Penegakan diagnosis malaria merupakan hal penting dalam program eleminasi malaria. Proses yang cepat, akurat dan murah merupakan harapan dalam diagnosis malaria, khususnya pada daerah remote area, pada kondisi gawat darurat atau pada saat ketidaktersediaan tenaga mikroskopis. Pemeriksaan RDT dan RDTs yang telah digunakan untuk menegakkan diagnosis malaria, terkadang memiliki akurasi yang kurang diharapkan. Pemeriksaan mikroskopis sebagai gold standard, sering terkendala saat tidak ada tenaga mikroskopis. Pengalaman tenaga mikroskopis juga akan mempengaruhi hasil pemeriksaan. Nested PCR sering digunakan untuk mengkonfirmasi hasil pemeriksaan mikroskopis, namun membutuhkan peralatan dan laboratorium khusus sehingga membutuhkan biaya yang mahal. Untuk menjawab kekurangan pada metode pemeriksaan sebelumnya, maka loop-mediated isothermal amplification (LAMP) dikembangkan sebagai metode diagnosis. LAMP sebagai metode pemeriksaan yang berbasis molekuler memiliki akurasi yang tinggi, dengan sensitifitas dan spesifisitas pada hampir semua penelitian sebelumnya lebih dari 90%. LAMP juga dapat mendeteksi spesies plasmodium dari pasien malaria pada daerah endemis atau non-endemis (kasus impor), pada kehamilan, pada kondisi densitas parasitemia yang rendah dan pada daerah dengan low transmission.
{"title":"LOOP-MEDIATED ISOTHERMAL AMPLIFICATION (LAMP) DALAM PENEGAKAN DIAGNOSIS INFEKSI PARASIT MALARIA BERBASIS MOLEKULER","authors":"J. Suwandi","doi":"10.22437/jmj.v9i1.12067","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.12067","url":null,"abstract":"Penegakan diagnosis malaria merupakan hal penting dalam program eleminasi malaria. Proses yang cepat, akurat dan murah merupakan harapan dalam diagnosis malaria, khususnya pada daerah remote area, pada kondisi gawat darurat atau pada saat ketidaktersediaan tenaga mikroskopis. Pemeriksaan RDT dan RDTs yang telah digunakan untuk menegakkan diagnosis malaria, terkadang memiliki akurasi yang kurang diharapkan. Pemeriksaan mikroskopis sebagai gold standard, sering terkendala saat tidak ada tenaga mikroskopis. Pengalaman tenaga mikroskopis juga akan mempengaruhi hasil pemeriksaan. Nested PCR sering digunakan untuk mengkonfirmasi hasil pemeriksaan mikroskopis, namun membutuhkan peralatan dan laboratorium khusus sehingga membutuhkan biaya yang mahal. Untuk menjawab kekurangan pada metode pemeriksaan sebelumnya, maka loop-mediated isothermal amplification (LAMP) dikembangkan sebagai metode diagnosis. LAMP sebagai metode pemeriksaan yang berbasis molekuler memiliki akurasi yang tinggi, dengan sensitifitas dan spesifisitas pada hampir semua penelitian sebelumnya lebih dari 90%. LAMP juga dapat mendeteksi spesies plasmodium dari pasien malaria pada daerah endemis atau non-endemis (kasus impor), pada kehamilan, pada kondisi densitas parasitemia yang rendah dan pada daerah dengan low transmission.","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123553333","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}
Saat ibu hamil memasuki rumah sakit di era pandemi COVID 19 maka penilaian terhadap ibu dan janin harus dilakukan secara lengkap. Pemeriksaan dan pemantauan ibu hamil saat persalinan juga dilakukan sesuai dengan standar nasional yaitu dengan menggunakan partograf. Partograf adalah alat pemantauan persalinan yang paling umum digunakan oleh tenaga kesehatan untuk memantau kemajuan persalinan dan memberikan intervensi tepat waktu jika diperlukan. Perkembangan dari pemantauan kemajuan persalinan didasari observasi yang dilakukan oleh Friedman pada tahun 1955. Barulah pada tahun 1994,WHO merancang partograf. Sejak pertama kali digunakan, partograf WHO telah dimodifikasi dan diadaptasi oleh banyak rumah sakit
{"title":"PERBANDINGAN KURVA FRIEDMAN DAN PARTOGRAF WHO SEBAGAI MONITORING PERSALINAN DI ERA PANDEMI COVID 19","authors":"Putu Devita Sucitawati, I. G. S. Winata","doi":"10.22437/jmj.v9i1.11486","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.11486","url":null,"abstract":"Saat ibu hamil memasuki rumah sakit di era pandemi COVID 19 maka penilaian terhadap ibu dan janin harus dilakukan secara lengkap. Pemeriksaan dan pemantauan ibu hamil saat persalinan juga dilakukan sesuai dengan standar nasional yaitu dengan menggunakan partograf. Partograf adalah alat pemantauan persalinan yang paling umum digunakan oleh tenaga kesehatan untuk memantau kemajuan persalinan dan memberikan intervensi tepat waktu jika diperlukan. Perkembangan dari pemantauan kemajuan persalinan didasari observasi yang dilakukan oleh Friedman pada tahun 1955. Barulah pada tahun 1994,WHO merancang partograf. Sejak pertama kali digunakan, partograf WHO telah dimodifikasi dan diadaptasi oleh banyak rumah sakit","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131052223","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}
