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NASAL COLONIZATION OF STAPHYLOCOCCUS AUREUS AMONG PRECLINICAL MEDICAL STUDENTS: IMPLICATIONS AS FUTURE SOURCES OF INFECTION IN HOSPITALS Lidya Handayani; Vincentia Amaranggana Zebada Susanto; Desak Nyoman Surya Suameitria Dewi; Natalia Yuwono; Salmon Charles P.T. Siahaan
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 11, No 2 (2024): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Lambung Mangkurat University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v11i2.19487

Staphylococcus aureus, a leading pathogen in various human infections, can colonize different anatomical sites asymptomatically, posing risks to immunocompromised individuals. This study aims to determine the prevalence of asymptomatic nasal carriage of S. aureus among pre-clinical medical students. Nasal swab samples were collected from 57 medical students on two occasions, ten months apart, and S. aureus was identified by culture method. S. aureus nasal carriage was found in 10 (17%) participants. Nearly all participants (98%) had more than one bacterial type on nasal swab, with only 1 (2%) showing S. aureus as the sole bacterium. Among the isolated S. aureus, 1 (10%) was Methicillin-Resistant S. aureus (MRSA). Among the 37 individuals who participated in both samplings, S. aureus was detected at least once in the nasal swabs of 18 individuals (49%): 13 participants (35%) were intermittent carriers, and 5 participants (14%) were persistent carriers. Our study reveals that a significant number of pre-clinical medical students are asymptomatic carriers of S. aureus in their nasal passages, either intermittently or persistently. As they transition into healthcare roles, these carriers may act as reservoirs for transmission of this bacteria within healthcare settings.

Modification of qSOFA Increases Mortality Prediction Accuracy in Sepsis Patients Gunawan, Erik Jaya; Siahaan, Salmon Charles Pardoman Tua; Idarto, Areta; Pribadi, Florence; Handayani, Lidya
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.3

The Quick Sequential Organ Failure Assessment (qSOFA) is a simple parameter, however, its sensitivity as a mortality predictor is low. This study aimed to improve the predictor performance of qSOFA for in-hospital mortality. This study was a retrospective single-centered cohort using medical record data. This study included 150 patients aged 18-80 years old, who experienced sepsis and received ICU care between September 2021 and August 2022. qSOFA and modified ROX index (mROX) were calculated based on the most severe condition recorded in the emergency department (ED). Each variable's area under the receiver operating characteristic (AUROC) curve, sensitivity, and specificity were compared to predict in-hospital mortality. qSOFA scores ≥2 and mROX values ≤3.20 were independent factors that increased the risk of in-hospital mortality (OR 3.69 and 21.50; p 0.004 and 0.005, respectively). The combination of qSOFA scores ≥2 and mROX value ≤3.20 as in-hospital mortality predictors resulted in AUROC 0.791 with a sensitivity of 71.7% and specificity of 75.7%. The AUROC, sensitivity, and specificity of the combination of qSOFA and mROX were higher than qSOFA (0.766, 70.8%, 70.3%) or mROX (0.760, 68.1%, 67.6%) alone. In conclusion, the combination of qSOFA scores ≥2 and mROX values ≤3.20 increase the sensitivity and specificity for predicting in-hospital mortality in sepsis patients.

Pengaruh Pendapatan Asli Daerah, Dana Perimbangan dan Sisa Lebih Pembiayaan Anggaran terhadap Belanja Daerah Kabupaten/Kota di Provinsi Kepulauan Riau Handayani, Lidya; Bainil Yulina; Anggeraini Oktarida
JEMSI (Jurnal Ekonomi, Manajemen, dan Akuntansi) Vol. 10 No. 5 (2024): Oktober 2024
Publisher : Sekretariat Pusat Lembaga Komunitas Informasi Teknologi Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35870/jemsi.v10i5.3186

