scholarly journals KOMPARASI ELASTISITAS PEMBIAYAAN PENANGGULANGAN PENYAKIT MENULAR DIREGIONAL JAWA BALI DAN PAPUA

2018 ◽  
Vol 21 (2) ◽  
pp. 133-140
Author(s):  
Nuzulul Kusuma Putri ◽  
Herti Maryani ◽  
Thinni Nurul Rochmah ◽  
Ernawaty Ernawaty

The rapid growth and the various communicable diseases should be compensated with qualifi ed health programs. The programs’ budget should be able to meet the need of communicable disease intervention. In the era of decentralization, differences in the ability of each district in handling health problems could triger the disparity between districts. This research analyzes the difference of budget elasticity that existed in the communicable disease intervention between districts in Java Bali and Papua region. This is an analytical study which analyze the difference of communicable disease budget elasticity based on the geographic characteristics, fi scal capacity, and health status in each districts. The data is collected cross sectional in all districts that exist in Java Bali and Papua as the population. The difference of elasticity based on each indicator used in this study was analysed using independent t-test. The elasticity of communicable disease prevention fi nancing is different among districts with different public health index inJava Bali and Papua regional. Themajority of communicable disease budget in districts are inelastic, in both regions. It is different with the assumption that budget elasticity of communicable disease should be responsive. The budget elasticity of communicable disease in Indonesia is infl uenced by its health condition of each district. This condition is contrast to the ideal budget elasticity that should be elastic in accordance to the communicable disease problems. The use of economic assumption for further research should be concerns to the uncertainty of health characteristic. Abstrak Tingginya laju pertumbuhan dan bervariasinya jenis penyakit menular harus diimbangi dengan upaya penanggulangan yang responsif. Pembiayaan penanggulangan penyakit menular harus menyesuaikan dengan perkembangan penyakit menular. Di era desentralisasi, terdapat perbedaan kemampuan tiap daerah dalam pembiayaan kesehatan sehingga menyebabkan adanya disparitas penyakit antar daerah. Penelitian ini bertujuan untuk melakukan komparasi elastisitas pembiayaan yang telah dikeluarkan oleh pemerintah daerah dalam penanggulangan penyakit menular di regional Jawa Bali dan Papua. Komparasi ini dilakukan sebagai analisis lanjut Riset Pembiayaan Kesehatan tahun 2015 oleh Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Penelitian analitik ini melakukan komparasi elastisitas pembiayaan  penanggulangan penyakit menular berdasarkan perbedaan karakteristik geografi , kemampuanfiskal, dan status kesehatan pada setiap kabupaten/kota yang ada di regional Jawa Bali dan Papua. Data dikumpulkan secara cross sectional pada Dinas Kesehatan kabupaten/kota yang ada di regional Jawa Bali dan Papua. Komparasi elastisitas terhadap setiap indikator yang digunakan dalam penelitian ini dianalisis menggunakan independent t-test. Elastisitas pembiayaan penanggulangan penyakit menular antar Kabupaten/Kota berbeda pada regional Jawa Bali dan Papua dengan IPKM berbeda. Kondisi pembiayaan penanggulangan penyakit menular yang seharusnya elastis, tidak terjadi pada kedua regional. Mayoritas Kabupaten/Kota cenderung inelastis dalam membiayai penanggulangan penyakit menular di masing-masing daerah. Elasitisitas pembiayaan penanggulangan penyakit menular pada Kabupaten/Kota di Indonesia dipengaruhi oleh kondisi kesehatan masing-masing daerah. Kondisi ini bertolak belakang dengan asumsipembiayaan penanggulangan penyakit menular yang harusnya responsif sesuai dengan masalah penyakit menular yang muncul. Penggunaan asumsi yang juga memperhatikan beberapa masalah kesehatan lain merupakan hal yang perlu digunakan pada penelitian selanjutnya.

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Marianne C. Jacobus ◽  
Max F.J Mantik ◽  
Adrian . Umboh

