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All Journal Gizi, Kesehatan Reproduksi dan Epidemiologi Kebijakan, Promosi Kesehatan dan Biostatiskik Lingkungan dan Kesehatan Kerja Jurnal Kesehatan Masyarakat Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Kesehatan Lingkungan Journal of Degraded and Mining Lands Management Jurnal Biologi Tropis Indonesian Journal of Chemistry Journal of Health Science and Prevention Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Jurnal Respirologi Indonesia Oto Rhino Laryngologica Indonesiana Jurnal Kesmas dan Gizi (JKG) Jurnal Respirasi (JR) Sumatera Medical Journal Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Randwick International of Social Science Journal Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Budapest International Research in Exact Sciences (BirEx Journal) MAHESA : Malahayati Health Student Journal Respiratory Science Indonesian Journal of Engagement, Community Services, Empowerment and Development (IJECSED) Narra J Britain International of Humanities and Social Sciences (BIoHS) Journal Britain International of Exact Sciences Journal (BIoEx Journal) Jurnal Impresi Indonesia Journal of Social Research JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Formosa Journal of Applied Sciences (FJAS) TROPHICO: Tropical Public Health Journal Miracle Journal Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara The Journal of Society Medicine (JSOCMED) Jurnal Pengabdian Masyarakat dan Riset Pendidikan Jurnal Multidisiplin Indonesia Ophthalmologica Indonesiana Jurnal Pengabdian Masyarakat Ilmu Kesehatan International Journal of Health and Medicine Sevaka: Hasil Kegiatan Layanan Masyarakat Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Pengabdian Ilmu Kesehatan
Taufik Ashar
Department Of Environmental Health, Faculty Of Public Health, Universitas Sumatera Utara, Jl. Universitas No. 21 Medan 20155
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COMPARISON OF UPPER EXTREMITY MUSCLE STRENGTH BETWEEN PATIENTS WITH STABLE AND EXACERBATED CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT A HOSPITAL IN MEDAN Rocky Malindo Sidabutar; Amira Permatasari Tarigan; Pandiaman Pandia; Taufik Ashar
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 3 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i3.688

Abstract

One of the main complications in patients with COPD is muscle weakness or atrophy, which becomes more pronounced during exacerbations, leading to a decline in quality of life, prognosis, and an increased risk of future exacerbations. This study compared upper limb muscle strength between stable COPD patients and those experiencing exacerbations. A cross-sectional study design was used, with an independent sample t-test to compare the mean values of two unpaired groups. Sampling was conducted using a non-probability consecutive sampling technique. Researchers assessed upper limb muscle strength using a Hand-grip Dynamometer on a predetermined sample size that met the inclusion and exclusion criteria. The results showed a significant correlation between the history of exacerbations within the past year and COPD in both groups (p < 0.05). Upper limb muscle strength in the exacerbation group was lower than in the stable COPD group. The independent t-test yielded a p-value of 0.001, indicating a significant difference in upper limb muscle strength between the stable and exacerbation COPD groups.
The Relationship Between Tumor Necrosis Factor-Alpha (TNF-α) with Retinal Nerve Fiber Layer (RNFL) Thickness in Diabetic Retinopathy Patients at Prof. CPL Universitas Sumatera Utara General Hospital and Affiliated Hospital Putra, Wahyu Medsa Yeltas; Delfi; Ashar, Taufik
Majalah Oftalmologi Indonesia Vol 51 No 2 (2025): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v51i2.101724

