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eJournal Kedokteran Indonesia
Published by Universitas Indonesia
ISSN : 23381426     EISSN : 23386037     DOI : http://doi.org/10.23886/ejki
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health
eJournal Kedokteran Indonesia (eJKI) is a general medical journal, published quadrimester (April, August, December) by Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia. eJKI aims to published the manuscript of students (Bachelor of Medicine (S.Ked), study Program of Medical Profession, magister/specialist, doctoral, and fellow). The journal is a general medical journal that covering all areas of biomedical science, basic medical science, clinical science, medical technology, and medical education. The journal accepts editorial, research article, reviews, evidence-based case report, and also interesting case reports/case study. This work was supported by Faculty of Medicine, Universitas Indonesia.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 12 Documents
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Optimalisasi 1000 Hari Pertama Kehidupan: Nutrisi, Kasih Sayang, Stimulasi, dan Imunisasi Merupakan Langkah Awal Mewujudkan Generasi Penerus yang Unggul Hartono Gunardi
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.6 KB) | DOI: 10.23886/ejki.9.2.1

Abstract

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Obstetric and Perinatal Characteristics of Teenage Pregnancies: an Analysis of Five Year Period in dr. Cipto Mangunkusumo Hospital, Jakarta Junita Indarti; David Eka Prasetya; Hari Sandi; Imam Rahmadi; Raymond Surya
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.595 KB) | DOI: 10.23886/ejki.9.6.18

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Abstract Teenage pregnancy leads to higher rates of maternal and perinatal complication and has been amajor challenge globally. This study aims to evaluate the obstetric and perinatal characteristics of teenagepregnancies in Indonesian population. A cross-sectional study through medical records was performed attertiary cared dr. Cipto Mangunkusumo Hospital, Jakarta, from 2014 to 2018. We recruited average maternalage of women and teenagers who carried singleton live pregnancies and delivered at tertiary care. Obstetricalcomplications include anemia at labor, preeclampsia/eclampsia, postpartum hemorrhage, preterm rupture ofmembrane, induction of labor, cesarean section delivery and perinatal outcomes include small-for-gestationalage, stillbirth, intrauterine growth restriction, preterm birth, low birth weight, 5th minimum APGAR score wereassessed. Statistical analysis was done using SPSS 20. There were 4265 eligible subjects during 5-yearperiod. The prevalence of teenage pregnancy (11-19 years old) was 543/4265 (12.7%). Teenage pregnancyhad a higher incidence of preterm deliveries (OR 2.047, 95%CI 1.660–2.524, p<0.001) and anemia at labor(OR 1.433, 95%CI 1.113-1.843, p=0.005). Low birth weight babies (OR 1.520, 95%CI 1.229–1.879, p<0.01)were associated with teenage pregnancy. Teenage pregnancy contributes to higher incidence of pretermdeliveries, anemia at labor, and low birth weight. Keywords: teenage, pregnancy, outcome, maternal, perinatal.   Karakteristik Obstetrik dan Perinatal pada Kehamilan Remaja: Analisis Lima Tahun di RSUPN Dr. Cipto Mangunkusumo, Jakarta Abstrak Kehamilan remaja meningkatkan komplikasi maternal dan perinatal serta merupakan tantangan global.Studi ini bertujuan untuk mengevaluasi karakteristik obstetrik dan perinatal kehamilan remaja di Indonesia.Studi potong lintang melalui rekam medis dilakukan di RSCM, Jakarta, pada tahun 2014 hingga 2018. Kriteriainklusi ialah kehamilan remaja dan usia reproduksi pasien yang melahirkan di RSCM. Komplikasi obstetrikyang dinilai adalah anemia saat persalinan, preeklamsia/eklamsia, perdarahan pascasalin, ketuban pecahdini, induksi persalinan, seksio sesarea, dan luaran perinatal yaitu janin kecil, lahir mati, pertumbuhan janinterhambat, persalinan prematur, berat lahir rendah, dan skor APGAR 5 menit. Analisis statistik menggunakanSPSS 20. Terdapat 4265 subjek selama 5 tahun dengan prevalensi kehamilan remaja (11-19 tahun) 543/4265(12,7%). Kehamilan remaja meningkatkan insidens persalinan prematur yang lebih tinggi (OR 2,047, 95%CI1,660–2,524, p<0,001) dan anemia saat persalinan (OR 1,433, 95%CI 1,113-1,843, p=0,005). Berat badan lahirrendah berhubungan dengan kehamilan remaja (OR 1,520, 95%CI 1,229–1,879, p<0,01). Kehamilan remajamemiliki dampak lebih tinggi terhadap persalinan prematur, anemia saat persalinan, dan berat lahir rendah. Kata kunci: remaja, kehamilan, luaran, maternal, perinatal.
Central Serous Chorioretinopathy Associated with Calcium Channel Blocker Consumption: A Case Report Andi Arus Victor
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1525.951 KB) | DOI: 10.23886/ejki.9.7.62

