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Faktor Risiko Gangguan Kognitif pada Penyalahguna Narkoba di Enam Balai Rehabilitasi Badan Narkotika Nasional Tahun 2019 Erma Antasari; Mondastri Korib Sudaryo
Media Penelitian dan Pengembangan Kesehatan Vol 31 No 4 (2021)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v31i4.4886

Abstract

In 2018, more than a quarter-billion people worldwide used drugs. Continuous use of drugs can cause changes in the nervous system of the brain. The purpose of this analysis was to identify risk factors for cognitive impairment in drug abusers. This research is a secondary data analysis from a crosssectional study of Health Research on the Impact of Drug Abuse conducted by the National Narcotics Board at the BNN Rehabilitation Center. The dependent variable in this study is sociodemography, duration of drug use, age at first using drugs, the number of substances used and, the type of drugs used. While the independent variable is cognitive impairment. The data analyzed were 601 drug abusers aged 15-50 years. Data analysis used descriptive, bivariate and, multivariate cox regression. The results showed that the factors associated with cognitive impairment in drug abusers were the use of marijuana (PR=1.33: p=0.007) and prescription drugs abuse (PR=1.26: p=0.046). Cognitive impairment in drug abusers in this study was associated with the use of cannabis and triheksifenidil and dekstrometrofan abuse. These findings provide recommendation for rehabilitation administrators to use cognitive impairment examination results as a determination of treatment plan for rehabilitation clients and become recommendation for the government to formulate policies related to drug abuse that are more comprehensive in terms of production, distribution and buyers / abusers. Abstrak Pada tahun 2018, lebih dari seperempat milyar orang di seluruh dunia menggunakan narkoba. Penggunaan narkoba secara terus-menerus dapat menyebabkan perubahan pada sistem syaraf otak. Tujuan analisis ini adalah mengidentifikasi faktor risiko gangguan kognitif pada penyalahguna narkoba. Penelitian ini merupakan analisis data sekunder dari studi cross sectional Riset Kesehatan Dampak Penyalahgunaan Narkoba yang dilakukan oleh Badan Narkotika Nasional (BNN) di enam Balai Rehabilitasi BNN. Variabel terikat dalam penelitian ini adalah lama pemakaian narkoba, usia pertama kali menggunakan narkoba, jumlah zat yang digunakan dan jenis narkoba yang digunakan. Sedangkan variabel bebas ialah gangguan kognitif. Data yang dianalisis sebanyak 601 orang penyalahguna narkoba yang berusia 15-50 tahun. Analisis data menggunakan deskriptif, bivariat dan multivariat dengan cox regression. Hasil penelitian menunjukkan faktor yang berhubungan dengan gangguan kognitif pada penyalahguna narkoba adalah penggunaan ganja (PR=1,33: p=0,007) dan penyalahgunaan triheksifenidil dan dekstrometrofan (PR=1,26: p=0,043). Gangguan kognitif pada penyalahguna narkoba pada penelitian ini terkait dengan penggunaan narkotika jenis ganja dan penyalahgunaan triheksifenidil dan dekstrometrofan. Temuan ini memberikan masukan bagi penyelenggara rehabilitasi untuk menjadikan hasil pemeriksaan gangguan kognitif sebagai dasar penentuan rencana pengobatan bagi klien rehabilitasi dan menjadi masukan bagi pemerintah untuk menyusun kebijakan terkait penyalahgunaan obat daftar G yang lebih komprehensif baik dari sisi produksi, distribusi dan pembeli/penyalahguna.
Knowledge, attitude, and practice of pregnant women in preventing HIV transmission from mother to child Helwiah Umniyati; Sri Puji Utami Atmoko; Mondastri Korib Sudaryo
Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 1 (2020): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v14i1.1039

