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All Journal E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran INDONESIAN JOURNAL OF URBAN AND ENVIRONMENTAL TECHNOLOGY
Komang Ayu Witarini
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Airlangga, RSU Dr Soetomo Surabaya
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Energy Environmental Science Health Professions Medicine & Pharmacology

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PREVALENS DAN KARAKTERISTIK BAYI DENGAN SINDROM GAWAT NAPAS DI UNIT PERAWATAN INTENSIF NEONATUS RSUP SANGLAH TAHUN 2020 Sukarta, Ni Kadek Yusthiani; Wati, Dyah Kanya; Cempaka, Putu Mas Vina Paramitha; Witarini, Komang Ayu; Mayangsari, Ayu Setyorini Mestika
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P10

Abstract

Respiratory distress syndrome (RDS) is a cause of respiratory distress in baby that occurs several hours after newborns and can cause respiratory arrest and even death. This study aims to provide an overview of the prevalence and characteristics of infants with RDS in neonatal intensive care unit of Sanglah Hospital in 2020. This study used a cross-sectional descriptive approach with retrospective data. The study sample was infants aged 0-28 days with RDS in the neonatal intensive care unit of Sanglah Hospital who were recorded in complete medical records from January 1, 2020 to December 31, 2020. The prevalence of infants with RDS in the neonatal intensive care unit of Sanglah Hospital in 2020 was 10.9%. All of them were singleton pregnancies with a magnitude of 0 days (63.9%), female (52.8%), and second children (50%). Most of the mothers had done prenatal care (91.7%), without a history of disease (75%), primipara (50%), and ruptured membranes <24 hours (75%). Babies born with very premature gestational age (61.1%), by cesarean section (55.6%), low birth weight (30.6%), and APGAR score 7-10 (75%). A total of 36.1% of infants used a breathing apparatus in CPAP and received first-line antibiotics (94.4%). Infants with RDS have a high variability of characteristics including the general characteristics of the history of pregnancy and childbirth. The recommendation for other researchers are expect to conduct further analytical studies in the future.
Faktor Risiko Mortalitas pada Pasien Anak dengan Sepsis di Rumah Sakit Ngoerah Denpasar Tahun 2023 Berdasarkan Skor PELOD-2 dan Skor Vasoaktif Inotropik Haning, Joy Aprianis; Hartawan, I Nyoman Budi; Witarini, Komang Ayu; Suwarba, I Gusti Ngurah Made; Putra, I Gusti Ngurah Sanjaya; Wati, Dyah Kanya
Sari Pediatri Vol 27, No 3 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.3.2025.166-72

Abstract

Latar belakang. Sepsis merupakan salah satu penyebab utama morbiditas dan mortalitas pada anak yang dirawat di ruang intensif. Identifikasi faktor risiko kematian pada pasien anak dengan sepsis penting untuk menunjang deteksi dini dan pengambilan keputusan klinis yang lebih tepat guna menurunkan angka kematian. Namun, penelitian mengenai faktor risiko mortalitas anak dengan sepsis di Indonesia, khususnya yang memanfaatkan skor prognostik seperti PELOD-2 dan Vasoactive-Inotropic Score (VIS), masih sangat terbatas sehingga diperlukan data lokal untuk memperkuat bukti klinis.Tujuan. Mengetahui faktor-faktor risiko yang berhubungan dengan mortalitas pada pasien anak dengan sepsis yang dirawat di Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G Ngoerah Denpasar. Metode. Penelitian ini menggunakan desain case-control retrospektif dengan data diambil dari rekam medis pasien anak usia satu bulan hingga 18 tahun yang dirawat karena sepsis selama periode Januari hingga Desember 2023. Subjek dibagi menjadi kelompok kasus (meninggal) dan kontrol (hidup). Variabel yang diteliti meliputi usia, status gizi, penggunaan ventilator, skor PELOD-2, skor vasoaktif-inotropik, mikroorganisme penyebab, dan lama rawat. Analisis statistik dilakukan dengan uji chi-square dan regresi logistik multivariat. Hasil. Sebanyak 62 pasien sepsis memenuhi kriteria inklusi, terdiri dari 31 pasien meninggal dan 31 pasien hidup. Analisis bivariat menunjukkan bahwa penggunaan ventilator, skor PELOD-2 ?7, skor vasoaktif-inotropik ?20, dan lama rawat ?12 hari berhubungan signifikan dengan peningkatan risiko mortalitas. Kesimpulan. Penggunaan ventilator, skor PELOD-2 tinggi, skor vasoaktif-inotropik tinggi, dan lama rawat yang singkat merupakan faktor risiko utama mortalitas pada pasien anak dengan sepsis. Penilaian dini terhadap faktor-faktor ini dapat meningkatkan efektivitas intervensi dan perbaikan luaran klinis.     
UNDERSTANDING LEVEL OF PKK BANJAR PURWA SANTHI BENOA ON MEDICAL MASK WASTE MANAGEMENT AND STRENGTHENING HEALTH PROTOCOLS IN CONTROLLING COVID-19 INFECTION Adiputra, I Komang Hotra; Harmayani, Kadek Diana; Susilawathi, Ni Made; Purnamasidhi, Cokorda Agung Wahyu; Witarini, Komang Ayu; Biantara, I Wayan Arya; Sukrama, I Dewa Made; Weisnawa, I Gede Purna; Jerry; Wulandari, Putu Kintan; Junior, Darren; Shanti, Dewa Ayu Fony Prema; Warmadewanthi, I Dewa Ayu Agung
INDONESIAN JOURNAL OF URBAN AND ENVIRONMENTAL TECHNOLOGY VOLUME 6, NUMBER 1, APRIL 2023
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/urbanenvirotech.v6i1.15335

