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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 6 Documents
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Search results for , issue "Vol. 9 No. 1 (2019): October:2019" : 6 Documents clear
Risk Factors of Non-Typhoidal Salmonella Bacteremia Versus Typhoidal Salmonella Bacteremia in Patients from a General Hospital in Karawaci, Tangerang, Indonesia: A Five-Year Review Lugito, Nata; Cucunawangsih, Cucunawangsih; Kurniawan, Andree; Purnamasari, Dewi
Medicinus Vol. 9 No. 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2593

Abstract

Salmonella infections including Non-typhoidal Salmonella (NTS) and enteric fever are important global public health problem, causing approximately 94 million human cases of gastroenteritis with 150,000 deaths annually around the globe. The aim of this study was to determine risk factors for NTS bacteremia patients compared to Typhoidal patients in Indonesia, area with high incidence of enteric fever. This retrospective descriptive study was conducted in Siloam Hospital in Karawaci, Indonesia, from January 2011 to December 2015. Logistic regression model was used to determine independent predictors of NTS bacteremia including demographic and epidemiologic characteristics, clinical presentations, and laboratory results. Out of 129 positive isolates for Salmonella with complete medical records, 18 (13.9%) were positive for NTS. Patients with NTS bacteremia were more likely to belong in the age group below 5 or above 60 year-old, more frequent to have anemia and abnormal leucocyte count. The susceptibility patterns against antimicrobial of NTS bacteremia and Typhoidal bacteremia were similar. In logistic regression analysis, age below 5 or above 60 year-old, hemoglobin level below 12 g/dL and leucocyte count below 4,000/µL or above 12,000/µL were independent risk factors for NTS bacteremia.
The Relationship between AAS (Addiction Admission Scale) and APS (Addiction Potential Scale) with Timely Graduation of UPH Medical Faculty Students Pardamean, Engelberta; sungono, veli
Medicinus Vol. 9 No. 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2594

Abstract

Background: Addiction influential to neurotransmitter damage in the brain, resulting in physical fatigue and behavioral changes that will affect the length of studies of students. The MMPI-2 questionnaire is an instrument used to assess the Addiction Admission Scale / AAS and Addiction Potential Scale / APS.Objective: This study looks at the relationship between AAS and APS with the timely graduation of students.Methods: The study design of this research was cross-sectional for students of the Faculty of Medicine who were running a co-ass program at the Dharmawangsa Mental Hospital and had carried out the MMPI-2 test. Data analysis was done using Stata IC version 16 using t-test, spearman correlation test, and logistic regression.Results: Of the 81 respondents, 67% of women and 33% of men and students who graduated on time amounted to 79%. T-test results obtained an AAS score in the group that was not on time (mean 2.53 ± 1.37) significantly higher than the group that was on time / study period of 5.5 years (mean 1.27 ± 1.56) with a p value of 0.0035. APS has a significant correlation to AAS with a coefficient value of r of 0.2595 and p value of 0.0201. AAS logistic regression test for the accuracy of graduation has a p value of 0.0067 with an OR value of 1.559 (95% CI 1.09-2.21).Conclusion: There is a significant relationship between AAS on time graduation and there is no significant relationship between APS with on timely graduation.
Effectiveness of Health Promotion Through Audiovisual Media and Lecture Methods on the Level of Knowledge in Elementary School Children About TB Disease Trifitriana, Monica; Fadilah, Mariatul; Mulawarman, Rido
Medicinus Vol. 9 No. 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2595

Abstract

Introduction : Indonesia is the number two country for TB incidence in the world. To reduce the morbidity and death rate of tuberculosis cases, WHO issued an END-TB Strategy program that has 3 pillars. Pillar number 2 on the importance of cooperation with government, private stakeholders, and community for the prevention of TB disease, one of them in the form of health promotion. The application of speech methods and audiovisual media in conveying information has some differences in the process and achievement of students' level of understanding. This study aims to compare the effectiveness of the use lecture methods and audiovisual media in conveying information.Method : A total of 136 research subjects were 6th graders at Public Elementary School 205 Palembang and Private Elementary School YWKA Palembang divided into 2 groups for each elementary school. Each elementary school were subdivided into two groups, namely the audiovisual media group and the lecture method group. This study used quasi experimental design with nonequivalent pretest-posttest technique.Result : After the intervention, the level of understanding for the audiovisual media group was 87.90% while for the lecture method was 83.00% (effective when> 75%) with a value of p <0.05. Conclusion:  the delivery of information on TB disease in grade 6 students assessed in two schools, both public and private, using audiovisual media and lecture methods were both equally effective, but the effectiveness of the audiovisual media was higher than the lecture method so that audiovisual media is considered better than lecture methods.
Assessment of Doctor-Patient Communication Among Residents in Internal Medicine Polyclinic At RSUP Dr. Mohammad Hoesin Palembang 2014 Using Simplified Checklist of Calgary Cambridge Guide Awinda, Dipika; Syakurah, Rizma; Fadilah, Mariatul
Medicinus Vol. 9 No. 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2596

