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Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia

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Published by Pengurus Besar Ikatan Dokter Indonesia

ISSN : 20891067 EISSN : 26543796 DOI : http://dx.doi.org/10.47830

Core Subject : Health, Science, Education,

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

Journal Of The Indonesian Medical Association (JInMA) / Majalah Kedokteran Indonesia (MKI) adalah Jurnal yang berada di bawah naungan Pengurus Besar Ikatan Dokter Indonesia (PB IDI) dan sebagai Kanal InformasiIlmiah di Kalangan Dokter Umum dan Dokter Spesialis serta Profesi Terkait.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 442 Documents

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Faktor Risiko Pneumonia Komplikata Pada Anak Pratista Oktafia; Prananda Surya Airlangga; Ira Dharmawati; Retno Asih Setyoningrum
Majalah Kedokteran Indonesia Vol 71 No 3 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.3-2021-336

Introduction: Pneumonia causes morbidity and mortality in children worldwide. Pediatric patients with complicated pneumonia have a poor prognosis and are more at risk of death. Objective To identify risk factors for complications in pediatric patients with pneumonia. Method: This research was a case-control study, involving children with pneumonia aged 1-59 months in Dr. Soetomo in 2016-2020. The sample was divided into two groups. Patients who had complications at first admission were classified as a case group. Whereas patients without complications at first admission were classified as a control group. Samples for the case group were obtained by using total sampling method, while the control group employed random sampling technique. Data were collected from medical records and analyzed by chi-square test. Result: A total of 44 case group samples and 53 control group samples were involved during this study. Among investigated variables, male gender (OR=2,842; 95% CI, 1,24-6,49) and anemia (OR=3,283; 95% CI, 1,26-8,49) might increase the risk of complicated pneumonia. Meanwhile other variables, namely age, comorbidities, birth weight, malnutrition, and immunization status did not have a significant relationship with the incidence of complications in pneumonia patients. Conclusion: Male gender and anemia are risk of complicated pneumonia.

Pertemuan Keluarga dalam Praktik di Layanan Primer Retno Asti Werdhani; Dhanasari Vidiawati Trisna
Majalah Kedokteran Indonesia Vol 70 No 12 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.12-2020-339

From the Epidemiology Triangle, we can see that a person’s health status is influenced by 3 factors: host, agent, and the environment. The environment plays the biggest role as the cause of health problems, one of which is the family environment. Family can become a supporting factor or inhibiting factor in the successful management of patient’s cases. Therefore, a primary care physician/family physician needs to conduct family meetings to discuss and agree on solutions with the patient’s family by paying attention to inhibiting and supporting factors and find common solutions for the benefit of the patient.

Hubungan Antara Nilai Leukosit, Rasio Jumlah Neutrofil-limfosit (NLR), C-Reactive Protein (CRP) dan Prokalsitonin dengan Skor Pediatric Logistic Organ Dysfunction (PELOD-2) sebagai Prediktor Derajat Keparahan Penyakit pada Anak Sakit Kritis Rismala Dewi; Risa Imanillah
Majalah Kedokteran Indonesia Vol 71 No 1 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.1-2021-343

Introduction: Children admitted to the Pediatric Intensive Care Unit (PICU) are a vulnerable population with a high degree of morbidity and mortality. Laboratory tests such as full blood count and infection parameters were additional tests that help clinicians assess the severity of pediatric patients’ illnesses. Besides that, the PELOD-2 score, a scoring system, also helped evaluate the degree of a critical condition in children. However, the components of PELOD-2 are quite complicated and unattainable in the limited-resource healthcare facilities. We expect that the simple laboratory examinations could be an alternative to the PELOD-2 score when the score is not accessible. This study evaluates the correlation between leukocyte count, Neutrophil-Lymphocyte Ratio, CRP, and PELOD-2 score. Methods: This is a comparative retrospective study in 75 pediatric patients admitted in PICU RSCM from January 2019 to August 2020 and passed the ethical review. The exclusion criteria for this research was a patient with incomplete data. To analyze the variables independently, we used Spearman analysis. Meanwhile, to evaluate the relationship between the independent variables and PELOD-2 simultaneously, we used logistic regression. Results: Based on the Spearman analysis, this study found a significant correlation between Leukocyte count (0,059; CI:90%) and PELOD-2 score, as well as Procalcitonin (0,076; CI: 90%) and PELOD-2. The logistic regression also showed that Leukocyte count and Procalcitonin significantly correlated with the PELOD-2 score.Conclusion: Leukocyte count and Procalcitonin can be an alternative to the PELOD-2 score when healthcare facilities cannot fulfil the PELOD-2 scoring system’s components.

