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Association Between Clinical Manifestations of Covid-19 Patients Post Immunization Follow-Up (Aefi) With Cardiovascular Commorbidities and It’s Islamic Perspective Review Hasyajogi Tiara Harahap; Lilian Batubara; Endy Muhammad Istiwara
Junior Medical Journal Vol 1, No 5 (2023)
Publisher : Junior Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/jmj.v1i5.3184

Abstract

Introduction : the use of the COVID-19 vaccine can occur AEFIs which are adverse medical events and occur after immunization, but these events are not always related to the use of the vaccine. Adverse Post-Immunization Events (AEFIs) can be in the form of vaccine reactions, coincidental events, anxiety reactions, and causal relationships that cannot be determined. Post-Immunization Follow-Up Events (KIPI) COVID-19 has a different reaction, duration, symptoms and severity for everyone and not everyone experiences Post-Immunization Adjunct Events (KIPI). This study aims to determine the relationship between clinical manifestations of Post-Immunization Adverse Events (AEFI) in COVID-19 patients with cardiovascular comorbidities.Method : This research was a descriptive observational study using a cross-sectional method. The sample in this study were 54 respondents who were COVID-19 patients at the Palmerah District Health Center who had been vaccinated 3 months after recovering from COVID-19. Data was collected by conducting direct interviews with respondents. Bivariate analysis was performed using the Chi-Square statistical test with Fisher Exact Test analysis.Result : From the results of the analysis conducted, there were 49 respondents (90.7%) who had cardiovascular comorbidities with 45 respondents (93.8%) of whom had Post-Immunization Adjunct Events (KIPI) and 4 respondents (8.2%) who did not experience Post-Immunization Adjunct Events (KIPI). The results of the Chi-Square test with the Fisher Exact Test Analysis obtained a significance value of 0.089. Therefore, the value of Sig. (2-sided) is 0.089 (0.05), which means that there is no association between cardiovascular comorbidities and Post-Immunization Adverse Events (AEFI).Conclusion : There is no significant association between cardiovascular comorbidities and Post Immunization Adverse Events (AEFI).
Pengaruh Aktivitas Olahraga Sehari-HariTerhadap Insidensi OA Genu pada Mahasiswa Fakultas Kedokteran Universitas Yarsi Angkatan 2019 dan Tinjauannya Menurut Islam Alaric Casta Rafi; Teguh Yuliadi; Endy Muhammad Istiwara
Junior Medical Journal Vol 1, No 6 (2023)
Publisher : Junior Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/jmj.v1i6.3124

