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PROFIL KLINIS DAN GABUNGAN TERAPI PASIEN TERDIAGNOSIS OTOMIKOSIS DI POLIKLINIK THT-KL RSUD WALED PERIODE TAHUN 2018-2022 Zulhaidah, Febiana; Budiman, Pahmi; Bakri, Edy Riyanto; Purnamasari, Febryanti; Ruhyana, Nanang; Zaidah, Niklah
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 11 No 1 (2025): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v11i1.10281

Abstract

Latar belakang: Otomikosis merupakan infeksi jamur, disebabkan oleh jamur Aspergillus Sp dan Candida Spp yang menyerang bagian meatus akustikus eksternus. Prevalensi otomikosis di seluruh dunia antara 30-40% kasus yang biasanya terjadi di daerah tropis dan subtropis. Keluhan yang muncul adalah pruritus dan diikuti dengan otalgia. Faktor predisposisi otomikosis yaitu penggunaan obat tetes telinga, sering berenang, penggunaan cotton bud pada telinga dan pengguna alat bantu dengar. Tatalaksana pada pasien otomikosis diberikan terapi irigasi telinga, kompres telinga, obat topikal tetes ataupun salep, dan oral. Tujuan: Mengetahui profil klinis dan gabungan terapi pasien terdiagnosis Otomikosis di poliklinik THT-KL RSUD Waled. Metode: Penelitian deskriptif retrospektif menggunakan total sampling data rekam medis pasien yang terdiagnosis Otomikosis di poliklinik THT-KL RSUD Waled periode 2018-2022. Pasien yang didiagnosis otomikosis tanpa gangguan telinga lain masuk dalam kriteria inklusi. Pasien yang datanya tidak lengkap masuk dalam kriteria ekslusi. Hasil: Terdapat 56 pasien terdiagnosis otomikosis dengan laki-laki 20 pasien (35,7%) dan perempuan 36 pasien (64,3%). Mayoritas IRT 39,3%, dengan rentang usia terbanyak 26-45 tahun (46,4%). Kebanyakan pasien mengeluhkan gatal 76,8% pasien. Diikuti oleh keluhan lainnya yaitu otalgia 62,5%, rasa penuh di telinga 44,6%, tinnitus 39,3%, ottorhea 35,7%, dan gangguan pendengaran 17,9%. Mayoritas pasien mendapat gabungan terapi topikal dan oral sebanyak 35,7% pasien. Kesimpulan: Otomikosis banyak menginfeksi perempuan khususnya IRT dengan rentang umur 26-45 tahun. Gejala yang banyak muncul yaitu pruritus dan otalgia. Kata Kunci: Otomikosis, Infeksi, Gabungan terapi. ABSTRACT Background: Otomycosis is a fungal infection, caused by Aspergillus Sp and Candida Spp which attack the canal external auditory. The prevalence of otomycosis worldwide is between 30-40% of cases, which usually occurs in tropical and subtropical regions. The most common symptomps are pruritus and usually followed by otalgia. Main predisposing factors of otomycosis are the use of ear drops, swimming, use of cotton buds in the ear, and hearing aid users. Management of otomycosis patients is usually given ear toilet, ear tampons, topical drops or ointments, and oral medication. Objective: The aims in this study to determine the clinical profile and combined therapy of Otomycosis patients at the ENT clinic at Waled Hospital for the period 2018-2022. Methods: A retrospective descriptive study using total sampling medical record data of patients diagnosed with otomycosis at the ENT-KL polyclinic at Waled Hospital period 2018-2022. Patients diagnosed with otomycosis without other ear disorders were included. Patients with incomplete data were exluded. Results: This study found 56 patients diagnosed with otomycosis with 20 male patients (35.7%) and 36 female patients (64.3%). The majority were housewives (39,3%) with an age range of 26-45 years (46,4%). Most patients complain of pruritus 76.8%. Followed by other symptoms, otalgia 62.5%, ear fullness 44.6%, tinnitus 39.3%, otorrhea 35.7% and hearing loss 17.9%. Most patients received a combination of topical and oral therapy with 35.7% of patients. Conclusion: Otomycosis was common in female population especially in housewives, in the age range 26-45 years. Predominant symptoms were pruritus and otalgia.
HUBUNGAN ANTARA POLA PEMBERIAN MAKAN PADA ANAK USIA 12–59 BULAN DENGAN KEJADIAN STUNTING DI PUSKESMAS TALUN Pratisara, Regina; Syakhruddin, Imam; Pratiwi, Witri; Zaidah, Niklah; Komala, Ika; Rahayu , Intan Dwi
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 11 No 2 (2025): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v11i2.11009