Abstract: Haemoglobin is the main component of red blood cells that serves as a transporter of oxygen and carbon dioxide in the blood. The normal range of haemoglobin values can be used to determine the degree of anemia according to age and gender. Geographical condition such as altitude influences the haemoglobin value. This study aimed to obtain the difference of haemoglobin levels between teenagers with good nutrition status who live at the highland and those at the seaside. This was an observational analytical study with a cross sectional design. Samples were students with good nutrition status of SMPN 3 Tomohon (living at the highland) and those of SMP Kristen Nazaret Tuminting (living at the seaside). There were 60 students who met the inclusion criteria as follows: adolescent, good nutrition status, healthy, aged 13-15 years, lived at the highland or at the seaside ≥ 6 month, and willing to be performed blood examinations, and had been approved by their parents. The Mann-Whitney test for the difference between haemoglobin levels of the two groups showed a p value < 0,001. Conclusion: There was a very significant difference between haemoglobin levels of good nutrition teenagers who lived at the highland and at the seaside. Keywords: haemoglobin levels, good nutrition, teenagers, highland, seaside  Abstrak: Hemoglobin merupakan komponen utama sel darah merah dan berfungsi sebagai transporter oksigen dan karbon dioksida dalam darah. Batas normal nilai hemoglobin dapat digunakan untuk menetapkan derajat anemia, dengan distribusi usia dan jenis kelamin spesifik didasarkan pada sampel referensi sehat. Kondisi geografis, seperti ketinggian tempat dari permukaan laut menjadi faktor pertimbangan dalam distribusi nilai normal hemoglobin. Penelitian ini bertujuan untuk mendapatkan perbedaan kadar hemoglobin antara remaja gizi baik yang tinggal di pegunungan dengan yang tinggal di tepi pantai. Jenis penelitian ini analitik-observasional dengan desain potong lintang. Sampel penelitian yaitu remaja gizi baik yang tinggal di pegunungan yaitu siswa SMPN 3 Tomohon dan yang di tepi pantai yaitu siswa SMP Kristen Nazaret Tuminting. Subjek penelitian berjumlah 60 remaja yang memenuhi kriteria inklusi yaitu gizi baik, sehat, berumur 13-15 tahun, berdomisili di pegunungan atau tepi pantai ≥6 bulan, bersedia dilakukan pemeriksaan darah, dan telah disetujui oleh orang tua. Data yang diperoleh dianalisis menggunakan uji Mann-Whitney dengan bantuan program SPSS. Hasil uji Mann-Whitney mengenai perbedaan kadar hemoglobin antara kedua kelompok menunjukkan nila p <0,001. Simpulan: Terdapat perbedaan yang sangat bermakna kadar hemoglobin remaja gizi baik yang tinggal di pegunungan dengan di tepi pantai.Kata kunci: kadar hemoglobin, remaja gizi baik, pegunungan, tepi pantai


Author(s):  
Komang W Budiartha

Objective: To determine the difference of maternal interleukin-8 (IL-8) in preterm labor and full term labor. Method: This is a cross sectional study with 68 samples, 29 subjects with preterm labor and 39 subjects with full term labor. IL-8 concentration was obtained from blood samples of the subjects, which were examined at Prodia Laboratory Denpasar. Data was analyzed using t-test for independent samples with =0.05. Result: The mean IL-8 level for the preterm labor group was 23.56 10.69 pg/ml and 12.19 5.79 pg/ml for the full term labor group. Statistical analysis using independent samples t-test showed that the average IL-8 level of both groups were significantly different (p=0.001). Conclusion: We concluded from this study that serum IL-8 concentration in women who had preterm labor is significantly higher in comparison to women who had full term labor. [Indones J Obstet Gynecol 2014; 4: 185-187] Keywords: full term labor, interleukin-8, preterm labor


e-CliniC ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Gregorius Gunawan ◽  
Jeanette I. Ch. Manoppo ◽  
Rocky Wilar

Abstract: Stunting is a condition where height is not in accordance with age. It is due to chronic malnutrition which causes nonoptimal brain development that can affect children’s cognitive development, performance at school, and learning ability, as well as consequently influences learning achievement at school. This study was aimed to identify the correlation between stunting and learning achievement of elementary school students at Tikala Manado. This was an analytical study with a cross sectional design. Respondents were elementary school students at Tikala Manado aged 7-13 years that had their average grades. Data were analyzed by using unpaired T-test. The results showed that there were 232 students as respondents. Stunting was found in 103 students (44%) and not stunting in 129 students (56%). The average grade of stunting students was 67.16 and of not stunting students was 68.53. Statistical analysis showed that there was no significant difference between the average student grade in stunting students and not stunting students (P=0.215; α=0.05). Conclusion: There was no significant correlation between stunting and learning achievementKeywords: stunting, learning achievement Abstrak: Stunting merupakan keadaan dimana tinggi badan tidak sesusai dengan usia. Hal ini dapat menyebabkan perkembangan otak tidak optimal sehingga berpengaruh pada perkem-bangan kognitif dan performance anak di sekolah, serta kemampuan belajar, yang selanjutnya berpengaruh pada prestasi belajar anak di sekolah. Penelitian ini bertujuan untuk mengetahui hubungan stunting dan prestasi belajar pada siswa Sekolah Dasar di Kecamatan Tikala Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Responden ialah siswa sekolah dasar di Kecamatan Tikala Manado yang berusia 7-13 tahun dan rerata nilai rapor siswa. Analisis uji statistik yang digunakan ialah uji T-test tidak berpasangan. Hasil penelitian mendapatkan 232 siswa sebagai responden. Stunting didapatkan pada 103 siswa (44%) dan yang tidak stunting 129 siswa (56%). Rerata nilai rapor pada siswa stunting 67,16 dan yang tidak stunting 68,53. Hasil uji analisis menunjukkan tidak terdapat perbedaan rerata prestasi belajar antara siswa stunting dan tidak stunting (P=0,215; α=0,05). Simpulan: Tidak terdapat hubungan bermakna antara stunting dan prestasi belajar.Kata kunci: stunting, prestasi belajar


