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PERILAKU PROFESIONAL TENAGA KESEHATAN DAERAH PESISIR PADA PELAYANAN KESEHATAN PRIMER WILAYAH PUSKESMAS TANAH MERAH KABUPATEN INDRAGIRI HILIR TAHUN 2014 Anggraini, Tiara; Afandi, Dedi; Chandra, Fifia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

As a developing country, Indonesia continues to strive for the welfare of society. One of the efforts is to improve the proper health services, especially in coastal areas. The success of health services should be supported by the medical workers who have the role of professional conduct . The aim of this research is to discover the professional behavior of health-care workers of Tanah Merah community health care (Puskesmas), Indragiri Hilir Regency, that was reflected by the six elements of professionalism. The design of this research uses exploration method with qualitative approaches on five health-care workers of Puskesmas Tanah Merah, Indragiri Hilir Regency, who were selected by using snowball sampling method. Data collection was done by interview and recorded with an audio recorder. The result of this research showed that all the informants possess altruism, accountability, excellence, duty, honor and integrity, and respect for other.Key word : professional behavior, health-care workers.
PROFIL PENDERITA TUMOR OVARIUM GERMINAL DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE JANUARI 2008 – DESEMBER 2012 Pratama, Gerry; Sofian, Amru; Chandra, Fifia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Ovarian tumour is one of neoplasma that can be found on female genitalia system, which is formed by benign wether malignant ovarium cells and can be grouped by its origin such as epithelial, germinal, and stroma ovarian tumour. Age, parity, cancer in family history, menarche history and application of hormonal contraception can be risk factors to germinal ovarian tumour to occurs.This is a descriptive and retrospective study, conducted to discover profile of germinal ovarian tumour patients in General Hospital Arifin Achmad Riau Province. From General Hospital Arifin Achmad’s medical records on January 2008-December 2012, 78 cases of germinal ovarian tumour have been found, with the age of majority was in the age 23-32 years old (36,11%), most parity was multiparity (40,27%) and most commonly histopatological type was mature teratoma (76,39%). Cancer in family history can be found in 29 patients (40,27%) which about 17 patients with mature teratoma (23,61%), followed by 8 patients with dysgerminoma (11,11%) and 4 patients with immature teratoma (5,55%). Based on menarche history, distribution profile by the age of majority was 10-13 years old (58,3%). About 62,5% patients didn’t use hormonal contraception. Most commonly CA 125 tests with positive results were 18 examinations (25%) wich can be found mature teratoma on 12 examinations (16,67%) followed by dysgerminoma on 4 examinations (5,56%) and immature teratoma on 2 examinations (2,77%). CEA tests showed positive results for about 14 examinations (19,44%), where mature teratoma can be found on 8 examinations (11,11%), followed by dysgerminoma on 4 examinations (5,56%) and immature teratoma on 2 examinations (2,77%). Salphingoophorectomy were the most common therapy that have been chosen (54,17%).Keywords: ovarian tumour, germinal ovarian tumour, risk factors
GAMBARAN HASIL PEMERIKSAAN SITOLOGI PENDERITA KANKER SERVIKS PASCA TERAPI RADIASI BERDASARKAN KELOMPOK UMUR DI INSTALASI RADIOTERAPI RSUD ARIFIN ACHMAD PERIODE TAHUN 2009–2013 Herman, Awanda; Sofian, Amru; Chandra, Fifia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Radiation therapy is a therapeutic option for cervical cancer, and expected to have optimal outcomes, The results of radiation therapy is different for each patient depending on the sensitivity of cancer cells to radiation that is influenced by age, it can be reviewed by looking at the cell's response to radiation based on the presence or absence of malignant cells that found in the results of cytologic examination after radiation therapy. This research aimed to describe the results of cytological examination of cervical cancer patients after radiation therapy by age group in Radiotherapy Installation Arifin Achmad general hospital of Riau Province Period 2009-2013. The type of this research was descriptive retrospective with population are medical recodrs of cervical cancer patients who had undergone radiation therapy in the form of 25 full time external radiation therapy without chemotherapy in Radiotherapy Installation Arifin Achmad General Hospital of Riau period 2009 to 2013. The sample is the medical record that eligible as population that is as much as 78 medical records. The result of this research