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Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Published by Universitas Batam
ISSN : 20877390     EISSN : 27214060     DOI : https://doi.org/10.37776/zked
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
The Zone of Medicine publishes research articles from a variety of topics in B idang Medicine and health, published issues include: Occupational Health Medical Science Education Public Health Sciences Biomedical Sciences Clinical Medicine Nutrition
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 278 Documents
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HUBUNGAN ERGONOMI KERJA DENGAN KELUHAN MUSKULOSKELETAL PADA PEGAWAI PT. BANK NEGARA INDONESIA (PERSERO).TBK KANTOR CABANG SINGKAWANG Zulkarnain Edward; Luis Yulia; Nopri Esmiralda; ivanna, Ivanna Dwi Putri Riyanto
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1627

Abstract

ABSTRACT Background: Suboptimal ergonomic can trigger various health issues, including musculoskeletal disorder. Musculosceletal Disorder, characterized by pain in muscles, joints, tendons, and the skeletal system, can affect individuals in diverse work sectors, including office environments. Bank employees, such as those at PT. Bank Negara Indonesia Singkawang Branch Office, are particularly susceptible to these pains due to poor work ergonomic. Prolonged sitting or standing with improper postures can lead to various problems such as pain, aches, and stiffness in various body parts. Methods: This study uses a quantitative analytical design with a cross-sectional approach conducted at PT. Bank Negara Indonesia Singkawang Branch. The sample used in this study was all employees working at the Singkawang City Branch and Diponegoro Sub-Branch offices. The research results were tested using the chi-square test. Results: The results of this study showed p-value of 0.012 (p <0.05) was obtained, indicating that there is a relationship between work ergonomics and musculoskeletal complaints. Conclusion: Based on the research results, it was found that there is a relationship between Work Ergonomics and Musculoskeletal Complaints in employees of PT. Bank Negara Indonesia Keywords: Work Ergonomic, Musculosceletal disorder, Pain
HUBUNGAN MITRAL VALVE GRADIENT TERHADAP KAPASITAS FUNGSIONAL PROTOKOL BRUCE TERMODIFIKASI PADA STENOSIS MITRAL RHEUMATIK PASCA KOMISUROTOMI MITRAL TRANSKATETER PERKUTAN (KMTP) Surya marthias; Amiliana Mardiani Soesanto; Ade Meidian Ambari; Basuni Radi; Amir Aziz AlKatiri
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1635

Abstract

Abstrak Latar belakang: Studi sebelumnya menyimpulkan bahwa MVG merupakan parameter yang berhubungan perbaikan gejala pasca KMTP. Tujuan: Evaluasi hubungan MVG terhadap perubahan kapasitas fungsional pasca KMTP. Metode: Studi quasi experimental dilakukan terhadap 78 subjek. Pemeriksaan ekokardiografi dan treadmill Bruce termodifikasi dilakukan 1-2 hari sebelum dan 1-2 minggu setelah KMTP. Data sebelum dan setelah KMTP dianalisis untuk mencari hubungan variabel terhadap perbaikan kapasitas fungsional pasca KMTP. Hasil: Rerata usia adalah 42 tahun, mayoritas perempuan, dan rerata IMT 22,27 kg/m2. Sebelum KMTP, 53% memiliki irama sinus dengan mayoritas memiliki fungsi ventrikel kiri yang baik dan ventrikal kanan yang baik. Sebesar 97% pasien datang dengan kelas NYHA II sebelum KMTP dan mengalami perbaikan signifikan kapasitas fungsional berupa perbaikan median lama latihan (241 ke 603 detik, p < 0,001) dan perbaikan median nilai VO2max estimasi (18,8 ke 32,8 mlO2/kg/menit, p<0,001). Dari uji korelasi, didapatkan variabel usia (r -0,23, adjusted R2=4,1%), pre-MVG (r 0,23, adjusted R2=4,2%), ∆ MVG (r 0,31, adjusted R2= 9,0%), dan pre-TR Vmax (r 0,3, adjusted R2=1,3%) berkorelasi terhadap perubahan kapasitas fungsional. Penurunan MVG > 50 % pasca KMTP (OR 2,89, p = 0,038) dan TR Vmax sebelum KMTP > 3,4 m/s (OR 3,42, p = 0,023) menjadi prediktor perbaikan kapasitas fungsional segera pasca KMTP. Kesimpulan: Penurunan MVG lebih dari 50% pasca KMTP berhubungan dengan perbaikan kapasitas fungsional segera pasca KMTP. Kata Kunci: fungsional, KMTP, lama latihan, MVG, stenosis mitral
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA HEMOROID DI RUMAH SAKIT BUDI KEMULIAAN KOTA BATAM TAHUN 2023 Muhammad Rifki; Andi Asda Astiah; Aghnia Hernawati
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1656

