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Contact Name
Widya Yanti Sihotang
Contact Email
widyayantisihotang@unprimdn.ac.id
Phone
+62614532820
Journal Mail Official
fk@unprimdn.ac.id
Editorial Address
Jl. Belanga No.1 Simp. Jl. Ayahanda, Medan
Location
Kota medan,
Sumatera utara
INDONESIA
Buletin Kedokteran dan Kesehatan Prima
ISSN : 28289994     EISSN : 28289994     DOI : https://doi.org/10.34012/bkkp
Core Subject : Health, Science,
Media publikasi ilmiah di bidang kedokteran dan kesehatan yang terbit dua kali dalam setahun yaitu pada bulan Maret dan September. Berisi tulisan hasil penelitian lapangan atau laboratorium maupun studi pustaka dari bidang ilmu seperti kedokteran klinis, kedokteran tropis, kedokteran gigi, biomedis, farmasi klinis dan kesehatan masyarakat.
Articles 224 Documents
Clean and healthy living behavior and diarrhea among children: A cross-sectional study in Duria Village, West Nias Sibagariang, Eva Ellya; Simanjuntak, Mafe Robbi; Waruwu, Nestapa Viatni
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6540

Abstract

Diarrheal disease remains a critical public health concern, especially in developing countries like Indonesia, where it significantly contributes to morbidity and mortality among young children. This study aimed to analyze the relationship between Clean and Healthy Living Behaviors (CHLB) and the incidence of diarrhea among children aged 7-10 years in Duria Village, West Nias. A cross-sectional study was conducted from January to February 2024, involving 35 mothers of children aged 7–10 years with diarrhea, selected through purposive sampling. Data were collected using questionnaires to assess handwashing behavior, access to clean water, latrine conditions, and garbage disposal practices. The results indicated that while handwashing habits, latrine conditions, and garbage disposal practices did not show statistically significant associations with diarrhea prevalence, access to clean water had a highly significant association (p < 0.001), albeit counterintuitively suggesting that access to clean water is associated with increased diarrhea. These unexpected findings warrant further investigation to understand potential confounding factors. The study underscores the complex interplay between CHLB and diarrheal disease, highlighting the need for targeted interventions to improve sanitation and hygiene practices in Duria Village.
Squamous cell carcinoma of the kidney: A case report Lina, Juliana; Karo, Reh Malem br; Theresia, Yohani; Fadillah, Qori
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6544

Abstract

Primary renal squamous cell carcinoma (SCC) is a rare neoplasm strongly associated with a history of nephrolithiasis. Renal SCC is reported to have high morbidity and mortality rates, especially in the elderly population. Clinical manifestations of renal SCC are generally characterized by hematuria, flank pain, and a palpable mass in the retroperitoneal area. Histopathological examination reveals the infiltration of squamous cell nests that destroy the stroma. These cells show nuclear pleomorphism, an increased nuclear/cytoplasmic ratio, irregular nuclear membranes, coarse chromatin, prominent and dense basophilic nucleoli, and eosinophilic cytoplasm. These histopathological findings confirm the diagnosis of squamous cell carcinoma. The uniqueness of this case lies in the diagnosis of renal SCC in a relatively young age group, making it a distinct clinical concern. Further immunohistochemical examination, including CK5/6, p63, p40, and CK14 panels, is needed to determine the prognosis and appropriate treatment strategy. This case report emphasizes the importance of understanding kidney stone disease as a preventive measure against the development of renal SCC.
Effectiveness of stretching on reducing muscle and bone pain in worker Siagian, Masryna; Butar-Butar, Emely Thania; Rizki, Kartika Sari; Artiani, Litri; Siregar, Ryskina Fatimah; Putri, Disti Amanda
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6547

