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Global Medical and Health Communication

gmhc
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Published by Universitas Islam Bandung

ISSN : 23019123 EISSN : 24605441 DOI : https://doi.org/10.29313/gmhc

Core Subject : Health, Science,

Dentistry Health Professions Immunology & microbiology Nursing Public Health

Global Medical and Health Communication is a journal that publishes research articles on medical and health published every 4 (four) months (April, August, and December). Articles are original research that needs to be disseminated and written in English. Subjects suitable for publication include but are not limited to the following fields of anesthesiology and intensive care, biochemistry, biomolecular, cardiovascular, child health, dentistry, dermatology and venerology, endocrinology, environmental health, epidemiology, geriatric, hematology, histology, histopathology, immunology, internal medicine, nursing sciences, midwifery, nutrition, nutrition and metabolism, obstetrics and gynecology, occupational health, oncology, ophthalmology, oral biology, orthopedics and traumatology, otorhinolaryngology, pharmacology, pharmacy, preventive medicine, public health, pulmonology, radiology, and reproductive health.

Arjuna Subject : Kedokteran - Epidemilogi

Articles 422 Documents

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Deteksi Aktivitas Fibrinolitik Isolat Bakteri WU 021055* Asal Perairan Pantai Papuma Jember Menggunakan Zimografi Evi Umayah Ulfa; Esti Utarti; Izzay Afkarina; Sattya Arimurti; Kartika Senjarini
Global Medical & Health Communication (GMHC) Vol 5, No 2 (2017)
Publisher : Universitas Islam Bandung

Bakteri merupakan sumber penting berbagai enzim termasuk enzim fibrinolitik. Enzim ini diperlukan untuk mendegradasi bekuan darah pada orang yang mengalami penyakit trombosis. Isolat bakteri WU 021055* asal Pantai Papuma Jember terbukti menghasilkan enzim fibrinolitik ekstraseluler. Penelitian ini bertujuan mengetahui ukuran protein yang memiliki aktivitas fibrinolitik dan mengidentifikasi karakteristik morfologi isolat WU bakteri WU 021055*. Penelitian ini dilakukan di Laboratorium Mikrobiologi, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Jember pada April–Agustus 2014. Aktivitas fibrinolitik presipitat protein (PP) ditentukan menggunakan metode fibrin plate agar dan zimografi fibrin. Ekstrak protein kasar (EPK) dipanen pada jam ke-12 dan dipresipitasi menggunakan amonium sulfat 80%. Hasil uji aktivitas fibrinolitik menggunakan fibrin plate agar menunjukkan presipitat memiliki aktivitas fibrinolitik lebih besar dibanding dengan EPK. Dari hasil karakterisasi PP menggunakan sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) diperoleh 11 pita protein dengan ukuran 12–41 kDa. Berdasar atas hasil zimografi fibrin, pita protein dengan berat molekul 24 kDa yang memberikan aktivitas fibrinolitik. Protein dengan ukuran 24 kDa ini mampu mendegradasi substrat fibrin. Simpulan, isolat bakteri WU 021055* mengandung berbagai protein ekstraseluler, memiliki bentuk koloni bulat berwarna putih dan termasuk bakteri gram prositif berbentuk batang.DETECTION OF FIBRINOLYTIC ACTIVITY OF WU 021055* BACTERIAL ISOLATE FROM PAPUMA BEACH COASTAL JEMBER USING ZYMOGRAPHYBacteria were important resources for various enzymes including fibrinolytic enzymes. This enzyme is capable of degrading fibrin clot in patient with thrombotic diseases. Bacterial isolate of WU 021055* from Papuma Beach Coastal Jember could secrete extracellular fibrinolytic enzymes. The objective of this reasearch was to determine the molecular weight of protein responsible for fibrinolytic activity and to identify morphologycal characterization of bacterial isolate of WU 021055*. This study was conducted at Laboratory of Microbiology, Faculty of Mathematics and Natural Sciences, Universitas Jember in April–August 2014. Fibrinolytic activity of precipitate protein (PP) was determined by using fibrin plate agar and fibrin zymography. Crude protein extract (CPE) was harvested at 12 hours and precipitated by 80% ammonium sulphates. The result of fibrinolityc activity determination showed that fibrinolytic activity of PP was higher than CPE. Protein characterization of PP by using sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) obtained 11 different protein bands corresponds to value 12–42 kDa. Based on fibrin zymography, the 24 kDa protein might contribute to fibrinolytic activity due to degraded fibrin substrates. In conclusion, bacterial isolate of WU 021055* contained extracellular fibrin protein was white colony and gram positives bacilli able to degraded.

