Sapporo Medical Journal

Abstract : WHO has identified Diabetes Mellitus (DM) as a neglected, significant, and re-emerging risk of tuberculosis (TB). This study aims to analyze factors influencing the incidence of TB among Diabetes Mellitus (DM) patients in Indonesia. A quantitative cross-sectional design was used in this research with secondary data from Indonesian Basic Health Research (Riskesdas) 2018. The data analysis conducted by using univariate, bivariate and multivariate analysis. The distribution of each variable were described by univariate analysis. Bivariate and multivariate analysis showed the risk factor and the most dominant factor that significantly associated with TB incident among DM Patient in Indonesia. This study found that 0,67% (n = 247) of respondents (n= 37,460) who diagnosed with TB and respondents who diagnosed with DM are 2,8% (n=1,061). The bivariate analysis found that smoking history (p-value = 0,035), diagnosis of cancer (p-value 0,017), and poor ventilation (p-value = 0,017) are the risk factor that significantly associated with TB incident among DM Patient in Indonesia. Diagnosis of cancer is the most dominant factor that influencing incident of TB among DM Patients in Indonesia (sig 0.011 <0.05). The need for further research on cancer following TB diagnosis to maximize the effective screening and early detection strategies.

Abstract : — Background: Olfactory meningiomas are rare tumors originating from olfactory groove dura cells, accounting for a small percentage of intracranial meningiomas. They present with visual disturbances, olfactory dysfunction, and severe headaches. Diagnosis is made using MRI, showing well-defined masses with specific enhancement patterns. Multidisciplinary management involves surgical resection while preserving neurological function. We present a case of a giant olfactory meningioma complicated by a postoperative brain abscess, emphasizing the significance of timely recognition and treatment of infectious complications. Case Presentation: A 58-year-old male with worsening symptoms of severe headaches, visual and olfactory disturbances, and declining visual acuity was diagnosed with a giant olfactory meningioma. MRI revealed a large tumor in the olfactory groove, compressing surrounding structures. A multidisciplinary team planned a bifrontal craniotomy for maximal safe resection. Postoperatively, the patient developed fever, headaches, and confusion. Imaging confirmed a brain abscess at the surgical site, likely due to infection. Empiric antibiotics were initiated, and a stereotactic aspiration was performed, yielding Staphylococcus aureus growth. Antibiotics were adjusted accordingly, leading to gradual improvement in the patient's condition. Intravenous antibiotics were continued for two weeks, and close monitoring for treatment response and residual deficits was conducted.

Abstract : Morea (Angola bicolor) and moringa leaves (Moringa oleifera) a high-protein and essential amino acid foods that can be processed into nuggets so that they can be used as an alternative high-protein snack. The research objective was to analyze the acceptability of the Morea Nugget formulation with the addition of moringa leaves. This study used a completely randomized design with three treatments and three repetitions. Consumer acceptance was carried out by 50 teenagers, aged between 16-19 years, with an average age of 17.8 years, who were high school students in Ambon city. The consumer test was carried out in an individual sensory booth, which consisted of 3 sessions, tasting the 1st nugget formula, 2nd nugget formula, and 3rd nugget formula with a 10-minute break between them. During the tasting, participants were required to fill out a hedonic test questionnaire that asked about preferences for the color, aroma, taste, and texture of the nuggets using a 7-point hedonic scale from 1-“Dislike very much” to 7-“Like very much”. Data were analyzed by Friedman's test at a 95% confidence level. The average consumer's acceptance of color, aroma, taste, and texture is between slightly moderate and like moderate. Results showed that there was an effect of the composition of morea, moringa leaves, and wheat flour on the acceptability of the color, aroma, taste, and texture of the nuggets. The acceptability of morea nuggets with the addition of moringa leaves from the aspects of color

Abstract : Indonesia has quite large marine resources so it is necessary to diversify processed sausage products by utilizing shellfish as its raw material. This study aimed to analyze the acceptability of pipi shellfish (Plebidonax deltoides) sausage as a high protein food. This study used a Complete Random Design with three treatments and three repetitions. The consumer acceptance was carried out by 50 teenagers, high school students in Ambon city, Indonesia (27 girls and 23 boys), aged between 16-19 years, and average age between 17,5 ± 0,91 years. The consumer test was carried out in an individual sensory booth in 3 (three) sessions: tasting sausage formula (1), tasting sausage formula (2), and tasting sausage formula (3) with a 10-minute break between them. During the process, participants were required to fill out a hedonic test questionnaire, asking about their preferences in color, aroma, taste, and texture of the sausage using a 7-point hedonic scale (1 “Dislike very much” to 7 “Like very much”). The data then were analyzed by Friedmant test at 95% confidence level. The average consumer acceptance was between “like slightly” to “like moderate”. The statistical test showed that there was an effect of the proportion of the pipi shellfish on the acceptability of the color, aroma, taste, and texture of the pipi shellfish sausages. The most preferred acceptability of the pipi shellfish sausages was found in the formulation of pipi shellfish sausages with the proportion of 90% pipi s

Abstract : Inequity in health services still occurs after the implementation of the National Health Insurance (JKN). Periodic monitoring of the performance of Primary Health Care (FKTP) is the key to reducing health service inequity as the main goal of JKN. This study aims to define indicators to measure performance and capacity that need to be updated. The research began with a systematic literature review (SLR) to identify indicators that can be used to measure the capacity and performance of FKTP. Measurement indicators obtained from SLR are then selected through Consensus Decision Making Group (CDMG). The indicators agreed on in the CDMG to articulate indicators that will use in measuring the capacity of primary health care in Indonesia are General practitioner (GP) ratio, the adequacy of health infastructure, and the amount of capitation received. Indicators that will use in measuring the performance of primary health care are first contact, cronic disease program routine inspection of diabetic patients and hypertensive patients, percentage of patients who come without being referred to the hospital, non-specialty referral ratio, percentage of patients referred back, percentage of screening: breast cancer, cervical cancer, heart disease, diabetes mellitus, and hypertension; and diabetes education. This study identified indicators to measure the capacity and performance of primary healthcare facilities that can be applied in Indonesia.