JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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Pengaruh Pemberian Kurma Muda (Phoenix dactylifera) Terhadap Kadar Esterogen Pada Tikus Putih (Rattus norvegicus)
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Background: Infertility may give an impact on psychosocial. In Indonesia, the habit of consuming young dates is often done by couples to increase fertility. Estrogen is one of the factors that play a role in the menstrual cycle. The lack of scientific evidence of young dates consumption effects on female reproduction has led to this study.
Method: This study used an experimental design using 28 female Sprague-Dawley rats which were randomly divided into 4 groups. Group I to III was given young dates in successive doses: 17 mg, 34 mg, 68 mg per 200 grams of body weight and group IV was given distilled water (aqua dest). The treatment was carried out for 28 days. Estradiol levels were examined before treatment during the proestrus phase which was known from microscopic examination of rat vaginal swabs. The treatment begins during the proestrus phase.
Result: There is an increase of mean baseline and post-treatment estradiol levels 24.48 and 25.03 respectively
Conclusion: There is no significant increase of B-Estradiol levels of female Spague-Dawley rat uterus as the effect of giving young dates (Phoenix Dactylifera).
Keywords: Dates, Î’-Estrodiol, Rats
ABSTRAK
Latar Belakang : Infertilitas dapat memberikan dampak psikososial. Di Indonesia, Kebiasaan mengkonsumsi kurma muda sering dilakukan oleh pasangan untuk meningkatkan kesuburan. Hormon estrogen merupakan salah satu faktor yang berperan dalam siklus menstruasi. Belum adanya bukti ilmiah efek konsumsi buah kurma muda terhadap reproduksi wanita mendorong dilakukannya studi ini.
Metode: Penelitian ini menggunakan desain ekperimental menggunakan tikus Sprague dawney betina sebanyak 28 ekor yang dibagi secara acak menjadi 4 kelompok. Kelompok I-III diberikan kurma muda dosis berturut -turut 17 mg, 34 mg, 68 mg per 200 gram BB dan kelompok IV diberikan aquadest. Perlakuan dilakukan selama 28 hari. Kadar hormon estradiol diperiksa sebelum perlakuan saat fase proestrus yang diketahui dari pemeriksaan mikroskopis swab vagina tikus dan sebelum terminasi. Perlakuan dimulai saat fase proestrus. Terminasi dilakukan pada hari ke-29 saat fase proestrus.
Hasil: Terdapat peningkatan rerata kadar estradiol baseline dan paska perlakuan adalah 24,48 dan 25,03.
Kesimpulan: Tidak terdapat peningkatan yang signifikan kadar B-Estradiol pada uterus tikus Spague Dawney terhadap efek pemberian buah kurma muda (Phoenix Dactylifera).
Kata kunci: Kurma, Î’-Estrodiol, Tiku
Hubungan Imunoekspresi Annexin V (ANX V) dengan Histopatologi Jaringan Kuretase pada Abortus Berulang
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Background : Abortion the ending of pregnancy due to removing an embryo or fetus before it can survive outside the uterus. Examination on placental tissue currently does not provide much information. Annexin V (ANX V), formerly known as placenta anticoagulant protein and alpha coagulant vascular, is found in the placenta and vascular endothelium and several other tissues. This ANX V is found at the top of the placenta syncytiotrophoblast, and it is also found that this protein content freely decreases with the antiphospholipid syndrome (APS). This study aimed to assess the relationship between the description of ANX V expression and histopathology of curettage tissue in patients with recurrent abortion.
Methods : This study was conducted using curettage tissue samples of patients with recurrent abortion in the Obstetrics and Gynecology section of Abdul Manap Hospital and Baiturahim Hospital in February to August 2018. The collected samples were diagnosed with HE preparations, to determine histopathological features in each group, villi infarction. hydrophic villi, sincytial knots, fibrin stroma and inter villi thrombus with the highest total score were 15. Then immunohistochemical assessment with Annexin V (ANX V) results compared with positive controls and negative controls with cut-off points 10%.
