Pub Date : 2023-06-30DOI: 10.35990/mk.v6n2.p173-182
Hafizhah Alya Rizviar, Galuh Ramaningrum, T. Setyarini, Kanti Ratnaningrum
COVID-19 adalah penyakit yang disebabkan oleh virus SARS-CoV-2. Kasus COVID-19 di Indonesia mencapai 7,76%, angka ini lebih besar dari kasus COVID-19 di dunia yang hanya 0,8-2,2%. Gambaran foto thoraks dan karakteristik pasien COVID-19 anak lebih bervariasi dibanding kasus dewasa. Penelitian terkait COVID-19 pada anak di Indonesia masih terbatas. Oleh karena itu, peneliti ingin mengetahui gambaran foto thoraks dan karakteristik pasien COVID-19 anak. Penelitian ini adalah studi deskriptif observasional dengan pendekatan kuantitatif. Sampel penelitian ini adalah anak yang didiagnosis COVID-19 dan dirawat di bangsal anak di RSUD Tugurejo Semarang periode Mei 2020-Agustus 2021. Data penelitian menggunakan data sekunder berupa rekam medis. Gambaran foto thoraks yang sering ditemukan penebalan pola broncovaskular dan infiltrasi (39,5%) dan normal (39,5%). Sampel anak di dominasi usia remaja (12-18 tahun) sebanyak 52,6%, laki-laki 68,4%, indeks massa tubuh (IMT) normal 73,7%; dengan gejala ringan 63,2%. Pasien dengan komorbid hanya 2,6%. Gambaran foto thoraks bervariasi kemungkinan disebabkan manifestasi klinis anak mayoritas ringan-sedang sehingga tidak ada gambaran khas seperti pada dewasa. Karakteristik pasien berdasarkan usia mayoritas remaja kemungkinan disebabkan remaja merupakan usia produktif yang memiliki risiko terpapar paling besar karena interaksi erat dengan sekitar. Jenis kelamin mayoritas laki-laki kemungkinan disebabkan jumlah CD4+ pada tubuh lebih sedikit dari wanita. Pasien dengan komorbid hanya 2,6% yaitu bayi prematur kemungkinan disebabkan kekebalan sistem humoral dan selular yang belum cukup. IMT mayoritas normal namun nutrisi sangat dibutuhkan dalam pertahanan tubuh melawan virus. Gejala anak mayoritas ringan-sedang kemungkinan diakibatkan anak memiliki ACE-2 lebih sedikit dari dewasa sehingga tidak sensitif terhadap virus SARS-CoV-2 Kata kunci: anak, COVID-19, foto thoraks, karakteristik
{"title":"GAMBARAN RADIOLOGI FOTO THORAKS DAN KARAKTERISTIK PASIEN ANAK PENDERITA COVID-19 DI RSUD TUGUREJO SEMARANG","authors":"Hafizhah Alya Rizviar, Galuh Ramaningrum, T. Setyarini, Kanti Ratnaningrum","doi":"10.35990/mk.v6n2.p173-182","DOIUrl":"https://doi.org/10.35990/mk.v6n2.p173-182","url":null,"abstract":"COVID-19 adalah penyakit yang disebabkan oleh virus SARS-CoV-2. Kasus COVID-19 di Indonesia mencapai 7,76%, angka ini lebih besar dari kasus COVID-19 di dunia yang hanya 0,8-2,2%. Gambaran foto thoraks dan karakteristik pasien COVID-19 anak lebih bervariasi dibanding kasus dewasa. Penelitian terkait COVID-19 pada anak di Indonesia masih terbatas. Oleh karena itu, peneliti ingin mengetahui gambaran foto thoraks dan karakteristik pasien COVID-19 anak. Penelitian ini adalah studi deskriptif observasional dengan pendekatan kuantitatif. Sampel penelitian ini adalah anak yang didiagnosis COVID-19 dan dirawat di bangsal anak di RSUD Tugurejo Semarang periode Mei 2020-Agustus 2021. Data penelitian menggunakan data sekunder berupa rekam medis. Gambaran foto thoraks yang sering ditemukan penebalan pola broncovaskular dan infiltrasi (39,5%) dan normal (39,5%). Sampel anak di dominasi usia remaja (12-18 tahun) sebanyak 52,6%, laki-laki 68,4%, indeks massa tubuh (IMT) normal 73,7%; dengan gejala ringan 63,2%. Pasien dengan komorbid hanya 2,6%. Gambaran foto thoraks bervariasi kemungkinan disebabkan manifestasi klinis anak mayoritas ringan-sedang sehingga tidak ada gambaran khas seperti pada dewasa. Karakteristik pasien berdasarkan usia mayoritas remaja kemungkinan disebabkan remaja merupakan usia produktif yang memiliki risiko terpapar paling besar