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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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Upaya Peningkatan Pengetahuan tentang Skoliosis melalui Pendidikan Kesehatan pada Siswa di SMK Bintara Rancaekek
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.v5i2.6655

Abstract

Scoliosis is a musculoskeletal disorder characterized by an abnormal curvature of the spine with a Cobb angle of ≥10°, and most often occurs in adolescents aged 10–18 years. Initial observations at SMK Bintara Rancaekek showed a low level of knowledge among eleventh-grade students regarding scoliosis, including signs and symptoms, risk factors, and prevention efforts. This study aimed to determine the effectiveness of health education in improving students' knowledge about scoliosis through a quasi-experimental one-group pretest–posttest design. Education was provided using presentation media, educational videos, leaflets, and a demonstration of the Adam's Forward Bend Test. The pretest results showed that students' knowledge was still low in various aspects, such as understanding the early signs of scoliosis (34.2%), risk factors (52.6%), and the function of physical examinations (15.8%). After being provided with education, there was a significant increase in knowledge in all indicators. Eighty percent of students were able to identify the type of idiopathic scoliosis, 72% understood the risk factors, 88% knew the Cobb angle criteria, and 92% understood the impact of severe scoliosis on the respiratory system. The improvement in posttest scores indicates that health education effectively increased students' understanding and awareness of scoliosis. Health education has been shown to be an important strategy in supporting the early detection and prevention of scoliosis in adolescents, thereby encouraging healthier postural behaviors in the school environment.
Artificial Intelligence and Neuroimplant Applications in Neurological Rehabilitation Following Spinal Cord Injury Surgery: A Systematic Review
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.v5i2.6658

Abstract

In recent years, there has been a significant surge in discussions surrounding artificial intelligence (AI), accompanied by a corresponding increase in its practical applications across various aspects of daily life, including the medical industry. Notably, even in the highly specialized field of spine surgery, AI has been utilized for differential diagnosis, preoperative evaluation, and enhancing surgical precision. Many of these applications have begun to reduce the risk of intraoperative and postoperative complications, as well as improve postoperative care. This article aims to present an overview of studies on the use of AI in neuroregeneration and neurological rehabilitation following spinal cord injury (SCI) surgery. The methodology involves identifying highly cited papers through ScienceDirect and Google Scholar, conducting a comprehensive review of various types of studies, and summarizing neurological rehabilitation applications after SCI surgery to enhance clinicians’ understanding for future utilization. Recent studies indicate that AI technologies are employed in several areas of spine surgery and neurosurgery, including traumatic brain injury and SCI. SCI presents complex physiological, psychological, and cognitive challenges. Assessment of residual neural function and post-injury functional status is conducted to evaluate the extent of recovery, though concerns remain regarding the validity and generalizability of these assessment outcomes.
Polip Antrokoanal Angiomatosa pada Remaja 17 Tahun di RSUD Pasar Rebo
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.v5i2.6666

Abstract

Antrochoanal polyps are solitary lesions originating from the maxillary sinus and extending into the nasal cavity and nasopharynx. The angiomatous variant is rare and is characteristically associated with recurrent epistaxis due to prominent vascular proliferation within the polyp. We report a case of a 17-year-old male who presented with recurrent epistaxis for four months, accompanied by nasal obstruction and frequent sneezing. Nasoendoscopic examination revealed a friable mass in the left middle meatus with a tendency to bleed on contact. Computed tomography (CT) scan demonstrated a hyperdense mass measuring approximately 1.5 × 2.2 × 2.7 cm occupying the left nasal cavity and extending into the left maxillary sinus, without evidence of bony destruction. Histopathological examination confirmed the diagnosis of an angiomatous antrochoanal polyp. The patient initially received conservative medical management aimed at maintaining nasal cavity hygiene, including 0.9% normal saline irrigation, loratadine 10 mg, and cefixime 200 mg, along with education regarding proper nasal hygiene. Definitive treatment was subsequently performed with left-sided Functional Endoscopic Sinus Surgery (FESS). Intraoperative findings a reddish polipoid mass that bled easily was observed, and postoperatively the nasal cavity appeared patent with no residual mass. This case is consistent with the literature, which states that antrochoanal polyps are more common in children and adolescents, are typically unilateral, and that definitive treatment is endoscopic surgery with a good prognosis, although the risk of recurrence remains.
Anaerobic Digestion sebagai Inovasi Pengolahan Limbah Cair Industri Tahu untuk Menurunkan Dampak terhadap Kesehatan Lingkungan : Literature Review
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.v5i2.6667

