Perilaku Pencegahan Infeksi Menular Seksual Pada Wanita Pekerja Seksual Kabupaten Tegal

Wanita Pekerja Seks merupakan kelompok risiko tinggi terkena IMS dan paling berpengaruh dalam persebaran IMS. Lokalisasi Peleman berada di Kabupaten Tegal, dengan kasus IMS lebih dari 50%. Penelitian ini bertujuan untuk mengetahui gambaran perilaku WPS dalam upaya pencegahan IMS di Lokalisasi Peleman. Jenis penelitian menggunakan metode penelitian kualitatif dengan teknik pengambilan informan snowball sampling. Informan berjumlah 6 WPS, 6 teman WPS, 6 mucikari dan 1 petugas kesehatan Puskesmas Jatibogor. Teknik pengambilan data berupa wawancara mendalam dan observasi. Analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi. Penelitian ini dilakukan tahun 2014. Hasil penelitian menunjukkan bahwa WPS cukup aktif mencari informasi IMS melalui teman, petugas kesehatan, penyuluhan, media cetak dan elektronik, tetapi tidak melalui mucikari. Hampir semua WPS merayu pelanggan untuk memakai kondom dan dapat memakai kondom dengan baik. Vaginal higiene WPS belum baik, mereka membersihkan vagina bagian dalam menggunakan antiseptik dan pasta gigi. Female sex workers are the high risk group to be infected STIs and the most influential group that responsible for the spreading of STIs. Peleman prostitution site is located in Tegal district which has more than 50% STIs case. The purpose of this research is to find out the image of female sex workers behaviour in the effort of STIs prevention in Peleman prostitution site.This research was qualitative research and used snowball sampling technique. Informant for this research amounts 6 FSW, 6 FSW\u27s friends, 6 pimps, and 1 health workers of Puskesmas Jatibogor. The data collection in this research used in-depth interview and observation. The data analyzed descriptively and presented in narrative form. This result was held in 2014 year. The result showed that FSW were quite actively looking for STIs information through friends, health workers, elucidation, print and electronic media, but not through a pimp. Almost all of FSW asked costumers to used condoms and could use condoms properly. Vaginal hygiene of FSW has not been good, they really cleaned the inside of vagina using an antiseptic and toothpaste

Perbedaan Pengaruh Pembelajaran Kontekstual Terhadap Hasil Belajar Bahasa Inggris Antara Siswa Yang Bergaya Belajar Visual, Auditori Dan Kinestetik (Di SD IT Albanna)

(1) there was no differences of contextual teaching learning effects to student\u27s English achievment between auditory and kinetic student, the score of t count = 1,818 and t table = 2,31 (t count < t table). Based on the teory that t count > t table so, the result of the analysis is not significant. (2) there was no differences of contextual teaching learning effects to student\u27s English achievment between auditory and visual student, the score of t count = 1,008 and t table = 2,31 (t count < t count). Because t count > t table so the result is not significant, (3) there was no differences of contextual teaching learning effects to student\u27s English achievment between kinetic and visual student, the score of t count = -1,409 dan t table = 2,31 (t count < t table). If t count > t table so, the result is not significant. (4) there was no differences of contextual teaching learning effects to student\u27s English achievment between auditory, visual and kinetic student, the score of t count = -1,409 dan t table = 2,31 (t count < t table). Based on the teory, that if t count > t table so the result is not significant

Garam Indonesia Berkualitas: Studi Kandungan Logam Berat Timbal (Pb) Pada Garam [the Quality of Indonesia Salt: Study of Heavy Metal Lead (Pb) Levels in the Salt]

Kualitas garam sangat ditentukan oleh perlakuan dan penanganan yang diberikan pada saat pra produksi, proses produksi maupun pasca produksi. Kontaminan Pb dalam garam dapat bersumber dari lingkungan perairan laut sebagai bahan baku, tanah sebagai media / tempat produksi garam dan lingkungan udara dimana proses produksi garam berlangsung di lahan terbuka. Tujuan penelitian ini adalah untuk menganalisis kadar logam berat timbal (Pb) dalam garam di Kabupaten Pamekasan. Jenis penelitian ini adalah jenis deskriptif. Teknik pengumpulan data penelitian melalui observasi dan wawancara. Hasil observasi menunjukkan bahwa rata-rata kadar logam berat timbal (Pb) di Kabupaten Pamekasan masih di bawah batas maksimum yang telah ditentukan dalam SNI 3556-2010 dan SNI 7387-2009 yaitu <10 ppm dengan kadar Pb terendah 0,066 ppm dan tertinggi 0,162 ppm. Proses produksi garam kurang sesuai dengan standar yang telah ditetapkan. Oleh karena itu, perlunya penangangan yang baik pada pra produksi, proses produksi hingga pasca produksi pembuatan garam agar kadar Pb tidak meningkat

