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Berkala Kedokteran

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Published by Universitas Lambung Mangkurat

ISSN : 14120550 EISSN : 25485660 DOI : http://dx.doi.org/10.20527

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Berkala Kedokteran is a journal contains scientific articles from original research and literature review in medical and health scope. It is published twice in a year, on February and September.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 15 Documents

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Search results for , issue "Vol 18, No 1 (2022)" : 15 Documents clear

FLEXIBILITY RESTORATION OF ARTICULATIO METACARPOPHALANGEAL 1 IN CADAVER PRESERVED BY FORMALIN WITH ACETIC ACID EXPOSURE Fitri Fitri; Marisa Riliani; Edward Syam
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Cadaver rigidity due to formalin preservation often intricates students' understanding in anatomical learning. Various solutions have been trial, but there were no satisfactory results. In this study, acetic acid solution was used to restore the motion flexibility motion of small joint in the hand. Investigated the difference in motion angle of articulatio metacarpophalangeal 1 after being given acetic acid in cadaver post formalin preservation. A pair of cadaver hands conserved by formalin from the same body, were exposed to 5% acetic acid for 4 months. Angular measurements performed on flexion and extension before and after exposure. The flexibility of metacarpophalangeal joints 1 increased in the form of angular reduction in flexion movement (22.8° reduced, p<0.05) and the addition of angle to the extension movement (9.85° increased, p<0.05). Administration of acetic acid for 4 months may increase the motion flexibility of small joint like articulatio metacarpophalangeal 1 in cadaver post-formalin preservation. This result may help students to have better anatomical understanding in cadaver at anatomy laboratory. Keywords: Acetic acid; Articulatio metacarpophalangeal 1; Cadaver; Flexibility; Restoration

THE INFLUENCE OF CLIMATE FACTORS ON DIARRHEA CASES IN CHILDREN UNDER FIVE YEARS BEFORE AND AFTER THE COVID-19 PANDEMIC IN BANJARMASIN Budiyanto Budiyanto
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Background: Diarrhea still become one of the leading causes of morbidity and mortality in children, especially under 5 years. Anthropogenic climate change, mainly due to global warming process, is expected to change the epidemiological pattern of infectious diseases, including diarrhea. COVID-19 pandemic that has occurred globally since March 2020 may also have an impact. Banjarmasin as a city in a wetland area with tropical savanna climate that also affected by COVID-19 pandemic is also at risk. We conducted a research to study the influence of climate factors on diarrhea cases in children under 5 years before and after the COVID-19 pandemic in Banjarmasin.Methods: Data of monthly diarrhea cases in children under 5 years at public health centers from Banjarmasin City Health Office and monthly climate data (amount of rainfall, number of rain days, temperature, humidity, sunshine duration, wind speed) from BMKG and BPS between January 2010 to April 2021 were collected. Statistical analysis was carried out to determine the correlation between climate factors and diarrhea cases before and after COVID-19 pandemic.Results: There was a decrease in the average monthly visits of children under five years with diarrhea before (497 ±47.4) and after (132 ±45.8) COVID-19 pandemic. Among climate factors, amount of rainfall (r=-0.753; p=0.005), number of rain days (r=-0.774; p=0.003), and humidity (r=-0.590; p=0.044) were negatively correlated, while sunshine duration (r=0.674; p=0.016) was positively correlated with diarrhea cases in the period before COVID-19 pandemic. No correlation was found between any climate factor and diarrhea cases in the subsequent period.Conclusion: Diarrhea cases in children under 5 years in Banjarmasin tend to increase in dry season, however during COVID-19 pandemic there were some changes in society, such as working from home, reluctance to go to health facilities which might affect the usual trend. Keywords: Anthropogenic climate change; Climate factors; COVID-19 pandemic; Diarrhea under 5 years; Wetland

