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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. 9 No. 3 (2020): June 2020" : 5 Documents clear
Relationship of Flat Foot and Plantar Fascia Thickness in Medical Students of Pelita Harapan University Taniwangsa, Livia; M.T. Siahaan, Yusak
Medicinus Vol. 9 No. 3 (2020): June 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i1.3119

Abstract

Background : Plantar fascia plays significant role in supporting the height and structure of Medial Longitudinal Arch (MLA). In flat foot, the MLA is depressed. There is thickening of plantar fascia reported in cases of plantar fasciitis in subjects with flat foot. Therefore, research needs to be done to investigate the relation between flat foot and plantar fascia thickness.Aim:  To understand the relationship between flat foot and plantar fascia thickness among medical students of Pelita Harapan University.Methods : This study was conducted using cross-sectional method with sampling method of non-random consecutive sampling. Data was collected through examinations performed and adjustments are made using inclusion and exclusion criteria. Flat foot was determined using navicular drop test and plantar fascia thickness was assessed using ultrasonography measurement. Results were analyzed using SPSS 22.0 and statistically tested using Spearman’s rho test.Result : The analysis of the relationship between flat foot and plantar fascia thickness showed positive correlation with correlation coefficient of 0.634 on the right foot and 0.443 on the left.Conclusion : There is moderate and strong positive relationship between flat foot and plantar fascia thickness among medical students of Pelita Harapan University.
BRAF V600E Immunoexpression in Papillary Thyroid Carcinoma and Its Association with Prognostic Factors and Histopathologic Variant Kristiani, Erna; SR Hardjolukito, Endang; S Harahap, Agnes; Makes, Benyamin
Medicinus Vol. 9 No. 3 (2020): June 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i1.3120

Abstract

Aim: to provide additional information regarding the clinicopathological characteristics of Papillary Thyroid Carcinoma (PTC). Methods: Fifty patient with PTC were reviewed to determine prognostic factors such as age, gender, size of tumor and histologic variant. BRAF V600E mutation was detected by immunohistochemical staining and assessed with H score. Result: BRAF V600E mutations were detected in 17 (34%) cases. There were seven cases with extrathyroidal extension (ETE) p 0,04, 11 cases with lymph node metastasis (LNM) p < 0,001, and 8 cases with tall cell variant p 0,047.The cases with positive BRAF V600E mutation had mean age of 44.71 years, and the size of the tumor between 0.1-4cm. Six cases of them are male and 11 female.Conclusion: There were significant relationships between BRAF V600E mutation with ETE, LNM, and tall cell variant. There was no significant relationship between BRAF V600E mutation, either with age, gender, or size of the tumor. BRAF V600E immunohistochemical examination can be performed as additional investigation for PTC patients.
Challenge as Physician to Diagnose Pediatric Patient with Laryngopharyngeal Reflux: A case report and literature review Rizki, Niken Ageng
Medicinus Vol. 9 No. 3 (2020): June 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i1.3121

Abstract

Background : Laryngopharyngeal reflux (LPR) is the reflux of backflow of gastric acid or refluxate that usually affects the throat and laryngopharynx. Many physicians are unable to differentiate between pediatric LPR with pneumonia. Laryngopharyngeal reflux needs to be widely known and understood by a physician because there are relationships between upper and lower airway disease. In pediatric, LPR may also contribute to many problems in the respiratory tract, the clinical manifestation of pediatric LPR, and remains a challenge for physicians.Objective : To emphasize the new diagnostic symptoms and signs instrument for pediatric LPR using a fiber-optic laryngoscope, also to remind the correlation between the upper and lower respiratory tract and factors which contribute to pediatric airway.Case : A case of a 21-month-old girl with sudden onset of hoarseness, stridor, and wheezing was diagnosed with pneumonia, further investigation showed reflux symptoms, vocal cord abnormalities, and subglottic edema that suggest LPR was the final diagnosis.Conclusion : Pediatric LPR may be difficult to diagnose, there are many differential diagnosis, symptoms, and signs that may occur. The new diagnostic instrument can be used for diagnosing pediatric LPR, it is feasible and applicable in daily practice. Laryngopharyngeal reflux needs to be understood and considered as a differential diagnosis for coughing, hoarseness, in children despite the diagnosis challenge.
Chest CT as a Complement to RT-PCR to Confirm and Follow-up COVID-19 Patients Icksan, Aziza Ghanie; Hafiz, Muhammad; Harlivasari, Annisa Dian
Medicinus Vol. 9 No. 3 (2020): June 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i1.3122

Abstract

Background : The first case of COVID-19 in Indonesia was recorded in March 2020. Limitation of reverse-transcription polymerase chain reaction (RT-PCR) has put chest CT as an essential complementary tool in the diagnosis and follow up treatment for COVID-19. Literatures strongly suggested that High-Resolution Computed Tomography (HRCT) is essential in diagnosing typical symptoms of COVID-19 at the early phase of disease due to its superior sensitivity  (97%) compared to chest x-ray (CXR).The two cases presented in this case study showed the crucial role of chest CT with HRCT to establish the working diagnosis and follow up COVID-19 patients as a complement to RT-PCR, currently deemed a gold standard.
The Effect of Light Colour During Night Time to Sleep Quality Sylvanus, Peter; Lumbuun, Nicolaski
Medicinus Vol. 9 No. 3 (2020): June 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i1.3123

Abstract

Introduction: Sleep is one of the basic human needs, where human uses one third of their time only for sleeping. Some contributing factors towards bad sleep quality are stress, depression, surrounding noise, and the use of a bright light. It is known that white lights cause the activation of melanopsin, causing circadian cycle shift, whereas using yellow light does not. The aim of this research was to analyze whether there is an effect of using either white or yellow light towards sleep qualityMethod: This is RCT on 81 subjects. Sleep quality was measured using PSQI questionnaire on 3 measurements with each measurement taken every week. Result of the analyzed data using the General Linear Model - Repeated Measurement (GLM-RM) method Result: There were significant differences on PSQI score between group that used white light during sleep (7.6 ± 2.3) in comparison to the control group (5.2 ± 1.8) (p = 0.02), but result also showed that there were no significant difference between the group that used yellow light (6.1 ± 1.7) during sleep in comparison with the control group (p = 0.14). Conclusion: There is a significant difference between the uses of white lights during sleep towards sleep quality, but there has not been any significant difference between the uses of yellow light during sleep towards sleep quality

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