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Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan
ISSN : 02163438     EISSN : 26211122     DOI : -
Core Subject : Health,
Arjuna Subject : -
Articles 244 Documents
Determination of illness cognition levels in patients with maxillofacial area defects Lamia Najafova; Hilal Eksi Ozsoy; Huseyin Kurtulmus
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2020): 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 (134.541 KB) | DOI: 10.33533/jpm.v14i1.1658

Abstract

The aim of this study was to measure the illness cognition of patients with defect in the maxillofacial region. Eighty patients participated in this study. Written informed consent was obtained from patients with maxillofacial area defect, and the patients were filled in with the guidance of the researchers. Illness Cognition Questionnaire (ICQ), forms measuring the illness awareness of the patients were completed.  The study was conducted independently of demographic characteristics. The statistical software SPSS (Statistical Package for Social Sciences, Version 20, Chicago IL, USA) was used for calculations. At the end of the study, ICQ scores in patients with maxillofacial defect were as follows: There was a statistically significant intra class correlation of 88.6% (0.843-0.942) among the Helplessness scale scores of the participants. There was a statistically significant intra class correlation of 80.3% (0.728-0.863) among the Acceptance scale scores of the participants. There was a statistically significant intra class correlation of 0.752 % (0,657-0,827) among the Perceived benefits scale scores of the participants. Patients with maxillofacial defects will focus on the disease cognition "Helplessness" category. In patients with relationship maxillofacial defect, the rate of helplessness (88.6%) was higher than acceptance (80.3%) and perceived benefit (0,752 %).
ICAM-1 and S100β plasma value in children with sepsis Lisa Safira; Anton H Pudjiadi; Sukman Tulus Putra
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2020): 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 (239.139 KB) | DOI: 10.33533/jpm.v14i1.1645

Abstract

ICAM-1 release during sepsis is perceived to be related to brain injury. Whereas S100β  has been known as one of brain injury markers.To measure mean value of ICAM-1, S100β, to find correlation between ICAM-1 and Glasgow Coma Scale (GCS), between S100β and GCS, also ICAM-1 and S100β.Analytical cross sectional study in 34 sepsis children, measurement of ICAM-1 and S100β plasma levels within day 1 and 3 since diagnosis of sepsis.Median level of  ICAM-1 day one 548,1 (158,6 – 1256,1) ng/mL and day three 596,5 (185,5 – 1264,5) ng/mL (p=0,164). S100β median is significantly higher in severe than mild sepsis (p=0,008 dan p=0,021). On third day S100β was negatively related to GCS (r= - 0,452; p=0,003). The correlation observed between ICAM-1 and S100β on day one was r=0,146 (p=0,409) while on third day was r=0,184 (p=0,298).The prevalence of encephalopathy sepsis is 5.9%, Median ICAM-1 is higher on day three. Median of S100β is higher in severe than mild sepsis.There is no correlation between ICAM-1 and GCS in both sepsis. There was negative correlation between S100β  and GCS  on 3rd day of sepsis. No correlation between ICAM-1 and S100β  on both measurement days.
Evaluating the Use of Warfarin Using the HAS-BLED Score and INR on Atrial Fibrillation Patients at Harapan Kita National Heart Center Meva Sari Chandra; Shirly Kumala; Sesilia Andriani Keban
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2020): 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 | DOI: 10.33533/jpm.v14i2.1671

Abstract

Patients with atrial fibrillation are associated with a 4-5-fold risk of having a stroke. The most effective treatment for atrial fibrillation is to prevent the formation of blood clots by administering anticoagulant drugs. Warfarin is an anticoagulant drug that has a narrow therapeutic index with side effects of the risk of bleeding; hence it needs supervision in its use. In this study, the HAS-BLED score was used to measure major bleeding risk and as a value representing each risk factor for bleeding. The bleeding risk can be prevented by maintaining a warfarin response in the therapeutic range with an INR (International Normalized Ratio) measurement 2-3. This study was an observational study conducted with retrospective data collection through medical records of patients with a primary diagnosis of atrial fibrillation who received oral warfarin anticoagulant therapy at Harapan Kita National Heart Center in the period of January-December 2017. Using a sample of 40 patients who met the inclusion criteria. According to the data, found that atrial fibrillation patients who received oral warfarin therapy 55% were male patients, while 45% were female patients. Patients with atrial fibrillation who got the most oral warfarin therapy were patients who were over 40 years old with 90% of the total sample, with the highest group in patients aged 50-54 years with 22.5%. The HAS-BLED values arranged from 0-9, the percentage of patients who had HAS-BLED values of 0, 1, 2 respectively at 7.5%, 42.5%, 30%. The HAS-BLED score ≥ 3 showed patients classified as at high risk of bleeding by 20%. The most risk factors based on HAS-BLED score from all study samples were 18 patients with abnormal kidney or 45%. The average INR score in patients at high risk of bleeding showed that 37.5% had an average INR score in the target ratio score of INR 2-3.
Environment and Mental's Health in The Pandemic Time Covid-19 in IGD Nurse Royal Prima Medan Hospital Khainir Akbar; Sri Lestari Ramadhani Nasution; Ermi Girsang
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 15, No 1 (2021): 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 | DOI: 10.33533/jpm.v15i1.2772