Abstract

Introduction: Retinal neurodegeneration may be an early indicator of diabetic retinopathy, the second most common complication after nephropathy. Tumor Necrosis Factor-Alpha (TNF-α) plays a role in the pathogenesis of inflammatory and neovascular eye disorders and is associated with intraocular inflammatory diseases like macular edema and proliferative diabetic retinopathy. This study aims to find the relationship between TNF-α levels and Retinal Nerve Fiber Layer (RNFL) thickness in diabetic retinopathy patients at Prof. CPL Universitas Sumatera Utara General Hospital and affiliated hospital.   Methods: This cross-sectional study included 45 patients with type 2 DM and diabetic retinopathy at Prof. CPL Universitas Sumatera Utara General Hospital and affiliated hospital from March to June 2024. RNFL and posterior segment examinations were conducted. TNF-α levels were measured from blood samples.Blood sugar data were taken from medical records.   Results: Of the 45 participants, 24 were men (53.3%) and 21 women (46.7%). 32 (71.1%) had DM for >5 years, and 27 (60%) experienced PDR. Highest location for RNFL thickness examination was superior (19, 42.2%). Average TNF-α with thin RNFL was 65.67 ng/L, and with thick RNFL was 64.78 ng/L. Mean TNF-α with thin superior RNFL was 65.74 ng/L, and thick was 63.70 ng/L. Mean TNF-α with thin inferior RNFL was 65.73 ng/L, and thick was 63.9 ng/L. Mean TNF-α with thin temporal RNFL was 68.73 ng/L, and thick was 67.19 ng/L. Mean TNF-α with thick nasal RNFL was 67.06 ng/L.   Conclusion: There was no statistically significant relationship between TNF-α and RNFL thickness in diabetic retinopathy patients.
Benzene, Toluene, Xylene Levels and Subjective Complaints in Shoe Workshops Ashar, Taufik; Santi, Devi Nuraini; Naria, Evi
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.14960

Abstract

The demand for shoes must be met by the worldwide shoe manufacturing business, but the inhalation dangers associated with its chemical processes—which use benzene, toluene, and xylene (BTX)—raise health issues for workers. Initial surveys showed that most shoe manufacturing workshops do not have adequate ventilation. Most workers often complain of symptoms such as coughing, shortness of breath, and headaches. This study examined the relationships between worker symptoms and chemical levels at shoe factories in Medan, Indonesia, in 2017. This was an observational cross-sectional study. The total population was 72 workers in shoe workshops in the small industrial center area in Medan city. The sample size in this study was 47 people in seven shoe workshops. BTX concentrations were measured in seven workshops. Statistical tests used in this study were chi-square test and Fisher’s exact test with a significance level of p<0.05. According to the findings, the most common symptoms among employees were coughing (40.4%), dizziness (55.3%), and eye discomfort (55.3% of respondents). The range values were 0.09 ppm to 2.83 ppm, 1.20 ppm to 178.98 ppm, and 0.11 ppm to 50 ppm for benzene, toluene, and xylene, respectively. The two compounds most commonly exposed to levels exceeding the ACGIH (American Conference of Governmental Industrial Hygienists) threshold level value were toluene (55.3%) and benzene (25.5%), according to ambient readings. Of the workshops that were inspected, only two (28.57%) had a functional ventilation system. Exposure to benzene exceeding the quality standard showed a significant association with dizziness (p = 0.003) and watery eyes (p = 0.003). Meanwhile, exposure to toluene exceeding the permissible limit was significantly associated with dyspnea (p = 0.005). Our research showed that over half of the workforce reported subjective complaints and that levels of benzene and toluene exceeded recommendations for occupational exposure.
Analisis Risiko Asupan Oral Pajanan Mangan dalam Air terhadap Kesehatan Masyarakat Ashar, Taufik
Kesmas Vol. 2, No. 3
Publisher : UI Scholars Hub

