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All Journal Majalah Kesehatan FKUB Malang Respiratory Journal Asian Journal of Health Research Indonesian Journal of Cancer
Aslam, Achmad Bayhaqi Nasir
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Other

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PENGARUH TINGKAT PENGETAHUAN HUBUNGAN SEKSUAL BERISIKO TINGGI TERHADAP KEJADIAN INFEKSI GONORE DI RSUD Dr. SAIFUL ANWAR MALANG Wahdah, Rina Auliya; Setyowatie, Lita; Aslam, Achmad Bayhaqi Nasir
Majalah Kesehatan FKUB Vol 7, No 4 (2020): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.majalahkesehatan.2020.007.04.5

Abstract

Gonore adalah infeksi menular seksual (IMS) yang dapat terjadi pada laki-laki dan perempuan yang disebabkan oleh bakteri diplokokus Gram negatif, Neisseria gonorrhoeae. Insiden infeksi gonore tahun 2014 di RSUD. Dr. Saiful Anwar Malang (RSSA) diketahui sebanyak 60 orang dari total 399 pasien IMS. Tahun 2015, tercatat 34 orang pasien infeksi baru gonore. Kejadian ini meningkat karena beberapa faktor di antaranya adalah pengetahuan dan hubungan seksual berisiko tinggi, yang tampak saat ini merupakan sebagian kecil dari keseluruhan pasien IMS. Tujuan penelitian adalah untuk mengetahui pengaruh tingkat pengetahuan terhadap hubungan seksual berisiko tinggi serta terhadap kejadian infeksi gonore di RSUD Dr. Saiful Anwar Malang. Populasi adalah pasien laki-laki terinfeksi gonore yang datang ke RSSA berjumlah 93 orang dan berdasarkan formula Lemeshow didapatkan. sampel sebanyak 36 responden. Pengambilan sampel dengan metode consecutive sampling. Path analysis (analisis jalur) dilakukan untuk menemukan penjelasan mengenai pengaruh langsung dan tidak langsung dari variabel tingkat pengetahuan, hubungan seksual berisiko tinggi, dan infeksi gonore berdasarkan beberapa pertimbangan teoritis serta pengetahuan peneliti yang ditampilkan dalam bentuk diagram jalur yang berfungsi untuk membantu dalam melakukan konseptualisasi masalah yang kompleks dan mengenai implikasi empirik dari teori yang sedang diuji. Hasil menunjukkan bahwa tingkat pengetahuan memiliki pengaruh yang signifikan dan berpengaruh positif terhadap hubungan seksual berisiko tinggi. Dapat disimpulkan bahwa tingkat pengetahuan terhadap hubungan seksual berisiko tinggi memiliki pengaruh yang signifikan terhadap infeksi gonore, namun tidak berpengaruh signifikan terhadap kejadian infeksi gonore. Serta, tingkat pengetahuan tidak berpengaruh signifikan terhadap infeksi gonore melalui hubungan seksual berisiko tinggi, dan  hubungan seksual berisiko tinggi tidak berpengaruh signifikan terhadap kejadian infeksi gonore. 
Idiopathic Massive Bilateral Chylothorax : A Case Report Ananda, Ilham Revan; Listyoko, Aditya Sri; Putra, Ngakan Putu Parsama; Aslam, Achmad Bayhaqi Nasir
Malang Respiratory Journal Vol. 5 No. 2 (2023): September Edition
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2023.005.02.03

Abstract

Abstract Introduction : Chylothorax is an uncommon medical condition caused by the accumulation of chylous fluid in the pleural space. Chylothorax has no predilection for sex or age. The prevalence after various cardiothoracic surgeries is 0.2% to 1%. Mortality and morbidity rates are around 10%. Respiratory distress may occur due to compression of the lung by the accumulated fluid. Management and approaches to treating the condition require multidisciplinary therapy, starting from non- pharmacological, pharmacological, to interventional management. Case Report : A 57-year-old Man patient was referred to the emergency room with chief complaint of shortness of breath. Reduced breathing sound on both lung fields. No previous history of cancer or thoracic surgery were found. X-ray examination had found bilateral pleural effusion. Thoracocentesis and pleural fluid analysis was performed with total of 6800 cc serosanguinous, whitish fluid was extracted from both of the lung. The patient was diagnosed with chylothorax. Lymphangiography and embolization was performed on the leak on left thoracic duct (T10) from right lymph node. Antibiotic was also given to treat the community acquired pneumonia that could be one of the possible etiology on this patient. Dietary modification with low fat diet and Ocreotide was also given to this patient as one of the treatment modalities. Discussion : The diagnosis of Chylothorax on this patient was established based on pleural fluid analysis and evidenced by lymphangiography examination by the presence of a leak in the thoracic lymphatic duct. Various modalities to diagnose this condition have been carried out with inconclusive results. Non-pharmacological, pharmacological and radiological interventions with embolization through lymphangiography are proven to be able to stop leaks and reduce symptoms in this patient. Conclusion : Chyle leak to the pleural space may compress the lung and cause respiratory distress. Combinaton of thoracocentesis, embolization of the leakage, dietary intake modification and administration of ocreotide may help prevent further chylous fluid accumulation. Keywords : chylothorax, embolization, lymphangiography, thoracocentesis.
Paraaortic Lymph Node Involvement among Indonesian Women with Cervical Cancer Pradana, Wisniardhy Suarnata; Aslam, Achmad Bayhaqi Nasir; Nugroho, Rafiq Sulistyo; Setijowati, Nanik; Siswidiyati, Siswidiyati
Indonesian Journal of Cancer Vol 19, No 4 (2025): December
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i4.1350

