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Health and Medical Journal

heme
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Published by Universitas Baiturrahmah

ISSN : 26852772 EISSN : 2685404X DOI : https://doi.org/10.33854/heme

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Health & Medical Journal with registered number pISSN: 2685-2772 and eISSN: 2685-404X is a peer-review journal published by Medical Faculty of Universitas Baiturrahmah. The frequency of publishing is two issues in a year. The topics covered include the fields of Allergy and Immunology, Anesthesiology, Cancer and stem cells, Cardiovascular, Cell and Molecular Biology, Children's Health, Dermato-venereology, Geriatrics, Histopathology, Internal Medicine, Neuro-psychiatric treatment, Ophthalmology, Otorhinolaryngology, Physical medicine and rehabilitation, Physio-pharmacology, Pulmonology, Radiology, Surgery includes orthopedics and urology, Obstetrics and Gynecology, Science of nutrition, Clinical Pathology, Anatomy Pathology, Parasitology, Microbiology, Public Health and Medical Education. Submissions are welcome from other clinically relevant areas. However, the Journal emphasizes publishing high-quality and novel research.

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Fine Needle Aspiration Biopsy (FNAB) Massa Intraabdomen dipandu Ultrasonografi Muthia Kamelia; Salmiah Agus
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

AbstrakMassa intraabdomen selalu menjadi polemik dalam tindakan bedah. Sebagian besar massa intraabdomen tidak dapat diraba karena letaknya yang jauh didalam. Fine needle aspiration biopsy (FNAB) merupakan prosedur untuk menentukan diagnosis awal pasien dengan massa yang teraba superfisial, massa kistik dan massa yang tidak dapat diraba yang terletak jauh didalam (profunda) dengan panduan radiologis. Ultrasonografi (USG) adalah modalitas pencitraan yang ideal sebagai alat pemandu biopsi dengan berbagai keuntungan yaitu tidak adanya radiasi, kurangnya agen kontras nefrogenik, ekonomis, portabel, dan dapat memberikan panduan dalam berbagai bidang seperti transversal, longitudinal dan obliq. Prosedur FNAB massa intrabdomen dipandu USG meliputi persiapan pasien, posisi pasien, pemilihan jarum biopsi, penempatan jarum dan teknik pengambilan sampel. Disamping itu dilakukan monitor pasien setelah prosedur biopsi, penanganan sampel dan penilaian adekuasi sampel. Ahli patologi berperan dalam evaluasi on site agar dapat memberikan umpan balik terhadap kualitas sampel yang diperoleh.Katakunci — Fine Needle Aspiration Biopsy, Ultrasonografi, Massa Intraabdomen AbstractIntra-abdominal mass has always been a polemic in surgery. Most of the intra-abdominal mass cannot be felt because it is deep inside. Fine needle aspiration biopsy (FNAB) is a procedure for determining the initial diagnosis of a patient with a superficial palpable mass, a cystic mass and deep inside mass with radiological guidance. Ultrasonography (USG) is an imaging modality as a biopsy guiding tool with the advantages of absence of radiation, lack of nephrogenic contrast agents, economical, portable, and can provide guidance in areas such as transverse, longitudinal and oblique. The ultrasound guided intrabdominal mass FNAB procedure includes patient preparation, patient positioning, biopsy needle selection, needle placement and sampling technique. In addition, patient monitoring is performed after the biopsy procedure, sample handling and assessment of sample adequacy. The pathologist plays a role in the on site evaluation in order to provide feedback on the quality of the samples obtained.Keywords— Fine Needle Aspiration Biopsy, Ultrasound, Intraabdominal Mass

Hubungan Laktat dengan Outcome pada Pasien Sakit Kritis yang Mengalami Asidosis Metabolik Dona liazarti; May Valzon
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

