MedULA最新文献

{"title":"Uji Aktivitas Antibakteri Ekstrak Kasar Bawang Putih (Allium sativum ) terhadap Bakteri Shigella dysenteriae yang Resisten terhadap Ampisilin","authors":"A. Arimaswati, Yessy Toding Mendaun, Yenti Purnamasari","doi":"10.46496/medula.v6i2.6723","DOIUrl":"https://doi.org/10.46496/medula.v6i2.6723","url":null,"abstract":"ABSTRACT Background : Gastrointestinal infections, especially caused by Shigella dysenteriae bacteria is still a health issue in Indonesia. The number of ampicillin resistance to S. dysenteriae has been widely reported. Garlic (Allium sativum) is a traditional medicine that efficacy as an antibacterial. Garlic contains an organosulfur compound  Allicin. Research Purpose: This study aimed to determine the antibacterial activity of garlic rule extract on the growth of S. dysenteriae bacteria that are resistant to ampicillin. Research Methods: This study used the experimental with post test only control group design. The antibacterial activity test was determined based on the diameter of clear zone formed. Test  were performed  on garlic filtrate, ciprofloxacin as a positive control and aquades as a negative control. Each treatment was performed three times. Research Result: This research showed that rule extract of garlic (A. sativum)  had a clear zone against S. dysenteriae that was resistant to ampicillin. Conclusion: The conclusion of this research was that rule extract of garlic (A. sativum) had an antibacterial activity against S. dysenteriae which resistant to ampicillin.  Keywords : Antibacterial activity, Garlic (A. sativum), S. dysenteriae","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46898482","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":"Karakteristik Penderita Tuberculosis Multidrug Resistant (TB MDR) di Sulawesi Tenggara Tahun 2014-2017","authors":"Zida Maulina Aini, Nur Martina Rufia","doi":"10.46496/MEDULA.V6I2.6727","DOIUrl":"https://doi.org/10.46496/MEDULA.V6I2.6727","url":null,"abstract":"                                                            ABSTRACTBackground:MDR TB is one type of bacterial tuberculosis resistance to first-line anti-TB drugs, Isoniazid and Rifampicin. Data from the Provincial Health Office of Southeast Sulawesi cases of MDR TB increase every year that is in 2014 there are 7 patients with MDR TB, 2015 there are 8 patients with MDR TB, 2016 there are 23 patients with MDR TB, and in 2017 there are 28 patients with MDR TB. The purpose of this study is to explain the characteristics of patients with MDR TB in Southeast Sulawesi in 2014-2017. Research Purpose: This study is to explain the characteristics of patients with MDR TB in Southeast Sulawesi in 2014-2017.  Research Method: The location of this study was in the Provincial Health Office of Southeast Sulawesi and Bahteramas General Hospital of Southeast Sulawesi Province with study population included all patients diagnosed with MDR TB in Southeast Sulawesi Province 2014-2017. The research data is processed to know the number and percentage of each characteristic of MDR TB patients in Southeast Sulawesi 2014-2017. Research result: The conclusion of the result of the study is characteristic of MDR TB patient in Southeast Sulawesi 2014-2017 dominated by age 15-55 years old, male gender, entrepreneur job, case of drop out treatment, examination of chest X-ray in the form of infiltrate and cavity, sputum smear examination (+1), the type of Rifampicin resistance, and is still temporarily treated.Keyword: MDR TB, age, sex, occupation, medical history, investigation, type of resistance and treatment outcome.","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47103189","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":"Konsumsi Makanan Ibu Hamil Berhubungan dengan Berat Badan Lahir Bayi di Daerah Pesisir","authors":"Juminten Saimin, A. Amalia, Ashaeryanto Ashaeryanto, Asmarani Asmarani","doi":"10.46496/MEDULA.V6I2.6728","DOIUrl":"https://doi.org/10.46496/MEDULA.V6I2.6728","url":null,"abstract":"ABSTRACTBackground: Low nutritional intake during pregnancy and nutritional status of pregnant women cause various effects for mother and babies. One of the effects is low birth weight. The prevalence of LBW in coastal areas is still high. This study aims to determine the relationship between eating habits of pregnant women with birth weight in coastal areas.Method: This study was an observational analytic study using a cross-sectional method. The sample were 50 respondents obtained using the consecutive sampling method. Data collection on eating habits used a food frequency questionnaire (FFQ). Data analysis used Fisher's Exact test with a significance value of p <0.05.Results: The results showed that infant birth weight in coastal areas was associated with the habits of pregnant women eating carbohydrate sources (p=0.45), protein sources (p=0.17) and vegetables (p=0.006). Infant birth weight in coastal areas was not related to the habits of pregnant women eating fruit (p=1.00). Conclusion: There was a relationship between infant birth weight in coastal areas and the habit of pregnant women eating carbohydrates sources, protein sources and vegetables. There was no relationship between infant birth weight in coastal areas and the habit of pregnant women eating fruits.  