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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 408 Documents
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FIBRILASI VENTRIKEL: MENGENALI AWITAN HINGGA TATALAKSANA Yusra Yusra Pintaningrum
Unram Medical Journal Vol 10 No 2 (2021): Jurnal Kedokteran Juni 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i2.558

Abstract

Aritmia merupakan suatu kondisi yang merujuk pada setiap gangguan frekuensi, regularitas, lokasi asal, atau konduksi impuls listrik jantung. Fibrilasi ventrikel (FV) merupakan salah satu bentuk dari aritmia yang cukup sering ditemukan. FV ditandai dengan kondisi denyut jantung cepat dan aktivitas listrik yang tidak teratur. FV dapat ditimbulkan akibat beberapa kondisi meliputi ischemic heart disease, chronic kidney disease, hipertensi, kardiomiopati, kelainan aorta, kelainan katup jantung, dan gangguan pasca operasi. Ditinjau dari perjalanannya, FV ini diawali dengan adanya otomatisitas ektopik, peningkatan aktivitas listrik, dan blok searah karena kelainan konduksi sehingga mengakibatkan adanya aliran reentry. Terdapat beberapa alat diagnostik FV, antara lain elektrokardiografi (EKG), ekokardiografi, magnetic resonance imaging (MRI), angiografi CT koroner dan angiografi koroner, pengujian elektrofisiologi, serta pemeriksaan laboratorium. FV dapat ditangani dengan tindakan cardio-pulmonary resuscitation (CPR), defibrilasi, pemberian medikamentosa, dan tindakan post-cardiac arrest.
Mola Hidatidosa wanita usia 43 tahun dengan kehamilan 11 minggu: Laporan kasus cipta pramana
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.436

Abstract

Hydatid mole is one of the cases where the net occurs. Diagnosis of molar must be done immediately and precisely because it can become malignant and can cause seriousness due to heavy bleeding. We report a 43-year-old woman 11-weeks pregnant with complaints of vaginal bleeding. This case is interesting because the patient has a risk factor, namely 43 years old. On vaginal examination, blood was found, the external uterine ostium was open and the fundal height was felt like 24 weeks of gestation. A positive urine ?-hCG titers up to 1/400 and ultrasound on the abdomen revealed a snowstorm appearance without the fetus. Diagnosis of the hydatidiform mole is complete and then curettage is performed. The collected tissue is taken for histopathological examination. There were no complications during and after the curettage procedure. The patient came home in good condition and healthy.
IDENTIFIKASI FAKTOR RESIKO TERJADINYA INFEKSI KECACINGAN PADA MURID SEKOLAH DASAR NEGERI 1 BAGIK POLAK BARAT DI KECAMATAN LABUAPI KABUPATEN LOMBOK BARAT Lale Maulin Prihatina
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.451

Abstract

Background: Helminthiasis is infestation with one or more intestinal parasitic worms occurred in human body, mostly caused by roundworms (Ascaris lumbricoides), whipworms (Trichuris trichiura), and hookworms (Necator americanus and Ancylostoma duodenale). More than 1.3 billion people are infected with soil-transmitted helminth infections worldwide. Soil-Transmitted Helminthiasis (STH) can be contracted by humans in various age groups, however children are the most affected by the consequences of the infections. Over 400 million school-age children are infected by STH, and their cognitive and educational performances are affected by these infestations. Purpose: The objective of this study is to analyze varied risk factors of STH in Primary School Students of Sekolah Dasar Negeri 1 Bagik Polak, Labuapi Subdistrict, West Lombok Method: An observational, cross-sectional study was conducted, using questionnaire and structured interview. Risk Factors were evaluated through students' defecation behavior, practices on hand hygiene, footwear use, and other sanitation-related practices and knowledge. Fecal examinations were performed to establish helminthiasis diagnosis. A Chisquare test was used to analyze the collected data. Results and Conclusions: STH were diagnosed in 8.6% of respondents. There was no correlation identified between mother's' level of knowledge and diagnosis of STH (87.7% with good level of knowledge in regard to STH). Significant correlations were identified between diagnosis of STH and students' level of personal hygiene (p=0.044), and family members' practices in regard to helminthiasis prevention (p=0.01).
HUBUNGAN ANTARA GAMBARAN SITOLOGIS DENGAN METODE FNAB DAN RESPONS TERAPI PADA PASIEN LIMFADENITIS TUBERKULOSIS DI RSUD PROVINSI NTB PADA TAHUN 2019 Halidagia Reksadita Lugina gia
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.461

