SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN
Sains Medika is journal of medicine and health, is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from Biomedical Sciences, Public Health, Clinical Sciences, and Medical Education to integrate researches in all aspects of human health. This journal publishes original articles, reviews article, and also interesting case reports.
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"Vol 5, No 2 (2013): July-December 2013"
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<![CDATA[The level of Anxiety in Cervical Cancer Patients of Lower Socioeconomic Status Receiving Chemoteraphy in RSUD Dr. Moewardi ]]>
<![CDATA[Yolanda, Albina Eva]]>;
<![CDATA[Karwur, Ferry Fredy]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.344
<![CDATA[Chemotheraphy for cervical cancer can result in physical and psychological side effects. One of the physical effects is anxiety. This study aimed at identifyingthe level of anxiety in cervical cancer patients of lower socioeconomic status receiving chemotherapy. The anxiety assessment was based on the physicaland psychological quetionnaire (HRS-A) with a guided interview with 40 patients of RSUD Dr. Moewardi. The data from the respondents were tabulatedand analyzed using pivot table of Microsoft Ecxel. The result showed that 40% of the respondents had anxiety symtoms, 30% had a mid anxiety and20% had a medium anxiety and 10% had a severe anxiety. Patients with a personal budget tend to have a higher anxiety compared with those who had agovernment health insurance (JAMKESMAS/Public Health Coverage Insurance). There had been several concerns among the patients including 1) thefear of side effect of chemotheraphy, 2) pessimism of the treatment outcome and the thought of death, 3) inconvenience of regular check for chemoteraphyto hospital and concern about the children and family. The level of anxiety varied among respondents. A lower socioeconic status, lower level of educationand the local wisdom of ‘nrimo’ were responsible for the abcence or lower level of anxiety symptoms in some patients.]]>
<![CDATA[The Effect of Weaning Food on the Body Weight of 6-12 Months Infants in Posyandu Kutoharjo Village, Kaliwungu, Kendal ]]>
<![CDATA[Nahdloh, Nur]]>;
<![CDATA[Priyantini M., Sri]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.350
<![CDATA[According to Central Java Riskesdas in 2007 the severe malnutrition rate was 4.0%, while the rate in Kendal district was 3.1%. The age of 6-12 months is important because it is transition from liquid to solid foods. A purely breast milk diet is unsufficient to meet the nutritional needs of a fast growing baby growth. Weaning diet for baby is necessary to prevent growth disorder. The aim of the study was to assess the effect of weaning diet on weight gain of 6-12 month infant in posyandu (intergrated health center) of Kutoharjo Kaliwungu Kendal. The study was an analytic observational study with a cross sectional design. 87 samples were taken from the visits of children aged 6-12 months in the posyandu consisted of 53 boys and 34 girls who met the inclusion and exclusion criteria. The informations of weaning diet was obtained by questionare and interview. The results classified the baby into two groups namely the appropiate groups and inappropriate groups. The infant’s growth was assessed using the growth chart for the previous two months. Data were analyzed by Chi-Square Test. 51 (58.6%) infants fed of the appropriate solid foods, 44 (50.6%) had a good weight gain growth and only 7 (8%) infants has a bad weight gain. While of 36 (41.4%) infants fed inappropriate weaning diet, 30 (34.5%) infants had a bad weight gain and only 6 (6.9%) infants had a good weight gain. The Chi-Square analysis showed p-value of 0.000 (p<0.05), which means that there was a significant difference between the two groups. The weaning food affect on weight gain of 6-12 month infants in posyandu Kutoharjo village Kaliwungu Kendal.]]>
<![CDATA[Overview of The Incidence and Risk Factors for Nosocomial Infections Using a Geographic Information System Maps ]]>
<![CDATA[Setianto, Rochady]]>;
<![CDATA[Lazuardi, Lutfan]]>;
<![CDATA[Dahesihdewi, Andaru]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.345
