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( Gemalasari Novita Liman ),( Chici Pratiwi ),( Muchtaruddin Mansyur ),( Nadira Susilo ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: It`s obvious, that all set of factors of an inhabitancy can be subdivided into a state of health of citizens on primary, having the natural nature and secondary factors, occurrence and which development occurs as set of processes social and technogenic. It`s possible to show also, that social processes are capable, in what that limits to infi uence on frequencies of respiratory Methods: In the given researches are applied serology methods on revealing bacteriological and fungi diseases of bodies of breath and IFA on revealing microorganisms of respiratory bodies Results: In researches on infi uence of factors of pollution of an atmosphere on a state of health of children it`s noted in all age groups. In the most polluted area excess of disease on a class of illnesses of bodies of breath in 2, 1 times, leather and hypodermic cellulose in 2, 7 times, in 2 times above disease of blood and bodies is noted. The greatest infi uence pollution of an atmosphere renders on increase in desease of children illnesses of bodies of breath in age groups 1-2 and 3-6 age. The complex estimation of a state of health of children on the basis of the profound medical survey of schoolboys of 7-11 years has shown, that the total of healthy children in highly polluted area made 6, 6, while in control -19, 4. More than thirds of pupils in polluted area have functional deviations, at 60, 5 various chronic diseases were generated. In control area into this group entered 36, 1 schoolboys. Conclusions: Carried out researches show infi uence of city waste of airpollution, can promote failure of adaptation and occurrence of disease. The most determined communications with factors of pollution of atmospheric air have such illnesses of bodies of breath.
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( Gemalasari Novita Liman ),( Chici Pratiwi ),( Muchtaruddin Mansyur ),( Nadira Susilo ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Based on program evaluation conducted at a hypertension primary health care, we found that the major problem of this clinic was lack of medication and control compliance of the patients. The chosen solution to solve this problem was developing an education-oriented control book for hypertensive patients in primary health care. Methods: This qualitative study lasted for nine days in a hypertension primary health care clinic in Central Jakarta, Indonesia. It consisted of six stages: the project design, development of control book, development of communicative educational messages, pretesting, revision, and evaluation by health professionals. Health staffs working at the clinic participated in fi lling the ten-question questionnaire of evaluation for previous control book and education-oriented control book. The mean scores were compared using t-test or Mann-Whitney U test. Discrimination was validated by the area under the curve (AUC) of receiver operating characteristic (ROC) curve analysis. Results: The education-oriented control book has 20 pages, 20. 5 cm X 14. 5 cm in size. The second page (after the title page) until the sixth page contains communicative educational messages. The seventh-the nineteenth page consist of patient`s health care records and the last page was for blood pressure chart. From the analysis, we found total mean scores for previous control book and education-oriented control book were 29. 2 ± 1. 64 and 34. 2 ± 1. 64 (p<0. 001). ROC curve analysis showed statistically signifi - cant power of discrimination in education-oriented control book (AUC = 0. 881). Conclusions: The education-oriented control book presented a signifi cant discrimination in our population and has potential for clinical applications as a part of health promotion media in hypertension primary health services.
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