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All Journal Global Health Management Journal Jurnal Teras Kesehatan Jurnal Sehat Indonesia (JUSINDO) Jurnal Pengabdian Masyarakat Bangsa
Rachmawan, Yogi Puji
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Hipertensi Resisten: Diagnosis dan Tatalaksana: RESISTANT HYPERTENSION: DIAGNOSIS AND MANAGEMENT Rachmawan, Yogi Puji; Pratiwi, Witri
JURNAL TERAS KESEHATAN Vol 8 No 1 (2025): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v8i1.161

Abstract

Resistant hypertension is still one of the problems faced by clinicians in daily practice. The diagnosis of resistant hypertension requires the exclusion of pseudo-resistance. This literature review aims to determine the criteria of resistant hypertension and its management so that it can be reference of optimal management. The method used was through literature review of scientific articles published in journals, ministry of health data, and guidelines, both national and international. The literature collected was related to data on the epidemiology of hypertension, resistant hypertension, diagnosis and therapeutic management. Data searches were conducted through Google Scholar, PubMed and Scopus databases by entering keywords. Resistant hypertension is diagnosed when blood pressure has not been controlled despite receiving more than 3 types of antihypertensive drugs with one of them is diuretics or the blood pressure is only controlled after receiving ³4 types of antihypertensive drugs. Therapeutic management includes non-pharmacological, pharmacological and device intervention.
The Impact of COVID-19 Pandemic on Doctors Lives: A Qualitative Study In Cirebon City, Indonesia Pratiwi, Witri; Rachmawan, Yogi Puji
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.303

Abstract

Background: The COVID-19 pandemic makes huge changes in human life, including doctors as frontliners in handling the COVID-19 patients. Studies about the impact of the COVID-19 pandemic on doctor lives are still limited. Objective: To understand and explore doctor experiences as the impact of COVID-19 pandemic to their lives. Methods: This study was a Qualitative study with phenomenology approach. It was carried out on doctors who worked in Cirebon City, Indonesia. Data was collected from 9 May 2020 to 25 May 2020 (almost 2 months after the Indonesian government declared COVID-19 as a national disaster). This study used purposive sampling technique and the number of samples was determined by snowball sampling. Data was collected through recorded in-depth interviews with participants agreement. The interview transcripts were analyzed using Colaizzi's method. The data validation was done through researchers' internal discussions and returning descriptions to participants. Results: There were 6 doctors (3 general practitioners, 1 pulmonologist, 1 internist and 1 cardiologist) participated in this study. The participants were 26-36 years old, mostly women (66.67%), married (66.67%) and lived with family members at home. All of participants were moslem. The workplaces of participants varied, including private practice, primary health care, clinic and hospital with 3-12 years of experience. Based on data analysis, there were 6 emergent themes (psychological effects, changes in social interaction, family bonding, finding and sharing information, hopes, and a meaningful Ramadan as a strength to fight). Conclusions: The COVID-19 pandemic affects the doctor lives in several aspects, including psychological, changes in social interaction, family bonding and religious aspects. Pulmonologist experiences a greater impact compared to other doctors. We recommend that doctors are given psychological assistance and support so they can adapt to life changes in this pandemic. Further researchs to explore the impact of the COVID-19 pandemic on elderly doctors are needed.
Hipertensi Resisten: Diagnosis dan Tatalaksana Rachmawan, Yogi Puji; Pratiwi, Witri
JURNAL TERAS KESEHATAN Vol 8 No 1 (2025): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v8i1.161

Abstract

Resistant hypertension is still one of the problems faced by clinicians in daily practice. The diagnosis of resistant hypertension requires the exclusion of pseudo-resistance. This literature review aims to determine the criteria of resistant hypertension and its management so that it can be reference of optimal management. The method used was through literature review of scientific articles published in journals, ministry of health data, and guidelines, both national and international. The literature collected was related to data on the epidemiology of hypertension, resistant hypertension, diagnosis and therapeutic management. Data searches were conducted through Google Scholar, PubMed and Scopus databases by entering keywords. Resistant hypertension is diagnosed when blood pressure has not been controlled despite receiving more than 3 types of antihypertensive drugs with one of them is diuretics or the blood pressure is only controlled after receiving ³4 types of antihypertensive drugs. Therapeutic management includes non-pharmacological, pharmacological and device intervention.
The Quality of Life in Heart Failure Reduced Ejection Fraction (HFrEF) Patients: A Phenomenon of Obesity Paradox Rachmawan, Yogi Puji; Pratiwi, Witri; Helda, Helda
GHMJ (Global Health Management Journal) Vol. 8 No. 1 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-811151