Abstract

Central serous chorioretinopathy (CSC) is one of the leading causes of blindness in middle-aged population. This case report describes case of CSC associated with amlodipine consumption. A 62-years old woman came with blurry vision on the right eye (RE) for 25 days, prior to admission. Patient was hypertensive and on routine calcium channel blocker (CCB, amlodipine) for the last two months. Initial best corrected visual acuity (BCVA) was 0.3 for her RE and 0.8 on her left eye (0.8). Anterior segment examinations of both eyes were within normal limits. Funduscopy revealed serous retinal detachment on the macula of RE. Optical coherence tomography (OCT) of RE showed subretinal and below choroid fluid accumulation and central macular thickness of 352 µm. Patient was treated with non-steroidal anti-inflammatory drug (NSAID) and vitamins but the complaint worsened. Amlodipine was ceased on the third month of treatment. CSC resolved and final BCVA was 1.0. There might be an association between CCB consumption to incidence of CSC. Our study was the first to describe such occurrence. Further study is required to confirm this association Keywords: Central serous chorioretinopathy, calcium channel blocker, amlodipine, calcium ion, pathogenesis.   Korioretinopati Serosa Sentral Terkait Penggunaan Penghambat Kanal Kalsium: Sebuah Laporan Kasus Abstrak Central serous chorioretinopathy (CSC) merupakan salah satu penyebab utama kebutaan pada populasi usia paruh baya. Laporan kasus ini mendeskripsikan sebuah kasus CSC yang berkaitan dengan konsumsi Amlodipine. Seorang wanita berusia 62 tahun datang dengan keluhan pandangan buram pada mata kanan sejak 25 hari sebelum datang ke Rumah Sakit. Pasien didiagnosis dengan hipertensi dan rutin mengkonsumsi calcium channel blocker (CCB, amlodipine) dalam 2 bulan terakhir. Pemeriksaan tajam visual terbaik / best corrected visual acuity (BCVA) di awal menunjukkan hasil 0.3 pada mata kanan dan 0.8 pada mata kiri. Pemeriksaan anterior segmen pada kedua mata dalam batas normal. Pemeriksaan funduskopi menunjukan ablasio retina serosa pada makula mata kanan. Pemeriksaan optical coherence tomography (OCT) pada mata kanan menunjukkan hasil akumulasi cairan pada subretina dan dibawah koroid, serta ketebalan makula sentral yaitu 352µm. Pasien diberikan tatalaksana berupa non-steroidal anti-inflammatory drug (NSAID) dan vitamin, namun keluhan dirasa memburuk. Konsumsi amlodipine dihentikan pada bulan ke 3. CSC dinyatakan sembuh dengan BCVA akhir 1.0. Terdapat kemungkinan hubungan antara konsumsi CCB dengan insidensi CSC. Studi kami merupakan studi pertama yang mendeskripsikan kejadian tersebut. Dibutuhkan studi lebih lanjut untuk mengkonfirmasi hubungan tersebut. Kata kunci: Korioretinopati serosa sentral, penghambat kanal kalsium, amlodipine, ion kalsium, patogenesis
Three Years Retrospective Study of Melanocytic Lesion in Tertiary Hospital: Comparing Benign & Malignant Data Fitri Ayu Ramadhini
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.228 KB) | DOI: 10.23886/ejki.9.10.24