Abstract

The tofu industry generates wastewater with high organic content that can cause environmental pollution and pose risks to public health if not properly managed. This study is a literature review aimed at analyzing the effectiveness of anaerobic digestion as a sustainable innovation for tofu wastewater treatment. The review findings indicate that anaerobic digestion is capable of significantly reducing organic pollutant loads, such as biochemical oxygen demand and chemical oxygen demand, while simultaneously producing biogas as a renewable energy source. The application of this technology supports environmentally friendly waste management practices and contributes to resource recovery. Furthermore, the integration of anaerobic digestion systems has the potential to improve production efficiency, reduce water and energy consumption, and minimize adverse health impacts associated with water pollution. The development and implementation of modern monitoring systems can further enhance process stability, optimize fermentation performance, and improve the accuracy of biodigester operation control. Overall, anaerobic digestion represents an effective, strategic, and sustainable solution for managing tofu industry wastewater and promoting healthier environmental development.
Pengaruh Dukungan Keluarga dan Pengetahuan Ibu Nifas tentang ASI Eksklusif terhadap Keberhasilan ASI Eksklusif di Puskesmas Alalak Tengah Kota Banjarmasin
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.v5i2.6673

Abstract

Based on World Health Organization (WHO) data, the global coverage of exclusive breastfeeding reached 80% in 2024. However, the success of exclusive breastfeeding is influenced by various factors, including family support and postpartum mothers’ knowledge. Exclusive breastfeeding is the primary nutritional requirement for infants during the first six months of life. Despite its importance, the coverage of exclusive breastfeeding in Indonesia remains relatively low, at 66.01% in 2024. Family support and postpartum mothers’ knowledge regarding exclusive breastfeeding are considered crucial determinants of successful exclusive breastfeeding practices. This study aimed to analyze the influence of family support and postpartum mothers’ knowledge about exclusive breastfeeding on the success of exclusive breastfeeding at Alalak Tengah Public Health Center, Banjarmasin City. This research employed a quantitative approach with a cross-sectional design. A total of 38 postpartum mothers were selected using purposive sampling. Data were analyzed using univariate and bivariate analyses with the Chi-Square test. The results showed a significant relationship between family support (p = 0.005) and maternal knowledge (p = 0.000) with the success of exclusive breastfeeding. Most mothers who had good family support and high knowledge successfully practiced exclusive breastfeeding, accounting for 28 out of 38 postpartum mothers. It can be concluded that family support and postpartum mothers’ knowledge significantly influence the success of exclusive breastfeeding.
Isolasi dan Karakterisasi Bakteri Asam Laktat pada Food Replacement ‘X’ dan Fermentasi Akar Teratai
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.v5i2.6681

Abstract

Functional foods provide additional health benefits beyond their nutritional value. One approach in the development of functional foods is through fermentation involving lactic acid bacteria (LAB). This study aims to isolate and characterize lactic acid bacteria produced from the fermentation of lotus root and food replacement X as alternative food ingredients. The study was conducted experimentally through a five-day fermentation process at 37°C. The results show that LAB was successfully isolated from the fermentation of lotus root with a colony count of 1.88 × 10⁵ CFU/mL at a 10⁻² dilution, while no LAB growth was found in food replacement X. Four pure isolates were obtained with colony characteristics of round shape, milky white color, non-motile, and catalase-negative. Two isolates were Gram-positive, while the other two were Gram-negative. All isolates showed the ability to survive in acidic pH conditions (pH 3), with isolate EDP 1 having the highest resistance. The results indicate that lotus root fermentation has the potential to be a source of LAB for functional food applications. 
Hubungan Tingkat Pengetahuan Pasien Tentang Tindakan Operasi dengan Tingkat Kecemasan Pasien Preoperasi Tindakan Orif di Instalasi Bedah Sentral Rumah Sakit Urip Sumoharjo 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.v5i2.6683

