Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal <p><strong>Hang Tuah Medical Journal</strong> is published by the Faculty of Medicine, Universitas Hang Tuah with <a href="https://issn.brin.go.id/terbit/detail/1505881719">E-ISSN: 2598-4861</a>; <a href="https://issn.brin.go.id/terbit/detail/1180428584">P-ISSN: 1693-1238</a>. Its disciplinary focus is medical science and public health. <strong>Hang Tuah Medical Journal </strong>is published in Indonesian or English in May and November. Each 50-60 page edition contains between nine and eleven scientific articles on research, case reports, and study literature. Contributors of <strong>Hang Tuah Medical Journal </strong>included: medical researchers, medical practitioners, lecturers, and students drawn from Indonesia and a wide range of other countries.</p> <p><strong>Hang Tuah Medical Journal</strong> has been certificated as a Scientific Journal by <a title="Sinta score S5" href="https://sinta3.kemdikbud.go.id/journals/?q=Hang%20Tuah%20medical%20journal">Sinta score S4</a>.</p> en-US westywicaksono@gmail.com (Prawesty Diah Utami) medical.journal@hangtuah.ac.id (Donny Marsetyo) Tue, 28 Nov 2023 00:00:00 +0000 OJS 3.3.0.7 http://blogs.law.harvard.edu/tech/rss 60 Perbedaan Sebaran Jumlah Pembuluh Darah pada Selaput Ketuban Kasus Ketuban Pecah Dini Dan Tidak Ketuban Pecah Dini https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/135 <p><strong>ABSTRAK</strong></p> <p><strong>Latar belakang:</strong> World Health Organization (WHO) menyatakan bahwa setiap tahunnya wanita yang bersalin meninggal dunia mencapai lebih dari 500.000 orang. Di Indonesia angka kematian ibu dan angka kematian bayi masih tinggi dan merupakan masalah yang menjadi prioritas dibidang kesehatan. Penyebab utama kematian bayi baru lahir atau neonatal di dunia antara lain persalinan prematur 29%, sepsis dan pneumonia 25% dan 23% asfiksia dan trauma. Secara garis besar kejadian persalinan prematur 50% terjadi spontan, 70% akibat ketuban pecah dini, dan 20% dilahirkan atas indikasi ibu dan janin. Ketuban pecah dini (KPD) merupakan keadaan pecahnya selaput ketuban sebelum terjadinya tanda-tanda persalinan. Prevalensi KPD berkisar 3-18% dari seluruh kehamilan.</p> <p><strong>Metode:</strong> Metode penelitian dipilih secara studi potong lintang dari selaput janin pada pasien ketuban pecah dini dan tidak ketuban pecah dini. Data yang diperoleh dianalisis secara univariat, dan bivariat. Sedangkan untuk mengetahui ada tidaknya perbedaan digunakan uji <em>chi square</em>. Ada perbedaan jika <em>p-value &lt; 0,05</em> dan tidak ada perbedaan jika <em>p-value &gt; 0,05</em>.</p> <p><strong>Hasil:</strong> Uji Chi-Square antara hasil pemeriksaan histopatologi pembuluh darah dari selaput janin ketuban pecah dini dan tidak ketuban pecah dini menunjukkan kekuatan perbedaan dari hasil pemeriksaan patologi anatomi dari selaput janin ketuban pecah dini dan tidak ketuban pecah dini sebesar 0.001 &lt; 0,05</p> <p><strong>Kesimpulan:</strong> Perbedaan antara hasil pemeriksaan patologi anatomi pembuluh darah dari selaput janin ketuban pecah dini dan tidak ketuban pecah dini adalah signifikan</p> <p><strong>Kata Kunci:</strong> Ketuban Pecah Dini, Patologi Anatomi, Pembuluh Darah</p> I GEDE AGUS RIO SAPUTRA, KETUT EDY SUDIARTA, MITA HEDIYANTINI Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/135 Tue, 28 Nov 2023 00:00:00 +0000 Efek Pemberian Eucheuma spinosum sebagai Profilaksis dalam Penghambatan Peningkatan SGPT pada Tikus yang Diinduksi Dexamethasone https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/359 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Serum Glutamic Pyruvate Transaminase (SGPT) is a specific biomarker for detecting liver disease. This study aimed to determine the effect of giving 200 mg/Kg BW of <em>Euchema spinosum</em> extract as a prophylaxis against increasing SGPT in Rattus norvegicus rats injected with dexamethasone 8mg/Kg BW for six days. This experimental study with a randomized posttest-only control group design using 24 white male rats which were divided into three groups; group 1 was the untreated group, group 2 was given dexamethasone 8 mg/Kg BW for six days, the group 3 was given prophylactic 200 mg/Kg BW <em>Eucheuma sp</em>. extract for 13 days. After the treatment period, the group was terminated, and SGPT levels were measured using Cobas Integra. SGPT levels were then analyzed using SPSS.