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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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Efektivitas Penyampaian Informasi Dan Pengetahuan COVID-19 di Universitas Malikussaleh Akbar, Teuku Ilhami Surya; Siregar, Sarah Rahmayani; Sayuti, Muhammad; Jannah, Cut Miftahul
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.71.2-2021-582

Introduction: A communicative approach that is educative in nature is a strategy carried out by the Unimal Covid 19 task force in carrying out its duties. The communication media used so far are the use of unimal official social media accounts, websites, Instagram, Facebook, as well as dissemination of information through the assistant deans of student affairs in each study program to ensure the information to be conveyed can be conveyed. Method: The sampling technique used purposive sampling technique. This type of research is a descriptive study with a cross sectional survey design. The samples in this study were all active lecturers and students who filled out questionnaires through the Google Form application in July - December 2020. Result: The sample in this study amounted to 434 samples (58 lecturers and 376 students). The results showed that the information on COVID-19 was received quite effectively. This is indicated by the percentage of respondents' answers that 80,8% have received COVID-19 information and for the respondents' knowledge is good, which is shown by the percentage of respondents' answers, namely 87.5% who understand how to prevent and spread COVID-19. Conclusion: The percentage of receiving information and knowledge about COVID-19 by lecturers and students of Unimal is effective and good, this is indicated by 80,8% and 87.5% of respondents have received information and understand how to prevent COVID-19 at Unimal. This success is inseparable from the communication media used by the COVID-19 Task Force. Communication media is the main point that attracts the attention of every individual, especially in the process of disseminating information.

Efektivitas Kamar Ultraviolet Germicidal Irradiation (UVGI) Rumah Sakit Cipto Mangunkusumo untuk Disinfeksi Respirator N95 di Pandemi COVID-19: Studi Pendahuluan Restuti, Ratna Dwi; Priyono, Harim; Saleh, Rangga Rayendra; Sriyana, Ayu Astria; Yusuf, Prasandhya Astagiri; Airlangga, Tri Juda; Prayitno, Ari; Sitohang, Gortap; Arman, Fitri; Priyanto, Suko Dwi
Majalah Kedokteran Indonesia Vol 72 No 1 (2022): 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.72.1-2022-583

Introduction: During the COVID-19 pandemic, where the disease might spread in a medical facility setting, the common problems found in every country is the shortage of personal protective equipment (PPE) for medical personnel – especially the disposable N95 respirators. Thus, a higher amplitude to disinfect and reuse N95 is urgently needed. In this study, we designed an effective and safe disinfection methods through an Ultraviolet Germicidal Irradiation (UVGI) chamber in Dr. Cipto Mangunkusumo Hospital to control the shortage of PPE by disinfecting and reusing disposable N95 respirators. Purpose: To evaluate the dosage and effectiveness of UV-C radiation for disposable N95 respirators disinfection in our designated UVGI chamber. Methods: This study used a cross-sectional design to determine the dose and the effectiveness of UV-C radiation in eradicating SARS-CoV 2 on disposable N95 respirators. Results: Using two different distances from the light source, we confirmed the inverse square law of UV-C radiation power. Irradiation for 2 hours with a radiation dose of 1080 mJ/cm2 resulted in undetected SARS-CoV-2 gene based on PCR examination in 10 out of 10 samples. Conclusion: This UVGI chamber is a potential solution for hospitals or medical facilities to overcome the limitations that occurred in the pandemic by disinfecting PPE.

Domain Stresor dan Hubungannya dengan Stres pada Mahasiswa Kedokteran di Masa Pandemi Covid-19 Prasetyo, Juan Alexsandra; Hidayat, Jenny; Surilena, Surilena; Widjaja, Nelly Tina
Majalah Kedokteran Indonesia Vol 72 No 6 (2022): 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.72.6-2022-585

Introduction: Medical students are a vulnerable population to develop mental health problems particularly during Covid-19 pandemic. During the learning process, a lot of stressors may cause stress. Method: A cross-sectional study was done on 796 medical students. Measuring instruments used were respondent characteristic questionnaire, MSSQ to measure stressor domains, and DASS-21 to measure stress. All clinical and preclinical students of School of Medicine and Health Sciences Atma Jaya Catholic University of Indonesia were included and those who refused to participate were excluded. Data analysis was done univariate, then bivariate with Spearman’s Rank correlation test. Result: Among respondents, 48.7% were stressed. Stressor domains reported to caused high stress were academic, teaching and learning, and group activities. Stressor domains reported to caused moderate stress were interpersonal and intrapersonal, social, and drive and desire. Overall, academic stressor was the most common finding. Stress was reported on 52.8% female and 40.2% male respondents. Stress was reported on 53.0% preclinical and 37.0% clinical students. There were positive and significant correlation between all stressor domains and stress (p less than 0.01, rs = 0.387 – 0.481). Conclusion: All stressor domains were significantly correlated to stress in medical students.