Background : The Maternal and Child Health (MCH) Handbook contains complete information, including early detection or danger signs of maternal health problems from pregnancy to childbirth to increase knowledge of mothers and their families. The attitude of pregnant women about signs of pregnancy is important in changing the behavior of pregnant women in dealing with signs of pregnancy. Objective : To determine the relationship between knowledge and attitudes of pregnant women about the danger signs of pregnancy with the use of the MCH Handbook. Method : Using a cross-sectional design. The population used was trimester III pregnant women who had MCH books and were visiting to carry out pregnancy checks at Puskesmas Kota Palu (11 Puskesmas) during the research period in 2019. Using the cluster sampling method with a total of 110 respondents. Primary data were collected through ODK Collect, then analyzed univariate and bivariate. Results : There is a relationship between knowledge about the danger signs of pregnancy and the use of the MCH Handbook (p-value = 0.003). There is a relationship between the attitudes of pregnant women about danger signs and the use of the MCH Handbook (p-value = 0.008). OR = 3,235 indicates that mothers with positive attitudes are 3,235 times more likely to use the MCH handbook than mothers who are negative. Conclusion : There is a relationship between knowledge and attitudes about the danger signs of pregnancy and the use of the MCH Handbook. Keywords: Knowledge, Attitudes, danger sign of pregnancy, MCH Handbook.
背景:《妇幼保健手册》载有完整的信息，包括从怀孕到分娩期间孕产妇健康问题的早期发现或危险迹象，以增加母亲及其家庭的知识。孕妇对怀孕迹象的态度对于改变孕妇处理怀孕迹象的行为非常重要。目的:了解孕妇使用《妇幼保健手册》对妊娠危险体征的认知与态度的关系。方法:采用横断面设计。使用的人群是在2019年的研究期间，持有MCH书籍并前往Puskesmas Kota Palu(11个Puskesmas)进行妊娠检查的妊娠期孕妇。采用整群抽样的方法，共有110名受访者。通过ODK Collect收集原始数据，然后进行单因素和双因素分析。结果:妊娠危险体征知识知晓与MCH手册的使用存在相关性(p值= 0.003)。孕妇对危险标志的态度与MCH手册的使用有关系(p值= 0.008)。OR = 3235表明，态度积极的母亲使用MCH手册的可能性是态度消极的母亲的3235倍。结论:妊娠危险体征知识和态度与妇幼保健手册的使用有一定关系。关键词:知识，态度，妊娠危险信号，妇幼保健手册。
{"title":"PENGETAHUAN DAN SIKAP TENTANG TANDA BAHAYA KEHAMILAN BERHUBUNGAN DENGAN PEMANFAATAN BUKU KIA","authors":"Artika Dewie","doi":"10.22437/jmj.v9i1.12841","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.12841","url":null,"abstract":"Background : The Maternal and Child Health (MCH) Handbook contains complete information, including early detection or danger signs of maternal health problems from pregnancy to childbirth to increase knowledge of mothers and their families. The attitude of pregnant women about signs of pregnancy is important in changing the behavior of pregnant women in dealing with signs of pregnancy. \u0000Objective : To determine the relationship between knowledge and attitudes of pregnant women about the danger signs of pregnancy with the use of the MCH Handbook. \u0000Method : Using a cross-sectional design. The population used was trimester III pregnant women who had MCH books and were visiting to carry out pregnancy checks at Puskesmas Kota Palu (11 Puskesmas) during the research period in 2019. Using the cluster sampling method with a total of 110 respondents. Primary data were collected through ODK Collect, then analyzed univariate and bivariate. \u0000Results : There is a relationship between knowledge about the danger signs of pregnancy and the use of the MCH Handbook (p-value = 0.003). There is a relationship between the attitudes of pregnant women about danger signs and the use of the MCH Handbook (p-value = 0.008). OR = 3,235 indicates that mothers with positive attitudes are 3,235 times more likely to use the MCH handbook than mothers who are negative. \u0000Conclusion : There is a relationship between knowledge and attitudes about the danger signs of pregnancy and the use of the MCH Handbook. \u0000Keywords: Knowledge, Attitudes, danger sign of pregnancy, MCH Handbook.","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116322405","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}
