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Mutiara Medika: Jurnal Kedokteran dan Kesehatan
ISSN : 14118033     EISSN : 26140101     DOI : 10.18196/mm
Core Subject : Health,
Jurnal Mutiara Medika Fakultas Kedokteran dan Ilmu Kesehatan (MMJKK) Universitas Muhammadiyah Yogyakarta is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from basic sciences, clinical, and community or public health research to integrate researches in all aspects of human health.
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Articles 4 Documents
Search results for , issue " Vol 12, No 2 (2012)" : 4 Documents clear
Kadar Glukosa Darah pada Penderita Infark Miokard Akut dengan Diabetes Melitus sebagai Faktor Prediktor Kematian Sari, Rina Puspita; Widyatmoko, Agus
Jurnal Mutiara Medika Vol 12, No 2 (2012)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Muhammadiyah Yogyakarta

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Abstract

Infark miokard akut (IMA) merupakan penyebab kematian pertama di Indonesia. Insiden IMA tergantung pada risiko terjadinya aterosklerosis, salah satunya diabetes melitus (DM). Pada pasien DM, kadar glukosa akan meningkat dan beberapa penelitian melaporkan hubungan antara abnormalitas glukosa dan mortalitas tetapi hingga saat ini belum jelas. Penelitian ini bertujuan untuk mengetahui peran kadar glukosa darah terhadap mortalitas pada penderita IMA dengan DM. Penelitian ini menggunakan desain cross sectional dengan melihat data rekam medis 2006-2011 di rumah sakit. Pada 70 kasus yang didiagnosis IMA dengan DM hanya terdapat 38 kasus yang memenuhi kriteria inklusi dan eklusi. Pasien dibagi dua kelompok berdasarkan kadar glukosa darah saat masuk yaitu Grup 1 (<200 mg/dL) dan Grup 2 (> 200 mg/dL). Outcome pasien juga dilihat dan dibagi menjadi 2 kelompok yaitu baik dan meninggal. Hasil analisis Chi square menunjukkan tidak ada hubungan yang signifikan antara kadar glukosa darah dengan kematian pada penderita IMA dengan DM (p = 0.653, PR=2.4, CI=0.354-16.258). Pemeriksaan laboratorium juga tidak menunjukkan perbedaan rata-rata yang signifikan kecuali pemeriksaan leukosit. Disimpulkan kadar glukosa darah tidak berhubungan dengan kematian sehingga tidak dapat digunakan sebagai faktor prediktor kematian pada penderita IMA dengan DM. Kata kunci: infark miokard akut, diabetes melitus, glukosa darah, kematian Acute Myocardial Infarction (AMI) is the the first cause of mortality in Indonesia. The incidence of AMI depends on the risk of atheroschlerosis, one of them is diabetes melitus (DM). In DM’s patient, blood glucose level will increase and some research reported the correlation of glucose abnormal with mortality, but it’s not clear. The research aims to know correlation of blood glucose level to mortality in acute myocardial infarction with diabetes melitus patients. This research used cross sectional design by looked at the medical record datas 2006-2011 in hospital. There are 70 cases which diagnosed as AMI with DM, but only 38 cases which fulfilled inclusion and exclusion criterias. Patients divided into 2 Grups depend on the blood glucose level on admission, Grup 1 (<200 mg/dL), Grup 2 (>200mg/dL). We also looked out the patient’s outcome and divided into 2 Grups, recovered and dead. This result by using Chi square analysis does not show a significant correlation between blood glucose level with death in AMI with DM patients (p = 0.653, PR=2.4, CI=0.354-16.258). Laboratory examination also did not show a significant difference of mean except for leucocyte count. The conclusion is blood glucose level has no correlation with death in AMI with DM, so it can’t used as predictor factor of death in patients AMI with DM.
Hubungan Kadar Yodium Urin dengan Kejadian Anemia dan Tumbuh Kembang Remaja di Daerah Endemik GAKI Yogyakarta Noor, Zulkhah; Vinenza, Elga Ria; Rahmatina, Izza
Jurnal Mutiara Medika Vol 12, No 2 (2012)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Muhammadiyah Yogyakarta

