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Jurnal Medika Hutama
ISSN : 27158039     EISSN : 27159728     DOI : -
Core Subject : Health, Science,
Jurnal Medika Hutama adalah jurnal hasil penelitian, studi kasus, dan tinjauan pustaka di bidang Kesehatan dan Kedokteran
Articles 533 Documents
Manifestasi Klinis COVID-19 dalam Bidang Dermatologi Keneyzia Gliselda
Jurnal Medika Hutama Vol. 3 No. 03 April (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Coronavirus 2019 (COVID-19) is a disease that was first discovered at the end of 2019, which was later declared a world pandemic by the World Health Organization (WHO) in early 2020. COVID-19 is caused by a new virus called Severe Acute Respiratory Syndrome Coronavirus. 2 (SARS-CoV-2). Clinical symptoms of COVID-19 in general are fever, cough, fatigue, sputum production, headache, and quickly progress to respiratory failure, organ failure and even death. In addition, some patients have reported cutaneous manifestations. Knowledge of clinical manifestations in the field of dermatology is expected to assist clinicians in handling COVID-19 patients with skin manifestations.
FAKTOR RESIKO PREBISKUSIS : SEBUAH TINJAUAN PUSTAKA Machmud Aminudin
Jurnal Medika Hutama Vol. 3 No. 03 April (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Presbikusis atau dikenal sebagai age related hearing loss (ARHL) adalah hilangnya kemampuan pendengaran yang terjadi secara perlahan seiring dengan pertambahan usia. Sampai saat ini masih belum dapat diketahui secara pasti mengenai bagaimana perkembangan prebiskusis yang bersifat progresif menurunkan kemampuan pendengaran. Namun hal tersebut dapat difahami dengan mengetahui berbagai faktor resiko yang dapat menyebabkan prebiskusis. Penelitian ini dilakukan untuk menganalisis faktor resiko yang berpengaruh terhadap kejadian presbikusis serta mekanisme bagaimana faktor resiko mempengaruhi kejadian prebiskusis. Dilakukan pengumpulan literatur dengan kriteria inklusi berupa literatur yang terbit maksimal diterbitkan pada tahun 2013. Sedangkan kriteria eksklusi berupa literatur yang diterbitkan pada tahun 2012 kebawah. Pada hasil penelitian didapatkan mengenai faktor resiko prebiskusis yang terdiri atas faktor genetik, kesehatan individu, gaya hidup, dan lingkungan eksternal. Masing-masing faktor resiko berperan dalam mekanisme perusakan sel rambut pada koklea melalui suasana stres oksidatif dan gangguan vaskularisasi. Meskipun demikian masih diperlukan penelitian secara longitudinal selama 10 tahun untuk meneliti pengaruh lama paparan terhadap kejadian prebiskusis.
EFEKTIVITAS KONSULTASI DARING PADA PERAWATAN PENDERITA EPILEPSI SELAMA PANDEMI COVID19 Suryo Bantolo
Jurnal Medika Hutama Vol. 3 No. 04 Juli (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Epilepsi adalah penyakit yang memerlukan pengobatan jangka panjang dan pemeriksaan teratur. Risiko akan terjadi bila seorang pasien epilepsi mengalami putus obat ataupun meminum obat secara tidak rutin dan teratur. Risiko tersebut bisa mengarah ke status epileptikus dan bahkan sampai ke kematian. Diperlukan fasilitas pelayanan kesehatan yang berjalan secara normal dan baik untuk merawat pasien epilepsi. Selama pandemi Covid19, banyak fasilitas kesehatan yang tidak terkait dengan perawatan Covid19 ditutup. Kondisi ini mengancam pasien epilepsi, karena risiko dari penghentian obat mendadak yang dapat mengakibatkan terjadinya kejang dan bahkan status epileptikus. Untuk mengatasi masalah ini, banyak fasilitas kesehatan menawarkan konsultasi daring untuk pasien epilepsi. Artikel ini bertujuan untuk meninjau dan menganalisis efektivitas dari pelayanan konsultasi daring ini di berbagai tempat. Dari penelusuran literatur, didapatkan bahwa untuk pasien epilepsi, konsultasi dari cukup efektif untuk memastikan monitoring dari perjalanan penyakit dan pemberian obat. Konsultasi daring untuk kasus epilepsy ini sudah mendapatkan perhatian dari WHO. Banyak negara di dunia yang menerapkan pelayanan pasien rawat jalan epilepsi secara daring. Direkomendasikan kepada fasilitas pelayanan kesehatan yang melayani pasien epilepsi yang masih ditutup karena masalah Covid19, untuk menyediakan konsultasi daring. Keywords: epilepsi, konsultasi daring, telemedisin
ANALISIS MULTIVARIAT FAKTOR RISIKO METABOLIK PENYEBAB KEJADIAN STROKE (STUDI KASUS KONTROL DI PUSKESMAS KECAMATAN CEMPAKA PUTIH) Stefanus Gardino; Yohanes Firmansyah; Murni L Naibaho
Jurnal Medika Hutama Vol. 3 No. 03 April (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Stroke is one of the neurological diseases that are emergency, acute and can cause the highest number of deaths and deaths in several countries around the world. In general, the risk factors for stroke are divided into two, namely factors that can be regulated, including hypertension, diabetes mellitus, hyperuricemia, hypercholesterolemia and obesity and risk factors that cannot be determined such as age and gender. This study aims to determine the potential metabolic risk factors that cause stroke. Research method: this study is a case control study using medical record data at the Cempaka Putih District Health Center. The case samples of this study were all stroke patients aged more than 18 years diagnosed either primarily by a health center doctor, or diagnosed by a specialist or general practitioner elsewhere, while the control sample in this study were patients without a history of ischemic or hemorrhagic stroke with a minimum age of 18 years. The results of this study found a significant relationship between hypertension, diabetes, gender, occupation, marital status and age group 60 years and over on the incidence of stroke (p-value: < 0.05), and from the results of the multivariate Binary Logistic - Backward LR test, it was obtained with 5 key test stages that there are 3 dominant variables as risk factors that can be independently estimated to affect the incidence of stroke, namely hypertension, occupation, and gender.
