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Smart Medical Journal
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 100 Documents
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Perbedaan Kualitas Tidur Pasien Asma Terkontrol Sebagian Pada Kategori Indeks Massa Tubuh (IMT) Khalisah Atma Aulia; Reviono -; Ratih Dewi Yudhani
Smart Medical Journal Vol 2, No 1 (2019): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (586.62 KB) | DOI: 10.13057/smj.v2i1.27284

Abstract

Pendahuluan: Asma merupakan suatu penyakit saluran pernapasan yang disebabkan karena adanya proses inflamasi kronik. Asma menyebabkan terjadinya gejala pernapasan seperti wheezing (mengi), sesak napas, dada sesak dan batuk yang terjadi terutama pada malam hari atau menjelang pagi hari. Jumlah kasus asma di Jawa Tengah pada tahun 2013 sebesar 113.028 kasus dan kasus paling banyak terdapat di Kota Surakarta yaitu 10.393 kasus. Gejala asma lebih sering muncul pada malam hari atau menjelang pagi hari. Gangguan pernapasan yang muncul dapat mengganggu aktivitas tidur sehingga menyebabkan menurunnya kualitas tidur seseorang. Selain itu, gangguan pernapasan saat tidur akan semakin berat apabila seorang penderita asma memiliki Indeks Massa Tubuh yang tinggi seperti pada obesitas serta pada IMT yang terlalu rendah (kurus). Penelitian ini bertujuan untuk mengetahui perbedaan kualitas tidur pasien asma terkontrol sebagian pada kategori indeks massa tubuh (IMT).Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional. Penelitian ini dilakukan di Balai Besar Kesehatan Paru Masyarakat (BBKPM) Surakarta pada bulan Oktober – Desember 2018 dengan melibatkan 75 sampel. Pengumpulan data dilakukan melalui wawancara terpimpin dan pengukuran IMT pada pasien asma terkontrol sebagian. Data dianalisis secara statistik dengan uji Fisher’s Exact Test.Hasil: Pada pasien asma terkontrol sebagian dengan IMT normal, kualitas tidur baik lebih banyak terjadi dibandingkan kualitas tidur buruk yaitu sebesar 57,14%, sedangkan pasien dengan IMT kurus dan gemuk memiliki kualitas tidur buruk lebih dominan dengan persentase berturut-turut sebesar 100% dan 75%. Hasil uji Fisher’s Exact Test kualitas tidur pasien asma terkontrol sebagian pada kelompok IMT kurus dan normal adalah signifikan secara statistik (p=0,004), kelompok IMT normal dan gemuk signifikan secara statistik (p=0,013), serta kelompok IMT kurus dan gemuk tidak signifikan secara statistik (p=0,173).Kesimpulan: Terdapat perbedaan kualitas tidur pasien asma terkontrol sebagian pada kategori Indeks Massa Tubuh (IMT). Kata Kunci: Asma, Kualitas Tidur, IMT
Tahu yang Difermentasi Rhizopus sp. Menurunkan Kadar Glukosa Darah Tikus Putih(Rattus norvegicus) Eldaa Putik Bunga Melati; Budiyanti Wiboworini; Briandani Subariyanti
Smart Medical Journal Vol 1, No 1 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (350.857 KB) | DOI: 10.13057/smj.v1i1.24180

Abstract

Introductions : Controlling of blood glucose would be important to prevent many complications of DM. Consuming fiber is one way to maintain blood glucose level. These amount of fiber could be obtained in tofu fermented by Rhizopus sp. This research aimed to know the effect of tofu fermented by Rhizopus sp. in controlling  blood glucose level of diabetic induced white rats (Rattus norvegicus).Methods : This research was a laboratoric-experimental study. The subjects were Rattus norvegicusgrouped randomly. The total 30 Rattus norvegicus were injected by Alloxan 15mg/100gramBW, then randomly allocated into 5 group, positive control group (glibenclamide 0.05mg/100gramBW/day), negative control group (aquadest), and treatment groups with different doses of fermented tofu (0.025gram/100 gramBW/day; 0.050gram/100 gramBW/day; 0.100gram/100gramBW/day). The research design was Pretest and Posttest Control Group Design. The fasting blood glucose were measuredbefore Alloxan injection (day-2), after Alloxan injection (day-5), and after the treatments (day-19).Results : there was a significant decrease of blood glucose level in all treatment groups and positive control (p = 0.001). Post Hoc Test showed a significant difference between all treatment groups and positive control group compared to negative control group (p = 0.001).Conclusion :Tofu fermented by Rhizopus sp. was able to decrease blood glucose level in diabetic rats (Rattus norvegicus). Keyword : Tofu fermented, Rhizopus sp., blood glucose level, alloxan, glibenclamide
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (174.989 KB) | DOI: 10.13057/smj.v1i2.28712

