Wahidin Sudirohusodo Makassar Research Articles

Technique imagination guided to decline painful response on patient fracture at dr. central general hospital Wahidin Sudirohusodo Makassar

Painful can caused from the triggering factors from something stress response, where response This will influence all body systems . Patient And member team health tend For looking drug as the only one method For remove painful. However Lots action nursing non pharmacological can help in remove painful like technique imagination guided by those who have very risky low For shorten the duration of the pain episode only a number of second or minute . Objective study This is For know influence technique imagination guided to decline response painful on patient fracture. Design research used in study This is is Pre-experiment One Group Pre test posttest Design. Taking sample study This use total sampling technique with amount sample as many as 15 respondents . Respondent selected previous done pretest Then done action technique imagination guided Then done posttest for evaluate decline response pain, then the data was analyzed with Wilcoxon test in SPSS version 12.00. Based on results test statistics obtained that There is difference decline response painful between before done action and after done action technique imagination guided, where obtained level meaning that is between p = 0.002 (p<0.005). Conclusion study This is There is influence giving technique imagination guided to decline response painful on patient fracture . Suggestions for power health at home sick to get it teach technique imagination guided with Correct to use lower response the pain experienced beside action pharmacological.

The relationship between energy intake and infections in critical patients in intensive care unit (ICU) receiving medical nutrition therapy at Wahidin Sudirohusodo Hospital.

Introduction : Nutrition is vital in caring for critically ill patients, with malnutrition closely linked to poor prognosis in ICU treatment. Objectives This study aims to establish the correlation between energy intake and infection occurrence among critically ill ICU patients undergoing medical nutrition therapy at Central General Hospital (RSUP) Dr. Wahidin Sudirohusodo. Methods : This is a retrospective cohort study on critically ill ICU patients at RSUP Dr. Wahidin Sudirohusodo Makassar, conducted from September to November 2023. The sample comprises all critical patients treated in the ICU from January 2020 to December 2022 who meet the inclusion criteria. Analysis employs One Way Anova Test and T-Test for normally distributed data, or Kruskall Wallis and Mann Whitney tests otherwise. Results : Based on the research findings, a significant correlation was found between the use of enteral and parenteral nutrition methods and the KJS or Non KJS group (p < 0.000). Specifically, enteral nutrition methods showed a significant relationship with the KJS or Non KJS group (p < 0.000), while parenteral nutrition methods also displayed a significant association (p < 0.007). Adequate energy intake is crucial for the recovery of ICU patients at RSUP dr. Wahidin Sudirohusodo, with medical nutritional therapy, including enteral or parenteral nutrition, playing a supportive role in ensuring patients receive sufficient nutrition. Conclusions : Despite similar nutritional intake, KJS patients exhibited superior bodily response, indicating the crucial role of nutritional synergy in enhancing therapy efficacy and patient outcomes.

Prosedur Pemeriksaan Dacryocystografi Pada Kasus Dacryosistitis Kronis Di Instalasi Radiologi RSUP. Dr.Wahidin Sudirohusodo Makassar

Dacryocystography examination is the examination of the radiologist to show the nasolacrimal duct by using a positive contrast medium. The purpose of this examination is to describe the system of tear duct blockage and the level of blockage. This research method is descriptive with aproachcase study conducted in RSUP. Dr. WahidinSudirohusodo Makassar on Juni 2019. The inspection technique is done by using the projection Antero Posterior (AP), which contrast material is inserted throught the tear duct in the lacrimal punctum which empties into the concha nasalis inferior. From the result of the examination has been done, it can be concluded that the contrast as much as 1 cc inserted throught the superior lacrimal punctum, contrast restrained and spilled out. Contrast as much as 1 cc inserted throught the inferior lacrimal punctum, the contrast seems to fill out the inferior palpebra area. From the research, lacrimal duct obstruction impression superior and inferior.

