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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 15 Documents
Search results for , issue "Vol 7, No 1 (2007)" : 15 Documents clear
Hubungan Aspek-aspek Perawatan Kaki Diabetes dengan Kejadian Ulkus Kaki Diabetes pada Pasien Diabetes Mellitus Dewi, Arlina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Diabetic foot is one of chronic complications of Diabetes Mellitus. Bad management and care for diabetic foot will lead to become Diabetic Ulcers. Mortality and amputation remain frightening to Diabetic patients. One of the Diabetic foot management in order not to develop further serious problem is Diabetic Foot Care. This study aimed to identifying aspects of Diabetic foot care due to Diabetic foot ulcers in PKU Muhammadiyah Hospital of Yogyakarta. It was a cross sectional study. The research sample were patients with Diabetes Mellitus in PKU Muhammadiyah Hospital of Yogyakarta who met the inclusion criteria and with the number of 21 people for each case and control group using purposive sampling technique. The check list used comprised 6 aspects of Diabetic Foot Care. The data required was then made nominal and analyzed using Chi Square statistical test with degree of significance 95%. The findings showed that there were significant correlations between Diabetic Foot Care aspects with Diabetic Foot Ulcers, except for aspect of routine foot control. The probability value between 0,002 to 0,030 was gained from related 5 aspects. However there was one aspect that did not show significant value of p > 0,050. It was concluded that there was significant correlations between 5 aspects of Diabetic Foot Care with the occurrence of Diabetic Foot Ulcers.Kaki Diabetes merupakan salah satu komplikasi kronik Diabetes. Kaki diabetes yang tidak dikelola dan dirawat dengan baik akan mudah mengalami luka dan cepat berkembang menjadi Ulkus Diabetes. Angka kematian dan laju amputasi masih menjadi momok yang menakutkan bagi para diabetesi. Salah satu upaya pengelolaan kaki diabetes agar tidak menjadi problem yang serius dikemudian hari adalah perawatan kaki diabetes. Penelitian ini bertujuan untuk mengetahui aspek- aspek perawatan kaki diabetes yang berhubungan dengan kejadian Ulkus Kaki Diabetes di RS PKU Muhammadiyah Yogyakarta.  Jenis penelitian ini adalah penelitian Cross Sectional. Sampel penelitian ini adalah pasien DM di RS PKU Muhammadiyah Yogyakarta yang memenuhi kriteria inklusi dan berjumlah 21 orang untuk masing-masing kelompok kasus dan control dengan menggunakan teknik Purposive Sampling. Check List yang digunakan berisi seputar aspek-aspek perawatan kaki diabetes yang meliputi 6 aspek. Data yang didapatkan kemudian dinominalkan dan diolah dengan uji statistik Chi Square, menggunakan derajat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara aspek-aspek perawatan kaki diabetes dengan kejadian Ulkus Kaki Diabetes, kecuali untuk aspek kontrol kaki berkala. Dari 5 aspek yang dihubungkan mendapatkan nilai probabilitas antara 0,002 sampai 0,030. Sedangkan 1 aspek lainnya tidak menunjukkan taraf signifikansi karena p > 0,05. Dari hasil di atas dapat disimpulkan bahwa terdapat hubungan yang bermakna antara 5 aspek perawatan kaki diabetes dengan kejadian Ulkus Kaki Diabetes.
Cardiovascular reflex Jenie, Ikhlas Muhammad
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

It is familiar to measure cardiovascular parameters, such as blood pressure and pulse rate, in health care practice. The importance of such measure in clinical practice is out of question. Those cardiovascular parameters, basically, are products of reflex. In this paper, we would like to describe the basic tenets of cardiovascular reflex limited to that governed by autonomic nervous system, but not to that exerted by mechanical and local factors. The cardiovascular reflexes to be discussed are arterial baroreflex, cardiopulmonary baroreflex, cardiovascular reflex of stimulation of peripheral chemoreceptors, cardiovascular reflex associated to stimulation of exteroceptors, and interaction among those reflexes.
Kuretase Periapikal Pada Gigi Insisivus Lateralis Kanan Atas Dengan Nekrosis Pulpa, Disertai Lesi Periapikal Setyawati, Any
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i1.1692

