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Berkala Kedokteran
Published by Universitas Lambung Mangkurat
ISSN : 14120550     EISSN : 25485660     DOI : http://dx.doi.org/10.20527
Core Subject : Health, Science,
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 478 Documents
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Profil Penderita Kanker Paru Primer Di RSUD Ulin Banjarmasin Tahun 2006-2011 Shinta Kartika Nur Aisah; Haryati Haryati; Mohammad Bakhriansyah
Berkala Kedokteran Vol 9, No 2 (2013)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i2.947

Abstract

ABSTRACT: Lung cancer is one of the most common malignancies causing very high morbidity and mortality. Many factors can contribute to the incidence of lung cancer instead of the mayor factor, smoking. It was the ten of pulmonary diseases at RSUD Ulin Banjarmasin. The aim of this research was to describe the profile of patients with primary lung cancer at RSUD Ulin Banjarmasin in 2006-2011. It was a descriptive study using medical records data. There were 134 data with confirmed case of lung cancer. Most of patients with lung cancer were male (76.12%), and male and female ratio was 3: 1. The mean age of patients was 57 years old, particularly at the fifth decade (29.85%). The most common clinical symptom was shortness of breath (53.73%). The most common histological type of lung cancer was adenocarcinoma (61.96%). Most patiens were diagnosed in the final stages of the disease, i.e IVA and IVB (56.72% and 17.91%). There were 33.59% patients with of primary lung cancer living in the city of Banjarmasin.  Keywords:      primary lung cancer, risk factors of primary lung cancer, histological  type, clinical stage, RSUD Ulin Banjarmasin ABSTRAK: Kanker paru merupakan salah satu keganasan yang mempunyai tingkat morbiditas dan mortalitas yang tinggi. Banyak faktor yang dapat memicu terjadinya kanker paru, selain faktor utamanya yaitu merokok. Di RSUD Ulin Banjarmasin, kanker paru masuk dalam urutan sepuluh besar penyakit paru. Tujuan penelitian ini untuk mengetahui profil penderita kanker paru primer di RSUD Ulin Banjarmasin tahun 2006-2011. Penelitian ini merupakan penelitian deskriptif dengan menggunakan data sekunder. Penelitian ini melibatkan 134 data pasien yang didiagnosis kanker paru primer. Sebagian besar penderita kanker paru primer adalah laki-laki (76,12%) dengan perbandingan antara laki-laki dan perempuan 3:1. Umur rata-rata adalah 57 tahun dengan umur terbanyak pada dekade kelima (29,85%). Gejala klinis yang paling sering dikeluhkan adalah sesak nafas (53,73%). Jenis histologi kanker paru primer yang terbanyak adalah adenokarsinoma (61,96%). Sebagian besar pasien berada pada stadium akhir yaitu stadium IVA dan IVB (56,72% dan 17,91%). Sebanyak 33,59% penderita kanker paru primer bertempat tinggal di kota Banjarmasin. Kata kunci:  kanker paru primer, faktor risiko kanker paru primer, jenis histologi sel,  stadium klinis, RSUD Ulin Banjarmasin
Hubungan Penggunaan Helm dengan Beratnya Cedera Kepala Akibat Kecelakaan Lalu Lintas Darat di RSUD Ulin Bulan Mei - Juli 2013 Inas Tsurayya Fadilla Lahdimawan; Agus Suhendar; Siti Wasilah
Berkala Kedokteran Vol 10, No 2 (2014)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.958

