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Zahratul Aini
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JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Published by Universitas Islam Indonesia
ISSN : 20854145     EISSN : 25272950     DOI : 10.208885/JKKI.Vol10.Iss3.art5
Core Subject : Health,
Medicine & Pharmacology Public Health
JKKI: Jurnal Kedokteran dan Kesehatan Indonesia is a peer-reviewed journal in the field of medical and health sciences. This journal is designed as a place of dissemination of information and scientific knowledge, which publishes three times a year. It publishes original article, article review, and case report. These comprise of biomedical sciences, clinical medicine, public health sciences, and medical science education.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 468 Documents
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Universal Health Coverage and a pledge to empowering persons with disabilities and ensuring inclusiveness and equality; how does this year’s theme benefit the deaf/dumb Juliet Mwale Musabula
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 3, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jkki.vol9.iss3.art1

Abstract

No Abstract
The comparison of transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) Yuliana Yakobus
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 3, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jkki.vol9.iss3.art2

Abstract

No Abstract
The effect of kersen's skin infusion (Muntingia calabura L.) on blood uric acid levels of the rats (Rattus novergicus) Asril Burhan; Usmar Usmar; Zulham Zulham; Ana Andarwiyati
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 3, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol9.Iss3.art7

Abstract

Background: Uric Acid or Gout is the results of purine metabolism, i.e. the enzymatic reshuffle of body cells from dinucleotide or ribonucleotide acids. High uric acid levels can be settled in the central joints and mesenchymal tissues such as the kidney.Objective: To determine an effect of administering the Kersen's (Muntingia calabura L.) ripe skin infusion against uric acid levels in the rats which have been induced with caffeine.Methods: Eighteen rats was divided into six groups, i.e. three as a control group (negative, positive and normal) and three as a treatment group (0,5%, 1%, and 2% doses). The measurements of blood uric acid levels were performed before induction, after induction and after treatment on 9th, 12nd, and 15th days. Results: There was a reduction of the uric acid levels in the rats which administered by ripe Kersen's fruit skin infusion at 1% with 3,43 mg/dL and 2% with 3.32 mg/dL doses. However, this reduction is not equivalent to the effect of allopurinol control decreased at 2.9 mg/dL. Statistical analysis results with Complete Randomized Design (RAL) revealed that positive control group, infusion in 1% and 2% dose did not have a significant difference with normal controls, that means allopurinol and both doses test give an effect to return the uric acid to normal conditions.Conclusion: The ripe Kersen's (Muntingia Calabura) fruit skin infusion provides a reduction effect on blood uric acid levels in the rats (Rattus Novergicus) that have been induced by caffeine. Concentration of infusion that reduced effect of blood uric acid levels in the rats are at 1% ( 1 g/ 200 gBW) and 2% (2 g/200 gBW). However, the reduction is not equivalent to the positive control of Allopurinol.
Vaccines distribution system at primary healthcares in the special region of Yogyakarta Dian Medisa; Diesty Anita Nugraheni
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 3, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jkki.vol9.iss3.art8

Abstract

Background: Vaccine cold-chain distribution system must be monitored to guarantee the vaccine quality. Improper vaccine distribution system can cause damage and loss of efficacy. Therefore, the Indonesian government released some regulations to manage the vaccine cold-chain system, including the Good Distribution Practices for Pharmaceutical Products (Cara Distribusi Obat yang Baik/CDOB) in 2012 and Regulation of the Minister of Health Number 42 in 2013 (PMK 42/2013). Objective: The purpose of this study was to evaluate the implementation of the vaccine distribution system in primary healthcare (PHCs). Methods: A survey was conducted in 30 PHCs in the Special Region of Yogyakarta. Data were collected by observing the vaccine distribution system in PHCs using checklists developed based on CDOB 2012 and PMK 42/2013.Results: The study showed that the personnel in 24 PHCs (80%) checked the condition of the temperature monitoring device and Vaccine Vial Monitor (VVM) while receiving the vaccines. Furthermore, all PHCs (100%) had both cool packs and vaccine carriers, whereas those having cold packs were only 2 (7%). First expired - first out (FEFO) and first in - first out (FIFO) systems were implemented in 30 (100%) and 28 (93%) PHCs, respectively. Conclusion: The results indicated that most of the PHCs in Yogyakarta Special Region had implemented a good vaccine distribution system, yet they still need improvement especially in vaccine recording procedures.
Handsewn perineal rectosigmoidectomy (Altemeier) for complete full-thickness rectal prolapse: a case study Adeodatus Yuda Handaya; Aditya Rifqi Fauzi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 3, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jkki.vol9.iss3.art10

