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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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Analysis Of Factors And Performance Of Puskesmas In Tb Case Finding In Lhokseumawe City yuziani, yuziani; Uljannah, Annisa; Sawitri, Harvina; Maulina, Mutia; Novalia, Vera; Zara, Noviana
Saintika Medika Vol. 19 No. 2 (2023): December 2023
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol19.SMUMM2.32113

Abstract

Tuberculosis is still a health problem in Indonesia and the world today. Aceh Province has the highest number of TB cases in Indonesia, and North Aceh district is the number one highest district in Aceh Province. One effort to reduce the morbidity rate caused by TB is TB case detection (Case Detection Rate/CDR) and the success rate of treatment. The high and low rates of TB case discovery are influenced by the performance of all managers of the TB disease control program (P2TB), which all related parties support. This research describes officers' performance finding tuberculosis cases at the Lhokseumawe City Health Center. This type of research is quantitative with a cross-sectional design. Samples were taken from the total population, namely all officers responsible for TB at community health centres in Lhokseumawe, totalling 15 officers. The results of this research showed that the dominant gender was 86.7% female officers, 80% D3 education level, 100% good knowledge, 86.7% sufficient motivation of officers, 73.3% good leadership of the head of the community health centre, 86% good training for TB officers, 7%, case detection was 100% good, work period was more than two years 73.3%, and the achievement of TB case discovery was only one health centre that reached the standard. The conclusion from research conducted at the Lhokseumawe City Health Center is that many factors influence officers' performance in case finding.
The Effect Of Butterfly Pea Flower Tea On Brain Weight In Wistar Rats After D-Galactose Induction Budiastuti, Ernadita; Pratama, Yanasta Yudo; Pramaningtyas, Miranti Dewi; Adnan, Muhammad Luthfi
Saintika Medika Vol. 20 No. 1 (2024): June 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM1.32376

Abstract

Introduction: Butterfly pea flowers (Clitoria ternatea L.) currently popular in society as high-antioxidant supplement. One of the organs affected by aging is the brain. D-galactose is a compound that is widely used for induction of aging in animal studies. The aim of this study was to assess the effect of butterfly pea flower tea on changes in brain weight in mice induced by D-galactose. Method: 24 rats were divided into four groups consisting of control, groups with 1%, 5%, and 10% butterfly pea flower tea intervention after being induced by aging for 6 weeks. The brain organs were then weighed to assess changes in each group. Result: There was an increase in body weight but no significant differences between each group either before or after the intervention. No significant differences were found in the average brain weight of each group, with the brain weight of the P3 group being lower than that of the other intervention groups. There is a positive correlation between body weight and brain weight. Conclusion: Although the butterfly pea flower has no statistically significant effect, at concentrations of 1% and 10% it can have an effect on brain weight after induction of aging by D-galactose.
Effectiveness Of Watermelon (Citrullus lanatus) Red Flesh Extract On Reducing Coronary Artery Foam Cells and Thinning Of The Aortical Intima In Wistar Rats (Rattus norvegicus strain Wistar) Atherosclerosis Model Bahrudin, Mochamad; Dian Yuliartha Lestari; Nabila Risma Anjana; Tiara Lastari
Saintika Medika Vol. 19 No. 2 (2023): December 2023
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol19.SMUMM2.32403

