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Majalah Kedokteran Bandung
Published by Universitas Padjadjaran
ISSN : 0126074X     EISSN : 23386223     DOI : 10.15395/mkb
Core Subject : Health,
Medicine & Pharmacology
Majalah Kedokteran Bandung (MKB)/Bandung Medical Journal publishes peer-reviewed original articles and case reports in basic medical research, clinical research, and applied medical science. This journal is published quarterly (March, June, September, and December) by Faculty of Medicine Universitas Padjadjaran. Articles are original research that needs to be disseminated and written in English. All submitted manuscripts will go through the double-blind peer review and editorial review before being granted with acceptance for publication.
Arjuna Subject : -
Articles 651 Documents
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Characteristics and Risk Factors of Diabetic Retinopathy Patients in West Java, Indonesia Setiawan, Grace; Rini, Mayang; Ratnaningsih, Nina; Memed, Feti Karfiati; Dahlan, Muhammad Rinaldi
Majalah Kedokteran Bandung Vol 56, No 4 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3412

Abstract

Diabetic retinopathy (DR) is the major microvascular complication of diabetes mellitus (DM) and responsible as the leading cause of vision loss among working-age adults. With the estimated DM cases reaching 578 million in 2030, public health systems are faced with challenges of increasing costs of implementation and maintenance of DR screening program in people with DM. This study aimed to describe characteristics and risk factors of DR among patients of a Primary Health Care Center in West Java, Indonesia. This was a cross-sectional study during the period of March 2021 until June 2022 on 1,080 participants. Among these participants with DM, 28.89% (25.16–33.12% [95% CI]) were classified to have DR. A total of 32.69% (28.14–36.71 [95% CI]) participants with DR had vision threatening DR (VTDR). The prevalence of DR in this study was higher in women (77.23%) with a mean age of 57.26 ± 9.17 and duration of DM of ≥5-years (56.01%), blood glucose level <200 mg/dL (63.79%), high systolic blood pressure (52.03%), high diastolic blood pressure (39.07%), normal BMI (55.5%), high waist circumference (43.7%), and high HbA1C (3.42%). A total of 1,041 (96.39%) participants were using antidiabetic drugs, and 9.63% of them were currently smoking. This study showed that diastolic blood pressure, abnormal abdominal circumference, and high HbA1C levels were more prevalent in DR and VTDR groups. The findings of this study represent the current characteristics of DR patients in West Java and can be used as a baseline or comparison data for other regions in Indonesia.
Phenotypic and Molecular Detection of Carbapenemase-Producing Acinetobacter baumannii Strains from Clinical Specimens in Dezful Teaching Hospital Behnaz, Deihim; Khorramizadeh, Maryam
Majalah Kedokteran Bandung Vol 56, No 4 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3794

Abstract

Nowadays, antibiotic resistance in bacteria has become a global problem. Therefore, the identification of resistant strains of bacteria has attracted special attention in a pursue to choose more effective treatment solutions. One of the most common mechanisms of resistance is the production of carbapenemase enzyme in Acinetobacter baumannii. This present study aimed to detect carbapenemase-producing strains by phenotypic and molecular methods in clinical specimens collected in Ganjavian Hospital of Dezful between June 2021 and May 2022. Antimicrobial susceptibility testing was performed using the Kirby-Bauer disk diffusion and Etest assay, while the extended-spectrum beta-lactamase production (ESBLs) and Metalobetalactamases (MBLs) were detected by combined disk method using ceftazidime and ceftazidime/clavulanic acid disks and imipenem and imipenem /EDTA disks, respectively. Molecular detection of blaIMP, blaSPM, blaOXA-23, and blaOXA-24, blaOXA-58, blaGES genes was performed. Of a total of 54 strains, the highest resistance rate was for cephalosporins (98.1%), and ciprofloxacin (94.2%), in contrast to minocycline (13%). ESBL and MBL producers were 26% and 80%, respectively. All isolates had intermediate resistance against colistin. The most prevalent gene in the carbapenem-resistant A. baumannii (CRAB) was blaOXA-23, followed by blaOXA-24, blaGES, blaIMP, and blaOXA-58 genes. Present report highlights the existence of CRAB and intermediate resistance to colistin and also the co-existence of several genes from different carbapenemase classes in this region. Therefore, resistant strains should be identified promptly and specific treatment protocols should be devised to control the dissemination of resistance genes in therapeutic settings.
Post Cesarean Pain Intensity and Wound Healing in ERACS and Conventional Method Silitonga, Intan Renata; Amalia, Gina
Majalah Kedokteran Bandung Vol 56, No 4 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3500

