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Damianus Journal of Medicine
Published by Universitas Katolik Indonesia Atma Jaya
ISSN : 20864256     EISSN : 26564971     DOI : https://doi.org/10.25170/djm.v
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Damianus Journal of Medicine (DJM) merupakan jurnal ilmiah kedokteran yang memuat informasi di bidang kedokteran dan kesehatan terkini. DJM diterbitkan oleh Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya. Damianus Journal of Medicine terbit sejak tahun 2002 dan diterbitkan 2 kali per tahun, setiap bulan Mei dan November.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 171 Documents
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REHABILITASI MEDIK PADA SINDROMA DEKONDISI PASCA COVID-19 DERAJAT BERAT Ivena Ivena; Nelson Sudiyono; Edwin L. Jim; Herdiman T. Pohan
Bahasa Indonesia Vol 20 No 2 (2021): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v20i2.2694

Abstract

Introduction: COVID-19 is characterized by complaints of fever, cough, weakness, respiratory, and gastrointestinal disorders. The existence of treatment in the isolation room accompanied by prolonged bed rest will cause the patient to experience deconditioning syndrome. Case Report: A man, 58 years old, post severe COVID-19 patients with shortness of breath, ineffective cough and feeling weak in all four extremities due to prolonged bed rest (denconditioning syndrome). Deconditioning syndrome is defined as a reduction in anatomical and physiological function caused by disease, age, or physical inactivity. The patient was given active gradual mobilization, range of movement exercise, endurance, strengthening, balance, and coordination exercise. The patient was also given breathing exercise, chest physical therapy, and effective cough. Seven days after rehabilitation, the patient could regulate his breathing pattern and ambulate independently. The patient was discharged and continue self training at home. Conclusion: Breathing exercise, chest physical therapy, aerobic exercise, muscle strengthening exercises in all four extremities, coordination, balance exercise, and gradual mobilization training are very important in the recovery of post severe COVID-19 patients.
THE ROLE OF FORENSIC ENTOMOLOGY IN ESTIMATING THE TIME OF DEATH Reqgi First Trasia
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.1686

Abstract

It takes dedication and thoroughness in uncovering the various mysteries behind forensic cases. Various methods will be needed in answering various questions related to these cases, and it is imperative that the evidence or expert testimony is can be accounted for. Over time, some of the evidence, especially human body tissue will undergo a process of degradation and eventually disappear. However, for a forensic entomologist, the damage and loss of body tissue can bring new evidence. Evidence which of course can be justified scientifically at court. Like when alive, the tissues of the human body after death remain attractive to them various types of insects. Different types of insects will be attracted at different stages from the decay stages of human tissue. These insects follow a development patterns. Related to knowledge about growth and development them, it can be used to make an estimate of how long it has been since the body has been dead. In addition, the identification of the above will also indicate whether a corpse has been moved from one area to another.
HUBUNGAN AKTIVITAS FISIK DENGAN WAIST/HIP RATIO, TEKANAN DARAH, DAN KOLESTEROL PADA MAHASISWA KEDOKTERAN YANG MENGALAMI OVERWEIGHT Aristo Constantine; Ignatio Rika Haryono
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.1879

Abstract

ABSTRACT Introduction: Cardiovascular disease has been a major health problem as of late, with over 17.5 million death per year. Accompanied with many risk factors such as hypercholesterolemia and abnormal body mass index, many researches have sought to find a way to alleviate the number of incidence. Physical activity then has been a well-known way to mitigate such symptoms and though many studies before have given insight on the relationship between physical activity and cardiovascular risk factors, this study aims to determine more closely on the relationship between physical activity in an overweight population with blood cholesterol, blood pressure and waist/hip ratio. Methods: It is a analytic comparative study with a cross-sectional method. The research subjects were 250 people divided into two groups. Physical activity data were obtained using the Global Physical Activity Questionnaire (GPAQ), blood cholesterol level was measured using capillary blood sampling on a easy touch device, blood pressure was measured using a mercury sphygmomanometer, waist/hip ratio was measured using an anthropometric band, body mass index (BMI) was measured by the way the weight divides the body in kilograms (kg) by height in meters squared (m2). Results: Among the overweight students of FKIK UAJ no significant relationship was found between physical activity with blood cholesterol, waist/hip ratio and blood pressure (p > 0.05). Conclusions: There is no significant relationship between physical activity in an overweight population with blood cholesterol, waist/hip ratio, and blood pressure. There is also no significant value differences between physical activity with blood cholesterol, waist/hip ratio, and blood pressure. Keywords: Blood Cholesterol, Blood Pressure, Overweight, Physical Activity, Waist/hip Ratio.
HUBUNGAN POLA ASUH DENGAN MASALAH PERILAKU DAN EMOSI PADA SISWA SD DI KECAMATAN PENJARINGAN JAKARTA UTARA Anindita Agung Pradnya Savitri; Surilena Surilena; Erfen Gustiawan
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.1919

