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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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Analysis of the Relationship Between Hospital Ownership and Google Maps Star Ratings: A Case Study of Regional General Hospitals (RSUD), Private Hospitals, and Muhammadiyah Hospitals (RSM) in East Java Absor, Sholihul; Rochmah, Thinni Nurul; Musa Ghufron; Rezy Ramawan Melbiarta
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.25670

Abstract

The Muhammadiyah Hospital network (RSM) is a religious non-profit oriented facilities in Indonesia which emphasizing ethical or faith-based considerations, in approach to providing services. RSM faces the challenge of excelling compared to its competitors, including Regional General Hospitals (RSUD) and other private competitor hospitals. This study aims to examine the relationship between hospital ownership status and Google star ratings among hospitals in East Java.  A cross-sectional study was conducted involving 31 RSM, 19 RSUD, and 20 private competitor hospitals, which were compared in their respective cities. Kruskal-Wallis test was performed to compare the Google rating between each ownership, and simple logistic regression was performed to examine the association between hospital ownership and Google star rating.  Of 31 regions, private hospitals (both competitor and RSM) had the highest rating in 22 regions when compared in their respective region. Private competitor hospital had the highest median (4.2 (3.9-4.7)), followed by RSM (4.1 (3.1-4.7)) and RSUD (4.0 (2.8-4.8)). Generally, a significant difference was found between RSUD and private competitor hospital (p<0.05), while between RSM and private competitor or RSUD were not significant. Logistic regression showed a significant association between hospital ownership and Google rating, with being a private competitor being likely to have a higher rating compared to RSUD (OR (95% CI): 8.10 (1.46-45.06)). In conclusion, our findings suggest hospital ownership had significant association with Google ratings, specifically between private competitor and public hospitals. While RSM didn’t have any significant association although they tend to have higher ratings to RSUD.
Late diagnosis of Ebstein anomaly after pregnancy: A rare case report Lesmana, Jesse; Ramadhan, Muhammad; Barri, Muhammad; Purwowiyoto, Sidhi Laksono; Nurusshofa, Zahra
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.15327

Abstract

Congenital heart disease is a concerning disease among those affected since it affects the patient's quality of life. One of which is Ebstein Anomaly (EA), with a prevalence of 1 in 200,0000 births with a clinical characteristic of displacement of the tricuspid valve that causes atrialization of the right-side heart. Women of childbearing age are at risk because they especially have asymptomatic EA, compromised to hemodynamic consequences, and risk of maternal complications. A 25-year-old woman visited the emergency department with worsening shortness of breath since last week, during rest, accompanied by decreased physical activity tolerance, bilateral ankle edema, cyanosis to the lips, and nail bed. She had echocardiography and cardiac multi-slice computed tomography to identify EA before and after her first child's birth. She was well controlled with a loop diuretic, phosphodiesterase type 5 inhibitor, and beta-blocker but could not care for her child due to her condition. The patient was discharged after symptoms subsided, awaiting further interventional evaluation. Although EA is rare, it has high morbidity and mortality, especially in women of childbearing age since it may be asymptomatic during childhood. Therefore, early recognition of EA is probably necessary for women who are planning pregnancy.
Tandem peptide lipid CRISPR-Cas9 complex combating APP and APOE4 gene abnormality in Alzheimer's disease Rahmanto, Ilham; Cahyono, Maulana Bagus Adi; Khatimah, Husnul; Nugraningrum, Rahmi; Putri, Pionera Seconda Giyanti; Sahiruddin, Nurul Zulfa; Rahmaniah, Nabila; Romadhon, Pradana Zaky
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.16054

Abstract

Alzheimer's attacks 24 million global population and dominates 60-80% of existing cases of dementia. It causes the accumulation of beta-amyloid (Aβ) plaques in the hippocampus and entorhinal cortex, resulting in decreased mass from the brain. Recent studies have shown that the manifestation of this disease is due to an overaccumulation of abnormal Aβ protein due to abnormalities in the APP and APOE4 genes. Point mutations in the APP gene will create the toxic form of Aβ protein, namely Aβ42, and the toxic APOE4 gene will accelerate the onset of Aβ42 deposition and pro-inflammatory activity that exacerbates the degenerative process of the brain. Gene editing as a potential definitive therapy was recently a concern by researchers. CRISPR-Cas9 repairs the APP gene and substitutes the APOE4 gene with APOE3 by modifying the gene's DNA sequence. Nano complex CRISPR-Cas9 tandem peptide lipid is a model for clinicians to target brain nerve cells. In vivo research on an Alzheimer's mouse model proved the potential of nano-complex-based peptides as carriers of CRISPR-Cas9 in brain nerve cells. This engineering technology offers satisfactory results with high precision, minimal side effects, and a relatively low price for long-term therapeutic effects and even a lifetime.
Management of anterior ST-elevation myocardial infarction presenting more than 48 hours from symptom onset without reperfusion therapy in the cardiac care unit Darwis, Iswandi; Hartapo, Anggoro Budi; Sarwiko, Muhammad Gahan
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.16060

