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MDR PATIENT AND DM WITH CAVITARY FUNGUS BALL DUE TO HAEMOPTOE RECURRENT: A CASE REPORT Pakpahan, Edwin Anto; Pratiwi, Annisa Nola; Putri, Frisca Indriani; Harahap, Putri Yana; Gunawan, Qibran Aziz; Siregar, Anandya Annisa Amri
Majalah Ilmiah METHODA Vol. 13 No. 3 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol13No3.pp234-241

A 53-year-old man was admitted to Drs. H. Amri Tambunan Hospital with complaints of extreme weakness since today, coughing up blood was found 3 days every time he coughed. Right chest pain like stabbing is found 4 days. Nausea is found 3 days, vomiting is found just today, the contents of what is eaten, decreased appetite and weight are found. The patient is currently taking MDR anti-tuberculosis drugs. Physical examination showed chest wall retraction, weak peristalsis in the abdomen. Thorax examination revealed right Koch Pulmonum or right pulmonary TB with right Aspergillosis/fungus ball of right superior lobe. Lab examination showed that the patient was diabetic. Surgical lobectomy was performed to find a mass of 3 cm in diameter, white-white grey-brown in color, spongy in consistency. The diagnosis of aspergilloma was confirmed by microscopic examination. Tuberculosis and type 2 DM have impaired immunity due to insulin resistance, this is exacerbated by malnutrition which results in ineffective absorption of anti-tuberculosis drugs. This condition makes patients susceptible to fungal infections such as Aspergillus sp. Patients need to maintain blood glucose levels and improve nutritional status to improve their treatment prognosis. Lobectomy surgery on the superior lobe of the right lung also promotes a better prognosis in treatment.

INVOLVEMENT OF TUBERCULOUS MENINGITIS PATIENT WITH HOSPITAL ACQUIRED PNEUMONIAE: Case Report Pakpahan, Edwin Anto; Alamsyah, Raja Iqbal; Hermanto, Tsaniya Difa; Helminta Nst., Reyhan Khaira; Mahardika, Virani; Daulay, Kanina Hatia Putri
Majalah Ilmiah METHODA Vol. 14 No. 1 (2024): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol14No1.pp65-73

Meningitis is a global public health problem. The causes can be viruses, bacteria, fungi and parasites. Meningitis is an infectious disease that cannot be overcome and is still a problem in developing countries. As a developing country Indonesia, Tuberculosis has a high number of cases throughout the year. Tuberculous meningitis (TB) is an infection byMycobacterium tuberculosisabout meningor brain parenchyma resulting variety morbidity and mortality. A 39 years old woman came to the emergency room at Drs. H. Amri Tambunan complained of seizures 1 day ago with a duration of more than 1 hour. Seizures are found throughout the body. Also a fever was found 1 day today. Shortness of breath and cough were found for the past 3 days. Decreased appetite has been observed for the past 1 week. There was no history of nausea and vomiting. Os post VP shunt installation on May 29th, 2023. Female patient, 39 years old, with a diagnosis of Tuberculous Meningitis with Hospital Acquired Pneumoniae has been hospitalized from 9 to 20 September of 2023. And also outpatient treatment at the Pulmonology Departement is recommended.

Case Report of Coronavirus Disease 2019 (COVID-19) in Patients with Pulmonary Tuberculosis and Sequelae Tuberculosis Accompanied by Malnutrition Pakpahan, Edwin Anto; Ahmad, Diwa Aulia
Buletin Farmatera Vol 7, No 2 (2022)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v7i2.10036

Abstract: Tuberculosis (TB) is an infectious chronic infectious disease caused by rod-shaped bacteria or bacillus, and is acid-resistant to Mycobacterium tuberculosis. Coronavirus disease (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Clinical manifestations of COVID-19 and tuberculosis include fever, cough, tightness, weight loss, weakness, and expectoration. Patients with tuberculosis have two times the risk of dying or experiencing severe symptoms. The case report reported one case of a 20-year-old man suffering from TB who had undergone 2nd line tuberculosis treatment and also suffered from a COVID-19 infection and malnutrition.Keywords: COVID-19, tuberculosis, malnutrition

