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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 297 Documents
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HUBUNGAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR DI RS HJ BUNDA HALIMAH TAHUN 2024 Erika Kusumawardani; Isramilda; Abdi Noto Pintara
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

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

Abstract

ABSTRACT Background: Hypertension is a non-communicable disease with a high prevalence among women of reproductive age, particularly those using hormonal contraceptives. The use of hormonal contraceptives is suspected to be associated with increased blood pressure through activation of the Renin-Angiotensin-Aldosterone System (RAAS). This study aims to determine the relationship between hormonal contraceptive use and the incidence of hypertension among women of reproductive age at RS Hj. Bunda Halimah. Methods: This study employed an observational analytic design with a retrospective cross-sectional approach. The sample consisted of 323 women of reproductive age at Hj Bunda Halimah Hospital in 2024, selected using the Slovin formula. Data were collected through questionnaires and blood pressure measurements, and subsequently analyzed using the Chi-square test (p < 0.05). Results: The analysis results showed that most hormonal contraceptive users experienced hypertension (88.2%), whereas most non-hormonal contraceptive users did not experience hypertension (85.7%). Statistical analysis indicated a significant association between hormonal contraceptive use and the incidence of hypertension among women of reproductive age (p = 0.001). Conclusion: There was a statistically significant association between hormonal contraceptive use and the incidence of hypertension among women of reproductive age at Hj Bunda Halimah Hospital in 2024. Keywords : Hormonal Contraceptives, Hypertension, Women of reproductive age
HUBUNGAN TINGKAT PENGETAHUAN TENTANG KANKER LARING TERHADAP SIKAP DAN PERILAKU MEROKOK PADA SISWA DI SMAN 1 PALMATAK Elvita Nora Susana; Malahayati Rusli Bintang; Salsabila Dewari
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): 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.v16i2.2252

Abstract

ABSTRACT Background: Laryngeal cancer is one of the upper respiratory tract malignancies strongly associated with smoking habits. Adolescents are considered a high-risk group because they are easily influenced by peers and generally have low levels of health literacy. Limited understanding of the risks of laryngeal cancer may affect adolescents’ attitudes and smoking behaviors. Objective: This study aimed to determine the relationship between the level of knowledge about laryngeal cancer and attitudes as well as smoking behavior among students of SMA Negeri 1 Palmatak. Methods: This study used a descriptive analytic design with a cross-sectional approach. The study population consisted of all students of SMA Negeri 1 Palmatak, with 140 respondents selected using a total sampling technique. Data were collected using a structured questionnaire. Data analysis was performed using Spearman’s rho test to examine the relationship between knowledge and attitude, and the Lambda (λ) test to analyze the relationship between knowledge and smoking behavior. Results: Most students had good knowledge (53.6%), showed a positive attitude toward smoking prevention (65.7%), and were non-smokers (62.1%). The analysis showed a significant relationship between knowledge and attitude toward smoking (r = 0.730; p < 0.001). In addition, the Lambda test indicated a strong association between knowledge and smoking behavior (λ = 0.698; p < 0.001). Conclusion: The results revealed a strong and statistically significant association between knowledge of laryngeal cancer and smoking-related attitudes and behaviors among students at SMA Negeri 1 Palmatak. Keywords: Knowledge, Laryngeal Cancer, Attitude, Smoking Behavior, Adolescents
PENGARUH SENAM PROLANIS TERHADAP PENGENDALIAN TEKANAN DARAH DAN KADAR GULA DARAH PADA PASIEN PENYAKIT KRONIS DI PUSKESMAS LUBUK BAJA KOTA BATAM Andi Ipaljri Saputra; Muhammad Azmi Fanany; Istiqa Syaraya Putri
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): 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.v16i2.2253