Pengaruh Pajanan Toluena Terhadap Gambaran Sel Spermatogonia A Rattus Strain Wistar Muhammad Ilyas Iqbal; Muchtaruddin Mansyur; Pudji Sari; Dwi Anita Suryandari; Pramudianto
Majalah Kedokteran Indonesia Vol 71 No 1 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.1-2021-349

Intoduction: Acute and chronic exposure to toluene at high doses is known to affect all organs of the body including the spermatogenesis process. In the industrial sector, the use of toluene as a solvent is still widely used, up to 10 million tons per year. The control over health problems that may occur is carried out by applying work exposure threshold values. This research aims to explore the effect of toluene exposure at the threshold value range on spermatogenesis.Method: This research used laboratory experiment on 30 male Wistar rats which were divided into five groups of different exposure levels, namely 12.5 parts per million (ppm], 25 ppm, 50 ppm, 100 ppm, and no exposure (control). Exposure was given for 4 hours daily over 14 days through a hood with measured release in the glass cage. The toluene exposure markers observed were Malondialdehyde (MDA) in the blood tissue and testicles using the Thiobarbituric Acid Reactive Substances (TBARS) method. The effect on the spermatogenicity process was assessed by counting the spermatogonia A cells of male Wistar rats with Periodic Acid Schiff (PAS) staining and is calculated by the Abercrombie formula. Analysis of the correlation between the level of exposure and its effect on the increase in malondialdehyde, and spermatogenesis was carried out using the Spearman correlation analysis.Result: There was a moderately positive correlation between levels of toluene exposure and plasma MDA levels (r = 0.42; p = 0.025). Meanwhile, on [the issue of] the quantity of spermatogonia cells, a high level of negative correlation with exposure levels was obtained (r = -0.68; p = 0.001).Conclusion: Toluene exposure in male Wistar rats within the range of threshold values influenced the increase in plasma MDA levels and decreased the Spermatogenia A cells. However, toluene exposure did not affect the testicular MDA levels of male Wistar rats.

Hubungan Peer Tutoring dengan Nilai Keaktifan Tutorial pada Mahasiswa Fakultas Kedokteran Universitas Islam Indonesia Angkatan 2015 Pratama, Yanasta Yudo; Cahyaningrum, Yeny Dyah; Nurmasitoh, Titis
Majalah Kedokteran Indonesia Vol 71 No 1 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.1-2021-351

Introduction: The method to improve learning achievement is peer tutoring method. Students can grow and increase their interest in learning, so that the learning materials in the tutorial can be easily understood. By increasing student interest in learning, student learning success will be achieved. The problem raised in this study is how the peer tutoring method influences the results of tutorial activeness.Research Objectives: Knowing the participation of peer tutoring on the value of the activity of the “Blok Masalah Pada Anak” tutorial on the students of Faculty of Medicine UII Force 2015.Methods: The experiments were quasi experimental research. This research design uses posttest only with control design. A total of 40 research subjects came from 2 different groups. The ratio of the control group to the treatment group was 1: 1. The control group was a group that was not given peer tutoring and the treatment group was a group given peer tutoring. Data analysis using Independent T Test.Results: There was no difference in scores of scenario 6 activation score in the control group and treatment group with p value 0.704 and 95% CI interval between -9.79 to 4.79 (past 0.)Conclusion: There is no relationship of peer tutoring with the score of the activity of tutorial block Problems In Children at the Faculty of Medicine, Universitas Islam Indonesia batch 2015.

Vitamin D and COVID-19: Insight on Mechanism and Implementation in Equatorial Countries Setyarini, Indah Bachti; Ratna, Nurul; Mudjihartini, Ninik
Majalah Kedokteran Indonesia Vol 71 No 2 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.2-2021-354

Coronavirus disease 2019 (COVID-19) is a global pandemic caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection, affecting millions of people worldwide due to its ease of transmission. Despite limited information on effective therapeutic options, vitamin D has been regularly reported to exert beneficial immunomodulatory effects affecting both innate and adaptive immune systems. As it is synthesized in the skin under ultraviolet radiation, population living in equatorial countries are presumed to have adequate vitamin D, however several studies have shown otherwise. This article is aimed to give an insight on the different mechanisms by which vitamin D affects our immune system in COVID-19, as well as discussing correlation of having sunlight all year round by being near the equator towards vitamin D adequacy.

