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INDONESIA
MANDALA of Health
Published by Universitas Jenderal Soedirman
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Arjuna Subject : -
Articles 36 Documents
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SURVEI CEPAT: KARAKTERISTIK & PREVALENSI ANEMIA IBU HAMIL DI KABUPATEN SUKOHARJO TAHUN 2011 Wibowo, Yudhi; Prihatmo, Wisnuwijoyo
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

In pregnant women, anemia increases the frequency of complications of pregnancy and childbirth. Maternal mortality in Sukoharjo mainly due to eclampsia 10 cases (47.62%), bleeding in 4 cases (19.05%) and others 7 (33.33%). This rapid survey aims to obtain a picture of the characteristics and prevalence of anemia in pregnant women in Sukoharjo District in 2011. Population of maternal anemia were all pregnant women registered in March 2011. If the assumption that pervalence of maternal anemia in the population of 3.92%, the maximum acceptable in the 95% confidence interval is 10% or 49% upper limit and lower limit of 30%, with a design effect of low category (2), and 1 person per eligible household with 30 clusters in the first stage and seven pregnant women in the second stage of the samples, so respondents of the Rapid Survey are 210. Characteristics of respondents are not or low educated at 45.8%. Families with incomes below the minimum wage by 42.9%, 65.4% of pregnant women did not work, 78.8% of pregnant women get TTD <90 tablets and ANC ≥4 times has only reached 65%. The prevalence of maternal anemia was 51.3% and prevalence of KEK of 24.6%. Most respondents (59.3%) receiving the number of TTD  approximately 10 tablets. To improve the health of the mother then the quantity and quality of ANC services improved. Early detection of risk factors more attention. Services are based on the provisions of SOP conformity; and the quantity and quality of TTD improved. TTD should be given a total of 30 tablets at once. 
EFEKTIFITAS PEMBERIAN EKSTRA PUTIH TELUR TERHADAP PENINGKATAN KADAR ALBUMIN PADA PASIEN TUBERKULOSIS DENGAN HIPOALBUMIN prastowo, agus; wiryatun, lestariana
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Background. Tuberculosis is world health problem which is still need attention. Recently, tuberculosis in Indonesia as the third biggest after India and China. Albumin decrease significantly in tuberculosis patients, and causing it suspect is nutrition factors (low intake, anorexia, increasing catabolism), enteropati and acute protein reaction. Considering albumin function of the body is very important, food survey should be done for knowing what kind of food can increase albumin to tuberculosis patients. In this survey patients are given egg white extra.Objective. The purpose of this research wass to assess egg white intake associated with increasing albumin.Methods. A single blind randomized controlled trial was conducted at Margono Soekarjo Purwokerto hospital in 2013. Sampling technic is simple random sampling of 75 patients  were allocated to study (n = 37) and a control (n = 38) goup. Both groups received high energy high protein diet, the study group received, additionally, an oral egg white-based on formula calculation Baxter for 14 days. Control group received, additionally, an extra soybean curd and mungbean powder. Albumin is checked before and after doing. Data is analyzed by Mann Whitney analysis to know different of albumin of two group.Results. Research results show average albumin before doing of study group is 2.82 g/dL and control group is 2.85 g/dL. Average albumin after doing of study group is 3.47 g/dL and control group is 2.81 g/dL. Bivariat analysis results show different significant of increasing albumin between study group and control group with p = 0.001 (p < 0.05).Conclusion. Egg white increase albumin to tuberculosis patients effectively.
