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Journal : Journal of Medical Studies

HUBUNGAN SCREEN TIME DENGAN KEJADIAN MIGRAIN PADA MAHASISWA KEDOKTERAN UNIVERSITAS JAMBI ANGKATAN 2018 Mauli Datul Hasanah; Ima Maria; Mirna Marhami Iskandar; Attiya Istarini; Patrick William Gading
Journal of Medical Studies Vol. 2 No. 1 (2022): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v2i1.18088

Abstract

ABSTRACT Background: Migraine is one of the most common primary headache complaints. Migraine can occur due to trigger factors including foods with certain ingredients (such as tyramine, chocolate), menstrual cycles, weather, sleep patterns, bright light, and screen time. Screen time is the total time spent viewing or watching gadget screens such as televisions, computers (laptops), smartphones, tablets and video games. Objectives: To determine the relationship between screen time and the incidence of migraine in medical students at Jambi University. Methods: This research is a quantitative analytic study with a cross sectional design. Respondents consisted of 93 medical students at Jambi University Batch 2018 who were taken by the total sampling method and had met the inclusion and exclusion criteria. Screen time data and migraine incidence were assessed using a questionnaire. Analysis of the relationship between the two variables was tested by chi-square test and processed with SPSS version 25. Results: The results showed that there was a significant relationship between screen time and the incidence of migraine. Conclusions: the longer the use of screen time, the higher the incidence of migraine in medical students at Jambi University batch 2018. Keywords: Migraine, Screen time ABSTRAK Latar belakang: Migrain merupakan salah satu keluhan nyeri kepala primer yang paling sering ditemukan. Kejadian migrain dapat terjadi karena adanya faktor pemicu diantaranya makanan dengan kandungan tertentu (seperti tiramin, cokelat), siklus menstruasi, cuaca, pola tidur, cahaya yang terang, dan screen time. Screen time adalah waktu total yang dihabiskan untuk melihat atau menonton layar gadget seperti televisi, komputer (laptop), smartphone, tablet dan video game. Tujuan: Mengetahui hubungan antara screen time dengan kejadian migrain pada mahasiswa kedokteran Universitas Jambi. Metode: Penelitian ini merupakan penelitian analitik kuantitatif dengan desain cross sectional. Responden terdiri dari 93 mahasiswa kedokteran Universitas Jambi Angkatan 2018 yang diambil dengan metode total sampling dan telah memenuhi kriteria inklusi dan eksklusi. Data screen time dan kejadian migrain dinilai dengan kuisioner. Analisis hubungan antara dua variabel diuji dengan uji chi-square dan diolah dengan SPSS versi 25. Hasil: Hasil penelitian didapatkan adanya hubungan antara screen time dengan kejadian migrain. Kesimpulan: Semakin lama penggunaan screen time maka akan meningkatkan kejadian migrain pada mahasiswa kedokteran Universitas Jambi angkatan 2018. Kata kunci: Migrain, Screen time
Pre-Matrical Nutrition Counseling, Anthropometric and Hemoglobin Examination In Women Of Fertile Age Huntari Harahap; Armaidi Darmawan; Tia Wida Ekaputri; Erny Kusdiyah; Mirna Marhami Iskandar; Firmansyah
Journal of Medical Studies Vol. 4 No. 3 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i3.38953

Abstract

ABSTRACT Background: The government's stunting prevention measures begin with improving nutrition, namely during adolescence, in the case of prospective brides, pregnant women, postpartum mothers, and toddlers. Empowerment for women in the community or at home is expected to reduce stunting problems and various child health problems. This study aims to screen for risk factors and prevent stunting in women of childbearing age. Methods: Thirty-six women of childbearing age attended this research activity in the Olak Kemang Health Center working area. The activities included pre-marital nutrition education for women of childbearing age, examination of weight, height, arm circumference, and measurement of blood haemoglobin. Results: The body mass index of Women of Childbearing Age was the most in the thin category, namely 39% (BMI <18.5), haemoglobin levels >12 as much as 58,33%, upper arm circumference above 22 as much as 78% and there was an increase in knowledge assessed from the results of the pretest and posttest, it is known that the average pretest value is 60, and the posttest value is 80. Conclusion: Management of iron tablet administration is needed for women of childbearing age who experience anaemia and increased nutritional intake in women of childbearing age. Keywords: nutrition counseling; anthropometry; hemoglobin; Women of Childbearing Age (WCA); stunting
Uji Beda Jumlah Trombosit dan Indeks Trombosit serta Luaran pada Pasien Pneumonia Perawatan Jam 0, 24, 72, 144 di ICU RSUD Raden Mattaher Jambi Bunga Firuzia; Samsirun Halim; Mirna Marhami Iskandar; Rianita Juniati; Fairuz
Journal of Medical Studies Vol. 4 No. 1 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i1.32086

