cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Nanang Wiyono
Contact Email
smjfkuns@gmail.com
Phone
-
Journal Mail Official
smjfkuns@gmail.com
Editorial Address
-
Location
Kota surakarta,
Jawa tengah
INDONESIA
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.
Arjuna Subject : -
Articles 7 Documents
 1 
Search results for , issue "Vol 6, No 2 (2023): August" : 7 Documents clear
Strategies of Improvement of Access to Quality Primary Healthcare in the United Arab Emirates: Lessons to Learn Doaa Jameel Al-Ramlawi
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.74287

Abstract

 Introduction: This research topic explores the current state of access to quality primary healthcare in the United Arab Emirates (UAE). It examines the challenges that limit access to quality primary healthcare, such as inadequate infrastructure, limited resources, and a lack of public awareness. It proposes strategies to improve access to quality primary healthcare in the UAE, such as increasing public awareness campaigns, improving infrastructure and resources, and introducing new policies and regulations. It also recommends creating cutting-edge healthcare delivery strategies, such as telemedicine and mobile health technologies. The absence of evidence-based research that concentrates on the efficacy of certain interventions is a problem in the UAE when it comes to developing and improving access to high-quality primary healthcare.Methods: The study employs a qualitative approach to enhance access to quality primary healthcare in the UAE. It employs a descriptive survey for secondary data collection, incorporating and various sources such as reports and online documents.Results: The Health Authority Abu Dhabi has undertaken a research study to evaluate the relationship between regulatory approaches and adherence to regulatory requirements, which will improve healthcare quality.Conclusion: Research on primary healthcare accessibility in the UAE highlights areas for improvement like addressing service gaps and refining care methods. Current shortcomings involve infrastructure and financial constraints, requiring more investment and collaboration. It emphasizes approaches like raising awareness and providing incentives. Involving stakeholders helps ensure access to high-quality healthcare by evidence-based policy recommendations. 
Effect of Secondary Infections and Risk Factors on the Outcome of Covid-19 Patients in the Intensive Care Unit Aisyah Dhiya Salma; Arifin -; Leli Saptawati
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.58142

Abstract

Introduction: Coronavirus Disease 2019 (Covid-19) is an infection caused by a virus with a high virulence level, which has progressively become a pandemic. Several studies have shown that risk factors and comorbidities associated with the disease can lead to severe and critical pneumonia requiring ICU treatment. This indicates that a proper understanding is needed in selecting the right therapy and determining patient prognosis. Therefore, this study aims to analyze the risk factors affecting the outcome of Covid-19 patients in the ICU of Regional General Hospital Dr. Moewardi Surakarta.Methods: This was a retrospective cross-sectional study with a total sampling technique. The risk factors analyzed included old age, hypertension, cardiovascular disease, diabetes mellitus, Invasive Mechanical Ventilators (IMV) use, and secondary infections. Data collection was carried out by reading medical records, as well as blood and/or sputum culture results of Covid-19 patients at the study location from March-October 2020. The data obtained were then analyzed using the chi-square statistical analysis and logistic regression (α = 0.05) with SPSS software version 21.Results: Based on the chi-square test, ventilator type (p<0.001), and secondary infection (p=0.004) were statistically associated with the outcome of Covid-19 patients. Meanwhile, age (p=0.739), hypertension (p=0.202), cardiovascular disease (p=0.073), and diabetes mellitus (p=0.124) had no statistical relationship. The logistic regression test results showed that IMV was a risk factor for Covid-19 death and secondary infection was associated with mortality.Conclusion: The ventilator type and secondary infection had a significant relationship with the outcome of Covid-19 patients. Furthermore, IMV use was a risk factor for mortality among infected people.
The Correlation Between Hypocalcemia and Clinical Level of Covid-19 Patients at Sebelas Maret University Hospital Anindya Cahyaningtyas Ardiyanti Udroso; Hendrastutik Apriningsih; Ahmad Farih Raharjo
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.68856

