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Saleha Sungkar
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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 3 (2018): Vol 6, No. 3 (2018): Desember" : 12 Documents clear
The Impact of Globalization on Medical Students’ Identity Formation Ardi Findyartini
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Globalization on medical education and health care allows medical students, medical trainees and medical doctors to study and work in different countries with various cultural contexts. Despite understanding that this is inevitable nowadays, it introduces certain challenges in medical education especially in preparing medical students and medical trainees who are prepared to socialize and interact with different culture. The process will be facilitated by solid professional identity formation as part of professional development of medical students and trainees who are becoming future medical doctors. This literature review aims to explore personal and professional identity formation and how medical education may support medical students to be culturally aware and competent in facing changing and dynamic world.
Prolonged QTc Interval in Rat after Long-term High-Intensity Interval Training and Detraining Dewi Irawati Soeria Santoso; Prasetyo S. Redjeki; Nurjati Chairani Siregar; Jeanne J. Pawitan
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Long-term exercise induces cardiac remodelling known as exercise-induced ventricle hypertrophy and accompanied by electrical remodelling that can be recorded by ECG. This study aimed at recognizing electrocardiographic changes in rats undergoing long-term high-intensity interval exercise followed by a period of detraining. This study conducted at the Laboratory of the Biochemistry and Molecular Biology Department, FMUI from November 2014-January 2015. Four groups of young adults male wistar rats (100-200gBW) were randomly selected. Group 1 and 2 were assigned as control group for ECG recording on week (4 and 8) and (12 and 16) respectively. Group 3 was given 4 weeks of intensive training, followed by 4 weeks of detraining, while group 4 was given 12 weeks of intensive training followed by 4 weeks of detraining. ECG examination was performed at the end of each period of training or detraining and compared to control group of the same period of age. P wave in the exercising group was significantly increased (p<0.05), PR interval was decreased in group 4 after detraining (p<0.05). QRS amplitude was increased although not significantly different compared to control group. However, a significant persistent prolonged QTc interval was observed in the exercising group (62.76+4.03 ms and 64.24+3.78 ms) compared to control group (48.88+2.15 ms and 47.33+3.43 ms). Detraining did not restore QTc interval (57.81+1.96 ms and 61.16+5.02 ms) vs (48.93+2.40 ms and 48.13+1.66 ms). In conclusion, cardiac remodelling after long-term high intensity interval training causes ventricular hypertrophy with persistent repolarization disturbances after a period of detraining, indicated by an increase in QRS amplitude and a significant prolonged QTc interval.
Comparison of Ovalbumin Sensitized Mice Model for Allergy: A Preliminary Study Febriana Catur Iswanti; Samsuridjal Djauzi; Mohamad Sadikin; Arief Budi Witarto; Tomohiko Yamazaki
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Allergy diseases tend to increase with variety of clinical manifestations. To date, pharmacotherapy do not treat the underlying disease. Many researches concerned to study new approach of allergy therapy which need allergy mouse model for evaluation. This study was aimed to compare the effectiveness of two treatment methods by using ovalbumin for allergy sensitization. This study was conducted in PT.Bimana Indomedical animal facility Bogor on June until September 2016. Six mice were divided into 2 groups. First group was sensitized by ovalbumin 100ug subcutaneous (sc) day-0, 50 ug intra peritoneal (ip) day-14 and 100 ug intranasal (in) day-21. Second group was sensitized by ovalbumin 10 ug ip day-0 and day-7, 10 ug in day-21, 22, and 23. Body weight, hematology parameters (red blood cells, white blood cells, hemoglobin and hematocrit) and total IgE concentration of day-0 (pre-treatment) and day 24 (post-treatment) were measured. The results showed that there was an increase of mice body weight of both treatment group, while hematology changes of pre and post treatment were not significantly different (paired t-test). Whereas the increase in total IgE pre and post treatment was significantly different between the two groups (paired t-test). In conclusion, the second allergy sensitization method is better than the first allergy sensitization method.
