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Do the port health officers at Soekarno-Hatta International Airports and Zainuddin Abdul Madjid International Airports have sufficient knowledge, attitude, and practice regarding emergency landing? Soekarno-Hatta国际机场和Zainuddin Abdul Madjid国际机场的港口卫生官员是否对紧急降落有足够的知识、态度和实践?
Pub Date : 2021-06-29 DOI: 10.22435/hsji.v12i1.4026
H. Herqutanto, A. Wijaya, B. Sampurna, Manaor F. L. Napitupulu, Ferdi Afian
Background: : Emergency landing as an airport emergency requires quick and precise action by Port Health Office (PHO) as the medical coordinator. Medical treatment in an emergency landing is critical for the safety of disaster victims, based on the knowledge, attitudes and behavior of airport PHO officers. This study aimed to determine knowledge, attitude and behavior of PHO officers at Soekarno-Hatta International Airport (SOETTA) and Zainuddin Abdul Majid International Airport (ZAM) regarding emergency landings. Methods: This is an observational applying cross sectional design. Ninety-eight PHO officers from SOETTA airport and ZAM airport have participated, and their data was collected through questionnaires, and then analyzed based on knowledge, attitude, and practice toward emergency landing. Results: The knowledge of SOETTA PHO officers was sufficient in 63.5% officers, while it was 79.2% in ZAM. SOETTA PHO officers’ attitude was positive in 67.6% while in ZAM it was 54.16%. The behavior of SOETTA PHO officers was good in 55.4% officers while in ZAM it was 75%. Conclusion: The level of knowledge of SOETTA and ZAM PHO officers regarding emergency landings was sufficient. The attitude of SOETTA and ZAM PHO officers regarding emergency landings was positive. The behavior of SOETTA and ZAM PHO officers was good for emergency landings. Keywords: emergency landing, port health officer, knowledge, attitudes and practice   Abstrak Latar belakang: Emergency landing sebagai salah satu keadaan darurat bandara memerlukan tindakan yang cepat dan tepat oleh Kantor Kesehatan Pelabuhan (KKP) sebagai koordinator medis. Penanganan medis dalam emergency landing sangat menentukan keselamatan dan keamanan korban, yang berbasis pada pengetahuan, sikap dan perilaku petugas KKP bandara. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap dan perilaku petugas KKP Bandara Internasional Soekarno-Hatta (SOETTA) dan Bandara Internasional Zainuddin Abdul Majid (ZAM) terhadap emergency landing. Metode: Penelitian ini adalah sebuah studi obervasional dengan disain potong lintang. Sembilan puluh delapan petugas KKP dari 74 bandara SOETTA dan 24 bandara ZAM diambil datanya lewat kuesioner.dan selanjutnya dinilai pengetahuan, sikap dan perilaku terhadap emergency landing. Hasil: Sebanyak 63,5% petugas KKP SOETTA memiliki pengetahuan yang cukup sementara 79,2% petugas ZAM meiliki pengetahuan yang tergolong cukup. Untuk hasil sikap petugas KPP SOETTA yang tergolong positif 67,6% sementara di ZAM sikap petugas KPP yang tergolong positif 54,16%. Untuk hasil perilaku petugas KPP SOETTA yang tergolong baik 55,4% sementara di ZAM perilaku petugas KPP yang tergolong baik 75%. Kesimpulan: Tingkat pengetahuan petugas KKP SOETTA dan petugas KKP ZAM terhadap emergency landing tergolong cukup. Sikap petugas KKP SOETTA dan ZAM terhadap penanganan emergency landing positif. Perilaku petugas KKP SOETTA dan ZAM cukup baik terhadap emergency landing. Kata kunci: eme
背景:机场紧急情况下的紧急降落需要港口卫生办公室(PHO)作为医疗协调员采取快速准确的行动。根据机场PHO官员的知识、态度和行为,紧急降落时的医疗对灾民的安全至关重要。本研究旨在确定Soekarno-Hatta国际机场(SOETTA)和Zainuddin Abdul Majid国际机场(ZAM)的PHO官员对紧急降落的知识、态度和行为。方法:这是一个应用横断面的观测设计。来自SOETTA机场和ZAM机场的98名PHO官员参与了调查,并通过问卷调查收集了他们的数据,然后根据对紧急降落的知识、态度和实践进行了分析。结果:63.5%的军官对SOETTA PHO军官有足够的了解,而ZAM军官的这一比例为79.2%。SOETTA PHO军官的态度积极者占67.6%,ZAM为54.16%,其中55.4%的军官表现良好,ZAM则为75%。结论:SOETTA和ZAM PHO官员对紧急着陆的知识水平是足够的。SOETTA和ZAM PHO官员对紧急着陆的态度是积极的。SOETTA和ZAM PHO官员的行为有利于紧急着陆。关键词:紧急降落、港口卫生官员、知识、态度和实践根据KKP机场官员的知识、态度和行为,紧急降落时的医疗对受害者的安全至关重要。本研究的目的是确定KKP官员Soekarno-Hatta国际机场(SOETTA)和Zainuddin Abdul Majid国际机场(ZAM)对紧急降落的知识、态度和行为水平。方法:本研究是一项横断面设计的观测研究。来自74个SOETTA机场和24个ZAM机场的98名KKP官员通过Kuesioner获取了他们的数据。结果:多达63.5%的KKP SOETTA官员具有足够的知识,而79.2%的ZAM官员具有充分的知识。对于KPP,SOETTA的积极行为占67.6%,而在ZAM,KPP的积极态度占54.16%。就KPP的表现而言,SOETTA官员的表现良好,占55.4%,而在ZAM,KPP官员的表现较好,占75%。结论:KKP SOETTA和KKP ZAM官员对紧急着陆的了解程度是足够的。KKP SOETTA和ZAM官员反对紧急着陆处理的行为是积极的。KKP SOETTA和ZAM军官在紧急着陆时表现良好。关键词:紧急降落;KKP官员;知识、态度和行为
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引用次数: 0
The correlation of structural and binding affinity of insulin analog to the onset of action for diabetic therapy 胰岛素类似物的结构和结合亲和力与糖尿病治疗作用开始的相关性
Pub Date : 2021-06-29 DOI: 10.22435/hsji.v12i1.4783
G. Permatasari, D. Utomo, D. L. Purwaningroom, D. Soeatmadji
Background: These days, insulin analog production has been improved and  becoming popular. The advantages of insulin analog have been extensively reviewed in terms of effectiveness compared to human insulin. Each of the insulin analog industries has claimed their safety and efficacy based on in vivo and in vitro to overcome type 2 diabetes. Hereby, we report on the identification of highly effective analog-based insulin on structure and binding affinity computationally, to confirm its potential and give a broader point of view to insulin analog users. Methods: Five types of insulin analogs, Aspart, Glargine, Detemir, Lispro and Degludec, were analyzed. We grouped and clustered the sequence by alignment to identify the closeness and sequence similarity between samples, continued by superimposing analysis and undertaking binding affinity identification utilizing of a docking analysis approach. Results: Lispro had the least sequence similarity to other types, close to Aspart (96%) and Glargine (90.5%), while Detemir and Degludec showed 100% similarity we decide to only use Degludec for the next analysis. Furthermore, Lispro, Aspart, and Glargine exhibited structural similarity strengthened by the lack of significant difference in the RMSD data. Importantly, Aspart had the highest binding affinity score (-66.1 +/- 7.1 Kcal/mol) in the docking analysis to the insulin receptor (INSR) and similar binding site areas to human insulin.  