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Health and Medical Journal
ISSN : 26852772     EISSN : 2685404X     DOI : https://doi.org/10.33854/heme
Core Subject : Health, Science,
Health & Medical Journal with registered number pISSN: 2685-2772 and eISSN: 2685-404X is a peer-review journal published by Medical Faculty of Universitas Baiturrahmah. The frequency of publishing is two issues in a year. The topics covered include the fields of Allergy and Immunology, Anesthesiology, Cancer and stem cells, Cardiovascular, Cell and Molecular Biology, Children's Health, Dermato-venereology, Geriatrics, Histopathology, Internal Medicine, Neuro-psychiatric treatment, Ophthalmology, Otorhinolaryngology, Physical medicine and rehabilitation, Physio-pharmacology, Pulmonology, Radiology, Surgery includes orthopedics and urology, Obstetrics and Gynecology, Science of nutrition, Clinical Pathology, Anatomy Pathology, Parasitology, Microbiology, Public Health and Medical Education. Submissions are welcome from other clinically relevant areas. However, the Journal emphasizes publishing high-quality and novel research.
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Articles 40 Documents
GAMBARAN MOTIVASI STRATEGI PEMBELAJARAN ANGKATAN 2016 FAKULTAS KEDOKTERAN UNIVERSITAS BAITURRAHMAH Arrazi, Ilham Fahrul; Akbar, Resti Rahmadika; Sjaaf, Fidiariani
Health & Medical Journal Vol 2, No 1 (2020): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.774 KB) | DOI: 10.33854/heme.v2i1.286

Abstract

Pendidikan kedokteran merupakan proses pendidikan yang tidak mudah dan membutuhkan konsentrasi dan kemauan yang kuat untuk dapat menyelesaikan semua tahap pendidikannya. Para ahli motivasi menyatakan terdapat hubungan antara motivasi dan belajar. Penelitian yang dilakukan oleh Lijun menyebutkan bahwa motivasi berhubungan positif dengan strategi pembelajaran dengan strategi belajar. Angkatan 2016 Fakultas Kedokteran Universitas Baiturrahmah sedang menjalani perkuliahan di semester akhir. Menurut penelitian yang dilakukan Dita Agustina yang dilakukan di Fakultas Kedokteran tingginya tingkat stress dikarenakan sedang mengikuti perkuliahan di semester akhir. Tujuan penelitian ini adalah Mengetahui gambaran motivasi strategi pembelajaran angkatan 2016 Fakultas Kedokteran Universitas Baiturrahmah. Metode penelitian yang di gunakan adalah penelitian deskriptif. Desain penelitian menggunakan metode cross-sectional. Penelitian ini menggunakan data primer yang berasal dari hasil kuisioner Motivated Strategies for Learning Questionnaire (MSLQ). Waktu penelitian  ini dilakukan mulai  Februari 2019 sampai September 2019, tempat penelitian ini dilakukan  di  Fakultas Kedokteran  Baiturrahmah Padang. Populasi dalam penelitian ini adalah mahasiswa angkatan 2016 Fakultas Kedokteran Universitas Baiturrahmah berjumlah 149 orang. Teknik yang digunakan untuk pengambilan sampel menggunakan rumus Total Sampling. Data  dikumpulkan  melalui  kuesioner  online dengan  menggunakan  google form, responden  dikumpulkan  dan  disosialisasikan  mengenai cara  pengisian kuesioner online. analisa data adalah univariat disajikan dalam bentuk tabel distribusi frekuensi dan distribusi deskriptif dengan menggunakan program SPSS versi 24.0. Hasil dari penelitian ini adalah 149 mahasiswa diperoleh responden sebanyak 95 orang paling banyak tinggal sendiri, kontrakan atau kos yaitu sebanyak 83 orang (87,4%) dan yang paling banyak mengisi data adalah berjenis kelamin perempuan yaitu sebanyak 76 orang (80%). Untuk gambaran motivasi mahasiswa terdapat mahasiswa motivasi tinggi sebanyak 69 orang (72,6%) motivasi sedang 21 orang (22,1%) motivasi rendah 5 orang (5,3%). Kesimpulan dari penelitian adalah pada mahasiswa angkatan 2016 Fakultas Kedokteran Universitas Baiturrahmah di simpulkan bahwa angkatan 2016 terdiri dari 149 orang mahasiswa memiliki tingkat motivasi yang tinggi sebesar (72,6%). Dengan nilai Cronbach?s Alpha 0.978 yang lebih dari >0.67 yang berarti instrumen ini dapat dipakai karena sudah reliabel.
GAMBARAN JUMLAH TROMBOSIT DAN KADAR HEMATOKRIT PASIEN DEMAM BERDARAH DENGUE DI RUMAH SAKIT ISLAM SITI RAHMAH PADANG Kafrawi, Vudhya Ulhaq; Dewi, Nadia Purnama; Adelin, Prima
Health & Medical Journal Vol 1, No 1 (2019): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.723 KB) | DOI: 10.33854/heme.v1i1.217

