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Universa Medicina
Published by Universitas Trisakti
ISSN : 19073062     EISSN : 24072230     DOI : -
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through browsing, advanced searching, or collections by disease or topic
Arjuna Subject : -
Articles 589 Documents
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Prevalence of headache and impact on anxiety in adults Febriannie, Angela; Sanusi, Renobulan; Fahdiyani, Reny; Dwianasari, Riani
Universa Medicina Vol 29, No 2 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.84-89

Abstract

Headache is an extremely common symptom that may have profound impact on peoples’ functioning and quality of life. The two most common primary headache disorders, migraine and tension-type headache, have an annual prevalence of respectively 11% and 40% in adults. The objective of this study was to estimate the prevalences of headache and anxiety in primary care patients and the impact of headache on anxiety in these patients. A cross-sectional study was conducted on 140 adult patients attending a primary health center. Outcome measures included headache impact test scores and Zung-self rating anxiety scale. The mean age of the respondents was 34.6 ± 5.2 years (range 22 - 44 years). Sixty one respondents (43.6%) in the preceding month had suffered from headaches that affected their lives, and 91 respondents (65.0%) had anxiety symptoms and a raw anxiety score of more than 40. There was a significant association between headaches affecting the lives of the respondents and the anxiety resulting from the headache (p=.0001). Among 16 respondents with attacks of headaches that severely affected their lives, 87.5% were disturbed by anxiety. In conclusion, there was a relatively high proportion of patients in the primary care setting experiencing headaches that potentially affected their lives and had an impact on their anxiety. It may be appropriate to encourage patients to inform their health-care providers about their headaches and to encourage providers to identify patients with frequent headaches.
Trans fatty acids increase nitric oxide levels and pancreatic beta-cell necrosis in rats Kusmiyati Tjahjono DK; Santoso Santoso; Dwi Ngestiningsih
Universa Medicina Vol. 32 No. 1 (2013)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2013.v32.51 - 59

Abstract

BACKGROUND The prevalence of diabetes in Indonesia is increasing due to various factors, including life style changes such as trans fatty acid (TFA) intake. High TFA intake is known to be related to blood lipid profile changes resulting in cardiovascular disorders. This study was to identify the effect of TFA on nitric oxide (NO) production and on necrosis of pancreatic beta cells. METHODS A study of randomized pre-test post–test design with control group. Thirty Sprague Dawley rats were divided into 3 groups, i.e. group K (control), group P1 receiving a diet with 5% TFA, and P2 receiving 10% TFA. The intervention was performed for 8 weeks. NO level and pancreatic beta-cell necrosis were analyzed using Pearson’s chi square test. RESULTS After 4 weeks of treatment there was no change in NO levels in group K, but increased NO in P2 (2.6-3.8 ìM). At 8 weeks after treatment, NO levels in groups P1 and P2 increased to 2.6-3.4 ìM and 4.2-14.3 ìM, respectively, while in group K only 2 rats had increased NO levels of 2.8-2.9 ìM. With Pearson’s chi-square test, there was a signifant difference in the proportions of necrotic pancreatic beta cells after 4 weeks and 8 weeks (p= 0.000). No necrosis of beta cells was found in group K, mild necrosis in group P1 (1-25%) and moderate necrosis in group P2 (26-50%). CONCLUSION TFA consumption significantly increases NO levels in Sprague Dawley rats and also results in moderate grades of necrosis of pancreatic beta cells
NCEP-ATP III and IDF criteria for metabolic syndrome predict type 2 diabetes mellitus Sulistiowati, Eva; Sihombing, Marice
Universa Medicina Vol 35, No 1 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.46-55