ABSTRACT Introduction: It is not easy to regulate the clerkship system for medical professional education clinics when continuing to the hospital during the pandemic (Covid-19) so that students can acquire knowledge and skills according to predetermined competencies. Objective: Describe Distance Learning (PJJ) of Clinical clerkship students (coass) in teaching hospitals during the pandemic. Methods: A descriptive study of Clinical Clerkship students who carried out online activities during the pandemic period at the Teaching Hospital. Results: There were 51 respondents from clinical clerkship education participants, as many as 84.31% of respondents graduated from academic education in 2019-2020, just carried out the 1-2 rotation stage 47.05%, long waiting for the pandemic 5-7 months experienced by 56.86 % of respondents, there were more students who did not experience difficulties in accessing the internet, and simply adapting to do PJJ. Less than 50% of the learning time provided is appropriate. Students are satisfied to receive learning time per day, student communication with clinical teaching lecturers is classified as useful, and scheduling of learning with clinical doctors is relatively easy. Respondents answered PJJ quite effectively, as much as 56.86%. Conclusion: The most prominent problem is the fulfillment of clinical clerkship competence in patients' interactions in teaching hospitals due to the pandemic. However, more than that, various efforts have been made by institutions that provide clinical medical education. Keywords: Clinical Clerkship - Teaching Hospital - Distance Learning - Doctor's Professional Study Program ABSTRAK Pendahuluan : Hal yang tidak mudah dalam mengatur sistem kegiatan kepaniteraan klinik pendidikan profesi dokter pada saat melanjutkan stase di rumah sakit selama masa pandemi (Covid-19) sehingga peserta didik dapat memperoleh pengetahuan dan keterampilan sesuai dengan kompetensi yang telah ditetapkan. Tujuan : Menggambarkan Pembelajaran Jarak Jauh (PJJ) peserta didik kepaniteraan muda (coass) di Rumah Sakit Pendidikan selama pandemi. Metode : Penelitian deskriptif terhadap peserta didik kepaniteraan muda yang melakukan kegiatan daring selama masa pandemi di Rumah Sakit Pendidikan. Hasil : Terdapat 51 responden dari peserta pendidikan kepaniteraan klinis, sebanyak 84,31% responden lulus dari pendidikan akademik di tahun 2019-2020, baru menjalankan stase 1-2 rotasi 47,05 %, lama menunggu pandemi 5-7 bulan di alami oleh 56,86% responden, lebih banyak peserta didik tidak mengalami kesulitan akses internet, dan beradaptasi cukup melakukan PJJ. Kurang dari 50 % Waktu pembelajaran yang diberikan sesuai, peserta didik puas menerima waktu pembelajaran per hari, komunikasi mahasiswa dengan dosen pendidik klinis tergolong baik, serta pengaturan jadwal pembelajaran dengan dokter klinis cukup mudah. Responden menjawab PJJ cukup efektif sebanyak 56,86%. Kesimpulan: Permasalahan yang paling menonjol adalah pemen
摘要导读:新冠肺炎疫情期间，医学专业教育诊所在继续住院时，不容易规范见习制度，使学生按照预定的能力获得知识和技能。目的:了解疫情期间教学医院临床见习生(班)远程学习情况。方法:对大流行期间在教学医院开展在线活动的临床见习学生进行描述性研究。结果:临床见习教育参与者中有51名受访者，2019-2020年学历教育毕业的受访者占84.31%，刚进行1-2轮候阶段的受访者占47.05%，经历5-7个月长时间等待疫情的受访者占56.86%，更多的学生没有遇到上网困难，单纯适应做PJJ。提供的学习时间不超过50%是合适的。学生对每天的学习时间感到满意，学生与临床教学讲师的交流被归类为有用，与临床医生的学习安排相对容易。回答“PJJ”的人占56.86%。结论:受疫情影响，教学医院临床见习能力在患者互动中的落实问题最为突出。然而，不仅如此，提供临床医学教育的机构也作出了各种努力。【关键词】临床见习;教学医院;远程教育;医生专业学习项目【关键词】临床见习;教学医院;图胡安:Menggambarkan Pembelajaran Jarak Jauh (PJJ) peserta didik kepaniteraan muda (class) di Rumah Sakit Pendidikan selama大流行。方法:Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: Pendidikan: PendidikanHasil: Terdapat 51应答应答者为dari perdidikan kepanitaan klinis, sebanyak 84,31%应答者为lulus dari pendidikan akademikdi tahun 2019-2020, baru menjalankan阶段1-2 rotasi 47,05%， lama menunggu流行病5-7 bulan di alami oleh 56,86%应答者为lebih banyak perdidik tidiak mengalami kesulitan akses互联网，dan beradaptasi cuup melakukan PJJ。Kurang dari 50% Waktu penbelajaran yang diberikan sesuai, peserta didik puas menerima Waktu penbelajaran per hari, komunikasi mahasiswa dengan dochdidik klinis tergolong baik, serta pengaturan jadwal penbelajaran dengan dokter klinis cukup mudah。调查对象中，PJJ的使用率为56.86%。潘继山:潘继山羊患小儿麻痹症、小儿麻痹症、小儿麻痹症和小儿麻痹症。Namun daripada itu, berbagai upaya telah dilakukan oleh, instanpenyelenggara pendidikan kedokteran klinis。Klinis: Kepaniteraan Klinis - RS Pendidikan - Pembelajaran Jarak Jauh -程序研究教授
