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INDONESIA
Jurnal Kedokteran
Published by Universitas Mataram
ISSN : 23015977     EISSN : 25277154     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
The Unram Medical Journal managed by the Medical Faculty of Mataram University is a scientific journal to publish the results of the latest research in the field of medical and health related. This journal promote medical sciences generated from basic sciences, clinical, and community research to integrate researches in all aspects of human health. This journal publishes original articles, reviews, and also case reports.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 8 Documents
 1 
Search results for , issue "Vol 2 No 3 (2013)" : 8 Documents clear
HUBUNGAN ANTARA DURASI PEMBERIAN HAART (HIGHLY ACTIVE ANTI RETROVIRAL THERAPY) DENGAN PENINGKATAN LEVEL CD4 PADA PASIEN HIV DEWASA Wardoyo, Eustachius Hagni; Hartono, Teguh Sarry
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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Abstract

Latar Belakang: Dinamika CD4 dikaitkan dengan durasi pemberian HAART memiliki keberagaman antar individu, antar seting waktu dan tempat. Dinamika CD4 paska HAART merupakan faktor penting baik dalam evaluasi klinis pasien HIV dan kepentingan epidemiologis. Penelitian ini bertujuan melihat hubungan antara durasi pemberian HAART dengan peningkatan level CD4. Metodologi: Merupakan penelitian potong lintang dengan kriteria inklusi: 1. Usia pasien ≥18 tahun, pria dan wanita, 2. Memiliki angka CD4 pre ART (CD4 naïve) dan CD4 setelah ART, 3. Memiliki data CD4 naïve dan CD4 setelah HAART, 4. Memiliki selisih CD4 terakhir dengan CD4 naïve positif, dan 5. Memiliki kepatuhan berobat. Durasi pemberian HAART (bulan) dikelompokkan dalam kelompok waktu: 1)
HEMATOLOGIC EXAMINATION IN PULMONARY TUBERCULOSIS PATIENT ADDMITTED IN GENERAL HOSPITAL WEST NUSA TENGGARA BARAT PROVINCE IN 2011- 2012 Fathana, Prima Belia; Buanayuda, Gede Wira; Putri, Novia Andansari
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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Latar Belakang: Indonesia masih menempati urutan ke 3 di dunia untuk jumlah kasus TB setelah India dan China. Tuberculosis dapat menyebabkan berbagai perubahan pada pemeriksaan hematologi, perubahan ini melibatkan komponen plasma dan komponen sel. Perubahan hematologi ini dapat menjadi petunjuk yang berharga untuk mendiagnosis, petunjuk terhadap adanya komplikasi dan petunjuk untuk memberikan terapi spesifik Tujuan :untuk mengetahui gambaran hasil pemeriksaan hematologi pada pasien tuberculosis paru yang menjalani rawat inap di RSUP NTB tahun 2011 sampai dengan 2012. Metode :merupakan penellitian deskriptif retrospektif dengan pendekatan cross sectional. Penelitian dilakukan selama periode januari sampai dengan maret 2013 dengan mengambil sampel hasil pemeriksaan hematologi pasien Tb paru yang diperoleh dari rekam medis. Hasil :Didapatkan 61 sampel yang memenuhi kriteria inklusi dan eksklusi, dengan hasil 78.2 % penderita Tb paru mengalami anemia dan berdasarkan morfologinya anemia yang terbanyak diderita ialah Mikrositik hipokromik ( 81,48 %). Pada hasil penelitian juga didapatkan leukositosis sebanyak 49,2 %, monositosis sebanyak 54,1 % dan pasien yang mengalami limfopenia sebanyak 13.1%. Pada penghitungan trombosit didapatkan kadar trombosit normal sebanyak 72.1% dan trombositosis pada 24.6 % pasien Kesimpulan :anemia mikrositik hipokrom merupakan jenis anemia yang terbanyak dijumpai (81,48%), leukositosis didapatkan pada49,2 % pasien serta trombositosis didapatkan pada 24,6 % pasien Kata Kunci :Pemeriksaan Hematologi, Tb Paru, Anemia Mikrositik Hipokromik
KEJANG DEMAM PADA ANAK SP, Wayan Sulaksmana; Sukardi, Sukardi; Dalimunte, Abdul Razak
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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Febrile convultion is a neurological disorder that is often found in children. Fever is usually caused by an infection outside of the central nervous system such as : Upper respiratory tract infection,gastroenteritis, urinary tract infection, etc. Febrile siezures in general brief form : tonic, tonic-clonic,focal or partial. Febrile convultion should receive prompt and appropriate treatment because of delays and procedural errors would cause sequel and death. Appropriate education for parents about febrile convultion is unbelievably necessary to reduce anxiety. Keywords : seizure,fever,anticonvulsanst
EFEKTIVITAS PETIDIN 25 MG INTRAVENA UNTUK MENCEGAH MENGGIGIL PASCA ANESTESI UMUM Kresnoadi, Erwin; Rahman, Hadian; Affarah, Wahyu Sulistya
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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Background : Post anesthesia complication scan be caused by various factors, shivering is quite frequently encountered complications during recovering time. Risks that may happen is increasing of metabolism and make post operative pain worst. This study proves petidine can be used as an alternative to prevent shivering after general anesthesia. Methods : This research includes phase II clinical trials, the sample selection by Quota Sampling of patients are being prepared for elective surgery with general anesthesia, aged 20-40 years, ASA I-II, all patients who meet the criteria for inclusion in the sample until the required number met, willing to volunteer. Randomization was done at the end of the operation. Patients were divided into two groups, Pand S.Severity of shivering were recorded and assessed. Results : Characteristics of patients five minutes before induction did not significant differences. Measurement of systolic blood pressure and heart rate immediately after extubation showed significant differences. Duration of shivering in saline group occurredin almost the same when compared with the treatment group, because after the shivering, the patient is given immediate intervention of meperidine of 25mg for the treatment of shivering occurred, especially given to people who experience shivering with2nd, 3rd, or 4th degree. For patients shivered first degree was given meperidine administration intervention. Duration of shivering in the control group took place in almost the same time. Conclusion : Pethidine had a good effectiveness in preventing the occurrence of shivering after general anesthesia. Keywords: Pethidine, shivering after general anesthesia.