Abstract

ABSTRACT Background: Pneumonia is the most commonly found acute respiratory infection that causes inflammation of the lung parenchyma. In some cases, pneumonia causes critical illness either as the main diagnosis or as a co-morbid condition in a critically ill patient. Inflammatory factors such as platelet indices have been reported to show differences based on outcome. This study aims to determine the difference between platelet count and platelet indices based on the outcomes of pneumonia patients in the intensive care unit (ICU) of RSUD Raden Mattaher Jambi. Methods: This study used an analytic observational cohort method, with a prospective approach using a consecutive sampling technique. Subjects include critically ill patients admitted to the ICU, data for platelet counts and platelet indices are obtained at 0, 24, 72, and 144 hours. Results: From the 41 samples, the result showed that the incidence was higher in women 21 people (51.2%). The sample output that died was 32 people (78.04%). Based on the analysis results, there was a significant difference between PDW and outcomes at 72 hours (p<0.05). There was no significant difference between platelets and outcomes at 24, 72,144 hours, MPV and outcomes at 24, 72, 144 hours, PDW and outcomes at 24, 144, and PCT and outcomes at 24 hours, 72, 144. Conclusion: There was a significant difference in PDW and outcomes at 72 hours. There was no significant difference between the platelet count and outcomes at 24, 72,144 hours, platelet indices MPV and PCT and outcomes at 24, 72, and 144 hours, and PDW and outcomes at 24 and 144. Keywords: Thrombocyte, Platelet Indices, Outcome, Pneumonia ABSTRAK Latar Belakang: Infeksi saluran napas bawah akut yang paling sering terjadi adalah pneumonia. Pneumonia adalah penyakit infeksi pernapasan akut yang menyebabkan peradangan pada parenkim paru. Dalam rangka menurunkan angka mortalitas kejadian pneumonia, dapat dilakukan diagnosis dan penanganan lebih awal sehingga menghasilkan outcome yang lebih baik yaitu dengan melihat faktor inflamasi seperti trombosit dan indeks trombosit melalui pemeriksaan laboratorium darah rutin. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan antara jumlah trombosit dan indeks trombosit berdasarkan luaran pasien pneumonia di ICU RSUD Raden Mattaher Jambi. Metode: Penelitian ini menggunakan metode analitik observasional kohort, dengan pendekatan retrospektif dan prospektif yang melibatkan 41 subjek penelitian, menggunakan teknik consecutive sampling. Penelitian ini dilakukan dengan cara menghitung kadar trombosit dan indeks trombosit pada jam ke-0, 24, 72, dan 144. Hasil: Dari 41 sampel, didapatkan hasil kejadian lebih banyak pada perempuan yaitu sebanyak 21 orang (51.2%). Luaran sampel yang meninggal 32 orang (78.04%). Berdasarkan hasil analisis, didapatkan perbedaan yang signifikan antara PDW serta luaran pada jam ke-72 (p<0.05). Tidak terdapat perbedaan yang signifikan antara jumlah trombosit serta luaran pada jam ke-24, 72, 144, MPV serta luaran pada jam ke-24, 72, 144, PDW serta luaran jam ke-24, 144, dan PCT serta luaran pada jam ke-24, 72, 144. Kesimpulan: Didapatkan adanya perbedaan yang signifikan PDW serta luaran pada jam ke-72. Tidak adanya perbedaan yang signifikan antara jumlah trombosit serta luaran pada jam ke-24, 72, 144 indeks trombosit MPV dan PCT serta luaran pada jam ke-24, 72, dan 144, PDW serta luaran pada am ke-24 dan 144. Kata Kunci: Trombosit, Indeks Trombosit, Luaran, Pneumonia
Perbandingan Jumlah Koloni Bakteri pada Pasien Fraktur Terbuka Pre-operasi dan Post-operasi Miftahul Jannah; Maria Estela Karolina; Nindya Aryanty; Lipinwati; Mirna Marhami Iskandar
Journal of Medical Studies Vol. 4 No. 1 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i1.32090

