Modeling Dengue Virus Infection Patients for Each Severity of Dengue Disease in Thailand

Dengue is an infectious mosquito-borne viral disease. Dengue or dengue-like epidemics ranks highly among new and newly emerging infectious diseases in public health significance and may affect persons of all ages in dengue endemic area. Dengue virus infections may lead to dengue fever (DF), dengue haemorrhagic fever (DHF) and may lead to hypovolaemic shock (dengue shock syndrome, DSS) then we separate dengue data by severity of dengue disease, i.e., DF, DHF and DSS. The objective of this study is to find factors which affect the dengue virus infection patients for each severity of dengue disease in Thailand by using multiple regression models. Amongst the models fitted, the best are chosen based on the analysis of variance, F-test and t-test. The results of this study show that the factors are time, seasonal factors, and monthly multivariate ENSO index for dengue fever (DF) and dengue haemorrhagic fever (DHF) while the factors for dengue shock syndrome (DSS) are population in each month, seasonal factors, and monthly multivariate ENSO index

Health Belief Model Pada Penderita Demam Berdarah Dengue di Wilayah Kerja Puskesmas Mamajang Kota Makassar

Dengue Haemorrhagic Fever (DHF) is an acute fever with two or more symptoms such as retro-orbital pain, headache, skin rashes, bleeding, and leukopenia that lasts between 2-7 days. The primary vector of DHF is Aedes aegypti mosquito. This research investigates the perceptions of patients with Dengue Haemorrhagic Fever (DHF) within the working area of Mamajang Health Centre in Makassar City. It uses qualitative method with a phenomenological approach in scrutinising  the issue.  The research data are obtained through in-depth   interviews   with   several   informants.  The   findings  suggest  some  interesting information  about the  issue. first of  all, most  informants  believe that  their vulnerability toward Dengue Haemorrhagic Fever (DHF) is due to the environmental condition, symptoms, times of disease transmission,  patients, and the consequences of catching the disease. They also view Dengue Haemorrhagic Fever (DHF) as an alarming disease because it lowers the patients'  productivity, prohibits them from working for earning income,  as well as causes casualties.  This  research  further  reveals  informants'  perception  of the  benefits  of  some Dengue Haemorrhagic Fever (DHF) prevention programs that they have participated in. In addition to reducing their risk of catching the disease,  the prevention programs also allow them to enjoy a cleaner and tidier neighbourhood. However, they also claimed that they had also faced some challenges in implementing the programs. The pesticides contain various additive substances that they deem dangerous for their health and thus they have to be careful in using them.  Besides, they find that using sleeping nets are unpleasant during warmer days. Although they have complaints, most informants believe that the sacrifices are worth for their health  and wellbeing.  They also actively prevent Dengue Haemorrhagic Fever (DHF) by burying unused stuff, covering water storages,  regularly cleaning bathtubs,  draining puddles, as well as using pesticides. Most informants are aware of the importance of Dengue Haemorrhagic Fever  (DHF)   prevention programs  even without  constant reminders from people around them.Keywords: Dengue Haemorrhagic Fever, Health Belief Model, Aedes Aegypti

RELATIONSHIP BETWEEN URBANIZATION AND DENGUE HAEMORRHAGIC FEVER INCIDENCE IN SEMARANG CITY

Unplanned urbanization can cause unhealthy urban environment, which in turn increases the population of mosquitoes carrying the dengue vector. Consequently, this would reduce the urban life quality because public health is an important aspect of it. The increasing incidence of Dengue Haemorrhagic Fever (DHF) in Semarang City has been alarming. In 2013, the incidence was 2,364 cases, which increased up to 89.11% from the 1,250 cases of 2012. So, it is necessary to study about what relationship is there between the level of urbanization and the incidence of DHF in Semarang. This study used quantitative and spatial approach. The unit of analysis is sub-district with time series data from 2006 to 2013. The analysis technique is spatial analysis through image interpretation, regression, and descriptive analysis. The level of urbanization has been measured through the variables of population growth, population density, land use change, and building density. The results have shown that there is no significant correlation between the level of urbanization and the incidence of dengue fever. The urbanization is acknowledged as influencing only about 28% of the DHF incidence in the city, while the other 72% has been influenced by other factors

