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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 14 Documents
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Search results for , issue "Vol. 10 No. 2 - Agustus 2022" : 14 Documents clear
Relationship between Covid-19 Pandemic and Changes in Sleep Pattern in Children Diagnosed with Autism Spectrum Disorder Andintia Aisyah Santoso; Adantio Rashid Santoso; R.A. Deta Hanifah; Rini Sekartini
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.82.177-85

Abstract

Studies showed that COVID-19 lockdown has caused changes in sleep-wake rhythms and sleep disturbances in a large percentage of the population, related to limitation of activities. Specific populations such as ASD children were predicted to experience greater difficulties due to disruption of strictly bound daily routine. This review aimed to systematically investigate whether children diagnosed with ASD during the COVID-19 pandemic experienced any changes in their sleep patterns. We performed a journal search from PubMed, Cochrane Library, EBSCO, Proquest, and Scopus databases starting on January 1st 2020 until August 12th 2021. The searches were limited to study with ASD children (0-18 years) population samples without other neurodevelopmental disorders. Of 12 articles screened, 4 studies were included. Our included studies found that in ASD children there is no significant difference (p>0.05) in sleep duration changes between pre-pandemic and during the pandemic period while several sleep quality problems such as longer sleep latency, anxiety at bedtime, sleep terrors, daytime sleepiness, and night wakings showed a significant increase (p<0.05). COVID-19 pandemic is thought to disrupt children with ASD sleep patterns and multifactorial aspects need to be evaluated further. Keywords: autism spectrum disorder, children, COVID-19, pandemic, sleep patterns.   Hubungan Pandemi COVID-19 dengan Perubahan Pola Tidur pada Anak Terdiagnosis Autism Spectrum Disorder Abstrak Beberapa studi menunjukkan bahwa lockdown pada pandemi COVID-19 telah menyebabkan perubahan ritme tidur-bangun dan terjadinya gangguan tidur pada sebagian besar populasi, berkaitan dengan terbatasnya aktivitas. Populasi spesifik seperti anak dengan autism spectrum disorder (ASD) diperkirakan mengalami tantangan yang lebih besar karena adanya perubahan pada rutinitas harian yang semula sangat teratur. Tinjauan ini dibuat untuk menelusuri apakah anak ASD mengalami perubahan pola tidur selama pandemi COVID-19. Kami melakukan pencarian jurnal melalui basis data PubMed, Cochrane Library, EBSCO, Proquest, dan Scopus yang dipublikasikan mulai 1 Januari 2020 hingga 12 Agustus 2021. Pencarian terbatas pada populasi sampel yakni anak dengan ASD (0-18 tahun) tanpa adanya gangguan perkembangan saraf lainnya. Dari 12 artikel terpilih, empat di antaranya memenuhi kriteria untuk dimasukkan ke dalam tinjauan ini. Studi-studi yang kami temukan menunjukkan bahwa tidak ada perubahan signifikan (p>0,05) pada pola tidur anak ASD sebelum pandemi dibandingkan selama pandemi sementara beberapa masalah kualitas tidur seperti latensi tidur yang lebih lama, kecemasan pada jam tidur, sleep terrors, rasa mengantuk pada pagi hari, dan terbangun di malam hari menunjukkan peningkatan yang signifikan (p<0,05). Pandemi COVID-19 dipikirkan dapat mengganggu pola tidur anak dengan ASD dan berbagai aspek multifaktorial perlu dipelajari lebih lanjut. Kata kunci: anak, autism spectrum dIsorder, COVID-19, pandemi, pola tidur.
The Benefits of High-Dose Vitamin C in Patients with Sepsis: An Evidence-Based Case Report Mawin Mahen; Nabila Hasan; Suzy Maria
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.83.151-61