Pengaruh Penggunaan Gadget terhadap Penurunan Kualitas Penglihatan Siswa Sekolah Dasar Andriana Kirana Puspa; Rozalina Loebis; Djohar Nuswantoro
Global Medical & Health Communication (GMHC) Vol 6, No 1 (2018)
Publisher : Universitas Islam Bandung

Layar gadget yang menggunakan tulisan kecil akan memunculkan gejala computer vision syndrome. Lebih dari 90% pengguna komputer dalam waktu lama mengalami mata lelah, penglihatan buram, penglihatan ganda, pusing, dan mata kering. Penelitian ini bertujuan mengetahui kualitas penglihatan siswa-siswi Sekolah Dasar yang menggunakan gadget dalam jangka waktu yang lama. Penelitian analitik observasional cross-sectional dengan 43 subjek di SD Muhammadiyah 4 Surabaya pada Maret–November 2015 dengan mengambil data primer, yaitu kuesioner serta pemeriksaan mata Snellen chart dan tear break-up time test. Hasil kuesioner diolah untuk mengetahui tingkat paparan. Hasil pemeriksaan mata dan tingkat paparan dihitung dengan rasio prevalensi dan uji hipotesis chi-kuadrat dengan tingkat kepercayaan 95%. Hasil kuesioner didapatkan kategori paparan ringan 56%, sedang 23%, dan berat 21%. Pemeriksaan Snellen chart diperoleh hasil tajam penglihatan menurun pada 47% dan normal pada 54%. Hasil tear break-up time test diperoleh mata kering sebanyak 88% dan tidak mengalami sebanyak 12%. Simpulan, seluruh tingkat kategori paparan mempunyai risiko kecil untuk mengalami penurunan atau gangguan tajam penglihatan, tetapi mempunyai risiko yang sama besar untuk mengalami mata kering. THE USING OF GADGET AND ITS EFFECT OF DECREASING THE QUALITY OF ELEMENTARY SCHOLLS STUDENTSThe small fonts in a gadget’s screen evokes the symptoms of computer vision syndrome. More than 90% computer users may experience eyestrain, blurred vision, diplopia, dizziness and dry eyes after prolonged use. The purpose of this study was to ascertain the vision quality in elementary students that has been using gadgets for long period. An observational analytic cross-sectional study in 43 subjects of SD Muhammadiyah 4 Surabaya on March until November 2015 by taking primary data, specifically questionnaire and eye examination Snellen chart and tear break-up time test. The questionnaire’s result will be calculated to acknowledge the level of exposure. The result of the eye examination and level of exposure will be calculated with prevalence ratio and chi-square hypothesis test by 95% confidence interval. The result from the questionnaire was 56% of subjects were light exposure category, 23% were moderate and 21% were severe. The examination with Snellen chart results in the decreasing of visual acuity in 47% subjects and normal in 54% subjects. The results of tear break-up time test was the incidence of dry eyes was 88% and no experience of dry eyes was 12%. In conclusion, all categories of exposure have a small risk of decreased or disorder of visual acuity, but have the similar high-level of risk in experiencing dry eyes.

Reproductive Health Problems in Adolescents in Banten Province Ismiyati, Ismiyati; Sabarudin, Udin; Sapiie, Tuti Wahmurti A.; Husin, Farid; Susanah, Susi; Sunjaya, Deni Kurniadi
Global Medical & Health Communication (GMHC) Vol 7, No 1 (2019)
Publisher : Universitas Islam Bandung