PENGARUH RENANG INTENSITAS RENDAH (LOW INTENSITY SWIMMING) TERHADAP KAPASITAS VITAL PARU Maharani, Purindri; Suharno, Suharno; Kusuma, MNH
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Pulmonary disease was ranked on the third place of the most common disease with the prevalence of 17%. Pulmonary disease can lead to a decrease in vital capacity of the lungs. Vital capacity of the lungs are also affected by other factors such as body mass index, gender, age, as well as physical activity. Several previous studies have shown that swimming activity can increase lung capacity and the ability of respiration as well. Based on these results, the aim of this study was to determine the effect of swimming on lung vital capacity changes at male medical students.This study using pre-experimental with pre and post test design and twenty male of medical students (mean age 19.5±1.5 yr;bmi 21.9±3.4kg/m²) were selected by consecutive sampling technique and adjusted to inclusion and exclusion criteria. Spirometry inspection, chest radiographs through X-ray and ECG was also done interpreted by medical specialists to ensure that the samples did not have a history of cardiac as well as pulmonary disease.Swimming was conducted for 2 weeks with a frequency of 1 time a week for 30 minutes. The method of training using repetition interval extensive by dividing the volume of exercises into 5 series. Each series of exercises performed for 6 minutes easy swimming in training zone of 70%-85% of MEHR (Maximum Exercises Heart Rate) with rest periods between series for 15 minutes. Measurements of lung vital capacity was done twice, ie prior and post of intervention and the data would be statistically analyzed by paired t-test method. The result showed that there is a significant difference of lung vital capacity pre and post intervention. The means of lung vital capacity pre and post was increased by 3.6 ± 0.5 liters to 3.9 ± 0.6 liters, test paired t-test indicates a mean value of 3.7 ± 0.3 liters (p = 0.000, p <0.05), by the confidence intervals of 95%. This value indicates that there is positive effect of swimming activity to changes in lung vital capacity of males medical students of Jenderal Soedirman University.
HUBUNGAN MAKROSOMIA DENGAN KEJADIAN OBESITAS PADA ANAK YANG LAHIR DI RSUD MARGONO SOEKARDJO PURWOKERTO PERIODE JANUARI – DESEMBER 2010 Sofia, Firda; Santosa, Qodri; Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Background : Obesity is one of nutritional problems which often encountered, and potentially cause health disturbance due to several complications and high risk of comorbidity. Thare are several factors that may contribute as etiology and risk factors of obesity, like macrosomia.Purpose : To investigate the association between macrosomia and obesity in children who were born at Margono Soekardjo hospital Purwokerto from January to December 2010.Method : A cohort retrospective was conducted since October 2013 to April 2014. The subjects are babies with macrosomia (≥4000g) and normal weight (2500-3999g) who were born at Margono Soekardjo hospital Purwokerto from January to December 2010 and resided in Banyumas. Total sampling was conducted. Birth weight of the subjects were seen in medical record. Body mass index was calculated and classified as obesity and normal using CDC curve by sex and age (≥ 95th percentile). Data were analyzed using Chi-square and logistic regression.Results : Total sampels were 82 respondents composed of 44 boys and 38 girls, and found nineteen respondents were obese. Macrosomia associated with obesity, with p-value=0,018 and RR=2,80 (95%CI; 1,11–7,06) by chi-square test. Macrosomia, formula feeding and timing of introduction of complementary food effect to obesity, with p value < 0,05 using logistic regression.Conclusions : Macrosomic newborns were significantly associated with obesity in children who were born at Margono Soekardjo hospital Purwokerto from January to December 2010.
PERBANDINGAN LUAS LESI PADA FOTO RONSEN TORAKS ANTARA PASIEN TUBERKULOSIS PARU KASUS BARU BTA POSITIF DENGAN BTA NEGATIF STUDI KOHORT RETROSPEKTIF DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO Destriana, Desy; Rahmawati, Indah; Mulyanto, Joko
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Pulmonary tuberculosis (Pulmonary TB) infected one third of the world population. Since 2009, Indonesia was  the fifth that had the highest tuberculosis case in the world. In 2011, Case Detection Rate (CDR) of Central Java was 49,24%. The prevalence of pulmonary TB in RSUD Prof. dr. Margono Soekarjo  Purwokerto was 472 patients in 2012 until August 2013. Chest x-ray was the first investigation to diagnose pulmonary TB. The aims of this study was to knowing the differences  of lesion area on chest x-ray between new cases of  pulmonary TB patient with AFB smear  positive and AFB smear negative. This is  an Observational analytic with cohort retrospektif study, conducted 22 pulmonary TB patients with AFB smear positive and 22 pulmonary TB patients with AFB smear negative in RSUD Prof. dr. Margono Soekarjo Purwokerto. Data were analyzed by Chi-square with significance level of p<0,05. Univariate analysis showed that the highest number of respondents were male (56,8%), and the highest of the age group  was 15-25 years old group (27,3%). Bivariate analysis using Chi-square was obtained  p= 0,011 (p<0,05). There were differences lesion area on chest x-ray between new cases of  pulmonary TB patient with AFB smear positive  and AFB smear negative.
