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IDENTIFIKASI KRIPTOSPORIDIOSIS DI PASIEN ANAK HIV DENGAN DIARE KRONIS DI RUANG GASTRO ANAK Jusak Nugraha; Febtarini Rahmawati; Dominicus Husada
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 18, No 1 (2011)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v18i1.349

Abstract

Based on the results of overseas researchers, Cryptosporidiosis occurs in immunosuppressive cases with chronic diarrhoea. In this study the researchers would like to know exactly whether that Cryptosporidiosis occurs also in paediatric HIV patients. The latest data show that the incidence of opportunistic infection is characterized by persistent diarrhoea and severe malnutrition as a complication of the paediatric HIV-infected patients is increasing. The objects of the research were fifteen paediatric HIV-infected patients which treated at the Paediatric Gastro Ward of Dr. Soetomo Hospital Surabaya due to persistent diarrhoea. Paediatric patients were less than five years old, suffered persistent diarrhoea more than two weeks with severe malnutrition. Stool specimens were transported using 10% formalin. The stool suspension was filtered, and distilled water was added followed by centrifugation (sedimentation method). The precipitate material was placed on a glass object and dried, and then fixed by methanol and stained with Acid Fast Staining and trichrome staining. The protozoa Cryptosporidium spp. was observed under a binocular microscope with 100× magnification (immersion oil) objective. The result was confirmed as positive if a red spherical or oval formation of oocyste of 4–6 micron appeared. Sixty percent of the 15 paediatric HIV-infected patients with chronic diarrhoea showed positive cryptosporidiosis. Cryptosporidiosis is one of the opportunistic infections resulting in chronic diarrhoea in paediatric HIV-infected patients. The results of the present research indicate that the enteric parasite Cryptosporidium spp. was the main cause of persistent diarrhoea in paediatric HIV-infected patients
Hubungan Antara Kepatuhan Kontrol dan Minum Obat Pasien Diabates Melitus Tipe II dengan Kejadian Komplikasi di Rumah Sakit Aura Syifa Kediri Jordanio Viari Palallo; Febtarini Rahmawati; Stephani Linggawan
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 5 No. 2 (2026): Agustus: Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v5i2.9845

Abstract

Type 2 diabetes mellitus is a chronic disease characterized by impaired glucose metabolism resulting from insulin resistance or relative insulin deficiency. It is one of the major global health problems and can lead to various serious complications if not managed properly. Complications such as neuropathy, nephropathy, retinopathy, and diabetic ulcers frequently occur as a consequence of inadequate blood glucose control, which is strongly influenced by patients' adherence to medication and routine follow-up visits. This study aimed to determine the relationship between medication adherence, follow-up adherence, and the occurrence of complications among patients with type 2 diabetes mellitus at Aura Syifa Hospital, Kediri. This study employed an analytical observational design with a cross-sectional approach. A total of 35 patients were selected using purposive sampling. Data were collected from medical records and analyzed using Fisher's Exact Test. The results revealed a significant relationship between medication adherence and the occurrence of complications (p < 0.002), as well as between follow-up adherence and complications (p = 0.027). These findings indicate that patients who are non-adherent to medication and routine follow-up are at a higher risk of developing complications. Therefore, strengthening patient education, supervision, and adherence monitoring systems is essential in healthcare services to prevent disease progression and reduce the incidence of complications. This study is expected to serve as a basis for developing educational interventions and primary healthcare policies aimed at improving the management of patients with type 2 diabetes mellitus.