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Majalah Kedokteran Nusantara The Journal Of Medical School
Published by Universitas Sumatera Utara
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Arjuna Subject : -
Articles 181 Documents
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Profil dermatofitosis pada narapidana Lembaga Pemasyarakatan Kelas I Tanjung Gusta, Medan Yosie Anra; Imam Budi Putra; Isma Aprita Lubis
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction : Dermatophytes is a superficial fungal infection that affects skin, hair and nails which caused by Dermatophytoses epidermophyton, Microsporum and Trichophyton.This disease is a general healt problem skin around the world, especially at the tropical country,in thecomunities of low socioeconomic status,densely populated settlements, that their environmental hygiene is not optimal. Prison is the very risky place with the skin disease transmission especially the skin fungal disease.To find out the profile of dermatophytoses on prisoners at the Penitentiary Class I Tanjung Gusta Medan.Methods : This study is a descriptive observational with cross sectional design.The result of the study is presented in tabular form of distribution - frekuention. Subject of the study is to involve as many as 90 prisoners with dermatophytoses .The diagnosis is made by history, dermatologic physical examination, a direct microscopic examination using KOH and culture of scrapings skin, nails and hair.Results : Prisoners who suffer most dermatophytoses are in the group of age 41-45 years (24.4%),the most diagnosis with tinea cruris are 52 people (57.8%) and the most common cause is Tinearubrum amounted to 84.5%.Keywords : dermatophytoses, prisoners, penitentiary
Korelasi antara interleukin-6 dengan responawal terapi eritropoietin pada pasien hemodialisis reguler Vally Ramayanda; Dairion Gatot; Savita Handayani; Syafrizal Nasution
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introuction:In hemodialysis patients conditionsinflammation can play a main role in causing hiporesponsif erythropoietin therapy. Interleukin - 6 (IL-6) was a predictor of mortality that is more powerful than other inflammatory markers.To determine correlation between Interleukin-6 with respon Erythropoirtin Stimulating Agent (ESA) which assessed based on changes of hemoglobin level before and after ESA treatment to regular hemodialysis patients.Methods: The cohort study of experimental methods of measurement data pre and post test from December 2014 to Mei 2016with 50 hemodialysis patients do a complete blood count, interleukin - 6 and iron profiles before and 1 month after the intervention. Patients were given injections of Recombinant Human Erythropoietin(rHuEPO) for 1 month subcutaneously at a dose of 2,000-4,000 each time the hemodialysis procedure. Kolmogorov-Smirnov test was used to determine the distribution of the data. Spearman assess the association between interleukin - 6 with an increase hemoglobin before and after be given erythropoietin therapy.Results : The mean levels of IL - 6 was 20.24 pg/mL and the mean increase in hemoglobin after erythropoietin administration of 0.56 mg/dL. Found a significant negative correlation (r = -0.287 ; p = 0.043) between IL - 6 and increased hemoglobin level, the higher the levels of IL-6, then the increase of hemoglobin level after erythropoietin administration will be lower than expected. Conclusion : In our trial, we found a negative correlation between Interleukin-6 with hiporesponsifity erythropoietin in reguler hemodialysis patientsKeywords : erythropoietin, inflammation, IL-6, hemodialysis, hemoglobin
Risiko penyakit jantung bawaan pada perkawinan konsanguinus Aris Fazeriandy; Muhammad Ali
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Congenital heart disease (CHD) is the most common congenital anomaly and frequently found in children. The incidence of CHD worldwide is constant, approximately 8-10 of 1000 life births. The risk of CHD phenotype is higher if the parents have consanguineous marriage at a rate of 2-3 fold. In most cases, the cause of CHD is unknown. Among several risk factors, consanguineous marriage is one of the important factors. The role of consanguineous marriage in CHD is confirmed by previous studies reporting consanguineous marriage that showed autosomal recessive pattern in a few CHD cases. Keywords : Congenital heart disease, children, consanguineous marriage.