{"title":"PEMBELAJARAN JARAK JAUH PADA KEPANITERAAN KLINIS PROGRAM STUDI PROFESI DOKTER DI RUMAH SAKIT PENDIDIKAN","authors":"Santi Anugrahsari","doi":"10.22437/jmj.v9i1.12031","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.12031","url":null,"abstract":"ABSTRACT \u0000Introduction: It is not easy to regulate the clerkship system for medical professional education clinics when continuing to the hospital during the pandemic (Covid-19) so that students can acquire knowledge and skills according to predetermined competencies. Objective: Describe Distance Learning (PJJ) of Clinical clerkship students (coass) in teaching hospitals during the pandemic. Methods: A descriptive study of Clinical Clerkship students who carried out online activities during the pandemic period at the Teaching Hospital. Results: There were 51 respondents from clinical clerkship education participants, as many as 84.31% of respondents graduated from academic education in 2019-2020, just carried out the 1-2 rotation stage 47.05%, long waiting for the pandemic 5-7 months experienced by 56.86 % of respondents, there were more students who did not experience difficulties in accessing the internet, and simply adapting to do PJJ. Less than 50% of the learning time provided is appropriate. Students are satisfied to receive learning time per day, student communication with clinical teaching lecturers is classified as useful, and scheduling of learning with clinical doctors is relatively easy. Respondents answered PJJ quite effectively, as much as 56.86%. Conclusion: The most prominent problem is the fulfillment of clinical clerkship competence in patients' interactions in teaching hospitals due to the pandemic. However, more than that, various efforts have been made by institutions that provide clinical medical education. \u0000Keywords: Clinical Clerkship - Teaching Hospital - Distance Learning - Doctor's Professional Study Program \u0000ABSTRAK \u0000Pendahuluan : Hal yang tidak mudah dalam mengatur sistem kegiatan kepaniteraan klinik pendidikan profesi dokter pada saat melanjutkan stase di rumah sakit selama masa pandemi (Covid-19) sehingga peserta didik dapat memperoleh pengetahuan dan keterampilan sesuai dengan kompetensi yang telah ditetapkan. \u0000Tujuan : Menggambarkan Pembelajaran Jarak Jauh (PJJ) peserta didik kepaniteraan muda (coass) di Rumah Sakit Pendidikan selama pandemi. \u0000Metode : \u0000Penelitian deskriptif terhadap peserta didik kepaniteraan muda yang melakukan kegiatan daring selama masa pandemi di Rumah Sakit Pendidikan. \u0000Hasil : \u0000Terdapat 51 responden dari peserta pendidikan kepaniteraan klinis, sebanyak 84,31% responden lulus dari pendidikan akademik di tahun 2019-2020, baru menjalankan stase 1-2 rotasi 47,05 %, lama menunggu pandemi 5-7 bulan di alami oleh 56,86% responden, lebih banyak peserta didik tidak mengalami kesulitan akses internet, dan beradaptasi cukup melakukan PJJ. Kurang dari 50 % Waktu pembelajaran yang diberikan sesuai, peserta didik puas menerima waktu pembelajaran per hari, komunikasi mahasiswa dengan dosen pendidik klinis tergolong baik, serta pengaturan jadwal pembelajaran dengan dokter klinis cukup mudah. Responden menjawab PJJ cukup efektif sebanyak 56,86%. \u0000Kesimpulan: \u0000Permasalahan yang paling menonjol adalah pemen","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128570925","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}
F. Effendi, Rieva Ernawan, Pamudji Utomo, Ismail Mariyanto, Asep Santoso
Abstract Musculoskeletal infections have complex complications, making them a challenge. Most countries have experienced Staphylococcus aureus resistance to methicillin by 25% and some even over 50%. Dakin solution (0.050% to 0.025%) can be used as irrigation, cleansing, and used on moist gauze for the management or prevention of skin or tissue infections. This study aims to determine the lowest concentration level of Dakin solution / sodium hypochlorite which is the safest and most effective in the culture of Staphilococcus aureus. This research is an analytical experimental research, with the concept of comparing the Staphylococcus aureus ATCC 25923 germ cultures which are treated in the form of giving dakin solution / sodium hypochlorite 0.050%, 0.025%, 0.0125% and control using 0.9% NaCl. Observation of the effectiveness is done by measuring the formed inhibition zone. The concentration of 0.025% gives a fairly good disinfectant effect with moderate inhibition power, the concentration of 0.050% gives a good disinfectant effect with a strong inhibitory power while the concentration of 0.0125% does not have a disinfectant effect, this is the same as the 0.9% NaCl control solution. The zone of inhibition in the staphylococcus aureus bacteria culture ATCC 25923 at concentrations of 0.025% and 0.050% still gave a stable effect until evaluation within 2x24 hours (48 hours). Keywords : Dakin solution, Sodium hypoclorite, resistor zone, Staphylococcus aureus.
