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The Role of Primary Health Facilities in Screening for Risk Factors for Chronic Kidney Disease (CKD): Literature Review Study Trixie, Joue Abraham; Sasube, Pratika Lawrence; Maluenseng, Priska Priyanka; Boltal, Abraham Daniel; Solang, Michael Alexander
Varians Jurnal Kesehatan Masyarakat Vol. 2 No. 1 (2024): Juni 2024
Publisher : Varians Statistik Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/vjkm.v2i1.11

Abstract

Chronic Kidney Disease (CKD) is a grave health issue because it is related to quality and survival. This disease has become a problem in Public Health. Primary Level Health Facilities (PLHF) are essential in overcoming this burden. Primary Level Health Facilities can carry out three prevention measures: primary-level prevention, secondary-level prevention, and tertiary-level prevention. Primary-level prevention plays a role in preventing someone from experiencing CKD, secondary-level prevention plays a role in making a diagnosis as early as possible, and tertiary-level prevention plays a role in preventing complications that might occur.
Diagnostic and Management Challenges of Congenital Dia-phragmatic Hernia in Preterm Newborn: A Case Report in Remote Area, Asmat, South Papua Maluenseng, Priska Priyanka; Toman, Kevin Pieter; Syafina, Adinda Bunga
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 13, No 1 (2026): FEBRUARY
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.13.1.2026.%p

Abstract

Background: Congenital diaphragmatic hernia (CDH) is a rare condition associated with pulmonary complications, as the herniation of abdominal viscera into the chest can impact lung development. The majority of CDH newborns have respiratory issues at delivery or shortly after and require mechanical ventilation, which puts them at risk when they are transferred to a tertiary hospital for more extensive treatment.Objective:This article presents a case of a preterm infant with low birth weight with CDH managed in the General Hospital, Asmat Regency.Case Presentation:A male, born preterm at the gestational age of 31 weeks by spontaneous vaginal delivery, with a birth weight of 1505 grams. The patient had respiratory distress and required invasive ventilation shortly after delivery. When the patient showed improved oxygenation with a nasal cannula, we did a chest X-ray and detected bowel loops in the left hemithorax and mediastinal shift to the right. CDH treatment must be administered in tertiary hospitals to receive standard protocols and multidisciplinary treatment. Transferring the patient to a tertiary hospital requires continuous ventilation on full-day transportation, but the patient was not transportable; thus, we decided to operate. Significant progress was observed three months following the operation.Conclusion: CDH requires a CT scan for definitive diagnosis, an operative procedure, and intensive treatment in a tertiary hospital. Despite the limited resources and no referral options, the patient showed clinical improvements.