Abstract

The aim of this case report is to inform the treatment of Periapical Curretage On The Right Maxilla Incisivus Lateralis Necrotizing Pulp with Periapical Lesion after endodontic treatment. A 22 year-old female patient was referred to Conservative Dentistry Clinic Gadjah Mada University, who suffered sometimes from painful symptom in her right anterior maxilla after filling . Objective examination 12 showedpalatinal cavity with deep dentin and after filling on mesial surface, no response to sondasion and vitality test (CE), percussion was positif, palpation, and mobility were negative. Radiograph examination indicated the presence of radiolucency on periapical which no limited area, diameter 4 mm and 7 mm. The diagnosis was pulp necrosis with periapical lesion. Prognosis was good. There was no extraction. The treatment included root canal treatment, periapical curettage, and restoration using porcelain fused to metal crown with pasif dowel. The result was good, the tooth was painless and the radiolucency developed more opaque.Laporan kasus ini bertujuan untuk merawat lesi periapikal pada gigi insisivus lateralis pada maksila kanan dengan nekrosis pulpa disertai lesi periapikal nekrosis pulpa setelah dilakukan perawatan saluran akar. Pasien wanita 22 tahun datang ke klinik konservasi gigi UGM dengan keluhan gigi depan atas kanan bekas tambalan tersebut kadang-kadang terasa sakit. Pada pemeriksaan objektif 12 terdapat kavitas di palatinal kedalaman dentin dan terdapat bekas tumpatan pada bagian mesial. Sondasi negative dan CE negatif, perkusi positif, palpasi dan mobilitas negatif. Pada radiograf terlihat area radiolusen di daerah periapikal, batas tidak tegas, lebar 4 mm dan sepanjang 7 mm. Diagnosis kasus ini nekrosis pulpa dengan lesi periapikal. Prognosis kasus ini baik. Gigi tidak dilakukan pencabutan meskipun terdapat lesi periapikal yang luas. Rencana perawatan yaitu perawatan saluran akar, kuretase apeks, dan restorasi mahkota jaket porselin inti pasak pasif. Hasil perawatan baik, tidak ada keluhan dan area radiolusenberkurang.
Selulitis Fasialis dengan Trombosis Sinus Kavernosus Estri, Siti Aminah Tri Susilo; Radiono, Sunardi
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i1.1698

Abstract

Facial cellulitis is a facial bacterial infection that spread progressively with serious complication. This is report a 12 aged-years boys with facial cellulitis and cavernous sinus thrombosis. Diagnosed based on the physical examination, erythema and oedema on the right face and palpebra, with pain, opthalmoplegia, pareses of the right n. III and left n. VI. Laboratory examination showed lecocytosis, increasing of C-reactive protein and growth of S. Aureus from blood culture. He was treated with ceftriaxone and amycacine intravenously, analgesic and non-steroid anti-inflammation drugs and physiotherapy. Pareses of the ocular nerves improved within 3 months by physiotherapy.Selulitis fasialis (SF) merupakan infeksi bakteri pada wajah yang dapat cepat meluas dengan komplikasi serius. Tulisan ini melaporkan seorang anak laki-laki 12 tahun dengan selulitis fasialis disertai trombosis sinus kavernosus. Diagnosis ditegakkan berdasar gambaran klinis berupa edem dan eritem fasial dan palpebra bagian kanan, teraba hangat dan nyeri tekan, optalmoplegi, parese n. III kanan dan n. VI kiri, dan hasil pemeriksaan laboratoium yaitu leukositosis, peningkatan C-reactive protein dan dari kultur darah tumbuh S.aureus. Penderita diberikan terapi seftriakson dan amikasin intravena, analgetik dan antiinflamasi non-steroid dengan fisioterapi. Parese saraf mata membaik setelah 3 bulan fisioterapi.
Penggunaan Fiber Reinforced Composite sebagai Resin Bonded Prosthesis pada Gigi Anterior Pintadi, Hastoro
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i1.1693

