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Green Medical Journal

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Published by Universitas Muslim Indonesia

ISSN : - EISSN : 26866668 DOI : https://doi.org/10.33096/gmj

Core Subject : Health, Science,

Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Public Health

Green Medical Journal (GMJ) is a peer-reviewed, open-access journal that publishes original research articles, review articles, and interesting case reports. The journal focuses on promoting medical and health sciences, derived from basic sciences, clinical and community health research, both in animal and human study. GMJ is published in April, August, and December and registered with e-ISSN 2686-6668. Green Medical Journal was founded in 2019 by Faculty of Medicine, Universitas Muslim Indonesia, Makassar. The mission of our journal is to provide biomedical scientists, clinical and public health researchers as well as other health care professionals with the media to publish their research works. Green Medical Journal (GMJ) is a field of health in the broadest sense such as medicine, public health, nursing, midwifery, pharmacy, health psychology, nutrition, biomedical sciences.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 43 Documents

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PENATALAKSANAAN ANESTESI PADA PASIEN LABIOGNATOPALATOSCHIZIS DENGAN TETRALOGY OF FALLOT Muh. Wirawan Harahap; Wahyudi
Green Medical Journal Vol 1 No 1 (2019): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Telah dilaporkan sebuah kasus general anestesi dengan teknik GA intubasi pada operasi labioplasty pasien pediatri dengan diagnosis labiognatopalatoschizis dengan TOF pada anak umur 8 bulan. Operasi berjalan selama 1 jam dengan pemberian premedikasi sulfas atropin 0,1 mg, midazolam 0,5 mg. Preemptive analgesia diberikan Fentanyl 15 mcg, induksi dengan ketamin 15 mg, pemeliharaan durante operasi menggunakan O2 60 %, Sevoflurane 2-2,5 vol %, fentanyl 4 mcg/jam/sp. Teknik anestesi dengan General Anesthesia Intubasi, ETT ID no. 3 mm. Target manajemen anestesi pada TOF untuk mencegah  shunt dari kanan ke kiri yang dipengaruhi oleh, 1. Penurunan resistensi vaskuler sistemik, 2. peningkatan vaskuler paru, 3. peningkatan kontraktilitas jantung, dapat tercapai sehingga selama operasi hemodinamik stabil. Postoperasi pasien tampak tenang dan tidak kesakitan. Selama 1 Jam di ruang pulih (recovery room) dengan hemodinamik stabil dan saturasi 97-99 %

PANKREATITIS AKUT Irmayanti; Ibrahim Abd Samad; Mutmainnah
Green Medical Journal Vol 1 No 1 (2019): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Dilaporkan suatu kasus seorang laki-laki 42 tahun dengan diagnosis Pankreatitis akut dan Cholelitiasis. Pasien masuk rumah sakit dengan keluhan nyeri perut. Dari anamnesa dan pemeriksaan fisis, serta hasil pemeriksaan laboratorium (tes fungsi hati, serum amilase dan lipase) pasien ini, semuanya mengalami peningkatan, sehingga pasien ini didiagnosis dengan Pankreatitis akut. Hasil pemeriksaan radiologi memperkuat diagnosis Pankreatitis akut dan Cholelitiasis.

A Rare Case of Chronic Intracerebral Foreign Body Imran, Naufal Hilmy; Wahyudi
Green Medical Journal Vol 2 No 1 April (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Introduction: Intracranial foreign bodies are usually caused by trauma that penetrates the cranium. Gunshot wounds are the most common cause, while non-missile intracranial penetration is rare. The patientâ€™s clinical condition highly depends on the mechanism, anatomical location of the lesion, and related injuries. Possible complications include intracerebral hemorrhage, contusion, major injury on the vascular, and meningitis. In this article, we report case of intracerebral nail extraction from a patient with right cerebral foreign body. Case presentation: A 22-year-old man with a history of unspecified schizophrenia reported with reduced awareness accompanied by weakness of his left limb. During a head CT scan of the head, there are several tubular foreign bodies in the right cerebral. Craniotomy for foreign body extraction and drainage of the cerebral abscess is immediately performed. Four days after surgery, the patient had increased awareness, although there was no significant improvement in motor strength. One month after discharged from hospital there was slight improvement in motor strength. Conclusion: Extraction of foreign bodies by a surgical procedure is mandatory and should be performed thoroughly. The administration of antibiotics, anticonvulsants, physiotherapy, and psychiatric follow-up should be added to the treatment of this patient.

