Medicine and Health Sciences Commons^™

Faktor – Faktor Yang Mempengaruhi Kejadian Leptospirosis Di 2 Kabupaten Lokasi Surveilans Sentinel Leptospirosis Provinsi Banten Tahun 2017 – 2019, Novie Ariani, Tri Yunis Miko Wahyono

Jurnal Epidemiologi Kesehatan Indonesia

Leptospirosis termasuk dalam zoonosis, penyakit menular yang disebabkan oleh bakteri Leptopira. Terjadinya kasus leptopsirosis terkait erat dengan rantai penularan, dan rantai penularan leptospirosis terkait dengan banyak faktor. Faktor risiko leptospirosis dapat diklasifikasikan ke dalam 3 kelompok utama: faktor hewan, faktor lingkungan, dan faktor manusia. Banten yang merupakan daerah endemis Leptospirosis, terpilih untuk menjadi lokasi surveilans Sentinel Leptospirosis, tepatnya berlokasi di Kab, Tangerang dan Kab. Serang. Penelitian tentang leptospirosis masih sangat jarang dilakukan di provinsi Banten, maka dilakukan penelitian dengan tujuan untuk mengetahui faktor faktor yang mempengaruhi kejadian leptospirosis di 2 kabupaten lokasi surveilans sentinel leptopspirosis provinsi Banten selama tahun 2017 …

Hubungan Diabetes Mellitus Terhadap Kejadian Disabilitas Untuk Activities Of Daily Living (Adl) Di Indonesia, Halimah Siregar, Krisnawati Bantas

Jurnal Epidemiologi Kesehatan Indonesia

Diabetes Mellitus salah satu PTM tertinggi didunia, prevalensi global diabetes di antara orang dewasa di atas 18 tahun telah meningkat dari 4,7% pada 1980 menjadi 8,5% pada 2014. Penelitian yang dilakukan Edward ditemukan bahwa> 50% orang tua dengan diabetes melaporkan kesulitan melakukan tugas fisik sehari-hari. Hal ini sejalan dengan penelitian Rindra bahwa individu yang menderita diabetes akan berisiko 3kali (95% CI; 2.860-3.288) dibandingkan individu yang tidak menderita diabetes untuk mengalami disabilitas. Tujuan penelitian ini melihat hubungan diabetes mellitus dengan kejadian disabilitas untuk aktivitas kehidupan sehari-hari (ADL). Penelitian ini desain cross sectional data IFLS 2015, di analisis sampai multivariat menggunakan Regressi …

Incidence Of Neonatal Abstinence Syndrome Epidemic And Associated Predictors In Nevada: A Statewide Audit, 2016–2018, Kavita Batra, Patricia Cruz, Chad L. Cross, Neeraj Bhandari, Farooq Abdulla, Jennifer R. Pharr, Mark P. Buttner

Environmental & Global Health Faculty Research

Neonatal abstinence syndrome (NAS) is a postnatal withdrawal syndrome among neonates born to mothers with drug dependence disorders. NAS poses a significant public health challenge nationally, with a six-fold increase in incidence (1.2 to 6.7 per 1000 hospital births/year) from 2000–2016. Besides national data, it is critical to quantify NAS at the state-level to identify target areas for prevention. The objectives of this study were to ascertain statewide burden, including county and regional distribution of NAS in Nevada during 2016–2018, and to investigate potential factors associated with NAS. This study utilized hospital administrative data, and a total of 100,845 inpatient …

Does Social Protection Affect Infant Welfare?, Felix Wisnu Handoyo

Jurnal Ekonomi Kesehatan Indonesia

This research aims to assess the impact of conditional cash transfer (PKH) program on infant welfare. The poor people usually treated their babies inadequately due to of lack of resources. Government intervention by social protection program is expected to contribute to increase infant welfare. Infant welfare determines their quality of future life, and to some extent will determine the quality of human resources in a country. This research uses two micro data set which are Indonesia family life survey (IFLS) 4 and 5. The method is using econometrics with difference-in-differences (DiD) model to measure impact of the CCT program. Then, …

Determinan Pengeluaran Rokok Elektrik Di Kota Bandung, Estro Dariatno Sihaloho, Donny Hardiawan, Mochamad Thoriq Akbar, Irlan Adiyatma Rum, Adiatma Y. M. Siregar