was found the largest age group who performed radiation therapy was 40-49 years old (41%), while the largest age group who have a cytological examination found no malignant cells most is 40-49 years old (12.8%), the age group that has the results malignant cells are found in the form of the age group 40-49 years old and 50-59 years old with patients respectively (1.3%) and the largest age group who do not have the data post-radiation cytology result is 40-49 years old (26 , 9%). The largest age group who have a cytological examination found no malignant cells most is people who do a cytological examination more than once that is age group > 60 years old (55.6%) and resulted in the malignant cells are found in the age group 50-59 years old (11 , 1%). Key words: cervical cancer, cervical cancer radiation, cytology results based on age
KUALITAS VISUM ET REPERTUM PERLUKAAN DI RSUD BANGKINANG PERIODE 1 JANUARI 2009 - 31 DESEMBER 2013 Ghifari, Annisa Abdi; Afandi, Dedi; Chandra, Fifia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTIn addition to treat patients , a doctor’s duty is also requested to make a written statement for justice importance that is called Visum et Repertum (VeR). VeR of injury for living victims is the most frequent form of assistance requested by investigating officers compared to other kinds of VeR. A good quality of VeR is required in view of its important role in litigation of a criminal offense. This study was aimed to understand the quality of VeR of injury in General Hospital of Bangkinang during 1st January 2009-31st December 2013. The research was an observational study using descriptive retrospective design. This study used Herkutanto’s scoring method towards 13 VeR substances. Samples of this study were all data of VeR of injury that had fulfilled inclusion criteria. The total of samples were 316 samples of VeR. This study suggested that the highest number of living victims of injury cases was 191 victims in age group 22-40 years old with the most frequent sex was male as many as 117 victims. The most frequent violence was blunt violence as many as 266 cases with the most frequent age group was 22-40 years old. The quality of VeR in preface was good quality, in body part was poor quality and in conclusion was medium quality. In general, quality of VeR of injury in General Hospital of Bangkinang during 1st january 2009-31st december 2013 was 50,93% that could be categorized as medium quality.Keywords: Visum et Repertum, injury, quality of VeR of injury
KUALITAS VISUM ET REPERTUM PERLUKAAN DI RSUD PURI HUSADA TEMBILAHAN PERIODE 1 JANUARI 2009-31 DESEMBER 2013 Hirfawaty, Hetty; Afandi, Dedi; Chandra, Fifia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 1 (2015): Wisuda Februari 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTThe most frequent Visum et repertum (VeR) requested by investigators is VeR of injury. This study was aimed to understand the quality of VeR of injury in Tembilahan Puri Husada General Hospital during 1 January 2009-31 December 2013. The research was an observational study using descriptive retrospective design. This study used Herkutanto’s scoring method towards 13 VeR substances. Samples of this study were all data of VeR of injury. It had been gotten 325 VeR reports in Tembilahan Puri Husada General Hospital during 1 January 2009-31 December 2013. Injury survivors most cases are in the age group 22-40 years old as many as 174 victims (53,54%). The overview of the living victims were most frequent male was 221 victims (68%) and the most frequent violence that were experienced by the victims were blunt violence was 253 VeR (77,85%) with the highest age group 22-40 years old. About 80% showed good quality in preliminary unit of VeR, 39% showed poor quality in reporting unit and about 49% also showed poor quality in inference unit. It can be concluded that quality of VeR reports in Tembilahan Puri Husada General Hospital during 1 January 2009-31 December 2013 was 47,67% which was mean it was poor quality.Keywords: Visum et Repertum, injury, quality of VeR of injury
GAMBARAN PENGETAHUAN DAN SIKAP IBU TENTANG PELAKSANAAN TOILET TRAINING PADA ANAK USIA 1-3 TAHUN DI WILAYAH KERJA POSYANDU DESA KUBANG JAYA KABUPATEN KAMPAR Syari, Elfita; Chandra, Fifia; Risma, Devi
