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Journal : MANDALA of Health

PERBANDINGAN LUAS LESI PADA FOTO RONSEN TORAKS ANTARA PASIEN TUBERKULOSIS PARU KASUS BARU BTA POSITIF DENGAN BTA NEGATIF STUDI KOHORT RETROSPEKTIF DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO Destriana, Desy; Rahmawati, Indah; Mulyanto, Joko
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Pulmonary tuberculosis (Pulmonary TB) infected one third of the world population. Since 2009, Indonesia was  the fifth that had the highest tuberculosis case in the world. In 2011, Case Detection Rate (CDR) of Central Java was 49,24%. The prevalence of pulmonary TB in RSUD Prof. dr. Margono Soekarjo  Purwokerto was 472 patients in 2012 until August 2013. Chest x-ray was the first investigation to diagnose pulmonary TB. The aims of this study was to knowing the differences  of lesion area on chest x-ray between new cases of  pulmonary TB patient with AFB smear  positive and AFB smear negative. This is  an Observational analytic with cohort retrospektif study, conducted 22 pulmonary TB patients with AFB smear positive and 22 pulmonary TB patients with AFB smear negative in RSUD Prof. dr. Margono Soekarjo Purwokerto. Data were analyzed by Chi-square with significance level of p<0,05. Univariate analysis showed that the highest number of respondents were male (56,8%), and the highest of the age group  was 15-25 years old group (27,3%). Bivariate analysis using Chi-square was obtained  p= 0,011 (p<0,05). There were differences lesion area on chest x-ray between new cases of  pulmonary TB patient with AFB smear positive  and AFB smear negative.
STATUS SOSIAL EKONOMI SEBAGAI FAKTOR RISIKO KEJADIAN OBESITAS DI KABUPATEN BANYUMAS Mulyanto, Joko; Darmawan, Anton B
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Obesity is a significant global and national health problem, and has declared by WHO as global epidemic.The prevalence of obesity in developed and mostly developing countries has dramatically increased during the last decade. Socio-economic status has been identified as one of significant predictors of obesity.  However, studies in different countries showed various result regarded the relationship between socioeconomic status and obesity. The study objective was to identify socio-economic status as an risk factor of obesity at Banyumas District. This study was a secondary analysis with cross-sectional approach using the data from Riset Kesehatan Dasar 2007 at Banyumas District. Samples of study were 1827 adult household members represented the residence of Banyumas District. The main independent variable was socioeconomic status measured by the quintile of income. The dependent variable was obesity measured by BMI with cut of point 27kg/m2. The confounding variabeles controlled by study were gender, age, marital status, employment, geographical location, and physical activity.  Data analyzed by multivariate analysis using multiple logistic regressions and stratification analysis by gender. Study result showed that the prevalence of obesity at Banyumas District is 22,3% for total sample of the study, while by gender the prevalence of obesity is 14,8 % for male and 29,1% for female respectively. After adjusted for confounding variables, socioeconomic status was risk factor of obesity at Banyumas District with OR 1,57 (95%CI:1,07-2,29) at 5th income quintile. For the male respondents, socioeconomic status has the OR 2,55 (95%CI, 1,29-5,0) at 5th income quintile. These results showed that the prevelance of obesity at Banyumas District was relatively high, and higher socioeconomic status significantly increased the odd of becoming obese.