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Waist Circumference as The Strongest Factor Related to Blood Glucose Level Septyaningrum, Nenni; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTThe increasing prevalence of overweight and obesity is associated with the increasing incident of type 2 diabetes mellitus. Obesity, especially abdominal obesity is an important risk factor for the onset of diabetes. The objective of this study was to determine the relationship between body mass index, waist circumference and waist hip ratio with blood glucose level. The study design was cross-sectional. The study population was elderly posyandu member aged 45 to 70 years in Menur clinic work area who were registered in elderly posyandu activities in May 2013. The numbers of sample were 60 respondents who drawn by simple random sampling method. The variabels of this study were the characteristics of respondent, body mass index, waist  circumference,  waist hip ratio and fasting blood glucose level. The study showed that respondents classified as overweight (38%), obesity (33, 3%), abdominal obesity based on waist circumference  (77.8%), abdominal obesity based on waist hip ratio (81,7 %) and blood glucose level more than 125 mg/dl (8.3%). Pearson correlation test showed that there was relationship between body mass index with blood sugar levels (p=0,007; r=0,345), between waist circumference with blood sugar levels (p=0,001; r=0,424) and  between waist hip ratio with blood sugar levels (p =0,002; r=0,392). Waist circumference as the strongest factor related to blood glucose level. Waist circumference measurement should be done in elderly posyandu activities to detect high-risk individuals with diabetes. Keywords: Diabetes, body mass index, waist circumference, waist hip ratio,                     blood glucose level
Determinants of Clinical Diphtheria After Sub National Diphtheria Immunization Days In 2012 At Bangkalan Utama, Feranita; Wahjuni, Chatarina Umbul; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTThe government had held sub-national diphtheria immunization days in 2012 to combat an outbreak of diphtheria in East Java province. However, there werestill regencies or cities which had high incidence and Bangkalanregencywas the highest. The research aimed to analyze the determinants of diphtheria in Bangkalan after SNIDs. This research was case control study with 31 subjects as case and 124 as control spread in 25 case villages and 25 control villages. Bivariate analysis used chi-square and simple logistic regression. Multivariate analysis used logistic regression. Bivariate analysisresult showed that individual and household variables that had associate with incidence of diphtheria in the Bangkalan after SNIDs of diphtheria vaccine in 2012 were DPT immunization status, the status of SNIDs, age, and mothers education level. In this study, there were not associate between village variables with diphtheria in the Bangkalan after SNIDs. Multivariate analysis result showed that had associate with incidence of diphtheria in Bangkalan after SNIDs were no DPT immunization (p=0,012; OR=4,765), incomplete DPT immunization (p=0,001; OR=6,276), 3-7 years of age (p=0,014; OR=15,137), 7-15 years of age (p=0,001;OR=41,984), and no immunization in SNIDs (p=0,020; OR=3,553). Conclusion, the dominantfactors that affected diphtheriainBangkalanwere status of DPTimmunization, ageand the SNIDs of diphtheria. Recommendation, DPTimmunizationshould becomplete, boosterimmunization should be needed, monitoring theimplementation ofsubPIN should be strict, especially inschool, and thecoverage ofDPT3andsubPIN should be increased and its report should be improved.Keywords: diphtheria, sub-nationaldiphtheriaimmunization days, DPT                              immunization
Evaluation the Pulmonary Tuberculosis Control Program with Strategy DOTS in Puskesmas Tanah Kalikedinding Surabaya Noveyani, Adistha Eka; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTStrategy DOTS is the tuberculosis control programs. The program has implemented in Tanah Kalikedinding Health Center and has expected to reach CDR ≥ 70% and SR ≥ 85%, which closely related to the management of health centers. This study aimed to evaluate the implementation of the DOTS program in health center whose the results associated with indicators of tuberculosis. This was a descriptive design study with the population was all pulmonary specialist, tuberculosis officers and laboratory personnel and pulmonary tuberculosis patients. The number of Tuberculosis patient respondents was 32 respondents. Samples were chosen using purposive sampling. Data collected by interview questionnaire and checklist. The variables were the finding case, the TB treatment, the enabling factor and inhibiting factor, recording and reporting, and result of tuberculosis indicators. This study resulted that CDR in 2013 was 112% already reached the national target ≥ 70%. This success related to the finding case almost all patients > 2 weeks of cought and all (100%) patients were examinated sputum and diagnosed according to the steps of tuberculosis diagnosis in Indonesia Department of Health guidelines. While SR in 2013 was 65.5% did not reach the target ≥ 85%. It was caused of there are patients who did not have a taking drug observer (PMO). All (100%) patients ever forgot taking anti tuberculosis drugs. Change in schedule of visit to the continuation phase be 2×/month caused patients to forget taking anti tuberculosis drugs. The enabling factor was counseling routinely by health care workers in health center. Inhibiting factor was distance to health center by majority (65,5%) patients were > 1 km. So they needed vehicle to go to the health center. Recording and reporting using electronic systems and being reported by online. So it is expected all TB patients were expected have a taking drug observer and optimizing the role of the a taking drug observer to increase success rate.Keywords: DOTS strategy, Case Detection Rate, Success Rate, evaluation,                     Tuberculosis
Related factor of Knowledge by Stroke in Institute of Higher Education Employees Wardhani, Novida Rizky; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

