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Muhammadiyah Medical Journal
Published by Universitas Muhammadiyah Jakarta
ISSN : -     EISSN : 2721317X     DOI : 10.24853
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Muhammadiyah Medical Journal (MMJ) Faculty of Medicine and Health is an international journal based on scientific research. The journal is published 2 (two) times in 1 year, March and September. Muhammadiyah Medical Journal Faculty of Medicine and Health invites the lecturers, practitioners and observers as well as S1/S2/S3 students to submit their scientific articles about the progress of science in the field of Medicine. Article will be reviewed with blind-peer review process. The result of review will be announce in Open Journal System.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 72 Documents
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Blood Pressure Factors on Proteinuria in Type 2 Diabetes Mellitus Patients Putra, Muhamad Dwi; Suryanda, Faradillah; Utami, Ikrimah Nisa; Harlyana, Cyntya
Muhammadiyah Medical Journal Vol 4, No 2 (2023): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.4.2.52-63

Abstract

Background: Diabetes mellitus (DM), one of the metabolic degenerative diseases, requires significant resources to treat complications. Microvascular complications are diabetic nephropathy which is characterized by proteinuria. Blood pressure monitoring is part of self-management to avoid complications. Purposes: This study aims to determine the relationship between blood pressure and proteinuria in patients with type 2 diabetes mellitus at the Matraman District Health Center, East Jakarta. Methods: This study used a cross-sectional study analysis by collecting secondary data on patients diagnosed with type 2 diabetes mellitus at the Matraman District Health Center, East Jakarta for the period Juli-October 2021. Results: A total of 51 patients were sampled in this study; 34 (66.7%) were female and 17 other patients (33.3%) were male. Most cases with an age range of 45-64 years, namely 38 patients (74.5%). On examination of blood pressure with the highest frequency, 27 patients (52.9%) had normal blood pressure; on examination of proteinuria, found proteinuria +1 in 25 patients (49%), proteinuria +2 in 3 patients (5.9%), and proteinuria negative as many as 23 patients (45,1%). From the results of the Gamma correlation obtained a value (p= 0.022) (r = 0.441). Conclusion: Based on the results of this study, in patients with type 2 diabetes mellitus, the highest age range was 45-64 years, with more cases found in women, normal blood pressure, and +1 proteinuria levels. A significant relationship exists between blood pressure and proteinuria in type 2 diabetes mellitus patients at the Matraman District Health Center, East Jakarta.
The Most Common Cause of Fever in International Travelers Visiting Kasih Ibu Hospital Denpasar for the 2019-2020 Period Suryanditha, Putu Arya; Wijaya, I Dewa Gede Harry; Budiapsari, Putu Indah; Widhidewi, Ni Wayan
Muhammadiyah Medical Journal Vol 4, No 2 (2023): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.4.2.95-101

Abstract

Background: Fever is one of the most common symptoms that international travelers complain of due to various causes. Fever is associated with mild to severe illnesses, such as Coronavirus Disease 19, typhoid fever, dengue fever, malaria, chikungunya, or gastrointestinal infection. Purpose: This study aimed to determine the most common cause of fever in international travelers visiting Kasih Ibu Hospital Denpasar from 2019 to 2020. Methods: This cross-sectional study using medical records of international travelers with chief complaints of fever uses purposive sampling. Result: The age of the subject was dominated by the adult age group in 2019 (77.3%) and 2020 (77.1%), with more females in 2019 (50.8%) while more males in 2020 (57.8%), 2019 the most common cause of fever was dengue infection (50.8%) while in 2020 the most common cause of fever was COVID-19 (53.5%). Conclusion: Dengue was the most common cause of fever in 2019, and COVID-19 was the most common cause of fever in 2020.
Profile of Allergic Rhinitis and its Association with Chronic Suppurative Otitis Media Afriana, Aziza; Syabriansyah, Syabriansyah; Dita, Diah Ayu Aguspa
Muhammadiyah Medical Journal Vol 4, No 2 (2023): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.4.2.64-71

