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Pemanfaatan Sistem Informasi Geografis untuk Pemetaan Penyakit Periodontal Berdasarkan Faktor Lingkungan di Kecamatan Pundong, Kabupaten Bantul Setiawan, Prayudha Benni; Nur'aini, Bekti; Hartono, Hartono; Tandelilin, Regina Titi Christinawati
Jurnal Kesehatan Lingkungan Indonesia Vol 18, No 2 (2019): Oktober 2019
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.18.2.98-103

Abstract

ABSTRAK Latar belakang: Penyakit periodontal merupakan salah satu penyakit gigi dan mulut yang banyak di jumpai di masyarakat dunia khususnya di Indonesia. Penyebab utama penyakit periodontal adalah faktor lokal yaitu bakteri plak dan kalkulus. Selain itu faktor geografis, lingkungan secara tidak langsung dapat mempengaruhi individu mengalami penyakit periodontal. Sistem Informasi Geografis (SIG) dapat digunakan untuk menganalisa perbedaan faktor-faktor tersebut, terutama yang berhubungan dengan perbedaan geografis dan lingkungan. Kecamatan Pundong memiliki variasi letak geografis dan lingkungan.Metode: Jenis penelitian ini adalah observasional analitik survei dengan disain cross-sectional. Subjek penelitian ditetapkan dengan pendekatan Regristry Based Study dimana Puskesmas Pundong sebagai sumber data dasar dalam penelitian ini. Variabel bebas adalah penyakit periodontal, sedangkan variable terikat adalah ketinggian tempat (geografis) dan pH air (lingkungan). Analisis spasial menggunakan Purely Spatial Poisson Model SatScan  dan ArcGIS. Distribusi frekuensi dan hubungan faktor lingkungan dengan penyakit periodontal dianalisis menggunakan univariat dan bivariate. Hasil: Variabel yang berhubungan secara signifikan dengan keparahan penyakit periodontal yaitu pH sumber air dan ketinggian tempat (p-value<0,05). Berdasarkan nalisis Purely Spatial Poisson Model didapatkan satu cluster, terjadi pada 49 penderita dengan radius 2.24 km terdapat di Desa Seloharjo. Memiliki annual cases 11.2/100000 penduduk, yang berarti dalam 100000 penduduk memiliki 11.2 mengalami kasus penyakit periodontal.Simpulan: Terdapat hubungan yang signifikan keparahan penyakit periodontal dengan pH sumber air dan ketinggian tempat. Berdasarkan analisis spasial terdapat klaster kejadian periodontal di Desa Seloharjo.   ABSTRACT Title: Using  Geographic Information System for Periodontal Disease Mapping  Based on Environmental Aspects in Pundong District, Bantul RegencyBackground: Periodontal disease is one of the most common oral diseases in the world, especially in Indonesia. The main causes of periodontal disease are local factors such as dental plaques and calculus. In addition, environmental factors can indirectly affect individuals experiencing periodontal disease. Geographical Information Systems (GIS) can be used to analyze differences in these factors, especially those related to geographical and environmental differences. Pundong district has geographical and socio-economic variation.Method: The type of study was an observational analytic survey with a cross-sectional design. The subject of research is determined by Registry Based Study approach where Pundong Community Health Center as the primary data source in this research. Independent variable is periodontal disease, while the dependent variable is a  altitude and water acidity. Spatial analysis using Purely Spatial Poisson SatScan and ArcGIS. The distribution and relationship of environmental factors with periodontal disease were analyzed using univariate and bivariateResult: The variables significantly associated with periodontal disease severity were altitude and water acidity(p-value <0.05). Spatial analysis to determine the cluster of incidence of periodontal disease, with Purely Spatial Poisson Model analysis obtained 1 cluster, occurred in 49 patients with radius 2.24 km in Seloharjo. It has annual cases of 11.2 / 100000 residents, which means that in 100000 the population has 11.2 cases of people. Conclusion: There is a significant relationship between the severity of periodontal disease and the water acidity and altitude. Based on the spatial analysis there were cluster periodontal events in Seloharjo 
Pementaan dan faktor risiko sosioekonomi dan perilaku terhadap kejadian penyakit periodontal di kecamatan pundong kabupaten bantul Prayudha Benni Setiawan; Hartono Hartono; Regina Titi Christinawati Tandelilin; Bekti Nur&#039;aini
Jurnal Teknosains Vol 9, No 2 (2020): June
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/teknosains.44013