Abstract

In sepsis, there is an increase in oxidative stress which plays important role in further physiological derangement. Due to its potent antioxidant effect, vitamin C has been proposed as a potential adjunct treatment in patients with sepsis. This study aims to evaluate the benefits of vitamin C administration in patients with sepsis. A systematic search was conducted using electronic databases PubMed, Scopus, ProQuest, and Cochrane with keywords combination of vitamin C/ascorbic acid and sepsis/septic. The limits of the search included English language, human subjects, and adults. To limit the confounding effect, only studies with vitamin C monotherapy were considered for inclusion. Seven relevant studies comprising five clinical trials and two retrospective studies were included in this paper for critical appraisal. Most studies found some clinical benefits with the use of vitamin C in patients with sepsis compared to placebo, such as a reduction in SOFA score and mortality. However, these favourable outcomes were not consistent in all studies. In conclusion, vitamin C is a promising adjunct treatment option in patients with sepsis, however further large, optimized multicenter trials are needed to definitively confirm its benefits. Keywords: vitamin C, ascorbic acid, sepsis, septic shock.   Manfaat Vitamin C Dosis Tinggi untuk Pasien Sepsis Abstrak Kondisi sepsis menyebabkan peningkatan stres oksidatif yang berperan penting dalam menyebabkan gangguan fisiologis lebih lanjut. Karena memiliki efek antioksidan yang kuat, vitamin C telah diusulkan sebagai terapi adjuvan yang menjanjikan pada pasien sepsis. Penelitian ini bertujuan untuk mengevaluasi manfaat pemberian vitamin C pada pasien sepsis. Pencarian sistematis dilakukan menggunakan database elektronik PubMed, Scopus, ProQuest, dan Cochrane dengan kombinasi kata kunci vitamin C/asam askorbat dan sepsis/ septik. Batas pencarian yaitu bahasa Inggris, subjek manusia, dan usia dewasa. Untuk membatasi efek perancu, hanya studi yang menggunakan monoterapi vitamin C yang dipertimbangkan untuk dimasukkan. Tujuh studi relevan yang terdiri dari lima uji klinis dan dua studi retrospektif dimasukkan dalam tulisan ini untuk telaah kritis. Sebagian besar studi mendapatkan manfaat klinis penggunaan vitamin C pada pasien sepsis dibandingkan dengan plasebo, misalnya penurunan skor SOFA dan angka mortalitas, namun hasil positif ini tidak konsisten dalam semua penelitian. Sebagai kesimpulan, vitamin C adalah pilihan terapi adjuvan yang menjanjikan pada pasien sepsis, namun butuh penelitian multisenter yang lebih besar dan optimal untuk memastikan manfaatnya secara definitif. Kata kunci: vitamin C, asam askorbat, sepsis, syok sepsis
Kontrasepsi Hormonal Berbasis Progestin pada Perempuan dengan Riwayat Tumor Jinak Payudara Omo Abdul Madjid; Raymond Surya; Harry Prawiro Tantry; Dwiana Ocviyanti
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.96.162-7

