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INDONESIA
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 1,532 Documents
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Penilaian kasus kegagalan pengobatan kloroquin terhadap penderita malaria falciparum dan faktor yang mempengaruhinya di beberapa puskesmas Maryatul Soesanto Tjokrosonto, Mustofa
Berita Kedokteran Masyarakat (BKM) Vol 21, No 3 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3672

Abstract

Background: Sabang is one of endemic malaria areas in Nanggroe Aceh Darussalam (NAD) Province. The first in-vitro resistance case to chloroquine was reported in 1983 and the in-vivo resistance case in the level of RII was also observed in 1983. Chloroquine is still used as the first line drug in the malaria control programmed at Sabang. The aim of this study is to evaluate the level of treatment failure of chloroquine to falciparum malaria and to analyze the risk factors associated to affect its failure in Sabang. Method: This study was an in-vivo test for 28 days using the protocol from WHO 2003. The protocol is used to assess the efficacy of chloroquine in uncomplicated falciparum malaria treatment, based on clinical and parasitological examination. The study was implemented in the General Hospital of Sabang and Puskesmas Paya Seunara region, during January – July 2004. The subjects are patient of malaria with mono infection of P. falciparum and include in inclusion criteria. In order to investigate the risk factors of the treatment failure, observational case control design was used. Result and conclusion: The result shows that: 62,14% adequate clinical and parasitological response (ACPR), 10,68% early treatment failure (ETF), 14,56% late clinical failure (LCF), and 12,62% late parasitological failure (LPF). on 14th day evaluation. Evaluation on 28th day shows that: 52,43% ACPR, 10,68% ETF, 20,39% LCF and 16,5% LPF. The risk factors that have significant relationship with treatment failure are splenomegaly (OR=6,06; 95%C1=1,86)
Keefektivan metode simulasi dan metode brainstorming untuk meningkatkan pengetahuan kesehatan reproduksi remaja Wiwik NorMa , Ova Emllla, Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 21, No 3 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3673

Abstract

Background: Early education on reproductive health helps teenagers to have responsible attitude and behavior. Integrating reproductive health education in the school curricula is a very important strategy. Methods of education which can improve effectiveness of knowledge dissemination on reproductive health needs to be identified, Objective: To understand the effectiveness of simulation and brainstorming methods to Increase teenagers knowledge on reproductive health. Method: This was a quasi experimental study which used pre test-post test control group design. Samples were divided into two groups simulation and brainstorming. There were 160 respondents age 10-12 years old. Samples were purposively selected considering their basic characteristics. Data analysis used paired t-test, independent Hest and double linear regression analysis with significance 95%
Perubahan indeks massa tubuh penderita tuberkulosis paru setelah mendapat obat antituberkulosis fase intensif Triawantil Muhammad Fakhrurrozi, Cipta Waspada
Berita Kedokteran Masyarakat (BKM) Vol 21, No 3 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3674

Abstract

Background: Tuberculosis (TBC), a direct infectious disease, was affected by multifactorial such as malnutrition. Malnutrition often increases the risk of tuberculosis diseases and vice versa. The research was did to know the changes of body mass index (BMI) on tuberculosis patients with positive Acid-Fast Bacilli after treatment with antituberculosis drugs category 1 in intensive phase. The research used one group with pre- and post-test design. Method and Result: The research subjects were the tuberculosis patients with positive AFB who treat in puskesmas rujukan mikroskopis dan puskesmas pelaksana mandiri in district Banjar 2004. Data were collected by measuring the height and body-weight's patients before and after treatment. Nutritional status was state based on BMI. The results showed nutritional status before treatment was underweight (82.8%), normal (16.1%) and overweight (1.1%). After treatment, nutritional status changes to underweight (66.7%), to normal (31.1%) and to overweight (2.2%). Conclusion: The mean of body-weight before treatment was 39.49 kgs and after treatment changes to 41.97 kgs. The mean of BMI's patients before and after treatment were 16.39 and 17.44, respectively. Based on statistic test, it showed the bodyweight, BM! and nutritional status's patients before and after treatment were difference significantly
Hubungan harapan pemenuhandengan motivasi untuk menikah pada lanjut usia kebutuhan seksual Suhartanto Purwanto, Ibrahim Rahmat
Berita Kedokteran Masyarakat (BKM) Vol 21, No 3 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3675

