https://online-journal.unja.ac.id/kedokteran/issue/feed JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" 2020-11-07T18:30:23+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/4124 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETAJAMAN PENGLIHATAN PADA PELAJAR SEKOLAH DASAR NEGERI 07 PONDOK LABU JAKARTA SELATAN 2017-11-21T09:36:31+07:00 Mila Citrawati Asiyanto milacitra@gmail.com Citra Ayu Aprilia citra.ayuaprilia@gmail.com Yanti Harjono Hadiwiardjo yantiharjono@gmail.com <p>Pada proses pendidikan, penglihatan merupakan salah satu faktor yang sangat penting. Pada proses belajar dalam kelas konvensional, tajam penglihatan menjadi faktor penting mengingat perbandingan luas kelas dengan jumlah siswa seringkali tak memadai. Proses belajar sangat bergantung pada tajam penglihatan, dan turunnya tajam penglihatan dapat mengganggu beberapa aspek perkembangan anak yang berkaitan dengan ketrampilan yang mengandalkan penglihatan. Penurunan tajam penglihatan yang tidak diterapi berakibat gangguan prestasi dan bahkan perilaku anak. Saat ini prevalensi myopia pada anak usia sekolah cenderung meningkat di Asia. Penelitian ini bertujuan mencari faktor yang paling menentukan kejadian miopia. Penelitian ini merupakan penelitian observasional analitik dengan metode pendekatan <em>cross sectional, </em>yang dilakukan pada bulan Agustus – Oktober 2017. Penelitian dilakukan pada seluruh murid kelas V dan VI di Sekolah Dasar Negeri&nbsp; 07&nbsp; Pondok Labu Jakarta Selatan yang memenuhi kriteria, yang berjumlah 144 orang. Data karaktestik sampel didapatkan distribusi frekuensi terbanyak pada usia adalah 11 tahun (48,6%), laki-laki (58,3%). Untuk data univariat yang merupakan faktor risiko didapatkan riwayat miopia pada keluarga sebanyak 63,3%, tingkat pengetahuan cukup (53,5%), sikap yang kurang (64,6%), perilaku yang cukup baik (39,6%), <em>screen time </em>&gt; 2 jam (54,2%), posisi membaca dengan duduk tegak (75%), jarak membaca 30 cm (88,2%), emetrop (56,3%). Data kemudian dianalisis untuk hubungan antara faktor risiko dengan tajam penglihatan dengan hasil terdapat hubungan yang signifikan antara riwayat keluarga miopia dengan tajam penglihatan (p=0.048), sedangkan faktor risiko lain tidak memiliki hubungan yang bermakna.</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/5361 AGE-RELATED FACTORS OF EPILEPSY AND ITS IMPACT ON QUALITY OF LIFE: A CROSS-SECTIONAL STUDY IN BETHESDA HOSPITAL YOGYAKARTA 2020-10-09T10:49:50+07:00 Rizaldy Taslim Pinzon drpinzon17@gmail.com Andre Dharmawan Wijono drpinzon17@gmail.com Rosa De Lima Renita drpinzon17@gmail.com <p><strong>Introduction:</strong> Epilepsy is a neurological disorder that negatively impacts quality of life (QOL). There are limited studies on the QOL of people living with epilepsy in Indonesia. <strong>Aim: </strong>The purpose of this study was to evaluate the association between age-related factors (age, age at onset, and duration of epilepsy) and QOL.</p> <p><strong>Methods: </strong>This cross sectional study was conducted in the Department of Neurology, Bethesda Hospital, Yogyakarta, Indonesia from November 2017 to February 2018.&nbsp; Patients with epilepsy aged 18 years and above were recruited in the study. QOL was measured using the Short Form 8 (SF-8).</p> <p><strong>Results: </strong>A total of 27 patients were eligible for the study. The QOL of patients aged ≥ 60 years was significantly lower in the following aspects: physical functioning (42.44±8.243), general health (40.04±7.641), role emotional (39.60±7.638), mental health (43.50±10.347), and mental component score (42.04±10.282). Patients with age at onset ≥ 55 years had significant effects in lower role emotional (40.54±7.245) and mental component score (42.98±10.155). There was no significant difference in the QOL scores and duration of epilepsy.</p> <p><strong>Conclusion: </strong>This study demonstrated that age and age at onset&nbsp;influence the QOL in patients with epilepsy.