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Jurnal Klinik dan Riset Kesehatan (Journal of Clinical and Health Research) Bidang Pendidikan dan Penelitian, RSUD dr. Saiful Anwar Malang Jl. Jaksa Agung No. 2, Kec. Klojen, Malang 65112 Phone/Fax: 0341 – 362101 / 0341 - 369384 Email: jkrisk.rssa@gmail.com
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Jawa timur
INDONESIA
Jurnal Klinik dan Riset Kesehatan
Published by RSUD Dr. Saiful Anwar Malang
ISSN : 28092678     EISSN : 28090039     DOI : https://doi.org/10.11594/jk-risk
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Klinik dan Riset Kesehatan (JK-RISK) – RSUD dr. Saiful Anwar Malang adalah jurnal open-access resmi yang dikelola oleh tim Penelitian dan Pendidikan Rumah Sakit Umum Daerah dr. Saiful Anwar Malang, Jawa Timur, Indonesia. JK-RISK menerbitkan satu volume yang terdiri atas tiga nomor setiap tahunnya yang diterbitkan pada bulan Oktober, Februari, dan Juni. JK-RISK hanya akan menerbitkan jurnal berbahasa Indonesia. Jurnal Klinik dan Riset Kesehatan – RSUD dr. Saiful Anwar Malang menerbitkan tulisan-tulisan ilmiah hasil penelitian, laporan kasus, tinjauan pustaka dalam bidang kedokteran dan kesehatan yang belum pernah diterbikan di jurnal manapun. Pernyataan kode etik publikasi JK-RISK merupakan pernyataan kode etik yang melibatkan pengelola jurnal, editor, mitra bestari serta penulis dalam proses publikasi jurnal ilmiah. Pernyataan kode etik didasarkan pada Peraturan Kepala LIPI Nomor 5 tahun 2014 tentang Kode Etik Publikasi Ilmiah yang menjunjung tinggi tiga nilai etik dalam publikasi, yaitu (i) Kenetralan, yang berarti terbebas dari pertentangan kepentingan dalam pengelolaan publikasi jurnal; (ii) Keadilan, dengan memberikan kebebasan hak kepengarangan kepada pengarang/penulis; dan (iii) Kejujuran, yang berarti bebas dari duplikasi, fabrikasi, falsifikasi dan plagiarisme (DF2P) dalam publikasi.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 200 Documents
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Prosedur TEVAR pada Diseksi Aorta Klasik tipe B Kronis Herbani, Merlita; Kurnianingsih , Novi
Jurnal Klinik dan Riset Kesehatan Vol 3 No 2 (2024): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.2.8

Abstract

Introduction : Type B aortic dissection still become health burden that can cost quality of life. In this case, TEVAR procedure still become treatment of choice if indicated. However, TEVAR in chronic type B aortic dissection still often questioned between advantage and complication. Case Illustration : A 42 year old man with complaints of chest pain, was diagnosed with Chronic Type B Aortic Dissection. The TEVAR procedure is performed on the patient, with clinical and radiological indications. A CT scan evaluation was performed 3 months later and found closure of the false lumen, and the left kidney received collateral vascularization with a reduction in size. Currently the patient does not complain of any symptoms. Discussion : The TEVAR procedure for chronic type B aortic dissection according to indications can increase the patient's life expectancy. Regular evaluation is still needed for early detection of complications and evaluation of the blood vessels around the stent-graft. Conclusion : The TEVAR procedure in patients with chronic type B aortic dissection can be considered to increase patient survival.
Potensi Implementasi Telemedicine (Telekonsultasi, Telemonitoring, dan Telenutrisi) pada Penyakit Kronis Pasca Pandemi COVID-19 sebagai Upaya Resiliensi Bangsa Indonesia Yusuf, Vincetius; Prawestiningtyas, Eriko; Hamada, Muhammad; Aulia, Nur; Puspitasari, Diyah; Yusuf, Vincentius; Amar, Nasim
Jurnal Klinik dan Riset Kesehatan Vol 2 No 3 (2023): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.3.6