  ABSTRACTStroke is an infectious disease cause of death was not ranked top in urban areas according Depkes (2011) approximately 28.5% of stroke patients died, the rest partially paralyzed or even paralyzed and the remaining 15% can be cured. Stroke is taking place in people who are productive. This study aims to Related factor of Knowledge by Stroke in Institute of Higher Education Employees. This study was analytical research with cross sectional design. The questionnaire given to 142 respondents. Dependent variable in this study was the knowledge about stroke risk factors, the level of knowledge of the early recognition of stroke symptoms and the knowledge how to handle. The independent variables were age, gender, and education level. Data analysis using Chi Square test and Spearman test. The results showed the level of knowledge of stroke risk factors 78.9% of respondents in the level of knowledge of "good" about stroke risk factors, the level of early recognition of stroke symptoms FAST  method from respondents largely in the category of "not good", and 63.4% of the respondents have know how to handle it properly. Results of the analysis showed significant relationships between the sexes is the level of knowledge of risk factors for stroke, p = 0.020 so that p < α (0,05). Furthermore the relationship between level of education and the level of early recognition of stroke symptoms, p = 0.006 to p < α (0.05) and the value obtained was 0,229 r. Conclusion of this research knowledge of risk factors was well, correct of treatment knowledge, correct medical stroke center was hospital, appropriate time window less of 3 hours and only level early recognition of stroke symptoms still not quite knew.Key words : risk factors, first symtomps, knowledge, stroke, employee, higher education 
Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012 Rahmawati, Puspita; Martini, Santi; Wahjuni, Chatarina Umbul
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTThe maternal mortality ratio (MMR) in Indonesia remains high, i.e approximately 359 per 100.000 life birth (IDHS 2012). MMR is an indicator of mother’s health, especially the risk of being death for a mother while pregnant and delivery. Mostly the majority of maternal mortality (MMR) is occurring in the first two days after delivery and care after giving birth services required to manage complication. Sidoarjo regency has high postpartum maternal mortality case, so it is necessary to study determinants influencing postpartum maternal mortality in that regency. This research aimed to analyze the determinants that influence postpartum maternal mortality. This research was an observational research using case control study. Number of samples was 21 cases and 43 controls. Data were analyzed by univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regressions. The result showed that the determinants which influence postpartum maternal mortality according to multivariate analysis were pre-eclampsia/eclampsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) and delivery complication (OR = 5,47; 95%CI : 1,356 – 22,022; p = 0,017). Probability of mother to have risk of postpartum maternal mortality with all those risk factors above was 92,9%. This research recommended are need to detect early sign of pregnancy, delivery, and post delivery complication, especially danger sign of pre-eclampsia/eclampsia, referral preparation, and pregnancy planning. Keywords :  postpartum maternal mortality, determinants, pre-                                     eclampsia/eclampsia, delivery complication.
The Surveillance Database Development of Risk Factor for Dengue Fever in Mataram District Health Office Sinawan, Sinawan; Martini, Santi; Purnomo, Windhu
Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (993.935 KB) | DOI: 10.20473/jbe.v3i2.1666

