JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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ADVANTAGES OF MINIMALLY INVASIVE SPINE SURGERY FOR THE TREATMENT OF THORACOLUMBAR FRACTURES: A SYSTEMATIC REVIEW
Full text linkBackground: Thoracolumbar spine fractures are the most common vertebral fractures. Trauma to the thoracolumbar spine can cause disability, spinal deformity, neurological deficits, psychological, economic and social problems. Safe and effective treatment is very important. Currently, the miss approach is only used for the management of type A (AO classification) and stable thoracolumbar fractures.
Objective: this systematic review aims to determine the advantages of using the miss approach compared to the open approach in the treatment of thoracolumbar fractures.
Method: Using a systematic review method, this study searches for literature that matches the criteria in the PubMed electronic database and the wiley online library. There are 644 samples (290 samples of the MISS approach and 354 samples of the open approach) from seven articles that match the criteria that we have determined. Next, we extract data from our entire sample to find out the advantages of the MISS approach.                      Â
Results: The MISS approach provides advantages in intraoperative (reduced operating time and blood loss) and early postoperative (reduced VAS score and hospitalization). In addition, the MISS approach also has advantages in the form of: minimal CSA, low transfusion requirements, and has a good ODI score. After more than one year of follow-up, the miss approach had the same neurologic recovery and risk of complications as the open approach.
Conclusion: A minimally invasive approach provides an advantageous and safer to the management of all types of thoracolumbar fractures.
Keywords: Advantage, Minimally Invasive, Open Surgery, Thoracolumbar Injuries
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PARTISIPASI AYAH DALAM PENGASUHAN DENGAN PERKEMBANGAN ANAK USIA 12 – 24 BULAN
Full text linkBackground: The presence of a father in parenting is as important as a mother. Only 3.9% of fathers' participation in parenting has an impact on the progress of children's development. The involvement of fathers in child care is very supportive of the growth and development of children and has a positive impact on children.
Objectives: The purpose of this study was to analyze the relationship between father's participation in parenting and the development of children aged 12-24 months in Pulau Tengah Village, Muara Madras Health Center Region.
Method: This research is an analytic study with a cross-sectional study design. The sample in this study was fathers who have children aged 12-24 months, totaling 66 people. This research was carried out in the village of Pulau Tengah, the area of ​​the Muara Madras Public Health Center, Merangin Regency, Jambi Province. Data analysis using Fisher Exact test.
Results: The results showed that 56.1% of father's participation in parenting, 87.9% of normal development of children aged 12-24 months. There is a significant relationship between father's participation in parenting and the development of children aged 12-24 months, the value is 0.018 (Ï<0.05).
Conclussion There are many positive benefits with the involvement of fathers in parenting to improve child development, for that health workers should be able to provide correct and clear information or education that is easily understood by the community about the importance of father involvement in child care so that child care is not only the duty of the mother but also the mother work with parents.
Keywords: Father's participation; Child developmen
Immunoserology Tests In Myastenia Gravis
Full text linkABSTRACT
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Myasthenia Gravis (MG) is an autoimmune neuromuscular disease that cause weakness due to the presence of autoantibodies that affect acetylcholine receptors (AChR) at the post synapse. Myasthenia gravis is a rare disease, but its prevalence is increasing. Classic clinical symptoms are characterized by fluctuating weakness. Diagnosis of myasthenia gravis requires a combination of clinical symptoms, physical examination and confirmatory tests in the form of bedside tests, serological tests, electrodiagnostics and imaging. Among the confirmatory tests available, serological tests has high sensitivity and specificity. In most cases of myasthenia gravis due to the presence of autoantibodies against AChR, other endplate proteins, such as muscle-specific receptor tyrosine kinase (MuSK) or lipoprotein-related protein 4 (LRP4) can be targets of autoantibodies. There are several examination methods for detecting autoantibodies in myasthenia gravis, several tests have been developed and commercialized such as radioimmunoprecipitation assay (RIPA), enzyme-linked immunosorbent assay (ELISA), there are also tests using antigen-expressing cells/cell-based assay (CBA), which is still being developed. The RIPA examination method is still the examination of choice due to its high specificity and sensitivity. ELISA can be an alternative to RIPA examination. CBA is more sensitive than RIPA but its use is still limited.