Abstract

Pendahuluan: COVID-19 telah berkembang menjadi pandemi dan menarik perhatian negara di penjuru dunia termasuk Indonesia. Adanya pembatasan mobilitas masyarakat berakibat pada berkurangnya akses pelayanan kesehatan bagi pasien non-COVID-19 dan mengakibatkan sebagian besar pasien dengan penyakit kronis enggan untuk melakukan perawatan. Pemberian layanan kesehatan perlu dipersiapkan dengan suatu strategi dimana transmisi COVID-19 dapat diminimalisir, namun layanan tetap dapat diberikan secara efektif, efisien, dan aman. Salah satu upaya yang dapat dilakukan dengan menggunakan telemedicine yang mencakup telekonsultasi, telemonitoring, dan telenutrisi. Di Indonesia, regulasi penggunaan telemedicine sudah diatur dalam undang-undang. Tujuan: untuk mengetahui potensi implementasi dari telemedicine (telekonsultasi, telemonitoring, telenutrisi) pada penyakit kronis pasca pandemi COVID-19. Metode: studi literatur yang telah dilakukan dalam rentang waktu publikasi 10 tahun terakhir yaitu 2011-2021 serta didapatkan dari database “PUBMED”, “Science Direct”, dan “Cochrane” dengan menggunakan kata kunci “Teleconsultation”, “Telenutrition”, “Telemonitoring”, dan “Chronic disease”. Hasil dan Kesimpulan: Didapatkan 19 artikel yang valid dan reliabel berdasarkan kriteria inklusi menyatakan bahwa penggunaan telemedicine (telekonsultasi, telemonitoring dan telenutrisi) dapat meningkatkan kualitas hidup, memperbaiki outcome pasien serta menurunkan mortalitas dan morbiditas terutama pada pasien dengan penyakit kronis. Pasien juga merasa puas dan merekomendasikan penggunaan telemedicine dalam masa mendatang. Dibutuhkan studi lanjutan terkait penggunaan telemedicine pada pasien dengan penyakit kronis, terutama di masa pasca pandemi COVID-19.
Ambulatory Blood Pressure Monitoring (ABPM): Prosedur, Interpretasi dan Penggunaan Klinik Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 2 No 3 (2023): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.3.4

Abstract

Mengingat peran penting hipertensi sebagai salah satu penyebab utama morbiditas dan mortalitas prematur global, maka untuk diagnosis dan tatalaksana hipertensi secara tepat, hal yang sangat penting adalah melakukan pengukuran tekanan darah (TD) yang tepat. Secara historis, diagnosis, tatalaksana, dan prediksi risiko kematian pada pasien hipertensi didasarkan pada pembacaan TD di klinik. Namun, pembacaan TD di klinik terbukti tidak selalu dapat mencerminkan TD pasien yang sebenarnya. Dilain pihak, telah banyak bukti yang menunjukkan bahwa ambulatory blood pressure monitoring (ABPM) adalah prediktor yang lebih baik untuk kejadian kardiovaskular utama dibandingkan pengukuran TD di klinik. ABPM mengurangi jumlah pembacaan yang salah, bersamaan dengan manfaat tambahan untuk memahami variabilitas dinamis TD. ABPM memungkinkan pencatatan pengukuran TD setiap 15 – 30 menit dalam 24 jam dan mengevaluasi berbagai parameter seperti TD rata-rata 24 jam, TD rata-rata siang hari, TD rata-rata malam hari, dan persentase penurunan TD pada malam hari. Tulisan ini fokus pada pentingnya ABPM, kelebihan dan keterbatasannya dibandingkan dengan pengukuran TD klinik standar serta prosedur dan interpretasinya dalam mendiagnosis dan melakukan tatalaksana hipertensi secara lebih tepat
Problem Malnutrisi pada Orang Tua : Tinjauan Faktor Risiko, Konsekuensi, dan Pendekatan Terapi Sunarti, Sri; Fatma, Siti; Putri, Fara; Oktavia, Nur; Miamaretta, Alifia; Salsabiila, Syahidah
Jurnal Klinik dan Riset Kesehatan Vol 2 No 3 (2023): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.3.5

