AbstrakPerempuan terinfeksi human immunodeficiency virus dan acquired immune deficiency syndrome (HIV/AIDS) mempunyai permasalahan yang kompleks sehubungan dengan penyakit dan statusnya, sehingga mereka mempunyai kebutuhan yang khusus. Kebutuhan perawatan, dukungan dan pengobatan tersebut dapat diperoleh dengan mengakses pelayanan kesehatan yang tersedia untuk dapat mengoptimalkan kesehatan mereka sehingga dapat meningkatkan kualitas hidup. Tujuan penelitian ini untuk menganalisis hubungan faktor predisposisi yang meliputi pengetahuan, sikap, stigma, faktor pemungkin yang meliputi jarak ke pelayanan kesehatan dan faktor penguat berupa dukungan sosial dengan pemanfaatan pelayanan kesehatan pada perempuan terinfeksi HIV/AIDS. Rancangan penelitian menggunakan pendekatan potong lintang. Penelitian dilaksanakan di Kelompok Dukungan Sebaya Female Plus Kota Bandung pada bulan Juni sampai Juli 2012. Sampel penelitian berjumlah 40 orang perempuan terinfeksi HIV/AIDS. Data di analisis secara univariat, bivariat, dan multivariat. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang signifikan secara statistik yaitu usia, pendidikan, status perkawinan, status pekerjaan, faktor predisposisi (pengetahuan, sikap, stigma), faktor penguat (dukungan sosial), dan faktor pemungkin yaitu jarak ke pelayanan kesehatan tidak berhubungan dengan pemanfaatan pelayanan kesehatan. Pengetahuan merupakan faktor penentu dalam pemanfaatan pelayanan kesehatan berpeluang 60,1 kali untuk memanfaatkan pelayanan kesehatan. Kata kunci: HIV/AIDS, pemanfaatan pelayanan kesehatan, perempuan AbstractWomen living with HIV/AIDS have a complex problems who connection with the disease and her status, because they have special needs, for care, support and treatment can be obtained by accessing the health services available to optimize their health so as to improve the quality of life. The purpose of this study was to analyze the correlation between three factors, predisposing factors (knowledge, attitudes, stigma), enabling factors (distance to health services), and reinforcing factors (social support) with health service utilization.This type of research was analytic with cross-sectional research approach. The research was implemented in Female Plus Peer Support Group Bandung from June until July 2012. The sample in this study were 40 women living with HIV/AIDS. Data analysis using univariate, bivariate, and multivariate. The results obtained that there were significant relationship is age, education, marital status, work, predisposing factors (knowledge, attitude, stigma), reinforcing factor (social support), and enabling factors (distance to health services were not correlated with health service utilization). Knowledge was the determinant factor to health service utilization in 60,1 times the chance to utilize health services.
Emesis gravidarum is a usual complaint that is often experienced by the first trimester pregnant women, and coul develop become hyperemesis gravidarum thus increasing the risk of pregnancy. Ginger is kind of herbs which has been known to prevent nausea vomiting. The purpose of this study is the effectiveness of giving wedang ginger to the frequency of nausea and vomiting in pregnant women trimester I. The design of this research is Quasi experiment with One Group Pre test-Post test design. The sampling technique used purposive sampling with the sample of 10 first trimester pregnant women who experience emesis gravidarum. This research was conducted at Work Area of Air Lais Puskesmas of North Bengkulu Regency on January 5, 2018 until February 6, 2018. Analysis of difference of frequency of nausea vomiting before and after intervention using Paired Sample T-Test. The results of this study indicate the average frequency of nausea vomiting pregnant women trimester I before given wedang ginger of 9.30. While the average frequency of nausea vomiting trimester pregnant women I after given ginger wedang of 4.50. The result of bivariate analysis showed that there was difference of mean of nausea vomiting frequency before and after intervention of wedang ginger equal to 4,80 with p = 0.000. Expected for the community can take advantage of ginger wedang as an alternative treatment before using antiemetic drugs, and can process other variants of ginger plants that can be used to lower the emesis gravidarum frequency.
Posyandu is one form of community-based health efforts managed and organized from, by, for and with the community. In South Bengkulu District the lowest number of children under five visited Posyandu at Sulau Health Center. The purpose of this study was to analyze the factors related to the performance of cadres in the implementation of Posyandu in the Sulau Health Center Work Area. This study uses analytic design with a crosssectional design. The sample in this study was total sampling with all cadres of Posyandu totaling 65 cadres. Independent variables are age, education, years of service, attitude and motivation while the dependent variable is the performance of Posyandu. The result of this research showed most of Kader aged >35 years (50,8%), level of secondary education (67,7%), working period more than three years (63%), with less attitude (50,8%), good motivation (53%) and also the best performance (55,4%). Test correlation got results the relationship between age with performance (p=0,004), the relationship between education with performance (p=0,011), the relationship between working period with performance (p=0,000), there are relationship between attitude and performance (p=0,000) and also the relationship between motivation and performance (p=0,000). Logistic regression test result variable the most influence is motivation with value p=0,045 and (OR) is 4,563. There is a relationship between age, education, years of service, attitudes, and motivation with the performance of Posyandu cadres in implementing Posyandu for toddlers and the most influential factor is motivation.
World Health Organization (WHO) reports that 5-25% of preschool-aged children suffer from developmental disorders, one of the factors that influence is the use of gadgets. If a child experiences a social development disorder, it is feared that the child will experience difficulty in adjusting himself, especially with the demands of the group, the child's independence in thinking and behaving, and most importantly the disturbance in the formation of self-concept of a child. This study aims to determine the relationship of the duration of use gadget to the development of preschool children. The research design used in this study was an analytical survey approach cross-sectional where the independent variable duration of use gadget and the dependent variable of child development are collected at the same time. The population was 46 children aged 5-6 years. The results showed that most of the children (56.7%) experienced a dubious development while the test results Chi-Square showed a p-value of 0.008, which means there is a relationship between the duration of the use of gadgets for the development of preschoolers with an OR = 14.875 means that the duration of use gadget in children is 14.875 times affecting children's development. The results of this study are expected parents/guardians to be more selective in giving toys to children, especially permitting to play gadgets.
We previously published a study on the provision of emergency maxillofacial services during the first UK COVID-19 pandemic national lockdown. We repeated the study during the second lockdown and now present our findings that highlight the main differences and learning issues as the services have evolved.
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