Jurnal Ekonomi Kesehatan Indonesia

the Convenience Sampling and Slovin formula, interviews 200 users of e-cigarettes in Bandung. This paper uses Multiple Linear Regression (MLR) with STATA 12. Total expenditure per month in electronic cigarettes, the price of electronic cigarette suction machine tools, motivation in using electronic cigarettes, the amount of electronic cigarettes liquid taste, knowledge about the risk of using electronic cigarettes, and the status dual user of conventional cigarettes and electronic cigarettes are has been used as variables in this research. The regression result shows that the price of electronic cigarettes, motivation to use electronic cigarettes, the amount of electronic cigarettes liquid taste …

Ex Ante Moral Hazard Pada Sistem Jaminan Kesehatan Nasional (Jkn) Di Indonesia, Fajar Nurhaditia Putra

Jurnal Ekonomi Kesehatan Indonesia

This paper contributes to the empirical evidence of ex ante moral hazard on the National Health Insurance System (NHIS) in Indonesia. We find that JKN participation has a negative relationship with physical activity and positive relationship with smoking spending. Furthermore, by calculating marginal effect we obtained that JKN participation reduce the probability of physical activity by 2.7% and also reduce the intensity of individual physical activity. For the smoker, JKN Participation is expected increase in their spending for smoking. The result indicates that there is an evidence of ex ante moral hazard since there is a positive relationship between JKN …

Evaluasi Dampak Program Keluarga Harapan Terhadap Pemanfaatan Fasilitas Pelayanan Kesehatan Untuk Layanan Persalinan Di Indonesia (Analisis Data Susenas Tahun 2018), Gede Wirabuana Putra, Pujianto Pujianto

Jurnal Ekonomi Kesehatan Indonesia

Program Keluarga Harapan (PKH) aims to improve the standard of living of the people as measured through the Human Development Index (IPM) and the level of inequality in expenditure of the Indonesian population (Gini Ratio) by accommodating the utilization of health services as one of the indicator. In 2018 there are still 16% of deliveries that were not performed by trained health workers at healthcare facilities. One health component that is required as a PKH Beneficiary Family (KPM) is that pregnant women are required to deliver in a health care facility. The purpose of this study is to look at …

Analisis Faktor Socioeconomic Status (Ses) Terhadap Kesehatan Mental: Gejala Depresi Di Indonesia, Yustika Dewi, Riki Relaksana, Adiatma Y. M. Siregar

Jurnal Ekonomi Kesehatan Indonesia

According to the World Federation of Mental Health, 1 of 5 people in the world experiences a mental disorder. Several studies have mentioned that one of the primary factors that cause mental disorders is the low of socioeconomic status in developing countries. Therefore, this study was conducted to determine the influence of socioeconomic status factors on depressive symptoms as a mental disorder, in one of the developing countries, Indonesia. This study uses a quantitative method based on secondary data taken from the Indonesia Family Life Survey (IFLS) wave 5 using the CESD-R 10 questionnaire for depressive symptom variables. Depression symptom …

Evaluasi Implementasi Jaminan Persalinan (Jampersal) Di Indonesia, Mazda Novi Mukhlisa, Rosa Estetika

Jurnal Ekonomi Kesehatan Indonesia

Jampersal as a transfer fund from central to district government is provided to support maternal and child health services aiming to increase access to health services for pregnant women, childbirth and postpartum mothers, also newborns to competent health facilities. This analysis aimed to evaluate the use of Jampersal in increasing institutional delivery using quantitative and qualitative approaches. For the quantitative approach, this analysis used Riskesdas 2018 and routine data from the Ministry of Health. The data was analyzed using benefit incidence analysis (BIA) and linear regression. The quantitative approach was conducted at two levels, the individual level (80,459 pregnant women) …

Urgency Of Resilience And Optimism In Improving Students’ Mental Health, Retno Mangestuti, Yulia Sholichatun, Rahmat Aziz, Esa Nur Wahyuni

Jurnal Kajian Bimbingan dan Konseling

Mental health study has become an intriguing and vital carried out by various experts according to their scientific discipline. This study aims to test the role of optimism as a mediator for the relationship of resilience with students’ mental health. The subjects were 320 students in four state Islamic colleges in East Java, Indonesia. Data obtained through the mental health scale, resilience scale, and optimism scale. Data were analyzed using regression analysis techniques. The analysis shows that the resilience has direct effects of 1.398 (p bigger than 0.01) and indirect effects of 0.312 (p bigger than 0.01) through optimism on …