Penelitian ini bertujuan untuk mengetahui Pengaruh Pendapatan Asli Daerah (PAD), Dana Perimbangan, dan Sisa Lebih Pembiayaan Anggaran (SiLPA) terhadap Belanja Daerah pada Kabupaten/Kota di Provinsi Kepulauan Riau. Metode Sampling Jenuh digunakan dalam penelitian objek penelitian adalah 5 Kabupaten serta 2 Kota di Kepulauan Riau yang sudah memberikan laporan keuangannya di tahun 2018-2022. Teknik dalam menggumpulkan yaitu data sekunder yang diperoleh dari laporan keuangan pemerintah daerah. Data dianalisis menggunakan aplikasi Pada penelitian ini digunakan alat analisis berupa program Statistical Product And Service Solustion (SPSS) versi 26. Hasil Penelitian Uji hipotesis menunjukkan bahwa Pendapatan Asli Daerah, Dana Perimbangan dan Sisa Lebih Pembiayaan Anggaran berpengaruh positif terhadap Belanja Daerah Kabupaten/Kota di Provinsi Kepulauan Riau.

Enhancing Biology Teachers' Knowledge on Blood Groups and Transfusion Tanzillia, May Fanny; Adrianto, Hebert; Handayani, Lidya; Tandean, Victor Setiawan; Banjarnahor, Dharma Putra Perjuangan; Keith, Jennifer
Sebatik Vol. 29 No. 1 (2025): June 2025
Publisher : STMIK Widya Cipta Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46984/sebatik.v29i1.2598

Knowledge of blood types and blood transfusion is crucial in daily life. Knowing one’s own blood type is important because it can provide necessary information for blood transfusions for patients who are in critical need of blood. Biology teachers need to strengthen their understanding of the concepts to ensure they have sufficient scientific knowledge and avoid misconceptions when teaching biology topics to students. There have not been many concept strengthening activities between teachers and the Faculty of Medicine. The goal of this community service is to deepen the understanding of blood types and blood transfusion concepts among biology teachers in the Ciputra group. The participants in this activity are biology teachers from the Ciputra group. The activity was held on October 17, 2024, via Zoom. The equipment used for this activity includes laptops connected to Wi-Fi, Google Drive for storing PowerPoint (PPT) materials and videos, and Google Forms for pre-tests and post-tests. The material that was deepened in this session is blood types and blood transfusion. The results of the pre-test and post-test were analyzed descriptively. The results show that the school fully supported this learning activity. The speaker for this activity was a clinical pathology specialist and lecturer. The results of the activity indicate a slight improvement in the average scores of the pre-test and post-test. Overall, the activity ran according to plan. The material should be repeated, but presented with a different learning method. Further deepening of medical biology material should continue with other topics. Teachers need to adapt to the level of medical material and should engage in self-learning before the activity begins.

Penerapan PHBS sebagai Upaya Hidup Sehat Masyarakat Desa Peniwen Ariesta Andriani, Nathania Disa; Wartiningsih, Minarni; Kodrat, David Sukardi; Hasianna Silitonga, Hanna Tabita; Suryadarma, Antonius Yansen; Handayani, Lidya; Gonaldy, Vincent Aurelius; Viena, Windi Clara; Mayasari, Dewi; Ginting, Adhitya
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 4 (2025): Edisi Oktober - Desember In Press
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i4.7025

Desa Peniwen menghadapi masalah kesehatan masyarakat berupa rendahnya kesadaran akan Perilaku Hidup Bersih dan Sehat (PHBS) serta tingginya prevalensi penyakit tidak menular (PTM). Tujuan: Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran masyarakat terhadap PHBS melalui edukasi kesehatan dan skrining penyakit metabolik. Metode: Kegiatan meliputi penyuluhan interaktif tentang PHBS, pretest-posttest, serta skrining kesehatan menggunakan glukometer, alat ukur tekanan darah, dan pemeriksaan sederhana lainnya. Hasil: Terdapat peningkatan skor pengetahuan PHBS sebesar 33% (dari 65 menjadi 85). Skrining kesehatan terhadap 51 warga menunjukkan 36% mengalami arthralgia, 22% hipertensi, 6% ISPA, dan 5% diabetes melitus. Analisis menunjukkan hubungan kuat antara merokok dengan hipertensi, serta konsumsi gula berlebih dengan diabetes melitus. Kesimpulan: Edukasi dan skrining kesehatan terbukti efektif meningkatkan pengetahuan masyarakat tentang PHBS serta mendeteksi dini penyakit metabolik. Ke depan, program intervensi berkelanjutan diperlukan untuk memperkuat perilaku hidup sehat di masyarakat.

