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INDONESIA
Jurnal Kedokteran Indonesia
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 17 Documents
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Search results for , issue " Vol 1, No 2 (2009)" : 17 Documents clear
Editor : Pelayanan Kesehatan Terfragmentasi, Pendekatan Holistik, dan Cognitive-Behavior Therapy Murti, Bhisma
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

World Health Organization dalam Laporan Tahunan Kesehatan Dunia 2008 “Primary Health Care – Now More Than Ever”, mengemukakan lima masalah serius pelayanan kesehatan di dunia: (1) inverse care; (2) impoverishing care; (3) fragmented care; (4) unsafe care; (5) misdirected care (WHO, 2008). Sistem pelayanan kesehatan yang ‘fragmented’ membawa akibat yang tidak diinginkan: inefisiensi, ketidakefektifan, ketidakadilan, komoditisasi, komersialisasi, deprofesionalisasi, depersonalisasi, ketidakpuasan terhadap pelayanan kesehatan (Stange, 2009).
Gambaran Dermatoglifi Tangan Pasien Skizofrenia di Rumah Sakit Jiwa Sambang Lihum Martapura Kalimantan Selatan Panghiyangani, Roselina; Husein, Achyar Nawi; Nazar, Hasrul
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Hand dermatogliphic is a pattern of skin ridges in hand radius and palm. Skizophrenia is apsychosis with disturbance in personality, distorted thought, and perception disturbance. However,cognitive and intellectual capacity are usually not disturbed. This study aimed to describe handdermatogliphic profile of skizophrenic patients and compare it with non-skizofrenia persons.Methods: An analytic study was conducted at Sambang Lihum Mental Hospital Martapura, SouthKalimantan. 32 skizophrenic patients were taken as study subjects, and 32 persons without skizophreniaas control. The data was analyed using chi square test for finger ridge pattern and independent t testfor total finger ridge count and fluctuating asymmetry.Results: There was statistically significant difference in finger ridge pattern (p<0.05) . There was nostatistically significant difference in total fingger ridge count (p>0.05) and in fluctuating asymmetry(p>0.05).Conclusion: There is statistically significant difference in finger ridge pattern between skizophrenicpatients and non-skizophrenic persons.Keywords: skizofrenia, finger ridge pattern, total finger ridge count, fluctuating asymmetry
Potensi Ekstrak Daun Dewa (Gynura Pseudochina Ldc) Sebagai Larvasida Nyamuk Aedes Aegypti Vektor Penyakit Demam Berdarah Dengue Panghiyangani, Roselina; Rahmiati, ; Ahda, Noor
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Gods leaf plant (Gynura pseudochina LDC) has active substances including saponin, flavonoid,and etheric oil. These substances have insecticide effect against larvae. Therefore Gods leaf plant canprobably used to control Aedes aegypti mosquito population in its larvae form. This study aimed todetermine the efficacy of Gods leaf extract in killing Aedes aegypti instar IV mosquito larvae.Methods: This was an experimental study. The Gods leaf was macerated to obtain the extract form. Inthis study the concentration levels of Gods leaf were varied including 550 ppm, 1100 ppm, 2200 ppm,4400 ppm, 8800 ppm, respectively. The positive control was temefos 1%, and the negative control wasCMC-Na 1%, each with four replication. The Gods leaf extract was then administered to 25 l Aedesaegypti larvae in each concentration group. This sample was observed for 24 hours. The data on thenumber of killed larvae was analyzed using Kruskal-Wallis dan Mann-Whitney tests.Results: There was no statistical difference in the mean number of killed larvae among differentconcentration (p=0.40). All concentrations could kill the larvae. Mann-Whitney test showed statisticallysignificant difference in the mean number of killed larvae between negative control and eachconcentration group. There was no statistical difference in the number of killed larvae betweenpositive control and the God leaf groups.Conclusion: Gods leaf extract (Gynura pseudochina (LDC) has statistically significant effect on thedeath of A. aegypti instar IV mosquito larvae, therefore can be used as a natural larvacide.Keywords: Gods leaf extract, larvacide, Aedes aegypti instar IV larvae
Hubungan Antara Kadar Vascular Cell Adhesion Molecule-1 (VCAM-1) Dan Riwayat Berat Badan Lahir Rendah Pada Anak Usia 15-18 Tahun Santoso, Mas Nugroho Ardi
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Children with history of low birth weight have the risk of atherosclerosis in their future.Vascular cell adhesion molecule-1 (VCAM-1) is a group of immunoglobulin adhesion molecules, a receptorprotein to marginalization process and mononuclear leukocytes movement along the endotholium.VCAM-1 is an early marker of atherosclerosis which can be detected at an early age. This study aimedto analyze the relationship between levels of VCAM-1 and history of low birth weight among childrenaged 15-18 years old.Methods: A historical cohort study was conducted to senior high school students in Surakarta in July2010. A Sample of students aged 15-18 years were selected by fixed exposure sampling. The data wereanalyzed by Mann-Whitney test and multiple linear regression analysis.Results: Of 700 students, 9 students had a history of low birth weight. With the 1:3 ratio obtained, thetotal study subjects were 28. Children with history of low birth weight had VCAM-1 mean level of 224.6ng / ml higher than those with normal birth weight (b = 224.6, p <0.001), after controlling for obesity.Conclusion: VCAM-I is associated with history of low birth weight. Children with history of low birthweight have higher VCAM-1 mean levels than those of normal birth weightKeywords: VCAM-1, children, history of low birth weight
Perbandingan Induksi Misoprostol Dengan Induksi Oksitosin Terhadap Lama Persalinan Pada Kehamilan Postterm di RSU PKU Muhammadiyah Delanggu Klaten. Dianggra, Phitra Sekar
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
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Abstract

