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Dwi Nurwulan Pravitasari
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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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Profile of Drug-Resistant Tuberculosis Patients at the Haji Regional Hospital, East Java Province in 2019-2022 Setiawan, Meddy; Surianata, Raditya Widya; Yustikasari, Yolla Gitamaya; Permana, Ridho A'bid; Hakiki, Nurani; Ornadi, Annisa Brilian
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.SMUMM1.33708

Abstract

Objective: To determine the profile of TB cases that are resistant to antibiotics and the resistance pattern of Mycobacterium tuberculosis in patients at Haji Regional Hospital, East Java Province  Method: The type of research is descriptive-retrospective based on primary data from patient medical records and laboratories in the 2019-2022 period  Results: The results show that the incidence of drug resistance based on the most OAT in Tuberculosis Drug Resistant Patients at the Haji Hospital of East Java Province in 2019-2022 is a combination of R+H as many as 69 patients (46%) and the origin of the most infection is relapse / recurrence of 73 patients (48.7%)  Conclusion: According to the characteristics, the majority of drug-resistant tuberculosis patients at Haji Hospital in East Java Province from 2019-2022 were male patients aged 19-59 years. According to the resistance pattern of M. tuberculosis bacteria, the most common type of drug resistance was MDR-TB (Multi-Drug Resistant Tuberculosis), and the most previous TB history was relapsed patients.   
D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19 Tarmidi, Moch Syahrial Pramudia; Fitria, Nurul; Giovanni, Oryzasativa; Puspito, Akhdan Zharfan; Arifah, Sintia Wahyu; Akbar, Gibran Maulana
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.33479

Abstract

Background: Since WHO declared COVID-19 a pandemic, Indonesia, including RSUD Gambiran Kediri, has experienced a sharp increase in morbidity and mortality. The global incidence of acute stroke in COVID-19 patients is 1.4%, with symptoms varying from mild to severe, including death. Elevated serum D-dimer in COVID-19 patients can be a biomarker to predict severe complications. Objective: This study aims to determine the relationship between elevated serum D-dimer levels (mild, moderate, severe) with mortality in acute stroke patients with COVID-19. Methods: Observational analytic study with a cross-sectional method using secondary data from medical records of patients admitted to RSUD Gambiran Kediri from March 2020 to June 2023. Patients were categorized based on serum D-dimer levels: normal (<0.5 mg/L), mild (<1 mg/L), moderate (1-2 mg/L), and severe (>2 mg/L). Results: Of 101 acute stroke patients with COVID-19, 52.48% were male. A total of 90 patients had elevated D-dimer levels, with 44 patients dying. Spearman correlation test and Chi-square test showed no significant association between D-dimer levels and mortality (p>0.005). Conclusion: There is no association between elevated serum D-dimer levels and mortality in acute stroke patients with COVID-19.
Unsafe Action Of Gadget And Eye Fatigue in Jambi University Psychology Students Anggi, Meisya Dwi Anggi Marta; Guspianto; Rd. Halim; Ummi Kalsum; Budi Aswin
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.33623

Abstract

In the 4.0 Revolution Era, technology is becoming increasingly advanced, impacting eye fatigue. This study aimed to analyze the relationship between unsafe actions of gadget use and subjective complaints of eye fatigue among Psychology students at Jambi University in 2023. This was a cross-sectional study with a sample of 106 students using stratified random sampling. The research was conducted from March 2023 to February 2024 at the Psychology Study Program, Jambi University. Univariate and bivariate analyses were performed using the Chi-square test with 95% confidence level. The dependent variable was subjective complaints of eye fatigue measured by the DES-Q, while the independent variables were glasses use, viewing duration, viewing distance, and gadget use position. 60.4% had subjective eye fatigue complaints. Variables associated with subjective eye fatigue complaints were long gadget viewing duration (PR: 1.945 (95%CI; 0.936-4.042)) and short smartphone viewing distance (PR: 1.532 (95%CI; 1.092-2.151)). No association was found for glasses use (PR: 0.986 (95%CI; 0.657-1.479)), laptop viewing distance (PR: 0.892 (95%CI; 0.649-1.227)), and gadget use position (PR: 1.027 (95%CI; 0.697-1.514)). Conclusion: Long gadget viewing duration >4 hours and short smartphone viewing distance <30 cm were risk factors for subjective eye fatigue complaints. Students are advised to take eye breaks every 2 hours.
Influence Of Health Behaviour Factors On Basic Immunisation In Indonesia 2022 Syifa Faikhatul Ilmi; Efri Diah Utami
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.35004

