Analysis of MTb Rapid Molecular Test Performance Towards Microscopical Acid Fast Bacilli Examination at Labuang Baji General Hospital

Author(s):  
Ummul Khair ◽  
Nursin Abd Kadir ◽  
Benny Rusli

Tuberculosis (TB) is a global health problem, which is the third leading cause of death of all infectious diseases aroundthe world, included Indonesia. Acid Fast Bacilli (AFB) smear and rapid molecular assay for Mycobacterium tuberculosis (MTB)are the old and new examinations required for MTB laboratory diagnosis. This study aimed to compare the performance ofMTB rapid molecular assay and AFB smear in diagnosis and screening for TB patients. This observational retrospective studyused a cross-sectional approach, with a purposive sampling technique of 559 patients with suspected TB in Labuang BajiHospital, Makassar. This study was conducted from March 2019 to June 2019 by taking data from medical records fromJanuary 2018 to December 2018 at Labuang Baji Hospital, Makassar. Three hundred and forty-nine subjects were males(62.4%), and 210 subjects were females (37.6%). This study revealed sensitivity and specificity of 98.57% and 84.96%,respectively for MTB rapid molecular assay, and 68.65% and 99.44%, respectively for AFB smear, this shows that MTB rapidmolecular assay was superior to AFB smear in diagnosing TB patients.

2020 ◽  
Vol 3 (1) ◽  
pp. 20-28
Author(s):  
Yushera Atika Sari ◽  
Wisda Widiastuti ◽  
Betty Fitriyasti

Introduction: CAD occurs indirectly, usually a person will experience a process of narrowing of the coronary arteries in quite a long period of time. Primary survey results that researchers have done at Siti Rahmah Padang Hospital, recorded from 2017-2018 the number of CAD events as many as 115 cases. Aims : To obtain information about an overview of risk factors for the occurrence of coronary artery disease in the heart policlinic of Siti Rahmah Hospital Padang in 2017-2018. Method: This research covers the field of internal medicine and cardiology, this study was conducted at the Islamic hospital Siti Rahmah Padang in May to November 2019. This research used a descriptive method with a cross sectional approach using secondary data from medical records. The affordable population of this study is CAD patients who seek treatment at Siti Rahmah Hospital in Padang in 2017-2018 with 51 samples using Total Sampling technique. Univariate analysis is presented in the form of a frequency distribution table. Results: Based on the results of the study the most age was at the age of 50-59 years, 21 people (41.2%), the most sex was female, 26 people (51%), hypertension, 27 people (52,9%), experienced DM 26 people (51%) were obese, 16 people (31,4%) and hyperlipidemia, 13 people (25,5%). Conclusion : Most age 50-59 years, most sexes of women, most have hypertension, less than half are obese, most have DM and less than half have hyperlipidemia. 


2021 ◽  
Vol 2 (1) ◽  
pp. 43-50
Author(s):  
Dara Prameswari ◽  
Nita Parisa ◽  
Muhammad Totong Kamaluddin

Rationality of Diclofenac Use in Osteoarthritis Outpatient Case at RSUP MHPalembang in January-March 2018. Osteoarthritis (OA) is the most common diseasein joints that affects people in their middle until late years. In Indonesia the prevalenceof OA is relatively high and disturbs their daily activity. Diclofenac is one of the drug ofchoice in treating OA. To avoid multiple side effects from Diclofenac use, the usagemust be in accordance to rationality indicators which are correct dose, correctfrequency, and correct length of use. This study is aimed to know the rationality ofDiclofenac use in Osteoarthritis outpatient cases at RSUP Mohammad HoesinPalembang. This study is a descriptive observational with a cross-sectional approachto know the rationality of Diclofenac use in outpatient cases of osteoarthritis at RSUPMohammad Hoesin Palembang. Samples were medical records of OA patients inoutpatient setting from January to March 2018 which fulfilled the inclusion andexclusion criteria. Sampling technique used was total sampling. The amount ofsamples fulfilling the inclusion criteria were 201 patients, with the most were aged 46-65 years (60.2%), female (55.7%), and has a history of comorbidity which includes lowback pain (22.8%). The result of this study shows pattern of Diclofenac use with dosageof 2 x 25mg (73.6%), length of use about <7 days (57.2%). In combination with otherdrugs there were no interaction to be found (84.4%), or synergistic interaction (8.5%)and antagonistic interaction (7.1%). The use of diclofenac in osteoarthritis cases atoutpatient setting in RSUP Dr Mohammad Hoesin Palembang is rational and needs tobe maintained.


