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Medicinus : Jurnal Kedokteran
  • Medicinus : Jurnal Kedokteran
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ISSN : 19783094     EISSN : 26226995     DOI : -
Core Subject : 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
Prevalence of Depression, Anxiety, and Stress Among Indonesian Healthcare Workers During the Covid-19 Pandemic and Its Related Factors Tan, Alexa Ovilia; Angelina, Angelina
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.v9i2.4702

Abstract

Introduction: Healthcare workers are the most vulnerable group to infection and mental-emotional problems due to their professional exposure during the COVID-19 pandemic. The studies about healthcare workers’ mental-emotional problems in Indonesia are still limited. This study aimed to determine the prevalence of depression, anxiety, and stress among Indonesian healthcare workers during the COVID-19 pandemic and its related factorsMethods: This is an analytic cross-sectional study involving Indonesian healthcare workers who were still working during the COVID-19 pandemic. An online-based questionnaire in Google Form, including the Depression Anxiety and Stress Scale - 21 (DASS-21) Questionnaire, was distributed through social media from December 2020 to February 2021. The related factors studied were age, gender, domicile, worktime experience, workplace, type of workers, marital status, comorbidities, and COVID-19 history. Results: A total of 176 respondents were involved in the study, the overall prevalence of mental-emotional problems was 18.75%; with a prevalence of depression was 10.8%, anxiety 12.5%, and stress 12.5%. The incidence of depression was more commonly found in non-functional occupations (OR 4.97; 95% CI 1.00-24.69; p=0.05). The incidence of anxiety was less common in male health workers (OR 0.23; 95% CI 0.08 - 0.66; p=0.007), and nurse occupation (OR 6.41; 95% CI 1.65 - 24.86, p=0.007). The incidence of stress was more commonly found in nurse (OR 8.38; 95% CI 1.49 - 47.13; p=0.014), non-functional (OR 10.17; 95% CI 1.78 - 58.04; p=0.008).Conclusion: Mental emotional problems during the COVID-19 pandemic were common among Indonesian healthcare workers, both the front-liners and non-functional health workers. Gender and type of worker were significantly associated with depression, anxiety, and stress.
Psychometric Properties of the Indonesian Version of Impact of Event Scale-Revised Questionnaire During COVID-19 Pandemic Wijovi, Felix; Kurniawan, Andree; Lugito, Nata Pratama Hardjo; Agung, Fransisca Handy; Cipta, Darien Alfa; Angelina, Stella; Halim, Devina Adella; Jodhinata, Claudia; Orlin, Sisilia; Hamdoyo, Audrey; Evangelista, Nadya Nathalia
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.v9i2.4703

Abstract

Background: COVID-19 is a respiratory infection caused by SARS CoV-2. A health-related disaster may result in a wide range of mental consequences, including PTSD. IES-R is a self-reported instrument, and it corresponds to DSM-IV symptoms of PTSD. However, there were scarce data about the validation of the Indonesian version of IESR.Aim: The purpose of this study was to validate the IES-R in the Indonesian adult population by comprehensively and systematically assessing the epidemiological evidence about PTSS during the COVID-19 pandemic.Methods: This was a cross-sectional study. The IES-R questionnaire was translated from English to Indonesian, back-translated. All health workers were excluded to avoid the biased result. Pearson correlation and Cronbach's alpha coefficients to determine the validity and reliability of the questionnaire.Results: A total of 234 Indonesian-speaking adults completed the survey. The Indonesian IES-R had proven to be a valid (r= 0.756 -0.938, p= 0.000) and reliable (alpha coefficient: 0.858-0.868) measure for PTSS in a sample of Indonesian adults during the COVID-19 pandemic. In addition, the final model which consisted of 3 subscales with 20 items demonstrated acceptable factor loadings.Conclusion: The results of this study suggested IESR is valid and reliable to be used in the Indonesian population especially during pandemics.
The Relationship between the Duration of Online Learning during the COVID-19 Pandemic and Symptoms of Depression in Medical Students of Pelita Harapan University: A Cross Sectional Study Purnomo, Alexander Erick; 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.v9i2.4705

Abstract

Introduction: The COVID-19 outbreak that started in Wuhan, China in December 2019 has become a global pandemic. The existence of the COVID-19 pandemic has led to a change in the university learning system into online learning. Online learning that occurs during the COVID-19 pandemic can have an indirect impact on the mental health of students, one of which is depression. Depression that occurs in online learning can be affected by the duration of online learning.Aim: This study is conducted to determine the relationship between online learning during the COVID-19 pandemic and symptoms of depression in medical students of Pelita Harapan University.Method: This study used a cross-sectional study to be conducted on 161 students of the Faculty of Medicine, University of Pelita Harapan. Sampling will use the purposive sampling method. Collecting data using a questionnaire about the duration of online learning and using the Patient Health Questionnaire-9 (PHQ-9) for depression symptoms. The results of this study were analyzed using chi-square analysis with data processing using SPSS 26.Results: There were 161 samples that matched the inclusion and exclusion criteria of this study. The majority of the sample was female (52.8%), came from the 2018 class (46.0%), 20 years old (50.3%), residing outside the Greater Jakarta area (57.8%), doing more online learning than 6 hours (57.8%) and experienced mild depression (53.4%). The results showed that there was no significant relationship between the duration of online learning and symptoms of depression (OR 1.273; 95%CI (0.669-2.421); p = 0.565).Conclusion: There was no significant relationship between the duration of online learning and symptoms of depression. Further studies with large samples and randomized sampling are required to minimize biases in future studies. 
A 1-Month-Old Baby with Osteogenesis Imperfecta: A Case Report Juliansen, Andry; Meilyn, Anne; Tampake, Lisa Rehinda
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.v9i2.4706

