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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 934 Documents
 70   71   72   73   74 
The No. 3 Craniofacial Cleft - Sagiran
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 2, No 2 (2002)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v2i2.1512

Abstract

Sumbing no.3 merupakan satu di antara 14 tipe kelainan sumbing kraniofasial kongenital. Lokasi sumbing ini bertepatan dengan tempat pertemuan antara proces¬sus maxillaris dan frontonasalis pada masa perkembangan embryonal. Mengetahui embryologi leher dan kepala memberi pemahaman mengenai fungsi saraf kepala, prinsip-prinsip pembentukan kepala-wajah dan kelainan-kelainannya yang merupakan akibat penyimpangan dari perkembangannya. Penanganan kelainan ini memerlukan bedah rekonstruksi yang canggih. Makalah ini melaporkan kasus seorang anak perempuan 1,5 tahun dengan sumbing kraniofasial no 3.The No. 3 Cleft is one of 14 types of congenital craniofacial cleft anoma¬lies. The location of no. 3 cleft coincides with the embryonic junction of the maxillary and frontonasal processes. There is no theory of the causes but some hypothetic risk factors have been proposed. Understanding of head and neck embryology gives rationale to the function of the cranial nerves, prin¬ciples of craniofacial form, and anomalies that result from aberrations in their development. Treatment of this malformation needs excellent reconstructive surgery. This paper is reporting a case of the no. 3 craniofacial cleft in a 1.5- year-old female.
A Case Report: Papular Urticaria Caused by Flea Bites Rikyanto Rikyanto; Muhammad Amrullah Wahid; Frishia Dida Saraswati; Muhammad Fajarulhuda; Inges Prawita Sari
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 17, No 2 (2017): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.170206

Abstract

A case reported on 19 years old Javanese woman living in Giwangan District Yogyakarta diagnosed with papular urticaria caused by flea bites. In Indonesia the weather is hotter and more humid during the whole year, it makes flea season might happens anytime. There is a lot of papular urticaria cases with unknown exact causes, it makes this case is interesting because the patient showed that papular urticaria can be caused by Flea bites bring the possible causes for her complains. This report highlights the importance of the biological and epidemiological aspects from the flea.
Faktor Risiko Lekosituria pada Wanita Usia Reproduksi Gugun, Adang Muhammad
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 2 (s) (2007): Oktober
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v7i2 (s).1666

Abstract

The purpose of this research to know the leucocyturia prevalence and its risk factors in reproduction age women. This is an analytic-observational with case-control design, performed in Kraton, Bambang Lipuro, Bantul District, Daerah Istimewa Yogyakarta. The subject are28 women in reproduction age who has leucocyturia (dipstick test) and the control are 54 women with negative leucocyturia. The risk factors of leucocyturia obtain from questionnaire. Relation between the risk factors and leucocyturia analyzed with univariat test. The result showed that leucocyturia prevalence in reproductive age women is 28%. Contact sexual risk factor was significantly relation with leucocyturia (odd ratio : 3,0 (CI 95%: 1,1-7,7; p=0,02) but perineal hygiene pre-coitus wasn’t significant (odd ratio : 0,135 (CI 95%: 0,03 - 0,53; p=0,002).Tujuan penelitian ini adalah untuk mengetahui prevalensi dan faktor risiko lekosituria pada wanita usia reproduksi. Penelitian ini bersifat observasional analitik dengan rancangan case-control di Dusun Kraton, Bambang Lipuro, Kabupaten Bantul Daerah Istimewa Yogyakarta. Subyek penelitian adalah 28 orang wanita usia reproduksi yang mengalami lekosituria (uji dipstick) tanpa kelainan non infeksi dan 54 orang kontrol wanita usia reproduksi lekosituria negatif.. Data faktor risiko lekosituria digali melalui kuesioner. Analisis hubungan faktor risiko dengan lekosituria menggunakan analisis univariat. Hasil penelitian menunjukkan prevalensi lekosituria sebesar 28%. Faktor risiko sering kontak seksual bermakna dengan rasio odds sebesar 3,0 (CI 95%: 1,1-7,7; p=0,02). Kebersihan perineal pre- koitus bermakna dengan rasio odds sebesar 0,135 (CI 95%: 0,03 - 0,53; p=0,002). Faktor arah cebok, penggunaan AKDR, riwayat leukorea dan riwayat kateterisasi tidak bermakna (p0,05).
Abses Septum Nasi Fakhriani, Rizka; Amiruddin, Tolkha
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 16, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v16i2.4453

