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Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 29649668     EISSN : 29649676     DOI : 10.55606
Core Subject : Health,
Dentistry Health Professions Public Health
akademisi dan praktisi serta mahasiswa kesehatan yang ingin mendapatkan artikel dalam Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 391 Documents
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Inovasi Gel Tabir Surya Berbasis Ekstrak Daun Sirih Merah (Piper Crocatum L.): Studi In Vitro dan In Vivo Muh. Bisfain Asaf; Yani Pratiwi; Fakhirah Amaliah
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 3 (2026): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i3.7065

Abstract

Ultraviolet (UV) exposure is a major environmental stressor that can trigger erythema, edema, premature skin aging, hyperpigmentation, and an elevated risk of skin cancer. Plant-derived photoprotective agents are therefore being explored as alternatives for topical UV protection. Red betel leaf (Piper crocatum L.) contains flavonoids, alkaloids, tannins, saponins, and essential oils that may contribute to photoprotective activity. This study formulated red betel leaf extract into a sunscreen gel, assessed its physical characteristics, determined its Sun Protection Factor (SPF) in vitro, and evaluated its protective effect in vivo. The work comprised ethanol maceration, phytochemical screening, preparation of Carbopol 940 gels containing 0.05%, 0.10%, and 0.15% extract, physical-quality testing, UV-Vis spectrophotometric measurement at 290-320 nm, and in vivo assessment in male mice (Mus musculus) based on erythema and edema after UV exposure. Alkaloids, flavonoids, tannins, saponins, and essential oils were detected in the extract. All formulations complied with the tested physical-quality criteria, with viscosities of 11,560-20,640 cPs, pH values of 5-6, and spreadability of 5.2-7 cm. The in vitro calculation produced its highest value, 4.36, in Formula 3 (0.15%) at 800 ppm. In the animal test, the gel reduced the development of erythema and edema following UV exposure. These findings indicate that red betel leaf extract can be incorporated into a physically acceptable gel and has potential as a natural photoprotective ingredient, although its in vitro protection still requires further optimization.
Pengaruh Pemberian Curcumin terhadap Perbaikan Gejala Klinis pada Pasien Tuberkulosis dalam Pengobatan Kategori 1 Fase Intensif Rima Mellia; Fajrinur Syarani; Parluhutan Siagian; Putri Chairani Eyanoer
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 4 (2026): Oktober: Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i4.7091

Abstract

Tuberculosis (TB) can cause respiratory and systemic symptoms. Respiratory symptoms include persistent cough for more than three weeks, hemoptysis, shortness of breath, and chest discomfort, while systemic manifestations include fever, malaise, night sweats, decreased appetite, and weight loss. In patients with pulmonary tuberculosis undergoing antituberculosis treatment (ATT), these manifestations are expected to gradually improve, particularly during the first two months of treatment. This study aimed to determine the contribution of Curcuma supplementation to the improvement of clinical manifestations in patients with pulmonary tuberculosis after completing the two-month intensive phase of treatment. This experimental study was conducted from April to June 2019 and involved 100 patients with pulmonary tuberculosis who were divided into intervention and control groups. The intervention group received Curcuma once daily for two months, while the control group received no supplementation. Patients’ clinical conditions were assessed before and after the intensive phase and analyzed using the Chi-Square test with SPSS. The results showed no significant difference in the improvement of clinical symptoms between the Curcuma and control groups. Thus, Curcuma supplementation was not significantly associated with improvements in clinical signs and symptoms during the intensive phase of ATT.
Analisis Pengaruh Kualitas Pelayanan di IGD terhadap Kepuasan Pasien di Klinik Miracle Kabupaten Purwakarta Muhammad Zaiem; Samino Samino; Muhammad Arifki Zainaro
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 4 (2026): Oktober: Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i4.7143

