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Medical and Health Science Journal
Published by Universitas Nahdlatul Ulama Surabaya
ISSN : 25497588     EISSN : 25497596     DOI : https://doi.org/10.33086/mhsj
Core Subject : Health, Social,
Health Professions Social Sciences
Medical and Health Science (MHSJ) published peer-reviewed original articles research, case report or article review. This journal is published twice (February and August) by Faculty of Medicine Universitas Nahdlatul Ulama Surabaya.
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Search results for , issue "Vol 4 No 1 (2020): FEBRUARY" : 9 Documents clear
Hubungan Tingkat Pengetahuan dengan Tingkat Kepatuhan Radioterapi pada Pasien Kanker di Instalasi Radioterapi RSUD Abdul Wahab Sjahranie Samarinda Ananda Purnama Mazna
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1302

Abstract

Cancer is a disease characterized by abnormal cell growth outside the usual boundary then attacks the adjacent body and can spreads to other organs. Cancer treatment can be done with several therapies according to indications, one of them is radiotherapy. One of succession factor in the radiotherapy treatment for cancer is having good knowledge. Treatment adherence is very important to get optimal results such as healing or improving quality of life. The aim of this research was to determine the relationship between radiotherapy knowledge with radiotherapy adherence in undergoing radiotherapy cancer patients at General Hospital of Abdul Wahab Sjahranie Samarinda . This research was an observational analytic design with cross-sectional approach. Data retrieval was done at the Radiotherapy Installation at General Hospital of Abdul Wahab Sjahranie Samarinda from March to April 2019 by using a purposive sampling technique. The results showed that there were 50 samples who met the inclusion and exclusion criteria with details of patients who had good knowledge was 33 people, sufficient knowledge was 15 people, bad knowledge was 2 people and obey patients was 46 people and disobey patients was 4 people. Data analysis using Fisher's test obtained the value of p = 0.157 so it can be concluded that there was no relationship between radiotherapy knowledge and radiotherapy adherence in cancer patients at Radiotherapy Installation at General
DESKRIPSI PERBEDAAN SITOLOGI NON GRANULOMA LIMFADENITIS TUBERKULOSIS PADA PASIEN HIV AIDS : STUDI KASUS yafanita izzati nurina
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1415

Abstract

ABSTRACT Introduction: HIV AIDS is a disease with CD4 as the main target and frequently accompanied by lymphadenopathy symptoms. Most lymphadenopathy is caused by tuberculosis. The prevalence of limphadenitis in HIV TB is 40-80%. Cytological features of TB lymphadenitis in HIV AIDS and non-HIV have differences and associated with lower CD4 counts.Case: Male, 58 years old with complaints of right and left neck mass since 1 month. It was enlarged since 1 week, not accompanied by pain and injury. Patient also complained fever, night sweats, weight loss, white spots in the mouth. On physical examination, found right neck mass of 7x6 cm and left of 5x4 cm, flat surface elastic solid mass, difficult to move, no tenderness and inflammation. VCT result of three methods was reactive, absolute CD4 cell count 81.8 cells/UL and 6.13 log copies/mL viral load. Cytology result was hypocellular smears containing large necrotic areas with lymphocyte cells, histiocytes, PMN without signs of malignancy, conclusion: TB lymphadenitis. Patients received anti TB category one and ARV 2 weeks after TB treatment. Discussion: Lymphadenopathy symptoms in HIV AIDS from many etiologies are almost same so a cytological examination is needed. In TB lymphadenitis cytology, there are 3 groups of typical features are granuloma, granuloma with necrosis and only necrosis then it was confirmed ZN staining (smear bacilli). In HIV AIDS is more found necrosis without granuloma except CD4>100. This is because T cell function which is important in the formation of epithelioid granuloma is decreased. At an advanced stage with CD4 decreases, there is no epithelioid cell formation but rather foamy macrophage formation.Conclusion: HIV AIDS patient with CD4 81.8 and cervical tuberculosis lymphadenitis has different cytological features with large necrotic areas without granulomas.
PERBANDINGAN ANGKA KEKAMBUHAN BACTERIAL VAGINOSIS ANTARA TERAPI METRONIDAZOLE TUNGGAL DENGAN KOMBINASI METRONIDAZOLE DAN PROBIOTIK: METAANALISIS risna ardianti mitavania; Azami Denas
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1443