Abstract

Introduction: Coronavirus Disease 2019 (Covid-19) can cause electrolyte imbalances, one of which is hypocalcemia. Hypocalcemia has been identified as a predictor of the severity of Covid-19. This research aimed to determine the correlation between hypocalcemia and the clinical degrees of Covid-19 patients at UNS Hospital.Method: This study used a cross-sectional design with a population of Covid-19 patients treated at the Covid-19 ward at UNS Hospital in 2020-2022. Samples were collected from medical records by purposive sampling technique that met the inclusion and exclusion criterias.Results: There were 90 cases of hypocalcemia in Covid-19 patients. Mild hypocalcemia (88.9%) was found more than severe hypocalcemia (11.1%). Hypocalcemia was more common in male sex (54.4%), aged 46-65 years (70%), and in moderate clinical degree (31.1%). The Kolmogorov-Smirnov statistical test results showed a significant correlation between hypocalcemia and the clinical degree of Covid-19 with p=0.009 (p<0.05). The Spearman statistical test results showed that there was a fairly strong and statistically significant correlation between hypocalcemia and the clinical degree of Covid-19 where r=0.310 and p=0.003 (p<0.05).Conclusion: There is a fairly strong and statistically significant unidirectional correlation between hypocalcemia and the clinical degree of Covid-19 patients.
Modification of Secondary Dyes in Gram Staining Protocol to Increase The Diagnostic Accuracy of Bacterial Vaginosis Infections Rahma Maulida Risqia; Maryani Maryani; Alamanda Murasmita
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.68910

Abstract

Introduction: The diagnosis of bacterial infection can only be made by gram stain with patient information. One of the problems with gram staining is that the resulting microscopic images look dim, making them prone to misinterpretation. Researchers conducted a study on modifying secondary dyes in gram staining to improve the accuracy of the diagnosis of Bacterial vaginosis infections.Methods: This research is a laboratory experimental study with a cross sectional approach. The sample of this study consisted of anaerobic gram-negative rods on vaginal swabs of patients diagnosed with Bacterial vaginosis at Dr. Moewardi Hospital and Sebelas Maret University Hospital during March to July 2022. The samples were then treated in the form of gram staining with different secondary dyes and then compared.Results: The color intensity of anaerobic gram-negative rod bacteria samples treated with gram staining using fuchsin secondary dye appeared to be stronger than safranin secondary dye. Likewise, the resulting focus looks clearer. The diagnostic test showed that modification of secondary dyes in gram staining by substituting safranin into fuchsin increased the color intensity and focus of preparations Conclusion: Modification of secondary dye on gram staining by replacing secondary dye of safranin to fuchsin can improve the quality of gram staining results on anaerobic gram negative bacteria thereby increasing the accuracy of diagnosis and treatment given.
Effect of Ethanolic Extract of Moringa (Moringa oleifera, Lam.) Leaf on Seminiferous Tubules of Wistar Rats (Rattus norvegicus) Model of Metabolic Syndrome Sade Devitasari; Riza Novierta Pesik; Jarot Subandono; Novan Adi Setyawan
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.69345

Abstract

Introduction: Metabolic syndrome define as symptoms of body abnormalities that increased reactive oxygen species and cause disturbances of the germ cell layer thickness in seminiferous tubules. The content of Moringa oleifera has anti-diabetic, anti-dyslipidemia, and hypotensive effects. This study aimed to find out the effect of ethanolic extract of moringa leaves (Moringa oleifera, Lam.) on the histopathology of seminiferous tubules of Wistar rats (Rattus norvegicus) induced metabolic syndrome with Streptozotocin-Nicotinamide and high-fat diet.Methods: This research was experimental post-only control group design. The subjects were 30 male Rattus norvegicus grouped into normal group (K1), metabolic syndrome group (K2), and 3 metabolic syndrome groups with ethanolic extract of moringa leaf at doses of 150 mg/kg (K3), 250 mg/kg (K4) and 350 mg/kg   of body weight (K5).Results: Thickness of tubules (µm) of group K1 (107.48±10.74), K2 (53.87±25.09), K3 (80.52±3.50), K4 (81.94±9.40), K5 (94.04±8.66). Average number of cell layers of group K1 (8.00±1.09), K2 (3.65±1.35), K3 (5.99±0.36), K4 (6.57±0.36), K5 (6.72±0.20). There was a significant difference in tubule wall thickness and the number of cell layers between the five groups (p<0.05). The K3, K4, and K5 differed significantly from the K2 (p<0.05). K5 has value closest to K1. Conclusion: Ethanolic extract of moringa (Moringa oleifera, Lam.) leaf increased the wall thickness and number of cell layers of seminiferous tubules of Wistar rats (Rattus norvegicus) model of metabolic syndrome with ethanolic extract of moringa leaf at doses of 350 mg/kg of body weight most effectively improved the histopathological of the seminiferous tubules.
Choledochal Cysts in Female Adult: Diagnostic Pitfall and Conservative Therapy for Bile Leak Singgih Annas Fuadhi; Agus Barmawi; Imam Sofii; Nurcahya Setyawan; Adeodatus Yuda Handaya
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.72426