Abstract

ABSTRACT Background: Symptoms of hemorrhoid can happen because of many risk factors such as age, history of hemorrhoid in family, lack of fiber foods consumption, lack of water, history of constipation, wrong habits of defecation and physical activity. The purpose of this research is to know the correlation between many risk factor that can effect the incident of hemorrhoid. Methods: This research was observational analytic study with case control design. Total samples included 72 people. Samples were obtained by purpossive sampling. The primary data obtained by recording the interviews based on questionairre and analyzed using univariate, bivariate with chi-square. Results: The results showed that hemorrhoid more common in person above 45 years old (55,2%), no family history 80.6%, heavy physical activity 58.3%, no history of constipation 63.9%, squatting defecation position 52.8% , and low fiber consumption of 61.1%. The results of this study was that there was a significant relationship between physical activity (p=<0.000), history of constipation (p=<0.000), fiber consumption (p=<0.000), defecation position (p=<0.001), age (p=0.031) against hemorrhoids. And there is no relationship between family history (p=<0.183) and the incidence of hemorrhoids. Conclusion: There is a significant realtionship between fiber consumption, physical activity, defecation position, age, history of constipation with hemorrhoids. There is no relationship between a family history of hemorrhoids and the incidence of hemorrhoids. Keywords: hemorrhoid, constipation, activity
HUBUNGAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN STROKE Yusmahenry Galindra; Erika Kusumawardani; Aulia Cesarany
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1666

Abstract

ABSTRACT Background: Stroke is a condition characterized by local and global neurological disorders that can progress, continue for more than 24 hours, and result in death. One of the risk factors for stroke is the use of contraception. Hormonal contraceptives containing estrogen and progesterone can significantly change the coagulation system by increasing the activity of thrombin and clotting factors and reducing the action of natural anticoagulants. Methods: : This type of research uses the Case Control method with an analytical observational approach. The study population was all stroke sufferers recorded in the medical records at RSBK in 2023, totaling 155 patients. This study used a sample of 80 patients. Where 40 patients were controls and 40 patients were cases. Results: The results of the Chi-Square analysis test show that the use of hormonal contraceptives is not related to the incidence of stroke at Budi Kemuliaan Hospital, Batam City in 2023 with a value of p=0.70 (>0.05). Conclusion: Based on the research results, it was found that there was no significant relationship between the use of hormonal contraception and the incidence of stroke at Budi Kemuliaan Hospital, Batam City in 2023. Keywords: Hormonal Contraception, Stroke, Used
FAMILIAL ADENOMATOUS POLYPOSIS LEADING TO ADENOCARCINOMA: A CASE ANALYSIS Adi Arianto; Meira Dewi Kusuma Astuti; Devia Eka Listiana; Kasno
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1670

