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Martaulina Sinaga; Lisbet Gurning; Sri Mulati Nendah; Deo Cristian Meliala; Emma Lumbantoruan

Jurnal Pelayanan Masyarakat 2024 Lembaga Pengembangan Kinerja Dosen

Background: Pulmonary tuberculosis (TB) is an infectious disease that requires long-term treatment and patient compliance so that the healing process can be achieved properly. One of the factors that plays an important role in the success of pulmonary TB treatment is family support. Families who are directly involved in care and motivation can increase the patient's enthusiasm to complete treatment. Therefore, empowering families in supporting pulmonary TB treatment is very important to reduce the number of failed treatments and prevent drug resistance. This community service aims to empower families in providing effective support to pulmonary TB patients so that patients can complete their treatment completely. The empowerment program carried out through counseling on the importance of adherence to TB treatment, as well as training on how to care for patients and reduce social stigma against TB, is expected to increase the active role of families in supporting patient treatment. This community service activity involves families of pulmonary TB patients, medical personnel, and the surrounding community, with an educational and collaborative approach. The results of this community service show an increase in family understanding of TB disease, the importance of adherence to treatment, and a reduction in stigma against TB patients. In addition, families feel more prepared and motivated to support patients in undergoing treatment. Family empowerment has been proven effective in increasing the completion rate of pulmonary TB treatment, which in turn can reduce transmission rates and drug resistance.

Dedy Arisjulyanto; Neny San Agustina Siregar

International Journal of Health and Medicine 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Tuberculosis (TB) is a serious infectious disease that continues to be a global health challenge, particularly in Indonesia. Children with stunting are at a higher risk of contracting TB due to their weakened immune system caused by malnutrition. This study aims to analyze the impact of education on TB prevention in stunted children in the working area of the Kosiwo Health Center, Kepulauan Yapen Regency. The research method used was a quantitative approach with a quasi-experimental design, involving parents and caregivers of stunted children as respondents. Data were collected through questionnaires administered before and after the educational intervention. A total of 45 participants were selected using a total sampling method. Data were collected before and after the intervention using a validated and reliable questionnaire on children's knowledge of tuberculosis (TB), with a Cronbach's alpha of 0.946 for the TB knowledge questionnaire. The results were analyzed using the Paired T-Test, which showed that the mean knowledge score concerning TB transmission in children was 14.89 before the intervention, increasing by 9.78 points to 24.67 afterward, with a p-value of 0.000, which is below α = 0.05.

Khaerul Anwar; Ekberth Mandaku; Tanto Tanto; Nurdewi Sulymbona

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

TB is an infectious disease caused by infection with the bacteria Mycobacterium Tuberculosis which can attack the lungs. However, it is not automatically transmitted because transmission depends on several factors such as: body resistance, air circulation conditions, ventilation and contact with people with TB. Based on hospital data in 2024 in the last 3 months, there were 317 cases of pulmonary TB, with 176 cases of patients diagnosed with TB. Treatment can be effective if patients comply with the rules for using drugs prescribed by doctors and from the results of the analysis there is a significant relationship between compliance with taking medication and the rate of recovery of tuberculosis patients. This figure is the third largest case of the disease after type 2 Diabetes Mellitus and Hypertension that occurred at Bhakti Asih Hospital. The purpose of the study was to determine the relationship between stigma and the level of patient compliance in TB treatment at Bhakti Asih Hospital, Ciledug. The research method used was Random Sampling with a sample size of 44 respondents and a measurement method using a questionnaire. The results of the analysis using the chi-square test showed that there was a significant relationship between stigma and compliance with taking pulmonary tuberculosis medication in lung patients at Bhakti Asih Hospital.    

Imelda Derang; Murni Sari Dewi.Simanullang; Erlina Malau

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis as an acid-resistant bacteria (BTA), which attacks the respiratory organs of the lungs and even to all parts of the body, this is what makes TB patients feel helpless, therefore it is necessary to have family support intact bio, psycho, social and spiritual are important factors for the success of TB treatment and accelerate the healing process. This study aims to identify features of family social support for pulmonary TB sufferers at Harapan Siantar Hospital in 2023. The research method used is descriptive. The research population is 65 respondents, with a total sampling technique. The instrument used is a questionnaire. The results showed that 47 people (72.3%) had good family social support, and 18 people (27.7%) had enough. It is hoped that families and health services will continue to accompany family members who have TB to speed up the healing process.