&nbsp;</p> <p><strong>&nbsp;</strong></p> <p>&nbsp;</p> <p><strong>Keywords: </strong>Epilepsy, age-related factors, quality of life, Short Form 8 Health Survey.</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10665 Hubungan antara Asupan Makronutrien dan Status Nutrisi Dengan Kekuatan Otot Pada Lansia di Panti Werdha Jakarta 2020-10-09T20:49:01+07:00 Rita halim halim ritahalim_fkik@unja.ac.id Sri Sukmaniah ritahalim_fkik@unja.ac.id <p><strong>Background:</strong> The decrease of muscle mass and strength in elderly people will affect the functional capacity and increase the risk of sarcopenia. One factor that can affect the loss of muscle mass and strength in elderly is the decrease in nutrition intake i.e macronutrient especially protein and branched chain amino acids (BCAA). The aim of this study is to examine the association between muscle strength intake with macronutrient intake and nutritional status in elderly people.</p> <p><strong>Methods:</strong> The methodology of this research is a cross-sectional study with 52 elderly people from April-May 2016. Macronutrient intake is obtained from 2x24 hours food records. Anthropometric measurement is performed by using Seca electrodigital scale and knee height caliper. Blood sampling to measure prealbumin was performed after the subjects fasted for ± 8 hours, and muscle strength was measured with a Jamar’s handgrip dynamometer.</p> <p><strong>Results:</strong> The results show significant possitive correlation between handgrip strength with energy intake( r=0,32 dan p=0,02) and carbohydrate intake (r=0,46 dan p=0,01). However, fat intake, protein intake, BCAA intake, serum prealbumin, and BMI have no correlation with handgrip strength.</p> <p><strong>Conclusion:</strong> This study concludes that energy intake, especially from carbohydrate intake, can affect muscle strength in elderly.</p> <p><strong><em>Keywords: macronutrient intake, nutritional status, serum prealbumin, muscle strenght</em></strong></p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10620 A Hubungan Lama Bekerja dan IMT dengan Low Back Pain Pada Pengemudi Taksi X Pekanbaru 2020-10-09T11:00:20+07:00 Rika Yuharika Pratiwi yuharika.pratiwi@univrab.ac.id Annes Waren yuharika.pratiwi@univrab.ac.id Romi Akbar yuharika.pratiwi@univrab.ac.id <p><em>Work-related LBP is pain from the lower back that is related to work which can be clinically caused or exacerbated by work. Based on the initial survey, it is found that 70% of X taxi drivers experienced LBP. This study aims to determine the factors associated with LBP in taxi drivers X. This type of quantitative observational research, cross-sectional study design with a sample of 43 respondents. Data analysis used univariate, chi-square used bivariate analysis. Based on the results of the chi-square test, it showed that the variables associated with LBP were the length of work (p-value = 0.008). The variables not related to LBP was Body Mass Index (p-value = 0.348). </em></p> <p><strong><em>Keywords: low back pain, taxi driver</em></strong></p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10950 KORELASI NILAI PROSES ROTASI KLINIK DENGAN KELULUSAN UJI KOMPETENSI MAHASISWA PROGRAM PROFESI DOKTER (UKMPPD) 2020-11-07T18:30:23+07:00 Fuad Khadafianto fuad.khadafianto@uii.ac.id <p>&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Pendidikan dokter di Indonesia saat ini sudah memiliki standar kompetensi sebagai acuan kompetensi lulusan dokter berupa standar kompetensi dokter Indonesia (SKDI). Sebagai proses pendidikan yang paling akhir sebelum menempuh UKMPPD, pendidikan tahap profesi sangat diharapkan mampu memberikan bekal pengetahuan, keterampilan maupun perilaku bagi mahasiswa sebagai bekal untuk mengikuti UKMPPD. Penelitian ini bermaksud untuk mengkaji hubungan antara masing-masing komponen nilai tiap stase pendidikan tahap profesi dengan kelulusan UKMPPD. Metode penelitian ini adalah observasional kuantitatif dengan pendekatan <em>cross sectional</em><em>. </em>Subjek yang digunakan adalah 135 mahasiswa Fakultas Kedokteran Universitas Islam Indonesia tahun angkatan 2011 dimana subjek sudah melaksanakan UKMPPD dan merupakan <em>first taker</em>. Hasil yang diperoleh dari beberapa aspek penilaian profesi dokter, Ujian tulis, OSLER, nilai total dan minicex berhubungan dengan luaran nilai CBT UKMPPD (<em>p</em>=0.000;<em>p</em>=0,019;<em>p</em>=0,002;<em>p</em>=0,001) sedangkan utul, OSLER, dan nilai total berhubungan dengan luaran nilai OSCE UKMPPD (<em>p</em>=0.000; <em>p</em>=0,000; <em>p</em>=0,000).