Abstract

Introduction: Choledochal cysts that are accompanied by obstructive jaundice are a rare case. These cysts can cause intrahepatic or extrahepatic ductal dilatation. Their diagnosis is difficult, particulary in adults. Proper management can prevent further complications.Methods: A serial case report of a patient with a choledochal cyst.Results: 2 female patients aged 21 years and 22 years have a painful and fixed lump in the upper right abdomen. The first patient also complained jaundice. Laboratory results showed an increase in total bilirubin and direct bilirubin. The second patient didn’t complaint about jaundice or increased bilirubin, and she had a cholecystectomy when she was ten. The diagnosis was confirmed by a contrast abdominal CT scan, showing type 1A Todani choledochal cysts in both patients. Management of the first patient was cyst excision, cholecystectomy, and Roux n Y hepaticojejunostomy. In the second patient, adhesiolysis, cyst excision, and Roux n Y hepaticojejunostomy were performed. The second patient had no postoperative complications.Conclusion: Choledochal cysts are a rare congenital condition in adulthood. n both cases, two patients were manage surgically. Bile leakage complications can be manage conservatively. Diagnostic and management of choledochal cysts must be correct to prevent pitfall and complications.
The Correlation Between Physical Activity and Kidney Stone Formation: A Literature Review Budi Hernawan; Nico Gonzales
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.71483

Abstract

Background: Kidney stones or nephrolithiasis is a disease where crystals form in kidney due to increased excretion of stones-forming components such as calcium, oxalate, uric acid, cystine, xanthine, and phosphate, or reduced urine volume. In addition, poor eating and drinking habits along with lack of physical activity put individuals at a high risk of developing kidney stones. Previous studies showed that physical activity can both reduce and increase the risk of kidney stones.Purpose: This study aims to determine the relationship between physical activity and formation of kidney stones.Method: A literature review design was used by conducting a journal search through PubMed, Science Direct, and Google Scholar databases using the keywords ("kidney stone" OR nephrolithiasis OR urolithiasis OR "renal calculi") AND ("physical activity" OR exercise)".Results: The results showed a total of 15 articles that discussed correlation between physical activity and kidney stones formation. Ten articles explained that physical activity reduced kidney stones formation, while four reported no significant effect. The last article stated that physical activity increased kidney stones formation Conclusion: Kidney stones formation occurred through the exacerbation of hypercalciuria in the absence of physical activity. Moderate physical activity reduced formation of kidney stones by decreasing calcium excretion in the urine. Meanwhile, excessive physical activity increased the occurrence of kidney stones in the absence of adequate fluid intake.

Page 1 of 1 | Total Record : 7

 1 

Filter by Year

2023 2023


Reset
Filter By Issues
All Issue Vol 6, No 2 (2023): August Vol 6, No 1 (2023): April Vol 5, No 3 (2022): Smart Medical Journal Vol 5, No 2 (2022): Smart Medical Journal Vol 5, No 1 (2022): Smart Medical Journal Vol 4, No 3 (2021): Smart Medical Journal Vol 4, No 2 (2021): Smart Medical Journal Vol 4, No 1 (2021): Smart Medical Journal Vol 3, No 2 (2020): Smart Medical Journal Vol 3, No 1 (2020): Smart Medical Journal Vol 2, No 2 (2019): Smart Medical Journal Vol 2, No 1 (2019): Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal Vol 1, No 1 (2018): Smart Medical Journal More Issue