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Concurrent Infection of Dengue and Malaria: An Unusual Case Report 登革热和疟疾并发感染:一个不寻常的病例报告
Pub Date : 2023-12-23 DOI: 10.58344/ihj.v3i1.306
Andri Baftahul Khairi, Perdana Liansyah Sihite, Rauzia Azalia
Plasmodium knowlesi is one of the most common causes of Malaria in humans. Although several reported cases of dengue and Malaria occur together, only a few cases have been reported in Southeast Asia, including Indonesia. This study aims to provide additional insight into the epidemiology and clinical aspects of Plasmodium knowlesi (P. knowlesi) malaria infection and dengue fever that occur concurrently in Southeast Asia, particularly Indonesia. A 36-year-old male patient with a history of travel to the mountainous area of Lhoknga and a fever for five days sought treatment at the emergency department of Meuraxa Hospital. During 11 days of treatment, the patient underwent a routine haematology examination every 24 hours. The average platelet count during the first eight days was around 50,000, with an increase after anti-malarial treatment on the eighth day and marked clinical improvement. The patient was discharged on day 10 with no signs of bleeding or hemolysis during treatment. Diagnosis involved blood smears and hematologic examination, confirming dengue fever with P. knowlesi malaria infection. These findings emphasize the importance of thorough history taking, physical examination, and supporting investigations to diagnose these two conditions together. The results of this study may provide critical support for case management involving malaria infection and dengue fever, with a focus on platelet monitoring as an indicator of response to treatment in the Southeast Asian region.
克雷西疟原虫是人类最常见的疟疾病因之一。虽然有几例登革热和疟疾同时发生的报告,但在东南亚(包括印度尼西亚)仅有少数病例报告。本研究旨在进一步了解东南亚地区(尤其是印度尼西亚)同时发生的柯勒氏疟原虫(P. knowlesi)疟疾感染和登革热的流行病学和临床表现。一名36岁的男性患者曾前往Lhoknga山区旅行,并连续发烧5天,在Meuraxa医院急诊科就诊。在 11 天的治疗期间,患者每 24 小时接受一次常规血液学检查。前八天的平均血小板计数约为 50,000 个,第八天抗疟疾治疗后血小板计数增加,临床症状明显好转。患者于第 10 天出院,治疗期间没有出血或溶血迹象。诊断包括血液涂片和血液学检查,证实了登革热合并柯勒氏疟原虫疟疾感染。这些发现强调了彻底询问病史、体格检查和辅助检查对同时诊断这两种疾病的重要性。这项研究的结果可为涉及疟疾感染和登革热的病例管理提供重要支持,重点是将血小板监测作为东南亚地区治疗反应的指标。
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引用次数: 0
Antibacterial Test of Groundcherry Leaf Extract Liquid Soap Against Staphylococcus Aureus 土樱桃叶提取物液体肥皂对金黄色葡萄球菌的抗菌试验
Pub Date : 2023-11-16 DOI: 10.58344/ihj.v2i4.277
Mareta Febriana F, Wibowo Wibowo, Venny Kurnia Andika
Groundcherry is a medicinal plant with many benefits and properties. Groundcherry leaves contain flavonoid and alkaloid compounds, which can be used as antibacterials. Antibacterial is a substance that can kill or inhibit the growth of bacteria on the skin, such as Staphylococcus aureus, which can cause skin infections. Antibacterial preparations are generally very varied. One type of antibacterial preparation is liquid soap. This research aims to determine whether Groundcherry leaf extract liquid soap preparations can inhibit the growth of Staphylococcus aureus bacteria and to determine the effect of different formulations of Groundcherry leaf extract liquid soap preparations on the ability to inhibit the growth of Staphylococcus aureus bacteria. Liquid soap formulations use extracts with concentrations of 10%, 15% and 20%. The method used in this research was disc diffusion using positive control, negative control and test samples (formulations I, II, III). The research results showed that the liquid soap preparation was able to inhibit bacterial growth. A clear zone in the area around the disc indicated this. Differences in the concentration of extracts in liquid soap preparations can affect bacterial growth. The diameter of the inhibition zone of the formula in the sequence is 10% concentration, the diameter of the inhibition zone is 7.97 mm, and the 15% concentration the diameter of the inhibition zone is 14.82 mm. The 20% concentration, the diameter of the inhibition zone is 17.6 mm, so it can be concluded that the leaf extract liquid soap preparation Groundcherry can inhibit the growth of Staphylococcus aureus bacteria.