</p> <p>Kata kunci: Pendidikan profesi, Ujian Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD).</p> <p><em>Abstract</em></p> <p>Currently, medical education in Indonesia has a standard as a reference to assess competency for new medical doctor, namely standar kompetensi dokter Indonesia (SKDI). It is hoped that the clinical clerkship, the last educational process before taking national board examination, will be able to provide knowledge, skills and behavior for students before taking national board examination. This study intends to examine the relationship between each component of the scores for each stage of education at the clinical clerkship and passing national board examination. This method is quantitative observational with cross sectional approach. The subjects used were 135 students of the Faculty of Medicine, Islamic University of Indonesia in class of 2011 where the subjects already done national board examination and they were the first takers. The results obtained from several aspects of the assessment of the clinical clerkship, written exams, OSLER, total score and minicex scores were related to the CBT score output (<em>p</em>=0.000; <em>p</em>=0.019; <em>p</em>=0.002; <em>p</em>=0.001) while written exam, OSLER, and total score related to the OSCE score output (<em>p</em>=0.000; <em>p</em>=0.000; <em>p</em>=0.000).</p> <p>&nbsp;</p> <p>Key Words: Clinical clerkship, clinical rotation, National board examination.</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10619 A ANALISIS PENGARUH PEMBERIAN EKSTRAK BAWANG MERAH (Allium cepa L) TERHADAP KADAR ASAM URAT DARAH PADA TIKUS PUTIH (Rattus Norvegicus) JANTAN YANG DIINDUKSI KALIUM OKSONAT 2020-10-09T10:54:07+07:00 Deinike Marwan deinikemarwan@univrab.ac.id Faisal deinikemarwan@univrab.ac.id Putri Nurul Aini deinikemarwan@univrab.ac.id <p><strong>Background&nbsp;</strong>: Based<strong>&nbsp;</strong>on data From the&nbsp;<em>World Health Organization</em>&nbsp;(WHO) expressed an increase in the incidence of gout disease.&nbsp;In Indonesia is known to occur at the age below 34 years (32%)&nbsp;and age more than 34 years (68%).&nbsp;Gout disease based on health service data of Pekanbaru is included in the 10 major diseases in Puskesmas.&nbsp;The disease begins with hyperuricemia conditions due to excessive production of uric acid metabolism and decreased urinary acid excretion or one of them.&nbsp;Shallots are known to have active compounds such as flavonoids, saponins, polyphenols, terpenoids, alkaloids.&nbsp;</p> <p><strong>Research Objectives&nbsp;</strong>: To analyze the influence&nbsp;of red onion/shallot extract&nbsp;(Allium cepa L) on blood uric acid levels in&nbsp;white&nbsp;rats&nbsp;(<em>rattus norvegicus</em>)&nbsp;potassium-induced oksonate.</p> <p><strong>Research Method&nbsp;</strong>: Using the design of experimental studies with the research draft&nbsp;"<em>Pre and Posttest control group Design</em>"&nbsp;using samples of 30 mice that were divided into five groups.</p> <p><strong>Results</strong>&nbsp;: Use of shallot extract&nbsp;against the level of blood uric acid in&nbsp;white&nbsp;rats&nbsp;induced potassium oksonat is&nbsp;meaningful with evidence of a decrease in blood uric acid levels between before and after treatment.&nbsp;The most effective dose in lowering blood uric acid levels is a dose in the group of 400mg/KgBB/day.