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Fakultas Kedokteran Universitas Islam Al-Azhar Mataram Jalan Unizar No. 20 Turida, Sandubaya - Mataram NTB
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Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan
Published by Universitas Islam Al-Azhar Mataram
ISSN : 24609749     EISSN : 26205890     DOI : 10.36679
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Jurnal Kedokteran diterbitkan oleh Fakultas Kedokteran Universitas Islam Al-Azhar Mataram dengan frekuensi 2 (dua) kali setahun, yaitu pada bulan Juni dan Desember, sebagai media informasi dan komunikasi ilmiah dalam pengembangan Ilmu Kedokteran dan Kesehatan.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 129 Documents
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DETERMINAN KEJADIAN IKTERUS NEONATORUM DI RS MUHAMMADIYAH SELOGIRI WONOGIRI Nurul Fajar Ramadhany; pratikto widodo; sanirahman soleman
JURNAL KEDOKTERAN Vol 5 No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v5i2.213

Abstract

Background . Neonatal jaundice is a clinical condition in infants characterized by jaundice staining on the skin and sclera due to excessive conjugated bilirubin buildup . This study aims to know the determinants of neonatal jaundice, include sex, type of birth, length of stay after birth, stimulation of early breastfeeding, formula feeding, fever after birth, amniotic color, birth weight, birth length, weight loss, gestational age, and APGAR scores at Muhammadiyah Selogiri Hospital, Wonogiri. Method. This is a case control research using total sampling . Case criteria in this study were patients with a diagnosis of neonatal jaundice and control criteria who were not jaundice . The data were analyzed by chi square and analysis of multivariate with logistic regression. Result. Based on multivariate analysis, length of stay (p value: 0.001; OR: 4.582), Early Initiation of Breastfeeding (p value: 0.002; OR: 5.146), Formula feeding (p value: 0.000; OR: 0.319), birth weight ( p value: 0,000; OR: 35,352), Body length (p value: 0.047; OR: 0.499), Weight loss (p value: 0,000; OR: 2.795), Apgar score (p value: 0,000; OR: 0.030) . Based on logistic regression analysis non-vaginal delivery (p value: 0.027; aOR: 7.372), normal body weight (p value: 0.000; aOR: 122.372 ), no asphyxia (p value: 0,000; aOR: 227,589 ). Conclusion Infants who was born by non-vaginal delivery have risk of 7.372 times compared to vaginal delivery infants. Babies who were discharged < 3 days had a risk of 4.582 times greater. Early Initiation of Breastfeeding stimulation related to exclusive breastfeeding has a 5.146 times relationship to the incidence of Jaundice Breastmilk and Breastfeeding Jaundice jaundice . Normal infant weight is at a risk of 35,352 times related to the length of treatment after birth and the incidence of normal Jaundice. Weight loss in newborns is 2.795 times the risk of experiencing Breastmilk Jaundice and normal Jaundice.
HUBUNGAN LINGKAR LENGAN ATAS IBU HAMIL TERHADAP ANTROPOMETRI BAYI BARU LAHIR DI RUMAH SAKIT IBU DAN ANAK ANANDA KOTA MAKASSAR Rizka Amalia; Azizah Nurdin; Jelita Inayah Sari; Andi Irhamnia Sakinah
JURNAL KEDOKTERAN Vol 6 No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i1.274

Abstract

The newborn’s body dimensions are influenced by maternal nutritional status that can be determined by measuring mid upper arm circumference (MUAC). The aim of this study was to determine relationship between maternal MUAC and anthropometry of newborn at Ananda Women and Children Hospital Makassar. The method used in this study was analytic with cross sectional design. A total of 200 pregnant women underwent delivery at Ananda Women and Children Hospital Makassar were taken by purposive sampling method. The study data were sourced from primary data i.e. demographic data, maternal MUAC and newborn anthropometry which included weight, length, head circumference, and chest circumference that were measured immediately after birth. Data were analyzed using the Chi-Square test on the IBM SPSS 23. The results of this study showed a significant relationship between maternal MUAC with body length (p = 0,000), head circumference (p = 0,000), and chest circumference (p = 0,013) of newborns, but no significant relationship was found between maternal MUAC with body weight of newborns (p = 0.127). This study conclude that maternal MUAC influence the anthropometry of newborns on the parameters of body length, head circumference, and chest circumference.
ANALISIS TINGKAT KEBISINGAN DAN UPAYA PENGENDALIAN PENYAKIT AKIBAT KERJA DI AREA MINING PT. XYZ, SUMBAWA BARAT, NUSA TENGGARA BARAT Haryandi Haryandi; Veni Rori Setiawati
JURNAL KEDOKTERAN Vol 6 No 2 (2021): Juni 2021
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i2.305