Sri Hartini Ma; Achmad Solechan; Asti Nuraeni; Dayat Trihadi; Nafisatun Nisa

International Journal of Health and Medicine 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Digital health interventions hold promise for patient-centered care, as they enable remote monitoring of patients and can be used to easily remind patients to take their medications. This study used a literature review technique with research collecting 30 research publications related to the use, opportunities and challenges of digital health in the treatment of tuberculosis. The literature review technique aims to evaluate and analyze previous research to provide context, show gaps in research, and support arguments for the research to be conducted. Several conclusions from this literature review research include: (1) Digital health has a significant role as an intervention in the management of tuberculosis patients. (2) Digital health offers great opportunities to improve the management and treatment of tuberculosis patients. The opportunity for digital health as an intervention for tuberculosis patients is very promising and can have a significant impact on various aspects of managing this disease. (3) Although digital health offers many opportunities for managing tuberculosis, there are also various challenges that must be faced in its implementation, including: challenges of technology access, patient compliance and engagement, data security and privacy, integration with traditional health systems, costs and funding, quality content and information as well as cultural and language barriers.

Susila Mete; Andreas Ariyanto Rangga; Agustina Purnami Setiawi

Neptunus: Jurnal Ilmu Komputer Dan Teknologi Informasi 2024 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Collaboration of computer science disciplines with other disciplines has been widely carried out, for example, medical science. Expert systems for disease diagnosis are one of the many computer programs used by doctors to assist them in their work and provide good results. Researchers in the field of artificial intelligence are working to improve existing systems to cover their shortcomings. Expert systems are used in many applications for disease diagnosis. Expert systems have been used in various industries and have had a significant impact. An innovative method for diagnosing diseases is the application of case-based reasoning systems, compared to expert systems. The solution to diagnosing and treating diseases can be found in the expert system for diagnosing pulmonary tuberculosis. Because this web-based system is based on a web application, all pulmonary tuberculosis patients can access it. A rule-based system that applies the CBR method can identify various types of diseases through the use of weighting techniques and offer treatment recommendations.

Arining Setyo; Annisa Andriyani

Jurnal Ilmu Kesehatan dan Gizi 2024 Pusat Riset dan Inovasi Nasional

Background: Tuberculosis is a disease caused by Mycobacterium tuberculosis which attacks the lung organ. one of the symptoms of Pulmonary Tuberculosis is shortness of breath. To stabilize the frequency of breathing in patients with Pulmonary Tuberculosis, one of them is with non-pharmacological therapy, namely the semi-fowler position to help lung development and normalize the frequency of breathing. Objective: To describe the results of the implementation of the semi fowler position on respiratory ratein patients with pulmonary tuberculosis. Methods: Descriptive research design with a case study approach, conducted on two respondents to explore the implementation of the semi fowler position on Respiratory ratein Pulmonary Tuberculosis patients. Results: After the application of the semi fowler position for one day within 30 minutes showed a decrease in respiratory ratein both respondents from the Tachypnea category to the Eupnea category. Conclusion: There is an effect of applying the semi fowler position on the respiratory rateof Pulmonary Tuberculosis patients at PKU Muhammadiyah Karanganyar Hospital.

Siham Reifqie Fath; Sudiyono Sudiyono; Rini Indrati; Tri Asih Budiati; Gatot Murti Wibowo

International Journal of Public Health 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

