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All Journal Medula Jurnal Medika Malahayati Jurnal Kesehatan Tambusai Journal of Health Science and Medical Therapy
Shinta Nareswari, Shinta
Bagian Parasitologi, Fakultas Kedokteran, Universitas Lampung
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Enterobactericeae Sebagai Bakteri Patogen Infeksi Nosokomial di Rumah Sakit Putri, Abrila Tamara; Soleha, Tri Umiana; Nareswari, Shinta; Ramadhian, M. Ricky
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.942

Abstract

Enterobactericeae are gram-negative rod bacteria which are often pathogenic bacteria that cause nosocomial infections. Enterobactericeae bacteria have several characteristics including small size and rod shape, natural habitat in the digestive tract of humans or animals and some others originate from bodies or inanimate objects, are motile and non-motile, cannot form spores, and are aerobic to facultative anaerobic. Nosocomial infections are infections that are acquired during the health care process at the hospital, but are not present when the patient is admitted to the hospital. The source of transmission of nosocomial infections can result from direct or indirect contamination in the health care process in hospitals. Common nosocomial infections include Central Line Associated Blood Stream Infection (CLABSI), Catheter Associated Urinary Tract Infection (CAUTI), Surgical Site Infection (SSI), and nosocomial pneumonia consisting of Hospital Acquired Pneumoniae (HAP), Ventilator Associated Pneumoniae (VAP), and Health Care Associated Pneumoniae (HCAP). The Enterobactericeae bacteria that often cause nosocomial infections in hospitals include Escherichia coli, Klebsiella sp, Enterobacter sp, Pseudomonas sp, and so on. Nosocomial infections have a negative impact on the health recovery process of inpatients in hospital, so they need to be handled well and preventive efforts are made to avoid this undesirable event through health service efforts that comply with standard operational procedures and pay attention to aseptic principles.
Hubungan Luas Lesi Foto Toraks Pasien Tuberkulosis Paru Dengan Waktu Konversi Sputum Basil Tahan Asam Ramadhian, Muhammad Ricky; Nadhifa, Farin; Nareswari, Shinta; Mustofa, Syazili
Jurnal Medika Malahayati Vol 9, No 2 (2025): Volume 9 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v9i2.18797

Abstract

Tuberkulosis paru (TB paru) merupakan penyakit menular yang disebabkan karena adanya infeksi pada parenkim paru oleh Mycobacterium tuberculosis (M. tb). Salah satu modalitas dalam mendiagnosis TB adalah pemeriksaan spesimen dahak menggunakan pemeriksaan basil tahan asam (BTA) serta pemeriksaan radiologi dengan foto toraks. Dalam pemeriksaan foto toraks, lesi TB paru dapat dibagi menjadi lesi minimal, lanjut sedang, dan sangat lanjut. TB dikenal sebagai penyakit dengan durasi pengobatan yang lama, terbagi menjadi fase intensif dan lanjutan. Dalam mengevaluasi pengobatan, dilakukan pemeriksaan sputum BTA di akhir setiap fase untuk menilai status konversi sputum. Luas lesi diduga berperan dalam durasi konversi sputum BTA. Penelitian ini bertujuan untuk menentukan apakah terdapat hubungan antara luas lesi foto toraks pasien TB paru dengan waktu konversi sputum BTA. Desain penelitian ini adalah analitik observasional menggunakan data rekam medis dan laman Sistem Informasi Tuberkulosis (SITB). Sebanyak 55 orang yang diteliti diambil dengan teknik total sampling. Data kemudian dianalisis dengan uji Chi-Square. Hasil yang diperoleh adalah bahwa 52,7% pasien TB paru memiliki luas lesi sangat lanjut dan 61,8% pasien TB paru mengalami konversi selama fase intensif. Analisis bivariat memberikan hasil P-value < 0,001. Kesimpulan penelitiaan ini adalah luas lesi foto toraks pasien TB paru berhubungan dengan waktu konversi sputum BTA di RSUD Dr. H. Abdul Moeloek pada tahun 2020-2023.
TINJAUAN PUSTAKA : FAKTOR YANG BERHUBUNGAN DENGAN PENYAKIT PARU OBSTRUKTIF KRONIK PADA PEKERJA Ratu, Sarih; Mayasari, Diana; Nareswari, Shinta; Oktarlina, Rasmi Zakiah
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45503

