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Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan
ISSN : 02163438     EISSN : 26211122     DOI : -
Core Subject : Health,
Arjuna Subject : -
Articles 244 Documents
ANTIBIOGRAM OF PATIENTS WITH DIABETIC FOOT AT DR. SOEBANDI REGIONAL HOSPITAL OF JEMBER, INDONESIA Suswati, Enny; Mustofa, Habib; Hermansyah, Bagus; Agustina, Dini; Sakinah, Elly N
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5753

Abstract

Diabetic foot is a complication of diabetes mellitus that uses antibiotics to control the infection as the primary therapy. This study aimed to determine the type of bacteria and antimicrobial sensitivity patterns in diabetic foot. The samples were taken from the medical records of the patients with diabetic foot, who performed the swab culture and antimicrobial susceptibility testing in the inpatient and outpatient care in dr. Soebandi Regional Hospital. The samples used were the patients diagnosed with diabetic foot from January 1, 2014, to December 31, 2018. The data in this study were univariately analyzed. Forty-three pathogens were isolated from 40 patients with 12 ESBL isolates. The most common bacteria found were Gram-negative (90.7%), including Escherichia coli (33.33%), Klebsiella pneumoniae (12.82%) Pseudomonas aeruginosa (12.82%), Enterobacter cloacae (7.69%) and Proteus mirabilis (7.69%). Then, there were also 9.3% Gram-positive bacteria of all isolates, with Staphylococcus aureus as the most dominant species (50%). The antibiotic antimicrobial susceptibility testing also showed that Imipenem, amikacin, fosfomycin, cefoxitin, and netilmicin were the most sensitive antibiotics. The most common type of bacteria found was Escherichia coli, while the antibiotic still sensitive in most bacteria was imipenem.
Determinants of active aging affect healthy life expectation theresa, Ria Maria Theresa; dewiastuti, Marlina; Kristanti, Melly; cantika
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5837

Abstract

Life expectancy is an indicator of successful health development. It is estimated the elderly population will increase along with the increase in life expectancy, in 2050 there will be an increase 3 times in the number of elderly from 2013. The increase in the number of elderly raises a health sector complicated problem. The elderly group will experience a decrease in health status either naturally or due to illness. Goals of the health program focus on life expectancy. West Java is the largest proportion with  Indramayu a city in West Java that has a target life expectancy that reaches the target. The government's efforts to improve the elderly welfare are realized in various programs so that an increase in the elderly population does not increase health problems.  Indicators of elderly health can be measured by active aging (AA).. The determinants of the AA component, which include health and well-being, are indicators for assessing healthy life expectancy in the elderly. Assessment of healthy life expectancy is assessed from several determinants. Assessment of healthy life expectancy can determine health development targets, especially in the elderly. This study associated dietary patterns and smoking habits with increased healthy life expectancy.
Determinants of Integrated Services Post Programme Utilization in Elderly Empowerment in Medan Amplas District Septiani Nainggolan, Ivena Hotmarina; Gurning, Fitriani Pramita
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5843

Abstract

There is an increase in the elderly population at this time, making the morbidity rate in the elderly also increase. In 2021, the number of elderly people who experienced illness in the past month was around 34.48%. Meanwhile, in 2022, the morbidity rate increased to 41.3%, The purpose of this study was to determine the determinants of the use of posyandu programs in empowering the elderly in Harjosari I Village, Medan Amplas District. The method used is a quantitative approach cross-sectional research design by surveying as many as 30 people as representatives of the population by accidental sampling by conducting interviews using online-based questionnaires, after the interview the data was analyzed statistically using univariate, bivariate and multivariate tests with a multi-stage model Analisys model to obtain crude values and adjusted oods ratio with an alpha significance of 5% (p<0.05). The results showed that the greatest influence on the utilization of the posyandu program was a distance of >100 meters with an exp value (B) of 2.56. The conclusion is that overall variables have a significant relationship with the utilization of elderly posyandu services with risks ranging from 1.43 to 2.56 times.
Association among Timing of First Visit, Antenatal Care Frequency, and Anaemia Gravidarum during the Peak Period of the COVID-19 Pandemic Hani, Salsabilla Permata; Kuntari, Titik
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5663

