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Medica Hospitalia

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Published by RSUP Dr. Kariadi Semarang

ISSN : 23014369 EISSN : 26857898 DOI : https://doi.org/10.36408/mhjcm

Core Subject : Health,

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Medica Hospitalia: Journal of Clinical Medicine adalah jurnal ilmiah yang diterbitkan RSUP Dr. Kariadi dan menerima artikel ilmiah dalam bahasa Indonesia dan bahasa Inggris yang diharapkan dapat menjadi media untuk menyampaikan temuan dan inovasi ilmiah dibidang kedokteran atau kesehatan kepada para praktisi dan akedemisi di bidang kesehatan dan kedokteran.

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Articles 529 Documents

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Berbagai Faktor Risiko Retinopati Diabetik pada Penderita Diabetes Melitus Tipe 2 Nafia, Nisa Khoirun; Nugroho, Trilaksana; Wildan, Arief; Julianti, Hari Peni; Purnomo, Hery Djagat
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: More than 75% of people with type 2 DM will anguish diabetic retinopathy 20 years after being diagnosed. However, the current changing of people’s lifestyle contributes to the tendency in type 2 DM that diagnosed at a younger age. This causes diabetic retinopathy can be occurred earlier and blindness will occur more quickly. It is important to prevent diabetic retinopathy by controlling some associated factors. OBJECTIVE: To investigate associated factors of diabetic retinopathy in people with type 2 DM. METHOD: Analytic observational study with cross-sectional design. Subjects were determined by purposive sampling. The subjects were interviewed using a questionnaire meanwhile, funduscopic examination is aimed to assess diabetic retinopathy and followed by deep interview. This study also used the subject’s medical record to complete the required data. The results were analyzed by using statistic software. RESULT: From 43 subjects, there wes no significant relation among age (p=0.965), gender (p=0.437), level of knowledge (p=0.640), accessibility (p=1.000), economic level (p=0.680), duration of DM (p=0.477), history of hypertension (p=0.708), and history of dyslipidemia (p=0.244) with diabetic retinopathy in people with type 2 DM. However, there was significant relation among controlling blood glucose (p=0.014) with diabetic retinopathy in people with type 2 DM. Uncontrolled blood glucose was 13 times more affected in diabetic retinopathy than controlled blood glucose (OR 13.417, 95% CI:1.474-122.117). CONCLUSION: There was a significant relation between controlling blood glucose and diabetic retinopathy in people with type 2 DM. Controlling blood glucose is the most dominant risk factor among the other factors in this study. Keywords: diabetic retinopathy; risk factor; type 2 diabetes mellitus

Hubungan Hipertensi dengan Klasifikasi Hernia Nukleus Pulposus Lumbal berdasarkan Magnetic Resonance Imaging Sunjata, Winda Putri; Meutia, Yurida Binta; Sukmaningtyas, Hermina; Pudjonarko, Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT BACKGROUND : Hypertension is a disease that is known to affect other diseases. Recent research finds that HT is associated with disc degeneration disease. Herniated nucleus pulposus (HNP) lumbar as a result from disc degeneration disease need to be known to be affected by hypertension or not. OBJECTIVE: To know the relationship between hypertension and the classification of disc degeneration based on Pfirrmann’s criteria and herniated nucleus pulposus lumbar classification based on magnetic resonance imaging. METHOD : This research use descriptive observational with cross sectional design. Subjects were 62 lumbar HNP patients diagnosed at RSUP Dr. Kariadi Semarang from January 2019 - March 2020. The subject data were analyzed using non-parametric Chi Square test and Mantel Haenszel test. RESULT : Based on the analysis, it was found that p>0.05 was found in the relationship between age and sex with the classification of disc degeneration and lumbar HNP. The result of correlation test between hypertension and disc degeneration classification is p<0,05 with odds ratio 14,700 and lumbar HNP classification is p >0.05. In relation to the classification of disc degeneration with lumbar HNP classification, the value of p >0.05 was also obtained. CONCLUSION : There was no association between age, sex, the classification of disc degeneration and lumbar HNP classification. There was a significant association between hypertension and the classification of disc degeneration with the individual risk of hypertension increasing 14,7 times but no association was found with lumbar HNP classification. Keywords: Disc degeneration; Hypertension; Lumbar herniated nucleus pulposus

