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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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Hubungan Riwayat Trauma Terhadap Kejadian Abortus Di Rsud Ulin Banjarmasin Tahun 2011 Aditya Noor Rachman; Hardyan Sauqi; Nelly Al Audhah
Berkala Kedokteran Vol 9, No 1 (2013)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.501 KB) | DOI: 10.20527/jbk.v9i1.919

Abstract

ABSTRACT: The word abortion derives from the Latin aboriri, which means miscarry. Abortion is a controversial issue because on one side of abortion exist in society.Of the 210 million pregnancies that occur each year, about 46 million (22 %) end in induced abortion and, globally, the vast majority of women are likely to have at least one abortion by the time they are 45 years old. The most common causes of trauma during pregnancy are motor vehicle accidents (49%), falls (25%), assaults (18%), guns (4%), and burns (1%). This research aims to determine and analyze the relationship between history of trauma with abortion incident. This is an analytic descriptive research with cross sectional approach. The number of samples obtained from medical records at RSUD Ulin Banjarmasin in 2011. Achieved total sample of 251 people and the amount of control as much as 323 people. Samples that have a history of trauma were 41 (16%) people, and without a history of trauma as much as 210 (84%). The results of chi-square statistical test demonstrated an association between a history of trauma with the incidence of abortion in RSUD Ulin Banjarmasin, obtained probabilities of 0.000 means that the two variables are related because the score < 0.05. While the prevalence odds ratio (POR) through the test of the correlation coefficient obtained figure of 7,688 which means the power relationship is strong. In conclusion there is a significant relationship between history of trauma with the incidence abortion. Keywords: history of trauma, abortion, abdominal massage ABSTRAK: Abortus merupakan suatu masalah kontroversi karena di satu pihak abortus ada di masyarakat. Sekitar 210 juta kehamilan yang terjadi setiap tahun, sekitar 46 juta (22%) berakhir karena abortus. Salah satu penyebab abortus adalah trauma. Penyebab paling umum dari trauma selama kehamilan adalah kecelakaan kendaraan bermotor (49%), jatuh (25%), kekerasan (18%), senjata api  (4%), dan luka bakar (1%). Penelitian ini bertujuan untuk menganalisis hubungan antara riwayat trauma terhadap kejadian abortus pada ibu hamil di RSUD Ulin Banjarmasin 2011. Penelitian ini bersifat deskriptif analitik dengan pendekatan cross sectional. Sampel diperoleh dari rekammedis di Rumah Sakit Ulin Banjarmasin tahun 2011. Didapatkan jumlahsampel sebanyak 251 orang dan jumlah control sebanyak 323 orang. Sampel yang memiliki riwayat trauma sebanyak 41 (16%) orang, dan tanpa riwayat trauma sebanyak 210 (84%). Hasil uji statistic chi-square menunjukkan terdapat hubungan antara riwayat trauma dengan kejadian abortus di RSUD Ulin Banjarmasin, didapatkan angka  probabilitas sebesar  0,000 artinya kedua variable tersebut berhubungan karena angkanya < 0,05. Sedangkan prevalence odds ratio (POR) melalui uji koefisien korelasi didapatkan angkasebesar 7,688 yang berarti kekuatan hubungannya kuat. Kesimpulannya ada hubungan bermakna antara riwayat trauma dengan angka kejadian abortus. Kata-kata kunci: riwayat trauma, abortus, pijatperut
Hubungan Riwayat Malaria Sebelumnya dengan Kejadian Malaria Berdasarkan Hapusan Darah Pendonor di PT Pama Kecamatan Kintap Wahyu Aditia Husada Putera; Nelly Al Audhah; Istiana Istiana
Berkala Kedokteran Vol 10, No 1 (2014)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i1.930

