{"title":"GAMBARAN FAKTOR RISIKO TEKANAN DARAH SISTOLIK PADA PEKERJA TAMBANG BATU KAPUR DI KLAPANUNGGAL, BOGOR, JAWA BARAT","authors":"Annisa Warda Irvani","doi":"10.25077/mka.v43.i2.p95-104.2020","DOIUrl":"https://doi.org/10.25077/mka.v43.i2.p95-104.2020","url":null,"abstract":"Hypertension is a disease that often lead to patient death as it does not have specific symptoms. The high prevalence in Bogor Regency caused by minimal health facilities, so there was no guarantee of occupational health for workers and the workers lack of knowledge. Objective: To determine the risk factors that affected systolic blood pressure in limestone miners in Klapanunggal. Method: Uses observational analytic study with cross sectional design with a total of 47 people. Result: The measurement of noise intensity are 83.2 dB on a breaker and 91.7 dB on a stone crusher. The average systolic blood pressure before and after work was 110.28 mmHg and 126.23 mmHg. The results of one-way ANOVA test, a correlation between noise intensity, working period, prolonged exposure, and smoking habits with systolic blood pressure with p=0.001 was obtained. According to dummy regression test, noise intensity were the most influential. Workers exposed to noise with an intensity normal had an average increase 10.45 mmHg, while those exposed to an intensity abnormal 22.27 mmHg. Conclusion: Noise intensity, working period, prolonged exposure, and smoking habits affect systolic blood pressure and the most influential factor was noise intensity.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46702785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lupus Eritematosus Sistemik pada Pria","authors":"Zikry Aulia Hidayat","doi":"10.25077/mka.v43.i2.p159-168.2020","DOIUrl":"https://doi.org/10.25077/mka.v43.i2.p159-168.2020","url":null,"abstract":"Objective: Systemic lupus erythematosus (SLE) is a complex autoimmune disease involving many systems. Highest incidence and prevalence of SLE is found in Northern America 23.2/100,000 population/year and 241/100,000 population. According to sex differences, SLE is predominantly occurs in women than men with ratio 15:1 to 22:1. This discrepancy often causes delay in diagnosing SLE in male patients. Method: Case report. Result: We reported a male patient aged 21 years with pain of his joints, hyperpigmentation lesions on his face, alopesia, oral ulcers and decrease of body weight. Laboratory results showed increases in AST, ALT and D-Dimer, and from ANA Profile examination we got several positives results such as RNP/Sm (RNP/Sm) (++), Sm (Sm) (+), Ro-52 recombinant (52) (+), PCNA (PCNA) (+), DsDNA (DNA) (+), Nucleosome (NUC) (+), Histone (HI) (++), Ribosomal-P-protein (RIB) (+++) dan AMA-M2 (M2) (+). This patient met SLE criteria based on ACR 1997, SLICC 2012 and EULAR/ACR 2018. Patient was given oral methyl prednisolone 16-16-8 mg and VTE prophylaxis with subcutaneous heparin 2x5000 IU. Conclusion: SLE occurs rarely in male patients than female patients and has more diverse manifestations.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47351592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ade Asyari, Hendra Permana, Al Hafiz, R. Rosalinda
{"title":"Hubungan gangguan pendengaran dengan penurunan fungsi kognitif pada usia lanjut","authors":"Ade Asyari, Hendra Permana, Al Hafiz, R. Rosalinda","doi":"10.25077/mka.v43.i1.p8-14.2020","DOIUrl":"https://doi.org/10.25077/mka.v43.i1.p8-14.2020","url":null,"abstract":"Tujuan: Mengetahui hubungan antara gangguan pendengaran dengan penurunan fungsi kognitif pada usia lanjut. Metode: Menggunakan metode studi potong lintang pada kelompok usia lanjut yang menghuni panti sosial Tresna Werdha Kasih Sayang Ibu di Batusangkar dari bulan Juli sampai September 2017. Terdapat 38 orang usia lanjut lebih dari 60 tahun yang masing-masingnya dilakukan pemeriksaan fungsi kognitif dengan Mini Mental State Examination (MMSE) dan pemeriksaan fungsi pendengaran dengan Oto Acoustic Emission (OAE). Data kemudian dianalisis dengan Fisher Exact Test dimana nilai p<0,5 dianggap bermakna. Hasil: Didapatkan median umur 71 tahun (60-86 tahun), jenis kelamin laki-laki sebanyak 76,3%, fungsi kognitif terganggu sebanyak 68,4% dan pendengaran terganggu sebanyak 68,4%. Simpulan: Terdapat hubungan antara gangguan pendengaran dengan fungsi kognitif pada usia lanjut. ","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69210679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tanti Melinda, Syarifah Nyrs Asseggaf, Mahyarudin Mahyarudin, Diana Natalia