The use of X-ray Thorax (XCR Thorax) in assisting thoracocentesis procedures has some limitations. XCR Thorax only provides a two-dimensional image, which may limit the accuracy in determining the exact location for the puncture. In addition, XCR Thorax cannot detect septation or loculation which may affect the success of the thoracocentesis procedure. Thoracic ultrasonography offers advantages in detecting pleural effusion compared to conventional radiographic methods, but has not been standardized in national guidelines. This study aims to see the difference in the success rate of thoracocentesis between the use of thoracic ultrasound guidance and thoracic photo guidance in patients with clinical tuberculosis at Respira Lung Hospital Yogyakarta. This cross-sectional study used a static group comparison approach to compare the success rate of thoracocentesis between two groups at Respira Lung Hospital Yogyakarta: 30 patients with Thorax ultrasound and Thorax photo guidance (Group A) and 30 patients only with Thorax photo guidance (Group B). With a purposive sampling method and analysis using the chi-square test, this study aims to analyze differences in the success rate of thoracocentesis in real clinical conditions without intervening in existing procedures in the hospital. Thoracocentesis with thorax photo plus thorax ultrasound guidance showed a success rate of 100% compared to 66.67% in procedures with thorax X-ray alone (p < 0.001). The results showed that the use of thoracic ultrasound as a thoracocentesis guide had a higher success rate compared to the use of thoracic photo guidance.

Irma Ainni; Hudefah Hudefah; Rahma Virly Aulia Milova; Zafira Az Zahra; Kurniati Rahmadani

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

This community service work program aims to make people aware of the importance of the benefits of immunization for pregnant women and toddlers, to prevent various diseases. Health is an important foundation in life, through immunization children will have a good immune system, and will not get sick easily. Various diseases that can be prevented through immunization include tuberculosis, measles, tetanus and other diseases that are transmitted through viruses. This outreach discusses the importance of immunization and at the same time invites the public to diligently attend the routine posyandu that the local government has organized. This activity was carried out with posyandu activities for approximately 3 hours, held in Kadu Pereup Village, Kubang Baros Village, Cinangka District, Serang Regency.

Cut Devi Indriani; Rumondang Sitorus; Nurmalina Hutahaean

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Accination actively seeks to create/enhance a person's immunity to disease. Vaccination protects children from several immunisation-preventable diseases (VPDs). Some of the infectious diseases included in VPDs are tuberculosis, diphtheria, tetanus, hepatitis B, whooping cough, measles, polio, and meningitis. Vaccinated children will be protected from dangerous diseases that can cause injury or death. This study is included in analytical observational research, which does not conduct treatment on research subjects with the aim of providing a clearer picture of the problem in the subject. This type of research is a type of survey with a cross sectional design or where the data collection process is carried out at the same time between independent variables, namely factors that influence the provision of complete basic immunisation in infants. Based on the table, it can be seen that the majority of mothers have a high school education as many as 30 people, the majority of mothers who work as housewives as many as 46 people, the majority of mothers have less knowledge as many as 52 people, the majority of mothers with incomplete basic immunisation as many as 56 people.

Elvira Putri; Ester Simanullang; Marliani Marliani

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

One reason for the lack of information regarding the economic costs of disability or death and the benefits of immunisation when children in the vicinity are not fully immunised is the discovery of signatures. Many people are confused by the terms vaccination and immunisation. Immunisation is given to neonates as soon as possible because it can avoid primary diseases through vaccination. If the baby receives the right vaccination, he will be protected from dangerous diseases such as disabilities. Basic immunisation of infants and toddlers is a routine immunisation programme as well as an additional immunisation programme to prevent communicable diseases (PD3I) such as tuberculosis, diphtheria, pertussis, tetanus, polio, hepatitis B, and measles to reduce morbidity, mortality and disability in infants and children. BCG once, DPT-HB three times, Polio four times, HB Uniject once, and measles once are the basic vaccines. These vaccines must be given to all infants to prevent diseases from entering the body. The method used was analytical survey research. Exploration of how and why this phenomenon occurs is the goal of the analytical survey research approach.

Muhammad Reza Habibi; Rusmin Saragih; Marto Sihombing

Modem : Jurnal Informatika dan Sains Teknologi 2024 Asosiasi Profesi Telekomunikasi Dan Informatika Indonesia

Tuberculosis (TB) is one of the infectious diseases caused by Mycobacterium tuberculosis bacteria infection in the human lungs. Tuberculosis is a disease that can be transmitted from people with TB through coughing, sneezing, talking, laughing or singing. Lack of public knowledge about TB and lack of funds for health checks make many people late to be treated. Expert systems are technologies developed based on programs, in accordance with human methods and mindsets. This aims to help people who want to check their health, but are hampered by costs, besides saving time if the examination place is far from the residential environment of the community concerned. Expert systems require a method that can help solve existing problems. In this study, the method used is the Case-Based Reasoning (CBR) method, because the main function of this method is to diagnose the disease. The calculation process of the Case-Based Reasoning (CBR) method which looks for the similarity value or proximity of old cases to new cases of a patient.

