Abstrak Puskesmas merupakan Fasilitas Kesehatan Tingkat Pertama yang berfungsi menjaga kesinambungan pelayanan kesehatan secara paripurna. Hingga saat ini penyakit tidak menular yang masih merupakan tantangan besar di Puskesmas dalam menurunkan angka morbiditas hipertensi adalah adalah tatalaksana hipertensi salah satunya adalah tingkat kepatuhan mengkonsumsi obat antihipertensi bagi penderita masih sangat rendah. Penelitian ini bertujuan untuk menganalisis determinan kepatuhan pasien menjalani pengobatan hipertensi dan pengaruhnya terhadap kendali tekanan darah pasien hipertensi. Metode penelitian observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan di kota Palembang pada bulan Agustus sampai Oktober 2017. Sampel adalah pasien yang berobat ke Puskesmas Karyajaya, Kenten, Plaju, Sei Baung, dan Kampus. Sampel yang memenuhi kriteria inklusi sebanyak 90 pasien. Analisis data dengan analisis univariat dan bivariat dengan Chi Square Test. Determinan yang berpengaruh terhadap kepatuhan pasien hipertensi dalam mengkonsumsi obat adalah lama menderita hipertensi: POR: 0,11, nilai p =0,04 (CI 95% 0,02-0,52).Determinan jenis kelamin, usia, tingkat pendidikan, jenis pekerjaan, Indeks Massa Tubuh, keikutansertaan BPJS, dan riwayat hipertensi dalam keluarga tidak berpengaruh secara signifikan terhadap kepatuhan berobat pasien hipertensi. Kepatuhan pasien dalam menjalani pengobatan hipertensi juga merupakan determinan yang berpengaruh terhadap kendali tekanan darah responden. Keberhasilan terapi hipertensi di tingkat pelayanan pertama bisa meningkat, maka disarankan bagi tenaga kesehatan memperhatikan lama atau riwayat menderita hipertensi pasien dalam memberikan pelayanan. Abstract Puskesmas is a First Level Health Facility Until now, the management of non-communicable diseases which is still a big challenge in Puskesmas is hypertension. One effort that can be done to reduce the morbidity rate of hypertension is the consumption of antihypertensive, but still few patients who adhere to this treatment.This study aims to analyze the determinants of adherence in patients undergoing treatment of hypertension and how it affects blood pressure control of hypertensive patients. This research is an observational analytic research with cross sectional approach. This research was conducted in Palembang city from August to October 2017. The samples were patients who went to Puskesmas Karyajaya, Kenten, Plaju, Sei Baung, and Campus which fulfilled the inclusion criteria with a total sample of 90 patients. Data analysis in this research was univariate and bivariate analysis with Chi Square Test. Determinant which influence to adherence in this research was duration of hypertension with POR 0,11 with CI 95% 0,02-0,52 (p value = 0,04). While other determinants of gender, age, education level, occupation, Body Mass Index, BPJS participation, and family history of hypertension have no significant effect on hypertension patient’s treatment compliance. Compliance of patients in undergoing treatment of hypertension is also a determinant that affects the control of blood pressure of respondents. The determinants that affect the adherence in this study are duration of hypertension, thus health workers at first-level facility is very necessary attention to a history of hypertension patients in order to improve therapeutic efficacy.

