Lestari Rahmah - Academia.edu (original) (raw)

Papers by Lestari Rahmah

Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)

Tuberculosis (TB) is a contagious infectious disease caused by the bacterium Mycobacterium Tuberc... more Tuberculosis (TB) is a contagious infectious disease caused by the bacterium Mycobacterium Tuberculosis which can attack various organs, especially the lungs. However, before treatment, the diagnosis needs to be made through laboratory tests with the right method with good sensitivity and specificity The purpose of this study was to determine the level of sensitivity and specificity of TB diagnoses. The research method is a descriptive analytic survey research with cross sectional design research design research was conducted from May to October 2019. The place of research was conducted at Pancur Batu Health Center Deli Serdang for taking sputum specimens and blood samples of TB suspect patients. The number of samples in this study were 33 people. The results obtained by the sensitivity and specificity of BTA by 75% and 88.9%. The results obtained sensitivity and specificity of GeneXpert of 95.8% and 100%. The results obtained sensitivity and specificity of Tuberculosis Immunocromat...

Jurnal Inovasi, Pemberdayaan dan Pengabdian Masyarakat

Pelajar adalah aset berharga yang dimiliki oleh bangsa Indonesia karena merupakan harapan serta c... more Pelajar adalah aset berharga yang dimiliki oleh bangsa Indonesia karena merupakan harapan serta cahaya baru agar negara ini bisa menjadi sebuah negara yang maju dan dapat bersaing serta menjadi salah satu negara yang mempengaruhi peradaban dari berbagai aspek kehidupan masyarakat secara global. Semakin maraknya fenomena tawuran antar pelajar sekolah yang disebabkan oleh faktor kecil, sampai perbuatan yang masuk dalam kategori tindak pidana serius yang efeknya dapat merusak tatanan generasi penerus bangsa. Penyalahgunaan narkotika yang dilakukan oleh pelajar SMA menempati urutan tertinggi (61.9%) dari semua jenjang pendidikan. Tingginya angka penyalahgunaan narkotika dikalangan pelajar SMA hal ini menimbulkan keprihatinan dan kekhawatiran yang sangat besar bagi semua pihak termasuk civitas akademika, pemerintah, serta orang tua. Kasus penyalahgunaan narkotika di kalangan pelajar SMA ini sudah masuk pada tahapan masa kritis, untuk itu perlu dilakukan tindakan pencegahan berupa edukasi...

Asian Journal of Applied Sciences, 2019

Background: The case of helminthiasis in elementary school children in Indonesia is still quite h... more Background: The case of helminthiasis in elementary school children in Indonesia is still quite high at 28%. This worm disease is caused by the Soil Transmited Helminths (STH) group. This group of worms is transmitted by means of land. The environment contaminated by worm eggs increases the incidence of helminthiasis in children. Objective: To analyze the relationship between home environmental sanitation and helminthiasis in elementary school students in Deli Serdang Regency. Method: This study was analytical with cross-sectional data analysis. The population of this study were all Muhammadiyah 37 Tanjung Selamat Elementary School students with a sample of 58 people. The research data was obtained from questionnaires, observations, and faecal examination in the laboratory with the method of using a 1-2% eosin method. Results and Discussion: Based on the results of the questionnaire and observation, it was found that 34.5% of children lived in a home environment that did not comp...

Jurnal Ilmiah PANNMED (Pharmacist Analyst Nurse Nutrition Midwivery Environment Dentist), Jan 29, 2019

Introduction: Tuberculosis diagnostic, using microscopic examination of direct smear of acid-fast... more Introduction: Tuberculosis diagnostic, using microscopic examination of direct smear of acid-fast bacili (AFB) from the spectrum of lung tuberculosis suspect is still important criteria today, but the sensitivity of this method is low enough, especially in the samples which contain a small number of bacteria. Culture is stronger, but it takes long time, high cost, and it is not conducted in all laboratories. BTA microscopic examination can use direct smear and concentration method. Staining technique which is usually used in microscopic examination is Ziehl Neelsen. The sensitivity of direct smear method tends to be low and can be increased by using concentration method because bacteria can be easily found. Objective of the research: The objective of the research was to find out the effectiveness of direct smear examination of AFB , and concentration method was compared with culture. Materials and Method: The samples consisted of 60 sputum samples from the patients of lung tuberculosis suspects who visited BP4 Medan and from private practices of tuberculosis specialists, and the samples had fulfilled inclusive criteria. Microscopic examination of acid-fast bacilli using direct smear and concentration method with Petroff method, using Ziehl Neelsen staining and culture with Lowenstein Jensen was conducted. Then we performed diagnostic test for direct smear and concentration method to compare it with culture. Result of the research: AFB examination with concentration method had sensitivity of 68.75%, specificity of 82.14%, the value of positive prediction of 81,48%, the value of negative prediction of 69.70%, ratio of positive likelihood of 3.85, and ratio of negative likelihood of 0.38, compared with culture method examination in finding BTA in sputum of lung tuberculosis suspects. The result of microscopic examination of direct smear method had the sensitivity of 59.38%, specificity of 92.68%, the value of positive prediction of 90.48%, the value of negative prediction of 66.67%, ratio of positive likelihood of 8.31, and ratio of negative likelihood of 0.44, compared with culture method examination in finding BTA in sputum of lung tuberculosis suspects. Conclusion: The ability of acid-fast bacilli examination of concentration methodsin diagnosis oflung tuberculosisis 9.37% higher thanthe directsmear but direct smear method gives bigger clinical benefit in diagnosing lung tuberculosis, compared with concentration method

Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)

Tuberculosis (TB) is a contagious infectious disease caused by the bacterium Mycobacterium Tuberc... more Tuberculosis (TB) is a contagious infectious disease caused by the bacterium Mycobacterium Tuberculosis which can attack various organs, especially the lungs. However, before treatment, the diagnosis needs to be made through laboratory tests with the right method with good sensitivity and specificity The purpose of this study was to determine the level of sensitivity and specificity of TB diagnoses. The research method is a descriptive analytic survey research with cross sectional design research design research was conducted from May to October 2019. The place of research was conducted at Pancur Batu Health Center Deli Serdang for taking sputum specimens and blood samples of TB suspect patients. The number of samples in this study were 33 people. The results obtained by the sensitivity and specificity of BTA by 75% and 88.9%. The results obtained sensitivity and specificity of GeneXpert of 95.8% and 100%. The results obtained sensitivity and specificity of Tuberculosis Immunocromat...

Jurnal Inovasi, Pemberdayaan dan Pengabdian Masyarakat

Pelajar adalah aset berharga yang dimiliki oleh bangsa Indonesia karena merupakan harapan serta c... more Pelajar adalah aset berharga yang dimiliki oleh bangsa Indonesia karena merupakan harapan serta cahaya baru agar negara ini bisa menjadi sebuah negara yang maju dan dapat bersaing serta menjadi salah satu negara yang mempengaruhi peradaban dari berbagai aspek kehidupan masyarakat secara global. Semakin maraknya fenomena tawuran antar pelajar sekolah yang disebabkan oleh faktor kecil, sampai perbuatan yang masuk dalam kategori tindak pidana serius yang efeknya dapat merusak tatanan generasi penerus bangsa. Penyalahgunaan narkotika yang dilakukan oleh pelajar SMA menempati urutan tertinggi (61.9%) dari semua jenjang pendidikan. Tingginya angka penyalahgunaan narkotika dikalangan pelajar SMA hal ini menimbulkan keprihatinan dan kekhawatiran yang sangat besar bagi semua pihak termasuk civitas akademika, pemerintah, serta orang tua. Kasus penyalahgunaan narkotika di kalangan pelajar SMA ini sudah masuk pada tahapan masa kritis, untuk itu perlu dilakukan tindakan pencegahan berupa edukasi...

Asian Journal of Applied Sciences, 2019

Background: The case of helminthiasis in elementary school children in Indonesia is still quite h... more Background: The case of helminthiasis in elementary school children in Indonesia is still quite high at 28%. This worm disease is caused by the Soil Transmited Helminths (STH) group. This group of worms is transmitted by means of land. The environment contaminated by worm eggs increases the incidence of helminthiasis in children. Objective: To analyze the relationship between home environmental sanitation and helminthiasis in elementary school students in Deli Serdang Regency. Method: This study was analytical with cross-sectional data analysis. The population of this study were all Muhammadiyah 37 Tanjung Selamat Elementary School students with a sample of 58 people. The research data was obtained from questionnaires, observations, and faecal examination in the laboratory with the method of using a 1-2% eosin method. Results and Discussion: Based on the results of the questionnaire and observation, it was found that 34.5% of children lived in a home environment that did not comp...

Jurnal Ilmiah PANNMED (Pharmacist Analyst Nurse Nutrition Midwivery Environment Dentist), Jan 29, 2019

Introduction: Tuberculosis diagnostic, using microscopic examination of direct smear of acid-fast... more Introduction: Tuberculosis diagnostic, using microscopic examination of direct smear of acid-fast bacili (AFB) from the spectrum of lung tuberculosis suspect is still important criteria today, but the sensitivity of this method is low enough, especially in the samples which contain a small number of bacteria. Culture is stronger, but it takes long time, high cost, and it is not conducted in all laboratories. BTA microscopic examination can use direct smear and concentration method. Staining technique which is usually used in microscopic examination is Ziehl Neelsen. The sensitivity of direct smear method tends to be low and can be increased by using concentration method because bacteria can be easily found. Objective of the research: The objective of the research was to find out the effectiveness of direct smear examination of AFB , and concentration method was compared with culture. Materials and Method: The samples consisted of 60 sputum samples from the patients of lung tuberculosis suspects who visited BP4 Medan and from private practices of tuberculosis specialists, and the samples had fulfilled inclusive criteria. Microscopic examination of acid-fast bacilli using direct smear and concentration method with Petroff method, using Ziehl Neelsen staining and culture with Lowenstein Jensen was conducted. Then we performed diagnostic test for direct smear and concentration method to compare it with culture. Result of the research: AFB examination with concentration method had sensitivity of 68.75%, specificity of 82.14%, the value of positive prediction of 81,48%, the value of negative prediction of 69.70%, ratio of positive likelihood of 3.85, and ratio of negative likelihood of 0.38, compared with culture method examination in finding BTA in sputum of lung tuberculosis suspects. The result of microscopic examination of direct smear method had the sensitivity of 59.38%, specificity of 92.68%, the value of positive prediction of 90.48%, the value of negative prediction of 66.67%, ratio of positive likelihood of 8.31, and ratio of negative likelihood of 0.44, compared with culture method examination in finding BTA in sputum of lung tuberculosis suspects. Conclusion: The ability of acid-fast bacilli examination of concentration methodsin diagnosis oflung tuberculosisis 9.37% higher thanthe directsmear but direct smear method gives bigger clinical benefit in diagnosing lung tuberculosis, compared with concentration method