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Jurnal Medika Hutama
Published by Yayasan MEDIKA Indonesia
ISSN : 27158039     EISSN : 27159728     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Nursing Public Health Veterinary
Jurnal Medika Hutama adalah jurnal hasil penelitian, studi kasus, dan tinjauan pustaka di bidang Kesehatan dan Kedokteran
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 533 Documents
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Hubungan Pengetahuan Dengan Kepatuhan Minum Obat Antihipertensi nabila setiyana
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Hipertensi merupakan suatu keadaan dimana seseorang mengalami peningkatan tekanan darah atau tekanan darah diatas normal, dengan nilai sistolik > 140 mmHg dan diastolik > 90 mmHg. Dalam melakukan pengobatan hipertensi, pengetahuan penderita tentang hipertensi berperan penting untuk kepatuhan penderita dalam menjalani terapi. Penderita yang sudah memiliki pengetahuan tentang penyakit yang dideritanya, diharapkan lebih patuh dalam menjalani terapinya. Metode yang digunakan oleh penulis adalah studi literature review dari beberapa jurnal nasional maupun internasional. Metode ini digunakan dengan tujuan menyajikan, menambah pengetahuan dan pemahaman mengenai artikel ini dengan meringkas materi penelitian pada fokus topik tertentu. Dari beberapa penelitian yang dilakukan didapatkan hasil pengetahuan memiliki hubungan yang bermakna terhadap kepatuhan minum obat antihipertensi. Keywords: Pengetahuan ; Kepatuhan ;Hipertensi
A Manajemen Nyeri Neuropati pada Pasien Diabetes Melitus Tipe 2 Cindy Aisyah Putri Cindy Aisyah Putri
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Neuropathic pain is pain caused by lesions on the peripheral nerves. This pain causes discomfort which decreases the sufferer's quality of life. In type 2 diabetes mellitus patients, neuropathic pain management is not as simple as that of type 1 diabetes mellitus, namely controlling blood sugar. Treatment in type 2 DM continues to be developed on specific therapies based on pain mechanisms that may differ for each individual. Pain management includes pharmacological therapy (pregabalin, gabapentin, opioids, venflaxin, etc.) as well as non-pharmacological therapy (swimming, acupuncture, physiotherapy).
Dissemination of First Aid (Airway Management) for Drowning Victims in Gunung Merah Swimming Pool, Bandar Jaya, Terbanggi Besar District, Central Lampung Regency Luthfia Romadhoni
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Airway management is the most important thing in resuscitation and requires special expertise in emergency management, therefore the first thing to do to assess is the smoothness of the airway, which includes examination of the airway that can be caused by foreign objects. Especially during drowning, the airway can become clogged with fluids and water so that the oxygen supply in the body is hampered. Research Objectives The general objective of this study is to improve abilities airway management skills of swimming pool guards, swimming pool cleaners, private swimming teachers, and swimmers in the Gunung Merah Swimming Pool, Bandar Jaya, Terbanggi Besar District, Central Lampung. This research is an experimental study with a Pre-Test-Post Test on 20 respondents through testing the research hypothesis. Statistics: The paired group test used the Wilcoxon nonparametric test. Result: Based on the results of the Wilcoxon analysis test it can be seen. It was concluded that 20 respondents who did training in simulation action by means of airway management training for drowning victims. The conclusion is with the Wilcoxone test that the majority of respondents have good knowledge in terms of emergency handling capabilities, especially in air line management measure the p value 0.001, which means that there is a significant difference between before and after practice. Conclusion: Airway management training for pool workers, pool guards, swimming private teachers, and swimmers is very necessary to improve the ability of action skills.