Abstract

HIV AIDS is a very important global health issue, and the trend of housewives getting HIV AIDS significantly increases. The objective of this study to assess knowledge, attitude, and practice related to mother-to-child HIV transmission and its prevention in antenatal clinic (ANC) attendees at the public health center. The type of studdy was a cross-sectional survey was conducted amongst 101 antenatal attendees in Senen Public Health Centre (Puskesmas) in Central Jakarta. The result was most respondents (83.2%) knew HIV caused AIDS. Knowledge of HIV prevention was quite good. Based on pregnant women's perception, only 25.7% had HIV test and 18% syphilis test in last pregnancy. In chi-square analysis, we found a significant relationship in variables knowledge of PMTCT, attended group discussion, and syphilis test related to attitude (p <0.05). The results of cox survival analysis, which was the lower the PMTCT knowledge, the worse the attitude (PR = 1.84 with 95% CI 1-072 - 3.150). Among the pregnant mothers, we found that the awareness and knowledge about HIV/AIDS were superficial.
Analisis Situasi Masalah Kesehatan Penyakit Menular di Provinsi Kalimantan Barat Luqman Luqman; Mondastri Korib Sudaryo; Antonius Suprayogi
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 1: Februari 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i1.13269

Abstract

Background: Health problems in West Kalimantan are dominated by infectious diseases based on health data showing that the list of the top 10 diseases is dominated by infectious diseases, the CFR rate is still quite high and outbreaks routinely occur due to infectious diseases. The purpose of the situation analysis is to determine priorities for infectious disease problems in West Kalimantan in 2019.Methods: This research was conducted from December 2020 to February 2021 in West Kalimantan Province. The research method used is an assessment method whose results will be presented descriptively with quantitative and qualitative approaches. Determining the priority of the problem using the PAHO-Adapted Hanlon method with assessment criteria based on the size of the problem, seriousness of the problem, intervention effectiveness, inequity and institutional factors by means of interviews with related parties within the West Kalimantan Provincial Health Office.Result: The results of the analysis of infectious disease problems in West Kalimantan Province show that the top 10 diseases are still dominated by infectious diseases such as diarrhea, TB and DHF. The CFR figure which is still quite high is contributed by TB, HIV/AIDS, diphtheria and DHF. In this study, TB was selected as a priority health problem because it obtained the highest PAHO score of 25.16. TB is still a major problem because case finding has not reached the national target of 80%, there is still transmission in the community and cases of TB in children are still quite high.Conclusion: Tuberculosis is a priority infectious disease problem in West Kalimantan. TB is the first priority problem in this study because case finding is not optimal, there is transmission in the community and there are still cases of TB in children. It is hoped that with monitoring and evaluation of training for cadres and health workers, screening of TB patients can be more massive and sensitive for providing complete TB treatment.
Hubungan Kunjungan Antenatal Care (ANC) dengan Kejadian Komplikasi Obstetri di Indonesia : Analisis Data Sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) Tahun 2017 Mondastri Korib Sudaryo; Aini Qur&#039;ani Sam
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.11866

Abstract

Background: More than 500,000 mothers died each year due to complications in pregnancy. Even though obstetric complications become unpredictable events and caused more than 90% of maternal deaths at or around delivery. Therefore, the approach taken is to assume all pregnancies are risky. One of the strategies that can be used to prevent and reduce the incidence of maternal mortality in Indonesia is to find out whether there is a relationship between antenatal care (ANC) visit with the incidence of obstetric complications so that further management planning can be done more effectively in terms of lowering maternal mortality in Indonesia. Methods: This study used secondary data from the Indonesia Demographic and Health Survey (IDHS) in 2017 with a cross-sectional design. The sample in this study were mothers aged 15-49 years who had children in the last 5 years who were eligible with the inclusion criteria by taking total sampling.Result: The results of the final modeling of multivariate cox regression analysis showed that there was a relationship between ANC visit with obstetric complications with a PR value of 1.34 (95% CI 1.28-1.41) with a p-value of 0.0001. Conclusion: There is a relationship between ANC visit to obstetric complications in Indonesia after being controlled by parity and place of delivery variables.
Hubungan Hipertensi dengan Kejadian Gagal Ginjal Kronik di RSUD DR. Djasamen Saragih Kota Pematang Siantar Tahun 2020 Mai Debora Gultom; Mondastri Korib Sudaryo
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.11722

