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Harvina Sawitri
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AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh
Published by Universitas Malikussaleh
ISSN : 24775231     EISSN : 25028715     DOI : https://doi.org/10.29103/averrous
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Averrous: Jurnal Kedokteran dan Kesehatan Malikussaleh (Averrous: Malikussaleh Journal of Medicine and Health - Averrous: MJMH*) is a peer-reviewed and open-access journal. Publishes by the Faculty of Medicine Universitas Malikussaleh in collaboration with the Institute for Research and Community Service (LPPM) Universitas Malikussaleh, which focuses on disseminating research findings that cover a wide range of subjects in medicine and health from basic medical and health sciences, applied sciences, and public health research. Original research papers, case studies, reviewed-articles are acceptable. Averrous: MJMH journals are published twice a year May and November. All research articles published in website Averrous: MJMH is free-downloaded according to the open access policy.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 346 Documents
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The Effect of Skin Type And Cleansing Frequency On Acne Incidence In Medical Students Dea Putri Ramadhani; Dian Amelia Abdi; Andi Alamanda Irwan; Nurelly Noro Waspodo; Andi Sitti Fahirah Arsal
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Volume 12 No.1 Mei 2026
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v12i1.26184

Abstract

Acne vulgaris is a common dermatological problem experienced by adolescents and young adults, with a high prevalence among university students. This study aims to analyze the effects of skin type and facial-cleansing frequency on the incidence of acne vulgaris among students at the Faculty of Medicine, Universitas Muslim Indonesia. This quantitative analytical study with a cross-sectional approach involved 109 respondents selected using purposive sampling. The results showed that oily skin was the most susceptible to acne vulgaris, with twice-daily facial cleansing being the most optimal frequency for reducing acne incidence. Too frequent or too infrequent facial cleansing can worsen acne. In addition, a significant relationship was found between skin type and facial cleansing frequency in influencing the severity of acne vulgaris. This study suggests that students, especially those with oily skin, maintain facial hygiene with an optimal frequency of twice a day and choose cleansing products that are suitable for their skin type. Medical faculties are expected to provide education on skin care and risk factors for acne vulgaris. Further research is recommended to include additional variables such as cosmetic use, diet, stress, and sleep quality, as well as using a longitudinal approach to gain further understanding of changes in acne severity.
Effects of Sedation Depth on Mechanical Ventilation, Delirium, and Recovery: A Systematic Review Anna Millizia; Mumya Camary; Muhammad Bayu Rizaldy; Yuziani
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Volume 12 No.1 Mei 2026
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sedation is an essential component of intensive care unit (ICU) management; however, excessive sedation may adversely affect clinical outcomes. This systematic review evaluated the association between sedation depth and clinical outcomes in adult ICU patients receiving mechanical ventilation. A literature search was conducted according to PRISMA 2020 guidelines using PubMed, Scopus, Web of Science, and Google Scholar. Studies published between 2010 and 2023 assessing sedation depth with validated instruments in mechanically ventilated adults were included. Twelve studies involving more than 7,000 patients met the inclusion criteria. Most studies reported that deep sedation, particularly during the first 48 hours of ICU admission, was associated with higher mortality, prolonged mechanical ventilation, increased delirium incidence, and poorer long-term cognitive and functional outcomes. In contrast, light sedation strategies combined with regular assessment, sedation interruption, and multimodal analgesia were associated with reduced delirium risk, shorter ventilation duration, and improved recovery. Current evidence suggests that sedation depth significantly influences outcomes in critically ill patients. Light sedation should be considered whenever clinically appropriate, while further studies are needed to evaluate long-term recovery and develop individualized sedation approaches.
Comparison of RDW-SD and RDW -CV in Chronic Kidney Disease Patients Before and After Hemodialysis Dzaki Ahmad Fahrezi Amus; Haerani Harun; Jeremy Tanan; Rahma; Nur Syamsi; Christin Rony Nayoan
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Volume 12 No.1 Mei 2026
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v12i1.26722

