Correlation of Platelet Count and Hematocrit Levels to the Severity of Dengue Hemmoraghic Fever Patients at RSD dr. Soebandi Jember

Dengue hemorraghic fever (DHF) is an infectious disease caused by the dengue virus and It is still be a major health problem in Southeast Asia, especially in Indonesia. Kabupaten Jember is still categorized as a dengue endemic area with its disease development expanding from year to year. This study aims to determine the correlation of platelet count and hematocrit levels to the severity of DHF patients at RSD dr. Soebandi Jember, as well as knowing whether the platelet count and hematocrit levels can be used as a predictive value for the severity of DHF patients at RSD dr. Soebandi Jember. This study used an observational analytic study with a cross-sectional study design. The data of this study used secondary data from the medical records of DHF patients at RSD dr. Soebandi Jember. The results of this study with a total of 68 samples showed that there was a significant negative correlation between the platelet count to the severity of DHF patients (p = 0,000, r = -0,487). The hematocrit levels showed an insignificant and negative correlation to the severity of DHF patients (p = 0,658, r = -0,055). The platelet count can be used as a predictive value for the severity of DHF patients. Keywords: DHF, platelet count, hematocrit levels, severity of DHF patients

The Relationship between Knowledge with Doctors and Nurses’ Compliance Level to Use PPE in Hospital Surgery Room during Pandemic Era

Hospitals are not only as a place of treatment, but also as a health service facility that can be a source of infection for other people. Doctors, nurses and other medical personnel are often exposed to potential hazards in hospitals, thus requiring protection in the form of personal protective equipment (PPE). However, compliance with the use of PPE is not always high, which makes doctors and nurses more vulnerable to risk of occupational diseases in hospitals. In one of conducted studies, the conditions that were less compliant in using PPE for health workers were 30%. One of the things that might affect this level of compliance is knowledge about PPE. The purpose of this study was to determine the relationship between knowledge and compliance level to use personal protective equipment among doctors and nurses in operating room installation from a private hospital in 2020. Analytic observational by using cross sectional research design was used in this study. The population were all doctors and nurses at operating room installation of mentioned hospital above. Sampling was taken by total sampling method and 26 samples met the inclusion criteria. In this study, there were 23 respondents (88.5%) obeyed the use of personal protective equipment, meanwhile 3 respondents (11.5%) who did not. The 3 respondents were on loop or circular nurses. So, there was a significant relationship between the level of knowledge and compliance in the use of personal protective equipment with p-value = 0.027and OR=44. Keywords: personal protective equipment, knowledge level, compliance level

Risk Factors Analysis of Hypertension Incidence at Karangtengah Public Health Center, Wonogiri Regency

Hypertension is the most common disease found in Karangtengah Health Center, Wonogiri Regency. The incidence of hypertension can be influenced by factors such as: factor that can not be changed consists of age, gender, family history of illness and modifiable factors consisted of obesity, occupation, and smoking history. Of these risk factors, still unknown factors which increse the incidence of hypertension in Karang Tengah Public Health Center. The purpose of this study was to determine the relationship of these risk factors with the incidence of hypertension and the determinants of the incidence of hypertension in Karangtengah Public Health Center, Wonogiri Regency. This type of research is analytic observational with a cross-sectional design. The sample of this study used the total sampling method, namely all medical record data of new adult patients (>26 years) with a history of chronic diseases who came to Karangtengah Public Health Center, Wonogiri Regency in October 2020 and this study was conducted in March 2021. There were 76 patients. Most of the patients had hypertension (n=42; 55.3%), including the category of elderly (n=55; 72.4%), women (n=41; 53.9%). More patients had a family history of disease (n=50; 65.8%), were obese (n=40; 52.6%), had minimal work activities (n=44; 57.9%), and had a history of smoking (n=42; 55.3%). The risk factors associated with the incidence of hypertension were age, gender, family history of disease, BMI, occupation, and smoking history (all p<0.05). Keywords: Hypertension, age, family history, BMI, occupation

