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INDONESIA
eJurnal Kedokteran Indonesia
Published by Universitas Indonesia
ISSN : 23501426     EISSN : 23386037     DOI : 10.23886
Core Subject : Health,
Elektronik Journal Kedokteran Indonesia (eJKI) is a peer-reviewed and open access journal that prioritize the publication manuscript of students (medical education program, magister/specialist, doctoral). This journal publishes editorial, research article, reviews, evidence-based case report, and also interesting case reports/case study. eJKI published three times a year (April, August, December) and published by Faculty of Medicine Universitas Indonesia
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Articles 11 Documents
Search results for , issue "Vol 5, No 1 (2017): Vol 5, No 1 (2017): April" : 11 Documents clear
Correlation between Sagittal Spinopelvic Parameters and Oswestry Disability Index after Thoracal and Lumbar Spine Stabilization and Fusion Yudistira Prama Tirta; Ifran Saleh
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Spinopelvic parameter consists of sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS) which are measured by whole-spine-lateral-view radiograph in standing position. Measurement of the separameters is pivotalas the land mark analysis toachieve correct sagittal balance. The objective of the study is to analyze the correlation between PI, PT, SVA and SSwith theclinical outcomes which was measured usingOswestry Disability Index (ODI) scoring system.This is a cross-sectional study involving 19 patients who underwent thoracal and lumbar fusion surgery in our centerduring 2012-2014. Radiographi cevaluation of SVA, PI, PT, and SS and ODI score were performed 1 year after surgery. Pearson test was conducted to determine the correlation between SVA, PI, PT, and SS with ODI score.There wasa strong correlation between ODI withSVA and PI (p<0.001,r=0.866; p=0.006; r=0.603, respectively). There was no correlation between other parameters with ODI.Based on this study, spinopelvic parameters that can represent the clinical outcome after thoracal and lumbar fusion and stabilization surgeries are SVA and PI.
The Efficacy of Probiotic in Adults with Acute Infectious Diarrhea Mawin Mahen; Aulia Rizka
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Diarrhea is a global health problem with high morbidity and mortality. In developing countries, acute diarrhea is most commonly caused by infectious pathogens. Regardless of the cause, diarrhea is primarily treated by fluid replacement therapy to decrease the risk of dehydration and death, although it does not affect the duration of diarrhea. Probiotics are able to shorten the duration of diarrhea in children, but its efficacy in adults is unclear. This study aimed to evaluate the benefit of probiotic in reducing the duration of acute diarrhea in adults as compared to placebo. Systematic search was done using four databases: PubMed, Scopus, ProQuest, and Embase, without limit on the year of publication. Randomized clinical trials were selected as the appropriate study design to answer the clinical question and two studies were considered relevant for appraisal. In conclusion, probiotics could improve the recovery of acute infectious diarrhea in adults (level of evidence 1b) however more studies should be carried out since only very few strains of probiotics have been investigated.
Family Acts in Cases Management In Primary Care through The Five Family Oriented Question Retno Asti Werdhani; Elsa P. Setiawati; Fedri R. Rinawan
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Family oriented in primary care sees family as supporting resources/inhibiting case management accomplishment. The aim of this study was describing cases in primary care and family perception of the patient through the five family oriented question (FFOQ). Interviews were conducted in 162 patients from public health centers and clinics in DKI Jakarta year 2015&ndash;2016. Data were collected through questionnaires consisted of patient&rsquo;s characteristics and 5 FFOQ questions. Qualitative and quantitative analysis was conducted. Most cases in primary care services were non-infectious diseases (82.7%) and the highest age proportion was >40 years (76.5%). Patient and family&rsquo;s perception about causal of the disease and how to cope still vary. Parents, spouses, and children were the family members who were most concern about the patient. A total of 71.6% of respondents felt there were stressors in the family. Stressor sources vary such as socio-economic, family, work, and him/herself. Emotional and financial support were given to patient by family members according to each capacities. In conclusion, the family acts as an inhibiting factor as well as support in primary care case management to support more patient and family oriented case management.