PENATALAKSANAAN RADIOGRAFI THORAX PEDIATRIK INDIKASI DENGUE HAEMORRHAGIC FEVER DI RS GRAHA JUANDA

Thorax examination with Dengue Haemorrhagic Fever (DHF) in pediatrics generally indicates Pleural Effusion in the lungs. In the Radiology Installation of Graha Juanda Hospital, Bekasi, this case only uses AP and RLD projections. This study's purpose is to explain the thorax examination procedure in cases of Dengue Haemorrhagic Fever, the reason for using AP and RLD projections, and when the patient is tilted to the right for 5 minutes. This research is a case study with a qualitative description through direct observation in the field. The data collection method uses primary data with cases of dengue hemorrhagic fever in pediatrics. The author took subjects three years old with a thorax examination in cases of Dengue Haemorrhagic Fever with AP and RLD projections. The results of the study seen in the sample are the presence of Pleural Effusion which is one of the most frequent indications found in cases of Dengue Haemorrhagic Fever. The experiment's results on the radiographic examination appeared to be visible fluid and air boundaries in the patient's lung area.Pemeriksaan thorax dengan kasus Dengue Haemorrhagic Fever (DHF) pada pediatrik umumnya untuk menginformasikan adanya Efusi Pleura pada paru-paru. Di Instalasi Radiologi Rumah Sakit Graha Juanda kasus ini hanya menggunakan proyeksi AP dan RLD saja. Tujuan penelitian ini untuk menjelaskan bagaimana prosedur pemeriksaan thorax pada kasus Dengue Haemorrhagic Fever, alasan menggunakan proyeksi AP dan RLD, dan saat pasien di miringkan ke kanan selama 5 menit. Penelitian ini berupa studi kasus dengan deskriptif kualitatif, melalui pengamatan langsung di lapangan. Metode pengambilan data yaitu menggunakan data primer dengan kasus dengue haemorrhagic fever pada pediatrik, peneliti mengambil subjek 3 tahun dengan pemeriksaan thorax pada kasus Dengue Haemorrhagic Fever proyeksi AP dan RLD. Hasil penelitian yang terlihat pada subjek adalah adanya Efusi Pleura yang merupakan salah satu indikasi yang paling sering ditemukan pada kasus Dengue Haemorrhagic Fever. Hasil ekspertise pada pemeriksaan radiografi tampak batasan cairan dan udara yang terlihat jelas di daerah paru-paru pasien

Dengue fever presenting as acute liver failure— a case report

AbstractDengue fever (DF) and dengue haemorrhagic fever (DHF) are important mosquito-borne viral diseases of humans and recognized as important emerging infectious diseases in the tropics and subtropics. Compared to nine reporting countries in the 1950s, today the geographic distribution includes more than 100 countries worldwide. Dengue viral infections are known to present a diverse clinical spectrum, ranging from asymptomatic illness to fatal dengue shock syndrome. Mild hepatic dysfunction in dengue haemorrhagic fever is usual. However, its presentation as acute liver failure (ALF) is unusual. We report a patient with dengue shock syndrome who presented with acute liver failure and hepatic encephalopathy in a recent outbreak of dengue fever in Delhi, India

The Role of Village Surveillance Officer to Prevent Dengue Hemorrhagic Fever

Dengue is a major public health problem in Indonesia. The program of elimination of mosquito breeding places is still low. This study was aimed to analyze the effectiveness of village surveillance officer for decrease container index. Study design was quasy experiment. The intervention included: community workshops; community involvement in clean-up campaigns; and distribution of information, education and communication materials in the village surveillans officer. Data were analyzed with t test, and path way analyzed. There is significantly differences knowdlege, attitude, behaviour, sanitation, and container index p<0.05. Based on the path analysis was concluded that village surveillance officer increased knowledge, attitude, behavior, sanitation and container index.Surveillance village officer is concluded to be more effectively decreased of larva index through comunity behavior. Surveillance village officer is important because it effectively the coverage of larva index through community behaviour participation

Analisis Kinerja Program Pengendalian Penyakit Demam Berdarah Dengue (P2DBD) di Puskesmas Mabelopura danTipo Kota Palu Provinsi Sulawesi Tengah

