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Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga.
Published by Universitas Muhammadiyah Malang
ISSN : 0216759X     EISSN : 2614476     DOI : https://doi.org/10.22219/
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Journal of Saintika Medika is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from basic sciences, clinical, and community or public health research to integrate researches in all aspects of human health. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short features of medicine, latest developments in diagnostic procedures, treatment, or other health issues that is important for the development of health care system are also acceptable. Letters and commentaries of our published articles are welcome.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 564 Documents
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Hubungan Dehidrasi Terhadap Memori Segera/Atensi Mochamad Bahrudin; Annisa Bunga Nafara
Saintika Medika Vol. 15 No. 1 (2019): JUNI 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM1.8487

Abstract

Dehidrasi adalah kondisi kekurangan atau kehilangan cairan dari seluruh kompartemen tubuh. Kekurangan cairan minimal 1% dapat mempengaruhi fungsi kognitif otak termasuk penurunan kemampuan daya ingat jangka pendek. Penelitian ini untuk mengetahui hubungan dehidrasi terhadap memori segera/atensi. Rancangan penelitian dengan True Experimental, Pre test and post Test with Control Group Design dengan dua kelompok, kontrol dan kelompok perlakuan (induksi dehidrasi ringan dengan treadmil 5,6 km/jam selama 40 menit, kemudian istirahat 20 menit). Instrumen yang digunakan adalah WAIS Digit Span Backward. Analisa data menggunakan Uji Chi-Square, Mann-Whitney Test, Nonparametric Correlations Spearman’s dan uji Regression. Dari penelitian ini didapatkan hasil prosentase penurunan memori segera/atensi pada kelompok tidak dehidrasi 16,1%, kelompok dehidrasi.adalah 30,6% dan Pada Uji Chi-Square signifikansi P= 0,02. uji NP Nonparametric Correlations Spearman’s signifikansi P=0.004 artinya ada korelasi antara beratnya dehidrasi dengan penurunan memori segera/Atensi dan pada uji regressi didapat korelasi negatif artinya semakin besar nilai dehidrasi maka semakin berat derajat penurunan memori segera/Atensi. Dari penelitian ini didapatkan hubungan dehidrasi terhadap memori segera/atensi dengan korelasi negatif.
Hubungan Antara Tipe Kepribadian Dan Tingkat Kecemasan Dengan Prestasi Akademik Mahasiswa Program Studi Pendidikan Dokter Universitas Muhammadiyah Purwokerto Ismi Visa Azizy; Irma Finurina Mustikawati; Maria Ulfa
Saintika Medika Vol. 15 No. 1 (2019): JUNI 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM1.8488

Abstract

Pendidikan merupakan salah satu hal yang penting bagi setiap bangsa dan untuk menopang kemajuan suatu bangsa terutama di negara Indonesia yang masih dalam taraf negara berkembang. Perkembangan manusia di Indonesia semakin menurun. Peringkat pendidikan menurut data United Nationals Educations and Scientifics Cultures Organization (UNESCO). Peringkat pendidikan dunia atau World Education Ranking yang diterbitkan Organisation for Economic Co-operation and Development (OECD) tahun 2015  Indonesia menempati peringkat  57 dari 65 negara. Terdapat beberapa faktor yang memengaruhi pendidikan yaitu faktor internal dan eksternal. Faktor internal dari mahasiswa antara lain kepribadian. Kepribadian adalah keseluruhan perilaku individu yang merupakan hasil interaksi antara fisik dan psikis. Kepribadian dapat memengaruhi kecemasan seseorang, dimana tingkat kecemasan yang tinggi dapat berdampak pada rendahnya prestasi akademik mahasiswa. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tipe kepribadian dan tingkat kecemasan dengan prestasi akademik pada mahasiswa Program Studi Pendidikan Dokter Universitas Muhammadiyah Purwokerto. Penelitian ini menggunakan metode observasional analitik dengan pendekatan cross-sectional, melibatkan 145 sampel menggunakan metode total sampling. Data di analisis menggunakan analisis bivariat uji eta, uji gamma dan analisis multivariat yaitu uji regresi ordinal. Dari hasil yang didapatkan tidak terdapat hubungan antara tipe kepribadian dengan prestasi akademik dengan nilai p value 0,099 dan terdapat hubungan antara tingkat kecemasan dengan prestasi akademik dengan nilai p value 0,025. Didapatkan hasil bahwa semakin rendah tingkat kecemasan maka semakin tinggi prestasi akademik pada mahasiswa Program Studi Pendidikan Dokter Universitas Muhammadiyah Purwokerto.
Dominant Factors Related To Use Of Male Condoms Of Man Who Have Sex With Men In Buleleng Regency Putu Sukma Megaputri; Ketut Putra Sedana; Made Bayu Oka Widiarta
Saintika Medika Vol. 15 No. 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM2.8594

