https://online-journal.unja.ac.id/kedokteran/issue/feed JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" 2021-06-30T00:00:00+07:00 dr. Wahyu Indah Dewi Aurora, M.K.M auroradr@unja.ac.id Open Journal Systems <p>Jambi Medical Jurnal published by LP23M Faculty of Medicine and Health Science Universitas Jambi. Published every 2 times a year, in May and November. eISSN : 2580-6874,&nbsp; pISSN : 2339-269X, indexed : <a href="https://scholar.google.co.id/citations?user=iFB5rwEAAAAJ&amp;hl=en">Google Scholar,&nbsp;</a><a title="SINTA: Science and Technology Index" href="http://sinta2.ristekdikti.go.id/journals/detail?id=3530">SINTA&nbsp;<strong>: Science and Technology Index, </strong></a><a title="IPI Portal Garuda" href="http://id.portalgaruda.org/?ref=browse&amp;mod=viewjournal&amp;journal=884"><strong>IPI Portal Garuda, </strong></a><strong>DOI CROSSREF</strong></p> https://online-journal.unja.ac.id/kedokteran/article/view/12067 LOOP-MEDIATED ISOTHERMAL AMPLIFICATION (LAMP) DALAM PENEGAKAN DIAGNOSIS INFEKSI PARASIT MALARIA BERBASIS MOLEKULER 2021-02-15T10:57:31+07:00 Jhons Fatriyadi Suwandi yadisuwandi04@gmail.com <p>Penegakan diagnosis malaria merupakan hal penting dalam program eleminasi malaria. Proses yang cepat, akurat dan murah merupakan harapan dalam diagnosis malaria, khususnya pada daerah remote area, pada kondisi gawat darurat atau pada saat ketidaktersediaan tenaga mikroskopis. Pemeriksaan RDT dan RDTs yang telah digunakan untuk menegakkan diagnosis malaria, terkadang memiliki akurasi yang kurang diharapkan. Pemeriksaan mikroskopis sebagai <em>gold standard</em>, sering terkendala saat tidak ada tenaga mikroskopis. Pengalaman tenaga mikroskopis juga akan mempengaruhi hasil pemeriksaan. <em>Nested PCR</em> sering digunakan untuk mengkonfirmasi hasil pemeriksaan mikroskopis, namun membutuhkan peralatan dan laboratorium khusus sehingga membutuhkan biaya yang mahal. Untuk menjawab kekurangan pada metode pemeriksaan sebelumnya, maka <em>loop-mediated isothermal amplification</em> (LAMP) dikembangkan sebagai metode diagnosis. LAMP sebagai metode pemeriksaan yang berbasis molekuler memiliki akurasi yang tinggi, dengan sensitifitas dan spesifisitas pada hampir semua penelitian sebelumnya lebih dari 90%. LAMP juga dapat mendeteksi spesies plasmodium dari pasien malaria pada daerah endemis atau non-endemis (kasus impor), pada kehamilan, pada kondisi densitas parasitemia yang rendah dan pada daerah dengan <em>low transmission</em>.</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/11110 PENGARUH BUAH NANAS (ANANAS COMOSUS L. MERR) TERHADAP PENINGKATAN PH SALIVA YANGTERPAPAR MINUMAN BERKARBONASI 2020-11-24T10:19:13+07:00 Ahmad Syauqy asqyjbi30@gmail.com Hanina hanina_fkik@unja.ac.id <p><strong>ABSTRAK</strong></p> <p><strong>Latar Belakang:</strong> Kebanyakan masalah rongga mulut di Indonesia adalah terkait karies gigi dan penyakit periodontal. Salah satu faktor yang mempengaruhi timbulnya penyakit tersebut adalah pH saliva. Stimulus mekanik dan kimiawi dari makanan adalah salah satu faktor yang mempengaruhi pH saliva. Cuci mulut dengan mengkonsumsi buah adalah salah satu cara menjaga pH saliva agar dalam kondisi optimum dalam mencegah terjadinya penyakit gigi. Dari penelitian sebelumnya diketahui bahwa buah nanas dan buah belimbing efektif dalam meningkatkan laju aliran saliva. Namun belum ada penelitian yang membandingkan pengaruh buah tersebut terhadap pH saliva. Penelitian ini bertujuan untuk membandingkan pH saliva setelah mengkonsumsi kedua buah tersebut.