Results: We have found a recurrent abortion sample with positive Annexin V immunoexpression, which is the most common histopathological score of 11-15 on recurrent abortion (p = 0.001 and r = -0.784)
Conclusion: There is a relationship between immunohistochemistry ANX V with histopathological features of recurrent abortion curettage.
Keywords: Annexin V, Histopathology, Recurrent abortion
ABSTRAK
Latar Belakang: Abortus adalah keadaan pengeluaran hasil konsepsi sebelum janin dapat hidup di luar kandungan. Pemeriksaan pada jaringan plasenta saat ini tidak banyak memberikan informasi. Annexin V (ANX V), dulu dikenal dengan placental anticoagulant protein I dan vascular coagulant alfa, ditemukan di plasenta dan endotel vaskular dan beberapa jaringan yang lain. ANX V ini ditemukan di puncak permukaan sinsitiotrofoblas plasenta, dan ditemukan pula bahwa kadar protein ini secara bermakna menurun di villi plasenta penderita abortus dengan antiphospholipid syndrome (APS). Penelitian ini bertujuan melihat hubungan gambaran ekspresi ANX V dengan histopatologi jaringan kuretase pada penderita abortus berulang.
Metode : Penelitian ini dilakukan dengan menggunakan sampel jaringan kuretase pasien abortus berulang di bagian Obstetri dan Ginekologi RS Abdul manap dan RS Baiturahim periode februari sampai agustus 2018. Sampel yang terkumpul dilakukan diagnosis terhadap sediaan HE, untuk menetukan gambaran histopatologis pada masing-masing kelompok yaitu infark villi, hidrofik villi, sincytial knots, fibrin stroma serta trombus inter villi dengan skor total tertinggi adalah 15. Kemudian dilakukan pemulasan dan penilaian imunohistokimia dengan Annexin V (ANX V) Hasil pulasan imunohistokimia Anti ANX V dibandingkan dengan kontrol positif dan kontrol negative dengan cut-off point 10%.
Hasil: Didapatkan 30 sampel abortus berulang dengan imunoekspresi Annexin V positif, didapatkan paling banyak dengan skor histopatologi 11- 15 pada abortus berulang (p = 0.001 and r = -0.784).
Kesimpulan: Terdapat hubungan antara imunohistokimia ANX V dengan gambaran histopatologi pada kuretase abortus berulang.
Kata Kunci: Annexin V, Histopatologi, Abortus berulan
PENGARUH DIET KETOGENIK TERHADAP PROLIFERASI DAN KETAHANAN SEL PADA JARINGAN PANKREAS
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The ketogenic diet is a diet that uses a lot of fat as an energy source and reduces carbohydrate and protein consumption when the body does not get enough glucose from carbohydrates, the body usually uses alternative energy sourced from the ketone body, namely acetoacetate and b-hydroxybutyrate. The ketone body comes from the breakdown of fatty acid metabolism in the liver where at the moment the concentration is low in the blood. Ketogenic diet is a diet that uses a lot of fat as an energy source and reduces carbohydrate consumption. The ketogenic diet makes the body burn fat instead of carbohydrates.
The pancreas is the center of control of energy metabolism. The role of metabolism affected by endocrine function of the pancreas is located on the islands of langerhans, in the form of epithelial cells spread throughout the organs. Changes in diet patterns will certainly have an impact on proliferation and apoptosis cell in pancreas.
Keywords: ketogenic diet, pancreas, proliferation, cell resistance
ABSTRAK
Diet ketogenik adalah diet yang menggunakan banyak lemak sebagai sumber energi dan mengurangi konsumsi karbohidrat dan protein ketika tubuh tidak mendapatkan cukup glukosa dari karbohidrat, tubuh biasanya menggunakan energi alternatif yang bersumber dari tubuh keton, yaitu asetoasetat dan b- hidroksibutirat. Tubuh keton berasal dari pemecahan metabolisme asam lemak di hati di mana saat ini konsentrasi rendah dalam darah. Diet ketogenik adalah diet yang menggunakan banyak lemak sebagai sumber energi dan mengurangi konsumsi karbohidrat. Diet ketogenik membuat tubuh membakar lemak, bukan karbohidrat.
