Hang Tuah Medical Journal

Identifikasi Nyamuk Aedes aegypti dan Aedes albopictus Pada Kejadian Luar Biasa Infeksi Chikungunya Di Bali

2023-05-23T08:23:58+00:00

Chikungunya is a re-emerging disease that occurs due to the bites of Aedes sp-infected Chikungunya virus (CHIKV). Chikungunya infection is a serious issue with high fever for 3 - 5 days as the indication and until now there is no Chikungunya vaccine. This is a descriptive study with a cross-sectional approach. The research samples were mosquitoes captured on 2 sampling points conducted in Peregae hamlet, Mengwi, and Buana Desa village, Padangsambian sub-district in December 2021. The aim of this study was to identify the Aedes aegypti and Aedes albopictus mosquitoes as vectors of CHIKV infection in areas with an increasing number of CHIKV outbreak cases in Bali. The sampling technique was performed using total sampling utilizing a light trap installed in the room from the afternoon until the morning. The total number of mosquitoes captured in the two locations was 101, consisting of 46 non-Aedes sp (45.5%) and, 55 Aedes sp (53.9%). Captured Aedes sp mosquitoes consisted of 2 species, that is 6 Ae. albopictus (5.9%) and 49 Ae. aegypti (48.5%). Ae. aegypti mosquitoes were more commonly found as a vector for CHIKV infection in Peregae hamlet, Mengwi village, and Buana Desa hamlet, Padangsambian sub-district

Gambaran Tingkat Pengetahuan Trauma Mata pada Mahasiswa Kepaniteraan Klinik FK UKRIDA

2022-10-09T07:49:01+00:00

Abstract

Introduction: Eye trauma is one of the causes of visual impairment and blindness that occurs due to intentional or unintentional actions. Trauma to the eye requires proper treatment to prevent the occurrence of more severe complications that will lead to blindness. Methods: This research is a descriptive study with a cross sectional study design. The research will be conducted at the KOJA Regional General Hospital in April – May 2022 with the sample being clerks who meet the inclusion criteria. Results: Clinical clerkship students aged <25 years, have a good level of knowledge 48.6%. Meanwhile, clinical clerkship students aged 25-30 years have a good level of knowledge of 57.7%. And clinical clerkship students aged >30 years have a good level of knowledge of 100%. Meanwhile, clinical clerkship students who attended less than 3 stations, had a sufficient level of knowledge of 56.3%. Meanwhile, clinical clerkship students who participated in more than 3 stations, had a good level of knowledge of 58.3%. Conclusion: Most of the clinical clerkship students of UKRIDA FK have a good level of knowledge about eye trauma at Koja Hospital.

Keywords : eye trauma, level of knowledge, clinical clerkship students

Prevalensi Manifestasi Neurologis Pada Pasien COVID-19 di RSPAL Surabaya Periode April

2023-05-23T21:56:54+00:00

Latar belakang : COVID-19 adalah penyakit pneumonia atipikal yang disebabkan
SARS-CoV-2. Penyebaran dan tingkat kematian yang meningkat setiap harinya serta
manifestasi klinis yang beragam salah satunya manifestasi neurologis. Manifestasi
neurologis dari COVID-19 dapat memengaruhi baik CNS ataupun PNS dengan
diagnosis seperti meningoencephalitis, kejadian cerebrovaskuler, kejang, GBS, dan
anosmia/ageusia (Desai,I., et al, 2021).
Tujuan penelitian : Untuk meneliti manifestasi neurologis pada pasien covid-19 di
RSPAL Surabaya periode April 2020 – April 2021.
Metode penelitian : Penelitian ini adalah penelitian deskriptif. Sampel berupa
manifestasi neurologis seperti stroke iskemik dan hemoragik, epilepsi, GBS,
meningoencephalitis, dan anosmia/ageusia pada pasien dengan RT-PCR COVID-19
yang postif. Sampel yang dicari merupakan data sekunder dari rekam medik RSPAL
Surabaya mulai dari periode April 2020 – April 2021.
Hasil penelitian : Dari total 3346 kasus COVID-19 didapatkan 77 kasus COVID-19
dengan 84 manifestasi neurologis berbeda. Terdapat 36 (1,08%) kasus
anosmia/ageusia, kasus stroke iskemik dengan total 26 (0,78%) kasus, terdapat 13
(0,39%) kasus epilepsi, stroke hemoragik dengan 5 (0,15%) kasus,
meningoencephalitis dengan 2 (0,06%) kasus, GBS sebanyak 2 (0,06%) kasus.
Tercatat puncak kasus COVID-19 dengan manifestasi neurologis pada bulan Januari
2021 dan serendah-rendahnya pada bulan April 2020 dan Mei 2020.
Kesimpulan : Terdapat 84 kasus manifestasi neurologis berupa stroke iskemik,
stroke hemoragik, anosmia/ageusia, epilepsi, GBS, meningoencephalitis pada 77
pasien COVID-19 di RSPAL Surabaya periode April 2020 – April 2021.
Kata kunci : Manifestasi neurologis, stroke iskemik, stroke hemoragik,
anosmia/ageusia, epilepsi, GBS, meningoencephalitis.

