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Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 5 Documents
 1 
Search results for , issue "Vol. 2 No. 2: October 2021" : 5 Documents clear
Homonymous Hemianopia dan Stroke: Aspek Visual dari Penyakit Serebrovaskular Aulia Khairunnisa
Majalah Kesehatan Indonesia Vol. 2 No. 2: October 2021
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202129

Abstract

Visual impairment due to stroke impacts quality of life and causes loss of vision pathways and depression. Vascular occlusion in afferent or efferent visual pathways can cause a myriad of effects. Homonymous hemianopia is a visual field list that, if there is a lesion in one area, can cause visual disturbances. Vascular causes are the most common cause of lesion occlusion in the retro chiasmal visual pathway. Clinical manifestations can include blindness of one eye, bitemporal hemianopia, binasal hemianopia, hemianopia homonym dextra / left. In the history, the patient often complains of crashing while walking, tripping easily, reduced visual fields, especially difficulty while driving. Visual field tests in the form of confrontation, campimeter or perimeter tests, sometimes a head CT-scan radiological examination is needed to help see any small infarction/mass. Stroke is the most common cause. Homonymous hemianopia, cerebrovascular involvement can be identified by knowing the anatomy of the optic tract, including monocular visual loss due to prechiasmal ischaemia, bitemporal hemianopia due to chiasmal ischaemia, Eefferent visual dysfunction due to lesions outside the afferent visual pathways.   Gangguan penglihatan akibat stroke berdampak pada kualitas kehidupan dan menyebabkan hilangnya jaras penglihatan dan depresi. Oklusi vaskular pada jalur visual aferen atau eferen dapat menyebabkan banyak sekali efek. Homonymus hemianopia merupakan dafek lapang pandang yang apabila terdapat lesi disuatu bagian dapat menyebabkan gangguan penglihatan. Penyebab vaskular menjadi penyebab tersering oklusi lesi pada jalur visual retrochiasmal. Manifestasi klinis dapat berupa kebutaan satu mata, hemianopia bitemporal, hemianopia binasal, hemianopia homonim dextra/sinistra.Pada anamnesis yan sering dikeluhkan pasien sering menabrak saat berjalan, mudah tersandung, lapang pandang berkurang, terutama kesulitan saat berkendara. Uji lapang pandang berupa uji konfrontasi, kampimeter atau perimeter, terkadang dibutuhkan pemeriksaan radiologi CT-Scan kepala untuk membantu melihat adanya infark/massa yang kecil. Stroke merupakan penyebab tersering Homonymus hemianopia, keterlibatan serebrovaskular dapat diketahui lokasinya dengan mengetahui anatomi dari traktus optikus, diantaranya monocular visual loss due to prechiasmal ischaemia, Bitemporal hemianopia due to chiasmal ischaemia, Efferent visual dysfunction due to lesions outside the afferent visual pathways.
Stadium, Diagnosis, dan Tatalaksana Penyakit Alzheimer Aditya Gloria Monalisa Sianturi
Majalah Kesehatan Indonesia Vol. 2 No. 2: October 2021
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202132

Abstract

Dementia is a general term for loss of memory that can occur along with behavioral or psychological symptoms in patients. The first cause of dementia patients is Alzheimer's disease. Alzheimer’s disease is a brain degenerative disease and the most common cause of dementia. In Alzheimer’s disease, there are three development stages, which is stage 1, stage 2, and stage 3 with different clinical symptoms at each stage. There are several clinical criteria for establishing a definitive diagnosis of Alzheimer’s disease and also support examinations have to be carried out. Until now, Alzheimer’s treatment has not been cured. Giving some pharmacotherapy only to reduce the progression of Alzheimer’s disease.   Demensia merupakan hilangnya ingatan yang bisa timbul bersama dengan gejala gangguan perilaku maupun psikologis pada seseorang. Penyebab pertama penderita demensia adalah penyakit Alzheimer. Penyakit Alzheimer adalah penyakit degeneratif otak dan penyebab paling umum dari demensia. Pada penyakit Alzheimer terdapat beberapa stadium perkembangan penyakit Alzheimer yaitu stadium 1, stadium 2, dan stadium 3 dengan gejala klinik yang berbeda di setiap stadium. Terdapat beberapa kriteria klinis dalam penegakan diagnosis definitif penyakit Alzheimer serta harus dilakukan pemeriksaan penunjang.  Pada tatalaksana penyakit Alzheimer hingga saat ini memang belum dapat disembuhkan, Pemberian obat-obatan hanya untuk mengurangi progresifitas penyakit Alzheimer.
Sindrom Komisura Wernekink; Patofisiologi dan Diagnosa: Sebuah Tinjauan Literatur Novi Jayanti Sukarno Putri
Majalah Kesehatan Indonesia Vol. 2 No. 2: October 2021
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202133