Pankreas adalah pusat kendali metabolisme energi. Peran metabolisme yang dipengaruhi oleh fungsi endokrin pankreas terletak di pulau-pulau langerhans, dalam bentuk sel-sel epitel yang menyebar ke seluruh organ. Perubahan pola diet tentu akan berdampak pada proliferasi dan sel apoptosis pada pankreas.
Kata Kunci: diet ketogenik, pankreas, proliferasi, resistensi se
STUDI KASUS: OBSERVASI PENERAPAN METODE BEDSIDE PADA PROSES BEDSIDE TEACHING DI BANGSAL PENYAKIT DALAM RUMAH SAKIT SARDJITO YOGYAKARTA
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Bedside teaching is an excellent opportunitiy for spontaneuous interaction between student, clinical supervisor, and patient. In bedside teaching sessions there are possibilities for appropriate and inappropriate encounter. Clinical supervisor observes and gives feedback in order to create a useful bedside teaching session for student. Bedside teaching session observed in Internal Ward of Sardjito Hospitol has applied Briefing, Expectation, Demonstration, Specific feedback, Inclusion of microskill teaching, Debriefing and Education accordingly. Student has obtained optimal learning opportunity from the event.
Keywords: Bedside teaching, clinical, feedback
ABSTRAK
Bedside teaching adalah suatu kondisi yang baik untuk interaksi yang spontan antara mahasiswa, pembimbing klinik, dan pasien. Dalam sesi Bedside teaching terdapat kemungkinan terjadi prosedur yang sesuai ataupun yang kurang sesuai. Seseorang pembimbing klinik berperan untuk mengamati dan memberi umpan balik sehingga dapat menjadi sesi bedside teaching yang berguna bagi mahasiswa. Pelaksanaan Bedside teaching di Bangsal Penyakit Dalam RS Sardjito menerapkan tahapan Briefing, Ekspektasi, Demonstrasi, Umpan balik spesifik, Penerapan pengajaran microskill, Debriefing, dan Edukasi telah diterapkan dengan baik. Mahasiswa memperoleh manfaat yang optimal dari proses tersebut.
Kata kunci: Bedside teaching, klinik, umpan bali
PERBEDAAN ANTARA pH SALIVA DAN AKTIVITAS ENZIM AMILASE MAHASISWA YANG MEROKOK DENGAN MAHASISWA YANG TIDAK MEROKOK
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Introduction: Cigarettes can cause disturbances in the oral cavity. From previous research it is known that the daily consumption of cigarettes increases the decrease of salivary secretion and the content of bicarbonate. This will have an effect on the decrease of pH saliva. Low salivary pH also has an impact on decreased amylase enzyme activity. Departing from the basic theory, the researchers wanted to see if there are differences in salivary pH and amylase enzyme activity in students who smoke with non-smokers at the Faculty of Medicine and Health Sciences Jambi University.
Methods This study is a case control study that compares two groups consisting of case groups ie students who smoke and control groups ie students who do not smoke with the number of research samples compared to 1: 1. For the case group, the samples were taken in total sampling from the Jambi University medical students who smoked 39 people while the control group was taken from the non-smoking students of 39 persons who chose proportional random sampling. Performed salivary pH examination and measurement of ptialin enzyme activity on respondents. The research data were tested statistically using Independent t-test to see the difference of salivary pH and amylase enzyme activity in students who smoked with non-smokers.
Results Mean pH saliva of students who smoke is 6.64 ± 0.25. The mean pH of non-smoking student saliva was 7.04 ± 0.28. The average of enzyme activity of amylase student who smoke is 16,33 ± 7,51 second. The average activity of non-smoking student amylase enzyme was 4.28 ± 2.68 seconds. The P value for the Independent t test of saliva pH and amylase enzyme activity among students who smoked with non-smokers was 0.00.
