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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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SEBOROIC DERMATITIS IN CHILDREN WITH HYDROCEPHALUS AND MALNUTRITION: HOW IS THE CORRELATION ? Sintya Dwi Cahyani; Dedianto Hidajat
Unram Medical Journal Vol 11 No 1 (2022): vol 11 no 1
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i1.646

Abstract

Abstract Seborrheic dermatitis is a chronic recurrent inflammation of the skin that manifests as well-defined erythematous macules or plaques with oily yellow-white scales accompanied by pruritus. This condition usually occurs as an inflammatory response to Malassezia species and tends to occur in areas with a large number of sebaceous glands. Seborrheic dermatitis in children often occurs on the scalp, eyebrows, skin behind the ears, diaper area, skin folds on the neck and under the arms. Various intrinsic and environmental factors, such as sebaceous gland secretion, skin fungal colonization and individual susceptibility all contribute to the pathogenesis of seborrheic dermatitis. We discuss a case of a 5 year old child with clinical hydrocephalus and poor nutrition accompanied by complaints of dandruff with a yellowish color that is intermittent. Initially, a red patch was seen on the patient's left nape which gradually spread to both sides. After 1-2 days the redness becomes yellowish and brittle dandruff. These complaints began to arise when the patient's head was getting bigger so that the patient seemed difficult to move his head. Description of the lesion on the back of the scalp to the folds of the neck in the form of solitary erythematous macular lesions, plaque-shaped, well-defined, irregular, regionally distributed in the posterior cervical region, accompanied by thin yellowish and oily scales. The patient was diagnosed with seborrheic dermatitis. It is important to know the risk factors and management in cases of seborrheic dermatitis to prevent recurrence. Kata kunci : Seborrheic dermatitis, malnutrition, immunocompromised
Hubungan Pola Makan dengan Kejadian Gastroesophageal Reflux Disease pada mahasiswa Fakultas Kedokteran Universitas Mataram Faris Rizki Ardhan; Catarina Budyono; Rifana Cholidah
Unram Medical Journal Vol 11 No 1 (2022): vol 11 no 1
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i1.647

Abstract

Pendahuluan: Berdasarkan penelitian dari Arab Saudi prevalensi GERD 23,5 - 45,4%. Prevalensi GERD mahasiswa umum di Arab Saudi didapatkan 23,8%. Adapun data prevalensi pada mahasiswa kesehatan di Arab Saudi yaitu 28,6% dan GERD pada mahasiswa Fakultas Kedokteran Universitas Syiah Kuala sebesar 17,9%. Di Indonesia belum ada data mengenai prevalensi GERD, namun studi yang dilakukan di Rumah Sakit Cipto Mangunkusumo menyatakan bahwa adanya peningkatan prevalensi pasien GERD. Salah satu faktor risiko yang dapat mempengaruhi kejadian GERD adalah pola makan makan yang buruk. Metode: Penelitian dengan metode age and sex match case control. Sampel penelitian adalah mahasiswa Fakultas Kedokteran Universitas Mataram. Teknik pengambilan sampel consecutive sampling. Analisis data dilakukan dengan uji Chi Square. Hasil: Dari 118 mahasiswa didapatkan 43 orang dengan pola makan baik dan 16 orang dengan pola makan buruk pada kelompok kasus sedangkan pada kelompok kontrol didapatkan 52 orang dengan pola makan baik dan 7 orang dengan pola makan buruk. Analisis yang digunakan yaitu uji Chi Square menunjukan terdapat hubungan antara pola makan dengan kejadian Gastroesophageal Reflux Disease (p=0,036) dan didapatkan odds ratio pola makan terhadap GERD (OR 2,764 CI 95% 1,042 – 7,334) Kesimpulan: Terdapat hubungan antara pola makan dengan kejadian Gastroesophageal Reflux Disease pada mahasiswa Fakultas Kedokteran Universitas Mataram. Kata Kunci: GERD, Pola Makan, Mahasiswa Kedokteran
Faktor Risiko Reaksi Erythema Nodosum Leprosum di RSUD Patut Patuh Patju Tahun 2016-2020 Eva Aguswulandari Suwito; Farida Hartati
Unram Medical Journal Vol 11 No 1 (2022): vol 11 no 1
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i1.649