</p> <p><strong>Metode Penelitian:</strong> Penelitian ini adalah penelitian <em>experimental</em> dengan menggunakan <em>pretest and postest group design</em> dan dilakukan di Laboratorium Biomedik FKIK UNJA. Populasi yang digunakan adalah mahasiswa Fakultas Kedokteran FKIK UNJA angkatan 2017 dan 2018. Pengambilan sampel dilakukan dengan metode <em>purposif sampling</em> sebanyak 36 orang yang dibagi menjadi dua kelompok yaitu kelompok perlakuan mengkonsumsi buah nanas dan kelompok perlakuan mengkonsumsi buah belimbing. Hasil pemeriksaan pH saliva kedua kelompok dianalisis menggunakan program komputer.</p> <p><strong>Hasil: </strong>Uji statistik meunjukkan tidak terdapat perbedaan yang signifikan antara kelompok buah nanas dengan kelompok buah belimbing dalam meningkatkan pH saliva dengan nilai P 0,855.</p> <p><strong>Kesimpulan:</strong> Konsumsi buah nanas dan belimbing dapat meningkatkan pH saliva, namun tidak terdapat perbedaan yang signifikan antara kelompok buah nanas dengan kelompok buah belimbing.</p> <p>Kata kunci : &nbsp;pH, Saliva, Nanas, Belimbing</p> <p>&nbsp;</p> <p><strong>ABSTRACT</strong></p> <p>ackground: Most oral problems in Indonesia are related to dental caries and periodontal disease. One of the factors that influence the onset of the disease is the pH of saliva. Mechanical and chemical stimuli from food are one of the factors that influence the pH of saliva. Washing the mouth with fruit is one way to maintain the pH of the saliva so that it is in optimum condition to prevent dental disease. From previous research it was found that pineapple and star fruit were effective in increasing the salivary flow rate. However, no studies have compared the effect of these fruits on salivary pH. This study aims to compare the pH of saliva after consuming the two fruits. Research Methods: This study was an experimental study using a pretest and postest group design and was carried out in the Biomedical Laboratory of FKIK UNJA. The population used was students of the Faculty of Medicine FKIK UNJA class of 2017 and 2018. Sampling was carried out by purposive sampling method of 36 people who were divided into two groups, namely the treatment group consuming pineapple fruit and the treatment group consuming star fruit. The results of the saliva pH examination of the two groups were analyzed using a computer program. Results: The statistical test showed that there was no significant difference between the pineapple and star fruit groups in increasing the pH of saliva with a P value of 0.855. Conclusion: The consumption of pineapple and star fruit can increase the pH of saliva, but there is no significant difference between the pineapple and star fruit groups.</p> <p>Keywords: pH, Saliva, Pineapple, Star fruit</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/12841 PENGETAHUAN DAN SIKAP TENTANG TANDA BAHAYA KEHAMILAN BERHUBUNGAN DENGAN PEMANFAATAN BUKU KIA 2021-05-11T21:27:01+07:00 Artika Dewie dewieartika@gmail.com <p><strong><em>Background :</em></strong><em> The Maternal and Child Health (MCH) Handbook contains complete information, including early detection or danger signs of maternal health problems from pregnancy to childbirth to increase knowledge of mothers and their families. The attitude of pregnant women about signs of pregnancy is important in changing the behavior of pregnant women in dealing with signs of pregnancy.</em></p> <p><em>Objective : To determine the relationship between knowledge and attitudes of pregnant women about the danger signs of pregnancy with the use of the MCH Handbook.</em></p> <p><strong><em>Method :</em></strong><em> Using a cross-sectional design. The population used was trimester III pregnant women who had MCH books and were visiting to carry out pregnancy checks at Puskesmas Kota Palu (11 Puskesmas) during the research period in 2019. Using the cluster sampling method with a total of 110 respondents. Primary data were collected through ODK Collect, then analyzed univariate and bivariate.