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Journal : journal la medihealtico

The Effect of Suplementation Omega-3 on Sputum Conversion, Body Mass Index, Interleukin-6 and Monocyte Lymphocyte Ratio in the Treatment of Pulmonary Tuberculosis Ferryansyah, Ferryansyah; Isa, Mohamad; Juhairina, Juhairina; Haryati, Haryati; Assagaf, Ali; Kusumawardhani, Erna
Journal La Medihealtico Vol. 6 No. 3 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i3.2041

Abstract

Tuberculosis (TB) is a disease caused by Mycobacteriun Tuberculosis. Its cases continue to increase both in Indonesia, and in the world. Efforts to increase the success rate of TB treatment and reduce the level of transmission need to continue to be developed, one of which is with additional therapy in its treatment. Omega-3 has anti-inflammatory and anti-bacterial potential, which is predicted to increase the success of TB treatment, as seen from sputum conversion, increased body mass index (BMI) and important inflammatory parameters in TB infection namely interleukin-6 (IL-6), monocyte lymphocyte ratio (MLR) values. This study was conducted to determine the effect of Omega-3 addition on sputum conversion, BMI, IL-6 levels and MLR values in pulmonary tuberculosis treatment. Experimental study with consecutive sampling in drug-sensitive pulmonary TB patients who were given additional Omega-3 dose of 1,200 mg (@600mg/capsule), compared with the control group. Each sample was monitored for sputum conversion, BMI, IL-6 levels and MLR values at week 0 (m0), week 4 (m4) and week 8 (m8). In this study, there was a significant effect of adding Omega-3 on reducing IL-6 levels (p= 0.013), reducing MLR values (p= 0.005) and increasing BMI (p= 0.047) but no significant effect on sputum conversion (p= 1,000). The addition of Omega-3 had a significant effect on reducing IL-6 levels, reducing MLR values and increasing BMI, but did not have a significant effect on sputum conversion in pulmonary TB treatment.
Analysis of Factors Associated with the Utilization of the Kotabaru Community Health Center in the Era of Primary Care Integration Pura, Satria Tanjung; Arifin, Syamsul; Isa, Mohamad; Istiqomah, Ermina; Silapurna, Endah Labati
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3225

Abstract

Health constitutes a fundamental investment in both human well-being and economic development. Strengthening the primary healthcare system through the Primary Care Integration (PCI) program has therefore emerged as a national priority aimed at delivering comprehensive, accessible, and affordable services. This study seeks to examine the factors associated with the utilization of the Kotabaru Community Health Center (Puskesmas) in the PCI era, with particular emphasis on the relationships among access to healthcare services, health status, and educational attainment in shaping community health-seeking behavior. Employing a literature review approach based on scientific publications from the past five years, the findings indicate that access to healthcare services in the PCI era extends beyond mere geographical proximity, encompassing affordability, administrative simplicity, and the integration of electronic medical records. These dimensions collectively influence the frequency of community visits. Subjective health status emerges as the most dominant determinant, as the PCI system has effectively shifted service utilization patterns from reactive, curative practices toward continuous, life-cycle-based health risk monitoring. Educational level functions as a critical predisposing factor, shaping health literacy and the cognitive capacity of individuals to navigate the newly implemented cluster-based service system. The utilization of the Kotabaru Community Health Center within the PCI framework is therefore significantly shaped by the interplay between accessibility, risk-based health awareness, and the level of community health literacy in making informed medical decisions.