Abstract

The increase in mask waste and a lack of understanding about the management of single-use mask waste raises the potential for environmental pollution and COVID-19 transmission. Aim: This study aimed to assess the level of understanding of medical mask waste management and strengthening health protocols in controlling COVID-19 infection in Banjar Purwa Santhi, Benoa, Badung Regency. Methodology and Results: A cross-sectional method and descriptive study design were used with a sample of 100 respondents selected via stratified sampling. The research and service activities at Banjar Purwa Santhi Benoa include public campaign and assessment of the level understanding of medical mask waste management. Based on univariate analysis, 91% of respondents know that mask waste contains hazardous and toxic substances. If mask waste is disposed carelessly, 98% of respondents stated that it can pollute the environment, and 98% of respondents also stated that it has the potential to become a means of transmitting COVID-19. However, 85% of respondents disposed of the masks in the household trash. Conclusion, significance and impact study: Respondents had a good level of knowledge about health protocols and mask waste management but have not separated masks from household waste. By holding the community service activity, it is hoped that changes in community behavior will occur.
Co-Authors Adiputra, I Komang Hotra Ahmad Suryawan Apsari, Ni Luh Sri Ayu Setyorini Mestika Mayangsari Bambang Permono Biantara, I Wayan Arya Cempaka, Putu Mas Vina Paramitha Cokorda Agung Wahyu Purnamasidhi Darren Junior Defranky Theodorus Dewa Ayu Fony Prema Shanti Dewi Sutriani Mahalini Dewi, Ida Ayu Made Ratna Dyah Kanya Wati Eka Gunawijaya Eka Pratiwi, I Gusti Ayu Putu Eva Jacomina Jemima Sapulete Fatimah Indarso Fatimah lndarso Haning, Joy Aprianis Hendra Santoso Hendra Santoso Hendra Santoso I Dewa Ayu Agung Warmadewanthi I Dewa Made Sukrama I Gde Raka Widiana I Gede Purna Weisnawa I Gusti Ayu Putu Eka Pratiwi I Gusti Lanang Sidiartha I Gusti Ngurah Made Suwarba I Gusti Ngurah Sanjaya Putra I Komang Hotra Adiputra I Made Arimbawa I Made Kardana I Nyoman Budi Hartawan I Nyoman Supadma I Putu Gede Karyana I Wayan Arya Biantara I Wayan Dharma Artana I Wayan Dharma Artana, I Wayan Dharma I Wayan Gustawan I.D.A.A Warmadewanthi Ida Bagus Krisna Jaya Sutawan Ida Bagus Subanada Irwanto, Irwanto Jerry Jerry Junior, Darren Kadek Diana Harmayani Ketut Dewi Kumara Wati Ketut Suarta Luh Gede Yuliadewi NS Luh Putu Putri Sanjiwani Made Ardinata Moersintowarti B. Narendra Moersintowati B. Narendra Ni Made Ayu Agustini Ni Made Susilawathi Ni Nyoman Metriani Nesa Ni Putu Siadi Purniti NP Veny Kartika Yantie Nurliandari, Nia Purwoko, Agus Putu Ayunda Trisnia Putu Diah Vedaswari Putu Junara Putra, Putu Junara Putu Kintan Wulandari Risa Etika, Risa Sampe, Dhea Gracia Eliani Saputra, I Made Yullyantara Setiyawan, I Made Karma Shanti, Dewa Ayu Fony Prema Sindhughosa, Wega Upendra Siska Permanasari Sinardja Sri Widiani, Ni Komang Ayu Sukarta, Ni Kadek Yusthiani Susilawathi, Ni Made Sylviati M. Damanik Wardani, Ni Made Elsa Weisnawa, I Gede Purna Wulandari, Putu Kintan