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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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Correlation of Single Breath Count Test with Peak Expiratory Flow Rate in Adult Patients Post COVID-19 Infection Marcherly Wardi; Siti Chandra Widjanantie; Heidy Agustin; Cleopas Martin Rumende; Andari Perwira Putri; Sri Wahyudati
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 2 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i2.1358

Abstract

BACKGROUND: The utilization of spirometry has garnered significant attention recently due to its potential role in transmitting COVID-19. There is a critical need for a straightforward bedside assessment capable of accurately measuring respiratory function without relying on equipment and minimizing the risk of airborne transmission. AIMS: To know the correlation between Single Breath Count Test (SBCT) values and Peak Expiratory Flow Rate (PEFR) values in adult patients recovering from COVID-19. METHOD: This study presents a cross-sectional design with consecutive subject recruitment. The SBCT was administered using a metronome, while PEFR was measured using a Mini Wright Peak Flow Meter on a sample of 38 participants, comprising 18 men and 20 women. RESULT: Statistical analysis using Pearson’s parametric correlation test revealed a significant relationship between SBCT and PEFR (p < 0.05), with a moderate positive correlation observed (r = 0.516). CONCLUSION: This research demonstrates a significant, moderate positive correlation between SBCT and PEFR in adult post-COVID-19 patients, indicating that higher SBCT values correspond to higher PEFR measurements.
Hypokalemia Correlates with Troponin levels in Moderate-Severe COVID-19 Patients, Independent to Coagulation Status Friska Anggraini Helena Silitonga; Nur Alaydrus; Andreas Arie Setiawan; Shila Lupiyatama; Charles Limantoro
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 3 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Myocardial injury is a common complication of COVID-19, often marked by elevated cardiac troponin and linked to poorer outcomes. Besides recognized causes such as viral injury, inflammation, and coagulopathy, electrolyte disturbances like hypokalemia may also increase cardiac vulnerability. SARS-CoV-2 can promote potassium loss through activation of the renin angiotensin aldosterone system, but the relationship between low potassium and troponin elevation remains unclear. Aim: To evaluate whether serum potassium levels are associated with troponin elevation in patients hospitalized with moderate to severe COVID-19, and whether this association is influenced by disease severity or D-dimer levels. Methods: Cross-sectional study of 50 adults with moderate or severe COVID-19. Serum potassium, troponin, and D-dimer were measured once during admission. Associations were tested using independent t-tests, Mann-Whitney tests, and Fisher’s exact tests, with p < 0.05 considered significant. Results: Among 50 patients (39 moderate, 11 severe COVID-19), 35 (70%) had normal potassium, 12 (24%) hypokalemia, and 3 (6%) severe hypokalemia; 9 (18%) had elevated troponin. Potassium was lower in patients with elevated troponin than in those with normal levels (3.53 ± 0.53 vs. 3.99 ± 0.58 mmol/L, p = 0.038), and potassium status was significantly associated with troponin elevation (p = 0.0401). No significant differences were detected when patients were grouped by disease severity, with potassium (p = 0.44) and troponin (p = 0.66) levels similar in moderate and severe cases. D-dimer levels were not significantly different by severity (p = 0.175) and showed no association with potassium (p = 0.24) or troponin (p = 0.91). Conclusion: In hospitalized patients with moderate to severe COVID-19, lower potassium levels were associated with elevated troponin, regardless of disease severity and without a detectable link to D-dimer status. These findings suggest hypokalemia may contribute to myocardial injury in COVID-19 and support regular monitoring and timely correction of electrolyte disturbances.
Association of Premedication before Blood Transfusion with Transfusion Reactions in Mohammad Hoesin Hospital Palembang
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 3 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i3.1363

