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Social Support and Healthcare Service Quality as Determinants of Treatment Interruption Among Drug-Resistant Tuberculosis Patients in Medan, Indonesia Dalimunthe, Almira; Magdalena Sinaga, Bintang Yinke; Siagian, Parluhutan; Amelia, Rina
Jurnal Impresi Indonesia Vol. 4 No. 11 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i11.7122

Abstract

Indonesia ranks second globally in pulmonary TB cases after India, and drug-resistant TB remains a major cause of mortality in the country. Treatment adherence is influenced by multiple interacting factors, making dropout decisions a dynamic process. Early, targeted efforts to boost patient adherence and minimize loss-to-follow up are essential to prevent progression to more severe disease or death. This study aims to evaluate factors that lead to loss-to-follow up among drug-resistant tuberculosis patients in Medan, Indonesia. This research is a descriptive analytical study using a cross sectional approach. It was carried out at Adam Malik Hospital Medan on DR-TB patients who had been diagnosed bacteriologically. The data used were 104 patient subjects who met the inclusion and exclusion criteria. divided into groups who was loss in follow up and groups who completed treatment. The independent variables consist of social support and health care services. From the 104 research samples, 34 of them were DR pulmonary TB patients who was loss in follow up and 70 DR pulmonary TB patients who completed treatment. Bivariate analysis showed significant associations between loss-to-follow up and social support (p < 0.001; OR = 14.50), and healthcare service quality (p < 0.001; OR = 5.72). No significant association was found for age, sex, occupation, marital status, or family history of TB. In conclusion, social support and healthcare service quality play critical roles in determining adherence among DR-TB patients. Strengthening patient support networks and improving patient-centered healthcare delivery may help reduce treatment default rates.
COMPARISON OF THE EFFICACY OF INTRAVENOUS NOREPINEPHRINE AND PHENYLEPHRINE AS VASOPRESSOR AGENTS IN THE MANAGEMENT OF SEPTIC SHOCK IN ICU PATIENTS AT HAJI ADAM MALIK GENERAL HOSPITAL USING LACTATE AND STROKE VOLUME VARIATION INDICATORS Attamimi, Fandy Faidhul; Wijaya, Dadik Wahyu; Tanjung, Qadri Fauzi; Amelia, Rina
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.67835

Abstract

Background: Septic shock is a critical condition requiring intensive management, including vasopressor support to maintain organ perfusion. Norepinephrine and phenylephrine are two commonly used vasopressors, but their relative effectiveness in the context of septic shock remains a subject of debate. This study aims to compare the effectiveness of intravenous norepinephrine and phenylephrine as vasopressor agents in the management of septic shock in ICU patients at Haji Adam Malik General Hospital, using lactate levels and stroke volume variation (SVV) as indicators.Methods: This study was conducted as a randomized controlled trial (RCT). The subjects were ICU patients at Haji Adam Malik General Hospital diagnosed with septic shock and receiving either norepinephrine or phenylephrine as a vasopressor. Evaluations were conducted to monitor changes in lactate levels and SVV at therapy initiation and at specific intervals throughout the treatment period. Data were analyzed using appropriate statistical methods to compare the effects of the two vasopressors.Results: This study included 32 samples divided into two groups: a norepinephrine group and a phenylephrine group, each consisting of 16 patients. After 6 hours of norepinephrine administration, lactate levels significantly decreased from 8.41±1.88 mmol/L to 5.76±1.99 mmol/L. There was also a significant reduction in SVV, from 14.25±2.17 mmHg to 8.18±1.90 mmHg, with statistically significant results (p<0.001). After 6 hours of phenylephrine administration, lactate levels decreased from 7.40±1.77 mmol/L to 6.70±1.77 mmol/L, and SVV decreased from 15.93±2.56 mmHg to 12.50±2.63 mmHg, also showing statistically significant results (p<0.001).Conclusions: travenous norepinephrine is more effective than phenylephrine in reducing lactate levels and improving stroke volume variation in ICU patients with septic shock. These findings support the use of norepinephrine as the primary vasopressor in the management of septic shock, although phenylephrine may still be considered as an alternative with close monitoring of hemodynamic parameters. Further studies are needed to confirm these findings and to explore the mechanisms underlying the differences in efficacy.
Incidence of Malnutrion Based On Body Mass Index And Subjective Global Assesment In Patients With Stable Chronic Obstructive Pulmonary Disease Dalimunthe, Muhammad Bayhaqi; Pradana, Andika; Tarigan, Amira Permatasari; Amelia, Rina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 4 (2025): November 2025
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i4.467

