Utility of systemic immune-inflammation index, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio as a predictive biomarker in pediatric traumatic brain injury.

Background: Traumatic brain injury (TBI) remains the predominant cause of mortality and disability among the pediatric population. At present, there are no radiation-free, simple, and cost-effective tools available to assess the severity and prognosis of pediatric TBI. The systemic immune-inflammation index (SII), neutrophilto-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) serve as inflammatory biomarkers that may assist in predicting the outcome of pediatric TBI.

Challenges of health workers in primary health facilities in implementing obstetric emergency referrals to save women from death in Indonesia: A qualitative study.

Background: One of the contributing factors to the high maternal mortality rate is the failure of the referral system, which inhibits the management of obstetric emergencies. Health workers at primary healthcare facilities serve as the gatekeepers of this referral system, and they must be equipped to make referral decisions, prepare referrals, and transport women safely and quickly to the hospital.

Objective: This study aimed to explore the challenges faced by health workers in primary healthcare settings when implementing appropriate and rapid obstetric emergency referrals for women.