Abstract

Background: Chronic renal failure  (CRF) had became  a concern  because of the  increasing  globally for incidence, prevalence, and mortality and hypertension was  one of the main causes of CRF. magnitude of the risk of hypertension with chronic renal failure. This study aims to assess the magnitude of the risk of hypertension with chronic kidney failure at Dr. Djasamen Saragih City of Pematang Siantar.Methods: This research was an analytic observational study with a case control design. The research subjects were 260 kidney failure patients who were treated at RSUD Dr. Djasamen Saragih Kota Pematang Siantar with as many as 52 cases of patients diagnosed with chronic kidney failure by doctors who can be seen from medical records. As many as 208 hospital controls were patients without CRF (gastritis, gastroenteritis, hernia, and trauma or minor infections). The inclusion criteria of the study subjects were ≥ 18 years of age and had completed medical record data. The exclusion criteria for study subjects were if they had a history of kidney transplantation or a history of kidney transplantation and patients with incomplete medical records.Results: the results of the analysis of bivariate hypertension variables, patients aged > 45 years, patients with diabetes, patients with anemia, patients with gout, and patients with a history of kidney stones showed a relationship with the incidence of kidney failure. The multivariate results showed that the incidence of hypertension in patients with chronic renal failure was 5.52 times higher than those without chronic renal failure with an OR of 5.52 (95% CI: 2.10-14.53).Conclusion: Hypertension has a relationship with the incidence of chronic renal failure with an OR value of 5,52 (95% CI: 2.10-14.53).
Analisis Situasi Penyakit Potensial Kejadian Luar Biasa di Provinsi DKI Jakarta Tahun 2021 Mirsal Picasso; Mondastri Korib Sudaryo; Dwi Oktavia TLH
Buletin Keslingmas Vol 42, No 1 (2023): BULETIN KESLINGMAS VOL.42 NO.1 TAHUN 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/keslingmas.v42i1.9603

Abstract

Banyaknya beban masalah kesehatan yang dihadapai dan terbatasnya sumber daya yang dimiliki tidak memungkinkan untuk dapat ditanggulangi semuanya dalam waktu yang sama. Oleh Karena itu perlu ditentukan masalah apa saja yang perlu segera ditanggulangi berdasarkan analisis situasi. Tujuan penelitian ini adalah untuk mendapatkan gambaran tentang situasi masalah Penyakit Potensial Kejadian Luar Biasa (KLB) di Provinsi DKI Jakarta tahun 2021. Analisis situasi ini menggunakan desain observasional deskriptif dengan menggunakan pendekatan kuantitatif dan kualitatif. Tehnik penetapan prioritas masalah yang di gunakan adalah metode PAHO adaptive Hanlon. Hasil dari total 24 jenis penyakit potensial KLB, 19 jenis penyakit potensial wabah muncul di Provinsi DKI Jakarta periode tahun 2021. 5 Jenis penyakit potensial wabah tidak ditemukan laporan kasus pada periode tahun 2021. 10 urutan tertinggi prioritas masalah penyakit potensial wabah di Provinsi DKI Jakarta adalah: COVID-19, Campak, Pnemonia, Acute Flacid Paralysis (AFP), Dengue Fever, Difteri, Malaria, Hepatitis A, ILI (Influenza like illness), dan Diare Akut. Sedangkan prioritas utama masalah penyakit potensial wabah di Provinsi DKI Jakarta adalah COVID-19.
Defisiensi Vitamin D sebagai Salah Satu Faktor Risiko Kematian pada Pasien COVID-19: Studi Tinjauan Pustaka Syafarudin Nur; Mondastri Korib Sudaryo; Nurul Fajri Widyasari
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.11930

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is a new infectious disease and to date become a global pandemic. COVID-19 has symptoms varies in severity from mild to severe and can be fatal. Vitamin D deficiency could affect individual's immunity and increase the risk of mortality in COVID-19 patients.Methods: We did a literature review study to describe the association between vitamin D deficiency and mortality in COVID-19 patients. Literature search was done using PubMed database with keyword “COVID-19” AND “Vitamin D Deficiency” AND “Outcome”. Articles published before June 30th 2021 and published in English language were included in this study. Inclusion criteria is case control or cohort study which evaluate association between vitamin D deficiency and mortality in COVID-19 patients.Result: 13 eligible articles which met inclusion and exclusion criteria were included in this study. All subjects in included studies were COVID-19 patients confirmed by laboratory RT-PCR. Mean age of the subjects in included studies were range from 55-79 years old, with proportion of male more than female in most of the studies. 25(OH)D level <20 ng/ml was definition of vitamin D deficiency most often used. Vitamin D deficiency were significantly associated with COVID-19 mortality, with OR in 3 studies range from 3,87-6,84 and HR in 3 studies range from 4,15-14,73.Conclusion: This literature review concluded that vitamin D deficiency had the potency to be risk factor for mortality in COVID-19 patients.