Abstract

ABSTRACT Background: Non-Communicable Diseases (NCDs) such as hypertension and Type 2 Diabetes Mellitus (DM) are major causes of mortality globally and in Indonesia. Batam City, particularly at the Lubuk Baja Public Health Center (UPT Puskesmas Lubuk Baja), has reported a relatively high prevalence of these chronic diseases. The Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis/Prolanis) initiated by BPJS Kesehatan, including Prolanis exercise, represents a non-pharmacological strategy aimed at controlling blood pressure and blood glucose levels. Methods: This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 88 chronic disease patients participating in the Prolanis program at Lubuk Baja Public Health Center, Batam City, in 2025, selected using purposive sampling based on inclusion and exclusion criteria. Blood pressure and blood glucose levels were measured before and after the Prolanis exercise intervention. Data were analyzed using univariate and bivariate analyses with the Paired T-Test. Results: The results of the paired t-test demonstrated a significant effect of Prolanis exercise on blood pressure control with a p-value of 0.000 (p < 0.05), and on blood glucose control with a p- value of 0.000 (p < 0.05). Conclusion: There is a significant effect of Prolanis exercise on controlling blood pressure and blood glucose levels among patients with chronic diseases at Lubuk Baja Public Health Center, Batam City, in 2025. Keywords: Prolanis Exercise, Blood Pressure, Blood Glucose Level, Chronic Disease
DURASI VENTILASI MEKANIK SEBAGAI FAKTOR RISIKO CEDERA GINJAL AKUT PADA PASIEN STROKE HEMORAGIK DI ICU: STUDI CASE-CONTROL Qinxzy Yeremia Marbisuk Raja Panjaitan; Rahmadius Eka Santoso; Nopri Esmiralda
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): 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.v16i2.2254

Abstract

ABSTRACT Background: Haemorrhagic stroke is a major cause of morbidity and mortality, especially in critical cases. Prolonged mechanical ventilation may increase the risk of systemic complications, including acute kidney injury (AKI). However, evidence on the association between ventilator duration and AKI in haemorrhagic stroke patients in Indonesia remains limited. This study aimed to analyse the relationship between ventilator use duration and AKI incidence in ICU-treated haemorrhagic stroke patients. Methods: This analytical observational study used a retrospective matched case-control design using medical records of patients with haemorrhagic stroke treated in the ICU from January 2023 to June 2025. A total of 206 eligible patients were included in this study. Data were analysed using univariate and bivariate tests (Chi-square), followed by conditional logistic regression with adjustment for age and sex in 37 groups (ratio 1:2). Results: A total of 125 patients (60.7%) developed AKI. The proportion of AKI was significantly higher in patients with ventilator use >7 days compared to ≤7 days (60.8% vs 39.2%; p < 0.001). Ventilator use >7 days increased the risk of AKI by 8.918 times(OR = 8.918; 95% CI 4.383–18.148). After controlling for age and gender, the association remained significant (OR = 5.848; 95% CI 2.331–14.673; p < 0.001). Conclusion: The duration of ventilator use is significantly and independently associated with the occurrence of AKI in patients with haemorrhagic stroke in the ICU, necessitating monitoring of renal function and AKI prevention strategies from the onset of intensive care. Keywords: Haemorrhagic stroke, ventilator, acute kidney injury, intensive care unit
HUBUNGAN NILAI TROMBOSIT, HEMATOKRIT, LEUKOSIT, DAN RASIO TROMBOSIT-HEMATOKRIT DENGAN DERAJAT KLINIS DEMAM BERDARAH DENGUE PADA ANAK DI RSUD EMBUNG FATIMAH KOTA BATAM PADA TAHUN 2022-2024 Kasih Purwati; Indriasari; Nazwa Aurelia Bazla
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): 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.v16i2.2255