Abstract

Resin bonded prosthesis is a fixed bridge which replace a space where one or two teeth have been lost or extracted, by using acid etched technique and resin bonding. The main goals in selecting a Resin bonded prosthesis were to preserve tooth structure, maintain esthetics and lower patient fees while providing restorations that had the potential for long-term service. This case report discuss about fiber reinforced composite used as a main material for resin bondedprosthesis to replace incivus lateralis maxillary that has lost The successfullness of this treatment depend on the case selection and the retention.Resin bondedprosthesis merupakan gigi tiruan cekat yang menggantikan satu atau dua gigi yang hilang dengan menggunakan teknik etsa asam dan ikatan resin. Tujuan utama pemilihan resin bondedprosthesis adalah untuk mendapatkan restorasi jangka panjang yang mampu menjaga struktur gigi penyangga, mendapatkan estetik yang baik, dengan biaya rendah. Laporan kasus ini membahas mengenai fiber reinforced composite sebagai bahan resin bondedprosthesis untuk menggantikan gigi incisivus lateralis kiri atas yang telah hilang. Keberhasilan perawatan ini tergantung pada seleksi kasus dan retensi yang dihasilkan.
Pengaruh Pendidikan Kesehatan tentang Perawatan Perineum terhadap Kesembuhan Luka Episiotomi Klien Post Partum di BKIA Aisyiyah, Karangkajen, DIY Sari, Novita Kurnia
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Infection incidental rate which is caused by episiotomy is still high. Based on preface study, the high level of infection is caused by lack of treatment. Lack of treatment is further triggered by lack of knowledge about episiotomy care. One of interventions which can be done is by giving health education on perineum care. This is an experimental research with the static group comparison design. The design uses 30 respondents of post partum client at BKIA Aisyiyah, Karangkajen, DIY, analyzed by Chi-Square statistical analytic. The result of this research shows that episiotomy wound healing is not influenced by providing health education on perineum care, with the value of significant level: 0.05. This study concludes that giving health education on perineum care does not give significant influence on episiotomy wound care.Angka kejadian infeksi akibat tindakan episiotomi masih tinggi. Berdasarkan studi pendahuluan, angka infeksi masih tinggi dikarenakan kurangnya perawatan. Kurangnya perawatan dimungkinkan karena kurangnya pengetahuan tentang cara merawat luka episiotomi. Salah satu intervensi yang bisa dilakukan adalah dengan memberikan pendidikan tentang perawatan perineum. Penelitian ini merupakan penelitian eksperimen dengan desain perbandingan kelompok statis. Penelitian ini menggunakan 30 responden klien post partum di BKIA Aisyiyah, Karangkajen, DIY, dianalisis dengan menggunakan Chi-Square. Secara deskriptif hasil penelitian ini menunjukkan bahwa pendidikan kesehatan tentang perawatan perineum tidak berpengaruh terhadap kesembuhan luka episiotomi, dengan tingkat signifikansi 0,05.
Perbandingan Derajat Keparahan Maloklusi dan Kebutuhan Perawatan Ortodontik pada Remaja Etnik Jawa dan Etnik Cina di Kodya Yogyakarta Setyaningsih, Pipiet
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i1.1695