Neutrophil-to-Lymphocyte Ratio as a Risk Factor for Mortality and Length of Stay in Neonatal Sepsis

The neutrophil-to-lymphocyte ratio (NLR) is inexpensive and included as part of complete blood counts studied in various clinical conditions and sepsis. Alterations in NLR have been associated with disease severity and outcomes. The study aimed to determine whether NRL can be a prognostic marker for mortality/length of stay in neonatal sepsis. This retrospective cohort study examined the relationship between high NLR and mortality/length of stay in neonatal sepsis in neonates treated at RSUP Dr Wahidin Sudirohusodo Makassar from January 2018 to December 2020. Data from 138 neonates with complete medical records were analyzed. The NLR value increased more with mortality outcomes and length of stay less than seven days. No significant association was found between NLR and patient outcomes or length of stay. The study has found no association between NLR and outcomes or length of hospital stay in neonatal sepsis.

Relationship between TLR-2 level and clinical or radiological severity on patients with tuberculosis spondylitis in Dr. Wahidin Sudirohusodo hospital Makassar.

Spinal tuberculosis or TB spondylitis is one of the most common types of extra pulmonary tuberculosis, which is about 15% of all cases. It causes severe morbidity, neurological deficits, and severe deformities in the patients. The growth of Mycobacterium tuberculosis in culture specimens obtained from infected tissue is the single gold standard diagnostic test for spinal TB. Toll-like receptor (TLR) is one of the important receptors in the first-line defence system against microbes. TLR-2 and TLR-4 are known to be associated with tuberculosis infection. Based on this background, the researchers were interested in examining the relationship between TLR-2 levels and the clinical and radiological severity of TB spondylitis patients. A cross-sectional study was conducted with patients diagnosed with tuberculosis spondylitis at Dr Wahidin Sudirohusodo Makassar. Patients diagnosed with TB spondylitis confirmed by blood tests, GeneExpert, and magnetic resonance imaging without prior treatment were included. Data analysis were conducted by using descriptive analysis and one-way ANOVA for bivariate analysis. The mean value of TLR2 levels in TB spondylitis patients was 9.1 g/dL. TLR2 levels in paraesthesia were significantly higher than normal (P < .05). Similar trend were analyzed on the motor neurologic status with TLR2 levels in paraparesis were significantly higher than those in normal (P < .05). There is a significant relationship between the TLR2 levels in TB spondylitis and their impaired motor and sensory function. Spinal destruction has been shown to provide significant relationship with TLR2 value in spondylitis TB.

EFFECTIVENESS OF LEVEL 1 PROGRESSIVE MOBILIZATION ON DECREASED INTRACRANIAL ADAPTIVE CAPACITY IN HEMORRHAGIC STROKE CASES

The prevalence of stroke diagnosed by doctors in Indonesia in 2018 was aged ≥ 15 years (10.9%) or an estimated 2,120,362 people. South Sulawesi has the highest prevalence of stroke based on diagnosis and symptoms reported by health workers. Hemorrhagic stroke is a stroke caused by rupture of a blood vessel in the brain, which results in downstream ischemia and hypoxia. One of the interventions that can be done to overcome the decrease in intracranial adaptive capacity is to perform stage progressive mobilization. The purpose of the case study was to carry out nursing care in hemorrhagic stroke patients with reduced intracranial adaptive capacity using level 1 progressive mobilization interventions in the ICU RSUP. Dr. Wahidin Sudirohusodo Makassar. The method used is a case study with data collection techniques through observation, interviews, physical examination and documentation. The results showed that level 1 progressive mobilization once a day for 3 days before and after the intervention found that level 1 progressive mobilization could be used to stabilize blood pressure, level of consciousness and oxygen saturation. The conclusion based on the results show that the implementation of level 1 progressive mobilization showed that on the first day to the third day of implementation there was an increasing in hemodynamic state, in this case the blood pressure improved, oxygen saturation increased and the level of consciousness increased. This indicates that level 1 progressive mobilization is effective in patients who have problems with decreased intracranial adaptive capacity&#x0D;

Analisis Pengelolaan Persediaan Dan Perputaran Piutang Terhadap Tingkat Profitabilitas Koperasi Pada KPN Nur Afiah Unit Usaha Toko RSUP Wahidin Sudirohusodo Makassar Periode (2020-2022)

