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Journal of Medicine and Health

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Published by Universitas Kristen Maranatha

ISSN : 24425227 EISSN : - DOI : -

Core Subject : Health, Science,

Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Journal of Medicine and Health (JMH) is an open access journal (OAJ), a periodic scientific publication biannually online published on February and August; using review and screening system by peer group reviewer. JMH receives original research articles which related to medicine, health, new developing therapy from traditional medicine or herbs and developing clinical therapy. JMH also receives otiginal review articles, case report, continuing medicine and health study. Articles should be written in good English or Indonesian language.

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Articles 264 Documents

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Blood Calcium Level and Its Correlation with Calcium Daily Intake, Calcium Supplementation & Clinical Symptoms in Women with Premenstrual Syndrome Hidayat, Meilinah; Wardani, Komang RP; Purba, Bertha M; Apreza, Rendhy T
Journal of Medicine and Health Vol. 1 No. 6 (2017)
Publisher : Universitas Kristen Maranatha

Premenstrual syndrome (PMS) is complex of symptoms that occur during the luteal phase of the menstrual cycle. This study aimed to observe blood calcium levels differences between the patient and not the PMS, list the average intake of calcium / day among subjects, statistically analyze the relationship between calcium intake and blood calcium levels, and examine the effect of calcium supplementation on blood calcium levels and symptoms of PMS. We examined blood levels of calcium, analytical survey method using a cross-sectional study, experimental methods and PMS symptom questionnaires. The results showed that in the group of subjects SPM average blood calcium level, and the mean intake of calcium / day were lower than in non-PMS and showed a fairly correlation between the intake of calcium per day with blood calcium levels in SPM subjects. There is a significant relationship between increased calcium blood calcium levels and symptoms of PMS. The conclusions: 1. there are differences in blood calcium levels and 2. intake of calcium per day between patients with PMS and not PMS, 3. Calcium intake is significantly associated with calcium level in the PMS and 4. calcium supplementation affects blood calcium levels and reduce symptoms of PMS.Keywords : average calcium intake, blood calcium, calcium supplementation, Premenstrual Syndrome (PMS)

Presurgical Aspects of Nutrition in Tuberculous Spondylitis Patients Yudoyono, Farid; Dahlan, Rully H.; Arifin, Muhammad Z.; Adam, Achmad
Journal of Medicine and Health Vol. 2 No. 1 (2018)
Publisher : Universitas Kristen Maranatha

Tuberculous spondylitis is a chronic infectious disease caused by Mycobacteriumtuberculosis on the vertebral bone. Involved less than 3% of all cases of TB, but the incidencevaries around the world, and is associated with the quality of public health and socioeconomicconditions.The purpose of this study is to investigate the presurgical aspects of nutrition inpatients with tuberculous spondylitis. A total of 39 consecutive patients between January 2011-December 2012 were evaluated retrospectively. All patients diagnosed with spondylitistuberculousis and treated with decompression, stabilization and fusion. All patients had beendiagnosed with Spondylitis tuberculousis based on history taking, physical examination,laboratory finding and MRI. Our study showed that of all subjects, ten male patients and eightfemale patients had cervical (n=1), thoracic (n=15), and lumbar (n=2) tuberculousspondylitis.The average age of the patients was 32.83 Â± 12.25 (17-56) years old. The averagepreoperative body mass index (BMI) was 16.67 Â± 1.2 kg / m2, albumin levels 3.23 Â± 0.21 g / dl,total protein level 6.2 Â± 0.34 g/dL. These were lower than normal value. We conclude thattuberculous spondylitis patients experience nutritional deficiencies presurgically andnutritional support should be considered pre-operatively.Keywords: Mycobacterium tuberculosis, nutritional state, presurgical aspect,tuberculousspondylitis

Efficacy of Profilactic and Therapeutic Antibiotic in Congenital Hydrocephalus Shunt Infection Akhmad Imron; Kahdar Wiriadisastra
Journal of Medicine and Health Vol. 1 No. 1 (2015)
Publisher : Universitas Kristen Maranatha

