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Tsania Faza
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08111400115
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mji@ui.ac.id
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Education Tower 6th floor, IMERI building, Faculty of Medicine Universitas Indonesia, Jalan Salemba Raya 6, Jakarta, 10430, Indonesia
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INDONESIA
Medical Journal of Indonesia
Published by Universitas Indonesia
ISSN : 08531773     EISSN : 22528083     DOI : 10.13181
Core Subject : Health,
This quarterly medical journal is an official scientific journal of the Faculty of Medicine Universitas Indonesia in collaboration with German-Indonesian Medical Association (DIGM) Indexed in: IMSEAR; CAB Abstracts; Global Health; HINARI; DOAJ; DRJI; Google Scholar; JournalTOCs; Ulrichsweb Global Serial Directory; WorldCat; New Jour; Electronic Journals Library; ISJD Accredited (2013-2018) by DIKTI Kemendikbud Republik Indonesia (No:58/DIKTI/Kep/2013)
Arjuna Subject : -
Articles 1,648 Documents
A cornual ectopic pregnancy case: diagnosis, etiology and its management
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.333

Abstract

This is a report of a case of cornual ectopic pregnancy, with transvaginal ultrasonography done for early detection, screening, β-hCG measuring, also discussed was the role of methotrexate therapy prior to operative procedure with conservative management. Multiple intramural myomas (22 myomas) in this case were strongly believed as the etiology of the cornual pregnancy. (Med J Indones 2008; 18: 64-8) Keywords: Cornual ectopic pregnancy, multiple myomas, ultrasonography, methotrexate
Lung metastases of ameloblastic carcinoma 10 years after primary hemimandibulectomy: A case report
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.334

Abstract

Ameloblastoma is a type of odontogenic tumor and generally considered as a benign tumor. However, less than 2% of ameloblastoma were found to have metastases, mostly to the lung. We reported a case of 46-year-old man presenting with an ameloblastic carcinoma with lung metastases 10 years after the primary tumor was resected and 2 years after chemotherapy. (Med J Indones 2009; 18: 60-3) Keywords: ameloblastoma, chemotherapy, radiation
Effect of a combination of Phaseolus vulgaris L. extract and acarbose on postprandial glucose level after cooked rice intake in healthy volunteers
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.335

Abstract

Aim This study was aimed to measure the effects of combination Phaseolus vulgaris extract and acarbose compared to acarbose alone on postprandial glucose concentration in healthy volunteers after cooked rice intake. Methods Blood sample were obtained at several time points up to three hours after cooked rice intake. The parameter for postprandial glucose concentration is the area under the curve (AUC) of glucose concentration vs.time for three hours after cooked rice intake. Results After taking this combination, postprandial glucose concentration was reduced by 21.6%, while the reduction by acarbose alone was 22.9%. Conclusions The reduction of postprandial glucose concentration after administration of this combination was not significantly different compared to that after administration of acarbose alone. (Med J Indones 2009; 18: 25-30) Keywords: Phaseolus vulgaris extract, acarbose, postprandial glucose concentration
Influence of the abilities in controlling violence behavior to the length of stay of schizophrenic clients in Bogor mental hospital, Indonesia
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.336

Abstract

Aim In average, the length of hospital stay in mental hospitals in Indonesia is 54 days, the longest of which occur on schizophrenic clients. In Bogor Mental Hospital, the average length of stay is 115 days. Those with schizophrenic and violence behavior have 42 days length of stay. The purpose of this study was to reduce length of stay for schizophrenic clients by enhancing their abilities to control violence behavior. Methods This is a quasi experimental study with multiple series design. Study was conducted in Bogor Mental Hospital with 152 respondents (75 intervention and 77 non intervention). Training was given to the intervention group about the ways how to control violence behavior. Results The results of this study showed that the average length of stay in the hospital for the clients in intervention group was 23 days and non intervention group was 40 days. There were 86.6% of clients in intervention group that independently (without assistance) could control their behavior, whereas 13.4% still need assistant. All clients in non intervention group had no abilities to control their violence behavior. Clients who were independent in controlling violence behavior had significantly shorter length of stay compared to non independent clients (p < 0.05). Conclusion Hence, the training control violence behavior can increase the abilities of the clients in controlling their violence behavior and resulting in shorter length of stay in hospital. (Med J Indones 2009; 18: 31-5) Keywords: violence behavior, schizophrenia, training, length of stay
Optimal water intake for the elderly: prevention of hypotremia
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.337

