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Articles 21 Documents
Search results for , issue "Vol 50, No 1 (2018): SUPPLEMENT" : 21 Documents clear
The quality of patients chronic rhinosinusitis after functional endoscopicsinus surgery at Dr Sardjito General Hospital, Yogyakarta, Indonesia Kusdaryanto, Wahyu Dwi; Isminarsih, Windarti; Indrawati, Luh Putu Lusy
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.497 KB) | DOI: 10.19106/JMedScieSup0050012018015

Abstract

Chronic Rhinosinusitis (CR) is disease by incidence and prevalence of high and is expected to rise to load against the economy and lowering the quality of life of patients.with CR involved many factors and an impact of highly significant on the quality of life and affect the economy.The quality of life patients done to assess the effects and result of surgery.Sino nasal outcome test-20 ( snot-20 ) was one of the instruments specific measurement the quality of life of patients CR. 10 patients who surgery action , obtained improving the quality of life based on snot-20 observed 28 days after done the act of surgery. Rate the SNOT- 20 before surgically obtained 37,3 with DS ± 7,87 and 28 days after done surgically obtained rata-rata snot-20 is 6 with DS ± 2,49. The SNOT-20 pre and post action there are different of significant (p = 0,024 ) .
Cervical cancer screening coverage in urban and rural areas: its determinants Saimin, Juminten; Wicaksono, Satrio; Ashaeryanto, .
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.221 KB) | DOI: 10.19106/JMedScieSup005001201806

Abstract

Cervical cancer is a woman’s health problem that is still widespread throughtout the world, especially in developing country such as Indonesia. The high incidence of cervical cancer related with early detection program. Visual inspection of acetic acid (VIA) is used as an alternative screening method because it is easier, cheaper and effectiveness is not much different from the Pap test. The most participant in urban and rural areas was the age group 31-40 years old, low parity, and first intercourse at ≥ 17 years old. There was asscociation between cervical cancer screening coverage with education level, knowledge and distance of service facilities. There were significant difference of education level (p = 0.000), knowledge (p = 0.000) and distance of service facilities of urban and rural participant (p = 0.000). There was no significant differences in family support of urban and rural participant (p = 0.224).
Relationship Factors Physical Environment and Behavior house Respondents with incidence of Dengue Hemorrhagic Fever in Depok 2016 Ranggauni, Fathinah; Kiptiyah, Nuning Maria
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.205 KB) | DOI: 10.19106/JMedScieSup005001201802

Abstract

AbstractDepok City is one of the endemic areas of dengue disease in Indonesia. An increase and spread of dengue cases was likely caused by the high mobility of the population, urban development, climate change, changes in population density and distribution. This research is an analytic study with case control design. This study found that in bivariate analysis, the variables associated with the incidence of dengue in the city of Depok are variable lighting (OR = 2.857, 95% CI = 1.179 to 7.175), variable cleaning TPA (OR = 2.210, 95% CI = 0.972 to 5.103), variable educational level (OR = 24.375 (95% CI = 3.540 to 1030.606). On multivariate analysis, the home environment variables that individuals with home lighting ineligible risk of 3.369 (95% CI: 1.418 to 8.005) compared to individuals exposed to dengue home lighting qualify as controlled by confounding variables, namely the habit of cleaning water reservoirs and jobs. On multivariate analysis, behavioral variables respondent is an individual who cleans water reservoirs are not routinely <1 time a week are at risk of 3.293 (95% CI: 1.321 to 8.212) DHF compared with individuals who have  the  habit  of  cleaning  water  reservoirs  regularly  after  confounding  variables  are  controlled  by environmental conditions and education of home lighting. For Depok City Health Department inspection home lighting conditions and larvae regularly, fogging and improve health promotion to respondents on how to prevent dengue by conducting 3M plus especially on variable bathtub drain in order to suppress the incidence of dengue in the working area. For respondents in order to join and participate in efforts to Mosquito Nest Eradication of Dengue Hemorrhagic Fever (PSN-DBD).
AAssociation between migraine and ischaemic stroke in Prof. Dr. Margono Soekarjo Hospital, Purwokerto, Indonesia Razanah, Yahdiyani
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.778 KB) | DOI: 10.19106/JMedScieSup0050012018011

Abstract

Headache especially the migraine type has been correlated with various disease, such as stroke. There are some controversies in studies that reported association between migraine and ischaemic stroke. Thus, study that investigate the association between migrain – stroke andalso identify stroke risk factor are needed. Study showed there is no statistically significant relationship between migraine and ischaemic stroke in RSUD Prof. Dr. Margono Soekarjo Purwokerto (p=0,235). Analysis of confounding variables such as hypertension, smoking, diabetes, obesity, alcohol consumption, and oral contraceptive shows that hypertension is a predictor for stroke.
Trends of Rotavirus Diarrhea in Hospitalized Children in Yogyakarta Year 2013 –2015 Mulyani, Nenny Sri; Anggraini, Dian; Baroto, Retno Palupi; Erlin Mulyadi, Asal Wahyuni; Anindita, Rizki; Soenarto, Yati
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (151.311 KB) | DOI: 10.19106/JMedScieSup005001201807

