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INDONESIA
SRIWIJAYA JOURNAL OF MEDICINE
Published by Universitas Sriwijaya
ISSN : 26223589     EISSN : -     DOI : -
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Articles 52 Documents
Analysis of Factors Affecting Employee Compliance to the Non-Smoking Area Policy at the Police Station in Palembang Dewi, Yulyana Kusuma; K, Fauziah Nuraini; Lionardo, Andries

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.083 KB) | DOI: 10.32539/SJM.v1i1.2

Abstract

Latar Belakang : Merokok menimbulkan berbagai permasalahan dalam kehidupan baik dari aspek kesehatan, ekonomi maupun aspek sosial budaya. Merokok tidak hanya membahayakan kesehatan si perokoknya saja, tetapi juga orang-orang yang ada di sekitarnya. Dalam upaya penanggulangan bahaya akibat merokok pemerintah Kota Palembang telah memiliki Peraturan Daerah No.7 tahun 2009 tentang Kawasan Tanpa Rokok yang bertujuan untuk memberikan perlindungan yang efektif dari bahaya paparan asap rokok orang lain, memberikan ruang dan lingkungan bersih dan sehat bagi masyarakat, dan melindungi kesehatan masyarakat secara umum dari dampak buruk merokok baik langsung maupun tidak langsung. Penelitian ini bertujuan untuk mengetahui efektifitas peraturan daerah berdasarkan analisis faktor-faktor yang berhubungan dengan kepatuhan pegawai pada pelaksanaan kebijakan kawasan tanpa rokok di kantor Satpol PP. Metode :  Metode kuantitatif desain cross sectional, jumlah sampel sebanyak 158 pegawai diambil berdasarkan accidental sampling, Data dianalisis dengan menggunakan uji chi square dan regresi logistik ganda. Hasil Penelitian : peraturan daerah belum efektif, hal ini dibuktikan  rendahnya kepatuhan pegawai terhadap kebijakan kawasan tanpa rokok sebesar 30,4 %, terdapat pengaruh  antara pengetahuan tentang peraturan daerah (p=0,000 ), pengetahuan tentang bahaya rokok (p=0,000 ), tanda larangan merokok (p=0,000 ), penerapan sanksi (p=0,000 ),   dukungan atasan  (p=0,000) terhadap kepatuhan  pegawai terhadap kebijakan kawasan tanpa rokok. Kepatuhan pegawai Satuan Polisi Pamong Praja Kota Palembang  masih rendah yaitu 30,4 %. penerapan sanksi (OR=8,695) adalah faktor yang paling dominan berpengaruh terhadap kepatuhan pegawai pada pelaksanaan kebijakan kawasan tanpa rokok.
Relation Between Knowledge, Attitudes and Behavior Against Self Medication Use of Over The Counter Analgesic at STIK Bina Husada Ersita, Ersita; Kardewi, Kardewi

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (192.725 KB) | DOI: 10.32539/SJM.v1i1.3

Abstract

Nyeri adalah pengalaman perasaan emosional yang tidak menyenangkan akibat terjadinya kerusakan aktual maupun potensial, dan juga boleh menyebabkan terjadinya kerusakan. Pengobatan yang sering dilakukan untuk meringankan nyeri ini adalah dengan tindakan pengobatan sendiri atau self medication salah satunya dengan konsumsi obat analgesik, Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan, sikap dan perilaku terhadap self medication penggunaan obat analgetik bebas di Sekolah Tinggi Ilmu Kesehatan Bina Husada Jenis penelitian ini adalah observasional dalam bentuk cross sectional. Sampel penelitian ini adalah mahasiswa Sekolah Tinggi Ilmu Kesehatan Bina Husada yang memenuhi kriteria inklusi dan kriteria eksklusi. Jumlah sampel dalam penelitian ini adalah 400 orang. Cara pengambailan distratifikasi berdasarkan semester yang diambil secara random  sederhana dan secara proporsional dari setiap semester. Data dianalisa dengan menghitung OR dan menggunakan Chi Square Tes Hasil penelitian Didapatkan ada hubungan (OR 1,160) dan tidak bermakna (P-value 0,773) antara pengetahuan terhadap self medication penggunaan obat analgesik, ada hubungan (OR 1,542) dan tidak bermakna (P value 0,212) antara sikap terhadap Terhadap Self MedicationPenggunaan Obat Analgesik bebas, ada hubungan (OR 2,528) dan bermakna (p- value 0,014) antara perilaku terhadap Self medication penggunaan obat Analgesik Bebas, didapatkan  faktor yang berperan terhadap penggunaan obat yaitu perilaku dengan OR 0,417 dan bermakna (p=0,020).
Risk Factor Analysis which Affect Severity of Low Back Pain to ward The Patients of Medic Rehabilitasion Intsalasi in RSUP dr. Mohammad Hoesin Palembang in 2016-2017. Emirzon, M Afif Baskara; Hadani, M Hasnawi; Larasati, Veny

