Pub Date : 2021-06-29DOI: 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
{"title":"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?","authors":"H. Herqutanto, A. Wijaya, B. Sampurna, Manaor F. L. Napitupulu, Ferdi Afian","doi":"10.22435/hsji.v12i1.4026","DOIUrl":"https://doi.org/10.22435/hsji.v12i1.4026","url":null,"abstract":"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. \u0000Methods: 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. \u0000Results: 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%. \u0000Conclusion: 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. \u0000Keywords: emergency landing, port health officer, knowledge, attitudes and practice \u0000 \u0000Abstrak \u0000Latar 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. \u0000Metode: 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. \u0000Hasil: 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%. \u0000Kesimpulan: 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. \u0000Kata kunci: eme","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45521357","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}
Pub Date : 2021-06-29DOI: 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
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Pub Date : 2021-06-29DOI: 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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Pub Date : 2021-06-29DOI: 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
{"title":"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","authors":"E. Indriasih, M. Budiharsana","doi":"10.22435/hsji.v12i1.4805","DOIUrl":"https://doi.org/10.22435/hsji.v12i1.4805","url":null,"abstract":"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. \u0000Methods: 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. \u0000Results. 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. \u0000Conclusion: 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. \u0000Keywords: verbal autopsy, sensitivity, specificity, determining cause of death, physician, tariff method \u0000 \u0000Abstrak \u0000Latar 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. \u0000Metode: 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. \u0000Hasil. 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","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42452596","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}
Pub Date : 2021-06-28DOI: 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
{"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}
Pub Date : 2021-06-27DOI: 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
{"title":"The association between anthropometric profiles and somatotype with 100 meter sprint amongst Indonesian sprint athletes","authors":"E. Purnomo, N. Arovah, Alfonsia Purnamasari","doi":"10.22435/hsji.v12i1.3155","DOIUrl":"https://doi.org/10.22435/hsji.v12i1.3155","url":null,"abstract":"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. \u0000Methods: 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. \u0000Results: 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. \u0000Conclusion: 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. \u0000Keywords: body composition, somatotype, sprinter \u0000 \u0000Abstrak \u0000Latar 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. \u0000Metode: 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","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48543927","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}
Pub Date : 2021-01-01DOI: 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
{"title":"Characteristics of pediatric traumatic brain injury: study from Wongsonegoro Regional Public Hospital in Semarang","authors":"Andrew Robert Diyo, Nadisa Tiofunda Budiman, Natashia Olivia Christian, Riky Pratama","doi":"10.22435/hsji.v12i1.4076","DOIUrl":"https://doi.org/10.22435/hsji.v12i1.4076","url":null,"abstract":"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","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68500505","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}
Pub Date : 2020-12-30DOI: 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
{"title":"Laboratory preparedness to support the Covid-19 pandemic respond in Indonesia","authors":"U. Mulyani, Amir Su'udi, V. Setiawaty, K. Aryastami, A. Suwandono, N. Puspandari, Syachroni Syachroni, Made Susilawati, H. Hendarwan","doi":"10.22435/hsji.v11i2.4089","DOIUrl":"https://doi.org/10.22435/hsji.v11i2.4089","url":null,"abstract":"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. \u0000Metode: 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. \u0000Hasil: 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. \u0000Kesimpulan: 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. \u0000Kata kunci: Kesiapan laboratorium, COVID-19, Indonesia \u0000 \u0000Abstract \u0000Background: 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. \u0000Methods: 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","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44107753","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}
Pub Date : 2020-12-23DOI: 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
{"title":"Risk factors of death among children hospitalized with social insurance (BPJS): a cross sectional study using hospital claim data","authors":"Cicih Opitasari, Rossa Avrina, A. B. Anggraini","doi":"10.22435/hsji.v11i2.3951","DOIUrl":"https://doi.org/10.22435/hsji.v11i2.3951","url":null,"abstract":"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. \u0000Metode: 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. \u0000Hasil: 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. \u0000Kesimpulan: Tingkat keparahan penyakit, indikasi ICU dan kondisi tertentu yang timbul pada periode perinatal adalah faktor risiko kematian anak yang paling sering di rumah sakit \u0000Kata kunci: Faktor risiko, kematian, anak, BPJS \u0000 \u0000Abstract \u0000Background: 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. \u0000Methods: 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 \u0000Results: 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 ","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44659478","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}
Pub Date : 2020-12-23DOI: 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
{"title":"In silico analysis of antihypertensive and hepatotoxicity potential of the n-butanol fraction of the methanol extract of of cantaloupe (Cucumis melo var. cantalupensis)","authors":"D. Laila, Dianita Rifqia Putri, G. Permatasari","doi":"10.22435/hsji.v11i2.3629","DOIUrl":"https://doi.org/10.22435/hsji.v11i2.3629","url":null,"abstract":"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. \u0000Metode: 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. \u0000Hasil: 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. \u0000Kesimpulan: FBEMB dapat bekerja dalam menurunkan tekanan darah melalui mekanisme penstabilan saluran kalsium tipe-L yang terisi tegangan dalam konformasi tidak aktifnya. \u0000Kata kunci: in silico, antihipertensi, hepatotoksisitas, blewah \u0000 \u0000Abstract \u0000Background: 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. \u0000Methods: 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. \u0000Results: At least 434 types of compounds were shown in the n-butanol fraction of the ","PeriodicalId":30666,"journal":{"name":"Health Science Journal of Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42910431","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}