Abstract

ABSTRACT: Head injury is one of the leading cause of morbidity and mortality in the world and the seventh cause of mortality in Indonesia . Head injury is one of the most top 10 diseases in Ulin General Hospital. The increasing number of motorcycle leading head injury to occur more often, considering that road traffic accidents are the most frequent cause of head injury. Lack of public awareness in helmet use leads it to be the primary factor of head injury. The objective of the research is to identify the relationship between helmet use and head injury severity caused by road traffic accidents. The method of the research is descriptive analytical with cross-sectional approach and it took place at Ulin General Hospital from May – July 2013. Total samples of 73 people taken based on inclusion criteria. The most frequently age group was between the age 15-24 (41,1%). Males frequently injured than female with male to female ratio was 1,9:1. Most of them were non-helmeted motorcyclist (53,4%). The most frequent head injury severity was mild head injury (64,4%). The data were statistically analyzed by Chi-square test showed p = 0.041 (α = 0.05). Based on the research there is a significant relationship between helmet usage and the severity of head injury caused by road traffic accidents. Keywords: head injury, helmet, road traffic accidents ABSTRAK: Cedera kepala merupakan salah satu penyebab kesakitan dan kematian di dunia dan ke-7 di Indonesia. Cedera kepala termasuk 10 penyakit terbesar di RSUD Ulin Banjarmasin. Meningkatnya angka kendaraan bermotor menyebabkan cedera kepala semakin sering terjadi, mengingat salah satu penyebab tersering cedera kepala adalah kecelakaan lalu lintas. Kurangnya kesadaran masyarakat dalam menggunakan helm menjadi faktor utama terjadinya cedera kepala. Penelitian bertujuan untuk mengetahui apakah terdapat hubungan antara penggunaan helm dengan beratnya cedera kepala akibat kecelakaan lalu lintas darat. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross-sectional bertempat di RSUD Ulin bulan Mei – Juli 2013. Jumlah sampel sebanyak 73 orang  diambil berdasarkan kriteria inklusi. Kelompok usia terbanyak yaitu 15-24 tahun (41,1%). Jenis kelamin laki-laki banyak mengalami cedera kepala daripada perempuan dengan perbandingan 1,9:1. Status penggunaan helm terbanyak adalah tidak menggunakan helm (53,4%). Beratnya cedera kepala terbanyak adalah cedera kepala ringan (64,4%). Data dianalisis statistik dengan uji Chi-square menunjukkan p = 0,041 (α = 0,05). Berdasarkan penelitian yang dilakukan dapat diambil kesimpulan bahwa terdapat hubungan bermakna antara penggunaan helm dengan beratnya cedera kepala akibat kecelakaan lalu lintas darat. Kata-kata kunci: cedera kepala, helm, kecelakaan lalu lintas darat
PENGARUH INFEKSI KECACINGAN TERHADAP STATUS GIZI PADA ANAK DI SDN 2 BARABAI DARAT KALIMANTAN SELATAN TAHUN 2015 Aulia Azizaturridha; Istiana Istiana; Lisda Hayatie
Berkala Kedokteran Vol 12, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.331 KB) | DOI: 10.20527/jbk.v12i2.1864

