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Kieraha Medical Journal
Published by Universitas Khairun
ISSN : 28098757     EISSN : 26865912     DOI : http://dx.doi.org/10.33387/kmj
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Nursing Public Health
KMJ (Kieraha Medical Journal) adalah jurnal ilmiah yang diterbitkan oleh Prodi kedokteran Fakultas Kedokteran Universitas Khairun. KMJ menerbitkan hasil-hasil penelitian dibidang Kesehatan yang mencakup semua aspek ilmu kedokteran yang berasal dari kedokteran dasar, klinis, keperawata, dan farmasi baik study berupa hewan ataupun pada manusia.
Arjuna Subject : Kedokteran - Biokimia, Kedokteran
Articles 190 Documents
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DEFEK SEPTUM ATRIUM DENGAN HIPERTENSI PULMONAL PADA ANAK DENGAN GEJALA RESPIRATORIK KRONIK DAN MALNUTRISI: LAPORAN KASUS Fathul Rizky Syamsu Imam; Septa Ayu Bungasari; Wahyunita Ilham Do Toka
Kieraha Medical Journal Vol 7 No 2 (2025): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v7i2.11410

Abstract

Atrial Septal Defect (ASD) merupakan salah satu penyakit jantung bawaan asianotik yang ditandai dengan adanya defek pada septum atrium sehingga menyebabkan aliran darah abnormal dari atrium kiri ke atrium kanan. Defek yang besar dapat menimbulkan aliran sirkulasi paru yang berlebihan dan berkembang menjadi hipertensi pulmonal. Manifestasi klinis ASD pada anak sering tidak spesifik dan dapat menyerupai penyakit paru kronik. Kami melaporkan kasus seorang anak perempuan usia 6 tahun yang datang dengan keluhan sesak napas dan batuk berdahak kronik, disertai status gizi buruk dan riwayat paparan tuberkulosis paru. Pemeriksaan foto toraks menunjukkan infiltrat bilateral dan kardiomegali. Evaluasi lanjutan dengan ekokardiografi menegakkan diagnosis Large ASD Secundum dengan Hipertensi Pulmonal. Pasien mendapatkan terapi suportif untuk Hipertensi Pulmonal, tata laksana gizi buruk, serta terapi OAT (Obat Anti Tuberkulosis). Kasus ini menekankan pentingnya evaluasi kardiovaskular menyeluruh pada anak dengan gejala respiratorik berulang dan gangguan pertumbuhan.
EFEKTIVITAS AKUPUNKTUR SEBAGAI TERAPI KOMPLEMENTER TERHADAP PENURUNAN KADAR ASAM URAT DI ALHANIF THERAPY SIDRAP Sudirman Sudirman; Ikhwan Abdullah; Mayang Wulandari; Leny Candra Kurniawan
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.11419

Abstract

Akupunktur adalah metode terapi yang telah dikenal lama dan sekarang dipelajari dalam konteks medis modern. Ia dilakukan dengan memasukkan jarum tipis ke titik-titik tertentu di tubuh untuk memengaruhi aliran energi dan fungsi fisiologis. Akupunktur disebut sebagai terapi yang aman dan telah memiliki standar lisensi dan kompetensi yang jelas. Salah satu penyakit yang dapat diterapi dengan akupunktur adalah hiperurisemia yang ditandai dengan peningkatan kadar asam lebih dari dari 7,0 mg/dl pada laki-laki dan lebih dari 6,0 mg/dl pada perempuan. Penelitian ini bertujuan untuk mengetahui efektivitas akupunktur sebagai terapi komplementer terhadap penurunan kadar asam urat dan berkurangnya nyeri pada kasus hiperurisemia di Al-Hanif Therapy Kabupaten Sidrap.Desain penelitian yang digunakan dalam penelitian ini adalah pre experimental design, dengan rancangan penelitian yang digunakan adalah pre-test and post-test design. Partisipan pada penelitian ini adalah seorang laki-laki inisial SH, umur 49 tahun, dengan riwayat hiperurisemia selama 5 tahun. Kadar asam urat pada saat penelitian dimulai adalah 8,8 mg/dL disertai inflamasi pada bagian engkel. Penelitian ini berlangsung selama 23 hari dengan durasi terapi 6 kali. Pengukuran kadar asam urat dilakukan sebelum terapi dan tiap empat hari setelah terapi.Hasil penelitian yang diperoleh menunjukkan adanya penurunan kadar asar urat dari 8,8 mg/dL menjadi 7,8 mg/dL yang disertai dengan berkurangnya gejala penyerta seperti nyeri dan inflamasi pada engkel kaki. Berdasarkan hasil tersebut dapat disimpulkan bahwa terapi akupunktur efektif dalam menurunkan kadar asar urat pada pasien hiperurisemia di alhanif therapy Kabupaten Sidrap.
A AKTIVITAS FRAKSI DAUN PEPAYA JEPANG (Cnidoscolus aconitifolius) TERHADAP BAKTERI Staphylococcus aureus DAN JAMUR Trichophyton rubrum Ade Irawan; Mariam Ulfah; Ismanurrahman Hadi; Saddam Fadhillah N
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12243

