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Hang Tuah Medical Journal
Published by Universitas Hang Tuah
ISSN : 16931238     EISSN : 25984861     DOI : https://doi.org/10.30649/htmj.v19i2
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Hang Tuah Medical Journal: is published by Faculty of medicine, Universitas Hang Tuah with p-ISSN: 1693-1238 e-ISSN: 2598-4861. Its disciplinary focus is medical science and speciality in bio marine science. Hang Tuah Medical Journal is published in English and Indonesia for May and November. Each 90-100 page edition contains between nine and eleven scientific articles on research, case reports and study literature. Contributors of Hang Tuah Medical Journal included: medical researchers, dental practitioners, lecturers, and students drawn from Indonesia and a wide range of other countries. Hang Tuah Medical Journal as the open-access journal has been indexed by SINTA-Science and Technology Index, Garuda, Google scholar Hang Tuah Medical journal has been certificated as a Scientific Journal by Sinta (Science and Technology Index) S5 . valid until Volume 17 No.1, 2017.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 249 Documents
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Hubungan BBLR dengan Kejadian Stunting pada Anak Usia 24-60 Bulan di Wilayah Kerja Puskesmas Tabanan I Tahun 2018-2019 WIDHIDEWI, NI WAYAN; PRIYANKA HERMAWAN, PUTU; ELMY SANIATHI, NI KADEK
Hang Tuah Medical Journal Vol 22 No 2 (2025): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v22i2.470

Abstract

Stunting is caused by a lack of nutritional intake for a long time so that it can cause disturbances in physical development and cognitive function that can cause death. One of the factors that influence the occurrence of stunting in toddlers is the history of low birth weight. This study aims to examine the relationship between low birth weight (LBW) and the incidence of stunting in children aged 24-60 months in the Tabanan I Health Center Working Area in 2018-2019 using analytical research methods and case control study designs and using secondary data collection methods derived from the nutrition sections. The study sample was a total of 190 toddlers recorded in the stunting and LBW report at Tabanan I Health Center, during 2018-2019 who met the inclusion and exclusion criteria obtained using consecutive sampling technique. Data analysis was performed univariately and bivariately using SPSS version 25.0 with the Spearman correlation test. The results of the chi square test showed that the p value was less than the significant level (p < 0.05), it can be stated that there is an association between low birth weight and the incidence of stunting in children aged 24-60 months in the Tabanan I Health Center Working Area. The result of Levene's test is 0,184 (>0.05) which means that the variance of data between stunting and normal groups is homogeneous or the same. Conclusion toddlers who suffer from LBW have a 2,17 greater risk of experiencing stunting than toddlers who do not experience LBW.
Pengaruh Latihan Submaksimal pada Intensitas Terlatih dan Tidak Terlatih Terhadap Kadar Eritrosit Darah Tikus Putih (Rattus norvegicus) Betina Galur Wistar HUSODO, STEFANUS DJONI; ERIC MAYO DAGRADI; AMIRIL MU’MININ
Hang Tuah Medical Journal Vol 21 No 2 (2024): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i2.474

Abstract

Penurunan aktivitas fisik serta perubahan gaya hidup dan pola makan yang tidak sehat di masa kini mengakibatkan semakin berkembangnya penyakit degeneratif dan penyakit infeksi. Eritrosit tubuh terutama eritrosit sangat berhubungan dengan terjadinya penyakit degeneratif. Untuk mendapatkan eritrosit yang baik dengan kadar eritrosit yang memadai dapat dilakukan dengan beberapa hal, salah satunya adalah olahraga dengan intensitas cukup dan teratur. Olahraga yang sesuai dengan kemampuan tubuh dapat mengaktifkan kerja eritrosit sehingga dapat meningkatkan eritrosit dan mencegah terjadinya penyakit degeneratif dan penyakit infeksi. Penelitian ini bertujuan untuk mengetahui pengaruh latihan submaksimal dengan intensitas terlatih dan tidak terlatih terhadap kadar eritrosit darah pada tikus putih betina galur wistar. Penelitian ini adalah penelitian eksperimen dengan menggunakan post test only control group design. Objek dalam penelitian ini adalah 25 tikus putih betina (Rattus norvegicus) galur wistar yang dibagi menjadi 5 kelompok. Hasil analisis statistik dengan uji One Way Anova yaitu p=0.034 Dari hasil uji didapatkan perbedaan yang bermakna antar kelompok perlakuan. hasil uji antar kelompok pada tabel 5.6 pada penelitian ini menunjukkan kelompok K1 dan K2 signifikan dengan nilai 0,46, kelompok K2 dan kelompok K3 signifikan dengan nilai 0,33, kelompok K2 dan kelompok K4 signifikan dengan nilai 0,19. Dapat disimpulkan terdapat perbedaan bermakna pada kadar eritosit antara latihan submaksimal intensitas terlatih dan tidak terlatih. Kata kunci : latihan submaksimal, terlatih, tidak terlatih, eritrosit
Eksplorasi Keefektifan Pembelajaran Daring pada Masa Pandemi Covid-19 di FKIK Universitas Warmadewa I MADE PARIARTHA
Hang Tuah Medical Journal Vol 21 No 1 (2023): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i1.476