Abstract

BACKGROUND: Premedication before blood transfusion is frequently used in clinical settings, albeit its effectiveness has not been shown. Premedication is used to stop transfusion-related fever and allergy. Unwanted or unanticipated consequences connected to the administration of unstable blood products are known as transfusion reactions. AIMS:  The aim of this study is to find out the association of premedication before blood transfusion with transfusion reactions. METHOD: This study is an observational analytic study with cross-sectional design, the data obtained from Mohammad Hoesin Hospital Palembang from January 1st, 2020 to December 31st, 2021. RESULT:  43 patients out of 73 samples did not receive premedication before the transfusion procedure, 8 patients (18.6%) experienced transfusion reactions, and 35 patients (81.4%) did not. 35 patients who received premedication, 2 patients (5.7%) experienced transfusion reactions, and 33 patients (94.3%) did not. The incidence of transfusion reactions at Mohammad Hoesin Hospital Palembang in the 2020–2021 period was not significantly associated with pre-transfusion premedication (p = 0.171). It is also not associated with blood transfusion history (p = 0.426), blood components (p = 0.793), or gender (p = 1.000). CONCLUSION:  Based on this finding, there is no significant association between premedication before blood transfusion and the transfusion reactions during period of 2020-2021 at Mohammad Hoesin Hospital Palembang.
Correlation between referral type (emergency vs scheduled) and maternal perinatal outcome in suspected placenta accreta spectrum : a retrospective cohort study in Dr.Kariadi hospital Semarang 2020-2023 Hayyina Maslikhatul Umami; Ratnasari Dwi Cahyanti; Hary Tjahjanto; Soerjo Hadijono; Julian Dewantiningrum; Very Great Eka Putra
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 1 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i1.1366

Abstract

BACKGROUND : Maternal Mortality Rate (MMR) in Indonesia at 2023 was 189 over 100.000 live births. The most popular reason for maternal death was obstetrics hemorrhage. Obstetric hemorrhage can be caused by abnormal placentation. Abdominal delivery by cesarean section has increased recently in Indonesia. Cesarean section will increase the risk for placenta accreta spectrum, which raises maternal morbidity and mortality. AIM : To analyze the correlation of emergency and scheduled referral with maternal and perinatal outcomes of suspected placenta accreta spectrum patients in Dr.Kariadi Hospital Semarang 2020 – 2023.METHODS : A cohort retrospective study performed in May 2024, involved 153 women with suspected placenta accreta spectrum were referred to Dr.Kariadi Hospital Semarang in 2020 – 2023, divided by emergency referral and scheduled referral groups. We use Placenta Accreta Index (PAI) Score and all patients who fulfilled the criteria of the placenta accreta spectrum based on FIGO to predict suspicious placenta accreta spectrum. Descriptive analysis included the base characteristics of the patients. Correlation analysis with maternal and perinatal outcomes using Chi Square analyze of SPSS 25.00 version.RESULTS : A total of 69 patients with emergency referrals and 84 patients with scheduled referrals. Mean age was 32.97, median 32(24-44), median of gestation was 3(1-6) and 3(1-9), median of gestational age was 35(22-41) and 36(32-39). The emergency referral had a higher risk for cesarean hysterectomy with OR (95%CI) 2.92 (1.51–5.67), for maternal hemorrhage with OR (95%CI) 2.34 (1.22–4.49), for blood transfusion with OR (95%CI) 6.02 (2.46–14.76), for intensive care admission with OR (95%CI) 4.39 (1.5–12.79), for prematurity with OR (95%CI) 2.56(1.32–4.92), for asphyxia with OR (95%CI) 3.41(1.56–7.47). There were significant differences between emergency and scheduled referrals for vaginal delivery (p=0.03), and perinatal mortality (p=0.04). Estimated blood loss was 1453.7± 1253.6 ml in emergency referral and 878.3 ± 823.7 ml in scheduled referral.CONCLUSION : Emergency referrals had worse maternal and perinatal outcomes than scheduled referrals for suspicious placenta accreta spectrum patients.
Full Text Volume 12 Number 1 March 2025 Kariadi General Hospital
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.v12i1.1367

Abstract

Full Text Volume 12 Number 1 March 2025
Generalized Gingival Enlargement in Young Adult with Chronic Periodontitis: A Case Report Aurelia Krisnadita; Vania Christina Budiono Bang; Johanna Kezia Prajogo; Kurnia Nisa Putri Firawan; Isniya Nosartika
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 2 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i2.1371

