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INDONESIA
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK
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Core Subject : Health,
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Articles 199 Documents
Identifikasi faktor resiko katarak pada pasien Poli Mata Rumah Sakit Gunung Maria Tomohon Pitoy, Gisela; Wungouw, Herlina Ineke Surjane; Polii, Hedison
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Cataract blindness has become a global health problem and must be solved immediately because blindness can affect the quality of life and productivity. In 2013-2017, a Rapid Assessment of Avoidable Blindness (RAAB) was conducted in 15 provinces in Indonesia, one of which is North Sulawesi. The survey showed that the main cause of visual impairment and blindness in the 15 provinces was untreated cataracts. Aim: To identify the dominant risk factors of cataract patients at the eye clinic of Gunung Maria Hospital Tomohon. Methods: This is descriptive-analytic research with a cross-sectional study design using questionnaires and direct interviews. The research consisted of 40 samples for the inclusion and exclusion. Result: The result showed there were a total of 40 cataract patients, 29 patients aged >60 years (72.5%) and 11 patients aged <60 years (27.5%). According to gender, there were 21 male cataract patients (52.5%) and 19 female cataract patients (47.5%). Based on smoking history, 17 patients smoked (42.5%) and 23 patients who did not smoke (57.5%). Based on the duration of sun exposure, 12 patients were daily exposed to sunlight for <5 hours (30%) and 28 patients were daily exposed to sunlight for >5 hours (70.0%). Based on the history of lens trauma, seven patients had a history of lens trauma (17.5%), and 33 patients did not have a history of lens trauma (82.5%). Conclusion: The dominant risk factors for cataract patients in the eye clinic of The Gunung Maria Hospital Tomohon are the age factors >60 years and patients who were exposed to sunlight for >5 hours daily. Keywords: cataract, risk factors
Hubungan antara karakteristik individu dan fungsi paru di posyandu lansia Kecamatan Langowan Timur Roring, Amanda; Pangkahila, Erwin Adams; Doda, Diana Vanda Daturara
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: As people age, their lung function changes significantly, increasing the risk of pulmonary diseases such as pneumonia and COPD. Aim: To determine the relationship between individual characteristics and lung function in the elderly integrated healthcare post of the East Langowan District. Methods: Analytic observational study with cross sectional design, involving 55 samples using purposive sampling. Data analysis was performed using the Lambda Test (gender), Chi-Square (age, BMI [body mass index], and lung disease), and logistic regression analysis. Result: Gender showed a significant association with lung function (p=0.022), where more women had normal lung function than men. Age (p=0.883), BMI (p=0.550), and lung disease (p=0.528) did not show a significant relationship with lung function. Conclusion: There is relation between individual characteristics and lung function in the elderly integrated healthcare post of the East Langowan District. Keywords: lung function, elderly, characteristics
Gambaran pasien mola hidatidosa di RSUP Prof. Dr. R.D. Kandou periode Januari 2020 sampai Desember 2022 Estevania Kaligis; Wantania, John Johannes Ezwchiel; Wagey, Frank Mitchell Marvel
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Hydatidiform mole is a pathological pregnancy characterised by abnormal trophoblastic development, hindering foetal growth. This condition requires a better understanding of enhancing healthcare quality. Aim: To describe the profile of hydatidiform mole patients at Prof. Dr. R.D Kandou General Hospital, Manado, from January 2020 to December 2022. Methods: A quantitative descriptive study with a cross-sectional design was conducted, analysing data from 71 patients. Results: The most common age range was 20-35 years. In terms of parity, 42 patients were multiparous. Of the patients’ highest education level, 40 people had a senior high school level of education. There were 46 patients with haemoglobin levels of more than 11 g/dL. Vaginal bleeding was the most common symptom, which occurred in 48 patients. Conclusion: This study indicates hydatidiform mole predominantly affects women aged 20-35, multiparous, and with senior high school education, furthermore, vaginal bleeding is the most common symptom. These findings can improve awareness and healthcare quality for hydatidiform mole patients. Keywords: hydatidiform mole
Hubungan antara sanitasi dengan kejadian stunting pada balita di Kabupaten Bolaang Mangondow Timur Lumente, Kalista; Bolang, Alexander; Kapantow, Nova