Abstract

Sindroma commissure Wernekink adalah sindrom midbrain yang langka yang secara selektif mempengaruhi komisura Wernekink, ditandai dengan ataksia serebelar bilateral dan gangguan pergerakan mata, terutama oftalmoplegia internuklear. Defisit neurologis yang terlihat pada WCS diyakini disebabkan oleh gangguan pada tangkai serebelar superior, fasciculi longitudinal medial, dan traktus tegmental sentral. Pemeriksaan radiologis yang berguna yaitu pada magnetic resonance imaging (MRI) dimana didapatkan gambaran "Lesi berbentuk hati" yang dianggap sebagai gambaran khas dari infark medular medial bilateral.   Wernekink commissure syndrome is a rare midbrain syndrome selectively affecting the Wernekink commissure, characterized by bilateral cerebellar ataxia and eye movement disorders, especially internuclear ophthalmoplegia. Neurologic deficits seen in WCS are believed to be caused by disruptions of the superior cerebellar peduncles, medial longitudinal fasciculi, and the central tegmental tract. Initially, a “heart-shaped lesion” on magnetic resonance imaging (MRI) was thought to be a distinctive presentation of bilateral medial medullary infarction. 
Left Bundle Branch Block in Suspected Acute Myocardial Infarction: to Early Reperfuse or Not? Gabrielle Alexander Kartawan
Majalah Kesehatan Indonesia Vol. 2 No. 2: October 2021
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202135

Abstract

Diagnosing Acute Myocardial Infarction (AMI) in the setting of the Left Bundle Branch Block (LBBB) proposes a great challenge to the clinician. Despite current therapy recommendations, early reperfusion may not be appropriate for all patients with new or presumed new LBBB because only a minority is caused by acute myocardial infarction with true occluded artery. This is a case of a 47-year-old man presented at a rural hospital emergency with highly suspected acute myocardial infarction, a history of old infarct, and LBBB on ECG. Relying on careful clinical examination and close evaluation of hemodynamic with serial ECG, the patient was decided to be managed conservatively. Thorough clinical judgment is required in diagnosing and managing patients with acute MI and LBBB. Avoiding unnecessary burdens and risks resulting from early reperfusion therapy may have a significant impact especially in the centre with limited modality settings.
Pengaruh Pemberian Pendidikan Kesehatan Terhadap Kecemasan Ibu Hamil pada Masa Pandemi Covid-19 Inggit Primadevi; Retno Yuniarti
Majalah Kesehatan Indonesia Vol. 2 No. 2: October 2021
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202141

Abstract

Psychological changes in pregnant women are divided into several trimester phases according to fetal development. During the Coronavirus Disease 2019 (covid-19) pandemic, the anxiety level of pregnant women is increasing. The research objective was to know the effect of health education on pregnant women’s anxiety during the COVID-19 pandemic. This type of research was pre-experimental with a one-group pretest and posttest design. The population is all pregnant women at the Public Health Center of Segalamider, Bandar Lampung City, totalling 36 people. The sampling technique used was total sampling. Univariate analysis used range values, and bivariate analysis used the Wilcoxon test. The research results show that pregnant women's average level of anxiety before and after giving health education was 10.5 and 6.6. There was an effect of providing health education on the anxiety of pregnant women during the COVID-19 pandemic with a p-value = 0.000. Suggestions for mothers are expected to consult with midwives regarding physical and psychological health conditions while still implementing health protocols so that they can prevent anxiety during pregnancy during the covid-19 pandemic.     Perubahan psikologis pada wanita hamil terbagi kedalam beberapa fase trimester sesuai dengan perkembangan janin. Dimasa pandemi Coronavirus Disease 2019 (covid-19) tingkat kecemasan ibu hamil mengalami peningkatan. Tujuan penelitian ini Diketahui pengaruh pendidikan kesehatan terhadap kecemasan ibu hamil pada masa pandemicovid-19. Jenis penelitian ini pra eksperimen dengan rancangan one group pretest dan posttest. Populasinya adalah seluruh ibu hamil yang ada di UPT Puskesmas Segalamider Kota Bandar Lampung yang berjumlah 36 orang, dengan sampel total populasi, teknik sampling yang digunakan Total Sampling. Analisis univariat nilai range dan analisis bivariate uji Wilcoxon. Hasil penelitian menunjukkan rata-rata tingkat kecemasan ibu hamil sebelum dilakukan pendidikan kesehatan sebesar 10,5, rata-rata tingkat kecemasan ibu hamil setelah dilakukan pendidikan kesehatan sebesar 6,6 dan ada pengaruh pemberian pendidikan kesehatan terhadap kecemasan ibu hamil pada masa pandemik covid-19 dengan p value = 0,000. Saran bagi Ibu diharapkan dapat melakukan konsultasi kepada bidan mengenai keadaan kesehatan fisik dan psikis dengan tetap menerapkan protokol kesehatan sehingga dapat mencegah timbulnya kecemasan selama kehamilan di masa pandemic covid-19.

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