Teenagers are the next generation that needs to be the center of attention. Physical and mental development in adolescents occurs rapidly. The process of changing times with free association arises causing debate about their reproductive health. The purpose of this study was to determine the reproductive health problems of adolescents in Banten province. This study used a qualitative design and constructivism paradigm. The research method was using the in-depth interview guideline instrument with 11 informants conducted in Banten province in January−June 2017. Qualitative data analysis using content analysis. The results showed that environmental factors such as family, relationships, health workers, and the availability of prostitution practice were trigger teenagers' problems. The environment did not support them to learn about sexuality makes them seek information from sources that cannot be justified. This practice made adolescents have inappropriate knowledge about adolescent reproductive health. The availability of prostitution practice was a unique highlight for those who can channel their curiosity in fulfilling their sexual desires. In conclusions, adolescent reproductive health problems in Banten province consisted of premarital sex behavior, teenage pregnancy, teenage marriage, youth delivery, sexually transmitted diseases, and abnormal sexual behavior. These problems arise due to factors of knowledge, environment, and family economic status. PERMASALAHAN KESEHATAN REPRODUKSI PADA REMAJA DI PROVINSI BANTENRemaja merupakan generasi penerus yang perlu menjadi pusat perhatian. Perkembangan fisik dan mental pada remaja terjadi secara pesat. Proses perubahan zaman dengan pergaulan bebas memicu timbulnya permasalahan kesehatan reproduksi pada mereka. Tujuan penelitian ini mengetahui permasalahan kesehatan reproduksi remaja di Provinsi Banten. Penelitian ini menggunakan desain kualitatif dan paradigma konstruktivisme. Metode penelitian menggunakan instrumen wawancara mendalam kepada 11 informan yang dilakukan di Provinsi Banten pada bulan Januari–Juni 2017. Analisis data kualitatif menggunakan analisis konten. Hasil penelitian menunjukkan bahwa faktor lingkungan seperti keluarga, pergaulan, tenaga kesehatan, dan ketersediaan tempat prostitusi memicu permasalahan remaja. Lingkungan yang tidak mendukung mereka untuk belajar tentang seksualitas membuat mereka mencari informasi dari sumber yang tidak dapat dipertanggungjawabkan kebenarannya. Hal tersebut membuat remaja memiliki pengetahuan yang tidak tepat tentang kesehatan reproduksi remaja. Ketersediaan tempat-tempat prostitusi menjadi sorotan khusus bagi mereka yang dapat menyalurkan keingintahuan mereka dalam memenuhi hasrat seksualitas. Simpulan, permasalahan kesehatan reproduksi remaja di Provinsi Banten terdiri atas perilaku seks pranikah, kehamilan remaja, pernikahan remaja, persalinan remaja, penyakit seksual, dan perilaku seks menyimpang. Permasalahan tersebut muncul karena faktor lingkungan, pengetahuan, dan ekonomi keluarga.

Otitis Media Supuratif Kronik pada Anak Muhamad Faris Pasyah; Wijana Wijana
Global Medical & Health Communication (GMHC) Vol 4, No 1 (2016)
Publisher : Universitas Islam Bandung

Otitis media supuratif kronik (OMSK) merupakan masalah pada anak dan remaja yang berdampak pada fisik, sosial serta psikologis dan mempunyai prevalensi yang tinggi. Kondisi ini merupakan proses peradangan akibat infeksi mukoperiosteum rongga telinga tengah yang ditandai oleh perforasi membran timpani dan keluar sekret yang terus menerus atau hilang timbul selama 3 bulan, serta dapat menyebabkan perubahan patologik yang permanen. Tujuan penelitian mengetahui gambaran OMSK pada anak. Penelitian dilakukan secara deskriptif retrospektif di poliklinik Otologi Departemen Ilmu Kesehatan Telinga Hidung Tenggorokan-Kepala Leher (THT-KL) RSUP Dr. Hasan Sadikin Bandung periode Januari 2012–Desember 2013. Diagnosis ditegakkan berdasarkan anamnesis dan pemeriksaan fisis. Didapatkan pasien OMSK anak laki-laki 53% dan pasien anak perempuan 47%. Jumlah OMSK tipe benigna 83% dan tipe maligna 17%. Komplikasi terbanyak OMSK pada anak adalah mastoiditis 32%. Angka putus berobat pada pasien anak dengan OMSK sebesar 60%. Simpulan, penderita OMSK pada anak lebih banyak pada laki-laki tipe benigna dan angka pasien putus berobat masih banyak ditemukan. CHRONIC SUPPURATIVE OTITIS MEDIA IN CHILDRENChronic supurative otitis media (CSOM) is a common problem among children and adolescent that give physical, social, and psycological effect, and its prevalence was quite a lot. It is a process of inflammation due to infection of middle ear mucoperiosteum which cause the perforation of timpanic membran, the drainage of ear for at least three months duration, that also could cause middle ear permanent pathological changes. The aim of the study was to provide characteristic of CSOM in pediatric patients. This study was retrospective descriptive study that was conducted at Otology Clinic of Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) Departement Dr. Hasan Sadikin General Hospital. This study was a retrospective descriptive study that was conducted during the period of January 2012–December 2013. Diagnoses were made from anamnesis and physical examination. There were boys 53% and girls 47% that had CSOM. Eighty three patients were having benign CSOM, then others 17% were having malignant one. It was also known that the most complication was mastoiditis 32%. The drop out number of patients was 60%. In conclusions, there are more boys than girls that have CSOM and benign CSOM are more frequent than malignant ones. The insidence of drop out is quite many.

