1 INTERNATIONAL SEMINAR CHALLENGES, STRATEGY AND HEALTH TREATMENT APPROACH TO NUTRITION AND MOLECULAR EPIDEMIOLOGY Organized by: HEALTH POLYTECHNIC OF HEALTH MINSITRY MEDAN INSTITUTE OF HEALTH SCIENCE OF SUMUT MEDAN INSTITUTE OF HEALTH SCIENCE OF NAULI HUSADA MEDAN INSTITUTE OF HEALTH SCIENCE OF HAJI MEDAN AND UNIVERSITY OF PHILIPPINES, BURAPHA UNIVERSITY, NATIONAL EPIDEMIOLOGY NETWORK (JEN) AND PADJAJARAN UNIVERSITY (UNPAD) Date: Wednesday, 20 th May 2015 Vanue: Auditorium of Poltekkes Kemenkes Medan Jl. Djamin Ginting Km Lau Cih Medan Website: 2 USU Press Art Design, Publishing & Printing Gedung F, Pusat Sistem Informasi (PSI) Kampus USU Jl. Universitas No. 9 Medan 20155, Indonesia Telp; Fax usupress.usu.ac.id USU Press 2015 Hak cipta dilindungi oleh undang-undang; dilarang memperbanyak menyalin, merekam sebagian atau seluruh bagian buku ini dalam bahasa atau bentuk apapun tanpa izin tertulis dari penerbit. ISBN Perpustakaan Nasional Katalog Dalam Terbitan (KDT) Proceeding: Challenges, Strategy and Health Treatment Approach to Nutrition and Molecular Epidemiology / Editor: Bhisma Murti et.al. Medan: USU Press, xix, 371 p.: ilus.; 29 cm ISBN: Strategy Health Treatment 2.
Molecular Epidemiology I. Title Dicetak di Medan, Indonesia ii 3 AKNOWLEDGEMENT We convey our deepest thankful for great contribution from all distinguished resource person and sponsors in this conference. The Chairman of Indonesian Agency For Development And Empowerment Human Resources Of Health 2. Health Department Head of the North Sumatra Province 3. All the Directors of Indonesian Health Polytechnic of Health Ministry 4.
Joshua Ares Marcos, MD.DPAFP, MSc.,MPH,PhD (University of Philippines) 5. Aporn Deenan (Associate Dean For Research and academic affairs Burapha University) 6. Bhisma Murti, MPH, MSc, Ph.D (Chairman of National Epidemiology Network (JEN) and Chairman of Community Health Magister of Sebelas Maret University 7.
Nurhalim Sahib from Padjajaran University (UNPAD) 8. Bidasari Lubis SPA 9. The Chaiman of all Health Institute in North Sumatra Province 10. The Chairman of all Health Institution in North Sumatra Province 11. The Directors of Haji Adam Malik Center General Hospital dan dr.pirngadi General Hospital 12. Sponsors: PT.Kimia Farma, PT.
Iii 4 CONTENTS Page Acknowledgement. Iv Steering Committee and Organizing Comittee. V Welcome Speech of Director. Viii Report Speech of Committee Chairman. X Tentative Schedule Activities International Seminar. Xii List Presenter Oral Presentation.
Buku Panduan Jiwa - Download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or read online. Lembar Musik. 101 tayangan. 0 Suka, tandai sebagai bermanfaat. 0 Tidak suka, tandai sebagai tidak bermanfaat. Buku Panduan Jiwa. Diunggah oleh Sutant. Tutorial individual pada klien harga diri rendah yang diberikan Melakukan asuhan. Perhatian Bolos. Orang lain dan lingkungan Data Subyektif: a. Isolasi sosial 6. Sosial Menarik diri. POHON MASALAH Risiko tinggi mencederai diri sendiri. Orang lain dan lingkungan. Resiko mencederai diri. Riwayat perilaku kekerasan atau gangguan jiwa lainnya. Perilaku kekerasan / amuk Data Subyektif: a.
