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INDONESIA
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.
Arjuna Subject : -
Articles 192 Documents
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Synchronization of Sputum Conversion and Resolution of Intensive Phase Lesion Areas on Thorax X-rays Determinants of Prognosis for Pulmonary Tuberculosis Therapy Ambarsari, Utami; Arimbi, Muzaijadah Retno; Veterini, Lysa; Indrianto, Yunita Lestari; Candini, Naura Anindya; Notobroto, Hari Basuki
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4565

Abstract

Background: Pulmonary tuberculosis (TB) is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. Diagnosis of TB can be confirmed in two ways, namely bacteriological diagnosis (if AFB sputum is found (+) and clinical diagnosis is (if BTA sputum is found (-), but chest X-ray is (+) TB). Objective: to determine the alignment of sputum conversion and extensive resolution of intensive phase lesions on chest radiographs which determine the prognosis of pulmonary TB therapy. Methods: The study design was a retrospective cohort analytic with a retrospective longitudinal study design. Data from medical records of pulmonary TB patients who have undergone therapy for six months or more at the Pulmonary Polyclinic RSI Jemursari Surabaya. The number of samples was 48 patients aged 41-60 years. All of these pulmonary TB patients were smear positive (BTA+). X-ray examination was done before and after therapy. Results: analysis using the Wilcoxon Signed Rank test to assess differences in the grade of lung lesions before and after therapy, obtained p = 0.003 (p <0.05) meaning there is a significant difference. Sputum conversion was also carried out after therapy, 89.6% of TB patients in this study experienced sputum conversion (BTA negative). To determine the alignment of sputum conversion with the resolution of lesion area, Kappa coefficient analysis K=0.033 (p>0.05) was performed with the results of 50% of patients, 47.9% showed improvement in lung lesions and sputum conversion, while 2.1% showed no improvement of lung lesions and no sputum conversion. The rest, 50% showed no congruence in the results of lung lesion repair and sputum conversion. Conclusion: The results of Kappa coefficient analysis showed that K=-0.110 (p>0.05) showed that there was no congruence between the results of chest x-ray examination of lung lesions before and after therapy (improved or not) with sputum conversion
Complete Heart Block Secondary To Leptospirosis: A Case Report Mohammad Isa, Muhammad Syafiq bin; Wan Ali, Wan Ahmad Syahril Rozli
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.4637

Abstract

Complete heart block (CHB) is a rare but potentially life-threatening complication of leptospirosis, a zoonotic bacterial infection caused by spirochetes of the genus Leptospira. While leptospirosis primarily affects the kidneys and liver, cardiac involvement, including CHB, can occur and has significant clinical implications. The pathogenesis of CHB in leptospirosis is multifactorial and may involve direct cardiac invasion by Leptospira organisms, systemic inflammatory response, autoimmune reactions, electrolyte imbalances, and hemodynamic effects. Prompt recognition and management of CHB are essential to prevent adverse outcomes, including hemodynamic instability and sudden cardiac death. Treatment strategies include supportive measures such as hemodynamic support and correction of electrolyte imbalances, temporary pacing for symptomatic bradycardia, antibiotic therapy for the underlying infection, and consideration of permanent pacemaker implantation in refractory cases. Cardiac manifestations may include myocarditis, pericarditis, arrhythmias, conduction blocks and cardiac failure. We are reporting a case of leptospirosis causing complete heart block in a previously healthy young gentleman.
Severe Calciphylaxis Secondary to end Stage Renal Failure: A Case Report Mohammad Isa, Muhammad Syafiq bin; Wan Ali, Wan Ahmad Syahril Rozli
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4639

Abstract

Calciphylaxis is a vascular calcification disease causing skin necrosis which contributes to high morbidity and mortality. Its exact pathogenesis is currently unknown but is commonly associated with chronic renal failure, hypercalcemia, hyperphosphatemia, secondary hyperparathyroidism and a variety of hypercoagulable state. It is relatively rare but may occur in 1-4% of patients with End Stage Renal Failure (ESRF).1 We are reporting a case of young lady with underlying ESRF presented with vascular and skin calciphylaxis.
Conservative Wound Treatment in DMT2 Patients Using Honey Laksmi, Putu Pradnyasanti; Saraswati, Made Ratna; Rooseno, Ratna Rayeni Natasha; Devinta, Made Ratih Santi; Santosa, Agus
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4645

