Akmal M. Hanif
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Hubungan Pengetahuan dan Sikap dengan Tindakan Pencegahan Penularan HIV-AIDS pada Waria di Kota Padang Tahun 2013 Vicca Rahmayani; Akmal M. Hanif; Susila Sastri
Jurnal Kesehatan Andalas Vol 3, No 2 (2014)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v3i2.99

Abstract

AbstrakKasus HIV/AIDS di Provinsi Sumatera barat sampai Desember 2012 sebanyak 133 kasus positif HIV dan 120 kasus AIDS, jumlah kasus terbesar di kota Padang sebesar 78,94%. Faktor resiko paling banyak melalui hubungan seksual sebesar 32%, dan di antara 40 orang waria penjaja seks dibawah bimbingan LSM APP(Aia Pacah Peduli) dinyatakan 5 waria +HIV. Tujuan penelitian untuk menganalisa hubungan pengetahuan dan sikap dengan tindakan pencegahan penularan HIV-AIDS pada waria di kota Padang. Metode penelitian adalah analitik observasional dengan pendekatan cross sectional study. Populasi penelitian adalah para waria penjaja seks dibawah bimbingan LSM APP Padang. Penentuan jumlah sampel menggunakan teknik total sampling dengan jumlah sampel 40 waria penjaja seks. Analisis data menggunakan uji statistik chi-square. Hasil penelitian menunjukkan bahwa 65% waria penjaja seks memiliki tindakan yang baik, 70% memiliki pengetahuan yang tinggi, dan 52,5% menunjukkan sikap sedang terhadap pencegahan penularan HIV-AIDS. Hasil uji chi-square menunjukkan bahwa ke dua variabel independen berhubungan secara bermakna dengan variabel dependen (p < 0,05) yaitu variabel pengetahuan (p = 0,040) dan sikap (p = 0,048).Kata kunci: Pengetahuan, Sikap, Tindakan, HIV-AIDS, Waria penjaja seksAbstractCases of HIV/AIDS in West Sumatra province until December 2012, is as many as 133 cases of HIV positive and 120 cases of AIDS, with the largest number is occured in Padang city that is 79.3%. The most influenced risk factor is through a sexual relationship amounted to 32%, and among the 40 transvestites sex workers who have been under the guidance of the APP (Aia Pacah Peduli)—an NGO, there are 5 transvestites with +HIV. This research aims to analyze the relationship of knowledge and attitude with the precautions of HIV/AIDS transmission on transvestites in Padang city. Methode of this research is an observational analytic study with cross sectional study approach. Population were all transvestites sex workers (40) who have been under the guidance of the APP (Aia Pacah Peduli)—an NGO that is 40. The amount of this sample is chosen using total sampling. Data analysis uses statistical test of chi-square. The research results showed that 65% of transvestites sex workers take good preventive action, 70% had high knowledge, and 52.5% show that they took sufficient attitude related to prevention of HIV/AIDS transmission. Chi-square test results showed that the two independent variables are significantly correlated with the dependent variable (p < 0,05), that is knowledge variable (p =0,040) and attitude (p =0,048).Keywords: Knowledge, Attitude, Action, HIV/AIDS, Transvestites sex workers
Gambaran Hasil Uji Widal Berdasarkan Lama Demam pada Pasien Suspek Demam Tifoid Vika Rahma Velina; Akmal M. Hanif; Efrida Efrida
Jurnal Kesehatan Andalas Vol 5, No 3 (2016)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v5i3.602