Genetic Variants In Immune Related Genes As Predictors Of Responsiveness To Bcg Immunotherapy In Metastatic Melanoma Patients., Romela Irene Ramos, Misa A Shaw, Leland J Foshag, Stacey L Stern, Negin Rahimzadeh, David Elashoff, Dave Hoon

Articles, Abstracts, and Reports

Adjuvant immunotherapy in melanoma patients improves clinical outcomes. However, success is unpredictable due to inherited heterogeneity of immune responses. Inherent immune genes associated with single nucleotide polymorphisms (SNPs) may influence anti-tumor immune responses. We assessed the predictive ability of 26 immune-gene SNPs genomic panels for a clinical response to adjuvant BCG (Bacillus Calmette-Guérin) immunotherapy, using melanoma patient cohorts derived from three phase III multicenter clinical trials: AJCC (American Joint Committee on Cancer) stage IV patients given adjuvant BCG (pilot cohort; n = 92), AJCC stage III patients given adjuvant BCG (verification cohort; n = 269), and …

Identifying Personalized Metabolic Signatures In Breast Cancer., Priyanka Baloni, Wikum Dinalankara, John C Earls, Theo A Knijnenburg, Donald Geman, Luigi Marchionni, Nathan D Price

Articles, Abstracts, and Reports

Cancer cells are adept at reprogramming energy metabolism, and the precise manifestation of this metabolic reprogramming exhibits heterogeneity across individuals (and from cell to cell). In this study, we analyzed the metabolic differences between interpersonal heterogeneous cancer phenotypes. We used divergence analysis on gene expression data of 1156 breast normal and tumor samples from The Cancer Genome Atlas (TCGA) and integrated this information with a genome-scale reconstruction of human metabolism to generate personalized, context-specific metabolic networks. Using this approach, we classified the samples into four distinct groups based on their metabolic profiles. Enrichment analysis of the subsystems indicated that amino …

Epidemiology Of Non-Alcoholic Fatty Liver Disease And Risk Of Hepatocellular Carcinoma Progression, Krishna Chaitanya Thandra, Adam Barsouk, Kalyan Saginala, John Sukumar Aluru, Prashanth Rawla, Alexander Barsouk

Kimmel Cancer Center Faculty Papers

Non-alcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease worldwide. Its incidence has grown alongside the increasing global prevalence of type 2 diabetes, obesity, and metabolic syndrome. The risk of progression to hepatocellular carcinoma for nonalcoholic steatohepatitis patients over 5 years is 8%, and despite targeted and immunotherapy treatment advances, HCC maintains a bleak 5-year survival of 19%. NAFLD’s primary risk factors are components of metabolic syndrome as well as possible sleep disturbances. NAFLD is most common among men 50-60 years of age, though incidence in women catches up after menopause. In the US, Hispanics are …

Malignant Eccrine Adenoma With Sarcomatous (Heterologous) Components: Report Of A Rare Skin Adnexal Neoplasm With Literature Review, Hira Ishtiaq, Muhammad Abdulwaasey, Muhammad Usman Tariq, Saira Fatima

Department of Pathology and Laboratory Medicine

Malignant eccrine spiradenoma (MES) is an exceedingly rare skin adnexal tumor that arises from pre-existing benign eccrine spiradenoma (BES). MES tumors show a wide spectrum of morphological features, posing a diagnostic challenge to the pathologist. Sarcomatous (heterologous) elements are seen in a few of these tumors, further complicating the morphological picture. We herein describe a case of a 66-year-old male who presented with a recently enlarging, ulcerated, nodular skin lesion over the right leg that had been present for the last 25 years. The patient underwent wide local excision of the tumor. Microscopic examination revealed a neoplastic lesion comprising benign …

Trimming And Ph Effects On Nickel Ion Release From Stainless Steel Crowns Of Primary Teeth, Milad Arab-Nozari, Mohammad Shokrzadeh, Nastaran Zamehran, Jamshid Yazdani Charati, Azam Nahvi

Journal of Dentistry Indonesia

Objective: Stainless steel crowns (SSCs) are preformed metal crowns used to restore severely decayed primary teeth. The aim of this study is to evaluate the effects of pH changes and SSC margin trimming on nickel release in artificial saliva solution. Methods: A total of 90 SSCs were divided into three groups and placed in 35 ml of artificial saliva of pH 6.8, 5, and 3.5. Another group consisting 30 SSCs with trimmed margins was placed in saliva of pH 6.8. All SSCs were incubated at 37°C. The concentration of released nickel was assessed on days 1, 7, 14, 21, and …

