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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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PENGUJIAN TERHADAP KADAR GAS FORMALIN DI RUANG PRAKTIKUM LABORATORIUM ANATOMI FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM INDONESIA (UII) (Studi level Toksisitas Dibandingkan Dengan Standar Nilai Ambang Batas) Raden Edi Fitriyanto; Zainuri Sabta Nugraha
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 1, No 3, (2009)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Abstract

Formaline solvent is widely used in life, example as a preservative cadaver in anatomy laboratory. Forma line solvent can evaporate easily, in the form of gas it should be react with mucous layer quickly, especially at respiratory tract. In human body, it is oxidated become formic acid, especially in the cells of liver and red blood. In many earlier researches, the short-term exposure caused irritation to the local mucous surface of eyes, nose and up respiratory tract. However, the long term exposure caused tumor growth in the rat nose, pulmonary t issue damage and asthma reactions in sensitive individuals. The aim of the study is to measure forma line gas concentration and comparing the result with Thresold Limit Value (TLV) that safety for health. The research is nonexsperimental study with associative analysis. The research objects were practice space, storage cadaver space and lobby of Anatomy Laboratory. The research subjects were divided into 3 phases of measurement, phase I is measurement in the athmosphere (control), phase II is measurement in practice space laboratory during activities and phase Ill is measurement in practice space laboratory with no activities. Formaline gas concentration in practice space Anatomy Laboratory is under the TLV (TLV: 0.3 ppm) with no activities. Duringactivities, it is over the TLV: in preparation space 0,99569 ppm and practise space 0,37804 ppm. Formaline gas concentration in practice space during activities is over the TLV. It is a risk to cause some health disorders, especially to user and staff of the laboratory. It need good planning of practise programs and design of anatomy laboratory based on safety.
Prioritas Masalah Kesehatan di Daerah Redaksi Redaksi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 1, No 3, (2009)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Abstract

Primary repair of tetralogy of fallot and major aorto-pulmonary collateral arteries with suspected Noonan syndrome: A rare case Heroe Soebroto; Erdyanto Akbar; Arief Rakhman Hakim
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 3, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss3.art13

Abstract

Tetralogy of Fallot (TOF) is a congenital heart disease that includes ventricular septal defect (VSD), pulmonary stenosis (PS), right ventricular hypertrophy (RVH), and an overriding aorta. A cyanotic heart defect can develop aorto-pulmonary collateral (APCA) to supply underperfused pulmonary beds. Genetic syndromes can occur in 20% of patients with TOF. In developing countries, diagnosed genetic syndromes associated with heart defects have not been covered by health insurance, even though outcomes of primary repair remain unknown. This study reported a case of an 11-year-old boy with cyanosis since birth, dyspnoea on effort,  growth delays, learning problems, scoliosis,  micropenis, hypertelorism, exophthalmos, facial dysmorphism, cryptorchidism, and major aorto- pulmonary collaterals. The patient underwent an echocardiographic study. It showed VSD malalignment with overriding aorta of 48%, critical pulmonary stenosis, and size of pulmonary arteries that were favourable for primary repair. Cardiac catheterization showed classic Fallot with normal coronary arteries and major aortopulmonary collateral arteries (MAPCA) arising. The patient underwent percutaneous coil embolization just before surgery. There was a problem during induction, the anaesthetist found that it was hard to place the ETT because there was membrane-like covering the trachea. Next, a median sternotomy was conducted, and aortic cross-clamping was achieved. Right atriotomy was performed, and it provided exposure to the malalignment VSD. A longitudinal pulmonary arteriotomy was made to expose infundibular stenosis. Infundibulectomy was performed, and it reconstructed the MPA with a pericardial patch. The VSD was closed by using a PTFE patch. The patient was transferred to an ICU afterward. Post-operative echocardiography showed a good outcome, and 15 days after surgery the patient was discharged. It could be concluded that primary repair of TOF with MAPCAs and suspected Noonan syndrome was conducted successfully.
Protein hydrolysate as a functional food for chronic kidney disease Meilinah Hidayat; Sijani Prahastuti; Andreanus Andaja Soemardji; Mohammad Yusuf; Khomaini Hasan
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.art1

Abstract

No Abstract
Medical biofilms: The killer Sufi Desrini
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.art2

Abstract

No Abstract
Successful conversion of complete atrioventricular block to sinus rhythm without cardiac pacemaker: A case report Handy Darmawan
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.art12

Abstract

Complete atrioventricular (AV) block is a medical emergency, which is related to cardiac arrest if left untreated. The insertion of permanent cardiac pacemaker is strongly indicated for its treatment. However, on the rarest occasion, this condition can be treated without a cardiac pacemaker. A 56 year old male with a history of chronic kidney disease, was admitted to our emergency department due to the decrease of consciousness. Complete AV block and severe hypotension were detected. Laboratory examination showed severe hyperkalemia and metabolic acidosis. Unexpectedly, the cardiac rhythm was returned into sinus after the serial correction of hyperkalemia using calcium gluconate, insulin, dextrose, and bicarbonate sodium. This case illustrates that hyperkalemia can be a reversible cause of complete AV block, which can be converted into sinus rhythm without a cardiac pacemaker. Routine examination and correction of hyperkalemia can be considered as the alternative initial management before the insertion of the cardiac pacemaker.
Case study: Thyrotoxicosis on women with complete hydatidiform molar pregnancy Gagah Baskara Adi Nugraha; Pugud Samodro
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.art13