Abstract

Background: Allergic rhinitis is a growing global public health issue. Complications of allergic rhinitis include sinusitis, nasal polyps, bronchial asthma, and otitis media. Allergic rhinitis causes Eustachian tube dysfunction, which leads to chronic otitis media threefold more often. Chronic suppurative otitis media (CSOM) is marked by persistent tympanic membrane perforation and recurrent or persistent mucopurulent otorrhea. Purposes: This study is to determine the relationship between allergic rhinitis and the prevalence of chronic suppurative otitis media in Dr. M Yunus Bengkulu Hospital during 2019-2020. Methods: This was an observational cross-sectional study. This research is an observational analytical study with a cross-sectional approach. Thirty-three respondents were taken using a simple random sampling method. The SFAR (Score for Allergic Rhinitis) questionnaire was used in this study. Medical record data were used to collect CSOM information. Result: Seventy-five percent of respondents with allergic rhinitis also had chronic suppurative otitis media, while the prevalence of non-chronic suppurative otitis media was 25 percent. The p-value for the chi-square test was 0.031. Conclusion: For 2019-2020, there is a relationship between allergic rhinitis and the prevalence of chronic suppurative otitis media (CSOM) at Dr. M. Yunus Bengkulu Hospital.
Factors Influencing Scabies Infection at the Al-Amin Islamic Boarding School in Sukabumi Adinata, Thariq Mahathir; Sulistiyaningrum, Sri Katon; Saenong, Rizqa Haerani; Marindawati, Mieke
Muhammadiyah Medical Journal Vol 4, No 2 (2023): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.4.2.102-109

Abstract

Background: Scabies are a common health problem in many countries, mainly in densely populated areas. The prevalence of scabies in first community health services in Indonesia is 5.6-12.9%. Scabies infection is associated with a lack of health education, small bedrooms with too many people living in poor sanitation, and a crowded environment found in public Islamic boarding schools in Indonesia. Purposes: To investigate the correlation between characteristics, knowledge, and hygiene behavior with the incidence of scabies among boarding school students. Methods: This is a cross-sectional analytic study; 150 subjects were conducted in this study, and eight subjects were excluded. Subjects were conducted for an examination and filled out a questionnaire to diagnose the scabies infection. Bivariate and multivariate logistic regression analyses were used to assess the risk factors of subjects associated with scabies infection. Results: 142 subjects were analyzed, and 77 (54.2%) were diagnosed with scabies. From bivariate analyses, we found that gender (p0.0001), level of education (p0.0001), and clean behavior (p0.0001) were associated with scabies outcome. Male (p=0.015, OR 95% CI 4.3 (1.3 – 14.3), higher level of education (p=0.012, OR 95% CI 8 (1.58 – 41.2), and poor hygiene behavior (p0.0001, OR 95% CI 1 (1.02 – 1.09) were independently associated with scabies infection. Conclusions: There was a significant association between gender, level of education, and clean behavior with scabies outcome. Males, low levels of education, and poor hygiene behavior increase the incidence of scabies infection. Age, nutritional status, and knowledge of scabies were not associated with scabies outcome.
Correlation between Neutrophil to Lymphocyte Ratio with C-Reactive Protein Levels in COVID-19 Patient Wiratmoko, Mirsyam Ratri; Hajarani, Fityaya
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.36-41

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease brought on by SARS-CoV-2. China's Hubei Province's Wuhan City is where the pandemic first began. The number for Indonesia is 1,790. Neutrophil Lymphocyte Ratio (NLR) and C-reactive protein (CRP) tests are conducted to assess the disease prognosis in COVID-19 patients, who may have a bad prognosis. Purposes: To find out the relationship between NLR and CRP in COVID-19 patients at Bunda Margonda General Hospital in 2021. Method: This study used an analytic observational method with a cross-sectional approach and used secondary data from 100 samples from COVID-19 patients' medical records at Bunda Margonda General Hospital in 2021. Results: More COVID-19 patients were found in 56 male patients, aged 46-55 years, with 22 patients; NLR values increased in 67 patients and 80 patients in CRP. There is a significant relationship between NLR and CRP in COVID-19 patients at Bunda Margonda General Hospital in 2021, with a p-value of 0.001. The most common COVID-19 cases were found in male patients 46-55 years of age, and there was an increase in the NLR and CRP values. Conclusion: There is a relationship between NLR and CRP in COVID-19 patients at Bunda Margonda General Hospital in 2021.
Anti-Inflammatory Cytokine (IL-10) Profiles and Ratio of IL-6/IL-10 in Covid-19 Patients Sari, Shinta Dewi Permata; Listiyaningsih, Erlin; Mawanti, Wening Tri; Martalena, Dewi
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.1-8