</p> <p><strong>Conclusion&nbsp;</strong>: The administration of shallot is known to affect blood uric acid levels in white rats males, and the shallot is known to have active compounds to lower blood uric acid levels in the white rats males.</p> <p><strong>Keywords&nbsp;:&nbsp;<em>uric acid, shallot extract, hyperuricemia</em></strong></p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10574 EFEK TERAPI DISFUNGSI EREKSI DENGAN LI-ESWT DIKOMBINASI DENGAN PDE-5 INHIBITOR DIBANDING PDE-5 INHIBITOR SAJA TERHADAP KADAR hs-CRP 2020-10-26T06:43:33+07:00 Rosy Nur Febriani rosy.nur.febriani-2016@fk.unair.ac.id Andrian rosy.nur.febriani-2016@fk.unair.ac.id Supardi rosy.nur.febriani-2016@fk.unair.ac.id <p><strong>ABSTRAK</strong></p> <p>Tujuan dari penelitian ini adalah menganalisis efek pemberian tadalafil 2,5 mg oral sekali sehari dan pemberian terapi Li-ESWT dua kali seminggu selama empat minggu pada penderita disfungsi ereksi serta melihat pengaruhnya terhadap kadar hs-CRP. Jenis penelitian ini merupakan uji klinis eksperimental dengan rancangan <em>pre and posttest</em> <em>c</em><em>ontrol group design</em>. Pada penelitian ini terkumpul 26 orang subjek penelitian. Subjek penelitian dibagi menjadi dua kelompok, yaitu kelompok kontrol dan kelompok perlakuan. Kelompok kontrol mendapatkan monoterapi <em>PDE-5 Inhibitor </em>(tadalafil) 2,5 mg dan kelompok perlakuan mendapatkan terapi kombinasi <em>PDE-5 Inhibitor </em>(tadalafil) 2,5 mg dengan <em>Li-ESWT</em>. Terapi diberikan selama 4 minggu. Skor IIEF-5, skor EHS diperiksa pada <em>pre</em> dan <em>post</em>-terapi. Kadar hs-CRP subjek diperiksa pada <em>pre</em>, <em>mid</em>, dan <em>post</em>-terapi. Kelompok perlakuan menunjukkan perbaikan disfungsi ereksi lebih baik dibanding kelompok kontrol dari skor IIEF-5 (p = 0,047) dan skor EHS (p = 0,032). Namun hal ini tidak didapatkan pada kadar hs-CRP (p = 0,271). Kesimpulan dari penelitian ini adalah bahwa pemberian monoterapi dan terapi kombinasi tidak dapat menurunkan kadar hs-CRP secara konsisten. Pemberian terapi kombinasi <em>PDE-5 Inhibitor </em>dengan modalitas <em>Li-ESWT </em>mampu meningkatkan fungsi ereksi lebih baik dibandingkan monoterapi <em>PDE-5 Inhibitor </em>namun tidak dapat menurunkan kadar hs-CRP lebih banyak dibandingkan monoterapi. Tidak ada hubungan antara penurunan kadar hs-CRP dengan peningkatan nilai IIEF-5 dan EHS.</p> <p>&nbsp;</p> <p><strong>Kata kunci: </strong>disfungsi ereksi,<em> Li-ESWT, PDE-5 Inhibitor</em>, tadalafil, hs-CRP</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10472 THE EFFECT OF VITAMIN D3 SUPPLEMENTATION PER ORAL AND SUN EXPOSURE ON THE EMPLOYEES OF PROF. DR. R SOEHARSO ORTHOPEDIC HOSPITAL OF SURAKARTA WITH VITAMIN D INSUFICIENCY OR DEFICIENCY 2020-09-12T21:28:22+07:00 Pamudji Utomo pamudjiutomo@gmail.com Mujaddid Idulhaq idulhaq22@gmail.com Agus Wahyudi a_yoedi@yahoo.co.id M qathar RF Tulandi Tulandi mqatharrefa@gmail.com <p><strong>Background : </strong>Vitamin D insufficiency affects almost 50% of the population worldwide. About 1 billion people worldwide from all ethnicities and age groups, have a vitamin D deficiency. This pandemic of hypovitaminosis D closely related to to lifestyle (such as less of outdoor activities) and environmental (such as air pollution) factors that reduce exposure to sunlight, which is required for ultraviolet-B (UVB)-induced vitamin D production in the skin. High prevalence of vitamin D insufficiency is an important public health issue because hypovitaminosis D is an independent risk factor for total mortality in the general population. Last studies suggest that we may need more vitamin D to prevent chronic disease. As few foods contain vitamin D, guidelines recommended supplementation at suggested daily intake and tolerable upper limit levels. It is also suggested to take a measurement of &nbsp;the 25-hydroxyvitamin D level serum as the initial diagnostic test in patients at risk for deficiency. Treatment with either vitamin D2 or vitamin D3 is recommended for deficient patients.