Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Dan Sikap Pasien Tentang Pengelolaan Diet Diabetes Mellitus Di Puskesmas Boyolali I

DM patients enrolled in the clinic boyolali still many who do not know the what the DM disease and what causes it and how to overcome them. It can be seen from the ignorance of the patient in answering questions when done frequently asked questions about DM, besides there are still many patients who do not control their diet, so it can improve blood sugar levels in the body that can worsen the patient's condition. Therefore health education is a good way to provide information, knowledge and attitudes of patients with diabetes mellitus for the better, so as not to 2 worsen the condition of patients with diabetes mellitus. The population in this study were 111 patients suffering from DM. The purpose of this study was to determine whether there is influence of health education on knowledge and attitude of the patients on how to manage diet DM in Puskesmas Boyolali I. This type of research is quantitative data in the form of numbers, using the method of pre experiment with pretest - posttest Design , The samples in this study using a random sampling totaling 53 people. The research instrument used questionnaire, health education leaflets media. Analysis of the data in this study using the Wilcoxon Rank Signeg. Wilcoxon Rank Signeg includes test nonparametric statistics with dependent variables of knowledge and attitude of the client while the variable independenya health education on the management of diet DM. The results showed a significant difference between knowledge and attitudes before and after health education with the Sig 0,000. The results of this study showed that health education leaflets method can effectively increase the knowledge and attitude of DM patients in Puskesmas Boyolali

Upaya Penurunan Suhu Tubuh Dengan Kompres Hangat Pada Anak DBD Di RSPA Boyolali

Background: Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue viruses (arboviruses) that enter the body through the bite of aedes aegepti, the symptoms are high fever, headache and back of the eye. Until now the disease Dengue Hemorrhagic Fever (DHF) is still a serious problem in Central Java Province, the death toll due to Dengue Hemorrhagic Fever (DHF) is increasing, not only in the case of children, but also teenagers and even adults. Patients with Dengue Hemorrhagic Fever (DHF) will experience high heat is very dangerous if not promptly scaled back can cause seizures, to anticipate the occurrence of seizures effort that must be done is to lower the body temperature, there is acting alone can be done by a nurse to help lower the body temperature, by way of warm compresses, and meet the fluid needs of children, because, compress with warm water will dilate blood vessels and blood flow increases smoothly so that the heat in the body more quickly discharged into the air, and meet the needs of fluid in children may replace fluids lost through fluid in the body will evaporate during an increase in body temperature. Purpose: Efforts to lower body temperature in children with Dengue Hemorrhagic Fever (DHF) is by way of a warm compress. Methods: Study of cases, the authors attempt to take action to lower the body temperature by using warm compresses in children with Dengue Hemorrhagic Fever (DHF), the first steps were used that assessment, data analysis, intervention, implementation, and evaluation of nursing. Results: After done actions warm compresses for 20 minutes, the patient's temperature was down 0.2 OC, body temperature before doing a warm compress is 37.3 OC after doing a warm compress body temperature dropped to 37.1 OC. Actions undertaken warm compresses to the patient is considered effective because the patient's body temperature can drop 0.2 OC after warm compresses for 20 minutes

Hubungan dukungan keluarga dengan konsep diri pada pasien gagal ginjal kronik di ruang hemodialisa di Rumah Sakit PKU Muhammadiyah Yogyakarta