Gambaran Penggunaan Galaktagog Di Wilayah Kerja Puskesmas Arjasa Kabupaten Situbondo

2023-05-22T06:27:41+00:00

Of all the cities/regencies in East Java, there are 15 districts that have met the target, while 23 other districts/cities have not yet reached the target. Overall, the achievement of the province of East Java has not been able to meet the target set in 2016 which is 50%. The purpose of this study was to find out the description of the use, perceived effectiveness and perceived side effects of using galactagogues as a breastmilk booster. This study used a cross-sectional method. The research instrument used was a questionnaire with a total of 32 respondents. The results showed that the galactagogue used was 100% herbal galactagogue. The use of galactagogue gave the highest increase in milk production by 21.14% with signs that the baby was not satisfied. The side effects that arise in breastfeeding mothers when using galactagogues are that 55.88% of respondents said they did not experience side effects, 38.23% said they experienced side effects of weight gain, and 2.94% experienced side effects of drowsiness and weakness.

Keywords: Herbal Galactagogue, Chemical Galactagogue, Breast Milk Boost

Gambaran Kepadatan Tikus Dan Pinjal Di Wilayah Pelabuhan Banyuwangi

2022-10-03T05:56:12+00:00

Latar Belakang : jumlah kepadatan tikus serta pinjal dapat menjadi faktor penyebaran penyakit. Utamanya di pelabuhan yang menjadi tempat keluar masuknya orang dan barang sehingga memudahkan adanya penyebaran penyakit. Maka dari itu perlu dilihat gambaran kepadatan tikus dan pinjal di pelabuhan serta melakukan identifikasinya.

Metode : metode survei dengan pendekatan cross sectional. Pengumpulan data dilakukan melalui observasi langsung dan pengolahan data didasarkan pada hasil identifikasi tikus dan ektoparasit yang tertangkap yang disajikan dalam bentuk tabel dan narasi. Pelaksanaan penangkapan tikus dilakukan selama 4 hari dengan perangkap yang dipasang setiap harinya berjumlah 100 perangkap dengan umpan ikan asin dan kelapa bakar.

Hasil : berdasarkan hasil survei penangkapan tikus di Pelabuhan Tanjungwangi didapatkan hasil kepadatan tikus sebesar 0,005, trap success sebesar 0,5% dan indeks pinjal sebesar 0,5. Tikus yang tertangkap di Pelabuhan Tanjungwangi sebanyak 2 ekor setelah dilakukan identifikasi tikus yang didapatkan merupakan jenis Tikus Sawah (Rattus argentiventer) berjenis kelamin jantan dan lokasi tikus tertangkap berada pada saluran air terbuka di dekat area pos. Berdasarkan hasil penyisiran tikus ditemukan 1 ekor pinjal yang merupakan pinjal jenis Xenopsylla cheopis berjenis kelamin jantan.

Kesimpulan : hasil perhitungan kepadatan tikus dan indeks pinjal sesuai dengan baku mutu yang telah ditetapkan. Meskipun telah sesuai dengan baku mutu, tetap perlu dilakukan pengendalian seperti memberikan penutup saluran air yang terbuka serta menjaga kebersihan lingkungan sekitar pelabuhan.

Pengaruh Pembelajaran Daring Terhadap Kesehatan Mata Pada Mahasiswa Fakultas Kedokteran Universitas Hang Tuah Surabaya

