Mixed Infection of Vivax and Falciparum Malaria with Severe Manifestations of Malaria at the General Hospital of the Christian University of Indonesia: A Case Report

Malaria is still a health problem in Indonesia. The number of malaria cases according to the 2018 RISKESDAS reached 8076 cases, and the highest number was obtained from Papua province with 3,334 cases. Multiple infection malaria in Indonesia according to RISKESDAS 2018, has a rate of 0.01% of the total cases, namely Plasmodium Falciparum malaria and Plasmodium non Falciparum malaria. A 47 year old man was referred from the clinic with complaints of high fever preceded by chills 10 days before being admitted to the hospital. Accompanied by shortness of breath, unable to get off the treatment bed due to feeling very weak, nauseous, sick and having a bulging stomach. Physical examination revealed a pale conjunctiva, ronkhi in the lower field of the right lung, dim percussion in the basal of the left lung, hepatomegaly, splenomegaly, shifting dullness. Ring form vivax, on chest X-ray found a left pleural effusion. It is known that the patient previously lived in Papua from September 2018 to May 2019. During treatment, the patient was given artesunate injection therapy, dihydroartemisin + piperaquine and primaquin for seven days of treatment. At the end of the treatment, another chest X-ray was performed and re-examination of the peripheral blood smear, no more pleural effusions were found and no parasites were found on re-examination of the peripheral blood smear. Mixed infection of vivax and falciparum malaria, is a rare case that may occur in endemic areas where both plasmodium can be found. The prevalence in Indonesia according to RISKESDAS is only about 0.01% of all malaria cases in Indonesia.

Determinants of Operational Risk of Microfinance Banks in Pakistan

This study was conducted to analyse the determinants of operational risk because it was almost uncovered area and has a significant impact on sustainability of Microfinance Banks in Pakistan. Operational risk is everywhere whether the organization is big or small, profitable or not. It cannot be eliminated but it can be minimized by the operations to take the optimal level of output. Primary data was used in this research. It was collected through survey from management of Microfinance Banks from different places of Pakistan. Questionnaire with 5-point Likert scale was used as data collection tool. For the processing of data descriptive and inferential statistics was used. From inferential statistics comparison of mean score and ordinal logistic regression was used. Results show that Human Resource, Information Technology, Consumer Financial Literacy and Internal Control System have significant relationship with the Microfinance Banks and odd ratios show that Internal Control System has high positive impact on Microfinance Banks which leads towards decrease in operational risk. Human Resource has lowest impact on Microfinance banks of Pakistan. Microfinance banks are the function of operational risk. It is linked with operational performance of Microfinance Banks. Good Human Resource, Information Technology, Consumer Financial Literacy and Internal Control System may reduce the operational risk and as a result performance of MFB's can be better.