Abstract

Abses septum nasi merupakan kasus yang jarang dijumpai. Trauma nasal diketahui sebagai penyebab dari abses septum nasi. Penanganan dini dari penyakit ini sangat penting karena dapat menimbulkan komplikasi yang serius. Pada makalah ini, kami akan melaporkan kasus anak dengan abses septum nasi dengan kecurigaan traumatik. Pasien laki-laki, berusia 9 tahun, datang dengan keluhan hidung tersumbat yang dirasakan sejak 5 hari sebelum masuk rumah sakit (SMRS). Keluhan disertai nyeri hidung, keluar sekret dan demam. Pada pemeriksaan fisik, didapatkan kedua kavum nasi sempit, terdapat pembengkakan septum nasi bilateral dengan permukaan licin, berwarna kemerahan serta terdapat nyeri tekan dan fluktuasi yang konsisten dengan abses septum nasi. Tatalaksana yang dilakukan adalah insisi drainase dan pemberian antibiotik. Pasien kontrol tujuh hari setelahnya dan pemeriksaannya dalam batas normal. Diagnosis dini dan tatalaksana yang tepat sangat penting pada penyakit ini untuk mencegah terjadinya penyebaran infeksi dan komplikasi berat yang dapat menimbulkan gejala sisa.Nasal septal abscess is uncommon. Nasal trauma is known to be a causative factor for development of nasal septal abscess. Early intervention is important as it can cause serious complications. In this case, we will present a child with nasal septal abscess with suspicion on trauma. A 9-year-old male was presented with nasal obstruction since 5 days before presentation. The patient also complained nasal pain, secretions, and fever. On physical examination, there were bilateral nasal cavity fullness and nasal septum swelling, consistent with a nasal septal abscess. Drainage incision and antibiotic administration were done seven days after interventions, the clinical findings were within normal limit. Early diagnosis and management is important to prevent the spread of infection and severe complications which may cause some sequelae.
Erupsi Obat Fikstum Estri, Siti Aminah Tri Susilo; Pudjiati, Satiti Retno
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 3, No 1 (2003)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v3i1.1550

Abstract

The fixed drug eruption is one of drug reactions most commonly found.. Clinical pattern of fixed drug eruption (FDE) is characterized by some lessions in the same region (site) for each of the same drug administration. FDE can be diagnosed only based on clinical patterns, from frequent history of drug administration that followed by lessions in the same region. The lessions can vary, including erytema macule or patch followed by an inflammation process and vesicula or bullae in the central lession. To confirm the causa of FDE, it is suggested to conduct a patch test or oral profocation test in several weeks after the lesion resolved. This paper reports the case of the pigmented tipe of FDE with suspected cause of paracetamol or difenhydramin HCl. The lession resolved with metil-prednisolon, mebhidrolin napadisilat and Na Cl compress. The confirmation of the cause of FDE could not be determined because the patch or oral profocation test could not be performed.Erupsi obat fikstum (EOF) merupakan salah satu bentuk reaksi terhadap obat.yang paling sering teijadi. Gambaran klinisnya mempunyai pola khusus, biasanya terjadi pada tempat yang sama setiap kali penderita terpapar obat yang sama dengan bentuk lesi yang sama. Penegakkan diagnosisnya berdasar gambaran klinis, berupa riwayat penggunaan obat yang berulang dan diikuti timbulnya lesi kulit pada daerah yang sama. Lesi kulit dapat bervariasi, mulai makula/patch eritem yang diikuti proses inflamasi sampai terbentuk bula. Untuk memastikan penyebab EOF sebaiknya dilakukan tes tempel atau tes provokasi oral beberapa minggu setelah erupsi obat membaik. Pada makalah ini dilaporkan kasus erupsi obat fikstum (tipe pigmented) dengan kemungkinan penyebab parasetamol atau difenhidramin-HCl. Lesi kulit membaik dengan pemberian metilprednisolon, mebhidrolin napadisilat serta kompres Na Cl. Kepastian penyebab EOF tidak dapat ditemukan karena tidak dapat dikeijakan tes tempel atau profokasi oral.
The Correlation of Cyp2e1 Genetic Polymorphism on Alcohol Drinking Habits in Papuan Ethnicity Mardhatillah Marsa; Yudha Nurhantari; Suhartini Suhartini; Tri Ratnaningsih
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 21, No 2 (2021): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v21i2.11579