Case Report: Giant Epidermoid Cyst on the Neck with Hypopharyngeal Propulsion

Introduction: Dermoid cyst is a cystic mass lined with stratified squamous epithelium with skin adnexal structure. Histopathologically dermoid cysts consist of 3 types, namely epidermoid cysts, true dermoid cysts and teratoid cysts. Epidermoid cysts are characterized by masses with a simple squamous epithelial lining. When the cyst ruptures, it releases a cheesy white matter that smells bad. Epidermoid cysts are most commonly found in the age range of 15 and 35 years with almost the same frequency between male and female sexes. Case description: We report a case of a 52-year-old man with a lump on the left side of the neck that has been slowly growing since 1 year and a computer tomography of the neck suspected a cyst in the anterior glottis. The patient was diagnosed as a neck cyst. Management was carried out by excision of the cyst under general anesthesia and histopathological examination with the results of an Epidermoid cyst. Conclusion: Epidermoid cysts can develop in any part of the body, but are very rare on the head and neck. Definitive management of epidermoid cysts with complete excision of the cyst gives satisfactory results Keywords: Giant Epidermoid Cyst, excision, hypopharyngeal propulsion

The Effectiveness of Acupuncture Therapy in Patient with Hemorrhoid: A Case Report

Background: Hemorrhoid is an anorectal disease due to mechanical disturbances in the anal cushion and hemorrhoid venous plexus blood flow obstruction. Symptoms that often accur are bleeding, pain, prolapse, itching, and mucus discharge. Acupuncture is non-pharmacological therapeutic modalities that has been shown to improve hemorrhoid symptoms. Case: A 37-year-old woman complained of hemorroid lump with pain since last 1 year. Physical examination showed a reddish hemorrhoid prolapse, about 1.5 cm in the posterior anal without bleeding. The pain score with NRS is 4. Acupuncture therapy was performed 3 times a week at acupoints GV20, TE6, LU6, ST25, BL34, ST36, EX-UE2 and BL57. Then given continuous wave electrical stimulation, 4 Hz, 30 minutes retention. After 11 treatments, pain disappeared with NRS 0 and lump was reduced to about 0.5 cm. Conclusion: Acupuncture can improve the symptoms of hemorrhoids, which are seen by the relief of pain and the reduction of lumps. Keywords: Acupuncture, hemorrhoid, hemorrhoid pain, hemorrhoid prolapse

Sexism and Attitude Toward Reporting of Child Sexual Abuse

Long-standing sexism in the Balinese community, based on its traditional paternalistic culture, may become the main factor to underlie children's vulnerability for abuse. School teachers, considering their regularity to interact with children in schools, might play a significant role in early detection and intervention of such cases. We conducted a cross-sectional observational study by sampling Junior High School teachers in Denpasar as an initial effort to analyze the correlations between sexism and attitude toward reporting of child sexual abuse in Bali. Subjects were requested to complete the questionnaires Ambivalent Sexism Inventory (ASI) and a Teachers’ Reporting Attitude Scale for Child Sexual Abuse (TRAS – CSA). The two scales were then analyzed for correlations. The score of ASI Hostile sexism (HS) domain was inversely correlated with total TRAS-CSA, while a positive correlation was found between total TRAS-CSA score and total ASI Benevolent Sexism (BS) domain score for Paternalism subdomain. This research also pointed to the tendency of the Balinese sample to conduct the practice of benevolent sexism instead of hostile sexism. In correlation with teachers’ reporting for sexual abuse, cautions should be taken for possible inadequate reporting that might potentially lead to the chronicity of the abuse. Keywords: attitude, reporting, child sexual abuse, sexism, teacher

Wrist Ankle Acupuncture (WAA) and Body Acupuncture Accelerates Neurorehabilitation in Bell's Palsy: A Case Report