Abstract

Menurut International Labour Organization (ILO) di tahun 2023, sebesar 2,6 juta kematian pekerja disebabkan penyakit akibat kerja dan penyakit pernapasan termasuk dalam tiga penyebab utama kematian tersebut. Penyakit Paru Obstruktif Kronik (PPOK) termasuk 3 penyakit yang paling banyak menyebabkan kematian. Prevalensi PPOK lebih tinggi pada pekerja yang terpapar bahan polutan dibandingkan pekerja yang tidak terpapar. Penyakit paru obstruktif kronik merupakan beban kesehatan dan ekonomi yang cukup besar di seluruh dunia. Artikel ini ditulis untuk mengetahui faktor-faktor yang berhubungan dengan kejadian PPOK pada pekerja. Faktor seperti derajat merokok dan penggunaan alat pelindung diri memiliki hasil yang berbeda, derajat merokok ditemukan berhubungan dengan kejadian PPOK pada pengemudi ojek online tetapi tidak pada pekerja di pelabuhan dan sebaliknya terkait penggunaan alat pelindung diri. Penelitian terkait lama kerja dan status gizi menunjukkan tidak adanya hubungan dengan gangguan fungsi paru ataupun kejadian PPOK pada pekerja. Namun, pada penelitian lain mengenai waktu pelaksanaan (shift) kerja ditemukan berhubungan dengan kejadian PPOK pekerja. Hasil yang bertentangan terkait derajat rokok dan penggunaan alat pelindung diri maupun tidak adanya hubungan lama kerja dan status gizi menunjukkan masih diperlukan lebih banyak penelitian mengenai faktor pekerjaan lainnya serta pengukuran pajanan pada tingkat personal untuk mendapatkan hubungan yang lebih akurat terkait faktor yang berhubungan dengan kejadian PPOK pekerja.
Community-Acquired Pneumonia in Elderly Patients Artanti, Mariesela; Soleha, Tri Umiana; Nareswari, Shinta
Journal of Health Science and Medical Therapy Том 3 № 02 (2025): Journal of Health Science and Medical Therapy
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jhsmt.v3i02.1607

Abstract

Community-acquired pneumonia (CAP) is a lung infection acquired outside of healthcare facilities and is a leading cause of morbidity and mortality in the elderly. Older adults have a higher risk of CAP due to immune system decline, comorbidities, and impaired respiratory defence mechanisms. Streptococcus pneumoniae is the primary pathogen responsible for CAP in the elderly, followed by Haemophilus influenzae and other atypical bacteria. The diagnosis of CAP in older adults is often challenging due to atypical symptoms such as general weakness and confusion, necessitating chest radiography for confirmation. Treatment depends on disease severity and may involve oral or intravenous antibiotics, oxygen therapy, and close monitoring for complications such as respiratory failure and sepsis. Prevention through pneumococcal and influenza vaccination, personal hygiene maintenance, and management of comorbidities is crucial in reducing CAP incidence and mortality in the elderly.
Kekuatan Genggaman Tangan pada Dewasa Muda Tiasti, Jania; Setiorini, Anggi; Nareswari, Shinta; Sangging, Putu Ristyaning Ayu
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1665

Abstract

Handgrip strength (HGS) is an important indicator that reflects both musculoskeletal health and overall well-being. Hand grip strength is widely applied in research and clinical practice because its measurement is simple, reliable, and able to represent overall muscle strength. The assessment of HGS is conducted using a handgrip dynamometer, which operates based on specific principles. However, the limited literature on normative data for young adult populations hinders the interpretation of handgrip performance in this age group. One normative study reported that in healthy young adults, the average HGS reached 36.32 kg in men and 22.96 kg in women. These values may vary depending on ethnicity, level of physical activity, and lifestyle habits. Factors influencing HGS include body composition, anthropometric characteristics, sex, age, nutritional status, and physical fitness. Physiologically, men tend to have higher HGS than women due to differences in muscle mass, hormonal levels, and muscle fiber distribution. The decline of HGS with increasing age is closely related to sarcopenia, a condition characterized by reduced muscle strength, mass, and function associated with aging. Therefore, maintaining handgrip strength from an early age is crucial to support daily activities, preserve independence in older age, and serve as an indicator of future health risks.
Co-Authors Artanti, Mariesela Gabrile Madumey, Diora Mayasari, Diana Muhammad Ricky Ramadhian Nadhifa, Farin Putri, Abrila Tamara Rasmi Zakiah Oktarlina Ratu, Sarih Sangging, Putu Ristyaning Ayu Setiorini, Anggi Syazili Mustofa Tiasti, Jania Tri Umiana Soleha