Abstract

ABSTRACTSystem of DHF epidemiological surveillance that is currently running in Mataram District Health Office has not been able to provide information about the incidence of DHF is based on risk factors. Besides, the process of manufacturing and analysis of data were still done manually, so the level of consistency and accuracy of data was still less. This research aimed to develop database surveillance risk factor of DHF incidence. This type of research is action research. This research was conducted at the Mataram District Health Office NTB province at April 2014 until August 2014, informants in this study consists of three (3) members, namely Head of P2PB Section, DHF P2 Program Manager and Surveillance Staff. The data used are primary and secondary data. Database design includes logical and physical design. Performed on the logic design is the normalization of the data, create relationships between data illustrates the entity relationship diagram (ERD) and proceed to the physical design to create a prototype database using Epi Info software application for Windows version 3.5.1. Trial involving two (2) the informants. Evaluation trials database surveillance of risk factors DHF incidence to assess the ease, speed, accuracy and completeness of the resulting data. Results of this study is new database surveillance risk factor of DHF incidence that can be used easily, quickly and can be results more accurate information.Keywords: DHF, surveillance, risk factor, database.
The Relationship Between Obesity and Smoking to Hypertension Incidence Lasianjayani, Tifani; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 3 (2014): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (574.294 KB) | DOI: 10.20473/jbe.v2i3.1231

Abstract

ABSTRACTHypertension is a disease that causes morbidity and mortality about 20–50% of all deaths. In the worldwide, about 927 people suffer hypertension and that number will be increase to 29,2 in 2025. Obesity and smoking are one of risk factors to hypertension incidence. The purpose of this research was to analayze the relationship between obesity and smoking to hypertension incidence. The cross sectional design is used in this research and involved 75 samples who ware selected from cardiology’s patients at Haji Hospital Surabaya by simple random sampling on May 2014. The variables are sex, obesity, and smoking behavior. In the smoking behavior data, the history of smoking, filters used, smoking periode, total cigarette, and types of cigarette are used. In this research, crosstabulation with Chi Square test is used on data analysis. There are 45 people (60%) had hypertension and 64,4% from sample with hypertension was women. The result of this research showed that there was a significant relationship between obesity and hypertension (p = 0,014) with coeffisient contingension about 0,299. Otherwise, there was no a significant relationship between history of smoking (p = 0,211), filters used (p = 0,378), smoking periode (p = 1,000), smoker criteria (p = 0,848), and types of cigarette (p = 0,673) to hypertension incidence. The conclution of this research was only obesity which had a relationship with hypertension incidence.Keywords: hypertension, sex, obesity, smoking behavior
Development of Predictive Index for Default Treatment At Multibacillary Leprosy in District Sampang Rukua, Muhammad Syarif; Martini, Santi; Notobroto, Hari Basuki
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.73 KB) | DOI: 10.20473/jbe.v3i3.1693

Abstract

ABSTRACTDefault relating to the regularity of treatment in the patients taking the drugs. If the leprosy patients taking medication irregularly, then the leprosy bacteria can become resistant or immune to Multy Drug Therapy, so the symptoms persist and even worsen. The purpose of this study was to determine the indicators and develop a predictive index formula default incidence of leprosy treatment. This type of research was a case control design. The sample size in this study was 62 respondents. The sampling technique in this study used simple random sampling technique. Data collection techniques done with interviews with the questionnaire. The results showed that a candidate indicator variables (p <0.25) is income (p value = 0.013), access to health care (p value = 0.022), the role of health workers (p value = 0.032), knowledge (p value = 0.001), and family support (p value = 0.023), perception of the disease (p value = 0.098), leprosy reactions (p value = 0.198). Variables as indicators of default treatment of leprosy patients are the role of health workers, family support, knowledge, and income. The predictive index of default treatment at multibacillary leprosy patients are (-1666+ 1451 * Revenues (low) + 1989 * Role of Health Personnel (less instrumental) + 1.338 * Knowledge (less) + 1543 * Support Family (unfavorable). This index has a 79% accuracy rate. This index is expected to be used as a measuring tool in helping health workers to screen patients with leprosy who are undergoing treatment, so early can know where the potential patients defaulting treatment.Keywords: indicators, predictive index, default of treatment, leprosy, multibacillary
The Relationship between Stroke Patients Characteristics and Family Support with Compliance Rehabilitation Wardhani, Irma Okta; Martini, Santi
Jurnal Berkala Epidemiologi Vol 3, No 1 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.77 KB) | DOI: 10.20473/jbe.v3i1.1310