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTToilet training is a technique for teaching children to defecate and urinate in the toilet. Mother’s knowledge and attitude plays an important role in the implementation of toilet training. This study was conducted to know the mother’s knowledge and attitude about the implementation of toilet training toward the children ages 1-3 years old in the area of Posyandu Kubang Jaya village Kampar District. This study was conducted in the area of Posyandu Kubang Jaya village Kampar District. The design research of this study is a descriptive cross-sectional approach. The sample of this study were the mothers of 1-3 years old children. The minimum number of samples required were 79 mothers. The data was taken from interviews and questionnaires. Based on the result of this study, it shows that the most knowledge, attitude and the implementation of toilet training is in the sufficient category (76%), neutral (60.8%) and most of mothers (79.8%) have conducted toilet training. Age <18 months is the most age where the toilet training is implemented (61.9%). The most mothers who have do the toilet training are the mothers in the age of 20-35 years old (68.4%), high school educated mothers (45.6%), housewife (69.6%) and mothers with children(≤2 child) 45.6%. Female babies (45.6%) are the most numerous who have conducted toilet training. Mothers who have conducted toilet training mostly have sufficient knowledge (60.8%) and neutral (49.4%).Keywords: knowledge, attitude, implementation, toilet training, toddler child
FAKTOR RISIKO HEPATITIS B PADA TENAGA KESEHATAN KOTA PEKANBARU Amtarina, Rina; Arfianti, A; Zainal, Andi; Chandra, Fifia
Majalah Kedokteran Bandung Vol 41, No 3
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Penyakit hepatitis B tergolong penyakit yang menjadi masalah kesehatan serius di Indonesia. Penularan virus hepatitis B melalui kontak dengan produk darah. Data mengenai pembawa HBsAg dan faktor risiko penularan VHB di Kota Pekanbaru belum ada sehingga perlu diadakan penelitian mengenai hal tersebut. Penelitian dilakukan secara retrospektif terhadap hasil pemeriksaan HBsAg dan anti-HBs responden dengan cara menganalisis hasil jawaban kuesioner. Responden dibagi 2 kriteria yaitu kriteria pernah/sedang terpapar hepatitis B dengan hasil pemeriksaan anti-HBs positif HBsAg negatif atau HBsAg positif Anti-HBs negatif dan kriteria tidak pernah terpapar VHB dengan hasil pemeriksaan HBsAg dan anti-HBs negatif. Dari 110 responden, 32 orang (29,1%) hasil anti-HBs positif, HBsAg negatif, 1 orang (0,9%) hasil HBsAg positif, anti-HBs negatif. Dari analisis kuesioner, faktor risiko penularan dari 32 orang anti-HBs positif terbanyak melalui pernah cabut gigi yaitu sebanyak 29 orang (90,6%) diikuti dengan pernah tertusuk jarum bekas/tidak steril sebanyak 18 orang (56,2%). Hanya 3 (9,3%) dari 32 orang pernah menderita hepatitis B sebelumnya. Pada 1 orang dengan HBsAg positif, faktor risiko penularan melalui tertusuk jarum bekas/tidak steril, pengobatan akupuntur, cabut gigi, dan ada anggota keluarga serumah yang pernah menderita hepatitis B. Faktor risiko penularan terbanyak pada tenaga kesehatan di Pekanbaru adalah melalui cabut gigi dan tertusuk jarum bekas/tidak steril.Kata kunci: Hepatitis B virus, anti-HBs, HBsAg, tenaga kesehatan, faktor risikoRISK FACTORS FOR TRANSMISSION OF HEPATITIS B VIRUS INFECTION IN HEALTH CARE WORKER OF PEKANBARU CITYHepatitis B is still the one of serious public health problem in the world including Indonesia. Transmission of hepatitis B virus (HBV) is strongly associated with use of contaminated blood products. For many people infected with HBV, risk factors of transmission are unknown. We examined risk factors for acquiring HBV in health care worker. This research was done by retrospective to blood participants who tested positive for HBs antibody or HBs antigen, using a questionnaire.participants divided into 2 groups. Had/having exposed to VHB with ati-HBs Positive HBsag negative or HBsag positive, anti-HBs negative and never had exposed to VHB with HBsag and anti-HBs negative. Positive anti- HBs were identified in 32 (29.1%) of 110 participants. Positive HBs antigen anti-HBs negative was identified in 1 (0.9%) of 110 participants. In questionnaire analysis, significant risk factors for HBV infection among HBs antibody - positive participants were tooth extraction in 29 (90.6%), and needle stick injuries in 18 (56.2%) of 32 participants. Only 3 (9.3%) of 32 participants with HBs antibody - positive had history of post infected HBV for several years ago. In 1 participant with HBs antigen - positive, significant risk factors were needle stick injuries, acupuncture, tooth extraction, and contact infected person. The most significant risk factors for transmission of hepatitis B in health care worker in Pekanbaru city are tooth extraction and needle stick injuries.Key words: Hepatitis B virus (HBV), HBs antibody, HBs antigen, health care worker, risk factor DOI: http://dx.doi.org/10.15395/mkb.v41n3.245
Analisis angka kuman pada makanan siap saji Chandra, Fifia; Ernalia, Yanti
MEDIA ILMU KESEHATAN Vol 10 No 1 (2021): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v10i1.530