Conclusion: Our finding revealed that the strength of insulin analogs towards insulin receptors is identic with its rapid mechanism in the human body. Keywords: computation, docking, insulin analog, sequence similarity, structure    Abstrak Latar belakang: Saat ini, produksi analog insulin meningkat dan menjadi popular. Keuntungan analog insulin telah ditinjau secara ekstensif dalam hal efektivitas dibandingkan dengan insulin manusia. Masing-masing industri analog insulin mengklaim keamanan dan kemanjurannya berdasarkan in vivo dan in vitro untuk mengatasi diabetes tipe 2. Kami melaporkan identifikasi insulin analog yang efektif berdasarkan struktur dan afinitas pengikatan secara komputasi, untuk mengonfirmasi potensi serta memberikan sudut pandang yang lebih luas kepada pengguna insulin analog. Metode: Lima jenis analog insulin, Aspart, Glargine, Detemir, Lispro, dan Degludec, dianalisis. Kami membandingkan dan mengelompokkan urutan tersebut dengan penyelarasan untuk mengidentifikasi kedekatan dan kesamaan urutan antar sampel dilanjutkan dengan superimposing analysis dan melakukan identifikasi binding affinity menggunakan pendekatan analisis docking. Hasil: Lispro memiliki kemiripan sekuen paling rendah dengan jenis lainnya, mendekati Aspart (96%) dan glargine (90,5%), sedangkan Determir dan Degludec menunjukkan kemiripan 100% sehingga kami menggunakan Degludec untuk analisis selanjutnya. Selain itu, Lispro, Aspart, dan Glargine menunjukkan kesamaan struktural yang diperkuat oleh rendahnya nilai signifikansi pada
背景:近年来,胰岛素类似物的生产得到了改善,[UNK]越来越受欢迎。与人胰岛素相比,胰岛素类似物在有效性方面的优势已被广泛综述。每一个胰岛素类似物行业都声称其在体内和体外克服2型糖尿病的安全性和有效性。在此,我们报道了基于高效类似物的胰岛素的结构和结合亲和力的计算鉴定,以证实其潜力,并为胰岛素类似物使用者提供更广泛的观点。方法:分析5种胰岛素类似物,阿斯帕、甘精氨酸、德特米尔、利斯普和迪格。我们通过比对对序列进行分组和聚类,以确定样本之间的紧密性和序列相似性,然后通过叠加分析和利用对接分析方法进行结合亲和力鉴定。结果:Lispro与其他类型的序列相似性最低,接近Aspart(96%)和Glargine(90.5%),而Detemir和Degluec显示出100%的相似性,我们决定在下一次分析中只使用Degluec。此外,由于RMSD数据中缺乏显著差异,Lispro、Aspart和Glargine表现出结构相似性。重要的是,Aspart在与胰岛素受体(INSR)的对接分析中具有最高的结合亲和力得分(-66.1+/-7.1Kcal/mol),并且与人胰岛素的结合位点面积相似。结论:我们的发现表明,胰岛素类似物对胰岛素受体的强度与其在人体内的快速机制是一致的。关键词:计算、对接、胰岛素类似物、序列相似性、结构[UNK]摘要背景:目前,胰岛素类似物的产量正在增加并变得流行。与人类胰岛素相比,胰岛素类似物的益处已在疗效方面得到广泛评估。每个胰岛素类似物行业都声称其安全性,并基于体内和体外开发来克服2型糖尿病。我们报道了一种基于计算结构和结合亲和力的有效胰岛素类似物的鉴定,以证实其潜力,并为胰岛素类似物使用者提供更广阔的前景。方法:分析五种胰岛素类似物,天冬氨酸、甘精氨酸、德特米尔、利斯普和迪格。我们对这些序列进行了比较和分组,并进行了调整,以确定样本序列之间的接近性和相似性,继续进行叠加分析,并使用对接分析方法进行结合亲和力鉴定。结果:Lispro与其他类型的序列相似性最低,接近Aspart(96%)和甘精(90.5%),而Determir和Deglutec显示出100%的相似性,因此我们可以使用Degludic进行进一步的分析。此外,Lispro、Aspart和Glargine显示出结构相似性,RMSD数据中的低显著性值加强了这一点。应该注意的是,在与胰岛素受体(INSR)的对接分析中,天冬氨酸具有最高的亲和力得分(-66.1+/-7.1kkal/mol),并且具有类似于人胰岛素的结合面积。结论:我们的研究结果表明,类似物胰岛素的强度与其在人体内的机械速度相匹配关键词:计算、对接、类似物胰岛素、二次相似性、结构
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引用次数: 0
Do the acute lymphoblastic leukemia and non-hodgkin lymphoma patients have a worse prognosis of COVID-19 infection in children?: a case report 急性淋巴细胞白血病和非霍奇金淋巴瘤患儿感染COVID-19的预后较差吗?一份病例报告
Pub Date : 2021-06-29 DOI: 10.22435/hsji.v12i1.4467
Nadirah Rasyid Ridha, B. Fikri, Rahmawaty Rahimi, Amiruddin Laompo, Conny Tanjung, D. Daud, N. Massi
Background: Coronavirus Disease 2019 (COVID-19) is a contagious disease caused by a new type of Coronavirus namely Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Children with tumors or autoimmune diseases are more susceptible, because of suppression of their immune system, chemotherapy, radiotherapy, or surgery on tumors. Case presentation: We present the clinical features 3 Acute Lymphoblastic leukemia and 1 Non-Hodgkin lymphoma patients who were infected with COVID-19 since July to August 2020 in our hospital. These were the first four cases identified as COVID-19 positive in Dr Wahidin Sudirohusodo Hospital. Case 1, 2, and 4 were diagnosed as moderate and common type of COVID-19, while case 3 was classified as severe type. They may be transmitted COVID-19 infection during hospitalization. All cases were recovered from COVID-19 after a combination therapy against virus, bacteria, and also respiratory support. Conclusion: Our case series of four pediatric cancer patients showed a good outcome after prompt treatment, suggesting that malignancy in children may not be a contributor factor for COVID-19 recovery. Keywords: COVID-19; acute lymphoblastic leukemia; non-hodgkin lymphoma; children   Abstrak Latar belakang: Covid-19 (Coronavirus disease 2019) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Anak yang menderita kanker atau penyakit autoimun lebih rentan tertular karena penurunan system kekebalan tubuh, dampak kemoterapi, radioterapi, atau operasi tumor. Penyajian kasus: Kami melaporkan 3 pasien leukemia limfoblastik akut  dan 1 pasien limfoma non-Hodgkin yang terinfeksi Covid-19 sejak Juli-Agustus 2020. Kasus tersebut adalah 4 kasus pertama yang teridentifikasi Covid-19 di Rumah Sakit Dr. Wahidin Sudirohusodo. Kasus 1,2, dan 4 terdiagnosis positif Covid -19 derajat sedang, sedangkan kasus 3 tergolong berat. Mereka kemungkinan terinfeksi Covid-19 saat perawatan. Semua kasus dinyatakan sembuh dari Covid-19 setelah pemberian obat anti virus, antibiotik, dan alat bantu pernapasan. Kesimpulan: Serial kasus dari 4 pasien kanker anak dengan outcome yang baik setelah pengobatan yang cepat mengindikasikan bahwa penyakit keganasan pada anak kemungkinan bukan faktor yang berkontribusi dalam kesembuhan Covid-19. Kata kunci:  COVID-19; leukemia limfoblastik akut; limfoma non-hodgkin; anak    
背景:冠状病毒病2019 (COVID-19)是由一种新型冠状病毒即严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的传染病。患有肿瘤或自身免疫性疾病的儿童更容易受到影响,因为他们的免疫系统受到抑制,化疗,放疗或肿瘤手术。病例介绍:我们报告了2020年7月至8月在我院感染COVID-19的3例急性淋巴母细胞白血病和1例非霍奇金淋巴瘤患者的临床特征。这是Wahidin Sudirohusodo医生医院确诊的首批4例COVID-19阳性病例。病例1、2、4为中、普通型,病例3为重症。他们可能在住院期间传播COVID-19感染。在对病毒、细菌和呼吸支持进行联合治疗后,所有病例都从COVID-19中康复。结论:我们的4例儿童癌症患者的病例系列在及时治疗后显示出良好的预后,这表明儿童的恶性肿瘤可能不是COVID-19恢复的因素。关键词:COVID-19;急性淋巴细胞白血病;非霍奇金淋巴瘤;【摘要】Latar belakang: covid(冠状病毒病2019)adalah penyakit menular yang disebabkan oleh严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)。Anak yang menderita kanker, atau penyakit自体免疫,lebih rentan terular karena penurunan系统,kekebalan tubuh, dampak kemoterapi, radioterapi, atau operasi肿瘤。[1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1]wwahidin Sudirohusodo博士说:“我对新冠肺炎的诊断非常清楚。”确诊病例1、2、4例为新冠肺炎阳性病例,确诊病例3例为特龙市确诊病例。Mereka kemungkinan terinfeksi Covid-19 saat perawatan。Semua kasus dinyatakan sembuh dari Covid-19 setelah pemberian obat抗病毒药物,抗生素,和bantu pernapasan。连续kasus dari 4 pasien kanker anak dengan结果yang baik setelah pengobatan yang cepat menginkasikan bahwa penyakit keganasan pada anak kemungkinan bukan因子yang berkontribusi dalam kesembuhan Covid-19。Kata kunci: COVID-19;白血病幼胚性;limfoma非霍奇金;赶出亚衲族