Abstract

ABSTRACT Background: Dengue Hemorrhagic Fever (DHF) remains a significant health problem among children, with clinical severity that may progress rapidly. Severity grading is associated with plasma leakage, bleeding manifestations, and circulatory disturbances. Hematological parameters, including platelet count, hematocrit level, leukocyte count, and the platelet-hematocrit ratio, are commonly used to assess disease progression. This study aimed to evaluate the relationship between these parameters and the clinical severity of DHF in pediatric patients. Methods: An analytical observational study with a cross-sectional design was conducted using medical records of pediatric DHF patients from 2022-2024. Samples were selected through total sampling based on inclusion and exclusion criteria. Data were analyzed using univariate and bivariate statistical methods according to the classification of the World Health Organization. Results: Most patients presented with thrombocytopenia and elevated hematocrit levels. Platelet count, hematocrit level, Leukocyte and platelet-hematocrit ratio were significantly associated with clinical severity (p < 0.05). Lower platelet-hematocrit ratios were observed in more severe cases. Conclusion: Platelet count, hematocrit level, and platelet-hematocrit ratio are significantly associated with the clinical severity of DHF in children and may serve as supportive indicators for assessing disease progression. Keywords: Dengue Hemorrhagic Fever, Platelet, Hematocrit, Leukocyte, Platelet-Hematocrit Ratio, Clinical Severity, Children
DETERMINAN ANEMIA PADA IBU HAMIL BERDASARKAN PERAN STATUS SOSIAL DAN KEPATUHAN MENGONSUMSI SUPLEMENTASI ZAT BESI DI PUSKESMAS SEI PANAS KOTA BATAM TAHUN 2025 Acholder Tahi Perdoman; Muhammad Rifki; Alya Caprina Risandi
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): 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.v16i2.2256

Abstract

ABSTRACT Background: Anemia in pregnant women remains a public health problem globally (>35%) and in Indonesia (27.7%), including in Batam City. Social status, represented by education and occupation, as well as adherence to iron supplementation, is suspected to play a role in the occurrence of anemia. This study aims to analyze the association between education, occupation, and adherence to iron supplementation and to identify the most dominant factor related to anemia among pregnant women at the Sei Panas Public Health Center, Batam City. Methods: This analytic observational study with a cross-sectional design used secondary data obtained from medical records and the Maternal and Child Health (MCH) handbook of pregnant women. Data were analyzed using univariate analysis, bivariate analysis with the Chi-Square test, and multivariate analysis using logistic regression with a significance level of p<0.05. Results: A total of 43 respondents (50.6%) were anemic. Education (p=0.048), occupation (p=0.037), and adherence to iron supplementation (p<0.001) were significantly associated with anemia in the bivariate analysis. In multivariate analysis, adherence to iron supplementation was the most dominant factor (p<0.001; OR=0.014; 95% CI: 0.003–0.075). Conclusion: Adherence to iron supplementation was the most influential determinant of anemia among pregnant women. Strengthening adherence should be prioritized in anemia prevention strategies. Keywords: Anemia, Pregnant Women, Education, Occupation, Iron Supplementation Adherence
HUBUNGAN BERAT BADAN LAHIR RENDAH (BBLR) DENGAN KEJADIAN NEONATAL JAUNDICE DI RSUD EMBUNG FATIMAH Adi Arianto; Luis Yulia; Ghadhidha Fedayeena
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): 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.v16i2.2257

Abstract

ABSTRACT Background: Neonatal jaundice is a clinical condition commonly encountered during the neonatal period and remains an important concern in neonatal health care. This condition occurs as a result of elevated bilirubin levels in the blood and may be influenced by various risk factors, one of which is low birth weight (LBW), which is generally associated with hepatic functional immaturity. In neonates with LBW, the liver’s ability to conjugate and excrete bilirubin has not yet developed optimally, thereby increasing the risk of neonatal jaundice. Methods: This study employed an analytical observational design with a cross-sectional approach using medical record data. The sample consisted of 55 neonates with jaundice selected through total sampling. Data were analyzed using univariate and bivariate analyses with the Chi-square test and Contingency Coefficient. Results: A total of 36.4% of neonates had low birth weight. Physiological jaundice was found in 54.5% of cases, while pathological jaundice occurred in 45.5%. There was a statistically significant association between low birth weight and the type of neonatal jaundice (p = 0.021), with a weak strength of association (C = 0.297). Conclusion: There is a significant relationship between low birth weight and the type of neonatal jaundice; however, the strength of the association is weak. Keywords: low birth weight; neonatal jaundice; physiological; pathological; neonate.

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