Jelita Siburian; Rotua Elvina Pakpahan; Vina Ys Sigalingging

International Journal of Public Health 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, namely acid-fast bacteria. Successful treatment of patients with tuberculosis (TB) is a problem in today's society. One of the reasons for the increase in pulmonary TB cases is the low level of education of sufferers. One of the causes of failure of tuberculosis treatment therapy is the side effects of anti-tuberculosis drugs (OAT) which can affect the adherence to medication in tuberculosis patients. The success of TB treatment is compliance in taking anti-tuberculosis medication at the prescribed dose. The aim of this research was to determine the relationship between clients' knowledge of pulmonary tuberculosis and compliance with taking anti-pulmonary tuberculosis medication at Harapan Pematang Siantar Hospital. This research was conducted at Harapan Pematangsiantar Hospital in May 2023. This type of research is descriptive quantitative correlational with a cross-sectional approach. Data collection was carried out using a questionnaire with the Gutman scale. The population of this study was all outpatient clinic patients at Harapan Pematang Siantar Hospital in October-December 2022. The sampling technique was accidental sampling, namely 58 respondents who came in May 2023. Statistical test results used the chi square test with a confidence level of 95% (α = 0.05) shows the p value = 0.001, meaning that there is a relationship between the level of knowledge of tuberculosis clients and compliance with taking anti-tuberculosis medication at Harapan Pematang Siantar Hospital in 2023

Boyke Gunawan Manurung; Akim Manaor Hara Pardede; Rusmin Saragih

Saturnus: Jurnal Teknologi dan Sistem Informasi 2024 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

The lungs as the only pump for the respiratory system are very important organs for the continuation of life. Diagnosing or checking lung symptoms early can help people recognize the possibility that they are suffering from lung disease, so that treatment or care can be done earlier to prevent the severity of the disease. The method used in this study is the Naïve Bayes method. Naive Bayes is a simple probabilistic classifier that calculates a set of probabilities by adding up the frequencies and combinations of values ​​from the given dataset. An expert system is a computer application that can help decision making in more specific fields with methods that have been analyzed in advance by experts or specialists. This study used variables, namely types of lung disease including Pulmonary Tuberculosis (TB), Chronic Obstructive Pulmonary Disease (COPD), Bronchial Asthma and Lung Cancer. The results of this study are that lung disease or types of lungs can be diagnosed using the web-based Naïve Bayes method, and make it easier for sufferers to consult without seeing a doctor by selecting symptoms of lung disease.

Suryani Suryani

International Journal of Health and Social Behavior 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Pulmonary tuberculosis (TB) is still a global health problem, this disease is directly transmitted caused by Mycobacterium tuberculosis. The purpose of this study was to analyze the effect of nutritional status and lighting on the incidence of pulmonary TB in Padangsidimpuan City. This study is an analytical observational study with a case-control design. The sample consisted of 56 cases and 56 controls. The analysis used simple logistic regression and multiple logistic regression tests. The results of the logistic regression test showed a significant effect between nutritional status (p = 0.041; OR = 2.906, 95% CI 1.045-8.081) and lighting (p = 0.048; OR = 2.995, 95% CI 1.008-8.902) on the incidence of pulmonary TB. It is recommended to maintain body health by consuming nutritious food and paying more attention to the physical environment of the house, especially lighting so that sunlight enters the house.

Octariany Octariany; Vivin Gusrizal

International Journal of Medicine and Health 2024 Lembaga Pengembangan Kinerja Dosen

Tuberculosis is one of the world's health problems, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, and Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a complaint of yellowish discoloration of sclera, nausea and vomiting after three days of initiation of ATD therapy. The patient has been diagnosed with Tuberculosis relapse and has been taking ATD since June 2024. The patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and electrolyte imbalance. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and different AT regimens were prescribed.

