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Journal of the Medical Sciences (Berkala Ilmu Kedokteran)
Published by Universitas Gadjah Mada
ISSN : 01261312     EISSN : 23563931     DOI : http://dx.doi.org/10.19106/JMedSci005303202101
Core Subject : Science,
Immunology & microbiology Neuroscience
Journal of the Medical Sciences (JMedSci) or Berkala Ilmu Kedokteran (BIK) is an international, open-access, and double-blind peer-reviewed journal, published by Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Yogyakarta Indonesia. JMedSci aiming to communicate high-quality articles in the areas of biomedical science from basic to clinical sciences.The journal welcomes papers from original articles, case reports, reviews, and book reviews. All papers published in JMedSci are freely available as downloadable pdf files. The journal began its publication on March 1973 and published quarterly (January, April, July, and October). JMedSci is abstracted and indexed in DOAJ, Crossref, Google Scholar, Sinta, Indonesia One Search. JMedSci is accredited by Directorate of General Higher Education, the Ministry of Research, Technology, and Higher Education, Indonesia
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 2,170 Documents
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ILEUS (intestinal obstruction) M. Soegijanto, M. Soegijanto
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 5, No 01 (1973)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Telah disampaikan keadaan penderita Liens yang pernah dirawat di Bagian Bedah Rumah Sakit Universitas Ga -djah Mada selama tahun2 1961 s/d 1970, dimana terdapat 378 penderita. Angka-mOrtalitas penderita ileus pada tahun2 tsb. masih tinggi, yaitu 28,83 %.Telah disampaikan pula sebab2 kematiannya,yang pada umumnya karena gangren uses dan keadaan umum yang jelek karena dehydrasi. Disamping itu telah disampaikan juga carat diagnose yang biasa di pakai di Rumah Sakit bniversitas.Gadjah Mada Bagian Bedah.
Anatomi Untuk Peningkatan Kualitas Hidup T. Jacob, T. Jacob
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Universitas Gadjah Mada

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Abstract

The article describes the various divisions of anatomy made according to the need in facing a particular problem, among others the cla.4ification in functional systems and in levels of the living systems. Since anatomy is determined by both genetics and environment, and the total man also depends on his anatomy, efforts to improve the quality of life necessarily involves improvement in genetic and environmental qualities. The quality of life can thus be studied in terms of the functional anatomical systems and the anatomy at different levels of the living systems.There are many indicators developed to measure the quality of life. Mention is made about demographic indicators, socioeconomic indicators, sociomedical indicators, sociodental indices, biocultural indices and biomedical indices. Indicators based on purely anatomical factors are described, such as body height and weight, growth norms, anthropological measurements, body build and body composition, and biological rhythm.Other approaches could be developed by using vertical and horizontal interrelations of the discipline to study the quality of life from the vantage point of anatomy.Key Words: anatomy -- quality of life -- health indicators -- demographic factors -- height-weight indices
Somatotypes of Javanese soccer and volleyball players in Yogyakarta Neni Trilusiana Rahmawati, Neni Trilusiana Rahmawati
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 35, No 3 (2003)
Publisher : Universitas Gadjah Mada

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Abstract

Background:There is considerable evidence indicating that athletes succeeding in certains sport have distinctive body types. Different body type patterns appear between sports and within sport, according to the demands of the sport and the competitive level.Objective: To study the somatotypes and to determine the specific morphological characteristics of soccer players and volleyball players compared to undergraduate male (non-athletes) in Yogyakarta. Method: 103 soccer and 73 volleyball players, and 48 non-athletes, aged 17 to 30 were recruited in the study. Sitting height, biacromial and bicristal breadth, stature, body weight, bicondylar breadths of humerus and femur, calf and upper arm circumferences, skinfolds at triceps, subscapular, calf, and supraspinal were obtained from each subject. Heath-Carter somatotypes were determined on the subjects. A one-way ANOVA, which used LSD (least significant differences) was employed to determine whether there were any statistically significant differences among 3 group means.Results: The results showed that the mean somatotype of soccer players were balanced mesomorph (2.6 - 4.9 - 2.9), volleyball players were mesomorph ectomorph (2.4 - 3.5 - 3.7), and non-athletes male were ecto-mesomorph (2.5 - 5.2 - 3.8. The soccer players were significantly shorter, lighter, and more mesomorphic than the volleyball players. The volleyball players as a group tend to be taller and heavier than the soccer and the non-athletes.Conclusion: The findings indicated that the Yogyakarta soccer and volleyball players have similar somatotype distributions.Key words: somatotype - soccer players - volleyball players - Javanese - athletes
Borderline, white coat and sustained hypertensia: A comparative study a normotensia in personnels of 18-42 year old at Dr. Sardjito General Hospital, Yogyakarta Suradi, Suradi
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 29, No 04 (1997)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

