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Zahratul Aini
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JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Published by Universitas Islam Indonesia
ISSN : 20854145     EISSN : 25272950     DOI : 10.208885/JKKI.Vol10.Iss3.art5
Core Subject : Health,
Medicine & Pharmacology Public Health
JKKI: Jurnal Kedokteran dan Kesehatan Indonesia is a peer-reviewed journal in the field of medical and health sciences. This journal is designed as a place of dissemination of information and scientific knowledge, which publishes three times a year. It publishes original article, article review, and case report. These comprise of biomedical sciences, clinical medicine, public health sciences, and medical science education.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 14 Documents
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Search results for , issue "JKKI, Vol 10, No 2, (2019)" : 14 Documents clear
Migraine headache in children: recent diagnosis and treatment Agus Nur Salim Winarno
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art11

Abstract

Migraine headache is one of the most frequent primary headaches that occur in children. It is estimated that 6 million children and adolescent in the United States suffer from migraine. Migraine can affect the quality of life and it can cause a financial and social burden. Migraine is often ignored by not only the parents and teacher but also the doctor. The diagnosis of migraine in children is challenging. Precise diagnosis and management are needed to avoid further impact. In this review, it will be discussed how to diagnose and to establish recent management of migraine in children.
Study of intestinal protozoa infectio in the hospitalized patients diagnosed with diarrhoea in the Panembahan Senopati hospital Nurlaili Farida Muhajir; Elsa Herdiana; Budi Mulyaningsih
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art10

Abstract

Background: Based on data from Bantul health profile 2012, diarrhoea was one of 10 major diseases in hospitalized patients in Panembahan Senopati Bantul Hospital. The presencetage of intestinal protozoan infection in the Panembahan Senopati Regional Public Hospital, Bantul, Yogyakarta is not known specifically.Objective: To determine the percentage of intestinal protozoa cases and the related factors in the hospitalized patient with diarrhoea in the Panembahan Senopati hospital.Methods: This study was conducted in September 2014-February 2015. The method used was observational analytic research.Results: The number of intestinal protozoan infection in the patient with diarrhoea is 37 people (45.1%) of the total 82 research subjects. Intestinal protozoa E. histolytica is found as many as 4 people (4.9%), E. coli 1 people (1.2%), Cryptosporidium 25 people (30.5%), Blastocystis 2 people (2.4%) and mix infection (E.histolytica & Cryptosporidium) 5 people (6.1%). Bivariate analysis showed the factors related to the infection with the significant relationship (p<0.05) are water sanitation facilities (p<0.000), toilet facilities (p<0.000), and garbage management (p<0.004). Multivariate analysis showed the sanitary water facilities and toilet facilities can give risk at once.Conclusion: The percentage of intestinal protozoan infection in the hospitalized patient with diarrhoea in Panembahan Senopati Hospital in the period of September 2014-February 2015 was 45%. Sanitary water facilities, toilet facilities, and garbage management facilities associated with the incidence of intestinal protozoan infection.
Pulmonary metastasis of recurrent giant-cell tumor in proximal humerus: a case report Aris Kurniawan; Mujaddid Idulhaq; Pamudji Utomo; Ambar Mudigdo; Handry Tri Handojo
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art12

Abstract

Giant-cell tumour  (GCT) of the bone is a benign neoplasm which commonly occurs in the distal femur, proximal tibia, and distal radius. The proximal humerus is a relatively rare site of occurrence, with a prevalence rate of 4%. We report a case of a 40 years-old male with a recurrent GCT of the proximal humerus. Wide excision and hemiarthroplasty of the shoulder was performed. However, the tumour recurred. Asymptomatic metastasis to the right lower lobe of the lung was found on plain radiograph. We suggest that multiple surgeries would increase the risk of local recurrence of GCT that will lead to pulmonary metastasis.
Total phenolic content and antioxidant activities of binahong (Anredera cordifolia.) Hari Susanti
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art9

