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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 24, No 2 (2024): July" : 9 Documents clear
Analysis of 12-Dimensions of Patient Safety Culture at PKU Muhammadiyah Bantul Hospital (Plenary Accredited) Saputra, Rahmana Febri; Dewi, Arlina; Kusuma Dewi, Dyah Tri; Urhmila, Mariska
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.22947

Abstract

Hospital accreditation is a practice of systemically assessing hospital performance against accepted standards. Hospital accreditation can improve patient safety through the implementation of service standards and continuous service improvement through a patient safety culture. PKU Muhammadiyah Bantul Hospital received a score of 73.9% in 2015 when the accreditation was intermediate. This research aims to show the patient safety culture at the PKU Muhammadiyah Bantul Hospital, which has been plenarily accredited. This research is a quantitative study with a cross-sectional approach with a descriptive research design to show the value of 12 dimensions of patient safety culture at PKU Muhammadiyah Bantul Hospital, which is plenarily accredited. The research subjects were 77 nurses and midwives who worked in the non-intensive care room at PKU Muhammadiyah Bantul Hospital based on inclusion and exclusion criteria. Nine dimensions got good grades, namely the dimensions of supervision, organizational learning, teamwork within units, openness and communication, feedback about errors, response to errors, management support, teamwork across units, handoffs, and transitions. Sufficient grades were obtained in the dimensions of perception, frequency of reports and staff/employees. The patient safety culture at PKU Muhammadiyah Bantul Hospital, when it received plenary accreditation, was classified as good (average score of 76.82%).
Knowledge Level of Medical Students Regarding Clinical Manifestasions of Autism Spectrum Disorder Ichsanino, Muhammad Reyhan; Eka Pratiwi, Sari; Fitrianingrum, Lit
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.20620

Abstract

Autism Spectrum Disorder (ASD) is a group of brain development disorders characterized by stereotyped behavior and deficits in communication and social interaction. Cases of autism in Indonesia increased by as many as 6,900 cases per year. The increase in prevalence is due to the excellent knowledge and awareness among medical students and the broad possible criteria for making a diagnosis. Therefore, this study aims to describe the knowledge level of medical students regarding the clinical manifestations of ASD. This quantitative study used a descriptive design with a total sampling method. The target population of this study was all Tanjungpura University Medical Students. The sample population selected for this study was active Tanjungpura University Medical Students, Class of 2017 and 2018, who were then filtered using inclusion and exclusion criteria. As many as 178 participants filled out a questionnaire, and the data were subsequently analyzed utilizing a statistical program with a descriptive statistical test. Knowledge was divided into three categories of levels, namely good (76-100%), fair (56-75%), and poor (≤55%). The results revealed that the knowledge level of ASD clinical manifestation of the medical students was 77% good, 11% fair, and 12% poor.
Correlation between Blood Vitamin D Levels and Lipid Profiles in Post-Ischemic Stroke Patients Jaeri, Santoso; Retnaningsih, Retnaningsih; Husni, Amin; Maharani, Nani; Anjani, Gemala
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.22202

Abstract

Dyslipidemia and vitamin D deficiency are the predisposing factors for stroke. It is also established that vitamin D contributes to cholesterol metabolisms. Unfortunately, there is no evidence regarding the correlation between blood vitamin D levels and lipid profiles in patients with post-ischemic stroke. Herewith, the authors determine the correlation between blood vitamin D levels and lipid profiles among patients with post-ischemic stroke. A cross-sectional approach among 40 patients with post-ischemic stroke was obtained consecutively. Demographic characteristics, as well as the history of other diseases and 24 24-hour recall diet, were recorded. Then, the measurement of blood vitamin D levels and lipid profiles, such as total, LDL, HDL cholesterol, and triglyceride levels, were performed. Their correlations were determined using the Spearman correlation test. Among 40 subjects, no significant correlation was revealed between blood vitamin D levels and the serum total, LDL, HDL cholesterol, and triglycerides levels (p=0.898, 0.560, 0.361, and 0.622 respectively, and r=0.021, -0.095, 0.080, and 0.080 respectively). To summarize, there is no significant correlation between blood vitamin D levels and all lipid profiles in patients with post-ischemic stroke.
The Association between Religious Activities Participation and Physical Function in Indonesian Elderly Ekadinata, Nopryan; Imamah, Nur Fithriyanti; Nurhidayati, Evi
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.19185

