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Smart Medical Journal

SMedJour
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Published by Universitas Sebelas Maret

ISSN : 26211408 EISSN : 26210916 DOI : -

Core Subject : Health,

Health Professions Medicine & Pharmacology Public Health

Smart Medical Journal (SmedJour) is published by Faculty of Medicine Universitas Sebelas Maret. SMedJour publishes original research articles or article review in the basic medical sciences, clinic medical sciences, medical education and public health.

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Articles 9 Documents

Search results for , issue "Vol 1, No 2 (2018): Smart Medical Journal" : 9 Documents clear

Left Ventricular Hypertrophy dan Fungsi Ginjal pada Penderita Hipertensi HERU SULASTOMO; FADLAN AKHYAR FAUZI; RATNA KUSUMAWATI
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: Chronic hypertension can cause complication such as left ventricular hypertrophy (LVH). LVH can lead renal artery vasoconstriction, impaire blood perfusion to glomerulus and change glomerulus filtration coeficient. The aim of this study was tocompare kidney function between hypertensive patient with LVH and without LVHMethods: This was a case control study that conducted at Dr. Moewardi GeneralHospital Surakarta. All subjects has been diagnosed as hypertension more than 5 years.The diagnosis of LVH was based on electrocardiography (ECG) result. Kidney functionwas assessed based on serum ureum, creatinin, and uric acid levels.Results: The subject of this study was 26 hypertension patients with LVH and 13hypertension patients without LVH. Serum ureum level in patients with LVH was higherthan hypertension patients without LVH(24.92 ± 7.99 Vs 32.33±9.91, p= 0.004). Serumuric acid level in hypertension patients with LVH was higher compare to hypertensionpatients without LVH as well (5.26 ± 1.15 Vs 6.98 ± 1.83, p= 0.029). Whereas serumcreatinine levels were not significantly different between two groups of subjects. Sulastomo et.al., Left Ventricular Hypertrophy dan Fungsi Ginjal pada Penderita Hipertensi Conclusion: : Serum ureum and uric acid levels in hypertensive subjects with LVH arehigher than subjects without LVH. There is no difference between serum creatinin level inhypertensive subject with LVH and without LVH.

Hubungan Pemberian ASI Eksklusif dan Lingkar Kepala dengan Perkembangan Motorik Bayi Usia 6-12 Bulan di Surakarta SIWI HESTI UTAMI; BUDIYANTI WIBOWORINI; ETI PONCORINI PAMUNGKASARI
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: Motor development needs to be considered to detect the presence or absence of delays in infant’s development which can affect their potency in the future. Exclusive breastfeeding contains lactose, taurine, DHA, and AA which are needed for motor development. Head circumference is related to brain development as one of motor control organs. This study aimed to analyze the relationship between exclusive breastfeeding and head circumference with motor development of infants aged 6-12 months in Surakarta. Methods: This was an analytical observational study with a cross sectional design. The subject were infants aged 6-12 months in Puskesmas Gajahan and Puskesmas Ngoresan Surakarta who met the inclusion criteria. Data obtained from interviews, measurements of head circumference, and assessments of motor development, in 84 subjects that selected purposely. The data were analyzed using Chi Square test, Odds Ratio (OR), and logistic regression.Results: There was a significant relationship between exclusive breastfeeding and motor development (p<0,001; OR=9,88) but no significant relationship was found between head circumference and motor development (p=0,208; OR=5,35), complementary feeding and motor development (p=0,242; OR=0,52), sex and motor development (p=0,400; OR=1,59), age and motor development (p=0,432; OR=0,65). Conclusion: Infants aged 6-12 months who are exclusive breastfed and had normal head circumference have greater chances to experience motor development that is age – appropriate.

Pengaruh Infeksi Kecacingan terhadap Kadar Hemoglobin pada Remaja Putri dengan Anemia DWI RAHAYU
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: Anemia is one of the health problems in Indonesian. The government has launched anemia prevention programs, including for young women, but the prevalence of anemia is still high. Helminth infections can decrease hemoglobin (Hb) levels through gastrointestinal bleeding and decreased food intake. This study aimed to determine the effect of helminth infections on Hb levels in young women.Methods: This study was an observational analytic study with a case control approach. Research subject involved of 46 students of senior high school in Sukoharjo Regency and were divided into 26 young women with anemia and 20 young women without anemia. Helminth infection was determined using fecal examination. All collected data were analyzed by Chi square test and Independent sample t-test with p<0.05.Results: The mean of Hb levels in young women with anemia was 10.24±0.92g/dL and the mean of Hb levels in young women without anemia was 13.07±0.44g/dL. 7 young women suffered helminth infection, divided into 2 young women with anemia and 5 young women without anemia. However, there was not statistically significant relationship between helminth infection and anemia (p=0.11). The mean of Hb levels in young women with helminth infection were higher both those who suffered anemia (11.30± 0.56 g /dL) or not (13.08 ± 0.42g /dL) compared with Hb levels in young women without helminth infection (anemia 10.37±1.06g/dL; not anemia 11.34±1.52g/dL).Conclusion: Helminth infection was not related to the incidence of anemia in young women even though Hb levels in helminth infections were higher compared to Hb levels without helminth infections.

