Online Journal Faculty of Medicine Universitas Sriwijaya
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    Hubungan Pekerjaan dengan Angka Kejadian Kondiloma Akuminata di Poliklinik Kulit dan Kelamin RSUD Dr. H. Abdul Moeloek Provinsi Lampung Periode 2018-2020

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    Sexually transmitted infections (STIs) are one of the causes of health, social and economic problems in many countries, it was reported that in the last 35 years the prevalence of Human papilloma virus infections worldwide continues to increase. Economic deprivation, low education, economic inequality, and economic-driven migration and mobility are all linked to the risk of transmitting STIs including condyloma acuminata. Determine the relationship between occupation and the incidence of condyloma acuminata in the skin and genital clinic of Dr. H. Abdul Moeloek in Lampung province for the period 2018-2020. Using an analytical observational study with a cross-sectional research design. Sampling using total sampling technique. Data collection by medical record respondents and analyzed using spearman correlation test. It was found that 102 respondents with the highest frequency of occupation were private workers, 33 people (32.4%). The spearman correlation test result obtained p=0,033 (p<0,05), which means that there is a significant relationship between occupation and incidence of condyloma acuminata in the skin and genital clinic in Dr. H. Abdul Moeloek in Lampung province.  Infeksi menular seksual (IMS) merupakan salah satu penyebab permasalahan kesehatan, sosial dan ekonomi di banyak negara. Dilaporkan bahwa dalam 35 tahun terakhir prevalensi infeksi Human papilloma virus di dunia terus meningkat. Kekurangan ekonomi, pendidikan yang rendah, ketidaksetaraan ekonomi, dan migrasi serta mobilitas yang didorong oleh ekonomi, semuanya terkait dengan risiko penularan IMS termasuk kondiloma akuminata.  Penelitian ini bertujuan untuk mengetahui hubungan pekerjaan dengan kejadian kondiloma akuminata di poliklinik kulit dan kelamin RSUD Dr. H. Abdoel Moeloek Provinsi Lampung periode 2018-2020. Penelitian ini merupakan penelitian observasi analitik dengan rancangan penelitian cross-sectional. Metode pengambilan sampel menggunakan teknik total sampling. Pengumpulan data dilakukan dengan pencatatan data pekerjaan responden dan dianalisis menggunakan uji korelasi spearman. Didapatkan 102 responden dengan frekuensi pekerjaan terbanyak ialah pada pekerja swasta yaitu 33 orang (32.4%). Hasil uji korelasi spearman diperoleh p=0,033 (p<0,05) yang berarti terdapat hubungan yang signifikan antara pekerjaan dengan angka kejadian kondiloma akuminata di poliklinik kulit dan kelamin RSUD. Dr. H. Abdul Moeloek Provinsi Lampung

    Perbandingan Pemeriksaan antara Kuesioner BCTQ dengan ENMG terhadap Kecepatan Hantar Saraf Pasien Carpal Tunnel Syndrome