Abstract

ABSTRACT Background : Familial adenomatous polyposis (FAP) is a rare autosomal dominant disorder characterized by the development of hundreds to thousands of adenomatous polyps in the colon and rectum. Its incidence is estimated between 1 in 7,000 and 1 in 30,000 live births, accounting for less than 1% of all new cases of colorectal cancer. If left undiagnosed and untreated, nearly 100% of FAP cases progress to colorectal cancer, often by the age of 40-50. Case Description : A 55-year-old male presented with complaints of abdominal pain and a palpable mass in the abdominal region. Diagnostic colonoscopy revealed numerous sessile polyps, exceeding 100 in count, located primarily in the ascending colon. A total colectomy was performed. Histopathological examination of the resected specimen revealed: Macroscopic Findings: A white, endophytic mass in the ascending colon and over 100 sessile polyps. Microscopic Findings: Tubular adenomas with moderate dysplasia and a focus of well-differentiated adenocarcinoma. Seventeen mesenteric lymph nodes were examined and found free of metastatic involvement. Discussion : FAP is primarily caused by mutations in the APC gene, located on chromosome 5q22, which is essential for regulating cell growth and apoptosis. Loss of function in this gene leads to uncontrolled proliferation of epithelial cells in the colon, resulting in the formation of numerous polyps. Without intervention, this predisposes individuals to colorectal carcinoma. In this patient, the clinical, macroscopic, and microscopic findings strongly suggest that the adenocarcinoma developed secondary to FAP. However, a definitive diagnosis requires genetic confirmation of an APC gene mutation. Screening of family members is critical to identify asymptomatic carriers who may benefit from prophylactic interventions. Conclusion : The diagnosis of well-differentiated adenocarcinoma in the ascending colon in this patient is highly suggestive of progression from FAP. While clinical, macroscopic, and histological evidence supports this conclusion, genetic analysis of the APC gene mutation is essential for confirmation. Early detection and management of FAP, including regular surveillance and prophylactic colectomy, are paramount in preventing the development of colorectal carcinoma. Keywords: Familial Adenomatous Polyposis, Adenocarcinoma, APC Gene Mutation, Colorectal Cancer.
FAKTOR FAKTOR YANG MEMPENGARUHI KEJADIAN LOW BACK PAIN PADA PEKERJA LAUNDRY Dahlan Gunawan; Andi Ipaljri Saputra; Aplan jumadi
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1676

Abstract

ABSTRACT Background: Low Back Pain is a common health problem worldwide that often results in activity limitations and absenteeism from work. Methods: The method of this research is an observational analytical sample ninth in this study using nonprobability sampling method with accidental sampler technique with a sample number of 97 respondents. Data is the primary data of the questionnaire. Data analysis using univariate and bivariate analysis. with accidental sampling technique with a sample size of 97 respondents. Results: The results of the study showed several factors that cause Low Back Pain in laundry workers: age, body position, and repetition that causes low back pains. The p-value is obtained in a sequence of p = 0.795, p = 0.010, p = 0,001. Significant factors affecting the occurrence of Low Back Pain are body position and repetition, while age is not significant. Conclusion: Based on the Chi-Square correlation results, there is a significant relationship between body position and repetition with Low Back Pain incidents, whereas age has no significant relationship to low back pains in laundry workers. Keywords: Low Back Pain, Laundry worker
KEJADIAN DERMATITIS KONTAK AKIBAT KERJA DARI PROSES PRODUKSI PLYWOOD Mariaman Tjendera; Andi Asda Astiah; mutiara, mutiara husnul khatimah
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1677

Abstract

ABSTRACT Background: Occupational contact dermatitis is one of the most common skin diseases among workers, which can lead to reduced productivity and increased absenteeism. Factors that trigger contact dermatitis can be grouped into two categories, namely direct causal factors, which include the nature of the substance, level of solubility, form (solid, gas or liquid), concentration, and duration of contact and indirect causal factors which include gender. , age, level of personal hygiene, ethnicity, use of personal protective equipment (PPE), and temperature and humidity conditions. Methods: The design of this research was a cross-sectional analytical observational study. Data was taken using a questionnaire and diagnosis from local health center doctors, sampling using total sampling technique and obtained 76 respondents from the plywood processing work division. Data analysis used univariate analysis and bivariate chi-square tests. Results: The results of the chi-square statistical test analysis showed that the relationship between the use of PPE and work-related contact dermatitis was found to be a p-value of 0.000, and the relationship between personal hygiene and work-related contact dermatitis was found to be a p-value of 0.000. Conclusion: There was a relationship between the use of PPE and personal hygiene on work-related contact dermatitis in plywood production process workers at PT. Lestarindo Utama Karya in 2024 Keywords: DKAK, PPE, Personal Hygiene, Plywood
PENGARUH PEMBERIAN EKSTRAK DAUN KEMANGI (OCIMUM SANCTUM) TERHADAP PENURUNAN KOLESTEROL TOTAL TIKUS PUTIH (RATTUS NORVEGICUS STRAIN WISTAR) YANG DIINDUKSI MONOSODIUM GLUTAMATE (MSG). Brain Gantoro; Yani Christina; Emylianti Aidah Putri
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 1 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i1.1713