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引用次数: 0
Performance of the tariff method and physicians in determining stroke as the cause of deaths using verbal autopsy in areas with a limited number of physicians: cases in Indonesia 在医生数量有限的地区,通过口头解剖确定中风为死亡原因的关税方法和医生的表现:印度尼西亚的病例
Pub Date : 2021-06-29 DOI: 10.22435/hsji.v12i1.4805
E. Indriasih, M. Budiharsana
Background: Physician-certified verbal autopsy (PCVA) is the primary method used to determine the cause of death in Indonesia, although it is very costly and problematic to use in areas where physicians are not widely available with most deaths occur at home. The Tariff method has been piloted to obtain an alternative approach that does not require a physician to determine the cause of death. This validation study presents how the Tariff captures the correctness and distinctiveness of stroke symptoms to the PCVA. Methods: Medical records of 298 adult deaths that occured in four teaching hospitals in the Jakarta from  January 1, 2015 to March 2017 were collected prospectively. Verbal Autopsy (VA) was applied using the 2014 WHO instrument diagnosed by a trained physician (PCVA) and by Tariff method. The validity of the VA was assessed by comparing the PCVA diagnoses with the Tariff diagnoses, referring to the best standard. Results. Sensitivity, specificity and positive predictive value (PPV) of VAs using physician’s diagnosis (PCVA) for stroke were 73.9%, 73.5% and 93.4% respectively. The corresponding sensitivity, specificity and positive predictive value (PPV) of VAs diagnosed by the Tariff method were 75%, 61% and 91%. The negative predictive values (NPV) of both techniques were low, 35.6% and 32.6% respectively. Conclusion: The performance of the Tariff method for stroke was almost similar with  PCVA, and with a narrower variation, or more consistent than PCVA. Therefore, the Tariff method is a potential alternative to be used on a large scale, because the difficult geographical conditions where physician are not widely available for causes of deaths with distinct signs and symptoms. Keywords: verbal autopsy, sensitivity, specificity, determining cause of death, physician, tariff method   Abstrak Latar Belakang: Autopsi verbal yang disertifikasi oleh dokter (PCVA) merupakan metode utama yang digunakan untuk memastikan penyebab kematian di Indonesia. Meskipun sangat mahal dan bermasalah untuk digunakan di daerah di mana dokter tidak banyak tersedia dan sebagian besar kematian terjadi di rumah. Metode Tarif telah diujicobakan untuk mendapatkan pendekatan alternatif yang tidak memerlukan dokter untuk menentukan penyebab kematian. Studi validasi ini menyajikan bagaimana Tarif menangkap kebenaran dan kekhasan gejala stroke dibandingkan dengan PCVA. Metode: Rekam medis dari 298 kematian orang dewasa yang terjadi di empat rumah sakit studi di wilayah Jakarta pada 1 Januari 2015 hingga Maret 2017 dikumpulkan secara prospektif. Autopsi verbal (AV) dilakukan dengan menggunakan instrumen WHO 2014 yang didiagnosis oleh dokter terlatih (PCVA) dan metode Tarif. Validitas AV dinilai dengan membandingkan diagnosis PCVA dengan diagnosis metode Tarif, mengacu pada baku mutu. Hasil. Sensitivitas, spesifisitas dan nilai prediksi positif (PPV) dari AV dengan diagnosis dokter (PCVA) untuk stroke adalah 73,9%, 73,5% dan 93,4%. Sensitivitas, spesifisitas, da
背景:医生认证的死因推断(PCVA)是印度尼西亚用于确定死亡原因的主要方法,尽管在医生不广泛的地区使用这种方法非常昂贵且存在问题,大多数死亡发生在家中。已经试用了关税方法,以获得一种不需要医生确定死因的替代方法。本验证性研究提出了关税如何捕获卒中症状的正确性和独特性的PCVA。方法:前瞻性收集2015年1月1日至2017年3月雅加达4家教学医院298例成人死亡病例的医疗记录。采用经培训的医生诊断的2014年世卫组织仪器(PCVA)和关税法进行死因推断。参照最佳标准,将PCVA诊断与Tariff诊断进行比较,评估VA的效度。结果。VAs使用医师诊断(PCVA)对脑卒中的敏感性、特异性和阳性预测值分别为73.9%、73.5%和93.4%。关税法诊断VAs的敏感性、特异性和阳性预测值(PPV)分别为75%、61%和91%。两种方法的阴性预测值(NPV)均较低,分别为35.6%和32.6%。结论:Tariff法在脑卒中诊断中的表现与PCVA几乎相同,但差异较小,或比PCVA更一致。因此,关税法是一种可能大规模使用的替代办法,因为在地理条件困难的地方,医生无法广泛找到具有明显体征和症状的死亡原因。关键词:死因推断,敏感性,特异性,死因确定,医师,收费方法。摘要Latar Belakang:尸检,verbal yang disertifikasi oleh dokter (PCVA) merupakan metode utama yang digunakan untuk memastikan penyebab kematian di Indonesia。Meskipun sangat mahal dan bermasalah untuk digunakan di daerah di mana dokter tidak banydia dan sebagian besar kematian terjadi di rumah。方法Tarif telah diujicobakan untuk mendapatkan pendekatan alternatifyang tidak memerlukan dokter untuk menentukan penyebab kematian。研究验证了脑中风和脑中风的关系,包括脑中风和脑中风。方法:Rekam medis dari 298 kematian orang dewasa yang terjadi di empat rumah sakit studi di wilayah雅加达,2015年1月1日,兴嘉市场2017年dikumpulkan secara前景。世卫组织2014年杨诊断为先天性多裂病(PCVA)。Validitas AV dinilai dengan membandingkan诊断PCVA dengan诊断法,mengacu padbaku mutu。Hasil。脑卒中患者的敏感性、特异性、预诊阳性(PPV)、脑卒中诊断阳性(PCVA)分别为73,9%、73,5%和93,4%。敏感性、特异性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性、单纯性分别为75%、61%和91%。Nilai prediksi negative (NPV) dari kedua teknik itu rendah, masmas35,6 %和32,6%。kespulan: Untuk stroke, kinerja方法Tarif hair sama dengan PCVA, dan dengan variasi yang lebih sempit, atau lebih持续dibandingkan PCVA。Oleh karena itu, untuk penyebab kematian dengan tanda dangejala yang berbeda, metoif merupakan替代潜在的untuk digunakan dalam skala besar, dimana banyak wilayah dengan地理位置sulit dan dokter tidak selalu tersedia。术语:自说自话、敏感、个体、自我、自我、自我、自我、自我、自我、自我、自我、自我
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引用次数: 1
Helmet use behavior and its relation to head injury of road traffic accident in Indonesia (Basic Health Research, 2018) 印度尼西亚道路交通事故中头盔使用行为及其与头部损伤的关系(基础卫生研究,2018)
Pub Date : 2021-06-28 DOI: 10.22435/hsji.v12i1.4655
Lusianawaty Tana, D. Delima, N. Kusumawardani, Lely Indrawati