Abstract

Aging is an unavoidable part of life, which means process of turning into frail person with reduce physiologic functions and increased disease susceptibility through various mechanisms, including age-related changes in lifestyle, disease conditions, sosial and environmental factors that may affect dietary behaviors and nutritional status. Malnutrition are common symptoms in elderly and are related to various factors including eating problem and comorbid diseases. Screening for eating disorder, comorbid diseases, and mental diseases such as depression, and anxiety are essential. Managing malnutrition is important, with comprehensive treatment including lifestyle changes, controlling comorbid disease, and also simple intervensions such as nutritional supplementation or modified diets could improved the health status.
Emfisema Subkutis Derajat 5 pada Pasien Rekuren Pneumotoraks Spontan Sekunder : Sebuah Laporan Kasus Sari, Fitri; Dwikarlina, Intan; Wijaya, Rendy; Antariksa, Genta; Sarti, Fitri; Putra, Christian
Jurnal Klinik dan Riset Kesehatan Vol 3 No 1 (2023): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.1.8

Abstract

Background: Subcutaneous emphysema is a condition where persistent air exists in the subcutaneous layer of the skin. Subcutaneous emphysema occurs through various etiologies, one of which is due to the rupture of the alveoli that cause air infiltration between the connective tissues in patients with spontaneous pneumothorax. Case Presentation: A 53-year-old man complained of shortness of breath that appeared suddenly after the patient defecated. Complaints of chest tightness accompanied by extensive swelling throughout the body starting from the patient’s genital to the entire patient's face. The patient had a history of secondary spontaneous pneumothorax and a history of suffering from tuberculosis recurrence in 2021. Discussion: Subcutaneous emphysema occurs when air enters the tissues under the skin and soft tissues. Subcutaneous emphysema can be classified into five grades based on its severity. In this case report, grade 5 subcutaneous emphysema occurred because of a patient's right lung history of pneumothorax. Pneumothorax can be traumatic or spontaneous. Spontaneous pneumothorax can be divided into primary (without a clear cause) or secondary (associated with lung disease). The patient also has a history of tuberculosis and post-tuberculosis obstructive syndrome (SOPT). Patient management includes chest tube placement, oxygen therapy, and subcutaneous air decompression measures. Conclusion: In this case report, a grade 5 subcutaneous emphysema with a history of tuberculosis infection responded well to chest tube insertion as illustrated by the gradual reduction in emphysema degrees. Medical personnel is needed to carry out a holistic and comprehensive history and medical examination regarding the risk factors for grade 5 subcutaneous emphysema.
RETINOPATI DIABETIK: PATOGENESIS, DIAGNOSIS, TATALAKSANA KINI DAN MASA DEPAN Ulfayani, Nabila; Haitsam, Muhamad
Jurnal Klinik dan Riset Kesehatan Vol 3 No 1 (2023): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.1.4

Abstract

Diabetic Retinopathy (RD) is the main cause of blindness in people of productive age worldwide. Poor control of hyperglycemia and blood pressure are essential risk factors for the development of RD. This condition will trigger the occurrence of biomolecular mechanisms that cause damage to vessels and cells in the retina and develop into RD. The early stages of RD are generally asymptomatic, so it is recommended to perform RD screening as soon as the patient is diagnosed with type 2 DM and every 5 years for type 1 DM patients. RD therapy can be carried out with a non-pharmacological and pharmacological approach that is applied based on the level of severity to minimize the progression of RD. Apart from conventional therapy, there are potential therapies in the future, which include oral pharmacological therapy, genetic therapy, stem cell therapy, and CRISPR-Cas-Based therapy.
PERAN TELENUTRISI PADA PENYAKIT KRONIS DAN DIET YANG BAIK Djajalaksana, Susanthy
Jurnal Klinik dan Riset Kesehatan Vol 2 No 3 (2023): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.3.1

Abstract

Sindroma Lisis Tumor pada Leukemia Limfoblastik Akut L2 Hari Oki, Hambiah; Dian Sukma Hanggara; Hani Susianti; Nugroho, Susanto
Jurnal Klinik dan Riset Kesehatan Vol 4 No 1 (2024): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.1.8

