Sensitivity Difussion Test of Cefixime against Neisseria gonorrhoeae from Female Sex Worker with Cervicitis Gonorrhea without Complication who Follow Periodic Presumptive Treatment (PPT)

Background: Neisseria gonorrhoeae as etiology of gonorrhoeae infection is considered to be most concerned because of emerging antibiotic resistant strains that compromise the effectiveness of treatment. The emergence of antibiotic resistance has remained a challenge for a few decades. The third generation cephalosporins such as cefixime and ceftriaxone are now the first-line therapy in many region, however, the reduction of the susceptibility to cephalosporins is likely to emerge and spread. Purpose: To evaluate susceptibility of cefixime to Neisseria gonorrhoeae with diffusion test in uncomplicated cervicitis gonorrheae of female sex worker who following Periodic Presumptive Treatment’s program. Methods: The study design was descriptive observational cross sectional for 3.5 months from November 2012-February 2013 in Putat Jaya Public Health Center Surabaya. Results: There were 21 isolates of N. gonorrhoeae from 86 cervical secretions which were performed cefixime diffusion susceptibility test. Based on in vitro cefixime diffusion susceptibility test against N. gonorrhoeae isolates obtained 7 isolates (33.3%) were resistant to cefixime and 14 isolates (66.7%) sensitive to cefixime. From sensitive isolates, 5 of 14 isolates (35.7%) had inhibition zone with a diameter of 31 mm which is the minimum limit of cefixime ability to inhibit the growth rate of N. gonorrhoeae. Conclusions: There were found N. gonorrhoeae isolates that resistant to cefixime and some isolates with near of concentration maximal inhibition of cefixime with diffusion test. Thus it’s necessary to perform sentivity test of cefixime to N. gonorrhoeae using dilution test to obtain the resistance of N. gonorrhoeae to cefixime

Infeksi Oportunitis Virus Di Kulit Pada Pasien HIV/AIDS

Infeksi Human Immunodeficiency Virus (HIV) menyebabkan defisiensi imunitas selular yang ditandai dengan berkurangnya limfosit T helper (sel T CD4+). Sebagian besar infeksi dan proses neoplastik kulit pada pasien HIV difasilitasi oleh berkurangnya sel T CD4+ pada sistem imun. Kelainan kulit merupakan kelainan yang sering didapatkan pada pasien HIV/AIDS, sehingga diperlukan pemahaman dan evaluasi untuk manajemen lebih baik. Di makalah ini dibahas beberapa infeksi oportunistik virus di kulit pada pasien HIV/AIDS, yaitu Herpes genitalis, Herpes zoster, Kondiloma akuminata, Moluskum kontagiosum, dan Oral Hairy Leukoplakia

The Profile of Type 1 Leprosy Reaction at Leprosy Division of Dermatology and Venerology Outpatient Clinic of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Background: Leprosy is a chronic infectious disease caused by Mycobacterium leprae. Type 1 leprosy reaction is a delayed hypersensitivity reaction caused by the increased response of cellular-mediated immunity to the Mycobacterium leprae antigen on the skin and nerves with a reversal result. The clinical manifestation includes inflammation which can cause skin and nerve lesions, swell, to permanent disabilities. Purpose: To describe the demographic and clinical profile of type 1 leprosy reaction at the Leprosy Division of the Dermatology and Venerology Outpatient Clinic of Dr. Soetomo General Academic Hospital in 2017–2019. Methods: This was a descriptive study. We used secondary data from the medical records of leprosy patients at the Leprosy Division of Dermatology and Venereology outpatient clinic, Dr. Soetomo General Academic Hospital Surabaya, from January 2017 to December 2019. Result: Out of 364 patients, 65 (17.9%) had type 1 reactions. They were mostly in productive age at 35–55 years old (56.9%). The patients were predominantly male (75.4%), with normal nutritional status (98.5%) and negative bacterial index (72.3%). The most common types of leprosy were BB (Borderline) with 61.6% and BL (Borderline Lepromatous) with 20.8%. All patients took WHO (World Health Organization) MDT (Multi Drug Therapy) MB (Multi-Bacillary). Conclusion: The profile of type 1 leprosy reaction at the Leprosy Division of Dermatology and Venerology Outpatient Clinic of Dr. Soetomo General Academic Hospital in 2017–2019 shows an average data as follows: age 35–55 years, male, normal nutritional status, negative bacterial index, leprosy type BB