Background: Nationally, the prevalence of injuries tends to increase from 7.5% in 2007, 8.2% in 2013, and 9.2% in 2018. The main cause of injuries is motorcycle accidents (40.6%), which most occur on the highway (42.8%). This is a further analysis of Indonesia Basic Health Research (Riskesdas) 2018 data, to assess the role of  sociodemography on helmet use behavior and head injuries due to traffic accident.   Methods: The 2018 Basic Health Research was a cross-sectional research, based on data from individuals aged 5 years old and above, who analyzed with helmet use behavior and the incidence of head injuries due to traffic accident as dependent variables. The independent variables consist of sociodemographic characteristics, the role of individual in accident, and the impact of the accident. The data were analyzed by bivariate and multivariate, and taking into account the complex sample in 5% confidence level. Results: The results showed that 44.4% from 19122 individuals aged five years old and above had good behavior in using helmets. The determinants of helmet use behavior were age, gender, education, occupation, economic status, location and area of residence (adjusted OR 1.15—4.5; p≤0.02). The result from14.1% of respondents who had a head injuries caused by traffic accidents. The risk of head injuries due to traffic accidents was 1.17 times (95% CI  1.02—1.35; p 0.03) in the unhelmeted group compared to the helmeted group.  Conclusion: Helmet use behavior is connected with the reduction of head injuries due to traffic accidents. Counseling and monitoring of helmet use is need to be improved, especially for the youth category. Keywords: head injury,  traffic accident, helmet use   Abstrak Latar belakang: Secara nasional, prevalensi cedera cenderung meningkat dari 7,5 % pada tahun 2007, 8,2 % pada 2013, dan 9,2 % pada 2018. Penyebab utama dari cedera adalah kecelakaan bermotor (40,6 %), dan kebanyakan terjadi di jalan raya (42,8 %). Ini merupakan analisis lanjut data Riset Kesehatan Dasar (Riskesdas) 2018 untuk menilai peran sosiodemografi terhadap perilaku penggunaan helm dan hubungan perilaku penggunaan helm dengan cedera kepala akibat kecelakaan lalu lintas. Metode: Riskesdas 2018 adalah riset potong lintang. Data individu umur 5 tahun ke atas dianalisis dengan perilaku penggunaan helm dan kejadian cedera kepala akibat kecelakaan lalu lintas sebagai variabel terikat. Variabel bebas terdiri dari karakteristik sosiodemografi, peran individu dalam kecelakaan, dan dampak kecelakaan.  Data dianalisis secara bivariat dan multivariat dengan memperhitungkan complex sample dan 5 % tingkat kepercayaan. Hasil: Hasil menunjukkan bahwa 44,4% dari 19.122 individu umur 5 tahun ke atas mempunyai perilaku yang baik dalam menggunakan helm. Determinan perilaku penggunaan helm adalah umur, jenis kelamin, pendidikan, pekerjaan, status ekonomi, lokasi dan area tempat tinggal (adjusted OR 1,15—4,5; p≤0,02). Sejumlah 14,1% individu mengalami cedera kepal
背景:在全国范围内,受伤的发生率往往从2007年的7.5%、2013年的8.2%和2018年的9.2%上升。受伤的主要原因是摩托车事故(40.6%),大多数发生在高速公路上(42.8%)。这是对印度尼西亚基础健康研究(Riskesdas)2018年数据的进一步分析,以评估[UNK]社会人口学在交通事故导致的头盔使用行为和头部受伤中的作用。【UNK】方法:2018年基础健康研究是一项横断面研究,基于5岁及以上个体的数据,以头盔使用行为和交通事故导致的头部损伤发生率为因变量进行分析。自变量包括社会人口学特征、个人在事故中的作用以及事故的影响。通过双变量和多变量分析数据,并考虑5%置信水平的复杂样本。结果:19122名5岁及以上人群中,44.4%的人有良好的头盔使用行为。头盔使用行为的决定因素是年龄、性别、教育程度、职业、经济状况、地点和居住面积(调整OR 1.15-4.5;p≤0.02)。14.1%的受访者因交通事故导致头部受伤。与戴头盔组相比,未戴头盔组因交通事故导致头部受伤的风险是戴头盔组的1.17倍(95%置信区间:1.02-1.35;p 0.03)。结论:头盔使用行为与减少交通事故造成的头部损伤有关。需要改进对头盔使用情况的咨询和监测,尤其是对青年人。关键词:头部伤害、交通事故、头盔使用背景摘要:全国伤害发生率从2007年的7.5%、2013年的8.2%和2018年的9.2%呈上升趋势。伤害的主要原因是车祸(40.6%),大多数发生在道路上(42.8%)。这是对2018年重大健康风险数据的进一步分析,旨在评估社会人口学在头盔行为中的作用,以及头盔行为与交通事故头部损伤之间的关系。方法:风险2018是一项交叉研究。对5岁及以上的个人数据进行分析,将头盔行为和交通事故造成的头部损伤作为相关变量。自由变量包括社会人口特征、个人在事故中的作用以及事故的影响。[UNK]通过计算复杂样本和5%置信水平,对数据进行双变量和多变量分析。结果:在19122名5岁及以上人群中,44.4%的人有良好的头盔使用行为。头盔行为的确定因素包括年龄、性别、教育、就业、经济状况、地点和居住区域(调整OR 1.15-4.5;p≤0.02)。14.1%的人因交通事故头部受伤。与使用头盔的人相比,不使用头盔的个人头部受伤的风险是使用头盔的1.17倍(95%置信区间:1.02-1.35;p 0.03)。结论:头盔的使用行为与减少交通事故造成的头部损伤有关。应加强对头盔使用情况的积累和监测,尤其是在青少年群体中。关键词:头部受伤、交通事故、头盔使用
{"title":"Helmet use behavior and its relation to head injury of road traffic accident in Indonesia (Basic Health Research, 2018)","authors":"Lusianawaty Tana, D. Delima, N. Kusumawardani, Lely Indrawati","doi":"10.22435/hsji.v12i1.4655","DOIUrl":"https://doi.org/10.22435/hsji.v12i1.4655","url":null,"abstract":"Background: Nationally, the prevalence of injuries tends to increase from 7.5% in 2007, 8.2% in 2013, and 9.2% in 2018. The main cause of injuries is motorcycle accidents (40.6%), which most occur on the highway (42.8%). This is a further analysis of Indonesia Basic Health Research (Riskesdas) 2018 data, to assess the role of  sociodemography on helmet use behavior and head injuries due to traffic accident.   \u0000Methods: The 2018 Basic Health Research was a cross-sectional research, based on data from individuals aged 5 years old and above, who analyzed with helmet use behavior and the incidence of head injuries due to traffic accident as dependent variables. The independent variables consist of sociodemographic characteristics, the role of individual in accident, and the impact of the accident. The data were analyzed by bivariate and multivariate, and taking into account the complex sample in 5% confidence level. \u0000Results: The results showed that 44.4% from 19122 individuals aged five years old and above had good behavior in using helmets. The determinants of helmet use behavior were age, gender, education, occupation, economic status, location and area of residence (adjusted OR 1.15—4.5; p≤0.02). The result from14.1% of respondents who had a head injuries caused by traffic accidents. The risk of head injuries due to traffic accidents was 1.17 times (95% CI  1.02—1.35; p 0.03) in the unhelmeted group compared to the helmeted group.  \u0000Conclusion: Helmet use behavior is connected with the reduction of head injuries due to traffic accidents. Counseling and monitoring of helmet use is need to be improved, especially for the youth category. \u0000Keywords: head injury,  traffic accident, helmet use \u0000  \u0000Abstrak \u0000Latar belakang: Secara nasional, prevalensi cedera cenderung meningkat dari 7,5 % pada tahun 2007, 8,2 % pada 2013, dan 9,2 % pada 2018. Penyebab utama dari cedera adalah kecelakaan bermotor (40,6 %), dan kebanyakan terjadi di jalan raya (42,8 %). Ini merupakan analisis lanjut data Riset Kesehatan Dasar (Riskesdas) 2018 untuk menilai peran sosiodemografi terhadap perilaku penggunaan helm dan hubungan perilaku penggunaan helm dengan cedera kepala akibat kecelakaan lalu lintas. \u0000Metode: Riskesdas 2018 adalah riset potong lintang. Data individu umur 5 tahun ke atas dianalisis dengan perilaku penggunaan helm dan kejadian cedera kepala akibat kecelakaan lalu lintas sebagai variabel terikat. Variabel bebas terdiri dari karakteristik sosiodemografi, peran individu dalam kecelakaan, dan dampak kecelakaan.  Data dianalisis secara bivariat dan multivariat dengan memperhitungkan complex sample dan 5 % tingkat kepercayaan. \u0000Hasil: Hasil menunjukkan bahwa 44,4% dari 19.122 individu umur 5 tahun ke atas mempunyai perilaku yang baik dalam menggunakan helm. Determinan perilaku penggunaan helm adalah umur, jenis kelamin, pendidikan, pekerjaan, status ekonomi, lokasi dan area tempat tinggal (adjusted OR 1,15—4,5; p≤0,02). Sejumlah 14,1% individu mengalami cedera kepal","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48522457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The association between anthropometric profiles and somatotype with 100 meter sprint amongst Indonesian sprint athletes 印尼短跑运动员100米短跑的人体测量特征与体型之间的关系
Pub Date : 2021-06-27 DOI: 10.22435/hsji.v12i1.3155
E. Purnomo, N. Arovah, Alfonsia Purnamasari
Background: One hundred meter sprint was influenced by various internal and external factors. Somatotype and anthropometry profiles are possibly to be one of the factors that predicts performance. The aims of this study were to assess the anthropometry and somatotype profiles obtained from an example of Indonesian team university male sprinters and to elucidated potential correlations between anthropometry profile and somatotype with the 100m sprint. Methods: It was recorded that 20 selected sprint athletes participated as representatives from Indonesia in the XVIII ASEAN University Games with an averaged age (20.0 ± 0.92 year old). Anthropometric assessment includes height, weight, skinfold (triceps, supra-spinale, subscapula, suprailiaca, abdomen, calf, front thigh and chest)), two bicondylar widths (humerus and femur) and two circumferences (biceps and femur). The somatotype assessment was based on the Health & Carter method. Body fat percentage was assessed using the equation determined by Berzerk et al. (1963). Body Mass Index is calculated from body mass divided by height squared (kg/m2). Multicorrelation matrix and simple linear regression were used to assess the potential correlation between somatotype profile and anthropometry with the 100m sprint. Results: The average value of ectomorph-mesomorph-endomorph was 3.40-4.08-0.84 BMI at 20.6 0.6, while the fat percentage was 9.2 ± 0.8. There were no significant correlation and regression slope found between somatotype profile and anthropometry with the 100m sprint. Conclusion:  Most of the athletes representing Indonesia at the ASEAN University Games were mesomorphs and ectomorphs. They had low endomorph score fat percentage. Body shape requirements was not related to the 100m sprint. Further investigation is recommended to amplify the findings. Keywords: body composition, somatotype, sprinter   Abstrak Latar belakang: Lari seratus meter dipengaruhi oleh berbagai faktor internal dan eksternal. Profil somatotipe dan antropometri diperkirakan merupakan salah satu diantara faktor yang dapat memprediksi kinerja. Tujuan dari penelitian ini adalah untuk menilai antropometri dan somatotipe yang diperoleh dari sampel pelari putra perguruan tinggi Indonesia dan menjelaskan potensi korelasi antara antropometri dan somatotype dengan lari 100 meter. Metode: Tercatat 20 atlet sprinter terpilih sebagai perwakilan dari Indonesia di ASEAN University Games XVIII dengan rata-rata umur (20.0±0.92 tahun). Penilaian antropometri meliputi tinggi, berat badan, lipatan kulit (trisep, supra-spinale, subskapula, suprailiaka, abdomen, betis, paha depan dan dada), dua lebar bicondylar (humerus dan femur) dan dua lingkar (bisep dan femur). Penliaian somatotipe didasarkan dari metode Heath & Carter. Presentasi lemak tubuh dinilai sebagai persamaan yang ditentukan oleh Berzerk et al. (1963). Indeks Masa Tubuh dihitung dari masa tubuh yang dibagi dengan tinggi badan kuadrat (kg / m2). Matrix multikorelasi dan regre
背景:百米短跑受到多种内外因素的影响。体型和人体测量特征可能是预测表现的因素之一。本研究的目的是评估从印度尼西亚大学男子短跑队获得的人体测量和体型特征,并阐明人体测量特征和体型特征与100米短跑之间的潜在相关性。方法:选取20名印度尼西亚短跑运动员作为代表参加第十八届东盟大学生运动会,平均年龄(20.0±0.92岁)。人体测量评估包括身高、体重、皮褶(三头肌、棘上肌、肩胛下肌、髂上肌、腹部、小腿、大腿前部和胸部)、两个双髁宽度(肱骨和股骨)和两个周长(肱二头肌和股骨)。体型评估基于Health&Carter方法。使用Berzerk等人(1963)确定的方程式评估体脂百分比。体重指数是根据体重除以身高的平方(kg/m2)计算得出的。使用多元相关矩阵和简单线性回归来评估100米短跑的体型特征和人体测量之间的潜在相关性。结果:外形态-中形态-内形态的平均BMI值为3.40-4.08-0.84,为20.6 0.6,而脂肪百分比为9.2±0.8。100米短跑的体型特征和人体测量之间并没有发现显著的相关性和回归斜率。结论:代表印尼参加东盟大学生运动会的运动员多为中形体和外形体。他们的内形态得分脂肪百分比较低。体型要求与100米短跑无关。建议进一步调查以扩大调查结果。背景摘要:百米赛跑受各种内外因素的影响。体型和人体测量特征被认为是表现的可预测因素之一。本研究的目的是评估从印尼高中跑男样本中获得的人体测量和体型,并解释100米跑的人体测量与体型之间的潜在相关性。方法:选取20名短跑运动员作为第十八届东盟大学生运动会印尼代表,平均年龄(20.0±0.92岁)。人体测量评估包括身高、体重、皮肤折叠(三重、脊椎上、肩胛下、髂上、腹部、女性、额部和胸部)、两个宽的双髁(肱骨和股骨)和两个圆(bishop和股骨)。基于Heath&Carter方法的体细胞类型检测。身体脂肪的呈现是由Berzerk等人(1963)定义的一个方程来评估的。身体时间指数是根据身体时间除以身高的平方(kg/m2)计算得出的。使用多元相关矩阵和简单线性回归来估计体型和人体测量轮廓之间的相关性潜力,快速运行100 m。结果:外形态-中形态-内形态的平均值为3.40-4.08-0.84。BMI为20.6±0.6,而脂肪为9.2±0.8。结论:代表印尼参加东盟大学生运动会的运动员多为中胚层和外胚层。他们有低变形分数脂肪。体型条件与100米跑无关。建议进一步调查以加强这一发现。关键词:人体测量,体型,跑步
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引用次数: 0
Characteristics of pediatric traumatic brain injury: study from Wongsonegoro Regional Public Hospital in Semarang 三宝垄市Wongsonegoro地区公立医院儿童外伤性脑损伤的特点
Pub Date : 2021-01-01 DOI: 10.22435/hsji.v12i1.4076
Andrew Robert Diyo, Nadisa Tiofunda Budiman, Natashia Olivia Christian, Riky Pratama
