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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 429 Documents
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Case Report: External Drainage Procedure in Pediatric Pancreas Pseudocyst Halim, Freda Susana
Medicinus Vol 9, No 3 (2021): October 2021-January 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.4938

Abstract

Introduction: Pediatric pseudocyst of the pancreas is a rare condition. The therapy given in such a case is usually conservative while waiting for the pseudocyst wall to become mature and followed by an internal drainage procedure. The purpose of this report is to prove that external drainage of such cases is safe and will help to enhance patient recovery.Case Illustration: 4 y.o. boy comes to ER with a chief complaint of epigastric pain with minimal nausea and vomiting, after blunt abdominal trauma 12 hours previously. The primary survey was normal and stable. A bit of distension is found in the abdomen with tenderness and rebound tenderness without muscular rigidity. Free fluid was found but no active bleeding from solid and hollow abdominal organs in abdominal USG. A similar finding was found in Abdominal CT with IV Contrast. After 6 days of hospitalization, feeding becomes a serious problem as abdominal distention is progressing and liquid food is intolerable. Method/Therapeutic Intervention: Exploration by laparoscopy cannot be done due to the unavailability of laparoscopic tools, then laparotomy was done. Pancreas pseudocyst was found, and external drainage is done.Result: After an operation, dramatic progression of the patient's condition is observed. Feeding tolerance is improving and on the 4th day after the operation, the patient came. In the follow-up period, 1 month after operation the drain was released and no sign of pancreatic leakage was found within a one-year post-operative period. Conclusion: External drainage could be considered in pediatric pseudocyst pancreas if the feeding problem is prominent.
The Relationship between High Fiber Diet and Severity of Premenstrual Syndrome Symptoms in Medical Students of Pelita Harapan University Ignatius Kelvin; Dwi Savitri Rivami
Medicinus Vol 9, No 3 (2021): October 2021-January 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.4934

Abstract

Introduction: 47.8% of women worldwide experience symptoms of premenstrual syndrome and 20% of women experience symptoms that are severe enough to interfere with daily activities. This occurs during the last 14 days of the menstrual cycle or luteal phase, and it is caused by hormonal fluctuations.Aim: This study is going to be conducted to determine the relationship between a high fiber diet and the severity of premenstrual syndrome in adolescents.Method: This study used a comparative analytic categorical study with two unpaired categories with a cross-sectional study design. The research sample is female students at the Faculty of Medicine, the University of Pelita Harapan who met the inclusion criteria of at least 74 samples by judgmental sampling. Data were collected using a questionnaire in the form of a Premenstrual Symptom Scale, Estimated Food Record and Perceived Stress Scale with the chi-square method, and data analysis using SPSS 24.0. Results: There were 85 samples that matched the inclusion and exclusion criteria of this study. The majority of the sample came from the 2018 class (64.7%), 20 years old (61.2%), experiencing moderate stress (61.2%), and having a normal body mass index (72.9%). The researcher found a p-value of 0.309 (p> 0.05), which means that there is no significant relationship between a high-fiber diet and the severity of premenstrual syndrome symptoms.
Reversible Bilateral Basal Ganglia and Brainstem Lesions in Neuropsychiatric Systemic Lupus Erythematosus: A Case Report Situmeang, Rocksy Fransisca V.; Stevano, Reza; Larope, Ekawaty Yasinta Yohana; Sutanto, Ratna
Medicinus Vol 9, No 3 (2021): October 2021-January 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.4939

Abstract

The pathophysiology behind neuropsychiatric SLE (NPSLE) remains poorly understood and its clinical and radiological manifestations are highly varied. In this report, we present a complex case of an adolescent female patient with a three-week history of systemic symptoms (fever, nausea, vomiting, weight loss, polyarticular joint pain), progressive motor weakness, tremor, and altered mental status. Physical examination was significant for oromandibular and cervical dystonia rigidity, and general weakness with imposed right-sided hemiparesis. A head MRI demonstrated bilateral hyperintense lesions of the basal ganglia and brainstem, without restricted diffusion. The patient was diagnosed with NPSLE, lupus nephritis, electrolyte imbalance, severe hypoalbuminemia, lupus cardiomyopathy, autoimmune hemolytic anemia, pulmonary tuberculosis, and sepsis. The patient was given treatment in the ICU with pulse dose corticosteroids, intravenous antibiotics, intravenous immunoglobulins (IVIg), and supportive treatment with correction of hematologic and electrolyte abnormalities. Her condition improved rapidly. Full alertness was regained, and symptoms of oromandibular dystonia, tremor, and weakness diminished significantly. A follow-up MRI three weeks later revealed the complete disappearance of lesions, which we attribute to the resolution of the inflammatory process in the brain.
Relationship Between Breakfast Intake with Mood and Short-Term Memory Among Medical Students of Pelita Harapan University : A Cross Sectional Study Yang Yang Endro Arjuna; Dwi Savitri Rivami
Medicinus Vol 9, No 3 (2021): October 2021-January 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.4935