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Abstract Melanocytic lesion is defined as skin symptom due to proliferation of melanocytes. It may be considered benign, commonly diagnosed as melanocytic nevus (MN), or may also be malignant as malignant melanoma (MM). Publication of epidemiologic data about melanocytic lesion in Indonesia is limited. The aim of this study was to evaluate the epidemiologic findings of melanocytic lesion based on histopathology and clinical data. This descriptive study was done by collecting retrospective pigmented lesion from histopathology database at Department of Anatomical Pathology dr. Cipto Mangunkusumo National Hospital from 2014 - 2017. Retrieved data were analyzed descriptively for MN and MM include clinical diagnosis, age, sex, location, size and clinical working diagnosis. There were 121 cases of melanocytic lesions consisting of 87.6% MN. Females were more frequent for benign lesions. MN cases were mostly seen at the age below the fourth decade, while from 12 cases of MM found above fourth decade. MN was located mostly on the head and neck, while MM mostly in the lower extremities and soles. There were 75 lesions size and 4 lesions location were unknown data missing. MM is still considered rare. Completing clinical finding in the histopathology request form by surgeons will aid in defining better characteristic of melanocytic lesion in our population. Keyword: epidemiology, melanocytic lesion, nevus melanocytic, malignant melanoma.   Studi Retrospektif Lesi Melanositik dalam Tiga Tahun di RS Tersier: Perbandingan Data Jinak dan Ganas Abstrak Lesi melanositik didefinisikan sebagai lesi kulit akibat proliferasi melanosit. Lesi melanositik dapat dianggap jinak, umumnya didiagnosis sebagai nevus melanositik (NM), atau merupakan ganas yaitu melanoma maligna (MM). Publikasi data epidemiologi tentang lesi melanositik di Indonesia masih terbatas. Tujuan dari penelitian ini adalah untuk melakukan evaluasi gambaran epidemiologis lesi melanositik berdasarkan data histopatologi dan klinis. Penelitian deskriptif ini dilakukan dengan mengumpulkan data retrospektif lesi berpigmen dari basis data histopatologi di Departemen Patologi Anatomi Rumah Sakit Nasional dr. Cipto Mangunkusumo dari tahun 2014 - 2017. Data dianalisis secara deskriptif untuk NM dan MM termasuk diagnosis kerja, usia, jenis kelamin, lokasi, ukuran, dan diagnosis klinis. Terdapat 121 kasus lesi melanositik yang terdiri atas 87,6% NM. Lesi jinak lebih banyak ditemukan pada wanita. Terdapat 75 dan 4 kasus dengan data ukuran lesi dan lokasi tidak tercantum. MM masih dianggap jarang. Kasus NM sebagian besar terlihat pada usia di bawah dekade keempat, sedangkan dari 12 kasus MM di atas dekade keempat. NM sebagian besar terletak di kepala dan leher, sedangkan MM ditemukan di ekstremitas bawah dan telapak kaki. Melengkapi temuan klinis dalam formulir permintaan histopatologi oleh dokter bedah akan membantu dalam menentukan karakteristik lesi melanositik lebih baik pada populasi ini. Kata kunci: epidemiologi, lesi melanositik, nevus melanositik, melanoma maligna
Maternal Characteristics, Pregnancy, and Neonatal Outome in Preeclampsia and HELLP Syndrome: a Comparative Study Ali Sungkar; Rima Irwinda; Raymond Surya; Andrew Pratama Kurniawan
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.037 KB) | DOI: 10.23886/ejki.9.15.7