Job Stress in Nurses in Hospitals and Primary Health Care Facilities Herqutanto -; Hasto Harsono; Meita Damayanti; Elsa P. Setiawati
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Work stress is related to accidents, violence in the workplace, organizational strain in the form of absenteeism, decreased work performance, increased injury rates and employee turnover. Nurses are professionals who have high risks of occupational stress. The purpose of this study is to get the prevalens of work stress in nurses in Indonesia and the that influencing factors, using the instrument of ENSS Indonesian version. ENSS is an instrument of stress assessment specifically designed for nurses. ENSS has been adapted to the specific working conditions and culture of Indonesia. A total of 124 nurses were recruited, coming from hospitals and primary healthcare facilities. The higher the level of work stress experienced by nurses, the higher the value of measurement. No relationship was found between demographic characteristics and the level of stress in each subscale in both groups of respondents.
Ilmu dan Teknologi di Pelayanan Kesehatan Primer: dari Penyakit Tropik Terabaikan Sampai Personalized Medicine Akmal Taher
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Retinal Nerve Fiber Layer and Macula Ganglion Cell Thickness in Eyes with Primary Angle Closure Widya Artini
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Decreased thickness of retina nerve fiber layer (RNFL) and ganglion cells of inner plexifom layer (GLIPL) in patients with glaucoma suspect can represent early detection of retina nerve defect. This retrospective study aims to determine the thickness of GLCIPL of patients with primary angle closure suspect (PACS), primary angle closure (PAC), and primary angle closure glaucoma (PACG). All patients who came to Department of Ophthalmology Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo General Hospital from July to September 2015 were examined for the thickness of RNFL and GLIPL with ocular coherence tomography. Mann Whitney test was performed to analyse the thickness of RNFL and GLCIPL among 3 groups. Seventy six eyes form 40 patients within 75% female were enrolled with the distribution of 23 eyes with PACS, 15 eyes with PAC and 38 eyes with PACG. The mean (standard deviation) thickness of superior RNFL in PACS, PAC and PACG were 120.1(22.2)&mu;m, 119.41(21.05)&mu;m and 88.44(20.02) &mu;m. Significant difference was found between PAC and PACG (p<0.001). The mean (SD) thickness of GLCIPL in the superior sector of PACS, PAC, and PACG were 82.1(6.2)&mu;m, 80.50(6.4)&mu;m and 69.5(4.3)&mu;m, which the GLCIPL thickness between PAC and PACG was significant different (p<0.001). Primary angle closure glaucoma eyes showed the RNFL and GLCIPL was the thinnest, mean while in PAC eyes tend to thinner than PACS. Closed observation should be carried out in PAC eyes, especially in risk factors patients.
Accuracy of Triple Diagnostic Test in Patients with Thyroid Nodule at Dr. Cipto Mangunkusumo General Hospital Diani Kartini; Gunawan Wibisana
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

The aim of the study is to evaluate the accuracy of triple diagnostic test on thyroid nodules. The data from patients&rsquo; medical records who came to Cipto Mangunkusumo General Hospital for the first time or for evaluation of thyroid nodule and patients who underwent thyroidectomy during 2010 to 2011. Clinical examination was scored by McGill Thyroid Nodule Score. ROC procedure was performed to obtain clinical cut-off scores of diagnosis of malignant. Ultrasonography (USG) result was considered malignant for TIRADS 4, 5, and 6. If clinical, USG and histopathology examinations of triple diagnostic give positive results, it will be classified as concordant malignant whereas if all those three show benign results, the classification is benign. Thyroid carcinoma was found in 134 out of 161 patients with thyroid nodule. There were 84 patients with concordant results for all three elements of the triple test. Out of 84 patients with concordant triple diagnostic results, there were 53 malignant cases (32.9%) and 31 benign cases (19.3%). Main histopathological findings among patients with thyroid carcinoma was papillary (90.3%), follicular (3%), medullary (0.7%), and anaplastic (6%). The sensitivity and specificity of triple diagnostic was 77% and 94%, with positive predictive value of 98%, negative predictive value of 51,6% and accuracy of 80.9%. Combination of clinical findings, USG, and FNAB gave malignant probability of 92%, better than combination of clinical findings and USG (81.6%) or clinical findings and FNAB (87%). Triple diagnostic cannot be used as an ideal test to replace frozen section examination in managing thyroid nodule. However, in cases with concordant results of each triple diagnostic&rsquo;s element, the positive predictive value (98%) and malignant probability (92%) is high.
