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All Journal Medical and Health Science Journal Jurnal Health Sains International Journal of Social Service and Research COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Arimbi, Muzaijadah Retno
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Humanities Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Synchronization of Sputum Conversion and Resolution of Intensive Phase Lesion Areas on Thorax X-rays Determinants of Prognosis for Pulmonary Tuberculosis Therapy Ambarsari, Utami; Arimbi, Muzaijadah Retno; Veterini, Lysa; Indrianto, Yunita Lestari; Candini, Naura Anindya; Notobroto, Hari Basuki
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4565

Abstract

Background: Pulmonary tuberculosis (TB) is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. Diagnosis of TB can be confirmed in two ways, namely bacteriological diagnosis (if AFB sputum is found (+) and clinical diagnosis is (if BTA sputum is found (-), but chest X-ray is (+) TB). Objective: to determine the alignment of sputum conversion and extensive resolution of intensive phase lesions on chest radiographs which determine the prognosis of pulmonary TB therapy. Methods: The study design was a retrospective cohort analytic with a retrospective longitudinal study design. Data from medical records of pulmonary TB patients who have undergone therapy for six months or more at the Pulmonary Polyclinic RSI Jemursari Surabaya. The number of samples was 48 patients aged 41-60 years. All of these pulmonary TB patients were smear positive (BTA+). X-ray examination was done before and after therapy. Results: analysis using the Wilcoxon Signed Rank test to assess differences in the grade of lung lesions before and after therapy, obtained p = 0.003 (p <0.05) meaning there is a significant difference. Sputum conversion was also carried out after therapy, 89.6% of TB patients in this study experienced sputum conversion (BTA negative). To determine the alignment of sputum conversion with the resolution of lesion area, Kappa coefficient analysis K=0.033 (p>0.05) was performed with the results of 50% of patients, 47.9% showed improvement in lung lesions and sputum conversion, while 2.1% showed no improvement of lung lesions and no sputum conversion. The rest, 50% showed no congruence in the results of lung lesion repair and sputum conversion. Conclusion: The results of Kappa coefficient analysis showed that K=-0.110 (p>0.05) showed that there was no congruence between the results of chest x-ray examination of lung lesions before and after therapy (improved or not) with sputum conversion
Community-Acquired Pneumonia (CAP) in HIV Patients Arimbi, Muzaijadah Retno
Jurnal Health Sains Vol. 6 No. 7 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i7.2654

Abstract

CAP continues to be a significant infectious disease among individuals living with HIV, even in the era of ART. HIV-positive individuals are at heightened risk for CAP due to altered immune function and exposure to a broader range of potential pathogens compared to the general population. This study aimed to examine the clinical characteristics, causative agents, and outcomes of CAP in HIV-infected patients to inform more accurate and evidence-based management practices.  A descriptive qualitative approach was employed, with data obtained from various documented sources relevant to the topic. The analysis process followed the three-step model by Miles and Huberman, which includes data reduction, data display, and conclusion drawing. The findings reveal that HIV-infected patients with pneumonia often present with typical acute symptoms and can be appropriately evaluated using the PSI. Diagnostic and therapeutic procedures were consistent with those used for non-HIV patients, involving chest X-rays, sputum or BAL sampling, and blood tests prior to the initiation of empirical antibiotic therapy.  Key strategies such as consistent use of ART, smoking cessation, and vaccination (particularly against pneumococcus and influenza) were found to be critical in both the treatment and prevention of CAP among HIV-positive individuals. Nevertheless, further research is necessary to refine prevention strategies and determine the most effective approaches for long-term disease management in this vulnerable population.
Pneumothorax, Giant Bullae and Bronchiectasis in Pediatric Patients with a History of Pulmonary TB Arimbi, Muzaijadah Retno; Amori, Lakcandra Amar; Indrajanu, Intan Nurani; Nasrur Maulana, Eka; Tondi Winoto, Haryson
International Journal of Social Service and Research Vol. 5 No. 7 (2025): International Journal of Social Service and Research
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/ijssr.v5i7.1278

