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Intestinal Parasitic Infection, The Use of Latrine, and Clean Water Source In Elementary School Children At Coastal And Non-Coastal Areas, Sumenep District, Indonesia Renaldy, Raden Bagus Yanuar; Aflahudin, M. Ahda Naufal; Salma, Zukhaila; Sumaryono, Sumaryono; Fitriah, Muhammad Yasin; Sulistyawati, Sri Wijayanti; Husada, Dominicus; Basuki, Sukmawati
Indonesian Journal of Tropical and Infectious Disease Vol. 9 No. 1 (2021)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v9i1.22578

Abstract

Inadequate latrine and water source cause transmission of intestinal parasitic infection, particularly in children. There is a lack information about it and it is needed to be investigated. This study aimed to compare the prevalence of intestinal parasitic infection, the use of latrine and clean water source in elementary school children at coastal and non-coastal areas in Sumenep District, Indonesia. An analytic observational study with cross sectional design was conducted in Dasuk Timur Elementary School located at coastal area, and Kolor II Elementary School at non-coastal area, Sumenep district, in January 2020. Intestinal parasites in students' stools were identified by microscopic examination using wet direct smear stained with lugol. The use of latrine and water sources were analyzed with questionnaire. A total of 68 children stools were collected from both elementary schools. Worm infections were not found. Thirty-one children (31/44, 70.5%) from Dasuk Timur Elementary School and eight children (8/24, 33.3%) from Kolor II Elementary School were infected with intestinal protozoan and significant difference (P=0.003, Chi-square test). Blastocystis hominis was highly found in stools of Dasuk Timur Elementary School's students (31/44, 70.5%) and significantly different from Kolor II Elementary School's students (P<0.0001, Chi-square test). Three children (3/44, 6.8%) from Dasuk Timur Elementary School were still practicing open defecation. Dasuk Timur Elementary School's students suffered from intestinal parasitic infection were mostly using non-piped water source (20/31, 64.5%) and were significantly different between two elementary schools (P=0.015, Fisher's exact test). Prevalence of intestinal parasitic infections in children was found higher in coastal than non-coastal area due to the commonly use of unclean water sources and inadequate latrine. 
Cardio-Renal-Anemia Syndrome and Acute Type 2 Respiratory Failure Following Hemodialysis: A Case Report on the Challenges of Critical Care Management Jahidi, Savero Mizan; Aflahudin, M. Ahda Naufal; Asyiroh, Hubah; Mohani, Chandra Irwanadi
Journal of World Science Vol. 3 No. 12 (2024): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v3i12.1241

Abstract

Cardiorenal anemia syndrome (CRAS) is a complex condition involving heart failure, chronic kidney disease (CKD), and anemia, often complicated by comorbidities such as diabetes and hypertension. This case study presents a critically ill patient with a history of diabetes and hypertension who developed life-threatening Type 2 respiratory failure due to CRAS following hemodialysis. Upon admission, the patient exhibited severe respiratory distress, low oxygen saturation, bilateral pulmonary edema, and delayed capillary refill time, indicating a dire initial condition. Blood tests confirmed anemia, leukocytosis, and elevated creatinine, while blood gas analysis revealed uncompensated respiratory acidosis. Multidisciplinary management involved oxygen therapy, diuretics, intravenous antibiotics, and mechanical ventilation due to suspected sepsis. This report highlights the complex interplay of CRAS-related complications and underscores the significance of early, integrated treatment strategies to improve patient outcomes.