Modification of qSOFA Increases Mortality Prediction Accuracy in Sepsis Patients Gunawan, Erik Jaya; Siahaan, Salmon Charles Pardoman Tua; Idarto, Areta; Pribadi, Florence; Handayani, Lidya
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.3

The Quick Sequential Organ Failure Assessment (qSOFA) is a simple parameter, however, its sensitivity as a mortality predictor is low. This study aimed to improve the predictor performance of qSOFA for in-hospital mortality. This study was a retrospective single-centered cohort using medical record data. This study included 150 patients aged 18-80 years old, who experienced sepsis and received ICU care between September 2021 and August 2022. qSOFA and modified ROX index (mROX) were calculated based on the most severe condition recorded in the emergency department (ED). Each variable's area under the receiver operating characteristic (AUROC) curve, sensitivity, and specificity were compared to predict in-hospital mortality. qSOFA scores ≥2 and mROX values ≤3.20 were independent factors that increased the risk of in-hospital mortality (OR 3.69 and 21.50; p 0.004 and 0.005, respectively). The combination of qSOFA scores ≥2 and mROX value ≤3.20 as in-hospital mortality predictors resulted in AUROC 0.791 with a sensitivity of 71.7% and specificity of 75.7%. The AUROC, sensitivity, and specificity of the combination of qSOFA and mROX were higher than qSOFA (0.766, 70.8%, 70.3%) or mROX (0.760, 68.1%, 67.6%) alone. In conclusion, the combination of qSOFA scores ≥2 and mROX values ≤3.20 increase the sensitivity and specificity for predicting in-hospital mortality in sepsis patients.

DETEKSI DINI IBU HAMIL UNDERWEIGHT DI PUSKESMAS PAMOLOKAN SUMENEP DENGAN USG UNTUK MENCEGAH PERTUMBUHAN JANIN TERHAMBAT Siahaan, Salmon Charles; Pribadi, Florence; Yuwono, Natalia; Handayani, Lidya; Suameitria, Desak Nyoman Surya
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 3 (2024): Volume 5 No. 3 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i3.27112

Data populasi ibu hamil di Indonesia menunjukkan tingginya persentase ibu hamil dengan Kekurangan Energi Kronis (KEK), yang merupakan faktor risiko potensial untuk kondisi IUGR. Hasil penelitian sebelumnya menunjukkan hubungan antara Indeks Massa Tubuh (BMI) pra kehamilan dan pertambahan berat badan gestasional dengan risiko IUGR, menyoroti pentingnya asupan gizi yang adekuat selama kehamilan. Pengabdian masyarakat ini bertujuan untuk mengkaji kondisi ibu hamil dengan berat badan kurang (underweight) di Puskesmas Pamolokan Sumenep dalam upaya mencegah terjadinya Intrauterine Growth Restriction (IUGR), sebuah kondisi yang berpotensi membahayakan kesehatan janin dan ibu. Melalui sosialisasi dan pemeriksaan Ultrasonografi (USG), kami berupaya untuk mendeteksi dini risiko IUGR yang mungkin timbul pada ibu hamil dengan berat badan kurang. Dengan metode kolaboratif antara Dinas Kesehatan Sumenep, Puskesmas Pamolokan, dan peneliti, diharapkan penelitian ini dapat memberikan pemahaman yang lebih baik tentang hubungan antara kondisi underweight pada ibu hamil dan risiko IUGR. Temuan dari penelitian ini diharapkan dapat menjadi landasan bagi upaya preventif yang lebih efektif dalam mengurangi kasus IUGR pada ibu hamil dengan berat badan kurang.

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