Pub Date : 2021-04-13DOI: 10.24815/JKS.V21I1.19565
Wilda Mahdani
Invasive dermatophytosis is a dermatophyte infection characterized by fungal invasion into deeper skin tissue including the dermis and subcutaneous areas. Herein, a man who was an HIV/AIDS sufferer was reported to develop an unusually invasive dermatophytosis in the form of nodules and ulceration. His CD4+ cells count was 88 cells/µl with a percentage of 1.87%. Self-medication with topical antibiotics did not respond. Microbiological examination was carried out including direct potassium hydroxide preparation and fungal culture. The etiologic diagnosis of invasive dermatophytosis by Trichophyton verrucosum was established. This is one of the zoophilic fungus that causes ringworm in cattle. It was suspected that the patient was inoculated due to contact with fomites containing fungi while working as a construction worker. Dermatophytes can cause atypical infections with a completely unexpected appearance in immunocompromised patients. The diagnosis is largely determined by a high level of clinical suspicion followed by microbiological examination.
{"title":"Invasive Dermatophytosis in HIV/AIDS Patient by Zoophilic Trichophyton verrucosum","authors":"Wilda Mahdani","doi":"10.24815/JKS.V21I1.19565","DOIUrl":"https://doi.org/10.24815/JKS.V21I1.19565","url":null,"abstract":"Invasive dermatophytosis is a dermatophyte infection characterized by fungal invasion into deeper skin tissue including the dermis and subcutaneous areas. Herein, a man who was an HIV/AIDS sufferer was reported to develop an unusually invasive dermatophytosis in the form of nodules and ulceration. His CD4+ cells count was 88 cells/µl with a percentage of 1.87%. Self-medication with topical antibiotics did not respond. Microbiological examination was carried out including direct potassium hydroxide preparation and fungal culture. The etiologic diagnosis of invasive dermatophytosis by Trichophyton verrucosum was established. This is one of the zoophilic fungus that causes ringworm in cattle. It was suspected that the patient was inoculated due to contact with fomites containing fungi while working as a construction worker. Dermatophytes can cause atypical infections with a completely unexpected appearance in immunocompromised patients. The diagnosis is largely determined by a high level of clinical suspicion followed by microbiological examination.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83287437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-13DOI: 10.24815/JKS.V21I1.19284
Satriyo Dwi Suryantoro, Djoko Santoso, Sarah Firdausa
Acute Kidney Injury (AKI) in pregnancy remains a cause for fetomaternal morbidity and mortality, particularly in developing countries. Hypertensive complications of pregnancy (preeclampsia/eclampsia, HELLP syndrome) remains the leading cause of AKI in pregnancy. A set of systemic and renal physiological adaptive mechanisms occur during a normal gestation that will cause several changes in laboratory parameters of renal function, electrolytes, fluid and acid – base balance. Diagnosis of AKI in pregnancy is based on the serum creatinine increase and reduction of urine output. Management of AKI in pregnancy requires a multidisciplinary approach between nephrologists and obstetricians for optimizing care for both mother and child. In approaching AKI in pregnant woman, emphasis should be placed on making early and accurate diagnosis to allow prompt intervention and to facilitate recovery from AKI.
{"title":"ACUTE KIDNEY INJURY (AKI) PADA KEHAMILAN","authors":"Satriyo Dwi Suryantoro, Djoko Santoso, Sarah Firdausa","doi":"10.24815/JKS.V21I1.19284","DOIUrl":"https://doi.org/10.24815/JKS.V21I1.19284","url":null,"abstract":"Acute Kidney Injury (AKI) in pregnancy remains a cause for fetomaternal morbidity and mortality, particularly in developing countries. Hypertensive complications of pregnancy (preeclampsia/eclampsia, HELLP syndrome) remains the leading cause of AKI in pregnancy. A set of systemic and renal physiological adaptive mechanisms occur during a normal gestation that will cause several changes in laboratory parameters of renal function, electrolytes, fluid and acid – base balance. Diagnosis of AKI in pregnancy is based on the serum creatinine increase and reduction of urine output. Management of AKI in pregnancy requires a multidisciplinary approach between nephrologists and obstetricians for optimizing care for both mother and child. In approaching AKI in pregnant woman, emphasis should be placed on making early and accurate diagnosis to allow prompt intervention and to facilitate recovery from AKI.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91112556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-13DOI: 10.24815/JKS.V21I1.19333
Rajuddin Rajuddin
Peran kurkumin pada sistem reproduksi dapat dipakai pada pengaturan kesuburan melalui beberapa cara, yaitu: [1] Kurkumin menyebabkan kadar LH serum menurun dan tidak memberikan gambaran lonjakan LH pada pertengahan siklus haid, sehingga berperan menghambat ovulasi; [2] Kurkumin menyebabkan kadar estradiol serum rendah, progesteron serum rendah, tampilan VEGF di endometrium rendah dan ketebalan endometrium menjadi tipis sehingga dapat mencegah nidasi; [3] Kurkumin menyebabkan pertumbuhan folikel ovarium kecil, sehingga kecil kemungkinannya ovulasi terjadi. Untuk pengembangan ke depan, penelitian kurkumin perlu dilakukan lebih lanjut supaya dapat menghasilkan temuan-temuan inovatif baru yang bermanfaat untuk masyarakat, sehingga kurkumin dapat dipergunakan sebagai obat pengatur kesuburan atau sebagai obat baru untuk kontrasepsi. Universitas Syiah Kuala diharapkan menjadi pusat pengembangan riset lebih lanjut terkait rempang kunyit sebagai antifertilitas. Sebagai bahan riset, kunyit sangatlah mudah diperoleh karena populasi tumbuhan ini tersebar dalam jumlah besar di berbagai tempat di Aceh. Penelitian yang menghasilkan temuan-temuan inovatif ini merupakan sumbangsih yang sangat bermanfaat untuk meningkatkan kesehatan dan pemakaian kontrasepsi rakyat Indonesia, khususnya Aceh sebagai wujut pengabdian Universitas Syiah Kuala kepada masyarakat.
