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INDONESIA
Jurnal Ilmu Kedokteran Keluarga
Published by Universitas Brawijaya
ISSN : -     EISSN : 29646413     DOI : https://doi.org/10.56674/xxxx
Core Subject : Health, Science, Social,
Computer Science & IT Health Professions Physics Public Health Social Sciences
Jurnal Ilmu Kedokteran Keluarga is a journal managed by the Department of Family Medicine, Faculty of Medicine, Brawijaya University who has a mission to improves the health and well-being of individuals, families, and communities through leadership in education and clinical care. Jurnal Ilmu Kedokteran Keluarga is published regularly twice a year. Jurnal Ilmu Kedokteran Keluarga contains research articles on basic medical, clinical medicine, epidemiology, prevention, technology, social medicine, medicine in primary health settings related to family medicine. We accept all types of research articles, case reports, systematic reviews, meta-analyses, literature reviews, and letters to editors. The article review process will involve two reviewers in a double blind manner. Jurnal Ilmu Kedokteran Keluarga provides open access articles that can be accessed publicly and freely.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 47 Documents
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The Effect of Medical Student Behavior in Personal Listening Devices Usage on The Average of High-Frequency Threshold in Online Learning During Pandemic Diana Evita; Khuznita Dasa Novita; Thareq Barasabha
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 1: June 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i1.12

Abstract

During the COVID-19 pandemic, online learning became an unavoidable impact. To adapt, students are increasingly using Personal Listening Devices (PLD) for their online learning needs. However, intensifying and frequent use of PLDs can increase the risk of noise-induced hearing loss, which happens due to noise causing a person's hearing threshold to increase by disrupting the hearing cells in their inner ear's organ of Corti. The objective of this research was to examine whether there exists a correlation between the PLD usage by medical students and their average high-frequency threshold and hearing loss incidence while they study online. A cross-sectional analytic observational design was employed in this study. The dataset was analyzed using Chi-square test. The results showed that the significance value (p value) of the student behavior with hearing threshold average was and hearing loss incidence as follows: the PLD usage (p=0.160, p=0.498); the length of PLD usage (p=0.452, p=0.071); the duration of PLD usage per day before the pandemic (p=0.895, p=0.309); the duration of PLD usage per day during the pandemic (p=0.957, p=0.428); the duration of PLD usage per week before the pandemic (p=0.764, p=0.796); the duration of PLD usage per week during the pandemic (p=0.811, p=0.942); the PLD volume (p=0.731, p=0.731); the time of PLD usage (p=0.812, p=0.092); the increased intensity of PLD usage (p=0.291, p=0.887); the PLD type (p=0.879, p=0.476); and PLD's noise reduction facilities (p=0.879, p=0.353). This study concludes that there is no influence of the PLD usage behavior among the medical students on high-frequency thresholds and hearing loss incidence during pandemic online learning. Abstrak Pada masa COVID-19, pembelajaran daring menjadi salah satu dampak yang tidak bisa dihindari. Salah satu bentuk adaptasi di kalangan mahasiswa adalah peningkatan penggunaan Personal Listening Device (PLD) untuk kebutuhan pembelajaran daring. Peningkatan   intensitas   dan   frekuensi   penggunaan PLD dapat   meningkatkan   risiko terjadinya noise induced hearing loss, yaitu gangguan pendengaran akibat bising dimana terjadi kenaikan ambang dengar seseorang akibat terganggunya sel-sel pendengaran pada organ Corti telinga dalam. Tujuan penelitian ini adalah untuk membuktikan apakah terdapat pengaruh antara perilaku mahasiswa pendidikan dokter dalam menggunakan PLD dengan rata-rata ambang dengar frekuensi tinggi dan angka kejadian gangguan pendengaran selama pembelajaran daring. Metode penelitian yang digunakan adalah desain observasional analitik dengan pendekatan cross sectional. Analisis data dilakukan dengan uji Chi-square. Hasil penelitian menunjukkan bahwa nilai signifikansi antara perilaku mahasiswa dengan rata-rata ambang dengar dan angka kejadian gangguan pendengaran adalah sebagai berikut : pemakaian PLD (p=0.160, p=0.498); lama penggunaan PLD (p=0.452, p=0.071); durasi penggunaan PLD per hari sebelum pandemi (p=0.895, p=0.309); durasi penggunaan PLD per hari saat pandemi (p=0.957, p=0.428); durasi penggunaan PLD per minggu sebelum pandemi (p=0.764, p=0.796); durasi penggunaan PLD per minggu saat pandemi (p=0.811, p=0.942); volume PLD (p=0.731, p=0.731); waktu penggunaan PLD (p=0.812, p=0.092); peningkatan intensitas penggunaan PLD (p=0.291, p=0.887); jenis PLD (p=0.879, p=0.476); dan fasilitas noise reduction pada PLD (p=0,879, p=0.353). Kesimpulan pada penelitian ini adalah perilaku mahasiswa kedokteran dalam memakai PLD tidak berpengaruh terhadap ambang dengar frekuensi tinggi dan angka kejadian gangguan pendengaran selama pembelajaran daring di masa pandemi. Kata Kunci: Perilaku penggunaan PLD, rata-rata ambang dengar frekuensi tinggi, noise induce hearing loss
Relationship of Breast Volume and Breast Malignancy Risk Based on BI-RADS Classification Categories In Mammography Yueniwati, Yuyun; Fahmi Fahanani, Agwin; Atsil Lathifa, Jauza
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 1: June 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i1.13

