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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 12 Documents
Search results for , issue "Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April" : 12 Documents clear
Study of Index Aedes Larvae in Salemba Campus Universitas Indonesia Rawina Winita; Arie Prasetyawan
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Jakarta is one of urban areas in Indonesia that became endemic araea for DHF. In 2014 the Incidence Rate (IR) of DHF is 83.33 per 100,000 population. Salemba campus of Universitas Indonesia is one area in Central Jakarta is prone to the incidence of DHF. Salemba campus is the ground and building at Universitas Indonesia where all learning activities and administration activities on going. Salemba campus located in Central Jakarta is prone to the incidence of dengue. The aim of this study was to determine the density index of Aedes in the Salemba Campus Universitas Indonesia. This research is observational research with descriptive study approach. The research conducted in January 2015. The samples are 169 units buildings taken from 20 buildings were purposively selected. Index larva, obtained from mosquito larvae survey by single larvae method from 253 containers. Larval index determined from Container Index (CI), House index (HI), Bretau Index (BI) and Density Figure (DF), which can show the density and spread of larval Ae. aegypti in Salemba campus Universitas Indonesia. The Results showed CI 8.3%; HI 4.7%; BI 12.4% and DF 2-3 respevtively. The dominant container as larval breeding places is a bucket which is the not permanent container.
Head Position and Other Risk Factors Associated with Acute Neck Pain among Taxi Drivers siani setiawati setiawan; Dewi Friska; Slamet Ichsan
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Neck pain is a common musculoskeletal disorder which causes an increase in worker absenteeism and health expenses of companies. This study aimed to determine the relationship of the head position and other risk factors towards the incidence of acute neck pain among taxi drivers. The study was carried out on June to September 2015 using cross-sectional design with a sample of 113 respondents via consecutive sampling. Data were collected by interview, physical examination and photographic methods for measuring the head position while driving. The subject were taxi drivers in Jakarta. Exclusion criteria were driver with preexisting neck pain or neck discomfort at the initial time of the study, analgesic usage in the last 24 hours and the usage of neck pads while driving. Data was analyzed using multivariate logistic regression and cutoff point determination based on ROC curve. 46.7% of respondents were experiencing acute neck pain. The head position associated with acute neck pain was neck-horizontal angle (OR=14.72, 95% CI=5.08-42.6). Respondents with neck-horizontal angle ≤50º had 15 times greater risk of experiencing acute neck pain than neck-horizontal angle >50º. Risk factor of occupation associated with acute neck pain was duration of rest on duty (OR=7.61, 95% CI=2:51 to 23:13). Respondents with the duration of rest on duty ≤3 hours per day had 8 times greater risk of experiencing acute neck pain than respondents with longer rest >3 hours. There were no individual factors associated with acute neck pain.
Exercise Effect on Learning Ability and Memory of Mus musculus Exposed Monosodium Glutamate Husnur Rofiqoh; Kristanti W Wigati; Suhartati Suhartati
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Glutamate is a main component of Monosodium Glutamate. It is excitatory neurotransmitter but it leads to excitotoxicity in brain nerve cells when consumed in large doses. It also has negative impact in learning ability and memory. The aim of this study is to determine exercise effect in protecting learning ability and memorycaused by MSG exposure. This study used pretest-posttest control group design and was conducted in Animal Laboratory of Faculty of Medicine Airlangga University in November 2015. Thirty mice males were tested for learning ability and memory using Morris Water Maze before and after treatment. They were divided into three groups, they are one control group/K (without treatment) and two treatment group were given different treatment for 21 days. Group P1 was given 2,5 mg/gBW MSG intraperitoneal injection, group P2 was given 2,5 mg/gBW MSG intraperitoneal injection and swimming exercise with a span of 30 minutes/day on 5 days/week for 3 weeks with a load individual 4% of body weight. The result showed latency time and frequency between pretest and posttest group at P1 group there is no significant difference either in latent or frequency while P2 was a significant difference of latency time (p=0,010) but no significant difference of frequency (p=0,645). Our study suggested that exercise (swimming) can protect learning ability caused by MSG exposure, but not protect memory retention.
