Journal of Agromedicine and Medical Sciences
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The Effectiveness of Roselle Kombucha Tea in Increasing Haemoglobin Levels Mice (Mus imusculus) With Anaemic
Full text linkAnaemic caused by Iron deficiency can be affected by a lack of vitamin C. Vitamin C can reduce ferrous iron (Fe3+) to ferrous (Fe2+) in the small intestine so that it is easily absorbed. Kombucha tea is a functional drink known to the public for a long time and provides health benefits. The study aimed to determine the effectiveness of kombucha rosella tea against increasing haemoglobin levels in mice (Mus musculus) anaemic. The type of research is true experimental with a pre-post test randomized control group design. Treatment with four treatments and three repetitions. The sample from this study was mice (Mus musculus), female, 2-3 months, weighing 20-25 as many as 24 heads. Administration of kombucha rosella tea in anaemic mice at different doses (0.36 ml / 20 g BB, 0.55 ml / 20 g BB and 0.73 ml / 20 g BB) for 14 days. Giving kombucha rosella tea can increase haemoglobin levels in the blood of mice (Mus musculus) anaemic. The optimal dose of use of kombucha rosella tea against an increase in haemoglobin levels in the blood of anaemic mice is 0.73 ml / 20 g BB. It is necessary to conduct further research on using kombucha rosella tea in human subjects to obtain further substantiation of the benefits of kombucha rosella tea as a treatment therapy
Factors Affecting Patterns of Fast Food Consumption in Students of Medical Study Program Faculty of Medicine Tanjungpura University
Full text linkMedical students who are in their late teens and are affected by high stress due to academic loads experience changes in nutritional intake behavior, namely changes in eating patterns with a tendency to consume fast food (fast food). The purpose of this study was to determine the factors that influence fast food consumption patterns in students of the Medical Study Program, Faculty of Medicine, Tanjungpura University. This study uses a type of observational analytic research with a cross-sectional design. This study used data on weight and height measurements, a 3x24-hour Food Record, and a questionnaire on 46 students of the Medical Study Program class of 2022. The results showed low consumption of calories, protein and carbohydrates, and high consumption of fat. The overall average intake of energy, fat and carbohydrates is normal, while protein intake is low. There is no effect of all variables on consumption of energy, protein, fat, carbohydrates, and nutritional status. However, action on fast food has a significant effect on energy consumption. Students often consume fast food which is processed by frying process. Low protein intake and high fat consumption indicate the need for education for food selection in reducing the negative impact on the health of medical students.
Keywords: Fast food, medical students, consumption patterns, factor
Clinical Improvement of Erythrodermic Psoriasis Patient Treated with Methotrexate: A Case Report
Full text linkErythrodermic psoriasis (EP) is a rare form of psoriasis but has a high mortality and morbidity rate. The management of erythrodermic psoriasis includes prevention of complications and administration of immunosuppressant drugs such as methotrexate. This article reports the case of a 37-year-old man with complaints of red, scaly spots almost all over his body since the past month. Initially, the red spots only appeared on the right and left arms and legs. On dermatological examination found lesions on >90% of the patient's total body area in the form of erythematous patches, well-defined, irregular shape and covered with thick scales, there was onycholysis of the toenails, and the Karvslek phenomenon in the patient. Based on the history and physical examination, the patient was diagnosed with erythrodermic psoriasis with a PASI score of 60.2. The patient received oral methotrexate therapy 7.5 mg/week, folic acid once daily, cetirizine 10 mg twice daily, and topical therapy with desoximetasone cream 0.25%. Methotrexate is taken alternately with a single dose of 2.5 mg. Evaluation of patients at 1 month after therapy showed improvement in clinical symptoms with reduced subjective symptoms followed by a change in the PASI score to 45.8. Proper diagnosis and management as well as monitoring for side effects of medication can reduce morbidity and prevent complications from EP.
Keywords: Erythrodermic psoriasis, treatment, methothrexate
Influencing Factors on Motivation To Be A Health Role Model Among Female Preclinical Medical Students
Full text linkA positive assessment of self-esteem and self-efficacy will motivate, especially female students, to care about their body image, reduce the risk of eating disorders, and in turn aspire them to become healthy role-models. This study aimed to examine the influence of those variables on becoming healthy role-models. A cross-sectional study was conducted in 2021 to 189 female students at the Faculty of Medicine, Tanjungpura University. Data were analyzed using the Chi-Square test and multivariate logistic regression test. Self-esteem (p: 0.003; OR: 2.638) and self-efficacy (p: 0.000; OR: 5.752) had a significant relationship with body image, and body image had a significant relationship with the risk of eating disorders (p: 0.000; OR: 4,609). Regression analysis showed that self-esteem (p: 0.016) and self-efficacy (p: 0.024) are the variables that affected becoming of a role model. Moreover, it is found that self-efficacy had an indirect influence on eating disorders according to the body image with a coefficient of 2.45. Good self-acceptance (high self-esteem and self-efficacy) through positive self-compassion likely reduces the risk of eating disorders and improves the body image. The combination of these aspects will ultimately increase the students’ motivation to promote healthy behavior to others and thus become healthy role-models.