Conclusions: There was a significant difference between salivary pH and amylase enzyme activity among smoking students with non-smokers.
Keywords: smoking, salivary pH, amylase
ABSTRAK
Pendahuluan: Rokok dapat menyebabkan gangguan pada rongga mulut. Dari penelitian sebelumnya diketahui bahwa konsumsi rokok harian yang meningkat berdampak terhadap penurunan sekresi saliva dan kandungan bikarbonat. Hal ini akan berdampak pada terjadinya penurunan pH saliva. pH saliva yang rendah juga berdampak pada penurunan aktivitas enzim amilase. Berangkat dari dasar teori tersebut, peneliti ingin melihat apakah ada perbedaan pH saliva dan aktivitas enzim amilase pada mahasiswa yang merokok dengan mahasiswa yang tidak merokok di Fakultas Kedokteran dan Ilmu Kesehatan universitas Jambi.
Metode Penelitian ini merupakan penelitian case control yang membandingkan 2 kelompok yang terdiri atas kelompok kasus yaitu mahasiswa yang merokok dan kelompok kontrol yaitu mahasiswa yang tidak merokok dengan jumlah sampel penelitian berbanding 1:1. Untuk kelompok kasus, sampel diambil secara total sampling dari mahasiswa kedokteran Universitas Jambi yang merokok sejumlah 39 orang sedangkan kelompok kontrol diambil dari mahasiswa yang tidak merokok sejumlah 39 orang yang pilih secara proporsional random sampling. Dilakukan pemeriksaan pH saliva dan pengukuran aktivitas enzim ptialin pada responden. Data penelitian yang didapat diuji secara statistik menggunakan Independent t-test untuk melihat perbedaan pH saliva dan aktivitas enzim amilase pada mahasiswa yang merokok dengan mahasiswa yang tidak merokok.
Hasil Rerata pH saliva mahasiswa yang merokok adalah 6,64±0,25. Rerata pH saliva mahasiswa yang tidak merokok adalah 7,04±0,28. Rerata aktivitas enzim amilase mahasiswa yang merokok adalah 16,33±7,51 detik. Rerata aktivitas enzim amilase mahasiswa yang tidak merokok adalah 4,28±2,68 detik. Nilai P untuk Independent t test dari pH saliva dan aktivitas enzim amilase antara mahasiswa yang merokok dengan mahasiswa yang tidak merokok adalah 0,00.
Kesimpulan: Terdapat perbedaan yang bermakna antara pH saliva dan aktivitas enzim amilase antara mahasiswa yang merokok dengan mahasiswa yang tidak merokok.
Kata Kunci: merokok, pH saliva, amilas
PENGARUH PEMBERIAN EKSTRAK ETHANOL BIJI BUAH PINANG (ARECA CATECHU L.) TERHADAP PERTUMBUHAN STAPHYLOCOCUS AUREUS SECARA IN VITRO
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Background: Infectious disease is known as a global concern because of the irrational, excessive and long term use of antibiotics especially in Staphylococcus aureus infection. The unecessarily use of antibiotics can creat a resistance issue such as MSSA, MRSA, VISA and VRSA. So as a new alternative that is being developed in medicine, herbal plants are used. Areca nut (Areca catechu. L) is a herbal plant that is found in Indonesia, especially in Province of Jambi, betel nut is one of the best in the world. The aim of this study are to investigate phytochemical components and inhibition effect Staphylococcus aureus ATCC 25923 using dry ethanol extract of betel nuts at concentrations 20%, 30%, 40% and 50% in vitro.
Method: Antibacterial sensitivity tests against Staphylococcus aureus ATCC 25923 were performed using dry ethanol extract of betel nuts (Areca catechu. L) with various concentrations on each group. Group I is treated nut with a concentration of 20%, Group II with a concentration of 30%, Group III with a concentration of 40%, Group IV with a concentration of 50%, the group V as a negative control (distilled) and group VI as a positive control that was given amoxicillin clavulanate 30μg. Then the inhibitory effects of these treatments are measeure and classified by the Davis and Stout classification in 1971. The data analysis began with Saphiro Wilk test and then with levent test statistic. Because distributed data is not normal, the analysis continued with Kruskal Wallis test and Post Hoc test.
