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HUBUNGAN PENGETAHUAN TENTANG KANKER DENGAN BEHAVIORAL MEDICINE YANG DIMODERASI USIA PADA MASYARAKAT KABUPATEN JOMBANG: ANALISIS DENGAN STRUCTURAL EQUATION MODELING Budianto, Aries; Setyawan, Agung; Aslam, Ahmad Bayhaqi Nasir; Vitraludyono, Rudi; Fadhlurrahman, Ahmad Feza
Majalah Kesehatan Vol. 12 No. 3 (2025): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2025.012.03.5

Abstract

Kanker merupakan salah satu masalah kesehatan masyarakat yang signifikan di Indonesia, dengan angka kejadian dan kematian yang terus meningkat. Penelitian ini bertujuan untuk menganalisis hubungan antara pengetahuan tentang kanker dan behavioral medicine yang dimoderasi oleh usia di masyarakat Kabupaten Jombang. Desain penelitian menggunakan pendekatan cross-sectional dengan sampel 96 responden, yang diambil melalui purposive sampling. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan Structural Equation Modeling (SEM). Hasil analisis menunjukkan bahwa pengetahuan tentang kanker memiliki pengaruh positif yang signifikan terhadap perilaku kesehatan (koefisien jalur 0,18; p = 0,03), sedangkan moderasi usia terhadap hubungan ini tidak signifikan (koefisien jalur 0,13; p = 0,10). Temuan ini mengindikasikan bahwa meskipun pengetahuan tentang kanker penting, faktor lain seperti stigma dan akses layanan kesehatan juga berkontribusi terhadap perilaku kesehatan. Oleh karena itu, intervensi kesehatan perlu mempertimbangkan berbagai aspek di luar pengetahuan untuk mendorong perubahan perilaku kesehatan yang efektif. Penelitian ini menyoroti pentingnya pendidikan berkelanjutan tentang kanker untuk meningkatkan kesadaran dan tindakan preventif di masyarakat.
THE ROLE OF CHEST CT ANGIOGRAPHY AS A DIAGNOSTIC TOOL AND ROAD MAP FOR THE MANAGEMENT OF RASMUSSEN’S ANEURYSM: A CASE REPORT Barkah, Maskuril Barkah; Dini R. Erawati; Aslam, Ahmad Bayhaqi Nasir; Setyawan, Agung; Tjakraatmadja, Ricardo
International Journal of Radiology and Imaging Vol. 1 No. 02 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (586.66 KB) | DOI: 10.21776/ub.ijri.2022.001.02.4

Abstract

Rasmussen’s aneurysm is a pulmonary artery pseudoaneurysm, secondary to the invasion of granular tissues to the pulmonary artery wall, causing massive hemoptysis. A 39-year-old male, with a history of pulmonary TB presented with massive hemoptysis, persistent cough, and dyspnea. Chest X-ray and Chest CT depicted active pulmonary tuberculosis and a co-infection with aspergillosis in the form of aspergilloma. Chest CT angiography (CTA) showed narrow-necked Rasmussen’s aneurysm with the feeding artery coming from the pulmonary artery of the apicoposterior segment and the systemic artery from the left thyrocervical trunk branch and left bronchial artery. Fluoroscopy-guided transarterial embolization with polyvinyl alcohol (PVA) and gel foam was performed from the left bronchial artery and thyrocervical trunk branch followed by transcatheter embolization with glue insertion via the pulmonary artery in the aneurysmal site. After the procedures the embolic agent completely filled the aneurysm and there were no complaints of hemoptysis during the follow-up. Appropriate chest CT angiography procedures can help diagnose Rasmussen’s aneurysm and become a road map for embolization. Transarterial catheter embolization from bronchial or non-bronchial systemic artery and pulmonary artery can be used as the treatment modality of choice for Rasmussen’s aneurysm in pulmonary tuberculosis with aspergillosis co-infection in the form of aspergilloma.
Case Report Recurrent Hemoptysis Post Re-Embolization in a 49 Year-Old Male with Post Tuberculosis Lung Disease (PTLD) and Bronchiectasis Primaputri, Cindy Carrissa; Pratiwi, Suryanti Dwi; Aslam, Ahmad Bayhaqi Nasir
Malang Respiratory Journal Vol. 6 No. 1 (2024): March 2024 Edition
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2024.006.01.05

Abstract

Introduction: Hemoptysis is a symptom of lung disease, could be caused by lung infections, structural disorders of the lung, malignancy or disorders from outside of the lung. One of the pulmonary intervention for hemoptysis is embolization with a success rate > 70%, but the recurrence rate reaches 10-55%. The prognosis is poor depending on the amount of bleeding (untreated cases can have a mortality risk of over 50%), etiology and presence of recurrences. Case Illustration: A 49-year-old Male came to the policlinic with recurrent hemoptysis for a year. Non-smoker. History of Lung Tuberculosis (TB), completed treatment 15 years ago. Imaging result showed widening of the right subcostal artery, right posterior intercostal artery, bronchiectasis, active lung tuberculosis and left pulmonary emphysema. First embolization was done during Anti-Tuberculosis Drug (ATD) treatment for 6 months. Symptom of hemoptysis reappeared, then second embolization and fiber optic bronchoscopy (FOB) was performed. From the evaluation, he was diagnosed with infected bronchiectasis and PTLD, therefore given antibiotic medications for 2 weeks. Discussion: Embolization had been done twice in this case, no significant result. Based on literature, recurrent hemoptysis can still occur with a percentage about 10-55% after embolization and in this case, it might be caused by previous lung structural disorder and lung infections (Lung TB and Infected bronchiectasis). Conclusion: Although embolization has a success rate of > 70% for hemoptysis treatment, recurrence can still occur and highly dependent on the cause itself and patient's previous lung condition. Keywords: Hemoptysis, Embolization, Bronchiectasis, FOB, Lung TB, PTLD, ATD