DETERMINANT FACTORS OF UNCONTROLLED HYPERTENSION AMONG ADULT Helmi Rumbo
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Uncontrolled high blood pressure can lead to stroke, heart attack, kidney failure, memory and vision disfunction, and also erectile dysfunction. Globally, data shows that 1.28 billon adults aged 30 – 79 years has hypertension and estimated only 46% of adults with hypertension are diagnosed and treated. In Indonesia, based on national survey in 2019, an estimated 34.11% of the population aged 18 years above has hypertension. Division of Disease Control and Environmental health in Central Sulawesi Province proofed that only 0.12 % of hypertensive patients have been recorded to get treatment or visited to the health Center in Parigi Moutong District. This study aims to identify the determinant factors of uncontrolled hypertension among hypertensive patients in Taniuge, Parigi Moutong District. Community- based cross sectional study design was conducted 25 July to 6 August 2021. Total sampling method was used to select 30 sample. Data was collected using the structured questionnaire. Chi-square test was used to identify the relationship between the variables. The results show that, there is relationship between life style and uncontrolled hypertension (p = 0.029); there were no relationship between genetic, family support and health center availability and uncontrolled hypertension (p = 0.6; p = 1.0; p = 0.5, sequentially). The conclusion is to control blood pressure, patients are recommended to take medication regularly, and also apply the Healthy Living Community Movement (GERMAS). All people are encouraged to adopt a healthy lifestyle, such as not smoking, consuming balanced nutrition, daily physical activity for at least 30 minutes; in order to reduce risk factors for hypertension.Keywords: Hypertension; Uncontrolled; Adult; Life-style

CORRELATION BETWEEN THE PERCENTAGE OF HYPOCHROMIC ERYTHROCYTES AND FERRITINE LEVELS IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS IN PKU BANTUL HOSPITAL Seno Dwi Prasetyo; Linda Rosita; Utami Mulyaningrum
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstrak: The incidence of CKD in the world is more than 500 million patients and up to 1.5 million patients need to undergo renal replacement therapy in the form of hemodialysis. Chronic kidney disease is inseparable from several complications, one of which is anemia. Confirmation of the diagnosis of anemia in CKD patients can be confirmed through various examinations such as the classic examination of serum ferritine levels, but ferritine is known to be involved in the inflammatory process that occurs in CKD. The aims of this study were to determine the relationship between the percentage of hypochromic erythrocytes and ferritine levels, to determine the average percentage of hypochromic erythrocytes and to determine the average ferritin level in CKD patients undergoing hemodiliasis at PKU Bantul Hospital. This study was conducted using a cross-sectional method involving 50 CKD patients at PKU Bantul Hospital. Blood samples were taken to check ferritine levels and hypochromic erythrocyte percentage. Data analysis was carried out with two types, univariate analysis and bivariate analysis which were carried out with the Spearman correlation test. Based on the results of univariate analysis, the median percentage of hypochromic erythrocytes of the research subjects was 0.95%. The median ferritine in research subjects was 105.5 ng/mL. based on the results of bivariate analysis, there was no significant relationship between the percentage of hypochromic erythrocytes and ferritine levels (p=0.130, r=-0.217). There was no significant relationship between the percentage of hypochromic erythrocytes and ferritine levels. Keywords: anemia; ferritine serum, chronic kidney disease, reticulocytes hemoglobin

STRESS, DEPRESSION AND ANXIETY LEVELS AMONG PARENTS OF “LEARNING FROM HOME” DURING COVID-19 PANDEMIC Denny Anggoro Prakoso; Alya’ Laudza; Yusuf Oka Mahendra; Naufal Hanif; Fitria Nurul Hidayah
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: One of the consequences of the Covid-19 pandemic is the adaptation process and changes in the education process. During the Covid-19 crisis, the Indonesian Ministry of Education and Culture implemented a policy to aid in preventing Covid-19 spread through regulations governing the implementation of "Learning from Home" education. The implementation of this program which has been going on for quite a long time can create additional life burdens that produce a psychological impact on parents such as stress, anxiety, and depression. The purpose of this study is to determine the prevalence of stress, depression, and anxiety in parents of children who are "Learning from Home" as a response of the Covid-19 epidemic. An online survey was conducted from August 2020 until September 2020 among parents who have a minimum of one child with the age of children or adolescents. The Google Form was used to create a structured self-reported e-questionnaire, and the link was shared through WhatsApp. Respondents completed a survey measuring socio-demographic variables and the DASS-42 (Depression, Anxiety, Stress Scale) to measure stress, depression, and anxiety, after giving informed consent. Researchers received 225 online responses. Microsoft Excel and SPSS 21 were used to perform a univariate analysis on the data collection. Stress, depression, and anxiety were found to be prevalent among parents of “Learning from Home” children in 43.56%, 13.78%, and 18.22%, respectively. This research showed that during the Covid-19 pandemic, a significant number of parents of "Learning from Home" children encountered stress, anxiety, and depression symptomsKeywords: Stress-depression-anxiety; Learning from home; Parents; Covid-19

