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Medicinus : Jurnal Kedokteran
  • Medicinus : Jurnal Kedokteran
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Published by Universitas Pelita Harapan
ISSN : 19783094     EISSN : 26226995     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Medicinus: Jurnal Kedokteran is an official journal of the Faculty of Medicine, Universitas Pelita Harapan launched in the year 2007. Medicinus is a peer-reviewed and open-access journal that covers basic, translational, or clinical aspects of health and medical science. Medicinus accepts original research articles, review articles, and also interesting case reports. Medicinus: Jurnal Kedokteran is published three times a year in February, June, and October.
Arjuna Subject : -
Articles 5 Documents
 1 
Search results for , issue "Vol. 7 No. 3 (2018): June 2018 - September 2018" : 5 Documents clear
Functional Outcome on Surgical Treatment For Lower Extrimity Tuberculosis Arthritis At Cipto Mangunkusumo Hospital Jakarta Phandu, Mirna; HD, Ismail
Medicinus Vol. 7 No. 3 (2018): June 2018 - September 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i3.2291

Abstract

Introduction: Osteoarticular tuberculosis more frequently occur on weight bearing joints.1,8 On late stage tuberculosis osteoarthritis choices of surgical treatment involved synovectomy, osteotomy, arthrodesis, and arthroplasy11 Results on functional outcome after surgery would be useful to decide appropriate treatments and prognosis.Method: This descriptive analytic study involved all lower extremity tuberculosis osteoarthritis that underwent surgical procedure at Cipto Mangunkusumo hospital in 5 years periods from 2008 to 2012. Follow up performed for minimal 6 months after surgery. Patients were evaluated using Lower Extremity Functional Score (LFES) and functional score according the joints involved, including Harris Hip Score (HHS), Knee Society Score (KSS), and Foot & Ankle Disability Index (FADI). Results: Study only involved late stage cases with average age at surgery was 30.04 (SD 16,67) years old. Average follow-up 33.68 months (SD 18.67). There are significant difference (p<0.001) of the LFES between preoperative (27.41), 6 months after surgery (42.19) and on last follow up (63.04). There were also difference (p<0.001) on Functional Score (HHS, KSS and FADI) preoperative (27.48), 6 months after surgery (60.11) and on last follow up (82.56). There is positive correlation between time of follow up and LEFS on last follow up. On last follow up, there is also significant difference of LEFS between groups that had arthrodesis and arthroplasty (p 0.045.)Conclusions: Results of surgical treatment gave significant improvement on functional outcome of the joint involved.  The result however is correlated to the type of joints involved, type of surgery performed and the time after surgery.
Intradialytic Hypertension in End Stage Renal Disease patient : Prevalence and clinical characteristic Merlyn, Margaret; Vatvani, Akhil Deepak
Medicinus Vol. 7 No. 3 (2018): June 2018 - September 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i3.2293

Abstract

Introduction : Intradialytic hypertension (IDH) is common and it increases the incidence of cardiovascular morbidity and mortality, however this is often ignored. The aim of this study is to identify the prevalence of IDH and compare the clinical characteristics of patients with and without IDH.Methods : A cross sectional study was carried out in 3 hemodialysis clinics in Jakarta, Indonesia. We compared several clinical characteristics inpatients with IDH and control group without IDH. Nutritional status was also assessed using Subjective Global Assessment (SGA). IDH was defined as >10 mmHg increase in systolic blood pressure (BP) in at least four of six prior consecutive hemodialysis sessions. Student’s T-test or Mann-Whitney test was used to compare the quantitative variables. Chi-Square or Fischer exact test was used to compare categorical variables.Results : A total of 114 patients was included in this study. There were 86 (62.3%) male patients. IDH was present in 47 (34.1%) patients. The mean age in IDH and control group were 53.4 (±13.2) and 52.8 (±12.4) years respectively (p: 0.800). The mean BMI of IDH and control group were 21.8 (±3.7) and 24.0 (±4.4) kg/m2 respectively (p: 0.031). The mean MAP during dialysis of IDH and control group were 108 (±13.1) and 98.6 (±23.2)mmHg respectively (p: 0.011). The median creatinine levels of IDH and control group were 8.1 (3.02-22.20)mg/dl and 10.8 (2.89-22.0)mg/dl respectively (p: 0.008). Interestingly, moderate to severe malnutrition status had significant association with IDH (OR: 2.31, p: 0.031). Patients who undergo dialysis thrice a week was associated with IDH rather than patients who undergo dialysis twice a week (OR: 2.27, p: 0.035).Conclusion : The prevalence of IDH is higher than previously reported in other countries. The clinical characteristic of patients with IDH is lower BMI, higher MAP and lower creatinine levels than in patient without IDH. Moderate to severe malnutrition and frequency of dialysis per week had significant association with IDH.
Perforation Of Descending Colon Caused By Tumor Infiltration : A Case Report Irawan, Andry; Adeline, Adeline; Linggo, Martinus H. N. P
Medicinus Vol. 7 No. 3 (2018): June 2018 - September 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i3.2294

