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Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya
Published by Universitas Muhammadiyah Surabaya
ISSN : 25412272     EISSN : 25489526     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Arjuna Subject : -
Articles 301 Documents
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Relationship of mid-parental height, Calcium intake, and intensity of physical activity with body height growth of high school students in Malang Arif Kusuma Firdaus; Anung Putri Illahika; Annisa Hanifwati; Hanna Cakrawati
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.13979

Abstract

Abstract  Stunting is one of Indonesia's problems, as portrayed in RISKESDAS 2018. This means the growth of Indonesian children was not optimal. Some factors that might affect body height growth were genetic factors, represented by mid-parental height, nutritional factors, especially calcium, and physical activity, which could activate pathways to stimulate growth. These factors were known to have a huge role in body height growth, especially if these factors were optimized in adolescence, as in high school students. This research aimed to explain the relationship between body height growth and the factors that might affect it: mid-parental height, calcium intake, and the intensity of physical activity. This research was observational analytic, using purposive sampling as the sampling method and collecting data using a cross-sectional questionnaire. Statistical analysis between variables shows that mid-parental height was positively related (p<0.05, r: 0,356), while calcium supplementation was not associated (p<0.05, r: -0.165), and intensity of physical activity was not related (p=0.059, r: 0.089) with the body height growth of the students. In conclusion, among the factors that were analyzed, mid-parental height was the only one that had a relationship with body height growth.
Mid-term functional outcome after distal Achilles tendon rupture anchoring screw repair in elderly osteopenia as a reliable technique: A case report Teddy Heri Wardhana; Mukhlis Aziz
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.15604

Abstract

The management of distal Achilles tendon rupture is still controversial, especially in elderly patients, due to poor bone quality and tendon stump integrity. One of the proposed repair techniques is by using an anchoring screw. Here we report the mid-term follow-up of two patients with distal Achilles tendon rupture treated with an anchoring screw. Two elderly males in their sixties came to the outpatient clinic with similar complaints of intermittent pain, reddening, and ankle swelling after falling. Both patients were diagnosed with distal Achilles tendon rupture and were treated with open repair using a Krakow suture and anchoring screws. Functional outcome evaluation postoperatively found a good outcome. Previous studies have shown that repair with the anchoring technique is better biomechanically than with ordinary sutures. Repairs with this technique can withstand greater forces and loads before they fail. An anchoring screw repair technique for total distal Achilles tendon rupture repair provides good results in elderly with osteopenia.
The role of common bile duct exploration with biliary drainage in choledocholithiasis during pregnancy Gadang Ryan Dewantoro; Putra Gelar Parlindungan
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.10816

Abstract

Pregnancy is a risk factor for gallstone disease and may evolve into symptomatic choledocholithiasis/ common bile duct (CBD) stone; however, the treatment of choice is controversial and may not apply to all gestational ages. Standard therapy with endoscopic retrograde cholangiopancreatography (ERCP) exposes the patient and fetus to ionizing radiation; hence other strategies are needed to address this problem. We report a case of 29 years old female presented with biliary pain and jaundice. The patient was pregnant at 14 weeks gestation age. Laboratory data showed biliary obstruction, and abdominal ultrasound showed multiple bile duct stones with significant dilatation in the CBD. CBD exploration with external biliary drainage was performed to treat obstructive jaundice while avoiding ionizing radiation exposure to the fetus and patient. After the procedure, the patient showed clinical improvement. CBD exploration with external biliary drainage avoids ionizing radiation in choledocholithiasis management. This method may be applied as a temporary emergent treatment of obstructive jaundice in pregnant patients with gestational age sensitive to ionizing radiation.
Subchronic exposure to Chlorpyrifos, Carbofuran, and Cypermethrin increase sciatic nerve damage and degeneration in adolescent rats Muhammad Ihwan Narwanto; Muhammad Haikal Supriyadi; Desie Dwi Wisudanti
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.13666