Abstract

Anaemia gravidarum is a health problem that affects pregnancy outcomes. Antenatal care is an effort to screen high-risk pregnancies to provide earlier appropriate management. In 2021, the pandemic forced people to limit their activities, including antenatal care (ANC) visits. The study aimed to explain the association among the timing of the first visit, ANC frequency, and incidence of anaemia gravidarum. The case-control study used the medical record data from Puskesmas Godean 2. The subjects were 30 pregnant women with anaemia in the case group and 30 non-anaemic pregnant women in the control group. The dependent variable was the incidence of anaemia gravidarum. Other variables included age, occupation, and education of the mother, partner’s education, parity status, pregnancy spacing, nutritional status, and history of comorbidities. The chi-square and logistic regression were used to analyse the data. It was found that ANC frequency of less than four times and first visit (K1) after passing the first trimester of gestational age increased the risk of anaemia gravidarum (p-value <0.05). Efforts to increase awareness of the importance of immediate first ANC visit and frequency of ANC visits need to be made to reduce the risk of anaemia gravidarum.
Tuberculosis Related Ischemic Stroke : A Case Report Pinzon, Rizaldy Taslim; Vidyatama, Veren Amoreta
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5773

Abstract

Tuberculosis (TB) is a widespread infectious disease caused by Mycobacterium Tubercle Bacilli. In 15-20 % cases of active pulmonary TB, infection spreads to extrapulmonary foci, including the nervous system complications. Ischemic stroke related tuberculosis without meningitis is rare. We report a 74-year-old female presented with rapid onset confusion, unconsciousness, and left hemiparesis. She had been recently diagnosed with active TB 3 months ago and treated with combination anti tuberculosis regiment. Her recent acute neurological manifestations began within 24 hours prior to admission in the hospital. The brain CT showed  middle cerebral artery territory infarction. The risk factors tracing found no significant abnormality. The only abnormal finding was high CRP. This report describes rare case of a patient with active TB and who presented with acute ischemic stroke.
The Role of Body Mass Index, Hemogblobin Levels in Women Giving Birth to Neonatal Weight Tantowi, Linda Yanuana Fanida; Wardani, Dita Pratiwi Kusuma; Kurniawan; Ambarwati, Dewi
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5774

Abstract

Maternal nutritional status is monitored with BMI and is also one of the factors that have an impact during pregnancy. Poor nutrition before and during pregnancy leads to decreasing hemoglobin levels and low birth weight infants. This study aims to determine the correlation between hemoglobin levels and BMI of mothers giving birth to the weight of newborns at the Puskesmas Kebumen II, Kebumen District. This research used a retrospective study with medical record data collected from January to April 2022. This research involved 50 patient mothers giving birth at Puskesmas Kebumen II, Kebumen District. The data were analyzed by the Pearson correlation coefficient test. The results are BMI and newborn weight (p = 0.061, r = 0.367), hemoglobin levels, and newborn weight (p=0.852; r= -0.025). There was no correlation between BMI and hemoglobin levels to newborn weight at Puskemas Kebumen II, Kebumen District.
ASSOCIATION OF ZINGIBER AROMATICUM VAL. WITH ZERUMBONE AND ITS BIOLOGICAL ACTIVITY: A LITERATURE REVIEW Murwanti, Retno; Pratiwi, Rima Dwi; Gani, Andayana Puspitasari
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5816

Abstract

The main objective of this article is to explore the available classified information on Zingiber aromaticum Val. Rhizome and its active compound, Zerumbone. Throughout history, this plant has been utilized to treat various ailments such as abdominal disorders, cough, anemia, malaria, jaundice, arthritis, and infections. Recently, Zerumbone, a sesquiterpene compound found in the rhizomes, has gained attention for its biological activity. This article reviews the current research on the pharmacological activities of Z. aromaticum Val. Rhizome, with a specific focus on its active component, Zerumbone.This review found that the antioxidant and antiinflammatory effects of Zerumbone play a role in the pharmacological effects exhibited by Z. aromaticum, such as antidiabetic, antiparasitic, anti-hyperlipidemia, antianxiety, and antiaging effects. Additionally, the correlation between the biological activity of Zerumbone and the pharmacological activity of Z. aromaticum extract is discussed. This review provides a valuable reference for developing and further researching Zingiber aromaticum Val. and Zerumbone in medical treatments.
Effect of Ethanol Extract of Cinnamon Bark (Cinnamomum burmanii) on the Lipid Profile and Malondialdehyde of Dyslipidemic Rats Dewi Ratih Handayani; Sari, Sylvia Mustika Sari; Darojat, Muhammad Danil Hadyan; Permatasari, Elok Yana; Djamaludin, Maman
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5822