{"title":"EFEKTIVITAS KEPEKATAN LARUTAN SODIUM HYPOCHLORITE TERHADAP BIAKAN KUMAN STAPHYLOCOCCUS AUREUS","authors":"F. Effendi, Rieva Ernawan, Pamudji Utomo, Ismail Mariyanto, Asep Santoso","doi":"10.22437/jmj.v9i1.10442","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.10442","url":null,"abstract":"Abstract \u0000Musculoskeletal infections have complex complications, making them a challenge. Most countries have experienced Staphylococcus aureus resistance to methicillin by 25% and some even over 50%. Dakin solution (0.050% to 0.025%) can be used as irrigation, cleansing, and used on moist gauze for the management or prevention of skin or tissue infections. \u0000This study aims to determine the lowest concentration level of Dakin solution / sodium hypochlorite which is the safest and most effective in the culture of Staphilococcus aureus. \u0000This research is an analytical experimental research, with the concept of comparing the Staphylococcus aureus ATCC 25923 germ cultures which are treated in the form of giving dakin solution / sodium hypochlorite 0.050%, 0.025%, 0.0125% and control using 0.9% NaCl. Observation of the effectiveness is done by measuring the formed inhibition zone. \u0000The concentration of 0.025% gives a fairly good disinfectant effect with moderate inhibition power, the concentration of 0.050% gives a good disinfectant effect with a strong inhibitory power while the concentration of 0.0125% does not have a disinfectant effect, this is the same as the 0.9% NaCl control solution. The zone of inhibition in the staphylococcus aureus bacteria culture ATCC 25923 at concentrations of 0.025% and 0.050% still gave a stable effect until evaluation within 2x24 hours (48 hours). \u0000Keywords : Dakin solution, Sodium hypoclorite, resistor zone, Staphylococcus aureus.","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128128273","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}
Covid-19 adalah Pandemi yang baru terjadi di akhir tahun 2019 yang disebabkan oleh SARS CoV2. Hal ini harus diwaspadai karena transmisi yang cepat, memiliki tingkat kesakitan yang tidak dapat diabaikan. Sampai saat ini, belum ada vaksin pencegahan dan terapi definitif yang belum terbukti. Usia lanjut pada beberapa artikel disebutkan sebagai faktor risiko Covid-19. Tujuan penelitian ini untuk mengetahui gambaran usia pada kejadian Covid-19. Merupakan penelitian kuantitatif dengan desain analitik observasional dengan pendekatan unmathced case control. Data yang digunakan adalah data sekunder rekam medik dan surveilans ruang isolasi RSUP Dr. M. Hoesin Palembang periode 1 Maret 2020 s/d 31 Juli 2020 yang berjumlah 666 responden. Analisis data menggunakan univariat untuk mengetahui gambaran usia pada kejadian Covid-19. Hasil penelitian didapatkan bahwa dari 116 usia berisiko (>65 tahun) yang terkonfirmasi positif sebanyak 30 (40,2%) sisanya 49 (59,8%) negatif. Sedangkan dari 550 usia yang tidak berisiko, sebanyak 277 (47,4%) terkonfirmasi positif dan sisanya 307 (52,6%) negative. Pada analisis bivariat, tidak ada hubungan yang signifikan secara statistik antara usia dengan Covid-19 dengan p value 0,270. Kesimpulan.Semua usia berisiko terkonfirmasi positif Covid-19, dan usia produktif paling berisiko Covid-19 yang dikarenakan mobilitas dan aktifitas sosial yang tinggi. Hal ini dapat dicegah dengan tetap melakukan protokol kesehatan.
