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INDONESIA
Medika Tadulako
Published by Universitas Tadulako
ISSN : 23551933     EISSN : -     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Jurnal Ilmiah Kedokteran FKIK Universitas Tadulako.
Arjuna Subject : -
Articles 6 Documents
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Search results for , issue "Vol 4, No 2 (2017)" : 6 Documents clear
KARAKTERISTIK USIA, JENIS KELAMIN, TINGKAT DEMAM, KADAR HEMOGLOBIN, LEUKOSIT DAN TROMBOSIT PENDERITA DEMAM TIFOID PADA PASIEN ANAK DI RSU ANUTAPURA TAHUN 2013 Dea Pawitri Handayani, Ni Putu; Mutiarasari, Diah
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 4, No 2 (2017)
Publisher : Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan

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Abstract

Background: Typhoid fever is endemic in Indonesia. Based on surveillance data, there were 5091 cases typhoid fever between 2.729.227 people in Central Sulawesi and 150 cases typhoid fever between 347.856 people in Palu. Typhoid fever was rank seventh in big ten illness in 2012. Cases of typhoid fever most commonly found in the age group 5-9 years, that is 1066 cases. This research was performed to determine the age, sex, degree of fever, hemoglobin, leucocyte and thrombocyte level characteristics of typhoid fever in children patients at Anutapura General Hospital in 2013. Methods: This research was a descriptive study with 35 children patients as sample who eligible the inclusion and exclusion criteria. Data was obtained from medical record at Anutapura General Hospital in 2013. Data was taken using consecutive sampling technique. Results: Characteristic of children patients with typhoid fever at Anutapura General Hospital in 2013 were found highest in age group 7-12 years old (51.4%). The most sex determination was boy (57.1%). The most degree of fever was febris (74.3%). The most hemoglobin level was patients with deflated hemoglobin level (62.9%). The most leucocyte level was patients with normal leucocyte level (54.3%). The most thrombocyte level was patients with normal thrombocyte level (74.3%). Conclusion: Based on the result, the most characteristic typhoid fever in children patients at Anutapura General Hospital in 2013 were 7-12 years old, boy as the sex determination, febris as the degree of fever, deflated hemoglobin level, normal leucocyte level and normal thrombocyte level.  Keyword: Characteristic, Typhoid Fever, Anutapura General Hospital Latar Belakang: Demam tifoid merupakan penyakit endemik di Indonesia. Berdasarkan data surveilens, di Sulawesi Tengah terdapat 5091 kasus demam tifoid diantara 2.729.227 penduduk dan di Palu terdapat 150 kasus demam tifoid diantara 347.856 penduduk. Demam tifoid menempati urutan ke tujuh dalam sepuluh besar penyakit pada tahun 2012.  Kasus demam tifoid paling banyak ditemukan pada kelompok usia 5-9 tahun, yaitu 1066 kasus. Penelitian ini dilakukan untuk mengetahui karakteristik usia, jenis kelamin, tingkat demam, kadar hemoglobin, leukosit dan trombosit penderita demam tifoid pada pasien anak di RSU Anutapura tahun 2013.Metode: Penelitian ini bersifat deskriptif dengan sampel penelitian berjumlah 35 pasien anak yang memenuhi kriteria inklusi dan eksklusi. Data diperoleh dari rekam medis RSU Anutapura Palu tahun 2013. Pengambilan sampel menggunakan teknik consecutive sampling.Hasil: Karakteristik penderita demam tifoid anak di RSU Anutapura tahun 2013 yaitu usia paling banyak adalah 7-12 tahun (51,4%). Jenis kelamin paling banyak yaitu pada laki-laki (57,1%). Tingkat demam paling banyak yaitu febris (74,3%). Kadar hemoglobin paling banyak yaitu pasien dengan kadar hemoglobinnya menurun (62,9%). Kadar leukosit paling banyak yaitu pasien dengan kadar leukosit normal (54,3%). Kadar trombosit paling banyak yaitu pasien dengan kadar trombosit normal (74,3%).Kesimpulan: Berdasarkan hasil tersebut, karakteristik terbanyak penderita demam tifoid anak di RSU Anutapura tahun 2013 yaitu berusia 7-12 tahun, dengan jenis kelamin laki-laki, tingkat demam febris, kadar hemoglobin menurun, kadar leukosit normal, dan kadar trombosit normal. Kata kunci: Karakteristik, Demam Tifoid, RSU Anutapura
