Ludwig’s angina is a high severity infection because of the risk of airway obstruction due to the rapid spread of the abscess into the deeper spaces. Therefore, performing the correct treatment is one of the keys to a successful result. A 44-year-old male patient came to the Emergency Unit of Hasan Sadikin Hospital, complaining of shortness of breath, severe pain, and progressive swelling. Extraoral examination showed a localized-fluctuated swelling located at the right lower jaw that extended to the chin, left lower jaw, and the frontal region of the neck region while a sequential organ failure assessment revealed a score of 2. A diagnosis of Ludwig’s angina and septic shock was confirmed. Intravenous infusion of norepinephrine was administered and a tracheostomy was performed. The next treatment phase consisted of a drainage procedure, tooth extraction, and placement of the Penrose drain. The patient was discharged 10 days later with a satisfactory outcome.
Gestational Diabetes Mellitus is a disorder of carbohydrate tolerance that results in increased blood sugar levels and was first recognised during the second and third trimesters of pregnancy. It is a health problem that has a direct impact on the health of the mother and fetus. The purpose of this study was to analyse the effect of jackfruit (Artocarpus heterophyllus Lam.) Seed Ethanol Extract on reducing Blood Sugar Levels and Inflammation in Wistar Albino Rats with Gestational Diabetes Mellitus induced by Streptozotocin. This study used a laboratory experimental research design with a post-test only control group design on Wistar Albino Rats with Gestational Diabetes Mellitus. The sample was obtained by the simple random sampling method. The results showed that the lowest spectrophotometer KGD level was in group C given Streptozotocin 45mg/kg BW + Metformin 45mg/kg BW with a p value of 0.003, which means there was a significant difference between groups and the lowest Interleukin-6 level. In group C, they were given Streptozotocin 45mg/kg BW + Metformin 45mg/kg BW with a p value of 0.511, meaning there was no significant difference between groups. Jackfruit seed ethanol extract functions as a lowering of blood sugar levels and an anti-inflammatory.
Injectable contraception is a way to prevent pregnancy by means of hormonal injections, this type of hormonal contraceptive injection in Indonesia is increasingly being used, the more it is used because of its effective work, practical use, relatively cheap and safe price. This study aims to determine the relationship between the use of 3-month injectable family planning and weight gain in women of childbearing age at the Maga Health Center, Mandailing Natal Regency in 2022.This type of research is an analytical survey with a cross sectional approach. The population is all pregnant women who are at the Maga Health Center, Mandailing Natal Regency in 2022, totaling 36 pregnant women. The number of samples used is 52 people obtained by using purposive sampling technique. Data analysis technique using chi square.The results obtained in this study were from 52 respondents, there was a relationship between the knowledge variable and weight gain with a p value = 0.001, there was a relationship between the variable length of use and weight gain with a p value = 0.002, there was a relationship between the age variable and weight gain body with a value of p = 0.002, there is a relationship between the education variable and weight gain with a p value = 0.003 and there is a relationship between the work variable and weight gain with a p value = 0.001. there is a relationship between the knowledge variable and weight gain, there is a relationship between the variable duration of use and weight gain, there is a relationship between the age variable and weight gain, there is a relationship between the education variable and weight gain and there is a relationship between the work variable and the increase weight. It is suggested to the puskesmas to increase the knowledge of mothers to increase counseling related to the use of injectable contraception.