土茯苓是一种药用植物,具有多种功效和特性。灰树叶含有黄酮类和生物碱化合物,可用作抗菌剂。抗菌剂是一种能杀死或抑制皮肤上细菌生长的物质,如能引起皮肤感染的金黄色葡萄球菌。抗菌制剂通常种类繁多。液体肥皂就是抗菌制剂的一种。本研究旨在确定灰树叶提取物液体皂制剂能否抑制金黄色葡萄球菌的生长,并确定灰树叶提取物液体皂制剂的不同配方对抑制金黄色葡萄球菌生长能力的影响。液体肥皂制剂使用的提取物浓度分别为 10%、15% 和 20%。本研究采用的方法是使用阳性对照、阴性对照和测试样品(配方 I、II、III)进行盘扩散。研究结果表明,液体肥皂制剂能够抑制细菌的生长。圆盘周围区域的清晰区域表明了这一点。液体肥皂制剂中提取物浓度的不同会影响细菌的生长。按顺序排列,浓度为 10%的配方,抑菌区直径为 7.97 毫米;浓度为 15%的配方,抑菌区直径为 14.82 毫米。浓度为 20%时,抑菌区直径为 17.6 mm,因此可以得出结论:土荆皮叶提取物液体皂制剂可以抑制金黄色葡萄球菌的生长。
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引用次数: 0
Nanoemulsion Formulation of Kepok Banana Peel Extract and Yellow Watermelon Peel as a Kidney Stone Removal Kepok 香蕉皮提取物和黄西瓜皮的纳米乳液配方可用于清除肾结石
Pub Date : 2023-11-14 DOI: 10.58344/ihj.v2i4.270
Khalisha Diaz Habibah, Dzaka Ogan Amirudin Lutfi, Nia Thosimomia Tamimi, Amira Kumala Syifa, Erlina Riska, Titiek Hidayati
The kepok banana peel and yellow watermelon peel are still rarely appropriately used as medicine. The kepok banana peel and yellow watermelon peel contain flavonoids and potassium that function as kidney stone removers. This study aims to make a nanoemulsion formulation of kepok banana peel extract and yellow watermelon peel as a kidney stone remover. The preparation starts with extraction, testing the flavonoid content of the extract, testing the potassium content of the extract, making nanoemulsion using the homogenization method at a speed of 15,200 rpm, and analyzing the nanoemulsion formula that has been made. This study showed that the nanoemulsion extract contained flavonoids and potassium with a pH value of 7 and a viscosity value of 2.70 cP. The nanoemulsion of kepok banana peel and yellow watermelon peel extracts also has a size of 246.9 nm and a PDI of 0.618 with an oil-in-water (O/W) nanoemulsion type. The extracts of kepok banana peel and yellow watermelon peel in nanoemulsion preparation can be used as a medicine to remove kidney stones.
