Introduction: The spread of Covid19 could be prevented by breaking the chain of transmission through the practice of wearing a mask while going outside or being in a crowd, washing hands using hand soap under running water, and doing physical distancing (3M). The difference in information distribution and access about Covid19 between rural and urban citizens connected to the awareness of doing 3M. This research aims to analyze the correlation between awareness and practicing wearing masks, washing hands, and physical distancing within rural and urban citizens. Methods: Data was collected using mixed-method survey, was done both online and offline to reach respondents from several provinces in Indonesia. Data retrieval was done using a questionnaire, and there were 2,196 people participated as respondents. Results and Discussion: Logistic regression analysis showed that age (p = 0.042; OR = 1.117), sex (p = 0.000; OR = 0.377), living area (p = 0.000; OR = 2.291), and knowledge (p = 0,000; OR = 1,450) have the significant relation with respondents' awareness of doing 3M. The age group of 27-36 years old, female, and well-knowledged respondents has a higher awareness of doing 3M than other groups. Rural citizens with a good awareness of doing 3M (87.78%) are bigger than urban citizens (76.02%). Conclusion: The good awareness of rural citizens has shown that both area's citizens already had the equality of information access, especially about Covid19 prevention and the government's policy and programs to reduce the spread of Covid199
Hipertensi merupakan salah satu penyakit tidak menular yang menjadi masalah kesehatan penting di seluruh dunia karena prevalensinya yang tinggi. Lansia beresiko tinggi terhadap penyakit degeneratif yaitu hipertensi. Penelitian ini bertujuan untuk menganalisis pengaruh aktifitas fisik dan obesitas dengan kejadian hipertensi pada lansia di Puskesmas Klampis Ngasem Kota Surabaya. Desain penelitian ini menggnakan pendekatan case control. Populasi sebesar 106 lansia. Besar sampel yang diambil yaitu 84 lansia dengan 42 kelompok kasus dan 42 kelompok control. Teknik sampling yang digunakan simple random sampling. Analisis multivariat yang digunakan dalam penelitian ini adalah regresi logistik. Hasil penelitian menunjukkan bahwa lansia yang memiliki aktivitas fisik yang kurang berisiko 16,562 kali lebih besar untuk mengalami kejadian hipertensi dengan p-value 0,002 < 0,05 (aOR = 16,562; 95%CI = 2,765-99,198). Lansia dengan status obesitas (IMT ≥ 25,00 kg/m2) berisiko 3,595 kali lebih besar untuk mengalami kejadian hipertensi dibanding dengan lansia tidak obesitas, dimana p-value 0,042 < 0,05(aOR = 3,595 95%CI = 1,049-12,316). Simpulan pada penelitian ini yaitu aktivitas fisik kurang dan obesitas menjadi faktor risiko kejadian hipertensi pada lansia. Diharapkan lansia untuk rutin melakukan pemeriksaan kesehatan di pelayanan kesehatan agar tekanan darah tetap terkontrol, serta diharapkan agar meningkatkan gaya hidup sehat seperti menjaga berat badan yang ideal, dan melakukan aktivitas fisik yang cukup.
Diabetes melitus tipe 2 ditandai oleh gangguan metabolik yaitu adanya penurunan respon jaringan periferal dalam merespon insulin. Kerusakan pada jaringan periferal diduga akibat dari adanya peningkatan radikal bebas didalam tubuh, yang merusak reseptor insulin atau transporter glukosa yang terdapat pada membran sel. Penelitian ini bertujuan untuk menganalisis dampak pemberian antioksidan yang berasal dari ekstrak kelopak rosella terhadap penurunan glukosa darah tikus diabetes mellitus. Jenis penelitian eksperimental laboratorium. Metode yang dipakai (1) Pembuatan ekstrak kelopak rosella (2) Perlakuan pada tikus dengan ekstrak kelopak rosella pada kelompok perlakuan dengan dosis I (195 mg/200 g BB), dan dosis II (260 mg/200 g BB). Dosis pemberian diabetes mellitus 33 mg/200 g BB. Tikus menjadi 4 kelompok dengan cara random sampling yaitu kontrol negatif, kontrol positif, perlakuan pertama, dan kedua (3) Pengukuran kadar glukosa darah menggunakan blood glucose test meter. Data dianalisis Kruskal Wallis dan untuk melihat perbedaan tiap kelompok digunakan uji Mann-Whitney. Hasil penelitian menunjukkan ekstrak kelopak rosella dosis 260 mg/200 g BB berbeda nyata dengan kontrol positif nilai signifikansi p = 0,006 (p < 0,05). Ekstrak kelopak rosella dosis 195 mg/200 g BB tidak berbeda nyata dengan kontrol negatif nilai signifikansi p = 0,378 (p > 0,05). Kesimpulan pemberian ekstrak kelopak rosella mengandung antioksidan mampu menurunkan kadar glukosa darah tikus diabetes mellitus dan ekstrak kelopak rosella dosis 260 g/200 g BB lebih efektif.
This study aimed to analyze water quality and control water pollution in the Pucang River in Sidoarjo Regency. The method was used to identify water quality of the 11 parameters and compared them the Government Regulation number 22 of 2021 about water quality standards in Indonesia. Secondary data from 2018 to 2020 were used in this study. Determination of water quality status using the pollution indices method attached in Decree of the State Minister of the Environment number 115 of 2003.Analysis of water pollution control strategies using strengths, weaknesses, opportunities, and threats approach. The condition of the water quality of the Pucang River in 2018-2020, based on the water pollution parameter test, experienced a decrease in the rate indicated by the presence of parameters that exceeded the quality standard. Determination of the quality status of water quality in 2018-2020, there was an increase in water quality marked by the rise in the pollution indices value where the water quality was moderately polluted heavily polluted. The conclusion is that the water quality of the Pucang River in 2018-2020 has decreased from the moderately polluted category to the heavily polluted, and the condition of river water cannot be used for its designation.
BACKGROUND: Tuberculosis is still the primary infectious disease in the world due to HIV/AIDS. In the 2015-2019 strategic plan of the Ministry of Health, infectious diseases are one of the main priorities that must create a Healthy Indonesia. The prevalence rate of pulmonary tuberculosis cases in Indonesia is 539,000 new cases each year, with the number of deaths around 101,000 per year. Acid Fast Bacilli (AFB) (+) incidence rate is around 110/ 100,000 population. AIM: This study aimed to identify the influencing factors and efforts to overcome pulmonary tuberculosis disease. MATERIALS AND METHODS: The research method was carried out by tracing the research reports/articles related to pulmonary tuberculosis incidence as many as 38 selected articles. RESULT: Factors that influence tuberculosis infection incidence include age, income level (socioeconomic), housing conditions, the behavior of opening windows every morning, smoking, and a history of contact with tuberculosis patients. There are various countermeasures undertaken to overcome pulmonary tuberculosis, one of which uses a tissue model. This model involves many stakeholders whose duty is to provide knowledge and record the number of sufferers. The stages of action to control tuberculosis include discovery, treatment, and surveillance. CONCLUSION: Facts in the field show that several factors can affect the success of implementing pulmonary tuberculosis control. Therefore, it is necessary to participate in all society components and involve other agencies beyond the health agency so the reduction in the incidence of pulmonary tuberculosis can be appropriately realized.
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