A Study of Cross Sectional Survey on 350 subjects from 1216 non physician staffs aged 18-42 at Dr. Sardjito General Hospital was done. There were 51 persons with Borderline Hypertension (15%), consisted of 35 males (68,6%) and 16 females (31,4%), with self monitoring blood pressure at home. The subjects whose average home blood pressure Mean + 1SD and Mean + 2SD, having borderline hypertension had sustained hypertension (SH) and blood pressure while normotensive Mean + 1SD had White Coat Hypertension (WCH). This study found WCH in 25 subjects (49%) and SH 26 subjects (51%). Heart rate of WCH group (83,7-+-5,7) had no significant difference, compared to SH group (86,2 ± 4,1), but was more rapid than normotensive group (74,5 ± 3,6) (p<0.05). There were no significant difference of blood total cholesterol, HDL, LDL, triglyceride between WCH and SH group, but in blood total cholesterol, LDL, triglycerides, were significantly different was compared to normotensive group. A blood HDL of WCH and SH groups had a lower significant different compared to normotensive group (total cholesterol levels 222,4 ± 36,4 vs 217,6 ± 39,7 vs 194,6 ± 33,2), LDL cholesterol (158,2 ± 48,7 vs 156,2 ± 49,1 vs 144,8 ± 33,81, triglycerides (143,6 ± 86,2 vs 146,9 ± 80,2 vs 99,8 ± 51,1). Fasting blood glucose, Insulin and Insulin/glucose ratio in three groups had no significant differences. The conclusions are that total cholesterol, HDL, LDL and triglycerides, and heart rate from WCH group have no significant differences to SH group, but these two groups were significantly different to normotensive group. Fasting blood glucose, insulin, insulin/glucose ratio have no significant difference among the white coat, sustained, and normotensive groups. Key Words: borderline hipertension - white coat hypertension - sustained hypertension - blood chemistry
Usage of propranolol to attenuate catabolism process in burn victim : A case report Ishandono Dahlan, Ishandono Dahlan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 34, No 01 (2002)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Burn is still a common injury faced by the surgeons. The mortality is considerably high. One of the improvement in the mortality and outcome of the treatment over the last decades can be attributed to the modulation of the hypermetabolic response to trauma. It was reported by researchers in Shrinners Hospital that propranolol administration during the hospitalization attenuates the hypermetabolism and reverses muscle catabolism. Our case is a 16 year old male burn victim admitted to DR Sardjito Hospital, after 24 hour hospitalization in a District Hospital. He was assessed as 40% grade II-III of electric injury. Fluid resuscitation with Baxter Formula and debridement of the wound were performed as the initial treatment. In the first 12 weeks of hospitalization the plasma protein was decreasing due to hypermetabolic response to the severe burn and the albumin concentration was never reach 2 g/L. Thats why the plan to do skin grafting was postponed. It was decided then to apply the Shrinners Hospital protocol, i.e. propranolol administration, to make reversal effect of catabolism. After five weeks of oral propranolol administration the albumin concentration was increasing from 1.8 to 2.9 g/I, so that we could perform split thickness skin grafting procedure. Two weekks later about 95% of the skin graft donor were viable. We came to the conclusion that the administration of oral propranolol could attenuate catabolism process and directly increase the plasma albumin concentration.Keywords : burn - propranolol - hypermetabolism slowing effect - plasma albumin concentration
Changes in resting heart rate and blood pressure in response to resistance exercise training program Angelheart Joy Maynard Rattu, Angelheart Joy Maynard Rattu
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 31, No 04 (1999)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Background: Previous studies showed that both systolic and diastolic blood pressures could be lowered to a modest degree with an aerobic type exercise.Objective: The present study was designed to explore the effect of resistance exercise training program on resting heart rate and blood pressure in males and females.Methods: Thirty-three normal healthy subjects participated in this study. Resting heart rate and resting blood pressure were measured before and after a weight-training program twice a week for eight weeks. Results: Data showed that resting heart rate was significantly (p) lower in males compared to that observed in