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Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 2809235X     EISSN : 28092090     DOI : 10.55606
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
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
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 429 Documents
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Preeklampsia, Diabetes Melitus Gestasional, Infeksi Saluran Kemih, Obesitas, Dan Riwayat Sectio Caesarea Pada Wanita G4P2A1 Usia Kehamilan 36-37 Minggu
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6199

Abstract

Preeclampsia in pregnancy complicated by gestational diabetes mellitus and obesity represents a high-risk condition characterized by endothelial dysfunction, severe hypertension, and increased maternal–fetal morbidity. We report a 34-year-old woman, G4P2A1, at 36–37 weeks of gestation who presented with severe hypertension (194/115 mmHg), proteinuria 1+, uncontrolled hyperglycemia (random glucose 230 mg/dL), and a history of two previous cesarean sections. Ultrasonography revealed an appropriately grown fetus with an estimated fetal weight of 3203 grams, and cardiotocography was reactive. The patient’s obesity (BMI 28.8 kg/m²) and poorly controlled gestational diabetes contributed to worsening endothelial injury and progression of preeclampsia. Maternal stabilization was achieved with antihypertensives, magnesium sulfate, insulin sliding scale, and antibiotics for a concurrent urinary tract infection. A repeat cesarean section followed by bilateral salpingectomy was performed with favorable maternal and neonatal outcomes. This case highlights the importance of early detection, intensive antenatal monitoring, and multidisciplinary management in high-risk pregnancies to reduce maternal and perinatal morbidity and mortality.
Pengaruh Teknik Akupresur pada Titik LI4 terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Ibu Bersalin di Wilayah Kerja Puskesmas Sei Langkai Kota Batam
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6214

Abstract

Labor pain is a physiological condition commonly experienced by mothers giving birth, especially during the first active phase, which often causes anxiety and tension. One non-pharmacological method that can be used to reduce pain is the acupressure technique, especially at the LI4 point, which is known to have an analgesic effect. This study aims to determine the effect of acupressure techniques at the LI4 point on reducing labor pain in the first active phase of labor in mothers giving birth in the Sei Health Center working area. Slender. This research is quasi-experimental with a nonequivalent control group design. The respondents for this research were 16 mothers in labor who met the inclusion criteria. The sampling technique used was nonprobability sampling, which was chosen as purposive sampling. Based on the research results, it was found that the labor pain of women giving birth at the Hanika Clinic and the AMC Clinic after acupressure was carried out at point LI4, some women in labor experienced moderate pain (68.8%) and a small number experienced mild pain (31.3%). The results of statistical tests show that there is an influence of the acupressure technique at point LI4 on reducing labor pain during the first active phase in mothers giving birth (p value < α (<.001)). The results showed that administering acupressure at the LI4 point significantly reduced the level of labor pain, compared to before the intervention. Thus, this technique can be used as an alternative pain management that is effective, safe and easy to do during the birthing process
Laporan Kasus: Rinitis Alergi dengan Hipertrofi Adenoid
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6226

Abstract

Introduction: Allergic rhinitis is an inflammation of the nasal mucosa triggered by allergens, leading to symptoms such as sneezing, nasal congestion, and excessive nasal discharge. Adenoid hypertrophy is the enlargement of the adenoid glands in the nasopharynx, commonly occurring in children, which can result in breathing difficulties and upper respiratory infections. These two conditions often coexist in children and impact their quality of life, particularly in terms of breathing and sleep. In Indonesia, the prevalence of allergic rhinitis is estimated to be around 38%. Case Report: An 8-year-old girl patient came to the ENT clinic at RSUD Kabupaten Bekasi with the main complaint of nasal congestion for more than a week. This was accompanied by a cough, nasal discharge and itching, sore throat, sneezing, and snoring during sleep. Endoscopic examination revealed eutrophic inferior and middle turbinates, mucous secretion, and hypertrophy of the adenoid covering the torus tubarius. The patient was diagnosed with allergic rhinitis and adenoid hypertrophy and was treated with nasal corticosteroid spray, antihistamines, decongestants, expectorants, and advised to avoid allergens such as dust. Conclusion: Adenoid hypertrophy with allergic rhinitis can cause upper airway obstruction and sleep disturbances, such as obstructive sleep apnea syndrome (OSAS), which affects physical and cognitive development and requires appropriate management. Management of adenoid hypertrophy can be pharmacological or surgical, depending on the patient's clinical symptoms. Allergic rhinitis can be treated with antihistamines, nasal corticosteroid spray, and avoidance of allergens.
Hubungan Antara Kebiasaan Merokok dengan Timbulnya Hiperpigmentasi Gingiva pada Sekuriti Universitas Wijaya Kusuma Surabaya
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6265

