Case Series: Confirmed Diphtheria at Sulianti Saroso Infection Center Hospital in The Post-pandemic Period

Background: Diphtheria vaccine coverage decreased during the Covid-19 pandemic. Diphtheria is caused by Corynebacterium diphtheria, which infects the upper respiratory system and produces toxins circulating in the body. The disease was fatal, with a mortality rate higher in children. This study described a case series of confirmed hospitalised diphtheria patients at Sulianti Saroso Infectious Disease Hospital (SSIDH) eighteen months post-pandemic. Objective: to describe epidemiological characteristics, laboratory examinations and outcomes of hospitalised diphtheria patients at SSIDH from January 1st, 2022, to June 31st,2023. Case Presentation: We reported ten confirmed diphtheria cases based on RT-PCR and clinical and epidemiological diagnosis. Of the ten cases, nine were children (<18 years old), six were male patients, and five lived in Jakarta. Based on Albert staining, 9 of 10 samples were found to be bacilli, positive-gram bacteria with metachromatic granular. Result: According to the RT-PCR examination, eight cases were confirmed positive for toxigenic diphtheria, five were a mitis subtype, one was a gravis subtype, and the other four were undetected. Based on clinical examination, eight cases were classified as severe diphtheria, five cases included myocarditis, and three patients passed away. Pediatric cases dominated diphtheria cases. RT-PCR examinations are more accurate and specific to finding toxigenic subtypes in the Jakarta Metropolitan Area. Conclusion: The detection of diphtheria cases in adult’s highlights concerns about adult immunity and awareness of vaccination. Vaccination campaigns and booster shots are essential, alongside continuous surveillance and accurate testing to prevent a resurgence of the disease

Pengaruh Pendidikan dan Penggangguran Terhadap Kemiskinan di Jakarta Timur

Countries around the world, especially in developing countries, are struggling with poverty. The definition of poverty is a complex problem that is influenced by several interrelated elements, such as unemployment rates and education levels, and whether or not these issues have an impact on poverty, especially in East Jakarta. This study aims to determine the relationship between unemployment and education with poverty in East Jakarta from 2018 to 2022. Secondary data used in this study comes from time series data, namely information from the East Jakarta Central Statistics Agency regarding community unemployment, the number of poor people, and the gross participation rate at the high school level in East Jakarta. Using the Eviews12 application, multiple linear regression analysis was used to process the data. The findings of this study indicate that, at the same time, the level of education significantly reduces poverty in East Jakarta

The Hidden Harvest: Unlocking Efficiency in East Java’s Farming Sector

The agricultural sector is crucial for meeting global food and nutritional needs, with East Java Province in Indonesia having the highest yields and being the safest sector from the pandemic. To maximize land area, land efficiency is essential, using superior seed varieties, chemical fertilizers, efficient irrigation systems, and modern agricultural tools. This research focuses on the agricultural community in Trawas Mojokerto and the efficiency of agricultural land in Duyung Village. Most farmers use sickles, hoes, animals, simple machines, and tractors for agriculture. A survey of 100 farmers in Duyung Village revealed that 44 people use sickles as traditional tools, while 23 use livestock for ploughing. Tractors are used for efficiency and energy savings but are rarely used due to lack of counseling from government institutions. Technological tools are used for specific soil types and must be rented before use. The majority of farmers need counseling to learn about the latest tools, and government assistance is lacking. The study also found that 68.9% of farmers do not use printed rice seeds, while 31.1% use them. Long rice seeds are preferred due to their quality and resistance to pests. The majority of farmers use direct soil irrigation systems, which vary in soil fertility levels. Fertilizer use varies, with 77.8% using urea and 20% using compost and urea. The Duyung Village community is efficient in land management, with most farmers understanding the importance of efficiency

Librarian Strategy in Developing the Mastrip Pare Mobile Library Services (Pusling) to Improve Children's Literacy in Kediri Regency

Purpose Research. This study aims to determine librarians' strategies and obstacles in developing mobile library services to improve children's literacy in Kediri Regency. This research started from the low interest in reading children and limited access to reading materials, especially in areas far from libraries. Research Methods. This study uses a qualitative approach with a descriptive method. Data was collected by observing mobile library activities in several locations, such as schools, car-free days, and city parks. Then in-depth interviews with librarians and library staff who were directly involved. As well as documentation of various activities. Analysis Data. Data analysis was carried out using Miles and Huberman's theory, consisting of three stages: data reduction, data presentation, and conclusion/verification. Result. The study results show that librarian strategies in developing mobile library services include providing educational reading, adjusting collections to children's age development, fun services, storytelling, and using facilities. However, there are various obstacles, such as limited facilities, librarians, collections, the use of technology, and low interest in reading in some schools. Conclusion. The Mastrip Pare Mobile Library has a positive impact on improving children's literacy. Still, it faces obstacles in its management that can be overcome by strengthening promotional strategies, increasing the number of collections, and utilizing digital technology to expand its reach. For further research, they can explore digital-based mobile library services and collaborate with literacy communities to increase the effectiveness of services.Keywords: Librarian strategy, library services, mobile library, children's literac