Abstract

Background: Maslow said one of basic human needs was sexual that must be needed because of its direct relation with homeostasis. The sexual need was felt by the elderly in the intitution for elderly or community. Marriage was good a policy to meet sexual need for elderly. Marriage has not happened yet in the institution for elderly at Yogyakarta unit Budhi Luhur. Objective: to know the relation between expectation of accomplishment of sexual requirement and the motivation to marry of elderly in the institution for elderly at Yogyakarta Unit Budhi Luhur. Method: This study was analytic descriptive research type with cross-sectional approach. The study sample was elderly in the institution for elderly at Yogyakarta Unit Budhi Luhur not having a spouse, still able to communicate verbally and or in writing; and willing to become sample. Instrument used consisted of questionnaire concerning expectation of accomplishment of sexual requirement of male and female elder people. Focus Group discussion (FGD) was conducted twice, of a male and female elderly group. The product moment correlation coefficient statistic was used to test the result. Result: There are no relation between expectation of accomplishment of requirement of man sexual and the motivation to marry male elderly, with r= 0,180 and p= 0,448 (p›0,05). There was no relation between expectation of accomplishment of requirement with the motivation to marry female elderly, with r= -0,231 and p= 0,256 (p>0,05). Conclusion: There are no relations between expectations of accomplishment of sexual requirement and the motivation to marry in the isntitution elderly at Yogyakarta Unit Budhi Luhur. Keywords expectation, sexual requirement, motivate, nuptials
The prevalence of narrow-a gle in adults javanese population in yogyakarta territory Rose Suhardjo
Berita Kedokteran Masyarakat (BKM) Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3676

Abstract

Background: Regarding the eye problem caused by narrow-angle that may be undetected or untreated, a database should be collected. Narrow angle in adult is a risk factor of glaucoma. The data of narrow-angle in adult population in Indonesia are lacking. Objective: To estimate the prevalence of narrow-angle according to the van Herick grading and ratio in Javanese population. Method: A cross the sectional study, community based ophthalmology study was carried out in Yogyakarta. One thousand two hundred twenty two (1222) adults aged 20 years and older were selected by stratified random sampling from each village of 18 subdistricts and examined at a KOWA SL15 portable slit lamp. The anterior chamber depth was graded according to the Van Herrick standard protocol. Grades I and 2 were classified as narrow-angled eyes. Result: Of 1222 subjects, 98 eyes (48 right eyes and 50 left eyes) of 50 subjects were diagnosed as narrow angle. The prevalence rate was 4.1%. The subjects were 13 men, and 37 women. The number of narrow-angle eyes increased with age 40 years and older for both men and women (OR = 2.77, 95% Cl 1.09-7.09). Conclusion: There are significantly more patients with upper van Herrick ratios or grades in Javanese population. The Van Herrick ratio increases with age and narrow-angle glaucoma occurs more frequent in women more than in men. Keywords: Narrow-angle, adult population, Van Herrick procedure, Yogyakarta territory
Cakupan pemeriksaan ibu hamil terhadap pemberian tablet zat besi M.Lukman Arsyad, Ibrahim DP
Berita Kedokteran Masyarakat (BKM) Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3677

Abstract

Background: In year 2005, the fifth year of autonomy, with the objective is to rise community welfare through equity of health service and close health facilities in the community in Bulukumba regency. The problem of this research is the coverage of basic health facilities for community in otonomics era (phase) that is still not known in facts. Objective: To measure coverage of pregnancy attendance with Ferro tablet and duration drink with Ferro tablets as equal with Health Service Standard (SPM). Method: The method of this study is observation ("cross sectional study") with rapid survey method and the processing of data using Epi Program Sixth (Epi6) version for Windows. Recording and reporting of Health Centre System (SP2TP) described the coverage of K-4 approximately 52,45% and the coverage of Ferro Tablets approximately 7,14%. Result: The result of this study showed K-4 ( the fourth consultation session) approximately 72,86% and the coverage of Ferro tablets approximately 53,33%, while the the coverage of Ferro tablets approximately 64,29% which are the same with the inspection of height of the fundus. Keywords: antenatal and Ferro tablets
A five year review of children with neuroblastoma at dr. Sardjito hospital, Yogyakarta, Indonesia: 1999-2004 Mulatsih S Sutaryo, Ali K, Purwanto
Berita Kedokteran Masyarakat (BKM) Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3678

