Background: Multidrug-resistant tuberculosis (MDR-TB) is another problem in TB elimination. In 2018, 484,000 people worldwide developed tuberculosis that was resistant to rifampicin, and 78% of those had MDR-TB. Estimation of risk factors to detect MDR-TB. Methods: A case-control study assesses the estimate of the socio-demographic, house environment, diabetes mellitus, treatment behavior, and health-related quality of life (HRQOL). There were 28 cases of MDR-TB patients, and 56 control of drug-susceptible tuberculosis (DS-TB), in the treatment phase of October 1, 2019 to March 31, 2020. Results: The analysis showed a diabetes mellitus (adjusted odds ratio [AOR] 4.06, 95% confidence interval [CI] 1.31-12.54), treatment adherence (AOR 3.67, 95% CI 1.26-10.69), and supervisor of drugs swallowing (AOR 3.55, 95% CI 1.06-11.86) as a risk predictor for MDR-TB, and HRQOL independently associated with the incidence of MDR-TB (crude odds ratio [COR] 4.08, 95% CI 1.19-13.98), whereas socio-demographic and house environment was not a risk factor in this study. Validity and reliability of the SF-36 questionnaire (intraclass correlation coefficient [ICC], 0.658-0.802; Cronbach's α coefficient, 0.864). Conclusion:Diabetes mellitus, treatment adherence, supervisor of drugs swallowing as a risk predictor for MDR-TB. HRQOL of patients with MDR-TB was lower. The SF-36 questionnaire is valid and reliable to measure the HRQOL for TB/MDR-TB patients.
Plastic waste is one type of waste whose existence is increasing every day, almost all packaging often uses plastic. As a polymer material, plastic has several advantages such as practicality, airtightness, compactness and elasticity (stretchability). But on the other hand, plastic also has a drawback, namely the amount of waste that accumulates every day because it is difficult to decompose which takes a long time. To solve this problem, it is necessary to find a way to recycle plastic into an economically viable commodity. Alam Barajo sub-district is located in Jambi province which is not far from the center of the crowd because the villages are close to the causeway near the terminal. This area has the potential to develop creative industries. The strategic location and the promised business opportunities are the keys to developing the creative economy. The problem faced by the community, especially in the Alam Barajo District, is the amount of plastic waste, one of which is crackle plastic. Every time you buy food, goods, clothes, etc., they are always wrapped in plastic, which ends up just being thrown away. The targets are members of the Qur'an Friends in the Alam Barajo District training. The method used in the activity of processing crackle plastic waste into plastic flowers. From this activity there was an increase in knowledge of crackle plastic waste processing obtained from the pre-test and post-test with the results of 118 to 151 participants who already knew about the processing of crackle plastic waste and could practice it properly and correctly.
<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>The incidence of COVID-19 has shown a downward trend in recent months, but transmission is still possible; it is because COVID-19 is still a pandemic, and there may be new variants that can cause an increase in cases. Countermeasures are carried out not only through prevention efforts by health protocols but also through vaccination efforts. Vaccines have proven to impact efforts to deal with the COVID-19 pandemic positively. Accepting the COVID-19 vaccine is one of the keys to fulfilling vaccination achievements. Sei Penuh City is one of the areas in Jambi Province where COVID-19 vaccination coverage is still low, at 53.6% as of August 28, 2022. Therefore, this study aimed to determine the determinants of COVID-19 vaccine acceptance in Sei Penuh City. A cross-sectional design study was applied and conducted in Sei Penuh City in July 2022. The population of this study were all people