SINGLE NUCLEOTIDE POLYMORPHISM (SNP) IDENTIFICATION of CIRCUMSPOROZOITE PROTEIN GENE in Plasmodium falciparum FROM MALARIA PATIENTS IN WORKING AREA of PRIMARY HEALTH CARE HANURA, PESAWARAN, LAMPUNG Diah Balqis Ikfi Hidayati
Jurnal Medika Hutama Vol. 3 No. 04 Juli (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Malaria is an infectius disease caused by Plasmodium sp. The treatment for malaria with Artemisinin-based Combination Therapy (ACT) can cause resistance, so a new effort is needed to reduce the morbidity of malaria. A better prevention method for preventing malaria is to use vaccine. The RTS,S/AS01 vaccine is the first generation malaria vaccine that has been applied in Ghana, Kenya and Malawi since early 2018. The vaccine consists of circumsporozoite protein (CSP) antigen. This study aims to detect the presence of SNPs in CSP that are useful as a database of genetic variation for vaccine development in Indonesia.This type of research is a descriptive research with survey design. The sample of research was obtained from Biological Saved Materials (BSM) as many as 53 samples. The examination was performed using by PCR method and followed by a sequencing process to detect SNP. The results showed that only 16 samples had high DNA concentration and the sequencing results showed there is no difference in nucleotide base sequences compared to references on Pf3D7 isolates from Gene Bank. So the conclusion is there is no SNP on the CSP gene in Plasmodium falciparum from malaria patients in the working area of Primary Health Care Hanura, Pesawaran, Lampung.
PERUBAHAN INTENSITAS GATAL DAN INDEKS KUALITAS HIDUP DERMATOLOGI (DLQI) SETELAH INTERVENSI MINYAK KLENTIK DI PANTI SASANA TRESNA WERDHA RIA PEMBANGUNAN CIBUBUR Sukmawati Tansil Tan; Yohanes Firmansyah; Edwin Destra; Jessica Elizabeth; Yana Sylvana; Noer Saelan Tadjudin
Jurnal Medika Hutama Vol. 3 No. 04 Juli (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Population Reference Bureau estimates that by 2030 Indonesia will experience an increase in population to 365,3 million. This condition will cause an increase in health problems in the elderly population. Elderly health problems that often occur especially in the skin are dryness and pruritus/ itchiness caused by decreased levels of skin hydration with increasing age, which will further affect the elderly quality of life. One way to cope with the complaints of skin dryness and itchiness is to provide skin moisturizer. Skin moisturizers that are developing at this time are made from virgin olive oil and virgin coconut oil which, when combined together is commonly known as klentik oil. The Dermatology Life Quality Index questionnaire is a holistic measure of quality of life that is commonly used to measure quality of life in skin diseases. This study aims to determine changes in the quality of life of the elderly after providing interventions in the form of klentik oil and determine the effectiveness of klentik oil in reducing elderly skin itchiness. In this study, respondents were given klentik oil which applied to both arms 15 minutes after bathing. Dermatology Life Quality Index was measured twice, before the respondent was given the intervention and on the 21st day. This study showed that klentik oil can reduce the intensity of itchiness and improve the elderly quality of life measured by Dermatology Life Quality Index questionaire.
