Journal of Widya Medika Junior
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The Correlation Between Family History, Constipation, Defecation Position, And Defecation Time And Hemorrhoid On Patient In General Surgery Outpatient Clinic Dr. Mohamad Soewandhie Regional Public Hospital Surabaya
No full textBackground: Hemorrhoid is one of the most common anorectal problem. Definite etiological cause(s) are still unknown but there are many risk factors that are found to be responsible for the development of hemorrhoid. Elimination and modification of these risk factors are the keys toward the effective control and prevention of hemorrhoid.
Aim: This study aims to analyze the correlation between family history, constipation, defecation position, and defecation time and hemorrhoid among patient in general surgery outpatient clinic Dr. Mohamad Soewandhie Regional Public Hospital Surabaya.
Methods: This was an analytic observational study with cross-sectional design. Sampling was conducted with purposive sampling technique. Coefficient contingency test was done to analyze correlation between bivariate variables. Fifty-six patients in June and July 2016 were given questionnaire and patient’s medical records were taken to know the presence of hemorrhoid.
Results: There was a correlation, respectively, between family history and hemorrhoid (C=0,329; p=0,009), constipation and hemorrhoid (C=0,474; p=0,000), between defecation position and hemorrhoid (C=0,395; p=0,001), and between defecation time and hemorrhoid (C=0,448; p=0,000).
Conclusion: The incidence of hemorrhoid could be affected by family history, constipation, defecation position, and defecation time
The Difference In Neutrophil/Lymphocyte Ratio In Patients With Acute Appendicitis Without And With Perforation
Get PDFIntroduction: Acute appendicitis is an inflammation of the appendix vermiformis and is the most frequent cause of acute abdominal. Inflammation occurs due to microorganisms infection that enter the submucosal layer of the appendix and eventually involves all layers of
the appendix wall. Acute inflammation can lead to an appendix lumen obstruction, resulting in venous blood engorgement and arterial stenosis. One of the acute appendicitis physiological response from the immune system is an increasing of neutrophils and decreasing of lymphocytes. The result of increasing neutrophils and decreasing lymphocyte are increasing the absolute ratio between neutrophils and lymphocytes Aim: To know the difference of neutrophil / lymphocyte ratio in patients with acute appendicitis without perforation and with perforation at Dr. M. Soewandhie District General Hospital Surabaya. Methods: This research is an analytical research with cross sectional study, with paired categorical analysis sampling method. Respondent of this research is 62 patients, which consist of 31 patients acute appendicitis without perforation and 31 patients acute
appendicitis with perforation that fulfilled inclusion and exclusion criteria in January 2016-August 2017. This research was conducted at Dr. M. Soewandhie District General Hospital Surabaya from Saturday, August 19th, 2017 until Saturday, September 30th, 2017. Results: the difference of neutrophil / lymphocyte ratio in acute appendicitis patient without
perofration and with perforation analyze by using Fisher’s Exact Test comparative statistic test, p value 0.00
Breastfeeding With Recurrent Acute Respiratory Tract Infections (Ari) In Toddler At Gotong Royong Hospital Surabaya
Get PDFIntroduction: Acute Respiratory Tract Infection (ARI) is a common illness in children under five years old. The incidence of ARI in developing countries is ten times more than in developed countries. There are many risk factors for ARI, such as breastfeeding. Aim: The purpose of this study is to determine the relationship between exclusive breastfeeding with the occurrence of recurrent ARI in children under five. Method: This research uses an analytic research design with an observational study type and a cross-sectional study method. The numbers of samples in this study were 203 samples and tested using the chi-square test. The data of 203 samples in this study were obtained from primary data with structured interviews regarding exclusive breastfeeding and secondary data by looking at the patient's medical records regarding the occurrence of recurrent ARI. From
203 selected samples, 47.3% are exclusively breastfed, and 52.7% are not exclusive breastfeeding. Recurrent ARI events were calculated over the past year with the criteria for ARI greater than or equal to six times. Result: The results of this study are that 53.7% of samples do not have recurrent ARI, and 46.3% of samples have recurrent ARI. The results of this study show a p-value of 0.00, which means there is a significant relationship of exclusive breastfeeding with the occurrence of recurrent ARI in children under five years old. Conclusion: The incidence of Recurrent ARI in children under five years old with exclusive breastfeeding history is lower than children under five years old without exclusive breastfeeding history