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Abstract

Mangan yang secara alami dapat ditemukan di air, tanah, dan udara adalah zat nutrisi esensial bagi manusia dan hewan. Asupan yang tidak mencukupi atau yang berlebihan dapat gangguan kesehatan. Pajanan kronik mangan pada dosis yang tinggi dapat mengakibatkan gangguan pada sistem saraf. Tujuan penelitian ini adalah mengetahui perkiraan risiko kesehatan akibat asupan mangan dari air sumur di wilayah penelitian. Penelitian dengan disain crossectional ini dilakukan terhadap masyarakat di wilayah sekitar TPA Rawakucing yang meliputi masyarakat yang bermukim di dalam kawasan (114 orang), dan di luar kawasan TPA (177 orang). Hasil penelitian menunjukkan rata-rata konsentrasi mangan dalam air sumur di wilayah sekitar TPA Rawakucing (4.3 mg/l; SD=2.8873 mg/l). Berbeda sevara bermakna dengan di luar TPA Rawakucing (0.300 mg/l; SD=0.1888 mg/l). (nilai p<0.05). Rata-rata besaran risiko (RQ) gangguan kesehatan akibat mengkonsumsi air yang mengandung mangan pada masyarakat yang tinggal di TPA Rawakucing (0.2347) dan yang tinggal di luar TPARawakucing (0.2955). Masyarakat yang tinggal di TPA berisiko gangguan kesehatan 8,12 kali lebih bedsar daripada yang tinggal di luar TPA(p<0.05) dengan OR=8.109 (95% CI = 2.668-24.650). Manganese that can be found ubiquitously in the air, soil, and water is an essential nutrient for humans and animals. Inadequate intake or over exposure can cause adverse health effects. Although manganese is an essential nutrient at low doses, chronic exposure to high doses may be harmful. Regardless, the nervous system has been determined to be the primary target organ with neurological effects generally observed. The objective of the study is to assess the health risk of manganese exposure from the well drinking water intake. This study was done in Final Disposal Site Rawakucing area and outside of this area. The number of subjects were 114 who lived inside the site and 177 who lived outside the area, respectively. Study design is cross-sectional with hypotheses testing. The result showed that the average manganese concentration was 4.3 mg/l (SD=2.8873), 0.300 mg/l (SD=0.1888) respectively. The result was significant different statistically (p<0.05) for manganese concentration from two study area. The average RQ showed 0.2347 (SD=0.5095) for RQ in Disposal Site Area and 0.2955 (SD=0.2465) for RQ outside Disposal Site Area. The result was statistically significantly different (p<0.05) for RQ value, with OR=8.109 (95% CI = 2.668-24.650).
Kromium, Timbal, dan Merkuri dalam Air Sumur Masyarakat di Sekitar Tempat Pembuangan Akhir Sampah Ashar, Taufik; Santi, Devi Nuraini; Naria, Evi
Kesmas Vol. 7, No. 9
Publisher : UI Scholars Hub

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Abstract

Tempat pembuangan akhir (TPA) sampah domestik dengan sistem penampungan terbuka sangat berisiko mencemari air tanah milik warga yang bermukim di sekitarnya melalui proses perlindian. Untuk mengetahui kandungan logam berat dalam air tanah di sekitar TPA, sebanyak 68 sampel air sumur gali (45 sumur Dusun I dan 23 sumur Dusun IV) dari Desa Namobintang Kecamatan Pancurbatu Kabupaten Deli Serdang, Sumatera Utara, telah dianalisis dengan inductively couple plasma atomic emission spectroscopy. Hubungan jarak sumur dengan konsentrasi kromium, merkuri, dan timbal diuji dengan Mann-Whitney, Spearman’s Correlation dan analisis regresi linier sederhana. Hasil penelitian menunjukkan konsentrasi kromium, timbal, dan merkuri (rerata ± deviasi standar, mg/L) masing-masing 0,036 ± 0,0096; 0,0003 ± 0,00018; dan 0,005 ± 0,0041 (Dusun I); 0,0370 ± 0,0115; 0,00026 ± 0,00013; dan 0,0070 ± 0,0069 (Dusun IV). Dari 68 sumur yang dianalisis, hanya ada 8 sumur yang konsentrasi timbalnya melebihi batas menurut Peraturan Kementerian Kesehatan Republik Indonesia Nomor 492/Per/IV/2010. Sementara itu, tidak ada korelasi jarak sumur gali ke TPA dengan konsentrasi kromium, merkuri, dan timbal dalam air sumur gali tersebut. Disimpulkan bahwa perlindian sampah di Namobintang tidak mencemari air sumur-sumur gali yang berjarak 84 meter atau lebih dari TPA. Dumping site of domestic wastes has potential risk to contaminate groundwater of the surrounding population through leaching process. To determine heavy metals (chromium, lead, and mercury) in groundwater at surrounding dumping site, a total of 68 dig well water samples (45 from Hamlet I and 23 from Hamlet IV) of Namobintang Village, Pancurbatu Sub-District of Deli Serdang Regency, North Sumatra, were analyzed using Inductively Couple Plasma Atomic Emission Spectroscopy. The relationship between the dig well distance and chromium, mercury, and lead content was tested by Mann-Whitney, Spearman’s Correlation and Simple Linier Regression. The result of this study showed that chromium, lead, and mercury concentrations (mean ± SD, mg/L) were 0.036 ± 0.0096; 0.0003 ± 0.00018; and 0.005 ± 0.0041 (Hamlet I); 0.0370 ± 0.0115; 0.00026 ± 0.00013; and 0.0070 ± 0.0069 (Hamlet IV). Of 68 dig well water samples analyzed, there were only 8 water samples that had lead concentrations exceeding the drinking water limit of Peraturan Kementerian Kesehatan Republik Indonesia Nomor 492/Per/IV/2010. Meanwhile, there was no correlation of dig well distance to dumping site and heavy metal concentrations in dig well water. The study concluded that solid waste leachate in Namobintang did not contaminate the dig wells water located at 84 meters or more from the dumping site.
The Influence of Workload, Burnout, Distress on Nurses' Performance Post Covid-19 Pandemic Hapsari, Sukma; Purba, Jenny Marlindawani; Ashar, Taufik
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3937

