Ditemukan 20 dokumen yang sesuai dengan query :: Simpan CSV
Maj. Kes. Masy. Indonesia (MKMI), XXIII, No.6, Juli, 1995: hal. 381-390
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Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Medika, Vol. XXXI, Januari 2005, hal. 16-21
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Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Paediatrica Indonesiana, Vol.53, Iss.3, May 2013, hal. 160-166
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Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Hartono Gunardi ... [et al.]
AMIIJIM-Vol.46/No.1
Jakarta : Faculty of Medicine Universitas Indonesia, 2014
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Sajogyo, Said Gunardi, Sri Setia Harjadi, Muh. Khumaedi
641.1 SAJ m
Yogyakarta : Gadjah Mada University Press, 1986
Buku (pinjaman 1 minggu) Pusat Informasi Kesehatan Masyarakat
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Bambang Gunardi; Pembimbing: Adang Bachtiar
T-839
Depok : FKM UI, 2000
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Muldiasman; Promotor: Kusharisupeni; Kopromotor: Endang L. Achadi, Besral; Penguji: Ratna Djuwita, Diah Mulyawati Utari, Abas Basuni Jahari, Hartono Gunardi, Anies Irawati
Abstrak:
Hasil Riset Kesehatan Dasar Riskesdas di Provinsi Jambi tahun 2013 menunjukkan tingginya prevalensi stunting sebesar 37,9 . Hal ini dapat mengindikasikan risiko rendahnya kualitas sumber daya manusia dimasa yang akan datang. Dipihak lain kunjungan posyandu di Provinsi Jambi sangat rendah yaitu sebesar 25 . Kegiatan posyandu seharusnya merupakan kegiatan monitoring pertumbuhan anak, kegiatan promosi kesehatan, pencegahan dini penyakit infeksi seperti imunisasi, dan pemberian suplementasi vitamin A. Penelitian ini bertujuan untuk mengetahui hubungan antara frekuensi kunjungan posyandu dengan stunting pada anak 6-59 bulan di Provinsi Jambi. Desain studi ini adalah cross sectional, sebanyak 2502 anak 6-59 bulan diambil sebagai sampel dari hasil pemantauan status gizi. Untuk mengetahui alasan rendahnya kunjungan posyandu maka dilakukan penelitian kualitatif di 2 kabupaten dengan menggunakan metode wawancara mendalam dan diskusi kelompok terarah. Hasil penelitian menunjukkan satu dari empat 27.5 anak 6-59 bulan adalah stunting. Hasil analisis logistik ganda menunjukkan bahwa frekuensi kunjungan posyandu tidak berhubungan dengan kejadian stunting. Tidak bermaknanya frekuensi kunjungan posyandu dengan stunting mengindikasikan bahwa program yang dijalankan posyandu belum efektif dalam mencegah stunting. Perhatian terhadap pengetahuan kader, keterampilan kader, pengetahuan ibu, sarana dan prasarana serta dukungan stakeholder menjadi prioritas untuk meningkatkan jalannya fungsi pemantauan pertumbuhan, promosi dan rujukan di posyandu sehingga efektif mencegah stunting.
Research in Jambi Province at 2013 showed a high prevalence of stunting by 37.9 . This may indicate the risk of low quality of human resources. On the other hand, the visit of posyandu in Jambi Province was very low at 25 . Posyandu activities should be a monitoring activity of child growth, health promotion activities, early prevention of infectious diseases such as immunization, and supplementation of vitamin A. This study aims to determine the association of posyandu child visits 6-59 months frequency with stunting in Jambi Province. A total of 2502 children from 6 to 59 months eligible were sampled from nutritional status monitoring. To know the reason for the low of posyandu visit, qualitative research was conducted in 2 districts. The results showed one of four 27.5 children 6-59 months was stunting. The result of binary logistic analysis shows that the frequency of posyandu visit is not associated with stunting. Its indicates that programs run by posyandu have not been effective in preventing stunting. Attention to cadre knowledge, cadre skills, mother knowledge, facilities and infrastructure, stakeholder support is a priority to improve the function of growth monitoring, promotion and referral in posyandu so as to effectively prevent stunting.
