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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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Progression Free Survival pada Pasien Kanker Paru Adenokarsinoma Wild Type dengan Kombinasi Regimen Pemetrexed dengan Cisplatin dibandingkan dengan Karboplatin Agus Setyawan, Ungky; Purnamawati, Catur; Pratiwi, Suryanti
Jurnal Klinik dan Riset Kesehatan Vol 4 No 2 (2025): 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.04.2.2

Abstract

Background: Progression-free survival (PFS) is a parameter to measures the progression of wild type adenocarcinoma lung cancer. Literature studies have shown that the combination platinum based-pemetrexed chemotherapy is more effective to prolonged progressivity of wild type adenocarcinoma. Aim: The aim of study to compared the PSF of wild type adenocarcinoma patients receiving cisplatin-pemetrexed and pemetrexed-carboplatin regimens at Dr. Saiful Anwar Hospital in 2018-2021. Methods: A retrospective cohort study based on medical record of wild type adenocarcinoma patients. Results: The results showed that the administration of a carboplatin-pemetrexed regimen has prolonged PFS (median 4 months, 95% CI 2.657-5.343) compared to the cisplatin-pemetrexed regimen (median 2 months, 95% CI 0.988-3.012). In addition, the risk of lung cancer progression based on PFS is not significantly influenced by the Karnofsky scale value of 70-80 (72.2%, HR 0.278). On the other hand, a history of smoking increases the risk of lung cancer progression, although it does not have a significant effect (HR 1,538). Conclusion: Administration of the carboplatin-pemetrexed regimen prolongs PFS up to a range of 10-16 months, although there is no statistically significant difference compared to the cisplatin-pemetrexed.
Tinea Unguium Yang Disebabkan Microsporum sp. : Sebuah Kasus Jarang Saviestya, Kaorie Bunga; Widasmara, Dhelya
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.03.2.7

Abstract

Onychomycosis is a fungal infection of the nails that can be caused by dermatophytes, non-dermatophytes, and yeast, while tinea unguium is an infection of the nails caused by the dermatophyte group. Onychomycosis is known to occur in 2-18.5% of the population worldwide where it is 4-20 times more common in toenails than fingernails. In patients with systemic lupus erythematosus, it was reported that 25% experienced nail changes where the most common abnormality was onycholysis. The following is a report of a 27-year-old female patient with complaints of damaged and brittle left toe nails accompanied by itching. From the dermatological examination of the left I-V digiti pedis, discoloration and onychodystrophy were found. Examination of 20% KOH on nail clippings shows long-branched hyphae. The results of the fungal culture showed the growth of Microsporum sp. This case report discusses a rare case of tinea unguium caused by Microsporum sp.
Hubungan Tingkat Kecemasan dengan Angka Kejadian Nokturia pada Mahasiswa/i Fakultas Teknologi Pertanian Universitas Brawijaya selama Pandemi COVID-19 Pradyaputri, Naura Shafa; Sagita, Zendy; Daryanto, Besut
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.03.2.3

Abstract

Background: Nocturia is the most common and disturbing symptom in lower urinary tract disorders. Younger people, particularly college students, are more affected by nocturia, which can have a negative impact on their academic performance. A study revealed that anxiety often occurs simultaneously with nocturia and has a reciprocal association. Aim: The purpose of this study is to examine the frequency of nocturia in agricultural technology students during the COVID-19 pandemic and the association between anxiety levels and nocturia incidence. Methods: Analytic observational study with cross sectional design. The Google form questionnaire contains questions about student characteristics data, the ICIQ-N questionnaire contains the frequency of nocturia and disturbance scores, and the ZSAS questionnaire for anxiety levels. Data analyzed used Chi Square test to analyze the relationship between anxiety level and nocturia. Results: The results showed that there was an insignificant relationship between anxiety levels (p=0.307). Nocturia is a symptom that is often experienced by students. The disturbing score increases along with the severity of nocturia. Conclusion: There was a weak association between anxiety level and nocturia.
Hubungan Nokturia dengan Kualitas Tidur pada Mahasiswa Profesi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Brawijaya selama Pandemi Covid-19 Rahmaniar, Fathina Zahrani; Rakhmani, Alidha Nur; Daryanto, Besut
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.04.1.2

