PUINOVAKESMAS

The sensitivity and specificity of fetal emergency detection devices

Yuni Kusmiyati, Denny Iswara — Wed, 08 Dec 2021 00:00:00 +0700

The prevalence of infant mortality rate in the world is still high, especially in Indonesia. One of the contributing factors to the high infant mortality rate is the delay in the early detection of fetal emergencies. Medical devices used in the health service at this time, can not be reached by all pregnant women independently. The fetal emergency early detection device is designed like a Doppler to listen to the fetal heart rate, but it is equipped with LED lights and alarms that will light up when the fetal heart rate indicates an emergency. This study will analyze the sensitivity, specificity, and acceptance rate of this fetal emergency detection device compared to Fetal Doppler as Gold Standard. This study is an experimental study, an experiment to determine the sensitivity and specificity of fetal emergency detection devices by comparing sensitivity and specificity with Fetal Doppler (Gold Standard) when used in pregnant women with >12 weeks pregnancy age. The results of this study showed that this fetal emergency detection tool has a sensitivity of 92%, and specificity of 67%, 88.7% of pregnant women receive fetal emergency detection equipment to be used as an early detection tool for fetal emergency because it is comfortable, practical, safe and flexible. The results of this study are expected to be used by the Department of Health as an alternative tool in improving maternal and child health care programs in health facilities as an effort to support the decrease in infant mortality.

Sensitivitas, spesifisitas, nilai prediksi positif, nilai prediksi negatif dan akurasi metode Lateral Flow Immuno Assay (LFIA) dengan mikroskopis untuk diagnosis gonore

Bambang Supriyanta, Budi Setiawan — Wed, 15 Dec 2021 00:00:00 +0700

Gonorrhea is a significant health problem, especially in men with high-risk sexual behavior. The gold standard examination for the diagnosis of gonorrhea is a microscopic examination, culture, and nucleic acid amplification test. However, nucleic acid amplification and culture tests are difficult to carry out in the Public Health Center laboratory, due to limited facilities and human resources. JusChek Gonorrhea Rapid Test (JCGRT) is an examination using the Lateral Flow Immuno Assay (LFIA) method which is relatively easy, more practical, does not require sophisticated equipment, is fast in processing, and can provide results in a short time. This study was to determine the sensitivity, specificity, Positive Predictive Value, Negative Predictive Value, and accuracy of JCGRT using the LFIA method compared to microscopic examination for the diagnosis of gonorrhea. This research is a descriptive-analytic study with a diagnostic test design located in a public health center in Yogyakarta, Indonesia. Based on the results of the study, the sensitivity value was 92%, specificity 96%, Positive Predictive Value 95.83%, Negative Predictive Value 92.31%, and Accuracy of 94% JCGRT LFIA method compared with microscopic examination. JCGRT shows good sensitivity and specificity for the diagnosis of gonorrhea. Its use is quite practical, it is recommended that health care facilities with limited facilities can use this method.

Differences in blood creatinine levels using mono reagent which was checked immediately and which was delayed for 5 hours at room temperature

Nurhidayati Nurhidayati, Ratih Hardisari, Anik Nuryati — Sun, 26 Dec 2021 00:00:00 +0700

Reagents used for examination must be considered for stability. Reagents made beforehand must be used immediately because the reagent that has been opened has a shorter stability period than the reagent that has not been opened. This study aims to determine the difference in creatinine levels using a mono reagent that is immediately used and which is left in for 5 hours at room temperature. This research is a pre-experimental study with a one-group pretest-posttest research design. The research sample was the remaining serum of the patients who were examined in the laboratory of Medika Sangatta Hospital as many as 40 samples. The test results were analyzed descriptively and statistically using paired sample t-test. The results of the descriptive test showed that the difference between the mean creatinine levels using immediate reagent and those experiencing indentation for 5 hours was 0.1 with the maximum value of creatinine levels using immediate reagent and those experiencing indwelling were 1.7 mg/dl and 1.6 mg/dl. While the minimum values ??are 0.9 mg / dl and 0.8 mg / dl (p=0.003). There was a difference in creatinine levels using a mono reagent which is immediately used and which has been left standing for 5 hours at room temperature so the mono reagent that has been made should be used immediately.

Uji diagnostik uji antigen sars-cov-2 pada pemeriksaan laboratorium covid-19

Dwi Hartantoro, Anik Nuryati, Siti Nuryani — Wed, 08 Dec 2021 00:00:00 +0700

The performance characteristics of the rapid SARS-CoV-2 antigen detection test should be evaluated and compared with the reverse transcription-polymerase chain reaction (RT-PCR) assay as the standard for diagnosis of COVID-19 cases. This research is a descriptive observational study with a cross-sectional research design. Secondary data from suspected COVID-19 patients who were examined for SARS-CoV-2 antigen and the results of RT-PCR in January - April 2021 at the Beriman Hospital of Balikpapan City, which was 336 samples. Based on the results of the study, the number of samples with an antigen-positive test for SARS-CoV-2 and a positive RT-PCR result was 114 (33.93%), the number of samples with an antigen-positive test for SARS-CoV-2 and a negative RT-PCR result was 2 (0.6%), the number of samples with positive SARS-CoV-2 antigen-negative test results and RT-PCR was 23 (6.85%), and the number of samples with SARS-negative antigen-negative test and RT-PCR results CoV -2 and negative PCR were 197 (58.63%). The result of the SARS-CoV-2 antigen sensitivity was 83.21%, while the specificity was 98.99%. The accuracy value of the SARS-CoV-2 antigen is 92.56%. The rapid antigen test used in this study has sensitivity and specificity as recommended by WHO, so it is suitable for use for COVID-19 laboratory tests.

Aplikasi sidik serviks untuk meningkatkan pengetahuan dan sikap tentang deteksi dini kanker serviks

Dian Rahmayani, Hesty Widyasih, Tri Maryani — Wed, 08 Dec 2021 00:00:00 +0700

Cervical cancer is a malignancy originating from the cervix and is one of the causes of death in women. One of the ways to do early detection of cervical cancer is the VIA test (Visual Inspection with Acetic Acid). Women's awareness is still relatively low to do IVA tests so providing information will enhance knowledge and raise public awareness. This research is to know the effect of the “SIDIK” Serviks application to the increase of knowledge and attitudes about VIA to reproductive women. Research design applies quasi-experiment with one group pre-test and post-test design. Post-test is done 18 days after pre-test. The research sample of 31 reproductive women. The sampling technique applies purposive sampling. The sample is determined by inclusion and exclusion criteria. The independent variable is Sidik Serviks application and the dependent variable is knowledge and attitudes about VIA. Data collection applies a questionnaire through Google Form to measure knowledge and attitudes. The data analysis uses the Wilcoxon test. The result shows that the average knowledge of pre-test was 17.77, post-test was 19.06 with p-value 0.000, average attitudes of pre-test were 61.03, post-test was 64.16 with p-value 0.000 which means there is an effect of giving Sidik Serviks application on the increase of knowledge and attitudes about VIA.