Abstract

Aim The prevalence of hyponatremia in the elderly is quite high due to the rising of ADH and ANP concentrations which are part of eight physiologic changes. The complications are quite specific, among others, increased risk of bone fracture, declining of conciousness, and convulsion. The frequent cause of hyponatremia is high water intake. To achieve the optimal water intake designated as the highest water intake that did not cause hyponatremia and hypovolemia. Methods A study was conducted on 31 healthy elderly subjects, selected from 107 persons using simple random sampling and exclusion criteria. By block randomisation were classified into five water-intake groups (1000-2500 mL). Results In this study, it could be proved that 1000 mL was the optimal. It was also unraveled that the ADH levels had a role in determining the water intake volume that did not cause hyponatremia and NT-proBNP concentrations did not correlate with spot urine sodium. Conclusion The optimal water intake for the elderly is 1000 mL per day. (Med J Indones 2009; 18: 18-24) Keywords: Hyponatremia, healthy elderly, water intake
The association between serum testosterone levels and cognitive function of men aged 50 years or more
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.338

Abstract

Aim The Aging process is a major risk factor for the development of degenerative diseases, including cognitive impairment. Many studies have shown that reduced cognitive function is associated with low testosterone levels. This study was aimed to know the association between serum testosterone level and cognitive functions in men who showed mild cognitive impairment. Method This was a cross-sectional study in men aged 50 years or more in Neuroscience Clinic Siloam Hospitals, Lippo Karawaci, Tangerang between 2002 and 2004. Subjects were patients who complained of decreasing cognitive function. Cognitive function was assessed by using the 30-point Mini-Mental State Examination (MMSE) questionnaires. Testosterone level was measured by using the enzyme-linked fluorescent assay (ELFA) method. Results A total of 112 men were recruited during the study period. The median age was 64 years old. One-hundred and one subjects underwent cognitive function test and serum testosterone assay. The mean MMSE score was 26 + 3.2 points, whereas the mean testosterone level was 14.7 + 5.72 nmol/L. Conclusion There was no significant correlation between the MMSE score and testosterone level (r=0,038). This study showed that men aged 50 years and above with symptoms of declined cognitive function have decreasing MMSE scores but were still within the normal range of testosterone levels. No correlation was found between MMSE scores and testosterone levels since most subjects were eugonadal. (Med J Indones 2009; 18: 36-40) Keywords: Testosterone, Cognitive function
Comparison of the anthropometric measurements and health risks in people with normal weight according to the body mass index-for-age charts
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.339

Abstract

Aim Body mass index (BMI) at 5th-84th percentiles according to the BMI-for-age charts from Center for Diseases Control and Prevention (CDC) is considered as normal BMI for children and adolescents. However, Guo et al found that BMI at 75th-84th percentiles already had a possibility to be adult overweight and obese. This study aimed to determine anthropometric measurements, laboratory findings, and health risk differences to find an ideal BMI group according to the BMI charts. Methods Normal BMI according to adult classification from the World Health Organization (BMI at 18.5-24.9) is used as a reference group. Results & Conclusion Our study showed BMI value at 50th-74th percentiles in boys and at 75th-84th percentiles in girls had higher anthropometric measurements and laboratory findings than the reference group. However, the health risks of those BMI percentiles did not significant different compared with the reference group. (Med J Indones 2009; 18: 41-7) Keywords: normoweight, adolescent, BMI-for-age charts, anthropometric measurements, health risks
Effects of an additional small group discussion to cognitive achievement and retention in basic principles of bioethics teaching methods
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.340

Abstract

Aim The place of ethics in undergraduate medical curricula is essential but the methods of teaching medical ethics did not show substantial changes. “Basic principles of bioethics” is the best knowledge to develop student’s reasoning analysis in medical ethics In this study, we investigate the effectsof an additional small group discussion in basic principles of bioethics conventional lecture methods to cognitive achievement and retention. This study was a randomized controlled trial with parallel design. Cognitive scores of the basic principles of bioethics as a parameter was measured using basic principles of bioethics (Kaidah Dasar Bioetika, KDB) test. Both groups were attending conventional lectures, then the intervention group got an additional small group discussion. Result Conventional lectures with or without small group discussion significantly increased cognitive achievement of basic principles of bioethics (P= 0.001 and P= 0.000, respectively), and there were significant differences in cognitive achievement and retention between the 2 groups (P= 0.000 and P= 0.000, respectively). Conclusion Additional small group discussion method improved cognitive achievement and retention of basic principles of bioethics. (Med J Indones 2009; 18: 48-52) Keywords: lecture, specification checklist, multiple choice questions
Knowledge and critical thinking skills increase clinical reasoning ability in urogenital disorders: a Universitas Sriwijaya Medical Faculty experience
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.341