Skrining Faktor Risiko Penularan Penyakit Tuberculosis Paru di RW 001 di Puskesmas Kelurahan Kedaung Kali Angke Yohanes Firmansyah; Hendsun Hendsun; Edwin Destra; Bayu Aditya
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Background: Public health is influenced by four factors namely behavioural factors, environmental factors, heredity and health service factors. A very dense settlement and poor sanitation can lead to the occurrence of environmental-based diseases such as pulmonary tuberculosis (TB). This study aims to look at aspects of economic conditions and the environment in the homes of TB, especially in RW 001 in the working area of ​​the Kedaung Kali Angke Village Health Center, Jakarta. Method: Survey research conducted at the homes of TB sufferers and their neighbors' homes. Data processing was carried out by looking at the results of the questionnaire, and the TB screening form, then intervening with sputum examination of respondents with TB symptoms. Results: There were 4.3% respondents with a history of previous TB disease, with a history of TB disease in the same household as 24.3% respondents. 64.3% of respondents roof top zinc/asbestos. There were 72.9% respondents who had ventilation less than 10% of the floor area and in terms of natural room lighting there were 64.3% respondents with less natural lighting. Conclusion: Some environmental factors that influence the incidence of pulmonary TB in RW 001 are the area of ​​the house that is lacking, solid occupancy, ventilation with less than 10% of the floor area and lack of natural lighting.
MANAJEMEN TERAPI RHINITIS Redi Bintang Pratama
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Rhinitis alergi merupakan penyakit inflamasi yang dimediasi IgE pada mukosa hidung, yang dipicu oleh adanya paparan alergen. Kondisi ini berdampak signifikan pada tidur, pekerjaan, dan kinerja sekolah penderitanya. Kondisi rhinitis alergi ini sering dikaitkan dengan kondisi dermatitis atopi, alergi makanan, dan asma. Gejala utamanya termasuk rinorea, hidung tersumbat, dan bersin, meskipun gejala mata juga dapat terjadi. Berbagai pilihan terapi tersedia untuk penanganan rhinitis alergi. Algoritma pengobatan standar dimulai dengan edukasi untuk menghindari alergen, kemudian diikuti dengan pemberian agen farmakologis. Untuk rhinitis alergi ringan hingga sedang, antihistamin generasi baru menjadi pengobatan lini pertama dan lebih disukai daripada antihistamin generasi lama, karena lebih aman dengan efek samping yang minimal. Kortikosteroid intranasal adalah perawatan andalan untuk rhinitis alergi sedang hingga berat karena terbukti aman dan efektif. Pada pasien yang tidak ada perbaikan setelah pemberian kortikosteroid intranasal, kombinasi antihistamin dan kortikosteroid harus dipertimbangkan. Jika dengan pemberian obat-obatan kombinasi tidak ada perbaikan, satu-satunya pilihan adalah dengan allergic specific immunotherapy.
PENGARUH BIOLARVASIDA DAUN TANAMAN SEBAGAI KONTROL VEKTOR NYAMUK AEDES AEGYPTI PENYEBAB DEMAM BERDARAH: A LITERATURE REVIEW Sidik Maulana
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Background. Currently, vaccines and drugs have not been found to prevent and eliminate viruses, thus to prevent Dengue Hemorrhagic Fever (DHF) the most effective is to eradicate the larvae. Abatization and temefos are the control of mosquito larvae by causing environmental pollution and insect resistance to them. Hance, more effective efforts are needed and do not cause problems or environmental damage, one of which is natural larvicides or biolarvicides derived from plants, especially leaf parts by considering cost-effectiveness. Aim. Know the effect of various leaves as biolarvicide to Aedes aegypti cause DHF. Method. Literature review through publication articles 2016-2020 from the electronic database of Garuda Dikti and CINAHL (Ebsco). Result. Leaves that have the effect of killing the Aedes aegypti larvae are the leaves of tumih, papaya, betel, binjai, soursop, tobacco, and lime with an average concentration of less than or equal to 50% (<LC50). Ingredients or substances that have a larvicidal effect on leaves include alkaloids, tannins, phenolics, saponins, flavonoids and steroids, essences, flavonoids, alkaloids, terpenoids, phenols, organic acids (stearic acid and palmitic acid), triterpenoids, limonoids, and nicotine. Conclusion. Only a few plant leaves have been shown to be effective or influential as biolarvicides with a concentration of LC50. The authors recommend that plants that are proven to be effective can be used as resources that can be utilized by the community which have been proven effective as biolarvicides.