Keywords :Birth weight, eating habits, pregnant women","PeriodicalId":40595,"journal":{"name":"MedULA","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41857302","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":"Identifikasi Candida albicans pada Wanita Dewasa di Kota Kendari secara Makroskopis dan Mikroskopis","authors":"H. Hartati, Maliftha Dwi Aini, Yuliyanti Yasin","doi":"10.46496/medula.v6i2.6726","DOIUrl":"https://doi.org/10.46496/medula.v6i2.6726","url":null,"abstract":"ABSTRACTBackground: Candida albicans is a major cause of invasive fungal infections and the common health problems that occur in the community. It was reported that 85-90% of C. albicans is a major cause of candidiasis vulvovaginalis (CVV) infections worldwide. Reports from the University of Manchester in England and Wayne State University in the United States of America specified that the prevalence of CVV cases in Indonesia is ranked fourth in the world with 4 million cases. Research Purposes: This research aims to determine the macroscopic and microscopic depiction of C. albicans from vaginal swab in Kendari City. Research Methods: The present research is a descriptive study conducted in adult women who visit the Clinical Laboratory Maxima Kendari to do pap smear of both with and without complaints. The total sampling technique was used for collecting 36 samples. The variables being studied consist of independent variables by macroscopically and microscopically and C. albicans is the dependent variable. Research Result The results showed that as of 36 samples of the secret vaginal, 4 samples (11.1%) were identified positive Candida sp. on direct examination with 10% KOH, 15 samples (41.7%) were positive Candida sp. resulting from gram stain test and culture of sabouraud dextrose agar, and there were 12 samples (80%) detected as positive C. albicans on biochemistry test. Conclusion: Research concluded that C. albicans can be identified by both macroscopic and microscopic analysis. As of 36 secret vaginal samples, 6 samples with complaint and 9 samples without complaint positive contain C. albicans, yet 14 samples with complaint and 7 samples without complaint do not detected C. albicans. Keywords : Candida albicans, swab vagina, macroscopic, microscopic","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44113345","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":"Analisis Nilai Visual Analog Scale (VAS) terhadap Penggunaan Analgetik pada Pasien pasca Seksio Sesarea di RSUD Kota Kendari","authors":"Agussalim Ali","doi":"10.46496/medula.v6i2.6725","DOIUrl":"https://doi.org/10.46496/medula.v6i2.6725","url":null,"abstract":"ABSTRACT Background: Sectio caesarean is one of choices for pregnant mother for her baby birth. The procedure of section caesarean has duration between 30-60 minutes. The procedure of section caesarean may induce moderate-severe pain in the surgical incision. This occurs because of the injury and the onset of inflammatory processes that secrete pain mediators, thus inducing pain. It must take the right analgesia choice. Research Purpose: This study was aimed at determining the value of Visual Analog Scale (VAS) on the use of analgesic in post-cesarean patients in RSUD Kendari. Method: Observational analytic design was used cross sectional approach. Dependent variable in this research were VAS T2, VAS T4 dan VAS T6 post operation. The independent variables of this study were analgesic (Ketorolak, Tramadol and Dexketoprofen). The location of this research was in RSUD Kendari with purposive sampling, 32 were covered samples. Data were obtained through interviews of VAS value with VAS card, blood pressure measurements with sphygmomanometer and stethoscope, pulse measurement with hold down arteri radialis and data from medical records. Kruskal-Wallis test was applied for data analysis, and if significant different followed by probability value/ sig <0,05 using Shapiro Wilk as normality test. After passing the inclusion, exclusion and drop out criteria, 32 patient samples were obtained. The number of patients for each analgesic were 10 (n = 10). This research showed the significancy value in the VAS T2 = 0,158, the significancy value in the VAS T4 = 0,350 and the significancy value in the VAS T6 = 0,679. Result: Result of the research showed that there were differences mean value between VAS T2, VAS T4 and VAS T6. Ketorolac 30 mg was the lowest mean of VAS T2 between another analgetic, the value was 12,15. Dexketoprofen 50 mg was the lowest mean of VAS T4 between another analgesc, the value was 13,85. Ketorolak 30 mg was the lowest mean of VAS T6 between another analgetic, the value is 13,75. But there was no meaningful difference in statistical