Abstract

Latar Belakang : Stunting merupakan masalah pertumbuhan yang disebabkan oleh kekurangan gizi kronis, yang dapat menyebabkan pertumbuhan anak terganggu yaitu tinggi badan anak lebih rendah daripada seusianya. Stunting dapat terdeteksi bila dilakukan pengukuran tinggi badan menurut umur (TB/U) dengan indikator kurang dari -2 SD menurut standar WHO. Tujuan : Tujuan dalam penelitian ini adalah untuk mengetahui hubungan antara pola pemberian makan dengan kejadian stunting pada anak usia 12-59 bulan di Puskesmas Talun. Metode : Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik menggunakan pendekatan case control. Populasi pada penelitian ini adalah ibu yang memiliki anak usia 12-59 bulan di Puskesmas Talun, Kabupaten Cirebon. Responden dalam penelitian ini berjumlah 200 responden yang diambil dengan teknik Total Sampling untuk stunting (kasus) dan Accidental Sampling untuk yang tidak stunting (kontrol). Variabel independen dalam penelitian ini adalah pola pemberian makan dan variabel depeden adalah stunting. Data diperoleh melalui kuesioner dan penggukuran tinggi badan menggunakan microtoise. Data diolah menggunakan aplikasi komputer (SPSS), data dianalisa menggunakan uji Chi-Square. Hasil : Hasil penelitian menunjukkan terdapat hubungan antara pola pemberian makan dengan kejadian stunting pada anak usia 12-59 bulan di Puskesmas Talun, yang didapatkan nilai P 0,001 (P<0,005) dan didapatkan OR 34.784(4,62-262,18). Simpulan : Terdapat hubungan antara pola pemberian makan dengan kejadian stunting pada anak usia 12-59 bulan di Puskesmas Talun. Kata Kunci : Stunting, Pola Pemberian Makan, Anak usia 12-59 Bulan ABSTRACT Background: Stunting is a growth problem caused by chronic malnutrition, which can cause children's growth to be disrupted, namely lower height than their age. Stunting can be detected when measuring height-for-age (HAZ) with an indicator of less than -2 SD according to WHO standards. Aim: The purpose of this study was to determine the relationship between feeding patterns and the incidence of stunting in children aged 12-59 months at the Talun Health Centre. Methods: This study is a quantitative study with an analytical observational design using a case control approach. The population in this study were mothers who had children aged 12-59 months at Puskesmas Talun, Cirebon Regency. Respondents in this study totalled 200 respondents who were taken by Total Sampling technique for stunting (case) and Accidental Sampling for non-stunting (control). The independent variable in this study was feeding patterns and the dependent variable was stunting. Data were obtained through questionnaires and height measurements using a microtoise. Data were processed using computer application (SPSS), data were analysed using Chi-Square test. Results: The results showed that there was an association between feeding patterns and the incidence of stunting in children aged 12-59 months at the Talun Health Centre, which obtained a P value of 0.001 (P <0.005) and obtained an OR of 34.784 (4.62-262.18). Conclusion: There is a relationship between feeding patterns and the incidence of stunting in children aged 12-59 months at the Talun Health Center.
The Relationship between Characteristics with Medication Adherence and Quality of Life among the Pulmonary Tuberculosis Patients at the Cirebon City Community Lung Health Center, Indonesia Dewi, Asri Permata; Zaidah, Niklah; Marfuati, Sri
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831245

Abstract

Background: Tuberculosis (TB) is one of the top ten causes of death worldwide, caused by the Mycobacterium tuberculosis germ. Adherence to medication is a key factor in successful treatment and efforts to improve the quality of life of TB patients. Aims: Analyzing the relationship between characteristics with medication adherence and quality of life of pulmonary TB patients at the Cirebon City Community Lung Health Center. Methods: This study used an analytic observation method with a Cross Sectional design. The measuring instruments used were medical records and questionnaires that had been tested for validity and reliability, with a total of 131 respondents of pulmonary TB patients at the Cirebon City Community Lung Health Center (BKPM). Results : The most common characteristics were adult age 90.8%, female gender 56.5%, secondary education 50.4%, student 28.2%, length of treatment at the advanced stage 59.5%, adherent to taking medication 87.0%, good quality of life 54.2%. Based on the Chi-Square test, the relationship between characteristics and drug compliance from age p-value=0.189, gender p-value=0.320, education p-value=0.447, occupation p-value=0.594, length of treatment p-value=0.014. The relationship between characteristics and quality of life from age p-value=0.688, gender p-value=0.550, education p-value=0.838, occupation p-value=0.519, length of treatment p-value=0.604. Based on the logistic regression test, the relationship between characteristics and drug compliance from age p-value=0.058, length of treatment p-value=0.006. Conclusion: There is no relationship between age, gender, education, and occupation with medication adherence (p>0.05). Whereas in the length of treatment there is a relationship with adherence to taking medication. There is no relationship between characteristics and quality of life of pulmonary TB patients (p>0.05). The characteristic most associated with adherence to taking medication is length of treatment (p=0.006). Future researchers are advised to explore other factors that may be related to medication adherence and quality of life in patients with pulmonary TB.
Correlation between Nutritional Status and Diarrhea in Toddlers at Slawi Health Center, Tegal, Central Java, Indonesia Musdzalifah, Alfinatun; Khasanah, Uswatun; Zaidah, Niklah
Journal of Maternal and Child Health Vol. 9 No. 6 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.06.04