Results: Results of this study showed that the ethanol extract of betel nuts can inhibit the growth of S. aureus, which is a concentration of 20% with a diameter of 13,63mm, concentration of 30% with a diameter of 15mm, concentration of 40% with a diameter of 15,5mm, concentration of 50% with a diameter of 14,7mm compared to the positive control 30μg amoxicillin clavulanate in inhibiting the growth of S. aureus with a diameter of 34,25mm.
Conclusion: The ethanol extract of betel nuts can inhibit the growth of Staphylococcus aureus in vitro. Areca seed extract with concentration of 40% is the optimum concentration to inhibit the growth of Staphylococcus aureus.
Keywords: Staphylococcus aureus, Areca catechu. L, Sensitivity Test.
ABSTRAK
Latar Belakang : Penyakit infeksi merupakan masalah yang menjadi perhatian global, oleh karena penggunaan antibiotik yang irasional, berlebihan dan dalam jangka waktu yang lama, terurama infeksi yang disebabkan oleh Staphylococcus aureus. Hal ini dapat menimbulkan masalah baru resistensi antibiotik seperti MSSA, MRSA, VISA dan VRSA. Maka sebagai alternatif baru yang sedang dikembangkan dalam pengobatan yaitu dengan menggunakan tanaman herbal. Pinang (Areca catechu. L) merupakan tanaman herbal yang banyak ditemukan di Indonesia terutama Propinsi Jambi, pinang ini merupakan salah satu pinang terbaik di dunia. Tujuan dari penelitian ini adalah untuk mengetahui komponen fitokimia dan daya hambat ekstrak ethanol biji buah pinang terhadap pertumbuhan Staphylococcus aureus ATCC 25923 secara in vitro pada konsentrasi 20%, 30%, 40% dan 50%.
Metode : Ekstrak ethanol biji buah pinang kering (Areca catechu. L) dilakukan uji sensitifitas antibakteri terhadap Staphylococcus aureus ATCC 25923 dengan berbagai konsentrasi pada masing – masing kelompok. Kelompok I yaitu perlakuan pinang dengan konsentrasi 20%, kelompok II dengan konsentrasi 30%, kelompok III dengan konsentrasi 40%, kelompok IV dengan konsentrasi 50%, kelompok V sebagai kontrol negatif (Aquades) dan kelompok VI sebagai kontrol positif dengan diberikan Amoksisilin Klavulanat 30µg. Kemudian diukur efek inhibisi dari perlakuan tersebut dan digolongkan berdasarkan penggolongan Davis and Stout 1971. Analisis data diawali dengan uji Saphiro-Wilk dan dilanjutkan dengan uji Levene, oleh karena data terdistribusi tidak normal maka dilakukan uji Kruskal Wallis dan uji Post Hoc.
Hasil : Hasi penelitian menunjukkan bahwa ekstrak ethanol biji buah pinang dapat menghambat pertumbuhan S. aureus, yaitu konsentrasi 20% dengan diameter 13,63mm, konsentrasi 30% dengan diameter 15mm, konsentrasi 40% dengan diameter 15,5mm, konsentrasi 50% dengan diameter 14,7mm. Terdapat pengaruh Areca catechu. L dalam menghambat pertumbuhan Staphylococcus aureus ATCC 25923.
Kesimpulan : Ekstrak ethanol biji buah pinang dapat menghambat pertumbuhan Staphylococcus aureus secara in vitro. Konsentrasi ekstrak biji buah pinang 40% merupakan konsentrasi optimum dalam menghambat pertumbuhan Staphylococcus aureus.
