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Kolaborasi Tuberculosis (TBC) dan Human Immunodeficiency Virus (HIV) Yona Arisena Magdalena Silitonga; Intanri Kurniati; Retno Ariza; Mukhlis Imanto; Jhond Fatriyadi S
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.269

Abstract

Tuberculosis (TBC) is becoming one of the highest causes of death in the world. Tuberculosis is caused by Mycobacterium tuberculosis that is transmitted via droplet originating from tuberculosis patients. It is estimated that one-third of people in the world have been infected by tuberculosis, but only 10-20% of people will show the symptoms. Symptoms that can arise in tuberculosis are such as bleeding cough, weight loss, night sweats, chest pain, shortness of breath and weakness. Meanwhile, human immunodeficiency virus (HIV) is a retrovirus-famili because of its ability to convert the RNA genome into DNA. HIV transmission occurs due to the entry of this virus into the body through body fluids of people who are already infected by HIV. Both of these infectious diseases alike because both of them can cause a decrease in immune system activities in the body of the sufferer. Collaboration of both diseases is common and is a deadly combination because it interacts with each other in all aspects of the disease, ranging from pathogenesis, epidemiology, clinical manifestations, treatment and prevention. Tuberculosis is also a leading cause of death in HIV-positive patients. In 2016 in Indonesia, there are found 360,565 cases of TBC, with 14% of them are also known to suffer from HIV-positive. The results of the study suggest that there is a mutual relationship between the two diseases in causing a clinical symptoms through decreased activity of the body's immune system.
KORELASI ANTARA JUMLAH EOSINOFIL ABSOLUT DENGAN DERAJAT KLINIS ASMA BRONKIAL PADA PENDERITA ASMA DI KLINIK HARUM MELATI PRINGSEWU Ian Ibnu Faizal; Hidayat Hidayat; Mala Kurniati; Retno Ariza
Jurnal Ilmu Kedokteran dan Kesehatan Vol 2, No 1 (2015): Volume 2 Nomor 1
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.465 KB) | DOI: 10.33024/.v2i1.697

Abstract

Asma merupakan penyakit gangguan inflamasikronis saluran pernapasan dengan banyak selserta elemen seluler yang berperan. Asmadihubungkan dengan hiperresponsif bronkus,keterbatasan aliran udara dan gejalapernapasan yang bersifat reversibel. Salah satusel yang diketahui berperan besar dalampatogenesis asma adalah eosinofil, eosinofilmelepaskan berbagai mediator seperti majorbasic protein, Eosinofil Cation Protein,peroksidase eosinofil, leukotriene C4, sertaPlatelet-Activating faktor yang akan merusakepitel saluran napas serta menyebabkanperadangan. Penelitian ini bertujuam untukmenghubungkan antara jumlah eosinofilabsolut dengan derajat klinis asma bronkial.Metode penelitian : Jenis penelitian analitikkorelatif dengan pendekatan cross-sectional,populasi adalah seluruh pasien asma bronkialdi Klinik Harum Melati Pringsewu Lampungperiode Januari-Desember 2015 denganjumlah sampel 44 orang dari 350 subjekpenelitian. Penelitian dilakukan pada bulanMaret 2016 dengan melihat data rekam medispenderita asma bronkial di Klinik HarumMelati Pringsewu Lampung pada periodeJanuari – Desember 2015.Penelitian dilakukan pada bulan Maret 2016dengan melihat data rekam medis penderitaasma bronkial di Klinik Harum MelatiPringsewu Lampung pada periode Januari –Desember 2015.Analisa yang digunakan berupa analisaunivariat dan bivariat yaitu korelasi pearsondan one-way ANOVAHasil : Dari 44 pasien, 22,7% diantaranyaderajat well controlled dengan jumlah rata-rataeosinofil absolut yaitu 454.8 sel/mm3, padaderajat partly controlled sebanyak 45,5%dengan jumlah rata-rata eosinofil absolut yaitu436 sel/mm3, dan 31,8% pada derajatuncontrolled dengan jumlah rata-rata eosinofilabsolut yaitu 686.4 sel/mm3. Hasil uji korelasipearson antara jumlah eosinofil absolutdengan spirometri dengan kategori wellcontrolled, partly controlled, uncontrolledmenunjukan korelasi yang sangat lemah (-0.194 , 0.006, 0.160) dan tidak terdapathubungan yang bermakna antara jumlaheosinofil absolut dengan spirometri. Hasil ujione way anova menunjukan p=0,691 (α =<0,05) tidak terdapat hubungan yangbermakna antara jumlah eosinofil absolutdengan derajat klinis asma bronkial.Kesimpulan : Pada derajat uncontrolledmemiliki rata-rata jumlah eosinofil yang lebihtinggi (686,4 sel/mm3) dibandingkan denganderajat well controlled (454.8 sel/mm3) danpartly controlled (9436 sel/mm3) walaupunsecara statistik tidak bermakna. Tidak terdapathubungan yang signifikan antara jumlaheosinofil absolut dengan derajat klinis asmabronkial
Hubungan Ketepatan Teknik Penggunaan Inhaler Dengan Hasil Uji Spirometri Pada Pasien Asma Di Klinik Harum Melati Dan RSU Wisma Rini Kabupaten Pringsewu Retno Ariza; Fransisca Sinaga; Jordy Oktobiannobel; Siti Fatima Az Zahra
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.343

Abstract

Asthma is a heterogeneous disease with chronic airway inflammation that still be a concern in the world. GINA 2021 explain that if asthma patients are not continuously controlled, it is necessary to review common problems that frequently found, one of which is the wrong inhaler technique. The incorrect of inhaler techniques will have an effect on drug delivery to the lungs which affects the success of therapy and improvement of lung function. To determine the relationship between the accuracy of inhalers technique with the results of the spirometry test in asthmatic patients.This study used a quantitative research with an analytical survey method and a cross-sectional study approach. The study was conducted by observation to see the correlation between the accuracy of the inhaler technique and the results of the spirometry test with parameters FEV1. Sampling was carried out at the Harum Melati Clinic and Wisma Rini Hospital, Pringsewu. There were 173 asthma patients that using inhaler, but only 103 samples met the inclusion criteria, namely patients aged >5 years who used inhalers and taken spirometry examinations. In this study, the inhaler accuracy test was carried out using a checklist 2 times where the first was carried out before education of inhalers technique and the second was carried out after education. Spearmen correlation test showed that there was no relationship between inhaler technique and FEV1 before education (p-Value 0.941; p>0.05), but there is a significant relationship between the technique of using the inhaler with the results of FEV1 after education (p-Value 0.049; p < 0.05).