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Pengaruh Jenis Kelamin dalam Variasi Indeks Prestasi Kumulatif Mahasiswa Kedokteran di Universitas Pembangunan Nasional Veteran Jakarta Makkiyah, Feda Anisah; Harfiani, Erna; Anisah, Anisah
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 13, No 1 (2019): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.888 KB) | DOI: 10.33533/jpm.v13i1.796

Abstract

The number of female medical students outweigh the number of male students in Indonesia and also in school of medicine universitas Pembangunan Nasional Veteran Jakarta has raised the awareness of identification of role of gender in student learning and student assessment. This study explored the differences of Grade Point of Average in six semesters of medical students based on gender and showed the difficult topics in learning medicine. This study was also as a preliminary study of long term evaluation of medical education process. Methods: This descriptive cohort study explored the GPA scores of medical students of year 2015 that have undergone 6 semesters. The data was analyzed for normal distribution and non parametric study was used as final step to analyze the correlation between gender and performance of medical students in 6 semesters. Result. The highest GPA score was in first semester and the lowest GPA score is in the sixth semester. After first semester, the score steps down in second semester and climbed up again in semester 3 and 4 . The score then decrease to the lowest point in semester 5 and 6. This study also showed there was no significant gender difference of variation of GPA in six semester (P 0,113) and female students have higher GPA scores than male students in all six semester. Conclusion. There was no gender difference in Grade of Point Average score in six semester of medical students in Universitas Pembangunan Nasional VeteranJakarta and semester 5 and 6 were semester that students have low GPA.
A CASE REPORT OF ACUTE NONTRAUMATIC SPONTANEOUS SUBDURAL HAEMATOMA DUE TO PSEUDOANEURYSM OF MIDDLE MENINGEAL ARTERY Makkiyah, Feda; Nurrahmah, Rahma Nida
MNJ (Malang Neurology Journal) Vol. 7 No. 1 (2021): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2021.007.01.13

Abstract

Acute subdural bleeding is blood collection in subdural space, usually caused by laceration of the bridging vein that runs from cortex to meningeal layer. On the other hand, the acute epidural hematoma is a collection of blood above the dura mater, usually caused by tearing of the middle meningeal artery.  Subdural hematoma acute more likely happen in elderly than young adult. This case report discusses acute spontaneous subdural hematoma that was caused by a pseudoaneurysm of the middle meningeal artery. Seventeen years old boy came with symptoms of high intracranial pressure because of massive subdural bleeding. He was undergone craniotomy. After the clot removal operation, Digital Subtraction Angiography revealed vascular blush and pseudoaneurysm of the middle meningeal artery. Onyx embolization was delivered to proximal to a distal branch of the middle meningeal artery. The patient recovered in good condition, and no rebleeding in two years.  Conclusion.  Acute spontaneous subdural bleeding even though it is quite rare, but the chance of fatal rebleeding is high. As a result, one still has to look for the source of bleeding and manage comprehensively with embolization.
Akses Ibu Hamil terhadap Pelayanan Kesehatan di Masa Pandemi COVID-19 Rahmah Hida Nurrizka; Yuri Nurdiantami; Feda Anisah Makkiyah
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 2 (2021)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.62752

Abstract

Pandemi COVID-19 telah berdampak terhadap terganggunya sistem pelayanan kesehatan di Indonesia, termasuk pelayanan kesehatan bagi ibu hamil. Studi ini menganalisis dampak pandemi COVID-19 terhadap akses pelayanan kesehatan pada ibu hamil. Studi ini merupakan studi potong lintang (cross-sectional) berbasis survey online. Sampel pada studi ini adalah ibu yang hamil pada masa pandemi COVID-19, yang tinggal di wilayah Jabodetabek. Jumlah sampel yang berhasil didapatkan sebanyak 120 sampel. Hasil studi menunjukan sebesar 14,1% ibu hamil tidak lengkap melakukan pemeriksaan kehamilan. Terdapat hubungan antara kelengkapan pemeriksaan kehamilan dan pekerjaan ibu dengan P = 0.047. Ibu hamil memilih rumah sakit sebagai tempat pemeriksaan kehamilan selama masa pandemi, dengan proporsi 44,1%. Terdapat hubungan antara pilihan fasilitas kesehatan dan pendidikan ibu hamil dengan nilai P = 0.019 dan jumlah anak dengan nilai P = 0.013. Perlu merancang sistem pelayanan kesehatan dengan protokol kesehatan yang ketat. Meningkatkan pelayanan di semua fasilitas pelayanan kesehatan, terutama Puskesmas dan mengembangkan pelaksanaan pelayanan kesehatan bagi ibu hamil secara online atau telemedicine.
Concomittan Hyperuricemia and Abcess Mid Thoracic Region: The Use of Dual Energy CT Scan Feda Makkiyah
Berkala Kedokteran Vol 17, No 2 (2021)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.171 KB) | DOI: 10.20527/jbk.v17i2.11678