{"title":"GAMBARAN USIA PADA KEJADIAN COVID-19","authors":"Rosyada Elviani, C. Anwar, Rico Januar Sitorus","doi":"10.22437/jmj.v9i1.11263","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.11263","url":null,"abstract":"Covid-19 adalah Pandemi yang baru terjadi di akhir tahun 2019 yang disebabkan oleh SARS CoV2. Hal ini harus diwaspadai karena transmisi yang cepat, memiliki tingkat kesakitan yang tidak dapat diabaikan. Sampai saat ini, belum ada vaksin pencegahan dan terapi definitif yang belum terbukti. Usia lanjut pada beberapa artikel disebutkan sebagai faktor risiko Covid-19. \u0000Tujuan penelitian ini untuk mengetahui gambaran usia pada kejadian Covid-19. Merupakan penelitian kuantitatif dengan desain analitik observasional dengan pendekatan unmathced case control. Data yang digunakan adalah data sekunder rekam medik dan surveilans ruang isolasi RSUP Dr. M. Hoesin Palembang periode 1 Maret 2020 s/d 31 Juli 2020 yang berjumlah 666 responden. \u0000Analisis data menggunakan univariat untuk mengetahui gambaran usia pada kejadian Covid-19. Hasil penelitian didapatkan bahwa dari 116 usia berisiko (>65 tahun) yang terkonfirmasi positif sebanyak 30 (40,2%) sisanya 49 (59,8%) negatif. Sedangkan dari 550 usia yang tidak berisiko, sebanyak 277 (47,4%) terkonfirmasi positif dan sisanya 307 (52,6%) negative. Pada analisis bivariat, tidak ada hubungan yang signifikan secara statistik antara usia dengan Covid-19 dengan p value 0,270. \u0000Kesimpulan.Semua usia berisiko terkonfirmasi positif Covid-19, dan usia produktif paling berisiko Covid-19 yang dikarenakan mobilitas dan aktifitas sosial yang tinggi. Hal ini dapat dicegah dengan tetap melakukan protokol kesehatan.","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134413175","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}
ABSTRACT Introduction: Optic disc pit is a rare congenital abnormality of the optic disc. It is generally appears in the third or fourth decade of life; however, cases of serous detachment in children have been reported. Treatment includes argon laser to the peripapillary region, macular buckling surgery, vitrectomy combined with laser and/or gas injection. Objective: To report a case with optic disc pit maculopathy in a 13 years old child. Case Illustration: A 13 years old male presented to us with complaints of blurred vision in right eye started a month ago. No history of trauma. On examination, her visual acuities were 20/50 right and 20/20 left eye. Both anterior segments were normal, with normal intraocular pressures. OCT imaging showed optic disc pit located temporally, with associated serous macular detachment in the right eye. Result: After 12 weeks observation, there is no significant change in the examination of the visual acuity, fundus examination and OCT imaging. Conclusion: Currently there is no universally accepted treatment for optic disc pit maculopathy because the pathogenesis is not yet fully understood. In pediatric cases, 3-6 months of follow-up before any surgical and invasive procedures is appropriate. Keyword: Optic disc pit maculopathy, OCT imaging, observation.
{"title":"OPTIC DISC PIT MACULOPATHY IN A 13 YEARS OLD CHILD: A RARE CASE","authors":"Sandiyanto Sandiyanto, Weni Helvinda","doi":"10.22437/jmj.v9i1.12606","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.12606","url":null,"abstract":"ABSTRACT \u0000 \u0000Introduction: Optic disc pit is a rare congenital abnormality of the optic disc. It is generally appears in the third or fourth decade of life; however, cases of serous detachment in children have been reported. Treatment includes argon laser to the peripapillary region, macular buckling surgery, vitrectomy combined with laser and/or gas injection. \u0000Objective: To report a case with optic disc pit maculopathy in a 13 years old child. \u0000Case Illustration: A 13 years old male presented to us with complaints of blurred vision in right eye started a month ago. No history of trauma. On examination, her visual acuities were 20/50 right and 20/20 left eye. Both anterior segments were normal, with normal intraocular pressures. OCT imaging showed optic disc pit located temporally, with associated serous macular detachment in the right eye. \u0000Result: After 12 weeks observation, there is no significant change in the examination of the visual acuity, fundus examination and OCT imaging. \u0000Conclusion: Currently there is no universally accepted treatment for optic disc pit maculopathy because the pathogenesis is not yet fully understood. In pediatric cases, 3-6 months of follow-up before any surgical and invasive procedures is appropriate. \u0000Keyword: Optic disc pit maculopathy, OCT imaging, observation.","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116913715","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}
Tirta Wirya, Gando Sari, S. Bahri, N. Heru, Resa Wantika Utami