Background: Traumatic brain injury is one of the leading causes of morbidity and mortality in the world, as well as disability in the pediatric group. This study aimed to describe the characteristics of pediatric traumatic brain injury patients, considering the lack of data in Indonesia. Methods: We conducted a descriptive-retrospective study at Wongsonegoro Regional Public Hospital Semarang. Data were extracted from medical records of patients admitted during the period of January 2017-December 2019 using a purposive sampling method. Results: Out of 296 patients, most of the patients were male (59.13%; 66.30%). Based on age group, the highest percentage was found in the (11-18-year-old) (40.87%) in operative patients and 5-10-year-old (37.57%) in non-operative patients. The most common cause of traumatic brain injury in operative patients was falling from motor vehicle (37.39%) while in non-operative patients was falling while playing (32.60%). The most common type of injury in operative patients was epidural hematoma (49.57%) and in non-operative patients was brain concussion (53.59%). Most of the patients had minor head injury (75.65%; 81.22%). Most of operative patients spent 3-5 days (64.35%) in the hospital while most of non-operative patients spent 1-3 days (72.37%). Of all the subjects, the majority of patients recovered and discharged. Conclusion: remains as the most common type of pediatric traumatic brain injury in this study. This study provides an overview of traumatic brain injury in children and shows the importance of enforcing driving rules and supervision by parents which play an important role in child safety. Keywords: pediatric, traumatic brain injury, Indonesia   Abstrak Latar belakang: Cedera kepala merupakan salah satu penyebab utama morbiditas dan mortalitas di dunia, serta disabilitas pada kelompok pediatri. Penelitian ini bertujuan untuk mendeskripsikan karakteristik pasien pediatri dengan cedera kepala, mengingat minimnya data cedera kepala pada anak di Indonesia.  Metode: Penelitian ini merupakan penelitian deskriptif-retrospektif di RSUD Wongsonegoro Semarang. Data diambil dari rekam medis pasien anak yang dirawat selama periode Januari 2017-Desember 2019 dengan menggunakan metode purposive sampling. Hasil: Dari 296 pasien, sebagian besar merupakan laki-laki (59,13%; 66,30%). Berdasarkan kelompok umur, persentase tertinggi pada kelompok operatif terdapat pada (40,87%) dan pada kelompok non operatif terdapat pada kelompok usia 5-10 tahun (37,57%). Penyebab tersering cedera kepala pada pasien operatif yakni jatuh dari kendaraan bermotor (37,39%) sementara pada pasien non operatif penyebab tersering berupa jatuh saat bermain (32,60%). Jenis cedera kepala tersering pada pasien operatif adalah Epidural Hematoma (49,57%) dan pada pasien non-operatif berupa commotio cerebri (53,59%). Kebanyakan pasien mengalami cedera kepala ringan (75,65%; 81,22%). Sebagian besar pasien operatif dirawat selama 3-5 hari (64,35%) se
背景:外伤性脑损伤是世界上发病率和死亡率的主要原因之一,也是儿童致残的主要原因之一。考虑到印度尼西亚缺乏数据,本研究旨在描述儿童创伤性脑损伤患者的特征。方法:我们在三宝垄Wongsonegoro地区公立医院进行了描述性回顾性研究。采用有目的抽样方法,从2017年1月至2019年12月期间入院的患者病历中提取数据。结果:296例患者中,男性居多(59.13%;66.30%)。按年龄组分,手术患者中11-18岁比例最高(40.87%),非手术患者中5-10岁比例最高(37.57%)。造成外伤性脑损伤的最常见原因是机动车坠落(37.39%),非手术患者是玩耍时坠落(32.60%)。手术患者最常见的损伤类型为硬膜外血肿(49.57%),非手术患者最常见的损伤类型为脑震荡(53.59%)。以轻度颅脑损伤为主(75.65%;81.22%)。手术患者住院时间以3 ~ 5天为主(64.35%),非手术患者住院时间以1 ~ 3天为主(72.37%)。在所有受试者中,大多数患者康复出院。结论:仍是本研究中最常见的儿童外伤性脑损伤类型。本研究概述了儿童创伤性脑损伤的概况,并表明了执行驾驶规则和家长监督的重要性,这在儿童安全中起着重要作用。【关键词】小儿;创伤性脑损伤;印度尼西亚;Penelitian ini bertujuan untuk mendeskripsikan karakteristik pasen pediatrics dengan cedera kepala,意为“最小数据中心”,意为“最小数据中心”,意为“最小数据中心”。方法:Penelitian ini merupakan Penelitian deskprif - retrospekdi RSUD Wongsonegoro Semarang。数据为2017年1月- 2019年12月登安蒙古纳坎方法目的抽样。哈西尔语:达里语296 pasien, sebagian besar merupakan laki-laki (59,13%;66年,30%)。Berdasarkan kelompok umur,代表酶tertinggi, kelompok操作,kelompok(40.87%)和paadkelompok非操作,patadkelompok usia 5-10(37.57%)。Penyebab tersering cedera kepala pasen operatif yakni jatuh dari kendaraan bermotor (37.39%); Penyebab tersering berupa jatuh saat bermain(32.60%)。Jenis cedera可治疗脑膜外血肿(49.57%)和脑膜外血肿(53.59%)。Kebanyakan pasien mengalami cedera kepala ringan (75,65%;81年,22%)。Sebagian besar pasen operatifdirawat selama 3-5 hari (64,35%) sedangkan mayoritas pasien nonoperatifdirawat selama 1-3 hari (72.37%) Dari semua subject, mayoritas pasien sembuh dan dipulangkan。[翻译]:Jatuh dari kendaraan bermotor merupakan jenis cedera kepala yang paling umum ditemukan dalam penelitian ini。研究小组成员有:1 .在尼泊尔,尼泊尔人有2 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有3 .在尼泊尔,尼泊尔人有4 .在尼泊尔,尼泊尔人有3 .在尼泊尔。Kata kunci: anak, cedera kepala,印度尼西亚
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引用次数: 0
Laboratory preparedness to support the Covid-19 pandemic respond in Indonesia 实验室为支持印度尼西亚应对新冠肺炎大流行做好准备
Pub Date : 2020-12-30 DOI: 10.22435/hsji.v11i2.4089
U. Mulyani, Amir Su'udi, V. Setiawaty, K. Aryastami, A. Suwandono, N. Puspandari, Syachroni Syachroni, Made Susilawati, H. Hendarwan
Latar belakang: Penyakit jenis baru COVID-19 yang disebabkan oleh virus corona menjadi  sebuah pandemic di akhir tahun 2019. Kota Wuhan (China) merupakan lokasi pertama terdeteksinya kasus COVID-19. Tanpa adanya kecurigaan apapun penyakit ini dengan cepatnya menyebar ke seluruh dunia mengikuti alur mobilitas manusia. Dalam kondisi tersebut sistem kesehatan di setiap negara tampak kelabakan khususnya dalam pengendalian transmisi penyakit. Studi ini ingin mengidentifikasi  kesiapan jejaring laboratorium kesehatan di Indonesia. Metode: Penilaian cepat dilakukan terhadap ketersediaan dan kesiapan laboratoriaum dalam pennanganan pandemi Covid-19. Pengumpulan data dilakukan melalui pengisian questioner yang dikirim secara elektronik. Waktu pelaksanaan adalah minggu ketiga dan keempat, Maret 2020. Terdapat 44 laboratorium jejaring laboratorium dibawah Kementerian Kesehatan yang menjadi subjek penelitian, dan sebanyak 33 yang merespon secara lengkap Variabel ketersediaan, kecukupan dan kebutuhan bahan dan alat. Hasil: Jejaring laboratorium kesehatan dibawah Kementerian Kesehatan