Gambaran penanganan penyakit kronis: Program rujuk balik penyakit jantung koroner pada dokter keluarga di Kota Manado

Introduction: Chronic disease is one of the health problems in Indonesia which continues to increase and has not been successfully reduced. Coronary heart disease (CHD) is a chronic disease which has been a major cause of death and global burden of disease. The prevalence of CHD in North Sulawesi is 1.8%, exceeding the national prevalence, making North Sulawesi the fourth highest province in Indonesia. The management of CHD aims to prevent recurrent coronary events and complications by modifying risk factors. Holistic approach is needed to identify the risk factors that cause CHD. Family medicine is a medical specialty that provides health care with a holistic approach at first-level health facilities. Program Rujuk Balik (PRB), as one of the leading programs, is optimized to improve the quality of health services for the participants of BPJS Kesehatan and to facilitate access to health services for participants who have chronic diseases. The catastrophic costs can be minimized through holistic management of CHD by family physicians maximizing the function of PRB. Objective: To determine the overview of the management of PRB participants with CHD by family physicians in Manado City. Methods: This research is a descriptive study with a cross-sectional design. Results: It was found that all respondents were in the good category at managing the participants of PRB with CHD (100%). Conclusion: The management of the participants of PRB with CHD by family physicians in Manado City has been well. Keywords: program rujuk balik, coronary heart disease, family physicians. &nbsp

Gambaran pengetahuan, sikap, dan tindakan mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi terhadap kesiapsiagaan bencana alam

Natural disasters are frequent events in Indonesia. The occurrence of natural disasters will result in various kinds of damage, losses, and even health problems. Lack of knowledge about disaster preparedness will affect a person's attitude and actions in dealing with disasters. It takes special expertise of medical students who will become a competent doctor in health services during natural disasters. This study aims to determine the description of knowledge, attitudes, and actions of students of the Medical Education Study Program, Faculty of Medicine, Sam Ratulangi University towards natural disaster preparedness. This is a descriptive study with a cross sectional design with a sampling technique using simple random sampling. The research instrument used a questionnaire (Google form). Total respondents who participated in this study were 116 respondents. The results showed that Medical Education students of the Faculty of Medicine, Sam Ratulangi University mostly had high knowledge of disaster preparedness as much as 61.2%, a positive attitude towards disaster preparedness as much as 63.8%, and were able to take action on disaster preparedness as much as 71.6%. From the result of this study, it can be concluded that Medical Education Students of the Faculty of Medicine, Sam Ratulangi University have high levels of knowledge, positive attitudes, and capable actions in natural disaster preparedness. Keywords: Disaster preparedness, knowledge, attitude, practice &nbsp

Gambaran kualitas hidup remaja SMA dengan berat badan berlebih di Manado pada Pandemi COVID-19

Background: Adolescence is the period of transitions between childhood and adulthood, in this period there are many changes that cover various aspects such as physical, hormonal, psychological, and even social development. The prevalence of overweight and obesity among children and adolescents aged 5-19 has risen from just 4% in 1975 to over 18% in 2016. Overweight and obese have a high risk of non-communicable diseases that can affect someone’s quality of life. The main purpose of this research is to find out the outline of overweight adolescents’ quality of life. Methods: This was a descriptive cross-sectional study on 44 adolescents who are overweight from high schools in Manado city. Results: The results of this study indicate that students who are overweight have a moderate quality of life in the physical health psychological, social, and environmental domains.Conclusion: The majority of respondents in this study had a moderate quality of life.Keywords: Adolescent, overweight, quality of lif

Gambaran Status Gizi Anak Balita Di Ppa (Pusat Pengembangan Anak) Id-127 Dan Csp (Child Survival Programme) Cs 07 Kelurahan Ranomut Manado

: Nutritional status is body condition that affected by food consumption and nutrient substance using. It is distinguished among bad nutrition, less nutrition and good nutrition status and it is measured by body mass index based on age as the one anthropometer index. Objective: The objectives of this research is to know a description of toddler\u27s nutirional status at PPA ID – 127 (Chldren Development Center) and CSP CS-07 (Child Survival Programme) in Ranomut Subdistrict, Manado City. The research methodology is using descriptive analysis with doing survey . The research population is toddler 0 – 59 month with 80 toddlers as sample and the respondent is the toddler\u27s mother. Result: Based on anthropometer measurement with body mass indicator based on age, the results are 11 toddlers (13,5 %) with less nutrition status, 69 toddlers (86,5 %) with good nutrition status while toddle with bad nutrition status is nothing

