http://localhost:8080/xmlui/handle/123456789/8639 2026-04-09T02:20:50Z http://localhost:8080/xmlui/handle/123456789/12300 Title: Correlation Between ERCP Implementation Time and Outcomes of Patients with Acute Cholangitis Due to Choledocholithiasis Authors: Ayundra, Muhammad Hilmy; Rudiman, Reno; Hapsari, Putie Abstract: Acute cholangitis is a serious condition, and timely ERCP is essential for effective management. This prospective cohort study was conducted at Dr. Hasan Sadikin Hospital in Bandung, Indonesia, from June 2023 to April 2024, to evaluate the feasibility of performing ERCP beyond 48 hours in the presence of various limitations. The study included patients with acute cholangitis caused by common bile duct stones. The ERCP timing was categorized into three groups: less than 48 hours, 48-72 hours, and more than 72 hours. Outcomes measured were hospital stay duration, ICU admission, and 30-day mortality. Of these patients, 52.8% underwent ERCP at 48-72 hours, 27.8% after 72 hours, and 19.4% before 48 hours. The median hospital stay was 7.5 days (IQR 3-15). ICU admissions occurred only in patients receiving ERCP after 72 hours (30.0%), a significantly higher rate compared to the other groups (p=0.014). A strong correlation was found between delayed ERCP and longer hospital stays (r=0.711, p<0.01), as well as ICU adm 2025-06-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12299 Title: Factors Associated with Soil-Transmitted Helminths Infections in Children Aged 24–59 Months in Bandung District, Indonesia Authors: Athar Zaidan Hafidz, 1 ,2; Adrizain, Riyadi; Setiabudi, Djatnika Abstract: Soil-transmitted helminth (STH) infections remain a major public health concern in developing countries, particularly among lower- to middle-income populations with poor sanitation, limited access to healthcare, and inadequate clean water. Preschool-aged children are especially vulnerable due to their developing immune systems and increased nutritional needs. This study aimed to identify factors associated with STH infections among children aged 24–59 months in Bandung District, Indonesia. A case-control design was employed using secondary data from helminthiasis surveillance conducted between October 2019 and January 2023, involving a total of 261 children. The Kato-Katz technique was used to examine stool samples for the detection of STH species. Among them, 30 (11.5%) were infected with soil-transmitted helminths (STH), comprising ascariasis (11.1%), trichuriasis (0.4%), and hookworm infection (0.4%). Bivariate chi-square analysis revealed significant associations with fathers’ education level (p=0.0003), BPJS-Healthcare participation (p=0.015), water source (p=0.015), distance from the water source to the latrine (p=0.003), and nail hygiene (p=0.018). Multivariate logistic regression confirmed that distance between water source and pit latrine (OR= 0.265; 95% CI: 0.76– 0.92), nail hygiene (OR = 0.318; 95% CI: 0.13–0.76), and participation in BPJS-healthcare program (OR=0.364; 95% CI: 0.15–0.91) were key determinants of STH infection. These findings highlight the importance of addressing environmental and behavioral factors through public health interventions, including improving access to clean water, promoting personal hygiene, and enha 2025-06-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12298 Title: Correlation of Nutritional Status, HbA1c, and Duration of Diabetes Mellitus with Amputation Incidence in Patients with Diabetic Foot Ulcers Authors: Hapsari, Putie; Kharisma, Surti Wulan; Yarman, Indra Prasetya; Faried, Ahmad; Djajakusumah, Teguh Marfen; Maryan, Euis Abstract: Diabetic foot ulcer (DFU) is a severe complication of diabetes that significantly impairs quality of life and may often lead to amputation, particularly when infections become extensive. This study investigated the correlation of nutritional status, HbA1c levels, and duration of diabetes exposure with the incidence of amputation in DFU patients. Using an observational analytic study with a retrospective cohort design, data from 47 DFU patients treated at the Vascular and Endovascular Surgery clinic and Emergency Room of a hospital from 2019-2024 were analyzed. The majority of subjects were men aged 40-60 years (59.57%). Among the amputee group, 55.31% experienced neuropathy, primarily classified as Wagner’s degree 4. Patients requiring amputation had significantly higher levels of urea, creatinine, and leukocytes compared to those who did not. A significant correlation was observed between the incidence of amputation and nutritional status—specifically, serum albumin (r = -0.616) and Body Mass Index (BMI) (r = 0.823)—as well as HbA1c levels (r=0.806) and duration of diabetes exposure (r=0.445) (p<0.05). However, the Subjective Global Assessment (SGA) did not show a significant relationship with amputation incidence. The findings of this study suggest that nutritional status, HbA1c levels, and duration of diabetes expo 2025-06-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12297 Title: Comparison of ABO Blood Group Antibody Titers in Elderly and Young Adult Patients Authors: Dianawati, Dina Asri; Lismayanti, Leni; Wasilah, Fajar Abstract: Immunosenescence in the elderly decreases their antibodies, which may lead to weaker degree of agglutination formation that potentially causes ABO discrepancies. This may lead to misinterpretation of blood group in this group. This study aimed to determine whether there are differences in antibody titer levels and degree of agglutination formed when examining ABO blood groups in the elderly as compared to young adults. This was a cross-sectional study employing analytical observational methods. Data were collected prospectively from the Blood Services Unit of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, between May 2022 and July 2022. The subjects included were 42 elderly participants and 42 young adults, grouped accordingly. The ABO blood typing was performed using the slide method, while anti-A and anti-B titers were measured by serial two-fold dilution using the tube method. A significant difference in ABO blood group antibody titer levels was observed between elderly and young adult groups (median: 6 vs 64, p<0.001). Antibody titers were lower in the elderly across blood groups A (median: 8 vs 64, p<0.001), B (median: 8 vs 64, p<0.001), and O (median: 4 vs 64, p<0.001). The degree of agglutination was lower in the elderly (2+) compared to young adults (4+). On average, antibody titers in elderly individuals were approximately tenfold lower than those in young adults across all three blood groups. T 2025-06-01T00:00:00Z