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INDONESIA
Jurnal Kedokteran Methodist
Published by Universitas Methodist Indonesia
ISSN : 26847132     EISSN : 26847132     DOI : DOI: https://doi.org/10.46880/jkm.v20i1
Core Subject : Health, Science, Education, Agriculture, Social,
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary Other
Jurnal Kedokteran Methodist (JKM) is a peer-reviewed, open-access journal that welcomes manuscripts in basic and clinical research, encompassing all aspects of medicine, health sciences, and pharmacy. Reports on genomics, epigenetics, and stem cells are welcome as well. The journal covers original research articles, case reports, and review articles.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 44 Documents
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PERBANDINGAN SPUTUM BTA POSITIF DAN SPUTUM BTA NEGATIF TERHADAP FOTO TORAKS PADA PASIEN TB PARU Situngkir, Jesica Damayanti; Damanik, Irene; Siahaan, Jekson Martiar
Jurnal Kedokteran Methodist Vol. 12 No. 1 (2019): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Abstract

Background : Pulmonary tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis with the main symptom of a cough with phlegm for 2 weeks or more. Coughing can be followed by additional symptoms, namely phlegm mixed with blood, coughing up blood, shortness of breath, weakness, decreased appetite, weight loss, malaise, night sweats without physical activity and fever for more than one month. Some suspicions in TB patients should be carried out immediately by routine sputum examination and chest X-ray. The occurrence of radiographic changes in smear negative and smear positive is very important in helping diagnose pulmonary TB.Method: The research method used was a Literature Review, using secondary data. The data collection method used in this research is the documentation method. The research journals used are 5 journals with inclusion criteria for pulmonary TB patients who carry out BTA examinations and chest photos and the date of publication ± the last 5 years starting from 2014 - 2019, then the language used in this research method is to use Indonesian and English, as well as full text publication journals.\Results: There is a difference in the extent of lesions on chest X-ray between smear positive pulmonary TB patients and smear negative pulmonary TB patients.
KARAKTERISTIK PENDERITA HEMOROID DARI HASIL PEMERIKSAAAN KOLONOSKOPI DI RSUD DR. PIRNGADI MEDAN Butar - Butar, Syarifuddin Hizkia; Tarigan, Pengarapen; Lumongga, Fitriana
Jurnal Kedokteran Methodist Vol. 13 No. 1 (2020): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background : Hemoroid is enlargement of superior hemorrhoidal plexus vein.hemorrhoid will become more serverif no action is taken immediately. Usia> 45 years had higher risk of developing hemorrhoids. Man has the risk factor affected by hemorrhoids and this incident also experienced by women who are pregnant and someone who is obes. Eventually, there will be bulging hemorrhoids that can not be put back into the anus, so the operation should be carried out. Method :This study was an description research with cross sectional method and and from colonoscopy result and using secondary data obtained from medical record of Pirngadi Medan Hospital period of 2013-2015. Sample selection is done using consecutive sampling method and was obtained from medical record. Result : male subjects who suffered hemorrhoids more record from age is 36-45 years are 33 subjects ( 52,3%), and from gender, male subjects who suffered hemorrhoids are 55 subjects (63,5%), and profession who suffered hemorroids are farmers 29 subjects (36,5%), and finally,education subject who suffered hemorrhoids are SLTA 33 subjects (35,6%). There wa relation between age with the degree of hemorrhoids. Conclution ; Total sample obtained as many as 79 people suffering from hemorroids. The higher a person’s age the hemorroid that he sustained will get worse.
