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Medica Hospitalia

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Published by RSUP Dr. Kariadi Semarang

ISSN : 23014369 EISSN : 26857898 DOI : https://doi.org/10.36408/mhjcm

Core Subject : Health,

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Medica Hospitalia: Journal of Clinical Medicine adalah jurnal ilmiah yang diterbitkan RSUP Dr. Kariadi dan menerima artikel ilmiah dalam bahasa Indonesia dan bahasa Inggris yang diharapkan dapat menjadi media untuk menyampaikan temuan dan inovasi ilmiah dibidang kedokteran atau kesehatan kepada para praktisi dan akedemisi di bidang kesehatan dan kedokteran.

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Search results for , issue "Vol. 9 No. 1 (2022): Med Hosp" : 18 Documents clear

CORRELATION BETWEEN VITAMIN D LEVELS AND PEDIATRIC ANTHROPOMETRY STATUS IN NEONATES Tri Elina Sari; Muslimin Muslimin; Adhie Nur Radityo; Rina Pratiwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Problems of vitamin D deficiency is now starting to become a concern in the world because 1 million people worldwide have vitamin D deficiency and nearly 50% have vitamin D insufficiency. Vitamin D deficiency is more common in neonates which can increase the risk of low birth weight and also effect on baby length, head circumference. Aim: Understanding the correlation between vitamin D levels and anthropometric status in neonates.Method: This study used an observational analytic study with a cross sectional approach. The research sample was neonates at term. The data from questionnaires and direct anthropometric measurements on neonates who came to delivery room and pediatric polyclinic of the Diponegoro National Hospital, Semarang and Dr. Kariadi General Hospital, Semarang. The data normality test used the Saphiro-Wilk test. Correlation test between vitamin D levels and anthropometric status using the Pearson test, and test levels of vitamin D with nutritional status (WHZ, WAZ, HAZ) using the Spearman test.Results: Median (min-max) neonatal vitamin D levels were 12.12 (6.09 - 19.52). There was no significant correlation between vitamin D levels and neonatal age, neonatal anthropometric status, maternal sun exposure and neonatal diet type. This is influenced by several other factors that are consistent with the theory such as neonatal nutrition, genetics, time and length of sun exposure, poor dietary intake.Conclusion: There was no significant correlation between vitamin D levels and weight, body length, height, nutritional status of WHZ, WAZ, HAZ in neonates.

Pengembangan Skor Risiko KARIADI Sebagai Metode Stratifikasi Risiko Kejadian Kardiovaskular Mayor Pasca Intervensi Koroner Perkutan Primer An Aldia Asrial; Yan Herry; Bahrudin Udin; Novi Anggriyani; Suhartono Suhartono
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Background Reduction of major cardiovascular events (MACE) in ST elevation acute coronary syndrome (STE-ACS) patients has been achieved by primary percutaneous coronary intervention (PCI) strategy and intensive care management. However, the intensive care unit bed availability and cost remain a problem for those patients, and thus risk stratification using an objective risk score instrument is required. Aim To develop a risk score of in-hospital MACE for patients with STE-ACS underwent primary PCI. Methods A cohort study of 208 patients with STE-ACS undergoing primary PCI at the Dr. Kariadi General Hospital Semarang. Predictor analysis was carried out using bivariate Chi-Square test and multivariate logistic regression. The obtained independent predictors were then used as risk score variables. The quality of the risk score was tested by the Hosmer and Lemeshow calibration test and AUC ROC analysis for discrimination test. Results Seven out of 13 independent predictors, i.e. Killip class (OR 20,04, p=0,0001), age (OR 3,02, p=0,04), renal insufficiency (OR 9,48, p=0,007), infark related artery final TIMI flow (OR 11,57, p=0,001), admission systolic blood pressure (OR 3,04, p=0,025), duration of total ischaemic time (OR 3,14,p=0,032) and increase of blood glucose levels (OR 3,04, p=0,029) were fulfilled the criteria for risk scores of in-hospital MACE. The risk scores had a good quality with the Hosmer and Lemeshow calibration test> 0,05 and ROC AUC 0,886 (95% CI, 0,827-0,944, p <0,005). Conclusions A risk scoring modele consisting of 7 independent predictor variables i.e. Killip class, age, renal insufficiency, infark related artery final TIMI flow, admission systolic blood pressure, duration of total ischaemic time, and increase of blood glucose levels (KARIADI) has a good calibration and discrimination in predicting the risk of in-hospital MACE in patients with STE-ACS underwent primary PCI. Keywords Predictors of in-hospital MACE, primary PCI, ST-segment elevation acute coronary syndromes, risk score.

