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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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Articles 192 Documents
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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.
CONSERVATIVE CARE COST ANALYSIS OF PATIENTS OF LONG BONE FRACTURE IN EMERGENCY ROOM. A REVIEW TO SEE THE SUFFICIENCY OF HEALTH INSURANCE COSTS Bayusentono Sulis; Cery Taraise Hajali
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 2 (2020): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i2.1537

Abstract

INTRODUCTION Long bones are bones that include the humerus, radius, ulna, femur, tibia and fibula. Aside from fibula, the main function of long bones is as the main skeleton in movement. Therefore, whenever there is a fracture in the long bone, the ability to move will be lost.The occurrence of this long bone fracture itself is still a global problem because the number of events is still quite large. This is in line with the increase in socioeconomic status and the incidence of traffic accidents which is one of the causes of fractures. METHOD This study is a prospective study to determine the magnitude of the cost of treatment conservatively in cases of long bone fractures in RSUD dr. Soetomo. The study design used was a prospective cohort. The sample size used in this study was determined by consecutive sampling, ie patients who met the inclusion criteria in the period May - August 2017. RESULTS From the observations for four months from May 2017 - August 2017 at Emergency Room Soetomo General Hospital, found 77 patients with long bone fractures that were casted. Of these patients, 38 patients were placed in a slab, 39 patients were placed in a circular cast. Among the 39 people, 17 patients were excluded according to the exclusion criteria and 22 patients were included as the study sample according to the inclusion criteria. By using a statistical test using paired sample T test with a value of α = 0.05, a significance of 0.025 was obtained. Because the significance value is 0.025 <0.05 (α). DISCUSSION From the resultsa difference between the BPJS rate of installing circular cast on long bone fractures with the real cost of installing circular cast on long bone fractures. In addition, from the value of the mean we get that the average value of the BPJS rate is greater than the real cost value, which means we can conclude that the BPJS cost can cover the cost of conservative therapy in cases of long bone fractures. CONCLUSION In the economic aspect, the longer the length of stay means the higher the costs that must be paid by the patient (the payer) and accepted by the hospital. This only applies to real tariffs, whereas to INACBG's long or short length of stay does not affect the cost.
LONG TERM EVALUATION OF RADIOGRAPHICALLY UNDETECTED ACUTE OSTEOMYELITIS RESULTING CHRONIC OSTEOMYELITIS WITH MRSA Taufan Adityawardhana; Sulis Bayusentono
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 2 (2020): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i2.1546

Abstract

Osteomyelitis is an infection and inflammation of the bone that can spread into all parts of the bone. Methicillin-resistant Staphylococcus aureus or MRSA made the disease’s management far more complex and constrained and 28% of hospitals in Indonesia are suspected to be MRSA endemic. Osteomyelitis combined with MRSA have obscured prognosis knowing its assessment and management are still being developed. Presenting a case of Chronic Osteomyelitis and MRSA of 11-year old girl that has been monitored for 5 years after the reported onset since July 2015. The patient complained of severe pain in the left hip region causing her to stop using her left limb in July 2015. Signs of acute osteomyelitis couldn’t be confirmed by sequential assessments of X-Ray and USG examination. Cefazolin and Gentamicin injections were administered for 23 days. The family requested the patient to be sent home, due to no significant clinical improvement as indicated by them. Antibiotic regimens changed into oral regimens, which were Co-Amoxiclav and Gentamicin. The patient never appeared for routine check-up, her family conceded that they went to traditional alternative medication and stated the patient's clinical outcomes were showing signs of improvement; where the patient was able to walk normally. 6 months after, the patient's mother observed abnormal gait, however the patient didn't mention nor complain anything. X-ray assessment was then performed, with the result of the entire left femoral head being reportedly destroyed. In January 2016 the patient was referred to dr. Soetomo Academic General Hospital, the patient was diagnosed with chronic osteomyelitis and pathological fracture of 1/3 proximal left femur with a suspicion of avascular necrosis. The patient was given prophylactics antibiotics. Closed biopsy couldn't be performed hence open biopsy was suggested. The patient had routine check-ups to monitor the disease progression, alongside radiologic assessment and laboratory assessment prior to the operation. Episodes of localised swollen and tenderness in the hip area were accounted. Scenes of seropurulent discharges were additionally reported. In june 2017 patients had surgical debridement and sequestrectomy alongside an open biopsy, where MRSA was diagnosed. No antibiotics had been given after the surgery and the patient routinely washed up with Chlorhexidine Gluconate 4%. The patient still does routine check-ups at the outpatient facility, as radiologic and laboratory examination are routinely observed. As of now, the patient has no issue in its daily living activities. There is still limited range of movement at the infected site, with 90 degree of hip flexion and constrained internal rotation. A lower limb length discrepancy is present due to local growth aggravation at the left hip, currently patient using shoe with lift modifications on her left leg. In any case, there has been no complaint of pain, swollen or seropurulent releases throughout the last 18 months
SIT TO STAND TEST OSTEOARTHRITIS PATIENTS Aisyah; Marselli Widya L; Anisgupta Larasaty F
Jurnal Ilmu Kesehatan dan Kesehatan Vol 4 No 2 (2020): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v4i2.1547

Abstract

Osteoarthritis is a disease found in the elderly or often called a degenerative disease. The prevalence of total osteoarthritis in Indonesia was 34.3 million in 2002 and reached 36.5 million in 2007. An estimated 40% of the population above 70 years old suffer from osteoarthritis, and 80% of osteoarthritis patients have limited mobility in various degrees from mild to severe resulting in reducing the quality of life because of the high prevalence. The development of a simple approach to quantitatively estimating functional motor performance in various ages is very important for early detection of locomotive syndrome (LS), one of which is the sit to stand test (STST). In Indonesia, there are no studies that discuss STST, so the cut off point or even the average can be different. This can be influenced by differences in culture, demographics, activities, or treatment regimens. Based on the problem above, the researcher tries to find out the average and standard deviation of STST scores in Osteoathritis patients at Ahmad Yani Hospital, Surabaya by accidental sampling method on secondary data, namely Medical Records in 2019 at the Rehab ilitation outpatient clinic of Ahmad Yani Hospital in August-September 2019. The data recorded is in the form of quantitative data in units of seconds. Furthermore, the data is processed using SPSS 17 and displays the average value and standard deviation.

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