Abstract

Background: Malnutrition is a serious problem in patients with COPD, it interferes with normal skeletal muscle function, with reduced muscle mass and decreased respiratory muscle strength and endurance. The purpose of the study was to determine the incidence of malnutrition based on BMI and SGA in patients with stable chronic obstructive pulmonary disease at the Prof. Dr. Chairuddin P. Lubis Medan Teaching Hospital. Method: The research design is an observational analytic, from November 2023 to March 2024. The study population was COPD patients who sought treatment at the Pulmonary Polyclinic at RSCPL with a total sample using the consecutive sampling method of 91 people Assessment of BMI by measuring TB and BW of patients when they came and assessment of SGA with a questionnaire Data processing using SPSS using descriptive statistics by displaying the IMT and SGA frequency distribution tables. Result: The results of this study found that most patients were categorized as underweight, namely 28 patients (30.8%). The majority of SGA classification as underweight/moderate nutrition "SGA B", namely 50 patients or (54.9%). Conclusion: We found that the Subjective Global Assessment (SGA) questionnaire is very influential in detecting patients with COPD who are malnourished to reduce respiratory muscle decline, and relapse of exacerbations.
Factors Influencing The Incidence of Loss To Follow-Up Treatment In Drug-Resistant Tuberculosis Patients Dalimunthe, Almira; Yinke Magdalena Sinaga, Bintang; Siagian, Parluhutan; Amelia, Rina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 4 (2025): November 2025
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i4.475

Abstract

Drug-resistant tuberculosis (DR-TB) represents a significant global health challenge with Indonesia ranking second highest for pulmonary TB cases. Treatment adherence in DR-TB patients is influenced by multiple interacting factors requiring systematic investigation to identify independent risk determinants. This descriptive analytical cross-sectional study assessed associations between independent variables and loss to follow-up treatment outcomes in DR-TB patients at Adam Malik Hospital, Medan, from May to November 2024. A purposive sampling strategy enrolled 104 bacteriologically confirmed DR-TB patients comprising 34 loss to follow-up cases and 70 treatment completers. Data collection utilized validated questionnaires assessing attitudes toward treatment, perceived social support, and healthcare service quality. Statistical analysis employed chi-squared testing for bivariate associations and multiple logistic regression for multivariate analysis with significance level p<0.05. Results demonstrated that 85.3% of loss to follow-up patients experienced low to moderate social support, 67.6% held poor treatment attitudes, and 64.7% perceived insufficient healthcare services. Bivariate analysis revealed significant associations between education (PR=4.13; p=0.023), attitudes (PR=6.04; p<0.001), social support (PR=14.50; p<0.001), and healthcare services (PR=5.72; p<0.001) with treatment discontinuation. Multivariate analysis identified three independent risk factors: low to moderate social support emerging as the predominant determinant (PR=14.01; 95% CI=4.26–46.02; p<0.001), followed by inadequate healthcare services (PR=3.33; 95% CI=1.18–9.43; p=0.023), while unemployment showed protective effect (PR=0.315; p=0.045). This investigation concludes that social support constitutes the principal modifiable risk factor for loss to follow-up treatment in DR-TB patients, necessitating implementation of family-based psychosocial interventions and quality healthcare service improvements to sustain treatment adherence during the challenging 20-month therapeutic regimen.
Branding & Product Knowledge Parfum Ramah Wudhu Serta Halal Sebagai Upaya Peningkatan Kewirausahaan Mahasiswa dan Produksi UKM ULFAH, INDAR FAUZIAH; Widowati Hermajiwandini, Chandra Murti Dewi; Priyati, Rini Yayuk; Pradana, Hasta Dwi; Mardoni, Yosi; Nisa Purnamasari; Rina Amelia
Gandhi: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 3 (2024)
Publisher : Universitas Terbuka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33830/g-jpm.v1i3.13489