Abstract

Several types of pesticides that are often used are chlorpyrifos (organophosphate), carbofuran (carbamate), and cypermethrin (pyrethroid).  Pesticides can kill pests but also can cause toxic effects on humans when exposed.  One of the adverse effects of pesticide exposure is a disturbance in the peripheral nervous system.  Age is an essential factor in peripheral nerve damage.  Nerve injury is one of the most common injuries in children and adolescents and is estimated at 10% to 15% of all exceptional unit cases.  However, the outcome of peripheral nerve injury is known better in subjects who sustain the injury at a younger age.  This study aims to determine the subchronic exposure effect of chlorpyrifos, carbofuran, and cypermethrin to sciatic nerve histopathology in juvenile rats.  This study used 30 male Wistar rats (Rattus norvegicus) which were divided into 5 groups, normal group (N), control group (K), chlorpyrifos group (P1), carbofuran group (P2) and cypermethrin group (P3).  Subcutaneous injection of pesticides was carried out for 21 days.  Rats were sacrificed using the cervical dislocation method, and the right sciatic nerve was taken for histopathological observation.  Assessment of the degree of ischiatic nerve histopathological damage is using the Jensen et al., (2018) method.  Data were analyzed using the Kruskal-Wallis test and continued with the Mann-Whitney test.  This study showed a significantly increased degree of histopathological damage in the chlorpyrifos group, carbofuran group, and cypermethrin group compared to the control group and the normal group (p<0.05).  It can be concluded that exposure to chlorpyrifos, carbofuran, and cypermethrin pesticides increased damage and degeneration of the ischiadicus nerve in juvenile rats.
The influence of the quality of Tuberculosis services with adherence to taking Anti-tuberculosis drugs Ridhona Fajar Sari; Martini Martini; Mursid Raharjo
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.15582

Abstract

Indonesia was the second world's highest TB case in 2021. Tuberculosis therapy that takes a long time can cause patients to drop out of treatment. Hospitals conduct quality evaluations regularly and improve the quality of health service personnel to realize excellent health services. This literature review aims to determine the effect of the quality of tuberculosis services on patient compliance with anti-tuberculosis drugs. This literature review was written using a systematic approach. The databases used were Google Scholar, Science Direct, Proquest, and Scopus. The total number of articles obtained was 8 out of 64 based on inclusion criteria. The things that affect the regularity of taking medication based on the eight journal articles above are as follows: 1) the assurance dimension is 50%, 2) the dimensions of empathy and reliability amounted to  37.5%, 3) the responsiveness dimension is 25%, 4) patient satisfaction, direct evidence and service quality amounted to 12.5%. Adherence to taking medication is influenced by: 1) the presence of supporters of taking medication, 2) difficulty taking the medication regularly, (3) perceived benefits of taking anti-tuberculosis drugs, and 4) self-perception related to healing. The dimensions of assurance, empathy, and reliability have the most influence on the regularity of taking anti-tuberculosis drugs.
The spiritual and mental health assessment of social workers working for Internally Displaced Persons during Covid-19 in Myanmar Saw Ye Win Thu; Hsiu-Ching Chen
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.16809

Abstract

This study utilizes the spiritual assessment viewpoint to analyze the spirituality of social workers who are working for Internally Displaced Persons (IDPs) in Kachin and Northern Shan State, Myanmar where the working situation is stressful, and security is not guaranteed. The data is collected online during the pandemic and military coup, in April 2022. It is a quantitative research assessment and the form of Spirituality Assessment of Social Workers Working for IDPs (SASWWIDPs) is designed as three dimensions of SASWWIDPs: Healthy self-awareness (HSA), healthy relationship (HR), and healthy feeling (HF). The accumulated data is interpreted using SPSS 22.0 for statistical analysis. Most of the participants are female (66%) and 34% are male. The results of the three dimensions of the SASWWIDPs are different from their social characteristics: in gender, females’ HF in self-care and managing stress is higher than males (t=-3.21**). In terms of religion/faith, the group Buddhism’s HF is higher than Christianity on the benefits of religion in managing stress (t=-2.833**). Regarding working years, people who have been working for 2 years have a more positive mindset on their work than those for 3 years above in HSA (t=2.918**); in terms of age, there is no difference among the different age groups. However, both groups agree the role of friends and families is vital to overcoming challenges and stress.
Association between the degree of Osteoarthritis and pain level of patients at Baptist Hospital, Batu City Panji Sananta; Hansel Hansel; Dhelya Widasmara; Eka Noviya Fuzianingsih
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.13483

Abstract

Osteoarthritis is a chronic disease characterized by the destruction of cartilage in the joints, causing stiffness, pain, and impaired movement. The condition most commonly affects the joints of the knees, hands, feet, spine, and often the shoulders and hips. Knee osteoarthritis is a major public health problem that causes chronic pain and reduces physical function and quality of life. This study determined the relationship between the degree of Osteoarthritis and the pain level in patients at Baptist Hospital, Batu City. This research used a cross-sectional study with 31 respondents. Data collection was conducted directly using the WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) questionnaire, modified in Indonesian. To determine the grade of Osteoarthritis using the Kellgren-Lawrence system. The results showed that out of 31 respondents, there were nine patients (29%) who had grade 1 osteoarthritis, 12 patients (38.7%) had grade 2, and 10 patients (32.3%) had grade 3. There were 22 patients (71%) who had a mild pain level, four patients (13%) had a moderate level, and five patients (16%) had a severe pain level. The Spearman correlation test showed no significant relationship (p>0.05) between the degree of Osteoarthritis and the level of pain in patients. This study concludes that there was no relationship between the increasing degree of Osteoarthritis and the level of pain.
A successfully treated Basal Cell Carcinoma using elliptical excision surgery Irmadita Citrashanty; Hamidah Luthfidyaningrum; Evy Ervianti; Bagus Haryo Kusumaputra; Maylita Sari; Muhammad Yulianto Listiawan; Yoana Fransiska Wahyuning Christi
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.15384

