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Jurnal RSMH Palembang

JRP
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Published by HM Publisher

ISSN : - EISSN : 27742970 DOI : https://doi.org/10.37275/jrp

Core Subject : Health,

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

JRP covers the major topics like Internal Medicine, Obstetric and Gynecology, Pediatric, Surgery, Ear Nose Throat, Neurology, Ophthalmology, Dermatovenerology, Anesthesia and Reanimation, Radiology, Pathology Anatomy, Clinical Pathology, Community Enpowerment, Manajemen of Hospital, Community Medicine and all topics related medical fields.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 48 Documents

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Disease Severity Based on Autologous Serum Skin Test Result in Chronic Spontaneous Urticaria Patients at Dermatology and Venereology Outpatient Clinic of Dr. Mohammad Hoesin General Hospital Palembang Mahvira Chow Liana Herman Adil; Nopriyati; Desi Oktariana; Yuli Kurniawati; Gita Dwi Prasasty
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Studies on the severity of chronic spontaneous urticaria based on the results of theAutologous Serum Skin Test (ASST) have been done before, but the results vary so thereare still differences of opinion among some researchers. This study aims to determinethe correlation between disease severity and ASST results in chronic spontaneousurticaria patients at the Dermatology and Venereology (DV) Polyclinic of Dr. MohammadHoesin (RSMH) Palembang. The type of this study is analytic observational with cross-sectional design which used secondary data in the form of medical records. There were110 samples of chronic spontaneous urticaria patients at the DV clinic and it is 76samples that met the inclusion criteria. The highest distribution of chronicspontaneous urticaria patients was in the 17-25 year age group (23.7%) and the femalegroup (64.5%). The majority of chronic spontaneous urticaria patients had negativeASST results (52.6%) and mild disease activity (63.2%). Bivariate analysis showed nosignificant correlation between urticaria activity (UAS7 score) and ASST results with avalue of p = 0.287 or p > 0.05.

The Role of Low Dosage Combined Oral Contraceptive Pill in Perimenopausal Women A. Abadi; Fatimah Usman; Awan Nurtjahyo; Cindy Kesty
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

The perimenopausal period refers to the time period of the menstrual cycle and endocrine changes. Usually, it starts with a variation in the menstrual cycle length and ending with FMP. The rates of unwanted pregnancies for these women are reported to be around 40–45%. Thus, contraceptive counselling and contraceptive use among perimenopausal women are important aspects of their overall health care if they are sexually active and do not wish to become pregnant. One of them is by using low dose combined oral contraceptive pill containing ethynylestradiol (EE) containing less than 50 µg EE/day. It acts by supressing gonadotropin. There are several positive effects of COC, namely pregnancy prevention; regulation of menstrual cycle; relieving menopausal symptoms; bone protection; protection against ovarian, endometrial and colorectal cancer; lipid metabolism; and blood pressure lowering effect. In contrast, the negative effects of COC are increases the risk of breast cancer, venous thromboembolism, and myocardial infarction. We presented a literature review to describe the usage of low dosage combined oral contraceptive pill as one of contraception method in perimenopausal women, including its positive and negative effects.

Primary Adenoid Cystic Carcinoma, Subtype of Ceruminous Adenocarcinoma in Right External Auditory Canal: a Case Report Eka Putra Pratama; Susilawati; Wresnindyatsih
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Background. Ceruminous adenocarcinoma is rare, accounting for less than 2,5% of all external auditory canal neoplasms. The tumours occur in the outer half of the external auditory canal, excluding direct extension from parotid gland. Adenoid cystic carcinoma is the most common subtypes. Adenoid cystic carcinoma needs to be distinguished from its primary origin from the salivary glands and extends to ear, because they share the same histopathology features and immunohistochemistry. Therefore, combinations of clinical features and radiology is needed to diagnose this tumour correctly.Case description. A female patient, 60 years old, admitted to RSMH Palembang with complaint ofyellow discharge coming out from ear. She also havehearing loss and pain since 6 months before admission to the hospital. One week later, the patient develops facial weakness with no mass on face. CT-Scan examination was performed, with the results showed that the mass in right external auditory canal and extends to the mastoid cavity, maxillary sinus wall and brain parenchym. Biopsy was performed in mastoid region and revealed tumour mass with cribriform pattern, few solid pattern, consists of bilayered neoplastic cells with inner luminal and outer abluminal cells. Immunostaining showed CK7 and CD117 positive in luminal cells, p63 positive in abluminal cells, S100 showed positivity in myoepithelial cells.Discussion and conclusion. Based on clinical symptoms, radiology, histopathology, and imunohistochemical staining, the mass in right mastoidis consistent with a ceruminous adenocarcinoma, adenoid cystic carcinoma subtypes, originated from external auditory canal.