Abstract

Musculoskeletal pain is a common work-related ailment in Indonesia. Although not fatal, it can significantly reduce worker productivity. Stretching exercises are often used to alleviate this pain. Pre-work stretching and warm-up exercises may reduce the risk of musculoskeletal pain and fatigue, improve muscle balance and posture, and promote muscle relaxation by lengthening tense muscles, thus increasing comfort during work. This study aimed to determine the effectiveness of stretching in reducing musculoskeletal pain among workers at the Opak Suli Factory in Sukaraya Bakti Village, Pancur Batu District, Deli Serdang Regency. The experimental study employed a pre-test and post-test control group design. All 38 workers at the Opak Suli Factory in Sukaraya Bakti Village, Pancur Batu District, Deli Serdang Regency, were included using total sampling and divided into an intervention group and a control group, each consisting of 19 workers. The intervention group showed a statistically significant reduction in musculoskeletal pain (p < 0.001), indicating that stretching was effective. In contrast, the control group showed no significant change (p = 0.083). In conclusion, stretching is an effective method for reducing musculoskeletal pain among the workers in this study.
Factors contributing to weight gain among students during the COVID-19 pandemic Marpaung, Jelentika; Marlinang, Putri; Siagian, Masryna; Bangun, Andreas Xaverio; Lister, Gilbert; Deseva, Frisca Gemmi; William, Andy
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6582

Abstract

Weight gain among students during the COVID-19 pandemic was largely attributed to lifestyle changes, including diet, sleep patterns, decreased physical activity, and increased gadget use. This study aimed to identify the factors influencing weight gain in students at SMKN 10 Medan. A quantitative methodology was employed, utilizing a cross-sectional approach. The study population consisted of all students at SMKN 10 Medan, totaling 1,108 individuals. A sample of 294 students was selected using a random sampling technique. Data analysis was conducted using the chi-square test and logistic regression. The results indicated that all variables were significantly related to student weight gain during the COVID-19 pandemic, with p-values for physical activity (p=0.036), breakfast habits (p=0.042), snacking habits (p=0.001), sleep patterns (p=0.001), and gadget use (p=0.001). The most influential factors contributing to student weight gain were identified as snacking habits and sleep patterns, which exhibited the lowest significance values. It can be concluded that snacking habits and sleep patterns are the predominant factors associated with weight gain among students at SMKN 10 Medan during the COVID-19 pandemic.
The effect of physical exercise on blood glucose levels in patients with type 2 diabetes mellitus Siregar, Annisa Surto; Ginting, Rapael; Leslie, William; Putri, Nadya Nazimuddin; Hutabarat, Bartimeus Nicomama; Syahputra, Ari Denggan
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6583

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia. This study aimed to analyze the effect of physical exercise on blood glucose levels in patients with Type 2 DM at the Medan Johor Public Health Center. This analytical observational study utilized a case-control design and involved 34 respondents, divided into a case group (with uncontrolled blood glucose levels) and a control group (with controlled blood glucose levels). Data on physical activity, including frequency, duration, and intensity of exercise, were obtained through interviews using the GPAQ questionnaire, while blood glucose level data were sourced from medical records. The results showed a significant relationship between physical activity (p=0.028), frequency of physical exercise (p=0.006), duration of physical exercise (p=0.015), and intensity of physical exercise (p=0.034) with blood glucose levels. Physical exercise performed at least three times a week, for a minimum duration of 30 minutes per session, and at an appropriate intensity proved effective in controlling blood glucose levels in patients with Type 2 DM. This study emphasizes the importance of incorporating physical exercise into the management plan for Type 2 DM.
Rare manifestation of orbital hematoma in hemophilia B: A case report Jimanto, Vincent; Ritonga, Dwi Herawati
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6621

