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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Althea Medical Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan Berkala Kedokteran Indonesian Journal of Obstetrics & Gynecology Science Jurnal Respirologi Indonesia Jurnal Respirasi (JR) Medica Hospitalia Jurnal Pengabdian Masyarakat Formosa (JPMF) Homeostasis: Jurnal Mahasiswa Pendidikan Dokter Indonesian Health Journal
Ira Nurrasyidah
Department Of Pulmonology And Respiratory Medicine, Faculty Of Medicine, Lambung Mangkurat University
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Hubungan Tingkat Pendidikan dan Pekerjaan dengan Kejadian Covid-19 di Puskemas Pemurus Dalam Kota Banjarmasin Fajar Satria Rahman; Farida Heriyani; Ira Nurrasyidah; Meitria Syahdatina Noor; Siti Washilah
Homeostasis Vol 5, No 1 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.767 KB)

Abstract

Abstract: The incidence of COVID-19 continues to increase, especially in the city of Banjarmasin. The increasing number of cases of COVID-19 is caused by several factors, including sociodemographic risk factors such as level of education and occupation. This study aims to analyze the relationship between education and employment levels with the incidence of COVID-19 at the Pemurus Dalam Health Center in Banjarmasin City. The research method is analytic observational with a case control approach. Sampling using simple random sampling technique with a total sample of 64 patients Pemurus Dalam City Health Center Banjarmasin who have met the inclusion and exclusion criteria, then analyzed using the chi-square test. The results showed that there was a relationship between education level and the incidence of COVID-19 which had a p value of 0.026, and the relationship between work and the incidence of COVID-19 which had a p value of 0.035. The two results show that there is a significant relationship (p value < 0.05) between education and occupation levels with the incidence of COVID-19. Keywords: Incidence, Education, Occupation, COVID-19 Abstrak: Kejadian COVID-19 hingga saat ini terus meningkat terutama di Kota Banjarmasin. Meningkatanya kasus kejadian COVID-19 disebabkan oleh beberapa faktor, antara lain faktor risiko sosiodemografik seperti tingkat pendidikan dan  pekerjaan. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pendidikan dan pekerjaan dengan kejadian COVID-19 di Puskesmas Pemurus Dalam Kota Banjarmasin. Metode penelitian adalah observasional analitik dengan pendekatan case control. Pengambilan sampel menggunakan teknik simple random sampling dengan jumlah sampel sebanyak 64 pasien Puskesmas Pemurus Dalam Kota Banjarmasin yang telah memenuhi kriteria inklusi dan eksklusi, selanjutnya dianalisis menggunakan uji chisquare. Hasil penelitian menunjukan terdapat hubungan antara tingkat pendidikan dengan kejadian COVID-19 yang memiliki p value sebesar 0,026, dan hubungan antara pekerjaan dengan kejadian COVID-19 yang memiliki p value sebesar 0,035. Kedua hasil tersebut menunjukkan bahwa terdapat hubungan yang bermakna (p value < 0,05) antara tingkat pendidikan dan pekerjaan dengan kejadian COVID-19. Kata-kata kunci: kejadian, tingkat pendidikan, pekerjaan, COVID-19
Nutritional Status of Hospitalized Tuberculosis Patients in South Kalimantan: A Cross-Sectional Study Mohamad Isa; Ira Nurrasyidah; Elok Hikmatun Nikmah; Desi Rahmawaty; Ali Assagaf; Haryati Haryati; Erna Kusumawardhani
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 22, No 2 (2022): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v22i2.15021

