Makna dan fungsi upacara Piodalan Umat Hindu di Pura Jala Siddhi Amerta Juanda Sidoarjo

Upacara Piodalan atau Odalan adalah sebuah ritual upacara keagamaan Hindu yang dikenal sebagai peringatan hari lahirnya atau hari ulang tahun sebuah Pura. Bagi umat Hindu Jala Siddhi Amerta Juanda Sidoarjo, upacara Piodalan ini merupakan upacara yang diadakan setiap enam bulan sekali atau 210 hari sekali, dalam artian upacara untuk menyampaikan rasa terima kasih atau rasa syukur atas anugerah yang berlimpah dari Hyang Widhi Wasa. Penelitian ini bertujuan untuk mengetahui makna dan fungsi prosesi upacara Piodalan bagi umat Hindu di Pura Jala Siddhi Amerta. Penelitian ini menggunakan pendekatan kualitatif, yakni peneliti melakukan penelitian lapangan menggunakan metode pengumpulan data melalui observasi, wawancara secara langsung kepada narasumber dan dokumentasi. Dalam penelitian ini peneliti menganalisis data dengan menggunakan teori kebudayaan dan agama serta teori fungsi ritual menurut Victor Witer Turner, dimana dalam teori ini menjelaskan fungsi ritual dibagi menjadi empat fungsi sosial, menurutnya ritual tidak hanya sebagai kewajiban saja melainkan sebagai simbol dari apa yang sebenarnya terjadi dalam masyarakat. Hasil dari penelitian ini adalah bahwa prosesi pelaksanaan upacara Piodalan dilakukan dengan mempersiapkan perlengkapan atau alat-alat upacara, membersihkan Pura serta merangkai sesaji atau banten berupa korban, khususnya rangkaian korban (bunga, daun kelapa, biji beras, dan air suci). Barulah upacara Piodalan bisa dilaksanakan dengan berkumpulnya pengurus rumah tangga Jala Siddhi Amerta, warga kompleks TNI-AL dan para umat Hindu Sidoarjo maupun Surabaya berkumpul di Mandala Utama Pura dimulai dengan melakukan sembahyang Tri Sandya sampai rangkaian upacara berakhir. Makna yang terkandung dalam upacara Piodalan bagi umat Hindu di Pura Jala Siddhi Amerta adalah sebagai wujud rasa terima kasih atau Bhakti syukur umat kepada Hyang Widhi Wasa. Selain itu makna bagi generasi muda sebagai sarana untuk belajar berorganisasi di lingkungan masyarakat dan belajar merangkai banten sendiri. Sedangkan fungsi yang terkandung dalam upacara Piodalan bagi umat Hindu Jala Siddhi Amerta adalah untuk membebaskan diri seseorang dari ikatan dosa dan membebaskan diri dari ikatan karma

Outcome management of Fournier’s gangrene cases at tertiary hospital: 7 Years experience

Objective: This study aims to describe the condition of Fournier’s gangrene in Dr. Soetomo General Hospital from January 2014 to December 2020. Material and methods: This study used a retrospective analytic design, by taking data through medical records at Dr. Soetomo General Hospital from January 2014 to December 2020. This study used total sampling with recorded data: age, gender, length of stay, outcome, location, comorbidities, causes, management, culture results, and Fournier’s gangrene severity index (FGSI) score. Result: Of the 135 subjects collected, it was found that 55.56% were individuals over 50 years of age. About 91.11% were male patients, with some sites being in the scrotum 50.37%. Only 25.19% of patients had no comorbids, while the rest had a history of CKD, hypertension, diabetes, or a combination of these diseases. Bacterial cultures obtained were mostly caused by the Enterobacteriaceae bacteria group (32.59%). Of the subjects we studied who experienced mortality, it was found that all were from the group with FGSI >9. Conclusion: From the results of our descriptive study, at a glance, it appears that there is a tendency for the incidence of Fournier’s gangrene in the elderly and individuals with comorbidities. And the mortality rate increases with a high FGSI value. So that FGSI could be used as a predictor of mortality in patients with FG

Comparison of different scoring systems for predicting in-hospital mortality for patients with Fournier gangrene