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan 2017 ABSTRAK Aminoto Naharun Analisis Kinerja Program Pengendalian Penyakit Demam Berdarah Dengue (P2DBD) di Puskesmas Mabelopura danTipo Kota Palu Provinsi Sulawesi Tengah xxi + 169 halaman + 48 tabel + 10 gambar + 13 lampiran Kota Palu merupakan daerah endemis DBD dengan kasus tergolong tinggi. Pengendaliannya masih bergantung pada program P2DBD Puskesmas. Tujuan penelitian adalah untuk menganalisis kinerja program P2DBD pada Puskesmas dengan kasus DBD tertinggi dan terendah, serta faktor-faktor yang mempengaruhinya. Penelitian ini merupakan penelitian observasional dengan pendekatan kualitatif. Data dikumpulkan dengan observasi dan wawancara mendalam. Informan utama adalah kepala puskesmas dan pengelola program (P2DBD, promosi kesehatan,penyehatan lingkungan) di kedua Puskesmas. Uji validitas dengan triangulasi sumber kepada kepala seksi pengendalian penyakit dan pengelola program P2DBDDinas Kesehatan kota Palu serta FGD kelompok masyarakat. Hasil penelitian menunjukkan kinerja program P2DBD Puskesmas Mabelopura (kasus DBD tertinggi)belum berjalan maksimalpada kegiatan penyelidikan epidemiologi, fogging fokus, pemberantasan sarang nyamuk dan penyuluhan kesehatan, sedangkan pada Puskesmas Tipo (kasus DBD terendah)kinerja program telah berjalan maksimal kecuali kegiatan fogging fokus. Selain itu, faktor yang mempengaruhi kinerja program P2DBD pada kedua Puskesmas ditemukan dana belum mencukupi, sarana dan prasarana tersedia kecuali alat fogging dan belum ada SOP. Perbedaannya adalahpada Puskesmas Mabelopura ditemukankualitas SDM belum optimal dan kepemimpinan kepala Puskesmas cukup baik. Sedangkan pada Puskesmas Tipo, kualitas SDM telah optimal dan kepemimpinan kepala Puskesmas sangat baik. Dinas Kesehatan disarankanmembuat pelatihan tata laksana kasus DBDdan penyusunan SOP, mengalokasikan dana untuk kader jumantik dan tenaga surveilans kesehatan, melengkapi kebutuhan sarana dan prasarana program P2DBD di Puskesmas, dan menyelenggarakan evaluasi tahunan program P2DBD.Bagi Puskesmas Mabelopura agar meningkatkan koordinasi dan kemitraan lintas sektorserta partisipasi aktif petugas dalam penyuluhan. Bagi Puskesmas Tipo agar konsisten dan meningkatkan kinerja program P2DBD. Kata kunci :Demam Berdarah Dengue, P2DBD, Kinerja, Puskesmas, Kota Palu Kepustakaan :49 (1992 – 2016) iDiponegoro University Faculty of Public Health Master’s Study Program in Public Health Majoring in Administration and Health Policy 2017 ABSTRACT Aminoto Naharun Performance Analysis of Dengue Haemorrhagic Fever Control Program (P2DBD) at Mabelopura and Tipo Health Centres in Palu City in Province of Central Sulawesi xxi + 169 pages + 48tables + 10figures + 13 appendices Palu City is an endemic area of Dengue Haemorrhagic Fever (DHF) categorised as high cases of the disease. Controlling of DHF still depends on a program of P2DBD at a health centre level. This study aimed atanalysing the performance of the P2DBD program at health centres with highest and lowest DHF casesand the factors that influenced them. This was an observational study using a qualitative approach. Data were collected by observing and conducting indepth interview. Main informants were heads of health centres and the implementers of some programs like P2DBD, health promotion, and environmental sanitation at both health centres. A test of validity was performed by collecting data for triangulation purpose to a head of disease control section and the implementers of P2DBD program at Palu City Health Office and by conducting Focus Group Discussion to a community group. The results of this research showed that the P2DBD program at Mabelopura Health Centre (highest DHF cases) had not been optimally implemented particularly in the activities of epidemiological investigation, focus fogging, mosquito’s breeding place eradication, and health education. In contrast, the P2DBD program at Tipo Health Centre (lowest DHF cases), almost all programs had been well implemented except the activity of focus fogging.In addition, factors influencing the performance of the P2DBD program in both health centres were insufficient funding, unavailable equipment for fogging, and unavailable SOP. At Mabelopura Health Centre, quality of human resourceand leadership of the head of the health centre was fairly good. In contrast, quality of human resource and leadership of the head of the Tipo Health Centre was excellent. Health Office needs to conduct training of DHF cases management and SOP arrangement, to allocate budget for jumantik cadres and workers of healthsurveillance, to provide facilities for implementing the P2DBD program at health centres, and to evaluate the P2DBD program annually. In addition, the Mabelopura Health Centre needs to improve coordination and partnership with inter-sectors and to actively participate in providing health education. The Tipo Health Centre needs to consistently improve the performance of the P2DBD program. Keywords : Dengue Haemorrhagic Fever, P2DBD, Performance, Health Centre Bibliography: 49 (1992-2016) i

Hubungan Kadar Trombosit dan Peningkatan Hematokrit dengan Manifestasi Perdarahan Pasien DBD Anak di RSUD Dr. Harjono Ponorogo

Dengue Haemorrhagic Fever (DHF) is infectious disease caused by dengue virus and the most common disease that can cause mortality, especially in children. The number of DHF case was fluctuating every year. Platelet levels and increased hematocrit are important indicators of DHF. Clinical symptoms of DHF can be accompanied by bleeding manifestations that will increase the mortality ratio in patients. This study is aimed to determine the correlation of platelet levels and increased hematocrit with bleeding manifestations. This study used an observational cross sectional analytic study. The sampling method was purposive sampling with 62 Dengue Haemorrhagic Fever cases in RSUD Dr. Harjono Ponorogo which fulfilled the restricted criteria. Result: 27 boys and 35 girls were evaluated in this study. A total 37 of 62 Dengue Haemorrhagic Fever (DHF) cases in RSUD Dr. Harjono Ponorogo had bleeding manifestations. From 37 samples, there were 35 patients who had thrombocytopenia and 17 patients eho had increased hematocrit ≥20%. Spearman correlation test for platelet levels and bleeding manifestations received significant results (p=0,002). Spearman correlation test for increased hematocrit and bleeding manifestations received insignificant results (p=0,1). This study suggest that were a correlation between platelet levels with bleeding manifestations and no correlation between increased hematocrit with bleeding manifestations. Keywords: Platelet levels, increased hematocrit, bleeding manifestations, Dengue Haemorrhagic Feve