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Contact Name
Zahratul Aini
Contact Email
dr.zahratulaini@unsyiah.ac.id
Phone
+62812388847262018
Journal Mail Official
m.zainudin@uii.ac.id
Editorial Address
Jl. Kaliurang Km 14,5 Yogyakarta, Indonesia
Location
Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
ISSN : 20854145     EISSN : 25272950     DOI : 10.208885/JKKI.Vol10.Iss3.art5
Core Subject : 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.
Articles 468 Documents
Assessments of quality of life in burn patients after hospital treatment in Jember Agnellia Maulidya Utami; Ulfa Elfiah; Desie Dwi Wisudanti
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 2, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss2.art8

Abstract

Background: Burn injuries can contribute to physical and psychological problems affecting quality of life (QoL). The QoL is a parameter to assess medical results after treatment. In Indonesia, studies concerning burn patients’ QoL after treatment are still limited.Objective: This study aims to observe correlations between 8 dimensions of QoL after treatment and histories of burn severity, numbers of surgical procedures, and lengths of hospital stayMethods: A cross sectional study was conducted in December 2018. Subject criteria of this study were patients who have experienced burn injuries for the last 2 years and have been treated at dr. Soebandi Hospital Jember. Then all the patients were discharged from the hospital by following medical advice in recovered conditions. They were asked to complete SF-36 questionnaires that consist of 8 dimensions of QoL. Every dimension was correlated with histories of burn severity, numbers of surgical procedure, and lengths of hospital stay. Next, the obtained data were analysed by Pearson and Spearman.Results: 13 subjects or patients were analysed. Most of them (38.5%) were adults in a range of 41 – 50 years old and were male (69.2%). A bivariate analysis found a significant negative correlation between burn severity and QoL in physical functions, bodily pains, and mental health dimensions (p=0.030, p=0.012, p=0.044). A significant negative correlation was also reported between numbers of surgical procedures and QoL in physical role dimensions (p=0.047). Lengths of hospital stay had a significant negative correlation with physical functions and physical role dimensions (p=0.044, p=0.031).Conclusion: This study revealed significant correlations between burn severity, numbers of surgical procedures, length of hospital stay and the various dimensions of QoL. This study also provided data of QoL, so in the future burn centres can identify dimensions of QoL after burn injuries and can improve their burn management and patient care to improve their QoL.
Chemical compounds and antibacterial activity of Garcinia dulcis (Roxb)kurz. Hady Anshory Tamhid
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.art11

Abstract

Garcinia dulcis is a medicinal plant used traditionally to treat various diseases including infections of wounds and ulcers. The antibacterial activity of this plant has also been widely reported, but the most potent compounds as an antibacterial agent are not widely reported, even though the compounds contained in this plant is well known. This paper reviews the compounds contained in G. dulcis plants and their potential as antibacterial agents. Each part of this plant, such as leaves, fruits, flowers, seeds, stems, and roots, contains secondary metabolites which are potential antibacterial agents. Here are described the compounds contained in each part of the plant, such as xanthones, the most dominant compounds, then flavonoids, benzophenones, chromones, and triterpenoid. Their antibacterial activity is also described, especially those that have strong activity against bacteria. The molecular structure and the possibilities of how the antibacterial mechanism are also discussed.  Eleven compounds that have the potential to be used as antibacterial agents for the treatment of infectious diseases. Garcigerin A (27) and a-mangostin (54) are compounds that have the most vigorous activity against S. aureus and MRSA compared to the other compounds. The Compounds that have strong activity can be used as antibacterial agents for anti-infective therapy, although they must go through various further studies.
HUBUNGAN PEMANFAATAN PELAYANAN KESEHATAN IBU HAMIL DENGAN PEMILIHAN FASILITAS PERSALINAN DI INDONESIA Hadi Ashar; Leny Latifah; Ina Kusrini; Dwi Hapsari Tjandrarini
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.art10

Abstract

Background: Maternal mortality rate (MMR) in Indonesia is still high, 359 per 100,000 born alive. One of the government's efforts to reduce MMR is by providing antenatal care (ANC) service, and holding pregnancy classes (KIH). KIH is a program to increase maternal knowledge and support the making pregnancy safer (MPS) program policy, which is an Obstetric service approach, that every pregnant woman must be assisted by health workers. Objective: The purpose of this study is to determine the relationship between ANC and KIH to the place and birth attendants.Methods: A cross-sectional study, national health indicator survey (SIRKESNAS) 2016, calculation of samples based on the 2010 population census (SP) data. Primary sampling unit (PSU) is a sub-district selected as probability proportional to size (PPS), households that have children aged 0-59 months (Eligible households), samples were selected by simple random sampling of eligible households, as many as 7,313 mothers. The collected variables were ANC, KIH, and the place and birth attendant. Data were analyzed by logistic regression testResults: Logistic regression test results showed that the ANC was positively related to the place of delivery (OR 4,054; p <0.000) and birth attendants (OR 2.659; p <0.000). There was a relationship between KIH and the place of delivery (OR 1,327; p <0.001), and birth attendants (OR 1,718; p <0,000).Conclusion: Mothers who performed at least 4 ANCs, and attended pregnancy classes, were more likely to choose to deliver in health care facilities and deliver with health workers.
Peran dokter puskesmas dalam menerapkan prinsip kedokteran keluarga untuk mencegah difteri di Kota Banda Aceh Zahratul Aini; Eti Poncorini Pamungkasari; Ari Probandari
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.art5