Abstract

Diarrhea, together with pneumonia, is accountable for 25% death of children under five globally (IVAC, 2017). In Indonesia, diarrhea is also among the top ten diseases of cause of death in children under five (WHO, 2015). Rotavirus diarrhea is responsible for 60% in 2006 (Soenarto et al, 2009) of children diarrhea in Indonesia. Rotavirus vaccine in Indonesia was introduced commercially in 2011, nonetheless its use was reportedly low. Despite the declining rate of rotavirus incidence, surveillance is important to show the burden of rotavirus diarrhea in children. Thus, this study aims to describe the incidence of rotavirus diarrhea in hospitalized children under five in Yogyakarta province. This was a prospective study, conducted in two participating hospitals in Yogyakarta: RSUP Sardjito Yogyakarta and RSUD Wates from January 2013 – December 2015. This study is a part of the Indonesia surveilance entitled “Hospital-based surveillance of rotavirus diarrhea in children in Indonesia”, enrolling children under five hospitalized due to acute watery diarrhea. The questionare was modified from the WHO generic protocol of rotavirus surveillance (WHO, 2002). Data collection was perfomed after informed consent was signed by parent or guardian. The stool samples were tested for rotavirus with the EIA test and tested for genotyping with RT-PCR. The data were analysed and presented using descriptive analytic method. Of 684 eligible patients hospitalized with acute watery diarrhea, 557 subjects were enrolled with 518 feces were tested for rotavirus. The percentage of rotavirus incidence in year 2013, 2014, and 2015 were 37%, 41% and 61 % respectively. The predominant rotavirus genotyping was G3P [8]. Rotavirus mostly found in children age 6 – 23 months (55 %), and was identified more in male than female (62 % vs 38%). During the 3 years study period, rotavirus occurred all year round, and showed to reach its peak on January 2015. Rotavirus positive diarrhea commonly presented with dehydration (79%) compare to negative rotavirus diarrhea (55%). It indicated that the incidence rate of rotavirus diarrhea in Yogyakarta is quite high and rotavirus diarrhea remains as significant contributor to hospitalized children with diarrhea. The trend of rotavirus diarrhea in children under 5 years increased over the years’ period. The rotavirus diarrhea mostly presented with dehydration, thus rotavirus diarrhea remains as significant contributor to hospitalized children with diarrhea. This shows an evidence that the burden of rotavirus diarrhea in children under 5 years remains prominent.
Epidemiological Correlation Between Her-2 Expression With Histological Type and Grade Breast Carcinoma On Oncology Department, Moewardi Hospital, Surakarta, Indonesia Wahid, Dian Ibnu; Soewoto, Widyanti
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.303 KB) | DOI: 10.19106/JMedScieSup0050012018017

Abstract

Some woman have breast tumors with higher level of HER-2. HER-2 receptor is is a member of the epidermal growth factor receptor family which one such gene that can play a role in the development of breast carcinoma. Normally, HER-2 receptors control breast cell grows, divides, and repair breast cell. But in pathologic conditions it make too many copies. The aim of this study  was to evaluated the expression of HER-2 in woman breast carcinoma and to compare it with Histological Type and Grade. We Observed  1.395 patients with breast carcinoma. The mean age of the patients was 45.7 (Ranged 23-73 years). In this group the frequency of Her2 positive was higher than other. The incidence of patients above 50 years of age were significancy higher in Her2 positive with 363 (47%). For tumor grading, the highest on G3 with the results 764 (54.7%). G3 got the highest results on Her2 positive with 535. We just divide the type of tumor consist of three parts (ductal, lobular, and other). In tumor type obtained the most data on ductal carcinoma with 878 (63%). The difference did not achieve stastitical significance , when calculated with chi square got results >0.05. From the results can be concluded there is no relationship between Her2 with histological type and grade breast cancer.
Onset to Hospital Admission Time and Disability in Patients with Ischemic Stroke Dharmawan, Andre; Pinzon, Rizaldy Taslim
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.051 KB) | DOI: 10.19106/JMedScieSup0050012018012