</p> <p>The normality test results for SGPT levels obtained a value of p&gt; 0.05, and this value was only obtained from group 1 (p = 0.085) and group 2 (p = 0.224), while the group 3 showed that the distribution of data was not normally distributed (p = 0.022). The Kruskal-Wallis test showed a mean difference in SGPT levels between groups. The Mann-Whitney U test obtained a lower SGPT score in group 3 than in group 2 (p=0.007). Group 1, compared to group 3, decreased (p=0.001).</p> <p>Giving extract of <em>Eucheuma sp</em>. at a dose of 200 mg/Kg BW can inhibit the increase in SGPT levels in dexamethasone-induced white male rats (<em>Rattus norvegicus</em>).</p> FITRI HANDAJANI, I GEDE PUTU BAYU TIRTA PERMANA, DODY TARUNA, NI KOMANG SRI DEWI UNTARI Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/359 Tue, 28 Nov 2023 00:00:00 +0000 Faktor-Faktor yang Mempengaruhi Kelelahan Kerja pada Pekerja Produksi PT. Rabanton Maju Joyo Abadi Banyuwangi https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/448 <p>Work weariness is a pattern that develops in a scenario and often happens when everyone who has acted is able to resume their actions. This study's goal was to ascertain the impact of repetitive labor and mental strain on worker tiredness at PT. Rabanton Maju Joyo Abadi Banyuwangi. This research uses a cross-sectional study design and is an observational analytical study. The sample size in the study was as many as 35 concrete production workers at PT. Rabanton Maju Joyo Abadi Banyuwangi. The variables studied are individual characteristics, mental workload and monotonous work. Data was obtained by distributing questionnaires and interviews to workers. The data is presented in tabular format, and Chi-Square statistical analysis is used to analyze it using non-parametric statistical tests. According to the study's findings, characteristics such as age (p = 0.040), mental effort (p = 0.027), and monotonous job (p = 0.036) showed a significant association with work tiredness, however factors such as working duration (p = 0.211) and nutritional state (p = 0.187) did not. Based on the findings of this research, it can be concluded that characteristics such as age, mental burden, and monotony have a significant association with job tiredness, however factors such as working conditions and nutritional status do not. It is better to have socialization about work fatigue during safety talk and medical check-ups regularly.</p> VINONA ALVIO HARNANDA, MEIRINA ERNAWATI Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/448 Tue, 28 Nov 2023 00:00:00 +0000 Eksplorasi Keefektifan Pembelajaran Daring pada Masa Pandemi Covid-19 di FKIK Universitas Warmadewa https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/476 <p>Covid-19 pandemic has brought about a fundamental change in the field of Medical Education. Medical education due to the Covid-19 pandemic must be carried out online. FKIK Unwar applies online learning at the academic level. The aim of the study was to obtain data on the effectiveness of online group discussions, tutor behavior in facilitating online group discussions, student motivation, students' perception of the learning environment and knowing the factors that support and hinder the implementation of online learning at FKIK Unwar. This study is a mixed method. Quantitative research by distributing DREEM, TGEI, IMI, and TBQ questionnaires to students. Qualitative research to find out the factors that support and inhibit online learning is carried out with FGD to students and lecturers. Most respondents &gt; 75% agreed and strongly agreed on each of the DREEM, IMI, TGEI, TBQ questionnaires. FGD results there are several factors that support online learning, among others: Facilitation of online skills learning through LMS and the ability of lecturers in facilitating online learning. Some of the factors that hinder include: The internet network is sometimes unstable, not optimal institutional assistance in supporting the implementation of online learning, and supporting online learning, especially in terms of clinical skills has not been optimal. Online learning at FKIK Unwar is already underway effectively. Intrinsic motivation of students in following online learning is quite good. Tutors are able to facilitate online learning well. Students perceive the online learning environment at FKIK Unwar going well.