Abstract

ABSTRACT: Malaria is a disease that is caused by the Plasmodium genus and still become a problem around the world due to high mortality and morbidity. Several types of Plasmodium sp can be transmitted through blood transfusion. The aim of this study was to determine the relationship between history of previous malaria exposure with the event of malaria through donor’s blood smear at PT Pama Kintap subdistrict, Tanah Laut district. It was a survey of analytic-deskriptive study that performed on blood donors by using a questionnaire to see a history of previous malaria, and a smear of blood transfusion donors to see the Plasmodium sp in the blood transfusion. Sample of the research used total sampling method and gained 46 samples. The result was 4 (8.7%) had a previous history of malaria, and 2 (4.3%) was found some Plasmodium sp from their transfusion blood smear. Statistical analyisis used Fischer test, showed p value = 0.006 (p <0.05) which means there is a significant relation between a history of previous malaria exposure with the event of malaria through donor’s blood smear at malaria’s endemic region. Keywords: history of malaria, incident of malaria, blood donor ABSTRAK: Malaria adalah penyakit yang disebabkan oleh Plasmodium dan masih menjadi masalah di seluruh dunia karena angka morbiditas dan mortalitas yang tinggi. Beberapa jenis Plasmodium sp dapat ditularkan melalui transfusi darah. Penelitian ini bertujuan untuk mengetahui hubungan riwayat penyakit malaria sebelumnya dengan kejadian malaria berdasarkan hapusan darah pendonor di PT Pama kecamatan Kintap di kabupaten Tanah Laut. Penelitian ini bersifat survey analitic-descriptive yang dilakukan pada pendonor darah dengan menggunakan kuesioner untuk melihat riwayat malaria sebelumnya, dan hapusan darah transfusi pendonor untuk melihat adanya Plasmodium sp. Sampel penelitian menggunakan teknik total sampel dan mendapatkan 46 pendonor. Hasil penelitian menunjukkan bahwa 4 orang (8,7%) memiliki riwayat malaria sebelumnya, dan 2 orang (4,3%) ditemukan plasmodium dalam hapusan darah transfusinya. Analisis statistik menggunakan uji Fischer mendapatkan p value = 0,006 ( p < 0,05) yang menunjukkan ada hubungan yang bermakna antara riwayat malaria sebelumnya dengan kejadian malaria melalui hapusan darah transfusi pendonor. Kata-kata kunci: riwayat malaria, kejadian malaria, donor darah
Extraction the Dayak Onion (Eleutherine sp): Scientific Based Herbal Medicine (OHT) Production Protocol Hery Poerwosusanta; Zairin Noor; Karyono Mintaroem; Edi Widjajanto; Mulyohadi Ali
Berkala Kedokteran Vol 15, No 2 (2019)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.456 KB) | DOI: 10.20527/jbk.v15i2.7263

Abstract

Abstract: Indonesia has the second largest tropical forest and the richest in flora biodiversity in the world. Based on the Basic Health Research 2010, 59.29% of Indonesian had consumed herbal medicine, noted that Indonesian had consumed herb since the VIII century. Dayak onion (Eleutherine sp) widely used as traditional medicine, as a bahimang /wound healing agent. Dayak onion is not reassured as a medical treatment and lacked scientific evidence. Until 2018, thousands of herbs consumed by Indonesian, only 85 ingredients clinically tested. Sixty-four herbs have been pre-clinically tested and designated as Scientific based Herbal Medicines/Obat Herbal Terstandar (OHT) and 21 herbs have been tested clinically and determined as Phytopharmaca by the Badan Pengawasan Obat dan Makanan Republik Indonesia (BPOM-RI). Based on the data, the Dayak onion appointed as a Scientific based Herbal medicine (OHT) based on pre-clinical and phase 0 clinical research.  Potential and promising for the treatment of metabolic, degenerative, catastrophic, neoplasmic, genetic and infectious diseases, Dayak onions can be developed into phytopharmaca in the future. The study aim is to make guidelines for the standardized herbal medicines development according to the rules and regulations. Keywords: Dayak Onion, Eleutherine sp, Scientific based Herbal Medicines, Phytopharmaca, Pre Clinic and Clinical Trials phases
Pengaruh Intensitas Kebisingan Lingkungan Kerja Terhadap Waktu Reaksi Karyawan PT. PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin Adelia Octavia; Asnawti Asnawati; Alfi Yasmina
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.v9i2.948

