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Smart Medical Journal
Published by Universitas Sebelas Maret
ISSN : 26211408     EISSN : 26210916     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Smart Medical Journal (SmedJour) is published by Faculty of Medicine Universitas Sebelas Maret. SMedJour publishes original research articles or article review in the basic medical sciences, clinic medical sciences, medical education and public health.
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Articles 7 Documents
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Search results for , issue "Vol 6, No 1 (2023): April" : 7 Documents clear
Dietary Trends Among Adolescents in Surakarta City During the COVID-19 Pandemic Hanifah Fathimatuzzahrah; Widardo Widardo; Amelya Augusthina Ayu Sari
Smart Medical Journal Vol 6, No 1 (2023): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i1.58698

Abstract

Introduction: Restrictions on activities outside the home due to the COVID-19 pandemic, including schools, can influence dietary profiles, especially those of adolescents. The effort to suppress COVID-19 transmission changes Adolescents’ lifestyles, physical activity, and eating behavior towards deterioration endangers their health, and increases the risk of degenerative diseases such as obesity, diabetes, and other NCDs that can exacerbate COVID-19 disease. This study aims to explore nutritional modifications during the COVID-19 pandemic in adolescents aged 15 to 19 years, compared with their usual diets before the pandemic, and identify variables that may correlate with the changes. Methods: This study used a cross-sectional design. Data were collected by online questionnaire and interviews on food intake, body mass index (BMI), and physical activity among 96 adolescents from Surakarta City. We used the Wilcoxon test and the Kruskal-Wallis test for comparative analysis.Results: The results showed that the COVID-19 pandemic modified insignificantly the dietary intake, BMI, and physical activity. In particular, we recorded and analyzed the modified consumption of main dishes (p=0,745), side dishes (p=0,082), vegetables (p=0,000), fruits (p=0,528), snacks (p=0,128), and beverages (p=0,046) using Wilcoxon's analysis (p<0,005). In addition, the Kruskal-Wallis analysis showed that gender, BMI, and physical activity had varied comparisons with dietary intake during COVID-19.Conclusion: The COVID-19 pandemic had an insignificant impact on changes in dietary intake which were not significantly affected by gender, BMI, and physical activity in adolescents in Surakarta City.
Percutaneus Nephorlithotomy Procedure for Realese Encrusted Double J Stent Afrizal Tri Heryadi; Rizki Abri Laksono; Andry Haryanto
Smart Medical Journal Vol 6, No 1 (2023): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i1.69407

Abstract

Installation of a DJ Stent is a procedure performed in the field of urology to prevent or relieve ureteral obstruction.Technological developments in the field of medicine have changed the approach to surgical intervention in cases of kidney stones (especially kidney stones with a stone burden > 2 cm), from open surgery to endoscopic surgery, one of them is by percutaneous nephrolithotomy (PCNL). We report the case of a man with a right double J (DJ) stent that was placed 5 months previously. The patient underwent anamnesis, physical examination, supporting examinations and was then treated with ureteroscopic lithotripsy and PCNL. Complete clearance of the stone can be performed and the DJ stent can be removed uninterruptedly from the percutaneous access. Encrusted stents are still a challenge in urology where endourology remains the best choice of treatment. The management of DJ stents should also be based on follow-up and prevention by taking into account predisposing factors to encrustation such as urinary tract infections, diabetes mellitus, chronic renal failure, history of urolithiasis, diet and malabsorption.
Relation of NLR Value and Mortality Rate in Neonatal Sepsis Jarwoto Roestanajie; Muhammad Ali Shodikin
Smart Medical Journal Vol 6, No 1 (2023): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i1.67343