Abstract

The burden of tuberculosis (TB) infection is significant in Indonesia. There is likely a substantial link between TB and malnutrition. Anemia, which is linked to TB patient outcomes and length of hospital stay, is another issue that might aggravate the disease. This study aims to identify how common undernutrition and anemia are among tuberculosis patients at the Ulin Regional Hospital in Banjarmasin. A cross-sectional observational study was conducted using medical record data from 31 hospitalized tuberculosis patients from September to December 2021. Data of weight, height, body mass index (BMI), Hemoglobin (Hb) and blood albumin level at admission were analyzed. The result showed that tuberculosis cases were mostly found in males (61.3%) aged 20-60 years (83.9%). There were 42% of patients with undernutrition (BMI 18.5), 93.5% with anemia, and 71% with hypoalbuminemia. Rifampicin resistance was found in 38.7% of all patients, with 58.3% malnutrition, 100% anemia, and 50% hypoalbuminemia. Thus, there was a possible link between tuberculosis and undernutrition condition. Screening, early diagnosis, and treatment for undernutrition, anemia, and hypoalbuminemia should be encouraged in patients with tuberculosis, whether they are susceptible or resistant to rifampicin, to lower the burden of the disease.
Clinical and Laboratory Features of COVID-19 in Ulin Referral Hospital of South Kalimantan: Predictors of Clinical Outcome Haryati Haryati; Mohamad Isa; Ali Assagaf; Ira Nurrasyidah; Erna Kusumawardhani; Eko Suhartono; Fidya Rahmadhany Arganita
Journal of Tropical Life Science Vol. 11 No. 3 (2021)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.11.03.06

Abstract

Corona Virus Disease (COVID-19) is becoming a global pandemic. Indonesia, especially South Kalimantan had recorded increasing cases with a high fatality rate of 3.7%. Information about factors related to outcomes based on clinical and laboratory features in Indonesia is still limited. Identification of the risk is crucial to determine optimal management and reducing mortality. This retrospective study enrolled 455 adults COVID-19 patients, and data were extracted from medical records of Ulin General Hospital Banjarmasin. The latter is COVID-19 referral hospital in South Kalimantan between March-November 2020. Demographic data, comorbidities, and laboratory were all collected. Data were compared between survivors and non-survivors. Fisher’s exact test and chi-square were used to compare categorical variables. The Mann_Whitney U test was used to compare continuous variables. Analysis was continued by multivariate logistic regression then receiver operating characteristic (ROC) curve to determine cut-off value. The multivariate analysis showed that number of comorbidities [odds ratio (OR) 1,339 (95% confidence interval (CI): 1,064-1,685, P = 0,013) was a significant risk factor to the outcome. In laboratory, lactate dehydrogenase (LDH) [OR: 1.001, 95% CI: 1,000-1.002, P = 0.001], Ferritin (OR 1.000, CI: 1,000-1.001, P = 0.013), APTT (OR: 1.045, CI: 1.010-1.082, P = 0.012), and D-dimer (OR: 1.188, CI: 1.064 - 1.327, P = 0.002) were significant predictor factors but only LDH, ferritin, and D- dimer were obtained good AUC 0.731, 0.715, and 0.705, respectively. The cut of the value of LDH was 656.5 U/L, ferritin was 672.18 ng/ml, and D-dimer was 2.28 mg/L. Sensitivity and specificity were 66.7% and 68,0% for LDH, 83,2% and 56,3% for ferritin, and 62,8 and 70,8% for D-dimer. From this research, we revealed that the number of comorbidities was a risk factor for death. Elevated LDH, ferritin, and D-dimer could be good predictive factors for poor outcomes, thereby considering the accelerating management of COVID-19 patients.
HUBUNGAN PENGETAHUAN CUCI TANGAN YANG BAIK DAN BENAR DENGAN KEJADIAN COVID-19 DI PUSKESMAS PEMURUS DALAM KOTA BANJARMASIN Salma Hanina; Farida Heriyani; Ira Nurrasyidah; Meitria Syahdatina Noor; Siti Washilah
Homeostasis Vol 5, No 3 (2022)
Publisher : Homeostasis

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Abstract

Good and right handwashing is described as cleaning hands with soap and running water with the right steps. The aim of this study is to explain the association between good and correct handwashing knowledge with the happenings of COVID-19 in Pemurus Dalam Health Center at Banjarmasin City. This study uses analytic observational with a case control approach as research method. Cluster sampling is used as sampling method with the number of samples in each case and control group are 32 people who suits both inclusion and exclusion criteria. Method to claim the result of analysis of data in the research is using chi square test. Univariate analysis results showed that most respondents in the case group (65.62%) had poor knowledge about good and correct handwashing compared to the control group, which mostly had good knowledge (58.38%). Bivariate analysis test of the relationship between good and correct hand washing knowledge showed a p value of 0.045 with an OR value of 2.79
Effectiveness of Dexamethasone, Methylprednisolone and Hydrocortisone Administration on LDH, CRP, D-and PaO2/FiO2 Ratio Muhammad Zubaidi; Mohamad Isa; Ira Nurrasyidah
Berkala Kedokteran Vol 19, No 1 (2023)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v19i1.15708