The aim of this research is to determine the relationship between Inventory Turnover and Receivables Turnover on Cooperative Profitability Levels. The research method used in this research is the comparative analysis method. The sample used in this research used a purposive sampling method, namely financial reports in the form of balance sheets and profits/losses of KPN Nur Afiah RSUP Wahidin Sudirohusodo Makassar for the period 2020-2022. Net Profit Margin (NPM) is an analysis in this research to show that Inventory Turnover and Receivables Turnover on Profitability Levels have a very big influence. Furthermore, Inventory Turnover describes how much current assets turn into cash, likewise, Receivables Turnover describes how much current assets turn into cash. Meanwhile, profitability describes how big a cooperative or company's ability is to generate profits.

Perbandingan Efektivitas antara Ivabradin 5 mg dengan Bisoprolol 5 mg dalam Menjaga Kestabilan Hemodinamik pada Tindakan Laringoskopi Intubasi

Background: Laryngoscopy intubation can cause complications in the form of increased blood pressure and heart rate. This can be detrimental to patients with cardiovascular complications, increased intracranial pressure, and vascular anomalies. Various procedures are performed to stabilize hemodynamic fluctuations during laryngoscopy intubation, one of which is the administration of beta-blocking agents (Bisoprolol). In some studies, the administration of Bisoprolol can cause side effects such as hypotension and bradycardia. One drug considered to maintain hemodynamic stability in laryngoscopy intubation with minimal effects is the administration of Ivabradine, which works by regulating diastolic depolarization.&#x0D; Objective: To compare the effectiveness of Ivabradine 5 mg and Bisoprolol 5 mg in maintaining hemodynamic stability in laryngoscopy intubation.&#x0D; Methods: This double-blind randomized clinical trial was conducted at RSUP Dr. Wahidin Sudirohusodo Makassar in July-August 2022 with ethical qualifications from the Ethics Committee for Biomedical Research in Humans from the Faculty of Medicine, Hasanuddin University. The sample was the entire population that met the inclusion and exclusion criteria. The data were processed using SPSS 25. The analysis used paired T-test, Mann-Whitney, and Wilcoxon with a 95% confidence level (p&lt;0.005).&#x0D; Result: There was a significant decrease in the mean arterial pressure and decrease in heart rate after induction (T2-T0) in the Bisoprolol group (p&lt;0.05). The mean arterial pressure at T1-T0, T3-T0, T3-T2 did not statistically significant.&#x0D; Conclusion: Ivabradine 5 mg was more effective than Bisoprolol 5 mg in maintaining the stability of mean arterial pressure and heart rate in laryngoscopy intubation.

The Effect of Seven Developmental Care Models on Mothers' Stress and Premature Infants' Length of Hospitalization

The Neonatal Integrative Developmental Care Model (NIDCM) is a holistic model of premature infant care that refers to the seven neuroprotective developmental care cores involving the family. This study aimed to assess the effect of the application of NIDCM on mothers’ stress response and length of stay in the neonatal care unit. This study used quasi-experimental with nonequivalent control group pre and posttest design. This study was carried out in the neonatal care unit at RSUP Dr. Wahidin Sudirohusodo Makassar from January 2020 to April 2021. The samples were 76 subjects consisting of 38 premature infants (19 controls, 19 interventions) and 38 mothers (19 controls, 19 interventions) ethical clearance by the Health Research Ethics Committee of the Faculty of Medicine, Universitas Hasanuddin No. 938/UN4.6.4.5.51/PP36/2009. The results show 1) NIDCM is proven to be able to reduce maternal stress more compared to routine Developmental Care (DC); 2) NIDCM is proven to shorten the length of stay compared to routine DC in infants with a gestational age of ≥33 weeks with BW ≥1800 grams (Median : 1900 grams), while in infants with a gestational age of &lt;33 weeks and BW &lt;1800 grams (Median : 1650 grams), NIDCM and routine DC are not proven to shorten the length of stay. It can be concluded that applying NIDCM reduces the stressors felt by mothers while their infants are in the neonatal room. In addition, the condition of infants with birth weights less than 1800 grams needs special attention with NIDCM intervention.