Evaluation Of Maxillary Impacted Teeth And Their Relationship With Adjacent Teeth And Anatomic Structures With Cone Beam Computed Tomography, Emre Köse, Emin Murat Canger

Journal of Dentistry Indonesia

Objective: This study aimed to examine the cone beam computed tomography (CBCT) images of impacted maxillary canines and mesiodentes. Methods: This retrospective radiographic study was performed on 177 patients with 200 impacted maxillary canines and 12 mesiodentes. Using CBCT images, the unilateral/bilateral occurrence, presence of root dilaceration, mesio-distal and buccopalatal location, impaction condition, contact region of adjacent teeth, presence and degree of root resorption of adjacent teeth, dental follicle width, closest distance to the nasal cavity, nasopalatinal canal, and maxillary sinus were assessed. For mesiodentes, the types, follicle width, direction, and relationship with anatomical structures were evaluated. Results: No statistical …

Effect Of Craniofacial Growth Pattern On Head Posture, Burak Kale, Muhammed Hilmi Buyukcavus

Journal of Dentistry Indonesia

Head posture refers to the upright position of the head of a standing or sitting subject. The literature reports that head posture is affected by many factors. Objective: To evaluate differences in head posture according to craniofacial growth pattern. Methods: A total of 163 individuals (83 females and 80 males) were included in this study. Patients were divided into three groups according to ANB angle as Class I, Class II, and Class III, and each group was divided further into three subgroups according to SN/GoGn angle as hyperdivergent, normodivergent, and hypodivergent. The patients were compared in terms of head posture …

Comparative Evaluation Of Apical Extrusion Debris And Irrigant During Calcium Hydroxide Removal And Endodontic Instrumentation Using Three Types Of Instrumentation Systems, Selen İnce Yusufoğlu, Esma Saricam

Journal of Dentistry Indonesia

Many root canal preparation techniques and instruments produce apically extruded materials to a certain extent depending on the preparation system adopted. The extrusion of debris from the apical foramen during chemomechanical preparation may cause postoperative pain and failure of endodontic treatment. Objective: This study evaluates the differences in the apical extrusion of debris and calcium hydroxide (CH) during endodontic instrumentation by using Reciproc Blue (RB), WaveOne Gold (WOG), and F6 Skytaper (F6). Methods: Six experimental study groups (n = 13) were established. The root canal procedures for all groups were prepared with different methods: Group I: One Shape (OS) instrumentation, …

Complete Edentulism Of Dental Patients In Northeastern Turkey: Prevalence And Radiographic Findings On Panoramic Radiographs, Elif Sadik, Ceren Gökmenoğlu, Cankat Kara

Journal of Dentistry Indonesia

The prevalence of complete edentulism varies from country to country and from one region to another. Previous studies have reported the high prevalence of significant radiographic findings in edentulous patients. Objectives: This study aimed to determine the prevalence of complete edentulism retrospectively and to evaluate the frequency and location of significant radiographic findings on panoramic radiographs in edentulous jaws of dental patients in northeastern Turkey. Methods: The digital panoramic images of all ≥35 year-old patients admitted to our faculty from January 2014 to August 2015 were evaluated. The prevalence of complete edentulism was determined among 8314 panoramic images retrospectively. Radiographic …

Comparison Of Medicaments Used In Regenerative Endodontics In Terms Of Dentin Microhardness And Adhesion Of Mineral Trioxide Aggregate, Esma Saricam, Neslihan Bulak, Esra Özyurt, Suat Özcan

Journal of Dentistry Indonesia

Eliminating microorganisms in the root canal system is important for the success of regenerative endodontics. Objective: This study evaluated the effects of different antibiotic pastes used for regenerative endodontic procedures on dentin microhardness and the push-out bond strength of mineral trioxide aggregate (MTA) to root canal dentin. Methods: Sixty-four maxillary central incisors were instrumented and randomly divided into the following four groups (n = 16) for medicament treatment: triple antibiotic paste, amoxicillin+clavulanic acid, cefaclor, and control (no dressing). After 21 days, two root segments were obtained by sectioning the roots horizontally for push-out and microhardness evaluations. MTA was placed into …

Conservative Management Of A Maxillary Lateral Incisor With An Apical Third Root Perforation: A Case Report, Nurul Astrina Damayanti, Dian Natalina Fuddjiantari, Tri Endra Untara, Yulita Kristanti