PELATIHAN PENULISAN KARYA ILMIAH BAGI GURU MA SARJI AR RASYID UNTUK MENINGKATKAN KOMPETENSI PROFESIONALISME GURU

Kegiatan pengabdian ini dilatarbelakangi permasalahan mitra yang diidentifikasi meliputi 1) Umumnya para guru merasa enggan  untuk mengurus kenaikan pangkat/golongan karena persyaratan yang dirasa berat;  2) Guru kurang paham cara membuat karya ilmiah yang sesuai dengan standar; dan 3) Guru tidak tahu bagaimana cara mempublikasikan karya ilmiah. Adapun solusi yang ditawarkan ialah memberikan pelatihan penulisan karya tulis ilmiah bagi guru MA Sarji Ar Rasyid. Target luaran pengabdian ini berupa jasa pelatihan berupa informasi bagi guru MA terkait penulisan karya tulis ilmiah dan publikasi artikel ilmiah. Melalui kegiatan pengabdian yang telah dilakukan memiliki tiga hal yang ditingkatkan yaitu ; 1) memperdalam pengetahuan guru tentang karya tulis ilmiah, 2) mengenalkan dan menggalakkan kegiatan menulis artikel ilmiah di jurnal untuk meningkatkan kompetensi profesionalisme guru dan 3) memotivasi guru untuk mulai mempublikasikan karya tulis ilmiah berupa artikel ilmiah di jurnal. Hasil dari pelaksanaan kegiatan pengabdian masyarakat ini yaitu memberikan pemahaman tentang karya tulis ilmiah, alasan mengapa guru harus membuat karya ilmiah, konsep karya tulis ilmiah, dan proses menulis karya ilmiah. Selanjutnya para guru mendapatkan materi tentang cara mempublikasikan karya tulis ilmiah beserta tahapan-tahapannya. Peserta diminta membuat karya ilmiah sebagai tindak lanjut kegiatan pengabdian berikutnya

Secondary Syphilis During Pregnancy: The Importance of Screening and Clinical Management

Background: Syphilis is one of the most serious sexually transmitted diseases worldwide, and has tremendous consequences for the mother and her developing fetus if left untreated. The burden of morbidity and mortality due to congenital syphilis is high. Purpose: Screening and prompt to know the importance of treatment of syphilis during pregnancy. Case: A 32-year-old multigravida in 5 months of pregnancy presented with multiple raised lesions over her labia. It was accompanied by fluor and smelly fishy odor. There was no history of genital ulcers in either spouse and no history of sexual promiscuity. History of antenatal care in public health showed non-reactive status of HIV, syphilis and hepatitis B. Clinical examination revealed multiple flat, moist warts over her labia mayora and minora, and multiple roseola syphilitica on the plantar pedis sinistra. Darkfield microscopic examination presence spirochete, venereal disease research laboratory (VDRL) titer was 1:16 and T. pallidum particle agglutination assay (TPHA) titer was 1:2560. Obstetric ultrasonography examination was suggestive no mayor congenital abnormalities. Both of serology VDRL and TPHA were non-reactive in her husband. Significant of lesion improvement and decrease a fourfold titer serologic in VDRL (1:4) and TPHA (1:320) as follow-up 3 months after being treated with single intra-muscular injections of benzathine penicillin 2.4 million units. Discussion: Coordinated prenatal care and treatment are vital. It’s implemented before the fourth month of pregnancy to reduce vertical transmission and all associated side effects of congenital syphilis. Penicillin is highly efficacious in maternal syphilis and prevention of congenital syphilis. Conclusion: Universal screening and adequate pregnancy care must be a priority

Cutaneous Adverse Drug Reactions in Hospitalized HIV/AIDS Patients

Background: Cutaneous adverse drug reaction (CADR) is the most common manifestation of drug hypersensitivity in human immunodeficiency virus (HIV), which presented as maculopapular rash. The incidence of CADR is found to be more common in untreated HIV patients, and the frequency is higher in severe immunodeficiency status. Early diagnosis and appropriate treatment give better outcomes. Purpose: To evaluate the incidence and management of CADR in HIV and acquired immune deficiency syndrome (AIDS) patients. Methods: A retrospective descriptive study of HIV/AIDS patients with CADR who were hospitalized at Intermediate Care and Infectious Disease Centre Dr. Soetomo General Academic Hospital. Result: There were more CADR cases in 2017, accounted 2.35% of the total Intermediate Care and Infectious Disease Centre RSUD Dr. Soetomo General Academic Teaching Hospital ward patients. There were more male patients (62.5%), with the most commonly found at the age of 25-44 years (64.3%), and which mostly (89.3%) originated from Surabaya. The most common diagnosis was morbiliform eruption (60.7%), main complaint was red spots all over the body (45%), all of which are obscure erythematous macules. The most common causes were Duviral + Neviral antiretroviral (46%) and the most common treatment was dexamethasone injection. Conclusion: The incidence of CADR increased in 2017. The most frequent manifestation was morbilliform eruption due to Duviral+Neviral as the first line ARV treatment. Skin management varies widely in form of topical, oral, and intravenous injection drugs, mostly using steroid class, dexamethasone intravenous injection in particular

