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All Journal Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Journal of Health Science and Prevention The Avicenna Medical Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Kunarisasi, Sity
Fakultas Kedokteran Universitas Islam Negeri Syarif Hidayatullah
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Hubungan Umur dan Jenis Kelamin Terhadap Keberhasilan PITC (Provider Initiated Testing And Counselling) Pada Pasien TB Di Kota Medan Tahun 2017 Sity Kunarisasi; Imran Pambudi; Asri Mutiara Putri; Nurhanifah Hamdah
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 13, No 2 (2019): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.253 KB) | DOI: 10.33533/jpm.v13i2.810

Abstract

Tuberculosis is a public health issue. Prevalence of tuberculosis in 2017 is estimated 824.000 cases in which making Indonesia the third country in the world with biggest burden TB and the seventh country with biggest burden in HIV-TB. PITC in primary health care is a Health Ministry program. PITC is the only test and counseling to motivated TB patient to get HIV test. The aim of this study is to analyze relationship between age and gender with the success of PITC in TB patients to know the HIV status at Medan in 2017. Method This research is a descriptive-analytic study with cross-sectional approach. the population in this study is TB patients with age 15-49 years old wo had TB diagnosed either with bacteriologic or clinical in primary health care at Medan in 2017. Medan is chosen because Medan is one of eight cities with the highest burden of TB and HIV in Indonesia, also it has complete recording of TB patients. The sample of this study is all TB patients in primary health care at Medan in 2017 who had PITC in total 2.228 from all TB patients in total 5.039 patients. Data analysis using SPSS to search for p value and Odds Ratio (OR). Result 250 of 2.228 (11,22%) patients is positive in HIV test. Statistics analysis using chi-square test shows p value 0.000 (p<0.05) and OR = 1.905 for relationship between gender and HIV test positive. Also, p value of 0,006 (p<0,05) and OR = 1.459 for relationship between age and HIV test positive. In this study with the implementation of PITC in TB patients in primary health care at Medan there is a relationship between sex and age with HIV infection.
Provider Initiated Testing and Counseling (PITC) Strategy Increased Coverage of HIV detection among TB Patients : English Language sity kunarisasi; Febianza Mawaddah Putri; Sarah At Tauhidah
Journal of Health Science and Prevention Vol. 6 No. 2 (2022): JHSP Vol 6 No 2 - 2022
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v6i2.798

Abstract

Indonesia is one of the six countries with a high burden of TB and HIV. The prevalence of TB-HIV cases at all ages is as much as 4.9%; The study aimed to provide an assessment of PITC implementation in high coverage and low coverage in HIV detection among TB patients. This study descriptive, analytic, cross-sectional with the consecutive sampling method. Data used in this research was secondary data collected from January until December 2017 conducted in 5 of the 23 cities with a high burden of TB-HIV. Using a routine reporting system by primary health care and regional health service in the district. The total sample size included TB patients registered in 5 cities 16.097 patients, 8022 patients (2.365 from low PITC, 5657 from high PITC) TB patients who had received the PITC program of this 3,5% were HIV positive. Additionally, was detected by percentage among TB patients in the high-coverage PITC area compared to in the low-coverage PITC area was 4.3:2.6. Male patients had a double risk of having HIV-positive results compared to female patients. Furthermore, the analysis also showed that productive age patients are more likely to have HIV infection compared to other age groups. Male sex aged 26 to 36 years 78-94% of them were at risk of having HIV infection. The implementation of PITC in countries with high TB ​​/ HIV burden has shown an increase in TB-HIV patient detection but still needs to be followed by ARV treatment to reduce mortality.
Efektivitas Terapi Plasma Konvalesen pada Pasien Covid-19 Derajat Berat dan Kritis dari Laporan Kasus dan Seri Kasus: Tinjauan Sistematis sity kunarisasi
Journal of Health Science and Prevention Vol. 7 No. 1 (2023): JHSP Vol 7 No 1 - 2023
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v7i1.805

Abstract

Severe acute respiratory syndrome (SARS-CoV-2) causes the 2019 Coronavirus Disease pandemic. Convalescent plasma is the first choice in the current situation because it has been used successfully in other coronavirus outbreaks. Convalescent plasma administration has an immunomodulatory effect on the lungs through the induction of anti-inflammatory cytokines and antibodies that inhibit the complement cascade (C3a, C5a) and the antiviral effect of NAbs. IgG and IgM are the main isotypes, and the humoral immune response is primarily the spike protein (S). Its anti-inflammatory effect controls an overactive immune system (cytokine storm, Th1/Th17 ratio, complement activation and regulation of hypercoagulable states) and synergistically with standard therapy leads to the development of primary clinical outcomes. The use of convalescent plasma has an impact on reducing the morbidity of patients with severe or critical COVID-19.
Resistance Patterns in Second-Line Sensitization Tests and Their Effect on MDR-TB Treatment Success in Relapsed and Failed Cases Kunarisasi, Sity
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 18 No 2 (2024): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v18i2.9445

