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Medical and Health Journal
Published by Universitas Jenderal Soedirman
ISSN : -     EISSN : 28073541     DOI : https://doi.org/10.20884/1.mhj.2023.2.2.8053
Core Subject : Health,
Medicine & Pharmacology
Medical and Health Journal (EISSN. 2807-3541) is containing various articles/ manuscripts in the forms of research article, systematic reviews, case reports in the field of medicine focusing on basic medicine, clinical medicine, biomedical sciences, medical biotechnology, and public health. This journal is published by Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 124 Documents
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DESCRIPTION OF THE KNOWLEDGE AND ATITUDES OF POSTPARTUM OTHERS ABOUT BREAST CARE BEFORE AND AFTER GIVING THE MODULE IN THE WORK AREA OF THE MANGNGARABOMBANG HEALTH CENTER 2022 Anita Kartini; Riska Nuryana; Ernawati Ernawati; Zainuddin Zainuddin
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (605.635 KB) | DOI: 10.20884/1.mhj.2023.2.2.8281

Abstract

Latar belakang:Perawatan payudara sangat penting selama kehamilan dan menyusui. Karena payudara merupakan satu-satunya penghasil ASI yang merupakan makanan pokok bayi baru lahir, maka hal ini harus dilakukan sedini mungkin dalam masa kehamilan. Fokus penelitian:Pembentukan pengetahuan dan sikap ibu hamil tentang ASI sebelum dan sesudah pelaksanaan modul di wilayah kerja Puskesmas Manggarabombang Tahun 2022. Metode penelitian:Jenis penelitian ini adalah deskriptif. Penelitian ini meliputi seluruh ibu yang melahirkan di wilayah kerja Puskesmas Manggaratombang tahun 2022. Sampel penelitian ini adalah ibu nifas di desa Banggae dan Topejawa yang berjumlah 34 orang. Hasil penelitian:Sebanyak 34 responden Data sebelumnya menunjukkan 30 orang dengan kualifikasi rendah (88,2%), 4 orang dengan kualifikasi cukup (11,8%) dan 0 orang (0%) berada pada kategori “baik”. ). Menurut informasi yang diberikan, paling sedikit 30 orang menunjukkan pengetahuan dalam kategori kurang (88,2%), sedikitnya 4 orang dalam kategori pengetahuan cukup (11,8%) dan 0 orang dalam kategori pengetahuan baik (0%). Kata kunci:Pengetahuan, sikap, ibu setelah melahirkan, perawatan payudara
EFFECT OF GIVING GARLIC ON URIC ACID LEVELS OF HYPERURISEMIC WHITE RATS (Rattus norvegicus) Fajar Wahyu Pribadi; Afifah Afifah; Gita Nawangtantrini
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.031 KB) | DOI: 10.20884/1.mhj.2023.2.2.8340

Abstract

Hiperurisemia adalah kondisi dimana kadar asam urat dalam tubuh melebihi batas normal akibat peningkatan sintesis purin yang berlebih dalam tubuh karena pola makan tidak sehat, proses pengeluaran asam urat dari dalam tubuh mengalami gangguan atau kombinasi dari keduanya. Bawang hitam mengandung s-alyl cistein (SAC), tetrahydro-β-carbolines, alkaloid, dan flavonoid yang diduga menghambat kerja dari enzim xanthine oksidase sehingga dapat menurunkan asam urat. Tujuan jangka pendek penelitian ini untuk mengetahui efek bawang hitam terhadap kadar asam urat tikus putih hiperurisemik. Tujuan jangka panjang yang ingin dicapai yaitu pemanfaatan bawang hitam untuk pencegahan dan atau mengatasi dampak negatif hiperurisemia. Tikus dikelompokkan menjadi lima kelompok yaitu kontrol control positif (A), kelompok allopurinol (B), kelompok bawang hitam dosis 240mg (C), 480mg (D) dan 960mg (E). Induksi hiperurisemia dilakukan dengan injeksi kalium oksonat dan penambahan otak sapi selama 14 hari, dilanjutkan bersama dengan pemberian perlakuan. Hasil rata-rata asam urat pada masing- masing kelompok adalah A: 15,02 ± 0.71, B: 6,45 ± 0,13, C: 8,46 ± 0,12, D: 7,64 ± 0,14, E: 7,55 ± 0,55. Data dianalisis menggunakan One Way ANOVA dilanjutkan Post Hoc LSD. Kesimpulan pemberian bawang hitam berbagai dosis dapat menurunkan kadar asam urat pada tikus hiperurisemia.
LITERATURE REVIEW: IS CONSUMPTION OF AKING RICE RECOMMENDED FOR PATIENTS WITH DIABETES MELLITUS? Sindhu Wisesa
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.117 KB) | DOI: 10.20884/1.mhj.2023.2.2.8341

