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INDONESIA
Journal of Agromedicine and Medical Sciences
Published by Universitas Jember
ISSN : 24609048     EISSN : 27145654     DOI : -
Core Subject : Health,
Health Professions
Jurnal Agromedicine and Medical Sciences (AMS) adalah jurnal berkala empat bulan (Februari, Juni dan Oktober) yang berisi berbagai artikel dalam bentuk penelitian, tinjauan sistematis dan laporan kasus dalam bidang kedokteran dengan fokus pada ilmu-ilmu kedokteran dasar, kedokteran klinis dan agromedis.
Arjuna Subject : -
Articles 305 Documents
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Correlation between Zinc Intake and Height of Children Aged 6-59 Months in Jelbuk and Sumberjambe Districts Eling Nurdianti; Hairrudin Hairrudin; Dwita Aryadina Rachmawati; Ancah Caesarina Novi Marchianti
Journal of Agromedicine and Medical Sciences Vol 10 No 1 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i1.42448

Abstract

Stunting is a nutritional problem that people around the world are facing. The World Health Organization (WHO) has determined Indonesia as one of the five stunting prevalence subregions in the Southeast Asia region. Zinc includes micro-nutrients that are important for the growth and development of children. The prevalence of zinc deficiency in children in Indonesia in 2006 was 36.1%. This study aims to determine the relationship between zinc intake and the length/height of children aged 6-59 months in the Districts of Jelbuk and Sumberjambe. This research is an analytic observational study with a cross-sectional design. The sample used was 119, derived from secondary data from previous studies. Zinc intake in children was obtained through 24-hour food recall data and then analyzed using nutrisurvey software, while body length/height is the maximum distance from the vertex to the soles of the feet. The study results were that 57.2% of the samples had insufficient zinc intake, with an average daily intake of 4.37 ± 2.35 mg, and as many as 60.5% had TB below normal. The data analysis showed a significant relationship between zinc intake and the length/height of children aged 6-59 months (p=0.001), with a reasonably strong relationship (r=0.295). This study concludes that there is a relationship between zinc intake and the length/height of children aged 6-59 months in the Jelbuk and Sumberjambe Districts. Keywords: Zinc, Stunted, Stunting
Enhanced Recovery After Cesarean Surgery (ERACS) Method Accelerates Mobilization and Duration of Hospitalization After Cesarean Section Alfina Galuh Hannie Sisdayani; Erfan Efendi; Muhamad Hasan
Journal of Agromedicine and Medical Sciences Vol 10 No 2 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i2.45478

Abstract

ERACS is a caesarean section method that supports recovery more quickly. The principle of ERACS is the use of multidrug anesthesia, namely bupivacaine at a reduced dose (<10 mg) and combined with fentanyl and morphine to maintain the quality of anesthesia so that patients can mobilize more quickly with minimal pain and reduce the duration of hospitalization. This research used an observational analytical design with a cross sectional approach in September – November 2023 at the Bina Sehat Jember Hospital. This study used 100 samples medical records with sampling using a purposive sampling technique and calculating using Slovin formula. The data was analyzed using Mann-Whitney test with a confidence level of 95%. The research results showed that the average walking mobility ability after ERACS was 10,10 hours, while conventional was 14.76 hours and the duration of hospitalization after ERACS was 2.22 days, while after conventional was 2.98 days. This is supported by the results of statistical tests which show that the significance value (p) for both variables is 0.000 (p < 0.05), which means there is a significant difference between the speed of walking mobilization and the duration of hospitalization with the SC method used. The conclusion of this study was that ERACS can speed up the ability to mobilize after surgery by up to 4.66 hours and the duration of hospitalization is 0.76 days shorter than conventional. Keywords: ERACS, mobilization, duration of hospitalization
Determinant Analysis of Carpal Tunnel Syndrome and Phalen’s Test Examination of Tobacco Sorting Workers at Jember District Paulina Samuellia; Mei Syafriadi; Hairrudin Hairrudin
Journal of Agromedicine and Medical Sciences Vol 10 No 1 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i1.43893