GAMBARAN FAKTOR RESIKO PADA PENDERITA TUBERKULOSIS DI PUSKESMAS DI KABUPATEN BANYUMAS Fatchurohmah, Wiwiek; Sari, Octavia Permata
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Tuberculosis (TB) is a major public health problem. It is estimated  that the total number of patient of TB in Indonesia about 10% of TB world’s patients. The department of  health and social Banyumas shows that there were 3.9 cases  every 10.000 people.  In all public health centers in Banyumas district from the year 2004-2008 was still found cases TB lung BTA (+) as source of infection. This research was conducted to determine characteristic of risk factors  of tuberculosis in Banyumas. The research is a descriptive study. Location or will be done in 15 Health Centers in Banyumas District Central Java. The population is patients with tuberculosis BTA (+) that noted in medical records Public Health Center. Number of sample that taken was 15 people who suffer from tuberculosis BTA (+) using purposive sampling techniques. Data taken with an interview using  structured questionnare. Result shows that the majority of respondents live in eligible healthy house  including on density, type of floor and walls. Ventilations are eligible but  turn out to be still rarely open that enable increasing humidity, and lower lighting. Risk factors that dominant in respondents are factors smoking and history of contact with the sufferers TB .
INDUKSI PADA PASIEN PEB DENGAN KARDIOMIOPATI DAN EDEMA PARU Suryani, Shila; Prihatno, MM Rudi
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Preeclampsi is a desease that occur in pragnancy after 20 weeks gestaton with manifestation include multiorgans system such as pulmonary oedema and ventricel disfunction. Cardiomyopathy is a heart disorder that characterized by myocard disfunction and there is no relation with others heart desease before.            This case report discuss about induction anesthesia management to a women, 22 years old diagnosed with GIP0A0, severe preeclampsi, pulmonary oedem, cardiomyopathy, and fetal distress underwent caesaria section. Its a challange for anesthesiologist, how anesthesia management to this patient. There are four thing that we should do when induction, that is : optimalitation of preoxygenation,  give positive pressure ventilation with PEEP, minimal myocardial depressant effect of drugs, and keep normovolume. By doing these things we can keep adequate oxygenation so that can increase mother and baby outcome
ANALISIS MASALAH KESEHATAN DI KABUPATEN SUKOHARJO TAHUN 2010 Wibowo, Yudhi; AP, Wisnuwijoyo
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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In order for any program capable of reaching targets optimally , it requires good planning . One step that must be taken is to do a Community Health Analysis (CHA). The goal of CHA is to obtain an overview status of public health in the working area of the District Health Office Sukoharjo , Central Java Province in 2010 . This study was a descriptive observational by analyzing secondary data of Sukoharjo Health Department . How to determine the priority of the problem with the Hanlon method using four criterias : 1 ) The magnitude of the problem ; 2 ) the urgency of the problem ; 3 ) Ease of countermeasures ; 4 ) PEARL factor. Identified health problems in 2010 is maternal mortality 152.28/100.00 Live Births (LB) (target 80.41/100.000 LB) , incidence rate (IR) of DHF 51.59/100,000 population (target < 20/100.000 population ) , Case Fatality Rate (CFR) of DHF 2.3 (target <1 ) , Case Detection Rate (CDR) Acid-Fast Bacilli smear (+) 25.91 % (target 85%) , diarrhea coverage which handled 94.7 % (target 100 % ) , 567 cases of chikungunya cases is still high , the UCI 92.22 % (target 100 %) , 1 leptopsirosis new cases , 1 case comfirm AI died , the number of HIV/AIDS increased from 7 cases (2009) to 12 (2010), the incidence of stroke increased from 3,417 cases (2009) to 3,481 (2010), essential hypertension is highest prevalence of NCDs group is 35 028. The order of priority of the problem is 1) IMR ; 2) DHF ; 3) Immunization ; 4) AI ; 5) TB ; 6) Type II DM and 7) Essential Hypertension . Maternal & Child Health program is a priority issue for IMR that exceeded the national target, infectious disease dengue, AI, tuberculosis and NCDs is Type II DM and essential hypertension is also a health issue. The cause of the problem related to environmental factors and behavioral and community empowerment.