females before and after the training program. A significant decrease in resting heart rate (p) was observed in both sexes as a result of the training program. Resting systolic and diastolic blood pressures were slightly (p = 0.08) lower in the female group compared to that observed in the male group before the training program. Resistance exercise training induced no significant change in resting systolic and diastolic blood pressures in both groups. After the training program, resting systolic and diastolic blood pressures were slightly (p=0.09) lower in the female group compared to that observed in the male group.Conclusion: Exercise stimulus in the form of circuit weight training was sufficient to elicit cardiovascular adaptations in response to training.Key words: resistance exercise training - heart rate - systolic and diastolic blood pressures -cardiovascular adaptations
The difference in perception on the importance of sex education for adolescence between elderly and adolescence Soewadi, Soewadi
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 31, No 01 (1999)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Background: Sexual life is important in the life of a person, i:e. the interaction between male and female. An adequate knowledge of sex helps one to avoid a variety of problems in living, helps prevent sexual dysfunctions among other disorders, adds enjoyment of sex itself, and probably enhances life in numerous other ways. However, modern societies restrict and control the sexual behavior and expression of the young, so that the sex instinct does not prepare young person for a successful sex life.Objective: To identify the difference in perception of the importance of sex education among adolescence between elderly and adolescence.Subjects: The study was carried out in Yogyakarta among elderly (retired person) and adolescence (students in the first year of their undergraduate study).Methods: The study was undertaken using structured questionnaires distributed to subjects selected using simple random sampling.Study design: cross-sectional survey. Statistical analysis: Chi-square technique.Results: The results showed that there was a significant difference between the group of elderly subjects and adolescence according to the perception of the importance of the sex education among adolescence (p<0.05).Conclusions: there is a relationship between age and the perception on the importance of sex education for adolescence.Key words: sexual education - elderly - adolescence
The effect of oral indomethacin on the incidence of cystoid macular edema after cataract surgery with implantation of an intraocular lens. Suhardjo, Suhardjo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 30, No 01 (1998)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Cystoid macular edema after cataract extraction with implantation of an intraocular lens is considered to be the most frequent and troublesome complication. The advantage of topical indomethacin had been previously proven, but the influence of oral administration had not been investigated. The purpose of this study is to Investigate the effect of the using of indomethacin on the incidence of cystoid macular edema after cataract surgery with an intraocular lens implantation. Two groups of patients with matured and immatured senile cataract undergone extracapsular cataract extraction with implantation of an intra ocular lens had been reported. Each group consisted of 40 patients. Indomethacin group received 25 mg indomethacin orally 2 hours preoperativelly, as well as at 2, 6, and 10 hours postoperativelly then continued for 5 days postoperativelly. Ocular examinations were performed on postoperative days 1, 3, 7, 14, 28, 60, and 90. No Incidence of cystoid macular edema in group indomethacin was found and in placebo group was 2,5% (x2 = 0,001; p> 0,05). After seven days observation on the effect of indomethacin to the postoperative inflammatory reaction demonstrated that there was insignificantly difference between indomethacin and placebo group (x2 = 2,15; p >0,05). Observation on the therapeutic side effect phenomenon indicated that Indomethacin was relativelly safe even if used in the aged patients.Key Words : oral indomethacin - cystoid macular edema - cataract operation - intra-ocular lens -inflammatory reaction
Nutritional status, growth, dietary intake in asthmatic children: a study to Junior High Schools in Yogyakarta municipality. Elisa, Elisa
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 34, No 02 (2002)
Publisher : Universitas Gadjah Mada