karena interaksi erat dengan sekitar. Jenis kelamin mayoritas laki-laki kemungkinan disebabkan jumlah CD4+ pada tubuh lebih sedikit dari wanita. Pasien dengan komorbid hanya 2,6% yaitu bayi prematur kemungkinan disebabkan kekebalan sistem humoral dan selular yang belum cukup. IMT mayoritas normal namun nutrisi sangat dibutuhkan dalam pertahanan tubuh melawan virus. Gejala anak mayoritas ringan-sedang kemungkinan diakibatkan anak memiliki ACE-2 lebih sedikit dari dewasa sehingga tidak sensitif terhadap virus SARS-CoV-2 \u0000\u0000Kata kunci: anak, COVID-19, foto thoraks, karakteristik","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91189637","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 : 2023-06-30DOI: 10.35990/mk.v6n2.p123-133
Dhin Syihabudin
Pandemi Corona Virus Disease (COVID-19) membuat pemerintah menganjurkan perguruan tinggi untuk meminimalkan proses pembelajaran luring dan mengutamakan pembelajaran daring yang menyebabkan mahasiswa sering menggunakan laptop dan terpapar cahaya laptop dalam waktu yang lama, mengerjakan tugas hingga larut malam dapat menyebabkan terganggunya kualitas tidur, sehingga berisiko mengalami astneopia, biasanya ditandai dengan gejala somatik seperti mata kering, merah, penglihatan kabur. WHO mencatat kejadian astenopia di dunia rata-rata 75% per tahun. Penelitian ini bertujuan untuk menganalisis hubungan antara kualitas tidur dan lamanya paparan cahaya laptop dengan kejadian astenopia di masa pandemi. Penelitian kuantitatif, observasional analitik dengan cross sectional. Instrumen yang digunakan PSQI (Pittsburgh Sleep Quality Index) dan VFI (Visual Fatigue Index). Data dianalisis secara bivariat menggunakan uji chi square. Sampel penelitian adalah mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Semarang. Dari 60 responden, 65% memiliki kualitas tidur yang buruk, 66,7% terpapar cahaya laptop dalam jangka waktu yang lama dan 53,3% mengalami astenopia. Berdasarkan hasil analisis didapatkan nilai signifikasi antara kualitas tidur dengan astenopia (p=0,000) dan lamanya paparan cahaya laptop dengan astenopia (p=0,044) sehingga nilai (p < 0,05). Terdapat hubungan antara kualitas tidur dan lamanya paparan cahaya laptop dengan kejadian astenopia di masa pandemi. Kata kunci : astenopia, kualitas tidur, lamanya paparan cahaya laptop
{"title":"HUBUNGAN KUALITAS TIDUR DAN LAMANYA PAPARAN CAHAYA LAPTOP DENGAN KEJADIAN ASTENOPIA DI MASA PANDEMI","authors":"Dhin Syihabudin","doi":"10.35990/mk.v6n2.p123-133","DOIUrl":"https://doi.org/10.35990/mk.v6n2.p123-133","url":null,"abstract":"Pandemi Corona Virus Disease (COVID-19) membuat pemerintah menganjurkan perguruan tinggi untuk meminimalkan proses pembelajaran luring dan mengutamakan pembelajaran daring yang menyebabkan mahasiswa sering menggunakan laptop dan terpapar cahaya laptop dalam waktu yang lama, mengerjakan tugas hingga larut malam dapat menyebabkan terganggunya kualitas tidur, sehingga berisiko mengalami astneopia, biasanya ditandai dengan gejala somatik seperti mata kering, merah, penglihatan kabur. WHO mencatat kejadian astenopia di dunia rata-rata 75% per tahun. Penelitian ini bertujuan untuk menganalisis hubungan antara kualitas tidur dan lamanya paparan cahaya laptop dengan kejadian astenopia di masa pandemi. Penelitian kuantitatif, observasional analitik dengan cross sectional. Instrumen yang digunakan PSQI (Pittsburgh Sleep Quality Index) dan VFI (Visual Fatigue Index). Data dianalisis secara bivariat menggunakan uji chi square. Sampel penelitian adalah mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Semarang. Dari 60 responden, 65% memiliki kualitas tidur yang buruk, 66,7% terpapar cahaya laptop dalam jangka waktu yang lama dan 53,3% mengalami astenopia. Berdasarkan hasil analisis didapatkan nilai signifikasi antara kualitas tidur dengan astenopia (p=0,000) dan lamanya paparan cahaya laptop dengan astenopia (p=0,044) sehingga nilai (p < 0,05). Terdapat hubungan antara kualitas tidur dan lamanya paparan cahaya laptop dengan kejadian astenopia di masa pandemi. \u0000Kata kunci : astenopia, kualitas tidur, lamanya paparan cahaya laptop","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80451196","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 : 2023-06-30DOI: 10.35990/mk.v6n2.p134-142