Abstract

Patient satisfaction is one of the indicators of successful healthcare services, particularly in Emergency Departments (EDs), which require fast, accurate, safe, and professional care. This study aimed to analyze the effect of service quality based on the dimensions of Responsiveness, Assurance, Tangibles, Empathy, and Reliability (RATER) on patient satisfaction at the Emergency Department of Miracle Clinic, Purwakarta Regency, in 2026. This study employed a quantitative approach with an analytical design. The study population consisted of 1,373 patients who received services from January to April 2026, with a sample of 310 respondents selected using accidental sampling. Data were collected through questionnaires and analyzed using univariate analysis, bivariate analysis with the Chi-Square test, and multivariate analysis using multiple logistic regression. The results showed that most respondents rated the quality of services as good and reported being satisfied with the services provided. All dimensions of service quality had a significant effect on patient satisfaction. Multivariate analysis indicated that empathy was the most dominant factor, with a p-value of 0.000 and an Odds Ratio (Exp(B)) of 30.659. This indicates that patients receiving empathetic care were more likely to be satisfied. In conclusion, service quality significantly affects patient satisfaction at the Emergency Department of Miracle Clinic, Purwakarta Regency. Improving empathy through therapeutic communication, patient-centered care, and healthcare workers' competency development should be prioritized to enhance patient satisfaction.
Hubungan Kualitas Gerak Fungsional dan Flat Foot dengan Riwayat Cedera Ekstremitas Bawah pada Atlet Muda Posisi Goalkeeper Yusuf Kurniawan Cesar; Ilaika Al Quratu Aini; Dias Patut Pradana; Muhamad Abbas; Abdah Dimastiar; Bayu Tri Prasetyo; Muhamad Naufal Hilal; Avinda Rizki Kusumaningtyas; Muhammad Arief Setiawan
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 2 (2026): April : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i2.7153

Abstract

Football is a sport involving complex movement demands that may increase the risk of injury, particularly among young athletes who are still undergoing physical and biomechanical development. Goalkeepers have unique movement characteristics, including jumping, landing, lateral movement, changes of direction, and diving, which require optimal movement quality and foot function. This study aimed to analyze the relationship between functional movement quality and flat foot with a history of lower-extremity injuries among young goalkeepers. Functional movement quality was assessed using the Functional Movement Screen (FMS), while flat foot was evaluated based on the characteristics of the medial longitudinal arch of the foot. A history of lower-extremity injury was used as an outcome variable to describe previous injury experiences among the athletes. This study employed a quantitative approach with an analytical observational design. Relationship analysis was conducted to examine the association between functional movement quality, flat foot, and a history of lower-extremity injuries. Conceptually, poor movement quality and altered foot structure may affect neuromuscular control, balance, stability, and lower-extremity biomechanics, which may be associated with injury occurrence. This study is expected to provide information regarding functional and biomechanical factors that should be considered in injury screening and prevention programs for young goalkeepers.
Deteksi Fraktur pada Citra Rontgen Wrist Pediatrik Berbasis YOLOv8: Evaluasi Performa dan Analisis Keterbatasan Generalisasi Model Timothy Fajar Sinaga; Hardy Gustino
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 4 (2026): Oktober: Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i4.7128

Abstract

Pediatric wrist fractures are common in emergency care and require specialized expertise for accurate radiographic interpretation. This study developed and evaluated a fracture-only detector for pediatric wrist radiographs using YOLOv8 and assessed its external performance. The public GRAZPEDWRI-DX dataset, comprising 20,327 images from 6,091 patients, was used, with 18,090 fracture bounding boxes retained and non-fracture images included as background. Images were normalized, enhanced using contrast limited adaptive histogram equalization (CLAHE), and resized to 640×640 pixels. Data were split by patient identity into training, validation, and test sets at a 70/20/10 ratio to prevent patient overlap. A pretrained YOLOv8s model was trained with early stopping. On the held-out test set of 1,918 images from 610 patients, the model achieved a precision of 0.9236, recall of 0.8607, mAP50 of 0.9275, and mAP50-95 of 0.5374, with no evidence of validation overfitting. However, zero-shot evaluation on the FracAtlas dataset showed very low performance, including an mAP50 of 0.0343 overall and 0.0336 on the hand/wrist subset. CLAHE matching and lower IoU thresholds produced minimal improvement. These findings indicate strong internal performance but poor external generalization. The study is limited by a single run, single architecture, single-institution dataset, and absence of comparison models or clinical validation.
Blood Pressure-Lowering Effects of ACEI+CCB versus ARB+CCB Combination Therapy in Hypertensive Patients: A Systematic Review Kartini Hasballah; Zaki Mubarak; Fifin Oktaviani
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 1 (2025): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i1.7130