Bell’s Palsy (BP) is an acute unilateral facial paralysis due to idiopathic inflammation of the peripheral facial nerve. Corticosteroids, antiviral drugs, and physical therapy could be useful to treat BP, however these treatments could not bring complete recovery. Acupuncture could be an alternative option for BP and to show its effectiveness, we present a case report, a patient with BP treated with acupuncture. A 48-year-old female patient, a kindergarden teacher, already treated with corticosteroid and antiviral agents as soon as BP was diagnosed. Six weeks later, patient didn’t recover, with House-Brackmann score stage 3. Acupuncture was perfomed at local and distance acupoints at ears, body and face. Wrist Ankle Acupuncture (WAA) L1,2; ear acupuncture at zero point; and body points were stimulated by electroacu-puncture. After acupuncture therapy, the House-Brackmann score was grade 2. Medical options for the sequelae of BP are limited. Acupuncture’s effectivity in Bell palsy patients’ should be shown with more clinical studies. Keywords: Acupuncture; Wrist Ankle Acupuncture; Bell’s Palsy; Recovery

Therapeutic Effects of Medicinal Plants on Diabetic Foot Ulcers: A Systematic Review

Diabetic Foot Pain and Ulcers is one of the complications diseases caused by Diabetes Mellitus (DM). Based on data from the Ministry of Health in 2014, diabetic foot ulcers in Indonesia 54%. Diabetic foot ulcer disease can cause infection and tissue death. Treatment of diabetic foot ulcers has been treated with ointments or gels containing antimicrobials, biomaterials, and active compounds, accelerating the wound healing process. The active compounds from medicinal plants that play a role in the treatment of diabetic foot ulcers have been widely reported. The purpose of writing this article is to look at the therapeutic effects of active compounds that play a role in wound healing. In this systematic review, we searched the PubMed, Science Direct, and Google Scholar databases to identify primer articles that were published from 2010 to 2020. Ten studies were selected and published between 2015-2020. Furthermore, the plant species used for the treatment of diabetic foot ulcers contain active phenolic, gallic acid, flavonoids, gallic acid, flavonoids, and tannins compounds that play a role in the acceleration of the healing process of diabetic foot ulcers. Keywords: Diabetes mellitus, diabetic foot ulcers, the active compound, medicinal plants

The Relationship Between Body Mass Index and Student Body Ability Index of Medical Faculty Jember University

Technological advances in recent years have had an impact on people's lifestyles. Almost all activities in various sectors can be carried out and accessed via smartphones. This causes a decrease in physical activity which can lead to obesity. Obesity is an imbalance of energy entering the energy used in the body resulting in the accumulation of excess lipids which can interfere with the health condition of the body. Body composition is an important part of determining one's physical fitness. Body composition can be seen from a person's Body Mass Index (BMI). This type of research is analytic observational with cross sectional research design. The data used by researchers is secondary data in 2018. The sampling technique used is purposive sampling. The sample used in this study was 127 people, consisting of 47 men and 84 women. Data were analyzed using SPSS version 26 through the Spearman Analysis Test with the results of p = 0.000 (p-value <0.05) for the relationship between BMI and IKB in the slow way and p = 0.002 (p-value <0.05) for the relationship between BMI with IKB the fast way. The conclusion that can be drawn from the results of the analysis is that there is a weak correlation between body mass index and body fitness index on the Havard Step Test fitness test for students of the Faculty of Medicine, University of Jember. Keywords: body mass index, harvard step test , physical fitness

Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang

Introduction: Foreign body aspiration into the airway is a common case in children. Scarf pin aspiration often occurs in women who wear the hijab. A bronchoscopy is an option in the management of foreign body aspiration cases. However, other treatments such as thoracotomy can be considered, if the management of foreign body aspiration fails using rigid bronchoscopy. Case Report: Reported one case of a 12-year-old girl who complained of inhaling scarf pin 1 day before being admitted to hospital. Chest X-ray found radiopaque foreign body projection as high as spatium intercostal V with right lower lobe projection. The patient was diagnosed with foreign body pin scarf et right bronchus and was treated with a rigid bronchoscopy but it was not successfully extracted, one and a half months later the patient was performed Video-assisted thoracic surgery but failed to re-extract, then the foreign bodies were successfully extracted after the thoracotomy. Conclusion: Migration of pins into the bronchial segments as high as spatium intercostal V projections right lower lobe and left lower lobe will be difficult to locate and extract with rigid bronchoscopy. Thoracotomy is further management for scarf pin aspiration that fails to be treated by rigid bronchoscopy. Keywords: foreign body, scarf pin, bronchoscopy, segment bronchi, thoracotomy