Abstract

Latar belakang: Morbus Hansen (MH) atau penyakit kusta merupakan penyakit infeksi pada kulit yang bersifat kronis, disebabkan oleh bakteri Mycobacterium leprae. Terdapat dua jenis reaksi kusta yaitu tipe Reversal dan tipe Erythema Nodosum Leprosum (ENL). ENL merupakan komplikasi penyakit kusta berupa reaksi hipersensitivitas tipe III dengan peradangan akut karena respon berlebihan tubuh terhadap M. leprae. Tujuan: Penelitian ini dilakukan untuk mengetahui faktor risiko yang mempengaruhi terjadinya reaksi ENL pada pasien MH. Metode: Penelitian ini merupakan penelitian observasional analitik menggunakan data sekunder yang diperoleh dari catatan rekam medis pasien MH yang berkunjung ke Poliklinik Kulit dan Kelamin RSUD Patut Patuh Patju selama tahun 2016 – 2020. Penelitian ini menggunakan desain case control dengan jumlah sampel 40 pasien MH yang dibagi menjadi 20 pasien kelompok kasus (pasien yang mengalami reaksi ENL) dan 20 pasien kelompok kontrol (pasien tidak mengalami reaksi ENL). Pengolahan data dilakukan dengan cara univariat dan bivariat untuk melihat faktor risiko apa saja yang berpengaruh terhadap kejadian ENL. Hasil: Faktor yang secara signifikan berpengaruh terhadap terjadinya ENL yaitu jenis kelamin (p=0,023), koinfeksi dengan penyakit lain (p=0,030), Indeks Bakteri ?2+ (p=0,044), serta usia (p=0,048).
Analysis of the Effect of Sitting Online Learning Position with Back Pain on Medical Students Ayu Andira Sukma
Unram Medical Journal Vol 11 No 2 (2022): vol 11 no 2 2022
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i2.650

Abstract

Back pain has become a phenomenal in itself in society because the higher and the earlier the incidence, which causes a decrease in the productivity of the individual. This case is also increasing during the Covid 19 pandemic, where learning activities, discussions, meetings or other activities are carried out online which require a person to sit in front of a computer or mobile phone for a long period of time without regard to position during online activities. In medical students this is also very influential, they are at high risk of spinal pain because they have a very dense curriculum that makes their lifestyle become sedentary, stressful daily activities, less hours of sleep, long study hours, practicum, and successive class schedules. The purpose of this journal literature is to analyze the effect of online learning positions on medical students with the incidence of spinal pain. Journal searches are carried out through Google Scholar by filtering research journals indexed nationally and internationally from 2016-2021. The results showed that there was an effect of online learning position on the incidence of spinal pain in medical students.
UJI EFEK PROTEKTIF MADU PADA JARINGAN DUODENUM TIKUS JANTAN GALUR WISTAR YANG DIBERI PAJANAN ASPIRIN Agung Prasetyo Agung
Unram Medical Journal Vol 11 No 2 (2022): vol 11 no 2 2022
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i2.654

Abstract

Background: Peptic ulcer is a damage to the mucosal layer generally in the stomach or duodenum. Aspirin is one of group called NSAIDs which cause peptic ulcer disease. Honey has antioxidant activity from (the) compounds contained in honey in the form of flavonoids and phenolic acids. Noor et al proved that honey can protect the body from the chemical toxic effects. Objective/aim: Determine the protective effect of honey on aspirin induced duodenal tissue of wistar rats. Methods: The design of this study was a randomized post test only control group. This study used 30 rats divided into 5 groups: normal control group (KN), treatment group M dose I (KP1) (1.55ml / kgBB),treatment group M dose II (KP2) (3.1 ml / kgBB), positive control group (K+) (sucralfate 4 ml / kgBB), and the negative control group (K-) (aspirin 400mg/kgBB). Honey was given orally for 7 days. One hour after administration of honey, rats were given aspirin 400 mg / kgBB. The rats were killed on the 8th day and the duodenal was taken for histopathology assessment. Data analysis used SPSS version 23.0 with Kruskal Wallis followed by Post Hoc Mann Whitney. Results: Lighter damage was obtained in the treatment group (KP1 and KP2) compared to the negative control group (K-) (p <0.050). Conclusion: Honey provides a protective effect on rat’s duodenal tissue given aspirin exposure.
Perspektif Remaja dan Pengasuh yang Hidup dengan HIV/AIDS terhadap Hambatan Pengungkapan Status HIV terkait Kepatuhan Pengobatan pada Masa Milenial Rio Ady Erwansyah; Nursalam; Ninuk Dian K
Unram Medical Journal Vol 11 No 2 (2022): vol 11 no 2 2022
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i2.657