Abstract

Introduction: Atherosclerosis (AS) is a process of narrowing of the lumen of arteries due to progressive plaque buildup. Foam Cell and plaque appear as a result of lipoprotein metabolism disorders which result in inflammatory reactions. The incidence of AS in the world is increasing, resulting in various complications that can lead to death. Lycopene is contained in the red flesh of watermelon, which is an antioxidant that can control free radicals and can reduce the risk of AS. Objective: To determine the effectiveness of watermelon (Cittrulus lanatus) red flesh extract on reducing coronary artery foam cells and thinning of the aortic intima in Wistar rats (Rattus norvegicus strain Wistar) atherosclerosis model. Method: This research was an experimental study (true experimental) using the Post Test Only Control Group Design method, which measures the number of coronary artery foam cells and the thickness of the aortic intima in Wistar rats (five groups) after administration of a hypercholesterolemic diet and watermelon red flesh extract at a dose of 250,500,750 mg /kgBW. Data analysis was carried out using One-Way ANOVA and Post Hoc Bonferroni tests. Results: The One-Way ANOVA statistical test showed results of 0.020 for foam cells and 0.008 for thickness of the intimal tunica, which means that there was a real influence of watermelon red flesh extract on decreasing foam cells and significant thinning of the intimal tunica in the treatment group. Furthermore, the Post Hoc Bonferroni test showed that the dose of 750 mg/kgBW had the most effect on reducing foam cells (p=0.046) and thinning the intima (p=0.015). Conclusion: Watermelon (Citrullus lanatus) red flesh extract at a dose of 750 mg/kgBW has a significant effect on reducing the number of foam cells and thinning of the aorta of the Wistar rat model of atherosclerosis.
Characteristics Of Acute Appendicitis Patients In Muhammadiyah University General Hospital Malang 2015-2018 Period Sander, Mochamad Aleq; Sulaiman Rasjid
Saintika Medika Vol. 19 No. 2 (2023): December 2023
Publisher : Universitas Muhammadiyah Malang

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

Abstract

This disease can occur at any age but generally occurs in young adults and adolescents, namely at the age of 10-30 years, and the highest incidence is in the 20-30 year age group. One in 15 people has had acute appendicitis in their lifetime. The highest incidence is in men aged 10-14 years and women aged 15-19 years. Appendicitis is rare in infants and children under two years. This type of research is descriptive retrospective. Samples were all patients diagnosed with acute appendicitis who met the inclusion criteria at the General Hospital of Muhammadiyah Malang University. Independent variables: acute appendicitis and dependent variable: medical record status containing sample characteristics, clinical diagnosis, and surgical technique. Data analysis was done by tabulating with descriptive tables. The study results obtained 258 patients with a diagnosis of acute appendicitis, divided into 137 people with a simple appendectomy surgery technique and 121 people with a laparoscopic appendectomy surgery technique. The conclusion shows that the age of most patients with acute appendicitis is 11-30 years. The most gender is female, the most patient service status is BPJS, and the most surgical technique is simple appendectomy.
Tramadol and Dexamethasone as Adjuvant to Bupivacaine in Supraclavicular Brachial Plexus Block Ved, Shrutika; Rana, Neel; Shah, Shruti; Shah, Ruchi; Gajipara, Ishitaben; Dave, Mrugakshi
Saintika Medika Vol. 20 No. 1 (2024): June 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM1.33082

Abstract

Background: To assess the effects of combining Tramadol and Dexamethasone with Bupivacaine in supraclavicular brachial plexus block for upper limb surgeries. Material and Methods: A clinical research was performed with sixty patients who received upper limb surgery with a supraclavicular brachial plexus block. The study encompassed a total of 60 patients who were divided into two groups, with 30 patients in each group. Group D was administered a blend of Bupivacaine and Dexamethasone, whilst Group T was given a mixture of Bupivacaine and Tramadol, resulting in a combined amount of 25 ml. The study recorded the beginning and length of the sensory and motor block. We meticulously observed the hemodynamic variables throughout the research, until the administration of the first rescue analgesic. Results: In group D, the mean time for motor block to occur was 5.10±0.92 minutes, whereas in group T, it took 7.93±0.98 minutes. Group D had an average sensory block onset time of 8.23±1.22 minutes, whereas Group T had a slightly longer average onset time of 10.97±1.22 minutes. Group D had an average motor block duration of 560.53±24.46 minutes, whereas group T had a duration of 358.93±20.85 minutes. Group D had a mean duration of sensory block of 745.17±32.81 minutes, whereas group T had a slightly shorter duration of 457.07±16.36 minutes. In group D, the average time for the first rescue analgesia was 961.50±32.94 minutes, whereas in group T, it was 524.17±16.46 minutes. Conclusion: Inclusion of Dexamethasone led to a noticeably quicker onset of motor and sensory block in comparison to Tramadol. In a recent study, researchers discovered that when Dexamethasone was added to the mix, it had a notable impact on the duration of both motor and sensory block. The effects were significant and promising. When Dexamethasone was added, it noticeably increased the duration until the first rescue analgesia, in comparison to Tramadol.
The Relationship Between Neutrophil-Lymphocyte Ratio (NLR), C-Reactive Protein (CRP), Interleukin 6 (IL-6), and D-Dimer Levels on the Severity of Covid-19 Patients at RSU Muhammadiyah University of Malang Hermayanti, Diah; Thahri Iskandar; Djoni Djunaedi; Silvana Gadis Ardhistix’s; Maulana Faishol Charisma M; Fajrul Falah; Muhammad Samir
Saintika Medika Vol. 19 No. 2 (2023): December 2023
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol19.SMUMM2.33202

