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Tuberkulosis Osteoarticular di Surabaya: Tinjauan Radiologis dan Tantangan Diagnostik (2025) Ramadani, Tri Putra Rahmad
ANATOMICA MEDICAL JOURNAL | AMJ Vol 8, No 3 (2025)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v8i3.26259

Abstract

Abstrak: Latar Belakang: Indonesia merupakan salah satu negara dengan beban Tuberkulosis (TB) tertinggi di dunia, termasuk bentuk osteoarticular. Surabaya sebagai kota rujukan menghadapi tantangan diagnostik unik, terutama dalam menegakkan diagnosis dini. Tujuan: Mengulas temuan radiologis TB osteoarticular (radiografi, CT, MRI) serta tantangan klinis dan diagnostik di Surabaya menjelang 2025. Metode: Tinjauan pustaka naratif dari artikel peer-reviewed nasional dan internasional mengenai gambaran pencitraan TB osteoarticular, studi kasus lokal, dan data epidemiologi TB di Indonesia. Hasil: Radiografi konvensional menunjukkan keterbatasan sensitivitas pada tahap awal. CT scan lebih unggul menilai destruksi kortikal dan abses. MRI menjadi modalitas pilihan karena mampu mendeteksi dini edema sumsum tulang, sinovitis, abses, dan kerusakan kartilago. Tantangan di Surabaya meliputi keterlambatan diagnosis, kesamaan gambaran dengan neoplasma atau infeksi piogenik, serta keterbatasan akses MRI dan tes molekuler. Kesimpulan: Deteksi dini TB tulang memerlukan multimodalitas pencitraan—terutama MRI—ditambah biopsi terpandu dan kolaborasi multidisipliner untuk memperbaiki hasil klinis.
Effectiveness of Interactive Education on Cardiovascular Risk in Increasing Knowledge of Reproductive Age Women for Prevention of Pregnancy Complications Paramitha, Fiona; Halim, Alviannur; Ramadani, Tri Putra Rahmad; Tanara, Erick; Adi, Rahmantio; Rachmanto, Iman
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pregnancy complications related to cardiovascular disease are a significant cause of maternal morbidity and mortality in Indonesia, exacerbated by low health literacy among women of reproductive age. Effective education is a key intervention, but the most impactful model still needs to be explored. This study aims to evaluate the effectiveness of a multimedia-based interactive education program in increasing knowledge about cardiovascular risk as a preventive measure for pregnancy complications in women of reproductive age. This study uses a quasi-experimental design with a one-group pretest-posttest approach. A total of 17 women of reproductive age (20-35 years) in Malang, who were members of the Indonesian Midwives Association, participated in this program. The intervention consisted of face-to-face education sessions that combined lectures, discussions, and posters and videos. Participants' knowledge was measured before and after the intervention using a validated questionnaire. Data analysis was performed using descriptive statistics and the Wilcoxon signed-rank test. The results showed a statistically significant increase in participants' knowledge scores after the intervention (Z = -2.810$, p = 0.005). The average knowledge score increased from 94.12 (SD = 11.21) on the pre-test to 95.29 (SD = 11.72) on the post-test. All program outputs, including educational modules, media publications, and activity videos, were successfully completed. The interactive education model proved effective in increasing the knowledge of women of reproductive age about cardiovascular risks in pregnancy.