The Role of Organizational Culture, Work Environment and Motivation in Improving Employee Performance

This research was conducted to analyze the influence of organizational culture, work environment and motivation on the performance of the employees of RSUP Dr. Wahidin Sudirohusodo Makassar and To analyze the most dominant variables influencing the performance of RSUP employees. Dr. Wahidin Sudirohusodo Makassar. The first hypothesis of this research is that organizational culture, work environment and motivation have a significant effect on the performance of RSUP employees. Dr. Wahidin Sudirohusodo Makassar. Researchers used a quantitative approach designed to determine whether organizational culture, work environment and motivation as independent variables affect employee performance. The research emphasizes on measuring variables with numbers and analyzing data with statistical procedures using multiple linear regression analysis with the help of SPSS 16.0 program. The type of data in this study is the type of subject data obtained in the form of opinions, attitudes, experiences and characteristics of the respondents who are the research subjects. To obtain the expected research results the authors use data collection methods in the form of observation, interviews, questionnaires and documentation. The results of the study are organizational culture, work environment and motivation have a positive and significant influence on employee performance. When the application of organizational culture, work environment and motivation improves, employee performance will increase and to achieve this, a better socialization/understanding of the values in the organizational culture is carried out. When the work environment is getting better and more conducive, the performance of RSUP employees will also increase. Dr. Wahidin Sudirohusodo Makassar. This situation indicates that the work environment is an important factor in improving employee performance.

Platelet count and breast cancer stage.

The relationship between increased platelet count and cancer classification stage has long been established. The prevalence of thrombocytosis varies from 10% to 57% in cancer patients. The pathogenesis of thrombocytosis in malignancy is uncertain. However, there is evidence that tumor cells secrete humoral factors that can cause thrombocytosis. Preoperative thrombocytosis is a poor prognostic variable in malignancies. This study investigated the correlation between platelet count and breast cancer stage. This cross-sectional study was conducted from February 2020 to January 2021. Patient data were collected from medical records. The study population comprised breast cancer patients at Dr. Wahidin Sudirohusodo Makassar. The staging examinations were based on the tumor, node, metastasis (TNM) classification according to the American Joint Committee on Cancer (AJCC) 8th Edition. The study group comprised 171 breast cancer patients of varying ages. Metastasis was present in five (2.92%) patients and absent in 166 (97.8%) patients. Analyses found no statistically significant differences between the three staging groups based on the platelet count (p =0.952). There was no statistically significant relationship between increased platelet count and staging according to the TNM classification in breast cancer patients.

Prosedur Pemeriksaan Dacryocystografi Pada Kasus Dacryosistitis Kronis Di Instalasi Radiologi RSUP. Dr.Wahidin Sudirohusodo Makassar

Dacryocystography examination is the examination of the radiologist to show the nasolacrimal duct by using a positive contrast medium. The purpose of this examination is to describe the system of tear duct blockage and the level of blockage. This research method is descriptive with aproachcase study conducted in RSUP. Dr. WahidinSudirohusodo Makassar on Juni 2019. The inspection technique is done by using the projection Antero Posterior (AP), which contrast material is inserted throught the tear duct in the lacrimal punctum which empties into the concha nasalis inferior. From the result of the examination has been done, it can be concluded that the contrast as much as 1 cc inserted throught the superior lacrimal punctum, contrast restrained and spilled out. Contrast as much as 1 cc inserted throught the inferior lacrimal punctum, the contrast seems to fill out the inferior palpebra area. From the research, lacrimal duct obstruction impression superior and inferior.

Correlation between Chest Radiograph and Lung Ultrasound with Clinical Appearance in Hyaline Membrane Disease Patients

