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Berkala Ilmiah Kedokteran Duta Wacana
ISSN : 24609684     EISSN : 24768863     DOI : -
Core Subject : Health, Science,
Berkala Ilmiah Kedokteran Duta Wacana is a Scientific Journal to publish medical research articles, and other scientific medical articles from Medical Faculty of Duta Wacana Christian University academic community and also receive articles from other resources with appropriate and related topics. The policies taken for the largest composition of articles are the results of research, but can also receive scientific articles in the form of literature review and case reports. To maintain the quality of writing, Berkala Ilmiah Kedokteran Duta Wacana also cooperate with other Medical Education Institutions, especially in the recruitment of reviewer partner to conduct a "review" of all incoming articles. Funding for publication is entirely sourced from the Faculty of Medicine and also from Duta Wacana Christian University.
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Articles 88 Documents
HUBUNGAN ANTARA USIA AWITAN PEMBERIAN MAKANAN PENDAMPING-ASI (MPASI) DENGAN STATUS GIZI PADA BALITA DI PUSKESMAS PANCUR BATU, DELI SERDANG TAHUN 2017 Legie, Femmy Stefanie; Lubis, Mahrani
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.124

Abstract

Latar Belakang. Makanan Pendamping Air Susu Ibu (MP-ASI) adalah makanan dan minuman yang diberikan kepada bayi guna memenuhi kebutuhan gizi selain ASI. WHO merekomendasikan pengenalan makanan padat pada bayi dilakukan pada saat bayi berusia 6 bulan. Beberapa penelitian menyatakan bahwa pengenalan dini makanan dapat menyebabkan anak mengalami gizi tidak normal dan mudah terinfeksi organisme asing. Menurut data RISKESDAS tahun 2010, prevalensi balita dengan gizi kurang dan buruk di Provinsi Sumatera Utara adalah 21,4 %. Tujuan. Penelitian ini bertujuan untuk melihat hubungan usia pertama pemberian MP-ASI terhadap status nutrisi pada balita. Metode. Jenis penelitian ini adalah analitik dengan desain cross sectional. Waktu penelitian ini dilakukan mulai dari bulan Agustus hingga bulan November 2017. Populasi dari penelitian ini adalah semua balita (3-59 bulan) yang datang ke Puskesmas Pancur Batu. Penelitian dilakukan dengan menggunakan data primer melalui wawancara dengan alat berupa kuesioner. Analisis data dilakukan dengan program Statistical Product and Service Solutions (SPSS) dan menggunakan uji Chi Square untuk analisa bivariat. Hasil. Hasil penelitian ini menunjukkan dari 90 anak, 51,1% adalah anak perempuan, 53% anak diberi MP-ASI tepat usia, 70% anak dengan status nutrisi baik. Status nutrisi tidak normal lebih banyak didapatkan pada anak yang diberikan MP-ASI dini (77.8%). Kesimpulan. Terdapat hubungan antara usia pertama pemberian MPASI dengan status nutrisi pada balita, p= 0.0001 (p
PEMBERIAN MAKANAN PENDAMPING AIR SUSU IBU YANG TEPAT Samodra, Yoseph Leonardo
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.145

Abstract

UKK Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia pada tahun 2018 menerbitkan buklet berjudul Pemberian Makanan Pendamping Air Susu Ibu (MPASI). Dalam publikasi tersebut disampaikan bahwa MPASI diberikan ketika air susu ibu (ASI) saja tidak cukup untuk memenuhi kebutuhan gizi bayi. Batasan waktu yang dipakai untuk memulai pemberian MPASI adalah ketika bayi berusia enam bula
HEPATOPROTECTIVE EFFECT OF A 70% ETHANOL EXTRACT OF GOD'S CROWN FRUIT (PHALERIA MACROCARPA) AGAINST PARACETAMOL HEPATOTOXICITY IN SWISS WEBSTER MICE Jayadi, Tejo
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.127