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    Carpal tunnel syndrome (CTS) is a collection of symptoms such as pain, numbness, tingling, weakness and nocturnal symptoms caused by increased pressure on the carpal tunnel. The examination carried out in determining the severity of CTS is electoneuromyography (ENMG) based on the results of nerve conductivity. BCTQ (boston carpal tunnel questionnare) is also considered capable of assessing the severity based on the symptom severity scale (SSS) and functional status scale (FSS). This study aims to determine the accuracy of the BCTQ questionnaire compared with ENMG on nerve conductivity by using diagnostic test design. The data was collected at Medical Rehabilitation Installation of RSUP dr. Mohammad Hoesin Palembang during October-December 2019 by interviewing the patient’s severity of symptoms and their hand’s function using the BCTQ questionnaire, as well as examining the results of the subject’s ENMG respectively. There were 39 female and 5 male out of 44 study subjects. Bilateral cases 28, right 9 and left 7. The subjects mostly work as housewife. the subjects severity of CTS obtained from SSS, FSS, and ENMG is frequently at the moderate level with the most symptoms of night tingling and the most disrupted function is the function to carry grocery baskets and do household chores. BCTQ which is divided into SSS and FSS has an accuracy value of 70.45% and 72.73% in assessing the severity of CTS. BCTQ is quite accurate as initial screening when compared with the ENMG examination in determining the severity of CTS.Carpal tunnel syndrome (CTS) merupakan sekumpulan gejala yang meliputi nyeri, mati rasa, kesemutan, kelemahan, dan gejala yang timbul pada malam hari akibat peningkatan tekanan terowongan karpal. Pemeriksaan yang dilakukan dalam menentukan tingkat keparahan CTS adalah elektroneuromiografi (ENMG) berdasarkan hasil kecepatan hantar saraf. BCTQ (boston carpal tunnel questionnare) dinilai juga mampu menilai keparahan berdasarkan skala keparahan gejala (SSS) dan skala status fungsional (FSS). Penelitian ini bertujuan untuk mengetahui nilai akurasi dari kuesioner BCTQ dibandingkan dengan ENMG terhadap kecepatan hantar saraf dengan menggunakan desain uji diagnostik. Pengambilan data dilakukan di Instalasi Rehabilitasi Medik RSUP dr. Mohammad Hoesin Palembang selama bulan Oktober-Desember 2019 dengan cara wawancara mengenai keparahan gejala dan fungsi menggunakan kuesioner BCTQ, serta diperiksa hasil ENMG. Sebanyak 44 subjek penelitian, diperoleh 39 wanita dan 5 pria. Kasus bilateral 28, kanan 9 dan kiri 7. Pekerjaan paling banyak sebagai IRT. Tingkat keparahan CTS dari SSS, FSS, dan ENMG paling banyak pada tingkat sedang dengan gejala paling banyak kesemutan malam hari dan fungsi paling terganggu adalah membawa keranjang belanjaan dan pekerjaan rumah tangga. BCTQ yang terbagi menjadi SSS dan FSS mempunyai nilai akurasi yakni 70,45% dan 72,73% dalam menilai tingkat keparahan CTS. BCTQ dinilai cukup akurat sebagai skrining awal jika dibandingkan dengan pemeriksaan ENMG dalam menentukan tingkat keparahan CTS

    Pathological Findings in Chest Radiographs of Chronic Kidney Disease Patients Undergoing Hemodialysis

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    Chronic kidney disease is a condition in which there is destruction of the kidneys along with structural or functional abnormalities, with or without decreased glomerular filtration rate for more than 3 months. The common treatment for this condition is hemodialysis, however, it may cause complications, specifically cardiovascular and non-cardiovascular system dysfunctions that can be observed through thorax imaging. This study aims to observe pathologic thorax imaging findings on chronic kidney disease patients undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang. This study is a descriptive study using a cross-sectional design. The data is gathered from medical records from the Medical Records & Radiology Department of RSUP Dr. Mohammad Hoesin Palembang that have passed the inclusion and exclusion criteria. The data is processed using the SPSS application version 25. The results of this study indicate that, based on risk factors, patients are generally in the 55-64 age range (41%), female (60%), and with a normal BMI/normal weight (52%). Based on the patients’ comorbid diseases, patients mostly have hypertension (59%), followed by diabetes mellitus (46%). Analysis of the chest radiographs indicate that (70%) of patients have cardiomegaly; (22%) of patients have grade 1, (15%) have grade 2, (7%) have grade 3 aortic arch calcification; (49%) have pulmonary edema; (31%) have unilateral pleural effusion, and (14%) have bilateral pleural effusion.  The majority of chronic kidney disease patients undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang are in the 55-64 age range, female, and with normal BMI. The most common comorbid conditions are hypertension and diabetes mellitus. Analysis of the chest radiographs indicate that the majority of patients have cardiomegaly; grade 1, 2, and 3 aortic arch calcification; pulmonary edema; unilateral and bilateral pleural effusion