Abstract

Seorang perempuan berusia 38 tahun dengan G5P1A3 (AH1) dan riwayat abortus habitualis, memiliki riwayat tumor jinak payudara 12 tahun lalu dan sudah dilakukan eksisi dengan hasil patologi dinyatakan jinak. Saat ingin menggunakan kontrasepsi hormonal, tenaga kesehatan menolak karena pasien memiliki riwayat tumor jinak payudara. Evidence based case report ini bertujuan untuk menelaah pengaruh kontrasepsi hormonal berbasis progestin pada perempuan dengan riwayat tumor payudara. Dilakukan pencarian melalui Pubmed®, Cochrane Library®, dan Google Scholar® menggunakan kata kunci atau Medical Subject Headings (MeSH). Didapatkan 3 buah artikel ulasan sistematik dan meta analisis berdasarkan penilaian validity, importance, and applicability (VIA). Sebuah ulasan sistematik dan meta analisis memperlihatkan tidak ada hubungan antara penggunaan progestin dengan risiko kanker payudara. Hanya ada satu ulasan sistematik yang memperlihatkan hubungan penggunaan progestin dengan risiko kanker payudara, namun studi tersebut memiliki heterogenitas tinggi. Kontrasepsi hormonal berbasis progestin tidak memiliki pengaruh terhadap peningkatan kejadian kanker payudara dan tidak berhubungan dengan kejadian tumor jinak payudara. Kata kunci: kontrasepsi berbasis progestin, tumor jinak payudara, kanker payudara.   Influence of Progestin Contraception in Women with Breast Tumor History Abstract A 38-year-old women with G5P1A3 and recurrent pregnancy loss coming with history of benign breast tumor 12 years ago and it had been excised with the result of benign. When patient would like to apply hormonal contraception, health care provider refused due to history of benign breast tumor. Searching was conducted through Pubmed®, Cochrane Library®, and Google Scholar® with keyword or medical subject headings (MeSH). There were three systematic review and meta-analysis articles reviewed based on validity, importance, and applicability (VIA). A systematic review and meta-analysis showed that there was no relationship between progestin use and breast cancer risk. Only a systematic review stated the relationship between both of them; however, it showed high heterogeneity. Progestin based contraception does not have an effect to the incidence of breast cancer and there is no relationship with benign breast tumor. Keywords: progestin based contraception, benign breast tumor, breast cancer.
Challenges in Diagnosis & Management of Type B Interrupted Aortic Arch Maruli Butarbutar; Ganesja M. Harimurti; Oktavia Lilyasari; Renan Sukmawan
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstract Interrupted aortic arch (IAA) is a rare genetic disorder of the cardiovascular system, present in approximately 2 cases per 100,000 live births and comprising 1.5% of all cases of congenital heart disease (CHD). Its hallmark feature is a lack of luminal continuity between the ascending aorta and the descending aorta. In the absence of surgical repair, mortality approaches 75% in the first month of life and 90% by one year. A four months old female baby was referred with dyspnea, failure to thrive and recurrent respiratory infection. Physical examination revealed blood pressures and oxygen saturation were lower at upper right arm and both legs. The CXR examination revealed absent of aortic knob. The echocardiography showed aortic interruption between the left common carotid artery (LCCA) and left subclavian artery (LSCA). Cardiac MSCT showed LSCA and descending aorta come from PDA. The patient was managed with two stages surgery. Bilateral PA banding was done as first stage surgery. IAA repair and VSD closure are planned as second stage surgery.
Transplantasi Stem Cell untuk Keganasan Hematologi Desi Oktariana; Legiran Legiran; Phey Liana; Kemas Y. Rahadiyanto; Gita D. Prasasty; Evi Lusiana; Nia S. Tamzil
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.123.186-93

Abstract

Insiden keganasan hematologi terus bertambah serta memiliki tingkat morbiditas dan mortalitas yang tinggi. Keganasan hematologi adalah kondisi sel-sel hematologi seperti eritrosit, leukosit, dan trombosit, tumbuh tidak terkendali dan tidak mengalami kematian sehingga mendominasi populasinya dan tidak dapat berfungsi normal. Terapi stem cell pada keganasan hematologi yang disebut juga terapi transplantasi sumsum tulang, merupakan modalitas terapi utama untuk gangguan hematologi dan keganasan yang memungkinkan pemulihan komponen seluler darah, termasuk monosit, limfosit, basofil, eosinofil, neutrofil, eritrosit, dan trombosit. Stem cell yang dapat digunakan pada keganasan hematologi adalah kombinasi hematopoietic stem cell (HSC) dan mesenchymal stem cells (MSC) untuk transplantasi sumsum tulang dan pemulihan kekebalan untuk gangguan hematologi. Penggunaan HSC dengan ko-terapi MSC dapat memfasilitasi kelangsungan hidup cangkok dari transplantasi HSC. Kata kunci: keganasan, hematologi, stem cell.   Stem Cell Transplantation for Hematology Malignancy Abstract The incidence of hematological malignancies continues to increase and has a high rate of morbidity and mortality. Hematological malignancies are conditions of hematological cells such as erythrocytes, leukocytes, and platelets, growing uncontrollably and not dying so that they dominate the population and cannot work normally. Stem cell therapy in hematological malignancies, also known as bone marrow transplantation therapy, is the main therapeutic modality for hematological disorders and malignancies that supports the restoration of cellular components of blood, including monocytes, lymphocytes, basophils, eosinophils, neutrophils, erythrocytes, and platelets. Stem cells that can be used in hematological malignancies are a combination of hematopoietic stem cells (HSC) and mesenchymal stem cells (MSC) for bone marrow transplantation and immune restoration for hematological disorders. The use of HSCs with MSC co-therapy can help revive grafts from HSC transplants. Key words: malignancy, hematology, stem cell.
Maternal and Neonatal Characteristics and its Contact Tracing of Covid-19 in Pregnancy in Cipto Mangunkusumo General Hospital Junita Indarti; Handika Zulimartin; Boeyoeng E.A.P Dalimunte; Nova V. Wijaya; Henny S. Wonodihardjo; Ario B. Hanggono; Kristian Alda; Mohammad A.F Dilmy; Siti R.F Harun
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.127.144-50