Abstract

Background: Food poisonings in Indonesia mostly occurred in catering services. Salmonella sp., Campylobacter, Listeria, and E. coli are the types of bacteria that frequently cause food poisoning. Objective: The study aimed to detect Salmonella sp. on foods served in several restaurants. Methods: This research is a survey research with crossectional method. Selection of the restaurant was done by random sampling. There were 12 subdistricts and two restaurants were selected from each subdistrict in Pekanbaru, Riau, Indonesia. There were two types of foods consisted of animal and beans or vegetables, then 48 types of food from 24 Restaurants were obtained. The identification step was proceeded in Biochemical Laboratory of Health Polytechnic of Ministry of Health of Riau Province. This method was SNI 01-2332.2-1006 which was done with several steps of testing, namely pre-enrichment, enrichment, isolation and identification, and biochemical test. Data was presented in narration and univariate analysis for the frequency distribution of data. Results: In isolation and identification test steps on SS agar, there were 17 colonies found and suspected as Salmonella sp.. According to this data, it was found that 17 out of 48 (35,41%) of food samples in the restaurant contained bacteria. However, in the final steps of biochemical test there were 6 out of 48 total (12,5%) food samples contained Salmonella sp, and was found in 6 out of 24 restaurant (25%) and in 6 of 12 (50%) subdistricts. Foods that contained Salmonella sp. were rendang, chicken seasoning, tuna fish, vegetarian bak, fried shrimp, and grilled chicken Conclusion: Salmonella sp. found on foods served in several restaurants.
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

Abstract

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 yang Memengaruhi Kesalahan Persepsi Ibu tentang Status Gizi Anak Arfianti Arfianti; Tri Muhti Puja Kesuma; Muhammad Beni Septima; Riefni Silara Dini; Fifia Chandra
Media Kesehatan Masyarakat Indonesia Vol. 15 No. 4: DESEMBER 2019
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (358.758 KB) | DOI: 10.30597/mkmi.v15i4.7461

Abstract

Malnutrition is a significant health problem among Indonesian children. Mothers play a very importantrole in the prevention of childhood malnutrition. This study aimed to compare the child’s nutritional statusbased on mothers’ perception and anthropometry measurement and to analyze contributing factors of maternalmisclassification of a child’s weight status. This was an analytical observational study with a cross-sectional design.Research subjects included 250 mothers of grade 4 and 5 students from 6 elementary schools in Pekanbaru cityrecruited by the proportional quota sampling method. The Nutritional status of children was classified accordingto the 2006 World Health Organization (WHO) anthropometry standard. Mothers’ perception of child’s weightstatus was collected using questionnaires. Based on anthropometry measurement, 28% and 10% of children wereoverweight and underweight, respectively. In contrast, according to mothers, 4,8% of children were overweightand 12,8% ofchildren were underweight. As many as 34.8% of mothers had incorrect perceptions about thenutritional status of their children and there was a poor agreement of mothers’ perception and child’s nutritionalstatus (Kappa coefficient of 0,02). Working mothers were more likely to underestimate their child’s weight statuscompared to stay-at-home mothers (p=0,004).