Abstract

Breast cancer is a major global public health problem and the most common type of cancer. The incidence of cases in Indonesia was about 42.1 per 100.000 population in 2019. Multiple risk factors underlie breast cancer malignancy. However, breast volume has not yet been included as a risk factor for breast cancer. This study aims to analyze the association between breast volume and breast malignancy. This cross-sectional study obtains breast volume and BI-RADS score by performing a mammography assessment at Dr. Saiful Anwar General Hospital, Malang. The inclusion criteria were women aged > 40 years and excluded those who have mammography contraindications such as pregnancy and breastfeeding. The parameters for calculating breast volume were the width, height, and compression thickness. The malignancy determination was use the BI-RADS category. There was no significant association using the Kruskal-Wallis test (p = 0.273, p > 0.05). The conclusion is there was no association between breast volume and the risk of malignancy based on BI-RADS mammography.
The Relationship Between Body Mass Index and Breast Volume on Mammography Examination Nur Azizah Sultan, Salsabila; Aurora, Habiba; Fahmi Fahanani, Agwin
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 1: June 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i1.14

Abstract

Breast cancer is the most common type of cancer suffered by women worldwide. The development and incidence of breast cancer is influenced by various risk factors, one of which is breast volume. The amount of breast volume is influenced by several factors such as genetics, demographics, reproduction, lifestyle, and Body Mass Index (BMI). This study aims to determine the relationship between Body Mass Index and breast volume of research subjects at RSUD Dr. Saiful Anwar Malang, East Java. This type of research is observational analytic with a cross-sectional study approach and analysis using Kruskal Wallis test, the Mann Whitney test, and Spearman correlation test. Based on the Kruskal Wallis test BMI-left breast volume, the sig value obtained was 0.020 (sig < 0.05) while in the analysis of BMI-right breast volume the sig value obtained was 0.083 (sig > 0.05). Follow-up analysis using the Mann-Whitney BMI test-left breast volume showed significant results in the normal-overweight (p=0.050) and normal-obese (p=0.007) BMI groups. While the BMI-volume analysis of the right breast showed significant results only in the normal-obese BMI group (p = 0.044). Spearman correlation test of BMI-left breast volume obtained sig = 0.000 and r = 0.603. While the Spearman test of BMI-right breast volume obtained sig = 0.004 and r = 0.511. This study concludes that there is a significant relationship between BMI and breast volume which is positive with a fairly strong correlation strength.
COVID-19 Infection Impact on Perceptions Change and Health Protocols Compliance in Survivors Nazila Tanasya; Dewi Santosaningsih; Nanik Setijowati
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 1: June 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i1.15