Abstract

Background: The god?s crown fruits have properties as antioxidants and anti-inflammatory. Toxic doses of paracetamol can injure the liver through toxic metabolite bonds with cytoplasmic proteins that cause free radicals to form. The aim of this research is to know the effect of the crown of gods extracts on paracetamol hepatotoxicity. Method: A total of 30 of Webster swiss mice with a weight of ± 20 grams, age 3 months were randomly assigned to five groups, negative control, positive control, treatment 1,2 and 3. A 70% ethanol extract of god?s crown fruit given in doses 60mg, 120mg and 240mg per kgBB mice. The extract was administered for 14 days in the treatment groups, then on day 15 paracetamol ware administered in a given dose 300mg/kgBB for 1 day for the positive control group and treatment groups. On day 16, the serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels were examined from the orbital sinuses and animals terminated liver tissues taken and immediately fixed in 10% buffer formalin for histological examination. Results and Discussion: The 70% ethanol extract of the god?s crown fruits decreased blood serum levels of AST and ALT, and these results were supported by histopathologic scores of the liver in which histopathologic scores were improved with the increasing doses (p < 0.05). The secondary metabolite contents of the god?s crown fruit extract served as an antioxidant and anti-inflammatory, protecting hepatic injury from the toxic metabolite of paracetamol. Conclusion: A 70% ethanol extract of god?s crown fruit (Phaleria macrocarpa) have hepatoprotective properties that effectively prevent hepatic injury due to paracetamol toxic dose.
MITOCHONDRIA AND THE FUTURE OF MEDICINE Manus, Widya Christine
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.144

Abstract

Mitochondria and the Future of Medicine
NYERI KEPALA DAN PUSING BERPUTAR SEBAGAI MANIFESTASI TOKSOPLASMOSIS SEREBRAL PADA INFEKSI HIV: SEBUAH LAPORAN KASUS astriani, dini
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.131

Abstract

ABSTRAK NYERI KEPALA DAN DIZZINESS PADA PASIEN TOXOPLASMOSIS HIV Laporan Kasus Dini Astriani*, Sri Sutarni** *Residen Neurologi Fakultas Kedokteran Universitas Gadjah Mada/RSUP dr. Sardjito Yogyakarta **Staf Departemen Neurologi Fakultas Kedokteran Universitas Gadjah Mada/RSUP dr. Sardjito Yogyakarta PENDAHULUAN. Nyeri kepala dan dizziness merupakan keluhan medis paling umum yang dikeluhkan oleh penderita virus human immunodeficiency (HIV)/AIDS. Berdasarkan data UNAIDS tahun 2011 ada 34 juta orang terinfeksi HIV di dunia dan di Asia Tenggara 3,5 juta orang hidup dengan HIV. Kasus HIV di Indonesia berdasarkan data dari kementrian kesehatan jumlah kumulatif penderita HIV dari tahun 1987- September 2014 sebanyak 150.296 orang dan kasus AIDS sebanyak 55.799 orang. Potensi nyeri kepala meningkat pada populasi karena risiko tinggi dari infeksi oportunistik. Infeksi dikepala seperti meningitis kriptokokus, toksoplasmosis serebral, atau neurosifilis yang terjadi selama HIV berlangsung, nyeri kepala juga merupakan komplikasi yang berasal dari penggunaan obat-obatan yang kompleks. Penegakan diagnosis nyeri kepala pada pasien toxoplasmosis HIV adalah anamnesa nyeri kepala dengan onset, intensitas dan letak yang bervariasi. Konfirmasi diagnosis terhadap infeksi HIV/AIDS yang berhubungan dengan timbulnya nyeri kepala, berupa pemeriksaan neuroimaging, LCS, EEG dan pemeriksaan laboratorium. Nyeri kepala akan menghilang paling lambat 3 bulan setelah infeksi mereda. penatalaksanaan nyeri kepala pada pasien toxoplasmosis HIV dilakukan dengan melakukan koreksi sesuai penyebabnya bila memungkinkan, obat simtomatis dan pendekatan psikologis, sosial dan spiritual. TUJUAN. Melaporkan sebuah kasus nyeri kepala dan dizziness pada toxoplasmosis HIV. METODE. Laporan kasus. Laki-laki, 25 tahun dikonsulkan dari bagian neuroinfeksi ke bagian subdivisi vertigo dengan keluhan nyeri kepala tipe tegang dikepala bagian belakang intensitas berat terus menerus disertai rasa seperti berputar dan pandangan dobel. Pasien juga mengeluhkan demam dan badan terasa pegal. Pasien telah terdiagnosis infeksi HIV dan toxoplasmosis sejak 4 tahun yang lalu dan rutin mengkonsumsi obat anti virus (ARV) neviral,duviral dan pirimetamin. Dari pemeriksaan fisik didapatkan paresis nervus VII et XII dextra, lesi nervus VIII dextra serta nistagmus horizontal bidirectional. Didapatkan juga hemiparesis dextra. Tanda meningeal tidak didapatkan. Pada pemeriksaan rontgen thorax didapatkan infiltrat perihiler sinistra yang didiagnosis bagian Paru sebagai pneumonia dd Tuberkulosis. Hasil pemeriksaan laboratorium angka lekosit menurun 1,48 x103 /ul, dan CD4 14. Pasien direncanakan untuk dilakukan Lumbal Pungsi dan Neuroimaging berupa MRI dengan kontras. KESIMPULAN. nyeri kepala tegang dan berputar yang di rasakan oleh pasien dapat disebabkan akibat infeksi opportunistik toxoplasmosis HIV atau akibat efek samping penggunaan ARV. Follow up dan pemeriksaan lanjutan diperlukan untuk menegakkan diagnosis dan menentukan prognosis pasien. Kata Kunci : Nyeri kepala, dizziness, toxoplasmosis HIV
KONTUSIO LABIRIN PADA PASCA CEDERA KEPALA Astuti, Ari
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.136

