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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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THE PREVALENCE OF HYPERTENSION AMONG YOUNG ADULT PATIENTS AT KLINIK SOEDIRMAN PURWOKERTO Sinensis, Rizki Amelia; Wicaksono, Madya Ardi; Nafiisah, Nafiisah; Firinda, Rizma Haidif; Kamal, Isran
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14926

Abstract

Hypertension is a growing public health problem, particularly among young adults. This study aims to determine the prevalence of hypertension among young adult patients at Klinik Soedirman Purwokerto. The study uses a quantitative descriptive design with a sample of all patients aged 18-24 years who accessed healthcare services at the clinic from March to September 2024. The results show that the majority of patients were female (72.51%), with the most frequent age group being 20 years (29.75%). Recorded diagnoses of hypertension included both essential and secondary hypertension, with one case of both types found in a 20-year-old female patient. Risk factors contributing to hypertension in young adults include unhealthy lifestyle factors such as high salt diet, lack of physical activity, alcohol consumption, and smoking habits. These findings indicate the need for more effective preventive programs among young adults, such as promoting healthy lifestyles and routine blood pressure screening. This study can serve as a basis for designing hypertension prevention measures among students, particularly at Jenderal Soedirman University
IMMUNE THROMBOCYTOPENIC PURPURA INDUCED BY VARICELLA ZOSTER IN AN 8-YEAR-OLD GIRL: A CASE REPORT Praditina, Wening Gelar; Hapsari, Ariadne Tiara; Syamsu Hidayat, Muhammad Zaenuri; Bunga, Bunga; Tamia, Afra Bryges
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14942

Abstract

Varicella Zoster Virus (VZV) can trigger various complications, one of which is Immune Thrombocytopenic Purpura (ITP), although this occurrence is rare. ITP is a bleeding disorder caused by excessive platelet destruction due to autoantibodies. This case report presents an 8-year-old female child who developed varicella accompanied by severe thrombocytopenia. Initially, the patient experienced prodromal symptoms including fever, followed by the appearance of vesicular skin lesions that spread centrifugally. Laboratory tests revealed thrombocytopenia, supporting the diagnosis of ITP. The management included antiviral therapy with acyclovir, platelet transfusion, and corticosteroid therapy to reduce inflammation. Although ITP triggered by varicella is rare, prompt and appropriate management is essential to prevent life-threatening complications.
COMPREHENSIVE REVIEW OF MECONIUM ASPIRATION SYNDROME: RISK FACTORS, COMPLICATIONS, AND TREATMENT APPROACHES Hapsari, Ariadne; Pratidina, Wening Gelar
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14996

Abstract

Background: Meconium Aspiration Syndrome (MAS) is a major cause of neonatal respiratory distress, occurring due to the aspiration of meconium-stained amniotic fluid. MAS can lead to airway obstruction, chemical pneumonitis, surfactant dysfunction, and persistent pulmonary hypertension. Objective: This article aims to review the risk factors, pathophysiology, diagnosis, complications, as well as prevention and management strategies of MAS based on recent literature. Methods: A literature review was conducted by analyzing relevant studies from scientific journals, medical textbooks, and other reliable sources. Results: MAS is associated with risk factors such as placental insufficiency, maternal hypertension, preeclampsia, and fetal hypoxia. Diagnosis is established through clinical assessment, radiological findings, and blood gas analysis. Management includes neonatal resuscitation, oxygen therapy, mechanical ventilation, and ECMO in severe cases. Conclusion: Early detection and appropriate management are crucial in reducing morbidity and mortality caused by MAS. Preventive strategies in the delivery room play a key role in reducing the risk of meconium aspiration and improving neonatal outcomes.
ANALYSIS OF THE RELATIONSHIP BETWEEN APRI SCORE AND THE DEGREE OF ESOPHAGEAL VARICES IN LIVER CIRRHOSIS PATIENTS AT RSUD PROF. DR. MARGONO SOEKARJO Wijayana, Kamal; Putra, Fadhly Nino; Djatmiko, Wahyu; Siswandari, Wahyu; Magfiroh, Nisaul
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14997