Asti Kristianti, Siska Telly Pratiwi, Nadya Safira, Nurbaiti Nazarudin
Pembersihan telinga menggunakan cotton buds dapat menjadi faktor risiko infeksi telinga luar terutama kejadian otitis eksterna yang dapat menimbulkan berbagai keluhan telinga seperti nyeri telinga, telinga gatal, telinga penuh, dan penurunan pendengaran. Penelitian ini bertujuan untuk mengetahui hubungan pembersihan telinga menggunakan cotton buds dengan kejadian keluhan telinga pada Mahasiswa Fakultas Kedokteran Universitas Jenderal Achmad Yani (FK Unjani) Angkatan 2019. Populasi penelitian ini adalah Mahasiswa FK Unjani Angkatan 2019 yang melakukan pembersihan telinga menggunakan cotton buds dengan keluhan telinga yang memenuhi kriteria inklusi. Penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Penetapan sampel menggunakan Rumus uji hipotesis beda dua proporsi dua kelompok. Jumlah responden minimal yang dapat digunakan dalam penelitian adalah berjumlah 30 responden. Metode dalam pengambilan responden menggunakan consecutive sampling. Instrumen yang dipakai pada penelitian ini adalah kuesioner. Analisis data menggunakan analisis univariat dan bivariat. Karakteristik responden yang menggunakan cotton buds dalam membersihkan telinganya berjenis kelamin perempuan lebih banyak daripada laki-laki (83,33%). Dalam membersihkan telinga responden paling banyak menggunakan cotton buds menimbulkan keluhan telinga gatal (45,28%), nyeri telinga (33,96%), telinga penuh (18,87%), dan penurunan pendengaran (1,89%). Dari penelitian didapatkan hasil hubungan yang bermakna dengan nilai odds ratio 95,28 kali lebih besar antara pembersihan telinga menggunakan cotton buds dengan kejadian keluhan telinga pada Mahasiswa FK Unjani Angkatan 2019 dibandingkan dengan yang tidak menggunakan cotton buds. Mayoritas keluhan telinga yang terjadi adalah telinga gatal yang menandakan sudah memasuki stadium inflamasi kronik dari kejadian otitis eksterna. Kata Kunci: Cotton buds, keluhan telinga, pembersihan telinga
{"title":"HUBUNGAN PEMBERSIHAN TELINGA MENGGUNAKAN COTTON BUDS DENGAN KEJADIAN KELUHAN TELINGA","authors":"Asti Kristianti, Siska Telly Pratiwi, Nadya Safira, Nurbaiti Nazarudin","doi":"10.35990/mk.v6n2.p134-142","DOIUrl":"https://doi.org/10.35990/mk.v6n2.p134-142","url":null,"abstract":"Pembersihan telinga menggunakan cotton buds dapat menjadi faktor risiko infeksi telinga luar terutama kejadian otitis eksterna yang dapat menimbulkan berbagai keluhan telinga seperti nyeri telinga, telinga gatal, telinga penuh, dan penurunan pendengaran. Penelitian ini bertujuan untuk mengetahui hubungan pembersihan telinga menggunakan cotton buds dengan kejadian keluhan telinga pada Mahasiswa Fakultas Kedokteran Universitas Jenderal Achmad Yani (FK Unjani) Angkatan 2019. Populasi penelitian ini adalah Mahasiswa FK Unjani Angkatan 2019 yang melakukan pembersihan telinga menggunakan cotton buds dengan keluhan telinga yang memenuhi kriteria inklusi. Penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Penetapan sampel menggunakan Rumus uji hipotesis beda dua proporsi dua kelompok. Jumlah responden minimal yang dapat digunakan dalam penelitian adalah berjumlah 30 responden. Metode dalam pengambilan