Susianto, Steven Christian
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THE SAFETY AND OUTCOME OF ACUTE ISCHAEMIC STROKE PATIENTS WITH COVID-19 TREATED WITH INTRAVENOUS RECOMBINANT TISSUE PLASMINOGEN ACTIVATOR: A SYSTEMATIC REVIEW Machin, Abdulloh; Setjaputra, Vina Lidya; Susianto, Steven Christian; Husni, Nadya; Sugondo, Alexander Tikara
MNJ (Malang Neurology Journal) Vol. 10 No. 2 (2024): July 2024
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.02.12

Abstract

Background: Strokes associated with SARS-CoV-2 may be linked to increased mortality rates. The utilization of intravenous thrombolysis is anticipated to enhance the clinical results in such patients. Moreover, emerging evidence underscores the importance of evaluating the safety and effectiveness of intravenous thrombolysis in individuals suffering from Acute Ischaemic Stroke along with COVID-19. Objective: To assess the safety and effectiveness of intravenous thrombolysis in Acute Ischaemic Stroke patients with COVID-19. Methods: A systematic literature search (Pubmed, Elsevier, and Cochrane database) with keywords (((intravenous thrombolysis) AND (acute ischemic stroke)) AND (covid-19)) AND (outcome))). We selected research studies for evaluation based on specific inclusion and eligibility criteria. Two independent reviewers then proceeded to extract and analyze various data points, including the name of the first author, the year of publication, the study's design, the National Institute of Health Stroke Scale (NIHSS) scores at admission and post-treatment, hospitalization-related mortality, and the occurrence of hemorrhagic transformation. Results: Three studies (n=153 patients) were included, mostly men with advanced age with the most common comorbidity being hypertension. Median of NIHSS Score of subjects on admission is 11, 12, and 13, with interquartile range from 3 to 20 (minor to severe stroke). The mRS at discharge and 1 month after admission is: 0–2 pts in 57 patients, ≥2 in 43 patient. Hemorrhagic transformation involved 3.23% of patients from total samples, death within hospitalization and 1-month mortality were in 23 patients (15%). In numerous studies, there was inadequate data available to determine the precise reason for mortality. Conclusion: Following IV-rTPA therapy, our COVID-19 infection subjects' mRS scores ranged from mild to moderate disability. Fifteen percents of all subjects died, and 3.23% of subjects experienced hemorrhagic transformation. However, majority of our subjects have high median NIHSS scores at admission, advanced age, complicated with baseline risk factors as high blood pressure, diabetes, and hyperlipidemia.
Latrines Problem, Defecation Behavior, and Implementation of GERBANG JASA in Murtajih Village, Pamekasan, Indonesia Susianto, Steven Christian; Israna, Israna; Haque, Izaratul; Habibie, Melyana; Ginting, Sri Mentari Br; Anggraini, Jeni Novita
Journal of Community Medicine and Public Health Research Vol. 3 No. 1 (2022): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.49 KB) | DOI: 10.20473/jcmphr.v3i1.31045