    Relationship between Prostate Volume and International Prostate Symptom Score (IPSS) Degree of Tamed Prostate Enlargement on Transabdominal Ultrasonography (TAUS) and Transrectal Ultrasonography (TRUS) Examination

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    A B S T R A C TIntroduction: IPSS is the gold standard in measuring clinical symptoms of BPH. 1Prostate volume has been said to have a close relationship with the development ofBPH. 9 The aim of this study was to determine the relationship between prostate volumeas measured by transabdominal ultrasonography (TAUS) and transrectal (TRUS) to thedegree of IPSS. Methods: An analytic observational study with a cross sectional designwas carried out on 303 BPH patients at the General Hospital of Kariadi Hospital,Semarang. The data obtained from the TAUS, TRUS and IPSS prostate volume wereobtained from medical records for the period 2015 - 2020. The data were then analyzedby using the chi square test. Results: Patients with BPH have a TAUS prostate volumein classification I of 0 people 0%, classification II of 16 people (5.3%), classification IIIof 96 people (31.7%), classification IV of 102 people (33.7%) and classification V of 89people (29.4%). While TRUS in classification I was 0% (0 people), classification II was11 people (3.6%), classification III was 92 people (30.4%), classification IV was 110people (36.3%) and classification V of 90 people (29.7%). IPSS obtained severe IPSSdegrees, namely 192 people (63.4%), moderate degrees of 111 people (36.6%), and milddegrees 0% (0 people). The results of the Chi Square test obtained a p-value of 0.000(p <0.05), indicating that there was a significant relationship between prostate volume,whether examined by transabdominal or transrectal ultrasound, and the degree ofIPSS. The correlation coefficient r = 0.925 indicates a very strong relationship betweenprostate volume as measured by both transabdominal and transrectal ultrasound withthe degree of IPSS, a positive result shows that the increase in prostate volume, thedegree of IPSS will also increase. Conclusion: There is a significant relationshipbetween prostate volume as measured by both TAUS and TRUS and the degree of IPSS

    Sarcopenia from Pathophysiology to Clinical : Literature Review

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    A B S T R A C TThe causes of sarcopenia are thought to be multifactorial including: environmentalfactors, illness, activation of inflammatory pathways, mitochondrial dysfunction, lossof neuromuscular junctions, reduced number of satellite cells and changes in thequality of hormonal function. The mechanism of sarcopenia occurs because the agingprocess coupled with reduced physical activity can cause the formation of cytokinesto increase so that inflammation is easy, insulin resistant, anabolic resistance andneuromuscular impairments

    Efficacy of Cyombopogon Citratus Extract Against Enterococcus Faecalis

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    Endodontic treatment refers to the act of removing infected pulp tissue and formingand reforming the root canals to prevent bacteria from entering the root canals.Microbial infection in the root canal or in the periapical area is a factor that can leadto failure of root canal treatments. Endodontic treatment failure can be caused thebacteria Enterococcus faecalis. The irrigation agent commonly used is sodiumhypochlorite. Sodium hypochlorite in large concentrations can be toxic to tissues.Lemongrass plant (Cymbopogon citratus) is a natural ingredient that can be used asan antibacterial agent. The aims of study to determine the comparison of theantibacterial effectiveness of lemongrass plant extracts (Cyombopogon citratus (DC).Staph) concentrations of 25%, 50%, 75%, 100% with 2.5% sodium hypochlorite ininhibiting the growth of the bacterium Enterococcus faecalis. Lemongrass plantextracts Cyombopogon citratus (DC). Staph) made by maceration method andconverted into 25%, 50%, 75%, and 100%. The bacterial test method used the agardiffusion test (Kirby-Bauer test) to see the effectiveness of antibacterialsThe result ofthe one way ANOVA statistical test resulted in significance value of p=0,001 (p<0,05)so that means there was differences in the average diameter of inhibitory lemongrassplant extracts (Cyombopogon citratus (DC). Staph) concentrations of 25%, 50%,75%, 100% with 2.5% sodium hypochlorite in inhibiting the growth of the bacteriumthe results are 13.68 ± 1.34 mm, 16.08 ± 0.87 mm, 16.33 ± 0.35 mm, 17.78 ± 0.93mm and 7.83 ± 0.44 mm and reinforced by the posthoc Tukey HSD test. Theconclusion from the study that there is a difference between the antibacterialeffectiveness of lemongrass plant extract (Cyombopogon citratus (DC). Staph)concentrations of 25%, 50%, 75% and 100% with 2.5% sodium hypochlorite ininhibiting the growth of the bacterium Enterococcus faecalis