Abstract

Background: Parenting is defined as an act of giving education, guidance, patronage, and supervision by the parents to their children. Different methods of parenting may result in distinctive character developments as well as determining the children's behaviour and emotional demeanour. Objective: To determine the relationship between parenting towards behavioral and emotional problems among primary school student in Penjaringan, North Jakarta. Methods: This study was a cross-sectional study of 512 primary school students in Penjaringan, North Jakarta. Measuring instruments used were Strength and Difficulties Questionnaire (SDQ) dan Parenting Questionnaire Children’s Point of View. Both instruments were filled directly by students. Data analysis was performed descriptively and bivariate (chi-square). Result: There were 32% respondents with behavioral and emotional problems, among them 38.5% conduct problems; 34.2% peer problems; 25% emotional symptoms. This study finds that 66.2% respondents with Exposure parenting, among them 51.8% with type B parenting (authoritarian), 7.6% with type D parenting (Inconsistent), and 6.8% type C parenting (Permissive). Bivariate analysis found that there is significant relationship between parenting towards behavioral and emotional problems (p<0.05; 95%CI = 0.448 – 0.970; OR = 0.659). Conclusion: There is association between parenting towards behavioral and emotional problems among primary school students. Keywords: Parenting, behavioral and emotional disorder, children, elementary school
EFEKTIVITAS ENKAPSULASI ENZIM PROTEASE DENGAN BEAD HIDROGEL BERBAHAN ALGINAT-KITOSAN Christian Joseph Tanuwidjaja; Eko Adi Prasetyanto
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.1944

Abstract

Introduction: The addition of the protease enzyme from an external source can increase protein absorption in the human digestive system. Protease enzyme is formulated by encapsulated inside alginate-chitosan hydrogel beads to deny immediate proteolysis reaction with the protein consumed and maintain the encapsulated enzyme in a temperature range acidity. This research aims to know the encapsulation effectivity of protease enzyme with alginate-chitosan hydrogel beads. Methods: Experiments were conducted to encapsulate protease enzyme with ionotropic gelation method using alginate and chitosan. Encapsulation yield, bead size, encapsulated enzyme activity, release rate, and stability were analyzed from the hydrogel beads that were obtained. The data is then analyzed using analysis of variance (ANOVA) and Duncan’s Multiple Range Test (DMRT). Results: From four variants of hydrogel beads that were obtained, this research shows that the volume addition of alginate solution in the encapsulation material will increase the value of encapsulation yield (EY), bead size, and release rate of the encapsulated protease enzyme. Therefore, the volume addition of chitosan solution will increase the value of encapsulation efficiency (EE). Hydrogel beads incubation at 6°C for 24 days maintain 75,55% of encapsulated enzyme activity. Conclusion: Protease enzyme can be formulated with protein by being encapsulated with alginate-chitosan hydrogel beads. Key Words: alginate, chitosan, protease enzyme encapsulation
ASAP ROKOK KONVENSIONAL DAN ELEKTRONIK MEMBERIKAN GAMBARAN KERUSAKAN STRUKTUR ALVEOLUS YANG SAMA Jenny Lauvita; Tena Djuartina; Dyonesia Ary; Iskandar Rahardjo Budianto; Robi Irawan
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.2093