Nutritional Status And Fuctional Status Among Elderly In Santo Yosef Surabaya Nursing Home
Get PDFIntroduction: Elderly population is prone to the risk of nutritional status problems. The problem of nutritional status in the elderly will affect their condition, such as functional ability to carry out daily activities. Good nutritional status is an important determinant of functional capacity, independence and quality of life of the elderly. Aim: This research was conducted to find out whether there was a correlation between
nutritional status and functional status among elderly in Santo Yosef Surabaya Nursing Home. Methods : This study used an observational analytic study with a cross sectional approach. The sampling technique in this study was purposive sampling. The measuring instrument used was an MMSE questionnaire for assessment of cognitivse function, MNA-SF for
assessment of nutritional status and Barthel Index for assessment of functional status. The analysis technique used was the Kendall’s Tau c correlation test. Result : Of the 43 research subjects, 34.9% suffered from malnutrition, 41.9% were at risk of malnutrition, and 23.3% were normal. Functional status data found 2.3% have total dependence, 20.9% heavy dependence, 18.6% moderate dependence, 37.2% mild dependence, and 20.9% are independent. The results demonstrated a significant correlation with the strength of a moderate positive correlation between nutritional status and functional status among elderly in Santo Yosef Surabaya Nursing Home (r = 0.42; p = 0.001). Conclusion: This study shows that there is a significant correlation between nutritional status and functional status
Antibacterial Effect Of Curcuma Domestica Ethanolic Extract On Group A Streptococcus Β Hemoyticus
Get PDFIntroduction : Pharyngitis is one of the most common infection that general practitioners handled. It is estimated in one year there are 15 million people with pharyngitis will come to the doctor. American Society of Microbiology said that 94,3 % from 402 patient who were suspected pharyngitis received antibiotic therapy even without indication of antibiotic
therapy. Antibiotic resistance is becoming a great threat for the world today. World Health Organization state that one of the plan to fight antibiotic resistance is to research and develop new drugs. Curcuma domestica is a plant that is widely used in Indonesia and some research said that it has anti-inflammatory, antioxidant, and antimicrobial effect. Aim: The aim of this study is to find the antibacterial effect of Curcuma domestica ethanolic extract on Group A Streptococcus β hemolyticus and find the Minimum Bactericidal Concentration (MBC) value. Methods : This was in vitro experimental study with broth microdilution method and inoculation on agar blood media to find the MBC. Treatment group consisting of, media (Mueller Hinton Blood Broth), Group A Streptococcus β hemolyticus bacteria, and 5 concentrations (312.5 μg/ml, 625 μg/ml, 1250 μg/ml, 2500 μg/ml, 5000 μg/ml) of Curcuma domestica extract. Result : There is no bacterial growth at 5000 μg/ml concentration on solid media, but there are less bacterial growth at 2500 μg/ml than at concentration 312.5 μg/ml, 625 μg/ml, 1250 μg/ml. Conclusion: There is an antibacterial effect of Curcuma domestica ethanolic extract on Group A Streptococcus β hemolyticus with MBC value in range 2500 – 5000 μg/ml
Diabetes Mellitus And Posterior Subcapsular Type Of Senile Cataract In Pre-Surgery Patients At PHC Hospital Surabaya
Get PDFIntroduction: A cataract is an opacity of the lens, caused by many factors. Rapid Assessment of Avoidable Blindness (RAAB) that has been conducted in three provinces (NTB, Jawa Barat, dan Sulawesi Selatan) in 2013-2014 has come into a prediction of new cases of cataract blindness will increase 0.1% from the population or about 250.000 people a year. Metabolic disease such as Diabetes Mellitus (DM) is one of the well-known factors of
cataract. Many studies, including Blue Mountains Eye Study and Beaver Dam Eye Study, have proved the increase of incidence and prevalence of posterior subcapsular cataract on diabetic patients. Posterior subcapsular cataract (PSC) means the lens opacity starts from the posterior part of the lens. Aim: to study whether there is a correlation between DM and PSC in Surabaya or not. Method: This research used the observational study with analytic design, and the method used in this research is cross-sectional. Spearman correlation was used in this research to test the correlation between variables. Result: The population of this study is all pre-surgery senile cataract patients on PHC Hospital Surabaya. Twenty-two samples meet the inclusion and exclusion criteria. The analytic result shows that the correlation between diabetes and the posterior subcapsular senile cataract is insignificant (p= -0.092). Conclusion: The exact pathogenesis of PSC remains unknown. It shows increased degenerative changes and the accumulation of extracellular material which can happen on diabetes patients. However, it has been noted to occur as a result of a gene mutation. That explained the insignificancy result of this research and the different distribution of PSC in the world. Descriptive research about cataract types epidemiology in Indonesia is needed