</p> <p><strong>Subjects and Method : </strong>This study was an experimental study with one group design pretest and postest. Target population was employee of Prof dr R Soeharso Orthopaedic hospital with deficiency or insuficiency of vitamin D level. Total of 40 subjects has been measured serum 25-hydroxyvitamin D level. The result found that 1 sample is normal and excluded from the study, and 39 others are included in the study. All of them have been treated with vitamin D3 suplement 50.000 IU per week for eight weeks then measured serum 25-hydroxyvitamin D level post treatment. All the result was analized with Wilcoxon test respectively</p> <p><strong>Results : </strong>All samples undergoing treatment with vitamin D3 suplement had a significant improvement on the result of Vitamin D level. Wilcoxon rank test shows the value of p = &lt;0.001 (p &lt;0.05) which means that there is a significant improvement of &nbsp;vitamin D serum levels before and after treatment.<strong>Conclusion : </strong>Normalization of hypovitaminosis D level with cholecalciferol (D3) treatment significantly reduces the severity of fatigue symptoms in person who has complain about fatigue conditions.</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10931 PENGARUH PENGGUNAAN ANTIBIOTIK PROFILAKSIS DENGAN LAMA RAWAT INAP PADA PASIEN SEKSIO SESAREA 2020-11-06T09:49:38+07:00 Huntari Huntari huntariharahap@gmail.com Anati Purwakanthi anatipurwakanthi@gmail.com Erny Kusdiyah anatipurwakanthi@gmail.com <p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Introduction</em></strong><em> Women who have a cesarean delivery have a 5-20 times greater risk of infection than normal delivery. Antibiotics given to surgical patients aim to reduce the number of bacterial colonies, reduce the amount of inoculum contamination so that prophylactic antibiotics are needed to reduce the risk of infection or as therapy if they are already in a previous infection state. <strong>Aim</strong> of this study was to determine the effect of prophylactic antibiotic use and length of stay in cesarean section. <strong>Method</strong> this research uses analytical research with a </em><em>cro</em><em>ss</em> <em>s</em><em>ectional</em><em> approach. There were 318 patients who met the study inclusion criteria. The assessment of research variables used secondary data from the medical records of patients with cesarean section at Raden Mattaher Hospital Jambi in 2018. <strong>Results</strong> of this study were patients with caesarean section at Raden Mattaher Hospital Jambi in 2018, at most 20 to 35 years, 240 people, 135 primigravidas people, 244 people with a history of first cesarean section, used a prophylactic antibiotic for cesarean section, namely ceftriaxone once two grams for 3 days, with the most diagnosis of cesarean section due to premature rupture of the membranes as many as 87 people. There was a relationship between the type of prophylactic antibiotics given (p = 0.00), the number of antibiotics (p = 0.00), and the diagnosis before cesarean delivery (p = 0.00) with the length of&nbsp; Inpatient.</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords: Antibiotics, Caesarean section, Inpatie</em></strong><strong><em>nt</em></strong></p> <p>&nbsp;</p> <p>&nbsp;</p> <p><strong>ABSTRAK</strong></p> <p><strong>&nbsp;</strong></p> <p><strong>Pendahuluan</strong> Wanita yang melakukan persalinan secara bedah sesar memiliki resiko infeksi lebih besar 5-20 kali lipat dibandingkan persalinan normal. Antibiotik yang diberikan pada pasien bedah bertujuan untuk mengurangi jumlah koloni bakteri, mengurangi jumlah inokulum kontaminasi sehingga diperlukan pemberian antibiotik profilaksis untuk menurunkan risiko infeksi atau sebagai terapi apabila sudah dalam keadaan infeksi sebelumnya.