{"title":"TEROBOSAN BARU PENGENDALIAN KESUBURAN PEREMPUAN DENGAN MENGGUNAKAN KURKUMIN","authors":"Rajuddin Rajuddin","doi":"10.24815/JKS.V21I1.19333","DOIUrl":"https://doi.org/10.24815/JKS.V21I1.19333","url":null,"abstract":"Peran kurkumin pada sistem reproduksi dapat dipakai pada pengaturan kesuburan melalui beberapa cara, yaitu: [1] Kurkumin menyebabkan kadar LH serum menurun dan tidak memberikan gambaran lonjakan LH pada pertengahan siklus haid, sehingga berperan menghambat ovulasi; [2] Kurkumin menyebabkan kadar estradiol serum rendah, progesteron serum rendah, tampilan VEGF di endometrium rendah dan ketebalan endometrium menjadi tipis sehingga dapat mencegah nidasi; [3] Kurkumin menyebabkan pertumbuhan folikel ovarium kecil, sehingga kecil kemungkinannya ovulasi terjadi. Untuk pengembangan ke depan, penelitian kurkumin perlu dilakukan lebih lanjut supaya dapat menghasilkan temuan-temuan inovatif baru yang bermanfaat untuk masyarakat, sehingga kurkumin dapat dipergunakan sebagai obat pengatur kesuburan atau sebagai obat baru untuk kontrasepsi. Universitas Syiah Kuala diharapkan menjadi pusat pengembangan riset lebih lanjut terkait rempang kunyit sebagai antifertilitas. Sebagai bahan riset, kunyit sangatlah mudah diperoleh karena populasi tumbuhan ini tersebar dalam jumlah besar di berbagai tempat di Aceh. Penelitian yang menghasilkan temuan-temuan inovatif ini merupakan sumbangsih yang sangat bermanfaat untuk meningkatkan kesehatan dan pemakaian kontrasepsi rakyat Indonesia, khususnya Aceh sebagai wujut pengabdian Universitas Syiah Kuala kepada masyarakat.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"201 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85782452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.24815/JKS.V20I3.18610
Yunita Arliny, Maryatun Hasan
Abstrak. Tuberkulosis (TB) merupakan salah satu penyakit infeksi yang menjadi masalah di dunia. Risiko untuk mendapatkan infeksi TB dipengaruhi oleh imunitas alamiah melawan mikobakteria. Peptida antimikroba merupakan salah satu barrier pertahanan alamiah. Cathelicidin adalah suatu peptida anti mikroba yang berperan pada proses imunitas terhadap TB. Cathelicidin Leusin Leusin-37 (LL-37) merupakan satu-satunya cathelicidin yang ada pada manusia dan dapat diekspresikan dari beberapa sel temasuk sel imun. Inducer Cathelicidin yang paling poten adalah 1,25-dihydroxyvitamin D3 yang merupakan bentuk aktif vitamin D 25(OH)D3. Tinjauan pustaka ini membahas tentang cathelicidin, vitamin D3 dam peranannya pada imunitas terhadap TB.Kata kunci: Cathelicidin, 1,25-dihydroxyvitamin D3, vitamin D 25(OH)2D3, imunitas, TuberkulosisAbstract. Tuberculosis is one of the most important infectious diseases worldwide. The susceptibility to this disease depends to great extent on the innate immune response against mycobacteria. Antimicrobial peptides are one of the natural defense barriers. Cathelicidin Leucine Leucine-37 (LL-37) is the only cathelicidin present in humans and synthesized by several cells including immune cells. The most effective inducer of Cathelicidin is 1,25-dihydroxyvitamin D3 (1,25(OH)2 D3), which is an active form of vitamin D 25(OH)D3. This review discusses cathelicidin, vitamin D3 and its role in immunity against TBKeywords: Cathelicidin, 1,25-dihydroxyvitamin D3, vitamin D 25(OH)D3, immunity, Tuberkulosis
{"title":"Cathelicidin, vitamin D3 dan imunitas terhadap tuberkulosis","authors":"Yunita Arliny, Maryatun Hasan","doi":"10.24815/JKS.V20I3.18610","DOIUrl":"https://doi.org/10.24815/JKS.V20I3.18610","url":null,"abstract":"Abstrak. Tuberkulosis (TB) merupakan salah satu penyakit infeksi yang menjadi masalah di dunia. Risiko untuk mendapatkan infeksi TB dipengaruhi oleh imunitas alamiah melawan mikobakteria. Peptida antimikroba merupakan salah satu barrier pertahanan alamiah. Cathelicidin adalah suatu peptida anti mikroba yang berperan pada proses imunitas terhadap TB. Cathelicidin Leusin Leusin-37 (LL-37) merupakan satu-satunya cathelicidin yang ada pada manusia dan dapat diekspresikan dari beberapa sel temasuk sel imun. Inducer Cathelicidin yang paling poten adalah 1,25-dihydroxyvitamin D3 yang merupakan bentuk aktif vitamin D 25(OH)D3. Tinjauan pustaka ini membahas tentang cathelicidin, vitamin D3 dam peranannya pada imunitas terhadap TB.Kata kunci: Cathelicidin, 1,25-dihydroxyvitamin D3, vitamin D 25(OH)2D3, imunitas, TuberkulosisAbstract. Tuberculosis is one of the most important infectious diseases worldwide. The susceptibility to this disease depends to great extent on the innate immune response against mycobacteria. Antimicrobial peptides are one of the natural defense barriers. Cathelicidin Leucine Leucine-37 (LL-37) is the only cathelicidin present in humans and synthesized by several cells including immune cells. The most effective inducer of Cathelicidin is 1,25-dihydroxyvitamin D3 (1,25(OH)2 D3), which is an active form of vitamin D 25(OH)D3. This review discusses cathelicidin, vitamin D3 and its role in immunity against TBKeywords: Cathelicidin, 1,25-dihydroxyvitamin D3, vitamin D 25(OH)D3, immunity, Tuberkulosis","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81916423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-02DOI: 10.24815/JKS.V21I1.20903
S. L. Winaputri, D. Husada, B. Utomo, I. Ratridewi, Susanto Nugroho, I. Ugrasena, P. Basuki, I. Ismoedijanto