</em></p> <p><strong><em>Results :</em></strong><em> There is a relationship between knowledge about the danger signs of pregnancy and the use of the MCH Handbook (p-value = 0.003). There is a relationship between the attitudes of pregnant women about danger signs and the use of the MCH Handbook (p-value = 0.008). OR = 3,235 indicates that mothers with positive attitudes are 3,235 times more likely to use the MCH handbook than mothers who are negative.</em></p> <p><strong><em>Conclusion :</em></strong><em> There is a relationship between knowledge and attitudes about the danger signs of pregnancy and the use of the MCH Handbook.</em></p> <p><strong><em>Keywords: </em></strong><em>Knowledge, Attitudes, danger sign of pregnancy, MCH Handbook.</em></p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/12723 ABDOMEN ULTRASONOGRAPHIC EXAMINATION ANALYSIS IN THE CASE OF URINARY BLADDER DIVERTICULA AT CILEGON HOSPITAL 2021-04-28T14:18:24+07:00 Tirta Wirya resawantika3@gmail.com Gando Sari resawantika3@gmail.com Syamsul Bahri resawantika3@gmail.com Nursama Heru resawantika3@gmail.com Resa Wantika Utami resawantika3@gmail.com <h2>ABSTRACT</h2> <p><em>Diverticulum is outpouching of hollow (or fluid-filled) structures, which can form in various organs in the body. Increased intravesical pressure (3-5 times) causes the bladder mucosa to infiltrate itself between the bladder muscle bundles which results in the development of extravasational sacs or saccules which subsequently results in diverticulum formation. The sonographic diagnosis of bladder diverticula depends on the demonstration of communication between the bladder and the mass. When such communication, or estuary, is not seen during ultrasound examination, the bladder diverticulum can look like any other type of cystic pelvic mass.</em></p> <p><em>The approach used is descriptive qualitative. This study aims to analyze the examination of the USG Abdomen with clinical bladder diverticula to get an appropriate picture of USG so that the diagnosis can be established. The study population was patients who performed an abdominal USG examination at the Cilegon Regional General Hospital. The sample of this study were 1 (one) patient. The method used in collecting data in this study is observation, documentation, and literature study.</em></p> <p><strong><em>Keywords: </em></strong><em>Ultrasound, Urinary Bladder, Diverticula</em></p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/5254 The HUBUNGAN ANTARA DERAJAT OSTEOARTRITIS DENGAN GAMBARAN USG TULANG RAWAN PADA PASIEN OSTEOARTRITIS LUTUT DI RSU AL FAUZAN PERIODE TAHUN 2016-2017 2020-10-09T10:38:56+07:00 Riza Amalia rizaamalia6695@gmail.com Basuki Supartono rizaamalia6695@gmail.com Ika Satya rizaamalia6695@gmail.com Sugeng Wiyono rizaamalia6695@gmail.com <p><em>Osteoarthritis is a degenerative joint disease which is related with the damage of cartilage. X-Ray is one of the osteoarthritis radiological examinations but only to see the damage of bone not cartilage. One of an effective examination to visualize the damage of cartilage is Ultrasound. The objective of this study is to determine the relation between osteoarthritis grading scale with cartilage ultrasonographic in knee osteoarthritis patients. This was a Cross-sectional study on 32 knee osteoarthritis patients based on Total Sampling technique at RSU Al Fauzan period of 2016-2017. Statistical analysis was performed using Fisher test showed there was a correlation between osteoarthritis grading scale with cartilage ultrasonographic. The conclusion in this study, there is a significant correlation between osteoarthritis grading scale with cartilage ultrasonographic in knee osteoarthritis patients.