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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 2 (2018): Vol 6, No. 2 (2018): Agustus" : 12 Documents clear
Association of Knee Pain and Working on Squatting Position and Other Risk Factors Among Dairy Farmers Indah Maulida Rachmi; Retno Asti W.; I Nyoman Murdana
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Dairy farmers have been identified having high risk for knee pain. Squatting position when milking cows create awkward knee posture and high compression on knee joint that could lead to knee injury and degenerative diseases on knee joint. This study aims to identify the prevalence of knee pain among dairy farmers and the association of squatting position and other factors with knee pain among dairy farmers in West Java. A cross sectional study on 117 respondents was conducted at Unit Pelaksana Teknis Daerah (UPTD) Balai Pengembangan Ternak Sapi Perah dan Hijauan Makanan Ternak (BPT-SP HPT) Cikole, Lembang from May through June 2017 (total population). Instruments used were standardized interview form and Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Working position was observed. Chi Square and Logistic Regression was conducted with SPSS Statistics 20.0 program. In this study, 88% dairy farmers had knee pain, mostly with mild knee pain. Association was found between knee pain and squatting (ORc=7.36). Determinants for knee pain are working period 6-10 years with ORA=7.35 (95% CI 1.25-42.95, p=0.027) and working period >10 tahun with ORA= 26,09 (95% CI 1.24-547.59, p=0.036). Prevalence of knee pain among dairy farmers was 88%. The study suggests that knee pain among dairy farmers had association with squatting position. Working period >5 years was identified as determinant factor. It is necesary to improve dairy farmers working condition to reduce exposure of risk factors during working period.
Association between Nutritional Status and Blood Glucose Level in Type 2 Diabetes Mellitus Rana Hanifah Harsari; Widati Fatmaningrum; Jongky Hendro Prayitno
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Blood glucose levels in type 2 diabetes mellitus (T2DM) patients should be well controlled to prevent complications. In addition to diet and the use of drugs, nutritional status is known also play a role in maintaining blood glucose. This study aims to determine the association between nutritional status and blood glucose level of T2DM patients. This cross sectional study using T2DM outpatients at Endocrine Unit of RSUD dr Soetomo Surabaya on January-February 2017. The variables were nutritional status (body mass index/BMI) and fasting blood glucose (FBG). Primary data collected by measuring the weight and height and secondary data by looking at FBG result from patient’s medical record. The data was processed using SPSS program version 20. There were 65 subjects who met the criteria. The result showed 72.9% of patients had more nutritional status with an average BMI 26.06±4.625 kg/m2 and 61.52% had poor blood glucose levels with an average GDP of 142.17±44.012 mg/dL. Pearson test result showed an association between nutritional status and FBG with p value 0.04 and association coefficient value 0.256.
Reflective Writing Skills of Undergraduate Medical Students Yunia Hastami; Mora Claramita; E. Suryadi
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Reflective writing skills is linked to lifelong learning. There are still few studies about reflective writing skills of undergraduate medical students in Indonesia, so it is necessary to investigate the reflective writing skills of undergraduate medical students. A qualitative design using content analysis method was conducted at Faculty of Medicine, Gadjah Mada University on June-August 2016. Written reflections (156) were taken from 54 third year medical students in Jogjakarta, Indonesia using random sampling technique. Every group of student encountered different problems in community as the trigger to write reflective tasks about their experiences when interacting with community. Every student has to write a reflection in three occasions, at the beginning of the program, after the first meeting with the mentor, and at the end of the program. Students’ reflective writing were analyzed by three coders using a REFLECT criteria to investigate the level of reflection. 33.3% of students at 1st level (habitual action), 48.2% reached 2nd level (thoughtful action), and 18.5% reached 3rd level (reflection). The ability of undergraduate medical student in reflective writing skills were in the range of 1st to 3rd level, of 4 levels. It is concluded that undergraduate medical students require more training in writing a critical reflection.
