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All Journal Global Health Management Journal PREPOTIF : Jurnal Kesehatan Masyarakat Tunas Medika Jurnal Kedokteran & Kesehatan
Latief, Muhammad Amar
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Comparing Chest Radiograph Lesion Areas in Pulmonary Tuberculosis Patients with and without Diabetes Mellitus: A 2023 Study at Waled Hospital, Cirebon, Indonesia Fatihah, Hapsari Bunga; Latief, Muhammad Amar; Herdwiyanti, Menik
GHMJ (Global Health Management Journal) Vol. 8 No. 2 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-821161

Abstract

Background: The Global Tuberculosis Report emphasizes a significant number of TB cases, and Indonesia is the second country in Southeast Asia with the most TB cases. Prevalence of TB increases along with the increase of Diabetes Mellitus (DM) prevalence, which both are known to have a negative impact on each other. Clinical symptoms in TB with DM differ from those in TB without DM. However, whether there is any difference in radiology examinations is unknown. This can be a consideration for determining patient therapy based on differences in the chest radiographs. Aims: To determine the Lesion Area Difference on Chest Radiographs of Pulmonary Tuberculosis Patients with and without Diabetes Mellitus at Waled Hospital in 2023. Methods: There were 96 data points based on the first taken chest radiograph from both inpatient and outpatient data, which were obtained from medical records in 2023 at Waled Hospital, Cirebon. Statistical analysis was performed using the Chi-Squared comparative test in this observational study with a cross-sectional design. Results: There were 69 tuberculosis (TB) patients without diabetes mellitus (DM) and 27 TB patients with DM. Overall, patients had minimal lesions (14.6%), moderate lesions (26.0%), and far-advanced lesions (59.4%). The Chi-Square analysis from these samples showed a p-value of 0.870. Conclusion: There is no difference in lesion area on chest x-rays in pulmonary tuberculosis patients with or without diabetes mellitus. Further research is expected to include the type of TB and history of treatment for either TB or DM.
KORELASI MANIFESTASI KLINIS RESPIRATORIK DENGAN GAMBARAN LUAS LESI TUBERKULOSIS PARU PADA FOTO POLOS THORAKS DI RSUD GUNUNG JATI TAHUN 2021 Rachmawati, Anisya; Latief, Muhammad Amar; Debyanti, Merliana; Cancerita, Sherly; Komala, Ika
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 3 (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.v10i3.9628