Abstract

Background: Nocturia defined as an individual's complaint of having an urge to urinate during the night, followed by sleep. It is particularly happened in young adults who have a heavy workload. Clinical year students are among the populations with high levels of physical fatigue and stress, which may lead to sleep disorders that might impair the quality of one's sleep. Particularly recently, the Covid-19 pandemic is affecting many parts of people's life, such as the implementation of a lecture system and limitations on the number of hours that clinical year students in Indonesia can work. Aim: The purpose of this study is to determine the prevalence of nocturia, the quality of their sleep, and the correlation between those two in clinical year students in the Faculty of Medicine at Universitas Brawijaya during the Covid-19 pandemic. Methods: This is an analytic observational study with cross sectional design and purposive sampling method. This study was conducted in April and May of 2022. According to inclusion and exclusion criteria, 78 clinical year students were selected as the participants in the study. Data analyzed with the Chi-square test for univariate and bivariate data analysis. Results: Among the 78 respondents, 39 (50%) reported having nocturia and 47 (60.30%) reported having poor sleep quality. The chi-square probability value for the test of the correlation between nocturia and sleep quality was 0.488 (p>0.05). Conclusion: Clinical year students frequently have poor sleep quality and nocturia symptoms. However there is no association between nocturia and sleep quality.
Profil Program Fisioterapi pada Pasien Stroke Berdasarkan NIHSS di Rawat Inap RSUD Dr. Saiful Anwar Malang pada Januari-Maret 2023 Izzati, Fatma; Setianto, Catur
Jurnal Klinik dan Riset Kesehatan Vol 4 No 2 (2025): 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.04.2.3

Abstract

Introduction: Stroke is one of the highest causes of disability in the world. Indonesia already has guidelines for stroke rehabilitation, but the implementation of these guidelines in hospitals in Indonesia is rarely studied. Purpose: This study aims to determine the profile of the physiotherapy program in post-acute phase stroke patients who are hospitalized at Dr. Saiful Anwar General Hospital Malang in January-March 2023 based on the National Institutes of Health Stroke Scale (NIHSS). Methods: The study was conducted using a descriptive-quantitative method. Data taken from the electronic medical records of Dr. Saiful Anwar Malang in January-March 2023. Results: There were 129 stroke patients who met the inclusion criteria consisting of 56.6% men and 43.4% women, with the most age range being 51-60 years (34.88%). The highest stroke severity was severe stroke (NIHSS 21-42) as much as 34.88%, then moderate stroke (NIHSS 5-15) as much as 31.01%, moderate-severe stroke (NIHSS 16-20) 19.38%, and mild stroke (NIHSS 1-4) 14.73%. Almost all patients in all levels of severity received proper positioning, gradual mobilization, and chest physical therapy (the smallest percentage was 73.68% in mild stroke). Apart from these three interventions, for mild stroke, the most rehabilitation intervention given was AAROM exercise (57.89%), for moderate stroke was AROM exercise (62.5%), for moderate-severe stroke was PROM exercise (72%) , in severe stroke is PROM exercise. Conclusion: All stroke patients at all severity levels receive proper positioning, gradual mobilization, and chest physical rehabilitation, but motor, sensory, cognitive, and other physioteherapy programs for patients differ depending on the severity.
Diagnosis dan Tatalaksana Hipertensi Krisis Samsu, Nur
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.03.1.6

Abstract

Hypertensive crises are divided into emergency and urgent hypertension. For most doctors, the differences between these two types of hypertensive crisis present their own challenges, especially in terms of therapy and follow-up. The main distinguishing feature of these two types of hypertensive crisis is the presence of ongoing acute target organ damage, not the degree of blood pressure (BP). A hypertensive emergency is a true medical emergency, which generally requires immediate lowering of BP, in an intensive care unit and short-term, easily titrated intravenous antihypertensive drug therapy. Common management strategies are based on hypertension-specific organ damage (HMOD); the onset of HMOD, especially time-sensitive ones such as acute ischemic stroke, acute ST-elevation myocardial infarction; and availability of facilities and resources. A hypertensive emergency is a state of severe or significant increase in BP but without acute damage to target organs. This type of hypertension does not require rapid lowering of BP, and can be treated on an outpatient basis with appropriate oral medications.
Tantangan Terhadap Tatalaksana Sindroma Nefrotik Samsu, Nur
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.03.1.1

Abstract

Ablasi 3-Dimensi pada Pasien dengan Takikardia Right Ventricular Out-flow Track (RVOT) Origin: Pengalaman Pertama di RSUD Dr. Saiful Anwar Provinsi Jawa Timur Cik, Kahadi; Rizal, Ardian
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.03.3.9