Xiv Poster List Presenter. Xvii Oral Presentation. 1 Poster iv 5 STEERING COMMITTEE DAN ORGANIZING COMMITTEE SEMINAR INTERNATIONAL HEALTH POLYTECHNIC MEDAN, STIKESSU, STIKES NAULI HUSADA DAN STIKES RS HAJI MEDAN TAHUN 2015 A.
Person in the monitor: drg. Usman Sumantri, M.Sc (Kepala Badan PPSDM Kesehatan Kemenkes RI) B. Person In Charge: 1. Kirana Pritasari, MQIH (Kepala Pusat Pendidikan & Pelatihan Tenaga Kes) 2. Ida Nurhayati, M.Kes (Direktur Poltekkes Kemenkes Medan) C. Steering Committe 1 Dra.
Trini Nurwati, M.Kes. (Kepala Bidang Pengendalian Mutu Pusat Pendidikan dan Pelatihan Tenaga Kesehatan) 2 dr.rr.
Siti Hatati Surjantini, M.Kes (Kepala Dinas Kesehatan Prov Sumut) 3 Soep, S.Kp, M.Kes (Pudir I) 4 Nelson Tanjung, SKM, M.Kes (Pudir II) 5 Dra. Ernawaty, M.Si, Apt (Pudir III) 6 Ir. Zuraidah Nasution, M.Kes (Komite Etik) 7 Dr. Paul Sirait, SKM, MM. M.Kes (Ketua STIKESSU) 8 Dra.
Meiyati Simatupang, SST,M.Kes (Ketua STIKES Nauli Husada) 9 Hj. Masdalifa, S.Kep, SKM, M.Kes (Ketua STIKES RS Haji Medan) D. Organizing Committee Chairman: Fauzi Romeli, SKM, M.Kes Vice of the chairman: Elizawarda, SKM, M.Kes Secretary: Yusrawati Hasibuan, SKM, M.Kes Cashier: Hara Habibi Hasibuan, SE Vice of cashier: Yusniar, SE Secretariat: 1. Salim Fahri Harahap, S.Sos, MM (Koordinator) 2 Dodoh Khodijah, SST, MPH Manotar Sinaga, S.Kep (stikes Nauli 3 Husada) 4 Wan Masnah, SE, MM (Stikes RS Haji) v 6 E. Section Programs and Events: Tengku Sri Wahyuni, SST, M.Keb (Koordinator) Ronald Sagala, S.Kep, Ns.M.Kep (Stikes Nauli Husada) Evawani Martalena Silitonga, SKM, Msi (STIKESSU) Hj.
Yusridawati, S.Kep, M.Kep (Stikes RS Haji) F. Peer Review: 1. Bhisma Murti, MPH, MSc,Ph.D 2 Prof.
Apron Deenan 3 Prof. Nurhalim Sahib Jouhua Ares Marcos, MD.DPAFP, MSc, 4 MPH, PhD 5 Dr. Sri Wahyuni, SPd, M.Kes G. Section Seminar: 1. Endang Susilawati, SKM, M.Kes (Koordinator) 2 Yulina Dwi Hastuty, S.Kep, Ns, M.Biomed Mazly Astuty, S.Kep, Ners,M.Kep 3 (STIKESSU) 4 Donal Nababan, SKM,M.Kes (STIKESSU) H.
Section Accommodation: 1. Betty Mangkuji, SST, M.Keb (Koordinator) Transportation 2 Drs.