Abstract

Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus. The West Sumatra Health Service reported that the city of Padang was the highest city in the incidence of dengue hemorrhagic fever in West Sumatra. It is known that platelet counts and hematocrit levels are important indicators in determining the occurrence of shock and the severity of the disease. This type of research is a descriptive study using a cross sectional design with a retrospective approach, this study was conducted at the Siti Rahmah Islamic Hospital in Padang. The population in this study were all medical record data of patients who had been diagnosed with dengue hemorrhagic fever by a specialist in internal medicine at the Siti Rahmah Islamic Hospital in Padang period 1 January-31 December 2017, as many as 162 people with 62 samples using Simple random sampling technique. Univariate analysis is presented in the form of a frequency distribution       table. Based on the results of the study, it was found that the highest age was early adulthood, which was 69.4% and the highest sex was women, 58.1%. The highest clinical degree is degree 1, which is 58.1%. Most of the patients had platelet counts <100,000 cells / mm3 is 64.5% with an average platelet count of 87,790 cells / mm3. Most of the normal hematocrit levels were 67.7% with an average hematocrit level of 40.45%. Based on degree 1 most with platelet counts <100,000 cells / mm3 which is 55.6%, at degree 2 mostly with platelet counts <100,000 cells / mm3 which is 76.9% and based on degree 1 most hematocrit levels are normal is 63.9 % and at degree 2 most of the normal hematocrit levels are 73.1%.
PENGARUH CANGKANG KEONG SAWAH (PILA AMPULLACEA) TERHADAP PEMBENTUKAN TULANG BARU (REMODELING TULANG) Edrizal, Edrizal; Desnita, Eka
Health & Medical Journal Vol 2, No 2 (2020): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.216 KB)

Abstract

Keong sawah dipercaya oleh masyarakat sebagai obat alternatif yang mampu mengobati banyak penyakit, seperti diabetes, penyakit kuning, liver, maag, kolesterol, dan mencegah osteoporosis, kajian ilmiah lebih mendalam mengenai khasiat keong sawah bagi kesehatan manusia masih belum banyak dilakukan. Semuanya ini masih merupakan data empiris dari pengalaman para pengguna keong sawah. Sehingga perlu dilakukan pengujian ilmiah lebih lanjut. Tujuan penelitian ini adalah untuk mengetahui apakah kandungan dalam cangkang keong sawah (Pila ampullacea) dapat mempengaruhi proses remodeling tulang. Jenis penelitian yang digunakan adalah eksperimental laboratorium dengan rancangan control group post test only design. Populasi penelitian ini menggunakan tikus putih Galur Wistar (Rattus norvegicus L.), dengan jumlah sampel minimal yang diperlukan adalah 4 ekor tikus dari setiap kelompok. Sehingga besar sampel yang digunakan adalah 20 ekor tikus Galur Wistar (Rattus Norvegicus). Penelitian dilakukan di Laboratorium Farmakologi Universitas Andalas, Laboratorium Patologi Anatomi RSI Siti Rahmah dan Laboratorium Patologi Anatomi Universitas Andalas. Menggunakan uji Oneway ANOVA. Hasil penelitian diperoleh jumlah rata-rata osteoblas pada kelompok kontrol (-) dengan rata-rata jumlah osteoblas terendah yaitu 14,3 per lima lapang pandang. Peningkatan rata-rata paling tinggi terjadi pada pemberian pilla ampullacea 100 mg yaitu 36,6 per lima lapang pandang. Jumlah rata-rata osteoklas kelompok kontrol (-) juga terlihat paling rendah yaitu 1,55 per lima lapang pandang dan peningkatan rata-rata osteoklas paling tinggi pada pemberian pilla ampullacea 100 mg yaitu 3,25 per lima lapang pandang dan terbukti pemberian sediaan serbuk cangkang keong sawah (Pila ampullacea) dapat mempengaruhi proses remodeling tulang dengan p<0,05.
PENGARUH CUCI HIDUNG DENGAN NACL 0,9% TERHADAP EKSPRESI GEN IL-1BETA DAN TNF-ALPHA MUKOSA HIDUNG PENDERITA RINOSINUSITIS KRONIS DI RSUP DR M DJAMIL PADANG Triola, Seres
Health & Medical Journal Vol 1, No 2 (2019): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (121.684 KB) | DOI: 10.33854/heme.v1i2.236