Abstrak Pendahuluan: Salah satu gangguan asam basa paling sering di ruang rawat intensif adalah asidosis metabolik dan menjadi indikator outcome pada pasien yang sakit kritis. Penyebab asidosis metabolik bervariasi antara lain keton, urat, fosfat, dan sulfat; tetapi peningkatan laktat diperkirakan menjadi penyebab umum asidosis metabolik. Tujuan: untuk mengetahui hubungan antara kadar laktat dengan outcome pada pasien sakit kritis yang mengalami asidosis metabolik. Metode: Penelitian ini dilakukan pada bulan April sampai Oktober 2017 terhadap 74 pasien sakit kritis yang dirawat di ruang rawat intensif RSUP Dr. M. Djamil Padang. Kadar laktat diukur dengan metode amperometri sedangkan analisis gas darah diperiksa dengan metode potensiometri. Hasil: Uji Mann Whitney digunakan untuk mengetahui hubungan kadar laktat dengan outcome yang dinyatakan bermakna jika nilai p < 0,05.Rerata nilai pH, pO2, pCO2, HCO3, BE berturut-turut adalah 7,27 (0,09); 196,84 (91,14); 36,81 (7,71); 17,39 (4,36) dan -9,1 (5,11). Uji Mann Whitney terhadap kadar laktat dan outcome diperoleh nilai p sebesar 0,001 yang menunjukkan adanya perbedaan kadar laktat yang bermakna antara dua kelompok outcome (hidup dan meninggal). Kesimpulan: Peningkatan kadar laktat memengaruhi outcome pasien sakit kritis yang mengalami asidosis metabolik.Kata kunci--- Asidosis metabolik, sakit kritis, laktat, outcome Abstract Introduction: One of the most frequent acid-base disorders in intensive care unit is metabolic acidosis and it become indicator of outcome in critically ill patients. Metabolic acidosis caused by various states such as ketones, uric acid, phosphate, and sulfate; but lactic acid is a common etiology of metabolic acidosis. Aims: The aim of this study was analyze the association between lactate level with outcome in critically ill patients with metabolic acidosis. Method: This study was conducted from April to October 2017 in 74 critically ill patients whom hospitalized in intensive care unit department M. Djamil Hospital Padang. Lactate concentration were performed by amperometric method and blood gas analysis by potentiometric. Results: Mann-Whitney test was used to assess association between lactate level with outcome and significant if p value less than 0.05.The mean value of pH, pO2, pCO2, HCO3, BE were 7.27 (0.09); 196.84 (91.14); 36.81 (7.71); 17.39 (4.36) and -9.1 (5.11) respectively. Mann-Whitney test showed that p value for lactate level and outcome was 0.001; it meaned there was a signifcant difference of lactate level between the group of outcomes. Conclusion: Lactate level have a significantly effect for outcome in critically ill patients with metabolic acidosis.Keywords--- metabolic acidosis, critically ill, lactate, outcome

Hubungan Usia, Jenis Kelamin, Lama Operasi dan Status ASA dengan Kejadian PONV pada Pasien Pasca Operasi Laparatomi Bedah Digestif Resiana Karnina; Maulina Salmah
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

AbstrakPendahuluan: Kejadian PONV (Postoperative Nausea and Vomiting) atau mual muntah pasca operasi merupakan salah satu keluhan yang paling sering terjadi setelah operasi. Beberapa faktor yang mempengaruhi PONV yaitu usia, jenis kelamin, lama operasi dan status ASA dan faktor lainnya. Tujuan: untuk mengetahui hubungan antara usia, jenis kelamin, lama operasi dan status ASA dengan kejadian PONV (Postoperative Nausea and Vomiting) pada pasien pasca operasi laparatomi bedah digestif dengan anestesi umum. Metode: Desain penelitian ini menggunakan cross sectional dengan metode analitik observasional data diambil dari catatan rekam medis pasien pasca operasi laparatomi bedah digestif dengan anestesi umum di Rumah Sakit Umum Daerah Ulin Banjarmasin. Sampel diambil dengan metode total sampling sebanyak 104 sampel. Analisa data menggunakan uji chi-square dengan menggunakan SPSS 25.0 for Windows. Hasil: Hasil uji chi-square didapatkan hubungan bermakna antara usia, jenis kelamin, lama operasi dan status ASA dengan kejadian PONV pada pasien pasca operasi laparotomi bedah digestif dengan anestesi umum. Dengan nilai signifikansi lebih kecil dari α=5% (<0.05). Kesimpulan: Terdapat hubungan bermakna antara usia (P=0.024), jenis kelamin (P=0.038), lama operasi (P=0.022) dan status ASA (P=0.032) dengan kejadian PONV pada pasien pasca operasi laparatomi bedah digestif dengan anestesi umum. Katakunci — jenis kelamin, lama operasi, PONV, usia, status ASA Abstract Introduction: Incidence of Postoperative Nausea and Vomiting (PONV) is one of the most common complaints after surgery. There are several factors that influence PONV, age, gender, periode of operation and ASA status and other factors. Aims: The purpose of this research is to knowing the correlation between age, gender, periode of operation and ASA status with the incidence of Postoperative Nausea and Vomiting in postoperative digestive surgical laparotomy patients with general anesthesia. Method: Study design of this research is cross sectional with observational analytic method data was taken from the medical records of postoperative digestive surgical laparotomy patients under general anesthesia at General Hospital Ulin Banjarmasin. Samples were taken with a total sampling method of 104 samples. Data analysis using chi-square test using SPSS 25.0 for Windows. Results: Chi-square test results found a significant correlation between age, gender periode of operation and ASA status with the incidence of PONV in the act of postoperative digestive surgical laparotomy patients under general anesthesia a significance value smaller than α = 5% (<0.05). Conclusion: There is a significant correlation between age (P=0.024), gender (P=0.038), periode of operation (P=0.022) and ASA status (P=0.032) with the incidence of PONV postoperative digestive surgical laparotomy patients under general anesthesia. Keywords—gender, periode of operation, PONV, age, ASA status

