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INDONESIA
Jurnal Kedokteran Syiah Kuala
Published by Universitas Syiah Kuala
ISSN : 14421026     EISSN : 25500112     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Arjuna Subject : -
Articles 545 Documents
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Tingkat pengetahuan keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara tentang penyakit stroke Muhammad Thariq Siregar; Chairil Amin Batubara
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.20552

Abstract

Stroke menjadi penyebab kecacatan dan kematian terbanyak kedua di Indonesia. Stroke dapat berdampak pada kecacatan permanen hingga meninggal dunia. Stroke muncul akibat adanya faktor risiko stroke pada seseorang. Penilaian terhadap tingkat pengetahuan stroke pada masyarakat diharapkan dapat menjadi dasar dalam mengedukasi masyarakat tentang penyakit stroke. Metode yang digunakan dalam penelitian ini adalah metode deskriptif observasional dengan desain cross-sectional. Penelitian dilakukan pada anggota keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2017, 2018, dan 2019 dengan besar sampel 60 orang. Instrumen penelitian menggunakan kuesioner penilaian tingkat pengetahuan stroke. Penelitian dilakukan dengan online survey. Hasil penelitian mendapatkan skor responden tentang faktor risiko stroke adalah 73,5% (cukup), tanda dan gejala stroke adalah 68,9% (cukup), penanganan awal stroke adalah 93,3% (baik), upaya pencegahan stroke adalah 96,8% (baik), hasil akhir pengobatan stroke adalah 89,7% (baik), dan tingkat pengetahuan penyakit stroke keseluruhan adalah 93,3% (baik). Hasil penelitian menunjukkan bahwa tingkat pengetahuan keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara tentang penyakit stroke adalah baik. 
Diagnosis dan Penatalaksanaan Karsinoma Tonsil Benny Kurnia; Lily Setiani; Juniar Juniar; Safarianti Safarianti
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.20360

Abstract

AbstractTonsilar carcinoma is the most common squamous cell carcinoma of the tonsils that presents as ulcerated lesions on a necrotic basis. These tumors often appear at an advanced stage and often metastasize to the lymph nodes. In recent years, head and neck malignancies due to HPV infection have increased. Other causes of carcinoma of the tonsils are smoking and alcohol abuse. The overall incidence of tonsillar carcinoma increase in the younger population, and this may be associated with an increase of human papilloma virus infection. Tonsil carcinoma varies in clinical history. In the early stages, tonsilar carcinoma are asymptomatic, but at an advanced stages patients might have complaint of a persistent sore throat, unilateral otalgia, or a sensation of mass in the throat, bleeding from the mouth, fetor oris with trismus as a sign of a local invasion. The diagnosis of tonsilar carcinoma made based on history, physical examination, clinical symptoms, and supporting examinations such as of CT scan, MRI and tumor tissue biopsy. Management of tonsilar carcinoma for stage I-II and stage III (T1-2, N1) are local and regional radiotherapy to achieve a good effect. Radiotherapy is the main treatment modality in early-stage of tonsillar carcinoma. concomitant chemotherapy and radiation therapy are the standard treatment for advanced tonsillar carcinoma currently. chemotherapy can be given before radiotherapy or as neoadjuvant, given after radiotherapy or as adjuvant, or given concurrently with radiotherapy.
Hemolytic disease of newborn: fokus pada inkompatibilitas ABO Teny Tjitra Sari; Riski Muhaimin; Umam Fazlurrahman
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.19059

Abstract

HDN harus dicurigai bila didapatkan penurunan hemoglobin tanpa tanda perdarahan, peningkatan produksi eritrosit, ikterik pada 24-48 jam pertama, dan direct anti-globulin test positif. Inkompatibilitas ABO merupakan etiologi terbanyak dari HDN. Meskipun mayoritas terjadi pada ibu dengan golongan darah O, namun dilaporkan kasus pada ibu dengan golongan darah A dan B. Antigen pada kelompok darah ABO, terdiri dari antigen-A, antigen-B, dan prekursornya, antigen-H. Antigen-A dan B memiliki beberapa sub grup antigen dan tidak hanya ada di membran eritrosit, namun juga terdapat pada berbagai jaringan tubuh. Berbeda dengan inkompatibilitas rhesus, pada inkompatibilitas ABO sering terjadi pada kehamilan pertama dengan manifestasi yang lebih ringan. Fototerapi merupakan terapi lini pertama hiperbilirubinemia HDN. Bila tidak membaik, dapat diberikan imunoglobulin dan dilakukan transfusi tukar. Terapi farmakologi lain belum direkomendasikan. Transfusi darah dilakukan bila Hb turun signifikan atau terdapat gejala. Deteksi dini dan tatalaksana adekuat menurunkan morbiditas dan mortalitas.
Perbandingan screen-time berdasarkan kuantitas dan kualitas tidur mahasiswa Fakultas Kedokteran Universitas Pembangunan Nasional Veteran Jakarta pada pandemi Corona Virus Disease-19 Dhea Faizia Tasya; Nurfitri Bustamam; Winda Lestari
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.20406