Hubungan Gagal Ginjal Kronik dengan Diabetes Mellitus Tipe 2 Tarigan, Gracecilia; Tarigan, Pengarapen; Siahaan, Jekson Martiar
Jurnal Kedokteran Methodist Vol. 13 No. 2 (2020): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background : Many factors can cause chronic kidney disease, namely DM, Hypertension, Polycystic Kidney Disease, Chronic Interticial Nephritis. The results of the 2018 Riskesdas the prevalence value of chronic kidney disease in Indonesia was 3.8% and increased by 1.8% from 2013 data. In DM patients, kidney disorders can be found, kidney disorders can be a complication that causes a decrease in the patient's quality of life. Disorders that occur in the kidneys due to diabetes are characterized by the appearance of microalbuminuria, which means that the amount of albumin excretion in the urine between 20 and 199 ug / minute. The aim of this study was to determine the relationship between type 2 diabetes mellitus and chronic kidney disease. Methods : The research method used was a Literature Review, using secondary data. The data were collected using a documentation techniques. The research journals used were 6 journals with inclusion criteria for the publication date of the last 5 years, the language used was Indonesian or English, with the research subjects of patients with a diagnosis of chronic kidney disease with type 2 diabetes mellitus and a full text publication. Conclusion : There is an association between diabetes mellitus type 2 with chronic kidney disease which can be seen in (microalbuminuria, Blood sugar rate, Hypertension and HbA1C)
HUBUNGAN KUALITAS HIDUP DENGAN DIABETES MELITUS TIPE 2 Tambunan, Nur Lela E.; Siahaan, Jekson Martiar; Simanjuntak , Salomo G. U.
Jurnal Kedokteran Methodist Vol. 14 No. 1 (2021): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background: Diabetes mellitus type 2 is a disease that cannot be cured but controlled so that it greatly affects health conditions and affects the quality of life for sufferers. Quality of life is a form of problem that occurs in various aspects of the sufferer's life, such as physical well-being, well-being, and emotional or social well-being. The gap between desire or hope and the ability to make changes in oneself. Methods: The research method used is Literature Review, using secondary data. The data were collected using documentation techniques, the research journals used were 9 journals with inclusion criteria published in the last 5 years, journals used in Indonesian and English with the research subjects of patients with diagnosis of type 2 diabetes, and full text publication. Conclusion: There is a close relationship between physical health, psychological, social support, environment and there is also a demographic relationship such as age, education level, economic status. However, for sociodemographics, sex was not related.
ADIKSI SMARTPHONE MAHASISWA PROGRAM STUDI PENDIDIKAN DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS SUMATERA UTARA ANGKATAN 2018 SELAMA PANDEMI COVID-19 Rizky Mildsi, Adam; Effendy, Elmeida
Jurnal Kedokteran Methodist Vol. 15 No. 2 (2022): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background: Digital technology addiction includes internet addiction, social media addiction, smartphone addiction, online gaming addiction, and online gambling addiction. Someone who spends a lot of time using digital technology and internet-related activities will cause dependence on technology for social interaction, entertainment, and information resources. This will lead to increased mental disorders, emotional instability, and sleep disturbances. Since the COVID-19 pandemic began, many prevention and control strategies have been implemented by the Indonesian government to suppress the spread of this virus. One of the best ways to suppress the spread of this virus is to stay at home. This affects the daily activities of people around the world which leads them to use digital technology more often, such as the internet, social media, and smartphones Methods: This study aims to evaluate association between gender, age, and residence with smartphone addiction among students of the 2018 Faculty of Medicine, North Sumatra University during COVID-19 pandemic. The type of research used in this study is a analytic observational study with a cross-sectional design. The research sample was obtained using the large-sample method based on proportions with the research sample population being all students of the Medical Education Study Program, Faculty of Medicine, University of North Sumatra, 2018. The data was obtained online using a questionnaire Conclusion: Among 80 respondents there are 59 people experiencing smartphone addiction and there is no significant association between gender, age, and residence with smartphone addiction.
HUBUNGAN ANTARA NILAI RASIO NEUTROFIL-LIMFOSIT DENGAN TERJADINYA INFEKSI COVID-19 DI RUMAH SAKIT PUTRI HIJAU MEDAN PERIODE 2020 Citra, Irwanto; Tambunan, Ronad T.H; Pakpahan, Edwin Anto
Jurnal Kedokteran Methodist Vol. 15 No. 2 (2022): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Abstract

Background: Patients with severe COVID-19 always have a high mortality rate, while inflammatory immunity to COVID-19 infection such as the Neutrophil-Lymphocyte Ratio (NLR) reflects the progress of the infection. It is used by clinicians as an early identification of high-risk patients or to determine the seriousness of the disease. This study aims to determine whether there is a relationship between the ratio value and COVID-19 infection. Objective: To find out whether there is a relationship between NLR values and COVID-19 infection. Method : The research design used was a cross-sectional observational analytic study. In this study using medical record data as much as 100. Result : A total of `100 medical record data of COVID-19 patients for the 2020 period were collected, of which the largest age group was 36-45 with 21 people (21.0%), and based on gender group where the number of men was 61 people (61.0%). However, in this study there was no relationship between an increase in RNL and COVID-19 (P = 0.504, PR = 1.138).