ANALISIS SOSIAL EKONOMI DALAM PEMANFAATAN JKN UNTUK RAWAT INAP DI YOGYAKARTA Irene Tenriana Kenia
Jurnal Medika Hutama Vol. 3 No. 03 April (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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The beginning of 2014 was the initial momentum for the implementation of the National Health Insurance (JKN) organized by the Health Social Security Administration (BPJS). On the island of Java, the growth of health care facilities and hospitals is increasing. Residents on the island of Java work in the formal sector so that they have poor health and increase the tendency to seek treatment at the hospital, even hospitalize. The purpose of this study was to determine the socio-economic factors that influence the use of JKN for hospitalization in Yogyakarta. This study uses secondary data, namely the National Socio-Economic Survey (Susenas) in 2020. The research respondents were 12,466 heads of households in Yogyakarta Province. The method used in this study is Binary Regression, namely the logit and probit models. The results of the study found that the factors of age, education, and occupation, had a significant effect on the utilization of JKN. The p-value for all variables is 0.000 (p-value <0.05). Socio-economic factors that influence the use of JKN in Yogyakarta are age, education, and occupation
ANALISIS KOMITMEN MANAJEMEN OPERATOR KAPAL TANKER DALAM MENERAPKAN STANDAR INDUSTRI MIGAS OCIMF TMSA DALAM RANGKA TERCIPTANYA KESELAMATAN PELAYARAN Dina Kristina Tanjung
Jurnal Medika Hutama Vol. 3 No. 03 April (2022): Jurnal Medika Hutama
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One of the shipping activities is in the oil and gas industry which uses tankers of various sizes. So that shipping traffic is getting crowded which can cause shipping accidents. Therefore, tanker operators must ensure the safety of all people while the tanker is operating in order to create shipping safety by applying the oil and gas industry standard, namely Tanker Management and Self-Assessment (TMSA). This study aims to analyze the management commitment of tanker operators in applying industry standards in order to create shipping safety. This research is a qualitative research on 5 tanker operator companies which analyzed the leadership and safety management system to see how the ship operator management commitment. The results showed that the management commitment of 3 out of 5 companies was not visible. Meanwhile, the management commitment of 2 out of 5 companies is visible. This is known based on the results of the TMSA Element 1 audit, namely leadership and safety management systems. Therefore, tanker operator companies should be able to increase their commitment to create shipping safety.
hubungan pola asuh orang tua dengan masalah mental emosional remaja ulfi mardhiah
Jurnal Medika Hutama Vol. 3 No. 04 Juli (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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purpose : to determine whether there is a relationship between parenting and adolescent mental emotional problems. method : this study was a descriptive correlation with a cross sectional approach. The research sample consisted of 30 respondents who were taken through accidental sampling technique. The measuring instruments used are Parental Authory Questionnaire (PAQ) for parenting style variables and Self-Reporting Questionnaire (SRQ) for mental emotional problems variables. result : The study showed that there was a relationship between parenting styles with adolescent mental emotional problems with p value (0.00) < α (0.05). There is a relationship between parenting styles and adolescent mental emotional problems in Asam Kumbang village, Pesisir Selatan district. Based on this research, usually parents tend to use all parenting styles. But there is only one dominant parenting style that parents always apply. conclution : after doing research on the relationship between parenting styles and adolescent mental emotional problems in Asam Kumbang village, the result is the majority of respondent aged is 18 years old , the majority the gender is female , the order of sequence is middle and yongest child and the majority education level is high school. democratic parenting is the most widely applied for parenting in Asam Kumbang village , while mental emotional problem were only 10 respondent.
ASAL RUJUKAN PASIEN RUJUKAN OBSTETRI PADA RSUD DR H ABDUL MOELOEK TAHUN 2020 Zakiah Nur Rohmah
Jurnal Medika Hutama Vol. 3 No. 04 Juli (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Di Indonesia angka kematian ibu sudah cenderung menurun, namun belum mencapai target MDGs (Millenium Development Goals) yakni sebanyak 102 kematian ibu per 100.000 kelahiran hidup pada tahun 2015. Kematian dan kesakitan ibu dapat dicegah atau dikurangi dengan perbaikan dalam layanan rujukan. Sistem rujukan dilaksanakan dengan cara berjenjang sesuai kebutuhan medis. Ibu hamil hanya dapat dirujuk ke fasilitas kesehatan tingkat kedua atau ketiga ketika ibu hamil membutuhkan pelayanan kesehatan spesialistik atau subspesialistik serta perujuk tidak dapat memberikan pelayanan kesehatan sesuai dengan kebutuhan pasien kecuali saat kondisi gawat darurat dan permasalahan kesehatan pasien yang khusus. Penelitian ini merupakan penelitian deskriptif kuantitatif. Pada penelitian ini diambil sampel 233 rekam medis dengan simple random sampling. Hasil distribusi frekuensi sampel, hanya didapatkan 112 kasus rujukan yang tertulis dan terlampir asal rujukan yang lengkap di rekam medis. Terdapat 68 orang (61 %) dirujuk oleh tenaga medis di dalam Bandar Lampung, dengan rincian 31 orang (28%) dirujuk oleh rumah sakit, sejumlah 5 orang (4%) yang dirujuk puskesmas, 7 orang (6%) dirujuk oleh dokter, dan 25 orang (22 %) dirujuk oleh bidan. Sejumlah 44 orang (33%) dirujuk oleh tenaga medis di luar Bandar Lampung, dengan rincian 30 orang (27%) dirujuk oleh rumah sakit, sejumlah 5 orang (4%) yang dirujuk puskesmas, 1 orang (1%) dirujuk oleh dokter, dan 8 orang (7 %) dirujuk oleh bidan.