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Impact associated with Persistent Obstructive Pulmonary Disease inside Center Disappointment Along with Conserved Ejection Small fraction.
3%, male 80.0%, mostly university students and entrepreneurs 20.0%, had BTA conversion in the second week 80%; and the sputum conversion time was 4.1 weeks in average. Vitamin A supplementation in the medication of pulmonary TB patients had some influence on the acceleration of sputum conversion at the intensive phase (p ≤ 0.001). CONCLUSION We concluded that Vitamin A in the medication of pulmonary TB patients had some influence on the acceleration of sputum conversion at the intensive phase in the Medan Kota. Copyright © 2019 Dina Keumala Sari, Alexander Parlindungan Marpaung, Parluhutan Siagian, Nurfida Khairina Arrasyid.BACKGROUND This case report intends to highlight the challenge in diagnosing type 1 diabetes on an adult patient. Latent Autoimmune Diabetes in Adult (LADA) types I diabetes Mellitus, which found in adulthood and characterised by progressive damage to pancreatic β cells that happened slowly. Incidence of LADA is around 2-12% of the total diabetes population. Sepsis in LADA patients will trigger diabetic ketoacidosis (DKA). CASE REPORT We report a case of a 33-year-old woman patient presents with decreased consciousness accompanied by rapid and deep breathlessness for 1 day. Before, the patient complains of fever and cough. FKBP chemical Physical examination found soporous, blood pressure 120/80 mmHg, pulse 110 x/minute, temperature 38.8°C, breathing 32 x/minute Kussmaul. Bronchovesicular breath crackles in both lower lung fields. leukocytes were 22,100/mm3, random blood glucose 638 mg/dL, urine ketone +++, HbA1C 17.2%, HOMA IR less than 2 units. C-peptide 0.3 ng/mL and GADAs 16.9 U/mL. Chest Xray indicated bronchopneumonia. Patients were diagnosed with diabetic ketoacidosis, LADA, and sepsis caused by bronchopneumonia. Patient treated with DKA management and sepsis. On the second day, the treatment of DKA was resolved and continued with the administration of short-acting insulin and regular long-acting. CONCLUSION Sepsis in LADA with DKA requires fast and appropriate management. Further search is needed to diagnose LADA. Copyright © 2019 Afdol Rahmad, Eva Decroli, Alexander Kam.BACKGROUND Helminthiasis is a parasitic disease in human that causes a disturbance in food absorption and lead to malnutrition. The disease slowly impacts on the intelligence. The incidence of helminthiasis in Indonesia remains high, ranging from 2.5% to 62%. A preliminary study found that the proportion of helminthiasis in children is 31.25%. AIM The aim of the study to analyse the relationship between age, school sanitation and personal hygiene with helminthiasis elementary school children in Juhar Karo Regency in 2019. METHODS This was an observational study with a cross-sectional design. Subjects were children in grades IV, V and VI with and without helminthiasis. A total of 194 children selected by proportional random sampling were enrolled. Data were collected by interview, observation, and stool examination with the Kato-Katz method. RESULTS The proportion of helminthiasis in boys was 51.0%, the proportion of poor sanitation in school was 36.6%, and the proportion of poor personal hygiene was 67.5%. Personal hygiene was significantly associated with the incidence of helminthiasis (RP = 6.052; 95% CI = 3.029-12.902; P-value = 0.001). Improved personal hygiene may prevent the occurrence of helminthiasis. CONCLUSION The proportion of helminthiasis in elementary school students in this region was 50.0%. Personal hygiene has been shown to be related to helminthiasis. In this study, subjects with poor personal hygiene had a chance of 6.052 times greater to experience helminth infection compared to subjects who had good personal hygiene. Copyright © 2019 Ginting Agustaria, Aguslina Siregar Fazidah, Nurmaini Nurmaini.AIM To evaluate the risk factors of CAUTI in ICU patients at Haji Adam Malik General Hospital and Universitas Sumatera Utara Hospital, Medan, Indonesia. METHODS This hospital-based observational research was an observational analytic research with a cross-sectional study. This research was conducted at Haji Adam Malik General Hospital Medan, Universitas Sumatera Utara Hospital, and Department of Microbiology Medical Faculty of Medicine Universitas Sumatera Utara, on July to August 2018 until the number of samples was fulfilled. The samples were adults aged ≥18 years, admitted to an ICU between July until August 2018 with an indwelling urinary catheter during their admission, admitted in ICU with different complaints and presentations and developed clinical evidence of infection that did not originate from patient's original admitting diagnosis, in accordance which corresponded to the inclusion criteria by using consecutive sampling technique were included in the study. Patients who were shifted out of the ICU Dadik Wahyudi Wijaya, Oke Rina Ramayani.BACKGROUND Hypertension is one of the major health issues among senior citizens considering the increase in the population of a senior citizen's over the age of 60 in Indonesia. The use of antihypertensive drugs alone has proved to be inadequate to exhibit long-term effects of blood pressure control if it is not supported by adherence. AIM This study aims to investigate the relationship between knowledge, attitude, action, and doctor's communication to adherence of hypertensive patient in taking medication. METHODS This is an analytical study with a cross-sectional design. The population of this study consist of patients who have been diagnosed with hypertension and are consuming antihypertensive drugs. Eighty samples were randomly recruited. The research data were collected using a guided interview questionnaire and were an analysed using the chi-square test. RESULTS This study shows that the patient percentages with poor knowledge are 76.3%, 82.5% with a bad attitude, 82.5% for negative action, 56.3% for lack of doctor's communication, and 58% for poor levels of adherence. Chi-square test shows a significant relationship (p less then 0.05). CONCLUSION There is a relationship between knowledge, attitude, action, and doctor's communication towards the adherence of hypertensive patient in taking medication. Copyright © 2019 Arlinda Sari Wahyuni, Zulfikri Mukhtar, David Jhon Ricardo Pakpahan, Muhamad Ary Guhtama, Rahmad Diansyah, Nina Zulida Situmorang, Lely Wahyuniar.
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