Abstract

ABSTRACT Background: Open fracture is a structural break in the continuity of bone tissue which can relate to the environment of the body that is susceptible to infection. The World Health Organization (WHO) explains that surgical wound infections are infections that occur within 30 days postoperatively. This study aims to compare the number of bacterial colonies in pre and postoperative open fracture patients. Method: This research is a prospective observational analytic with quantitative methods. Sampling was taken by taking pre and postoperative wound swabs of open fracture patients and counting the number of bacterial colonies. Results: The study sample consisted of 23 samples, consisting of men (100%), the largest age range between 20-60 years (73.9%), the most common trauma mechanism was traffic accidents (52.2%) and the most location was the lower extremities (56,4%). The incidence of infection found 20 patients (87%) had preoperative infections and all patients (100%) had no infections 3 days postoperatively. The results of the Wilcoxon test showed a significant difference between the number of bacterial colonies in pre and postoperative open fracture patients (p<0.05). Conclusion: There were differences in the number of bacterial colonies in preoperative and postoperative open fracture patients. Keywords: Bacterial colony count, Open fractures, Surgery ABSTRAK Latar belakang: Fraktur terbuka merupakan terputusnya kontinuitas jaringan tulang secara struktural yang dapat berhubungan dengan lingkungan luar tubuh sehingga rentan terjadi infeksi. World Health Organization (WHO) menjelaskan bahwa infeksi luka operasi adalah infeksi yang terjadi dalam 30 hari paska operasi. Tujuan penelitian ini adalah untuk membandingkan jumlah koloni bakteri pada pasien fraktur terbuka pre dan post operasi. Metode: Penelitian ini merupakan penelitian analitik observasional pendekatan prospektif dengan metode kuantitatif. Pengambilan sampel dengan mengambil swab luka pasien fraktur terbuka pre dan post operasi dan dilakukan penghitungan jumlah koloni bakterinya. Hasil: Sampel penelitian ini berjumlah 23 sampel, terdiri atas laki-laki (100%), rentang usia terbanyak adalah 20-60 tahun (73,9%), mekanisme trauma tersering adalah kecelakaan lalu lintas (52,2%), dan lokasi terbanyak adalah ekstremitas bawah (56,4%). Kejadian infeksi dari total sampel penelitian didapatkan 20 pasien (87%) mengalami infeksi pre operasi dan seluruh pasien (100%) tidak mengalami infeksi 3 hari post operasi. Hasil uji Wilcoxon menunjukkan adanya perbedaaan yang signifikan antara jumlah koloni bakteri pasien fraktur terbuka pre dan post operasi (p<0,05). Kesimpulan: Terdapat perbedaan jumlah koloni bakteri pada pasien fraktur terbuka pre operasi dan post operasi. Kata kunci: Jumlah koloni bakteri, Fraktur terbuka, Operasi
Literature Review: Patomekanisme, Penatalaksanaan, dan Prognosis pada Keloid Della Lusnita Milioni; Fairuz; Mirna Marhami Iskandar
Journal of Medical Studies Vol. 3 No. 2 (2023): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v3i2.33990