Abstract

HELLP syndrome is a complication in pregnancy which may increase maternal morbidity and mortality risk. This study aims to compare maternal characteristics, pregnancy and neonatal outcome between preeclampsia and HELLP syndrome. All preeclampsia without or with severe features and HELLP syndrome using ACOG criteria coming to dr. Cipto Mangunkusumo Hospital from January 2015 to December 2017 were recruited into this cross-sectional study. Demographic, clinical, laboratories parameters, and neonatal outcomes were compared between HELLP and preeclampsia patients. The SPSS 20 for Windows was used for all analyses. There were 676 deliveries which was complicated by preeclampsia without or with severe features and 113 patients with HELLP syndrome. Gestational age, history of hypertension systolic and diastolic blood pressure, hemoglobin, hematocrit, urea, creatinine, uric acid, and albumin are different significantly between HELLP and preeclampsia patients. History of hypertension in previous pregnancy is considered as a significant risk factor for HELLP syndrome (p=0.001); RR 2.33 (95% CI 1.41–3.9). Based on data of gestational age at delivery which lower in HELLP syndrome, it showed lower median birth weight in HELLP syndrome (1442.5 g) compared with preeclampsia (1442.5 g vs 2400 g, p=; 95%CI There is significant difference in gestational age at delivery, nullipara, blood pressure, and laboratory findings (urea, creatinine, uric acid, albumin) between preeclampsia and HELLP syndrome group. History of hypertension in previous pregnancy is a significant risk factor for HELLP syndrome. Regarding neonatal outcome, baby born from HELLP syndrome has lower median birth weight. Keywords: HELLP syndrome, preeclampsia, risk factor, neonatal outcome.   Karakteristik Maternal, Luaran Kehamilan, dan Neonatal pada Preeklamsia dan Sindrom HELLP: Studi Komparatif Abstrak Sindrom HELLP merupakan komplikasi kehamilan yang meningkatkan morbiditas dan mortalitas maternal. Studi ini bertujuan untuk mengetahui perbedaan karakteristik antara sindrom HELLP dan preeklamsia serta luaran neonatus. Studi potong lintang ini melibatkan seluruh pasien preeklamsia dengan atau tanpa perburukan dan sindrom HELLP berdasarkan kriteria ACOG yang datang ke RS dr. Cipto Mangunkusumo pada bulan Januari 2015 sampai Desember 2017. Analisis bivariat digunakan untuk mengetahui hubungan karakteristik demografi, klinis, laboratorium antara pasien HELLP dan preeklamsia sedangkan analisis multivariat untuk mengetahui karakteristik yang memengaruhi sindrom HELLP. Data dianalisis menggunakan SPSS 20. Terdapat 676 persalinan pada kelompok preeklamsia dengan atau tanpa perburukan dan 113 pasien dengan sindrom HELLP. Usia kehamilan, tekanan darah sistolik dan diastolik, hemoglobin, hematokrit, ureum, kreatinin, asam urat, dan albumin berbeda bermakna antara pasien sindrom HELLP dan preeklamsia. Riwayat hipertensi pada kehamilan sebelumnya dianggap sebagai faktor risiko terhadap sindrom HELLP (p=0,001); RR 2,33 (IK 95% 1,41-3,9). Berdasarkan usia kehamilan saat persalinan yang lebih awal dan bayi lahir lebih rendah pada sindrom HELLP (1442,5 g) dibandingkan preeklamsia (2400 g). Terdapat perbedaan bermakna pada usia kehamilan saat persalinan, tekanan darah, dan parameter laboratorium (ureum, kreatinin, asam urat, albumin) antara kelompok preeklamsia dan sindrom HELLP. Berdasarkan luaran neonatus, bayi dari sindrom HELLP lebih rendah berat lahirnya. Kata kunci: sindrom HELLP, preeklamsia, faktor risiko, luaran neonatus
Hubungan Diabetes Melitus dengan Kejadian Mortalitas pada Pasien Terkonfirmasi Covid-19 Tahun 2020: Systematic Review Ahda Faza Hunafa; Salman Paris Harahap; Retno Yulianti; Yudhi Nugraha
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.397 KB) | DOI: 10.23886/ejki.9.20.67

