Nasution, Rizqiani Astrid
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The Relationship between House Conditions and the Household Contacts with the Incidence of Children's Pulmonary Tuberculosis Nasution, Rizqiani Astrid; Wardani, Dyah Wulan Sumekar Rengganis; Pramesona, Bayu Anggileo; Saputra, Oktadoni
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4431

Abstract

Tuberculosis (TB) is a high risk in vulnerable groups with low immunity, such as children. Environmental factors and household contacts influence the high incidence of tuberculosis. This study aimed to analyze the relationship between housing conditions and the presence of household contacts with the incidence of pulmonary tuberculosis in children. This study used a case-control design. This study used a case-control design at the Puskesmas Kedaton Bandar Lampung from December 2023 to January 2024. The total sample was 58 children (29 cases and 29 controls), selected using Simple Random Sampling. The variables of this study were residential density, humidity, lighting, floor type, ventilation area, and the presence of household contacts. This study used univariate analysis, bivariate analysis with chi-square, and multivariate with multiple logistic regression. This study shows that there is a relationship between lighting (p=0,008), ventilation area (p=0,032), and the presence of household contacts (p<0,001) with the incidence of pulmonary TB in children. The factor most associated with the incidence of pulmonary TB in children was lighting (OR=6.061; 95% CI=1.768-20.777), which means children with home lighting that does not meet the requirements have a 6.061 times higher risk of experiencing childhood pulmonary TB than those who meet the lighting requirements. There is a relationship between lighting, ventilation area, and the presence of household contacts with the incidence of pediatric pulmonary tuberculosis in the Puskesmas Kedaton, Bandar Lampung working area.
Laporan Kasus: Usia Lebih dari 40 Tahun sebagai Faktor Risiko Mola Hidatidosa Nasution, Rizqiani Astrid; Algifari, Muhammad Zaidan; Zulfadli, Zulfadli
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1150

Abstract

Hydatidiform mole is a type of abnormal pregnancy in which the fetus does not develop and almost all of the chorial villi undergo hydropic changes or degeneration that resemble grapes or fish eyes. The incidence of hydatidiform mole is higher in Asian, African, and Latin American countries compared with Western countries. In Indonesia, the incidence of hydatidiform mole is 1 in 85 pregnancies. This condition is caused by abnormal chromosomal fertilization. A diagnosis of hydatidiform mole can be made if the following signs are found: amenorrhea, vaginal bleeding, uterine size larger than expected for gestational age, no signs of pregnancy, beta-hCG levels that are higher than normal, and a vesicular appearance in the uterine cavity. on ultrasound examination. The most accurate diagnosis is when a molar bubble is found. In the first trimester, molar appearance is usually less specific than in the second trimester, where the appearance becomes more typical. In the second trimester, it can be seen that the uterine cavity contains an echogenic mass mixed with anechoic vesicular parts with a diameter of 5-10 mm or looks like a honeycomb. Risk factors that increase the prevalence of molar pregnancy include extreme maternal age (age >40 years has a five to ten-fold increased risk) and early adolescence (usually <20 years), a history of previous molar pregnancy increases the risk by 1%-2% for subsequent pregnancies, women who have had a spontaneous abortion or infertility, dietary factors include patients who have a diet deficient in carotene (a precursor of vitamin A) and animal fats, and smoking. In this case, the risk factor for hydatidiform mole was the patient's age.