Abstract

Unhealthy latrines and defecation behaviors are associated with a higher diarrhea and stunting incidence. The authors developed Healthy Latrine Building Program (GERAKAN BANGUN JAMBAN SEHAT), which is was abbreviated as Gerbang Jasa, to improve latrine problems and long-term effort to prevent stunting. This study aimed to describe the latrine problems and implementation of Gerbang Jasa in Murtajih Village, Pamekasan., Indonesia This research was a descriptive study and involved all families with unhealthy or sharing latrines in Telaga Sari and Pao Gading, Murtajih. We assessed the knowledge and family characteristics through a questionnaire and collected children's height and age under five years. Thirty families were included in this study, 16 from Pao Gading and 14 from the Telaga Sari. Half of them used unhealthy latrine (cemplung) and the others shared latrines, 59% of farmer occupation and most of them had income under Rp.1.000.000,00. Meanwhile, 12 children under five years from their family was not stunted. During our movement, the authors got funds Rp 18.261.000,00 and successfully built 63,3% latrines with sept tank, 16,7% of latrines only and all the unhealthy latrines were closed by subject. Farmer occupation, family income under Rp 1.000.000,00 were the most cause of latrines problems. Meanwhile, Gerbang jasa could improve latrines problem in Murtajih Village, Pamekasan.
COMMUNITY DEVELOPMENT INFLUENCE ON PUBLIC'S KNOWLEDGE IN MANDANGIN ISLAND ABOUT ACUTE DIARRHEA AND FUNCTIONAL CONSTIPATION IN CHILDREN Ranuh, Reza Gunadi; Susianto, Steven Christian; Athiyyah, Alpha Fardah; Darma, Andy; Puspitasari, Dwiyanti; Sumitro, Khadijah Rizky; Nesa, Ni Nyoman Metriani; Faizi, Muhammad; Sudarmo, Subijanto Marto
Journal of Community Medicine and Public Health Research Vol. 3 No. 2 (2022): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.519 KB) | DOI: 10.20473/jcmphr.v3i2.34285

Abstract

In children, acute diarrhea and functional constipation (FC) are still more prevalent in Indonesia, especially in isolated islands, and need comprehensive management. This study aimed to determine the effect of community development from the Department of Child Health Faculty of Medicine, Universitas Airlangga, Surabaya, on Mandangin Island's public knowledge about acute diarrhea and functional constipation in children. This cross-sectional study was conducted on 29 subjects from Mandangin Island, Sampang, Indonesia on 17th February 2022. Subjects were given education and dissemination as community development by pediatricians via hybrid and could ask questions and discuss at the end of the presentation. The subject's knowledge was measured using a pre-and post-test questionnaire about children's acute diarrhea and functional constipation. Each questionnaire (diarrhea and functional constipation) consisted of 5 questions, with a minimum score of 0 and the maximum score of 100. The subject's knowledge was compared before and after the webinar using Paired T-Test and p<0,05 was measured as significant. We assessed the subject's age, gender, occupation, and last education. There was a significant increase in public knowledge about diarrhea (26,9±18,7; 55,1±24,3; p=0.000) and functional constipation pre-and post-webinar (24,8±18,2; 48,3±24,2; p=0.000). These findings support the importance of community development with education about acute diarrhea and functional constipation in children.
Effectiveness of Video Conferencing Education in Childhood Functional Gastrointestinal Disorders Knowledge in Limited Resource Health Care Workers Puspitasari, Dwiyanti; Ranuh, Reza Gunadi; Athiyyah, Alpha Fardah; Darma, Andy; Sumitro, Khadijah Rizky; Nesa, Ni Nyoman Metriani; Susianto, Steven Christian; Faizi, Muhammad; Sudarmo, Subijanto Marto
Journal of Community Medicine and Public Health Research Vol. 4 No. 1 (2023): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v4i1.40163

Abstract

Childhood Functional Gastrointestinal Disorder (FGID) knowledge is important for healthcare workers (HCWs), particularly in isolated islands, such as Mandangin island, Sampang, Indonesia. Video conferencing technology has been globally used as medical education media to educate among HCWs. This study examined the effectiveness of video conferencing technology about Childhood FGID in limited resources HCWs. This cross-sectional study was conducted among 20 HCWs from Mandangin's community health center along with community medicine by the Department of Child Health, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital. The subject was assessed for general characteristics and FGID pre-test to examine HCWs' knowledge before the seminar through video conferencing. FGID pre-test was consisted of seven questions and randomized for FGID post-test after the seminar and the question-answer part was done. The pre-and post-test was compared using the Wilcoxon rank sum test using SPSS version 20.0. Among 20 subjects, 80% were female, and 45% had the last education of Diploma Degree (D-3). There was a significant difference between pre-and post-test among subjects (p<0,05), of which 16 (80%) subjects had an increase in post-test compared to the pre-test result. Health education using videoconferencing technology effectively increased knowledge about childhood FGID in limited resources healthcare workers and expected to be a sustainable program in the community health center.