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All Journal Indonesian Journal of Tropical and Infectious Disease Journal of Maternal and Child Health Jurnal Respirologi Indonesia Jurnal Respirasi (JR) JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Abdi Masyarakat Indonesia Folia Medica Indonesiana
Bakhtiar, Arief
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Humanities Biochemistry, Genetics & Molecular Biology Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience 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.
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.
Predicting Prolonged Hospitalization in Pneumonia: The Role of Lung Injury Score Putri, Mayandra Alif Anggita; Marhana, Isnin Anang; Hakim, Arief Rakhman; Bakhtiar, Arief; Syafa'ah, Irmi
Jurnal Respirasi Vol. 12 No. 1 (2026): January 2026
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v12-I.1.2026.27-34

Abstract

Introduction: Pneumonia is a lung infection with a high prevalence and is associated with prolonged length of stay (LOS). An excessive LOS increases the risk of complications, while a short LOS may lead to inadequate treatment. The lung injury score (LIS), which assesses the severity of lung injury and respiratory dysfunction, is expected to be an accurate predictor of LOS in patients with pneumonia. This study aimed to determine the correlation between LIS and LOS in hospitalized patients with pneumonia. Methods: This retrospective cohort study included adult patients hospitalized at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, with a diagnosis of pneumonia between January and December 2023. The LIS component scores (chest X-ray findings, arterial partial pressure of oxygen-to-fractional inspired oxygen ratio, positive end-expiratory pressure (PEEP), and static lung compliance) were obtained from electronic medical records and used to calculate LIS values. The correlation between LIS and LOS was analyzed using the Spearman test, while the cut-off point was determined using receiver operating characteristic (ROC) curve analysis. Results: A total of 152 patients fulfilled the inclusion criteria. The mean LIS was 1.82±0.89, while the mean LOS was 10.23±6.27 days. A statistically significant correlation was found between LIS and LOS (p<0.001) with a correlation coefficient of 0.317. Receiver operating characteristic curve analysis identified the optimal LIS cut-off point for an LOS of 10 days as 1.75. Conclusion: There was a statistically significant correlation between LIS and LOS in patients with pneumonia. The LIS cut-off point of 1.75 for an LOS of 10 days was statistically significant.
Pengabdian Masyarakat melalui Penyuluhan dan Pemberian Modul Tuberkulosis (TB) Paru sebagai Upaya Peningkatan Pengetahuan dan Kinerja Kader TB di Pondok Pesantren Annuqoyah, Kabupaten Sumenep, Jawa Timur Bakhtiar, Arief; Kusmiati, Tutik; Syafa'ah, Irmi; Tanoto, Julius; Aulia Rahman, Nuha; Rahmawati Hariputri, Wulan; Najich Riza Firmansyah, Achmad; Maulaningtyas, Hamidia; Firdausi Rafidah, Salsabila
Jurnal Abdi Masyarakat Indonesia Vol 6 No 1 (2026): JAMSI - Januari 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.2464

