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Faktor yang Berhubungan dengan Long-term COVID-19: Studi Observasi Cross-Sectional di Indonesia Arina Dery Puspitasari; Nanda Ardianto; Lily Aina; Eunice Marlene Sicilia Kundiman; Fatimatuz Zahra Oviary Satryo; Melinda Putri Amelia Rachman; Fauzul Meiliani; Pharmasinta Putri Hapsari; Bambang Subakti Zulkarnain; Alfian Nur Rosyid; Tamara Nur Budiarti; Brigitta Dhyah Kunthi Wardhani
WMJ (Warmadewa Medical Journal) Vol 7 No 1 (2022): May 2022
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.7.1.4784.33-39

Abstract

Long-term COVID-19 could occur in COVID-19 patients, affecting the patient's quality of life, and becoming a problem for public health. However, information is rarely on factors associated with the occurrence of long COVID-19 cases. This study analyzed factors associated with long-term COVID-19. The study was an observational cross-sectional, conducted in August 2021. The data were collected through a Google form questionnaire distributed to COVID-19 survivors in Indonesian. They must be aged more than 17 years to meet the inclusion criteria, while those with incomplete data were excluded. The data were processed by using SPSS 21 with an ordinal regression test in which an alpha level was 5%. As many as 101 from 16 men (15.8%) and 85 women (84.2%) were obtained. Comorbid status (p-value = 0.001) and duration of treatment (p-value = 0.034 and 0.015) had a significant association with the occurrence of long-term COVID-19. Meanwhile, age, gender, occupation, type of care, and vaccination status were not likely associated with long-term COVID-19. COVID-19 patients with comorbidity and a long duration of treatment are more likely to experience long-term COVID-19. Keywords: COVID-19, long-term COVID-19, factor, public health
Primary Pulmonary Lymphoma with Superior Vena Cava Syndrome Alfian Nur Rosyid; Resti Yudhawati Meliana
Biomolecular and Health Science Journal Vol. 1 No. 2 (2018): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.449 KB) | DOI: 10.20473/bhsj.v1i2.9858

Abstract

Primary Pulmonary Lymphoma (PPL) is a clonal proliferation of lymphoid cells that involve one or two lungs (parenchyma and or bronchi. PPL is found in approximately 0.4% of all lymphoma cases and 3.6% of NHL cases. Five years survival rate at stage I and II is 90%, and 80% in stage III and IV. A 63-year-old male farmer presented with chief complaint of shortness of breath for one week before admission and preceded by coughing for a month, loss of appetite and night sweating. There was an abnormal physical examination on the right side of the chest with non-tender lymph node enlargements in the right supraclavicular and neck region and superior vena cava syndrome. CT guided FNAB suggesting NHL. Patient was treated with CHOP chemotherapy regiment. However, with high grade lymphoma, patient did not respond well.
The Role of Imaging In The Diagnosis of Pulmonary Embolism Alfian Nur Rosyid; M. Yamin; Arina Dery Puspitasari
Biomolecular and Health Science Journal Vol. 2 No. 1 (2019): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.3 KB) | DOI: 10.20473/bhsj.v2i1.13281

Abstract

Pulmonary embolism is a common condition and sometimes can be life-threatening. A proper diagnosis can reduce mortality. Some examinations are needed to diagnose pulmonary embolism, including assessing the risk factors, clinical examination, D-dimer tests, and imaging. Imaging is necessary when the previous assessment requires further investigation. There are more imaging that can be used to diagnose and assess the severity of pulmonary embolism. However, it is still controversial regarding imaging modalities for optimizing pulmonary embolism diagnose. Chest X-Ray cannot exclude pulmonary embolism, but it is needed to guide the next examinations and to find alternative diagnoses. Pulmonary Multi-Detector CT Angiography is the gold standard to diagnose pulmonary embolism.
Pengetahuan, Gangguan Psikologis, dan Burnout Dokter Umum di Era Pandemi Covid-19 Alfian Nur Rosyid; Arina Dery Puspitasari; Tamara Nur Budiarti; Izzatul Fitriyah; Anggraini Dwi Sensusiati; Muhammad Amin
Jurnal Pengabdian Pada Masyarakat Vol 6 No 3 (2021)
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/002.202163.838