responden menggunakan consecutive sampling. Instrumen yang dipakai pada penelitian ini adalah kuesioner. Analisis data menggunakan analisis univariat dan bivariat. Karakteristik responden yang menggunakan cotton buds dalam membersihkan telinganya berjenis kelamin perempuan lebih banyak daripada laki-laki (83,33%). Dalam membersihkan telinga responden paling banyak menggunakan cotton buds menimbulkan keluhan telinga gatal (45,28%), nyeri telinga (33,96%), telinga penuh (18,87%), dan penurunan pendengaran (1,89%). Dari penelitian didapatkan hasil hubungan yang bermakna dengan nilai odds ratio 95,28 kali lebih besar antara pembersihan telinga menggunakan cotton buds dengan kejadian keluhan telinga pada Mahasiswa FK Unjani Angkatan 2019 dibandingkan dengan yang tidak menggunakan cotton buds. Mayoritas keluhan telinga yang terjadi adalah telinga gatal yang menandakan sudah memasuki stadium inflamasi kronik dari kejadian otitis eksterna.\u0000\u0000Kata Kunci: Cotton buds, keluhan telinga, pembersihan telinga","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80612127","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 : 2023-06-30DOI: 10.35990/mk.v6n2.p152-161
Sri Sarwendah, Jeffrey Jeffrey, Hasna Humaira, Euis Reni Yuslianti
Pemeliharaan kesehatan gigi dan mulut sangat penting untuk mecegah timbulnya penyakit gigi yang akan menurunkan kesehatan gigi dan mulut. Salah satu faktor yang memengaruhi kesehatan gigi dan mulut adalah sikap, perilaku, dan pengetahuan. Tujuan dari penelitian ini untuk mengetahui hubungan antara tingkat pengetahuan kesehatan gigi dan mulut dengan tingkat kebersihan gigi dan mulut pada anak usia 12 tahun di SDN 1 Jampangkulon Kabupaten Sukabumi. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan teknik probability berupa simple random sampling dengan jumlah sampel 39 orang dengan menggunakan analisis chi-square di SDN 1 Jampangkulon. Pengambilan data kebersihan gigi dan mulut menggunakan metode oral hygiene index simplified (OHI-S). Hasil penelitian menunjukkan bahwa seluruh anak usia 12 tahun mempunyai frekuensi tertinggi berdasarkan pengetahuan adalah kriteria cukup, dan frekuensi tertinggi berdasarkan kesehatan gigi dan mulut adalah kriteria cukup. Berdasarkan hasil analisis yang telah dilakukan, maka didapatkan kesimpulan bahwa terdapat hubungan pengetahuan dengan kesehatan gigi dan mulut pada anak usia 12 tahun di SDN 1 Jampangkulon. Kata kunci : kesehatan gigi, tingkat pengetahuan
{"title":"TINGKAT PENGETAHUAN BERHUBUNGAN DENGAN KESEHATAN \u0000GIGI MULUT SISWA SDN JAMPANGKULON SUKABUMI","authors":"Sri Sarwendah, Jeffrey Jeffrey, Hasna Humaira, Euis Reni Yuslianti","doi":"10.35990/mk.v6n2.p152-161","DOIUrl":"https://doi.org/10.35990/mk.v6n2.p152-161","url":null,"abstract":"Pemeliharaan kesehatan gigi dan mulut sangat penting untuk mecegah timbulnya penyakit gigi yang akan menurunkan kesehatan gigi dan mulut. Salah satu faktor yang memengaruhi kesehatan gigi dan mulut adalah sikap, perilaku, dan pengetahuan. Tujuan dari penelitian ini untuk mengetahui hubungan antara tingkat pengetahuan kesehatan gigi dan mulut dengan tingkat kebersihan gigi dan mulut pada anak usia 12 tahun di SDN 1 Jampangkulon Kabupaten Sukabumi. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan teknik probability berupa simple random sampling dengan jumlah sampel 39 orang dengan menggunakan analisis chi-square di SDN 1 Jampangkulon. Pengambilan data kebersihan gigi dan mulut menggunakan metode oral hygiene index simplified (OHI-S). Hasil penelitian menunjukkan bahwa seluruh anak usia 12 tahun mempunyai frekuensi tertinggi berdasarkan pengetahuan adalah kriteria cukup, dan frekuensi tertinggi berdasarkan kesehatan gigi dan mulut adalah kriteria cukup. Berdasarkan hasil analisis yang telah dilakukan, maka didapatkan kesimpulan bahwa terdapat hubungan pengetahuan dengan kesehatan gigi dan mulut pada anak usia 12 tahun di SDN 1 Jampangkulon.\u0000Kata kunci : kesehatan gigi, tingkat pengetahuan","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88555079","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}