Gambaran Indeks Kepuasan Masyarakat di Puskesmas Tegal Angus pada Era Jaminan Kesehatan Nasional Yusnita Yusnita; Dini Widianti
Global Medical & Health Communication (GMHC) Vol 5, No 1 (2017)
Publisher : Universitas Islam Bandung

Puskesmas sebagai salah satu badan layanan publik perlu menyusun indeks kepuasan masyarakat sebagai tolok ukur untuk menilai tingkat kualitas pelayanan. Perubahan puskesmas pada era Jaminan Kesehatan Nasional (JKN) menyangkut peran sebagai gate keeper untuk mengendalikan rujukan berjenjang. Tujuan penelitian ini adalah mengetahui tingkat indeks kepuasan masyarakat (IKM), deskripsi unsur-unsur IKM, dan unsur yang memengaruhi kepuasan pada pelayanan Puskesmas Tegal Angus pada era JKN. Penelitian ini adalah penelitian survei masyarakat. Penelitian dilakukan di Puskesmas Tegal Angus, Kecamatan Teluk Naga, Kabupaten Tangerang, Banten selama bulan Mei–Agustus 2016. Metode yang digunakan adalah studi potong lintang dengan responden adalah pasien yang telah mendapatkan pelayanan di puskesmas. Kuesioner yang digunakan adalah kuesioner indeks kepuasan masyarakat sesuai KepmenPAN RI Nomor: KEP/25/M.PAN/2/2004. Hasil penelitian ini menunjukkan IKM di Puskesmas Tegal Angus bernilai 63,5 yang termasuk kategori baik. Unsur pelayanan yang menyusun IKM sebagian besar masuk kategori baik. Unsur pelayanan yang masuk kategori kurang baik adalah kedisiplinan petugas pelayanan, kepastian jadwal dan biaya pelayanan, serta kecepatan pelayanan. Hasil peneltian ini dapat menjadi bahan penilaian terhadap unsur pelayanan yang masih perlu perbaikan dan menjadi pendorong setiap puskesmas untuk meningkatkan kualitas pelayanannya.PUSKESMAS TEGAS ANGUS COMMUNITY SATISFACTION INDEX IN THE NATIONAL HEALTH COVERAGE ERAPuskesmas as one of public health services should measure community satisfaction index (IKM) to ensure the qualtity of service. The role as gate keeper especially for referral system in National Health Coverage (JKN) is very challenging. The is research aim to understand level of community satisfaction index (IKM), describe indicators in satisfaction index and discover which indicator need to be increased. This is a survey study using cross sectional method. This study was held in Puskesmas Tegal Angus, Kecamatan Teluk Naga, Kabupaten Tangerang, Banten on May to August 2016. Community satisfaction index questionnaires based on KepmenPAN RI Nomor: KEP/25/M.PAN/2/2004 was used. The results showed that community satisfaction index of Puskesmas Tegal Angus categorized as having good quality of service with score of 63,5. However, there were four indicators that still need to be improved: discipline, accuracy of schedule adjustable expense, and speed of services. Community satisfaction index can be used as an assessment tools to improve the quality of service in public health center.

Uji Toksisitas Subkronis Ekstrak Kayu Kuning (Arcangelisia flava Merr) terhadap Hepar dan Ginjal Ema Rachmawati; Evi Umayah Ulfa
Global Medical & Health Communication (GMHC) Vol 6, No 1 (2018)
Publisher : Universitas Islam Bandung