Abstract

KNOWLEDGE, PSYCHOLOGICAL DISORDERS, AND BURNOUT OF GENERAL PRACTITIONERS IN THE COVID-19 PANDEMIC ERA. High demand in work during the Covid-19 pandemic will cause psychological problems for general practitioners. These psychological disorders can cause burnout. The incidence of burnout is exacerbated by the lack of knowledge of general practitioners about the current condition. This study aims to determine the level of knowledge, psychological disorders, and burnout of general practitioners during the Covid-19 pandemic. The research design using quasi-experimental with one group pre posttest design without a control group. The population in this study was all participants that join the online seminar. Samples taken were 111 respondents with the total sampling technique. The data collection technique was done by using a questionnaire. The data obtained were analyzed using the Wilcoxon test and Kendall's tau-c test. The difference test before and after being given the seminar material shows a p-value of 0.001. The statistical analysis of the relationship between knowledge and burnout shows a p-value of 0.048. The statistical analysis of the relationship between stress and burnout shows a p-value of 0.026. The statistical analysis of the relationship between anxiety and burnout shows a p-value of 0.001. The statistical analysis of the relationship between depression and burnout showed a p-value of 0.002. There are differences in the knowledge of respondents before and after being given the seminar material. There is an association between knowledge with burnout, stress with burnout, anxiety with burnout, and depression with burnout.
Appendicular Tuberculosis as Manifestation of Gastrointestinal Tuberculosis: A Case Report Yuliza Yuliza; Alfian Nur Rosyid; Wiwin Is Effendi; Prastuti Asta Wulaningrum; Herley Windo Setiawan
Jurnal Respirasi Vol. 7 No. 3 (2021): September 2021
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.745 KB) | DOI: 10.20473/jr.v7-I.3.2021.122-126

Abstract

Introduction: Gastrointestinal tuberculosis (GI TB) is quite rare with 3% incidence of all extrapulmonary involvement. Appendicular TB may occur in 0.1 - 3% of cases. Diagnosis is often difficult because the patient usually complains about chronic abdominal pain and fever. A definite diagnosis is based on histopathological examination of resected specimens from the appendectomy procedure.Case: We present a 37-year-old male patient admitted to the hospital with chronic abdominal pain, fever, nausea, and loss of body weight. The patient never had a persistent cough, hemoptysis, or night sweating. Physical examination showed pain and muscular rigidity in the right iliac area during palpation with Blumberg's sign and Rovsing's sign positive. Abdomen ultrasound imaging showed an appendicular abscess. The patient underwent appendectomy afterwards with histopathology result showing TB. The patient was treated with first category anti-tuberculosis drugs (ATD).Discussion: Diagnosis of appendicular TB is difficult due to unspecific clinical presentations. Appendicular TB patients often complain of signs and symptoms which are similar to acute appendicitis. These conditions can delay ATD treatment because the definitive diagnosis could be made after histopathological examination.Summary: Appendicular TB is a rare case of extrapulmonary TB. It can present as acute appendicitis. The definitive diagnosis is based on the histopathological examination. It is recommended to check the appendicectomy specimens histopathologically to exclude TB or other diseases. 
The Effectiveness of Pulmonary Rehabilitation on Pulmonary Function among Adults Patients of COVID-19 Survivors: A Systematic Review Hasanudin Hasanudin; Tintin Sukartini; Makhfudli Makhfudli; Alfian Nur Rosyid; Natalia Christin Tiara Revita; Handira Nadhifatul Aini
Jurnal Respirasi Vol. 8 No. 1 (2022): January 2022
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.042 KB) | DOI: 10.20473/jr.v8-I.1.2022.15-25

