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Characteristics Of Dyspepsia Patients Undergoing Endoscopy At Ibnu Sina Hospital Makassar Muh Anugrah Ramadhan; Prema Hapsari Hidayati; Rachmat Faisal Syamsu; Asrini Safitri; Edward Pandu Wiriansya; Rahmawati, Rahmawati; Andi Muhammad Luthfi Parewangi
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

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Abstract

Background: According to the World Health Organization (WHO) that Indonesia ranks 3rd with the highest number of dyspepsia sufferers after America and England with 450 dyspepsia sufferers. According to the 2017 health data profile, dyspepsia is included in the top ten inpatient diseases.Objective: To determine the characteristics of dyspepsia patients undergoing endoscopy at the Ibnu Sina Hospital Makassar. Research methods: The research design used was descriptive research with a cross sectional approach using secondary data at the medical record installation at Ibnu Sina Hospital, Makassar. Research result: Of the 85 samples in the study, most were in the middle age of 45-54 years, namely 58 patients (68.2%), in the area of ​​origin the highest was the province of South Sulawesi, namely 80 patients (94%), the most gender was female, namely 38 patients (44.7%), the highest complaints were complaints (cough, tightness, and chest pain) namely 85 patients (100%), the largest laboratory results were laboratory results (hemoglobin, urea, SGOT and SGPT) namely 80 patients (80% ), the most common indication for endoscopy was chronic dyspepsia, namely 72 patients (84.7%), the most clinical diagnosis was functional dyspepsia, namely 32 patients (37%), the most endoscopy diagnosis was erosive gastritis, namely 38 patients (100%). Conclusion: Characteristics of patients with dyspepsia symptoms undergoing endoscopy at Ibn Sina Hospital Makassar, namely middle age, female sex, complaints of heartburn, endoscopy indications for chronic dyspepsia, clinical diagnosis of functional dyspepsia, and endoscopy diagnosis of erosive gastritis.  
Tuberculosis Infection In Women Fitrah Ahmad, Izhar; Pandu Wiriansya, Edward; Puspa Ratu, Andi; Kasim, Sharen
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.406

Abstract

The increasing number of deaths due to tuberculosis has triggered the national tuberculosis control program to continue to intensify, accelerate, extend and innovate the program.7A holistic approach must be taken in order to improve tuberculosis control and identify various risk factors associated with tuberculosis infection. The Global Tuberculosis Report 2018 reported that 90% of tuberculosis sufferers are adults and 10% are children (<15 years). Figure 1 shows tuberculosis sufferers worldwide, 64% are men and 36% are women with a ratio of 2:1. In Indonesia, data also shows that tuberculosis is more common in men than women. The high prevalence in men shows that the level of men accessing tuberculosis services is higher than women. Differences in social roles between men and women can also affect risk factors for access to health services. In women, access to tuberculosis treatment and prevention services is more difficult than in men. This is because family members do not want to pay for women's health services. Women's health in the family is considered less important than male family members. Tuberculosis problems also occur in vulnerable populations, namely pregnant women and women with tuberculosis-HIV. A fairly high mortality rate occurs in women with tuberculosis-HIV. In pregnant women, transmission of tuberculosis germs to the fetus occurs, so that the fetus can have latent tuberculosis. Understanding tuberculosis disease in women can help the target of eliminating tuberculosis by 2030. Gender equality and active participation of women in the planning, implementation, and health care processes can be an effective way to overcome the problems of difficulty in accessing tuberculosis services, stigma and discrimination, and various existing barriers.
KARAKTERISTIK PENDERITA PENYAKIT TUBERKULOSIS EKSTRA PARU DI BALAI BESAR KESEHATAN PARU MASYARAKAT DAN RS IBNU SINA MAKASSAR TAHUN 2018-2022 Utami Haerunnisya, Putri; Pandu Wiriansya, Edward; Mutmainnah Musa, Inna; Eka Yanti, Kartini; Irsandy, Febie
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.25539

Abstract

Tuberkulosis Ekstra Paru adalah penyakit Tuberkulosis yang menyerang organ di luar paru-paru seperti pleura, selaput otak, kelenjar getah bening, tulang, persendian, kulit, saluran pencernaan, peritoneum. Penelitian ini bertujuan untuk mengetahui karakteristik penderita penyakit Tuberkulosis Ekstra Paru di Balai Besar Kesehatan Paru Masyarakat dan RS Ibnu Sina Makassar Tahun 2018-2022. Penelitian ini merupakan  penelitian dekstriptif menggunakan data sekunder rekam medik pasien. Metode pengambilan sampel yaitu metode cross sectional yang diolah menggunakan SPSS. Hasil penelitian karakteristik Tuberkulosis Ekstra Paru berdasarkan usia didapatkan usia terbanyak  yaitu 26-62 tahun 50,7%, jenis kelamin laki-laki 53,4% dan perempuan 46,6%, status gizi yang terbanyak yaitu underweight 67,1%, riwayat merokok 97,3% adalah pasien tidak merokok. Berdasarkan Jenis Tuberkulosis Ekstra Paru Limfadenitis TB 74%, Pleura TB 19,2%, TB Abdominal 12,3%, TB Tulang 1,4%, TB Miliar 4,1% dan laringitis TB 1,4%. Sputum Basil Tahan Asam positif 24,7% dan negatif 75,3%, X-Ray Thorax didapatkan adanya lesi 80,8% dan tidak ada lesi 19,2%. Tes Cepat Molekuler negatif 100%, Riwayat kontak dengan pasien Tuberkulosis tidak diketahui 100%, Riwayat penyakit Tuberkulosis didapatkan kasus baru 94,5% dan kasus relaps 5,5%. Pasien Tuberkulosis Ekstra Paru pada Tahun 2018-2022 terbanyak pada usia rentan 26-62 tahun dengan jenis kelamin terbanyak yaitu laki-laki dan jenis Tuberkulosis Ekstra Paru yang terbanyak adalah Limfadenitis TB.
The Role of LUS (Lung Ultrasound Score) in the Diagnosis and Monitoring of Pneumonia Wahyuni, Wahyuni; Pandu Wiriansya, Edward; Mustafa, Maulana Saggaf
Formosa Journal of Science and Technology Vol. 3 No. 5 (2024): May 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v3i5.9279