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (454.24 KB) | DOI: 10.13057/smj.v1i2.28694

Abstract

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.
Kelas Ibu Hamil Merubah Persepsi Budaya Pantang Makan Ibu Hamil Di Kecamatan Tlogowungu Kabupaten Pati Risna Annisa Mardiyati
Smart Medical Journal Vol 2, No 1 (2019): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.608 KB) | DOI: 10.13057/smj.v2i1.26694

Abstract

Pendahuluan: Status gizi merupakan salah satu faktor yang mempengaruhi kehamilan. Banyak wanita yang tidak mengetahui manfaat zat gizi bagi kehamilan. Masyarakat masih percaya adanya  hubungan antara makanan tertentu dengan kesehatan ibu hamil serta bayi yang dikandungnya. Hal inilah yang menjadikan tugas tenaga kesehatan untuk mengedukasi ibu hamil salah satunya dengan kelas ibu hamil. Penelitian ini bertujuan untuk mengetahui pengaruh kelas ibu hamil terhadap pandangan mitos pantang makan di Kecamatan Tlogowungu Kabupaten Pati.Metode: Penelitian ini bersifat kualitatif dengan pendekatan fenomenologi. Penarikan sampel menggunakan teknik purposive sampling. Pengambilan data menggunakan teknik wawancara Focus Group Interview (FGI) dan kuesioner sebagai pendukung wawancara. Penelitian ini memilih 18 responden kelas ibu hamil yang dibagi menjadi 3 kelompok focus group interview yang tinggal di Desa Sambirejo, Desa Wonorejo, dan Desa Regaloh, Kecamatan Tlogowungu Kabupaten Pati pada bulan Maret 2018.Hasil:  Hasil penelitian terbagi menjadi 3 tema yaitu pengaruh kelas hamil terhadap ibu hamil tentang pengetahuan dan sikap mitos pantang makan selama kehamilan, pengaruh kelas hamil terhadap pengetahuan dan sikap suami ibu hamil dan pengaruh kelas hamil terhadap  sikap serta pengetahuan keluarga ibu hamil.Simpulan:  Kelas ibu hamil berpengaruh terhadap pengetahuan ibu hamil di Kecamatan Tlogowungu Kabupaten Pati namun belum sampai merubah sikap mereka terhadap mitos pantang makan
Kepekaan terhadap Humor berhubungan dengan Tingkat Kecemasan Mahasiswa Fakultas Kedokteran Saat Menghadapi Ujian Muhammad Yusuf Karim; Suyatmi Suyatmi; Zulaika Nur Afifah
Smart Medical Journal Vol 1, No 1 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (308.348 KB) | DOI: 10.13057/smj.v1i1.24182

Abstract

Background:Medical students are facing examination in each topics to evaluate  learning achievement. An examination could be a trigger for anxiety. Uncontrolled anxiety could affect the learning achievement. Coping mechanism is needed to decrease the anxiety level. One of the coping mechanisms to decrease anxiety level is sense of humor. The aim of this study was to evaluate whether sense of humor could affect the anxiety level.Methods:This was an observational analytic with cross-sectional design study.The subjects were First Year Medical Students of Universitas Sebelas Maret. The sample was collected by simple random sampling method. Sense of Humor was assesed using Multidimensional Sense of Humor Scale (MSHS). Anxiety level was assesed using Taylor Manifest Anxiety Scale (TMAS). Collected data was analyzed with Kolmogorov-Smirnov Normality Test and Pearson Correlation Test.Results: There were 152 samples in this study. The mean of sense of humor and anxiety level were 69.90 ± 7.22 and 22.16 ± 6.93 respectively. The majority of the samples showed that 78.3% had a high sense of humor, while 21.7% had a moderate sense of humor. More than half of the samples (50.7%) were anxious and 49.3% were not anxious. The result of the Pearson correlation test showed r= -0.263 and p= 0.001.Conclusions:This study indicates a negative correlation between sense of humor and anxiety level towards examination on First Year Medical Student of Universitas Sebelas Maret. Keywords: sense of humor, anxiety level, examination
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.681 KB) | DOI: 10.13057/smj.v1i2.28714