Zainuddin Harahap, M.Kes Yuli Azni Hartaty Penarik, S.Kep.Ns (Stikes 3 and Supplies Nauli Husada) 4 David Siagian, SKM, M.Kes (STIKESSU) I. Section Consumption: 1. Adriana Hamsar, M.Kes (Koordinator) 2 Suryani, SST, M.Kes Marisa Evi Sinurat, S.Kep.Ns (Stikes Nauli 3 Husada) Roslenni Sitepu, SKp, MARS 4 (STIKESSU) J. Section Publication and: 1. Dokumentation Bernike Doloksaribu, SST, M.Kes (Koordinator) Meilda Fitri Sitepu, S.Kep, Ns (Stikes Nauli Husada) Sri Malem Indirawati, SKm,Msi (STIKESSU) Juidah, S.Kep, SKM, M.Kes (Stikes RS Haji) K. Seksi Fund &: 1. Nelma, SSi, M.Kes (Koordinator) Sponsorhip 2 Idau Ginting, SST, M.Kes Della Winda Gultom, SE (Stikes Nauli 3 Husada) vi 7 4 Dian Fajariadi, Skep, Ners, M.Kep (STIKESSU) L.
Security Section: 1. Erba Kalto Manik, SKM, M.Sc (Koordinator) 2 Mardan Ginting, SSi, M.Kes M. Guest Section: 1.
Masniah, Apt, M.Kes (Koordinator) Eveline M. Siagian, SKM, M.Kes (Stikes 2 Nauli Husada) Direktur, Dra. Ida Nurhayati, M.Kes NIP vii. Results obtained from observation through interviews and focus group discussions, grouped by the disaster areas in Simeulue District can be seen in table 6. Reseach Variable Disaster No District risk Threats Vulnarabilities Capacity index 1 Teupah Selatan 82 2 Simeulue Timur 87 3 Teupah Barat 82 4 Simeulue Tengah 49 5 Teluk Dalam 75 6 Salang Simeulue Barat 86 8 Alafan Table 3.4. Main Analysis Disaster Risk Index The figure was obtained from the conversion of the value set by the Disaster Management Act is equal to 100.
From the above calculations it can be concluded that the level of disaster risk is highest in Alafan and Salang. The same thing was concluded by Bappeda Simeulue, 2012 in mapping disaster risk index Simeulue island with a GIS (Geographic Information System), that the District Alafan and Salang are the most risk areas on the island. 1.Alafan 2.Salang Graph 2. Main Analysis Disaster Risk Indeks 2013 Alafan and Salang is the highly risk index area than the other, this was due to the earthquake epicentrum point located at coordinates North latitude and BujurTimur, with a depth of 30 kilometers and approximately 250 kilometers south of Banda Aceh and + 50 km from Alafan region so that the vibrations are stronger than other regions. Alafan Physically is an area directly facing the Indian Ocean with no obstacles. Alafan region includes areas that have economic resources low and limited access to transportation either by land or sea.
Land access many disconnected because a lot of damaged roads and bridges, the network exit is also very limited because there is no port, so that when disaster strikes the area is extremely 37 60 vulnerable to food aid, medicines and other. Access to communication and electric lighting is also ineffective in this area because there is no telecommunication networks and information that goes into this region, it make difficult to communicate out of the island of Simeulue. Salang is the second highly risk cause there is no close hill around for evacuated place. The people must be run for 30 minute to reach the hill. 3.5.Conclusion From 8 regions in Simeulue are evenly distributed dissemination potential capacity. With an average score for the ability to anticipate threats of 1063, organizing ability and the ability of a solution of 889 monitoring and evaluation of 470.
Region and the highest level of anticipation is East Simeulue and Alafan. From 8 regions in Simeulue are worrying spread of potential vulnerability. With an average score of between disaster index, variable economic conditions of 3843, the physical condition of the building has a score of 7848, and the condition of vulnerable Region and the highest level of vulnerability is Alafan and Salang. From 8 regions in Simeulue are evenly distributed dissemination potential capacity. With an average score for the ability to anticipate threats of 1063, organizing ability and the ability of a solution of 889 monitoring and evaluation of 470.
Region and the highest level of anticipation is East Simeulue and Alafan. From the above calculations it can be concluded that the level of disaster risk is highest in Alafan and Salang.