Abstract

Background: The number of COVID-19 cases in Indonesia has continually increased since the first cases appeared in March 2020. This disease is due to SARS-CoV-2 virus infection in the respiratory system that induces an immune response. The innate and adaptive immune response triggered the secretion of an excessive pro-inflammatory cytokine-caused cytokine storm that became one of the mechanisms of acute respiratory distress (ARDS). The anti-inflammatory cytokines (IL-10, IL-13, and IL-4) were secreted as the immune response in the ARDS condition. Purposes: This study aims to determine the ratio of the IL-6/IL-10 profile as basic information for the therapeutic approach to prevent ARDS. Methods: This cross-sectional study used stored biological material in plasma form from COVID-19 patients in Jakarta Islamic Hospital – Pondok Kopi and Dr. M. Goenawan Partowidigdo Hospital, Cisarua. The plasmas were from severe (n=20) patients and mild to moderate severity (n=25). The negative control sample was collected from 13 healthy subjects. Assessment of IL-10 levels in plasma using ELISA technique. Results: Our analysis showed that IL-10 has no statistical difference between negative control, mild to moderate, and severe categories (p=0.629). Meanwhile, the ratio IL-6/IL-10 presented statistical differences between mild to moderate and severe categories (p=0.011). The average ratio of IL-6/IL-10 in severe categories is two-fold higher than in mild-moderate categories. Conclusion: We conclude that there is a cytokine storm condition in severe COVID-19 patients with an imbalance ratio of pro-and anti-inflammatory cytokines and could be used as basic information for drug development in cytokine storm conditions to prevent ARDS.
Risk Factors Related to COVID-19 Deaths at Fatmawati Hospital in 2021 Utomo, Muhammad Wiji; Purnamawati, Dewi; Almaududi, Abul A’la; Akaputra, Risky; Sugiatmi, Sugiatmi
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.42-50

Abstract

Background: Coronavirus Disease 2019 (COVID-19) has a risk of death. The risk of death increases in patients with several factors, such as age, gender, and comorbidities. Purposes: This study aims to determine the risk factors for the cause of death in patients with COVID-19 at Fatmawati Hospital in 2021. Methods: This study uses a quantitative approach with a case-control design without matching with a ratio of 1:1. Cases were identified as deaths due to COVID-19 as many as 109, and controls were COVID-19 sufferers who lived or recovered during the treatment period as many as 109 respondents. Data were collected from medical record data and analyzed multivariately with logistic regression. Result: The bivariate modeling showed that Age, Diabetic, Pneumonia, and Acute Respiratory Syndrome (ARDS) have significantly affected COVID-19 mortality (p ≤ 0.05). Multivariate modeling showed the ARDS variable (p=0.0001; OR=53.067) and age variable (p=0.028; OR=2.8) to be risk factors for COVID-19 death at Fatmawati Hospital Jakarta with an Attribute Risk (AR) value of 92,7% and the value of Population Attribute Risk (PAR) 58%. Conclusion: This model can predict 62.1% of COVID-19 deaths; the rest is due to other factors not studied in this study. ARDS is the dominant factor causing the death of COVID-19 at Fatmawati Hospital, Jakarta.
Association of Nutritional Status with Quality of Life in Breast Cancer Patients on Chemotherapy Muhammad, Nanda Noor; Aziza, Aziza
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.9-19