Abstract

ABSTRAK Tujuan: Membandingkan angka kekambuhan pengobatan Metronidazole tunggal dibandingkan kombinasi Metronidazole dan Probiotik pada Bacterial Vaginosis (BV). Metode: Pencarian data dilakukan pada database kedokteran (PUBMED, Cochrane Database) dengan menggunakan kata kunci: (1) bacterial vaginosis [judul] DAN (2) Metronidazole single THERAPY [judul] DAN Combination THERAPY Metronidazole and Probiotik [judul]. Kriteria inklusi: studi acak terandominasi, wanita BV usia reproduksi (18-50 tahun) dengan Nugent Score 7-10, intervensi yang diteliti Terapi Metronidazole tunggal dan terapi kombinasi Metronidazole dan probiotik, seluruh makalah terinklusi dapat diakses penuh, dan data dapat dianalisis secara akurat. Dilakukan perbandingan menggunakan analisis narasi dan meta-analisis (RevMan). Hasil: Didapatkan tiga studi sesuai kriteria inklusi. Pada studi Anukam 2006 disimpulkan bahwa angka kekambuhan BV pada kelompok terapi Metronidazole tunggal yaitu sebesar 17/65 (26,1%). Pada studi Bradshaw, angka kekambuhan BV pada kelompok Metronidazole tunggal sebesar 39/150 ( 26% ), sedangkan pada kelompok kombinasi sebesar 28/150 (18,67%). Pada studi Heczko, angka kekambuhan BV pada kelompok Metronidazole tunggal sebesar 15/81 (18,5 %) dan pada kelompok terapi kombinasi sebesar 22/73 (30,1%). Secara keseluruhan angka kekambuhan BV dengan terapi Metronidazole tunggal adalah 71/291 (24,3%) dibandingkan dengan terapi kombinasi sebesar 50/288 (17,36%). Kesimpulan: Secara keseluruhan angka kekambuhan BV dengan terapi terapi kombinasi Metronidazole dan Probiotik didapatkan perbedaan yang signifikan bila dibandingkan dengan terapi Metronidazole tunggal (Z = 2,04; p<0,04).
Hubungan antara Panjang Aksial Bola Mata dan Derajat Miopia dengan Tekanan Intraokular Bella Aliviana
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1444

Abstract

Some studies reported that myopia especially high myopia has long axial length. This condition showed with higher intraocular pressure (IOP) and become one of the risk factor of primary open angle glaucoma. However, some other studies reported axial length and degree of myopia don’t have any correlation with intraocular pressure. This study aims to determine whether there is a relationship between the axial length of the eyeball and the degree of myopia with intraocular pressure at Sumatera Eye Center (SMEC), Samarinda. This study began on November to Desember 2019. This research method was analytic research with cross sectional design. The sample in this study was 91 eyes using a purposive sampling technique. Analyzes were performed with the Pearson Correlation test. The result showed the age of IOP increased at 31, 32, and 33 years old, respectively 1 eye. Pearson correlation test showed that IOP did not seem to have any correlation with the axial length, low myopia and high degree of myopia. But, IOP have correlation with moderate myopia (r=0,019).
PENYUSUNAN INDIKATOR MUTU UNIT HEMODIALISIS RUMAH SAKIT GRHA PERMATA IBU DEPOK Dinda Iryawati
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1445

Abstract

Latar Belakang: Unit hemodialisis (HD) merupakan pelayanan rawat jalan Rumah Sakit (RS) yang saat ini cukup populer karena peningkatan jumlah pasien penyakit ginjal yang membutuhkan HD. Seiring dengan hal tersebut, diharapkan unit HD mampu mengimbanginya dengan mutu dan keselamatan pasien yang sesuai standar. Untuk dapat menilai mutu diperlukan indikator, yang meliputi Indikator mutu Area Klinik (IAK), Indikator mutu Area Manajemen (IAM), dan Indikator mutu Sasaran Keselamatan Pasien (ISKP). Indikator mutu tersebut disesuaikan dengan pelayanan pada unit HD. Tujuan: Penelitian ini bertujuan untuk menyusun indikator mutu unit HD berdasarkan standar akreditasi RS dan regulasi pemerintah. Metode: Penelitian kualitatif dengan pengumpulan data menggunakan proses triangulasi sumber. Pengumpulan data dilakukan dengan teknik wawancara, observasi, dan Focus Group Discussion (FGD). Instrumen menggunakan indikator mutu SNARS yang terdiri dari IAK, IAM, dan ISKP, dengan analisa penentuan prioritas menggunakan High Risk, High Volume, dan Problem Prone. Hasil: Terdapat 11 indikator mutu unit HD yang telah disusun berdasarkan prioritas dan masing-masing disertai dengan kamus indikator. Indikator mutu tersebut terdiri dari IAK (1 indikator), IAM (5 indikator), dan ISKP (5 indikator). Kesimpulan: Indikator mutu sebagai alat ukur mutu dapat menjadi panduan agar mutu dan keselamatan pasien di unit HD terjaga sesuai standar.
Perbandingan Luaran Pasien Kanker Endometrium Yang Dilakukan Operasi Laparoskopi Dan Yang Dilakukan Operasi Laparotomi di RSUD Dr. Soetomo Tahun 2017 Trianggono Bagus Ariyanto
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1446