Simple Risk Index Score and Hospitalization Mortality in Patients with ST-Elevation Myocardial Infarction Marfianti, Erlina; Anwar, Sjaiful; Bima Aryatama, Achmad
Green Medical Journal Vol 2 No 1 April (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Introduction: Hospitalization mortality in ST-elevation Myocardial Infarction (STEMI) patients areaffected by several factors, including initial identification of the risks at hospital admission. Riskscore tools as a predictor of STEMI complication and death event in STEMI patients is a simple riskindex score. The aim of this study was to determine the association between simple risk index scoreand hospitalization mortality in STEMI patients.Methods: We retrospectively enrolled 60 consecutive patients who were admitted to our hospitaldiagnosed with STEMI. The simple risk index score was calculated for each patient using equation:heart rate x [age/10]2/systolic blood pressure. The patients were assigned into 2 groups according tothis score, high score and low score group. Incidence of death during hospitalization in STEMIpatients was recorded.Results: The total subjects were 60 people. The subjects consisted of 30 patients with low score and30 subjects with high score. The incidence of death during hospitalization in the group of high simplerisk index score were 26 patients, and in the group of low simple risk index score were 13 patients.The association between the simple risk index score and the deaths during hospitalization in STEMIpatients based on statistical analysis was significant (p= 0.00) and value of risk relative (RR) is 2.167;95% CI: 1.368-3.433; (p=0.000).Conclusion: Simple risk index score is associated with hospitalization mortality in ST-elevationmyocardial Infarction (STEMI) patients.

Cupping Therapy for Temporary Reduction of Blood Pressure in Hypertension Patients Erwin Rachman, Mochammad; Nur Rachman, Aksa
Green Medical Journal Vol 2 No 1 April (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Introduction: Hypertension is still a major problem in the field of health problems in general. One therapy to cure hypertension is cupping technique therapy. Objectives: To find a picture of a brief decrease in blood pressure in patients with hypertension using cupping therapy techniques. Methods: This study was a descriptive study using purposive sampling totaling 85 populations and 46 samples. Results: The results showed that the average systolic blood pressure before cupping was 164.78 mmHg decreased by 10.87 mmHg to 153.91 mmHg after cupping and the average diastolic blood pressure before cupping was 99.78 mmHg decreased by 4.13 mmHg to 95.65 mmHg. Conclusion: The results showed that cupping technique therapy can reduce blood pressure for a moment in hypertension sufferers.

The Profile of Lung Adenocarcinoma Patients with Positive EGFR Mutation Pandu Wiriansya, Edward; Ainun; Ratu, Puspa; Muhammad Reza Cesarian Noor, Andi
Green Medical Journal Vol 2 No 1 April (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Background: The high mortality rate in pulmonary carcinoma is a problem encountered in various countries, including Indonesia. According to WHO, there are 2.09 million people affected by lung cancer and 1.76 million deaths due to lung cancer worldwide. This study was aimed to determine the profile of lung adenocarcinoma patients with positive EGFR mutation. Methods: The study was descriptive study with cross-sectional approach using secondary data obtained from medical records of lung adenocarcinoma patients. Results: The present study revealed that lung adenocarcinoma was found higher in patients with age >40 years old (93.9%) compared to those with age <40 years old. It was also higher in male (66.7%) than in female patients. Most patient with lung adenocarcinoma were at the IIIB stage (42.4%). It was also reported that higher cases was found in patients with history of smoking more than 15 years (42.4%). Hemoptoe was the most reported clinical symptoms in patients with lung adenocarcinoma (87.9%). Lung adenocarcinoma was also observed higher in patients without family history of pulmonary adenocarcinoma (81.8%). Seventeen of 33 EGFR mutations (51.5%) were observed in exon 19 and fourteen (48.5%) were in exon 21. Conclusion: The most common EGFR mutation lung adenocarcinoma was observed in exon 19.

Hyperthyroid Heart Disease With Some Comorbidities Hasanuddin, Abdi Dzul Ikram; Dunggio, Sandra; Zubaidi, Hannan
Green Medical Journal Vol 2 No 1 April (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Thyroid disease is quite common. The cardiovascular clinical manifestations of hyperthyroidism are palpitation, systolic hypertension, fatigue, or with the basis of existing heart disease, angina or heart failure. In men, the disease is more frequently to develop into congestive heart failure than in women, thus more exploration is needed. This case report discussed a 42-year-old male patient who was admitted to the emergency department due to palpitations, shortness of breath aggravated with activity and lie down position, and alleviated with resting, cough with white sputum, epigastric pain, and constipation since the past 3 days. He was diagnosed with a history of hyperthyroidism and congestive heart disease 1 year ago and routinely consumed propylthiouracil (PTU). He had a history of herniotomy 10 days before admission. The patient did not have a history of hypertension, diabetes mellitus, or hypercholesterolemia. The patient has a smoking habit of up to 3 packs/day since a teenager. The patient was diagnosed with hyperthyroid heart disease (congestive heart failure, atrial fibrillation, and coronary heart disease) with comorbid of electrolyte imbalance, hypoalbuminemia, and thrombocytopenia. The patient was treated in the Intensive Care Unit (ICU) and was given oxygen therapy, crystalloid infusion, antithyroid drug, beta-blocker, diuretics, digitalis, anti-angina, anti-thrombotic, and adjunct therapy. The patient was treated for 8 days in ICU, followed by 2 days in the ward with a good outcome. Early detection and intervention followed by close monitoring is key management for the patient with hyperthyroid heart disease, especially in a male patient, to achieve a better outcome.