Abstract

Backgraund: The prevalence and outcome of childhood cancers in developing countries is not well documented. In 2001, the Yogyakarta Pediatric Cancer Registry (YPCR) was developed in collaboration with the Saskatchewan Cancer Registry in Canada. Its purpose was to collect and analyze demographic, treatment and outcome data in children newly diagnosed with cancer at Dr. Sardjito General Hospital, Indonesia, Objective: The objectives of this study were to analyze clinical profiles and treatment responses in children under 15 years of age diagnosed with neuroblastoma in 1 January 2000 – 31 December 2004. Materials and Method: A retrospective review of health records was conducted. Information on all patient diagnosed with cancer from 1998 onwards was transcribed onto a standardized data capture form, and then entered into the computerized YCR data base for review and analyses. Result: A total of 27 children with neuroblastoma were identified within the 5 year study period. Twenty two patients (81.5 %) had stage IV disease, 4 (14.8%) had stage II/111, and 1 (3.7%) stage 1. Male to female ratio was 1.5:1. Mean age at diagnosis was 3.1 years. Nineteen patients (70%) were treated on the OPEC protocol, 3 (11%) per the N6 protocol, and 1 (4%) on the NS4E protocol; 4 (15%) were not treated. Of the OPEC treated group, 10 (53%) patients are surviving, 6 (16%) relapsed and 8 (42%) were lost to follow up. Conclusion: In keeping with published reports, the majority of children with neuroblastoma presented with advanced stage disease. The 3-Years free survival was 20% for patients treated on the OPEC protocol. More effective treatment protocols and improved surveillance of children following discharged from hospital are challenges that need to be addressed. Keywords Neuroblastoma-Sardjtio Hospital-outcome
Perilaku berolahraga mahasiswa kedokteran di indonesia: studi dengan model transteoritikal Veronica Indah Widi Hastuti, Zainal Muttaqien Sofro, Nawi Ng
Berita Kedokteran Masyarakat (BKM) Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3679

Abstract

Keywords: transtheoretical model, exercise behavior, perceived benefits of exercise, perceived barrier to exercise
Perbandingan efektivitas metode partisipatif dengan nformatif dalam meningkatkan pengetahuan dan sikap ibu tentang diare anak balita Syafie Ishak, Djauhar Ismail, Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3680

Abstract

Background: Diarrhea is one of the infectious diseases and is the main cause of under-fiveyear-old children's morbidity and mortality in Indonesia especially children aged less than two years. Many diseases or health conditions of the people result from or get worse from their behavior. One of the ways to change the attitude people's behavior in health is the increase of knowledge and people's behavior with health educational approach using various methods. Objectives: This study was aimed at finding out the difference between increasing knowledge and attitude of mothers about diarrhea of under-five-year-old children and their treatment at home by using participatory method of education and informative method. Methods: This was a quasi experimental study using nonrandomized pretest-posttest control group design. The subjects were mothers with under-five-year-old children. There were 68 samples, 34 of whom were in the treatment group and the other 34 were in the control group and each was in Tegalrejo village and Dukuh Dungus village, Grabag Sub-District, Purworejo Regency. Data analysis using chi-square was used to test the group's homogeneity, t-test was to test the difference of average rate of knowledge and attitude, and multiple regression analysis was used to know the effect of other variables or the dependent variables. Results: The results showed statistical significant difference (p0.05). In terms of mothers' increasing knowledge and attitude toward diarrhea from pretest 1 to posttest, both methods statistically showed significant increase (p0.05). Conclusion: Health education through participatory method is more effective than increasing knowledge and this was less effective to increase mothers' attitude on diarrhea compared with informative method. Keywords: educational method, knowledge, attitude, under-five-year-old children, diarrhea
Pemberdayaan masyarakat miskin di pedesaan dalam rangka ‘Making Pregnancy Safer' studi dan implikasi terhadap upaya pelayanan kesehatan maternal Ristrini Siswanto
Berita Kedokteran Masyarakat (BKM) Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3681

Abstract

Background: The objective of this study was to analyze the situation of the empowerment of poor community for making pregnancy safer (MPS) in rural areas including the empowerment of health efforts and fund mobilization and transportation aid to refer deliveries. Method: It was a descriptive explorative study held in three districts, i.e. Kupang, Timor Tengah Selatan (TTS) in Nusa Tenggara Timur, and Ponorogo in East Java. In each district, two poor sub districts were chosen and in each sub district, ten poor villages were chosen. The analysis unit in this study was village. The data were gathered with in-depth interview, structured interview, secondary data, and Focus Group Discussion (FGD), and were analyzed descriptively. Result and Conclusion: The result shows that the empowerment of traditional birth attendants' activities, integrated health service post activities, village delivery house activities, and cadre activities performed by the community varied. The empowerment for village medicine post activities was relatively low. The empowerment of the community in fund mobilization on maternal health was hard to do due to the implementation of social safety net on health sector (JPSBK) fund as well as PKPS BBM on health sector. The empowerment to providing transportation in villages seems to invoke minimum responses. Keywords: empowerment, making pregnancy safer, traditional birth attendance integrated services post, village delivery house

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