Abstract

Pregnant women might be at greater risk for common pregnancy complications and baby abnormalities if they are infected with COVID-19. This cross-sectional study aims to investigate the characteristics of pregnant women with COVID-19, using secondary data from medical records of subjects treated with COVID-19 at Cipto Mangunkusumo Hospital from January to June 2021. 102 pregnant women with confirmed COVID-19 were enrolled and 77 were delivered during admission. Enrolled subjects mostly consisted of multigravidas 58 (56.8%) between 29-36 weeks gestation 42 (41.1%). No comorbidities were present in the majority of subjects that were enrolled. Most presented with mild symptoms 50 (49%) and 21 (20,6%) with moderate symptoms. Most were delivered by Caesarean section (CS) a total of 58 out of 102 cases (75.4%). A total of 8 (7.9%) of those with severe cases with acute respiratory distress syndrome were admitted to intensive care. Pulmonary consolidation corresponding to pneumonia on chest x-ray were findings in 43 (42.2%) women. The majority of neonates born 36 (37.1%) had a birth weight of 1500-2499 grams. The were no positive COVID-19 findings of neonatal nasopharyngeal swab results. Perinatal complications occurred in 28 (36.3%) neonates that experienced respiratory distress and 22 (28.6%) experienced neonatal sepsis. A total of 44 (57.1%) infants with birth weight <2500 grams. Among these neonates 41 (55.4%) required NICU admission, 10 (13.5%) required ventilators due to respiratory distress. Most of the subjects on contact tracing, contracted COVID-19 from their neighbors or close relatives; 56(54.9%). There was 1 case of maternal death. In addition, we found that most of COVID-19 transmissions originated from asymptomatic close relatives and neighbors.
Tingkat Pengetahuan dan Rasionalitas Penggunaan Obat Secara Swamedikasi pada Mahasiswa Fakultas Kedokteran Universitas Padjajaran Kuswinarti Kuswinarti; Novi Vicahyani Utami; Naufal Fadhillah Sidqi
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.147.138-43