It can be seen from the disaster risk index Alafan shown 191 score and Salang area 98 score. Reference Applegate, D. Margaret Davinson, G, Whitney, M.Davidson Improve of Observation for Disaster Reduction; Near Term Opportunity Plan Executive Office of the President of the USA Bastian A, Familiar Living with Disaster.
Sebuah Tinjauan Global tentang Inisiatif-inisiatif Pengurangan Bencana. Jakarta, jilid 1 dan 2. Blaikie, P., Cannon, T., Davis, I., and Wisner, B.:1994 At Risk: Natural Hazards, Peoples Vulnerability, and Disasters, Routledge, London,1994.MPBI. Jakarta, vol 1 and 2. Carter, Nick W, 1991, Disaster Management, A Disaster Manager's Handbook, Manila,Asian Development Bank. Central Bureau of Statistics, 2011, Simeulue District in Figures Cordona, 2005, O.
D.: Indicators for Disaster Risk and Risk Management.Program for Latin America and the Caribbean: Summary Report,Manizales, Columbia: Instituto de Estudios Ambientales, Universidad Nacional de Columbia European Environment Agency (EEA), 2006,Multilingual Environment Glossary Gomez, K.A. And Gomez, A.A., Statistical Procedures for Agricultural Research.
John Wiley & Sons, Inc. Canada IDEP, 2007, Community Based Disaster Management, Second Edition IDEP Foundation ISDR, Mainstreaming.Internasional Sustainable Disaster Reduction John Twigg, Characteristics of a Disaster - Resilient Community: A Guidance Note, Version 2, DFID, Journal of Historical Survey Results and Value Tradisonal. Center for Research of History and Traditional Values Banda Aceh.
Law Decree 24 of 2007.Disaster Risk Management Latief, H Pedoman Penanggulangan Dampak Kerusakan Kawasan Pesisir Akibat Bencana Gelombang Pasang Berbasis Ekosistem. Pusat Kajian Tsunami ITB.Bandung Peduzzi, et, al, 2009, Assesing Global Exposure and Vulnerability towards natural hazards: the Disaster Risk Index, Journal Natural Hazards and Earth System Sciences, Published by Copernicus Publication on behalf of the European Geosciences Union Priest, Z, Islamic and Local Wisdom in Disaster Relief in Disaster Management Java.Jurnal, Volume 2 No. 1 June of 2011, ISSN X, Jakarta Priotomo, E, I, 2006, The people of Simeulue Tradional Wisdom Pertaining to Smong 38 61 Regional Disaster Management Agency Simeulue, 2011 Silbert,M, 2011, Small Island Economic Vulnerability To Natural Disasters, Dissertation.Graduate School Of The University Of Florida In Partial Fullfillment Of The Requirements For The Degree Of Doctor Of Philosophy.UniversityOf Florida Singarimbun, M. And Effendi, S Methods Survey Research. LP3ES, Jakarta Sugiyono, Qualitative Research.
Alfabeta, Bandung. 109 obtained with 44.2% positive), Bekasi (2002), and Semarang (2003) 6.7. Leptospirosis disease was first discovered in the district of Klaten in 2005 were 3 cases. Based on the incident Klaten District Health Office carry out screening. Screening results indicate that 21 people tested positive for leptospira infection of 66 people were examined. Leptospirosis re-emerged in 2008 in the Northern District of Klaten. In 2010 there were 5 deaths of 15 cases were found.
Until 2011 leptospirosis in Klaten district continues to increase 8. The problems is disease already widespread in several villages and districts, especially areas that are close to the rice fields and streams. The rainy season, housing and environmental sanitation conditions where rats around the residence is thought to be the cause of the increase in cases. Mapping the incidence of leptospirosis is one attempt to obtain location information accurately mapping the spread of leptospirosis following risk factors.