Abstract

Introduction: Neonatal sepsis is a significant issue for newborns everywhere and causes a large amount of morbidity and mortality. Various indicators of newborn sepsis are expensive and occasionally unavailable in peripheral hospitals. The neutrophil-lymphocyte ratio (NLR), which is affordable, is a component of complete blood counts and does not call for further testing. This study intended to investigate the neutrophil-to-lymphocyte ratio (NLR) as a predictor of neonatal mortality rate in the local hospital in rural locations.Methods: This study sampled newborns with sepsis in the perinatal room of dr. Soebandi Hospital Jember for this cross-sectional study, from January 2021 to June 2022. NLR is calculated by manually dividing the number of neutrophils by the actual number of lymphocytes. Our neutrophil and lymphocyte data were obtained from the patient's lab results. This study analyzed neonatal sepsis NLR data using Spearman analysis to find the relation between NLR value and mortality rate of neonatal sepsis.Results: This study obtained 43 data on neonatal sepsis in the perinatology ward during this period. The data found to show that 37 neonatal sepsis survived and 6 died. The collected data analysis found that the lowest NLR neonatal sepsis is 0.4, the highest NLR neonatal sepsis is 25.6 and the mean value for NLR neonatal sepsis in perinatology was 3.88. This study found no correlation between the NLR value of the sepsis neonate and the neonatal mortality rate Sig. (2-tailed) 0.662.Conclusion: In this study demonstrated no correlation between the NLR value of the sepsis neonates and the neonatal mortality rate.
The Effect of Butterfly Pea Extract on Blood Glucose Levels in White Rats with Metabolic Syndrome Model Olivia Gunawan; R. Prihandjojo Andri Putranto; Jarot Subandono; Veronika Ika Budiastuti
Smart Medical Journal Vol 6, No 1 (2023): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i1.67934

Abstract

Introduction: Metabolic syndrome is an accumulation of several disorders, one of which is hyperglycemia. Clitoria ternatea is a plant that contains lots of flavonoids and is known to reduce blood glucose levels in metabolic syndrome. This study aimed to determine the effect of butterfly pea extract (Clitoria ternatea) on blood glucose levels in white rats with metabolic syndrome models.Methods: This research is an experimental study using animal models with pre and post-test control group design method. The number of samples was 30 male white rats which were divided into 5 groups: group 1–negative control group; group 2–positive control group; group 3, group 4, and group 5 were the metabolic syndrome group which was given Clitoria ternatea extract with doses of 100, 200, and 400 mg/kgBW, respectively for 28 days. Measurement of blood glucose levels for all groups was carried out on the 36th day as the pre-test and the 64th day as the post-test. Blood glucose levels were obtained through retroorbital venous blood which was analyzed with the Easy Touch blood glucose stick meter. One-way ANOVA was used to analyze data, followed by post-hoc LSD test, and paired T-test.Results: The average post-test random blood glucose levels decreased by 135.16 mg/dl, 163.18 mg/dl, and 168.35 mg/dl. There was a significant difference (p<0.05) between the pre-test and post-test blood glucose levels along with the average blood glucose level amongst groups.Conclusion: Butterfly pea (Clitoria ternatea) could decrease blood glucose levels and cause further decrease with higher doses.
Case Report: Pneumonia Provocate Thyroid Storm in Graves Disease Berty Denny Hermawati; Nurhasan Agung Prabowo; Desy Puspa Putri; Risalina Myrtha; Hendrastutik Apriningsih
Smart Medical Journal Vol 6, No 1 (2023): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i1.68166

Abstract

Introduction: A thyroid crisis is an endocrine emergency involving many organ systems and can be fatal to the patient's survival. Although cases of thyroid crisis are rare, the mortality rate is significant which reaches 20–50%. The presence of comorbidities such as pneumonia infection increases the risk of death dramatically. Infection is a factor that can trigger thyroid crisis and exacerbate thyrotoxicosis. This condition of thyroid crisis most often occurs in people with hyperthyroidism caused by Graves' disease. We present the case of a patient with Graves' disease, aged 22 years, who developed a thyroid crisis due to community-acquired pneumonia infection. This study aims to provide a case report regarding the thyroid crisis due to pneumonia.Results: We carried out a physical and some appropriate supporting examinations to confirm the diagnosis. Wayne's index was 26, indicating hyperthyroidism. Assessment with Burch-Wartofsky obtained a score of 45, indicating suspicion of a thyroid storm. Then supportive care was provided to the patient. The community-acquired pneumonia as a triggering factor was treated with antibiotics. Thyrotoxicosis conditions were treated with antithyroid, beta-blocker, and glucocorticoid drugs. The patient's condition improved after treatment.Conclusion: It is crucial to detect and treat thyroid storm as quickly as possible since it has a high mortality rate. Wayne's score is useful for identifying hyperthyroidism based on clinical symptoms. The Burch-Wartofsky Point Scale scores are used to diagnose thyroid storms. Thyroid storm should be managed according to PERKENI (Perkumpulan Endokrinologi Indonesia) and ATA (American Thyroid Association) recommendations. This case serves as an example of how to make a proper diagnosis and treatment to prevent morbidity and death due to thyroid crisis.
Clinical Characteristic of Headache among Medical Students Experienced Online Learning in University during the Pandemic Ami Febriza; Yushusna Yusbar; Andi Weri Sompa
Smart Medical Journal Vol 6, No 1 (2023): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i1.68167

