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MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan
Published by Universitas Muhammadiyah Semarang
ISSN : 24070505     EISSN : -     DOI : https://doi.org/10.26714/magnamed
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Magna Medica is a medical journal of APKKM contains papers and scientific articles created as a form of realization Tridharma college. The journal is published every six months, April and October of three articles in the form of: - Research article - Case report - Literature review The scope of this journal is all the field of medicine such as: -Internal medicine (including Pulmonary medicine and cardiovascular medicine) -Surgery (including urology, orthopaedic and traumatologic, plastic surgery, neurosurgery) -Anesthesia and Emergency Medicine -Neurology -Dermatology -Obstetric and Gynecologic -Forensic and Medicolegal -Clinical Pathology -Anatomical Pathology -Psychiatric -Ophthalmology -Otolaryngology -Pediatric -Radiology -Microbiology and parasitology -Basic Science of Medicine (including biochemistry, physiology, anatomy and Histology) -Public health and Health Management
Arjuna Subject : Kedokteran - Review dan Referensi, Kedokteran
Articles 222 Documents
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Relationship of Smoking Status and Severity of Inpatient Community Acquired Pneumonia (CAP) Karisma, Risa Septia; Sahrun, Sahrun; Ronanarasafa, Ronanarasafa; Priono, Risky Irawan Putra
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.150-162

Abstract

Background: Pneumonia is an inflammation of the lung parenchyma. Pneumonia became the first most lung health problem in West Lombok. Smoking is one of the main factors in CAP. This study aims to determine the relationship between smoking status and severity of inpatient CAP patients.Methods: Case control study design was used with medical record measurement tools. A total of 70 samples were taken using a purposive sampling technique for community pneumonia patients (CAP) at Patut Patuh Patju Regional General Hospital Gerung, West Lombok in November 2021-October 2022. Calculation of the severity of CAP patients used the PSI score. Results: The results obtained a p-value of 0.000 (p-value <0.05) for smoker status with a degree of severity of CAP, and a p-value of 0.064 (p-value> 0.05) for a degree of smoking with a degree of severity of CAP. The estimated risk (OR) for smoking status with the severity of CAP is 19.33.Conclusions: There is a significant relationship between smoking status, but not with smoking degree, to severity of CAP at Patut Patuh Patju Gerung Regional General Hospital, West Lombok.
Germ Cell Tumors Ovary “Dysgerminoma” with Mayer-Rokitansky-Kuster-Hauser Syndrome Basoeki, Rijanto Agoeng; Nabiila, Alyaa; Narulitia, Adinda; Saputra, Yoga Eko; Olfah, Trimayanti; Nursucahyo, Eko; Anas, Muhammad
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.239-251

Abstract

Background:  Ovarian Germ Cell Tumors originate from primitive germinal cells and can be either malignant or benign. MRKH syndrome is characterized by congenital hypoplasia of the uterus and upper vagina and can occur due to disrupted fusion of the Mullerian ducts. Diagnosis of ovarian tumors in MRKH patients is difficult but can be characterized by abdominal pain and distended.Objective: The aim of this case report is to explain the diagnostic methods and interventions performed in patients with ovarian tumors and MRKH syndrome.Case Presentation: A 25-year-old female came to the hospital with complaints of a lower abdominal lump three months ago. It was followed by severe pain, weight loss, shortness of breath, and yellowish vaginal discharge. Physical examination showed anemia, obesity, and a vagina size of 7cm with a probe. Chest X-ray showed a mass in the mediastinum and pleural effusion, and USG showed suspicion of an ovarian cyst and uterine agenesis.Conclusion: Ovarian tumor with MRKH syndrome is a rare case. Diagnosis was based on the patient’s history, clinical findings, radiologic examination, and confirmed with laparotomy and histopathology. Regular examinations are recommended to prevent and identify genital tract problems and pelvic diseases in women, especially adolescents.
Antibacterial Effects of Garlic Ethyl Acetate Fraction (Allium Sativum L.) on the Growth Of Bacteria Staphylococcus aureus and Escherichia coli Juninda, Larasati; Dewi, Listiana Masyita; Sintowati, Retno; Bestari, Rochmadina Suci
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.163-169

