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"The success of family planning (FP) program in controlling fertility level in indonesia over last three decades has been associated with role of FP field workers. A study from Rwanda indicated that activity of FP field workers to deliver counseling has increased contraceptive prevalence rate until 29% points. However, since decentralization policy has been adopted and implemented in indonesia in 2014, later in 2009 it was found that total number of FP filed workers has been decreased to remain two-thirds from previous number i.e. 35 thousands workers before desentralization took place. A reflecting impat from this dynamic situation is a stagnant level of indonesia's total fertility rate (TFR) based on IDHS 2007 data that has been similar to that in IDHS 2003-2003, accounted for 2.6 children per woman. A stagnant TFR trend may stimulate fear of increasing TFR after then, When FP program performance including that performance of FP field workers are neglected. Increasing TFR would lead to a baby booming that threathens excessive utilization of natural resources that is already limited.this also worsen BKKBN efforts to achieve a zero growth population stage or replacement fertility level by year 2015. it is recommended that an optimum working climate should be pursued to yielding a maximum performance of FP field workers within these dynamic changes since decentralization policy has been applied. The recommendation includes establishing a reward system and recording reporting system with information technology basis. "

"Buku yang berjudul "Clinician's handbook of prescription drugs" ini ditulis oleh Seymour Ehrenpreis, Eli D. Ehrenpreis. Buku ini merupakan sebuah buku panduan mengenai obat-obatan medis."

"Contents :Tuning up : music- older than written history- as young as tomorrow -- Music as a science, medicine as an art -- Music therapy -- Jazz improvisation : (an example of music and medicine working together in harmony -- Coping with the initial diagnosis of cancer : the song writing workshop approach to the grieving process -- Lessons with the professor : a four step artistic approach to fighting cancer -- Lessons in music communication : the woodblock example, your sense of self, and the power of listening in your life with cancerAccuracy with smoothness -- In search of the missing chord -- Don’t cross the bar without me -- Where’s the bridge? keeping perspective during your journey with cancer -- Either you is or you ain’t : if you don’t get passionate about your cause, how can you expect anyone else to? -- In music, the rests are as important as the notes -- Keeping time -- The show must go on -- The live performance and the meaning of cancer."

"Tesis ini bertujuan untuk mengetahui perbedaan nilai prediksi VO2max dan kadar laktat pada uji latih submaksimal menggunakan sepeda Astrand saat menggunakan masker bedah dan N95 pada tenaga medis. Metode penelitian adalah desain experimental. Subjek penelitian adalah tenaga medis usia dewasa muda baik laki-laki atau perempuan dengan IMT normoweight sampai obesitas I. Tingkat aktivitas fisik subjek dinilai dengan kuesioner IPAQ sebelum dimulai uji latih. Total subjek penelitian adalah 54 orang. Subjek penelitian melakukan uji latih submaksimal sepeda Astrand dengan menggunakan masker medis dan masker N95 untuk mengetahui nilai prediksi VO2max. Interval uji latih dengan kedua masker adalah minimal 2 hari dan maksimal 1 minggu. Peningkatan kadar laktat diukur melalui selisih nilai laktat yang diperiksa sebelum uji dan sesaat setelah uji latih selesai. Hasil penelitian menunjukkan terdapat nilai prediksi VO2max yang lebih rendah secara signifikan saat uji latih memakai masker 95 dibandingkan masker bedah (p<0.001). Nilai prediksi VO2max yang lebih rendah secara signifikan juga didapatkan pada kelompok jenis kelamin perempuan, laki-laki, kelompok normoweight dan obesitas I dengan nilai p <0.001, 0.09, <0.001, 0.06 secara berurutan. Peningkatan laktat saat uji latih menggunakan masker N95 lebih tinggi secara signifikan dibandingkan dengan saat memakai masker bedah dengan nilai p=0.003. Kesimpulan penelitian terdapat perbedaan bermakna pada nilai prediksi VO2max dan peningkatan laktat saat uji latih submaksimal sepeda astrand dengan menggunakan masker bedah dan N95 pada tenaga medis