Tuberculosis (TB) is a widespread infectious disease caused by Mycobacterium Tubercle Bacilli. In 15-20 % cases of active pulmonary TB, infection spreads to extrapulmonary foci, including the nervous system complications. Ischemic stroke related tuberculosis without meningitis is rare. We report a 74-year-old female presented with rapid onset confusion, unconsciousness, and left hemiparesis. She had been recently diagnosed with active TB 3 months ago and treated with combination anti tuberculosis regiment. Her recent acute neurological manifestations began within 24 hours prior to admission in the hospital. The brain CT showed middle cerebral artery territory infarction. The risk factors tracing found no significant abnormality. The only abnormal finding was high CRP. This report describes rare case of a patient with active TB and who presented with acute ischemic stroke.
{"title":"Tuberculosis Related Ischemic Stroke : A Case Report","authors":"R. Pinzon, Veren Amoreta Vidyatama","doi":"10.33533/jpm.v17i1.5773","DOIUrl":"https://doi.org/10.33533/jpm.v17i1.5773","url":null,"abstract":"Tuberculosis (TB) is a widespread infectious disease caused by Mycobacterium Tubercle Bacilli. In 15-20 % cases of active pulmonary TB, infection spreads to extrapulmonary foci, including the nervous system complications. Ischemic stroke related tuberculosis without meningitis is rare. We report a 74-year-old female presented with rapid onset confusion, unconsciousness, and left hemiparesis. She had been recently diagnosed with active TB 3 months ago and treated with combination anti tuberculosis regiment. Her recent acute neurological manifestations began within 24 hours prior to admission in the hospital. The brain CT showed middle cerebral artery territory infarction. The risk factors tracing found no significant abnormality. The only abnormal finding was high CRP. This report describes rare case of a patient with active TB and who presented with acute ischemic stroke.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46361117","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}
Anaemia gravidarum is a health problem that affects pregnancy outcomes. Antenatal care is an effort to screen high-risk pregnancies to provide earlier appropriate management. In 2021, the pandemic forced people to limit their activities, including antenatal care (ANC) visits. The study aimed to explain the association among the timing of the first visit, ANC frequency, and incidence of anaemia gravidarum. The case-control study used the medical record data from Puskesmas Godean 2. The subjects were 30 pregnant women with anaemia in the case group and 30 non-anaemic pregnant women in the control group. The dependent variable was the incidence of anaemia gravidarum. Other variables included age, occupation, and education of the mother, partner’s education, parity status, pregnancy spacing, nutritional status, and history of comorbidities. The chi-square and logistic regression were used to analyse the data. It was found that ANC frequency of less than four times and first visit (K1) after passing the first trimester of gestational age increased the risk of anaemia gravidarum (p-value <0.05). Efforts to increase awareness of the importance of immediate first ANC visit and frequency of ANC visits need to be made to reduce the risk of anaemia gravidarum.