Abstract

ABSTRACT: PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin is an industry that uses diesel power for generating electric power by using machines and work tools which produce loud noise, increasing exposure to noise. Noise with high intensity can change the accuracy of movement coordination, which assumed to lengthen the reaction time. This study was conducted with the objective to find out the effect of occupational noise exposure on the reaction time among the employees of PT. PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin. It was an observational research  with cross-sectional approach, conducted on 30 employees of PT. PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin, choosen with purposive sampling. The result showed that the average reaction time for employees in operator division was 0.318 seconds and that for employees in maintenance division was 0.356 seconds. Statistical analysis with Mann-Whitney test with 95% confidence interval showed that  there was a significant difference between reaction time of employees in operator division and those in maintenance division (p = 0.004). It was concluded that occupational noise exposure intensity had effect on the reaction time among the employees of PT. PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin.  Keywords: noise, reaction time ABSTRAK: PT. PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin merupakan industri yang menggunakan tenaga diesel untuk pembangkit tenaga listrik dengan menggunakan mesin dan alat kerja yang mempunyai suara keras, sehingga meningkatkan paparan bising. Kebisingan yang tinggi  dapat mengubah ketepatan koordinasi gerakan sehingga diduga dapat memperpanjang waktu reaksi. Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh intensitas kebisingan lingkungan kerja terhadap waktu reaksi karyawan PT. PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin. Penelitian ini merupakan penelitian observasional analitik dengan studi pendekatan cross sectional, dengan sampel 30 orang pekerja di PT PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin, yang dipilih dengan purposive sampling. Hasil penelitian menunjukkan bahwa rerata waktu reaksi karyawan di bagian operator (dengan tingkat kebisingan < NAB) adalah sebesar 0,318 detik, sedangkan rerata waktu reaksi karyawan di bagian pemeliharaan (dengan tingkat kebisingan > NAB) adalah sebesar 0,356 detik. Analisis statistik dengan uji Mann-Whitney dengan tingkat kepercayaan 95% menunjukkan bahwa terdapat perbedaan bermakna antara waktu reaksi karyawan bagian operator dan bagian pemeliharaan (p = 0,004). Dapat disimpulkan bahwa terdapat pengaruh intensitas kebisingan lingkungan kerja dengan waktu reaksi karyawan PT. PLN (Persero) Sektor Barito PLTD Trisakti Banjarmasin. Kata-kata kunci: kebisingan, waktu reaksi
Pola Resistensi Bakteri Kontaminan Luka Pasien di Bangsal Bedah Ortopedi RSUD Ulin Banjarmasin Periode Juli-September 2013: Tinjauan In Vitro Pola Resistensi Isolat Bakteri Kontaminan Asal Swab Luka Pasien di Bangsal Bedah Ortopedi RSUD Ulin Banjarmasin Terhadap Gentamisin, Kloramfenikol, Sefotaksim dan Seftriakson Akbar Rihansyah; Husna Dharma Putera; Lia Yulia Budiarti
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.v10i12.964