ABSTRACT Diverticulum is outpouching of hollow (or fluid-filled) structures, which can form in various organs in the body. Increased intravesical pressure (3-5 times) causes the bladder mucosa to infiltrate itself between the bladder muscle bundles which results in the development of extravasational sacs or saccules which subsequently results in diverticulum formation. The sonographic diagnosis of bladder diverticula depends on the demonstration of communication between the bladder and the mass. When such communication, or estuary, is not seen during ultrasound examination, the bladder diverticulum can look like any other type of cystic pelvic mass. The approach used is descriptive qualitative. This study aims to analyze the examination of the USG Abdomen with clinical bladder diverticula to get an appropriate picture of USG so that the diagnosis can be established. The study population was patients who performed an abdominal USG examination at the Cilegon Regional General Hospital. The sample of this study were 1 (one) patient. The method used in collecting data in this study is observation, documentation, and literature study. Keywords: Ultrasound, Urinary Bladder, Diverticula
{"title":"ABDOMEN ULTRASONOGRAPHIC EXAMINATION ANALYSIS IN THE CASE OF URINARY BLADDER DIVERTICULA AT CILEGON HOSPITAL","authors":"Tirta Wirya, Gando Sari, S. Bahri, N. Heru, Resa Wantika Utami","doi":"10.22437/jmj.v9i1.12723","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.12723","url":null,"abstract":"ABSTRACT \u0000Diverticulum is outpouching of hollow (or fluid-filled) structures, which can form in various organs in the body. Increased intravesical pressure (3-5 times) causes the bladder mucosa to infiltrate itself between the bladder muscle bundles which results in the development of extravasational sacs or saccules which subsequently results in diverticulum formation. The sonographic diagnosis of bladder diverticula depends on the demonstration of communication between the bladder and the mass. When such communication, or estuary, is not seen during ultrasound examination, the bladder diverticulum can look like any other type of cystic pelvic mass. \u0000The approach used is descriptive qualitative. This study aims to analyze the examination of the USG Abdomen with clinical bladder diverticula to get an appropriate picture of USG so that the diagnosis can be established. The study population was patients who performed an abdominal USG examination at the Cilegon Regional General Hospital. The sample of this study were 1 (one) patient. The method used in collecting data in this study is observation, documentation, and literature study. \u0000Keywords: Ultrasound, Urinary Bladder, Diverticula","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133988777","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}
R. Rian, S. Hadinoto, Tito Sumarwoto, Pamudji Utomo, M. Q. R. T. Tulandi
ABSTRACT Background: When pain, deformity and instability compromise wrist function, wrist stabilization by means of fusion is a procedure of recognized validity. The goal of wrist arthrodesis is to provide the patient with a stable wrist for power grip and the predictable relief of pain while sacrificing wrist motion. The radioscapholunate (RSL) fusion is one of salvage procedure indicated in the case of traumatic or degenerative osteoarthritis of the radiocarpal joint, involving the lunate facet of the radius. RSL-fusion reduced total wrist motion (3 MC/Rad) in the F/E axis to an average of 49% of F/E in the unfused wrist but preserves midcarpal joint motion while alleviating pain. Case Report: We report a 43-year-old male patient with pain on his left wrist. 10 months before admission, he felt down from stairs with his left hand bear his body weight. He broke his wrist and got surgery at that time. Because still feel pain and his index finger can’t fully extensed, he brought to Soeharso orthopaedic hospital. Here, we have done RSL-fusion using cross pinning K-Wire to reduce pain, distal scapoid excision to optimizing radial angulation and release superficial flexor tendon index finger of left hand. Discussion: With Secondary OA of left wrist post traumatic with neglected radiocarpal dislocation and superficial flexor tendon contracture due to entrapment index finger of left hand post RSL-fusion, distal scapoid excision and release contracture can reduce pain at radiocarpal joint and improve range of movement. Conclusion: The goal of Radioscapholunate (RSL) fusion is to optimizing wrist motion and strength while minimizing or eliminating pain Keywords: Radioscapholunate fusion, partial wrist arthrodesis, limited wrist fusion, reduce pain
