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All Journal Jurnal Kedokteran Ibnu Nafis The Journal of Society Medicine (JSOCMED)
Pohan, Indah Triana Sari
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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HEMOPTISIS REKUREN AKIBAT MIKOSIS PULMONAL (ASPERGILLUS FUMIGATUS DAN CANDIDA ALBICANS ): SEBUAH LAPORAN KASUS : RECURRENT HEMOPTYSIS DUE TO PULMONAL MYCOSIS (ASPERGILLUS FUMIGATUS AND CANDIDA ALBICANS): A CASE REPORT Amiruddin; Pohan, Indah Triana Sari
Jurnal Kedokteran Ibnu Nafis Vol. 13 No. 2 (2024): Desember 2024
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v13i2.646

Abstract

Pendahuluan: Salah satu gejala yang sering dikeluhkan pada penyakit pernapasan akibat infeksi jamur adalah hemoptisis. Mikosis paru sering dikaitkan dengan tuberkulosis paru, suatu kondisi yang sulit didiagnosis, dan penundaan pengobatannya dapat menyebabkan hasil yang fatal. Ilustrasi Kasus: Seorang pria berusia 41 tahun yang sebelumnya telah menjalani pengobatan Tuberkulosis (TB) selama satu tahun melaporkan keluhan utama berupa hemoptisis berulang, dispnea, nyeri dada, demam, dan penurunan berat badan. Pada pemeriksaan toraks, ditemukan adanya mengi bernada rendah di kedua sisi dengan crackles pada paru kiri. Hasil rontgen dada menunjukkan adanya kerusakan pada paru kanan. Hasil pemeriksaan MSCT scan dengan kontras menunjukkan adanya TB paru kronis dan aktif disertai dengan aspergilloma di bagian atas kedua paru. Selain itu, hasil pemeriksaan bronkoskopi mengindikasikan adanya proses inflamasi kronis. MTB tidak terdeteksi dalam pemeriksaan Rapid Molecular Test BAL. Kultur jamur menunjukkan adanya Candida albicans dan Aspergillus fumigatus. Dengan demikian, pasien didiagnosis mengalami probable mikosis paru yang disebabkan oleh Aspergillus fumigatus dan Candida albicans. Pasien diberikan terapi anti-jamur melalui pemberian Inj. Vorikonazol drip sebanyak 200 mg/24 jam.
The Effect of Providing Digital Education Through Smartphone Applications on Control Level of Asthma Patients at Outpatient Clinic University of North Sumatra Hospital Medan Pohan, Indah Triana Sari; Tarigan, Amira Permatasari; Pandiaman, Pandia; Erna, Mutiara
Journal of Society Medicine Vol. 4 No. 4 (2025): April
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i4.199

Abstract

Introduction: Asthma is a chronic airway disease where achieving and maintaining asthma control is the main goal of management. Effective asthma control requires good patient self-management, including the ability to recognize symptoms and take appropriate action. This study aimed to assess the effect of digital education through the Paru Sehat smartphone application on asthma control levels in patients at the Outpatient Clinic of the University of North Sumatra Hospital, Medan. Method:This study used a quasi-experimental within-subject (pre-post) design. Asthma control levels were measured using the Asthma Control Test (ACT) before and after the use of the Paru Sehat application. Data analysis was conducted using a paired t-test for normally distributed data and the Wilcoxon test for non-normal data. A p-value <0.05 was considered statistically significant. Results: Before the intervention, 56% of patients had partially controlled asthma, 40% were uncontrolled, and only 4% were fully controlled. After using the Paru Sehat application, the proportion of fully controlled patients increased to 20%, partially controlled decreased to 48%, and uncontrolled cases reduced to 32%. However, this improvement was not statistically significant (p = 0.058). Conclusion: The use of the Paru Sehat application showed a trend toward improved asthma control, but the change was not statistically significant. Further research with a larger sample size and longer intervention duration may be needed to determine its effectiveness.
Co-Authors Amiruddin Erna, Mutiara Pandiaman, Pandia Tarigan, Amira Permatasari