Abstract

Background: The coverage of complete basic immunisation in Indonesia from 2020 to 2022 never reached the target of the 2020-2024 National Medium-Term Development Plan despite various efforts made by the government. As a result, there are many cases of infectious diseases in children. Therefore, this study aims to determine the overview of the coverage of complete basic immunisation in Indonesia in 2022 and the effect of antenatal care visits, doctor ratio, and ownership of immunisation documents on the coverage of complete basic immunisation in Indonesia in 2022. Methods: This study uses data from the Central Bureau of Statistics publication and the Ministry of Health publication. The analysis method used in this study is multiple linear regression analysis. Results: Antenatal care visits and the ratio of doctors have a positive and insignificant effect on the coverage of complete basic immunisation in Indonesia in 2022 while ownership of immunisation documents has a significant positive effect. Conclusion: The variable of ownership of immunisation documents is the most influential variable on the coverage of complete basic immunisation. This variable will increase the coverage of complete basic immunisation by 1.377 percent every 1 percent increase in the percentage of ownership of immunisation documents.
Analysis of the Relationship between Work Attitudes and Work Motivation on Employee Work Productivity at CV Iswara Komang Aditya Surya Negara; Nafilatul Fitri; Fresvian Jenrivo; Rizki Mustika Riswari
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.35904

Abstract

Productivity is important in a company, because if the level of productivity is high, it will produce products that meet or exceed the desired target. Programs related to motivation and work attitudes can help support company facilities. With a good work motivation program for improving human resources, human resources can be improved for the better. With this, it can support the vision and mission of a company, one of which is achieving production targets thereby increasing company funds. The aim of this research is to determine the relationship between work attitudes and productivity, the relationship between work motivation and productivity, and determine work productivity. The research method used is quantitative with techniques total sampling on 35 employees using multiple linear regression analysis, with questionnaire instruments, and the SPSS method. Based on the analysis, results were obtained from the relationship between work attitude and productivity, motivation and productivity, and work productivity, with the majority of workers having good levels of work attitude, work motivation, and work productivity. Based on the statistical output, the significance value of the relationship between attitudes and productivity has a p value = 0.001b (sig < 0.05). The relationship between motivation and productivity has a p value = 0.001b (sig < 0.05). Work attitude and work motivation have a significant relationship with work productivity.
The Effectiveness of Kinesio Taping in Reducing Pain for Chronic Low Back Pain: A Systematic Review Winda Ayu Surya Ningrum; Edi Setiawan
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.SMUMM1.37233

Abstract

This systematic review aims to assess the effectiveness of Kinesio Taping (KT) in alleviating pain in patients with chronic low back pain (CLBP). Chronic low back pain, a widespread and debilitating condition, necessitates the exploration of effective, non-pharmacological interventions to improve patient quality of life. This review examined studies from 2014 to 2024, sourced from Scopus, Web of Science, PubMed, and Google Scholar, focusing on randomized controlled trials that utilized KT as a primary or adjunctive therapy. The findings indicate that when combined with conventional therapies, KT often leads to notable pain reduction and functional improvement in CLBP patients. However, inconsistencies across studies reveal varied outcomes, particularly concerning KT's benefits over placebo or sham taping. Factors such as application technique, duration, and patient-specific characteristics influence KT's efficacy, emphasizing the need for standardized methodologies in future research. While KT shows promise as part of a comprehensive treatment approach, further investigation with larger sample sizes and long-term follow-up is warranted to establish definitive application guidelines and confirm its role in managing CLBP.
Description of the Nutritional Status of Children Under Five Years of Age in the Province of Yogyakarta in 2023 Kurniawan, Nurcholid Umam; Yuniasih, Dewi; Selohandono, Andrianto; Nurulita, Febrianti Putri
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.38242

Abstract

Background: The nutritional status of children under five is a measure that describes the health condition of children under five based on the balance between nutrient intake and body needs for optimal growth, development, and body function. The nutritional status of children under five in the Special Region of Yogyakarta (DIY) in 2023 includes various important indicators such as stunting, wasting, and underweight. Objective: To provide a comprehensive picture of the nutritional status of children under five in Yogyakarta in 2023. Methods: The research design used was descriptive with a quantitative approach. The population in this study was all toddlers living in the Special Region of Yogyakarta in 2023. The sampling technique is purposive sampling, so that the data taken is data on toddlers aged 0-59 months who live in DIY and are contained in the SKI 2023. The data collection method used secondary data, namely the 2023 Indonesian Health Survey (IHS) data. Results: Stunting was highest in Gunungkidul (22.2%) and lowest in Sleman (12.4%). Underweight also had a significant prevalence, especially in Bantul (14.7%) and Gunungkidul (14.5%). Wasting had the highest prevalence in Bantul (7.9%). Conclusion: The most prevalent under-five nutritional status problem is stunting.
Assessment of Sleep Patterns and Their Correlation with Height in Children Aged 8–11 Years: Insights from the Sleep Disturbance Scale for Children (SDSC) Ahmad mahfur; Safitri, Laksmitha Saktiono; Nurdiana, Hawin; Arofah, Annisa Nurul
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.SMUMM1.38539