Abstract

A problem that occurs in most developing country such as Indonesia, is the many diseases caused by infections. Japanese papaya plants (Cnidoscolus aconitifolius) contain compounds which are considered to have potential as antimicrobial agents for treating infections. Antifungal and Antibacterial are compounds that can inhibit and kill the growth of fungi and bacteria, thereby preventing infection. This study used fractions from Japanese papaya leaf (Cnidoscolus aconitifolius) that had undergone a compound isolation process using the maceration method using 96% ethanol solvent, namely the n-hexane fraction, ethyl acetate fraction and butanol fraction. The results of the study showed that the most effective fraction in inhibiting the growth of Staphylococcus aureus bacteria was the butanol fraction with a concentration of 7.5%. The most effective fraction in inhibiting the growth of Tricophyton rubrum fungus was the ethyl acetate fraction with a concentration of 7.5%. Keywords : Papaya Japanese (Cnidoscolus aconitifolius), Staphylococcus aureus, Trichophyton rubrum.
UJI EFEK GASTROPROTEKTIF EKSTRAK ETANOL DAUN BIDARA PADA TIKUS ULKUS PEPTIKUM DENGAN PARAMETER pH safriani- rahman1; Sitti Amirah; Fitriana; Muh. Rayhan Fachreza
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12266

Abstract

Peptic ulcer suffered by many people and potentially to cause DRP (Drug Related Problems) and has many severe side effects. Bidara leaves (Ziziphus mauritana Lam.) contain saponins, flavonoids, alkaloids, and tannins that can potentially be an alternative treatment for peptic ulcers. This study aims to see the gastroprotective effect of bidara leaves extract on peptic ulcers in rats based on pH parameters. A total of 15 rats were divided into 5 groups consisting of 1 Normal group, 1 comparison group (Omeprazole 20 mg/kgBW) and 3 treatment groups of bidara leaves extract with doses of 50 mg/KgBW, 150 mg/KgBW, and 250 mg/kgBW. . Administration was carried out orally once a day for 14 days. On the 15th day all test animals were induced with 96% ethanol at a dose of 5 mL/kgBW. Next, all test animals were sacrificed and dissected to remove their stomach organs. The gastroprotective effect was then observed using gastric pH measurements. The results showed that administration of ethanol extract of bidara leaves at a dose of 250 mg/kgBW provided a better gastroprotective effect than other dosage variations and comparisons, as seen from the average gastric pH value of 5.96 ± 1.48.
LICHEN SIMPLEX CHRONICUS PADA REMAJA LAKI-LAKI USIA 13 TAHUN DENGAN RIWAYAT PRURITUS KRONIS PADA PERGELANGAN KAKI: LAPORAN KASUS Dwi Hastuti; Septa Ayu Bungasari; Fathul Rizky
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12291

Abstract

ABSTRACT Lichen Simplex Chronicus (LSC) is a chronic inflammatory dermatosis characterized by skin lichenification resulting from a persistent itch–scratch cycle. Although commonly reported in adults, LSC is relatively uncommon in children and adolescents. This case report describes the clinical presentation, diagnosis, and management of LSC in a 13-year-old male adolescent. The patient presented with chronic pruritus on the anterior aspect of the left ankle that had persisted for several years and worsened during sweating. Repetitive scratching led to the development of a hyperpigmented lichenified plaque with scaling and excoriation. Based on clinical history and dermatological examination, a diagnosis of Lichen Simplex Chronicus was established. The patient was treated with topical corticosteroids, topical antipruritic agents, oral antihistamines, and behavioral education to avoid repetitive scratching. Follow-up evaluations at one and three weeks demonstrated marked improvement, including reduced pruritus, scaling, excoriation, and lichenification. This case highlights that LSC can occur in adolescents despite being more commonly observed in adults and may respond well to conservative therapy when diagnosed early and managed by effectively interrupting the itch–scratch cycle. Keywords : Lichen Simplex Chronicus, Adolescent, Lichenification, Neurodermatitis, Pruritus.
PENGARUH KOMBINASI ZIG-ZAG EXERCISE DAN T-DRILL EXERCISE TERHADAP TINGKAT KELINCAHAN PADA PEMAIN FUTSAL Fidelis Pratama; Nurul Halimah; Sartoyo Sartoyo; Angria Pradita
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12294