Gambaran kandungan antibiotik pada sedimen kawasan pesisir teluk Manado

Introduction: Antibiotics are drugs that are often used to treat bacterial infections. Excessive use of antibiotics can lead to pollution if the residual waste from its use is not properly degraded. The residual waste that is not properly degraded will cause pollution to the environment where the antibiotic waste is released. Sometimes several sources of antibiotic usage do not have a good waste treatment system, some of which are hospitals. Hospitals must have a wastewater treatment system that is called Wastewater Treatment Plant (WWTP). A good WWTP function is to degrade all kinds of waste in the hospital, so that if it is released into the environment it will not cause harmful effects such as pollution. Sometimes there is some waste that does not go through a good waste treatment system, so it has the potential to cause pollution to the environment. Antibiotics that are not properly degraded can cause pollution to the area where the waste is disposed of, one of which is sediment in the coastal area. Aim: To determine the overview of antibiotic content in the sediments of the coastal area of Manado Bay. Method: This research is a quantitative-descriptive study. Result: It was found that there was antibiotic content in the sediment which was marked by bacteria in the sediment of the area that were resistant to several types of antibiotics.Conclusion: Based on the result, there is antibiotic content in the sediments of the coastal area of Manado Bay.Keywords: antibiotics, sediment, Manado Bay

Kualitas hidup dengan kualitas tidur remaja SMA Katolik Rex Mundi Manado di masa pandemi COVID-19

Background: Adolescent is a period of growth that is most unique since there are very large changes covering physical, psychological and social development. The growth and development of adolescents are influenced by the quality of life with physical activity. However, the COVID-19 epidemic has severely limited the physical activity of adolescents, which has an impact on their quality of life and growth.Objective: The general aim of this study was to discover the quality of adolescent life and physical activity during the pandemic and the specific objective was to find out an overview of the quality of life, physical dimensions, psychological dimensions, social dimensions, environmental dimensions in physical activity.Method: This study used descriptive research with a cross-sectional design and it also used the cluster random sampling technique and simple random sampling by distributing WHOQOL-BREF questionnaires and the Global School-based Student Health Survey (GSHS) through google form.Results: Based on the 91 samples, it indicated that the physical health dimension of students with light physical activity, most of the good quality of life was 37.4, the psychological dimension with moderate physical activity, most of the good quality of life was 29.7, the social dimension with the most moderate student activity was 31.9.Conclusion: Students of SMP Negeri 2 Manado had a good and moderate quality of life, while their physical activity was moderate in all dimensions.Keywords: quality of life, physical activity, adolescents, COVID-19.

Kajian kecenderungan diare di Kota Manado tahun 2015-2017

Background: Diarrhea is a disease with the main symptoms of increased dilution of stool / feces. Diarrhea can arise from a disorder that occurs in the intestinal tract. Diarrhea is the three most prominent diseases in North Sulawesi with the highest number of target discovery cases and the number of people with diarrhea in 2016 in Manado City.Aim: This research aimed to describe the tendency of diarrhea in the city of Manado. Method: This is a retrospective research with cross sectional design model and the data was taken from Health Profile Book of Manado City from 2015 - 2017.Result: Highest number of diarrhea per year is at Tuminting (2015), Kombos (2016), and Malalayang (2017) Health Centers and  the fewest at Bailang Health Center (2015 and 2016), Paniki Bawah (2017). The highest average coverage of services three years in a row is at Tongkeina Health Center and the lowest at Bailang Health Center. Conclusion: The number of findings of diarrhea cases in the Health Center in Manado from  2015 to 2017 has decreased. The average health coverage services of diare in Health Center at Manado city has not yet reached the discovery target (100%

Hubungan Antara Perilaku Masyarakat dengan Kejadian Malaria di Wilayah Kerja Puskesmas Tombatu Kabupaten Minahasa Tenggara

