AbstrakUpaya pemberantasan sarang nyamuk yang dikenal selama ini adalah gerakan 3M, yaitu Menguras-MenutupMengubur. Program ini belum berjalan dengan optimal terbukti dengan masih tingginya insidensi DBD dan masih terjadi kejadian luar biasa. Dibutuhkan monitoring yang kuat untuk mencapai keberhasilan 3M. Penelitian ini bertujuan mempergunakan alat bantu berupa kalender 4M (Menguras-Menutup-Mengubur-Monitor) untuk dipergunakan sebagai alat monitoring dalam program pemberantasan sarang nyamuk. Penelitian ini merupakan penelitian kualitatif dengan metode studi kasus menggunakan teknik wawancara mendalam dan diskusi grup terfokus. Metode sampling yang digunakan adalah maximal variation sampling dengan teknik analisis triangulasi. Informan berasal dari Dinas Kesehatan Kota Bandung, Puskesmas Tamansari, dan Kader Kesehatan di Kelurahan Tamansari selama bulan Juli 2015. Berdasarkan analisis data didapatkan bahwa masalah yang terjadi adalah pengabaian aktivitas rutin seperti 3M karena tidak terdapat mekanisme monitoring dan feedback. Salah satu keunggulan yang ada di lingkungan adalah motivasi dan partisipasi kader. Simpulan, kalender 4M berhasil dikembangkan sebagai sarana monitoring sekaligus edukasi untuk masyarakat. Kalender 4M merupakan alat bantu yang memfasilitasi keberadaan kader dalam mendukung program 3M. Kata kunci: Alat monitoring, kalender 4M, partisipasi masyarakat 4M Calendar Developmet for Monitoring Tools to Increase Community Participation in the Dengue Control Program AbstractDengue prevention program in Indonesia, 3M, Menguras-Menutup-Mengubur have not been optimal as can be seen from the still high cases of dengue and some outbreak in several areas. A good monitoring process is needed to ensure the success of this program. This study aimed to develop monitoring tools to assist monitoring process in dengue prevention program. This was a qualitative study with case study approach using in-depth interview and focus group discussion with informants from Bandung City Health Department, Tamansari Health center and community cadres on July 2015. Sample method used was maximal variation sampling with triangulation analysis method. Results showed community participation hindered by the lack of monitoring and feedback tools. On the other hands participations from cadres were good that can be used to support 3M program. In conclusion, to assist the monitoring process, a tool-4M (Menguras-Menutup-Mengubur-Monitor) calendar-is developed to assist health cadres in supporting 3M program through monitoring process as well as for education purposes. A strong commitment and collaboration between cadres and community is needed to ensure the success of 3M program.
Objective. To adapt and validate the Indonesian version of the FRAIL scale (Ina-FRAIL) and the SARC-F (Ina-SARC-F).Methods. The Ina-FRAIL and the Ina-SARC-F were developed through forwards-backwards translation, and their validity (itemtotal item correlations), internal consistency (Cronbach's alpha), and test-retest reliability (kappa statistic) were determined. The diagnostic performance of the Ina-FRAIL and the Ina-SARC-F was evaluated using the receiver operating characteristic curve analysis.Results. A total of 101 (57 men and 44 women) and 64 (23 men and 41 women) patients were included in the validation of the Ina-FRAIL scale and the Ina-SARC-F, respectively. For the Ina-FRAIL scale, internal consistency coefficient was 0.530, and test-retest reliability was 0.951 (p<0.001). The correlation coefficients between the total score and items of fatigue, resistance, ambulation, illness, and loss of weight were 0.503, 0.813, 0.679, 0.561, and 0.317, respectively (all p<0.001). Correlation between the Ina-FRAIL scale and the Cardiovascular Health Study was strong (rs=0.696, p<0.001). Using the cut-off value of ≥2, the diagnostic performance of the Ina-FRAIL was 80% sensitivity and 70.4% specificity. For the Ina-SARC-F, internal consistency was 0.851, and test-retest reliability was 1.00 (p<0.001). The correlation coefficients between the total score and items of strength, ambulation, rising, climbing, and falls were 0.646, 0.775, 0.653, 0.685, and 0.580, respectively (all r>0.361 and p<0.001). Using the cut-off value of ≥3, the diagnosis performance of the Ina-SARC-F was 100% sensitivity and 61.7% specificity. Conclusions.The Ina-FRAIL scale and the Ina-SARC-F are valid and reliable tools to screen for frailty syndrome and sarcopenia, respectively.