KAJIAN KOMPREHENSIP TENTANG BENDA ASING DALAM HIDUNG Kadriyan, Hamsu
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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Latar belakang.Benda asing dalam hidung merupakan kasus yang dapat ditangani oleh dokter umum sampai tuntas berdasarkan standar kompetensi dokter Indonesia. Angka kejadiannya cukup sering dan terutama mengenai anak usia 2-5 tahun. Tujuan makalah ini adalah untuk memberikan gambaran komprehensip tentang benda asing di dalam hidung sehingga dapat menjadi rujukan dalam penatalaksanaan kasus-kasus benda asing di dalam hidung. Benda asing dihidung dapat berupa benda eksogen maupun benda ndogen. Benda eksogen dapat berupa benda organik seperti kacang-kacangan, bunga, lintah dan lain-lain, sedangkan benda anorganik seperti batu, manik-manik, potongan mainan dan lain-lain. Benda asing endogen dapat berupa sekret kental, krusta, cairan amnion dan lain lain. Dalam penegakan diagnosis perlu dilakukan anamnesis dan pemeriksaan yang cermat untuk menentukan jenis dan lokasi benda asing, kalau perlu dapat dilakukan pemeriksaan tambahan dengan endoskopi atau pemeriksaan radiologis untuk memastikannya.Penatalaksanaan benda asing dalam hidung sangat tergantung pada jenis benda asingnya, ketersediaan peralatan dan keterampilan serta kenyamanan dokter untuk mengurangi resiko komplikasi. Simpulan.Kasus-kasus benda asing pada hidung perlu mendapatkan perhatian dari dokter baik dokter umum maupun dokter spesialis.Kasus benda asing merupakan kasus sederhana tetapi diperlukan keterampilan untuk mengeluarkannya dengan resiko komplikasi yang minimal. Kata kunci : Benda asing, kavum nasi, dokter
A REVIEW: THE RISK OF IRON DEFICIENCY WITHIN INFANTS WHO ARE EXCLUSIVELY BREAST FED FOR THE FIRST SIX MONTHS: CASES IN DEVELOPED COUNTRIES Cholidah, Rifana
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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This review aims to discuss about the risk of iron deficiency within infants who are exclusively breast fed for the first six months after birth, especially in developed countries. It is well documented that iron deficiency is one of the most common nutritional disease among babies and young children. This commonly occurs during an increased need of iron supply particularly in the first period of life. The WHO and many health authorities recommend to exclusively breast fed babies for the first six months of their life for the best achievement on growth, health and development, and no adverse outcome on growth have been reported for breastfeeding babies exclusively for six months. However, a lower level of iron has been identified in some developing country settings.There have been few studies specifically to examine the relationship between infants who are exclusively breast fed for the first six months after birth and the prevalence of iron deficiency in developed countries. Based on the evidence, there are several factors may affect iron stores depletion of babies and toddlers such as dietary intake, socioeconomic, low iron concentration of weaning foods, cow‟s milk consumption and prolonged duration of breastfeeding. Most studies that have been carried out have concluded that there is little risk of iron deficiency and iron deficiency anaemia in infants who are exclusively breast fed for the first six months after birth. It seems that only infants with unusual low iron stores at birth are at risk of deficiency if breast fed exclusively for six months.
STRESS HIPERGLIKEMIA Kresnoadi, Erwin
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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Stress hiperglikemia adalah hiperglikemia yang timbul pada saat seseorang menderita sakit dimana individu tersebut terbukti tidak menderita diabetes sebelumnya. Terdapat kombinasi beberapa faktor yang berdampak timbulnya stress hiperglikemia pada pasien kritis. Kata kunci : stress hiperglikemia, diabetes, pasien kritis.
THE RELATIONSHIP BETWEEN CHILD OBESITY AND BONE HEALTH Cholidah, Rifana
Jurnal Kedokteran Vol 2 No 3 (2013)
Publisher : Faculty of Medicine Universitas Mataram

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Since early childhood obesity has increased dramatically in the recent year, many researchers observe the relationship of excess fat mass during childhood and many health consequences including with bone health. This review aims to examine the relationship between childhood obesity and bone health. The results are conflicting. Several results show that fat mass have a strong positive relationship with increase bone mass and bone area, while other studies found obesity may increase the risk of fracture and may be detrimental on bone health. By these findings, further studies should be conducted to examine the effect of childhood obesity and bone health, also to evaluate the mechanisms how excess fat mass may increase or reduce bone growth.

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