Abstract

Background : The number of diabetic patients in Indonesia is on the rise. In contrast to typical wounds in non DMT2 patients, chronic wounds in DMT2 patients heal more slowly, which makes it difficult to achieve complete primary wound healing. Thus, surgery is frequently required to achieve optimal healing. Patients' physical condition, age, comorbidities, and financial circumstances such as high medical costs frequently limiting patients from receiving comprehensive care, resulting alternative treatments are required to treat chronic wounds in DMT2 patients whom prefer conventional medications, addressing all circumstances. Honey, in addition to having fructose compounds, which has the benefit of increasing glucose homeostasis and insulin response, resulting in lower insulin and plasma glucose levels, also has been shown to contain anti-inflammatory and antimicrobial substances that aid in wound healing. Thus, it may be an alternative therapy for chronic wound in DMT2 patients. Methods : A Case-series studies of four DMT2 patients who were referred to Plastic and Reconstructive Outpatient ward with chronic wound were evaluated on a monthly basis following conservative treatment using Nusantara local honey-coated gauze. Result : Secondary wound healing, which can be assessed from the epithelialization process started from the peri-wound area has been obtained through monthly observations. Conclusion : Honey is used as an alternative therapy for patients with diabetic foot ulcers due to its anti-microbial and anti-inflammatory properties in the wound healing process. Furthermore, honey is considered less expensive and more affordable alternative for patients with co-morbidities that is impossible to operate, or with financial limitations. Keywords: DMT2, Chronic wound, Honey
Evaluation of Molluscicidal Activities of Aqueous and Ethanolic Extracts of Onion Bulb (Allium Sativum) Against Bulinus Wrighti SARKINGOBIR, YUSUF
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i01.4697

Abstract

Schistosomiasis is a disease of public health importance in the tropics and subtropics. However, the synthetic materials for prevention of the intermediate host of the disease are harmful, scarce, and toxic. Thus, an evaluation of molluscicidal activities of aqueous and ethanolic extracts of the bulb of Allium sativum against Bulinus wrighti were carried out. Snails were exposed to various concentrations of plant preparations in laboratory conditions in a plastic aquarium containing 3L of de-chlorinated water for 96h continuously. Mortality was recorded at every 24hours interval for 96hours. The study shows that, molluscicidal activities are time and dose dependent against snails. The ethanolic extract was more toxic than aqueous extract. Ethanolic extract of A. sativum was found highly toxic to B. wrighti (24hrs. LC50: 97.07mg/l; 96hrs: 21.70mg/l). Chemical profile of aqueous extracts of A. sativum showed the presence of some secondary metabolites. A. sativum extracts showed histopathological signs to hermaphrodite glands and the digestive tract of the treated snails. This study showed that, this plant can be used as molluscicides. This study recommends the use of ethanolic and aqueous extract of A. sativum for the control of B. wrighti.
Anesthesia Management in Laparotomy of Gastric Perforation Peritonitis: A Case Report and Literature Review Nuh, Yalta Hasanudin; Dita, Diah Ayu Aguspa; Wirastari, Gayatri Ghea; Sahfitri, Feni Dwika
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4795

Abstract

Gastric perforation has the potential to induce acute peritonitis, leading to intense pain and a significant mortality risk. A female patient, aged 67, presented with symptoms of intense abdominal pain affecting all regions of the abdomen and extending to the shoulder. The pain does not alleviate with rest and is aggravated by physical activity and coughing. The Chest X-ray examination revealed the presence of cardiomegaly, characterized by an enlarged heart and aortic elongation. The Abdomen X-ray examination revealed the presence of a pneumoperitoneum. Laparotomy may be conducted in individuals with gastric perforation to identify the pneumoperitoneum's underlying aetiology. The utilization of a concurrent administration of spinal anaesthesia (SA) and general anaesthesia (GA) demonstrates the effective reduction of hemodynamic impact during pneumoperitoneum while avoiding any associated adverse effects.
Application of enzymes in drug discovery research: A Review Akram, Muhammad; Syed, Sadat Ali; K, Narayana; M, Shilpa; Zainab, Rida; Khalil, Muhammad Talha; Zafar, Sadia
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.5205