</p> I MADE PARIARTHA Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/476 Tue, 28 Nov 2023 00:00:00 +0000 Analisis Efisiensi Bangsal ICU/ICCU Dua Rumah Sakit Jawa Tengah Berdasarkan Standar Depkes Dan Barber Johnson https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/442 <p>Efisiensi penggunaan tempat tidur merupakan parameter penting yang perlu diperhatikan untuk menilai capaian peningkatan pelayanan rumah sakit. Perhitungan indicator BOR LOS TOI BTO di RS Telogorejo dan RSUD M Ashari masih global untuk seluruh pelayanan rawat inap sedangkan indikaotr pelayanan dan efisiensi bangsal ICU belum dianalsis. Tujuan penelitian ini adalah melakukan analisa efisiensi bangsal ICU di RSUD dr. M. Ashari dan RS M Ashari pada tahun 2019-2021. Jenis penelitian ini menggunakan deskriptif kuantitatif, dengan metode observasi. Populasi dalam penelitian ini yaitu data ICU RL 3.1 tahun 2019-2021 dengan teknik total sampling dalam pengambilan sampel. Hasil perhitungan indikator pelayanan ICU, rerata pasien yang dirawat pada bangsal ICU kurang lebih 1-2 pasien dalam sehari, dengan angka kematian pada kisaran 33%-82% dari total pasien yang dirawat pada bangsal ICU. Hasil perhitungan Analisa efisiensi bangsal ICU menurut standar Depkes RI di RSUD M Ashari pada tahun 2019-2021 nilai BOR, LOS, TOI dan BTO hampir semua belum ideal. Disisi lain di RS Telogorejo hanya LOS yang ideal sedangkan BOR LOS TOI tidak ideal. Pembuatan GBJ bangsal ICU tahun 2019-2021 di di RSUD M Ashari dan RS Telogorejo menunjukkan bahwa pengelolaan bangsal ICU belum efisien karena letak titik perpotongan BOR, LOS, TOI, dan BTO di luar daerah efisien. Diperlukan upaya dalam memaksimalkan penggunaan tempat tidur di bangsal ICU agar mencapai efisiensi bangsal ICU.</p> EVINA WIDIANAWATI, NOVITA AMALIA, NILA PRATIWI Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/442 Tue, 28 Nov 2023 00:00:00 +0000 Pengaruh Pemberian Oksigen Hiperbarik Terhadap Diameter Calluspada Tikus Model Fraktur Diafisis Tulang Femur https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/307 <p><strong>Background : </strong>Fracture is a condition where the bone is cut off due to significant pressure which can be in the form of bending, twisting, or pulling due to trauma, work accidents, traffic accidents, as well as degeneration and pathological processes. Fractures can result in loss of productivity and individual disability. One of the adjuvant therapies to accelerate the bone healing process in patients with fractures is hyperbaric oxygen therapy.</p> <p>&nbsp;</p> <p><strong>Objective : </strong>The purpose of this study was to determine the effect of HBO therapy on the diameter of the <em>callus</em> formed in a rat model of fracture of the diaphysis of the femur.</p> <p>&nbsp;</p> <p><strong>Methods : </strong>This research is an experimental study using a post test only control group design. The object of this study is a rat fracture model with HBO therapy as the independent variable and a fracture model without HBO therapy as a control variable.</p> <p>&nbsp;</p> <p><strong>Results : </strong>The results of this study showed the effect of HBO therapy on increasing the diameter of the <em>callus</em> formed in the fracture of the rat model</p> <p>&nbsp;</p> <p><strong>Conclusion :</strong> There was a significant difference in the diameter of the <em>callus</em> formed in fracture model mice treated with HBO compared to those not treated with HBO.</p> <p>&nbsp;</p> <p><strong>Keywords : </strong>HBO therapy, Fracture, Callus, Wistar Rat</p> ABDILLAH MAULANA SATRIOAJI, AKHMAD ROFIQ, ERIC MAYO DAGRADI Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/307 Tue, 28 Nov 2023 00:00:00 +0000 Perbedaan Derajat Keparahan Akne Vulgaris berdasarkan Pemakaian Alphadan Beta Hydroxy Acid https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/237 <p><strong>Background :</strong> Indonesia has a tropical climate that gets very strong sun exposure. With extreme weather conditions, various skin problems can be seen, one of which is acne vulgaris. Topical therapy is the preferred choice for the treatment of mild to moderate acne and is also helpful for the treatment of severe acne, such as alpha hydroxy acids and beta hydroxy acids (AHAs and BHAs).</p> <p><strong>Objective :</strong> To determine the differences in the severity of acne vulgaris based on the use of alpha hydroxy acid and beta hydroxy acid (AHA and BHA) in 6th semester students of the Hang Tuah University Faculty of Medicine.</p> <p><strong>Methods: </strong>An analytic observational method in a cross sectional study with a simple random sampling method. The study was conducted from April to December using 58 samples by distributing questionnaires through the google form link.</p> <p><strong>Results : </strong>The Mann-Whitney U statistical test between users and non-users of alpha hydroxy acid and beta hydroxy acid (AHA and BHA) showed a significance 0,068. So there was no difference in the two groups.