Purpose: To compare different scoring systems for predicting in-hospital mortality in patients with Fournier gangrene (FG).Methods: A comprehensive literature search was performed to find all scoring systems that have been proposed previously as a predictor for in-hospital mortality in patients with FG. Data of all patients with FG who were hospitalized in one of Indonesia’s largest tertiary referral hospitals between 2012 and 2022 were used. The receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of the scoring systems.Results: Ten scoring systems were found, i.e., Fournier’s Gangrene Severity Index (FGSI), Uludag FGSI, simplified FGSI, NUMUNE Fournier score (NFS), Laboratory Risk Indicator for Necrotizing Fasciitis, age-adjusted Charlson comorbidity index, sequential organ failure assessment (SOFA), quick SOFA, acute physiology and chronic health evaluation II, and surgery APGAR score (SAS). Of 164 FG patients included in the analyses, 26.4% died during hospitalization. All scoring systems except SAS could predict in-hospital mortality of patients with FG. Three scoring systems had areas under the ROC curve (AUROC) higher than 0.8, i.e., FGSI (AUROC 0.905, 95% confidence interval (CI) 0.860–0.950), SOFA (AUROC 0.830, 95% CI 0.815–0.921), and NFS (AUROC 0.823, 95% CI 0.739–0.906). Both FGSI and SOFA had sensitivity and NPV of 1.0, whereas NFS had a sensitivity of 0.74 and an NPV of 0.91.Conclusion: This study shows that FGSI and SOFA are the most reliable scoring systems to predict in-hospital mortality in FG, as indicated by the high AUROC and perfect sensitivity and NPV.</p

Comparison of different scoring systems for predicting in-hospital mortality for patients with Fournier gangrene

Purpose: To compare different scoring systems for predicting in-hospital mortality in patients with Fournier gangrene (FG).Methods: A comprehensive literature search was performed to find all scoring systems that have been proposed previously as a predictor for in-hospital mortality in patients with FG. Data of all patients with FG who were hospitalized in one of Indonesia’s largest tertiary referral hospitals between 2012 and 2022 were used. The receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of the scoring systems.Results: Ten scoring systems were found, i.e., Fournier’s Gangrene Severity Index (FGSI), Uludag FGSI, simplified FGSI, NUMUNE Fournier score (NFS), Laboratory Risk Indicator for Necrotizing Fasciitis, age-adjusted Charlson comorbidity index, sequential organ failure assessment (SOFA), quick SOFA, acute physiology and chronic health evaluation II, and surgery APGAR score (SAS). Of 164 FG patients included in the analyses, 26.4% died during hospitalization. All scoring systems except SAS could predict in-hospital mortality of patients with FG. Three scoring systems had areas under the ROC curve (AUROC) higher than 0.8, i.e., FGSI (AUROC 0.905, 95% confidence interval (CI) 0.860–0.950), SOFA (AUROC 0.830, 95% CI 0.815–0.921), and NFS (AUROC 0.823, 95% CI 0.739–0.906). Both FGSI and SOFA had sensitivity and NPV of 1.0, whereas NFS had a sensitivity of 0.74 and an NPV of 0.91.Conclusion: This study shows that FGSI and SOFA are the most reliable scoring systems to predict in-hospital mortality in FG, as indicated by the high AUROC and perfect sensitivity and NPV.</p

Comparison of different scoring systems for predicting in-hospital mortality for patients with Fournier gangrene

Purpose: To compare different scoring systems for predicting in-hospital mortality in patients with Fournier gangrene (FG).Methods: A comprehensive literature search was performed to find all scoring systems that have been proposed previously as a predictor for in-hospital mortality in patients with FG. Data of all patients with FG who were hospitalized in one of Indonesia’s largest tertiary referral hospitals between 2012 and 2022 were used. The receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of the scoring systems.Results: Ten scoring systems were found, i.e., Fournier’s Gangrene Severity Index (FGSI), Uludag FGSI, simplified FGSI, NUMUNE Fournier score (NFS), Laboratory Risk Indicator for Necrotizing Fasciitis, age-adjusted Charlson comorbidity index, sequential organ failure assessment (SOFA), quick SOFA, acute physiology and chronic health evaluation II, and surgery APGAR score (SAS). Of 164 FG patients included in the analyses, 26.4% died during hospitalization. All scoring systems except SAS could predict in-hospital mortality of patients with FG. Three scoring systems had areas under the ROC curve (AUROC) higher than 0.8, i.e., FGSI (AUROC 0.905, 95% confidence interval (CI) 0.860–0.950), SOFA (AUROC 0.830, 95% CI 0.815–0.921), and NFS (AUROC 0.823, 95% CI 0.739–0.906). Both FGSI and SOFA had sensitivity and NPV of 1.0, whereas NFS had a sensitivity of 0.74 and an NPV of 0.91.Conclusion: This study shows that FGSI and SOFA are the most reliable scoring systems to predict in-hospital mortality in FG, as indicated by the high AUROC and perfect sensitivity and NPV.</p