Abstract

Abstract: Dual energy scan was performed to differentiate any collection associated with calsium. Case report. This 23 year old man showed severe hyperuricemia and mid thoracic pain and MRI showed collection over posterior epidural thecal sac over T3 until T9. Dual energy CT scan was performed to assess uric acid crystal over thoracic region. The CT result was negative. He was treated over intravenous antibiotic and pain medication. His pain improved  progressively and laboratory results  showed towards normal  value and he was discharged on day twelveth. Conclusion. This case report showed the comprehensive diagnostic tool to yield out the aetiology of  thoracal epidural collection, despite negative result. Keywords: Hyperuricemia, abcess, mid thoracic, dual energy, CT scan
Role of external ventricular drainage in spontaneous intraventricular haemorrhage patients in cileungsi district hospital Feda Anisah Makkiyah; Shelly Nobel; Rahma Hida Nurrizka
Health Science Journal of Indonesia Vol 11 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v11i1.3070

Abstract

Latar Belakang: Perdarahan intraventrikel otak (intraventricular haemorrhage=IVH) memperburuk prognosis pada perdarahan intraserebri (intracerebral haematoma=ICH). Prosedur drainage cairan serebrospinal dari ventrikel otak (external ventricle drainage=EVD) bertujuan menurunkan tekanan intrakranial yang tinggi dikarenakan progresivitas IVH. Meskipun demikian, EVD merupakan prosedur pilihan karena terbukti tidak selalu efektif. Penelitian ini memperlihatkan faktor yang mempengaruhi keluaran pada pasien perdarahan intraventrikel dan apakah EVD memperbaiki keluaran pada pasien tersebut. Metode: Penelitian potong-lintang retrospektif yang mengikutsertakan pasien IVH dan ICH yang berekstensi IVH(ICH-IVH) dengan EVD dan tidak di RSUD Cileungsi pada Januari sampai Desember 2018. Perbandingan antara grup EVD dan tidak berdasarkan jenis kelamin, umur, pulse pressure, Glasgow Coma Scale (GCS), jumlah perdarahan, skor volume perdarahan di ventrikel lateral, ketiga dan keempat pada CT scan, Charlson Comorbid Index (CCI) dan modified Rankin Scale (mRS). Untuk mengetahui faktor yang berperan dalam perbaikan keluaran dari pasien dengan EVD dilakukan analisis Spearman Correlation test (STATA 15). Hasil: 100 pasien datang dengan diagnosis ICH spontan, 5 pasien IVH, dan 16 pasien ICH-IVH. Perdarahan di ventrikel empat merupakan pembeda yang signifikan antara pasien yang mendapatkan EVD atau tidak pada kelompok ICH-IVH (p=0,035). Skor GCS (p=0,034) berhubungan signifikan dengan prognosis ICH-IVH pasien dengan koefisien korelasi 0,671. EVD tidak memperbaiki keluaran dari IVH pasien atau ICH- IVH pasien. Kesimpulan: GCS yang tinggi berkorelasi dengan prognosis baik pada grup ICH-IVH. Indikasi EVD pada adanya darah di ventrikel empat. EVD tidak memperbaiki keluaran pasien ICH-IVH spontan atau pasien IVH spontan tetapi sebaiknya dilakukan karena kemungkinan progresivitas menjadi hidrosefalus yang tipe penyumbatan yang dapat berakhir kematian. Kata kunci: prognosis, IVH, ICH, EVD, RSUD Cileungsi Abstract Background: Intraventricular haemorrhage (IVH) worsen the prognosis of Intracerebral hematoma (ICH). External Ventricular Drain (EVD) is inserted to reduce intracranial pressure that resulted from the progression of IVH. However, EVD is still an optional procedure because it is not always proven effective. This study was aimed to demonstrate prognostic factors of IVH and whether EVD insertion might improve the outcome. Methods: This cross-sectional retrospective study included IVH patients and concomitant ICH-IVH that required or not EVD in Cileungsi Hospital from January to December 2018. We made comparisons between EVD insertion group and non-EVD group based on sex, age, pulse pressure, Glasgow Coma Scale (GCS), bleeding volume, score of bleeding volume in ventricle lateral, third and fourth based on CT scan, Charlson Comorbid Index (CCI) and modified Rankin Scale (mRS). To determine factors contributing to the good prognosis of EVD, Spearman Correlation test was used with STATA 15 software. Results: 100 patients were diagnosed with ICH, five patients IVH, 16 patients ICH and IVH. Blood in the fourth ventricle made a significant difference between EVD and non-EVD groups in the concomitant ICHIVH group (p=0.035). GCS score (p=0.034) correlated significantly with the prognosis of concomitant ICHIVH patients that had EVD insertion with correlation coefficient 0.671. EVD did not improve the outcome in IVH patients nor patients with ICH-IVH. Conclusion: EVD did not improve the prognosis of spontaneous concomitant ICH-IVH or spontaneous IVH patients, but it still needs to be inserted in case of developing obstructive hydrocephalus that might be lethal. Keywords: prognosis, IVH, ICH, EVD, Cileungsi Hospital
Pengaruh Jenis Kelamin dalam Variasi Indeks Prestasi Kumulatif Mahasiswa Kedokteran di Universitas Pembangunan Nasional Veteran Jakarta Feda Anisah Makkiyah; Erna Harfiani; Anisah Anisah
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 13, No 1 (2019): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.888 KB) | DOI: 10.33533/jpm.v13i1.796