CORRELATION BETWEEN OF DPT AND MEASLES IMMUNIZATION ON THE INCIDENCE OF PNEUMONIA IN CHILDREN AGED 10 MONTHS-5 YEARS IN THE CITY OF PALU SANGURARA HEALTH CENTERS IN 2015 Vitawati, Vitawati; Sari, Puspita
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 4, No 2 (2017)
Publisher : Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan

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Background: Pneumonia is one of the largest contributors to health problems and causes of death of children under five years old. Pneumonia kills approximately 935,000 children under the age of five in 2013, accounting for 15% of all deaths in children under five years of age. Pneumonia in children most commonly found in children with incomplete immunization status. Immunizations are associated with the incidence of pneumonia is the pertussis immunization in DPT, measles, Haemophilus influenza, and pneumococcal.Objective: To determine the correlation of DPT and measles immunization on the incidence of pneumonia in children aged 10 months-5 years in the city of Palu Sangurara health centers in 2015.Methods: This study is a non-experimental study with cross sectional approach. The population is all pediatric patients who came to the Sangurara clinic which were as many as 1,782 children. The sample was 95 children aged 10 months-5 years, obtained by purposive sampling.Results: The results of the data analysis conducted with chi-square test to find out the correlation between DPT immunization towards pneumonia showed p value was 0,011 so that H1 is accepted. The value of phi test showed 0,260 that indicate  negative correlation with the strength of the correlation is weak. Furthermore, the results of data analysis with chi square test about the correlation between measles immunization towards pneumonia found that value of p <0.05 is 0,002 so that H1 is accepted. Phi test values was 0,319 indicates that the negative correlation with the strength of the correlation was intermediate.Conclusion: There is a significant correlation between DPT and measles immunization in reducing the incidence of pneumonia in children aged 10 months-5 years in the city of Palu Sangurara health centers in 2015.  Keywords: Pneumonia, DPT and measles immunizationLatar Belakang : Pneumonia membunuh kira-kira 935.000 anak di bawah usia lima tahun pada tahun 2013, terhitung untuk 15% dari seluruh kematian anak di bawah usia lima tahun. Pneumonia pada anak paling banyak ditemukan pada anak dengan status imunisasi yang belum lengkap. Imunisasi yang berhubungan dengan kejadian penyakit pneumonia adalah imunisasi pertusis dalam DPT, campak, Haemophilus influenza, dan pneumokokus.Tujuan : Untuk mengetahui hubungan pemberian imunisasi DPT dan campak terhadap kejadian pneumonia pada anak usia 10 bulan-5 tahun di puskesmas Sangurara kota Palu tahun 2015.Metode : Penelitian ini merupakan penelitian non eksperimen dengan pendekatan cross sectional. Populasi adalah semua pasien anak usia 10 bulan-5 tahun yang datang ke puskesmas Sangurara berjumlah 1.782 anak. Sampel yang digunakan berjumlah 95 anak yang berusia 10 bulan-5 tahun, diperoleh dengan cara  purposive sampling.Hasil : Hasil analisa data uji chi square mengenai hubungan antara pemberian imunisasi DPT terhadap kejadian pneumonia diperoleh nilai p < 0,05 yaitu 0,011 sehingga H1 diterima. Nilai uji Phi 0,260 menunjukkan bahwa korelasi negatif dengan kekuatan korelasi lemah. Selanjutnya hasil analisis data uji chi square mengenai hubungan antara pemberian imunisasi campak terhadap kejadian pneumonia diperoleh nilai p < 0,05 yaitu 0,002 sehingga H1 diterima. Nilai uji Phi 0,319 menunjukkan bahwa korelasi negatif dengan kekuatan korelasi sedang.Kesimpulan : Terdapat hubungan yang bermakna antara pemberian imunisasi DPT dan campak dalam menurunkan kejadian pneumonia pada anak usia 10 bulan-5 tahun di puskesmas Sangurara kota Palu tahun 2015.  Kata Kunci : Pneumonia, Imunisasi DPT dan campak
THE RELATIONSHIP BETWEEN THE STATUS OF EXCLUSIVE BREASTFEEDING WITH MOTOR DEVELOPMENT IN CHILDREN AGED 1-3 YEARS AT WORKING AREA OF TALISE PUBLIC HEALTH CENTER IN 2016 Febriady, Ahmad; Sumarni, Sumarni; Badaruddin, Rahma