Abstract

Disclosure of HIV status in children is part of comprehensive HIV management. Children must be informed about their illness diagnosis and explained if they must undergo long-term treatment. However, in the process, many obstacles are often encountered, such as stigma in the community that makes children reluctant to disclose their child's HIV status and the lack of experts who support the process. The stigma in the community also hinders adolescents in the process of adherence to treatment because of the fear related to discrimination and stigmatization that will be obtained. This systematic review was conducted through Scopus, Science Direct, and SAGE. The selection of inclusion criteria articles, articles published in the last five years and published in English, discussed the perspective of covering children's HIV status. Articles published not in English and articles with unclear literature except in this study. The PRISMA flowchart and JBI assessment checklist assessed bias and article quality. Twenty relevant articles will be reviewed. The results found that in caregiving and health workers should share responsibility and roles in diagnosis to support adolescents living on treatment and acceptance of their HIV status, empowering them to take responsibility for their health.
POTENSI TERAPI PROBIOTIK SEBAGAI TERAPI ALZHEIMER MELALUI GUT-BRAIN AXIS Nafatasya Ayu Rahmansyah
Unram Medical Journal Vol 11 No 2 (2022): vol 11 no 2 2022
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i2.658

Abstract

ABSTRAK Alzheimer's disease is a neurodegenerative disease characterized by loss of memory and decreased cognitive function. Symptoms of Alzheimer's disease include confusion, incorrect assessment, irritation, withdrawal, and hallucination. Microbiota Gut-Brain Axis (MGBA) is a complex communication system between GIT, gut microbiota and central nervous system that transmits information to and from the brain and used to treat and improve symptoms of mental disorders with probiotic (live bacteria). The Purpose of this review is to determine relationship between the gut-brain axis and probiotic as a treatment for mental disorders. This study is a research with literature study using Google Scholar, PubMed and Science Direct with keywords (Alzheimer's) AND (probiotic AND Alzheimer's). The types of articles used are meta analysis, systematic literature review, narrative review and use Indonesian and English free full text publication between 2012-2022. The final articles selected by the authors were 15 journal articles. The literature study found the long-term benefit of using probiotic that can improve health function and development as well as cognitive maturation and diet therapy as a therapy in Alzheimer's disease. The role of probiotic is to improve function and health development and cognitive maturation. Keywords: Alzheimer’s, Gut-Brain Axis, Probiotics, Diet
Hubungan Mekanisme Koping dengan Tingkat Stres Selama Perkuliahan Jarak Jauh pada Mahasiswa Prodi Pendidikan Dokter Universitas Mataram Lalu Wisnu R Danu Ningrat
Unram Medical Journal Vol 11 No 2 (2022): vol 11 no 2 2022
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i2.661