Kayu kuning (Arcangelisia flava Merr) merupakan tanaman asli Indonesia yang banyak mengandung alkaloid berberin dan flavonoid. Tanaman ini telah terbukti memiliki aktivitas sebagai antioksidan, antibakteri, antikanker, dan antihiperlipidemia, namun belum diketahui pengaruhnya terhadap hepar dan ginjal sehingga penelitian ini bertujuan mengetahui pengaruh ekstrak A. flava terhadap parameter biokimia hepar, histopatologi hepar, dan histopatologi ginjal tikus. Penelitian dilakukan di Laboratorium Biomedik, Fakultas Farmasi Universitas Jember pada bulan Mei–Agustus 2016. Sebanyak 40 ekor tikus jantan berusia 2–3 bulan dengan bobot 200–300 gram dibagi menjadi 4 kelompok. Kelompok kontrol hanya diberi sodium-carboxymethyl cellulose (CMC-Na) 1%, sedangkan kelompok perlakukan diberi ekstrak A. flava dosis 250, 500, dan 750 mg/kgBB per oral selama 28 hari. Pada hari ke-28, dilakukan penentuan kadar SGOT, SGPT, serta pengamatan histopatologi hepar dan ginjal. Nilai SGPT menunjukkan tidak berbeda bermakna antara kelompok kontrol dan kelompok perlakukan (p<0,05). Hasil pengamatan histopatologi hepar menunjukkan pemberian ekstrak A. flava dosis 250, 500, dan 750 mg/kgBB per oral menyebabkan kongesti pembuluh darah hepar, namun tidak mengakibatkan nekrosis. Pengamatan histopatologi pada ginjal tidak terdapat peradangan, namun terdapat perdarahan sedikit pada glomerulus dan interstitial. Simpulan, pemberian ekstrak A. flava dosis 250, 500, 750 mg/kgBB selama 28 hari tidak mengakibatkan kerusakan hepar dan ginjal. SUBCHRONIC TOXICITY TEST OF YELLOW ROOT EXTRACT (ARCANGELISIA FLAVA MERR) ON HEPAR AND RENALKayu kuning (Arcangelisia flava Merr) is one of Indonesian herbal plant which contain berberine alkaloid and flavonoids. This plant has been proven as antioxidant, antibacterial, anticancer, antihiperlipidemic and antidiabetes. However, the effect of A. flava extract on hepar and renal has not been studied yet. Accordingly, the objective of this study was to evaluate the effect of A. flava extracts towards chemical parameters of hepar, histopathology of hepar and renal rats. This research was conducted in The Biomedic Laboratory, Faculty of Pharmacy of Universitas Jember on May to August 2016. Forty Wistar male rats aged 2–3 moths, weighed 200–300 grams were divided into four groups. Control groups were only given sodium-carboxymethyl cellulose (CMC-Na) 1% orally while tretment groups were given A. flava extracts at dose 250, 500, and 750 mg/kgBW orally for 28 days. On the day 28, the SGOT, SGPT were measured and histopathology of liver and renal were observed. The result of this research showed that SGPT value of control group and treatment group were not significantly different (p<0.05). Histopathogical evaluation of liver showed that oral administration of A. flava extract at dose 250, 500, and 750 mg/kgBW caused congestion of liver blood vessel, but the liver cell did not experience necrosis. Histopathogical observation on renal showed that there was no inflamation but there was a small bleeding in glomerolus and interstitial. In conclusion, the administration of A. flava extract at doze 250, 500 and 750 mg/kbBW for 28 days do not affect the liver and the renal.

Kondiloma Akuminata di Daerah Anus yang Disebabkan oleh Infeksi Human Papilloma Virus Tipe 6, 11, dan 16 pada Seorang Laki Suka Laki dengan HIV Positif Pati Aji Achdiat; Tony S. Djajakusumah; Rachmatdinata Rachmatdinata
Global Medical & Health Communication (GMHC) Vol 1, No 1 (2013)
Publisher : Universitas Islam Bandung

Human papilloma virus (HPV) merupakan salah satu penyebab infeksi menular seksual terbanyak di seluruh dunia. Kondiloma akuminata (KA) merupakan salah satu manifestasi klinis infeksi HPV yang paling sering ditemukan. Risiko terinfeksi virus HPV multipel lebih tinggi pada penderita HIV, sedangkan risiko terinfeksi tipe ganas lebih tinggi pada laki suka laki (LSL). Dilaporkan satu kasus KA di daerah anus yang disebabkan oleh infeksi HPV tipe 6, 11, dan 16 pada seorang LSL dengan HIV positif. Diagnosis ditegakkan berdasarkan gambaran klinis yang karakteristik berupa papula dan plak verukosa berbentuk seperti bunga kol. Hasil pemeriksaan histopatologis menunjang diagnosis KA namun tidak menunjukkan tanda-tanda keganasan. Pasien diberikan terapi bedah listrik dan trikloroasetat (TCA) 80% topikal. Faktor risiko KA multipel pada pasien ini kemungkinan disebabkan jumlah pasangan seksual yang banyak, LSL, dan infeksi HIV dengan hitung CD4 382 sel/uL. Hasil serotyping menunjukkan penyebab KA adalah HPV tipe 6, 11, dan 16. Pasien disarankan untuk melakukan skrining sitologi setiap tahun. CONDYLOMATA ACUMINATA IN THE ANAL REGION CAUSED BY TYPE 6, 11, AND 16 HUMAN PAPILLOMA VIRUS INFECTION IN HIV POSITIVE MAN WHO HAVE SEX WITH MANHuman papiloma virus (HPV) is the most common cause of sexually transmitted infection worldwide. Condyloma acuminata is the most common form of HPV infection. In HIV patient, the risk to get multiple HPV infection is increased, while in man who have sex with man (MSM), the risk to develop into malignancy is even geater. A case of condyloma acuminata (CA) in the anal region caused by HPV type 6, 11, and 16 in MSM with HIV infection was reported. Diagnosis was established based on typical clinical feature presented as verrucous papules and plaques resembling cauliflower. Histopathological result supported the diagnosis of CA without sign of malignancy. Patient was treated with electrosurgery and topical 80% TCA solution. The risk factors for CA in this patient possibly were the high number of sexual partners, MSM status, and HIV infection with CD4 count of 382 cell/uL. Serotyping result revealed that CA in this patient was caused by HPV type 6, 11, and 16. The patient was suggested to undergo cytologic screening analysis every year forwards.