Abstract

Abstract: Steroids are the standard recommended therapy for COVID-19, especially in critically ill patients. Previous studies have shown that steroids are beneficial for inflammatory markers such as C-Reactive Protein (CRP), Lactate Dehydrogenase (LDH) and D-dimer as well as the value of the PaO2/FiO2 ratio. This study aims to determine the differences in the effects of the steroid’s dexamethasone, methylprednisolone and hydrocortisone on inflammatory markers. This research is a retrospective cohort study. The samples were all COVID-19 patients with critical degrees from January to June 2021. The independent variables were dexamethasone, methylprednisolone and hydrocortisone. The dependent variables are CRP, LDH, D-dimer and the ratio of PaO2/FiO2. The statistical test used was the Kolmogorov-Smirnov test and continued with the Kruskal-Wallis test and the Mann-Whitney U test. A total of 148 subjects with a total sample of dexamethasone 60, methylprednisolone 55 and hydrocortisone 33. The statistical test results showed a significant difference in the effect of the steroid dexamethasone, methylprednisolone and hydrocortisone on the value of the PaO2/FiO2 ratio (p=0.04). Administration of hydrocortisone and dexamethasone was statistically superior to methylprednisolone for increasing the PaO2/FiO2 ratio.
Clinical Characteristic of Different SARS-CoV-2 Variants in South Kalimantan, Indonesia: A Case Study Haryati Haryati; Desi Rahmawaty; Mohamad Isa; Ali Assagaf; Ira Nurrasyidah; Erna Kusumawardhani
Althea Medical Journal Vol 10, No 1 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n1.2810

Abstract

Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has undergone various mutations of Corona Virus Disease 2019 (COVID-19). The World Health Organization (WHO) has designated B.1.617.2 (Delta) and B.1.1.529 (Omicron) as variants of concern (VOC). Since clinical features and epidemiological characteristics of patients infected with SARS-CoV-2 variants remain largely unknown, especially in Indonesia, this study aimed to identify the clinical characteristics of COVID-19 patients from South Kalimantan, Indonesia.Methods: Data from medical records of COVID-19 patients at Ulin General Hospital Banjarmasin from June 2021 to February 2022 were randomly extracted, containing demographic data, comorbidities, and laboratory data, as well as the type of virus. Results: In total, 32 patients were included, 9 were infected with delta, 14 with probable omicrons, and 9 with non-VOC. Patients in the probable Omicron group were significantly older than other groups (median age 64 years old, range 54–73 years; p=0.049), had hypertension as the dominant comorbidity (85.7%; p=0.039), the onset appeared slightly earlier (median 3 days; range 2-3 days, p=0.062), with no anosmia symptom (p=0.006). Critical illness predominated and mostly survived in all variants but was not statistically significant (p=0.590 and 0.726, respectively). The three variants showed similarities in laboratory findings; hence, statistical analysis suggested that the leucocytes differed significantly (p=0.020).Conclusions: Patients with the likely Omicron variant are much older, have hypertension as their main comorbidity, do not have any symptoms of anosmia, and have higher leukocyte counts compared to other variants.
Late-Onset Pneumothorax and Bullous Disease in Post-COVID-19 Pneumonia with Severe ARDS Ira Nurrasyidah; Vincentius Adrian Madargerong; Desi Rahmawaty
Jurnal Respirologi Indonesia Vol 43, No 2 (2023)
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.v43i2.354

