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Analysis of Climate and Environmental Risk Factors on Dengue Hemorrhagic Fever Incidence in Bogor District

Thu, 31 Aug 2023 00:00:00 GMT

Title: Analysis of Climate and Environmental Risk Factors on Dengue Hemorrhagic Fever Incidence in Bogor District Authors: Arminsih Wulandari, Ririn; Rahmawati, Tria; Asyary, Al; Nugraha, Fajar Abstract: Abstract Dengue Hemorrhagic Fever (DHF) is transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes and remains an endemic in Bogor District. This quantitative correlation study with an ecological approach aimed to analyze how DHF incidence was influenced by climate factors, population density, Larvae Free Rate, and the area altitude factor. Secondary data were obtained from the Bogor District Health Office, Bogor District Central Bureau of Statistics, and the Meteorology, Climatology, and Geophysics Agency. The spatial analysis method was used for the area altitude factor. The results showed a significant relationship between climate factors, such as air humidity at a Time Lag of 0 months (r = 0.394) and the altitude factor (r = -0.350), and DHF incidence in the Bogor District from 2017 to 2022. Spatial data showed that DHF incidence tends to be higher in districts with lower altitudes. Therefore, the Bogor District Health Office and the community can enhance efforts to prevent and control DHF, especially during seasonal transitions and in areas with lower altitudes. Cross-sector collaboration with the Meteorology, Climatology, and Geophysics Agency is also necessary to remain vigilant during climate fluctuations. Keywords: altitude area, climate, dengue hemorrhagic fever, Larvae Free Rate, population density

Maternal Factors Influencing Postpartum Depression in Indonesia

Thu, 31 Aug 2023 00:00:00 GMT

Title: Maternal Factors Influencing Postpartum Depression in Indonesia Authors: Sari, Nurhalina; M Dewi, Friska N; Muhani, Nova Abstract: Abstract The estimated prevalence of postpartum depression differs in developed and developing countries. Due to the increasing number of cases in developing countries like Indonesia, postpartum depression has become a serious issue. This study aimed to identify factors influencing postpartum depression in Bandar Lampung City, Indonesia, in 2023 using the Edinburgh Postnatal Depression Scale instrument. This study employed a cross-sectional design with a sample size of 251 respondents, selected based on inclusion and exclusion criteria using a purposive sampling technique. The multiple logistic regression results indicated that women with abortion records had a three times higher risk (95% CI = 1.394–7.648; p-value = 0.013) of experiencing postpartum depression after controlling for other variables (record of depression, employment status, education, and family support). Postpartum women should be followed by midwives and given regular assistance from their loved ones, such as their spouse or family, to prevent depression. These experts can monitor the mother’s well-being and share information on maternal and infant health. Keywords: depression, Edinburgh Postnatal Depression Scale, postpartum

Risk Factors of Worsening of Systemic Lupus Erythematosus in Patients at Two Tertiary Hospitals in Jakarta

Thu, 31 Aug 2023 00:00:00 GMT

Title: Risk Factors of Worsening of Systemic Lupus Erythematosus in Patients at Two Tertiary Hospitals in Jakarta Authors: Aji, Giri; Djuwita, Ratna; Korib Sudaryo, Mondastri; Sukamto, Sukamto Abstract: Abstract Systemic Lupus Erythematosus (SLE) is a prototypical multiorgan autoimmune disease with a fluctuating and chronic disease course. As an emerging disease in this century, SLE will burden stakeholders and the country. This study was conducted to determine the prognostic factors for SLE worsening, especially in ambulatory patients. This ambispective study used logistic regression to view the risk factors for worsening SLE in patients. Anemia, age, body mass index, education level, employment status, marital status, hydroxychloroquine, and immunosuppressants were the independent variables in this study. This study concludes that anemia is statistically significant and, therefore, a risk factor for worsening SLE in patients (RR = 5.31; p-value<0.005), while age, body mass index, education level, employment status, marital status, hydroxychloroquine, and immunosuppressants are not statistically significant. Keywords: anemia, risk factor for flare, systemic lupus erythematosus

Effects of Early Hospital-Based Palliative Care Consultation on Length of Stay and Costs of Care at Indonesian Tertiary Hospital

Thu, 31 Aug 2023 00:00:00 GMT

Title: Effects of Early Hospital-Based Palliative Care Consultation on Length of Stay and Costs of Care at Indonesian Tertiary Hospital Authors: Putranto, Rudi; Shatri, Hamzah; Rajabto, Wulyo; Sumariyono, Sumariyono; Faisal, Edward; Sihwastuti, Sihwastuti Abstract: Abstract Despite the numerous benefits of palliative care for cancer patients, there have been few studies on palliative care services for terminal cancer patients, particularly near the end of life. This study aimed to evaluate whether there were differences in length of stay and cost of care associated with how early or late a patient received palliative care intervention. Another objective was to compare the length of stay and cost of care of those who received palliative care intervention and those who did not. This study used a cohort retrospective design at Hospital A, Jakarta, Indonesia, from January to December 2019. The diagnosis of terminal cancer was based on medical records. Data on length of stay and costs of care were based on medical records and finance billing. The hospitalized terminal cancer patients (392) were recruited by consecutive sampling. The length of stay and costs of care for patients with advanced cancer who received palliative care consultations were longer and higher than for patients who did not receive them. However, if palliative care consultation is provided early, the increase in length of stay and costs are less. Keywords: costs of care, early consultation, hospital-based palliative care, length of stay