KEAKURATAN KODE DIAGNOSA UTAMA DOKUMEN REKAM MEDIS PADA KASUS PARTUS DENGAN SECTIO CESAREAN DI RUMAH SAKIT PANTI WILASA CITARUM TAHUN 2009

Primary diagnosis should be coded in accordance with ICD 10 coding rules, in order to generate qualified data and information of health. Coding officer at Panti Wilasa CitarumHospital sometimes did not using the morbidity coding rules correctly at the time of primary diagnosis coding. Officers only encodes a particular classification. This study aims to determine the accuracy of primary diagnosis codes in medical record documents in the case of parturition (delivery) with sectio cesarean in Panti Wilasa Citarum Hospital year 2009. This study is using descriptive method, with cross sectional’s approach., Population of thisstudy is all medical record documents in case of cesarean sectio during year 2009, which sample counted 74 documents.The result of the study found that officers are not yet using ICD 10 coding rules as expected, and this study showed that the inaccurate code is found in 50 documents (67,57%) and 24 documents were accurate (32,43%).The conclusion of this study is that coding process at Panti Wilasa Citarum Hospital Semarang is not in accordance with coding rules, therefore it is necessary to improve the accuracy of primary diagnosis codes on medical record documents by applying the coding rules of ICD 10.Keywords : ICD 10 coding rules, Accuracy primary diagnosis cod

IDENTIFIKASI PARASIT MALARIA PLASMODIUM FALCIPARUM PADA SEDIAAN DARAH DENGAN PENDEKATAN SUPPORT VECTOR MACHINE

Background: Identification of malaria is microscopic requiring special expertise and experience considerable health analyst. Factor errors that occur can be either an inability to recognize the parasite morphology and eyestrain factors in looking at morphology, this may impactthe diagnosis of significant errors. Morphology of Plasmodium falciparum is divided into three major stages: trophozoites, Schizonts and Gametocyter. From the results of research in the field of health shows, Schizonts found in peripheral blood showed a state of severe infections so it is an indication for rapid treatment measures. This study aims to identify the three-stage form of Plasmodium falciparum malaria parasites in digital images of blood preparationswhich contain the parasite indicated.Method: Before conducting the identification process, the first step of the analysis procedure conducted in this study is to conduct the separation of the object by using the segmentation k-means clustering. The second step, to extract features of image data to be tested. Feature extraction is used as an insert in the system to be constructed in this study using color features. The final step is to identify three forms of identification test stage of the malaria parasite plasmodium falciparum using a Support Vector Machine (SVM) method multiclass ones against ones.Result: The results of this study using color as a characteristic feature of the input and identification using SVM can provide a success rate of 93.33% image data correctly.Keywords: malaria, Plasmodium falciparum Morphology, k-means clustering, SVM multiclass method ones against ones

FUNGSI MANAJEMEN KOORDINATOR KIA DALAM PENCAPAIAN CAKUPAN ASI EKSKLUSIF DI KOTA PALANGKA RAYA

Background: The management function application is a main concern to decrease the number of infant mortality. Based on health profile of Palangka Raya in 2008, the coverage of exclusive breastfeeding was less than 50% than 80% (target of coverage). The purpose of thisresearch is to examine the relation between management function of safe motherhood coordinators with the coverage of exclusive breastfeeding in Palangka Raya.Method: This research is an explanatory research, by using survey method and cross sectional approach. The sample of the research was the total population of safe motherhoodcoordinators (9 respondents). The analyzing of data was rank Kendall’s correlation test.Result: The rank Kendall’s correlation test shows that there is a relation among planning function (p-value 0.008), direction function (p-value 0.009), coordinating function (p-value 0.029) and evaluation function (p-value 0.032) with exclusive breastfeeding.Key words: exclusive breastfeeding coverage, management function

