Background: Penicillin is essential for secondary prevention of acute rheumatic fever (ARF) and rheumatic heart disease (RHD). However, the incidences of ARF recurrence and RHD progression remain high, particularly in endemic countries. This meta-analysis evaluated the effectiveness of penicillin adherence in secondary prevention of ARF recurrence and RHD progression. Methods: The authors included original articles employing an observational study design in which the study population included patients with ARF or RHD and documented adherence to secondary prophylaxis with penicillin for secondary prevention. Systematic searches of the PubMed, Scopus, and Cochrane databases were performed. Moreover, the authors also conducted a snowballing literature search from Europe PMC to expand the included studies. The quality of each study was assessed using the National Institute of Health Quality Assessment Tool. The statistical analyses were conducted using Review Manager 5.4.1 software developed by Cochrane. In addition, the authors utilized pooled odds ratios (ORs) to compare the adherence techniques. Results: A total of 310 studies were identified, of which 57 full-text articles were assessed for eligibility. The authors included six studies with 1364 patients for the qualitative synthesis and meta-analysis. Good adherence to penicillin for the secondary prophylaxis of ARF and RHD, significantly reduced the odds of ARF recurrence or RHD progression by up to 71% compared to that associated with poor adherence [pooled OR 0.29 (0.21−0.40); I^²=0% (p=0.56); Z=7.64 (p <0.00001)]. Conclusion: Good adherence to penicillin for secondary prophylaxis in patients with ARF or RHD is essential for reducing the risk of ARF recurrence or RHD progression.

Permanent pacemaker implantation improves survival but can cause tricuspid valve dysfunction in the form of tricuspid regurgitation (TR). The dominant mechanism of pacemaker-mediated TR is lead impingement. This study evaluated the association between the location of the pacemaker leads crossing the tricuspid valve and the incidence of worsening TR and lead impingement using fluoroscopy. Lead positions were evaluated using perpendicular right anterior oblique (RAO) and parallel left anterior oblique (LAO) fluoroscopic angulation views of the tricuspid annulus. A two-dimensional transthoracic echocardiogram (TTE) was performed to evaluate the maximum TR jet area-to-right atrium ratio and define regurgitation severity. A three-dimensional TTE was performed to evaluate lead impingement. A worsening of TR was observed in 23 of 82 subjects. Most leads had an inferior position in the RAO view and a septal position in the LAO view. The mid position in the RAO view and septal position in the LAO view were risk factors for lead impingement. Mid and septal positions were associated with higher risks of significant TR and lead impingement. Lead impingement was associated with a high risk of significant TR. Pacemaker-mediated TR remains a significant problem after lead implantation.

AbstrakBerdasarkan data Riskesdas 2018, menunjukan 93% anak usia dini mengalami gigi berlubang. Beberapa penelitian menujukkan pentingnya pemahaman orang tua terhadap pengetahuan tentang perawatan gigi pada anak. Pengabdian masyaakat ini (1) Membuat leaflet terkait perawatan gigi anak sebagai bahan edukasi kepada masyarakat, (2) Menyelenggarakan kuliah Whatsup Grup (WAG) tentang perawatan gigi anak, (3) Membuat video edukasi terkait perawatan gigi anak sebagai bahan edukasi kepada masyarakat, (4) Melakukan edukasi melalui Youtube Chanel tentang perawatan gigi anak.dari pelaksanaan dapat disimpulkan Leaflet yang sudah dibuat sangat memberikan manfaat kepada semua pengunjung poli gigi RS Islam Surabaya meningkatkan pengetahuan para ibu untuk pentingnya menjaga kesehatan gigi anak. Kuliah WAG yang diadakan mampu meningkatkan pengetahuan ibu dan ayah peserta dengan kenaikan pengetahuan sebesar 23,71 %. Bagi ayah / ibu yang belum berkesempatan mengikuti kuliah WAG bisa berkesempatan untuk melihat youtube chanel RS Islam Surabaya dengan tema tingkat pemahaman ibu terhadap pemahaman perawatan kesehatan gigi anak.Kata Kunci: Kesehatan gigi anak, Whatsup Grup, Leaflet, Youtube ChanelAbstractBased on data from Riskesdas 93% of early childhood experience cavities. Several studies have shown the importance of parental understanding of knowledge about dental care in children. This community service (1) makes leaflets related to children's dental care as educational materials for the community, (2) organizes Whatsup Group (WAG) lectures on children's dental care, (3) makes educational videos related to children's dental care as educational materials for the community, ( 4) Conducting education through the Youtube Chanel about children's dental care. From the implementation, it can be concluded that the leaflets that have been made are very beneficial to all visitors to the dental clinic of the Surabaya Islamic Hospital, increasing the knowledge of mothers about the importance of maintaining children's dental health. The WAG lectures that were held were able to increase the knowledge of the participants' mothers and fathers with an increase in knowledge of 23.71%. For fathers/mothers who have not had the opportunity to attend WAG lectures, you can have the opportunity to watch the YouTube channel of the Surabaya Islamic Hospital with the theme of the level of mother's understanding of the understanding of children's dental health care.Key Word: Children's dental health, Whatsup Group, Leaflet, Youtube Chanel

