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Sensitivity and Specificity of a COVID-19 Lateral Flow Immunoassay Compared to RT-PCR in Pregnant Womenat Arifin Achmad General Hospital Pekanbaru, Indonesia Imelda EB Hutagaol; Muhamad Yusuf; NickoPisceski Kusika; Suyanto; Shinta Puja Tilusari
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16917

Abstract

Coronavirus disease 2019 (COVID-19) is significant global treat including to pregnant woman in Indonesia.A point-of-care diagnostic tool that is able to early diagnose and hasa good sensitivity and specificity iscritical during the pandemic. The aim of this study was to describe the clinical, laboratory and outcomesof pregnant women with presumptive COVID-19 and to compare the sensitivity and specificity betweenCOVID-19 rapid test (lateral flow immunoassay) and real-time reverse transcription polymerase chainreaction (RT-PCR). Pregnant women with presumptive COVID-19 symptoms were recruited at ArifinAchmad General Hospital between April 2020 and December 2020. Demographic and clinical data werecollected and patients were tested with COVID-19 rapid test as well as RT-PCR. Analyze was conducted todetermine the sensitivity and specificity. We included 120 patients with presumptive COVID-19 of which48 (40%) and 72 (60%) of patients were reactive for IgM and IgG antibody anti severe acute respiratorysyndrome coronavirus 2 (SARS-CoV-2), respectively and 51 (42.5%) were reactive for both IgM and IgG.The sensitivity and the specificity of rapid test was 64.0% and 33.3%, respectively. The positive and negativepredictive value was 61.5% and 35.7%, respectively. In conclusion, lateral flow immunoassay-based rapidtest has relatively low sensitivity and specificity in diagnosing COVID-19 in pregnant women.
Pengaruh Inisiasi Menyusu Dini terhadap Waktu Pengeluaran dan Perubahan Warna Mekonium Serta Kejadian Ikterik Fisiologis Nicko Pisceski Kusika Saputra; Putri Sri Lasmini
Jurnal Ilmu Kedokteran Vol 9, No 2 (2015): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.729 KB) | DOI: 10.26891/JIK.v9i2.2015.87-94

Abstract

One of the government’s efforts through the Millennium Development Goals (MDGs) in 2010 in reducing the infantmortality rate in Indonesia is improving infants nutrition and promote exclusive breastfeeding early breastfeedinginitiation. Early initiation of breastfeeding has many benefits for both mother and baby. This study aimed to comparemeconium spending time and meconium color change and the incidence of physiologic jaundice in infants whoreceived and did not receive early breastfeeding initiation (IMD). This study was a cross sectional analytical studyconducted at the Achmad Mochtar Hospital Bukittinggi. Forty-two maternity patients divided into two groups thatprovide IMD and unprovide IMD group to her baby. In each group assessed first meconium spending time in minutes,the time change meconium original colour of dark green to yellow and counted since birth in hours and the incidenceof physiologic jaundice in infants. All babies kept getting breastfeeding. There were no significant differences in themean time the first meconium spending time in both groups (131.42 minutes and 163.33 minutes, p> 0.05). There aresignificant differences in the mean time meconium colour changes from dark green to yellow (50.14 hours and 94.36hours, p <0.05). Early initiation of breastfeeding also lowers the incidence of physiological jaundice were significantly(p <0.05). Early initiation of breastfeeding did not affect spending time first meconium but accelerate meconiumcolor changes from dark green to yellow. Early initiation of breastfeeding also lowers the incidence of neonataljaundice.
Tatalaksana Penggunaan Forceps pada Posisi Oksiput Posterior Persisten Ratu Astuti Dwi Putri; Nicko Pisceski Kusika Saputra
Jurnal Ilmu Kedokteran Vol 15, No 2 (2021): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v15i2.2021.53-62

Abstract

Maternal health is the health of women during pregnancy, childbirth and the postnatal period. World Health Organization (WHO) record every day in 2017 about 810 women died from preventable causes related to pregnancy and childbirth. Between 2000-2017, the maternal mortality ratio dropped by about 38% worldwide, but 4% of all maternal deaths occur in low and lower middle-income countries. Persistent occiput posterior (OP) is associated with increased rates of maternal and newborn morbidity. Cesarean delivery is higher (3 times greater risk of death) maternal morbidity and mortality than vaginal delivery and also costs more than normal childbirth. Forceps extraction is one of the operative obstetric actions that aims to help childbirth through normal childbirth. This is done for all conditions that threaten the mother and fetus that have indications to undergo childbirth. the use of forceps techniques, will assure successful, safe, and steady performance of forced delivery. Therefore, obstetric forceps should be inherited of skills to the trainee at this time. Therefore, it is reasonable for the standards establishing the proper position for forceps delivery to vary between experienced and inexperienced operators. The first priority is safe and secure implementation of the procedure.
Anogenital Distance as a Predictor of Dysmenorrhea Nicko Pisceski Kusika Saputra; Noviardi; Nopianti Sonia; Dina Sartika; Syafira Nadisa
Nusantara Science and Technology Proceedings 4th Riau Medical Scientific and Expo 2022
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2022.2826

Abstract

Most women experience menstrual pain (dysmenorrhea) before and during menstruation. The prevalence of dysmenorrhea in Indonesia reaches 64.25%, consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. The incidence of dysmenorrhea among women of reproductive age ranges from 45% - 95%. Primary dysmenorrhea is experienced by 60% - 75% of adolescents. Many risk factors for dysmenorrhea have been identified, one of which is the anatomy of the reproductive organs. Anogenital distance (AGD) is the distance from the midpoint of the anus to the clitoris. Intrauterine estrogen exposure causes a shortened AGD, so this is a predictor of endometriosis with symptoms of dysmenorrhea. This study aims to determine the difference between AGD in adolescents with dysmenorrhea and non-dysmenorrhea. The sample of this study was 93 students of the Faculty of Medicine, Riau University, Class of 2020 and 2021. The results showed that the average age of the respondents was 19 years. As many as 73% of respondents experienced dysmenorrhea. The median of AGD in the dysmenorrhea group was 0,33 and the non-dysmenorrhea group was 0.43. There was a significant difference in the mean AGD between the two groups. It can be concluded that the size of the AGD can be a predictor of dysmenorrhea.