Hiperurisemia Pada Remaja di Wilayah Kerja Puskesmas Arjasa Kabupaten Situbondo Hyperuricemia in Adolescents (16-24 Years Old) in Arjasa Primary Health Center, Situbondo Regency

Abstract Hyperuricemia is a condition which there is an elevated of  uric acid serum level  above normal, whereas gout is a group of diseases caused by deposition of monosodium urate crystals in the tissues, due to metabolism disorders in the form of hyperuricemia. Most commonly experienced by the elderly, but this disease also can be experienced by elderly and young adolescents. The purpose of this study is to describe of hyperuricemia patients in adolescents (16-24 years) in Arjasa Primary Health Center (PHC) area of ​​Situbondo Regency, as many 11  people. The cross-sectional method is used in this study. We measure  body mass index (BMI) and consumption pattern using food frequency questions (FFQ) method. Most of hyperurisemia patient in young adolescent are male, have good enough education level ie Senior High School, unemployement, have enough knowledge, have family income > 1,374,000, -, have a history of hyperuricemia in their family, obesity, consumption of  high purine food ie offal, food and drink containing alcohol ie tapé, and do not consume of deuretic medicines.   Keywords: Hyperuricemia, Adolescent

Gambaran Proses Kegiatan Pos Pembinaan Terpadu Penyakit Tidak Menular di Puskesmas Sempu Kabupaten Banyuwangi (The Description of Activity Process for the Integrated Development Post of Non-Communicable Disease (IDP of NCD) at Sempu Public Health Centre i

Sempu Public Health Centre (PHC) where the IDP of NCD activity was only applied under 1% in 2014 which the fact remains that Sempu PHC ironically is the first PHC which has IDP of NCD in Banyuwangi regency. This research aimed to find out how Posbindu PTM Al-Mubarok activity worked in Sempu PHC. This research used descriptive study with qualitative data supported. The informants of this research were purposively taken which included coordinator surveillance of Health Department in Banyuwangi regency, coordinator IDP of NCD, midwife, nurse, two cadres, the work partners and two IDP of NCD members. This research collected the data by doing interview, attentive observation and triangulation technique. Then, the data gathered were analyzed descriptively. The result showed that activity process of Posbindu PTM Al-Mubarok in Sempu PHC was different with IDP of NCD guidelines. The process did not go well because of the input which included the insufficient of human resources, incomprehensive and minimal training, insufficient of equipments, the lack of public awareness, the financial dependence and the implementation method which was not regularly conducted every month. Keywords: process, IDP of NC

FORMULASI INDIKATOR DAN TARGET ANGKA PENJARINGAN SUSPEKTB BTA+ UNTUK PUSKESMAS DI KABUPATEN JEMBER

Even though for two last years the national target of rate of cases that succeed to be found from suspects; that represented as Case Detection Rate (CDR) has been fulfilled, performances of each forty-nine Community Health Center in Jember, Indonesia was fluctuated. Two primary factors, that contributing to CDR are Error Rate and Suspect Rate. Suspect rate never been evaluated by TB+ program. This research was aimed to produce Suspect Rate indicator and target, that applicable for Community Health Center in Jember.This study was a part of Research and Development (R&D), towards to four years data of forty-nine Community Health Center in Jember.From this study concluded that applicable Suspect Rate indicator definites as “Amount of checked suspects (its phlegm) among 10.000 residents at one particular Community Health Center region in one year“ and the target that realistic is minimum 75 checked suspects among 10.000 residents

Kualitas Hidup Wanita Menopause (Quality of Life Among Menopausal Women)

AbstractMenopause is a condition when woman’s menstrual period ends because ovaries stopproducing estrogen and progesteron. The deficiency of these hormones cause women havemenopausal symptoms that can decrease their quality of life. This study aimed to analyzethe quality of life among menopausal women. This was a cross sectional study. The sampleconsisted of 128 menopausal women and their age ranged 45-59 years old. Chi-square,Anova, and Independent Sample t Test were used to analyze the data. The result showedbetter quality of life was experienced by women who had high education, did exerciseregularly, didn’t have chronic disease, and had mild menopausal symptoms. According toquality of life domain, physical domain was better in women who had married, did exerciseregularly and had mild menopausal symptoms. Psychological domain was better in womenwho had high education, did exercise regularly and didn’t have chronic disease.Environmental domain was better in women who had high education, did exercise regularly,and had mild menopausal symptoms. Whereas, social domain was better in married women.Based on this study, menopausal women are adviced to do exercise regularly so their qualityof life can be improved.Keywords: menopausal women, quality of lif

ANALYSIS OF LEAD CONTENT (Pb) IN WASTE STREAMS AND WELL WATER AND PUBLIC HEALTH COMPLAINTS AROUND THE PAPER INDUSTRY IN BONDOWOSO

Wastewater in an industry which is often called liquid waste is a by-product produced by several human activities. Liquid waste pollution from industrial effluents containing lead (Pb) in dug well water used by the community for daily needs can cause poisoning and health complaints. This study aims to determine the content of lead (Pb) in the liquid waste stream and well water as well as public health complaints around the pulp and paper industry. This type of research was descriptive with the observational method. Liquid waste from the paper and pulp industry is known to contain heavy metal type lead (Pb), if it pollutes the environment around the industry it can cause various negative impacts for the community. There were 2 samples of dug well water 90 meters that have lead content above the quality standard, namely in well 8 and well 10 with lead content of 2,998 mg/L and 4,247 mg/L while for other dug well water it did not exceed the threshold value with results below 0.0085 mg/L. Based on the results of interviews with 40 respondents, most of the respondents who used dug well 8 and well 10 water experienced health complaints such as skin redness and itching on the hands and arms, and the most experienced redness, itching, and hot eyes after using dug well water contaminated with lead (Pb)