Abstract

Sleep plays a crucial role in human growth, particularly during slow-wave sleep when the growth hormone functions optimally. Sleep disturbances are prevalent in 20–30% of children. Over the past century, there has been a notable decline in children’s sleep duration, with the most significant reductions observed in school-aged children. This study investigates the relationship between sleep patterns and the height of boys aged 8–11 years at Muhammadiyah 4 Elementary School in Malang. A cross-sectional design was employed, involving 98 boys who met the inclusion criteria. Data on height and weight were collected from school records, while sleep pattern information was obtained through parent-completed questionnaires. Statistical analysis was conducted using Fisher's exact test with a significance level of p ≤ 0.05. The results revealed no significant association between sleep patterns and children's height (p = 0.649). Most participants were 8 years old, with poor sleep patterns observed. However, based on maternal and paternal height, the majority were categorized as having an appropriate height. This study concludes that there is no significant relationship between sleep patterns and the height of boys aged 8–11 years at Muhammadiyah 4 Elementary School in Malang
Effectiveness of Petai (Parkia speciosa) Ethanol Extract in Controlling Foam Cell Numbers in Atherosclerosis-Induced Male Wistar Rats Handirosiyanto, Ikhwan; Indra setiawan; Nisa, Seftiana Khaerun; Lestari, Dian Yuliartha
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.SMUMM1.38652

Abstract

Atherosclerosis is a chronic inflammatory disease that causes the narrowing of the arterial lumen, and it is considered the primary cause of cardiovascular diseases such as myocardial infarction (MI), heart failure, and stroke. Cardiovascular disease is the leading of death globally. Atherosclerosis has a complex pathophysiology, such as endothelial dysfunction, thickening of the tunica intima, and the formation of atheromatous plaques. After that process, foam cells will form, which is the key to the development of atherosclerosis. Petai ethanol extract contains antioxidants, which are flavonoids, saponins, and tannins, that can reduce the number of Low-Density lipoproteins (LDL). The purpose of this study was to evaluate the effect of petai ethanol extract on the number of atherosclerotic foam cells in male white rats (Rattus norvegicus strain wistar) induced by lard. The method of this study was a genuinely experimental and post-test-only control group design with 25 rats divided into five control groups, which are one negative control group, one positive control group, and three treatment groups with extract doses of 100mg/kgBW, 200mg/kgBW and 400mg/kgBW. Observation of foam cells was carried out using a microscope with 400x magnification. Data were analyzed using Oneway ANOVA and Post Hoc Tamhane's test. The results of the study using the Oneway ANOVA test showed that there were significant differences between groups (p: 0.000). Post Hoc Tamhane's test between the positive control group and treatment groups 1, 2, and 3 can be seen that there is a significant difference between the formation of foam cells due to the administration of petai ethanol extract compared to positive control (p <0.05). This study concludes that Petai ethanol extract was effective in reducing the number of atherosclerotic foam cells formed.
The Challenges and Obstacles in Diagnosing Neuropathy in Patients With Diabetes Pinzon, Monica Cindy Anjelica Novena Letsoin; Letsoin, Rizaldy Taslim Pinzon; Sugianto
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.36581

Abstract

Background: Diabetes mellitus (DM) is a group of chronic metabolic diseases characterized by hyperglycemia. One of DM complication involve nerveous system disorder known as neuropathy. To prevent diabetic neuropathy developing into diabetic foot ulcer, early detection for the patient is necessary. However in implementing neuropathy screening tests, challenges and obstacles can be found. Objective: Assessing the challenges and obstacles in diagnosing neuropathy in patients with diabetes. Method: This study use a quantitative design with descriptive method. Data used in this study is secondary data with a total of 53 doctors as respondents. The data was then analyzed univariately using descriptive statistics to determine the frequency distribution. Results: In this study, only 9 respondents (17%) carried out neuropathy screening regularly. There are limitations to screening tools including tuning forks , neuropathy questionnaires, reflex hammers, monofilaments, and von Frey hair. Apart from that, the majority of respondents stated that they did not get enough time during the examination and the patients were not aware of their neuropathy condition. Conclusion: The results of this study show that there are challenges and obstacles in using neuropathy screening tests for neuropathy patients with diabetes mellitus.

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