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All Journal Journal of Maternal and Child Health Manuju : Malahayati Nursing Journal Jurnal Respirologi Indonesia JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Folia Medica Indonesiana
Bakhtiar, Arief
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Relationship Between Anxiety and Asthma Control Among Pregnant Women with Asthma Aenah, Winda; Bakhtiar, Arief; Frety, Endyka Eyre
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.088 KB) | DOI: 10.26911/thejmch.2023.08.02.07

Abstract

Background: Asthma is a disorder of the airways in the form of chronic inflammation (infla­mma­tion). Pregnancy with a history of asthma certainly feels uncomfortable and can interfere with daily activities, this is what will cause an anxiety response. Anxiety in pregnancy with a history of asthma will certainly have an influence on asthma control in pregnant women, so there is a need for research on this case. The purpose of this study was to determine the relationship between anxiety levels and the incidence of asthma control in pregnant women with asthma comorbidities at Airlangga University Hospital, Surabaya. Subjects and Method: This was an analytic observational study with cross sectional de­sign. The sample in this study were pregnant women with comorbid asthma at Airlangga Uni­versity Hospital who visited from January to March 2022 and sample selection used a purposive sampling method. The dependent variable is the level of asthma control. The independent variable is the level of anxiety. The research instrument used a Hamilton Anxiety Rating Scale (HARS) and Asth­ma Control Test (ACT) questionnaire. Data were analyzed using the Spearman Correlation test.   Results: There was a positive and moderate relationship between anxiety and asthma control in preg­nant women with asthma comorbidities. Pregnant women with comorbid asthma who experienced severe anxiety had total control of asthma control, and this result was statistically significant (r= 0.41; p= 0.002). Conclusion: There is a significant relationship between anxiety and the level of asthma control in pregnant women with asthma comorbidities at Airlangga University Hospital. Keywords: pregnancy, anxiety, asthma control. Correspondence: Winda Aenah. Midwifery Program Study, Faculty of Medicine, Universotas Airlangga,Indonesia. Jl. Mayjen Prof.Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java. Email: winda.aenah-2019@fk.unair.ac.id. Mobile: +6285785099130.
Prevalensi Kelainan Kongenital Janin pada Kehamilan Penderita HIV/AIDS di RSUD Dr. Soetomo Kota Surabaya Riani, Rista Elva; Bakhtiar, Arief; Setyowati, Dewi; Wardhana, Manggala Pasca; Asmarawati, Tri Pudy
Malahayati Nursing Journal Vol 6, No 10 (2024): Volume 6 Nomor 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i10.13807

Abstract

ABSTRACT HIV infection in pregnancy is at risk of causing various complications in the mother and fetus, one of which is congenital abnormalities. This study aims to determine the prevalence of congenital abnormalities in pregnancy of women with HIV / AIDS. Retrospective descriptive study with cross-sectional design using medical record data of HIV-positive pregnant women at Dr. Soetomo Surabaya Hospital for the 2020-2022 period. There were 108 pregnant women with HIV, 3 of whom (2.8%) had congenital abnormalities in the fetus in the form of hydrocephalus, Dandy-Walker syndrome, and CPAM. Suspected to be associated with opportunistic infections and embryo-toxic effects of the ARV drug efavirenz. In pregnant women with HIV at Dr. Soetomo General Hospital, 3 (2.8%) pregnant women experience congenital abnormalities in the fetus, for that it is necessary to prevent and early detection of complications during pregnancy, as well as the selection of ARV regimens that are safer for fetal development. Keywords: Pregnancy With HIV/AIDS, HIV/AIDS, Congenital Abnormalities  ABSTRAK Infeksi HIV pada kehamilan berisiko menyebabkan berbagai komplikasi pada ibu dan janin, salah satunya kelainan bawaan. Penelitian ini bertujuan untuk mengetahui prevalensi kelainan bawaan pada kehamilan ibu dengan HIV/AIDS. Studi deskriptif retrospektif dengan desain cross-sectional menggunakan data rekam medis ibu hamil HIV-positif di RSUD Dr. Soetomo Surabaya periode 2020-2022. Ada 108 wanita hamil dengan HIV, 3 di antaranya (2,8%) memiliki kelainan bawaan pada janin berupa hidrosefalus, sindrom Dandy-Walker, dan CPAM. Diduga terkait dengan infeksi oportunistik dan efek toksik embrio dari obat ARV efavirenz. Pada ibu hamil dengan HIV di Rumah Sakit Umum Dr. Soetomo, 3 (2,8%) ibu hamil mengalami kelainan bawaan pada janin, untuk itu perlu dilakukan pencegahan dan deteksi dini komplikasi selama kehamilan, serta pemilihan regimen ARV yang lebih aman bagi perkembangan janin. Kata Kunci: Kehamilan Dengan HIV/AIDS, HIV/AIDS, Kelainan Bawaan
Risk Factors of Death in Chronic Obstructive Pulmonary Disease (COPD) Patients at Dr. Soetomo General Academic Hospital, Surabaya, in 2019 Wedhana, Hilmy Indra; Bakhtiar, Arief; Kusuma, Edward; Rosyid, Alfian Nur
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.14-20