Abstract

Smoking is a habit that has a significant negative impact on oral and dental health, including an increased risk of gingival hyperpigmentation. Long-term exposure to chemical substances in cigarettes, such as tar and nicotine, can stimulate excessive melanin production by melanocytes, leading to discoloration of gingival tissues. Security personnel, who generally experience shift work patterns and high psychological stress, demonstrate a relatively high prevalence of smoking and are therefore at greater risk of developing gingival discoloration due to chronic tobacco exposure. In this study, a total of 35 respondents who were active smokers and employed as security personnel at Wijaya Kusuma University, Surabaya, were evaluated using a smoking habit questionnaire and clinical examination of gingival conditions. The Chi-square test results showed a significant association between smoking habits and the degree of gingival hyperpigmentation, with a p-value of 0.012. The majority of heavy smokers exhibited a higher degree of gingival pigmentation compared to light smokers. These findings indicate that smoking intensity contributes substantially to the condition of oral soft tissues. Therefore, educational and promotive efforts are essential for high-risk groups such as security personnel to prevent the long-term effects of smoking on gingival health..
Tingkat Pengetahuan Siswa/I Kelas 8 pada Penyuluhan Miopia dengan Media Poster di SMPN 119 Jakarta Pusat
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6270

Abstract

The rapid development of digital technolosgy has significantly increased screen time among adolescents, contributing to a rise in the prevalence of myopia (nearsightedness). Lack of knowledge regarding eye health and preventive behaviors is a major risk factor for the development of refractive errors. In Islamic perspective, maintaining eye health is considered a form of gratitude and responsibility for the blessing of sight (amanah) bestowed by Allah SWT. This study aims to determine the comparison of knowledge levels among 8th-grade students at SMPN 119 Central Jakarta regarding myopia prevention before and after health education via poster media, while also reviewing the topic from an Islamic viewpoint.This research employed a quantitative design with a quasi-experimental approach using a pre-test and post-test design. The sample consisted of 74 students selected using the Slovin formula. The instrument used was a multiple-choice questionnaire to measure knowledge levels. Data were analyzed using univariate and bivariate analysis to identify differences in knowledge scores. The characteristics of respondents were dominated by the 13–14 age group (98.6%) and female gender (58.1%). The results showed an increase in the mean knowledge score from 19.27 in the pre-test to 21.41 in the post-test. Categorically, respondents with "Good" knowledge levels significantly increased from 59.5% (44 students) before education to 85.1% (63 students) after education. Health education using poster media is effective in improving students' knowledge regarding myopia prevention. From an Islamic perspective, these preventive efforts align with religious commands to avoid self-harm and preserve the blessings given by Allah SWT.
Laporan Kasus : Trauma Tumpul Kepala Akibat Jatuh dari Ketinggian
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6271

Abstract

Introduction: Falls from height are a major cause of high-energy blunt trauma, frequently resulting in severe head injury and death. In forensic medicine, analysis of head injury patterns is essential to determine the mechanism and manner of death. Objective: To report and analyze a fatal case of severe head injury due to a fall from height based on forensic examination findings and relevant literature. Case report: A male adolescent was found deceased after an alleged fall from the third floor of the mosque building. Forensic examination revealed a depressed skull fracture, dural tear, extensive intracranial hemorrhage, and multiple associated injuries. Discussion: The head injury pattern indicates high-energy blunt force trauma. Associated thoracic and bilateral femoral fractures support a vertical fall mechanism. These findings are consistent with previously reported fatal free-fall cases. Conclusion: Death was caused by severe blunt head trauma resulting from a fall from height, leading to increased intracranial pressure and brainstem failure.
Laporan Kasus : Gambaran Kongenital Kyphoscoliosis E.C. Hemivertebrae Thoracal 12 pada Anak 14 Tahun di Rumah Sakit Umum Daerah Dr Slamet Garut
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6287

Abstract

Introduction: The vertebral column supports the body and protects the spinal cord. Hemivertebra is a congenital anomaly caused by partial failure of vertebral body formation, with scoliosis as its most common complication. Hemivertebra-related scoliosis is progressive and may lead to spinal imbalance and severe deformity. Diagnosis can be established using prenatal ultrasonography, plain radiography, CT, and MRI. Plain radiography is typically used as an initial examination due to its accessibility, but it has limitations in complex deformities. CT scanning with three-dimensional reconstruction provides detailed vertebral visualization for preoperative planning, while MRI enables comprehensive evaluation of neural axis abnormalities without radiation exposure.Case Report: A 14-year-old boy presented to RSUD dr. Slamet Garut with complaints of an asymmetric appearance of the back, accompanied by a progressively enlarging lump on the back and right-sided lower back pain for the past three years. The patient also reported easy fatigability and excessive sweating during physical activity. Past medical history revealed pulmonary tuberculosis at the age of six months, for which the patient had completed treatment with no residual symptoms. Growth and developmental history indicated delays in motor and speech development. A contrast-enhanced thoracolumbar MSCT scan from vertebra Th1 to the sacrum performed revealed severe congenital kyphoscoliosis secondary to a fully segmented hemivertebra at Th12, with absence of the left pedicle and 12th rib, accompanied by suspicion of posterior spinal canal narrowing.Conclusion:  A 14-year-old boy was diagnosed with severe congenital kyphoscoliosis caused by a fully segmented hemivertebra at Th12, accompanied by abnormalities of the left pedicle and 12th rib, as well as suspected posterior spinal canal narrowing.
Pelayanan Informasi Obat dalam Layanan Telefarmasi pada Apotek X Kota Mataram
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6335

