Introduction: Dengue infection is still posed a significant medical challenge for pediatric population in developing countries. However, increased prevalence of overweight and obesity among children in those countries increased the possibility of the coexistence of these conditions. However, their interaction is still under investigated. Therefore, this study was aimed to study the dynamic of sVCAM-1 level as the known predictor of the severity of dengue infection with over nutritional status in children with dengue infection.Method: An analytic observational nested case-control study was conducted in Paediatric Division Sanglah General Hospital, Bali. The children with DHF between 6 months old to 12 years old were included as the case group while control groups consisted of pediatric patients with just Dengue Fever (DF) with the same age range. The diagnosis of dengue was established using 1997 WHO criteria while nutritional status was assessed using WHO curve. The sVCAM-1 was evaluated using ELISA technique.Results: The level of sVCAM-1 was significantly higher in patients with DHF than patients with DF only. The level was also fluctuated more in DHF patients. Likewise, the sVCAM-1 level was also significantly higher in DHF patients with overnutrition compared to normal DHF patients with a more fluctuated pattern over the course of 3 days (starting from day 4 to day 7). Finally, no significant finding was observed in sVCAM-1 level in DSS patients albeit the difference in concentration pattern.Conclusion: Overnutrition is seems to be associated with higher concentration of sVCAM-1 and higher fluctuation of its concentration in children with DHF.

Petugas kebersihan merupakan salah satu tenaga yang sangat penting dalam pelayanan di klinik, puskesmas, maupun di rumah sakit. Hal ini dikarenakan tempat tersebut merupakan lokasi berkumpulnya orang sakit maupun sehat. Kondisi ini menyebabkan tingginya risiko penularan penyakit infeksi di tempat ini, termasuk terjadinya pencemaran lingkungan. Kegiatan ini bertujuan untuk mengetahui gambaran perilaku hidup bersih dan sehat khususnya bagi para petugas kebersihan di tempat pelayanan kesehatan. Instrumen yang digunakan pada kegiatan ini adalah kusioner. Berdasarkan hasil pengisian kuesioner, temukan bahwa seluruh responden telah menggunakan masker saat melakukan aktivitas di luar rumah. Walaupun demikian, belum seluruh responden dapat mempertahankan untuk tidak membukan masker saat bekerja. Perilaku hidup dan sehat di lingkungan keluarga juga belum diterapkan sesuai protokol yang dianjurkan dan belum diterapkan secara konsisten. Dengan demikian, dapat dismpulkan bahwa penerapkan perilaku hidup bersih dan sehat baik di keluarga maupun di tempat kerja belum dilakukan secara konsisten, sehingga, dapat meningkatkan risiko penularan COVID-19.

No abstract

Coronavirus Disease-2019 was first discovered in Indonesia on March 2, 2020. The Government of Indonesia is taking various strategic steps to prevent and handle this case. The government emphasizes preventive measures by implementing health protocols and clean and healthy living behaviors starting from the individual and family levels. This activity aims to provide education and assistance to cleaning services in implementing clean and healthy living behaviors, especially when working. The activities began with discussion sessions, pretest, education process, and posttest.  As a result, we found that the percentage of partners' attendance and participation in this activity was very good, namely 100%. This result is following the target set. The educational process can increase the knowledge of partners. This is indicated by an increase in the pretest and posttest scores from 51.5 to 84 points, with an average value of 84 points. Based on the results of monitoring in the form of direct observations, partners have implemented protocols for the use of adequate personal protective equipment while working. Based on this data, it can be concluded that the provision of education and assistance can increase the knowledge and behavior of partners in implementing clean and healthy living behaviors.