Abstract

Background: Binahong plants are reportedly containing polyphenols, flavonoids, and steroid compounds. The content of polyphenols and flavonoids plays an important role as antioxidants. Research using the method of FRAP (Ferric Reducing Ability of Power) indicates that the antioxidant content of the binahongleaves extract is 3.68 mmol/100 g in dried leaves. This study offers new proof of antioxidant activity of all the aerial part of binahong.Objective: This research aims to determine the total phenolic content from binahong extract and its ability as free radical scavenger using DPPH method.Methods: The plant used in this research is every part of plants on the ground. The binahong extract is obtained by a maceration method with various solvents (hexane, chloroform, and methanol). Total phenolic content in the extract is spectrophotometrically determined with the Folin Ciocalteu reagent. Antioxidant activity assay is performed in vitro by the method of DPPH, with Gallic acid as a comparator. ES50 parameter is determined from the linear regression equation between the concentration of extracts and % scavenging.Results: The results showed that the total phenolic content of hexane, chloroform and methanol extract of Binahong was 8.54 ± 0.49 GAE mg/g, 17.30 ± 0.47 GAE mg/g and 32.5 ± 1.11 GAE mg/g. Hexane extract, chloroform extract and methanol extract of Binahong have a free radical scavenger activity. The value of ES50 extracts of hexane, chloroform, methanol, and successive acid errors is 58.601 ± 2.533 µg/ml, 446.219 ± 2.268 µg/ml, 237.683 ± 13.373 µg/ml and 2.058 ± 0.002 µg/ml.Conclusion: The capability of the three of binahong extract as a free radicals DPPH scavenger were weaker than gallic acid.Background: Binahong plants are reportedly containing polyphenols, flavonoids, and steroid compounds. The content of polyphenols and flavonoids plays an important role as antioxidants. Research using the method of FRAP (Ferric Reducing Ability of Power) indicates that the antioxidant content of the binahongleaves extract is 3.68 mmol/100 g in dried leaves. This study offers new proof of antioxidant activity of all the aerial part of binahong.Objective: This research aims to determine the total phenolic content from binahong extract and its ability as free radical scavenger using DPPH method.Methods: The plant used in this research is every part of plants on the ground. The binahong extract is obtained by a maceration method with various solvents (hexane, chloroform, and methanol). Total phenolic content in the extract is spectrophotometrically determined with the Folin Ciocalteu reagent. Antioxidant activity assay is performed in vitro by the method of DPPH, with Gallic acid as a comparator. ES50 parameter is determined from the linear regression equation between the concentration of extracts and % scavenging.Results: The results showed that the total phenolic content of hexane, chloroform and methanol extract of Binahong was 8.54 ± 0.49 GAE mg/g, 17.30 ± 0.47 GAE mg/g and 32.5 ± 1.11 GAE mg/g. Hexane extract, chloroform extract and methanol extract of Binahong have a free radical scavenger activity. The value of ES50 extracts of hexane, chloroform, methanol, and successive acid errors is 58.601 ± 2.533 µg/ml, 446.219 ± 2.268 µg/ml, 237.683 ± 13.373 µg/ml and 2.058 ± 0.002 µg/ml.Conclusion: The capability of the three of binahong extract as a free radicals DPPH scavenger were weaker than gallic acid.
An exploratory study on the dimensions of spiritual care Henie Kurniawati; Sofia Retnowati; Bagus Riyono; Widyawati Widyawati
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art5

Abstract

Background: Spiritual care is one of the important services. The dimensions of spiritual care have not been fully identified clearly. Therefore it is necessary to explore the dimensions of spiritual care.Objective: The aim of this study is to explore spiritual care.Methods: Qualitative research methods were used in order to obtain data through observation techniques, in-depth interviews, and focus group discussions (FGD). The research was conducted within several number of hospitals in Central Java, Indonesia. The samples of this research were 57 nurses with given criteria as following: has a minimum education of associate’s degree in the nursery and a work experience minimum of 2 years in a hospital. Obtained data were, was analyzed with constant comparative and content analysis.Result: The exploration of spiritual care is depicted by hospital nurses as personal belief towards spirituality that can be experienced through spiritual comfort, which is manifested through routine worships, prayers, and intense presence as spiritual implementations and support.Conclusion: This explorative study concludes that there are dimensions in the spiritual care of hospital nurses: personal belief, spiritual knowledge, spiritual comfort, spiritual implementation, and spiritual support. The implications may be able to bring benefit in its application toward the government, hospitals, nurses, patients, and their families, as well as the society.
Development of prediction model for identifying heart failure patients with high risk of developing hyponatremia Saepudin Saepudin; Patrick Ball; Hana Morrissey; Akhmad Fauzy
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art4