Abstract

Telepharmacy is an innovation in remote pharmaceutical services that has become increasingly relevant along with the rapid development of information and communication technology in the healthcare sector. This service enables pharmacists to continue providing optimal pharmaceutical care without direct face-to-face interaction. This study aimed to describe the implementation of drug information services provided by pharmacists through telepharmacy at Pharmacy X in Mataram City and to evaluate their compliance with pharmaceutical service standards as regulated in the Regulation of the Minister of Health of the Republic of Indonesia Number 73 of 2016. This study employed a descriptive design with a cross-sectional approach, involving 40 patient interactions conducted via WhatsApp over a one-month period. The collected data included the types of medicines purchased by patients and the forms of drug information provided by pharmacists. The medicines were classified according to therapeutic categories, while drug information was analyzed using indicators based on pharmaceutical service regulations. The results showed that the most frequently purchased medicines were respiratory system drugs (26.67%), analgesic/antipyretic drugs (22.22%), and medicines for dyspepsia (17.78%). The most commonly provided drug information included dosage instructions (71.74%), explanations of special dosage forms (87.5%), and duration of use (54.35%). However, information regarding side effects (13.04%) and drug interactions (10.87%) was still limited. All patients receiving antibiotics were educated to complete their medication as prescribed (100%). Overall, drug information services delivered through telepharmacy at Pharmacy X were in accordance with pharmaceutical service standards, although improvements in clinical education are still needed to strengthen the quality and safety of digital pharmacy services.
Hubungan Tingkat Kepuasan Pelayanan Makanan dengan Tingkat Kecukupan Zat Gizi Makro pada Pasien Non Diit Rawat Inap Kelas III di RS Bhayangkara Bandar Lampung
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6344

Abstract

High-quality food service can enhance patient satisfaction and positively impact nutritional adequacy, thereby accelerating recovery and preventing complications. This study aims to analyze the relationship between the level of satisfaction with food service and the adequacy of macronutrient intake in non-diet meals among Class III inpatients at Bhayangkara Hospital, Bandar Lampung. This research employed a quantitative analytical method with a cross-sectional approach involving 133 patients as the population and 102 patients selected through random sampling during October–December 2024. Research instruments included a food service satisfaction questionnaire, a 2 × 24-hour food recall form, a food weighing form to measure leftover food, and the NutriSurvey application to calculate nutrient intake. Data were analyzed using univariate and bivariate analysis with the gamma test and presented in percentages. The results showed a significant relationship between satisfaction with food service and the adequacy of macronutrients, including energy (p-value = 0.000), protein (p-value = 0.012), fat (p-value = 0.000), and carbohydrates (p-value = 0.000), indicating that food service satisfaction influences patients’ macronutrient intake. Therefore, hospitals are recommended to continuously improve the quality of food services to support adequate macronutrient intake.
Pengaruh Prenatal Yoga terhadap Penurunan Nyeri Punggung pada Ibu Hamil Trimester III di Wilayah Kerja Puskesmas Kedondong Kabupaten Pesawaran
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6378

Abstract

Back pain is a common complaint experienced by third-trimester pregnant women due to physiological changes such as weight gain, postural changes, and ligament relaxation. This condition can interfere with comfort and daily activities, therefore requiring safe and effective management, one of which is a non-pharmacological therapy in the form of prenatal yoga. This study aimed to determine the effect of prenatal yoga on reducing back pain among third-trimester pregnant women in the working area of Kedondong Public Health Center, Pesawaran Regency, in 2025.This study employed a quantitative method with a One Group Pre-Test Post-Test design. The sample consisted of 26 third-trimester pregnant women selected through random sampling. Back pain intensity was measured using the Numeric Rating Scale (NRS) before and after the prenatal yoga intervention. Data analysis was conducted using the Wilcoxon test because the normality test results indicated that the data were not normally distributed (p < 0.05). The results showed that the mean back pain score before the intervention was 6.04 (moderate–severe category) and decreased to 3.04 (mild–moderate category) after the intervention. All respondents (100%) experienced a reduction in back pain, with 26 negative ranks and no positive ranks or ties. The Wilcoxon test yielded a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of prenatal yoga on reducing back pain in third-trimester pregnant women. In conclusion, prenatal yoga is effective in reducing back pain among third-trimester pregnant women and can be recommended as a safe and beneficial non-pharmacological intervention in antenatal care services to improve maternal comfort.

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