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Zahratul Aini
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INDONESIA
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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Inflammation and Wound Diabetic Kintoko Kintoko
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 3, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss3.art1

Abstract

No Abstract
Validity of short form 36 (SF-36) Indonesian version on rheumatoid arthritis patients Laras Novitasari; Dyah Ariyani Perwitasari; Sudewi Khoirunisa
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 3, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss3.art2

Abstract

Background: Rheumatoid arthritis is a chronic disease that decrease the function of the joint. It usually occurs on the feet and hands which may decrease the quality of one’s life. A valid and reliable instrument is needed to measure patients’ quality of life. SF-36 is a generic instrument to measure patients quality of life which is widely used in many diseases. Objective: This study is aimed to get valid and reliable Indonesian version of SF-36 questionnaire. Methods: We conducted this study in an observational cross-sectional design. Reliability was measured by Cronbach alpha parameter (>0.7). The validation processes included known group validity, convergent validity, and discriminant validity which are part of construct validity. Results: We recruited 24 RA patients in this study. All the domains met the reliability parameter, except for vitality function (Cronbach alpha : 0.52). The result of convergent and discriminant validities are good in almost all domains, except for questions number 16, 27, and 35 which did not meet discriminant validity and the number 9 which did not meet convergent and discriminant validity. The Known Group Validity test on gender showed that there was no statistically significant difference (ρ >0.05). However, there are significant differences based on general health between age groups, and based on pain and role limitation due to emotional function between educational status. Conclusion: The Indonesian version of SF-36 in general can be used for measuring rheumatoid arthritis patients’ quality of life.
Counseling and motivational short text messages increase adherence and behavioral changes in patient with hypertension Ginanjar Zukhruf Saputri; Akrom Akrom; Endang Darmawan
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 3, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss3.art3

Abstract

Background: Patients with hypertension often fail to achieve treatment goals of controlling their blood pressure, hence they fall onto the condition of uncontrolled hypertension. In addition to counseling and patient-education programme, an enhanced methods of intervention is needed by pharmacist to increase patient adherence and commitment in taking antihypertension medicine. Motivational intervention has not been widely used by pharmacist in conducting pharmaceutical care to patients. Objective: This research is aimed to understand the effect of motivational counseling and short text messages (SMS) with adherence and behavioral changes in outpatient with hypertension at PKU Muhammadiyah Hospital Bantul, Yogyakarta. Methods: Sixty patients who meet the inclusion criteria was divided into two groups, which were experimental group (n=30) who received motivational counseling and SMS, and control group (n=30) who received usual care. Data was collected by interviews, behavioral questionaire, adherence questionaire using Morisky Medication Adherence Scale (MMAS), and blood pressure measurement according to the medical record. Results: Trans theoretical model (TTM) was used in this research. Stages of behavioral changes were divided into pre-contemplation, contemplation, preparation, and action. Result showed that pharmacist intervention, using motivational counseling and SMS as reminder, contribute to an increase of patient adherence and action stage of behavioral changes in the experimental group by 50% compared to 20% in the control group (p=0,035). Increase of adherence as much as 83,33% was seen in experimental group (p=0,000). A bigger decrease of systolic and diastolic blood pressure (SBP/DBP) was also seen in the experimental group compared to control group (SBP=15,37 vs 1,27mmHg), (DBP=6,73 vs 0,43 mmHg) on their second visits. Conclusion: Based on these results, it can be concluded that motivational counseling with SMS as a reminder and motivation by pharmacists in hypertensive patients give a positive influence on behavioral changes that improve adherence, and increase of systolic and diastolic blood pressure control.
Antibiotic susceptibility of Salmonella, Shigella and Vibrio isolated from diarrhea patients in Jakarta, Indonesia Meiyanti Meiyanti; Oktavianus Ch Salim; Elly Herwana; Joice V kalumpiu; Murad Lesmana
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 3, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss3.art4