Korelasi Feritin dengan Sitokin Proinflamasi pada Pasien Talasemia Beta Di Kota Samarinda Kalimantan Timur Aminuddin, Muhammad Fahmi; Darmawan, Anton Budhi; Rujito, Lantip
Majalah Kedokteran Indonesia Vol 72 No 2 (2022): 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.72.2-2022-608

Introduction: Ferritin is a routine parameter used in the evaluation of iron overload in thalassemia patients. Excess iron causes the formation of ROS, resulting in an oxidative reaction that triggers inflammation. This study aims to determine the correlation of ferritin levels with proinflammatory cytokines in beta thalassemia. Methods: A cross-sectional analytical study was conducted on 33 beta thalassemia patients who received routine blood transfusions at I.A. Moeis Samarinda. Spearman rank correlation test was used to determine the correlation between ferritin and TNF-α and IL-6. Results: The results of this study showed that there was no relationship between ferritin and TNF- (p=0.580) and IL-6 (p=0.924). Meanwhile, there was a significant relationship between TNF- and IL-6 (p less than 0.0001) which had a strong positive correlation (r=0.621). Conclusion: This study showed that there was no correlation between ferritin levels with TNF-α and IL-6. Meanwhile, proinflammatory cytokines showed a correlation between TNF-α and IL-6 in thalassemia patients in Samarinda City.

Pengaruh Model Edukasi terhadap Peningkatan Pengetahuan Masyarakat tentang Penyakit Ginjal Kronik Vitarani Dwi Ananda Ningrum; Rahma Yuantari; Dian Medisa; Irwan Nuryana Kurniawan
Majalah Kedokteran Indonesia Vol 72 No 1 (2022): 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.72.1-2022-611

Introduction: Chronic kidney disease (CKD) is a global health problem with consistently increasing prevalence and incidence, poor prognosis, and high cost. CKD ranks third in funding in Indonesia, reaching IDR 2.3 trillion/year in 2018. Integrated Guidance Post (Posbindu) program affiliated to PHC (Puskesmas) with community cadres has been launched as a community empowerment effort to suppress CKD incidence. This study aimed to strengthen the capacity of Posbindu cadres as the health driving force about CKD to encourage public awareness of CKD risk factors. Method: This quasi-experimental study with one group pretest-posttest design compared four education models for Posbindu cadres in four PHC in Yogyakarta to improve their knowledge of CKD. All education models used the smart module with models 3 and 4 explicitly involving health-worker collaboration. Model 1 used posters, model 2 used leaflets, while model 4 also used posters and leaflets. Knowledge of CKD was assessed through a previously-validated questionnaire with four knowledge domains. Result: All of the 86 cadres were women aged 43.7±8.6 years, mostly with at least high-school education and no risk factors for CKD predisposition. The results showed that model 4 significantly improved knowledge of CKD risk factors, symptoms and examination, and prevention behavior. Meanwhile, improvement in the last domain about CKD treatment was likely affected by model 3. Conclusion: This study confirmed health-worker collaboration’s significance in increasing public knowledge of CKD. Adding various printed education media effectively increased knowledge of CKD, particularly in cadres with higher educational attainment.

Mempersiapkan Tempat Kerja Untuk Menghadapi COVID-19 Berdasarkan Perspektif Kedokteran Kerja Yosia, Mikhael; Adi, Nuri Purwito
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.71.3-2021-613

With the COVID-19 pandemic continuing and the resulting economic burden increasingly apparent, the Indonesian government began to prepare a "new normal" phase and make peace with COVID-19. From this new decision arises the question of the readiness of businesses and the industrial sector to resume operations amid COVID-19. This article aims to provide concise and precise information about the preparations that can be made by businesses to operate safely amid COVID-19 based on existing scientific studies and literatures. From the literature visits it can be concluded that transmission and danger of a COVID-19 pandemic can be prevented through: creation of infectious disease prevention and response plan, implementing basic infection prevention measures, policies and procedures for proper identification and isolation of sick people, applying flexibilities in policies, and protections in the workplace.

Laporan Kasus: Ventilator Non-Invasif sebagai Salah Satu Alternatif dalam Memperbaiki Gerakan Diafragma, Arus Puncak Ekspirasi dan CO2 Akhir Ekspirasi Pasien Tuna Laring Siti Chandra Widjanantie; Ferius Soewito
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.71.3-2021-614

Laringectomee may have problems on their lung compliance as a result of the diaphragm’s increasing resistance. These can cause an increase on CO2 end-tidal. Non-invasive ventilator (NIV) is theorized to improve lung compliance with the end result on CO2 end-tidal correction. This case series was made to report the effect of NIV on several lung function parameters. Three cases of laringectomees were reported. Each history, present complain was noted. Diaphragm movement at inspiration and expiration were measured using ultrasonography. Peak huff flow and CO2 end tidal were also measure before and after NIV. All patients showed improvement on diaphragm movement and CO2 end tidal. One patient showed a decrease on his peak huff flow measurement. Clinically NIV showed a good result on diaphragm compliance and CO2 end-tidal. Effect of NIV on peak huff flow was not consistent in this case series. A clinical trial with sufficient numbers of patients and a proper method is needed to give evidence whether NIV can provide significant positive effect for laringectomees.