Abstract

BackgroundSubjects with metabolic syndrome (MetS) have a greater risk for acquiring type 2 diabetes mellitus (type 2 DM). The MetS criteria usually used are those of the National Cholesterol Education Program Expert Panel (NCEP) and Adult Treatment Panel III (ATP III) and of the International Diabetes Federation (IDF). This study aimed to evaluate the modified NCEP-ATP III and IDF criteria as predictor of type 2 DM among subjects with MetS. MethodsA cohort study was conducted among 4240 subjects with MetS. MetS was determined according to the modified NCEP-ATP III and IDF criteria. The study followed up 3324 non-diabetic subjects of the cohort study of non-communicable disease (NCD) risk factors (NCD study) during a 2-year period. Type 2 DM was determined from the diagnosis by health personnel or from fasting blood glucose of ≥126 mg/dL or blood glucose of ≥200 mg/dL, 2 hours after 75g glucose loading. ResultsThe MetS prevalence based on modified NCEP ATP III and IDF criteria in non-DM subjects was 17.1% and 15.6%, respectively. The risk for DM in subjects with MetS using modified NCEP ATP III and IDF criteria was 4.7 (CI 95%: 3.4-6.5) and 4.1 (CI 95%: 3.0-5.7), respectively. ConclusionsBoth MetS criteria can be used as predictors of the occurrence of DM type 2, but the modified NCEP-ATP III is more properly applied than the IDF criteria in subjects with MetS. Screening programs and routine monitoring of MetS components are required for early detection of type 2 DM.
Impact of physical activity on quality of life in the elderly Kusumaratna, Rina K.
Universa Medicina Vol 27, No 2 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.57-64

Abstract

The rapid growth of the elderly population is having an impact on the maintenance of a healthy mental and physical state. The aim of this study was to assess the correlation of physical activity and quality of life in the elderly. The participants in this study were 21 male and 80 female elderly persons (66.4 ± 6.3 years, mean ± SD) recruited from the community in 2 subdistricts in South Jakarta. Data were collected on the quality of life (QOL) using the WHOQOL-BREF questionnaire that contains 26 items, 24 of them making up the 4 domains of physical health, psychological health, social relationships, and environment. The Short Form (SF) International Physical Activity Questionnaire (IPAQ) was used to measure the habitual practice of physical activities of the elderly. Subjects were separated into groups with low (n = 25), moderate (n= 37) and high activity level (n = 39), according to their position on the physical activity scale. The QOL scores in all four domains were significantly higher (p < 0.05) in the group reporting a higher level of physical activity. After adjustment for age, the more active group had higher values in all four QOL domains as follows: physical health (p = 0.027), psychological health (p = 0.000), social relationships (p = 0.005), and environment (p = 0.000). Healthy older adults who had higher physical activity had higher QOL scores than those who were physically less active. Therefore, incorporating more physical activity into the lifestyles of sedentary or minimally active elderly persons may improve their QOL.
Health service needs of older persons: emerging findings from Tarakan City, East Kalimantan Kusumaratna, Rina K.; Mahmood, Mohammad Afzal; Soerjoasmoro, Maskito Asmadi; Khairul, Khairul
Universa Medicina Vol 30, No 3 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.197-204

Abstract

As older persons are steadily increasing in number and there are no specialized comprehensive healthcare services for older persons in Indonesia, including East Kalimantan, the aim of the present study was to determine the extent of the problems facing healthcare staff and officials in Tarakan City, East Kalimantan, in providing comprehensive healthcare services attuned to the needs of older persons.This study was a qualitative interview-based survey with focus group discussions, involving heads and healthcare officials of seven puskesmas in Tarakan City, East Kalimantan district, with the addition of a number of district health planning officials. The results revealed a difference between daily hospital referral rate of older persons by puskesmas staff and actual daily hospital admission rate for the referrals. None of the consulted healthcare staff had any speciality education in geriatrics or older persons health. The older persons most frequently presented to the hospital with hypertension, diabetes, and myocardial insufficiency. On the other hand, at the health centers the presenting conditions were hypertension, gastroenteritis, rheumatism, sleep disorders, and upper respiratory tract infections. Improved access to healthcare for older persons should be achieved by improving knowledge and skills of human resources, including communication skills, and of supporting healthcare service infrastructure at puskesmas, specifically oriented towards the needs of and designed for use by older persons, such as ramps for wheelchairs, and handrails in corridors. Local governments should strengthen the appropriate service delivery to older persons, and provide support for the maintenance, sustainability and strengthening of community-based care for older persons.
Footwear as a risk factor of hookworm infection in elementary school students Semuel Sandy; Sri Sumarni; Soeyoko Soeyoko
Universa Medicina Vol. 33 No. 2 (2014)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2014.v33.133-140