Abstract

Introduction: Indonesia is a country with the highest Mycobacterium tuberculosis infection along with 48 other countries. About 60 – 90% cases of Mycobacterium tuberculosis infection infects the lymph nodes in the cervical region. The use of the fine needle aspiration biopsy (FNAB) method in the examination of enlarged lymph nodes is an accurate minimally invasive technique and is widely applied. Method: This is an observational analytic study with total sampling method. The data were obtained by documenting the medical records of tuberculosis lymphadenitis patients who were treated at the RSUD Provinsi NTB in January to December 2019. The research subjects were 50 patients. The analysis was performed by Spearman correlative hypothesis using SPSS 25.0. Result: The total number of study subjects was 50 people (5 patients with type-1 cytological features, 20 patients with type-2 cytological features, and 25 patients with type-3 cytological features). Correlation of cytological features with enlarged lymph nodes and weight loss was < 0.005, whereas the therapeutic response in the form of fever showed a value of > 0.005. Conclusion: There was a significant relationship between cytological features and lymph node enlargement and weight loss after taking anti-tuberculosis drugs for at least 6 months, while the association between cytological features and the incidence of fever was not significant.
HUBUNGAN ADEKUASI HEMODIALISIS DENGAN STATUS GIZI PASIEN PENYAKIT GINJAL KRONIS YANG MENJALANI HEMODIALISIS REGULER Ajeng Sulistianing Utami; I Gede Yasa Asmara; Deasy Irawati
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.472

Abstract

Background: The quality of hemodialysis (HD) is one of the predictor factors of mortality and morbidity in patients with CKD 5. Increasing the adequacy of hemodialysis that can be evaluated from dosage’s sufficiency and effectivity, also can reduce the risk of having complications and side effects to certain organs. One of the complications that can be appeared is malnutrition. The aim of this research is to study the correlation between hemodialysis adequacy with CKD stage 5 patient’s nutritional status. Method: This research was held on August until September 2020 in Hemodialysis Unit of RSUD Kota Mataram. The research was a cross-sectional approach. There were 51 sample that are fit the inclusion and exclusion criterias. The data collection was done by recording the patients medical records. HD adequacy was assessed by patient's Kt/V and nutritional status was assessed by BMI parameter and patient's serum albumin level. The correlation test that was used in this research is Spearman correlation test to determine the correlation between variables. Result: In this research, sample’s mean age was 55,1 years old with 51% male and 49% female. The analysis correlation that was determined by using Spearman correlation test showed that, the correlation between HD adequacy and patient’s BMI was p=0.967 and r=0.006 and the correlation between HD adequacy and patient’s serum albumin level was p=0.662 and r=0.063. Conclusion: There was no significant correlation between HD adequacy and patient’s nutritional status. Key Words: Chronic Kidney Disease, Hemodialysis Adequacy, Nutritional Status, Body Mass Index, Serum Albumin Level
TOTAL COLONIC AGANGLIONOSIS: DILEMA DIAGNOSIS DAN DAMPAK JANGKA PANJANG Qisthinadia Hazhiyah Setiadi
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.496

Abstract

Total colonicic aganglionosis (TCA) is a rare variant of Hirschsprung (HSCR). It occurs in approximately 2% -13% of the cases. Diagnosis TCA is challenging. Total colonic aganglionosis appears to represent a different clinical manifestation from other types of HSCR, both from clinical, radiologic, and histologic aspect. The underlying pathophysiologic is also thought to be due to a number of pathophysiologic mechanisms that differ from other types of HSCR. It is not yet clear whether TCA merely represents a long form of HSCR or a different expression of other disease. In addition, the complication and long term outcome after surgery are also a challenge. Over the last several decades, improvements in the post operative care have led to lower mortality rate, which is now less than 5%. However, morbidity remained significant. The problem in TCA is not about its operative management, but lies in the accuracy of diagnosis and management of complication after surgery. Improvements in supportive care especially after surgery, early detection, and proper treatment have led to the increased rate of survival in TCA.
Uji Keseragaman Bobot Racikan Pulveres pada Pasien Anak di Puskesmas Daerah Kota Mataram Yosi Agsanita
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.539

Abstract

Background : Weight uniformity becomes a determining factor in therapeutic success, which indicates the accuracy of drug dosage. One of the disadvantages of distributing divided powders preparations by the visual method is the non-uniformity of weight. Divided powders are still prescribed for pediatric patients. The slight change in dosage can caused different effects in pediatric patients. Objective : The purpose of this study was to determine the weight uniformity of divided powders in prescribing pediatric patients at 10 public health centers in Mataram. Method : This study was a descriptive research with a cross-sectional design. The sampling method used was non-probability sampling with a saturated sampling technique. The weight uniformity standard of divided powders follows Farmakope Indonesia III guidelines. Microsoft Excel 2010 software was used to analyze the data. Results : The maximum standard deviation of each 30 divided powders prepared in the morning and the afternoon were 107.75% and 70.17%, respectively. Conclusion : All divided powders tested do not fulfill the requirements in the weight uniformity of divided powders according to the Farmakope Indonesia III standard because they had >15% of deviation.
KESIAPAN DOKTER UMUM UNTUK PELAYANAN KACAMATA DI FASILITAS KESEHATAN TINGKAT PERTAMA DI KOTA MATARAM, NUSA TENGGARA BARAT Isna Kusuma Nintyastuti
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.546

