Prevalensi stunting di Sumatera Selatan masih cukup tinggi. Kecamatan Seberang Ulu adalah salah satu kecamatan di Sumatera Selatan yang berada pada peringkat atas untuk kejadian stunting. Puskesmas menjadi tumpuan dalam pemantauan upaya mencegah stunting. Keterbatasan sumber daya tenaga kesehatan di Puskesmas dapat diatasi dengan memberdayakan kader. Pengabdian kepada masyarakat oleh dosen dan mahasiswa Fakultas Kedokteran UNSRI dilaksanakan di Puskesmas Taman Bacaan, sebagai salah satu Puskesmas di wilayah Seberang Ulu.  Sebanyak 15 orang kader perwakilan berbagai Posyandu di wilayah Puskesmas Taman Bacaan mengikuti kegiatan ini. Peserta diberikan penyuluhan mengenai deteksi dini tumbuh kembang anak, alat dan cara pengukuran, serta pemenuhan kecukupan gizi makanan bayi dan anak.  Tahap selanjutnya, peserta melakukan praktik pengukuran dan plotting hasil pengukuran pada grafik WHO. Hasil tes pengetahuan para peserta menunjukkan adanya kenaikan sebesar 27,7 poin pada post-test setelah selesai kegiatan dibanding pre-test. Meskipun demikian, skor pengetahuan perlu ditingkatkan melalui upaya pemberian pelatihan yang lebih intensif.

Introduction: Neonatal sepsis is an emergency because delayed treatment can be fatal, whereas the diagnosis is challenging because of the unspecific clinical manifestation. Bacterial culture is the gold standard for the diagnosis, but it takes several days to get the results, which often come out as negative. This study aims to determine the diagnostic value of RDW to support the diagnosis of neonatal sepsis in 34 – 42 week gestational age neonates. Methods: This cross-sectional diagnostic study used secondary data obtained from Medical Record Installation and Clinical Pathology Laboratory of Dr. Mohammad Hoesin General Central Hospital in Palembang, Indonesia. One hundred and thirty-four medical records were statistically analysed using Med Calc Version 19 to determine the cut-off point and diagnostic value of RDW in the diagnosis of neonatal sepsis. Results: One hundred and thirty-four subjects consisting 32 septic neonates (23.9%) and 102 non-septic neonates (76.1%) were reviewed. Most of them were males (80/134) and preterm (73/134) with normal birth weight (99/134). At the cut-off point of > 16.2%, RDW value was significantly able to predict neonatal sepsis (p = 0.000, p < α) with prediction power (AUC) of 0.780 (fair). The diagnostic values were sensitivity 84.37%, specificity 57.84%, positive predictive value 38.57%, negative predictive value 92.19%, positive likelihood ratio 2.00 and negative likelihood ratio 0.27. Conclusions: Red cell distribution width value might potentially be used as a diagnostic marker to support the diagnosis of neonatal sepsis in 34 – 42 week gestational age neonates. However, further study is needed to support this statement.

Fever is a symptom mostly happen with all diseases which condition shows elevated body temperature above normal (38 • C) that are common among toddler. Handling fever using antipyretics should be considered related to the rationale of its use. Rationality aspect which include indication accuracy, precision of medicine, patient accuracy, dosage accuracy and precision of administration, and as well as alert to side effects. Handling fever in toddlers is very dependent on the role of parents especially mother. Different maternal education, knowledge, and economics will result in the rationale of the use of different antipyretic drugs. This study aimed to investigate whether there is relation among education, knowledge, and economics of mother toward antipyretic drug usage for toddler in Kangkung Village OKUT SUMSEL 2017 by using cross sectional design. The sample was collected using simple random sampling to get 47 samples which fulfilled the inclusion criteria. The data were collected by interview based on questionnaire and analyzed by Chi-Square test using SPSS version 23.0. The data presented descriptively showed most of the respondents were highly educated (66%), high knowledge (61.7%), and low economic level (93.6%) and the rational use of antipyretic for toddler were 100% for appropriate drug indication, precision of medicine, patient appropriateness, and alert for side effects, as well as 31.9% dosage precision and mode of administration. The result of Chi-Square test showed that the p value for education level (p > 0.05) and economic level (p > 0.05) had no significant correlation, meanwhile the knowledge level (p < 0.05) showed significant different to the rational use of antipyretic for toddler. It can be concluded that the knowledge toward of mother affect the rational use of antipyretic for toddler in Kangkung village OKUT regency SUMSEL 2017.

Edema merupakan gejala klinis utama pada anak penderita sindrom nefrotik (SN).Edema pada SN terbagi menjadi edema lokal dan anasarka yang dapat dijelaskan dengan teori underfill dimana hipoalbuminemia merupakan faktor kunci terjadinya edema. Selama ini persentase edema anak penderita SN hanya perkiraan, sedangkan berat badan kering anak penderita SN diperlukan untuk menghitung dosis kortikosteroid secara tepat. Penelitian ini bertujuan untuk  mengetahui hubungan antara kadar albumin serum dengan persentase dan lokasi edema pada anak penderita sindrom nefrotik di RSUP Dr. Mohammad Hoesin Palembang periode 2016-2017. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional menggunakan data sekunder. Sampel diambil dengan menggunakan metode consecutive sampling dari seluruh data rekam medik pasien anak penderita SN di RSUP Dr. Mohammad Hoesin Palembang. Subjek terdiri dari 26 (56,5%) anak laki-laki dan 20 (43,5%) anak perempuan dengan usia rata-rata 7 tahun 2 bulan. Klasifikasisindrom nefrotik yang paling banyak ditemui adalah sindrom nefrotik inisial yang berjumlah 15 orang (32,6%). Rata-rata kadar albumin terendah dapat ditemui pada kelompok usia 4-6 tahun (1,55 g/dL) sedangkan tertinggi pada kelompok usia 13-15 tahun (2,06 g/dL). Rata-rata persentase edema tertinggi terdapat pada kelompok usia 1-3 tahun (17,38%) sedangkan terendah pada kelompok usia 16-17 tahun (3,98%). Pasien yang mengalami edema anasarka (56,5%) lebih banyak dibandingkan dengan edema lokal (43,5%). Analisis korelasi Spearman menunjukkan hubungan yang sangat bermakna (p=0,003) dengan kekuatan sedang (r=-0,424) antara kadar albumin serum dan persentase edema. Analisis Mann-Whitney (p=0,048) menunjukkan terdapat hubungan antara kadar albumin serum dan lokasi edema. Terdapat korelasi yang bermakna antara kadar albumin serum dan persentase edema. Terdapat hubungan yang bermakna antara kadar albumin serum dan lokasi edema.

Background Distinguishing rotavirus from non-rotavirus diarrhea