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Dina Keumala Sari
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Jl. Dr. T. Mansur No. 9 Padang Bulan, Kecamatan Medan Baru, Kota medan, Sumatera Utara, Indonesia
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Kota medan,
Sumatera utara
INDONESIA
Sumatera Medical Journal
Published by Universitas Sumatera Utara
ISSN : 26229234     EISSN : 26221357     DOI : 10.32734
Core Subject : Health, Science,
Immunology & microbiology Medicine & Pharmacology
Sumatera Medical Journal (SUMEJ) provides a forum for publishing the full research articles in the area of Medical Science related to topics from the following subject areas: -Cancer and Related Aspects -Biomoleculer in Basic Sciences -Biomoleculer in Clinical Sciences -Tissue Engineering including Stem Cell -Medical and Health Sciences
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 8 Documents
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Search results for , issue "Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)" : 8 Documents clear
Parasite Contamination of Water Source at Pangkalan Masyhur Sub-district, Medan Johor District Hutagalung, Sunna Vyatra; Khairuna Damanik, Rahmah; Rattaprasert, Pongruj
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.11826

Abstract

Background: Water utilization by humans and animals can generate biological pollutants which may contaminate the water. These contaminants come from waste products that may contain bacteria, protozoa, and other parasites. Objective:  The aims of this study was to determine the contamination of water source by pathogens, particularly parasites at Medan, North Sumatera, Indonesia. Methods: This was a descriptive study with cross sectional design and simple random sampling. Results: We found Paramecium caudatum from nine samples (8,7%) collected from the open wells and the nearby river streams, followed by hookworm larva in one tap water sample (1%). Conclusion: No protozoa such as Entamoeba spp., Cryptosporidium spp., and Giardia spp. found in any of the samples. Based on this data, the abundant presence of P.caudatum represented the condition of high organic debris in the open wells and the nearby river streams. Additionally, the presence of hookworm larva in the tap water indicated the distribution system was contaminated with the surrounding soil.
Amoebic Liver Abscess Multifocal With Bilateral Parapneumonic Effusion: A Case Report Hartanto, Bayu Arief; Arnelis; Fauzar; Wahyudi
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.11844

Abstract

Background: A liver abscess is defined as a pus-filled mass in the liver that can develop from injury to the liver or an intraabdominal infection disseminated from the portal circulation. Objective: The aim was to discuss about liver abscesses are categorized into pyogenic or amoebic caused by Entamoeba histolytica. Methods: This is a case report that reported about pus-filled mass in the liver. Results: A male patient, 53 years old, was admitted to Hospital for Upper right abdominal pain, Fever, Cough, Pain in the lower right chest. Chest examination found weakened bronchovesicular breath sounds as high as RIC V, Pleural Friction Rub, wet crackles. Abdominal Examination found supel palpation, liver palpable 2 fingers below the arcus costae and 2 fingers below the process xiphoid, blunt edge, soft consistency, tenderness pain in the dextra hypochondrium. Laboratory report Anti Amoeba : Positive 40,3 unit. The patient was given intravenous metronidazole therapy 3x750 mg for 10 days. Conclusion: Complications of amoebic liver abscess is pleuropulmonary involvement. Pulmonary and pleural amebiasis is an uncommon disease, usually occurring on the right side of the lung compared to the left side.
Frequency Distribution of Oncology Patients Who Come to Emergency Department at H. Adam Malik Hospital, Medan Basri Siregar, Kamal; Manik, David Restu; Hakim, Luqmanul; Gultom, Habib Solihin; Naqib bin Md Ghazali, Muhammad
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.13698

Abstract

Background: A multidisciplinary approach is needed to comprehensively evaluate cancer patient’s condition and understanding patient demographic characteristics can improve health care by adapting to each patient's needs. Objective: The aim of this study was to explore about frequency distribution of oncolohy patients. Methods: This research is a descriptive observational study with a cross-sectional study design conducted at the Haji Adam Malik General Hospital in Medan on oncology patients who met the inclusion criteria. Data with a numerical measuring scale will be presented in mean+standard deviation (SD) and data with a categorical measuring scale will be presented in frequencies and percentages. Results: The results showed that majority of patients were in 46–59 year age group as much as 32 patients (37.2%) and 58 patients (67.4%) were female. The highest level of education was found in 26 patients (30.2%) as bachelor, and 45 patients (52.3%) lived in Medan City. Most patients came to be treated at the surgical installation as many as 50 patients (25.6%). Conclusion: The research results found that majority of patients are in the age group 46-59 years, female, bachelor, domicile in Medan and are treated in surgical installation.
Associations Between Knowledge, Attitude and Behavior With Helminthiasis in Children Alyssa, Agnesia; Saputri, Dewi
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.13770

Abstract

Background: Soil-transmitted helminths (STH) infection is currently one of the highest prevalence neglected tropical diseases in children. Factors contributing to such case are children’s hygiene, as well as the existence of helminths in the surrounding soil. Objective: Therefore, this research is done to determine whether there is significant association between hygiene and STH infection in children. Methods: This observational analysis with a cross-sectional design was conducted on elementary school children by interviewing the children and obtaining fecal samples. Results: Analysis of 197 fecal samples shows that 14.7% of the children were infected with STH and results of the interview show more children had poor knowledge about STH infection (69%). Good hygiene attitude and behavior were found in the majority of the subjects (58.9% and 81.7% respectively). The chi-square analysis performed shows no significant relation between knowledge (p=0.626), attitude (p=0.975), and behavior (p=0.376) and the incidence of STH infection. Conclusion: In this study, although children demonstrated poor knowledge of STH infection but had good hygiene attitudes and behaviors, there was no significant link between these factors and STH infection. This emphasizes the need for ongoing hygiene education in elementary school children.
Lipid Profile in Type 2 Diabetes Mellitus Patients With and Without Diabetic Retinopathy Agustian, Fadhlan Hatta; Wardany, Yulia
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.15462