Abstract

Men who have sex with men(MSM) community had become one of the epicentrum of transmission of STIs and HIV / AIDS. The results of an integrated survey of biological behavior of MSM condom use are only less than 50%. The objective of this study is to determine the most dominant factors increasing condom use in MSM. Survey Cross sectional study on MSM with a sample of 58 people selected by snowball sampling when MSM examined the Buleleng Health Center 1. Data collection was done by interviewing a questionnaire related to: social demographic characteristics, internal, external factors, negotiation and condom use. Data were analyzed by chi square followed by logistic regression using software. The study found that several factors related to condom use in MSM namely marital status showed that the respondents were unmarried (AOR: 9.5, 96% CI 1.5-59.7). Then the perception of high MSM susceptibility was also related to condom use (AOR: 6.5, 96% CI 1.3-33.3). Subsequently the availability of condoms on site and carried by MSM (AOR: 6.8, 96% CI 1.1-45.6). Factors related to condom use in MSM in Buleleng Regency are unmarried status, condom availability and perceived susceptibility.
Faktor – Faktor Risiko Kejadian Malfungsi Pirau Ventrikuloperitoneal Pada Pasien Hidrosefalus Bayi Dan Anak Di Rumah Saikit Umum Pendidikan dr. Sardjito Yogyakarta Yoyok Subagio; Handoyo Pramusinto; Endro Basuki
Saintika Medika Vol. 15 No. 1 (2019): JUNI 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM1.8624

Abstract

Kasus hidrosefalus pada bayi dan anak, merupakan salah satu kasus yang sering terjadi dan mempunyai komplikasi yang bervariasi. Penanganan hidrosefalus adalah dilakukan pemasangan pirau ventrikuloperitoneal. Tindakan tersebut sering ditemukan komplikasi, diantaranya adalah malfungsi. Faktor yang mempengaruhi terjadinya malfungsi tersebut, salah satunya berupa karakteristik pasien, cara persalinan, analisa CSS, tipe dan tekanan pirau ventrikuloperitoneal, jenis hidrosefalus, dan etiologi hidrosefalus. Penulis dalam kesempatan ini akan menganalisa faktor – faktor yang berpengaruh terhadap kejadian malfungsi pirau ventrikuloperitoneal. Penelitian ini adalah penelitian analitik dengan desain cohort retrospective, yaitu dengan cara mengambil sampel pasien hidrosefalus pada bayi dan anak yang telah dilakukan pemasangan pirau ventrikuloperitoneal pada periode Januari 2015 sampai dengan Desember 2016. Jumlah sampel yang akan diteliti adalah sebesar 124 sampel. Data dianalisis dengan Chi square yang selanjutnya dilakukan analisis multivariat dengan regresi logistik. Total sampel penelitian 124 pasien hidrosefalus pada bayi dan anak yang sesuai dengan kriteria inklusi. Dilakukan pengambilan sampel secara total. Pada penelitian ini terdapat 8 faktor risiko yang dapat mempengaruhi kejadian malfungsi pirau ventrikuloperitoneal pada pasien hidrosefalus bayi dan anak Pada analisis multivariat terpilih 3 faktor risiko yang dapat mempengaruhi kejadian malfungsi pirau ventrikuloperitoneal, yaitu usia kehamilan, usia kehamilan, tipe pirau ventrikuloperitoneal, dan analisa jumlah sel CSS. Faktor risiko yang dominan dan berpengaruh terhadap kejadian malfungsi pirau ventrikuloperitoneal pada pasien hidrosefalus bayi dan anak adalah usia kehamilan preterm, yaitu sebanyak 6 sampel (66,7%) dari 9 sampel dengan nilai p = 0,010 yang artinya nilai p < 0,05 dan dengan Odds Ratio (OR) paling besar yaitu 7,156 dengan IK 95% (1,627-31,476), sedangkan jumlah sel CSS yang meningkat  sebesar 8 sampel (38,1%) dari 21 sampel dan nilai p = 0,406 dan OR 1,646 dengan IK 95% (0,509-5,328). Untuk tipe pirau ventrikuloperitoneal mempunyai nilai p = 0,161 dan OR 0,727 dengan IK 95% (0,466-1,136). Usia kehamilan preterm pada pasien hidrosefalus bayi dan anak merupakan faktor risiko yang dapat mempengaruhi kejadian malfungsi pirau ventrikuloperitoneal di RSUP Dr. Sardjito.
Profil Dermatofitosis Superfisialis Periode Januari – Desember 2017 Di Rumah Sakit Islam Aisiyah Malang Dwi nurwulan; Tubagus Arif Hidayatullah; Aliefia Firdausie Nuzula; Ridya Puspita
Saintika Medika Vol. 15 No. 1 (2019): JUNI 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM1.8625