Abstract

Rectal prolapse is a condition in which the entire rectal wall layers protrude through the anal canal. This condition rarely occurs, and the management is still a challenge for both clinician and patient. Rectal prolapse management can be done transabdominally or transperineally. Full-thickness rectal prolapse in principle should have more attention to the rectum function and anal sphincter to prevent recurrence and erectile dysfunction. The Altemeier transperineal recto-sigmoid resection has become the most common for surgical management of rectal prolapse.We report four cases of rectal prolapse, two males and two females with chief complaints had lumps out from their anus. All patients displayed comorbidities. We performed the handsewn Altemeier procedure. All surgeries resulted in minimal intraoperative bleeding. Patients experienced neither incontinence, postoperative fistula, bleeding nor infection. One month after surgery, no patients experienced a recurrence of their complaints.Handsewn Perineal rectosigmoidectomy for the treatment of complete full-thickness rectal prolapse in patients who are having comorbidity can be considered to be an alternative treatment because the procedure is relatively more accessible, safe, and has fewer complications.
Neglected fracture tibia dextra with gangrene pedis, post treatment by traditional bone setter Fuad Dheni Musthofa; Suhanto Suhanto; Teguh Marjono
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 3, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jkki.vol9.iss3.art11

Abstract

The patient is a 9-year-old female who comes from Oba District, Tidore island. Come to Emergency Department Ternate General Hospital with the right leg limbs which have blackened, some open wounds on the skin that give exposure to soft and hard tissue (bone). According to the alloanamnesis,, before entering the hospital, she treated for three weeks in traditional bonesetter due to fractures. Given the traditional treatment of herbal concoction cream and in splints with a bamboo stick and the therapy wasn’t successful. Clinical evaluation revealed a gangrenous right leg for which she had the risk of an above knee amputation. The diagnosis was gangrene pedis dextra e.c. neglected fracture tibia dextra post-treatment by the traditional bone setter. Operative management was wound debridement and amputation I-V metatarsal. Neglected fracture is a fracture that is not handled correctly, resulting in delays in handling, worse conditions and even defects. The purpose of writing this case report is to provide an overview of the neglected case of fractures caused by traditional bonesetter.
Agreement test between Ziehl Neelsen staining and GenXpert in adult pulmonary tuberculosis diagnosis Kemas Ya'kub Rahadiyanto; Muhammad Syahrul Ramadhan; Ella Amalia
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 12, No 3, (2021)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol12.Iss3.art4

Abstract

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (MTB). Most of healthcare facilities in Indonesia still use Ziehl Neelsen (ZN) staining to diagnose pulmonary tuberculosis (TB) rather than GeneXpert MTB/RIF. However, the agreement between both methods is not well established.Objective: This study aims to observe levels of agreement between ZN staining and GeneXpert MTB/RIF in diagnosing adult pulmonary TB at Dr. Mohammad Hoesin General Hospital (RSMH) Palembang.Methods: This study was a retrospective comparative analytical study using an agreement test. Its samples were patient specimens for a period of January 2016 - March 2017 which were examined by ZN staining and GeneXpert MTB/RIF to diagnose pulmonary TB at the Clinical Pathology and Microbiology Installation of RSMH Palembang. Its data were obtained from laboratory results of ZN staining and GeneXpert MTB/RIF. Then, Cohen’s Kappa was used to measure the levels of agreement between both the assays.Results: Of 150 specimens, 69.3% were from male patients and 30.7% were from female patients with mean age of 46.71±14.57. Both ZN staining and GeneXpert positivity were 57.3%. 0.05% of positive GeneXpert MTB/RIF were negative ZN smear, while 0.06% of negative GeneXpert were positive ZN smear. The Cohen’s Kappa coefficient was 0.893 indicating a very good agreement.Conclusion: This study found that there was a very good agreement between ZN staining and GeneXpert MTB/RIF in diagnosing adult pulmonary TB at the RSMH Palembang. 
The relationship between duration suffering diabetes mellitus and hearing threshold based on audiometric examination Bambang Udji Djoko Rianto; Heri Puryanto; Kartono Sudarman
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 1, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol10.Iss1.art7

