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Jurnal Akta Trimedika
Published by Universitas Trisakti
ISSN : -     EISSN : 30465125     DOI : https://doi.org/10.25105/aktatrimedika
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Jurnal Akta Trimedika adalah jurnal kedokteran melalui proses tinjauan sejawat (peer-review) dengan akses terbuka secara online sebagai salah satu jurnal ilmiah resmi Fakultas Kedokteran Universitas Trisakti yang terbit setahun empat kali (Bulan Januari, April, Juli dan Oktober). Jurnal ini berfokus pada ilmu pengetahuan medis mulai dari ilmu dasar, klinis, dan komunitas. Jurnal ini bertujuan sebagai salah satu media penghubung antara mahasiswa kedokteran, dokter, peneliti dan pemerhati kesehatan untuk berbagi informasi masalah kesehatan terkini dalam usaha meningkatkan pengetahuan dan kesehatan masyarakat Indonesia Jurnal ini menerbitkan original article, article review, dan laporan kasus yang berkontribusi pada pengetahuan kedokteran dan kesehatan. Semua topik ilmu kedokteran diterima untuk dipublikasikan di jurnal ini, antara lain: Ilmu Biologi Ilmu Jantung dan Pembuluh Darah Ilmu Kebidanan dan Kandungan Ilmu Penyakit Paru Ilmu Saraf Ilmu Bedah Ilmu Ortopedi dan Kedokteran Olahraga Ilmu Onkologi Ilmu Hematologi Ilmu Endokrin, Diabetes, Metabolisme Ilmu Nutrisi Ilmu Gastroenterologi dan Hepatopankreatikobilier Ilmu Nefrologi dan Urologi Ilmu Imunologi Ilmu Kesehatan Kulit Ilmu Otolaringologi Ilmu Penyakit Infeksi Ilmu Geriatri dan Penuaan Ilmu Kedokteran Intensif dan Anestesiologi Ilmu Kesehatan Mata Ilmu Kesehatan Anak Ilmu Kesehatan Masyarakat, Lingkungan, dan Kesehatan Kerja Ilmu Farmakologi dan Farmasi Dan topik lainnya yang berhubungan dengan kedokteran dan/atau kesehatan.
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Articles 119 Documents
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HUBUNGAN LAMA PERIODE MENYUSUI DENGAN KEJADIAN KANKER PAYUDARA PADA WANITA USIA SUBUR Shofia Kamilina Salsabila; Dian Mediana
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19302

Abstract

Kanker payudara menempati posisi pertama jenis kanker terbanyak di Indonesia, menurut data GLOBOCAN tahun 2020 di Indonesia, lebih dari 22.000 kematian, dan 68.858 diagnosis baru. Lamanya menyusui memberikan manfaat bagi ibu, salah satunya adalah mencegah kanker payudara. Data tahun 2022 di Provinsi DKI Jakarta, terdapat penurunan jumlah pemberian ASI eksklusif pada dua tahun terakhir. Tujuan penelitian ini adalah ingin mengetahui hubungan pemberian ASI eksklusif dengan kejadian kanker payudara pada wanita usia subur. Metode penelitian observasional analitik dengan pendekatan case control. Teknik pemilihan sampel consecutive non random sampling dengan besar sampel kasus dan control masing-masing 35 responden. Pengumpulan data diperoleh dari data primer dengan wawancara menggunakan kuesioner. Data dianalisis menggunakan uji Chi Square dengan tingkat kemaknaan 0,05. Hasil uji univariat menunjukkan prevalensi kanker payudara pada wanita usia subur sebesar 50%, proporsi lama periode menyusui didapatkan mayoritas menyusui selama lebih dari 6 bulan dengan persentase 62,9%. Hasil uji bivariat menunjukkan terdapat hubungan bermakna antara lama periode menyusui (p=0,00) dan usia (p=0,00) dengan kejadian kanker payudara pada wanita usia subur. Sedangkan jumlah anak (p=0,45) dan tingkat pendidikan (p=0,80) menunjukkan hasil tidak berhubungan bermakna dengan kanker payudara pada wanita usia subur. Kesimpulan terdapat hubungan bermakna antara lama periode menyusui dan usia dengan kejadian kanker payudara pada wanita usia subur. Tidak terdapat hubungan bermakna antara jumlah anak dan tingkat pendidikan dengan kejadian kanker payudara pada wanita usia subur.
HUBUNGAN PERILAKU PICKY EATER DAN DURASI TIDUR DENGAN PERKEMBANGAN PADA BALITA Salsabila Ratyana Putri; Fransisca Chondro
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19336