Prognosis of Peritoneal Dialysis Compared to Hemodialysis in Patient with End-Stage Renal Disease Meutia Ayuputeri Kumaheri
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

End-stage Renal Disease (ESRD) is the terminal stage of Chronic Kidney Disease, where the function of the failing kidney must be substituted with Renal Replacement Therapy (RRT). There are two forms of RRT; Peritoneal Dialysis (PD) and Hemodialysis (HD. However, the issue of which method provide a better survival for patient remains an interesting topic to date. This paper aims to provide evidence on whether PD provides better survival compared to HD in a patient with ESRD. Systematic search was done using two databases; Pubmed® and Scopus®. Cohort studies were selected as appropriate study design to answer a prognosis question. Two restrospective cohorts and one prospective cohort study are relevant for this report. Two studies demonstrated survival advantage of PD over HD described by Relative Risk of Mortality of 0.398 and 0.49. The last study showed worse survival of PD patients compared to HD (RR=1.82). The difference in survival in the last study may be attributed to the fact that patients undergoing PD has worse baselinecharacteristics. PDand HD bring about comparable survival in ESRD patients.
Graves Ophthalmopathy: Comparison of Clinical Appearance, Thyroid Hormones, and TSH Receptor Antibody Profiles Imam Subekti
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Graves ophthalmopathy (GO) is the most common extrathyroid manifestation of Graves’ disease (GD). This study aims to evaluate characteristic difference in terms of clinical appearance, thyroid hormones (TSHs, FT4 and FT3) and TSH receptor antibody profiles (TRAb and TSAb) in GD patients with and without clinical GO. This study using consecutive sampling methode on endocrine clinic dr. Cipto Mangunkusumo National Hospital in December 2009 to Januari 2011. This was cross sectional study involving 75 GD patients. Subjects were divided into two groups, those with and without clinical OG. Graves ophthalmopathy were diagnosed clinically by Bartley’s criteria. Thyroid hormones (TSHs, FT4 and FT3) and TRAb were measured by ELISA technique while TSAb were measured by RIA technique. There was no statistically significant difference in smoking history, blood pressure, age, and duration of illness between two groups. In terms of laboratory parameters, there were also no significant difference of TSHs, FT4, FT3, TRAb and TSAb between groupswith and without clinical GO. The clinical OG group however, showed increasing trend of TSAb than those of without clinical OG (615.4 (295-1120.9) vs 972.4 (450-1648), p=0.06). If lower lid retraction were included as diagnosis of OG, there was significant difference of TSAb between two groups (596 [291-1120] vs 941 [454-1642], p=0.03). There were no significant difference in clinical appearances, thyroid hormones and anti-TSH receptor antibody profiles between GD patients with and without clinical GO. But there was incraesing tren of TSAB in GD patients with clinical GO.
Association between Sertoli Cell-Only Syndrome, Varicocele and FSH Level in Azoospermic Patients Michelle Eva; Puji Sari; Ponco Birowo; Nur Rasyid
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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A varicocele is the most frequent causes of infertility because it causes damage to the testes that could increase the levels of FSH. The objectives of this study were to determine the relationship of varicocele history and the condition of Sertoli cell-only syndrome (SCOS) based on Johnson criteria from testicular biopsy and the relationship of SCOS with FSH levels or testicular volume in azoospermic patients. This cross-sectional study (110 samples) used data from testicular biopsy of azoospermic patients at the Biology Department FKUI and the medical records of Urology Department FKUI-RSCM in 2011-2015. Johnson&rsquo;s criteria for most patients were 5 with a mean criteria of 4.42 (&plusmn;1.997). The Johnson criteria of 2 in the biopsy results or SCOS is 21 (19.1%). In patients with a history of varicocele, there were only 10 (27.8%) patients with SCOS (p=0.378). There was no association between SCOS and the history of varicocele. Patients without SCOS have mean FSH levels of 14.1&plusmn; 8.6IU/L and patients with SCOS have mean FSH of 21.3&plusmn;7.5IU/L. There was significant difference mean of FSH level (paired t test, p<0,05), which is 7,247 in SCOS group and non-SCOS. There were 36 testes with the Johnson criteria of 2 and 157 testes having values above 2. The SCOS and non-SCOS group testicular volumes were significantly different (Mann-Whitney test, p=0.018). Varicocele could not be used as an indicator of SCOS, however high levels of FSH may indicate SCOS in azoospermic patients.