Abstract

Background: Incorporating para-aortic irradiation alongside standard pelvic irradiation has shown potential benefits for treating cervical cancer. However, its efficacy remains debatable due to insufficient information about paraaortic lymph node (PALN) involvement among Indonesian women. This study aims to determine the incidence of PALN and assess potential influencing factors, such as age, characteristics of the cervical mass (size and surrounding tissue involvement), and histopathology.Method: This study was a retrospective analytic observational study with a cross-sectional design, examining PALN involvement and localization in patients’ computed tomography (CT) scans before radiotherapy in 2023. The inclusion criteria are cervical cancer patients who were confirmed through a histopathological examination and underwent an abdominal CT scan before radiotherapy from January to December 2023. The exclusion criteria are cervical cancer patients accompanied by other primary tumors and patients who have undergone hysterectomy. The CT scans were conducted using a 16-slice Canon Aquilion from T12 to the proximal third with a 3 mm slice thickness. Factors influencing the risk of PALN involvement were analyzed using chi-square tests.Results: Eighty-seven eligible patients were analyzed. The median age was 52.26 years, with 72.4% at stage IIIB, 77% diagnosed with squamous cell carcinoma, and 89.7% with a mass size of over 4 cm. Almost all patients exhibited surrounding tissue involvement. 32.2% of patients had paraaortic lymph node involvement, with the majority (70.7%) located in the left para-aortic region and ≤ 5 mm from the aorta. There was no significant relationship between PALN involvement and age, characteristics of the cervical mass, or histopathology type.Conclusion: In a population of locally advanced cervical cancer, almost one-third of patients showed PALN involvement. Implementing PALN radiation in this population could potentially enhance outcomes, irrespective of the patient’s age, characteristics of the cervical mass, or histopathology results.
Transarterial Embolisation for Intractable Haematuria: A Case Report and Review of Management Strategies Amalia, Aisyah; Aslam, Achmad Bayhaqi Nasir; Nurdiana, Farah; Siswidiyati
Asian Journal of Health Research Vol. 4 No. 3 (2025): Volume 4 No 3 (December) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i3.286

Abstract

Introduction: Refractory gross haematuria is a significant urological emergency, characterised by prolonged and life-threatening bleeding that does not respond to standard treatment. The main recognised aetiologies encompass malignant neoplasms of the bladder and haemorrhagic cystitis. When conservative treatments and intravesical medications fail, transarterial embolisation (TAE) is a dependable and effective technique for achieving haemostasis. This study aims to report cases of haematuria resulting from bladder pathology, the role of interventional radiology in embolisation, and technical considerations. Case Presentation: We present two cases of refractory gross haematuria from the bladder managed with TAE. Case 1 involved a 65-year-old male with locally advanced, hypervascularised bladder squamous cell carcinoma (cT4aN3M1b). Case 2 involved a 69-year-old woman with haemorrhagic cystitis secondary to pelvic radiotherapy for stage IVb cervical carcinoma. Pre-embolisation angiography showed prominent blushing of feeder arteries arising from the superior vesical artery (SVA) bilaterally. Embolisation used gelfoam and PVA particles. The procedure reduces tumour blushing (Case 1) and hypervascularisation (Case 2), controlling haematuria. Conclusion: TAE is a safe and effective treatment modality for managing persistent gross haematuria due to diverse bladder pathologies, including bladder malignancy and radiation cystitis. Bilateral vesical artery embolisation was performed in both cases to ensure a more sustained response and reduce the likelihood of recurrence.
The Use of Hounsfield Unit as a Quantitative Indicator for Detecting Stroke Phases on Non-Contrast Head CT-Scan Aslam, Achmad Bayhaqi Nasir; Fauzi, Dimas Noor Zulfikar
Asian Journal of Health Research Vol. 4 No. 3 (2025): Volume 4 No 3 (December) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i3.288

Abstract

Introduction: Ischemic stroke is a major cause of morbidity and mortality worldwide. Early determination of the stroke phase is essential for guiding appropriate management and predicting prognosis. Non-contrast head computed tomography (CT) remains the first-line imaging modality in acute stroke evaluation. Material and Methods: This analytic observational study with a cross-sectional approach was conducted at Dr. Saiful Anwar General Hospital, Malang, Indonesia. A total of 45 patients diagnosed with ischemic stroke were included and divided equally into three groups: acute, subacute, and chronic (15 patients each). HU values were measured using three regions of interest (ROIs) of 1 cm² placed within the infarcted area and averaged for analysis. Results: Mean HU values decreased progressively with stroke phase progression: acute 25.84 ± 1.07, subacute 18.11 ± 0.96, and chronic 9.24 ± 0.96. The Kruskal–Wallis test revealed a significant difference in HU values among the three groups (p < 0.001). Post hoc analysis using Dunn’s test confirmed significant differences between all phases (acute–subacute = 7.73 HU; subacute–chronic = 8.87 HU; acute–chronic = 16.60 HU; all p < 0.001). Clinically, decreased consciousness predominated in the acute phase (66.7%), while hemiparesis was more common in subacute (66.7%) and chronic (60%) phases, reflecting underlying tissue pathophysiology. Conclusion: Quantitative HU measurement on non-contrast CT provides a reliable and objective tool for differentiating ischemic stroke phases. The progressive decline in HU values corresponds with the temporal evolution of infarction, making HU analysis a useful adjunct to conventional qualitative CT interpretation.
Co-Authors Amalia, Aisyah Ananda, Ilham Revan Fauzi, Dimas Noor Zulfikar Listyoko, Aditya Sri Lita Setyowatie, Lita Nanik Setijowati Nugroho, Rafiq Sulistyo Nurdiana, Farah Pradana, Wisniardhy Suarnata Putra, Ngakan Putu Parsama Siswidiyati Siswidiyati, Siswidiyati Wahdah, Rina Auliya