Abstract

Introduction: Cigarettes have become the cause of health problems and even death, especially in developing countries like Indonesia. Cigarettes contain various free radical components for the body, thereby increasing inflammation in various organs and tissues, especially the lungs. This will trigger proteolysis so that the alveoli lose elasticity. Electronic cigarettes are then introduced as an alternative to reduce smoking. However, there has been not enough research conducted on their safety and long-term effects of e-cigarettes, so researcher aim to compare the impact of conventional and electronic cigarettes on alveolar damage. Methods: This research was conducted experimentally, using 30 male Sprague Dawley rats aged 10-12 weeks and weighing 150-250 grams as sample. These rats were necropsed after being exposed to cigarettes smoke and e-cigarettes vapor for 2 weeks and 4 weeks to make lung tissue preparations with HE staining. These preparations were observed under a microscope to measure the degree of alveolar damage based on the edema, alveolar septal destruction, and inflammatory cell infiltration. Finally, the data was analyzed using Kruskal-Wallis followed by one-Mann-Whitney statistical tests with STATA. Results: Rats exposed to conventional cigarette smoke and e-cigarette vapor in the second week already showed significant alveolar damage compared to the control group. (p<0.05). However, there was no significant difference between exposure for 2 weeks and 4 weeks. (p>0.05) Between rats given conventional cigarette smoke and electronic cigarette vapor, there was no significant difference in degree of alveolar damage at week 2 and week 4. (p>0.05) Discussion: As a result, both conventional cigarette smoke and e-cigarette vapor have the same effect on alveolar damage. This is because both conventional cigarette smoke and e-cigarette vapor contain nicotine which will trigger the release of fibronectin so that it can trigger fibrosis in the lung parenchyma. In addition, the carbon monoxide contained in both can inhibit fibroblast proliferation and damage the elastin in the alveolar wall, so that the alveoli lose its elasticity and tend to expand. Keywords: Lung inflammation, cigarettes effect on lungs, e-cigarettes, tobacco cigarette, lung damage
3-YEAR OLD BOY FROM KOROWAY TRIBE WITH NOMA AND MALNUTRITION Tasya Gitaputri Pranoto; Imanuel Yulius Malino; Theo Adolf Rompas; I Made Agus Suarsana
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.2982

Abstract

Background: Noma is a rare infectious disease that rapidly destroys the soft tissues, perforating the hard tissues and the skin of the face. It was first named in the eighteenth century. Children aged between 2 and 6 years with poor oral hygiene, malnutrition, malaria, HIV infection, measles, living in a poor condition, and resource-constrained areas are at risk of the disease. This case emphasized the needs of greater understanding not only of the disease but also the multifactorial approach to attain health. Case Presentation Summary: A 3 year-old boy from Koroway was admitted with a month history of a lesion on the left cheek. The lesion had started as a vesicle on the left gum, progressing rapidly into an ulcer. At present, there was a hole on the left cheek. An ulcer with diameter of 5 cm, a greyish black area and edema appears on the external surface of the cheek, mandibular bone and teeth exposed. Associated with the lesion was pain, pus, malnutrition, no immunization records, and has a past history of recently malaria. The patient was living with his parents, a brother, and a sister in the tree house at Koroway. Physical examination revealed pale conjunctiva and ronkhi at the basal of the lungs. His height was 89 cm, weighed 10 kg which showed thinness. Laboratory findings were microcytic hypochromic anemia, elevated erythrocyte sedimentation rate, normal leukocytes, and hypoalbuminemia, Mantoux test was negative and no HIV infection was found. The patient was managed by blood transfusion, administration of antibiotics, debridement of the affected area, and putting on a high carbohydrate and protein diet, which was local foods such as bananas, eggs, and sago. After the lesion was smaller and no other complication revealed, the patient was discharged. Learning Points/Discussion: NOMA is an abandoned disease and known as the “face of poverty”. Early intervention can be made to minimize tissue destruction. Nevertheless, adequate steps regarding the availability, accessibility, and utilization of the resources with cultural approach might help to improve the health condition of individuals living in susceptible areas.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU PENCEGAHAN COVID 19 PADA SISWA/I KELAS IV VI SD XYZ Christopher Tan; Ecie Budiyanti
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.3023

