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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 8 Documents
Search results for , issue "Vol 26, No 1 (2010)" : 8 Documents clear
Hubungan antara Pemberian Radioterapi dengan terjadinya Distress, Anxiety, dan Depresi pada Penderita Kanker Payudara Yohana Prima Ceria Anindita, Carla Raymondalexas Marchira, Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.712 KB) | DOI: 10.22146/bkm.3475

Abstract

Background: As the world rates of breast cancer have increased, there has been a growing awareness of psychological effect of diagnosis and treatment and its role in the outcome of chronic disorders. Radiotherapy for breast cancer is an intense and cyclic treatment associated wi th number of side-ef fects. The sociodemographic factors of age, gender, marital status, education, immigrant status, income and insurance have consistently been identified as important factors in explaining the variability in distress, anxiety, depression prevalence rates.Objective: To evaluate the effect of radiotherapy on distress, anxiety and depression among breast cancer patients based on sociodemographic factors.Methods: Screening tools for measuring distress of National Comprehensive Cancer Network and Hospital Anxiety and Depression Scale (HADS) was used to evaluate breast cancer patients. A descriptive study using a cross sectional design performed in Radiotherapy Division of RSUP Dr. Sardjito and breast cancer patients were asked to complete the DIC and HADS after radiotherapy. Participants were 30 patients in RSUP Dr. Sardjito.Result: Education level was the only factor found significantly to influence depression status, depression status were different based on education level (p=0.019), high education level had less depression status. A significant, moderate correlation was obtained between distress and depression scores ( r = 0.561**, p =0.001).Conclusions:  There is a difference on depression status based on education level in breast cancer patients who got radiotherapy. A significant, moderate correlation was obtained between distress and depression scores.Keywords: distress, anxiety, depression, breast cancer patients, radiotherapy, screening tools for measuring distress of National Comprehensive Cancer Network, the HADS questionnaires, sociodemographic factors.
Evaluasi Program Pencegahan Gizi Buruk melalui Promosi dan Pemantauan Pertumbuhan Anak Balita Dudut Eko Juliawan, Yayi Suryo Prabandari, T. Ninuk S. Hartini
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.275 KB) | DOI: 10.22146/bkm.3476

Abstract

Background: Recently, the infant mortality rate in West Nusa Tenggara is remaining high which is 77 per 1,000 birth lives. This number is above national rates (35 per 1,000 birth lives). The maternal mortality rate is also high, which is 370 per 100,000 births, and is above national rates 307 per 100,000 births. While the literate rate is still under national rate. Degree of community health that has been worse was worsening through outbreak malnutrition in 2005. Malnutrition can be prevented through posyandu activity. Growth monitoring and promotion of children under five years old in posyandu can detect case of malnutrition early.Objective: The study was aimed to know how execution of programmed of growth monitoring and promotion of children under five years old in  posyandu in Mataram municipality was undertaken.Method: This was a qualitative study. Forty eight informants participated in this study. Informants consisted of 14 mother of children under five years, 10 cadres, 5 leaders of community, 11 staff of community health centre (puskesmas), 7 members of Mataram  posyandu operational working group  (pokjanal posyandu) and 1 staff provincial health office. Location of the study was in Mataram municipality. Subjects were chosen purposively at three sub district that were Ampenan, Cakranegara and Mataram. Data were collected by in depth interview, focus group discussion and observation. Triangulation on methods and informants/source were used in assessing the trustworthiness of data. Data analysis was carried out through data transcript, open coding, axial coding,data presentation and making conclusion.Result: Mothers of children under five years old with low education and low income did not comprehend meaning growth of child, so they were unable to prevent malnutrition. Growth monitoring and promotion of children under five years old has not been carried out well, particulary at desk 3th (weighing measurement) and desk 4th (counseling). Cadres have not had capacity to detect malnutrition, that may caused by lack of training. Staff of  puskesmas had so much work so that they did not work properly in delivering  posyandu.Conclusion: Growth monitoring and promotion programmed of child under five years old has not been carried out well, low work performance of cadre and  puskesmas staff and lack of supervision.Keywords: malnutrition,  posyandu, growth monitoring, mother of children under five years old.
Hubungan antara Jumlah Kepesertaan Tenaga Kerja, Jumlah Kecelakaan Kerja, dan Jumlah Jaminan Kecelakaan Kerja Perusahaan Kelompok Jenis Usaha III Peserta Program JKK pada PT Jamsostek Cabang Medan Gerry Silaban
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (586.797 KB) | DOI: 10.22146/bkm.3477