counting (sig >0,05) between Ketorolac 30 mg, Tramadol 100 mg and Dexketoprofen 50 mg in post-cesarean patients in RSUD Kendari. Keywords: Section Cesarean, VAS, Ketorolak, Tramadol, Dexketoprofen","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48592424","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":"Hiperglikemia dan Status Inflamasi pada Pasien Sindroma Koroner Akut","authors":"J. Jamaluddin","doi":"10.46496/MEDULA.V6I2.6724","DOIUrl":"https://doi.org/10.46496/MEDULA.V6I2.6724","url":null,"abstract":"ABSTRACTBackground: Hyperglycaemia in patients with acute coronary syndromes (ACS) is associated with increased cardiovas­cular (CV) risk. Hyperglycaemia in patients with ACS may be associated with increased systemic inflammation. Leukocytes are the major cellular mediators of inflammation and their elevated count is associated with higher CV event rate in ACS patients. Thus, it is possible that there is a relationship between hyperglycaemia and high leukocyte count among patients with ACS. Research Purpose: Aim  of study is to investigate the relationship between hyperglycaemia and leukocyte count in ACS patients. Research Methods: This is a cross sectional study, which was held on January to April  2014 among 60 ACS patients in CVCU  Wahidin Sudorohusodo Hospital. Glucose level and leukocyte count on admission were measured in 60 ACS patients. Patients was grouped into two groups, hyperglycemic ACS group (glycaemia on admission ≥ 140 mg/dL) and normoglycemic one (glycaemia on admission < 140mg/dL). Leukocyte count was compared to hyperglycemia and normoglycemia patients. Reseaerch Result: Mean of leucocytes count was significantly different between normoglycaemia and hyperglycaemia ACS patients, both in all patients (9.34 ± 2.58 x  103  vs 13.63 ± 3.10 x 103 ,  P<0.0001) and in non DM patients (9.34 ± 2.58 x  103  vs 14.08 ± 3.20 x 103 ,  P<0.0001). There was no significant difference of mean leucocytes count between DM and non DM ACS patients admitted with hyperglicaemia   (12.38 ± 2.54 x 103  vs 14.08 ± 3.20 x 103 ,  P=0.121). Conclusion: The conclusion of this study was hyperglycaemia is assocciated with inflammatory status in ACS patients. Keywords :Acute coronary syndrome, hyperglycemia, and inflammation status","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43369913","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":"Pengaruh Senam Jantung Sehat terhadap Tekanan Darah Penderita Hipertensi di Wilayah Kerja Puskesmas Lepo-Lepo","authors":"Amiruddin Eso, Dwi Pascawitasari, I. P. Sudayasa","doi":"10.46496/MEDULA.V6I1.5376","DOIUrl":"https://doi.org/10.46496/MEDULA.V6I1.5376","url":null,"abstract":"ABSTRACTHypertension is the increase in systolic and diastolic blood pressure that occurs persistently. Healthy heart gymnastic is one of the non pharmacologic therapies for hypertensive patients. Healthy heart gymnastic can increase activity of  parasympathetic nerve and decrease activity of sympathetic nerve, so that could lead decrease of blood pressure. The aim of this research was to find out the effect of healthy heart gymnastic towards blood pressure before and after exercise in hypertensive patients. Research design was quasi experimental with pre test and post test control group design. The Samples were 20 hypertensive patients aged 18 to 65 years, determined by using purposive sampling techniques. Samples were divided into two groups, i.e control group (n=10) consisted of 3 males and 7 females and intervention group (n=10) consisted of 10 females.  Healthy heart gymnastic Intervention implemented during four weeks with modrate intensity (60% MHR) and fifth times in a week. The research was held in Health Centers Lepo-Lepo, Kendari, Southeast Sulawesi. Measurement of blood pressure by indirect method and measurements of pulse pressureby pulse meter. Data were analyzing by paired t test for systolic blood pressure in intervention group and Wilcoxon test for diastolic blood pressure in intervention group.  Data have considered if p value < 0,05. The results have shown  there were significant differences in systolic blood pressure (p = 0,000) and diastolic blood pressure (p = 0,004) before and after healthy heart gymnastic in intervention group. Conclusion of this research is healthy heart gymnastic can decrease blood pressure in hypertensive patients, so that usable as one of alternative treatment in hypertensive patients.Key Words: healthy heart gymnastic, hypertension, decrease of blood pressure, health centers lepo-lepo","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46156465","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":"Prevalensi Bakteriuria Asimtomatik pada Ibu Hamil di Daerah Pesisir","authors":"Juminten Saimin, Ashaeryanto Ashaeryanto, Asmarani Asmarani","doi":"10.46496/MEDULA.V6I1.5378","DOIUrl":"https://doi.org/10.46496/MEDULA.V6I1.5378","url":null,"abstract":"ABSTRACTBackground: Pregnant women more often experience urinary tract infections, especially asymptomatic