Abstract

Background : Blunt head trauma without any temporal bone fracture or longitudinal temporal bone fracture, with an associated fracture of the labyrinth may cause labyrinthine injury with hearing loss and vertigo because of a concusive injury to the membranous labyrinth. Objective : To explain a case of labyrinthine concussion in patient with post traumatic brain injury experienced in Dr. Sardjito Hospital Yogyakarta. Case Description : A patient who treated in the hospital with spinning sensation after crush injury. She also had fracture of the left collum femur. Head CT scan and laboratory examination was initiated within normal limit. Patient then diagnosed with labyrinthine concussion and treated with symptomatic therapy and physiotherapy. Conclusion : Labyrinthine concussion can occur to the patient of blunt head trauma. Pharmacotherapy and physiotherapy should be initiated to reduce symptomps and uncomfortable sensation. Keywords : labyrinthine concussion, traumatic brain injury, mixed type vertigo
MIOPATI KONGENITAL PADA BAYI: SEBUAH LAPORAN KASUS Adinugraha, Rangga
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.119

Abstract

Background: The congenital myopathies are group of genetic muscle disorders with a prevalence estimated between 1:22,480 in Sweden and 1:135,000 in Northern England. The most severe forms of congenital myopathy present In infant is the floppy infant with hypotonia and generalized musle weakness, and a frog leg posture, with facial, bulbar and respiratory weakness. We will provide an approach to the diagnosis of congenital myopathies with clinical examination, muscle imaging (MRI), muscle biopsy and identifying the genetic basis. Management of congenital myopathy are treatment of symptoms and complication caused by myopathies. Aim: To report a case of congenital myopathy in infant Case Description: A boy, a month, consulted from pediatric department to neurology department with chief complains the mouth is held in a open position, difficulty in feeding and generalized muscle weakness. From physical examintaion shows hypotonus in the masseter muscle, bulbar, respiration and all of extremities. In the chest cavity show pectus excavatum. Reflexes decrease in all of extremities with phatological reflexes in both lower extremities. We found pneumonia bilateral from thorax X-ray. ENMG shows moderate to severe axonal neuropathy and demyelination on all of extremities with normal EMG results. He received paracetamol 30 mg iv, ampicilin 150 mg iv, gentamicin 12 mg iv. He received exercise and chest fisiotherapy. After 22 days of treatment, he was discharge with clinical improvement. Conclusion: Patient has pneumonia bilateral caused by respiratory weakness congenital myopathy. Follow up and histological features is essential in guiding management for prediction of prognosis.
PERKEMBANGAN TELEMEDIS SEBAGAI PENDUKUNG PELAYANAN KESEHATAN: TELAAH PUSTAKA Nugroho, Daniel C.A.
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 1 (2019): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v4i1.141

Abstract

Telemedicine is a method in health service using information technology and telecommunication for helping promotive, preventive, curative and rehabilitative act. The initial media used for this method are telegram or telephone. Telemedicine was growing rapidly after the internet, by e-mail, or internet-based message services. Various problems on health services such as costs, distance, time constraint, efficiency, and the necessity of continuous patient monitoring are the reasons why telemedicine need to be discussed further. Telemedicine methods have many shortcomings. Therefore, this review would explain several types of telemedicine as well as its advantages and disadvantages.