    Hubungan Pengetahuan, Sikap dan Perilaku Masyarakat Tentang DBD dengan Jumlah Larva Nyamuk

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    Demam Berdarah Dengue (DBD), penyakit yang disebabkan oleh infeksi virus, secara endemis berada di Indonesia. Infeksi virusDBD terjadi melalui gigitan nyamuk Aedes aegypti dan Aedes albopictus. Tindak pencegahan adalah cara yang efektif untukmengurangi kejadian DBD. Pengetahuan, sikap dan perilaku masyarakat memiliki peran penting dalam pemberantasan vektor.Penelitian ini bertujuan mengidentifikasi tempat-tempat penampungan air yang menjadi tempat perkembangbiakan nyamukserta hubungannya dengan pengetahuan, sikap dan perilaku masyarakat RT 50 tentang DBD di RT 50 Perumahan OPI.Penelitian ini menggunakan pendekatan analitik observasional. Sampel penelitian diambil berdasarkan Purposive Sampling,yaitu dilakukan pengambilan sampel dengan pertimbangan daerah tempat tinggal yang memiliki angka kejadian DBD yangtinggi. Pengumpulan sampel dilakukan dengan menginvestigasi TPA dan jentik nyamuk di tiap-tiap rumah serta wawancarakepada salah satu anggota keluarga dari masing-masing rumah. Larva ditangkap menggunakan gamadotik, pipet tetes dancidukan. Data pengetahuan, sikap dan perilaku masyarakat didapatkan dengan wawancara menggunakan kuesioner. Dari 24rumah yang diperiksa, 62,5% rumah positif larva nyamuk dan 37,5% rumah lainnya negatif. Indeks larva yang ditemukan AngkaBebas Jentik (ABJ) sebesar 37,5%, House Index (HI) 62,5%, Container Index (CI) 23,07%,Breteau Index (BI) sebesar 112,5% danDensity Figure (DF) 7. Genus nyamuk yang ditemukan adalah genus Aedes dengan spesies Aedes aegypti (25,43%)danAedesalbopictus(69,63%)sertanyamuk genus Culex(4,93%). Sebanyak 62,5% masyarakat memiliki pengetahuan yang baik, 87,5%memiliki sikap baik tetapi hanya 25% yang memiliki perilaku baik. Dari analisis Chi-square antara pengetahuan, sikap danperilaku dan keberadaan jentik didapatkan pengetahuan (p=0,80), sikap(p=1) dan perilaku (p=2). Tidak ada hubungan yangsignifikan antara pengetahuan, sikap dan perilaku masyarakat dengan keberadaan larva nyamuk (p>0,05

    Comparison of Inhibition Zones Between Butterfly Pea Flower (Clitoria ternatea) and Lemongrass (Cymbopogon citrarus) Against Streptococcus mutans and Staphylococcus aureus