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Chronic Renal Failure in a Post-Kidney Transplant Patient with Kidney Graft Hydronephrosis and Renal Anemia
Full text linkABSTRACT
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A kidney transplant is the ideal option for End Stage Renal Disease (ESRD). A successful kidney transplant will improve the excretory function of the kidney so that it can return the quality of life for patients with Chronic Kidney Disease (CKD) to normal. However, in some cases of transplant recipients, the grafted kidney does not function optimally due to several complications. Post-kidney transplant complications may occur, which are classified into two groups, namely surgical and medical complications. Cases of obstruction characterized by hydronephrosis of the graft kidney, a post-transplant surgical complication. The most common location is where the ureter implants into the bladder, namely the distal 1/3 ureter. The most important medical or non-surgical complications are rejection or rejection reactions ranging from acute, hyperacute and chronic. Chronic rejection is the gradual loss of function of the transplanted organ over several months to years after the organ is functioning normally. Chronic rejection is difficult to treat where the use of immunosuppression is of little use because the damage has already occurred, so the patient again needs another renal replacement therapy, namely hemodialysis. The following is a case report of a patient after a kidney transplant six years ago, experienced decreased kidney function again and had to receive hemodialysis therapy due to a kidney graft/hydronephrosis graft
CASE REPORT: PHARINGEAL TUBERCULOSIS WITH MILLIARY TUBERCULOSIS
Full text linkBackground: Tuberculosis (TB) based on its manifestations is divided into two, pulmonary and extra pulmonary. Extrapulmonary TB can be miliary TB and pharyngeal TB. Miliary TB is spread by hematogenous spread to several organs. The diagnosis of extrapulmonary TB takes a long time, an accurate examination can determine extrapulmonary TB infection.
Case Presentation: A 47-year-old man complained of recurrent pharyngitis and with symptoms of the respiratory system. Physical examination revealed white granulomatous lesions of the pharyngeal mucosa. The results of the tissue biopsy were performed with Ziehl Neelsen staining. The chest x-ray showed miliary tuberculosis. Diagnostic confirmation using sputum and tissue culture on Lowenstein Jensen medium, MPT64, and niacin paper strip test. Gene Xpert results detected Mycobacterium TB and Rifampicin resistance. Antituberculosis is given for four months.
Conclusion: Physical examination of the throat revealed granulomatous inflammation and chest X-ray revealed miliary tuberculosis. The results of sputum and tissue culture on Lowenstein Jensen medium, MPT64, and paper strip test for niacin showed positive TB.
Keywords: Pharyngeal tuberculosis, miliary tuberculosis, extrapulmonary tuberculosis
A CASE REPORT: THE STRATEGY OF CORNEAL ULCERS
Full text linkIntroduction: Corneal ulcers are considered an ophthalmologic emergency because of their potential to permanently impair vision or perforate the eye. Accurate and quick diagnosis and prompt treatment is a key to improve clinical and visual outcomes in cases of corneal ulceration. In case of medical treatment failure, resulting in ulcer perforation, surgical care is required. Here we make an attempt to provide an overview on diagnostic approach and management protocol of corneal ulcer.
Case Presentation: In this paper, we present the case of male 40-year-old presented with complaints of pain and defective vision in the right eye. Visual examination of the right eye is 1/~. It was found, palpebral edema, hyperemic tarsal conjunctiva. The bulbar conjunctiva showed conjunctival injection, ciliary injection. The cornea looks completely cloudy, the surface is not slippery, infiltrates and edema. The patient was treated with medical and surgical therapy, and then the patient’s have a good clinical response and was able to return to work.
Conclusion: Indonesian farmers have highrisk of fungal corneal ulcers. Fungal corneal ulcers is important cause of corneal blindness all over the world especially in develoving countries. Fungal corneal ulcers can diagnosis by slitlamp biomicroscopic examination and culture are essential for early specific diagnosis and must be taken consideratiaon to establish the most effective treatment and avoid severe complications.