Pipit Ardiansah; Rosiah Rosiah; Minanton Minanton

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Self-management refers to an individual's ability to control aspects of himself, including physical, emotional, mental, and behavioral. Adherence to medication in Pulmonary Tuberculosis Patients is essential because, if not done regularly, it can cause drug resistance, recurrence of the disease, and even death. This study aims to determine the relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center. This research is a type of quantitative research; the research design uses cross-sectional. The sample in this study consisted of 67 respondents, and the sampling technique used was accidental sampling. Data collection used a questionnaire on self-care activities and medication adherence, and data analysis was conducted using the Spearman rank test.The results of the study showed that most respondents had good self-management which was 80.6%, and some respondents had very compliant medication adherence, which was 85.1%. Statistical tests showed a relationship between the self-management variable and medication adherence (p-value 0.001). Conclusion: There is a relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center, Subang Regency. It is hoped that researchers can further explore appropriate efforts or actions for adherence to taking pulmonary tuberculosis drugs.

Yusserliyawati Yusserliyawati; Ermeisi Er Unja; Margareta Martini

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Tuberculosis is an infectious disease caused by the Mycobacterium Tuberculosis germ, which mostly attacks the lungs. The problem of controlling pulmonary tuberculosis has been implemented in many countries since 1995, but it remains a health problem in the community that causes high mortality among infants, children, adolescents, and seniors. One of the government programs in controlling pulmonary tuberculosis is the Joint Movement against tuberculosis in education units, the targets in the program are students, teachers, and education personnel from kindergarten to senior high school by providing health promotion. Data collection conducted by researchers found a health center with the highest incidence of pulmonary TB in children in Banjarmasin city, there is one elementary school closest to the health center. This study aims to provide health promotion through leaflet media on students' knowledge about the prevention of pulmonary tuberculosis at SDN Sungai Lulut 8 Banjarmasin. This study used quantitative research Pre-experimental method with a one group pretest-posttest approach. The population in this study were 199 people. The sampling technique used was purposive sampling with a sample size of 67 students. This research instrument uses a questionnaire. The statistical test used is the Wilcoxon signed rank test. The results show that there is a difference between before and after giving promotion.

Indah Kartika Sari; Maryani Setyowati

Jurnal Inovasi Riset Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

Basil Mycobacterium Tuberculosis adalah penyebab utama penyakit menular yang dikenal sebagai Tuberkulosis Paru. RSUD dr. Adhyatma, MPH Semarang memiliki 125 pasien TB paru pada tahun 2021. Tujuan penelitian adalah menganalisis persebaran kasus TB di Kota Semarang menurut jenis kelamin, usia, per kecamatan. Penelitian ini adalah penelitian deskripsi melalui observasi data sekunder. Pembuatan peta menggunakan aplikasi (QGIS). Hasil menunjukkan Sebagian besar kasus TB Paru adalah pada laki – laki, kelompok usia dewasa dan anak, dan domisili di Kecamatan Ngaliyan, Semarang Barat, Tugu, dan Mijen. Faktor yang berhubungan dengan TB Paru adalah kebiasaan merokok, pola hidup kurang sehat, status gizi, kurang istirahat, rumah tidak sesuai standar, lingkungan tidak sehat, interaksi sosial, perbedaan tingkat pengetahuan, dan Pendidikan. Saran penyuluhan kesehatan tentang penyakit TB Paru sebaiknya dilakukan di Kecamatan dengan kasus tertinggi di Kota Semarang. Peta persebaran kasus TB dapat digunakan untuk mengetahui informasi dan memantau perkembangan persebaran kasus TB di Kota Semarang.

Rachmadhany Iman; Basuki Rahmat; Achmad Junaidi

Repeater : Publikasi Teknik Informatika dan Jaringan 2024 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

In Indonesia, tuberculosis is ranked third in terms of prevalence among countries with the highest tuberculosis burden. Radiological examination, such as X-rays or X-rays, is a method generally used to detect tuberculosis. Chest X-ray examination is one method used to detect tuberculosis. To achieve these goals, the research will combine two powerful data processing techniques. First, the K-Means algorithm will be used to group x-ray image data based on similar characteristics, making it easier to identify typical patterns from images infected with tuberculosis. The research results show the highest accuracy of 93% using data division with a ratio of 80 : 20 with parameter K = 1. These results show that the combined model of the two algorithms can be applied to identify tuberculosis in the lungs.