Abstract

Asupan karbohidrat dengan indeks glikemik rendah dianjurkan untuk penderita diabetes melitus maupun individu sehat karena memperbaiki kontrol gula darah, sensitivitas insulin, dan profil lipid. Nasi aking dibuat dengan cara mengeringkan nasi sisa dan memasaknya kembali. Proses pembuatan nasi aking merupakan salah satu teknik retrogradasi nasi yang umum dilakukan di Indonesia. Retrogradasi pada sumber karbohidrat meningkatkan jumlah pati resisten yang tidak dapat dicerna sehingga menurunkan indeks glikemik dan baik dikonsumsi oleh penderita diabetes melitus. Penulisan review ini bertujuan untuk melakukan telaah terkait potensi penurunan indeks glikemik pada nasi aking untuk dikonsumsi penderita diabetes melitus. Literatur yang digunakan dalam penulisan review berasal dari google scholar dan pubmed. Belum ditemukan studi yang menunjukkan manfaat langsung konsumsi nasi aking pada penderita diabetes melitus. Retrogradasi nasi aking meningkatkan jumlah pati resisten dan memiliki indeks glikemik yang lebih rendah dibandingkan dengan nasi putih. Pada hewan coba, nasi aking memberikan respon glikemik yang lebih baik daripada nasi putih. Asupan nasi yang dilakukan retrogradasi dengan cara didinginkan memiliki kurva kadar gula darah yang lebih rendah dibandingkan dengan nasi putih pada manusia sehat dan memperbaiki respon glikemik pada penderita diabetes melitus. Walaupun demikian, jumlah penelitian terkait konsumsi nasi aking atau nasi yang didinginkan pada penderita diabetes melitus masih terbatas dengan jumlah sampel yang kecil. Oleh karena itu, walaupun memiliki potensi sebagai sumber karbohidrat yang baik, manfaat langsung konsumsi nasi aking pada penderita diabetes melitus belum dapat disimpulkan.
EnglishDAMPAK UJIAN LISAN TERSTRUKTUR TERHADAP PROSES BELAJAR MAHASISWA: PENELITIAN KUALITATIF DI FAKULTAS KEDOKTERAN UNIVERSITAS JENDERAL SOEDIRMAN Miko Ferine; Rizkia Nauvalina; Diyah Woro Dwi Lestari
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (540.115 KB) | DOI: 10.20884/1.mhj.2023.2.2.8342

Abstract

The oral examination is one of the traditional assessment methods which is considered to have low validity and reliability. However, several medical schools in Indonesia use structured oral examination as a part of the assessment systems, such as faculty of medicine Universitas Jenderal Soedirman. Structured oral examination is expected to have positive impact on student learning motivation. This research was conducted to explore students’ perception on the impact of structured oral examination on their learning. The research was a qualitative research with phenomenology approach. In-depth interviews were conducted with 5 students who were selected based on different gender and year of study. The results of this research indicated that students were motivated to learn better for structured oral examination since they had to face the examiner directly, they should understand the learning material in order to be able to do the examination and they must present the answers in a structured manner so that the examiner understood them. The issue of subjectivity became one of the triggers for students to study better. The methods used by students in preparing for structured oral examination were attending lectures and group discussions well, studying in groups and using audiovisual media to increase understanding. The negative impact of structured oral examination was the anxiety that arouse when students were about to take the examination. The large number of possible materials to be tested caused students to lose their focus on learning. Students realized that they should have good preparation to take the structured oral examination. Based on the results, it could be concluded that structured oral examination had a more positive impact than negative impact on student learning process. Keywords: learning impact, medical education, oral examination, structured oral examination
CHARACTERISTICS OF CERVICAL CANCER PATIENTS UNDER 40 YEARS OLD AT REGIONAL GENERAL HOSPITAL PROF DR MARGONO SOEKARJO PURWOKERTO PERIOD JANUARY 1–DECEMBER 31 2022 Aditiyono Aditiyono; Sutrisno Sutrisno; Edi Priyanto
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (415.377 KB) | DOI: 10.20884/1.mhj.2023.2.2.8348