Faktor Komorbid Yang Berpengaruh Terhadap Luaran Penyakit Covid 19 Di Intensive Care Unit RSUP Dr Kariadi Semarang Harahap, Sofyan; Mulyono, Harry; Soesilowati, Danu
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND : Sars-Cov2 has become a pandemic and caused health problems. Several factors that worsen the condition of Covid-19 include age, previous comorbid diseases, secondary infections, and increased inflammatory indicators. There are many studies on the factors that influence the outcome of Covid-19, but the results are inconsistent. Thus, specific research in certain areas is needed so that it can be used in local management. OBJECTIVE: This study aims to determine the factors that influence the outcome of Covid-19 in the intensive care unit of the Dr. Kariadi Hospital METHOD : This study analyzed covid 19 patients in the ICU of Dr Kariadi Hospital for the period March-September 2020 with a retrospective method and purposive sampling. The hypothesis test used is adjusted to the measurement scale of each variable. The initial analysis was univariate using chi-square, fisher, t-test, and mann-whitney. RESULT : From this study, it was found that the factors that influence the covid-19 outcome in a bivariate include a history of heart disease (p = 0.037), temperature (p = 0.012), respiratory rate (p = 0.030), oxygen saturation (p = 0.021), platelets ( p = 0.015), ureum (p = 0.034), PO2 (p = 0.002), oxygen fraction (FiO2) (p = 0.034), AaDO2 (p = 0.004), and PFR (p = 0.001). CONCLUSION : History of heart disease, temperature, respiratory rate, oxygen saturation, platelets, urea, PO2, required oxygen fraction (FiO2), AaDO2, and PFR were predictors of Covid-19 mortality which were both theoretically and statistically significant.,independent or simultaneously

GAMBARAN AUDIOGRAM PADA PASIEN TB-MDR DI RSUP DR. HASAN SADIKIN BANDUNG: AUDIOGRAM PROFILE OF MDR-TB PATIENTS IN HASAN SADIKIN GENERAL HOSPITAL BANDUNG Hilman, Anton; wijana, Wijana; Anggraeni, Ratna
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: Multidrug-resistant tuberculosis (MDR TB) is a disease condition of TB that resistant to isoniazid and rifampin, with or without resistance to other anti-tuberculosis drugs. An important problem arising from MDR TB therapy is the ototoxicity associated with use of aminoglycosides. Monitoring of hearing function is important to evaluate ototoxic effects. OBJECTIVE: This study was conducted to determine the audiogram profile in MDR-TB patients who received kanamycin therapy in Dr. Hasan Sadikin General Hospital Bandung METHODS: A retrospective descriptive study with a cross sectional design was conducted on MDR TB patients at Dr. Hasan Sadikin General Hospital Bandung (RSHS) Bandung. The inclusion criteria of this study is all medical records of MDR TB patients at the MDR TB polyclinic RSHS Bandung in the period January 1 - December 31 2018. Exclusions criteria were a history of tympanic membrane perforation, congenital ear abnormalities, hearing loss before therapy, and incomplete medical record data. RESULTS: There were 97 patients in the study sample. MDR TB mostly affects the 18–34 year age group. At the end of the first month of therapy, audiogram changes were found in 9.3% of patients and in the fourth month, 22.7% of patients have sensorineural hearing loss with varying degrees. CONCLUSION: Changes in the audiogram profile have occurred at the end of the first month of MDR TB therapy which is characterized by sensorineural hearing loss.

Efek Radial Shock Wave Therapy pada Latihan Gliding Nervus Medianus terhadap Derajat Nyeri dan Fungsional Tangan Penderita Carpal Tunnel Syndrome Amalina, Nurika; Indriastuti, Lanny; Julianti, Hari Peni; Zuhdiana, Hindun; Kusumawati, Noviolita Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Carpal tunnel syndrome (CTS), which was resulted from local compression of the median nerve, was a common entrapment neuropathy. Median nerve gliding exercise required a combination of other conservative therapies to provide optimal clinical improvement in CTS. Radial shock wave therapy (RSWT) was a safe, effective, practical, and non-invasive therapeutic method, can be used as a additional therapy for relieving pain and disability in CTS patients. Objective: This study was aimed to examine the effect of RSWT on median nerve gliding exercise on improving the degree of pain and hand functional scores in patients with CTS. Method: This study was a randomized controlled trial. The subjects were 22 patients from the Physical Medicine and Rehabilitation Polyclinic of RSUD KRMT Wongsonegoro, Semarang. They were divided into 2 groups randomly. The intervention group (n=11) was received RSWT 4 times in median nerve gliding exercise 3 times a day, every day for 4 weeks. The control group (n=11) was received only median nerve gliding exercise. The degrees of pain were measured with a manual algometer and hand functional scores were assessed by BCTQ. Results: The mean of improving pain degree were 2,53 + 0,74 kg/cm2 and 2,38 + 1,25 kg/cm2 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving pain degree between intervention and control group (p=0,016). The mean of improving BCTQ scores were -11,36 + 4,59 and -6,18 + 3,76 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving BCTQ scores between intervention and control group (p=0,009). Conclusion: RSWT was improved the degree of pain and increased the hand functional scores of CTS patients who received median nerve gliding exercises. Keywords: radial shock wave therapy, carpal tunnel syndrome, gliding exercise

