KNOWLEDGE AND ATTITUDES OF HEALTH WORKERS TOWARDS COVID-19 VACCINATION IN ACEH, INDONESIA

Introduction: Herd immunity through vaccination is one of the major strategies for overcoming the COVID-19 pandemic, but there are still doubts about vaccines among health workers. Aims: This study aims to assess the relationship between knowledge of the COVID-19 vaccine and the attitudes of health workers. Methods: This is a cross-sectional study, which involves the distribution of a validated online questionnaire through Google Forms to health workers at Zainoel Abidin General Hospital Banda Aceh. The data consist of general characteristics, 13 questions regarding knowledge, and nine inquiries related to attitudes. Results: There were 301 respondents, of which 87.4% were females and 48.8% were nurses. Only 27.9% of the health workers have a history of COVID-19 courses, 67.8% have good knowledge about the vaccine, and 70.8% with a positive attitude. There was a significant relationship between the knowledge of the vaccine and health workers' attitudes. Furthermore, gender, age, education level, and training history did not affect the knowledge of vaccination, while profession was the main influential factor. Conclusion: This study shows that there is a relationship between knowledge of the COVID-19 vaccine and health workers' attitudes. However, stakeholders must always focus on strategies that can increase understanding and practice of disease prevention Keywords: attitude, COVID-19 vaccine, knowledge, health worker

Klasifikasi Citra Digital Sayuran Leunca Berdasarkan Nilai HSV dan K-Nearest Neighbor

Di Indonesia, tiap tahunnya leunca mengalami peningkatan produksi, akan tetapi kualitas leunca yang dihasilkan belumlah merata. Salah satunya dikarenakan leunca merupakan buah yang non-climacteric, yaitu sayuran yang tidak akan matang setelah dipetik, Mendeteksi dan mengidentifikasi tingkat kematangan sayuran leunca pada umumnya dilakukan dengan pengecekan fisik (bentuk dan warna). Artinya, pendeteksian masih dilakukan secara manual oleh manusia. Tentunya hal tersebut menjadi suatu kelemahan, karena identifikasi secara manual sangat dipengaruhi oleh subjektivitas manusia yang memetik buah tersebut, sehingga proses pengidentifikasian masih tergolong tidak konsisten. Karena itulah, dibutuhkan adanya suatu sistem yang dapat menganalisis citra leunca dan mengidentifikasi tingkat kematangan sayur tersebut secara otomatis dengan cepat juga akurat

Dapur dan alat-alat memasak tradisional daerah Jambi

Setiap suku bangsa memiliki nilai-nilai budaya yang khas, yang membedakan jati diri mereka daripada suku bangsa lain. Perbedaan ini akan nyata dalam gagasangagasan dan hasil-hasil karya yang akhirnya dituangkan lewat interaksi antarindividu, antarkelompok, dengan a1am raya di sekitarnya. Berangkat dari kondisi di atas Proyek Penelitian, Pengkajian, dan Pembinaan Nilai-Nilai Budaya menggali nilai-nilai budaya dari setiap suku bangsa/daerah. Penggalian ini mencakup aspek aspek kebudayaan daerah dengan tujuan memperkuat penghayatan dan pengamalan Pancasila guna tercapainya ketahanan nasional di bidang sosial budaya. Untuk melestarikan nilai-nilai budaya dilakukan penerbitan hasil-hasil penelitian yang kemudian disebarluaskan kepada masyarakat umum. Pencetakan naskah yang berjudul Dapur danAlat-Alat Memasak Tradisional Daerah Jambi, adalah usaha untuk mencapai tujuan yang dimaksud

