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Medicinus : Jurnal Kedokteran
  • Medicinus : Jurnal Kedokteran
  • Website
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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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.
Preliminary Study Using Medical Student Stressor Questionnaire in Faculty of Medicine Pelita Harapan University Marlina, Mona
Medicinus Vol. 9 No. 2 (2020): February : 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i7.2758

Abstract

Background: Best teaching program for students is certainly the main focus of the faculty. However, we must consider from the student perspective, cause student in Faculty of Medicine is high risk of being stress. Prolonged stress could harm the student physically and or mentally and will disrupt the competencies achievement. One of the validated tools for identifying a group of stressors is Medical Student Stressor Questionnaire (MSSQ).Methods: A cross-sectional univariate done within 30 medical students batch 2016. Age around 16-18 years old consist of 8 male and 21 female.Result: The highest stressor facing by the student was interpersonal related stressors (IRS) mean 2.547, followed by teaching and learning-related stressors (TLRS) 2.485, academic related stressors (ARS) 2.304, group activities related stressors (GARS) 2.259, drive and desire related stressors (DRS) 2.195, and social related stressors (SRS) 2.173.Conclusion: All the stressors domains were in a high level of stress. Further research needed in larger population and level of the study.
Role of Span-75 in Determining Prognosis of Non-Thrombolysis Acute Ischemic Stroke Patients Sutanto, Anyeliria; Simanungkalit, Astra Dea; Yunita, Evelyn; Chandra, Anastasya; Pangestu, Aristo; Tiffani, Pamela
Medicinus Vol. 9 No. 2 (2020): February : 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i7.2759

Abstract

Introduction: The SPAN-75 index is a modification of the SPAN-100 index as a prognostic tool in acute ischemic stroke patients. Previous studies were using SPAN index in cases of ischemic stroke patients treated with rTPA and in cases of intracerebral hemorrhage.Aim: To determine the role of the SPAN-75 index as a prognostic scoring in patients with acute ischemic stroke who did not get thrombolysis therapy.Method: The subjects were acute ischemic stroke patients at Siloam Hospitals Lippo Village who were not treated with thrombolysis therapy and had no disability before stroke onset during January to April 2019. Subjects were classified into a positive and negative of SPAN-75 index group. Disability due to stroke was assessed with Modified Rankin Score (mRS) at the time of admission and discharged from the hospital. This prospective study was analyzed by the Kruskal-Wallis test.Result: Forty subjects (average age of 57 years old) consisted of 31 negative and 9 positive of SPAN-75. Based on the Kruskal-Wallis test, the SPAN-75 index was positively associated with a more severe degree of stroke disability at the time of admission (p = 0.002), but not related to the change in the degree of disability when the patient was discharged from the hospital (p = 0.807). Age (p = 0.445) and gender (p = 0.578) had no significant relationship with the degree of disability of acute ischemic stroke.Conclusion: The SPAN-75 index is related to the degree of disability of acute stroke patients at the time of admission.
Association of Quality of Sleep and Decreased Short Term Memory Function in Medical Students of Pelita Harapan University Budianto, Stevanie; Siahaan, Yusak M.T
Medicinus Vol. 9 No. 2 (2020): February : 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i7.2760

Abstract

Background: Memory is a place where information is stored from the learning process or experience. There are several types of memory , one of them is short term memory. Declining sleep quality is directly proportional to the decrease in short-term memory. Poor sleep quality is often associated with medical student due to exams or vast amount of tasks. Therefore, researcher wants to see whether there is significant correlation between sleep quality and short-term memory function in students.Aim: To assess the association of the quality of sleep towards short term memory function of medical student of Pelita Harapan University.Methods: This study was conducted with a cross-sectional method, with taking sample using the method of a simple random sample. A total of 90 respondents at University of Pelita Harapan were taken. Data collected sorted out according to the inclusion and exclusion criteria. Quality of sleep assessed with PSQI questionnaire while short-term memory assessed by Digit span backward test. Results processed with SPSS version 24 and tested with Chi Square.Results: Data analyzed by Chi square test showed there are 33 students (58.9%) have poor sleep quality and short term memory function. There are also significant association between the quality of sleep and short term memory function (p value = 0.026)Conclusion: There is significant association between the quality of sleep and short term memory function of medical students of Pelita Harapan University.
Management of Autoimmune Hemolytic Anemia in the Midst of Coronavirus Disease 2019 Pandemic: A Case Report Kurniawan, Andree; Halim, Devina Adella
Medicinus Vol. 9 No. 2 (2020): February : 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i7.2761

Abstract

Introduction : The novel coronavirus disease 2019 (COVID-19) has become a pandemic involving all people and can be severe and life-threatening in a certain population such as those with comorbidity. Autoimmune hemolytic anemia (AIHA) is an autoimmune hematologic disease characterized with antibodies production that binds to red cell surface antigens. In this pandemic, several concerns have been raised by autoimmune disease clinicians and patients regarding the use of immunosuppressive drugs. In this case report, we illustrate the problems of autoimmune hemolytic anemia patient when she got active case.Case Illustration : A 28 years old lady was admitted to the hospital owing to fatigue and tiredness during exercise for two weeks. She had been diagnosed with autoimmune hemolytic anemia before and did not comply with the treatment. This patient has been reevaluated of having AIHA from the symptoms of fatigue, enlarged spleen, low hemoglobin, increased reticulocytes, signs of hemolytic in blood smear examination, increased indirect bilirubin, LDH and the Combs’ test result was given positive. She received methylprednisolone 2 mg/kg of body weight intravenously, washed packed red cells (PRC), calcium and proton pump inhibitor. She was discharged at the seventh day since admission and she was prescribed oral methylprednisolone equal to 1 mg/kg body weight.Conclusion : This is an educated case of non-compliance of AIHA that should be given high dose steroid and blood transfusion during hospitalization amid the COVID-19 pandemic. The recommendation of treatment for AIHA was still the same as before the pandemic occured.
Natural History and Risk Factors of Infantile Atopic Dermatitis: A Case Report and Literature Review Christopher, Paulus Mario; Hung, Maggie Stella
Medicinus Vol. 9 No. 2 (2020): February : 2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i7.2762

Abstract

Atopic dermatitis (AD) or atopic eczema is one of the most common forms of pediatric dermatological skin conditions, primarily beginning in childhood with a variable natural course characterized by intense pruritus and eczematous lesions. This condition requires multifactorial interplay and risk factors to explain the pathogenesis. We hereby report a case of a two-month-old male who presented with widespread erythematous lesions, excoriations, and dry skin since one day before admission. The antenatal history showed use of antibiotics during pregnancy, familial history of atopy, and non-exclusive breastfeeding which are all known risk factors. Dermatological examination revealed skin phototype III with diffuse erythematous patches scattered on the face, trunk, upper and lower limbs, and groin followed with excoriations and palmar hyperlinearity. Further laboratory and histopathological examinations were not conducted. The patient was treated with topical corticosteroid and emollients, resulting in a notable improvement without any further flares. A thorough history taking and physical examination must be conducted to establish the diagnosis based on the Hanifin and Rajka criteria and identify risk factors such as genetic factors, impaired skin barrier, and environmental factors and microbial exposure, which may play a protective or harmful role in AD development. Holistic treatments consist of pharmacological and non-pharmacological treatments, with significant emphasis on education to the patient and caregiver(s) to improve quality of life and prevent exacerbations and infectious complications while minimizing potential medication side effects.
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.

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