Keywords: Female Medical Student; Healthy Behavior; Motivation; Role As Healthy Role Model; Role Model
Differences of BUN and Serum Creatinine Values in Severity of Diabetic Ketoacidosis Patients at RSD dr. Seobandi Jember
Full text linkDiabetic ketoacidosis (DKA) is an acute complication of diabetes mellitus classified as mild, moderate, and severe based on the severity of the metabolic acidosis and level of consciousness. As one of hyperglycemic crisis, DKA causes kidney dysfunction which then trigger acute kidney injury (AKI). High mortality rates, recurrent DKA (repeated episodes), increased health care costs, and the risk of further complications can occur due to AKI. Early detection of AKI risk by renal function tests such as blood urea nitrogen (BUN) and serum creatinine can be done because its easy method hence it is widely used for routine evaluation. This study aims to determine the differences of BUN and serum creatinine values ​​in DKA patients classified by severity as a prognostic markers associated with the risk of AKI in RSD dr. Soebandi Jember. The design of this study was analytic observational using a cross-sectional design obtained from medical records of 34 patients. The results showed a non-significant difference in BUN values ​​(p=0.085) and a significant difference in serum creatinine values ​​(p=0.033) between mild, moderate, and severe DKA. Serum creatinine evinced to be more reliable indicator than BUN as prognostic marker of DKA in the setting of AKI risk.
Keywords: DKA, prognosis, acute kidney injury, AK
In Stent Restenosis After Drug-Eluting Stent Implantation in a Patient with Polycythemia Vera: A Case Report
No full textPolycythemia vera happened in people around 40-60 years old and mostly men. The criteria are total red blood cells ≥36 mL/kg in males, thrombocytosis, leukocytosis, and JAK2 mutation. We present a case of a 63-year-old male with unknown history of polycythemia vera who came to our hospital with acute STEMI anterior, he previously had done a coronary angiogram at another hospital thirteen days ago and found out that his previous drug-eluting stent (DES) was total in-stent restenosis in proximal. To prevent recurrent ischemia events, we replaced Clopidogrel with Ticagrelor and continue Aspirin.
Keywords: drug-eluting stent; in-stent restenosis; polycythemia ver
Management of General Anesthesia in Difficult Airway: A Case Report
No full textWhen dealing with clinical disorders known as difficult airways, airway management during general anesthesia still presents challenges. A cross-sectional study done in Indonesia in 2016 found that 28 out of 250 patients receiving general anesthesia had respiratory problems. The existing algorithm must be properly and effectively managed in order to resolve this issue. This case report discusses a 14-month-old pediatric patient with right preauricular lymphoma who will undergo tumor biopsy surgery using general anesthesia. The size of the tumor mass that has grown and covered the patient's airway makes it difficult to manage the airway during general anesthesia, making intubation impossible. To overcome this, bagging was carried out by improvising the technique of reversing the position of the mask cover on the patient during the operation. The patient can be saved and allowed to go home after treatment. Appropriate management during perioperative especially related to airway management will produce good results for patient health and safety. With this case report, hopefully it can add knowledge and an alternative ventilation technique if you encounter a similar case.
Keywords: difficult airway, general anesthesia, lymphoma preauricula
Hyponatremia in Young Patients with Pulmonary Tuberculosis and Tuberculous Meningoencephalitis
Full text linkPulmonary tuberculosis (PTB) is an uncommon respiratory infection that rarely leads to the development of hyponatremia, a condition characterized by low levels of sodium in the blood. In most cases symptoms andiated hyponatremia are mild to moderate, often lacks noticeable symptoms, and can be effectively reversed through treatment with anti-TB medications. Hyponatremia is diagnosed when the serum sodium level falls below 135 mmol/L, and it is considered severe when the level drops below 125 mmol/L. Among electrolyte imbalances, hyponatremia is one of the most frequently observed, with a prevalence ranging from 1 to 4% in its severe manifestation. This journal reports the case of a male patient who presented with decreased consciousness, suspected to be associated with moderate hyponatremia, tuberculous meningoencephalitis, pulmonary tuberculosis, and sinus bradycardia. The patient's symptoms associated with hyponatremia were relatively mild, prompting the need for further evaluation to ascertain the root cause of the electrolyte imbalance. This is particularly important for patients with suspected tuberculosis who are also experiencing complications related to hyponatremia