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 4, No 2 (2017)
Publisher : Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan

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Background. Exclusive breastfeeding is giving only breast milk without any liquid or solid food except vitamin, mineral, or medication in the form of drops or syrup until the age of 6 months. This study aims to determine the relationship between the status of exclusive breastfeeding with motor development in children aged 1-3 years at working area of Talise Public Health Center.Methods. The study was observational analytic with cross sectional approach. The samples used were 92 children aged 1-3 years, with a purposive sampling technique. The results of this study were statistically tested by chi-square test on the error rate 10% using a computer software program. Result. In this research showed that under-five children who are not receive exclusive breastfeeding and motor development that deviates as much as 15 children (26.8%), under-five children who are not receive exclusive breastfeeding and motor development that dubious as much as 29 children (51.8%) and under-five children who are not exclusive breastfeeding and appropriate motor development as many as 12 children (21.4%). In under-five children with exclusive breastfeeding and motor development that deviates as much as 0 children (0%), under-five children who are receive exclusive breastfeeding and motor development that dubious as much as 1 children (2.8%), as well as under-five children who are receive exclusive breastfeeding and appropriate motor development as many as 35 children (97, 2%). Conclusion. There was a significant relationship between the status of exclusive breastfeeding with motor development in children aged 1-3 years at working area of Talise Public Health Center in 2016. Keywords : Exclusive Breastfeeding, Motor Development Latar Belakang. ASI eksklusif adalah pemberian hanya ASI saja tanpa cairan atau makanan padat apapun kecuali vitamin, mineral, atau obat dalam bentuk tetes atau sirup sampai usia 6 bulan. Penelitian ini bertujuan untuk mengetahui hubungan antara status pemberian ASI eksklusif dengan perkembangan motorik pada anak usia 1 – 3 tahun diwilayah kerja Puskesmas Talise.Metode. Penelitian observasional analitik korelatif dengan Pendekatan Cross Sectional Study. Jumlah sampel yang digunakan adalah 92 balita usia 1-3 tahun, dengan teknik purposive sampling. Hasil penelitian ini diuji secara statistik dengan uji chi square pada tingkat kesalahan 10% menggunakan program software komputer.Hasil. Pada penelitian ini di peroleh balita yang tidak ASI Eksklusif dan perkembangan motorik yang menyimpang sebanyak 15 anak (26,8%), balita yang tidak ASI Eksklusif dan perkembangan motorik yang meragukan sebanyak 29 anak (51,8%) dan balita yang tidak ASI Eksklusif dan perkembangan motorik yang sesuai sebanyak 12 anak (21,4%). Pada balita yang ASI Eksklusif dan perkembangan motorik menyimpang sebanyak 0 anak (0%), balita yang ASI Eksklusif dan perkembangan motorik meragukan sebanyak 1 anak (2,8%),  serta balita yang ASI Eksklusif dan perkembangan motorik sesuai sebanyak 35 anak (97,2%). Hal ini didukung dengan hasil uji Chi-Square dimana nilai p < nilai α yaitu p = 0,000.Kesimpulan. Terdapat hubungan signifikan antara status pemberian ASI eksklusif dengan perkembangan motorik pada anak usia 1-3 tahun di wilayah kerja puskesmas Talise tahun 2016. Kata Kunci : ASI eksklusif, Perkembangan Motorik
KNOWLEDGE LEVEL AND ATTITUDE OF PATIENTS FRACTURE THAT CHOOSE TRADITIONAL TREATMENT (Bone Setter) BEFORE TREATING TO POLYCLINIC ORTHOPAEDIC AND TRAUMATOLOGIC AT UNDATA GENERAL REGION HOSPITAL PALU PERIOD OF NOVEMBER-DECEMBER 2016 Wulandari, Hanif Iga; Munir, Muhammad Ardi; Hutasoit, Gina Andyka
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 4, No 2 (2017)
Publisher : Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan

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Background: In most cases neglected fracture occurs in people who are educated and under socioeconomic status. In addition to using health centers by medical personnel, not a few people are more confident in traditional medicine, so a few patients with fractures who came to the hospital are already experiencing complications due to first treatment is not appropriate, in accordance with the principles of correct bone treatment. The classic reason that delays patients with fracture was to the hospital is an economic factor.Methods: This study design is carried out by using an observational study design. The sampling technique in this research is intentional sampling consisting of 64 respondents. Data collection through questionnaires.Result: From the 64 samples studied, the results of the level of knowledge about bone fractures in the good categories 11 respondents, enough category 41 respondents, less category 12 respondents, and the attitude of the patient fracture for the treatment of the fractures in good category 41 respondents, enough category 7 respondents, and less category 16 respondentsConclusion: Based on the level of knowledge and attitude of fractures in traditional medical research carried out by the patient before treatment in the clinical orthopedic surgery hospital Undata has the result of the level of knowledge (know) enough and a Positive attitude towards an initial treatment of fractures. Keywords: Knowledge level, Attitude, Fracture Latar Belakang: Pada umumnya neglected fracture terjadi pada orang yang berpendidikan dan berstatus sosio-ekonomi rendah. Selain memanfaatkan fasilitas pelayanan kesehatan oleh tenaga medis, tidak sedikit masyarakat yang lebih percaya kepada pengobatan tradisional, sehingga tidak sedikit pula pasien patah tulang yang berobat ke Rumah Sakit pada saat datang sudah mengalami komplikasi akibat penanganan pertamanya yang tidak baik atau tidak sesuai dengan prinsip penanganan patah tulang yang benar. Adapun alasan klasik pasien patah tulang yang terlambat berobat ke Rumah Sakit adalah faktor ekonomi.Metode: Jenis rancangan penelitian ini dilakukan dengan menggunakan desain penelitian observasional deskriptif. Teknik pengambilan sampel dalam penelitian ini adalah Purposive Sampling yang terdiri dari 64 orang responden. Pengumpulan data dengan menggunakan kuisioner.Hasil: Berdasarkan 64 sampel yang diteliti, hasil tingkat pengetahuan responden tentang patah tulang pada kategori baik 11 responden, cukup 41 responden, kurang 12 responden, dan sikap pasien fraktur terhadap penanganan patah tulang kategori baik 41 responden, cukup 7 responden, dan kurang 16 responden.  Kesimpulan: Berdasarkan penelitian yang dilakukan tingkat pengetahuan dan sikap pasien fraktur yang berobat di pengobatan tradisional sebelum berobat di poliklinik bedah tulang RSUD Undata memiliki hasil tingkat pengetahuan (Know) cukup dan sikap yang positif terhadap penanganan awal patah tulang. Kata Kunci: Tingkat Pengetahuan, Sikap, Fraktur
DESCRIPTION OF SMOKING BEHAVIOR IN PULMONARY TUBERCULOSIS PATIENTS AT THE PUBLIC HEALTH CENTER LAANTULA JAYA 2014-2015 Ahmad, Tasrif; Kiay Demak, Indah Puspitasari
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 4, No 2 (2017)
Publisher : Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan

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Background : It is estimated that around one third of the world's population has been infected by Mycobacterium tuberculosis. In developing countries TB cases estimated to be around 95% and 98% of TB deaths worldwide occur in developing countries. Cigarettes and tobacco consumption is one of the major risk factor for the occurrence of various diseases. Data showed the world tobacco epidemic tobacco kills more than 5 million people each year.Methods : descriptive study with retrospective approach to determine the smoking behavior in patients with tuberculosis. The population in this study are patients with pulmonary TB who went to public health centers Laantula Jaya period January 2014 - September 2016 with a sample of 33 people. Sample selection method is purposive sampling.Results : The statistical results processed by SPSS 21.0. Results showed 33 samples obtained from 20 (60.6%) of smokers and 13 people (39.4%) non-smokers. Of overall smokers based on the frequency of smoking 16 people (80%) smoked every day, and 4 (20%) smoked occasionally. Based on the long smoking 3 people (15%) 5-10 years of smoking, 8 (40%) of 10-20 years, and 9 (45%)> 20 years of smoking. Based on the number of cigarettes consumed 2 (10%)> 5 stems, 4 (20%) of 5-10 stems, 14 (70%) of 10-20 stems. Based on the type of cigarettes consumed 16 (80%) cigarette filters and 4 (20%) nonfiter cigarettes. Based on the first cigarette consumption in the morning after waking up 2 people (10%)> 5 minutes, 1 (5%) 6-30 minutes. 