Abstract

Background: Antibiotics are a treatment used to treat bacterial infections. However, the many antibiotic-resistant bacteria caused researchers to use plants as an alternative treatment, one of which is garlic (Allium sativum L.).Objective: Previous research stated that the diameter of the inhibition zone by garlic had a more excellent value than the antibiotics used. Hence, the researchers were interested in conducting an antibacterial test of the ethyl acetate fraction of garlic against the growth of Staphylococcus aureus and Escherichia coli.Methods: This study was an experimental laboratory using the posttest-only control group design method in the Kruskal Wallis test data analysis.Results: the results of the inhibition analysis with p-value < 0.05 in each test group for both Staphylococcus aureus and Escherichia coli. With the Mann-Whitney test, the results obtained a p-value <0.005 for each bacteria and test group. The most significant value, namely p= 0.002. This result shows significant differences between the test groups for each bacterium.Conclusion: There is an antibacterial effect of the ethyl acetate fraction of garlic (Allium sativum L.) at concentrations of 25%, 50%, and 100% against the growth of Staphylococcus aureus and Escherichia coli
Dominant Factors of Adherence with Taking Medicine in Elderly Hypertensive Patients Herlina, Herlina; Mardhiati, Retno; Pangestika, Rismawati
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.199-210

Abstract

Background:  Adherence to taking medication is a prerequisite for hypertension treatment to be more effective and most likely to cure patients in controlling hypertension so that complications and death do not occurObjective: The objective of this study is to discover the dominant factors of elderly hypertension patients' conformity to medication at the Jatinegara District Health CenterMethods: It is a quantitative study with Cross Sectional approach. It involved 200 respondents, as the sample was taken using a quota sampling technique.Results: Univariate results showed that 25% of elderly hypertensive patients did not adhere to medication. In bivariate analysis, it was found that family support, self-efficacy, motivation, and health workers' roles were related (p-value <0.05) to adherence to hypertension medication consumption. Meanwhile, no relation (p-value 0.05) existed between age, knowledge, attitude, access to healthcare facilities, and JKN participation variables. The dominant variable observed from the multivariate result was the interaction of attitudes and self-efficacy (OR: 23,943).Conclusion:Based on multivariate analysis, it was found that the influential factors were self-efficacy and attitudes. 
Teratomas Mediastinal Recurrent with Massive Pericardial Effusion Lilik Lestari; Muhammad Harris Sis Sultansyah
MAGNA MEDIKA: Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.252-257

Abstract

Background:  Mediastinal teratoma is a medical rare disease that refers to the presence of a regrowing teratoma tumor in the mediastinum. At the pulmonary hospital dr. Ario Wirawan Salatiga, only one case was found, where the patient had previously been operated on at another hospital.Objective: The purpose of this paper was to contribute to the radiology literature by presenting a case of recurrent teratoma.Case Presentation: A 19-year-old male patient complained of persistent shortness of breath. The patient previously underwent teratoma surgery. The patient underwent chest X-rays, CT scans, abdominal and cardiac ultrasounds (USG), and as well as biopsies. The results of the CT scan found a teratoma-type mediastinal tumor accompanied by a large amount of pericardial effusion. A hyperechoic lesion with well-defined borders, round-oval, lobulated, and very large in size. Location in the mediastinum that is urgent and involves the left ventricle, right ventricle, left atrium, and right atrium. There is also an aortic compression lesion accompanied by calcification (+). Examination by ultrasonography (USG) of the heart found many pericardial but not found pressing. Heart valve function in patients did not show any abnormalities.Conclusion: Recurrent teratomas with large-volume pericardial effusions are rare. In this case study, a teratoma is located in the mediastinum. In this case, axial, coronal, and sagittal slices of a contrast thoracic CT scan can be used to establish the diagnosis. The results of heart USG found a pericardial effusion, the heart chambers do not collapse in this case of recurrent teratomas, indicating a mature teratoma type.
Knowledge about Nutrition and Testing Gestational Hypertension in Multiple Pregnancies Wenang, Supriyatiningsih; Kurniawan, Muhammad; Rachmanio, Nicko
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.170-178