Abstract

Background: Chronic hyperglycemia is associated with a long term damage, dysfunction or failure of several organs, which is a degenerative disorder caused by persistent hyperglycemia. Complications also can cause interference with the threshold of hearing. These degenerative changes include atrophy of axons, demyelinization, and loss of nerve fibers.Objective: This study aimed to determine the relationship between long suffering diabetes mellitus and hearing thresholds based on its frequency. Methods: This study was a cross sectional design on patients with diabetes mellitus in the Internal Medicine Clinic and Otorhinolaryngology Department Dr. Sardjito General Hospital Yogyakarta from early November 2010 until the end of June 2011. Inclusion criterion were: 1) >50 years old 2) normal physical ENT examination, 3) all DM types, 4) Sensorineural (Perceptive) Hearing Loss, 5) Right and left ear gap audiogram less than 15dB, and 6) agreed to participate. Mean difference such as age and duration of DM were assessed by using independent t test and Mann Whitney test. Distribution of sex and educational level were assessed by using Chi square test and Fisher's Exact test. Correlation between duration suffering diabetes mellitus and hearing threshold was assessed by the Spearman and Pearson method. Results: Subjects participated in this research were 25 (41.7%) men and 35 (58.3%) women. Result of this study showed that there were correlation between long suffering DM and hearing thresholds at 2000Hz : (r=0.459, p=0.097), 4000Hz (r=0.4966, p=0.098), and 6000Hz (r=0.757, p=0.422), respectively.Conclusion: It is can be concluded that there is a positive correlation between long suffering DM and hearing threshold, especially after 6 years.
SUBCRONIC TOXICITY TEST COMBINATION OF Phyllanthus niruri AND Centella asiatica EXTRACT AT HEMATOLOGY IN RATS Siti Fatmawati Fatimah; Endang Darmawan; Iin Narwanti; Dzulhaifa Dzulhaifa; Ira Aprilia Wulandari; Ria Putri Salma
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 3, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol10.Iss3.art8

Abstract

Background: Meniran (Phyllathus niruri) and pegagan (Centella asiatica) are well-known medicinal plants in Indonesia. Uses of meniran and pegagan as herbal medicines need to be examined for their subchronic activity to assure their safety. Objective: This study aimed to evaluate subchronic effects of a combination of extracted meniran and pegagan on Wistar rats through haematological parameters (erythrocytes, haemoglobin, haematocrit, MCV, MCH, and MCHC).Methods: Animal models used were 56 male and female Wistar rats and were divided randomly into 4 groups. Group 1 received CMC-Na 1% (control group). Group 2 received extracts of meniran and pegagan (50:50 mg/kgBW). Group 3 received extracts of meniran and pegagan (250:250 mg/kgBW). Group 4 received extracts of meniran and pegagan (1250:1250 mg/kgBW). Subchronic test of meniran and pegagan was conducted by providing treatments for the Wistar rats for 28 days. Their haematological substances were analysed statistically by using one way ANOVA and Kruskal-Wallis method with confidence interval of 95% and post-hoc. Results: This study found that the haematological substances in male Wistar rats were normal and did not significantly change (p>0,05). It also showed that haemoglobin and haematocrit substances in female rats were normal and did not significantly change (p>0,05). Erythrocytes, MCV, MCH, and MCHC in female rats indicated significant change (p<0,05), but they were still in normal ranges.Conclusion: It could be concluded that administration of the combination of extracted meniran and pegagan was not toxic to haematology of the rats in all doses.
Histopathological changes in liver, kidney and teratogenic effects of mice on exposure to mosquito repellent Desy Armalina; Bambang Witjahjo; Neni Susilaningsih
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 12, No 1, (2021)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol12.Iss1.art4

Abstract

Background: Mosquito repellent technology has changed from conventional technology to electric technology, which is more secure and practical. All insect repellent contains chemical compounds that can endanger health. D-Allethrin, the first pyrethroid generation of mosquito repellent is used commercially. Some studies in multi-ethnic population found transplacental transmission in pregnancy. Objective: This study aims to evaluate influences of D-Allethrin in mosquito repellent on liver and kidney, and teratogenic effects in foetal mice. Methods: An experimental laboratory design was conducted in 18 pregnant female Balb/c mice. They were randomized into 3 groups: Group K, P1 and P2. Group K was not given anything. Group P1 and P2 were given exposure pathways of mosquito repellent with inhalation for 12 and 24 hours, in a period of gestational age (0-18 days). On day 19, a Cesar surgery was conducted to take their foetuses and to count the number of living foetuses, dead foetuses, disability, and morphological abnormalities. Results: The administration of allethrin inhalation with dose 12 hours and 24 hours significantly damage mice’s kidney and liver microscopically (p<0.05). A microscopic result of the liver were necrosis in portal areas, hydropic degeneration of lobules, infiltration of inflammatory cells, and fibrosis in the portal area causing a sinusoidal portal to widen. Kidney examination obtained necrosis and hydropic degeneration, as well as the infiltration of lymphocytes and erythrocytes. Teratogenic effects in the foetuses were prematurity and failure of foetal development.Conclusion: Exposure pathways of D-Allethrin in mosquito repellent affected the microscopic appearance of the liver, kidney, and teratogenic effects in the foetuses.

Page 19 of 47 | Total Record : 468

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