Hepatotoksik terkait Obat Antituberkulosis pada Pasien Tuberkulosis dan Koinfeksi Tuberkulosis-HIV Rizki Nur Azmi; Tiara Ardiani; Sahra Siami
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND : The side effect of antituberculosis drugs that is toxic to liver cells, called hepatotoxic, needs to be a concern in the treatment of tuberculosis. The presence of these unwanted side effects poses a challenge in treatment because it can lead to discontinuation oh therapy or a change in regimen. Coinfection with HIV is also thought to increase the potential for hepatotoxicity of antituberculosis drugs. OBJECTIVE: This study aims to determine the incidence of hepatotoxicity of antituberculosis drugs in patients with tuberculosis and tuberculosis-HIV coinfection. METHOD : This study is an observational study with a cross sectional design, which was conducted in one of the hospitals in Samarinda City. Sources of research data came from patient medical record in 2018 – 2020. There was 53 tuberculosis patients and 53 tuberculosis-HIV coinfection patients. Differences in live enzyme values (AST and ALT) and severity in the two groups were analyzed by Mann-Whitney and Chi-Square tests. RESULT : The average value of AST and ALT in tuberculosis-HIV coinfection patients were higher than patients without HIV infection, which is AST 127,1 µ/L and ALT 100,7 µ/L. The highest degree of severity experienced by the patient was grade 3 (severe hepatotoxicity). Tuberculosis-HIV coinfection patients with grade 3 severity were 22,6% and tuberculosis patients were 9,4%. The values of liver enzymes and the severity of hepatotoxicity in the two groups of patients were statistically significant with p value < 0,05. CONCLUSION : Tuberculosis-HIV coinfection patients tend to have a higher incidence of hepatotoxicity related to antituberculosis drugs than those without HIV infection.

Hubungan derajat friedman tounge position dengan nilai apnea-hypopnea index dan nilai low oksigen saturation pada pasien obstructive sleep apnea Ahmad Effendi; Willy Yusmawan; Anna Mailasari Kusuma Dewi; Zulfikar Naftali; Muyassaroh Muyassaroh; Dwi Antono; Herlina Suryawati; Kanti Yunika
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT Background: Obstructive Sleep Apnea (OSA) is characterized by an airway obstruction that causes breathing to stop momentarily, either totally or partially. OSA can cause serious complications. The definitive diagnosis of OSA with polysomnography (PSG). PSG is not widely available in health facilities, Friedman tongue position (FTP) examination is expected to be an initial simple examination that can be done to diagnose patients with suspected OSA. Objective: To determine the relationship between the degree of FTP with the Apnea Hyponea index (AHI) andvalues Low saturation (LSAT)in OSA patients at Dr. Kariadi Semarang. Methods: Cross-sectional study design, samples were taken from patients diagnosed with OSA by polysomnography in May – July 2021. AHI and LSAT values ??were taken from polysomnography results. FTP is determined by physical examination of the throat. Data analysis with Spearman correlation test. Results: The highest number of samples was 44 male, 32 samples (72.7%). The highest age group was 46-65 years, 26 (59.1%), the youngest was 18 years and the oldest was 81 years, the mean age was 64 years +17-81 years. , the most FTP results are type 2, the most AHI values ??are severe degrees, the most LSAT values ??are moderate degrees. There is a very strong positive significant relationship between the degree of FTP and the AHI value, there is no significant relationship between the degree of FTP and the LSAT value. Conclusion: There is a relationship between FTP and the AHI value, there is no FTP relationship with the LSAT value Keywords: Obstructive sleep apnea, friedman tongue position, Apnea-Hyponea index, Low saturation.

The EFFECT OF APPLICATION MOBILE DISCHARGE PLANNING (MODSPLAN) TO INCREASING THE HOSPITAL READNESS IN ACUTE MYOCARDIAL INFARCTION Anis Laela Megasari
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: Acute myocardial infarction is a disease that has a high recurrence rate. Discharge planning is an intervention that can be used to minimize the occurrence of repeated treatments. However, many reports state that the implementation of discharge planning is still not optimal. The use of inappropriate methods is the cause of the non-optimal implementation of discharge planning. This study proposes a new discharge planning method, namely the modisplan application OBJECTIVE: To increase the effect of the application of modisplan on optimizing discharge readiness in acute myocardial infarction patients. Not only that, this application is expected to improve the patient's ability to carry out continuity of care so that repeated treatments do not occur METHODS: The design used quasi-experimental with pretest-posttest nonequivalent control group design. Total respondent 30 were divided into the control group (15 respondents) and the intervention group. (15 respondents). The application of the Modis Plan application was carried out in a structured manner starting from assessment, management, monitoring and evaluation. Readiness to go home was measured using the Readiness of hospital discharge Scale questionnaire. The statistical test used the Wilcoxon test and the Independent T-Test. RESULTS: There is an effect of modisplan application to increasing the hospital readiness in acute myocardial infarction patien’s (p value 0.000). The final mean score in the control group was 114.73, while in the intervention group it was 134.80 CONCLUSION: The application of the modesplan application has been proven to optimize discharge readiness of acute myocardial infarction