Abstract

Pneumonia is an acute lower respiratory tract disease that affects the lung parenchyma, including the alveoli and interstitial tissue. Radiological examination is considered the gold standard in confirming the diagnosis of pneumonia. The curriculum aims to emphasize the role of ultrasound (USG) in the form of Lung Ultrasound Score (LUS) in diagnosing and monitoring pneumonia. LUS examination is simple, easy to use, cost-effective, non-invasive, and reduces radiation exposure. This tool demonstrates high sensitivity and specificity compared to chest X-rays and CT scans of the chest. However, this diagnostic tool is operator-dependent, hence requiring standardized skills and expertise among operators to diagnose pneumonia consistently.
Comparison of chemotherapy response and adverse effects of double-platinum plus egfr-tki versus double-platinum alone on nslclc patients with disease progression and egfr-tki treatment Wulandari, Laksmi; Wiriansya, Edward Pandu
Folia Medica Indonesiana Vol. 53, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

EGFR-TKI is the first-line therapy for EGFR-mutant patients. Nevertheless, patients will have disease progression (median PFS 10 – 12 months) due to resistance. The treatment options are still limited in developing countries for such cases, thus double-platinum chemotherapy is the next option. Although IMPRESS study reported no difference in terms of PFS and OS between double-platinum alone and double-platinum plus EGFR-TKI, several local studies reported benefit of continuing EGFR-TKI in combination with double-platinum chemotherapy (treatment beyond progression). This study aimed to compare chemotherapy effects of double-platinum plus EGFR-TKI versus double-platinum alone on patients with NSCLC progression after EGFR-TKI treatment. This was an analytical descriptive study using prospective cohort design, involving 30 patients with disease progression following EGFR-TKI treatment that met inclusion criteria in Dr. Soetomo Hospital. Subjects were divided into two groups: arm A (double-platinum plus EGFR-TKI) and arm B (double-platinum alone). Subjects were observed until 4 cycles of double-platinum chemotherapy. Subjective response (body weight and EQ5D questionnaire) was analyzed, chest CT scans were evaluated using RECIST criteria, and adverse effects were monitored. This study was conducted in accordance with GCP principles and has received ethics certificate from Dr. Soetomo Hospital ethics committee (No. 08/Panke.KKE/I/2017). The results showed that subject characteristics between two arms were insignificantly different (p=0.05). The most common EGFR mutation was exon 21 (50% on arm A and 60% on arm B). Chi square was tested on subjective response parameter (EQ5D (p=0.483)). T2 free sample was tested on semi-subjective parameter (body weight (p=1.00)). Comparison test on both groups after cycle 2 and 4 showed p value=0.05. Statistical test on adverse effect between both groups showed p value=0.526. As a conclusion, there was no significant difference between double-platinum and double-platinum plus EGFR-TKI on patients who had disease progression following EGFR-TKI treatment.
COMPARISON OF TCM RESULTS BASED ON NUTRITIONAL STATUS IN PEDIATRIC PULMONARY TB PATIENTS AT BBKPM DURING THE 2023–2024 PERIOD Wulan Purnamasyani; Yusriani Mangerangi; Sidrah darma; Edward Pandu Wiriansya; Purnamasyani s, Andi Husni Esa
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 13 No. 1 (2026): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/ant6hv51

Abstract

Hipertensi adalah masalah kesehatan global dengan prevalensi tinggi dan risiko komplikasi serius, terutama pada lansia (34,1% di Indonesia). Penelitian cross-sectional pada 382 lansia hipertensi di Puskesmas Grogol menganalisis hubungan pengetahuan dengan self-management. Instrumen penelitian valid dan reliabel (Alpha Cronbach 0,807 untuk pengetahuan; 0,817 untuk self-management). Hasil menunjukkan pengetahuan baik 16,2%, cukup 51,0%, kurang 32,7%; sedangkan self-management baik 4,7%, cukup 77,2%, buruk 18,1%. Uji Chi-Square menemukan hubungan signifikan (χ² = 40,251; p = 0,001) dengan kekuatan lemah–sedang (Cramer's V = 0,229). Temuan menegaskan perlunya edukasi kesehatan berkelanjutan dan dukungan keluarga maupun tenaga kesehatan agar pengelolaan hipertensi pada lansia lebih optimal dan kualitas hidup meningkat.