Background: Coronavirus Disease 2019 (COVID-19) is a pandemic that may complicate the active detection of Tuberculosis (TB) and increase the mortality rate. This pushes for more effective and efficient case finding to mitigate the possible growing number of TB mortality.Objective: The purpose of this research was to identify TB among workers and to analyze the correlation between human, environmental, behavioral, and economic factors with TB findings among workers during the COVID-19 period.Methods: This research employed a case-control method conducted from January to December 2020. In total, 120 employees were included in this research. The employees were divided into two groups, sixty workers were involved in the TB case group, and another sixty workers were in the control group. We reported TB patients from several Public Health Center (Puskesmas) in each regency of South Sumatera, Indonesia. Sputum testing was performed by the rapid molecular tests (GeneXpert) and Ziehl-Neelsen to confirm the diagnosis of TB infection. We performed a Chi-square analysis to analyze factors that can influence TB cases.Results: In comparison to the control group, we found the association of age, body mass index, occupation, and sun exposure to the incidence of active TB cases (p0.05).Conclusion: Since statistically significant differences between the two groups have been identified, the incidence of TB in workers might be affected by age, occupation, BMI, and exposure to sunlight. Associated significant variables can be integrated into the TB control program for better case-finding practice to recognize concealed burdens of TB that are overlooked due to COVID-19. This research was funded by Sainteks Sriwijaya University 2020.

Penelitian terbaru menunjukkan peningkatan kejadian kelainan kongenital pada sistem urogenital yang menduduki urutan terbanyak kedua dalam suatu populasi. Penyebabnya bersifat multifaktorial. Penelitian ini bertujuan untuk mengetahui karakteristik penderita kelainan kongenital pada sistem urogenital. Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional. Populasi penelitian adalah rekam medik dari pasien kelainan kongenital pada sistem urogenital.Distribusi karakteristik pasien terbanyak adalah kelompok usia 6-11 tahun (36%), laki-laki (90%), berat badan lahir normal (81%), usia gestasi normal (84%) dan tanpa riwayat keluarga dengan kelainan kongenital (99%). Distribusi karakteristik ibu terbanyak adalah usia hamil 25-35 tahun (50%), paritas 0 (54%), indeks massa tubuh pra-hamil normal (72%), tanpa riwayat consanguinity (100%), tidak ada riwayat penyakit sebelum dan atau selama kehamilan (95%), riwayat paparan rokok (98%), dan pekerjaan sebagai ibu rumah tangga (57%). Distribusi karakteristik ayah terbanyak adalah riwayat terpapar rokok (100%) dan pekerjaan petani (29%). Karakteristik pasien terbanyak meliputi: usia pasien saat operasi adalah 6-11 tahun, laki-laki, berat badan lahir normal, usia gestasi normal dan tidak ada riwayat keluarga. Karakteristik ibu terbanyak meliputi: usia ibu hamil 25-35 tahun, nulipara, indeks massa tubuh pra-hamil normal, tidak ada riwayat consanguinity, tidak menderita penyakit sebelum dan atau selama kehamilan, terpapar rokok dan bekerja sebagai ibu rumah tangga. Karakteristik ayah terbanyak meliputi: pernah terpapar rokok dan bekerja sebagai petani.

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Medical students in clinical rotation level have been developed comprehension and implementation of empathy, considering that they have already dealt with patients in the first hand, whereas professionalism and ethics are two main competences as a physician. This study aims to discuss and investigates determinants of medical students’ empathy towards their patients during clinical rotation in the hospital. A qualitative study with phenomenology approach using focus group discussion (FGD) was accompanied with an open-ended questionnaire to serve as preliminary data and basis of FGD topic guidelines involved fourth and fifth grade medical students that has to pass one and/or two of these stages out of the 15 stages in clinical rotation. As much 191 students participated of the written questionnaire and 28 students agree upon voluntarily joining the FGD, which is held with a snowball sampling approach and finishes in five batches. The three main determinants are: i) Internal factors: knowledge about the importance of empathy, direct experience, personality, motivation, mood (emotion), and personal experience; ii) Patient’s and patient’s family factors: patient’s attitudes, patient’s family’s attitudes, patient’s socioeconomic status, patient's illness type and severity; and iii) Environment factors: burnout, satisfaction or appreciation in the job, work environment, and role models. Many factors influence medical students in expressing and implementing empathy as they are taught to do to their patients. Medical school as an institution responsible for upholding the professionalism and ethical standard can help to create more suitable environment for the students to ensure maximum learning experience.