SISTEM RANGKA PEMIKUL MOMEN KHUSUS (SRPMK) UNTUK PERENCANAAN STRUKTUR BETON BERTULANG GEDUNG HOTEL “LUSTRIO” DI KOTA MATARAM

Kota Mataram termasuk wilayah dengan intensitas gempa tinggi berdasarkan pada peta parameter gerak tanah Ss pada SNI 1726-2019 yang menunjukkan bahwa Kota Mataram memiliki nilai Ss 1,0 g – 1,2 g. Oleh karena itu perencanaan gedung hotel Lustrio 10 lantai di Kota Mataram menggunakan beton bertulang Sistem Rangka Pemikul Momen Khusus dapat menjadi solusi untuk permasalahan tersebut. Perencanaan ini mengacu pada SNI 2847-2019, SNI 1726:2019, SNI 03-1727-1989 serta SNI 1727-1010. Mutu baja yang digunakan dalam perencanaan adalah BJ 41 dengan nilai Fy 250 MPa dan Fu 410 MPa. Mutu beton yang digunakan dalam perencanaan gedung ini menggunakan Fc 35 MPa. Analisa struktur dan analisa penulangan struktur menggunakan program komputer. Hasil analisis dari struktur gedung hotel Lustrio diperoleh menggunakan dimensi balok anak atap dan lantai adalah 35/50 cm, dimensi balok induk atap dan lantai 50/60 cm, dimensi kolom adalah 80/80 cm dan 70/70 cm. Pondasi direncanakan menggunakan tiang pancang beton dengan dimensi 50x50 cm dengan kedalaman 19 m dan jumlah tiang pancang sebanyak 6 tiang. Nilai simpangan horizontal yang terjadi 52,048 mm lebih kecil dari nilai simpangan horizontal izin 100 mm, maka struktur gedung mampu menahan beban bekerja

The Relationship Of Hemoglobin Levels In Pregnant Women To Birth Weight Incidence Low At Community Health Centers Demangan, Ngegong, Mangunharjo Madiun City In 2022.

The incidence of low birth weight babies (LBW) is important because it is an indicator to measure a child's health status, and until now it is still one of the health problems generally faced by developing countries, including Indonesia. One of the risk factors for LBW is the level of hemoglobin (Hb). Hemoglobin is a parameter that is widely used to determine the prevalence of anemia. The purpose of this study was to analyze the relationship between hemoglobin levels of pregnant women and the incidence of low birth weight babies. The research method used a cross-sectional design with a sample size of 49 respondents who were taken by simple random sampling method after fulfilling the inclusion and exclusion criteria at the Ngegong, Mangunharjo and Demangan Health Centers. Madison City. Data obtained through the patient's medical record. Data analysis in this study using the Chi Square test obtained a p- value of 0.02 <0.05 and OR = 0.75. So it can be concluded that there is a relationship between low hemoglobin levels and the incidence of low birth weight, where low hemoglobin levels have a 0.75 times higher risk of experiencing LBW. The Spearman rank correlation coefficient value of 0.445 indicates the strength of the relationship between these two variables in the moderate category

Pengaruh Store Atmosphere, Kualitas Pelayanan Dan Word Of Mouth Terhadap Keputusan Pembelian Pada Exterior Store Surabaya

This research examines the influence of Store Atmosphere, Service Quality, and Word of Mouth on Purchasing Decisions at Surabaya Store Exteriors. Decision making is a process that involves choosing one of the many available options, and to make this decision several supporting factors are needed. The approach used in this research is a quantitative approach. The problem that is the basis of the research is that there is a gap with previous research related to purchasing decisions. This research gap emerged because of differences of opinion in several previous studies related to purchasing decisions. This research aims to determine the influence of store atmosphere, service quality, and word of mouth on purchasing decisions at the Surabaya Exterior Store. Determination of the sample size was carried out using a non-probability sampling method, with a purposive sampling procedure. The sample taken was eighty respondents with the criteria for respondents being Surabaya residents who were at least seventeen years old and had made direct purchases at the Surabaya Exterior Store. Data was obtained using a questionnaire and processed using multiple linear regression analysis. Based on the results of the hypothesis test that has been carried out, a result can be obtained that the store atmosphere has no significant effect on purchasing decisions at the Exterior Store Surabaya, service quality has a significant effect on purchasing decisions at the Exterior Store Surabaya, word of mouth has a significant effect on purchasing decisions at the Exterior Store Surabaya

Causes and Consequences of Bullying Phenomenon among Emerging Adults in Urban Surabaya

The phenomenon of bullying among emerging adults has become an important research topic due to its significant impact on emerging adults' well-being and their learning environment. This research is crucial to understanding the root causes and triggering factors of bullying. By understanding the causes, more effective prevention measures can be designed and implemented by the government to create a safer and more supportive environment for emerging adulthood. The phenomenon of bullying can be explained through the perspectives of psychology, sociology and anthropology. This research is a qualitative study using the interview method. The results showed that from a psychological perspective, imitation of aggressive behavior from the social environment is the root of the bullying problem. From a sociology perspective, bullying is the result of power inequality and attempts to maintain power. From an anthropological perspective, cultural norms and social hierarchy influence bullying, which is used to maintain distance between dominant and perceived different groups.Keywords: bullyings; psychological; sociological; anthropological