Jurnal Kesehatan Andalas
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Gambaran Karakteristik Pengetahuan, Sikap dan Perilaku Risiko Covid-19 Dalam Kerangka Desa Adat di Desa Gulingan, Mengwi, Bali
Full text linkDesa Gulingan adalah salah satu desa adat di Kecamatan Mengwi yang merupakan peringkat pertama kecamatan dengan kasus tertinggi Covid-19 di Kabupaten Badung sangat berpeluang mengalami peningkatan kasus akibat transmisi lokal. Berdasarkan hal tersebut hingga saat ini belum terdapat hasil deskriptif yang mengkaji pengetahuan, sikap, dan perilaku masyarakat Desa Gulingan dengan sistem sosial kemasyarakatannya yang berbasis budaya dalam kerangka desa adat. Tujuan: Mengetahui gambaran tentang pengetahuan, perilaku, perilaku beresiko Covid-19 pada masyarakat Desa Gulingan dalam kerangka desa adat. Metode: Ini adalah penelitian deskriptif dengan rancangan studi potong lintang dengan jumlah sampel yang memenuhi kriteria inklusi dan eksklusi sebanyak 144 sampel. Hasil kuesioner disajikan dalam bentuk numerik dan kategorik dan selanjutnya dilakukan proses analisis secara univariat dalam variabel. Hasil: Responden penelitian didominasi oleh laki-laki (55,3%), berstatus pendidikan SMA/sederajat (62,3%), status pekerjaan terbanyak adalah pegawai swasta (42,1%), sampel terbanyak diperoleh dari Banjar Angkeb Canging (20, 2%). Hasil kuesioner yang berpengetahuan baik (51,8%) berperilaku baik (66,7%), dan terbukti/berpraktik baik (56,1%) dalam pencegahan Covid-19. Simpulan: Pengetahuan, perilaku, dan sikap pada masyarakat Desa Gulingan yang baik dalam pencegahan virus corona dengan menerapkan kearifan lokal yakni dalam kerangka desa adat di Bali.Kata kunci: covid-19, desa Gulingan, pengetahuan, perilaku, sika
Uji Kesesuaian Hasil Pemeriksaan Sedimen Urine Metode Shih-Yung pada Volume Urine 10 mL dan 5 mL
Full text linkMicroscopic examination of urine sediment using shih-yung system requires 10ml urine volume. Pediatric patients and kidney disease patients with oliguria difficult to get 10mL urine samples, so it needs to be studied to determine the accuracy of results with smaller sample volumes. Objectives: To analyze agreement of urine sediment examination using Shih-yung system in 10 mL and 5 mL urine volume. Methods: This study was a cross-sectional analysis of 37 urine specimens that met inclusion and exclusion criteria at the central laboratory of Dr. M. Djamil Hospital from July to September 2020. Examination of erythrocyte sediment, leukocyte sediment, and non-hyaline cast using Shih-yung system was done in 10 mL and 5 mL urine volume. Data were analyzed using kappa reliability/agreement test and significant if p<0.05. Results: Agreement test of erythrocyte sediment examination using Shih-yung system in 10ml and 5mL urine volume were moderate significantly (κ=0.600; p<0.05), agreement of leukocyte sediment examination were moderate significantly (κ=0.571; p<0.05), and agreement of nonhialin cast examination were substantial significantly (κ=0.767; p<0.05). Conclusion: Agreement test of erythrocyte and leukocyte sediment examination in 10ml and 5mL urine volume is moderate, so 5ml urine volume was not recommended. Manual examination with microscope and difference in urine sample volume causing difference sediment concentration and amount of sediment per microscope field of view.Keywords: Shih-yung,  urine sediment,  urine volum
Analisis Pencapaian Program Imunisasi Dasar Lengkap Pada Masa Pandemi COVID-19 di Kabupaten Pesisir Selatan 2021
Full text linkBasic complete immunization coverage has decreased during the COVID-19 pandemic in Pesisir Selatan Regency. Objectives: To analyzed related factors of acceptance of basic complete immunization programs during the COVID-19 pandemic in Pesisir Selatan Regency. Methods: This research used qualitative methods with explanative design in three clusters of health center areas with 25 informants. The data were analyzed using the triangulation method through in-depth interviews and Focus Group Discussions (FGD). Results: The complete basic immunization has decreased in coverage during the COVID-19 pandemic because of the implementation of un maximum implementation due to lack of personnel accompanied by limited information media in remote areas causing lack of socialization, budget efficiency and no cooperation in each cluster, perceptions of halalness in rural areas, busyness parents in urban areas, non-compliance with health protocols in rural and remote areas, perceptions of no benefit in urban and remote areas, worry and fear of contamination COVID-19 in each cluster. Conclusion: The diversity of perceptions of each cluster causes a coverage has decreased of complete basic immunization during the COVID-19 pandemic in Pesisir Selatan Regency so that clustering on the implementation of complete basic immunization is needed.Keywords: complete basic immunization, coverage achievements, COVID-1
Review Literatur: Faktor Resiko Depresi dan Kecemasan Pada Tenaga Kesehatan Selama Wabah COVID-19