The Influence of Coconut Oil and Palm Oil on Body Mass Index, Abdominal Circumference, and Fat Mass of Wistar Male Rats Elissa Evanti Widjaja; Gaga Irawan Nugraha; Sunarjati Sudidgo Adi
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Overweight is one of the risk factors for degenerative diseases, one of which is due to excessive oil consumption. Coconut oil consists mostly of saturated fatty acids of 90% and medium chain fatty acids, making it easier to metabolize into energy, compared to palm oil. This study aims to compare the effect of coconut oil and palm oil on body mass index, abdominal circumference, and fat mass in male wistar rats. This study was conducted in November&ndash;December 2017 in Animal Laboratory Department of Pharmacology and Therapy in Fakultas Kedokteran Universitas Padjadjaran Bandung. This study was an experimental study conducted for 28 days in 3 groups, each consisting of 7 rats fed standard diet ad libitum (G0), standard diet plus coconut oil supplementation (G1), and standard diet plus palm oil supplementation (G2). The result showed that the difference of BMI before and after treatment G0=0.06&plusmn;0.050, G1=0.04&plusmn;0.032, G2=0.05&plusmn;0.027 (p=0.553). Difference in mean abdominal circumference before and after treatment G0=1.85&plusmn;0.852, G1=0.71&plusmn;1.318, and G2=0.42&plusmn;1.789 (p=0.149). Mean fat mass group G0=4.61&plusmn;1.318, G1=4.02&plusmn;3.439, and G2=6.03&plusmn;2.568 (p=0.179). There were no significant differences in BMI, abdominal circumference, and fat mass among the experimental groups. In conclusion, supplementation of coconut oil and palm oil in rats can increases BMI, abdominal circumference, and fat mass.
Manual Acupuncture Using the Wide Rotation Method in Treating Adhesive Capsulitis Krisma Perdana Harja; Hasan Mihardja
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Adhesive capsulitis (AC), is one of the disorders commonly encountered in clinical practice which caused great disability in performing daily activities. The cause of AC is unknown, but its pathogenesis involves shoulder joint capsule synovial tissue inflammation that produces pain and the formation of fibrotic tissue. The forming of fibrotic tissue causes the shrinkage of joint space and limitation in the shoulder range of motion (ROM). Many modalities of treatment had been used to treat AC, but there has been no consensus regarding the best treatment. Acupuncture had been used in the treatment of AC and showed good results, especially in reducing pain and improving ROM. This paper showcased the effects of manual acupuncture using the wide rotation stimulation method, a rarely used technique that has never been published before, in the treatment of AC. In this case report, the wide rotation stimulation method showed great results in reducing pain and improving ROM.
Food IgE-Sensitization in Respiratory Allergic Patients in Jakarta Iris Rengganis
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Food allergy and respiratory allergy may co-exist in atopic person. Although both conditions can worsen allergic symptoms, food allergen sensitization has not gain much attention in clinical studies. The aim of this study is to evaluate food IgE sensitization in respiratory allergic patients. This was a cross-sectional study in patients with a history of respiratory allergy in Jakarta, on September to December 2016. Adult asthmatic patients aged 19-60 years were invited to undergo serum specific IgE testing at the Allergy and Immunology Clinic, Cipto Mangunkusumo Hospital, Jakarta. Patients were included if they showed at least one positive skin prick test with environmental allergens. Quantitative determination of specific IgE in serum was carried out by multiple allergosorbent test. Serum specific IgE levels of more than 0.35 kU/L or Class 1 was considered positive. A total of 100 subjects were eligible for analysis; 76% were women. Patients mean age was 38.8+12.1 (range 19-59) years old; 62% of the patients have both asthma and allergic rhinitis. There are 46% patients with at least one positive food-IgE sensitization. The most common sensitization was to shrimp (17%), followed by fruit-mix (14%), goat milk (13%), crab (13%), potato (13%), soybean (11%), and strawberry (11%). Significant difference of IgE sensitization was found between house dust mites and crab or shrimp and between cockroach and crab or shrimp. In conclusion food-IgE sensitization in respiratory allergic patients is common. The most common allergens were shrimp, fruit-mix, goat milk, crab, and potato.
