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Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Published by Universitas Islam Negeri Sumatera Utara
ISSN : -     EISSN : 26850389     DOI : 10.30829/contagion
Core Subject : Health,
Health Professions Public Health
Contagion: Scientific Periodical Journal of Public Health and Coastal Health, A Scientific Periodic Journal of Public Health published by the Public health Study Program of The Faculty of Public Health UINSU Medan. This Journal prioritiez the collaboration of lecturers and students with scope of the discussion is about Public Health, Health and Islam, and Coastal Health. This Journal is published twice, published on June and December.
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Articles 465 Documents
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Characteristic Of Catheter Double Lumen Infection In Chronic Kidney Disease Patients At Dr. Mohammad Hoesin Hospital Palembang Kemas Muhammad Dahlan; Fahmi Jaka Yusuf; Abdur Rahman; Ivan Rayka; Wahyu Sholekhuddin
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15203

Abstract

The majority of chronic kidney failure patients (40-60%) require hemodialysis (HD) twice a week and often face problems with inadequate venous access. Hemodialysis patients with CKD often use an alternative to central venous access in the form of a well-tunneled double lumen (CDL) catheter or non-tunneled. However, the use of CDL causes many risks of infection This study aims to analyzed risk factors for CDL infection in patients with chronic kidney failure undergoing hemodialysis at dr. Mohammad Hoesin Hospital period January to December 2021.Descriptive study with retrospective study design was undertaken in the hemodialysis unit at dr. Mohammad Hoesin Hospital Palembang from January to December 2022. There were 100 samples who met the inclusion criteria. The relationship between independent and dependent variables was analyzed using the Chi Square test or Fisher's Exact. The most important risk factors were analyzed using the Logistic Regression test. All data were analyzed by SPPS version 22.0. In this study, there was no significant relationship between gender, age, ureum, creatinine, leucocyte and length of use with the incidence of CDL infection (p > 0,05), however there is a significant relationship between nutritional status with the incidence of CDL infection (OR = 31.418 (CI5% 10.028 – 98.438); p = 0.000); there was a significant relationship between catheter location with the incidence of CDL infection (p = 0.000); and there was a significant relationship between the type of catheter with the incidence of CDL infection (OR = 32.276 (CI5% 4.096 – 254.319); p = 0.000).In this study, it was found that the factors influencing CDL infection were nutritional status and type of catheter. Keyword: Catheter, CDL, Chronic Kidney Failure, Haemodialysis, Infection
The Relationship between the Quality of the Physical Environment of the House and the Incidence of Pulmonary Tuberculosis in Tangerang City in 2022 Hanung Nurany; Mursid Raharjo; Mateus Sakundarno Adi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15157

Abstract

Tuberculosis is an infectious disease that is a major health problem and one of the leading causes of death in the world. This study aimed to determine whether there is a relationship between the physical condition of the house and the incidence of pulmonary tuberculosis in Tangerang City, Banten Province. This research is a quantitative research with a case control design. This study was conducted in Tangerang City conducted from June to September 2022. The sample for this study was 400 people, consisting of 200 case samples and 200 control samples. The sampling technique used in this research is proportional sampling technique. Data analysis in this study was analysis using the Chi square test and the Odds Ratio value. The research results show that there is a relationship between occupancy density and the incidence of pulmonary tuberculosis with (p value = 0.001; OR= 4,397; 95% CI=2,454-7,879), there is a relationship between occupancy density and the incidence of pulmonary tuberculosis with a value of (p value=0,001; OR=2,970; 95% CI=1,968-4,482), there is no relationship between occupancy density and the incidence of pulmonary tuberculosis with a (p value=0.679; OR=0,858; 95% CI=0,499–1,476), there is a relationship between occupancy density and the incidence of pulmonary tuberculosis with a (p value =0.001; OR=6,791; 95% CI=4,382–10,523), there is no relationship between occupancy density and the incidence of pulmonary tuberculosis with a (p value=0.764; OR=0,874; 95% CI =0,485–1,574); there is no relationship between occupancy density and the incidence of pulmonary TB with a (p value=0.471; OR=1,225; 95% CI=0,764–1,964).in the Tangerang City area. The advice that can be given is that patients pay more attention to the house physical condition so that no proliferation of mycobacterium tuberculosis can be transmitted to other people and people in the house.Keyword: Tuberculosis, Physical Environment, Environmental Factors
Prescription Screening Study for Outpatient Prescribing Administration of Social Security Administrator Patients at Dr R.M Djoelham Regional General Hospital, Binjai City Pratiwi Rukmana Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 3, No 2 (2021): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v3i2.15617

