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Mutiara Medika: Jurnal Kedokteran dan Kesehatan
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 14118033     EISSN : 26140101     DOI : 10.18196/mm
Core Subject : Health,
Health Professions Medicine & Pharmacology
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.
Arjuna Subject : -
Articles 9 Documents
 1 
Search results for , issue "Vol 20, No 1 (2020): January" : 9 Documents clear
The Relationship between Knowledge, Information Sources, Family Support and Implementation of Provider-Initiated Testing and Counseling in Pregnant Woman Uci Ciptiasrini
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200140

Abstract

The discovery of cases of HIV and AIDS at the age of under four years old in Indonesia indicates that there is still HIV transmission from mother to child. This study aims to identify the relationship between knowledge, information sources, family support, and the implementation of Provider-Initiated Testing and Counseling (PITC) examinations in pregnant women. This research was analytic descriptive with a cross-sectional approach conducted in August 2018, with 85 respondents selected by accidental sampling. The population in this study were all pregnant women who visited the community health center. Data was collected by giving questionnaires directly to respondents. Relationships between variables were tested with chi-square analysis. The results showed that 36 (62.1%) respondents have good behavior and good knowledge, and the chi-square test results obtained p-value=0.025. Thirty (68.2%) respondents have good behavior and have access to information sources and p-value=0.007. Thirty-three (67.3%) respondents have good behavior and have family support with the p-value=0.004. It can be concluded that there is a relationship between knowledge, information sources, family support, and the implementation of the PITC examination of pregnant women.
The Rationality of Antibiotic Use on Patients of Typhoid Fever Riefki Indira Hudi; Imaniar Ranti
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200133

Abstract

Typhoid fever is an infectious disease caused by Salmonella typhi bacteria. The administration of antibiotics in typhoid fever is needed as a causative therapy to eradicate the bacteria based on the principles of rational therapy to avoid antibiotic resistance. However, there are still a considerable amount of cases of unnecessary antibiotic administration. This study aims to examine the rationality of antibiotic use on patients of typhoid fever. This research is a non-intervention study with descriptive analytic methods. Data were retrieved retrospectively by identifying the medical records of patients treated in the X Hospital Salatiga from January to August 2016 with a purposive sampling method based on the inclusion and exclusion criteria of 67 cases. The data was analyzed by using Gyssen criteria based on the standard of typhoid fever service of WHO 2011. The result showed that the percentage of female typhoid fever patients was higher than the male with the most prolonged 3-day hospitality. The most commonly used antibiotics are ceftriaxone, ciprofloxacin, and cefixime with the result of the rationality analysis of category 0 (55.22 %), category IIIA (1.49%), category IIIB ( 8.96% ), category IVA (17.91%), and category IVC (4.48%). It can be concluded that  the rationality of antibiotics used in patients with typhoid fever at X Hospital Salatiga based on Gyssen criteria showed a good result.
Corticosteroid-Induced Central Serous Chorioretinopathy Ade John Nursalim; Vera Sumual
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200142

Abstract

Central Serous Chorioretinopathy (CSC) is a condition where there is an accumulation of serous fluid in the retinal pigment epithelium layer. The abnormality in the retinal pigment layer of the eye causes vision loss and serous detachment. CSC has a variety of causes, one of which is corticosteroid therapy. This article aims to report a case of a 27-year-old male patient who was diagnosed with CSC. The risk factor indicating CSC, in this case, was long-term oral and the use of a nasal spray to treat patient’s allergic rhinitis. Patients have allergic rhinitis and sneezing. Thus, they are administered to consume tablets of 16 mg methylprednisolone three times a day. The patient has a history of using a nasal spray containing 0.05% mometasone furoate monohydrate for ten years in a row. The patient’s visual acuity is 6/6 on his right eye and 6/15 on his left eye. Posterior segment examination and optical coherence tomography (OCT) were considered effective in identifying the features of patients with CSC, and thus both were administered. It was further found that steroid therapy replacement and healthier lifestyle adjustments could sustain the symptoms and improve the patient’s well-being.
The Relationship between Anxiety and the Level of Joint Stiffness in Colles Fracture Patients Muhammad Ariffudin; Zainab Az Zahra
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200138

Abstract

Colles fracture is 15% of the whole fracture incidents in adults, and joint stiffness is the most common complication. Anxiety is one of a variety of factors strongly associated with an increased risk of disability and pain intensity in patients with musculoskeletal disorders. This study aims to identify the relationship between anxiety and the level of joint stiffness in Colles fracture patients. This research is an observational analytic study with a cross-sectional design. Data collection was carried out in the physiotherapy of PKU Muhammadiyah Gamping Hospital from March to October 2018 by interview using a questionnaire. Data were analyzed using the Spearman correlation test. The result of the study with 13 respondents showed 9 people (69.2%) did not experience anxiety, one person (7.7%) experienced mild anxiety, one person (7.7%) was in moderate anxiety, and two others were in severe anxiety (15.4%). Meanwhile, in terms of the level of joint stiffness, three people (23.1%) were in mild stiffness, three people (23.1%) were in moderate stiffness, six people (46.2%) were in severe stiffness, and one person (7.7%) was in highly severe stiffness. Statistical test of the relationship between anxiety and the level of joint stiffness in patients with Colles fracture showed no significant correlation (p=0.808). It can be concluded that there was no relationship between anxiety and the level of joint stiffness in fracture patients.
The Correlation between Lymphocyte Platelet Ratio and Gensini Score in Coronary Heart Disease Patients Muliana Muliana; Basuki Rahmat; Seto Priyambodo
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200136

