Gambaran Usia dan Stadium Klinis Pasien Kanker Payudara yang dilakukan Pemeriksaan Imunohistokimia di Rumah Sakit Abdul Wahab Sjahranie pada Tahun 2018

ABSTRACKBreast cancer still occupies the highest incidence of all types of malignancies in women. Based on data recorded at Abdul Wahab Sjahrenie Hospital, 200 new cases are found each year. Immunohistochemical profile examination has been used extensively as a basis for classifying breast cancer molecularly. Expression of hormone receptors (ER, PR) and HER-2 found in immunohistochemical examinations are useful for determining therapeutic options that fit the patient's needs. The purpose of this descriptive study was to determine the characteristics of the immunohistochemical profile of breast cancer patients in Abdul Wahab Sjahranie Regional Hospital Samarinda in the January-December 2018 period based on age and clinical stage that had been examined by immunohistochemical examination including the expression of ER PR, Ki-67 and HER2. Method: This study used a cross-sectional descriptive study design by taking secondary data from breast cancer patients who had performed immunohistochemical examinations at Abdul Wahab Sjahranie Regional Hospital Samarinda in the January 2018 - December 2018 period. From 479 breast cancer patients came to Abdul Wahab Regional Hospital Sjahranie Samarinda, only 177 (37.18%) patients did immunohistochemical examinations. Most patients aged 40-49 were 65 patients (36.7%) had breast cancer, the highest clinical stage IIIB with 92 cases (52%), the Ki-67 with severe highest interpretation, range> 30% with 73 patients (41.2%), more positive ER than negative, in 93 patients (52.5%), while negative examination results 84 patients (47.5%). PR is the same as ER, which is 96 patients (54.2%), while negative examination results are 81 patients (45.8%). Most HER-2 results were negative, in 109 patients (61.6%). In this study the highest number of cases of breast cancer patients ranged between the ages of 40-49 years and at least aged 70 years and above. The clinical stage is most often found in stage IIIB (advanced). Ki-67 examination was found most frequently in severe interpretations. Examination of estrogen receptors is found to be most widely in positive interpretation. Positive progesterone tests to be most widely than negative examinations. Her-2 examination was found to be most widely in negative interpretation Keywords: Immunohistochemical examination, Hormone receptors, HER-2, Clinical Stadium

Hubungan Status Gizi dengan Kejadian Anemia pada Remaja Putri

Anemia is a condition when the levels of hemoglobin and erythrocytes are lower than normal. The normal value of hemoglobin in women is 12 -16 g / dl with erythrocytes from 3.5 to 4.5 jt / mm3. This study aimed to determine the relationship between nutritional status and Anemia of teenage girl. This research is analytic with cross sectional study design. The samples taken are 66 teenage girls, chosen by quote sampling. The data of this research used primary data obtained through checking up of body mass index and hemoglobin level. The data analysis used univariate analysis and bivariate analysis used Chi-square test. The results of this study indicate that there is a relationship between nutritional status and Anemia (p value 0.001).

Tingkat Pengetahuan Kader tentang Posyandu di Puskesmas Temindung Kota Samarinda

Community health workers are selected by the community from community members who are willing to voluntarily be able to help and have time to organize basic health service activities. The purpose of this study was to determine the level of knowledge community health workers in basic health service the health centers in Temindung, Samarinda. The research subjects of community health workers were 32 people who were on duty in basic health service activities in 10 basic health service centers in Temindung Samarinda. Measuring the level of knowledge of community health workers using a questionnaire. Percentage analysis to determine the level of knowledge about basic health service. Most community health workers are chosen directly with the essential requirements of being able to read, write and be friendly and voluntarily help and be in their community. Although their knowledge of basic health services is still low with 87.5% of basic health service. Knowledge of community health workers is still low Even though their knowledge is lacking, they still do health services at basic health services once a month. Basic health services are an important part of health services in the community, especially helping health workers in public health services to the community, but so they are expected to get training in basic health services to improve the Indonesian health republic's work program

Hubungan Pengetahuan tentang Covid-19 dengan Kepatuhan Physical Distancing di Tarakan

Coronavirus 2019 (Covid-19) is a disease that is pandemic almost all over the world. Covid-19 infection can cause mild, moderate or severe symptoms. Covid-19 can be transmitted from humans through close contact and droplets, not through the air. WHO recommends physical distancing to prevent the spread of Covid-19. The purpose of this study was to relationship of knowledge about Covid-19 with obedience physical distancing. This research is a descriptive correlative study with cross sectional approach, the sampling technique used accidental sampling , the data is obtained from the Google form filled out by the researcher. The results of this study showed p-value 0,000 <α 0.05 so that there is a significant relationship between knowledge about Covid-19 with obedience physical distancing

Hubungan Derajat Keparahan Akne Vulgaris dengan Kualitas Hidup menggunakan Dermatology Life Quality Index (DLQI)

Background: Quality of life is an individual's perception of his life in the context of culture and values ​​in a place of residence with the relationship of goals, expectations, standards and concerns. Acne is a problem that can have an impact on a person's quality of life because of the shame felt by sufferers. Purpose : To describe the relationship between severity degree of acne vulgaris with quality of life using the Dermatology Life Quality Index assessment. Methods : This research is an analytical observational research with cross sectional method and the sampling was chosen by purposive sampling. The sample size of this study was 60 respondents, assessing quality of life using the DLQI questionnaire instrument. Result : Statistical test data indicate that there is no relationship between the severity degree of acne vulgaris with quality of life (p = 0,101). Conclusion : There is no correlation between the severity of acne vulgaris with quality of life using the Dermatology Life Quality Index (DLQI) assessment.