Abstract

BACKGROUND: Dental plaque is a natural biofilm that, if inadequately controlled, can lead to gingivitis and chronic inflammatory gingival enlargement. Persistent gingival overgrowth may impair both function and aesthetics, often requiring surgical intervention such as gingivectomy, when non-surgical treatments prove ineffective. CASE REPORT:  A 22-year-old male presented with swollen and bleeding gums. Patient reported no history of systemic diseases or the use of any specific medications. Intraoral examination revealed gingival hyperemia, enlargement, and carious lesions on multiple teeth. Despite initial treatment with scaling root planing (SRP) and oral hygiene instruction, gingival enlargement persisted. Panoramic radiography revealed additional findings, including alveolar crest resorption and impacted third molars. A four-stage gingivectomy was performed under local anesthesia, followed by postoperative care, including antibiotics (Clindamycin), analgesics, mouthwash, and strict oral hygiene maintenance. Restorative treatments and splinting of mobile teeth were also carried out. DISCUSSION:  The patient's gingival enlargement was primarily plaque-induced, further exacerbated by local factors such as dental caries. Scaling and root planing (SRP) alone proved insufficient due to the presence of fibrotic tissue, necessitating surgical intervention via gingivectomy. Postoperative healing was successful, with notable improvements in gingival contour, consistency, and oral hygiene indices. Patient education and adherence to postoperative care were crucial in achieving favorable outcomes. CONCLUSION: Effective management of chronic inflammatory gingival enlargement requires accurate diagnosis, appropriate initial therapy, and surgical intervention when indicated. In this case, staged gingivectomy, combined with comprehensive oral care, successfully restored gingival health and aesthetics, emphasizing the importance of individualized treatment planning and patient cooperation.
Hubungan Antara Jumlah Asupan Karbohidrat Sederhana dan Lemak Trans dengan Tingkat Keparahan Stenosis Arteri Koroner Berdasarkan Skor Gensini di RS Kariadi Semarang Yudhanta Suryadilaga; Sodiqur Rifqi; Sefri Noventi Sofia; Niken Puruhita; Suhartono Suhartono
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 3 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i3.1374

Abstract

BACKGROUND: Coronary artery disease accounts for 111 million (27%) out of 400 million cases of cardiovascular disease worldwide. Regular consumption of foods high in trans fats and simple carbohydrates is a major cause of increased blood lipid and glucose levels, which are key risk factors for coronary artery disease. AIMS: This researches to examine the relationship between the amount of simple carbohydrate and trans fat intake and the severity of coronary artery stenosis based on the Gensini score. METHODS: This research used a cross-sectional observational design involving 56 patients with chronic coronary syndrome who had undergone coronary angiography and were found to have stenosis in their coronary arteries. The parameters assessed included the amount of simple carbohydrate intake, trans fat intake, LDL levels, HDL levels, triglyceride levels, HbA1C levels, hs-CRP levels, oxLDL levels, and Gensini score. RESULTS: There was a significant relationship between the amount of simple carbohydrate intake and the severity of coronary artery stenosis based on the Gensini score (p=0.004), and between the amount of trans fat intake and the severity of coronary artery stenosis based on the Gensini score (p=0.02). Additionally, there was a significant relationship between trans fat levels and LDL levels (p=0.017), and oxLDL levels (p=0.014), but not with HDL, triglyceride, or hs-CRP levels (p>0.05). Confounding variables such as age, gender, socioeconomic status, body mass index, hypertension, diabetes mellitus, dyslipidemia, statin use, antidiabetic drug use, physical activity, and statin use showed no significant relationship (p>0.05). CONCLUSION: There is a significant relationship between the amount of simple carbohydrate and trans fat intake and the severity of coronary artery stenosis based on the Gensini score.
A Free-Floating Technique Simplifies Lower Face Thread Lift for Premature Lower Face Aging: An Evidence-Based Case Report Aprilia Karen Mandagie; Eviana Budiartanti Sutanto; Devina Karen Wibowo; Indra Adi Susianto
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 1 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i1.1377