{"title":"Association among Timing of First Visit, Antenatal Care Frequency, and Anaemia Gravidarum during the Peak Period of the COVID-19 Pandemic","authors":"Salsabilla Permata Hani, Titik Kuntari","doi":"10.33533/jpm.v17i1.5663","DOIUrl":"https://doi.org/10.33533/jpm.v17i1.5663","url":null,"abstract":"Anaemia gravidarum is a health problem that affects pregnancy outcomes. Antenatal care is an effort to screen high-risk pregnancies to provide earlier appropriate management. In 2021, the pandemic forced people to limit their activities, including antenatal care (ANC) visits. The study aimed to explain the association among the timing of the first visit, ANC frequency, and incidence of anaemia gravidarum. The case-control study used the medical record data from Puskesmas Godean 2. The subjects were 30 pregnant women with anaemia in the case group and 30 non-anaemic pregnant women in the control group. The dependent variable was the incidence of anaemia gravidarum. Other variables included age, occupation, and education of the mother, partner’s education, parity status, pregnancy spacing, nutritional status, and history of comorbidities. The chi-square and logistic regression were used to analyse the data. It was found that ANC frequency of less than four times and first visit (K1) after passing the first trimester of gestational age increased the risk of anaemia gravidarum (p-value <0.05). Efforts to increase awareness of the importance of immediate first ANC visit and frequency of ANC visits need to be made to reduce the risk of anaemia gravidarum.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45902241","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}
Linda Yanuana Fanida Tantowi, D. Wardani, Kurniawan, D. Ambarwati
Maternal nutritional status is monitored with BMI and is also one of the factors that have an impact during pregnancy. Poor nutrition before and during pregnancy leads to decreasing hemoglobin levels and low birth weight infants. This study aims to determine the correlation between hemoglobin levels and BMI of mothers giving birth to the weight of newborns at the Puskesmas Kebumen II, Kebumen District. This research used a retrospective study with medical record data collected from January to April 2022. This research involved 50 patient mothers giving birth at Puskesmas Kebumen II, Kebumen District. The data were analyzed by the Pearson correlation coefficient test. The results are BMI and newborn weight (p = 0.061, r = 0.367), hemoglobin levels, and newborn weight (p=0.852; r= -0.025). There was no correlation between BMI and hemoglobin levels to newborn weight at Puskemas Kebumen II, Kebumen District.
母亲的营养状况通过BMI进行监测，也是影响妊娠期的因素之一。怀孕前和怀孕期间营养不良会导致血红蛋白水平下降和低出生体重婴儿。本研究旨在确定在Kebumen区Kebumen II Puskesmas分娩的母亲的血红蛋白水平与BMI与新生儿体重之间的相关性。这项研究使用了一项回顾性研究，包括2022年1月至4月收集的病历数据。这项研究涉及50名在Kebumen区Puskesmas Kebumen II分娩的患者母亲。数据采用Pearson相关系数检验进行分析。结果是BMI和新生儿体重（p=0.061，r=0.367）、血红蛋白水平和新生儿体重。在Kebumen区Kebumen II Puskemas，BMI和血红蛋白水平与新生儿体重之间没有相关性。
{"title":"The Role of Body Mass Index, Hemogblobin Levels in Women Giving Birth to Neonatal Weight","authors":"Linda Yanuana Fanida Tantowi, D. Wardani, Kurniawan, D. Ambarwati","doi":"10.33533/jpm.v17i1.5774","DOIUrl":"https://doi.org/10.33533/jpm.v17i1.5774","url":null,"abstract":"Maternal nutritional status is monitored with BMI and is also one of the factors that have an impact during pregnancy. Poor nutrition before and during pregnancy leads to decreasing hemoglobin levels and low birth weight infants. This study aims to determine the correlation between hemoglobin levels and BMI of mothers giving birth to the weight of newborns at the Puskesmas Kebumen II, Kebumen District. This research used a retrospective study with medical record data collected from January to April 2022. This research involved 50 patient mothers giving birth at Puskesmas Kebumen II, Kebumen District. The data were analyzed by the Pearson correlation coefficient test. The results are BMI and newborn weight (p = 0.061, r = 0.367), hemoglobin levels, and newborn weight (p=0.852; r= -0.025). There was no correlation between BMI and hemoglobin levels to newborn weight at Puskemas Kebumen II, Kebumen District.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43975425","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}
Low coping strategies and health worker factors reduce the ability to survive from flood. This can lead to low mother’s resilience. This study aims to analyze the correlation between health worker factors and coping strategy against mother’s resilience in managing the impact of annual flood disasters during the COVID-19 pandemic. This research used correlational analytic method with cross sectional approach. This study used a sample of 121 mothers in Sukorejo Village, Karangbinangun District, Lamongan Regency who were affected by flood. The research instrument used a questionnaire of support, facilities, and motivation health workers;copingstrategy; and mother’s resilience. Spearman Rho Analysis correlation test was used as analytic approach with a significance of <0.05. The data obtained analyzed using a Spearman Rho correlation test. There was a correlation between health worker factors and mother’s resilience (p=0.003: r=0.264). In addition, there was a correlation between coping strategies and mother’s resilience (p=0.000: r=0.369). The higher health workers factor and mother’s coping strategies level, the higher mother’s resilience managing the flood impact. Capacity building for health workers is needed to be able to educate mothers about flood impact management, so that ultimately improve their coping strategies.