Abstract

Cesarean section is a common delivery method in Indonesia, with a prevalence of 17.6%. This method is used when vaginal delivery is not possible or in emergency cases, in an effort to prevent maternal and infant fatalities. Enhanced Recovery After Cesarean Surgery (ERACS) is a new method whose effectiveness has not been widely studied. The aim of this study was to compare post-cesarean pain intensity and wound healing in patients receiving ERACS and cesarean conventional methods at Bandung Kiwari General Hospital. This cross-sectional study used an analytic observational design and accidental sampling with 52 post-cesarean patients as the subjects during the three-months of study. Pain intensity was observed using the NRS instrument and wound healing was observed using the REEDA scale instrument on days one, two, and six post-surgery. The t-test analysis showed that the ERACS method had better pain intensity post-cesarean than the conventional method with a p-value of 0.000. However, there was no difference in wound healing between ERACS and conventional methods with a p-value of 0.136.
Comparison of CONUT Score, SGA Score, and GLIM Score as Gold Standard for Colorectal Cancer Patients Marcella, Marcella; Rudiman, Reno; Yohana, Raden
Majalah Kedokteran Bandung Vol 57, No 1 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3846

Abstract

Malnutrition in colorectal cancer increases toxicity, worsens quality of life, and reduces body functions. Early identification of malnutrition is crucial to determine treatments. This study compared the Global Leadership Initiative on Malnutrition (GLIM) score as the standard nutritional status screening tool to the Controlling Nutritional Status (CONUT) and Subjective Global Assessment (SGA) scores. This study expected to identify a new nutritional status screening tool for colorectal cancer patients. This was a cross-sectional diagnostic study on 60 colorectal cancer patients treated at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia from August 16, 2022 to July 16, 2023. Results revealed that the CONUT score had a sensitivity, specificity, accuracy, and effectiveness values of 80.4%, 0.0%, 85%, and 85%, respectively, in detecting malnutrition. The SGA score had a sensitivity value of 100%, a specificity value of 21.95%, an accuracy value of 85%, and an effectiveness of 85% in detecting malnutrition. When compared with the GLIM score as the gold standard, which is assumed to have a sensitivity and specificity values of 100%, the SGA score was better than the CONUT score for detecting malnutrition in colorectal cancer patients. The SGA score is closest to the GLIM score as the gold standard for assessing malnutrition in colorectal cancer patients.
Workplace Violence Against Doctors and Nurses in Public Healthcare Services in AL- Majmaah City, Saudi Arabia Alfhaid, Fahad Mohammad; Loni, Shamshad Begum; Aljulifi, Mohammed Zaid; Alturki, Raghad Abdulaziz Ahmad; AlGhannam, Raghad Ghannam Ibrahim; Almutairi, Batool Awn Allah Khalifah; Almutairi, Maram Awn Allah Khalifah
Majalah Kedokteran Bandung Vol 57, No 1 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3870

Abstract

Workplace violence raises a significant concern in healthcare settings, with healthcare workers being at risk of physical and emotional harms. This phenomenon is, however, rarely investigated in Al-Majmaah city, Saudi Arabia. This study sought to estimate the prevalence of workplace violence against doctors and nurses working in public healthcare facilities in Al-Majmaah city. A cross-sectional study was conducted in public health facilities in Al-Majmaah city, Saudi Arabia, from June to August 2022. Healthcare workers were recruited to participate in a self-administered online questionnaire, which collected data on sociodemographic information, workplace violence exposure, and attitudes towards violence. Of the total participants, 41.9% reported experiencing workplace violence. The majority of incidents occurred in health institutions, with 92.3% involving verbal abuse, 2.6% physical violence, or both. Patients' families were responsible for 48.7% of the violence, followed by the patients themselves (43.6%). In response to violence, healthcare workers reported various coping mechanisms, including pretending the incident never happened (23.1%), attempting to stop the perpetrator (23.1%), and protecting themselves (18%). Regarding system satisfaction, 14% remained indifferent, 16% were dissatisfied, and 2% were satisfied. Furthermore, 15.1% of participants experienced disturbed thoughts or images of the attack, 14% avoided thinking or talking about incidents, and 11.8% were unaffected. Workplace violence is a significant problem affecting healthcare workers in public healthcare facilities in Al-Majmaah city, Saudi Arabia. The high prevalence of verbal abuse and physical violence highlights the need for effective prevention and intervention strategies to ensure a safe working environment for healthcare workers.
Sexual Violence among University Medical Students in Sumatera, Indonesia Windasari, Noverika; Fadila, Zurayya
Majalah Kedokteran Bandung Vol 57, No 1 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3834