HUBUNGAN FAKTOR LINGKUNGAN DAN GAYA HIDUP DENGAN ANGKA KEJADIAN TONSILITIS DI PUSKESMAS SIMALINGKAR Sihombing, Rombadi Y; Tobing, Jerry; Marpaung, Alexander P
Jurnal Kedokteran Methodist Vol. 15 No. 2 (2022): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background: Tonsillitis is a disease that is often found in both children and adults, but is more common in the younger age group. This disease can occur due to repeated attacks of acute tonsillitis which can eventually cause changes or permanent damage to the tonsil tissue. Methods: The design of this study used a case control design. The population of this study were all patients who experienced tonsillitis which was influenced by environmental and lifestyle factors at the Simalingkar Health Center Jalan Bawang Raya No. 37, Medan Tuntungan District. The research sample is 60 people. Research data collection was carried out based on primary and secondary data, namely data available through health center medical records. Analysis of research data consisted of univariate analysis, bivariate with Chi Square test. Results: The results showed that there was relationship between lifestyle factors (p = 0.00 < 0.05), environmental factors (p = 0,02 < 0.05) were significant to the incidence of tonsillitis. The incidence of tonsillitis is mostly experienced by the age of childhood aged 5-11 years as many as 21 people (35%) and the gender of the majority of women as many as 36 people (60%). Conclusion: There is relationship between lifestyle factors, environmental factors on the incidence of tonsillitis. The incidence of tonsillitis is mostly experienced by the age of childhood aged 5-11 years and female sex.
HUBUNGAN HbA1c PADA PASIEN DIABETES MELITUS TIPE 2 DENGAN OBESITAS DAN TANPA OBESITASDI RSUD DR. PIRNGADI KOTA MEDAN Sagala, Daniela; Nainggolan , , Renatha N; Sinurat, Suryati
Jurnal Kedokteran Methodist Vol. 15 No. 2 (2022): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background: Diabetes mellitus is a collection of metabolic diseases caused by impaired insulin secretion, insulin action, or both so that it has the characteristics of hyperglycemia. In patients with type 2 diabetes with obesity, there can be an increase in fatty acids or Free Fatty Acid in cells. Increased will cause a decrease in glucose delivery to the plasma membrane, resulting in insulin resistance in muscle and adipose tissue Objective: To determine the relationship between HbA1c in Type 2 Diabetes Patients with Obesity and Without Obesity in Dr. Hospital. Pirngadi Medan City Methods: This research was conducted by analytical observation with an approach using a cross sectional design that is only temporary or to see the relationship between HbA1c in Type-2 Diabetes Patients with Obesity and Without Obesity. Pirngadi Medan City. Total sampling technique is a sampling method where all samples are taken and meet the inclusion and exclusion criteria. Results: From the results of this study, there is a relationship between HbA1c in Type-2 Diabetes Patients with Obesity and Without Obesity in Dr. Hospital. Pirngadi Medan City (p=0.01). Conclusion: The occurrence of excessive fat accumulation in the body of obese patients can lead to insulin resistance which affects blood sugar levels which causes diabetes mellitus.