Journal of Dentistry Indonesia

Perforation is one of iatrogenic factors responsible for endodontic failure. Root canal perforation can occur at the cervical, mid-root, or apical levels. Non-surgical (conservative) perforation repair offers less tissue destruction and easy isolation during treatment. Objective: To explain the management of apical third root perforation using the conservative technique. Case Report: This case report describes a 29-year-old patient who came for management of right maxillary lateral incisor with apical third root perforation on the labial aspect. The location of apical third root perforation was evaluated using cone beam computed tomography (CBCT). Root perforation was sealed using mineral trioxide aggregate (MTA). …

Reliability Of Panoramic Radiography For Vertical Facial Pattern Assessment, Waqar Jeelani, Maheen Ahmed, Shakeel Ahmed

Journal of Dentistry Indonesia

The orthopantomogram (OPG) is a common dental screening radiograph that has multiple implications. However, lateral cephalogram is the investigation of choice for the assessment of vertical facial pattern. Objective: The aim of the current study was to investigate the validity of an OPG parameter i.e. panoramic gonial angle (PGoA) for the assessment of the vertical facial pattern. Methods: A cross-sectional study was conducted on the pretreatment OPG and lateral cephalograms of 200 orthodontic patients aged 15-40 years. The PGoA was measured on both sides and an average was used for statistical analysis. The Pearson’s correlations of PGoA were measured with …

Effect Of Salivary Ph On Water Absorption And Solubility Of Enhanced Resin- Modified Glass Ionomer, Yosi Kusuma Eriwati, Muhammad Dhiaulfikri, Ellyza Herda

Journal of Dentistry Indonesia

The influence of immersion period and liquid pH on water absorption capacity and solubility of the resin-modified glass ionomer cement (RMGIC) raises the question of whether the critical pH of hydroxyapatite and fluoroapatite influences the water absorption capacity and solubility of enhanced resin-modified glass ionomer (ERMGI). Objective: This study was designed to investigate the effects of immersion periods and various pH levels of artificial saliva on the water absorption and solubility of RMGIC and ERMGI. Methods: Fifty-four disc-shaped specimens (15 mm x 1 mm) of enhanced RMGI (ACTIVATM BioACTIVE-RESTORATIVE, Pulpdent, Watertown, MA, USA) and 54 disc-shaped specimens (15 mm x …

The Effectiveness Of Behavioral Counseling As Intervention Of Abasement, Aggression, And Endurance Of High School Students, I Ketut Gading

Jurnal Kajian Bimbingan dan Konseling

This study aims to determine: (1) the effectiveness of behavioral counseling with assertive training techniques to increase the nature of abasement, (2) the effectiveness of behavioral counseling with shaping techniques to reduce the nature of aggression, and (3) the effectiveness of behavioral counseling with self-management techniques to increase the nature of endurance. This study employed an experimental study with a pre-test post-test control group. Participants involved were 37 class XI students of the Lab. School Undiksha. To recruit the participants, a purposive sampling technique was used by which the participants were students with low abasement, high aggression, and low endurance. …

Integration Of Cardiovascular Risk Assessment With Covid-19 Using Artificial Intelligence., Jasjit S Suri, Anudeep Puvvula, Misha Majhail, Mainak Biswas, Ankush D Jamthikar, Luca Saba, Gavino Faa, Inder M Singh, Ronald Oberleitner, Monika Turk, Saurabh Srivastava, Paramjit S Chadha, Harman S Suri, Amer M Johri, Vijay Nambi, J Miguel Sanches, Narendra N Khanna, Klaudija Viskovic, Sophie Mavrogeni, John R Laird, Arindam Bit, Gyan Pareek, Martin Miner, Antonella Balestrieri, Petros P Sfikakis, George Tsoulfas, Athanasios Protogerou, Durga Prasanna Misra, Vikas Agarwal, George D Kitas, Raghu Kolluri, Jagjit Teji, Michele Porcu, Mustafa Al-Maini, Ann Agbakoba, Meyypan Sockalingam, Ajit Sexena, Andrew Nicolaides, Aditya Sharma, Vijay Rathore, Vijay Viswanathan, Subbaram Naidu, Deepak L Bhatt

Heart and Vascular Articles

Artificial Intelligence (AI), in general, refers to the machines (or computers) that mimic "cognitive" functions that we associate with our mind, such as "learning" and "solving problem". New biomarkers derived from medical imaging are being discovered and are then fused with non-imaging biomarkers (such as office, laboratory, physiological, genetic, epidemiological, and clinical-based biomarkers) in a big data framework, to develop AI systems. These systems can support risk prediction and monitoring. This perspective narrative shows the powerful methods of AI for tracking cardiovascular risks. We conclude that AI could potentially become an integral part of the COVID-19 disease management system. Countries, …