Abstract

In toddlerhood, children begin to understand the concept of autonomy so they start to choose things they like, one of which is the behavior of choosing food, namely picky eaters. If the nutritional intake is less varied, there’s a possibility that the child won’t get sufficient nutrition that support the development process. In addition to nutritional intake, responsive parenting is essential in meeting children's needs, such as adequate sleep time. Sleep in children facilitates the maturation and repair of body cell functions, including brain cells and hormones that play a role in development. This study used a cross-sectional study design using primary data from 138 toddlers in the Posyandu of Tanjung Duren Utara Village. Assessment of picky eater behavior using the Children’s Eating Behavior Questionnaire (CEBQ), sleep duration using the average questionnaire of sleep duration and child development using the Indonesian pre-screening developmental questionnaire, Kuesioner Pra-Skrining Perkembangan (KPSP). Analysis of bivariate data using the Chi-square test with a significance level of p<0.05. Among the 138 respondents, it was found that the majority had picky eater behavior, namely 93 (67.4%) children, 73.2% children have an adequate sleep duration, and 57.2% children have  appropriate development. The relationship between picky eater behavior and development through statistical tests obtained a p = 0.035 (p <0.05) and between sleep duration and development p=0.298 (p>0.05). There is a relationship between picky eater behavior and development in toddlers and no relationship between sleep duration and results in toddlers.
BEBAN KERJA PSIKOLOGIS BERHUBUNGAN DENGAN KEJADIAN MIGRAIN PADA KARYAWAN Dimas Jordhi; Magdalena Wartono
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19514

Abstract

Migrain adalah gangguan neurologis kedua yang sering ditemukan, penyakit medis paling umum ketiga dengan tingkat prevalensi tahunan menurut World Health Organization sebesar 12%. Faktor-faktor yang berhubungan dengan migrain adalah usia, jenis kelamin, dan beban kerja psikologis pada karyawan. Beberapa penelitian masih menunjukkan hasil yang berbeda terkait beban kerja psikologis dengan kejadian migrain pada karyawan. Oleh karena itu, penelitian ini bertujuan untuk mengetahui hubungan antara beban kerja psikologis dengan kejadian migrain pada pegawai Kementerian Koordinator Bidang Perekonomian. Desain penelitian ini adalah cross-sectional dengan jumlah responden 257 orang. Pengumpulan data dilakukan dengan menggunakan kuesioner CarMen-Q, MS-Q, dan data sosiodemografi. Uji Statistik dilakukan dengan menggunakan uji Chi-Square dengan tingkat signifikansi p<0,05. Responden didominasi oleh laki-laki (52,5%) dengan kategori usia 26-35 tahun (45,9%). Mayoritas responden memiliki beban kerja psikologis yang tinggi sebesar 46,7%. Angka kejadian migrain adalah 43,6%. Analisis bivariat menunjukkan adanya hubungan antara jenis kelamin (p < 0,001), beban kerja psikologis (p < 0,001), dan kejadian migrain. Namun tidak terdapat hubungan antara usia dengan kejadian migrain (p=0,457). Jenis kelamin dan beban kerja psikologis berhubungan dengan kejadian migrain pada karyawan, namun tidak halnya dengan usia. Kata kunci: Migrain, Beban Kerja Psikologis, Karyawan
HUBUNGAN PENGETAHUAN DAN SIKAP IBU MENGENAI GIZI SEIMBANG DENGAN STATUS GIZI ANAK BALITA Najia Jamalatun Nisa; Revalita Wahab
Jurnal Akta Trimedika Vol. 1 No. 4 (2024): Oktober 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i4.19586

Abstract

One of the health markers of childeren group underfives (0-60 months) are group of children is nutritional status because the level of vulnerability to nutritional problems in underfives is quite high. Maternal knowledge and attitude towards balanced nutrition are very important in preventing nutritional problems. The aim of this study was to determine the relationship of maternal knowledge and attitudes regarding balanced nutrition with nutritional status of underfives. The cross sectional study was conducted on  61 mothers and their toddlers. Sampling was taken by consecutive non-random sampling technique at Posyandu Kamajaya, Serang City, Banten Province. Data were collected using a questionnaire of maternal knowledge and attitude towards balanced nutrition and scales, microtoise or length board. The results of maternal knowledge towards balanced nutrition with nutritional status of underfives is p = 0.000 and the result of maternal attitude towards balanced nutrition with the nutritional status of underfives is p = 0.549. There was a statistically significant relationship of maternal knowledge towards balanced nutrition with nutritional status of underfives. Conclusions there was no statistically significant relationship of maternal attitude towards balanced nutrition and the nutritional status of underfives at Posyandu Kamajaya ,Serang City, Banten Province.
DISFUNGSI SEKSUAL PEREMPUAN MEMENGARUHI KUALITAS HIDUP PADA MASA MENOPAUSE Putri Windyaningsih; Rully Ayu Nirmalasari
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19635