Abstract

Background: Cancer patients often experience a decline in their nutritional status due to chemotherapy, which can result in malnutrition and negatively impact their quality of life. However, there has been limited research on the prevalence of these conditions in breast cancer patients undergoing chemotherapy in Indonesia. Purposes: This research aims to explore the connection between the quality of life and the nutritional status of breast cancer patients receiving chemotherapy treatment. Methods: A cross-sectional study was conducted in a private hospital in Pekanbaru using non-probability sampling. Demographic profile, nutritional status assessment by PG-SGA, and quality of life assessment by the EORTC QLQ C-30 module were obtained. Mann-Whitney and Spearman's tests analyzed the association between nutritional status and QoL. Results: The average age of breast cancer patients was 45.46±14.375. The prevalence of overweight and obesity was 64.1%. According to the PG-SGA score, the vast majority of patients, approximately 91%, were discovered to be well-nourished. The nutritional status was significantly associated with most functional and symptom scales (p0.05). Improved nutritional status is associated with increased functionality and a reduction in symptoms, while malnutrition has been linked to decreased quality of life across multiple dimensions. Conclusion: The nutritional status of breast cancer patients affects some dimensions of quality of life. Well-nourished patients had better function and fewer symptoms.
The Severity Measurement of Chronic Venous Insufficiency in Patients with Type 2 Diabetes Mellitus Using Duplex Sonography Budiman, Muhamad Arif; Madiastuti, Septi; Nanang, Fitry Rahayu
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.51-58

Abstract

Chronic Venous Insufficiency (CVI) is a long-term condition that affects the veins in the legs, disrupting the blood flow to the heart. It is more common in patients with type 2 Diabetes Mellitus as it is one of the risk factors. Patients with CVI and a history of Type 2 Diabetes Mellitus may experience various symptoms depending on the severity of their condition. The severity of chronic venous insufficiency (CVI) was assessed in three patients from Cibinong Regional General Hospital with a history of type 2 diabetes using duplex sonography. According to the results, Patient I was diagnosed with moderate severity of CVI in the left leg (500 msec) and mild in the right (330 msec). Patient II was identified with moderate severity in both legs (430 msec left, 460 msec right). Patient III was found to have severe severity in both legs (750 msec left, 760 msec right). Patient I, who has mild-moderate chronic venous insufficiency (CVI) and a history of type 2 diabetes mellitus, experiences swollen feet, changes in skin texture, pitting edema, and a sense of heaviness and numbness in their legs. Patient II, who has moderate CVI, suffers from swollen legs, diabetic ulcers, pitting edema, discomfort and numbness in their legs, and skin discoloration. Patients III with severe CVI suffer swelling in both legs, pitting edema, venous dermatitis, ulcers, and numbness in their legs during activities and at night. Compression bandage treatment is recommended for patients who have moderate and severe CVI and a history of type 2 diabetes.
Analysis of Head Circumference, Exclusive Breastfeeding, and Child Development at Kedaung Community Health Center Maharani, Dinda Putri; Shabariah, Rahmini; Rayhana, Rayhana; Farsida, Farsida
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.20-27

Abstract

Background: Head circumference is one of the indicators for assessing intracranial volume and brain growth. Development is the improvement of bodily functions and abilities, such as emotional, intellectual, and behavioral development. Breast milk is a source of intake for nutrients for newborns who can support maximum growth and development. Purposes: It is known that the relationship between head circumference and development with the Developmental Pre-Screening Questionnaire (DPsQ) in children aged 3 – 6 months who get breast milk or formula milk in work area of the Kedaung Community Health Center Depok City. Methods: The design is a cross-sectional analytic study with respondents mothers who had a child and got breast milk at least three months after birth. The sampling technique used a convenience sampling method to obtain as many as 50 mothers, and the analysis data was analyzed using statistical methods using the chi-square test. Results: Children with the majority of 3 and 4 months of age were 34% each, female at 52%, breastfeeding alone at 80%, normal head circumference at 98%, and age-appropriate development in general by 90%. There was a significant relationship between head circumference size and breast milk status with DPsQ value and interpretation (p-value=0.002 OR=12.250 CI95%=4.789-31.333); (p-value=0.018 OR=8.143 CI95%=1.144-57.949). Conclusion: There is a 12 times greater relationship between head circumference size and development and an eight times more significant relationship between breast milk status and development in infants aged 3 – 6 months who get breast milk in the work area of the Kedaung Community Health Center Depok City.

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