Abstract

Background: Diarrhea is a symptom of infection caused by bacteria, viruses, or parasites. It remains a significant public health issue in Indonesia that requires continued research and effective solutions. This study aimed to determine the relationship between nutritional status and the incidence of diarrhea among toddlers at the Slawi Public Health Center, Tegal Regency. Subjects and Method: A cross-sectional study was conducted in the working area of the Slawi Public Health Center from June to July 2023. A total of 190 subjects were selected for the study. The dependent variable was the incidence of diarrhea, while the independent variable was nutritional status. Nutritional status data were collected using height-for-weight measurements. Data were analyzed using the chi-square test. Results: Nutritional status was found to be associated with the incidence of diarrhea among toddlers. Toddlers with abnormal nutritional status had a 1.73 times higher risk of experiencing diarrhea compared to those with normal nutritional status, and this result was statistically significant (OR = 1.73; 95% CI = 1.13–2.66; p = 0.005).   Conclusion: Abnormal nutritional status is associated with a higher incidence of diarrhea among toddlers.
HUBUNGAN KEBIASAAN MEROKOK ANGGOTA KELUARGA DALAM RUMAH DAN SANITASI FISIK RUMAH DENGAN KEJADIAN ISPA PADA ANAK USIA 1-5 TAHUN DI PUSKESMAS BEBER CIREBON Septiani, Rini Awalia; Zaidah, Niklah; Hermawan, Iwan; Loebis, Irwan Meidi; Nopita, Ineu
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 4 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i4.9646

Abstract

Latar Belakang : Infeksi Saluran Pernapasan Akut (ISPA) di Indonesia senantiasa menjadi penyebab utama mortalitas bayi dan balita. Diperkirakan pada negara-negara berkembang menurut WHO, ISPA terjadi pada 15%-20% dari angka kematian balita yang lebih dari 40 per 1000 kelahiran hidup setiap tahunnya . Tujuan: Meneliti hubungan antara kebiasaan merokok anggota keluarga di rumah dan kondisi sanitasi fisik rumah dengan kejadian ISPA pada anak usia 1-5 tahun di Puskesmas Beber, Cirebon.Metode: Penelitian ini merupakan penelitian observasional cross-sectional. Uji korelasi Spearman digunakan untuk menganalisis data, dan metode sampling consecutive digunakan untuk mengambil 98 sampel. Hasil Uji korelasi Spearman menunjukkan hubungan signifikan antara kebiasaan merokok di dalam rumah dan insiden ISPA pada anak-anak usia 1-5 tahun di Puskesmas Beber, Cirebon, dengan nilai p sebesar 0,013 (p<0,05) dan nilai r = 0,250. Di sisi lain, hasil uji yang sama untuk sanitasi fisik rumah menunjukkan nilai p sebesar 0,747 (p>0,05) dan nilai r = -0,33, menunjukkan bahwa tidak ada hubungan yang signifikan antara sanitasi dengan kejadian ISPA pada anak-anak di wilayah tersebut. Kesimpulan: Penelitian yang dilakukan di Puskesmas Beber, Cirebon ini menunjukan ada korelasi signifikan antara kebiasaan merokok anggota keluarga di rumah dan kasus ISPA pada anak-anak usia 1-5 tahun. Di sisi lain, tidak ada korelasi signifikan antara kondisi kebersihan rumah dan kasus ISPA pada anak-anak di usia yang sama. Kata Kunci : Kebiasaan Merokok, Sanitasi Fisik Rumah, Kejadian ISPA. ABSTRACT Background Acute Respiratory Infections (ARI) in Indonesia have consistently been a leading cause of infant and toddler mortality. According to WHO, in developing countries, ARI accounts for 15%-20% of under-five mortality rates, which exceed 40 per 1000 live births annually. Objective To investigate the relationship between family members' smoking habits at home and the physical sanitation conditions of the house with the incidence of ARI in children aged 1-5 years at Beber Health Center, Cirebon. Methods This study is an observational cross-sectional study. Spearman correlation test was used to analyze the data, and consecutive sampling method was used to collect 98 samples. Results The Spearman correlation test showed a significant relationship between smoking habits inside the house and the incidence of ARI in children aged 1-5 years at Beber Health Center, Cirebon, with a p-value of 0.013 (p<0.05) and an r-value of 0.250. On the other hand, the same test for physical sanitation conditions of the house showed a p-value of 0.747 (p>0.05) and an r-value of -0.33, indicating no significant relationship between sanitation and the incidence of ARI in children in the area. Conclusion The study conducted at Beber Health Center, Cirebon, shows a significant correlation between family members' smoking habits at home and ARI cases in children aged 1-5 years. On the other hand, there is no significant correlation between the cleanliness of the house and ARI cases in children of the same age.