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The Features of Children with Tuberculosis at Sidawangi Pulmonary Hospital in Indonesia: Interactions within the Home as a Potential Transmission Risk Witri Pratiwi; Iip Toipah; Yogi Puji Rachmawan; Winarto Reki
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.
Gender Differences in Rheumatic Heart Disease: Data from a District Hospital in Cirebon, Indonesia Airin Alia Hikmayani; Yogi Puji Rachmawan; Witri Pratiwi
Jurnal Health Sains Vol. 6 No. 1 (2025): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i1.1464

Abstract

Rheumatic heart disease (RHD) has a high prevalence in low- and middle-income countries, including Indonesia. Gender is among the sociodemographic factors that can influence RHD prevention and management strategies. This study aims to describe the clinical profile of RHD patients, with a focus on gender differences. This cross-sectional study was conducted at Hasna Medika Cardiovascular Hospital in Cirebon, Indonesia. This study included RHD patients in the outpatient clinics, either who came for routine treatment or were newly diagnosed with RHD. Patients’ demographic and clinical data were collected through medical records from January 2023 to December 2023. A total of 157 patients’ data were analyzed. RHD was more common in women (70.7%) than men (29.3%). The incidence of RHD in women was higher (27.9%) in the age group 60 years old and above than in men (19.6%). The most common valve involved in RHD was the mitral valve, more frequently in women (100%) than men (97.8%), with severe mitral stenosis being the most prevalent valve abnormality in both genders (52.3% in women, 47.8% in men). Women have a higher prevalence of RHD than men. This study emphasises the importance of education and the needed improvement of RHD management strategies, specifically for women, as they have a higher burden of RHD.
THE RELATIONSHIP BETWEEN MATERNAL AGE AND PARITY WITH THE INCIDENCE OF LOW BIRTH WEIGHT (LBW) AT WALED HOSPITAL, CIREBON Permana, Irman; Shidqi, Muhammad Daffa; Pratiwi, Witri
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.34708

Abstract

Usia ibu dan paritas merupakan faktor penting yang mempengaruhi pertumbuhan janin dan hasil kelahiran, termasuk risiko bayi berat lahir rendah (BBLR). Penelitian ini bertujuan untuk menganalisis hubungan antara usia ibu dan paritas dengan kejadian BBLR di Rumah Sakit Waled, Cirebon, guna memberikan wawasan dalam upaya peningkatan kesehatan ibu dan bayi. Penelitian ini bertujuan untuk menganalisis hubungan antara usia ibu dan paritas dengan kejadian BBLR di Rumah Sakit Waled, Cirebon. Metode yang digunakan adalah observasional analitik dengan desain cross-sectional. Sampel penelitian terdiri dari 312 responden yang dipilih melalui teknik simple random sampling, dengan data yang diperoleh dari sumber sekunder. Analisis data dilakukan menggunakan uji korelasi Chi-Square dan regresi logistik. Hasil analisis bivariat menunjukkan bahwa hubungan antara usia ibu dan paritas dengan kejadian BBLR menunjukkan adanya hubungan yang signifikan. Penelitian ini menyimpulkan bahwa usia ibu dan paritas berpengaruh secara signifikan terhadap kejadian BBLR di Rumah Sakit Waled, di mana sebagian besar ibu termasuk dalam kategori usia dan paritas yang tidak berisiko, sementara sebagian kecil berada dalam kategori berisiko. Sebagian besar bayi lahir dengan berat normal (63,1%), sedangkan 36,9% mengalami BBLR. Analisis statistik menunjukkan hubungan yang signifikan antara usia ibu dan BBLR (p = 0,000) serta antara paritas dan BBLR (p = 0,000). Odds Ratio (OR) menunjukkan bahwa usia ibu (OR = 7,048) memiliki pengaruh lebih besar terhadap BBLR dibandingkan paritas (OR = 6,581). Oleh karena itu, upaya penurunan kasus BBLR perlu difokuskan pada peningkatan kesadaran kesehatan ibu, terutama bagi kelompok usia berisiko, serta perawatan kehamilan yang optimal untuk mengurangi resiko akibat paritas.
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.
Analgesics Self-Medication Among Community In Cirebon District, Indonesia Marfuati, Sri; Pratiwi, Witri; Khasanah, Uswatun
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.v7i2.305

Abstract

Background: Self-medication with analgesics may cause inappropriate medication and potentially dangerous side effects. However, data on analgesic self-medication profiles in Cirebon, Indonesia, is still limited. Aims: This research aims to analyze the profile of self-medication with analgesics among the Cirebon District, Indonesia community. Methods An observational study with a cross-sectional approach was conducted in 5 pharmacies in the Cirebon District. The sample in this study was people who bought analgesics without a doctor's prescription at the pharmacy. Primary data were obtained through a questionnaire regarding sociodemographic characteristics, reasons for self-medication, and sources of information in choosing analgesics. Results: 470 respondents participated in this study, consisting of 35.96% male and 64.04% female. The majority of samples were 31-55 years old (54.9%), worked as housewives (36.60%), senior high school graduates (39.15%), married (74.68%), and had low income (60.43%). Only 13.83% of the sample has health insurance (private or national health insurance). Most of the samples performed self-medication with analgesic because they were used to doing it (34.25%). Most of the samples received information about analgesics they consumed from health workers (39.79%). Conclusion: Self-medication with analgesics among community in Cirebon Regency, Indonesia, is mainly carried out by low-income people because they are used to treating themselves. They get information about analgesics purchased from health workers. Prevention needs to be done through promotion and education to the public regarding the side effects of self-medicated analgesics so that they do not use them without consulting a doctor.
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 Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia Ivanka, Muhammad Nabil Prawira; Pratiwi, Witri; Kusnandang, Agus
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741111

Abstract

Background: Stroke is a non-communicable disease whose prevalence continues to increase in both young and old age groups. Stroke patients require immediate treatment at the hospital to prevent disability and death. Delayed treatment may result in a worse prognosis. Aims: To analyze the relationship between family knowledge and response with pre-hospital delay in stroke patients in Cirebon Regency, Indonesia. Methods: This cross-sectional study was conducted at Waled General Hospital, Cirebon Regency, Indonesia. The sampling technique used was consecutive sampling of patients hospitalized with stroke diagnosis from May 2024 to July 2024. Patients with recurrent stroke were excluded. Data were collected from medical records and questionnaires administered to the patient's families. The Indonesian version of Stroke Recognition Questionnaire (SQR) was used to explore family knowledge, while family responses were explored using the Stroke Action Test (STAT). Results: There were 61 stroke patients recruited in this study. Majority of the sample were delivered to hospital late (78.7%). Most of the patients’ families had poor knowledge (47.5%) and inadequate attitudes (85.2%). In the bivariate analysis, there was a strong correlation between family knowledge of stroke symptoms and pre-hospital delay (p=<0.001; r=0.746). Inadequate family response was associated with pre-hospital delay [p= 0.002; PR 2.596 (95%CI 1.024-6.581)]. Conclusion: There is a positive correlation between family knowledge and response with pre-hospital delay in stroke patients in Cirebon Regency, Indonesia.   Received: 26 September 2024  |  Reviewed: 19 October 2024  |  Revised: 24 November 2024  |  Accepted: 30 November 2024.
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.