Abstract

 Basal cell carcinoma (BCC) is a non-keratinization cell-derived neoplasm. Surgical excision is the most common way to remove a tumor. The excision depends on the tumor type, size, and location. This paper reported a 44- years-old woman presented with the chief complaint of a single bump that bleeds easily in the facial region that began one year ago. Dermatology examination revealed hyperpigmented plaque with an ulcer in central, solitary, oval, 2 cm x 1 cm in size, covered with blackish crust on top. A Dermoscopy examination showed blue dots and globules, arborizing vessels, and ulceration. Histopathology examination findings were in concordance with BCC. The patient was treated with elliptical surgical excision. The lesion was successfully removed and showed good results with minimal scarring. BCC occurs in 75% of all skin cancers. Elliptical surgical excision on the left cheek was performed after considering the location anatomy, defect size, age, and general condition patient and postoperative cosmetic estimates. The minimal scar that occurs is planned to be performed with a fractional laser. The prognosis is generally good. There is no recurrence until one year later. In conclusion, elliptical surgical excision is an effective standard treatment if performed with a safe margin. In this case, we used 5 mm safe outer margin.
Development of Android-based health media applications as promotional media in improving COVID-19 preventive behavior in the community Ira Purnamasari; Ferry Effendy; Lailatun Ni’mah; Dede Nasrullah
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 1 (2023): Qanun Medika Vol 07 No 01 January 2023
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i1.12828

Abstract

Corona Virus Disease 2019 (COVID-19) caused by SARS-CoV-2 became a worldwide pandemic. The spread of wrong information causes people to misperceive the information. The massive spread of the virus shows the lack of public knowledge about preventing the transmission of COVID-19. Intrapersonal factors, namely changes in individual behavior, are the main focus of breaking the chain of the spread of COVID-19. This study aims to develop an Android-based health education application for COVID-19 prevention behavior in the community. This research method used an exploratory design with an R&D approach which consists of 2 stages. The first stage was making a prototype application through 1) Evaluation of public knowledge and attitudes about COVID-19 prevention with a questionnaire in the form of a google form to find strategic issues; 2) Development and mapping of prototype content through Focus Group Discussions with nurses and expert consultations. The evaluation used a simple random sampling technique on 193 respondents. The second stage was socialization and application feasibility testing on 193 respondents. The results of the first stage were an overview of the implementation of health education that had not been maximized due to the risk of transmission, sufficient knowledge (52.8%), and negative attitudes (63.2%) toward the prevention of COVID-19, as well as a prototype system of health education in applications that include prevention COVID-19 prevention. It was followed by the second stage of socialization and application feasibility testing for users. This study concludes that the development of an android-based application supports effective health promotion efforts in conveying information to increase knowledge and attitudes toward COVID-19 prevention.
Changes in histopathological features of adolescent rat livers due to subchronic exposure to Chlorpyrifos, Carbofuran, and Cypermethrin Muhammad Ihwan Narwanto; Siti Jamalia; Yuli Hermansyah
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 2 (2023): Journal Qanun Medika Vol 07 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i2.16880

Abstract

Insecticides are the most widely used type of pesticide in various fields, such as agriculture, plantation, industry, and household activities. Only 1% of the insecticides used work effectively to attack the target and the remaining 99% are released freely into water, soil, and air and finally have an impact on non-target organisms. Chlorpyrifos, carbofuran, and cypermethrin were the most widely used insecticides in their respective groups, namely, organophosphates, carbamates, and pyrethroids. This study aims to determine the changes in histopathological features of adolescent rat livers due to subchronic exposure to chlorpyrifos, carbofuran, and cypermethrin. Adolescent livers have a faster regeneration rate but are more susceptible to damage than the older age group. This study used 30 male Wistar rats which were divided into 5 groups, namely, normal group (N), control group (K), chlorpyrifos group (P1), carbofuran group (P2), and cypermethrin group (P3). Subcutaneous injection of insecticide was carried out for 21 days. The scoring method used in the histopathological observations is Manja Roenigk score. Data analysis used the ANOVA test and continued with the LSD post hoc test. In this study, significant results were obtained, P<0.05, which indicated that there were significant differences in the histopathological features of the liver that were exposed to chlorpyrifos, carbofuran, and cypermethrin. The picture of liver damage was mostly found in the carbofuran group.

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