Abstract

Workload, burnout and distress are closely related to nurse performance, because increasing workload, burnout and distress can reduce nurse performance. The purpose of this study was to determine the effect of workload, burn out, distress on the performance of nurses after the Covid-19 pandemic. Method: This study is quantitative with a causal associative design. The population in this study were nurses at the Prof. Dr. M. Ildrem, Metal Hospital, totaling 184 people, with a sample of 65 people in the study. Data were collected using questionnaire. Data were analyzed using multiple linear regression. The study shows that workload and distress influence the performance of nurses after the Covid-19 pandemic at the Prof. Dr. M. Ildrem, Mental Hospital, Medan, while burn out has no effect on the performance of nurses after the Covid-19 pandemic at the Prof. Dr. M. Ildrem, Mental Hospotal, Medan. Workload, burn out and distress together influence the performance of nurses after the Covid-19 pandemic at the Prof. Dr. M. Ildrem, Mental Hospital, Medan. Hospitals need to pay attention to workload elements that can affect nurses' performance, as well as exploring the individual abilities of nurses, providing opportunities for nurses to be creative and self-actualizing to reduce burn out as well as screening nurses for psychological problems regularly to support nurses who work in the Mental Hospital.
Risk Management of Manganese (Mn) Contamination in Drinking Water Sources Putri, Syafreni Annisa Ayu; Indirawati, Sri Malem; Ashar, Taufik
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6293

Abstract

Manganese (Mn) is a heavy metal that naturally exists in the environment and can contaminate drinking water sources through anthropogenic activities, particularly in agricultural areas. Long-term exposure to Mn levels above safe limits can lead to neurological disorders in humans. This study aims to analyze the risk management of manganese contamination in drinking water sources in Langkat District, North Sumatra. A cross-sectional study was conducted on 8 samples of well water and 209 respondents. Data collection included water sampling and neurological symptom assessment using the Q18 questionnaire. Risk analysis was carried out based on concentration exposure, body weight, and daily water intake to calculate the Risk Quotien (RQ). Manganese concentrations in water ranged from 0.991 mg/L–2.809 mg/L, exceeding the Indonesian Ministry of Health threshold of 0.1 mg/L. Six respondents experienced numbness, and four experienced palpitations. Risk management analysis showed a safe body weight at 36.26–141.81 kg, the safe length of residence ranged at 23.01–58.72 years, and safe Mn concentration at 0.62–2.78 mg/L. This study provides important scientific evidence for developing risk management strategies for manganese contamination in drinking water to prevent neurological issues in Langkat Regency. Recommendations were given to improve water quality monitoring and community health education.
Pengaruh Eksternal dan Internal terhadap Kejadian Diabetes Melitus Tipe 2 Pada Usia ≥ 40 Tahun di Kabupaten Labuhan Batu Sormin, Cynthia; Ashar, Taufik; Lubis, Rahayu
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15708

