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%)

Detection and identification of mycobacteria in sputum from suspected tuberculosis patients

<p>Abstract</p> <p>Background</p> <p>Detection of Tuberculosis agent like nontuberculous mycobacteria (NTM) species by culture and microscopic methods remains difficult and time consuming. A fast and reliable diagnosis of tuberculosis would greatly improve the control of the disease. The purpose of this study is to compare the conventional multiplex PCR and multiplex PCR reverse cross blot hybridization assay to culture method in terms of mycobacteria species detection.</p> <p>Findings</p> <p>Among the 117 positively cultured samples, nontuberculous mycobacteria (NTM) species were found in 9 samples of multiplex PCR reverse cross blot hybridization assay; compared to only 3 NTM species found in our conventional multiplex PCR, and 13 NTM species were successfully identified among 162 negatively cultured samples compared to only 5 NTM species identification in conventional multiplex PCR results.</p> <p>Conclusions</p> <p>The sensitivity of the multiplex PCR reverse cross blot hybridization assay comparing to culture method was 86.03%, the specificity is 35.46%, the positive predictive value was 41.94% and the negative predictive value was 82.41%. For conventional multiplex PCR these values are 81.62%, 38.65%, 41.89%, 79.51%, respectively. Furthermore, in terms of mycobacteria species detection, the conventional multiplex PCR was relatively equal compared to the multiplex PCR reverse cross blot hybridization assay, and to be particularly having no significant discrepant results on the identification of <it>Mycobacteria tuberculosis </it>in both methods.</p

Analysis of Water Quality of the Senibung River in the Oil Palm Plantation PT Telen East Kutai

This study aims to analyze the water quality of the Senibung River flowing through the oil palm plantation of PT Telen, East Kutai. This analysis is very important to ensure that the water used as domestic water and the water used in palm oil processing is in good condition and not contaminated. The methods used are STORET and biological analysis with plankton abundance as an indicator of water quality. Sampling was conducted at the upstream (inlet) and downstream (outlet) sections of the river in March, June, September, and December 2024. The results indicate that the water quality is classified as good; however, several parameters such as TDS, BOD, nitrite, and ammonia exceed the threshold of water quality standards. The plankton diversity index in the downstream section is higher than in the upstream section, with values of H’ 1.47 and 1.17, respectively. Water discharge shows a significant positive relationship with TSS, BOD, COD, and the H' index, with the H' index having the strongest influence (R² = 0.711). The conclusion of this study is that the water quality in the downstream section is better than in the upstream section, and water discharge significantly affects water quality

Environmentally Friendly Larvicides: A Post-Test Only Experimental Comparison of Eleutherine palmifolia and Allium sativum Extracts (0.6–1.8%) on Aedes aegypti Larval Mortality

This study aims to identify the larvicidal potential of Eleutherine palmifolia (Dayak onion) and Allium sativum (garlic), which are rich in flavonoids and known to possess insecticidal properties. The study used a pure experimental design with a post-test control group. Aedes aegypti larvae were tested with Eleutherine palmifolia and Allium sativum extracts at concentrations of 0.6%, 1.2%, and 1.8%, respectively, along with abate as a positive control. Larval mortality was monitored for 24 hours with four replicates. The results showed that Allium sativum was highly effective at all concentrations (99–100% mortality), even at the 0.6% concentration. In contrast, Eleutherine palmifolia exhibited varying effectiveness, with mortality rates of 67%, 67%, and 84% at concentrations of 0.6%, 1.2%, and 1.8%, respectively. These findings confirm that Allium sativum has superior, consistent, and stable larvicidal effectiveness even at low doses, making it a promising alternative for mosquito control and dengue prevention

Risk Factors of Typhoid Infection in the Indonesian Archipelago.