<strong> Tujuan </strong>penelitian ini untuk mengetahui pengaruh penggunaan antibiotik profilaksis dengan lama rawat inap seksio sesaria. <strong>Metode </strong>Penelitian ini merupakan penelitian analitik dengan metode cross sectional. Terdapat 318 pasien memenuhi kriteria inklusi&nbsp; penelitian . Penilaian variabel- penelitian menggunakan data sekunder dari &nbsp;rekam medik pasien seksio sesaria di Rumah Sakit Raden Mattaher Jambi tahun 2018. &nbsp;<strong>Hasil </strong>penelitian<strong> &nbsp;</strong>pasien seksio sesaria di Rumah Sakit Raden Mattaher Jambi tahun 2018, paling banyak berumur 20 hingga 35 tahun yakni 240 orang, primigravida 135 orang, riwayat seksio sesaria pertama kali sebanyak 244 orang, menggunakan antibiotik profilaksis seksio sesaria yakni ceftriaxon sebanyak satu kali dua gram selama 3 hari, dengan diagnosis terbanyak seksio sesaria dikarenakan ketuban pecah dini sebanyak 87 orang. Terdapat hubungan antara jenis antibiotik profilaksis yang diberikan (p = 0,00) dan jumlah pemberian (p=0,00) dengan lama rawat inap. .</p> <p>&nbsp;</p> <p><strong><em>Kata kunci : Antibiotik, Seksio sesaria, </em></strong> <strong><em>Rawat Inap</em></strong></p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10429 Studi Kualitas Hidup Pekerja Komuter Pengguna KRL Commuter line dan Busway Transjakarta dari Bogor ke Jakarta 2020-10-09T11:28:58+07:00 David Kusmawan kusmawandavid@gmail.com Indri Hapsari Susilowati david.kusmawan@unja.ac.id <p><strong><em>Background</em></strong><em>: Many studies have concluded that commuting activities have an impact on the quality of life of commuters on both physical, mental / psychological, health, and social / environmental aspects of commuting. The purpose of this study was to determine the quality of life of commuting workers of busway Transjakartaand train commuter linemodes of transportation from Bogor to Jakarta and what factors which influenced it. </em></p> <p><strong><em>Methods:</em></strong><em>This study was conducted using cross sectional design with WHO Quality of Life BREF questionnaire. Analysis with univariate and bivariate with Chi square. </em></p> <p><strong><em>Results</em></strong><em>: The result showed the respondents had used train commuter line for ≥ 4 years (50.6%) while busway Transjakartauser workers &lt;4 years were 52.5% with frequency ten times a week for train commuter line</em><em>(72.4%) The quality of life of user commuter line and busway Transjakara is categorized by percentage of 57.1% and 70%. </em></p> <p><strong><em>Conclusion:</em></strong><em>The psychological and environmental domains have the highest scores on both mode transportation while the physical domain has the lowest score. &nbsp;Bivariate analysis revealed the quality of life in train commuter line workers affected by income and psychological conditions. While the worker busway Transjakarta usersaffected by type of work</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords: Quality of Life, WHOQOL BREF, Worker Commuter, Busway Transjakarta, Train Commuter line </em></strong></p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10209 THE DIFFERENCES OF COMMUNITY KNOWLEDGE BETWEEN BEFORE AND AFTER HEALTH EDUCATION OF MALARIA 2020-09-23T13:49:16+07:00 Isma Fadlilatus Sa'diyah ismafs82@gmail.com Dyah Wulan Sumekar Rengganis Wardani dwwardani@yahoo.com Betta Kurniawan betta.fkunila@gmail.com Tri Umiana Soleha dr.triumiana.unila@gmail.com <p><strong>Background:</strong> Sukajaya Lempasing village is a malaria-endemic area with the increasing of Annual Parasitic Incident from 2015, which is 1.7 per 1,000 population to 2.2 per 1,000 population in 2016. The village has a higher Annual Parasite Incidence with a national Annual Parasite Incidence in Indonesia of 0.84 per 1,000 population. Various efforts have been made to prevent malaria, such as early diagnosis, prompt treatment, vector surveillance and control. However, the program has not been effective in reducing the number of malaria due to the lack of society’s knowledge about Malaria. <strong>Methods:</strong> This research uses the quasi-experimental method. The sampling technique is a total sampling. The study was conducted from April to June 2017, located in Sukajaya Lempasing Village, Pesawaran, Lampung. The samples obtained were 25 people. Data obtained from questionnaires. <strong>Results:</strong> The results of univariate analysis obtained abnormal distribution data with the p-value of pretest = 0.03 and p posttest = 0.00. Because the data is abnormally distributed, the bivariate analysis of the non-parametric Wilcoxon test is used which shows the value of p = 0.00. <strong>Conclussion:</strong> The conclusion of this research is the difference in knowledge about malaria before and after health education in the community of Sukajaya Lempasing Village.