Abstract

Abstract: Worm infection is an infectious disease caused by one or more intestinal parasitic worms from the class of intestinal nematodes. Worm infection can disruption of nutrients such as deficiency calories, protein, and blood loss. The aim of research is to know the effect of worm infection on nutritional status in SDN 2 Barabai Darat's children South Kalimantan 2015. This research is an observational analytic with cross sectional approach. The total samples is 85 children from class 3 and 4, obtained by purposive sampling fit the inclusion criteria. Data collected by stool examination and measurement of nutritional status, the data were analyzed by Fischer's Exact test. The results showed were 5,9% children with worm infections. Statistical analysis showed that there was not any effect of worm infection  on nutritional status based on BB/U (p = 1,000), based TB/U (p = 0,154), and based on BMI/U (p = 1,000). Conclusion from this research is not any effect of worm infection on nutritional status in children at SDN 2 Barabai Darat (p> 0,05). Keywords: worm infection, nutritional status, SDN 2 Barabai Darat Abstrak: Infeksi kecacingan adalah suatu penyakit infeksi yang disebabkan oleh satu atau lebih cacing parasit usus dari golongan nematoda usus. Infeksi kecacingan dapat menimbulkan gangguan zat gizi berupa kekurangan kalori, protein, dan kehilangan darah. Tujuan penelitian adalah untuk mengetahui pengaruh infeksi kecacingan terhadap status gizi pada anak di SDN 2 Barabai Darat Kalimantan Selatan tahun 2015. Jenis penelitian yang digunakan adalah penelitian observasional analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 85 anak dari kelas 3 dan 4, didapat secara purposive sampling  sesuai kriteria inklusi. Pengumpulan data dilakukan dengan pemeriksaan feses dan pengukuran status gizi, sedangkan analisis data dilakukan dengan menggunakan uji Fischer's Exact. Hasil penelitian menunjukkan terdapat 5,9% anak yang positif terinfeksi cacing. Analisis statistik menunjukkan bahwa tidak terdapat pengaruh infeksi kecacingan terhadap status gizi berdasarkan BB/U (p=1,000), berdasarkan TB/U (p=0,154), dan berdasarkan IMT/U (p=1,000). Kesimpulan penelitian ini adalah tidak terdapat pengaruh infeksi kecacingan terhadap status gizi pada anak di SDN 2 Barabai Darat (p>0,05). Kata-kata kunci: kecacingan, status gizi, SDN 2 Barabai Darat
KARAKTERISTIK PENDERITA TUBERKULOSIS PARU DENGAN MULTIDRUG-RESISTANT TUBERCULOSIS (MDR-TB) DI RSUD ULIN BANJARMASIN Gusti Andhika Azwar; Dewi Indah Noviana; FX. Hendriyono
Berkala Kedokteran Vol 13, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.911 KB) | DOI: 10.20527/jbk.v13i1.3436

Abstract

Abstract: Tuberculosis is the main health problem in the world and getting worse with Multidrug-Resistant Tuberculosis (MDR-TB) cases. Many research about MDR-TB patients is conducted to describe MDR-TB patients characteristics. This research aims to describe the characteristics of pulmonary tuberculosis MDR-TB at RSUD Ulin Banjarmasin on December 2015-May 2016. This was a descriptive research with crossectional approaches. Data were collected from clinical pathology laboratory and patients medical record. The Result indicate that as many as 19 pulmonary TB patients with MDR-TB at RSUD Ulin Banjarmasin on December 2015-May 2016 with characteristics were dominated by men 84,2% (16 subjects); age 45-54 years 35,8% (7 subjects); junior and senior high school both 21,1% (4 subjects); private employees 31,6% (6 subjects); came with TB relapses 68,4% (13 subjects); and the acid-fast bacilli examination showed negative and positive both 21,1% (4 subjects). In conclusion, the characteristics of pulmonary tuberculosis patients with Multidrug-Resistant Tuberculosis (MDR-TB) at RSUD Ulin Banjarmasin on December 2015-May 2016 are dominated by men, age 45-54 years old, junior and senior high school, private employees, from Banjarmasin, come with TB relapses and the acid-fast bacilli examination showed negative and positive. Keywords:     multidrug-resistant tuberculosis (MDR-TB), Tuberculosis patient’s characteristics, RSUD Ulin Banjarmasin Abstrak: Tuberkulosis merupakan masalah kesehatan utama di dunia dan bertambah berat dengan munculnya kasus multidrug-resistant tuberculosis (MDR-TB). Berbagai penelitian dilakukan untuk mengetahui karakteristik penderita MDR-TB. Oleh karena itu, penelitian ini bertujuan untuk mengetahui karakteristik penderita tuberkulosis paru dengan MDR-TB di RSUD Ulin Banjarmasin periode Desember 2015-Mei 2016. Penelitian  ini adalah penelitian deskriptif dengan rancangan cross-sectional. Data diambil dari Laboratorium Patologi Klinik dan rekam medis penderita. Hasil penelitian menunjukkan 19 penderita tuberkulosis paru dengan MDR-TB di RSUD Ulin Banjarmasin periode Desember 2015-Mei 2016 didominasi oleh laki-laki 84,2% (16 orang); usia 45-34 35,8% (7 orang); pendidikan SMP dan SMA masing-masing 21,1% (4 orang); pekerja swasta 31,6% (6 orang); berasal dari Banjarmasin 57,9% (11 orang); datang dengan keadaaan TB kasus relaps kategori 1 dan kategori 2 68,4% (13 orang); dan dengan hasil pemeriksaan sputum BTA positif dan negatif masing-masing 21,1% (4 orang). Kesimpulan penelitian ini adalah karakteristik penderita tuberkulosis paru dengan multidrug-resistant Tuberculosis (MDR-TB) di RSUD Ulin Banjarmasin periode Desember 2015-Mei 2016 didominasi oleh laki-laki, usia 45-54 tahun, pendidikan SMP dan SMA, pekerja swasta, berasal dari Banjarmasin, datang dengan keadaan kasus TB relaps dan hasil sputum BTA negatif dan positif. Kata-kata kunci:        Multidrug-resistant tuberculosis (MDR-TB), karakteristik penderita Tuberkulosis Paru
GAMBARAN ANGKA KEJADIAN KOMPLIKASI PASCA ANESTESI SPINAL PADA PASIEN SEKSIO SESARIA Mardhiyah Hayati; Kenangan Marwan Sikumbang; Ahmad Husairi
Berkala Kedokteran Vol 11, No 2 (2015)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.612 KB) | DOI: 10.20527/jbk.v11i2.140