Abstract

Background: The lecture used online learning as an alternative method for minimizing the spreading covid-19 during pandemic. Headache is one of the very popular complaints during the medical education process, and it happens owing many physical or psychological stressors. It reported more common in medical students, notably during this online learning methods.Aim: This study aimed to evaluate the clinical characteristics of headaches and associated factors among medical students during online learning.Methods: A cross-sectional study was conducted at the University of Muhammadiyah Makassar from November 2021 to May 2022. A total of 220 medical students who have experienced forms of headache and had headache attacks during the past 1 years were included in this study. Respondents filled out a structured questionnaire, which consisted of demographic data, associated factors during online learning, and headache characteristics. Chi-square test was used to test the difference in proportion. All statistical test were considered as significant if p-value <0.05. The data obtained was processed using SPSS 23.Results: Body posture during online learning and lecture duration had a significant relationship with headaches' location, duration, and frequency (p-value < 0.05). Body posture during online learning, duration of lectures, and frequency of lectures significantly correlate with activity exacerbated headaches (p-value < 0.05). Body posture also significantly correlates with headache severity (p-value < 0.05).Conclusions: The results show that the clinical characteristics of headache are high in medical students that experience online learning during this pandemic situation.
Effect of Moringa Leaves Ethanolic Extract (Moringa oleifera, Lam.) on Testicles Histopathological Structure in Metabolic Syndrome Rat Model Febriagi Bayu Aji; Novan Adi Setyawan; Fikar Arsyad Hakim; Riza Novierta Pesik
Smart Medical Journal Vol 6, No 1 (2023): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i1.69243

Abstract

Introduction: Metabolic syndrome was a collection of various disorders that can significantly increase the risk of experiencing insulin resistance, atherosclerotic cardiovascular disease, vascular complications, and diabetes mellitus. The detrimental effect of this condition has led to the development of various treatments options, such as Moringa leaves extract (Moringa oleifera), which was suspected to have ameliorative effects. Therefore, this study aimed to determine the effect of Moringa leaves extract on the histopathological appearance of the testes of Wistar rats induced with metabolic syndrome.Methods: This was an experimental design study, with a post-test-only control group, involving 30 Wistar rats (Rattus norvegicus). Metabolic syndrome was induced in the samples through the administration of high-fat and fructose feeds along with streptozotocin and nicotinamide. Furthermore, the moringa leaves extract was administered to the treatment groups in different doses of 150, 250, and 350 mg/kg BW. Testicular histopathological damage scores were then assessed on each group. The Kruskal-Wallis test which followed by Mann-Whitney test was used to determine the significant differences between the groups, while the correlation was analyzed using Spearman test.Results: There were significant differences in the histopathological scores between the treatment and control groups. Furthermore, the Wistar rats treated with Moringa extract showed better histopathological scores (2.1±0.64) compared to those without the treatment (2.7±0.54), p<0.05. The results also showed that higher doses of the extract significantly correlated with better outcome in testicular histopathological structure of metabolic syndrome rat model (p=0.000, r=-0.396).Conclusion: Moringa leaves ethanolic extract treatment improved testicular histopathological appearance in Wistar rats induced with metabolic syndrome.

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