Background. Tuberculosis pericardial effusion is a rare case in the developed countries. This may cause serious and deadly impact if not diagnosed and treated properly. Appropriates diagnosis and treatment of tuberculosis pericardial effusion can prevent mortality. Case.  A 14-years-old boy was admitted with tightness of breath, chest pain, and abdominal enlargement. Chest X-ray revealed heart enlargement and echocardiography showed a massive pericardial effusion. The diameter of induration of tuberculin skin test was 14 mm. This patient was diagnosed as tuberculosis pericardial effusion and showed complete recovery after paricardiocentesis and anti-tuberculosis drugs administration for 12 month. Conclusion. Tuberculosis pericardial effusion should be remembered in cases of tightness of breath with chest x ray revealing heart enlargement. Adequate treatment by pericardiocentesis and anti-tuberculosis drugs can completely cure this disease.

AbstrakSindrom Syok Dengue merupakan keadaan darurat medik yang berawal dari DBD yang mengalami syok. Ada beberapa faktor yang dapat mempengaruhi SSD. Penelitian ini bertujuan untuk mengetahui hubungan beberapa fakto rirsiko yang menyebabkan SSD yaitu usia, status nutrisi, jenis kelamin, kadar trombosit dan kadar hematokrit. Penelitian ini merupakan retrospektif case control yang dilakukan di RSD dr. Soebandi Kabupaten Jember. Sampel dibagi menjadi 2 kelompok yaitu SSD (kelompok kasus) dan kelompok non-SSD (Kelompok kontrol). Analisis data dilakukan dengan uji Chi-Square menggunakan SPSS versi 21. Terdapat 136 pasien yang terbagi menjadi 94 pasien kelompok kontrol dan 42 pasien kelompok kasus. Dalam penelitian ini terdapat nilai p-value untuk usia, status nutrisi, jenis kelamin, kadar trombosit dan kadar hematokrit masingmasing 0,450; 0.490; 0,198;0,001; 0,007. Pada penelitian ini dapat disimpulkan bahwa usia, status nutrisi dan jenis kelamin tidak memiliki hubungan yang signifikan dengan kejadian SSD, sedangkan kadar trombosit dan kadar hematokrit memiliki hubungan yang signifikan dengan kejadian SSD.Kata kunci:konsumsi sindromsyok dengue, usia, status nutrisi, jeniskelamin, hematokrit, trombosit. 0,450; 0,490; 0,198; 0,001; 0,007 respectively. In Abstract

Food-borne diseases can be transmitted through raw vegetables contaminated with bacteria and intestinal parasites. The study aimed to determine bacteria and intestinal parasites that contaminate raw vegetables in traditional markets. In this study, we collected raw vegetables from eight traditional markets. We chose randomly at each market five samples of vegetables that usually consumed in raw, like lettuce, tomato, cabbage, basil, long bean, and cucumber. The bacteria were identified by culture and microbiological test and the intestinal parasites were identified using sedimentation and floatation methods. This study showed that all of raw vegetables were contaminated with <em>Escherichia coli</em> (E. coli) (91%), <em>Staphylococcus aureus</em> (84%), and <em>Vibrio cholera</em> (79%). Besides bacteria, 36% of samples were contaminated by soil-transmitted helminths (STH), and intestinal protozoa contaminated 27% of samples. Lettuce was the most contaminated vegetable with bacteria and intestinal parasites. The results of this study proved that there was bacterial contamination as well as intestinal parasites in raw vegetables sold in traditional markets which could be a source of spread of food-borne diseases. Therefore, handling raw vegetables properly is needed as an effort to prevent it.

Major beta thalassemia (MBT) is a hereditary disease which synthesies defects in beta chains of haemoglobin, it is causes red blood cell destruction and the symptoms of anemia. Red blood cell destruction, frequent blood transfusion and low adherence to routine use of iron chelator lead to iron accumulation in the heart, liver and endocrine organs. Accumulation of iron in the myocard can lead acute myocardial infarction. One of cardiac markers that had been used for the diagnosis of myocardial infarction was cardiac troponin I (cTnI). The aim of this research is find the correlation between serum ferritin levels and cTnI in MBT children. A descriptive analytic research was conducted using a cross sectional design. The subjects were divided into 2 groups, the MBT group and the control group. In both groups, the serum ferritin and cTnI levels ere evaluated. Data were analyzed using t-test and Pearson correlation test. Eleven children in the MBT group and 11 children in the control group were involved in this study. In the MBT group, the mean of serum ferritin and cTnI levels were 4292.5 µg/L and 0.20 ng/mL respectively. The mean of serum ferritin levels in the MBT group were higher than in the control and statistically significant (p= 0.0004). The mean of serum ferritin levels in the MBT group were higher than in the control and statistically significant (p= 0.0004). The mean of serum cTnI in the MBT group were higher than in the control, but statistically not significant (p= 0.82). In the MBT group, there was a weak corellation between serum ferritin and cTnI levels (r= 0.34).

ABSTRACT Ventilator-Associated Pneumonia (VAP) is pneumonia in patients who use mechanical ventilator. The empirical antibiotic therapy is given to VAP patients based on bacterial mapping and its antibiotic sensitivity. The aim of this study is to determine bacterial identification and antibiotic sensitivity of VAP patients at RSD dr. Soebandi Jember. This study is a retrospective study, the data collected from medical record of VAP patients from September to October 2019. All samples that is meet the inclusion and exclusion criteria was recruited in this study. Data analysis was use Microsoft Excel 2010. This study obtained 15 samples. The most frequents bacteria that causes VAP is Acinetobacter baumanii. It is also caused by Klebsiella pneumoniae, Pseudomonas aeruginosa, Enterobacter aerogenes, Burkholderia cepacia, Pseudomonas fluorescence, Salmonella arizonae, and Escherichia coli. The bacteria are most sensitive to amikacin, meropenem, and piperacillin-tazobactam and most resistant to cefixime, cefotaxime, and ceftriaxone.