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Abstract

Objective: To know the relationship between asthma and nutritional status, growth, and dietary intake. Design: Prospective cohort study of children aged 12-18 years.Setting: Twenty eight Junior High Schools in Yogyakarta municipality.Subjects: There were 802 children who ever had symptoms of asthma and children who never had asthma as control. Questionnaire was used to establish the diagnosis of asthma. Subjects were grouped as: 1) ever had symptom of asthma but not in the last 6 months; 2) ever had 1 symptom of asthma in the last 6 months; 3) ever had 2 symptoms of asthma in the last 6 months; 4) ever had 3 symptoms of asthma in the last 6 months; and 5) never had asthma.Main outcome measures: Z-score for weight for age and height for age, body mass index (BMI), and dietary intake.Results: This study revealed there was no statistical difference between asthmatic group and control group in nutritional status based on weight for age in the first measurement (p=0.292), the second (p=0.258), and the third (p=0.122); based on height for age, in the first measurement (p=0.356), the second (p=0.541), the third (p=0.384). Likewise, based on body mass index, in the first measurement (p=0.335), the second (p=0.305), the third (p=0.166). Concerning growth there was no statistical difference between asthmatic group and control group based on weight for age from the first to the second measurement (p=0.215), second to third Ip=0.866), first to third (p =0.188); based on height for age from the first to the second measurement Ip=0.774), second to third (3=0.627), first to third (p=0.738. Likewise, based on body mass index from the first to the second measurement (p=0.556), second to third (p=0.913), first to third (p=0.784). Daily intake of nutrition revealed there was no statistical difference between asthmatic group and control group concerning calorie (p=0.075), protein (p=0.345), fat (p=0.989), carbohydrate (p=0.731), calsium (p=0.936), iron (p=0.566), vitamin A (p=0.457), vitamin B (p=0.932, and vitamin C (p=0.837).Conclusion: Asthma did not affect nutritional status, growth, and dietary intake. There was no significant difference on growth among study groups.Key words: asthma - nutritional status - growth - dietary intake
The impact of nosocomial postoperative wound infection on the cost of hospitalization in Obstetric and Gynecologic Unit, Sleman General Hospital,1992/1993 Stephani M, Stephani M
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 29, No 01 (1997)
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Abstract

Nosocomial postoperative wound infection is a combined clinical and managerial problem. This report discusses the impact of nosocomial postoperative wound infection on the cost of hospitalization, in the Obstetric and Gynecologic unit, Sleman General Hospital in 1992/1993. There are two methods of nosocomial postoperative wound infection examination used in this study, namely: (1) comparative analysis among infected with uninfected and (2) subjective comparison study. The result of the first method showed a total cost increase of Rp. 74,877.00 and subjective comparison yielded total cost increase of Rp. 3,112,371.80. Based on the diagnosis, the additional cost of nosocomial infection is as follows: (1) for Cephalopelvic Disproportion; Rp. 224,081.61; (2) for twin pregnancy, premature rupture of membranes, and prolonged pregnancy; Rp 290,457.09; (3) for uterine myoma (30 hospital days), the additional cost of nosocomial infection is Rp 513,564.66; (4) for premature rupture of membrane, and fetal distress, Rp. 75,793.87; (5) for malignant neoplasm of ovary; Rp. 328,838.70; (6) for malignant neoplasm of uterine cervix, Rp. 374,326.44; (7) for premature rupture of membranes, prolonged first stage and failure of vacuum extraction, the additional cost of nosocomial infection is Rp. 251,563.22; (8) for premature rupture of membranes, failure of induction of labor by medical methods and fetal distress, Rp. 177,619.35; (9) for uterine myoma (12 hospital days), 876,126.86. It is recommended, therefore, that nosocomial infection control committee should be established in Sleman General Hospital. The Committee will assist the hospital director in planning, implementing, monitoring and evaluating nosocomial infection control activities. A social marketing program to improve aseptic techniques, the use of appropriate antiseptic and the maintenance of sterility in the operating room should be implemented so that nosocomial infection can be prevented and may reduce the cost of hospital care.Key words: nosocomial infection - post operative wound infection - cost of treatment - comparative analysis - subjective comparison

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