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Survival Analysis and Factors Associated with Pulmonary Tuberculosis Arda, Zul Adhayani; Nur, Sunarti Hanapi; Nur Hamdani Nur; Mohamad, Sabrina Nadjib; Mohammad Amon
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6126

Abstract

Introduction: Analysed the survival rates of patients and factors associated with pulmonary tuberculosis at the Limboto Public Health Center, with particular attention to the role of hypertension as a predictor of treatment failure and its potential integration into TB treatment guidelines. Methods: The study represents retrospective cohort research conducted by collecting medical records of individual pulmonary tuberculosis patients at the Limboto Public Health Center. The research sample comprised 144 patients and was analysed using survival analysis methods, including the Kaplan-Meier and Cox Regression models. Result: Among a cohort of 144 pulmonary tuberculosis cases, 21 individuals (14.6%) encountered treatment failure, resulting in three fatalities. A Kaplan-Meier survival analysis unveiled marked disparities in the survival probabilities of pulmonary tuberculosis patients contingent on their hypertension status (p=0.000). In the Cox Regression analysis, the hazard ratio associated with hypertension in the context of treatment failure in pulmonary tuberculosis patients was determined to be HR= 10.216. These findings suggest the necessity of incorporating hypertension screening and management into existing TB care protocols. Conclusion: Evidence-based interventions should be implemented, particularly among patients with concomitant hypertension. Strengthening the integration of hypertension management into TB treatment guidelines may improve patient outcomes and reduce treatment failures.
The Role of Local Communities in Responding to Health Crises and Disaster Mitigation: A Systematic Literature Review Soalihin, Soalihin; Asmawi, Asmawi; Riyanto, Danang; Ariyani, Iin; Nur, Nur Hamdani; Sudiyasa, I Kadek
Journal of Health and Nutrition Research Vol. 4 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i1.363

Abstract

Health crises and natural disasters increasingly threaten communities worldwide, exacerbated by urbanization, climate change, and the vulnerability of populations in high-risk areas. Urban poor communities, in particular, are at heightened risk, making robust frameworks for health impact assessments essential. Local communities, with their deep understanding of social, cultural, and geographic dynamics, play a crucial role in disaster and health crisis management. Their involvement enhances resilience, facilitates timely responses, and supports post-disaster recovery, as demonstrated during the COVID-19 pandemic and natural disasters like floods and earthquakes. Despite the significant potential of local communities, challenges such as limited resources, poor coordination, and insufficient policy support hinder their effectiveness. This Systematic Literature Review (SLR) explores the roles and contributions of local communities in responding to health crises and disasters, identifying successful strategies, key influencing factors, and gaps in the current research. The review emphasizes the importance of empowering local communities through effective training, resource management, and cross-sector collaboration. The findings provide valuable insights for policymakers and stakeholders, offering guidance on strengthening community involvement as an integral component of health crisis and disaster mitigation strategies. The active engagement of local communities, supported by government policies, education, and strong networks, is essential for building resilient societies capable of managing future health and environmental challenges.
Co-Authors Adi Antoni Adi Hermawan Ahmad, Haslinah Akbar Taufik Andi Muhammad Ardan Andi Nurilmi Adriana Anirwan Anirwan Arda, Zul Adhayani Ariyani, Iin Asaskas Asaskas Asmawi Buang, Ariyani Dahniar Dahniar Darwin Safiu Darwin Safiu Darwin Safiu Dian Anggraini Diana Lestin Erni Yetti Riman Evi Safitri FAJAR SETIAWAN Farid Wajdi Fauziah Noviyanti Firman Aziz Firmansyah Firmansyah Fransiska Lang Fransiska Sri Ayu Nensi Genoveva Imun Hadi, Anto J. Hamsi, Andi Magfirah Hardianto Haris Haris, Hardianto Herianto, Dedy Herlinda Sari Indar Iriany, Rosary Ishak , Pertiwi Iskandar, Imran Ivan Wijaya Ivan Wijaya Ivan Wijaya Jeffry Jeffry Jelima Decianti Fila Kadir, Arisna Kartini Kartini Kartini Kartini Kartini Kartini Kornelia Fini Kristina Jeliman Kristina Jeliman Lili Purnamasari Lusyana Aripa Lusyana Aripa Lusyana Aripa Mat, Mario Aleksius Meilinda Afnesia Mbindi Milda Mohamad, Sabrina Nadjib Mohammad Amon Muhajirin Muhajirin Muhammad Nurshabri Abdillah Muhammad Nurshabri Abdillah Muhammad Syafri Muharti Syamsul Mysrikordiati Mira Nanang Rahmadani Nanang Rahmadani Nur Inayah Rauf Nur, Sunarti Hanapi Nurafni Shahnyb Nurafni Shahnyb Nurul Fathanah Mustamin Panggabean, Benny Leonard Rimalia, Watty Riyanto, Danang Sahdan Mustari Setiawan , Ayup Shahnyb, Nurafni Sitti Arifah Soalihin, Soalihin Sudiyasa, I Kadek Sumardi Sudarman Sumardi Sudarman Sumardi Sudarman, Sumardi Suryadi, Iwan Sustrin Abasa Syahrul Usman Syamsul, Muharti Taufik, Akbar Tenriana, Nuzul Uliarta Marbun Wungo, Supriyadi La Yeni Paramata Zul Adhayani Arda