Abstract

Dyslipidemia is a risk factor for atherosclerosis. Dyslipidemia conditions and malondialdehyde (MDAs) increased can cause oxidative stress. Cinnamon contains antioxidant compounds that have a hypolipidemic effect. This study aimed to determine the effect of cinnamon bark ethanol extract on triglycerides, total cholesterol, LDL, HDL, and MDA in dyslipidemic rats. In this study, rats were divided into five groups, a negative control group: which received standard feed, a positive control group: which received a high-fat diet and PTU, the groups that received a high-fat diet, PTU, cinnamon bark ethanol extract (EECB) 125 mg/Kg BW, 250 mg/Kg BW, 500 mg/Kg BW. The results of the analysis showed a decrease in triglyceride levels in all groups given EECB (p <0.05). Total and LDL cholesterol levels decreased in the 125 mg/Kg BW EECB group, and malondialdehyde decreased in the 500 mg/Kg BW EECB group (p <0.05). HDL levels did not increase. The ethanol extract of cinnamon bark was able to improve lipid profiles because it contains cinnamaldehyde and quercetin that can inhibit HMG CoA reductase activity, as well as flavonoids, tannins, and cinnamate which are able to reduce triglyceride and MDA levels. Keywords: cinnamon, dyslipidemia, malondialdehyde, lipid profile.
english english Ulya, Syarifatul; Ryangga, Dea; Wibowo, Wahyu Edy; Nasution, Nuruddin; Pawiro, Supriyanto Ardjo
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5848

Abstract

Regarding the increasing use of small-field photons in clinical treatment, in this study, we investigate the use of small-field electron beams in clinical treatment. This study aimed to evaluate small-field electron beam dosimetry of the nasopharyngeal, thyroid, and ethmoid sinus carcinoma cases. Dose measurement was done using EBT3 film. In nasopharyngeal cases with a homogenous area and irregular surface, the dose discrepancies for 6 MeV energy were unpredictable except for the 5×5 cm2 field size. For all energies in 5×5 cm2 field size, the dose discrepancies were less than 3%. In these cases, we found that a smaller electron beam field will increase the percentage of the dose discrepancy. This is caused by the effect of the lateral scatter disequilibrium in a small field electron beam. For ethmoid sinus cases, dose discrepancy depends on the field size and inhomogeneity of bone and tissue organ. Based on the evaluation of doses on the spinal cord, chiasm, and larynx (OAR), it can be seen that these organs received a very small dose. From this result, a small field electron beam is recommended for cases with a homogeneous target. However, in cases with a heterogenous target, further investigation is needed.
Correlation Between Health Worker's Support and Coping Strategy to Mother's Resilience Level in Managing Annual Flood in the COVID-19 Pandemic Setiya Dewi, Yulis; Qona'ah, Arina; Alfaruq, Fikri
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): 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.v17i1.5853

Abstract

Low coping strategies and health worker factors reduce the ability to survive from flood. This can lead to low mother’s resilience. This study aims to analyze the correlation between health worker factors and coping strategy against mother’s resilience in managing the impact of annual flood disasters during the COVID-19 pandemic. This research used correlational analytic method with cross sectional approach. This study used a sample of 121 mothers in Sukorejo Village, Karangbinangun District, Lamongan Regency who were affected by flood. The research instrument used a questionnaire of support, facilities, and motivation health workers;copingstrategy; and mother’s resilience. Spearman Rho Analysis correlation test was used as analytic approach with a significance of <0.05. The data obtained analyzed using a Spearman Rho correlation test. There was a correlation between health worker factors and mother’s resilience (p=0.003: r=0.264). In addition, there was a correlation between coping strategies and mother’s resilience (p=0.000: r=0.369). The higher health workers factor and mother’s coping strategies level, the higher mother’s resilience managing the flood impact. Capacity building for health workers is needed to be able to educate mothers about flood impact management, so that ultimately improve their coping strategies.

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