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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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Problem Diagnosis dan Tatalaksana Pasien Syok Sepsis dengan Meningitis Suis I Made Dedy Kusnawan
Jurnal Medika Hutama Vol. 5 No. 01 Oktober (2023): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Sepsis is a condition of clinical syndrome that occurs due to excessive body response to an infection that includes inflammatory, autoimmune, and coagulation processes. Sepsis treatment requires a quick diagnosis and appropriate therapy to reduce mortality caused by this condition. This case report aims to provide an overview of diagnostic and management shock sepsis. A 43-year-old male patient came from refferal from private hospital to emergency ward with diagnostic dengue shock syndrome. Patient came with chief complaint of decrease of consciousness since sunday afternoon. Firstly, the patient can still do communication. however, after some time, the patient cannot be communicated and looks agitated. Physical examination found tightness (respiration rate 26 times/ minute), blood pressure 100/70 mmHg, 89 % saturation via nonoxygen rebreathing mask 15 liters per minute, pulse 106 times per minute, GCS E3V3M5, temperature 38,4 ºC. Both sclerae appear to have icterus, from a physical examination found nuchal rigidity, cold in distal extremity. Through an examination of complete blood count found leukocytosis (36,1 x 103/µL) with predominant neutrofil (33,9 x 103/µL). From liver function examination found an increase in SGOT (224.5 mg/dl) and SGPT (165.2 mg/dl). Renal function examination was found to increase in urea (27,1 mg/dl) and creatinine (3mg/dl). SOFA score this patient is 13 point, criteria to identify sepsis. Treatment of sepsis must be based on rapid diagnosis and appropriate resuscitation treatment to reduce mortality caused by sepsis.
PERAN DIET TERHADAP PENCEGAHAN VAGINOSIS BAKTERIAL: SEBUAH TINJAUAN PUSTAKA Desak Putu Kunti Wedayanti
Jurnal Medika Hutama Vol. 5 No. 01 Oktober (2023): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Vaginosis bacterial (BV) merupakan penyebab keputihan yang sering terjadi pada wanita usia subur ditandai dengan peningkatan pH vagina dan perubahan keseimbangan flora normal vagina. vaginosis bakterial salah satunya dapat terjadi karena adanya perkembangan mikrobioma. Gejala klinis yang dapat ditimbulkan pada BV meliputi rasa gatal, peradangan, dispareunia, atau nyeri abdomen bagian bawah. Diagnosis BV tidak hanya didasarkan pada manifestasi klinis, namun dapat berdasarkan kriteria klinis Amsel, skor Nugent, uji Papanicolaou berdasarkan kriteria Bethesda, dan pemeriksaan PCR. Asupan mikronutrien yang rendah berkontribusi terhadap terjadinya vaginosis bakterial, sehingga suplemen makanan atau intervensi berbasis diet merupakan cara untuk membantu mencegah BV. Tinjauan pustaka ini dibuat dengan tujuan untuk meningkatkan pemahaman tentang peran diet terhadap pencegahan vaginosis bakterial. Pada tinjauan pustaka ini juga menyajikan ringkasan terkait penelitian-penelitian mengenai tipe makanan yang sebaiknya dikonsumsi oleh pasien yang mengalami vaginosis bakterial
Manajemen Fase Akut Caustic Acidic Injury di Fasilitas tanpa Endoskopi – Laporan Kasus Stephanie Elaine
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Introduction : Ingesting corrosive substances is a common problem in developing countries because of the easy access to these substances, most of which are alkaline. More than 200,000 cases have been reported in the United States, 10% of the population being adults. In Thailand, 19.5% of cases of ingestion of corrosive materials were found. Acidic and alkaline substances will provide different types of tissue damage. Acidic substances will cause coagulation necrosis with the formation of eschar which can limit further penetration, while bases cause saponification. Appropriate management in the acute phase can prevent further damage and facilitate management in the chronic phase. The following is a case report regarding the acute management of an adult woman who swallowed a corrosive substance. Case Illustration : A 41 year old woman was referred from the Regional Hospital on the 5th day of treatment with complaints of pain in swallowing accompanied by heartburn after drinking Porstex liquid. When the patient came to the RSUD emergency room in a condition of decreased consciousness and vomiting blood. On initial examination, she was delirium with GCS E3M5V3 with BP hypotension, with normal RR and Oxygen Saturation. The initial supporting examination is a complete blood count (Hb: 15.9, leukocytes: 24,630, platelets: 379.000), normal kidney and liver function, electrolytes within normal limits and no signs of gastric perforation were found in the abdominal X-ray examination. The patient was stabilized by loading crystalloid fluids, installing an NGT, administering PPI injection therapy, antibiotics, anti-bleeding, sucralfate and the patient was completely fasted. On the 5th day of treatment, it was found that the patient had improved hemodynamics and was referred to K Hospital with endoscopy facilities because the NGT production was still black. While at K Hospital the patient underwent another laboratory examination with the results showing hypokalemia (K = 2.9, with GDS = 61). The patient then undergoes electrolyte correction, hypoglycemia protocol, the previous medication is continued and the patient remains fasted. On the 7th day, the patient underwent laryngoscopy with a modified bronchoscopy scope, with the result of laryngitis oropharyngitis. The patient then went home with the NGT still installed. The patient was controlled on the 18th day after the incident with complaints of heartburn that had improved, there was no pain in swallowing, the patient was on a liquid diet, and the NGT was clear so the NGT was then removed and no further endoscopic examination was carried out. Conclusion : A 41 year old female patient with a history of swallowing corrosive objects presented with acute complications in the form of hypovolemic shock accompanied by hematemesis. The patient underwent resuscitation and conservative treatment and did not undergo endoscopy due to hemodynamic instability. NGT placement is carried out carefully to maintain esophageal patency and observe gastric production. Appropriate acute management can be influential in preventing further damage especially in settings with limited resources. In addition, consideration should be given to referring to a place with endoscopy facilities during the acute phase (<96 hours) to determine diagnostics and prognostics.