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Introduction: Corona Virus Infection Disease (COVID-19) refers to the infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Most of COVID-19 survivors have residual symptoms after being discharged from the hospital, it then leads to the decreased lung function and quality of life (QoL). Pulmonary rehabilitation is essential because it can reduce the impact of these sequelae. This study aimed to determine the effectiveness of pulmonary rehabilitation in improving lung function among adult patients of COVID-19 survivors.Methods: This study was conducted using 5 databases, namely: CINAHL, PubMed, SAGE, Science Direct, and Scopus from 1 April 2020 to 30 September 2021. The combination of keywords used was: "Pulmonary Rehabilitation", “Pulmonary Function", and "Post-COVID-19". In assessing the bias and methodological quality of the articles obtained, this study used the Joanna Briggs Institute (JBI) critical appraisal checklist tools.Results: From 678 articles, 11 research articles met the criteria. Pulmonary rehabilitation performed in post-COVID-19 patients included the provision of aerobic exercise, breathing exercises, strength training, balance exercises, relaxation, occupational therapy, psychological support, and nutrition consultation. Lung rehabilitation mainly was performed two sessions a week for 3-8 weeks with different proportions for each patient according to clinical conditions and  ability limits. Spirometry and the 6-minute walk test (6MWT) revealed that patients who completed the pulmonary rehabilitation program experienced improvements in their lung function.Conclusion: Comprehensive pulmonary rehabilitation programs under supervision and psychotherapists are the right choice in improving lung function among COVID-19 survivor adult patients.
Kidney-Pulmonary Crosstalk from Pathophysiological Perspective Sharifa Audi Salsabila; Alfian Nur Rosyid; Maulana Antiyan Empitu; Ika Nindya Kadariswantiningsih; Satriyo Dwi Suryantoro; Mutiara Rizki Haryati; Mochammad Thaha; Yusuke Suzuki
Jurnal Respirasi Vol. 8 No. 1 (2022): January 2022
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.477 KB) | DOI: 10.20473/jr.v8-I.1.2022.44-51

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Lungs and kidneys are distant organs which are functionally related in physiological and pathological contexts. Acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) are common complications in acute kidney injury (AKI) or acute-on-chronic kidney disease. On the other hand, there is a considerable risk of AKI in respiratory diseases such as ARDS and chronic obstructive pulmonary disease (COPD). From a pathophysiological point of view, the kidney-lung crosstalk involves interdependency in the regulation of fluid hemodynamic, acid-base and electrolyte balance, and carbon dioxide partial pressure. Aside from the closely related function, the crosstalk may also occur by non-classical mechanisms such as through activation of systemic inflammation, excessive cytokine release, and the formation of auto-antibody which targets both kidneys and lungs. This review discussed several disease mechanisms by which kidney and lungs affect each other or are simultaneously affected by pathological processes. Particularly, this review discussed some specific mechanisms in lungs and kidneys, such as how hypoxemia and hypercapnia induced by ARDS may reduce kidney function and how distance injury on kidney may affect the development of non-cardiogenic edema lungs.
Faal Paru Difusi : [Lung Diffusion: A Review] Alfian Nur Rosyid; Isnin Anang Marhana
Jurnal Respirasi Vol. 4 No. 2 (2018): Mei 2018
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (804.205 KB) | DOI: 10.20473/jr.v4-I.2.2018.61-70

Abstract

Diffusion capacity is useful for measuring ability of pulmonary microcirculation to transfer oxygen and carbon dioxide from alveoli to capillaries. Physiological examination of diffusion is a continuation of physiological examination of ventilation. Diffusion capacity is measured by DLCO (Diffusing capacity for Carbon Monoxide). Measurement of oxygen diffusion capacity directly is very difficult so that indirect methods are used using carbonmonoxide (DLCO). Diffusion capacity of oxygen is equivalent to DLCO multiplied by 1.23. Normal value of DLCO is 20-30 ml/minute mmHg. Some factors that affect DLCO are Hb levels, COHb in smokers, and alveolar volume. Some techniques for measuring DLCO include Steady-state, Three-equation Single-breath, Nitrogen Washout, and Intra-breath DLCO. This test is indicated in pulmonary parenchymal disease (pulmonary fibrosis, asbestosis, sarcoidosis, interstitial lung disease), cystic fibrosis, pulmonary hypertension, and pulmonary bleeding. DLCO is increased in asthma patients, obesity, polycythemia, intraalveolar bleeding, and right-left heart shunting. DLCO is decreased in emphysematous lung patients, pulmonary post resection, bronchial obstruction, multiple pulmonary embolism, anemia, idiopathic pulmonary fibrosis, asbestosis, sarcoidosis, vascular collagen disease, hypersensitive pneumonitis, and alveolar proteinosis.
Insomnia Among Covid-19 Patients During Isolation Treatment in Inpatient Room of Indonesian Health Care Facilities Tamara Nur Budiarti; Arina Dery Puspitasari; Alfian Nur Rosyid; Diah Indriani; Soenarnatalina Melaniani; Fatimatuz Zahra Oviary Satryo; Lily Aina; Nanda Ardianto; Melinda Putri Amelia Rachman; Fauzul Meiliani
Media Kesehatan Masyarakat Indonesia Vol. 18 No. 1: MARCH 2022
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.698 KB) | DOI: 10.30597/mkmi.v18i1.19109