Abstract

Increasing cases of COVID-19 infection in Indonesia have prompted the Indonesian Ministry of Health to establish health protocols to prevent COVID-19. According to Satuan Tugas Penanganan COVID-19, the increase in cases in July-August 2021 was caused by 9.5% of not wearing masks behavior and 11.2% of not keeping a distance and avoiding crowds. This research aimed to determine perceptions of change and health protocol compliance in COVID-19 survivors. The term perceptions in this research were based on the Health Belief Model theory, particularly perceptions of susceptibility, severity, barriers, and benefits. The research design was analytic observational research using a cross-sectional method. The data was collected by distributing questionnaires on Google Forms via online media. The number of respondents is 103 respondents who live in Malang City. This research utilized the Mc Nemar test to examine perceptions change and health protocols compliance on respondents using a 95% degree of confidence, α = 0.05, significant if p < 0.05. The results showed no significant change in survivors' perceptions with p 0.125, and increased compliance by survivors to health protocols with p <0.001. In conclusion, this research examined that the survivors’ perceptions insignificantly changed before and after suffering from Covid-19, and survivors' health protocol compliance significantly increased before and after suffering from Covid-19.
The Effectiveness of Training Methods in Improving The Knowledge of PKK Members and Health Cadres Regarding The Prevention of Conjunctivitis Transmission In Malang Ariq Fadhil Athallah; Ovi Sovia; Hera Dwi Novita
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 1: June 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i1.16

Abstract

Conjunctivitis is one of the frequent causes of red eyes, this condition is an infection of the mucous membrane of the eye or conjunctiva. According to data from the Indonesian Health Profile 2009 and 2010, conjunctivitis and other conjunctival disorders are among the top 10 most common diseases in hospital outpatients. The high number is caused by conjunctivitis outbreaks that can occur at any time of the year. The solution that can be done to overcome these problems is to increase public knowledge related to the prevention of conjunctivitis disease transmission through cooperation with PKK mothers and health cadres who act as educators in their environment with direct training. Based on these considerations, this study aims to determine the effectiveness of using training methods to improve the knowledge of PKK mothers and health cadres in Malang City about conjunctivitis. This study aims to examine the effectiveness of the training method in increasing the knowledge of Family Welfare Empowerment (PKK) mothers and health cadres related to the prevention of conjunctivitis transmission in Malang City. The study used a pre-experimental research design with a pre-test and post-test design with control group with purpose random sampling technique. Based on the research, there was a significant increase in the number of participants who experienced an increase in scores (n>70%) which stated the effectiveness of using training methods to increase the knowledge of PKK mothers and Health Cadres in Malang city related to conjunctivitis.
Risk Analysis of Obstructive Sleep Apnea With STOPBANG and Mental Disorders With SRQ-20 in COVID-19 Patients in Regional General Hospital Dr. Saiful Anwar Malang Laksmi Dewi, Ni Putu; Sri Listyoko, Aditya; Maharani, Iriana
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 2: December 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i2.18

Abstract

Background: On December 31, 2019, a pneumonia outbreak in Wuhan, Hubei, China, was caused by a severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) or Coronavirus disease 2019 (COVID-19). Severely ill COVID-19 patients must be either hospitalized or self-isolated, leading to physical stress from limited space for activities, less social engagement, and anxiety due to the illness. Sleep disorders are widespread among those in self-isolation, with Obstructive Sleep Apnea (OSA) being the most prevalent. External stressors contribute to the development of sleep and mental disorders in people with COVID-19. Objective: To assess the correlation between Obstructive Sleep Apnea and mental problems in COVID-19. Method: Utilized a case-control design with COVID-19 patients hospitalized as cases and persons without confirmed COVID-19 or hospitalization as controls. Result: 70 data points were utilized in this research. There was a significant difference in the risk of Obstructive Sleep Apnea across the groups (p=0.04, r= 5.176). On the other hand, there was no statistically significant difference in mental problems between the groups (p=0.22). Conclusion: A notable disparity among the groups was observed in Obstructive Sleep Apnea, but no significant variance was found in mental problems.
Relationship between Demographic Characteristics of Telehealth Users with the Satisfaction Level of @telmed.fkub Instagram Followers Muhammad, Athaya Rahmanardi; Setijowati, Nanik; Dwi Rahayu, Indriati; Dasa Novita, Khuznita
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 2: December 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i2.19