14 people (70%) 31-60 minutes and 3 (15%).> 60 minutes. Keywords: Tuberculosis, M. Tuberculosis, Cigarettes, Smoking Latar Belakang: Diperkirakan sekitar sepertiga penduduk dunia telah terinfeksi oleh Mycobacterium Tuberculosis. Di negara-negara berkembang kasus Tuberkulosis diperkirakan sekitar 95% dan 98% kematian akibat TB di dunia terjadi di negara-negara berkembang. Konsumsi rokok dan tembakau merupakan salah satu faktor resiko utama terjadinya berbagai penyakit. Data epidemi tembakau dunia menunjukkan tembakau telah membunuh lebih dari 5 juta orang setiap tahunnya.Metode:  Jenis Penelitian bersifat deskriptif dengan pendekatan retrospektif untuk mengetahui perilaku merokok pada pasien Tuberkulosis. Populasi pada penelitian ini adalah pasien Tuberkulosis Paru yang berobat ke Puskemas Laantula Jaya Periode Januari 2014 – September 2016 dengan jumlah sampel 33 orang. Metode pemilihan sampel adalah purposive sampling.Hasil: Hasil statistik diolah dengan SPSS 21.0. Hasil menunjukkan dari 33 sampel didapatkan 20 orang (60,6%) perokok dan 13 orang (39,4%) bukan perokok. Dari keseluruhan perokok berdasarkan frekuensi merokok 16 orang (80%) merokok setiap hari dan 4 orang (20%) merokok kadang-kadang. Berdasarkan lama merokok 3 orang (15%) 5-10 tahun merokok, 8 orang (40%) 10-20 tahun dan 9 orang (45%) >20 tahun merokok. Berdasarkan jumlah rokok yang dikonsumsi 2 orang (10%) >5 batang, 4 orang (20%) 5-10 batang, 14 orang (70%) 10-20 batang. Berdasarkan jenis rokok yang dikonsumsi 16 orang (80%) rokok filter dan 4 orang (20%) rokok nonfiter. Berdasarkan konsumsi rokok pertama di pagi hari setelah bangun tidur 2 orang (10%) >5 menit, 1 orang (5%) 6-30 menit. 14 orang (70%) 31-60 menit dan 3 orang (15%) .>60 menit. Kata Kunci : Tuberkulosis Paru, M. Tuberkulosis, Rokok, Merokok
THE CORRELATION BETWEEN SEX AND AGE WITH THE HISTOPATHOLOGY OF LUNG CANCER PATIENTS IN Dr. SARDJITO HOSPITAL 2010 Pakaya, David; Maramis, Maynard Andrew; Setyawati, Tri
Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran dan Ilmu Kesehatan Vol 4, No 2 (2017)
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Introduction: Lung cancer is the world's highest incidence and mortality. Sex and age are risk factors that affect the incidence of lung cancer besides smoking behavior. These risk factors associated with histopathologic which to base a diagnosis of lung cancer.Objective: To analyze the correlation of sex and age with histopathological of lung cancer patients who were treated at the Dr. Sardjito Hospital in 2010.Methods: The study was a retrospective cross-sectional design. Conducted at the Medical Records of Dr. Sardjito Hospital in February 2016. The samples were all lung cancer patients (total sampling) who were treated at the Dr. Sardjito Hospital from January 2010 - December 2010. The data was processed with SPSS software ver. 21.0 and analyzed with Chi square. Results: The male is that most lung cancer patients are 41 (62.1%). The age group most lung cancer patients in the age group > 40 years were 58 cases (87.9%). NSCLC is the most common histopathology of 60 people (90.9%). After analyzed with Chi square test the data showed p=0.810 for sex with histopathological correlation and p=0,095 for the age with histopathological correlation. Conclusions: There was no correlation between sex and age with histopathology of lung cancer patients who were treated at the Dr. Sardjito Hospital in 2010. Keywords: Sex, age, histopathology, lung cancer

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