BACKGROUND: Knowledge of risk factors and their relative importance in different settings is essential to develop effective health education material for the prevention of typhoid. In this study, we examine the effect of household level and individual behavioural risk factors on the risk of typhoid in three Indonesian islands (Sulawesi, Kalimantan and Papua) in the Eastern Indonesian archipelago encompassing rural, peri-urban and urban areas. METHODS: We enrolled 933 patients above 10 years of age in a health facility-based case-control study between June 2010 and June 2011. Individuals suspected of typhoid were tested using the typhoid IgM lateral flow assay for the serodiagnosis of typhoid fever followed by blood culture testing. Cases and controls were defined post-recruitment: cases were individuals with a culture or serology positive result (n = 449); controls were individuals negative to both serology and culture, with or without a diagnosis other than typhoid (n = 484). Logistic regression was used to examine the effect of household level and individual level behavioural risk factors and we calculated the population attributable fraction (PAF) of removing each risk significant independent behavioural risk factor. RESULTS: Washing hands at critical moments of the day and washing hands with soap were strong independent protective factors for typhoid (OR = 0.38 95% CI 0.25 to 0.58 for each unit increase in hand washing frequency score with values between 0 = Never and 3 = Always; OR = 3.16 95% CI = 2.09 to 4.79 comparing washing hands with soap sometimes/never vs. often). These effects were independent of levels of access to water and sanitation. Up to two thirds of cases could be prevented by compliance to these practices (hand washing PAF = 66.8 95% CI 61.4 to 71.5; use of soap PAF = 61.9 95%CI 56.7 to 66.5). Eating food out in food stalls or restaurant was an important risk factor (OR = 6.9 95%CI 4.41 to 10.8 for every unit increase in frequency score). CONCLUSIONS: Major gains could potentially be achieved in reducing the incidence of typhoid by ensuring adherence to adequate hand-washing practices alone. This confirms that there is a pivotal role for 'software' related interventions to encourage behavior change and create demand for goods and services, alongside development of water and sanitation infrastructure

HUBUNGAN JARAK FKTP KE FKRTL DAN KETERSEDIAAN LABORATORIUM SATU ATAP TERHADAP RUJUKAN NON SPESIALISTIK DI FKTP KOTA SAMARINDA TAHUN 2020

Jaminan Kesehatan Nasional dibentuk oleh pemerintah agar seluruh masyarakat Indonesia dapat menerima pelayanan kesehatan. Pelayanan kesehatan dilakukan secara berjenjang dengan pelayanan pertama pada fasilitas kesehatan tingkat pertama (FKTP) sesuai dengan kompetensi dokter dan dapat dilakukan rujukan ke jenjang berikutnya jika sesuai dengan indikasi dilakukan rujuk. Penelitian ini bertujuan untuk mengetahui hubungan jarak FKTP ke fasilitas kesehatan rujukan tingkat lanjut (FKRTL) dan ketersediaan laboratorium satu atap terhadap rujukan non spesialistik di FKTP Kota Samarinda tahun 2020. Penelitian ini merupakan penelitian analitik observasional. Populasi penelitian ini adalah FKTP Kota Samarinda yang bekerjasama dengan Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan) dengan besar sampel 106 FKTP yang ditentukan menggunakan teknik purposive sampling. Data diperoleh dari data BPJS Kesehatan Kota Samarinda dan dianalisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan tidak terdapat hubungan jarak FKTP ke FKRTL terhadap rujukan non spesialistik (p=0,451), tetapi terdapat hubungan ketersediaan laboratorium satu atap terhadap rujukan non spesialistik (p=0,012) di FKTP Kota Samarinda tahun 2020

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%).</jats:p

PERBEDAAN NILAI RASIO NEUTROFIL-LIMFOSIT PRE DAN POST OPERASI CORONARY ARTERY BYPASS GRAFTING ON-PUMP TERHADAP KEJADIAN ACUTE KIDNEY INJURY DAN NON-ACUTE KIDNEY INJURY

Acute Kidney Injury (AKI) adalah sindrom kompleks yang ditandai dengan penurunan fungsi ginjal. Pada penelitian ini, rasio neutrofil-limfosit (RNL) yang tinggi dikaitkan dengan perkembangan AKI setelah Coronary Artery Bypass Grafting On-Pump (CABG on-pump). Penggunaan RNL sebagai parameter yang tersedia dengan mudah untuk mendeteksi pasien yang berisiko terkena AKI. Tujuan penelitian untuk mengetahui perbedaan nilai RNL pasca operasi CABG on-pump terhadap kejadian AKI dan Non-AKI. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Semua data klinis preoperative dan postoperative diambil sebagai data sekunder dari rekam medik pasien yang menjalani CABG di Rumah Sakit Umum Daerah Abdul Wahab Sjahranie (RSUD AWS) Samarinda periode Januari 2017-Desember 2020. Penelitian menggunakan uji statistik dengan Mann-Whitney dan Uji Regresi. Hasil penelitian ini ditemukan 41,1% dari 56 sampel mengalami AKI. Hasil didapatkan bahwa terdapat perbedaan nilai RNL pasca operasi pada sampel AKI dan Non-AKI dengan nilai p=0,008. Peningkatan RNL ≥ 10 kali risiko sebesar 6,352 kali lipat