Abstract

Background: Obesity place patients at risk of cardiovascular disease (CVD). There may be an inverse relationship between obesity and CVD prognosis-a phenomenon known as the “obesity paradox”. Obese HF patients might have a better prognosis, especially in terms of quality of life (QoL). Aims: The purpose of this study was to examine the QoL of HF patients based on obesity classification. Methods: This cross-sectional study was conducted at the HF clinic of Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia. Samples were HFrEF patients who had received medication at the HF clinic for at least 6 months and the patient must have received optimal guidelines directed medical therapy (GDMT) with at least 3 pillar drugs according to Indonesian heart failure guidelines. Inclusion criteria were HF patients with ejection fraction <40% on echocardiographic examination. Exclusion criteria were HF patients with motor impairments, such as post-stroke, severe osteoarthritis, paralysis, and patients who did not receive optimal GDMT. Results: A total of 40.3% sample were obese, 9.7% were underweight and 67.5% had central obesity. Coronary artery disease (89.6%), smoking (67.5%) and hypertension (49.4%) were the most common comorbidities and risk factors found. About 12.3% of sample experienced rehospitalization 3 times a year. Based on Kansas City Cardiomyopathy Questionnaire (KCCQ)-12, about 3.2% of the sample had poor QoL, 55.8% had good QoL and 9.7% had excellent QoL. HFrEF patients with excellent QoL had a proportion of 66.7% obese and 20% overweight. While there were no obese patients in HFrEF patients with poor QoL. The proportion of HFrEF patients with excellent QoL who had central obesity was 80%. Meanwhile, 65.1% of HFrEF patients with good QoL were obese. Conclusion: Obese HF patients have better QoL outcomes. This phenomenon is called obesity paradox. A good quality of life in HF patients is an important goal of HF management in addition to reducing mortality.   Received: 02 December 2024 | Reviewed: 17 December 2024 | Revised: 24 December 2024 | Accepted: 10 January 2025.
The Features of Children with Tuberculosis at Sidawangi Pulmonary Hospital in Indonesia: Interactions within the Home as a Potential Transmission Risk Pratiwi, Witri; Toipah, Iip; Rachmawan, Yogi Puji; Reki, Winarto
GHMJ (Global Health Management Journal) Vol. 8 No. 1 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-811203

Abstract

Background: Tuberculosis (TB) is an infectious disease that can infect children. The prevalence of pediatric TB in Indonesia has increased in recent years, causing a major burden on children's health. Aims: To determine the characteristics of pediatric TB patients at Sidawangi Pulmonary Hospital, West Java Province, Indonesia. Methods: A cross-sectional study was conducted at Sidawangi Pulmonary Hospital, West Java Province, Indonesia. The samples were new cases of pediatric TB from January 2020 to July 2023. Data were collected and analyzed from outpatient and inpatient medical records. Logistic regression was used to analyze the association between age and household contact. Results: There were 190 pediatric TB patients collected during the study period. Most of them were less than 5 years old (37.9%). The proportion of male and female was almost same. Most pediatric TB patients had household contacts (73.7%), especially those <1 year old. TB patients aged <1 year had an AOR of 31.94 (95%CI 3.8­­­–268.35) for household contact compared to those aged 10-17 years. Conclusion: Pediatric TB patients at Sidawangi Pulmonary Hospital are mostly less than 5 years old. Compared to older age groups, pediatric TB patients aged <1 year had the highest proportion of household contacts. The government needs to pay attention to the risk of TB transmission to children through household contact, especially in younger children. Received: 27 January 2025 | Reviewed: 11 February 2025 | Revised: 22 February 2025 | Accepted: 23 February 2025.
Penyuluhan Demam Berdarah Dengue (DBD) untuk Meningkatkan Pengetahuan dan Pencegahan Berbasis Masyarakat di Desa Cirebon Girang, Cirebon Pratiwi, Witri; Rachmawan, Yogi Puji
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 10 (2025): Desember
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i10.3565

Abstract

Demam Berdarah Dengue (DBD) masih menjadi masalah kesehatan di Kabupaten Cirebon, termasuk Desa Cirebon Girang yang mencatat 31 kasus pada Januari hingga Oktober 2025. Faktor lingkungan seperti pemukiman padat, saluran air terbuka, penampungan air tidak tertutup, serta praktik PSN 3M yang belum optimal meningkatkan risiko penularan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan warga mengenai pencegahan DBD, tanda bahaya, dan pentingnya PSN 3M Plus. Penyuluhan dilaksanakan dengan melibatkan 42 peserta menggunakan metode interaktif, diskusi, serta evaluasi pengetahuan melalui pre-test dan post-test. Peserta dengan keterbatasan membaca dan menulis mendapat pendampingan panitia dalam pengisian kuesioner. Hasil kegiatan menunjukkan peningkatan pengetahuan yang signifikan, dengan nilai rata-rata meningkat dari 66 pada pre-test menjadi 98,2 pada post-test. Peningkatan terbesar terlihat pada pengetahuan mengenai tempat perkembangbiakan nyamuk Aedes aegypti, tanda bahaya DBD, dan langkah pencegahan. Diskusi menunjukkan masih adanya miskonsepsi terkait efektivitas fogging sebagai upaya utama pencegahan, yang kemudian diluruskan melalui edukasi. Secara keseluruhan, penyuluhan terbukti efektif dalam meningkatkan pengetahuan masyarakat dan perlu dilanjutkan melalui edukasi rutin serta penguatan peran kader dan pemerintah desa dalam upaya pencegahan DBD berkelanjutan.
Co-Authors Helda Helda Reki, Winarto Toipah, Iip Witri Pratiwi