Detection of Helicobacter Pylori CagA Gene and Its Association with Endoscopic Appearance in Balinese Dyspepsia Patients

Background: Helicobacter pylori (H. pylori) infection causes various abnormalities in the stomach. Only particular strain can cause severe problems in the stomach. CagA is a microbial virulent factor which is associated with more severe stomach problems, such as: peptic ulcer and stomach cancer. We would like to know the prevalence of CagA in Balinese population, and the association of H. Pylori CagA status with the severity of endoscopic appearance in dyspepsia patients.Method: Study design being used was analytic cross sectional study, involving 71 dyspepsia patients who underwent upper gastrointestinal endoscopic examination in Surya Husada Hospital and Balimed Hospital in June-December 2013. Sample was chosen in consecutive manner. Later, polymerase chain reaction (PCR) examinations of the stomach mucous biopsy tissue to determine H. pylori infection status and CagA status were performed. Further, Chi square test was used to identify the difference in proportion of H. pylori and CagA between mild and severe endoscopic appearance.Results: In this study, we found that the prevalence of H. pylori infection was 22.5% using PCR examination. Prevalence of CagA positive in H. pylori positive was 62.5%. There was significant association between status of H. Pylori infection and severity of endoscopic appearance (p = 0.038; OR= 2.67; 95% CI = 1.18-6.05). Status of CagA in H. pylori infected patients was not associated with the severity of endoscopic appearance. Additionally, there was significant association between patients' age and severity of endoscopic appearance.Conclusion: The prevalence of CagA in H. pylori positive was 62.5%. H. pylori infection was associated with severity of endoscopic appearance and CagA status in H. pylori infected patients was not associated with severity of endoscopic appearance

Pengaruh Keadilan Organisasional terhadap Komitmen Organisasional dan Turnover Intention Karyawan pada PT. Bank Rakyat Indonesia

Turnover Intention can cause losses for companies due to recruitment and selection costs arising from turnover intention, one factor that can reduce turnover intention is organizational justice and organizational commitment. This research was conducted on employees of PT. Bank Rakyat Indonesia Branch of Denpasar Gajah Mada. The purpose of this study is to determine the effect of organizational justice on organizational commitment and turnover intention of non-permanent employees at PT. Bank Rakyat Indonesia Branch of Denpasar Gajah Mada. Samples taken as many as 93 respondents. The method of determining the sample in this study was conducted with nonprobability sampling approach that is purposive sampling. The data were collected by distributing questionnaires using a 5-point likert scale to measure 18 statement items. The analysis technique used is Path Analysis. The result of the analysis shows that organizational justice has positive and significant effect on organizational commitment, organizational justice has negative and significant effect on turnover intention, organizational commitment has a negative and significant effect on turnover intention at PT. Bank Rakyat Indonesia Branch of Denpasar Gajah Mada. Keywords: organizational justice, organizational commitment, turnover intention           &nbsp

Role of Exclusive Breastfeeding and S-iga Antibodies Antirotavirus Breast Milk Towards Risk of Acute Rotavirus Diarrhea in Infants Age of 1-6 Months: Do They Corelate to Breastfeeding "Daily Dose" and Antibody Titers?

Exclusive breastfeeding reduces the incidence of diarrhea, especially in children who live in densely populated neighborhood. This study aims to determine the relationship between exclusive breastfeeding and breast milk contains antirotavirus s-IgA antibodies towards risk of acute rotavirus diarrhea in infants aged of 1-6 months. Case-control study design is applied to determine the relationship between exclusive breastfeeding and breast milk contains s-IgA antibodies antirotavirus with risk of acute rotavirus diarrhea. Cases in this study were patients with acute rotavirus diarrhea and controls were patients without acute rotavirus diarrhea. Cases and controls were matched based on age. There were 23 cases and 69 controls. The proportion who received exclusive breastfeeding was 34.8% in cases and 34.4% in controls, with OR of 1.21 (95% CI: 0.45 to 3.28) and p = 0.28. Breast milk contains sIgA antibodies antirotavirus for case was 17.39% and controls was 23.2%, OR was 1.12 (95% CI: 0.29 to 4.29), p = 0.203. In conclusion, exclusive breastfeeding and breast milk contains sIgA antibodies antirotavirus were not associated with risk of acute rotavirus diarrhea in infants 1-6 months. This may be caused by differences in population and demographic studies as well as low of milk sIgA antibody antirotavirus titters. Further research of breastfeeding regardless of antirotavirus containing high antibody titters sIgA is needed