Background: The incidence of postterm pregnancy accounts 10% of all pregnancies, and causes perinatalmortality 3 to 5 time as many as full-term pregnancy, depending on placenta function. Labor inductioncan lessen perinatal mortality if it is carried out before the emergence of insufficency signs. Oxytocinhas often been used for labor induction, but recently misoprostol has been increasingly used. Thisstudy aimed to compare the effect of misoprostol induction and oxytocin induction on labor time inpostterm pregnancy.Methods: This study was a double-blinded randomized controlled trial (RCT). The target populationwas mothers with postterm pregnancy who undertook induction. The source population was motherswith postterm pregnancy who undertook induction and gave birth at RSU PKU MuhammadiyahDelanggu, Klaten, Central Java. Eighteen postterm mothers undertook oxytocin induction and 18postterm mothers undertook misoprostol induction. Confounding factors that were controlled forincluded maternal age, parity, gestation age, birth weight, Apgar score, and Bishop score. The datawas analyzed by independent t test, by use of SPSS version 16.Results: This study showed that misoprostol induction shortened on average 3.5 hours less thanoxytocin, and this difference was statistically significant (p<0.001). This result was consistent withanother related finding that showed higher Bishop score in misoprostol induction than oxytocininduction.Conclusion: It is concluded that labor time induced by misoprostol is shorter than oxytocin in posttermpregnancy. Misoprostol can be used to replace oxytocin as a faster inductor for postterm pregnancy.Keywords : postterm pregnancy, oxytocin induction, misoprostol induction, labor time
Efektivitas Amitriptilin dan Psikoterapi Kognitif dan Perilaku (Cognitive Behavior Therapy) Untuk Memperpendek Waktu Pemulihan Pasien Reaksi Kusta Munthe, Celestinus Eigya
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
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Abstract