Abstract

Chronic rhinosinusitis is an inflammatory disease of the nasal mucosa and paranasal sinuses which produces several proinflammatory cytokines including; IFN-?, TGF-?1, IL-1?, IL-3, IL-6, IL-8, TNF-?, IL-5. The use of NaCl  0.9% nasal  wash in  chronic  rhinosinusitis  could reduce  mucin  secretion,  decrease  the  production  of postnasal  drip,  accelerate  mucosal  repair  and  reduce  the  symptoms  of  nasal  obstruction.  From  above, researchers want to know the effect of NaCl 0.9% nasal wash of the levels of cytokines IL-1? and TNF-? in the mucosa  of  the  nose  and  paranasal  sinuses  in  patients  with  chronic  rhinosinusitis.  This  research  is  an experimental study with the technique of pre and post test design to determine the effect of NaCl 0.9% nasal wash of the gene expression of IL-1? and TNF-? of nasal mucosa of patients with chronic rhinosinusitis. The amount  of IL-1? gene copynumber before and  after nasal  wash is  obtained 8.07 ± 0.95  and 8,20 ± 0.93 (p >0.05). The amount of TNF-? gene copynumber before and after nasal wash was 8,83 ±3,83 and 6,72 ±2,55 (p >0.05). IL-1? gene ratio starting and ending intervention in two groups was 52,51 ± 1.21 and 61,99 ± 1.13. TNF-? gene ratio starting and ending intervention in two groups was 9,63 ±2.21 and 334,4 ±1.31. In this study there was no significant reduction in the absolute expression (log copynumber) gene IL-1? and TNF-? of nasal mucosa after being given medical treatment with NaCl 0,9% nasal wash.
PREVALENSI DAN FAKTOR RISIKO INKONTINENSIA URIN PADA LANSIA DI PANTI SOSIAL TUNA WERDHA (PSTW) SABAI NAN ALUIH SICINCIN PARIAMAN Amelia, Rinita
Health & Medical Journal Vol 2, No 1 (2020): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (591.801 KB) | DOI: 10.33854/heme.v2i1.264

Abstract

The increased life expectancy of Indonesian people to 66.2 years old contributes to the increased number of elderly people (Aging Structured Population). Aging Process causes health problems among elderly people, including depression, immune deficiency, sleep disorder (insomnia) and urinary incontinence (1). Urinary incontinence is a defect of bladder sphincter or neurological dysfunction which causes loss of control of urinating (2). Urinary incontinence can cause physical, psychological, social and economic problem, thus affecting the quality of life of elderly people (3) (4). The purpose of this study was identifying the prevalence and risk factors of urinary incontinence among elderly people in PSTW Pariaman. This study was an observation analytical study with cross sectional approach. Here, the degree of urinary incontinence was determined using urinary incontinence diagnosis tool in the form of questionnaire based on Sandvix Severity Index (SSI) and The Three Incontinence ( 3 IQ ). This study used total sampling of ?45 year-old elderly people. It was found that the number of elderly people with urinary incontinence was around 23.73% with higher number of male (85.71%). The most prevalent age was 65-75 years old and the complaint had lasted over 6 months (85.72%) and had low education level (64.28%). From blood pressure examination, half of the respondents had hypertension (50%). The degree of urinary incontinence based on SSI level showed that most elderly people had moderate incontinence of 85.71%. This was consistent with the theory that the common problem for elderly people is urinary incontinence with estimated incidents of 25-35% of the entire elderly population in their lifetime ( ONAT, 2014 ).
KARAKTERISTIK PENDERITA EPILEPSI DI BANGSAL ANAK RSUP DR. M. DJAMIL PADANG TAHUN 2018 Khairin, Khalvia; Zeffira, Laura; Malik, Rifkind
Health & Medical Journal Vol 2, No 2 (2020): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1093.862 KB)

