BackgroundAccording to the Global Tuberculosis Report 2015, Indonesia ranked as second country in the world with the highest number of pulmonary tuberculosis cases. By 2015, the number of pulmonary TB new cases in Indonesia has increased to 330.910 cases of 2014 where 324.539 cases. DM is one of the most important factors that influence the occurrence worsening TB. Now is known that DM patients have body's immune response disorder thereby facilitating M. tuberculosis infection and causing TB.MethodThis research is cross sectional design. The sample in this research are adult pulmonary TB patients at General Hospital Grade C period October 1, 2013–March 31, 2016 as much as 225 patients.ResultAFB smear results in patients with type 2 DM with smear 3 + was 14 (17.28%), 2 + was 15 (18.52%), 1 + was 15 (18.52%) and negative (−) was 37 (45.68%). AFB smear results in patients without type 2 DM with smear 3 + was 3 (2.08%), 2 + was 6 (4.17%), 1 + was 19 (13.19%), negative (−) was 112 (77.78%) and have no sputum was 4 (2.78%). Number of adult pulmonary TB patients were 225 patients. Of the 225 patients, found 81 patients with type 2 DM and 144 patients without type 2 DM.ConclusionAFB smear positive found more in adult pulmonary TB patients with type 2 DM compared to TB patient without type 2 DM. It also found statistically significant between type 2 DM with the AFB smear results on adult pulmonary TB patients.
Ecotourism is a form of tourism that is closely linked to the principle of conservation. Thus, ecotourism is right and beneficial in maintaining the integrity and authenticity of ecosystems in natural areas, particularly turtle conservation areas. Ecotourism is synergized to turtle conservation as it has such features: (1) Conservation, the use of biodiversity does not damage the natural source, also it does not cause negative impact whereas it is very environmentally friendly, (2) Education, by improving community’s awareness and changing their behavior about the need for conservation of living natural resources and their conservation, (3) Economy, ecotourism provides economic benefits and spur regional development; and (4) Active role of community, this is done by building partnership with local communities for the development of ecotourism. Based on the issues, “IbW Conservation and Ecotourism Ngadirojo District Pacitan Region” was done by (1) Making a model of tourism activities that is environmentally, ecologically, socially, and economically beneficial to local communities and to the sustainability of natural resources, (2) Assessing the object of tourist attraction in flora and fauna conservation areas, in this case sea turtles and their ecosystems, so that can synergize with ecotourism activities, and (3) Making a model of local community-based tourist institution. The method implemented to achieve the objectives was “Community Empowerment through Ecotourism” which is described as follow: (1) Land Conservation, value and travel product, (2) Creation of an ecotourism atmosphere that all people who live in the area will gain the benefit, (3) The development of tourism activities that carry the excellence of the physical, economic, socio-cultural aspects of the local, (4) The solid image of ecotourism activities in the region that is supported by the readiness of all stakeholders, and (5) Integration of turtle theme conservation and ecotourism area with other supporting tourism products in the Regency. Pacitan Construction of facilities that have been carried out are: (1) developing the forest of eternity, (2) ecological restoration of coastal forests, (3) making sea water wells for turtle ponds, (4) nursery of coastal forest vegetation, (5) construction of marine biota ponds and sanitation facilities, (6) construction of shelters and gazebos, (7) construction of parking lot, and (8) widening of the ecotourism ring road. The next stage plans are: (1) ecotourism community empowerment, (2) strengthening the ecotourism area, and (3) revitalization of marine biota ponds.