Abstract

Insomnia was a problem of Covid-19 patients often moaned because the physical and psychological condition of patients are weak. This study aims to analyze the association between respondent’s characteristics, social factors, and medication adherence with insomnia when Covid-19 survivor become isolated patients. This study used a descriptive and analytical cross-sectional design. The study was conducted in August 2021. The population of this study was all Covid-19 survivors. The sample of this study was part of Covid-19 survivors with a total number of 191. Data were collected by an online questionnaire via google form and analyzed by chi-square test. Almost all respondents (83.77%) were female, and most of the respondents (73.30%) worked as health workers. The age mean of the respondents was 31.51 (SD 8.82, min=18, max=60). Insomnia was experienced by almost half of the respondents (41.36%). There was no association between sex (OR = 1.92, 95% CI 0.89-4.17; p=0.113), type of work (OR = 1.11, 95% CI 0.58-2.11; p=0.868), medication adherence (OR = 0.47, 95% CI 0.05-4.56; p=0.644), and motivation (p=0.269) with insomnia. There was an association between optimism (p=0.043) and discrimination (OR=4.19, 95% CI 1.86-9.43, p=0.001) with insomnia. Insomnia was experienced by almost half of isolated patients in inpatient rooms of Indonesian health care facilities. Factors associated with insomnia were optimism and discrimination. Treatment for Covid-19 patients should pay attention to their physical care and give psychological care.
Profil Perilaku Merokok terhadap Kejadian TB Paru Mdr di RSUD Dr. Soetomo Periode Januari – Desember 2019 Hafidz Alfarobi; Wiwin Is Effendi; Abdul Khairul Rizki Purba; Alfian Nur Rosyid
Malahayati Nursing Journal Vol 4, No 12 (2022): Volume 4 Nomor 12 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v4i12.7514