Abstract

Latar belakang. Menopause adalah fase dimana siklus menstruasi berakhir secara alami dan menandai akhir dari masa reproduksi. Kepuasan terhadap kehidupan dan kepuasan seksual dikatakan berkorelasi positif terhadap kualitas hidup di berbagai aspeknya. Pada perempuan menopause, aktivitas seksual menurun seiring bertambahnya usia dan terjadinya perubahan hormonal. Sebanyak 78,7% perempuan menopause di Indonesia mengalami disfungsi seksual. Tingkat ketidaknyamanan yang ditimbulkan dari hal tersebut sangat mungkin memengaruhi kualitas hidup perempuan menopause. Tujuan penelitian ini adalah untuk mengetahui hubungan fungsi seksual dengan kualitas hidup pada perempuan menopause Metode. Penelitian ini menggunakan desain potong lintang terhadap 112 perempuan menopause di Desa Sukatani, Depok. Data fungsi seksual diperoleh melalui pengisian kuesioner Female Sexual Function Index (FSFI), sedangkan kualitas hidup dinilai dengan mengisi kuesioner World Health Organization Quality of Life Brief Version (WHOQOL-BREF). Analisis data dilakukan dengan menggunakan uji Chi-square Hasil. Usia wanita menopause terbanyak adalah ≥ 53 tahun. Berdasarkan karakteristik fungsi seksual, 78,6% perempuan menopause mengalami disfungsi seksual. Sebanyak 41% responden tergolong dalam kualitas hidup buruk. Analisis hubungan Fungsi Seksual dengan Kualitas Hidup diperoleh p = 0,001 Kesimpulan. Jumlah disfungsi sexual pada perempuan menopause sangat tinggi. Pada penelitian ini didapatkan hubungan yang bermakna antara fungsi seksual dengan kualitas hidup di masa menopause. Melihat prevalensi yang tinggi dan pengaruhnya terhadap kualitas hidup maka, fungsi seksual perempuan masa perimenopause perlu mendapat perhatian.
LAPORAN KASUS INFEKSI/INFLAMASI TRAKTUS GASTROINTESTINAL BAWAH ABSES PERIANAL DENGAN FISTULA Gupita Nareswari; Tandy Chintya Tanaji; Mulia Rahmansyah; Partogi Napitupulu; Astien Astien; Revalita Wahab
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19703

Abstract

Perianal abscess with perianal fistula is an infectious-inflammatory disease of the perianal region. This disorder has quite high morbidity and recurrence rates and is treated with surgery. Complete preoperative findings, including anatomy, the connection between the fistula and surrounding structures, and secondary fistulas and abscesses, can be obtained through radiological examination. In this case report, a painful lump that was actively producing pus was found in the perianal area, a perianal ultrasound (USG) and Magnetic Resonance Imaging (MRI) examination was carried out and the diagnosis made was a perianal abscess with fistula. Fistulectomy and abscess drainage were performed.
HUBUNGAN LAMA PEMAKAIAN KONTRASEPSI SUNTIK DEPO-MEDROXYPROGESTERON ACETATE DENGAN PENINGKATAN BERAT BADAN DI PUSKESMAS PANGKALAN Azkia Tunissa; Ida Effendi
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19704

Abstract

Background: The prevalence of weight gain in family planning acceptors is 79.8%, this will cause hypertension heart disease, heart failure, stroke, dyslipidemia and metabolic syndrome. The duration of depo-medroxy prosesteron acetate (DMPA) injectable contraceptive usage has affect on weight gain because of the hormone progesterone stimulates the appetite control center in the hypothalamus. This study aimed to determine the relationship between duration of DMPA usage and the acceptor’s weight gain at Pangkalan Health Community. Methods: This study was an analytic observational design with a cross-sectional approach. The population were family planning acceptors. The sample was family planning acceptors using DMPA injecting drug at the Pangkalan Health Center from August to November 2022 . The sample selection technique was consecutive non-random sampling. Data were obtained through interviews and family planning acceptor cards. Data obtained were analyzed using the Chi-square test and Fisher's exact. Results: This research carried out from 69 respondents whom 69,6% of them have used DMPA for more than a year and 60,9% respondents gaining more than 3 kg. Relationship between the duration of DMPA injectable contraceptive usage and weight gain showed p value = 0.000. Conclusion: There was significant relationship between the duration of DMPA injectable contraceptive usage and weight gain in family planning acceptors at the Pangkalan Community Health Center.
PROTEIN SOLUBLE SUPPRESSION OF TUMORIGENICITY 2 (sST2) SEBAGAI PENANDA KERUSAKAN KARDIOVASKULAR PADA PREEKLAMSIA Laksmi Maharani
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19706