Abstract

Introduction: Colorectal cancer is one of the most common cancer found in the gastrointestinal tract. This tumor is less commonly found on the descending part of colon and about 15 - 30 % can progress to obstruct the passage of the colon and invade other organs and may cause perforation which may show sign of peritonitis. The majority of perforation cases occur in patients with acute obstruction, only in a rare setting of colonic cancer cases due to penetration of the tumor mass through the intestinal wall. Clinical Presentation: A 34-year-old male came with pain on his whole abdomen area for 1 day and keeps on getting worse. On clinical examination There were sign and symptoms of peritonitis and during emergency laparotomy, we found perforation on descending colon caused by tumor infiltration and performed Left Hemicolectomy and Stoma at emergency settings.Conclusion: Perforation of descending colon caused by tumor infiltration is a rare case, Left hemicolectomy and stoma shows good results in emergency settings.
Use of Fluconazole in Pulmonary Mycosis : A Case Report Nalle, Trowce Lista
Medicinus Vol. 7 No. 3 (2018): June 2018 - September 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i3.2295

Abstract

The diagnostic criteria for pulmonary mycosis are long-term use of invasive medical devices, long-term use of broad-spectrum antibiotics and corticosteroids, lung infiltrate images with unfavorable fever after adequate antibiotic treatment, an increase in eosinophil count. Should be considered during patients undergoing hospitalization, from the beginning the antifungal that fluconazole can be used. Fluconazole is recommended for candida infections by the FDA because it is safe, fewer side effects and better tolerated than other antifungal classes.
Association Between Living With Parents And Not Living With Parents With Psychological Stress In Preclinical Medical Students In University Of Pelita Harapan Pardamean, Engelberta; Timothy, Andrew Theodorous
Medicinus Vol. 7 No. 3 (2018): June 2018 - September 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i3.2296

Abstract

Introduction: Stress is a response to stressor that came from the body (internal or external). According to several studies, medical student very evident to experience of stress, which compared to student from other major. In previous studies the level of stress among medical student was 45% - 72%. And lack data that connect stress with domisil in medical student, and one of the reasons for this research. Objective To find an association between domisil and psychological stress in medical students. Material and Methods This research is categorical comparative analytic, with cross sectional as the design study and needed 264 repondent that consis of preclinic medical student of Pelita Harapan University. Taken by questionnaire from GHQ - 12 for the data. Data will be analyzed using Chi - Square in SPSS version 23.Results: This result showed 43 (41%) students who experiencing psychologic stress and 62 students (59%) students who not experiencing psychologic stress in students who live with their parents. There’s also 104 (65.4%) students who experiencing psychologic stress and 55 (34.6%) students who not experiencing psychologic stress in students who don’t live with their parents. This research has a significant result with p-value <0.001 that support the hypothesis.Conclusions: There is an associaton between domisil and psychological stress in preclinic medical student at Pelita Harapan

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