{"title":"Aktivitas anti jamur ekstrak etanol daun kesum (Polygonum minus Huds.) terhadap jamur Trichophyton mentagrophytes","authors":"Tanti Melinda, Syarifah Nyrs Asseggaf, Mahyarudin Mahyarudin, Diana Natalia","doi":"10.25077/mka.v42.i3s.p48-56.2019","DOIUrl":"https://doi.org/10.25077/mka.v42.i3s.p48-56.2019","url":null,"abstract":"Dermatofitosis merupakan penyakit kulit yang diakibatkan oleh kolonisasi jamur dermatofita yang menyerang jaringan keratin epidermis bagian superfisial seperti kulit, kuku, dan rambut. Salah satu spesies terbanyak penyebab dermatofitosis yaitu Trichophyton mentagrophytes. Tanaman Kesum (Polygonum minus Huds.) memiliki kandungan senyawa metabolit sekunder yang berpotensi sebagai anti jamur. Tujuan: Penelitian ini bertujuan untuk mengetahui aktivitas anti jamur ekstrak etanol daun Kesum terhadap jamur Trichophyton mentagrophytes, dan mengetahui diameter zona hambat oleh ekstrak etanol daun Kesum terhadap Trichopyton mentagrophytes. Metode: Aktivitas anti jamur diuji dengan metode difusi cakram. Analisis metabolit sekunder ekstrak etanol daun Kesum menggunakan metode kromatografi lapis tipis. Kontrol positif yang digunakan adalah Itrakonazol 8µg, dan kontrol negatif adalah DMSO 10%. Hasil: Ekstrak etanol daun Kesum memiliki aktivitas anti jamur pada konsentrasi 40% dan 80% dengan rata-rata diameter zona hambat 10,125 mm dengan kategori sedang dan 20,625 mm dengan kategori sangat kuat. Hasil skrining fitokimia didapatkan terpenoid, flavonoid, alkaloid, saponin dan fenol. Simpulan: Ekstrak etanol daun Kesum berpotensi sebagai obat anti dermatofita terhadap Trichophyton mentagrophytes.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41614253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Progressive evolution of thyroid adenoma to thyroid carcinoma","authors":"A. Elliyanti","doi":"10.25077/mka.v42.i3.p146-150.2019","DOIUrl":"https://doi.org/10.25077/mka.v42.i3.p146-150.2019","url":null,"abstract":"Nodules (adenomas), enlarged thyroid (goiter) and inflammation of the thyroid (thyroiditis) are the most important risk factors for thyroid cancer. Adenomas have the largest increase in risk. Objectives: to discuss two cases of adenomas goiter that became aggressive during follow-ups. Cases: Two patients, with an average age of 64 years, referred to Nuclear Medicine dr. M. Djamil Hospital in Padang for bone scintigraphy examination. Both patients had thyroid surgery and histopathology results were adenomas. However, after the removal surgery, the patients did not have proper follow-ups. Both patients developed pelvic pain. Bone scintigraphy showed an increase of radiopharmaceutical uptake at pelvic bones and computerized tomography (CT Scan) result showed destruction at the pelvic bone areas. Conclusions: These cases highlight the necessity for adenoma thyroid patients with a risk factor for thyroid cancer to have a complete follow-up program and sufficient length period.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45124089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retropharyngeal abscess, submandibular abscess, and regio colli abscess with bronchopneumonia in a 2.5-month-old boy","authors":"Irhamna Yusra, F. F. Yani","doi":"10.25077/MKA.V42.I3.P137-145.2019","DOIUrl":"https://doi.org/10.25077/MKA.V42.I3.P137-145.2019","url":null,"abstract":"Deep neck space infections (DNSIs) in pediatric require more intimate management because of their rapidly progressive nature. Delay in diagnosis and treatment may lead to life-threatening complications. Objective: To report DNSIs as one of emergency case in