<![CDATA[Hospitalized patients have a high risk of getting nosocomial infections due to various reasons. They tend to be more susceptible to infection because oftheir underlying disease condition, and they have higher when patients undergo invasive procedures. If the patient’s immune system is impaired, thenon-pathogenic microorganism are capable of causing disease. Map is a method of illustrating an epidemiologic effectively . Maps can be used to showplace of incidence. Mapping the incidence of nosocomial infections in Sultan Agung Hospital is a method developed for the surveillance of nosocomialinfections. This type of research is a quantitative study with a cross sectional design. This study illustrates the risk factors of nosocomial infection withincidence of nosocomial infections that occur based on time point. Risk factors are extrinsic and intrinsic factors. Based on the spatial image on the map,in extrinsic incidence of nosocomial infections is Plebitis. Genesis Plebitis incidence correlates with the placement of hand washing points handrub. Whilethe intrinsic factor in the Plebitis image and ILO most inpatient distribution in patients aged 50 years with impaired skin integrity due to infusion andphysically due to decreased immunity associated with a variety of underlying diseases. Incidence of nosocomial infections in the inpatient unit is theprimary predisposing factors such as age and clinical issues related predisposing underlying disease can weaken the immune system of the patient, so thatthe procedures and even the most basic medical treatment could potentially cause nosocomial infection.]]>
<![CDATA[Correlation between Attitude of Midwive and Support Cadre in the Behavior of Vitamin a Postpartum Mother Giving Primary Health Center Klaten Region ]]>
<![CDATA[Hasanah, Intan Nugraheni]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.351
<![CDATA[The Program to prevent vitamin A deficiency in Indonesia includes the administration of vitamin A for post partum mothers by giving a high dose ofvitamin A (@ 200,000 international standard). However, midwives sometimes do not evaluate and follow up the program implantation to make sure thatall postpartum women receive the capsule. This study was aimed at evaluating the midwives’ attitude and health promotors’ support and the behavior ofmidwives in giving the vitamin A capsule to post partum mothers in integrated health center (puskesmas) in Klaten regency. This was a cross-sectionalstudy among 37 midwives in puskesmas of Klaten. The data was obtained using a structured questionnaire. Univariate analysis used frequency distributionand bivariate using chi square test. Most of the respondents (75.6%) had a good supports (68%), there was a correlation between the attitude and behaviorof midwife in giving the vit A capsule (p=0.002). There was a correlation between the support of health promoters with the behavior of midwives in givingvitamin A capsule to post partum mothers(p=0.004). There was a correlation between the attitude and the behavior of midwife and support of healthpromotors and the behavior of midwives in giving the vitamin A to mother in Klaten regency.]]>
<![CDATA[Customers Perspective in Performance Assessment of Pharmacy Instillation of RSUD X with Balanced Scorecard ]]>
<![CDATA[Sulistyaningrum, Indriyati Hadi]]>;
<![CDATA[Satibi, Satibi]]>;
<![CDATA[Andayani, Tri Murti]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.346
<![CDATA[Balanced Scorecard performance measurement (financial perspective, customer perspective, internal business perspective, and learning and growth perspective) offers a more thorough and comprehensive evaluation in a public organization such as a hospital. The object of this study was the Department of Pharmacy of RSUD X. This study was descriptive non-experimental. The data were obtained retrospectively and prospectively. The qualitative data were obtained through questionnaires. The quantitative data were obtained through direct observation, surveys. From the research using the Balanced Scorecard data gathering, it has been found that: performance customer perspective showed that the average patient satisfaction was 88% of patients. They were satisfied with the service of the Department of Pharmacy, and the average growth of customers has increased by 10% each month. In conclusions, the working performance of the department of pharmacy was included in a good criteria, with some suggestions and improvements that need to be taken into consideration.]]>