2018 ◽  
Vol 13 (1) ◽  
pp. 61-68
Author(s):  
Lidia Widia

The high number of pregnant women who do not breast care during pregnancy, after childbirth will then encountered problems that harm the mother and the baby. The aim of research to find out if there is a relationship between breast care expenditure colostrum in the third trimester of pregnancy. The research method using the analytic survey with cross sectional approach. The primary data obtained with tools questionnaire answered by all respondents amounted to 29 people. Sampling technique using total sampling, data analysis techniques using Chi-Square. The results of the analysis we found the majority of respondents do breast care, and the majority of respondents spending colostrum. P values obtained value 0,002 <0,05 so Ho rejected, so that there is a very close relationship between breast care expenditure colostrum in the third trimester of pregnancy. The conclusion of this study there is a very close relationship between breast care expenditure colostrum in the third trimester of pregnancy on Poskesdes Kampung Baru. Expected health workers provide counseling to pregnant women about breast care so that colostrum can get out.


2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Amalia Rizkiannur Putri ◽  
Sukartini ◽  
Evi Fitriany

The early 28 days of life called the neonatal period is the most vulnerable period for infants. The infants face the highest risk of death in the first month after birth. The most common cause of infant death is asphyxia, prematurity, and infection. Infection in newborns is defined as a condition where the newborns have a disease caused by microorganisms. One of the risk factors causing infection in newborns includes factors from the mother, such as premature rupture of membranes, green or meconium and smelly amniotic fluid, maternal infection, and others. The main objective of this research was to describe the risk factors of incidence of infection in newborns at RSUD Abdul Wahab Sjahranie Samarinda. This research uses a retrospective descriptive method with the cross-sectional approach. Sampling was done by taking data on medical records of patients at the RSUD Abdul Wahab Sjahranie Medical Record Installation using total sampling technique. The results obtained were 99 samples that met the inclusion and exclusion criteria with details of patients who experienced premature rupture of membranes by 18 people (18,2%), poor amniotic color by 62 people (62,6%), mothers who had leukocytosis by 15 people (15,2%), and the incidence of infection in newborns by 2 people (2%). the collected data were tabulated bu frequency and percentage and displayed in tables


2020 ◽  
Vol 4 (1) ◽  
pp. 48-52
Author(s):  
Gunawan Efri Syaputra ◽  
Dovy Djanas

Background: Preeclampsia is a pregnancy-specific syndrome in the form of reduced organ perfusion due to vasospasm and endothelial activation that occurs after 20 weeks of gestational age. eclampsia is the occurrence of seizures in a woman with preeclampsia, Sodium (Na +) and Potassium (K +) play an important role in preeclampsia and eclampsia.Objective: To see the difference in mean sodium potassium ratio between pregnancy with severe preeclampsia and eclampsia.Methods: The study was analytic descriptive using a cross sectional study design by looking at the medical records of the subjects according to the time and place of the study. Samples are all medical records of pregnant women who suffer from pre-eclampsia and eclampsia in the obstetric and gynecology section of  RSUP DR.M.Djamil padang in the period of 15 January 2016 to 31 December 2017, the values of which are sodium, potassium levels and sodium and potassium ratios. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using a consecuvite sampling technique which was taken from the medical records of RSUP DR. M. Djamil Padang Statistical analysis to assess significance using the T-test.Results: In the Severe preeclampsia and Eclampsia groups it was found that multipara parity had the highest respondents. This is in accordance with the literature where the incidence of preeclampsia is more often found at near term gestational age.Conclusion: There is no significant difference in the average sodium potassium ratio between Severe preeclampsia and EclampsiaKeywords: Severe preeclampsia, eclampsia, sodium and potassium


2021 ◽  
Vol 5 (4) ◽  
pp. 349
Author(s):  
Ervina Puspa Wahyu Angesti ◽  
Nining Febriyana