Pengaruh Senam Qigong terhadap Kebugaran Kardiorespirasi Lansia Reffi Yuwono Satriya; I Made Widagda; Rahmi Isma Asmara Putri
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRAK Pendahuluan : Menurunnya kapasitas fisik lansia dapat menjadi faktor yang menyebabkan kurangnya partisipasi lansia untuk latihan dalam meningkatkan kebugaran kardiorespirasi. Dibandingkan dengan senam lansia ataupun Tai chi, senam Qigong memiliki gerakan yang sederhana, lambat, dan intensitas rendah sehingga akan mudah dipelajari dan meningkatkan partisipasi lansia dalam latihan. Meskipun latihan ini merupakan latihan dengan intensitas ringan-sedang, senam Qigong memiliki efek aerobik yang cukup baik untuk meningkatkan kebugaran kardiorespirasi. Tujuan : Penelitian ini bertujuan mengetahui pengaruh senam Qigong terhadap kebugaran kardiorespirasi lansia. Metode : Penelitian ini merupakan quasi experimental. Sampel berjumlah 21 orang lansia di Panti Pelayanan Sosial Lanjut Usia, Pucang Gading, Semarang yang terbagi menjadi 2 kelompok yaitu kelompok Qigong (n=11) dan kelompok kontrol (n=10). Kelompok Qigong mendapatkan intervensi senam Qigong dan kelompok kontrol mendapatkan intervensi senam lansia. Intervensi pada kedua kelompok dilakukan 3 kali seminggu selama 8 minggu. Konsumsi oksigen maksimal (VO2max) yang merupakan indikator kebugaran kardiorespirasi diukur menggunakan 6 minute walk test(6MWT). Hasil : Pada akhir penelitian, rerata nilai VO2max adalah 12,39 ± 3,60 ml/kg/menit pada kelompok Qigong dan 13,03 ± 4,75 ml/kg/menit kelompok kontrol dengan tidak ada perbedaan signifikan diantara kedua kelompok. Perbaikan nilai VO2max sebelum dan sesudah intervensi didapatkan sebesar 2,23 ± 1,40 ml/kg/menit pada kelompok Qigong dan 2,69 ± 0,75 ml/kg/menit pada kelompok kontrol dengan tidak ada perbedaan signifikan diantara kedua kelompok. Simpulan : Senam Qigong dan senam lansia memberikan dampak perbaikan serupa terhadap kebugaran kardiorespirasi. Kata kunci : Latihan Qigong, Lansia, Kebugaran kardiorespirasi

EFEK PAPARAN RADIASI PENGION TERHADAP JUMLAH LEUKOSIT PEKERJA DI INSTALASI RADIOLOGI RUMAH SAKIT DI KUPANG, NTT Jannes Bastian Selly; Anderias Umbu Roga; Noorce Christiani Berek
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT BACKGROUND : Workers in hospital radiology installations are at risk of being exposed to ionizing radiation during work. Ionizing radiation has the potential to cause ionization in the body, so it can cause harm to workers. One of the efforts to minimize the risk of radiation exposure is to conduct regular health checks. OBJECTIVE: This study aims to identify the effects of radiation exposure, especially ionizing radiation received during work on the number of leukocytes of workers METHOD : The type of this research is observational analytic with cross sectional approach. Respondents in this study were 20 workers at radiology installations in 3 hospitals in Kupang who met the inclusion criteria specified. The independent variable (X) in this study is the dose of radiation exposure in units of milisieverts (mSv), while the dependent variable (Y) is the number of workers' blood leukocytes.. RESULT : The results showed that there was a significant effect of radiation exposure on the number of leukocytes of workers in radiology installations according to the equation Y = 3.959-3.989X with p-value 0.001 and R2 = 0.455 CONCLUSION : Exposure to ionizing radiation received by workers has an impact of 45.5% on a decrease in the number of leukocytes by 0.03 , every 1 unit dose increase Keywords: Radiation exposure doses, radiology installations, leukocytes, radiation workers, ionizing radiation

