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Effectiveness of Health Promotion Through Audiovisual Media and Lecture Methods on the Level of Knowledge in Elementary School Children About TB Disease Trifitriana, Monica; Fadilah, Mariatul; Mulawarman, Rido
Medicinus Vol 9, No 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2595

Introduction : Indonesia is the number two country for TB incidence in the world. To reduce the morbidity and death rate of tuberculosis cases, WHO issued an END-TB Strategy program that has 3 pillars. Pillar number 2 on the importance of cooperation with government, private stakeholders, and community for the prevention of TB disease, one of them in the form of health promotion. The application of speech methods and audiovisual media in conveying information has some differences in the process and achievement of students' level of understanding. This study aims to compare the effectiveness of the use lecture methods and audiovisual media in conveying information.Method : A total of 136 research subjects were 6th graders at Public Elementary School 205 Palembang and Private Elementary School YWKA Palembang divided into 2 groups for each elementary school. Each elementary school were subdivided into two groups, namely the audiovisual media group and the lecture method group. This study used quasi experimental design with nonequivalent pretest-posttest technique.Result : After the intervention, the level of understanding for the audiovisual media group was 87.90% while for the lecture method was 83.00% (effective when> 75%) with a value of p <0.05. Conclusion: the delivery of information on TB disease in grade 6 students assessed in two schools, both public and private, using audiovisual media and lecture methods were both equally effective, but the effectiveness of the audiovisual media was higher than the lecture method so that audiovisual media is considered better than lecture methods.

Risk Factors of Cervical Cancer in Outpatient and Inpatient at Obstetric and Gynecology RSUP Dr. Mohammad Hoesin Palembang Trifitriana, Monica; Sanif, Rizal; Husin, Syarif; Mulawarman, Rido
Medicinus Vol 8, No 3 (2019): June 2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i5.2470

Introduction: Cervical cancer is a malignant tumor originating from primary squamous epithelial cells and it is one of the several types of cancers that affects more to women. Methods: This research uses descriptive analytic with case- control. The sample was 52 patients who divided into 26 patients with cervical cancer and 26 patients with non - cervical cancer were outpatient and inpatient at Department of Obstetrics and Gynecology Hospital Dr. Mohammad Hoesin Palembang during the period September 2016 -November 2016. This study uses primary data in the form of interviews. Data was analyzed by univariate and presented in a frequency distribution table. Furthermore, using bivariate analysis to determine the relationship and OR. Result: From 8 risk factors studied, there is sygnificancy correlation between pathological vaginal discharge (p= 0,0005 OR= ∞), parity (p= 0,0005 OR= 22,7), age (p= 0,0005 OR= 19,2), oral contraception usage for a long time (p= 0,0005, OR= 12,4), age of the first intercourse (p= 0,006, OR= 6,1 ), and the husband’s occupation (p= 0,05 OR= 3,6) with the incidence of cervical cancer. While, there are two risk factors that don’t have a sygnificancy correlation between smoking (p= 1,0) and changing sexual partners (p= 1,0) with the incidence of cervical cancer. Conclusion: The results of this research identified risk factors that significantly related to cervical cancer incidence was the age, the age of first sexual intercourse, parity, long-term oral contraceptive use, a history of vaginal discharge, and the husband's occupation.

Risk Factors of Cervical Cancer in Outpatient and Inpatient at Obstetric and Gynecology RSUP Dr. Mohammad Hoesin Palembang Trifitriana, Monica; Sanif, Rizal; Husin, Syarif; Mulawarman, Rido
Medicinus Vol. 8 No. 3 (2019): June 2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i5.2470

Introduction: Cervical cancer is a malignant tumor originating from primary squamous epithelial cells and it is one of the several types of cancers that affects more to women. Methods: This research uses descriptive analytic with case- control. The sample was 52 patients who divided into 26 patients with cervical cancer and 26 patients with non - cervical cancer were outpatient and inpatient at Department of Obstetrics and Gynecology Hospital Dr. Mohammad Hoesin Palembang during the period September 2016 -November 2016. This study uses primary data in the form of interviews. Data was analyzed by univariate and presented in a frequency distribution table. Furthermore, using bivariate analysis to determine the relationship and OR. Result: From 8 risk factors studied, there is sygnificancy correlation between pathological vaginal discharge (p= 0,0005 OR= ˆž), parity (p= 0,0005 OR= 22,7), age (p= 0,0005 OR= 19,2), oral contraception usage for a long time (p= 0,0005, OR= 12,4), age of the first intercourse (p= 0,006, OR= 6,1 ), and the husband’s occupation (p= 0,05 OR= 3,6) with the incidence of cervical cancer. While, there are two risk factors that don’t have a sygnificancy correlation between smoking (p= 1,0) and changing sexual partners (p= 1,0) with the incidence of cervical cancer. Conclusion: The results of this research identified risk factors that significantly related to cervical cancer incidence was the age, the age of first sexual intercourse, parity, long-term oral contraceptive use, a history of vaginal discharge, and the husband's occupation.

