JURNAL KEDOKTERAN

JURNAL KEDOKTERAN http://e-journal.unizar.ac.id/index.php/kedokteran Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan  is published by the Faculty of Medicine, Al-Azhar Islamic University, with a frequency of 2 times a year; in June and December, as a medium of scientific information and communication in the development of Medical and Health Sciences. Fakultas Kedokteran Universitas Islam Al-Azhar en-US JURNAL KEDOKTERAN 2460-9749 All articles published in Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan are licensed under a <a href="https://creativecommons.org/licenses/by-nc/4.0/" target="_blank">Creative Commons Attribution-Noncommercial 4.0 International</a> license, this license allows anyone to compose, improve, and create derivative works for non-commercial purposes. in Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan is recognized as the original publisher, and a link to the license is provided. Changes must also be indicated. Copyright and publishing rights to articles are held by their respective authors, without limitation. However, a non-exclusive license is granted to Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan to publish the article and identify itself as the original publisher. By submitting to Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan the authors acknowledge that any third party may use their articles to the extent permitted by the <a href="https://creativecommons.org/licenses/by-nc/4.0/" target="_blank">CC BY -NC 4.0</a> license, if their articles are published. CLINICAL MANIFESTATIONS AND OUTCOMES OF COVID-19 IN THE ELDERLY GROUP: OBSERVATIVE COHORT STUDY http://e-journal.unizar.ac.id/index.php/kedokteran/article/view/468 Indonesia has the 4th largest number of elderly population in the world. Recent studies, had shown that elderly population was associated by higher risk for developing severe infection and worse outcome compared to general population. While growing number of evidence support those finding, few local study had shown similar result. This study was aimed to describe clinical manifestation and outcome of COVID-19 in elderly population. This Observational Cohort studies was conducted on subject admitted on Gelora Joko Samudro observation hut, Gresik for COVID-19 with mild or no symptoms (based on clinical symptom classification of COVID-19 infection of Indonesian Ministry for Health, 5th Revision July 2020) and age over 60 years old. Subjects aged 20-59 were enrolled as paired control group. From total 1238 patient, there are 24 (1.94%) subjects aged more than 60. Majority of the subject were male (75%), with average age 64.7±4.78 years old. Compared to the control group, elderly had lower incidence of symptomatic infection (HR 0.4 CI95% 0.16-0.77), lower incidence of negative conversion (HR 0.1 CI95% 0.03-0.30), longer duration of viral shedding (MD 3.8 CI95% 1.73-5.77) and longer day of inpatient (MD 4.1 CI95% 2.56-5.61). In conclusion, elderly population had lower incidence of symptomatic infection but had worse clinical outcome in negative conversion, duration of viral shedding and day of hospitalization. Keywords: Elderly; COVID-19; Clinical Manifestation; Clinical Outcome. Muhammad Afif Sholehuddin Muhammad Ainul Rohman Firmansya Nila Hapsari Rachmat Ilahi Kharisma Rizqiah Wahyuni Kurniati Kurniati Wiwik Kurnia Ilahi Irma Wesprimawati Anik Luthfiyah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2022-07-08 2022-07-08 7 2 50 56 10.36679/kedokteran.v7i2.468 EARLY DETECTION OF CHILDREN'S DEVELOPMENT ON STUNTING TODDLERS http://e-journal.unizar.ac.id/index.php/kedokteran/article/view/521 Stunting is an impaired growth in children because of long-term insufficient nutrition from conception until the age of two. Regarding Basic Health Research 2018, the prevalence of stunting in Indonesia was 30.8%, higher than the WHO’s target. As stated in the Nutritional Status Monitoring, the prevalence of stunting in Karangasem from 2015 to 2017 was 27.5%, 26.1%, and 23.6% respectively. Early detection of child development status could be utilized as a pilot project to construct an intervention scheme for stunting prevention. This research aims for in-depth learning on the children growth status of stunting toddlers in the village of Ban, including gross motor, fine motor, language and adaptive skills. The research method was a qualitative design with a phenomenological approach. The in-depth interview was arranged with 15 participants sorted by purposive sampling, including 5 stunting toddlers, 5 mothers or babysitters of those toddlers, and 5 health personnel in the field. This result showed impairment of child development in long-term stunting toddlers. Without stimulation from parents, babysitters, and the social environment for those impaired children, they would undergo prolonged developmental failure. The data also showed that the majority of children experienced impairment in fine motor-adaptive skills whereas the gross motor and language skills were still normal. Keywords: Stunting; Nutrition; Child Development; In-depth