DIAGNOSIS DAN TATALAKSANA TERBARU ASMA AKIBAT KERJA Nabila Rachmadita Utami
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Asma merupakan penyakit gangguan aliran nafas dan hiperaktifitas bronkus. Sedangkan Asma akibat kerja (AAK) merupakan penyakit asma yang terjadi akibat suatu keadaan di lingkungan kerja dan tidak terjadi pada rangsangan diluar tempat kerja. Lebih dari 300 bahan kimia alami dan sintetis yang terlibat dalam proses penyebab asma kerja, sering dibagi antara agen berat molekul tinggi (BMT) dan berat molekul rendah (BMR). Ada 2 bentuk asma akibat kerja, Irritant Induced Occupational Asthma (sebelumnya disebut reactive airway dysfunction syndrome atau RADS) dan Allergic Occupational Asthma. Ini adalah penyebab sebagian besar kasus asma pekerjaan. Patogenesis AAK melalui mekanisme, Immunologi: IgE Dependen-Independen dan Asma yang diinduksi oleh iritasi. Diagnosis AAK dapat dilakukan dalam tiga langkah, (1) Membuat diagnosis asma, (2) Identifikasi tempat kerja sebagai penyebab asma pasien dan (3) Identifikasi agen khusus yang menyebabkan AAK. Penatalaksaan pada pasien AAK yaitu, pencegahan paparan terhadap agen penyebab atau pencetus, dimana jika pendekatan ini gagal dan kondisi klinis menjamin, pemindahan pekerja dari tempat kerja mungkin diperlukan, obat-obatan. Komplikasi pada AAK ini bersifat kronis jika penanggulangan AAK tidak secara adekuat.
HUBUNGAN KEPATUHAN DIET TERHADAP PENGENDALIAN KADAR GULA DARAH PADA PASIEN DIABETES MELITUS TIPE 2 Meliana Nursihhah
Jurnal Medika Hutama Vol. 2 No. 03 April (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Kepatuhan adalah perubahan sikap dan perilaku individu yang dilakukan dan diberikan dalam bentuk terapi baik diet, aktifitas fisik maupun minum obat. Pasien DM memiliki masalah kepatuhan terhadap pengobatan, diketahui bahwa tingkat kepatuhan pasien DM untuk melaksanakan diet sebesar 65% namun hanya 19% pasien yang mematuhi untuk melaksanakannya. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan diet, aktifitas fisik, dan minum obat terhadap pengendalian kadar gula darah pada pasien diabetes mellitus di RS Karyamedika Bantargebang Bekasi. Penelitian ini menggunakan penelitian kuantitatif yang didukung oleh penelitian kualitatif dengan desain crossectional. Penelitian dilakukan pada Juni – Agustus 2019. Sampel berjumlah 143 responden menggunakan proportionate stratified random sampling. Analisis univariat dan bivariate menggunakan uji statistic chisquare. Terdapat hubungan yang bermakna antara kepatuhan diet dengan nilai (p=0,000). Oleh karena itu, dukungan keluarga dan petugas kesehatan dapat meningkatkan pengetahuanpasien diabetes mellitus dalam mengendalikan kadar gula darah dengan memberikan informasi mengenai tatalaksana diabetes mellitus sehingga dapat mengubah sikap dan perilaku.