Abstract

Esophageal varices are one of the most common complications in patients with liver cirrhosis and can lead to high-risk bleeding. This study aims to analyze the relationship between the APRI (Aspartate Aminotransferase-to-Platelet Ratio Index) score and the degree of esophageal varices in liver cirrhosis patients at RSUD Prof. Dr. Margono Soekarjo. This research used an observational analytic design with a cross-sectional approach, involving 89 patients who met the inclusion criteria. The analysis revealed a significant positive correlation between the APRI score and the degree of esophageal varices (p=0.039, r=0.220), indicating that the higher the degree of esophageal varices, the higher the APRI score. These findings suggest that the APRI score can be used as a non-invasive tool to detect the degree of esophageal varices in liver cirrhosis patients, with potential as a more practical and cost-effective diagnostic method
OVERVIEW OF PUBLIC KNOWLEDGE AND ATTITUDE TOWARDS HEALTH IMPACT POST FLOOD DISASTER IN ENVIRONMENT V, KAYUBULAN VILLAGE, GORONTALO REGENCY Hasan, Zahwanabila Ramadhanti; Suleman, Ibrahim; Rahma, Sitti; Yusuf, Zuhriana K; Pomalango, Zulkifli B
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14793

Abstract

After floods submerge residential areas, various diseases often appear. Diseases that arise due to flooding, such as ISPA, diarrhea, skin infections, leptospirosis, and fever. Lack of knowledge and attitudes about public health education is one of the causes of disease. So this research aims to determine the level of knowledge and attitudes of the community regarding the health impacts caused. This research method is a descriptive survey research design with a quantitative approach to determine the level of knowledge and attitudes. The population in this research is each community's family card. The sampling method in this research was purposive sampling with the Slovin formula 0.1. The results of this research show that 67 people (91.8%) have a good level of knowledge and 6 people (8.2%) have a good level of knowledge. The research results for attitude show that 71 people (97.3%) have a good attitude and 2 people (2.7%) have an adequate attitude. The results of this research can be a reference for the public to maintain personal health and hygiene.
FAMILY SUPPORT WITH REHABILITATION COMPLIANCE IN CLIENTS WITH DRUG ABUSE IN THE WORK AREA OF BNK POHUWATO Muhammad, Eka Ria Novrita R; Zainuddin, Zainuddin; Yusuf, Nur Ayun R.
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14773

Abstract

Handling drug abuse is a challenge that requires comprehensive intervention, including family support as an important factor in the success of rehabilitation. This study aims to analyze the relationship between family support and rehabilitation compliance in drug abuse clients in the BNK Pohuwato work area. The research design used was quantitative analytic with a cross-sectional approach. Data were collected through interviews using questionnaires to 24 respondents undergoing rehabilitation. Data analysis was carried out using the chi-square statistical test to identify the relationship between family support and rehabilitation compliance. The results showed that there was a significant relationship between the level of family support and rehabilitation compliance (p <0.05). Clients with good family support had a higher level of compliance than clients without family support. Family support in the form of motivation, supervision, and emotional assistance has been shown to make an important contribution to the success of the rehabilitation program. This study emphasizes the importance of family involvement in the rehabilitation process as part of a drug abuse handling strategy. It is hoped that these results can be a reference for related agencies to develop more effective rehabilitation programs by involving the active role of the family.
THE CORRELATION BETWEEN MENTAL HEALTH AND QUALITY OF LIFE IN TYPE 2 DIABETES MELLITUS PATIENTS IN THE PUSKESMAS DENGILO, POHUWATO REGENCY Noho, Saiful Fauzie; Zainuddin, Zainuddin; Antu, Mihrawaty S
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14778

Abstract

Type 2 Diabetes Mellitus is still one of the chronic diseases that continues to increase every year, including in several regions of Indonesia, such as Gorontalo. The impact caused by Type 2 Diabetes Mellitus has the potential to reduce the quality of life of sufferers, especially in terms of physical, psychological, and social. Disturbed mental health, such as anxiety and depression, can worsen the condition. This study aims to determine the relationship between Mental Health and Quality of Life in Type 2 Diabetes Mellitus patients in the Dengilo Health Center work area, Pohuwato Regency. The results of this study are expected to provide insight for better interventions in the management of Type 2 Diabetes Mellitus that pay attention to mental health aspects. The research method uses a quantitative research type with a Cross Sectional research design. The population of this study was all Type 2 Diabetes Mellitus patients totaling 40 patients with a Total Sampling sampling technique. Data analysis used the Spearman's rho test. The results of the study showed a significant relationship between Mental Health and Quality of Life in Type 2 Diabetes Mellitus patients in the Dengilo Health Center work area, namely (p = 0.001). In conclusion, there is a significant relationship between Mental Health and Quality of Life in Type 2 Diabetes Mellitus patients in the Dengilo Health Center, Pohuwato Regency. It is expected that Type 2 Diabetes Mellitus patients can manage their mental condition well, and follow the right treatment so that their quality of life can increase optimally and consistently.
HUBUNGAN TINGKAT PENGETAHUAN PERAWAT DENGAN PELAKSANAAN IDENTIFIKASI PASIEN DI RUANGAN BEDAH DAN UROLOGI RSUD TOTO KABILA Abubakar, Windha; Zainuddin, Zainuddin; Sulaiman, Ibrahim
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14853

