Majene Regency has the second highest prevalence of stunting in West Sulawesi by having the highest number of cases found in the village of Rangas. Due to these reasons, it is necessary to research the determinants of stunting, so the studies are expected to provide input to the Majene district government in conducting interventions related to stunting. A case-control study design was used. The subjects were the children aged 12-59 months who lived in the Rangas Village which the children under five years diagnosed stunting based on measurements from the Nutrition Executors (NE) of the Public Health Center. Meanwhile, the controls were children under five years who had not been diagnosed stunting based on measurements from the Nutrition Executors (NE) of the Public Health Center. The samples were 72 respondents with a ratio of 1:1, and the under-five children's mothers as the research respondents. Purposive sampling was used. The stunting data was obtained from the health office, while the identity of the respondents, the characteristics of the mothers, and the characteristics of the children under five years were carried out directly by interview using a questionnaire and strengthened by Mother and Child Health (MCH) Book. Data analysis used the chi-Square test and multiple logistic regression tests. Multivariate analysis results showed that the incidence of stunting was influenced by several factors, including parity (OR=30.40; 95%CI: 3.86-239.43), Maternal Mid-Upper Arm Circumference (MUAC) history < 23.5 cm during pregnancy (OR=2.41; 95%CI: 1.04-5.56) and not exclusive breastfeeding (OR=3.21; 95%CI: 1.29-7.94). The conclusion of this study is parity, a history of maternal MUAC during pregnancy, and not exclusive breastfeeding are risk factors for stunting in children under five years in Banggai District. Therefore, it is necessary to improvement of health promotion strategy for pregnant women by maximizing the first 1000 days of life and campaign two healthy children needs to be maximized.
Introduction: Liver Transplantation is one of the therapies that increases every year because it contributes to the improvement of patient survival. However, healing or control of the disease is often not accompanied by a full recovery of quality of life (QoL). This study aimed to reviews analyze various of the quality of life of patients Liver Transplantation. Methods: Ten articles were selected based on the articles which published which using the Model for End-stage Liver Disease (MELD), Short Form-36 (SF-36) Health Survey, NIDDK Liver Transplantation QoL survey, and European Organisation for Research and Treatment of Cancer QoL Questionnaire (5 studies) in measuring the quality of life of patients after transplantation. The collection of indicator in each article was used to see the factors that significantly influence the quality of life of patients. Results: The results showed the quality of life of patients based on all analysis have improved after transplantation Liver. The global health, physical, emotional, cognitive, role and social function improved after transplantation. Indicator of financial difficulties also showed decrease after transplantation. Conclusions: At the start of the year there were changes that improved after the transplant. However, in the long term, the quality of life of people with liver disease will decline, especially they often experience fatigue and physical weakness. So that there needs to be exercises that can be used so that the quality of life for people with liver after transplantation is getting better.
Pneumonia is one of the deadliest diseases for children under five years-old throughout the world. In Indonesia, pneumonia is the second deadliest disease after diarrhea. In 2015-2016, the Coverage of pneumonia case detection on children under five years-old increased from 22.33% to 36.06% but it had not achieved the detection target (>85%). A program evaluation needs to conduct, consequently. The evaluation aims to observe the implementation of pneumonia investigation program on children under five years-old in Sleman in 2016. The evaluation used a descriptive design performed in June-July 2017. The research subject was the program of Upper Respiratory Infection (ISPA, Infeksi Saluran Pernapasan Akut) implemented in community health centers (puskesmas, pusat kesehatan masyarakat). Twenty respondents as the sample were chosen by using the purposive sampling technique. The surveillance evaluation employed the input, activities, and output. The instruments were structural questionnaires and checklist sheets. The analysis result was presented in forms of tabulation and narration. From the input facet, 100% respondents have not had any special trainings related to pneumonia. 55% respondents have interlocking jobs with the longest service time of three years or more (75%). 70% respondents are able to show ARI Soundtimer. There are only 10% respondents holding the media of communication, information, and education (KIE, Komunikasi, Informasi, dan Edukasi) in forms of flipchart and leaflet; while 100% respondents admit that they have no stamp seal of URI. The proses facet displays that 100% respondents do not arrange any plan. The case investigation is only passive (100%). 80% respondents do socialization of case management and only 15% respondents perform a home visit. 100% respondents have not held trainings for responsible people, alert villages, and private midwives. From the output facet, the scope of case investigation is still low (36.06%).The implementation of pneumonia case investigation program on children under five years-old has been well executed but there are still weaknesses. Hence, public health offices (dinas kesehatan) should improve their human resources by arran ging a training program, equalize the use of breath counting tool and make MoU with all health services to report pneumonia cases. Community health centers are recommended to arrange plans, actively attempt to discover pneumonia cases, and train the responsible people, centers for pre-and postnatal health care (posyandu, pos pelayanan terpadu), or midwives related to the subject of pneumonia.
Introduction: Primary biliary cirhrosis (PBC) and primary sclerosing cholangitis (PSC) are part of the family of cholestatic liver disease. Therapies or transplantation are using increase and make improvement of patient survival. However, healing or control of the disease is often not accompanied by a full recovery of quality of life (QoL). This study aimed to reviews analyze various of the QoL of patients PBC and PSC. Methods: This study used journal which published from 2001 to 2020. Ten articles were selected based on the articles using the Short Form Health Survey 36 (SF-36) in measuring the QoL of patients. The collection of mean score for result SF-36 indicator in each article was used to see the factors that significantly influence the QoL of patients. Results: The results showed there were 8 indicators that showed the QoL of patients based on SF-36. The Bodily Pain, Mental health, Role Emotion, and Social have a high value was marked by the mean score of patients' satisfaction of QoL over 70. The mean score of General Health, Physical Health, Role Physical and vitality is marked lower in all which are indicated by the mean score of patient satisfaction between 40 and 65. Conclusions: The mean of two summary scores of SF-36 show that Physical Component Summary (PCS) is lower than Mental Component Score (MCS). The doctors and medical personnel must take quick action to improve the QoL in the form of physical recovery.
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