Keberhasilan Kehamilan Spontan Paska Tindakan Laparoskopi Kistektomi Pada berbagai Stadium Endometrioma Susianto, Indra Adi; Riyadi, Barkah Fajar; Atmojo, Fajar Widhi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

PENDAHULUAN : Penelitian ini bertujuan mengetahui tingkat keberhasilan spontan tanpa induksi ovulasi pada pasien yang telah mengalami operasi laparoskopi kistetomi dan adhesiolosis. METODE : Penelitian dilakukan secara retrospektif selama 5 tahun (2015-2019) di RSIA Anugerah Semarang, didapatkan total 70 pasien yang sesuai dengan kriteria inklusi, dimana seluruh pasien dilakukan operasi secara laparoskopi oleh sistem operasi dan tim operasi yang sama. Teknik stripping untuk kistektomi dilakukan secara hati-hati melalui operasi laparoskopi dilanjutkan dengan rekonstruksi ovarium secara menjahit setelah dilakukan penghentian perdarahan mengunakan bipolar yang dikombinasikan dengan sistem irigasi. Dan tingkat keberhasilan kehamilan diikuti 6 bulan setelah operasi dan dicatat dalam catatan medis secara detail hingga cara persalinan. HASIL : Dari total 70 pasien yang sesuai kriteria inklusi didapatkan rerata stadium endometrioma stadium adalah 2,87. Angka keberhasilan kehamilan spontan dari 70 pasien adalah 51,4 % dan hanya 17,1 % yang belum dapat hamil 6 bulan paska operasi sedangkan hanya 42,9 % yang harus ditolong dengan seksio sesaria. KESIMPULAN : Dengan 68,6% terjadinya kehamilan spontan paska tindakan operasi laparoskopi, maka teknik operasi laparoskopi kistektomi disertai dengan rekontruksi ovarium dengan penjahitan merupakan tindakan yang aman meskipun dilakukan pada berbagai tingkat stadium endometrioma.

Hubungan Kelelahan Terhadap Kualitas Hidup Anak Dengan Kanker Yang Menjalani Pengobatan Ambrella, Feny Julia; Utami, Agnita; Wisanti, Eka
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND : Cancer is a disease that can affect all age groups, including children. Children who suffer from cancer, must undergo various treatments to be able to kill the cancer cells in their bodies. One of the side effects of treatment is fatigue which can disrupt the quality of life in children with cancer. OBJECTIVE: The aim of this study was to identify whether fatigue can affect the quality of life in children with cancer. METHOD : This type of research is descriptive correlation with cross sectional design. The sample in this study were 45 people aged 2-18 years at the Indonesian Cancer Child Love Foundation (YKAKI) Riau. The sampling technique used was accidental sampling. Fatigue and quality of life in children with cancer were measured using the PedsQoL Multidimensional Fatigue Scale and the PedsQoL Generic 4.0. Data analysis used the Spearman rank test. RESULT : The results showed that there was a relationship between fatigue and quality of life in children with cancer (p value = 0.031), and showed that the average fatigue score experienced by children with cancer who underwent treatment was 46.80 (the higher the fatigue score the less fatigue was felt), while the quality As many as 34 people (75.6%) of children with cancer have a disrupted quality of life. The results of this study are expected to be able to help improve the quality of life in children with cancer to reduce fatigue due to the treatment they are undergoing which can affect the quality of life in children CONCLUSION : There is a significant relationship between fatigue and quality of life in children with cancer on treatment

Hubungan Intensitas Nyeri Dengan Status Fungsional Penderita Low Back Pain Zuhair, Muhammad Naufal; Tammasse, Jumraini; Aulina, Susi; Amran, Muhammad Yunus
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

LATAR BELAKANG : Selama pandemi, pemerintah menetapkan Skala Besar Pembatasan Sosial (PSBB) peraturan untuk mengurangi kasus infeksi COVID-19, sehingga intensitas kejadian LBP meningkat lebih dari sebelumnya karantina, mencerminkan ed the negative effect of the regulation. This is due to significant lifestyle changes such as increased time spent sitting, reduced exercise time, and the percentage of individuals reporting more stress during quarantine than before the PSBB was established. The current study reports the impact of low back pain which results in disruption of the patient's functional status due to the need for annual medical expenses and the limited visits of patients to health services, so this indicates that low back pain sufferers need to evaluate how much functional disability occurs and the factors that influence it. OBJECTIVE : To determine the relationship between pain intensity and functional status of LBP patients at the Neurology Polyclinic, RSUP Dr. Wahidin Sudirohosudo. METODE : Observasi analitik dengan pendekatan cross sectional dan teknik pengambilan sampel adalah simple random sampling. Data yang digunakan adalah kuesioner Numerical Rating Scale dan Barthel Index. Penelitian ini dilaksanakan di RSUP Dr. Wahidin Sudirohusodo selama dua bulan dimulai dari bulan Maret 2021 sampai dengan April 2021. HASIL : Pada hasil analisis data sampel menggunakan uji korelasi tau-b Kendall, nilai korelasi (-0,644) dengan nilai signifikansi hubungan (p.sig 0,000) menunjukkan adanya hubungan yang signifikan antara intensitas nyeri dengan status fungsional. KESIMPULAN : Intensitas nyeri berhubungan bermakna dengan status fungsional pasien Low Back Pain (LBP) di RSUP Dr. Wahidin Sudirohusodo Kata kunci : Low Back Pain, NRS, Barthel Index