Abstract

Swamedikasi menjadi salah satu pilihan masyarakat yang dapat memberikan dampak positif dan negatif pada kesehatan. Tujuan penelitian ini untuk mengetahui tingkat pengetahuan dan rasionalitas penggunaan obat secara swamedikasi. Penelitian ini menggunakan potong lintang, dilakukan mulai Desember 2021 hingga Januari 2022. Sebanyak 196 responden mahasiswa strata-1Pendidikan Dokter Fakultas Kedokteran Universitas Padjajaran terlibat dalam penelitian ini. Responden dipilih dengan metode sampel acak terstratifikasi. Pengambilan data dilakukan melalui pengisian kuisioner daring yang telah diuji validitas dan reliabilitasnya. Data dianalisis secara univariat menggunakan SPSS versi 20. Hasil penelitian menunjukkan tingkat pengetahuan mahasiswa 62,8% tergolong baik dan 37,2% tergolong kurang. Penggunaan obat secara swamedikasi 67,9% rasional dan 32,1% tidak rasional. Mayoritas tingkat pengetahuan mahasiswa tergolong baik dan mahasiswa rasional dalam menggunakan obat secara swamedikasi. Mahasiswa kedokteran perlu mendapat edukasi lebih terkait swamedikasi agar tidak timbul masalah baru akibat penggunaan obat yang tidak rasional. Kata kunci: swamedikasi,pengetahuan, rasionalitas penggunaan obat, mahasiswa kedokteran.   Level of Knowledge and Rationality of Drug Use by Self-Medication in Student of Faculty of Medicine, Padjajaran University Abstract Self-medication is one of the people’s choices that can have a positive and negative impact on health. The aim of this study was to determine the level of knowledge and rationality of drug use self-medication. This research is a descriptive study with a cross-sectional design, conducted from December 2021 to January 2022. Total respondents (n=196) from undergraduate medical students at Padjajaran University were involved in this study. Respondents were selected using the stratified random sampling method. Data was collected by using a validated questionnaire. Data were analyzed using IBM SPSS version 25. The results showed that the level of knowledge of students 62.8% was classified as good and 37.2% was classified as low. Self-medication use of drugs is 67.9% rational and 32.1% irrational. Based on the research results obtained the majority level knowledge of students was good classified. The majority of students are rational in using self-medication. Medical students need to get more education related to selfmedication so that new problems do not arise due to irrational use of drugs. Keywords: self-medication, knowledge,rationality of drug use, medical students.
Loyalty Survey Based on Net Promoter Score in A Tertiary Hospital in Indonesia Cita RS Prakoeswa; Nur Hidayah; Arlina Dewi; Faradillah Mutiani; Agus Aan Adriansyah; Amak M. Yaqub
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.154.92-100

Abstract

The COVID-19 pandemic has further emphasized the importance of comprehensive health care management. Currently, hospital services are a concern for many parties. With this study, we aim to measure loyalty in hospital care. Loyalty measurements carried out systematically and continuously can be expected to improve the quality and ultimately increase the profitability of hospitals as health services. This study is descriptive retrospective study from loyalty measurement using net promoter score (NPS) in a periodic survey of a tertiary hospital in the east part of Indonesia in 2021. Respondents were patients and their families based on purposive sample. After the respondents were categorized as promoter, passive, and detractor, the answers to qualitative questions included reasons for certain assessments marked as NPS 2 and what should the hospital do to improve the assessments marked as NPS 3. The respondents (2,488) were categorized as promoters, 1,570 respondents were categorized as passive, and 99 respondents were categorized as detractors. Overall NPS in 2021 is 57.5%. The most frequent answer for NPS 2 in all quarters and all groups were excellent and satisfactory hospital services. Evaluation of NPS 3 shows that all groups mostly recommend improving and maintaining hospital services. The high NPS results indicate the loyalty of the respondents to the hospital. Despite hospital services being considered excellent, several parts need to be improved. Specific recommendations from respondents are needed to improve hospital services. Keywords: loyalty, net promoter score, hospital service, customer satisfaction, service quality. Survey Loyalitas Berdasarkan Net Promoter Score di Salah Satu Rumah Sakit Tersier di Indonesia Abstrak Pandemi COVID-19 semakin menegaskan pentingnya manajemen pelayanan kesehatan yang komprehensif. Saat ini, pelayanan rumah sakit menjadi perhatian banyak pihak. Dengan penelitian ini, kami bertujuan untuk mengukur loyalitas di rumah sakit. Pengukuran loyalitas secara sistematis dan berkesinambungan diharapkan dapat meningkatkan kualitas dan profitabilitas rumah sakit sebagai pelayanan kesehatan. Penelitian deskriptif retrospektif ini mengukur loyalitas menggunakan net promoter score (NPS) pada survei berkala sebuah rumah sakit tersier di Indonesia bagian timur pada tahun 2021. Responden adalah pasien dan keluarga pasien yang berkunjung ke rumah sakit berdasarkan pengambilan sampel yang disengaja. Setelah responden dikategorisasikan menjadi promoter, pasif, dan pencela, jawaban atas pertanyaan kualitatif menyertakan alasan responden memberikan penilaian tertentu ditandai sebagai NPS 2 dan apa yang harus dilakukan rumah sakit untuk meningkatkan penilaian ditandai sebagai NPS 3. Hasil: 2488 responden tergolong promotor, 1570 responden tergolong pasif, dan 99 responden tergolong pencela. Secara keseluruhan NPS pada tahun 2021 adalah 57,5%. Jawaban paling sering dari NPS 2 di semua triwulan dan semua kelompok adalah pelayanan rumah sakit yang baik dan memuaskan. Evaluasi NPS 3 menunjukkan bahwa semua kelompok sebagian besar memberikan rekomendasi berupa peningkatan dan mempertahankan pelayanan rumah sakit. Hasil NPS yang tinggi menunjukkan loyalitas responden terhadap pelayanan yang diberikan rumah sakit. Walaupun pelayanan rumah sakit sudah dianggap baik, namun ada beberapa bagian yang perlu diperbaiki. Diperlukan rekomendasi khusus dari responden untuk meningkatkan pelayanan rumah sakit. Kata kunci: loyalty, net promoter score, hospital service, customer satisfaction, service quality.
Characteristics and Correlation Between Progesterone Receptors and The Use of Hormonal Contraceptive in Women with Meningioma in dr. Cipto Mangunkusumo National General Hospital Setyo Widi Nugroho; Harris Istianggoro; Fabianto Santoso; David Tandian; Renindra Ananda Aman; Eka Susanto
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.161.101-6