sudah terbentuk sejak tahun 2009. Dengan terjadinya pandemic COVID-19 Surat Keputusan Menteri Kesehatan telah direvisi hingga dua kali agar dapat  meningkatkan kapasitas dan memperluas jejaring ke seluruh wilayah NKRI. Hasil studi menunjukkan, laboratorium  jejaring  dibawah Kementerian Kesehatan belum siap dalam menghadapi pandemic COVID-19. Dua jenis laboratorium jejaring yaitu laboratorium surveillans maupun laboratorium diagnostic memiliki kondisi yang sama. Ketersediaan bahan dan alat laboratorium standar masih tergolong rata-rata, bahkan dari sisi kecukupannyapun masih  jauh dibawah kapasitas kebutuhan dalam penanganan specimen COVID-19. Kondisi yang sama juga tampak untuk bahan pendukung laboratorium termasuk alat pelindung diri untuk petugas. Kesimpulan: Kesiapan laboratorium sebagai bagian dari system kesehatan dalam kondisi pandemic masih lemah. Keberadaan alat penunjang diagnose khususnya untuk penyakit menular harus dilengkapi sesuai dengann type laboratorium. Pandemi COVID-19 menjadi alarm dalam menghadapi era baru dan antisipasi masalah dimasa yang akan datang. Kata kunci: Kesiapan laboratorium, COVID-19, Indonesia   Abstract Background: A novel coronavirus disease called COVID-19 has become pandemic in late 2019. Wuhan City was the first place detected as the source of the pandemic. Without suspicion, it spreads over the world, along with human mobility. In such a condition, every country seems quite stuttering to prepare its health system to prevent its people from the possible transmission. This paper aims to describe the preparedness of the networking laboratory in Indonesia. Methods: We conducted a rapid assessment of laboratory availability and preparedness to respond to the Covid-19 pandemic. We held the data collection on the third and fourth week of March 2020 by sending an electronic questionnaire to all 44 networking laboratories under the Ministr
背景:由冠状病毒引起的新型新冠肺炎于2019年底成为一种流行病。中国武汉市是第一个发现新冠肺炎病例的地方。毫无疑问,随着人类的流动,这种疾病正在世界各地迅速传播。在这种情况下,每个国家的卫生系统似乎都特别容易受到疾病传播的影响。这项研究旨在确定印度尼西亚卫生实验室网络的准备情况。方法:快速评估实验室在赢得新冠肺炎大流行中的准备情况。数据收集是通过填写电子发送的提问者来完成的。执行时间为2020年3月第三周和第四周。卫生部下属有44个实验室网络实验室正在进行研究,33个实验室完全响应材料和工具的可用性、充分性和需求变量。结果:自2009年以来,卫生部建立了卫生实验室网络。由于新冠肺炎大流行,卫生部长的决策函已被修改了两次,以便能够提高能力并扩大整个NKRI地区的网络。研究表明,卫生部下属的实验室网络尚未做好应对新冠肺炎大流行的准备。两种网络实验室,监测实验室或诊断实验室,具有相同的条件。即使从足够的角度来看,标准实验室材料和工具的平均可用性仍远低于新冠肺炎标本处理所需的能力。同样的情况也出现在实验室支持材料上,包括军官的防护设备。结论:作为流行病卫生系统的一部分,实验室的准备工作仍然薄弱。必须根据实验室类型安装专门用于传染病的诊断支持设备。新冠肺炎大流行是面对新时代和即将到来的问题的一个警报。关键词:制备实验室,新冠肺炎,印度尼西亚摘要背景:一种被称为新冠肺炎的新型冠状病毒疾病已于2019年末流行。武汉市是第一个被发现为疫情源头的地方。毫无疑问,它与人类的流动性一起在世界各地传播。在这种情况下,每个国家似乎都在为其卫生系统做好准备,以防止其人民受到可能的传播。本文旨在描述印度尼西亚网络实验室的准备情况。方法:我们对实验室的可用性和应对新冠肺炎大流行的准备情况进行了快速评估。我们在2020年3月的第三周和第四周通过向卫生部结构下的所有44个网络实验室发送电子问卷进行了数据收集。本研究中评估的变量是新冠肺炎相关实验室物质的可用性和要求,包括试剂和其他设备类型。结果:卫生部于2009年建立了网络实验室,但由于新冠肺炎大流行,该实验室已两次更新,以提高和扩大全国的实验室能力。我们的研究表明,印度尼西亚网络实验室对这种新出现的新冠肺炎情况的准备情况相当严重。监测和诊断实验室都有类似的情况。他们的主要材料的可用性一般,但其充分性远远超出了处理新冠肺炎样本的能力。我们在实验室、辅助材料和个人防护装备(PPE)中发现了类似的病例。结论:作为卫生系统的一部分,新冠肺炎大流行初期的实验室准备工作仍然薄弱。所需设备、辅助材料和个人防护设备的可用性远远超出要求。新冠肺炎使印度尼西亚的实验室和整个卫生系统进入了一个新时代,未来的准备工作将更好。关键词:实验室准备,新冠肺炎,印度尼西亚
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引用次数: 1
Risk factors of death among children hospitalized with social insurance (BPJS): a cross sectional study using hospital claim data 社会保险住院儿童死亡的危险因素:一项使用医院索赔数据的横断面研究
Pub Date : 2020-12-23 DOI: 10.22435/hsji.v11i2.3951
Cicih Opitasari, Rossa Avrina, A. B. Anggraini
Latar belakang: Angka kematian di rumah sakit merupakan salah satu indikator yang digunakan untuk mengukur kinerja dan kualitas pelayanan. Tujuan penelitian ini untuk menganalisis  faktor risiko kematian pada anak yang dirawat dengan BPJS kesehatan di satu rumah sakit di Jakarta. Metode: Penelitian potong lintang pada satu rumah sakit pemerintah di Jakarta. Sampel menggunakan semua data klaim pasien BPJS selama periode Januari - Desember 2017. Semua pasien BPJS  berusia di bawah 18 tahun yang dirawat dimasukkan dalam analisis. Regresi logistik digunakan untuk menganalisis faktor risiko kematian anak. Hasil: Dari total 18,941 jumlah pasien BPJS yang dirawat, sebanyak 3689 data anak yang dianalisis. Proporsi angka kematian anak selama satu tahun sebesar 7,3%. Kasus dengan tingkat keparahan derajat II memiliki risiko kematian 11,51 kali lipat [rasio odds suaian (ORa) = 11,51; IK=7,45-17,78; P = 0,000] dibandingkan tingkat keparahan penyakit derajat I, sedangkan kasus dengan tingkat keparahan derajat III beresiko terhadap kematian 33,97 kali lipat (ORa = 33,97;IK=19,93-57,91; P = 0,000). Selain itu, anak yang memiliki indikasi dirawat di ICU meningkatkan risiko kematian  14,21 kali lipat (ORa = 14,21; IK=9,15-22,08; P= 0,000) dibandingkan yang tidak ada indikasi ICU. Kondisi tertentu yang timbul pada  periode perinatal meningkatkan risiko kematian anak 7,65  kali lipat (ORa = 7,65  ; IK=1,81-32,35;P = 0,006) dibandingkan penyakit pada sistem muskuloskeletal dan jaringan ikat. Kesimpulan: Tingkat keparahan penyakit, indikasi ICU dan kondisi tertentu yang timbul pada  periode perinatal adalah faktor risiko kematian anak yang paling sering di rumah sakit Kata kunci: Faktor risiko, kematian, anak, BPJS   Abstract Background: Hospital death rate is one of the indicators used to measure hospital performance and quality of care, especially the overall hospital death rate. This study aims to analyze the risk factors of death among children hospitalized with social insurance (BPJS) in one hospital in Jakarta. Methods: This was a cross-sectional study conducted in one government hospital in Jakarta. The sample was all individual claim data of BPJS patients who were hospitalized during the period of January to December 2017. All BPJS patients aged below 18 years admitted into the pediatric wards were included in the analysis. The logistic regression was used to analyze the risks of children death Results: A total of 18.941 BPJS inpatients in the hospital was identified, out of them 3689 met the inclusion criteria. The proportion of death in children during one year was 7.3%. Illness severity level II had 11.51-fold [adjusted odds ratio (ORa)=11.51;CI=7.45-17.78; P=0.000]] meanwhile severity level III had 33.97-fold higher risk of children death (ORa=33.97; CI=19.93-57.91;P=0.000) compared to children with severity level I. Children who had ICU indicator increase risk of children death at 14.21 -fold (ORa=14.21;IK=9.15-22.08;P= 0.000) compared to those