Abstract

Background: They are expected to be able to apply principles of family-based health treatments by prioritizing preventive, coordinative, and collaborative services. Based on the principles, identifying and managing diphtheria cases at some of health centres should be evaluated because there have been an increase of diphtheria cases, especially in Banda Aceh city.Objective: This study aimed to evaluate roles of doctors in the health centres to prevent the diphtheria. Furthermore, this research also aimed to determine obstacles of the diphtheria treatments encountered by the doctors.Methods: This study was a multiple case study. Its data were collected by in-depth interviews with doctors at five health centres in Banda Aceh. Data from the interviews were verified by using source and technical triangulation methods at the health offices and governmental hospitals in Banda Aceh.Result: Doctors’ efforts at the health centres in Banda Aceh to apply principles of family medicine for the immunization experienced some obstacles. For example, they had less understanding about developing problems in their societies, namely issues of illegitimate (haram) vaccines and KIPI (post-immunization follow-up events). They also did not make active efforts to identify diphtheria cases by making coordination with their colleagues in other health service units.Conclusion: The doctors at the health centres of Banda Aceh had not fully implemented the principles of family medicine.
Japanese Encephalitis Asri Hendrawati
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.art2

Abstract

No Abstract
Development of prediction model for identifying heart failure patients with high risk of developing hyponatremia Saepudin Saepudin; Patrick Ball; Hana Morrissey; Akhmad Fauzy
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art4

Abstract

Background: Despite its significant contribution to morbidity and mortality, studies reported that hyponatremia is still inadequately recognised and treated. Objective: To obtain a prediction model for predicting the risk of hyponatremia in patients hospitalized from heart failure. Methods: Patients included in this research were patients hospitalized from heart failure at Fatmawati Hospital in Jakarta, Indonesia during the 2011 – 2014 period. Logistic regression analysis was performed for the derivation of prediction model by including variables obtained during admission as the predictors. Brier-score and Nagelkerke R2 (NR2) were measured to assess overall predictive ability and area under the curve (AUC) of the Receiver Operating Characteristics (ROC) and calibration plot along with Hosmer-Lemeshow test were measured to assess discrimination and calibration ability, respectively. Internal validation was performed using a bootstrapping approach.Results: Out of 464 patients included in the research 102 (22%) were hyponatremic during hospitalization. Accordingly, 306 non-hyponatremic patients were selected as controls matched by age and gender. Variables significantly associated with hyponatremia were serum sodium level, fatigue, ascites, positive inotropes, heparin and antibiotics. Prediction model containing those six variables exhibits good predictive ability both overall (brier-score=0.107, NR2=0.531) and specifically of discrimination (AUC of ROC curve=0.90) and calibration ability (p-value of HL test=0.899). Optimism observed from internal validation did not reduce its predictive performance.Conclusion: Risk prediction for predicting the risk of hyponatremia in patients hospitalized from heart failure can be derived by including predictors taken from information obtained during admission. 
Formulation of chewable lozenges of Som Jawa (Talinum paniculatum (jacq.) gaertn) leaves extract applied as antiscorbut Candida albicans Hanny Setyowati; Wahyuning Setyani
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.art4

Abstract

Background: The bioactive compounds of Som Jawa (Talinum paniculatum (Jacq.) Gaertn) have many variations;one of them is flavonoid. This compound has antifungal activity towards Candida albicans, which the leading cause of topical infection. Chewable lozenges are one of the novel methods of delivering drugs for local action, especially in the mouth. Objective: To formulate chewable lozenges from Som Jawa leaves extract and evaluate their active substances.Methods: Extraction was done by rmaceration method with ethanol. The extract was evaporated using a rotary evaporator, then followed by a phytochemical investigation to express the active ingredients inside extract. Colour test was used to identify active ingredients. Som Jawa leaves extract was then formulated into chewable lozenges. Testing of physical properties of the chewable lozenges includes organoleptic test, weigh uniformity, hardness, elasticity, friability, chewiness and moisture content. Antifungal activity was tested by using a diffusion method. Result: Som Jawa leaves extract with the concentration of 50% can inhibit the growth of Candida albicans with inhibition zone diameter of 22.69 mm. The organoleptic test resulted that the dosage is odourless, brown, and chewy. Weigh uniformity resulted that all lozenges were meet the British Pharmacopoeia range with the CV < 5%. The hardness test resulted for approximately of 0.2732 Kgf. The average of elasticity, friability, and chewiness respectively was 0.0826 Kgf, 6.046 mm, and 0.4998 Kgf.mm. Conclusion: This formula chewable lozenge was potential as alternative herbal medicine for topical infection.
Hubungan menopause dengan depresi pada wanita diatas 50 tahun Carla Octavani; Meiyanti Meiyanti
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.art8

