ARTERI (E-Journal)
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Bayi Baru Lahir dengan Kelainan Kongenital berupa Menigoensefalokel Parietal: Sebuah Laporan Kasus
Full text linkMeningoencephalocele is a rare congenital disorder with an incidence of 1–4 cases per 10,000 live births. Meningoencephalocele is a congenital abnormality resulting from a neural tube defect. The male patient was born at term with cesarean section on indication of congenital abnormalities. The patient had a lump on the side of the head since birth. The patient's mother admitted that she did not consume enough folic acid during pregnancy. On physical examination found a lump in the occipital with a size of 15x15 cm. No blood or pus was found. There is a fluctuation and indicates a transillumination. A CT scan of the head without contrast revealed a parietal meningoencephalocele with a regional defect. The patient was given management in the form of a mass dressing with sterile gauze/24 hours, antibiotics, analgesics and meeting the patient's fluid needs. The patient underwent neurosurgical surgery, namely resection of transcranial meningoencephalocele followed by careful observation and monitoring of the baby's vital signs during surgery. After surgery, there was no evidence of cerebrospinal infection and leakage of cerebrospinal fluid. The wound healed completely and there was no sign of increased intracranial pressure during hospitalization. Head circumference was measured and graphed twice a week. The patient's condition was followed up and showed improvement every day. The research method used an empirical case study that investigated a symptom in a real-life setting and it was concluded that the patient had no visible involvement of the brain in the parietal meningoencephalocele and no hydrocephalus, so this patient had a good prognosis. Suggestions for further research is to look at the prognosis and complications in patients so that they can be assessed early and become a doctor's consideration in determining the action to be taken
Faktor Risiko Terjadinya Coronavirus Disease 2019 pada Pasien dengan Komorbid Diabetes Melitus
Full text linkCorona virus disease 2019 (COVID-19) is an infectious disease severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The clinical scope of Covid-19 varies, from asymptomatic, mild symptoms, to clinical conditions characterized by acute respiratory failure. The most common comorbidities in patients with COVID-19 were hypertension (HTN) (56.2%), followed by diabetes mellitus (DM) (30.1%), and chronic kidney disease (CKD) (17.5%). Several studies suggest that diabetes is one of the main risk factors for COVID-19. Therefore, this literature review aims to determine the risk factors for the occurrence of COVID-19 in patients with diabetes mellitus so that it can be used as a consideration for controlling risk factors and better treatment of COVID-19 patients with comorbidities. The method used in this research is literature review and literature search is carried out through the NCBI, PubMed, and Google Scholar databases. This research involves as many as 24 library sources from 2020-2021. Several studies have shown that diabetes mellitus is a major risk factor for COVID-19. This condition is associated with several macrovascular and microvascular complications that ultimately impact the patient's survival. Diabetes which is a hyperinflammatory condition that can increase susceptibility to COVID-19 with possible mechanisms of chronic inflammation, hypercoagulable state, and activation of the renin-angiotensin-aldosterone system (RAAS) and dysregulation of the sympathetic nervous system. Future research is urgently needed to provide a better understanding of the pathophysiological mechanisms underlying the association between COVID-19 and diabetes, and their clinical managemen
Pengaruh Akses Media terhadap Status Imunisasi Dasar pada Anak di Indonesia
Full text linkIn 2018, an estimated 19.4 million babies worldwide will not be achieved with basic immunization services. About 60% of these children live in 10 countries: Angola, Brazil, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Nigeria, Pakistan, the Philippines, and Vietnam. This study aimed to determine the effect of media access on basic immunization status in Indonesia. This study was carried out using a cross-sectional design by further analyzing Indonesian IDHS data for 2017. The study was conducted from January to March 2020. The number of samples used was 6483 mothers who had children aged 12-23 months with a saturated sample technique. Data processing and analysis using SPSS and data analysis performed was univariate analysis, bivariate using Chi Square test, and multivariate using the Multiple Logistic Regression test. Bivariate results show a significant relationship between reading newspapers, watching television, and frequency of internet access with basic immunization status in Indonesia (P-value <0.05). Multivariate results showed a significant relationship between watching television and frequency of internet access with basic immunization status (P-value <0.05). The most dominant or most influential variable on Indonesia's basic immunization status is watching television with OR = 2,268 (1,754-2,931). Suggestions from this research are that the government promotes proper socialization about the importance of basic immunization in various media, especially in television media
Hubungan Pendidikan dengan Pengetahuan Tentang IMS pada Gay, Transgender, dan LSL