Abstract

Introduction: Severe Hemophilia B is a blood coagulation disorder with the most common clinical manifestation is bleeding manifestation in major joint. In this article, we present a case of 5-year-old boy with severe hemophilia B, whose clinical bleeding manifestation was rarely reported, located in unilateral orbital hematoma. By reporting this case of hemophilia B with rare clinical manifestations, we aim to increase the awareness so as to accelerate the diagnosis and management of hemophilia B. Case Presentation: A 5-year-old boy came to the emergency ward with complaints of a swollen and bluish right eye socket since a week prior to admission. Patient also experienced other symptoms such as frequent joint pain, prolonged bleeding after injury, and bruises (hematoma) on the trunk, elbows, and knees. The coagulation tests showed a prolonged APTT with normal PT and INR. Due to resource-limited setting, sample referral was needed to perform factor VIII and IX examination, and FFP transfusion was given to the patients during the admission. Factor VIII and IX results were available after patient had been discharged, with a low-level activity of factor IX (<1%). Patient was diagnosed as severe hemophilia B, and was referred to tertiary health-care facility from outpatient department for comprehensive management. Conclusion: Despite of the most common location of bleeding manifestation in Hemophilia B, other bleeding manifestation such as orbital hematoma should also be considered as Hemophilia B manifestation. Early diagnosis and prompt treatment will give a better prognosis for patient with hemophilia.
Risk factors for anemia among pregnant women at Bhayangkara Medan Hospital Putri, Eka Nabila; Asmadinah, Nur; Siagian, Masryna
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6636

Abstract

Anemia is a common complication affecting approximately 30% of pregnant women worldwide. Anemia is defined as a hemoglobin level of less than 11 grams per deciliter (g/dL) in non-pregnant women and less than 10.5 g/dL in pregnant women. This study aimed to determine the prevalence and risk factors of anemia in pregnant women. A cross-sectional study was conducted with 75 samples from 306 pregnant women who underwent ANC at the Bhayangkara Medan Hospital between January and June 2022. The risk factors studied included parity, pregnancy spacing, diet, maternal knowledge, and family support. Data regarding the risk factors were collected using questionnaires and medical records. Frequency distribution calculation and the chi-squared test were used for data analysis. The results showed that 30.7% of pregnant women experienced anemia. Chi-square test results showed that pregnancy spacing (0.001), diet (0.002), maternal knowledge (0.039), and family support were risk factors for anemia in pregnant women. Parity alone was not associated with anemia (0.306). The increased risk of anemia during pregnancy is influenced by short pregnancy spacing, poor diet, lack of maternal knowledge, and lack of family support.
The correlation between thoracic radiographic findings in pulmonary tuberculosis and type 2 diabetes mellitus Pinem, Della Terulin; Nasution, Ikhwanul Hakim; Pulungan, Ica Yulianti
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6641

Abstract

Tuberculosis (TB), specifically pulmonary tuberculosis, is a contagious chronic infectious disease caused by Mycobacterium tuberculosis. Type 2 diabetes mellitus (T2DM) is a significant comorbidity that influences the clinical presentation of TB. Patients with pulmonary TB and T2DM exhibit a more severe clinical profile and a broader range of symptoms compared to those with PTB alone. Radiologically, TB-T2DM patients often present with more extensive, multilobular lesions and a higher incidence of cavitation. This study aimed to determine the association between the characteristics of chest X-ray findings in patients with pulmonary TB complicated by T2DM and those without T2DM at Royal Prima General Hospital, Medan. This research employed a quantitative methodology with a cross-sectional design. The sample comprised 50 medical records of pulmonary TB patients with T2DM and 50 medical records of pulmonary TB patients without T2DM. Data analysis involved univariate and bivariate statistical methods. The results indicated that the extent of lesions observed on chest X-rays in patients with pulmonary TB patients with T2DM, as well as those without T2DM, varied from minimal to moderate to extensive. The types of lesions identified included infiltrates, infiltrates with fibrosis, and fibrosis. No significant association was found between the extent of lesions or the type of lesions in pulmonary TB patients with T2DM and those without T2DM. The most prevalent lesion extent was moderate, and the most common lesion type was infiltrates with fibrosis.
Antimicrobial activity of red dragon fruit peel extract against Staphylococcus aureus for root canal irrigation Daryono, Daryono; Purba, Member Reni; Al-Furqa'an, Muhammad
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6654