ABSTRACT Background: Hyaline membrane disease (HMD) is a respiratory distress disease in premature infants due to surfactant deficiency. The combination of clinical, laboratory and radiological features makes it easy to quickly, precisely &amp; accurately establish HMD which is important for early therapy in preventing death. Purpose: Knowing the suitability between chest X-ray &amp; Thorax ultrasound with the clinical picture in HMD patients. Methods: This study is an observational study with a cross sectional method conducted in the radiology &amp; NICU section of Dr. Wahidin Sudirohusodo Makassar from August 2021 to January 2022. Sampling was done by consecutive sampling. The researcher performed a thorax ultrasound &amp; assessed the chest x-ray. The results were verified by two pediatric radiology consultants. Results: The largest sample was in neonates at 34 weeks of gestation, 8 samples (21.1%), sex with 25 samples (65.8%), the highest birth weight between 1000-2000 grams 32 samples (84.2%) , the most preterm etiology was due to severe preeclampsia in 13 samples (34.2%), the most deliveries were by cesarean section 34 samples (89.4%), the highest APGAR Score was in moderate degree 25 samples (65.8%), the highest O2 saturation was between 90 -94%, namely 24 samples (63.2%), the most down scores were moderate degrees 15 samples (39.5%), HMD degrees based on chest radiographs were mostly grade II 25 samples (65.8%), HMD degrees based on thorax ultrasound the most in the moderate degree 19 samples (50%).Conclusion: Ultrasound is considered as the radiological modality of choice because it is safe, inexpensive, easy &amp; sensitive to assess respiratory distress in neonates but is influenced by the operator's ability to apply it.Keywords: hyaline membrane disease, down score, chest radiograph, lung ultrasound

The Relationship Between Clinical Risk Factors and Patient’s Survival Rate in Non-Small Cell Lung Carcinoma Cases: A Cross-Sectional Study

Background: Non-small cell carcinoma (NSCLC) is the most common type of lung cancer. Risk factors for lung cancer include smoking, genetic factors, chronic lung disease, lung infections, radon exposure, air pollution, exposure to carcinogenic substances in the workplace and other risk factors. The significance of each of these risk factors differs by sex, race and region in a given country. Purpose: The study was conducted to assess the analysis of risk factors, treatment response and survival of NSCLC patients. Methods: Cross sectional and survival analysis, patients undergoing diagnostic and treatment at Dr. Wahidin Sudirohusodo Makassar period January 2017-December 2019. Anamnesis of risk factors and survival by telephone and patient medical record data. Results: There are 100 patients who fulfill the inclusion criteria; Subject characteristics were mostly male (64%), age &gt;45 years (84%), Bugis ethnicity (50%), farmer occupation (27%), active smokers (60%), consume filter cigarettes (75%), and has severe brinkman index (BI) (51.6%). About 40% of the subjects were non-smokers, 50% of whom were passive smokers. Severe IB and high-risk occupations by type of KPKBSK were significant (p = 0.02 and p = 0.01). Age &lt;45 years, median survival was better than age 45 years (8 months versus 4 months), p = 0.002. Subjects receiving EGFR-TKI had a better median survival of 7 months, platinum doublet 6 months, did not receive treatment for 2 months, p = &lt;0.05. Conclusion: Brinkman Index (BI) and high-risk occupation based on NSCLC type are significant. Age &lt; 45 years had a good median survival. Subjects who received TKI had a better median survival. Keywords: Non-small cell lung carcinoma, clinical risk factors, survival rate.

ANALISIS PELUANG PENERAPAN APLIKASI SISTEM PELAPORAN KEGIATAN PEMELIHARAAN PERALATAN MEDIS BERBASIS ANDROID MELALUI PENDEKATAN TEORI SWOT DI RSUP dr WAHIDIN SUDIROHUSODO MAKASSAR

ABSTRACT&#x0D; The hospital is one of the institutions that has an important role in providing health services to the community. Availability of medical equipment that is complete and in good condition is one of the supports for the realization of improving the quality of electromedical services, especially in the supervision and maintenance of medical facilities that are more efficient and effective at Dr. Wahidin Sudirohusodo Hospital Makassar.The purpose of this study was to determine the readiness at RSUP dr Wahidin Sudirohusodo Makassar in the plan to implement an android-based medical equipment maintenance activity reporting system.This research is a qualitative research that aims to obtain a complete picture of a matter according to the view of the human being studied. This research was carried out at Dr Wahidin Sudirohusodo Hospital Makassar in July-August 2021. By involving 5 respondents who met the requirements in this study, namely the Director of Planning, Organization and General Affairs, Head of Facility Maintenance Agency, Head of Sub-Installation of Medical Equipment Maintenance, and Electromedical technical staff. Dr. Wahidin Sudirohusodo Hospital, Makassar. Data collection was done by open interview and observation. The entire interview process was recorded using audio recordings. Data is presented in narrative form.The results showed that based on the analysis with the SWOT theory approach, it was found that the chances of implementing an Android-based medical equipment maintenance reporting system application plan could be implemented well if the strengths and opportunities were combined into a good form of planning to be implemented in the process. The conclusion in this study is that dr Wahidin Sudirohusodo Hospital Makassar is ready to plan the implementation of an android-based medical equipment maintenance activity reporting system.It is hoped that all relevant parties will always try to minimize bad possibilities in the application of the android-based medical equipment maintenance activity reporting system.&#x0D; Keywords: Android Application, Facility Maintenance, SWOT Theory