NEW DRUG FORMULATIONS FOR ACNE VULGARIS – PATHOGENESIS BASED TREATMENT OF ACNE VULGARIS Sukmawati Tansil Tan; Yohanes Firmansyah
Jurnal Medika Hutama Vol. 2 No. 04 Juli (2021): Jurnal Medika Hutama
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Acne vulgaris is an inflammatory condition that affects the pilosebaceous glands on a localized basis. According to the Indonesian Cosmetics Dermatology Study, the prevalence of acne vulgaris increased between 2006 and 2009. Young women between the ages of 14-17 years have a prevalence of 83-85 percent, while men between the ages of 16-19 years have a prevalence of 95-100 percent. Acne vulgaris has a significant physical and psychological impact on adolescent sufferers. Accuracy in the treatment of acne vulgaris is critical because it has an impact on the patient's recovery and prognosis. A topical anti-acne cream containing retinoids, antibiotics, and corticosteroids is one of the best options because it contains all of the components necessary to treat acne. The purpose of this study was to ascertain the proportion of acne vulgaris sufferers in adolescents aged 14-19 years with mild, moderate, and severe acne levels prior to and following intervention, to ascertain the relationship between intervention and reduction in the severity of acne vulgaris, and to ascertain the proportion of acne vulgaris sufferers in adolescents who received intervention and experienced a reduction in the severity of acne vulgaris. This study is a retrospective cohort study conducted at the Indra Clinic. The sample of this study was the entire group of adolescents aged 14-19 years with acne vulgaris who came to the study site in the 2016-2017 period and met the inclusion criteria. The formulation observed was a combination of anti-acne cream with the active ingredient clindamycin 3%, Tretinoin 0.05%, and Dexamethasone 0.05%, with the comparative drug being a standard regimen containing 0.05% tretinoin. The dependent variables in this study were treatment success (improved or not) after 4 weeks intervention, side effects during treatment, and post-treatment symptoms. The results indicated the cure rate was 87,6 percent for the 97 respondents who received a combination formulation containing Clindamycin 3%, Tretinoin 0.05%, and Dexamethasone 0.05%, compared to a 71,0 percent cure rate for the 93 respondents who received standard therapy containing Tretinoin 0.05% (p-value : 0,008).
NEW PARADIGM OF DRUG COMBINATION FORMULATION FOR PSOARIASIS THERAPY AND ITS SUPERIORITY COMPARED BY STANDARD THERAPY Sukmawati Tansil Tan; Yohanes Firmansyah
Jurnal Medika Hutama Vol. 2 No. 04 Juli (2021): Jurnal Medika Hutama
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Background: Psoriasis is a chronic inflammatory skin disease characterized by persistent itching and a high rate of recurrence. Until now, the primary issue with these two diseases has been their inability to respond to therapy; thus, it is critical to develop an appropriate combination therapy for these two diseases. Due to the fact that psoriasis patients experience alternating periods of remission and exacerbation, dermatologists should tailor psoriasis treatment to the severity of the disease at the time it manifests, with the goal of extending remission and improving quality of life. Thus, it is critical to achieve maximum treatment efficiency in order to prolong the period of remission and improve quality of life. Method: This study is a study comparing the effectiveness of a new treatment therapy using a combination therapy of 0.05% Clobetasol with 3% liquor carbonis detergent and 2% salicylic acid compared to standard therapy, namely 0.05% Clobetasol. This study is a restrospective cohort therapy at the Indra Clinic. The samples of this study were all cases of psoariasis of the skin at Indra's clinic in the 2016-2017 period that met the inclusion criteria. The independent variable of this study was the drug formulation with the dependent variable in the form of clinical improvement and the appearance of side effects. Results: The cure rate was 86,2 percent for the 29 respondents who received the combination formulation, compared to 54,5 percent for the 22 respondents who received standard therapy containing Clobetasol 0.05 percent (p : 0,028). There were no statistically significant differences in adverse events between the two intervention groups. Conclusion: Innovative drug formulations (clobetasol 0.05% with 3% liquor carbonis detergent and 2% salicylic acid) for psoariasis are proven to be more effective and superior than standard therapies

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