Abstract

AbstrakDiagnosis definitif demam tifoid adalah dengan biakan, tetapi pada beberapa daerah sering tidak tersedia fasilitas untuk biakan, maka cara lain untuk membantu menegakkan diagnosis yang praktis dan tersedia di rumah sakit yaitu uji Widal. Tujuan penelitian ini adalah untuk mengetahui gambaran hasil uji Widal pada pasien suspek demam tifoid. Penelitian ini dilakukan di Bagian Rekam Medik  RS Dr. M. Djamil Padang. Jenis penelitian ini adalah retrospektif deskriptif yang telah dilaksanakan dari Juli 2013 sampai Februari 2014. Jumlah sampel yang didapatkan adalah sebanyak 46 orang. Dari 46 sampel didapatkan hasil uji Widal dengan titer antibodi terhadap antigen O 1:80 sebanyak 6,51%, 1:160 sebanyak 73,89%, 1:320 sebanyak 19,54%, dan 1:640 sebanyak 0%. Titer antibodi terhadap antigen H 1:80 sebanyak 4,34%, 1:160 sebanyak 47,80%, 1:320 sebanyak 45,63%, dan 1:640 sebanyak 2,17%. Kesimpulan hasil studi ini ialah 1:160 adalah titer yang tersering ditemukan dengan titer antibodi terhadap antigen O tertinggi yakni 1:320 lebih sering ditemukan pada lama demam dengan rentang 6 – 8 hari sedangkan titer antibodi terhadap antigen H tertinggi yakni 1:640 ditemukan pada lama demam dengan rentang 6 – 8 hari.Kata kunci: demam tifoid, uji Widal, Salmonella typhi AbstractThe definitive diagnosis of typhoid fever is  proven by culture, but in some areas is often no way of culture. There is another examination that has been found to help the diagnosis that is practical and available in hospital which is called Widal test. The objective of this study was to describe the results of Widal test in patients with suspected typhoid fever. This research was conducted at the medical record of Dr. M. Djamil Padang Hospital. This is a descriptive research which was held in July 2013 – February 2014. The number of samples obtained are as many as 46 people.  The 46 samples obtained Widal test, the results was made with titres of antibodies against O antigens 1:80 as much as 6,51%, 1:160 as much as 73,89%, 1:320 as much as 19,54%, and 1:640 as much as  0%. Titers of antibodies against H antigens 1:80 as much as 4,34%, 1:160 as much as 47,80%, 1:320 as much as 45,63%, and 1:640 as much as 2,17%. The conclusion is 1:160 is the most often titres found in patients with suspected typhoid fever with the highest value of antibody titers against the O antigens that is 1:320, is more common in duration of fever with a range of 6-8 days and the highest value of antibody titers against H antigens that is 1:640 has found in duration of fever with range 6-8 days.Keywords: typhoid fever, Widal test, Salmonella typhi
Hubungan Jumlah Trombosit, Hematokrit dan Hemoglobin dengan Derajat Klinik Demam Berdarah Dengue pada Pasien Dewasa di RSUP. M. Djamil Padang Yobi Syumarta; Akmal M. Hanif; Erlina Rustam
Jurnal Kesehatan Andalas Vol 3, No 3 (2014)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v3i3.187

Abstract

AbstrakDiagnosis yang tepat terhadap stadium dan kondisi penderita DBD penting untuk menentukan prognosisnya. Pemeriksaan trombosit, hematokrit, dan hemoglobin untuk setiap derajat klinik DBD diharapkan membantu dalam mengelompokkan dan mengelola pasien berdasarkan derajat kliniknya. Penelitan ini bertujuan untuk melihat hubungan hasil pemeriksaan trombosit, hematokrit, dan hemoglobin dengan derajat klinik DBD berdasarkan kriteria WHO.Penelitian dilakukan secara retrospektif terhadap 84 sampel dari rekam medik Bagian Ilmu Penyakit Dalam di RSUP. M. Djamil Padang dari januari 2011 sampai 30 April 2013. Trombosit diperiksaan menggunakan metode Rees Ecker, hematokrit dengan metode langsung cara mikro, dan hemoglobin menggunakan metode Sahli. Uji hipotesis menggunakan analisis bivariat dengan uji hipotesis nonparametrik Kendal’s Tau dengan software SPSS.Hasil penelitian ditemukan rerata umur 25.49±10.09 tahun. Laki-laki 46 orang (54.8%) lebih banyak dari wanita 38 orang (45.2%). Hasil analisis dengan uji korelasi Kendal’s Tau didapatkan trombosit berhubungan dengan derajat klinik DBD, semakin rendah trombosit semakin berat derajat kliniknya (p < 0.05, r = 0.336). Hematokrit tidak berhubungan dengan derajat klinik DBD (p > 0.05, r = 0.059). Hemoglobin tidak berhubungan dengan derajat klinik DBD (p > 0.05, r = - 0.036).Semakin rendah jumlah trombosit semakin berat derajat klinik DBD, hematokrit dan hemoglobin tidak berhubungan dengan derajat klinik DBD.Kata kunci: jumlah trombosit, nilai hematokrit, kadar hemoglobin, derajat klinik DBD.AbstractPrompt diagnosis and as an accurate assessment of the stage and condition of DHF cases is a very important factor for determining patient prognosis. The existence of an exact value of the results of platelets, hematocrit, and hemoglobin for each grade of DHF are expected to greatly assist in classify and manage patients based on the clinical degree. This research was aimed to determine the relationship between the results of the hemoglobin, hematocrit and platelets count with the degree of clinical DHF according to WHO criteria. This research with retrospective design in 84 samples were taken from the medical records of adult patients in RSUP. M. Djamil Padang from 1 January 2011 until 30 April 2013. Platelets used direct method Rees Ecker, hematocrit’s used direct method micro method, and hemoglobin’s used Sahli method. Data processed by Kendal Tau tests using SPSS software. Results found average ages of 25.49 ± 10,09 years. The number of male patients 46 (54.8%) higher than female patients 38 (45.2%). Analysis by hypotetic test showed that there is a relationship between the platelet with clinical degree of DHF, where the lower the number, the more severe the clinical degree of DHF (p < 0.05, r = - 0336). There is no relation between hematocrit with clinical degree of DHF (p > 0.05, r = 0.059). There is no relation between hemoglobin with clinical degree of DHF (p > 0.05, r = - 0.036). More lower the number of trombosit, the more severe the clinical degree of DHF, and there is no relation between hematocrit and hemoglobin with clinical degree of DHF.Keywords: platelet count, hematocrit, hemoglobin levels, clinical degree of DHF.