Abstract

The predictive factors of disability in stroke patients are still varied and subject to debate. Lower onset to admission time has been known produces excellent outcomes with significantly lower rates of morbidity and mortality. Previous study about the onset admission time in patients with stroke ischemic in Indonesia is very limited. This was a retrospective cohort study using secondary data from electronic medical record and electronic stroke registry of Bethesda Hospital Yogyakarta Indonesia. A total of 1657 patients with ischemic stroke was admitted between 2015-2017 and 313 patients were included in this study adjusted by inclusion and exclusion criteria. Factors such as age, gender, onset, previous stroke, comorbidities and complications were assessed. Multiple logistic regression analysis showed onset > 6 hour (RR: 4.567; 95% CI: 2.372-8.792;p: 0.000), age (RR: 2.366; 95% CI: 1.357-4.125;p:0.002) and patients with complications (RR: 12.403; 95% CI:2.443-62.968;p:0.002) were independently significant increasing the risk of disability in patient with ischemic stroke. Onset to hospital admission time > 6 hour was significantly increasing disability on ischemic stroke patients. Giving treatment less than 6 hours could save the patient from disability.
Surgical Management for Resistant Gestational Throphoblastic Neoplasia: Yogyakarta Experience Gulo, Greta S; Darmawan, Nirwan; Irsan, Bob; Prabowo, Wisnu; Kusumanto, Ardhanu
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.626 KB) | DOI: 10.19106/JMedScieSup005001201803

Abstract

Gestational trophoblastic neoplasia (GTN) is a highly responsive to chemotherapy, but sometimes can be resistant, or relapse and require salvage chemotherapy with or without surgery.  We use descriptive studies with case series to determine prognosis patient GTN with chemotherapy resistant manage with surgical procedure in Sardjito Hospital, Yogyakarta. GTN-resistant chemotherapy patients that undergoing hysterectomy showed significant decreases in hCG levels. Hysterectomy also help us to stop vaginal bleeding. However, complications from continuous bleeding can worsen patient condition. The decision to take a hysterectomy action varies depending on the patient's condition. At the Sardjito hospital, the patient was diagnosed with the fastest hysterectomy within the first 12 hours of treatment due to continuous bleeding, and shortly after 4 years of treatment with 5 different types of chemotherapy.
Risk Factors of Malaria Incidence in Endemic Area of Central Java Mahkota, Renti; Nurcandra, Fajaria; Anggraini, Fitria Dewi Puspita; Putri, Annisa Ika; Wispriyono, Bambang
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.19 KB) | DOI: 10.19106/JMedScieSup005001201808

Abstract

Malaria caused 212 million cases worldwide in 2015 which associated to environmental factors, ecology, and the presence of vectors. Annual paracite incidence (API) in Indonesia in 2011-2015 decreased. Unfortunately, malaria incidence always exist in Purworejo District which known as one of endemic area in Central Java. This research aimed to determine risk factors of malaria incidence in endemic area especially in Purworejo, Central Java. Logistc regression showed that period of residency 19-34 years (OR=1.612; 95% CI 0.853-3.046), period of residency >34 years (OR=2.050; 95% CI 1.036-4.060), male (OR=2.349; 95% CI 1.365-4.043), and education level less than junior high school (OR=1.677; 95% CI 0.976-2.882) as contributing risk factor to malaria incidence in Purworejo District.
LDL/HDL ratio association with out-patient NIHSS score and Dyslipidemic Drug intake status as Metabolic Syndrome Criteria of ischemic stroke patients at RSUP Dr. Sardjito, Yogyakarta Elberta, Felicia; Ghofir, Abdul; Rusdi, Imam
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 1 (2018): SUPPLEMENT
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.662 KB) | DOI: 10.19106/JMedScieSup005001201804

Abstract

LDL-C/HDL-C ratio (numeric) is a more significant predictor of the progression of IMT than LDL-C or HDL-C alone (2). The Objective is to check whether being dyslipidemic or metabolic syndrome shown by the ratio, affects the data of NIHSS results obtained to measure functional outcome. the data was analyzed using Pearson Chi-square with contingency table post-hoc analysis and Spearmann’s Correlation with additional simple-linear regression.Out of 189 subjects, only 156 data are complete and valid. 70 patients were dyslipidemic, 65 were non-dyslipidemic and the rest were unknown. There is a significant association of LDL/HDL ratio cut off point above 2,3 with dyslipidemic drug intake likely to produce a mild NIHSS outcome category (z score 2,1) (calculator is  P value = 0,035729), but not with other NIHSS categories.  There is significant association of patients that do not take dyslipidemic drug with whatever LDL/HDL cut off point to the predictor outcome of Mild NIHSS category, but not with other NIHSS categories. The correlations are also insignificant between the LDL/HDL ratio and NIHSS score in one tailed (p<0,36) and at two tailed (p<0,72).Moreover, simple linear regression reveal that LDL/HDL ratio predicts 16% of NIHSS score, while taking anti dyslipidemic drugs which mean the person is dyslipidemic, and LDL/HDL ratio predict 31% of NIHSS outcome. Therefore LDL/HDL ratio have weak predictor value to NIHSS outcome, should not be an independent predictor.

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