Abstract

ABSTRACT Background: Keloids are a benign fibroproliferative disorder characterized by abnormal collagen deposition in the wound. Keloid recurrence rates range from 20% to 100% depending on the various treatment modalities given. This is also complicated because the factors influencing keloid recurrence have not been determined and the pathophysiology is also unclear. Understanding the pathomechanism of keloid formation is very important in determining appropriate management, thereby reducing or preventing keloid formation or reducing its recurrence rate. Objective: This study aims to determine the pathomechanism, management, and prognosis of keloids based on a literature study. Method: The method used in this research is the scoping review method. The literature sources used in this study are journals published on the internet that were searched through the search engines Google Scholar, Springer Link, ScienceDirect, CambridgeCore, and PubMed. Conclusion: There are increased levels of inflammatory cytokines in keloid scars compared to normal scars, combination therapy is better than monotherapy alone, and pathomechanism and management are factors that influence the prognosis in keloids. Keywords: Keloids, pathomechanism, management, prognosis, recurrence ABSTRAK Latar Belakang: Keloid adalah gangguan fibroproliferatif jinak yang ditandai dengan pengendapan kolagen abnormal pada luka. Tingkat rekurensi keloid berkisar antara 20% sampai 100% tergantung pada berbagai modalitas tatalaksana yang diberikan. Hal ini juga dipersulit karena faktor-faktor yang mempengaruhi rekurensi keloid belum ditentukan dan patofisiologinya masih belum jelas. Patomekanisme terbentuknya keloid sangat penting dalam menentukan tatalaksana yang tepat, sehingga dapat mengurangi atau mencegah terbentuknya keloid atau menurunkan rekurensinya. Tujuan: Penelitian ini bertujuan untuk mengetahui bagaimana patomekanisme, penatalaksanaan, dan prognosis dari keloid berdasarkan studi literatur. Metode: Metode yang digunakan pada penelitian ini adalah metode scoping review dengan sumber literatur yang digunakan dalam penelitian ini adalah jurnal yang dipublikasi di internet yang ditelusuri melalui search engine Google scholar, Spinger Link, ScienceDirect, CambridgeCore, dan PubMed. Kesimpulan: Terdapat peningkatan kadar sitokin inflamasi pada bekas luka keloid dibandingkan dengan bekas luka normal, terapi kombinasi lebih baik dibandingkan dengan monoterapi saja, dan patomekanisme dan penatalaksanaan adalah faktor yang mempengaruhi prognosis pada keloid. Kata Kunci: Keloid, patomekanisme, tatalaksana, prognosis, rekurensi
Karakteristik Pasien Stroke Hemoragik Di RSUD Raden Mattaher Jambi Tahun 2017-2021 Ega Benita; Mirna Marhami Iskandar; Ima Maria; Nidia Suriani; Armaidi Darmawan
Journal of Medical Studies Vol. 4 No. 2 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i2.36433

Abstract

ABSTRACT Background: Hemorrhagic stroke is spontaneous bleeding in the parenchyma or intracerebral brain, subarachnoid space, or intraventricular space due to sudden rupture of intracranial blood vessels. Hemorrhagic strokes account for 15% of total strokes and the burden of disability is greater than ischemic strokes. Aim: To find out the characteristics of hemorrhagic stroke patients at Raden Mattaher Jambi Hospital in 2017-2021. Methods: This type of research uses descriptive research. The sample of this study was hemorrhagic stroke patients at Raden Mattaher Hospital Jambi in 2017- 2021 by looking at the patient's medical records and fulfilling the inclusion criteria. Results: The largest age group was the late elderly (56-65 years), dominated by women. The most common type of bleeding was ICH and the location was deep cerebral. The most common risk factors were emergency hypertension and grade 2 hypertension. Most patients did not have diabetes mellitus, or dyslipidemia, and did not smoke. Conclusion: Hemorrhagic stroke is most common in the late elderly group (56- 65 years), the majority are women, the most common type of bleeding is ICH, the most common location is deep cerebral, and hypertension is the main risk factor. Keywords: Hemorrhagic stroke, Raden Mattaher Hospital ABSTRAK Latar belakang: Stroke hemoragik adalah perdarahan spontan pada parenkim atau intraserebral otak, ruang subarachnoid, atau ruang intraventrikular akibat pecahnya pembuluh darah intrakranial secara tiba-tiba. Stroke hemoragik menyumbang 15% dari total stroke dan beban kecacatan lebih besar daripada stroke iskemik. Tujuan: Mengetahui karakteristik pasien stroke hemoragik di RS Raden Mattaher Jambi tahun 2017-2021. Metode: Jenis penelitian yang digunakan adalah penelitian deskriptif. Sampel penelitian ini adalah pasien stroke hemoragik di Rumah Sakit Raden Mattaher Jambi tahun 2017-2021 dengan melihat rekam medis pasien dan memenuhi kriteria inklusi. Hasil: Kelompok umur terbanyak adalah lansia akhir (56-65 tahun) yang didominasi oleh perempuan. Jenis perdarahan yang paling umum adalah ICH dan lokasinya di serebral dalam. Faktor risiko yang paling umum adalah hipertensi darurat dan hipertensi grade 2. Sebagian besar pasien tidak menderita diabetes melitus, dislipidemia, dan tidak merokok. Kesimpulan: Stroke hemoragik paling banyak terjadi pada kelompok lansia akhir (56-65 tahun), mayoritas wanita, jenis perdarahan tersering adalah ICH, lokasi terbanyak serebri dalam, dan hipertensi merupakan faktor risiko utama. Kata Kunci: Stroke Hemoragik, RSUD Raden Mattaher