kepok香蕉皮和黄西瓜皮仍然很少被适当用作药物。kepok香蕉皮和黄西瓜皮含有黄酮类化合物和钾,可作为肾结石清除剂。本研究旨在将香蕉皮提取物和黄西瓜皮制成纳米乳剂配方,作为肾结石清除剂。制备过程包括提取、检测提取物中的黄酮含量、检测提取物中的钾含量、以每分钟 15 200 转的速度使用均质法制作纳米乳液,以及分析制作好的纳米乳液配方。研究表明,纳米乳液提取物含有黄酮类化合物和钾,pH 值为 7,粘度值为 2.70 cP。kepok香蕉皮和黄西瓜皮提取物的纳米乳液也具有 246.9 纳米的尺寸和 0.618 的 PDI,属于水包油(O/W)纳米乳液类型。纳米乳液制备的kepok香蕉皮和黄西瓜皮提取物可用作清除肾结石的药物。
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引用次数: 0
The Effectiveness Of Sand Filters With Variations In Thickness And Sand Diameter In Reducing The Coliform Content Of Dug Well Water 厚度和砂直径不同的砂滤器在降低掘井水大肠菌群含量方面的效果
Pub Date : 2023-10-18 DOI: 10.58344/ihj.v2i3.258
Agus Rokot, Mokoginta Jusran, J. Jasman, Mamarasi Candhy
Water filters are one of the efforts that can be made to reduce the content of contaminants and bacteria in water that do not meet the requirements. Sand and gravel are media that are widely used in filters, which can reduce coliform content levels. This research aims to see the effectiveness of sand filters with variations in the thickness and diameter of sand in reducing the coliform content of dug well water. This type of research is experimental, using pre-test and post-test methods. The population is a sample of dug well water containing Coliform bacteria in Wenang District, Telling Bawah Village. The sample is water that has passed the filtering process 12 times. The instruments in this research were sand filters with variations in diameter and thickness and biological examination of water samples. The research data was then tested using the t-test. The research showed that sand filters with a thickness of 70 cm and a diameter of 0.45 mm were ineffective in reducing coliform content. In comparison, sand filters with a thickness of 70 cm with a diameter of 0.3 mm and sand filters with a thickness of 90 cm with a diameter of 0.45 mm and a diameter of 0.3 mm effectively reduce the Coliform content in dug well water. The results of statistical tests using the t-test on a 70 cm thick sand filter with a diameter of 0.45 mm showed a value of 0.219 (p > 0.05). A sand filter with a thickness of 70 cm with a diameter of 0.3 mm shows an ap value of 0.001 (p < 0.05). A 90 cm thick sand filter with a diameter of 0.45 mm showed a value of 0.001 (p < 0.05). A 90 cm thick sand filter with a diameter of 0.3 mm shows an AP value of 0.000 (p < 0.05).
滤水器是减少水中不符合要求的污染物和细菌含量的方法之一。砂和砾石是过滤器中广泛使用的介质,可以降低大肠菌群的含量。这项研究的目的是了解不同厚度和直径的砂滤器在减少挖井水大肠菌群含量方面的效果。这类研究是实验性的,采用前测和后测方法。研究对象是文港区 Telling Bawah 村含有大肠菌群的挖井水样本。样本是经过 12 次过滤过程的水。本研究使用的仪器是直径和厚度不同的砂滤器,以及对水样进行的生物检测。然后使用 t 检验法对研究数据进行检验。研究结果表明,厚度为 70 厘米、直径为 0.45 毫米的砂滤器无法有效减少大肠菌群的含量。相比之下,厚度为 70 厘米、直径为 0.3 毫米的砂滤器和厚度为 90 厘米、直径为 0.45 毫米和直径为 0.3 毫米的砂滤器能有效降低掘井水的大肠菌群含量。对厚度为 70 厘米、直径为 0.45 毫米的砂滤器进行 t 检验,结果显示值为 0.219(p > 0.05)。厚度为 70 厘米、直径为 0.3 毫米的砂滤器的 ap 值为 0.001(p < 0.05)。厚度为 90 厘米、直径为 0.45 毫米的砂滤器的 ap 值为 0.001(p < 0.05)。直径为 0.3 毫米的 90 厘米厚砂滤器的 AP 值为 0.000(p < 0.05)。
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引用次数: 0
Relationship Between Midwife Support and Exclusive Breastfeeding in the Work Area of the Jamblang Health Center, Cirebon Regency 井里汶县 Jamblang 保健中心工作区助产士的支持与纯母乳喂养之间的关系
Pub Date : 2023-09-30 DOI: 10.58344/ihj.v2i3.212
Emah Rohemah
Mother's Milk is the best life fluid, containing various substances babies need. Breast milk is good for the growth and development of babies and according to their needs. Exclusive breastfeeding is only breast milk without complementary food or drink until the baby is six months old. Exclusive breastfeeding coverage at the Jamblang Community Health Center, Cirebon Regency, namely 46.3%, has yet to reach the national target of 80%. Midwife support is a factor that influences the success of exclusive breastfeeding. The purpose of this study was to determine the relationship between midwives' support and exclusive breastfeeding in the working area of the Jamblang Health Center, Cirebon Regency. This research is a qualitative descriptive survey using a cross-sectional approach. The number of respondents is 104 people. Data on midwife support and exclusive breastfeeding were obtained using a questionnaire—a statistical test to determine the relationship between variables using the chi-square test. The results of data analysis obtained a p-value of midwife support 0.038 ( p-value <0.05) for exclusive breastfeeding, meaning there is a significant relationship between midwife support for exclusive breastfeeding. Midwife have the knowledge and skills necessary to assist mothers in addressing various issues that may arise during breastfeeding. They can provide technical assistance in dealing with problems such as infant latching issues, mastitis, or insufficient breast milk production. This support can enhance the success of mothers in providing exclusive breastfeeding.