Abstract

Tobacco sorting officers in Jember Regency are still sorting tobacco leaves manually using hand muscles which can cause Musculo Skeletal Disorders (MSDs) complaints.One of the MSDs registered at the International Labor Organization (ILO) is Carpal Tunnel Syndrome (CTS) which is a disorder resulting from compression of the median nerve in the carpal tunnel at the wrist with the main symptom being tingling, pain radiating to the fingers which can be accompanied by numbness, weakness. muscles, stiffness, and possible muscle atrophy. This study aims to determine the factors associated with CTS supported by Phalen's test. This research is expected to provide information to workers and the public regarding health problems that can be experienced by tobacco sorting workers as well as being a consideration for increasing health insurance for these workers. This research was conducted using a cross-sectional survey design at PTPN A and PT B, Jember Regency with a sample calculation using the Slovin formula and obtained 246 respondents.The data analysis technique used was univariate SPSS analysis of frequency distribution, bivariate Chi Square analysis and SEM PLS multivariate analysis. research results show that education had an effect on the symptom severity scale, age had an influence on the symptom severity scale, age had an effect on the functional status scale and age had an influence on the Phalen's test. Conclusion:Age is the dominant factor affecting the symptom severity scale, functional status scale and Phalen's test. Keywords: CTS (Carpal Tunnel Syndrome), BCTQ (Boston Carpal Tunnel Questionnaire), SSS (Symptom Severity Scale), FSS (Functional Status Scale), Phalen's Test
Comparison of Cyclosporine and Steroids in Treating Severe Allergic Conjunctivitis in Children: an Evidence-based Case Report Muhammad Ilham Dhiya Rakasiwi; Julie Dewi Barliana; Afid Brilliana Putra; Muhammad Imran Khan Ismail; Awliya Awliya; Gusti Candra Pamungkas; Nida Ghitha Aulia
Journal of Agromedicine and Medical Sciences Vol 10 No 2 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i2.46062

Abstract

The efficacy of cyclosporine compared with corticosteroid in reducing symptoms and signs in children with severe allergic conjunctivitis, either in vernal keratoconjunctivitis or atopic keratoconjunctivitis, is still unknown. Here we present the case of an 8-year-old boy with a case of allergic keratoconjunctivitis. The patient had been given steroid eye drops (Dexamethasone 1 mg) for 2 weeks and only slight improvement was found. Considering the steroid’s long-term effects, the doctor prescribed cyclosporine eye drops. Therefore, this case study is conducted to compare the better efficacy between cyclosporine eye drops and steroid eye drops as a treatment for severe allergic conjunctivitis. After conducting a systematic literature analysis following the PRISMA guidelines, full-text analysis was carried out on two RCTs by assessing their validity, clinical importance, and applicability according to the Oxford CEBM criteria. One of the studies did not meet the validity criteria, while another study showed that cyclosporine eye drops that were given to patients with severe vernal keratoconjunctivitis could reduce signs and symptoms. There was no significant difference between cyclosporine eye drops and dexamethasone eye drops. Cyclosporine's function to reduce signs and symptoms of severe allergic conjunctivitis in children is equivalent to that of corticosteroids. Keywords: Cyclosporine, corticosteroid, severe allergic conjunctivitis, therapy
Approach to Refractory Hypoglycaemia in a Patient with Hepatocellular Carcinoma: A Case Study and Literature Review Audy Meutia Ariana; Ganjar Adityo Permadi; Hermawan Susanto
Journal of Agromedicine and Medical Sciences Vol 10 No 1 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i1.45924

