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Dina Keumala Sari
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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 169 Documents
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Correlation of Platelet-Lymphocyte Ratio (PLR) and Contrast-Induced Nephropathy (CIN) in Patients with ST-Segment Elevation Myocardial Infarction (STEMI) Undergoing Primary Percutaneous Coronary Intervention (PCI) Steven Winardi; Andika Sitepu
Sumatera Medical Journal Vol. 4 No. 2 (2021): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v4i2.5836

Abstract

Acute Coronary Syndrome (ACS) is a series of clinical disorders caused by acute ischemic heart disease. The clinical spectrum of ACS is unstable angina pectoris (UAP), non ST segment elevation myocardial infarction (NSTEMI) and ST segment elevation myocardial infarction (STEMI). Inflammation occurs from the early stages of atheroma formation to plaque rupture and thrombosis. Thrombocytosis and lymphopenia are associated with the degree of systemic inflammation and the platelet lymphocyte ratio (PLR) is a new marker involving both hematological indices. ST segment elevation myocardial infarction is a type of acute myocardial infarction with high mortality. Management of STEMI patients is carried out with reperfusion therapy consisting of primary percutaneous coronary intervention (PCI) and fibrinolytics. Contrast-induced nephropathy is a serious complication of angiograph procedures that results from administration of contrast media.
Descent of Fetal Head into The Pelvic Inlet in Primigravida: Systematic Review Sihotang, Imanuel; Sitepu, Makmur; Rusda, Muhammad
Sumatera Medical Journal Vol. 4 No. 2 (2021): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v4i2.5845

Abstract

Background: Skilled care before, during and after delivery can save the lives of women and newborns. Antenatal care is useful for detecting problems in pregnancy and childbirth, as well as preparing for labor. It is estimated that labor will begin 2-3 weeks after the entry of the fetal head on pelvic inlet. Objective: This study was conducted to determine the prevalence of descending of the fetal head at the pelvic inlet in the primigravida of 34-36 weeks of gestation. Methods: This study uses a systematic review study method with the data used are the results of research that have been circulating in the world. Results: In Weekes and Flynn's (1975) study, the entry of the fetal head into the pelvic cavity and having passed the pelvic inlet with a sample of 422 primigravidas, the prevalence was 34 weeks (2%), 35 weeks (1%). Of the three studies analyzed at 36 weeks' gestation, a prevalence was 4.22%.
Urinary Tract Infection Bacterial at RSUP H. Adam Malik Medan in 2019: an Overview Study Teguh Firdaus; Rina Yunita
Sumatera Medical Journal Vol. 4 No. 1 (2021): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v4i1.5849

Abstract

Urinary Tract Infection (UTI) is the second-largest infection after respiratory tract infection (WHO, 2013). The prevalence of UTI in Indonesia is relatively high. UTI originated from the invasion and proliferation of microorganisms into the urinary tract in meaningful quantities. Gram-negative bacteria are mostly the cause of UTI including E. coli, Klebsiella sp, Enterobacter sp, and Proteus sp. Patients with UTI with inadequate treatment can experience complications e.g., acute renal failure and urosepsis. This study aims to find out the profile of bacteria that cause UTI at RSUP H. Adam Malik Medan in 2019. This descriptive study is using a non-analytical retrospective approach conducted to secondary data from urinary culture examination at RSUP H. Adam Malik Medan. Data were analyzed using the SPSS 24. Gram-negative bacteria results of 72.7% with E. coli postulated as the most common etiology (33,3%) and gram-positive bacteria results of 27.3%, dominated by Enterococcus faecalis (16.3%). The sensitivity study exhibited various results e.g., 100%, 98.2%, and 97.0% in E. coli for Tigecycline, Meropenem, and Amikacin respectively. Enterococcus faecalis also posed a similar results regarding its sensitivity result to different antibiotics. Gram-negative bacteria are the most common bacterial etiology of UTI, specifically E. coli with comparable sensitivity results
Charasteristics of COVID-19 Patients Treated At Santa Elisabeth Medan Hospital 2020 Nency Triputri; Noni Novisari Soeroso
Sumatera Medical Journal Vol. 4 No. 1 (2021): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v4i1.5958

