Diabetes mellitus is a disease that will accompany a lifetime and require long term treatment so that it can reduce quality of life of the patients. This study aim to analyze the correlation between family support with the quality of life of patients with diabetes mellitus. This study was analytic observational with cross-sectional design. The population was all patients with diabetes mellitus who visited Tanah Kalikedinding Health Center in January to March 2014. Patients was diagnosed diabetes mellitus through laboratory test using blood serum venous plasma. The number of respondents was 45 respondents that were chosen using simple random sampling method. Variables studied were family support, respondent’s characteristics (age, gender, education level, income, marital status and employment status), duration of diabetes, diabetes complications and quality of life. The results of Chi-square test with continuity correction Fisher’s exact test showed that variables that were significantly correlated with the quality of life such as family support (p=0.000), education level (p=0.039), income (p=0.034), marital status (p=0.003) and diabetes complications (p=0.007). The results of Mantel- Haenszel test showed that all the studied variables were confounding the correlation between family support with the quality of life. Confounding variable that have the greatest contribution was diabetes complications. The conclusion is that family support is significantly correlated with the quality of life of patients with diabetes mellitus in Tanah Kalikedinding Health Center. Health centers are expected to carry out health promotion and health education programs for patients with diabetes mellitus and their families to improve the quality of life of the patients.Keywords: diabetes mellitus, quality of life, family support, diabetes complications, marital status

The prevalence and distribution of Hepatitis A in Indonesia had been increased over past few years. It resulted in the endemic status of Hepatitis A in Indonesia. The purpose of this research is to analyze the relationship between personal hygiene and Hepatitis A incidence in Jember. This study use a case-control design, with quantitative approach using primary data. Population of this study is student that has been randomize using simple random sampling for case group and purposive random sampling for control group. Respondents of this study is 15 for case group and 30 for control group. Idependent variable of this study is personal hygiene behaviour. Analysis are performed using Chi-Square test and Odd Ratio (CI = 95%). The study showed that majority case group have poor personal hygiene (53,3% respondents) and majority of control group have healthy personal hygiene (83,3% respondents). There is a significant relationship (p= 0,016) between personal hygiene with the incidence of Hepatitis A. Personal hygiene is the risk factor of Hepatitis A incidence, OR = 5,71 (95% CI: 1,17–29,88). The conclusion is there is a relationship between personal hygiene with Hepatitis A incidence. In order to increase awareness of personal hygiene to prevent Hepatitis A, is by using eating and drinking equipments proprietary, washing hands with soap before meals and after defecating, drinking boiled water and buy food in hygiene and sanitary food vendors.Keywords: Hepatitis A, personal hygiene, students, risk factor, case control

Nosocomial infections is still global public health problems. Along with the problems there are resistance bacterial problem to multiple classes of antibiotics, defined as multidrug resistance organisms (MDROs). Incidence rates of MDROs in ICU is higher than in other treatment unit. Rational antibiotic use and controlling the transmission of bacterial is important to avoid MDROs. The purpose of this study was to analyze Risk Differences of MDROs according to risk factors and hand hygiene compliance in ICU patients. This study used case control design with sample size was 20 patients for each case and control groups. Samples in cases group were patients infected by MDROs in ICU, while the samples in control group were patients in ICU didn’t infected by MDROs. The independent variable are long term use of antibiotic, length of stay, the use of ventilator, and hand hygiene compliance by health worker. Analyze data used OR (Odds Ratio) and RD (Risk Difference). The conclusion was that Risk Difference of MDROs infection by long term use of antibiotics (OR 10.23 95% CI 1.12 < OR < 93.35; RD = 0.47), length of stay (OR 7.36 95% CI 1.34<OR<40.55; RD = 0.44), the use of ventilator devices (OR 9.00 95% CI 1.64 < OR < 49.45; RD = 0.48) and hand hygiene compliance (OR 6.00 95% CI 1.46 < OR < 24.69; RD = 0.42). The conclusion was that maintaining hygiene before medical treatment, environment and health workers body should be implemented so can’t became a media for bacterial MDROs growth.Keywords: antibiotic,ventilator, length of stay, hand hygiene, MDROs

Coronary heart disease is one of cardiovascular disease dan being number one of mortalitycause in world. Coronay heart disease is begun with atherosclerosis. Atherosclerosis is process ofaccumulation of cholesterol in wall of heart’s blodd vessels that causes stenosis (obstruction). Thesedays coronary heart disease attacked productive people. Some risk factors of coronary heart diseaseare smoking habit, physical inactivity, hypertension, intake of unhealthy food, and stress. The aims ofthis research was to analyse modifi able risk factors of coronary heart disease in productive age thatconsists of smoking habit, physical inactivity, and stress. This study was an analytical study that usedcross sectional design conducted at cardiology clinic RSU Haji Surabaya at March-May 2016. Thepopulation in this study were all patients of cardiology clinic in RSU Haji Surabaya with 91 patientsas samples. The data described that there were no signifi cant correlation between smoking habit (p =0,22), physical inactivity (p = 0,79), dan stress (p = 0,06) with the incident of coronary heart diseasein productive age, and there was signifi cant correlation between passive smoker status with correlationof coronary heart disease in productive age (p = 0,01). The conclusion are there were no signifi cantcorrelation between smoking habit, physical inactivity, and stress with incident of coronary heart diseasein productive age, and there was signifi cant correlation between passive smoker status with incident ofcoronary heart disease in productive age.Keywords: risk factors, coronary heart disease, productive age

The prevalence and distribution of Hepatitis A in Indonesia had been increased over past few years. It resulted in the endemic status of Hepatitis A in Indonesia. The purpose of this research is to analyze the relationship between personal hygiene and Hepatitis A incidence in Jember. This study use a case-control design, with quantitative approach using primary data. Population of this study is student that has been randomize using simple random sampling for case group and purposive random sampling for control group. Respondents of this study is 15 for case group and 30 for control group. Idependent variable of this study is personal hygiene behaviour. Analysis are performed using Chi-Square test and Odd Ratio (CI = 95%). The study showed that majority case group have poor personal hygiene (53,3% respondents) and majority of control group have healthy personal hygiene (83,3% respondents). There is a significant relationship (p= 0,016) between personal hygiene with the incidence of Hepatitis A. Personal hygiene is the risk factor of Hepatitis A incidence, OR = 5,71 (95% CI: 1,17–29,88). The conclusion is there is a relationship between personal hygiene with Hepatitis A incidence. In order to increase awareness of personal hygiene to prevent Hepatitis A, is by using eating and drinking equipments proprietary, washing hands with soap before meals and after defecating, drinking boiled water and buy food in hygiene and sanitary food vendors.Keywords: Hepatitis A, personal hygiene, students, risk factor, case control