Medical journals is a collection of scientific publications of research-research field health covering the realm of Midwifery, nursing and Technology Laboratory Medic, physiotherapy, and Health Administration
GAMBARAN TINGKAT DEPRESI PADA IBU DENGAN ANAK DOWN SYNDROME DOWN DI POTADS KOTA SAMARINDA
Down Syndrome (DS) merupakan kelainan genetik akibat non-disjunction kromosom 21 atau trisomi 21, yang berdampak pada retardasi mental. Ibu memiliki peran utama dalam merawat, membimbing, dan mengawasi anak dengan DS setiap harinya, sehingga kondisi ini dapat mempengaruhi kondisi psikologis ibu dan berisiko menyebabkan depresi. Depresi merupakan gangguan mood yang ditandai dengan kehilangan energi dan minat, perasaan bersalah, kesulitan berkonsentrasi, penurunan nafsu makan, serta munculnya pikiran tentang kematian atau bunuh diri. Penelitian ini bertujuan untuk menggambarkan tingkat depresi pada ibu dengan anak DS di POTADS Kota Samarinda berdasarkan usia ibu, pendidikan terakhir, pekerjaan, jumlah anak, status pernikahan, dan usia anak dengan DS. Penelitian ini menggunakan desain deskriptif observasional. Pengumpulan data dilakukan menggunakan kuesioner Beck Depression Inventory-II (BDI-II) yang terdiri dari 50 responden dengan menggunakan metode total sampling, pada responden yang menjadi anggota yayasan POTADS Kota Saamarinda. Hasil penelitian menunjukkan bahwa mayoritas responden berusia 44-60 tahun (54,%), berpendidikan SMA (48%), berstatus menikah (86%), bekerja sebagai IRT (84%), memiliki 2-5 anak (76%), dan memiliki anak dengan DS berusia 10–18 tahun (40%). Mayoritas responden berada dalam kategori minimal depresi (86%) dan sebanyak 7 ibu dengan gangguan depresi.Tingkat ringan (6%), sedang (4%) dan berat (4%).
Copyright (c) 2026 Jurnal Medika : Karya Ilmiah Kesehatan
HUBUNGAN ANTARA KONDISI SOSIAL EKONOMI MASA KANAK DENGAN TINGKAT DEPRESI PADA MAHASISWA PROGRAM STUDI KEDOKTERAN FAKULTAS KEDOKTERAN UNIVERSITAS MULAWARMAN
Depresi menjadi salah satu permasalahan kesehatan mental. Depresi merupakan suatu keadaan abnormal yang mengganggu kemampuan individu dalam menyesuaikan dirinya dengan situasi atau peristiwa yang sedang terjadi, sehingga akan berdampak negatif terhadap kesejahteraan fisik, psikologis dan sosialnya. Penelitian dilakukan di Program Studi Kedokteran Fakultas Kedokteran Universitas Mulawarman dengan tujuan untuk mengetahui hubungan kondisi sosial ekonomi masa kanak meliputi kesehatan, tempat tinggal dengan tingkat depresi. Desain penelitian menggunakan metode analitik observational pendekatan cross sectional. Teknik pengambilan sampel penelitian dengan cara Consecutive sampling dengan jumlah sampel 70 orang yang memenuhi kriteria inklusi. Hasil uji analisis korelasi spearman kondisi kesehatan masa kanak dengan tingkat depresi didapatkan hubungan yang signifikan (p-value 0,002). Sementara itu, hasil uji analisis variabel lain seperti tidak masuk sekolah, terbaring dirumah sebulan atau lebih, menderita penyakit, mengalami kelaparan, jumlah ruangan, status pernikahan orang tua, tinggal bersama ibu, ayah atau nenek/kakek tidak didapatkan hubungan yang signifikan nilai (p-value >0,05). Hal ini menunjukan bahwa terdapat hubungan yang signifikan antara variabel kesehatan masa kanak dengan tingkat depresi dan tidak terdapat hubungan dari variabel-variabel sosial ekonomi dengan tingkat depresi.
Characteristics of HIV/AIDS Patients Undergoing Antiretroviral Therapy at Public Health Centers in Samarinda Municipality from 2020 to 2023
HIV/AIDS remains a global health issue, particularly in regions with high-risk key populations. Samarinda City is noted as one of the areas with a significant burden of HIV/AIDS cases in East Kalimantan. This study aims to describe the characteristics of HIV/AIDS patients receiving antiretroviral therapy (ART) at five primary health centers (Puskesmas) in Samarinda from 2020 to 2023. This descriptive retrospective study included a total sample of 493 patients whose data were obtained from computer-based medical records. The variables analyzed included age, gender, domicile, education, marital status, transmission risk factors, types of ART regimen, and ART side effects.Most patients were aged 20–29 years (50.9%), male (77.9%) and (77.5%) reported male-to-male sexual contact (MSM) as the primary transmission risk factor. A total of (89.9%) resided in Samarinda, the most commonly used ART regimen was TDF + FTC + EFV (97.6%) and the majority of patients (99.4%) experienced no side effects. However, data on education and marital status were largely incomplete. HIV/AIDS patients receiving ART in Samarinda were predominantly young males, with MSM identified as the primary risk group.
Gambaran Pola Pengobatan Antipsikotik pada Pasien Skizofrenia yang Mengalami Efek Samping Ekstrapiramidal di RSJD Atma Husada Mahakam Samarinda
Schizophrenia is a chronic mental disorder with a combination of psychotic symptoms such as hallucinations, delusions, motivational and cognitive dysfunction. Effective pharmacological therapy for treating schizophrenia is antipsychotic drugs. Side effects from the use of antipsychotic drugs can affect medication adherence in schizophrenia patients. Non-compliance with taking medication can result in a higher risk of recurrence rates. This study aims to determine the pattern of antipsychotic treatment in schizophrenic patients who experience extrapyramidal syndrome at RSJD Atma Husada Mahakam Samarinda. The research design used in this research is descriptive observational. The research data came from medical records of schizophrenia patients at RSJD Atma Husada Mahakam Samarinda for the inpatient period January 2022 October 2023 using a purposive sampling method. A total of 86 samples were obtained consisting of 43 schizophrenia patients with extrapyramidal syndrome and 43 schizophrenia patients who did not experience extrapyramidal syndrome. The results of the study showed that the most common pattern of antipsychotic treatment in EPS patients was polytherapy treatment (69.8%).