Abstract. Background: Febrile neutropenia in malignancy children increase the risk of infection, morbidity and mortality. Microbiologically documented infection in pediatric malignancy has not been studied in Saiful Anwar Hospital. Purpose: Determine profile of blood, urine, sputum, and wound bed culture and antimicrobial sensitivities pattern in pediatric malignancy patients with febrile neutropenia. Methods: Pediatric malignancy patients with febrile neutropenia and microbiologically documented infection admitted to dr Saiful Anwar General Hospital Malang, were studied from 2016 to 2019. Bacterial and fungal etiology were identified, along with antimicrobial sensitivities patterns. Results: 53 (17%) of 307 pediatric malignancy patients with febrile neutropenia experienced 75 episodes of microbiologically documented infection. 40 (53,3%) gram-negative and 34 (45,3%) gram-positive isolated from 75 isolated pathogens. The most common gram-negative were Klebsiella pneumonia (n=15) and Escherichia coli (n=8). The most common gram-positive were Coagulase-negative Staphylococci (n=14) and Enterococcus faecalis (n=7). Escherichia coli, Coagulase-negative Staphylococci, Enterococcus faecalis, and Staphylococcus aureus were 100% sensitive to all tested antimicrobials. Klebsiella pneumonia and Acinetobacter baumanni were 100% sensitive to almost all tested antimicrobials. Pseudomonas aeruginosa was found less sensitive (0-80%) to all tested antimicrobials. Conclusion: Investigation of antimicrobial sensitivities of these organisms may guide successful antimicrobial therapy and improve quality of pediatric malignancy care. Abstrak. Latar Belakang: Demam neutropenia pada keganasan anak meningkatkan risiko infeksi, morbiditas dan mortalitas. Microbiologically Documented Infection merupakan masalah utama di dunia, namun belum dilakukan penelitian di RSUD Dr. Saiful Anwar. Tujuan: Melihat gambaran kultur darah, urine, sputum, dan dasar luka dan pola sensitivitas antimikroba pada keganasan anak dengan demam neutropenia. Metode: Pasien keganasan anak dengan demam neutropenia di bangsal Hemato-onkologi Departemen Ilmu Kesehatan Anak RSUD Dr. Saiful Anwar Malang dan terdiagnosis Microbiologically Documented Infection pada tahun 2016-2019, ditentukan etiologi, serta pola sensitivitas antimikroba. Hasil: Dari 307 pasien keganasan anak dengan demam neutropenia, 53(17%) pasien mengalami 75 episode microbiologically documented infection. Didapatkan 40(53,3%) bakteri gram negatif dan 34(45,3%) gram positif dari 75 hasil kultur. Bakteri gram negatif yang paling banyak ditemukan adalah Klebsiella pneumonia (n=15) dan Escherichia coli (n=8), serta Coagulase-negative Staphylococci (n=14) dan Enterococcus faecalis (n=7) pada gram positif. Escherichia coli, Coagulase-negative Staphylococci, Enterococcus faecalis, dan Staphylococcus aureus 100% sensitif terhadap semua antimikroba yang diuji. Klebsiella pneumonia dan Acinetobacter baumanni 100% sensitif terhadap hampir semua a
摘要背景:恶性肿瘤儿童发热性中性粒细胞减少增加感染、发病率和死亡率的风险。微生物学记录的儿童恶性肿瘤感染尚未在Saiful Anwar医院进行研究。目的:确定小儿恶性肿瘤伴发热性中性粒细胞减少症患者的血、尿、痰、伤口床培养及抗菌药物敏感性。方法:选取2016 - 2019年玛琅赛福安华总医院收治的发热性中性粒细胞减少和微生物学记录感染的儿童恶性肿瘤患者为研究对象。确定了细菌和真菌的病因,以及抗菌药物的敏感性模式。结果:在307例伴有发热性中性粒细胞减少症的儿童恶性肿瘤患者中,53例(17%)经历了75次微生物学记录的感染。从75例分离的病原菌中分离出革兰氏阴性菌40例(53.3%),革兰氏阳性菌34例(45.3%)。最常见的革兰氏阴性是肺炎克雷伯菌(n=15)和大肠杆菌(n=8)。最常见的革兰氏阳性为凝固酶阴性葡萄球菌(n=14)和粪肠球菌(n=7)。大肠杆菌、凝固酶阴性葡萄球菌、粪肠球菌和金黄色葡萄球菌对所有测试的抗菌素均100%敏感。肺炎克雷伯菌和鲍曼不动杆菌对几乎所有测试的抗菌素都100%敏感。发现铜绿假单胞菌对所有测试的抗菌素敏感性较低(0-80%)。结论:研究这些微生物的抗菌药物敏感性可以指导成功的抗菌药物治疗,提高儿童恶性肿瘤的护理质量。Abstrak。Latar Belakang:糖尿病中性粒细胞减少症,发病与死亡。微生物记录感染merupakan masalah utama di dunia, namun belum dilakukan penelitian di RSUD Saiful Anwar博士。图鹃:梅利希甘巴兰文化达拉,尿,痰,丹达萨卢卡丹pola敏感,抗结核结核,克加纳,阿纳克登和老年粒细胞减少症。方法:血液科医生Ilmu Kesehatan anak RSUD的Saiful Anwar Malang博士诊断为微生物学记录的感染,2016-2019年,不同的病因,对抗微生物药物敏感。Hasil: 307例患者keganasan anak dengan demam中性粒细胞减少症,53例(17%)患者mengalami 75例微生物学记录感染。Didapatkan 40(53.3%)阴性,Didapatkan 34(45.3%)阳性,Didapatkan 75阳性。革兰氏杆菌阴性阳paling banyak ditemukan adalah肺炎克雷伯菌(n=15)和大肠埃希菌(n=8), serta凝固酶阴性葡萄球菌(n=14)和粪肠球菌(n=7)革兰氏阳性。大肠埃希菌、凝固酶阴性葡萄球菌、粪肠球菌、金黄色葡萄球菌100%敏菌菌素抗微生物杨diuji。肺炎克雷伯氏菌和鲍曼不动杆菌100%敏感,对血清抗微生物有害。铜绿假单胞菌对细菌敏感(0 ~ 80%)。Penelitian tentsensitivity:对微生物的敏感性,但对微生物的敏感性,但对微生物的敏感性,对微生物的敏感性,对微生物的敏感性,对微生物的敏感性,对微生物的敏感性,对微生物的敏感性,对微生物的敏感性,对微生物的敏感性,对微生物的敏感性,对微生物的敏感性。
{"title":"Microbiologically documented infection and antimicrobial sensitivities in pediatric malignancy patients with febrile neutropenia at Dr Saiful Anwar Hospital, Malang, Indonesia","authors":"S. L. Winaputri, D. Husada, B. Utomo, I. Ratridewi, Susanto Nugroho, I. Ugrasena, P. Basuki, I. Ismoedijanto","doi":"10.24815/JKS.V21I1.20903","DOIUrl":"https://doi.org/10.24815/JKS.V21I1.20903","url":null,"abstract":"Abstract. Background: Febrile neutropenia in malignancy children increase the risk of infection, morbidity and mortality. Microbiologically documented infection in pediatric malignancy has not been studied in Saiful Anwar Hospital. Purpose: Determine profile of blood, urine, sputum, and wound bed culture and antimicrobial sensitivities pattern in pediatric malignancy patients with febrile neutropenia. Methods: Pediatric malignancy patients with febrile neutropenia and microbiologically documented infection admitted to dr Saiful Anwar General Hospital Malang, were studied from 2016 to 2019. Bacterial and fungal etiology were identified, along with antimicrobial sensitivities patterns. Results: 53 (17%) of 307 pediatric malignancy patients with febrile neutropenia experienced 75 episodes of microbiologically documented infection. 