Acute Pancreatitis as a Complication of Choledochal Cyst

Choledochal cysts (CCs) are rare congenital disorders of the biliary tree which are associated with biliary tract and pancreatic complications. Its etiology is still unknown, but some evidences suggest that CCs are caused by infection during embryogenesis. The laboratory evaluation reveals abnormalities due to pancreatobiliary complications, such as ascending cholangitis, cholecystitis, and pancreatitis. Radiologic examination may delineate the structural abnormalities occured in CCs and confirm the diagnosis. The major mortality is caused by cholangiocarcinoma. This case discussed the diagnosis and treatment of a 20-year-old male with choledochal cyst and its complications. Management consists of therapy on complication and definitive therapy

Pengaruh Kompensasi dan Lingkungan Kerja terhadap Kinerja Karyawan

Human resources is a potential asset that must be owned by the company. Human resources are supported with good performance will bring improvements for the company so that progress towards the company's goals can be achieved. The aim in this study to determine; effect of compensation and work environment on employee performance and partial simultaneously and which variables greater influence on employee performance . PT.Delina Denpasar was the location in this study with all employees , amounting to 87 people as respondents. The analytical tool used in this study is the multiple linear regression method. Based on the results obtained in this study, variable compensation and working conditions simultaneously and partially positive significant effect on employee performance and compensation variables have a greater influence on employee performance

The Influence of the Use of Used Syringe Needles, Permanent Tattoos, and Sharing Razors Toward Hepatitis B Virus Infection in Dili City, Timor-Leste

The use of used syringe needles, permanent tattoos, and sharing razors has a risk of being exposed to infectious diseases, including hepatitis B disease. People in Dili city, Timor-Leste, are still practicing those habits. Therefore, research was conducted to find out the influence of the use of used syringe needles, permanent tattoos, and sharing razors toward the case of hepatitis B infection in Dili city, Timor-Leste. The research was conducted using a descriptive correlative method. The statistical analysis used the binary logistic regression on a significance level of 5%. The research sample was taken by using a multistage random sampling method which gave 116 persons as the total sample. The result showed that simultaneously, there was a significant influence (p<0.05) between the use of used syringe needles, permanent tattoos, and sharing razors toward hepatitis B virus infection with a score of the influence of 22.0%

High Incidence of Hepatitis B Virus Infection in Hemodialysis Patients at Sanglah General Hospital and IT\u27s Risk Factors

Background: Patients receiving maintenance hemodialysis (HD) are at higher risk for Hepatitis B Virus (HBV) infections than in general population. Strict infection control is essential to prevent nosocomial transmission. We aimed to investigate the incidence of HBV infection in the HD population in Sanglah General Hospital as well as risk factors acquired HBV infection.Method: All adult patients receiving maintenance HD (n=267) in 3 dialysis units at Sanglah Hospital were studied between March to June 2016. In this study, medical record of patients on maintenance hemodialysis were reviewed and the patients were interviewed by the researchers to collect data regarding the serology status of these patients before and during HD, and potential risk factors which could be associated with HBV acquisition.Results: Participant mean age was 54.07 ± 0.80 years and 154 (57.7%) were male.We found 21 patients (7.8%) were sero-positive for HBV (HBsAg positive) with mean titer was 9.26±1.85. Of the sero-positive patients,1 patient (4.8%) were known to be infected before the initiation of HD and 20 patients (95.2%) were infected during HD. Incidence of HBV infection during HD was 7.5% (20/266). Sero-positive patients were younger with mean age was 51.81±2.76 years, had longer time on dialysis and had previous blood transfusions. Risk factors, which significant associated with hepatitis B infection were history of transfusion (p<0.01; OR: 2.49; 95%CI: 1.29-8.18) and duration of hemodialysis (p < 0.01; OR: 1.07; 95% CI: 1.03-3.74).Conclusion: Patients on maintenance HD in Sanglah General Hospital have a high incidence of HBV infection. The factors associated with HBV infection are highly suggestive of nosocomial transmission within HD units. History of transfusion and duration of hemodialysis were significant risk factors for HBV infection in patients receiving maintenance HD