Abstract

ABSTRACT: Surgery, trauma, burns, and other factors can affect the defense/skin barrier against bacterial contamination that can cause infection. The risk of infection must be remained of the rational use of prophylactic antibiotics. Rational use of antibiotic susceptibility test results obtained by antibotic against bacteria. The aim of this research was to figure out the resistance pattern of bacteria contaminant in patient’s wound at Orthopaedic Ward of RSUD Ulin Banjarmasin to selected antibiotics i.e. gentamicin, chloramphenicol, cefotaxime and ceftriaxone from July-September 2013. This was descriptive research. The samples were taken with consecutive sampling technique according to inclusion criteria. This research used wound swab bacteria contaminant isolates i.e. Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, and Streptococcus sp. Antibiotic susceptibility test was done in vitro with Kirby-Bauer diffusion method. The radical zones were measured and compared to CLSI 2011 standard. The antibiotic susceptibility test result showed that Staphylococcus aureus was sensitive to gentamicin (100%) and cefotaxime (66,67%), resistant to chloramphenicol (44,44%); Staphylococcus epidermidis was sensitive to cefotaxime (28,75%), resistant to gentamicin (85,71%) and chloramphenicol (57,14%); Pseudomonas aeruginosa was sensitive to cefotaxime (33,33%), resistant to ceftriaxone (66,67%); Streptococcus sp. was sensitive to cefotaxime (50%), resistant to gentamicin (50%), chloramphenicol (100%) and ceftriaxone (50%). Key words:   Antibiotic susceptibility, wound bacterial contaminant. ABSTRAK: Tindakan operasi, trauma, luka bakar dan beberapa faktor lain dapat mempengaruhi pertahanan/barier kulit terhadap kontaminasi bakteri yang dapat menyebabkan infeksi. Risiko terjadinya infeksi harus tetap diwaspadai dengan penggunaan antibiotik profilaksis yang rasional. Penggunaan antibiotik rasional didapatkan berdasarkan hasil uji kepekaan antibotik terhadap bakteri penyebab. Penelitian ini bertujuan untuk mengetahui pola resistensi bakteri kontaminan pada luka pasien di Bangsal Bedah Ortopedi RSUD Ulin Banjarmasin terhadap beberapa antibiotik yaitu gentamisin, kloramfenikol, sefotaksim dan seftriakson periode Juli-September 2013. Penelitian ini bersifat deskriptif. Pengambilan sampel menggunakan teknik consecutive sampling menurut kriteria inklusi. Penelitian ini menggunakan isolat bakteri kontaminan hasil swab luka pasien yaitu Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, dan Streptococcus sp. Uji kepekaan keempat jenis bakteri tersebut dilakukan secara in vitro dengan metode difusi Kirby-Bauer. Zona radikal yang terbentuk diukur dan dibandingkan dengan standar CLSI 2011. Hasil uji kepekaan antibiotika menunjukkan bahwa Staphylococcus aureus sensitif terhadap gentamisin (100%) dan sefotaksim (66,67%), resisten terhadap kloramfenikol (44,44%); Staphylococcus epidermidis sensitif terhadap sefotaksim (28,75%), resisten terhadap gentamisin (85,71%) dan kloramfenikol (57,14%); Pseudomonas aeruginosa sensitif terhadap sefotaksim (33,33%), resisten terhadap seftriakson (66,67%); Streptococcus sp. sensitif terhadap sefotaksim (50%), resisten terhadap gentamisin (50%), kloramfenikol (100%) dan seftriakson (50%). Kata-kata kunci : Kepekaan antibiotika, bakteri kontaminan luka.
EFEK ANTIOKSIDAN IKAN SALUANG (Rasbora spp.) TERHADAP KADAR MALONDIALDEHID (MDA) OTAK TIKUS PUTIH (Rattus norvegicus) MALNUTRISI Yuli Rakhmawati; Triawanti Triawanti; Ari Yunanto
Berkala Kedokteran Vol 12, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v12i2.1873