Evaluasi dan Implementasi Sistem Surveilans Epidemiologi COVID-19 di Kantor Kesehatan Pelabuhan Kelas II Padang Wilayah Kerja Bandara International Minangkabau Vitratul Ilahi; Masrizal Dt. Mangguang
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

AbstrakPendahuluan: Bandar udara merupakan salah satu tempat umum yang dapat menjadi pintu masuk (port de entry) suatu penyakit termasuk COVID-19. Wabah COVID-19 telah dinyatakan sebagai Public Health Emergencies of International Concern (PHEIC) oleh WHO pada 30 Januari 2020. Pernyataan ini merupakan deklarasi keenam yang dilakukan oleh WHO sejak pandemi flu 2009. Surveilans epidemiologi pada pencegahan dan pengendalian penyakit dilakukan dengan cara penemuan kasus di pintu masuk dan penemuan kasus wilayah. Kegiatan surveilans epidemiologi di pintu masuk dilakukan untuk upaya pencegahan, pendeteksian, dan respon terhadap penyakit di pintu masuk, pelabuhan, bandara, dan Pos Lintas Darat Batas Negara(PLDBN). Tujuan Penelitian: untuk melihat dan mengevaluasi kegiatan surveilans epidemiologi COVID-19 di Kantor Kesehatan Pelabuhan wilayah kerja Bandara International Minangkabau. Metode: Jenis penelitian ini termasuk kedalam penelitian evaluatif dimana mengevaluasi dan menilai suatu kegiatan menggunakan pendekatan kualitatif untuk memperoleh informasi mendalam dari informan/ sumber data tentang kegiatan yang dilakukan, untuk menjelaskan keadaan yang sebenarnya di lapangan. Hasil: Masalah yang ditemukan terdapat pada tenaga surveilans, Pelaporan data dan disemenasi data. Dibutuhkan tenaga pengendalian karantina kesehatan yang mengikut pelatihan agar maksimal melakukan kegiatan surveilans, lalu dilakukan pelaporan data penyakit mingguan agar trend penyakit terlihat, selanjutnya disemenasi kepada stakeholder yang berkompeten dalam bentuk rekomendasi.Katakunci — surveilans, evaluasi, bandara. Abstract Introduction: The airport is one of the public places that can be a port de entry for a disease, including COVID-19. The COVID-19 outbreak has been declared a Public Health Emergencies of International Concern (PHEIC) by WHO on January 30, 2020. This statement is the sixth declaration made by WHO since the 2009 flu pandemic. Epidemiological surveillance on disease prevention and control is carried out by finding cases in entrance and area case finding. Epidemiological surveillance activities at entrances are carried out for prevention, detection, and response to diseases at entrances, ports, airports, and State Border Crossings Posts (PLDBN). Aims: To observe and evaluate COVID-19 epidemiological surveillance activities at the Port Health Office in the working area of Minangkabau International Airport. Methods: This type of research is included in evaluative research where evaluating and assessing an activity uses a qualitative approach to obtain in-depth information from informants/data sources about the activities carried out, to explain the actual situation in the field. Results: The problems found were in the surveillance staff, data reporting and data dissemination. It takes health quarantine control personnel who participate in training to maximize surveillance activities, then weekly disease data reports are carried out so that disease trends can be seen, then disseminated to competent stakeholders in the form of recommendations. Keywords—surveillance, evaluation, airport.