Copyright (c) 2025 Jurnal Medika : Karya Ilmiah Kesehatan
HUBUNGAN KONSUMSI KOPI DAN MEROKOK TERHADAP KUALITAS TIDUR PADA PENGUNJUNG COFFEE SHOP DI KOTA SAMARINDA
Sleep may have an important role in health, but many people experience sleep disturbances both in terms of duration and quality which are influenced by many factors such as changes in lifestyle and social needs. Coffee consumption is becoming a trend and is linked to sleep disorders because it contains caffeine. Apart from that, smoking also affects sleep quality because nicotine levels affect the central nervous system. The aim of this research is to determine the relationship between coffee consumption and smoking on sleep quality among coffee shop visitors in the city of Samarinda. The research design used in this study was cross sectional. The sample for this research is coffee shop visitors. The sampling technique used in this research was Accidental Sampling. The amount of data used in this research was 136 data. From the results of bivariate analysis using Fisher's exact test and chi-square test, the hypothesis test results for the variable coffee consumption and sleep quality (p=0.327) and cigarette consumption and sleep quality (p=0.004) were obtained. The conclusion of this study is that there is a relationship between cigarette consumption and sleep quality and there is no relationship between coffee consumption and sleep quality.
OBESITAS DAN RIWAYAT PENGGUNAAN KONTRASEPSI BERHUBUNGAN DENGAN KEJADIAN KANKER ENDOMETRIUM DI RSUD ABDOEL WAHAB SJAHRANIE SAMARINDA
Endometrial cancer is a malignant tumor that develops in the deepest layer of the epithelium of the uterus. Endometrial cancer is the sixth most common malignancy in women globally. Endometrial cancer incidence is influenced by a multitude of factors, including both risk and preventive factors. This study seeks to establish the correlation between obesity and a history of contraceptive use with the occurrence of endometrial cancer at Abdoel Wahab Sjahranie Regional Public Hospital Samarinda from 2020 to 2022. The study employed a case-control research design. The study population is categorized into two distinct groups, cases and controls. The study employed a total sampling technique for the case group and a purposive sampling technique for the control group. The study utilized a total of 72 data points, comprising of 36 case groups and 36 control groups that were matched according to age. The bivariate analysis employing the chi-square test yielded significant hypothesis testing results for the variables of obesity (p=0.002) and history of contraceptive usage (p=0.000). The study concludes that there is a correlation between obesity and a history of contraceptive use and the occurrence of endometrial cancer at Abdoel Wahab Sjahranie Regional Public Hospital Samarinda
Karakteristik Perlukaan Akibat Kekerasan Tumpul Dan Kekerasan Tajam Pada Kasus Kematian Di Instalasi Forensik Abdoel Wahab Sjahranie Samarinda Tahun 2019-2022
Samarinda, the capital of East Kalimantan, has the highest incidence of crimes against life, as reported by the Central Bureau of Statistics. This study seeks to delineate the attributes of blunt force and sharp force injuries in mortality cases at the forensic unit of Abdoel Wahab Sjahranie Regional Public Hospital, Samarinda, from 2019 to 2022, utilizing data from VeR reports. This is a retrospective descriptive study employing a total sampling technique, comprising 94 samples. Findings indicate that blunt force injuries accounted for the majority of fatalities. In blunt force cases, the majority were adults aged 26-45 years, predominantly male, with lacerations, primarily situated on the head and face. In cases of sharp force injuries, all victims were adults aged 26 to 45 years, comprising both males and females, and exhibited chop wounds, predominantly located on the head, face, neck, chest, and back. The majority of victims in incidents of death resulting from blunt and sharp force trauma were adult males aged 26-45 years, comprising of the total, with all victims being male. Lacerations constituted the predominant injury type, predominantly situated on the head and face. The study concludes that the predominant cases involved blunt force trauma, leading to wounds of the head and face, with male victims in the adult demographic being the most impacted. Keywords: Death cases, blunt force injuries, sharp force injuries
HUBUNGAN USIA DAN JENIS KELAMIN DENGAN PENGETAHUAN PELECEHAN SEKSUAL PADA REMAJA SMP DAN MTS
Di seluruh dunia, diperkirakan sekitar 1 miliar anak mengalami kekerasan fisik, seksual, atau emosional, serta penelantaran dalam satu tahun. Masa remaja sangat rentan terhadap kekerasan seksual, dan cenderung lebih sering terjadi pada perempuan. Pelecehan seksual dapat terjadi di berbagai lingkungan, termasuk di lingkungan pendidikan. Fenomena ini tidak hanya menimbulkan dampak psikologis yang serius bagi korban, tetapi juga mengancam integritas pendidikan secara keseluruhan. Pengetahuan remaja tentang kesehatan reproduksi dan seksualitas berperan penting dalam mencegah pelecehan seksual. Oleh karena itu, penelitian ini bertujuan untuk mengkaji hubungan antara usia dan jenis kelamin dengan pengetahuan tentang pelecehan seksual pada remaja di SMP dan MTs. Metode yang digunakan dalam penelitian ini adalah tinjauan pustaka terhadap jurnal-jurnal terakreditasi SINTA (S1-S5). Berdasarkan pencarian pada pangkalan data elektronik Google Scholar, ditemukan total 150 jurnal terkait topik penelitian. Setelah melalui proses skrining dan eksklusi studi, jumlah jurnal yang relevan menjadi 9, yang terdiri dari 5 jurnal mengkaji populasi siswa SMP, sedangkan 4 jurnal lainnya mengkaji populasi siswa MTs. Temuan dari penelitian ini menunjukkan bahwa remaja pertengahan cenderung memiliki pengetahuan yang lebih baik tentang pelecehan seksual dibandingkan remaja awal, dan remaja perempuan umumnya menunjukkan pengetahuan yang lebih baik dibandingkan remaja laki-laki.