Abstract

Background: Tumor lysis syndrome is metabolic abnormalities due to accumulation of intracellular contents in systemic circulation. Cairo and Bishop criteria is used to diagnosing it. Patient with hematological malignancies such as acute leukemia is more prone to this syndrome, and also infection that comes with it. Evaluating tumor lysis syndrome, especially knowing which laboratory parameters used and probable complication are crucial. Case Report: Two years old boy undergone maintenance chemotherapy for his ALL L2 that has been diagnosed one year ago. Patient has no complaint at admission, but went to worsened condition as the chemotherapy was given. Electrolyte imbalances and clinical manifestations depicting tumor lysis syndrome was found. Patient also experiencing pneumonia, gastrointestinal tract infection and sepsis (PELOD score 15). Conclusion and Suggestion: Patient experiencing tumor lysis syndrome when he was going through maintenance chemotherapy. Even though he was admitted without any major complaints, but hyperuricemia and elevated creatinine at the time of admission should be considered before initiating chemotherapy. Sepsis in this patient might be cause by bacterial infection of the gastrointestinal tract due to his severe neutropenia condition.
Analisis Ketahanan Hidup Pasien Kanker Paru di RSUD Dr. Saiful Anwar Pratiwi, Suryanti Dwi; Setyawan, Ungky Agus; Falyani, Silvy Amalia; Permatasari, Adinda Pramitra; Santosa, Andrew; Febriawati, Juwita; Prasetyo, Kevin Wahyudy; Yokanan
Jurnal Klinik dan Riset Kesehatan Vol 3 No 3 (2024): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.3.2

Abstract

Background: Comprising 14% of all cancer, lung cancer is the main cause of cancer-related mortality worldwide. Previous studies showed various findings regarding the survival rate of lung cancer, and factors significantly correlated with survival rate in lung cancer patients. Aim: This research aims to identify the profile and survival rate of lung cancer patients receiving chemotherapy in Saiful Anwar General Hospital from 2018 to 2020. Methods: This cohort retrospective study used medical records of patients diagnosed with lung cancer who underwent chemotherapy from 2018 to 2020. Data analysis was done using the Mantel Cox log rank test. Survival data shown as progression free survival (PFS) and overall survival (OS) were shown using Kaplan-Meier curves. Results: Subjects were largely male (73,2%). Adenocarcinoma is the most often type of lung cancer found (59,8%) with wild type EGFR mutation being the most prevalent (20,6%). Carboplatin – Paclitaxel is the most widely used chemotherapy regimen (54,6%). Survival analysis showed a significant correlation between age, OS, and PFS (p < 0,05) Conclusion: Various factors such as gender, cancer cell type, EGFR mutation, and chemotherapy regimen were not found to be related to survival rate in lung cancer patients. A significant correlation between age and survival rate showed potential in utilizing age as a predictor of survival rate in lung cancer patients.
Peran B Cell Activating Factor (BAFF) pada Penatalaksanaan Sindrom Nefrotik : Sebuah Paradigma Baru Kristina, Astrid; Subandiyah, Krisni
Jurnal Klinik dan Riset Kesehatan Vol 3 No 1 (2023): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.1.5

Abstract

Nephrotic syndrome is a glomerular disease characterized by severe proteinuria (≥3g/24 hours), hypoalbuminemia (≤25g/L), and oedema, with hyperlipidemia in some cases. This syndrome can affect both children and adults of all ages and can be caused by idiopathic or primary causes, or secondary causes due to infectious diseases, systemic diseases, malignancies, diabetes, and the effect of drugs. Specific therapy in nephrotic syndrome is determined by histopathology and the underlying cause. B cells or B lymphocytes are part of a key part of mammals' immune response called humoral immunity. Production of B cells in humans is lifelong, beginning in the fetal liver intrauterine and then in the bone marrow after birth. B cells developed from hematopoietic stem cells. The developmental stages of B cells include all stages of initial differentiation, maturation, antigen interaction, and ultimately antibody synthesis. Until recently, nephrotic syndrome was considered a T-cell-mediated disease, new insights point to the potential role of B cells in the pathogenesis of nephrotic syndrome. One of the mechanisms that occurs is that B cells produce antibodies that bind to antigens on the surface of podocytes which are special cells in the glomerulus and play a key role in the filtration process. In both SSNS and SRNS, the causal mechanism for both is still unclear but is thought to have a close relationship with immune system disorders, especially B cells.

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