Abstract

Covid-19 pandemic has brought about a fundamental change in the field of Medical Education. Medical education due to the Covid-19 pandemic must be carried out online. FKIK Unwar applies online learning at the academic level. The aim of the study was to obtain data on the effectiveness of online group discussions, tutor behavior in facilitating online group discussions, student motivation, students' perception of the learning environment and knowing the factors that support and hinder the implementation of online learning at FKIK Unwar. This study is a mixed method. Quantitative research by distributing DREEM, TGEI, IMI, and TBQ questionnaires to students. Qualitative research to find out the factors that support and inhibit online learning is carried out with FGD to students and lecturers. Most respondents > 75% agreed and strongly agreed on each of the DREEM, IMI, TGEI, TBQ questionnaires. FGD results there are several factors that support online learning, among others: Facilitation of online skills learning through LMS and the ability of lecturers in facilitating online learning. Some of the factors that hinder include: The internet network is sometimes unstable, not optimal institutional assistance in supporting the implementation of online learning, and supporting online learning, especially in terms of clinical skills has not been optimal. Online learning at FKIK Unwar is already underway effectively. Intrinsic motivation of students in following online learning is quite good. Tutors are able to facilitate online learning well. Students perceive the online learning environment at FKIK Unwar going well.
Aktivitas Antibakteri Gel Hand Sanitizer Minyak Biji Pala (Myristica fragrans Houtt.) dengan Variasi Gelling Agent RACHMAWATI DWI AGUSTIN; YUNIASIH MULYANI JUBELIENE TAIHUTTU
Hang Tuah Medical Journal Vol 22 No 2 (2025): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v22i2.479

Abstract

Hand hygiene is important because hands are one of the intermediary pathways for the entry of microbes into the body. Efforts to maintain cleanliness by diligently washing hands and using a practical way of using hand sanitizer. The alcohol content in hand sanitizers can have a long-term impact on skin health, for that alternative alcohol substitutes can use natural ingredients as the basic ingredients of antiseptic hand sanitizers. Nutmeg seed oil contains active compounds as antibacterial ingredients. This study aims to determine the correct formulation of nutmeg oil hand sanitizer gel preparation and test its effectiveness in inhibiting the growth of pathogenic bacteria, namely Escherichia coli and Pseudomonas aeruginosa. Gel preparations were made with variations of the gelling agent Carbopol and CMC-Na. The stability test of the physical properties of the gel preparation includes organoleptic test, homogeneity test, and pH test. Antibacterial activity test by disc diffusion method. The results showed that the gel preparation had a characteristic nutmeg odor, with a clear color for the CMC-Na base and white for the Carbopol base. The pH values obtained for all preparations ranged from 5.7-6.2. The results of the antibacterial activity test showed that the nutmeg oil hand sanitizer gel based on CMC-Na and Carbopol had the ability to inhibit Escherichia coli and Pseudomonas aeruginosa bacteria quite well. The conclusion of this study is that the formulation of CMC-Na-based nutmeg seed oil gel formulation is considered to be the optimal formulation in inhibiting the growth of pathogenic bacteria and has a consistent physical form.
Analisis Pemberian Ekstrak Rumput Kebar (Biophytum Petersianum Klotzsch) Terhadap Kadar MDA Mencit Model Diabetes Melitus : Analisis Pengaruh Pemberian EKstrak Rumput Kebar (Biophytum petersianum Klotzsch) terhadap kadar MDA mencit model diabetes melitus DJURUMANA, YOHANA; MINNALIA SOAKAKONE; YOWAN EMBUAI
Hang Tuah Medical Journal Vol 22 No 2 (2025): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v22i2.482