HUBUNGAN AKTIVITAS FISIK DENGAN SIKLUS MENSTRUASI PADA REMAJA PUTRI DI SMK KESEHATAN SAMARINDA
Latar Belakang : Remaja adalah individu yang sedang mengalami pubertas, yaitu proses peralihan dari masa kanak-kanak ke dewasa. Salah satu tanda pubertas pada wanita ialah terjadinya menstruasi. siklus menstruasi yang tidak teratur dapat menyebabkan anemia dan jantung koroner. Salah satu penyebab tidak teraturan menstruasi ialah aktivitas fisik. Aktivitas fisik yang aman dilakukan untuk memicu siklus menstruasi mejadi teratur yaitu olahraga seperti jalan kaki, bersepeda, jogging, dan membersihkan rumah, aktivitas tersebut akan memperlancar aliran darah dan dapat memperlancar haid. Tujuan : untuk mengetahui Hubungan Aktivitas Fisik Dengan Siklus Menstruasi Pada Remaja Putri di SMK Kesehatan Samarinda tahun 2024. Metode: Jenis penelitian ini ialah kuantitatif analitik dengan pendekatan cross sectional. Pemilihan sampel dalam penelitian ini menggunakan purposive sampling bisa dilakukan dengan memastikan bahwa setiap individu yang memenuhi kriteria yang ditetapkan dalam populasi memiliki peluang yang setara untuk dipilih sebagai sampel. Total sampel pada penelitian ini sebanyak 57 Siswi SMK Kesehatan Samarinda. Hasil : Uji statistik penelitan ini menggunakan Spearman rho dan mendapatkan hasil p-value = 0,630 (p>0,05) degan nilai kekuatan 0,650 yang berarti tidak ada hubungan yang signifikan antara aktivitas fisik dengan siklus menstruasi pada remaja putri di SMK Kesehatan Samarinda. Kesimpulan Berdasarkan hasil uji statistika menggunakan spearman rho mendapatkan hasil bahwa tidak adanya hubungan yang signifikan antara aktivitas fisik dengan siklus menstruasi pada remaja putri SMK Kesehatan Samarinda khususnya kelas. Kata kunci : Remaja, Aktivitas Fisik, Siklus Menstruasi
Hubungan Aktivitas Fisik dan Durasi Tidur Dengan Status Gizi Pada Remaja di SMP negeri 2 Samarinda
Latar Belakang : Masalah status gizi merupakan masalah kesehatan yang kerap terjadi pada setiap usia salah satunya pada remaja. Di Indonesia sendiri saat ini terdapat sekitar seperempat remaja mengalami stunting atau pendek, 9% remaja memiliki indeks masa tubuh rendah atau kurus, sedangkan 16% remaja lainnya mengalami berat badan berlebih dan obesitas. Masa remaja merupakan masa yang rentan mengalami masalah status gizi, salah satu faktor penyebab tidak langsung terjadinya masalah status gizi remaja yaitu faktor aktivitas fisik dan durasi tidur. Tujuan : Untuk menganalisis hubungan aktivitas fisik dan durasi tidur dengan status gizi pada remaja di SMP Negeri 2 Samarinda Metode : Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian analitik observasional dan pendekatan cross sectional. Pengumpulan data aktivitas fisik diambil dengan kuesioner PAL (Physical Activity Level), durasi tidur dengan kuesioner PSQI (Pittsburgh Sleep Quality Indeks), dan status gizi dengan pengukuran berat badan dan tinggi badan. Jumlah responden sebanyak 88 remaja SMP dengan teknik pengambilan sampel Simple Random Sampling. Analisis data menggunakan uji Pearson Product Moment. Hasil : Sebagian besar aktivitas fisik berkategori ringan (46,6%), dengan durasi tidur sebagian besar diperoleh kategori cukup (56,8%), dan sebagian besar memiliki status gizi kategori normal (69,3%). Dari hasil analisis Pearson Product Moment menunjukkan bahwa terdapat korelasi antara aktivitas fisik dengan status gizi sebesar 0,038 (ρ<0,05), dan tidak ada korelasi antara durasi tidur dengan status gizi sebesar 0,147 (ρ>0,05), Simpulan : Hasil penelitian menunjukkan terdapat korelasi yang signifikan antara aktivitas fisik dengan status gizi pada remaja dengan p-value (0,038). Dalam hal ini perlu diadakan sosialisasi tentang pentingnya tidur dengan durasi waktu yang cukup dan melakukan aktivitas fisik sebagaimana anak usia sekolah. Kata Kunci : Status gizi, Aktivitas fisik, Durasi tidur, Remaja 1Mahasiswa Program Studi Kebidanan, ITKES Wiyata Husada Samarinda 2Dosen Program Studi Kebidanan, ITKES Wiyata Husada Samarinda 3Dosen Program Studi Kebidanan, ITKES Wiyata Husada Samarinda 4Dosen Program Studi Kebidanan, ITKES Wiyata Husada Samarinda
PENGARUH PIJAT BAYI TERHADAP DURASI MENYUSU ASI PADA BAYI USIA 0-3 BULAN DI KLINIK DR.CARE MOM AND BABY SPA KOTA SAMARINDA
Background: The impact of not giving exclusive breast milk to babies can result in problems with growth disorders (Grow Faltering) in children from the age of 1 to 3 months in Indonesia, according to the Ministry of Health's Indonesian Nutritional Status Study (SSGI) survey, explained Annas, prevalence Growth disruption in Samarinda City reached 22.8 percent. There are policy programs that are attempting to reduce the number of cases of growth disorders, such as ensuring the fulfillment of nutritional intake evaluated every year. Hence, this research is essential in lowering growth disorders hindering babies' weight gain. Baby massage is one solution to increase the duration of breastfeeding for babies. Purpose: This study aimed to determine the effect of baby massage on the duration of breastfeeding in babies aged 0-3 months at the Dr.Care Mom and Baby Clinic, Samarinda. Method: This study was a pre-experimental design with a one-group pretest-posttest design, namely assessing the effect of baby massage on the duration of breastfeeding at the age of 0-3 months at the Dr.Care Mom And Baby Spa clinic, Samarinda. The researcher determined the sampling method using the Lemeshow method with a non-probability sampling technique. The researcher sampled the respondents according to the researcher's desired criteria and used the Lemeslow formula of 30 respondents to calculate. Results: The results of the Wilcoxon statistical test showed that P-value < α where P-value (0.000) < α (0.05), namely that there was an effect of giving baby massage on the duration of breastfeeding in babies aged 0-3 months at the Dr.Care Clinic Mom And Baby Spa Samarinda. Conclusion: This indicates the influence of giving baby massage on the duration of baby breastfeeding at the Dr.Care Mom and Baby Spa Clinic, Samarinda.