COST OF ILLNESS FOR CHRONIC KIDNEY DISEASE TREATMENT WITH HEMODIALYSIS IN YOGYAKARTA Ingenida Hadning; Muhammad Heyqal Wirakarsa; Muhamad Rinaldhi Tandah Tandah
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: The increase in the number of chronic kidney disease (CKD) sufferers and the expensive financing of this disease, the economic burden borne will certainly increase. This study aimed to determine the cost of illness of CKD patients undergoing hemodialysis, as well as to find out the comparison of real costs with INA-CBG’s rates. This was a pharmacoeconomic research, used the cost of illness method according to a societal perspective. The study was conducted in a type B government hospitals in Yogyakarta from January to March 2020. The population in this study were all CKD patients undergoing hemodialysis in need to mention the hospital at first. The research instruments were medical records, hospital financial data, and patient interviews. The complete data were analyzed statistically with the descriptive method and the Mann Whitney test. The number of samples was 65 patients. The results revealed the average cost of illness was 6,224,277.00 IDR for one month of treatment. The cost component that dominates was hemodialysis rate. The average real cost was 836,686 IDR for one procedure. It can be concluded that the average real cost of CKD patients with hemodialysis in the type B government hospital were significantly smaller than the INA-CBG’s rate.Keywords: Chronic Kidney Disease; Hemodialysis; Cost Of Illness; INA-CBG’s Rate

AMPUTATION OF CERVIX AND NEOCERVIX CREATION USING STURMDORF TECHNIQUE IN RECURRENT CERVICAL SARCOMA BOTRYOIDES: A CASE REPORT Pribakti Budinurdjaja; Ihya Ridlo Nizomy; Inas Tsurayya Fauziah Lahdimawan
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Sarcoma botryoides, or embryonal rhabdomyosarcoma, is soft tissue sarcoma arises from embryonic muscle cells and normally present with discharge, bleeding, or a visible mass at the vaginal introitus in infants and children. Aim of this study is to report a case of cervical sarcoma botryoides. Method used is a Case report. A 16-year-old girl, nulliparous, complained abnormal vaginal bleeding and a protruding vaginal mass. Patient underwent first surgery, mass recurrent five months later. The second surgery was performed by cervical amputation and neocervix creation using Sturmdorf sutures technique. Postoperative week 12 demonstrated a healthy neocervix in appearance, her menses have resumed, indicated patency. She has no evidence of disease 3 months after diagnosis. Cervical sarcoma botryoides is a rare malignancy. Clinicians must thoroughly examine any polyp or mass protrudes from vagina. Early diagnosis and treatment are essential for better prognosis. Sarcoma botryoides has a much improved prognosis with multimodality treatment. To determine the long-term survival and future potential fertility outcome, larger study and longer follow-up are needed. Keywords: sarcoma, botyroides, embryonal, rhabdomyosarcoma, neocervix

NEURO PROGENITOR CELLS (NPCS) AND PPARγ EXPRESSION IN THE BRAIN OF PROTEIN-DEFICIENT RATS AFTER ADMINISTRATION OF PASAK BUMI (Eurycoma longifolia Jack) EXTRACT Didik Dwi Sanyoto; Triawanti Triawanti; Dimas Ikhsan Airlangga
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Malnutrition due to protein deficiency disrupts the neurogenesis process that affects cell development and brain function. One of the efforts to overcome the matter is to use the pasak Bumi (Eurycoma longifolia Jack) which has compounds believed to increase the process of neurogenesis. The aim of study to analyze the effect of pasak bumi extract on the expression of NPCs (Tuj-1) and PPARγ cell in the brains of malnourished rats. Groups of experimental animals that were were divided into 5 groups, namely (P1) malnourished rats + placebo (aquades); (P2) malnourished rats + pasak bumi extract (EPB) 7,5 mg/kg BW; (P3) malnourished rats + EPB 15 mg/kg BW; (P4) malnourished rats + EPB 22,5 mg/kg BW; (P5) malnourished rats + EPB 30 mg/kg BW. As a control, normal rats were used which were given a placebo. Parameters examined include Tuj-1 and PPARγ using immunohistochemistry procedure. The results showed that the P3 group (15 mg/kg BW) had more cells expressing Tuj-1 than the other doses. There was a significant difference between the KP and the P3, P4, and P5 groups. There was no significant difference in the expression of PPARγ in all malnourished groups with EPB and KN intervention. Conclusion: extract of pasak bumi was able to improve the neurogenesis process in malnutrition but not PPARγ. Keywords: Malnutrition, pasak bumi extract, NPCs, Tuj-1, PPARγ