Abstract

ABSTRACT Diabetes mellitus is one of the non-communicable diseases that ranks 4th most common cause of death in the world. Labuhanbatu Regency is one of the districts in the main Sumatra province that must improve the control of the number of Type 2 diabetes because Type 2 diabetes cases fluctuate every year with the percentage of patients who get health services is only 90.2 percent. Therefore, the purpose of this study was to analyze the influence of internal and external factors on the incidence of Type 2 diabetes mellitus at the age of 40 years in Labuhan Batu Regency. This type of research is quantitative research with case control design. The study was conducted in 5 health centers that have the highest number of patients with Type 2 diabetes mellitus in Labuhanbatu Regency with a large sample of 43 cases and 43 controls so that the total sample size is 86 people. Based on the results of the study, the influence of internal factors include age (p-value=0.026), sex (p-value=0.017) and family history of diabetes mellitus (p-value=0.000) on the incidence of Type 2 Diabetes mellitus at the age of 40 years in Labuhanbatu Regency. The results also showed the influence of external factors including dietary habits (p-value=0.028), physical activity (p-value=0.006) and obesity (p-value=0.018) on the incidence of Type 2 Diabetes mellitus at the age of 40 years in Labuhanbatu District. The dominant factor influencing the incidence of Type 2 Diabetes mellitus at the age of 40 years in Labuhanbatu District is a family history of DM with Exp (B) value of 38.395. It is expected to the Government of Labuhanbatu Regency to be able to carry out supervision of Type 2 diabetes mellitus in individuals who have not been able to carry out supervision of the patient's familytype 2 and type 2 diabetes mellitus supervision education in families, as well as supervision of individuals who have been able to carry out supervision of families with minimal medication and education to prevent eating patterns and physical activities carried out to control stable blood sugar. Keywords: Diabetes Mellitus, Family History, Prevention  ABSTRAK Diabetes melitus menjadi salah satu penyakit tidak menular yang menempati urutan ke-4 penyebab kematian terbanyak di dunia. Kabupaten Labuhanbatu merupakan salah satu kabupaten di Provinsi Sumatera utama yang harus meningkatkan pengendalian jumlah DM tipe 2 karena kasus DM tipe 2 yang fluktuatif setiap tahunnya dengan persentase penderita yang mendapatkan pelayanan kesehatan hanya sebesar 90,2 persen. Maka dari itu, tujuan penelitian ini untuk menganalisis pengaruh faktor internal dan eksternal terhadap kejadian DM tipe 2 pada usia ≥ 40 tahun di Kabupaten Labuhan Batu. Jenis penelitian ini adalah penelitian kuantitatif dengan desain case control. Penelitian dilakukan di 5 puskesmas yang memiliki jumlah penderita DM tipe 2 tertinggi di Kabupaten Labuhanbatu dengan besar sampel 43 orang kasus dan 43 orang kontrol sehingga total besar sampel yaitu 86 orang. Berdasarkan hasil penelitian didapatkan adanya pengaruh faktor internal meliputi usia (p-value=0,026), jenis kelamin (p-value=0,017) dan riwayat keluarga DM (p-value=<0,001) terhadap kejadian Diabetes Melitus Tipe 2 pada usia ≥ 40 tahun di Kabupaten Labuhanbatu. Hasil penelitian juga menunjukkan adanya pengaruh faktor eksternal meliputi kebiasaan diet (p-value=0,028), aktivitas fisik (p-value=0,006) dan obesitas (p-value=0,018) terhadap kejadian Diabetes Melitus Tipe 2 pada usia ≥ 40 tahun di Kabupaten Labuhanbatu. Faktor dominan yang mempengaruhi kejadian Diabetes Melitus Tipe 2 pada usia ≥ 40 tahun di Kabupaten Labuhanbatu yaitu riwayat keluarga DM dengan nilai Exp(B) sebesar 38,395. Diharapkan kepada pemerintah Kabupaten Labuhanbatu untuk dapat melakukan pengendalian penyakit DM tipe 2 pada individu yang belum terpapar dengan melakukan pendataan keluarga pasien DM tipe 2 dan edukasi pencegahan DM tipe 2 pada keluarga, serta pengendalian pada individu yang sudah terpapar dengan melakukan pemeriksaan kepatuhan minum obat dan edukasi mengenai pola makan serta aktivitas fisik yang dianjurkan untuk mengontrol kadar gula darah stabil. Kata Kunci: Diabetes Melitus, Riwayat Keluarga, Pencegahan
The Impact of Obesity on Hypertension in Adults Aged 25-45 in Padang Lawas Regency in 2024 Siregar, Nur Khaidah; Ashar, Taufik; Lubis, Rahayu
Formosa Journal of Applied Sciences Vol. 3 No. 6 (2024): June 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjas.v3i6.9667