Ulceration of Corticosteroid-Induced StriaeDistensae in Children with Nephrotic Syndrome Indri Widya Sari; Rusmawardiana; Fifa Argentina
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Striaedistensae(SD) is linear scar tissue in the epidermis and dermis due to excessive stretching of the skin.Striaedistensaeoccurs due to dysfunction of extracellular matrix components that play a role in skin elasticity increasing sensitivity to minor trauma and ulceration. One of the causes is the long-term use of corticosteroids. Systemic corticosteroids are the mainstay of treatment for nephrotic syndrome, so long-term prescribing of corticosteroids should be carried out with caution. It is reported case of a 15-year-old boy with nephrotic syndrome complains of red streaks appearing on his abdomen, back, buttocks, and lower limbs after 2 months of corticosteroid treatment. Pus-filled nodules develop which become ulcers on the red lines of the back. On physical examination found striaedistensae in the abdominal region, posterior trunk, gluteus, femoral and proximal 1/3 bilateral cruris posterior. Found 3 ulcers on the striaedistensae on the posterior trunk, oval to round shape, size 1x1x0,5 cm to 2x1,5x1 cm, base of necrotic tissue, pus contents, wall echoing, edges are not raised, surrounding tissue is erythematous-livid, tenderness, odor, and no induration. On examination of the ulcer swab with Gram stain found Gram-positive bacteria. The culture results showed Staphylococcus aureus. The patient was treated with topical 0.05% retinoic acid every night at SD, and ulcers were treatedsystemic antibiotics of 2 grams ceftriaxone per day for 1 week, as well as ulcer treatment by compressing 1%0 salicylic acid solution, hydrogel, and foam dressing. After 4 weeks of therapy, there was clinical improvement, thinning striae and reduced ulcer size.

The Challenges of Anatomic Pathology Medical Education in Indonesia Nora Ramkita; Krisna Murti
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

The Covid-19 pandemic has changed many aspects of life in the world, including medical education. To create a public need for health service becomes one of basic philosophical specialist services in Indonesia. The existence of a specialist and the availability of infrastructure uneven in the Indonesia hospital have also been a burden to handle it together. The spread of 681 anatomic pathology doctors in 2019 have not spread evenly across Indonesia. That is because of infrastructure Anatomic Pathology at the hospital certain inadequate. The number is not as required minimum labour standards anatomical pathology doctors determined by the government. The right steps need to be taken to face these challenges so that we can create the good doctors, including a pathologist who is not only competent but also has good ethics and virtue.

The Quality Characteristics of Distal Radius Fractures in Patients Admitted to Emergency Department Dr. Moh. Hoesin Hospital Palembang during January-December 2020 Obed Yosia; Nur Rachmat Lubis
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Fracture cases increases in globalization era. The 8-15% reported cases were distal radius fracture (DRF). The epidemiology data is the foundation of diagnostic and management for DRF patients. However, this has not been studied in Indonesian patients. As a result, the authors decided to study the picture of DRF patients in the Indonesian subpopulation, especially in the Central General Hospital Dr. Mohammad Hoesin (RSMH) Palembang. This research is a descriptive observational study at RSMH Palembang in January-December 2020 with variables of age, sex, mechanism of injury, types of fractures, radial inclination and volar tilt as the parameter of DRF severity. All of these variables are components of the assessment on the medical record. The data in this study were 29 cases and described with the age, sex, mechanism of injury, types of fractures, radial inclination and volar tilt. The most common DRF occurred at the youth age between less 13-25 years (41.4%). DRF happened more in male (75,9%) patients than the female (24.1%) ones. The most common type of fracture is Colles (44.8%). Motorcycle crash (58.6%) is the most common mechanism of injury in DRF. The abnormal radial inclination occurred in 82% cases. Severe volar tilt counted 85% of DRF in this study. DRF happened mostly in youth, male, and motorcycle crash. Colles fracture is the most commonly type of DRF case.