Background: A study on the effectiveness of amitriptyline and cognitive behavior therapy (CBT) toshorten healing time in leprosy reaction patients has been conducted at leprosy clinics RSK. SITANALA– Tangerang, on the leprosy reaction patient in periods 1 September 2009 until 31 October 2009. Thisstudy aimed to determine the effectiveness of amitriptyline and cognitive behavior therapy (CBT) onshortening healing time in leprosy reaction patients.Methods: This studi was a randomized clinical trial. A sample of patients diagnosed as contracingtleprosy reaction was divided into three groups. One group received leprosy reaction standard therapyand amitriptyline 25 mg 3 times daily. Another group received leprosy reaction standard therapy,amitriptyline 25 mg 3 times daily, and cognitive behavior therapy. The third group received leprosyreaction standard therapy. Mean differences of the three groups were compared with ANOVAResults: The group with either standard therapy and amitriptyline or amitriptyline and CBT showedfaster rccovery period, as well as reduction in pain, sleep disorder, fever, rash, and depression. Provisionof CBT alone did not show significant improvement in these clinical presentation.Conclusion: Provision of CBT in conjuction with amitriptyline and standard therapi can shorten recoveryperiod, as well as reduce pain, sleep disorder, fever, rash, and depression, more than standard therapyalone. Sole provision of CBT without amitriptyline in conjunction to standard therapy does not showsignificant improvement in these clinical presentation.Keywords : amitriptyline, leprosy reaction, standard therapy, cognitive behavior therapy
Pengaruh Logoterapi Terhadap Hipertensi Pada Pasien Lanjut Usia Fatimah, Agnes
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
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Abstract

Background: Behavior cognitive and relaxation types of psychotherapy have been proven effectivefor treatment of patients with somatic disturbance. However, research into the benefit of logotherapy(LGT) is lacking. Acceptance of conditions gives better meaning of life and psychological approachhelps enhance the patient’s coping ability. Coping ability creates balance in the nervous systemregulation, HPA axis, innate component, and adaptive immunity system. It in turn will bring about thechange in the patient’s blood pressure. This study is aimed to determine the effectiveness oflogotherapy on reducing hypertension among elderly patients.Methods: This study used pre and posttest with control group quasi experimental design, conductedfrom July to October 2008. The study subjects were purposively sampled from members of PWRI(Association of the Elderly of the Republic of Indonesia) in Urutsewu-Ampel Boyolali, Central Java,who met criteria for inclusion. Riester quicksilver sphygmomanometer and Riester stethoscope wereused for measuring blood pressure. T-test was used to test the mean difference in the reduction ofblood pressure. The analysis was run by SPSS version 15.0 program.Results: There was statistically significant difference in the reduction of systolic blood pressure (p<0.001)and diastolic blood pressure (p=0.019), between the logotherapy group and the control group.Conclusion: Logotherapy administered in conjuction with anti-hypertensive drug reduces systolicblood pressure and diastolic pressure in elderly patients with hypertension. Logotherapy can be usedas an additional therapy for patients with hypertension.Keywords: logotherapy, hypertension, elderly
Pengaruh Penambahan Vitamin C pada Suplementasi Besi Folat dalam Meningkatkan Kadar Hemoglobin pada Pasien Pasca Seksio Sesarea di RSU PKU Muhammadiyah Klaten Angganis, Yunisa Dwi
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
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Abstract