</em></p> <p><strong><em>Keywords</em></strong><em>: Knee Osteoarthritis, Ultrasound, X-Ray</em></p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/12473 IMUNODEFISIENSI PRIMER DAN DETEKSI DININYA 2021-04-02T00:25:35+07:00 Cipta Mahendra ciptamahendra@yahoo.com <p>Penyakit imunodefisiensi primer (<em>primary immunodeficiency disease</em>/PID) merupakan keadaan terjadinya defek sistem imun yang disebabkan mutasi pada kode genetik yang mengode komponen-komponen penyusun sistem imun tubuh. Kelainan ini tergolong jarang/langka namun menurunkan kualitas hidup atau bahkan bisa juga mengancam nyawa bagi penderita-penderitanya. Terapi definitif yang tersedia hingga kini pun juga masih terbatas dan berbiaya tinggi. Artikel ini dimaksudkan terutama bagi dokter umum/layanan primer sebagai pengantar agar mengenali penyakit ini sebagai sebuah kelainan langka, yang mungkin jarang atau bahkan belum pernah mendengar tentang keadaan ini sebelumnya.</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/12325 PRINCIPLE OF REHABILITATION & COMPLICATION PREVENTION AFTER MUSCULOSKELETAL TRAUMA 2021-03-17T10:01:04+07:00 Pamudji Utomo pamudjiutomo@gmail.com Hillan Akbar hillan_akbar@yahoo.co.id <p><em>Rehabilitation plays a major role to maximize outcome and prevent complications following musculoskeletal trauma and its interventions. It is reported in several studies that mortality risk in patients not receiving rehabilitation was higher compared with patients who received one. The key principles include adequate pain management, anti-infection measures, early ambulation and physical therapy, establishing proper milestones and goals, well-communicated multi-disciplinary approach, and the establishment of standardized and personalized treatment protocol. Early mobilization is supported, as long as wound healing has been taken into consideration. Holistic approach to ensure both physical and psychosocial well-being is recommended, along with special care for geriatric and paediatric populations. Furthermore, alternative medicines such as acupuncture and meditation are currently gaining popularity and subsequently advocated as adjunct therapies.</em></p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/11752 THE EFFECTIVENESS OF MISOPROSTOL COMPARES TO OXYTOCIN IN MANAGEMENT OF RETAINED PLACENTA: AN EVIDENCE-BASED CASE REPORT 2021-01-16T12:15:41+07:00 Indra Gunawan indrakabhuom@gmail.com Roni Andre Syahputra Damanik Roni_Andre@rocketmail.com <h1>ABSTRACT</h1> <p><strong>Introduction:</strong> Retained placenta is one of major cause for postpartum haemorrhage. Various medication and routes of administration have been reported to increase spontaneous placenta delivery and prevent manual removal of placenta. Purpose of the study to compare the outcome between misoprostol and oxytocin in management of retained placenta.</p> <p>&nbsp;</p> <p><strong>Method:</strong> literature searching was done in 4 databases (Pubmed, EbscoHost, Cochrane and Scopus) with specific keywords, continued with article selection and critical appraisal<strong>.&nbsp; </strong></p> <p><strong>&nbsp;</strong></p> <p><strong>Result:</strong> 5 randomized controlled trial articles were found match to eligibility criteria. 3 of 5 studies found that spontaneous placental delivery occurred more in misoprostol group than oxytocin group. Based on 2 studies, the NNT value of misoprostol are 3 compare to oxytocin group. 2 other studies found that no significant differences of spontaneous delivery of placenta in misoprostol and oxytocin group. 2 studies found that misoprostol had shorter time for spontaneous placenta delivery. However, 2 other studies also found that misoprostol had longer time for spontaneous delivery. 1 study also found that Misoprostol group have less blood loss than oxytocin group.</p> <p>&nbsp;</p> <p><strong>Conclusion:</strong> administration of misoprostol has better outcome in induce spontaneous placenta delivery, time needed for delivery and less blood loss volume compared to oxytocin.