Abstract

The lymphocyte platelet ratio (LPR) is an inflammatory marker that can be used to identify the severity of coronary heart disease (CHD). This study aims to determine the correlation between the lymphocyte platelet ratio and Gensini scores in CHD patients. This research used correlative analytical research with a cross-sectional design. The sample was selected by consecutive sampling technique and obtained 51 respondents. The calculation of the LPR was carried out by dividing the number of platelets and lymphocytes in the volume unit of 103/mm3. Meanwhile, the Gensini score assessment was carried out by multiplying the percentage of blockages and location of blockages based on the result of coronary angiography. Based on the Gensini score, the sample in this study was classified as mild atherosclerosis with the Gensini score 25 points, and severe atherosclerosis with the Gensini score ≥25 points. The data were analyzed using the Pearson correlation test. The result showed that the average LPR value in samples with severe atherosclerosis was 124.6  and  115.3 in mild atherosclerosis. Based on the result of statistical analysis using the Pearson test, the p-value was 0.107. It can be concluded that there is no significant correlation between the lymphocyte platelet ratio and Gensini scores in CHD patients.
Structured Physical Activity did not Affect the Body Fat Percentage among Gymnastics Studio Members Widiastari, Erina Febriani; Taufik, Fatimah Eliana; Mukhtar, Diniwati
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200135

Abstract

The excess of body fat in the body can be associated with the risk of diabetes, cardiovascular disease, and other metabolic diseases. Activities which can reduce the body fat percentage is a structured physical activity. This study aims to identify the effect of the structured physical activity on the decrease in body fat percentage on members of the gymnastics studio. This study used one group of pretest-posttest design. The intervention was an aerobic exercise, conducted for a minimum duration of 150 minutes per week, and followed up for three months. The samples were selected by using purposive sampling andwere collected by measuring the respondent's weight with Bioelectrical Impedance Analysis at the beginning and the end of this study. The data were analyzed by using paired sample t-test. The result showed that the average of the body fat percentage on the pre-test was 33.156 %, and on the post-test was 32.920 %. Based on the data, there was a decrease in a body fat percentage on pre-test and post-test in 13 out of 25 respondents. The p-value was 0.357, and it can be concluded that the structured physical activity did not have a significant effect on the decreasein body fat percentage.
Structured Physical Activity can Increase High-Density Lipoprotein Cholesterol Levels Dharaindas, Hanna Kumari
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200134

Abstract

High levels of low-density lipoprotein (LDL) cholesterol and low levels of high-density lipoprotein (HDL) are risk factors for coronary heart disease (CHD). Early research has proven that physically active people have higher HDL levels, and it is obtained by doing regular physical exercise in both men and women. One of the exercises that have an anti-CHD effect is an aerobic exercise. This study aims to identify the effect of structured physical activity on increasing HDL cholesterol. This research is pre-experimental research with one group pretest-posttest design. Interventions given were aerobic exercise conducted at least 150 minutes per week and monitored for three months. The population and sample were members of the R and K gymnastics studio in Central Jakarta, who were 18-60 years old. Samples were selected using the purposive sampling method. Data was collected by taking the respondent's blood serum and the HDL cholesterol levels examined by enzymatic methods in the laboratory, while the data analysis used paired t-test statistical tests. The results showed an increase in HDL cholesterol levels in 18 out of 25 respondents with the results of the paired t-test p=0.001. The conclution is structured physical activity has significant effect on increasing HDL cholesterol levels among gymnastics members.
The Influence of Hypertension and High-Density Lipoprotein on the Diabetic Nephropathy Patients Enda Silvia Putri; Marniati Marniati; Arafah Husna; Afriani Maifizar
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200139

Abstract

Diabetes complication of kidney failure begins with poor control of High-Density Lipoprotein (HDL) levels causing constriction of efferent arterioles affecting microalbuminuria, which triggers hypertension due to damage to blood vessels, with scarring in the filtration system of the central part of the kidneys. The Objective of the research was to analyze the influence of hypertension and HDL on the diabetic nephropathy patients. The study was an observational analytic study with a case-control design. The research sample consisted of 32 sample cases of patients with type II DM complications of kidney failure, and 32 control samples were DM type II patients without complications of kidney failure in dr. Pirngadi Hospital, Medan with accidental sampling technique. Data were generated by using questionnaires and medical records and analyzed by using the chi-square test, independent t-test, Mann-Whitney, and multivariate logistic regression to identify the effect of HDL and hypertension with DM type II complications of kidney failure. The Result of multivariate analysis showed hypertension OR; 17.845, and HDL OR; 7.049. The Conclusion showed that the most dominant factor that influenced the incidence of kidney failure complications in DM type II patients was hypertension at the Population Attributable Risk of 91%.
The Difference in Incidence of Scabies between Conventional and Modern Boarding School Kanti Ratnaningrum; Amanatum Avidah
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20, No 1 (2020): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.200141

Abstract

The prevalence of scabies in children is still high in Indonesia, especially in children who live in dormitories such as Islamic boarding schools. Rise of modern boarding school that is claimed to be better than conventional boarding school makes researchers moved to find out whether there are differences in the occurrence of scabies in conventional boarding school and modern boarding school. This study is a descriptive observational study. The sample used was 95 respondents in each boarding schools that obtained by a simple random sampling technique. Research data were collected in the form of questionnaires and examination of the diagnosis of scabies using a dermoscope. The data was analyzed using data tabulation. From 190 respondents, most of the samples were in the age range of 14-16 years (46.8%). Scabies occurred in conventional boarding school were 35.3% (46 respondents), and 9.8% (5 respondents) occurred in modern boarding school. It can be concluded that the occurrence of scabies in modern boarding school is less than in conventional boarding school.

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