Nasopharyngeal carcinoma (NPC) with liver metastasis in pregnancy

Introduction: Cancer in pregnancies is the second most common cause of death after trauma in woman of reproductive age and confounds about 0.1 to 0.2% of pregnancies1,2) and rarely nasopharyngeal carcinoma being the aetiology. Objective: This report describes a pregnant woman in which an advanced-stage NPC was diagnosed and managed accordingly with a review of some related literature reviews. Case report: 29 year old Chinese lady was diagnosed with nasopharyngeal carcinoma (NPC) during her third trimester with very short history. She initially presented to us at 34 weeks of pregnancy with a painless right neck swelling and a chronic non-productive cough for one month duration. She was initially thought to have tuberculous lymphadenitis. A routine rigid endoscopic nasopharyngoscope examination revealed a right Fossa of Rosenmuller (FOR) mass. Biopsy of the nasal mass and fine needle aspiration cytology (FNAC) of the neck swelling further confirmed nasopharyngeal carcinoma- non keratinizing type. After discussion with her obstetrician and the patient, she underwent an elective induction of labor at 36 weeks of gestation, and delivered a healthy 2.77 kg baby boy. Computer tomography (CT) neck, thorax and abdomen were performed 2 weeks postpartum. The imaging showed fullness of the right FOR with metastases to right level 2 cervical lymph node along with metastatic deposits in 2 segments of the liver. She was then referred to oncology unit for further management. Conclusion: In conclusion, high index of suspicion is important in detection of NPC even in pregnant ladies with suspicious neck swelling. Method of detecting NPC early in pregnancy is essential in order to give optimize treatment, achieve potential for full recovery and also reduced the adverse risk and complications associated with NPC

Penelitian dan pengkajian naskah kuno daerah jambi i

Buku ini berisi tentang Penelitian dan pengkajian naskah kuno daerah jambi yang meliputi transliterasi, penerjemahan dan analisa isi

Manifestasi klinis, pemeriksaan penunjang, diagnosis dan tatalaksana abses paru pada anak

Abses paru merupakan rongga berdinding tebal yang mengandung bahan purulen akibat supurasi dan nekrosis pada parenkim paru yang terlibat. Berdasarkan faktor predsposisi, maka abses paru pada anak dapat dibagi menjadi abses paru primer dan sekunder. Penyebab utama terjadinya abses paru primer adalah Streptococcus pneumoniae atau Staphylococcus aureus. Abses sekunder diperberat oleh penyakit paru, misalnya bronkhiektasis, fibrosis kistik, infark paru. Diagnsosis abses paru pada anak ditegakkan berdasarkan gambaran klinis dan pemeriksaan penunjang. Dicurigai abses paru apabila terdapat keluhan demam dan batuk, dan adanya tanda-tanda konsolidasi paru. Pemeriksaan penunjang diperlukan untuk memperkuat diagnosis abses paru meliputi rontgen dada, ultrasonografi, dan computed tomography (CT Scan). Tatalaksana abses paru meliputi tatalaksana umum dan khusus. Tatalaksana umum meliputi pemberian makanan dan cairan yang cukup dan oksigen. Pemberian oksigen dilakukan jika ada gejala sesak nafas. Selanjutnya, tatalaksana khusus meliputi pemberikan antibiotika, drainase dan tindakan operatif (lobektomi). Antibiotik secara inta vena yang tepat direkomendasikan sebagai terapi awal untuk abses paru. Jika tidak ada perbaikan klinis dan radiologis yang bermakna, maka dipertimbangkan dilakukan drainase. Seterusnya, jika dengan drainase juga tidak ada perbaikan, maka langkah terakhir adalak dilakukan lobektomi

Kajian dan analisa undang undang piagam dan kisah negeri jambi

Naskah Undang-undang Piagam dan Kisah Negeri Jambi yang menjadi sumber penelitian dan kajian ini, adalah suatu naskah yang ditulis oleh Oemar Ngebi Sutho Dilago Periai Rajo Saro. Naskah ini berisi tentang adat-istiadat Jambi, undang-undang Negeri Jambi, berikut memuat segala peraturan yang sedang berlaku pada waktu itu. Di samping itu memuat pula sanksi hukum, baik menurut hukum adat maupun hukum Islam

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London