Abstract

Background: Despite its significant contribution to morbidity and mortality, studies reported that hyponatremia is still inadequately recognised and treated. Objective: To obtain a prediction model for predicting the risk of hyponatremia in patients hospitalized from heart failure. Methods: Patients included in this research were patients hospitalized from heart failure at Fatmawati Hospital in Jakarta, Indonesia during the 2011 – 2014 period. Logistic regression analysis was performed for the derivation of prediction model by including variables obtained during admission as the predictors. Brier-score and Nagelkerke R2 (NR2) were measured to assess overall predictive ability and area under the curve (AUC) of the Receiver Operating Characteristics (ROC) and calibration plot along with Hosmer-Lemeshow test were measured to assess discrimination and calibration ability, respectively. Internal validation was performed using a bootstrapping approach.Results: Out of 464 patients included in the research 102 (22%) were hyponatremic during hospitalization. Accordingly, 306 non-hyponatremic patients were selected as controls matched by age and gender. Variables significantly associated with hyponatremia were serum sodium level, fatigue, ascites, positive inotropes, heparin and antibiotics. Prediction model containing those six variables exhibits good predictive ability both overall (brier-score=0.107, NR2=0.531) and specifically of discrimination (AUC of ROC curve=0.90) and calibration ability (p-value of HL test=0.899). Optimism observed from internal validation did not reduce its predictive performance.Conclusion: Risk prediction for predicting the risk of hyponatremia in patients hospitalized from heart failure can be derived by including predictors taken from information obtained during admission. 
The effect of curcuminoid turmeric rhizome extract on interleukin 1ß concentration in osteoarthritis patient Woro Rukmi Pratiwi; Nyoman Kertia
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol10.Iss2.art8

Abstract

Background: Cytokine Interleukin (IL) 1ß is increased in synovial fluid and cartilage of patients with osteoarthritis (OA). Curcuminoid blocks lipopolysaccharides causing the suppression of IL 1ß production. The capability of curcuminoid to decrease IL 1ß secretion by the synovial fluid monocytes has not been previously studied. Objective: This study aimed to explore the activity of curcuminoid of turmeric rhizome extract (C. domestica Val.) in blocking the IL 1ß secretion by the knee synovial fluid monocytes of patients with osteoarthritis.Methods: This research was a prospective randomized open and blinded endpoint (PROBE) study. The subjects of the study were osteoarthritis patients who were divided into 2 groups. Subjects were administered 30 mg of turmeric rhizome curcuminoid extract (treatment group) and 25 mg diclofenac sodium capsules (control group) twice a day for 4 weeks. Knee synovial fluid was taken before and after treatment. The capability examination of IL 1ß secretion by synovial fluid monocytes was conducted by culturizing the monocyte cells. Level of IL 1ß was measured by ELISA Results: There were 80 subjects eligible to participate in the study according to the inclusion/exclusion criteria. The decrease of means of IL 1ß concentration of the curcuminoid group after the 4-week therapy was 70.24±81.46 pg/ml, while the decrease of means of diclofenac sodium was 61.90±60.42 pg/ml, with no significant difference between groups (p=0.691;95%CI:0.681-0.699).Conclusion: Curcuminoid of turmeric rhizome (C. domestica Val.) extract has the capability which is not weaker than that with diclofenac sodium in decreasing the IL 1ß secretion by synovial fluid monocytes of the OA patients’ joints. 
Correlation of serum calcium with blood pressure and Body Mass Index (BMI) among ischemic stroke patients in Bangladesh Nazia Sharmin; Abu Kholdun Al-Mahmood; Nasima Sultana
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art6

