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Medica Hospitalia
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 584 Documents
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The Association between Waist-Hip Ratio and Body Fat Composition, and Metabolic Syndrome: A Study at RSUP dr. Kariadi Reza Aditya Afriansyah; Kristophorus Hery Nugroho Hario Seno; Aryu Chandra; Dwi Ngestiningsih
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1156

Abstract

Background: Metabolic syndrome, which is a collection of symptoms which are usually include of hypertension, hyperglycemia, dyslipidemia, and central obesity, has various fatal complications. Fat composition is known to have a close relationship with complications of metabolic syndrome. However, measurement of fat usually requires expensive tools and methods. Meanwhile, anthropometric indicators such as waist-to-hip ratio (WHR) have links with metabolic syndrome and central obesity. This study examines whether there is a significant relationship between WHR and body fat composition in patients with metabolic syndrome. Objectives: This study examined relationship between WHR and body fat composition as described in fat percentage, fat mass, visceral fat rating, and degree of obesity in patients with metabolic syndrome. Methods: Cross-sectional observational analytic study was conducted on 51 metabolic syndrome patients at Endocrine Polyclinic, RS dr. Kariadi. Respondents filled out informed consent and questionnaires and measured WHR and body fat composition using Tanita scales. Data analysis was performed by univariate test and bivariate test (Pearson test, Spearman test, or Mann-Whitney test). Results: There is a weak significant negative correlation between WHR and body fat percentage (p = 0.023; r = -.0.318). There is no correlation between WHR and fat mass (p=0.312). There is a weak positive significant correlation between WHR and visceral fat rating (p=0.001; r=0.441). And there is no correlation between WHR and the degree of obesity (p=0.785). Conclusion: WHR has a weak significant correlation with body fat percentage and visceral fat rating in NCEP ATP III metabolic syndrome patients.
Case Report : Rehabilitation Intervention in Improving Infant’s Oromotor Skill and Body Weight Merliana Sari Situmeang; Ida Ayu Diana J.S
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1174

Abstract

Introduction Preterm birth rates are still very high. Global data found that preterm babies occurred in 11% of all live births. A recent study showed that more than 25% of neonates baby born between 28 and 32 weeks of gestation, developed disorders condition at the age of two, and this ratio reached 40% at the age of ten. Preterm infants had higher risk of poor motoric skills, such as subtle deficits in eye-hand coordination, sensory-motor integration, manual dexterity, and gross motor skills that lead to poor feeding skills and neuromotor development delay. Therefore, interventions need to be done to optimize growth and development. Case A 10-day-old male infant consulted by the Medical Rehabilitation department due to feeding difficulty and low birth weight. At 10 days old, the patient weighs 1550 grams, length 44 cm, head circumference 31 cm, and the non-nutritive scoring (NNS) was 45. The patient was given proper positioning, oral motor stimulation (OMS) with the Fucile method for 1 week in the hospital and the treatment continue at home. After 2 weeks of intervention, the infant’s body weight increased to 2010 grams, body length 45 cm, head circumference 32 cm, and the non-nutritive scoring (NNS) became 86. Conclusion Oral motor stimulation improves oral motor skills such as sucking and swallowing reflexes in infants without organ abnormalities thus optimized good oral feeding ability and weight gain acceleration.
Gait Analysis of Ankle Joints of Indonesians at Low, Medium and High Speeds Robin Novriansyah; Jason Reynald Hadi; Yuriz Bakhtiar; Amin Husni; Rifky Ismail
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1175

Abstract

Background : Amputation is a loss of body part, and most amputations are lower extremity amputations. The most common is transtibial amputation. After an amputation a person will need a prosthesis. However, up to now there has been no functional prosthesis specifically made for Indonesians who undergo transtibial amputation because the ankle joint gait data that are currently used are European gait data. So it is necessary to measure the normal gait data of Indonesians' ankle joint. The aims of this study was to measure the normal gait data of the ankle joint of Indonesian population Methods : The Research sample is Indonesians aged 18–26 years with normal gait measured by the 2DMA (two-dimensional motion analyzers) at low, medium and high speeds. The resulting data is searched for the mean and standard deviations and then an independent t-test is performed between normal gait data of Indonesians and Europeans Results : Indonesians have a range of maximum dorsiflexion values for low, medium, and high speeds of : 7.9°, 8.3°, 8.9° and maximum plantar flexion for low, medium, and high speeds of 13.4°, 20.6°, 26°. In the comparison test there was a significant difference between the maximum plantar flexion angle of Indonesians and Europeans. Conclusion : Indonesians have a range of maximum dorsiflexion values for low, medium, and high speeds of 7.9°, 8.3°, 8.9° and maximum plantar flexion for low, medium, and high speeds of: 13.4°, 20.6°, 26°. There is a difference between the normal gait of the ankle joint of Indonesians and Europeans.
Anthropometric Study of the Relationship Between Tibia Length and Height Ethnic Papuans Frollivia Adolina Meiselin Iwanggin; Indra Harianto Rante
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1177