Comparison of different scoring systems for predicting in-hospital mortality for patients with Fournier gangrene

Purpose: To compare different scoring systems for predicting in-hospital mortality in patients with Fournier gangrene (FG).Methods: A comprehensive literature search was performed to find all scoring systems that have been proposed previously as a predictor for in-hospital mortality in patients with FG. Data of all patients with FG who were hospitalized in one of Indonesia’s largest tertiary referral hospitals between 2012 and 2022 were used. The receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of the scoring systems.Results: Ten scoring systems were found, i.e., Fournier’s Gangrene Severity Index (FGSI), Uludag FGSI, simplified FGSI, NUMUNE Fournier score (NFS), Laboratory Risk Indicator for Necrotizing Fasciitis, age-adjusted Charlson comorbidity index, sequential organ failure assessment (SOFA), quick SOFA, acute physiology and chronic health evaluation II, and surgery APGAR score (SAS). Of 164 FG patients included in the analyses, 26.4% died during hospitalization. All scoring systems except SAS could predict in-hospital mortality of patients with FG. Three scoring systems had areas under the ROC curve (AUROC) higher than 0.8, i.e., FGSI (AUROC 0.905, 95% confidence interval (CI) 0.860–0.950), SOFA (AUROC 0.830, 95% CI 0.815–0.921), and NFS (AUROC 0.823, 95% CI 0.739–0.906). Both FGSI and SOFA had sensitivity and NPV of 1.0, whereas NFS had a sensitivity of 0.74 and an NPV of 0.91.Conclusion: This study shows that FGSI and SOFA are the most reliable scoring systems to predict in-hospital mortality in FG, as indicated by the high AUROC and perfect sensitivity and NPV.</p

Comparison of different scoring systems for predicting in-hospital mortality for patients with Fournier gangrene

Purpose: To compare different scoring systems for predicting in-hospital mortality in patients with Fournier gangrene (FG).Methods: A comprehensive literature search was performed to find all scoring systems that have been proposed previously as a predictor for in-hospital mortality in patients with FG. Data of all patients with FG who were hospitalized in one of Indonesia’s largest tertiary referral hospitals between 2012 and 2022 were used. The receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of the scoring systems.Results: Ten scoring systems were found, i.e., Fournier’s Gangrene Severity Index (FGSI), Uludag FGSI, simplified FGSI, NUMUNE Fournier score (NFS), Laboratory Risk Indicator for Necrotizing Fasciitis, age-adjusted Charlson comorbidity index, sequential organ failure assessment (SOFA), quick SOFA, acute physiology and chronic health evaluation II, and surgery APGAR score (SAS). Of 164 FG patients included in the analyses, 26.4% died during hospitalization. All scoring systems except SAS could predict in-hospital mortality of patients with FG. Three scoring systems had areas under the ROC curve (AUROC) higher than 0.8, i.e., FGSI (AUROC 0.905, 95% confidence interval (CI) 0.860–0.950), SOFA (AUROC 0.830, 95% CI 0.815–0.921), and NFS (AUROC 0.823, 95% CI 0.739–0.906). Both FGSI and SOFA had sensitivity and NPV of 1.0, whereas NFS had a sensitivity of 0.74 and an NPV of 0.91.Conclusion: This study shows that FGSI and SOFA are the most reliable scoring systems to predict in-hospital mortality in FG, as indicated by the high AUROC and perfect sensitivity and NPV.</p

Makna dan fungsi upacara Piodalan Umat Hindu di Pura Jala Siddhi Amerta Juanda Sidoarjo