Background: 107,000 pregnant women in Indonesia experiencing anxiety while facing childbirth. A Research shows that anxiety is more experienced in Primigravida's pregnant women. Pregnant women anxiety can arise, especially in the third trimester until delivery. During the COVID-19 pandemic, pregnant women feel increasingly anxious because the virus spreads relatively easily. This study was aimed to analyze the relationship between the anxiety level and knowledge of pregnant women in the third trimester with readiness to face childbirth during the COVID-19 pandemic in Puskesmas Benowo and Tenggilis. Methods: This type of research was observational analytic with a cross-sectional design. The number of samples was 76 third trimester pregnant women suitable the criteria that is primigravida, physiologic pregnancy, not in a long-term medication and willing to be a respondent. The sampling technique was purposive sampling. The data was analyzed with Spearman’s Statistic test. Results: as many as 57.5% of respondents had severe anxiety with low readiness for childbirth and good knowledge of COVID-19. It was caused by the drug or vaccine for the Covid-19 that had not been found, and made pregnant women even more anxious and feared of something unwanted happening. Anxiety of pregnant women who were about to give birth greatly affected the readiness of the mother in preparing for childbirth, the more anxious pregnant women were, the less they would be prepared for laboring. The statistic analyze says that There was a relationship between the level of anxiety of third trimester pregnant women with readiness to give birth during the COVID-19 pandemic (p = 0.00), there was a relationship between the knowledge level with readiness to give birthd during the COVID-19 pandemic p = 0.012). Conclusion: There is a relationship between the Anxiety Level and Knowledge of Pregnant Women in the third trimester with Readiness for Childbirth during the COVID-19 Pandemic  


2017 ◽  
Vol 2 (1) ◽  
pp. 41
Author(s):  
Triatmi Andri Yanuarini ◽  
Dwi Estuning Rahayu ◽  
Hanna Salehtra Hardiati

At each stage of pregnancy , pregnant women will experience different psychological processes . In the third trimester approaching delivery day there will be a new turmoil to deal with childbirth . With the approach of the time of delivery , a mother haunted by face anxiety the birth process . Birth experience is different from one woman to another , as well as between the first delivery with the next labor in women at the same or different women. Psychological changes dealing  labor influenced by several factors , one of which is a factor that can be determined prior experience of parity . The purpose of this study was to determine is there a relationship between parity with the level of anxiety in the third trimester pregnant women facing childbirth . This study uses cross-sectional correlation research design . The sample used by 30 respondents  third trimester pregnant women with quota sampling technique . While the variables studied were parity using parity data collection table and anxiety levels using a questionnaire ( Scale HARS ) . The data were analyzed using the Spearman correlation test with 95% confidence intervals . From the results of the study found the majority of respondents nullipara status ( 43.33 % ) and their level of anxiety experienced third trimester pregnant women were mostly anxiety ( 43.33 % ) . After analysis of data by using the Spearman correlation test results obtained by the relationship between parity with the level of anxiety in the third trimester pregnant women facing childbirth.


2021 ◽  
Vol 2 (1) ◽  
pp. 43-50
Author(s):  
Dara Prameswari ◽  
Nita Parisa ◽  
Muhammad Totong Kamaluddin

Rationality of Diclofenac Use in Osteoarthritis Outpatient Case at RSUP MHPalembang in January-March 2018. Osteoarthritis (OA) is the most common diseasein joints that affects people in their middle until late years. In Indonesia the prevalenceof OA is relatively high and disturbs their daily activity. Diclofenac is one of the drug ofchoice in treating OA. To avoid multiple side effects from Diclofenac use, the usagemust be in accordance to rationality indicators which are correct dose, correctfrequency, and correct length of use. This study is aimed to know the rationality ofDiclofenac use in Osteoarthritis outpatient cases at RSUP Mohammad HoesinPalembang. This study is a descriptive observational with a cross-sectional approachto know the rationality of Diclofenac use in outpatient cases of osteoarthritis at RSUPMohammad Hoesin Palembang. Samples were medical records of OA patients inoutpatient setting from January to March 2018 which fulfilled the inclusion andexclusion criteria. Sampling technique used was total sampling. The amount ofsamples fulfilling the inclusion criteria were 201 patients, with the most were aged 46-65 years (60.2%), female (55.7%), and has a history of comorbidity which includes lowback pain (22.8%). The result of this study shows pattern of Diclofenac use with dosageof 2 x 25mg (73.6%), length of use about <7 days (57.2%). In combination with otherdrugs there were no interaction to be found (84.4%), or synergistic interaction (8.5%)and antagonistic interaction (7.1%). The use of diclofenac in osteoarthritis cases atoutpatient setting in RSUP Dr Mohammad Hoesin Palembang is rational and needs tobe maintained.


