Jurnal Kesehatan Andalas
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Perbandingan Persepsi Pasien Tuberkulosis Paru terhadap Kualitas Pelayanan Pengobatan Tuberkulosis di Puskesmas Kampung Bali dan Puskesmas Perum I di Kota Pontianak
Full text linkIncreasing access to quality Tuberculosis (TB) services and patient-centered care is one strategy to eliminate TB. Objective: To determined the comparison of the perception of pulmonary tuberculosis patients at the Kampung Bali Health Center and the Perum I Health Center in Pontianak City. Methods: Cross-sectional analytical observational design with total sampling method on 34 patients with details of 17 patients at the Puskesmas Kampung Bali and 17 at the Puskesmas Perum I. This research used the QUOTE-TB Light questionnaire and the Mann- Whitney comparison test as the statistical test. Results: There are no differences in the dimensions of the availability of TB services (p=0.520), communication and information (p=0.420), interaction and counseling (p=0.722), infrastructure (p = 0.608), affordability (p=1,000), and stigma (p=0,966) and there is a significant difference in the dimensions of professional competence (p=0.007). Conclusion: There is a difference in professionalcompetences. It is necessary to evaluate the competence and performances of health workers at Puskesmas Kampung Bali and Puskesmas Perum I.Keywords: Quality of TBC treatment services, patient’s perspective, QUOTE-TB Light, Tuberculosis Â
Pengaruh Aerobic Exercise Terhadap Aktivitas Serum Creatin Kinase Myocardial Band (CK-MB) pada Lansia Pasca Stroke
Full text linkStroke can cause changes in the heart, which are associated with excessive activation of the sympathetic nervous system as a response to damage occurring in the insular cortex. Cardiac biomarkers such as creatine kinase myocardial band (CK-MB) show increased levels in some patients with acute cerebrovascular accidents without direct cardiac injury. CK-MB activity has been found to increase in the early phase of patients with ischemic stroke, subarachnoid hemorrhage, and head trauma. Objective: To determined the effect of aerobic exercise on serum creatine kinase myocardial band (CK-MB) activity in elderly post-stroke patients. Methods: This was a pre-experimental study with a one-group pretest-posttest design. The study involved 16 elderly post-stroke respondents who received aerobic exercise using a static cycle at light to moderate intensity for 10-15 minutes, 2-3 times per week, over the course of 4 weeks. CK-MB activity was evaluated using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Results: There was a significant effect of aerobic exercise on serum CK-MB activity in elderly post-stroke patients, with a p-value of 0.000 or p < 0.05. The mean serum CK-MB level increased to 29.43µL, while the mean serum CK-MB level decreased to 23.12 µL after receiving aerobic exercise with a static cycle for 4 weeks. Conclusion: Aerobic exercise using a static cycle at light to moderate intensity for 10-15 minutes, 2-3 times per week, over the course of 4 weeks, had a significant effect on serum creatine kinase myocardial band (CK-MB) activity in elderly post-stroke.
Keywords: aerobic exercise, static cycle, creatine kinase-myocardial band, stroke, elderly
Vaginoplasty and Fimbrioplasty on Vaginal Agenesis with Hematocolpos, Hematometra, and Hematosalpinx
Full text linkCongenital vaginal agenesis is a rare abnormality of the female genital tract caused by abnormal embryological development of the Müllerian ducts. Clinical manifestations vary depending on the extent of the anomaly, severity, and the patient's age at presentation. It has been reported that a 16-year-old presented to the Urogynecology Clinic at Dr. Hasan Sadikin General Hospital, Bandung, with a chief complaint of cyclic abdominal pain that had been intermittent for the past 2 years and no history of menstruation. The patient was referred from several private hospitals with a history of previous exploratory laparotomies. The girl had normal secondary sexual development. No vaginal sac was found on pelvic examination. A hematocolpos measuring 10.08 x 6.80 x 6.02 cm and a hematometra measuring 14.41 x 12.92 x 10.62 cm were found on ultrasound. An exploratory laparotomy revealed bilateral hematosalpinx with a normal uterus. Vaginoplasty, bilateral partial salpingectomy, and bilateral fimbrioplasty were performed. In this case report, the authors successfully performed vaginoplasty and fimbrioplasty to evacuate the hematocolpos, hematometra, and hematosalpinx. Vaginal molding was then inserted into the neovaginal to prevent spontaneous vaginal collapse and maintained in situ for 2 weeks after surgery.