Hubungan Kualitas Tidur dengan Nyeri Kepala Primer pada Masyarakat Daerah Pesisir Desa Nusalaut, Ambon PRISKILLA ROSSE GRATIA HABEL; PARNINGOTAN YOSI SILALAHI; YUNIASIH TAIHUTTU
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: Sleep disorders and primary headaches (NKP) is a common disease in the community and both relate reciprocally. Some of the factors associated with the onset of primary headache include poor sleep quality, fatigue, change in temperature. Coastal communities are groups of people who have high risk factors for developing such disorders. This study aimed to explore the relationship between quality of sleep and primary headaches in coastal communities in Nusalaut which never held backward.Methods: Data was collected by using a cross sectional study conducted in communities in Nusalaut amounted to 190 people with data retrieval techniques cluster random sampling. Quality of sleep was assessed by The Pitssburg Sleep Quality Index (PSQI), while primary headache was assessed by questionnaire and Ong BK KH HO-C. Descriptive analysis to determine the characteristics of the subject while the correlation between sleep quality with primary headache is done by Spearman correlation test.Results: The results showed there is a significant association between factors such as gender, age and type of work with quality bedding and primary headaches while between quality of sleep and primary headaches do not have a meaningful correlation with the strength of the correlation was very weak (p = 0.323). Conclusion: there was no significant correlation between quality of sleep and primary headaches.

Pengaruh Usia Menarche terhadap Tinggi Badan Wanita di Daerah Endemis Gondok Muhammad Taufiq Hidayat; Selfi Handayani; Siti Munawaroh
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: Height affected by various factor. One factor that can affect female’s height is menarcheal age. Sexual hormone in female’s body will be activated at menarche and it will stimulate the closure of epiphyseal plate. Final height in female with late menarche is higher than female with early menarche. While in goiter endemic areas with Iodine Deficiency Disorder especially in mountain area, it has earlier menarcheal age than normal female that live in non goiter endemic area. This study aimed to analyze the relationship between age at menarche and height endemic goiter.Methods: This study was an observational study with cross-sectional design. It was held in the goiter endemic Ngargoyoso, Karanganyar. Samples of women aged over 20 years with upright posture that live in Ngargoyoso were obtained by simple random sampling, then measuring the height using statometer and obtaining menarcheal age by questioner. Data were analyzed using Pearson correlation test (α = 0.05), which had previously been tested for normality by Kolmogorov Smirnov.Results: The mean age of menarche sample was 13.38 years with the lowest age of 11 years and the highest age of 18 years. While the average height was 156.8 cm samples with the lowest height was 139 cm and the highest was 168 cm. Pearson correlation test results showed that height was significantly associated with age at menarche woman endemic goiter (p = 0.001).Conclusions: Age of menarche associated with height in an endemic goiter area.The earlier age of menarche will affect the final height of the woman.

Faktor Risiko Kejadian Recurrent Respiratory Infection pada Anak Usia 2-5 Tahun NOPRIYAN PUJOKUSUMA; ETI PONCORINI PAMUNGKASARI; SETYO S RAHARDJO
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: Acute Respiratory Infection (ARI) is the most prevalent disease with high mortality and morbidity on infant. ARI that happens more than five times annually is called Recurrent Respiratory Infection (RRI). Some mortality of ARI comes from kind of ARI that developed from diseases that could be prevented by immunization. This study aimed to find correlation between immunization status, nutritional status, crowding, smoker in house, mother education level, family income level and RRI incident on children age 2-5 years old in Sibela Primary Health Care (PHC) work area, Surakarta.Methods: This was an observational analytic study with cross-sectional approach. Sample for this study was children age 2-5 years old from Sibela PHC work area, Surakarta. Sample was taken by cluster sampling method as much as 121 children, the parent interviewed using questioner and children was measured for their height and weight. Data of immunization history was obtained from Kesehatan Ibu dan Anak (KIA) Book and PHC data information system for ARI diagnosis. Data was analyzed using chi-square and logistic regression.Result: Chi-square result shows significant correlation between incomplete immunization status and incident of RRI (p=0,000) and OR = 18,774. Logistic regression results shows significant correlation between immunization status and incident of RRI (p=0,000; OR=21,3). Conclusions: Incomplete immunization status significantly correlate to increasing RRI incident 21,3 times on children age 2-5 years old than children which acquired complete immunization status. Nutritional status, crowding, smoker in house, mother educational level, and family income level has no significant correlation with RRI incidence.

