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All Journal Electronic Journal Scientific of Environmental Health And Diseases Magna Neurologica
Aglen, Siti Setya Sari
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Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Issues and Challenges in the Detection of Suspected Tuberculosis Cases in Rawasari Public Health Center, Jambi City Aglen, Siti Setya Sari; Nuriyah; Haqquefitria, Rati Nurul
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.41401

Abstract

Background: Based on WHO data, Indonesia occupies the second highest position in the world  for TB burden. Finding TB cases is the first step in TB control activities. Finding and curing infectious  TB patients can significantly reduce morbidity and mortality due to TB. The high rate of TB case  discovery is related to the achievement of TB suspect discovery. The higher the  achievement of finding TB suspects, it is hoped that the greater number of positive TB cases found will be. Method: This study uses a descriptive method with primary and secondary data collection at the  Rawasari Health Center, Jambi City. The data was processed manually and analyzed the content  with the selected problem solving brainstorming method, then an activity pro posal plan and monitoring and evaluation were carried out. Result: The discovery of TB suspect cases by Rawasari Health Center from Januari to December  2024, with a target of 1.015 people, reached only 255 people (25.1%) and the discovery TB cases with target of 209 people reached only 42 people (20.09%). Of the 40 patient respondents who  visited the Rawasari Community Health Center, Jambi City in December 2024, 27 people (67.5%)  had a good level of knowledge and 31 people (77.5%) had a good level of attitude. Conclusion: In this study, it was found that the priority problem was the lack of discovery of TB cases with the most dominant cause being TB screening is still lacking by officers from various clusters.
A Case Report: Intracerebral and Intraventricular Hemorrhage Due to Rupture of Aneurysm in the Middle Cerebral Artery Aglen, Siti Setya Sari; Lidia Chara Tania Ginting; Hendra Irawan
Magna Neurologica Vol. 4 No. 1 (2026): January
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v4i1.2165

Abstract

Background: Intracerebral hemorrhage (ICH) and intraventricular hemorrhage (IVH) caused by aneurysm rupture without subarachnoid hemorrhage (SAH) is a rare condition, with a prevalence of 1.6%. Case: A 40-year-old male presented with a sudden headache, vomiting, and generalized seizures lasting one day. Initially conscious, he later developed recurrent seizures and transient decreased consciousness. He had a history of smoking and uncontrolled hypertension. Neurological examination showed normal motor function and positive neck stiffness. Head CT revealed ICH and IVH without SAH. The patient underwent ventriculoperitoneal (VP) shunt placement. Six months later, follow-up CT showed a hyperdense lesion in the inferolateral right frontal lobe. Digital subtraction angiography (DSA) identified a saccular aneurysm in the right middle cerebral artery (MCA), M1 segment. Endovascular coiling was performed. Discussion: The patient’s symptoms resembled SAHs, including thunderclap headache, vomiting, and decreased consciousness. However, initial CT showed only ICH and IVH without SAH, possibly due to the timing of imaging. Secondary ICH and IVH can result from aneurysm rupture and parenchymal hemorrhage near the ventricles. Seizures may contribute to aneurysm rupture and consciousness loss. Risk factors such as hypertension, smoking, and age were present. DSA confirmed the aneurysm as the bleeding source. Endovascular coiling was done to prevent rebleeding. Conclusion: Prompt diagnosis using CT and DSA is critical to identify aneurysm-related hemorrhage and guide effective treatment, improving patient outcomes.
Co-Authors Haqquefitria, Rati Nurul Hendra Irawan Lidia Chara Tania Ginting NURIYAH