Reseach Methods This observational study design was used with a combination of ecological studies case control study, to study the distribution pattern and risk factors for leptospirosis in Klaten District. The variables studied were individual characteristics (income, occupation and education), and environmental (density residential, home sanitation, where rats and location of the cage). Subjects were people who were diagnosed with leptospirosis either found in hospitals and in the community survey results, confirmed by a doctor's diagnosis based on clinical criteria set by the WHO (1982) and or diagnostic test equipment (leptotek and or MAT). Sampling was done by purposive sampling. Spatial analysis is used to view the distribution pattern of leptospirosis. Results and Discussion 1.
Mapping analysis of leptospirosis Results of the analysis showed that the average nearest neighbor nearest neighbor index (nearest neighbor ratio) from the point of the case was 0.7 (. 111 observations in the field looks a lot holes around the rice field which is a nesting and breeding place for rats. Habits make holes around the rice fields aims to nurture their children, besides mice will also make a hole in the dike irrigation to reside. Availability of rice can be used as indicators of an increase in the rat population, because this environment is a suitable habitat for the development of rat 12. Sehgal research on leptospirosis epidemiological patterns, noted that leptospirosis is often seen in rural agricultural areas in some South and Southeast Asian countries including India's rural peninsula, Northeast Thailand, southern China and the Philippines.
In which case the peak usually occurs in the growing season and the harvest season 13. Results of multiple ring buffer against local roads or districts showed 44% of cases of leptospirosis stay at a radius of m from local road / districts, but almost all of the cases live quite close to the road environment. However results observations showed that 50.5% of cases stayed in a radius of.
112 Figure 5. Maps The Spread of Leptospirosis 2.
Analysis of risk factors for leptospirosis Bivariable analysis aims to determine the relationship of each variable that is suspected as a risk factor to the incidence of leptospirosis. Mc.Nemar test results at 95% confidence level can be seen in Table 1.
Analysis Bivariable for Risk Factor of Leptospirosis Case Control OR Exp Unexp 95%CI p Income Low,30 1,74-6,70 0,00. Standart Employment Exposure,78 2,29-11,14 0,00. Unexposure9 32 Educations Low,38 1,21-4,97 0,00. High Density Exposure 2 9 4,5 0,93-42,79 0,03. Unexposure2 92 House sanitation Poor,5 4,98-51,33 0,00 Good 4 4 Present of rodents Exposure,96-20,15 0,00.
Unexposure6 50 Cattle pen position 3 times/week). Similarly, the location of the enclosure which showed that 45.71% of cases put the cage together with a dwelling (0 meters from the house), while 28.81% making cattle pen in a radius per home (Figure 6). 114 Figure 6. Spread Mapping of Risk Factor Results overlay exposure to risk factors in cases of leptospirosis showed that 60% of cases of leptospirosis exposed by one or more of these three risk factors, while 40% of them are exposed to other risk factors outside the model. The frequency distribution of the combination of exposure to risk factors for leptospirosis in Klaten district can be seen in Table 3. Exposure Risk Factors incidence of leptospirosis Exposure Risk Factors Cases N% House sanitations 23 21,90 Employment 11 10,48 Present of rodents 5 4,76 House sanitation and employment 16 15,24 House sanitation and present of 5 4,76 rodents House sanitation, employment and present of rodents 3 2,86 Risk factors outside the model Data in the table showed the dominant exposure of risk factors of the case are as much as 21.90% of sanitary home and work as much as 10.48%. Exposure to a combination of two risk factors showed 15.24% of cases of exposure to risk factors for home sanitation and jobs, 4.76% of cases of exposure to risk factors for the presence of rats and sanitary home.
As for exposure to the combination of three risk factors shows the proportion of 2.86%. Furthermore, 40% of whom leptospirosis cases are caused by exposure to other risk factors, among which are equally harmful activity contact with sources of contaminants and environmental factors. The results showed 82.9% of cases have a habit of activities related to the sources of contaminants in this water, including fishing, swimming or bathing cattle in the river, as well as looking eel, grazing and herding cattle in the fields. The data also showed that 69.5% of the cases are still found which build cattle sheds with a distance.