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.384 KB) | DOI: 10.13057/smj.v1i2.28698

Abstract

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.
FORMULASI DAN UJI STABILITAS FISIK SEDIAAN TABLET EKSTRAK BUAH PARE (Momordica charantia L.) SECARA GRANULASI BASAH Ira nur fadhilah; Dwi Saryanti
Smart Medical Journal Vol 2, No 1 (2019): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.382 KB) | DOI: 10.13057/smj.v2i1.29676

Abstract

Bitter melon fruit is one type of medicinal plant used by the community. Charantin is one of the efficacious compounds contained in bitter melon fruit and can be used to reduce glucose levels in the blood. Tablets have advantage that are easy to consume and exactly the size, so in this study bitter melon is made from tablet preparations. The purpose of this study was to determine the concentration of gelatin binder which can produce tablets of bitter fruit extract (Momordica charantia L.) with good physical quality, and to determine the effect of gelatin as a binder on the physical stability test of bitter melon extract tablets (Momordica charantia L.) making bitter melon extract tablets is by wet granulation method, because the active ingredient of bitter melon fruit is not resistant to warming above 600C. Formulation tablets of bitter melon extract (Momordica charantia L.) with gelatin binder at a concentration of 5%, 7.5%, 10% able to produce tablets that meet the requirements of tablet physical examination for 28 days. Gelatin binding concentration has an effect on the physical properties of tablets, the best concentration of gelatin binder is formula III with 10% gelatin concentration. The higher the concentration of the binding material, the higher the hardness, and fragility decreases.Keywords: Bitter Melon Extract (Momordica charantia L.), Gelatin binder, Wet Granulation.
Hubungan antara Tingkat Pengetahuan dan Sikap dengan Tindakan Pencegahan Penyakit Rabies pada Warga di Wilayah Puskesmas Kuta II Ni Kadek Ayu Septiani Sarjana; Arsita Eka Prasetyawati; Dyah Ratna Budiani
Smart Medical Journal Vol 1, No 1 (2018): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.022 KB) | DOI: 10.13057/smj.v1i1.24184

Abstract

Introduction: Rabies is a disease of animals (usually vertebrate) which is zoonotic (transmissible to humans). Rabies occurs in 24 out of the 34 provinces of Indonesia. Rabies is caused by a virus in the Family: Rhabdivoridae, Genus: Lyssavirus. Control the dog population and dog vaccination is effective and economical method to prevent the incidences of rabies in humans. This study aims to investigate the relationship between level of knowledge and attitude to the practice in prevention rabies infection in residents lived in area covered by Puskesmas Kuta II.Methods: This study was a cross-sectional study and carried out by simple random sampling of 96 residents in the area of Puskesmas Kuta II. In this study, the independent variables are knowledge of and attitudes towards rabies disease while the dependent variable is the practice to prevent rabies infection in human. Data were collected by a questionnaire-based interview. Analyses were then carried out using the chi-square (x2) followed by multivariate analysis using multiple logistic regressions.Results: This study showed that knowledge has a significant relationship with practice for rabies disease prevention (p = 0.013; OR 4.240; 95% CI 1.352 up to 13.296). Attitude has a significant positive relationship with the value of practice for rabies disease prevention (p = 0.015; OR 3.073; 95% CI 1.233 up to 7.627). The combined effect of knowledge and attitudes to practice for rabies prevention were approximately 20.90% (Negerkerke R square = 0.209).Conclusions: There was a significant relationship between knowledge and attitudes with the practice for rabies disease prevention in residents in the area of Puskesmas Kuta II, the higher level of knowledge and improved attitudes will improve practice for rabies disease prevention amongst residents in the area of Puskesmas Kuta II. Key words: Rabies;  Rabies;  Preventio; Knowledge; Attitude;  Practice

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