Abstract

Demartofitosis merupakan penyakit yang disebabkan oleh kolonisasi jamur dermatofita yang menyerang jaringan yang mengandung keratin seperti stratum korneum kulit, rambut dan kuku pada manusia. Dermatofitosis tersebar diseluruh dunia dengan prevalensi yang berbeda-beda tiap negara dan Indonesia menempati urutan kedua. Tinggimya kasus tersebut didukung dengan Indonesia merupakan salah satu negara beriklim tropis yang memiliki suhu dan kelembaban tinggi, dimana merupakan suasana yang baik bagi pertumbuhan jamur, higiene juga berperan untuk timbulnya penyakit ini, sehingga jamur dapat  ditemukan hampir di semua tempat. Penelitian ini untuk mengetahui profil penderita rawat jalan dermatofitosis superfisialis di rawat jalan kulit kelamin RSI Aisyiyah Malang periode Januari-Desember 2017. Penelitian ini merupakan penelitian  deskriptif restrospektif berdasarkan data rekam medis bulan Januari-Desember 2017 dari RSI Aisyiyah Malang. Data ditampilkan dalam bentuk diagram meliputi jumlah pasien, jenis kelamin, usia pasien, pekerjaan, gejala, diagnosis, dan terapi. Hasil dari data rekam medik RSI Aisyiyah Malang pasien poli kulit dan kelamin pada tahun 2017 tercatat jumlah kasus dermatofitosis sebanyak 19 kasus dari 417 kasus dimana berdasarkan jenis kelamin perempuan lebih banyak (63%), dengan usia terbanyak  35-59% (35%), efflorensi terbanyak pustula ( 44%), dan terapi kombinasi merupakan jumlah terbanyak. Dari 19 kausu kasus dermatofitosis prevalensi terbanyak adalah tinnea incognito dengan effloresensi pustule dan pada sampel wanita dengan usia anatar 35-59 tahun.
Correlation between Diabetes Mellitus Onset with Diabetic Nephropathy Caseof the In-Patients Treated in RS Muhammadiyah Ahmad Dahlan Kediri Satria Candra Kusuma; Muhammad Masykur AG
Saintika Medika Vol. 15 No. 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM2.9583

Abstract

The average numberof diabetes mellitus patients who underwenthospitalization inRS Muhammadiyah Ahmad Dahlan Kedirireached 11.6% per month. The age rage of the patients was between 5-15 years. They usually suffered from complications such as DM nephropathy, hypertension and hyperglycemia, that this fact should be inspectedfurther. This study was intended to cover as to how significant is the correlation between diabetes mellitus onset and the caseof diabetic nephropathy suffered by patients. The design of this study was cross sectional correlative descriptive. The sample of this study was the DM in-patients with the complication of diabetic nephropathy taken using total sampling. Spearman Rank was used as the data analysis technique. This study has found that 49 (84.48%) out of 58 diabetes mellitus patients were suffered from diabetic nephropathy too. Meanwhile, according to the result of hypothesis test, the r-count value was 0.743 and the significance rate was 0.000, which mean that there was a relation between the variable of diabetes mellitus onset and variable of diabetic nephropathy case occurred to the in-patients of RS Muhammadiyah Ahmad Dahlan Kediri.
Epidermolysis Bullosa Acquisita Occuring In A Patient With Systemic Lupus Erythematosus Lita setyowatie; Yustian Devika Rahmawati; Arif Widiatmoko; Diah Prabawati Retnani
Saintika Medika Vol. 15 No. 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM2.9884

