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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : 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
Articles 7 Documents
Search results for , issue "Vol 23, No 2 (2007)" : 7 Documents clear
Efek Hipokolesterolemik Susu Kedelai Fermentasi Steril secara In Vitro Fatma Zuhrotun Nisa’, Y.Marsono, Eni Harmayani
Berita Kedokteran Masyarakat (BKM) Vol 23, No 2 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.576 KB) | DOI: 10.22146/bkm.3623

Abstract

Background: High blood cholesterol level is a risk factor of atherosclerosis, a condition causing coronary heart disease, obesity and others. The utilization of live cell like probiotic was proven to reduce cholesterol level in blood. The problem of the utilization of live cell was the low of distribution and difficulty in storage. Should be invented an alternate to produce the product with the same characteristic, that is, by utilization of inactive cell.Objective: to evaluate the effect of sterilized fermented soymilk on cholesterol reduction in vitro, that is the binding of cholesterol by the component of   sterilized fermented soymilk.Method: The ability of sterilized fermented soymilk to bind cholesterol was assayed using inoculation of sterilized fermented soymilk in MRS medium with 0,1% pure cholesterol then was incubated at 37 C for 24 hours. After incubation, the cholesterol level bonded was measured by O-Pthalaldehid method.Result: The research has shown that the sterilized fermented soymilk and the fermented milk could bind the cholesterol. The sterilized fermented soymilk could bind the cholesterol the higher than the non sterilized fermented soymilk.Conclusion: The sterilized fermented soymilk had the ability of cholesterol bindingKeywords: hypocholesterolemic, fermented soymilk
Latihan Pernapasan dengan Metode Buteyko Meningkatkan Nilai Force Expiratory Volume In 1 Second (%Fev1) Penderita Asma Dewasa Derajat Persisten Sedang Denny Agustiningsih, Abdul Kafi, Achmad Djunaidi
Berita Kedokteran Masyarakat (BKM) Vol 23, No 2 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.564 KB) | DOI: 10.22146/bkm.3624

Abstract

Background: Breathing exercises are frequently recommended as an adjunctive treatment for asthma. Breathing exercise for asthma that is recommended in Indonesia is Senam Asma Indonesia, which has a session of aerobic exercise. In Russia and Australia Buteyko method is practiced as a simple exercise for respiration. Principally, the technique of Buteyko is different from other respiration methods.Objective: The aim of this study is to know if the effect of Buteyko method could increase lung function of adult asthmatic patient better than Senam Asma Indonesia.Methods: Design of this study is field experiment with pretest and posttest of the lung function test (FVC, %FVC, FEV1 and %FEV1). The subjects divided into three groups, the group I, given exercise with the Buteyko method, group II given exercise with Senam Asma Indonesia and the group III without any exercise. The exercise was given for 12 weeks. The lung function test was done at the end of every month for all groups.Result: %FEV1 for Buteyko’s group increased significantly but other parameters didn’t.Conclusion: Breathing exercises with Buteyko and Senam Asma Indonesia both could decrease the airway resistance in asthmatic patient, but could not improve the vital capacity of the lung.Keywords:  asthma; buteyko method, senam asma Indonesia, lung function test
Hubungan antara Homosistein dan Nitrit Oksid pada Hipertensi Esensial di Jawa Tengah, Indonesia Sunarti Ahmad Husain Asdie, Mohammad Hakimi, Abdul Salam M Sofro
Berita Kedokteran Masyarakat (BKM) Vol 23, No 2 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.722 KB) | DOI: 10.22146/bkm.3625