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/SJM.v1i1.5

Abstract

The incidence of lower back pain in the productive age population continues to increase. Various risk factors such as age, sex, smoking, and physical activity, length of work and work position can exacerbate lower back pain complaints. This study was conducted to analyze risk factors that affect the severity of low back pain in patients who perform therapy in Medical Rehabilitation Installation RSUP dr. Mohammad Hoesin Palembang period 2016-2017. The research used is analytical observation with cross-sectional technique. The sample of research is 71 respondents in Medical Rehabilitation Installation of dr. Mohammad Hoesin Palembang that meets the inclusion criteria. The data was further processed and grouped in table form. At 71 respondents found 49 respondents suffered severe NPB and 22 respondents suffered from mild NPB. The results showed that sex, physical activity, work position and duration of work had significant relationship with mild cases of low back pain (p = 0,03, p = 0,000, p = 0,00, p = 0,002). While age, smoking, BMI did not have a significant association with mild cases of low back pain (p = 0.08, p = 1.044, p = 0.690). Risk factors that affect the severity of lower back pain are male, physical weight, working position sitting or bending and length of work more than 7 hours per day.
Relationship of Scabies With Pioderma: As a Risk Factor Yahya, Yulia Farida; Argentina, Fifa; Rusmawardiana, Rusmawardiana

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.939 KB) | DOI: 10.32539/SJM.v1i1.6

Abstract

Scabies is a parasitic infestation of the skin, that is affecting on the low income and crowded community in many tropical countries, especially developing countries such as Indonesia. Scabies infestation increases the incidence of secondary pyoderma include impetigo, folliculitis, cellulitis, ecthyma, abscess. Secondary pyoderma is a skin infection disease mainly caused by     group A Streptococcus (GAS) and Staphylococcus aureus (SA). Pyoderma is a risk factor for the glomerulonephritis infection, rheumatic diseases, which significantly increases morbidity and mortality, causing the government burden. The aim of this study is  determining the etiology and correlation of pyoderma infection in scabies patient. To determine sosio-demographic included sex, age in pediatric patients in primary schools (SD) in the district of Kertapati Palembang. The study design was cross sectional, and study samples were new scabies patients in the elementary school (age 6-14-year-old) with or without pyoderma. Clinical findings included history, physical examination and diagnostic procedure, which was investigation of skin scraping specimen material (SSB = skin surface biopsy) in confirmation with dermoscopic polar examination (DS) to show Sarcoptes scabiei mites. Microbiological examination with Gram stain identified the etiology of pyoderma.  Results of this study shows that there was a significance relationship between scabies infestation and pyoderma in children in elementary school. Staphylococcus aureus dan GAS are the most common caused of pyoderma in pediatric patients with scabies. Conclusion is there is a significant correlation between scabies and pyoderma. There is  a need to provide scabies and pyoderma medication at primary care health center as well as counseling for prevention in Palembang area with crowded population periodically.  
Maternal Knowledge Factor, Maternal Age and Maternal Parity Associated with Genesis of Normal Delivery at Palembang Hospital of Bari Year 2017 Wahyuningsih, Juliana Widyastuti

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.083 KB) | DOI: 10.32539/SJM.v1i1.7