Abstract

Futsal is played in a confined space at high intensity; consequently, agility is a crucial physical attribute that enables players to change direction rapidly without losing their balance. Many school-level players have not yet undergone specific training programs focused on changing direction. This study aimed to analyze the effect of a combined intervention consisting of Zig-zag exercises and T-Drill exercises on improving the agility levels of futsal players. This quantitative study employed a pre-experimental design (one-group pretest-posttest) involving 16 players from the futsal extracurricular program at SMAN 2 Malang City. Participants were selected via purposive sampling based on the following criteria: male, aged 15–18 years, and in good physical health. Exclusion criteria included players with injuries and those unwilling to participate. The combined training intervention was administered twice weekly over a four-week period. Agility was measured using the Illinois Agility Test, timed with a digital stopwatch. Data normality was assessed using the Shapiro-Wilk test, and analysis was conducted using the Paired Sample T-Test. The results demonstrated a highly significant improvement in agility across all subjects. The mean completion time for the Illinois Agility Test was 18.67 seconds at pre-test and decreased to 17.04 seconds at post-test, with a p-value of 0.000 (p < 0.05). The combined Zig-zag and T-Drill exercise program proved to have a significant effect on enhancing the agility of futsal players.
DETEKSI MIKROSKOPIS OOKISTA TOXOPLASMA GONDII PADA FESES KUCING MELALUI FLOTASI SENTRIFUGASI DI MALAKA SARI, JAKARTA TIMUR Muhammad Nur Fai; Siti Nuril Aprilianti; Nurul Azmah Nikmatullah; Oktadio erikardo; Euis Purbasari; Adia Putra Wirman; Rahmat Subakry
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12296

Abstract

Toxoplasma gondii is an obligate intracellular protozoan parasite with zoonotic potential. It is transmitted through the feces of domestic cats (Felis catus) containing oocysts. Data on active oocyst shedding by cats in East Jakarta, particularly in Malaka Sari Village, remain limited. This study aimed to identify the presence of T. gondii oocysts in cat fecal samples using the centrifugal flotation method. This was a descriptive cross-sectional study conducted on 70 cat fecal samples collected from Malaka Sari Village, Duren Sawit District, East Jakarta. Each sample was processed by centrifugal flotation using a saturated salt solution of high specific gravity to concentrate parasitic elements, after which the surface film was examined under a light microscope at 400× magnification. Oocysts were identified based on their morphological characteristics, and the data were analyzed descriptively as frequencies and percentages. Of the 70 fecal samples examined, 2 (2.86%) were positive for oocysts morphologically consistent with T. gondii, whereas 68 (97.14%) were negative. The observed oocysts were oval to subspherical, with thin walls and granular internal structures. Because light microscopy cannot reliably distinguish T. gondii oocysts from those of Hammondia hammondi and Cystoisospora spp., these findings should be interpreted as morphologically consistent rather than confirmed; therefore, molecular confirmation by PCR is recommended. The detection of these oocysts indicates ongoing environmental contamination and a potential zoonotic risk, and underscores the need for continued surveillance, improved sanitation, and integrated control based on the One Health approach.
PENGARUH SHUTTLE RUN INTERVAL TERHADAP VERTICAL JUMP PERFORMANCE PEMAIN BASKET DI BUDI DHARMA BASKETBALL CLUB Ezra Widodo; Sartoyo Sartoyo; Nurul Halimah; Angria Pradita
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12354