Upacara Piodalan atau Odalan adalah sebuah ritual upacara keagamaan Hindu yang dikenal sebagai peringatan hari lahirnya atau hari ulang tahun sebuah Pura. Bagi umat Hindu Jala Siddhi Amerta Juanda Sidoarjo, upacara Piodalan ini merupakan upacara yang diadakan setiap enam bulan sekali atau 210 hari sekali, dalam artian upacara untuk menyampaikan rasa terima kasih atau rasa syukur atas anugerah yang berlimpah dari Hyang Widhi Wasa. Penelitian ini bertujuan untuk mengetahui makna dan fungsi prosesi upacara Piodalan bagi umat Hindu di Pura Jala Siddhi Amerta. Penelitian ini menggunakan pendekatan kualitatif, yakni peneliti melakukan penelitian lapangan menggunakan metode pengumpulan data melalui observasi, wawancara secara langsung kepada narasumber dan dokumentasi. Dalam penelitian ini peneliti menganalisis data dengan menggunakan teori kebudayaan dan agama serta teori fungsi ritual menurut Victor Witer Turner, dimana dalam teori ini menjelaskan fungsi ritual dibagi menjadi empat fungsi sosial, menurutnya ritual tidak hanya sebagai kewajiban saja melainkan sebagai simbol dari apa yang sebenarnya terjadi dalam masyarakat. Hasil dari penelitian ini adalah bahwa prosesi pelaksanaan upacara Piodalan dilakukan dengan mempersiapkan perlengkapan atau alat-alat upacara, membersihkan Pura serta merangkai sesaji atau banten berupa korban, khususnya rangkaian korban (bunga, daun kelapa, biji beras, dan air suci). Barulah upacara Piodalan bisa dilaksanakan dengan berkumpulnya pengurus rumah tangga Jala Siddhi Amerta, warga kompleks TNI-AL dan para umat Hindu Sidoarjo maupun Surabaya berkumpul di Mandala Utama Pura dimulai dengan melakukan sembahyang Tri Sandya sampai rangkaian upacara berakhir. Makna yang terkandung dalam upacara Piodalan bagi umat Hindu di Pura Jala Siddhi Amerta adalah sebagai wujud rasa terima kasih atau Bhakti syukur umat kepada Hyang Widhi Wasa. Selain itu makna bagi generasi muda sebagai sarana untuk belajar berorganisasi di lingkungan masyarakat dan belajar merangkai banten sendiri. Sedangkan fungsi yang terkandung dalam upacara Piodalan bagi umat Hindu Jala Siddhi Amerta adalah untuk membebaskan diri seseorang dari ikatan dosa dan membebaskan diri dari ikatan karma

Endoscopic combined intrarenal surgery for successful removal of an encrusted ureteral stent and multiple renal stones in solitary kidney:A case report

Introduction and importance: Several endoscopic procedures have been performed to clear stones in the kidney. A potential technique called endoscopic combined intrarenal surgery (ECIRS) is a practical option for treating complex kidney stones. Hereby, we report a neglected double j (DJ) stent and recurrent multiple kidney stones treated by ECIRS. Case presentation: A 56-year-old female complained of right flank pain one week ago, which worsened within one day before hospital admission. She underwent DJ stent insertion one year ago because of residual stones after right percutaneous nephrolitothomy (PCNL) but was lost to follow-up. There was a history of left nephrectomy, leaving the patient with only a right kidney. A x-ray kidney ureter bladder (KUB) evaluation showed multiple irregular radiopaque shadows. A computed tomography (CT) scan detected numerous stones in the right kidney. The patient underwent ECIRS to remove the DJ stent and clear multiple stones in the right kidney. Following the surgery, the patient was discharged from the hospital on the fourth postoperative day with no complications and residual stone. Clinical discussions: ECIRS is a technique that combines a simultaneous antero-retrograde approach to the kidney and aims to resolve nephrolithiasis in one step and with one access. The ECIRS procedure could be considered in cases of complex multiple stone nephrolithiasis. ECIRS could widen the operative vision, thus helping to clear difficult kidney stones. Conclusions: The ECIRS technique could provide successful and safe management of recurrent multiple kidney stones and encrusted, neglected DJ stents in a solitary kidney patient.</p

The relationship between income, health insurance, and employment status as prognostic indicators of bladder cancer: a survival analysis

Background: Bladder Cancer (BC) is one of the health problems. Socioeconomic status (SES) may correlate with patient treatment, possibly impacting patient prognosis. This study aimed to determine the relationship between income, health insurance, and employment status as prognostic indicators of BC. Methods: A retrospective observational study for patients diagnosed with BC in a hospital during the 5-year period between January 2019 and December 2023. Kaplan-Meier test analysis was used to generate overall survival curves stratified by income, employment status, and health insurance. Multivariate Cox proportional-hazards regression was used to identify factors associated with worse overall survival. Results: The results of the analysis on 219 patients showed no difference in patient survival based on income (p > 0.05), while employment status and health insurance showed significant difference in patient survival (p < 0.05). Moreover, there were 99 (45.2%) patients died, with the average patient being 58 years old and dominant in male patients. Conclusions: Prevention of poor outcomes in patients needs to pay attention to certain characteristics, particularly for the low-economic patients without appropriate national health insurance coverage