FUNDIC GLAND POLYPS: A HOLYSTIC REVIEW Baiq Ayu Rahmawati
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Gastric polyps are subepithelial protrusions commonly encountered during esophagogastroduodenoscopy (EGD). Fundic gland polyps are the most common type of polyps. The diagnosis of fundic gland polyps can be established through Narrow-band imaging (NBI) and forceps biopsy. Further monitoring is not required for fundic gland polyps that do not have malignant potential. This literature review is conducted using online data sources, namely Sciencedirect, Researchgate, and PubMed. In this literature review, the focus will be on discussing the definition, epidemiology, classification, etiology, risk factors, pathophysiology, clinical manifestations, diagnostic confirmation, management, and differential diagnosis of Fundic gland polyps.
TINJAUAN PUSTAKA: FAKTOR RISIKO DAN DAMPAK BERAT BADAN LAHIR RENDAH (BBLR) Amel Wahyu Maharani
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Low birth weight (LBW) is the condition of infants born with a body weight of <2500 grams. The rate of LBW in Indonesia has increased thus it is necessary to know the factors associated with the incidence of LBW to decrease the rate. This article is a literature review article that aims to determine the risk factors that contribute to the incidence of LBW and the impact caused by LBW. There are various factors that influence LBW that can be classified into maternal, fetal, and environmental factors. By identifying the risk factors for LBW and the impacts caused, it is expected that women, especially pregnant women, could avoid such factors in order to avoid the incidence of LBW in their children.
HIPOTIROID KONGENITAL: DIAGNOSIS, MANIFESTASI KLINIS, DAN PENATALAKSANAAN Latifah Mukhlisatunnafsi
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Congenital hypothyroidism is a lack of thyroid hormone production in newborns due to anatomic abnormalities of the thyroid gland, metabolic disorders for thyroid hormone formation, and iodine deficiency. The global incidence of congenital hypothyroidism is 1:2000 to 1:3000. In Indonesia, screening for congenital hypothyroidism has not been carried out nationally, only in a number of areas. Of the 14 provinces in Indonesia, a temporary incidence of 1:2513 was obtained. It is known that 95% of congenital hypothyroidism does not show typical clinical signs and symptoms at birth, so it is necessary to carry out early screening as a step in establishing the diagnosis. Management carried out as recommended by IDAI is by administering L-T4 (levothyroxine) which is given as soon as possible after the diagnosis is established and the best therapy begins before the baby is 14 days old.
Studi Literatur: Penggunaan Media Sosial Sebagai Faktor Risiko Terjadinya Depresi Ira Munirah
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Social media is an internet-based media that can be used as a means of communication and a source of information. As a result, the intensity of social media use is quite high among people. Unwise use of social media can cause a person to experience depression. Based on the Technology Acceptance Model (TAM) theory, perceived usefulness (PU) and perceived ease of use (PEU) can potentially affect the low or high intensity of social media use related to a person's level of depression. Depression is a mood disorder characterized by depressive affect, loss of interest or excitement, and loss of energy such as fatigue and decreased activity. The pathophysiology of depression occurs due to an imbalance of the neurotransmitters serotonin, norepinephrine and dopamine in the brain. The etiology of depression can be caused by a combination of factors, including biological, psychological, and social factors. Clinical manifestations of depression can be found in symptoms such as loss of interest and energy, reduced concentration, decreased self-confidence, feeling guilty or useless, pessimism, sleep disturbances and self-harm or suicidal thoughts. These conditions can be prevented by limiting use and doing positive activities. Management for depression therapy can be done with lifestyle changes, psychological therapy and medication. The purpose of writing a literature review is to examine more deeply the use of social media as a risk factor for depression.