Abstract

Osteogenesis imperfecta (OI) is a connective tissue formation disorder that is generally characterized by bone fragility, osteopenia, blue sclera, dentinogenesis imperfecta (DI), and hearing loss. This disease occurs due to changes in collagen type 1 that form the basis of bone formation so that bones tend to be thinner and smaller. The bones become weak and easily cracked. OI has been classified by type according to the system based on the mode of inheritance, clinical features, and information from the X-ray. There are four types of osteogenesis imperfecta, namely Type I, Type II, Type III, and Type IV. Health problems are often seen in children and adults who have OI include: short stature, weak tissues, fragile skin, muscle weakness, and loose joints, bleeding, easy bruising, frequent nosebleeds, and tiny amounts of heavy bleeding from the wound, impaired loss of hearing can begin in childhood and affects approximately 50 % of adults, breathing problems, a higher incidence of asthma plus risk for other lung problems, spinal curvature.
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)
Distributions of Breast Cancer Primary Tumor Locations in Indonesian Patients Putri, Helenia; Kristina, Maria A.; Widjaja, Devita; Baskoro, Bernard A.; Kristiani, Erna; Muljadi, Rusli
Medicinus Vol. 11 No. 2 (2022): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.6970

Abstract

Introduction: Overseas studies have shown various distributions of breast cancer primary tumor locations based on stages and histopathologic types. Based on them, breast cancer was consistently reported to be found on theleft breast more than the right. Breast cancer laterality was estimated to be one of the determinant factors in prognosis. In Indonesia, there are only a few studies on the laterality of breast cancer, as well as the characteristics that accompany it. The aim of this study is to know the distributions of primary breast cancer tumor locations in Indonesian patients.Material and Methods: A cross-sectional design study was done and the data was collected from Siloam Hospital Lippo Village radiology and pathology anatomy department within the 2014-2018 period. The results were presented using descriptive statistics.Results: A total of 74 breast cancer patients from various ages and stages were enrolled in this study. Based on the histopathological types, 84.2% patients left breast tumors and 72.2% patients with right breast tumors had invasive ductal carcinoma of no special type. Based on quadrants, 50% tumors on the left breast are in the superolateral quadrant, followed by 31.6% in superomedial, 13.2% in inferomedial, and the rest in inferolateral. Conclusion: Most tumors are located in the superolateral quadrant and the most histopathological types are non-specific invasive carcinomas.
The Relationship between High Fiber Diet and Severity of Premenstrual Syndrome Symptoms in Medical Students of Pelita Harapan University Kelvin, Ignatius; Rivami, Dwi Savitri
Medicinus Vol. 11 No. 2 (2022): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.6971

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 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, 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, Esitimated Food Record and Perceived Stress Scale with the 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 have normal body mass index (72.9%). 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.
Relationship Between Breakfast Intake with Mood and Short-Term Memory Among Medical Students of Pelita Harapan University : A Cross Sectional Study Arjuna, Yang Yang Endro; Savitri, Dwi Rivami
Medicinus Vol. 11 No. 2 (2022): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.6972

Abstract

Introduction: Epidemiological studies stated people rarely eat breakfast even though breakfast have an important role in human physicality, mood and short-term memory. 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, 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.Result: There were 133 samples based on inclusion and exclusion criteria. The majority of 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 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 need to minimize biases in future studies.
The Relationship Between Sedentary Lifestyle and Body Mass Index Among Junior High School Students at Jayapura Christian School Pardamean, Engelberta; Wonda, Elvira; Sungono, Veli
Medicinus Vol. 11 No. 2 (2022): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.6973

Abstract

Introduction: As a result of today's technology advancements, many people, including youngsters, are spending more time watching television, playing video games, or using social media on computers or phones. 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 Lifestyle. 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 heavy 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 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. 2 (2022): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.6974

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 purposive sampling technique. Data was collected using a questionnaire distributed online via google form. The data obtained were processed using Chi Square through the SPSS 25.Result: 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 a sufficient knowledge of PHBS (n=132 (61%) and the rest of it had insufficient knowledge of PHBS (n=84 (38,9%)). With 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 insufficient attitude of PHBS (n=98 (45,5%)). With average value (13.2) as 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).

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