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Improving the Knowledge and Attitudes of Pulmonary Tuberculosis Prevention in the Probolinggo Community with Counseling and the Use Of Sobat-TB Haykal, Muhammad Nazhif; Eljatin, Dwinka Syafira; Putri, Atina Irani Wira; Karimah, Rumman; Fitriani, Fatimah Nur; Putra, Gumilar Fardhani Ami; Hidayah, Rizka Nurul; Fadhlina, Afia Nuzila; Fatmasari, Hindana; Widodo, Aulia Febrianti; Sakina, Sakina
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3480

Abstract

Tuberculosis (TB) is a significant global health issue, particularly in Indonesia. The increasing number of TB cases and deaths highlights the need for health education to reduce the incidence of TB and support eradication efforts. Objective: This study aimed to analyze the knowledge and attitudes of the Probolinggo community toward preventing pulmonary TB through counseling and the use of the Sobat-TB. Method: An analytical observational study with a cross-sectional approach was conducted. The knowledge and attitudes of 50 voluntary respondents were measured using a validated and reliable questionnaire before and after health education interventions, which included counseling, educational videos, and an introduction to the Sobat TB app. The data were analyzed descriptively and statistically at the 95% confidence level. Results: In the Puskesmas Kanigaran area, the initial findings showed poor knowledge and attitudes toward TB prevention among respondents. Postintervention, there was a significant improvement: 46 out of 50 respondents had good knowledge, and 48 out of 50 had positive attitudes toward TB prevention. Statistical analysis confirmed a significant relationship between pre- and postintervention knowledge and attitudes (p=0.0001). Conclusions: Enhanced access to information and continuous health education using modern technology are crucial for achieving TB elimination goals.
Menopausal Status and Lung Function among Female Tobacco Factory Workers Karimah, Rumman; Tursina, Madha Qoyyulledy; Astuti, Ida Srisurani Wiji; Aziz, Ayu Munawaroh
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5634

Abstract

Tobacco factory workers face significant occupational health risks, particularly with respect to respiratory function. Female workers may be especially vulnerable to physiological factors, including hormonal status. Objective: To investigate differences in forced expiratory volume in 1 s (FEV1) between menopausal and reproductive-aged women working in tobacco factory production sectors and assess associated risk factors. Methods: This cross-sectional study involved 30 female tobacco factory workers (15 menopausal and 15 reproductive) in Jember, Indonesia. Pulmonary function was assessed via spirometry to measure FEV1. Participant characteristics, including age, work duration, and use of respiratory protective equipment, were collected. The data were analyzed via independent t tests and risk assessment calculations. Results: Menopausal women had significantly lower FEV1 values (67.33 ± 14.351%) than reproductive-age women did (79.13 ± 6.346%; p = 0.007). Overall, 60% of the participants exhibited varying degrees of airway obstruction. Compared with reproductive-aged workers, menopausal workers had a threefold greater risk (OR = 3.143) of developing lung obstruction. Notably, 76.67% of workers reported never using respiratory protective equipment. Conclusions: Menopausal status significantly affects respiratory function among female tobacco factory workers, with a combination of occupational exposure and hormonal changes potentially accelerating lung function decline. These findings emphasize the need for enhanced occupational health measures, particularly for menopausal workers in tobacco production facilities.
Successful Management of High-Risk Pregnancy with TORCH Infection History and Chronic Hypertension Karimah, Rumman; Fadli, Sonny; Eljatin, Dwinka Syafira; Indriastuti, Endah; Sari, Desiana Widityaning; Ridhoi, Ahmad
Journal of Medicine and Health Technology Vol. 1 No. 2 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i2.1129

Abstract

A 41-year-old pregnant woman of Javanese ethnicity attended the outpatient clinic of a private hospital, presented with fifth pregnancy and no living children due to a history of ectopic pregnancy, two times IUFD, and one time neonatal death. The patient also had a history of chronic hypertension and asthma. The examination showed positive IgG Toxoplasma and CMV antibody levels. The patient's blood pressure also never touched the normal limit since the beginning of pregnancy. At the end of pregnancy, she had very high blood pressure and proteinuria. According to WHO Maternal Mortality Rate (MMR) is still very high, where two of the five highest causes are infection and hypertension in pregnancy. High risk pregnancies require special attention in monitoring during pregnancy and management. In a history of bad obstetrical history it is necessary to screen for infection which can be done by antibody serology testing. A positive IgG indicates immunity to the virus, if possible it is necessary to check IgG Avidity to determine whether therapy is still needed or can rely on the immune system that has been formed. Chronic hypertension (Systolic Blood Pressure (SBP) > 140 mmHg and / or Diastolic Blood Pressure (DBP) > 90 mmHg since < 20 Weeks Gestational Age (WGA) until 42 days after delivery). First-line Labetalol and Nifedipine or second-line Methyldopa and Hydrochlorothiazide should be considered depending on the condition and gestational age. If there are signs of preeclampsia, termination should be done if possible, along with antihypertensives and anticonvulsants such as MgSO4.