20 FRIDAY

AUGUST 30-SEPTEMBER 5, 2019 HEALTHCARE

Suspect dengue if child weak

and sleeps excessively FREEPIK

Esti
INDEPENDENT OBSERVER
Dengue Hemorrhagic Fever (DHF)
is common in tropical and subtrop-
ical regions. Since becoming known
in Indonesia in 1968, the number
of cases and the spread of DHF has
tended to show an increase. By 2010
around 70 percent of districts or cit-
ies in Indonesia were still included in
the “DHF Endemic” category. DHF is
an acute infection caused by the DHF
virus and is transmitted to humans
through the bite of female Aedes ae-
gypti or Ae albopictus mosquitoes in-
fected with the DHF virus.
The World Health Organization
(WHO) records 390 million dengue
infections occur every year, a figure
shared by Dr. Mulya Rahma Karyanti,
Sp.A(K), MSc, from the Division of In-
fection and Tropical Pediatrics at the
Department of Child Health FKUI-
RSCM, in Jakarta, some time ago.
She explained how around 500,000
people with severe symptoms require
hospitalization every year, most of
ESTI/IO
dr. Mulya Rahma Karyanti, Sp. A (K), MSc
them children. Around 2.5% die. In
Indonesia, as of January 2019, there
were 15,132 dengue cases, with 145
deaths.
A patient is suspected of suffering
from DHF when he or she carries a
high fever – and especially if anoth-
er DHF sufferer is in the immediate
environment. “Mosquitoes like to
bite in the morning and evening, at
09.00-10.00 and 16.00-17.00. The
incubation period is seven days from
mosquito bites until symptoms are
evident. We should be aware of pos-
sible DHF if a child runs a sudden
high fever for 2-7 days, complains of
dizziness or headache, nausea, ab-
dominal pain or muscle aches; this
may be accompanied by diarrhea and
red spots appearing on the surface of
the skin, nosebleeds, bleeding gums,
or vomiting blood.”
Other symptoms include cold and
clammy hands and feet, weakness in
the child and excessive sleepiness.
“Use warm compresses or heat-re-
ducing medication if there is still
a fever, but don’t wrap the child in
blankets. Drugs that must be avoid-
ed are acetosal, mefenamic acid,
steroids, antibiotics, and ibuprofen,
because they can exacerbate stomach
disorders and result in bleeding,” she Break the life cycle of mosquitoes to prevent dengue transmission.
warned.
Then, when should dengue pa-
tients be hospitalized? “If dengue is blood vessels into the surrounding by mobilizing and empowering com- because of the age of mosquitoes,
not accompanied by another condi- tissues, so the body’s need for fluids munity in efforts to eradicate mosqui- reaching ten days, she said. Mosqui-
tion, such as diabetes or hyperten- need to be met to prevent the condi- to nests (PSN). This activity is known toes must suck blood to ripen their
sion, a patient could be treated as tion from worsening. Plasma leakage as “3M plus”, which is to drain and eggs. “Mosquitoes carrying the den-
an outpatient, provided they drinks can cause shock that can even lead to close off water reservoirs and bury gue virus live in clean water and lay
sufficient water. DHF patients, espe- death. Therefore, the main treatment used goods. Prof. dr. Saleha Sungkar, eggs every three days. There are up to
cially children, are usually reluctant for dengue is to replace fluids and DAP & E, Ms, Sp Park, from the FKUI 150 eggs per cycle. Preferred nesting
to drink, and this is dangerous, be- electrolytes; it is not enough to drink Parasitology Department, highlighted sites are damp environments such as
cause a patient can go into shock,” plain water, but preferably water that the importance of breaking the life cy- standing water, as in reservoirs. So,
she explained. contains electrolytes, as recommend- cle of a mosquito carrying a virus with the most effective way to break the
DHF leaks blood plasma contain- ed by WHO. 3M movement. DHF cycle is to diligently drain pots,
ing water, sugar, and electrolytes from Prevention of dengue fever is done Fogging is not sufficiently effective, tubs and pools,” she said.

