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Clinical and Demographic Characteristics Differences between M. tuberculosis and M. bovis Infection in Bronchoalveolar Lavage Pulmonary TB Patients, Indonesia Budi Yanti; Soetjipto Soetjipto; Ni Made Mertaniasih; Muhammad Amin
Jurnal Respirologi Indonesia Vol 39, No 4 (2019)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v39i4.76

Abstract

Background: Some species of the Mycobacterium tuberculosis complex (MTBC) which can cause tuberculosis, particularly M. tuberculosis and M. bovis, may have different virulence property and therefore associated with various clinical severity in tuberculosis (TB) patients. The aim of this study was to determine the differences in clinical and demographic characteristics between M. tuberculosis and M. bovis infection among Indonesian TB patients. Methods: Thirty-one new and active TB patients were confirmed to have acid fast bacilli (AFB) sputum positive and/or Xpert MTB/RIF positive for M. tuberculosis from Dr. Soewandhie Hospital, Surabaya, Indonesia. Interviews were conducted to record the clinical and demographics required. The MTBC were isolated from bronchoalveolar lavage fluid (BALF) and determined by primer-specific PCR targeting TbD1 and RD9 region gene. The degree of lung tissue damage was classified using NICE Scoring System. Results: The MTBC were detected in all patients on whom 19 and 12 isolates were classified as M. tuberculosis and M. bovis respectively. There was a different on 74.2% of productive age subjects (21-50 years) with M. tuberculosis infection (P
Pengetahuan, Gangguan Psikologis, dan Burnout Dokter Umum di Era Pandemi Covid-19 Alfian Nur Rosyid; Arina Dery Puspitasari; Tamara Nur Budiarti; Izzatul Fitriyah; Anggraini Dwi Sensusiati; Muhammad Amin
Jurnal Pengabdian Pada Masyarakat Vol 6 No 3 (2021)
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/002.202163.838

Abstract

KNOWLEDGE, PSYCHOLOGICAL DISORDERS, AND BURNOUT OF GENERAL PRACTITIONERS IN THE COVID-19 PANDEMIC ERA. High demand in work during the Covid-19 pandemic will cause psychological problems for general practitioners. These psychological disorders can cause burnout. The incidence of burnout is exacerbated by the lack of knowledge of general practitioners about the current condition. This study aims to determine the level of knowledge, psychological disorders, and burnout of general practitioners during the Covid-19 pandemic. The research design using quasi-experimental with one group pre posttest design without a control group. The population in this study was all participants that join the online seminar. Samples taken were 111 respondents with the total sampling technique. The data collection technique was done by using a questionnaire. The data obtained were analyzed using the Wilcoxon test and Kendall's tau-c test. The difference test before and after being given the seminar material shows a p-value of 0.001. The statistical analysis of the relationship between knowledge and burnout shows a p-value of 0.048. The statistical analysis of the relationship between stress and burnout shows a p-value of 0.026. The statistical analysis of the relationship between anxiety and burnout shows a p-value of 0.001. The statistical analysis of the relationship between depression and burnout showed a p-value of 0.002. There are differences in the knowledge of respondents before and after being given the seminar material. There is an association between knowledge with burnout, stress with burnout, anxiety with burnout, and depression with burnout.
Acceptance and Commitment Therapy on Depression of Pulmonary Tuberculosis Patient: An Intervention Based on the Health Belief Model Gevi Melliya Sari; Muhammad Amin; Laily Hidayati
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 5, No 2 (2020): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.262 KB) | DOI: 10.24990/injec.v5i2.290

Abstract

Introduction: Depression is a psychological disorder often experienced by patients undergoing tuberculosis treatment. The purpose of this study was to determine the effect of acceptance and commitment therapy based on the health belief model on the depression of pulmonary tuberculosis patients. Methods: This research used a quantitative quasi-experiment design with pre-posttest control group design. There were 56 respondents in this study selected using consecutive sampling   among the Primary Healthcare Center in Sidoarjo district. The independent variables were acceptance and commitment therapy based on the health belief model. The dependent variable was depression. Measurement of depression used the Beck Depression inventory II questionnaire. Analysis of the data in this study used the Wilcoxon Signed Rank Test and Mann-Whitney U Test. Results: The results showed that the treatment group p=0.000 (p<0.05) and control group p=0.000 (p<0.05), but the delta of the treatment group higher than the control group (delta: -9.79). There were differences in depression values obtained between the treatment group and the control group p=0.001 (p<0.05). Conclusion: Acceptance and commitment therapy based on the health belief model given four sessions for 30-45 minutes each session can lower depression level in pulmonary tuberculosis patients rather than a single intervention of health education. This intervention can be used by nurses to help pulmonary tuberculosis patients overcome psychological problems during treatment.