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Prevalensi Infeksi Cacing Usus di Kawasan Pedesaan dan Perkotaan: Studi Berbasis Sekolah Sri Wahdini; Diadikma Bellarosa; Saleha Sungkar
eJournal Kedokteran Indonesia Vol 9, No. 3 - Desember 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.079 KB) | DOI: 10.23886/ejki.9.59.187-91

Abstract

Di Indonesia infeksi cacing usus masih menjadi masalah kesehatan yang penting. Hal ini dikaitkan dengan higienitas dan sanitasi yang buruk, kekurangan air bersih, kekurangan nutrisi, serta kontak dengan tanah yang berisi telur cacing. Penelitian ini bertujuan untuk mengetahui perbandingan prevalensi infeksi cacing dan dihubungkan dengan kawasan pedesaan dan perkotaan. Penelitian menggunakan desain cross-sectional berbasis sekolah yang dilakukan pada tahun 2018. Sebanyak minimal 7 siswa dipilih secara acak dari 30 sekolah setingkat taman kanak-kanak atau Sekolah Dasar di Kabupaten Bogor (sebagai kawasan pedesaan) dan Kota Administrasi Jakarta Barat (sebagai kawasan perkotaan). Total sample feses yang terkumpul sebanyak 610 dan diperiksa di Laboratorium Parasitologi Klinik, Fakultas Kedokteran Universitas Indonesia. Sampel feses dibuat sediaan dan diwarnai dengan lugol kemudian diperiksa secara langsung dengan mikroskop. Data diolah dengan SPSS versi 20.00 Prevalensi infeksi cacing usus di kawasan rural 3,2% sedangkan di kawasan urban 1% (chi square, p = 0,09; OR = 4,33; IK 95% = 0,93 – 11,99). Infeksi cacing usus didominasi spesies Ascaris lumbricoides.  Infeksi cacing memiliki prevalensi relatif rendah. Pada penelitian ini tidak terdapat perbedaan prevalensi infeksi cacing usus pada anak di kawasan pedesaan dan perkotaan.
Acupuncture in the Management of Functional Dyspepsia Anastasia Yoveline; Murdani Abdullah; Guntur Darmawan; Hasan Mihardja; Saleha Sungkar
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 13, NUMBER 1, April 2012
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.501 KB) | DOI: 10.24871/131201249-55

Abstract

Dyspepsia is an uncomfortable sensation or pain in the upper abdomen which is persisting or recurring. Dyspepsia can be classified into functional and organic dyspepsia. Functional dyspepsia is more commonly found compared to the organic type, approximately 60%. Pharmacologic therapy in the management of functional dyspepsia has not shown optimal results, with the multifactorial etiology of functional dyspepsia as the main challenge. Therefore, the management of functional dyspepsia is widened and involves variety treatment modalities, acupuncture being one of them. Acupuncture is a way of treatment by puncturing needles to particular area on the skin to eliminate pain and treat particular diseases. Acupuncture affects stomach motility and gastric acid secretion in functional dyspepsia patients. Two acupuncture points commonly used in functional dyspepsia are ST 36 and PC 6. Acupuncture can restore gastric motility in patients with functional dyspepsia, who have gastric emptying disturbance. Besides, functional dyspepsia complaints, such as epigastric pain, nausea, vomiting, anorexia, burning sensation, and bloating were found to improve after acupuncture therapy. Side effects of acupuncture are not life threatening with low incidence rate. The effectiveness of acupuncture therapy compared to standard medication shows varies results. Further studies are needed to determine the characteristics of functional dyspepsia patients which could have optimal results through acupuncture therapy. Keywords: epigastric pain, gastric motility, ST 36, PC 6
Superior mesenteric artery blood flow in infants of very preterm and very low birthweight and its related factors Evita Karianni Bermanshah Ifran; Wresti Indriatmi; Tetty Yuniarti; Nadjib Advani; Saleha Sungkar; Dewi Irawati Soeria Santoso; Rinawati Rohsiswatmo; Yvan Vandenplas; Badriul Hegar
Paediatrica Indonesiana Vol 63 No 2 (2023): March 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.2.2023.80-7

Abstract

Abstract Background Significant hemodynamic changes in preterm infants during early life could have consequences, especially on the intestinal blood flow. Alteration of superior mesenteric artery (SMA) blood flow may lead to impairment in gut function and feeding intolerance. Objectives To assess SMA blood flow velocity in very preterm and/or very low birth weight (VLBW) infants in early life and to elucidate the factors influencing them. Methods This is a cross-sectional study conducted in NICU at Cipto Mangunkusumo Hospital, Jakarta. Superior mesenteric artery (SMA) blood flow was evaluated by peak systolic velocity (PSV), end diastolic velocity (EDV), and resistive index (RI) measurement using Color Doppler US at < 48 hours after birth. Maternal and neonatal data that could be potentially associated with SMA blood flow were obtained. Bivariate analyses were conducted with a P value of < 0.05 considered significant. Results We examined 156 infants eligible for the study. PSV, EDV, and RI of SMA blood flow were not related to both gestational age and birth weight. Infant with small for gestational age (SGA) showed significantly lower EDV median [15.5 (range 0.0-32.8) vs 19.4 (range 0.0-113.0)] and higher RI [0.80 (range 0.58-1.00) vs 0.78 (range 0.50-1.00)] compared to appropriate for gestational age (AGA). Infants born from mother with preeclampsia showed lower PSV median [(78.2 (range 32.0-163.0) vs 89.7 (range 29.2-357.0)]) and EDV [16.2 (range 0.0-48.5) vs 19.4 (range 0.0-113.0)] compared to without PE, while absent/reverse end-diastolic velocity (AREDV) revealed a lower EDV median [16.9 (range 0.0 – 32.4) vs 19.4 (range 0.0 – 113.0)] compared to no AREDV. Furthermore, infants with hs-PDA showed lower EDV median [16.2 (range 0.0-113.0) vs 19.4 (range 0.0-71.1)] but higher RI median [0.80 (range 0.50-1.00) vs 0.78 (range 0.55-1.00)] compared to non hs-PDA. No difference in SMA blood flow across other factors was observed.