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Contact Name
Aziz Alfarisy
Contact Email
medicahospitalia@rskariadi.co.id
Phone
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Journal Mail Official
medicahospitalia@rskariadi.co.id
Editorial Address
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Location
Kota semarang,
Jawa tengah
INDONESIA
Medica Hospitalia
ISSN : 23014369     EISSN : 26857898     DOI : https://doi.org/10.36408/mhjcm
Core Subject : 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 595 Documents
Benefits of Topical Avocado Oil in Improving Skin Moisture: A Study in Atopic Dermatitis Patients Pramitasari, Yuniar Dian; Muslimin, Muslimin; Afriliana, Liza
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 2 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i2.1473

Abstract

BACKGROUND : Atopic dermatitis is a chronic skin condition characterized by recurrent flare-ups that impair skin barrier function and significantly affect patients’ quality of life. One of the key strategies in managing atopic dermatitis is to strengthen and maintain the skin's barrier function while reducing inflammation commonly achieved through the use of moisturizers such as petrolatum. However, petrolatum has several drawbacks, including a thick consistency that makes it difficult to apply, a greasy and shiny appearance, and the potential to cause follicular occlusion. As an alternative, avocado oil offers promising benefits due to its non-comedogenic properties and non-greasy finish. AIM :  To determine the difference in effectiveness between avocado oil and petrolatum in improving skin moisture. METHOD : This study is a single-blind randomized clinical trial using a two-parallel group pre- and post-test design. Samples were selected using consecutive sampling. The treatment was applied to the right and left forearms of patients with non flare-ups atopic dermatitis. RESULT :  The variable of user complaints was statistically significant in the general characteristics, with a p-value of <0.05. The TEWL (Transepidermal Water Loss) score for topical avocado oil showed a significant difference compared to petrolatum, with a p-value of <0.001. CONCLUSION : A greater reduction in TEWL (indicating improved skin moisture) was observed with the application of 100% topical avocado oil in patients with non flare-ups atopic dermatitis, compared to the use of 100% topical petrolatum.
From Eyeball to Exact: A Meta-Analysis of an Innovation in Episiotomy with Angle-Guiding Devices Hakim, Surahman; Bimanugraha, Bimanugraha; Hadinata, Valencia; Kadarusman, Adib Kamil Putra; Mardhiyah, Tha’atam
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 2 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i2.1474

Abstract

BACKGROUND: Episiotomy is a surgical incision performed to enlarge the vaginal outlet during childbirth, but an inaccurate mediolateral angle may increase the risk of obstetric anal sphincter injury (OASIS). SCOPE: This systematic review focused on randomized controlled trials evaluating dedicated angle-guiding devices for mediolateral episiotomy, including Episcissors-60, Episioguide, and the Episiometer. AIMS: To compare guided episiotomy devices with conventional eyeball technique in achieving appropriate episiotomy angles and reducing OASIS. METHOD: A systematic search of PubMed, ScienceDirect, and Wiley was conducted according to PRISMA 2020 principles. Eligible studies included women undergoing vaginal birth in whom a guided device was compared with conventional scissors or routine practice. The primary outcome was post-suture episiotomy angle. Secondary outcomes were OASIS incidence, incision characteristics, pain, practical limitations, and risk of bias. RESULT: Four randomized controlled trials involving 543 participants were included. Guided devices produced higher post-suture episiotomy angles than conventional technique (standardized mean difference 0.88, 95% CI 0.69-1.06; Z = 9.33; P<0.00001), slthough heterogeneity was substantial (I2=97%). Based on the pooled contingency table, OASIS was more frequent in the eyeball group than in guided group (OR 4.85, 95% CI 1.38-17.07; P-=0.0069) CONCLUSION: Angle-guiding devices may improve episiotomy angle accuracy and may reduce OASIS risk, but the evidence remains limited by few trials, sparse OASIS event, indirect comparisons between devices, and substantial heterogeneity.
Prolonged P-wave Dispersion Increases Risk of Perioperative Atrial Fibrillation After CABG Surgery Yuwono, Jiauw, Davinarta; Ardhianto, Pipin; Bahrudin, Udin; Uddin, Ilham
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 2 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i2.1475

Abstract

BACKGROUND : Postoperative Atrial Fibrillation (POAF) is a secondary Atrial Fibrillation caused by cardiac surgical intervention, especially Coronary Artery Bypass Graft (CABG) Surgery. P-wave dispersion (Pdis) represents the difference between the maximum and minimum P-wave durations obtained from a standard 12-lead ECG. P-wave dispersion is considered a non-invasive ECG marker of atrial remodeling and may predict the occurrence of atrial fibrillation. AIMS : This study analyzes the association between P-wave dispersion and Perioperative Atrial Fibrillation after Coronary Artery Bypass Graft Surgery. METHOD : This was an observational, analytic study with a retrospective design. The total number of subjects was 48 patients, divided into the POAF group (n=24) and no POAF group (n=24). Demographic data and preoperative ECG records were obtained from the patient's medical records. The significance of P-wave dispersion was analyzed using independent t-test and logistic regression. The Receiver Operating Characteristic (ROC) test was used to define cut-off values, sensitivity, and specificity of P-wave dispersion. RESULT : The total number of subjects in this study was 48 patients, consisting of 43 men and five women. The mean age of the patients was 57.85 ± 5.83 years. The mean P-wave dispersion was higher in patients who experienced POAF (64.97 ± 13.21 vs. 50.55 ± 7.14; p<0.001). P-wave Dispersion was significantly associated with the incidence of POAF (p<0.001; cut-off 55.65 ms; OR 9.00; 95% CI 2.437-33.244). CONCLUSION : P-wave Dispersion is significantly associated with Postoperative Atrial Fibrillation. P-wave dispersion value greater than 55.65 ms increases the risk of POAF after CABG by 9-fold.
Treatment with Platelet-Rich Plasma: an Evidence Based Case Report of Leprosy Ulcers Muslimin, Muslimin; Banundari, Rachmawati; Kabulrachman, Kabulrachman
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 2 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i2.1493

Abstract

Introduction: Leprosy foot ulcers occur in patients with leprosy-related neurological disorders and are classified as grade 2 disabilities. These chronic, non-healing ulcers represent a significant clinical challenge. Platelet rich plasma (PRP) application has emerged as a breakthrough treatment. Case  report: Two females (aged 48 and 58) with multibacillary leprosy presented with chronic midfoot ulcers persisting for 16 and 24 weeks. At baseline, ulcer areas were measured and biopsies were performed to assess TGF-β1, PDGF, and collagen density. Follow-up measurements for biomarkers occurred on day 13, and ulcer area was reassessed on day 41. Discussion: Both patients received standard therapy plus PRP, resulting in reduced ulcer area, increased TGF-β1, and higher collagen density. PDGF levels increased in one patient but decreased in the other. PRP promotes epithelial and endothelial cell proliferation during neovascularization and stimulates extracellular matrix synthesis. Furthermore, it modulates the inflammatory response, facilitating tissue regeneration by balancing the immune system. Conclusion: Combining standard therapy with PRP shows strong potential for healing chronic leprosy ulcers. Results demonstrated reduced ulcer area, increased TGF-β1, and improved collagen density, though PDGF levels remained inconsistent
Full Text Volume 13 Number 2 July 2026 Hospital, Kariadi General
Medica Hospitalia : Journal of Clinical Medicine Vol. 13 No. 2 (2026): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v13i2.1539

Abstract

Full Text Volume 13 Number 2 July 2026