Abstract

Abstract: Malnutrition because of protein deficiency on diet caused antioxidant deficiency state and oxidative stress on brain that marked by increased MDA level. The aim of this study was to analyze the antioxidant effects of saluang (Rasbora spp.) on brain MDA level in malnourished rats. This was an experimental study with a Posttest Only with Control Group Design, consisted of malnutrition control group (M), group that feed with saluang (S), group that given standard feeding (P), and group that given standard feeding added with DHA supplement (D). Brain MDA level measured with TBARS method in spectrophotometer. Mean brain MDA level for each group in a row is M = 210,750 μΜ, S = 194,125 μΜ, P = 202,625 μΜ, and D = 200,875 μΜ. Kruskal-Wallis and Mann Whitney test showed that there were significant differences between the group that feed with saluang and the other groups (p<0.05). Based on this research, concluded that the administration of saluang (Rasbora spp.) significantly affects the decrease of brain MDA level in malnourished rats. Keywords: antioxidant, saluang fish, MDA, malnutrition Abstrak: Malnutrisi karena defisiensi protein akan menimbulkan keadaan kekurangan antioksidan dan menimbulkan stres oksidatif pada otak yang ditandai dengan peningkatan kadar MDA. Tujuan penelitian ini untuk menganalisis efek antioksidan ikan saluang terhadap kadar MDA otak tikus putih malnutrisi. Penelitian ini merupakan penelitian eksperimental dengan Posttest Only with Control Group Design, terdiri dari kelompok kontrol malnutrisi (M), kelompok pemberian pakan saluang (S), kelompok pemberian pakan standar (P), dan kelompok pemberian pakan standar yang ditambah suplemen DHA (D). Kadar MDA otak diukur dengan menggunakan metode TBARS secara spektrofotometer. Rerata kadar MDA otak masing-masing kelompok perlakuan berturut-turut adalah M = 210,750 μΜ, S = 194,125 μΜ, P = 202,625 μΜ, dan D = 200,875 μΜ. Uji Kruskal-Wallis dan uji Mann Whitney menunjukkan bahwa terdapat perbedaan bermakna antara kelompok yang diberi pakan saluang dengan kelompok lainnya (p<0,05). Berdasarkan penelitian yang dilakukan dapat diambil kesimpulan bahwa pemberian ikan saluang (Rasbora spp.) berpengaruh secara bermakna terhadap penurunan kadar MDA otak tikus putih malnutrisi. Kata-kata kunci: antioksidan, ikan saluang, MDA, malnutrisi
PENGARUH HASIL SKRINING BERDASARKAN METODE MNA (MINI NUTRITIONAL ASSESTMENT) TERHADAP LAMA RAWAT INAP DAN STATUS PULANG PASIEN LANJUT USIA DI RSUP DR. SARDJITO YOGYAKARTA Wahyu Hardi Prasetyo; I Dewa Putu Pramantara; R. Dwi Budiningsari
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 (341.919 KB) | DOI: 10.20527/jbk.v13i1.3442