Abstract

One of the factors that influence the incidence of hypertension is obesity. The purpose of this study was to analyze the effect of obesity on the incidence of hypertension at the age of 25-45 years in Padang Lawas Regency in 2024. The research method used a case control design with a large sample size of hypertension and non-hypertension of 73 people each. Data analysis using logistic regression test. The results showed that obesity is a factor influencing the incidence of hypertension (OR = 6,056). It is necessary to conduct a public education campaign targeting young adults in Padang Lawas Regency, focusing on the importance of controlling the frequency of fat consumption, healthy types of fat, and associated obesity risks, as well as utilizing social media and holding special counseling sessions for food businesses.
Double-Lumen vs Small-Bore Pigtail Catheter for Pleural Effusion: Which is Superior? Siagian, Novi Andriani; Soeroso, Noni Novisari; Bihar, Syamsul; Ashar, Taufik
Jurnal Respirasi Vol. 11 No. 1 (2025): January 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.1.2025.39-46

Abstract

Introduction: Pleural effusion is associated with a high mortality rate. Tube thoracostomy remains the standard treatment. Despite this, double-lumen catheters, typically used for central venous access, are infrequently employed for pleural drainage. This study compared the characteristics of patients undergoing double-lumen catheter versus pigtail catheter placements for pleural effusion. Methods: A retrospective cross-sectional study was conducted on adult patients at Prof. Dr. Chairuddin Panusunan Lubis Universitas Sumatera Utara Hospital, Haji Adam Malik General Hospital, and St. Elisabeth Hospital, Medan, from September 2022 to April 2024. This study analyzed patient demographics and clinical presentations for those receiving either catheter type. Results: The mean age of patients with double-lumen catheters was 58.21 years old, while those with pigtail catheters averaged 54.9 years old. Patients with double-lumen catheters frequently presented with a combination of shortness of breath, cough, and chest pain, while those with pigtail catheters primarily reported shortness of breath. Both groups predominantly exhibited exudative pleural effusions. Radiological evaluations indicated moderate pleural effusion was most common in both groups, with thoracic ultrasound revealing fluid volumes between 500 and 2,000 cc. Conclusion: Double-lumen catheters are more frequently utilized for moderate to massive pleural effusion, whereas pigtail catheters are typically reserved for moderate cases. The choice of catheter depends on the patient's condition, the underlying cause of the effusion, and radiological findings.
Co-Authors Adida, Fiony Adri Deslita Situmorang Afiani, Dina Ahmad Fandi Irfandi Alam Bakti Alam Bakti Keloko Alam Bakti Keloko, Alam Bakti Aliandri, Aliandri Amin, Mona N. Andika Pradana Andin Rizqika Aliunputri Andin Anggrainy, Putri Annisa Rizka Lestari Arfah Mardiana Lubis Ariantika, Ariantika Arifa Masyitah Panjaitan Arini Agustina Aritonang, Minarni ES. Asfriyati ,MKes Ayu Ulfah Nur Lubis Azmi Ervita Purnama Bambang Wispriyono Berta Kartina Bihar, Syamsul Br. Tobing, Netty Elida Bukit, Dhani Syahputra Chrestella, Jessy Chrestella, Jessy Dangana, Amos Darren Wan-Teck Lim Dealita Khairani Daulay Dedy Dwi Putra Delfi Delfitri Munir Delita Br Panjaitan Delvina Sinaga Dessy Irfi Jayanti Dessy Irfi Jayanti Destanul Aulia, Destanul Destanul Aulia, SKM., MBA., M.Ec., Ph.D Devi Nuraini Santi Devi Nuraini Santi