Harga Diri dan Kualitas Hidup Remaja Penderita Akne Vulgaris di Poliklinik Kulit dan Kelamin RSUD Al-Ihsan Kabupaten Bandung Soria Putu Pratiwi; Gemah Nuripah; Yudi Feriandi
Global Medical & Health Communication (GMHC) Vol 3, No 1 (2015)
Publisher : Universitas Islam Bandung

Akne vulgaris adalah peradangan kronik folikel pilosebasea yang ditandai oleh komedo, papula, pustula, dan kista pada daerah predileksi. Insidensi akne vulgaris sering dijumpai pada masa remaja usia 14–19 tahun. Terdapat banyak dampak yang ditimbulkan oleh akne vulgaris, salah satunya dampak psikologis seperti harga diri dan kualitas hidup. Tujuan penelitian ini menunjukkan apakah akne vulgaris dapat menurunkan harga diri dan kualitas hidup, serta harga diri berhubungan dengan kualitas hidup remaja penderita akne vulgaris. Penelitian ini menggunakan rancangan analitik dengan studi potong lintang. Pasien remaja penderita akne vulgaris yang datang ke Poli Kulit dan Kelamin RSUD Al-Ihsan Kabupaten Bandung periode Maret–Juni 2014 diminta untuk mengisi kuesioner Dermatology Life Quality Index (DLQI) dan Rosenberg Self Esteem Scale. Uji statistik yaitu Uji Eksak Fisher. Hasil penelitian menunjukkan dari jumlah responden sebanyak 30 orang didapatkan 22 remaja penderita akne vulgaris memiliki harga diri yang rendah dan kebanyakan terdapat efek yang sedang dan besar terhadap kualitas hidup. Besarnya koefisien korelasi antara harga diri dan kualitas hidup adalah 0,376 berada pada kategori rendah/lemah. Hasil ini dapat terjadi karena banyak faktor lain yang memengaruhi kualitas hidup seperti sosial ekonomi, diagnosis pasien secara medis atau psikologis, serta penatalaksanaan medis yang dijalani. Simpulan, tidak terdapat hubungan antara harga diri dan kualitas hidup remaja penderita akne vulgaris. SELF-ESTEEM AND QUALITY OF LIFE OF ADOLESCENCE WITH ACNE VULGARIS AT DERMATOLOGY AND VENEROLOGY POLICLINIC RSUD AL-IHSAN BANDUNG REGENCYAcne vulgaris is a chronic inflammation of the pilosebaceous follicles characterized by comedones, papules, pustules, and cysts in predilection areas. The incidence of acne vulgaris is common in adolescence aged 14–19. Acne vulgaris caused by many factors. One of it, is self-esteem and quality of life. The purpose of this study was to show that acne vulgaris can decrease self-esteem and quality of life, and that self-esteem related to quality of life of adolescence with acne vulgaris.This study used analytical design with cross-sectional studies. Adolescence patients with acne vulgaris who came to dermatology and venerology policlinic at RSUD Al-Ihsan in period March to June 2014 were asked to fill out Dermatology Life Quality Index (DLQI) and Rosenberg Self Esteem Scale. The research showed 22 of adolescence patients with acne vulgaris have low self-esteem and there was a moderate effect on quality of life. The unknown magnitude of the correlation coefficient between self-esteem and quality of life was 0.376 in the category of low/weak. This result may occur because there were other factors that affect quality of life such as socioeconomic, patient diagnosis, and medical or psychological undergoing medical management. In cobclusion, there is no corelation between self-esteem and quality of life of adolescence with acne vulgaris.