The Differences Between Lactation Massage and Oxytocin Massage Combined with Lavender Aromatherapy on Colostrum Release in Normal Postpartum Mothers at Kartika Jaya Clinic
Background: Inhibited colostrum flow in postpartum moms can result from a variety of causes, such as insufficient prolactin and oxytocin hormone stimulation. To increase prolactin and oxytocin levels, lactation and oxytocin massages in conjunction with lavender aromatherapy can hasten the flow of colostrum. The mother may feel relaxed and at ease after either of these interventions. Research Purpose: This study aimed to determine the differences between lactation and oxytocin massage combined with lavender aromatherapy on colostrum release in normal postpartum mothers at Kartika Jaya Clinic. Method: This study used a Quasi Experiment design with a two-group posttest-only design. The sample comprised 32 postpartum mothers and was collected using an accidental sampling technique—measurement of variables using colostrum discharge observation sheets. Data were processed using the Mann-Whitney test. Research Results: From 16 postpartum mothers in each group, the mean or average value of colostrum discharge time in the lactation massage intervention was 10.75 hours and in the oxytocin massage intervention was 22.25 hours, where in the provision of oxytocin massage intervention, 11.5 hours longer colostrum discharge time compared to lactation massage intervention. And the Asymp value. Sig. (2-tailed) = 0.001 was obtained. Because the Asymp value. Sig. (2-tailed) 0.001 <0.005, then H₀ was rejected, and Ha was accepted, so there was a difference in lactation massage and oxytocin massage combined with lavender aromatherapy at the time of colostrum discharge in normal postpartum mothers at Kartika Jaya Clinic. Conclusion: This indicates a difference between lactation and oxytocin massage combined with lavender aromatherapy on colostrum production in normal postpartum mothers at Kartika Jaya Clinic. Suggestion: Postpartum mothers can apply lactation massage because it is effective in helping breast milk production. Medical personnel, especially midwives, should be more skilled and, if necessary, certified in lactation massage.
The Description of Medical Check-up Results of the Oil and Gas Workers at PT. X in East Kalimantan in 2022-2023
The benefits of medical check-up in the mining sector have been proven in improving workers’wellbeing. Medical check-up not only identifies potential health problems with unidentifiable symptoms, but also provides prevention or treatment services to reduce the number of deaths related to health conditions. This research aims to provide a description of medical check-up results of the oil and gas workers at PT. X in East Kalimantan. It is expected that the results of this research can provide deep understanding related to the health conditions of the workers in the work environment of oil and gas. This research applied quantitative method with descriptive observational design. The data of this research were taken from the medical check-up results carried out by the oil and gas workers at PT. X in East Kalimantan in 2022-2023. This approach aimed to give an accurate description of the worker health conditions in the work environment, especially in oil and gas industry. The research findings revealed an increase number of workers with an increasing participation of women, a change in age distribution, and an increasing number of health problems, including an increase in diabetes, obesity, and a shift in the health status of workers.
GAMBARAN DAN DISTRIBUSI LUKA KASUS KEKERASAN FISIK PADA USIA 1-19 TAHUN YANG DIMINTAKAN VISUM ET REPERTUM DI RSUD ABDOEL WAHAB SJAHRANIE PERIODE 2020-2022
Physical violence is an intentional act that inflicts pain, illness, or serious harm, either once or repeatedly, as a result of interaction with parents or other responsible individuals. Instances of physical violence are a significant cause for alarm due to a consistent annual rise in reported cases. Nevertheless, not all instances of violence are reported and documented using a Visum et Repertum. This study aims to analyze the characteristics and prevalence of injury cases caused by physical violence among individuals aged 1-19 years at RSUD Abdoel Wahab Sjahranie between 2020 and 2022. This retrospective descriptive study focused on the population of physical violence cases among individuals aged 1-19 years. The study specifically examined cases where investigators or authorized parties requested Visum et Repertum results for law enforcement purposes. The sampling technique employed was total sampling, encompassing a total of 26 Visum et Repertum samples. The study findings indicated that individuals who are 19 years old represent the highest proportion (23.1%) of those who experience physical violence. Furthermore, males (61.5%) are more prone to experiencing physical violence compared to females (38.5%). The head area was the most frequent location of injuries, accounting for 10.8% of cases. The most prevalent form of violence encountered is blunt force trauma resulting in bruising, which occurred in 56.7% of iincidents.
PENGETAHUAN DAN SIKAP BERHUBUNGAN DENGAN PERILAKU PEMERIKSAAN PAPSMEAR PADA GURU DI SELURUH SD MUHAMMADIYAH SAMARINDA KOTA SAMARINDA
Cervical cancer is the most common gynecological cancer in women worldwide. Most cases of cervical cancer are caused by the human papillomavirus (HPV). Cervical cancer begins in the cells lining the cervix, which is the lower part of the uterus that connects the uterine body to the vagina. There are methods for early detection of cervical cancer, including Pap smear examination. The aim of this research is to determine the relationship between knowledge and attitudes toward Pap smear examination and the behavior of undergoing Pap smear examination among teachers in all Muhammadiyah Elementary Schools in Samarinda City. The research design used in this study is observational analytic with a cross-sectional approach using a questionnaire as a research measurement tool. The sampling technique used is purposive sampling. The number of respondents in this study was 109 respondents. From the results of bivariate analysis using the chi-square test, a relationship was found between Pap smear knowledge and Pap smear behavior (p = 0.032) and Pap smear attitude and Pap smear behavior (p = 0.033). The conclusion of this study is that there is a relationship between knowledge and attitude with Pap smear behavior among teachers in all Muhammadiyah Elementary Schools in Samarinda City.
