Claim Missing Document
Check
Articles

Found 3 Documents
Search

KADAR TSH DI MuLTIDRuG ReSISTAnCe TuBeRCuLoSIS TERKAIT ETIONAMID Suparyatmo Suparyatmo; B. Rina A.S; Harsini Harsini; Musayadah Musayadah
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 20, No 3 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v20i3.472

Abstract

Tuberculosis (TB) is an infection caused by Mycobacterium tuberculosis and health problem and cause of death worldwide. MDR-TB occurs in patients who are inadequate and irregular in treatment. WHO strategy for MDR-TB is taking anti-tuberculosis (OAT) which has the effect of second-line heavier. Ethionamide one second-line OAT is administered orally and has a side effect of hypothyroidism. A cross-sectional descriptive study was conducted on 18 patients with MDR-TB from July 2012–March 2013. One patient has been excluded due to hypothyroidism. Increased TSH levels exceeded the cut-off occurred in 2 of 4 people after 1 month of treatment, 3 of 3 people after the 5th month of treatment, 1 of 4 people after 6 months of treatment and 1 of 3 people after month 9 treatment. Only 1 person who had increased levels of TSH>10 μIU/ mL. Conclusion: in patients with MDR-TB evaluation is required to determine the levels of TSH hypothyroidism.
KALIUM DI MULTIDRUG RESISTANCE TUBERKULOSIS DENGAN PENGOBATAN KANAMISIN (Potassium in Multidrug Resistance Tuberculosis with Kanamycin) J.B. Suparyatmo; B. Rina AS; Harsini Harsini; Sukma Sukma
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 21, No 1 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v21i1.1252

Abstract

Multidrug-Resistant Tuberculosis (MDR-TB) with bacillary resistance to at least isoniazid and rifampicin in vitro is a worldwidephenomenon. For MDR-TB second-line antibiotic agents that are more potent and more toxic must be used. . One of them is kanamycingiven intravenously every day for six (6) months therapy. Kanamycin is nephrotoxic and can lead to hypokalemia. This study is carriedout to know the comparison between the potasium level before and after kanamycin therapy (2, 4 and 6 months after therapy). Thisstudy is a cohort retrospective design, comprising 34 patients who had a potassium baseline before therapy in Moewardi Hospital,Surakarta from January 2011–August 2012. The characteristic data included: age, sex, weight and comorbidity. The potassium levelafter 2, 4 and 6 months post therapy was compared with the potassium data baseline using One Way ANOVA test with p< 0.05, CI95%. The difference between the potassium level after 6 months therapy and potassium baseline was significant, p < 0.05. However,the difference of the kalium level after 2 and 4 months after therapy was not significant, p > 0.05. Hypokalemia occurred in 6 patientsafter 2 months therapy, 8 patients after 4 months therapy and 3 patients after 6 months therapy. There was a significant differencebetween the potassium level after 6 months therapy and potassium baseline. Further study should be continued to know the existenceof hypokalemia among MDR-TB patients
VALIDITAS DAN RELIABILITAS PEMERIKSAAN TST DAN T-SPOT.TB DALAM MENDETEKSI INFEKSI TB LATEN PADA PENDERITA INFEKSI HIV Fransisca Sinaga; Reviono Reviono; Harsini Harsini
Jurnal Ilmu Kedokteran dan Kesehatan Vol 4, No 4 (2017): Volume 4 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.709 KB) | DOI: 10.33024/.v4i4.1325

Abstract

ABSTRACCongestive heart failure is disease with incidence who were is increased yearly, the disease can caused another complicated. This Conditions caused clients and families lack of knowledge about the disease and self-care of congestive heart at home. Self care understanding was important to be given. Brainstorming education is a method that can improve patients' knowledge. The Objective these study to determine the effect of brainstorming educational methods to self care of patients with congestive heart failure at heart polyclinic ward. This study used a quasi eksperimen pre and post-test with control group, with 30 respondents consisting the intervention group and the control group. The average score of self-care after treatment in the intervention group increased. The results is significant difference on average self-care intervention group after brainstorming educational methods (p = 0.000 ).There is no relationship between the gender (p = 0.095) and educational level (p= 0.726) with self care. While self-care will increase after brainstorming educational methods and controlled by age (0.016). Brainstorming educational methods can improve self care in clients congestive heart failure, expected to be applied in nursing services, especially patients with congestive heart failure Keywords: Congestive Heart Failure, Brainstorming Education Method, self care Congestive heart failure merupakan penyakit yang angka kejadianya cenderung meningkat dari tahun ketahun, penyakit ini menyebabkan komplikasi yang cukup serius. Kondisi yang menyebabkan terus memburuk disebabkan karena kurangnya pengetahuan klien dan keluarga tentang penyakit congestive heart failure dan self care di rumah. Pemahaman terhadap self care sangat penting. Edukasi brainstroming merupakan metode yang dapat meningkatkan pengetahuan klien. Penelitian ini bertujuan untuk mengetahui pengaruh metode edukasi brainstorming terhadap self care klien congestive heart failure diruang poli jantung.Penelitian ini menggunakan desain quasi ekperimenpre and post test with control group, dengan jumlah sampel sebanyak 30 responden yang terdiri dari kelompok intervensi dan kelompok kontrol. Rata-rata skor self care setelah perlakuan pada kelompok intervensi mengalami peningkatan.Diperoleh hasil adanya perbedaan yang signifikan rata-rata self care kelompok intervensi setelah dilakukan metode edukasi brainstorming dengan (p= 0,000). Tidak ada hubungan antara jenis kelamin (p=0,095) dan tingkat pendidikan (p=0,726) dengan self care. Sedangkan self care akan meningkat setelah dilakukan metode edukasi brainstorming dan dikontrol oleh usia (0,016). Metode edukasi brainstorming dapat meningkatkan self care pada klien congestive heart failure, diharapkan dapat diterapkan di pelayanan keperawatan terutama pasien yang mengalami congestive heart failure.Kata Kunci          : Congestive Heart Failure, Metode Edukasi Brainstorming, Self care