Abstract

Background: The essential hypertension has been related to endothelium-dependent vasodilatation disorders that result of decreasing of nitric oxide (NO) bioavailability. Decreasing of NO can be caused by increase of homocysteine level.Objective: This study is aimed at finding out the effect of homocysteine level on nitric oxide level in essential hypertension, and relationship between NO and blood pressure and hypertension risk in Central Java.Method: This study was case-control nested, in “Surveillance of Non-Communicable Diseases” in Purworejo, Central Java. The subjects were men with essential hypertension and 20-60 years old that had normal value of urine creatinine, blood glucose, cholesterol and triacylglycerol. They didn’t take antihypertension drugs. The methods of Pfeiffer, et al. was used to identify total plasma homocysteine level. NO level was determined by Nitric Oxide Colorimetric Assay Kit (BioVision Cat.K262200).Result: The homocysteine level of the hypertension is higher than that of the non- hypertension (16.15 + 12.69 vs 12.73  + 5.73; P=0.035), whereas the nitric oxide level of the hypertension is lower than that of the non-hypertension (8.22 + 1.88 vs 9.49 + 3.05; P=0.003). Homcysteine level was significantly correlated with nitric oxide level (P=0,016). Negative correlation between nitric oxide level and systolic and diastolic pressures was significant (P=0,005; P=0,045), respectively in subjects of 40-60 years old but not significant (P=0,106; P=0,269), respectively in those younger (20-39 years old). The relationship between nitric oxide and hypertension risk was significant (P=0,005) in subjects of 40-60 years old but not significant (P=0,062) in those younger (20-39years old).Conclusion: The high homocysteine level is a risk factor of  hypertension, that reduces the NO bioavailability. The reducing of NO bioavailability was related to increase of blood pressure and hypertension risk, especially it was in the old men.Keywords: homocysteine, nitric oxide, hypertension, Central Java, Indonesia
Hubungan Tingkat Pemenuhan Kebersihan Diri dengan Tingkat Kepuasan Pasien Immobilisasi I Ketut Suardana, Ni Made Wedri, I G.A. Oka Mayuni
Berita Kedokteran Masyarakat (BKM) Vol 23, No 2 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.961 KB) | DOI: 10.22146/bkm.3626

Abstract

Background: Self care are the activity where initiated and be done by a person to involving self need and life saving. At Sanglah hospital nursing treatment for personal hygiene serviced by a nurse and actually be done by their family. Muninjaya founded  patient unsatisfied with nursing services at Sanglah Hospital  di RSUP Sanglah Denpasar. The objective of this study was to describe correlation degree of personal hygiene services with satisfaction of the patient immobilization at Sanglah Hospital.Method: The study was as a descriptive with cross sectional designed that involved 78 patient with  immobilization at central hospital Sanglah Denpasar. Data was collecting by structural interview about their experience and expectation until hospitality. Sample was chose proportioned stratified random sampling. The analyzed by quadratic analysis where satisfaction rate measured by comparing evaluations based on experience and expectation. Correlation of self care service with patient satisfaction analyzed by One Way Anova and Regression Linier.Result: The study was found patient dissatisfy with quality of nursing service in aspect reliability, responsiveness, assurance, emphaty, and tangibles. Level of patient satisfaction was averrage 85,89%. There was significant relationship between degree of personal hygiene services with satisfaction (p<0,05). The regression linier found pattern: patient satisfaction= (79,307 + 11,672) X  clothed servicesConclusion: Nurse should be increasing nursing service concerned for hygiene patent to clothed.Keywords: personal hygiene services, patient satisfaction
Determinan Penggunaan Metode Kontrasepsi IUD di Indonesia Analisis Data SDKI 2002-2003 Rosyati Pastuti, Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 23, No 2 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1272.225 KB) | DOI: 10.22146/bkm.3627

Abstract

Background: Report of Indonesian Health and Demographic Survey (IHDS) 2002-2003 showed an increase of contraceptive use from 57% (1997) to 60% (2002-2003) among married women in Indonesia. The use of Injection method had the highest increase while Intra Uterine Device was decrease. Contraceptive method usually was used based on the reasons for controlling birth and birth spacing. The choice of contraceptive method was influenced by motivation, access and cost.Objective: The goal was to explore the determinant of IUD method use in Indonesia.Method: Data of IHDS 2002-2003 was analyzed using cross-sectional study design. Sample was married women aged 15-49 years old who use IUD method. Data was analyzed statistically using chi-square test and logistic regression at 95% significant level.Result: Logistic regression analysis showed a significant relationship between the demand of contraceptive use and IUD method use. Respondent with birth control reason had a probability of 2.8 times to use IUD (OR=2.8; CI 95%=2.45-3.13). Health service place and cost of service were also had a significant relationship with contraceptive use demand. Respondent who used government’s health facility had a probability to use IUD OR=1.9; CI 95%=1.67-2.06).Conclusion: Respondent with birth control reason tends to use IUD. Those who use government’s health facility and those who paid more than Rp200.000,00 were also tend to use IUD. Another factors influence IUD method use was age, parity, education level, economic status and residence status.Keywords: IUD, family planning, birth spacing
Hubungan antara Kadar Plumbum (Pb) dan Hipertensi pada Polisi Lalu Lintas di Kota Manado Mery Bidangan Pasorong, Haripurnomo Kushadiwijaya, Nawi Ng, Vitalis Pribadi
Berita Kedokteran Masyarakat (BKM) Vol 23, No 2 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.964 KB) | DOI: 10.22146/bkm.3628