Inovasi Kedokteran Reproduksi di Era Disrupsi Budi Wiweko
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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The Effectivenes of Combined Surgery Cataract and Glaucoma One Step and Two Steps in Primary Angle Closure Glaucoma Patients Widya Artini
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Primary angle closure glaucoma (PACG) caused a second blindness in Indonesia. The aim of this study to evaluate the efficacy and safety of surgical outcome between phacotrabeculectomy in one step procedure if the intra ocular pressure less than 26 mmHg (group A) or in two steps procedure if the IOP more than 26 mmHg (group B) in PACG coexisted with cataract. This was retrospetive desain study conducted at Dr Cipto Mangunkusumo, Jakarta with follow up within one year periode. The variables were noted such as age, gender, lateralitas, visual acuity (LogMAR), intraocular pressure (IOP), number of glaucoma medications, cup disc ratio, visual field and post-operative complications and duration of follow up.The complete success defined as IOP remained below 21 mm Hg, with no medications required, while qualified success defined as IOP below 21 mmHg with medications. A total of 39 eyes underwent phacotrabeculectomy one step-group A (22 eyes) vs phacotrabeculectomy two steps-group B (17 eyes). The mean follow-up period was 24.5 (range 12 to 49 mo) with complete success was achieved in 63.6% of group A and 70,6% of group B.. While Qualified success occured in 36.4% of group A and 2.,4% of group B. The mean IOP of between group A and group B at final follow up was not significantly different 12.45&plusmn;2.97 vs 12.45 &plusmn; 2.97; p;0.13. There was reduction of number glaucoma medication in both group and hypotony was revealed in 1 eye after trabeculectomy. Conclusion; phacotrabeculectomy either one or two steps demonstrated comparable success rate and reduces number of glaucoma medication post-operatively.
The Quality of Life of Leprosy Patients in Dermatovenereology Polyclinic of Dr. Cipto Mangunkusumo Hospital Jakarta: Study on Social Stigma Sri Linuwih SW Menaldi
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Leprosy is a skin disease that has physical and psychosocial effects. Until now there are still many new cases of leprosy in Indonesia. Various causative factors include late diagnosis, patient not complaining about the illness, or similarities with other skin disorders. Eradication of leprosy is difficult especially due to the stigma of leprosy, both self and social, which can cause a decrease in quality of life. This study uses a mixed research design, quantitatively by filling in the Indonesian language DLQI questionnaire, followed by qualitative research through in-depth interviews with four subjects. Of the 40 subjects, the highest DLQI score range was between 11-20, which means that leprosy has a major influence on the subject&rsquo;s life. Based on statistical tests, there was no significant association between DLQI scores and gender, age group, leprosy type, or occupation. The level of education has a statistically significant association with the DLQI score (p = 0.031). Based on in-depth interviews, leprosy was found to have an impact on subject&rsquo;s education and work activities, as well as psychological effects due to the stigma caused. The use of instruments such as DLQI can quantitatively measure the quality of life of leprosy patients. In-depth interviews were conducted to assess psychological aspects that cannot be measured by using questionnaires. The data obtained can be used as a basis in giving counseling to leprosy patients
Parasitic Diseases in A Boarding School Children in Bogor Regency Sri Wahdini; Pratiwi Sudarmono; Aji W. Wardhana; Fanny P. Irmawati; Rose A. Haswinzky; Yasmine A. Dwinastiti; Saleha Sungkar
eJournal Kedokteran Indonesia Vol 6, No 3 (2018): Vol 6, No. 3 (2018): Desember
Publisher : Faculty of Medicine Universitas Indonesia

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InductionThis study was aimed to determine the prevalence of parasitic diseases in boarding school children followed by eradication. Parasites consist of ecto and endo parasites. This study was conducted in Daarul Mustaqiem Boarding School, Pamijahan Village, Bogor Recency on May 2018 with the subject of all students. Diagnosis of intestinal parasite was done by microscopic stool examination with lugol staining while diagnosis of pediculosis and scabies by dermatological examination. The number of students attending the parasitic examination from PAUD to Aliyah was 501 students. Based on stool examination, the prevalence of intestinal parasitic infections was 57%. The most parasitic infections are B. hominis (128 students), followed by G. lamblia (13 students) and O. vermicularis (6 students). Students with positive worms were treated with albendazole 400 mg three days in a row and positive protozoa was treated with metronidazole. As many as 107 of the 121 (88.4%) students found live head lice. Students who are positive for pediculosis are treated with permethrin 1%. On examination of 159 male students, the prevalence of scabies was (7.5%). Students positive for scabies were treated with permethrin cream 5%. It was concluded that the prevalence of intestinal parasitic infections in santri was 59.4% with the highest infection in B. hominis; other intestinal parasites was relatively low. The prevalence of pediculosis capitis in female student was very high (88.4%) and the prevalence of scabies is low. All children treated according to the diagnosis and followed by health education on parasitic diseases and healthy hygiene behavior.

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