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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Universa Medicina JSMARTech : Journal of Smart Bioprospecting and Technology Narra J Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Fauzi Yusuf, Fauzi
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health

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Analysis of Factors Related to Stigma of Health Worker and Medical Personnel Towards Hepatitis B at RSUDZA Banda Aceh Bakar, Azzaki Abu; Yusuf, Fauzi; Renaldi, Teuku; Salawati, Liza; Mahesa, Pocut Diva; Edward, Meutia Nailan
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 26, No 2 (2025): VOLUME 26, NUMBER 2, AGUSTUS, 2025
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2622025154-159

Abstract

Background: Hepatitis B is one of the infection disease that attacks liver and is often accompanied by stigma including among health worker and medical personnel. This research aiming for analyze related factors with the stigma of health worker and medical personnel towards Hepatitis B at RSUDZA Banda Aceh. Methods: This study was an observational analytics with design cross sectional. Data collection was conducted on November 19-29 at RSUDZA. The sample consisted of from 452 health workers and medical personnel at RSUDZA Banda Aceh which was selected use method accidental sampling. Results: Research results shows 49.6% health worker and medical personnel at RSUDZA Banda Aceh has high (i.e.: negative or discriminatory) stigma towards Hepatitis B. The results of data analysis using the Chi-square test with 95% CI and α 0.05 showed level of knowledge, profession and services have significant relationship with stigma towards hepatitis B, while age, gender, length of service, and training did not show a significant relationship.Conclusion: It can be concluded that there is a relationship between the level of knowledge, profession, and service with the stigma of health workers and medical personnel towards Hepatitis B. And there is no relationship between factors of age, gender, length of service and training with stigma towards Hepatitis B
AST to Platelet Ratio Index (APRI), Fib-4 Score, and Pregnancy Outcome of Pregnant Women with Hepatitis B Maghfirah, Desi; Yusuf, Fauzi; Abubakar, Azzaki; Rusly, Dewi Karlina; Darnifayanti, Darnifayanti
Majalah Kedokteran Bandung Vol 55, No 3 (2023)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v55n3.3066

Abstract

Hepatitis B virus infection in pregnancy has become a major concern in many developing countries,. The relationship between hepatitis B virus infection and pregnancy is complex and puzzling. This study aimed to investigate the relationship between hepatitis B virus infection and pregnancy outcomes with the insights into the AST to Platelet Ratio Index (APRI) and Fib-4 score. This was a cross-sectional study on pregnant women with hepatitis B virus infections who underwent labor at dr. Zainal Abidin Hospital General Hospital, Aceh, Indonesia. Data were collected from the obstetric ward patient medical records from 2017 to 2019 and 77 pregnant women was identified to be infected with hepatitis B virus, of which 44 had complete medical record data and were included in the analysis. The median APRI in this study was 0.30 (0.1-1.2) while the median FIB-4 score was 0.74 (0.3-1.9). Delivery with live births was identified in 42 (95.5%) women. Term pregnancy and vaginal delivery were observed in 39 (88.6%) and 10 (22.7%) women, respectively, Complicated pregnancy was seen in 14 (31.8%) of pregnancies that included complications such as oligohydramnios, HELLP, severe preeclampsia, placenta previa, and premature rupture of membranes. APRI was higher in the stillbirth group (0.5 [0.2-0.8] p = 0.682) and preterm birth group (0.4 [0.2-0.6], p = 0.502). FIB-4 scores were higher in the stillbirth group (1.2 [0.5-1.8], p = 0.517) and preterm birth group (0.9 [0.4-1.9], p = 0.529). Hence, pregnancy does not always worsen liver function and is not related to the natural course of hepatitis B infection. Pregnancy with hepatitis B without fibrosis is not associated with poor pregnancy outcomes. Routine liver function examination is needed in pregnant mothers with hepatitis B virus infections.
Gastrointestinal Manifestations and Neutrophil-to-Lymphocyte Ratio as Marker of Occult Bleeding in COVID -19 Maghfirah, Desi; Yusuf, Fauzi; Marisa, Marisa; Eljatin, Muhammad Ridho Akbar
International Journal of Integrated Health Sciences Vol 13, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v13n2.4210

Abstract

Background: Coronavirus disease 2019 (COVID-19) was initially recognized as a respiratory illness; however, it has been gradually recognized as a disease that affects multiple organ systems, including the gastrointestinal (GI) tract. GI involvement ranges from mild symptoms, such as nausea and diarrhea, to complications like gastrointestinal bleeding. The neutrophil-to-lymphocyte ratio (NLR) has been proposed as a simple biomarker of inflammation and disease severity in COVID-19.Objective: To describe gastrointestinal manifestations of COVID-19 and examine the association between NLR levels and occult gastrointestinal bleeding.Methods: This cross-sectional study was conducted in 2021 at the New-Emerging and Re-Emerging Infectious Diseases inpatient unit of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia. COVID-19-positive patients aged ≥18 years with gastrointestinal symptoms were included, excluding those who were pregnant or had pre-existing GI disorders. Data were collected from medical records and patient interviews. Statistical analysis was performed using the Mann–Whitney U test, with p < 0.05 considered significantResults: The most frequent symptoms were appetite loss and nausea (93%), bloating and vomiting (87%), and diarrhea (57%). Occult GI bleeding occurred in seven patients (23.3%) who had significantly higher NLR values than those without bleeding (p = 0.041).Conclusion: The most frequent GI manifestations of COVID-19 are loss of appetite, nausea, bloating, vomiting, and diarrhea, while occult gastrointestinal bleeding occurs in about one-fourth of cases. Elevated NLR levels are associated with occult bleeding, suggesting its potential role as a simple and accessible biomarker of intestinal inflammation and disease severity.
Co-Authors Abdeen, Ziad Acharya, Yogesh Alfi Syahrin, Alfi Anak Agung Dewi Megawati, Anak Agung Dewi Andri Frediansyah, Andri Azzaki Abubakar, Azzaki Bakar, Azzaki Abu Bondarenko, Anastasia Chandran, Deepak Chatarina Umbul Wahyuni Darnifayanti, Darnifayanti Desi Maghfirah Dewi Karlina Rusly Edward, Meutia Nailan Eljatin, Muhammad Ridho Akbar Emran, Talha B. Ezigbo, Eyiuche D. fatchiyah . FIRDAUSA, SARAH Firzan Nainu Gunawan , Andrie Gunawan, Andrie Harapan Harapan Harun Al Rasyid Damanik, Harun Al Rasyid Heltomi, Mirza Hendra Zufry, Hendra Ho, Khek Yu Ikram, Aamer Iqhrammullah, Muhammad Isitua, Chinwe C. Ismida, Fitri Dewi Khader, Yousef Kotfis, Katarzyna Koyanagi, Ai Kretchy, James-Paul Kurnia F. Jamil Kurniawan Kurniawan Lemu, Yohannes K. Liza Salawati, Liza Maghfirah, Desi Mahesa, Pocut Diva Mamada, Sukamto S. Marisa Marisa Memish, Ziad A. Muhsin Muhsin Mulia, Vera Dewi Purnomo, Avisena Gatot Rademaker, Marius Renaldi, Teuku Riswan, Muhammad Salam, Nurbahri L Sallam, Dina E. Sallam, Malik Sari, Fitrah Sharun, Khan Smith, Lee Syafruddin Ilyas Torres-Roman, J. Smith Vento, Sandro Yufika, Amanda