Abstract

Latar belakang: Kanker serviks merupakan salah satu kanker terbanyak sebagai penyebab kematian pada wanita di seluruh dunia, terhitung dengan sekitar 500.000 kasus baru terdeteksi dan 250.000 kematian pada setiap tahunnya. Sekitar 80% kasus terjadi pada negara berkembang. Penelitian ini bertujuan mengetahui profil dan distribusi kanker serviks pada wanita dengan usia di bawah 40 tahun di RSUD Prof dr Margono Soekarjo Purwokerto periode Januari 2022 - Desember 2022. Metode: Rancangan deskriptif observasional dengan sampel penelitian adalah semua data rekam medis pasien wanita kanker serviks dengan usia di bawah 40 tahun di RSUD Prof dr Margono Soekarjo Purwokerto periode Januari 2022 - Desember 2022. Sampel dipilih dengan cara purposive sampling yang memenuhi kriteria inklusi, dan data disajikan dalam bentuk tabel. Hasil: Total kasus baru kanker serviks selama periode Januari 2022 -Desember 2022 adalah 285. Penderita kanker serviks pada wanita dengan usia di bawah 40 tahun sebanyak 58 orang dimana mayoritas kelompok usia 30-39 tahun sebanyak 50 orang (86.2 %). Sedangkan pada paritas paling banyak adalah pada kelompok paritas 2-3 sebanyak 33 orang (56.8%). Untuk stadium yang paling dominan mengenai pasien wanita kanker serviks di bawah usia 40 tahun adalah stadium IIIB sejumlah 26 orang (44.8%). NKSCC merupakan gambaran histopatologis yang paling banyak ditemui pada penelitian ini yaitu sebesar 33 orang (60.3%). Dan Sebagian besar menjalani penanganan kemoradiasi sebesar 43 pasien (74.1 %) Simpulan: Faktor risiko dominan yang didapat pada penderita kanker serviks usia dibawah 40 tahun di RSUD Prof dr Margono Soekarjo Purwokerto adalah multiparitas. Rata- rata pasien kanker serviks dengan usia di bawah 40 tahun datang di saat stadium lanjut dengan gambaran histopatologi terbanyak adalah Squamous Cell Carcinoma tipe Non Keratinizing
DISTRIBUSI SPASIAL KUALITAS AIR TANAH DAN DESKRIPSI PENYAKIT YANG BERKAITAN DENGAN AIR DI DESA BRINGKENG, KECAMATAN KAWUNGANTEN, KABUPATEN CILACAP Siti Munfiah; Hajid Rahmadianto Mardihusodo; Tirta Wardana; Yudhi Wibowo; Joko Mulyanto
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (522.431 KB) | DOI: 10.20884/1.mhj.2023.2.2.8361