Ekspresi Tinggi Androgen Receptor Sebagai Penentu Prognosis Adenokarsinoma Prostat di Sumatera Barat Anandia Putriyuni; Nurwiyeni Nurwiyeni
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

Abstrak Pendahuluan: Adenokarsinoma adalah jenis kanker prostat terbanyak didiagnosis sampai saat ini. Androgen receptor (AR) berperan penting dalam inisiasi, pertumbuhan dan progresifitas adenokarsinoma prostat, tetapi mekanisme AR masih belum jelas. Analisa ekspresi AR sebagai biomarker prognosis adenokarsinoma prostat belum pernah dilakukan di Sumatera Barat. Tujuan penelitian: Untuk menganalisa ekspresi tinggi AR dalam penentuan prognosis adenokarsinoma prostat di Sumatera Barat. Metode: Rancangan penelitian analitik observasional dengan desain cross sectional. Penelitian dilakukan bulan November 2019 sampai Oktober 2020. Sampel digunakan sebanyak 56 kasus adenokarsinoma prostat secara consecutive sampling yang tersimpan di laboratorium Patologi Anatomik di Sumatera Barat. Slaid yang telah terwarnai hematoxyline dan eosin (HE) dan blok parafin dikumpulkan. Selanjutnya dilakukan review slaid untuk menentukan Gleason score berdasarkan International Society of Urological Pathology (ISUP) 2014/WHO edisi 2016. Metode pewarnaan imunohistokimia (IHK) pada AR untuk menganalisis ekspresi protein secara semikuantitatif. Ekspresi tinggi AR jika interpretasi yang ditemukan strong. Analisis data secara statistik menggunakan uji Chi-square. Hasil: Hasil penelitian mendapatkan kasus adenokarsinoma prostat terbanyak adalah high grade Gleason score (Gleason score 8-10) yaitu 43 (76,79%) kasus dan ekspresi tinggi AR 29 (51,80%) kasus. Adenokarsinoma prostat dengan high grade Gleason score ditemukan ekspresi tinggi AR lebih banyak dibandingkan ekspresi rendah AR. Secara statistik terdapat hubungan yang signifikan antara ekspresi tinggi AR dengan Gleason score (p=0,018). Kesimpulan: Ekspresi tinggi AR merupakan penanda penting untuk progresifitas tumor. Ekspresi AR sebaiknya diperiksa pada kasus adenokarsinoma prostat untuk menentukan prognosis pasien.Kata kunci -- Adenokarsinoma prostat, Androgen receptor, Gleason score, Prognosis Abstract Introduction: Adenocarcinoma is the most type of prostate cancer diagnosed until now. Androgen receptor (AR) plays important roles in initiation, growth and progression of prostate adenocarcinoma. However, the mechanism of AR is unclear. Analysis of AR expression as the prognostic biomarker in prostate adenocarcinoma has never been done in West Sumatera. Aims: To analyze high AR expression in determining the prognosis of prostate adenocarcinoma in West Sumatera. Method: The observational analytic study was done with cross sectional design. This study was conducted from November 2019 to October 2020. Samples of 56 prostate adenocarcinoma were collected by consecutive sampling stored in Anatomical Pathology Laboratories in West Sumatera. Hematoxylin and eosin (HE) stained slides and paraffin blocks were retrieved. Slides were evaluated to review Gleason score based on the International Society of Urological Pathology (ISUP) 2014/WHO 2016. Immunohistochemistry (IHC) staining method with AR antibody was performed to discover protein expression semiquantitatively. High AR expression was characterized by strong interpretation. Statistical data analysis used Chi-square test. Results: The results showed that the most prostate adenocarcinoma was high grade Gleason score (Gleason score 8-10) in 43 (76.79%) cases and high AR expression in 29 (51.79%) cases. High grade Gleason score of prostate adenocarcinoma showed high AR expression more than low AR expression. There was statistically significant correlation between AR expression and Gleason score (p=0.018). Conclusion: High AR expression is the important marker of tumor progression. We suggest that AR expression should be performed in patients of prostate adenocarcinoma for prognosis. Keywords -- Prostate adenocarcinoma, Androgen receptor, Gleason score, Prognosis