bacteriuria. Asymptomatic bacteriuria in pregnant women increases the risk of preterm labor, low birth weight, and pyelonephritis.Objectives: This study aimed to determine the prevalence of asymptomatic bacteriuria in pregnant women in coastal areas.Method:This study design was analytic observational with cross sectional method. The research was carried out in the coastal area of Kendari city. The population was pregnant women who performed antenatal care in the working area of Puskesmas Mata, Puskesmas Nambo and Puskesmas Abeli in May-October 2016. Sampling was simple random sampling. Data analysis used Chi square test with significance level <0.05.Result:In this study 268 urine samples were obtained from respondents who performed antenatal care in the coastal area of Kendari City. The highest respondents aged 26-30 years old (42.1%), high school education (49.6%), third trimester (55, 6%) and the entrepreneurial husband (41.8%). Examination of bacteriuria showed positive test with nitrite and leukocytes (24.6%) and positive nitrite and/or leukocytes (30.9%). The highest prevalence of bacteriuria occurs in the third trimester (36.9%). Chi-square test showed a significant difference in the prevalence of bacteriuria according to gestational age (p <0.00).Conclusion: The prevalence of asymptomatic bacteriuria in pregnant women in coastal areas was 30.9%. The highest prevalence occurs in third trimester of pregnancy.Key words :asymptomatic bacteriuria, gestational age, pregnant women","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43370540","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":"Studi Kualitatif Fenomenologi Pengalaman Hidup Pasien Pasca Kolostomi di Wilayah Jawa Barat","authors":"La Rangki, Kusman Ibrahim, Aan Nur'aini","doi":"10.46496/medula.v6i1.5369","DOIUrl":"https://doi.org/10.46496/medula.v6i1.5369","url":null,"abstract":"ABSTRACTPatient with colostomy followed colorectal has been cancer increasing significantly in Indonesia. Colostomy caused not only physical problems but also psychological and social problems. Health care profesional, especially nurses need to provided hollistic care services to the patients after colostomy. Study with  Qualitative method to describe  the live experience of the colostomy patient was important.  This study was a phenomenological  qualitative approach . Data obtained with in-depth interviews to 8 informants consisting of 5 men and 3 women, aged between 30-73 years. The length of time living with a colostomy between 4 months to 6 years. Data were analyzed by using  Colaizzi method. Themes  emerged from this study: ;sources of support;live with a colostomy; live adaptation; the burdens living with a colostomy. Living with a colostomy faced problems including the limitation to fulfill their needs, psychosocial changes, spiritual distress, and economic problems. Based on those problems, nurses can give support and attention for post colostomy patients. Keywords : Lived Experiences, Colostomy, Bandung","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43497275","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":"Perbandingan Tingkat Penyembuhan Tulang Antara Isolated Tibial Diaphyseal Fracture, Both Tibial dan Fibula Diaphyseal Fracture Setelah Terapi Interlocking Intramedullary Solid Nail","authors":"Muhammad Rustam Hn, Nina Indriyani","doi":"10.46496/MEDULA.V6I1.5373","DOIUrl":"https://doi.org/10.46496/MEDULA.V6I1.5373","url":null,"abstract":"ABSTRACTOne of the fixation method is interlocking intramedullary solid nail that can enhance the callus formation in tibial diaphyseal fracture through the secondary healing. The research aimed to compare the rate of bone healing between isolated tibial diaphyseal fracture and both diaphyseal tibial and fibular fracture after therapy solid interlocking intramedullary nail. This research was conducted by comparing the results of the cure rate among patients with isolated fractures of the tibia and fracture of the tibia with fractures of the fibula during November 2007 to December 2015. The first group, comprising 29 patients and the second group comprised 47 patients. All patients had solid action intramedullary nail. The evaluation was done 30 weeks post-surgery, to assess the Union Rate using Radiographic Union Score for tibial Fractures (RUST). Data were analyzed using non-parametric test of Mann-Whitney test for comparing the union rate between the two groups. The results showed that 27 of 29 patients with isolated tibial fractures had RUST score > 7 and 2 patients with RUST score < 7. Meanwhile, 44 patients out of 47 patients with both diaphyseal tibial and fibular fracture, having RUST score > 7 and 3 patients with a score < 7. Keywords: Interlocking intramedullary solid nail, Isolated Tibial Diaphyseal Fracture Radiographic Union Score, Unionrate","PeriodicalId":40595,"journal":{"name":"MedULA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46284222","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}