Abstract

Introduction: Epidemiological studies stated people rarely eat breakfast even though breakfast has an important role in human physicality, mood, and short-term memory. The mood is the tone of feelings a person feels, while short-term memory is part of the cognitive system used to store memories for a short time. Aims: This research was conducted to determine the relationship between breakfast with mood and short-term memory among Medical Students of Pelita Harapan University.Methods: This study used a cross-sectional study carried out on 133 students who were obtained based on the method of calculating, unpaired categorical comparative analytic samples. The sample population was taken by judgmental sampling on active students of the Faculty of Medicine, the University of Pelita Harapan in 2020 according to the inclusion and exclusion criteria. Data were collected using a self-administered questionnaire, Positive and Negative Affect Schedule, Digit Span Test Forward Span. The statistical test used was Chi-square and Fisher Exact, with data processing using Microsoft Excel 2019 and SPSS 24.0.Results: There were 133 samples based on inclusion and exclusion criteria. The majority of the sample was female (54.1%), batch 2018 (37.6%), 20 years old (36.8%), used to breakfast (62.4%), had a positive mood (96.2%), optimal short-term memory (64.7%). The result showed no significant between breakfast intake with mood (OR 2.585; 95%CI (0.417-16.034); p=0.364) and a significant relationship between breakfast intake with short-term memory (OR 2.773; 95%CI (1.325-5.801); p=0.011).Conclusions: There was no significant relationship between breakfast intake with mood, and a significant relationship between breakfast intake and mood was found. Further studies with larger samples are needed to minimize biases in future studies.
Knowledge, Attitude and Behavior of Methodist 2 Palembang High School Student towards Clean and Healthy Lifestyle (PHBS) Theodora Christine; Dwi Savitri Rivami
Medicinus Vol 9, No 3 (2021): October 2021-January 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.4940

Abstract

Background: Clean and Healthy Lifestyle or namely PHBS (Perilaku Hidup Bersih dan Sehat) in Indonesia is a program from the Indonesian Ministry of Health that has been implemented since 1996. PHBS in school settings is very important to be realized in order to create a clean and healthy school environment so that the learning and teaching process can run effectively.Aims: This study aims to describe the knowledge, attitudes, and behavior of Methodist 2 High School students towards PHBS. In addition, this study also aims to see the relationship between PHBS knowledge and attitudes towards PHBS behavior in Methodist 2 Palembang High school studentsMethods: This study uses a cross-sectional study involving 216 students obtained by calculating unpaired categorical analytic samples. Samples were taken using the purposive sampling technique. Data was collected using a questionnaire distributed online via a Google form. The data obtained were processed using Chi-Square through the SPSS 25.Results: There were 216 respondents who met the inclusion and exclusion criteria of this study. The sample consisting of female (n=124 (57.4%)) and male (n=92 (42.6%)) and distributed evenly from 1st grade to 3rd grade (1st grade n=65 (30.1%), 2nd grade n=75 (34.7%), 3rd grade n=76 (35.2%)). Using average value as cut-off point (12.7), most of the students of Methodist 2 Palembang high school had sufficient knowledge of PHBS (n=132 (61%), and the rest of it had insufficient knowledge of PHBS (n=84 (38,9%)). With a median value (57.6) as the cut-off point, it showed that most of the students had a sufficient PHBS attitude (n=118 (54.6%)) and the rest of it had an insufficient attitude of PHBS (n=98 (45,5%)). With an average value (13.2) as a cut-off point, most of the students had insufficient PHBS behavior (n=102 (52.8%)) and the rest of it had sufficient behavior of PHBS (n=102 (42,7%)). The results of the analysis found that there was no significant relationship between knowledge and PHBS behavior among Methodist 2 Palembang high school students (p-value = 0.744) and there was a significant relationship between PHBS attitudes towards PHBS behavior among Methodist 2 Palembang high school students (p-value = <0.001)
The Relationship Between Sedentary Lifestyle and Body Mass Index Among Junior High School Students at Jayapura Christian School Engelberta Pardamean; Elvira Wonda; Veli Sungono
Medicinus Vol 9, No 3 (2021): October 2021-January 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.4936