Abstract

Aspek K3 berorientasi menciptakan lingkungan kerja yang aman, nyaman, dan sehat bagi pekerja. Industri pertambangan memiliki tingkat resiko cukup tinggi khususnya terkait kebisingan di tempat kerja yang berasal dari intensitas suara tinggi pada aktivitas penambangan, peledakan, alat, mesin, dan perbengkelan. Penelitian dilakukan di area penambangan PT. XYZ, salah satu perusahaan tambang terbuka yang berlokasi di Sumbawa Barat, Nusa Tenggara Barat dengan pengukuran kebisingan dilakukan dengan metode personal sampling dilakukan menggunakan peralatan Edge 5, dan mengetahui upaya pengendalian kebisingan dengan cara observasi dan wawancara mendalam dengan metode deskriptif kualitatif. Hasil penelitian didapatkan pembagian 12 Similar Exposure Group (SEG) di area mining PT.XYZ dengan hasil pengukuran kebisingan personal menunjukkan rentang 81.1-87 dB dengan SEG tertinggi di area Mine Batch Plant dan terendah di SEG Mine Drill Sampler. PT. XYZ telah melakukan upaya pengendalian kebisingan dengan prinsip hirarki kontrol yaitu eliminasi, substitusi, rekayasa teknik, administrasi, dan alat pelindung diri.Keywords: Kebisingan, K3, Mining, Similar Exposure Group, Hirarki Kontrol ABSTRACTOccupational Health and Safety aspects create a safe and healthy work environment for workers. The mining industry has a high level of risk, especially related to workplaces originating from high noise intensity in mining, explosions, tools, and machinery and workshop activities. The research was conducted in the mining area of PT. XYZ, a company located in West Sumbawa, West Nusa Tenggara Province, was carried out using a private sampling method using Edge 5 equipment, and knowing control efforts by observation and in-depth qualitative descriptive methods. The results showed that there were 12 Similar Exposure Groups (SEG) in the mining area of PT. XYZ. Personal noise dosimetry measurement results showing a range of 81.1-87 dB with the highest SEG in the Mine Batch Plant area and the lowest in the SEG Mine Drill Sampler. PT. XYZ has carried out control efforts with the principles of the control hierarchy, namely elimination, substitution, engineering, administration, and personal protective equipment.Keywords: Noise, OHS, Mining, Similar Exposure Groups, Hierarchy Control
PEMERIKSAAN RADIOLOGI GIANT BULLOUS LUNG DISEASE f auzy
JURNAL KEDOKTERAN Vol 6 No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i1.257

Abstract

Giant bullous lung disease adalah suatu kondisi klinis yang ditandai oleh bullae berukuran besar yang volumenya cukup signifikan. Kriteria radiologi untuk kelainan tersebut adalah adanya giant bullae di satu atau kedua apeks paru, meliputi minimal sepertiga hemithorax dan mengkompresi parenkim paru normal di sekitarnya. Pada dewasa, faktor resikonya dapat berupa kebiasaan merokok, defisiensi alfa-1 antitripsin, sedangkan pada anak dapat disebabkan kondisi idiopatik, dan late sequelae penyakit paru kronik yang terkait dengan kelahiran prematur. Giant bullae dapat terjadi akibat komplikasi dari emfisema. Pasien dengan bullae mungkin asimtomatik, namun dengan semakin membesarnya ukuran bullae, dapat menimbulkan keluhan dispneu, nyeri dada, maupun hemoptisis. Pemeriksaan radiologi untuk menegakkan diagnosis yaitu; foto thorax, ct scan thorax, ultrasonografi thorax, kedokteran nuklir dan angiografi
KARAKTERISTIK ISOLAT Proteus mirabilis PADA SPESIMEN URIN DI RSUP SANGLAH SELAMA TAHUN 2018 – 2019 I Nyoman Arnatha; Komang Januartha Putra Pinatih; Ni Luh Ranthi Kurniawathi
JURNAL KEDOKTERAN Vol 6 No 2 (2021): Juni 2021
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i2.364

