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INDONESIA
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 100 Documents
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Diagnosis dan Tata Laksana Metastasis Tulang Rahmat Cahyanur; Thariqah Salamah
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.214.181

Abstract

Tulang merupakan salah satu organ yang sering menjadi lokasi metastasis kanker, misalnya kanker payudara, prostat, dan paru. Metastasis tulang berpotensi memicu peningkatan mortalitas dan morbiditas, serta penurunan kualitas hidup. Gejala dan tanda klinis metastasis tulang mencakup nyeri, fraktur patologis, hiperkalsemia, serta kompresi medula spinalis. Oleh karena itu, deteksi dini dan tata laksana metastasis tulang yang tepat diperlukan untuk mencegah komplikasi lebih lanjut. Pertimbangan dalam memilih modalitas pemeriksaan radiologi, sebagai langkah utama dalam diagnosis, harus dilakukan secara rasional berdasarkan lokasi lesi metastasis tulang. Selain itu, pemeriksaan alkalin fosfatase dan biopsi juga dapat menjadi pilihan pemeriksaan penunjang. Tata laksana metastasis tulang mencakup terapi suportif, seperti kontrol nyeri, pemberian bifosfonat, pemberian denosumab atau terapi sistemik, penggunaan radiofarmaka, dan kontrol lokal, yaitu radiasi eksterna atau pembedahan.
Work Stressors Before and During COVID-19 Pandemic and Factors Related to Workers in the Heavy Equipment Manufacturing Industry of PT.X Yunianti Lafau; Nuri Purwito Adi; Amilya Agustina; Muhammad Ilyas; Agus Sugiharto
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.221.133

Abstract

Psychosocial hazards are a major public health problem, so it is necessary to prevent and manage them so as not to cause mental and physical harm to workers. This study aims to determine changes in work stressors before and during the COVID-19 pandemic and related factors to workers in the PT.X Heavy equipment manufacturing industry. The study used a retrospective cohort design from 2018 and 2021 Medical Check-Up (MCU) data with a Stress Diagnosis Survey (SDS) questionnaire. Research was conducted from October 2021 until July 2022 with samples of 146 obtained. Bivariate analysis using proportion and mean test. The research found that the increase in moderate-severe stressors before and during the pandemic was role ambiguity, role conflict, quantitative workload, and career development. On the other hand, qualitative workloads and responsibility for others decreased during the pandemic. The most worsened was role ambiguity and responsibility for others. Based on the type of production and non-production work, there was a significant relationship to quantitative workload before the pandemic (p=0.043), and not significant during the pandemic. Furthermore, there is a significant relationship with qualitative workload during the pandemic (p = 0.043), and it was not significant before the pandemic. It can be concluded that the Pandemic conditions caused an increase and decrease in work stressors analysed in workers in the heavy equipment manufacturing industry.
Efek Pemberian Tetes Mata Diquafosol Sodium 3% Sebelum Kegiatan Tatap Layar terhadap Kejadian Mata Kering pada Laki-laki Muda Chalid Kurniawan; Bayu Ewangga; Mey M. Karyana
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.254.143

Abstract

Kegiatan tatap layar yang lama akan meningkatkan kemungkinan terjadinya sindrom mata kering karena stabilitas komponen air mata berkurang. Penggunaan air mata buatan seperti diquafosol sodium dapat membantu mengatasi masalah mata kering. Tujuan penelitian adalah menilai perbedaan gejala subjektif dan tanda objektif mata kering pada kelompok pengguna diquafosol sodium sebelum melakukan kegiatan tatap layar dibandingkan kelompok kontrol. Penelitian ini menggunakan desain potong lingkang dengan subjek laki-laki muda 44 orang yang memenuhi kriteria inklusi dan tidak memenuhi kriteria eksklusi. Subjek dipilih secara acak kemudian dibagi dua kelompok. Penelitian dilakukan di Garut dari Oktober hingga Desember 2022. Dilakukan pemeriksaan Schirmer sebelum dan sesudah kegiatan tatap layar serta pengisian kuesioner mata kering. Kelompok intervensi mendapatkan diquafosol sodium sebelum kegiatan tatap layar sedangkan kelompok kontrol tidak mendapatkan. Data dianalisis dengan t-test atau Mann Whitney. Hasil penelitian menunjukkan  terdapat perbedaan bermakna uji Schirmer setelah kegiatan tatap layar antar dua kelompok dan perbedaan bermakna hasil selisih uji Schirmer sebelum dan setelah kegiatan tatap layar. Analisis kuesioner menunjukkan hanya satu responden mengalami gejala mata kering pada kelompok intervensi dibandingkan 7 orang  pada kelompok kontrol. Penelitian ini menunjukkan bahwa penggunaan air mata buatan diquafosol sodium efektif mencegah terjadinya sindrom mata kering sebelum kegiatan tatap layar.  
Studi In-Vitro Efektifitas Grain Kefir dengan Kombinasi Sorbitol Terhadap Pertumbuhan Streptococcus mutans Viranda Sutanti; Yuanita Lely Rachmawati; Bintang Vallentino Nugraha Putra; Herlambang Pangestu
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.259.156