Abstract

COVID-19 merupakan penyakit saluran napas disebabkan oleh strain coronavirus yang baru ditemukan, yaitu severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Diabetes melitus (DM) diduga meningkatkan keparahan dan angka kematian pasien COVID-19. Pemahaman mengenai COVID-19 disertai DM hingga kini belum lengkap karena penyakit ini terus menyebar dengan cepat. Telaah ini bertujuan untuk mengetahui hubungan DM dengan kejadian mortalitas pada pasien terkonfirmasi COVID-19 tahun 2020 melalui systematic review. Pencarian jurnal dilakukan pada bulan Mei hingga 8 Juli 2020 di pusat literatur publikasi dengan kata kunci “COVID-19” AND “Glycemic Control” OR “Diabetes Control” AND “Mortality” sesuai Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). Telaah kritis dilakukan berdasarkan pedoman instrumen telaah National Heart Lung and Blood Institute and the Research Triangle Institute International. Data diperoleh dari 8 jurnal yang memenuhi kriteria penelitian; dibagi menjadi kategori DM terkontrol dan atau tidak terkontrol. Hasil telaah menunjukkan tingginya persentase kejadian mortalitas pada pasien terkonfirmasi COVID-19 yang disertai dengan DM, terutama lebih tinggi pada kelompok pasien dengan DM tidak terkontrol yaitu 11% dengan nilai risk ratio 2,56. Kata kunci: COVID-19, diabetes melitus, kontrol glikemik, kontrol diabetes, mortalitas.   The Correlation between Diabetes Mellitus and Mortality of Patient with Confirmed COVID-19: Systematic Review Abstract COVID-19 is a respiratory disease caused by the new coronavirus strain, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Diabetes Mellitus (DM) is suspected as one of the causes that intensify the number of death of the COVID-19 patients. The literatures for DM in COVID-19 have been updated as the disease swiftly spreading. This study aims to know the relation between DM and the mortality of confirmed patients of COVID-19 in 2020 using systematic review method. Journal searches are conducted from April to July 8th 2020 in publication literature center with keywords “COVID-19” and “Glycemic Control” or “Diabetes Control” and “Mortality” reported in Preferred Reporting Items for Systematic Reviews and MetaAnalyses Protocols (PRISMA-P). Critical appraisal is made based on National Heart Lung and Blood Institute and the Research Triangle Institute International. The data are collected from 8 journals that involved the research criteria (controlled DM and not controlled DM ). This study proved high number of mortality cases of COVID-19 confirmed patients with DM. Uncontrolled DM group has the higher percentage of mortality cases of 11% with a Risk Ratio (RR) of 2.56. Keywords: COVID-19, diabetes mellitus, glycemic control, diabetes control, mortality.
Association Between Active or Passive Smoking and Allergic Rhinitis: an Evidence-Based Case Report: Smoking and Allergic Rhinitis Lupita Reksodiputro; Thalia Mufida; Niken Poerbonegoro; Mirta Hediyati Reksodiputro
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1027.574 KB) | DOI: 10.23886/ejki.9.22.56

