Hafni Bachtiar
Bagian Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Andalas

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FAKTOR DETERMINAN KEJADIAN GONDOK DI DAERAH PANTAI JAWA TIMUR Hafni Bachtiar
Jurnal Kesehatan Masyarakat Andalas Vol 3, No 2 (2009): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v3i2.61

Abstract

The Iodine Deficiency Disorders (IDD) is one of the serious nutritional issues in Indonesia. The survey of IDD in Province of East Java, found that Total Goiter Rate (TGR) in 2003 was higher than 1998 (24.8% and 16.3%) respectively). Iodine deficiency is the main factor of goiter incidence but, there were other factors which could cause the goiter incidence, such as trace element (selenium and zinc) deficiency and exposure of pollutant such as nitrate. The objective of the research is to analyze an association between the trace element andpollutant with the goiter incidence. This research was the cross sectional design, compare goiter and non-goiter respondents. Twenty pupils developing goiter were taken randomly from the goiter population and twenty pupils not suffering of goiter were also taken randomly from the non-goiter population. The median urinary excretion iodine (UEI) levels were higher in the goiter respondents compared with the non-goiter. This might be caused by administration of relatively new iodine capsule to the goiter respondents compared with the non-goiter. The average blood nitrate levels were higher in the in the goiter compared with the non-endemic respondents (575. 75 ± 108.01pg/l :419.45 ± 120.35 pgf I) and there was statistically significant relationship (p < 0.01). According to logistic regression, it can be drawn that the nitrate is determinant factor of coastal area goiter. The goiter prevention program should not be limited to iodine intake, but also include other relevant factors, especially to food and drink nitrate contamination.
PERBEDAAN PERUBAHAN FUNGSI HEMOSTASIS SAAT STABILISASI PREEKLAMSIA BERAT/EKLAMSIA 24 JAM POSTPARTUM Hudila Rifa Karmia; Yusrawati Yusrawati; Hafni Bachtiar
Majalah Kedokteran Andalas Vol 39, No 1 (2016): Published in April 2016
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.66 KB) | DOI: 10.22338/mka.v39.i1.p28-34.2016

Abstract

Penelitian bertujuan menganalisis perbedaan perubahan temuan fungsi hemostasis saat stabilisasi antara preeklamsia berat/eklamsia yang mengalami dan yang tidak mengalami perbaikan 24 jam postpartum. Pada subyek penelitian yaitu wanita preeklamsia berat/eklamsia yang mengalami dan tidak mengalami perbaikan 24 jam postpartum dan memenuhi kriteria inklusi (16 pasien per kelompok) dilakukan pemeriksaan laboratorium fungsi hemostasis di Labor Patologi Klinik RSUP M. Djamil Padang. Perbedaan perubahan temuan fungsi hemostatik pada kedua grup dianalisa dengan menggunakan t-test. Dari penelitian didapatkan perbedaan temuan fungsi hemostasis pada saat stabilisasi antara preeklamsia berat/eklamsia yang mengalami dan yang tidak mengalami perbaikan 24 jam postpartum adalah trombosit 40.000 + 39.653/ml banding -5.250 + 58.915/ml (p=0,016), PT -0,144 + 1,083 detik banding 0,038 + 1,549 detik (p=0,074), APTT -0,275 + 3,938 detik banding 1,55 + 4,99 detik (p=0,260), dan D-dimer 0,319 + 1,34 ug/L banding 0,7125 + 2,018 ug/L (p=0,521). Sehingga dapat disimpulkan bahwa terdapat peningkatan yang bermakna secara statistik kadar trombosit kelompok yang mengalami perbaikan dibandingkan kelompok yang tidak mengalami perbaikan. Tidak terdapat perbedaan bermakna kadar PT, APTT, dan D-Dimer antara kelompok yang mengalami perbaikan dan kelompok yang tidak mengalami perbaikan.
FAKTOR DETERMINAN KEJADIAN GONDOK DI DAERAH PANTAI JAWA TIMUR Hafni Bachtiar
Jurnal Kesehatan Masyarakat Andalas Vol 3 No 2 (2009): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v3i2.61

Abstract

The Iodine Deficiency Disorders (IDD) is one of the serious nutritional issues in Indonesia. The survey of IDD in Province of East Java, found that Total Goiter Rate (TGR) in 2003 was higher than 1998 (24.8% and 16.3%) respectively). Iodine deficiency is the main factor of goiter incidence but, there were other factors which could cause the goiter incidence, such as trace element (selenium and zinc) deficiency and exposure of pollutant such as nitrate. The objective of the research is to analyze an association between the trace element andpollutant with the goiter incidence. This research was the cross sectional design, compare goiter and non-goiter respondents. Twenty pupils developing goiter were taken randomly from the goiter population and twenty pupils not suffering of goiter were also taken randomly from the non-goiter population. The median urinary excretion iodine (UEI) levels were higher in the goiter respondents compared with the non-goiter. This might be caused by administration of relatively new iodine capsule to the goiter respondents compared with the non-goiter. The average blood nitrate levels were higher in the in the goiter compared with the non-endemic respondents (575. 75 ± 108.01pg/l :419.45 ± 120.35 pgf I) and there was statistically significant relationship (p < 0.01). According to logistic regression, it can be drawn that the nitrate is determinant factor of coastal area goiter. The goiter prevention program should not be limited to iodine intake, but also include other relevant factors, especially to food and drink nitrate contamination.