Peran Mammografi Untuk Skrining Kanker Payudara: Sebuah Tinjauan Pustaka Soekersi, Hari; Azhar, Yohana; Akbari, Kiran Shadentyra
Majalah Kedokteran Indonesia Vol 72 No 3 (2022): 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.72.3-2022-627

Breast cancer is the most common cancer among women in Indonesia. The cure rate can be increased by early detection and appropriate therapy. The early detection modality recommended by WHO is screening mammography. The aim of this study was to determine the role and advantages and disadvantages of mammography compared to other modalities through narrative literature review with 30 literature that met the inclusion and exclusion criteria. The advantages of screening mammography are reducing mortality, increasing early treatment, and improving the quality of diagnostics as a follow-up to the results of screening. The disadvantages of this modality are overdiagnosis, false alarm, interval cancer, and radiation risk. Screening mammography can be combined with other modalities to increase accuracy such as MRI in high-risk women and ultrasound in women with denser breasts. The recommendation to initiate routine screening mammography at one year is 40 years. Barriers that often occur in lower middle-income countries are lack of knowledge and awareness, unavailable infrastructure and resources, accessibility, inadequate costs and the persistence of fear and shame. Therefore, the benefits of screening outweigh the risks and can be combined with other modalities to increase accuracy.

Hubungan Faktor Risiko dan Kondisi Penyakit Penyerta dengan Gambaran Foto Toraks pada Pasien Terkonfirmasi COVID-19 Fatmawati, Heni; Labibah, Zhafirah Rana; Firdaus, Jauhar
Majalah Kedokteran Indonesia Vol 72 No 3 (2022): 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.72.3-2022-629

Introduction: COVID-19 is a worldwide health problem with a high mortality rate, especially in patients with risk factors. One type of examination to inspect the severity of COVID-19 patients is a chest radiograph. There is a lack of studies on chest radiography features in Indonesia. This study aims to observe the relationship between age, gender, and comorbid conditions with chest radiography features in COVID-19 confirmed.Method: This study was conducted at dr. Soebandi General Hospital uses a cross-sectional design with medical records as the instrument. Chest radiography examination was performed using BSTI classification. Meanwhile, data were analyzed using Chi-Square and contingency coefficient C.Result: The study included 173 patients: 52% were 40-59 years old, 36,4% were 20-39 years old, and 11,6% were ≥ 60 years old; 56,1% were female and 53,9% were male; 50,9% have comorbidities, with hypertension, diabetes, and COPD were the most type of comorbidities. About 48,6% sample had a normal chest radiograph, 27,7% had a mild severity, 17,3% had a moderate severity, and 6,4% had a severe severity. There was a correlation between age and comorbidity with chest radiography features. Otherwise, no correlation was found between sex and chest radiography features.Conclusion: Age and comorbidity were found as significant risk factors for the severity of chest radiograph in COVID-19 with a moderate correlation. However, no correlation was found between sex and chest radiography features.

Transmisi Malaria Dari Penduduk yang Bermigrasi Ke Daerah Endemik Rendah Malasari, Risma; Rahma, Nur; Rustam, Sri Nur Rahmi Nur; Sjahril, Rizalinda; Wahid, Isra
Majalah Kedokteran Indonesia Vol 72 No 5 (2022): 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.72.5-2022-631

Introduction: Malaria is an infectious disease that continues to be a public health issue worldwide, including in Indonesia. This study aims to detect the presence of Plasmodium parasites among immigrants from malaria endemic areas. Method: The research was conducted from September until November 2019 in three regency/cities in South Sulawesi, namely Makassar City, Tana Toraja and North Toraja. The population in this study were immigrants from malaria endemic areas (native Papua and non-Papua) who lived in the area for at least 2 years before visiting the cities of Makassar, Tana Toraja, or North Toraja. All samples were examined for malaria parasites using Polymerase Chain Reaction (PCR). Results: The results of the PCR test on 256 samples of migrants (native Papuan and non-Papuan) detected 19.53% positive for malaria. This research showed that a high prevalence of malaria parasites was found among asymptomatic immigrants, both native Papuans and non-Papuans in South Sulawesi. Conclusion: It can be concluded that the asymptomatic immigrants from endemic areas such as Papua need to be screened early because they may still have malaria parasites in their blood and become carriers, leading potential to cause local transmission.

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

Location Kota adm. jakarta pusat, Dki jakarta INDONESIA

Abstract

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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