</p> <p>&nbsp;</p> <p><strong>Keywords:</strong> misoprostol; oxytocin; prolonged third stage labour; retained placenta</p> <p>&nbsp;</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/11486 PERBANDINGAN KURVA FRIEDMAN DAN PARTOGRAF WHO SEBAGAI MONITORING PERSALINAN DI ERA PANDEMI COVID 19 2020-12-25T14:51:36+07:00 Putu Devita Sucitawati putudevita1805@gmail.com I Gede Sastra Winata putudevita1805@gmail.com <p>Saat ibu hamil memasuki rumah sakit di era pandemi COVID 19 maka penilaian terhadap ibu dan janin harus dilakukan secara lengkap. Pemeriksaan dan pemantauan ibu hamil saat persalinan juga dilakukan sesuai dengan standar nasional yaitu dengan menggunakan partograf. Partograf adalah alat pemantauan persalinan yang paling umum digunakan oleh tenaga kesehatan untuk memantau kemajuan persalinan dan memberikan intervensi tepat waktu jika diperlukan. Perkembangan dari pemantauan kemajuan persalinan didasari observasi yang dilakukan oleh Friedman pada tahun 1955. Barulah pada tahun 1994,WHO merancang partograf. Sejak pertama kali digunakan, partograf WHO telah dimodifikasi dan diadaptasi oleh banyak rumah sakit</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/13122 EFEK PEMBERIAN ZAT BESI TAMBAHAN PADA ANAK 2021-06-07T13:26:17+07:00 Wahyu Indah Dewi Aurora aurora.tasman@gmail.com <p><strong>&nbsp;</strong></p> <p><strong>ABSTRACT</strong></p> <p><em>Iron deficiency can cause a variety of diseases, especially during the growth and development of children. Iron deficiency can cause anemia, disruption of the process of nerve formation, motor disorders, impaired growth, and many more effects caused. For that the world agreed to give additional iron to children under the age of 5 years. But, is there an effect that is also caused on children who do not experience iron deficiency? This article is a review of some literature that discusses the provision of iron supplementation in children. This paper focuses on explaining the effects of iron supplementation, such as benefits, including risks if given in large quantities.</em></p> <p><strong><em>Keywords:</em></strong><em> Effect of Fortification Iron, benefit and risk of iron</em></p> <p><strong>&nbsp;</strong></p> <p><strong>ABSTRAK </strong></p> <p>Kekurangan zat besi dapat menimbulakan beragam penyakit, terutama pada masa pertumbuhan dan perkembangan anak-anak. Kekurangan zat besi dapat menimbulkan anemia, gangguan proses pembentukan saraf, gangguan motorik, gangguan pertumbuhan, dan masih banyak lagi efek yang ditimbulkan. Untuk itu dunia bersepakat untuk memeberikan zat besi tambahan pada anak-anak usia dibawah 5 tahun. Tapi, apakah ada efek yang ditimbulkan juga pada anak-anak yang tidak mengalami kekurangan zat besi? Tulisan ini adalah review dari beberapa literature yang membahas mengenai pemberian suplementasi besi pada anak. Tulisan ini focus menjelaskan mengenai efek yang ditimbulkan pada pemberian zat besi, seperti manfaat, termasuk risiko-risiko jika diberikan dalam jumlah yang banyak.</p> <p><strong>Kata Kunci:</strong> Efek Dari Zat Besi Tambahan, Keuntungan dan Risiko Pemberian Besi</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/11263 GAMBARAN USIA PADA KEJADIAN COVID-19 2020-12-05T18:48:03+07:00 Rosyada Elviani rosyada76@gmail.com Chairil Anwar rosyada76@gmail.com Rico Januar Sitorus rosyada76@gmail.com <p>Covid-19 adalah Pandemi yang baru terjadi di akhir tahun 2019 yang disebabkan oleh SARS CoV2. Hal ini harus diwaspadai karena transmisi yang cepat, memiliki tingkat kesakitan yang tidak dapat diabaikan. Sampai saat ini, belum ada vaksin pencegahan dan terapi definitif yang belum terbukti. Usia lanjut pada beberapa artikel disebutkan sebagai faktor risiko Covid-19.