Abstract

Latar Belakang : TB paru merupakan penyakit yang menyebabkan kedaruratan global (Global Emergency)merupakan salah satu dari 10 penyakit yang menyebabkan kematian utama karena infeksi. Tuberkulosis paru dapatdikenali dengan manifestasi klinis yang khas dan dapat ditegakan dengan pemeriksaan penunjang berupapemeriksaan sputum BTA (gold standard) dan pemeriksaan foto polos thoraks untuk menemukan gambaran luaslesi dengan klasifikasi American Tuberculosis Association (ATA). Tujuan : Mengetahui korelasi manifestasiklinis respiratorik dengan gambaran luas lesi tuberkulosis paru pada foto polos toraks di RSUD Gunung Jati tahun2021. Metode : Penelitian observasional dengan desain Cross Sectional dari rekam medis pasien tuberkulosis parutahun 2021 di Poliklinik Paru RSUD Gunung Jati Cirebon. Analisis dilakukan dengan uji kolerasi Spearman padaaplikasi SPSS versi 25 for windows. Untuk mengetahui hubungan antara manifestasi klinis respiratorik dengangambaran luas lesi foto polos thoraks pada tuberkulosis paru. Hasil : Hasil analisis didapatkan p=0,019 (p<0,05)dan r=0,236 pada batuk dengan gambaran luas lesi. Pada batuk berdarah dengan gambaran luas lesi didapatkanp=0,000 (p<0,05) dan r=0,523. Pada sesak nafas dengan gambaran luas lesi didapatkan p=0,003 (<0,05) danr=0,293. Kesimpulan : Terdapat hubungan yang bermakna antara manifestasi klinis respiratorik berupa batukberdahak, batuk berdarah, sesak nafas dengan gambaran luas lesi tuberculosis paru pada foto polos thoraks diRSUD Gunung Jati Cirebon.Kata Kunci : Tuberkulosis Paru, Manifestasi Klinis, Foto Thoraks, Luas LesiABSTRACTIntroduction : Pulmonary TB is a disease that causes a global emergency (Global Emergency and one of the 10diseases that cause major deaths due to infection. Pulmonary tuberculosis can be recognized by characteristicclinical manifestations and can be confirmed by sputum smear examination (gold standard) and chest X-rayexamination to find a broad picture of the lesion with the American Tuberculosis Association (ATA) classification.Aim of The Study : To know the correlation of respiratory clinical manifestations with the broad description ofpulmonary tuberculosis lesions on a chest X-ray at Gunung Jati Hospital in 2021. Methods : Observationalresearch with a cross sectional design from medical record data of pulmonary tuberculosis patients in 2021 at thePulmonary Polyclinic of Gunung Jati Hospital, Cirebon. Statistical analysis was performed by Spearmancorrelation test with SPSS version 25 for windows application. This study aims to determine the relationshipbetween respiratory clinical manifestations in the form of coughing, coughing up blood, shortness of breath andthe broad picture of chest radiographic lesions in pulmonary tuberculosis. Results : The results of the analysisobtained p=0.019 (p<0.05) and r=0.236 in cough with a pulmonary tuberculosis lesion. In hemopthysis with apulmonary tuberculosis lesion, p = 0.000 (p <0.05) and r = 0.523. In dyspnea with a pulmonary tuberculosislesion, p = 0.003 (<0.05) and r = 0.293. Conclusion : There is a significant relationship between respiratoryclinical manifestations in the form of stones, coughing up blood, shortness of breath and the broad description ofpulmonary tuberculosis lesions on chest radiographs at Gunung Jati Hospital, Cire
EVALUATION OF THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS BASED ON THE PERSPECTIVE OF USERS AT THE CIREBON CITY HEALTH CENTER Azzahra, Nasywa Imelia; Wibisono, Bambang; Latief, Muhammad Amar
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 3 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i3.49901

Abstract

Puskesmas diwajibkan untuk menerapkan Rekam Medis Elektronik (RME) sesuai dengan Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 paling lambat pada tanggal 31 Desember 2023 dengan tujuan untuk meningkatkan efisiensi, akurasi, dan mutu pelayanan kesehatan. Di Kota Cirebon, penerapan RME didukung oleh sistem e-Puskesmas yang terintegrasi dengan platform nasional Satu Sehat. Namun, hingga saat ini belum terdapat penelitian yang mengevaluasi implementasi RME di Puskesmas Kota Cirebon, sementara studi di wilayah lain menunjukkan adanya kendala seperti keterbatasan infrastruktur, jaringan yang tidak stabil, kurangnya pelatihan teknis, serta kesiapan sumber daya manusia yang masih rendah. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan RME berdasarkan persepsi pengguna di Puskesmas Kota Cirebon dengan menggunakan pendekatan Technology Acceptance Model (TAM) yang mencakup persepsi kebermanfaatan, kemudahan penggunaan, niat berperilaku, dan penggunaan aktual. Metode penelitian yang digunakan adalah deskriptif dengan instrumen kuesioner berbasis TAM. Sebanyak 85 responden dipilih menggunakan teknik Proportionate Stratified Random Sampling dan Simple Random Sampling. Data dianalisis secara univariat dan disajikan dalam bentuk distribusi frekuensi. Hasil penelitian menunjukkan bahwa persepsi kebermanfaatan mencapai 90%, kemudahan penggunaan 78%, niat berperilaku 88%, dan penggunaan aktual 83%, dengan skor total sebesar 84,7% yang termasuk dalam kategori “sangat baik.” Kesimpulannya, pelaksanaan RME di Puskesmas Kota Cirebon memperoleh skor keseluruhan sebesar 84,7% (sangat baik), dengan rincian subdimensi kebermanfaatan (90%, sangat baik), kemudahan penggunaan (78%, baik), niat berperilaku (88%, sangat baik), dan penggunaan aktual (83%, baik).
Co-Authors Azzahra, Nasywa Imelia Bambang Wibisono Cancerita, Sherly Debyanti, Merliana Fatihah, Hapsari Bunga Herdwiyanti, Menik Komala, Ika Rachmawati, Anisya