Hubungan Lama Rawat Inap dengan Usia dan Komorbiditas Pasien COVID-19 di Semen Padang Hospital dari Maret hingga Juli 2020 Akbar Shiddiq; Fauzar Fauzar; Roza Kurniati; Alexander Kam
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

Abstrak Pendahuluan: Penyakit Coronavirus 2019 (COVID-19) merupakan salah satu penyakit yang sedang menjadi pandemi. Berdasarkan data World Health Organization (WHO) hingga Juli 2020, ditemukan angka kejadian mencapai lebih dari 17 juta di dunia. Sebagian besar orang sekitar 80% sembuh tanpa memerlukan perawatan khusus, tetapi beberapa orang yang memiliki penyakit penyerta dapat menyebabkan gejala yang berat. Sekitar 1 dari setiap 5 orang yang terinfeksi COVID-19 membutuhkan perawatan di rumah sakit dan lama perawatan yang berbeda. Tujuan: Penelitian ini bertujuan untuk mengetahui distribusi usia dan komorbiditas, hubungan lama rawat inap dengan usia dan komorbiditas pasien COVID-19 di Semen Padang Hospital. Metode: Penelitian ini adalah deskriptif korelatif dengan desain cross sectional. Dari pengumpulan data didapatkan 60 pasien COVID-19 dari bulan Maret hingga Juni 2020. Hasil: Didapatkan 6 pasien pada kelompok usia 0-18 tahun (10%), 38 pasien pada kelompok usia 19-59 tahun (63,3 %), dan 16 pasien pada kelompok usia ≥ 60 tahun (26,7 %). Berdasarkan analisis bivariat diperoleh hasil p = 0,599 (p > 0,05). Terdapat 17 pasien dengan komorbiditas (28,3 %) dan 43 pasien tanpa komorbiditas (71,7 %). Hasil yang diperoleh p = 0,513 (p > 0,05). Simpulan: Didapatkan bahwa tidak ada hubungan lama rawat inap dengan usia dan komorbiditas. Distribusi prevalensi COVID-19 terbanyak didapatkan pada pasien tanpa komorbiditas dan pada kelompok dewasa usia 19-59 tahun.Katakunci — COVID-19, lama rawat inap, usia, komorbiditas Abstract Introduction: Coronavirus disease 2019 (COVID-19) is a disease that is currently becoming a pandemic. Based on data from the World Health Organization (WHO) until July 2020, it was found that the incidence reached more than 17 million in the world. Most people about 80% recover without needing special treatment, but some people who have co-morbidities can cause severe symptoms. About 1 in every 5 people infected with COVID-19 requires hospitalization and a different length of treatment. Aims: This study aims to determine the distribution of age and comorbidities, the relationship between length of stay and age and comorbidities of COVID-19 patients at Semen Padang Hospital. Methods: This research is descriptive correlative with cross sectional design. From data collection, there were 60 COVID-19 patients from March to June 2020. Results: There were 6 patients in the 0-18 years age group (10%), 38 patients in the 19-59 year age group (63.3 %), and 16 patients in the age group 60 years (26.7 %). Based on the bivariate analysis, the results were p = 0.599 (p > 0.05). There were 17 patients with comorbidities (28.3%) and 43 patients without comorbidities (71.7%). The results obtained were p = 0.513 (p > 0.05). Conclusion: It was found that there was no relationship between length of hospitalization with age and comorbidities. The highest prevalence distribution of COVID-19 was found in patients without comorbidities and in the adult group aged 19-59 years.Keywords— COVID 19, length of stay, age, comorbidity

Migren dan Permasalahannya: Pendekatan Terapi Akut dan Preventif Restu Susanti
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