Abstract

Background: Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia due to abnormalities in insulin secretion, insulin action, or both. Objective: To analyze differences in the proportion of lipid profile categories in type 2 DM patients with and without diabetic retinopathy. Methods: This was a hospital-based cross-sectional study with 45 samples. The independent variables assessed were the lipid profile, including LDL, HDL, triglycerides, and total cholesterol levels. The dependent variable assessed was the incidence of diabetic retinopathy. The analysis used were univariate and bivariate (Chi-square and Fisher exact). Results: The prevalence of diabetic retinopathy was 37.8%, consist of 17.8% of NPDR and 20% of PDR. There were significant differences in the proportion of LDL categories (p=0.007) and total cholesterol (p=0.038) in type 2 DM patients with and without diabetic retinopathy, and there were no significant differences in the proportion of HDL categories (p=0.719) and triglycerides (p=1) in type 2 DM patients with and without diabetic retinopathy. Conclusion: There were significant differences in the proportion of LDL categories and total cholesterol in type 2 DM patients with and without diabetic retinopathy.
Parents Education is One of Affected Factor in Stunted Children Profile in Pekanbaru Wardhana, Nabillah Nastiti; Zahtamal
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.15513

Abstract

Background: Stunting is a developmental disorder in children caused by poor nutrition, recurrent infections, and inadequate psychosocial stimulation, marked by the child's height or length being below the threshold (Z-Score) of -2 standard deviations. Objective: The aim of this study was to explore prevalence of stunting in Pekanbaru. Methods: This was descriptive research with quantitative data, and the sample size was 75. Results: The family profile of those with stunted children included fathers with mostly secondary education (64%), mothers with secondary education (57.3%), 19 mothers experiencing short stature (CED), with only four mothers receiving additional food, mothers who took iron supplements during pregnancy (80%), children with stunting who were exclusively breastfed (78.7%) and introduced to complementary feeding (80%), children with stunting taken to integrated health posts for regular growth and development monitoring (76%), children with stunting receiving complete immunization (57.3%), families participating in family planning programs (60%), and children with stunting resulting from unwanted pregnancies (40%). Conclusion: The majority of parents with stunted children had a lower to middle education level, low income, did not participate in the national health insurance program (JKN), and did not receive either cash or food assistance.
COVID-19 Pandemic Effect on Stress Levels and Sleep Patterns Desky, Dirga Filannira; Megawati, Eka Roina; Christoforos Giannaki
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.17080

Abstract

Background: Physical distancing during COVID-19 pandemic had important role to prevent and slow down its transmission but has some negative psychological effects such as stress, confusion, frustation, and sleep pattern changes. Objective: The aim of this study was to determine the effect of the COVID-19 pandemic on stress levels and sleep patterns. Methods: This was a cross sectional study that involved a hundred medical students of Universitas Sumatera Utara. The data of this study was obtained by questionnaires and analyzed using Spearman correlation test. Results: This study found that based on the stress level, there were 59 students categorized normal, mild 16 students, moderate 10 students, severe 9 students, and very severe 6 students. The sleep patterns described that only 11 students slept normally and 89 students experienced sleep disturbances during the COVID-19 pandemic. This study found there was a significant correlation between the COVID-19 pandemic on stress levels (p:0.01 and r:0.58) and sleep patterns (p:0.01 and r:0.36). Conclusion: This study found that the COVID-19 pandemic had a significant impact on increasing stress levels and causing sleep disturbances among medical students. Strengthening mental health support during pandemics is essential to minimize these effects.
Iron Overload Cardiomyopathy Eka Sari, Retno; Wahyudi
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.17796

Abstract

Background: Iron overload cardiomyopathy is a condition of excessive iron accumulation in cardiomyocytes due to abnormal iron absorption or repeated blood transfusion. Objective: This literature review was to discuss about iron overload caediomyopathy. Methods: This was a literature revew that explored about iron overload caediomyopathy based on other research. Results: In the early stages, the patient may be asymptomatic with good ventricular systolic function. Iron deposit in ventricular cause dyspnea on effort due to left ventricular systolic dysfunction then in atrial cause atrioventricular block and supraventricular arrhythmic. For severe symptom due to dilated cardiomyopathy is characterized by left ventricular dilatation and risk of sudden cardiac death. Diagnosis of iron overload cardiomyopathy can be made if there is evidence of heart disease, the presence of iron overload (serum ferritin > 300 ng/mL and transferrin saturation > 55%) and cardiac siderosis with cardiac MRI T2 * < 20 ms as gold standard. Patient management involves lowering systemic iron levels and preventing iron entry into cardiomyocytes. Therapy with phlebotomy or iron chelation as indicated. Conclusion: Administration of calcium channel blockers and resveratrol antioxidant therapy may be considered to reduce morbidity and mortality due to cardiac siderosis.

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