Abstract

Karies gigi adalah penyakit kronis jaringan keras gigi yang disebabkan oleh Streptococcus mutans (S.mutans). Berbagai metode termasuk aplikasi pasta gigi, senyawa antibakteri dan obat kumur yang mengandung fluoride bersama dengan penggunaan pemanis yang tidak dapat difermentasi seperti sorbitol telah disarankan untuk mengurangi aktivitas bakteri ini. Pada studi ekologi mulut telah mengkonfirmasi efektifitas bakteri probiotik dalam mengurangi jumlah S. mutans. Grain kefir merupakan salah satu produk probiotik. Tujuan penelitian ini adalah untuk melihat efektifitas grain kefir murni dan kombinasi dengan sorbitol terhadap pertumbuhan S. mutans secara in vitro. Penelitian dilakukan di laboratorium Biologi Oral Fakultas Kedokteran Gigi Universitas Brawijaya pada bulan Januari-Februari 2023. Dilakukan uji KHM (Konsentrasi Hambat Minimum) menggunakan uji tabung dan KBM (Konsentrasi Bakterisidal Minimum) menggunakan colony counter. Penentuan konstrasi perlakukan diawali dengan uji pendahuluan grain kefir murni konsentrasi 3,125% dan 6,25%, 12,5%, 25%, 50% dan 100%. Nilai KHM grain kefir murni uji pendahuluan terhadap S.mutans pada konsentrasi 12,5%. Pada konsentrasi perlakuan didapatkan nilai KHM grain kefir murni adalah 15% dan kombinasi grain kefir-sorbitol terhadap S.mutans yaitu pada konsentrasi 12,5%. Nilai KBM grain kefir murni didapatkan pada konsentrasi 15% dan kombinasi grain kefir-sorbitol pada konsentrasi 12,5%. Kombinasi grain kefir-sorbitol dapat menurunkan pertumbuhan S. mutans pada konsentrasi 12,5%.
Correlation between Atherogenic Index of Plasma and Lipid Profile with Cognitive Function and Their Effect on Outcome in Ischemic Stroke Patients Fasihah Irfani Fitri; Muhammad Zulfikri
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.264.102

Abstract

Dyslipidemia is one of the main risk factors for both ischemic stroke and cognitive impairment. Atherogenic index of plasma (AIP) has been shown to correlate with mortality and clinical outcomes in stroke, but studies about its association with cognitive impairment in ischemic stroke is still limited. We aimed to determine the correlation between AIP and lipid profile and cognitive function and their effect on outcome in ischemic stroke patients. A cross-sectional study involving 50 ischemic stroke patients in the Haji Adam Malik General Hospital was conducted from August 2021 to March 2022. We measured the cholesterol level and calculated the AIP then divided them into 3 risk categories which were high (AIP>0.21); intermediate (AIP>0.11and ≤0.21) and low (≤0.11). We performed cognitive assessment and stroke outcome at the 7th day of stroke onset. Data analysis was conducted with Spearman correlation test. The subjects were predominantly male (60%) with median age of 55 (34-68) years. Most of the subjects had AIP level of high risk (54%) and were cognitively impaired (66%). There was no significant association between AIP and both global cognition and each cognitive domain. However, there were significant negative correlations between total cholesterol (r=-0.31, p=0.03) and LDL-C level (r=-0.30, p=0.03) and attention. There was also a significant negative correlation between cognitive function and stroke outcome (r=-0.61, p=0.01). Higher total cholesterol and LDL-C levels showed negative correlation with cognitive function, mainly attention. Poorer cognitive function correlated with worse outcome in ischemic stroke patients.
Adaptasi Lintas Budaya Kuesioner STOP-Bang Versi Indonesia Putri Anggilina Manullang; Muhammad Arfiza Putra Saragih; Adlin Adnan; Ester Lantika Ronauli Silaen
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.335.126