Abstract

The Impact of errors in prescription incompleteness is diverse, started from those that do not provide any risk at all to the occurrence of disability or even death. The Prescription screening is useful to prevent omissions information, poor prescribing and inappropriate prescribing. The goal of this study was to screen the completeness of administration of outpatient prescriptions for social security administrator patients in regional public hospital Dr. R.M. Djoelham at Binjai City. This is a observational research with a retrospective descriptive design, and use the purposive sampling. This research was conducted at the General Hospital Pharmacy Installation Dr. R.M. Djoelham City of Binjai. This research was conducted from April-June 2021. The population of this study was the number of patient prescriptions from January 2021 to March 2021, namely 3722 prescriptions. The total sample is 98 recipes.The data analysis used is univariate data analysis. The results of the 98 recipes show the percentage of   administration of the Inscriptio reached 68.4% and was incomplete reached 31.6%, on complete Invocatio it reached 100%, on Prescriptio the complete reached 95% and the incomplete reached 5%, the Signatura complete reached 91.84% and incomplete reached 8.16%, on Subscriptio the full one reaches 100%, the complete Pro reaches 58.84% and incomplete reached 41.16%. The conclusion of this study is the percentage of complete recipes reached 67.35% while incomplete reached 32.65%. If an incomplete prescription is found, it is hoped that the pharmacy staff will confirm it with the doctor concerned. Keyword:  Pharmaceutical Installation, Prescription Completeness, Screening
Digital Mapping of Dengue Mosquito Movement towards Weather Factors, Mosquito Density, and Cultural Factors in Jember Regency Kukuh Jalu Prastyantoko; Dwi Wahyuni; Saiful Bukhori
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15146

Abstract

This study aims to map a digital movement of the Aedes aegypti mosquito in high-risk areas for dengue fever outbreaks, taking into account the public’s knowledge of dengue fever, attitude towards their environment, action towards the environment, environment conditions of the community, weather and climate factors, and mosquito density assessed through the House Index(HI). This study is a quantitative observational analytic research with a cross-sectional design. The result of the linear regression test on the cultural variable of knowledge, attitudes, and family support showed an value of α >0,05, indicating the knowledge, attitude, and family support are not important internal factors in aeradicating dengue fever. Mainwhile, the action and community leader support variable showed value α <0,05, which are important internal and external factors in reducing dengue fever levels. Then, HI value for these sub-districts is 6-7, meaning thet the mosquito density is high. The Aedes aegypti mosquito buffer zone has a flying distance 200 meters according to the CDC, so ares within that reach can be affected. This is clarified by using a digital map of the risk area of the Aedes aegypti mosquito causing dengue fever. In conclution, the digital map that includes cultural data, aera characteristics starting from weather, climate, population density, altitude, temperatue, humadity, and characteristics of mosquitoes inhabiting an area, whether they are clustered os spread, can cause the movement of dengue fever mosquitoes or Aedes aegypti to become more aggressive in their activities. So, the internal and external factors in the habitat of the Aedes aegypti mosquito can cause its movement to become more dunamic in spreading the dengue virus. Keywords: Aedes aegypti Mosquito, Culture, Dengue Fever, GIS (Geographic Information System)
The Potential CC16 (Clara Cell Protein 16) as Biomarkers of Lung Damage in COVID-19 Survivors: Literature Review Fika Tri Anggraini
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 4, No 2 (2022): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v4i2.15454

Abstract

CC16 or Clara cell secretory protein-16 is a protein produced from the secretion of respiratory epithelial club cells, especially in the lungs. CC16 in several studies has anti-inflammatory effects and plays an important role in potential biomarkers and pathogenesis of chronic lung damage. One of the main respiratory diseases that attacks the lungs is COVID-19 (Coronavirus disease 2019). COVID-19 survivors had significantly decreased serum CC16 levels. The purpose of this review is to draw conclusions based on findings based on research results on the potential of CC16 as a biomarker of lung damage in COVID-19 survivors. This research used a literature review of research published from 2019-2023 in electronic media, such as ProQuest, Science Direct, CINAHL, and Pubmed. The number of Randomized controlled trials (RCTs) research articles obtained was seven articles that met the criteria. The research subjects of the study involved COVID-19 survivors. The keywords used Clara cell secretory protein-16 (CC16), a biomarker of lung damage, and COVID-19 survivor. They revealed that serum CC16 levels were found to be a potential damage or biomarker of lung disease in COVID-19 survivors. This review concluded that CC16's structure and the possible formation of mechanisms molecular and cellular can inhibit inflammation and in clinical applications are thought to be potential biomarkers and therapeutic targets of respiratory disease or chronic lung damage.  Future research is required to investigate this hemoprotein in the circulation of COVID-19 survivors.Keywords:  Biomarker, CC16, COVID-19 survivors, Clara cell protein-16
Factors Related to Stunting Incidence in Toddlers Aged 24-59 Months in the Working Area of Kambang Community Health Center, Pesisir Selatan District Rani Ashari; Vaulinne Basyir; Afriwardi Afriwardi; Mayetti Mayetti; Yusrawati Yusrawati; Desmawati Desmawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15097