Abstract

Corona Virus Disease (COVID-19) is a disease caused by a new type of coronavirus (SARS-CoV-2). This virus was first discovered in Wuhan, China for the first time and has infected 90,308 people as of March 2, 2020. Infection is transmitted by large droplets or droplets within 1 - 2 m, which are generated during coughing and sneezing by symptomatic patients and people without symptoms. This infection is acquired by inhaling these droplets or touching a contaminated surface and then touching the nose, mouth and eyes. To see the characteristics of COVID-19 patients who are treated at the Santa Elisabeth Hospital Medan in 2020. Type of research is a descriptive study with a cross-sectional study design with a retrospective approach using total sampling technique. This type of research data is secondary data obtained from the medical record data of positive COVID-19 patients confirmed to be hospitalized in several Medan city hospitals in 2020.Of the 230 study samples, 147 confirmed positive COVID-19 patients were found, dominated by the age range 46-55 years. The sex most common is male. The most common clinical symptoms are respiratory disorders such as coughing, shortness of breath and fever.The number of confirmed positive patients at the hospital. Santa Elisabeth in March to October 2020 is 147 people (51.1%).
The Relationship between Smoking and The Incidence of Stroke at Haji Adam Malik General Hospital in 2018 Tazzya Shailla Elfazi; Cut Aria Arina
Sumatera Medical Journal Vol. 4 No. 3 (2021): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v4i3.6416

Abstract

Abstract. Stroke is a clinical sign that develops rapidly due to a disturbance of Focal (or global) brain function, with symptoms lasting for 24 hours or more, can lead to death, without any other cause than vascular. In Indonesia it is estimated that every year there are 500,000 inhabitants affected by stroke. One of the risk factors of stroke is the unhealthy lifestyle, such as smoking. The harmful content contained in cigarettes can become oxidizing substances in the blood so that there is damage to the artery walls and will be the location of fat-saving, platelet cells, cholesterol, and the thickening of the smooth muscle layers of the artery walls resulting in an aterotrombotic. This is what can cause a stroke. Goal. To know the relationship between smoking and the incidence of stroke in RSUP Haji Adam Malik Medan in 2018. Method. This type of research is analytic research with cross-sectional design. The data used in this research is secondary data that is data of the medical record of ischemic stroke patients and hemorrhagic stroke patients years 2018 obtained from RSUP Haji Adam Malik Medan medical record installation. The research method used is non-randomized consecutive sampling, with a side-total technique. The Data obtained is subsequently processed by computerization. Results. The hypothesis testing was conducted using a Chi-square test at a signification level of p < 0.05 and obtained a P value of 0.000 and also prevelence ratio > 1 with a value of 1.7418. Conclusion. There is a significant relationship between smoking and the incidence of stroke, especially in the event of ischemic stroke in RSUP Haji Adam Malik Medan in 2018.
Serum 25-Hydroxyvitamin D Levels as a Predictive Factor for Allergic Rhinitis Restimulia, Lia; Munir, Delfitri
Sumatera Medical Journal Vol. 4 No. 3 (2021): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v4i3.7626

Abstract

Introduction: Allergy and 25-Hydroxyvitamin D deficiency were mentioned to be correlated. Still, there was limited number of studies in determining serum 25-Hydroxyvitamin D levels as a predictive factor, particularly in allergic rhinitis (AR). This study has never been implemented in Indonesia which the main objective was to explore this topic. Methods: Consecutive sampling was used in recruiting the fifteen subjects. Serum 25-Hydroxyvitamin D levels were quantified using electrochemiluminescence immunoassay (ECLIA) method while the total nasal symptom scores were acquired by enumerate all nasal symptoms. Data of serum vitamin D levels and TNSS were analysed statistically.Results: Based on our previous study, the predictive value was illustrated from linier regresion = 10,230 – 0,281 (vitamin D), with negative moderate correlation (r = -0,613). This result can be comparable for someone with vitamin D level of 5.66 ng/mL that could predicted as 8.64 nasal score. Conclusion: 25-Hydroxyvitamin D could be a predictive factor for allergic rhinitis with negative moderate correlation. Hence, in the future research needs to be implemented.
The Relationship between Knowledge and Attitude with Behavior of Preventing Leptospirosis in Healthcare Workers at the Binjai City Yolanda Hanalena; Evita Mayasari
Sumatera Medical Journal Vol. 5 No. 1 (2022): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v5i1.7845

Abstract

Leptospirosis is an infectious disease caused by spirochete from the genus Leptospira, namely Leptospira interrogans which is pathogenic for both humans and animals. L. interrogans infection is often associated with flooding, where L. interrogans is carried from soil contaminated with animal urine reservoirs and settles in water. Leptospirosis is estimated to cause 1030000 cases and 58900 deaths annually worldwide. Until now, Leptospirosis is still a threat to public health because it causes Extraordinary Events (KLB) in several regions in Indonesia. Leptospirosis outbreaks are related to the presence of risk factors, namely the high population of rats as reservoirs of Leptospira spp., poor environmental sanitation, and the increasing number of flood areas in Indonesia. The purpose of this study was to determine the relationship between knowledge and attitude with the behavior of preventing Leptospirosis in healthcare workers at the Sub-District Health Center, Binjai Timur, Binjai City, against Leptospirosis. This research is an analytic study with a cross sectional design. The research was conducted using a questionnaire instrument of knowledge level about Leptospirosis, attitudes towards Leptospirosis, and preventive behavior towards Leptospirosis.
The Overview of Student Knowledge about The Importance of Inverted Pyramid Antenatal Care at Faculty of Medicine, Universitas Sumatera Utara: Gambaran Pengetahuan Mahasiswa tentang Pentingnya Antenatal Care Piramida Terbalik di Fakultas Kedokteran, Universitas Sumatera Utara Billy Putra Teruna; Dudy Aldiansyah; Hilma Putri Lubis; Rozaimah Zain-Hamid
Sumatera Medical Journal Vol. 5 No. 1 (2022): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v5i1.7846