Abstract

Childbirthis a processLabor of opening and depleting the cervix and the fetus down into the birth canal. Birth is a process in which the fetus and amniotic are pushed out through the birth canal. (Sarwono, 2008). According to the World Health Organization (WHO) estimates more than 585,000 mothers annually die during pregnancy or childbirth. Indonesia Health Demographic Survey (SDKI) Survey in 2012, Maternal Mortality Rate in Indonesia is still high at 359 per 100,000 live births. The purpose of this study is the knowledge of maternal knowledge, maternal age, and maternal parity associated with normal birth events at Palembang Bari Hospital 2017. This study used analytical survey method with cross sectional approach. The population in this study were all maternal mothers at the Palembang Bari Hospital in 2017. Sampling in the study was conducted non-randomly with the technique of "Accidental Sampling". Data analysis was done univariat and bivariate with Chi-Square statistical test with significance level α = 0,05. The result of this research shows that there is correlation between mother's knowledge with normal delivery incidence with p value 0,001, there is correlation between mother age with normal delivery incidence with p value 0,009, there is relation between mother parity with normal delivery incidence with p value 0,001. From result of this research hopes healthcare workers can improve normal delivery care services and more often to carry out maternal safety counseling.
Expression of Matrix Metalloproteinase-9 at the Endometrium in Intramural Uterine Myoma with Heavy Menstrual Bleeding and Non Heavy Menstrual Bleeding. Effendi, K Yusuf

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.105 KB) | DOI: 10.32539/SJM.v1i1.8

Abstract

Bleeding that occurs in intramural myoma to date have not revealed the clear mechanism. Presumably, the decrease of progesteron and estrogen by the time of menstruation occurs (progesterone withdrawal) wil decrease the TIMP which inhibit the production and release of MMP. TIMP reduction will lead escalation of MMP expression. This study aims to analyze the expression of MMP-9 in intramural myoma. Crosssectional study involve two group of study, case and control (intramural uterine myoma women without heavy mestrual bleeding[HMB]), Endometrial biopsy were performed on both group, and the expression of MMP-9 were checked using immunohistochemistry. This study shows t-test analysis was performed on case group and MMP-9 was found to be significantly affecting the bleeding outcome (p = 0,003) with pravalence ratio of 1,047 (1,016 – 1,079) which indicate that MMP-9 increase 1,047 the risk of bleeding.
Effects of Moringa Leaf Extract (Moringaoleifera) in the Breastfeeding Septadina, Indri Seta; Murti, Krisna

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.406 KB) | DOI: 10.32539/SJM.v1i1.10

Abstract

Exclusive breastfeeding for 6 months is a global strategies to promote the growth, development, health and survival of infants. Despite the many benefits of exclusive breastfeeding for infants, mothers, families and communities, the coverage is still low in many countries including Indonesia. Mother's milk is produced from the collaboration between mechanical stimulation of hormonal and nerve factors. One of the hormones that affects is the estrogen. The hormone estrogen is a sex hormone produced by the uterus to stimulate the growth of sex organs such as breasts and pubic hair and regulate the menstrual cycle. The hormone estrogen also plays a role to maintain the texture and function of the breast. Pregnancy in a woman, making the breast gland will be more developed by the influence of estrogen, somatomamotropin and prolactin hormones. The process is affected by the hormones estrogen and progesterone. Estrogen significantly stimulates the synthesis and release of pituitary hormone, this effect depends on the duration and dose of administration. In Indonesia, moringa plant is a local food that has the potential to be developed in culinary breastfeeding mothers because it contains phytosterol compounds that function to improve and facilitate the production of breast milk (laktogogum effect). This paper will discuss some of the facts about the effect of Moringaoleifera extract on prolactin levels in increasing the quantity and quality of breast milk in the breastfeeding process. The amount of nutrients in the Moringa leaf (Moringaoleifera) one such as phytosterol compounds (laktogogum effect) in increasing levels of pituitary hormone and iron hormones can have a positive impact on the health of the baby because breast milk is the most important and best natural baby food.
Analisis Penggunaan Metode Kontrasepsi pada Pasangan Usia Subur (PUS) di Provinsi Aceh Tahun 2016 Andriani, Mutia; Anwar, samsul

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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.611 KB) | DOI: 10.32539/SJM.v1i2.11