aged ≥18 years who live in Sei Penuh City, with a sample of 300 people. Sampling used a 2-stage cluster method using Probability Proportional to Size (PPS). Villages in this PPS are villages with COVID-19 vaccine coverage second dose less than 50%. Data were analyzed descriptively and analytically. The results showed that respondents who received a second dose or more of the vaccine were 54.7%. Multivariate analysis showed that health protocols (aPR=1.64; 95%CI: 0.99-2.70) and education level (aPR=1.38; 95%CI: 1.02-1.86) were associated with receiving a second dose of vaccines. This study found that health protocol was the most dominant risk factor for COVID-19 vaccine acceptance. Socialization and education still need to be carried out, especially about the urgency of the COVID-19 vaccine in facing the COVID-19 pandemic. In addition, people with low education levels need more attention in increasing the achievement of COVID-19 vaccination.</em></p><p><em> </em></p></td></tr></tbody></table></div><p><strong><em>Keywords: COVID-19 vaccine, education level,</em></strong><em> <strong>health protocol, preventive behaviour</strong></em></p>
Corona Virus Disease 2019 (COVID-19) is still a public health problem, including in Kerinci Regency. Various countermeasures have been carried out both globally and nationally. Efforts are made not only through prevention efforts through health protocols but also through vaccination efforts. Vaccines have proven to positively impact efforts to deal with the COVID-19 pandemic. The acceptance of the COVID-19 vaccine is one of the keys to fulfilling the COVID-19 vaccination achievements. Kerinci Regency is one of the districts in Jambi Province with low COVID-19 vaccination coverage, which is 66.20% as of August 28, 2022. This study aimed to determine the determinants of COVID-19 vaccine acceptance in Kerinci Regency. This study wss an analytic study using a cross sectional design conducted in Kerinci Regency in July 2022. The population of this study was all people aged ≥18 years who live in Kerinci Regency, with a sample of 300 people. Sampling used a 2-stage cluster method using Probability Proportional to Size (PPS). Villages used in this PPS were villages with COVID-19 vaccine coverage dose 2 <50%. Data were analyzed descriptively and analytically.The results showed that 54.7% of respondents who had received 2 or more doses of vaccine. Multivariate analysis showed that self-efficacy (aPR=1.764; 95%CI: 1.23-2.53) and education level (aPR=1.47; 95%CI: 1.05-2.07) were associated with receiving a complete dose of vaccine (dose 2 or more). The study found that self-efficacy was the most dominant risk factor for COVID-19 vaccine acceptance. Self-efficacy and education level are determinants of COVID-19 vaccine acceptance in Kerinci Regency. Health promotion efforts related to the COVID-19 vaccine need to be carried out by emphasizing self-efficacy and considering people at low education levels. Keywords: COVID-19 Vaccine, Self-Efficacy, Education Level ABSTRAK Corona Virus Disease 2019 (COVID-19) masih menjadi masalah kesehatan masyarakat, termasuk di Kabupaten Kerinci. Berbagai upaya penanggulangan telah dilakukan baik secara global maupun nasional. Upaya yang dilakukan tidak hanya melalui upaya pencegahan melalui protokol kesehatan tetapi juga melalui upaya vaksinasi. Vaksin terbukti memberikan dampak positif terhadap upaya penanganan pandemi COVID-19. Penerimaan vaksin COVID-19 menjadi salah satu kunci pemenuhan capaian vaksinasi COVID-19. Kabupaten Kerinci merupakan salah satu kabupaten di Provinsi Jambi yang cakupan vaksinasi COVID-19-nya masih rendah, yaitu 66,20% per 28 Agustus 2022. Penelitian ini bertujuan untuk mengetahui determinan penerimaan vaksin COVID-19 di Kabupaten Kerinci. Penelitian ini merupakan penelitian analitik dengan menggunakan desain cross sectional yang dilakukan di Kabupaten Kerinci pada bulan Juli 2022. Populasi penelitian ini adalah seluruh masyarakat berusia ≥18 tahun yang berdomisili di Kabupaten Kerinci, dengan sampel sebanyak 300 orang. Pengambilan sampel menggunakan metode cluster 2 tahap dengan menggunakan Probability Proportional to Size (PPS). Desa yang digunakan dalam PPS ini adalah desa dengan cakupan vaksin COVID-19 dosis 2 <50%. Data dianalisis secara deskriptif dan analitik. Hasil penelitian menunjukkan bahwa responden yang telah menerima vaksin dosis 2 atau lebih sebesar 54,7%. Hasil analisis multivariate menunjukkan bahwa self-efficacy (aPR=1,764; 95%CI: 1,23-2,53) dan tingkat pendidikan (aPR=1,47; 95%CI: 1,05-2,07) berhubungan dengan penerimaan vaksin dosis lengkap (dosis 2 atau lebih). Penelitian menemukan bahwa self-efficacy merupakan faktor risiko yang paling dominan terhapad penerimaan vaksin COVID-19. Self-efficacy dan tingkat pendidikan merupakan determinan penerimaan vaksin COVID-19 di Kabupaten Kerinci. Upaya promosi kesehatan berkaitan dengan vaksin COVID-19 perlu dilakukan dengan menekankan pada self-efficacy dan mempertimbangkan masyarakat pada tingkat pendidikan rendah. Kata Kunci: Vaksin COVID-19, Self-Efficacy, Tingkat Pendidikan
Acute Respiratory Infection Disease (ARI) is an acute infectious disease that attacks one or more respiratory organs caused by microorganisms that can last for 2 weeks. The purpose of this study was to determine the correlation between nutritional status, exclusive breastfeeding and smoking with the incidence of ARI in the working area of the Puskesmas Semerap, Kerinci Jambi Regency. This research is a quantitative study with a cross sectional approach with a proportional random sampling technique with a total sample of 106 children under five. Data collection was carried out in April 2022. The independent variable was the nutritional status of children under five, history of exclusive breastfeeding and exposure to cigaratte smoke and the dependent variable was ARI. Analysis using Chi Square and Cox Regression test. The proportion of the incidence of ARI in toddlers is 55.7%. There is correlation between nutritional status (undernutrition p= 0.046, PR= 3.13; over nutrition p= 0.014, PR= 3.67), history of exclusive breastfeeding (p= 0.029, PR= 1.51) and exposure to cigarette smoke ( p= 0.020, PR= 3). Factors that influence the incidence of ARI in infants are maternal knowledge, nutritional status, history of exclusive breastfeeding, exposure to cigarette smoke. t is hoped that the community, especially mothers of toddlers, always monitor the growth and development of toddlers by routine weighing, giving immunizations and complementary foods with balanced nutrition requirements.ISPA (Infeksi Saluran Pernapasan Akut) adalah penyakit infeksi akut yang menyerang satu atau lebih organ pernapasan yang disebabkan oleh mikroorganisme yang dapat berlangsung selama 2 minggu. Tujuan penelitian ini adalah untuk mengetahui hubungan status gizi, ASI ekslusif dan rokok dengan kejadian ISPA di wilayah kerja Puskesmas Semerap Kabupaten Kerinci Jambi. Penelitian ini adalah penelitian kuantitatif dengan pendekatan Cross Sectional dengan teknik Proportional Random Sampling dengan jumlah sampel 106 balita. Pengumpulan data dilakukan pada bulan April 2022. Variabel independen adalah status gizi balita, riwayat ASI eksklusif dan paparan asap rokok dan variable dependen adalah ISPA. Analisis menggunakan uji Chi Square dan Cox Regression. Proporsi kejadian ISPA pada balita sebanyak 55,7%. Terdapat hubungan antara status gizi (gizi kurang p= 0,046, PR= 3,13; gizi lebih p= 0,014, PR= 3,67), riwayat ASI eksklusif (p= 0,029, PR= 1,51) dan paparan asap rokok (p= 0,020, PR= 3). Faktor yang mempengaruhi kejadian ISPA pada balita adalah pengetahuan ibu, status gizi, riwayat ASI eksklusif, paparan asap rokok. Diharapkan kepada masyarakat, khususnya ibu balita agar selali memantau tumbuh kembang balita dengan penimbangan rutin, pemberian imunisasi dan makanan pendamping ASI yang syarat gizi seimbang.
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