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Analysis Of Factors And Performance Of Puskesmas In Tb Case Finding In Lhokseumawe City yuziani yuziani; Annisa Uljannah; Harvina Sawitri; Mutia Maulina; Vera Novalia; Noviana Zara
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 19 No. 2 (2023): December 2023
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol19.SMUMM2.32113

Abstract

Tuberculosis is still a health problem in Indonesia and the world today. Aceh Province has the highest number of TB cases in Indonesia, and North Aceh district is the number one highest district in Aceh Province. One effort to reduce the morbidity rate caused by TB is TB case detection (Case Detection Rate/CDR) and the success rate of treatment. The high and low rates of TB case discovery are influenced by the performance of all managers of the TB disease control program (P2TB), which all related parties support. This research describes officers' performance finding tuberculosis cases at the Lhokseumawe City Health Center. This type of research is quantitative with a cross-sectional design. Samples were taken from the total population, namely all officers responsible for TB at community health centres in Lhokseumawe, totalling 15 officers. The results of this research showed that the dominant gender was 86.7% female officers, 80% D3 education level, 100% good knowledge, 86.7% sufficient motivation of officers, 73.3% good leadership of the head of the community health centre, 86% good training for TB officers, 7%, case detection was 100% good, work period was more than two years 73.3%, and the achievement of TB case discovery was only one health centre that reached the standard. The conclusion from research conducted at the Lhokseumawe City Health Center is that many factors influence officers' performance in case finding.
Persalinan pada Kehamilan dengan Fetal Hidreosefalus Annisa Uljannah; Afiqah Divaulhaq
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 4 No. 2 (2026): Juni: Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v4i2.2250

Abstract

Hydrocephalus is defined as active distension of the brain’s ventricular system, resulting from inadequate flow of cerebrospinal fluid from its site of production to its site of absorption into the systemic circulation. Hydrocephalus can affect anyone at any age; pediatric hydrocephalus affects 1 in 1,000 live births and is the most common cause of brain surgery in young patients. Hydrocephalus is a pathological condition characterized by abnormal accumulation of cerebrospinal fluid (CSF) due to increased production, impaired flow, or reduced absorption. Ventricular enlargement occurs in response to increased CSF volume and can lead to structural damage to the brain parenchyma. This condition can be congenital or acquired. One key point in prenatal diagnosis is the differentiation between fetal hydrocephalus and non-hypertensive ventriculomegaly. The former qualifies for intrauterine treatment with good outcomes. However, the latter can result in either favorable or catastrophic outcomes due to a damaging etiology, as seen in viral infections such as Zika virus. For an accurate diagnosis, fetal MRI is performed to detect brain anomalies, in addition to fetal ultrasound (to detect common complications), karyotype testing, and TORCH testing (toxoplasma, rubella, cytomegalovirus, herpes simplex). Obstetric management of fetal hydrocephalus depends on the gestational age at diagnosis and the presence of other anomalies. Treatment options include termination of pregnancy before the fetus is viable, placement of a ventriculoamniotic shunt, cephalocentesis before delivery, and/or cesarean section.
Upaya Penanganan Demam Tifoid pada Kehamilan Afiqah Divaulhaq; Annisa Uljannah
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2026): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i2.3079

Abstract

Typhoid fever during pregnancy can lead to complications such as uteroplacental infection, miscarriage, and vertical transmission, which causes neonatal typhoid. Typhoid fever is found worldwide and is highly prevalent in developing countries, particularly in tropical regions. It is estimated that there are 11–21 million cases per year and approximately 128,000–161,000 deaths per year; the majority of cases occur in Southeast Asia, South Asia, and Sub-Saharan Africa. Salmonella typhi is a gram-negative bacterium capable of intracellular survival. Symptoms in typhoid patients vary among different groups. While pregnant women with typhoid are more likely to exhibit coughing, non-pregnant patients more frequently report nausea/vomiting compared to pregnant patients. The effects of typhoid fever on pregnancy result from prolonged high fever and poor general health, which can lead to miscarriage, preterm labor, and intrauterine fetal death, especially if the infection occurs during the first or second trimester. Morbidity and mortality rates may be higher in pregnant women. Pregnancy itself does not affect the course of the disease. Prevention of typhoid fever involves adopting a clean and healthy lifestyle, as well as receiving the typhoid vaccine. Two effective vaccines are available for typhoid fever. The live-attenuated oral vaccine (Ty21a) requires four doses, administered 48 hours apart, without concurrent use of antibiotics or antimicrobial medications. Due to reduced gastrointestinal motility in early pregnancy and frequent nausea and vomiting associated with symptomatic gastroesophageal reflux requiring acid-reducing therapy, we do not recommend the Ty21a oral vaccine for pregnant patients.