40 (53,3%) gram-negative and 34 (45,3%) gram-positive isolated from 75 isolated pathogens. The most common gram-negative were Klebsiella pneumonia (n=15) and Escherichia coli (n=8). The most common gram-positive were Coagulase-negative Staphylococci (n=14) and Enterococcus faecalis (n=7). Escherichia coli, Coagulase-negative Staphylococci, Enterococcus faecalis, and Staphylococcus aureus were 100% sensitive to all tested antimicrobials. Klebsiella pneumonia and Acinetobacter baumanni were 100% sensitive to almost all tested antimicrobials. Pseudomonas aeruginosa was found less sensitive (0-80%) to all tested antimicrobials. Conclusion: Investigation of antimicrobial sensitivities of these organisms may guide successful antimicrobial therapy and improve quality of pediatric malignancy care. Abstrak. Latar Belakang: Demam neutropenia pada keganasan anak meningkatkan risiko infeksi, morbiditas dan mortalitas. Microbiologically Documented Infection merupakan masalah utama di dunia, namun belum dilakukan penelitian di RSUD Dr. Saiful Anwar. Tujuan: Melihat gambaran kultur darah, urine, sputum, dan dasar luka dan pola sensitivitas antimikroba pada keganasan anak dengan demam neutropenia. Metode: Pasien keganasan anak dengan demam neutropenia di bangsal Hemato-onkologi Departemen Ilmu Kesehatan Anak RSUD Dr. Saiful Anwar Malang dan terdiagnosis Microbiologically Documented Infection pada tahun 2016-2019, ditentukan etiologi, serta pola sensitivitas antimikroba. Hasil: Dari 307 pasien keganasan anak dengan demam neutropenia, 53(17%) pasien mengalami 75 episode microbiologically documented infection. Didapatkan 40(53,3%) bakteri gram negatif dan 34(45,3%) gram positif dari 75 hasil kultur. Bakteri gram negatif yang paling banyak ditemukan adalah Klebsiella pneumonia (n=15) dan Escherichia coli (n=8), serta Coagulase-negative Staphylococci (n=14) dan Enterococcus faecalis (n=7) pada gram positif. Escherichia coli, Coagulase-negative Staphylococci, Enterococcus faecalis, dan Staphylococcus aureus 100% sensitif terhadap semua antimikroba yang diuji. Klebsiella pneumonia dan Acinetobacter baumanni 100% sensitif terhadap hampir semua a","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73967799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstrak. Penyakit ginjal kronis (PGK) merupakan penyakit yang dapat mengakibatkan penderitanya mengalami stress jangka panjang dan akhirnya bermanifestasi menjadi depresi. Depresi yang ditimbulkan dapat mempengaruhi perilaku pasien dalam hal pengaturan cairan sehingga dapat berakibat terhadap peningkatan Interdialytic Weight Gain (IDWG). Jika IDWG meningkat maka akan menimbulkan komplikasi yang dapat menghambat keberhasilan terapi hemodialisis. Penelitian ini bertujuan untuk mengetahui gambaran tingkat depresi terhadap terjadinya peningkatan Interdialytic Weight Gain pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh. Jenis penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan pada bulan Desember 2019 menggunakan teknik accidental sampling dengan responden adalah pasien di unit hemodialisis RSUDZA Banda Aceh. Pengumpulan data dilakukan dengan menggunakan kuesioner Hamilton Rating Scale for Depression kemudian dilakukan analisis univariat untuk mengatahui gambaran dari penelitian dan bivariat dengan menggunakan uji korelasi Spearman. Berdasarkan hasil analisis statistik dengan menggunakan uji Spearman, didapatkan p value sebesar 0,000 (p0,05) dengan koefisien korelasi Spearman sebesar 0,729. Hal ini menunjukkan adanya hubungan yang signifikan antara tingkat depresi dengan peningkatan IDWG pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh.Kata Kunci: Penyakit Ginjal Kronis, Hemodialisis, Depresi, Interdialytic Weight GainAbstract. Chronic kidney diasease (CKD) might cause stress which generally leads to depression. Depression is correlated to significant impairment in a patient's daily life, such as excessive Interdialytic Weight Gain (IDWG) caused by an overload of fluids. Excessive Interdialytic Weight Gain might also cause other complications that are able to interfere the process of hemodialysis therapy. The objective of this research was to identify the overview of and the correlation between depression types and Interdialytic Weight Gain (IDWG) of the chronic kidney disease patients undergoing hemodialysis therapy in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh. This descriptive analytical research was conducted by means of a cross-sectional study approach. The data were collected in December 2019 by using an accidental sampling technique. The data were collected by distributing the Hamilton Rating Scale for Depression. Those data were then analyzed by using a univariate data analysis and a bivariate data analysis, especially the Spearman Correlation Coefficient. Based on the statistical analysis with the Spearman test, p-value of 0.000 (p0.05) with a Spearmen Correlation Coefficient of 0.729 was found. Hence, a significant correlation between depression levels or types and IDWG in chronic kidney disease patients undergoing hemodialysis in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh was indicated.Keywords: Chronic Kidney Disease, hemodia
抽象。慢性肾病(PGK)是一种会导致长期压力并最终表现为抑郁的疾病。由此引起的抑郁会影响患者对液体调节的行为,从而导致对IDWG增益的影响。如果IDWG的数量增加,就会产生阻碍血液透析治疗成功的并发症。这项研究的目的是确定PGK患者在亚齐血管透析(RSUDZA Banda -亚齐)接受血液透析的腰酸率上升的抑郁症程度。这种研究是通过分段法进行的分析性描述性研究。数据收集发生在2019年12月,使用采样技术,急救人员是班达亚齐血液透析小组的患者。数据收集是用汉密尔顿的调查问卷进行的,当时进行了单变量分析,然后使用Spearman相关测试对研究和双变量进行分析。通过使用Spearman测试进行的统计分析,获得p值为0万(p0.05),并将Spearman相关系数为0.729。这表明,在RSUDZA Banda亚齐接受血液透析的PGK患者中,抑郁症发病率的上升与IDWG之间存在显著的联系。关键词:慢性肾病、血液透析、抑郁症、内啡肽消化道。慢性头痛可能会导致最初的压力导致抑郁。沮丧对一个病人的日常生活有很大的影响,就像一种过度的互动性失衡被一种过量的液体所影响一样。过度的干预可能是另一个原因,即破坏血液透析治疗的过程。这项研究的目标是确定长期抑郁症和内压氧压积疗法之间的关系。这篇分析研究的定义是由一个跨部门的研究来解释的。数据是在2019年12月收集的,使用意外采样技术。这些数据是由汉密尔顿公司发行的抗抑郁Scale数据收集的。这些数据后来被使用单变量数据分析和双变量数据分析分析,特别是特殊的目标相关文献分析。基于用矛测试进行的统计分析,发现了一个目标相关的辅导法。这是慢性抑郁症、伤寒和惰性抑郁症之间的重大关系。慢性肾疾病,止血、抑郁、腹腔镜增益