Abstract

Pendahuluan: Osteoarthritis (OA) adalah gangguan kronis sendi sinovial di mana ada pelunakan progresif dan disintegrasi tulang rawan artikular disertai dengan pertumbuhan baru tulang rawan dan tulang pada margin sendi (osteofit), pembentukan kista dan sklerosis di tulang sub-kondral, sinovitis ringan dan fibrosis kapsuler. Salah satu faktor risiko OA adalah kegiatan beban tinggi rutin, yang salah satunya adalah olahraga. Olahraga merupakan aktivitas fisik yang direncanakan, terstruktur, dan bersifat repetitif dengan tujuan mengkondisikan tubuh untuk meningkatkan kesehatan, menjaga kebugaran dan rehabilitasi fisik Banyaknya manfaat aktivitas olahraga tentu menjadikannya salah satu kegiatan fisik yang diminati banyak orang. Akan tetapi kegiatan fisik seperti olahraga seringkali berlibatan dengan menitikberatkan beban pada sendi-sendi extremitas bawah, khususnya pada sendi lutut (genu). Ini berpotensi menimbulkan OA, tidak hanya pada populasi yang berusia, tapi pada populasi muda juga. Mahasiswa sebagai penerus bangsa dan calon populasi produktif harus dihindari dari risiko ini. Tujuan penelitian ini adalah untuk mengetahui pengaruh aktivitas olahraga terhadap insidensi OA pada mahasiswa kedokteran serta tinjauannya menurut Islam.Metode: Jenis penelitian ini berupa survey observasional dengan desain penelitian cross sectional. Kuesioner didistribusikan melalui google form dan dilakukan pada mahasiswa Fakultas Kedokteran Universitas Yarsi angkatan 2019 dengan jumlah sampel sebanyak 160 responden. Analisis data dilakukan secara univariat dan bivariat menggunakan uji regresi linear.Hasil: Rata-rata aktivitas olahraga didapatkan setinggi 702,88 METs, dengan rata-rata insidensi OA berdasarkan WOMAC sejumlah 5,81 poin dari maksimal 96 poin. Berdasarkan hasil uji statistik didapatkan p = 0.186 (p0.05) yang menunjukkan bahwa tidak terdapat pengaruh yang signifikan dari aktivitas olahraga terhadap insidensi OA Genu pada mahasiswa Fakultas Kedokteran Universitas Yarsi angkatan 2019.Simpulan: Tidak terdapat pengaruh yang bermakna secara statistik antara aktivitas olahraga terhadap insidensi OA Genu.
The Relationship of Sedentary Behavior and Sleep Duration to The Incidence of Obesity in Children under Five in Central Jakarta and The Review of Islamic Perspective Anisya Fitriah; Diniwati Mukhtar; Qomariyah Sachrowardi; Endy Muhammad Istiwara
Junior Medical Journal Vol 1, No 5 (2023)
Publisher : Junior Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/jmj.v1i5.3125

Abstract

Introduction: Children under five should have their nutritional status checked regularly due to their susceptibility to diseases and nutritional problems. Inappropriate or excessive accumulation of fat, called obesity, can jeopardize their health. Assessment of nutritional status in obese toddlers can use anthropometric standards that are converted into Z-score values based on IMT/U with the category of obesity if the Z-score value is +3 SD. Sedentary behaviour is when a person spends sitting or lying down with low energy expenditure outside sleep. Children and adolescents with high sedentary behaviour are prone to an increase in adipocytes that cause obesity. Children aged 3-5 years with poor sleep duration (10 hours/day) are at greater risk of obesity. Methods: This type of research is quantitative with a cross-sectional design. The sample of this study was 70 children aged 2-5 years in Sawah Besar District, who were included in the inclusion criteria. Results: Out of 70 toddlers in Central Jakarta, 37 people (52.9%) were obese, and 33 (47.1%) were ordinary. Based on the results of statistical tests using the Chi-Square test, the p-value is 0.05, which can be concluded that there is a relationship between sedentary behaviour and obesity and a relationship between sleep duration and obesity. Conclusion: The research results show a significant relationship (p 0.03) between sedentary behaviour and obesity, with an Odd Ratio value of 3.137. There is also a meaningful relationship (p 0.016) between sleep duration and obesity, with an Odd Ratio value of 3.646 in Sawah Besar District, Central Jakarta toddlers.
The Relationship Between Physical Activity and Sleep Duration on The Incidence of Obesity in Children under Five in Central Jakarta and The Review of Islamic Perspective Astalia Maisya Adhitama; Diniwati Mukhtar; Qomariyah Sachrowardi; Endy Muhammad Istiwara
Junior Medical Journal Vol 1, No 6 (2023)
Publisher : Junior Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/jmj.v1i6.3126