Gagal ginjal kronik adalah kerusakan ginjal yang terjadi pada nefron sehingga dibutuhkan terapi pengganti ginjal yaitu hemodialisa. Pasien yang menjalani hemodialisa dalam kehidupan sehari-hari akan mengalami perubahan psikososial yang dapat mempengaruhi konsep diri dan pasien yang menjalani hemodialisa memerlukan dukungan dari keluarga karena keluarga dapat dijadikan sumber dukungan atau support sistem. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan konsep diri pada pasien gagal ginjal kronik diruang hemodialisa RS PKU Muhammadiyah Yogyakarta. Jenis penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan Accidental Sampling dan didapatkan sebanyak 86 responden di Unit Hemodialisa RS PKU Muhammadiyah Yogyakarta. Pengukuran dukungan keluarga dan konsep diri menggunakan Kuesioner yaitu kuesioner dukungan keluarga dan kuesioner konsep diri. Analisis statistik menggunakan uji korelasi Kendall Tau. Responden dalam penelitian ini (72,1%) memiliki dukungan keluarga baik, (68,6%) memiliki konsep diri yang tinggi. Hasil uji korelasi Kendall Tau menunjukan terdapat hubungan antara dukungan keluarga dan konsep diri pada pasien gagal ginjal kronik di ruang hemodialisa dengan nilai p= 0,007 (p < 0,05). Terdapat hubungan signifikan antara dukungan keluarga dengan konsep diri pada pasien gagal ginjal kronik di ruang hemodialisa di Rumah Sakit PKU Muhammadiyah Yogyakarta. Berdasarkan hasil penelitian ini responden dapat meningkatkan rasa percaya diri, tidak mudah putus asa dan selalu bersemangat untuk tetap menjalani terapi pengobatan sesuai dengan anjuran petugas kesehatan

Faktor – faktor penyebab hipertensi literature review

Hipertensi merupakan penyakit degenerative yang dapat menyebabkan kerusakan pembuluh darah, jantung, ginjal, otak dan mata, Hipertensi juga sering disebut silent killer karena sering tanpa keluhan atau gejala, sehingga penderita tidak tahu jika menderita hipertensi. Data yang dikeluarkan oleh WHO (2018) menunjukkan bahwa sekitar 26.4% penduduk dunia mengalami hipertensi dengan perbandingan 26.6% pria dan 26.1 % wanita. Sebanyak kurang lebih 60% penderita hipertensi berada di negara berkembang, termasuk Indonesia. Tujuan penelitian ini adalah untuk mengetahui faktor – faktor penyebab hipertensi. Penelitian ini menggunakan desain literature review dengan metode PICOST, sebuah kerangka konsep yang umum dalam jenis penelitian kualitatif. Metode PICOST memiliki 6 komponen yaitu P (Patien, Population, Problem), I (Intervention), C (comparation), O (Outcome), S (Study), T (Time). Penelusuran didapatkan 5 jurnal, yang masing – masing memiliki faktor penyebab hipertensi berdasarkan penelitian yang dilakukan. Berdasarkan hasil literature review pada 5 jurnal tersebut didapatkan ada 6 faktor penyebab terjadinya hipertensi yaitu : Kebiasaan merokok, Pola makan, Aktivitas fisik, Jenis kelamin, Usia dan Pendidikan

Honey health benefits and uses in medicine

The generation of reactive oxygen species (ROS) and other free radicals during metabolism is an essential and normal process that ideally is compensated through the antioxidant system. However, due to many environmental, lifestyle, and pathological situations, free radicals and oxidants can be produced in excess, resulting in oxidative damage of biomolecules (e.g., lipids, proteins, and DNA). This plays a major role in the development of chronic and degenerative illness such as cancer, autoimmune disorders, aging, cataract, rheumatoid arthritis, cardiovascular, and neurodegenerative diseases (Pham-Huy et al. 2008; Willcox et al. 2004). The human body has several mechanisms to counteract oxidative stress by producing antioxidants, which are either naturally synthetized in situ, or externally supplied through foods, and/or supplements (Pham-Huy et al. 2008).info:eu-repo/semantics/publishedVersio