Abstract

This evidence-based case report (EBCR) aims to investigate the association between active or passive smoking with allergic rhinitis by summarizing existing studies on the topic. A literature search was done on major databases with keywords related to this study’s research question. The literature was appraised using CEBM University of Oxford for etiology study and systematic review sheets. The search obtained two articles for critical appraisal, includes a meta-analysis and a cohort study. The studies were appraised as valid, important, and applicable to the writer’s setting. Saulyte et al’ s2 article described RR active smoking with allergic rhinitis of 1.02 (95%CI 0.92-1.15), with no significant association. They resolved the heterogeneity by making subgroups. The cross-sectional subgroup with RR 1.09 (95%CI 1.06-1.12) is statistically significant. There was a significant association in passive smoking and obtained RR 1.10 (95%CI 1.06-1.15). In the study by Mlinaric et al4 the RR of active and passive smoking compared to non-smoker are 1.82 and 2.00; both show statistical significance. Both active and passive smoking is associated with a high risk of allergic rhinitis in adults and children. Keywords active smoking, passive smoking, allergic rhinitis.   Hubungan Perokok Aktif dan Pasif dengan Rhinitis Alergi: Laporan Kasus Berbasis Bukti Abstrak Pada laporan kasus berbasis bukti ini bertujuan untuk menginvestigasi hubungan antara perokok aktif dan perokok pasif pada pasien dengan rinitis alergi. Dilakukan pencarian literatur menggunakan kata kunci yang berhubungan dengan kasus pada beberapa search engine, kemudian dilakukan penilaian kelayakan dengan lembar appraisal dari CEBM University of Oxford for etiology study and systematic review sheet. Dari pencarian didapatkan dua artikel yang mepresentasikan kasus tersebut, yaitu studi meta analisis dan studi cohort. Studi meta analisis oleh Saulyte et al2 menyatakan RR pada perokok aktif dengan rinitis alergi adalah 1,02 (95%CI 0,92-1,15). Pada subgrup potong lintang didapatkan perbedaan bermakna dengan RR 1,09 (95%CI 1,06-1,12). Pada studi cohort oleh Minaric et al didapatkan RR pada perokok aktif 1,82 dan pada perokok pasif 2,00, keduanya menunjukan angka yang signifikan. Pada perokok aktif dan pasif berhubungan dengan risiko tinggi pada rinitis alergi di pasien dewasa dan anak-anak. Kata kunci: perokok aktif, perokok pasif, rhinitis alergi.
Profil Dehabilitasi Pasien Kusta di Rumah Sakit Kusta Alverno Singkawang: Studi Pendahuluan Sri Linuwih Susetyo Wardhani Menaldi; Valensia Vivian The; Inosensia Diajeng Kusumo; Melani Marissa
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.164 KB) | DOI: 10.23886/ejki.9.24.30

Abstract

Abstrak Kusta dapat menyebabkan disabilitas permanen yang memengaruhi fisik dan psikis pasien. Stigmadiri dan stigma sosial menyebabkan pasien mengalami dehabilitasi yang dapat menurunkan kualitashidup penyandangnya. Penelitian ini merupakan studi pendahuluan yang bertujuan untuk mendapatkanprofil dehabilitasi pasien kusta termasuk orang yang pernah mengalami kusta (OYPMK). Penelitian inimenggunakan metode potong lintang untuk menilai profil dehabilitasi pasien kusta dan OYPMK menggunakanskala dehabilitasi Anandaraj di RS Kusta Alverno Singkawang, bulan Juli 2019. Delapan puluh delapan subjekdiikutkan dalam penelitian ini. Analisis data dilakukan menggunakan uji Mann Whitney untuk menilai hubungantipe kusta dan derajat dehabilitasi, serta uji Kruskal Wallis untuk melihat hubungan antara reaksi kusta danderajat disabilitas terhadap skala dehabilitasi. Analisis dilakukan menggunakan perangkat lunak SPSS formac. Subjek terbanyak adalah laki-laki, usia produktif, bekerja sebagai petani, berpenghasilan kurang dari 1,5juta per bulan, tidak bersekolah, sudah menikah, etnis Tionghoa, tinggal di dalam rumah yang padat, memilikikeluarga serumah yang menderita kusta, terdiagnosis kusta tipe multibasiler, pernah mengalami reaksi dantelah menyelesaikan pengobatan. Dari penelitian ini didapatkan bahwa tipe kusta dan disabilitas derajat noldan dua berhubungan dengan skala dehabilitasi Anandaraj (p<0.05). Stigma terhadap kusta hingga kinimerupakan masalah yang belum dapat diatasi. Stigma dan disabilitas akibat kusta berperan penting terhadapkejadian dehabilitasi yang menyebabkan penurunan kualitas hidup pasien kusta dan OYPMK. Kata kunci: Anandaraj, dehabilitasi, kusta, Singkawang.   Dehabilitation Profile of Leprosy Patients in Alverno Singkawang Hospital: a Preliminary Study Abstract Leprosy causes permanent disability that affects both physical and psychological aspect of the patient.Self-stigma and social stigma cause dehabilitation; therefore, reducing the quality of life of the patients. Thisresearch is a preliminary study to assess the dehabilitation profile of leprosy patients, including people whohave had leprosy (OYPMK). A cross-sectional method was used to assess the dehabilitation scale of leprosypatients in Alverno Leprosy Hospital, Singkawang, using the Anandaraj dehabilitation scale. Eighty-eightsubjects were included in the analysis. Mann-Whitney test was done to analyze the association betweentype of leprosy and dehabilitation scale, and Kruskal Wallis test was done to analyze the association betweenleprosy reaction and grade of disability with dehabilitation scale. Most subjects are male, productive age,farmers, less than 1.5 million wages per month, uneducated, married, Chinese ethnicity, living in a crowdedhouse, had a family with leprosy, diagnosed with multibacillary leprosy, had an episode of leprosy reaction danreleased from treatment. Type of leprosy and WHO disability grade 0 and 2 are related to the dehabilitationscale. Leprosy stigmatization is still a worrisome problem. Together with the disability, stigmatization affectsthe dehabilitation scale of leprosy patients leading to reduced quality of life. Keywords: Anandaraj, dehabilitation, leprosy, Singkawang.
Perilaku Merokok pada Mahasiswa Fakultas Kedokteran dan Fakultas Pertambangan Universitas Papua, Sorong Astrid B Rase; Jamal Zaini; Samuel S Kamalle; Siti Syahral Ain
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.667 KB) | DOI: 10.23886/ejki.9.26.50