Hubungan Dukungan Keluarga dengan Risiko Depresi Postpartum

The process of psychological adaptation in a mother has been started since the mother was pregnant. Pregnancy and childbirth are normal events in life, however many mothers experience significant stress in undergoing the process. Family responsibilities will increase with the presence of newborn babies. The encouragement and attention of other family members is positive support for the mother. Postpartum depression is a disorder that is really considered a psychopathology that most often precedes suicide, so it is not uncommon to end in death. Factors that influence the success of the transition to parenthood during the postpartum period are, respond to support from family and friends, The purpose of this study was to determine the relationship of family support with the risk of postpartum depression. This research is a quantitative study, with a cross sectional approach. The sample of this study was postpartum mothers who came to the Sleman Distirct Hospital totaling 110 respondents and the sampling technique uses quota sampling. The result of this study based on the chi squre statistical test results obtained a value (p-value) 0.413. The p-value is greater than α 0.05 so that there is no relationship between family support and the risk of postpartum depression. Postpartum depression is not only influenced by family support but also other factors such as employment, education, age and parity. For next research, they are expected to do more research by taking other variables that can influence postpartum depression.

Hubungan Lama Penggunaan Kontrasepsi Iud terhadap Efek Samping IUD pada Akseptor IUD di Puskesmas Sudiang Kota Makassar

IUD (Intra Uterine Device) is a contraception device that is inserted into the uterus, made of plastic material, some are wrapped with copper, and the shape is various. A common form and perhaps widely known by society is the form of a spiral. The purpose of this research is to know the relationship between the length of IUD use of side effects on IUD acceptor in the Sudiang Public Health Center in Makassar City. The design of the research used is quantitative descriptic research with the approach method that is in use is cross sectional. Sampling using accidental sampling with 58 respondents. Data collection is done using questionnaires and being embraced with a Chi square test (P < 0.05). The results of the study showed obtained a P value of 0034 where α 0.05 which means p. < α 0.05 that there is a relationship between the length of use of IUD with the side effects of IUD on the acceptor in the Sudiang Public Health Center in Makassar City. It was concluded that there was a meaningful relationship between the length of use of IUD with side effects on IUD acceptor at Sudianag Public Health Center in Makassar City , where older users have more mild side effects and less experienced side effects of weight whereas New users are experiencing more severe side effects and fewer mild side effects

KARAKTERISTIK BALITA PENDERITA PNEUMONIA BERDASARKAN FAKTOR RISIKO DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA TAHUN 2018

Pneumonia is an acute respiratory infection that affects the lung parenchyma, which is still the leading cause of children under-five mortality throughout the world. Age 1-24 months, low birth weight, and undernourished are the risk factors for pneumonia. The purpose of this study was to determine the description of the characteristics of children under-five patients with pneumonia in Abdul Wahab Sjahranie Hospital Samarinda, based on the risk factors. This research is a descriptive observational study. The samples of this study were all the pneumonia children under-five patients who were hospitalized at Abdul Wahab Sjahranie Hospital in January-December 2018, according to the characteristics of the sample set by the researchers, which were taken by purposive sampling technique. The data used were secondary data obtained from patient medical records, taken in June 2019 at the Medical Record Installation, Abdul Wahab Sjahranie Hospital. The number of samples obtained was 42 pneumonia patients. More children suffering from pneumonia were found in age 1-24 months (78.6%), normal birth weight (61.9%), and undernourished (57.1%).