children. Early diagnosis and immediate management can decrease morbidity and mortality rate in children. Case: A case of a 2.5-month-old boy with chief complain breathlessness due to deep neck space infections and bronchopneumonia. Patient was getting better after surgical drainage. Conclusions: It most commonly occurs in children younger than four years of age having medical history of streptococcal pharyngitis, rarely as a complication of recent trauma, odontogenic infection or extension of vertebral osteomyelitis. Management often consists of antimicrobial therapy and surgical drainage. With the cooperation of ENT specialist and pediatrician/pediatric infectious disease specialist. Management in PICU is mandatory due to high risk of complications.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48295915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efektivitas intervensi psikoedukasi keluarga terhadap kekambuhan pasien skizofrenia","authors":"Rini Gusya Liza, Bahagia Loebis, Vita Camellia","doi":"10.25077/mka.v42.i3.p128-136.2019","DOIUrl":"https://doi.org/10.25077/mka.v42.i3.p128-136.2019","url":null,"abstract":"Psikoedukasi keluarga telah terbukti menjadi intervensi yang efektif untuk pasien dengan skizofrenia dan anggota keluarga mereka. Tujuan: Untuk menilai pengaruh intervensi psikoedukasi keluarga terhadap pengetahuan, pemberdayaan anggota keluarga serta kekambuhan pasien skizofrenia. Metode: Penelitian randomized controlled trial dengan desain true experimental pre post test with control group. Jumlah subjek adalah 49 orang yang terdiri dari kelompok I (24 orang) adalah kelompok caregiver yang memperoleh terapi farmakologi dan terapi psikoedukasi keluarga dengan 3 sesi. Kelompok II (25 orang) adalah kelompok kontrol yaitu caregiver yang hanya mendapatkan terapi farmakologi saja. Studi ini dilakukan selama 6 bulan mulai dari Juni 2014 sampai dengan Desember 2014. Pada akhir penelitian dilakukan penilaian angka kekambuhan pada pasien skizofrenia. Hasil: Didapatkan persentase kekambuhan pasien skizofrenia pada kelompok caregiver yang diberikan psikoedukasi adalah 2,04% dan persentase kekambuhan pada kelompok caregiver yang tidak diberikan edukasi adalah 12,24% dan didapatkan perbedaan yang bermakna angka kekambuhan/relap antara kelompok intervensi dengan kelompok kontrol. Simpulan: Intervensi psikoedukasi keluarga sangat membantu dalam meningkatkan pengetahuan tentang skizofrenia dan meningkatkan pemberdayaan caregiver serta secara tidak langsung menurunkan angka kekambuhan pada pasien skizofrenia.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45306894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emilya Jufianti, Muhammad Ilyas, Bachtiar Murtala, A. A. Zainuddin, Cahyono Kaelan, Mirna Muis
{"title":"Kesesuaian ukuran kanalis spinalis lumbal berdasarkan Ultrasonografi dengan MR-Myelografi pada penderita nyeri punggung bawah","authors":"Emilya Jufianti, Muhammad Ilyas, Bachtiar Murtala, A. A. Zainuddin, Cahyono Kaelan, Mirna Muis","doi":"10.25077/mka.v42.i3.p121-127.2019","DOIUrl":"https://doi.org/10.25077/mka.v42.i3.p121-127.2019","url":null,"abstract":"Tujuan: Penelitian ini bertujuan menilai kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita Nyeri Punggung Bawah (NPB). Metode: Penelitian ini menggunakan desain observasi cross-sectional dan dilakukan di Bagian Radiologi RSUP Dr. Wahidin Sudirohusodo Makassar dari November 2018 - Februari 2019. Sampel penelitian sebanyak 54 dengan 22 sampel eksklusi dan 32 sampel inklusi. Dari 32 sampel pada level L3-L4 sebanyak 27 sampel normal dan 5 sampel stenosis, level L4-L5 sebanyak 21 sampel normal dan 11 sampel stenosis, level L5-S1 sebanyak 28 sampel normal dan 4 sampel stenosis. Data dianalisis dengan analisis statistik melalui uji korelasi Person. Hasil: Hasil penelitian menunjukkan terdapat kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita NPB pada level L3-L4 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,985. Data juga menunjukkan bahwa terdapat kesesuaian antara hasil MR myelografi dengan Ultrasonografi lumbosakral pada level L4-L5 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,987. Data juga menunjukkan bahwa terdapat kesesuaian antara hasil MR myelografi dengan Ultrasonografi lumbosakral pada level L5-S1 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,973. Simpulan: Terdapat kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita NPB.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49590065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Syarif Syauqiannur, Agus Fitriangga, Muhammad Pramulya