Full text linkCOVID-19 has created a state of anxiety and depression in health workers. Objectives: To identified what factors influence depression and anxiety. Methods: This literature summary used the PEOS framework. Search for articles through the ScienceDirect, PubMed, and Ovid databases in January 2021. The keywords used for the search for articles were (((((related factors) OR (risk factors)) AND (health workers)) OR (medical staff)) AND (anxiety)) AND (depression)) AND (covid 19). Results: The risk factors identified included age, gender, hours of work, front-line health workers, mental health, grade professional title, COVID-19 outbreak news or information, history of physical illness, negative experiences and social rejection, and fear of being exposed and transmitting COVID-19, and having children at home. Other risk factors included problems in the work environment, marital status, knowledge of COVID-19, quality of rest and sleep, living in the countryside, personal protective equipment, caring for family members, being infected with COVID-19, and bad family relationships. Many risk factors can trigger depression and anxiety. Conclusion:Â Health policymakers must take steps to control these risk factors.Keywords: Â depression; anxiety; COVID-19; healthcare worke
Pengaruh Kombinasi Metformin dan Ekstrak Kunyit terhadap Kadar High Density Lipoprotein, Interleukin-6 dan Tumor Necrosis Factor-a
Full text linkA  decrease in high-density lipoprotein (HDL) happens in type 2 diabetes mellitus. The cytokines TNFa and IL-6 are proinflammatory cytokines that are elevated in the blood in many patients with DM. Turmeric is one of the natural ingredients with antioxidant, anti-cholesterol, and anti-inflammatory properties through its active substance, curcumin. Objective: To prove the effectiveness of the combination of metformin and turmeric extract on HDL levels, TNFa levels, and IL-6 levels in Streptozotocin-Nicotinamide-induced Wistar rats. Methods: The study used a post-test-only controlled group design. The subjects were 24 male Wistar rats which were randomly divided into four groups, namely K1, K2, P1, and P2. The whole group was a type 2 DM model induced by streptozotocin-nicotinamide. Group K2 was given metformin 45mg/KgBW/day, group P1 was given turmeric extract at a dose of 200 mg/KgBW/day, and group P2 was given a combination of metformin and turmeric extract. On day 15, blood was drawn for HDL, IL-6, and TNFa examination. The data were analyzed using the one-way Anova test. Results: The mean HDL level in the P2 group (72,4±33,31) was the highest compared to the other three groups. The lowest mean TNFa level among the four groups was the P2 group (7,56±0,44). The lowest mean levels of IL-6 were obtained in the P2 group (58,82±2,15). One-way Anova test on HDL, IL-6, and TNFa levels showed a significant difference between groups with p-value = 0.000. Conclusion: The combination of metformin and turmeric extract can increase HDL levels and reduce IL-6 levels and TNFa levels better than giving metformin or turmeric extract alone.Keywords:  turmeric extract, HDL, IL-6, TNF
Can Purple Sweet Potato Water Extract (Ipomoea batatas L.) Induce Steatosis at Toxic Doses in Rat?
Full text linkPurple sweet potato (Ipomoea batatas L.) has a secondary metabolite that contains a lot of antioxidants. Some of the secondary metabolites in purple sweet potato have a hepatotoxic effect. Objective: To described the toxic effects of purple sweet potato water extract on steatosis in rats. Methods: This descriptive study was conducted on 29‒30 June 2019 in the Biomedical Laboratory of the Faculty of Medicine, Islamic Bandung University, with an in-vivo experimental design with random allocation techniques and using the proposed new method on 11 rats. One of the control rats was not given extract, and ten other rats were given a dose of purple sweet potato water extract 50, 200, 400, 800, 1000, 1500, 2000, 3000, 4000, and 5000 mg/KgBW/PO. The liver organ was harvested after 24 hours, and then slides were made at the Pathology Anatomy Laboratory of Padjajaran University. Results: The histopathological view did not find any steatosis either in macrovesicular or microvesicular, but other features were found in ballooning degeneration, sinusoidal dilation, and inflammation. Conclusion: Steatosis was not found because purple sweet potato contains anthocyanins and tannins.Keywords: purple sweet potato, steatosis, tanni
Hubungan Usia dan Kadar Prostate Specific Antigen (PSA) dengan Derajat Histopatologi Adenokarsinoma Prostat di RSUD Abdoel Wahab Sjahranie Samarinda
Full text linkAdenocarcinoma prostate generally occurs in older adults and maybe because of increase in prostate-specific antigen (PSA) levels.  It is essential to know the relationship between age and PSA levels with histopathological grade to determine the appropriate management in cases of prostate adenocarcinoma. Objective: To determined  the relationship between age and  PSA levels with the histopathological grade of prostate adenocarcinoma patients at Abdoel Wahab Sjahranie General Hospital, Samarinda. Methods: The research design was analytic observational with a cross-sectional study approach. The data was taken from the medical records of prostate adenocarcinoma patients at Abdoel Wahab Sjahranie Hospital Samarinda from 2018 until 2022 using the total sampling method. 52 patients met the inclusion criteria. Bivariate analysis using the Chi-square test. Results:This study showed that there was no relationship between age (p=0.433) and PSA levels (p=0.347) with the histopathological grade of prostate adenocarcinoma patients at Abdoel Wahab Sjahranie General Hospital, Samarinda. Conclusion: There was no significant relationship between age and PSA levels with the histopathological grade of prostate adenocarcinoma at Abdoel Wahab Sjahranie Hospital, Samarinda.Keywords: adenocarcinoma prostate, age,  histopathological degree, PSA level