Abstract

Pendahuluan: Dunia saat ini sedang dihadapkan dengan pandemi Covid-19. World Health Organization (WHO) menetapkan Covid-19 sebagai pandemi global sejak 11 maret 2020 hingga saat ini. Salah satu bentuk upaya pencegahan terhadap perkembangan dan penyebaran Covid-19 di Indonesia, Kementerian Pendidikan dan Kebudayaan mengeluarkan surat edaran yang menyatakan agar seluruh kegiatan belajar mengajar baik di sekolah maupun perguruan tinggi menggunakan metode dalam jaringan (daring) atau online. Masalah mental seperti stres kecemasan bahkan depresi semakin meningkat di masa pandemi ini kemudian Penyesuaian diri untuk mengatasi masalah stres dilakukan dengan mekanisme koping. Metode: Penelitian ini merupakan penelitian observasional analitik dengan pengambilan data secara cross-sectional. kuesioner yang digunakan adalah Medical Student Stressor Questionnaire (MSSQ) untuk tingkat stres dan Brief Cope Inventory untuk mekanisme koping. Hasil: dari 188 responden, mahasiswa yang mengalami stres sedang memiliki persentase paling besar yaitu sebanyak 50,5% (95 orang), Selain itu didapatkan mekanisme koping yang paling banyak digunakan adalah Emotion Focused Coping yakni sebanyak 144 orang (76,6%) sedangkan yang memilih Problem Focused Coping sebanyak 44 orang ( 23,4%). Berdasarkan uji statistik yang dilakukan yakni menggunakan Chi-Square didapatkan nilai p sebesar 0,01, artinya (p< 0,05) hal ini menyatakan terdapat hubungan antara mekanisme koping dengan tingkat stres selama perkuliahan jarak jauh pada mahasiswa Prodi Pendidikan Dokter Fakultas Kedokteran Universitas Mataram dengan nilai koefisien korelasi sebesar 0,22 dimana hal tersebut menunjukkan hubungan korelasi yang sangat lemah. Kesimpulan: Sebagian besar responden mengalami stres dengan tingkat sedang dan lebih banyak menggunakan Emotion Focused Coping Kata Kunci : Tingkat Stres, Mekanisme Koping, PJJ
GLAUKOMA FAKOMORFIK: SEBUAH TINJAUAN PUSTAKA Fredy Ciputra
Unram Medical Journal Vol 11 No 2 (2022): vol 11 no 2 2022
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i2.662

Abstract

Phacomorphic glaucoma is secondary angle-closure glaucoma caused by thickening of the lens. Angle narrowing can occur slowly as cataract advances resulting in forward bowing of the iris caused by intumescent lens. Risk factors for phacomorphic glaucoma are age, gender, anterior chamber depth, axial length, and hypermetropia. Phacomorphic glaucoma is a clinical diagnosis that can be established simply by history and physical examination. Signs and symptoms experienced by patients with phacomorphic glaucoma, similar to other angle-closure glaucoma, are red eyes, pain, decreased visual acuity, increased IOP, corneal edema, anterior bowing of iris, narrow chambers and lens opacity as a sign of cataracts. The main treatment for phacomorphic glaucoma is cataract extraction, which can only be achieved after good control of IOP through drugs or laser. Early recognition of signs and symptoms of phacomorphic glaucoma and appropriate and prompt preoperative treatment greatly affect the course of surgery and the final visual outcome. Given that the COVID-19 pandemic has caused many people to delay getting their medical checkups, including cataracts checkups, the incidence of phacomorphic glaucoma may increase. This makes it important for clinicians to recognize phacomorphic glaucoma.
Derajat kontaminasi SARS-CoV-2 pada lingkungan di Rumah Sakit Universitas Mataram Bayu Tirta Dirja
Unram Medical Journal Vol 11 No 2 (2022): vol 11 no 2 2022
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v11i2.663

Abstract

Since 2019, SARS-COV2 has become a global pandemic. Many hospitals has become designated hostilas for the treatment of SARS-COV2 patients. As part of preventive measures, hospitals are required to conduct routine desinfection procedure to minimize the risk of virus transmission. Therefore this study aims to evaluate surface contamination of SARS COV2 at the emergency ward, outpatients SARS COV2 ward and inpatient ward for SARS-COV2 in how hospital. Surface samples were collected for viral RNA detection 5 hours post decontamination. Detection for SARS-COV2 was performed with quantitative reverse transcription polymerase chain reactin. As many as 18 sampels were collected on October 2021. No samples were detected for the trace of SARS-COV2. Hence this could suggests that sufficient decontamination and preventive measures conducted by healthcare workers were established in our hospital.

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