Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan diterbitkan 3 (tiga) kali dalam satu tahun yaitu Edisi Januari, Mei, dan September. Jurnal Ilmiah Kedokteran dan Kesehatan menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu Kedokteran dan Kesehatan
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429 Documents
<![CDATA[Optimalisasi Pelayanan dan Mutu Rumah Sakit Melalui Rekam Medis Elektronik Yang Efektif : Literature Review ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3900
<![CDATA[In the ever-growing digital era, hospitals are required to adopt the latest technology, one of which is electronic medical records (RME). RME is a digital patient health data recording system that offers various advantages in improving service quality and hospital operational efficiency. This study aims to examine improving hospital services through the implementation of RME by conducting a literature review. The research uses a literature review method by identifying, selecting and analyzing relevant literature related to the implementation of RME and its impact on improving the quality of hospital services over the last 10 years. Data is analyzed descriptively to find patterns, trends and consistent findings. The results of the literature review show that the implementation of RME can increase the effectiveness of outpatient services, improve the quality of health care, and improve patient safety. RME provides easy access and sharing of patient health information between medical personnel, increased security and privacy of patient data, as well as efficiency in data storage and tracking. However, there are challenges such as large initial investment costs, risk of technical glitches, and resistance from medical personnel to system changes. Implementing RME in hospitals provides many benefits in improving service quality and hospital quality. However, careful planning, support from all parties, and handling of existing challenges and weaknesses are needed to ensure the success of RME implementation. ]]>
<![CDATA[Optimalisasi Model Praktik Keperawatan Primer di Ruang Elisabet Rumah Sakit Immanuel Bandung ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3902
<![CDATA[The Professional Nursing Practice Model (MPKP) serves as a framework for the provision of nursing care, facilitating professional nurses in exercising their autonomy in the planning, execution, and assessment of nursing interventions directed towards clients. This investigation was undertaken to evaluate the advancement of the primary nursing practice model within the inpatient Elizabeth Room of Immanuel Hospital. Employing a pre-experimental research design characterized by a one-group control framework, the study utilized a pre-test and post-test methodology within the same cohort. The findings of this research reveal a notable enhancement in knowledge following the application of the primary nursing practice model. Prior to the model's implementation, a majority of nurses achieved scores that predominantly fell within the moderate category, with only a limited number attaining the highest scores, as evidenced by four primary nurses who received a minimum score of 7 (70%). Subsequent to the model's implementation, the distribution of scores exhibited a more uniform pattern, with an increased number of nurses attaining optimal scores, including two nurses who reached the maximum score of 10 (100%), and the average evaluation following the introduction of the primary nursing practice model was calculated to be 92.43%. This improvement can be postulated as a consequence of the primary nursing practice model's approach, which underscores the significance of holistic care and individual accountability in the delivery of health services. In light of these findings, we advocate for the adoption of the primary nursing practice model in inpatient care settings, as it demonstrably contributes to the enhancement of patient quality and safety within nursing services in hospitals, thereby necessitating ongoing clinical leadership training for primary nurses, in conjunction with efforts to elevate the formal educational qualifications of nurses who currently possess diploma-level credentials.Assignment Method (MPKP)]]>
<![CDATA[Analisis Ketepatan Kode Cedera dan Penyebab Luar Cedera pada RME Rawat Darurat di RSIJ Sukapura ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3904
<![CDATA[The accuracy of the diagnosis code is a statement that shows a code for a convincing diagnosis, and has been said to be certain and clear according to the ICD-10 guidelines. The purpose of this study was to obtain an overview of the analysis of the accuracy of injury codes and external causes of injury in emergency care electronic medical records at the Jakarta Islamic Hospital Sukapura. This research is descriptive research with a Mix Methode approach. Data collection techniques using observation and interview methods. Samples were taken using saturated sampling techniques totaling 81 electronic medical records of emergency care patients. The accuracy of the injury code is 22% correct, and the accuracy of the external cause of injury code incorporated in traffic accident cases and other accident cases is 0% correct. The low accuracy of injury codes was due to not adding character 5, block code errors, and errors in determining code categories. The results of the accuracy of the external cause of injury code obtained were 0% correct because 80 electronic medical records of emergency care patients did not contain the code for the external cause of injury. Factors that hinder the accuracy of injury codes and external causes of injury are influenced by man factors, namely high workload, dependence on ICD-10 codes on doctors, and lack of feedback audits. Then the influence of material factors, namely the incompleteness of supporting documents, lack of detail in diagnosis, and lack of chronological letters of events. Then the influence of method factors, namely unsupportive policies and procedures, lack of training and understanding, and weak application of external cause of injury codes.]]>