Abstract

Surgery is an invasive medical procedure that often causes anxiety in patients, especially in the preoperative phase. One of the factors that affect the level of anxiety is the patient's knowledge of the surgery to be undergone. This study aims to determine the relationship between the level of patient knowledge about the surgical procedure and the level of preoperative anxiety of the Open Reduction Internal Fixation (ORIF) action at the Central Surgical Installation of Urip Sumoharjo Hospital, Bandar Lampung. The study used an analytical quantitative design with a cross sectional approach. The sample amounted to 37 respondents who were selected through purposive sampling technique. The research instruments were in the form of a knowledge level questionnaire and the Hamilton Rating Scale for Anxiety (HRS-A). Data analysis was carried out univariate and bivariate with Gamma test. The results showed that the majority of respondents had a low level of knowledge (73.0%) and experienced severe anxiety (56.8%). The Gamma test yielded a p-value = 0.003 (< 0.05) with a Gamma coefficient of -0.880, indicating a significant, strong, and negative relationship between the level of knowledge and anxiety. The higher the patient's knowledge, the lower the level of anxiety experienced. These findings confirm the importance of preoperative education for patients to lower anxiety and improve readiness for surgical procedures.
Faktor – Faktor yang Berhubungan dengan Strategi Koping pada Pasien Kanker Payudara (Ca Mammae) yang Menjalani Kemoterapi di RS Urip Sumoharjo 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.v5i2.6687

Abstract

Breast cancer is one of the types of cancer with the highest incidence in women in Indonesia. One of the therapies commonly used in breast cancer management is chemotherapy, but this procedure often causes stress and has an impact on reducing the quality of life of patients. Therefore, effective coping strategies are needed so that patients are able to adapt and face the conditions of the disease they experience. Several factors suspected to be related to coping strategies in breast cancer patients undergoing chemotherapy include the stage of the disease, the duration of cancer, and family support. Data shows that the number of breast cancer patients in Lampung Province reached 572 people, while at Urip Sumoharjo Hospital, there were 1,949 patients recorded in 2024. This study aims to analyze factors related to coping strategies of breast cancer patients undergoing chemotherapy at Urip Sumoharjo Hospital, Bandar Lampung. This study is a quantitative study with a cross-sectional approach. The sampling technique used was accidental sampling. The research instruments included a questionnaire on respondent characteristics, a questionnaire on family support, and a questionnaire on coping strategies. The population in this study was all 162 breast cancer patients undergoing chemotherapy at the hospital, with a sample size of 62 respondents. Data collection was conducted using a questionnaire, while data analysis used the Chi-Square test and the Gamma test. The results showed that the majority of respondents were in stage IV, with 41 respondents (66%). The duration of the disease was mostly in the 2–4 years range, with 29 respondents (47%). Family support was predominantly supportive, with 60 respondents (97%), and adaptive coping strategies were also found in 60 respondents (97%). The analysis showed a significant relationship between the studied variables and the coping strategies of breast cancer patients, with a p-value of 0.001 at the 95% confidence level. Based on these findings, nurses and hospitals are expected to continue providing motivation and support to breast cancer patients undergoing chemotherapy to improve their quality of life.
Evaluasi Program Pemberian Makanan Tambahan Berbasis Pangan Lokal terhadap Peningkatan Status Gizi Balita di Puskesmas Pelabuhan Sambas
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.v5i2.6690

Abstract

Good nutritional status is a crucial factor in supporting successful human resource development. To improve toddlers’ nutritional status, the government has implemented a supplementary feeding program (PMT) targeting children with nutritional problems. As part of this initiative, a local food-based PMT was conducted for 56 days, focusing on toddlers suffering from malnutrition (wasting) and low body weight (underweight).This study aimed to evaluate the effectiveness of the local food-based PMT in improving the nutritional status of toddlers at the Pelabuhan Sambas Public Health Center in 2024. This evaluation research employed a mixed-methods approach. Data were collected through direct interviews and analyzed using descriptive univariate statistics to determine frequency distributions and percentages.The results indicated that the evaluation of input (facilities, funding, and human resources), process (preparation, implementation, and monitoring), and output (coverage, target accuracy, and timeliness) in the local food-based PMT was in accordance with the 2023 technical guidelines for providing supplementary feeding. Furthermore, there was a significant improvement in toddlers’ nutritional status, as reflected by increases in weight-for-age (W/A), weight-for-height (W/H), and weight-for-length (W/L) indices.In conclusion, the local food-based PMT was effectively implemented in accordance with the 2023 technical guidelines and significantly improved toddlers’ nutritional status. Enhancing program monitoring and encouraging greater community participation may further improve its outcomes.  

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