{"title":"Gambaran tingkat depresi terhadap kejadian peningkatan interdialytic weight gain pada pasien penyakit ginjal kronik yang menjalani hemodialisis di Rumah Sakit Umum Dr. Zainal Abidin, Banda Aceh","authors":"Safina Khairidina, Maryatun Hasan, Mirfandi Amirsyah, Maimun Syukri, Rina Hastuti Lubis","doi":"10.24815/jks.v20i2.18503","DOIUrl":"https://doi.org/10.24815/jks.v20i2.18503","url":null,"abstract":"Abstrak. Penyakit ginjal kronis (PGK) merupakan penyakit yang dapat mengakibatkan penderitanya mengalami stress jangka panjang dan akhirnya bermanifestasi menjadi depresi. Depresi yang ditimbulkan dapat mempengaruhi perilaku pasien dalam hal pengaturan cairan sehingga dapat berakibat terhadap peningkatan Interdialytic Weight Gain (IDWG). Jika IDWG meningkat maka akan menimbulkan komplikasi yang dapat menghambat keberhasilan terapi hemodialisis. Penelitian ini bertujuan untuk mengetahui gambaran tingkat depresi terhadap terjadinya peningkatan Interdialytic Weight Gain pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh. Jenis penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan pada bulan Desember 2019 menggunakan teknik accidental sampling dengan responden adalah pasien di unit hemodialisis RSUDZA Banda Aceh. Pengumpulan data dilakukan dengan menggunakan kuesioner Hamilton Rating Scale for Depression kemudian dilakukan analisis univariat untuk mengatahui gambaran dari penelitian dan bivariat dengan menggunakan uji korelasi Spearman. Berdasarkan hasil analisis statistik dengan menggunakan uji Spearman, didapatkan p value sebesar 0,000 (p0,05) dengan koefisien korelasi Spearman sebesar 0,729. Hal ini menunjukkan adanya hubungan yang signifikan antara tingkat depresi dengan peningkatan IDWG pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh.Kata Kunci: Penyakit Ginjal Kronis, Hemodialisis, Depresi, Interdialytic Weight GainAbstract. Chronic kidney diasease (CKD) might cause stress which generally leads to depression. Depression is correlated to significant impairment in a patient's daily life, such as excessive Interdialytic Weight Gain (IDWG) caused by an overload of fluids. Excessive Interdialytic Weight Gain might also cause other complications that are able to interfere the process of hemodialysis therapy. The objective of this research was to identify the overview of and the correlation between depression types and Interdialytic Weight Gain (IDWG) of the chronic kidney disease patients undergoing hemodialysis therapy in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh. This descriptive analytical research was conducted by means of a cross-sectional study approach. The data were collected in December 2019 by using an accidental sampling technique. The data were collected by distributing the Hamilton Rating Scale for Depression. Those data were then analyzed by using a univariate data analysis and a bivariate data analysis, especially the Spearman Correlation Coefficient. Based on the statistical analysis with the Spearman test, p-value of 0.000 (p0.05) with a Spearmen Correlation Coefficient of 0.729 was found. Hence, a significant correlation between depression levels or types and IDWG in chronic kidney disease patients undergoing hemodialysis in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh was indicated.Keywords: Chronic Kidney Disease, hemodia","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82918554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstrak. Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) adalah suatu sindrom yang ditandai dengan aplasia uterus, serviks, dan 2/3 vagina bagian atas karena perkembangan yang tidak sempurna dari duktus Mullerian. Dilaporkan seorang perempuan berusia 26 tahun yang mengeluh belum pernah menstruasi sampai saat ini. Secara fenotip pasien tampak sebagai perempuan yang memiliki perawakan normal. Payudara dan distribusi pertumbuhan rambut aksila serta kemaluan berkembang normal, disertai pertumbuhan lemak pada bokong dan paha. Tuba fallopi, rahim, dan vagina 2/3 proksimal tidak terbentuk. Pada pemeriksaan klinis ginekologi tampak introitus vagina dengan sonde vagina sepanjang 2 cm. Pemeriksaan USG abdominal, uterus berupa garis dan kedua ovarium sulit dinilai. Pemeriksaan MRI didapatkan agenesis uterus dan agenesis adnexa. Pemeriksaan analisa hormonal, LH 9,81 mIU/mL, FSH 6,87 mIU/mL, progesteron 0,51 ng/mL, estradiol 46,4 pg/mL, testosteron 60,45 mg/dl, TSH 1,216 mIU/L, T4 11 ug/dl, serta analisa kromosom 46XX. Pasien direncanakan untuk dilakukan vaginoplasti.Kata kunci : sindrom MRKH, anomali duktus Mulleri, vaginoplastiAbstract. Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) is a syndrome characterized by uterine, cervix, and the two third of upper vagina aplasia which is the cause of incomplete development of the Müllerian duct. Reported a case of woman 26 years old, patient has not menstruated until now. The phenotype of the patient appears to be female, and with normal stature. Breast, axilla dan pubic hair distribution, fatty in buttocks and thigh developed normally. Fallopian tubes, uterine and 2/3 upper part of vagina were not formed. On gynecological clinical examination, found vaginal introitus with a vaginal sonde was 2 cm. On abdominal ultrasound examination, the uterus was seen as a line and both ovaries were difficult to assess. MRI examination obtained theresults as uterine and adnexa agenesis. Hormonal analysis showing LH 9.81 mIU/mL, FSH 6.87 mIU/mL, progesteron 0.51 ng/mL, estradiol 46.4 pg/mL, testosterone 60.45 mg/dl, TSH 1.216 mIU/L, T4 11 ug/dl, and chromosome examination is 46 XX. Patient are planned for vaginoplasty. Key words: MRKH syndrome, mullerian duct anomalies, vaginoplasty