Hiv Stage 4 With Pulmonary Tuberculosis, Collitis Tuberculosis, Oral Candidiasis, Wasting Syndrome, And Sensorineural Deafness: A Case Report Fadel Fikri Suharto; Edwin Nugraha Fetriawan; Muhamad Satria Yudha Pratama; R. Yudistira Dwi Ananda; Zen Ahmad; Raden Ayu Linda Andriani; Harun Hudari
Jurnal RSMH Palembang Vol. 2 No. 2 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Human immunodeficiency virus (HIV) is a retrovirus type virus that infects cells of the human immune system (especially CD4 positive T-cells and major components of the cellular immune system) and interferes with their function. This viral infection results in a continuous decline in the immune system, which will result in immune deficiency. People who are immune deficient/immunodeficiency become more susceptible to various types of infections. A 23 year male, a cafe employee, was admitted to hospital with complaints of weakness since 2 weeks before. He has productive cough for 3 weeks. He had decrease of food appetite, nauseas and vomiting. He had weight loss about 10 kg in the last 4 months. Patient had history of free sex, LGBT, since 2016 and history of hearing loss for 3 months. Laboratory finding showed rhonchi were found at the apex of the right and left lungs, Anti-HIV reactive and Absolute CD-4 count was 53 cell/uL, Gene Xpert MTB was detected, and Acid fast bacilli in stool is positive. Audiometry showed bilateral sensorineural deafness. Patient was diagnosed with HIV stage 4 with pulmonary tuberculosis, tuberculosis collitis, oral candidiasis, wasting syndrome, and sensorineural deafness.

Psychological Well-Being of Patient with Confirmed Covid-19 at RSUP Dr. Mohammad Hoesin Palembang Desti Elza Muslimah; Feriatmajaya
Jurnal RSMH Palembang Vol. 2 No. 2 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Pandemic that occour at the end of 2019, Coronavirus Disease, caused respiratory tract infections with commonly till seriouslly symptoms. Patien confirmated with Covid-19 not only impact their somatic, but also their psychological and social condition. Untill now, Civil society still have negative assumed about Covid-19, which triggers social stigma and discrimination. Thats impacted to psychological well-being. Purpose of this reseach, described of psychological well being of patients with confirmed Covid-19 at RSUP Dr. Mohammad Hoesin Palembang 2021. Used quantitative descriptive design and total sample that took by purposive sampling was 45 samples. Analysis of the reseach used descriptive statistical percentage. The results describe the presentation of psychological well being was 4 respondents on high category of (8.8%), 40 respondents on moderate category 88.8%, and 1 respondent low category (2.20%). The highest score of psychological well-being in the moderate category is environment mastery dimension of 84.3%; in the high category is positive relation dimension of 26.6%; and in the low category is personal growth dimension of 15.6%. Expected of the reseach, to know overview of the psychological well-being of of patients with confirmed Covid-19 and make the optimally planning of the medical and non-medical care.