Abstract

Indonesia merupakan salah satu negara dengan prevalensi perokok tertinggi di dunia. Saat ini merokok masih menjadi gaya hidup di lingkungan mahasiswa, tetapi perilaku merokok pada populasi di wilayah TImur Indonesia terutama Papua masih jarang diteliti. Penelitian ini bertujuan untuk mengetahui perilaku merokok pada mahasiswa Fakultas Kedokteran (FK) dan fakultas non-kesehatan (Fakultas Teknik Pertambangan dan Perminyakan/FTPP). Studi ini menggunakan desain studi potong lintang. Pengambilan data dilakukan pada Maret 2019 dengan teknik total sampling dan instrument yang digunakan yaitu kuesioner tervalidasi dari Global Adult Tobacco Survey (GATS) dan Global Youth Tobacco Survey (GYTS). Didapatkan 113 responden mahasiswa FK dan 72 responden mahasiswa FTPP. Perilaku merokok 1 batang setiap hari dalam 30 hari terakhir didapatkan terbanyak pada mahasiswa FTPP (29,8%) dibandingkan FK (7,1%). Ditemukan juga kekerapan kebiasaan yang berpengaruh terhadap kesehatan seperti mengunyah sirih, mengunyah pinang, VAPE bahkan konsumsi alkohol pada populasi baik mahasiswa FK maupun mahasiswa FTPP. Prevalensi merokok, menyirih dan konsumsi alkohol pada mahasiswa fakultas teknik lebih tinggi daripada mahasiswa fakultas kedokteran dan perlu dilakukan penelitian terkait terjadinya gangguan kesehatan dimasa depan. Kata kunci: merokok, menyirih, mahasiswa kedokteran, mahasiswa teknik.   Smoking Behavior among Medical and Engineering Students in Universitas Papua, Sorong Abstract Indonesia is among the highest prevalence of cigarette smoking in the world and it is a common lifestyle among undergraduate students. This study aims to measure smoking behaviour among undergraduate medical student and non medical students in West Papua. A cross sectional study with total sampling was done among undergraduate students in Faculty of Medicine and Faculty of Mining Engineering Universitas Papua, Sorong. Global Adults Tobacco Survey (GATS) and Global Youth Tobacco Survey (GYTS) questionnairre were administered with additional question regarding other habits that might be related to addiction such as betel nut chewing, consuming alcohol and vaping. There are 113 medical student and 72 non medical students were recruited. The prevalence of smoking among undergraduate medical students was 7.1% and 29.8% among undergraduate non medical students. Interestingly the prevalence of betel nut chewing is high among non medical students. The prevalence of smoking among undergraduate non medical students is higher compared with medical students in West Papua. The prevalence of betel-nut chewing and alcohol consumption were also high among non medical student and need further study regarding its health risk. Keywords: cigarette smoking, betel nut chewing, medical students, non medical students
Hubungan Usia, Derajat Ketulian, dan Onset Tuli Mendadak dengan Perbaikan Pendengaran setelah Hyperbaric Oxygen Therapy Savira Chrisna; Pritha Maya Savitri; Yanti Harjono
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (358.268 KB) | DOI: 10.23886/ejki.9.28.13