Abstract

Malocclusion is a deviate dental occlusion the numbers and type of the deviation, are varied. The purpose of this study was to obtain the differences of malocclusion severity and orthodontic treatment need between Javanese and Chinese adolescent in Kodya Yogyakarta. The study was carried on 200 subjects consisted of 100 subjects Javanese and 100 subjects Chinese adolescent in Kodya Yogyakarta.The Dental Aesthetic Index was used to measured degree of malocclusion, while the questionnaires in The Dental Aesthetic Index was used to measure the orthodontic treatment need. The t - test was used to find out the differences of malocclusion degree and orthodontic treatment need between Javanese and Chinese adolescent ethnic with significance 0,05. The result showed there were no significant differences neither malocclusion degree nor the orthodontic treatment need between Javanese and Chinese adolescent etnhic in Kodya Yogyakarta (p 0,05). Conclusion: There were no difference about the differences of physic, culture and dietic habit to neither malocclusion degree nor orthodontic treatment need between Javanese and Chinese adolescent ethnic in Kodya Yogyakarta.Maloklusi adalah oklusi gigi geligi yang menyimpang dari normal, penyimpangan tersebut berupa ciri maloklusi yang jumlah dan macamnya bervariasi baik pada tiap individu maupun pada kelompok populasi. Tujuan penelitian adalah untuk mendapatkan perbedaan keparahan maloklusi dan kebutuhan perawatan ortodontik antara remaja etnik Jawa dan etnik Cina di Kodya Yogyakarta, sehubungan dengan perbedaan fisik, budaya dan kebiasaan makan. Penelitian dilakukan pada 200 subjek yang terdiri dari 100 subjek remaja etnik Jawa dan 100 subjek remaja etnik Cina di Kodya Yogyakarta. Pengukuran keparahan maloklusi dilakukan dengan menggunakan Dental Aesthetic Index. Kebutuhan perawatan ortodontik diukur dengan menggunakan kuesioner yang terdapat dalam Dental Aesthetic Index. Uji t, digunakan untuk mengetahui perbedaan keparahan maloklusi dan kebutuhan perawatan ortodontik antara remaja etnik Jawa dan etnik Cina dengan tingkat kemaknaan 0,05. Hasil penelitian menunjukkan tingkat keparahan maloklusi dan kebutuhan perawatan ortodontik antara remaja etnik Jawa dan etnik Cina di Kodya Yogyakarta.
Uji Kadar Hambatan Minimal Ekstrak Batang Siwak (Salvadora persica) terhadap Staphylococcus aureus secara In Vitro Suryani, Lilis; Astuti, Yoni
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i1.1690

Abstract

Siwak or miswak is a part of Salvadora persica plant. Siwak is a special plant. Siwak was appreciated by our prophet Muhammad SAW Siwak have many name. in Arab is weel famaous as Arak or Ayurak Siwak contained trimetilamin (TMA), which was a hidrofil substrat and its has function as floatation agent, prevent deposit ofparticle and debris in oral cavity, especially in between thr teeth. Besides, it has also antibacterial activity. This research is an experimental laboratory examination carried out to know the antimicroorganism activity of extract siwak against Staphylococcus aureus. The antimicroorganism activity of siwak has been tested by the determination of the minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC) using the tube dilution method. The result of this study shows that the MIC and the MBC of siwak against Staphylococcus aureus ATCC 25923 and wild strain each is about 6,25gr% and 12,5 gr%. It is concluced that siwak has indeed an antimicroorganism (bactericide) activity against Staphylococcus aureus.Siwak atau miswak merupakan bagian dari batang tumbuhan Salvadora persica. Siwak termasuk tanaman istimewa. Ia dihargai tinggi oleh Nabi Muhammad Saw. Ujudnya seperti semak belukar namun kaya dengan sebutan. Di Arab dikenal dengan nama Arak atau Ayurak. Siwak mengandung trimetilamin (TMA). Zat ini mudah larut dalam air dan berfungsi sebagai zat apung (floatation agent) sehingga mampu mencegah endapan (deposit) partikel dan sisa makanan di rongga mulut khususnya ruang antara gigi. Selain itu, juga potensial sebagai antibakteri. Penelitian ini merupakan penelitian eksperimental laboratorik yang bertujuan untuk mengetahui aktivitas antibakteri ekstrak batang siwak (Salvadorapersica) terhadap Staphylococcus aureus. Aktivitas antimikroba ditunjukkan dengan melihat kadar hambatan minimal (KHM) dan kadar bakterisidal minimal (KBM) ekstrak batang siwak (Salvadora persica) terhadap mikroba tersebut dengan metode pengenceran tabung (tube dilution methode). Hasil penelitian ini menunjukkan bahwa KHM terhadap Staphylococcus aureus ATCC 25923 dan wild strain 6,25 gr%, KBM sebesar 12,5 gr%. Disimpulkan bahwa ekstrak batang siwak (Salvadora persica) memiliki aktivitas antimikroba terhadap Staphylococcus aurius yang bersifat bakterisidal.
MISWAK (Salvadora persica) as a Cleansing Teeth Mahanani, Erlina Sih; Samuel, Samantha Victoria
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i1.1696