Immune Response toward Mycobacterium Tuberculosis Infection Ikram Hasanuddin, Abdi Dzul; Roswita, Nanang; Virnanda Amu, Ivan
Green Medical Journal Vol 2 No 2 August (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v2i2.47

Understanding the human immune response toward Mycobacterium tuberculosis infection is important for controlling its infection. Its transmission through the air consists of "droplets nuclei" containing TB bacilli. After initial infection, the human body will provide diverse immune responses and will determine different clinico-histopathologic finding. This response starts from innate immunity that consists of phagocytosis by distal alveolar macrophages or nasal microfold cells, then will be continued by dendritic cells to be transferred to mediastinal lymph nodes to induced adaptive immune responses. This response is mediated by cells through IFN- Î³ signaling which will enhance phagocytosis. If this response is effective, there will be a latent infection with an initial histopathological finding of caseosa granulomas and predominantly followed by chronic granulomas. In a few cases, it can be reactivated via the IL-10 activation pathway and exogenous factors, it will induce a great adaptive immune reaction and provide more severe clinico-histopathological manifestation. The existence of the human body's immune response to Mycobacterium tuberculosis, etiher innate or adaptive immunity will determine the clinical course and pathology that will occur.

Relations of Food Pattern and Physical Activity with Academic Achievement and Cognitive Function Wulandari, Ayu; Lubis, Zulhaida; Aritonang, Evawani
Green Medical Journal Vol 2 No 2 August (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v2i2.50

Introduction: The results of the initial survey showed that there were seven children with low food pattern and moderate physical activity was having a cognitive function and low academic achievement at school, and three children with good food pattern and moderate physical activity were having good cognitive and high academic achievement in school. This study was to determine the relations of food patterns and physical activity with academic achievement and cognitive function. Methods: This study was a cross-sectional study that was conducted at Elementary School 2 Blangkeujeren, West Labuhanhaji Sub-district, South Aceh District from March 2017 to June 2017. This study used a total sampling design is 81 students. Subjects are all students in grade five (42 students) and six (39 students). Data were collected by using questionnaires include Food Frequency Questionary (FFQ), Food Recall 24 hours, Physical Activity Level (PAL). Last year's report card value and the Mini-Mental State Examination (MMSE) were used to assess cognitive children. Results: The relationship between the type and the amount of macro and micronutrient intake obtained p-value<0.05. This study also showed a relationship between food patterns and cognitive function in children. Based on the research results, there is a relationship between physical activity and academic achievement (p<0.05). There is a relationship between physical activity and cognitive function in children. Conclusion: There is a relationship between food patterns, physical activity, academic achievement, and cognitive function.

Profile of Minimal and Non-Minimal Change Nephrotic Syndrome in Children: A Cross-Sectional Study Jafar, Muh. Alfian; Rauf, Syarifuddin; Daud, Dasril
Green Medical Journal Vol 2 No 2 August (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v2i2.51

Introduction: Idiopathic nephrotic syndrome (INS) is the most common kidney disease in children. Histopathological features classify the disease into minimal change nephrotic syndrome (MCNS) and non-minimal change nephrotic syndrome (NMCNS). Clinical and laboratory characteristics are considered to be useful in estimating the underlying pathological changes. This study aimed to assess the spectrum of clinical and laboratory profiles in children suffering from MCNS and NMCNS. Methods: This was a cross-sectional study using medical records of patients hospitalized at Dr. Wahidin Sudirohusodo Central General Hospital and Hasanuddin University Teaching Hospital from January 2016 to August 2018. Subjects were classified into MCNS and NMCNS groups and evaluated for age, sex, hypertension, degree of edema, degree of hematuria, proteinuria level, cholesterol level, albumin level, urea level, and creatinine level. Data were analyzed by using chi-square, fisher's exact test Mann Whitney analysis, multivariate by logistic multiple regression analysis, and diagnostic test. Results: Of the 36 subjects enrolled, 10 (27.8%) had MCNS, and 26 (72.2%) had NMCNS. Bivariate analysis showed significant differences in hypertension (p=0.020; OR=12.3; 95% CI 1.35-111.61) and hematuria (p=0.018; OR=7.7 ; 95% CI 1.52-39.75). Multivariate analysis indicated that only hematuria is a significant predictor (p=0.014; OR=7.778; 95% CI 1.522 â€“ 39.754). The diagnostic test of NMCNS showed hematuria sensitivity at 77% and specificity at 70% with a positive predictive value of 87% and a negative predictive value of 46%. Conclusion: Our study showed that hematuria is a sensitive predictor of NMCNS.

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Syarifuddin Wahid

Contact Email greenmedicaljournal@umi.ac.id

Phone +6282293330002

Journal Mail Official greenmedicaljournal@umi.ac.id

Editorial Address Jalan Urip Sumohardjo no. 5 KM.5, Kampus II UMI, Makassar, Indonesia

Location Kota makassar, Sulawesi selatan INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Syarifuddin Wahid

Contact Email
greenmedicaljournal@umi.ac.id

Phone
+6282293330002

Journal Mail Official
greenmedicaljournal@umi.ac.id

Editorial Address
Jalan Urip Sumohardjo no. 5 KM.5, Kampus II UMI, Makassar, Indonesia

Location
Kota makassar,

Sulawesi selatan

INDONESIA