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All Journal Jurnal Impresi Indonesia Ahmad Dahlan Medical Journal
Prisila, Elvina
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Utilization of Xpert MTB/RIF molecular test and Thorax Radiography as Tuberculosis Screening at PKU Muhammadiyah Bantul Hospital Prisila, Elvina; Sukirto, Novi Wijayanti; Umam Kurniawan, Nurcholid; Rahayu, Ana Budi; Yuniasih, Dewi; Wira Oktaviana, Ardyawati; Putri Nurulita, Febrianti; Sholikhah, Amanatus; Awisarita, Wiwara
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v5i1.10428

Abstract

Tuberculosis is a disease caused by the bacteria Mycobacterium tuberculosis, and approximately 25% of the global population is afflicted with this bacterium. In 2022,The objective of this study is to assess the effectiveness of the Xpert MTB/RIF Molecular Test and Thorax Radiography as diagnostic tools for tuberculosis at PKU Muhammadiyah Bantul Hospital. The research employed quantitative methodologies with a cross-sectional design. The majority of tuberculosis suspects at PKU Muhammadiyah Bantul Hospital were individuals aged 64 years or older, based on age group. In terms of gender, 498 individuals were male. According to the Xpert MTB/RIF molecular test, 89 individuals tested positive for tuberculosis. In contrast, the number of individuals who tested positive for tuberculosis through thorax photo examination was 184. The findings indicate that the majority of patients suspected of having Tuberculosis were males and were primarily in the age category of above 64 years old. Thorax photo radiography yielded a higher number of confirmed positive tuberculosis findings compared to the Xpert MTB/RIF molecular test, based on the evaluation of individuals suspected of having tuberculosis.
Characteristics of Osteoarthritis Patients at PKU Bantul Hospital in 2024 Prisila, Elvina; Wijayanti Sukirto, Novi; Ilham Rahmatullah, Andika; Pirman Abdul Aziz, Adinda; Arrafi Pratama, Rheycado; Chairunnisa Ramadhani, Salsabila; Yuniasih, Dewi
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.13098

Abstract

Osteoarthritis (OA) is a degenerative joint disorder that commonly affects the elderly population, primarily resulting from the aging process and prolonged mechanical stress on articular cartilage. The risk of deceloping OA significantly increases between the ages of 30 and 65, with individuals over the age of 65 facing a tenfold higher risk. Common clinical manifestations include joint pain, stiffness, swelling, and reduced mobility, which can severely impact quality of life. This study aims to provide a comprehensive overview of the demographic and clinical characteristics of OA patients treated at PKU Bantul Hospital between January and December 2024. A cross-sectional design was employed, utilizing secondary data extracted from hospital’s medical records. A total of 579 OA patients were identified, with a predominant female population (419 individals, 41,1%). The vast majority received outpatient care (540 individuals, 93,3%). Radiological examinations were conducted in 462 patients (80%), with the knee joint being the most commonly affected site (369 cases, 64%). These findings highlight the high burden of OA among elderly females and underscore the importance of early diagnosis and effective management strategies, particularly for knee involvement, to prevent disease progression and improve patient outcomes.
Complex Constellation of Gastroptosis, Achalasia, and Hypertophic Gastritis: A Case Report Prisila, Elvina; Pratama, Rheycado Arrafi; Sukirto, Novi Wijayanti; Ramadhani, Salsabila Chairunnisa
Jurnal Impresi Indonesia Vol. 4 No. 11 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i11.7166

Abstract

The concurrent presentation of multiple upper gastrointestinal (GI) disorders is a rare clinical entity that poses significant diagnostic and therapeutic challenges. We present an unprecedented case of coexisting achalasia, gastroptosis, hypertrophic gastritis, and hyperacidity, which culminated in a life-threatening metabolic emergency. Case presentation: A 63-year-old female with a history of chronic dyspepsia presented with progressive nausea, vomiting, significant weight loss, and an acute episode of severe hypoglycemia (random blood glucose 52 mg/dL). A barium contrast study (Oesophagus-Maag-Duodenum) was the key diagnostic investigation. Radiological findings revealed a dilated esophagus with a distal "rat tail" sign characteristic of achalasia. The same study demonstrated severe inferior displacement of the stomach into the pelvic cavity, confirming gastroptosis, and markedly thickened gastric mucosal folds, indicative of hypertrophic gastritis. Conclusion: This case illustrates a unique constellation of anatomical, motor, and inflammatory GI pathologies. The severe hypoglycemia is attributed to a "double-delay" mechanism, where esophageal stasis from achalasia combined with delayed gastric emptying from gastroptosis led to erratic nutrient delivery and a dysregulated, exaggerated insulin response. This report highlights the critical role of comprehensive radiological evaluation in diagnosing complex, overlapping GI conditions and underscores the importance of considering multi-pathology interplay when faced with atypical clinical manifestations.
Co-Authors Arrafi Pratama, Rheycado Awisarita, Wiwara Chairunnisa Ramadhani, Salsabila Ilham Rahmatullah, Andika Pirman Abdul Aziz, Adinda Pratama, Rheycado Arrafi Putri Nurulita, Febrianti Rahayu, Ana Budi Ramadhani, Salsabila Chairunnisa Sholikhah, Amanatus Sukirto, Novi Wijayanti Umam Kurniawan, Nurcholid Wijayanti Sukirto, Novi Wira Okta Viana Yuniasih, Dewi