Abstract

Background: Hypertension affects more than 1.2 billion adults worldwide, and most patients require at least two drugs to reach their blood pressure (BP) target. Current guidelines recommend a renin–angiotensin system (RAS) blocker plus a calcium channel blocker (CCB), but do not specify whether the RAS component should be an angiotensin-converting enzyme inhibitor (ACEI) or an angiotensin receptor blocker (ARB). Objective: To compare the BP-lowering effects of ACEI+CCB and ARB+CCB in adults with hypertension, including target attainment, tolerability, cardiovascular outcomes, and cost. Methods: We followed PRISMA 2020 and searched PubMed, ScienceDirect, Google Scholar, and Garuda for reports published from 2020 to 2025, with additional citation searching. Eligibility was defined using PICOS. Risk of bias was assessed with RoB 2, AMSTAR 2, and Joanna Briggs Institute checklists, and findings were synthesized narratively following SWiM guidance. Results: Eight of 535 records were included: one network meta-analysis, one outcome trial, three systematic reviews, and three observational or comparative studies. Both combinations produced substantial reductions in systolic and diastolic BP. ARB+CCB ranked highest for BP reduction in chronic kidney disease, while an Indonesian cohort reported target attainment of 48.9% with amlodipine–candesartan and 45.2% with amlodipine–ramipril. ARB-based regimens caused less cough and angioedema, whereas ACEI co-therapy better offset CCB-related oedema. Conclusion: No clinically meaningful difference in BP lowering was found between combinations. Choice should consider tolerability, comorbidity, cardiovascular evidence, and cost; head-to-head trials in Indonesian patients are needed.    
Hubungan Usia dan Volume Prostat dengan Kejadian Retensi Urine pada Pasien Benign Prostatic Hyperplasia di RSUD Dr. Sobirin Muhammad Rifki; Kasih Purwati; Yurizsa Silva Sabillah
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 4 (2026): Oktober: Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i4.7131

Abstract

Background: Benign Prostatic Hyperplasia (BPH) triggers progressive Bladder Outlet Obstruction (BOO). Advancing age and increased prostate volume accelerate the detrusor decompensation phase, leading to urinary retention. Methods: This was an analytical observational study with a cross-sectional approach using medical records. A sample of 105 patients was selected using purposive sampling. Metabolic comorbidities and neurological diseases were strictly excluded to eliminate confounding bias. Bivariate data analysis utilized the Chi-Square test with category adjustments. Results: The prevalence of urinary retention in this referral facility reached 70.5%. There was a significant relationship between age and the incidence of urinary retention (p=0.005), peaking at 92.3% in the age group ≥ 80 years. Prostate volume was also significantly associated (p=0.001), with an absolute retention incidence (100%) in Grade 4 prostates ≥ 80 cc. Conclusion: Age degeneration and massive prostate volume accelerate the risk of bladder emptying failure. The high rate of complications confirms selection bias at the referral center, while also reflecting delayed early detection in primary care facilities.
Kelebihan Berat Badan dan Low Back Pain: Tinjauan Literatur Radiologis Fany Azhar Asistanti; Henny Hanna
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 3 (2026): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i3.7172

