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INDONESIA
Jurnal Kedokteran Brawijaya
Published by Universitas Brawijaya
ISSN : 02169347     EISSN : 23380772     DOI : http://dx.doi.org/10.21776/ub.jkb
Core Subject : Health,
JKB contains articles from research that focus on basic medicine, clinical medicine, epidemiology, and preventive medicine (social medicine).
Articles 13 Documents
Search results for , issue "Vol. 32 No. 4 (2023)" : 13 Documents clear
Study of Dysgeusia and Anosmia Frequency and Risk Factors in Pre-Elderly Post-Covid-19 Ari Tri Wanodyo Handayani; Zahreni Hamzah; Dwi Prijatmoko; Dyah Indartin Setyowati; Hosea Ferdinan
Jurnal Kedokteran Brawijaya Vol. 32 No. 4 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.032.04.9

Abstract

Covid-19 is a respiratory obstruction caused by infection with SARS-CoV-2. The appearance of dysgeusia and anosmia can be a sign that someone has contracted this virus. This study aims to review the frequency and risk factors that cause dysgeusia and anosmia in pre-elderly post-Covid-19. This type of research is descriptive observational with a cross-sectional approach. In this study, only 5.15% of respondents experienced anosmia, 10.31% of dysgeusia alone, and 28.86% of dysgeusia accompanied by anosmia. Dysgeusia and anosmia can be found in every vaccination status. Respondents with ≥1 dominant comorbid were found in respondents who experienced dysgeusia accompanied by anosmia. Symptoms of fever, cough, rhinorrhea, and pneumonia are common in dysgeusia and anosmia disorders. The time of appearance of the disturbance ranges from 1-7 days, with the duration of the disruption 1-14 days. Symptoms of dysgeusia accompanied by anosmia in the pre-elderly post-Covid-19show a higher frequency than dysgeusia alone and anosmia alone. In pre-elderly, men were found to be more at risk than women. Several risk factors, including the aging process, co-morbidities, smoking habits, and vaccination status, support the emergence of these symptoms.
Iatrogenic Penile Amputation Due to Circumcision Clamp in an Eight-Year-Old Boy Muhammad Baihaqy Ibnu Hakim; Taufiq Nur Budaya; Besut Daryanto
Jurnal Kedokteran Brawijaya Vol. 32 No. 4 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.032.04.12

Abstract

The circumcision clamp has been the primary alternative to the traditional surgical circumcision procedure since its invention in 1934. The circumcision clamp has the following advantages such as improved wound healing, shorter operation time, and no stitch removal pain. However, the clamp technique has a disadvantage where the operator cannot visualize the glans penis. Many studies have already reported the incidence of trauma or psychiatric disorders related to penile amputation, but the case of circumcision clamp-related penile amputation in Indonesia had never been reported. An eight-year-old boy was taken to the emergency department with post-circumcision bleeding. The patient had been circumcised using an Anastomat® circumcision device in the clinic, two hours prior and then referred to the emergency department. We perform penile exploration, and a defect in the ventral part of the glans penis was found, with the source of bleeding coming from the glans penis, and the urethra remained intact. Penile degloving with urethral spatulation and catheterization with a 10 Fr 2-way foley catheter was installed, continued with penile reconstruction and skin closure. The operation lasted for about sixty minutes. After six months of follow-up, the patient could urinate normally and spontaneously without any clinical complaint. Even though circumcision using a circumcision clamp is considered a safe procedure and preferable to surgical circumcision nowadays, it is necessary to emphasize that the use of a circumcision clamp still has a risk rate for penile amputation.
The Relationship between APGAR Score and Delivery Mode with Neonatal Sepsis in Ulin Regional Hospital Banjarmasin Monica Anggriana Salim; Pricilia Gunawan Halim; Ari Yunanto; Pudji Andayani
Jurnal Kedokteran Brawijaya Vol. 32 No. 4 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.032.04.4

Abstract

Neonatal sepsis is one of the most common causes of neonatal death worldwide, affecting up to 3 million neonates each year. Deaths related to neonatal sepsis are more common in developing countries with lower middle incomes. This study aims to find a relationship between APGAR scores at the 1st, 5th, and 10th minutes and delivery mode on the incidence of neonatal sepsis. This research is a retrospective study with a cross-sectional approach at High-Risk Neonatal Installation (INRiT) of Ulin Regional Hospital Banjarmasin, South Kalimantan, conducted from January to December 2022. The total sample was 200 babies divided into the sepsis and the control group. APGAR score data at the 1st, 5th, and 10th minutes and delivery mode were taken through medical records. In this study, the average APGAR score at 1st minute in the sepsis group was 5.11; at 5th minute was 6.56; and at 10th minute was 7.65. The results of APGAR score analysis at the 1st, 5th, and 10th minutes in the sepsis and control groups using the Mann -Whitney test obtained a p-value of 0.000. In the sepsis group, 30 babies were born spontaneously, and 70 babies were born with tools (caesarean section/vacuum extraction). The results of the delivery mode analysis in the sepsis and control groups using Fisher's test obtained a p-value of 0.000 (OR: 3.807) which means that there is a relationship between the APGAR score at the 1st, 5th, and 10th minutes and the delivery mode with the incidence of neonatal sepsis.

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