Abstract

The mental health of health workers during the COVID-19 pandemic period is a present issue that must be given more attention. It is because health workers are the spearhead of handling the COVID19 case, which is daily increasing. The purpose of the research to examine the mental health of IGD nurses at Royal Prima Hospital Medan by using variable demographic characteristics (age, gender, years of service), family environment, social environment, and work environment. This type of research is a quantitative study, with the research sample being all emergency room nurses at Royal Prima Hospital Medan. The data were processed using correlation analysis in SPSS. The results showed that the demographic characteristics, family environment, social environment, and work environment were positively correlated with mental health in IGD nurses at Royal Prima Medan Hospital. Suggestions for further research are to use a larger sample and be able to use other variables according to the theory of Cooper and Davidson
Impact of Uncontrolled HbA1C on The Outcome of Tuberculosis Treatment in TB Patients With Diabetes Oki Nugraha Putra; Hardiyono Hardiyono; Fitriyatul Rizkiyah; Affan Yuniar N.H
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2020): 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 | DOI: 10.33533/jpm.v14i2.2276

Abstract

Pulmonary tuberculosis (TB) is an infection and communicable disease caused by Mycobacterium tuberculosis. One of the risks to develop active tuberculosis is diabetes mellitus (DM), with two or three times higher than TB patients without DM. Several studies have reported that DM was associated with poor clinical outcomes characterized by a delay of smear sputum conversion or culture conversion in TB patients with DM. However, very limited studies that analyze uncontrolled diabetes by HbA1c level with clinical outcome of TB treatment. This study aims to review the correlation between HbA1c levels and sputum or culture conversion in TB patients with DM. Pubmed, Web of Science, and Embase database were used to search and select the article. We included five studies that met the inclusion criteria. Smear conversion rate at two months was lower in TB patients with DM than those without DM. Uncontrolled HbA1c levels > 6.5%-7.0% were significantly associated with smear conversion of culture conversion for more than two months with a high risk of treatment failure. The positive level of smear sputum at 2-3 months or the end of the intensive phase becomes a strong predictor a failure treatment at the end of the advanced phase. It can be concluded that HbA1c levels delay the smear sputum or culture sputum for more than two months. This review highlights a need for more attention to control HbA1c levels in TB patients with DM to achieve a better outcome. 
Peptic Ulcer Disease : Can a Behavioral Factor be Implicated? Andrey Dynyak
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2020): 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 | DOI: 10.33533/jpm.v14i2.1948

Abstract

This article aims to highlight probable behavioral factors in the etiology of peptic ulcer (PUD). The working hypothesis is, due to an anatomic predisposition in the foregut blood supply and its gross anatomy, whenever a person with a replete or full stomach changes their position they may affect/disrupt blood supply to lower esophagus, stomach and proximal part of the duodenum. Our hypothesis states that if a person has habit of resting after meal, in reclined position, on either their right or left side, or is required to do so, due to prescribed bed rest, that the person will develop PUD, depending on their specific routine. Our hypothesis also proposes that different body positions are linked to different locations for the peptic ulcerative processes occurring. The proposed hypothesis has a number of implications. Firstly, PUD is somatic disorder and is a disease caused by lifestyle and systematically repeated habitual behaviors. As such, treatment should focus on the patient discussing their lifestyle habits, making them aware of their after-meal behavior and the link that the behavior has to PUD. Secondly, the primary therapeutic action should focus on postural behavioral therapy, adjusting habit-formed after-eating routines, that once remedied can reverse PUD.
Analysis of Recurrent Positive COVID-19 Patients in A Hospital Ensar Durmus; Fatih Guneysu
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 15, No 1 (2021): 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 | DOI: 10.33533/jpm.v15i1.2462