背景:医院死亡率是衡量服务表现和质量的指标之一。本研究的目的是分析在雅加达一家医院接受BPJS治疗的儿童的死亡风险因素。方法:在雅加达的一家政府医院进行纬度研究。样本在2017年1月- 12月期间使用了所有BPJS患者索赔数据。所有18岁以下的BPJS患者都接受了分析。回归物流被用来分析儿童死亡的风险因素。结果:接受治疗的BPJS患者总数为18.941人,对儿童数据进行了3689分析。儿童一年死亡的比例是7.3%。二度严重个案有11.51人死亡的风险增加[赔率(ors) = 11.51;IK = 7,45-17,78;与I级疾病的严重程度相比,3级病情有可能导致33.97人死亡(ORa = 33.97;IK=19,93-57,91;P = 10000)。此外,有症状的重症监护儿童患重症监护室的风险增加了14.21人死亡的风险(ORa = 14.21;IK = 9,15-22,08;与ICU无关。妊娠期出现的某些情况会使7.65名儿童死亡的风险增加一倍(ORa = 7.65;IK=1,81- 32.35;P = 0.006)相对于肌肉骨骼系统和结缔组织的疾病。结论:严重程度与疾病、重症监护室的迹象出现的某些条件围产期是最常见的儿童死亡风险因素在关键词:风险因素,医院,孩子的死亡,社会服务之抽象背景:医院死亡速率是一号indicators习惯所拘束医院演出和品质的援外合作署,尤其是工作服医院死亡速率。这是一项调查,分析死亡风险因素,让雅加达一家医院的儿童接受社会保险(BPJS)。方法:这是雅加达政府医院的跨部门培训。这些样本都是在2017年1月12日至12月期间公布的BPJS patients数据的个别要求。在过去18年的时间里,所有的BPJS病人都接受了儿科诊断。分析儿童死亡统计风险:发现了18941 BPJS在医院的inclusion 3689。孩子们一年死亡的比例是7.3%。II级的Illness有11.51-fold [adjusted odds ratio (ORa)=11.51;CI= 7.417.78;我的意思是,在第三级有33.97-更高的儿童死亡风险(ORa=33.97;CI= 1993 -57.91;P= 000)与几个一级重症监护儿童的儿童相比,他们在14 - 21页增加了儿童死亡风险。在确定的环境下,儿童死亡的风险增加由7.65 - - -页补充。结论:Illness有几个等级,重症监护和隔离在确定期的重症监护是最常见的风险因素在Keywords医院:风险因素,死亡,儿童,BPJS
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引用次数: 0
In silico analysis of antihypertensive and hepatotoxicity potential of the n-butanol fraction of the methanol extract of of cantaloupe (Cucumis melo var. cantalupensis) 哈密瓜(Cucumis melo var. cantalupensis)甲醇提取物正丁醇部分抗高血压和肝毒性的硅片分析
Pub Date : 2020-12-23 DOI: 10.22435/hsji.v11i2.3629
D. Laila, Dianita Rifqia Putri, G. Permatasari
Latar belakang: Hipertensi merupakan faktor risiko utama penyakit kardiovaskular. Penduduk Indonesia cenderung mengkonsumsi herbal dalam terapi hipertensi dalam mempertahankan kadar tekanan darah seperti buah blewah (Cucumis melo var. cantalupensis). Namun mekanisme kerja buah blewah dalam menurunkan tekanan darah, dan potensi toksisitasnya jika dikonsumsi dalam jangka panjang masih belum jelas. Tujuan studi ini adalah untuk menganalisis mekanisme antihipertensi dari buah blewah dan potensi toksiknya melalui pendekatan in silico. Metode: Bubuk blewah kering dimaserasi menggunakan metanol absolut, difraksinasi menggunakan n-butanol. Uji fitokimia dilakukan dengan metode LC-MS, kemudian senyawa bioaktif ditelusuri hingga SMILESnya di PubChem. Analisis QSAR untuk analisis potensi antihipertensi dilakukan dengan PASS server. Kelas toksisitas dan potensi hepatotoksisitas dianalisis menggunakan ProTox-II, dilanjutkan dengan analisis networking menggunakan STITCH dan STRINGdb. Hasil: Setidaknya terdapat 434 jenis senyawa yang terdapat pada fraksi n-butanol dari ekstrak metanol buah blewah (FBEMB). Berdasarkan analisis STITCH dan STRINGdb, FBEMB dapat bekerja dalam menurunkan tekanan darah melalui mekanisme aksi seperti senyawa amlodipine, yang menstabilkan saluran kalsium tipe-L yang terisi tegangan dalam konformasi tidak aktifnya. Dengan demikian, mencegah kontraksi myocyte yang bergantung pada kalsium dan vasokonstriksi. FBEMB mungkin berpotensi hepatotoksik melalui mekanisme kerja senyawa seperti itrakonazol yang menghambat enzim sitokrom P450 yang mempengaruhi gangguan pada sintesis ergosterol, dan efavirenz yang memiliki efek neurotoksik. Penghambatan sitokrom P450 dapat menyebabkan toksisitas obat dan kerusakan hati. Kesimpulan: FBEMB dapat bekerja dalam menurunkan tekanan darah melalui mekanisme penstabilan saluran kalsium tipe-L yang terisi tegangan dalam konformasi tidak aktifnya. Kata kunci: in silico, antihipertensi, hepatotoksisitas, blewah   Abstract Background: Hypertension is a major cardiovascular disease risk factor. Indonesian people tend to consume herbal medicine to maintain hypertension therapy, i.e cantaloupe (Cucumis melo var. cantalupensis). However, the mechanism of action of cantaloupe in lowering blood pressure and toxicity potential for long term consumption is unclear. The study aimed to analyze the antihypertensive mechanism of cantaloupe and its toxic potential through the in silico. Methods: The dried cantaloupe powder was macerated using absolute methanol, then fractionated using n-butanol. The phytochemical test was done by LC-MS method, then the bioactive compounds were traced to their SMILES in the PubChem. The QSAR analysis of the antihypertensive potential was done using the PASS server. The toxicity class and hepatotoxicity potential were analyzed using ProTox-II, followed by networking analysis using STITCH and STRINGdb. Results: At least 434 types of compounds were shown in the n-butanol fraction of the
背景:高血压是心血管疾病的主要危险因素。印度尼西亚人倾向于在高血压疗法中服用草药来保持血压,如甜瓜(Cucumis melo var. cantalupensis)。但是blewah果实在降低血压方面的工作机制,以及长期服用会产生的毒性还不清楚。本研究的目的是通过西利科的方法来分析blewah果实的抗高血压机制和它的毒性潜力。方法:无氧干粉采用绝对甲醇,无氧粉采用n-丁醇。植物化学试验是用LC-MS的方法进行的,然后将生物活性化合物检测到耻笑。通过服务器进行了QSAR对潜在抗高血压的分析。毒性和潜在的肝病毒性是用原- ii进行分析的,然后用缝合和STRINGdb进行联合分析。结果:至少有434种不同类型的化合物存在于blew果实的甲醇提取物中。根据STITCH和STRINGdb的分析,FBEMB可以通过像amlodipine这样的运动机制来降低血压,因为它稳定了l型钙通道的不活动压力。这样可以防止肌钙和血管收缩。fbb可能是通过一种化合物的工作机制,如itrakonazol,抑制抑制抑制ergosterol合成紊乱的细胞色素酶和具有神经毒性作用的efavirenz。P450细胞色素抑制会导致药物毒性和肝脏损伤。结论:FBEMB可以通过l型钙通道稳定机制来降低血压关键词:在硅科、抗高血压、肝病毒性、blewah Abstract背景:高血压是大动脉疾病风险因素。印尼人经常服用草药治疗,i.e cantaloupe (Cucumis melo var. cantalupensis)。战争,在血液压力下使用哈弗的毒液的机制和毒性一直是不清楚的。研究报告将分析cantaloupe的抗高血压机制及其毒性潜力通过二氧化硅。方法:未经处理的大麻淀粉使用绝对甲烷,然后用n-丁醇分解。植物化学测试是由lz - ms的方法完成的,然后生物活性化合物被用于耻笑。反超潜力的QSAR分析正在使用PASS服务器进行。毒性和病毒性的潜在应用是对原- ii进行分析,由线虫和STRINGdb网络分析跟进。建议:至少有434种药物是在nbutanol释放大麻酚(BFMEC)。基于网络分析,BFMEC可能会在血液压力下工作,通过低血抑制,这是稳定的vollodipine类型通信,这是稳定的volstazes,这是抑制myocyte收缩和血管收缩的方法。BFMEC presumac通过抑制剂细胞抑制剂P450-dependent enzymes、影响ergosterol合成药的影响和使神经毒性起作用的efavirenz对细胞外化产生了肝毒性。5月药物和肝脏恶化导致毒品中毒。结束语:BFMEC可能会在低血压力下工作,这是稳定的voltag -gated L-type calsa channels在非活动结合性中。在硅中,抗高血压,肝毒性,大麻
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引用次数: 1
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Health Science Journal of Indonesia
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