Abstract

Stunting is a major nutritional problem in Indonesia, even in the world particularly in developing countries. The purpose of the study was to find out the factors related to stunting in toddlers aged 24-59 months in the Pesisir Selatan District. This study is an analytical survey study with cross sectional design. This research will be conducted in the Kambang Health Center, Lengayang District, in July 2022–January 2023. The population in this study was all mothers who had toddlers aged 24-59 months who were in the Kambang Community Health Center working area in 2021 which numbered 1081 toddlers. Sample used in this study is 180 samples. The sampling technique used in this study is proportional stratified random sampling. Data collection tool using questionnaires. Analysis of the data in this study using Chi-Square test and use multiple logistical regression tests. The results showed that there was a significant relationship between the age of the mother during pregnancy  (p-value = 0.040), there was a relationship between the nutritional status of the mother (p-value = 0.003), there was a relationship between parity (p-value=0.034), there is a relationship between psychosocial parenting (p-value = 0.000), there is a relationship between environmental sanitation (p-value=0.000), there is no significant relationship between low birth weight (p-value = 0.071), there is a significant relationship between birth length (p-value = 0.016). Environmental sanitation is the most dominant factor in causing stunting. Environmental sanitation has a 6,512 times chance of causing stunting in toddlers aged 24-59 months in the working area of the Kambang Community Health Center, Pesisir Selatan District. It is recommended for health workers to provide supplements or supplements for pregnant women and toddlers for nutritional improvement and to educate them on nutritional knowledge.Keywords:  Stunting, Mother Factors, Child Factors
The Relationship between Knowledge and Attitudes of Food Handlers with the Implementation of Food Hygiene Sanitation at Restaurants in Minas District in 2022 Haesti Sembiring; Susanti Br Perangin-Angin; Lely Mayanti Silitonga
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15435

Abstract

Food and drink are the most important necessities of life and have the potential to be contaminated with pathogenic bacteria. Factors that influence food quality are the behavior of food handlers in the application of personal hygiene and food sanitation. This study aims to determine the relationship between the knowledge and attitudes of food handlers and the application of food sanitation hygiene in restaurants in Minas District. This research is a quantitative research with cross sectional research design. The location in the research is a restaurant in Minas District. The time of this research was conducted from March to May 2022. The research population was all food handlers at restaurants in Minas District, 18 restaurants in Minas District consisting of 36 food handlers. The sampling technique is total sampling. The sample in this study were 36 people. The type of data in this study is primary data obtained by direct observation Primary data obtained from surveys to locations in restaurants in Minas District and direct interviews with respondents using questionnaires and observation sheets. Data collection was carried out by direct observation and interviews with food handlers using a questionnaire. Data analysis with chi square test. The results showed that there was a significant relationship between the knowledge of food handlers and the application of food sanitation hygiene (p-value = 0.005) and there was a significant relationship between the attitudes of food handlers and the application of food sanitation hygiene (p-value = 0.002). It is recommended that food handlers should wash their hands with soap and running water before doing work, wear masks and not chat while processing food. Keywords: Attitude, Food Handlers, Hygiene, Knowledge, Sanitation
Factors Influencing Risky Actions on Early Adolescent Reproductive Health at Junior High School 30 Kerinci Mira Eka Putri; Ariadi Ariadi; Yuniar Lestari
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15408