Abstract

Physical function difficulty is a big concern in the elderly globally. Previous studies highlighted the inconclusive findings regarding the elderly's religious involvement and physical function disability. Furthermore, spiritual study is still scarce in Asian settings. The study examined the association between religious involvement (majelis taklim) and physical disability. This cross-sectional observational study harnessed the fifth wave of the Indonesian Family Life Survey (IFLS). Katz Index was used to measure the occurrence of physical disability. Participants aged ≥ 60 years were involved (n = 1799), and 18% reported having a physical function disability. Binomial logistic regression showed that in the unadjusted model, participation in majelis taklim (OR = 0.86, p 0.01) and involvement in the religious program (OR = 0.72, p0.05) were significantly associated with having no physical disability. Meanwhile, the lower frequency of participation in majelis taklim was significant with physical disability in the adjusted model (OR = 0.89; 95%, p0.05).  Participation in religious activities was associated with a lower probability of having a physical function disability in the elderly. The result of the study can be a potential consideration for caregivers, health workers, and policymakers to maximize the religiosity involvement program for reducing the risk of physical disability among the elderly.
Correlation Between Blood Pressure at Emergency Room and Mortality in Acute Non-Hemorrhagic Stroke Azzahra, Puteri Aulia; Wahyuliati, Tri
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.21140

Abstract

According to data from the World Stroke Organization (WSO), the annual incidence of stroke is around 13.7 million new cases, with an estimated 5.5 million deaths among those impacted. Stroke caused by complications of hypertension causes 51% of the 9.4 million deaths worldwide. The neurological severity of stroke patients is associated with a decrease in systolic blood pressure of 10 mmHg for every value below 150 mmHg. The purpose of this study is to examine the correlation between blood pressure levels and mortality in acute non-hemorrhagic stroke patients. This study uses cross-sectional research methods to conduct observational research. The study included a total of 60 patients with acute non-hemorrhagic strokes who were admitted to PKU Muhammadiyah Gamping Hospital. The patients were all over the age of 50 and met the specified inclusion and exclusion criteria. Data analysis using univariate tests and Spearman's bivariate tests. The results showed that there is no significant correlation between blood pressure at hospital admission and mortality in non-hemorrhagic stroke patients, as evidenced by a p-value of 0.5. The conclusion is that there is no meaningful correlation between blood pressure on admission to the hospital and mortality in patients with acute non-hemorrhagic strokes.
The Cytotoxicity of Agaro-Oligosaccharides and Neoagaro-Oligosaccharides on Macrophage Cells Pratitis, Visi Endah; Puspitasari, Pinki Anggrahini; Hanbal, Mayland Muhammad; Tsabitah, Khansa; Juliadmi, Dian; Saksono, Budi; Wijayanti, Nastiti
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.21059

Abstract

Agarose is a polysaccharide from red algae. Enzymatic hydrolysis of agarose can produce Agaro-Oligosaccharidess (AOS) and Neoagaro-Oligosaccharidess (NAOS). Different times of enzymatic hydrolysis can produce different types of AOS and NAOS based on their degree of polymerization (DPs). This study aims to examine the cytotoxicity of AOS and NAOS with different hydrolysis times on the macrophage cell line RAW 264.7. The parameters used were the percentage of cell viability and IC50 value. The cytotoxicity test using MTT assay and One-way ANOVA were used as statistical tests. The results showed that AOS-0 at a concentration below 125 µg/mL was not toxic and showed moderate toxicity up to a high concentration of 1000 µg/mL, while AOS hydrolyzed for 24 h (AOS-24) was not toxic to RAW 264.7 cells at all concentrations tested. The different results were shown in all NAOS samples, which were highly toxic to RAW 264.7 cells in the 125 to 1000 µg/mL, indicating that it was concentration dependent. The results showed that different hydrolysis times caused differences in the structure of AOS and NAOS compounds and influenced the toxicity level. Research development for further studies on antioxidants and anti-inflammatory needs more attention to the sample type and hydrolysis time.
High PUFA Oral Nutritional Supplementation’s Effect on Advanced Cervical Cancer Patients’ Nutritional Status wuryanti, sri
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.21958