{"title":"Correlation Between Health Worker's Support and Coping Strategy to Mother's Resilience Level in Managing Annual Flood in the COVID-19 Pandemic","authors":"Yulis Setiya Dewi, Arina Qona'ah, Fikri Alfaruq","doi":"10.33533/jpm.v17i1.5853","DOIUrl":"https://doi.org/10.33533/jpm.v17i1.5853","url":null,"abstract":"Low coping strategies and health worker factors reduce the ability to survive from flood. This can lead to low mother’s resilience. This study aims to analyze the correlation between health worker factors and coping strategy against mother’s resilience in managing the impact of annual flood disasters during the COVID-19 pandemic. This research used correlational analytic method with cross sectional approach. This study used a sample of 121 mothers in Sukorejo Village, Karangbinangun District, Lamongan Regency who were affected by flood. The research instrument used a questionnaire of support, facilities, and motivation health workers;copingstrategy; and mother’s resilience. Spearman Rho Analysis correlation test was used as analytic approach with a significance of <0.05. The data obtained analyzed using a Spearman Rho correlation test. There was a correlation between health worker factors and mother’s resilience (p=0.003: r=0.264). In addition, there was a correlation between coping strategies and mother’s resilience (p=0.000: r=0.369). The higher health workers factor and mother’s coping strategies level, the higher mother’s resilience managing the flood impact. Capacity building for health workers is needed to be able to educate mothers about flood impact management, so that ultimately improve their coping strategies.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41321871","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}
Besides serological cross-reactivity and co-infection between dengue and SARS-CoV-2, diagnostic challenges arise because many people have had positive dengue IgG in dengue-endemic regions, and patients usually come after 4-5 days of fever. We report a case of 9-year-old girl, diagnosed with dengue with warning signs on admission because of fever, severe abdominal pain, thrombocytopenia, and positive dengue IgG. The subsequent course of the illness was not consistent with dengue infection because the shock happened during the febrile phase concurrent with rising leucocyte and platelet counts, the fever continued for longer than seven days, and there was bilateral non-purulent conjunctivitis with subconjunctival hemorrhage. She was diagnosed with MIS-C because of positive SARS-CoV-2 IgG and hyperinflammatory markers. Her clinical condition improved progressively after steroid administration. Clinical awareness about MIS-C is required to avoid misdiagnosis and improper treatment during or after the COVID-19 pandemic. Every clinician should consider MIS-C as a differential diagnosis if patients have inconsistencies with the course of dengue illness.