Abstract

Background: COVID-19 virus infection has the potential to become severe in individuals who are susceptible or who have comorbid diseases. Natural immunity status in infected sufferers can cause an increase in the number of neutrophil cells and a decrease in the number of lymphocyte cells (increased neutrophil-lymphocyte ratio), serum inter-leukin-6 (IL-6), C-reactive protein (CRP) levels which are associated with severity. covid-19. Hypercoagulability that occurs in COVID-19 infection causes an increase in D-dimer levels, reflecting a response to prothrombotic phenomena and is associated with an increased risk of mortality in COVID-19 patients. Objective: To determine the relationship between Neutrophil-lymphocyte ratio (NLR), C-reactive protein (CRP), Interleukin-6 (IL-6), and D-dimer levels on the severity of Covid-19 patients at Muhammadiyah Malang University (UMM) Hospital Method: Using a retrospective design by taking a total sampling of medical record data for COVID-19 patients treated at UMM Hospital in 2021-2022. Results and Discussion: Spearman correlation on NLR 0.426 (p=0.000), OR=3.67, 95% CI=1.622-8.226, CRP 0.343 (p=0.000) with OR 5.143, 95%CI=1.128-23.448, D- Dimer 0.326 (p=0.000), OR 2.497, 95% CI=1.142-5.458. Meanwhile, the correlation and IL-6 estimation values could not be calculated because the sample size was insufficient. CRP levels in COVID-19 patients are the best predictor of worsening compared to other parameters. Conclusion: NLR values, CRP levels, and D-Dimer levels are related to the degree of severity in COVID-19 patients.
Dexmeditomidine And Fentanyl As An Adjunct To Bupivacainein Supraclavicular Nerve Block Darji, Dhara; Pareek, Neha; Butala, Bina; Sanghani, Sagar; Padhiyar, Shrushti
Saintika Medika Vol. 20 No. 1 (2024): June 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM1.33223

Abstract

Objective: The objective of the study was to evaluate the influence of the combination of dexmedetomidine and fentanyl with bupivacaine on the efficacy of ultrasonic guided supraclavicular nerve block for upper limb surgeries. Material and Methods: The study comprised a sample of 150 patients who were scheduled to have upper limb procedures at the Department of Anaesthesia in a Tertiary Care Teaching Institute in India. A total of 150 patients were divided into three groups. Group A was administered a combination of Bupivacaine and saline, Group B received Bupivacaine along with dexmedetomidine, and Group C was given Bupivacaine in combination with fentanyl. The essential parameters of heart rate, systolic and diastolic blood pressure, and oxygen saturation were documented. Results: Both the B Group and C Group exhibited a more rapid initiation and extended duration of sensory and motor blockade, which was statistically significant (P<0.05). Group B had a longer duration of pain relief after surgery compared to Group C and Group A. Conclusion: The administration of dexmedetomidine and bupivacaine in the supraclavicular block effectively reduced the onset time of both sensory and motor blocks. Furthermore, the administration of both dexmedetomidine and bupivacaine resulted in a significant reduction of postoperative discomfort.
Description of Workforce Preparedness for Fire Management at Dinoyo Health Center Zanuba Syifa' Qotrunnada; Fresvian Jenrivo; Ani Asriani Basri; Fariz Zuvil Arganata
Saintika Medika Vol. 20 No. 1 (2024): June 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM1.33302