Abstract

ABSTRACT Background: Hypercholesterolemia is a condition where cholesterol levels increase above normal limits. Flavonoids found in plants functioning as natural antioxidants with their ability to ward off free radical molecules. One of these plants is basil leaves (Ocimum sanctum). The aim of this research was to determine the effect of basil leaf extract on reducing cholesterol levels in mice. Methods: This study used a true experimental design in vivo in the laboratory with Post test Only Control Group design and a total sample of 35 experimental animals grouped into 5 groups, namely the negative control group only given standard feed, the positive control group given MSG 0.2 g / kgBB for 14 days, and the treatment group consisting of 3 groups induced by MSG for 14 days and basil leaf extract at a dose of 175 mg/kgBB, 350 mg/kgBB, 700 mg/kgBB for 10 days. Analysis of the results using One Way Anova test followed by Post Hoc LSD analysis to see differences between groups. Results: Ocimum sanctum extract was able to reduce total cholesterol levels in mice induced by MSG with a significance of p = 0.000. Conclusion: The most effective reduction in total cholesterol levels was at a dose of 700 mg/kgBB Keywords: Basil leaf, Cholesterol, Hypercholesterolemia
FAKTOR - FAKTOR YANG MEMPENGARUHI TINGKAT KELANGSUNGAN HIDUP 5 TAHUN PASIEN DENGAN KANKER KANDUNG KEMIH DI RSUD DR. ZAINOEL ABIDIN BANDA ACEH Merysia Karmila; Jufriady Ismy; Imam Hidayat; Safrizal Rahman; Muhammad Ridha; Muhammad Azmi Fanany
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 2 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i2.1725

Abstract

ABSTRACT Background: Bladder cancer is the tenth most common cancer worldwide, and its prevalence is gradually increasing globally. In Indonesia, there are 7,828 new cases of bladder cancer each year, which cause 3,885 deaths. The survival of bladder cancer patients highly depends on many factors. Objective: To identify the factors that influence the 5-year survival rate of patients with bladder cancer at zainoel abidin hospital. Method: An analytical one year study using a retrospective cohort design to analize the factors affecting the 5-year survival rate of bladder cancer patients for 5 years, starting from 2015 until 2019 with medical record data. Result: The average age of the 151 patients was 59±11.9 years, and 126 patients (83,4%) were male. The majority 105 patients (69.54%) were under 65 years old. A total of 127 patients (84.11%) were smokers, 65 patients (43%) with high school degree, 50 patients (33,11%) were self-employed, 96 patients (63.58%) is underweight BMI. Based on stadium of bladder cancer, the majority of patients (34.44%) had T3, and the most common treatment (78.81%) was TURBT and refused to radikal cystectomy. Patient survival rates were influenced by age (P value = 0.00), education level (P value = 0.003), occupation (P value =0,01), treatment (P value = 0,005), and T category (P value = 0.00). Conclusion: Age, education level, occupation, treatment and T category have a significant impact on bladder cancer patients survival rate. Keywords: Bladder cancer, 5-years survival, Age, Education level, Occupaton, Smokers, BMI, T Category, Treatment.
GINGIVA CHANGES IN DIABETES MELLITUS PATIENTS: LITERATURE REVIEW Uswatul Husnaini; Nasution, Badai Buana; ichwan, M
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 2 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i2.1730

Abstract

Diabetes mellitus is a chronic metabolic disease that leads to oral complications generally, including changes and damage to the gingiva due to increased inflammation. The incidence of periodontal disease is two to three times higher compared to individuals without diabetes, which exacerbates gingival tissue damage and slows down healing. Hyperglycemia triggers the formation of advanced glycation end-products (AGEs), which increase the production of pro-inflammatory cytokines. This article aims to identify changes in the gingiva associated with diabetes mellitus. The method used is a literature review of articles published online through databases such as Google Scholar and PubMed. The analyzed articles are publications from 2019 to 2024, with a total of 21 articles meeting the inclusion criteria and relevant to the research objectives. The study results indicate that the interaction between hyperglycemia causes changes in the gingiva of diabetic patients, increased oxidative stress, and dysfunction in the immune system, which worsens inflammation and gingival tissue damage. Factors such as increased free radicals, impaired tissue healing due to vascular dysfunction, and decreased collagen production also contribute to the exacerbation of tissue damage, thereby increasing the risk of periodontal disease in patients with diabetes mellitus. Gingivitis and periodontitis are two common forms of periodontal disease caused by pathogenic biofilms around the teeth.

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