Procalcitonin Levels in Elderly Compare with Non Elderly Patients with Gram Negative Bacteremia Suhendro Suwarto
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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High level of procalcitonin can be used to diagnose gram negative bacteremia. In elderly, there is a decline in the immune system that can affect the body&rsquo;s response to infection. This study was conducted to investigate difference of procalcitonin levels between elderly and non-elderly patients. Retrospective study was conducted at Dr. Cipto Mangunkusumo General Hospital (RSCM) from December 2013 to January 2018. Patients with gram negative bacteremia age of >18 years were included in this study. Patients were categorized into two groups: non-elderly (<60 years) and elderly patients (&ge;60 years). Chi-Square test is used to analyze categorical variables, Mann Whitney test is used to analyze nonparametric variables. The study enrolled 247 gram negative bacteremia patients, consisting of 142 (57.5%) women and 105 (42.5%) men. There were no significant differences in sex, complete blood count, liver function test and microorganisms in both groups. The three most common of microorganisms were Klebsiella pneumoniae, Acinetobacter baumannii and Escherichia coli. Bacteremia Salmonella species were found only in non-elderly group. Concentrations of ureum (p=0.027), creatinine (p=0.049) were significantly higher in the elderly group than in the non-elderly group. Procalcitonin concentrations were significantly higher in the non-elderly group compared with the elderly group (p=0.005). Elderly patients with gram negative bacteremia have decline in kidney function and lower procalcitonin levels compared with non-elderly patients.
Epidemiological Profile of Twice per Week Hemodialysis Patients of Top Referral National Hospital in Indonesia Lucky Aziza Bawazier
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Data regarding the epidemiology and laboratory test results of end-stage renal disease (ESRD) patients on twice per week hemodialysis in Indonesia remain limited. This study was conducted to describe the epidemiological and laboratory profiles of ESRD patients undergoing hemodialysis twice a week. This was a cross-sectional study in which the medical records data of all ESRD patients on hemodialysis at Cipto Mangunkusumo Hospital in 2017. Of 145 subjects, 51% were male. The mean age was 50.1 (SD 13.5) years and the mean body mass index (BMI) was 23.1 kg/m2 (SD 4.8). The aetiology of ESRD in these patients was primarily hypertension (40.7%). There was a significant difference in systolic blood pressure (SBP) and diastolic blood pressure (DBP) before and after hemodialysis (p=0.001 and p<0.001) The mean estimated glomerular filtration rate (eGFR) was 4.3 mL/min/1.73 m2 (SD 2.2) and significantly different between those <60 years old and &ge;60 years old (p=0.004). In addition, there was an association between uric acid and post-hemodialysis SBP (p = 0.02). It is concluded that age and sex distribution played a significant role in determining epidemiological profile patients undergoing twice per week hemodialysis.
Influence of Mesenchymal Stem Cell Transplantation in Retaining Ganglion Cell of End Stage Glaucoma Patients Widya Artini
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Mesenchymal stem cells transplantation enhances nerve growth factor synthesis, brain derived nerve factor, glial cell line-derived neurotropic factor, and neurotrophin-3.. We report four end-stage primary open angle glaucoma patients, consisting of three males and one female with a median age of 68 years old, treated at RSCM on September 2017. Visual acuity ranged between 1/300 to 2/60 and intraocular pressure (IOP) between 10-14 mmHg. All patients underwent allogeneic mesenchymal stem cells transplantation derived from umbilical cord by subtenon injection and evaluated the results of the potential evoked retinograph and average thickness of ganglion cell-inner plexiform layer (GC-IPL). Three months later, two patients admitted their vision was improved. with, no significant anatomical structure changes were observed. While two other patients did not report any significant effects.
Effectiveness of Double Dose Mebendazole in Treating Soil-Transmitted Helminths Infections in Perokonda, Southwest Sumba Sri Wahdini; Yusuf Ananda; Saleha Sungkar
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Treatment of trichuriasis with single dose of albendazole or mebendazole gives low cure rate (CR). The purpose of this study aimed to know the effectiveness of double doses 500 mg mebendazole againts soil transmitted helminths (STH) infection in children aged 2-15 years. This study used a pre post design, conducted on July 2016-February 2017 in Perobatang village, Southwest Sumba. Effectiveness is assessed from CR and egg reduction rate (ERR). Stool samples were examined microscopically with Kato-Katz method. In total of 89 subjects, prevalence of STH, Ascaris lumbricoides and Trichuris trichiura infections were 79.8%, 46.1% and 76.4%. After administration of double dose 500 mg mebendazole the prevalence decresed to 39.3%, 2.2%, 39.3%. CR of A.lumbricoides was 95.1% and T.trichiura was 48.5% while ERR of each infection was 97.98% and 69.73%. There were significant difference in prevalence and ERR before and after treatment (p<0.001). In conclusions double doses 500 mg mebendazole was effective in treating A.lumbricoides but was not for T.trichiura. However, CR and ERR of double dose 500 mg mebendazole againts T.trichiura are higher than single doses.