Sensitivitas Metode Pemeriksaan Mikroskopis Fluorokrom dan Ziehl-Neelsen untuk Deteksi Mycobacterium tuberculosis pada Sputum BETTY SURYAWATI; LELI SAPTAWATI; ASTARI FEBYANE PUTRI; JATU APHRIDASARI
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Background: Detection of fast acid bacteria (FAB) using smear microscopy is used as a primary screening for tuberculosis diagnosis. Previous studies have shown that fluorochrome (Auroamine-rhodamine) staining showed better sensitivity compared to Ziehl-Neelsen (ZN) method in the detection of FAB in sputum. However this method has not been recommended for routine use including in Indonesia. This study aimed to evaluate the sensitivity and specificity of fluorochrome compared to ZN to detect FAB in patient’s sputum.Methods: This study analyzed 60 sputum samples from patients with tuberculosis and suspected pulmonary tuberculosis. Samples were obtained consecutively from microbiology laboratory Moewardi Hospital, Indonesia. Each sample was examined using ZN and fluorochrome staining and cultured in Lowenstein-Jensen (LJ) medium. Data were analyzed using sensitivity and spesificity tests.Results: ZN staining detected FAB in 12 samples (10%), while fluorochrome detected FAB in 17 samples (28%). The sensitivity and specificity of ZN staining were 70% and 90% while these for fluorochrome were 90% and 84%. Conclusions: The sensitivity of fluorochrome staining is better compared to ZN staining. This method can be recommended for early detection of tuberculosis.

Konsensus Dokter Umum Mengenai Materi Inti Anatomi Sistem Reproduksi Wanita Untuk Mahasiswa Kedokteran INTAN PRATIWI; YUNIA HASTAMI; NANANG WIYONO; SITI MUNAWAROH
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: The anatomy of the female reproductive system is one of the basic sciences of medical clinical practice needed by general practitioners. Until now there has been no standardization regarding anatomical material of the female reproductive system that medical students need to know. Meanwhile, the medical curriculum has undergone many changes that have impacted on reduced learning time resulting in a reduction in anatomical material given to students. This causes the different emphasis on anatomical material given to be different for each medical institution. This study aims to compile the subject matter of the anatomy of the female reproductive system in order to facilitate anatomical learning for medical students. Methods: This research is a qualitative research with Delphi method two rounds. The subjects were general practitioners from 9 institutions in Indonesia selected through purposive sampling as many as 20 people. The initial Delphi questionnaire was compiled based on three anatomical textbooks, one anatomic terminology, and one study on the anatomical core material. Delphi round I panel is asked to choose material that are important and can add material if it doesn't already exist. Delphi round II panel was asked to rank 1-4 in each material. Researchers set a consensus level of 53%.Results: The results of Delphi round I obtained 176 materials from a total of 178 materials and no additional material was obtained. Delphi round II obtained 84 (47.72%) core anatomical materials from 176 material.Conclusion: General practitioners consensus of core materials of female reproductive system anatomy is 84 materials.

Profil Sindrom Aspirasi Mekonium pada Bayi Baru Lahir di RSUD Dr. Soetrasno Rembang Ahimsa Yoga Anindita; Dwi Hidayah; Yulidar Hafidh; Annang Giri Moelyo; Mayasari Dewi
Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Introduction: The presence of meconium in amniotic fluid occurs in 13% of live births in developing countries. This condition develops when the gestational age increases at delivery. Meconium aspiration syndrome occurs in 5% of newborns in meconium stained amniotic fluid. The aim of this study is to determine the profile of newborns who experience meconium aspiration syndrome (MAS) who are treated at Dr. Soetrasno Hospital, Rembang and its outcome.Methods: Prospective study, data were obtained from medical records of Dr. Soetrasno Hospital, Rembang during September to October 2018, on newborns with MAS.Results: Of 12 newborns with MAS were obtained, consisting of 7 (58.3%) male and 5 (41.7%) female. All cases were term infants (gestational age above 37 weeks) and normal birth weight (above 2500 grams). Based on the first minute APGAR score, there were 4 newborns had score 1 and 2, respectively (33.3%). Based on the fifth minute APGAR score, there were 7 newborns had score 3 (58.3%). The outcome of newborns with MAS were 7 alive (58.3%) and 5 died (41.7%).Conclusion: There were 12 newborns suffering from MAS (54.5%) of 22 babies hospitalized at the NICU dr. Soetrasno Hospital Rembang. All newborns with MAS were term infants and normal birth weight. There were 5 newborns with MAS which required invasive mechanical ventilation (intubation) and all died (41.7%).

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Contact Name
Nanang Wiyono

Contact Email
smjfkuns@gmail.com

Phone
-

Journal Mail Official
smjfkuns@gmail.com

Editorial Address
-

Location
Kota surakarta,

Jawa tengah

INDONESIA