Effectiveness of Health Promotion Through Audiovisual Media and Lecture Methods on the Level of Knowledge in Elementary School Children About TB Disease Trifitriana, Monica; Fadilah, Mariatul; Mulawarman, Rido
Medicinus Vol. 9 No. 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2595

Introduction : Indonesia is the number two country for TB incidence in the world. To reduce the morbidity and death rate of tuberculosis cases, WHO issued an END-TB Strategy program that has 3 pillars. Pillar number 2 on the importance of cooperation with government, private stakeholders, and community for the prevention of TB disease, one of them in the form of health promotion. The application of speech methods and audiovisual media in conveying information has some differences in the process and achievement of students' level of understanding. This study aims to compare the effectiveness of the use lecture methods and audiovisual media in conveying information.Method : A total of 136 research subjects were 6th graders at Public Elementary School 205 Palembang and Private Elementary School YWKA Palembang divided into 2 groups for each elementary school. Each elementary school were subdivided into two groups, namely the audiovisual media group and the lecture method group. This study used quasi experimental design with nonequivalent pretest-posttest technique.Result : After the intervention, the level of understanding for the audiovisual media group was 87.90% while for the lecture method was 83.00% (effective when> 75%) with a value of p <0.05. Conclusion: the delivery of information on TB disease in grade 6 students assessed in two schools, both public and private, using audiovisual media and lecture methods were both equally effective, but the effectiveness of the audiovisual media was higher than the lecture method so that audiovisual media is considered better than lecture methods.

Accuracy of the YEARS Algorithm Compared to Thoracic Imaging for the Diagnosis of Pulmonary Embolism in Pregnant and Postpartum Patients Ardining, Hiradipta; Mulawarman, Rido; Putri, Lesi Kurnia; Rossimarina, Vienna
Jurnal Kardiologi Indonesia Vol 46 No 4 (2025): October - December, 2025
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1894

The number of morbidity and mortality caused by Pulmonary Embolism (PE) has increased as of recent. Diagnosing PE during pregnancy and postpartum period is particularly challenging given the overlapping symptoms with physiological changes of pregnancy. Recent evidence suggests that the pregnancy-adapted YEARS algorithm, combining clinical probability assessment with D-dimer measurement, may exclude PE without the need for thoracic imaging, thereby reducing unnecessary radiation exposure. This systematic review and meta-analysis intends to evaluate the diagnostic accuracy of the pregnancy-adapted YEARS algorithm in comparison with thoracic imaging among pregnant and postpartum individuals that are suspected of PE. Three databases were searched systematically, including PubMed, Scopus, and Cochrane. Eligible studies included pregnant or postpartum women suspected of having PE who were assessed with the YEARS algorithm, using CT pulmonary angiography (CTPA) or ventilation–perfusion (V/Q) scan as the reference standard. Risk of bias was assessed meticulously using the QUADAS-2 tool. Pooled sensitivity, specificity, as well as the area under the curve (AUC) were calculated by Meta-Disc utilizing a random-effects model. Five studies comprising 1,036 patients, ultimately with low risk of bias were included. The pregnancy-adapted YEARS algorithm showed a pooled sensitivity of 1.00 (95% CI: 0.94–1.00), pooled specificity of 0.12 (95% CI: 0.10–0.14), and an AUC of 0.72, which indicated adequate rule-out ability but limited utility for ruling in PE. The YEARS algorithm that has been adapted for pregnancy may be safely used as a screening tool in excluding PE in pregnant and postpartum women, thereby reducing unnecessary maternal and fetal exposure to radiation. However, confirmatory thoracic imaging remains essential for positive cases.

When the silence breaks: Delayed symptomatic arrhythmia emerging years after tetralogy of fallot repair — A case report Mulawarman, Rido; Dony Yugo Hermanto; Siagian, Sisca
Heart Science Journal Vol. 7 No. 2 (2026): The Evolving Landscape of Heart Failure
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.02.16

Background: Surgical repair of Tetralogy of Fallot (TOF) has markedly improved long-term survival in congenital heart disease patients. However, late-onset arrhythmias remain a significant cause of morbidity and can lead to sudden cardiac death. Case summary: We report a 9-year-old boy with a history of complete TOF repair using a transannular patch at the age of 2 years, who presented with recurrent syncope and seizure-like episodes several years postoperatively. Neurological investigations, including brain MRI and electroencephalography, were unremarkable, leading to an initial misdiagnosis of epilepsy. Despite antiepileptic therapy, symptoms persisted. Subsequent 24-hour Holter monitoring demonstrated a high burden of polymorphic premature ventricular complexes (PVCs), non-sustained ventricular tachycardia (NSVT), and episodes of junctional rhythm with chronotropic incompetence. Initiation of oral verapamil resulted in complete resolution of symptoms. An electrophysiological study (EPS) is planned to further characterize the arrhythmic substrate and guide potential definitive intervention. Conclusion: This case emphasizes that late-onset ventricular arrhythmias can occur years after anatomically successful TOF repair and may mimic neurological disorders, delaying accurate diagnosis. Early recognition of arrhythmic mechanisms and timely referral for EPS are essential to optimize management, avoid inappropriate therapy, and mitigate the risk of sudden cardiac death.

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