Abstract

Background: The membership of employees in Accident Benefit Program and occupational health and safety implementation at workplace are business-owner responsibility. Business group type III as the member of Employment Accident Benefit Program when not performing accident prevention efforts will not be expected to decrease employment accident to zero and it implicates in the escalation of employment accident claims.Method: The research periods were 4 months (April – August 2006) and located at PT Jamsostek Medan branch. Survey research with correlation setting was used as research method. The research samples involves 105 enterprises from business group type III as the member of Employment Accident Benefit Program at PT Jamsostek Medan Branch, which their employees experiencing employment accident during one year (January 1st until December 31st 2005), and being reported to PT Jamsostek Medan Branch and receives employment accident benefit. The research data that consist of number of employment accident and employment accident benefit were collected from Employment Accident Report Phase I (Jamsostek Form 3) and Employment Accident Report Phase II (Jamsostek Form 3a), and number of employee membership data of Accident Benefit Program at PT Jamsostek Medan Branch. Spearman’s product moment correlation was used to analyze data.Results: There is a significant relationship (p <0.01) between number of employees membership in Employment Accident Benefit Program and number of employment accident, regression coefficient was (r) = 0.258. There is strongly significant relationship (p < 0.01) between number of employment accident and number of employment accident benefit, correlation coefficient was (r) = 0.641.Conclusion: To reduce number of employment accident and employment accident benefit, business group type III must performs the occupational health and safety in order to generate healthy and safety workplace and to comply the occupational health And safety regulation. PT Jamsostek was expected to actively participating and continued supporting the occupational health and safety implementation by enterprises as the membership of Employment Accident Benefit Program and cooperates with Local Manpower Institution which also assigned on developing and supervising the occupational health and safety implementation.Keywords: membership of employees in the Employment Accident Benefit Program, employment accident, employment accident benefit
Kemampuan Tawar Pekerja Seks Komersial dalam Penggunaan Kondom untuk Mencegah Penularan HIV/AIDS di Jalan Lintas Sumatera Kabupaten Langkat Propinsi Sumatera Utara Kenderwis Ida Yustina
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (345.317 KB) | DOI: 10.22146/bkm.3478

Abstract

Background: Commercial sex workers is one of high risk group in spreading of HIV/AIDS. In Langkat District, till October 2007 there were 7 cases AIDS reported from prostitutes.Objectives: The purpose of the study was to analyze the influence of their predisposing factors (knowledge and attitude), enabling factors (complexity of condom, availability of condom, customer’s comfort) and reinforcing factors (family, Non-Government Organization/NGO, health workers, opinion leader) on commercial sex workers bargaining power in using condom.Methods: This was an explanatory survey which was conducted in Langkat District towards 104 commercial sex workers in 2008. Data collected by interview using questionaire; were processed by using multiple regressions.Result and Conclusion: The result of study showed that 70,2% of the commercial sex workers bargaining power in asking their customers to use condom were in bad category. The result of multiple regression analysis showed that 85,6% of the commercial sex workers bargaining power to ask their customers to use condom can be explained by the knowledge and attitude of the commercial sex workers, complexity of condom, customer’s comfort, and Non Governmental Organization.Keywords: bargaining power, commercial sex workers, condom
Pengaruh Polymorphisme PvuII Gen Reseptor Estrogen Alfa terhadap Kadar Kalsium dan Phosphat Serum pada Wanita Postmenopause Prasetyastuti Prasetyastuti
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (725.478 KB) | DOI: 10.22146/bkm.3479

Abstract

Background: Estrogen has an important role in bone metabolism. The hypoestrogenemia condition occurring in postmenopausal women may affect bone metabolism. The mechanism action of estrogen to prevent the activity of osteoclast in bone resorption was mediated especially by estrogen receptor alpha gene (ESR1). The PvuII polymorphism that occurs in ESR1 gene may alter their expression and  function.Objectives: the aim of this research was to determine the difference of serum calcium and phosphate level in postmenopausal women with PvuII polymorphism of the Estrogen receptor alpha geneMethod: This was cross sectional design. The subjects are postmenopausal women 50-70 year old .Twenty seven subject divided into two group, group I consisted of 15 women with genotype PP,Pp and group II consisted of 12 with genotype pp. polymorphism were assessed by Polymerase Chain Reaction Restriction Fragmen Length Polymorphism(PCR-RFLP) technique. Determination of serum calcium and phosphate level used spectrophotometer. The data was analyzed with Independent sample t-test.Results: The serum calcium level are 8,15 ± 1,35 mg/dl and 8,13 ± 1,58 mg/dl in genotype PP,Pp and pp respectively. The serum phosphate level are 3,8 ± 0,47 mg/dl and 4,24 ± 0,86 mg/dl in genotype PP,Pp and pp respectivelyConclusion: there were no statistically significant differences in serum calcium and phosphate level among genotype PP,Pp with pp  ESRI gene(p>0,05) PvuII polymorphism of ESRI gene did not influence serum calcium and phosphate level in postmenopausal women.Keywords: postmenopausal women, estrogen receptor polymorphism, serum calcium, serum phosphate
Hubungan antara Pengetahuan dan Sikap Ibu dengan Upaya Pencegahan Gigitan Nyamuk Anopheles pada Balita Septiana Fathonah, Purwanta, Putu Oka Yuli N
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.601 KB) | DOI: 10.22146/bkm.3480