</p> <p>Tujuan penelitian ini untuk mengetahui gambaran usia pada kejadian Covid-19. Merupakan penelitian kuantitatif dengan desain analitik observasional dengan pendekatan <em>unmathced </em><em>case control</em>. Data yang digunakan adalah data sekunder rekam medik dan surveilans ruang isolasi RSUP Dr. M. Hoesin Palembang periode 1 Maret 2020 s/d 31 Juli 2020 yang berjumlah 666 responden.</p> <p>Analisis data menggunakan univariat untuk mengetahui gambaran usia pada kejadian Covid-19<em>. </em>Hasil penelitian didapatkan bahwa dari 116 usia berisiko (&gt;65 tahun) yang terkonfirmasi positif sebanyak 30 (40,2%) sisanya 49 (59,8%) negatif. Sedangkan dari 550 usia yang tidak berisiko, &nbsp;sebanyak 277 (47,4%) terkonfirmasi positif dan sisanya 307 (52,6%) negative. Pada analisis bivariat, tidak ada hubungan yang signifikan secara statistik antara usia dengan Covid-19 dengan <em>p</em> value 0,270.</p> <p>Kesimpulan.Semua usia berisiko terkonfirmasi positif Covid-19, dan usia produktif paling berisiko Covid-19 yang dikarenakan mobilitas dan aktifitas sosial yang tinggi. Hal ini dapat dicegah dengan tetap melakukan protokol kesehatan.</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10442 EFEKTIVITAS KEPEKATAN LARUTAN SODIUM HYPOCHLORITE TERHADAP BIAKAN KUMAN STAPHYLOCOCCUS AUREUS 2021-04-02T20:17:23+07:00 Fajar Ivan Effendi mqatharrft@gmail.com Rieva Ernawan mqatharrft@gmail.com Pamudji Utomo mqatharrft@gmail.com Ismail Mariyanto mqatharrft@gmail.com Asep Santoso mqatharrft@gmail.com <p><strong>Abstract</strong></p> <p>Musculoskeletal infections have complex complications, making them a challenge. Most countries have experienced Staphylococcus aureus resistance to methicillin by 25% and some even over 50%. Dakin solution (0.050% to 0.025%) can be used as irrigation, cleansing, and used on moist gauze for the management or prevention of skin or tissue infections.</p> <p>This study aims to determine the lowest concentration level of Dakin solution / sodium hypochlorite which is the safest and most effective in the culture of Staphilococcus aureus.</p> <p>This research is an analytical experimental research, with the concept of comparing the Staphylococcus aureus ATCC 25923 germ cultures which are treated in the form of giving dakin solution / sodium hypochlorite 0.050%, 0.025%, 0.0125% and control using 0.9% NaCl. Observation of the effectiveness is done by measuring the formed inhibition zone.</p> <p>The concentration of 0.025% gives a fairly good disinfectant effect with moderate inhibition power, the concentration of 0.050% gives a good disinfectant effect with a strong inhibitory power while the concentration of 0.0125% does not have a disinfectant effect, this is the same as the 0.9% NaCl control solution. The zone of inhibition in the staphylococcus aureus bacteria culture ATCC 25923 at concentrations of 0.025% and 0.050% still gave a stable effect until evaluation within 2x24 hours (48 hours).</p> <p><strong>Keywords</strong><strong> :</strong> <em>Dakin solution</em>, Sodium hypoclorite, resistor zone, <em>Staphylococcus aureus</em>.</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/12474 RADIOSCAPHOLUNATE (RSL) FUSION ON SECONDARY OA WRIST WITH NEGLECTED DISLOCATION RADIOCARPAL JOINT AND CONTRACTURE DUE TO ENTRAPMENT OF SUPERFICIAL FLEXOR TENDON INDEX FINGER OF LEFT HAND 2021-04-02T20:25:11+07:00 Rahmad Rian mqatharrft@gmail.com Seti Aji Hadinoto mqatharrft@gmail.com Tito Sumarwoto mqatharrft@gmail.com Pamudji Utomo mqatharrft@gmail.com M qathar RF Tulandi Tulandi mqatharrefa@gmail.com <h2>ABSTRACT</h2> <p><em>&nbsp;</em></p> <p><strong><em>Background:</em></strong><em> When pain, deformity and instability compromise wrist function, wrist stabilization by means of fusion is a procedure of recognized validity. The goal of wrist arthrodesis is to provide the patient with a stable wrist for power grip and the predictable relief of pain while sacrificing wrist motion. The radioscapholunate (RSL) fusion is one of salvage procedure indicated in the case of traumatic or degenerative osteoarthritis of the radiocarpal joint, involving the lunate facet of the radius. RSL-fusion reduced total wrist motion (3 MC/Rad) in the F/E axis to an average of 49% of F/E in the unfused wrist but&nbsp; preserves midcarpal joint motion while alleviating pain</em><strong><em>.