Abstract

Tuli mendadak adalah penurunan pendengaran sensorineural 30 dB pada tiga frekuensi berturut-turut dalam waktu 72 jam. Penatalaksanaannya dengan terapi steroid dan adjuvan hyperbaric oxygen therapy. HBOT  yaitu seseorang bernapas dengan oksigen 100% di dalam ruang udara bertekanan lebih dari 1 ATA. Tujuan terapi adalah meningkatkan tekanan parsial oksigen dan memaksimalkan oksigenasi di dalam koklea sehingga tercapai perbaikan pendengaran yang ditentukan oleh faktor prognostik. Penelitian ini bertujuan untuk mengetahui hubungan usia, derajat, ketulian, dan onset tuli mendadak dengan perbaikan pendengaran setelah HBOT di Rumah Sakit Angkatan Laut Dr. Mintohardjo tahun 2016-2019. Desain studi potong lintang 36 pasien tuli mendadak. Faktor usia tidak dapat dinilai karena datanya konstan. Hasil uji Fisher menunjukkan tidak ada hubungan derajat ketulian dengan perbaikan pendengaran (p = 0,307). Onset tuli mendadak sebagai faktor prognostik tidak hubungan dengan perbaikan pendengaran (p = 0,559). Derajat ketulian dan onset tuli mendadak disebut  faktor prognostik baik terhadap perbaikan pendengaran pasien tuli mendadak yang diterapi HBOT,  tidak menunjukkan hubungan. Kata kunci: Usia, derajat ketulian, onset, tuli mendadak, HBOT.   Relationship between Age, Degree of Hearing Loss, and Onset of Sudden Deafness with Hearing Improvement after Hyperbaric Oxygen Therapy Abstract Sudden deafness is sensorineural hearing deterioration of at least 30 dB in 3 sequential frequencies occuring within 72 hours. Management of sudden deafness is steroid and hyperbaric oxygen therapy HBOT as adjuvan therapy. HBOT is a therapy in which a person breathes with 100% oxygen in a compressed air space of more than 1 ATA. The therapy is intended to increase the parsial oxygen pressure and improve oxygenation in the cochlea so the hearing improvement is achieved, which determined by prognostic factors. This aim of this study is to determine the relationship between age, degree of hearing loss, and onset of sudden deafness with hearing improvement using HBOT at Dr. Mintohardjo Naval Hospital in 2016-2019. The cross-sectional study design was used in this research of 36 sudden deafness patients. Age cannot be assessed because the data is constant. Fisher's test results showed no relationship with the degree of hearing loss on hearing improvement with p = 0.307. Onset of sudden deafness as a prognostic factor showed no relationship with hearing improvement with p = 0.559. The degree of hearing loss and onset of sudden deafness which is referred to as a good prognostic factor for hearing improvement in sudden deafness treated with HBOT did not show any relationship. Keywords: age, degree of hearing loss, onset, sudden deafness, HBOT.

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