Abstract

Pulmonary tuberculosis (TB) remains a major infectious disease in children, particularly in developing countries. Post-TB pulmonary complications, such as pneumothorax, giant bullae, and bronchiectasis, can significantly impair respiratory function over time. This case report highlights a 17-year-old girl with a history of BTA-positive pulmonary TB who developed pneumothorax, giant bullae, varicose bronchiectasis, and centrilobular emphysema. After completing OAT therapy in August 2024, she underwent VATS, bulectomy, and wedge resection due to persistent lung abnormalities. Thoracic CT imaging revealed extensive lung damage, including bronchiectasis and bullae. Currently, the patient is stable and asymptomatic. This case emphasizes the importance of early detection and comprehensive management of post-TB bronchiectasis in pediatric patients. Timely intervention can improve prognosis, especially given the high regenerative capacity of children's lungs. Early recognition of complications and appropriate treatment are crucial to prevent long-term respiratory impairment in children recovering from pulmonary TB.
Clinical Features and Management of Community-Acquired Pneumonia (CAP) In The Elderly Arimbi, Muzaijadah Retno; Amori, Lakcandra Amar; Soetedjo, Farida Anggraini; Haryanti, Elizabeth; Yaniari, Roethmia
Jurnal Health Sains Vol. 6 No. 8 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i8.2657

Abstract

Community-Acquired Pneumonia (CAP) or pneumonia acquired outside health facilities is one of the main causes of morbidity and mortality in the elderly age group. As we age, immune function decreases and is accompanied by comorbidities such as diabetes, heart disease, and chronic lung disease that worsen the course of the disease. This study aims to find out the clinical picture and management of Community-Acquired Pneumonia (CAP) in the elderly. This study uses qualitative research methods. The data collection technique in this study is by studying case report documents. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation and drawing conclusions. The results show that Community-Acquired Pneumonia (CAP) in the elderly is a complex condition with challenges in diagnosis and management, as the symptoms are often atypical and involve various risk factors. Clinical guidelines emphasize the importance of basic supporting examinations such as thoracic imaging and organ function evaluations, as well as prompt and appropriate administration of empirical antibiotics. Treatment should be adjusted to the severity of the patient's frailty, comorbidities, and frailty status. Supportive therapy plays an important role in recovery, while an individualized approach based on risk factors such as malnutrition, sarcopenia, and aspiration is needed to improve prognosis and lower mortality in the elderly with CAP.
Optimalisasi “Pondok Paru Sehat” Kelurahan Dukuh Kupang Kota Surabaya Melalui Edukasi Peran Gizi Dalam Penyakit Paru Obstruktif Kronis (PPOK) Dan Pemeriksaan Fungsi Paru (Spirometry) Untuk Deteksi Dini PPOK Anggraini Soetedjo, Farida; Arimbi, Muzaijadah Retno; Khamidah, Nur; Kristijanto, Johanes Aprilius Falerio
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 5 No. 3 (2025): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality from non-communicable diseases in Indonesia, particularly in Surabaya. The “Pondok Paru Sehat” community service program, initiated by the Faculty of Medicine, Wijaya Kusuma University Surabaya (FK UWKS), aims to raise awareness, knowledge, and early detection of COPD through nutrition education and spirometry screening in Dukuh Kupang sub-district. This study employed a descriptive qualitative approach using the Five Levels of Prevention model, involving 40 participants from both productive age groups and the elderly. The results indicated that 28 participants had an FEV1/FVC ratio of <70%, suggesting undiagnosed airway obstruction. Nutritional status assessment using Body Mass Index (BMI) showed that 30% of participants were underweight, while 20% were overweight. Participant satisfaction reached 92.5%, with the majority considering the education and screening services highly beneficial. The program demonstrates that community-based education combined with lung function screening can enhance awareness and early detection of COPD. This model is recommended for replication in other regions with support from local health cadres, health authorities, and educational institutions.
Co-Authors Ambarsari, Utami Amori, Lakcandra Amar Candini, Naura Anindya Elizabeth Haryanti Farida Anggraini Soetedjo Hari Basuki Notobroto Indrajanu, Intan Nurani Indrianto, Yunita Lestari Johanes Aprilius Falerio Kristijanto Lysa Veterini Nasrur Maulana, Eka Nur Khamidah Tondi Winoto, Haryson Yaniari, Roethmia