Abstract

Periodontal disease is pathological damage that affects the tooth supporting tissues. Systemic conditions largely influence its pathogenesis. Besides, environmental, socioeconomic, behavioural, environmental and geographic factors can affect individuals experiencing periodontal disease. Geographic Information System (GIS) can be used to analyze the differences of these factors, especially those relating to geographic differences, demographic factors, social, etc. Pundong district has geographical and socio-economic variation. This study aims to describe the distribution of patients with periodontal disease based on socioeconomic and behavioral factors. The type of study was an observational analytic survey with a cross-sectional design. The subject of research is determined by Registry Based Study approach where Pundong Community Health Center as the primary data source in this research. Independent variable is periodontal disease, while the dependent variable is a socioeconomic factor and health behaviour. Overview of periodontal disease mapping using ArcGIS, with an overlay method or combining two layers, namely the administrative map of Pundong District and coordinates of patients with periodontal disease. Univariate and bivariate analysis using Stata to analyze the distribution and the relationship of each variable. Generalized periodontitis often occurs in Seloharjo. Seloharjo has the most deprived people in Pundong Sub-district. The variables significantly associated with periodontal disease severity were economic status and brushing behaviour (p-value <0.05).
Kerapatan Fasilitas Kesehatan Tingkat 1 berdasarkan Permasalahan Kesehatan Gigi dan Mulut di Provinsi Daerah Istimewa Yogyakarta Regina Titi Christinawati Tandelilin; Prayudha Benni Setiawan; Anggita Mugiwardani
Jurnal Kesehatan Vokasional Vol 4, No 4 (2019): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (672.597 KB) | DOI: 10.22146/jkesvo.50428

Abstract

Latar belakang: Fasilitas kesehatan merupakan suatu alat atau tempat yang digunakan untuk menyelenggarakan upaya pelayanan kesehatan. Pemetaan fasilitas kesehatan di Provinsi Daerah Istimewa Yogyakarta menggunakan Sistem Informasi Geografis diperlukan karena keberhasilan penanggulangan permasalahan kesehatan gigi dan mulut masyarakat dipengaruhi oleh ketersediaan fasilitas kesehatan.Tujuan: Tujuan dari penelitian ini adalah menggambarkan pemetaan permasalahan kesehatan gigi dan mulut berdasarkan fasilitas kesehatan tingkat 1 di Provinsi Daerah Istimewa Yogyakarta berbasis software ArcGIS 9.3.Metode: Penelitian ini merupakan penelitian deskriptif menggunakan Sistem Informasi Geografi (SIG) untuk melihat persebaran permasalahan kesehatan gigi dan mulut berdasarkan fasilitas kesehatan tingkat 1 di Provinsi Daerah Istimewa Yogyakarta. Penelitian dilakukan di lima kabupaten/kota di Provinsi Daerah Istimewa Yogyakarta menggunakan data jumlah penduduk dari BPS dan data permasalahan gigi dan mulut dari Riskesdas tahun 2007 dan 2013.Hasil: Hasil penelitian menunjukkan bahwa pada tahun 2013 dilakukan penambahan unit puskesmas dari 90 unit menjadi 121 unit pada tahun 2013. Persentase masalah kesehatan gigi dan mulut juga meningkat dari 30,7% menjadi 40,4%. Tetapi, kebiasaan menyikat gigi yang benar pada masyarakat justru mengalami penurunan dari 97,3% menjadi 78,6%.Kesimpulan: densitas fasilitas kesehatan puskesmas di Provinsi Daerah Istimewa Yogyakarta pada tahun 2013 lebih baik dibandingkan dengan tahun 2007, tetapi dari segi kualitas kesehatan masyarakat pada tahun 2013 mengalami penurunan dibandingkan dengan tahun 2007.
The Effect of Porphyromonas gingivalis Lipopolysaccharide-Induced Periodontitis in Rats Fed a High-Cholesterol Diet on Macrophage Number Sari, Finsa Tisna; Tandelilin, Regina Titi Christinawati; Rahman, Friska Ani; Mardhiyah, Iffah; Widita, Elastria
Journal of Indonesian Dental Association Vol 4 No 2 (2021): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v4i2.637