Kata Kunci : Staphylococcus aureus, Areca catechu. L, Uji Sensitifitas
SKRINING MALARIA DENGAN RAPID DIAGNOSTIC TEST DAN PERILAKU PENGOBATAN MALARIA PADA ORANG RIMBA DI DESA BUKIT SUBAN DAN DESA SEKAMIS KABUPATEN SAROLANGUN TAHUN 2016
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Backgrounds : Rapid Diagnostic Test (RDT) is a imunologic methode to diagnose malaria. Mostly, Orang Rimba hunt nomadically. Orang Rimba have traditional medicine to cure malaria. The purposes of this research are to know the incident of malaria based on RDT and malaria treatment behaviour of Orang Rimba.
Methode : This research was descriptive study. The populations of this research were Orang Rimba in Desa Bukit Suban and Sekamis, Kabupaten Sarolangun. The number of samples in this research is 49 respondents. The sample was taken by systematic random sampling. Data were analyzed with univariat analysis.
Result : The result showed that 16,7 % had malaria positive, P. vivax was the dominat species of plasmodium (62,5%). Mostly the aged of respondent was 5-11 years old (41,7%), the gender was male (58,3%), occupation was doesn’t work (56,3%), marriage status was marriage (56,3%). Most of Orang Rimba had worse knowladge level (53,6%), the mostly used term in Orang Rimba was demam kuro (50%), only (42,9%) respondents knew the trias of malaria, only 9 respondents knew that cause of malaria was mosquito’s bites, Orang Rimba mostly knew the danger of malaria (85,7%) and the complication of malaria (89,3%), and knew that malaria could be cured (82,1%). The users of modern combined with traditional medicine were as much as 57,1%, Orang Rimba mostly used ≥ 3 kinds of traditional medicine 53,6%, traditional medicine was mostly processed by boiling (24 respondents) and mostly knew one way of processing the traditional medicine (57,1%), traditional medicine was mostly for being eaten or drunk and external medicine (50%), the duration of using traditional medicine was mostly 2-3 days (46,4%), Orang Rimba mostly said that traditional medicine was efficacious (92,9%).
Conclusions : The incident number of malaria was 16,7% and the mostly users of modern combined with traditional medicine were as much as 57,1%.
Keywords : Malaria, RDT, orang rimba, malaria treatment behaviour
Abstrak
Latar Belakang : Rapid Diagnostic Test (RDT) merupakan metoda imunologik untuk mendiagnosis malaria. Lokasi berburu Orang Rimba cenderung berpindah-pindah. Orang Rimba memiliki kearifan lokal dalam mengobati malaria. Tujuan penelitian ini adalah untuk mengetahui skrining malaria berdasarkan RDT dan perilaku pengobatan malaria pada Orang Rimba.
Metode : Penelitian ini merupakan penelitian deskriptif. Populasi penelitian seluruh Orang Rimba yang berada di Desa Bukit Suban dan Sekamis. Jumlah sampel pada penelitian ini adalah 48 responden. Pengambilan sampel menggunakan teknik Systematic Random Sampling. Data dianalisis dengan analisis univariat.
Hasil : Dari hasil penelitian didapatkan 16,7% positif malaria, jenis plasmodium yang dominan adalah P. vivax (62,5%). Sebagian besar responden berusia 5-11 tahun (41,7%), sebagian besar berjenis kelamin laki-laki (58,3%), sebagian besar pekerjaan responden tidak bekerja (56,3%), sebagian besar berstatus kawin (56,3%). Sebagian besar Orang Rimba memiliki tingkat pengetahuan kurang baik (53,6%), sebagian besar menggunakan istilah demam kuro untuk menyebutkan malaria (50%), hanya 42,9% yang mengetahui trias malaria, hanya 9 responden yang menjawab penyebab malaria adalah gigitan nyamuk, sebagian besar mengetahui bahaya malaria 85,7%, jenis bahaya malaria 89,3%, dan mengetahui bahwa malaria dapat disembuhkan 82,1%. Pengguna pengobatan modern dikombinasi dengan pengobatan tradisional sebanyak 57,1%, sebagian besar menggunakan ≥ 3 jenis obat tradisional (53,6%), cara pengolahan yang paling banyak dengan cara direbus (24 responden) dan mengetahui 1 cara pengolahan (57,1%), cara pemakaian yang paling banyak dengan dimakan atau diminum dan obat luar (50%), lama penggunaan yang paling banyak selama 2-3 hari (46,4%), sebagian besar mengatakan obat tradisional berkhasiat (92,9%).