HUBUNGAN KADAR PLUMBUM (PB) DALAM DARAH DENGAN PROFIL DARAH PADA WANITA USIA SUBUR DI BREBES TAHUN 2010

Background. Some of the pesticides used by farmers in Brebes contain Pb heavy metals such as Antracol 70 WP, Dithane M 45 80 WP, Furadan 3G, Goal 240 EC, Buldog 25 EC, Hostathion 200 EC, and Profile 430 EC. The lowest Pb levels is on Goal 240 EC in the amount of 0,87 mg/kg and the highest Pb levels is in Dithane in the amount of 19,37 mg/kg. The fertile women involvement in agriculture activities can cause fertile age women to be exposed by Pb heavy metal contained in pesticides. The absorbed Pb transported by blood to the organs of the body as much as 95%, the Pb in blood bound by erythrocytes and can disturb blood profile.Research Methods. The purpose of this research is to analyze relation between Pb levels in blood with blood profile on fertile age women in agricultural area. This research is an observational research with analytical survey method. The used study design is cross sectional.Research Results. Pb levels in blood of fertile women in Kersana District in Brebes Region still within tolerable limits (average = 25,55 ± 12,45 μgr/ml) and respondents’ blood profile on average are still within normal limits except for monocytes levels which is above the standard.Pb levels in blood is related to erythrocytes numbers (p=0,028; RP= 5,02; 95% CI=1,59- 15,86).Keywords : Pb levels in blood, blood profile, the fertile wome

FAKTOR–FAKTOR YANG BERHUBUNGAN DENGAN KADAR TIMBAL (PB) DALAM DARAH PADA SOPIR ANGKUTAN UMUM JURUSAN KARANG AYU-PENGGARON DI KOTA SEMARANG

Background: The cause of air pollution is smoke of motor vehicle. Public transportation represents one of transportation which releases the smoke. This condition cause public transport drivers always exposed by motor vehicle smoke that contain Plumbum and its health effect. The aim of this research is to examine Plumbum exposure and the factors that related with Plumbum concentration in blood of public transport drivers majors Karang Ayu-Penggaron in Semarang.Method: This is an explanatory research with the cross sectional approach. The population is 70 public transport drivers majors Karang Ayu-Penggaron and 34 samples selected by inclusion criteria. Data collected use the direct interview with questioner and laboratory test from the respondent’s blood sample. The variable in this research consist of age, work period, nutrition status, smoking habit, and Plumbum concentration in blood.Result: Based on the result of this research was known that the respondent characteristic’s are their age between 20-52 years old, their work period between 2-19 year, mean of IMT is 22,92 with the normal category nutrition status and 23 respondent have smoking habit. Theplumbum concentration in blood was 0,059 until 0,198 mg/liter. This concentration was similar with average of 12 cigarette smoked a day. The Pearson product moment correlation showed that there was significant correlation between age, work period, nutrition status, the smoking habit with the Plumbum concentration in blood, ñ-value is smaller than 0,05. Based on inferential analysis of the data was known that there was significant correlation between age, work period, nutrition status, the cigarette habit with the Pb concentration in blood. Suggestion for ORGANDA and the Head of Terminal Penggaron-Pedurungan Semarang should be applied the health inspection for public transport drivers and supply the mask for them. Public transport drivers should be using the mask correctly. Early prevention should be done by continuing measurement of the air Pb concentration by government, especially transportation department.Keywords: Plumbum Concentration, public transport driver