Abstract

The number of female medical students outweigh the number of male students in Indonesia and also in school of medicine universitas Pembangunan Nasional Veteran Jakarta has raised the awareness of identification of role of gender in student learning and student assessment. This study explored the differences of Grade Point of Average in six semesters of medical students based on gender and showed the difficult topics in learning medicine. This study was also as a preliminary study of long term evaluation of medical education process. Methods: This descriptive cohort study explored the GPA scores of medical students of year 2015 that have undergone 6 semesters. The data was analyzed for normal distribution and non parametric study was used as final step to analyze the correlation between gender and performance of medical students in 6 semesters. Result. The highest GPA score was in first semester and the lowest GPA score is in the sixth semester. After first semester, the score steps down in second semester and climbed up again in semester 3 and 4 . The score then decrease to the lowest point in semester 5 and 6. This study also showed there was no significant gender difference of variation of GPA in six semester (P 0,113) and female students have higher GPA scores than male students in all six semester. Conclusion. There was no gender difference in Grade of Point Average score in six semester of medical students in Universitas Pembangunan Nasional VeteranJakarta and semester 5 and 6 were semester that students have low GPA.
Pelatihan dan Penyuluhan mengenai Bahaya Kanker Serviks pada Kelompok Ibu-ibu Pengajian di Pangkalan Jati, Cinere, Depok Tiwuk Susantiningsih; Feda Anisah Makkiyah; Yuni Setyaningsih
Jurnal Pengabdian Pada Masyarakat Vol 5 No 2 (2020)
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/002.202052.319

Abstract

TRAINING AND EDUCATION ABOUT THE DANGER OF CANCER SERVICS IN WOMEN GROUP OF PANGKALAN JATI, CINERE, DEPOK. Cervical cancer was a chronic disease due to a tumor in the cervix that was uncontrolled tissue growth and damage to the surrounding normal tissue. Citizen still does not understand the signs of disease and its dangers. Early screening of cervical cancer was done with the aim to reduce the incidence of cervical cancer. Based on an analysis of the situation and the results of a preliminary survey, the problems faced by partners are the lack of knowledge and skills of women about cervical cancer, as well as its prevention in RT 007/RW 007, Pangkalan Jati Village. This program counseling activities about the dangers of cervical cancer can be well received by the counseling participants seen with enthusiasm and questions raised. Participants gained additional knowledge about the dangers of cervical cancer, it can be seen by the presence of an increase in the value of post-test after counseling about the dangers of cervical cancer by 2%, from 84% to 86%.
Hubungan Pengetahuan, Sikap, dan Sosioekonomi dengan Perilaku Pencegahan Anemia pada Remaja Putri di Desa Sirnagalih, Bogor Ayu Magdalena Natalia Situmeang; Apriningsih Apriningsih; Feda Anisah Makkiyah; Widayani Wahyuningtyas
Jurnal Kesehatan Komunitas Vol 8 No 1 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss1.1126