Abstrak Migren merupakan salah satu jenis nyeri kepala primer yang banyak dikeluhkan. Migren yang tidak ditangani dengan baik akan menjadi kronis dan menimbulkan disabilitas yang akan mempengaruhi kualitas hidup penderitanya selain pembiayaan yang besar. Mengenali pencetus, tata laksana akut yang tepat dan pemberian terapi preventif harus dilakukan. Terapi preventif bertujuan untuk mengurangi frekuensi, severitas, durasi serangan, meningkatkan respon terapi akut sehingga akan meningkatkan kualitas hidup dan mengurangi disabilitas. Terapi preventif dikatakan berhasil bila frekuensi serangan berkurang 50% setiap bulannya selama tiga bulan. Kata kunci — Luaran, migren, terapi preventif Abstract Migraine is one of primary headache which is often complained by patients. Migraines that are not treated properly will become chronic and cause disabilities that will affect the quality of life of sufferers in addition to large financial expenditure. Physicians have to be able to recognize the triggers, performe appropriate acute management, and give preventive therapy must be carried out. Preventive therapy aims to reduce the frequency, severity, duration of attacks, increase the response of acute therapy so that it will improve quality of life and reduce disability. The succesful preventive therapy is successful if the frequency of attacks is reduced by 50% every month for three months.Keywords — Migraine, outcomes, preventive therapy

Hubungan Nilai Ankle Brachial Index (ABI) dengan Fungsi Kognitif di Poli Geriatri RSI Ibnu Sina Bukittinggi Rinita Amelia; Dessy Abdullah; Muhammad Luthfi
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

AbstrakPendahuluan: Gangguan fungsi kognitif merupakan faktor penyebab terbesar terjadinya ketidakmampuan dalam melakukan aktifitas yang dapat disebabkan aspek gangguan vaskular yang di tunjukan dari nilai Ancle Brachial Index (ABI). Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan nilai ABI dan fungsi kognitif pada pasien geriatri di Poliklinik Geriatri RSI Ibnu Sina Bukittinggi. Metode: Jenis penelitian yang digunakan adalah observasi analitik studi dengan pendekatan cross-sectional. Populasi terjangkau dalam penelitian ini adalah lanjut usia yang berada di pasien poliklinik geriatri RSI Ibnu Sina Bukittingi periode 2020-2021 dengan 60 sampel menggunakan teknik random sampling. Analisa data univariat disajikan dalam bentuk distribusi frekuensi dan persentase dan analisa bivariat menggunakan uji chi-square dan pengolahan data menggunakan komputerisasi program SPSS versi 16.0. Hasil: Dari hasil penelitian didapatkan nilai ABI terbanyak adalah tinggi yaitu 36 orang (60,0%), fungsi kognitif terbanyak adalah normal yaitu 45 orang (75,0%) dan tidak terdapat hubungan nilai ABI dan fungsi kognitif pada pasien geriatri di Poliklinik Geriatri RSI Ibnu Sina Bukittinggi. (p=0,406). Kesimpulan: Dari hasil studi menunjukan tidak terdapat hubungan nilai ABI dan fungsi kognitif pada pasien geriatri di Poliklinik Geriatri RSI Ibnu Sina Bukittinggi.Katakunci — Nilai ABI, Fungsi kognitif MMSE, geriatri Abstract Introduction: Impaired cognitive function is the most significant contributing factor in the inability to perform activities caused by aspects of vascular disorders shown from the Ankle Brachial Index (ABI) value. Aims: To determine the relationship between the Ankle Brachial Index (ABI) and cognitive function in geriatric patients at the Geriatric outpatient clinic of Ibnu Sina Islamic Hospital Bukittinggi. Methods: This research is an analytic observatory study with a cross-sectional approach. The affordable population in this study was the elderly in the geriatric outpatient clinic of Ibnu Sina Islamic Hospital Bukittingi 2021, with 60 people using random sampling techniques. Univariate data analysis was presented in frequency distribution and percentage and bivariate analysis using the chi-square test and data processing using the SPSS version 16.0 computerized program. Results: The highest ABI value was 36 people (60.0%), the most cognitive function was normal, namely 45 people (75.0%), and there was no relationship between ABI values and cognitive function in geriatric patients at the Geriatric outpatient clinic of Ibnu Sina Islamic Hospital Bukittinggi. (p = 0.406). Conclusions: The conclusion in this study showed there was no relationship between ABI values and cognitive function in geriatric patients at the Geriatric Outpatient clinic of Ibnu Sina Islamic Hospital Bukittinggi. Keywords — ABI value, MMSE cognitive function, geriatric

Korelasi Lingkar Leher dengan Tekanan Darah Sistolik pada Remaja yang Obesitas Amelia Saragih; Rebecca Rumesty Lamtiar; Sisca Silvana
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