Abstract

Introduction: The excessive buildup of fat, known as obesity, can negatively affect health. In 2020, there will be 38.9 million overweight children under the age of five worldwide. 7.8% of toddlers in DKI Jakarta are fat, compared to 7.04% in central Jakarta. A variety of factors cause obesity. The two most important factors are insufficient sleep time and physical exercise.  Methodology: This type of research is quantitative with a cross-sectional design. The study population was toddlers in Sawah Besar District, Central Jakarta, a total of 70 people. Results: The results showed that 33 people (47.1%) were ordinary, four people (5.7%) were at risk of being overweight, three people (4.3%) were fat, and 30 people (42.9%) were obese. Moderate physical activity was found in 15 people (50%) normal and 15 people (50%) obese. At the same time, physical activity is less, with as many as 18 people (45%) ordinary and 22 people (55%) obese. Found adequate sleep duration in 21 people (63.648%) were ordinary, and 12 (36.36%) were obese. At the same time, the rest period is seen in as many as 12 people (32.43%) normal and 25 people (67.57%) obese. P=0.810 and p=0.016 show differences in physical activity and sleep duration in obese toddlers. Conclusion: In toddlers in the Sawah Besar District of Central Jakarta, there is a meaningful association between sleep duration and the incidence of obesity (p=0.016) and no relationship between physical activity and the incidence of obesity (p=0.810) with an Odd Ratio value of 1.222.
Incidence Rate and Risk Factors for Diarrhea in Yarsi Medical Faculty Students Batch 2019 Izzatul Eryando; Ike Irmawati; Endy Muhammad Istiwara
Junior Medical Journal Vol 1, No 6 (2023)
Publisher : Junior Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/jmj.v1i6.3132

Abstract

Introduction: Diarrhea is a bowel movement with a mushy or liquid consistency, which can even be water only with a frequency more often than usual (usually three or more times) in one day (Depkes RI 2011). The prevalence of diarrhea in Indonesia according to its characteristics based on the 2018 Riskesdas recorded 18,225 (9%) children with diarrhea aged 1 year, 73,188 (11.5%) children with diarrhea aged 1-4 years, 182,338 (6.2%) children with diarrhea aged 5-14 years, and 165,644 (6.7%) children with diarrhea aged 15-24 years (Ministry of Health, 2019). Diarrhea can occur due to factors such as open defecation, hand washing without soap, food and beverage management, waste safety, and liquid waste safety.Methodology: This study is a correlational study with a cross sectional design. The study population was YARSI  medical students. The sampling technique was purposive sampling. The total sample was 166 students.Results: In student respondents, the results showed that the incidence rate of diarrhea in medical students of Yarsi in the last 3 months was quite high because the majority had diarrhea. It is also known that several risk factors studied have a relationship with the incidence rate of diarrhea, namely hand washing behavior and also the source of water drunk. Meanwhile, the level of knowledge, gender, and location of food purchases are not related to the incidence of diarrhea in students.Conclusion: The results of the study found the prevalence of diarrhea and several risk factors associated with the incidence of diarrhea.
Pengaruh Aktivitas Rumah Tangga Sehari-Hari Terhadap Insidensi OA Genu pada Mahasiswa Fakultas Kedokteran Universitas Yarsi Angkatan 2019 dan Tinjauannya Menurut Islam Dadang Hawari Subhan; Teguh Yuliardi; Endy Muhammad Istiwara
Junior Medical Journal Vol 1, No 5 (2023)
Publisher : Junior Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/jmj.v1i5.3121

