Perilaku Profesional Tenaga Kesehatan Daerah Pesisir pada Pelayanan Kesehatan Primer Wilayah Puskesmas Alai Kabupaten Kepulauan Meranti Tahun 2014

The professional behaviors is a vision of healthy Indonesian in improving the health services, therefore the medical-care need to improve their professional behaviors. The aim of this research was to describe the professional behaviors of the healthcare medical-care that assessed based on the six elements of professionalism. The success of the effort of the health services is not separated from the professional behaviors of the medical-care themselves. This research used exploration method with a qualitative approach in six community health center's staff selected by Snowball sampling. The data were collected by using interviews and recorded with an audio recorder. The results showed that all informants contain altruism, accountability, duty, honor and integrity, respect for others and one of the six informants did not contain excellence. Based on the results of this research, the value of altruism, accountability, duty, honor and integrity, excellence, respect for others in Puskesmas Alai Kabupaten Kepulauan Meranti staff can be seen from the statements and the attitude of the health workers everyday

Allergic Rhinitis and its Associated Co-Morbidities at Bugando Medical Centre in Northwestern Tanzania; A Prospective Review of 190 Cases.

Allergic rhinitis is one of the commonest atopic diseases which contribute to significant morbidity world wide while its epidemiology in Tanzania remains sparse. There was paucity of information regarding allergic rhinitis in our setting; therefore it was important to conduct this study to describe our experience on allergic rhinitis, associated co-morbidities and treatment outcome in patients attending Bugando Medical Centre. This was descriptive cross-sectional study involving all patients with a clinical diagnosis of allergic rhinitis at Bugando Medical Centre over a three-month period between June 2011 and August 2011. Data was collected using a pre-tested coded questionnaire and analyzed using SPSS statistical computer software version 17.0. A total of 190 patients were studied giving the prevalence of allergic rhinitis 14.7%. The median age of the patients was 8.5 years. The male to female ratio was 1:1. Adenoid hypertrophy, tonsillitis, hypertrophy of inferior turbinate, nasal polyps, otitis media and sinusitis were the most common co-morbidities affecting 92.6% of cases and were the major reason for attending hospital services. Sleep disturbance was common in children with adenoids hypertrophy (χ2 = 28.691, P = 0.000). Allergic conjunctivitis was found in 51.9%. The most common identified triggers were dust, strong perfume odors and cold weather (P < 0.05). Strong perfume odors affect female than males (χ2 = 4.583, P = 0.032). In this study family history of allergic rhinitis was not a significant risk factor (P =0.423). The majority of patients (68.8%) were treated surgically for allergic rhinitis co morbidities. Post operative complication and mortality rates were 2.9% and 1.6% respectively. The overall median duration of hospital stay of in-patients was 3 days (2 - 28 days). Most patients (98.4%) had satisfactory results at discharge. The study shows that allergic rhinitis is common in our settings representing 14.7% of all otorhinolaryngology and commonly affecting children and adolescent. Sufferers seek medical services due to co-morbidities of which combination of surgical and medical treatment was needed. High index of suspicions in diagnosing allergic rhinitis and early treatment is recommended

Choroidal thickness in Malaysian eyes with full-thickness macular holes

AIM: To compare choroidal thickness at the macula in eyes with unilateral idiopathic full-thickness macular holes(FTMH)with that of unaffected fellow eyes, and eyes of normal control patients.<p>METHODS: Cross-sectional study. Thirty patients with unilateral idiopathic FTMH and thirty age, sex, and race-matched controls were recruited. Axial lengths were measured using laser interferometry. Enhanced depth imaging optical coherence tomography images were obtained using Heidelberg spectral-domain optical coherence tomography. Choroidal thickness was measured at the fovea, and at 1 mm and 2 mm nasally, temporally, superiorly and inferiorly from the center of the fovea. Statistical analysis was performed using independent and paired <i>t</i>-tests, chi-square tests, and Pearson correlation tests(<i>P</i><0.05).<p>RESULTS: The mean subfoveal choroidal thickness was 201.0±44.0 μm in the FTMH group, 225.3±51.4 μm in the fellow eye group and 262.3±70.3 μm in the control group. The choroid was thinner in FTMH eyes at all locations when compared to control eyes(<i>P</i><0.05). The fellow eye group also had thinner choroids than the control group at all locations except at 1 mm and 2 mm nasal to the fovea(<i>P</i><0.05). Choroidal thickness in the FTMH group was lower than in the fellow eye group, but the differences were not statistically significant(<i>P</i>>0.05). Choroidal thickness was generally highest subfoveally and lowest nasally. Subfoveal choroidal thickness was negatively correlated with age(<i>r</i>=-0.278, <i>P</i>=0.032), and axial length(<i>r</i>=-0.328, <i>P</i>=0.011).<p>CONCLUSION: Choroidal thickness is lower in both eyes of patients with unilateral FTMH compared to healthy control eyes

Choroidal thickness in Malaysian eyes with full-thickness macular holes

AIM: To compare choroidal thickness at the macula in eyes with unilateral idiopathic full-thickness macular holes (FTMH) with that of unaffected fellow eyes, and eyes of normal control patients. METHODS: Cross-sectional study. Thirty patients with unilateral idiopathic FTMH and thirty age, sex, and race-matched controls were recruited. Axial lengths were measured using laser interferometry. Enhanced depth imaging optical coherence tomography images were obtained using Heidelberg spectral-domain optical coherence tomography. Choroidal thickness was measured at the fovea, and at 1 mm and 2 mm nasally, temporally, superiorly and inferiorly from the center of the fovea. Statistical analysis was performed using independent and paired t-tests, chi-square tests, and Pearson correlation tests (P0.05). Choroidal thickness was generally highest subfoveally and lowest nasally. Subfoveal choroidal thickness was negatively correlated with age (r=-0.278, P=0.032), and axial length (r=-0.328, P=0.011). CONCLUSION: Choroidal thickness is lower in both eyes of patients with unilateral FTMH compared to healthy control eyes