Analysis of Low Carbohydrate High Fat Formula on Length of Days of Hospitalization for Confirmed Covid-19 Patients with Pneumonia at RSMH Palembang in 2021 Septa Clara Astiyah; Sri Hartati; Mulaiha
Jurnal RSMH Palembang Vol. 2 No. 2 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Analysis of RKTL Formula Feeding toward the Length of Stay (LOS) for COVID-19 Confirmed Patients with Pneumonia as Comorbidity. COVID-19 is one of the latest respiratory virus as known as SARS-CoV-2 which caused acute respiratory syndrome and can lead to death. Pneumonia occurs as one of the COVID-19 comorbidities that occurs at day 5-6 to day 14, indicated by infection and fever which progressively weaken respiratory and immunity system. One of the nutritional therapy for COVID-19 confirmed patients with pneumonia as comorbidity is RKTL (Rendah Karbohidrat Tinggi Lemak) formula which can accelerate recovery, increase O2 level, and decreasing CO2 production so that it will reduce the length of stay (LOS). The aim of the study was to analyze the effect of RKTL formula diet toward LOS for COVID-19 patients with pneumonia as comorbidity. This was a true-experimental study with parallel design clinical trial in COVID-19 isolation ward at RSMH Palembang during May-August 2021. The collected data was primary data consists of before and after intervention as long as the subjects being hospitalized then analyzed univariate to find out the distribution of frequency presented by simple boxplot graph. The study reported that there were differences in average for the LOS among three subject group. The control group has 11 days for the Average Length of Stay (ALOS), where case group XI whom given RKTL formula feeding 1x/day had the Average Length of Stay (ALOS) for 10 days and case group X2 whom given RKTL formula feeding 3x/day had the Average Length of Stay (ALOS) for 7 days. It can be concluded that there was an effect of RKTL formula diet toward the Length of Stay (LOS) for COVID-19 confirmed patients with pneumonia as comorbidity.

Identification of the Risks of Giving the Covid 19 Vaccine on Other Health Workers at Dr Mohammad Hoesin Hospital Palembang Witri Gusti; Eva Yunila; Elsa Savitrie; Sri Laniah
Jurnal RSMH Palembang Vol. 2 No. 2 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Corona Virus Disease 2019 (COVID-19) is a disease caused by the SARS-CoV-2 virus, this disease spreads faster and in a short time becomes a worldwide pandemic. In the context of controlling and preventing the spread of the COVID-19 virus, the COVID-19 vaccination is carried out. The main priority in administering the COVID 19 vaccination is health workers because they are at high risk of being exposed to the COVID 19 virus. Other Health Workers who are included in the Committee for other Health Workers at Dr Mohammad Hoesin Hospital Palembang also receive the COVID-19 vaccination which is carried out in 2 doses or 2 injections. The COVID-19 vaccination may pose a risk of local or systemic side effects. This study aims to identify the risks that arise after administering the COVID-19 vaccine to other health workers at Dr Mohammad Hoesin Hospital Palembang. The design of this study was quantitative using an analytical survey method through a retrospective approach. The population is 534 people consisting of 20 other health professions. Based on the data analysis, it can be concluded that the risks that arise after the administration of the COVID -19 I Vaccination are in the form of systemic side effects, namely drowsiness (67%) and local side effects are pain (58.5%), while after the second Covid 19 vaccination, the most common side effects are pain. Common side effects are local side effects, namely pain (77.3%) and systemic side effects are drowsiness (62.1%). occurred after the administration of the first Covid 19 vaccination (86.2%). After giving the COVID 19 vaccination, there were still 5 other Health Workers who were exposed to the Covid 19 virus (4.6%).

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RACHMAT HIDAYAT

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hanifmedisiana@gmail.com

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+6287837160809

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editor.jrp.rsmh@gmail.com

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Jl. Sirna Raga no 99, 8 Ilir, IT3 Palembang

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Kota palembang,

Sumatera selatan

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name RACHMAT HIDAYAT

Contact Email hanifmedisiana@gmail.com

Phone +6287837160809

Journal Mail Official editor.jrp.rsmh@gmail.com

Editorial Address Jl. Sirna Raga no 99, 8 Ilir, IT3 Palembang

Location Kota palembang, Sumatera selatan INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
RACHMAT HIDAYAT

Contact Email
hanifmedisiana@gmail.com

Phone
+6287837160809

Journal Mail Official
editor.jrp.rsmh@gmail.com

Editorial Address
Jl. Sirna Raga no 99, 8 Ilir, IT3 Palembang

Location
Kota palembang,

Sumatera selatan

INDONESIA