<![CDATA[Efektivitas Antipiretik Ekstrak Daun Sawo Manila (Manilkara Zapota (L.) P.Royen.) pada Mencit Putih Jantan (Mus Musculus) yang Diinduksi Pepton 5% ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3911
<![CDATA[Fever is a secondary effect of infection (bacteria, viruses, parasites) or other diseases characterized by an increase in body temperature above normal temperature, which is 36-37oC. Fever can be treated with antipyretic drugs, one of which is paracetamol. Previous studies have shown that Manilkara zapota (L.) contain flavonoids, saponins and tannins that work by inhibiting the cyclooxygenase enzyme, thereby inhibiting the process of prostaglandin formation, so that body temperature will decrease. This study aims to determine the antipyretic effectiveness of 96% ethanol extract of Manilkara zapota (L.) on male white mice (Mus musculus L.) induced with 5% peptone. This study is an experimental study with a pretest-posttest with control group design. The test animals used were 25 male white Swiss Webster mice and were divided into 5 groups: negative control (CMC-Na), positive control (paracetamol), treatment group (extract dose of 100, 200, and 400 mg/kgBW). Antipyretic testing was carried out by measuring the rectal temperature of mice before and after induction of 5% peptone as much as 1 mL subcutaneously using a digital thermometer for an interval of 30 minutes to 150 minutes. The results of the study were analyzed by One-Way ANOVA with Post Hoc LSD test so that the optimal dose was obtained in lowering the body temperature of mice 400 mg/kgBW.]]>
<![CDATA[Inovasi Pendanaan Kesehatan untuk Mewujudkan UHC di Indonesia : Literature Review ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3914
<![CDATA[Indonesia continues its efforts to achieve Universal Health Coverage (UHC) through the National Health Insurance (Jaminan Kesehatan Nasional/JKN) program, which faces funding challenges such as financial deficits and reliance on participant contributions. This literature review aims to identify health financing innovations that can support UHC in Indonesia. The study adopts a literature review method, utilizing data sources from Google Scholar covering the period 2016–2025, focusing on relevant studies concerning financing innovations and UHC in Indonesia. The findings indicate that financing innovations, such as increasing excise taxes on unhealthy products and utilizing Corporate Social Responsibility (CSR) funds, hold significant potential. Cross-sector collaboration is essential to expand funding sources and ensure equitable health service delivery. Partnerships between the government, private sector, and communities are crucial for the sustainability of JKN and the achievement of UHC in Indonesia. Further research is recommended to explore the role of non-government sectors in greater depth.]]>
<![CDATA[Paparan Gas Karbon Monoksida (CO) pada Pedagang Sate: Tinjauan Literatur ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3916
<![CDATA[Exposure to carbon monoxide (CO) gas in satay traders, who work in an environment exposed to charcoal burning smoke, can cause various serious health impacts. CO is a colorless, odorless and tasteless poisonous gas, which can bind to hemoglobin in the blood and inhibit the supply of oxygen to body tissues, causing poisoning. This research aims to review and analyze various studies related to CO exposure in satay traders, with a focus on the health effects they cause and the factors that influence the level of exposure. Based on a review of existing literature, CO exposure to satay traders can cause respiratory problems, such as shortness of breath and throat irritation, as well as increase the risk of cardiovascular disease, especially in those exposed in the long term. Several factors that influence the level of CO exposure include ventilation of the trading place, duration of exposure, and the type and intensity of fire used in the charcoal burning process. Studies also show that satay traders who work in areas with limited ventilation or in closed rooms tend to have higher CO levels compared to those who work outdoors with better air circulation. Therefore, it is very important to develop policies or educational programs for satay traders regarding the risks of CO exposure and steps that can be taken to reduce such exposure, such as improving ventilation and using safer burning technologies. It is hoped that this review will provide deeper insight into the importance of protecting satay traders from CO exposure, as well as encouraging further research to develop effective mitigation strategies.]]>
<![CDATA[Hubungan antara Persepsi dan Sikap Ibu dengan Female Genital Mutilation di Desa Sei Suka, Sumatera Utara pada Tahun 2024 ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i1.3920