Abstract

ABSTRACTStroke is a cerebrovascular disease, it is brain function disorders associated with the disease of the blood vessels that supply the brain. The impact of stroke is paralysis. Family support is things that are needed to be considered in the treatment of stroke patients. It is very involved in the compliance rehabilitation of patients to prevent the re-occurrence of stroke. Characteristics of stroke patients may also affect the compliance rehabilitation. The purpose of this research is to determine the relationship between stroke patients characteristics and family support to compliance rehabilitation at the Medical Rehabilitation Unit RSU Haji Surabaya. This research was an analytic observational research with cross sectional design. The subjects of this research are taken using total population technique. The independent variables in this research is family support. The dependent variable is compliance rehabilitation. The results of this research are presented in the form of frequency distributions and calculate the strength of the relationship with Phi coefficient. The result of this research shows that there is a strong relationship between family support and compliance rehabilitation (r=0.582). There are weak relationship between ages (r=-0,027), gender (r=0,092), level of education (r= -0,295), work (r=0,098), and marital status (r=0,319). The conclusion is family support may affect compliance rehabilitation of stroke patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients.Keywords: depression, family support, compliance rehabilitation
The lack of counselling and passively case detection affecting the occurrance of grade 2 disability in Sampang Kamal, Muhammad; Martini, Santi
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.096 KB) | DOI: 10.20473/jbe.v3i3.1669