Background: Rheumatic heart disease still become a major concern in developing countries. Recent studies showed the benefits of early phase II cardiac rehabilitation (CR) on improving the exercise capacity but the evidence in patients after rheumatic mitral valve surgery due to rheumatic heart disease is limited. This study aims to investigate the effects of early phase II CR program on increasing exercise capacity in the rheumatic mitral valve surgery patients. Methods: This is a cohort retrospective study. A review of medical records identified 254 patients who underwent early phase II CR after rheumatic mitral valve surgery between July 2009 – June 2019. Effects of CR was assessed by 6 Minutes Walking Distance (6MWD) pre and post early phase II CR and peak oxygen uptake (VO₂ peak) calculated by Cahallin formula. In this study, we observed and analyzed the increasing of 6MWD and VO₂ peak. Results: Our findings showed that 6MWD and VO₂ peak increased significantly in these patients after early phase II CR program (p = 0.001). Mean of 6MWD increased from 316.3 ± 71.7 meters to 378.6 ± 60.3 meters and VO₂ peak increased from 7.7 ±2.4 mL/kg/min to 8.9 ± 2.2 mL/kg/min. The mean difference of 6MWD was 62.3 meters and VO₂ peak was 1.2 mL/kg/min. There was a strong correlation between VO₂ peak and 6MWD (r = 71%; R² = 51%; p = 0.001). Conclusion: Early phase II CR in patients with Rheumatic Mitral Stenosis after mitral valve surgery improved the exercise capacity. Based on 6MWD, we can predict the value of VO₂ peak patients with rheumatic mitral stenosis surgery patients. Keywords: Cardiac rehabilitation, rheumatic mitral stenosis, 6MWD, VO₂ peak

Background: Stunting is associated with various short-term effects such as developmental delays, decreased immune function, impaired cognitive function, and compromised metabolic systems. Furthermore, long-term consequences may include obesity, reduced glucose tolerance, coronary heart disease, hypertension, and osteoporosis. The limited understanding among healthcare cadres regarding comprehensive treatment necessitates interventions to aid in the assistance and recovery of infants identified as stunted. Objective: This activity aims to enhance the knowledge level concerning stunting among healthcare cadres. Method: The initiative will take the form of lectures, discussions, and case studies targeting 68 women from RW 07 cadres in Wonokromo Village. The stunting counseling event for RW 07 Health Cadre, Wonokromo Village, held on July 9 2023, was met with enthusiasm. Results: The presentation emphasized the significance of preventing stunting and highlighted the "1000 First Day of Life" initiative. The outreach activity effectively enhanced knowledge regarding stunting incidence, with 68 participants actively engaged, primarily comprising women aged 36 to 45 years, predominantly housewives. Conclusion: Analysis of pre-test and post-test results revealed a notable increase of 19.2%. Furthermore, the paired t-test demonstrated a significant difference between the pre-test and post-test (α = 5%).

Background: Surabaya Islamic Hospital is under the auspices of the Surabaya Islamic Hospital Foundation (YARSIS). In 2019, there were 559 complaints reported by PR staff. Meanwhile, during the pandemic in 2020 there was a decrease in complaints because there were only 261 customers who submitted complaints about the services they received at the Surabaya Islamic Hospital. Objectives: The general objective of this study was to identify the cause of patient complaints in the inpatient setting of the Surabaya Islamic Hospital using Root Cause Analysis (RCA) Methods: Researchers collect data through Surabaya Islamic Hospital complaint data in 2020. The data is processed through simple RCA stages and analyzed with fishbone diagrams for determining the root cause. Results: The results of the Root Cause Analysis of the complaints of inpatients at the Surabaya Islamic Hospital prove that there are at least 8 root problems and 6 solutions that can be done to overcome them. The most interventions/improvements must be carried out in the HR sector, namely the level of discipline, skills, empathy, communication, and the limitations of medical and non medical staff. The development of an Integrated Hospital Management Information System is also feasible to be implemented to provide more effective and efficient services. In addition, improvements in supporting facilities and enforcement of rules for inpatient visitors will make visitors feel more comfortable in the inpatient room. Conclusions: It is important for hospital to analyze the complaints received. The results of this study can be used by hospitals in Indonesia as references to improve their services.