2023-05-21T15:35:41+00:00

Abstrak

Penelitian ini bertujuan untuk menganalisis pengaruh pembelajaran daring dalam hal ini kejadian Computer Vision Syndrome (CVS) terhadap mahasiswa Angkatan 2018 Fakultas Kedokteran Universitas Hang Tuah Surabaya. Penelitian ini merupakan jenis penelitian analitik dengan pendekatan observasional dilaksanakan dengan cara tidak bertemu langsung dengan responden. Alat bantu yang digunakan adalah kuesioner dengan menggunakan Google Form untuk mengukur variabel yang diteliti. Hasil penelitian menunjukkan bahwa karakteristik mahasiswa Angkatan 2018 Fakultas Kedokteran Universitas Hang Tuah Surabaya dari sebanyak 117 responden berusia 21 tahun keatas. Selama berlangsung pembelajaran secara daring rata-rata 8 jam sehari dalam 5 hari tiap minggunya. Faktor risiko terjadinya CVS yaitu faktor individu, faktor lingkungan, faktor komputer, faktor penglihatan, faktor ekstra okuler dan faktor pembelajaran daring itu sendiri. Gejala CVS atau keluhan setelah pembelajaran daring dialami oleh mahasiswa yaitu Astenopia sebesar 91 %, gejala permukaan okuler sebesar 30%, gejala visual sebesar 64 % dan gejala ekstra okular sebesar 100%. Hasil uji regresi logistik sederhana didapatkan bahwa durasi daring, posisi tubuh dan aktivitas setelah daring berpengaruh terjadinya Computer Vision Syndrom (CVS).

Kata kunci: pembelajaran secara daring, computer vision syndrome

Determination of Tumeric Potential for the Stabilization of Specific Mineral Elements in Two Sokoto Tomato Types

2023-05-19T08:57:46+00:00

The purpose of this work was to assess the effect of turmeric on concentrations of selected mineral elements resent in two tomato types from Sokoto state, Nigeria. Healthy, ripe and firm tomato brought from Sokoto, was selected, cleaned for this study. 5%, 10% and 25% by were dissolved in respective 5g, 10g and 25g neem extracts in 9.5, 9.0 and 7.5 liters of distilled water respectively to preserve tomatoes. The experiment was laid in completely randomized design. And elements, Na, K, Ca, Mg, and P were determined in the tomatoes after the experiment using atomic absorption spectroscopy. When Daneka tomato was observed, 2.0 to 2.5 (ppm), 3.2 to 3.7 (ppm), 2.2 to 2.6 (ppm), 0.42 to 0.46 (ppm), and 0.4510 to 0.4800 (ppm) are the respective concentrations revealed under turmeric storage method for Na, K, C, Mg, and P. The protection of concentration of different elements is dependent on the concentration of the turmeric applied in the preservation methods. 3.5 to 3.8 (ppm), 2.7 to 2.9 (ppm), 1.4 to 1.8 (ppm), 0.45 to 0.49 (ppm), and 1.2 to 1.9 (ppm) are the ranges of elements compositions of UTC tomatoes after storage under turmeric, for Na, K, Ca, Mg, and P respectively. At the end, the study has indicated, a raising concentration of elements in the all the tomato types depending on the rising turmeric concentration. Impliedly, the turmeric indicates a potential to preserve a typical quality parameter of tomatoes, that is concentration of elements at p < 0.05 significant level.

Tension-type Headache and Migraine as Manifestations of Chronic Post-Traumatic Headache: Case Report

2022-10-01T12:31:21+00:00

Introduction: A subsequent headache that appears within seven days of a head injury is referred to as a post-traumatic headache (PTHA) (or after regaining consciousness after the head trauma). If a post-traumatic headache lasts longer than three months after the injury, it is referred to as chronic or chronic post-traumatic headache (CPTHA). Case Report: A 17-year-old male comes to the neurology outpatient clinic with complaints of headache. The headache has been felt since 3 months ago, 3 days after the patient suffered a blow to his left head from falling from a chair. At that time, the patient fainted about 15 minutes later; the patient regained consciousness and had no complaints. Pain is felt on the left side of the head, throbbing, mild-moderate intensity, and feels heavier when there is a loud sound or seeing a too-bright light. Discussion: Like other primary headaches, post-traumatic headache is diagnosed clinically. Laboratory and routine diagnostic imaging studies are unnecessary and have minimal clinical utility. Brain MRI did not reveal any structural changes in patients with PTHA following injury. Conclusion: Chronic post-traumatic headaches often occur after brain injury, especially after minimally traumatic brain injury. The clinical picture is variable and may be similar to tension-type headaches and/or migraines.