Abstract

Background: Hypertension can be divided  into two types, i.e. primary and secondary hypertension. Risk factors related to incidence of essential hypertension, among others are age, sex, smoking, alcohol, obesity, inactivity and air pollution. Air pollution can derive from motor vehicles and air which contains plumbum (Pb). Pb may enter the body through inhalation, foods, drinks and absorption through skin. The effects of Pb for health are blood pressure elevation (hypertension), brain damage, neural damage, decrease of intelligence quotient inchildren, miscarriage and damage of male reproductive system. Population with high risk Pb exposure are traffic police working on the road.Objective: The objective of the study was to identify relationship between Pb level in the blood and prevalence of hypertension among traffic police in Manado Municipality.Method: The study used cross sectional design. Sample consisted of 192 subjects or study participants: 96 traffic police officers working on roads and 96 working at the office of Manado Capital City Police. Study participants were chosen using simple random sampling technique. Data were analyzed descriptively, using univariable and multivariable analyses.Result: The result of univariate analysis showed that Pb in blood had significant relationship (p<0.05) with incidence of hypertension (OR=6.50). The result of multivariate analysis showed that Pb in blood had significant relationship with incidence of hypertension (p<0.05). The value of OR=7.42 (95% CI 2.58-21.31) indicated that policemen having Pb level in blood = 6.27µg/dl had 7.42 times higher risk in suffering from hypertension than those with Pb level in blood < 6.27 µg/dl after being controlled with length of on duty, length of work, mother’s/ father’s history of hypertension, sports activities and smoking. Although after being controlled with length of on duty and length of work the relationship between Pb level in blood and incidence of hypertension was statisticallyinsignificant (p>0.05), by looking at the value of Odds Ratio (OR) it could be identified that traffic policemen working more than 8 hours/day had 2 – 2.4 times higher risk of suffering from hypertension than those working in the office. Mothers’/father’s history of hypertension, sports inactivities and smoking also increased risk of hypertension incidence among traffic policemen.Conclusion: There was relationship between Pb level in blood and incidence of hypertension after being controlled with length of on duty, length of work, mother’s/father’s history of hypertension, sports activities and smoking.Keywords: Plumbum (Pb) level, hypertension, traffic policeman
Penilaian Peran serta Masyarakat dalam Akselerasi Penurunan Angka Kematian Ibu dan Angka Kematian Bayi Niniek L. Pratiwi
Berita Kedokteran Masyarakat (BKM) Vol 23, No 2 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.725 KB) | DOI: 10.22146/bkm.3629

Abstract

Background and Methods: This research analyzed the assessment of community organizations in efforts to accelerate the decrease of maternal and infant mortality rates (MMR and IMR). This was an explorative study using qualitative and quantitative data. It was conducted in four provinces: Central Kalimantan, South Sulawesi, Central and East Java. In each province two districts were selected with criteria of high MMR and IMR, and low MMR and IMR.Result and Conclusion: Results showed that the roles of community organizations to accelerate the decrease of MMR and IMR limited in promoting and providing education to overcome four excesses (4 terlalu) and three delays (3  terlambat). The organizations considered these roles were not enough, and also the utilization of budget to these activities was not optimal. In the future the community organizations applying community participation should enhanced the members’ senses of belonging by active participation in planning process starting from problems identification until factual contributions to achieve higher social concerns so that the five steps changing of an innovation could be achieved.Keywords: community organization, powerful community

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