Abstract

ABSTRACTLeprosy is a chronic disease that affects the skin, peripheral nerves, even the other of body organs. This disease can also causing permanent disability that can affect to quality of life of sufferers. Sampang as the region with the highest average of PR in 2010-2014, it has leprosy grade 2 disability proportion which is 13%, in the other words that it is higher than the specified standard that is 5% or less. This study aimed to analyze the health service factors that affecting the occurrence of leprosy grade 2 disability. This study was an observational-analytic by using case control design. This study conducted in 8 administrative territory of community health center in Sampang. Sample were 33 type MB leprosy patients with grade 2 disability (case group) and 33 with grade 0 or grade 1 disability (control group). Sample has been taken by using simple random sampling technique. Data analysis was carried out simultaneously with multiple logistic regression. The results showed that the method of passive case detection (OR=7,005; 95% CI: 1,595-30,763), a very late diagnosis (OR=15,264; 95% CI: 1,469-158,594) ), lack of POD (OR=7,016; 95% CI: 1,574-31,274) and the lack of counselling (OR=8,241; 95% CI: 1,747-38,847) affecting the occurence of leprosy grade 2 disability. The conclusion that the passively case detection, a very late of diagnosis, the lack of POD and the lack of counseling affecting the occurrence of leprosy grade 2 disability at leprosy patients in Sampang. It is suggest to stakeholders to increase actively case detection, counselling.Keywords: disability, leprosy, case detection, counselling
Co-Authors Aaqilah Salsabila, Zaneta Abdul Khair Adinda Rahma Triyaniarta Adistha Eka Noveyani Agustina Maunaturrohmah Alchamdani Alfi Makrifatul Azizah Ali Iqbal Tawakal Alodiea Yoeantafara Amanda, Desy Desy Amer Siddiq Amer Nordin Anang Endaryanto Anisah, Mufidah Anita Dewi Prahastuti Sujoso Annis Catur Adi Annisa Hidayati Anugrah Lintang Indrawati Aribowo Aribowo Arief Hargono Artanti, Kurnia D Astutik, Erni Atik Choirul Hidajah Aulia Imanda Aziz Rahman, Muhammad Bambang Widjanarko Otok Budi Prasetyo Cahyono, Yoyon Hariadi Catharina Umbul Wahyuni Catharina Umbul Wahyuni, Catharina Umbul Chatarina Umbul Wahyuni Chatarina UW Chatarina W Christanto, Daniel Chung Yi-Li Cita Rosita Sigit Prakoeswa D. Dela Rosa, Ronnel D. Rahmayanti, Riris Dahlia Dayu Marista Dessy Arumsari Desy Amanda Devy, Shrimarti R Diah Indriani Diah Patria Nuringtyas Dominicus Husada Dwi Artanti, Kurnia Dwi Handayani Edi Winarko Eni Purwaningsih Eny Qurniyawati Erren Silvia Erren Silvia Herdiyani Fairuz Haniyah Ramadhani Fanni Marzela Fanny Oktavia Fariani Syahrul Farida, Bunga Febi Dwirahmadi Febriyanti Febriyanti Feranita Utama Fila Fatmisua Chrisna Firman Suryadi Rahman Fitriani, Hari Flora Ramona Sigit Prakoeswa Gomaa Nasr, Nayla Mohamed Gracia Satyawestri Pribadi Hardyanto Soebono Hargono, Rahmat Hari Basuki Notobroto Hario Megatsari Hibatullah, Faiz Nur Hidayat, Sho’im Hutomo, Rizky Aditya Iga Ema Dini Imanda, Aulia Ira Nurmala Irma Okta Wardhani Irma Okta Wardhani, Irma Okta Isma Faridatus Sholihah Iswana Zahraa Hidayati Jayanti Dian Eka Sari, Jayanti Dian Juliana Jalaludin Khofifah, Nurul Alif Kinanthi, Citra Anggun Kurnia D Artanti Kurnia Dwi Artanti Kurnia Dwi Artanti Kusuma S Lestari Kusumawati, Mifaidah Lailatul Muniroh Lestari, Kusuma S Li, Chung-Yi Lia Churniawati Lia Churniawati, Lia Lilis Sulistyorini Lucia Yovita Hendrati Luluk Lady Laily M. Yulianto Listiawan Maharani Dyah Pertiwi Maimunah Maimunah Marzela, Fanni Maunaturrohmah, Agustina Mayla Renata Sandi Miftahul Janah, Miftahul Miftakhul Janah Miftakhul Janah Mochammad Bagus Qomaruddin Mohamed Gomaa Nasr, Nayla Mohammad Fahmi Rasyidi Mohd Talib Latif Muhammad Azis Rahman Muhammad Aziz Rahman Muhammad Kamal Muhammad Kamal Muhammad Syarif Rukua Muhammad Syarif Rukua, Muhammad Syarif Muji sulistyowati Nadhiroh, Siti R Nanang Saifudin, Nanang Nastiti, Rizma Dwi Naura, Nuha Nayla Mohamed Gomaa Nasr Neil Harris Nenni Septyaningrum Nenni Septyaningrum Ni, Zhao Nicola Wiseman Nihar, Mahdiyyah Husna Ninda, Gina Fitri Nixon Marthinus Lopo Noer Auliyah Madani Pertiwi, Aisyah Novida Rizky Wardhani Novida Rizky Wardhani Novvy Anggraenny Nurani, Rr Rizqi Saphira Nurfitriyani, Bella Ayu Nurul Kutsiyah Nuswantara Oedojo Soedirham Priyono Adi Nugroho Puri Ratna Kartini Purnomo, Agoes Yudi Puspita Rahmawati Puspita Rahmawati R Azizah R Azizah R. Azizah R. Devy, Shrimarti R. Nadhiroh, Siti Rachmat Hargono Rachmawati, Citra Raden Mohamad Herdian Bhakti Ragu Harming Kristina Ragu Harming Kristina Rahayu Lubis Rahmayanti, Riris Rana Nadiyah Adwinda Rensat Bastian Tino Rikky Arya Pangestu Rizkiyah Apriliyanti, Itsnatur Rizma Dwi Nastiti Saleem, Haitam Thaleb Salsabilla, Inara Santoso, Audia Fijratullah Sari, Nur Mufida Wulan Sarmanu, Sarmanu Shofa Roshifanni Shrimarti R Devy, Shrimarti R Shrimarti Rukmini Devy Sinawan Sinawan Sinawan Sinawan, Sinawan Siti Masitoh Siti Rohmatul Laily Solly Aryza Sondang Sidabutar Sondang Sidabutar, Sondang Sri Kurniawati Sri Subekti Sri Widati Sri Widati Sudarmaji, Sudarmaji Sujud Mardi Raharja Swadana, Nicholas Fransida Tifani Lasianjayani Tifani Lasianjayani, Tifani Tjipto Suwandi Tri Martiana Tri Martiana Tri Wurisastuti Trias Mahmudiono Triska Susila Nindya Triyaniarta, Adinda Rahma W, Chatarina Windhu Purnomo Wizara Salisa Wizara Salisa Yoes Prijatna Dachlan Yohanes Aditya Adhi Satria Yugiana, Anastasya Marli