The Association of Lipoprotein Changes and the Development of Plasma Leakage in Dengue Infection Leonard Nainggolan; Dicky L. Tahapary; Beti E. Dewi; Dante S Harbuwono; Pradana Soewondo
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

There&rsquo;s interrelationship between infection and lipoprotein. This is a cohort prospective study which conducted November 2010 &ndash; February 2011. This study aimed to assess the changes of HDL-C, LDL-C, total cholesterol (TC), triglyceride (TG), in acute and critical phase of dengue infection and its association with plasma leakage. Subjects who had fever 48 hours or less and Dengue NS1 antigen test positive were admitted to Cipto Mangunkusumo Hospital Jakarta. We examined clinical and CBC daily; level of albumin, HDL-C, LDL-C, TC, TG; ultrasound to find ascites and pleural effusion. Among 51 subjects, 21 subjects (41%) had plasma leakage. There were significant lower of HDL-C, LDL-C, and higher TG in critical phase than acute phase. In critical phase, subjects with plasma leakage had a significant lower HDL-C level [26.3 (8.2) vs 33.1 (12.1) mg/dL, p=0.029] but not for LDL-C, TC, and TG. They also had a significantly higher reduction in HDL-C [19.6 (9.1) vs 11.5 (5.8) mg/dL, p<0.0001] and TC [25.1 (20.0) vs 15.2 (14.5) mg/dL, 0.045] over the course of acute to critical phase. Lipoprotein changes during dengue infection were more pronounced among subjects who developed plasma leakage. The higher reduction in HDL-C is associated with the development of plasma leakage.
Viral Conjunctivitis: Diagnosis and Therapy in Primary Health Care Ratna Sitompul
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Conjunctivae is a transparent thin mucosal membrane covering the outer anterior eye and inner palpebrae. This structure is vital for eye defense from inflammation and infection. Inflammation occurring on the conjunctivae is called conjunctivitis and virus is one of the most common etiologic agent. Such viruses are adenovirus, herpes simplex virus, herpes zoster virus, poxvirus, myxovirus, paramyxovirus and arbovirus. It mostly occurs along or after respiratory tract infection as well as after contact with patients suffering from viral conjunctivitis. Clinical manifestations include redness, watery discharge, and pre auricular lymph enlargement. The manifestations are usually mild, self-limiting, and do not impair visual acuity thus viral conjunctivitis can be managed in primary health centers. However, there are cases which threaten visual acuity thus require referral to ophthalmologists or higher eye care services. Due to its high infectivity, patients should be educated to avoid of direct and indirect contact thus they would not spread the infection to environment. Although it is self-limiting, administration of artificial tears, topical antihistamine or cold compress, could reduce the manifestation. Antiviral agents are not required for conjunctivitis viral, unless for herpetic conjunctivitis.
Combination of Glasgow Coma Scale, Age, and Systolic Blood Pressure in Assessing Patients’ Outcomes with Decreased Consciousness Amir S Madjid; Aida Tantri; Mario Simamora
eJournal Kedokteran Indonesia Vol 5, No 1 (2017): Vol 5, No 1 (2017): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Glasgow Coma Scale (GCS) is commonly used to assess outcomes of patients with loss of consciousness, but it is insufficient in predicting the outcome of some cases. This study aimed to assess the combination of GCS, systolic blood pressure and age to predict the outcome of patients with decreased consciousness. This was a retrospective cohort observational study of 76 loss of consciousness patients that comes into the Emergency Department of Dr. Cipto Mangunkusumo General Hospital in June-August 2014. Data was obtained from the medical records . GCS, systolic blood pressure and age were recorded when patients were admitted to the triage. Outcome was assessed two weeks after admission in the emergency department. Bivariate analysis on the GCS and age showed significant different between patients with poor outcome group with good outcome group (p<0.05) and no significant different of the systolic blood pressure between both groups (p>0.05). Multivariate analysis on the GCS and age showed good probability equation based on the calibration test and discrimination. The combination of Glasgow Coma Scale and age was accurate in assessing the outcomes of patients with loss of consciousness.

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