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Raharjo, Ahmad Farih
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Investigating Factors Influencing Treatment Outcomes of Pulmonary Tuberculosis: A Cross-Sectional Study Based on Community Health Center Registry in Surakarta Bragastio, Muhamad Rico Aldrian Renandri; Suyatmi, Suyatmi; Raharjo, Ahmad Farih; Aphridasari, Jatu
Smart Medical Journal Vol 7, No 3 (2024): December
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v7i3.88225

Abstract

Introduction: Pulmonary tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis. The successful treatment of pulmonary TB can be influenced by several factors, namely gender, age, body mass index (BMI), and comorbid diseases. This study aims to investigate whether those factors influence the treatment outcome of pulmonary TB patients in Surakarta.Method: This study is an analytical observational study with a cross-sectional design. The research subjects were pulmonary tuberculosis patients treated in 2020-2022 at Ngoresan, Setabelan, and Sibela Community Health Center of Surakarta. The inclusion criteria was pulmonary TB patient over 15 years old. Patients suffering from other pulmonary diseases or with incomplete medical record were excluded.Results: This study involved 101 subjects. Multivariate analysis was conducted using the logistic regression test and bivariate analysis showed that there were not any significant effect of age, BMI, and comorbid diseases observed on treatment outcome with p=0.571, p=0.147, and p=0.13 respectively. Interestingly, gender was found to be significantly influencing the outcome of pulmonary TB treatment (p=0.020)Conclusion: Gender influencing the treatment outcome of pulmonary TB patients in Surakarta. Further study covering more cases across all Community Health Center of Surakarta is required.
The Correlation Between Hypocalcemia and Clinical Level of Covid-19 Patients at Sebelas Maret University Hospital Udroso, Anindya Cahyaningtyas Ardiyanti; Apriningsih, Hendrastutik; Raharjo, Ahmad Farih
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.68856

Abstract

Introduction: Coronavirus Disease 2019 (Covid-19) can cause electrolyte imbalances, one of which is hypocalcemia. Hypocalcemia has been identified as a predictor of the severity of Covid-19. This research aimed to determine the correlation between hypocalcemia and the clinical degrees of Covid-19 patients at UNS Hospital.Method: This study used a cross-sectional design with a population of Covid-19 patients treated at the Covid-19 ward at UNS Hospital in 2020-2022. Samples were collected from medical records by purposive sampling technique that met the inclusion and exclusion criterias.Results: There were 90 cases of hypocalcemia in Covid-19 patients. Mild hypocalcemia (88.9%) was found more than severe hypocalcemia (11.1%). Hypocalcemia was more common in male sex (54.4%), aged 46-65 years (70%), and in moderate clinical degree (31.1%). The Kolmogorov-Smirnov statistical test results showed a significant correlation between hypocalcemia and the clinical degree of Covid-19 with p=0.009 (p<0.05). The Spearman statistical test results showed that there was a fairly strong and statistically significant correlation between hypocalcemia and the clinical degree of Covid-19 where r=0.310 and p=0.003 (p<0.05).Conclusion: There is a fairly strong and statistically significant unidirectional correlation between hypocalcemia and the clinical degree of Covid-19 patients.