Keywords: Fungal Corneal Ulcers, Blindness, Optimal Treatment of Corneal Ulcers, Tissue Discontinuit
Comparison Of Non-Surgical Managements Versus Surgical Managements Of Chronic Anal Fissure
Full text linkABSTRACT
Anal fissure is a tear of the anoderm distal to the dentate line and is very common in all age groups, with an equal incidence in males and females. Most acute anal fissures heal without surgical intervention but chronic anal fissures are usually more difficult to treat due to recurrence and complications. In addition, chronic anal fissures also have a negative impact on quality of life. Management of anal fissures consists of non-surgical and surgical where the healing rate of chronic anal fissures is higher with surgical management. However, surgery carries a risk of incontinence. This article discusses the comparison of the results of non-surgical management with surgical management of chronic anal fissures.
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PEMANFAATAN TEKNOLOGI INFORMASI BERBASIS WEBSITE DAN ANDROID SEBAGAI MEDIA PELAPORAN DAN PROMOSI ANTINARKOBA : LITERATURE REVIEW
Full text linkBackground :Information technology is needed in today's era to support the dissemination of certain information. Utilization of website and android-based information technology can be used for media reporting and health promotion facilities.
Objective: This study aims to analyze and design website and android-based information technology as a medium for reporting and promoting drugs at the Recipient Institution of Compulsory Reporting (IPWL) at the Regional Hospital of Jambi Province.
Method : This study uses a literature review method.
Result: This research resulted in website collaboration technology with android to create mobile applications in providing drug promotion (education) to the public about the dangers of drugs, and reporting data for IPWL officers.
Conclusion: The results of this study are intended to assist parties involved in the drug eradication movement in Indonesia.
Keywords: Reporting, Promotion, IPWL, Website, Android, Information Technolog
Risk Factor Analysis of Diarrhea in Medical Students
Full text linkABSTRACT
Background: Diarrhea is a condition of increased frequency of defecation more than 3 times along with liquid stool consistency followed by mucus or blood. In Indonesia alone in 2019, the reported incidence of diarrhea was 2,549 people with a case fatality rate of 1.14%. This study aims to analyze the risk factors for diarrhea in university students.
Methods: This study is an observational analytic descriptive study with a cross sectional study design. This study used a sample of 132 students who were determined by purposive sampling technique. Questionnaires were used as data collection instruments. Data analysis was carried out using bivariate and univariate tests with logistic regression techniques with a p <0.05 indicating data significant.
Results: Based on the research that has been done, 54 male subjects and 78 female subjects were obtained. Most of the research subjects experienced diarrhea with a frequency of 3 to 4 times a month (55.3%) which was associated with environmental and psychological factors with significant levels of p < 0.043 and p < 0.049, respectively.
Conclusion: Environmental and psychological factors have a significant relationship partially with the incidence of diarrhea in students of the Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya
Herpetic Neuralgia After Inactivated Covid-19 Vaccination : A Case Report
Full text linkABSTRACT
The COVID-19 pandemic has made prevention procedures against the rapidly spreading infection a top priority. Inactivated COVID-19 vaccines have been developed and authorized for use in some countries including Indonesia, where the Sinovac vaccine has been distributed to health care workers and the elderly. There have been no reports of herpes zoster reactivation after the Sinovac vaccine in Indonesia yet. Advanced age may be a risk factor in reduction of cell-mediated immunity that related to VZV reactivation.However, this article reports an unusual case of varicella zoster virus (VZV) reactivation in a patient who received the COVID-19 vaccine. This is the first case of VZV reactivation following Sinovac COVIDâ€19 vaccination. It is very difficult to establish a straightforward relationship between herpes zoster and inactivated COVIDâ€19 vaccine, immune dysregulation created by the vaccine may play a role in the reactivation of latent VZV infection in the current case. There is a need for further review and studies in the future