Mitral Stenosis Berat pada Penyakit Jantung Rematik
Full text linkRheumatic Heart Disease (RHD) has high morbidity and mortality. Cardiac valve disorders after rheumatic fever are the leading cause of heart failure in children and young adults. A comprehensive understanding of RHD can help early diagnosis and provide optimal management in the future. It has been reported that a 55-year-old man came to the heart clinic of Bhayangkara Hospital Denpasar for routine control of heart disease. The patient has been diagnosed with rheumatic heart disease since 2018. The patient complains of shortness of breath when walking long distances and doing strenuous activities. The patient was diagnosed with CHF FC II ec RHD + MS moderate-severe (Wilkins score 8) + AF NVR (CHA2DS2VASc 3) and treated with heart failure and antiplatelet medication. Mitral stenosis due to RHD produces the typical pathological features seen in Transthoracic echocardiography (TTE), including fibrous thickening and calcification of the valve leaflets, fusion of the commissures, and thickening and shortening of chordae tendineae. Chronic stress overload on the LA due to MS can cause LA dilatation and trigger AF. RHD patients with AF are recommended for anticoagulation for stroke prevention. Patients with acute rheumatic fever clinical features should be evaluated further and given long-term therapy to prevent more severe heart problems.Keywords:  atrial fibrillation, mitral stenosis, rheumatic  heart  diseas
Efektivitas Video Edukasi Irigasi Hidung Terhadap Kesembuhan Pasien Rhinorrhea di RSUD Ibnu Sina Gresik
Full text linkRhinorrhea is a predominant symptom of nasal inflammation that comes from the nose's activation glands to produce mucus. Objective: To found out the effectiveness of providing nasal irrigation educational videos on the recovery rate of rhinorrhea patients at the Ibnu Sina Gresik Hospital. Methods: This research used a quasi-experimental design was applied by employing Jamovi to do univariate analysis in describing the characteristics of each variable, such as age, gender, level of education, and Rhinorrhea as the predominant disease. In addition, bivariate analysis used chi-square to test the effectiveness differentiation of giving nasal irrigation video to patients who received the video and patients who did not. Results: Univariate analysis reported that 21 patients were male (52,5%), 12 patients (47,5%) were between 20-44 years old, 16 patients (40%) experienced high school level, and 11 patients (27,5%) had vasomotor rhinitis disease. Chi-square analysis showed a significance value of 0.685, indicating no difference in the recovery rate between rhinorrhea patients receiving nasal irrigation video and those not receiving it. Conclusion: There is no significant difference in the recovery of rhinorrhea outpatients who received and those who did not receive educational videos about nasal irrigation.Keywords: educational video, rhinorrhea, recovery rat
Kanker Primer Multipel Metakronus pada Berbagai Organ: Kasus Serial
Full text linkMultiple primary cancer (MPC) is multiple tumors with synchronous or metachronous occurrence in the same individual. Metachronous tumors are defined as those that occur more than six months after the first tumor is diagnosed. It has been reported two serial cases with metachronous multiple primary cancers. One of the cases was triple metachronous, a combination that has never been previously reported. First case: A 58-year-old woman presented with a lump in her right breast and axilla. Histopathology found an invasive micropapillary carcinoma with many lymph node metastases. Two years later, the patient got a rectal mass biopsy with an adenocarcinoma diagnosis. In one month, the patient got a nodule on the right toe, and the result revealed squamous cell carcinoma with moderate to poorly differentiated. Second case: A 76-year-old woman presented a lump on her left cheek with keratinizing squamous cell carcinoma. The patient had a left breast nodule eight months later, and the diagnosis was invasive carcinoma of no special type. Both patients died within 1 year of the last diagnosis. We revealed two cases of primary cancers with different locations and histopathology. The causes of MPCs are unclear, but they may be related to various factors. Multiple primary cancer patients should be closely followed up for possible growth of other cancers. Interdisciplinary collaboration can guarantee the best possible diagnosis and treatment for the patient.
Keywords: metachronous, multiple, primary cance