Abstract

Diabetes mellitus is a group of metabolic disorders characterized by hyperglycemia and abnormalities in the metabolism of carbohydrates, fats, and proteins. The mechanisms of diabetes mellitus can affect infertility starting with an increase in free radicals due to hyperglycemic conditions, leading to glucose auto-oxidation, protein glycation, and activation of the polyol pathway metabolism, which further accelerates the formation of reactive oxygen species. Oxidative stress increases the amount of Reactive Oxygen Species (ROS), oxidizes unsaturated fatty acids in spermatozoa membranes, leading to a chain reaction in cell membranes and the formation of toxic lipid peroxides. Lipid peroxides generate aldehyde compounds due to the disruption of the fatty acid chain, such as Malondialdehyde (MDA). Malondialdehyde (MDA) is a marker of oxidative stress. This study aims to evaluate the effect of Kebar Grass extract on the level of MDA (malondialdehyde), which is one of the indicators of oxidative stress, in a diabetic mouse model. The mice in this study were divided into two groups: a diabetes control group and a treatment group receiving Kebar Grass extract. The results of the study indicate that the administration of Kebar Grass extract did not have a significant effect on the MDA levels in the diabetic mouse model. Although there was a trend of decreased MDA levels in the treatment group, the difference did not reach a statistically significant level. This research indicates that although Elephant Grass has the potential as a traditional remedy for diabetes management, its effect on reducing oxidative stress, measured by MDA levels, may not be very strong. Further research is needed to better understand the mechanisms of action of Elephant Grass in diabetes management and its impact on oxidative stress.
Peran Terapi Penyekat Beta Pada Takikardia Persisten Yang Disebabkan Oleh Sepsis: Tinjauan Sistematis dan Meta-Analisis KETUT ANGGA ADITYA PUTRA PRAMANA; BASUKI RAHMAT; YUSRA PINTANINGRUM
Hang Tuah Medical Journal Vol 22 No 1 (2024): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v22i1.484

Abstract

Terdapat peningkatan minat dalam penggunaan penyekat beta untuk mengobati takikardia pada sepsis, namun umumnya penyekat beta relatif dikontraindikasikan untuk sepsis karena dapat menyebabkan penurunan aktivitas jantung. Tujuan dari penelitian ini adalah untuk mengetahui peran pengobatan penyekat beta pada pasien dengan takikardia persisten yang disebabkan oleh sepsis. Pencarian jurnal elektronik dilakukan di PubMed, ScienceDirect, dan Cochrane dari Januari 2013 hingga Mei 2023 untuk mengidentifikasi uji coba kontrol acak yang menilai peran pengobatan penyekat beta pada pasien dengan takikardia persisten yang disebabkan oleh sepsis. Penyekat beta yang dipilih pada penelitian ini adalah penyekat beta kerja pendek esmolol. Penggunaan penyekat beta pada pasien dengan takikardia persisten dan sepsis secara signifikan dikaitkan dengan rendahnya risiko semua penyebab kematian (P<0,0001; OR 0,42; 95%CI 0,27 - 0,65). Terdapat juga penurunan denyut jantung yang signifikan (P<0.00001; MD -18.34; 95%CI -25.62 - -11.06) dan peningkatan signifikan pada indeks volume sekuncup (P 0.01; MD 2.61; 95%CI 0.62 - 4.59) pada kelompok kelompok penyekat beta dibandingkan dengan kontrol. Beberapa penelitian lainnya melaporkan bahwa penurunan denyut jantung dengan esmolol secara efektif meningkatkan efisiensi kardiovaskular dengan menurunkan elastansi arteri statis dan meningkatkan volume sekuncup.
Analisis Hubungan Kepuasan Waktu Pelayanan pada Pasien Rawat Jalan di Rumah Sakit: Tinjauan Literatur Sistematik MIDORY AUTAKE; SYIFAUL LAILIYAH
Hang Tuah Medical Journal Vol 21 No 2 (2024): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i2.485

Abstract

Latar belakang : Masalah umum yang sering terjadi dalam pelayanan kesehatan di Rumah Sakit adalah lamayan waktu tunggu dalam alur pelayanan, yang berpotensi menimbulkan rasa ketidakpuasan menunggu dengan waktu yang lama dari prosedur yang ditetapkan. Tujuan : penelitian ini bertujuan untuk menganalisis waktu tunggu pasien rawat jalan dan tingkat kepuasan pasien terhadap pelyanan rawat jalan di Rumah Sakit. Metode : Peneliti menggunakan metode tinjauan literatur sistematis (Systematic literature review) dengan memanfaatkan kerangka kerja PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Pencarian artikel ilmiah dilakukan melalui google scholar. Hasil akhir ditemukan sebanyak 16 artikel ilmiah. Hasil : Berdasrkan tinjauan literatur dan analisis waktu tunggu pasien rawat jalan di rumah sakit, dapat disimpulkan bahwa waktu tungggu berhubungan dengan tingkat kepuasan pasien yang cenderung rendah. Waktu tunggu pelayanan dianggap lama dan tidak memenuhi Standar Pelayanan Minimal (SPM)
Peran Keterampilan Kepemimpinan dalam Penerapan Keselamatan Pasien di Rumah Sakit : Systematic Literature review: Peran Keterampilan Kepemimpinan dalam Penerapan Keselamatan Pasien di Rumah Sakit : Systematic Literature review AGUSTINA KURNIAWATI, NURUL; LAILIYAH, SYIFA'UL
Hang Tuah Medical Journal Vol 21 No 1 (2023): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i1.486