Abstract

Alcohol abuse is associated with genetic factors and is influenced by certain races and ethnicities. CYP2E1, which works on the endoplasmic reticulum, produces an enzyme that plays a significant role in alcohol metabolism. In relation to it, this study aims to identify the polymorphisms of CYP2E1*5B and CYP2E1*6 genes in alcohol drinkers of Papuan Ethnics. A total of 39 Papuans were analyzed for alcohol drinking habits. Alcohol drinkers were found to be 29 people (74.4%), and 10 people (25.6%) were non-drinkers. The drinkers mainly were late teenagers (89,7%) and males (69,2%). The CYP2E1*5B genotypes were c1/c1 as 94.9% and c1/c2 as 5.1%. Meanwhile, the CYP2E1*6 T/T genotypes were 56.4%, and T/A genotypes were 43.6%. The odd ratio for CYP2E1*5B were 18,5 and 7,7 for CYP2E1*6. p0,05 for CYP2E1*5B and CYP2E1*6 gene polymorphisms for alcohol drinking behavior in the form of frequency, duration, type, and volume of alcohol consumed. Furthermore, c1/c1 and c1/c2 genotype polymorphisms were in CYP2E1*5B; T/T and T/A genotypes were in CYP2E1*6 of Papuan ethnic at Yogyakarta. In conclusion, genotype c1/c1 had 18,5 times of the possibility of being alcoholic drinkers, and genotype T/T had 7,7 times of the possibility of being alcoholic drinkers in Papuan ethnic. It indicated that the type of genotype statistically did not significantly affect alcohol drinking behavior on the subject.
Pendidikan Dokter Berbasis Kompetensi dan Moralitas dengan Metode Problem Based Learning pada FK UMY Hidayati, Titiek
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 4, No 2 (2004)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v4i2.1753

Abstract

To face the coming era, Islamic Revealed Knowledge is really important because of several reasons: (1). Muhammadiyah University has to produce graduates to fulfill the need of 21st century Indonesian Scholar with nation- ally/intemationally qualification; (2). The increase of Islamic society followed by high quality demand reveals the development of Muhammadiyah Univer¬sity as center of human resources development; (3) Islam as the way of live should be apllied in daily activities, especially as a Muslim scholars gradu¬ated from Muhammadiyah University; (4). There is no clear definition and principles about Islamic medicine and/or other Islamic revealed knowledge in medical filed.
Pola Tatalaksana Farmakologis Hipertensi pada Pasien Rawat Inap di RS dr Soedirman Kebumen Gularso, -; Ninda, Devita; Ana, Fauziyati
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 19, No 1 (2019): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.190121