Dinda Sekar Mentari Dody usman dr. Surya Dharma MPH Dwisa Febrina Ritonga Eka Lestari Mahyuni Eka Purnamasari Elisna Syahruddin Erman Munir Erna Mutiara Erna Mutiara ERNA VERONIKA SINAGA Eva Valentine Br. Hotang Evawany Aritonang Evawany Y Aritonang Evi Naria evi naria Evi Naria EVLINA SUZANNA, EVLINA Evo Elidar Harahap fadhil munthe Fadillah Ismy Fajrinur Syarani Faridah Hanum Rajagukguk Fathia Amanda Fatiyah Tul Khoir Nasution Fazidah Aguslina Siregar, Fazidah Aguslina Ferryan Sofyan Fithria Aldy Fransiska, Rosa Berlina Gerry Silaban Gerry Silaban Gerry Silaban Gifani Anastasya Gustina Fajarwati Sihombing Hamidah Fadhilah Hamonangan Nainggolan Hapsari, Sukma Harahap, Pahala Hanafi Harahap, Putri Wulandari Hasbullah Hasbullah Hasbullah Hasbullah Henny Maisara Sipahutar Heru Santosa Herwanto, H R Yusa Herwanto, H. R. Yusa Herwanto, R. Yusa Herwanto, Yusa hiswani . Hiswani Hiswani Ida Rizkia ika surya agustiani Ikhsan Ibrahim Imerlyn A Silitonga Indirawati, Sri Malem indra cahaya Indra Chahaya Irma Damayanti Irnawati Marsaulina Irnawati Marsaulina Ita Fitriyani Lubis Juanita Juanita Juanita Juita Asnipa Kananda, Vive Kezia Purba Khairiah . kiki agusty lamtiur junita bancin Launeta Maruyun Purba lidia oktavia Lim, Darren Wan-Teck Listyoko, Aditya S. Lita Sri Andayani Lorensia Eninta Lubis, Rodiah Rahmawaty Lubis, Yuliani M Lubis, Yuliani M. lulu marbun Marlina Renta Juyanti Butarbutar Meirindany, Tina Melati Silvanni Nasution Melisah Pitri Siregar Merylanca Manalu Michico Eloista Br. Ginting Minar Indriasih Muhammad Harbi Praditya Muhammad Harbi Praditya Muhammad Syafii Mutiara Nauli Nadhira Marsha Audiva Harahap Nadia Arini Nahrisyah, Putri Nailatun Nadrah Namora Lumongga Lubis Nasution, Annisa Nasution, Erizal Salam Putra Nasution, Nurhalimah Naysya Vitianoza Noni Novisari Soeroso Noni Novisari Soeroso Nurhandini, Astri nurma irama Nurmaini . Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini olivia via Osareniro, Osakue E. Pandia, Pandiaman Pandiaman Pandia Parinduri, Anggi Isnani Parluhutan Siagian Pinem, Agung Haganta Purba, Jenny Marlindawani Putra, Aldi Maulana Putra, Muhammad Yusuf Adira Putra, Wahyu Medsa Yeltas Putri, Syafreni Annisa Ayu R.Kintoko Rochadi Rahayu Lubis Rahayu Lubis Rahmadani Sitepu Rahmi Wardani Rambe, Alvin Rambe, Andriana Yunita Murni Rambe, Andrina Yunita Murni Rasmaliah ,MKes Rasmaliah . reni indra aristi Rio Ferdi Yuandra riris lumban Risanti Febrine Ropita Situmorang Rizka Fiqih Ertika Rizky, Handan Rochadi, Raden Kintoko Rocky Malindo Sidabutar saddam musthofa Sagala, Irwan Pernandi Samuel Marganda Halomoan Manalu Sari, Masitha Dewi Setiaty Pandia, Setiaty Siagian, Novi Andriani Silvia, S Simanjuntak, Amran Simanjuntak, Saurma O S Simanjutak, Yohana Sinaga, Bintang Yinke Magdalena Sinaga, Bintang YM. Sinulingga, Herison E. Siregar, Annisa Febriana Siregar, Kamal Basri Siregar, Nur Khaidah Siregar, Nurul Rahmah Siswahyudianto Sitepu, Rahmadani Siti Khadijah Siti Khadijah Nasution siti rahmah Siti Zahara Nasution, Siti Zahara Sitompul, Indah Sari Sormin, Cynthia sri dewi puspita Sri Malem Indirawati Sufia Idya Suriani Gultom Surya Darma Surya Dharma Syahrani, Fajrinur Syamsul Bihar Syarani, Fajrinur Tarigan, Amira P. Tarigan, Amira Permatasari Tarigan, Lina Tarigan, Setia Putra Tatiana, Melza Thomson Siahaan Tony Wibowo Tukiman Tukiman Tukiman Umi Salmah Utama, Surya Verarica Silalahi, Verarica Winni R.E Tumanggor Wirsal Hasan Wirsal Hasan Yenni Yulfida Harahap Yudhi Pratama Yuslina FNB Siahaan Yusniar Zahara, Devira Zikri Putra Lan Lubis Zulfendri Zulfendri Zulfendri Zurhayati, Zurhayati