Pemetaan Risiko Hepatitis A dengan Sistem Informasi Geografis (SIG) di Kabupaten Jember Tahun 2013 (The Mapping of Hepatitis A Risk with Geographic Information System (GIS) in Jember District, 2013)

Hepatitis A is an inflammation of the liver disease caused by Hepatitis A virus. Jember was an area that often became endemic of Hepatitis A. The aim of this study was to describe the spread of Hepatitis A and the spreading pattern of the risk of hepatitis A in 2013 by using a Geographic Information System (GIS). This type of research uses descriptive method. Risk factor of Hepatitis A studied clean live and healthy behavior, defecation behavior, clean water access, family privy, waste management, number of street food corner, and population density. There are two types of maps that will be produced Hepatitis A case maps and Hepatitis A risk factor maps. The technique of data analysis used grading, scoring and calculation of the strength of the infection. The risk level is divided into three classes, namely high (score 1), moderate (score 2) and low (score 3). The results showed that there were 183 cases of Hepatitis A were recorded from medical records of RSD dr. Soebandi, RSD Balung, RS Bina Sehat and RS Jember Klinik in 2013, 27% (51 people) are in the age range 21-30 years, whereas 115 male sex. Areas that have cases with high category Sumbersari and Patrang subdistrict. An area that has Hepatitis A infection strength with high category Silo and Kaliwates subdistrict. The difference Hepatitis A case maps and Hepatitis A risk factor maps becaused low hygiene of food handle and inexact food management. Keywords: risk, case, Geographic Information System, force of infectio

SURVEI SURVEILANS PERILAKUBERISIKO TERTULAR HIVPADA REMAJA JALANAN TAHUN 2011

At present, the world have a pandemikHIV. No one country in the world free from this infection, including Indonesia. In Indonesia, the infection has been alarming stage. If nothings done to prevent and control the spread of HIV, the next ten years, HIV infection such as sub sahara-africa, where there will be 3 of 10 people infected HIV. The Human Immunodeficiency Virus (HIV) is a type of virus called a retrovirus and it is spreading  throughout the world include sexual contact, sharing needles, and by transmission from infected mothers to their newborns during pregnancy, labor, or breastfeeding. Purpose of this study was determine HIV risk behaviors in youth on the street in Jember district. Behavioral surveillance survey aims to monitor changes in sexual behavior and injecting risk from time to time. Target Population of Behavioral surveillance stratified by contributing to the HIV epidemic, one of which is youth aged 15 -24 years old, men and women, educated or not. This is descriptive approach with survey methods to 50 youths. The result were contained two behavioral surveillance of key indicators that have high percentage. There were heard HIV and AIDS(87,8%) and knowing to prevent HIV and AIDS using condom(98%). The recommendation is that the youth should have healthy behavior, alert to the HIV and AIDS, no sex before marriage and avoid other risky behaviors

Parenting Stress and Hypertension in Parents of Mental Retardation Children

Abstract   Parents with mental retardation children experience higher parenting stress than parents with other types of disability. Differences in responses to stressors indicate a level of parenting stress that is influenced by the characteristics of children, family, parents, and the environment. Parenting stress that is not managed and occurs in a long time can cause physical disorders of hypertension. The purpose of this study was to describe the parenting stress and the incidence of hypertension in the parents of children with mental retardation aged 12-15 years. This research is a descriptive research with quantitative approach. The sample of this study was the father and mother of mental retardation  students aged 12-15 years of 59 respondents who met the criteria of inclusion and exclusion. The result of this research is most of the hypertension respondent have high parenting stress level of 53,6% in fathers and 64,5% in mothers.   Keywords: hypertension, mental retardation, parenting stress, parents.     Abstrak   Orang tua dengan anak retardasi mental cenderung mengalami parenting stress tinggi dibandingkan orang tua dengan anak jenis kecacatan lain. Adanya perbedaan tanggapan terhadap stressor menunjukkan adanya tingkatan parenting stress yang dipengaruhi oleh karakteristik anak, keluarga, orang tua, dan lingkungan. Parenting stress yang tidak dikelola dan tejadi dalam waktu lama terjadi dapat menyebabkan gangguan fisik hipertensi. Tujuan penelitian ini adalah menggambarkan parenting stress dan kejadian hipertensi pada orang tua yang mengasuh anak retardasi mental usia 12-15 tahun. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif. Sampel penelitian ini adalah ayah dan ibu siswa retardasi mental usia 12 – 15 tahun sebesar 59 responden yang memenuhi kriteria inklusi dan eksklusi. Hasil dari penelitian ini adalah sebagian besar responden hipertensi mengalami tingkat parenting stress tinggi sebesar 53.6 % pada ayah dan 64.5 % pada ibu.  Kata kunci: hipertensi, orang tua, parenting Stress, retardasi mental

PENGARUH FAKTOR SOSIO EKONOMI TERHADAP KETERLAMBATAN PENEMUAN KASUS TB DI WILAYAH KABUPATEN JEMBER

Long time delay from symptoms until TB diagnosis made the patients could not be registered as suspects nor TB patients as soon, as well as consequences to patient’s prognosis and TB infection in community. Based on some interviews with TB patients from Jember, the long time delay was frequently did. The goal of this research is to analyze sosioeconomic factors of TB case finding delay of patients who residing in Jember District. This research was analytic observational study and used cluster sampling method by two months data collecting. Analysis using Spearman’s rho correlation and calculate Prevalence Ratio (PR). Result showed that significant socioeconomic factors of TB case finding delay are annual household saving (R=-0.296) and annual household income (R=-0.249; Risk=1.4). Conclusion of this research is annual household saving, and annual household income are the factors of TB case finding delay.   Keywords: TB, case finding, delay, socioeconomi