Abstract

Obstructive Sleep Apnea (OSA) merupakan obstruksi saluran napas atas saat tidur yang mengakibatkan penurunan saturasi oksigen. Di Indonesia, data prevalensi OSA masih sangat minim. Dari beberapa alat penapisan OSA, hanya BQ dan ESS yang memiliki versi Bahasa Indonesia, sementara STOP-Bang belum terdapat versi Bahasa Indonesia. Melakukan penapisan terhadap tanda dan gejala sangat penting dalam proses perencanaan dan evaluasi. Suatu alat ukur harus memenuhi unsur psikometrik dan mampu menyesuaikan dengan karakteristik sosial dan budaya setempat. Untuk menghasilkan alat ukur kuesioner STOP-Bang versi Indonesia dengan metode adaptasi lintas budaya yang reliabel dan tervalidasi. Penelitian ini merupakan penelitian observasional analitik menggunakan metode cross sectional. Setelah kuesioner STOP-Bang diadaptasikan ke Indonesia, kuesioner diberikan kepada 500 orang masyarakat Indonesia, kemudian setelah 14 hari akan dilakukan pengisian ulang terhadap 20 responden. Penelitian dilakukan pada bulan Juli sampai September 2023 di Kota Medan dan Binjai. Pengambilan sampel memakai metode purposive sampling. Dari 500 responden penelitian dan validitas diolah menggunakan Spearman correlation didapatkan (p<0.001 dan r=0.422±0.118) berarti ada korelasi bermakna dan cukup valid. Analisis reliabilitas menggunakan Cronbach’s-alpha (r=0,694) dan nilai Interclass Correlation Coefficient menggunakan Spearman correlation coefficient (r=0,886). Adaptasi lintas budaya kuesioner STOP-Bang versi Indonesia memiliki nilai validitas dan reliabilitas yang baik.
Effective Learning Strategies in The Emergency Department for Medical Students Imamul Aziz Albar; Ardi Findyartini
eJournal Kedokteran Indonesia Vol. 11 No. 3 - Desember 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.182.297

Abstract

Clinical learning in the emergency department is one of the rotations carried out by medical students in the medical education program. Learning in the emergency department can help students fulfill their competence in emergency clinical skill, such as basic life support, management of acutely ill patients and some other competencies. However, the emergency department has some limitations, such as the variety of professionals and students serving the patients, various diseases with varying levels of severity, as well as the unpredictable condition and number of patients. Those reasons make it difficult for students to study and practice emergency medicine well. Therefore, clinical educators’ awareness of the conditions in the emergency department and the application of appropriate learning models will enable students to get the best learning experience in the emergency department.
Predicting Urinary Incontinence among Postpartum Women
eJournal Kedokteran Indonesia Vol. 11 No. 3 - Desember 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.223.263

Abstract

Urinary incontinence (UI) is common during a pregnancy-puerperium period, with a prevalence of 18.6-75% during pregnancy and 6-31% during postpartum. This study aims to review several published studies on which risk factors impact the incidence of UI.The search was conducted on Pubmed®, Cochrane Library®, and Ovid®, resulted in 57, 30, and 11 studies, respectively. We included cross-sectional, cohort, or case-control studies related to this aim. The risk of bias within the study was assessed using the Cochrane and Forrest plot was analysed using Review Manager 5.3. On maternal characteristics, age less than 35 years (OR 0.49; 95% CI 0.35-0.67), primiparity (OR 0.29; 95% CI 0.22-0.38), and BMI <25 kg/m2 (OR 0.67; 95% CI 0.55-0.83) were considered as protective factors. A low level of education (OR 2.16; 95% CI 1.69-2.77) increased the risk of UI, Meanwhile, they showed heterogeneity among studies (I2>50%). On delivery methods, the most prone to UI was emergency caesarean section followed by instrumental vaginal deliveries, spontaneous vaginal deliveries, and caesarean section. Episiotomy, epidural analgesia, and obstetric anal sphincter injury (OASIS)  were not associated with UI (p>0.05). On neonatal parameters, head circumference <35 cm has a protective effect on UI (OR 0.82; 95% CI 0.73-0.93; I2=0%). Methods of delivery and head circumference will affect postpartum UI according to p-value (p<0.05) and homogeneity among studies (I2<50%).
Developing a Community of Practice through Social Media to Facilitate Continuing Education of Medical Practitioners in Medical Research Fauzia, Lathifa; Pramudita, Arcita Hanjani; Adhyatma, Galih Prakasa; Hartono, Andyta Nalaresi; Eryani, Ika Septiana; Isma , Talita Zata
eJournal Kedokteran Indonesia Vol. 12 No. 1 (2024): Vol 12, No. 1 - April 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.337.3