Hubungan antara Skor Beighton dan Usia Berjalan pada Anak Kurniawati, Lavenia; Wardhani, Indrayuni Lukitra; Rochmah, Nur; Sulistiawati, Sulistiawati
Majalah Kedokteran Indonesia Vol 71 No 1 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.1-2021-355

Introduction: Studies showed that the condition of joint hypermobility is quite common in children. In general, joint hypermobility asses through the Beighton score method. The objective of this research was to investigate the relationship between beighton score and walking age in children.Method: This research was conducted at a kindergarten in Surabaya using an observational analytic research type and a cross-sectional design. Data collected through interviews and physical examinations. A joint hypermobility examination performed using the Beighton score criteria. Meanwhile data was analyzed using the crosstabulation and Spearman test.Result: It was found that 84% of children had ≥4/9 score on the Beighton score and there were 92% with positive Beighton score in the knee joint. In this study, as many as 20 children experienced the first independent walks over 18 months when 18 of them who has Beighton score ≥4 points. However, there is no correlation found on the Beighton score and the walking age [sig. (2-tailed) = 0.053].Conclusion: Children who have ≥4 points of Beighton score are mostly found in this study. The relationship between the Beighton score and walking age was not statistically significant.

Kadar Gula Darah dan Keparahan COVID-19 pada Pasien Diabetes Melitus di Ruang Rawat Intensif: Serial Kasus Audita, Fatira Ratri; Hapsari, Arini Ika; Nadhira, Andi Marsa; Aini, Muhammad Hafiz
Majalah Kedokteran Indonesia Vol 71 No 5 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.5-2021-358

Introduction: The severity of coronavirus disease 2019 (COVID-19) ranges from mild flu to respiratory distress and death. Diabetes mellitus (DM) is considered as one of the risk factors for infection susceptibility and disease severity. This case series reports the clinical features, ancillary test findings, and mortality in patients with severe COVID-19 and DM.Case Illustration: This study reports three female patients, aged 50-68 years old, with severe COVID-19 and DM whom were hospitalized in intensive care unit from April to July 2020. Two patients presented with hyperglycemia upon admission. During hospitalization, two patients tended to be hyperglycemic, while the other one had more episodes of hypoglycemia. Two patients suffered from hospital-associated pneumonia and acute kidney injury throughout hospital stay. One patient passed away.Discussion: All patients had fluctuating general condition and unstable blood glucose levels during hospitalization. One patient passed away due to respiratory distress, while the other two were discharged after their general condition improved. Hyperglycemic and hypoglycemic states in DM patients are proposed to play a role in the severity of COVID-19 infection.Conclusion: DM may aggravate COVID-19 infection. Initial normal blood glucose levels upon admission does not guarantee good prognosis; therefore, blood glucose control in COVID-19 patients remains extremely crucial.

Peran Saturasi Oksigen Serebral yang Diukur Menggunakan Near-Infrared Spectroscopy (NIRS) dalam Mengevaluasi Luaran Resusitasi pada Anak dengan Renjatan Yuniar, Irene; Shadrina, Arifah Nur
Majalah Kedokteran Indonesia Vol 71 No 4 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.4-2021-367

Shock in children remains public health importance and causes significant morbidity and mortality worldwide. Hypoperfusion in shock results in decreased oxygen delivery to the tissues, causing a shift from more efficient aerobic pathways to anaerobic metabolism, which results in lactate as the end product. Unlike blood lactate measurement, near-infrared spectroscopy (NIRS) monitoring system is safe and easy to use in measuring tissue oxygenation non-invasively. However, NIRS monitoring has yet to be validated against a standard measure of regional oxygenation. The primary objective of this article is to review the role of cerebral oxygen saturation (rSO2) measured by NIRS in evaluating the outcome of pediatric shock resuscitation.

Nilai Agilitas pada Atlit Sepakbola di DKI Jakarta Regie Santoso; Tirza Z Tamin
Majalah Kedokteran Indonesia Vol 71 No 3 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.3-2021-368

Introduction: Agility score is important in setting the rehabilitation’s goal of injured athlete. More agility requirement needs more rehabilitation effort. The aim of this study is to measure the agility score of junior soccer athletes in Jakarta and compare the agility score based on athlete’s playing positions. Methods: Agility score of 65 junior athletes measured using T-Agility test. Subjects categorized based on playing positions which are defender, midfielder and forward. Mean agility score of each group was then compared. Data analyzed using descriptive analysis and one-way annova. Results: The mean agility score is 10.89 ± 0.47 seconds. The mean agility score in defender is 11.02 ± 0.51, midfielder 10.79 ± 0.41 and forward 10.73 ± 0.47. No significance statistical difference between the three groups (p=0,70). Conclusion: Agility score of junior soccer athletes in Jakarta using the T-Agility test is 10.89 ± 0.47 seconds and may illustrate the risk of sport injury. The forward soccer player has higher agility score compared to the midfielder and defender.

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Editorial Address Jl. Dr. G. S. S. Y Ratulangie No. 29, Menteng, Jakarta Pusat 10350

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Contact Name
Ferius Soewito

Contact Email
-

Phone
+6221-31937910

Journal Mail Official
jinma_mki@idionline.org

Editorial Address
Jl. Dr. G. S. S. Y Ratulangie No. 29, Menteng, Jakarta Pusat 10350

Location
Kota adm. jakarta pusat,

Dki jakarta

INDONESIA