Abstract

Proteus mirabilis merupakan salah satu bakteri penyebab utama infeksi saluran kemih yang dapat memicu pembentukan kristal atau batu saluran kemih (BSK). Pemberian antibiotik yang adekuat dapat menurunkan resiko pembentukan BSK. Tujuan penelitian ini untuk menentukan karakteristik Proteus mirabilis yang diisolasi dari spesimen urin dan pola kepekaannya terhadap antibiotik. Penelitian ini merupakan penelitian deskriptif yang dilakukan secara potong lintang dengan kurun waktu 2 tahun (1 Januari 2018 sampai 31 Desember 2019) di RS Sanglah, Denpasar, Bali. Semua kultur urin dengan Proteus mirabilis dimasukkan dalam penelitian. Identifikasi bakteri dan sensitivitas terhadap antibiotik dilakukan dengan menggunakan mesin Vitek®2 Compact (BioMerieux). Dari 4.094 spesimen urin yang dikultur, didapatkan 49 isolat Proteus mirabilis dengan karakteristik pasiennya adalah : 49% laki-laki dan 51% perempuan. Usia mayoritas adalah 18-65 tahun (77.6%). Isolat yang menunjukkan adanya BSK adalah 13 isolat (26.5%) dengan lokasi batu paling banyak berada di ginjal sejumlah 9 isolat (69.2%). Rerata jumlah leukosit adalah 13.88 x103/mL (± 7.56). Rerata persentase neutrofil adalah 67.24 % (± 25.38). Rerata kadar Blood Urea Nitrogen (BUN) adalah 27.25 mg/dL (± 26.66). Rerata kadar serum kreatinin adalah 2.64 mg/dL (± 9.15). Persentase Multidrug Resistant Organisms (MDRO) sejumlah 38.8%. Hasil sensitivitas Proteus mirabilis terhadap amikacin sebesar 100%. Penelitian menunjukkan bahwa bakteri Proteus mirabilis cenderung mampu untuk membentuk kristal / BSK. Marker infeksi, fungsi ginjal pasien, dan sensitivitas terhadap antibiotik, tidak menunjukkan perbedaan yang signifikan antara isolat dengan BSK dan tanpa BSK.Kata Kunci : Proteus mirabilis, batu saluran kemih, MDRO ABSTRACTProteus mirabilis is one of the main causes of urinary tract infections which can lead to formation of urinary tract stones. Adequate antibiotics can reduce the risk of stone formation. The aim of this study was to determine characteristics of Proteus mirabilis isolated from urine specimens and its sensitivity to antibiotics. This was a cross-sectional descriptive study with a period of 2 years (1 January 2017 to 31 December 2018) in Sanglah Hospital, Denpasar, Bali. All urine cultures with Proteus mirabilis were included in this study. Identification and sensitivity test were conducted using Vitek-2 Compact machine (BioMerieux). Out of 4,094 urine specimens were cultured, in which 49 isolates of Proteus mirabilis were obtained. Characteristics of patients as follows 49% male and 51% female. The majority of the age is 18-65 years (77.6%). Isolates that showed the presence of stone were 13 isolates (26.5%) with location of the stones were mostly in the kidneys (9 isolates/69.2%). The mean leukocyte count was 13.88 x103/mL (± 7.56). The average percentage of neutrophils was 67.24% (± 25.38). The mean Blood Urea Nitrogen levels was 27.25 mg/dL (± 26.66). The mean serum creatinine level was 2.64 mg/dL (± 9.15). Percentage of Multidrug Resistant Organisms was 38.8%. All of isolates were sensitive to amikacin (100%). This study showed that Proteus mirabilis might be as a cause of urinary tract stone. Infection markers, patient kidney function, and sensitivity to antibiotics did not show a significant difference between isolates with and without stones.Keywords: Proteus mirabilis, urinary tract stones, MDRO
HUBUNGAN TUNGAU DEBU RUMAH TERHADAP ANGKA KEJADIAN RINITIS ALERGI YANG BEROBAT DI POLI THT RSUD BANGLI TAHUN 2019 Ardyatri Kairavini; Trisna Ariani; sukdriani utami; Nurman Hikmallah
JURNAL KEDOKTERAN Vol 5 No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v5i2.237