PENYULUHAN PEMBERDAYAAN MASYARAKAT DALAM PENCEGAHAN STUNTING DESA AJIJULU, KABUPATEN KARO Siahaan, Jekson Martiar; Silitonga, Hendrika Adriana; Lim, Hadyanto; Pasaribu, Sumihar M. R.; Tarigan, Menang Bastanta; Jamnasi, Juli; Sinatra, Jadeny; Simanjuntak, Salomo Garda Utama; Sembiring, Budi Darmanta; Pakpahan, Edwin Anto; Hutagalung, Sanggam B.; Sinurat, Suryati; Br. T. Tambun, Gita Sradha; Hakim, Enggrek Pelita
Jurnal Pengabdian Pada Masyarakat METHABDI Vol 3 No 1 (2023): Jurnal Pengabdian Pada Masyarakat METHABDI
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methabdi.Vol3No1.pp11-14

Community Service (PKM) conducted by the Faculty of Medicine at the Indonesian Methodist University provides counseling on stunting prevention. PKM was held on April 14-16 2023 in Ajijulu Village, Tigapanah District, Karo Regency, North Sumatra. Lectures, discussions and motivations are used as orientation methods. Question and answer discussions were held with the aim of gaining insight, understanding and solutions to solve the problems and limitations faced by the local community. The results of the PKM suggestions and research are very effective, considering that there are still many people who are ignorant of stunting prevention. This counseling increases public awareness about stunting prevention. Residents of Ajijulu must be aware and know the importance of preventing stunting, starting from the time of pregnancy and the first 1000 days of life for toddlers.

MDR PULMONARY TB + HIV Stage 3 + SUSPECTED RIGHT LUNG TUMOR Pakpahan, Edwin Anto; Hilmi, Izzatus; Ulfiani, Dede; Putri, Nabilah Triana; Kurnia, Wina Cindy; Pohan, Muhammad Alwi
Majalah Ilmiah METHODA Vol. 13 No. 2 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol13No2.pp104-108

Acquired Immunodeficiency Syndrome is a collection of symptoms and infections or syndromes that arise due to damage to the human immune system due to infection with the Human Immunodeficiency Virus (HIV). HIV is a virus that weakens immunity in the human body. Pulmonary tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis (M. Tb). Tuberculosis is the most common opportunistic infection in people with HIV/AIDS (PLWHA) in Indonesia, HIV infection facilitates Mycobacterium tuberculosis infection. Tumors are abnormal lumps in the body, which can be benign or malignant, which are usually caused by malignancy or infection. Malignancy is a group of diseases in which the cells spread abnormally and grow uncontrollably.Hypercoagulation is a blood coagulation disorder, namely a shift in hemostatic balance due to an increase in procoagulant factors. This tends to cause a thrombus. The coagulation process is influenced by inhibitory factors that maintain the clotting status of a thrombus. Purpose: The purpose of this writing is to discuss the disease regardingHIV + MDR Pulmonary TB + Suspected Right Lung Tumor + Hypercoagulabilityfrom definition to nutritional management so that patients can be treated properly.

Hubungan Indeks Massa Tubuh dan Jenis Kelamin Terhadap Body Image Dissatisfaction (Ketidakpuasan Gambaran Tubuh) pada Siswa/Siswi SMA Methodist 1 Medan Panjaitan, Bintang Andika; Tarigan, Mawar Gloria; Pakpahan, Edwin Anto; Situmorang, Nasib Mangoloi; Siagian, Laura Octavina
Majalah Ilmiah METHODA Vol. 14 No. 3 (2024): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol14No3.pp296-299

Body dissatisfaction is defined as an individual's dissatisfaction with their body shape, which often leads to low self-confidence, feelings of shame, and social withdrawal. Students who experience body dissatisfaction tend to engage in excessive dieting and extreme exercise in response to this dissatisfaction. Factors that contribute to body dissatisfaction include peer influence, social environment, media, and unrealistic beauty standards.

MDR PULMONARY TB + HIV Stage 3 + SUSPECTED RIGHT LUNG TUMOR Pakpahan, Edwin Anto; Hilmi, Izzatus; Ulfiani, Dede; Putri, Nabilah Triana; Kurnia, Wina Cindy; Pohan, Muhammad Alwi
Majalah Ilmiah METHODA Vol. 13 No. 2 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol13No2.pp104-108

Acquired Immunodeficiency Syndrome is a collection of symptoms and infections or syndromes that arise due to damage to the human immune system due to infection with the Human Immunodeficiency Virus (HIV). HIV is a virus that weakens immunity in the human body. Pulmonary tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis (M. Tb). Tuberculosis is the most common opportunistic infection in people with HIV/AIDS (PLWHA) in Indonesia, HIV infection facilitates Mycobacterium tuberculosis infection. Tumors are abnormal lumps in the body, which can be benign or malignant, which are usually caused by malignancy or infection. Malignancy is a group of diseases in which the cells spread abnormally and grow uncontrollably.Hypercoagulation is a blood coagulation disorder, namely a shift in hemostatic balance due to an increase in procoagulant factors. This tends to cause a thrombus. The coagulation process is influenced by inhibitory factors that maintain the clotting status of a thrombus. Purpose: The purpose of this writing is to discuss the disease regardingHIV + MDR Pulmonary TB + Suspected Right Lung Tumor + Hypercoagulabilityfrom definition to nutritional management so that patients can be treated properly.

