Background: Indonesia is in the second rank for the most TB (Tuberculosis) cases in the world after India. It is estimated that there are 1 million cases per year in Indonesia. Objective: The objective of the research was to find out the influence of Vitamin A supplementation in the medication of pulmonary TB on the acceleration of sputum conversion time at intensive phase in the Working Area of Puskesmas in Medan Kota Subdistrict. Methods: This research applied clinical testing design with experimental approach and Experimental Quasi method. The samples were 30 newly diagnosed pulmonary TB patients consisting of15 patients in the treatment group and 15 patients in the control group. They were ³18 years old, regularly consumed category I OAT with BMI ³18.5. The statistical data were analyzed by Mann-Whitney statistical testing at reliability rate 95% (p<0.05). Result: The results of the research on the treatment group discovered that they were mostly 18-27 years old 40.0%, male 73.3%, mostly university students 26.7%, had BTA conversion in the second week 80.0%; and the sputum conversion time was 2.4 weeks in average. The results of the research on the control group demonstrated that they were mostly 18-27 years old 33.3%, male 80.0%, mostly university students and entrepreneurs 20.0%, had BTA conversion in the second week 80%; and the sputum conversion time was 4.1 weeks in average. Vitamin A supplementation in the medication of pulmonary TB patients had some influence on the acceleration of sputum conversion at intensive phase (p= <0.001) < (alpha = 0.05). Conclusion: Vitamin A supplementation in the medication of pulmonary TB patients had some influence on the acceleration of sputum conversion at intensive phase in the Working Area of Puskesmas in Medan Kota Subdistrict
BACKGROUND: Indonesia is in the second rank for the most TB (Tuberculosis) cases in the world after India. It is estimated that there are 1 million cases per year in Indonesia. AIM: To find out the influence of Vitamin A supplementation in the medication of pulmonary TB on the acceleration of sputum conversion time at an intensive phase in the Working Area of Puskesmas in Medan Kota Subdistrict METHODS: This research was Quasi Experiment method. With two groups. The samples were 30 newly diagnosed pulmonary TB patients consisting of of15 patients in the treatment group and 15 patients in the control group. The statistical data were analysed with t independent test, significance 95% (p < 0.05) RESULTS: The treatment group discovered that they were mostly 18-27 years old 40.0%, male 73.3%, mostly university students 26.7%, had BTA conversion in the second week 80.0%; and the sputum conversion time was 2.4 weeks in average. The results of the research on the control group demonstrated that they were mostly 18-27 years old 33.3%, male 80.0%, mostly university students and entrepreneurs 20.0%, had BTA conversion in the second week 80%; and the sputum conversion time was 4.1 weeks in average. Vitamin A supplementation in the medication of pulmonary TB patients had some influence on the acceleration of sputum conversion at the intensive phase (p ≤ 0.001). CONCLUSION: We concluded that Vitamin A in the medication of pulmonary TB patients had some influence on the acceleration of sputum conversion at the intensive phase in the Medan Kota.
Tineapedis is not a life-threatening disease, its clinical form can last for years without significant complaints, but tineapedis can be a big problem if secondary infection (bacterial infection) has appeared with symptoms ranging from mild (rash - red rash that is sore) to more severe such as pain and fever. The itching that is caused every day because of tineapedis can also interfere with a person's activities or work so that it will reduce the quality of his life. In Indonesia, during 2000-2004, the prevalence increased by 14.4%. In Indonesia, based on data from reports in all hospitals in 2010, there were 122,076 new cases of skin infections in which tineapedis was included. Apart from wearing closed shoes for a long time, increased humidity due to sweating, mechanical rupture of the skin, level of personal hygiene, and exposure to fungi are risk factors that cause tineapedis. The purpose of this study was to analyze the relationship between hygiene risk factors and the incidence of tineapedis. This research is a type of analytic research using a literature review system by using comparisons and equations between several journals that have been selected. From the six journals that have been collected and analyzed, it can be concluded that the hygiene factor is the main risk factor for the occurrence of TineaPedis. For the journal AstritNapitupulu which contradicts other journals which states that hygiene factors do not affect the incidence of tineapedis where the effect is the use of antiseptic soap. Meanwhile, for the journal KaruniaPratama, Rustika, FadlilaMuhtadin, HeruLaksono, SantriadiHadi stated that the hygiene factor is the factor that causes tineapedis which consists of washing feet, changing socks and shoes which are the specific objectives of this thesis. The main cause of tineapedis is Trycophyton Rubrum. There is a relationship between risk factors for hygiene and the incidence of tineapedis.
Dengue infection is a public health problem in Indonesia in general and North Sumatra in particular, where the cases tend to increase and spread more widely and have the potential to cause outbreaks. Platelets and hematocrit are important parameters in the management of patients with dengue infection. To determine the relationship between platelets counts and hematocrit with the severity of dengue infection, a literature review was conducted by comparing several related journals. The research method used was a Literature Review, using secondary data. Data were collected using documentation techniques. The research journals used were five journals with inclusion criteria for the publicaton date of the last five years, the language used was Indonesian, with the research subjects of patients with a diagnosis of dengue hemorrhagic fever and full text publication. There is a significant relationship between the plateled count and the hemtocrit value with the severity of the dengue infection patients, but there is dengue hemorrhagic fever patients.
Community Service (PkM) is carried out by the Faculty of Medicine Universitas Methodist Indonesia by providing counselling the effect of HIV Infections and AIDS. PkM was held on 8-11 June 2022 at Lumban Pea Timur, Balige,Toba District, North Sumatera. The method used is to provide counselling/lectures and provide motivation, then followed by question and answer to obtain results and solutions as a form of problem’s solving and obstacles faced. The results of PkM with counselling are very effective considering that there are still many people who do not get information about HIV infections and AIDS. With this counselling, the public becomes aware of the HIV_AIDS Infections problem. Thus, it is hoped that the people of Lumban Pea Timur will aware and know how to prevent their community from HIV-AIDS Infections.
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