Abstract

BACKGROUNDIn Indonesia, there is still a high prevalence of hookworm infection, especially in poor areas with poor sanitation. The number of helminthic diseases in Keerom Regency was about 599 cases in 2010. This number is bound to increase due to the low sanitation, hygiene and socio-economic status of the people in the regency. The children are a group at risk for contracting infections, especially intestinal worms, which affect the child’s physical growth and intelligence. The objective of this study was to determine the risk factors of hookworm diseases in elementary school students.METHODSA cross-sectional study was conducted on 224 elementary school students.Demographic data were obtained by questionnaire, comprising gender, parental socio-economic status, household sanitation, and personal hygiene. Body mass index was calculated by measurement of body weight and height. And hemoglobin concentration was measured using a Quick Check Hb-meter. Stool samples were microscopically examined using the Kato-Katz method. We used chi-square and logistic regression to find predictors of hookworm infections, with level of significance at p<0.05.RESULTSThe number of hookworm infection was 6.7% and the risk factor of hookworminfection among elementary school students was the habit of using footwearoutdoors [OR 5.3; 95% CI 1.7-17.7; p=0.004].CONCLUSIONThe use of footwear outdoors was a predictor of hookworm infections inelementary school children. An effective and efficient intervention program isneeded to prevent and eradicate hookworm infection among primary schoolchildren.
Relationship between noise and job stress at a private thread spinning company Mursali, Andi; Basuki, Endang; Dharmono, Suryo
Universa Medicina Vol 28, No 1 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.8-16

Abstract

Noise exposure is one of the major occupational hazards in many places, and has several health effects, including hearing loss and psychological effects such as sleep disturbances and mental stress. The objective of this research was to determine the relationship between noise and stress and other risk factors that affect job stress. A cross-sectional comparative design involved a total of 326 workers consisting of 220 workers in high noise conditions and 106 workers in low noise conditions. The data were collected directly from the respondents by filling out the questionnaire on worker characteristics, the stress diagnostic questionnaire, and the symptom checklist 90, through discussions with company management, and by measurement of noise levels. The job stress prevalence in workers in high noise conditions was 55% and in those in low noise conditions 24.5%. The results showed that risk factors such as gender of workers, noise conditions, habitual use of ear plugs, shift work, and work stressors had a significant relationship with job stress. Multivariate analysis indicated that the habit of using earplugs was a dominant risk factor causing job stress. The prevalence of job stress in high noise conditions was higher than that in workers in low noise conditions. Noise conditions have a significant relationship with job stress (OR=2.46; 95% CI 1.33 - 4.55). Workers in high noise conditions who did not always use or never had used ear plugs had a higher chance of experiencing stress than those in low noise conditions who did not need ear plugs (OR=21.76; 95% CI 8.09 - 58.52). This study supported that noise exerts its health effect via stress, since noise often raise stress in various ways.
Bone microstructure and atomic periodic disharmonization in osteoporosis Zairin Noor; Mohammad Hidayat; Agus Hadian Rahim; Sutiman B. Sumitro
Universa Medicina Vol. 31 No. 2 (2012)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2012.v31.96-104