Abstract

Introduction: As a result of today's technological advancements, many people, including youngsters, are spending more time watching television, playing video games, or using social media on computers or phones. A sedentary lifestyle refers to behaviors like these. Students' activities became passive as a result of studying online at home. As a result, the chance of acquiring more weight and eventually being obese increases. That is the basic issue addressed in the study. The majority of youngsters spend their time on video games, television, or social networking. One of the signs of a sedentary lifestyle is a lack of physical activity. In youngsters, a lack of physical activity might raise the chance of being overweight or obese.Objective: The purpose of this study is to look into the link between a sedentary lifestyle and a high BMI among Jayapura Christian School Junior High School students.Methods: This is a cross-sectional study including Jayapura Christian School Junior High School students. Purposive sampling is a strategy for collecting data. The Adolescent Sedentary Activity Questionnaire (ASAQ) was used to collect data and determine Sedentary Lifestyles. In addition, BMI categories were utilized to determine whether someone was normal, overweight, or obese.Results: The majority of the respondents have an overweight or obese BMI (n=35; 67.3 percent) and a normal BMI (n=17; 32.7 percent), as well as a heavily sedentary lifestyle (n=45; 86.5 percent) and a moderate or light (n=7; 13.5 percent) lifestyle. Using the chi-square statistical test, the results of the two variables analysis, sedentary lifestyle, and body mass index category yielded a p-value of 0.003 and an odds ratio of 17.37 (95 percent CI:2.262–440.1). When compared to students who have a mild or moderate sedentary lifestyle, students with a severe sedentary lifestyle have an odds 17.37 times higher chance of having a BMI above normal. Conclusions: There is a substantial link between a sedentary lifestyle and a BMI over the usual limit among Jayapura Christian School Junior High School students.
Knowledge, Attitude and Behavior of Methodist 2 Palembang High School Student towards Clean and Healthy Lifestyle (PHBS) Christine, Theodora; Rivami, Dwi Savitri
Medicinus Vol 11, No 1 (2021): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i2.4937

Abstract

Background: Clean and Healthy Lifestyle or namely PHBS (Perilaku Hidup Bersih dan Sehat) in Indonesia is a program from the Indonesian Ministry of Health that has been implemented since 1996. PHBS in school settings is very important to be realized in order to create a clean and healthy school environment so that the learning and teaching process can run effectively.Aims: This study aims to describe the knowledge, attitudes, and behavior of Methodist 2 High School students towards PHBS. In addition, this study also aims to see the relationship between PHBS knowledge and attitudes towards PHBS behavior in Methodist 2 Palembang High school studentsMethods: This study uses a cross-sectional study involving 216 students obtained by calculating unpaired categorical analytic samples. Samples were taken using the purposive sampling technique. Data was collected using a questionnaire distributed online via a google form. The data obtained were processed using Chi-Square through the SPSS 25.Results: There were 216 respondents who met the inclusion and exclusion criteria of this study. The sample consisting of female (n=124 (57.4%)) and male (n=92 (42.6%)) and distributed evenly from 1st grade to 3rd grade (1st grade n=65 (30.1%), 2nd grade n=75 (34.7%), 3rd grade n=76 (35.2%)). Using average value as cut-off point (12.7), most of the students of Methodist 2 Palembang high school had sufficient knowledge of PHBS (n=132 (61%), and the rest of it had insufficient knowledge of PHBS (n=84 (38,9%)). With a median value (57.6) as the cut-off point, it showed that most of the students had a sufficient PHBS attitude (n=118 (54.6%)) and the rest of it had an insufficient attitude of PHBS (n=98 (45,5%)). With an average value (13.2) as a cut-off point, most of the students had insufficient PHBS behavior (n=102 (52.8%)) and the rest of it had sufficient behavior of PHBS (n=102 (42,7%)). The results of the analysis found that there was no significant relationship between knowledge and PHBS behavior among Methodist 2 Palembang high school students (p-value = 0.744) and there was a significant relationship between PHBS attitudes towards PHBS behavior among Methodist 2 Palembang high school students (p-value = <0.001)
Characteristics of NSAIDs Prescription in Elderly Knee Osteoarthritis Patients Janetta Wong; Nicolaski Lumbuun
Medicinus Vol 10, No 1 (2022): February 2022 - May 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v10i1.5331