Abstract

Background: Hypertensive disorders in pregnancy (HDP) are a leading contributor to maternal, fetal, and newborn death all over the world, including in Indonesia. Routine pregnancy check-ups and nutritional status can prevent pregnancy complications due to HDP.Objective: To increase health workers’ knowledge about the importance of blood pressure check-ups and adequate nutrition during multiple pregnancies.Methods: The PKM material was delivered through online seminars with 20 employees and their families at Asri Medical Center Hospital. The material provided included knowledge about women's health, multiple pregnancies, nutrition for pregnant women, as well as hypertension in pregnancy, and their management. Pretest and posttest was conducted. The analysis method used Wilcoxon Signed Rank test.Results: The analysis showed a 25% increase in knowledge from the results of the pretest of 75% to a total of 100% at the time of the posttest (p < 0.05), which suggests that there is a difference in the respondents’ knowledge levels about the importance of nutrition and examination of hypertension in multiple pregnancies.Conclusion: There is a significant difference in knowledge about the importance of nutrition and examination of hypertension in multiple pregnancies before and after the seminar at AMC Muhammadiyah Hospital.
Collaborative Practice between Doctors and Nurses in Patients Management: Attitude of Teamwork Wiwik Kusumawati; Romdzati Romdzati
MAGNA MEDIKA: Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 1 (2023): February
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.1.2023.48-59

Abstract

Background:  Interprofessional collaboration is essential in providing higher-quality health services and ensuring patient safety.Objective: This study aims to assess the attitude of cooperation between doctors and nurses as first line health workers in an academic health facility and explore their perspectives on the collaboration attitude between doctors and nurses.Methods: This study used a mixed-method design. The quantitative sample was chosen randomly but with total sampling for the primary clinic. Data on the attitude of cooperation between doctors and nurses from the questionnaire results were analyzed descriptively. The sample for the qualitative study was selected purposively, each health service consisted of 1 doctor and one nurse, so the number of informants was six. The qualitative data were transcribed verbatim and analyzed qualitatively using the constant comparative method.Results: The results showed that of 84 respondents, 54 doctors, and 30 nurses, 95% showed a good teamwork attitude. Some respondents (5%) showed a bad attitude, especially on three items, namely item no 4 (doctors do not have the right to change the treatment plan that has been made), 13 (doctors do not have to be the final determinant) and 18 (possibility of other professions to become leaders). The results of the qualitative analysis show that there are five final themes, namely: 1. teamwork is good; 2. the role of the profession; 3. the importance of interprofessional communication; 4. openness to receive feedback; 5—patient safety and PCC.Conclusion: Both professions have distinct but equal and complementary roles in patient management, each with their own advantages or capabilities. Open communication, which includes getting criticism, can help overcome a poor cooperative attitude.
Herbal - Synthetic Drug Interactions Kintoko, Kintoko; Ananda, Aghnia Nabila; Ridho, Anisa Rifka; Makati, Annisa Camellia; Yanti, Asti Afrida; Wahyuni, Dina; Maghfirah, Yolanda Sajjida; Isnaini, Isnaini
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.211-220

