Background: The prevalence of diabetes mellitus (DM) type 2 increased in 2013 by 2.10% from the previous years. It has been reported that the patients of diabetes type 2 patients in RSUD Dr. M. Soewandhi as a public hospital in Surabaya increased in 2014-2016.  Purpose: This study aimed to analyze the dominant factor of diabetic neuropathy in patients with DM type 2. Methods: The study design was case control by taking sample through systematic random sampling. There were 36 respondents contributed in this study as case group and 36 respondents as control group. The independent variables in this study were family history, regulated treatment, diet, physical activity, duration of DM type 2, and hypertension history. Meanwhile, the dependent variable was the diabetic neuropathy of DM type 2 patients. Data were analyzed through a chi square test in order to analyze the relation between variables and logistic regression for dominant variables. Results: Diabetic neuropathy was determined by the regulated treatment (p = 0.02 OR = 5,50), diet (p = 0,04; OR = 4,80), physical activity (p = 0,04; OR = 3,57), and hypertension history (p = 0.03; OR = 3.14). The most dominant factor was regulated treatment (p = 0,01; OR = 13,24). Conclusion: The determinant factors of diabetic neuropathy were regulated treatment, diet, physical activity, and hypertension history, while the most dominant factor was regulated treatment.

Background Sepsis is the leading cause of death worldwide in pediatric populations. Studies in low-resource settings showed that the majority of pediatric patients with sepsis still have a high mortality rate. Methods We retrospectively collected records from 2014 to 2019 of patients who had been diagnosed with sepsis and admitted to PICU in our tertiary hospital. Cox proportional hazard regression modeling was used to evaluate associations between patient characteristics and mortality. Results Overall, 665 patients were enrolled in this study, with 364 (54.7%) boys and 301 (46.3%) girls. As many as 385 patients (57.9%) died during the study period. The median age of patients admitted to PICU were 1.8 years old with interquartile range (IQR) ±8.36 years and the median length of stay was 144 h (1–1896 h). More than half 391 patients (58.8%) had a good nutritional status. Higher risk of mortality in PICU was associated fluid overload percentage of > 10% (HR 9.6, 95% CI: 7.4–12.6), the need of mechanical ventilation support (HR 2.7, 95% CI: 1.6–4.6), vasoactive drugs (HR 1.5, 95% CI: 1.2–2.0) and the presence of congenital anomaly (HR 1.4, 95% CI: 1.0–1.9). On the contrary, cerebral palsy (HR 0.3, 95% CI: 0.1–0.5) and post-operative patients (HR 0.4, 95% CI: 0.3–0.6) had lower mortality. Conclusion PICU mortality in pediatric patients with sepsis is associated with fluid overload percentage of > 10%, the need for mechanical ventilation support, the need of vasoactive drugs, and the presence of congenital anomaly. In septic patients in PICU, those with cerebral palsy and admitted for post-operative care had better survival.

Diabetes mellitus merupakan salah satu penyakit tidak menular yang angkanya semakin meningkat. Diabetes mellitus tipe 2 merupakan jenis diabetes mellitus yang memiliki proporsi paling banyak dari total kasus diabetes mellitus. Tingginya kasus diabetes mellitus akan menyebabkan terjadinya komplikasi diabetes mellitus. Komplikasi diabetes mellitus tipe 2 yang paling banyak terjadi yaitu neuropati diabetik. Tujuan penelitian ini adalah untuk menganalisis faktor dominan kejadian neuropati diabetik pada menderita diabetes mellitus tipe 2. Penelitian ini menggunakan rancangan case control. Pengambilan sampel menggunakan metode sistematic random sampling. Sampel yang dibutuhkan dalam penelitian ini yaitu 36 responden pada kelompok kasus dan 36 responden pada kelompok kontrol. Teknik pengumpulan data primer dilakukan melalui wawancara dengan kuesioner. Penelitian dilakukan di  RSUD Dr. M.Soewandhi Surabaya pada bulan Oktober 2017. Hasil penelitian menunjukkan bahwa faktor yang mempengaruhi terjadinya neuropati diabetik adalah keteraturan berobat (p=0,020 ;OR=5,5 CI= 1,397-21,646)  pola makan (p=0,037 ; OR=4,8 CI= 1,220-19,206), pola aktivitas fisik (p=0,038 ;OR=3,6 CI= 1,190-10,716) dan riwayat hipertensi (p=0,034 ; OR= 3,1 CI= 1,199-8,241). Faktor dominan yang paling berpengaruh terhadap terjadinya neuropati diabetik (setelah di regresi logistik) adalah keteraturan berobat(p=0,002 ; OR=13,237 CI= 2,561-68,429). Kesimpulan penelitian ini faktor yang berpengaruh terhadap neuropati diabetik adalah faktor keteraturan berobat, pola makan, pola aktivitas fisik dan riwayat hipertensi. Faktor dominan adalah faktor keteraturan berobat. Diharapkan penderita diabetes mellitus tipe2 memahami faktor resiko neuropati diabetik, agar tidak mengalami komplikasi neuropati diabetik

PENGANTAR Sudah di ketahui bahwa daerah kawasan Lumajang merupakan daerah peternakan Kambing PE yang sudah memiliki penampilan yang stabil dengan 2 tampilan yang berbeda yaitu kepala putih dan kepala hitam. Ke duanya sudah mendapatkan pengakuan dari Kementan bahwa kambing PE tersebut mempunyai potensi unggul sebagai penghasil susu. Oleh karena itu perlu dilakukan pelestarian genetic, sehingga sifat tersebut tidak pudar. Kecamatan Tempeh dan Sumbersuko berada 15 km dan 14 km dari kabupaten Lumajang merupakan daerah yang sangat potensial untuk pengembangan ternak kambing. ABSTRACT The purpose of community service is to disseminate Artificial Insemiation (Artificial Artificial) technology and management of Milk Processing. This activity is expected to help Ettawa goat farmers to address their sub-sequentlyit problem to increase their income. The method analyzed in this study is to provide simple knowledge and technology to selected Ettawa group of goat partners. The result of this activity is the result of loco loco artificial insemination about 77% Conception, so farmers will receive this technology. In other ways, Ettawa goat farmers as a partner group received the strengthening of their subsidiary products and milk products. Hopefully the farmers will adopt techniques to choose superior seeds, livestock management, and milk milk production technology factory. ABSTRAK Tujuan dari pengabdian kepada masyarakat ini adalah untuk menyebarkan teknologi Insemiation Buatan (Buatan Buatan) dan pengelolaan Pengolahan Susu. Kegiatan ini diharapkan dapat membantu petani kambing Ettawa untuk mengatasi masalah mereka yang sub sequentlyit dapat meningkatkan pendapatan mereka. Metode yang dianalisis dalam penelitian ini adalah memberikan pengetahuan dan teknologi sederhana kepada kelompok mitra kambing Ettawa yang terpilih. Hasil dari kegiatan ini adalah hasil inseminasi buatan kambing loco sekitar 77% Konsepsi, sehingga petani akan menerima teknologi ini. Dengan cara lain, petani kambing Ettawa sebagai kelompok mitra menerima penguatan produk anak usaha dan produk pengolahan susu mereka. Semoga petani akan mengadopsi teknik memilih bibit unggul, pengelolaan ternak, dan pabrik produksi teknologi pengolahan susu.