Prophylactic dose antibiotic are indicated in patients having neurosurgical clean operations with implant surgery. The aim of this study is to evaluate the efficacy of prophylactic dose antibiotic in shunt infection. Between 1 October 2009 until 31 September 2011, 102 patients with congenital hydrocephalus who underwent VP shunt surgery. Fifty-one received profilactic antibiotic (ceftriaxone 50-75 mg/kgBW), 30-60 minutes before surgery until 5 days post-operative, and 51 patients received therapeutic antibioticÂ (ceftriaxone 50-75 mg/kgBW), 30-60 minutes before surgery until 1 days post-operative. All patient were followed for 1-6 months to evaluate shunt infection. Collected data will be statistically analyzed. The study found that the rate of infection is 17,6% (9 patients of 51 patients) who received therapeutic antibiotic, and 17,6% (9 patients of 51 patients) who received profilactic antibiotic.There is not statistically significant between all group in shunt infection (p=1,000). Others risk factors significantly influence shunt infection are enlargement of the head (p=0,002), length of surgery (p=0,00327), time of surgery (p=0,00077) and nutrition status (p=0,01343). The results of this study indicate that profilactic antibiotic effective to prevent shunt infection in congenital hydrocephalus. Others risk factors significantly influence are enlargement of the head, length of surgery, time of surgery and nutrition status.Â Keywords:Â antibiotic,Â prophylactic, infection, VP shunt, congenital hydrocephalus

Muscle Mass and Quality of Life of Elderly People in Panti Tresna Werdha in Bandung Lambok K. K. Stein; Siska Wiramihardja; Iceu D. Kulsum
Journal of Medicine and Health Vol. 2 No. 1 (2018)
Publisher : Universitas Kristen Maranatha

The proportion of elderly continues to increase from year to year due to theincrease of life expectancy. Elderly will experience degenerative process related tomuscle mass. This can disrupt the quality of life. The aim of this study was to determinethe muscle mass and quality of life (QoL) in the elderly. This study used cross sectionalapproach with the number of subjects as many as 32 elderly residents of Tresna Werdhain Bandung. The tool used to measure muscle mass is BIA Tanita SC-240 while theinstrument used in measuring quality of life is the WHOQL-BREF questionnaire. Theresult showed that the mean value of muscle mass per unit body surface area was 22.86Â±2.20 kg/m 2 . The highest average value of QoL is the physical domain (59.15Â±8,06%)while the lowest is the environmental domain (42.97Â±11.11%). The conclusion of thisstudy is muscle mass possessed by elderly study participants is good. The QoL isclassified as moderate.Keywords: elderly people, muscle mass, quality of life,Â WHOQL-BREF questionnaire

Black Chocolate Consumption Reduces Subjective Symptoms in 18-22 Years Old Females with Premenstrual Syndrome Eliza Nurazizah; Fen Tih; Winny Suwindere
Journal of Medicine and Health Vol. 1 No. 1 (2015)
Publisher : Universitas Kristen Maranatha

Menstruation is the release of the endometrium with bleeding every month, except during pregnancy. Before or during menstruation, a woman may experience stiffness or abdominal cramps, mood fluctuations and other physical and psychological disorders, which is termed as premenstrual syndrome (PMS). The aim of this research is to observe and value the effect of dark chocolate on clinical symptoms of PMS. This research is an experimental prospective, using experimental design with one group pre and post test. Subjects were 30 women aged 18-22 years. Every day for 2 weeks before menstruation period, subjects took 20 gram of dark chocolate, then were asked to answer questionaire. The data measured is the score as well as individual PMS symptoms before and after eating dark chocolate, was analyzed using a nonparametric Wilcoxon test, followed by McNemar chi square with Î±=0.05. A highly significant decrease was found in anxiety symptoms, whereas statistically significant reduction was found in fatigue or feeling tired, cramps abdominal, bloating, diarrhea, headache, back pain, change in appetite, muscle or joint pain, and problems in concentration. But the symptom of acne complaint was increased from 73.3% to 76.7%. Consumption of dark chocolate reduces premenstrual syndrome scores on women aged 18-22 years.Â Keywords: dark chocolate, premenstrual syndrome

