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All Journal Nautical: Jurnal Ilmiah Multidisiplin Indonesia Journal of Psychiatry Psychology and Behavioral Research (JPPBR) Medicosphere
Fahira, Aulia
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Religion Humanities Computer Science & IT Education Engineering Immunology & microbiology Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences

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The Effect of Education on the Identification of Pulmonary TB Case Findings in the Post-Covid-19 Era at Dukuh Kupang Public Health Center Surabaya: Original Research Rusdi, Muhammad Salsabeela; Rusdi, Warda Elmaida; Farindra, Irmawan; Artanti, Widyana Beta; Fahira, Aulia; Affrita, Tia Maya; Hanum, Laila
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 8 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

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Abstract

Indonesia is one of the countries affected by the COVID-19 pandemic. In the era of the COVID-19 pandemic, Tuberculosis disease is no longer in focus because the COVID-19 pandemic is the focus of the main problem. TB is one of the diseases that causes death in the world caused by bacterial infection Mycobacterium tuberculosis. TB in the pandemic era is very difficult to diagnose because the diagnosis of respiratory disease is directed at COVID-19 disease. Based on this, this study was conducted with the aim of knowing the impact of the COVID-19 pandemic on the findings of TB cases. The study was conducted using a cross-sectional observational analytic method at the Dukuh Kupang Community Health Center, Surabaya. The results showed a decrease in the number of pulmonary TB cases in recent years. This decrease is due to a decrease in screening and diagnosis of suspected TB, as well as an increase in better understanding in the community regarding the difference in symptoms of COVID-19 and TB and a decrease in the examination of TB sputum samples.
Ketimpangan Akses Layanan Rehabilitasi Medik di Negara Berkembang: Kajian Literatur Ayulanda, Meiyin; Maisun, Salma; Fahira, Aulia
Nautical : Jurnal Ilmiah Multidisiplin Indonesia Vol. 4 No. 2 (2025): Nautical: Jurnal Ilmiah Multidisiplin Indonesia (In progress)
Publisher : ARKA INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55904/nautical.v4i2.1663

Abstract

Ketimpangan akses terhadap layanan rehabilitasi medik di negara-negara berkembang merupakan tantangan serius dalam sistem kesehatan global. Rehabilitasi berperan penting dalam meningkatkan fungsi dan kualitas hidup individu dengan disabilitas atau pasca-penyakit kronis. Penelitian ini bertujuan untuk mengkaji kesenjangan akses layanan rehabilitasi medik di negara-negara berpenghasilan rendah dan menengah melalui kajian literatur internasional. Metode yang digunakan adalah scoping review terhadap 20 artikel yang bersumber dari PubMed, Scopus, Web of Science, Google Scholar, dan CINAHL. Hasil kajian menunjukkan bahwa keterbatasan infrastruktur, minimnya tenaga kesehatan, ketimpangan sosio-ekonomi, serta lemahnya kebijakan publik menjadi hambatan utama akses layanan. Solusi potensial yang diidentifikasi meliputi telerehabilitasi, model rehabilitasi berbasis komunitas, serta integrasi layanan ke dalam sistem kesehatan primer. Namun, efektivitas solusi sangat dipengaruhi oleh kesiapan sistem, dukungan regulasi, dan konteks lokal. Kajian ini merekomendasikan pendekatan multisektoral dan berbasis bukti untuk mewujudkan layanan rehabilitasi yang inklusif, berkelanjutan, dan merata di negara berkembang.
NEUROLEPTIC MALIGNANT SYNDROME IN AN ELDERLY PERSON WITH A HISTORY OF ATYPICAL ANTIPSYCHOTIC TREATMENT AND COMORBIDITIES: A CASE REPORT Fahira, Aulia; Setyanagara, Adwin; Ulya, Zuhrotun
Journal of Psychiatry Psychology and Behavioral Research Vol. 6 No. 2 (2025): Mental Health Framework from a Multidisciplinary Perspective
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2025.006.02.10

Abstract

Introduction: Neuroleptic Malignant Syndrome (NMS), a neuropsychiatric emergency, can develop in patients with antipsychotic medications. This is a matter of concern due to the high frequency of psychotic diseases in Indonesia, affecting an estimated 2.6 million people. This paper will examine a case of NMS who exhibited various risk factors and clinical manifestations, which happened in Kediri, a city in Indonesia that lacks of dedicated mental hospital or intensive care unit for mental health. Method: In this paper, we reveal about a case report about a 63-year-old man presented to the emergency room with abrupt onset of fever and cognitive impairment. He took olanzapine and clozapine for schizophrenia, which was not often treated. The patient had gait disturbances, pronounced tremors, rigidity, and autonomous movement of the mouth. Examination results were blood pressure of 88/55 mmHg, pulse 123x/minute, respiratory rate 24x/minute, body temperature 42°C. Supporting investigation results showed leukocytosis, hypokalemia, pneumonia and cardiomegaly. Initial management included discontinuation of neuroleptic drugs, administration of oxygen, rehydration, and symptomatic medications. Results: This is a rare case of NMS in geriatric patient happened in a rural area, Kediri, a small city in Indonesia which experiences higher temperatures in comparison to other cities. This case is quite complex due to the treatment options, a history of poor drug compliance, elderly conditions and comorbidities. Discuss: For both confirmed and suspected instances of NMS, basic treatment suggestions include stopping antipsychotic medication, continuously monitoring vital signs, minimizing extremes in temperature, introducing fluids, correcting electrolyte imbalances, and providing other supportive measures as needed Conclusion: NMS should be closely monitored in psychosis patients with a history of noncompliant medication use and concomitant conditions. To save lives, prompt and adequate medical attention is essential.
Co-Authors Affrita, Tia Maya Artanti, Widyana Beta Ayulanda, Meiyin Irmawan Farindra Laila Hanum Maisun, Salma Rusdi, Muhammad Salsabeela Setyanagara, Adwin Ulya, Zuhrotun Warda Elmaida Rusdi