Rasiotekanan darah terhadap tinggi badan dalam diagnosis hipertensi pada remaja Kristina Ambarita; Oke Rina Ramayani; Munar Lubis; Isti Ilmiati; Rafita Ramayati; Rusdidjas dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Diagnosis of hypertension in children and adolescents according to the Fourth Report from the National High Blood Pressure Education Program (NHBPEP) Working Group on Children and Adolescents 2004 is complicated, influenced by gender, age, and height. This resulted in an effort to find alternative ways to overcome the lack of practical diagnostic tool hypertension in adolescents. Current research is centered on the use of anthropometric variables to detect hypertension in adolescents. Height is a factor that plays an important role in determining blood pressure because of body size affects blood pressure. The blood pressure to height ratio is a simple method that can be used for diagnosing hypertension in adolescents. This ratio is not influenced by age which means determining the cut-off point of hypertension is not according to age specific, and the ratio is not adjusted in height so that this ratio can be used in adolescents who are short or tall. This ratio has a high sensitivity and specificity in the diagnosis of hypertension, which is high capabilities in the detection of hypertension and to determine non hypertension in adolescents.Keyword :adolescence, blood pressure to height ratio, diagnosis, hypertension
Faktor-faktor yang mempengaruhi fungsi kognitif pada epilepsi Rika Haryanti; Yazid Dimyati; Johannes H Saing
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Epilepsy is the cause of morbidity in children, which can affect cognitive function. Risk factors such as age of onset, seizure type, seizure frequency, type of epilepsy syndrome, pathological conditions in the brain as well as the negative effects of the use of anti-epileptic drugs are several interacting factors influence the cognitive function so it is important to know how large the influence of these risk factors.Keyword : epilepsy, seizure, cognitive
Hubungan kadar vitamin D dalam darah dengan kejadian tuberculosis paru Jon Pangarapan Saragih; Bintang Sinaga; Zainuddin Amir
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Vitamin D is known to have an important role in macrophage activation and the subsequent restriction of Mycobacterium tuberculosis growth , and it has been implicated as a risk factor for TB. Vitamin D also induced the expression of cathelicidin, which is involved in the first line of defense in TB patients. An association between 25(OH) vitamin D (25[OH]D) levels and TB has been described in several studies.To compare serum vitamin D level in subjects with and without TB, to find out association of serum vitamin D level with TB and association of serum vitamin D level with extent of lesion in chest x ray.Methods : A cross sectional study was conducted in Adam Malik Hospital Medan, Indonesia from Januari to Juni 2013. New TB cases was diagnosed by the presence of acid-fast bacilli on sputum smears and chest x ray. We excluded TB patients with DM, HIV, malignancy, immunosupresan treatment and immunocompromized patients. Non TB subjects were selected randomly from health care staff, who didn’t have TB from anamnesis and chest X ray. The serum concentrations of 25(OH)D were determined by an CLIA methode. Vitamin D deficiency, vitamin D insufficiency, vitamin D sufficiency, vitamin D optimal defined as serum 25(OH)D concentrations of '3d 10 ng/ml, 10–20 ng/ml, 20-30 ng/ml and >30 ng/ml respectively Results : Thirty one subjects with TB and 31 subjects without TB were enrolled. Mean serum vitamin D level of subjects with and without TB were 25.21 (SD 7.93)ng/ml and 21.50 (SD 9.37)ng/ml, respectively (P = 0.098). Vitamin D deficiency was not found in all subjects. Mean serum vitamin D level in far edvanced and minimal lesion in TB patients [21.61 (SD 5.50) ng/ml versus 29.58 (SD 8.39) ng/ml, P = 0.04], respectively. Regression test was performed to asess the influence of vitamin D in extent of lesion of TB patients (R = 0.000 and P model = 0.897). .Conclusion : There was no significant association between serum vitamin D level and TB. There was a significant difference in vitamin D level between far advance lesion and minimal lesion in TB patients. However statistically extent of lesion was not influenced by serum vitamin D level significantly. Serum vitamin D level of subjects without TB was lower than with TB. It remain to be established other factors that influences serum vitamin D level.Keywords : tuberculosis; vitamin D; extent of lesion
Karakteristik demografi penderita kandidiasis vulvovaginalis pada wanita hamil Riska Afrianty; Irwan Fahri Rangkuti; Yostoto B Kaban
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Candidiasis vulvovaginalis (KVV) in pregnancy is a vaginal infection in pregnant women caused by candida albicans or other candida species that infect the vagina and or vulva, giving rise to the complaints of vaginal discharge in the body. Several studies in Indonesia shows the demographic characteristics of patients with vaginal candidiasis were varied.However KVV demographic characteristics in pregnant women have not been done the research.Purpose : To determine the demographic characteristics of patients with candidiasis picture vulvovaginalis in pregnant women Methods: The study was descriptive cross sectional study that was conducted in November 2012 - February 2013, involving 54 pregnant women with KVV.Results: The number of patients KVV in pregnant women aged from 26-30 years as many as 16 people (29.6%), high school education were 20 people (37%), housewives work totaling 33 people (61.1%), 46 people (85.2%) were married status, ethnic Batak and Javanese are the largest tribe (respectively 33% and 27.8%). Gestational age is the most visits in the third trimester as many as 26 people (48.1%), vaginal pH levels participate bertururt 4.5, 5, and 5.5 amounts to the same, namely 18 persons (33.3%).Conclusion : Distribution KVV on pregnant women aged from 26-30 years old, high school education, work-home mom, married status, tribe Batak and Javanese are the largest tribe. Gestational age most visits are in the third trimester, vaginal pH levels participate bertururt 4.5, 5, and 5.5 amounts to the same.Keywords : characteristics; candidiasis vulvovaginalis; pregnant