Abstract

The spinal anesthesia is mostly used for cesarean section. The use of spinal anesthesia may cause the complications during and after surgery. The purpose of the research was to describe the incidence complications after spinal anesthesia on the first and third day after cesarean section in Ulin Hospital Banjarmasin. The method of the research is descriptive. The data were obtained from the medical records of the patient and questionnaire sheets. The sampling was used in consecutive sampling with the total of research subjects are 47 patients. The result of the research showed the incidence complications on the first day after spinal anesthesia is back pain 19(42.3%), nausea and vomit 6(13.4%), and headache 1(2.2%). The third day after spinal anesthesia is back pain 5(11%), nausea and vomit 24.4%), and headache 1(2.2%). The conclusion of the research is the image of the incidence complications after spinal anesthesia on the first day and third day at Ulin Hospital Banjarmasin shows back pain as the most complaints. Keywords: complications after spinal anesthesia, spinal anesthesia, Ulin Hospital Banjarmasin.
THE AMOUNT OF LYMPHOCYTES BEFORE AND AFTER CEMOTHERAPY IN BREAST CANCER AT ULIN GENERAL HOSPITAL BANJARMASIN Firdinia Gafuri Dohamid; M. Darwin Prenggono; Dona Marisa
Berkala Kedokteran Vol 13, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.825 KB) | DOI: 10.20527/jbk.v13i2.4066

Abstract

Abstract: Breast cancer is the most common malignancies among woman in Indonesian. One of breast cancer treatment is chemotherapy which resist cancer’s cells to grow. But chemotherapy also cause DNA damage that interfere lymphocyte proliferation. Depletion on lymphocyte counts will increased patient’s susceptibility to opportunistic infection. The aim of this research was to knowing the difference of lymphocyte counts because of chemotherapy on breast cancer patients in general hospital Ulin Banjarmasin. This research was an observational analytic with cross sectional approach. The sampling technique was non-probability sampling followed by consecutive sampling. Total samples were 61 patients that match with inclusion criteria. Paired T-test was used to analyze the hypothesis with the result of pvalue=0.000 (ρ<0.05), that means there’s a significant decrease in the number of lymphocyte counts after receiving chemotherapy in general hospital Ulin Banjarmasin, January 2014 to December 2015 period. Keywords: chemotherapy, lymphocyte, breast cancer
NILAI DIAGNOSTIK SKOR KLINIS DIBANDINGKAN DENGAN BIOPSI PATOLOGI ANATOMI DALAM MENDIAGNOSIS PASIEN KARSINOMA NASOFARING Dini Desviana Rahmayanti; Ika Kustiyah Oktaviyanti; Istiana Istiana
Berkala Kedokteran Vol 11, No 1 (2015)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.739 KB) | DOI: 10.20527/jbk.v11i1.188

