Current medical education curriculum refers to the Indonesian Medical Doctor’s Standard of Competence 2012. Competencies are detailed in seven general areas of competence to be achieved by medical students. This study focused on the development of learning media in the form of guide book and video related to the basic obstetric ultrasound examination and its influence in improving student’s knowledge of basic obstetric examination skills. A quantitative method used to see the effectiveness of the learning media that we developed. Twenty-one under graduate medical students who undertook clinical rotation in the Department of Obstetrics and Gynecology participated in this study through completing the pre-post student’s questionnaires to assess the students' knowledge before and after the delivery of learning media. The collected data were analyzed with a computer program; Means and Standard Deviation were calculated as descriptive parameters. Parametric tests were used to test the hypotheses. The pre-post results were compared using the Wilcoxon statistical test. The results showed a significant difference in the score of pretest and posttest. There was an increase in the average score of pretest and posttest for students after obtaining the teaching media and clinical supervision. The value of each individual was also increased. The analysis with the Wilcoxon statistical test showed significant differences which mean that there were improvements on student’s knowledge of basic obstetric examination skills after the delivery of guide book and video. The use of teaching media in the form of basic obstetric ultrasound module and video contributed to positive results to improve the student’s knowledge.
Objective Calcitonin receptor-like receptor (CRLR) regulates vasoconstriction and dilatation; the expression increases during hypoxia via activation of hypoxia response element (HRE) in CRLR gene promoter region. Variant in HRE, as well short tandem repeat (STR) variants near HRE in CRLR alters the gene expression. This study focused on a case–control study to investigate the expression of genetic typing CLRL promoter variant in pregnant women with severe preeclampsia and normal pregnancies, we also tried to describe interesting findings of the genetic expression in anemic patients in the severe preeclampsia group. Our aimed to observe the correlation of CRLR gene promoter variant and anemia in severe preeclampsia. Results There was no nucleotide variant in HRE; CACA box prior to HRE varied in length (15–24); CACA box with length > 20 was used as cut off point. Hb was lower in CACA box length ≥ 21 (10.33 ± 1.57) vs. < 21 (11.01 ± 1.67; p = 0.391). CACA box polymorphism and anemia were correlated in severe preeclampsia (p = 0.005) OR 0.038 (CI 0.003–0.544); not in normal (p = 0.069).
The hyper-endemicity of dengue in Indonesia poses a significant threat of dengue virus (DENV) vertical transmission during pregnancy. A 29-year-old female at 38 weeks of pregnancy presented to hospital with acute fever and later confirmed with DENV infection. Due to signs of fetal distress, the neonate was delivered by emergency caesarean section. The mother developed a dengue critical phase post-caesarean with excessive bleeding and required blood transfusion. During the 6th day of life, the neonate was diagnosed and later confirmed with dengue. Next-generation sequencing of DENV RNA isolated directly from sera of both mother and neonate revealed identical DENV-2 whole-genome sequences. Plaque reduction neutralization test (PRNT) detected anti-dengue antibodies in both mother and neonate. Altogether, our data confirmed the occurrence of vertical transmission. Dengue vertical transmission during pregnancy may lead to severe manifestation, hence early diagnosis, close monitoring, and prompt intervention are critical.
Background: Currently Tuberculosis still being a significant threat to human health, tuberculosis has killed around 1.5 million people worldwide. This disease is also the highest cause of death and morbidity in developing countries, such as Indonesia. Documentation is comprehensive information about the patient's health status and the needs. If the nursing care documentation is not done properly, completely and accurately it can reduce the quality of nursing services because it cannot identify the extent of the success rate of nursing care that has been given. Objectives: The study aims to determine the overview of the nursing care intervention in tuberculosis patients using the Indonesian Nursing Care Standard in Bandung Public Health Center. Method: This research is a quantitative descriptive study using a cross sectional design. The research was done in June 2019, with the subjects of research use 119 medical records at the health center in Bandung City determined by purposive sampling technique. The instrument used was the Medical Record of tuberculosis patients. Results: From all the 18-nursing care planned by nurses; all nursing care were only included in the 7 nursing interventions contained in the Indonesian Nursing Care Standards (SIKI). book. The seven nursing care standard including compliance support of treatment programs, infection prevention education, Hyperthermia management, effective cough exercises, airway management, nutritional management and relaxation therapies. Suggestion: Nurse is expected to use the latest nursing care in accordance with the use of SIKI.
AbstrakDiet maternal diduga berperan dalam etiologi preeclampsia termasuk salahsatunya asam lemak tidak jenuh rantai panjang. Asam lemak tersebut dapat berupaomega-3 dan omega-6 yang dikonversikan menjadi AA dan DHA di dalam tubuhmanusia. AA (Asam Arakhidonat) dan DHA (Docosahexaenoic Acid) merupakankomponen penting dari fosfolipid membrane yang berperan dalam meregulasi fungsimembrane sel dan dapat mencegah preeclampsia dengan memodulasi inflamasi danfungsi vaskular yaitu mengurangi kadar tromboksan (TAX2) dan meningkatkanprostasiklin (PGI2) pada tubuh maternal.
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