Karakteristik pasien reaksi kusta di Rumah Sakit Umum Pusat H. Adam Malik Medan periode tahun 2009 – 2012 Teguh Aly’ansyah; Syahril R. Lubis; Richard Hutapea
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Leprosy is a chronic infection disease, caused by Mycobacterium leprae, involved skin and peripheral nerves, but also other organs or system, except central nerves.To determine the characteristics of leprosy reaction patients in H. Adam Malik General Hospital Medan in the period of 2009- 2012.Methods : A retrospective study was performed based on the medical records of leprosy reaction patients from January 2009 to December 2012.Results : There were 42 cases of leprosy reactions, 31 male and 11 female. Most of the cases was found at the age of 25-34 years old group (16 cases). The majority of the ethnic is Batak (21 cases), the education is high school graduate (15 cases). Leprosy reaction most suffered by labour (10 cases), type of leprosy is MB leprosy (33 cases), type of leprosy reaction is type 2 (26 cases) and onset of leprosy reaction is during the treatment of MDT (22 cases).Conclusion : Leprosy reaction in H. Adam Malik General Hospital Medan Hospital more prevalent in male, age group 25-34 years, the ethnics are Batak, high school graduate, civil servant laour. Most leprosy reaction is MB leprosy, type 2 leprosy reaction and during the treatment.Keywords : leprosy reaction; retrospective study; characteristic
Karakteristik pasien diabetes melitus tipe 2 dengan tinea korporis di SMF Ilmu Kesehatan Kulit dan Kelamin RSUP. Haji Adam Malik Medan periode tahun 2010-2012 Ade Sri Wahyuni; Meidina K. Wardani; Isma Aprita Lubis
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Tinea corporis is one of the manifestations of skin disorders due to complications of type 2 diabetes mellitus (DM). Complications of diabetes on the skin commonly aggravated by high blood sugar levels which can increase susceptibility to infection. Complications associated with glycemic control.To determine the characteristics of type 2 diabetes melitus patients with tinea corporis in the Department of Dermatology and Venereology in Haji Adam Malik General Hospital period of January 2010-Desember 2012.Methods : The study was a descriptive study, which was conducted retrospectively using secondary data from the medical record type 2 diabetes mellitus patients with tinea corporis who came for treatment to the Department of Dermatology and Venereology in Haji Adam Malik General Hospital period of January 2010-Desember 2012.Results : The number of type 2 diabetes melitus patients with tinea corporis which visited the Department of Dermatology and Venereology in Haji Adam Malik General Hospital period of January 2010-Desember 2012 was 47 people. The characteristic of type 2 DM patients with tinea corporis was commonly female (70.2%), mostly between the age of 61-70 (48.90%), mostly the education level was senior high school (36.2%), the most common occupation was housewive (40.4%), based on the duration of the type 2 DM disease, the most commonly found was less than 5 years (53.2%), the glycemic control most commonly was with the uncontrolled HbA1c level or having the HbA1c level greater than 7 (78.7%).Conclusion: The characteristics of type 2 diabetes melitus patients with tinea corporis which visited the Department of Dermatology and Venereology in Haji Adam Malik General Hospital period of January 2010-Desember 2012 was 47 people of the patients were commonly female, between the age of 61-70, the highest education level was senior high school, the accupation was housewive, the duration of the type 2 DM disease was less than 5 years and the glycemic control mostly were with uncontrolled HbA1c level or having the HbA1c level greater than 7.Keywords : diabetes mellitus type 2; tinea corporis; characteristics
Analisa faktor resiko mioma uteri di Rumah Sakit Umum Pusat H. Adam Malik Medan dan rumah sakit jejaring Renny Anggraini
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : One of the female reproductive health problems that increase morbidity was uterine myoma. It is estimated that the incidence of uterine myoma approximately 20-30% of all women, is found in women aged 35-45 years (approximately 25%) and rarely in women 20 years and postmenopausal women. Women often give birth, less likely to progress uterine myoma compared with women who had been pregnant or just one expectant. The prevalence also increased if a family history, early menarkhe age, smoking, hypertension, and obesity.To determine the relative risk of odds ratio assessed predisposing factors uterine myoma in outpatient and inpatient care in the Adam Malik Hospital and Satelite Hospital.Methods: This study used a case-control design using secondary data analysis of a patient's medical remarks uterine myoma in the Department of Obstetrics and Gynecology Adam Malik Hospital and Satelite Hospital. The data is processed in a computerized, including descriptive statistics in this case the data is displayed in the form of frequency tables, and Confidence Interval (CI) 95%. Bivariate analyzes done using analytic comparative using chi-square test with 95% confidence level. Multivariate analysis between variables that affect using logistic regression analysis. Subjects were women diagnosed with uterine myomas based on anatomic pathology, no abdominal tumors, have complete medical records include the variables to be studied (age, menarkhe age, parity, body mass index). Samples were excluded if they do not meet the complete medical records of variables to be studied.Results: Based on the value of OR = 4.29, indicating that the risk of developing uterine myoma those aged 35-50 years 4.29 times greater than the age group < 35 years.Conclusion: With the Chi-square test statistic obtained P value < 0.05. This indicates a significant relationship between age and incidence of uterine myoma. Risk for suffering from uterine myoma those aged 35-50 years 4.29 times greater than the age group < 35 years.Keywords: uterine myoma, parity, menarche, body mass index

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