effective methods to increase muscle mass. There are not many studies that combined these 2 methods to increase the muscle mass The purpose of this study was to analyze the effect of combination of pyramid weight training sets and consumption of high protein milk to increase the muscle mass. This type of study is a quasi-experimental one group with a pre and post test design. The study period was 8 weeks with 32 meetings and high protein milk in of 32 grams of whey protein concentrate before and after exercise.The results of this study also prove that there is a significant effect of intervention on participants muscle mass with p = 0,000. It can be concluded that the combination of pyramid weight training sets and high  protein milk consumption is effective to increasing muscle mass.
Co-Authors Adhisti Handarie Agung Adrianison Adrianison afdhal cahya pratama Agrina Agrina Agrina Agrina Aisyah Ratu Ikhsan Akrom, Akrom Alida Widiawaty Amelinda Amelinda Anak Agung Istri Sri Wiadnyani Andini Fesya Putri Andry Wahyudi Agus Anisa Nur Eksanti Aprilia Zulinda Aras Mulyadi Ardilah Rahmadani Arizta Nanda Putri Arwina Pratiwi Kuswoyo Asmita Meilani Aulia Rizky Agita Nasution Besri Nasrul Carles Carles Chairul, Chairul Dahlan Tampubolon Debby Febriani Dian Maulidawati Dwi Kurniawati R Dyah Siswanti Estiningsih ecy kartika sari Elda Nazriati Elvina Carolina Erni Setiawati Fachriani Putri Faisal Yunus Fajri Marindra Siregar Farah Diba Fazli Fazli Febrialismanto Febrialismanto Febrialismanto Febrialismanto Fifia Chandra Fifia Chandra Fifia Chandra Fifia Chandra Fifia Chandra Fifia Chandra Fifiz Chandra Friska Meliana Putri Gebrina Reski Geovani Meiwanda Hafiko Andresni Hamida Sari Batubara Hamidah Batubara Hengki Firmanda Ibnu Daqiqil Imelda Pardede Indra Lesmana Jadi Prasmadi Khaiziana Syaputri Lesi Kurnia Putri Lidya Novita Lientje K Setyawati Lientje Setyawati Lientjie K. Setyawati Lilly Haslinda Lita Maliki Maliki Melfi Triani Siska Miftahul Kurniawan Mitra Mitra Mugen Adi Suryo Muhamad Nur Mahmudi Muhammad Adzan Ramadhan Muhammad Agus Setiawan Muhammad Naufal Musyaffa Salim Muliyono Muliyono Nabillah Nastiti Wardhana Normalina Sandora Nurhapida Nurhapida Nurlisis, Nurlisis Paridah Paridah Pebryanty, Putri Radith Mahatma Radith Mahatma Rahman Karnila RAHMI NOVALINA Rany, Novita Resti Palupi Ridha Restila Ridwan Manda Putra Rita Endriani Rohani Romi Kurniadi Santo Gwee Sofyan Husein Siregar Sri Endang Kornita Sri Melati Munir Sri Melati Munir Sri Retno Pramesti Sukendi Sukendi Sulistiawati, Mailinda Sulistiawati, Mailinda Suyanto Suyanto Syarifah Na’imi Aqila Sysca Priastiwi Tia Masita Rosadi Tuti Restuastuti Tuti Restuastuti Tuti Restuastuti Tuti Restuastuti Tuti Restuastuti Tuti Restuastuti Tuti Restuastuti Ulfa Raudha Viktor Amrifo Wasilah Rochmah Wasilah Rochmah Winda Septiani Yanti Ernalia Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yessi Alza Yessi Alza Yolazenia Yolazenia Yuni Eka Anggraini, Yuni Eka Yuni Eka. A Yusdiana Yusdiana Yusdiana, Yusdiana Yusni Ikhwan Siregar Yuyun Priwahyuni Zulkarnain Umar Zulkarnaini Zulkarnaini Zulkifli Zulkifli Zulkifli Zulkifli