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The objection of this study is to evaluate the difference of VO2max predicted value and blood lactate level in submaximal exercise testing with astrand ergocycle using N95 and surgical mask among physician. The method of this study is experimental design. The subjects are male or female young adult physician with BMI within normo-weight to obesity I. Activity level of the subjects was assessed using IPAQ quisioner before the exercising testing. Total of the subject in this study was 54. The subject performed the submaximal exercise testing with astrand ergocycle using surgical and N95 mask to obtain the VO2max prediction value. The interval between the exercise testing was minimum 2 days and maximum 1 week. The increase of lactate level was measure by subtracting the lactate level post exercise testing with pre-exercise testing level. The result of this study shows that the predicted VO2max from submaximal exercise testing with N95 mask is significantly lower than while using surgical mask (p<0.001). According to the gender, the same result also found in female and male groups using N95 and also according to BMI, the same result also found in normo-weight and obesity I group with p value <0.001, 0.09, <0.001, 0.06 respectively. The increase of blood lactate level also higher significantly in N95 mask group with p 0.003. The conclusion of the study is there are significant difference in predicted VO2max and the increase of blood lactate level from the submaximal exercise testing with N95 and surgical mask among physician"

"Latar belakang : Berbagai penelitian menunjukkan bahwa setelah pengobatan tuberkulosis (TB) selesai dan dinyatakan sembuh, sebagian besar penyintas TB masih mengalami gejala sisa. Saat ini program penanggulangan TB sudah berjalan dengan baik, tetapi tindakan rehabilitasi pada pasien yang masih mengalami keterbatasan kapasitas fungsional dan faal paru pasca tuberkulosis masih belum menjadi prioritas program nasional. Penelitian ini bertujuan untuk mencari apakah terdapat hubungan antara luas lesi pada foto toraks yang sudah menjadi standar pemeriksaan pada pasien dengan pengobatan TB dengan kapasitas fungsional lewat pemeriksaan uji latih jantung paru (ULJP) dan faal paru lewat pemeriksaan spirometri, sehingga bisa menjadi alat skrining pasien yang memerlukan pemeriksaan lebih lanjut. Metode : Desain penelitian ini adalah deskriptif observasional dengan metode potong lintang untuk mengetahui luas lesi foto toraks, uji latih jantung paru dan spirometri pada pasien bekas TB paru sensitif obat di RSUP Persahabatan. Hasil : Didapatkan 45 subjek penelitian yang memenuhi kriteria dan bersedia ikut penelitian. Terdapat korelasi negatif bermakna antara luas lesi foto toraks dengan parameter ULJP yaitu VO2 Max (r = −0,389) dan Minute Ventilation (r = −0,435), dengan nilai p masing-masing 0,008 dan 0,003. Terdapat korelasi negatif bermakna antara luas lesi foto toraks dengan parameter spirometri yaitu VEP1 (r = −0,489) dan KVP (r = −0,578), dengan nilai p masing-masing 0,001 dan <0,001, Variabel perancu yang berpengaruh adalah diabetes mellitus dengan koefisien regresi -9,756 terhadap peak minute ventilation dengan nilai p = 0,023. Kesimpulan : Terdapat hubungan antara luas lesi foto toraks dengan ULJP dan spirometri.

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Background : Multiple studies show that following the completion of tuberculosis (TB) treatment and successful recovery, the majority of TB survivors still experience residual symptoms. While the TB control program is currently well established, the rehabilitation of individuals with diminished functional capacities post-tuberculosis remains a secondary concern within the national program. This study aims to determine whether there were correlation between chest x-ray lesion area which has become a standard examination in patients undergoing TB treatment, with functional capacity as measured by cardiopulmonary exercise testing (CPET) and lung function assessed through spirometry, so it can be a screening tool for patients who require further examination. Methods : The design of this study was descriptive observational with a cross-sectional method to determine chest x-ray lesion area, cardiopulmonary exercise testing and spirometry in post drug susceptible pulmonary TB patients at Persahabatan Hospital. Results : There were 45 subjects who met the criteria and were agree to take part in the research. There was a significant negative correlation between chest x-ray lesion area and CPET parameters VO2 Max (r = −0.389) and Minute Ventilation (r = −0.435), with p values of 0.008 and 0.003, respectively. There was a significant negative correlation between chest x-ray lesion area and spirometry parameters, FEV1 (r = −0.489) and FVC (r = −0.578), with p values of 0.001 and <0.001, respectively. The significant confounding variable is diabetes mellitus with a regression coefficient -9.756 to peak minute ventilation with p value = 0.023. Conclusions : There were negative correlation of chest x-ray lesion area with CPET and spirometry in post drug susceptible pulmonary TB patients."