Abstract

Introduction. The old model antenatal care/simple pyramid in 1929 based on the third trimester, contributed substantially to the reduction of maternal and newborn mortality. Along with the development of science and technology, many complications of pregnancy including fetal abnormalities, miscarriage, stillbirth, preeclampsia, premature delivery, gestational diabetes, fetal growth disorders, and macrosomia can be detected in the first trimester. Therefore, the inverted pyramid antenatal care was developed with early detection of risk factors and complications at 11-13 weeks of gestation. However, the application of the inverted pyramid antenatal care in Indonesia has not been implemented and there is a lack of socialization about the importance of the inverted pyramid antenatal care. Objectives. The purpose of this research was to describe knowledge about importance of inverted pyramid antenatal care in student generation 2018-2020 of Faculty of Medicine Universitas Sumatera Utara. Methods. This research used a descriptive analytic study with cross sectional approach and primary data was collected using online questionnaire. Results. There is no significant difference about descriptions of knowledge between student of 3rd semester, 5th semester. and 7th semester. From 126 subjects, 77 subjects (61,1%) use more than one source of information. Conclusion. Student of generation 2018-2020 of Faculty Medicine Universitas Sumatera Utara have a good knowledge about the importance of inverted pyramid antenatal care by involving more than one source of information
Identification Of Acanthamoeba spp. In Used Contact Lens Solution Chan, Michelle; Saputri, Dewi
Sumatera Medical Journal Vol. 5 No. 1 (2022): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v5i1.7869

Abstract

Contact lenses are the most popular devices used by many people around the world for vision correction, aesthetics, and therapeutic purposes. Poor contact lens hygiene can cause various complications. One of the concerns regarding the use of contact lenses is the presence of Acanthamoeba spp. Acanthamoeba spp. is a free-living amoeba that can be found in many places including untreated fresh water, treated fresh water and unconventional water sources. One of the complications caused by Acanthamoeba spp. is Acanthamoeba keratitis which is an eye infection that is often caused by the use of contact lenses and contaminated contact lens solutions. Objective. The purpose of this study is to determine the description of Acanthamoeba spp. found in contact lens solution and contact lens care of Universitas Sumatera Utara students. Method. This study used univariate analysis. Data were obtained from the results of contact lens solution examination and questionnaire interviews. Result. Most of the samples (98%) did not have Acanthamoeba spp. Some respondents (60.8%) had fairly clean contact lens care behaviour and the rest (39.2%) had very clean contact lens care behaviour. Conclusion. One sample was found positive with Acanthamoeba spp. The positive sample had Acanthamoeba spp. cyst. Contact lens care was generally done well.
The Relationship Between Anxiety Level with the Onset of Acne Vulgaris in Medical Faculty of Universitas Sumatera Utara 2016 – 2018 Salsabila, Vanny; Hazlianda, Cut Putri
Sumatera Medical Journal Vol. 5 No. 2 (2022): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v5i2.7890

Abstract

Acne vulgaris (AV) is a chronic inflammation of the follicle pilosebaceous induced by Propionibacterium acnes. Anxious circumstances increase the androgen hormones. This increases the production of sebum and the proliferation then activates Propionibacterium acnes, resulting in AV. To find out the relationship between levels of anxiety and the onset of AV to the Faculty of Medicine, Universitas Sumatera Utara (FK USU) 2016 – 2018 conducted observational research with cross sectional design. This research samples as many as 66 students of FK USU Group 2016 – 2018 and using stratified random sampling method. The result of anxiety level of FK USU students indicates that there are mild anxiety (92.4%) moderate anxiety (6.1%) and severe anxiety (1.5%). The AV event of FK USU students indicates that there are mild acne (51.5%) moderate acne (40.9%) severe acne (6.1%) and normal results (1.5%). With the chi square test there is a significant link between the level of anxiety and the onset of the vulgaris (p = 0.026). There is a significant relationship between the levels of anxiety with the onset of AV on student of FK USU 2016-2018.

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