Abstract

Epidermolysis Bullosa Acquisita (EBA) is a rare, chronic autoimmune subepidermal bullous disease and has been noted to be associated with systemic lupus erythematosus (SLE). The incidence of EBA and SLE in one patient within the period of 1980-1990 found only 7 published case reports. A 23 years old woman with exfoliate skin since 12 years ago. Initially itchy on her buttock then appeared small blister. Blister spread almost the entire body and rupture. This complaint got worsening in a year accompanied with hair loss, weight loss, and oral ulcer. Dermatological examination showed patch eritematosa, hyperpigmentation, hypopigmentation, erotion with erythematous base, yellow brownish crust. Also obtained sclerodactyli toes and nail fingers. Laboratory examination anemia gravis, hypoalbuminemia, Coombs test +2, ANA Test negatif, dsDNA IgG 32,80. Histopathology examination showed blister subepidermal, no vacuolar degeneration, no superficial and deep infiltrat, and minimal lymphocyte. Patient had diagnosed SLE from Internal Department based on MEX-SLEDAI score. The patient was treated with metylprednisolone intravenous pulse dose 500 mg on 3 days then tappering off and wound care. Epidermolysis Bullosa Acquisita immunogenetically related with MHC class II haplotype in particular  HLA-DR2. This factor suggest playing role in the development of  EBA to express more aggresive SLE. 
Tuberous Sclerosis Complex : A Case Report Aunur Rofiq; Lita Setyowati; Aninda Fitri Nugrahani
Saintika Medika Vol. 15 No. 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM2.9935

Abstract

Tuberous Sclerosis Complex (TSC) is an autosomal dominant inherited neurocutaneous disorder. Tuberous Sclerosis Complex is caused by mutations in tumor suppressor gene (TSC), both TSC1 and TSC2.  In approximately two-thirds of cases neither parent has signs of TSC and the disease is caused by a de  novo mutation. Tuberous Sclerosis Complex is classically identified by the Vort's triad in the presence of angiofibroma, mental retardation, and epilepsy. A 17-year-old woman with a major complaint of a facial bump that appeared at birth and got bigger when she reached puberty. There are white patches on the patient's body from birth. On the scalp obtained the presence of skin color plaque, while at the back and right knee obtained shagreen patch. Patientwas diagnosed with epilepsy and mental retardation by the pediatric department. No family history has the same complaints as patient. Histopathologic examination of facial bumps taken by shaving biopsy suggests the presence of hemangiomas. Based on the clinical diagnostic criteria from International Tuberous Sclerosis Complex Consensus Conference 2012, the patient meets two major criteria, macular hypopigmentation and shagreen patch so it is included in "definite diagnosis".
Correlation Of Using Contraception With Breast Milk Production In Breastfeeding Mothers In The Andalas Public Health Center In Padang Rini Rahmayanti; Yola Yolanda
Saintika Medika Vol. 15 No. 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM2.9957

Abstract

Indonesia is still categorized as low in 2017, only 35.73% with a target of 50%. West Sumatra Province occupies the fifth position with exclusive breastfeeding coverage of 73.6%. The percentage of babies with exclusive breastfeeding in the city of Padang in 2017 was 74.77% of the target of 80%. Andalas Puskesmas has the lowest exclusive breastfeeding coverage of 59.84%. The purpose of this study was to determine the relationship between hormonal contraceptive use and breast milk production in breastfeeding mothers in the Kubu Village in the Parak Karakah Work Area of the Andalas Padang Health Center in 2019. This type of research was analytic with a cross sectional design. The population of mothers who have babies aged 1-6 months is 268 people with a sample of 73 people. Purposive sampling technique. Analyzed univariately using a frequency distribution table and bivariate using the Chi-Square statistical test. Univariate analysis results showed there were more than half (57.5%) with insufficient milk production. More than half (67.1%) use hormonal birth control. The results of bivariate analysis have a relationship between the use of hormonal contraception with the production of breast milk (X2h> X2t). The conclusion is that there is a relationship between hormonal contraceptive use factors, and milk production. It is expected that health workers can provide counseling to nursing mothers by providing health education about efforts to increase milk production. 
Case Study: The Use of Metcovazin in Curing Burns Irnawati Irnawati
Saintika Medika Vol. 15 No. 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM2.9962

Abstract

Burn is the most common trauma for kids happens due to contact with fire, hot objects, electricity, and chemicals. The size, location, and depth of burn become the main factor that affect the curing treatment. Complications, such as; infection, toxic shock syndrome, scar, and psychological symptoms, can be occurred if the wound did not treat in a good and proper way. This study aimed to describe the use of metcovazin® and management treatment on two cases of second-degree burns. The principle of TIME (Tissue management, Inflammation & Infection control, Moisture balance, Edge) as the modern dressing used for wound management treatment. The result showed that using TIME management treatment could quicken the healing process of the wound. It was able to increase basic defense of a healthy wound. The combination of metcovazin® and modern dressing were effective in curing the second-degree burns.

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