</em></strong></p> <p><strong><em>Case Report:</em></strong> <em>We report a 43-year-old male patient with pain on his left wrist. 10 months before admission, he felt down from stairs with his left hand bear his body weight. He broke his wrist and got surgery at that time. Because still feel pain and his index finger can’t fully extensed, he brought to Soeharso orthopaedic hospital. Here, we have done</em><em> RSL-fusion using cross pinning K-Wire to reduce pain, distal scapoid excision to optimizing radial angulation and release superficial flexor tendon index finger of left hand.</em></p> <p><strong><em>Discussion: </em></strong><em>With Secondary OA of left wrist post traumatic with neglected radiocarpal dislocation and superficial flexor tendon contracture due to entrapment index finger of left hand post </em><em>RSL-fusion</em><em>, distal scapoid excision and release contracture can reduce pain at radiocarpal joint and improve range of movement.</em></p> <p><strong><em>Conclusion:</em></strong> <em>The goal of Radioscapholunate (RSL) fusion is to optimizing wrist motion and strength while minimizing or eliminating pain</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords: </em></strong><em>Radioscapholunate fusion, partial wrist arthrodesis, limited wrist fusion, reduce pain</em></p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/12031 PEMBELAJARAN JARAK JAUH PADA KEPANITERAAN KLINIS PROGRAM STUDI PROFESI DOKTER DI RUMAH SAKIT PENDIDIKAN 2021-02-07T10:33:38+07:00 Santi Anugrahsari santianugrah@gmail.com <p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>Introduction:</em></strong><em>&nbsp;It is not easy to regulate the clerkship system for medical professional education clinics when continuing to the hospital during the pandemic (Covid-19) so that students can acquire knowledge and skills according to predetermined competencies.&nbsp;<strong>Objective:</strong>&nbsp;Describe Distance Learning (PJJ) of Clinical clerkship students (coass) in teaching hospitals during the pandemic.&nbsp;<strong>Methods:&nbsp;</strong>A descriptive study of Clinical Clerkship students who carried out online activities during the pandemic period at the Teaching Hospital.<strong>&nbsp;Results:&nbsp;</strong>There were 51 respondents from clinical clerkship education participants, as many as 84.31% of respondents graduated from academic education in 2019-2020, just carried out the 1-2 rotation stage 47.05%, long waiting for the pandemic 5-7 months experienced by 56.86 % of respondents, there were more students who did not experience difficulties in accessing the internet, and simply adapting to do PJJ. Less than 50% of the learning time provided is appropriate. Students are satisfied to receive learning time per day, student communication with clinical teaching lecturers is classified as useful, and scheduling of learning with clinical doctors is relatively easy. Respondents answered PJJ quite effectively, as much as 56.86%.<strong>&nbsp;Conclusion:&nbsp;</strong>The most prominent problem is the fulfillment of clinical clerkship competence in patients' interactions in teaching hospitals due to the pandemic. However, more than that, various efforts have been made by institutions that provide clinical medical education.