Abstract

Background: Dinoyo Community Health Center is a health facility in Malang City that must implement fire safety. There have been 4 incidents in 2020 and 8 incidents in 2021 where fire occurred at community health centers. Preparedness is carried out as an effort to deal with fires from a human perspective. Research objective: To determine workforce preparedness for fire management at the Dinoyo Community Health Center. Research type: descriptive quantitative with a population of 55 people using saturation sampling techniques. There are 2 preparedness parameters in this research variable, namely knowledge and attitudes. Results: The preparedness of the workforce is "ready" category for fire management with an index value of 76.10. The level of knowledge scored 66.23 is "ready" category and attitude scored 85.98 is "very ready" category. Conclusion: The attitude value is higher than the knowledge value. This is because attitudes are not only influenced by knowledge, but also influenced by personal experience, the influence of other people, and emotional influence. The workforce has received fire management training and simulations. The interview results show that the workforce understands information related to emergencies. Suggestion: Workers should increase their knowledge through print media or the internet.
Validity And Reliability Of Mars-10 Questionnaire On Antipsychotic Adherence In Schizophrenia Patients Syifa, Nailis; Almuhtarihan, Irsan Fahmi; Habba, Erika Zahrotul Avia; Nazliza, Uhai’atun Nisa’; Nadifa, Jaza Faizun
Saintika Medika Vol. 20 No. 1 (2024): June 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM1.33729

Abstract

Non-adherence in schizophrenia treatment is still a major problem in the successful treatment of schizophrenia. MARS-10 (Medication Adherence Report Scale-10) questionnaire is a self-reported questionnaire to measure patient’s adherence which has been implemented in some disease. However, there is still no study investigated the application of MARS-10 into schizophrenia patients in Indonesia. The purpose of this study was to determine the reliability and validity of the MARS-10 questionnaire in schizophrenia cases in Indonesia. This design of this study was a prospective, descriptive quantitative analysis approach with a cross-sectional design. Thirty schizophrenia patients from Saiful Anwar Hospital Malang, Lawang Mental Hospital, and UMM Hospital were used as research samples. Determining the validity of the questionnaire using the Pearson Product Moment correlation test, the correlation coefficient value r count is greater than the r table value, which is 0.361. In determining the reliability of the questionnaire, an analysis was carried out using the Cronbach's Alpha coefficient which showed the Cronbach's Alpha coefficient of 0.742. The results of the validity and reliability tests show that the MARS-10 questionnaire that has been translated into Indonesian is valid and reliable for measuring the level of compliance of schizophrenia patients with antipsychotic treatment in Indonesia.
Knowledge and Attitudes regarding Compliance with the Use of Personal Protective Equipment for Motor Vehicle Test Workers at the Malang Regency Transportation Service Vika, Tiaravika Shafa Kamilah; Ani Asriani Basri; Fariz Zuvil Arganata; Nafilatul Fitri
Saintika Medika Vol. 20 No. 1 (2024): June 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM1.32691

Abstract

The use of PPE is an effort to protect or prevent potential work hazards or accidents. Worker compliance in using PPE is determined by worker knowledge and attitudes. Workers' knowledge will change their actions so that this change in attitude will make workers obey the rules at work. The aim of this research is to analyze the relationship between knowledge and attitudes and compliance with the use of PPE among motor vehicle test officers at the Malang Regency Transportation Service. Quantitative analytical method, cross sectional approach. Total sampling was 30 respondents. Data was taken by filling out questionnaires by respondents and observing. Data analysis was carried out univariately and bivariately using the spss program with the Chi-Square statistical test. The Chi-Square test showed that there was a relationship between knowledge and compliance with the use of PPE (p-value = 0.043), and there was a relationship between attitude and compliance with the use of PPE (p-value= 0.027). The higher a person's level of knowledge and attitude, the more compliant they will be in using PPE.

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