Abstract

  Family Planning Program (KB) has several objectives that is, among others, to control population growth rate, raise awareness raising and community participation through maturation of marriage age, control birth rate, develop family resilience, and improve family welfare to accomplish a small, happy and prosperous family. This study aims to determine whether there is a significant difference in the number of significant KB users between each method of contraception used by the Elderly Age Couple (PUS) and to know which contraceptive method is the most widely used in Aceh Province. The approach used in this study was a quantitative approach. The data used were secondary data obtained from BKKBN (National Family Planning Coordinating Board) of Aceh Province. Data analysis method used in this study was Analysis of Variance (ANOVA). Anova analysis shows that there is a significant difference in the number of KB users among the six contraceptive methods used in Aceh Province with p-value < 0.001. Furthermore, based on a further test of Tukey, it is known that injectable contraception method is the most widely used method of contraception in Aceh Province in 2016.
Analisis Gen Blavim, Blandm dan Blaimp Carbapenemase dengan Alat Otomatis Vitek-2 dan Metode Polymerase Chain Reaction (PCR) pada Isolat Bakteri Enterobacteriaceae di RSUP Dr. Moh. Hoesin Palembang Sabrina, Tia; Rivani, Erizka; Patricia, Venny

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.921 KB) | DOI: 10.32539/SJM.v1i2.12

Abstract

Enterobacteriaceae is a normal flora in human intestinal tract which the most frequently caused the disease in human. Carbapenem is the last lines of antibiotic which used to treat severe infection that caused by gram-negative bacili bacteria, for example Enterobacteriaceae, but there is an increase prevalency of infection which caused by Carbapenem Resistant Enterobacteriaceae (CRE). The gene that encoding CRE is blaVIM, blaNDM, and blaIMP gene. The detection of these genes are very important to prevent spreading the nosocomial infection at hospital. The samples are from the speciment which has detected as isolate of Extended Spectrum Beta Lactamase (ESBL) Enterobacteriaceae bacteria and has occurred resistant to carbapenem group (meropenem and ertapenem) which detected by automatic equipment, VITEK 2 compact system. These samples will be processed by PCR with multiplex PCR technique to indentify blaVIM, blaNDM, and blaIMP gene. There are 43 samples consist of 33 samples (76,7%) ESBL bacteria isolate and 10 samples (23,3%) Carbapenemase bacteria isolate, 29 samples (67,4%) are Klebsiella pneumonia and 14 samples (32,6%) E. coli. These samples were from blood (5 samples/ 11,6%), sputum (16 samples/ 37,2%), peritoneal fluid (1 sample/ 2,3%), pus (4 samples/ 9,3%), urine (12 samples/ 28%), swab (3 samples/ 7%), tissue (1 sample/ 2,3%), and feces (1 sample/ 2,3%). From the PCR result, the gene was indentified from Enterobacteriaceae bacteria isolate was 28 samples (65,11%) from 43 samples. The indentified samples consist of 9 samples (32,1%) Carbapenemase bacteria isolate and 19 samples (67,9%) ESBL bacteria isolate. The identified of Enterobacteriaceae bacteria isolate consist of 15 samples blaNDM gene, 17 samples blaVIM gene, and 4 sample blaIMP gene.
Hubungan Antara Anemia dan Kebiasaan Merokok pada Ibu Hamil dengan Kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2016 sari, Intan

Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (497.893 KB) | DOI: 10.32539/SJM.v1i2.13

Abstract

Low Birth Weight (LBW) is an infant born with a birth weight of less than 2500 grams regardless of gestation. Birth weight is the weight of the baby weighed in 1 hour after birth. (Depkes RI, 2009). Based on WHO and UNICEF data, in 2013 about 222 million babies were born in the world, of which 16% were born with low birth weight. The percentage of LBW in developing countries is 16.5% twice that of developed countries (7%) (Scholar Unand, 2014). The purpose of this study was to determine whether there is a relationship between anemia and Smoking Habit in Pregnant Women with LBW occurrence in General Hospital Dr. Mohammad Hoesin Palembang Year 2016. This research use analytical survey method with cross sectional approach. The population in this study were all mothers who gave birth monthly in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang in 2016 as many as 315 respondents. The sample of this research is some of mothers who give birth enough month in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang Year 2016 as many as 315 respondents. ". From the results of bivariate analysis of anemic respondents with the occurrence of LBW obtained statistical test X2 count = 23.22 which means there is a significant relationship between anemia with the incidence of BBLR. Respondents smoking with the occurrence of LBWR obtained statistical test X2 count = 41.20 which means there is a relationship Meaningful between smoking and LBW incidence. From the results of this study is expected that this research can be a reference material and is a complete information and useful for the development of knowledge about LBW.

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