Abstract

Background: Malaria kills approximately 1 million children each year and also a major cause of illness, health care visited, and hospitalizations in part of the world. In children malaria will interfere growth and development. At 2007, in Kelurahan Hargotirto and Hargowilis, there were 22 cases of malaria of 94 cases of malaria found in Kabupaten Kulonprogo. The first line of defence against malaria infection is personal protection toward mosquito bites.Objective: This study analyzed the correlation between mother knowledges and attitudes in avoiding anopheline mosquito bites in Kelurahan Hargotirto and Hargowilis Kecamatan Kokap Kabupaten Kulonprogo.Method: This study was cross-sectional. Data collection method used questionnaire. Samples were gathered by combination between cluster and systematic random sampling.The sample size in this study was 87 people. The data were analyzed using univariate and bivariate analyses. Univariat analyses produced frequency distribution of respondents and describes dependent and independent variables. This study used Kolmogorov-Smirnov comparison test. Bivariate analysis  used Rank Correlation Test (Spearman).Result: Bivariate analysis results show that knowledge has a significant correlation with avoiding anopheline mosquito bites behaviour (p<0,05). Education level and attitude do not have a significant correlation with avoiding mosquito bites behaviour (p>0,05). There is no correlation between previous history of malaria in children with mother behaviour in avoiding anopheline masquito bites in children under five years (p>0,05).Conclusion: Knowledge has a significant correlation with avoiding anopheline mosquito bites behaviourKeywords: Knowledge, attitude, avoiding anopheline masquitoes bites
Pengaruh Kenaikan Berat Badan Rata – Rata Per Minggu pada Kehamilan Trimester II dan III terhadap Risiko Berat Bayi Lahir Rendah Darmayanti Siswanto Agus Wilopo, Detty Siti Nurdiati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.629 KB) | DOI: 10.22146/bkm.3481

Abstract

Background: Low pregnancy weight gain is one of the risk factor of low birth weight (LBW). Weight gain rate per week can be used gain during pregnancy. However, some studies show differences in cut-off point weight gain in pregnancy of second and third trimester to minimize the risk of LBW.Objective: To identify changes of weight gain rate per week in the second and third trimester of pregnancy in relation to the risk of LBW.Method: The study was observational study using case control design. The study population was women giving birth at Ulin Hospital of Banjarmasin during the period of November 2006 – August 2007. Subject of the study was having LBW infants 98 mothers as case group and giving birth to infants >2500 grams 245 mothers as control group. Data medical record of obstetric and gynecology unit, mother and child health monitoring books, so did the direct interview. Chi square and double logistic regression methods were used to analyse the relationship between the objective variabels.Result: Weight gain <250 grams/week in the second and third trimester of pregnancy had significant relationship with the risk of LBW (OR 7.1; 95%CI 4.0 – 12.5): other variables having risks of LBW were gestational age (<37 weeks), hypertensive disorder during pregnancy, parity, having history of preterm delivery and prenatal care < 5 times. The result of multivariable analysis showed that weight gain <250 grams/week in the second and third trimester of pregnancy had significant relationship with LBW; other variables were preterm delivery, hypertensive disorder during pregnancy and primipara.Conclusion: Pregnant mothers with weight gain <250 grams/week during second and third trimester of pregnancy had probability 7.1 times of having LBW infants than those giving birth to infants >2500 grams. Other variables having risks of LBW were gestational age (<37 weeks), hypertensive disorder during pregnancy, parity, having history of preterm delivery and prenatal care < 5 times.Keywords: weight gain rate per week, low birth weight
Potensi Akses yang Dimiliki Rumahtangga terhadap Pemanfaatan Aktual Pelayanan Kontrasepsi Wenny Artanty, Djaswadi Dasuki, Nawi Ng
Berita Kedokteran Masyarakat (BKM) Vol 26, No 1 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (395.712 KB) | DOI: 10.22146/bkm.3482

Abstract

Background: Difference in social economic influenced the inequity in fulfilling health needs. The goal of health development in Indonesia increased awareness, desire, and capability to make the healthness. Everyone had equal right to obtain health services.Objective: To know the influence of household’s potential access to actual access in utilizing contraceptive services.Method: This study was an observational research using cross sectional approach. It used secondary data from Sakerti 2000 result. The sample consisted of 2233 household from Central Java province. Bivariable analysis used chi-square test and multivariable analysis used logistic Regression test with 0,05 significant level.Result:  The factors influencing household’s potential access to actual access of contraceptive services was household who had more than 5 members and owner of  health assurance. The household who had more than 5 member and owner of  health assurance had 1,7 and 1,5 time more access to contraceptive services than those who had less than 5 members and had not owner of health assurance.Conclusion: Household who had more than 5 members and owner of health assurance were potential access in utilizing contraceptive services. The social structure was not a barrier in utilizing contraceptive services.Keywords :  potential access, actual access, household, contraceptive services

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