Hubungan Motivasi dan Intensitas Penggunaan LinkedIn dengan Kepuasan yang Didapatkan Pengguna LinkedIn

Penelitian ini dilatarbelakangi oleh adanya ketertarikan terhadap model teori uses and gratification dan meningkatnya jumlah pengguna LinkedIn di kalangan mahasiswa dan fresh graduates berdasarkan data dari LinkedIn. Dalam perspektif teori uses and gratifications, audiens dipandang sebagai partisipan yang aktif dalam proses komunikasi, namun tingkat keaktifan setiap individu tidaklah sama (Morissan, 2013: 264). Perilaku komunikasi audiens mengacu pada target dan tujuan yang ingin dicapai serta berdasarkan motivasi. Penelitian ini bertujuan untuk mengkaji hubungan antara motivasi dan intensitas penggunaan LinkedIn dengan kepuasan yang didapatkan pengguna LinkedIn di kalangan mahasiswa yang turut menjadi kelompok pemegang kendali pertambahan jumlah pengguna LinkedIn. Metode penelitian meliputi kajian kuantitatif. Analisis kuantitatif dilakukan untuk menjelaskan hubungan antara motivasi dan intensitas penggunaan LinkedIn dengan kepuasan yang didapatkan pengguna LinkedIn di kalangan mahasiswa. Analisis kuantitatif dilakukan terhadap data yang diperoleh melalui penyebaran kuesioner sebagai instrumen penelitian yang telah melewati uji validitas dan reliabilitas. Jumlah responden dalam penelitian ini adalah 96 yang ditentukan secara non acak dengan metode quota dan accidental sampling. Hasil penelitian menunjukkan bahwa terdapat motivasi dan intensitas penggunaan LinkedIn yang berbeda di antara responden. Motivasi dan intensitas penggunaan LinkedIn secara simultan memiliki hubungan yang positif dengan kepuasan yang didapatkan pengguna LinkedIn. Nilai koefisien korelasi antara motivasi dan intensitas penggunaan LinkedIn dengan kepuasan pengguna LinkedIn sebesar 0,736 yang menunjukkan adanya korelasi positif yang sangat kuat

Estimates, trends, and drivers of the global burden of type 2 diabetes attributable to PM2·5 air pollution, 1990–2019: an analysis of data from the Global Burden of Disease Study 2019

Background: Experimental and epidemiological studies indicate an association between exposure to particulate matter (PM) air pollution and increased risk of type 2 diabetes. In view of the high and increasing prevalence of diabetes, we aimed to quantify the burden of type 2 diabetes attributable to PM2·5 originating from ambient and household air pollution. Methods: We systematically compiled all relevant cohort and case-control studies assessing the effect of exposure to household and ambient fine particulate matter (PM2·5) air pollution on type 2 diabetes incidence and mortality. We derived an exposure–response curve from the extracted relative risk estimates using the MR-BRT (meta-regression—Bayesian, regularised, trimmed) tool. The estimated curve was linked to ambient and household PM2·5 exposures from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, and estimates of the attributable burden (population attributable fractions and rates per 100 000 population of deaths and disability-adjusted life-years) for 204 countries from 1990 to 2019 were calculated. We also assessed the role of changes in exposure, population size, age, and type 2 diabetes incidence in the observed trend in PM2·5-attributable type 2 diabetes burden. All estimates are presented with 95% uncertainty intervals. Findings: In 2019, approximately a fifth of the global burden of type 2 diabetes was attributable to PM2·5 exposure, with an estimated 3·78 (95% uncertainty interval 2·68–4·83) deaths per 100 000 population and 167 (117–223) disability-adjusted life-years (DALYs) per 100 000 population. Approximately 13·4% (9·49–17·5) of deaths and 13·6% (9·73–17·9) of DALYs due to type 2 diabetes were contributed by ambient PM2·5, and 6·50% (4·22–9·53) of deaths and 5·92% (3·81–8·64) of DALYs by household air pollution. High burdens, in terms of numbers as well as rates, were estimated in Asia, sub-Saharan Africa, and South America. Since 1990, the attributable burden has increased by 50%, driven largely by population growth and ageing. Globally, the impact of reductions in household air pollution was largely offset by increased ambient PM2·5. Interpretation: Air pollution is a major risk factor for diabetes. We estimated that about a fifth of the global burden of type 2 diabetes is attributable PM2·5 pollution. Air pollution mitigation therefore might have an essential role in reducing the global disease burden resulting from type 2 diabetes. Funding: Bill &amp; Melinda Gates Foundation

Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.