Abstract

Patient safety is a crucial aspect in health services, with proper patient identification can prevent medical errors. Nurses' knowledge of patient identification procedures plays an important role in effective implementation. The purpose of this study was to analyze the relationship between the level of nurses' knowledge and the implementation of patient identification in the Surgery and Urology rooms of Toto Kabila Hospital. This research method uses observational analytic with a cross-sectional approach, involving 31 nurses as samples taken using the total sampling technique. The instruments used were a questionnaire to measure knowledge and an observation sheet to assess the implementation of patient identification. The results showed a significant relationship between the level of knowledge and the implementation of patient identification (p-value 0.000, r = 0.968). The conclusion of this study is that increasing nurses' knowledge is very important to improve patient safety. The suggestion given is the need for routine training and socialization regarding patient safety for new nurses so that they can carry out patient identification properly.
RELATIONSHIP BETWEEN FAMILY SUPPORT AND DIABETIC FOOT CARE MANAGEMENT IN TYPE 2 DM PATIENTS AT THE KOTA UTARA PUBLIC HEALTH CENTER, GORONTALO CITY Sulkifli, Putri Wulandari; Zainuddin, Zainuddin; Hiola, Dewi Suryaningsi
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14883

Abstract

Family support is needed for individuals to overcome the problems they face. Family support has an influence and has a positive impact on DM sufferers, so that with family support it can be a motivation and also a reminder for someone with DM in carrying out foot care management. The purpose of this study was to determine the relationship between family support and diabetic foot care management in Type 2 DM patients at the North City Health Center, Gorontalo City. This research method uses an analytical survey with a cross-sectional research design. The population of this study was patients with a diagnosis of DMT2 totaling 83 people. The sample consisted of 45 respondents with an accidental sampling technique. The results of the study were analyzed using the chi square statistical test. The results showed 30 respondents with low family support, 15 respondents with high family support, 26 respondents with poor foot care management, and 19 respondents with good foot care management. There is a relationship between family support and diabetic foot care management with a p value of 0.000 (<0.05). Conclusion: high family support can affect good foot care management.
HISTORY OF INFECTIOUS DISEASES AND HISTORY OF BASIC IMMUNIZATION STATUS: STUNTING INCIDENCE IN TODDLERS Moha, Renaldi; Hafid, Ridah; Jafar, Cindy Puspita Sari Haji
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14934

Abstract

Toddler is a term used to refer to children up to the age of five. Children who are still in the toddler stage are very dependent on their parents in carrying out their daily activities. The toddler period is a crucial period in the child's growth and development process. One of the nutritional problems that often occurs in toddlers is stunting, which is a condition where the child's height is lower than the average height of children of the same age. The purpose of this study was to determine the relationship between infectious disease history and basic immunization status history with stunting incidence at Limboto Health Center, Gorontalo Regency. This study is a non-experimental quantitative study with a cross-sectional design using a retrospective analysis approach. Sampling in this study was carried out using the Non Probability Sampling Technique, namely the Purposive Sampling Technique. with a population of 2,895 respondents and a sample of 96 respondents, the chi-square test using the SPSS program obtained a p-value (0.000) smaller than α = 0.05 or p-value <α value so that it can be concluded that H1 is accepted, meaning that there is a relationship between a history of infectious diseases and the incidence of stunting in the Limboto Health Center work area. In conclusion, there is a relationship between a history of infectious diseases and a history of basic immunization status with the incidence of stunting at the Limboto Health Center, Gorontalo Regency. Therefore, this study is expected to provide useful information for the implementation of the stunting program at the health center and help achieve the program's final goals.

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