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All Journal Journal of Epidemiology and Public Health Malahayati International Journal of Nursing and Health Science
Gonaldy, Vincent Aurelius
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Health Professions Nursing Public Health

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Enterocutaneous fistula et cause abdominal tuberculosis in community: An emergency diagnosis challenge Hadi, Siusanto; Ferdinandus, Pieter David Adriaan; Wartiningsih, Minarni; Messakh, Billy Daniel; Agung, Purwakaning Purnomo; Sekarputri , Cempaka Harsa; Gonaldy, Vincent Aurelius
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.627

Abstract

Background: A fistula is defined as an abnormal connection that connects two hollow spaces of the body. Fistula are divided into two categories, internal and external. Abdominal TB can mimicks other diseases including Enterocutaneous fistula that occur due to chron’s disease, malignancy, typhoid or radiation exposure. Tuberculosis is a rare cause of enterocutaneous fistula increasing the needs of clinicians to diagnose TB in an emergency manner. Purpose: To assess clinical manifestation of enterocutaneous fistula in patient with abdominal tuberculosis, and to determine the best emergency diagnosis tools in the progress of diagnosing abdominal tuberculosis. Method: This literature review is guided by the PICOS framework, encompassing materials published from 2000 to 2024. Data were obtained from diverse sources such as PubMed Central, Google Scholar, Science Direct, Elsevier (SCOPUS), scientific journals, articles, and books. The analysis proceeded through three stages: data reduction, presentation, and formulation of conclusions. Studies fulfilling the inclusions criteria were selected. Results: Patient with TB could have enterocutaenous fistula as one of its clinical manifestations, therefore. This study concludes that multiplex PCR shows an outstanding result for its specificity making it highly effective in ruling out non-tubercular diseases with minimum false positive. Conclusion: Enterocutaneous fistula in intestinal tuberculosis often presents without clear thoracic imaging of pulmonary TB, complicating diagnosis. Abdominal TB's non-specific symptoms can mimic other diseases, making CT scans and ultrasonography useful, though not definitive. Laparoscopy, combined with histological examination, remains the most reliable diagnostic tool. Laboratory tests like ADA levels, PCR, and culture are essential in confirming the diagnosis. A diagnostic algorithm and early anti-tubercular therapy can help when test results are inconclusive.
Effect Of Coffee Drinking Habit to Blood Pressure and Hemoglobin Levels on Women of Childbearing Age Wartiningsih, Minarni; Brotosudarmo, Tatas Hardo Panintingjati; Gonaldy, Vincent Aurelius; Juliasih, Ni Njoman; Silitonga, Hanna; Tanzilia, May Fanny
Journal of Epidemiology and Public Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.03.01

Abstract

Background: Tenggerese people, especially women, have a habit of drinking coffee, and it has become a daily habit. Coffee is often associated with risk factors for diseases in the community such as anemia and hypertension. This study aims to determine the effect of coffee drinking quantity (1-2 cups, 3-4 cups, and ≥ 5 cups of coffee per day) on hemoglobin levels and blood pressure. Subjects and Method: A quantitative study with a cross-sectional study design was done. This study population was women of reproductive age (15 to 49 years) in Ngadipuro Hamlet, Tengger, East Java, Indonesia. The independent variable of this study is the  of daily coffee drinking per cup and the dependent variable of this study is the hemoglobin levels in women of childbearing age. The study instrument used was a questionnaire to screen for those who were a daily coffee drinker and a blood hemoglobin rapid test kit was used to measure the level of hemoglobin.The number of samples in this study was 193 respondents which was chosen using the random sampling technique. Analysis of the quantity of coffee drinking on hemoglobin levels by the Annova test while on blood pressure by the Kruskal Wallis test through SPSS software. Results: The result showed that the quantity of coffee per day on hemoglobin levels had a significance p<0.001. While the quantity of coffee per day on blood pressure had a significance p=0.361. Conclusion: It can be concluded that drinking 1-2 cups of coffee, 3-4 cups, and ≥ 5 cups of coffee daily simultaneously affects hemoglobin levels. In this case, the more quantity of coffee per day, the lower the hemoglobin level. However, the quantity of coffee had no significant effect on blood pressure.  
Co-Authors Agung, Purwakaning Purnomo Billy Daniel Messakh Cempaka Harsa Sekarputri Ferdinandus, Pieter David Adriaan Minarni Wartiningsih Ni Njoman Juliasih Silitonga, Hanna Siusanto Hadi Tanzilia, May Fanny Tatas H.P. Brotosudarmo