Keywords: hematocolpos, hematometra, hematosalpinx, vaginal agenesi
Perbandingan Peningkatan Kadar Malondialdehid (MDA) Serum setelah Olahraga Pagi dan Malam Hari pada Orang Tidak Terlatih
Full text linkOlahraga mampu meningkatkan kadar radikal bebas dalam tubuh melalui beberapa mekanisme yaitu peningkatan aktivitas mitokondria, NADPH, dan XO serta inflamasi pada sel otot rangka yang mengakibatkan stimulasi aktivitas fagosit. Olahraga yang dilakukan pada malam hari memiliki beberapa mekanisme tambahan sehingga berpotensi menyebabkan peningkatan kadar radikal bebas lebih tinggi, yaitu faktor pencetus radikal bebas yang meningkat pada malam hari. Salah satu indikator untuk mengetahui kadar radikal bebas dalam tubuh yaitu malondialdehid (MDA). Tujuan: Menentukan perbandingan antara peningkatan kadar MDA serum setelah olahraga pada dan malam hari pada orang tidak terlatih. Penelitian ini merupakan uji klinis dengan pre dan post-test group design. Metode: Sampel berjumlah 20 mahasiswa Fakultas Kedokteran Universitas Jember yang tidak terlatih, masing-masing berperan ganda sebagai kelompok pagi (Kp) dan kelompok malam (Km) sehingga jumlah total sampel sebesar 40. Olahraga yang dilakukan berupa sepeda statis dengan intensitas 70-80% dari heart rate maksimal. Setelah satu minggu dilakukan croosing-over, yaitu sampel Kp dijadikan Km begitu pula sebaliknya. Pengukuran kadar MDA dilakukan sebelum dan setelah olahraga menggunakan metode TBARS. Peningkatan kadar MDA merupakan selisih dari kadar MDA setelah dan sebelum olahraga. Hasil: Peningkatan kadar MDA setelah olahraga pada pagi dan malam hari adalah 0,29±0,87 nmol/mL dan 1,13±1,2 nmol/mL. Hasil uji statistik menunjukkan ada perbedaan yang signifikan p=0,021 (p<0,05). Simpulan: Peningkatan kadar MDA setelah olahraga pada malam hari lebih tinggi dibandingkan dengan peningkatan kadar MDA setelah olahraga pada pagi hari pada orang yang tidak terlatih.Kata kunci: malondialdehid, olahraga, radikal bebas, TBAR
Perpaduan Isometric Exercise dan Latihan Pernafasan Yoga Terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di Desa Mojojajar Wilayah Kerja Puskesmas Kedungsari Kabupaten Mojokerto
Full text linkOne of the non-pharmacological treatments that can be done to lower blood pressure is to increase the patient's physical activity, such as Isometric Exercise and Yoga breathing exercises. Objectives: To determined isometric exercise and yoga breathing on reducing blood pressure in hypertension. Methods: This study used a pre-experimental design with a one-group pretest-postest design. The sampling technique was purposive sampling. The number of samples in this study was 25 people. Results: The paired t-test statistical test results were a decrease in blood pressure after being given the intervention of isometric exercise and yoga breathing exercises with a p-value of 0.000 (p<0.05). Conclusion: Isometric exercise and yoga breathing exercises can be an alternative non-pharmacological therapy to reduce blood pressure in hypertension.Keywords: Â Isometric Exercise, Yoga Breathing Exercise, Hypertensio
The Profile of COVID-19 Patients in Semen Padang Hospital Indonesia
Full text linkThe rapid increase in the number of Coronavirus Disease 2019 (COVID-19) cases, including in Padang, has led the government to designate several hospitals as referrals for COVID-19 patients. The profile of COVID-19 patients is needed to describe the pattern of this disease in Padang. Objectives: To revealed the profile of COVID-19 patients in SPH, Indonesia. Methods: This was a retrospective study. This study was conducted and collected data of COVID-19 patients from March to June 2020. Results: There are 54 patients with mean age of 50.93 (14.6) years old, 43% male and 57% female. The clinical manifestations are cough (74%), fever (37%), sore throat (22%), and fatigue (35%). There are 82% of patients admitted that they have contacted with other COVID-19 patients or have activities in COVID-19 cluster area, and only 7% have traveled to other cities. The mean length of stay is 31.91 (14.87) days. The mean laboratory data: Hemoglobin 13.7 (1.39) gr/dl, WBC 8,037.04 (2,846.27) /mm3, platelet 274,389 (75,053.80) /mm3, and NLR 3.16 (3.37). Chest radiograph results are bronchopneumonia (22.22%), cardiomegaly (7.41%), and normal (70.37%). Conclusion: The profile of COVID-19 patients in SPH is more in female patients, cough is the most clinical manifestation that appeared, the mean laboratory data (hemoglobin, WBC, and platelet) are normal, and normal chest radiography is the most chest radiograph results in these patients.Kata kunci: COVID-19, Padang, profil
Eumisetoma pada Toraks dan Abdomen: Suatu Kasus Jarang
