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Premature Loss dan Perkembangan Rahang Laelia Dwi Anggraini; Rinaldi Budi Utomo; Sunarno Sunarno; Dibyo Pramono
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol 7, No 2 (2018)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.7297

Abstract

Premature loss adalah kondisi dimana gigi desidui yang sudah tanggal sebelum waktunya sementara gigi permanen pengganti belum tumbuh. Kehilangan gigi desidui yang terlalu dini akan berpengaruh pada keberhasilan erupsi gigi apabila ada pengurangan ruang pada lengkung gigi. Kondisi premature loss terkait pula dengan perkembangan rahang. Rahang adalah bagian dari struktur total kepala dan setiap rahang bisa mempunyai hubungan posisional yang bervariasi terhadap struktur lain dari kepala, variasi semacam itu bisa terjadi pada ketiga bidang yaitu sagital, vertikal, dan lateral. Setiap kondisi patologis yang mempengaruhi pertumbuhan rahang bisa menimbulkan efek besar terhadap oklusi gigi. Pertumbuhan maksila dipengaruhi oleh pertumbuhan otak, pertumbuhan tulang cranial dan nasal septal memberikan pengaruh signifikan terhadap pergerakan maju mundur maksila. Mandibula merupakan tulang kraniofasial yang sangat mobile dan merupakan tulang yang sangat penting karena terlibat dalam fungsi-fungsi vital antara lain pengunyahan, pemeliharaan jalan udara, berbicara, dan ekspresi wajah. Gerakan pertumbuhan mandibula pada umumnya dipengaruhi oleh perubahan yang terjadi di maksila. Pertumbuhan prosesus alveolaris sangat aktif selama erupsi dan berperan penting selama erupsi serta terus memelihara hubungan oklusal selama pertumbuhan vertikal maksila dan mandibula. Kesimpulan dari telaah literatur ini yaitu kondisi rongga mulut karena premature loss secara langsung atau tidak langsung berpengaruh pada tumbuh kembang rahang.
EVALUASI DAN IMPLEMENTASI SISTEM SURVEILANS DEMAM BERDARAH DENGUE (DBD) DI KOTA SINGKAWANG, KALIMANTAN BARAT, 2010 Frans yosep sitepu; Antonius Suprayogi; Dibyo Pramono
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 8 Nomor 1 Juni 2012
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1350.743 KB) | DOI: 10.22435/blb.v8i1.774

Abstract

Introduction: Dengue Haemorrhagic Fever (DHF) is still a public health problem in Singkawang Municipality which was an endemic area. DHF surveillance is expected to inform endemicity of an area, season of transmission and disease progression that can be use to make the system more effective and efficient. Methods: Observational study by using a structured questionnaire. Interview was conducted to all DHF surveillance officers. Evaluated had been done to the variable of input, process, and output of the surveillance system. We conducted an on the job training to all DHF surveillance officers after the evaluation.Results: 66.7% officers never got any trainings of surveillance, 83.3% had double duty, budgeting limited to physical needs, facilities and infrastructures. Process variable, data collection was late; analysis and recommendation had not been directed to the distribution of cases, the relationship between risk factors and the mortality of DHF incidence, and environment changing, feedback; data distribution had not been implemented optimally. Output variable was still weak, no surveillance epidemiology profile. Attribute surveillance such as simplicity, flexibility, and positive predictive value were good, but still weak in acceptability, sensitivity, representativeness, and timeliness. Short-term evaluation resulted that there was an increasing knowledge of surveillance officers (p value <0.05). Mid-term evaluation resulted that there was an increasing of completeness and accuracy of DHF report from 80% to 100%, active case finding, epidemiology investigation conducted to all DHF cases.Discussion and Conclusions : DHF surveillance system in Singkawang needs to be improved, there were many attributes of surveillance system that had not done well. Training of surveillance system is needed to improve capability and capacity of the surveillance officers.
Pengaruh Pelatihan Mikroskopis Tuberkulosis Terhadap Kualitas Sediaan dan Slide Positivity Rate di Wilayah Kerja Dinas Kesehatan Kabupaten Purbalingga Dede Kurniawan; Ning Rintiswati; Dibyo Pramono
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 4 No. 2 (2015): Jurnal Ilmu Kesehatan Bhakti Husada
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Microscopic examination of sputum is a key component of the diagnosis of tuberculosis. In Purbalingga district, was conducted in 24 peripheral laboratories. Five technicians were trained in 2011-2012 and 12 technicians in 2003-2009 by National Tuberculosis Programs. Seven technicians have not trained. In 2011 slide positivity rate an average of 9.1%, 73.4% poor smear quality and 11.5% poor staining, 1.4% error rate at 34.7% laboratoriy. In 2012 slide positivity rate an average of 8.9, evenness was the highest of poor smear quality (77.7%), and 4.6% error rate at 66,7% laboratory. Therefore, need refresher training and initial training. Objective: To determine impact of training to smear quality and slide positivity rate. Methods: The research design was analytic quasi experimental with 5 days microscopic training. The research subject were 18 technician microscopic. They were divided into experimental and control group each 9 technicians with purposive sampling. The differences of smear quality and slide positivity rate were analyzed by independent t-test and Mann-Whitney test with 95% CI. Results: Training has increased the average of knowledge test score 40.7 points and average of test score the good smear quality : specimen quality increased 90 points, staining 84.4, cleanness 85.6, thickness 91.1, smear size 88.9, evenness 87.8 and increase the average of smear readings score test 22 points. The mean of smear quality and slide positivity rate of the experimental group were higher than control group. Statistical test of smear quality between eksperimental group with contol group were: specimen quality p=0.03, staining quality p=0.03, cleanness p=0.02, thickness p<0.001, size p<0.001, good evenness p<0.001, and slide positivity rate p=0.02 Conclusion: The mean of smear quality and slide positivity rate of the experimental group were higher than control group, there were significant differences of smear quality and slide positivity rate between experimental group with control group at 3 months after training.