Abstract

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has been a great issue for people throughout Indonesia, including elementary students. Although most confirmed cases of COVID-19 in children are reported as asymptomatic or mild, children infected with SARS-CoV-2 are still prone to complications or worsening. Until now, there is still a lack of research on the relationship between knowledge and prevention practice regarding COVID-19 among elementary students. The purpose of this research is to find out the relationship between knowledge and prevention practice regarding COVID-19 among grade 4-6 students at XYZ Elementary School. Methods: A descriptive analytical research with a cross-sectional study towards 297 grade 4-6 students at XYZ Elementary School. Inclusion criteria include active students of XYZ Elementary School, willing to participate and have gotten permission from teacher/parents/guardian through informed consent. Exclusion criteria include students who are not present during research, do not understand Indonesian and English as well as having mental and emotional disabilities. Data in this research was acquired through a questionnaire. Data analysis was conducted using Chi-square test. Results: Most of the respondents, as many as 194 respondents (65.3%), have a low level of knowledge. Most of the respondents, as many as 141 respondents (47.5%), have good prevention practice regarding COVID-19. Analysis with Chi-square test showed a significant relationship between knowledge and prevention practice regarding COVID-19 (p<0.001). Conclusion: There is a significant relationship between knowledge and prevention practice regarding COVID-19 among grade 4-6 students at XYZ Elementary School. Key Words: COVID-19, elementary students, knowledge, practice, prevention
EFEKTIVITAS ASAM RETINOIK PADA PENYEMBUHAN LUKA PERFORASI BARU MEMBRAN TIMPANI HEWAN COBA MARMOT Daniel Widjaja
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.3288

Abstract

Introduction: Tympanic membrane (TM) perforation is common in our practice, it may be due to infection or trauma. Retinoic acid (RA) has been studied for its effect on wound healing, it can stimulate angiogenesis and increase the rate of re-epithelialization in wounded skin. The purpose of this study is to determine the effectiveness and the rate of healing of RA in wound closure of acute TM perforations in Guinea pigs Methods: This is a randomized control trial animal experimental study, twenty Guinea pigs (40 TM) were used. Randomization to determine group for intervention and control was done using the toss coin method. A small perforation using spinal needle G 20 was done. RA was introduced in the intervention group while in the control group, TM was allowed to heal spontaneously. All TM were examined on day 3, 7, 10 and 14. Recording of perforation was done with endoscopic system. Measurement of the TM as well as the perforation was done by using a graphic program (AutoCAD R14). Results: TM healed completely on day 14 in the intervention group and the control group was 52.9 % and 47.1% respectively with p =0.492. The rate of healing on day 3,7 and 10 in the intervention group and the control group was 0.15 & 0.08; 0.38 & 0.69; 0.29 & 0.58 respectively with p= 0.01; 0.003 and 0.001. Conclusion: Tympanic membrane with RA treated group showed a significant rate of healing on day 3,7 and 10. However, RA have no significant effect on closure of acute traumatic perforations after day 14
THE POTENTIAL OF INTERLEUKIN 17 AS A PROGNOSTIC BIOMARKER AND A TARGET OF THERAPEUTIC MODALITIES IN ATOPIC DERMATITIS Kardiana Purnama Dewi
Bahasa Indonesia Vol 21 No 1 (2022): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v21i1.3304

Abstract

Background. Atopic dermatitis (AD) is one of the most common chronic relapsing inflammatory skin disease. AD causes negative impacts on social and economic, especially on the patients’ and their families’ quality of life. The immune dysregulation in AD resulting in disruption of keratinocyte barrier and inflammation AD recently was associated with the response of TH17, which produce IL-17. This study aims to investigate the correlation of IL-17 with severity of AD. Methods. This retrospective cohort study was conducted in dermatovenerology outpatient department. Consecutive sampling was done during the period of the study on patients aged more than 14 years old diagnosed with AD. Demographic data, Scoring for AD (SCORAD) index, stress score, onset and duration of disease, and three mililitres of whole blood in vacutainer were obtained. IL-17 serum level analysis was measured on the blood by ELISA technique according to manufacturer’s protocol. P-value smaller than 0.05 was appraised as statistically significant. Results. There were significantly higher IL-17 serum level in AD patients compared with control patients. There were higher IL-17 serum level in moderate-severe compared to mild AD patients. There were also significantly longer in the duration of the disease and higher SCORAD index in moderate-severe compared to mild AD patients. There was very strong positive correlation between IL-17 serum level and SCORAD index. Conclusions. The findings of this study emphasize the potency of IL-17 as prognostic biomarkers and also as the potential target of therapeutic modalities.

Page 6 of 18 | Total Record : 171

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