Abstract

Background: The role of leadership in improving patient safety can encourage and guarantee the implementation of an integrated patient safety program in the organization through the implementation of seven steps towards hospital patient safety. The presence of leadership can ensure the ongoing proactive program for identifying patient safety risks. The leadership role of a leader is needed in implementing a patient safety culture.Objective: The aim of this research is to identify the role of leadership in implementing a hospital patient safety cultureMethod: The method used in writing this article is a literature review. Article searches were carried out via Google Scholar, Science direct and Pubmed. Publication years from 2019 to 2023 were then examined according to the researchers' inclusion criteria. Results: Based on the results of the literature review analysis, the role of leadership abilities has an impact on the implementation of patient safety culture in hospitals. The expected leadership skills are that the leader has empowering behavior, the leader is participatory, visionary and communicates effectively, the leader is able to direct staff effectively (directing), the leader has career support, psychosocial support and role modeling, the leader has an open and fair culture and Responsible leader. Conclusion: The use of leadership skills cannot be the same for all leaders. Because leaders have skills, leadership styles match their abilities. But leaders must know which leadership skills need to be used in dealing with conditions in the organization, especially in hospitals. The leadership role in improving patient safety can encourage and ensure the implementation of an integrated patient safety program Keywords: Leadership, Patient safety, Hospital
An 8-year-old child with Encephalitis Rabies due to delayed case finding, proper Post Exposure Prophylaxis for Rabies infection a case report ANDRI, ADRIANUS
Hang Tuah Medical Journal Vol 21 No 2 (2024): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i2.490

Abstract

Background and Purpose: Until April 2023, it has been documented about 31.113 case of animal rabies-borne bite, which 23.211 cases are given Post Exposure Prophylaxis Anti Rabies Vaccine and 11 death cases in Indonesia and 95% of them are caused by dog bite. This case report was conducted to describe a rare case of an 8 years old child presenting with late complication of encephalitis in Borong General Hospital due to the delayed case finding, management and proper prophylaxis for Rabies infection. Case: One day prior to admission, an 8-year-old girl with irritability, aggressive behavior, and severe speech abnormalities reported to the emergency room. These symptoms quickly escalated to confusion and disturbed mental status. One month before to presentation, the patient's parents stated that his right arm had been bitten by a stray dog. Because there were no obvious bite marks and the family was not aware of the dog bite, PEP was not requested. In the previous five days, her parents described experiences of hydrophobia, photophobia, and aerophobia. The patient's health deteriorated two hours after admission, and palpating the carotid artery revealed that there was no pulse. Despite performing cardiopulmonary resuscitation, ROSC was not reached. Conclusion: Animal rabies control and surveillance are essential, particularly in locations where the disease is endemic. PEP is extremely effective and ought to be given as soon as possible following an exposure to reduce the high fatality rate. Keywords: aware, PEP, mortality, irritability
Literature Review: Analysis Of Incompleteness of Filling in Medical Records Data in Hospitals KHOTIMAH, SITI NUR; LAILIYAH, SYIFAUL
Hang Tuah Medical Journal Vol 21 No 2 (2024): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i2.492

Abstract

Background: Analysis of incomplete filling of medical record information is needed to identify incomplete filling of patient cards in hospitals. Health information can be considered complete if the physician has filled in complete patient information within 1 x 24 hours after providing inpatient or outpatient services. Purposes: This study aims to determine incompleteness in filling hospital medical records and determine the factors that influence incomplete patient information in hospitals. Methods: Literature review with a comprehensive strategy via the internet using PRISMA. Literature was searched via Google Scholar with a publication year range of 2018-2023. Results: Several hospitals in Indonesia still have incomplete patient records. The incompleteness of hospital medical records in the study was shown in percentages of 59.48%, 17.40%, 42.4%, 7.66% and 15.7%. Factors of incomplete medical records in terms of 5M (Man, Machine, Method, Material, Money) Conclusions: Incompleteness of medical records is caused by a lack of knowledge, motivation and awareness of medical record managers. Discussion forums are not held in the form of meetings to discuss evaluation and follow-up as well as sanctions for officials who do not provide complete patient information. Lack of social skills when filling out medical records, unsystematic arrangement of medical record forms, and limited availability of funds.

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