Abstract

While weight loss occurs in patients with cancer, PUFA may suppress cancer growth. This study aims to determine the high PUFA nutritional supplementation’s effect on the nutritional status of patients with advanced cervical cancer who received radiotherapy. This study was a double-blind Randomized Clinical Trial on patients with advanced cervical cancer. Subjects were taken consecutively, through randomization, divided into treatment and control groups. Thirty-one patients were involved as respondents, with 16 in the treatment groups and 15 in the control groups. The findings revealed that socio-demographic status, omega-6 and omega-3 fatty acid intake patterns, and nutritional and clinical status were not significantly different between groups before treatment. Nutritional supplementation was provided as ONS labeled A and B, taken three times a day. During treatment, patients were asked to record all food and beverages consumed in the intake book at least three days a week, including two working days and one day off. The treatment group’s body weight was relatively more stable, while the control group tended to decrease in weight, but the ∆ weight loss in each group was not significantly different (p = 0.149). PUFA supplementation can maintain the nutritional status of patients with cervical cancer by maintaining body weight.
Lack of Correlation between Anterior Cruciate Ligament Injury Risk Factors and Its Severity Degree Darmawan, Muhammad Arief; Heristyorini, Ayodya; Ramadhani, Isniani; Agustini, Diana
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.21313

Abstract

Anterior Cruciate Ligament (ACL) injury is a prevalent, severe, and costly orthopedic condition affecting individuals. The ACL prevalence is related to harder activity. This study aims to explore the correlation between age, Body Mass Index (BMI), and occupational history with the severity of ACL injuries at Gatot Soebroto Central Army Hospital. The analysis adopted a cross-sectional design and utilized the chi-square test, examining 121 medical records from 2 groups of patients that were civilians and National Armed Forces/TNI. There are 88.4% of 19 – 44 years; 50.4% with normal BMI, and 49.6% overweight/obese; 49.6% civilian and 50.4% TNI; 70.2% with total tear, and the rest was partial tear of participants. The data analysis indicated p-values of 0.633 for age, 0.953 for BMI, and 0.126 for occupational history concerning their association with the severity of ACL injuries. Additionally, all three variables showed Odds Ratio (OR) values greater than 1, with the OR for age being 1.608, for BMI being 1.024, and for employment history being 1.853. All of these findings suggested that there was no significant correlation between these variables and the severity of ACL injuries. Despite the lack of significant correlation, these risk factors may still increased susceptibility to severe ACL injuries.
Salt Consumption, Knowledge, Attitude and Practices: The Intervention to Reduce Salt Intake on University Students Gökmen, Elif; Aktaş, Nazan
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 2 (2024): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i2.22551

Abstract

High salt intake, one of the modifiable unhealthy eating habits, causes important health problems such as hypertension, cardiovascular diseases, cancer, osteoporosis, and kidney diseases. The objective of this study is to examine the impact of educational intervention on university students' salt-related knowledge, attitudes, and practices (KAP). This intervention study was carried out at Selcuk University in Türkiye. A total of 30 students were included in this intervention study carried out using the pretest-posttest control group experimental model. The educational intervention consisting of 14 sessions was completed in six weeks. The salt intake of male students in the experimental group in the pre-test and the control group in the pre-test and post-test was found to be significantly higher than that of female students (p 0.05). The mean daily salt intake in the experimental group compared to the pre-test decreased by about 1,834 mg after intervention (p 0.05). There was a significant difference (p 0.05) between the knowledge and attitude pre-test and post-test scores of the experimental group students. The intervention study positively affected the students' salt-related KAP. In order for this effect to continue for a lifetime, educational interventions should be reproducible and sustainable.

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