</p> <p><strong>Keywords:&nbsp;</strong>Malaria, Health Education, Knowledge.</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10432 THE BENEFITS OF LI-ESWT THERAPY IN ORGANIC ERECTILE DYSFUNCTION WITH CHRONIC RENAL FAILURE: A CASE REPORT 2020-10-09T19:58:46+07:00 Androniko Setiawan androniko.setiawan-2016@fk.unair.ac.id Andrian Japari andrian.jap@gmail.com Haris Cakrasana haris.cakrasana@gmail.com Agustinus a9u5tin27@gmail.com <p>Erectile dysfunction (ED) is a common type of male sexual dysfunction that has a negative impact on the quality of life. Erectile dysfunction is common in men and the incidence increases with age. Erectile dysfunction can be caused by organic disorders, such as hormonal disorders and metabolic disorders. In this case report, the authors report the case of a man who developed chronic renal failure with multiple metabolic disorders and hypogonadism. This case report described the benefits of Low Intensity Extracorporeal Shockwave Therapy (Li-ESWT) therapy in patients who less responsive after receiving phosphodiesterase type 5 inhibitor (PDE-5 inhibitor) therapy, tadalafil as first-line therapy for erectile dysfunction. This case report was evaluated using the <em>International Index of Erectile Function-5</em> (IIEF-5) questionnaire and <em>Erection Hardness Score</em> (EHS) score as a description of erection quality with <em>Peak Systolic Velocity</em> (PSV) parameters from the results of penile <em>Color Doppler Ultrasonography</em> (CDUS) during flaccid and <em>Vascular Endothelial Growth Factor</em> (VEGF) parameters as angiogenesis factors. In this case report, the patient experienced improvements in erection quality, PSV parameters, and VEGF parameters after receiving Li‑ESWT therapy.</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10365 The CERVICOTHORACIC SPINAL TUBERCULOSIS TREATED WITH A COMBINED SINGLE STAGE SURGERY 2020-10-09T10:43:18+07:00 Rieva Ermawan rva_ermawan@yahoo.com bayu sakti jiwandono jiwandono bayujiwandono@yahoo.co.id Pamudji Utomo pamudjiutomo@gmail.com <p><strong>Introduction</strong></p> <p>Tuberculosis of the cervical spine is rare, comprising only 3-5% of cases of tuberculosis of the spine. TB spine is the most common form of skeletal TB. It is the most dangerous manifestation of TB due to the involvement of the spinal cord and the resultant neurologic impairment.</p> <p><strong>Objective</strong></p> <p>The objective of this paper is to present our experience with a rare case of cervical spine spondylitis. This case stresses the usefulness of a single-stage anterior and posterior approach with posterior instrumentation.</p> <p><strong>Method</strong></p> <p>We present a case report based on our internal documents. We report a case of spondylitis tuberculosis of the C6-C7 cervical spine associated with retropharyngeal abscess in a 15-year-old Indonesian female. Neck pain and weakness of both upper and lower extremities were the main features. There was a history of weight loss, fever, and excessive night sweats. No antecedent history of trauma to the head and neck region.</p> <p><strong>Results</strong></p> <p>We did a single-stage anterior and posterior approach with posterior instrumentation. Anterior approach was done to evacuate and debridement of the retropharyngeal abscess. The posterior approach was done for posterior instrumentation with pedicle screw and dual rod. We did posterior stabilization on Cervical 5-6 and Thoracal 3-4. One week after surgery we found remarkable improvement of the pain and extremities functions.