Abstract

Aim Clinical reasoning is one of the essential competencies for medical practitioners, so that it must be exercised by medical students. Studies on quantitative evidence of factors influencing clinical reasoning abilicy of students are limited. The aim of this study was to determine the influence of knowledge and other factors on the clinical reasoning abiliry ofthe students, which can serve as reference to establish methods for learning ctinical reasoning. Methods This is a cross-sectional study on fourth semester students enrolled in the Competency-based Curriculum of the Medical Faculty, University of Sriwijaya. Data on clinical reasoning abilily and risk factors during urogenital blockwere collected inApril 2008, when the students have just completed the btock. Clinical reasoning abiliry was tested using the Script Concordance test and the risk factors were evaluated based on formative tests, block summative assessments, and student characteristics. Data were analyzed by Cox regression. Results The prevalence of low clinical reasoning ability of the 132 students was 38.6%. The group with low basic knowledge was found to have 63% risk ol low clinical reasoning abiliry when compared to those with high basic knowledge (adjusted RR = 1.63; 95% conidence intewal (Ct): 1.10 -2.42). When compared to students with high critical thinking skitls, those with lory critical thinking skills had 2.3 time to be low clinical reasoning abitity (adjusted RR : 2.30; 95% CI: 1.55 - 3.41). Conclusion Students with low critical thinking skills or with inadequate knowledge had a higher risk of low clinical reasoning ability. (Med J Indones 2009; 18: 53-9) Keywords: clinical reasoning, basic knowledge, critical thinking, competency-based curriculum
Cytogenetics in oncology: From hematologic malignancies to solid tumors
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.342

Abstract

Walaupun saat ini kanker dikenal sebagai penyakit yang berkaitan dengan lingkungan dan muncul secara sporadis, namun kanker dipertimbangkan sebagai suatu penyakit genetik karena adanya mutasi gen sebagai faktor yang konsisten. Kromosom Philadelphia yang ditemukan pada pasien-pasien leukemia granulositik kronik (LGK) merupakan penemuan kelainan kromosom bermakna pertama yang berkaitan dengan jenis keganasan tertentu. Berawal dari penemuan ini, sitogenetika yang mempelajari kromosom telah menjadi perangkat yang berharga dalam penatalaksanaan kanker - membantu penegakan diagnosis, panduan terapi, dan petanda prognosis. Pada kegananasan hematologi, kelainan kromosom sebagian besar ditemukan pada sumsum tulang, dan penemuan tersebut lebih patognomonik. Keadaan yang berbeda ditemukan pada tumor padat, dimana saat tumor terlihat dengan mata telanjang telah terjadi perubahan kromosom yang kompleks sehingga menimbulkan kesulitan teknis bagi para ahli sitogenetika. Namun para ilmuwan percaya bahwa adanya kemajuan dalam teknologi kromosom, dari sitogenetika konvensional menjadi sitogenetika molekuler, akan menyediakan informasi lebih lanjut, berkaitan dengan tumor padat. (Med J Indones 2009; 18: 69-75) Although presently known as an environmentally-related disease and appears mostly sporadic, cancer is regarded as a genetic disease based on the presence of genetic mutation as a consistent factor. The "Philadelphia Chromosome" found consistently among chronic myeloid leukemia (CML) patients was the first significant finding of a chromosomal abnormality specifically related to a particular disease. Starting from this point, cytogenetics as the study of chromosomes has become a valuable tool in the assessment of cancer - as an aid in diagnosis, thus guiding therapy, and as a prognostic marker. Chromosomal abnormalities are found mostly in hematological malignancies and the findings are more pathognomonic. The situation is different in solid tumors, which when visible to the naked eye already have complex chromosomal changes and thus pose technical difficulties to the cytogeneticist. However, the scientists believe that the shift in chromosomal studies from conventional cytogenetics to molecular cytogenetics will provide further information regarding solid tumors. (Med J Indones 2009; 18: 69-75) Keywords: Philadelphia chromosome, FISH, chronic myeloid leukemia

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