{"title":"Mayer-Rokitansky-Küster-Hauser syndrome","authors":"Cut Meurah Yeni, Khairussani Khairussani, Wardatul Bararah","doi":"10.24815/jks.v20i1.18299","DOIUrl":"https://doi.org/10.24815/jks.v20i1.18299","url":null,"abstract":"Abstrak. Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) adalah suatu sindrom yang ditandai dengan aplasia uterus, serviks, dan 2/3 vagina bagian atas karena perkembangan yang tidak sempurna dari duktus Mullerian. Dilaporkan seorang perempuan berusia 26 tahun yang mengeluh belum pernah menstruasi sampai saat ini. Secara fenotip pasien tampak sebagai perempuan yang memiliki perawakan normal. Payudara dan distribusi pertumbuhan rambut aksila serta kemaluan berkembang normal, disertai pertumbuhan lemak pada bokong dan paha. Tuba fallopi, rahim, dan vagina 2/3 proksimal tidak terbentuk. Pada pemeriksaan klinis ginekologi tampak introitus vagina dengan sonde vagina sepanjang 2 cm. Pemeriksaan USG abdominal, uterus berupa garis dan kedua ovarium sulit dinilai. Pemeriksaan MRI didapatkan agenesis uterus dan agenesis adnexa. Pemeriksaan analisa hormonal, LH 9,81 mIU/mL, FSH 6,87 mIU/mL, progesteron 0,51 ng/mL, estradiol 46,4 pg/mL, testosteron 60,45 mg/dl, TSH 1,216 mIU/L, T4 11 ug/dl, serta analisa kromosom 46XX. Pasien direncanakan untuk dilakukan vaginoplasti.Kata kunci : sindrom MRKH, anomali duktus Mulleri, vaginoplastiAbstract. Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) is a syndrome characterized by uterine, cervix, and the two third of upper vagina aplasia which is the cause of incomplete development of the Müllerian duct. Reported a case of woman 26 years old, patient has not menstruated until now. The phenotype of the patient appears to be female, and with normal stature. Breast, axilla dan pubic hair distribution, fatty in buttocks and thigh developed normally. Fallopian tubes, uterine and 2/3 upper part of vagina were not formed. On gynecological clinical examination, found vaginal introitus with a vaginal sonde was 2 cm. On abdominal ultrasound examination, the uterus was seen as a line and both ovaries were difficult to assess. MRI examination obtained theresults as uterine and adnexa agenesis. Hormonal analysis showing LH 9.81 mIU/mL, FSH 6.87 mIU/mL, progesteron 0.51 ng/mL, estradiol 46.4 pg/mL, testosterone 60.45 mg/dl, TSH 1.216 mIU/L, T4 11 ug/dl, and chromosome examination is 46 XX. Patient are planned for vaginoplasty. Key words: MRKH syndrome, mullerian duct anomalies, vaginoplasty","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88390191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-01DOI: 10.24815/jks.v20i1.18294
D. P. Nugraha, Eka Bebasari, Sahwal Sahputra
Abstrak. Stroke adalah penyakit gangguan fungsional otak yang timbul mendadak dan berlangsung lebih dari 24 jam atau berakhir dengan kematian tanpa diketahui penyebab yang jelas selain gangguan vaskuler. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah dislipidemia. Tujuan penelitian ini adalah untuk mengetahui gambaran dislipidemia pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 103 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada jenis kelamin laki-laki yaitu 63 orang (61,2%). Usia terbanyak terjadi pada rentang usia 51-65 tahun sebanyak 54 (52,4%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 59 orang (57,3%). Kadar kolesterol total terbanyak pada rentang normal yaitu sebanyak 46 orang (44,7%). Kadar High Density Lipoprotein (HDL) terbanyak pada rentang normal yaitu sebanyak 49 orang (47,6%). Kadar Low Density Lipoprotein (LDL) terbanyak pada kategori tinggi sebanyak 26 orang (25,2%) dan normal tapi berisiko sebanyak 26 orang (25,2%). Kadar trigliserida terbanyak pada kategori normal sebanyak 65 orang (63,1%). Terdapat 17 orang (16,5%) pasien dislipidemia, sebanyak 9 orang (52,9%) adalah stroke iskemik. Kesimpulan dari penelitian ini adalah dislipidemia lebih banyak terjadi pada stroke iskemik disbanding stroke hemoragik.Kata kunci: dislipidemia, stroke, stroke non hemoragikAbstract. Stroke is a disease of the brain functional disorders that arises suddenly and lasts more than 24 hours or ends in death situation without a known cause other than vascular disorders. Strokes are generally classified into ischemic stroke (non-hemorrhagic) and hemorrhagic stroke, One of the risk factors of stroke is dyslipidemia. The aim of this study was to describe dyslipidemia in acute stroke patients at Arifin Achmad Regioal General Hospital of Riau Province in January to December 2019. This was a descriptive study design with cross sectional study method by using secondary data of the acute stroke patient's medical record at Arifin Achmad Regional General Hospital of Riau Province in January to December 2019 with a total sample of 103 cases. The results show that stroke is more common in male that is 63 (61.2%) cases, and the majority happened within the 51-65 years age groups with 54 (52.4%) cases. Most of the stroke’s type in patients were hemorrhagic stroke in 59 (57.3%) cases. Highest total of cholesterol level remains normal in 46 (44.7%) cases. The majority of patients still presented with normal level of High Density Lipoprotein (HDL) in 49 (47.6%) cases. In contrary, most patients presented with high level of Low Density Lipoprotein