Abstract

Introduction: The prescribing of non-steroidal anti-inflammatory drugs (NSAIDs) as pharmacological therapy for OA was found to be imprecise. In 2018, the rationality of NSAIDs prescribed at Wolter Monginsidi Hospital, Manado showed as much as 100% proper indication, 77% proper dose, and 89% proper medication. This shows that the rationality of NSAIDs prescription is still irrational. Irrational prescribing has the potential to result in side effects or the incidence of drug-related problems Aim: To determine the characteristics and the rationality of NSAIDs prescriptions in elderly knee OA. Methods: This is a descriptive study of 108 medical records for the period January 2020-April 2021 at BS Clinic, Semarang, using the purposive sampling method. Results:  Results showed the characteristics of elderly knee OA patients at BS Clinic were 74.1% women, 47.2% belonging to an obese group, and 41.7% experiencing severe pain. The patient’s age had a median value of 66 years. In the number of comorbidities, the median value was 1. The rationality of NSAIDs prescription was 95,4% proper diagnosis, 100% proper drug, 97.2% proper dose, and 99.1% proper indication with the incidence of side effects of NSAIDs prescribing was 1.9%. 
The Role of Bone Scintigraphy and Parathyroid Scintigraphy on Multiple Osteolytic Lesions Which Misdiagnosed as Primary Bone Tumor (Giant Cell Tumor) Nora A Prasetyo; Budi Darmawan; Erwin Affandi; A. Hussein S. Kartamihardja
Medicinus Vol 10, No 1 (2022): February 2022 - May 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v10i1.5342

Abstract

Brown tumor is a non-neoplastic lesion that results from abnormal bone metabolism. It can be manifest in prolonged or untreated hyperparathyroidism. The clinical symptoms, radiological and histopathological examination were similar with giant cell tumor and can be mimicking metastases; or even misdiagnosed with giant cell tumor and mistreated the patient. Biochemical examination of calcium levels and parathyroid hormone should be included in the routine assessment of patients with multiple osteolytic lesions. A multidiscipline approach is needed.Throughout this case report, we would like to report the important role of Nuclear Medicine and Molecular Theranostic imaging modality in a 38-year-old male with multiple osteolytic lesions, which was first diagnosed as giant cell tumor and differential diagnosis bone metastases but turned out to be a metabolic bone disease (brown tumor) with parathyroid adenoma as etiology.
Comparison of Early Postoperative Pain between Lightweight Mesh and Heavyweight Mesh in Lichtenstein Hernia Repair for Geriatric Patients at Rumah Sakit Siloam Karawaci from January 2018 - December 2019 Nicholas Axel Sidharta; Andry Irawan; Jeremia Immanuel Siregar; Nata Pratama Hardjo Lugito
Medicinus Vol 10, No 1 (2022): February 2022 - May 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v10i1.5332

Abstract

Background: Inguinal hernias are one of the most often cases in surgery. Inguinal hernias are usually found in males rather than females. There are two types of meshes in inguinal hernia repairs: heavyweight and lightweight mesh. There were still a lot of differences in the outcome of each mesh that was used. Therefore, with various postoperative pain results from past research, the author expresses an interest to research this topic for geriatric patients.Methods: In this cross-sectional comparative study, 45 patients using heavyweight mesh and 45 patients using lightweight mesh herniorrhaphy with Lichtenstein technique in inguinal hernias at RS Siloam Karawaci Lippo Village and RSU were reviewed retrospectively. Patient data were taken from the medical records using the purposive sampling method. Early Postoperative pain from day 1 until 7 was classified following the Visual Analogue Scale (VAS). Incidence of postoperative infection and seroma were assessed in both groups. Collected samples will be processed using Pearson's Chi-Squared test.Result: This study shows that there is a significant difference between the use of lightweight mesh in reducing moderate early postoperative pain for men above the age of 60 years old (p = 0.025) rather than the use of heavyweight mesh. Incidence of other postoperative complications such as infection and seroma have no statistical difference between both groups.Conclusions: The use of lightweight mesh has the advantage of reducing early postoperative pain from herniorrhaphy using the Lichtenstein technique rather than heavyweight mesh in men above 60 years old.  

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