BACKGROUND: Lower respiratory infections are a leading cause of morbidity and mortality around the world. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016, provides an up-to-date analysis of the burden of lower respiratory infections in 195 countries. This study assesses cases, deaths, and aetiologies spanning the past 26 years and shows how the burden of lower respiratory infection has changed in people of all ages. METHODS: We used three separate modelling strategies for lower respiratory infections in GBD 2016: a Bayesian hierarchical ensemble modelling platform (Cause of Death Ensemble model), which uses vital registration, verbal autopsy data, and surveillance system data to predict mortality due to lower respiratory infections; a compartmental meta-regression tool (DisMod-MR), which uses scientific literature, population representative surveys, and health-care data to predict incidence, prevalence, and mortality; and modelling of counterfactual estimates of the population attributable fraction of lower respiratory infection episodes due to Streptococcus pneumoniae, Haemophilus influenzae type b, influenza, and respiratory syncytial virus. We calculated each modelled estimate for each age, sex, year, and location. We modelled the exposure level in a population for a given risk factor using DisMod-MR and a spatio-temporal Gaussian process regression, and assessed the effectiveness of targeted interventions for each risk factor in children younger than 5 years. We also did a decomposition analysis of the change in LRI deaths from 2000-16 using the risk factors associated with LRI in GBD 2016. FINDINGS: In 2016, lower respiratory infections caused 652 572 deaths (95% uncertainty interval [UI] 586 475-720 612) in children younger than 5 years (under-5s), 1 080 958 deaths (943 749-1 170 638) in adults older than 70 years, and 2 377 697 deaths (2 145 584-2 512 809) in people of all ages, worldwide. Streptococcus pneumoniae was the leading cause of lower respiratory infection morbidity and mortality globally, contributing to more deaths than all other aetiologies combined in 2016 (1 189 937 deaths, 95% UI 690 445-1 770 660). Childhood wasting remains the leading risk factor for lower respiratory infection mortality among children younger than 5 years, responsible for 61·4% of lower respiratory infection deaths in 2016 (95% UI 45·7-69·6). Interventions to improve wasting, household air pollution, ambient particulate matter pollution, and expanded antibiotic use could avert one under-5 death due to lower respiratory infection for every 4000 children treated in the countries with the highest lower respiratory infection burden. INTERPRETATION: Our findings show substantial progress in the reduction of lower respiratory infection burden, but this progress has not been equal across locations, has been driven by decreases in several primary risk factors, and might require more effort among elderly adults. By highlighting regions and populations with the highest burden, and the risk factors that could have the greatest effect, funders, policy makers, and programme implementers can more effectively reduce lower respiratory infections among the world's most susceptible populations. FUNDING: Bill & Melinda Gates Foundation

Burden of injury along the development spectrum: Associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017

Background: The epidemiological transition of non-communicable diseases replacing infectious diseases as the main contributors to disease burden has been well documented in global health literature. Less focus, however, has been given to the relationship between sociodemographic changes and injury. The aim of this study was to examine the association between disability-adjusted life years (DALYs) from injury for 195 countries and territories at different levels along the development spectrum between 1990 and 2017 based on the Global Burden of Disease (GBD) 2017 estimates. Methods: Injury mortality was estimated using the GBD mortality database, corrections for garbage coding and CODEm-the cause of death ensemble modelling tool. Morbidity estimation was based on surveys and inpatient and outpatient data sets for 30 cause-of-injury with 47 nature-of-injury categories each. The Socio-demographic Index (SDI) is a composite indicator that includes lagged income per capita, average educational attainment over age 15 years and total fertility rate. Results: For many causes of injury, age-standardised DALY rates declined with increasing SDI, although road injury, interpersonal violence and self-harm did not follow this pattern. Particularly for self-harm opposing patterns were observed in regions with similar SDI levels. For road injuries, this effect was less pronounced. Conclusions: The overall global pattern is that of declining injury burden with increasing SDI. However, not all injuries follow this pattern, which suggests multiple underlying mechanisms influencing injury DALYs. There is a need for a detailed understanding of these patterns to help to inform national and global efforts to address injury-related health outcomes across the development spectrum