Abstract

Nasopharyngeal malignancy is the most commonly found among head and neck malignancies. Generally, nasopharyngeal cancer, has a good prognosis if it is detected as soon as possible. It is very important to diagnose it earlier because survival rate can be longer if therapy is given early. This study aims to determine the diagnostic value of clinical scores compared with histopathology biopsy to diagnose nasopharyngeal carcinoma in patients of RSUD Ulin Banjarmasin in the period 2012-2014. Subjects of this study were patients of RSUD Ulin Banjarmasin Hospital which is suspected nasopharyngeal carcinoma, who have examined the clinical symptoms by history and physical examination, had been registered in the medical record, and had been examined with histopathology biopsy. Data of clinical examination and histopathology biopsy from each sampel were collected for clinical symptom scores were analyzed according to get sensitivity value, specifity value, positif predictive value, and negative predictive value.Total subject of this research was 30. In this study, a minimum clinical score to lead to a nasopharyngeal malignancy that if found clinical score of 4, with a sensitivity, specifity, positive predictive value , and negative predictive value of 75%, 83.33%, 94.74%, 45.45% respectively. Clinical characteristics have high sensitivity and specifity to diagnose nasopharyngeal carcinoma. Keywords: diagnostic value, clinical scores, nasopharyngeal carcinoma
The Effect of Self-Management Education on Distress of Type 2 Diabetes Mellitus Patients in Ulin General Hospital Banjarmasin, South Kalimantan, Indonesia Noor Diani; Maulidya Septiany; Lola Illona Elfani Kausar
Berkala Kedokteran Vol 14, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.165 KB) | DOI: 10.20527/jbk.v14i1.4529

Abstract

Abstract: The purpose of this study was to analyze the effect of diabetes self management education (DSME) on distress of type 2 diabetes melitus patients which is hospitalized in Ulin General Hospital. This Study used Pre-Experiment with One Group Pretest-Posttest Design. The sample size was 32 patients. The results showed that the average of emotional burden before and after DSME was decrease, with difference number 0.325. The result of Distress among healthcare services before and after DSME was increase (0.211). The result of distress due to diabetes management before and after DSME was decrease (0.119). The result of distress interpersonal relationship before and after DSME was up (0,021). The analysis used Wilcox on Sign Rank test with p= 0,135 (p> 0,05) for emotional distress, p = 0,443 (p> 0,05) for Distress healthcare worker, p = 0.656 (p> 0.05) for distress due to diabetes management. P=0,527 (p>0,05) for Distress interpersonal relationship. The conclusion was there is no significant difference of distress level before and after DSME. It is shown that there is no effect of DSME on distress among patients with diabetes mellitus. Keywords: Diabetes Mellitus, Distress, Diabetes Self-Management Education (DSME)
Gambaran Isolat Bakteri Aerob Diare pada Anak yang Dirawat di RSUD Ulin Banjarmasin Tahun 2015 Gusti Muhamma Edy Muttaqin; Edi Hartoyo; Dona Marisa
Berkala Kedokteran Vol 12, No 1 (2016)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (128.892 KB) | DOI: 10.20527/jbk.v12i1.360