Abstract

Symptomatic hypoglycaemia in patients without underlying diabetes is uncommon. Etiology of non-diabetic hypoglycaemia varies from hyperinsulinism, hormone deficiencies, malignancies, to critical illness. This case report illustrates the attempt to determine the cause of refractory hypoglycaemia in a 46 years old male patient with underlying hepatocellular carcinoma (HCC). Anamnesis and examinations have narrowed differential diagnosis to concurrent systemic illness (liver failure due to HCC) or paraneoplastic syndrome from non-beta cell tumors, referred as non-islet cell tumor hypoglycaemia (NICTH). It was noted that the absence of chronic liver disease stigmata has put NICTH as the possible main cause. Deciding what diagnostic modalities needed to perform to establish the diagnosis eventually relies on clinical judgement while taking cost-effectiveness and patients’ preference in consideration, particularly in low-resource settings. Nonetheless, the main goal of treating hypoglycaemia is to immediately achieve and sustain euglycemia which can be achieved conservatively or definitively with surgery despite the etiology. Keywords: Hepatocellular carcinoma, Hypoglycaemia, NICTH.
Gestational Weeks Related with Maternal Anemia in Pregnancy at Sooko Public Health Center Mojokerto District Rifqi Rahadian
Journal of Agromedicine and Medical Sciences Vol 10 No 2 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i2.44696

Abstract

The prevalence of anemia in pregnant women in Indonesia is still high. Anemia in pregnancy has an impact on maternal and fetuses. We conducted a study on factors related to the incidence of anemia in pregnancy in pregnant women who had their first antenatal visit. The study was conducted on 218 pregnant women who had their first antenatal visit at the Maternal and Child Health Polyclinic at the Sooko Public Health Center, Mojokerto District in January – March 2021. We collected data on risk factors related to the incidence of anemia in pregnancy, namely maternal age during pregnancy, gestational week, distance between current and previous pregnancies, history of parity and body mass index. Chi-square analysis was performed to assess the relationship between variables with a significant value of p<0.05. It was found that 54 (24.8%) of pregnant women had anemia. Gestational age at risk (p=0.970), distance from previous pregnancies (p=0.135), history of parity (p=0.420) and body mass index (p=0.577) had no significant relationship with the incidence of anemia in pregnancy. Gestational age had a significant relationship (p=0.000) to the incidence of anemia in pregnancy. Gestational age has a relationship with the incidence of anemia in pregnant women who make their first antenatal visit. Anemia in pregnancy has a high prevalence. Further treatment is needed, such as giving Fe tablets and educating pregnant women during antenatal care to prevent and treat anemia in pregnancy. Keywords: anemia in pregnancy, gestational week, antenatal care
Correlation Analysis of Body Weight with Insulin Resistance and Leptin Levels in Farm Workers Naurah Nazihah Azzalina; Sugiyanta Sugiyanta; Kristianningrum Dian Sofiana
Journal of Agromedicine and Medical Sciences Vol 10 No 2 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i2.44231

Abstract

Insulin resistance is a pathological condition resulting from impaired insulin response which causes increased insulin production as a form of compensation from pancreatic beta cells. A stable body weight can prevent insulin resistance and excessive body weight can be a predisposing factor insulin resistance. Individuals with insulin resistance will experience an increase leptin levels 2.3 times more than normal individuals. The aim of this study was to analyze the correlation between body weight and insulin resistance and leptin levels in farm workers. This research method is a cross-sectional analytical observational study conducted from April to September 2023. This research has taken primary data in the form of body weight, fasting blood glucose levels, and insulin and leptin levels from 46 farm worker respondents in Wringin Agung Village, Jombang District, Jember Regency. The results of the Pearson Correlation analysis showed that there was no correlation between body weight and insulin resistance and leptin levels in farm workers. The results of the analysis between body weight and insulin resistance were p = 0.265 with a correlation coefficient of 0.168, which means the degree of correlation is very low. The results of the analysis between body weight and leptin levels were p = 0.870 with a correlation coefficient of 0.025, which means the degree of correlation is very low. The conclusion of this study is that there is no significant correlation between body weight and insulin resistance and leptin levels in farm workers. Keywords: Body weight, insulin resistance, leptin levels
Analysis of Determinants of Tuberculosis in Stunted Toddlers in Rambipuji, Jember Wiwien Sugih Utami; Yunita Armiyanti; Adinda Putri Yusri Amrina
Journal of Agromedicine and Medical Sciences Vol 10 No 1 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i1.46500