Abstract

The study result showed that in the pandemic of COVID-19 there was an increase in screen-time that caused sleep disturbances. The Faculty of Medicine Universitas Pembangunan Nasional Veteran Jakarta (FMUPNVJ) implemented the online learning method to prevent transmission of COVID-19. The average of screen-time scheduled for the seventh semester FMUPNVJ was 6.4 hours/day. This study aimed to compare the screen-time based on sleep quantity and quality of FMUPNVJ students. The study used a cross-sectional design with a sample size of 123 subjects. The instruments of this study were the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quantity and quality, and a self-reported questionnaire to measure screen-time. The study results showed that most (78.9%) of the subjects were female, aged 21 (20-22) years old with an average of screen-time 10.48 ± 2.87 hours/day, 61% of the subjects had short sleep quantity, and 56.9% of the subjects had poor sleep quality. The results of the statistical test showed that there were differences in screen-time based on sleep quantity (p = 0.000) and sleep quality (p = 0.000). Subjects with high screen-time had short sleep quantity and poor sleep quality.
Kaheksia kanker dan tatalaksana nutrisi pada penderita kanker Huwainan Nisa Nasution
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.19165

Abstract

Abstrak. Gangguan status nutrisi pada penderita kanker yang disebut dengan kaheksia kanker merupakan masalah yang serius. Kaheksia kanker dikarakteristikkan dengan penurunan berat badan, kelemahan otot dan anoreksia. Insidensi kaheksia kanker berkisar 40-80% pada penderita kanker dan menjadi penyebab kematian pada 30-50% penderita kanker. Kaheksia kanker dapat terjadi pada seluruh tahapan penderita kanker, baik pada tahap dini maupun penderita yang telah sembuh dari kanker. Kaheksia kanker dapat diterapi dengan intervensi nutrisi, terapi non-farmakologik dan terapi farmakologik.Kata kunci: kanker, kaheksia kanker, nutrisi, tatalaksana nutrisi Abstract. Impaired nutritional status in cancer patients known as cancer cachexia is a serious problem. Cancer cachexia is characterized by weight loss, muscle weakness and anorexia. The incidence of cancer cachexia ranges from 40-80% in cancer patients and the cause of death in 30-50% of cancer patients. Cancer cachexia can occur at all stages of cancer patients, both at an early stage or in patients who have recovered from cancer. Cancer cachexia can be treated with nutritional interventions, non-pharmacological therapy and pharmacologic therapy. Keyword: cancer, cancer cachexia, nutrition, nutrition therapy
Hubungan antara pengetahuan tentang gizi dengan kebiasaan sarapan pada mahasiswa Dara Tsuraiya Aulia; Yusni Yusni; Husnah Husnah; Iflan Nauval; Suryawati Suryawati
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.19362

Abstract

Mahasiswa tergolong usia dewasa yang diharuskan dapat menerapkan pengetahuan yang dimilikinya dalam kehidupan sehari-hari. Prevalensi kebiasaan jarang sarapan pada mahasiswa lebih banyak daripada yang memiliki kebiasaan sarapan yang baik. Jenis penelitian adalah analitik observasional dengan desain cross sectional. Sampel diambil secara total sampling dengan jumlah responden sebanyak 133 mahasiswa Fakultas Keperawataan Universitas Syiah Kuala tahun angkatan 2017, namun hanya 80 responden yang masuk kriteria inklusi. Pengetahuan gizi dinilai menggunakan kuesioner dan kebiasaan sarapan dinilai menggunakan Food Frequency Questionnaire (FFQ). Hasil penelitian menunjukkan dari 58 mahasiswa yang memiliki pengetahuan gizi baik, sebanyak 47 mahasiswa (81%) memiliki kebiasaan sarapan yang baik. Sedangkan dari 22 mahasiswa yang memiliki pengetahuan gizi kurang, sebanyak 12 mahasiswa (54,5%) memiliki kebiasaan sarapan yang kurang. Hasil analisis uji chi-square­, nilai P value 0,002 (P value 0,05), PR 1,783 (PR  1) artinya semakin baik pengetahuan gizi mahasiswa semakin baik kebiasaan sarapan sehingga terdapat hubungan antara pengetahuan gizi dengan kebiasaan sarapan pada mahasiswa Fakultas Keperawatan Universitas Syiah Kuala tahun angkatan 2017.
Pasien Spinocerebellar Ataxia 3 (SCA3) dengan neuropati perifer di Indonesia : laporan kasus Iin Pusparini
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.20529