Abstract

Red Cell Distribution Width (RDW) is a prognostic biomarker in chronic kidney disease (CKD), reported as RDW-SD (absolute) and RDW-CV (relative). This study directly compares changes in RDW-SD versus RDW-CV before and after a single hemodialysis (HD) session. This pre-post observational study involved 30 adult CKD patients undergoing routine HD. Blood samples were taken pre-HD and one hour post-HD. RDW-SD, RDW-CV, and other hematological parameters were analyzed using a hematology analyzer (Wilcoxon test). Median RDW-SD was 44.40 fL pre-HD vs. 43.80 fL post-HD (p=0.186); median RDW-CV was 14.35% pre-HD vs. 14.30% post-HD (p=0.052). Neither showed significant acute changes, although hemoglobin and leukocytes increased while platelets decreased. A single HD session does not significantly alter RDW-SD or RDW-CV, confirming both parameters reflect chronic disease status rather than acute procedural effects. Clinical implications: These preliminary findings suggest that RDW-SD and RDW-CV may be considered potential long-term prognostic markers, although this requires confirmation in larger studies.
Factors Associated with Acceptance of Tuberculosis Preventive Therapy Among Household Contacts in Lhokseumawe Hendra Wahyuni; Rizka Sofia; Anugrah A Warid Rambe
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Volume 12 No.1 Mei 2026
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Household contacts of tuberculosis (TB) patients are among the groups at highest risk of contracting TB, a condition preventable through Tuberculosis Preventive Therapy (TPT). This study aimed to identify factors associated with TPT acceptance among household contacts of pulmonary TB patients at public health centers in Lhokseumawe City. An analytical observational study with a cross-sectional design was conducted involving 139 household contacts of pulmonary TB patients. Subjects were recruited based on predefined inclusion and exclusion criteria. Data were collected using a structured questionnaire and analyzed using Fisher's exact test at a significance level of 0.05. The history of tuberculin skin test (TST) examination was the only variable significantly associated with TPT acceptance (p = 0.048). No significant associations were found for age, sex, education level, relationship to the TB patient, knowledge level, distance from health center, or receipt of TPT education. A total of 137 of 139 respondents (98.6%) refused TPT, reflecting a critically low acceptance rate that demands programmatic attention. Intensification of TST-integrated contact investigation and more targeted counseling approaches are recommended to improve TPT uptake.
Acne Severity Fluctuations Across Menstrual Phases in Adolescents Shinta Galuh Permata; Sitti Hajjar; Hedya Nadhrati Surura
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Volume 12 No.1 Mei 2026
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v12i1.27032

Abstract

Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous unit, commonly affecting adolescents and influenced by hormonal fluctuations, particularly in females with active menstrual cycles. This repeated-measures observational analytic study aimed to analyze differences in acne severity between premenstrual and postmenstrual phases among adolescent girls. A total of 69 female students aged 15-18 years were selected through purposive sampling from a senior high school in Aceh Besar, Indonesia. Data were obtained through structured interviews and facial photography during two menstrual phases. Acne severity was assessed by a board-certified dermatologist based on the Indonesian Dermatology and Venereology Clinical Practice Guidelines. Statistical analysis using the marginal homogeneity test demonstrated a significant difference in acne severity between menstrual phases (p < 0.001). Clinical improvement after menstruation was observed in 24 participants (34.8%; 95% CI: 23.7-47.2%). During the premenstrual phase, most participants had moderate acne (61%), whereas mild acne predominated in the postmenstrual phase (55%). In conclusion, acne severity was more frequently observed during the premenstrual phase and appeared to be associated with menstrual cycle-related hormonal fluctuations. These findings support the importance of menstrual cycle-based clinical evaluation in adolescent females with acne vulgaris.   
Association Between Obstructive Sleep Apnea Symptoms and Quality of Life in Chronic Obstructive Pulmonary Disease Patients Muhammad Khoir Gultom; Andika Pradana; Amira Permatasari Tarigan
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Volume 12 No.1 Mei 2026
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v12i1.27094

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of mortality worldwide, frequently associated with sleep disturbances, including obstructive sleep apnea (OSA), which may negatively affect patients’ quality of life. This study aimed to describe the demographic characteristics of COPD patients, assess the severity of OSA symptoms and health-related quality of life, and analyze the association between OSA symptoms and quality of life in COPD patients. This quantitative study used a cross-sectional correlational design and was conducted in the Pulmonology Department of Prof.Chairuddin Panusunan Lubis Hospital. A total of 96 COPD patients were recruited using convenience sampling, with inclusion and exclusion criteria. Data were analyzed using univariate and bivariate analyses with the chi-square test at a significance level of α = 0.05. The results demonstrated a significant association between OSA symptoms and health-related quality of life in COPD patients (p = 0.012). Patients with moderate-to-high OSA risk were 2.97 times more likely to experience impaired quality of life compared with those at low risk (OR = 2.97; 95% CI: 1.09–8.09). These findings suggest that OSA symptoms may contribute to reduced quality of life in COPD patients and highlight the importance of early screening and comprehensive management of sleep-related disorders in clinical practice.

Page 35 of 35 | Total Record : 346

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