Abstract

Enzymes have effectively substituted many conventional chemical catalysts-reliant pharmaceutical drug manufacturing procedures. From this v-prospect, the use of enzymes in drug discovery research is quite encouraging. Numerous enzymes have been demonstrated to perform detoxification at the cellular level, for instance, the antioxidant enzymes, catalase, and superoxide dismutase (SOD). These enzymes work simultaneously to neutralize oxygen-free radical species. The enzyme-mediated pharmaceutical procedures include the synthesis of diverse semi-artificial antibiotics, dynamic enantiomers of medicines through kinetic determination, production of enantiomerically unadulterated types of amino acids, and others. Enzymes are being used to treat cancer and infectious disorders where antibiotics are no longer effective because of antibiotic resistance. Thus, the present article aims to review the diverse use of enzymes in the drug industries and discuss the features of enzymes that make them suitable drug candidates.
Level of knowledge and awareness among parents regarding the care of children with thalassaemia Makajil, Johari Daud; Taising, Zerah; Thomas, Deena Clare; Nain, Rose A
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.5299

Abstract

Background This study assessed parental knowledge and awareness of children with thalassemia. Thalassemia care among 65 parents at a Kota Kinabalu hospital focuses on parental knowledge and awareness of children with thalassemia. The objectives were to identify parents' level of knowledge of thalassemia care and assess their awareness of specific care needs. Methods: This was a descriptive, cross-sectional study of the thalassemia families of patients at Likas Women and Children's Hospital, Kota Kinabalu, Sabah. Using random sampling. The study involved 65 respondents from Sabah Women and Children in Kota Kinabalu, Sabah. Data from questionnaires and tests were processed using SPSS version 24, with descriptive statistics analysing frequency and percentage, expressed as mean ± standard deviation.  Results Most respondents had a high level of knowledge about thalassemia, an inherited disease caused by insufficient red blood cell supply. They understood that untreated conditions could deteriorate thalassemia patients but could lead normal lives with proper therapy. They also knew that thalassemia could be detected through blood tests and that blood donation could be beneficial. However, they had moderate knowledge of the connection between thalassemia and anaemia, blood transfusions as the only treatment, and their ability to identify and avoid thalassemia during pregnancy. Conclusion This study emphasises the need for education, community engagement, and healthcare involvement to enhance the understanding and support of individuals with thalassemia, suggesting that comprehensive strategies, including education programs and collaborations with local organisations, can be implemented.
Meningioma with Hyperostosis: A Clinical Review up to Acrylic Cranioplasty Reconstruction in 3 Cases Tohari, Khamim; Siahaan, Salmon Charles; Dzaky, Rafi Daffa; Arisanti, Raden Roro Shinta; Adam, Kamila
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.5618

Abstract

Meningioma is a type of tumor that commonly occurs in the central nervous system (CNS). Hyperostosis can occur in meningiomas. Hyperostosis is a condition in which the bone surrounding a meningioma thickens abnormally. Although hyperostosis is usually benign, leaving a small portion of bone that still has hyperostosis can increase the risk of recurrence. The case report was carried out by reviewing 3 medical records of meningioma sufferers with hyperostosis.
Association of endothelial nitric oxyde synthase (eNOS) levels and modifiable risk factors for acute myocardial infarction with ST-segment elevation (AMI-STE) Leona, Denada Florencia; Syafri, Masrul
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.5672

Abstract

Background. The pathological process underlying myocardial infarction is atherosclerotic thrombosis that causes endothelial dysfunction. In the AMI-STE process, eNOS has functions as the body's defense mechanism to prevent more severe damage to the endothelium. Decreased eNOS levels were found in modifiable AMI risk factors. This study aimed to determine the association of eNOS levels based on modifiable risk factors for AMI-STE patients. Method. This study was an analytical observational study with a historical cohort design. The samples were patients with AMI-STE diagnosis who had undergone PPCI at M. Djamil Hospital Padang from March to June 2022. The eNOS levels were taken from the blood samples. Modifiable AMI risk factors were taken from patient’s medical record. The T test was carried out to determine statistical analysis. Results. The average age of the 38 subjects was 62.53 ± 8.2 years, and 92.1% among them were male, and 52.6% subjects were diagnosed with anterior AMI-STE. The average eNOS level in subjects was 47.47 ± 23.88 (normal level is 48.16 pg/mL). More than half (73.5%) of the subjects in low eNOS group had diabetes mellitus as risk factor (P<0.0001) and most subjects (78.9%) in group with low eNOS had hypertension (p=0.022). Other risk factors, namely dyslipidemia and smoking, were also more common in group with low eNOS. However, statistical tests showed that there was no statistically association between eNOS levels with dyslipidemia and smoking. Conclusion. There was statistically significant association between eNOS levels with diabetes mellitus and hypertension as modifiable risk factors for AMI-STE.

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