Abstract

ABSTRAK Merokok dapat menaikkan risiko penyakit paru-paru kronis, salah satunya TB Paru. Jumlah rokok per hari dapat memperburuk infeksi TB paru dan menyebabkan kegagalan konversi pada fase intensifikasi. Tujuan penelitian ini adalah untuk mengetahui profil perilaku merokok terhadap kejadian TB paru MDR di RSUD Dr. Soetomo Surabaya. Jenis penelitian ini adalah deskriptif observasional dengan metode retrospektif dan menggunakan data sekunder dari rekam medik pasien RSUD Dr. Soetomo Surabaya. Pengambilan sampel menggunakan total sampling. Hasil penelitian menunjukkan bahwa sebagian besar pasien TB paru MDR tidak merokok sebanyak 66 (56,4%) pasien, sebagian besar pasien TB paru MDR berumur 25- 45 tahun sebanyak 40 (34,2%) pasien dengan rata-rata umur 43,8 tahun, sebagian besar pasien TB paru MDR tidak memiliki penyakit komorbid sebanyak 68 (58,1%) pasien, sebagian besar pasien TB paru MDR berjenis kelamin laki-laki sebanyak 70 (59,8%) pasien, Rata-rata berat badan pasien TB paru MDR adalah 47,7 Kg, dan sebagian besar pasien dengan kejadian kambuh TB paru MDR sebanyak 43 (36,8%) pasien. Berdasarkan hasil perhitungan Chi-Square diperoleh p-value = 0,195 > α = 0,05 (nilai p-value lebih besar dari α = 0,05). Hal ini berarti terdapat tidak hubungan yang signifikan antara perilaku merokok dengan kejadian TB paru MDR. Kata Kunci: Perilaku Merokok, TB Paru MDR, Profil  ABSTRACT Smoking can increase the risk of chronic lung diseases, one of which is pulmonary TB. The number of cigarettes per day can worsen pulmonary TB infection and cause conversion failure in the intensification phase. The purpose of this study was to determine the profile of smoking behavior on the incidence of MDR pulmonary TB in RSUD Dr. Soetomo Surabaya. This type of research is descriptive observational with a retrospective method and uses secondary data from the medical records of patients at RSUD Dr. Soetomo Surabaya. Sampling using total sampling. The results showed that most of the MDR pulmonary TB patients did not smoke as many as 66 (56.4%) patients, most of the MDR pulmonary TB patients aged 25-45 years were 40 (34.2%) patients with an average age of 43.8 years, most of the MDR pulmonary TB patients did not have comorbid diseases as many as 68 (58.1%) patients, most of the MDR pulmonary TB patients were male as many as 70 (59.8%) patients, the average body weight of MDR pulmonary TB patients was 47, 7 Kg, and most of the patients with MDR pulmonary TB relapsed as many as 43 (36.8%) patients. Based on the results of the Chi-Square calculation, p-value = 0.195 > = 0.05 (p-value is greater than = 0.05). This means that there is no significant relationship between smoking behavior and the incidence of MDR pulmonary TB. Keywords: Smoking Behavior, MDR Pulmonary TB, Profil 
Co-Authors Abdul Khairul Rizki Purba Mustofa Indwiani Astuti Anastasya Annisa Karlina Ardi, Bangun Mukti Arifandi, Yoga Akbar Arina Dery Puspitasari Arina Dery Puspitasari Asmahan Farah Adiba Astanti, Erika Bakhtiar, Arief Bakhtiar, Arief Bambang Subakti Zulkarnain Brigitta Dhyah Kunthi Wardhani Brigitta Dhyah Kunthi Wardhani BUDI UTOMO D. Puspitasari, Arina Dava Aulia Dhieo Kurniawan Diah Indriani Duta, Garinda Alma Effendi, Wiwin Is Eunice Marlene Sicilia Kundiman Eunice Marlene Sicilia Kundiman Eunice Marlene Sicilia Kundiman Farah Meutia Fatimatuz Zahra Oviary Satryo Fatimatuz Zahra Oviary Satryo Fatimatuz Zahra Oviary Satryo Fatimatuz Zahra Oviary Satryo Fauzul Meiliani Fauzul Meiliani Fauzul Meiliani Fauzul Meiliani Hafidz Alfarobi Handira Nadhifatul Aini Hasanudin Hasanudin Herley Windo Setiawan Ika Nindya Kadariswantiningsih Indiastuti, Danti Nur Isnin Anang Marhana Izzatul Fitriyah Kusuma, Edward Putra Lie Liana Fuadiati Lily Aina Lily Aina Lily Aina Lily Aina M. Yamin Maftuchah Maftuchah Makhfudli Makhfudli Maranatha, Daniel Mareta Rindang Andarsari Maulana Antiyan Empitu Melinda Putri Amelia Rachman Melinda Putri Amelia Rachman Melinda Putri Amelia Rachman Melinda Putri Amelia Rachman Mochamad Rafi Pratama Hariyanto Putra MOCHAMMAD THAHA Muhammad Amin Muhammad Amin Muhammad Rivai Mutiara Rizki Haryati Nafikhah, Wardah Zuhan Nanda Ardianto Nanda Ardianto Nanda Ardianto Nanda Ardianto Natalia Christin Tiara Revita Naura Alya Hirmadiani Nur Rachmawati Maulida Nursalam Nursalam Pharmasinta Putri Hapsari Prastuti Asta Wulaningrum Qona’ah, Arina Rahma, Rachel Sabila Resti Yudhawati Reyna Cesariyani Rahmadianti Rusuldi Riyanarto Sarno Sanchia Callista Raihanah Wiryawan Sarah Mahmudatun Nabila Sensusiati, Anggraini Dwi Sharifa Audi Salsabila Shintami Chusnul Hidayati Soenarnatalina Melaniani Suryantoro, Satriyo Dwi Tafana Fadhillah Laili Tamara Nur Budiarti Tamara Nur Budiarti Tamara nUR Budiarti Temenggung, Bintang Tintin Sukartini Sukartini, Tintin Sukartini Toetik Aryani Vatine Adila Wedhana, Hilmy Indra Wiwin Is Effendi Wiwin Retnowati Yasmin Karimah Ikhsan Yulis Setiya Dewi Yuliza Yuliza Yusuke Suzuki Zedny Norachuriya