Abstract

Abstract Rationale: Spinocerebellar ataxia (SCA) 3, also known as Machado-Joseph Disease (MJD), is a neurodegenerative disease which involves cerebellum and its afferent and efferent pathways. Generally, the initial symptoms were gait disturbance, double vision, dysarthria, and vertigo.Patient concerns: a 43-year-old male, with known SCA3, presented hereditary ataxia had mild numbness in his both palms since two years ago. Sensory examination found no abnormality. Nerve Conduction Studies (NCS) showed severe axonal demyelinating sensorimotor peripheral neuropathy. In magnetic resonance imaging atrophy cerebellum with cerebral multiple lacunar infarction were seen. Diagnoses: SCA3 was diagnosed on the basis of clinical features, family pedigree, physical examination, electrophysiology study, neuroimaging, nerve biopsy, and genetic testing results. The electrophysiological manifestations revealed profound axonal demyelinating lesion in peripheral nerves. Genetic analysis was not done yet due to lack of availability of genetic testing in our country at this moment although it is the gold standard for diagnosis.Lessons: SCA3 with peripheral neuropathy represents a specific clinical entity that so far has never been described previously in Indonesia.Abbreviations: SCA3 = Spinocerebellar ataxia, MJD = Machado-Joseph Disease, NCS = Nerve Conduction Studies
POTENSI EKSTRAK IKAN GABUS TERHADAP KESEMBUHAN LUKA DIABETES Bambang Prayugo; Muhammad Ichwan; Zulham Yamamoto
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.20376

Abstract

Abstrak. Luka diabetes merupakan luka kronis yang berdampak buruk bagi morbiditas, mortalitas, dan psiko-sosio-ekonomi penderita maupun keluarganya. Kondisi hiperglikemia mengakibatkan fase penyembuhan luka tidak berjalan normal. Ekstrak ikan gabus, yang dapat diberikan peroral maupun sebagai bahan kombinasi penutup luka berpotensi terhadap penyembuhan luka diabetes melalui peningkatan jumlah netrofil dan makrofag, neovaskularisasi. Selain itu, ekstrak ikan gabus meningkatkan jumlah fibroblas, deposisi kolagen, peningkatan re-epitelisasi, kekuatan regangan, dan kontraksi pada penyembuhan luka. 
Social media addiction and stress among indonesian medical students in Banjarmasin Aldiya Jamila; Dwi Setyohadi; Sherly Limantara; Pagan Pambudi; Oski Illiandri
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.19603

Abstract

It has been known that some medical student has a high level of stress because of its academic burden. If it could not be well managed this will lead the student to bad academic achievement and academic failure. Many early student monitoring tool has been used to prevent student academic failure, however, there was no satisfying tool until its getting worse into academic failure. An academic supervisor needs to find a new tool to screen the stress level of a medical student at an early stage. Nowadays, social media can not be separated from student life. Some students had high social media activity and some not. Recent studies report that social media activity can reflect one’s mental health. However, the relation between social media addiction and mental health among medical students is still unknown. This study aimed to find a relation between student social media intensity and level of neuroticism in medical students. This study used a cross-sectional approach,  conducted on eighty-four students in medical school. Social Networking Time Use Scale (SONTUS) has been used to measure social media activity and Depression, Anxiety, and Stress Scale (DASS) was used to measure mental health. Data analyzed using the Spearman test. The results showed that 35.7% of respondents used social media with low intensity, 51.1% moderate intensity, 12% high intensity, and 1.2% very high intensity. The rate of depressive symptoms in 63% of respondents was in the normal range, 14.3% mild, 15.5% moderate, 4.8% severe, and 2.4% very severe. The level of anxiety symptoms in 31% of respondents was in the normal range, 12% mild, 29.8% moderate, 14.3% severe, and 13.1% very severe. The correlation between the intensity of social media use and the level of depressive symptoms is not significant (p=0.109; r=0.136), but significant with the level of anxiety symptoms (p=0.013; r=0.241). Base on the result, it was concluded that social media addiction is related to the high level of stress type of anxiety but not depression. Further research needs to be conducted with a more subject sample.
Akurasi Diagnostik FNAB Dalam Mendiagnosis Karsinoma Tiroid Pada Pasien Dengan Nodul Tiroid Adrian Dharmawan; Niniek Hardini; Maria Selvester Thadeus
Jurnal Kedokteran Syiah Kuala Vol 21, No 3 (2021): Volume 21 Nomor 3 Desember 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i3.22193

Abstract

Nodul tiroid merupakan temuan klinis yang umum ditemui dimana nodul yang dapat teraba pada pemeriksaan klinis ditemukan pada sekitar 4-7% dari populasi di seluruh dunia. Karsinoma tiroid ditemukan pada sekitar 3-16,6% nodul yang diperiksa. Salah satu uji diagnostik yang sering digunakan dalam menegakkan karsinoma tiroid adalah fine-needle aspiration biopsy (FNAB). Tujuan dari penelitian ini adalah diharapkan dapat mengidentifikasi akurasi diagnostik FNAB dalam mendiagnosis karsinoma tiroid berdasarkan sensitivitas dan spesifisitasnya. Metode penelitian ini berupa systematic review yang dilakukan berdasarkan the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) 2015. Database yang digunakan adalah PubMed dan ScienceDirect. Tiga puluh lima studi memenuhi kriteria inklusi. Hasil penelitian memberikan sensitivitas gabungan 0,68 (95% CI, 0,650-0,703) dan spesifisitas gabungan 0,97 (95% CI, 0,961-0,976). Kesimpulan penelitian ini adalah FNAB merupakan uji diagnostik yang baik karena memberikan sedikit false positive namun tidak cocok dijadikan sebagai uji skrining karena jumlah false negative yang cukup tinggi.

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