Correlation between the Degree of Glycocalyx Damage and the Incidence of Acute Kidney Injury in Sepsis Patients in the Intensive Care Unit: A Review of Syndecan-1 and sICAM-1

Abstracts&#x0D; Objective: This study aims to know the correlation between the degree of glycocalyx damage and the incidence of Acute Renal Injury (AKI) in sepsis patients in the intensive care unit. In this study, a review of Syndecan-1 and sICAM-1 marker represented the severity of glycocalyx damage. Furthermore, the researchers wanted to see whether this marker in the serum of septic patients could predict the occurrence of AKI in the future of septic patients in the ICU.&#x0D; Design: This study is a prospective cohort nested-case control study, a case-control study conducted in a cohort population.&#x0D; Setting: This research has been carried out in the ICU, both RSPTN UNHAS and Dr. Wahidin Sudirohusodo Makassar. Syndecan-1 and sICAM-1 examination was carried out in the Hasanuddin University Hospital laboratory.&#x0D; Patients and participants: The sample was taken from septic patients treated in the ICU of RSPTN UNHAS and Dr. Wahidin Sudirohusodo Makassar admitted in January 2021. The sample selection was carried out consecutively, namely the selection of respondents based on the arrival of patients treated in the ICU until fulfilled.&#x0D; Measurement and Results: Data analysis in this study used the Mann-Whitney and Unpaired T-test. There was a significant difference in serum syndecan-1 levels between the two groups on day 0 and day 3 of ICU admission and changes from day 0 to day three. However, there was no significant relationship between sICAM-1 level in the two groups on day 0 and day 3 of ICU admission likewise its changes. Changes in syndecan-1 levels between the two groups were significantly different through the unpaired T-test.&#x0D; Conclusions: In this study, syndecan-1 levels can be used to predict the occurrence of AKI in the future for septic patients, while sICAM-1 is not statistically significant in predicting the occurrence of AKI among septic patients. Syndecan-1 is vital in the glycocalyx damage and helps predict clinical outcomes in patients with AKI.&#x0D;

What Did the Neonatal Integrative Developmental Care Model and Routine Developmental Care Affect on Stress of Premature Babies?

BACKGROUND: Neonatal integrative developmental care model (NIDCM) is a holistic model of premature baby care referring to seven basic neuroprotective developmental cares (DCs) by involving the family. AIM: This study aimed to assess the effect of the application of NIDCM on the stress response of premature babies. METHODS: The research design used was quasi-experimental with a non-equivalent control group pre- and post-test. The study was conducted in the neonatal care room of Dr. Wahidin Sudirohusodo Makassar Hospital from January 2020 to April 2021. The sample was 76 subjects consisting of 38 premature babies (19 controls and 19 interventions) and 38 mothers (19 controls and 19 interventions). The collected samples were taken to the Medical Research Laboratory of Universitas Hasanuddin (HUMRC) for testing. Furthermore, baby stress was assessed from salivary cortisol levels by enzyme linked immunosorbent assay. In addition, the effect of initial cortisol, final cortisol, and birth weight on changes in salivary cortisol in premature babies was determined using the Chi-square test. RESULTS: Neither NIDCM intervention nor routine DC has been shown to descriptive statistically decrease the stress response of premature babies in the neonatal care room, some of which are even increased. However, specifically in premature babies with a birth weight of &lt;1800 g, NIDCM showed a better effect in lowering cortisol after treatment than regular DC. CONCLUSIONS: The application of NIDCM intervention reduces the stressor felt by the babies in the neonatal care room, besides the condition of babies with a birth weight of fewer than 1800 g needs special attention with the NIDCM intervention.

