Introduction:Breastmilk is the main source of nutrition for infants, giving protection through its immunity properties. Indonesian Ministry of Health targeted 80% coverage 6-monthsexclusive-breastfeeding. However, it is very difficult to achieve, even the prevalence of exclusive-breastfeeding trends to decline from year to year. In Baturetno Village, Singosari District, Malang Regency, exclusive-breast feeding proportion is 59%. This research is aimed to analyze the relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Method: This was analytic-observational study with cross-sectional design.Sixty children aged 7 -23 months were randomly included. 32 children (53%) were male.Their parent were interviewed based on questionaire about their breastfeeding patterns and last two weeks incidence of diarrhea. Results: The proportion of exclusive breastfeeding was 58.33% and the incidence of diarrhea in last 2 weeks was 31.67%. Chi-Square test result illustrates there was association between breastfeeding patterns and incidence of diarrhea (p=0.004, PR 0.33, 95%CI 0.145-0.748). Based on contingency coefficient, a strong relationship between breastfeeding patterns and the incidence of diarrhea in the last 2 weeks was 0.347 (moderate). Conclusion: There was relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Exclusive-breastfeeding children have 67% lower incidence of diarrhea. ABSTRAKPendahuluan: Air susu ibu (ASI) adalah sumber nutrisi utama bagi bayi dan memberikan proteksi melalui proses imunologis. Kementerian Kesehatan Indonesia menargetkan cakupan 80% ASI eksklusif hingga usia 6 bulan. Cakupan tersebut sangat sulit dicapai oleh karena berbagai kendala, lebih-lebih angka ASI eksklusif cenderung menurun dari tahun ke tahun. Dalam studi pendahuluan di Desa Baturetno, Kecamatan Singosari, Kabupaten Malang, angka ASI eksklusif didapatkan sebesar 59%. Pada penelitian ini bertujuan untuk menganalisis The Relationship Between..... Yofrido FM, Aryana H, Jaya JH, Prastowo RA, Satwikaputri RK, Umiastuti P, Hadi IS 164 apakah ada hubungan antara pola ASI eksklusif dengan insiden diare pada anak berusia 7 -23 bulan. Metode: Penelitian ini adalah penelitian analitik-observasional dengan desain potonglintang. Enam puluh anak berusia 7 -23 bulan dipilih menjadi sampel secara acak. Tiga puluh dua anak (53%) berjenis kelamin laki-laki. Para orang tua diwawancara dengan menggunakan kuesioner mengenai pola ASI mereka dan kejadian diare dalam dua minggu terakhir. Hasil: Angka proporsi ASI eksklusif yang didapatkan adalah 58,33% dengan insiden diare dalam dua minggu terakhir sebanyak 31,67%. Hasil uji χ 2 menunjukkan adanya asosiasi antara pola pemberian ASI dengan insiden diare (p=0,004, PR 0,33, 95%CI 0,145 -0,748). Didapatkan hubungan yang kuat antara pola pemberian ASI dengan insiden diare dengan nilai koefisien kontingensi sebesar 0,347. Kesimpulan: Ada hubungan antara pola pemberian ASI dengan insiden diare pada anak berusia 7 -23 bulan. An...

Background: The use of certain opioids associated differently with the incidence of postoperative delirium (POD). Remifentanil and fentanyl are short-acting opioids widely used in surgery; however, studies assessing their relationship with POD incidence are still limited. This study aimed to determine the association of remifentanil and fentanyl uses with the incidence of POD in elective orthopedic surgery patients. Methods: A cross-sectional study was conducted in Surgical Unit at Dr Soetomo General Academic Hospital in Surabaya, Indonesia from August to September 2022. Patients who underwent elective orthopedic surgery and used remifentanil (n=16) and fentanyl (n=14) as postoperative analgesia were enrolled in the study. Delirium was assessed using Confusion Assessment Method-ICU tool (CAM-ICU). The associations of remifentanil and fentanyl use as well as patients’ characteristics with POD incidence were assessed statistically. Results: Our data found that there was no significant difference between the incidence of POD with the use of remifentanil (p=0.125) in orthopedic surgery patients. The total doses of fentanyl and morphine equivalent (of remifentanil or fentanyl) were associated significantly with the POD incidence (p=0.010 and p=0.002, respectively). Other factors associated with POD incidence were the use of bone cement during the surgery (p=0.034), duration of surgery (p<0.001), and bleeding volume during the surgery (p=0.024). Conclusions: Our study showed high dose of fentanyl, use of bone cement, longer duration of surgery, and high bleeding volume have greater risk of developing POD in orthopedic surgery patients.