Abstract

Highlights: The highest distribution of chronic obstructive pulmonary disease (COPD) patients’ age and gender was over 60 years old and males. The highest distribution of COPD patients’ comorbidity was infection, with pneumonia being the most common infection.   Abstract Introduction: The distribution of death and risk factors in chronic obstructive pulmonary disease (COPD) patients varies according to disease severity. This study aimed to determine the risk factors of mortality in COPD patients. Methods: This was a retrospective descriptive study with a total sampling method using inclusion and exclusion criteria. Data collection was performed on patients' medical records throughout 2019. The inclusion criteria for this study sample were patients diagnosed with COPD who died in 2019, aged over 25 years old (adults), both male and female. The exclusion criteria were COPD patients with incomplete medical record data. Results: The total number of samples obtained and included in this study was 31 COPD patients (n=31). The characteristics of the patients showed a predominance of males over females, with a ratio of 9:1. Seventeen samples (58.0%) out of 31 were patients aged >66 years old. Comorbidities accounted for 96.8% of the study population. The most prevalent comorbidity was infection (77.41%), with pneumonia accounting for 38.7% of all deaths. Eighteen patients (58.1%) reported having two or more comorbidities, whilst 28 patients (90.3%) scored 0-7 on the Modified Sequential Organ Failure Assessment (mSOFA) when admitted to the hospital. Conclusion: This study found that the group of patients with the mSOFA score of 0-7 with the characteristics of being aged >60 years old, males, and having pneumonia infection had the highest mortality rate among other COPD patients who died.
The Predictive Factors of Mortality In COVID-19 In The Intensive Care Unit: A Retrospective Study From Universitas Airlangga Hospital Surabaya Wennas, Vindy Vanessa; Bakhtiar, Arief; Yusuf, Mochamad; Effendi, Wiwin Is
Jurnal Respirologi Indonesia Vol 45 No 2 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i2.830