Abstract

BACKGROUND : Height is an important main characteristic in the forensic anthropological identification process to determine the identity of a person. Estimating height based on the length of long bones such as the tibia, fibula, ulna, and humerus is one method that is widely used because it has a good correlation. This study was conducted to determine the relationship between tibia bone length and height in students of the Medical Education Study Program, Faculty of Medicine, Cenderawasih University who are indigenous Papuan. METHOD : This study applied correlative analytic method with a cross sectional approach. The research sample was students of the Medical Education Study Program at Cenderawasih University in 2020-2023. The tibia bone length was measured using a metline and height was measured using a microtoise directly on the research subject. Data were analysed with Pearson test. RESULT : Fifty-five subjects (25 males, 30 females), and found male height of 161.060 cm, a female height of 153.000 male tibia bone length of 26.620 cm, and a female of 34.170 cm. CONCLUSION : There was a relationship between tibia length and height with the results of the Pearson test obtained P value = <0.001
A Case Report of Female Systemic Lupus Erythematosus and Cerebral Lupus as The Complication : Diagnosis and Treatment Stefani Irene Darmanto; Sherina Ayu Pitaloka; Silvia Reynata Fauzia; Sonia Kartika Ayu; Soraya Nur Fajrina; Hendrata Erry Andisari; I Wayan Suryajaya
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1178

Abstract

BACKGROUND : Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that affects multiple systems in the body. Because clinical manifestations can appear in different organs, the complications are diverse and can be quite severe, one of which is cerebral lupus or neuropsychiatric systemic lupus erythematosus (NPSLE). It includes neurological and psychiatric syndromes in SLE patients where other causes have been ruled out. We reported a case of SLE manifestation with cerebral complication involvement. AIMS : This case report aims to provide insights and expect to offer an understanding into the clinical presentation, diagnosis, and management of a patient with cerebral lupus. CASE PRESENTATION : 18-year-old Indonesian woman with complaint of sudden seizure was referred to the Emergency Unit of Dr. Ramelan Naval Central Hospital Surabaya. She had previously been diagnosed with SLE back in 2022 and consistently does a monthly checkup in the internal medicine clinic at Dr. Ramelan Naval Central Hospital Surabaya. Initial examinations revealed signs of infection, slight electrolyte imbalances, and a flare phase of SLE, but no abnormalities in imaging tests. She received initial treatments of loading phenytoin along with mecobalamin injection, vitamin B6, methamizole, and cefobactam. Over the course of her hospital stay, with no further seizures, she was discharged with medication for continued treatment and a scheduled follow-up. CONCLUSION : This case of cerebral lupus is rare. SLE can damage the blood brain barrier (BBB), causing neuropsychiatric complications.
The Effect of Standardized Mangosteen Skin Extraction, Nano-emulsion, Nano-chitosan and Treadmill Exercise on Atherogenic Rat Model Andreas Ari Setiawan; Agung Priyono; Gabriela Rolanda; Yoannesviane Eric Pratama
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1182

Abstract

Background: Atherosclerosis, the most common cause of CVD, is associated with oxidative stress and cholesterol. Antioxidant and regular physical exercise have been considered as the probable interventions to dampen the process. The pericarp of mangosteen (Garcinia mangostana Linn) is known for containing a high amount of xanthones including α-mangostin with antioxidant effects. The current study investigates the anti-atherogenic potential of mangosteen skin extract in nano-emulsion and nano-chitosan formulations, singly and in combination with treadmill exercise, versus the statin, Atorvastatin. Methods: A randomized controlled trial was conducted on 30 male Wistar rats, divided into six groups: normal diet control (C1), atherogenic diet control (C2), and four treatment groups receiving an atherogenic diet plus treadmill exercise combined with Atorvastatin (T1), standardized mangosteen extract (T2), mangosteen nano-emulsion (T3), or mangosteen nano-chitosan (T4). The aortic tunica intima and tunica intima-media thickness were measured histologically after 56 days. Results: The aortic intimal thickness was noticeably higher in the atherogenic diet group (C2: 12.13±1.87 mm) compared to the normal diet group (C1: 4.27±0.75 mm). In the treatment groups, the intimal thickness ranged from 2.97±0.45 mm to 4.17±1.70 mm and showed no significant differences from the normal diet group. A similar pattern was seen in the intima-media thickness, with 145.63±17.12 mm recorded for the normal diet group and values ranging from 106.90±10.41 mm to 135.90±12.63 mm in the treatment groups, again without significant differences. Survival analysis using Kaplan-Meier curves showed clear differences between the groups (p < 0.001). The untreated atherogenic diet group (C2) had the poorest survival, with no rats surviving until the study's conclusion. In contrast, survival improved in all treatment groups, with the Mangosteen Nano-chitosan (T4) group and the normal diet group (C1) achieving the best outcomes, as all rats in these groups survived. Conclusion: Mangosteen skin extracts, whether in nano-emulsion or nano-chitosan forms, combined with treadmill exercise, showed significant differences in maintaining the survivability of rat with atherogenic-induced diet despite no significant differences in preventing atherogenesis compared to Atorvastatin or a normal diet. Further research is needed to confirm these potential therapeutic effects.
Correlation between Urine Albumin Creatinin Ratio (UACR) Value to Urine Osmolality Value and Estimate Glomerular Filtration Rate (EGFR) Value on Patient with Kidney Failure Lisa Anis Fadilatin; Andika Aliviameita
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1184