Abstract

The main problem faced by Small and Medium Enterprises (SMEs) in the cosmetics and perfume sector is the lack of a deep understanding of product knowledge aspects and halal product standards, especially in the context of the majority Indonesian Muslim market. This community service activity (PKM) aims to increase the entrepreneurial capacity of students and partner SMEs through intensive training on branding, product knowledge, and halal certification processes for ablution-friendly perfume products. The method of implementing activities includes three stages: (1) Socialization and education about the importance of halal certification and the concept of ablution-friendly perfume; (2) Technical training on the preparation of brand identity and digital marketing strategies; and (3) Direct assistance in improving the quality of SME Partner products. The results achieved were a significant increase in the understanding of participants (students and SMEs) by 35% regarding halal and branding aspects. In addition, SME Mitra has successfully identified and reformulated the Unique Selling Proposition of their products, namely perfumes that meet the criteria of 'ablution-friendly'. This activity succeeded in creating synergy between academics and business actors in producing competitive products in the halal market.
Co-Authors AA, Rizka Adawiyah, Varihatul Al Hafiz, OK Muhammad Alifa, Cut Safira Alnaz, Ahmad Razi Maulana Alona, Ivana Andika Pradana Anggraini, Dwi Rita Annisa, Dinda Aprianti Lubis, Nenni Dwi Ariga, Hijrah Purnama Sari Ariga, Selviana Arlinda Sari Wahyuni Athika Adnani Attamimi, Fandy Faidhul Ayodhia P. Pasaribu, Ayodhia P. Bayani, Sri Bisono, Luwih C, Teguh Chusnul Chotimah Cut Putri Hazlianda Dalimunthe, Almira Dalimunthe, Muhammad Bayhaqi Daulay, Majidah Andilaila Deri Edianto Destanul Aulia, Destanul Dian Putri Oktavia, Dian Putri Dina Arwina Dalimunthe, Dina Arwina Dinda Sani Pratiwi Doni Prabowo Dwi Aprianti Lubis, Nenni Dwi Hanto EM, Samuel Fachry Abda El Rahman Fadillah Tarigan, Muhammad Fahira Mulya Suhady Fajar, Fajar Amanah Ariga Fathia Meirina, Fathia Fauzi, Muhammad Rado Fithri Hervianti Fujiati, Isti Ilmiati Ginting, Daniel Suranta Hamdani, Rifqi Hamdi, Tasrif Hanafie, Achsanuddin Handayani, Bejo Utomo Harahap, Dhiny Yolanda Harahap, Juliandi Haslinda Hendri Wijaya, Hendri Hutagalung, Sunna Vyatra Ihsan, Mhd Imal, Khasanul Irina, Rr. Sinta Irma Sepala Sari Siregar Isna Wati Isna Wati  Jefri, Budi Jelita Siregar Juliandi Harahap Jusuf, Nelva Karmila Karim, Tengku Abdul Keumala Sari, Dina Kholilah, Ma’rifahtul Koswara, Jocelyn Lambok Siahaan Lita Sri Andayani Lubis, Andriamuri Primaputra Lubis, Inke ND. Lubis, Mahrani Lubis, Nenni Dwi Aprianti M. Ilham Magdalena Sinaga, Bintang Yinke Maspuroh, Uah Mayasri, Fadhliani Mayasri, Fadhliani Putri Moh. Anshori Aris Widya Muhammad Ichwan Muhammad Ihsan Muhammad Ramadhan Muhammad Rizal Mula Tarigan Mustafa Mahmud Amin Nainggolan, Zefanya Grace Winneke Nasutiah Nasutiah Nasution, Abdul Hakim Nasution, Afrida Aryani Nasution, Bayu Rusfandi Nasution, Rizki Fauzan Ghali Nisa Purnamasari Olga R. Siregar, Olga R. Pandia, Pandiaman Pane, Nikmah Kemalasari Pangestu, Raden Ali Panggabean, Mathilda Parluhutan Siagian Pasaribu, Ayodhia Pitaloka Pertin Sianturi Pradana, Hasta Dwi Putri Chairani Eyanoer, Putri Chairani Qadri Fauzi Tanjung Reni Asmara Ariga Ribawanto, Muhammad Rafif Rini Savitri Daulay, Rini Savitri Rini Yayuk Priyati, Rini Yayuk Robby Awaluddin Perangin-Angin Rusda, Muhammad Rusdiana Rusdiana Ruslaini, Ruslaini Rusmalawaty, Rusmalawaty Saktioto Saktioto Salbiah, Siti Saragih, Rina Amalia Caromina Satria, Fauzi Budi Selvi Nafianti Silaen, Ester Lantika Sinaga, Janry Lewis Hasan Sarma SITI FATIMAH Sri Budi Astuti, Sri Budi Syamsidah Lubis, Syamsidah Syamsudhuha Syamsudhuha Tarigan, Amira Permatasari Tengku Emrinaldi Triyadi, Slamet Ugrasena, I DG. Ulfah, Indar Fauziah Veralia W, Steven Wahyuni, Arlinda S. Wahyuni, Arlinda Sari wicaksono, desmiko haryo Widjaja, Sry Suryani Widowati Hermajiwandini, Chandra Murti Dewi Wijaya, Dadik Wahyu Wisman Dalimunthe, Wisman Y, Devi Yessica Amelia Yetty Machrina Yinke Magdalena Sinaga, Bintang Yosi Mardoni Yunanda, Yuki Yunita Sari Pane Zulkarnain Zulkarnain