Healthcare future through

FREEPIK

telemedicine
Raihan Ismail
INDEPENDENT OBSERVER
Jakarta - The popular accep-
tance of ​​health examinations and
evaluation using telecommuni-
cations network devices is rapid-
ly increasing, due to advances in
multimedia, imaging, computers,
information systems and telecom-
munications; one aspect of this is
telemedicine.
In general, telemedicine refers
to the use of information and com-
munications technology, combined
with medical expertise, to provide
Engaging in sufficient preparations before competitive running is important
health services, ranging from con-
sultation, diagnosis and medical
to go visit a doctor. Telemedicine
brings the doctor to you,” said Vice
General Director of Nickl & Part-
ner Architekten AG and Receiver
of Chinese Healthcare Architect
Young Leader Award in 2018, Jian
Yang during a seminar, at Wimo
Building, Kemang, South Jakarta
(26/8).
Jian holds up China as exam-
ple of a country exploiting Tele-
medicine; it began there in the
mid-1980s, and early Chinese
telemedicine was mostly based on
store-and-forward techniques, as
the telecommunications infrastruc-
ture required for real-time work
was not available.
the Golden Health Network (GHN),
the International MedioNet of Chi-
na (IMNC) network and the People’s
Liberation Army (PLA) telemedicine
network.
Still, research into and applica-
tion of telemedicine is at a relative-
ly early stage in China. “Everything
has changed – not just the younger
doctors, who know how to use this
application, but also the older gen-
eration,” Jian explained.
To be able to run well, this sys-
tem requires communication tech-
nology that allows the transfer of
data in the form of video, sound
and images interactively, in real
time, by integrating them into vid-

Much misinformation about running

Public awareness of the impor-
tance of sports to maintain health is
revealed by the many outdoor sports
activities held, one of which is a foot
race. The number of running races in
Indonesia has increased 33 percent a
year. From 288 events in 2017, there
will be 341 in 2018. This trend will
certainly increase because up to Au-
gust this year 253 activities will have
been held.
Such an increasing number of
activities is directly proportional to a
rising death toll of participants tak-
ing part in them, however. One of the
reasons was that many runners who
were not aware of their actual phys-
ical limitations forced themselves to
enter the race without special prepa-
ration, aside from ignoring the impor-
tance of stretching before and after
the race. The University of Indonesia
Faculty of Medicine Alumni Associa-
tion (FKUI Iluni) noted five fatalities in
four running events in 2018 up until
mid-2019.
Because of this issue, the FKUI Il-
uni will hold the KedokteRan 2019. In
addition to commemorating the 69th
Anniversary of the Faculty of Medi-
cine (FKUI), the KedokteRan 2019 will
also provide education about compet-
itive running in Indonesia. The chief
organizer of the event, Dr. Jack Pra-
dono Handojo, MHA, said that cases
of sudden death during a foot race
were usually due to improper prepa-
ration and might have been triggered
by false information that had not
been medically validated.
“The risk of injury is potentially
very large in competitive running, in
terms of both direct as well as indirect
injuries. If treatment is inexact, there
is a risk of sudden death,” Dr. Jack
told the media in Jakarta on Thurs-
day (8/22/2019).
One of the false pieces of informa-
tion is about not drinking during run-
ning as it is said to induce vomiting.
“While the fact is that running makes
the body sweat as a sign of working
muscle so the body must be hydrat-
ed. Drinking water will prevent the
body from suffering heatstroke,” he
stated.
The 2019 KedokteRan will be held
at the University of Indonesia Cam-
treatment, without limited space In recent years, telemedicine in eo-conferencing support technolo-
or implemented remotely. China has developed quickly, with gy. Included as a supporting tech-
“Telemedic i ne is a tool, it the rapid growth of telecommuni- nology for telemedicine is image
changes an entire health system cation networks. China now has processing software for diagnosing
pus in Depok, covering a distance of & service, so that you don’t need three major telemedicine networks: a medical condition.
3 kilometers. Participants who reach
YOGA AGUSTA/IO
the finish line will get a medal. Be-
forehand, FKUI Iluni will present
three health education topics, name-
ly, running injury and sudden death
prevention in August, pulmonary re-
suscitation (RJP) in September, and
healthy hydration while exercising in
October.
“We target the goals of a healthy
lifestyle, especially in the context of
exercises, can be achieved with the
objective of zero accidents,” he said.
He hopes that the KedokteRan
2019 will be able to make a positive
contribution to the community, espe-
cially with the increasing number of
people suffering from non-commu-
nicable diseases (PTM) as is shown
by the 2018 Basic Health Research
(Riskesdas). PTM can be prevent-
ed by taking regular health checks,
abstaining from cigarette smoking,
doing physical exercises, having a
healthy diet and adequate rest, and
managing stress. The suggested time
for doing physical exercises is 30 min-
utes a day. (est) Jian Yang gives presentation to the audience about Telemedicine, at Wimo Building, Kemang, South Jakarta (26/8).