Abstract

Pendahuluan: Osteoarthritis merupakan suatu penyakit sendi degeneratif, terjadi akibat ausnya tulang rawan sendi secara progressif dan kronik.  Osteoarthritis biasanya ditandai dengan adanya nyeri sendi dan hilangnya fungsi, walau memang terjadi variasi dalam temuan klinis dari asimtomatik sampai gejala yang sangat berat. Salah satu faktor risko terbesar OA merupakan kegiatan beban tinggi yang dilakukan secara terus menerus, yaitu olahraga. Akan tetapi, tidak hanya olahraga yang membutuhkan aktivitas fisik yang tinggi. Kegiatan rumah tangga seperti menyapu, mencuci piring, dan lain-lain juga merupakan kegiatan fisik yang mampu membebankan sendi, sehingga berpotensial terjadi OA. Salah satu sendi yang paling sering mengalami OA merupakan sendi lutut (genu). Kegiatan rumah tangga merupakan salah satu aktivitas fisik yang paling umum dilakukan di sekitar rumah, oleh seluruh anggota rumah tangga tersebut, termasuk salah satunya mahasiswa. Mahasiswa sebagai penerus bangsa seharusnya dilindingi dari ancaman seperti ini. Tujuan penelitian ini adalah untuk mengetahui pengaruh kegiatan rumah tangga terhadap insidensi OA pada mahasiswa kedokteran serta tinjauannya menurut Islam.Metode: Jenis penelitian ini berupa survey observasional dengan desain penelitian cross sectional. Kuesioner didistribusikan melalui google form dan dilakukan pada mahasiswa Fakultas Kedokteran Universitas Yarsi angkatan 2019 dengan jumlah sampel sebanyak 160 responden. Analisis data dilakukan secara univariat dan bivariat menggunakan uji regresi linear.Hasil: Rata-rata aktivitas rumah tangga didapatkan setinggi 714,25 METs, dengan rata-rata insidensi OA berdasarkan WOMAC sejumlah 5,81 poin dari maksimal 96 poin. Berdasarkan hasil uji statistik didapatkan p = 0.209 (p0.05) yang menunjukkan bahwa tidak terdapat pengaruh yang signifikan dari aktivitas rumah tangga terhadap insidensi OA Genu pada mahasiswa Fakultas Kedokteran Universitas Yarsi angkatan 2019.Simpulan: Tidak terdapat pengaruh yang bermakna secara statistik antara aktivitas rumah tangga terhadap insidensi OA Genu.
Pengaruh Pemberian Artificial Sweeteners Stevia terhadap Berat Badan, Profil Jaringan Lemak, Nilai Glukosa Darah, dan Kadar Malondialdehyde (MDA) pada Tikus Galur Wistar serta Tinjauannya Menurut Pandangan Islam Retno Noviar Dhani; Diniwati Mukhtar; Endy Muhammad Istiwara; Aan Royhan
Junior Medical Journal Vol 2, No 1 (2023)
Publisher : Junior Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/jmj.v2i1.3772

Abstract

Penyakit kardiovaskular (CVD) merupakan penyebab utama kematian yang dipengaruhi oleh peningkatan kadar MDA dan pola makan yang tidak seimbang. Di Indonesia, CVD merupakan 1/3 dari penyebab utama morbiditas dan mortalitas. Konsumsi artificial sweeteners stevia dapat dijadikan upaya pencegahan faktor risiko terjadinya penyakit kardiovaskular. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian artificial sweeteners stevia terhadap berat badan, profil jaringan lemak, nilai glukosa darah, dan kadar Malondialdehyde (MDA) pada Tikus Galur Wistar. Jenis penelitian ini adalah laboratorium eksperimental menggunakan desain one group pre-test, post-test, dan control group yang dibagi menjadi tiga kelompok (kontrol, artificial sweeteners stevia, dan gula dapur) selama 4 minggu. Subjek penelitian ini adalah Tikus Galur Wistar sebanyak 30 ekor. Pemberian artificial sweeteners stevia pada tikus galur wistar memberikan hasil yang signifikan terhadap peningkatan berat badan dan profil jaringan lemak (p0,05). Namun, tidak signifikan terhadap nilai glukosa darah (sewakt u) (p0,05) dan kadar Malondialdehyde (MDA) (p0,05). Terdapat pengaruh positif dari pemberian artificial sweetener stevia terhadap tikus galur wistar. Ditinjau dari perspektif Islam, konsumsi artificial sweetener stevia yaitu halal dan boleh digunakan untuk dikonsumsi karena mengandung banyak manfaat positif terhadap kesehatan dibandingkan mudharat yang akan diterima oleh manusia. Diperlukan penelitian lebih lanjut dengan durasi yang lebih lama mengenai variabel yang tidak terkontrol terkait keterbatasan dalam penelitian ini.