No full textSexually Transmitted Infection is an infection mostly transmitted through sexual contact with a partner who is already infected. This infection can be transmitted through sexual activity that involves vagina, anal, penis, and mouth. Type of STIs with the highest prevalence is syphilis that is 6,0% (range 0-36,7%) in gay and MSM and regarding more than 40% - 50% transgender’s population in the world. Gay, transgender, and MSM are high risk group of STI transmission. This is because they have different sexual life. Prevalence of STIs in gay, transgender, and MSM is still high also due to lack of knowledge about STIs. Knwoledge affected by several factors including education. Someone who has higher education will be easier to receive information so that his knowledge increase. This study objective’s was to determine the relationship between education level and knowledge level about sexually transmitted infection in gay, transgender, and MSM in Bandar Lampung 2019. Methods: This is an analytic survey research with cross sectional research design. Sampling technique is total sampling. Subjects in this research are all 35 members of Gaya Lentera Muda (Gaylam) Organization. Research instrument is using questionnaire. In this research was obtained the highest distribution of education level is middle education of 19 subjects (54,3%) and the highest distribution of knowledge level is enough knowledge of 17 subjects (48,6%). The result of spearman statistical test obtained a relationship with the result of p= 0,007 (p<0,05). There is a meaningful relationship between education level and knowledge level about sexually transmitted infection in gay, transgender, and MSM in Bandar Lampung 2019. Suggestion fot next researcher, take a larger number of samples so that the result are more representative
Hubungan Pendidikan dan Pekerjaan dengan Kecemasan pada Gay, Transgender, LSL Bandar Lampung
Full text linkGay, Transgender, and MSM are group that experiencing detention in their health. This group susceptive of anxiety due to negative response from their environment especially from education and occupation. From the other research, showed that 44% from 277 gay having anxiety disorders. This condition becomes very impotant because the higher of anxiety will impact to their physical and physicological condition.Objective: To determine the relationship between education and occupation with levels of anxiety to the Gay, Transgender, and MSM in Bandar Lampung 2019. Methods: The types of research is an analytic survey with cross-sectional approach. The type of data obtained are primary data. The method of collecting data is by given quesionnaire to get answer from subjects. This research was conducted during November 2019. In this research, the samples taken included all member of Gaya Lentera Muda organization of 35 subjects by total sampling technique. Results: It is known from the results of this research that the subjects (gay, transgender, and msm) mostly have middle of 19 subjects (54,3%), mostly have an occupation of 18 subjects (51,4%),and the subjects with middle education have mild anxiety of 7 subjects (36,8%) and the subjects with an occupation mostly have mild anxiety of 9 subjects (50,0%). Conclusion: The final results showed that there is a meaningful relationship between education and occupation with levels of anxiety to gay, transgender, and MSM in Bandar Lampung 2019 (p-value = -0,547 and p-value = -0,595). Higher the levels of education and if the person has an occupation, levels of anxiety will higher.
 
Hubungan Status Gizi dengan Proses Penyembuhan Luka pada Pasien Post Apendektomi
Full text linkAppendicitis is part of the emergency cases that often occur in the abdominal area. Appendicitis is a prototype disease that takes place through inflammation due to obstruction and ischemia with the main symptoms which is pain that reflects the state of the disease. Appendicitis requires surgical appendectomy to reduce the risk of perforation. Apendectomy surgery is one type of wound that is an incision wound. The time of wound healing can be determined by the distinguishing between types of acute or chronic wounds. Appendectomy that does not have a post-surgical infection is categorized as an acute wound, physiologically the acute wound will heal ± 0-21 days. However, if the provision of nutrition is not fulfilled properly it will be almost the wound healing process. One factor that can influence the wound healing process is nutritional status. This study aim to determine the correlation of nutritional status with the wound healing process of post-appendectomy patients in RSUD Dr. H. Abdoel Moeloek, Bandar Lampung. This study used observational analytic with cross sectional approach. The sampling technique used was accidental sampling. The data were analyzed by using Chi-square test. From the Chi-square test found a relationship of nutritional status with a significant wound healing process (p <0.05) which is obtained p = 0.004, and the value obtained (OR = 10.5) can be said that adequate nutritional status is 10.5 times more likely to experience good wound healing when compared to undernourished nutritional status. There is a correlation between nutritional status and wound healing process in post-appendectomy patients
Hubungan Tonsilektomi dengan Umur Keluhan Utama dan Ukuran Tonsil pada Pasien Tonsilitis Kronik