GAMBARAN KARAKTERISTIK DEMOGRAFI, JENIS, DAN DURASI PEMERIKSAAN PSIKIATRI UNTUK KEPENTINGAN PENEGAKAN HUKUM PIDANA DI RSJD ATMA HUSADA MAHAKAM SAMARINDA TAHUN 2018-2022
A criminal act can be committed by someone who has a mental disorder. A psychiatric examination can be carried out at the request of an investigator to determine whether a person who has committed a crime is influenced by the mental disorder he is experiencing. This study aims to provide an overview of the education, occupation, marital status, type of examination request, and duration of examination of psychiatric examinations conducted for criminal law enforcement purposes at RSJD Atma Husada Mahakam Samarinda from 2018 to 2022. This study was a retrospective descriptive study. The research data were collected from medicolegal sources, including Psychiatric Health Certificates (SKKJ) and Visum et Repertum Psychiatricum (VeRP), as well as the medical records of the individuals under examination. The total sampling method was employed, yielding a total of 69 samples. The research results showed that 49.3% examinees were not working. The largest ethnic groups were Banjar and Bugis (23.2%). The highest marital status was married (58%). The largest type of examination request was SKKJ (92.8%). A majority of the examined individuals, specifically 66.7%, received inpatient care for a duration of two weeks or less.
KARAKTERISTIK PASIEN TRIGGER FINGER DI RSUD ABDOEL WAHAB SJAHRANIE TAHUN 2018 – 2023
Trigger finger is a condition characterized by inflammation of the flexor tendon and its surrounding sheath, resulting in irregular movement of the tendon inside the sheath. Inflammation can lead to an abrupt and irregular movement, causing a clicking sound when the finger is forcefully stretched and then flexed. The lack of studies conducted in Indonesia on the characteristics of patients with trigger finger served as a reason for the author's decision to choose this research problem. The aim of this study was to find the specific characteristics of trigger finger patients at Abdoel Wahab Sjahranie Regional Public Hospital, including their gender, age, comorbidities, affected hand, affected finger, grading, and treatment. This study employed an observational descriptive design using a cross-sectional method. The data were collected from medical records using a complete sampling method, which included 49 patients diagnosed with trigger finger between 2019 and 2023. The findings indicated that the largest proportion of individuals with trigger finger were 52 years old (10.2%), mostly female (69.4%), and a substantial number had comorbidities (65.3%). The right hand was the most significantly affected hand, accounting for 42.9% of cases, whereas the right third finger was the most commonly affected finger, representing 30.6% of cases.Patients most frequently suffered grade I (38.8%) grading, and the most prevalent treatment they underwent was surgery (55.1%).
Sudi In Vitro Temu Mangga (Curcuma Mangga) sebagai Vasodilator Pembuluh Darah
Background: The prevalence of hypertension in Indonesia and in the world continues to proliferate. Easily accessible new antihypertensive drugs should be explored further. The rhizomes of mango ginger (Curcuma mangga) are abundant in Indonesia, and the rhizome of mango ginger has been known ethnobotanically to treat hypertension, but has yet been scientifically proven. Purpose: To investigate the vasodilation activity of the rhizome of mango ginger (Curcuma mangga) extract in vitro. Method: The simplicia of the rhizome of mango ginger was macerated with 99% ethanol. The vasodilation activity was observed by bioassay using a separate organ of Wistar rat aorta whose endothelium was precontracted with phenylephrine. The extract group and the control group (extract solvent) were put into the bioassay chamber with log concentrations of -2, -1.5, -1, -0.5, 0, and 0.5 mg/ml cumulatively. This experiment was replicated 6 times. The aorta vasodilation response is expressed as a percentage of aortic tone and the data are presented in (mean ± SE) %. The statistical test was performed using t-test, and the result is significant if pvalue < 0.05. Results: The results of the bioassay were as follows: the extract group and control group for log concentration of -2 mg/ml showed aortic vasodilation responses of (5.0 ± 1.9) % and (0.16 ± 0.9) % respectively, with p-value of 0.019; the extract group and control group for log concentration of -1.5 mg/ml showed aortic vasodilation responses of (-7.4 ± 2.5) % and (0.06 ± 0.9) % respectively, with pvalue of 0.01; the extract group and control group for log concentration of -1 mg/ml showed aortic vasodilation responses of (-9.07 ± 2.1) and (0.10 ± 1.1) % respectively, with p-value of 0.02; the extract group and control group for log concentration of -0.5 mg/ml showed aortic vasodilation responses of (-12.75 ± 1.0) % and (-0.39 ± 1.3) % respectively, with p-value < 0.001; the extract group and control group for log concentration of 0 mg/ml showed aortic vasodilation responses of (-16.67 ± 2.1) % and (-1.80 ± 1.2) % respectively, with p-value of 0.002; the extract group and control group for log concentration of 0.5 mg/ml showed aortic vasodilation responses of (-19.015 ± 2.9) % and (-1.71 ± 1.2) % respectively, with p-value < 0.001. Conclusion: The ethanol extracts of the rhizome of mango ginger (Curcuma mangga) show vasodilation activity on the separate organ of rat aorta with endothelium. Keywords: Curcuma mangga, Ethanol Extract, Bioassay, Aorta, Vasodilatation.
GAMBARAN KASUS KEMATIAN AKIBAT KECELAKAAN LALU LINTAS DI RSUD ABDOEL WAHAB SJAHRANIE TAHUN 2020-2022
Samarinda has the highest fatality rate attributed to road accidents in the East Kalimantan from 2018 to 2020. This study analyzes of the deaths caused by traffic accidents, using data obtained from medical records and/or Visum et Repertum (VeR) of victims at RSUD Abdoel Wahab Sjahranie from 2020 to 2022. This study is a descriptive cross-sectional approach a total sampling technique. A total of 110 samples were included in the investigation. According to the statistics, the majority of the casualties, specifically 78.18% were male, 34,55% were aged 12-25 years, 60,91% were employed, and 71.82% were motorcycle riders. The medical records predominantly report cranial traumas (87.21%) and fractures (74.42%) as the characteristic injuries. In contrast, the injuries recorded in VeR mostly comprise at the lower extremity (96.00%), abrasions (92.00%), and open wounds (92.00%) being the most prevalent, uneven wound edges (78.26%), injuries involving bones (56.52%), and incidents of skull fractures (36.00%). The time interval of victims' deaths is predominantly within 3-30 days (52.73%). According to this study, it can be deduced that most victims are those with a high degree of mobility. The injuries documented in both medical records and VeR display different features. The fatalities predominantly transpire within 3-30 days.
