Pulmonary tuberculosis is an infectious disease that is still a major global health problem. Pulmonary TB cases are one of the co-morbidities of death for COVID-19 patients. The increase in the prevalence of TB patients and the increase in the number of cases and deaths of COVID-19 will certainly have an impact on patients and their families. The spread of COVID-19 worries the public, causing feelings of pressure and anxiety which are a common response from people who are affected (either directly or indirectly). The purpose of this activity is to describe the health status of pulmonary TB patients, both physical health and mental health in the working area of the Merdeka Palembang Health Center. The participants of this activity were 28 patients who were present at the Merdeka Palembang Health Center in November 2021. The results of this activity showed that the patient characteristics were mostly adults (20-60 years) as many as 21 people (75%), most of them were male 19 people (67.9%), 10 people with high school education (35.7%), work as laborers as many as 6 people (21.4%), body mass index mostly normal and underweight that is 10 people each (35.7%), most of them have poor knowledge 21 people (75%) and most of them do not experience anxiety as many as 22 people (78.6%), patients who experience mild anxiety 4 people (14.3%) moderate and severe anxiety each 1 person (3.6%). The results of the measurement of health status based on lipid profile examination showed that pulmonary TB patients had a mean cholesterol level of 141.53±31.42, an average triglyceride of 90.82±20.15, a mean HDL of 32.42±3.20, and an average LDL of 92.03. ±22.07.
The nutritional status of TB patients is very important because it is a simple clinical sign to see the success of TB therapy. Health education or counseling is one way to change a person's knowledge and attitudes about health and can indirectly affect nutritional status. The assessment method for community service is carried out using lecture and discussion methods. Community service will be held on November 3, 2021, at the Merdeka Health Center in Palembang. The population of this activity is TB patients and drug-taking supervisors (PMO) in the working area of the Merdeka Palembang Health Center. The number of participants is 22 people. The evaluation was carried out by conducting pre-test and post-test to assess the increase in knowledge before and after education/counseling about nutrition in TB patients. The results of community service activities showed that the provision of education significantly affected the knowledge of the nutritional status of patients (p-value <0.05) between patients before being given education and after being given education. Suggestions that can be given are the need for knowledge about the nutrition and diet of TB patients to improve their nutritional status so that treatment can be optimal.
Latar belakang : Hipertensi adalah suatu peningkatan tekanan darah di luar batas normal. Kondisi ini dapat menyebabkan berbagai komplikasi kesehatan termasuk perubahan pada struktur pembuluh darah. Perubahan struktural pada aorta berupa pemanjangan aorta disebut elongasi aorta yang terlihat melalui pemeriksaan foto toraks. Penelitian ini bertujuan untuk mengidentifikasi hubungan kejadian elongasi aorta melalui gambaran foto toraks dengan hipertensi. Metode : Studi penelitian menggunakan pendekatan cross sectional pada 104 pasien untuk mengidentifikasi usia, jenis kelamin, dan nilai tekanan darah dari rekam medis pasien. Identifikasi gambaran elongasi aorta didapatkan melalui foto toraks. Hasil : Hasil analisis data didapatkan nilai P-value sebesar 0,000 dimana P-value ≤ 0,05 menandakan bahwa terdapat hubungan signifikan antara hipertensi dan elongasi aorta dengan nilai Prevalence rate 9,792 yang artinya terdapat peningkatan kejadian elongasi aorta sebanyak 9,792 kali pada pasien hipertensi dibandingkan pasien tidak hipertensi Simpulan : Risiko terjadinya elongasi aorta yang terlihat pada pemeriksaan foto toraks meningkat pada pasien hipertensi.