<![CDATA[Globally, at least 100 million girls are at risk of undergoing female genital mutilation (FGM) each year, with an estimated 6,000 girls affected every day. In Indonesia, the practice of FGM is generally rooted in cultural or traditional beliefs that have been passed down through generations within communities. Therefore, this study aims to examine the relationship between mothers' perceptions and attitudes and the practice of female genital mutilation (FGM). This is a quantitative study employing a cross-sectional design. Data were collected using purposive sampling, with a total of 50 participants. Data were analyzed using the Chi-square test. The results showed that Nearly most of the mothers with a positive attitude practiced female genital mutilation (FGM), totaling 12 individuals (80%), and the majority of mothers with poor perception also practiced FGM, totaling 31 individuals (67.4%). The Chi-Square test showed p-values of 0.019 and 0.012, indicating a statistically significant relationship between mothers' perceptions and attitudes and the practice of FGM. It is recommended to provide counseling and health education about female circumcision, with regular evaluations to ensure the information is well understood. These efforts can be carried out through activities at Puskesmas or other healthcare service points, including continuous home visit programs.]]>
<![CDATA[Hubungan Ketersediaan Air Bersih dengan Kepemilikan Jamban Sehat di Dusun Panjing Desa Bandar Kabupaten Pacitan ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3922
<![CDATA[Initial survey with interviews and observations in 10 respondent houses found that each house still did not have a healthy toilet, the condition was poor, it gave off an unpleasant odor, the distance between the bathroom and the water source was 5-7 meters, and there was no roof or walls. Healthy toilets (30%) were owned by 3 respondents. Unhealthy toilets (70%) were owned by 7 respondents. Most people in Panjing Hamlet did not know the importance of having a healthy toilet. The research method used was cross-sectional. The sampling technique used was proportional stratified random sampling totaling 182 families. Data collection was carried out by observation and interviews. The research instrument used observation sheets and questionnaires. Data analysis used the chi-square test with a 95% confidence level. The variable of clean water availability was lacking by 51.1% or 93 respondents and sufficient water by 48.9% or 89 respondents. The variable of toilet ownership by 85.2% or 155 respondents did not meet the requirements and 14.8% or 27 respondents met the requirements. There is a significant relationship between the availability of clean water (p value: 0.009) and ownership of healthy toilets.]]>
<![CDATA[Kajian Kimia Medisinal Ciprofloxacin: Mekanisme Kerja, Antibakteri, dan Pola Resistensi Bakteri ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3923
<![CDATA[Ciprofloxacin is a fluoroquinolone antibiotic that is widely used in the treatment of various bacterial infections. This study aims to analyze the mechanism of action of ciprofloxacin from a medicinal chemistry perspective, evaluate its antibacterial effectiveness against pathogenic bacteria, and identify the developing resistance patterns. The method used is a literature study by reviewing various relevant scientific literature. The results of the study indicate that ciprofloxacin works by inhibiting the enzymes DNA gyrase and topoisomerase IV, which play an important role in bacterial DNA replication and transcription, causing DNA fragmentation and bacterial cell death. Ciprofloxacin shows high antibacterial activity against Escherichia coli, Staphylococcus aureus, Salmonella typhi, and Vibrio cholerae. However, resistance to ciprofloxacin continues to increase, mainly due to target gene mutations, increased expression of efflux pumps, and changes in porin structure. A deep understanding of the structure-activity of ciprofloxacin is important in the development of new derivatives that are more effective and able to overcome resistance. This study provides important insights into the innovation of more robust antimicrobial drug design.]]>
<![CDATA[Tinjauan Kimia Medisinal Senyawa Fenol dari Ekstrak Daun dan Biji Pepaya (Carica papaya) sebagai Anti Kanker ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i2.3926
<![CDATA[Purpose: The aim of this study is to measure the total phenolic content in papaya (Carica papaya L.) leaf and seed extracts and to evaluate their potential as anticancer agents based on their antioxidant activity. Methodology/approach: Location & Materials: Papaya leaves and seeds were sourced from Manoko, Bandung. Extraction: The samples were washed, dried at 45°C, powdered, and extracted with 70% ethanol using the reflux method. Analysis: Total phenolic content was measured using a UV-Vis spectrophotometer at 761 nm after reacting extracts with Folin-Ciocalteu reagent and sodium carbonate. Results were compared to a gallic acid standard curve. Supporting Methods: Literature review on medicinal chemistry and anticancer drug development, as well as qualitative analysis using thin-layer chromatography (TLC) for main phenolic compounds. Results/findings: Papaya leaf and seed extracts contain significant phenolic compounds, including flavonoids and phenolic acids. These phenolics contribute to antioxidant activity, which helps protect cells from oxidative damage linked to cancer. Previous studies show papaya leaf extract can act as an immunomodulator and anticancer agent, while papaya seed contains benzyl isothiocyanate, which inhibits cancer cell growth. Limitations: The study only measures total phenolic content and does not isolate or identify individual active compounds. Anticancer activity is inferred from phenolic content and literature, not directly tested in vivo or in clinical trials. Contribution: This research provides scientific evidence that papaya leaves and seeds are promising natural sources of phenolic compounds with antioxidant and potential anticancer properties. The findings support further research in pharmacy, medicinal chemistry, and oncology, especially for developing plant-based anticancer agents.]]>