Full text linkChronic tonsillitis is a recurring infection that most often occurs in the throat, especially in children and adolescents. Tonsillectomy is one type of Ear Nose Throat (ENT) surgery that is most often performed on children, adolescents and adults. Tonsillectomy is also a procedure that can be done if there is a chronic infection or a recurring infection. Factors that can affect tonsillectomy are age, major complaints and size of the tonsils. This study was conducted to determine the relationship of tonsillectomy with age, major complaints and the size of tonsils in chronic tonsillitis patients in RSPBA of Lampung city in 2018-2019. This study uses cross-sectional, quantitative, analytic methods with secondary tonsillitis data collection. Sampling uses a total sampling technique. Data collection was done by recording data in the form of major complaints, age and size of the tonsils and analyzed using the chi-square test. The results showed that 109 tonsillitis patients showed that the majority of tonsillitis patients were group: age ≤ 18 years as many as 73 people, tonsillectomy was 66 people (90.4%), main complaints >1 were 90 people, tonsillectomy was 83 people (83 people) 92.2%) and T3-T4 tonsil size of 70 people, with tonsillectomy of 65 people (92.2%). The results also showed that there was a relationship between tonsillectomy between age (p = 0.01, OR = 3.626), main complaints (p = 0.00, OR = 13.175), tonsil size (p = 0.00, OR = 5.778) in chronic tonsilits patients at RSPBA Bandar Lampung in 2018-2019. This study concluded that there was a significant relationship between tonsillectomy with age, major complaints and the size of tonsils in chronic tonsillitis patients in Bandar Lampung RSPBA 2018-2019 with a p-value <0.05
Analisis Kandungan Gizi Beras dari Beberapa Galur Padi Transgenik Pac Nagdong/Ir36
Full text linkRice that is generally consumed by Indonesian people is that does not have important nutrient such as β-carotene. Therefore, the way to supply β-carotene requirement in staple foods can be done through β-carotene biofortification by genetic engineering of the rice plant. PAC Nagdong/ IR36 is transgenic Golden Rice which can produce β-carotene. The research aimed to determine some nutritional content of PAC Nagdong/ IR36 rice lines that include carbohydrate, amylose, amylopectin, protein, lipid, and β-carotene content. Amylose was measured using the iodine colorimetric method, whereas the contents of amylopectin and carbohydrates were measured using the by difference method. Protein was measured using the Bradford method, lipid was measured using Proctor and Bowen method, while β-carotene content was measured using the colorimetric method. PAC Nagdong/ IR36 rice lines had carbohydrate content between 85,06-90,16%, amylose 12,94%- 20,81%, amylopectin 69,35- 76,17%, protein 7,76-8,52 µg/µl, lipid 0,65-0,90%, and β-carotene 231,61-920,52 µg/g. Carbohydrate, protein, and β-carotene in PAC Nagdong/ IR36 were higher than TN1 rice variety (control). This indicated that PAC Nagdong/ IR36 provided better nutrition. Amylose content of Nagdong/ IR36 PAC rice was low, which donated its potential to produce fluffier rice whereas high β-carotene content could be used as a source of β-carotene that is useful in overcoming vitamin A deficiency and beneficial for health including in preventing degenerative diseases
Hubungan Antara Ibu Hamil Usia ≥ 35 Tahun dengan Kejadian Labioschizis
Full text linkAbnormalities lip and palate or cleft lip commonly called congenital abnormality or labioschizis is a gap between the right and/or left lip. The incidence of cleft lip with or without cleft palate is one per 700-1000 births worldwide and Asians have the highest risk. Infant death or disability, even the mother died during childbirth in pregnancy aged 35 years and over. Giving birth at the age of 35 years and over, babies who are born susceptible to genetic abnormalities. The purpose of this study was to determine the relationship between maternal age of ≥35 years with labioschizis incident. This study used cross-sectional design: Retrospective, data was collected from the medical records during the period 1 January 2018 to 31 December 2018. The number of samples of 138 respondents, data was analyzed using the chi-square test with a significance level of ρvalue < 0.05. The results showed that most respondents had labioschizis namely 65.9%, while 34.1% of respondents experienced palatoschizis and labiognatoschizis. The lives of most mothers with children experiencing labioschizis are ≥35 years of age is 57.1%. The results of the study there was no correlation between a maternal age ≥ 35 years with the incidence labioschizis with value 0.793 ρvalue means sig >0.05. However, based on the data that researchers get the respondent with maternal age of 35 years tend to have labioschizis, meaning that the older a pregnant woman would be more risk of having babies with labioschizis
Hubungan Curah Hujan dengan Kasus Demam Berdarah Dengue di Bandar Lampung 2016-2018
Full text linkDengue hemorrhagic fever (DHF) is disease caused by dengue virus through mosquito as the vector, which spread rapidly. Meanwhile, since 1968 until 2009 WHO determined Indonesia as a country with the highest DHF incidence in South-east asia Departement of Health of Bandar Lampung City. The study aim to know the correlation of rainfall and dengue incidence in Bandar Lampung City Periode 2016-2018. This analytic study performed correlation approach. Secondary data sources from BMKG and Departement of Health of Bandar Lampung City were obtained. Analyzing data was using SPSS 19. This research was done during January 2020 until February 2020. There were 36 samples from BMKG and department of health of Bandar Lampung city periode 2016-2018 taken using total sampling method. Result show the heaviest rainfall in 2016-2018 recorded in February with average 218,3 mm. The most DHF incidence recorded in March with average 136 incidences. The correlation test shown r= 0,451, N = 36, signification 0,006. There is a correlation between rainfall and DHF incidence with average correlation strength in positive direction.