Abstract

Background: Patients with COVID-19 pneumonia may develop bullae that can rupture into spontaneous pneumothorax (SP) during the diagnosis and treatment, which can be a predictor of a poor prognosis. However, late-onset bullous disease and SP after recovering from COVID-19 are unusual.Case: A 48-year-old male presented with sudden shortness of breath accompanied by chest pain. Three weeks earlier, the patient had finished treatment in the COVID-19 isolation room for 20 days with a diagnosis of COVID-19 pneumonia with severe ARDS. Physical examination demonstrates tachypnea, desaturation, decreased vesicular breath sounds, and hyperresonance percussion on the right hemithorax; without rhonchi or wheezing. Chest X-ray and CT scan showed a right pneumothorax with infected subpleural giant bullae in right perihilar, right lung collapse, minimal right-to-left lung herniation and post-covid pulmonary fibrosis. Culture and sensitivity examination of the pleural fluid showed the growth of Providencia stuartile. A chest tube was placed for the management of the pneumothorax. Subsequently, according to the results of culture and antibiotic sensitivity test, the patient was treated using piperacilin/tazobactam and amikacin. The patient showed clinical and radiological improvement following 41 days of treatment and could be managed as an outpatient.Conclusion: Our patient had infected giant bullae and pneumothorax post COVID-19 pneumonia and severe ARDS. The patient did not undergo a bullectomy in consideration of the post-COVID-19 condition and was managed conservatively using adequate chest tube and antibiotics. Patient responded well to therapy, showed clinical improvement and could be discharged.
Pathological Characteristics of Fiberoptic Bronchoscopy Procedure in Ulin General Hospital, Banjarmasin Ira Nurrasyidah; Muhammad Ajib Nuzula; Ika Kustiyah Oktaviyanti; Desi Rahmawaty; Tenri Ashari Wanahari
Jurnal Respirasi Vol. 9 No. 2 (2023): May 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.2.2023.117-123

Abstract

Introduction:  Fiberoptic Bronchoscopy (FOB) has emerged into the method of choice for the detection of lung tumors due to its availability of Adequate cytological and histological samples in the form of broncho-alveolar lavage, bronchial brushings, and bronchial forceps biopsy. This study aims to identify characteristics of bronchoalveolar lavage, aspiration cytology, brushing cytology and forceps cytology of patients suspected with malignancy at the Ulin Regional Hospital in South Kalimantan. Methods: A cross-sectional study was carried out utilizing medical documentation of patients suspested lung cancer from March 2018 to March 2020. Data were grouped by gender, age, type of procedure, and cytology and histopathology findings. Results: The result showed that 67.5% of 117 patients who underwent bronchoscopy had positive results and common histological diagnosis The frequent histopathological conclusion was adenocarcinoma (45.6%) tailed by squamous cell carcinoma (40.55). Forceps bronchoscopy showed a greater positivity rate (75.0%) than bronchoscopy without forceps (63.6%), we also found that by combining BAL and brushing and forceps biopsy, the detection rate of lung malignancy increased to 85.7%, but no correlation between the type of procedure and the likelihood of malignancy was discovered. Conclusions: Forceps bronchoscopy showed a greater positivity rate than bronchoscopy without forceps, but no correlation between the type of procedure and the likelihood of malignancy was discovered in our study.
GAMBARAN PENGGUNAAN ANTIVIRUS PADA PASIEN RAWAT INAP NON-ICU COVID-19 DI RSUD ULIN BANJARMASIN Kamila Rosyida; Rahmiati Rahmiati; Hendra Wana Nur&#039;amin; Ira Nurrasyidah; Alfi Yasmina
Homeostasis Vol 6, No 2 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i2.9982

Abstract

COVID-19 menunjukkan penyebaran secara cepat dengan kondisi rawat inap yang beragam. Terapi antivirus menjadi salah satu terapi utama COVID-19. Sampai sekarang pengobatan antivirus untuk COVID-19 masih menggunakan obat yang telah ada sebelumnya dengan persetujuaan dalam keadaan mendesak. Tujuan umum penelitian ini adalah untuk mengetahui gambaran penggunaan antivirus pada pasien COVID-19 di ruang rawat inap non-ICU di RSUD Ulin Banjarmasin. Penelitian ini adalah penelitian deskriptif observasional yang menggunakan subjek pasien rawat inap non-ICU COVID-19 berusia >18 tahun berdasarkan catatan pusat data elektronik dan rekam medis yang lengkap pada periode 2020 - 2021. Pada penelitian ini didapatkan 146 subyek dengan antivirus yang digunakan antara lain lopinavir/ritonavir (32,7%), favipiravir (30,8%), remdesivir (19,9%) dan oseltamivir (16,7%). Berdasarkan rentang usia pasien non-ICU COVID-19 paling banyak pada usia 46-65 tahun (47,4%) dengan penggunakan antivirus favipiravir (32,4%) dan lopinavir/ritonavir (32,4%). Berdasarkan jenis kelamin, penggunaan antivirus terbanyak pada lopinavir/ritonavir (36,5%) pada laki-laki serta favipiravir (35,2%) pada perempuan. Berdasarkan komorbid yang paling banyak dimiliki penderita COVID-19 di ruang non-ICU adalah hipertensi (38,64%), dengan penggunaan antivirus remdesivir (26,47%). Berdasarkan durasi rawat inap tersingkat dengan luaran klinis sembuh, penggunaan antivirus terbanyak adalah favipiravir (28,08%) dengan rata-rata 13 hari rawat inap. 
The Correlations Between Clinical Characteristics and Inflammation Markers with Chest X-rays in COVID-19 Patients at Ulin Hospital Muhammad Nor; Ira Nurrasyidah; Mashuri Mashuri
Jurnal Respirologi Indonesia Vol 43, No 4 (2023)
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.v43i4.407