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Abstract

Gangguan pertumbuhan fisik dan seksual serta Anemia pernisiosa masih sering dijumpai pada pasien hipotiroidisme subklinis. Tujuan dari penelitian ini adalah untuk mempelajari hubungan kadar ekskresi iodium urin (EIU) dengan anemia dan tumbuh kembang remaja termasuk indeks massa tubuh, usia menarche dan spermarche remaja di daerah endemik GAKI di Yogyakarta. Penelitian ini merupakan penelitian observasional, dengan desain secara cross sectional. Responden penelitian sebanyak 59 anak usia 12-16 tahun, terdiri dari 30 anak dari Lemahdadi, Bangunjiwo, Kasihan, Bantul dan 29 anak dari Karangwuluh, Temon  Kulon Progo. Kadar EIU diukur dengan metode dry digestion di BP GAKI Magelang, pengukuran darah dilakukan di Hi-Lab di Yogyakarta. Pertumbuhan dan perkembangan remaja diperoleh melalui kuesioner, timbangan dan stadiometer. Data dianalisis dengan uji Mann Whitney dan uji korelasi Spearman. Kadar EIU responden termasuk kategori berlebihan dan sangat berlebihan. Persentase tertinggi BMI normal (56,25%) diperoleh pada kelompok EIU optimal. Sebaliknya, persentase IMT kurang tertinggi terdapat pada kelompok EIU berlebih (76,47%)  dan sangat berlebih (58,82%). Usia menarche dan spermarche responden adalah normal. Presentase anemia ditemukan sebanyak 33,90%. Disimpulkan bahwa tidak terdapat hubungan antara tingkat EIU dengan BMI, usia menarche dan spermarche dan jenis anemia (p > 0,05). Impaired physical growth, sexual and Pernicious anemia is frequently found in patients with subclinical hypothyroidism. The purpose of this study is to investigate the relationship with the UIE levels of anemia, and growth and development of adolescents, including body mass index, menarche and spermarche of adolescent in two GAKY endemic areas in Yogyakarta. This study is an observational, cross sectional design. Respondents are 59 children aged 12-16 years, consisted of 30 children from Lemahdadi, Bangun Jiwo, Kasihan, Bantul. and 29 children from Karangwuluh, Temon, Kulon Progo. Urinary iodine levels was measured by digestion method in BP GAKY Magelang, blood measurement carried out in Hi-Lab in Yogyakarta. Adolescent growth and development obtained through a questionnaire, the scales and stadiometer. Data were analyzed with Mann Whitney test and Spearman correlation test. The level of UIE of respondents in the two areas of research were excessive and very excessive. Highest percentage of normal BMI (56.25%) obtained at optimal UIE group. In contrast, the highest percentage of less BMI present in excess UIE group (76.47%) and very excess (58.82%). Spermarche and menarche age of respondents were normal. Percentage of anemia was found as 33.90%. It can concluded that there was no relationship between the level of UIE with BMI, age of menarche and spermarche and type of anemia (p> 0.05).
Efek Paparan Pengharum Ruangan Cair dan Gel terhadap Gambaran Histologi Mukosa Hidung Rattus norvegicus Yuningtyaswari, -; Dwitasari, Verani
Jurnal Mutiara Medika Vol 12, No 2 (2012)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Muhammadiyah Yogyakarta

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Abstract

Pengharum berbentuk cair dan gel merupakan pengharum ruangan modern yang banyak digunakan masyarakat. Berbagai macam zat kimia diduga terkandung di dalamnya, seperti etanol, formaldehida, naftalena, fenol, ptalat dan xilena. Zat kimia pengharum masuk pertama kali ke dalam tubuh melalui rongga hidung. Penelitian ini bertujuan mengkaji perbedaan pengaruh paparan pengharum ruangan cair dan gel terhadap gambaran histologi mukosa respiratorius rongga hidung. Jenis penelitian adalah eksperimental dengan post-test only control group design. Subyek penelitian adalah 18 ekor tikus putih (Rattus norvegicus) jantan yang terbagi dalam 3 kelompok: kelompok kontrol negatif, kelompok pemaparan pengharum ruangan cair dan kelompok paparan pengharum ruangan gel. Data dianalisis menggunakan uji Kruskal Wallis dan dilanjutkan uji post hoc Mann-Whitney. Hasil penelitian menunjukkan perbedaan ketebalan antara kelompok pengharum ruangan cair dengan kelompok gel p 0,008 (p<0,05) dan antara kelompok pengharum ruangan cair dengan kelompok kontrol p 0,004 (p<0,05), sedangkan perbedaan ketebalan kelompok pengharum ruangan gel dengan kelompok kontrol p 0,197 (p>0,05). Disimpulkan paparan pengharum ruangan cair memberikan pengaruh yang lebih signifikan terhadap perubahan histologi mukosa respiratorius nasal dibandingkan paparan pengharum ruangan gel. Liquid and gel air freshener regarded as a widely used in modern society. Various chemicals allegedly contained therein, such as ethanol, formaldehyde, naphthalene, pthatale, phenol, xylene. The first contact to chemical substances in the body is nasal cavity. The aim of this study is to evaluate the difference effect between the exposure of liquid and gel air freshener on hstological nasal mucos. The study used experimental research with post-test only control group design. The subject were 18 tails of male rats (Rattus norvegicus), divided into three groups: control group, liquid air freshener exposure group and gel air freshener exposure group. Data analyzed with Kruskal Wallis and followed by post hoc Mann-Whitney. The result showed that the differences between the epithelium’s thickness on the exposure of liquid and gel air freshener group is p 0,008 (p <0.05), between group of liquid air freshener and the control group is p 0,004 (p <0.05). Thickness between gel air freshener group and control group is p 0,197 (p> 0.05). The conclusion is liquid air freshener have greater influence on the histological changes in the nasal respiratory mucosa compared to gel air freshener exposure.
Identifikasi Pola Kepekaan dan Jenis Bakteri pada Pasien Infeksi Saluran Kemih di Rumah Sakit PKU Muhammadiyah Yogyakarta Prabowo, Fergiawan Indra; Habib, Inayati
Jurnal Mutiara Medika Vol 12, No 2 (2012)
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Muhammadiyah Yogyakarta