Abstract

Background: Coronavirus disease 2019 (COVID-19) poses a significant global challenge due to its highly transmissible nature and many positive cases and deaths. Myriad factors are known to affect the outcome of COVID-19 patients. Therefore, identifying predictive factors is essential for developing strategies to reduce mortality. Methods: An analytical observational retrospective study was conducted at Universitas Airlangga Hospital Surabaya from January to June 2021. A total of consecutive sampling was performed on all patients in the intensive care unit. Thirty-one variables were included and analysed using a two-step statistical analysis: univariate and multivariate logistic regression. Results: The mortality rate among 116 patients was 61.2%. The univariate analysis showed that dyspnoea, hypoxia, hyperglycaemia, and fever at admission were positively correlated with mortality. The multivariate analysis showed that fever (adjusted odds ratio [OR]=5) and hyperglycaemia (adjusted OR=8) at admission were independent predictors of mortality. Conclusion: Patients with hyperglycaemia or fever at admission face an increased likelihood of dying from COVID-19, with risks elevated by eight times and five times, respectively.
The Improvement of Community Knowledge, Attitudes and Practices After Covid-19 Socialization Khaerunnisa, Siti; Syafa'ah, Irmi; Wungu, Citrawati Dyah Kencono; Prabowo, Gwenny Ichsan; Handajani, Retno; Safitri, Indri; Notopuro, Harianto; Qurnianingsih, Ema; Lukitasari, Lina; Humairah, Ira; Bakhtiar, Arief; Suwandito, Suwandito; Asih, Susi Wahyuning; Anggraeni, Zuhrotul Eka Yulis; Adi, Ginanjar Sasmito; Nugrahani, Ely Rahmatika; Zulka, Ayesie Natasha; Soetjipto, Soetjipto
Folia Medica Indonesiana Vol. 57, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

This study determined community knowledge, attitudes, and practices after COVID-19 socialization in Rambipuji and Suci Village, Jember District, East Java, Indonesia. This study used the analytic observational design study. As many as 40 people were given socialization about COVID-19 by gathering and online. The questionnaires were completed in two parts included before-socialization and after-socialization. The questionnaire data were analyzed descriptively by calculating frequency, percentage, and inferential statistics by t-test, Spearman correlation, and chi-square test. The data analysis used IBM SPSS version 23 software. The mean and standard deviation of percentage of knowledge pre-test, knowledge post-test, high attitude, moderate attitude, low attitude, very high practice, high practice, sufficient practice, and low practice were 58.33 ± 30.97, 77.70 ± 22.52, 62.5±21.7, 31±22.2, 6.5±17.1, 65±13.8, 32.3±13.8, 1.25±2.4, 1.25±1.8, respectively. Knowledge pre-test and post-test correlated 0.819 (p=0.001) and a t-test with p=0.003. Attitudes and practices correlated with p=0.001. Socialization of COVID-19 was useful to improve the community knowledge, attitudes, and practices in Rambipuji and Suci Village, Jember District, East Java, Indonesia that could prevent the transmission and inhibit the spread of the COVID-19 pandemic in Indonesia. Furthermore, continuous encouragement of COVID-19 socialization in wide areas was recommended.
Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia Soedarsono, Soedarsono; Semedi, Bambang Pudjo; Setiawati, Rosy; Meliana, Resti Yudhawati; Kusmiati, Tutik; Permatasari, Ariani; Bakhtiar, Arief; Syafa'ah, Irmi; Indrawanto, Dwi Wahyu
Folia Medica Indonesiana Vol. 56, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

An outbreak of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that began in Wuhan, China has spread rapidly in multiple countries of the world and has become a pandemic. Currently, there is no vaccine or specific antiviral for COVID-19. A study reported 7.3% of critical patients admitted to ICU, 71% of them required mechanical ventilation, and 38.5% of them were survived. Herein, we reported a 54 year old man with Acute Respiratory Distress Syndrome (ARDS) of COVID-19 who survived the disease. Real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay of nasopharyngeal and oropharingeal swabs were positive for SARS-CoV-2. Diagnosis of ARDS was also according to clinical symptoms, laboratory, chest radiograph, and chest CT scan. Alcaligenes faecalis and Candida albicans were also identified from sputum culture. Treatment for this patient was causal and supportive therapy, including antibiotic, antiviral, and antifungal therapy according to the culture results, fluid resuscitation, and oxygen supply from the mechanical ventilator. This patient was survived and discharged on hospital day-29. A fibrosis in parenchyma pulmonary and sensory peripheral neuropathy occurred after survived from ARDS. Monitoring of clinical, laboratory, and chest radiograph were continued after the patient discharged from the hospital. This case highlights the importance of early diagnosis and effective treatment to the care of COVID-19 patient.
Profile of Patients with Chronic Obstructive Pulmonary Disease (COPD) in Pulmonology Clinic, Universitas Airlangga Hospital, Surabaya, Indonesia, for the Period of January-December 2022 Susila, I Made Dwi Yudiartana Putra; Rosyid, Alfian Nur; Umiastuti, Pirlina; Bakhtiar, Arief
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.15-21

