Search Results

Abstract : Designing and developing a software-based "e-Audit for Hospital Personal Protective Equipment" system, could improve service, speed of time, accuracy, more thorough integration, and ease in the audit process for compliance with the use of Personal Protective Equipment in hospitals. The study was a waterfall. The study resulted “e-Audit of Hospital Personal Protective Equipment” system that has been done through four stages including analysis, design, implementation, and testing. The results of the study were in the form of the "e-Audit of Hospital Personal Protective Equipment" system which has been tested and implemented in Prof. dr. Chairuddin Panusunan Lubis, Universitas Sumatera Utara. This software displays output in the form of graphs of compliance with the use of Personal Protective Equipment, graphs of compliance with the use of Personal Protective Equipment by room, profession, and type of Personal Protective Equipment. Using the "e-Audit of Hospital Personal Protective Equipment" would make it easier to audit compliance with the use of Personal Protective Equipment in hospitals and could improve the performance of the Infection Prevention and Control Committee in reporting national quality indicators.

Abstract : Measuring the risk of various factors that influence the incidence of organophosphate and carbamate pesticide poisoning in shallot spraying farmers in Perangian Village, Baraka District, Enrekang Regency in 2022. This research is an observational analytic study using a retrospective case control study design which aims to determine the effect of age, nutritional status, wind direction, land area, working period, level of farmer knowledge, determining pesticide doses, how to store pesticides, how to mix pesticides, how to handle post-spraying, and the use of PPE for the incidence of pesticide poisoning in shallot farmers in Perangian Village, Baraka District, Enrekang Regency in 2022 by comparing the case group (farmers poisoned by pesticides) with the control group (farmers who were not poisoned by pesticides). The results of the Cholinesterase examination can be known with the Cholinesterase test kit. The results of the Cholinesterase examination on farmers as cases and farmers as controls were Normal but experienced a decrease in cholinesterase in 51 people (53.1%) and 45 people were poisoned (46.9%). The results of this study had a relationship or influence between determining the dose of pesticides (P=0.007), spraying frequency (P=0.000), duration of spraying (P=0.000), and body hygiene (P=0.000) with cholinesterase, and there was no relationship or the effect of age (P=0.421), nutritional status (P=0.752), knowledge (P=0.451), attitude (P=0.784), amount of pesticides (P=0.276), wind direction (P=0.458), use of PPE (P=0.588) with cholinesterase. For farmers with below normal cholinesterase, do not use pesticides until the cholinesterase returns to normal, attend counseling and use safe pesticides.

Abstract : A new pandemic afflicts the entire world. The highly contagious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus originated in Wuhan, China in late 2019 and rapidly spread across the entire globe. Patients with coronavirus disease-19 (COVID-19) disease present with a wide array of symptoms, ranging from mild complaints such as low oxygen levels to life threatening pulmonary and cardiac complications. New therapeutic interventions to treat COVID-19 symptoms include hyperbaric oxygen therapy (HBOT). HBOT involves breathing under 100% oxygen pressure to increase plasma and tissue oxygen levels. The purpose of this study was to determine the effect of HBOT on oxygen saturation of COVID-19 patients. This study uses a descriptive research design with literature review from at least 10 national journal articles indexed by SINTA and international journals indexed by Scimago with 2016 to 2021 limitations. Based on 11 international journals indexed by Scimago, HBOT allows a significant increase of the oxygen saturation of COVID-19 patients. HBOT has the effect of correcting tissue hypoxia, chronic hypoxemia and helps in other symptoms of COVID-19 resulting in improvement in COVID-19 patients who are given HBOT.

Abstract : Acute encephalitis syndrome (AES) is a global health problem. Globally, the incidence found in 10.5 per 100.000. In a study in India, the most common age for AES cases was 1 to 7 years. Children with AES have a tendency to experience bad outcomes both disability and even death. In AES, diffuse brain edema occurs which causes disturbance of consciousness. The Glasgow Coma Scale (GCS) is the instrument of choice for assessing a person's level of consciousness and is widely associated with children's outcomes with AES especially in health care center with limited resources. This cross-sectional study, subjects were children treated with AES that were treated in Sanglah hospital in January 2018 to December 2019. Chi-square test was performed to assess categorical data. Followed by logistic regression multivariate analysis with backward method. A total of 142 subjects were analysed for their GCS score and the outcomes in this study. The results of multivariate analysis showed GCS values were associated with outcomes of children with AES [OR = 2.756, 95% CI 1.201 to 6.323, P 0.017]. Seizure status have a statistically significant relationship with the outcomes of children with AES [OR = 0.332, 95% CI 0.142 to 0.773, P 0.011]. Low GCS score is a risk factor of death in children with AES.

Abstract : Sickle cell anemia is a chronic, inherited hemoglobinopathy disease that has a high morbidity and mortality. Zinc has a crucial role in immunity and growth, which are affected in these patients. This review evaluated the zinc level in sickle cell anemia patients. Cochrane Library, PubMed, Medline, and Google Scholar were searched and limited to the period from January 2012 to December 2022. The keywords "zinc levels," "sickle cell disease," "serum zinc," "sickle cell anemia," and "urinary zinc" were used. Out of the 353 studies, 76 full texts were screened, and only thirteen studies were included in the final analysis. The author's name, year of publication, patient's number, and study duration were collected and entered in an excel sheet. The RevMan system for meta-analysis was used, and the data were all continuous. The random effect was used due to the significant heterogeneity. Funnel plots were used to assess lateralization. A P-value of <0.05 was considered significant. The studies included 1513 patients and control subjects. In case-control studies, zinc levels were lower in patients with sickle cell disease; the odd ratio was -10.88, the 95% CI was -16.27—5.49, and the P-value for the overall effect was 0.0001. The cross-sectional studies showed the same, odd ratio, -22.07, 95% CI, -30.15—13.99, and the P-value for the overall effect, <0.0001. This review showed that the zinc level is low in sickle cell anemia patients compared to normal children, which has a negative impact on the disease. Randomized control studies are needed.