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Abstract

Angka kejadian Infeksi saluran kemih (ISK) di Indonesia masih terbilang tinggi. Resistensi bakteri pada penggunaan antibiotika merupakan salah satu masalah yang berkembang di seluruh dunia. Penelitian ini bertujuan untuk mengetahui jenis bakteri dan pola kepekaannya pada penderita ISK di rumah sakit PKU Muhammadiyah Yogyakarta. Jenis penelitian ini adalah eksperimental laboratorium. Pengukuran dan pengambilan data dilakukan secara cross sectional dan hasilnya dianalisis menggunakan analisis deskriptif. Hasil penelitian menunjukkan 20 pasien yang menderita ISK, didapatkan 25 bakteri antara lain Escherichia coli (72%), Salmonella parathypi (4%), Enterobacter aerogenes (4%), Staphylococcus aureus (8%), Streptococcus sp (12%). Hasil uji sensitivitas terhadap antibiotik didapatkan Escherichia coli sensitif terhadap antibiotik meropenem (88,89%). Salmonella parathypi sensitif terhadap meropenem (100%). Enterobacter aerogenes sensitif terhadap meropenem (100%). Staphylococcus aureus sensitif terhadap meropenem (100%), ciprofloxacin (100%), trimetophrim-sulfomethoxazole (100%), dan gentamicin (100%). Streptococcus sp sensitif terhadap meropenem (66,67%) dan gentamicin (66,67%). Disimpulkan bahwa jenis bakteri yang menjadi penyebab terbesar ISK adalah Escherichia coli. Antibiotik yang memberikan hasil sensitif terbesar terhadap bakteri penyebab ISK adalah meropenem. In Indonesia the prevalence of urinary tract infections (UTIs) remains high. Bacteria resistance in antibiotic-using is one of the problems that happen in the world. This research aims to know the type of bacteria and its sensitivity pattern in UTIs patient at PKU Muhammadiyah Yogyakarta Hospital. Type of this research is laboratory experimental research. The measurement and data collection done by cross sectional and its result is analyzed by descriptive analyses. This research shows 20 UTIs patients. From 20  samples of UTIs patients, founded 25 bacterium which are Escherichia coli 18 bacterium (72%), Salmonella parathypi (4%), Enterobacter aerogenes (4%), Staphylococcus aureus (8%), Streptococcus sp (12%). The result from sensitivity test toward antibiotic, founded  Escherichia coli sensitive toward meropenem antibiotic (88,89%). Salmonella parathypi sensitive toward meropenem (100%). Enterobacter aerogenes sensitive toward meropenem (100%). Staphylococcus aureus sensitive toward meropenem (100%), ciprofloxacin (100%), trimetophrim-sulfomethoxazole (100%), and gentamicin (100%). Streptococcus sp sensitive toward meropenem (66,67%) and gentamicin (66,67%). It was concluded that the most bacteria cause of UTIs is Escherichia coli. Antibiotic that gives the most sensitive result toward the bacteria caused UTIs is meropenem.

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