Abstract

Miswak is a chewing stick that derives from Arak tree (Salvadora persica) which is used as cleansing teeth. It is used in different part of Africa, Asia especially in Middle East, South of America,2 India, Pakistan and mostly of Muslim community. This custom was adopted and Islamized by Prophet Muhammad (Peace and Blessings of Allah be upon Him/PBUH) because there are several hadith mentioning the benefits of siwak in maintaining oral hygiene. Many studies have been done to explore the oral hygiene advantages of this stick. Salvadora persica contains trimethylamine, salvadorine, chloride, fluoride, silica, sulphur, mustard oil, vitamin C, resins and traces of tannins, saponins, flavonoids and sterol. Actually this chemical composition influence to the oral hygiene. The unique chemicals component, fibers proved the effect to periodontal status, caries, antimicrobial, cleanness, whitening, calculus removal, and so on. Furthermore miswak is generally used for a longer period of time and frequency (because it is used at least 5 times a day before praying). So normally the miswak users have higher oral hygiene status.
Hubungan Aspek-aspek Perawatan Kaki Diabetes dengan Kejadian Ulkus Kaki Diabetes pada Pasien Diabetes Mellitus Arlina Dewi
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i1.1691

Abstract

Diabetic foot is one of chronic complications of Diabetes Mellitus. Bad management and care for diabetic foot will lead to become Diabetic Ulcers. Mortality and amputation remain frightening to Diabetic patients. One of the Diabetic foot management in order not to develop further serious problem is Diabetic Foot Care. This study aimed to identifying aspects of Diabetic foot care due to Diabetic foot ulcers in PKU Muhammadiyah Hospital of Yogyakarta. It was a cross sectional study. The research sample were patients with Diabetes Mellitus in PKU Muhammadiyah Hospital of Yogyakarta who met the inclusion criteria and with the number of 21 people for each case and control group using purposive sampling technique. The check list used comprised 6 aspects of Diabetic Foot Care. The data required was then made nominal and analyzed using Chi Square statistical test with degree of significance 95%. The findings showed that there were significant correlations between Diabetic Foot Care aspects with Diabetic Foot Ulcers, except for aspect of routine foot control. The probability value between 0,002 to 0,030 was gained from related 5 aspects. However there was one aspect that did not show significant value of p 0,050. It was concluded that there was significant correlations between 5 aspects of Diabetic Foot Care with the occurrence of Diabetic Foot Ulcers.Kaki Diabetes merupakan salah satu komplikasi kronik Diabetes. Kaki diabetes yang tidak dikelola dan dirawat dengan baik akan mudah mengalami luka dan cepat berkembang menjadi Ulkus Diabetes. Angka kematian dan laju amputasi masih menjadi momok yang menakutkan bagi para diabetesi. Salah satu upaya pengelolaan kaki diabetes agar tidak menjadi problem yang serius dikemudian hari adalah perawatan kaki diabetes. Penelitian ini bertujuan untuk mengetahui aspek- aspek perawatan kaki diabetes yang berhubungan dengan kejadian Ulkus Kaki Diabetes di RS PKU Muhammadiyah Yogyakarta.  Jenis penelitian ini adalah penelitian Cross Sectional. Sampel penelitian ini adalah pasien DM di RS PKU Muhammadiyah Yogyakarta yang memenuhi kriteria inklusi dan berjumlah 21 orang untuk masing-masing kelompok kasus dan control dengan menggunakan teknik Purposive Sampling. Check List yang digunakan berisi seputar aspek-aspek perawatan kaki diabetes yang meliputi 6 aspek. Data yang didapatkan kemudian dinominalkan dan diolah dengan uji statistik Chi Square, menggunakan derajat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara aspek-aspek perawatan kaki diabetes dengan kejadian Ulkus Kaki Diabetes, kecuali untuk aspek kontrol kaki berkala. Dari 5 aspek yang dihubungkan mendapatkan nilai probabilitas antara 0,002 sampai 0,030. Sedangkan 1 aspek lainnya tidak menunjukkan taraf signifikansi karena p 0,05. Dari hasil di atas dapat disimpulkan bahwa terdapat hubungan yang bermakna antara 5 aspek perawatan kaki diabetes dengan kejadian Ulkus Kaki Diabetes.

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