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D-387
Depok : FKM-UI, 2018
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Laily Hanifah; Promotor: Endang L. Achadi; Kopromotor: Atmarita; Penguji: Kusharisupeni, Anhari Achadi, Besral, Trihono, Hartono Gunardi
D-391
Depok : FKM-UI, 2019
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Mery Ramadani; Promotor: Budi Utomo; Kopromotor: Endang Laksminingsih Achadi, Hartono Gunardi; Penguji: Anhari Achadi, Faisal Yunus, Besral, Bambang Wispriyono, Soewarta Kosen, Abas Basuni Jahari,
Abstrak:
Rokok merupakan masalah global dan menjadi ancaman serius bagi kesehatan ibu hamil dan janin. Studi kohor prospektif ini, dilakukan untuk menilai pengaruh pajanan pasif asap rokok ibu hamil terhadap gangguan pertumbuhan janin. Melibatkan 128 ibu hamil trimester 3, hamil janin tunggal, tidak memiliki riwayat penyakit kronis, bukan perokok aktif, bukan mantan perokok, dan bersedia terlibat dalam penelitian. Penilaian pajanan asap rokok ibu berdasarkan pemeriksaan nikotin darah tali pusat (cut off ≥1ng/ml). Pengukuran menggunakan nikotin plasma adalah metode yang paling akurat karena dapat mengukur kondisi sebenarnya dan membantu mengurangi misklasifikasi. Gangguan pertumbuhan janin dinilai dengan pengukuran berat lahir, panjang lahir, lingkar kepala, dan berat plasenta. Pengukuran dilakukan segera setelah lahir untuk menjamin ketepatan pengukuran. Analisis uji beda dua mean digunakan untuk mengetahui perbedaan rata rata ukuran gangguan pertumbuhan janin antara kelompok ibu terpajan asap rokok dan tidak terpajan asap rokok. Analisis regresi linier untuk melihat pengaruh pajanan asap rokok terhadap berat lahir, panjang lahir, lingkar kepala dan berat plasenta dengan memperhatikan variabel pengganggu seperti penambahan berat badan ibu selama hamil, BMI ibu, paritas ibu, usia dan kadar hemoglobin ibu. Hasil penelitian menunjukkan rata-rata kadar nikotin tali pusat sebesar 1,3±2,5 ng/ml. Berat lahir dan berat plasenta bayi dari ibu yang mendapat pajanan asap rokok lebih rendah dibandingkan ibu yang tidak mendapat pajanan asap rokok. Pajanan asap rokok secara signifikan mengurangi berat lahir bayi sebesar 205,6 gram (pvalue = 0,005) dan berat plasenta sebesar 51 gram (p value=0,010).
This cohort study examined the effect of secondhand smoke exposure in pregnant women on fetal growth restriction. The study recruited 128 pregnant women in the third trimester pregnancy, single pregnancy, no chronic illness, non-active smokers, non-exsmokers, and who were willing to participate in the study. Pregnant women with the secondhand smoke exposure referred to those with the umbilical cord blood nicotine level of 1ng/ml or higher. Fetal growth disorder was assessed according to the newborn weight, length, head circumference, and palcental weight measured immediately after birth. The independent t-test analysis was used to determine the difference in average size of fetal growth between two groups of pregnant women: exposed and the notexposed to the secondhand smoke. A multiple linear regression analysis was employed to find out the effect of secondhand smoke exposure on birth weight, length, head circumference, and palcental weight controlling for the birth size confounders including weight gain during pregnancy, body mass index, parity, maternal age, and maternal hemoglobin. The study found that mean of nicotine in umbilical cord blood was 1.3±2.5 ng/ml, the birth weight and the placental weight of infants were lower among mothers who exposed than among mothers who did not expose to the secondhand smoke. Exposed to the secondhand smoke reduced the birth weight by 205.6 grams (p value = 0.005) and placental weight by 51 grams (p value=0.010).
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This cohort study examined the effect of secondhand smoke exposure in pregnant women on fetal growth restriction. The study recruited 128 pregnant women in the third trimester pregnancy, single pregnancy, no chronic illness, non-active smokers, non-exsmokers, and who were willing to participate in the study. Pregnant women with the secondhand smoke exposure referred to those with the umbilical cord blood nicotine level of 1ng/ml or higher. Fetal growth disorder was assessed according to the newborn weight, length, head circumference, and palcental weight measured immediately after birth. The independent t-test analysis was used to determine the difference in average size of fetal growth between two groups of pregnant women: exposed and the notexposed to the secondhand smoke. A multiple linear regression analysis was employed to find out the effect of secondhand smoke exposure on birth weight, length, head circumference, and palcental weight controlling for the birth size confounders including weight gain during pregnancy, body mass index, parity, maternal age, and maternal hemoglobin. The study found that mean of nicotine in umbilical cord blood was 1.3±2.5 ng/ml, the birth weight and the placental weight of infants were lower among mothers who exposed than among mothers who did not expose to the secondhand smoke. Exposed to the secondhand smoke reduced the birth weight by 205.6 grams (p value = 0.005) and placental weight by 51 grams (p value=0.010).