Abstract

ST-elevation myocardial infarction is a form of acute coronary syndrome that is the leading cause of death worldwide. Treatment with reperfusion therapy in the form of primary percutaneous intervention is the main treatment to reduce morbidity and mortality. However, reperfusion therapy is not recommended for patients presenting with symptoms onset of more than 48 hours. A 62-year-old male patient was diagnosed with anterior STEMI with symptoms onset of more than 48 hours based on complaints of anginal chest pain and shortness of breath. ST-segment elevation in V1-V4 and pathological Q in V1-V3 on ECG and increased hs-Troponin I was reported. The patient was not treated with reperfusion therapy based on treatment recommendations. The patient was given vasodilators, beta-blockers, statins, heparinization, and comorbid infection control in the cardiac care ward. Clinical improvement was obtained, and the patient was discharged after seven days of hospitalization and then was planned for Dobutamine Stress Echo during the follow-up visit. Conservative management and viability testing are the main options for patient management in STEMI with symptom onset of more than 48 hours without any complaints of chest pain, stable hemodynamics, and no life-threatening arrhythmia.
Escherichia coli and Salmonella sp. on some lettuce in the traditional market of Banyuwangi Regency Wulandari, Eka Yunita; Ayu, Sinta Nuriyah Putri; Hanifa, Nur Lailatul; Handayani, Brunika Mega; Fisabilla, Adhinda
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.17265

Abstract

Escherichia coli is the main pathogenic bacteria which causes diarrhea in humans and the fourth highest cause of death which occurs all age groups. Salmonella sp is the cause of typhoid fever and findings of 350-810 cases each year. Diarrhea and typhoid fever are closely related to the consumption of raw vegetables, such as lettuce. This study aimed to analyze the contamination of E. coli and Salmonella sp on some lettuces in Traditional Markets of Banyuwangi Regency. This research was an analytic descriptive study using a cross-sectional design at the Laboratory of Microbiology, STIKES Banyuwangi from 6 to 11 June 2022 using 6 lettuces as research samples which were selected by accidental sampling. All (100%) lettuce samples in this study were contaminated with >1,100 CFU/ml E. coli. All (100%) samples in this study were positively contaminated by Salmonella sp with various contamination number, such as: 0.82x104; 0.47x104, 1.90x105, 2.05x106, 1.00x105 and 1.25x106 CFU/ml, respectively. All six lettuces obtained from the Traditional Market of Banyuwangi Regency did not meet the microbiological quality specified by SNI, indicating that they were not suitable for  direct (raw) consumption.
Chest Tube Insertion Following a Failed Needle Decompression in a Patient with Tension Pneumothorax: a Case ReportChest tube insertion following a failed needle decompression in a patient with tension pneumothorax: A case report Saleh, Nanang Salman; Wisnu, Gusti Ngurah P Pradnya; Muhaimin, Alim; Sugianto, Dea Tasha Meicita Kis
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.17563

Abstract

Pneumothorax occurs when the pleural space is filled with air due to trauma, iatrogenic injury, or underlying lung disease. If this air leak forms a one-way valve that causes air to be trapped, an uncontrolled increase in air volume can occur, causing lung collapse and shift of the mediastinum to the contralateral side, which can eventually cause respiratory and hemodynamic disturbances or even death. Here, we report a 46-year-old male patient who came to the hospital complaining of shortness of breath and chest pain radiating to the left shoulder. On physical examination, the patient had severe shortness of breath, tracheal deviation, decreased expansion and air entry of the left hemithorax, hyperresonance of the left hemithorax, and a shift of the punctum maximum of the heart sounds to the left sternal line. The chest x-ray performed on the patient confirmed the suspicion of a tension pneumothorax. A needle decompression in the 2nd intercostal space in the left midclavicular line failed to improve the tension pneumothorax. A chest tube insertion was performed which managed to improve the patient's clinical condition.
Psoriatic arthritis and Hashimoto's thyroiditis in a patient presenting with major depression and subclinical hyperthyroidism: A case report Rahmawati, Lita Diah; Mahdi, Bagus Aulia
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.17778