MDR PATIENT AND DM WITH CAVITARY FUNGUS BALL DUE TO HAEMOPTOE RECURRENT: A CASE REPORT Pakpahan, Edwin Anto; Pratiwi, Annisa Nola; Putri, Frisca Indriani; Harahap, Putri Yana; Gunawan, Qibran Aziz; Siregar, Anandya Annisa Amri
Majalah Ilmiah METHODA Vol. 13 No. 3 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol13No3.pp234-241

A 53-year-old man was admitted to Drs. H. Amri Tambunan Hospital with complaints of extreme weakness since today, coughing up blood was found 3 days every time he coughed. Right chest pain like stabbing is found 4 days. Nausea is found 3 days, vomiting is found just today, the contents of what is eaten, decreased appetite and weight are found. The patient is currently taking MDR anti-tuberculosis drugs. Physical examination showed chest wall retraction, weak peristalsis in the abdomen. Thorax examination revealed right Koch Pulmonum or right pulmonary TB with right Aspergillosis/fungus ball of right superior lobe. Lab examination showed that the patient was diabetic. Surgical lobectomy was performed to find a mass of 3 cm in diameter, white-white grey-brown in color, spongy in consistency. The diagnosis of aspergilloma was confirmed by microscopic examination. Tuberculosis and type 2 DM have impaired immunity due to insulin resistance, this is exacerbated by malnutrition which results in ineffective absorption of anti-tuberculosis drugs. This condition makes patients susceptible to fungal infections such as Aspergillus sp. Patients need to maintain blood glucose levels and improve nutritional status to improve their treatment prognosis. Lobectomy surgery on the superior lobe of the right lung also promotes a better prognosis in treatment.

INVOLVEMENT OF TUBERCULOUS MENINGITIS PATIENT WITH HOSPITAL ACQUIRED PNEUMONIAE: Case Report Pakpahan, Edwin Anto; Alamsyah, Raja Iqbal; Hermanto, Tsaniya Difa; Helminta Nst., Reyhan Khaira; Mahardika, Virani; Daulay, Kanina Hatia Putri
Majalah Ilmiah METHODA Vol. 14 No. 1 (2024): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol14No1.pp65-73

Meningitis is a global public health problem. The causes can be viruses, bacteria, fungi and parasites. Meningitis is an infectious disease that cannot be overcome and is still a problem in developing countries. As a developing country Indonesia, Tuberculosis has a high number of cases throughout the year. Tuberculous meningitis (TB) is an infection byMycobacterium tuberculosisabout meningor brain parenchyma resulting variety morbidity and mortality. A 39 years old woman came to the emergency room at Drs. H. Amri Tambunan complained of seizures 1 day ago with a duration of more than 1 hour. Seizures are found throughout the body. Also a fever was found 1 day today. Shortness of breath and cough were found for the past 3 days. Decreased appetite has been observed for the past 1 week. There was no history of nausea and vomiting. Os post VP shunt installation on May 29th, 2023. Female patient, 39 years old, with a diagnosis of Tuberculous Meningitis with Hospital Acquired Pneumoniae has been hospitalized from 9 to 20 September of 2023. And also outpatient treatment at the Pulmonology Departement is recommended.

Hubungan Indeks Massa Tubuh dan Jenis Kelamin Terhadap Body Image Dissatisfaction (Ketidakpuasan Gambaran Tubuh) pada Siswa/Siswi SMA Methodist 1 Medan Panjaitan, Bintang Andika; Tarigan, Mawar Gloria; Pakpahan, Edwin Anto; Situmorang, Nasib Mangoloi; Siagian, Laura Octavina
Majalah Ilmiah METHODA Vol. 14 No. 3 (2024): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol14No3.pp296-299

Body dissatisfaction is defined as an individual's dissatisfaction with their body shape, which often leads to low self-confidence, feelings of shame, and social withdrawal. Students who experience body dissatisfaction tend to engage in excessive dieting and extreme exercise in response to this dissatisfaction. Factors that contribute to body dissatisfaction include peer influence, social environment, media, and unrealistic beauty standards.

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