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Pencegahan COVID-19 di Panti dan Pondok melalui Pendidikan dan Perilaku Hidup yang Bersih dan Sehat Muhammad, Iqbal; Putra, Ngakan; Djajalaksana, Susanthy; Sari, Fitri; Falyani , Silvy; Yusdianto, Adrian; Fahmi, Kristia
Jurnal Klinik dan Riset Kesehatan Vol 2 No 2 (2023): Februari 2023
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.2.2

Pendahuluan: Penyakit COVID-19 sebagai sumber penularan yang cepat dan telah menjadi pandemi di dunia dan menjadi perhatian penting terutama terhadap populasi rentan seperti anak-anak. Munculnya varian dari virus penyebab penyakit COVID-19 ini pun menjadi ancaman terutama anak-anak, dimana varian delta ditemukan dapat menginfeksi anak yang berusia diantara 1 hingga 14 tahun. Perilaku Hidup Bersih dan Sehat (PHBS) salah satu cara untuk mencegah penyebaran penyakit COVID-19 dan dapat dipraktekan untuk semua kalangan masyarakat, termasuk anak-anak. Tujuan: Penelitian ini bertujuan untuk mencari tingkat keefektivan pendidikan PHBS untuk mencegah COVID-19 pada anak-anak di Panti dan Pondok Kota Malang. Metode: Metode penelitian dengan metode kaji tindak (Action Research) dengan pendekatan program aksi partisipatif (Partisipatory Action Program) pre-test dan post-test yang melibatkan kelompok masyarakat sasaran yaitu 65 orang anak-anak di panti dan pondok Kota Malang. Data dikumpulkan melalui kuesioner yang dilaksanakan sebelum dan setelah penyuluhan berupa edukasi PHBS sebagai pencegahan COVID-19 serta data diolah menggunakan SPSS. Hasil: Hasil penelitian ini adalah terdapat peningkatan pengetahuan responden dimana nilai rata-rata sebelum penyuluhan adalah 85.08 dan meningkat sebesar 94.15 setelah penyuluhan, hasil tersebut berbeda secara signifikan dengan p-value <0.05. Kesimpulan: Terdapat perbedaan signifikan tingkat pengetahuan terhadap PHBS sebagai pencegahan COVID-19 sebelum dan sesudah dilakukan penyuluhan pada anak-anak yatim piatu di panti asuhan. Kata Kunci: PHBS; COVID-19; Edukasi; Pencegahan; Panti dan Pondok.

Pencegahan COVID-19 di Panti dan Pondok melalui Pendidikan dan Perilaku Hidup yang Bersih dan Sehat Muhammad, Iqbal; Putra, Ngakan; Djajalaksana, Susanthy; Sari, Fitri; Falyani , Silvy; Yusdianto, Adrian; Fahmi, Kristia
Jurnal Klinik dan Riset Kesehatan Vol 2 No 2 (2023): Februari 2023
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.2.2

Pendahuluan: Penyakit COVID-19 sebagai sumber penularan yang cepat dan telah menjadi pandemi di dunia dan menjadi perhatian penting terutama terhadap populasi rentan seperti anak-anak. Munculnya varian dari virus penyebab penyakit COVID-19 ini pun menjadi ancaman terutama anak-anak, dimana varian delta ditemukan dapat menginfeksi anak yang berusia diantara 1 hingga 14 tahun. Perilaku Hidup Bersih dan Sehat (PHBS) salah satu cara untuk mencegah penyebaran penyakit COVID-19 dan dapat dipraktekan untuk semua kalangan masyarakat, termasuk anak-anak. Tujuan: Penelitian ini bertujuan untuk mencari tingkat keefektivan pendidikan PHBS untuk mencegah COVID-19 pada anak-anak di Panti dan Pondok Kota Malang. Metode: Metode penelitian dengan metode kaji tindak (Action Research) dengan pendekatan program aksi partisipatif (Partisipatory Action Program) pre-test dan post-test yang melibatkan kelompok masyarakat sasaran yaitu 65 orang anak-anak di panti dan pondok Kota Malang. Data dikumpulkan melalui kuesioner yang dilaksanakan sebelum dan setelah penyuluhan berupa edukasi PHBS sebagai pencegahan COVID-19 serta data diolah menggunakan SPSS. Hasil: Hasil penelitian ini adalah terdapat peningkatan pengetahuan responden dimana nilai rata-rata sebelum penyuluhan adalah 85.08 dan meningkat sebesar 94.15 setelah penyuluhan, hasil tersebut berbeda secara signifikan dengan p-value <0.05. Kesimpulan: Terdapat perbedaan signifikan tingkat pengetahuan terhadap PHBS sebagai pencegahan COVID-19 sebelum dan sesudah dilakukan penyuluhan pada anak-anak yatim piatu di panti asuhan. Kata Kunci: PHBS; COVID-19; Edukasi; Pencegahan; Panti dan Pondok.