Abstract

Background: The rapid increase of antibiotic resistance among enteric pathogens in developing countries has become a great concern. In Indonesia, Salmonella, Shigella, and Vibro are still an important public health problem. Objectives: The purpose of this study was to determine the antibiotic resistance patterns of several diarrhea-causing enteric bacteria that are frequently found in Indonesia, particularly Salmonella, Shigella and Vibrio. Methods: A cross-sectional study was conducted , among 150 rectal swabs collected from patients with diarrhea, the enteric pathogens isolated comprised Shigella (11.4%), Salmonella (6.6%) and Vibrio(2.7%). Results: Antibiotic susceptibility test on Shigella species to several antibiotics such as ampicillin, chloramphenicol, tetracycline and, trimethoprim-sulfamethoxazole showed a considerably high resistance rate (25%-100%), whereas ceftriaxone, ciprofloxacin, norfloxacin and nalidixic acid were apparently still effective (resistance rate 0%). Non-typhoid Salmonella had similar resistance patterns as those of Shigella, particularly to ampicillin, tetracycline, chloramphenicol and trimethoprim- sulfamethoxazole However, for S. typhi it was found that all antibiotics were still effective. Vibrio was resistant to ampicillin (resistance rate 100%), whereas the other antibiotics were still effective. Conclusion: It may be concluded that for each of the enteric pathogens the antibiotic resistance pattern should be determined. Use of antibiotics should be based on the antibiotic susceptibility tests.
A cross sectional study of trihexyphenidyl utilization on patient receiving antipsychotic therapy Addiniya Nurul Azmi; Sufi Desrini
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 3, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss3.art5

Abstract

Background: Psychotic disorder becomes a mental health problem recently that reduce quality of life of the patient. As the matter of fact, psychotic treatment induce another problem such as extrapyramidal symtomps (EPS). Trihexyphenidyl is the first choice as conjuctive treatment to prevent EPS. Objective: To determine the description and characteristics of trihexyphenidyl utilization on patient with psychotic who receive antipsychotic therapy at Ghrasia Hospital Yogyakarta. Methods: This study is a non-experimental descriptive with cross sectional design with the secondary data obtained from the medical record of patients with psychotics on January 2014 – January 2015 to perceive the utilization of trihexyphenidyl on patient who receive antipsychotic therapy at Ghrasia hospital. The sample is determined by Slovin formula, the data is analyzed with univariat analysis technic. Results: The majority of psychotic patients at the Ghrasia Hospital are about 25-40 years old (61,7%). It describes that the pattern of the psychotic disorder most likely happening at middle age, which 98 patients are male (63,6%). The combination of two antipsychotics becomes the most used regiment at Grhasia, 113 patients (73,4%) receive the combination of two antipsychotics theraphy, 39 patients (25,3%) receive single antipsychotic therapy and 2 patients (1,3%) receive the combination of three antipsychotics. 136 patients (88,3%) receive trihexyphenidyl twice a day on undefined skizophrenia 65 patients (42,2%) and 18 patients (11,7%) once a day. 149 patiens (96,8) are not examined before THP is given before the initiaton of the theraphy. Conclusion: Administration trihexiphenidyl as adjunctive therapy is given to the psychotic patients twice a day and most of them are not initiated by the examination of syndrome extrapyramidal.
Schistosomiasis Eka Husnawati; Novyan Lusiyana
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 3, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss3.art6

Abstract

Schistosomiasis, also known as bilharzia, is a zoonosis disease caused by blood flukes (trematodes) of the genus Schistosoma sp. There are a few species that can infect humans and animals, including Schistosoma aponicum, Schistosoma mansonia, Schistosoma hematobium, Schistosoma intercalatum Schistosoma guineensis and Schistosoma mekongi.1 This disease is endemic in 78 countries, in which 52 of them are countries with moderate-high level of endemicity. Schistosoma sp are very difficult to eliminate, because the transmission is highly influenced by evironmental, habitual, parasitic, vector, and host factors.
Correlation between education, occupation, family income, and self confidence with exclusive breastfeeding Ari Tuti Wahyuni; Lina handayani; Aprilia Rahmadani
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 3, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss3.art7

Abstract

Background: The scope of exclusive breastfeeding in Puskesmas Pengasih II in Kulon Progo district of DI Yogyakarta, is still below national target (80%). Some factors that affect this problem are level of education, occupation, the mother’s self confidence, and the family’s economical income. This study aims to determine the correlation between education, occupation, family income, and mother’s self confidence with exclusive brestfeeding in Puskesmas Pengasih II. Objective: The objective of this study is to determine the correlation between education, occupation, family income, and mother’s self confidence with exclusive brestfeeding in Puskesmas Pengasih II. Method: This study is an observational study with cross sectional method and total sampling technique. The study population is all mothers who has 6 – 12 months old babies. Data analisis is done using chi square test with alpha = 5%. Results: There are statistically significant correlation between the mother’s occupation (p=0,036), family income (p=0,000) and self confidence (p=0,000) with exclusive breastfeeding in Puskesmas Pengasih II of Kulon Progo district. There are no statistically significant correlation between level of education (p=0,948) with exclusive breastfeeding in Puskesmas Pengasih II of Kulon Progo district. Conclusion: There are statistically significant correlation between the mother’s occupation, family income, and self confidence with exclusive breastfeeding in Puskesmas Pengasih II of Kulon Progo district. There are no statistically significant correlation between level of education with exclusive breastfeeding in Puskesmas Pengasih II of Kulon Progo district.
HUBUNGAN MALNUTRISI DENGAN KEJADIAN STROKE Aditya Batlajery; Esdras Ardi Pramudita; Sugianto Sugianto; Rizaldy Taslim Pinzon
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.art9