{"title":"Gambaran dislipidemia pada pasien stroke akut di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau periode Januari-Desember 2019","authors":"D. P. Nugraha, Eka Bebasari, Sahwal Sahputra","doi":"10.24815/jks.v20i1.18294","DOIUrl":"https://doi.org/10.24815/jks.v20i1.18294","url":null,"abstract":"Abstrak. Stroke adalah penyakit gangguan fungsional otak yang timbul mendadak dan berlangsung lebih dari 24 jam atau berakhir dengan kematian tanpa diketahui penyebab yang jelas selain gangguan vaskuler. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah dislipidemia. Tujuan penelitian ini adalah untuk mengetahui gambaran dislipidemia pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 103 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada jenis kelamin laki-laki yaitu 63 orang (61,2%). Usia terbanyak terjadi pada rentang usia 51-65 tahun sebanyak 54 (52,4%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 59 orang (57,3%). Kadar kolesterol total terbanyak pada rentang normal yaitu sebanyak 46 orang (44,7%). Kadar High Density Lipoprotein (HDL) terbanyak pada rentang normal yaitu sebanyak 49 orang (47,6%). Kadar Low Density Lipoprotein (LDL) terbanyak pada kategori tinggi sebanyak 26 orang (25,2%) dan normal tapi berisiko sebanyak 26 orang (25,2%). Kadar trigliserida terbanyak pada kategori normal sebanyak 65 orang (63,1%). Terdapat 17 orang (16,5%) pasien dislipidemia, sebanyak 9 orang (52,9%) adalah stroke iskemik. Kesimpulan dari penelitian ini adalah dislipidemia lebih banyak terjadi pada stroke iskemik disbanding stroke hemoragik.Kata kunci: dislipidemia, stroke, stroke non hemoragikAbstract. Stroke is a disease of the brain functional disorders that arises suddenly and lasts more than 24 hours or ends in death situation without a known cause other than vascular disorders. Strokes are generally classified into ischemic stroke (non-hemorrhagic) and hemorrhagic stroke, One of the risk factors of stroke is dyslipidemia. The aim of this study was to describe dyslipidemia in acute stroke patients at Arifin Achmad Regioal General Hospital of Riau Province in January to December 2019. This was a descriptive study design with cross sectional study method by using secondary data of the acute stroke patient's medical record at Arifin Achmad Regional General Hospital of Riau Province in January to December 2019 with a total sample of 103 cases. The results show that stroke is more common in male that is 63 (61.2%) cases, and the majority happened within the 51-65 years age groups with 54 (52.4%) cases. Most of the stroke’s type in patients were hemorrhagic stroke in 59 (57.3%) cases. Highest total of cholesterol level remains normal in 46 (44.7%) cases. The majority of patients still presented with normal level of High Density Lipoprotein (HDL) in 49 (47.6%) cases. In contrary, most patients presented with high level of Low Density Lipoprotein","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"281 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72435685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-01DOI: 10.24815/jks.v20i1.18298
Ribka B. A Mboe, M. Purwanta, Lilik Djuari
Abstract. Infeksi adalah salah satu dari isu kesehatan yang disebabkan oleh mikroorganisme patogen dan salah satu mikroorganisme yang tersering adalah Streptococcus. Terdapat 616 kasus faringitis di dunia yang disebabkan oleh Streptococcus. Penyakit tersebut dapat menimbulkan berbgai komplikasi lain bila tidak diterapi dengan baik. Pengobatan menggunakan antibiotik memiliki risiko terjadinya resistensi. Oleh sebab itu, diperlukan pengembangan penelitian pada herbal sebagai pengobatan. Bunga kamboja putih (Plumeria alba) diketahui memiliki aktivitas antibakteri melawan berbagai macam mikroorganisme. Dengan latar belakang tersebut, tujuan dari penelitian ini adalah untuk menentukan adanya aktivitas antimikroba dari Plumeria alba terhadap Streptococcus pyogenes yang dapat diamati dari Konsentrasi Hambat Minimum (KHM) dan Konsentrasi Bunuh Minimum (KBM). Penelitian ini dikerjakan menggunakan metode eksperimental. Metode dilusi agar digunakan untuk menentukan KHM dan KBM. Konentrasi yang digunakan pada penelitian ini adalah 250 mg/ml, 125 mg/ml, 62,50 mg/ml, 31.25 mg/ml, 15,63 mg/m, 7,81 mg/ml, 3,91 mg/ml, 1,95 mg/ml, 0,98 mg/ml, kontrol positif (+) dan kontrol negatif (-). Melalui observasi dari penelitian ini, KHM tidak dapat ditentukan. Nilai dari KBM adalah 7,81 mg/ml yang menunjukkan konsentrasi dimana tidak didapatkan pertumbuhan koloni bakteri. Ekstrak etanol dari bunga kamboja putih (Plumeria alba) memiliki aktivitas antimikroba terhadapt Streptococcus pyogenes. Dalam studi in vitro ini menggunakan metode dilusi agar, KBM untuk Streptococcus pyogenes adalah 7,81 mg/ml.Kata Kunci: Bakteri patogen, telepon genggam, identifikasi bakteriAbstract. Recently people use mobile phone in the places that have a high density of microorganisms such as in the hospital, in the kitchen, and in the toilet. Some studied stated that mobile phones played a role in transmission of pathogenic bacteria. Brady et al., reported that 9% to 25% of mobile phones were contaminated with pathogenic bacteria. This research was based on experimental laboratory. The samples were mobile phone, swabbed by wet sterile cotton bud and placed on MacConkey Agar plate and Blood Agar plate. The isolated bacteria were checked by Gram stained. Catalase test for Gram-positive cocci bacteria and specific biochemical test for Gram-negative bacilli bacteria were used to determine the genus of the bacteria. The samples were mobile phone belong to 2014-entering-year students of Medical Faculty of Airlangga University. The sampling method was simple random sampling. This experiment found that 100% of the samples were Staphylococcus spp. positive, 3,3% were Shigella spp. positive and 3,3% were Proteus spp. positive. From this experiment could be concluded that mobile phone belong to 2014-entering-year students of Medical Faculty of Airlangga University were contaminated by pathogenic bacteria. The result of this experiment found that Shigella spp. and Proteus spp. were pathogenic bacteria on mo