Background: Sectio-caesarian (SC) proportion was high at Indonesian hospitals such as RS CiptoMangun Kusumo Jakarta (35.7%) and RSU PKU Muhammadiyah Klaten (33.8%). Massive blood loss dueto SC may cause women at risk for iron-deficiency anemia after birth delivery. This study aimed todetermine if adding vitamin C to Fe folate supplementation further increase hemoglobin level.Methods: A double-blinded randomized controlled trial was conducted at PKU Muhammadiyah Klaten,Central Java. A sample of 32 anemic women after SC birth delivery were alllocated to either experimentalgroup or control group. All study subjects were given capsules containing 200mg ferrous sulphate and0.25mg folic acid. In addition, the experimental subjects received 100mg vitamin C. These capsuleswere taken once daily for 60 days. Hemoglobin level was measured by Cyanmethemoglobin. Foodintake during experiment was recorded by 24 hour food recall. To control for confounding variablesafter randomization, the incremental effect of adding vitamin C to Fe Folate on hemoglobin wasanalyzed by multiple linear regression model on Stata intercooled 7.Results: Adding vitamin C to Fe folate increased hemoglobin level as much as 7.9 g/l higher than Fefolate alone, and it was statistically significant (b = 7.9; p = 0.013; CI95% 1.9 to 14.1), after controlling forage and food intake such as Fe, folic acid, vitamin C, protein, and energy, during experimentation.Conclusion: Adding vitamin C to Fe folate signficantly increases hemoglobin level in anemic womenafter sectio-caesarian birth delivery. Hospitals are recommended to provide Fe Folate + vitamin Csupplementation for anemic women after sectio-caesarian birth delivery to increase hemoglobinlevel.Keywords: anemia, hemoglobin, sectio-caesaria, vitamin C, Fe folate, women giving birth
Pengaruh Merokok Pasif Terhadap Insidensi Dismenore Primer Amini, Raisa
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Primary dysmenorrhea is a common gynecologic disorder in women of reproductiveage. Primary dysmenorrhea can be defined as painful menstruation that occurs without pelvicabnormalities. Previous studies have found an association between current cigarette smoking andprevalence of primary dysmenorrhea. The purpose of this study was to examine the relationshipbetween the exposure to environmental tobacco smoke (ETS) and the occurrence of primarydysmenorrhea among women.Methods: This was a retrospective cohort study. The researchers conducted face-to-face interviewsusing a questionnaire to gather information. The study was held in 3 subdistricts in the city of Surakarta,including Jebres, Lawean and Pasar Kliwon. A total of 120 women sampled by fixed exposure samplingtechnique, participated in this study, consisting of 60 passive smoking women and 60 women who donot smoke. Data were analyzed by chi square and multiple logistic regression on SPSS 17.0.Results: The prevalence of primary dysmenorrhea was lower (p < 0.001) in unexposed women thanexposed women. Among women who were not exposed to smoke, 33.3% of them. Female passivesmokers were 23 times more likely than female non-smokers to suffer from primary dysmenorrhea(OR=23.0; 95% CI 7.8 to 67.2).Conclusion: Passive smoking is strongly associated with increased risk of primary dysmenorrhea amongwomen.Keywords : primary dismenorrhea, passive smoking
Pengaruh Paparan Polutan Udara Terhadap VO2Max pada Pekerja Batik di Lingkungan Pabrik Batik Hafidzah, Farah
Jurnal Kedokteran Indonesia Vol 1, No 2 (2009)
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Abstract

Background: Batik industry uses basic materials that contains wax. Wax will produce smoke whenheated. Smoke of wax contains pollutants such as NOX, SO2, CO, CO2, HC, H2S and particles. Thepollutants can cause acute or chronic damage to lung tissue if inhaled by the workers, depending onthe pollutant concentration, duration of exposure and vulnerability of the body. The purpose of thisstudy is to determine the effect of air pollutants on V2max to batik workers in batik factory environment.Methods: This study used an analytical cross sectional study using fixed exposure sampling techniqueconducted in July 2010. The sample consisted 60 batik factory workers both inside and outside thefactory plant. Data were collected by use of questionnaire and the shuttle run test. The data wereanalyzed using multiple linear regression on SPSS version 16 and Stata Intercooled version 7.Results: The results showed that VO2max of batik factory workers was 3.9 mL / kg / minute lower thanthat of workers outside the factory batik (b =- 3.9, p = 0.003) after controlling for the effect of smokinghabits, age, length of employment, and BMI.Conclusions: Working at batik factory significantly reduces VO2max by 3.9 mL/kg minute after controllingfor smoking, age, length of employment, and BMI.Keywords: air pollutant, VO2max, batik factory

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