Abstract

The studies about COVID-19 began to show that people who have already had COVID-19 were re-admitted to the hospital due to COVID-19 positivity. This study aims to identify recurrent positive patients and the demographic characteristics of these patients. The number of recurrent COVID-19 positive patients  was 190. Of these patients, 97 (51.1%) were male, the average age was 43.98 years (±16.3), 147 (77.4%) were never hospitalized, Of the hospitalized patients, 28 (65.1%) were male and the average age of the inpatients was 54.67 years (±16.15). Looking at the duration of hospital stay of the inpatients, it was observed that the average was 11.16 days (±8.9). A positive correlation was found between the age of the patients and the duration of their hospital stay (r=0.386). The average time between the two positives was 52.92 days. Patients who have a recurrent positive result usually survive the disease with outpatient treatment for their mild illness. Hospitalization rates of male patients were higher than those of females, and the duration of hospital stay was found to increase as the age of the patients increases.
Validity And Reliability Of Indonesian Social Media Disorder (SMD) Scale In Adolescent Suzy Yusna Dewi; Yunita Mansyah Lestari
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2020): 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 | DOI: 10.33533/jpm.v14i2.2049

Abstract

Social media is popular in various circles, especially adolescents. Adolescent are the most vulnerable to be affected by technology. The excessive use of social media will make it difficult for adolescents who are addicted to social media. This study aims to adapt and assess the validity and reliability of the Social Media Disorder (SMD) questionnaire in indonesian. The subjects of the study were adolescents aged 13-19 years and living in DKI Jakarta. Data were collected on 21 April - 27 April 2019 using the method of consecutive sampling and snowball sampling with a questionnaire via the Googleform link. The number of research respondents were 30 people, 40% male and 60% female. The data was processed using SPSS 25. The results observed with the value of Cronbach's Alpha = 0.802 and r = 0.481-0.887, which means the Indonesian SMD questionnaire have good validity and reliability.
Self-Efficacy Among Indonesian Chronic Liver Disease Patients Apriliani Siburian; Ching Fen Chang
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2020): 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 | DOI: 10.33533/jpm.v14i2.2279

Abstract

Chronic Liver Diseases are among the most extensive diseases globally and are related to significant morbidity and mortality. Although physical well-being has long been the primary goal of medical care, as chronic disease becomes more prevalent in developed countries, there has been a greater focus on patients' emotional and social well-being. This study aimed to describe the self-efficacy among chronic liver disease patients in North Sumatra, Indonesia. This study uses a cross-sectional design. The study assessed 102 chronic liver disease patients from two hospitals using the Chronic Disease Self-Efficacy Scales Indonesian version. The participants had moderate self-efficacy (58.8%), followed by high self-efficacy (38.2%). The majority of the patients in this study had moderate self-efficacy because many individuals with chronic liver disease suffer chronic fatigue, abdominal pain and swelling, itchy skin, nausea or vomiting, loss of appetite, and other symptoms that affect self-efficacy.  Health professionals should strengthen patients' self-efficacy by engaging in positive activities and enhancing their coping skills
Proven Cases of Duodenal Atresia on Plain Abdominal Radiography in Correlation With Surgical Findings : a Cases Series Fiona Fiona; Ni Nyoman Margiani; Firman Parulian Sitanggang
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2020): 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 | DOI: 10.33533/jpm.v14i2.1814

Abstract

Duodenal atresia is an emergency congenital abnormality and the most common cause of proximal bowel obstruction in neonates, where the duodenum has not developed properly in embryogenesis with a blind end that cannot be seen through gastric contents. The incidence of duodenal atresia is 1/10,000 live births that commonly affecting boys than girls. In cases of neonatal bilious vomiting, the first choice imaging modality is plain abdominal radiography. The purpose of this case report is to increase radiologist and pediatrician awareness in duodenal atresia diagnosis through plain abdominal radiography and to minimize radiation in the neonates. We report 3 cases of duodenal atresia that were found in Sanglah Hospital, Denpasar in 1 year for the period 2018 - 2019. Case 1: A 4-day-old baby girl presented with bilious vomiting in the first 24 hours after birth. Case 2: A 4-day-old baby boy presented with lethargic, weak crying and groaning after birth. There is no history of passed meconium in the first 24 hours of birth. Case 3: A newborn boy presented with bilious emesis after breastfeeding and non projectile. From the 3 cases, a plain abdominal radiograph was examined and a double bubble sign with no intestinal gas distal was found.

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