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M. Dody Izhar
Universitas Jambi
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Veterinary Other

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Journal : Jurnal Berkala Epidemiologi

 1 
Determinants of Pneumonia in Toddlers in Jambi City M. Dody Izhar
Jurnal Berkala Epidemiologi Vol. 9 No. 2 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I22021.157-165

Abstract

Background: Pneumonia is an acute respiratory infection and the second leading cause of toddler deaths in Indonesia. Nutritional status, immunization status, and humidity in the house constitute risk factors for the incidence and prevalence of pneumonia. Purpose: The objective of this research is to analyze the determinants of nutritional status, immunization status, and air humidity against the incidence of pneumonia in toddlers in Jambi City. Methods: This was an observational study. A case-control design approach was adopted. The research location was the Public Health Center of Talang Bakung in Jambi City, which has the highest prevalence of pneumonia cases. This study was conducted from January 2019 to August 2019. The number of samples in this study was 66 toddlers, with a 1:1 ratio of cases. Data was collected using a multistage random sampling technique. Primary and secondary data obtained was analyzed with a logistic regression test method. Results: The highest proportion of pneumonia cases was observed in toddlers between the ages of 12 and 35 months (75.76%). The proportion of female toddlers was 57.58%, with the number of siblings being ≥1 (93.94%). The proportion of people who completed secondary level maternal education was 60.61%, which was higher than the proportion of people who completed secondary level paternal education (54.55%). The employment status of fathers was 96.97%. Underweight status was associated with pneumonia (AOR=5.81; 95%CI=1.07–31.68). Inadequate air humidity was associated with the incidence of pneumonia (AOR=7.37; 95%CI=1.80–30.13). Conclusion: Nutritional status and air humidity were identified as determinants of pneumonia in toddlers in Jambi city.
MULTIPHASIC SCREENING: CLINICAL SYMPTOMS AND MENTAL HEALTH PATIENT TUBERCULOSIS IN JAMBI CITY, INDONESIA: Multiphasic Screening: Gejala Klinis dan Kesehatan Mental Pasien Tuberkulosis di Kota Jambi, Indonesia M. Dody Izhar; Rizalia Wardiah; Usi Lanita; Herwansyah
Jurnal Berkala Epidemiologi Vol. 11 No. 3 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I32023.205-214

Abstract

Background: Multiphasic screening with GeneXpert MTB/RIF and PHQ-9 is a solution for achieving successful conversion of intensive phase sputum examination. Purpose: To determine the effectiveness and feasibility of multiphasic screening for clinical symptoms and mental health in patients using the Tuberculosis Directly Observed Therapy (TB-DOTS) strategy. Methods: This study used a survey approach with a one-sample multiple testing screening method on the case finding and mental health of patients with TB. This screening was carried out in two stages: Stage I, suspected TB screening, and Stage II, mental health screening of TB patients undergoing intensive treatment (two months). Samples were taken from 160 TB suspects who came to health centers in Jambi City from August 1 to October 1, 2022, using proportionate stratified random sampling. Data were analyzed using statistical software to determine the accuracy and feasibility of screening. Results: Sputum conversion (Smear [-]) was 97.78% and the prevalence of mental health problems in patients was 22.22%. Stage I screening (suspected TB [GeneXpert MTB/RIF]): cough >2 weeks sensitivity, 94.84%; PPV, 97.35%; and accuracy, 92.50%. Stage II screening (patient mental health [PHQ-9]) with a validity of 9 items in the range of 0.17-0.66; ICC (interclass correlation coefficient [ICC], 0.60-0.83; Cronbach's a coefficient, 0.88). Multiphasic yield screening is recommended to achieve a better treatment success rate. Conclusion: Early detection of cases and mental health problems of TB patients in the early phase of treatment is a solution for developing a TB-DOTS strategy at first-level health facilities.
Co-Authors Amelia Vadila Andy Amir Asparian Avridayanty Christ Partiani Tondang Budi Aswin Butar, Marta Butar Damayanti, Elok Deski Pratiwi Dewi Nopiska Lilis Dwi Noerjoedianto Faisal Faisal Faisal Faisal Fajar Akbar Hendra Dhermawan Sitanggang Herwansyah Hubaybah, Hubaybah Kurnia Gusti Nanda Nanda M. Ridwan M. Ridwan Muhammad Syukri Nasution, Helmi Suryani Novarianti, Wiji Puspita Sari Putri Octaviani Putri, Fitria Eka Rd. Halim Rini, Willia Novita Eka Rizaliah Wardiah Ruwayda Ruwayda Septa Decelita Wahyuni Sintya Dwi Anggraini Suryani Suryani Tessa levy Marcely Ummi Kalsum Usi Lanita V.A Irmayanti Harahap Vania Julia Permatasari Putri Wiji Novarianti