Abstract

Tuberculosis (TB) and stunting remain serious health problems in Indonesia. Stunting can impact a child's ability to resist infections, including TB. Stunted toddlers are more vulnerable to contracting TB compared to those with normal nutritional status. This research aims to explore the relationship and influence of TB risk factors on the occurrence of TB in stunted toddlers. This research is an analytical descriptive research with a cross sectional design. The research sample consisted of 183 stunted toddlers from eight villages in the Rambipuji sub-district, Jember. The research procedures included interviews, direct observations, and TB examinations in children. Interviews were conducted with the parents/guardians of the child respondents. Observations and direct measurements were performed to determine the physical characteristics of the respondents' living environments, including household density, ventilation area, natural lighting, humidity, and room temperature. The diagnosis of TB in children was established based on a scoring table for childhood TB. From the research findings, 15 children tested positive for TB (8.2%). Bivariate analysis showed a value of p <0.05 for nutritional status, close contact, household density, ventilation, and natural lighting factors. Multivariate analysis revealed significant results for close contact (p=0.000; OR=39.563), household density (p=0.015; OR=9.659), and nutritional status (p=0.029; OR=6.718) as risk factors. In conclusion, it can be inferred that the risk factors associated with TB occurrence in stunted toddlers include nutritional status, close contact history, household density, ventilation, and natural lighting. The factors influencing TB occurrence in stunted toddlers are close contact history, household density, and nutritional status. Keywords: risk factor, stunted toddler, tuberculosis
Anticholinergic Syndrome Due to Cetirizine Overdose: Case Report Irawan Fajar Kusuma; Mukhammad Arif Hadi Khoiruddin; Yusi Windya Febriyanti
Journal of Agromedicine and Medical Sciences Vol 10 No 2 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i2.44078

Abstract

Anticholinergic toxicity can be the result of antihistamines use. Anticholinergic toxicity is pretty rare in second-generation antihistamines such as cetirizine. Using cetirizine in unreasonable doses will cause side effects. We report cetirizine intoxication due to overdose. A girl, 16 years-old came in with chief complaint syncope at school after consuming 5-6 tablets of cetirizine. The patient was being sent to the primary health center and experienced vomiting. Other symptoms experienced when the patient is conscious, such as nausea, dizziness, and dry mouth. On physical examination, it was found that both of the patient's eyes were dry, with a heart rate of 105 beats per minute. We examined liver function and kidney function tests, which showed that BUN, serum creatinine, SGOT, and SGPT levels were within normal limits. Symptoms that arise due to antihistamine toxicity include vasodilation and redness of the skin, anhidrosis, lack of sweat production, hyperthermia, mydriasis, hallucinations, delirium, and urinary retention. Antihistamines are anticholinergics that work as antimuscarinics. The action of cetirizine on M1, M2, and M3 receptors affects clinical manifestations of the patients. Cetirizine can also induce hepatic and renal toxicity. Understanding the dosage and use of cetirizine is necessary to prevent unwanted events and side effects. Keyword: cetirizine overdose, anticholinergic syndrome
Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area Deny Dwi Hartanto; Dony Ruswendro
Journal of Agromedicine and Medical Sciences Vol 10 No 1 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i1.45271

Abstract

Penetrating trauma is the most frequent cause of death in patients aged 65 years and over. Penetrating trauma is often caused by armed violence, both firearms and sharp weapons, and occurs in urban civilian populations. In this case, penetrating trauma occurred in an elderly patient due to an abdominal stab wound caused by a palm sickle when harvesting palm fruit. The location of the incident was in a rural oil palm plantation area and far from the hospital. Limited facilities and resources at the community health center where the patient was first treated, resulted in initial treatment being less than optimal and inadequate. The penetrating abdominal trauma that occurred in this patient was accompanied by intestinal evisceration and hypovolemic shock which was an absolute indication for immediate laparotomy exploration. The patient's comorbidities in the form of chronic heart failure and the patient's elderly age need to be taken into consideration and attention to prevent initial and subsequent complications. After laparotomy, the patient was able to survive and recover well without any complications. Keywords: Penetrating abdominal trauma, intestinal evisceration, laparotomy

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