Abstract

Meningiomas are the most common primary, intracranial and extra axial tumours, estimated for 30% of all intracranial tumors. The use of hormonal contraceptive is one of the risk factors for meningioma, but the studies still have controversial results. The purpose of this study is to describe the characteristics and to correlate between progesterone receptor and the use of hormonal contraceptive in women diagnosed with brain tumor meningioma. This is a cross-sectional study which collect data in dr. Cipto Mangunkusumo National General Hospital in the year 2017-2018. Patient data collection was obtained through the patient’s medical records, whereas the subjects are women with brain tumors meningioma who have undergone surgery. We found 72 women diagnosed with meningioma; however, only 54 subjects were included in this study. Immunohistochemistry staining were performed to all the 54 subjects and revealed that 53 subjects (98.15%) had positive progesterone receptors and only 1 subject was negative (1.85%). Of the 53 subjects with positive progesterone receptors, 48 subjects used hormonal contraceptive (90.57%), with 43 (89.58%) of them used 3 month injectable contraceptive. There is no correlation between progesterone receptors and the use of hormonal contraceptives in female patients with meningioma brain tumor (p value >0.999, Fisher Test). Keywords: meningioma, hormonal contraception, progesterone receptor.   Karakteristik dan Korelasi antara Progesteron Reseptor dan Penggunaan Kontrasepsi Hormonal pada Perempuan dengan Meningioma di RSUPN Dr. Cipto Mangunkusumo Abstrak Meningioma adalah tumor intrakranial ekstraaksial primer terbanyak dengan perkiraan 30% dari seluruh tumor intrakranial. Penggunaan kontrasepsi hormonal diduga menjadi salah satu faktor risiko meningioma, namun hasil penelitian masih kontroversial. Tujuan penelitian ini adalah mengetahui karakteristik dan korelasi antara progesteron reseptor dan penggunaan kontrasepsi hormonal pada perempuan dengan meningioma. Studi potong lintang ini menggunakan data rekam medis RSUPN dr. Cipto Mangunkusumo pada tahun 2017-2018. Data pasien dikumpuikan melalui rekam medis dimana subyek adalah pasien meningioma intrakranial yang dilakukan operasi. Terdapat 72 perempuan yang didiagnosis meningioma, namun data yang dapat dianalisis adalah 54 subyek. Hasil pewarnaan imunohistokimia didapatkan 53 subyek (98,15%) memiliki reseptor progesteron positif. Dari kelompok reseptor progesteron yang positif, 48 subyek (90,57%) menggunakan kontrasepsi hormonal dengan mayoritas (89,58%) menggunakan kontrasepsi injeksi 3 bulan. Tidak didapatkan korelasi antara reseptor progesteron dengan penggunaan kontrasepsi hormonal pada perempuan dengan meningioma (nilai p >0,999, Uji Fisher). Kata kunci: meningioma, kontrasepsi hormonal, reseptor progesteron
Hubungan Faktor Sosiodemografis Korban Kekerasan Seksual Anak dengan Kedatangan ke Poliklinik Stres Pasca-trauma RSCM, 2017-2020 Andika Widianti; Fransiska Kaligis; Tjhin Wiguna; Raden Irawati Ismail
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.162.121-8