Chronic kidney disease is a condition in which there is destruction of the kidneys along with structural or functional abnormalities, with or without decreased glomerular filtration rate for more than 3 months. The common treatment for this condition is hemodialysis, however, it may cause complications, specifically cardiovascular and non-cardiovascular system dysfunctions that can be observed through thorax imaging. This study aims to observe pathologic thorax imaging findings on chronic kidney disease patients undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang. This study is a descriptive study using a cross-sectional design. The data is gathered from medical records from the Medical Records & Radiology Department of RSUP Dr. Mohammad Hoesin Palembang that have passed the inclusion and exclusion criteria. The data is processed using the SPSS application version 25. The results of this study indicate that, based on risk factors, patients are generally in the 55-64 age range (41%), female (60%), and with a normal BMI/normal weight (52%). Based on the patients’ comorbid diseases, patients mostly have hypertension (59%), followed by diabetes mellitus (46%). Analysis of the chest radiographs indicate that (70%) of patients have cardiomegaly; (22%) of patients have grade 1, (15%) have grade 2, (7%) have grade 3 aortic arch calcification; (49%) have pulmonary edema; (31%) have unilateral pleural effusion, and (14%) have bilateral pleural effusion. The majority of chronic kidney disease patients undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang are in the 55-64 age range, female, and with normal BMI. The most common comorbid conditions are hypertension and diabetes mellitus. Analysis of the chest radiographs indicate that the majority of patients have cardiomegaly; grade 1, 2, and 3 aortic arch calcification; pulmonary edema; unilateral and bilateral pleural effusion.
AbstrakNyeri tumit adalah suatu gangguan pada sistem muskuloskeletal yang menimbulkan rasa tidak nyaman. Penyebab tersering adalah plantar fasciitis dengan atau tanpa spur calcaneus, namun hubungan keduanya masih diperdebatkan. Penelitian ini dilakukan untuk mengetahui distribusi pasien plantar fasciitis dan spur calcaneus, distribusi tipe spur calcaneus pada pasien plantar fasciitis, dan hubungan antara spur calcaneus dengan plantar fasciitis di RSUP Dr. Mohammad Hoesin Palembang. Penelitian ini adalah penelitian analitik observasional dengan desain potong lintang. Penelitian ini menggunakan data rekam medik pasien dengan diagnosis plantar fasciitis dan bukan plantar fasciitis di Poli Penyakit Dalam dan Bedah Orthopedi serta memiliki foto pedis sesuai dengan kriteria inklusi dan eksklusi di Instalasi Rekam Medik dan Radiologi RSUP Dr. Mohammad Hoesin Palembang. Data tersebut dikumpulkan dan dinilai kesesuaian dengan penelitian, kemudian dianalisis menggunakan uji chi-square.Dari 92 kasus nyeri tumit didapatkan 51 orang (55,4%) pasien plantar fasciitis dan 41 orang (44,6%) pasien bukan plantar fasciitis. Proporsi terbanyak pasien plantar fasciitis yaitu berusia 28-37 tahun, berjenis kelamin perempuan, pekerja swasta, overweight, dan tipe spur yang menyertai adalah tipe medium. Prevalensi spur calcaneus cukup tinggi pada pasien plantar fasciitis dibandingkan dengan kelompok pembandingnya yaitu sebanyak 32 orang (62,7%) dan 9 orang (22%). Hasil analisisbivariatditemukanhubunganantara spur calcaneus dan plantar faciitis,nilai p 0,000 dengan prevalence rate 2,858, dan confidence interval (1,546±5,285).Terdapat hubungan yang signifikan antara spur calcaneus dengan plantar fasciitis dan secara bermakna plantar fasciitis dapat meningkatkan kejadian spur calcaneus 2,858 kali dibandingkan bukan plantar fasciitis. Kata kunci: plantar fasciitis, spur calcaneus, rontgen Abstract Description of Calcaneus Spur andTheir Relationship with Plantar Fasciitis. Heel pain may cause discomfort in musculoskeletal system. The most common cause is plantar fasciitis with/without calcaneus spur, but their relationship is currently debatable. This research aims to determine distribution of plantar fasciitis and calcaneus spur patients, distribution of calcaneus spur types in plantar fasciitis patients, and relationship between calcaneus spur and plantar fasciitis at RSUP Dr. Mohammad Hoesin Palembang. This research was an observational analytic with cross-sectional design. This research used medical record of plantar fasciitis and none plantar fasciitis patients at internal and orthopedic surgery department, have foot x-ray according to inclusion and exclusion criteria in medical recordinstallations and radiology departments in RSUP Dr. Mohammad Hoesin Palembang. Data was collected and assessed according to this research, and be analyszed using chi-square test.Of the 92 cases of heel pain, plantar fasciitis patient was 51 people (55,4%) and none plantar fascitiis was 41 people (44,6%). The highest proportion of plantar fasciitis was aged 28...
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