PELATIHAN PEMANFAATAN INTERNET SEBAGAI MEDIA PROMOSI ONLINE DALAM KEGIATAN ONLINE SHOP (OLSHOP) SISWA-SISWI MA SARJI AR-RASYID

This communityservice activity aims to increase the knowledge and understanding of MA SARJI AR-RASYID students regarding the importance of online promotional media (digital marketing) for their olshop business by utilizing the internet through training activities on the use of the internet as a product promotion media. This training activity was carried out in the XI class of MA SARJI AR-RASYID. This activity is planned to last for 1 day on 15 June 2020 at 09.00 WIB until finished. Resource persons provide material that includes the concept of online promotion, the steps for online promotion, and how to have an effective online product marketing strategy. Furthermore, direct practice of using the internet was carried out to promote the olshop products of class XI MA SARJI AR-RASYID students who were directly guided by 2 sources. The result of this training activity is to increase understanding for XI grade students about the importance of the internet as a product online promotional media and being able to apply it to promote all the olshop products they have, so that it will increase the quantity of sales and increase income to help fulfill their living needs and school fees. as well as in the future development of their products so that they are of higher quality

PENGELOLAAN POJOK BACA UNTUK MENINGKATKAN MOTIVASI PENDIDIKAN DAN MINAT MEMBACA MAHASISWA

Salah satu layanan dan sarana proses pembelajaran yang dapat menunjang kegiatan proses pendidikan. Perpustakaan berupa sebuah tempat menyimpan,mengelolah dan mengatur koleksi bahan pustaka secara sistematis untuk digunakan pemakaiannya sebagi sumber informasi dalam pembelajaran. Perpustakaan adalah istitusi pengelolaan koleksi karya tulis, karya cetak dan karya rekaman secara profesional dengan sistem yang baku guna memenuhi kebutuhan pendidikan, penelitian , pelestarian, informasi dan rekreasi para pustaka. Literasi merupaka keterampilan penting dalam hidup, sebagian besar proses pendidikan bergantung pada kemampuan dan kesadaran literasi. Budaya litersai yang tertanam pada diri mahasiswa mempengaruhi tingkat keberhasilan mendasar dalam praktik literasi dalah kegiatan embaca, keterampilan mebaca merupam fondasi untuk mempelajari berbagai hal lainnya. Salah satu pengelolaan pojok baca di STKIP PGRI Situbondo diruang pelayanan mahasiswa mampu merupakan tempat yang efisien dan strategis untuk menumbuhkan motivasi pendidikan dan minat membaca mahasiswa untuk Alumni dan dosen. Kegiatan pengelolaan pojok baca diruang pelayanan mahasidswa di STKIP PGRI Situbondo mendapat sambutan baik dari mahasiswa serta dosen, alumni dan tamu yang lagi berkunjung ke kampus STKIP PGRI Situbondo, Keadaan ini dilihat dari kahadiran dipojok baca yang hampir 30% setiap harinya yang membaca buku refernsi di pojok baca dipelayanan

PENINGKATAN KREATIVITAS MASYARAKAT MELALUI PELATIHAN PEMBUATAN POLA DASAR BAJU DI DESA KEDUNGDOWO

Training on making basic patterns of clothing is an activity designed to develop human resources through a series of activities for identification, assessment and a planned learning process. This training activity is expected to make the community more active, innovative, and creative in honing their abilities or potential. The method of implementing this activity is through socialization and training on making basic patterns of clothes for mothers and young women in Kedungdowo Village to have skills in making basic patterns of clothes and increasing community creativity. The result of this activity is the increased creativity of the people of Kedungdowo Village in making basic patterns of clothes and sewing or making fashion products and applying them to themselves and others. Thus, they can open a home-based business by receiving sewing/makeup services, so that they can help the family economy. The expected outcome is the development of business management into independent community activity unit