Abstract

Kedatangan korban kekerasan seksual anak ke layanan kesehatan mental cukup rendah. Keputusan mengakses layanan kesehatan mental dipengaruhi faktor sosiodemografis. Penelitian bertujuan mendapatkan gambaran faktor sosiodemografis korban kekerasan seksual anak dan hubungannya dengan kedatangan ke Poliklinik Stres Pasca Trauma (PSPT) Anak dan Remaja RSCM setelah pemeriksaan awal di Pusat Krisis Terpadu (PKT) RSCM. Studi potong lintang ini melibatkan 90 pasien yang datang ke PKT RSCM pada bulan Februari 2017 – Desember 2020. Kedatangan ke PSPT ditelusuri dari electronic health record. Terdapat 20 sampel (22,22%) korban yang datang, sebagian besar berusia 12-18 tahun (55%), perempuan (95%), dan tidak memiliki riwayat gangguan mental (70%). Pelaku rawat sebagian besar berusia 39-48 tahun (50%), menikah (80%), karyawan swasta (70%), lulusan SMA/SMK (45%), tidak memiliki riwayat gangguan mental (85%), mempunyai ≥ 3 anak (45%), suku Jawa (35%), pendapatan ≥ Rp 4.597.078 (70%), dan menggunakan pembiayaan umum (65%). Riwayat gangguan mental pada anak (p<0,001) dan pelaku rawat (p=0,010) berhubungan dengan kedatangan ke PSPT. Disimpulkan faktor sosiodemografi, yaitu riwayat gangguan mental pada anak dan pelaku rawat berhubungan dengan kedatangan ke PSPT. Kata kunci: anak, kedatangan ke layanan kesehatan mental, kekerasan seksual.   Child Sexual Abuse Victims Sociodemographic Profile Associated with Attendance to Post Traumatic Stress Recovery Outpatient Clinic Cipto Mangunkusumo Hospital: 2017-2020 Abstract Child sexual abuse victim attendance to mental health services is quite low. Decision to access mental health services is influenced by sociodemographic factors. The aim of this study is to obtain child sexual abuse victim sociodemographic profile and their association with attendance to Cipto Mangunkusumo Hospital’s Child and Adolescent Post Traumatic Stress Recovery Outpatient Clinic after initial assessment in Cipto Mangunkusumo Hospital’s Integrated Crisis Center. This cross-sectional study involving 90 patients who came to Cipto Mangunkusumo Hospital’s Integrated Crisis Center in February 2017 – December 2020. Attendances to Cipto Mangunkusumo Hospital’s Post Traumatic Stress Recovery Outpatient Clinic were traced from electronic health record. There were 20 samples (22.22%) who came, majority were 12-18 years old (55%), female (95%), and did not have mental disorders (70%). Most of caregivers were 39-48 years old (50%), married (80%), private employees (70%), high school graduate (45%), do not have mental disorders (85%), have ≥ 3 children (45%), Javanese (35%), income > IDR 4,597,078 (70%), and use out of pocket financing (65%). Mental disorders history in children (p<0,001) and caregivers (p=0.010) had a significant relationship with attendance at Cipto Mangunkusumo Hospital’s Child and Adolescent Post Traumatic Stress Recovery Outpatient Clinic. Concluded that sociodemographic factor, that is mental disorders history in children and caregivers had association with attendance to Cipto Mangunkusumo Hospital’s Child and Adolescent Post Traumatic Stress Recovery Outpatient Clinic. Keywords: attendance to mental health services, children, sexual abuse.

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