Abstract

Highlights: Chronic obstructive pulmonary disease mainly occurs in male patients, elderly patients, and ex-smokers. Classification of COPD patient therapy must be chosen individually for each patient, which sometimes does not comply with existing guidelines.   Abstract Introduction: Chronic obstructive pulmonary disease (COPD) is a disease-causing breathing issue characterized by persistent and progressive airflow obstruction in response to noxious particles or gases and influenced by host factors. This study aimed to describe the profile trends, including age, sex, body mass index (BMI), complaints, physical examination findings, comorbidities, smoking history, exacerbations, COPD assessment test (CAT) score, modified Medical Research Council (mMRC) dyspnea scale, the Global Initiative for Chronic Obstructive Lung Disease (GOLD)-ABE grouping, and pharmacological therapy. Methods: Data collection included variables such as age, sex, BMI, complaints, physical examination, comorbidities, smoking history, exacerbations, CAT score, mMRC dyspnea scale, GOLD-ABE grouping, and pharmacological therapy. Results: A total of 73 patients were included. The sample was dominated by male patients (84.93%), aged 61-70 years old (38.35%), had normal BMI (63.01%), most complained of persistent cough (57.53%), had normal physical examination (97.26%), had no comorbidities (82.19%), ex-smokers (63.01%), and had no exacerbations (39.72%). Most were classified as Group B (50.68%) in the GOLD-ABE Group, medium (54.79%) on the CAT Score, and grade 1 (42.47%) on the mMRC dyspnea scale. Most patients were treated with long-acting β2-agonist (LABA)+inhaled corticosteroid (ICS) (79.45%) and mucolytics (27.40%). Conclusion: Chronic obstructive pulmonary disease predominantly affected elderly male patients, especially aged 61-70 years old, with a history of smoking. Most had a normal BMI, reported persistent cough, and had no comorbidities. Patients were primarily classified under GOLD-ABE Group B with moderate symptoms, while severe exacerbations were rare. Treatment mainly involved LABA+ICS combinations, though adherence to updated guidelines varied. Further research is needed to refine treatment strategies and to explore additional variables to improve management.
Co-Authors Adi, Ginanjar Sasmito Aenah, Winda Anggraeni, Zuhrotul Eka Yulis Asmarawati, Tri Pudy Dewi Setyowati Effendi, Wiwin Is Ely Rahmatika Nugrahani, Ely Rahmatika Frety, Endyka Eyre Harianto Notopuro Humairah, Ira Indrawanto, Dwi Wahyu Indri Safitri, Indri Khaerunnisa, Siti Kusmiati, Tutik Kusmiati, Tutik Kusuma, Edward Putra Lukitasari, Lina Mochamad Yusuf Alsagaff Permatasari, Ariani Prabowo, Gwenny Ichsan Qurnianingsih, Ema Resti Yudhawati Retno Handajani Riani, Rista Elva Rosyid, Alfian Nur Semedi, Bambang Pudjo Setiawati, Rosy Soedarsono Soedarsono SOETJIPTO . Susi Wahyuning Asih, Susi Wahyuning Susila, I Made Dwi Yudiartana Putra Suwandito, Suwandito Syafa'ah, Irmi Umiastuti, Pirlina Wardhana, Manggala Pasca Wedhana, Hilmy Indra Wennas, Vindy Vanessa Wungu, Citrawati Dyah Kencono Zulka, Ayesie Natasha