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Wayan Erawan ◽  
H. Opod ◽  
Cicilia Pali

Abstrak: Kecemasan adalah suatu sinyal yang menyadarkan, ia memperingatkan bahaya yang mengancam dan memungkinkan seseorang mengambil tindakan untuk mengatasi ancaman. Angka kejadian dari kecemasan perioperative diketahui 11% - 80% diantara pasien dewasa. Tujuan penelitian untuk mengetahui perbedaan proporsi pasien laki-laki dan perempuan pre operasi laparatomi yang mengalami kecemasan, dan mengetahui perbedaan tingkat kecemasan pasien laki-laki dan perempuan pre operasi laparatomi. Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Pengambilan sampel dengan teknik non probability sampling yaitu consecutive sampling. Metode pengumpulan data dengan menggunakan kuesioner  Hamilton Anxiety Scale (HARS). Penelitian dilakukan pada 32 responden di RSUP Prof.dr.R.D.Kandou Manado pada bulan november sampai desember 2012. Analisis data menggunakan uji statistik yaitu independent sampel T-Test. Hasil penelitian didapatkan responden laki-laki, tidak cemas (40%), cemas ringan (26,67%), cemas sedang (33,33%), sedangkan pada responden perempuan diperoleh hasil, tidak cemas (23,53%), cemas ringan (17,65%), cemas sedang (35,29%), cemas berat (23,53%). Berdasarkan uji statistik nilai P-value sebesar 0,024, berarti H0 ditolak dan Ha diterima, artinya ada perbedaan tingkat kecemasan antara pasien laki-laki dan perempuan pre operasi laparatomi. Kata kunci: Kecemasan, laparatomi, laki-laki, perempuan.     Abstract: Anxiety is a signal that disenchants; warns threatening dangers and gives someone the chance to take action in order to overcome the incoming threats. The incidence of perioperative anxiety has been reported with range 11% to 80% among adult patients. The study objective is to determine the difference in proportion between male and female pre-laparotomy surgery patients who experience anxiety, and know the difference in the level of anxiety of male and female pre-laparotomy surgery patients. This observation is an analytic study with cross sectional approach. The sampling technique is by using non probability sampling; which is consecutive sampling. The data colletion method is by using questionnaire, Hamilton Anxiety Scale (HARS). The observation was done toward 32 respondents in Prof.dr.R.D.Kandou General Hospital from November to December 2012. The data analysis is by using statistical test; independent sample T-test. The observation among male respondents  results in without anxiety (40,%), with mild anxiety (26,67%), with moderate anxiety (33.33%), while among female respondents results in without anxiety (23.53%), with mild anxiety (17.65%), with moderate anxiety (35.29%), and with severe anxiety (23.53%). According to the statistical test, resulting in P-value of 0.024, that H0 is rejected and Ha is accepted. In conclusion, there are differences in the level of anxiety between male and female pre-laparotomy surgery patient. Keyword: anxiety, laparotomy, male, female.