Abstract

Background : Kidney failure is one of the causes of death in the world. Laboratory tests related to kidney function are very important in the management of patients with kidney failure because they are useful in identifying any decline in kidney function, monitoring treatment and progression of kidney disease. The urine albumin creatinine ratio (UACR): is related to assess the protein filtration function in the glomerulus. The urine osmolality is to assess pre-renal, renal and post-renal hemodynamic status. The estimated glomerular filtration rate (EGFR) is to assess overall glomerular function. EGFR is the gold standard. The aim of this research is to determine 1). The correlation between UACR value to urine osmolality value, 2). The correlation between UACR value to EGFR value. Patient with kidney failure is the independent variable, meanwhile UACR value, urine osmolality value and EGFR value are dependent variables. Methods : This study is a quantitative study with analytical observations through a cross sectional design using 30 sample patients with kidney failure either acute kidney injury (AKI) or chronic kidney disease (CKD). This study was conducted from May to June 2024 at the Central Laboratory Installation of Dr. Saiful Anwar Hospital, East Java Province. UACR and EGFR examination used the principle of photometric test while urine osmolality examination used the principle of electrical conductivity. The data were analyzed using the Shapiro-Wilk normality test and the Spearman non-parametric correlation test through SPSS 27. Results : In the normality test results, it was found that UACR and EGFR values were not normally distributed (p = <0.001) while urine osmolality values were normally distributed (p = 0.523). Spearman's non-parametric correlation test showed that there was no correlation between UACR to urine osmolality (p = 0.342) and EGFR value (p = 0.481). Conclusion : The results of this study showed no correlation between UACR value to urine osmolality value and EGFR value in patients with kidney failure.
Effectiveness of Cognitive Behavior Therapy in Enhancing Self-Esteem Among Schizophrenia Patients at Dr. Soeharto Heerdjan Psychiatric Hospital, Jakarta in 2024 Diah Sukaesti Hendraswantoro; Lilis Komalasari; Anita Sukarno
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1192

Abstract

BACKGROUND : Schizophrenia patients often experience low self- esteem which requires modality therapy, one of  modality therapy for the  patients with mental disorders is cognitive behavioral therapy (CBT). AIMS :  The aim of this research is to determine the effectiveness of cognitive behavior therapy in increasing self-esteem. and abilities in Schizophrenia patients. METHOD : This research method is quasi-experimental with one group pre-post design with control. The data was analyzed by Paired t test. The research was conducted in one hospital on 50 control patients and 50 intervention patients. RESULT :  The research results showed that cognitive behavior therapy significantly reduced signs and symptoms in clients with low self-esteem (P-value ≤ 0.05 ). The comparison of self-esteem scores in the intervention group was significantly higher compared to the control group (P-value ≤ 0.05 ). CONCLUSION : Conclusions and suggestions: Cognitive behavior therapy is effective for patients with low self-esteem because it can increase self-esteem and abilities in patients with schizophrenia.  Future researchers should conduct research using cognitive behavior therapy without providing psychotherapy.
Full Text Volume 11 Number 3 November 2024 Kariadi General Hospital
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1291

Abstract

Full Text Volume 11 Number 3 November 2024
The Correlation Between Folic Acid Supplementation And Change In Cognitive Function In Elderly (A Study of The Effect of Folic Acid Supplementation on Homocysteine Levels) Adinda Putri Larastiti; Hexanto Muhartomo; Amin Husni; Endang Kustiowati; Herlina Suryawati; Arinta Puspita Wati
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 1 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i1.985

Abstract

Background: A good cognitive function is one of the things that affect the quality of life of the elderly. Decreased cognitive function in elderly can be caused by physiological or pathological processes. Increased homocysteine is one of risk factors associated with decreased cognitive function. Folic acid supplementation has been shown to reduce homocysteine levels. The aim: To know the relationship between folic acid supplementation and change in cognitive function in elderly. Methods: This research is a quasi-experimental study at Pucang Gading Nursing Home, Semarang. A total of 30 subjects were divided into 2 groups, namely 15 treatment subjects (given folic acid supplementation 1 mg/24 hours) and 15 control group subjects (given placebo), 1 subject dropped out due to death. The study was conducted for 12 weeks, assessment of homocysteine level and cognitive function (with MoCA Ina) was carried out before and after the study. Results: There was no relationship between folic acid supplementation and changes in homocysteine level (p 0.322). There is a relationship between folic acid supplementation with change in cognitive function in elderly (p 0.000). There is a relationship between changes in homocysteine level and  global change in cognitive function in elederly (p 0.018), Conclusion: There is a significant relationship between folic acid supplementation and change in cognitive function in elderly.

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