Abstract

Introduction: Periodontitis is a chronic inflammatory condition of the tooth-supporting tissue. P. gingivalis, which produces virulence factors, including lipopolysaccharide (LPS), is the main pathogenic driver of periodontitis. However, the interaction between the innate immune system and periodontal pathogens in hyperlipidemia remains unclear. Objective: The aim of this study was to investigate the effect of a high-cholesterol diet (HCD) on macrophage activity in P. gingivalis LPS-induced periodontitis. Methods: Twenty-eight male Sprague Dawley rats were divided into four groups (n=7 rats each group): LPS-HCD, saline-HCD, LPS-basal diet (LPS-BD), and saline-BD. HCD group had been being feeding by high cholesterol diet (1% cholesterol (w/w) and 0.5% cholic acid (w/w)) for 30 days before were injected with 0.2 ml of P. gingivalis ATCC 3277 LPS (LPS-HCD group) and saline (saline-HCD group). The other two groups had been being feeding by normal basal diet for 30 days before were injected with 0.2 ml of P. gingivalis ATCC 3277 LPS (LPS-BD group) and saline (saline-BD group). Rats were sacrificed and lower jaws were harvested and embedded in paraffin. Paraffin section of lower right and left incisor were deparaffinized, rehydrated, and stained with hematoxylin & eosin (H&E). The total number of macrophages was counted using a light microscope at a magnification of 400× from 10 fields of view. Results: The number of macrophages in the LPS-HCD group was the highest compare to LPS- BD, saline-HCD, and saline-BD groups. In addition, LPS-BD group had higher number of macrophage than saline-BD group which had the lowest number of macrophages. Conclusion: HCD and P. gingivalis LPS-induced periodontitis can contribute to increasing of macrophage activity in periodontitis. Thus, HCD itself can enhance the process of inflammation in periodontitis.
The Level of Saliva Glutathione in Moderate Gingivitis Patients Increases After Gargling with 5% Cosmos (Cosmos caudatus) Extract Singh, Malreen Kaur Harban; Tandelilin, Regina Titi Christinawati; Handajani, Juni
Journal of Indonesian Dental Association Vol 4 No 2 (2021): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v4i2.636

Abstract

Introduction: Gingivitis is an inflammation of the gums caused by bacterial plaque accumulation producing reactive oxygen species (ROS). Reactive oxygen species is a harmful by-products from aerobic metabolisms of mitochondria, that when accumulated can cause large variety of diseases. Antioxidants can counter ROS activities. Oxidative stress may occur due to an imbalance between ROS and antioxidants. Glutathione (GSH) is an antioxidant that protects cells against oxidative damage. Cosmos caudatus is rich in antioxidants due to its flavonoid and phenolic contents. Objective: The aim of this study was to detect the concentration of saliva GSH in moderate gingivitis patients after gargling with a solution containing 5% Cosmos (Cosmos caudatus) extract. Methods: Twenty subjects with moderate gingivitis were divided into two groups—the treatment and control group—by drawing lots in a randomized controlled trial. The treatment group gargled with 5% Cosmos extract whereas the control group gargled with Chlorhexidine 0.1%. Each subject was required to gargle for 60 seconds every morning and night, for five days consecutively. The GSH level was measured before and after gargling on the sixth day after treatment using a spectrophotometer with wavelength of 412 nm. Data was analyzed using an independent T-Test (p <0.05). Results: The study showed there was significant difference between the saliva GSH level of each group before and after gargling; moreover, after gargling with the solutions, no significant difference of saliva GSH was found when compared between the treatment group and the control group. Conclusion: The level of saliva GSH increases after gargling using 5% Cosmos extract and has the same effect with Chlorhexidine 0.1%.