Abstract

Low back pain (LBP) and overweight are common health problems that contribute to disability. Obesity may affect the lumbar spine through increased mechanical loading, alterations in sagittal balance, low-grade systemic inflammation, and paraspinal muscle fatty degeneration. This review aims to synthesize the association between overweight or obesity and LBP, particularly based on findings from radiography, magnetic resonance imaging (MRI), and computed tomography (CT). A literature search was conducted using PubMed, ScienceDirect, and Google Scholar for publications from January 2021 to September 2026. Twenty journal articles met the inclusion criteria following screening based on topic relevance, full-text availability, study design, and radiological contributions. The reviewed evidence indicates associations between overweight and intervertebral disc degeneration, reduced disc height, osteophyte formation, Modic changes, facet joint degeneration, spondylolisthesis, spinal stenosis, spinal epidural lipomatosis, and paraspinal muscle myosteatosis. MRI provides the most comprehensive assessment of discs, bone marrow, neural structures, epidural fat, and muscles. Radiography is useful for evaluating alignment and structural changes under weight-bearing conditions, whereas CT excels in depicting bone abnormalities and facet joint changes. However, imaging abnormalities do not always correspond to pain intensity or disability. Modality selection should follow clinical indications, and interpretation should consider anthropometric and functional data. Prospective studies using standardized obesity measures and quantitative imaging are needed to clarify causal and prognostic relationships.
Recent Advances in the Management of Corneal Ulcer: Current and Emerging Therapeutic Approaches Velisa Kusuma Dewanti; Faresa Hilda; Tri Agus Haryono
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 4 (2026): Oktober: Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i4.7150

Abstract

Corneal ulcer is a potentially vision-threatening condition characterized by corneal epithelial disruption and stromal involvement, most commonly associated with infectious causes. Although antimicrobial therapy remains the cornerstone of treatment, management can be challenging in refractory, persistent, neurotrophic, and drug-resistant corneal ulcers. This literature review aims to describe recent advances in the management of corneal ulcers, focusing on current and emerging therapeutic approaches. Recent literature highlights the continued importance of prompt empiric antimicrobial therapy followed by culture-guided treatment, particularly in the setting of increasing antimicrobial resistance. Amniotic membrane transplantation (AMT) has emerged as an important adjunctive treatment because of its epithelial-promoting, anti-inflammatory, and anti-scarring properties, with reported benefits in epithelial healing, ocular discomfort, and selected visual outcomes. Self-retained cryopreserved amniotic membrane provides a less invasive alternative and has demonstrated favorable healing outcomes in recalcitrant corneal ulcers, particularly those associated with neurotrophic keratitis. Other emerging approaches include corneal collagen cross-linking (CXL) and topical 1% povidone-iodine, which have demonstrated comparable clinical improvement in refractory corneal ulcers. In extensively drug-resistant Pseudomonas aeruginosa infection, alternative antimicrobial strategies, including fortified colistin combined with tobramycin-soaked collagen shields, may provide a potential rescue option when conventional antibiotics are ineffective. Overall, recent advances indicate a shift toward individualized and multimodal management of corneal ulcers, combining antimicrobial therapy with regenerative, tissue-stabilizing, and targeted approaches according to disease severity, etiology, and treatment response. Further clinical research is needed to establish standardized protocols and determine the long-term efficacy and safety of these emerging therapies.
Penilaian Dampak Aktivitas Luar Ruangan terhadap Tajam Penglihatan Anak Sekolah Dasar (SD) di Kota Manado Anggun R.P. Layuck; Wenny P. Supit; Patricia J. Kalangi; Ardhika Prasetya; Nadia Cecilia; Ashael Rembang; Yovita Yovita
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 4 (2026): Oktober: Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i4.7202

Abstract

This study investigates the correlation between outdoor activity parameters and visual acuity among primary school children in Manado, Indonesia. Elevated screen time and reduced exposure to natural sunlight in modern lifestyles have contributed to a global rise in pediatric visual impairment. A cross-sectional analytic observational study was conducted involving 77 students from SD Kartika XXI-3 and SD Bhayangkari Manado. Data were collected using a validated physical activity questionnaire alongside objective visual acuity measurements performed with a standardized Snellen Chart. Bivariate statistical analysis revealed a significant association between daily outdoor activity duration and visual acuity status in both the right eye (VOD, p < 0.001) and the left eye (VOS, p < 0.001). Children spending less than two hours daily outdoors exhibited a substantially higher proportion of visual impairment (60.9% for VOD and 56.5% for VOS) compared to those with over two hours of exposure (0% for VOD and 6.7% for VOS). Weekly frequency of outdoor activity also demonstrated a significant correlation with VOD (p = 0.006). These findings imply that adequate daily sunlight exposure plays a crucial protective role in maintaining optimal pediatric visual function. Consequently, implementing school-based policies that promote daily outdoor physical activities is strongly recommended as a cost-effective preventive measure against early visual decline.

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