</em></p> <p><strong><em>Keywords:</em></strong><em>&nbsp;Clinical Clerkship - Teaching Hospital - Distance Learning - Doctor's Professional Study Program</em></p> <p><strong>ABSTRAK</strong></p> <p><strong>Pendahuluan : </strong>Hal yang tidak mudah dalam mengatur sistem kegiatan kepaniteraan klinik pendidikan profesi dokter pada saat melanjutkan stase di rumah sakit selama masa pandemi (Covid-19) sehingga peserta didik dapat memperoleh pengetahuan dan keterampilan sesuai dengan kompetensi yang telah ditetapkan.</p> <p><strong>Tujuan : </strong>Menggambarkan Pembelajaran Jarak Jauh (PJJ) peserta didik kepaniteraan muda (coass) di Rumah Sakit Pendidikan selama pandemi.</p> <p><strong>Metode :</strong></p> <p>Penelitian deskriptif terhadap peserta didik kepaniteraan muda yang melakukan kegiatan daring selama masa pandemi di Rumah Sakit Pendidikan.</p> <p><strong>Hasil :</strong></p> <p>Terdapat 51 responden dari peserta pendidikan kepaniteraan klinis, sebanyak 84,31% responden lulus dari pendidikan akademik di tahun 2019-2020, baru menjalankan stase 1-2 rotasi 47,05 %, lama menunggu pandemi 5-7 bulan di alami oleh 56,86% responden, lebih banyak peserta didik tidak mengalami kesulitan akses internet, dan beradaptasi cukup melakukan PJJ. Kurang dari 50 % Waktu pembelajaran yang diberikan sesuai, &nbsp;&nbsp;peserta didik puas menerima waktu pembelajaran per hari, komunikasi mahasiswa dengan dosen pendidik klinis tergolong baik, serta pengaturan jadwal pembelajaran dengan dokter klinis cukup mudah. Responden menjawab PJJ cukup efektif sebanyak 56,86%.</p> <p><strong>Kesimpulan:</strong></p> <p>Permasalahan yang paling menonjol adalah pemenuhan kompetensi kepaniteraan klinis dalam interaksi dengan pasien di RS Pendidikan dikarenakan pandemi. Namun daripada itu, berbagai upaya telah dilakukan oleh Instansi penyelenggara pendidikan kedokteran klinis.</p> <p>&nbsp;</p> <p><strong>Kata kunci : </strong>Kepaniteraan Klinis – RS Pendidikan – Pembelajaran Jarak Jauh -&nbsp; Program Studi Profesi Dokter</p> <p>&nbsp;</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/12606 A OPTIC DISC PIT MACULOPATHY IN A 13 YEARS OLD CHILD: A RARE CASE 2021-04-17T11:09:47+07:00 Sandiyanto Sandiyanto sandi081088@gmail.com Weni Helvinda Sandi081088@gmail.com <p><strong><u>ABSTRACT</u></strong></p> <p><strong>&nbsp;</strong></p> <p><strong>Introduction</strong>: Optic disc pit is a rare congenital abnormality of the optic disc. It is generally appears in the third or fourth decade of life; however, cases of serous detachment in children have been reported. Treatment includes argon laser to the peripapillary region, macular buckling surgery, vitrectomy combined with laser and/or gas injection.</p> <p><strong>Objective</strong>: To report a case with optic disc pit maculopathy in a 13 years old child.</p> <p><strong>Case Illustration</strong>: A 13 years old male presented to us with complaints of blurred vision in right eye started a month ago. No history of trauma. On examination, her visual acuities were 20/50 right and 20/20 left eye. Both anterior segments were normal, with normal intraocular pressures. OCT imaging showed optic disc pit located temporally, with associated serous macular detachment in the right eye.</p> <p><strong>Result</strong>: After 12 weeks observation, there is no significant change in the examination of the visual acuity, fundus examination and OCT imaging.</p> <p><strong>Conclusion</strong>: Currently there is no universally accepted treatment for optic disc pit maculopathy because the pathogenesis is not yet fully understood. In pediatric cases, 3-6 months of follow-up before any surgical and invasive procedures is appropriate.</p> <p><strong>Keyword</strong>: Optic disc pit maculopathy, OCT imaging, observation.</p> 2021-05-01T00:00:00+07:00 Copyright (c) 2021 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"