Abstract

INTRODUCTION: Skin aging is a complex biological process influenced by a combination of endogenous (intrinsic) and exogenous (extrinsic) factors. A Thread Lift is a cosmetic procedure that lifts and tightens sagging tissue while enhancing facial contours, using threads made from the same material utilized in surgical wound closure. This case report aims to present a new, simplified thread lift technique available to dermatologists today, covering preventive measures, cosmetic strategies, topical and systemic therapeutic agents, and invasive procedures. CASE: A 40-years-old man, a contractor and heavy smoker who participates in outdoor sports, is frequently exposed to the sun. He has complained of sagging in the lower cheek area for the past year. A thread lift treatment was performed. On the patient's second visit, a thread lift was conducted after marking an anchoring pattern in the retaining ligament and injecting 2% lidocaine at the entry point of the lateral face area. This was followed by tumescent anesthesia using a 25G cannula along the thread lift marking. The entry point was opened using an 18G needle, and the bevel-down thread lift was inserted above the mandibular angle into the subcutaneous layer without injuring the facial muscles as per the marking. The thread lift protocol used a thread (thread 6D cog PDO threads with needles). After the thread lift is inserted into the marionette line, pull on the entry point slowly until the thread lift elevates the epidermis to the subcutaneous layer, achieving repositioning of the lower face. CONCLUSION: The free-floating Thread lift technique is an aesthetic procedure with a quick healing process and minimal side effects that help prevent premature aging, making it simple and suitable for all dermatologists to perform.
Correlation between Maximal Inspiratory Pressure and the Sit-to-Stand Test in Post-COVID-19 Patients Siti Chandra Widjanantie; Erick Ary Tjawanta; Triya Damayanti; Cleopas Martin Rumende; Andari Perwira Putri; Heidy Agustin; Erna Setiawati; Sri Wahyudati
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 3 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i3.1382

Abstract

BACKGROUND: Coronavirus Disease 2019 (COVID-19) can lead to long-lasting complications such as ongoing respiratory issues and functional impairments. Damage to the alveoli and respiratory muscles, particularly the diaphragm, may result in lower maximal inspiratory pressure (MIP) and decreased physical performance. Although prior studies have examined the connection between MIP and functional tests in various respiratory conditions, research focusing on post-COVID-19 populations, particularly in Indonesia, is scarce. AIMS:  To investigate the correlation between Maximal Inspiratory Pressure (MIP) and 30-second Sit-to-Stand (30s STS) test performance in adult post-COVID-19 patients. METHOD: A cross-sectional study was conducted at two tertiary hospitals in Jakarta, Indonesia, involving 40 adults post-COVID-19 patients aged 18–59 years. Participants underwent clinical screening, spirometry, MIP measurement using the MicroRPM device, and the 30s STS test. Pearson correlation analysis was used for normally distributed variables with significance set at p < 0.05. RESULT:  The average MIP was 79.03 ± 26.68 cmH₂O, while the mean score for the 30s STS test was 12.78 ± 2.47 repetitions. Spirometric measurements revealed an average FEV₁ of 2.23 ± 0.57 L, FVC of 2.84 ± 0.69 L, and an FEV₁/FVC ratio of 81.19%. A moderate positive correlation between MIP and 30s STS performance was identified (r = 0.515, p = 0.001). CONCLUSION: There is a significant moderate correlation between MIP and 30s STS performance among post-COVID-19 patients, suggesting that simple functional tests can be effective tools for assessing respiratory muscle strength and informing rehabilitation strategies in clinical environments.
Korelasi Kadar Hemoglobin dan Hematokrit dengan Kadar Total Iron Binding Capacity (TIBC) pada Pasien Penyakit Ginjal Kronis Galuh Ajeng Lidyaningrum; Andika Aliviameita
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 1 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i1.1387

Abstract

BACKGROUND : Chronic Kidney Failure (CKD) is a condition where the kidneys are structurally and functionally damaged characterized by a decrease in Glomerular Filtration Rate (GFR) reaching ≤ 60 ml/min/1.73m2 for more than three months. About 80 - 90% of patients with CKD experience anemia. AIMS : This research aims to determine the correlation of hemoglobin and hematocrit levels with Total Iron Binding Capacity (TIBC) levels in patients with chronic renal failure. METHOD : The research design used quantitative analysis with cross sectional method. The study used secondary data of as many as 55 respondents of chronic kidney disease patients undergoing hemodialysis. This study was conducted at the East Java Province Haji Hospital in March 2025. RESULT :  The normality test results showed that hemoglobin and hematocrit levels were not normally distributed (p < 0.05) while TIBC levels were normally distributed (p > 0.05). Kendall's tau b non-parametric correlation test there is no correlation between hemoglobin levels with TIBC (r = 0.134; p = 0.154), and hematocrit with TIBC levels (r = 0.172; p = 0.066). CONCLUSION : The results of this study showed no correlation between hemoglobin and hematocrit levels with total iron binding capacity (TIBC) levels in chronic kidney disease patients undergoing hemodialysis at Haji Provincial General Hospital of East Java .

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