母乳是最好的生命之液,含有婴儿所需的各种物质。母乳有利于婴儿的生长发育,并能满足他们的需要。纯母乳喂养是指在婴儿六个月大之前只喂母乳,不喂辅食或饮料。在井里汶县 Jamblang 社区卫生中心,纯母乳喂养的覆盖率为 46.3%,尚未达到 80% 的国家目标。助产士的支持是影响纯母乳喂养成功与否的一个因素。本研究的目的是确定在井里汶县詹姆兰保健中心工作区助产士的支持与纯母乳喂养之间的关系。本研究采用横断面方法进行定性描述调查。受访者人数为 104 人。通过问卷调查获得了助产士支持和纯母乳喂养方面的数据,并使用卡方检验法对变量之间的关系进行了统计检验。数据分析结果显示,助产士对纯母乳喂养的支持度的 p 值为 0.038(p 值小于 0.05),这意味着助产士对纯母乳喂养的支持度与纯母乳喂养之间存在显著关系。助产士拥有必要的知识和技能来帮助母亲解决母乳喂养过程中可能出现的各种问题。她们可以提供技术援助,以解决婴儿吮吸问题、乳腺炎或母乳产量不足等问题。这种支持可以帮助母亲成功实现纯母乳喂养。
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引用次数: 0
Social-Cultural Relationship with Stunting Incidence in Children Aged 24-59 Months 社会文化与 24-59 个月儿童发育迟缓发生率的关系
Pub Date : 2023-09-30 DOI: 10.58344/ihj.v2i3.181
Petrorima Selva, Tri Krianto Karjoso
Stunting is a chronic condition of poor linear growth in children. The prevalence of stunting in Indonesia in 2018 reached 30.8%. With the complexity of the causes of stunting, one of the efforts being campaigned by the government is using local food. This study aimed to determine and analyze the influence of local food culture on preventing and overcoming stunting in toddlers (6-59 months) in Indonesia. The method used in this study is a systematic review based on the PRISMA guidelines. The results of this study show that a review of the seven selected journals shows that local food culture influences improving the nutritional status of toddlers, especially during the stunting prevention phase. Whereas in the prevention phase, local food culture by utilizing processed food forms has not improved the nutritional status of toddlers already suffering from stunting. Local food for toddlers who suffer from stunting must be accompanied by other supplements to have a significant effect. Food and eating in the community have cultural and social values, so the utilization of local food culture for toddler food will be easily accepted, easy to obtain, and affordable, significantly influencing stunting prevention in the regions. This research has implications for the importance of remembering that the results of this research can make a valuable contribution to the health and development of children in Indonesia and inspire concrete action to prevent funds from overcoming stunting.