Abstract

Psoriatic arthritis (PsA) is a chronic, deforming arthritis associated with psoriatic skin lesions. Numerous patients with PsA carry other co-existing chronic diseases, adding to their overall disease burden and affecting the patient’s quality of life. Depression is a common illness known to coexist in about 20% of patients with PsA. Long-term inflammation conditions can make patients more depressed and make the treatment more difficult. Cushing Syndrome (CS) is a complication of long-term treatment due to the exposure of glucocorticoids given to turn the hypothyroid condition into hyperthyroid because hypercortisolism in humans lowers TSH secretion and TSH pulse amplitude. When PsA combines with depression and CS, it will create complex conditions and treatments. The complexity is all about how we control the disease activity of PsA and the vicious circle of an inflammatory process that is difficult to control. Conventional treatment will fail, and targeted therapy with monoclonal antibodies such as anti-IL-17 Secukinumab, is needed. Secukinumab as an anti-IL-17 will block the inflammation pathway from interleukin-17, decrease the inflammation process, and improve the symptoms of PsA. We report a patient with psoriatic arthritis and Hashimoto's thyroiditis (HT) with a major depressive episode with CS and subclinical hyperthyroidism successfully treated with Secukinumab.
Treatment in transient synovitis cases: A review Sananta, Panji -; Anggadha, Fernaldhi -; Fuzianingsih, Eka Noviya
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.17967

Abstract

Inflammation of the synovial membrane of a joint is a common symptom of transient synovitis (TS), which is the medical term for a condition that leads to hip discomfort in juvenile patients.  The estimated annual incidence of TS is 0.2%, and the risk of developing the disease over one's lifetime is 3%.  Unfortunately, the specific pathophysiology of TS is still unclear.  Therefore, the particular treatment is still debatable.  There are several methods of treating TS, starting with bed rest in the hospital and using analgesics, steroids, skin traction, and joint aspiration.  Most of the time, transient synovitis is a self-limiting condition that heals independently and is managed conservatively by monitoring and rest.  Several medical therapy options, including analgesics, NSAIDs, and corticosteroids, speed up healing.  On the other hand, skin traction is also reported to provide beneficial therapeutic effects for TS patients.  Thus, with many therapeutic options, TS's "golden" management still needs further study.
Propolis effectiveness on the reduction of blood glucose level and improvement of body weight in diabetic model's rat Meida, Nur Shani; Purwanto, Bambang; Wasita, Brian; Indrakila, Senyum; Soetrisno, Soetrisno
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.18617

Abstract

Propolis is an herbal medicinal plant that contains caffeic acid phenethyl ester. This natural polyphenol compound acts as an antioxidant and can reduce blood glucose levels and increase body weight. This study aims to determine the effectiveness of Gunung Lawu propolis in lowering blood glucose levels and increasing body weight in diabetic rats. The Wistar rats were induced with STZ 45 mg/kg BW and nicotinamide 110 mg/kg BW as diabetic model rats. Research subjects were taken randomly and divided into five groups: (1) Normal, (2) DM with no propolis, (3) DM 14 days + propolis 100 mg/kg BW/day (P1), (4) DM 14 days + Propolis 200 mg/kg BW/day (P2), and (5) DM 0 day + Propolis 200 mg/kg BW/day (P3). Propolis extract was given orally once a day for 14 consecutive days (in groups 3 and 4) and 28 consecutive days (in group 5). Blood glucose levels in the treatment group (P1, P2, and P3) decreased significantly (P1: 115.28 ± 4.7 mg/dL; P2: 98.36 ± 4.8 mg/dL; and P3: 87.36 ± 4, 2 mg/dL) compared with that in the DM group (272.07 ± 3.9 mg/dL). The body weight of the treatment group (P1, P2, and P3) increased significantly (P1: 180.60 ± 5.7 g; P2: 180.60 ± 4.2 g; and P3: 208.00 ± 5.1 gr) compared with that in the DM group (160.00 ± 3.2 gr). In conclusion, Propolis is effective in reducing blood glucose levels and improving (increasing) body weight in diabetic model rats.
Calf stretch effectiveness in plantar fasciitis cases: A case series Desnantyo, Andre Triadi; Wahyu, Dimas Aditya
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.18628

Abstract

Plantar fasciitis in Indonesia, occur after 30 years of age, 77% of sufferers between 40 to 69 years old, men to women is 1:2. There are risk factors for plantar fasciitis include structural abnormalities, being overweight, age-related degenerative changes, activities that require prolonged standing and/or ambulation, and errors in training, especially in athletes. We present 20 case series of all patients diagnosed with plantar fasciitis who went to the Orthopedic Polyclinic in 2018 and 2019, they received conservative management with Calf Stretch workouts for 30 days and were evaluated with AOFAS Score. Calf stretch exercises in which the patient stands with the sore leg behind and both hands pushing against a wall, also known as the wall stretch. This exercise is performed 2 times a day with a duration of 10-15 minutes each session. This exercise is done routinely for 30 days. A simple, progressive training protocol consisting of strength training with heavy weights will produce better results in the first three months when compared to plantar-focused stretching and may aid in more rapid relief of symptoms on pain. Conservative management with calf exercises still provides a good outcome in patients with plantar fasciitis, based on the AOFAS score.

Page 26 of 31 | Total Record : 301

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