Abstract

Background: Chest x-ray is one of the parameters used to estimate the severity and prognosis of COVID-19. Arterial oxygen saturation (SaO2), partial pressure of arterial oxygen (PaO2), and respiratory index (PaO­/FiO2) can also predict the disease severity. Other parameters, like inflammation markers, have also been used as predictors for prognosis. Based on those considerations, this study aimed to examine their connection and find their correlation.Methods: This was an analytic observational retrospective study. The samples were moderate-critical COVID-19 patients in Ulin General Hospital Banjarmasin from July to December 2021 who met the inclusion and exclusion criteria. Statistical tests were used to see the relationship between clinical characteristics and inflammation markers with chest X-rays using various scoring systems (Brixia, sRALE, and modified Soetomo score).Results: The total number of subjects was 67. The data analysis found that the severity of the disease had a significant relationship with the severity of the chest x-ray (P<0.001). The PF ratio also had a significant negative correlation (P<0.001) with the severity of the chest x-ray. For inflammation markers, NLR, CRP, and LDH significantly correlated with a chest x-ray. The patient's outcome was also associated with a chest X-ray (P<0.015).Conclusion: There were significant correlations between clinical characteristics and inflammation markers on the chest X-ray severity, and sRALE was a better scoring system to assess chest X-ray severity than other scoring systems.
Co-Authors Alfi Yasmina Alfi Yasmina Ali Assagaf Arganita, Fidya Rahmadhany Ciendy Shintya Alhadi Delmi, Anwari Desi Rahmawaty Desi Rahmawaty Desi Rahmawaty Dewi Indah Noviana Pratiwi, Dewi Indah Noviana Diani, Holly Diany, Holly Dwi Laksono Adiputro, Dwi Laksono Eko Suhartono Eko Suhartono Elok Hikmatun Nikmah Erna Kusumawardhani Fajar Satria Rahman Farida Heriyani Fidya Rahmadhany Arganita Harnoto, Yulia Octaviany Haryati Haryati Haryati Haryati Hendra Wana Nur&#039;amin Ika Kustiyah Oktaviyanti Isa Ansori Isa, Mohamad Juhairina, Juhairina Kamila Rosyida Khairunisa Nurdin Khairunnisa Khairunnisa Kurniawan, Sigit Prasetia Kusumawardhani, Erna Madargerong, Vincentius Adrian Mashuri Mashuri Meitria Syahadatina Noor Meitria Syahdatina Noor Meitria Syahdatina Noor Mohamad Isa Mohamad Isa Muhammad Ajib Nuzula Muhammad Ilham Fadillah Muhammad Nor Muhammad Zubaidi Nanang Miftah Fajari Nirmala, Anisa Feby Insan Nurlatifah Nurlatifah Nur’amin, Hendra Wana Permata, Putri Indah Puspita Aisyiyah Putri, Ruth Widhiati Raharjo Rahmiati Rahmiati Rahmiati Rahmiati Renny Aditya Riefani, Soraya Salma Hanina Siti Washilah Siti Washilah Siti Wasilah Soraya Riefani Syafa’ah, Irmi Syam, Shaogi Tenri Ashari Wanahari Vincentius Adrian Madargerong Winariani Koesoemoprodjo