GAMBARAN FAKTOR RISIKO JENIS KELAMIN TERHADAP KEJADIAN MALARIA DI SEPAKU PERIODE TAHUN 2021
Malaria continues to be a significant global health problem, with around 247 million cases and 619,000 related deaths in 2021. In Indonesia, the increase in cases mainly occurred in the eastern region, such as North Penajaman Paser Regency, East Kalimantan. Gender risk factors are also a concern, with men tending to be more susceptible to the disease. This study used a retrospective descriptive method to describe gender risk factors in malaria sufferers in Sepaku in 2021, finding that 96.1% of sufferers were men. These results support previous findings and contribute to the understanding of factors that can aid the development of malaria prevention and control strategies.
EFEK LASER FOTOKOAGULASI TERHADAP TAJAM PENGLIHATAN PADA PASIEN DIABETIC RETINOPATHY DI KLINIK MATA SMEC SAMARINDA
Diabetic Retinopathy is one of the microvascular complications of diabetes mellitus. Diabetic retinopathy is a retinal disorder in the form of microangiopathy that is progressive and often causes blindness in adulthood. Laser photocoagulation is the gold standard for treating severe Nonproliferative Diabetic Retinopathy (NPDR) and Proliferative Diabetic Retinopathy (PDR). Laser photocoagulation is performed to prevent the progression of diabetic retinopathy. This study aims to determine the effect of laser photocoagulation on visual acuity in diabetic retinopathy patients. Visual acuity was measured before and after laser photocoagulation. This research uses an analytical observational method with a cross-sectional approach. Research data was taken from medical records at the Klinik Mata SMEC Samarinda using the total sampling method. The sample for this study was diabetic retinopathy patients who had completed laser photocoagulation and had visual acuity checked during the control two weeks after laser photocoagulation and met the inclusion and exclusion criteria. Statistical analysis was carried out to determine the difference in visual acuity before and after laser photocoagulation using the Wilcoxon test. A total of 80 eye samples were obtained. From the results of the Wilcoxon test, there was no significant difference in visual acuity results before and after laser photocoagulation in diabetic retinopathy patients with a value of p = 0.294 (p> 0.05). Visual acuity stability was achieved in 48 (60%) eye samples with severe NPDR of 36 (62.1%) and PDR of 12 (54.5%). Visual acuity after laser photocoagulation is more likely to stabilize and improve rather than worsen.
Gambaran Pasien Penyakit Ginjal Kronik di RSUD Abdoel Wahab Sjahranie Samarinda pada Tahun 2022
ABSTRAK Penyakit Ginjal Kronik (PGK) merupakan suatu kondisi yang ditandai dengan gangguan struktur dan fungsi ginjal yang berlangsung lama, minimal selama 3 bulan. Penelitian ini bertujuan untuk mengetahui karakteristik demografi (umur dan jenis kelamin), hasil pemeriksaan kimia darah, stadium penyakit, hasil pemeriksaan darah lengkap, hasil pemeriksaan elektrolit, komplikasi, dan strategi penatalaksanaan pasien PGK di Instalasi Rawat Inap RSUD Abdoel Wahab Sjahranie Samarinda. . Penelitian ini menggunakan desain deskriptif observasional dengan metode cross-sectional. Rekam medis digunakan untuk mengumpulkan data penelitian. Pengambilan sampel pasien CKD dilakukan dengan pendekatan purposive sampling, sehingga diperoleh total 100 sampel yang memenuhi kriteria inklusi. Temuan menunjukkan bahwa kelompok usia dengan representasi tertinggi pada pasien CKD adalah 50-59 tahun (31%). Mayoritas pasien adalah laki-laki (54%). Hipertensi merupakan riwayat kesehatan yang paling umum (56%). Analisis kimia darah menunjukkan peningkatan kadar ureum dan kreatinin pada semua pasien. Mayoritas pasien diklasifikasikan pada stadium G5 (85%). Temuan tes darah komprehensif menunjukkan penurunan kadar sel darah merah, hemoglobin, dan hematokrit pada semua pasien. Volume sel rata-rata (MCV) yang paling umum ditemukan adalah normositik (76%). Terjadi peningkatan kadar neutrofil tertinggi (71%), sedangkan kadar limfosit tertinggi mengalami penurunan (70%). Temuan tes elektrolit menunjukkan bahwa sebagian besar pasien mengalami penurunan kadar natrium (60%), namun kadar kalium dan klorida sebagian besar berada dalam kisaran normal (masing-masing 70% dan 45%). Anemia terbukti menjadi konsekuensi paling umum pada pasien CKD, mempengaruhi 98% pasien. Dialisis diidentifikasi sebagai pendekatan pengobatan utama untuk 87% pasien CKD. Temuan penelitian menunjukkan bahwa karakteristik individu dengan CKD dapat dilihat berdasarkan beberapa parameter. Memahami karakteristik ini sangat penting untuk mengurangi risiko komplikasi tambahan. Kata Kunci: Penyakit Ginjal Kronik, Laju Filtrasi Glomerulus, Anemia
Gambaran Pasien Kanker Ovarium Tipe Epitel di RSUD Abdoel Wahab Sjahranie: Stadium, Usia, Status Menopause, dan Subtipe Histopatologis
Ovarian cancer is the third most common gynecological cancer in women worldwide and has increased by 31.5% in 2020 compared to 2012, with the majority of cases being the epithelial type (90%). Ovarian cancer is one of the deadliest gynecological cancers because it tends to be asymptomatic or often has no clear symptoms so it can only be diagnosed at an advanced stage. This study describes the stage, age, menopausal status, and histopathological subtype in patients with epithelial ovarian cancer at Abdoel Wahab Sjahranie Hospital, Samarinda, which was conducted from August to December 2023. The design of this study was descriptive observational with a cross-sectional approach. The sampling technique was purposive sampling and based on secondary data in the form of medical records, totaling 30 patients. The highest proportion was found in stage III (50%). The age distribution was dominated by 41 – 60 year (56.67%), menopausal status was dominated by the postmenopausal group (73.33%), and the most common histopathological subtype was serous (63.33%).