STATUS SOSIAL EKONOMI SEBAGAI FAKTOR RISIKO KEJADIAN OBESITAS DI KABUPATEN BANYUMAS Mulyanto, Joko; Darmawan, Anton B
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Obesity is a significant global and national health problem, and has declared by WHO as global epidemic.The prevalence of obesity in developed and mostly developing countries has dramatically increased during the last decade. Socio-economic status has been identified as one of significant predictors of obesity.  However, studies in different countries showed various result regarded the relationship between socioeconomic status and obesity. The study objective was to identify socio-economic status as an risk factor of obesity at Banyumas District. This study was a secondary analysis with cross-sectional approach using the data from Riset Kesehatan Dasar 2007 at Banyumas District. Samples of study were 1827 adult household members represented the residence of Banyumas District. The main independent variable was socioeconomic status measured by the quintile of income. The dependent variable was obesity measured by BMI with cut of point 27kg/m2. The confounding variabeles controlled by study were gender, age, marital status, employment, geographical location, and physical activity.  Data analyzed by multivariate analysis using multiple logistic regressions and stratification analysis by gender. Study result showed that the prevalence of obesity at Banyumas District is 22,3% for total sample of the study, while by gender the prevalence of obesity is 14,8 % for male and 29,1% for female respectively. After adjusted for confounding variables, socioeconomic status was risk factor of obesity at Banyumas District with OR 1,57 (95%CI:1,07-2,29) at 5th income quintile. For the male respondents, socioeconomic status has the OR 2,55 (95%CI, 1,29-5,0) at 5th income quintile. These results showed that the prevelance of obesity at Banyumas District was relatively high, and higher socioeconomic status significantly increased the odd of becoming obese.
PERBEDAAN TINGKAT AKTIVITAS FISIK ANTARA REMAJA DESA DAN KOTA DI KABUPATEN BANYUMAS Dicaraka, Benza Asa; Candrawati, Susiana; Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Background: Physical activity is movement of the body produced by skeletal muscle contraction that increase energy expenditure. Low levels of physical activity or sedentary behavior is one of the behavioral tendency of the current world population. The research on levels of physical activity in adolescents in rural and urban areas have never done before. Although many differences between rural and urban are indirectly affect the level of physical activity.Objective: The aim of this study is to knowing the different levels of physical activity between rural and urban adolescents at Banyumas Regency.Methods: This study was conducted by using observational analytic cross sectional design with 72 adolescents as respondents. The respondents were high school students derived from 4 high schools of urban and rural area, 2 schools each. Each respondents from school of rural and urban were 36 respondents. Physical activity level was assessed with GPAQ questionnaire.Results: Analysis for the differences of physical activity level was using paired T-test analysis. Univariate analysis showed a mean rate of rural adolescent’s physical activity 2272.78±3165.26 MET/week and a mean rate of urban adolescents’s physical activity 2321.89±2387.91. Bivariate analysis showed no significant differences of physical activity level between rural and urban adolescents (p=0,249).Conclusion: There was no different level of physical activity between rural and urban adolescents at Banyumas Regency

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