Korelasi antara Kadar Testosteron dan Proses Remodeling Ventrikel Kiri pada Penderita Infark Miokardium Akut Mohammad Rizki Akbar; Tri Hanggono Achmad; Ieva B. Akbar; Budhi Setianto Purwowiyoto
Global Medical & Health Communication (GMHC) Vol 4, No 2 (2016)
Publisher : Universitas Islam Bandung

Infark miokardium akut merupakan penyebab utama kematian di dunia. Perbedaan jenis kelamin berperan terhadap mortalitas jangka panjang pascainfark miokardium yang menunjukkan gambaran pola fisiologi regenerasi miokardium yang spesifik. Kematian setelah infark miokardium lebih tinggi pada perempuan. Remodeling ventrikel kiri merupakan proses penyembuhan luka pascainfark miokardium yang menjadi petunjuk keadaan gagal jantung maupun kematian. Proses ini berpengaruh penting pada fungsi ventrikel dan prognosis survival yang dapat didiagnosis dengan pemeriksaan ekokardiografi. Terdapat kontroversi berkaitan dengan peranan androgen pada proses remodeling jantung. Walaupun masih terdapat perdebatan, androgen memiliki peran terhadap remodeling ventrikel kiri dan bersifat protektif terhadap proses fibrosis yang maladaptif. Dilakukan penelitian observasional analitik yang bersifat prospektif untuk mengkaji peranan testosteron terhadap remodeling ventrikel kiri pada pasien infark miokardium akut di RSUP Dr. Hasan Sadikin Bandung selama Maret–Oktober 2015. Penelitian dilakukan pada 60 orang laki-laki usia 40–77 tahun penderita infark miokardium akut. Pemeriksaan ekokardiografi, pengukuran kadar testosteron total, testosteron bebas, dan testosteron bioavailabel dilakukan sebanyak dua kali. Pemeriksaan pertama dilakukan saat pasien didiagnosis infark miokardium akut dan pengulangan 4–6 minggu kemudian. Usia rata-rata penderita 56,16±8,48 tahun. Bila dibanding dengan pemeriksaan pertama dan kedua, tampak peningkatan kadar testosteron total yang signifikan (785,00±661,76 ng/dL vs 822,33±365,64 ng/dL; p=0,004), penurunan kadar testosteron bebas (24,66±17,91 ng/dL vs 19,00±15,24 ng/dL; p=0,067), dan penurunan kadar testosteron bioavailabel (475,21±353,10 ng/dL vs 394,98±314,85 ng/dL; p=0,166). Analisis korelasi rank Spearman memperlihatkan korelasi bermakna antara testosteron bebas dan relative wall thickness (p=0,019), serta testosteron bioavailabel dengan relative wall thickness (p=0,014). Simpulan, testosteron berperan pada proses remodeling ventrikel kiri pascainfark miokardium akut yang diperlihatkan dengan peningkatan kadar testosteron total serta penurunan kadar testosteron bebas maupun testosteron bioavailabel yang memiliki afinitas yang kuat dengan kardiomiosit. CORELLATION BETWEEN TESTOSTERONE LEVEL AND LEFT VENTRICULAR REMODELING PROCESS IN ACUTE MYOCARDIAL INFARCTION PATIENTMyocardial infarction (MCI) is a leading cause of death worldwide. Gender differences in long term mortality after MCI lead to a specific physiologic pattern of myocardial regeneration. Moreover mortality after MCI was reported to be higher in women. Left ventricular remodeling is cardiac wound healing after MCI indicate a high risk of heart failure and death. This remodeling can importantly affect the function of the ventricle and prognosis for survival which can be diagnosed by echocardiography. Controversial information excert about the role of androgen in cardiac remodeling. Even the evidence still debatable, androgen has a role in left ventricular (LV) remodeling and protect heart from maladaptive fibrosis. A prospective analytical observational study was conducted to evaluate the role of testosterone in LV remodeling in acute myocardial infarction patients. The study comprised 60 men aged 40–77 years with acute myocardial infarction in Dr. Hasan Sadikin Hospital during March–October 2015. Echocardiographyc study and the level of total, free, and bioavailable testosterone were measured twice. The first measured when they diagnosed acute myocardial infarction and the second after 4–6 weeks. The age of patient was 56.16±8.487 years old. Comparing the first and the second measure indicate that total testosterone significantly increased (785.00±661.76 ng/dL vs 822.33±365.64 ng/dL, p=0.004), free testosterone decreased (24.66±17.91 ng/dL vs 19.00±15.24 ng/dL, p=0.067), and bioavailable testosteron decreased (475.21±353.10 ng/dL vs 394.98±314.85 ng/dL, p=0.166). Correlation analysis by rank Spearman showed significantly correlation between free testosterone with relative wall thickness (p=0.019), and bioavailable testosterone with relative wall thickness (p=0.014). It is concluded that testosterone has a role on LV remodeling process after myocardial infarction showed by increasing of total testosterone and decreasing of free and bioavailable testosterone which have great affinity with cardiomyocyte.