{"title":"RADIOSCAPHOLUNATE (RSL) FUSION ON SECONDARY OA WRIST WITH NEGLECTED DISLOCATION RADIOCARPAL JOINT AND CONTRACTURE DUE TO ENTRAPMENT OF SUPERFICIAL FLEXOR TENDON INDEX FINGER OF LEFT HAND","authors":"R. Rian, S. Hadinoto, Tito Sumarwoto, Pamudji Utomo, M. Q. R. T. Tulandi","doi":"10.22437/jmj.v9i1.12474","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.12474","url":null,"abstract":"ABSTRACT \u0000 \u0000Background: When pain, deformity and instability compromise wrist function, wrist stabilization by means of fusion is a procedure of recognized validity. The goal of wrist arthrodesis is to provide the patient with a stable wrist for power grip and the predictable relief of pain while sacrificing wrist motion. The radioscapholunate (RSL) fusion is one of salvage procedure indicated in the case of traumatic or degenerative osteoarthritis of the radiocarpal joint, involving the lunate facet of the radius. RSL-fusion reduced total wrist motion (3 MC/Rad) in the F/E axis to an average of 49% of F/E in the unfused wrist but preserves midcarpal joint motion while alleviating pain. \u0000Case Report: We report a 43-year-old male patient with pain on his left wrist. 10 months before admission, he felt down from stairs with his left hand bear his body weight. He broke his wrist and got surgery at that time. Because still feel pain and his index finger can’t fully extensed, he brought to Soeharso orthopaedic hospital. Here, we have done RSL-fusion using cross pinning K-Wire to reduce pain, distal scapoid excision to optimizing radial angulation and release superficial flexor tendon index finger of left hand. \u0000Discussion: With Secondary OA of left wrist post traumatic with neglected radiocarpal dislocation and superficial flexor tendon contracture due to entrapment index finger of left hand post RSL-fusion, distal scapoid excision and release contracture can reduce pain at radiocarpal joint and improve range of movement. \u0000Conclusion: The goal of Radioscapholunate (RSL) fusion is to optimizing wrist motion and strength while minimizing or eliminating pain \u0000 \u0000Keywords: Radioscapholunate fusion, partial wrist arthrodesis, limited wrist fusion, reduce pain","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133731800","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}
ABSTRACT Introduction: Retained placenta is one of major cause for postpartum haemorrhage. Various medication and routes of administration have been reported to increase spontaneous placenta delivery and prevent manual removal of placenta. Purpose of the study to compare the outcome between misoprostol and oxytocin in management of retained placenta. Method: literature searching was done in 4 databases (Pubmed, EbscoHost, Cochrane and Scopus) with specific keywords, continued with article selection and critical appraisal. Result: 5 randomized controlled trial articles were found match to eligibility criteria. 3 of 5 studies found that spontaneous placental delivery occurred more in misoprostol group than oxytocin group. Based on 2 studies, the NNT value of misoprostol are 3 compare to oxytocin group. 2 other studies found that no significant differences of spontaneous delivery of placenta in misoprostol and oxytocin group. 2 studies found that misoprostol had shorter time for spontaneous placenta delivery. However, 2 other studies also found that misoprostol had longer time for spontaneous delivery. 1 study also found that Misoprostol group have less blood loss than oxytocin group. Conclusion: administration of misoprostol has better outcome in induce spontaneous placenta delivery, time needed for delivery and less blood loss volume compared to oxytocin. Keywords: misoprostol; oxytocin; prolonged third stage labour; retained placenta
{"title":"THE EFFECTIVENESS OF MISOPROSTOL COMPARES TO OXYTOCIN IN MANAGEMENT OF RETAINED PLACENTA: AN EVIDENCE-BASED CASE REPORT","authors":"Indra Gunawan, Roni Andre Syahputra Damanik","doi":"10.22437/jmj.v9i1.11752","DOIUrl":"https://doi.org/10.22437/jmj.v9i1.11752","url":null,"abstract":"ABSTRACT \u0000Introduction: Retained placenta is one of major cause for postpartum haemorrhage. Various medication and routes of administration have been reported to increase spontaneous placenta delivery and prevent manual removal of placenta. Purpose of the study to compare the outcome between misoprostol and oxytocin in management of retained placenta. \u0000 \u0000Method: literature searching was done in 4 databases (Pubmed, EbscoHost, Cochrane and Scopus) with specific keywords, continued with article selection and critical appraisal. \u0000 \u0000Result: 5 randomized controlled trial articles were found match to eligibility criteria. 3 of 5 studies found that spontaneous placental delivery occurred more in misoprostol group than oxytocin group. Based on 2 studies, the NNT value of misoprostol are 3 compare to oxytocin group. 2 other studies found that no significant differences of spontaneous delivery of placenta in misoprostol and oxytocin group. 2 studies found that misoprostol had shorter time for spontaneous placenta delivery. However, 2 other studies also found that misoprostol had longer time for spontaneous delivery. 1 study also found that Misoprostol group have less blood loss than oxytocin group. \u0000 \u0000Conclusion: administration of misoprostol has better outcome in induce spontaneous placenta delivery, time needed for delivery and less blood loss volume compared to oxytocin. \u0000 \u0000Keywords: misoprostol; oxytocin; prolonged third stage labour; retained placenta \u0000 ","PeriodicalId":409923,"journal":{"name":"JAMBI MEDICAL JOURNAL \"Jurnal Kedokteran dan Kesehatan\"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127517403","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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