Persentase Pengguna Protesa di Indonesia

Teeth loss still becomes a major problem especially in developing countries. It can cause disfunction of mastication and Temporomandibular joint (TMJ). Furthermore, missing teeth can influence economic factor as well as physical and psychological aspect including aesthethic factor. Replacing of teeth loss with artificial denture is the only way to prevent those factors. A total sample 779.496 responden age 12 years and above were analysed using data of National Health Research (Riskesdas) 2007. The objective of the study is to determine the index of missing teeth (M-T) and the percentage of people using prostheses. The data is descriptively analysed using the Decayed (D-T), Missing (M-T), FilledfF-T), and Decayed Missing Filled Teeth (DMF-T), and data from Dentogram based on the result of permanent teeth examination; Missing Treatment Index (MTI)and people using fixed and removable prostheses. The result of the study shows that M-T=3.9 out of DMF-T=4.8 and MTI=79.6%. Moreover, the percentage of people using prostheses is 4.5%. M-T, MTI, and people using prostheses increase in aged group of35 - 44 years old. M-T, MTI, and people using prostheses is higher in women compared to men. In addition, M-T and MTI are higher in rural area compared in urban area. However, the percentage of people using prostheses are higher in urban area than in rural area. According to the level of household expenditure per capita shows that MT and MTI are higher in group of people with low level of household expenditure. In contradictory, the percentage of people using prostheses is higher in those with high level of household expenditure

Efektifitas Pencegahan Karies Dengan a Traumatic Restorative Treatment Dan Tumpatan Glass Ionomer Cement Dalam Pengendalian Karies Di Beberapa Negara

Worldwide caries is still mainly problem in oral and dental diseases. In developing countries 30%-90% of 12-years old children do not get oral and dental treatment. In Indonesia, several programs have been implemented to improve oral and dental health status for all age groups. How over, a few reports/National dental health profile showed that mean DMF-T tend to increase, year 1970 DMF-T=0,70, 1980 DMF-T= 2,30, 1990 DMF-T=2,70, and National Health Research (Riskesdas) 2007 DMFT=4,8. In National Health Research 2007, it was revealed 29,8% of active caries found in 12-years old children. If the active caries are not managed further complication will occure that may cause teeth extraction. An early teeth extraction can influence mastication and general health. Atraumatic Restorative Treatment (ART) is a preventive and restorative approach for managing carious lesions ofthe teeth. It constitutes of hand instruments only (no electric drills used) for widening cavity openings and for excavating soft decayed tissue from within the cavity, followed by the application of an adhesive dental material, usually a high-viscosity glass-ionomer (GIC) filling material, into the cavity and over the adjacent pits and fissures. ART-GIC consepts are minimally invasive, inhibit further progression ofdental caries., preventive, as well as curative. Effectiveness of ART-GIC can be determined by successrate of ART-GIC fillings (F) and effect of ART-GIC on both Decayed (D) and Performance Treatment Index (PTI). Several studies showed that success rate ART-GIC are varies, around 71%-85%. There is no significant difference of success rate ART-GIC between dentis and dental nurses. The highest rate of Fluor release occurred on the first day after ART-GIC filling. Further more ART-GIC also inhibit new caries, as well as inhibit increased DMF-T. The increasing of F, may influence improvement of PTI (PTI around 50%-52%). Additional can improve dental health services. It is suggested that implementation of ART-GIC is needed in outreach areas with limited facilities; in all primary schools,all health services, under-5 years children, geriatric groups (Panti Wreda). As an alternative way to conduct ART-GIC development through dental nurses. More over suggested, although it is a simple method, a careful implementation of ART-GIC are need to be concern. Thus sustainability of continuing ART-GIC education and training is needed

Dampak Pemberian Tablet Zat Besi (Fe) pada Ibu Hamil terhadap Kejadian Bayi dengan Berat Badan Lahir Rendah (Analisis Lanjut Sdki 1994)