Immunohistochemical Profile for Unknown Primary Adenocarcinoma

BACKGROUND: Development of tailored treatment based on immunohistochemical profiles (IPs) of tumors for cancers of unknown primary is needed. METHODOLOGY/PRINCIPAL FINDINGS: We developed an algorithm based on primary known adenocarcinoma for testing sensitivity and specificity. Formalin-fixed paraffin-embedded tissue samples from 71 patients of unfavorable subsets of unknown primary adenocarcinoma were obtained. We examined 15 molecular markers using the algorithm incorporating these IPs and classified the tumours into 9 subsets based on the primary tumour site. The sensitivity and specificity of this algorithm were 80.3% and 97.6%, respectively. Apparent primary sites were lung in 17 patients, digestive organs in 13, gynecological organs in 9, prostate in 7, liver or kidney in 6, breast in 4, urothelial organ in 2, biliary tract and pancreatic profile in none, and unclassified in 13. The response rate to chemotherapy was highest for the gynecological IPs. Patients with gynecological or lung cancer IPs had longer median progression-free survival than those with others: 11.2 months for gynecological IPs (p<0.001) and 6.8 months for lung IPs (p = 0.05). Lung, digestive, prostate, and gynecological profiles were associated with significantly longer median survival time than the other profiles. Multivariate analysis confirmed that the IPs were independent prognostic factors for survival. CONCLUSIONS/SIGNIFICANCE: The IPs identified in this study can be used to further stratify patient prognosis for unfavorable subsets of unknown primary adenocarcinoma

Use of Non-Steroidal Anti-Inflammatory Drugs and Prostate Cancer Risk: A Population-Based Nested Case-Control Study

BACKGROUND: Despite strong laboratory evidence that non-steroidal anti-inflammatory drugs (NSAIDs) could prevent prostate cancer, epidemiological studies have so far reported conflicting results. Most studies were limited by lack of information on dosage and duration of use of the different classes of NSAIDs. METHODS: We conducted a nested case-control study using data from Saskatchewan Prescription Drug Plan (SPDP) and Cancer Registry to examine the effects of dose and duration of use of five classes of NSAIDs on prostate cancer risk. Cases (N = 9,007) were men aged ≥40 years diagnosed with prostatic carcinoma between 1985 and 2000, and were matched to four controls on age and duration of SPDP membership. Detailed histories of exposure to prescription NSAIDs and other drugs were obtained from the SPDP. RESULTS: Any use of propionates (e.g., ibuprofen, naproxen) was associated with a modest reduction in prostate cancer risk (Odds ratio = 0.90; 95%CI 0.84-0.95), whereas use of other NSAIDs was not. In particular, we did not observe the hypothesized inverse association with aspirin use (1.01; 0.95-1.07). There was no clear evidence of dose-response or duration-response relationships for any of the examined NSAID classes. CONCLUSIONS: Our findings suggest modest benefits of at least some NSAIDs in reducing prostate cancer risk

Endoscopic and Percutaneous Preoperative Biliary Drainage in Patients with Suspected Hilar Cholangiocarcinoma

INTRODUCTION: Controversy exists over the preferred technique of preoperative biliary drainage (PBD) in patients with hilar cholangiocarcinoma (HCCA) requiring major liver resection. The current study compared outcomes of endoscopic biliary drainage (EBD) and percutaneous transhepatic biliary drainage (PTBD) in patients with resectable HCCA. METHODS: One hundred fifteen consecutive patients were explored for HCCA between 2001 and July 2008 and assigned by initial PBD procedure to either EBD or PTBD. RESULTS: Of these patients, 101 (88%) underwent PBD; 90 patients underwent EBD as primary procedure, and 11 PTBD. The technical success rate of initial drainage was 81% in the EBD versus 100% in the PTBD group (P = 0.20). Stent dislocation was similar in the EBD and PTBD groups (23% vs. 20%, P = 0.70). Infectious complications were significantly more common in the endoscopic group (48% vs. 9%, P < 0.05). Patients in the EBD group underwent more drainage procedures (2.8 vs. 1.4, P < 0.01) and had a significantly longer drainage period until laparotomy (mean 15 weeks vs. 11 weeks in the PTBD group; P < 0.05). In 30 patients, EBD was converted to PTBD due to failure of the endoscopic approach. CONCLUSIONS: Preoperative percutaneous drainage could outperform endoscopic stent placement in patients with resectable HCCA, showing fewer infectious complications, using less procedure