GAMBARAN PERILAKU PENCEGAHAN COVID-19 DI DESA SENDUK KECAMATAN TOMBARIRI KABUPATEN MINAHASA

Faktor yang dominan yang mewarnai perilaku pencegahan Covid-19 seseorang terbagi dalam tiga domain yaitu pengetahuan, sikap dan tindakan.Pengetahuan adalah merupakan hasil dari tahu dan ini setelah orang melakukan penginderaan terhadap obyek tertentu. Sikap menggambarkan suka atau tidak suka seseorang terhadap suatu objek. Tindakan merupakan respon terhadap rangsangan yang bersifat aktif dan dapat diamati. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan, sikap dan tindakan. Metode yang digunakan yaitu deskriptif kuantitatif. Sampel yang digunakan sebanyak 93 responden pada Desa Senduk Kecamatan Tombariri Kecamatan Minahasa. Hasil penelitian dari yang diteliti menunjukkan bahwa pengetahuan responden kategori cukup 72,0%, baik 28,0%, sikap responden kategori baik 75,3% , cukup 24,7%, tindakan responden kategori baik 87,1%  dan cukup 12,9% .Simpulan dalam penelitian ini yaitu sikap dan tindakan pencegahan kategori baik persentase tinggi dibandingkan dengan pengetahuan pencegahan yang persentasenya lebih rendah.Saran dalam penelitian adalah masyarakat diharapkan mempertahankan prokol kesehatan dengan terus mengikuti anjuran pemerintah dalam upaya pencegahan Covid-19. Kata Kunci : Pengetahuan, Sikap, Tindakan ABSRACTThe dominant factors that color a person's Covid-19 prevention behavior are divided into three domains, namely knowledge, attitudes and actions. Knowledge is the result of knowing and this is after people sense certain objects. Attitude describes whether someone likes or dislikes an object. Action is a response to stimuli that are active and observable. This study aims to determine the description of knowledge, attitudes and actions. The method used is descriptive quantitative. The sample used was 93 respondents in Senduk Village, Tombariri District, Minahasa District. The results of the research studied showed that the respondents 'knowledge was 72.0% good, 28.0% good, the respondents' attitude was good 75.3%, enough 24.7%, the respondent's action was good category 87.1% and enough 12.9 %. The conclusion in this study is that good category attitudes and preventive measures have a high percentage compared to prevention knowledge which has a lower percentage. The suggestion in this study is that the public is expected to maintain the health policy by continuing to follow government recommendations in efforts to prevent Covid-19.                                                     Keywords : Knowledge, Attitude, Actio

Secondary infertility caused by the retention of fetal bones after an abortion: a case report

<p>Abstract</p> <p>Introduction</p> <p>Unwanted contraception through prolonged retention of fetal bone is a rare cause of secondary infertility. It is usually associated with a history of abortion, either spontaneous or induced.</p> <p>Case presentation</p> <p>We describe a case of intrauterine retention of fetal bone diagnosed 8 years after the termination of a pregnancy. The patient had no complaints of pain, irregular vaginal bleeding or discharge. A hysteroscopy was performed and irregular structures were removed. These fragments were fetal bones, which probably functioned as an intrauterine contraceptive device. After removal of the fetal bone fragments the patient conceived spontaneously within 6 months.</p> <p>Conclusion</p> <p>This case report stresses the importance of taking a thorough history and evaluation of the endometrium by transvaginal ultrasound or hysteroscopy in women with secondary infertility.</p

A prospective, randomised, controlled, double-blind phase I-II clinical trial on the safety of A-Part® Gel as adhesion prophylaxis after major abdominal surgery versus non-treated group

<p>Abstract</p> <p>Background</p> <p>Postoperative adhesions occur when fibrous strands of internal scar tissue bind anatomical structures to one another. The most common cause of intra-abdominal adhesions is previous intra-abdominal surgical intervention. Up to 74% of intestinal obstructions are caused by post surgical adhesions. Although a variety of methods and agents have been investigated to prevent post surgical adhesions, the problem of peritoneal adhesions remains largely unsolved. Materials serving as an adhesion barrier are much needed.</p> <p>Methods/Design</p> <p>This is a prospective, randomised, controlled, patient blinded and observer blinded, single centre phase I-II trial, which evaluates the safety of A-Part^®Gel as an adhesion prophylaxis after major abdominal wall surgery, in comparison to an untreated control group. 60 patients undergoing an elective median laparotomy without prior abdominal surgery are randomly allocated into two groups of a 1:1- ratio. Safety parameter and primary endpoint of the study is the occurrence of wound healing impairment or peritonitis within 28 (+10) days after surgery. The frequency of anastomotic leakage within 28 days after operation, occurrence of adverse and serious adverse events during hospital stay up to 3 months and the rate of adhesions along the scar within 3 months are defined as secondary endpoints. After hospital discharge the investigator will examine the enrolled patients at 28 (+10) days and 3 months (±14 days) after surgery.</p> <p>Discussion</p> <p>This trial aims to assess, whether the intra-peritoneal application of A-Part^®Gel is safe and efficacious in the prevention of post-surgical adhesions after median laparotomy, in comparison to untreated controls.</p> <p>Trial registration</p> <p>NCT00646412</p