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Berita Kedokteran Masyarakat
Published by Universitas Gadjah Mada
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : Health,
Nursing Public Health
Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 4 Documents
 1 
Search results for , issue "Vol 19, No 3 (2003)" : 4 Documents clear
Tatalaksana oleh Petugas Kesehatan dan Faktor Risiko Terjadinya Kegagalan Perawatan di Rumah terhadap Penderita Pnemonia Balita Ichwanu Kusno, Djauhar Ismail, Haripurnomo Kushadiwijaya
Berita Kedokteran Masyarakat (BKM) Vol 19, No 3 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3723

Abstract

Background: Pneumonia kills approximately 4 million babies and infants in the world each year. In Indonesia, it was estimated that 450.000 infant deaths occur every year that estimated was caused by infection of acute respiratory tract (ISPA) especially pneu-monia. Since" 199411995, TTS regency has implemented P2ISPA (acute respiratory tract infection control program), yet pneumonia in children under five years old remain the main problem. Problem is aspects of management of health personnel and home care are considered as risk factor of recovering for pneumonia sufferer.Objectives: This study is devided into 2 stages, Stage I case study (evaluation pro-gram) that aimed at examining management of application program by health person-nel. Stage II was observasional study with cohort design that aimed at examining risk factors of the failure of care at home of infant morbidiy due to pnemonia.Methods: Subjects of this study in stage I were health center workers and stage II children between 2 month-5 years old who suffered from pneumonia in Kapan and Nulle health center area. Data was collected by observation and measurement with data analysis of table 2x2Results and conclusions: The result of this study showed that the management is not with appropriate the standard management. Factors that had significant effect on re-covery of pneumonia patiens included mothers who don't have enough knowledge about pneumonia (RR=5,06; p = 0,0054), innappropriate at home (RR=3,87; p =0,0006), innapropriate medicine consumption (RR=2,54; p=0,019) and low quality of home care (RR=3,20; and p = 0,006).There for it is suggested to the patient to have a qualified AR1 management, information improvement and home visit to improve the recovery. Keywords: recovery, management and care at home, pneumonia.
Status Besi pada Wanita Vegetarian di Kabupaten Badung Provinsi Bali Ni Wayan Yogianti, Hamam Hadi, M.Dawam Jamil
Berita Kedokteran Masyarakat (BKM) Vol 19, No 3 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3724

Abstract

Background: It has been known that vegetarian do not eat meat and fish and related products considered to be good protein and iron sources. Whether iron status differs in vegetarian and non vegetarian women is unknown. Objective: This study was done to measure the difference in nutrient intakes and iron status between vegetarian and non vegetarian women.Methods: This observasional study was conducted in Badung regency, Bali in 2002. Subjects of this study consisted of 48 vegetarian and 48 non vegetarian women aged 18-45 years. Hemoglobin and ferritin levels of the subjects were measured at the begin-ning of the study and 3 months later.. Nutrient intake of women in both groups were collected using Food Frequency Questionnaire. Hemoglobinb level was measured us-ing cyanmethemoglobin method while serum ferritin was measured using ELISA method. Data analysise was conducted by using State 6.0 software.Results: The mean of protein intake in vegetarian women was 44.3 ± 13.8 gr/d (mean ± SD). The mean of protein intake in non vegetarian women was 62.8 ± 21.3 gr/d or 14.5 gr/d higher than that in vegetarian women (p< 0.05). The mean of iron intake originally from vegetables was 16.3 ± 7.0 mg/d and 9.8 ± 4.3 mg/d in vegetarian and non vegetarian respectively. While the mean of iron intake originally from animal prod-ucts was 0.03 ± 0.05 mg/d and 3.01 ± 2.06 mg/d in vegetarian and non vegetarian women respectively. The mean of serum ferritin in vegetarian women was 22.7 ± 15.1 µg/ml. However, the mean of serum ferritin in non vegetarian was 46.9 ± 28.7 ug/m1 or 25.4 pg/m1 higher than that in vegetarian women (p < 0.05). There was no significant difference in hemoglobin level between vegetarian and non vegetarian women.Conclusion: There were significant differences in protein and iron intakes between vegetarian and non vegetarian women. There was also a significant difference in serum ferritin but not in hemoglobin level between vegetarian and non vegetarian women. Keywords: protein and Iron intakes, ferritin, women, vegetarian
Vaksin Dengue Sutaryo Sumadiono, Syarifah Hanum P
Berita Kedokteran Masyarakat (BKM) Vol 19, No 3 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3726

Abstract

Dengue hemorrhagic fever remains one of the world's most important cause of morbidity and mortality. Vector control has been proven to be an inadequate preventive measure that a new strategy is needed to alleviate the increasing burden of illness of this disease. Vaccination against dengue has become a promising solution to this problem. Base on antibody dependent pathogenesis, the ideal vaccine should be prevent all of four serotypes, cheap, effective, minimal side effect, genetic and antigenetic stable, and long life protection. There are several types of vaccines currently under investigation, among them are vaccines made by classic attenuation method, attenuation by way of genetical engineering, sub unit vaccines of purified protein and protein made by gen cloning techniques, vaccine using vaccinia virus as vector and DNA vaccine. The development of biomolecular engineering is expected to enable the production of vaccine in large quantity which is economically cheaper. Until recently vaccine produced by attenuation and recombinant are availeble for production, while other vaccine candidates are still under investigation. Keywords: dengue, vaccine, recombinant
Kemampuan Negosiasi Perempuan Pekerja Seks Jalanan dalam Penggunaan Kondom terhadap Pencegahan Penyakit Menular Seksual dan HIV/AIDS di Kota Jayapura Tahi Ganyang Butarbutar, Suharyanto Supardi, Ira Paramastri
Berita Kedokteran Masyarakat (BKM) Vol 19, No 3 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3727

Abstract

Background: The data on HIV/AIDS in Papua by 30 August 2002 reveal 882 cases. 70 cases of HIV/AIDS are recorded in Jayapura municipality. The highest percentage of HIV/AIDS infection is for reproductive age (15-39) group, i.e., 82,9%. One of the factors affecting the intensity of HIV/AIDS infection rate in street commercial sex workers is the low level of condom use. The objectives of this research are to identify the factors that make street commercial sex workers not use condom, the social aspects that influence the negotiation, the form negotiation of condom use, and how to get a condom.Methods: The study was applied a qualitative method using a focus group discussion, in-depth interview and participatory observation. The number of subjects were 38 per-sons consisting of 20 persons from the group discussion, 13 were in-depth interviewed, and 5 were in the participatory observation type of data collection.Results: In general, despite knowing that everyone, including him or her, was vulner-able to AIDS infection, the respondents ignore asking guests or partners for condom use. Most do not ask for condom use due to their fear of either being the target of guest's anger and bad words, or losing money from them. Most of them say that they do not have written nor spoken agreement with their peers, the room and hotel owners. They do not encourage condom use, as condom is not available in the room where they do practices. Moreover, the condom package is regarded inappropriate, as it is not in accordance with the local language and cultural characteristics.Conclusion: The low capability of street commercial sex workers for negotiating con-dom use with the guest/customers results from; misperception on "safe-sex" behavior and the behavior for seeking "help", physical, psychologic and economic pressure, free and uncontrolled companion-relation, unavailability of condom in the room, and con-dom package which is not in accordance with the street commercial sex workers char-acteristic. This research results serve as a preliminary study of the need, which will be developed in to a comprehensive promotion strategy. Keywords: sexually transmitted diseases and HIV/AIDS, sexual behavior, negotiation, health promotion strategy and practice

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