{"title":"Bakteri patogen pada telepon genggam mahasiswa fakultas kedokteran Universitas Airlangga angkatan 2014","authors":"Ribka B. A Mboe, M. Purwanta, Lilik Djuari","doi":"10.24815/jks.v20i1.18298","DOIUrl":"https://doi.org/10.24815/jks.v20i1.18298","url":null,"abstract":"Abstract. Infeksi adalah salah satu dari isu kesehatan yang disebabkan oleh mikroorganisme patogen dan salah satu mikroorganisme yang tersering adalah Streptococcus. Terdapat 616 kasus faringitis di dunia yang disebabkan oleh Streptococcus. Penyakit tersebut dapat menimbulkan berbgai komplikasi lain bila tidak diterapi dengan baik. Pengobatan menggunakan antibiotik memiliki risiko terjadinya resistensi. Oleh sebab itu, diperlukan pengembangan penelitian pada herbal sebagai pengobatan. Bunga kamboja putih (Plumeria alba) diketahui memiliki aktivitas antibakteri melawan berbagai macam mikroorganisme. Dengan latar belakang tersebut, tujuan dari penelitian ini adalah untuk menentukan adanya aktivitas antimikroba dari Plumeria alba terhadap Streptococcus pyogenes yang dapat diamati dari Konsentrasi Hambat Minimum (KHM) dan Konsentrasi Bunuh Minimum (KBM). Penelitian ini dikerjakan menggunakan metode eksperimental. Metode dilusi agar digunakan untuk menentukan KHM dan KBM. Konentrasi yang digunakan pada penelitian ini adalah 250 mg/ml, 125 mg/ml, 62,50 mg/ml, 31.25 mg/ml, 15,63 mg/m, 7,81 mg/ml, 3,91 mg/ml, 1,95 mg/ml, 0,98 mg/ml, kontrol positif (+) dan kontrol negatif (-). Melalui observasi dari penelitian ini, KHM tidak dapat ditentukan. Nilai dari KBM adalah 7,81 mg/ml yang menunjukkan konsentrasi dimana tidak didapatkan pertumbuhan koloni bakteri. Ekstrak etanol dari bunga kamboja putih (Plumeria alba) memiliki aktivitas antimikroba terhadapt Streptococcus pyogenes. Dalam studi in vitro ini menggunakan metode dilusi agar, KBM untuk Streptococcus pyogenes adalah 7,81 mg/ml.Kata Kunci: Bakteri patogen, telepon genggam, identifikasi bakteriAbstract. Recently people use mobile phone in the places that have a high density of microorganisms such as in the hospital, in the kitchen, and in the toilet. Some studied stated that mobile phones played a role in transmission of pathogenic bacteria. Brady et al., reported that 9% to 25% of mobile phones were contaminated with pathogenic bacteria. This research was based on experimental laboratory. The samples were mobile phone, swabbed by wet sterile cotton bud and placed on MacConkey Agar plate and Blood Agar plate. The isolated bacteria were checked by Gram stained. Catalase test for Gram-positive cocci bacteria and specific biochemical test for Gram-negative bacilli bacteria were used to determine the genus of the bacteria. The samples were mobile phone belong to 2014-entering-year students of Medical Faculty of Airlangga University. The sampling method was simple random sampling. This experiment found that 100% of the samples were Staphylococcus spp. positive, 3,3% were Shigella spp. positive and 3,3% were Proteus spp. positive. From this experiment could be concluded that mobile phone belong to 2014-entering-year students of Medical Faculty of Airlangga University were contaminated by pathogenic bacteria. The result of this experiment found that Shigella spp. and Proteus spp. were pathogenic bacteria on mo","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73282760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-13DOI: 10.24815/jks.v22i1.23540
Fatah Jati Pamungkas
Abstract. Background: Abrasion wound is the release of the skin surface caused by friction with rough surface, ginger anti-inflammatory compound so that it can accelerate the healing of abrasion wounds. Objective: the effectiveness of healing abrasion wounds with gel application of ginger extract (Zingiber Officlinale Var Rosc) on white rats (Rattus norvegicus). Method: True experimental with post test only control group design. The study was conducted for 7 days with samples divided into 4 groups, P1 (NaCl 0.9%), P2 (Gel 0%), P3 (Ginger Gel 8%), P4 (Ginger Gel 12%). Application of extract gel was done on days 1, 3 and 5. Wound area observed on day 7. Data analyzed using the One Way ANOVA test. Results: The results showed abrasion wound area day 7 at P1 = 1.47 cm2, P2 = 0.58 cm2, P3 = 0.31 cm2, P4 = 0 cm2, healing speed P1 = 4.9% / day, P2 = 10.6% / day, P3 = 12.31% / day, P4 = 14.2% / day. One way ANOVA test results showed a significant effect (p 0.05). Conclusion: Elephant ginger extract extract (Zingiber officinale var rosc) can accelerate healing of abrasion wounds in white rats (Rattus norvegicus).
{"title":"Efektivitas gel ekstrak jahe gajah (Zingiber officinale var rosc) terhadap kecepatan kesembuhan luka abrasi pada tikus putih (Rattus novergicus) jantan strain wistar","authors":"Fatah Jati Pamungkas","doi":"10.24815/jks.v22i1.23540","DOIUrl":"https://doi.org/10.24815/jks.v22i1.23540","url":null,"abstract":"Abstract. Background: Abrasion wound is the release of the skin surface caused by friction with rough surface, ginger anti-inflammatory compound so that it can accelerate the healing of abrasion wounds. Objective: the effectiveness of healing abrasion wounds with gel application of ginger extract (Zingiber Officlinale Var Rosc) on white rats (Rattus norvegicus). Method: True experimental with post test only control group design. The study was conducted for 7 days with samples divided into 4 groups, P1 (NaCl 0.9%), P2 (Gel 0%), P3 (Ginger Gel 8%), P4 (Ginger Gel 12%). Application of extract gel was done on days 1, 3 and 5. Wound area observed on day 7. Data analyzed using the One Way ANOVA test. Results: The results showed abrasion wound area day 7 at P1 = 1.47 cm2, P2 = 0.58 cm2, P3 = 0.31 cm2, P4 = 0 cm2, healing speed P1 = 4.9% / day, P2 = 10.6% / day, P3 = 12.31% / day, P4 = 14.2% / day. One way ANOVA test results showed a significant effect (p 0.05). Conclusion: Elephant ginger extract extract (Zingiber officinale var rosc) can accelerate healing of abrasion wounds in white rats (Rattus norvegicus).","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86218461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}