Abstract

Background:  Herbal medicine is currently one of the therapeutic options chosen by the community because it is considered relatively safer and has minimal side effects. Not only used as a single drug, but herbal ingredients can also be combined with synthetic drugs. However, using herbal and synthetic drugs simultaneously can cause a variety of interactions, including synergism, antagonism, and additive effects (potentiation).Objective: Therefore, it is crucial to do a literature study on the reaction of various herbal medicines to unwanted synthetic drugs to prevent the adverse effects that can be caused.Methods: The literature review is processed based on academic journals published on NCBI, PubMed, and online journal sources that discuss the interactions between herbal medicines and synthetic drugs from 1997 to 2022.Results: Herbal drug interactions can be avoided or managed by providing correct patient advice based on reliable information.Conclusion:The main basic principles of administering these medicines include the doctor's full awareness of the effects and interactions between herbal medicines and herbal medicines and herbal medicines with synthetic drugs. 
Mediastinal T-Cell Lymphoblastic Lymphoma: A Rare Case in a Limited Resources Setting Sutrisno, Sutrisno; Kusumastuti, Etty Hary; Ridholia, Ridholia; Hasan, Hasan
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 11, No 2 (2024): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.11.2.2024.251-258

Abstract

Background: Lymphoblastic Lymphoma (LBL) is a rare neoplasm which represents 1-2% of all Non-Hodgkin’s Lymphomas (NHLs).Objectives: To present challenges in diagnostic of a rare case in limited resources settingCase Presentation: A 36-year-old male came to Dr. Soetomo hospital with shortness of breath, facial edema and chest pain. Physical examination revealed a decreased breath sound and dull percussion in the right chest. CT scan showed solid mass 10.4 x 5.9 x 14.6 cm in the anterior - medius of mediastinum. Fine needle aspiration biopsy guided by CT scan showed the spread of lymphoid cells, big in size, anaplastic, rounded and hyperchromatic nuclei. Core biopsy showed diffuse and monotonous pattern of pleomorphic cells, round to oval and hyperchromatic nuclei. Immunostaining were positive for CD3 and Tdt, high Ki67 proliferation index 98%, and negative for CD20.Conclusion: T-LBL is a rare neoplasm, that generally occurs in adolescents and young adults, and is most common in males. It is an aggressive neoplasm, which can involve mediastinal mass and cause superior vena cava syndrome. Immunostaining would be positive for Tdt, and variably express CD1a, CD2, CD3, CD4, CD5, CD7, and CD8. The prognosis was poor due to the aggressiveness and the relapse.
In Vitro Antimicrobial Activity of Eichornia crassipes and Pistia stratiotes Extracts as Natural Disinfection Agents Kaidah, Siti; Budiarti, Lia Yulia; Azhari, Nazla Puteri; Ihsanti, Shofia Hilwa
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 11, No 2 (2024): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.11.2.2024.154-168

Abstract

Background:  Eichornia crassipes and Pistia stratoites are aquatic weeds that contain various antimicrobial compounds and have the potential to disinfectants. Objective: This study aims to analyze the antimicrobial activity of extract of Eichornia crassipes and Pistia stratoites as In Vitro disinfection agentsMethods: This in vitro experimental study tested E.crassipes and P.statoites extracts in combined (EC+PS)  forms against several species of bacteria and Candida albicans. The testing of antimicrobial activity using the diffusion method and effectiveness as a disinfectant were tested through the phenol coefficient test. Results: The results of the data analysis of the EC+PS 25%-100% (ratio 1:1) treatment using the ANOVA test and Duncan's posthoc (significance 95%), obtained different inhibition zones for gram-positive, gram-negative bacteria, and C.albicans; EC100%+PS100 extract produced the widest inhibition zone. The inhibitory power of EC+PS extracts ranged from moderate to strong (> 5 mm - > 20 mm). In the phenol coefficient test using a dilution of 1:20-1:250, a good coefficient value (> 1) was obtained from the EC+PS extract treatment and the disinfectant control for all test organisms.  Conclusion: E.crassipes and P.stratoites extracts can produce antimicrobial activity with a good phenol coefficient value, which makes their combination a natural disinfectant.

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