Kesimpulan : Angka kejadian malaria sebesar 16,7% dan upaya pengobatan malaria terbanyak adalah dengan pengobatan modern dikombinasi dengan pengobatan tradisional (57,1%).
Kata Kunci : Malaria, RDT, orang rimba, perilaku pengobatan malari
THE INFLUENCE OF VIDEO LEARNING MEDIA ADDITION ON NEUROMOTORIC PHYSICAL EXAMINATION CLINICAL SKILL OF MEDICAL STUDENT FACULTY OF MEDICINE AND HEALTH SCIENCES JAMBI UNIVERSITY
Get PDFBackground: Learning Clinical skills are one of the forms in learning on medical education curriculum which is aimed at improving ability of clinical skills and communication of medical students. Clinical Skill lab (CSL) is a tool for students to learn basic clinical skills whose training will not be detrimental and safe for patient. The addition of video learning media in clinical skills learning is one way to improve medical students clinical skills ability.
Research Objectives: This study aims to see the effect of video learning media addition on neuromotoric Physical examination clinical skills of Medical students FKIK UNJA.
Method: Experimental research with two groups post-test design only was held at PSKed FKIK UNJA in March-October 2017 and involving 128 students who underwent blok 1.2. The sample was divided into 2 groups and will get two different treatments. The first group had treatment in the form of CSL with was accompaniment by instructor and given the module. In the second group got the same treatment with the addition of a learning media in the form of a neuromotoric examination video. Influence of the treatment was assessed through a final evaluation of clinical skills in both groups
Result: Based on the research result , the group of students who were given the addition of video learning media, has a higher average value (87.1) than the value average group of students who were not given video (80.3) and there is
a significant difference in the value of the group of students receiving the video with the value of students who did not get video (p = 0.02)
Conclusion: the provision of video learning media on CSL learning Blok 1.2 is quite effective in improving neuromotoric physical examination clinical skill of Medical students FKIK UNJA.
Keywords: clinical skills, learning media, video, medical student
UKURAN ANTROPOMETRI GIZI YANG BERHUBUNGAN DENGAN PREDIABETES PADA OBESITAS DI PEJAGALAN, JAKARTA
Get PDFPrevalence of prediabetes in Indonesia is increasing Type 2 Diabetes prevalence and its complications. Its complications is causing economic burden since one third of the costs of Indonesia national health insurance’s claim. Based on this problem, prediabetes is the right strategy to do but in practice it is an effective and efficient method for high-risk groups, namely obesity. The current assessment is the Body Mass Index (BMI) but has limitation for those with big muscle . Waist circumference is debated. Similarly, waist to height ratio is shown to have corellation to prediabetes. But, studies that explain which are the best anthropometry indicator that have strongest corellation to prediabetes is still limited. This study aims to determine the greatest association among these anthropometry indicators to predict prediabetes in the obese group. Methods: The study used a cross sectional study design for 166 adult respondents 21-65 years who met one of the criteria for obesity: BMI> 25 kg / m2; waist circumference> 80 cm in women or> 90 cm in men; weight to height ratio 0,5. Respondents had fasting for 8-10 hours before checking sugar with a glucometer. Analysis using SPSS 18.00 program, univariate analysis to describe characteristic respondents in the Pejagalan area, then performed linear regression analysis to see the difference between BMI, waist circumference, or the waist to height ratio with most related to prediabetes.