Management of Thoracic Empyema with Pleuroscopy in Lung Cancer Patient Putra, Christian Surya Eka; Setyawan, Ungky; Putra, Ngakan
Malang Respiratory Journal Vol. 4 No. 1 (2022): Vol. 4 No. 1
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2022.004.01.3

Background: Thoracic empyema is a serious complication related to death at young age and old age. The most common cause of thoracic empyema is parapneumonic effusion, and lung cancer is a rare cause of empyema. Pleuroscopy as an invasive procedure is often indicated as a second option for therapeutic purposes after chest tube insertionCase: We reported one case at Dr. Saiful Anwar, a man, 61 years old, was diagnosed with lung cancer with recurrent pleural effusions. Then after receiving chemotherapy, the patient was hospitalized again because of his worsening condition. From the lateral chest X-ray, a complex hydropneumothorax was obtained. Thoracentesis procedure revealed a greenish-yellow cloudy pleural fluid. The patient underwent pleuroscopy to evaluate the cause of empyema and drainage of pus. Necrotic tissue and pleural surface with nodules were found on pleuroscopy. The results of the anatomical pathology examination from pleural biopsy showed suppurative inflammation with several atypical cellsConclusion: Management of empyema must be carried out as soon as possible and appropriately. Pleuroscopy can be performed as a diagnostic and therapeutic measure in cases of thoracic empyema caused by lung cancer

A Rare Case of Chylothorax Manifestation of Gorham’s Disease, Lymphangioma and Tuberculosis Agil Dananjaya; Setyawan, Ungky; Putra, Ngakan; Erawati, Dini; Isharanto, Artono; Norahmawati, Eviana; Irmansyah, Istan
Malang Respiratory Journal Vol. 4 No. 2 (2022): September 2022
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2022.004.02.1

Background: Chylothorax is a rare condition caused by accumulation of chyle in the pleural cavity (2-3%). More rare causes are Gorham's disease and tuberculosis Case: A 31-year-old male complained of swelling left arm and shortness of breath with recurrent pleural effusion. Pleural fluid analysis showed chylous. Bone survey showed osteolytic lesions of multiple bones as Gorham's disease. Thoracic CT showed left lung mass, atelectasis, massive fluidothorax, ipsilateral supraclavicular lymphadenopathy, destructive left scapula. Needleaspiration of left humerus revealed lymphangioma. Expert Mtb-Rif examination revealed Mtb detected. We assessed Gorham'sdisease, lymphangioma and lung tuberculosis with complication recurrent chylothorax and was treated anti-tuberculosis, anti-osteolytic and thorax catheter insertion. Conclusion: Difficult and rare case of chylothorax in one patient with Gorham’s disease and tuberculosis, is a poor prognosis. Keywords: Chylothorax, Gorham's Disease, Tuberculosis

Exogenous Lipoid Pneumonia Effendi, Tiar Oktavian; Setyawan, Ungky; Putra, Ngakan; Erawati, Dini
Malang Respiratory Journal Vol. 4 No. 2 (2022): September 2022
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2022.004.02.3

Background : Lipoid pneumonia is a rare disease and usually reported as sporadic cases. Exogenous lipoid pneumonia is a more common form of lipoid pneumonia. Untypical characteristics makes incidence rate of this cases are often imprecise. The diagnosis is made from a history of lipid containing material aspiration, radiologic imaging, and histopathological examination. There is no treatment of choice because diagnosis of this cases are rarely made. Case Report : We report one case at Dr. Saiful Anwar hospital, a 35 years old man with accidental kerosene ingestion and aspiration. Based on examination of the patient, laboratory results, radiological imaging, and BAL fluid analysis and cytology, diagnosis of exogenous lipoid pneumonia was made. Our treatment of choice was combination of antibiotic, corticosteroid and BAL to manage this patient. After 2 weeks of treatment, there were improvements on clinical and radiological imaging. Conclusion: Exogenous lipoid pneumonia is a rare disease. Using antibiotic, corticosteroid, and BAL through bronchoscopy can be a therapeutic option that provides clinical and radiological improvement. Key words : Lipoid Pneumonia, Exogenous Lipoid Pneumonia, Treatment of Lipoid Pneumonia

Successful Embolization in Recurrent Hemoptysis Caused by Pulmonary Aspergilloma: A Case Report: Successful Embolization in Recurrent Hemoptysis Caused by Pulmonary Aspergilloma Yaman, Muli; Sugiri, Jane; Putra, Ngakan; Santosaningsih, Dewi; Aslam, Achmad
Malang Respiratory Journal Vol. 5 No. 1 (2023): Volume 5 No 1, March 2023
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2023.005.01.4

Background: Aspergilloma is a fungal infection that can cause recurrent hemoptysis. One of the treatment modalities is embolization, which has a success rate of 85% to 100%, although the recurrence rate may reach 10% to 33%. Case Illustration: A 29-year-old female came to the emergency ward with recurrent hemoptysis. She had a history of tuberculosis with completed treatment 7 years ago. Chest radiography showed left lung tuberculosis with emphysematous lung. Chest CT with contrast revealed an air-crescent sign, and culture from bronchoalveolar lavage (BAL) showed Aspergillus spp. Then, she was diagnosed with pulmonary aspergilloma. Embolization was performed in the left internal mammary artery, and the blushing was decreased by 80%. However, the hemoptysis was still recurrent; a second embolization was performed in the left supreme intercostal artery, costocervical trunk artery, and bronchial artery, resulting in no blushing. The patient had no further episodes of hemoptysis, and her antifungal therapy was changed from fluconazole to voriconazole. Discussion: Recurrent hemoptysis can be caused by pulmonary aspergilloma. Embolization is usually done to reduce bleeding before surgery. The patient had performed embolization 2 times with no further episodes of hemoptysis. Surgical resection as a definitive treatment was recommended in this case, but the patient refused. Therefore, the patient’s management was optimized using voriconazole and embolization for the hemoptysis. Conclusion: Management of recurrent hemoptysis in patients with aspergilloma may include embolization and antifungal treatment which give improved clinical outcomes. Keywords: recurrent hemoptysis, embolization, aspergilloma, tuberculosis

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