Abstract

BackgroundBoth cortical and cancellous bone display a complex, porous microstructure whose properties depend on the macrostructure of bone as well as age and health of the individual. The aim of this study was to compare the microstructure and characteristics of mineral atoms in osteoporotic and normal bone. MethodsA prospective laboratory experimental study was conducted from August to December 2010 at several hospitals in Banjarmasin. Twenty patients with osteoporosis and twenty six normal patients were involved in this study. Bone obtained from surgery was analyzed for microstructure by scanning electron microscopy (SEM), while mapping of mineral atoms was performed by means of SEM-Energy dispersive X-ray spectroscopy (SEM-EDAX) at the Brawijaya University, Malang.     ResultsThe osteoporotic subjects with mean age of 64.65 ± 16.41 years were older than the normal bone subjects with mean age of 39.38 ± 17.16 years. The body mass index was similar in both groups of subjects. From SEM-EDAX results, three patterns of mineral atoms were apparent in osteoporotic and normal bone. In osteoporotic bone, these patterns were indicative of a disordered substitution or incorporation process. SEM results showed degeneration of microarchitecture (resorption cavities, perforations, and prominent granules) in osteoporotic but not in normal bone. There was a significant difference in microstructure between osteoporotic and normal bone, which was caused by differences in atomic properties.    ConclusionsMicrostructural abnormalities of bone and disharmonization of mineral atoms in the periodic system were found in osteoporosis.
Ethanolic periwinkle leaf extract reduces telomerase expression in T47D cancer cells Endang Purwaningsih; Etty Widayanti; Yulia Suciati
Universa Medicina Vol. 34 No. 2 (2015)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.79-86

Abstract

BACKGROUNDCancer cells have a relatively high telomerase activity and a lower p53 protein expression than normal cells, so that cancer cells have the ability to continue to proliferate and do not undergo apoptosis. One of the cancer treatments is chemotherapy using bioactive ingredients from synthesis or isolation of natural materials. One of the plants that have potential as anticancer agent is periwinkle (Catharanthus roseus L). The research objective was to evaluate the effect of ethanolic periwinkle leaf extract against p53 protein and telomerase expression in T47D cancer cells.  METHODSAn experimental study with controls was conducted involving T47D breast cancer cells. They were divided into 3 groups (control, ½ dose of IC50/26.849 µg/mL, and one dose of IC50/53.699 µg/mL) at a cell density of 1 x 104 cells/well. Expression of p53 and telomerase was measured by the immunohistochemistry method. Data were analyzed using one-way ANOVA followed by a multiple comparison test.RESULTSPeriwinkle leaf extract significantly increased p53 protein expression (p<0.05) at both treatment doses, ½ IC50 and IC50, compared to the control group and it highly significantly reduced telomerase expression (p<0.01), in comparison with the control group at both treatment doses. CONCLUSIONPeriwinkle leaf extract has potential as an anti-breast cancer agent by increasing p53 protein expression and inhibiting telomerase expression.
Forns index as a useful noninvasive predictor of esophageal varices in liver cirrhosis Siregar, Rizqi Arini; Dairi, Leonardo Basa; Siregar, Gontar Alamsyah
Universa Medicina Vol 35, No 3 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.199-205

Abstract

BackgroundRupture and bleeding from esophageal varices are major complications of portal hypertension and associated with a high mortality rate. Non-invasive serum markers of liver fibrosis could be used as predictors of esophageal varices in cirrhotic patients. The objective of this study was to assess the performance of Forns index as a noninvasive predictor in diagnosing esophageal varices.MethodsA cross-sectional study was done in 51 cirrhotic patients who were admitted to Adam Malik hospital, Medan. Demographic and clinical data were recorded and laboratory tests were performed, so that Forns index could be calculated. The difference between Forns index and size of esophageal varices as determined by endoscopy was tested by independent-t and Mann-Whitney analysis. The diagnostic performance was assessed using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy, likelihood ratios and areas under the receiver operating characteristic curves (AUROC). ResultsOf the 51 patients with esophageal varices included in this study, the size of esophageal varices comprised F2 (37.3%), F3 (33.3), and F1 (29.4%). Most patients were of Child-Plug C type (52.6%). There was a significant difference between Forns index and grade of esophageal varices. The AUROC for Forns index was 0.717 (95% CI: 0.561 - 0.872) and the cut-off &gt;7.92 was highly predictive to diagnose large esophageal varices with a sensitivity of 63.9%, specificity of 73.3%, PPV of 85.2%, NPV of 45.8% and accuracy of 71.7%.ConclusionForns index was significantly increased in large esophageal varices. Forns index is a good noninvasive predictor of esophageal varices in cirrhotic patients.

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