Indonesia is one of the countries in the world that is frequently affected by floods. Flood disasters can have various negative impacts and therefore need to be analyzed to determine prevention and mitigation measures. This study examined land cover change, flood detection, and flood distribution using multitemporal Sentinel-1 and Landsat-8 satellite imagery in the Barito watershed. A combination of change detection and the application of the Otsu algorithm was used to detect floodplains from Sentinel-1 imagery. Land use/land cover (LULC) changes are detected using a combination of change detection and machine learning in the form of a random forest algorithm. The overlay technique was used to analyze the distribution of floodplains. In this study, the floodplain in the study area was mapped to 109,623 ha. The change detection method detects a decrease in the areas of primary forest, secondary forest, fields, rice fields, shrubs and ponds, respectively, by 13,020 ha, 116,235 ha, 259 ha, 146,696 ha, 47,308 ha, and 9,601 ha. Settlements, bare land, plantations and water bodies increase by 14,879 ha, 64,830 ha, 218,916 ha, and 34,768 ha, respectively. Flooding was mainly found in the classes of rice fields, water bodies and primary forests.
Purpose: Highly active systemic lupus erythematosus (SLE) causes a high risk of tuberculosis (TB) infection in SLE patients in Indonesia, a country in which the disease, especially extrapulmonary TB, is endemic. Interferon (IFN)-γ releasing assay (IGRA) can detect latent or previous TB infection. This study sought to determine latent TB infection and levels of IFN-γ, a key player in various inflammation and autoimmune disease, in patients with SLE and relate findings to disease activity. Patients and Methods: This experimental study included 79 female subjects distributed into three groups of active SLE, quiescent SLE and healthy controls. We used SLE Disease Activity Index-2000 (SLEDAI-2K) scores to stratify the subjects. Each group underwent IGRA testing using the QuantiFERON-TB Gold Plus kit. Results: We recruited 59 female patients with SLE. The patients had a median age and disease duration 30 and 5 years, respectively. Statistical analysis using the Kruskal-Wallis test showed that active condition, high SLEDAI-2K score and immunosuppressive therapies affect IGRA results. Specifically, healthy controls (n=20) were most likely to have negative IGRA results (67.09%), whilst 27.27% of active cases (n=33) and 3.85% of quiescent cases (n=26) had indeterminate results (p=0.02). The number of immunosuppressant therapies was significantly negatively correlated with IFN-γ (p=0.004). No difference in IFN-γ concentration was detected amongst the active and other groups (p>0.05). Conclusion: High-activity SLE and immunosuppressive therapies cause dysregulation of the immune response, which, in turn, influences IGRA results. Thus, additional testing is necessary to detect TB infection in patients with SLE.
AbstrakDemam berdarah dengue tidak saja menimbulkan beban penyakit, akan tetapi juga beban ekonomi yang tinggi bagi individu, keluarga maupun negara. Belum terdapat obat atau vaksin yang efektif telah membatasi pilihan dalam melakukan pencegahan dan pengobatan. Program yang dilaksanakan adalah vektor kontrol untuk membatasi transmisi virus yang memerlukan peran serta masyarakat secara terus menerus. Penelitian ini bertujuan mengetahui perbedaan persepsi tentang penyakit dengan praktik dalam pencegahan demam berdarah di daerah urban (Tamansari) dan daerah rural (Ciparay). Penelitian dilakukan pada total 208 responden di Tamansari Bandung dan 122 responden di Ciparay pada bulan Februari sampai Maret 2015. Hasil penelitian menunjukkan bahwa kondisi lingkungan di kedua daerah belum baik dengan sanitasi dasar terutama sistem pembuangan air limbah yang belum memadai. Perbedaan tampak dalam hubungan antara persepsi mengenai demam berdarah dan sikap dalam praktik pencegahan. Di Tamansari persepsi mengenai demam berdarah dengue berhubungan dengan sikap dalam memberantas sarang nyamuk (OR 14,297; p<0,05). Ciparay menunjukkan fenomena yang berlawanan, persepsi mengenai demam berdarah dengue tidak berhubungan dengan sikap dalam pemberantasan sarang nyamuk (OR 0,327; p>0,05). Simpulan, terdapat perbedaan persepsi dengan praktik pencegahan demam berdarah dengue antara responden Tamansari dan Ciparay. Kata kunci: Demam berdarah, persepsi, sikap, urban dan rural Comparison on Knowledge, Attitude and Practice Regarding Dengue Prevention in Urban and Rural Area AbstractDengue fever is not only become a burden of disease but can also become burden on economy affected individual person, family and country. At present there weren't any specific drug and no effective vaccine yet, that the prevention was limited to disease prevention through disease management and vector control which needed continuing community participation. This study aims to understand the difference between perception and the practice in vector control activities between urban and rural areas. Data was collected using questionnaires from 208 and 122 respondents from Tamansari dan Ciparay respectively since February to March 2015. Results showed that the environment condition in both study area were not good especially for the basic sanitation facilities. There were differences between perception of the disease and the practice of vector control in these two areas. Perception of the disease associate with practice in vector control in Tamansari was OR 14.297, p<0.05 while it was the other way in Ciparay was OR 0.327, p>0.05. In conclusion there are differences between Tamansari and Ciparay regarding perception of dengue fever with the practice on vector control.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.