Abstract

Abstract: The number of elderly people (over 60 years old) is growing rapidly in this 21th century, reaching as many as 425 millions (+ 6,8%) worldwide in 2000. This figure is estimated almost twice in 2025. In Indonesia, percentage the elderly people in 1995 was as much as 7.5%. In line with the increasing of live expectancy the number of the elderly will grow bigger. This is related to greater need of health service for the elderly. In older people, nutrition problem is closely associated with disease. One factor that causes nutrition problem in the elderly is the increase of morbidity. Increased risk for disease and nutrition problem in the elderly requires early identification of risk for malnutrition in the elderly. Routine assessment of preliminary nutrition status of patients being hospitalized is essential in order to get an overview of nutrition status patients at a time, detect high risk patients and help to identify nutrition treatment specifically for each patient so that appropriate nutrition support can be given to improve nutrition status of patient. The study aimed to identify impact of result screening nutrition based on MNA  method to length of stay and discharge status of elderly patients at inpatient ward of internal medicine and neurology of Dr Sardjito Hospital Yogyakarta. The study was observational that used prospective cohort design and was undertaken at inpatient ward of internal in medicine and neurology of Dr. Sardjito,  Yogyakarta in August-November 2009. Data were collected by the researcher with the help of an enumerator, i.e. nutritionist at inpatient ward. The result of study showed that impact of result screening during initial hospitalization to length of stay of elderly patients based on MNA method was RR 1.63. This indicated that malnourished patients were at risk for being hospitalized > 7 days 1.63 times longer than those not malnourished. Impact  of  result screening during initial hospitalization to discharge status  of elderly patients based on MNA method was RR 1.29. This indicated that malnourished patient were at risk for uncovered discharged as much as 1.29 greater than those not malnourished. There was impact of result screening in admission to length of stay. There was impact of nutrition status to length of discharged status.  Keywords: discharge home, length of stay, nutritional status in initial admission   Abstrak: Pertumbuhan penduduk lanjut usia (umur ≥60 tahun) meningkat secara cepat pada abad 21 ini, yang pada 2000 di seluruh dunia telah mencapai 425 juta jiwa (± 6,8%). Jumlah ini diperkirakan akanmengalami peningkatan hampir dua kali lipat pada 2025. Di Indonesia, persentase lanjut usia pada 1995 mencapai 7,5%. Dengan meningkatnya angka harapan hidup, jumlah lanjut usia pun akan bertambah banyak. Hal ini terkait dengan perlunya peningkatan pelayanan kesehatan lanjut usia. Pada lanjut usia, masalah gizi erat kaitannya dengan penyakit. Salah satu faktor yang menyebabkan lanjut usia menjadi rawan gizi yaitu peningkatan morbiditas penyakit (Darmojo, 2006). Dengan meningkatnya risiko penyakit dan disertai gangguan nutrisi pada lanjut usia, sehingga perlu dilakukan identifikasi risiko malnutrisi pada lanjut usia sedini mungkin. Penilaian status gizi awal pasien masuk rumah sakit sangat penting  dilakukan secara rutin karena dapat menggambarkan status gizi pasien saat itu, mendeteksi pasien-pasien yang beresiko tinggi dan membantu mengidentifikasi perawatan gizi secara spesifik pada masing-masing pasien sehingga dukungan nutrisi yang tepat dapat diterapkan untuk meningkatan status gizi pasien. Untuk mengetahui pengaruh hasil skrining awal berdasarkan metode MNA (Mini Nutritional Assessment) terhadap lama rawat inap dan status pulang pasien lanjut pada ruang rawat inap penyakit dalam dan saraf di RSUP Dr.Sardjito Yogyakarta. Jenis penelitian ini adalah penelitian observasional dengan menggunakan rancangan kohort prospektif. Penelitian ini dilakukan di ruang rawat inap penyakit dalam dan  saraf pada pasien lanjut usia  di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta. Penelitian dilaksanakan pada bulan Agustus-November 2009. Pengumpulan data dilakukan oleh peneliti dengan bantuan enumerator yaitu  ahli gizi yang bertugas di ruang rawat inap. Berdasarkan hasil skrining dengan metode MNA pada  pasien lanjut usia terhadap lama rawat inap, maka diketahui bahwa nilai RR=1,63. Hal ini menunjukkan bahwa pasien yang terpapar (malnutrisi) berisiko dirawat selama ≥ 7 hari adalah 1,63 kali lebih besar daripada pasien yang tidak terpapar (tidak malnutrisi). Berdasarkan hasil regresi logistik tidak ada pengaruh antara hasil skrining dengan lama rawat inap. Ada pengaruh secara statistik antara usia, jenis penyakit dan kelas perawatan terhadap lama rawat inap. Berdasarkan hasil regresi logistik, jenis penyakit memiliki pengaruh yang paling dominan dengan nilai RR  3,88 terhadap lama rawat inap.Berdasarkan hasil skrining awal masuk rumah sakit terhadap status pulang pasien lanjut usia berdasarkan metode MNA, maka diketahui nilai RR=1,29. Hal ini menunjukkan bahwa pasien yang terpapar (malnutrisi) berisiko keluar dalam keadaan tidak sembuh sebesar 1,29 kali lebih besar daripada pasien yang tidak terpapar (tidak malnutrisi). Berdasarkan hasil uji regresi logistik ada pengaruh antara hasil skrining dengan status pulang dengan nilai OR 9,21. Demikian pula ada pengaruh antara usia dan jenis kelamin dengan status pulang (p< 0,05). Tidak ada pengaruh antara hasil skrining dengan lama rawat inap. Ada pengaruh antara usia, jenis penyakit dan kelas perawatan terhadap lama rawat inap. Ada pengaruh antara hasil skrining dengan status pulang. Kata-kata kunci: skrining, lama rawat inap, status pulang pasien
HUBUNGAN USIA DAN PARITAS DENGAN KEJADIAN PERSALINAN SUNGSANG DI RSUD ULIN BANJARMASIN TAHUN 2013 Firdausi Riskiviawinanda; Renny Aditya; Noor Mutmainnah
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 (120.331 KB) | DOI: 10.20527/jbk.v11i2.173