FAKTOR DETERMINAN PELAKSANAAN INISIASI MENYUSU DINI (IMD) OLEH BIDAN DI KABUPATEN BREBES Alfi, Ziyadatul Chusna Almabruroh Yuni; Susiloretni, Kun Aristiati; Ngadiyono, Ngadiyono; Mardiyono, Mardiyono
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: One of the roles and functions of being a midwife is as an implementer, in which of being a health worker assisting in delivery assistance and has an important role to facilitate the mother in the successful implementation of Early Breastfeeding Initiation (Inisiasi Menyusui Dini or IMD). Delivery aids are performed by health personnel who possess midwifery competencies in Brebes Regency for about 98.30%. The percentage of early breastfeeding initiation in Brebes was 40.39%. Purpose: The purpose of this research is to know and analyze the determinant factors early breastfeeding initiation (IMD) implemented by midwives working for Public Health Center (Pusat Kesehatan Masyarakat or Puskesmas) in the working area of ??Brebes Regency Health Office. Methods: This type of research is observational research with survey method and cross sectional approach. The research instrument uses a structured questionnaire that has been tested for its validity and reliability. The research also uses bivariate analysis with chi-square test and multivariate analysis with logistic regression test. The sample is 213 respondents of village midwives in Brebes Regency. Results: The results of logistic regression test showed that the variables affecting the implementation of early breastfeeding initiation were midwife age (OR 0.026 CI 95% 0,0050-0,14), training (OR 2.77 CI 95% 1,29-5,97 ) and duration of work (OR 9.63 CI 95% 3.85-24.1). While the factors that are not related to the implementation of IMD is the attitude, refreshing training, support, and policy superiors. Conclusion: It can be concluded that the most influential variable on initiation of early breastfeeding is length of work (OR 9.63 CI 95% 3,85-24,1).

Polip Fibroepithelial di Leher Kandung Kemih Pada Anak : Laporan kasus Addin, Sofyan Rais; Nugroho, Eriawan Agung; Sudarso, M. Adi; Santosa, Ardy; Daniswara, Nanda; Muhammad, Krisna; Sugiharto, Jonathan
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Latar Belakang : Fibroepithelial polyps (FEP) adalah tumor jinak non-epitel yang sangat jarang yang berasal dari mesodermal di sistem perkemihan. Insidensi FEP tersering pada Dewasa muda (40%). Sebagian besar FEP ditemui di ureter distal, 15% terletak di pelvis renalis; FEP lebih jarang ditemukan di uretra, kandung kemih, dan ureter proksimal. Polip dengan fitur ini jarang ditemukan pada anak-anak. Kasus ini diharapkan dapat menjadi gambaran untuk menangani kasus FEP terutama bila predileksi di vesika urinaria. Laporan Kasus : seorang anak umur dua tahun dengan keluhan sulit buang air kecil disertai nyeri. Pasien pernah mengeluh buang air kecil disertai darah. Dilakukan pemeriksaan ultrasonography pada lower abdomen didapatkan massa dan hidronefrosis bilateral. Pasien dilakukan cystoscopy dengan pengambilan sampel biopsi. Hasil patologi anatomi menunjukan gambaran FEP. Diskusi :. Kasus tumor vesica urinaria primer jinak jarang ditemukan dan di antara tumor jinak vesica urinaria, polip fibroepitel dianggap sebagai lesi yang paling umum. Guideline konsensus dalam tatalaksana manajemen optimal tumor FEP masih jarang, saat ini eksisi melalui cystoscopy paling sering digunakan. Modalitas baru dengan menggunakan Laser baik Thalium maupun Holmium. Kesimpulan : FEP merupakan penyakit yang jarang prevalensinya tetapi tetap menjadi diferensial diagnosis pada pasien anak dengan nyeri pinggang dan hematuria.prosedur endoskopik sebagai modalitas penatalaksaan pilihan utama pada pasien FEB.

Page 34 of 53 | Total Record : 529

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