Comparison of Selenium Sulfide 1% and Zinc Pyrithione 1% and Combination of them in Overcoming Malassezia Globosa in Vitro Robiatul Adawiyah; Atik Arimurti; Ridhawati Sjam
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Dandruff is a scalp disorder that is affected by three factors, namely the fungus Malassezia globosa, sebaceous gland activity, and individual susceptibility. Selenium sulfide (SeS2) and Zinc Pyrithion (ZPTO) is used as an antidandruff shampoo active ingredient because it has anti-fungal properties. The study was conducted to determine the potentiality of shampoo with active ingredient SeS2 1% and ZPTO 1% to M.globosa in vitro. The colonies of M.globosa (CBS 7966 ATCC 96 807) were exposed to a non-antifungal base shampoo, shampoo containing 1% SeS2, shampoo containing 1% ZPTO and shampoo containing combination of 1% SeS2 and 1% ZPTO. Fungal contact time with shampoo is 3 and 5 minutes. Fungal colonies are grown on Sabourraud Dextrose agar (SDA) medium coated with olive oil. Incubation was carried out at 37&deg; C for 5 days. After fiveday, assessment was performed to observe whether the fungal culture was grown, and then the colony growth is calculated. The research was conducted at Clinical Parasitology Laboratory, Parasitology Department, Faculty of Medicine, University of Indonesia from November 2011 until April 2012. Data were analyzed using ANOVA and LSD Fisher test. Shampoo containing 1% SeS2 inhibited fungal growth in 5 min contact time (p = 0,000 <0.05), whereas 1% ZPTO shampoo fungal growth was inhibited either in 3 min or 5 min contact time (p = 0,000 <0,05), and combination of 1% SeS2 and 1% ZPTO shampoo in both contact times (p = 0,000 <0.05). In conclusion, combination of 1% SeS2 and 1% ZPTO shampoo has the most potency in inhibiting the growth of M.globosa colonies in vitro.
Budaya Nifas Masyarakat Indonesia, Perlu Tidak Dipertahankan? Yaumil Reiza
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Validation of Metacognitive Awareness Inventory in Academic Stage of Undergraduate Medical Education Rukman Abdullah; Diantha Soemantri
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Medical students are expected to improve critical thinking, clinical reasoning and problem solving skills. These cognitive attributes need to be supported with metacognitive skills. Students with better metacognitive ability will be able to synergize their learning with self-reflection strategies to achieve learning target. One of the tools to assess students&rsquo; metacognitive skills is Metacognition Awareness Inventory (MAI). This study is aimed to validate Indonesian MAI in the academic stage of undergraduate medical education and was done on May-June 2014 at faculty of medicine Universitas Malahayati Bandar Lampung. This study used cross-sectional design consisted of 3 stages: language adaptation, pilot study and validation study. Validation study involved 1200 medical students. Factor analysis was conducted to identify factors of MAI. Language adaptation and pilot study produced Indonesian MAI which contains the same number of items. There were 757 MAI questionnaires eligible for analysis. Extraction of the 51-item MAI using principal component analysis (PCA) produced 5 factors which were cognitive preparation, supervision, management, strategy and evaluation. The Cronbach alpha value for the whole Indonesian MAI was 0.904. Indonesian MAI complies to construct validity criteria, specifically content validity and internal consistency. MAI is useful as an instrument to assess metacognitive ability in the academic stage of undergraduate medical education.
The Difference in Length of Stay, Quality of Life, and Cost Effectiveness of Care for Geriatric Patients in Acute Care for Elderly Dr. Cipto Mangunkusumo National Hospital Before and After National Health Insurance Program Implementation Czeresna Heriawan Soejono; Ika Fitriana
eJournal Kedokteran Indonesia Vol 6, No 1 (2018): Vol 6, No. 1 (2018): April
Publisher : Faculty of Medicine Universitas Indonesia

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Geriatric population with special characteristics tend to have longer average length of stay. The aim of the study is to evaluate the implementation of NHIP (national health insurance program) system according to length of stay, quality adjusted life days (QALD) and cost effectiveness of care in Cipto Mangunkusumo National Hospital (CMNH). This is a retrospective cohort study with historical control. The subjects were geriatric patients with geriatrics giants on July to December 2013 (non NHIP) and January to June 2014 (NHIP). We used independent t-test to compare two means of length of stay and QALD. The characteristics were similar between 100 subjects in non NHIP group and 125 subjects in NHIP group. The median of age was 70 (60-86) dan 68 (60-85) years old respectively. There was no significant difference between length of stay in non NHIP, median 12(2-76) days and NHIP group, median 12(2-59) days, p= 0.974. As for QALD, there was also no significant difference between non NHIP, median 0.812 (-3.1&ndash;24.37) and NHIP group, median 0.000 (-7.37&ndash;22.43), p= 0.256. The median cost spent was Rp 19.961.000 (Rp2.57&ndash;Rp100 millions) in non NHIP and Rp 20.832.000 (Rp3.067-Rp100 millions) in NHIP group. Incremental cost effectiveness ratio (ICER) scheme showed NHIP is more expensive Rp1.500.000 to have 0.91 shorter days than non NHIP system. For QALD, the cost was cheaper Rp3.484.887 to have 0,25 QALD lower than non NHIP. There was no significant difference in length of stay and quality of life of patients who admitted in CMNH with CGA approach before and after NHIP implementation.

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