2017 ◽  
Vol 2 (3) ◽  
pp. 270
Author(s):  
Anne Rufaridah ◽  
Kurnia Putri ◽  
Ayuro Cumayunaro ◽  
Sidaria Sidaria

<p><em>Injection method is the most widely used contractive because the usage are safe, simple, effective and practice as long as the high these acceptor it is certaily followed by complain of side effects such weight changes, the purpose study uses an analitic with cross sectional approach. The population where 188 people where the acceptor injection contraceptives the sample amounted to 33 clients in each acceptor of 1 and 3 month the data collection are demographic data and questionaire sheet and it was analyzed by paired t-test and independent t-test. The result of this study showed that most of then were totally weight gains wich the difference mean value between pretest and postest the acceptor KB of 1 month is 3,71 kg/m² the while a mean value of the acceptor 3 months is 5,10 kg/m² those means there were a change of impact on weight gains amoung the acceptor KB of 1 and 3 months. While the value of independent t-test showed p=0,021 (p&gt;0,05). Baced on these results it can be concluded that there were significantly  difference wight changes between and acceptor injectable contraceptives 1 and 3 month expecte.</em></p>


2012 ◽  
Vol 11 (2) ◽  
pp. 1
Author(s):  
Ikhwani Ratna ◽  
Irdayanti Irdayanti

This study aims to determine the difference of the menstrual cycle between the user of IUD contraception and the inject contraception and to know the side effects of these two devices towards the women in Marpoyan Damai the District, Pekanbaru. The population of this study is all the new users of IUD and inject contraception in Merpoyan Damai disctrikck, Pekanbaru, from January to March 2012, 69 women are using IUD and 564 women using injection. This study is non-experimental descriptive analytic cross sectional approach and Slovin technique is used for taking the sample. Data is analyzed using by statistical techniques to an independent t-test. The results suggest P is 0.006 with significantly less than 0.05, it means that there is a significant differences between menstrual cycles of women who used the IUD contraception and who usess injection contraception.


Author(s):  
Sianny Herawati ◽  
J Nugraha

Tuberculosis is an infectious disease which is the second cause of death in the world. Indonesia belongs to the third ranks as themost prevalent tuberculosis country. However the eradication is programmed only to focus on finding the case and treatment of theactive tuberculosis patients. Health care workers are at risk to tuberculosis infection, but there is no examination yet for early detectionactivity of tuberculosis. In order to know the activity of tuberculosis, other examinations are needed such as IL-18 examination. Today, no research about IL-18 is performed yet in Indonesia; therefore this study is performed in order to know the difference of IL-18level in active tuberculosis patients and nurses at risk. This study is to know the difference between IL-18 plasma of active tuberculosispatients and nurses at risk by analysis. A cross sectional, observational analytical study of 8 nurses at risk of tuberculosis and 8 activetuberculosis patients, has been conducted from February up to April 2007, at the Dr. Soetomo General Hospital and Karang TembokHospital in Surabaya. The diagnosis of active tuberculosis patients was based on positive sputum bacteriological examination, positiveradiology examination and who never had received anti-tuberculosis drugs. Nurses at risk of tuberculosis consisted of those who had beenworking more than 2 years, and was examined by negative bacteriological and radiology examination, TB-dot and positive tuberculinskin test with a diameter – 10 mm. IL-18 examination was done by double antibody sandwich ELISA method (MBL/Medical & BiologicalLaboratories Co.Ltd). IL-18 level in active tuberculosis patients was 491.4–1215.3 pg/ml (mean 794.6 pg/ml, SD 222.6), in nursesat risk of tuberculosis was 88.9–429.0 pg/ml (mean 256.2 pg/ml, SD 137.6). There was a significant difference of IL-18 level amongactive tuberculosis patients and nurses at risk of tuberculosis (p < 0.001); the IL-18 level in active tuberculosis patients was significantlyhigher than in nurses at risk of tuberculosis.


2006 ◽  
Vol 13 (02) ◽  
pp. 313-316
Author(s):  
TARIQ PARVEZ ◽  
BABAR PARVEZ ◽  
AMAL BEHANI

Objective: To assess oncology knowledge among doctors, andsuggestions to improve. Design: Cross sectional analytical study. Place and duration of study: This study was carriedout in the Department of Oncology, King Fahad Hospital, Madina Munawra, KSA and was completed in 8 months fromNovember 2004 to June 2005. Subjects and Methods: Series of five lectures were delivered on different subjects ofoncology. Participants were asked to answer an MCQ type questionnaire, which was structured regarding the contentof the lecture, before the lecture and after the lecture. Comparison was made by simple percentage calculation andstatistical analysis, student’s t-test. Result: Knowledge of the doctors rose from average 37% to 74% after the lecture.Conclusion: Doctors need enhanced knowledge in oncology and simple lecturing can make an improvement


Author(s):  
Yohanes Firmansyah ◽  
Desi Natalia Ginting ◽  
Ernawati Su ◽  
Yana Sylvana ◽  
Welhan Chau ◽  
...  