Abstract

Introduction : Misperceptions between doctors and patients can bring negative impact for both the doctors and patients. Misperceptions may occur due to miscommunication during doctor-patient communication. Therefore, assessment during the communication process is necessary.Methods : This study was a descpritive study with qualitative approach. Checklist Calgary Cambridge Guide (CCCG) was chosen as instrument because it has been widely used in many country.The study was condicted in Polyclinic Internal Medicine of dr. Mohammad Hoesin Hospital due to its high patient load with various diseases that is suitable for doctor-patient communication observation. Subjects were six residents in the department. Observation was done during the communication process. Deep interview was then done to assess the resident’s knowledge and opinions in doctor-patient communication and barriers related to it. Results : Majority of the residents failed to do some points of the CCCG, which includes self introduction, role and nature of interview, obtain consent and explain process, obtain permission prior to physical examination.Conclusions : In conclusion, the doctor-patient communication among residents in Internal Medicine Polyclinic At RSUP Dr. Mohammad Hoesin Palembang.
How Much Depressed are Lung Tuberculosis Patients in Tangerang, Banten Province, Indonesia? Darmawan, Tirta; Pardamean, engelberta; Anabella, Vinsensa; Mark, Mark; Widjaja, Amelia Gianina
Medicinus Vol. 9 No. 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2597

Abstract

Introduction : Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis (MTB) and mostly attacks the lung and other organs. In patients with pulmonary tuberculosis, depression can occur and the factors that can cause it are age, sex, marital status, level of education, emplyment, long suffering from pulmonary tuberculosis and comorbidities. The purpose of this study is to show the prevalence and also degree of depression in patients with lung Tuberculosis in Tangerang, Banten Province, Indonesia.Methods : The study design is cross sectional by asking participants to fill Zung Self-Rating Depression Scale that have been translated to Indonesian language. Participants were 129 patients with lung tuberculosis in Siloam General Hospitals Lippo Karawaci, Puskesmas Kutai and Puskesmas Curug.Results : Mean age of the 137 patients with lung tuberculosis is 47.73 + 8.50 years old, and the mean of their height and weight are 163.94+ 7.59 centimeters and 51.10 + 7.40 kilograms. More than a half of the patients are male (69%), almost a half of the patients are low educated (48%) and almost all of the patients have been married (93.8%). More than a half of the lung tuberculosis patients experience deppression (70,5%). Approximately a half of the lung tuberculosis patients are having mild depression (50.4%). There is 1 patient is having severe depression (0.8%).Conclusion : Degree of depression in adult patients suffer from lung Tuberculosis in Tangerang, Banten Province, Indonesia is high. More than a half of adult lung Tuberculosis patients are having depression. Depression is one of problems that should be concerned and also treated in patients with lung tuberculosis. Psychiatrist involvement in managing patients with lung tuberculosis is needed.
Case Series : Operative vs Non-Operative Management in Grade III Pancreatic Injury Irawan, Andry; Clinton, Clinton; D, Sutanto; F, Agustina
Medicinus Vol. 9 No. 1 (2019): October:2019
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i6.2598

Abstract

Introduction: Pancreatic injury is a rare case, caused by blunt or sharp trauma. Difficulty in making diagnose on pancreatic trauma cases are associated with high mortality, and the treatment can be either operative or conservatively. However, It is still unclear which treatment is more favorable.Case: We present 2 cases of Grade III pancreatic injury with stable hemodynamic who suffered bicycle accident. First case, 12-year-old boy complaining severe pain on the upper left abdomen (VAS 9-10) and get worsening by time, with vomiting. The patient underwent distal Pancreatectomy-Splenectomy. Second case, 8-year-old boy complaining of pain on the upper left abdomen (VAS 6-7) without extension on whole abdominal region with vomiting and fever. The patient was treated conservatively. In both cases, patient was discharged with improvement. However, about 3 months later patients who were treated conservatively developed into a pseudocyst.Conclusion: The selection of management in grade III pancreatic injury can be operative or conservative depending on clinical findings such as hemodynamic condition and the quality of abdominal pain. But the occurrence of pseudocysts pancreas is another surgical challenge.

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