HUBUNGAN GAMBARAN CT-SCAN PARU DENGAN KADAR LIMFOSIT DAN NEUTROFIL PADA PASIEN SARS-COV-2 PADA PERIODE JUNI, JULI, DAN AGUSTUS TAHUN 2021 DI RUMAH SAKIT UMUM VINA ESTETICA MEDAN Tampubolon, Benny; Anto, Endy Juli; Girsang, Elizabeth
Jurnal Kedokteran Methodist Vol. 15 No. 2 (2022): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background : Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a new type of Coronavirus that is transmitted to humans that attacks the respiratory system and manifests as inflammation of the lung parenchyma. CT-Scan can be used as an alternative diagnostic measure to find out the radiological picture of COVID-19 patients. Neutrophils are present in many acute respiratory distress syndrome (ARDS)-associated lung diseases, as influenza virus and SARS-CoV-1 infection. Neutrophil activation and degranulation occur in SARS infection. The immune response that occurs in COVID-19 patients with severe clinical trials can be found in lower lymphocyte counts. Decreases in helper T cells, suppressor T cells, and regulatory T cells are found in patients with COVID-19, with higher levels of T helper and regulatory T cells. low in severe cases. Research Objectives: To find out whether there is a relationship between CT-Scan Lung images and Lymphocyte and Neutrophil Levels in SARS-CoV-2 Patients, Research Methods: The type of research carried out is observational analytic measurement, with a cross sectional design the researcher makes observations or measurements of variables at certain times. Results: The frequency distribution on CT-Scan images of the lungs of SARS-CoV-2 patients was found to be the most GGO accompanied by infiltrates with a frequency of 22 people (38.6%) and the frequency distribution of Lymphocyte and Neutrophil levels in SARS-CoV-2 patients. The highest number of lymphocytes in patients with SARS-CoV-2 was normal with a frequency of 27 people (47.4%) and Neutrophil levels increased with a frequency of 24 people (42.1%). In the analysis there was a significant relationship between CT-Scan images of the lungs and lymphocyte levels, p-values = 0.013 and in Neutrophils with CT-Scan images of lungs of SARS-CoV-2 patients, there was no significant relationship with p-values = 0.092 Conclusion:There is a relationship between the CT-Scan images of the lungs of SARS-CoV-2 patients and the levels of lymphocytes and there is no relationship between the CT-Scan images of the lungs of SARS-CoV-2 patients and the levels of neutrophils in the body.
Hubungan Diabetes Melitus Tipe 2 Berdasarkan Usia dan Jenis Kelamin Dengan Kejadian Covid-19 di RSUD Dr. Pirngadi Kota Medan Sihite, Rubintang; Silitonga, Hendrika A; Tarigan, Juliyanti
Jurnal Kedokteran Methodist Vol. 15 No. 2 (2022): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background: Diabetes mellitus is a metabolic disease in which there is an inappropriate increase in blood glucose levels. DM disease is very susceptible to pathogens so that it becomes a risk factor for morbidity and mortality of various viral infections so that it can be linked between comorbid DMT2 and Covid-19. Methods: Results Based on the research, the Covid-19 patients with comorbid DMT2 disease were 56 samples from 56 people (100.0%). these patients aged 50-60 years as many as 37 people (66.1%). In terms of gender, it was found that the majority of the research sample were women as many as 31 people (55.4%). The relationship between DMT2 patients based on age with the incidence of Covid-19 using the Chi-Square test obtained a P value = 0.006 (< P = 0.05), there is a significant relationship between age in T2DM patients and the incidence of Covid-19. DMT2 patients based on gender with the incidence of Covid-19 from the Chi-Square test results obtained a P value = 0.013 (< P = 0.05), there is a significant relationship between gender and T2DM with the incidence of Covid-19. Results: Majority of the study samples who experienced type 2+ Covid-19 DM were aged > 30 years, namely 30 people (52.5%). The majority of the study samples with appendicitis were men, as many as 36 people (63.2%). The majority of the study samples experienced type 2 DM + Covid-19, namely 51 people (77.5%). Conclusion: Age has a significant relationship with the incidence of type 2+Covid-19 DM, where the older you get, the greater the risk of type 2+ Covid-19 DM (p=0.006 <0.05). Gender has a significant relationship with the incidence of type 2 DM + Covid-19, where men are more at risk of experiencing the incidence of type 2 DM + Covid-19 than women (p = 0.013 < 0.05).

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