Penentuan Sebab Kematian Pada Kasus Gantung Diri Berdasarkan Pemeriksaan Luar Jenazah

2023-05-21T14:28:10+00:00

In cases of hanging, it will cause asphyxia in the victim, causing death. Cases of suicide can occur in patients who are unable to solve their problems. As many as 40% of people with depression have the idea to commit suicide with symptoms of sadness and the prevalence of suicide in Indonesia reaches 3.7 per 100,000 population. In the report on the case of hanging himself, investigators sent the body to the Corps Retrieval Unit of RSUD dr. R. Koesma Tuban on Monday 03 January 2022 at 16.20 WIB. and the doctor has carried out an external examination of the body based on a letter requesting post mortem et repertum investigators from the Tuban city police on January 4, 2022 at 09.40 WIB And the investigator only ordered to carry out a post mortem examination so as a doctor the order must be carried out even though it is more appropriate if it is accompanied by a post- mortem examination because the order was contained in the regulations per law in Indonesia, namely in article 133 of the Criminal Procedure Code. The results of an external examination of the body found lips, cyanotic nails, mucous membranes of the right and left eyes, there were bleeding spots and there were grooves in the neck area so that the conclusion was obtained that the victim had suffocated due to lack of oxygen

Pengaruh Ekstrak Etanol Nanas (Ananas Comocus) Terhadap Kadar Kolesterol Total dan Trigliserida Pada Tikus Wistar Putih (Rattus Novergicus) Hiperkolesterolamia Melalui Review Jurnal Periode 2010 - 2020

2022-10-08T22:09:17+00:00

Hypercholesterolemia is a condition in which cholesterol levels in the body are not normal / dyslipidemia, this happens because of today's instantaneous lifestyle. Hypercholesterolemia can affect anyone (age or gender), but it can be treated with one way, namely eating high-fiber foods obtained from fruits, vegetables, nuts and others. One source of vegetable fiber is pineapple (Ananas Comosus), which contains many vitamins and fiber, from leaves to tubers. Niacin is one of the ingredients of pineapple which can lower cholesterol levels in the blood. The purpose of this study was to determine the The method used was a Systematic Review. The results of the journal review showed that pineapple extract can reduce total cholesterol and triglyceride levels in white wistar rats which are hypercholesterolemic using the pineapple extract method at a dose of 100 mg / kgBB rats as much as 42.02% then if the dose is increased, the total cholesterol level and triglycerides will decrease even close to the normal rat cholesterol level.

Studi Deskriptif Pasien Tonsilitis di Poli THT RSPAL Dr. Ramelan Surabaya Periode Tahun 2019-2021

2023-05-24T09:54:32+00:00

Latar Belakang: Tonsilitis merupakan penyakit yang umum terjadi. Tonsilitis adalah suatu peradangan tonsila palatina yang terjadi sekitar 1,3% dari kunjungan pasien rawat jalan. Virus merupakan etiologi tonsilitis tersering, tetapi tonsilitis juga bisa terjadi dikarenakan bakteri. Infeksi virus menyebabkan 40% sampai 60% kasus tonsilitis, sedangkan infeksi bakteri menyebabkan 15% sampai 30% kasus tonsilitis.

Tujuan: Penelitian ini dilakukan untuk mengetahui karakteristik pasien tonsilitis di poli THT RSPAL Dr. Ramelan Surabaya Tahun 2019-2021.

Metode: Mengamati, mencatat, mendeskripsikan, menganalisa dan melaporkan pengambilan data dari rekam medis pasien yang terdiagnosa terkena Tonsilitis di Poli THT RSPAL dr. Ramelan Surabaya Tahun 2019-2021.

Hasil: Jumlah total sampel data rekam medis adalah 68 orang. Angka kejadian tertingi pada tonsilitis terjadi pada kelompok usia 17-25 tahun yaitu sebanyak 30 kasus (44,1 %), sedangkan angka kejadian tertinggi kedua pada kelompok usia 12-16 tahun sebanyak 10 kasus (14,7%). Jumlah laki-laki > perempuan dengan angka perolehan laki-laki 38 pasien (55,9 %) sedangkan perempuan 30 pasien (44,1 %). Tipe tonsilitis yang paling banyak ditemukan adalah tonsilitis kronis sebanyak 63 kasus (92,6%), sedangkan tonsilitis akut didapatkan sebanyak 5 kasus (7,4 %). Ukuran tonsil terbanyak adalah ukuran T3/T3 sebanyak 24 kasus (35,3 %), sedangkan ukuran tonsil terbanyak kedua yaitu T4/T4 dengan banyak 14 kasus (20,6%). Terapi terbanyak yang diberikan pada pasien adalah non-medikamentosa (tonsilektomi) sebanyak 50 pasien (74,5 %) sedangkan medikamentosa sebanyak 18 pasien (26,5 %).

Kesimpulan: Pada distribusi frekuensi karakteristik responden, sampel paling banyak ditemukan pada kelompok usia 17-25 tahun, jenis kelamin laki-laki, tipe tonsilitis kronis, ukuran tonsil T3/T3 dan jenis terapi non-medikamentosa.

Kata Kunci: Gambaran Karakteristik, Tonsilitis