Abstract

Preeclampsia as a pregnancy complication was still a direct cause of maternal death, especially in developing countries. The process of abnormal trophoblast invasion as a pathophysiology of preeclampsia would cause an ischemic environment in the placenta. This situation caused the placenta to release pro-inflammatory cytokines and anti-angiogenic factors into the maternal circulation, resulting in the vasocontriction of blood vessels, endothelial dysfunction in the vasculature of maternal organs, and the production of different clinical features depending on the organs affected. Vascular and myocardial muscle damage was a complication that causes cardiovascular disorders and could increase maternal morbidity and mortality in preeclampsia. sST2 as part of the interleukin (IL)-1 receptor, was a biomarker used to indicate myocardial muscle damage in cardiac disease. There had been a growing number of research investigating the use of sST2 as a marker of cardiac muscle damage in patients with heart failure. Some of them concluded that sST2 can be used as a predictor of acute cardiac muscle damage. Others stated that sST2 as a marker could accompany chronic cardiac defects. Preeclampsia, as a disease in pregnancy that showed damage to maternal organs, was starting to be studied using this biomarker as a marker for damages to the cardiac organ. There were studies that showed differences in sST2 levels in preeclampsia with and without complications. Preeclampsia with cardiac complications was characterized by damage to the myocardial muscle, especially to the left ventricular area. The sST2 protein was starting to be used as a marker for this damage. Further research was still being carried out to improve the use of this biomarker as a marker for other damage to the maternal cardiac organ.
PENDEKATAN RADIOLOGIS PADA KASUS MALROTASI INTESTINAL DENGAN MIDGUT VOLVULUS Mulia Rahmansyah; Dyani Pitra Velyani; Gupita Nareswari; Partogi Napitupulu; Revalita Wahab; Astien Astien; Tandy Chintya Tanaji; Pramesti Indri Miranti
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19708

Abstract

Midgut volvulus is a condition in which the intestine has become twisted as a result of malrotation of the intestine during fetal development. It cause of an acute abdomen in neonates and important entity to be diagnosed urgently. Midgut volvulus may lead to small intestinal ischemia and gangrene. The correct diagnosis depends on both high clinical suspicion and the radiologist’s ability to recognize the specific signs of malrotation and the normal variants that can lead to the wrong diagnosis. Radiological examination; such as abdominal x-ray, ultrasound and colon in loop play an important role in the diagnosis of volvulus . A color Doppler ultrasound examination may reveal a whirlpool sign, a colon in loop (CIL) examination may show an aberrant intestinal rotation, and a plain abdominal xray may show a double bubble sign due to midgut volvulus
LITERATUR REVIEW: PENCEGAHAN CEDERA DAN REHABILITASI PADA PELARI TRAIL Suciana Suciana; Haffafa Fayrooz Djiby; Nuryani Sidarta; Erica Kholinne
Jurnal Akta Trimedika Vol. 1 No. 2 (2024): April 2024
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v1i2.19709

Abstract

Trail running is sports activity that combines two activities, namely mountain climbing and running. Trail running activities are carried out on mountains that have tracks in the form of paths, in the form of ground stones, or a mixture of sand and small rocks. Trail running was first carried out in the United States of America and continues to develop in Indonesia for example Bandung, Probolinggo, Lombok dan Banyuwangi, Which have been associated in the form of ITRA (International Trail Running Association). The majority of trail running injuries occur in the lower legs, especially the knees and ankles. The main mechanisms underlying injury and injury development include inadequate neuromotor control-balance-coordination ,running through fatigue and abnormal kinematics on a variety of terrain. Pre-Rehabilitation programs such as strengthening the kinetic chain consisting of dynamic flexibility, neuromotor strength and balance, plyometrics exercises can encourage stable and also controlled movement on trails. Educating patients about symptoms of early musculoskeletal soreness and training adjustments also proved to help prevent injuries from developing into serious overuse injuries. Regarding to the increasing number of the injury in trail runners, this article was wrote to describe the role of injury prevention and safe training to reduce the risk of injury and also early rehabilitation program for the injured runners. Study by Vincent et all that review the injury prevention, safe training and rehabilitation to return to sport was the main source in the discussion. The review result showed that educating the runners to prevent injury and how to do the safe running shown a positive impact to reduce the numbers of injury. Early rehabilitation program also shown a good impact in promoting healing in injured runners.

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