Abstract

Sexual violence is a pervasive issue affecting both adults and children globally, resulting in severe trauma for victims. Due to the power dynamics, this problem also extends to educational institutions, including universities. Therefore, this study aimed to investigate incidents of sexual violence among medical students at a state university in West Sumatra, Indonesia in 2023. A descriptive cross-sectional survey was conducted using a questionnaire distributed to pre-clinical and clinical medical students. A total of 1,170 students were included as respondents, of which 9.66% of them reported experiencing sexual violence. Specifically, 46.% of respondents had previous experience of sexual violence, and 42.5% of these occurred during their time as university students. The most common forms were non-physical sexual violence, accounting for 35% of reported cases, with 30.3% of the perpetrators being strangers. Over half of the victims experienced sexual violence more than once, and only 46.2% of victims reported their experience. This study showed that sexual violence affected medical students, mainly in non-physical forms, with a low reporting rate. Consequently, collaboration between campus leaders and the academic community is crucial to empower victims in participating and creating an environment that is free from sexual violence. Preventive efforts must also be comprehensive, engaging multiple sectors and community, to effectively combat sexual violence in universities.
Success Rate and Complications of Percutaneous Nephrolithotomy (PCNL) in Nephrolithiasis Patients Stein, Lambok Kevin; Safriadi, Ferry
Majalah Kedokteran Bandung Vol 57, No 1 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3809

Abstract

Percutaneous Nephrolithotomy (PCNL) is the standard management method for kidney stones due to its high success rates. This process is associated with risks, including complications such as infection and bleeding. This study aimed to evaluate the complications and success rates of PCNL in nephrolithiasis patients and provide important insights for clinical decision-making. Data were collected from patients undergoing PCNL for nephrolithiasis at Dr. Hasan Sadikin General Hospital Bandung, Indonesia, in the form of demographic data, stone parameters, and postoperative complications. Data were then analyzed statistically to identify the associated factors. This study was conducted at the Urology Department of the hospital from January to December 2023, involving 80 nephrolithiasis cases. Predominantly, 67.5% of patients were males, with 63.7% in the age group of above 50 years. Multiple stones were the most common (55%), with stone sizes of ≥1.5 cm prevalent in 95% of cases. Left-sided stones (43.75%) were most frequent, followed by right-sided (36.25%) and bilateral stones (20%). Hydronephrosis complications were present in 36.25% of cases, with 100% stone clearance found in Guy Stone Score (GSS) grade 1 cases, while GSS grade 4 cases exhibited the lowest stone clearance rate at 45.45%. This study provided insights into nephrolithiasis demographics, stone characteristics, and postoperative outcomes. Male predominance, multiple stones, high rates of stone clearance, and postoperative complications, particularly in the Guy's score system, underscore the need for proper management strategies and further research in this field.
Characteristics of Patients with Anterior Cruciate Ligament Injury at Ulin Hospital Banjarmasin, Indonesia Damayanthi, Essy Dwi; Hosea, Nathania
Majalah Kedokteran Bandung Vol 57, No 1 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3887