<![CDATA[Merokok dan Oksidasi DNA ]]>
<![CDATA[Fitria, Fitria]]>;
<![CDATA[Triandhini, R.I.N.K Retno]]>;
<![CDATA[Mangimbulude, Jubhar C.]]>;
<![CDATA[Karwur, Ferry Fredy]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.352
<![CDATA[Cigarette smoke consists of a mix of chemical substances in the form of gases and dispersed particles. Recently, more than 4000 compounds presented incigarette smoke have been isolated. Most of these compounds are toxic to our body’s cells. Toxic gases including carbon monoxide (CO), hydrogen cyanide(HCN), nitrogen oxides, and volatile chemicals such as nitrosamines, formaldehyde are found in in cigarette smoke. besides toxic compounds, cigarettesmoke also containsfree radicalsincluding peroxynitrite, hydrogen peroxide, and superoxide. These free radicals may accelerate cellular damage due tooxidative stress. Targets od free radical attacks include DNA, protein and lipids. The harmful chemicals in form of gases and volatile substances in cigarettescause multiple genetic mutations. the combination of genetic mutations and DNA damage lead to genetic instability and it may cause cancer. OxidativeDNA damage caused by cigarette smoke can be identified with the presence of 8-oxoguanosine used as one of the biomarkers for oxidative DNA damage.Increased concentration of 8-oxoguanosine in DNA has an important role in carcinogenesis and triggers tumor cells. both active and passive smokers havebeen reported to have an elevated concentration of 8-oxoguanosine in their lung tissue and peripheral leukocytes as well as for passive smokers. This paperprovide informations and understanding of the effects of smoking on the genetic stability, especially in the DNA molecule.]]>
<![CDATA[Scope of Visum Et Repertum as a Legal Mean of Proof in Crime Related to Human Body in Rumah Sakit Bhayangkara Semarang ]]>
<![CDATA[Trisnadi, Setyo]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.353
<![CDATA[Visum et repertum (VER) is part of forensic and medico-legal science. VER is a written report by a sworn doctor and has the authority of what he/shehas seen and and found in the evidence presented and conclude the evaluation for the trial process in the investigation to decide the suspect, for the basis ofprosecution, prove that an accused person is guilty, at the level of investigation, the request of VER is the authority of investigator of POLRI (The IndonesianNational Police). VER is prepared by a doctor with a special expertise under oath or medical professional and legal responsibilities and liabilities. Therehas been dualism concerning to the evidence of expert witness. First, an expert witness provides a sworn testimony in the trial as it is explicitly mentionedin article 184 of KUHAP (Code of Criminal Procedure). Second, VER is part of legal means of proof of expert testimony given by a legal medical doctoras stated in 184 KUHAP. The expert testimony in form of VER can be legal means of proof which can be used before the court. It is, however, not alwaysnecessary for prosecutor to use it for the adjudicating criminal case. However, criminal case related to human body, it was found that the prosecutorsmake the judgment based on the VER. The autopsy data of RS Bhayangkara in January to October 2012 showed that there were more male victim (58)compared to female victim (51) .The most common cause of death was persecution (91 ). The most common wound was bruise.]]>
<![CDATA[The Effect of Honey on Plasma Malondialdehyde (MDA) Level onAlloxan-Induced hyperglycemic Rats An Experimental studies in rats Galur Wistar White Males ]]>
<![CDATA[Fajrilah, Bela Risqiyani]]>;
<![CDATA[Indrayani, Ulfah Dian]]>;
<![CDATA[Djam’an, Qathrunnada]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.348