D-395
Depok : FKM-UI, 2019
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Fathul Jannah; Promotor: L Endang Achadi; Kopromotor: Faisal Yunus, Elvina Karyadi; Penguji: Kusharisupeni, Anhari Achadi, Besral, Hartono Gunardi, Adi Hidayat, Sri Wuryanti
Abstrak:
ABSTRAK Latar Belakang: Tuberkulosis (TB) di Indonesia masih menempati urutan ke-3 di dunia. Anak dengan tuberkulosis umumnya mengalami defisiensi zinc dan vitamin A. Defisiensi zinc dapat menyebabkan gangguan sistem kekebalan tubuh dan mengganggu sintesis retinol binding protein sehingga dapat menghambat proses penyembuhan TB. Penambahan zinc dan vitamin A dapat membantu meningkatkan respon kekebalan tubuh pada penderita TB. Tujuan: Membuktikan pengaruh suplementasi zinc dan vitamin A dalam meningkatkan status gizi dan perbaikan gejala klinis pada anak usia 5-10 tahun dengan tuberkulosis paru. Disain: Penelitian adalah kuasi eksperimen dengan pre post design dengan kontrol. Sebanyak 84 anak yang telah diseleksi dan terdiagnosis TB Paru yang berada di empat wilayah Puskesmas Kecamatan di Jakarta Pusat diambil menjadi subyek penelitian. Kelompok perlakuan dibagi secara acak menjadi dua kelompok yakni kelompok I yang mendapatkan Obat anti Tuberkulosis Standar DOTS dan suplemen (berisi 20 mg zinc elemental dan vitamin A asetat 1500 IU) dan kelompok II yang hanya mendapatkan OAT saja. Obat dan suplemen diminum setiap hari selama pengobatan TB. Respon kesembuhan dapat diukur dari membaiknya gejala klinis dan status gizi dibandingkan pada saat awal sebelum pengobatan. Analisis untuk melihat perbedaan dua kelompok menggunakan uji T-Test. Gejala klinis diukur dengan chi-square. Hasil: 84 Subyek terdiri atas kelompok intervensi (n=38) dan kelompok kontrol (n=46). Pada fase inisial (bulan ke dua) perubahan nilai zinc, retinol dan IMT-U pada kelompok intervensi lebih tinggi dibandingkan dengan kontrol, grup I dengan nilai p=0,087; p=0,002; p=0,449 berturut-turut. Perubahan kadar albumin dan hemoglobin kelompok kontrol lebih tinggi dibanding kelompok intervensi denan nilai p=0,000; p=0,142. Pada bulan ke enam terjadi kenaikan pada retinol, hemoglobin, IMT-U, kelompok intervensi lebih tinggi dari kelompok kontrol dengan p=0,879; p=0,142; p= 0,216. Perubahan kadar albumin lebih tinggi pada kelompok kontrol p=0,005. Kadar zinc mengalami penurunan pada kedua kelompok p=0,153. Perbaikan gejala klinis lebih cepat terjadi pada kelompok intervensi dan bermakna secara klinis namun tidak bermakna secara statisik. Simpulan: Pemberian suplemen disarankan pada anak TB yang mendapat OAT hingga bulan ke dua, karena dapat meningkatkan status gizi dan perbaikan gejala klinis.
ABSTRACT Background: Indonesia is the 3rd in the world on Tuberculosis (TB). Most children with tuberculosis commonly have zinc and vitamin A deficiency. Zinc deficiency caused immune system disorders and disturb the synthesis of retinol binding protein, it inhibited the healing process of TB. Supplementation of zinc and vitamin A helped to improve the immune response in TB patients. Objective: To prove the effect of zinc and vitamin A supplementation in improving the clinical symptoms and nutritional status in children 5-10 years of tuberculosis. Design: This study was quasi experimental, was conducted in a pre post design. A total of 84 children who were selected and diagnosed with pulmonary TB in the four districts of the Public Health Center in Central Jakarta were invited as research subjects. Subjects were divided into two groups. Group I received the standard DOTS ATT and supplement (containing 20 mg zinc element, as a zinc sulfate and acetate vitamin A 1500 IU), while group II only received ATT. These drugs and supplements are taken daily during TB treatment. The recovery response can be measured by observing the improvement in clinical symptoms and nutritional status compared to the time before treatment. The analysis used to see the differences between the two groups is the T-Test. Clinical symptoms are measured by chi-square. Results: There are 84 subjects taken in the intervention group (n = 38) and the control group (n = 46). In intensive phase, delta of zinc, retinol, BMI/A on intervention group was higher than control ( p=0,087; =0,002; =0,449, respectively). Delta albumin and Hb were higher ol control than intervention (p=0,000; =0,142). On the 6th mo, delta of retinol, Hb increased higher than control (p=0,879; =0,142; =0,216, respectively). But zinc level decreased on both groups (p=0,153). Clinical symptoms provide good results and are clinically meaningful but not significant. Conclusion: Supplementation was valueable with ATT treatment up to two months due to it could improve nutritional status and clinical symptoms.
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ABSTRACT
D-397
Depok : FKM-UI, 2019
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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