Abstract

The coexistence of anemia is widespread in low-middle income countries, and several contributing factors include poverty, limited knowledge related to anemia prevention, and inadequate nutrient intake. This study aims to study and discover the relationship of knowledge, attitudes, and socioeconomic status with efforts to prevent iron nutrition anemia in young women in Sirnagalih Village, Bogor. This research is quantitative research with the design of a cross-sectional study using primary data. The population in this research is a young woman in Sirnagalih Village who is 10-19 years old and has been menstruating. The sample selection method used in research is the “quota sampling” technique with 72 people as subjects. The data analysis was conducted with univariate tests to describe sociodemographic characteristics, knowledge, attitudes, and behaviors related to anemia prevention in adolescent girls, bivariate tests with Chi-squares, and multivariate tests using logistic regression. It was found that the level of knowledge and attitudes of adolescent girls towards anemia in Sirnagalih village is still quite low. The results found that variables related to anemia prevention behavior are knowledge (p-value 0.005), attitude (p-value 0.021), and family income (0.021). The results of the multivariate analysis revealed that family income was the most influential independent variable, with a POR value of 12,068 (95% CI 2,447–59,523; p = 0.002). Besides the income variable, there were knowledge and attitude variables that correlated with adolescent girls' preventive behavior. So, there is a need for cross-sectoral efforts to increase family income and the role of community health care in increasing the knowledge and attitudes of adolescents through promotional education related to anemia prevention.
Perbedaan Efektivitas Penggunaan Jenis Media Edukasi Tentang Anemia Terhadap Pengetahuan, Sikap, Efikasi Diri Remaja Putri Desa Sirnagalih Alifah Safira Amperatmoko; Apriningsih Apriningsih; Feda Anisah Makkiyah; Widayani Wahyuningtyas
Jurnal Kesehatan Komunitas Vol 8 No 1 (2022): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss1.1161

Abstract

Efforts to prevent anemia in adolescent girls are very important to prevent the risk of abortion, low birth weight infant, the uterus cannot contract properly, bleeding after delivery which results in death. Furthermore, one of the efforts to prevent anemia in the field of health promotion is by using learning media as a form of educational activity regards to anemia. The aim of this study is that to determine the differences in the effectiveness of the use of educational media about anemia on the knowledge, attitudes, and self-efficacy of adolescent girls in Sirnagalih village. Moreover, this type of this study was quantitative with a quasi-experimental design – non-equivalent control design. The numbers of samples in this study were 60 people obtained by purposive sampling technique. The instruments used were pretest and posttest questionnaires. Meanwhile, the analysis used in this study was the Wilcoxon and Mann Whitney test. The results of the study after health education are conducted show that there is a difference in the level of knowledge, attitudes and self-efficacy of adolescents girls about anemia (p<0.005). The conclusion of the study shows that video media is more effective to be used as an educational medium about anemia for adolescents girls since based on statistical tests, the average value of video media is higher than the average value of poster media.
Hubungan Karakteristik Sosiodemografi, Pengetahuan, dan Praktik Personal Hygiene dengan Kejadian Anemia pada Remaja Putri di Desa Sirnagalih Dian Pertiwi; Apriningsih; Widayani Wahyuningtyas; Feda Anisah Makkiyah
Jurnal Kesehatan Komunitas Vol 8 No 2 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss2.1218

Abstract

Anemia is a serious global public health problem and affects the community especially in developing countries. The purpose of this study is to analyze the relationship between sociodemographic characteristics, knowledge and practice of personal hygiene with the incidence of anemia among adolescent girls in Sirnagalih Village. The research method used was observational analytic using quantitative data with cross sectional design. Respondents of this study were 78 adolescent girls with purposive sampling technique and according to the inclusion and exclusion criteria. The data was collected by test of hemoglobin levels and filling out a questionnaire with the google form. The data analysis using univariate test to describe the variables of age, education, knowledge and practice of personal hygiene, also variables of anemia status in adolescent girls, bivariate test with fisher exact, and multivariate test using logistic regression. Based on the results of data analysis independent and dependent variables using the fisher exact test, the variables related to incidence of anemia were age obtained p= 0.023, knowledge of personal hygiene obtained p= 0.008, and practice of personal hygiene has p value= 0.045. The results of multivariate analysis that age was the most dominantly independent variables that influenced the incidence of anemia with a POR value of 17.860 (95% CI 1.819-175.349; p= 0.013). The conclusion of this study, there is a relationship between variables of age, knowledge and practice of personal hygiene with the incidence of anemia among adolescent girls in Sirnagalih Village.