Infants aged 0-28 days is a critical period for the baby's life, 2/3 of infant deaths occur within 4 weeks after delivery and 60% of newborn deaths occur within 7 days after birth. Good monitoring and care for both mother and baby during the puerperium can prevent some of these deaths. If the experience of breastfeeding mothers is well managed, then mothers can breastfeed more successfully, if they have more contact with their babies. Breastfeeding stimulates the production of prolactin so that it will increase the volume and stimulate the milk ejection reflex. The closest contact occurs when the mother uses the kangaroo (skin to skin) method. As we know, kangaroos put their young in a pouch that is in direct contact with the mother's body, after research it turned out that this method was able to suppress infant mortality. Kangaroo care tries to provide closeness between the mother and the newborn. Put the baby in direct skin-to-skin contact. This ensures physiological and psychological warmth and bonding between mother and baby. This kangaroo technique was first introduced by Neosedgar Rey and Hector Martine in Bogota in 1978. Subsequent research conducted by Larimer on the kangaroo technique showed advantages for infants and parents, babies do not experience apnea and bradycardia, regulate body temperature, increase body weight and are effective for breast-feed. This general problem is also faced in Sukarame Baru Village, Kec. Kualuh Hulu Kab. Labuhan Batu Utara Medan who interviewed 2 employees of RB Khadijah said that they had never done the kangaroo method because they were lazy and did not know the procedure for doing the kangaroo method, the mother's enthusiasm for increasing breast milk adequacy was quite high but the scheduled program was not optimal. The purpose of this service program (PKM) is to improve the quality of breast milk adequacy for breastfeeding mothers by using the kangaroo method. The results of the community service program activities that have been carried out show that the results of the study show that the effectiveness of the kangaroo method on the adequacy of breast milk in term infants and an independent t-test was performed. It was found that the average frequency of urination in the intervention group after the kangaroo method was 5 times. per day with a standard deviation of 1.36 while in the control group the average BAK frequency was 4 times per day with an SD of 1.41. The results of the statistical test showed that the P value was 0.023, so it can be concluded that there is a significant difference in the average frequency of urination by the kangaroo method in the intervention group and the control group. The average frequency of defecation after being carried out in the intervention group after the kangaroo method was 4 times per day with an SD of 1.49, while in the control group the average frequency of defecation was 3 times per day with an SD of 1.57. The results of the statistical test showed that the P value was 0.040, so it can be concluded that there is a significant difference in the average frequency of defecation after the kangaroo method was used in the intervention group and the control group. Infants aged 0-28 days is a critical period for the baby's life, 2/3 of infant deaths occur within 4 weeks after delivery and 60% of newborn deaths occur within 7 days after birth. Good monitoring and care for both mother and baby during the puerperium can prevent some of these deaths. If the experience of breastfeeding mothers is well managed, then mothers can breastfeed more successfully, if they have more contact with their babies. Breastfeeding stimulates the production of prolactin so that it will increase the volume and stimulate the milk ejection reflex. The closest contact occurs when the mother uses the kangaroo (skin to skin) method. As we know, kangaroos put their young in a pouch that is in direct contact with the mother's body, after research it turned out that this method was able to suppress infant mortality. Kangaroo care tries to provide closeness between the mother and the newborn. Put the baby in direct skin-to-skin contact. This ensures physiological and psychological warmth and bonding between mother and baby. This kangaroo technique was first introduced by Neosedgar Rey and Hector Martine in Bogota in 1978. Subsequent research conducted by Larimer on the kangaroo technique showed advantages for infants and parents, babies do not experience apnea and bradycardia, regulate body temperature, increase body weight and are effective for breast-feed. This general problem is also faced in Sukarame Baru Village, Kec. Kualuh Hulu Kab. Labuhan Batu Utara Medan who interviewed 2 employees of RB Khadijah said that they had never done the kangaroo method because they were lazy and did not know the procedure for doing the kangaroo method, the mother's enthusiasm for increasing breast milk adequacy was quite high but the scheduled program was not optimal. The purpose of this service program (PKM) is to improve the quality of breast milk adequacy for breastfeeding mothers by using the kangaroo method. The results of the community service program activities that have been carried out show that the results of the study show that the effectiveness of the kangaroo method on the adequacy of breast milk in term infants and an independent t-test was performed. It was found that the average frequency of urination in the intervention group after the kangaroo method was 5 times. per day with a standard deviation of 1.36 while in the control group the average BAK frequency was 4 times per day with an SD of 1.41. The results of the statistical test showed that the P value was 0.023, so it can be concluded that there is a significant difference in the average frequency of urination by the kangaroo method in the intervention group and the control group. The average frequency of defecation after being carried out in the intervention group after the kangaroo method was 4 times per day with an SD of 1.49, while in the control group the average frequency of defecation was 3 times per day with an SD of 1.57. The results of the statistical test showed that the P value was 0.040, so it can be concluded that there is a significant difference in the average frequency of defecation after the kangaroo method was used in the intervention group and the control group.
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