Abstract

Background: Rhinitis Allergic is an inflammatory process in the nasal mucosa caused by type I hypersensitivity reactions that are triggered by certain allergens. The prevalence of rhinitis allergic in Indonesia is estimated to range between 10- 20% and is constantly increasing. The average Onset age of Rhinitis Allergic is 8- 11 years old and 80% of rhinitis allergic develops at the age of 20 years old. Usually rhinitis allergic occurs at a young age. Rhinitis Allergic can be triggered by several types of aeroallergens, one of which is house dust mites. Lopo C research mentioned that most allergens cause allergic rhinitis are house dust mites that is equal to (75.6%). Objective: To determine the correlation of house dust mites to the incidence of rhinitis allergic being treated at the ENT Polyclinic in Bangli Regional Hospital in 2019. Method: This study was an observational study with a cross sectional design. Samples were taken based on primary and secondary data using non-probability sampling techniques by purposive sampling. The samples used in this study were 143 samples of rhinitis patients. Data analysis using Chi Square. Results: The results obtained from the Chi Square test did not have a significant correlation of house dust mites and the number of incidence of allergic rhinitis is p-value 0.060 (p> 0.05). Conclusion: There is no significant correlation of household dust mites and the incidence of rhinitis allergic in the ent polyclinic of Bangli hospital in 2019.
UJI VALIDITAS SIRIRAJ STROKE SCORE, ALGORITMA STROKE GADJAH MADA, SKOR STROKE NUARTHA TERHADAP COMPUTERIZED TOMOGRAPHY SCAN KEPALA DALAM MENENTUKAN JENIS STROKE PADA FASE AKUT Trisna Lestari; Yuli Artini; Farida Noor; Ariebuana Permanaputra; Claranur Ramadani
JURNAL KEDOKTERAN Vol 5 No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v5i2.221

Abstract

Stroke is a syndrome that is characterized by sudden functional focal and global brain disorder that develops very quickly lasting more than 24 hours (unless there is surgical intervention or bringing death) caused by vascular disorder in the brain (Gofir, 2009). Stroke is the number one cause of serious disability settled worldwide. Stroke is also a leading cause of death worldwide. This research had 87 sample, consisting of 50 men and 37 women. The study was done using patient suspect stroke that enter the emergency room. The analysis result was nuartha’s stroke score has the highest sensitivity and specificity compared to Siriraj Stroke Score and Gadjah Mada Stroke Score. The sensitivity of the Nuartha Stroke Score in diagnosing non hemorrhagic stroke was 94,87 and with a specificity of 94.12%. Whereas for diagnosing hemorrhagic stroke, nuartha stroke score has a sensitivity of 94,12% and specificity of 94.87%. With an accuracy of 94.64%
PENCEGAHAN FOODBORNE DISEASE SELAMA PENERBANGAN DENGAN PENERAPAN PRINSIP KEAMANAN PANGAN (FOOD SAFETY) OLEH AWAK KABIN DALAM PESAWAT Dasti Anditiarina; Sri Wahyuningsih; Ferdi Afian; Wawan Mulyawan
JURNAL KEDOKTERAN Vol 6 No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i1.265

Abstract

Peningkatan penggunaan transportasi pesawat udara oleh masyarakat, maka semakin banyak orang yang berpotensi terpapar oleh inflight meal yang tidak higienis. Apabila penyakit akibat makanan (foodborne disease) di dalam pesawat ini dialami oleh pilot maka akan berdampak terhadap keselamatan penerbangan karena pilot dapat mengalami inkapasitasi. Pelaksanaan protokol higiene makanan dalam pesawat merupakan faktor yang sangat penting untuk mencegah terjadinya penyebaran penyakit akibat makanan. Panduan keamanan Pangan ini dikeluarkan oleh IFSA (International Flight Services Association) dan AEA (The Association of Europe Airlines) yang merupakan adaptasi dari panduan keamanan pangan dari WHO yang termasuk didalamnya: keterlibatan dari pemangku kebijakan, airline, catering dan juga penyuplai makanan. Kontaminasi dari awak kabin disebabkan karena kegagalan penjamah makanan untuk melakukan cuci tangan yang baik dan benar
HUBUNGAN INDEKS MASSA TUBUH DENGAN STATUS KONTROL PASIEN ASMA DI RSUD KOTA MATARAM TAHUN 2019 Tri Wira Jati Kusuma Hamdin; Risky Irawan; Dian Rahadianti; Kadek Dwi Pramana
JURNAL KEDOKTERAN Vol 6 No 2 (2021): Juni 2021
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i2.314