Abstract

Background: Depression is a significant contributor to the global burden of disease and affects people in all communities across the world. Today, depression is estimated to affect 350 million people with apercentage of 50% higher for females than males. Several theories have been proposed to explain this phenomenon which includes biological, psychological, and social factors. Some researchers conclude the prevalence of depression is quite high in women, especially when a woman reaches her menopause period.Objective: This study aims to know the relationship between menopause and depression among female above 50 years old.Methods: An analytical observational study with a cross-sectional design was carried out from August to October 2016. The samples were selected using non-probability sampling, consecutive sampling method of 108 subjects. Data were collected using a questionnaire which included the characteristics of the subject (age, education, occupation, menopausal state) and the Beck Depression Inventory to measure the level of depression. Chi-Square test and Fisher test were used to analyse data with the significance test at p< 0.05.Results: A total of 56 (51.9%) subjects aged 50-60 years and as many as 85 subjects (78.7%) experienced menopause. The prevalence of menopause and depression among women above 50 years old is 20%. The statistical analysis showed there was no significant correlation between two variables (p=1).Conclusion: There is no correlation between menopause and depression among women above 50 years old.
Regional pericarditis with reciprocal ECG changes mimicking inferior ST-elevation myocardial infarction (STEMI): A case report Gilang Mauladi Rahman; Mochammad Yusuf Alsagaff
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 1, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss1.art13

Abstract

Acute pericarditis is generally presented with a chest pain and a diffuse ST-segment elevation in ECG. Focal ST-segment elevation due to localised inflammation of pericardium in regional pericarditis could resemble ST-elevation myocardial infarction (STEMI). A case in this study was a 30-year-old man in emergency room as a surgery resident experiencing recently acute typical chest pain. He had a history of smoking without other cardiovascular disease risk factors. ECG immediately was conducted, and it revealed ST-segment elevation in an inferior lead with reciprocal ST-segment depression in aVL, which was typical for an inferior STEMI. Primary PCI was conducted, and it surprisingly revealed a normal coronary artery. Serial serum cardiac biomarkers found a normal cardiac troponin-I level (<0.001 mcg/L) and did not significantly change after serial examinations. We treated the patient as a suspect of coronary spasm with calcium-channel blockers and nitrates. After three days of hospitalization, the patient was discharged from the hospital, and he planned to get cardiac magnetic resonance (CMR). The CMR was conducted after seven days of the discharge, and it revealed a loculated pericardial effusion leading to regional pericarditis. The patient was treated with empirical NSAIDs for three weeks. Clinical and echocardiographic evaluation after the treatment showed an excellent result. A presence of focal ST-segment elevation with reciprocal ST-segment depression was generally consistent with the STEMI, but this case was an exception. Although rare, regional pericarditis can be a differential diagnosis in a patient with acute chest pain with a focal ST-segment elevation.
Prevalence of constipation and lifestyle risk factors related to constipation in an adult population of South Tangerang Hoirun Nisa
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 2, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss2.art6

Abstract

Background: Constipation is a common bowel complaint in a general population that can negatively impact a quality of life. Unhealthy lifestyles play major roles in causing the constipation. Objective: This study was aimed to estimate prevalence of the constipation and identify lifestyle risk factors related to constipation in a general adult population.Methods: A cross-sectional survey was conducted on 227 adults aged =20 years, who lived in East Ciputat, South Tangerang. Information about demographic characteristics, lifestyle habits, and bowel habits was collected through in-person interviews. Chi-square test and logistic regression were used for data analysis.Results: The prevalence of self-reported constipation in the general adult population was 21.6%. The common symptoms included defecation time =5 minutes (39.6%), sensations of incomplete evacuation (37.9%), and frequency of defecation <1/day (34.4%). Married status was related to a decreased risk of constipation (odds ratio= 0.31; 95% confidence interval= 0.11-0.89). Lifestyle factors of smoking, sedentary job, body mass index, and physical activity were less related to the risk of constipation.Conclusion: The prevalence of constipation was relatively high in the general adult population in South Tangerang. Further studies are needed to explore the relationships between lifestyle risk factors and constipation in other populations.