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    This study aims to determine the comparison of the inhibition zone between theextract of butterfly pea flower and lemongrass, against the bacteria streptococcusmutans and staphylococcus aureus. The samples that will be used in this researchare streptococcus mutans and staphylococcus aureus bacteria. Data analysis usednormality test and statistical test was performed using ANOVA analysis test and posthoc test. The results showed that there was no difference in the inhibition zone ofbutterfly pea flower extract against streptococcus mutans bacteria and lemongrassextract against streptococcus mutans. There was difference in the inhibition zonebetween butterfly pea flower extract against staphylococcus aureus bacteria andlemongrass extract against staphylococcus aureus bacteria. Butterfly pea flowerextract has a good inhibition zone in staphylococcus aureus bacteria. Lemongrassextract has the same inhibition zone against both types of bacteri

    Quality of Life Based on Autologous Serum Skin Test Result in Chronic Spontaneous Urticaria Patients

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    Several studies regarding the quality of life of chronic spontaneous urticaria patients based on Autologous Serum Skin Test (ASST) results have shown a variety of results. This study aims to determine the correlation between the quality of life and ASST results in chronic spontaneous urticaria patients at Dermatology and Venereology (DV) Outpatient Clinic of Dr. Mohammad Hoesin Hospital Palembang. This analytic observational study with a cross-sectional design used secondary data in the form of medical records. 76 samples met the inclusion criteria from 110 samples of chronic spontaneous urticaria patients at DV outpatient clinic. The distribution of chronic spontaneous urticaria patients was highest in the 17-25 year age group (23.7%) and the female group (64.5%). The majority of chronic spontaneous urticaria patients had negative ASST results (52.6%). The effect of chronic spontaneous urticaria on the decline in quality of life was mostly moderate (35.5%). The bivariate analysis between DLQI score and ASST results with a value of p = 0.307 or p> 0.05 showed no significant correlation between the quality of life and ASST results

    Pengaruh Persentase Lemak Tubuh terhadap Fungsi Kognitif Aspek Atensi pada Mahasiswa Preklinik FKIK Unika Atma Jaya

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    In 2016, World Health Organization (WHO) predicts that 650 million adults aged 18 and more have obesity. Many research shows that obesity affects brain function and impairs the cognitive function of the brain. To understand whether body fat percentage has an impact on the attention aspect of the cognitive function in university students. This study is a cross-sectional study approach. The data was collected from August 2020 until March 2021 with a total of 72 respondents. The data was collected using the body fat percentage formula from the British Journal of Nutrition to assess body fat percentage and Stroop Test for attention. Kruskal-Wallis and spearman were used to assess the correlation between body fat percentage and attention. The result shows that body fat percentage affects the attention aspect of the cognitive function (p = 0.001, r = 0.71). In conclusion, based on 72 university students, it proves that body fat percentage has an impact on the attention aspect of the cognitive function. The impact that high body fat percentage does is lowering the attention aspect of the cognitive function.Pada 2016, Organisasi Kesehatan Dunia (WHO) memprediksikan 650 juta orang dewasa berusia 18 tahun ke atas mengalami obesitas. Banyak penelitian yang menunjukkan bahwa obesitas mempengaruhi fungsi otak dan mengganggu fungsi kognitif otak. Untuk mengetahui apakah persentase lemak tubuh berpengaruh terhadap aspek atensi fungsi kognitif pada mahasiswa. Penelitian ini merupakan penelitian secara potong lintang. Pengumpulan data dilakukan mulai Agustus 2020 hingga Maret 2021 dengan total 72 responden. Pengumpulan data dilakukan dengan menggunakan rumus persentase lemak tubuh dari British Journal of Nutrition untuk menilai persentase lemak tubuh dan stroop test untuk menguji atensi. Kruskal-Wallis dan spearman digunakan untuk menilai korelasi antara persentase lemak tubuh dan atensi. Hasil penelitian menunjukkan bahwa persentase lemak tubuh berpengaruh terhadap aspek atensi pada fungsi kognitif (p = 0,001, r = 0,71). Kesimpulannya adalah dari data 72 mahasiswa terbukti bahwa persentase lemak tubuh berpengaruh terhadap aspek atensi fungsi kognitif. Dampak dari tingginya persentase lemak tubuh adalah menurunkan aspek atensi pada fungsi kognitif

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