Analisis Pembiayaan Pada Program Kesehatan Ibu Dan Anak Melalui Metode Health Account Di Kabupaten Jember, Geofani Armahedi, Eri Witcahyo

Jurnal Ekonomi Kesehatan Indonesia

Maternal and Child Health (MCH) is unresolved health problems in Indonesia. Mother and child are family members who need attention and priority in delivery of health. In 2012, there were six provinces that were focus of government in resolve problems of maternal mortality, one of them was East Java. Jember District is one of district in East Java that is still having problems with MCH. The addition of the budget in increasing maternal and child health has not been running optimally in Jember. Therefore, it is necessary to research with Health Account approach related to MCH in Jember District. This …

Evaluasi Ekonomi Parsial Antara Pemberian Terapi Rivaroxaban Dan Terapi Kombinasi (Unfractionated Heparin + Warfarin) Untuk Pengobatan Trombosis Vena Dalam Pada Pasien Kanker Di Rumah Sakit Kanker Dharmais, Wirda Syari, Mardiati Nadjib, Dody Ranuhardy

Jurnal Ekonomi Kesehatan Indonesia

Based on previous studies, rivaroxaban therapy has several advantages compared to combination therapy (UFH+warfarin) for the treatment of deep vein thrombosis (DVT). However, the use of rivaroxaban in Dharmais Cancer Hospital is still low. This partial economic evaluation study aims to analyze cost and outcome of rivaroxaban therapy and combination therapy (UFH+warfarin) for DVT treatment in cancer patients at the Dharmais Cancer Hospital during 2016 – 2018. Data collection was done using cohort-retrospective and individual unit of analysis. Due to limited number of patient treated with rivaroxaban therapy within 3-6 months, we estimated the cost and outcome related to patients …

Hubungan Realisasi Alokasi Dana Kesehatan Dan Pemanfaatan Pelayanan Kesehatan Ibu Di Indonesia, Izzun Nafiah

Jurnal Ekonomi Kesehatan Indonesia

Increasing the utilization of maternal health services is an important target for the Indonesian government to increase the achievement of the SDGs targets. Funds budgeted for the health sector are at least 5% of the APBN and 10% of APBD excluding salaries. This is smaller than countries in the low-income category, while WHO shows that an increase in the allocation of health funds has a positive relationship with the degree of public health. Therefore, this study aims to determine whether there is a relationship between the realization of health fund allocation and the utilization of maternal health services in Indonesia. …

Strategi Implementasi Jaminan Kesehatan Nasional Dengan Metode Balanced Scoredcard: Studi Kasus Di Rumah Sakit X Tangerang Tahun 2018, Luh Putu Sinthya Ulandari, Jaslis Ilyas, Putu Ayu Indrayathi

Jurnal Ekonomi Kesehatan Indonesia

One of the private hospital successful implementation the National Health Insurance with cost efficiency without neglecting the quality of service is X Hospital. This study aimed to finding out the strategy of X Hospital in the implementation of the National Health Insurance with Balanced Scorecard. The research was conducted in May 2018 using qualitative approach. Data was collected through in-depth interview to 7 informants from hospital and 2 informants from BPJS Kesehatan. The subjects were selected purposively and the data was analyzed using thematic analysis. The results show that there are several strategies that have been developed and implemented, including: …

Post-Cesarean Delivery Analgesic Outcomes In Patients Maintained On Methadone And Buprenorphine: A Retrospective Investigation., Joseph L Reno, Michael Kushelev, Julie H Coffman, Mona R Prasad, Avery M Meyer, Kristen M Carpenter, Marilly S Palettas, John C Coffman

Women’s Health Articles

BACKGROUND: Despite the increasing prevalence of opioid use disorder (OUD) in pregnant women, there are limited studies on their anesthesia care and analgesic outcomes after cesarean delivery (CD).

METHODS: Patients with OUD on either buprenorphine or methadone maintenance therapy who underwent CD at our institution from 2011 to 2018 were identified. Anesthetic details and analgesic outcomes, including daily opioid consumption and pain scores, were compared between patients maintained on buprenorphine and methadone. Analgesic outcomes were also evaluated according to anesthetic type (neuraxial or general anesthesia) and daily buprenorphine/methadone dose to determine if these factors impacted pain after delivery.

RESULTS: A …