Abstract

Access to clean water is fundamental for the population health, but for many rural and remote areas in Indonesia include Cilacap Regency those accesses are still limited. Furthermore, studies that assess the water quality in remote and rural areas in Indonesia are still lacking. Most of the people in Cilacap regency use dug wells and ponds as sources of clean water. Preliminary observations indicate that well and pond water smells fishy, reddish-yellow, or brownish. This condition indicates high iron levels. The test results showed that the iron content exceeded the standard in the pond in Sumbereja Hamlet, RT 03 RW 02, which was 9.8 mg/l (standard quality of 1 mg/l). This study aims to determine the spatial distribution of the water quality and the health-related problems in the rural areas of Cilacap Regency, Central Java, Indonesia. This was a descriptive observational study with a cross-sectional approach. We purposely sampled 40 wells and ponds located in Bringkeng Village, Cilacap Regency, Indonesia and assess the water quality by measuring the level. The results showed the lowest and the highest level of TDS (125.90-5090 mg/l), color (40 -2047 TCU), iron (0.16-6.45 mg/l), manganese (<0.1- 3.61 mg/l). Health problems experienced by respondents and or their families during the last three months, namely 3 people with diarrhea, 7 people with diabetes, 12 people with gout arthritis, 10 people with hypertension, 1 person with nervous system disorders, and 7 people with dry skin disorders/scaly. All dug wells and ponds did not meet the quality standards based on TDS, color, iron, and manganese levels. Water from dug wells and ponds needs special treatment to obtain water that is suitable for hygiene and sanitation purposes.
PERAN TENAGA KESEHATAN DAN DUKUNGAN KELUARGA TERHADAP PENGENDALIAN GLUKOSA DARAH PASIEN DIABETES MELITUS TIPE 2 DI KECAMATAN SUMBANG BANYUMAS Dwi Arini Ernawati; Diah Krisnansari; Pugud Samodro; Nafiisah Nafiisah
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.978 KB) | DOI: 10.20884/1.mhj.2023.2.2.8374

Abstract

Latar belakang masalah : Diabetes Melitus (DM) merupakan penyakit kronis yang dapat menyebabkan banyak komplikasi. Agar komplikasi tidak memberat, perlu pengendalian glukosa darah, yang dapat dinilai dari kadar HbA1c. Untuk pengendalian glukosa darah diperlukan peran tenaga kesehatan dan dukungan keluarga. Tujuan : mengetahui peran tenaga kesehatan dan dukungan keluarga terhadap pengendalian glukosa darah pasien DM tipe 2 di Kecamatan Sumbang Banyumas Metode : desain penelitian adalah cross sectional. Pengendalian glukosa darah dilihat dari kadar HbA1c, jika < 6,5 % baik, jika ≥ 6,5 % buruk. Peran tenaga kesehatan dan dukungan keluarga diperoleh dari kuesioner, dikatakan baik jika nilainya ≥ median. Hubungan antara peran tenaga kesehatan dan dukungan keluarga dengan kadar HbA1c diuji dengan chi square. Hasil : Dari 49 responden didapatkan data : pengendalian glukosa darah buruk 40 orang (81,6%),peran tenaga kesehatan baik 40 orang (81,6%), dukungan keluarga buruk 26 orang (53%). Peran tenaga kesehatan dengan pengendalian glukosa darah tidak memiliki hubungan yang bermakna , p=0,470 (p<0,05) , dukungan keluarga dengan pengendalian glukosa darah memiliki hubungan yang bermakna, p=0,007 (p<0,05) Kesimpulan : peran tenaga kesehatan dan pengendalian glukosa darah tidak memiliki hubungan yang bermakna, dukungan keluarga dengan pengendalian glukosa darah memiliki hubungan yang bermakna.
LAPORAN KASUS: TRANSFORMASI ERITRODERMA PSORIATIKA MENJADI LIMFOMA SEL T-KUTAN Ismiralda Oke Putranti; Amelia B Rahardjo; Citra Primanita; Lilik Karsono; Arundito Widikusumo
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (604.252 KB) | DOI: 10.20884/1.mhj.2023.2.2.8377