AbstrakPendahuluan: Obesitas merupakan suatu keadaan patologis terdapatnya penimbunan jaringan lemak tubuh secara berlebihan yang dapat menyebabkan gangguan kesehatan. Lingkar leher merupakan salah satu pengukuran antropometri yang dapat menggambarkan upper body obesity dan bagaimana hubungannya dengan peningkatan tekanan darah khususnya tekanan darah sisitolik. Tujuan: untuk mengetahui korelasi antara lingkar leher terhadap tekanan darah sistolik pada remaja yang obesitas di SMA Santa Maria dan SMA Santo Yoseph Medan tahun 2020. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross-sectional. Sampel dipilih dengan teknik Consecutive sampling. Lingkar leher diukur menggunakan pita pengukur elastis. Tekanan darah sistolik diukur menggunakan sphigmomanometer digital. Analisis data dilakukan dengan uji korelasi Spearman. Hasil: Hasil analisis bivariat menunjukkan terdapat hubungan yang signifikan antara lingkar leher dengan tekanan darah sistolik (p=0,000), dengan kekuatan korelasi sedang dan arah positif (r= 0,568).Kata Kunci -- Lingkar leher, tekanan darah sistolik, remaja, obesitas.Abstract Introduction: Obesity is a pathological condition where there is excessive accumulation of fatty tissue that can cause health problems. Neck circumference is an anthropometry that can describe upper body obesity and how that is associated with increased blood pressure. Aims: to determine the relationship between neck circumference and blood pressure in obese adolescents in Santa Maria High School and Santo Yoseph Medan High School in 2020. Method: This study was an analytic study with cross-sectional design. Samples were selected by consecutive sampling technique. Neck circumference was measured using elastic measuring tape. Systolic blood pressure was measured using a digital sphigmomanometer. Data analysis was performed with the Spearman’s correlation test. Results: The results of the bivariate analysis showed a significant relationship between neck circumference with systolic blood pressure (p = 0,000), with moderate correlation strength and positive direction (r = 0.568)Keywords--- Neck circumference, systolic blood pressure, adolescents, obesity

Profil Skor Intracerebral Hemorrhage (Skor ICH) pada Pasien Stroke Hemoragik di RS. Muhammadiyah Palembang Yesi Astri; Budi Utama; Pratrisna Yusastra
Health and Medical Journal Vol 4, No 1 (2022): HEME January 2022
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v4i1.905

Abstrak Pendahuluan: Stroke hemoragik khususnya perdarahan intraserebral merupakan 10-15% dari kasus stroke. Morbiditas dan mortalitas yang disebabkan oleh stroke hemoragik cukup tinggi. Skor ICH merupakan sebuah model yang dapat digunakan untuk memprediksi luaran stroke hemoragik. Tujuan Penelitian: mengetahui profil skor ICH pada pasien stroke hemoragik di RS. Muhammadiyah Palembang. Metode: Penelitian ini bersifat deskriptif dengan desain potong lintang pada 26 pasien yang memenuhi kriteria inklusi dan eksklusi. Hasil: Pada penelitian ini didapatkan skor ICH 0 (3,9%), 1 (26,9%), 2 (38,4%), 3 (15,4%), dan 4 (15,4%). Kesimpulan: Seluruh pasien memiliki luaran berupa mortalitas sebesar 0% dalam 30 hari. Kata kunci - perdarahan intraserebral, skor ICH, stroke hemoragik Abstract Introduction: Hemorrhagic stroke especially intracerebral hemorrahage was 10-15% of stroke case. Hemorrhage stroke lead to higher morbidity and mortality. ICH score has known as a model to predict the outcome of hemorrhage stroke. Aims: This study intend to describe the profile of ICH score of hemorrhage stroke patients at Muhammadiyah Hospital Palembang. Method: This is descriptive and cross sectional study involved 12 patients which is meet the inclusion and exclusion criteria. Results: ICH scores are 0 (3,9%), 1 (26,9%), 2 (38,4%), 3 (15,4%), and 4 (15,4%). Conclusion: All patient’s mortality rate are 0% in 30 days. Keywords - intracerebral hemorrhage, ICH score, hemorrhagic stroke

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Location Kota padang, Sumatera barat INDONESIA

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Editorial Address
Gedung Dekanat Fakultas Kedokteran Universitas Baiturrahmah Jalan Raya By Pass Km 15 Aie Pacah Padang – Sumatera Barat

Location
Kota padang,

Sumatera barat

INDONESIA