The Effectiveness of One Visit Vital Pulpotomy in Primary Teeth Henri Hartman
Journal of Medicine and Health Vol. 2 No. 1 (2018)
Publisher : Universitas Kristen Maranatha

Primary teeth caries is a common problem in pre-school children; commonly caused by highsugar consumption dan food impaction. Primary teeth caries in posterior region can cause painfulattack on child and needs root canal treatment with many treatment visits. We reported pulp therapyon 8 years old child with irreversible pulpitis 54, treated by one visit vital formocresol pulpotomy.Patient came with acute condition, pain on upper posterior area. Intra oral examination showedcaries on teeth 54 with pulp involved and caries dentin on 55. Vitality test (+), mobility (-), percussion(+), and no sign of soft tissue abnormality. Vital pulpotomy was chosen for 54 treatment, bleedingcontrol with formocresol, obturation with Zinc Oxide Eugenol (ZOE), and finally restoration withstainless steel crown, all treatment was done in one visit. Four month evaluation showed no complaintreported. We concluded one visit pulpotomy for pulp therapy showed optimum result in primary toothand reduce the necessity of multiple treatment visits.Keywords: formocresol, primary teeth, stainless steel crown, vital pulpotomy

ANALYSIS OF IMMUNOEXPRESSION OF ESTROGEN RECEPTOR BETA AND EXTRACELLULAR MATRIX METALLOPROTEINASE INDUCER (EMMPRIN) ON TESTICULAR SEMINOMAS NONRECURRENCE AND RECURRENCE Ridwan, Antonius Janes; Suryanti, Sri; Hassan, Abdul Hadi; Hernowo, Bethy S
Journal of Medicine and Health Vol. 1 No. 2 (2015)
Publisher : Universitas Kristen Maranatha

The most common malignancy of testis is seminoma with prognosis that is not always good because of high recurrence rate and death cases. Extracellular matrix metalloproteinase inducer (EMMPRIN) is a glycoprotein adhesion molecules which plays a role in tumor cell invasion and metastasis as evidenced by immunohistochemistry method in several types of tumor cells and tissue that shows the correlation to the clinical progessivity.This study was conducted by observational descriptive analytics with each seven cases of seminoma nonrecurrences and recurrences diagnosed histopathologically from Dr.Hasan Sadikin Hospital, Advent Hospital and St.Borromeus Hospital in Bandung. This study shows that immunoexpression of estrogen receptor beta is not higher in testicular seminoma recurrence compared with nonreccurence. There was no higher imunoexpression of EMMPRIN receptor on testicular seminoma recurrence compared with nonrecurrence; besides, there was no relationship between immunoexspression of estrogen receptor beta and EMMPRIN in testicular seminoma nonrecurrence and recurrence.In conclusion, immunoexpression estrogen receptor beta expressed in all testicular seminoma, so that the patient could be given an alternative therapy and immunoexspression EMMPRIN, cannot be used to predict a recurrence in patients with seminoma who has received complete therapy.Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Keywords: EMMPRIN, Estrogen Receptor Beta, Seminoma Testis nonrecurrence and recurrence

ADIPONECTIN SERUM LEVEL DIFFERENCE IN WOMEN WITH ENDOMETRIOTIC AND NON-ENDOMETRIOTIC CYSTS Ruswana Anwar; Fahdiansyah Fahdiansyah
Journal of Medicine and Health Vol. 1 No. 2 (2015)
Publisher : Universitas Kristen Maranatha