Abstract

Tuberculosis recurrence is caused by reinfection with Mycobacterium tuberculosis that has already been experienced or infection with a new strain of bacteria. The increasing incidence of TBMDR in the community accelerates the spread of TBMDR. Objective: To identify TBMDR treatment failure in relapse cases, and category 1 and 2 treatment failure. Method: Retrospective. Secondary data from the Ministry of Health SITB, 2017-2019 period shows that the sample size of relapses, category 1 and 2 treatment is 466 patients. Results: the relapse bivariate test and treatment failure categories 1 and 2 obtained a p-value of <0.05 (age 17-about 60 years and second-line sensitivity test). They are affected by HIV status. The regression results of the second sensitization test strongly influenced TB-relapsed patients to fail, dropout, and complete treatment compared to cured treatment patients, still-relapsed 17-44 years old patients, and category 1 and 2 treatment failure were more likely to be LFU than recover, and the second sensitivity test affected treatment failure and completion rather than recovery, although HIV status did not affect treatment outcomes. Conclusion: Strategy to reduce the rate of recurrence and conversion failure by examining genetic mutations (biomarkers) of M. tuberculosis. Keywords: Relapse, treatment failure, sensitization test, outcome treatment.
The association between nutrient intake and physical activity with nutritional status of undergraduate medical students Ika Alifa Suryabrata; Witri Ardini; Sity Kunarisasi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 3, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss3.art12

Abstract

Background: Malnutrition, especially overnutrition, is a primary adult nutrition problem. Food intake and physical activity have been the primary factors that affect nutritional status. In college students, food consumption and physical activity tend not to be compatible with the recommendation. Objective: To know the association between nutrient intake and physical activity with the nutritional status of undergraduate students in the Faculty of Medicine of the Universitas Islam Negeri (UIN) Syarif Hidayatullah Jakarta.Methods: This study was an analytical cross-sectional at the Faculty of Medicine, UIN Syarif Hidayatullah Jakarta, from August to September 2019. The sample of this study was undergraduate medical students at the Faculty of Medicine UIN Syarif Hidayatullah Jakarta, with as many as 113 students meeting qualified criteria. The sample was chosen with a stratified sampling method. Data was taken using IPAQ (International Physical Activity Questionnaire) for physical activity, food records, and height and body weight measurements. Data was analysed using comparative analysis Results: Our analysis demonstrated an association between nutritional status and adequacy of calorie intake (p = 0.001), as well as macronutrient intake (p = 0.001). There was no association between nutritional status and physical activity (p = 0.737). Conclusion: There was an association between nutrient intake and the nutritional status of undergraduate medical students in the Faculty of Medicine UIN Syarif Hidayatullah Jakarta. On the contrary, there was no association between physical activity and the nutritional status of undergraduate medical students in the Faculty of Medicine UIN Syarif Hidayatullah Jakarta.
Body Image and Exercise Habits: A Study on UIN Jakarta Female Medical Students (2020-2022) Shafiya, Wilda; Fadhilah, Marita; Suri, Auliyani Andam; Lutfie, Syarief Hasan; Kunarisasi, Sity; Adril, Muhammad Alif
The Avicenna Medical Journal Vol. 5 No. 2 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i2.45796

Abstract

Background: Body image refers to an individual's perception of their physical appearance, which may influence self-confidence and exercise habits. During adolescence and early adulthood, significant physical and psychological changes often result in body dissatisfaction, potentially affecting patterns of physical activity. Exercise is a structured form of physical activity intended to promote health and maintain physical fitness. This study aimed to examine the relationship between body image and exercise habits among female medical students. Methods: A quantitative analytic study with a cross-sectional design was conducted involving 100 female medical students in the academic phase (class of 2020–2022) at the Faculty of Medicine, UIN Jakarta. Participants were selected using random sampling. Data on body image and exercise habits were collected using validated questionnaires and analyzed using the chi-square test. Results: The analysis revealed a statistically significant negative association between body image and exercise habits (p = 0.006; p < 0.05). Students with a negative body image were more likely to engage in frequent exercise compared to those with a positive body image. Conclusion: Body image significantly influences exercise habits among medical students. A better understanding of this relationship may support the development of health promotion strategies that foster consistent exercise routines without reinforcing negative body perceptions.
The Effect of Formula Feedings Compared to Exclusive Breastfeeding on KPSP Screening Aged 0-6 Months at Kebayoran Baru Health Center. Kunarisasi, Sity; Susianti, Yanti; ZD, El Izhar
Journal of Health Science and Prevention Vol. 8 No. 2 (2024): JHSP Vol 8 No 2 – 2024
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v8i2.1221

Abstract

Introduction: In the world, the rate of newborns receiving early initiation of breastfeeding (IMD) is still low at around 47% and 44% of infants aged 0-6 months are receiving exclusive breastfeed, in Indonesia in 2023 it increased compared to 2022 by 1.93 %. Similarly, the state DKI Jakarta grew by 9.17 % in 2023 compared to in 2022. The recommendation of the Ministry of Health, Indonesia that progress monitoring through SDIDTK using the Pre-Screening Developmental Questionnaire (KPSP) instrument is a health service to monitor the development of infant growth and development in improving the quality of life. Thus, this study, know the difference in development between exclusively breastfed babies and formula milk babies. Methods: observational and analytic. Samples of infants 0-6 months using KPSP (gross motor, fine motor, speech and language, socialization and independence) to determine the development of infants at the Kebayoran Baru Health Center, Jakarta. Results: The Mann-Whitney test obtained a p-value of 0.078 (>0.05) found no significance between the development of exclusively breastfed infants and formula infants. Conclusion: The results of KPSP are not different, so it is necessary to consider the influence of internal and external factors.
Co-Authors Adril, Muhammad Alif Asri Mutiara Putri Fadhilah, Marita Febianza Mawaddah Putri Ika Alifa Suryabrata Imran Pambudi Nurhanifah Hamdah Shafiya, Wilda Suri, Auliyani Andam Susianti, Yanti Syarief Hasan Lutfie Tauhidah, Sarah At Witri Ardini ZD, El Izhar