GAMBARAN NILAI RASIO NEUTROFIL TERHADAP LIMFOSIT PADA PASIEN INFARK MIOKARD AKUT YANG DIRAWAT INAP DI RSUD ABDOEL WAHAB SJAHRANIE SAMARINDA PERIODE TAHUN 2022
Acute myocardial infarction is an irreversible myocardial necrosis characterized by a significant increase in cardiac biomarkers due to prolonged ischemia. In addition to the necrotic process, there is an acute inflammatory process occurs during acute myocardial infarction, which is dominated by neutrophils and lymphocytes, made the neutrophyl-to-lymphocyte ratio a potential inflammation biomarker. This research aim to observed the neutropil-to-lymphocytes ratio in patients with acute myocardial infarction at Abdoel Wahab Sjahranie Hospital Samarinda during the 2022 period. The study employed a retrospective descriptive method with purposive sampling. The research sample included 83 patients diagnosed with acute myocardial infarction at Abdoel Wahab Sjahranie Hospital Samarinda during 2022 period. The total sample were 83 people who has fulfilled the inclusion and exclusion criteria. The study reveals that the mean neutrophil-to-lymphocyte ratio in patients with acute myocardial infarction is 5,37, with the lowest value at 0,85 and the highest at 27,11. Additionally, 30 patients were diagnosed with ST Elevation Myocardial Infarction (STEMI) and 53 patients with Non ST Elevation Myocardial Infarction (NSTEMI). The majority of patients (56,6%) had a neutrophil-to-lymphocyte ratio >3,53 with the least distribution in category of <1,73 were 10 patients (12,0%).
The Correlation between Self-control and Game online Addiction among students enrolled at State High School 5 (SMA Negeri 5) Samarinda Hubungan Pengendalian Diri dengan Kecanduan Game Online pada Siswa SMA Negeri 5 Samarinda
Online game addiction refers to a recurring behavioral pattern that is distinguished by a lack of Self-control resulting from excessive engagement in online gaming activities. The growing emphasis on gaming in substitute of daily interests and activities is progressively expanding and enduring, exerting influence on many facets of life. Self-control encompasses the regulation of an individual's physiological, psychological, and behavioral processes through a sequence of self- directed mechanisms. The objective of this study is to investigate the correlation between self-control and online game addiction among students enrolled at SMA Negeri 5 Samarinda. The study used a cross-sectional research approach. The data utilized in this research were obtained via questionnaires that were duly completed by students enrolled at SMA Negeri 5 Samarinda. The sample technique employed in this investigation was the consecutive sampling method. The study's sample size included 87 students. The findings of the analysis reveal a statistically significant p-value of p = 0.000, suggesting a correlation between self-control and online game addiction among adolescents, as indicated by a correlation coefficient of -0.444. The findings of this study indicate a significant association between self-control and online game addiction, characterized by a moderate level of connection between these two variables. Keywords: Self-control, Online game addiction
Copyright (c) 2024 Jurnal Medika : Karya Ilmiah Kesehatan
Perbedaan Perbedaan Tingkat Pengetahuan Kaidah Dasar Bioetika Pada Mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Mulawarman
Bioethics is a new discipline that is a combination of biological knowledge (biology) with knowledge of the human value system. This study aims to determine the difference in the level of knowledge of the basic rules of bioethics in students who have never had and have had a bioethics lecture at B7M1 Medical Study Program, Faculty of Medicine, Mulawarman University. This research is a quantitative study with observational analytic research design using cross sectional design. The sampling technique used total sampling. The source of research data was obtained from primary data through filling out the basic bioethics test questionnaire. Bivariate analysis using the Mann-Whitney test. The results showed that the p-value> 0.05 (p=0.173), so it was concluded that there was no significant difference in the level of knowledge of the basic rules of bioethics in students who had never had and had received bioethics lectures at B7M1 Medical Study Program, Faculty of Medicine, Mulawarman University. Keywords: Basic rules of bioethics, level of knowledge, medical study program students
Prediktor Prediktor yang mempengaruhi kematian pasien infark miokard akut dengan ST - Elevasi di RSUD Abdul Wahab Sjahranie Samarinda
Di dunia, IMA – EST paling sering menyebabkan kematian dini dibandingkan jenis IMA lainnya. Mortalitas pada IMA – EST tergantung pada karakteristik klinis pasien sebelum dan dalam jam pertama setelah onset infark. Penyebab kematian pada tahun pertama didominasi oleh kelainan kardiovaskular lain atau penyertanya. Mortalitas pada pasien IMA – EST dapat meningkat apabila terapi yang diberikan tidak sesuai dengan kondisi klinis pasien. Terdapat beberapa prediktor klinis yang dapat membantu deteksi pasien risiko tinggi yang membutuhkan terapi dini dan agresif. Prediktor klinis yang dapat mempengaruhi keadaan pasien selama rawat inap di Rumah Sakit, antara lain usia, komplikasi, biomarker jantung creatinine kinase-myocardial band (CK–MB), lokasi lesi infark anterior, serum elektrolit ( ) dan ( ), glukosa dan faktor pembekuan darah ((Prothrombin time (PT)) dan Activated Partial Thrombloplastin Time (APTT), fungsi jantung awal, riwayat diabetes, tekanan darah, denyut jantung, hitung jenis leukosit, hemoglobin, serum elektrolit ( ) dan ( ), kreatinin, urea, serta asam urat. Penelitian ini bertujuan untuk mengetahui prediktor apa saja yang dapat mempengaruhi kematian pasien IMA – EST selama dirawat di RSUD Abdul Wahab Sjahranie Samarinda. Desain Penelitian ini cohort-retrospective. Populasi penelitian adalah seluruh pasien IMA – EST yang dirawat di RSUD Abdul Wahab Sjahranie Samarinda pada tahun 2020-2021. Pengambilan sampel secara purposive sampling. Data berasal dari rekam medik pasien. Data dianalisis dengan uji Chi-square dan Fisher, dikatakan berhubungan apabila nilai (p<0,05). Sebanyak 67 pasien sebagai sampel, ditemukan bahwa denyut jantung, kadar troponin T, kreatinin dan ureum masing – masing memiliki nilai signifikansi (p < 0,001), (p < 0,000), p < 0,001, dan p < 0,000; p < 0,005), sementara tekanan darah, lokasi lesi culprit, kadar glukosa, dan hemoglobin menunjukkan nilai signifikansi (p = 0,074, p = 0,346, p = 0,073 dan p = 0,759 ; p > 0,05). Disimpulkan bahwa, denyut jantung, kadar troponin T, kreatinin, dan ureum dapat menjadi faktor independen yang mempengaruhi mortalitas, sementara tekanan darah, lokasi lesi culprit, kadar glukosa dan hemoglobin tidak berhubungan dengan mortalitas pasien IMA – EST.