Abstract

Knee injuries are one of the common injuries, especially among athletes. Many studies have concluded that the main cause of these injuries were sudden movements while doing sports. The incidence of the knee joint injury in Indonesia was 38 to 78 per 100,000 patients with the prevalence of Anterior Cruciate Ligament (ACL) injuries of 16%. Recently, an increasing number of ACL injury patients was observed to be treated at the Ulin Hospital, Banjarmasin, Indonesia, when compared to the number of the previous years, making it important to understand the characteristics of patients experiencing these injuries. This study aimed to explore the characteristics of patients with ACL injuries in the hospital. Data for this retrospective descriptive study were collected from medical records during the period of  March 2022 to June 2023 from Ulin Hospital, Banjarmasin. The inclusion criteria were patients diagnosed with an ACL injury with or without meniscus tear. From a total of 95 patients with ACL injuries,  30 (32%) were below 20 years old,   42 (44%) were 20-30 years old, 18 (19%) were 31-40 years old, 3 (3%) were 41-50 years old, and 2 (2%) were above 50 years old.  The ratio between men and women was 11:1. There were 74 patients who had sports-related injuries while the remaining 21 patients experienced the injury due to other activities.  Of the total 95 cases, 59 (62%) were treated nonoperatively and 36 (38%) received arthroscopy surgery. The arthroscopy was mostly performed to patients who also experienced a meniscus injury and in the chronic phase, with an average length of stay at the hospital of 2.6 days.
Acid-Base and Electrolytes Profile in Critically Ill Pediatric Patients Admitted to Pediatric Intensive Care Unit (PICU) Khairunnisa, Alya Roosrahima; Peryoga, Stanza Uga; Widiasta, Ahmedz
Majalah Kedokteran Bandung Vol 57, No 1 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3854

Abstract

Critically ill pediatric patients are known to experience more frequent episodes of acid-base and electrolyte imbalances when compared to adults, which can significantly impact morbidity and mortality with higher mortality rates and longer hospital stays. Data on the profile of acid-base and electrolyte imbalances in critically ill pediatric patients is very limited in Indonesia. This study was conducted to describe the electrolytes and acid-base profile of critically ill pediatric patients admitted to the Pediatric Intensive Care Unit (PICU). This was a cross-sectional study using secondary data from medical records of critically ill pediatric patients aged 1 month to 18 years admitted to the PICU of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, from January 1 to December 31, 2021. Results indicated that 131 (50.8%) of 258 patients experienced electrolytes and acid-base imbalances. The majority of patients were boys (53.0%) and infants (32.8%). The most common primary diagnosis was respiratory (28.2%), central nervous system (19.8%), and gastrointestinal disorders (15.3%). A total of 366 electrolyte imbalance events and 111 acid-base imbalance events were recorded. The most common electrolyte imbalance events were hyponatremia (75.6%), hypocalcemia (48.9%), and hypokalemia (42.7%), respectively, while the most frequent acid-base imbalance events were respiratory alkalosis (33.6%) and metabolic acidosis (21.4%). Electrolyte and acid-base imbalances are common among critically ill pediatric patients in PICU. Thus, early evaluation and recognition of acid-base and electrolyte imbalances are crucial in order to prevent poor outcomes in these patients.
A Case Study of Psoriasis Vulgaris After COVID-19 Vaccination in Saudi Arabia Alwafi, Hassan; Alsulaimani, Nedaa; Almalki, Mohammed E.; Banjar, Asma Mohammad; Alamri, Reham Abdullah; Alwafi, Danya; Jarab, Anan S.; El-Qasem, Asaleh; Alhartani, Yosra J.; Naser, Abdallah Y
Majalah Kedokteran Bandung Vol 57, No 1 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3855

Abstract

Since the COVID-19 vaccines have been approved, worldwide reports of adverse events have been reported. Although a few cases of Psoriasis vulgaris have been reported after COVID-10 vaccination, there is currently limited evidence to establish a direct relationship between the vaccine and this condition. A 27-year-old Saudi woman, previously healthy and had no medical issues, reported skin lesions on her lower legs, which she noticed ten (10) days after receiving the first dose of the Pfizer COVID-19 vaccine. The patient had no prior history of such lesions or any family history of psoriasis. Joint pain was not observed. A diagnosis of psoriasis vulgaris was made, and the patient was treated with Daivobet® cream, urea cream 10%, and full-body NB-UVB light therapy three times a week for up to two months. The patient's condition improved partially. This report presents the first known case of psoriasis vulgaris after the COVID-19 vaccine in the Middle East. Further research is needed to fully understand this connection. The study emphasizes the significance of a thorough medical history and evaluation for precise diagnosis and treatment.

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