AbstrakEpilepsi merupakan suatu kondisi kronis yang disebabkan oleh gangguan fungsi otak. Keadaan ini merupakan penyulit yang biasa ditemukan pada berbagai gangguan neurologis seperti kelumpuhan otak (cerebral palsy: CP) yang dapat mengakibatkan kerusakan otak lebih lanjut, terutama apabila disertai dengan serangan kejang yang berlangsung lama. Insidens epilepsi pada penyandang CP berkisar antara 25 -35%. Insidens epilepsi yang sering pada pasien penyandang CP menunjukkan bahwa kedua kelainan tersebut agaknya mempunyai penyebab yang sama atau saling berhubungan. Kami melaksanakan suatu studi retrospektif untuk menentukan apakah insidens epilepsi berbeda tergantung pada tipe CP. Data diambil dari rekam medik, meliputi: nama, jenis kelamin, paritas, usia ibu, penatalaksanaan pra, peri dan pasca lahir serta hasil rekaman EEG. Pengolahan data menggunakan uji statistik X 2 pada P < 0,05. Didapatkan di antara 67 kasus dengan CP, 53 bertipe CP spastik, 13 kasus campuran dan 1 CP diskinetik. Lelaki 47,8%, Perempuan 52,2% dengan usia rerata 50,3 (SD 36,3) bulan. Pada 25 pasien dengan CP yang berhubungan dengan epilepsi ditemukan 72% dengan kejang umum, 20% dengan kejang parsial, dan 8% dengan spasme infantil. Insidens epilepsi ternyata menunjukkan perbedaan yang bermakna (P < 0,05) tergantung tipe CP dan usia kehamilan saat pasien dilahirkan. Disimpulkan bahwa insidens epilepsi pada pasien penyandang CP di YPAC medan ialah 37,3%, dan terdapat perbedaan bermakna sesuai tipe CP dan usia kehamilan saat pasien dilahirkan. AbstractEpilepsy is a chronic condition due to cerebral function disorders. Epilepsy occurs as a common complication of many neurological disorders such as cerebral palsy (CP) that can cause further brain damage if especially they are accompanied with prolonged seizure. The incidence of epilepsy among patients with CP varies, 25-35%. The high incidence of epilepsy among patients with CP suggests that these disorders has common or related origins. We carried out a retrospective study to determine the incidence of epilepsy among patients with CP registered July 1988 to June 1998 in YPAC Medan and to determine whether the incidence of epilepsy was different according to type of CP. Data was compiled from medical records, including name, sex, parity, mothers age, prenatal, perinatal, and postnatal history, and EEG resuts. Data were analysed using statistical computer program and its significance was evaluated by chi square test at p < 0.05. There were 67 cases with CP, 53 cases spastic CP, 13 cases mixed CP and one case dyskinetic CP. Of the 67 cases CP, 47.8% were male, 52.2% female with the mean age of 50.3 (SD 36.9) months. There were 25 (37.3%) patients CP associated with epilepsy, 72% general seizures, 20% partial seizures, and 8% infantile spasm. The incidence of epilepsy was significantly different among patients with CP associated with the type of CP and gestational age, p < 0.05. We concluded that the incidence of epilepsy among patient with CP in YPAC Medan was 37.3% and showed significant difference i...
Desa Tawangargo merupakan salah satu Desa Perbatasan di wilayah Kabupaten Malang dan Kota Batu,Secara geografis Desa Tawangargo secara tidak langsung pola hidup dan cara pandang masyarakat lebih tertuju pada pola hidup masyarakat kota, namun demikian adat istiadat serta dinamika masyarakat masih sifat kegotong royongan masih sangat tinggi.Sehingga secara umum masyarakat merasa ikut memiliki, memikirkan bagaiman Desanya menjadi berkembang,maju dan madiri menjadi desa swasembada.Melihat manfaat dari lomba Desa dan Kelurahan adalah salah satu kegiatan Pemerintah yang hakekatnya merupakan upaya untuk mendorong usaha Pembangunan masyarakat atas dasar tekat dan kekuatan sendiri. Kegiatan tesebut sekaligus untuk meneliti dan menilai keberhasilan usaha-usaha masyarakat dalam membangun Desa dan Kelurahan, yang terwujut dalam peningkatan kualitas dibidang kehidupan ekonomi, sosial, politik dan kebudayaan masyarakat serta terpeliharanya lingungan Desa yang sejahtera.
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