Abstract

Background: Stroke is a serious health problem that is characterized by high morbidity and mortality. One of the risk factors for stroke able to be controlled is malnutrition (undernutrition). Malnutrition can be assessed by Total Lymphocyte Count (TLC) if a low TLC value is found or less than 1500 cells/mm3. Undernutrition increases the risk of cerebrovascular disease. Lack of substances such as vitamins can affect brain blood vessels.Objective: To determine the relationship of malnutrition assessed according to the parameter of Total Lymphocyte Count (TLC) to stroke. Methods: This study used a cross-sectional research method. The sample was obtained from the medical record data of the patient in the nerve polyclinic at Bethesda Hospital, Yogyakarta. The sample size in this study was 210 medical records consisting of 105 stroke patients and 105 non-stroke patients. Data from medical records obtained were analyzed by computerization and tested by univariate analysis followed by bivariate analysis with chi-square test. Results: In this study, the description of sex showed that the majority were male patients by 119 (56.7%), while female patients were 91 (43.3%). The most age ranges in this study were aged 60-69 years and over 70 years, each of which was 64 (30.5%). The most common risk factor was hypertension with 131 patients (62.4%). In the statistical analysis it was found that hypertension showed a significant relationship (RP: 4.85, 95% CI: 2.62-8.97, p: 0.000), and it was the strongest variable related to stroke. Statistical malnutrition did not have a significant relationship to the incidence of stroke (Rp. 0.80, 95% CI: 0.32-2.00, p: 0.644).Conclusion: Generally, malnutrition does not show a significant relationship to stroke. Hypertension is an independent risk factor for stroke.
AKURASI PENINGKATAN PROSTATE-SPECIFIC ANTIGEN DALAM DARAH TERHADAP KEGANASAN PROSTAT Daniel Mahendra Krisna; Hariatmoko Hariatmoko; Rizaldy Taslim Pinzon
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 1, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol9.Iss1.art5

Abstract

Background: Various controversies arose in the study of PSA examination as an alternative of biopsy to detect prostate malignancy. Prostate Specific Antigen (PSA) is a specific protein secreted by the prostate gland and is affected by various conditions. PSA levels will certainly increase at the enlargement of the prostate gland. An accurate cutoff point that can detect prostate cancer is needed.Objective: To evaluate the PSA diagnostic test against prostate malignancy.Methods: This study used a diagnostic test method for 91 patients undergoing either prostate gland surgery or open prostatectomy at Bethesda Hospital Yogyakarta in January 2014-January 2016 period. Data were taken from medical records with inclusion criteria as follow: over 50 years of age, preoperative PSA, and PA results. This study was a descriptive analytic study. In the diagnostic test AuROC, cutoff points were determined. Chisquare test was performed to assess sensitivity, specificity, PPV, NPV, LHR -, and LHR +.Results: We studied 91 patients with a mean age of 70.24 ( 46-54 ) and mean PSA level of 27.2 ( 0.59-101 ). The results of PA prostate tissue examinations were adenocarcinoma in 15 patients ( 16.5 % ) and BPH in 76 patients ( 83.5 %) On all PSA levels, AuROC were 0.90. Specificity of PSA with 4 ng / mL cutoff, 10 ng / mL, 20 ng / mL, 50 ng / mL, and 100 ng / mL were 0.53, 35.53, 67.11, 96.05, 98.68. When the cutoffs were reduced to 4.01-10ng/mL, 10.01-20 ng/mL, 20.01-50ng/ mL,50.01-100 ng/mL, and > 100 ng/mL, the specifity were 76.32, 68.00, 69.74, 96.05, 100.00. Cutoff value of 50ng / mL had LHR + >10.00 ( 15:20 ).Conclusion: There is a strong correlation between PSA and prostate malignancy. PSA value> 50 ng / mL has high accuracy to detect prostate malignancy. A biopsy is needed to determine a definitive diagnostic because no cutoff value can be used as a benchmark.
Recognize and prevent the transmission of virus zika Asri Hendrawati
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 7, No 4, (2016)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol7.Iss4.art1

Abstract

No Abstract

Page 6 of 47 | Total Record : 468

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