Abstract

Basketball is a dynamic and high-intensity sport that requires explosive jumping capability. Vertical jump performance is a crucial physical attribute supporting actions such as shooting, rebounding, and blocking. The shuttle run interval training method is assumed to induce neuromuscular and anaerobic energy system adaptations directly correlated with increased lower extremity explosive power in players. This study aimed to analyze the effect of shuttle run interval training on enhancing vertical jump performance in basketball players at the Budi Dharma Basketball Club, Pasuruan City. This quantitative study employed a pre-experimental design (one-group pretest-posttest design) involving 17 male basketball players aged 16–19 years, selected via purposive sampling. The shuttle run interval training intervention was administered twice weekly over a four-week period. The measurement instrument used to assess vertical jump performance was the Sargent Jump Test. Data normality was assessed using the Shapiro-Wilk test, and analysis was conducted using the Paired Sample T-Test. The results demonstrated a significant improvement in vertical jump across all subjects. The mean vertical jump performance score was 43.47 cm prior to the intervention (pre-test) and significantly increased to 49.23 cm following the intervention (post-test), with a p-value of 0.000 ($p < 0.05$). The shuttle run interval training program proved to have a significant effect on enhancing the vertical jump performance of basketball players through the optimization of the functional explosive power of lower extremity muscles
PERBANDINGAN EFEKTIVITAS MCKENZIE CERVICAL DENGAN CHIN TUCK TERHADAP FORWARD HEAD POSTURE PADA REMAJA PONPES Muhammad Abror; Angria Pradita; Nurul Halimah; Sartoyo Sartoyo; Mohammad Asy'ari; Muhamad Khozin
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12355

Abstract

Forward Head Posture (FHP) is a postural disorder commonly found among Islamic boarding school students (santri) due to prolonged static sitting activities such as reading, memorizing, and studying. This study aimed to determine the difference in effectiveness between McKenzie Cervical Exercise and Chin Tuck Exercise on improving Forward Head Posture through Craniovertebral Angle (CVA) values in students at Yambu'ul Quran Islamic Boarding School, Kediri. This study used a quasi-experimental design with a two group pre-post test approach involving 30 male respondents aged 12–18 years, divided into two groups: the McKenzie Cervical Exercise group (n=15) and the Chin Tuck Exercise group (n=15). CVA measurements were performed using the AI Posture Evaluation and Correction System (APECS) application. Normality was tested using the Shapiro-Wilk test, within-group analysis was conducted using the Wilcoxon Signed Rank Test, and between-group comparison was analyzed using the Mann-Whitney U Test. The results showed that McKenzie Cervical Exercise increased the median CVA value from 47.0° to 50.0° (p=0.007), while Chin Tuck Exercise increased the median CVA value from 46.0° to 49.0°. There was a significant difference in effectiveness between the two interventions, where McKenzie Cervical Exercise proved to be more effective than Chin Tuck Exercise in improving CVA values in santri with Forward Head Posture (p<0.05).
HUBUNGAN ANTARA KESADARAN POSTUR ERGONOMIS DENGAN KEJADIAN NYERI PUNGGUNG BAWAH PADA MAHASISWA ITSK RS DR. SOEPRAOEN MALANG Qhoirun Nisa; Sartoyo Sartoyo; Nurul Halimah; Angria Pradita
Kieraha Medical Journal Vol 8 No 1 (2026): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v8i1.12462

Abstract

Low Back Pain (LBP) is one of the most common musculoskeletal complaints among university students duet o academic activites that predominantly involve prolonged sitting. Ergonomic postural awareness serves as a protective factor by enabling individuals to maintain proper body posture in accordance with ergonomic principles, thereby reducing the risk of developing low back pain. This study aimed to analyze the relationship between ergonomic postural awareness and low back pain among students of ITSK RS dr. Soepraoen Malang. This study employed a cross-sectional design. The study population consisted of 323 active undergraduate nursing and physiotherapy students, with a sample of 135 respondents selected using a purposive sampling technique. Data were collected using the Postural Awareness Scale (PAS) to assess ergonomic postural awareness and the Visual Analog Scale (VAS) to measure the intensity of low back pain. Data analysis included the Kolmogorov–Smirnov normality test followed by the Spearman Rank correlation test. The results showed that most respondents had a moderate level of ergonomic postural awareness (54.1%) and mild low back pain (89.6%). The Spearman Rank correlation test demonstrated a significant relationship between ergonomic postural awareness and low back pain (p<0.001; r = -0.458), indicating that higher ergonomic postural awareness was associated with lower levels of low back pain among students. Therefore, ergonomic postural awareness serves as a protective factor in reducing the risk of musculoskeletal disorders among students who engage in prolonged static sitting.

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