</p> <p><strong>Conclusion</strong></p> <p>In the surgical treatment of cervicothoracic spinal tuberculosis, a single-stage cervical combined anterior-posterior approach with posterior instrumentation is capable of complete debridement for tuberculosis lesions. Operative management in our patient resulted in remarkable improvement.</p> <p>&nbsp;</p> <p>Keywords: Cervicothoracic spondylitis, tuberculosis, retropharyngeal abscess</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10451 Osteokondroma Raksasa Pada Rami Pubis: Laporan Kasus 2020-10-09T10:41:38+07:00 Mujaddid Idulhaq mqatharrefa@gmail.com Pamudji Utomo mqatharrefa@gmail.com Bayu Sakti Jiwandono mqatharrefa@gmail.com M qathar RF Tulandi Tulandi mqatharrefa@gmail.com <p><strong>A</strong><strong>BSTRA</strong><strong>K</strong></p> <p><strong>Pendahuluan</strong></p> <p>Osteokondroma adalah tumor tulang jinak yang paling umum. Osteokondroma merupakan malformasi perkembangan daripada neoplasma sejati.Osteokondroma biasanya mempengaruhi tulang yang berkembang oleh osifikasi endokondral dan jarang berasal dari tulang yang berkembang secara osifikasi intramembran seperti tulang rami pubis, skapula, klavikula, dan tulang rusuk.</p> <p><strong>Objektif</strong></p> <p>Makalah ini dimaksudkan untuk menyajikan kasus osteokondroma pubis yang jarang terjadi dan mengevaluasi hasil setelah eksisi luas.</p> <p><strong>Kasus</strong></p> <p>Seorang pria 34 tahun dengan benjolan di daerah selangkangan kanan mengeluh selama 10 tahun. Di RSO Prof Soeharso, pasien menjalani eksisi lebar ramus pubis kanan, di mana banyak struktur berbahaya yang harus dihindari. Kami mendapatkan seluruh jaringan tumor dengan diameter 12 sentimeter. Menurut Konferensi Klinikopatologi tumor disimpulkan sebagai osteokondroma. Lokasi tumor dan presentasi klinis jarang terjadi. Tumor ini tidak memiliki keterlibatan viseral atau vaskular meskipun lesi tersebut sangat dekat dengan banyak struktur vital pada ramus pubis superior.</p> <p><strong>Hasil</strong></p> <p>Setelah 1 tahun evaluasi, kondisi klinis pasien baik. Pasien tidak merasakan keluhan apapun, tidak ada tanda-tanda kambuh, dan tidak ada komplikasi pada luka operasi.</p> <p><strong>&nbsp;</strong></p> <p><strong>&nbsp;</strong></p> <p><strong>Kesimpulan</strong></p> <p>Kami telah melakukan eksisi ekstensif tumor di ramus pubis pria berusia 34 tahun. Hasil pemeriksaan histopatologi sesuai dengan gambaran osteokondroma. Osteokondroma yang muncul dari panggul adalah presentasi yang tidak biasa yang harus diingat sebagai diagnosis banding saat mengevaluasi pasien dengan massa di panggul.</p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" https://online-journal.unja.ac.id/kedokteran/article/view/10356 Peran Peer Mentoring dalam Pelatihan Komunikasi Dokter Pasien pada Mahasiswa Kedokteran 2020-10-09T10:44:17+07:00 Rizma Adlia Syakurah rizma.syakurah@gmail.com Melisa Yuni Nirmalasari melisanirmalasari@ymail.com <p><em>Komunikasi dokter-pasien merupakan keterampilan yang harus dimiliki oleh dokter untuk dapat menyelesaikan permasalahan keluhan pasien. Keterampilan komunikasi dokter-pasien harus dilatih oleh mahasiswa kedokteran sebagai calon dokter agar saat melakukan praktik mereka dapat menyelesaikan permasalahan pasien dengan baik. Kesulitan dalam mendapatkan tenaga pengajar untuk program komunikasi dokter-pasien menjadi permasalahan dalam pelatihan komunikasi dokter-pasien pada mahasiswa kedokteran sehingga peran dari peer mentoring dibutuhkan dalam program pelatihan komunikasi dokter-pasien. Peran peer mentoring dapat menimbulkan rasa nyaman pada mahasiswa kedokteran sebagai mentee karena komunikasi yang dilakukan oleh teman sebaya dapat meningkatkan kenyamanan mentee dalam berkomunikasi dengan baik</em></p> 2020-11-20T00:00:00+07:00 Copyright (c) 2020 JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"