Full text linkMycetoma is a chronic granulomatous infectious disease of the skin, subcutis, fascia and bones caused by bacteria (actinomycetoma) or fungi (eumycetoma) in adults aged 20-40 years old, male to female ratio is 3,7:1 respectively. The clinical finding is a painless, solid and cold subcutaneous node. It has been reported a 43-year-old woman with a painless suppurative lump in her chest, stomach, armpits and legs in the past year. The lump were hypertrophic scars, atrophic scars, nodules and erythematous papules with pustules and sinuses, which excretes exudate greenish-yellow. The patient had a history of working in an oil palm farm. Histopathological examination of hematoxylin-eosin showed suppurative granulomatous inflammation consisting of epitheloid histiocytes, solid lymphocytes and neutrophils, and datia cells. PAS (Periodic acid-Schiff) staining showed positive results. The diagnosis of deep mycosis eumycetoma was confirmed based on physical examination and histopathological examination. Eumycetoma is a rare deep fungal disease. Supporting investigations such as direct microscopy, histopathology with biopsy, and culture are needed to establish the diagnosis. The therapies are antifungal drugs and surgery. Death is possible if the infection occurs in the chest or head cavity.Keywords: deep mycosis, eumycetoma, granules, mycetoma, sinuse
Effect of Human Bone Marrow Mesenchymal Stem Cells on Burn Healing in Granulation Tissue Formation in Diabetic Rats
Full text linkBurns with diabetes mellitus can interfere with the wound-healing process. Mesenchymal stem cells have been studied to accelerate the healing of burns, one of which originates from the bone marrow. Objective: To determined the effect of human bone marrow mesenchymal stem cells (hBM-MSCs) on burn wound healing in granulation tissue formation in Diabetes Mellitus rats. Methods: This study was an experimental study with a post-test-only control group design, using 30 rats divided into two groups, the control group Phosphate Buffer Saline (PBS) and the treatment group (hBM-MSCs). Mice were induced by alloxan to cause hyperglycemia. Burns are made using a heated plate. Tissue collection was carried out after the termination of the experimental animals on the 3rd, 7th and 14th days and then histological preparations were made to assess the formation of granulation tissue. Data were analyzed using the two-way ANOVA test. Results: There was an increase in the number of macrophages, fibroblasts and new blood vessels after being given hBM-MSCs. On day 14 neutrophils and lymphocytes on day 3, there was no increase. Statistical analysis showed a significant increase in lymphocytes, macrophages, fibroblasts and new blood vessels. Conclusion: Human bone marrow mesenchymal stem cells can increase the formation of granulation tissue by increasing the number of macrophages, fibroblasts and new blood vessels in diabetic rats.Keywords: burn wound, Â diabetic rat, human bone marrow mesenchymal stem cells, granulation tissu
Faktor yang Berhubungan dengan Kecelakaan Kerja pada Pekerja Bengkel Las di Distrik Abepura Kota Jayapura
Full text linkThe welding industry is part of the informal sector industry whose work is associated with many hazards and risks that can increase the number of work accidents. With the increasing cases of work accidents, it is necessary to look for the causes or things that influence them so that prevention and mitigation efforts can be carried out. Objective: To determined the factors associated with work accidents among welding workshop workers in the Abepura District, Jayapura City. Methods: This research was conducted in an analytic observational manner with a cross-sectional design. The location of this research was carried out at welding workshops in the Abepura District, totaling 12 workshops. The sample of this research is 41 workers selected by purposive sampling technique. Data were analyzed using univariate and bivariate with a chi-square test. Results: The study showed that there was no relationship between age p = 0.671 (p>0.05) and education p = 1.000 (p>0.05) with the incidence of work accidents among welders. There was a relationship between years of service p = 0.033 (p<0.05), knowledge p=0.001 (p<0.05), and unsafe actions p=0.027 (p<0.05) with occupational accidents in welders. Conclusion: There is a relationship between years of service, knowledge, and unsafe actions with work accidents.Keywords: Â welding workshop, Â work accidents, workerÂ
Korelasi Status Nutrisi dengan Tingkat Kadar Hemoglobin Darah pada Anak Usia Sekolah Dasar Markidam di Desa Cilame Kabupaten Bandung
Full text linkMalnutrition has many adverse effects, including a decrease in hemoglobin levels, or known as anemia. Malnutrition caused by nutritional deficiencies can affect the decrease in hemoglobin levels or anemia. Objective: To determined the correlation between nutritional status and hemoglobin levels in Markidam elementary school-age children in Cilame Village Methods: This cross-sectional study uses primary data from research subjects who have agreed. The number of subject research that has been taken was 143 respondents. Anthropometric examinations using weight scales and microtoise were then carried out in a plotting process to determine the nutritional status of respondents. The hemoglobin level was used as a rapid diagnostic test tool with the Easytouch brand type GCHB. Spearman test to find out the results of this research hypothesis. Results: Â Hemoglobin levels did not have a significant correlation with nutritional status. This could be seen from the significance value (p-value) of 0,172, where this value is greater than 0,05. Conclusion: There is no correlation between nutritional status and hemoglobin level at the age of elementary school children.Keywords: anemia, hemoglobin, nutritional statu