</p> <p><strong>Conclusion :</strong> The most classification of acne vulgaris severity is mild in female students who use and do not use alpha hydroxy acid and beta hydroxy acid (AHA and BHA).</p> <p><strong>Keywords :</strong> AHA and BHA, Acne Vulgaris, Facial Skin.</p> <p>&nbsp;</p> LAKSMITA SEKAR ANGGRAENI, ASAMI RIETTA KUMALA, IINDRI NGESTI RAHAYU Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/237 Tue, 28 Nov 2023 00:00:00 +0000 Pengaruh Suhu Rendah dan Metode Vakum Pada Penyimpanan Daging Sapi Terhadap Jumlah Koloni Bakteri dan Organoleptik Tekstur, Bau dan Warna https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/346 <p><strong>Abstrak</strong></p> <p><strong>Latar Belakang:</strong> Ketersediaan logistik yang baik kadang diabaikan untuk keberhasilan suatu misi kemiliteran. Dalam dunia pelayaran ketersediaan makanan yang terstandar dan memadai juga sangat penting. Pengemasan penting dalam pengawetan bahan pangan hasil peternakan . Selain pengemasan, cara yang umum dilakukan untuk mempertahankan kesegaran daging dengan menempatkan daging dalam suhu rendah.</p> <p><strong>Tujuan:</strong> Menganalisa perbedaan penyimpanan daging pada udara terbuka dengan penyimpanan daging pada suhu rendah dan dikemas vakum dalam hal pertumbuhan bakteri dan profil organoleptik.</p> <p><strong>Metode:</strong> Penelitian eksperimental, dengan desain “<em>Post Test Only Control Group Design</em>”, menggunakan metode kuantitatif. Populasi adalah daging sapi sedangkan sampel adalah daging sapi yang berasal dari pemotongan di Rumah Potong Hewan (RPH). Variabel bebas adalah suhu dan kemasan, variabel terikat adalah jumlah koloni bakteri dan profil organoleptik bau, warna dan tekstur daging.</p> <p><strong>Hasil:</strong> Dari hasil uji hedonik bau, tekstur, dan warna didapatkan daging yang dikemas dalam vakum dan diletakkan dalam refrigerator dan freezer memiliki uji hedonik yang lebih baik.</p> <p><strong>Kesimpulan:</strong> Jumlah koloni bakteri pada sampel daging yang diletakkan pada suhu rendah dan dikemas dalam vakum terbukti lebih rendah dibandingkan sampel daging yang diletakkan pada udara terbuka dan tidak dikemas dalam vakum. Pada profil organoleptik daging yang meliputi bau, warna dan tekstur daging terbukti lebih baik pada daging yang diletakkan pada suhu rendah dan dikemas dalam vakum dibandingkan daging yang diletakkan di udara terbuka dan tidak dikemas dalam vakum.</p> <p><strong>Kata kunci: </strong>Suhu rendah, vakum, penyimpanan daging sapi, koloni bakteri</p> DJATIWIDODO EDI PRAKTIKNYA, IDA BAGUS PUTU OKA MAHENDRA, RISMA Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/346 Tue, 28 Nov 2023 00:00:00 +0000 Peran Keterampilan Kepemimpinan dalam Penerapan Keselamatan Pasien di Rumah Sakit : Systematic Literature review https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/486 <p><em>Background: The role of leadership in improving patient safety can encourage and guarantee the implementation of an integrated patient safety program in the organization through the implementation of seven steps towards hospital patient safety. The presence of leadership can ensure the ongoing proactive program for identifying patient safety risks. The leadership role of a leader is needed in implementing a patient safety culture.Objective: The aim of this research is to identify the role of leadership in implementing a hospital patient safety cultureMethod: The method used in writing this article is a literature review. Article searches were carried out via Google Scholar, Science direct and Pubmed. Publication years from 2019 to 2023 were then examined according to the researchers' inclusion criteria</em><em>. </em><em>Results: Based on the results of the literature review analysis, the role of leadership abilities has an impact on the implementation of patient safety culture in hospitals. The expected leadership skills are that the leader has empowering behavior, the leader is participatory, visionary and communicates effectively, the leader is able to direct staff effectively (directing), the leader has career support, psychosocial support and role modeling, the leader has an open and fair culture and Responsible leader.