Abstract

Refractive errors are cases of eye disease with competency level 4 based on the 2012 Indonesian Doctor Competency Standards (SKDI). If the facilities and competencies are ready, refractive errors would no longer need to be referred to ophthalmologists. The application of the competency in the practice of general practitioners (GPs) has never been recorded. Therefore, a study was needed regarding the readiness of GPs to give that service in First Level Health Facilities (FKTP). Readiness needs to be assessed in terms of competence and supporting infrastructures. This study aims to determine the level of readiness of GPs in Mataram. The method used was descriptive cross-sectional. There were 28 general practitioners participated. Judging from the readiness of facilities and infrastructure, there were 7 (25%) doctors did not have a practice room with a length of 6 or 3 meters. The most widely owned equipment was Snellen optotype (85.71%), while those not owned were trial lenses (14.29%) and trial frame (10.71%). Most GPs feel competent to correct refractive errors (57.1%) but were still hesitant to provide eyeglass correction services at FKTP (53.6%). All GPs stated that they referred alls patients with refractive errors. However, most doctors (71.4%) agreed that eyeglass examination services should be available at the FKTP. In conclusion, there was still a lack of facilities and infrastructures for eyeglass correction services in most GPs' practice rooms in Mataram. General practitioners in the Mataram area felt that they are competent enough to carry out examinations and correct refractive errors.
TUBERKULOSIS TRAKTUS URINARIUS Lalu Shaktisila Fatrahady
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.551

Abstract

Tuberculosis (TB) is an infectious disease caused by the bacteria MTB (Mycobacterium Tuberculosis). TB can affect all organs, especially the lungs as primary infection site, and outside the lungs (extra-pulmonary TB) such as the skin, lymph nodes, bones, urinary tract (kidneys, ureters, and bladder), testes, and the membranes of the brain. TB is transmitted through infectious droplets inhaled by healthy people. Renal tuberculosis usually originates from hematogenous spread from the lungs, although sometimes it can originate from the gastrointestinal tract or bone. Tuberculosis of the ureters and bladder occurs secondary to the flow of urine from the kidneys. TB can also occur in the urethra, but it is rare. Clinical manifestations of urinary tract TB can be fever, hematuria, low back pain or pyuria. Complications of urinary tract TB can occur urinary tract obstruction due to strictures, urosepsis, and kidney failure, both acute and chronic. Treatment for urinary tract tuberculosis is same as for pulmonary tuberculosis. Surgery treatment is required if there is obstruction of the urinary tract.
Prevalensi Retinopati Diabetik pada Penderita Diabetes Mellitus pada Komunitas Prolanis di Kota Mataram tahun 2018 Monalisa Nasrul
Unram Medical Journal Vol 10 No 3 (2021): Jurnal Kedokteran volume 10 nomor 3 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i3.552

Abstract

Background: Diabetic retinopathy (DR) is main cause of blindness in diabetic patients all over the world. Diabetic retinopathy prevalence in Asia is 10-43.1%. National data is not established yet. Awareness and early detection for diabetic retinopathy as an important part of preventing blindness remains low hence the possibility for increasing blindness due to diabetic retinopathy. Purpose: to measure diabetic retinopathy prevalence among diabetic patients in Prolanis community in Mataram. Metode: a cross-sectional descriptive study includes best corrected visual acuity, intra ocular pressure, anterior segment, funduscopy and fundus photo. Diagnosis of diabetic retinopathy is established based on ETDRS criteria, classified as non proliverative diabetic retinopathy (NPDR) and proliverative diabetic retinopathy (PDR). Funduscopy is examined by an ophthalmologist followed by fundus photo with or without dilating the pupils in an eye clinic in Mataram. Results: of 68 diabetic patients, there are 19 patients with diabetic retinopathy (28.36%). Those patients are mostly female, age 40-75 years old, diagnosed with diabetes for more than 10 years duration, have no complaints of blurred vision, best corrected visual acuity are better than 0.3 and have health insurance. Conclusion: prevalence of diabetic retinopathy in Prolanis community of diabetic patients in Mataram is 28.36%.

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