发育迟缓是一种儿童线性生长不良的慢性疾病。2018 年,印度尼西亚的发育迟缓发病率达到 30.8%。由于发育迟缓的成因复杂,政府正在开展的一项工作是使用当地食物。本研究旨在确定和分析当地饮食文化对预防和克服印尼幼儿(6-59 个月)发育迟缓的影响。本研究采用的方法是基于PRISMA指南的系统综述。研究结果表明,对所选七篇期刊的综述显示,地方饮食文化对改善幼儿营养状况有影响,尤其是在预防发育迟缓阶段。而在预防阶段,利用加工食品形式的地方饮食文化并没有改善已患发育迟缓的幼儿的营养状况。为发育迟缓的幼儿提供本地食物必须辅以其他补充剂,才能产生显著效果。社区中的食物和饮食具有文化和社会价值,因此,利用当地饮食文化制作幼儿食品将容易被接受、易于获得且价格低廉,从而对该地区的发育迟缓预防工作产生重大影响。本研究的意义在于,记住本研究的结果可以为印度尼西亚儿童的健康和发展做出宝贵贡献,并激励人们采取具体行动,防止资金克服发育迟缓。
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引用次数: 0
Knowledge of Postpartum Mothers About Umbilical Cord Care in Newborns 产后母亲对新生儿脐带护理的认识
Pub Date : 2023-09-20 DOI: 10.58344/ihj.v2i3.202
Eva Fauzia
cord is a unique network consisting of two arteries and one vein protected by sheathed mucoid connective tissue by a thin mucous membrane. During pregnancy, the placenta provides all the nutrients for the growing fetus and excretes waste products through the umbilical cord. This research uses a descriptive research method, using secondary data in the form of total data on pregnant mothers taken from the monthly report at the health center Mount Sari _ from February to March 2023. Each respondent has different knowledge; some respondents know and understand how to prevent or treat infection and apply it in everyday life so that respondents can answer questions properly. Meanwhile, some respondents needed help understanding how to prevent or treat infection and had not applied it in their daily lives, making it difficult to answer questions from researchers
脐带是一个独特的网络,由两条动脉和一条静脉组成,并由一层薄薄的粘膜结缔组织包裹保护。怀孕期间,胎盘为胎儿提供所有营养,并通过脐带排出废物。本研究采用描述性研究方法,使用的二手数据来自 2023 年 2 月至 3 月期间萨里山_保健中心的月度报告中有关怀孕母亲的全部数据。每个受访者都有不同的知识;有些受访者知道并了解如何预防或治疗感染,并将其应用于日常生活中,因此受访者可以正确回答问题。与此同时,有些受访者需要帮助才能理解如何预防或治疗感染,并且没有将其应用到日常生活中,因此难以回答研究人员的问题
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引用次数: 0
Factors Influencing The Duration Of Illness to Mortality In Confirmed COVID-19 Patients Admitted to Hospitals Across Riau Province 廖内省各地医院确诊的 COVID-19 患者从患病到死亡的影响因素
Pub Date : 2023-09-17 DOI: 10.58344/ihj.v2i3.161
Fitri Rachmawati, Asri C. Adisasmita
This study aims to look at the factors associated with the length of illness to death in COVID-19 patients being treated in hospitals throughout Riau Province. Researchers used secondary data sourced from data from the Online Hospital at the Riau Provincial Health Office. The overall cumulative survival probability for dying was 6.2%, with an overall median survival time of 20 days (IQR: 17-22). The lowest median survival time is the initial saturation value variable, which is 4 days (IQR: 2-5), the use of a respirator is 5 days (IQR: 3-6), and ICU care is 8 days (95% CI: 8-9) ). The final results of multivariate analysis showed that old age had a 1.7 times risk of experiencing death HR 1.747 (95% CI: 1.386-2.202), a low initial saturation value had a 1.6 times risk of experiencing death HR 1.627 (95% CI: 1.155-2.292), care units in the ICU have a 1.9 times risk of dying with HR 1.911 (95% CI: 1.439-2.538) and patients who use respirators have a 1.4 times risk of dying with HR values 1.463 (95% CI: 1.051-2.037). Improvement and readiness of referral health facilities in Riau Province is something that deserves attention as a preventive effort in facing the possibility of the next emerging disease.
本研究旨在探讨在廖内省各医院接受治疗的 COVID-19 患者从患病到死亡的相关因素。研究人员使用了廖内省卫生厅在线医院提供的二手数据。死亡的总体累积生存概率为6.2%,总体中位生存时间为20天(IQR:17-22)。中位生存时间最低的是初始饱和度值变量,为 4 天(IQR:2-5),使用呼吸机为 5 天(IQR:3-6),ICU 护理为 8 天(95% CI:8-9) )。多变量分析的最终结果显示,高龄有 1.7 倍的死亡风险 HR 1.747(95% CI:1.386-2.202),初始饱和度值低有 1.6 倍的死亡风险 HR 1.627(95% CI:1.155-2.292),重症监护室的护理单元有 1.9 倍的死亡风险,HR 值为 1.911(95% CI:1.439-2.538),使用呼吸机的患者有 1.4 倍的死亡风险,HR 值为 1.463(95% CI:1.051-2.037)。廖内省转诊医疗机构的改善和准备工作值得关注,这也是应对下一种新出现疾病的预防工作。
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引用次数: 0
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Indonesian Health Journal
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