The Efek Penambahan Latihan Penguatan dengan Resistance Band terhadap Kekuatan Otot Quadriceps Femoris pada Lansia yang Mendapat Latihan Keseimbangan Andriaz Kurniawan; Endang Ambarwati; Erna Setiawati
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Abstract Background : Decreased muscle strength and balance disorders that occur in elderly are risk factors for falls. The quadriceps femoris muscle is a predictor of falls and one of the determinants of functional ability in activities of daily living. Balance exercise is one of the exercises to improve the balance of the elderly. Strengthening exercises with resistance bands provide resistance using a stretched elastic band. The objectives of this study was to determine the effect of additional strengthening exercises using resistance bands on increasing the strength of the quadriceps femoris muscle in the elderly who received balance training. Methods: This study is a randomized experimental design with pre and post test design. The subjects were elderly, aged 60-70 years. Subjects were divided into two groups, control group (n=12) and intervention group (n=12). The intervention groups were given balance training 3 times per week for 5 weeks and added strengthening exercises using resistance bands 3 times per week for 5 weeks. The control group only did balance training. Before and after treatment, the strength of the quadriceps femoris muscle was measured in both groups. Results: Statistically significant differences were obtained for right quadriceps femoris muscle strength (p=0.001) and left quadriceps femoris muscle strength (p=0.001) pre and post treatment in the intervention group. In the comparison between groups, there were an increase in the mean muscle strength of the right and left quadriceps femoris, but there were no statistically significant differences in the right quadriceps femoris muscle strength (p=0.088) and left quadriceps femoris muscle strength (p = 0.093). Conclusion: The addition of a resistance band to balance training for 5 weeks had a clinical effect on the quadriceps femoris muscles strength in the elderly but had no statistically significant differences. Keywords: Resistance band, balance training, quadriceps femoris, elderly

HUBUNGAN GANGGUAN MENTAL EMOSIONAL DENGAN KECANDUAN MEDIA SOSIAL PADA MAHASISWA SEMESTER 1 TAHUN AJARAN 2019 DAN SEMESTER 3 TAHUN AJARAN 2018 DI UNIVERSITAS DIPONEGORO SEMARANG Alain Stephano Mahardhika; Alifiati Fitrikasari; Natalia Dewi Wardani; Titis Hadiati; Witrie Sutaty; Hari Peni Julianti
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Currently the level of addiction to social media tends to increase, especially among students. 75% of individuals who experience internet addiction are caused by problems in their relationships with other people. One of the related factors is emotional mental disorder. Objective: To determine the relationship between mental emotional disorders and social media addiction in students in the 1st semester of the 2019 academic year and the 3rd semester of the 2018 academic year at Diponegoro University, Semarang. Methods: Research with cross sectional design. The research sample is Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd of the 2018 academic year. The independent variable is mental emotional disorder, while the dependent variable is social media addiction. The research instrument used a sociodemographic questionnaire, the Bergen Social Media Addiction Scale (BSMAS) and the Self Reporting Questionnaire 20 (SRQ20). Research variables were analyzed by chi square test. Results: The majority of research subjects had normal emotional mental disorders as many as 140 (82.8%) and 29 (17.2%) indicated experiencing emotional disorders. The majority of social media addiction levels were normal as many as 113 (66.9%), while alerts were 56 (33.1%), There was a relationship between emotional mental disorders and social media addiction (p=0.019, PR=2.587 95%CI=1.146 – 5,840). Conclusion: There is a significant relationship between mental emotional disorders and social media addiction. Diponegoro University Semarang students in 1st semester of the 2019 academic year and 3rd semester of the 2018 academic year.

- Perbandingan McKenzie dan Isometric Neck Exercise terhadap Keseimbangan pada Forward Head Posture: Studi pada Karyawan Pengguna Komputer Naela Munawaroh; Stephanie Indrawati Sugiarto; Sri Wahyudati; Erna Setiawati
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: The increasing use of computers in the current era is accompanied by an increase in the prevalence of poor posture due to the use of computers in fixed and inappropriate positions for a long time. This has the potential to cause changes in posture and body alignment such as forward head posture. McKenzie neck exercise and isometric neck exercise are considered to help maintain normal spinal alignment and improve body posture. OBJECTIVE: To compare the effect of McKenzie and Isometric Neck Exercise to balance in forward head posture METHOD: This study is an experimental study with a quasi-experimental pre and post-test design. Research subjects are computer users at RSUP dr Kariadi Semarang who suffer from forward head posture. A total of 24 research subjects were divided into group 1 (n=12) who received McKenzie neck exercise and group 2 (n=12) who received isometric neck exercise. Allocation was done by simple randomization. Each group did the exercise 12 times for 4 weeks with a frequency of 3 times per week. Balance assessment using the mCTSIB (Modified Clinical Test of Sensory Integration on Balance) questionnaire. Data analysis used Shapiro Wilk, Mann Whitney, independent t-test and paired t-test. RESULT: The demographic data of the sample in this study did not show any significant difference in either group 1 and 2. There was a significant improvement in condition 1 (balance on a flat bed with open eyes) in group 1 (p = 0.025). Significant results were also obtained in condition 2 (balance on a flat bed with closed eye) in group 2 (p = 0.041). There was no significant difference in the analysis of the two intervention groups. The McKenzie group did not provide a greater improvement in balance when compared to the isometric neck exercise group. CONCLUSION: McKenzie exercise is not superior to isometric neck exercise in improving balance

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Maya Nuriya Widyasari

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