Abstract

Latar Belakang: Asma merupakan salah satu masalah utama baik di negara maju dan negera berkembang. Pada tahun 2017 angka kejadian asma di berbagai negara sekitar 1-18% dan diperkirakan sebanyak 300 juta penduduk di dunia menderita asma menurut Global Initiatif for Astma (GINA). Kejadian asma dipengaruhi oleh banyak faktor diantaranya usia, jenis kelamin, perokok aktif maupun pasif, genetik, Indeks massa tubuh (IMT. Penurunan faal paru dapat diakibatkan IMT berlebih kurang sehingga meningkatkan terjadinya asma. Indeks Massa Tubuh (IMT) merupakan salah satu faktor pejamu penyebab asma yang dapat di modifikasi karena reversibel. Seseorang dengan IMT berlebih (over-weight-obesitas) maupun IMT kurang (underweight) cenderung memiliki perubahan pada sistem tubuh yang menimbulkan perburukan pada asma sehingga menjadi tidak terkontrol. Tujuan: Mengetahui hubungan indek massa tubuh dengan status kontrol pasien asma di RSUD Kota Mataram Tahun 2019. IMT bersifat Metode: Penelitian ini merupakan analitik observasional, dengan rancangan cross sectional. Sumber data yang digunakan dalam penelitian ini berupa data sekunder dari rekam medik pasien asma yang menjalani rawat jalan di RSUD Kota Mataram 2019. Sampel pada penelitian ini berjumlah 118 orang. Analisis data menggunakan rank spearman. Hasil: Hasil analisis menggunakan Rank Spearmen didapatkan nilai p-value 0,000 (p-value 0,05), yang berarti terdapat hubungan antara IMT dengan status kontrol pasien asma di RSUD Kota Mataram tahun 2019. Kesimpulan: Terdapat hubungan antara Indeks Massa Tubuh dengan status kontrol pasien asma di RSUD Kota Mataram tahun 2019.Kata Kunci: Indeks Massa Tubuh, Status Kontrol, Asma. ABSTRACTBackground: Asthma is one of the main problems in both developed and developing countries. In 2017 the prevalence of asthma incidence in various countries was around 1-18% and an estimated 300 million people in the world suffer from asthma according to the Global Initiatif for Astma (GINA). The asthma incidence influenced by many factors. These factors include age, sex, active and passive smoker, genetics, body mass index (BMI). Decreased lung function can be caused by excess BMI and low BMI which increases the asthma insidence. Body Mass Index (BMI) is one of the factors of host that caused asthma can be modified because they were reversible. A person with an over-weight-obesity and underweight BMI tends was have changes in the body's systems that worsen asthma so that becomes uncontrollable. Purpose: Knowing the correlation between body mass index and control status of asthma patients at RSUD Kota Mataram in 2019. Methods: This reseacrh was an observational analytic study, with a cross sectional design. The data source used in this study is secondary data from the medical records of asthma patients who was undergoing outpatient care at the Mataram City Hospital 2019. Data was collected from 118 samples. Data analysis used rank spearman. Results There is a correlation between Body Mass Index and the control status of asthma patients at Mataram City Hospital in 2019. Key Words: Asthma, body mass index, asthma control status.Key Words: body mass index, control status, asthma.
EFEKTIFITAS HEPA FILTER DENGAN CHARCOAL DALAM PENYARINGAN ORGANOFOSFAT DI KABIN PESAWAT ferdi afian; Ardhito Budhijuwono; Amilya Agustina; Dasti Anditiarina
JURNAL KEDOKTERAN Vol 6 No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i1.260

Abstract

Kontaminan yang dihasilkan di dalam kabin merupakan hal yang paling penting untuk diperhatikan dan harus dikontrol dimana yang termasuk di dalamnya adalah bau badan manusia, aerosol mikroba, Volatile Organic Compound (VOC), gas karbon dioksida, dan gas karbon monoksida. Teknologi penyaring udara dalam penerbangan menggunakan HEPA dan Karbon Aktif. HEPA dalam penggunaannya telah dimanfaatkan secara luas dalam dunia kerja dan penerbangan untuk menjaga kualitas udara dalam ruangan. Dengan prinsip mekanisme kerjanya filter ini memiliki kelebihan dalam hal menyaring partikel yang berukuran sangat kecil. Karbon aktif dalam bentuk charcoal telah diketahui secara luas dalam efeknya untuk mengadsorpsi sejumlah besar zat toksik seperti VOC dan bau tidak sedap dalam gedung dan kabin.

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