Malaria is a disease caused by Plasmodium infection that is still a health problem in the tropical area including Indonesia. Penajam Paser Utara is the only district with a high level of malaria endemicity outside eastern of Indonesia which is located at the Province of East Kalimantan. Malaria can cause various complications including haematological abnormalities. Haematological abnormalities that are often found in both falciparum malaria and vivax malaria is anaemia. The purpose of this study was to determine the relationship between the types of Plasmodium falciparum and Plasmodium vivax with the incidence of anaemia in malaria patients at Ratu Aji Putri Botung, Penajam Paser Utara hospital. This research is an observational analytic study with cross sectional method. The data was obtained from medical records of hospitalized malaria patients at Ratu Aji Putri Botung Penajam Paser Utara hospital in the period of January 2013 – August 2018 by purposive sampling method. The data were analyzed using the Chi-square test. The subjects of the study were 310 malaria patients consisting of 60,3% (n=187) patients infected with Plasmodium falciparum and 39,7% (n=123) patients infected with Plasmodium vivax. The majority of research subjects were male (95,8%) and were in the 26 – 40 years age group (56,5%). Anaemia was found in 49% of malaria patients dominated by vivax malaria patients (52%). Statistical test result between types of Plasmodium with the incidence of anaemia was p = 0,391. It was concluded that there was no association between the types of Plasmodium falciparum and Plasmodium vivax with the incidence of anaemia in malaria patients.
ABSTRACT Malaria is a tropical infectious disease with high morbidity and mortality rates. In malaria, various kinds of haematological complications can arise, one of which is thrombocytopenia. Thrombocytopenia is most commonly encountered during acute malaria infection with varying degrees observed in both Plasmodium falciparum and Plasmodium vivax infections. The purpose of this study was to determine the relationship between the types of Plasmodium falciparum and Plasmodium vivax with the degree of thrombocytopenia in malaria patients at the Ratu Aji Putri Botung Penajam Paser Utara Hospital. This research is an observasional analytic study with cross sectional method. The data was taken by using purposive sampling method from the medical records of malaria patients hospitalized in Ratu Aji Putri Botung Penajam Paser Utara Hospital in the period of January 2013 - August 2018. Data analysis used the Chi-square test. Of the 310 malaria patients who were study subjects, 60,3% (n = 187) were infected with Plasmodium falciparum and 39,7% (n = 123) were infected with Plasmodium vivax. Most of the research subjects were male (95,8%) who were dominated by adults (56,5%). As many as 90% of malaria patients experienced thrombocytopenia with mild, moderate, and severe thrombocytopenia respectively 29,4% ; 56,6% ; 14,0%. Severe thrombocytopenia was more common in falciparum malaria patients (16,4%). The statistical test result for the type of Plasmodium with the degree of thrombocytopenia were p = 0,139. It was concluded that there was no relationship between the types of Plasmodium falciparum and Plasmodium vivax with the degree of thrombocytopenia in malaria patients. Keywords: Malaria, Plasmodium, Degree of Thrombocytopenia
Penelitian ini berlatar belakang dari keterbatasan kapasitas sumber air di Cabang Banyuresmi dan Cabang Karangpawitan. Maka untuk meningkatkan kepuasan pelayanan air minum pada kedua cabang ini diperlukan penambahan debit. Pemerintah Kabupaten Garut telah melakukan pembebasan lahan mata air Cibolerang Cinunuk Wanaraja yang telah disusun didalam RPJMD Kabupaten Garut tahun 2019-2024 dengan tujuan supaya dapat meningkatkan akses yang aman terhadapat air minum serta sanitasi. Pada penelitian ini metode deskriptif dengan pendekatan kuantitatif digunakan untuk menguji apakah terdapat pengaruh kualitas air, kuantitas air, kontinuitas air, dan kualitas pelayanan terhadap kepuasan para pelanggan pada Cabang Banyuresmi Dan Karangpawitan Kabupaten Garut. Adapun teknik yang dilakukan pada penelitian ini, yaitu dengan pengambilan sampel pada suatu populasi menggunakan kuesioner tehadap pelanggan dan wawancara kepada pihak PDAM sebagai instrumen penelitian, maka dalam melakukan penelitian ini diharapkan akan memberikan jawaban terhadap permasalahan dengan cara pengumpulan informasi data di lapangan yang dapat memberikan gambaran beberapa faktor yang ada hubungannya dengan permasalahan yang sedang diteliti. Hasil penelitian menjelaskan kualitas, kuantitas, kontinuitas dan kualitas pelayanan berpengaruh positif dan signifikan terhadap kepuasan pelanggan.
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