Risk Factor of Measles in Children Age 1-14 Years in Metro Pusat District Lampung Province 2013-2014

Background: Measles is a an acute disease caused by paramyxovirus. In Lampung province incidence rate (IR) of measles is 5,89 per 100,000 population and in Metro Pusat it still high (38,8%). Aim of this research is to know the risk factor of measles in children age 1-14 years in Metro Pusat District 2013-2014. Method: This research use cases control design, sample in this research was 102, consisting of 34 cases and 68 control. The sample collecting by taking all the clinical case, while control by neighborhood. Data collecting by questionnaire and observation home environment. Data were analyzed using univariat, bivariat, and multivariate analysis. Result: The results of research that measles associated with maternal occupation (OR 3.2; CI 95% 1,355-7,798), immunization status (OR 3,0; CI 95% 1,242-7,646), history of contact (OR 3.7; CI 95% 1,199-11,545), family income (OR 3,0; CI 95% 1,242-7,464), and density of occupancy (OR 3.3; CI 95% 1,348-8,277). Next the results of multivariate analysis that risk factor of measles is maternal occupation,giving breastfeeding, history of contact, family income, and the density of occupancy. Conclusion: Measles determinants is the history of contact. The advice can be given that this research should be done monitoring and activities counseling , information and education about measles, exclusive breastfeeding and providing vitamin A, then training cadres can move liveliness mother in posyandu activities, and Counseling to mother about treatment of child with measles

Environmental Health Risk Analysis Exposure to Nitrogen Dioxide (No2) and Sulfur Dioxide (So2) on Street Vendor in Ampera Terminal Palembang 2015

Background: Terminal is a location that generates air pollution as a result of transport activity performed. The use of motorized transport will produce a wide range of gases including NO2 and SO2. At certain concentrations of NO2 and SO2 can have an effect on health disorders for example respiratory problems, throat irritation and eye irritation.Methods: This study was a descriptive study of environmental health risk analysis method. Eighty four traders were sampled in this study. Simple random sampling was used as sampling technique. The variable used is the concentration of NO2, SO2 concentration, Inhalation Rate (R), exposure time, frequency of exposure, duration of exposure, weight, time period average-average, RFC, risk level. Univariate data analysis techniques. And then the data is presented in tabular form and narrative to interpret the data. Result: The street vendors in Terminal Palembang Ampera has a weight of less than 65.57 kg by 54.8%, exposure time ≤8 hours/day by 54.8%, the frequency of exposure ≤362 days/year amounted to 98.8 %, duration of exposure ≤10 years of 57.1%, intake NO2 ≤0.00132 mg/kg/day by 50%, SO2 intake 0.00677 mg/kg/day by 50%, NO2 RQ>1 at 0%, SO2 RQ>1 amounted to 11.9%, SO2 RQ>1 male sex-men by 80%, and SO2 RQ>1 is derived from the four measurement points by 40%. Conclution: This research concluded that exposure to Nitrogen Dioxide (NO2) to street vendors at Terminal Ampera Palembang does not pose a risk, whereas exposure to Sulfur Dioxide (SO2) provides risk to 10 street vendors in Terminal Ampera Palembang

Analysis of Information System L Routine Imunization Coverage at Puskesmas Dempo Palembang

Background: Government establish an indicator of Healthy Indonesia 2010 is the Universal Child Imunizations coverage or UCI. To determine the effectiveness of the achievement of these indicators, we need information Fast, accurate, and relevant and valid and reliable. But in fact, good information is difficult to produce. The application of online information systems in health centers have been implemented in several centers in the city of Palembang, including the Public Health Centre (PHC) Dempo. But its implementation was not optimal. The purpose of this research is to know in depth description and constraints of information systems Routine immunization coverage in the PHC Dempo Palembang Year 2010. Method: This study was a qualitative study using in-depth interviews, document review system and conducting literature study, FGD and observation. The informants in this study consisting of the leader of PHC, immunization coordinators, immunization data processing personnel and health data processing personnel. Instruments used were pieces of the observation and interview guidelines. Result: The result stated that the obstacles encured is the lack of imunization officers of health. Online-based information system is actually implemented in the PHC Dempo's just in poor condition so it can not be used for a while. Then there are the constraints on data collection routine immunization coverage in the region ie New Kepandean. Conclusion: As for suggestions on routine immunization coverage of information systems, among others: repaired online support equipment that is damaged, adding that human resources officer of immunization, the inclusion of immunization data processing personnel in ICS training, and availability of manuals or National Health Information System given to PHC Dempo as a reference in implementing health information systems

Single Port Versus Multiport Robot-assisted Simple Prostatectomy: A Multi-institutional Study From the Single-port Advanced Research Consortium (SPARC)

OBJECTIVE: To compare robot-assisted simple prostatectomy intraoperative and postoperative outcomes between single-port (SP) and multiport (MP) robotic systems in a multi-institutional setting. METHODS: We analyzed all-consecutive robot-assisted simple prostatectomy cases done in 5 centers from January 2017 to October 2022. Data were analyzed with descriptive statistics and compared with appropriate tests depending on the type of variable and distribution. Statistical significance was considered when P \u3c.05. RESULTS: A total of 405 cases were analyzed: 249 and 156 were MP and SP, respectively. Operative times were similar between groups (P = .62). Estimated blood loss during surgery was significantly lower with the SP robot (P \u3c.001). Postoperatively, the SP approach required a significantly shorter hospital stay, less use of opioids, and a shorter duration of Foley catheter (P \u3c.001). There was no significant difference between the post-operative Clavien-Dindo ≥3 complication rate (P = .30). The 30-day readmission rate of MP (10.8%) was significantly higher than for SP (0%) (P \u3c.001). De novo urge incontinence was more common in the MP group (P = .02). CONCLUSION: The SP robotic approach to simple prostatectomy is advantageous when it comes to postoperative comfort for patients. Specifically, it requires a shorter hospital stay, less use of opioids, and a shorter Foley catheter duration