</em></p> <p><em>Conclusion: The use of leadership skills cannot be the same for all leaders. Because leaders have skills, leadership styles match their abilities. But leaders must know which leadership skills need to be used in dealing with conditions in the organization, especially in hospitals. The leadership role in improving patient safety can encourage and ensure the implementation of an integrated patient safety program</em></p> <p><em>Keywords: Leadership, Patient safety, Hospital</em></p> NURUL AGUSTINA KURNIAWATI, SYIFA'UL LAILIYAH Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/486 Tue, 28 Nov 2023 00:00:00 +0000 Efek Blueberry (Vaccinium sp.) Terhadap Kelembapan Kulit yang Terpapar Sinar Ultraviolet Akut https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/337 <p><strong>Introduction:</strong> Maintained skin moisture is an indication of healthy skin. Acute UV exposure can cause sunburn, which is characterized by a loss of moisture in the skin. Polyphenol compounds are one practical approach to protecting the skin from sunburn so that skin moisture is maintained. Blueberries are one of the natural ingredients consists of anthocyanin compounds, which are polyphenols from the flavonoid group.</p> <p><strong>Aims:</strong> To determine the effect of blueberries on skin moisture exposed to acute ultraviolet rays.</p> <p><strong>Methods:</strong> Literature study using references in the form of research articles and literature reviews from national and international journals and related books published in the last 10 years. In writing this literature review, 42 references were used which were accessed through Google Scholar, NCBI, Crossref, and Pubmed.</p> <p><strong>Results:</strong> Blueberries anthocyanins can maintain skin moisture from increased transepidermal water loss (TEWL) due to acute UV ray exposure by reducing the formation of UV stimulated reactive oxygen species (ROS) and lipid peroxidation in keratinocyte cells to maintain the elastic modulus and mechanical properties of keratinocytes as well as can prevent sunburn by reducing the skin's modulation of UV exposure. However, the absorption of anthocyanin compounds in the intestine is so low that taking blueberries orally alone is not enough to achieve good biodistribution.</p> <p><strong>Conclusion:</strong> Blueberries affect retaining moisture in skin exposed to acute UV rays, so they have the potential to be used as skincare ingredients. However, further research needs to be done, especially to determine the side effects that can be caused and the required extract concentration.</p> I GEDE AGUS DIVA ADNYANA PUTRA, IDA AYU IKA WAHYUNIARI, NI MADE LINAWATI, I GUSTI KAMASAN NYOMAN ARIJANA Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/337 Tue, 28 Nov 2023 00:00:00 +0000 Gambaran Sindrom Mata Kering pada Mahasiswa Fakultas Kedokteran Universitas Hang Tuah Angkatan 2018 https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/161 <p>Dry eye syndrome (DES) is a multifactorial disease of the ocular surface caused by hyperosmolarity of tears. Dry eyes can interfere with activities because it causes pain dan discomfort in the eyes. Gender and duration of gadget use are part of the risk factor for dry eye syndrome. This study was conducted with the aim of knowing the description of dry eye syndrome in students of the Faculty of Medicine Hang Tuah University Class of 2018.</p> <p>This type of study is descriptive. This research was conducted at the Faculty of Medicine, Hang Tuah University. The study was conducted from April 2021-November 2021. Data were obtained from online questionnaires on 154 students of the Faculty of Medicine, Hang Tuah University, Class of 2018. The sample was selected using simple random sampling method.</p> <p>The result showed that the severity of dry eye syndrome was 20.1% in the normal category, 19.5% in the mild category 22.1% in the moderate category and 38.3% in the severe category. In the male gender, 32.6% were found normal, 20.9% in the mild category, 16.3% in the moderate category and 30.2% in the sever category. In female gender, 15.3% were found in the normal category, 19.0% in the mild category, 24.3% in the moderate DES and 41.4% in the severe DES. The light duration of gadget usage shows 66.7% mild and 33.3% in the severe DES. The medium duration of gadget usage shows 30.7% normal, 15.4% in the mild DES, 38.5% in the moderate DES, 15.4 in the severe DES. The severe duration of gadget usage shows 19.6% normal, 18.8% with mild DES, 21,0% with moderate DES and 40,6% with severe DES.</p> <p>The conclusion of this study is the severity of DES is high, the female gender has higher prevalence of severity compared to male gender and the severe duration of gadget usage has a higher prevalence of severity.</p> <p>Keyword: Dry eye syndrome, severity, gender, duration of gadget usage</p> CHICO MUHAMMAD RASYAD, MOH SAMSUDIN, DIAH PURWANINGSARI Copyright (c) 2023 Hang Tuah Medical Journal https://journal-medical.hangtuah.ac.id/index.php/jurnal/article/view/161 Fri, 01 Dec 2023 00:00:00 +0000