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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.
Arjuna Subject : -
Articles 100 Documents
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The Profile of Mortality Among Healthcare Workers in Indonesia due to Covid-19 Dewi Yuniasih Yuniasih; Ahmad Ghifari; Murtafiqoh Hasanah; Iman Permana
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.62195

Abstract

Background: The increasing number of people infected with Covid-19 worldwide has brought many countries to the next wave of this pandemic. Indonesia was estimated to face the third wave in early 2022 unless active precautions were put into action. Healthcare workers (HCWs) are the essential frontline in the effort to minimize the spreading of the disease. Nevertheless, HCWs are amongst the casualties of the disease, especially in Indonesia, which is regarded as among the countries with the highest HCW mortality. This study aims to describe the mortality rates of HCWs in Indonesia.Methods: The retrospective data were obtained from the official website of LaporCovid, an independent Indonesian initiative to provide information regarding Covid-19, to obtain secondary data following the research objectives.Results: Our study found that 1,551 health workers in Indonesia died from Covid-19 until 25 July 2021, and almost one-third of them were doctors. Furthermore, East Java is the most prevalent province and only one province (out of 33) has not reported causality.Conclusions: The second wave of the pandemic has overwhelmed health workers and has become infected and eventually many health workers have died more than in the previous months.
Stress, Anxiety and Depression in Survivors of COVID-19 Zikrina Istifarani; Gusti Ayu Maharatih
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.68567

Abstract

Introduction : Stress, anxiety and depression are the most common psychiatric disorders associated with patients infected wilth COVlD-19. The aim of this study was identify descriptions of differences in stress, anxiety and depression in survivors of COVlD-19 compared to non-survivors of COVID-19 and analyze the risk factors that most influence these events.Method: This research is a descriptive analytic study with a cross sectional design. The population are survivors and non-survivors of COVlD-19 who followed the ketofastosis diet and joined the isoman group on the telegram application. The research subjects were COVlD-19 survivors and non-COVlD-19 survivors with a total of 379 subjects. Data collection from online questionnaire containing personal data and DASS 21, and then will be analyzed using Chi Square and logistic regression.Results: The subjects of COVlD-19 survivors experienced anxiety 6,8%, depression 5,5%,and stress 1,6%. The subject of non survivor of COVlD-19 experienced anxiety 4,5%,depression 2,9%, and stress 1,3%. In the Chi Square analysis between stress, anxiety and depression compared to survivors of COVlD-19 and non-survivors of COVlD-19 were p =0.947, p = 0.335, p = 0.153. While the logistic regression analysis test results for risk factors from stress in COVlD-19 survivor were gender (OR=1.520) and having a chronic disease (OR=1.334), for anxiety were gender (OR= 1.743) and having a chronic disease (OR=1.641), then for depression with risk factors also for having chronic disease (OR=1.454) and gender (OR= 0.940).Conclusion: There were no significant differences in stress, anxiety and depression in survivors of COVlD-19 compared to non-survivors of COVlD-19. The most influential risk factor for stress and anxiety in COVlD-19 survivors is gender while for depression is having a chronic disease. 
Hypertensive Emergency with Sudden Subconjunctival Hemorrhage, Chronic Kidney Failure, and Hypertensive Retinopathy in Breast Cancer Survivor: Case Report Coana Sukmagautama; Agni Shalha Ali; Aiman Hilmi Asaduddin; Ummu Ma’rifatul Afifah
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.64344

Abstract

Introduction: Hypertensive emergency is a life-threatening condition of very high blood pressure associated with acute end-organ damage that requires appropriate therapy to treat progressive organ dysfunction.Case presentation: 44-years-old breast cancer survivor woman with severe hypertension and sudden left eye bleeding. The blood pressure was 213/115 mmHg. The patient also had chronic kidney failure and hypertensive retinopathy as hypertension complications. The laboratory examination showed an abnormal lipid profile and the presence of proteinuria and bacteriuria from the urinalysis.Discussion and conclusion: Subconjunctival hemorrhage (SCH) presentation can indicate any serious underlying etiology that needs prompt treatment as in this patient requiring further evaluations. Aggressive treatment was given to reduce blood pressure and further observations for SCH.Keywords: hypertension; subconjunctival hemorrhage; chronic kidney failure; hypertensive retinopathy
Identification of Bone Skeleton in Old Well Novianto Adi Nugroho
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.62250