Abstract

Rumah sakit menduduki posisi penting untuk tatalaksana hipertensi. Tatalaksana hipertensi yang baik di rumah sakit  menyebabkan tekanan darah terkontrol. Kenyataan tatalaksana hipertensi di rumah sakit saat ini belum maksimal. Penelitian ini bertujuan untuk mengetahui gambaran pola tatalaksana farmakologis hipertensi pasien rawat inap di RS dr Soedirman Kebumen tahun 2015. Penelitian ini bersifat non eksperimental deskriptif, menggunakan data rekam medis pasien dengan hipertensi tahun 2015. Variabel yang diobservasi meliputi jenis obat antihipertensi, jumlah obat, dosis obat dan capaian terapi. Sebanyak 95 pasien hipertensi rawat inap masuk kriteria inklusi. Pasien meninggal kurang dari 24 jam setelah rawat inap tidak diikutkan dalam penelitian. Golongan Calcium Channel Blocker merupakan obat yang paling sering digunakan secara tunggal maupun kombinasi (70,53%.) Sebanyak 46% diberikan kombinasi dua jenis obat. Kombinasi tersering yang digunakan adalah Angiotensin Receptor Blocker + Calcium Channel Blocker. Hanya 30,53% pasien memenuh target tekanan darah saat pulang. Pola tatalaksana hipertensi di RS dr Soedirman Kebumen belum sesuai dengan JNC VIII yaitu pada pemilihan jenis dan jumlah obat berdasar stadium hipertensi. Tingkat keberhasilan terapi pada kelompok dengan komorbid sudah baik dibandingkan capaian WHO tetapi sebaliknya pada kelompok tanpa komorbid.
Psychosocial Aspects of Childbearing Arofiati, Fitri
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 10, No 1 (2010)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v10i1.1568

Abstract

Salah satu isu nasional dalam bidang kesehatan adalah tindakan pencegahan terhadap masalah yang berhubungan dengan kesehatan ibu dan anak. Aspek psikososial merupakan salah satu faktor yang mempengaruhi kesiapan ibu akan kehamilan dan kelahiran (mempunyai anggota keluarga baru). Kehamilan dan kelahiran merupakan kejadian yang berhubungan dengan pengalaman manusia secara bio-psiko-sosial dan budaya. Respon ibu terhadap kehamilan dan kelahiran berbeda-beda, dipengaruhi oleh umur, kesehatan, status sosial ekonomi dan latar belakang budaya. Individu ibu dan keluarga sangat membutuhkan informasi yang cukup agar dapat mempersiapkan dengan baik proses kehamilan, kelahiran (kehadiran anggota keluarga yang baru).One of the health care national issues is the preventive of the problems related with maternal-child. Psychosocial aspect is one factor that will involve the readiness of mother to her pregnancy and childbirth (the readiness of having new family member).Pregnancy and childbirth or childbearing is the event which is closely related with some experiences of human being: bio-psycho-social and cultural. Every mother would has different response to the event of pregnancy and childbirth, depends on the age, health status, socio-economical level, and cultural background. Mother as an individual and family needs enough information for the readiness of pregnancy and childbirth (the readiness of having new family member).
Antraks Pulmoner dan Bioterorisme Pulmonary Anthrax and Bioterorism Khoiriyah, Umatul
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2005)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v5i2.1876

Abstract

Anthrax is zoonotic disease, which is caused by Bacillus antracis. Bacilllus anthracis has very small spores, which has long been considered a potential biological weapon since world war I.Type of anthrax based on clinical manifesatation are divided into three types : cutaneous anthrax, gastrointestinal anthrax and pulmonary anthrax. Pulmonary anthrax has the worst prognosis. As potential for biological weapon mortality rate reaches 100 % of all victim during 24 hours .Sign and symtomps of pulmonary anthrax are divided into two stages. Prevention and therapy of pulmonary anthrax is effective before stage two as well as decrease the mortality.Antraks merupakan penyakit zoonosis yang disebabkan oleh Bacillus antracis. Bacillus anthracis, sudah lama digunakan sebagai senjata biologi sejak perang dunia I. Bacillus anthracis mempunyai ukuran spora yang sangat kecil dan sangat efektif sebagai senjata biologi.Berdasar tempat masuk spora, penyakit antraks terbagi atas 3 jenis yaitu. Antraks kulit (cutaneous anthrax), antraks pencernaan {gastrointestinal anthrax), dan antraks paru- paru (pulmonary anthrax). Pulmonary anthrax merupakan anthraks yang paling berbahaya karena angka mortalitas mencapai 100%. Pulmonary anthrax paling potensial digunakan sebagai senjata biologi karena bisa mematikan dalam waktu 24 jam dengan korban banyak.Gejala dan tanda pulmonary anthrax terbagi menjadi dua stadium. Prevensi dan pengobatan dengan vaksinasi dan antibiotik sebelum mencapai stadium dua akan menurunkan angka mortalitas.

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