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All Journal Majalah Kesehatan FKUB Malang Respiratory Journal 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.
Co-Authors Ananda, Ilham Revan Listyoko, Aditya Sri Lita Setyowatie, Lita Nanik Setijowati Nugroho, Rafiq Sulistyo Pradana, Wisniardhy Suarnata Putra, Ngakan Putu Parsama Siswidiyati, Siswidiyati Wahdah, Rina Auliya