2020 ◽  
Vol 8 (1) ◽  
pp. 51
Author(s):  
Chaterine Pingkan Mandey ◽  
Rina Kundre ◽  
Yolanda Bataha

Bacgroumd: The third trimester of pregnancy is the time to prepare for birth and position as parents, as attention is focused on the presence of the baby, so it is also called the waiting period. Husband's positive support to his wife in the third trimester of pregnancy will have a positive impact on fetal growth and development, physical health, and maternal psychological. Purpose : is to find out the relationship between husband's support and wife's readiness in third trimester pregnancy in Ibu dan Anak Kasih Ibu Manado Hospital. Method : this study used descriptive analytic with Cross Sectional Study approach. Data collection was done through the questionnarie about wife’s knowledge and support from husband’s in third Trimester of pregnancy. Data analysis used Chi-Square test. This study involved 37 respondents using the total sampling technique. The results of this study ρ value = 0,003 <α (0,05). Conclusion there is a relationship between husband's support and wife's readiness in trimester of pregnancy III. Keywords : Labor, Trimester III, Husband Support Abstrak : Kehamilan trimester III merupakan waktu mempersiapkan kelahiran dan kedudukan sebagai orang tua, seperti terpusatnya perhatian pada kehadiran bayi, sehingga disebut juga sebagai periode penantian. Dukungan suami yang bersifat positif kepada istri pada kehamilan trimester III akan memberikan dampak positif terhadap pertumbuhan dan perkembangan janin, kesehatan fisik, dan psikologis ibu. Tujuan untuk mengetahui hubungan dukungan suami dengan kesiapan istri pada kehamilan trimester III di rs ibu dan anak kasih ibu manado. Desain penelitian : Penelitian ini menggunakan deskriptif analitik dengan pendekatan Cross Sectonal Studi. Pengumpulan data dilakukan menggunakan kuesioner tentang pengetahuana istri dan dukungan suami pada masa kehamilan Trimester III. Analisa data menggunakan Chi-Square test. Penelitian ini menggunakan 37 responden dengan menggunakan teknik total sampling. Hasil dari penelitian ini menunjukkan nilai ρ = 0,003 yang berarti nilai p< α (0,05). Kesimpulan ada hubungan antara dukungan suami dengan kesiapan istri pada kehamilan trimester III.Kata kunci : Persalinan, Trimester III, Dukungan Suami


2019 ◽  
Vol 2 (2) ◽  
pp. 67-73
Author(s):  
Calvindra Leenesa ◽  
Roza Sriyanti

Background : Surgical wound infection is a problem that is often found today in surgery. The Indonesian Ministry of Health reported that in 2011, 55.1% of surgical wound infections were found in government hospitals. This is in line with WHO data in 2010, where the sectio caesarean rate in Indonesia was recorded at 6%. Skin preparation can be used to prevent surgical wound infection by reducing the number of germs on the skin prior to incision.Objective : To see the relationship between skin preparation and post sectio caesarea surgical wound infection at Achmad Mochtar Bukittinggi Hospital.Methods : This study was an analytical study using a cross sectional study design by looking at the subject's medical records according to the time and place of the study. Samples were all medical records of mothers giving birth by sectio caesarea in the Obstetrics and Gynecology Section of Achmad Mochtar Bukittinggi Hospital in the period 1 January 2017 to 31 December 2017. Samples were taken from populations that met the inclusion and exclusion criteria. The sample was taken using simple random sampling technique which was taken from the medical records of Achmad Mochtar Hospital Bukittinggi. Statistical analysis to assess significance used the chi-square test.Results : The sectio caesarean group that carried out skin preparation without using chlorhexidine gluconate had the highest number (59.8%), with post sectio caesarean wound infection of 70.7%.Conclusion : There was a significant relationship between skin preparation and post sectio caesarean surgical wound infection (p <0.021) at Achmad Mochtar Bukittinggi Hospital.Keywords: Sectio caesarea, skin preparation, surgical wound infection


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