Faktor-faktor yang Menyebabkan Stunting pada Balita: Sebuah Studi Literatur Khansa Rizki Syukrina Khansa
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
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Stunting ialah suatu kondisi yang menunjukkan indeks tinggi badan menurut umur di bawah -2 SD yang acuannya yaitu standar WHO. Keadaan ini menjadi manifestasi jangka panjang dari faktor konsumsi diet yang kualitasnya rendah, penyakit infeksi yang muncul berulang dan faktor lingkungan. Penelitian ini bertujuan untuk melakukan kajian sistematis artikel penelitian yang mengevaluasi faktor-faktor yang menyebabkan stunting pada balita. Desain penelitian ini merupakan penelitian yang menggunakan metode Systematic Literature Review (SLR). Didapatkan 8 artikel dengan menggunakan metode berupa analisis sekunder dari kajian pustaka melalui portal database ilmiah berupa SINTA, Wiley Online dan Google Scholar yang diterbitkan tahun 2016-2020 baik artikel nasional maupun internasional. Proses pencarian artikel menggunakan kata kunci dalam 2 bahasa yaitu bahasa Inggris dan bahasa Indonesia yaitu “faktor-faktor stunting pada balita” dan “factors of stunting to toddler”. Berdasarkan hasil pencarian ditemukan 56 artikel kemudian diseleksi menggunakan kriteria inklusi dan eklusi hingga menjadi 8 artikel dari 3 negara yaitu Indonesia, Vietnam dan Nepal. Hasil literature review ini didapatkan total keseluruhan responden adalah 91.668 orang dan mengindikasikan faktor-faktor yang menyebabkan stunting pada balita yaitu pemberian ASI tidak eksklusif, riwayat penyakit infeksi, status imunisasi tidak lengkap, tingkat asupan energi seperti konsumsi protein; kalsium dan fosfor, BBLR, pendidikan ibu, tingkat pendapatan keluarga, pola makan, tinggi badan ibu, tempat tinggal, pekerjaan orang tua dan kunjungan pemeriksaan kehamilan/antenatal care (ANC). Disarankan bagi peneliti selanjutnya untuk menjalankan penelitian yang lebih dalam perihal faktor yang memengaruhi stunting pada balita.
HUBUNGAN JUMLAH ASUPAN ASAM AMINO ESENSIAL BALITA STUNTING DAN TIDAK STUNTING DI LOKUS STUNTING KABUPATEN LOMBOK UTARA Diki Wahyudi
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
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Latar Belakang: Stunting merupakan kondisi gagal pertumbuhan pada anak balita karena kekurangan gizi kronis, terutama terjadi pada 1.000 Hari Pertama Kehidupan (HPK) menurut WHO. Stunting dapat disebabkan oleh gizi buruk, khususnya kekurangan asam amino esensial. Oleh karena itu, penelitian ini bertujuan untuk menganalisis hubungan jumlah asupan asam amino esensial pada balita stunting dan tidak stunting di lokus stunting, Kabupaten Lombok Utara Tahun 2022 Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan studi cross sectional. Penelitian ini akan dilaksanakan selama bulan September – Desember 2022. Populasi penelitian ini adalah balita berusia 12 sampai dengan 24 bulan di lokus stunting, Kabupaten Lombok Utara. Pengambilan sampel stratified randomized sampling. Hasil: Penelitian ini menemukan jika terdapat kekurangan asupan asam amino, termasuk lysine hanya mencapai rata-rata 2.11 gr/hari (4% dari kebutuhan harian), Threonine 1.46 gr/hari (5.4% dari kebutuhan), tryptophane 0.46 gr/hari (6.2% dari kebutuhan), dan Methionine hanya 0.86 gr/hari (3.3% dari kebutuhan). Kesimpulan: Terdapat hubungan antara asupan asam amino esensial dan kejadian stunting pada balita di Kabupaten Lombok Utara. Baik balita stunting maupun non-stunting mengonsumsi leusin secara signifikan, sementara triptofan menjadi asam amino yang jarang dikonsumsi. Sayuran menjadi sumber utama asam amino bagi balita stunting di wilayah tersebut, sementara hati memiliki frekuensi konsumsi terendah.
TINJAUAN PUSTAKA TENTANG BROMHIDROSIS Febbi Anggi
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
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In bromhidrosis, biotransformation of odorless natural secretions into volatile odorous molecules occurs and is closely related to excessive sweating. The distribution of Corynebacterium species also differs among different age groups. Bromhidrosis is more common in men because the number of Corynebacterium in men is higher than in women. However, the Corynebacterium species found differ between the two genders. Sweat is a secretory fluid that routinely moistens human skin and provides skin protection through at least peptide components and antibacterial salts. Staphylococcus spp. have a variable distribution in different age groups. Apocrine bromhidrosis is the most common form of bromhidrosis. BTX A can denervate the apocrine glands by inhibiting the release of acetylcholine, which is a neurotransmitter from the sympathetic nerves that innervate the apocrine glands. Microwave therapy is indicated in patients who have bromhidrosis accompanied by hyperhidrosis.

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