Endometriosis is an estrogen-dependent disease. Low levels of adiponectin resulted in an increased free estrogen levels and the inability to inhibit angiogenesis and the inflammatory process resulting in the development of increasingly severe endometriosis.This study is aimed to determine the differences in serum adiponectin levels in patient with nonendometriotic cyst with endometriosis cyst and its relationship with endometriosis stages. This is an analytical comparative study with cross-sectional method in group of women with endometriotic cyst (n=25) and women with non-endometriotic cysts (n=25), performed either laparoscopic or laparotomy surgery. The serum levels of adiponectin in both groups then compared with statistical analysis.The results showed there were no significant differences (p>0,05) on the characteristics of the study subjects in terms of age (p=0.994) and BMI (p=0.27). Significant differences of adiponectin levels were found between endometriotic patient group (mean=3.91) and nonendometriotic patients group (mean=8.59). There were no significant differences of adiponectin level in stages III endometriosis (mean = 4.24) and stage IV endometriosis (mean = 3.54).It is concluded that serum adiponectin levels in patients with endometriosis is lower than patient with non-endometriotic cyst. There is no relationship between adiponectin levels with endometriosis stage.Â Keywords: adiponectin, endometriotic cyst, non-endometriotic cyst, endometriosis stage

Cytopathology Lymphadenopathy Feature in HIV Positve Patient: Diagnosis Tools Comorbidities Agustina, Hasrayati; Wisudarma, Yenni; Kristiana, Ris; Hernowo, Bethy S.
Journal of Medicine and Health Vol. 1 No. 3 (2016)
Publisher : Universitas Kristen Maranatha

Lymphadenopathy is enlarged lymph nodes caused by infection, inflammation or malignancy. On HIV positive patients, lymphadenopathy is one of the most common clinical manifestations and it is usually persistent. Fine-needle aspiration biopsy (FNAB) is an effective cytology technique in determining the diagnosis of lymphadenopathy. This study aimed to describe the cytopathology of lymphadenopathy in HIV positive patients. This is a descriptive study of 21 cases of lymphadenopathy in patients with HIV positive who underwent FNAB examination in Anatomical Pathology Department of Dr.Hasan Sadikin Hospital between 2013-2014. Medical data was taken from the patient medical records including age, sex, location, size and cytopathological diagnosis. Cytopathology overview of FNAB specimens were reassessed by 2 pathologists. In this study, lymphadenopathy in HIV positive patients were mainly found in men (n = 15.71%) with an average age between 20-30 years. The most frequent location was the neck (n = 20.95.2%). The lymph nodes size were found between 0.5-3 cm. Most diagnosis was tuberculous lymphadenitis (n = 15.71%) with the most common cytology feature was granulomatous lymphadenitis (n = 5.33.3%) and suppurative lymphadenitis (n = 5.33.3%). FNAB examination in lymphadenopathy is very helpful to identify the cause of infection in HIV positive patients. Keywords: FNAB, HIV, lymphadenopathy, cytopathology

Free Fibular Osteoseptocutaneus Flap for Reconstruction of Giant Ameloblastoma Rachmat Wiardi; Irra R. W.
Journal of Medicine and Health Vol. 1 No. 3 (2016)
Publisher : Universitas Kristen Maranatha

Ameloblastoma is a tumor originating from odontogenic epithelial cells. The tumor islocated in the gray zone between benign and malignant neoplasm. These tumors can occur atany age. Although traditionally divided as solid and cystic ameloblastoma, nearly all showedcystic changes. These tumors are invasive and have a very high recurrence rate. The operativetherapy of choice is radical resection of the affected parts of the jaw, followed byreconstruction. Bridging titanium plate can be used to replace part of lost bone and serves as ameans of reconstruction. Various methods of reconstruction of the mandible can be done byusing a bone graft from the calcaneus, fibula, ribs, scapula, iliac crest, or flap reconstruction.We reported a case of a 18 years old male patient with lump under the tongue that emerged 8years ago, accompanied by eating and speaking difficulty, and shortness of breath. Thediagnosis of mandible ameloblastoma was confirmed by anatomical pathology examination.The patient went through segmental mandibulectomy and free fibular osteoseptocutaneous freeflap with multiple osteotomy. Patients went home with improved condition.Keywords: ameloblastoma, free fibular flap osteoseptocutaneus

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