Incidence of Klebsiella pneumoniae producing Metallo Beta-Lactamase (MBL) at RSUP Dr. Wahidin Sudirohusodo Makassar

Bacterial resistance to antibiotic is one of the factors triggering infection therapy failure. This study was conducted to determine the prevalence of carbapenem-resistance Klebsiella pneumoniae infection and the phenotype of carbapenem-resistant Metallo-Beta-Lactamase (MBL)-producing Klebsiella pneumoniae isolates at RSUP Dr. Wahidin Sudirohusodo Makassar. This study included Klebsiella pneumoniae identification on each infectious patient’s isolates. The sensitivity test of antibiotics, phenotype confirmatory test, and MBL phenotypic test were conducted using agar diffusion Kirby-Bauer, Vitek-2-Compact, and Double Disc Synergy Test (DDST) method, respectively. As the result, the antibiotic sensitivity test using the Vitek-2-Compact method on 50 clinical samples (pus, sputum, blood. tissue, urine, brain fluid, and feces) found that 10 isolates (20%) were resistant to carbapenem. The phenotypic test using the Double Disc Synergy Test (DDST) method found that carbapenem-resistant isolates caused by the production of Metallo Beta Lactamase (MBL) enzymes were 2 isolates or 20% of the total carbapenem-resistant isolates.

Comparison of the use of shock index and modified early obstetric warning score in COVID-19 obstetric emergency patients as ICU care parameters

The physiological parameters included in the Modified Early Obstetric Warning Score (MEOWS) table have been selectively selected so that they cover all the standard observations in the NEWS table with the addition of several parameters that are specifically. The population in this study were all pregnant women who were in RSIA Siti Khadijah I Makassar and RSUP Dr. Wahidin Sudirohusodo Makassar. The results showed that there was no significant difference between the shock index and the incidence of shock (p=0.418). The difference in frequency between the shock index and the incidence of shock in the ICU was 1 patient who was pregnant. Based on shock index with high and low categories did not differ significantly (p=0.418). The data also shows that the frequency of pregnant women who are in shock is higher, namely 44 people (57.9%) compared to those who are not in shock, namely 32 people (42.1%). There was no significant difference between the shock index and the incidence of shock (p=0.112). The difference in frequency between the shock index and the incidence of shock in the ICU was 5 patients with pregnant women. Shock frequency based on the MEOWS index was not significantly different (p=0.112).

Trunk Control Inhibition and Balance Training Have an Effect on Balance Control in Children with Cerebral Palsy

Cerebral palsy is a major cause of movement and posture disorders in children. This condition is a non-progressive motor disorder caused by lesions or brain anomalies that arise in the early stages of a child's development but can change over time due to the growth and plasticity of the development and maturation of the child's central nervous system. The overall prevalence of data collected until 2013 the incidence of Cerebral Palsy was 2.11 per 1000 live births. This study aims to determine the effect of providing balance training intervention and trunk control inhibition on changes in trunk balance control in Cerebral Palsy children. This research is an experimental study with a pre-test – post-test two control group design. The research was conducted at Dr. Hospital. Wahidin Sudirohusodo Makassar, with a sample size of 30 people who were randomly divided into 2 groups, namely 15 people in the group given the balance training intervention and 15 people in the group given the trunk control inhibitor. Balance control capability data was measured using the Trunk Control Measurement Scale (TCMS). The results of the Wilcoxon test analysis showed that there was a significant effect on the provision of balance training (p=0.002) and trunk control inhibition (p=0.007) to improve balance control in children with cerebral palsy. Based on the Mann-Whitney test analysis, it was found that there was no significant difference (p= 0.683) between balance training and trunk control inhibition on changes in balance control. Keywords: balance training; inhibition trunk control; trunk control measurement scale; balance control; cerebral palsy