Malaria masih menjadi salah satu penyebab masalah kesehatan terlebih lagi di negara-negara tropis dan sub tropis. Tujuan penelitian : mengenalisa hubungan perilaku masyarakat dengan kejadian malaria di wilayah kerja Puskesmas Tombatu Minahasa Tenggara. Penelitian ini menggunakan pendekatan crossectional yaitu mencari hubungan antara perilaku masyarakat dengan kejadian malaria di wilayah kerja Puskesmas Tombatu Minahasa Tenggara. Populasi penelitian adalah masyarakat di empat desa Tombatu yaitu, Desa Betelen, Tombatu, Tombatu 3 Selatan dan Tombatu 3 Timur,  yang dipilih 100 orang untuk menjadi responden. Hasil : penelitian menunjukan bahwa masyarakat yang memiliki pengetahuan baik sebanyak 54 orang (54%) sedangkan yang berpengetahuan buruk terdapat 46 orang (46%), masyarakat yang memiliki sikap yang positif atau baik terhadap malaria terdapat 92 orang (92%) dan yang masih bersikap negatif atau buruk terhadap malaria sebanyak 8 orang (8%) dan untuk masyarakat yang memiliki tindakan baik terdapat 75 orang (75%) dan yang buruk 25 orang (25%). Kesimpulan : terdapat hubungan perilaku masyarakat dengan kejadian malaria di wilayah kerja Puskesmas Tombatu Kabupaten Minahasa Tenggara. Saran: perlunya sosialisasi kepada masyarakat untuk meningktkan pengetahuan akan malaria.Kata Kunci : Perilaku masyarakat, Kejadian malaria, Puskesmas Tombatu

IPTEKS penyuluhan tentang obesitas dan pengukuran indeks massa tubuh pada masyarakat Kelurahan Malendeng Kecamatan Paal 2 Kota Manado

Obesitas adalah suatu keadaan dimana adanya penimbunan lemak berlebih dari yang diperlukan fungsi tubuh normal. Obesitas merupakan suatu masalah medik yang prevalensinya semakin meningkat setiap tahun. Perbandingan yang normal antara lemak tubuh dan berat badan adalah sekitar 25-30 % pada wanita dan 18-23 % pada pria. Wanita dengan lemak tubuh lebih dari 30 % dan pria dengan lemak tubuh lebih dari 25 % dianggap mengalami obesitas. Masalah kegemukan dan obesitas di Indonesia terjadi pada semua kelompok umur dan pada semua strata ekonomi.Obesitas disebabkan oleh beberapa faktor, diantaranya pola makan berlebih, kurang berolahraga dan faktor lingkungan. Derajat obesitas ditentukan dengan pengukuran indeks massa tubuh. Kelurahan Malendeng kecamatan Paal 2 yang terletak di daerah perkotaan menarik untuk diamati karena obesitas biasanya terjadi di daerah perkotaan. Masalah mitra adalah kurangnya pengetahuan tentang obesitas dan bahayanya bagi kesehatan. Solusi yang ditawarkan adalah transfer ilmu pengetahuan mengenai obesitas dengan menggunakan metode penyuluhan dan kegiatan pengukuran indeks massa tubuh masyarakat kelurahan Malendeng

Pengaruh Dukungan Keluarga terhadap Kepatuhan Minum Obat pada Penderita Tuberkulosis di Puskesmas Motoboi Kecil Kota Kotamobagu

Tuberkulosis (TB) adalah penyakit infeksi menular yang disebabkan oleh bakteri Mycobacterium tuberculosis, yang dapat menyerang berbagai organ, terutama paru.Pengobatan TB dapat diberikan dalam 2 tahap, yaitu tahap intensif 2 bulan pengobatan dan tahap lanjutan 4-6 bulan berikutnya. Untuk mencapai keberhasilan pengobatan, bukan semata-mata menjadi tanggung jawab penderita, namun harus dilihat bagaimana faktor-faktor lain yang mempengaruhi perilaku penderita dalam melengkapi dan mematuhi pengobatannya.Ada beberapa faktor yang berhubungan dengan kepatuhan pengobatan yaitu faktor penderita individu, dukungan sosial, dukungan petugas kesehatan, dan dukungan keluarga. Tujuan penelitian ini untuk mengetahui pengaruh dukungan keluarga terhadap kepatuhan minum obat pada penderita tuberkulosis di Puskesmas Motoboi Kecil. Penelitian ini merupakan penelitian analitik yang dilakukan dengan caraCross Sectional. Sampel sebanyak 75 penderita Tuberkulosis.Penelitian dilaksanakan pada bulan September-Desember 2015 di Puskesmas Motoboi Kecil, Kecamatan Kotamobagu Selatan, Kota Kotamobagu.Pengambilan data dilakukan dengan mengadakan wawancara dengan responden melalui kuesioner.Pada penelitian didapatkan hubungan antara dukungan keluarga dengan kepatuhan minum obat anti-tuberkulosis.Kata Kunci :Dukungan keluarga, Kepatuhan, Tuberkulosi