Faktor-faktor yang Berhubungan dengan Perilaku Merokok pada Remaja Kampung Bojong Rawalele, Jatimakmur, Bekasi Erlina Wijayanti; Citra Dewi; Rifqatussa'adah Rifqatussa'adah
Global Medical & Health Communication (GMHC) Vol 5, No 3 (2017)
Publisher : Universitas Islam Bandung

Salah satu perilaku berisiko yang memiliki prevalensi tinggi di usia remaja adalah merokok, sedangkan seseorang yang merokok pada usia lebih muda akan lebih sulit berhenti dibanding dengan yang mulai merokok pada usia lebih tua. Tujuan penelitian ini mengidentifikasi faktor-faktor yang berhubungan dengan perilaku merokok pada remaja. Penelitian yang dilakukan merupakan penelitian deskriptif dengan desain cross-sectional. Penelitian dilakukan di Kampung Bojong Rawalele, Pondok Gede, Bekasi, Jawa Barat periode Januari–Februari 2017. Populasi penelitian adalah remaja di kampung tersebut. Subjek penelitian adalah individu usia 10–19 tahun. Sampel yang diambil sebanyak 94 responden dengan teknik snowball sampling. Remaja yang terlibat berpendidikan belum tamat SD sampai sudah tamat SMA. Di antara 19 remaja perokok (20%), merokok rata-rata sebanyak 5–6 batang per hari dan sudah merokok rata-rata selama 2–3 tahun. Sebagian besar (95%) perokok tersebut ingin berhenti merokok. Analisis bivariat menunjukkan bahwa jenis kelamin, usia, pengalaman, pengetahuan, dan sikap berhubungan signifikan dengan perilaku merokok (p<0,05). Pendidikan tidak berhubungan dengan perilaku merokok (p≥0,05). Simpulan, prediktor perilaku merokok pada remaja di Kampung Bojong Rawalele adalah jenis kelamin, usia, pengalaman, pengetahuan, dan sikap. Disarankan kepada orangtua maupun sekolah untuk memperhatikan kelompok berisiko merokok pada remaja.FACTORS ASSOCIATED WITH TEENAGER’S SMOKING BEHAVIOR AT BOJONG RAWALELE, JATIMAKMUR, BEKASIOne among risky behaviors of teenager was smoking. Someone who smoked at younger age would be more difficult to stop than who started smoking at an older age. The purpose of this study was to identify factors associated with smoking behavior in teenagers. This is a cross-sectional study on 94 teenagers 10 to 19 years old using snowball sampling technique. The study conducted from January to February 2017 at Bojong Rawalele, Pondok Gede, Bekasi, West Java. Results showed respondents have primary school to senior high school education. Among 19 smokers, ciggaretes were consumed 5–6 stems per day and they had smoked for 2–3 years on average. Most of the smokers wanted to stop smoking (95%). The bivariate analysis showed that gender, age, experience, knowledge, and attitude significantly associated with smoking behavior (p<0.05). However, education was not associated with smoking behavior (p≥0.05). In conclusion, the predictors of smoking behavior were gender, age, experience, knowledge, and attitude. It was suggested to parents and schools to pay attention to risky groups on smoking behavior.

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Home Page

OAI Link

Editorial Team

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Contact Name Agus Chalid

Contact Email gulid.p@gmail.com

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Editorial Address Jalan Hariangbanga No. 2, Tamansari, Bandung 40116

Location Kota bandung, Jawa barat INDONESIA

Abstract

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Contact Name
Agus Chalid

Contact Email
gulid.p@gmail.com

Phone
+6285220013654

Journal Mail Official
gmhc.unisba@gmail.com

Editorial Address
Jalan Hariangbanga No. 2, Tamansari, Bandung 40116

Location
Kota bandung,

Jawa barat

INDONESIA