HUBUNGAN ORAL HIGIENE INDEX (OHI) DENGAN PROBING POCKET DEPTH (PPD) DAN LOSS OF ATTACHMENT (LOA) PADA LANJUT USIA

Periodontal disease is an inflammation of the gingival tissues supporting the teeth, periodontal ligament, cementum and alveolar bone. Risk factors include age, gender, oral hygiene,the number of remaining teeth, smoking, knowledge, attitudes, practices in relation to periodontal status assessed by Probing Pocket Depth and Loss of Attachment has not been widely studied. Purpose of this study to prove association between oral hygiene with Probing Pocket Depth and Loss of Attachment.This study is an observational research with cross sectional design. The population study was the elderly aged e†60 years old enrolled in the 5 Posyandu lansia in Wonosari area, with a sample size of 72 people. The data was collected by interview, clinical observation and focus groups discuss. Data were analyzed with chi square test.The results showed that Oral Hygiene Index (OHI) showed a significant association with Probing Pocket Depth (PPD) with p-value = 0,036, 95% CI = 1,199 to 9,110, PR = 3,306. Oral Hygiene Index (OHI) showed a significant association with the Loss of attachment (LOA) with p-value = 0,028, 95% CI = 1,207 to 80,367, PR = 9,848.The conclusions of this study, that poor Oral Hygiene Index (OHI) had a 3,3 times risk of having poor Probing Pocket Depth (PPD) and poor Oral Hygiene Index (OHI) had a 9,8times risk of having poor Loss of Attachment (LOA).Based on the results, it is recommended that the elderly need to maintain teeth at least 20 teeth and need to do scaling, scaling is also included in ASKES / Jamkesmas, cooperation with the private sector in public education activities and community service in the form of dental health checks and consultations are needed.Keywords : elderly, periodontal status, risk factors

AKURASI KODE DIAGNOSIS UTAMA PADA RM 1 DOKUMEN REKAM MEDIS RUANG KARMEL DAN KARAKTERISTIK PETUGAS KODING RAWAT INAP RUMAH SAKIT MARDI RAHAYU KUDUS PERIODE DESEMBER 2009

Background: Coding is one of the Medical Record services to support quality services in Hospital. Writing code disease was useful for getting information about group of disease and for an input to decision making for hospital management and getting reimbursement equal for provider health care services. Skill of staff in coding could determine accurate disease code. The aim of research is to examine accuracy main code diagnosis and characteristic of coding’s staff in Mardi Rahayu Hospital, Kudus. Base on result survey on May, 2009, found code diagnosis was not accurate amount 10 % from 30 DRM (document of medical record).Method: Kind research is descriptive by using observation method and interview by cross sectional approach. Populations in research are all of code main diagnosis document medical record in Karmel room pe riod treatment December, 2009. The instrument is used check list, ICD-10 volume 1 and 3. Analysis of data used descriptive in narrative and tabulation form.Result: Base on result observation to main code diagnosis on 148 DRM showed 69.59% data was accurate and 30.41% was not accurate. Staff of coding has been work in coding part in one years ago, has education background Diploma III medical record and health information but they all have not ever follow training coding medical record. Training for coding and give advice to doctors by medical committee was recommended.Keywords: coding, accurac

KADAR PLUMBUM (PB) DALAM UMBI BAWANG MERAH DI KECAMATAN KERSANA KABUPATEN BREBES

Background: The Agro-chemical materials use (fertilizers and pesticides) to increase red onion production in Brebes is inevitable. Generally, farmers in that area using a pesticide by mixing 3-5 types of pesticides and by frequency of spraying almost every day. In its growth, red onion plants absorb nutrients from the soil, including heavy metal such as PB, so that the product or agricultural products may contain heavy metal.Methods: This is a Descriptive Observational research with survey method and using Cross Sectional approach. This research was conducted in three selected villages in Kersana Subdistrict in Brebes namely Kemukten, Limbangan and Sutamaja Village, by considering thehighest level of pesticide usage compared to other villages (Department of Agriculture and Kersana Sub-district Office data). Lead (Pb) level analysis in red onion bulbs was conducted using Atomic Absorption Spectrometry (AAS).Results: Pesticides used by farmers in Kersana Sub-district in Brebes District are Antracol 70 WP, Buldok 25 EC and Dithane M-45 and also which contain active ingredients such as Propineb 70 %, Mankozeb and Profenofos known to contain Pb and contamination of Pb residues in red onion bulbs and has approached critical threshold which are 0,16 – 0,20 mg/kg.Keywords: Plumbum (Pb) Concentration, onio