Interview. Komang Triyani Kartinawati Luh Gede Pradnyawati I Made Eka Dwipayana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2022-07-08 2022-07-08 7 2 57 70 10.36679/kedokteran.v7i2.521 LATIHAN FISIK BELUM MAMPU MEMPERBAIKI GAMBARAN HISTOLOGIS PARU MENCIT (Mus Musculus) JANTAN GALUR BALB/C YANG DIPAPAR UAP ROKOK ELEKTRIK http://e-journal.unizar.ac.id/index.php/kedokteran/article/view/516 Saat ini rokok elektrik diduga kuat memiliki kandungan bahan yang berbahaya bagi kesehatan manusia. Salah satu upaya untuk untuk mempertahankan kesehatan paru akibat paparan uap rokok elektrik yaitu perlu dilakukan latihan fisik teratur intensitas sedang. Latihan fisik diharapkan mampu memberikan efek perbaikan histologis alveolus paru setelah paparan uap rokok elektrik. Penelitian ini merupakan penelitian eksperimental laboratorik post-test only group design. Sampel penelitian terdiri dari 27 ekor mencit (Mus Musculus) jantan Galur BALB/C yang berusia 2-3 bulan dengan berat badan 25-35 gram. Sampel dibagi menjadi 3 kelompok secara acak yaitu (K1) kontrol normal, (K2) kontrol negatif yang diberikan paparan uap rokok elektrik, dan (K3) kelompok perlakuan yang diberikan paparan uap rokok elektrik dengan perlakuan latihan fisik aerobik intensitas sedang. Hasil penelitian menunjukkan bahwa latihan fisik belum mampu memperbaiki gambaran histologis alveolus paru (p>0,05) yang diberikan paparan uap rokok eleketrik pada mencit jantan galur BALB/C. Kata Kunci: Latihan Fisik; Rokok Elektrik; Histologis Alveolus. Deny Sutrisna Wiatma I Made Muliarta Nyoman Mangku Karmaya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2022-07-08 2022-07-08 7 2 71 79 10.36679/kedokteran.v7i2.516 CHARACTERISTICS OF CONFIRMED PREGNANT MOTHERS WITH COVID-19 AND NEONATAL OUTCOMES http://e-journal.unizar.ac.id/index.php/kedokteran/article/view/439 COVID-19 is a disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A pregnant woman is vulnerable to health problems, particularly infectious diseases. This study aimed to provide an overview of the characteristics of pregnant women with COVID-19 and their neonatal outcomes. A descriptive study with a retrospective approach was carried out by tracing the medical records of the pregnant women with COVID-19. The information collected was the maternal age, gestational age, parity, types of delivery, pregnancy complications, clinical symptoms, chest radiography, newborn weight, baby's APGAR score, and neonatal complications. In a retrospective search, 53 pregnant women were confirmed to have COVID-19. Most of them (79.2%) were in the 21 to 35 years age group, had given birth more than once (69.8%), term pregnancy (84.9%), without pregnancy complications (52.8%), was asymptomatic (58.5%), and had a normal chest radiograph (81.1%). The percentage of mothers who gave birth by cesarean section was 54.7%, while vaginal delivery was 45.3%. Fifty-two (98.1%) babies were born alive, and one baby died in utero with gastroschisis (1.9%). Three infants (5.7%) died after delivery, and four infants confirmed COVID-19 (7.5%). There was no increase in neonatal morbidity and mortality among confirmed pregnant women with COVID-19. COVID-19 has not been proven vertical transmission from mother to baby. Keywords: COVID-19; Pregnant Women; Neonates. Erma Rachmayanti Cakrabumi Wisnubroto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2022-07-08 2022-07-08 7 2 80 90 10.36679/kedokteran.v7i2.439 DAMPAK KONSUMSI MINUMAN KERAS TERHADAP PERILAKU BERISIKO REMAJA PRIA DI INDONESIA (ANALISIS DATA SDKI KRR 2017) http://e-journal.unizar.ac.id/index.php/kedokteran/article/view/555 Konsumsi minuman keras dapat menyebabkan gangguan kesehatan dan kematian. Remaja yang mengkonsumsi minuman keras pada umumnya bersekolah dan telah terpapar informasi tentang bahaya minuman keras melalui sekolah, fasilitas kesehatan, tenaga kesehatan, peneliti, pendidik, media masa, media sosial, dan internet. Penelitian ini menganalisis dampak minuman keras terhadap perilaku beresiko remaja di Indonesia. Penelitian ini menggunakan desain cross sectional data sekunder SDKI KRR 2017. Sampel penelitian adalah remaja pria belum menikah sejumlah 13.079. Analisis data dilakukan dengan analisis univariat, bivariat dan multivariat dengan model regresi logistik. Hasil analisis menunjukkan hubungan signifikan antara konsumsi alkohol dengan umur (OR=1.82;95% CI 1.68-1.97; p=0.000), perilaku merokok OR=5.70;95% CI=5.03-6.45; p=0.000), penyalahgunaan narkoba (OR= 10.8;95% CI= 7.91-14.8; p=0.000) dan seks pranikah (OR=8.05; 95% CI=6.79-9.56; p=0.000). Kesimpulannya, konsumsi minuman keras pada remaja pria berdampak pada perilaku berisiko remaja, yakni merokok, penyalahgunaan narkoba, dan seks pranikah. Perilaku berisiko ini menyebabkan menurunnya kualitas hidup, sehingga sangat penting melakukan edukasi tentang dampak minuman keras pada remaja. Kata kunci: Remaja pria; SDKI 2017; Minuman Keras; Perilaku Berisiko. Priscilla Jessica Pihahey Nunang Lamaek May ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2022-07-08 2022-07-08 7 2 91 101 10.36679/kedokteran.v7i2.555