Abstract

Background: The @telmed.fkub account is a health promotion program of the Medical Faculty of Brawijaya University that provides health information services to the public. This program conducts regular evaluations to determine the effectiveness of services to the community.  Objective: To evaluate this program in determining the user's satisfaction with appearance, usability, service, and willingness to recommend. Then, the level of satisfaction is linked to user demographic data, whether there is a relationship or not.  Methods: This research uses a cross-sectional observational research method where data is collected by a Google Form questionnaire distributed randomly to Instagram account followers @telmed.fkub. The demographic variables were age, gender, education level, and educational background. The satisfaction level was categorized into five subtypes: appearance, service, usability, and willingness to recommend. These satisfaction levels were then measured on a five 5-level Likert scale. The Chi-Square or Fisher's Exact tests analyzed the collected data to determine the p-value.  Results: The total number of respondents was 99. Most respondents are satisfied with the @telmed.fkub akun and program (96.97%). It was also shown that there was a significant relationship between the genders of @telmed.fkub users in telehealth display satisfaction, and there were no significant differences between age groups, education levels, and backgrounds education of @telmed.fkub users in telehealth satisfaction.  Conclusion: There is a significant relationship between gender and appearance satisfaction levels of @telmed.fkub users.
Bacterial Vaginosis, Candidiasis Vulvalginitis, and Suspected Gonorrhea in Pregnant Women with Risk Factor for Sexually Transmitted Infection from Her Husband Wakhdatul Lubbi, Yusniya Farida; Nurrakhma Arum, Siti; Hevy Purwaningtyas, Nuretha; Gina Prabawati, Nirmala; Dasa Novita, Khuznita
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 2: December 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i2.20

Abstract

Bacterial vaginosis is a reproductive system infection that causes a variety of symptoms. This condition can be caused by a variety of risk factors, including sexually transmitted infection from her husband. This case was detected in a Malang City primary health care. An in-depth history is collected to identify risk factors, followed by a home visit to detect risk factors. We shall explore the role and use of family medicine in cases of bacterial vaginosis in this case report. Because of the complicated interplay of biopsychosocial variables, comprehensive and holistic treatment is required.
Bacterial Vaginosis in Well-Educated Married Women with Risk Factor for Vulvovaginal Flora Disruption Nurinnisa, Zarifa; Andarini, Sri; Hevy Purwaningtyas, Nuretha
Jurnal Ilmu Kedokteran Keluarga Vol. 2 No. 2: December 2023
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v2i2.21

Abstract

Bacterial vaginosis is a reproductive system infection that causes a variety of symptoms. This condition can be caused by a variety of risk factors, including Vulvovaginal Flora Disruption. This case was detected in a Malang City primary health care. An in-depth history is collected to identify risk factors, followed by a home visit to detect risk factors. We shall explore the role and use of family medicine in cases of bacterial vaginosis in this case report. Because of the complicated interplay of biopsychosocial variables, comprehensive and holistic treatment is required.
Cruris Cellulitis in an Elderly Man with Multiple Comorbidities and Lifestyle Risk Factors Kuntadi Syamsul Hidayat, Muhammad; Eryadi, Usep; Aadillah Hafidzoh Subagyo, Khonsaa
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

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

Abstract

Background: Cellulitis is a bacterial skin infection that can progress to serious complications, particularly in patients with multiple comorbidities. This case report discusses a 60-year-old male with cellulitis of the left cruris, accompanied by type 2 diabetes mellitus, hypertension, dyslipidemia, and obesity. Case Presentation: The patient presented with redness, swelling, warmth, and pain in the left lower limb, along with systemic symptoms such as fever and fatigue. His medical history revealed poorly controlled diabetes mellitus, hypertension, and dyslipidemia, exacerbated by obesity. Further assessment indicated inadequate health knowledge and unhealthy lifestyle habits, including poor dietary choices and a lack of physical activity. Laboratory findings showed elevated blood glucose levels, dyslipidemia, and markers of inflammation. The patient was treated with intravenous antibiotics, glycemic control therapy, antihypertensive medication, and supportive care. The role of the family is essential in supporting the success of long-term therapy. Discussion: Cellulitis in patients with multiple metabolic disorders poses a higher risk of complications, including recurrent infections, delayed wound healing, and sepsis. Poor health literacy and unhealthy lifestyle habits further contribute to disease progression. Comprehensive management involving antibiotic therapy, metabolic control, patient education, and lifestyle modifications is essential for improving clinical outcomes. Conclusion: This case highlights the importance of early diagnosis and a multidisciplinary approach to managing cellulitis in patients with multiple comorbidities. Addressing underlying risk factors, including inadequate health knowledge and unhealthy lifestyles, is crucial to preventing recurrence and complications.

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