Abstract

Background: Ischemic stroke more commonly occurs in hypocalcemic patients and presented with more severe clinical symptoms.Objective: We sought to observe the correlation of serum calcium with blood pressure and BMI among stroke patients in Bangladesh.Methods: We performed a case-control study using the Department of Biochemistry at Dhaka Medical College, Dhaka, Bangladesh from January 2014 to December 2014. The case were defined as patients diagnose with an acute ischemic stroke, and controls were defined as healthy subjects. In this identified population, 15 cases were matched on age and sex to 50 control subjects. The information regarding age, serum calcium level, height and weight of both cases and controls were taken to calculate BMI. Systolic and diastolic blood pressure (SBP and DBP) from the subject are taken to investigate the history of hypertension. Result: Serum calcium has statistically significant with a negative correlation with DBP (r =-0.335, p=0.017) and BMI (r =-0.426, p=0.002). A negative correlation between serum calcium and SBP also can be observed (r= - 0.194, p= 0.176). Conclusion: Findings of this study concludes that hypocalcemia is found to be negatively correlated with blood pressure and BMI among ischemic stroke patients in Dhaka, Bangladesh.
The importance of socialization in achieving universal health coverage: case study of Jaminan Kesehatan Nasional (JKN) implementation in two different region in Central Java province Ema Nur Fitriana; Ari Natalia Probandari; Eti Poncorini Pamungkasari; Tonang Dwi Ardyanto; Rizky Amalia Puspitaningrum
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol10.Iss2.art3

Abstract

Background: Jaminan Kesehatan Nasional (JKN) is Indonesia's health policy to achieve universal health coverage (UHC). Towards 2019, not all regions have succeeded in achieving UHC. One of the reasons is the uneven distribution of information regarding JKN policies. Socialization is needed so that the JKN policy is understood by the people of Indonesia. Objective: This research was design to describe the importance of JKN policy socialization to reach UHC. Methods: Qualitative research was conducted in September 2018- February 2019 in two districts in Central Java, that were the district that had reached UHC and districts that had not yet reached UHC. The informants consisted of leaders of regional organizations and also the community. The researcher conducted an interactive model analysis on the interview transcript. Results: In districts that had reached UHC, socialization was conducted directly and indirectly through the government, community cadres and BPJS cadres. The district government provided support by issuing circulars letters. The district socialization effectively increases JKN participants. Meanwhile, in districts that had not yet reached UHC, there was found differences between community and the government. The government said that they had conducted effective socialization. But the community said that the information provided has not been effective and there is no detailed information about JKN.Conclusion: An effective socialization of JKN policies is needed to increase the understanding and awareness of the community to achieve UHC.
Achievement of universal health coverage in Surakarta city: policy analysis Rizky Amalia Puspitaningrum; Ari Probandari; Eti Poncorini Pamungkasari; Tonang Dwi Ardyanto; Ema Nur Fitriana
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 2, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/10.20885/JKKI.Vol10.Iss2.art7

Abstract

Background: Jaminan Kesehatan Nasional (JKN) is the health policy of the Indonesian government to achieve Universal Health Coverage (UHC), where each City or District has a varied regional policy in implementing it. Surakarta City is one of the regions that has been able to reach UHC. Policy analysis triangle is used to understand the various factors involved in each policy process. Objective: This study aims to explore deeply the implementation of JKN policy in Surakarta City to be able to achieve UHC based on a policy analysis triangle.Methods: This type of research is a qualitative study with a case study approach. The study was conducted in Surakarta City, Central Java, from September 2018 to March 2019. Data collection was carried out through in-depth interviews and document analysis. Sampling technique with criterion sampling. The research informants were five people who were the leaders of the Surakarta City Government, and 10 people from the Surakarta City community. Data validity was done by triangulation, member check, and peer debriefing. Results: The implementation of JKN policy in the city of Surakarta to reach UHC was influenced by: actors who were highly committed and competent in the success of the JKN program, a dynamic process in adjusting central policy to the regions by implementing various strategies and innovations to increase JKN membership coverage; political factors with policy making that support the achievement of UHC, environmental factors where population density in Surakarta City is the most densely populated in Central Java, there is a high awareness and willingness of the people of Surakarta City to have JKN, and technological support that facilitates JKN coordination and implementation. Conclusion: Achieving UHC in Surakarta City is the result of optimizing the four factors in the triangle analysis policy.

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