Abstract

Tujuan: Untuk mengetahui luaran perbandingan laparoskopi dan laparotomi pada pasien kanker endometrium di RSUD Dr. Soetomo tahun 2017. Metode: Data pada laporan kasus ini diperoleh melalui rekam medis paien kanker endometrium yang dilakukan operasi di RSUD Dr. Soetomo selama bulan januari – desember 2017 baik dengan laparoskopi maupun dengan laparotomi Hasil: Selama periode januari hingga desember 2017, didapatkan 27 pasien dengan kanker endometrium, 15 pasien dilakukan operasi laparoskopi, dan 12 pasien dilakukan operasi laparotomi. Karakteristik umum pasien kanker endometrium yang dilakukan operasi dari umur berkisar 41-60 tahun, didapatkan 3 pasien mengelami komplikasi pada saat operasi laparoskopi, untuk lama operasi baik laparoskopi dan laparotomi mempunyai waktu 120 menit, untuk lama perawatan laparoskopi mempunyai angka lebih baik daripada laparotomi. Dari perdarahan laparoskopi mempunyai angka lebih baik jika dibandingkan dengan laparotomi. Kesimpulan: tindakan laparoskopi mempunyai komplikasi yang lebih tinggi jika dibandingkan dengan laparotomi, namun laparoskopi mempunya keuntungan dari segi IDO, jumlah perdarahan, dan lama perawatan pasca operasi.
PERBEDAAN KUALITAS HIDUP PASIEN USIA LANJUT SEBELUM DAN SETELAH OPERASI KATARAK Adelia Lisnawati
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1449

Abstract

Cataract is a condition when the lens become cloudy and often occurs in elderly patients. Cataract is the leading cause of visual impairment and blindness in the world. Cataract can reduce productivity and social life, that will decrease the quality of life in elderly patients. It also reduces the visual acuity leading to decreasing visual function and the quality of life. This disease can change physical, cognitive and psychosocial life. This study aimed to analyze the difference of quality of life in elderly patients before and after cataract surgery at SMEC eye clinic in Samarinda. This study was observational analytic study. Data were taken from interview the patients with visual function questionnaire 14 (VFQ 14) and from the medical record of SMEC eye clinic in Samarinda. The results showed a significant difference of quality of life in elderly patients before and after cataract surgery (p = 0,000) with the mean score of quality of life before surgery (x̅= 63,65) was lower than after cataract surgery (x̅= 95,35) and there was significant improvement of the visual acuity after cataract surgery (p = 0,000). Based on these results it can be concluded that there were difference of quality of life in elderly patients before and after cataract surgery.
Gambaran Perilaku Masyarakat terhadap terjadinya Diare pada Balita di Wilayah Lingkungan I,II,III,IV, Daerah Aliran Sungai , Kelurahan Aur, Kecamatan Medan Maimun, Medan Dicca Brentazzoly br Tarigan Dicca Tarigan; Chardito Renaldi Siburian Chardito; Dhea Sandhes Barus Dhea; Angelina Angelina; Masdalena Masdalena
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1451

