A recent modeling study estimated that there could be as many as 20,000 human melioidosis cases per year in Indonesia, with around 10,000 potential deaths annually. Nonetheless, the true burden of melioidosis in Indonesia is still unknown. The Indonesia Melioidosis Network was formed during the first melioidosis workshop in 2017. Here, we reviewed 101 melioidosis cases (99 human and two animal cases) previously reported and described an additional 45 human melioidosis cases. All 146 culture-confirmed cases were found in Sumatra (n = 15), Java (n = 104), Kalimantan (n = 15), Sulawesi (n = 11) and Nusa Tenggara (n = 1). Misidentification of Burkholderia pseudomallei was not uncommon, and most cases were only recently identified. We also evaluated clinical manifestations and outcome of recent culture-confirmed cases between 2012 and 2017 (n = 42). Overall, 15 (36%) cases were children (age <15 years) and 27 (64%) were adults (age ≥15 years). The overall mortality was 43% (18/42). We conducted a survey and found that 57% (327/548) of healthcare workers had never heard of melioidosis. In conclusion, melioidosis is endemic throughout Indonesia and associated with high mortality. We propose that top priorities are increasing awareness of melioidosis amongst all healthcare workers, increasing the use of bacterial culture, and ensuring accurate identification of B. pseudomalleiand diagnosis of melioidosis.
untuk pengambilan data. Metode yang digunakan dalam penelitian ini adalah penelitian kuantitatif, dengan melibatkan 33 responden yang dipilih sesuai populasi yang ada. Alat pengumpul data yang digunakan adalah kuesioner. Analisis data dalam penelitian ini menggunakan uji analisis jalur (Path Analysis),dimana analisis jalur ini menguji apakah terdapat pengaruh langsung atau tidak langsung iklim komunikasi organisasi terhadap kepuasan kerja. Hasil penelitian menunjukkan nilai iklim komunikasi organisasi memperoleh nilai gabungan 3,53. Nilai efektivitas komunikasi interpersonal memperoleh nilai gabungan 3,87. Nilai kepuasan kerja memperoleh nilai gabungan 3,96. Hasil penelitian menunjukkan tingkat kepuasan kerja pegawai di Dinas Kebudayaan, Pariwisata, Pemuda dan Olah Raga berada pada tingkat cukup baik. Iklim komunikasi secara langsung memiliki pengaruh yang positif dan signifikan terhadap efektivitas komunikasi interpersonal dengan taraf signifikansi sebesar 0,026. Iklim komunikasi secara langsung memiliki pengaruh yang positif dan signifikan terhadap kepuasan kerja dengan taraf signifikansi sebesar 0,036. Efektivitas komunikasi interpersonal secara langsung memiliki pengaruh yang positif dan signifikan terhadap kepuasan kerja dengan taraf signifikansi sebesar 0,001. Iklim komunikasi organisasi juga secara tidak langsung memiliki pengaruh terhadap kepuasan kerja dengan melalui efektivitas komunikasi interpersonal sebagai mediasinya dengan taraf signifikansi sebesar 0,171 atau 17,1%. Secara simultan terdapat Pengaruh iklim komunikasi organisasi dan efektivitas komunikasi interpersonal terhadap kepuasan kerja secara gabungan adalah 37,6% sedangkan 62,4% dipengaruhi oleh faktor lain.
Background/Aim: Coronavirus 2019 (COVID-19) infection is caused by severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2). It has become an emergency condition for global public health. Oxygen saturation has important role for diagnosing the patient in the hospital. The neutrophil-lymphocyte ratio (NLR) is a marker for the viral inflammatory reaction to confirm the viral or bacterial infection. The D-dimer is also known as biomarker for severity and prognosis of COVID-19. The aim of the study was to investigate the risk factors of mortality in COVID-19 patients based on oxygen saturation, neutrophil-lymphocyte ratio and D-dimer. Methods: Data has been obtained from confirmed cases of COVID-19 in Abdul Wahab Sjahranie Hospital from October until November 2020. They were collected and analysed with Chi-squared test by SPSS 22.0 software. Results: There were 60 patients with SARS-CoV-2 infection in this study, 48 (80 %) patients survived and 12 (20 %) deceased. Peripheral oxygen saturation < 90 % had 13 (21.7 %) and ≥ 90 % had 47 (78.3 %) patients. There were 13 (21.7 %) patients with NLR value < 3.13 and ≥ 3.13 47 (78.3 %) patients. D-dimer value less than 0.5 had 9 (15 %) and ≥ 0.5 had 51 (85 %) patients. The results of statistical analysis have showed that there were relationship between oxygen saturation (p = 0.002) and survival rate of COVID patients. Conclusion: According to the research that has been conducted, there was correlation between oxygen saturation and mortality of COVID-19 patient. It could be used as biomarker to improve the management of COVID-19 patients.
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