Abstract

Deviations in sexual behavior often occur among adolescents. The development of the current era makes information disclosure through media and electronics have a major influence on adolescent sexual behavior. The research objective was to determine the factors influencing risky actions on the reproductive health of early adolescents at public junior high school 30 Kerinci. This type of quantitative analytic research with a cross-sectional design approach. The research was conducted in November - December 2022 at public junior high school 30 Kerinci with a total sample of 77 people. The sampling technique for this research is total sampling. Data collection using a questionnaire. Analysis of the research data with the chi-square statistical test and multivariate analysis with the binary logistic test. The results showed that there was a relationship between knowledge and risky actions for reproductive health (p=0.001), there was a relationship between attitude and risky actions for reproductive health (p=0.039), there was a relationship between the role of parents and risky actions for reproductive health (p=0.014), there was no relationship between the role of health workers and reproductive health risky actions (p=0.647), there is a relationship between the role of peers and reproductive health risky actions (p=0.027), the dominant factor that has the most influence on reproductive health risky actions in early adolescents in junior high school 30 Kerinci is the knowledge factor (p-value=0.001; POR=16.619). It is suggested that the school activate youth care activity services activities at schools in cooperation with local health workers. It’s also suggested that health workers provide health education or youth health seminars at schools to provide information about reproductive health for adolescents. Furthermore, it is suggested to parents of students to control adolescents so that adolescents are correct in receiving health information, especially reproductive health, and seeking information related to adolescent reproductive health together.  Keywords : Adolescents, Risky Action , Reproductive Health
Cost Control Strategies in The Covid-19 Pandemic Using The Balanced Scorecard in The Yogyakarta PDHI Islamic Hospital Cahyo Prihatmoko; Kusbaryanto Kusbaryanto; Nur Hidayah
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 1 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i1.15432

Abstract

Hospitals are the front line in tackling the covid outbreak but personal protective equipment (PPE) is becoming increasingly scarce. This makes Health service management increasingly ineffective and inefficient. The hope is that hospitals will be able to navigate this phase of the epidemic by turning all obstacles into hope and all opportunities into strengths. Thus, regardless of the current crisis and conditions, the hospital can survive and try to continue to develop.Purpose: The purpose of this research is to develop a strategy for controlling costs in order to maintain and even grow hospital performance during the Covid-19 pandemic.Methods: This research is a qualitative research with a case study approach conducted at RSIY PDHI. The research design uses an approach to explore and understand organizations by presenting a comprehensive overview and reporting detailed descriptions of information sources and preparing them without intervention from the researcher.Research Results and Findings - The overall strategic goals of the organization are categorized into 4 (four) perspectives, namely financial goals, customer goals, internal business process goals, and growth and learning goals. From a financial perspective, three strategic targets are set, namely revenue growth, cost reduction and profitability improvement. From the customer's perspective, four strategic targets are set, namely, increasing the quality and quality of service, increasing customer satisfaction, increasing the quality of customer relationships, and improving the image of the hospital. From the perspective of internal business processes, three strategic targets are set, namely the integration of internal service processes, the improvement of the quality of the service process to customers, and the increasing speed of the service innovation process. From the growth and learning perspective, three strategic targets are set, namely increasing employee capabilities, increasing employee satisfaction, and increasing the use of integrated information systems. From all these targets, key indicators of each strategic target have been set, namely indicators of growth and learning with a target of 95% employee retention and 40 hours of employee training per year. The next indicator is the internal business process with a target response time of < 5 minutes and a target service waiting time of < 10 minutes. Then the customer indicator with a target of 1,000 new customers per year and an old customer retention target of 80%. Finally, financial indicators with a target of 10% revenue growth, 5% cost efficiency and 15% profitability.Originality-This research was conducted in a hospital, because in the era of universal health coverage, the role of the hospital was very strategic. This research focuses on a comprehensive planning analysis from both financial and non-financial aspects.
Analysis of the Implementation of Non-Smoking Area Policy in Madiun Middle Schools and High Schools Fariz Kahendra; Bagoes Bagoes Widjanarko; Farid Agushybana
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15220

Abstract

Indonesia became the second largest cigarette market in the world. Based on the 2018 Riskesdas data, the prevalence of smokers aged over 15 years was 33.8 percent Based on Madiun Regency Regional Regulation Number 10 of 2020 Concerning Non-Smoking Areas. The aim of this research is to find out about smoking-free area policies in junior high schools and high schools in Madiun City. The implementation of this research was carried out in January-February 2023 in the Madiun City Middle School and High School environment with the research subjects being 35 school principals or persons in charge of smoking-free areas in Middle and High Schools in Madiun City. The sampling procedure was proportional random sampling. collection of research data with primary data collected using a questionnaire Implementation of policies according to van horn and van meter theory. Data analysis in this study is multivariate analysis with multiple regression tests..The results showed that there was influence from the social, economic and political environment (p value 0.012), there was an influence on the implementor's position (p value 0.016), and there was no influence on the character of the executing agent (p value 0.837) in the Madiun City Middle School and High School environment. There is a need for support from the Education Office and the school itself, such as providing visual media as facilities and infrastructure that support the implementation of smoking-free areas and continuously socialize the dangers of smoking at every school meeting and ceremonial activities or morning assembly. This will play a role in making a policy easier to remember in the school community. Keyword:  Implementation, No-Smoking Areas, Policy, Schools, Smoking

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