Abstract

Abstrak Latar Belakang : Diare adalah penyebab umum pada tingkat kematian yang terjadi di negara berkembang, tingkat penyebab pertama kematian balita (di bawah lima tahun) di seluruh dunia dan dimana tingkat penyebab kedua kematian bayi di seluruh dunia. Faktor perilaku sebagai tingkat pertama yang sering terjadi sebagai penyebabnya yaitu terjadinya penyebaran kuman dan terjadinya peningkatan kejadian diare pada balita dan bayi yaitu tidak melakukan pemberian ASI ekslusif secara teratur pada bulan pertama kehidupan balita, botol susu tidak dibersihkan dengan bersih, makanan disimpan disembarangan tempat, air minum yang digunakan tidak steril, tidak melakukan cuci tangan saat memasak, makan, menyuapi balita, sesudah buang tinja, sesudah membuang tinja balita dan bayi, serta sering membuang tinja disembarangan tempat. Faktor-Faktor lingkungan sebagai tingkat kedua yaitu pengunaan sarana air bersih dalam kehidupan sehari-hari dan kebiasan melakukan pembuangan tinja. Lingkungan sangat berinteraksi secara konstan dengan manusia sepanjang waktu dan masa serta memegang peranan penting dalam proses terjadinya penyakit pada masyarakat terutama diare pada balita. Tujuan : Tujuan Penelitian ini , peneliti tertarik melakukan penelitian untuk mengetahui tentang gambaran perilaku masyarakat terhadap terjadinya diare pada balita. Metode : Penelitian bersifat deskriptif dengan rancangan cross-sectional, yang dilakukan di wilayah Lingkungan I,II,III,IV, Daerah Aliran Sungai Kelurahan Aur, Kecamatan Medan Maimun, Medan pada bulan Januari tahun 2020 dengan jumlah sampel 60 orang dengan menggunakan metode proportional sampling. Skala ukur yang digunakan dalam penelitian ini mengunakan Kuesioner. Hasil : Hasil penelitian yang dilakukan didapatkan tingkat pengetahuan masyarakat terhadap penyakit diare tergolong kategori baik, tingkat sikap masyarakat terhadap penyakit diare tergolong kategori baik , tingkat tindakan masyarakat terhadap penyakit diare tergolong kategori baik , dikarenakan berdasarkan hasil semua frekuensi dari tingkat pengetahuan, tingkat sikap, tingkat tindakan yang didapatkan jauh lebih tinggi persentasenya dibandingkan dengan yang tidak baik. Kesimpulan : Dari hasil ditemukan bahwa pengetahuan, sikap dan tindakan tindakan perilaku masyarakat yaitu Ibu balita masuk tergolong kategori baik, walaupun perilaku ibu balita ini masuk kategori baik namun masih ada beberapa ibu balita yang belum menerapkan perilaku yang baik dan benar sehinga ditemukan balitanya mengalami diare.
Quality of Life Evaluation in Children With Osteogenesis Imperfecta After Giving Bisphosphonate Infusion in Dr. Soetomo Hospital Surabaya Baskoro Kusumo Riswanto; Sulis Bayusentono
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 1 (2020): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i1.1464

Abstract

INTRODUCTION Osteogenesis imperfecta (OI) or brittle bone disease is a connective tissue formation disorder that is generally characterized by bone fragility, osteopenia, blue sclera, dentinogenesis imperfecta (DI), and hearing loss. Clinical symptoms vary greatly between patients even in the same type. The lack of evaluation of the effect of bisphosphonate on the quality of life of pediatric patients is the main reason for the authors to evaluate the quality of life in pediatric patients with Ostegenesis imperfecta in Soetomo Hospital Surabaya. METHOD The author selected three cases of OI from an outpatient installation of Dr. Soetomo Hospital who was given the management of bisphosphonate administration. Then compared before giving Bisphosphonate and after giving bisphosphonate for 1.5 years and evaluated using the SF36 questionnaire and DASH score. RESULTS In the DASH score assessment, there is no evaluation in the Work Module section (optional) because the patient is still a child. From the results of SF36 evaluation in evaluating the quality of life of patients with Osteogenesis imperfecta in the administration of bisphosphonate, it appears that the development is better compared to before administration of bisphosphonate. DISCUSSION From the evaluation results using the DASH score, all three patients had a good development in terms of motor development in upper extremities. this can be seen from the evaluation of the development of muscle strength and fine motor strength such as writing (drawing), eating his own food without the help of parents and also carrying a heavier burden. It's just that the evaluation of bisphosphonate administration is biased by the motor development of each patient. From the points of Emotional Health and Social Attitude, it can be concluded that patients are bolder to move and move more than before. Before giving bisphosphonate, according to anamnesis from parents, patients are relatively afraid to move, this is due to fear of recurring fractures in patients. After giving bisphosphonate the patient is more willing to move and play with the surrounding environment. From the evaluation of Pain points, there is a significant difference between post and before bisphosphonate administration, this may be due to the reduced frequency of fractures compared to after administration of bisphosphonate. Another important modality in handling OI is rehabilitation of physiotherapy. The goal of rehabilitation in OI patients is primarily to improve joint motion and muscle strength, as well as to improve ambulation and functional ability. OI's condition is chronic and requires lifelong treatment that can reduce children's quality of life. Therefore, in patients with chronic disease conditions that require long-term therapy even for life, it is very important to provide education about understanding children's diseases, the need for lifelong monitoring and treatment, efforts that need to be made to prevent and minimize complications, the importance of the second role parents in providing appropriate parenting, fostering, and fostering for optimal child growth and quality of life CONCLUSION Significant effects were seen after bisphosphonate administration. The need for a thorough evaluation of the effects of bisphosphonate administration on pediatric Osteogenesis Imperfecta patients. The need for a standard and specific questionnaire for the evaluation of the development of bisphosphonate therapy in patients with Osteogenesis Imperfecta.

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