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Toddlers are an age group that is susceptible to malnutrition which, in the long term, can lead to stunting if not adequately addressed. Stunting is a condition in which a child is significantly shorter than the normative height for their age, specifically measured as a length or height index that falls below -2 standard deviation (SD). Infectious diseases due to improper sanitation are one of the factors that lead to stunting. According to the SSGI (Indonesian Nutrition Status Study) 2021 report, East Bolaang Mongondow Regency is the district with the highest prevalence of stunting in North Sulawesi. Aim : To determine the association of sanitation to stunting incidence in toddlers in East Bolaang Mongondow Regency. Methods: This is an analytical survey research using secondary data, analysed using a Fisher's exact test statistical test. Results: The analysis showed the association between sanitation and stunting incidence of 71 toddlers aged over 24-59 months in East Bolaang Mongondow Regency were p=0.130. Conclusion: There was no meaningful relation between sanitation and stunting incidence in toddlers in East Bolaang Mongondow Regency. Keywords: sanitation, stunting, toddlers
Hubungan antara ketepatan waktu pemberian makanan pendamping ASI dengan status gizi balita di Kabupaten Bolaang Mongondow Timur Tampi, Elshadai; Kawengian, Shirley Everdina Susanna; Bolang, Alexander Sam Leonard
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
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Background: Inadequate nutritional status in toddlers is one of the serious challenges in the effort to achieve sustainable development goals in many countries, including Indonesia. Data from Riskesdas revealed the prevalence of toddlers aged 0-59 months based on the BB/U index in 2018 in North Sulawesi Province, there were 4.21% cases of malnutrition and 11.23% cases of undernutrition. In addition, based on the TB/U index, 9.77% of toddlers experience significant growth delays and 15.69% have short height. Based on the BB/TB index, 2.86% of toddlers are categorized as very thin and 6.67% are underweight. Aim: To determine the relationship between complementary feeding (MP-ASI) and the nutritional status of toddlers in East Bolaaang Mongondow District. Methods: This study is an analytical survey research using secondary data from the 2021 Indonesian Nutritional Status Survey (SSGI) data. Results: Analysis using chi-square statistical test based on BB/U value p=0.758, TB/U value p=1.00, and BB/TB value p=1.00. Conclusion: There is no relationship between MP-ASI and nutritional status based on BB/U, TB/U, and BB/TB. Keywords: complementary feeding, nutritional status, toddler.
Pengaruh penyuluhan kesehatan terhadap personal hygiene pada siswa SD Katolik 15 St. Laurentius Kota Manado Sutjiato, Margareth; Mongi, Thirsa
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
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Background: Personal hygiene is self-care that is done to maintain health, both physically and psychologically. Personal hygiene is a basic human need that must always be fulfilled. Personal hygiene is included in specific primary prevention measures. Personal hygiene is very important because good personal hygiene will minimize the entrance (port de entry) of microorganisms that are everywhere and ultimately prevent a person from getting sick. Aim: To determine the effect of health counseling on personal hygiene in students of Catholic Elementary School 15 St. Laurentius, Manado City. Methods: This research is a pre-experiment study and uses a one group pre-test post-test design in August 2024 and the research site at SD Katolik 15 St. Laurentius Kota Manado. The sampling technique used a total population of 16 The statistical test used was the statistical test “t-test” with a 95% confidence degree. Results: The results of the study obtained Personal Hygiene Research on Students at Catholic Elementary School 15 ST. Laurentius Manado City before giving health counseling. More are less than good. The results of Personal Hygiene research on students at Catholic Elementary School 15 ST. Laurentius City Manado after Giving Health Counseling more are good than less. there is an effect of health counseling on personal hygiene in students of Catholic Elementary School 15 St. Laurentius City Manado. Conclusion: There is an effect of health counseling on personal hygiene in students of Catholic Elementary School 15 St. Laurentius City Manado Suggestions in this study are This research is expected to help students understand the importance of personl hygiene in preventing disease. Keywords: health counseling, personal hygiene for students
Hubungan antara pengetahuan sikap dan tindakan dengan kesadaran bencana pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi Pasla, Gersom Figo Chrystianto; Wariki, Windy Mariane Virenia; Rombot, Dina Victoria