Non-communicable diseases (NCD) especially hypertension and cardiovascular diseases have become the highest cause of death in the world with a mortality rate of nine million deaths (44% of all non-communicable disease deaths and 31% of all global causes of death). The purpose of this study was to determine the effectiveness of the Mobilization in Utilization Of Community Participation (Mobilization POSBINDU) activities to detect risk factor and early diagnosis of non-communicable diseases (NCD) especially hypertension. Methods: Cross-sectional method was applied to the society in Sector 5th Kedaung Kaliangke District, the variables in this research were tested using the chi-square test, Independent T-test, and Mann Whitney test. Results: 40 respondents who met the study criteria. There were no differences in the incidence of hypertension (55% vs 60%; p-value: 1,000), average of SBP (138.25 (24.36) vs 144.45 (20.24); p-value: 0.394) and average of DBP (85 (68 -132) vs 83 (58 - 105) mmHg; p-value: 0.369) between 2 groups of people who have never been to Posbindu with those who are routinely to Posbindu. There are still many people who have not been screened from Posbindu activities and still urgently need to Mobilization in Utilization Of Community Participation Program (Posbindu Linpung) to get  more people for early detection of NCD. Conclusion: Posbindu Linpung has proven effective in finding new cases of hypertension in the community. This is proven by the fact that there is no difference in the mean blood pressure of a population group that has never been screened with a group that routinely does a screening. Keywords: mobilization posbindu ; routinely ; hypertension AbstrakPenyakit tidak menular (PTM) khususnya hipertensi dan penyakit kardiovaskuler telah menjadi penyebab kematian tertinggi di dunia dengan angka mortalitas sembilan juta kematian (44% dari semua kematian penyakit tidak menular dan 31% dari semua penyebab kematian global). Tujuan penelitian untuk mengetahui efektivitas dari kegiatan Posbindu PTM Keliling Kampung dalam surveilans faktor risiko dan deteksi dini PTM. Metode: Potong lintang pada masyarakat RW 05 Kelurahan Kedaung Kaliangke, serta data penelitian di uji dengan uji Chi-square , Independent T-Test, dan Mann Whitney. Hasil Penelitian: 40 responden yang memenuhi kriteria penelitian. Tidak didapatkan perbedaan kejadian hipertensi (55% vs 60% ; p-value : 1,000), rata-rata TDS (138,25 (24,36) mmHg vs 144,45 (20,24) mmHg ; p-value : 0,394) dan rata-rata TDD (85 (68  - 132) mmHg vs 83 (58 - 105) mmHg ; p-value : 0,369) yang tidak bermakna antar 2 kelompok masyarakat yang tidak pernah ke posbindu dengan yang rutin ke posbindu. Hal ini membuktikan bahwa masih banyak masyarakat yang belum terskrining dari kegiatan Posbindu dan masih sangat memerlukan Posbindu Linpung untuk menjaring lebih banyak masyarakat untuk deteksi dini PTM. Kesimpulan: Posbindu Linpung terbukti efektif dalam menjaring kasus baru penyakit tidak menular (hipertensi dan obesitas) yang berada dalam masyarakat. Hal ini terbukti dari tidak terdapat perbedaan rerata tekanan darah dari kelompok populasi yang tidak pernah melakukan skrining dengan kelompok yang rutin melakukan skrining. 


2019 ◽  
Vol 65 (12) ◽  
pp. 1459-1463
Author(s):  
Walberto Monteiro Neiva Eulálio Filho ◽  
Eduardo Augusto Sousa Soares ◽  
Maria Simone Oliveira Lima ◽  
Emerson Davi do Nascimento Brazil ◽  
Rodolfo Myronn de Melo Rodrigues ◽  
...  

SUMMARY OBJECTIVE Evaluate the expression of KI-67 in uterine leiomyomas and adjacent myometrial tissue and verify the existence of a correlation between clinical parameters and KI-67 expression in tumors. METHODS This is a cross-sectional, controlled, analytical study. Samples of leiomyomas and myometrium were obtained from patients who underwent hysterectomy. The samples were processed by immunohistochemistry using KI-67 antibody, and the expression was evaluated by two blinded observers. Student›s T-test was used for comparison of means, and Pearson›s P test for correlation with clinical parameters. RESULTS A total of 9 patients were included in the study. The mean age was 40.7 years, ranging from 35 to 44 years. The mean expression of KI-67 in myometrium was 1.63%, and, in leiomyomas, 5.96% (p <0.001). The highest expression of KI-67 was moderately related to the severity of anemia, bleeding, and pain level. CONCLUSION The expression of KI-67 in normal myometrium was significantly lower than in leiomyomas. The highest expression of KI-67 was moderately related to the severity of anemia, bleeding, and pain level in the patients of this study.


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