{"title":"Severe Dengue or Covid-19 Related MIS-C? Diagnostic Challenges in Resource-Limited and Dengue-Endemic Regions","authors":"Angelina, Arfianti Chandra Dewi","doi":"10.33533/jpm.v17i1.5929","DOIUrl":"https://doi.org/10.33533/jpm.v17i1.5929","url":null,"abstract":"Besides serological cross-reactivity and co-infection between dengue and SARS-CoV-2, diagnostic challenges arise because many people have had positive dengue IgG in dengue-endemic regions, and patients usually come after 4-5 days of fever. We report a case of 9-year-old girl, diagnosed with dengue with warning signs on admission because of fever, severe abdominal pain, thrombocytopenia, and positive dengue IgG. The subsequent course of the illness was not consistent with dengue infection because the shock happened during the febrile phase concurrent with rising leucocyte and platelet counts, the fever continued for longer than seven days, and there was bilateral non-purulent conjunctivitis with subconjunctival hemorrhage. She was diagnosed with MIS-C because of positive SARS-CoV-2 IgG and hyperinflammatory markers. Her clinical condition improved progressively after steroid administration. Clinical awareness about MIS-C is required to avoid misdiagnosis and improper treatment during or after the COVID-19 pandemic. Every clinician should consider MIS-C as a differential diagnosis if patients have inconsistencies with the course of dengue illness.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47343991","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}
Dewi Ratih Handayani, Sylvia Mustika Sari Sari, Muhammad Danil Hadyan Darojat, E. Permatasari, Maman Djamaludin
Dyslipidemia is a risk factor for atherosclerosis. Dyslipidemia conditions and malondialdehyde (MDAs) increased can cause oxidative stress. Cinnamon contains antioxidant compounds that have a hypolipidemic effect. This study aimed to determine the effect of cinnamon bark ethanol extract on triglycerides, total cholesterol, LDL, HDL, and MDA in dyslipidemic rats. In this study, rats were divided into five groups, a negative control group: which received standard feed, a positive control group: which received a high-fat diet and PTU, the groups that received a high-fat diet, PTU, cinnamon bark ethanol extract (EECB) 125 mg/Kg BW, 250 mg/Kg BW, 500 mg/Kg BW. The results of the analysis showed a decrease in triglyceride levels in all groups given EECB (p <0.05). Total and LDL cholesterol levels decreased in the 125 mg/Kg BW EECB group, and malondialdehyde decreased in the 500 mg/Kg BW EECB group (p <0.05). HDL levels did not increase. The ethanol extract of cinnamon bark was able to improve lipid profiles because it contains cinnamaldehyde and quercetin that can inhibit HMG CoA reductase activity, as well as flavonoids, tannins, and cinnamate which are able to reduce triglyceride and MDA levels. Keywords: cinnamon, dyslipidemia, malondialdehyde, lipid profile.
{"title":"of Ethanol Extract of Cinnamon Bark (Cinnamomum burmanii) on the Lipid Profile and Malondialdehyde of Dyslipidemic Rats","authors":"Dewi Ratih Handayani, Sylvia Mustika Sari Sari, Muhammad Danil Hadyan Darojat, E. Permatasari, Maman Djamaludin","doi":"10.33533/jpm.v17i1.5822","DOIUrl":"https://doi.org/10.33533/jpm.v17i1.5822","url":null,"abstract":"Dyslipidemia is a risk factor for atherosclerosis. Dyslipidemia conditions and malondialdehyde (MDAs) increased can cause oxidative stress. Cinnamon contains antioxidant compounds that have a hypolipidemic effect. This study aimed to determine the effect of cinnamon bark ethanol extract on triglycerides, total cholesterol, LDL, HDL, and MDA in dyslipidemic rats. In this study, rats were divided into five groups, a negative control group: which received standard feed, a positive control group: which received a high-fat diet and PTU, the groups that received a high-fat diet, PTU, cinnamon bark ethanol extract (EECB) 125 mg/Kg BW, 250 mg/Kg BW, 500 mg/Kg BW. The results of the analysis showed a decrease in triglyceride levels in all groups given EECB (p <0.05). Total and LDL cholesterol levels decreased in the 125 mg/Kg BW EECB group, and malondialdehyde decreased in the 500 mg/Kg BW EECB group (p <0.05). HDL levels did not increase. The ethanol extract of cinnamon bark was able to improve lipid profiles because it contains cinnamaldehyde and quercetin that can inhibit HMG CoA reductase activity, as well as flavonoids, tannins, and cinnamate which are able to reduce triglyceride and MDA levels. \u0000Keywords: cinnamon, dyslipidemia, malondialdehyde, lipid profile.","PeriodicalId":33234,"journal":{"name":"Jurnal Profesi Medika","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47004917","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}
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