Health & Medical Journal 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.
In the elderly, environmental stress and decreased cognitive function often cause depression. Depression that is not treated properly can cause an increase in the use of health facilities, a negative influence on the quality of life elderly, and can even cause death. Purpose of this research to know the relationship of cognitive function disorders with depression in the elderly at Posyandu Lansia Ikur Koto working area of the Puskesmas Ikur Koto, Padang. This type of research is correlative analytic with cross-sectional approach. Research has been conducted at posyandu lansia Ikur Koto in February 2019. The samples in this research was elderly who were recorded at the posyandu lansia Ikur Koto there were 51 elderly. Data analysis univariate presented in the form of a frequency distribution table and bivariate analysis using the spearman test using the SPSS program. Result of the 51 respondents, the majority of age was 60-74 years old (70,6%), the highest sex were women (94,1%), the highest education was elementary school (56,9%) ), the most marital status was married (52,9%), the highest health status (58,8%) did not suffer chronic diseases and most medical history does not use drugs (98%),most (72,5%) did not experiencing depression, most (37,3%) had mild cognitive function disorders and there were relationship between cognitive function disorders and depression in the elderly with a value p=0,007<0,05 and r=-0,373. Conclusion is there were significant relationship between cognitive function disorders and depression in the elderly at Posyandu Lansia Ikur Koto working area of the Puskesmas Ikur Koto, Padang.
Preeclampsia is the cause of maternal deaths that high after bleeding. Lactate dehydrogenase (LDH) useful as biochemical markers to describe the severity of the preeclampsia-eclampsia. Aim of this study is to find out the relationship of lactate dehydrogenase levels with preeclampsia-eclampsia degrees in RSUP DR.M.Djamil Padang 2017. Methods od this research is observational analytic uses secondary data derived by medical record. The place of study was carried out at the medical record installation of central general hospital DR.M.Djamil Padang. The time of the study wasconducted in December 2018 - January 2019. The sample is preeklampsia-eklampsia patients these being treated in installation of inpatient and installation of outpatient in central general hospital DR.M.Djamil Padang 2017 which meets the criteria of inclusion and exclusion and drawn using simple random sampling techniques amounted to 32 people.Univariate analysis is presented in the form of tables and bivariate analysis was presented in the form af a table using the Spearman test. Results : Based on the research results obtained severe preeclampsia patients 21 persons (65,6%) have average levels of lactate dehydrogenase 979,05 u/l with range 313-1755 and eclampsia patients 11 persons (34,4%) have average levels of lactate dehydogenase 1838,64 u/l with range 420-5508. Spearman correlation tst obtained significant value of 0.001 and correlation 0,545. Conclusion : There is a relationship between the levels of lactate dehydrogenase with degree preeclampsia-eclampsia (p<0,05) with medium correlation (r=0,545)
Colorectal cancer is ranked fourth with 694.000 death. As many as 5.7% of patients with colorectal cancer from all types of cancer in Indonesia. The incidence of colorectal cancer patients is still quite high, and there is still minimal profile and survival data in Sumatera Barat. This study aims to determine the profile and survival of colorectal cancer patients in Dr. RSUP M. Djamil Padang uses descriptive category design through a cross-sectional approach. Samples from this study were taken from medical records of all colorectal cancer patients who met the inclusion criteria. Data retrieval was done by the "Simple Random Sampling" method. The results showed that the highest age group was the age group 46-55 years (38.1%), the highest sex male (81%), chief complaint with constipation (33.3%), stage B with (47.6%), most management operations with (61.9%), and survival for 2 years as much as (54.5%)
Background: Malignant breast tumors are a disease where there is overgrowth or uncontrolled development of breast tissue cells. The method of mediating malignant breast tumors up to now which is the gold standard is histopathological examination, which in this examination can determine the type of malignant or benign breast tumors. Histopathological examination of breast tissue is needed as a definitive diagnosis in determining the type of breast malignant tumor and the degree of histopathology. Objective: To determine the histopathological picture of malignant breast tumors at the Pathology Anatomy Laboratory of RSUP. M. Djamil Padang in 2017.Method: This research is a descriptive study with cross sectional design. The sample of this study were 47 people with breast malignant tumors at the Anatomy Pathology Laboratory of Dr. M. Djamil Hospital in 2017 which met the inclusion and exclusion criteria. The research data was obtained from the status of the Pathology Anatomy Laboratory at RSUP.DR.M.Djamil Padang in 2017. Results: The highest frequency of malignant breast tumors in the age group 26-65 years (95.7%), female gender (100%), histopathology type invasive ductal carcinoma (63.8%), histopathological degree (68.1%). Conclusion: The description of the incidence of malignant breast tumors in the laboratory of Dr. M.Djamil Hospital Padang in 2017 mostly occurs at the age of 26-65 years, female, histopathological type of invasive ductal carcinoma, degree II.