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Indonesia is one of the most disaster-prone countries in the world. Indonesia has a high potential for disasters so it is important that people have the right knowledge, attitudes and actions in dealing with disaster awareness that can occur at any time which has a serious impact, especially in public health issues, for example the number of fatalities, serious injuries, psychiatric trauma, increased risk of infectious diseases. Aim: To determine the relationship between knowledge, attitudes, and actions with disaster awareness in students of the Faculty of Medicine, Sam Ratulangi University. Methods: The type of research used is quantitative with an observational analytic approach with a cross-sectional design. The sampling technique used simple random sampling and the research instrument used was a questionnaire. Results: This study included as many as 206 respondents. The results showed that most students of the Faculty of Medicine, Sam Ratulangi University had moderate knowledge with disaster awareness as much as 58.7%, high attitudes with disaster awareness as much as 67.0%, and moderate actions with disaster awareness as much as 52.4%. Conclusion: There is no relationship between knowledge and action and disaster awareness in the Faculty of Medicine of Sam Ratulangi University students, and there is a relationship between attitude and disaster awareness in the students. Keywords: disaster awareness, knowledge, attitude, actions
Uji validitas dan reliabilitas instrumen penelitian: Kuesioner pola makan pada penderita gout arthritis Putri, Marshanda Asfriani; Kuhon, Frelly Valentino; Palandeng, Henry Malcom Frank
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
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Background: Globally, the prevalence of gouty arthritis has doubled from 1990 to 2020, with the total of number cases 55,8 million in 2020. There is no Indonesian national data, yet, studies in some regions noted the cases, in North Sulawesi, in Depok, and in Bali. Prevention of gouty arthritis involves a healthy diet and lifestyle. Knowing the knowledge, attitudes, and practice about diet in people with gouty arthritis can help health institutions plan more appropriate interventions to prevent an increase in cases. To assess this, a valid and reliable instrument to measurement is needed. Aim: To test validity and reliability of a questionnaire of knowledge, attitudes, and practice towards to diet in people with gouty arthritis. Methods: This study is a descriptive study with a quantitative approach involving 13 respondents, patients in Manado City Health Center selected using purposive sampling method. Validity was assessed using r-count obtained through bivariate Pearson which was compared with r-table. Reliability was assessed through Cronbach's alpha coefficient. Results: The validity test using bivariate Pearson was valid for 9 statement in knowledge and attitudes section, and 8 statement in practice section of the questionnaire, with r-count>r-table, and the reliability test using Cronbach's alpha with values on knowledge, attitudes, and actions of 0.906, 0.924, and 0.864, ≥0.7, respectively. Conclusion: 26 out of 30 valid and reliable questions can be used to measure the level of knowledge, attitudes, and practice in people with gouty arthritis. Keywords: gouty arthritis, questionnaire, validity, reliability
Gambaran kualitas hidup pada remaja sekolah menengah atas dengan berat badan berlebih di Kota Kotamobagu pascapandemi COVID-19 Inggitakirana, Dewa Ayu; Sapulete, Margareth Rosalinda; Porajow, Zwingly Christian Jefferson Gerard
Jurnal Kedokteran Komunitas dan Tropik Vol 12 No 2 (2024)
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Background: Adolescents who are individuals aged between 10 and 19 years, are facing health problems, one of which is being above normal weight. The fatten adolescents tend to have a lower quality of life (QoL) compared to adolescents with normal nutritional status. Aim: To determine the QoL of the high school adolescents with excess weight in Kotamobagu City post-COVID-19 pandemic. Methods: This study was a quantitative descriptive study with a cross-sectional design, with a cluster random sampling technique. We used the World Health Organization Quality of Life-BREF (WHOQOL-BREF) and measure the height and weight of the participants. Results: The study involved 353 adolescents, 14.4% of whom were excess weight. The study showed that the excess weight participants had QoL in physical health domain of 66.03±9.67 (42.85 - 85.71), psychological domain of 60.29±17.02 (16.67 - 91.67), social relationship domain of 57.02±13.16 (16.67 - 83.33), environmental domain of 64.03±15.06 (31.25 - 90.62). Conclusion: The QoL of high school adolescents with excess weight in Kotamobagu City post-COVID-19 pandemic has increased in all aspects. However, globally, the QoL is adequate in environmental domain and are quite lower in physical health, psychological, and social relationship aspects. Keywords: quality of life, adolescents, excess weight