<![CDATA[Malondialdehyde (MDA) is the end product of lipid peroxidation and a marker of free radicals. Honey is a safe sweetener proven to lower blood glucose level and contains flavonoids, vitamin A, C, E as a source of antioxidant that can capture free radicals. This study aims to determine the effect of honey on plasma MDA level ionalloxan-induced hyperglycemicrats. This was an experimental study with post-test only control group design conducted for 25 days using 18 white male Wistar rats divided into 3 groups randomly. A negative control group, group B were given honey orally at the dose of 0.54 ml/mice/day, and group C were given honey orally at the of dose 0.9 ml/head/day. Each group consisted of 6 rats. Blood plasma MDA was evaluated by Thiobarbituric Acid Reactive Substance (TBARS) test assay. One way ANOVA analysis test followed post hoc were applied for data analysis. The results showed that mean levels of MDA in group A, B, and C were 6.02 mmol/l ± 0.36, 4.37 mmol/± 0.30, and 1.12 mmol/l ± 0.11 respectively. Bivariate analysis One way ANOVA test showed a significant difference (p<0,05). Post hoc tests showed a significant differences between the study groups (p<0,05). It can be concluded that honey had an effect on the levels of malondialdehyde (MDA) in the blood plasma of alloxan-induced hyperglycemic rats.]]>
<![CDATA[The Definitive Diagnosis of Tuberculous Meningitis (TBM) di RSUP dr. Kariadi Semarang Descriptive study in adult patients using IS6110-based PCR amplification for detecting Mycobacterium tuberculosis ]]>
<![CDATA[Masfiyah, Masfiyah]]>;
<![CDATA[Bintoro, Aris Catur]]>;
<![CDATA[Hadi, Purnomo]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.343
<![CDATA[Tuberculous meningitis (TBM) is the most common cause of central nervous system infection and has very high morbidity and mortality. The definitive diagnosis of TBM in RSUP dr Kariadi Semarang has been insufficient. This study aimed at finding out the definitive diagnosis of TBM di RSUP dr Kariadi Semarang using IS6110 sensitive and specific primer. This was a descriptive study included all in-patients with meningitis and/or TBM of RSUP Dr Kariadi Semarang aged > 14 years with Thwaites’ Diagnostic Score ≤ 4 between March 1, 2013 and November, 30 2013. The devinitive diagnosis of TBM was made using IS6110-based PCR amplification for detecting Mycobacterium tuberculosis complex conducted in microbiology clinic of FK UNDIP/RSUP dr. Kariadi Semarang. The secondary data was the basic and laboratory data from the medical records of the patients. Mean age was 39.59 ± 15.7. Six (35.3%) pasients were diagnosed with devinitive TBM, 3 (17.64%) were meningitis positive by NTM (Non Tuberculous Mycobacteria). Dual infection was found in 1 (5.8%) case between TBM and bacterial meningitis. Most patients were productive age. Some had devititive TBM. The pasient with meningitis and dual infection were also diagnosed with NTM (Non Tuberculous Mycobacteria).]]>
<![CDATA[Komponen Senyawa Aktif pada Udang Serta Aplikasinya dalam Pangan ]]>
<![CDATA[Ngginak, James]]>;
<![CDATA[Semangun, Haryono]]>;
<![CDATA[Mangimbulude, Jubhar C.]]>;
<![CDATA[Rondonuwu, Ferdy S.]]>
<![CDATA[ Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013 ]]>
Publisher : <![CDATA[Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA) ]]>
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DOI: 10.30659/sainsmed.v5i2.354
<![CDATA[Indonesian water area is vast and has a great potential of natural resources. Most of the Indonesian people working as fisherman describes that oceanis place of making a living. Watery area resources Indonesian watery area is vast and has a great potential incude shrimps, fish, and other organism tosupport human life. Ocean organism has been known to contain nutrition which is good for human’s health. Shrimps contains omega 3, mineral, fat,citin, carotenoide (astaxanthin) and vitamin. The active compound have an ability to prevent disease and meet the nutritional need of body. Omega3 andastaxantin for example are active compounds found in shrimps. These compound play a role as antioxidant and free radicals scavenger can be supplementfor pregnant women and baby. Omega 3 and antaksantine are found in various shrimps and fish. Thus, the development of product from this organismincludes supplement, margarine, cake, souse, bread, kerupuk, flour and salt. In this review, the writer describes the the functional compound and itsusage as food product.]]>