Copyright (c) 2023 Jurnal Medika : Karya Ilmiah Kesehatan
The Karakteristik Pasien Tonsilitis Kronis yang Menjalani Tonsilektomi di RSUD Abdoel Wahab Sjahranie Samarinda Tahun 2020-2022
Chronic tonsillitis is chronic inflammation of the tonsils following recurrent acute inflammation, with nonspecific causative microorganisms. The chronic inflammation results in tonsil enlargement due to parenchymal hyperplasia, causing OSAS (Obstructive Sleep Apnea Syndrome). Tonsillectomy is a surgical procedure that can be performed when chronic infection occurs. This study aimed to determine the characteristics of patients with chronic tonsillitis who underwent tonsillectomy at Abdoel Wahab Sjahranie Samarinda Hospital for the period 2020-2022. Descriptive observational research with a cross sectional approach using data on the target population, namely 85 medical records of chronic tonsillitis patients who underwent tonsillectomy at Abdoel Wahab Sjahranie Samarinda Hospital for the period 2020-2022. The results showed the age of toddlers (0-5 years) 10%, children (6-18 years) 55%, adults (19-45 years) 33%, elderly (>45 years) 2%; male gender 52%, and female 48%; tonsil size T2 37%, T3 55%, T4 8%; main complaints of snoring 51%, difficulty swallowing 8%, shortness of breath 6%, bad breath 2%, swallowing pain 92%, coughing 7%; leukopenia 5%, normal leukocytes 86%, leukocytosis 9%; normal ESR 58%, and ESR increased 42%. It is concluded that chronic tonsillitis patients who underwent tonsillectomy at Abdoel Wahab Sjahranie Samarinda Hospital for the period 2020-202 were mostly children, male gender, tonsil size T3, main complaints of swallowing pain, normal leukocytes, normal ESR.
Deskripsi Tingkat Kepatuhan Siswa Kelas 11 SMAN 3 Surakarta terhadap Pemakaian Alat Pelindung Kepala
Latar belakang: Cedera akibat kecelakaan lalu lintas merupakan penyebab kematian terbanyak untuk anak-anak hingga dewasa muda. Lebih dari 70% kematian akibat kecelakaan lalu lintas terjadi pada pengguna sepeda motor, dengan penyebab utama berupa cedera kepala. Namun, masih banyak terjadi kelalaian penggunaan helm, khususnya pada kalangan remaja. Surakarta memiliki mobilitas penduduk tinggi sehingga rentan terjadi kecelakaan lalu lintas. SMAN 3 Surakarta dipilih sebagai lokasi penelitian karena terletak di 2 lokasi terpisah di tengah kota. Siswa kelas 11 diambil sebagai populasi penelitian karena mayoritas sudah berusia 17 tahun sehingga bisa memiliki SIM. Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat kepatuhan siswa kelas 11 SMAN 3 Surakarta dalam memakai alat pelindung kepala berupa helm. Metode: Penelitian ini merupakan studi potong lintang, dengan data primer dari pengisian kuesioner oleh siswa kelas 11 SMAN 3 Surakarta pada bulan Maret 2023. Hasil: Diperoleh 237 data siswa kelas 11 SMAN 3 Surakarta. Mayoritas responden berusia 17 tahun (50,63%), perempuan (62,45%), memiliki sepeda motor (81,43%), tidak memiliki SIM C (88,61%), dan pengemudi (59,92%). Mayoritas responden selalu memakai helm (77,64%), menggunakan helm SNI (91,56%), memakai ikat dagu helm (81,86%), mengetahui manfaat helm (100%). Mayoritas responden (60,76%) memiliki skor total 12, yang menunjukkan perilaku pemakaian helm ideal dan mengetahui manfaat helm dalam mencegah cedera kepala akibat kecelakaan. Terdapat perbedaan signifikan kepatuhan pemakaian helm ideal pada variabel kepemilikan SIM C (p=0,004) dan sifat penggunaan sepeda motor (p=0,000). Kesimpulan: Mayoritas siswa-siswi SMAN 3 Surakarta memiliki tingkat kepatuhan pemakaian helm ideal tergolong patuh.
Gambaran Tingkat Pengetahuan Keselamatan dan Kesehatan Kerja Pada Petugas Pengambil Sampah Kota Samarinda
Occupational Safety and Health (OSHE) is a form of improving and maintaining the rights of all workers physically, mentally and socially, supervising people, work tools, materials and the work environment so that every worker is free from physical, mental, emotional or painful disturbances in conditions physiological and psychological workers, in order to prevent work-related accidents. Garbage collector are vulnerable jobs with various risks of work accidents, because they are directly exposed to community waste disposal. The purpose of this study was to describe the level of OSHE knowledge of garbage collectors in Samarinda City. The research design is descriptive observational with 80 research respondents. Using a simple random sampling technique using a questionnaire. This is a one-variable descriptive observational study. The results of this study show that the OSHE knowledge level of Garbage Collectors is (94%) in the "Good" category, OSHE knowledge is based on the education level of High school (42%) in the "Good" category, Junior High School (23%) in the "Less" category, Elementary School (34%) "Less" category. Based on length of service, it is classified into 1-5 years with results (57%) in the "Good" category, 6-10 years (31%) in the "Less" category and workers more than 10 years (12%) in the "Less" category. The conclusion of this study is that the OSHE level of knowledge of garbage collection officers in Samarinda City is "Good" with the characteristics of the education level respondents who have the "Good" category from the High school class and in terms of length of work characteristics who have the "Good" category from the 1-5 year worker group.