Abstract

The emergence of COVID-19 has highlighted the significance of research in medical practice, particularly in low- and middle-income countries (LMICs) like Indonesia, where healthcare challenges are prominent. Therefore, this study introduces Arcandcoresearch, a non-institutional-based virtual Community of Practice (vCoP), aiming to address the research capacity gaps among medical practitioners. This study aimed to understand the possibility of using several social media platforms (Instagram, YouTube, and WhatsApp) in the vCoP for continuing medical education of general practitioners regarding medical research. Through Instagram, the project has gained substantial follower growth (1003 followers within 19 months); most were 25-34 years old (69%). Within six months, 124 medical practitioners participated in five sharing sessions via Zoom meetings. All participants who completed the feedback form were satisfied with the content delivery of the sessions. The recorded sharing sessions were then uploaded to the YouTube channel. It already had 150 subscribers until September 2023, with 397 viewers for the videos uploaded in 2022. We facilitated participants to discuss any concerns related to medical research in the WhatsApp group, which already had 24 participants. These preliminary results highlight the potential of Arcandcoresearch to impact medical research culture positively in LMICs. The next steps should be conducting thorough program evaluations and developing strategies for sustaining virtual engagement.
Pelatihan Kepemimpinan dalam Pengembangan Kualitas Personal Mahasiswa Kedokteran: Penilaian Fasilitator Ekayani, Ni Wayan Diana; Ningrum, Rima Kusuma; Pariartha, I Made
eJournal Kedokteran Indonesia Vol. 12 No. 1 (2024): Vol 12, No. 1 - April 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.340.10

Abstract

Mahasiswa kedokteran perlu mengembangkan kompetensi kepemimpinan untuk dapat berkontribusi dalam meningkatkan kualitas pelayanan kesehatan. Dampak pelatihan kepemimpinan sulit untuk dievaluasi karena lebih fokus pada peningkatan kemampuan secara kognitif. Penilaian beberapa perspektif merupakan salah satu cara untuk mengetahui dampak pelatihan kepemimpinan pada mahasiswa kedokteran. Penelitian ini bertujuan untuk mengeksplorasi pengaruh pelatihan kepemimpinan dalam mengembangkan kualitas personal mahasiswa kedokteran berdasarkan penilaian fasilitator. Penelitian deskriptif kualitatif ini berdasarkan penilaian empat fasilitator dalam pelatihan kepemimpinan daring. Pelatihan kepemimpinan didesain menggunakan domain demonstrasi kualitas personal dari Medical Leadership Competency Framework (mawas diri, manajemen diri, pengembangan diri berkelanjutan, dan integritas). Pelatihan dilaksanakan selama 15 hari yang terdiri atas sesi workshop dan student project. Setiap fasilitator memfasilitasi 8-10 orang mahasiswa dan mengisi tiga penilaian selama observasi pembuatan student project. Sebanyak 12 dokumen dianalisis menggunakan analisis tematik. Hasil penelitian mendapatkan 19 sub- tema berdasarkan elemen demonstrasi kualitas personal. Setiap subtema menggambarkan perkembangan kualitas personal mahasiswa saat mengikuti pelatihan kepemimpinan. Institusi perlu memfasilitasi pengembangan kepemimpinan mahasiswa secara berkelanjutan melalui aktivitas intrakurikuler maupun ekstrakurikuler.

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