GAMBARAN KEJADIAN INFEKSI LUKA OPERASI (ILO) PASCA BEDAH ABDOMEN DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA

Infeksi luka operasi (ILO) adalah infeksi pada bagian tubuh yang terpapar oleh ahli bedah saat prosedur invasive. ILO merupakan salah satu infeksi nosokomial yang paling umum dan paling dapat dicegah diantara infeksi nosokomial lainnya, namun kejadian infeksi luka operasi terutama pada bedah abdomen masih menunjukkan beban yang signifikan. Faktor resiko infeksi luka operasi meliputi usia tua, jenis luka operasi, penyakit penyerta seperti diabetes mellitus, pemberian antibiotik profilaksis yang tidak adekuat, status gizi pasien seperti obesitas dan malnutrisi serta durasi operasi yang panjang. Penelitian ini bertujuan untuk mengetahui gambaran kejadian infeksi luka operasi pasca bedah abdomen di RSUD Abdul Wahab Sjahranie Samarinda. Metode penelitian ini adalah penelitian deskriptif laboratorik. Data penelitian diambil dari swab luka operasi dan data rekam medik pada 40 pasien pasca bedah abdomen yang melakukan pergantian perban pertama kali serta memenuhi kriteria inklusi dan eksklusi. Hasil penelitian menunjukkan 30 orang (75%) pasien mendapatkan infeksi luka operasi. Mayoritas pasien terinfeksi berusia diatas 40 tahun, yaitu pada 15 pasien (37,5%). Sebagian besar pasien terinfeksi mendapatkan luka bersih terkontaminasi, yaitu 23 pasien (57,5%). Mayoritas pasien terinfeksi yaitu 27 pasien (67,5%) tidak memiliki penyakit penyerta. Bakteri gram positif, yaitu Staphylococcus epidermidis merupakan bakteri penginfeksi terbanyak yang teridentifikasi pada 10 orang (33,3%) pasien. Seluruh pasien terinfeksi, yaitu 30 pasien (75%) mendapatkan antibiotik profilaksis. Mayoritas pasien terinfeksi memiliki status gizi normal, yaitu 17 orang (42,5%), dan kejadian infeksi lebih banyak terjadi pada pasien dengan durasi <120 menit, yaitu 20 orang (50%) pasien. Kata Kunci : Infeksi Luka Operasi, ILO, Bedah Abdomen, Faktor Resiko Infeksi Luka Operasi Surgical site infection (SSI) is an infection at the part of the body that was exposed by a surgeon during an invasive procedure. SSI is one of the most common and most preventable nosocomial infection among other nosocomial infections, but the incidence of surgical site infections especially in abdominal surgery still shows a significant burden. Risk factors of surgical site infections include old age, type of surgical wound, comorbidities such as diabetes mellitus, inadequate prophylactic antibiotics, nutritional statuses such as obesity and malnutrition and long duration of surgery. This study aimed to explain an overview of the incidence of postoperative abdominal wound infection in Abdul Wahab Sjahranie General Hospital, Samarinda. This research method was a laboratory descriptive study. The research data was taken from surgical wound swabs and medical record data of 40 post-abdominal surgery patients who made the bandage changes for the first time and met the inclusion and exclusion criteria. The results showed 30 patients (75%) had surgical site infections. The highest percentage of infected patients aged over 40 years, i.e. in 15 people (37.5%). Most of the infected patients had clean contaminated wounds, i.e. in 23 patients (57.5%). The majority of infected patients did not have concomitant diseases, i.e. 27 people (67.5%). Gram-positive bacteria, specifically Staphylococcus epidermidis was the most infectious bacteria identified in 10 patients (33.3%). All infected patients, i.e. 30 patients (75%) received prophylactic antibiotics. The highest frequencies of infected patients had normal nutritional status, i.e.17 patients(42.5%), and the incidence of infection was more common in patients with duration <120 minutes, i.e. 20 patients (50%). Keywords : Surgical Site Infection, SSI, Abdominal Surgery, Risk Factors

ANALISIS FAKTOR MASALAH PERTUMBUHAN: STATUS GIZI, STUNTING PADA ANAK USIA < 5 TAHUN DI WILAYAH KERJA PUSKESMAS SIDOMULYO KOTA PEKANBARU

Background: The emergence of nutritional problems in toddlers is influenced by many interrelated factors. Directly influenced by some things, the toddler is not getting enough nutritious food balanced at the age of toddlers, the child does not get adequate nutritional care and children suffer from infectious diseases. Poverty is also one of the causes of malnutrition in regard to availability and consumption of family food. Less or worse nutritional problems and stunting are certainly required early detection attempts. Early detection of children's growth is an activity/examination to early find the existence of growth irregularities in infants The purpose of research: to do the growth factor: Nutrition Status, event Stunting in toddler aged < 5 years in the work area Puskesmas Sidomulyo Pekanbaru. Research method: The sample used in this research is a toddler in Sidomulyo Puskesmas work area which amounted to 30 toddlers 12-59 months with Consencutive sampling technique. The study took place in December 2019. Research instruments are digital weight scales, body length meters, Midline and questionnaires. Data analysis using the Rank Spearman. Research result: Classification of nutritional problems in infants based on the BB/U majority is BB less (underweight) 19 Reponden (63.3%). On a short (stunteed) majority, 14 respondents (46.7%), and based on the majority of the BB/TB of Good Nutrition (Normal) 17 respondents (56.7%). There are factors that affect the problem of nutritional status and stunting in children, from the knowledge aspect obtained by 16 respondents (53.3%) Less knowledgeable, the majority of maternal education was 19 (63.3%), there were a history of 23-person disease infections (76.7%), and a low family income of 20 people (66.7%) and incomplete immunizations as much as 17 people (56.7%). There is a relationship factor of mother knowledge with the problem of nutrition (stunting) (0.00), there is a relationship factor mother education with the problem of nutrition (stunting) (0.00), there is a relationship factor family income with nutrition (stunting) (0.001), there is a relationship factor of infection history in infants with stunting problems (0.00), there is a relationship factor immunization history with the problem of the nutrient (stunting) (0.010). It is expected that the health workers further improve the counseling and education to the toddler mother in monitoring nutritional problems and growth of toddlers