Abstract

Thyrotoxicosis defined as a clinical manifestation of excess circulating thyroid hormone. Epidemiologic investigation reports 0.2% of thyrotoxicosis is caused by hydatidiform mole. The New England Trophoblastic Disease Centre (NETDC) mentioned that 20% of hydatidiform mole cases have thyrotoxicosis as one of its complications. The basic pathogenesis of thyrotoxicosis is the similarity of the HCG subunit to TSH which results in excessive stimulation of thyroid hormone. We present thethyrotoxicosis case in a 15-weeks pregnant woman with complete hydatidiform mole. The patient admitted to the hospital with  blackish-red coloured bleeding and several hyperthyroidism complaints, laboratory test showed elevated levels of HCG and thyroid hormone and decreased TSH. Imaging studies done with ultrasound showed with snowflake pattern. The patient then treated with thyroid hormone suppressant therapy before the hydatidiform mole evacuation. Normalization of thyroid hormone levels should be made immediately before the mole evacuation to avoid life-threatening thyroid storm complications.
Percutaneous retrieval of intracardiac fragmented hemodialysis catheter using a snare-loop catheter: A case report Adhitya Ginting; Ketut Putu Yasa; Yan Efrata Sembiring
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.art14

Abstract

We presented a 60-year-old woman with an history of end-stage renal disease on regular hemodialysis, twice a week, came with a tunneled dialysis catheter (TDC) that was attached to the right internal jugular vein. TDC has been dysfunction since one week ago that was suspected as a result of thrombosis in the lumen of TDC. TDC was cut in the insertion of the jugular vein. And then a wire was inserted into TDC that has been cut off. From Chest x-ray imaging, migration of fragmented TDC was found inside the heart chamber with wire inside the lumen. Fluoroscopy showed a picture of a fragmented TDC in the heart chamber with a wire inside the lumen. Retrieval of fragmented TDC used percutaneus snare loop method with wire guiding that was inserted through the left femoral vein. Fragmented TDC was removed successfully. Retrieval of the fragmented TDC through endovascular techniques is classified as a simple. Simple snare loop method is quite effective and very cheap compared to the commercial snare, open surgery or laparoscopic surgery that can be avoided.
KAJIAN UMUM TENTANG AUTOPSI VERBAL Eriliana Aryanti; Dhian Kartikasari; Tommy Kristanto
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.art12

Abstract

An sudden death is a case that occurs without prior health complaints, so that its cause cannot be identified. On a death certificate, a doctor needs to state a cause of death, so an autopsy is usually required to confirm the cause of the sudden death. Implementation of autopsies  in cases of sudden deaths at the forensic medicine installation of Dr. Soetomo Hospital during 2014-2016 periods was only around 12%. This research is a literature review. A verbal autopsy is suggested to be useful to determine a valid cause of a death; therefore, recording of deaths in the hospital will be more accurate. WHO has published various standards of verbal autopsies in 2012. Validation of the verbal autopsies by questionnaires has shown an acceptable diagnostic accuracy to identify a cause of death compared to a cause of death obtained from medical records.
Effects of various lethal doses of amitriptyline to the length of Calliphoridae larvae Emira Alifia; Arfi Syamsun; Eustachius Hagni Wardoyo
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 3, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss3.art8

Abstract

Background: Uses of insects to predict Post-mortem Interval (PMI) is important for non-natural causes of death such as drug abuses. Doses of drugs in a corpse are presumed to affect rates of growth and development of insects and relationships to predict the PMI. Objective: This study aims to study effects of various doses of lethal amitriptyline to the length of Calliphoridae larvae stage as the first organism seen on a corpse as well as to assess other factors involved in insect growth such temperatures and humidity.Methods: This study was an experimental research using 24 dead rats as larva’s growth media. These rats were divided into four group: the control group, the first treatment (T1) group, the second treatment (T2) group, and the third treatment (T3) group. The control group was deceased by cervical dislocation representing natural cause of death, while the treatment groups were given various doses of amitriptyline orally. The doses given to T1, T2, and T3 groups were 75 mg, 100 mg and 125 mg, respectively. Next, the rat corpses were put into cages containing Calliphoridae larvae; daily observation was conducted every morning and afternoon until the larvae transformed into pupae. All obtained data were analysed by using a multivariate linear regression analysis, Spearman correlation and Kruskal-Wallis.Results: This study showed that the more doses of amitriptyline, the longer larva cycle and the shorter length of larvae (p<0,05). The life cycle time in the control, T1, T2, and T3 groups were four, five, eight and nine days, respectively. Based on the first day of larva appearance in each group, the control group produced an average length of larvae longer than the T1, T2, and T3 groups, respectively 8.33 mm, 7.33 mm, 4.5 mm and 5.67 mm. However, differences of temperatures and humidity observed in the routine morning and afternoon did not have any differences.Conclusion: Increasing more doses of amitriptyline extended the larva cycle that could cause the larva length to be shorter in the treatment group compared to the control group on the same day. Environmental factors in this study had smaller effects on the larva length growth of the Calliphoridae larvae.

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