Abstract

Abstract: Diarrhea is one of the major health problems in children, especially children under five in developing countries because the mortality and morbidity rate is still high. In the world, 4 to 6 million children die every year from diarrhea, most of these deaths occur in developing countries. In general, the cause of diarrhea can not be separated from the bacterial infection. Bacteria that cause diarrhea varies by age, place, and time. The purpose of this study is analyzing anaerobic bacterial isolate in patients hospitalized children with diarrhea in general hospital ulin Banjarmasin. This study was an observational study with cross sectional design. Types of bacteria in pediatric patients in hospitals Ulin Banjarmasin period August-October 2015 at most is Escherichia coli by 26 samples (72.22%), Salmonella typhi by 7 samples (19.44%), and Shigella sp by 3 samples (8, 33%). Keywords: aerobic bacterial isolate, hospitalized children, diarrhea Abstrak: Diare merupakan salah satu masalah kesehatan utama pada anak terutama balita di negara berkembang karena angka kematian dan kesakitannya masih tinggi. Di dunia, sebanyak 4 sampai 6 juta anak meninggal tiap tahunnya karena diare, dimana sebagian besar kematian tersebut terjadi di negara berkembang. Pada umumnya penyebab diare tidak terlepas dari infeksi bakteri. Bakteri penyebab diare berbeda-beda berdasarkan umur, tempat, dan waktu. Tujuan penelitian ini adalah untuk Mengidentifikasi isolat bakteri aerob diare pada pasien diare anak yang dirawat di RSUD Ulin Periode Agustus – November 2015. Penelitian ini adalah penelitian observasional dengan rancangan cross sectional. Sampel diambil adalah feses dari seluruh populasi anak penderita diare yang dirawat di RSUD Ulin Banjarmasin dengan menggunakan metode total sampling. Dari hasil penelitian didapatkan bahwa jenis isolat bakteri pada pasien anak di RSUD Ulin Banjarmasin periode Agustus – Oktober 2015 dengan total 36 sampel paling banyak adalah Eschericia coli dengan jumlah 26 (72,22%) sampel, Salmonella typhi dengan jumlah 7 (19,44%) sampel, kemudian Shigella sp. 3 (8,33%) sampel. Kata-kata kunci: isolate bakteri aerob, anak yang dirawat, diare
The Effect of Ethanol Extract 96% o Brown Rice Bran to the Number and Viability of White Rat (Rattus norvegicus) Spermatozoa Sprague dawley Strains Induced by Clove Cigarette Smoke Soraya Rahmanisa; Natasya Hayatillah; Evi Kurniawaty
Berkala Kedokteran Vol 14, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.169 KB) | DOI: 10.20527/jbk.v14i2.5327

Abstract

Abstract: Indonesia has the greatest number of smokers in Southeast Asia dominated by male consume kretek cigarette. Cigarette’s smoke is source of free radicals that can cause oxidative stress to sperm and lead it to infertility. Red rice bran extract has lot of potential antioxidants to stop oxidatif stress. This study was experimental within 30 days. The 25 Sprague dawley male rats divided into 5 groups: K1 wasn’t treated, K2,P1,P2, and P3 exposed to smokes of 2 kretek cigarettes, given 96% ethanol extract of red rice bran dosage 100 mg/Kg (P1), 200 mg/Kg (P2) and 400 mg/Kg (P3). Spermatozoa number and viability was observed. Data tested with One Way Anova. There was significant effect from red rice bran extract toward sperm number and viability (p=0,00). Average spermatozoa number was 91.90±7.72 (K1), 39.68±7,51 (K2), 79.88±8.63 (P1), 86.40±10.5 (P2), 86.00±5.78 (P3). Average viability was  65.00±6.85 (K1), 29.6±5.85 (K2), 51.4±3.50 (P1), 60.00±6.67 (P2), 61,00±2.91 (P3). The increasing of number and viability has been achived at dose 100mg/Kg and best at 400 mg/KgBB. The 96% ethanol extract of  red rice bran can prevent the decreasing number and viability of rat spermatozoa exposed by kretek cigarette. Keywords: Clove cigarette, spermatozoa, rice bran extract

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