Abstract

Breech delivery is a labor complication which could come to death of fetus. Some risk factors of breech delivery are age and parity. This research had a purpose to know the relation of age and parity with breech delivery at RSUD Ulin Banjarmasin in 2013. This research had used analitic observational metode with cross-sectional approachment. Data analytic which had been used was chi-square test. Result of this research had shown that from 284 research subjects who gave birth at RSUD Ulin Banjarmasin, 89 (31,34%) research subjects had breech delivery and 195 (64,86%) research subjects  had normal labor without complications. There were 72 (29,15%) breech deliveries from all research subjects who had no risk ages. There were 17 (45,95%) breech deliveries from all resarch subjects who had risk ages. There were 38 (25,68%) breech deliveries from all research subjects with primiparity. There were 51 (37,50%) breech deliveries from all research subjects with multiparity. The result of chi- square test for the relationship between age and breech delivery was P=0,040 with POR=2,06) and the relationship between parity and breech delivery was P=0,032 with POR=1,73. So, there was a relitionship of ages and parity in breech delivery at RSUD Ulin Banjarmasin 2013. Keywords: breech delivery, age, parity
IMMATURE TO TOTAL NEUTROPHIL RATIO (I/T RATIO) ON NORMAL AND SEPSIS RISK NEONATUS FACTOR AT ULIN GENERAL HOSPITAL BANJARMASIN Muhammad Rifky Ersadian Noor; F.X. Hendriyono; Ari Yunanto
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 (522.62 KB) | DOI: 10.20527/jbk.v13i2.4072

Abstract

Abstract: Neonatal sepsis is the main cause of morbidity and mortality in neonates. Early diagnostic and appropriate treatment can reduce the mortality and morbidity rate. Immature neutrophil ratio tand total neutrophil (I/T ratio) can be used as one of early diagnostic tool of neonatal sepsis. The purpose of this research was to find difference of I/T ratio between normal neonates and neonates with sepsis risk factor at Ulin General Hospital Banjarmasin on April – June 2016. It was an analytic observational study and collected by accidental sampling. From 39 neonates, there was 23 normal neonates and 16 neonates with sepsis risk factor who diagnosed by competence pediatrics based on mayor and minor risk factor. Mean I/T ratio from normal neonates is 0,06 and neonates with sepsis risk factor is 0,16. From statistical test with independent T-test, there is significant difference p=0,000 (p<0,05). In conclusion, there is a difference of I/T Ratio between normal neonates and neonates with sepsis risk factor. Keywords: neonatal sepsis, I/T ratio, risk factor, neonates
POTENSI JUS BUAH PARE (Momordica charantia L.) SEBAGAI PENGHAMBAT HEMOGLOBIN TERGLIKASI IN VITRO Muhammad Topan Widyanto; Eko Suhartono; Agung Biworo
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 (275.717 KB) | DOI: 10.20527/jbk.v11i1.194

Abstract

Bitter gourd  (Momordica charantia) is a fruit that is potentially has the ability to inhibit glycated hemoglobin thus can reduce blood sugar level. The aim of this study is to test the potency of bitter gourd juice as a glycated hemoglobin inhibitor. This is a quasi experimental study with non randomized posttest-only with control group design method, using a reaction model of diabetes consisted of two groups; bitter gourd juice as the test group and gliclazide as the standard group, divided into 10%, 20%, and 30% concentration. IC50 value is used to determine the potency as a glycated hemoglobin inhibitor. The result of this study shows that the value of r = 0,990 with an IC50 value of 69,239%, whereas for glikazid 17,268%. The positive value of r indicates a positive relation between concentration and its potency as a glycated hemoglobin inhibitor. The result thus indicates that bitter gourd juice has a potency as a glycated hemoglobin inhibitor Keywords: glycated hemoglobin, bitter gourd (Momordica charantia), gliclazide

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