THE RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE WITH EFFORT OF SCHISTOSOMIASIS PREVENTION BY COMMUNITY IN THE WORK AREA PUBLIC HEALTH CARE CENTER OF WUASA Noviany Banne Rasiman
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Schistosomiasis is a disease caused by worm Schistosoma japonicum which requires an intermediate animal, namely a snail called Oncomelania Hupensis Lindoensis. In the work area Health Care Canter of Wuasa, the disease is still many cases, because most of the population are immigrants, they are open rice fields and plantations in the focus area of snail. The purpose was to determine the relationship between knowledge and attitudes with the effort of Schistosomiasis prevention by Community in the Public Health Care Center of Wuasa, North Lore District, Poso Regency. This type of research is analytic with cross sectional approach. The variables in this study are the knowledge and attitudes of the community with efforts to prevent Schistosomiasis. The types of data are primary and secondary. data collection using a questionnaire. Data analysis used univariate and bivariate analysis with Chi-square test. The population in this study were all people of North Lore District. Sampling using proportional random sampling technique with total 99 respondents. The results of the univariate analysis showed that 77.8% of respondents had good knowledge of schistosomiasis prevention efforts, 52.5% of respondents had good attitudes and 83.8% of respondents had quite good schistosomiasis prevention efforts. Bivariate analysis with Chi-square statistical test with 95% confidence level with a significance value of 0.05. The results showed that there was a relationship between knowledge and efforts to prevent Schistosomiasis with p-value = 0.000 (where p < 0.05) and there was a relationship between community attitudes and efforts to prevent Schistosomiasis disease with p-value = 0.003 (where p < 0.05). The conclusion of the study were there is a significant relationship between knowledge and attitudes of the community with efforts to prevent Schistosomiasis in the Public Health Care Center of Wuasa. Suggestions to the health workers in the work area of health care center to increase local community awareness in supporting the prevention of Schistosomiasis disease.Keywords: Knowledge; attitude; prevention; Schistosomiasis.

SENSITIVE SKIN: A NEW ENTITY PERSPECTIVE Putu Martha Gerynda Sukma; Windy Keumala Budianti; Sari Chairunnisa; Rinadewi Astriningrum
Berkala Kedokteran Vol 18, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: The phenomenon of “sensitive skin” is a relatively recent terminology in certain populations reporting sensory complaints that are more intense and more frequent than the normal population, especially after using cosmetic products. The incidence of sensitive skin is increasing along with the rapid widespread of skin care products availability. Various studies have been conducted but the pathophysiology of sensitive skin is still unclear. Physiological changes in sensitive skin are influenced by two main factors such as dysfunction in skin barrier and neurosensory. There are various quantitative sensory tests that can be done to determine skin sensitivity. Until now, there is no guideline for treating sensitive skin. Contributing factors, quantitative sensory tests, relation to skin diseases, and managements will be discussed in this literature review.Keywords: Dysfunction; Neurosensory; Sensitive skin; Skin barrier

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Eko Suhartono

Contact Email esuhartono@ulm.ac.id

Phone +6281251126368

Journal Mail Official jbk@ulm.ac.id

Editorial Address Jalan Veteran No.128 Banjarmasin

Location Kota banjarmasin, Kalimantan selatan INDONESIA

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Contact Name
Eko Suhartono

Contact Email
esuhartono@ulm.ac.id

Phone
+6281251126368

Journal Mail Official
jbk@ulm.ac.id

Editorial Address
Jalan Veteran No.128 Banjarmasin

Location
Kota banjarmasin,

Kalimantan selatan

INDONESIA