{"title":"Sebaran kasus dan faktor risiko kejadian DBD berbasis SIG Kabupaten Kubu Raya tahun 2016-2018","authors":"Syarif Syauqiannur, Agus Fitriangga, Muhammad Pramulya","doi":"10.25077/mka.v42.i3.p108-120.2019","DOIUrl":"https://doi.org/10.25077/mka.v42.i3.p108-120.2019","url":null,"abstract":"Tujuan: Mengetahui gambaran hasil analisis spasial berdasarkan kasus kejadian, faktor risiko lingkungan pada kasus Demam Berdarah Dengue di wilayah kerja Puskesmas Sungai Durian Kabupaten Kubu Raya tahun 2016 - Juli 2018. Metode: Penelitian ini bersifat studi deksriptif kuantitatif dengan pendekatan cross sectional berbasis Sistem Informasi Geografis (SIG). Hasil: Hasil penelitian Didapatkan bahwa gambaran Kasus DBD di Puskesmas Sungai Durian di tahun 2016 - Juli 2018 yaitu 13, 35, dan 37 kasus. Terjadi penurunan rata-rata suhu udara, curah hujan, diikuti dengan peningkatan jumlah kasus DBD. Semakin tinggi kepadatan penduduk maka kejadian DBD meningkat. Tidak menggunakan kawat kasa pada ventilasi rumah meningkatkan resiko kejadian DBD. Simpulan: Gambaran Kasus DBD di Puskesmas Sungai Durian di tahun 2016 - Juli 2018 terjadi peningkatan. Suhu udara mengalami penurunan dari 27,2°C ke 27,0°C, dan curah hujan dari 409,0 ke 275,9 mm/hari namun terjadi peningkatan kasus DBD yaitu dari 13 menjadi 35 orang. Kepadatan penduduk yang paling tinggi terletak di desa Limbung yaitu 116,7/km2 dengan kejadian DBD sebanyak 17 kasus. Penggunaan kawat kasa pada ventilasi rumah masih sangat kecil hanya 19 rumah (22,4%) dari total 85 rumah pasien kasus DBD.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45351342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wenda Anastasia, Mirna Muis, Muhammad Ilyas, A. A. Zainuddin, Sri Asriyani, Ni Ketut Sungowati
{"title":"Karakteristik morfologi penderita karsinoma payudara dengan reseptor estrogen positif dan negatif berdasarkan duplex ultrasound","authors":"Wenda Anastasia, Mirna Muis, Muhammad Ilyas, A. A. Zainuddin, Sri Asriyani, Ni Ketut Sungowati","doi":"10.25077/mka.v42.i3.p97-107.2019","DOIUrl":"https://doi.org/10.25077/mka.v42.i3.p97-107.2019","url":null,"abstract":"Tujuan: Penelitian ini bertujuan mengetahui karakteristik morfologi dan vaskularisasi karsinoma payudara dengan reseptor estrogen positif dan negatif berdasarkan ultrasonografi grayscale dan doppler. Metode: Penelitian ini dilakukan di Bagian Radiologi RS Wahidin Sudirohusodo dan RS Pendidikan Universitas Hasanuddin Makassar pada Oktober 2018 sampai dengan Februari 2019. Penelitian ini merupakan jenis penelitian deskriptif dengan metode kajian potong lintang. Analisis data menggunakan statistik melalui uji diagnostik chi-square dan Mann-Whitney. Sampel penelitian sebanyak 40 orang dengan karsinoma payudara. Hasil: Hasil penelitian menunjukkan terdapat perbedaan rata-rata yang signifikan (p<0,05) pada morfologi akustik posterior antara reseptor estrogen positif dan negatif karena akustik posterior shadowing dominan pada reseptor estrogen positif, sedangkan akustik posterior enhancement dominan pada reseptor estrogen negatif. Morfologi akustik posterior ini hanya dapat dinilai dengan menggunakan ultrasonografi grayscale. Simpulan: Terdapat perbedaan yang signifikan pada morfologi akustik posterior dimana akustik posterior shadowing dominan pada reseptor estrogen positif, dan akustik posterior enhancement dominan pada reseptor estrogen negatif.","PeriodicalId":31071,"journal":{"name":"Majalah Kedokteran Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46193605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}