Abstract

ABSTRAKLatar Belakang: Epilepsi merupakan suatu keadaan yang ditandai adanya bangkitan yang terjadi secara berulang akibat terganggunya fungsi otak yang disebabkan oleh muatan listrik yang abnormal pada neuron-neuron otak. Epilepsi memiliki dua kategori kejang yaitu kejang fokal dan kejang umum. Insiden epilepsi diperkirakan lebih banyak terdapat pada negara berkembang daripada negara maju. Pada tahun 2017, jumlah kasus epilepsi anak di Sumatera Barat terutama di RSUP Dr. M. Djamil Padang ada 1081 kasus pada rawat jalan dan satu kasus rawat inap dan diperkirakan akan terus meningkat setiap tahunnya.Tujuan: Untuk mengetahui karakteristik penderita epilepsi di bangsal anak RSUP Dr. M. Djamil Padang tahun 2018.Metode: Penelitian ini dilakukan di RSUP Dr. M. Djamil Padang. Penelitian ini bersifat deskriptif dengan rancangan cross sectional. Sumber data dari data sekunder yang berasal dari rekam medis. Sampel dipilih dengan menggunakan kriteria inklusi dan eksklusi. Analisis data menggunakan analisis univariat.Hasil Penelitian: Hasil penelitian yang didapatkan dari 65 sampel yang menderita epilepsi yaitu usia 0-5 tahun sebanyak 37 orang (56,9%), jenis kelamin laki-laki sebanyak 39 orang (60%), tidak memiliki riwayat epilepsi keluarga sebanyak 62 orang (95,4%), gambaran EEG gelombang tajam dan paku sebanyak 30 orang (46,2%), tipe kejang generalized sebanyak 57 orang (87,7%) dan asam valproat sebagai salah satu penatalaksanaan epilepsi sebanyak 32 orang (49,2%).Kesimpulan: Dari hasil penelitian ini, dapat disimpulkan bahwa penderita epilepsi terbanyak adalah usia 0-5 tahun dengan jenis kelamin laki-laki serta tidak memiliki riwayat epilepsi keluarga. Tipe gambaran EEG yaitu gelombang tajam dan paku, tipe kejang umum dengan penatalaksanaan terbanyak asam valproat.  Kata Kunci: Epilepsi anak, karakteristik, gambaran EEG
ISCHEMIC STROKE IN INFANT WITH TETRALOGY OF FALLOT Pitra, Dian Ayu Hamama; Susanti, Lydia
Health & Medical Journal Vol 1, No 1 (2019): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (571.89 KB) | DOI: 10.33854/heme.v1i1.221

Abstract

Objectives: Although stroke is often viewed as occurring primarily in the elderly, it also strikes infants, children, young adults. Stroke in children are rare but increasingly important conditions due to the severity of their complications and diverse diagnostic differentials. It is not yet clearly understood and with multifactorial etiologies. When it comes to stroke, children are not just little adults. Stroke risk factors, symptoms, prevention efforts, and treatment are often different in children than in adults. Up to 80 % of children with ischemic stroke have cardiovascular disease. Case report: RS, An infant, aged two and half years old was admitted to DR. M. Djamil hospital Padang, with right hemiplegy and developed aphasia after activity. One year ago, he had history of cyanotic skin but neglected by his parents and never sought medical treatment. Physical findings on this patient are cyanosis and clubbing fingers. Cardiac auscultation revealed a pansystolic murmur grade III-IV best heard at the upper left sternal border. Chest radiograph showed a characteristic ?bootshaped? heart, which is a reflection of Right Ventricular (RV) hypertrophy. The ECG showed right axis deviation. Brain CT Scan revealed a large hypodense lesion on the left cerebral hemisphere suggested as large brain infarction. Echocardiogram revealed tetralogy of fallot with a larged malaligned ventricular septal defect (VSD) with 60 % aortic override. Patient was managed conservatively. After two weeks of admission, patient was discharged with improvement.Conclusion : Ischemic stroke in this infant with tetralogy of fallot occurred via paradoxical embolism mechanism.
GAMBARAN PENGALAMAN PEMBELAJARAN BLENDED LEARNING MAHASISWA SEMESTER I MENGGUNAKAN GOOGLE CLASSROOM Akbar, Resti Rahmadika; Anissa, Mutiara; Pitra, Dian Ayu Hamama; Anggraini, Debie; Hasni, Dita
Health & Medical Journal Vol 2, No 1 (2020): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (591.016 KB) | DOI: 10.33854/heme.v2i1.258