Lichen simplex chronicus (LSC) is a chronic, itching, circumscribed, inflammation disorder of skin, which the incident rate has increasing lately. Previous studies show some differences regarding LSC profiles. It is important to update the epidemiology of LSC so that it can be used as a new theoretical basis for research, society and health institutions. This study aimed to find out the profile of Lichen Simplex Chronicus in Puskesmas Padang Pasir in 2017 which includes distribution of frequency based on age, gender, major complaints, location of lesion, and therapy. This is a descriptive study where the data was obtained from medical record of LSK 70 patients in Puskesmas Padang Pasir in January – December 2017. The sample size was calculated by total sampling technique and slovin formula. Results show distribution of frequency: mostly, the age distribution was 56-65 years old (34,3%), and the number of women patients (51,4%) were more than male patients (48,6%). The most complained symptom and affected site was itching (82,9%) and foot (54,3%). The most used antihistamine therapy was chlorpheniramine maleate 4 mg (72,9%), the most used oral steroid therapy was dexamethasone 0,5mg (28,6%) and the most topical therapy was betamethasone 0,1% cream (51,4%).
Vision impairment is estimated to affect 285 million people in the world, where 16-20% experience blindness, from the number of blindness suffered at the age of 40-50 years. Cataract seninis is all lens opacities that are found in old age that is above 40 years. The purpose of identifying and collecting frequency data Profile of Senilis cataract patients at the age of 40 years and above at RSI Siti Rahmah Padang in 2017. The research method is descriptive type of research, this study data taken is secondary data, In this study data was taken from the Medical Record at RSI Siti Rahmah Padang. When the study was conducted in February-August 2018, the population of this study were all cataract patients at the age of 40 years and above at RSI Siti Rahmah Padang in 2017 with 80 samples. Data analysis is univariate presented in the form of a frequency distribution table. Results From 80 respondents as many as 40 people (50%) were in the age range of 60-69 years, as many as 42 people (52.5%) patients were male, as many as 31 people (38.8%) patients with high school education and 35 people (43.8%) patients work as private companies. Conclusion In general, most patients are at the age of 60-69 years, the most sex is men, the highest education is high school and most patients are private.
Acute Otitis Media (OMA) is an acute inflammation of the middle ear that lasts less than three weeks. OMA is a common infectious disease at an early age and is a common reason for treatment. This infectious disease can be caused by many factors. This study aims to determine the prevalence of acute otitis media at Siti Rahmah Islamic Hospital in Padang. Method This type of research is descriptive retrospective using secondary data in the form of medical records. The study was conducted from July 2018 - January 2019 in the ENT section of the Siti Rahmah Islamic Hospital in Padang. The research subjects were 63 patients with Acute Otitis Media. This study reports the frequency distribution of research characteristics such as age, sex, stage, and infected ears. The result of this study report the prevalence of 63 patients with Acute Otitis Media. Based on age, the majority suffered at the age of five as many as 12 cases (19%). Based on gender, the majority of women suffered 35 cases (55.6%). Based on the stage, the most cases were at the stage of hyperemia 31 cases (49.2%). Based on the infected ear, the most cases were unilateral in 61 cases (96.8%). In this study the prevalence of acute otitis media in patients aged 0-5 years, female, hyperemic stage and unilateral infected ears were found.
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
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.
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%.