Abstract

Background: Erythrodermic psoriasis (EP) is a severe type of psoriasis, a chronic inflammatory disease characterized by general erythematous condition with thick scale all around the body. The treatment of EP consists systemic medications like cyclosporine or methotrexate and biologic agents, which lately suggested related to the development of cutaneous T-cell lymphoma (CTCL) in severe psoriasis patients. Case Report: A 45-year old, Javanese male was diagnosed previously with EP that transformed to CTCL. His previous history, he was histologically confirmed as psoriasis vulgaris since 2014 and was treated regularly with methotrexate. After 5 years, he gradually suffered several episodes of erythrodermic condition and was diagnosed with erythrodermic psoriasis with unusual pruritic hyperkeratotic plaques and ulcers on his trunks without any general lymph nodes enlargement. Peripheral blood smear showed Sezary cell and histopathology result confirmed CTCL. He was treated with combination of radiotherapy, phototherapy and topical regiments with a good result and acceptable. Discussion: Several studies suggested that severe psoriasis had increased the susceptibility of CTCL, especially with the use of cyclosporine, methotrexate or biologic agents as the treatment. In this case, methotrexate might play role in the development of CTCL or enhanced the transformation of EP to CTCL. Combination of localized radiation therapy, NBUVB and topical therapy gave a quiet good result for the skin condition and increased patient’s quality of life. Conclusion: Erythrodermic psoriasis might transform or develop to CTCL which in this case was probably related to the use of methotrexate.
PROFIL STRATEGI BELAJAR SRL KOMPONEN KOGNITIF DALAM MEMPERSIAPKAN UJIAN SOCA SELAMA MASA PEMBELAJARAN TATAP MUKA TERBATAS Widiartini, Catharina; Hidayah, Arfi Nurul; Ardansyah, Marsya Bunga Dis
Medical and Health Journal Vol 3 No 1 (2023): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2023.3.1.7760

Abstract

Background: SOCA is an assessment method which tests students' critical thinking, clinical reasoning, and communication skills. SRL (self-regulated learning) cognitive component is a crucial learning-strategies which is useful in processing and storing information on preparing SOCA. SRL determines presage factors in learning environment change. The learning process has changed since the COVID-19 pandemic, which was originally fully online to PTMT. These environmental changes regulate an important role in the SOCA preparation process; thus, this profile of the learning process is not only prominent for monitoring and evaluating in policy making by institution, but also for self-evaluating by respondents. Objective: To find profile of SRL learning strategies for cognitive components in preparing SOCA from FK Unsoed students’ during limited face-to-face learning method in 2021/2022. Methods: This quantitative-observational-descriptive study uses primary data from a questionnaire "SRL Learning Strategies in Limited Face-to-Face Learning Period" by 199 undergraduate-student (of batch 2019, 2020, and 2021). The results are presented in tables and frequency-distribution diagrams based on the sub-components of learning strategies and frequency of use. Results: Most (70.35%) of the respondents were women with an average age of 19.6 years. The majority of respondents always apply rehearsal learning strategies and quite often apply elaboration, organizing, and critical thinking learning strategies. The smallest proportion of application frequency types is "never". Conclusion: The percentage of implementation of "rarely " and "never" are less than the percentage of implementation of "always" and "often".
HYPERPLASTIC CANDIDIASIS IN HEPATOCELLULAR CARCINOMA: CASE REPORT Hidayah, Riski Amalia; Prihanda, Atha; Miniarny, Elisa Astuty
Medical and Health Journal Vol 3 No 1 (2023): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2023.3.1.8545

Abstract

Background: Hepatocyte-derived tumors include hepatocellular carcinoma (HCC). HCC is the sixth occurrence to occur globally in 2018. When the patient's prognosis is poor, HCC is diagnosed. Due to HCC's impact on the patient's immunity, diseases like candidiasis are more likely to strike. Case Study At RSUD Prof. Dr. Margono Soekardjo, a 66-year-old male patient complained of a white coating around his tongue. The patient's skin and sclera appeared yellow during extraoral examination. A full blood count revealed high levels of leukocytes, RDW, and monocytes but low levels of hemoglobin, hematocrit, erythrocytes, platelets, eosinophils, and lymphocytes. On the dorsum and lateral of the tongue as well as the lower lip mucosa, an intraoral examination revealed erratic white plaques. Oral manifestations are the suspected diagnosis based on the history and clinical presentation. Discussion: HCC patients exhibit an immunodeficiency that leaves them vulnerable to infection. Xerostomia, oral candidiasis, caries, stomatitis ulcers, tooth erosion, and masticatory problems are common oral symptoms. Patients with HCC must have their physical state, disease length and stage, kind of treatment, biological constants, and recommendations from an internal medicine physician taken into account when receiving dental care. Given that topical therapy is the first line of defense against drug interactions, it is advised in this situation. An immunocompromised state brought on by hepatocellular carcinoma leaves the body vulnerable to opportunistic infections like oral candidiasis. Maintaining oral hygiene is a necessary component of the preventative and therapeutic management of candidiasis.

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