Abstract

Staphylococcus aureus is a type of bacteria that can colonise root canals, leading to infection and pain. Root canal irrigants are substances used during root canal treatment, and sodium hypochlorite is the gold standard, despite its toxicity. Red dragon fruit peel has several active compounds with antibacterial properties. This study aimed to determine the effectiveness of red dragon fruit peel extract (Hylocereus polyrhizus) against S. aureus as a root canal irrigant. This was an experimental study with a post-test-only group design. The study population was pure S. aureus. The study consisted of five treatment groups: red dragon fruit peel extract at concentrations of 80%, 40%, and 20%, 0.2% chlorhexidine, and DMSO, with five repetitions. Antibacterial effectiveness was tested using the disc diffusion method. Data were analysed using the Kruskal-Wallis statistical test and Post Hoc LSD. The study results showed average inhibition zone diameters of red dragon fruit peel extract against S. aureus of 12.18±0.228 mm, 11.16±0.305 mm, and 9.54±0.603 mm for concentrations of 80%, 40%, and 20%, respectively. The highest average inhibition zone diameter was found in the positive control (0.2% chlorhexidine), which was 13.20±0.255 mm, while the negative control (DMSO) showed no inhibition against S. aureus. The Kruskal-Wallis test results indicated that there was a significant effect of red dragon fruit peel extract against S. aureus (p=0.0001; p<0.05). The Post Hoc LSD test results showed that there were differences in the effectiveness of red dragon fruit peel extract between the two different groups (p=0.0001; p<0.05). Red dragon fruit peel extract can be used as a root canal irrigant, with a concentration of 80% being the most effective concentration.
Comparison of the effectiveness of robusta coffee bean extract and arabica coffee bean extract on the growth of Candida albicans Adriana, Shirley; Pinem, Pinta Malem; Watri, Desi
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6667

Abstract

Oral thrush, a fungal infection often associated with inadequate oral hygiene, necessitates treatment with antimicrobial agents. Extracts from Coffea canephora (Robusta) and Coffea arabica L. (Arabica) coffee beans contain bioactive compounds that demonstrate inhibitory activity against Candida albicans. This study investigated the comparative inhibitory efficacy of Robusta and Arabica coffee bean extracts on Candida albicans growth. A randomised, post-test only control group design was employed in this experimental laboratory study. Twelve treatment groups were established, and the disc diffusion method was used to assess antibacterial activity. Inhibition diameters were measured using a vernier caliper. Statistical analysis was performed using the Kruskal-Wallis and Mann-Whitney tests. The mean inhibition diameters for Robusta coffee bean extract (Coffea canephora) were as follows: 9.28 ± 2.585 mm at 12.5% concentration, 12.35 ± 0.050 mm at 25%, 14.55 ± 0.050 mm at 50%, 16.50 ± 0.477 mm at 75%, and 18.55 ± 0.477 mm at 100%. For Arabica coffee bean extract (Coffea arabica L.), the mean inhibition diameters against Candida albicans were 8.10 ± 1.117 mm at 25% concentration, 10.91 ± 1.188 mm at 50%, 15.61 ± 2.115 mm at 75%, and 16.71 ± 1.980 mm at 100%. The positive control exhibited a mean inhibition diameter of 15.85 ± 0.180 mm. No inhibition was observed for Arabica coffee bean extract at 12.5% concentration or the negative control. The results indicate that Robusta coffee bean extract demonstrated a significantly greater inhibitory effect on Candida albicans growth compared to Arabica coffee bean extract. Liquid chromatography-mass spectrometry (LC-MS) analysis of both Robusta and Arabica coffee bean extracts revealed the presence of caffeine and chlorogenic acid, which likely contribute to their observed inhibitory activity.