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All Journal Cendana Medical Journal Malahayati International Journal of Nursing and Health Science
Aristia, Lintang Briliana
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Health Professions Medicine & Pharmacology Nursing Public Health

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HUBUNGAN TINGKAT ADIKSI INTERNET DENGAN DERAJAT DEPRESI MAHASISWA PREKLINIK FAKULTAS KEDOKTERAN Aristia, Lintang Briliana; Manafe, Derri Tallo; Kareri, Dyah Gita Rambu; Trisno, Idawati
Cendana Medical Journal Vol 10 No 2 (2022): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v10i2.9197

Abstract

Background: Internet in the millennium era is used as a tool for exchanging information and a media for communication on a large scale, therefore it becomes a necessity in our daily life. According to the Indonesian Internet Service Users Association (APJII), the largest number of internet users in Indonesia are students, including medical students, compared to adolescents and the general population. There are many conveniences offered by the internet, but the excessive use of it will cause an adverse impact on human health. Internet addiction that occurs from excessive internet use is closely related to mental health disorders such as depression. Objective: To analyze the correlation between internet addiction levels with degree of depression on preclinical students Faculty of Medicine. Methods: This study was an observational analytic study with a cross sectional design conducted on preclinical students Faculty of Medicine Nusa Cendana University by filling in the Young's Internet Addiction Test (YIAT) questionnaire and the Patient Health Questionnaire–9 (PHQ-9). The sampling technique used purposive sampling with 80 respondents who met the inclusion and exclusion criteria. The study was analyzed univariately, and bivariately using Spearman test. Results: It was found that from 80 respondents there were 25 respondents (31.3%) with mild internet addiction, 51 respondents (63.8%) with moderate internet addiction, and 4 respondents (5.0%) with severe internet addiction. And from 80 respondents observed, 41 respondents (51.3%) experienced mild depression, 13 respondents (16.3%) experienced moderate depression, 4 respondents (5.0%) experienced severe depression, and 22 respondents (27.5%) were not depressed. The results of the bivariate analysis test in this study obtained p value = 0.000 (p <0.05). Conclusion: There is a significant and a strong correlation between internet addiction levels with degree of depression, which indicates that the higher the level of internet addiction the higher the degree of depression on preclinical students Faculty of Medicine class of 2017, 2018, and 2019.
Successful resolution of a tuberculous bronchopleural fistula presenting as recurrent pneumothorax in an atypical host: A case report Aristia, Lintang Briliana; Subianto, Aries
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1750

Abstract

Background: Secondary spontaneous pneumothorax (SSP) occurs in approximately 1-1.5% active tuberculosis (TB) cases, frequently progressing to a bronchopleural fistula (BPF) with a 2.89-fold increased risk. TB remains the primary etiology of SSP in high-burden regions like Indonesia, causing 46.15% of cases. Purpose: To describe the clinical presentation, diagnostic challenges, and successful multimodal management of a tuberculous bronchopleural fistula presenting as recurrent pneumothorax in an atypical host. Method: This descriptive analytic research used a case study approach involving a 43-year-old man patient with left-sided Secondary Spontaneous Pneumothorax attributed to underlying pulmonary tuberculosis at the Achmad Yani Surabaya Islamic Hospital. Data were collected through interviews, observation, physical examinations, medical records, and diagnostic documentation, using a head-to-toe assessment format. Data analysis was conducted concurrently with data collection, comparing findings with existing theories to support discussion and intervention recommendations. The analysis was narrative and observational, aiming to interpret the patient’s condition in relation to theoretical knowledge. Results: This case uniquely highlights tuberculous SSP in an immunocompetent host, underscoring the critical need for a high index of suspicion for TB, even without classic constitutional symptoms. Conservative therapy became innefective due to a persistent air leak which strongly indicated a BPF, a recognized complication in 69.2% of similar cases. This finding justified escalation to surgical management, aligning with international guidelines. The integrated multimodal management strategy proved crucial for a successful outcome. Conclusion: Active TB must be considered a primary differential diagnosis for SSP in endemic settings, regardless of typical clinical presentation. A persistent BPF demands definitive surgical intervention. The combination approach of ATT followed by VATS wedge resection and pleurodesis represents a highly effective and conclusive management strategy for these challenging cases.
Co-Authors Deri Riskiyanti Tallo Manafe Idawati Trisno Kareri, Dyah Gita Rambu Subianto, Aries