Abstract

Eliminasi tuberkulosis (TB) masih menjadi tantangan kesehatan masyarakat di Indonesia, termasuk di Kabupaten Sumenep, yang pada tahun 2021 belum mencapai target penemuan dan pengobatan kasus TB. Tingginya jumlah pondok pesantren di wilayah ini menjadikan pesantren sebagai sasaran strategis dalam upaya eliminasi TB. Pondok pesantren dengan kepadatan hunian dan intensitas kontak antar santri yang tinggi berpotensi meningkatkan risiko penularan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan peran kader TB pesantren yang telah ditunjuk dalam mendukung upaya eliminasi TB. Kegiatan dilaksanakan di Pondok Pesantren Annuqayah, Kecamatan Guluk-Guluk, Kabupaten Sumenep, yang sebelumnya belum memiliki kader TB pesantren. Pengabdian masyarakat dilakukan melalui penyuluhan dengan metode ceramah, diskusi, dan simulasi, disertai pemberian modul TB paru dan lembar balik sebagai media edukasi. Evaluasi dilakukan menggunakan pretest dan posttest, kemudian dianalisis dengan uji t berpasangan. Hasil menunjukkan peningkatan pengetahuan kader yang signifikan, dengan nilai rata-rata pretest sebesar 36,87 meningkat menjadi 71,96 pada posttest (p=0,000). Selain itu, kader menunjukkan peningkatan peran aktif melalui penemuan santri terduga TB dalam tiga bulan setelah kegiatan. Kegiatan ini efektif dalam meningkatkan kapasitas kader TB pesantren dan diharapkan dapat memperkuat peran kader dalam mendukung eliminasi TB di lingkungan pesantren.
Incidence of Pediatric Pulmonary Tuberculosis in East Java, Indonesia Ramadhani, Nabila Putri Himawati; Mertaniasih, Ni Made; Retno Asih Setyoningrum; Bakhtiar, Arief
Indonesian Journal of Tropical and Infectious Disease Vol. 14 No. 1 (2026): January - April Edition
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v14i1.81676

Abstract

Tuberculosis (TB) remains one of the world’s leading infectious diseases and a cause of morbidity and mortality, especially among children. Despite being both preventable and curable, TB affected an estimated 10.6 million people globally in 2023, including 1.3 million children. In Indonesia, the world’s second-highest TB burden country, pediatric TB is often underdiagnosed due to nonspecific symptoms and difficulty in bacteriologic confirmation. This study describes the incidence and trend of pulmonary TB among children aged 0–14 years in East Java, specifically focusing on data from Surabaya, from 2019 to 2024, and evaluates the role of GeneXpert MTB/RIF and GeneXpert Ultra in improving pediatric TB detection. This descriptive cross-sectional study used secondary data from the East Java Provincial Health Office and the National TB Program (SITB). Annual pediatric TB cases and population data were used to calculate incidence (per 100,000 children). GeneXpert test totals were used to compute the Pediatric TCM Intensity Index (cases per 1,000 tests). This study shows that pediatric TB incidence decreased from 59.0 per 100,000 in 2019 to 31.5 in 2020, then rebounded to 133.1 in 2023 and 124.7 in 2024. Molecular diagnostic capacity increased to 274 connected GeneXpert units and > 375,000 tests by 2023, raising bacteriologic confirmation rates among children. Recently, the incidence of pediatric pulmonary TB in East Java has not yet decreased. Strengthening digital reporting systems, pediatric TB training, and field-based surveillance teams is essential for equitable diagnostic access and achieving Indonesia’s End TB 2030 targets.
Co-Authors Adi, Ginanjar Sasmito Aenah, Winda Anggraeni, Zuhrotul Eka Yulis Aulia Rahman, Nuha Effendi, Wiwin Is Ely Rahmatika Nugrahani, Ely Rahmatika Firdausi Rafidah, Salsabila Frety, Endyka Eyre Hakim, Arief Rakhman Harianto Notopuro Humairah, Ira Indrawanto, Dwi Wahyu Indri Safitri, Indri Isnin Anang Marhana Khaerunnisa, Siti Kusmiati, Tutik Kusmiati, Tutik Kusuma, Edward Putra Lukitasari, Lina Maulaningtyas, Hamidia Mochamad Yusuf Alsagaff Najich Riza Firmansyah, Achmad Ni Made Mertaniasih Permatasari, Ariani Prabowo, Gwenny Ichsan Putri, Mayandra Alif Anggita Qurnianingsih, Ema Rahmawati Hariputri, Wulan Ramadhani, Nabila Putri Himawati Resti Yudhawati Retno Asih Setyoningrum Retno Handajani 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 Tanoto, Julius Umiastuti, Pirlina Wedhana, Hilmy Indra Wennas, Vindy Vanessa Wungu, Citrawati Dyah Kencono Zulka, Ayesie Natasha