Muntingia Calabura L. Leaves Extract Effect Towards Increment Of Nitric Oxide In Rattus Norvegicus
Get PDFIntroduction: Hypertension is one of the leading health problem in Indonesia. One of the pathophysiology of hypertension is abnormality in nitric oxide production and transport. On the other side, Muntingia calabura L. is a plant that widely distributed in Indonesian and believed to possessed antinociceptive, antioxidant, antihypertension, and antimicrobial effect. Leaves of Muntingia calabura L. comprise of high phenolic compounds which is thought to increase nitric oxide production through the modulation of NOS and ROS inhibition. Aim: To analyze the effect of extract of Muntingia calabura L. leaves toward increment of nitric oxide in Rattus norvegicus. Method: This research is an in vivo experimental study with post-test only control group design, using nitric oxide strips test as measuring instrument. Sample of this experiment is forty Rattus norvegicus divided in five group which is negative control, positive control, treatment 1, treatment 2, and treatment 3. Extract of Muntingia calabura L. leaves with concentration 50, 100, 200 mg/mL given everyday on treatment group and measured every two days until six measurement is acquired. Result: There is increment of NO through administration extract of Muntingia calabura L. leaves in Rattus norvegicus. Conclusion: Highest increment of NO is obtained through administration of Muntingia calabura L. leaves extract at 200 mg/mL concentration
Correlation Between Body Mass Index With The Incidence Of Preeclampsia
Get PDFIntroduction: Indonesia is on its way to achieve the Millennium Development Goals (MDG’s) of reducing the maternal mortality ratio by three-quarters between 1990 and 2015. Preeclampsia was the second cause of maternal mortality in Indonesia that was 7-10% from all maternal mortality that happened. Preeclampsia is a disease that occurs during pregnancy, which usually appear after 20 weeks and is characterized by an increase in blood pressure during pregnancy (systolic/diastolic ≥140/90 mmHg) with proteinuria and edema. Research shows an association between high Body Mass Index with an increase in the occurrence of preeclampsia. Aim: This research purpose is to determine the correlation between Body Mass Index with incidence of preeclampsia.
Methods: This research used an observational analytic cross-sectional design. The sample used was 46 data from mother with preeclampsia and 46 from mother with normal pregnancy. The data used were secondary data from X hospital on January 2014 until December 2015, selected based on the inclusion and exclusion criteria. Data analysed using Spearman test.
Result: Preeclampsia was significantly correlated to high body mass index (p=0,000, correlation coefficient is 0,632), where 58.7% of obese mothers, 28.26% of overweight mothers were diagnosed with preeclampsia, while only 8.7% of normal weight mothers, and 4.34% of underweight mothers had preeclampsia.
Conclusion: The results showed that there was a significant correlation between Body Mass Index and preeclampsia , suggesting that mothers with high body mass index were at a higher risk of preeclampsi
Correlation Of Asphyxia Neonatorum Incidence And Caesarean Section Delivery
Get PDFIntroduction: Asphyxia neonatorum occupies second place in the cause of death of babies in East Java in 2010 and still in the top three of the cause of death of babies in Surabaya until 2016. One of the risk factors of asphyxia neonatorum was the delivery method, one of which is caesarean section delivery.
Aim: The purpose of this study was to determine the correlation between asphyxia neonatorum incidence and caesarean section delivery.
Methods: This is an observational analytical study using secondary data with retrospective approach. This study used case control design. Total population in this study were 1112 birthing mother and 1134 babies born during 1 January 2016 until 31 December 2016. A total of 125 case samples (Asphyxia) were chosen using purposive sampling technique, while 125 control samples (No asphyxia) were chosen using simple random sampling technique. Data were analysed with Chi-Square test.
Results: Results showed that there were no significant correlation between asphyxia neonatorum incidence and caesarean section delivery (p = 0.591)
Conclusion: This study showed that caesarean section delivery was not the main risk factor of asphyxia neonatorum