Solitary Fibrous Tumor: A Retrospective Study on Histopathologic Features and Immunohistochemistry Staining at Cipto Mangunkusumo Hospital Nurjati Chairani Siregar; Aina Angelina; Immanuel Natanael Tarigan
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Solitary fibrous tumor (SFT), is a rare mesenchymal spindle cell tumor and its biological behavior is hard to predict. There is no characteristic clinical manifestation and morphologic features showed broad spectrum, so often diagnosed as other spindle cell mesenchymal tumor, benign or malignant. In most cases, immunohistochemistry staining (IHC) is needed to diagnose SFT. The aim of this retrospective study is to see demographic data, histopathological features and the importance of IHC staining diagnosis of SFT. Secondary data was obtained from Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia in 2010-2016. There were 35 samples included in this review; most are male (20 cases) aged <55 years old. Thirty one cases were in the extrapleural site and most of the tumor is less than 5 cm in diameter. There are 20 cases of cellular SFT while the other is fibrous SFT. Commonly, cellular SFT shows moderate cellularity and pleiomorphism. Fibrous SFT are well circumscribed and without necrosis. There are only 3 cases of malignant SFT which is located in intra-abdominal and orbit. Generally, SFT is benign, small, and well circumscribed. Most of the cases are cellular than fibrous; mild to moderate nuclear pleiomorphism, mitotic activity low, and without necrotic. Features of malignant SFT are hypercellularity, moderate to high nuclear pleiomorphism, mitotic >4/10 high power field (HPF) and necrosis. Most SFT are benign, some may recurrence and metastasize.
Neurological Complication in Nasopharyngeal Carcinoma Tiara Aninditha; Anne Dina Subroto; Eny Nurhayati
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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Nasopharyngeal Carcinoma (NPC) frequently cause neurological complication such as local ivasion, intracranial infiltration, radicular pain, metastatic spread to brain and spine, And stroke like syndrome due to hypercoagulation. This study was conducted to describe neurological complication in NPC and the factors that may influence. This was a cross sectional study used the data from medical records of patients were referred to neurology department for further assestement on neurological complication and stagging purpose from January until December 2014. Statistical analysis was done with SPSS for windows version 20.0. From 86 samples, mean of age was 49.23+11.28 years old, majority of men (73.3%), tumor size of T3 and T4 (68.6 %), and histopathologically non-keratinized (96.5%, Type II and III of WHO). Clinical onset of NPC were found in 11.89 months, and clinical onset of neurological complication were found in 14.32 months. Local invasion of NPC was noted in all samples (100%) with fifth cranial nerve involvement (26.1 %) of samples. The only factor that significantly influence neurological complication due to local invasion and intracranial infiltration was the size of tumor (p=0.032 ; p=0.02). It was concluded that the main neurological complications were cranial nerve lesions due to local invasion. There is a relationship between tumor size and local invasion and intracranial infiltration.
Chest X-ray evaluation of cavitary lesions among pulmonary MDR-TB patients in Kariadi Hospital, Semarang, Indonesia Resta Farits Pradana; Yusuf Nawawi; Bambang Satoto
eJournal Kedokteran Indonesia Vol 6, No 2 (2018): Vol 6, No. 2 (2018): Agustus
Publisher : Faculty of Medicine Universitas Indonesia

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The objective of this study is to know the relationship between MDR-TB treatment to the changes in diameter and thickness of cavity wall on chest X-ray (CXR) 6 month and 12 months post treatment. This study was conducted in MDR-TB clinic in Kariadi Hospital, Semarang on January 2013-December 2016. We examine cavitary lesions, evaluated with CXR in pulmonary MDR-TB patients before and after 6 and 12 months of treatment course. Subjects who had been diagnosed as pulmonary MDR-TB and had received MDR-TB treatment for at least 12 months were chosen. Subjects characteristics and cavities features i.e. cavity number, diameter and wall thickness from initial and follow-up CXR 6 and 12 months of treatment were retrieved. A total of 43 patients of MDR-TB, consisted of 22 males and 21 females, was recruited. Most of the subjects aged 31-50 year old and presented with single cavity. The cavitary lesions showed significant reduction over 6 and 12 months of follow up based on CXR (p<0.001) for both diameter and wall thickness. Both diameter and wall thickness changed significantly from initial to 6 months (r=-0.87, p<0.001), initial to 12 months (r=-087, p<0.001), and 6 months to 12 months (r=-0.84, p<0.001), respectively. In conclusion, CXR as a useful diagnostic instrument that can be used to evaluate pulmonary TB, in primarily low resource setting.

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