Abstract

The development of technology information in the 4.0 revolution era also affected to education. Higher education is demanded to develop curriculum based on digital literacy and technology literacy. The use of blended learning combines face-to-face methods with Google classroom in the Modul Pengantar Pembelajaran Kedokteran. The purpose of this study is to find out at the learning experiences of students using blended learning. Methods: This is descriptivestudy with cross sectional design. The study sample was first semester students at the Faculty of Medicine at Baiturrahmah University. Data collected through online questionnaire using Google form. Results: The number of respondents was 56 students. As many as 83.9% of students are familiar with the term e-learning or blended learning, 92.9% stated they did not experience difficulties when using google classroom,as many as 92.9% of students recommend google classroom as an effective media to e-learning. Conclusion: the benefits of blended learning can be felt by students, the media deliver learning resources and discussion with students and examine the results of student assignments quickly, and improve student discipline
TATALAKSANA RADIOTERAPI PADA KEKAMBUHAN LOKAL KANKER OVARIUM CLEAR CELL Rafli, Rhandyka
Health & Medical Journal Vol 1, No 2 (2019): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.164 KB) | DOI: 10.33854/heme.v1i2.240

Abstract

Clear Cell Carcinoma is a rare subtype of ovarian cancer. At early stage ovarian cancer were not exhibit symptoms, most of case were found at advanced stage. Treatments for advanced stage ovarian cancer are cytoreduction surgery and carboplatin and paclitaxel adjuvant chemotherapy. Cancer stem cells resilient and chemoresistants phenotype of clear cell carcinoma were responsible for local relapse. Radiotherapy with palliative intents can alleviate symptoms and increase quality of life, radiotherapy can also be given curatively for local relapse. Brachytherapy as dose escalation is recommended for limited and locally tumor residue.
FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN PNEUMONIA PADA BALITA DI PUSKESMAS IKUR KOTO KOTA PADANG Rigustia, Riza; Zeffira, Laura; Vani, Ade Teti
Health & Medical Journal Vol 1, No 1 (2019): HEME
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (538.061 KB) | DOI: 10.33854/heme.v1i1.215

Abstract

The occurrence of pneumonia is related to many factor such as the age of toddler, sex of the toddler, the low birth weight, history of giving exclusive breastfeeding, measles immunization history, DPT immunization history, Hib immunization history, mother?s occupation, mother?s education and family members who are smoker. The aim of this research was to find out risk factor related to pneumonia occurrence in toddler in Puskesmas Ikur Koto Padang city in 2017. This research used case control design, samples consisted of 30 cases and 30 controls. Data was collected by using questioner and it was anlyzed with chi square test, kolmogrov smirnov and logistic regression test. The result was obtained that pneumonia toddler who were 12-48 months were 76.7%, the sex was male (60%), birth weight was ?2500 gram (90%), there was no exclusive breastfeeding (73.3%), nutritional status was normal (66.7%), there was no measles immunization (80%), toddler did not receive DPT immunization (66.7%), there was no Hib immunization (50%), mothers who work (60%), high and middle education (40%), smokers family member beside the mother (90%). bivariate result showed that there was significant relation between pneumonia and exclusive breastfeeding history (p value= 0,00), measles immunization (p value =0,00), DPT immunization history (p value= 0,00), Hib Immunization history (p value= 0,032), and mother?s occupation (p value =0,020). in multivariate analysis, there was significant relation between exclusive breastfeeding history, measles immunization history, mothers? occupation with the occurrence of pneumonia. There was no significant relation between age of toddler, sex, birth weight, nutritional status, mother?s education and smokers in family member with the occurrence of pneumonia

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