Abstract

Background: Premature ventricular complexes (PVCs) occur commonly in general population. It can occur in patient without structural heart disease as well as those with any form of cardiac disease. Commonly PVCs are asymptomatic, but in patients with frequent PVCs causing palpitations, syncope or dizziness, easily to fatigue, or shortness of breath. PVCs has been connected with a more than two-fold higher risk of cardiovascular events including stroke, mortality and also associated with arrhythmias or cardiomyopathy. Medications can be used to suppress PVCs but when drug therapy is ineffective, PVC ablation is reasonable to eliminate symptoms and treat or prevent PVC-induced cardiomyopathy. Case Presentation: A hypertension and menopause, 57-year-old woman, frequently complained about palpitation with shortness of breath, dizziness and sometimes near syncope since 2017, occurring both at rest and with mild activities. After serial examinations, found Frequent PVC (39%) with RVOT-Origin and reduced ejection fraction (EF 48%), then conclude with Suspect Tachycardia Induced cardiomyopathies. She performs cardiac electrophysiological study and continue with 3-Dimentional Ablation with Radiofrequency (RFA) at RVOT in Saiful Anwar Hospital, that is The First 3-Dimension Ablation in East Java. 1 year follow up shows no recurrency and successful to improve quality of life of the patient Discussion: According to guideline, catheter ablation is class I recommendation for patients with symptomatic outflow tract ventricular arrhythmias if medications are ineffective, not tolerated, or patient’s choose Conclusion: Three-Dimensional Ablation at patient with Right Ventricular Outflow Track Tachycardia, can successfully eliminate PVCs with no recurrency in 1 year follow-up.
Kasus Iskemia Tungkai Akut yang Tidak Terduga pada Pasien Sindrom Nefrotik Erickatulistiawan, Gallusena; Tjahjono, Cholid; Kurnianingsih, Novi
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.04.1.9

Abstract

Background: Acute Limb Ischemia ALI requires urgent intervention to avert irreversible tissue damage, with treatment complexity increasing in patients with nephrotic syndrome. Case Presentation: A 23-year-old female with nephrotic syndrome presented acute right leg pain. Examination showed erythema and a cold sensation in the affected leg. Ultrasound revealed no blood flow in certain leg arteries. Despite multiple thrombectomies and heparin treatment, only minimal improvement was observed. The patient underwent a below-knee amputation after unsuccessful attempts to restore blood flow. Her condition worsened with new vascular occlusions, requiring Catheter Direct Thrombolysis CDT. Post-CDT, she suffered severe bleeding, hemorrhagic shock, cardiac arrest, and multi-organ complications, leading to her death on treatment day 35. Discussion: This case illustrates the complexities of managing ALI in patients with nephrotic syndrome, which increases hypercoagulability and vascular complication risks. It highlights the need for an integrated nephrology and vascular approach, considering the high risks of hemorrhagic and thrombotic complications. A comprehensive and multidisciplinary treatment strategy is crucial, especially with vigilant monitoring for severe complications like infection and sepsis, to enhance treatment outcomes in similar cases. Conclusion: This case of a 23-year-old woman with ALI and nephrotic syndrome presented significant treatment challenges. Despite numerous interventions, including thrombectomies and CDT, severe complications ensued, emphasizing the need for comprehensive management and further research in similar complex conditions.
Karakteristik Pasien Penyakit Jantung Bawaan Dewasa Pirau Kiri ke Kanan dan Hipertensi Paru di RSUD Saiful Anwar Malang Rahmawati, Novi; Yogibuana, Valerinna; Gultom, Yosafat; Triatmojo, Nicodemus
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.04.1.3

Abstract

Background: The worldwide incidence of congenital heart disease (CHD) is estimated at 1.2 million cases out of 135 million live births each year. Pulmonaryarterial hypertension (PAH) is a frequent complication of congenital heart disease (CHD), especially in patients with left-to-right shunt. Adult CHD (ACHD) and ACHD- PAH patients present to health facilities in late phase conditions, because the early- stage symptoms are very uncommon, as a result the treatmentbecomes more difficult with a poor prognosis. Until now, there’s no national registry of ACHD and ACHD- PAH in Indonesia. Aim: Describe the demographic characteristics, clinical presentation, supporting examination findings, management, complications, and outcomes of ACHD and ACHD-PAH populations in Malang. Methods: Left to Right Shunt and Pulmonary Hypertention Registry is an observational study of adult patients (aged ≥ 18 years) diagnosed with left to rightshunt CHD and PAH at Saiful Anwar Hospital Malang. This study evaluated patients from November 2022 - October 2023 consecutively. Patients underwent a series of examinations including clinical examination, ECG, chest X-ray, SMWT, laboratory examination, transthoracic echocardiography and right heart catheterization. Results: Total sample of this registry is 124 samples. The majority of sample is young adult woman and ASD is the most common ACHD defect. The majority of sample (83.0%) is with symptoms with NT pro BNP median is 548 (152.1 – 2550.5). The majority of sample was WHO functional class II Conclusion: LET SHINE Registry is the first ACHD and ACHD-PAH in East Java Province which depict demographic, clinical presentation, hemodynamicpresentation pf ACHD and ACHD-PAH patient.

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