The prevalence of low birth weight (LBW) in Indonesia varied between 2.1 - 17.2%. At the end of Five years Development Plan V (Repelita V) it was 15.0%, and is expected to decrease to 10.0% by the end of Repelita VI. Low Birth Weight infant (less than 2500 grm) is an important issue, because of its relationship with the survival and health status of the infant in the future. The prevalence of anemia in pregnant women is 63.5%. The cause of anemia is mostly iron deficiency. The need of iron in pregnant women is quite high which is an average of 800 mg during pregnancy. Daily food contains 10 - 20 mg iron but the human body can absorb only less than 10.0%. To overcome the problem, iron pills distribution program is implemented. The iron pills contain 200 mg ferro sulfate and 0.25 mg folic acid, and are given to all pregnant women who visit Community Health Centres (Puskesmas) and Integrated Health Service Posts (Posyandu). Each pregnant women is expected to have at least 90 iron pills during the pregnancy. The objective of further analysis of the Demographic and Health Survey 1994 is to obtain information on the impact of iron pills on low birth weight. Among the 1689 weighted children born in 1994, there were 6.7% (112 children) with low birth weight. The percentage of low birth weight (10.6%) in the mothers who did not take the iron pills is the highest, followed by mothers who took less than 90 pills (6.0%) and the lowest percentage of low birth weight is found among mothers who took the least iron pills (5.9%), and statistically the difference is significant at p=0.0271. Among mothers who weighted their new born children, 14.6% did not take iron pills during pregnancy, only 26.1% mothers who took at least 90 iron pills during pregnancy. There is variation among the number of iron pills taken. Iron pill is useful for pregnant women. Based on the pills consumed by the pregnant women, the risk for having low birth weight infant for mother who did not take pills compared with those who take at least 90 pills is 3.5 times (95% CI: 1.41 - 9.09) in Java Bali, 10.3 times (95% CI: 1.11-14.29) for mothers with education Junior High School and 2.7 times (95% CI: 1.11 - 6.66) for mothers who give birth for the first child.Based on the number of pills taken by pregnant women, risk for Low Birth Weight in urban and rural area is not different, in Java Bali and as outer Java Bali. To reduce the Low Birth Weght, it is important to intensify monitoring, educating, informating on the importance of iron pills with balanced nutrition through health attendant and community key person and involvement of private company through mass media. It is important to have examination of women before she get pregnant and give proper treatment to the diseases which can worsen the anemia during pregnancy. It is also important to do special research on the high risk of anemia by considerating factors which determine low birth weight in the effort of promoting the health of pregnant women and the infants, so that specific and or appropriate methods of intervention can be developed and applied

The High Burden of Cholera in Children: Comparison of Incidence from Endemic Areas in Asia and Africa

Cholera is an often forgotten disease affecting the world's forgotten people. When a large cholera outbreak occurs, the disease appears briefly on the radar of public attention. Some unfortunate populations around the world suffer recurrent episodes of cholera but their plight goes unnoticed. We established cholera surveillance in impoverished areas in Jakarta (Indonesia), Kolkata (India), and Beira (Mozambique) where the disease is known to occur regularly. The cholera burden was calculated using the site population as the denominator and the number of cholera cases as the numerator. The lowest overall rate was in Jakarta with 0.5 cases per 1000 population per year. The incidence was three times higher in Kolkata (1.6/1000/year) and eight times higher in Beira (4.0/1000/year), adding to the growing impression of the large cholera problem in Africa. In all sites, children are the most affected. Estimates such as these are useful when considering where and among whom interventions against the disease are most needed. Improvement of water supply and sanitation is the best strategy against cholera and other diarrheal diseases but may not be achievable in these impoverished areas in the near future. Other immediate, short- to medium-term strategies such as vaccination against cholera may be useful

Influenza virus infection among pediatric patients reporting diarrhea and influenza-like illness

<p>Abstract</p> <p>Background</p> <p>Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea.</p> <p>Methods</p> <p>From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus.</p> <p>Results</p> <p>Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection.</p> <p>Conclusions</p> <p>The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks.</p

Fluor Dan Kesehatan Gigi

Most fluoride is found in the form of chemical compounds, and the availability of free fluoride ions in soils and water is varied. Laboratory research suggests that fluoride is most effective in caries prevention when a low level of fluoride is constantly maintained in the oral cavity. Fluoride controls effectively, it acts in several different ways. Fluoride is being used widely on a global scale. The estimation of number of people throughout the world using various types of fluoride therapy and preventive measures, they are the clinical topical fluorides (20 millions), mouth-rinses (20 millions), drops/tablets (20 millions), salt fluoridation (40 millions). water fluoridation (210 millions), and fluoridated toothpaste (500 millions). The study results of water fluoridation in USA, New Zealand, Canada, and Netherlands consequently reduces about 50% caries in community. The study of fluor tablet 1 ppm/day at primary school children in Indonesia after one year study result show that fluor tablet can inhibit the caries experience 0.2 person/year, and in control group shows the increasing of caries experience 0.8 person/year, and there is no dental fluorosis found. There are some undesirable side-effects, however, that can accompany the desirable outcome of reduced caries in the community. Experience has shown that it is not possible to achieve effective fluoride­ based caries prevention without the development of some degree of dental fluorosis, a defect of enamel caused by excess fluoride disrupting the developing enamel prior to tooth eruption. This means that whatever methods are chosen to maintain the low level of fluoride in the mouth, the results will be accompanied by some degree of dental fluorosis. Dental public health administrators should be aware of the total fluoride exposure in the population before introducing any additional fluoride programme for caries prevention, and the cost-effentiveness of such programmes should be carefully considered