Results: The prevalence of prediabetes in obesity was 81 people (48.2%). Different age, BMI, and behavior in male and female respondents. Regression analysis showed that weight-to-height ratio is has strongest corellation in increasing risk of prediabetes.
Conclusion: Waist to heigt ratio can be a measure of nutritional anthropometry that is most associated with prediabetes.
Keywords: BMI, waist circumference, waist circumference - height, prediabete
KORELASI ANTARA ASUPAN VITAMIN D DENGAN KADAR 25(OH)D SERUM PADA PASIEN LUPUS ERITEMATOSUS SISTEMIK PEREMPUAN DEWASA
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Objective:
the aim of the study is to investigate the correlation between vitamin D intake and serum 25(OH)D concentration of adult woman SLE patients.
Methods:
A cross-sectional study was conducted in 36 adult woman patients with SLE from Rheumatology Clinic of the Departemen of Internal Medicine Dr. Cipto Mangunkusumo hospital. Data collection included age, SLE classification, drugs, skin type, use of sunscreen, part of the body covered by clothes, length of sun exposure, body mass index (BMI), vitamin D intake, and serum 25(OH)D concentration.
Results:
Most of the subjects (41.7%) aged 36–45 years old, classified as mild SLE (52.8%), always used sunscreen (63.9%), skin type IV (69.4%), wearing clothes that covered all or almost of the body (69.4%), and not exposed or had sun exposure less than 30 minute (77.8%). All subjects used corticosteroid. Based on BMI half of the subjects had normal body weight, Based on AKG 2012 most (55.6%) had adequate vitamin D intakes, and 28 subjects (77.8%) were in vitamin D-deficient (serum 25(OH)D concentration <50 nmol/L). There were moderate positive correlation between vitamin D intake and serum 25(OH)D concentration in subjects (r = 0.52; P <0.01).
Conclusion:
There were moderate positive correlation between vitamin D intake and serum 25(OH)D concentration of adult woman SLE patients (r = 0.52; P <0.01).
Key Words: Vitamin D; SLE; vitamin D intake; serum 25(OH)D concentration.
ABSTRAK
Tujuan:
Tujuan penelitian ini adalah mengetahui korelasi antara asupan vitamin D dengan kadar 25(OH)Dserum pada pasien lupus eritematosus sistemik perempuan usia dewasa.
Metode:
Penelitian ini merupakan penelitian potong lintang pada 36 pasien SLE perempuan dewasa dari Poliklinik Reumatologi di RS Dr. Cipto Mangunkusumo. Pengambilan data subyek meliputi usia, klasifikasi penyakit SLE, obat-obatan yang digunakan, tipe kulit, penggunaan tabir surya, bagian tubuh yang tertutup pakaian, lama terpajan sinar matahari, indeks massa tubuh (IMT), asupan vitamin D, dan kadar 25(OH)D serum.
Hasil:
Sebagian besar (41,7%) subyek berusia antara 36–45 tahun, tergolong klasifikasi SLE ringan (52,8%), selalu menggunakan tabir surya (63,9%), tipe kulit IV (69,4%), dan memakai pakaian yang menutupi seluruh/sebagian besar tubuh (69,4%), serta tidak terpajan dan terpajan sinar matahari <30 menit (77,8%). Semua subyek menggunakan kortikosteroid. Separuh subyek memiliki berat badan normal berdasarkan IMT, sebagian besar (55,6%) subyek mempunyai asupan vitamin D cukup berdasarkan AKG 2012, dan 28 subyek (77,8%) menderita defisiensi vitamin D ( kadar 25(OH)D serum <50 nmol/L). Didapatkan korelasi positif yang sedang antara asupan vitamin D dengan kadar 25(OH)D serum pada subyek penelitian (r = 0,52; P <0,01).
Kesimpulan:
Terdapat korelasi positif yang sedang antara asupan vitamin D dengan kadar 25(OH)D serum pada pasien SLE perempuan dewasa (r = 0,52; P <0,01).
Kata Kunci: Vitamin D; SLE; asupan vitamin D; kadar 25(OH)D serum