Abstract

The purpose of forensic identification of cadavers is to identify each bone's usefulness in the identification process in addition to establishing the time and cause of death. Identification of skeletonized corpses will be difficult to assess, and pathological conditions such as broken bones and bruising of the bones are also an assessment of signs of violence in the individual. The results of the examination of the human skeleton show that one individual was identified. Meanwhile, bone is a mongoloid male, estimated to be between 20-25 years old with a bone height of 159 - 166 cm, in which bruises were found on top of the head. Post-mortem fractures were found at the tip of the distal femur and proximal tibia, and the estimated time of death is more than three months. The assessment of diatoms in the upper arm bones, which yielded a negative result, was done as a supporting investigation. Further, a sample of DNA was extracted from one of the second right ribs for analysis.
Comparison of Cognitive Function Examination Using Montreal Cognitive Assessment (MOCA-INA) with Telephone Moca (T-MOCA) Ira Ristinawati; Azmi Farah Fairuzya
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.66435

Abstract

Introduction: The prevalence of dementia tends to increase over time. MOCA assessment tool is a cognitive function screening test that has high sensitivity. Telephone-based MOCA assessment has potential of detection and monitoring dementia which can be widely applied.Methods: This is an observational study with cross-sectional approach in the Neurology Outpatient Department RSUD Dr. Moewardi. The aim of this study is to compare the effectiveness of MOCA-INA assessment tool with the T-MOCA.Results: There were 424 patients who underwent MOCA-INA examination during January-June 2022. After screening, 185 patients were able to complete the study. Subjects consisted of 67 males (36.2%) and 118 females (63.8%); aged 65-74 years (44.9%), 75-84 years (25.9%), and 85 years (29.2%). It was found that the conformity diagnosis of MOCA-INA to T-MOCA was 82.3% in the conversion test. There were significant differences between normal patients and MCI patients in age (p=0.000), education level (p=0.000), MOCA-INA score (p=0.000), and T-MOCA score (p=0.000). The relationship between MOCA-INA and T-MOCA has a strong positive correlation (p = 0.000; r = 0.789). Subsequent correlation test between MOCA-INA and T-MoCA showed a strong significant relationship in the direction of gender (p = 0.000; r = 0.438) and education level (p = 0.000; r = -0.323)Conclusion: Both MOCA-INA and T-MOCA could significantly determine the level of cognitive function with a strong correlation between the two assessments.
The Relationship between Triceps Skinfold Thickness and Age of Menarche Adolescent Girls in Surakarta City Junior High School Soebhita Hema Kumala; Septin Widiretnani; Annang Giri Moelyo
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.64665

Abstract

Introduction: Triceps skinfold thickness is one of the anthropometric measurements that can indicate the nutritional status of overweight and obesity. Girls with obesity have 2.42 times the possibility of experiencing early menarche than girls with normal nutritional status. So it is estimated that the thicker triceps skinfold thickness, the earlier age at menarche in girls, but this opinion raises pros and cons through several studies, therefore the researcher wants to see the relationship between the two variables.Methods: This research is a cross-sectional observational analytic study with a purposive sampling method. All samples were asked to read the informed consent form and fill out a questionnaire regarding the age at menarche and measurements were made on the triceps skinfold thickness in the upper arm area using a skinfold caliper. Then the variables were analyzed univariate and bivariate using the Spearman test.Results: Based on the results of the Spearman correlation test between triceps skinfold thickness and age at menarche, it can be seen that the age at menarche has a significant relationship with triceps skinfold thickness as seen from p<0.05 (p=0.012). From the correlation test, it was found that there was a negative correlation between the sample's age at menarche and triceps skinfold thickness (r = - 0.188).Conclusion: There is a significant relationship between the age at menarche and triceps skinfold thickness in girls (age 11-16).
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.

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