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Publisher: Universitas Indonesia   (Total: 14 journals)   [Sort by number of followers]

Showing 1 - 14 of 14 Journals sorted alphabetically
ASEAN Marketing J.     Open Access   (Followers: 2)
Economics and Finance in Indonesia     Open Access   (Followers: 1)
eJurnal Kedokteran Indonesia     Open Access  
Indonesia Law Review     Open Access   (Followers: 5)
Indonesian Capital Market Review     Open Access   (Followers: 1)
J. of Dentistry Indonesia     Open Access  
Jurnal Ilmu Komputer dan Informasi     Open Access  
Kesmas : Public Health J.     Open Access   (Followers: 2)
Makara Hubs-Asia     Open Access   (Followers: 1)
Makara J. of Science     Open Access  
Masyarakat : Jurnal Sosiologi     Open Access  
Medical J. of Indonesia     Open Access   (Followers: 1)
South East Asian J. of Management     Open Access  
Wacana : J. of the Humanities of Indonesia     Open Access  
Journal Cover Medical Journal of Indonesia
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   ISSN (Print) 0853-1773 - ISSN (Online) 2252-8083
   Published by Universitas Indonesia Homepage  [14 journals]
  • Behind and beyond the gatekeepers’ transformation

    • Authors: Grace Wangge
      Pages: 81 - 2
      Abstract: [no abstract available]
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.2130
      Issue No: Vol. 26, No. 2 (2017)
  • International collaboration for implementation of equal access to
           family-based primary healthcare in Indonesia

    • Authors: Jörg Haier, Jürgen Schäfers, Hans-Joachim Freisleben
      Pages: 83 - 5
      Abstract: [No abstract available]
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.2103
      Issue No: Vol. 26, No. 2 (2017)
  • Science, research and technology in primary health care: Covering from
           neglected tropical diseases to personalized medicine

    • Authors: Akmal Taher
      Pages: 86 - 9
      Abstract: [no abstract available]
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.2108
      Issue No: Vol. 26, No. 2 (2017)
  • Detection and identification of azithromycin resistance mutations on
           Treponema pallidum 23S rRNA gene by nested multiplex polymerase chain

    • Authors: Desy A. Gultom, Yeva Rosana, Ida Efendi, Wresti Indriatmi, Andi Yasmon
      Pages: 90 - 6
      Abstract: Background: Azithromycin-resistant strains of Treponema pallidum is associated with the mutation of 23S rRNA gene of T. pallidum. Although these strains are now prevalent in many countries, there is no laboratory test kit to detect and identify these mutations. Thus, in this study we developed a nested multiplex polymerase chain reaction (PCR) to detect and identify A2058G and A2059G mutations in 23S rRNA gene.Methods: Three primer sets were designed for nested PCR reactions. To obtain maximum PCR reaction, all parameters were optimized. The specificity of the primer sets was evaluated towards some microorganisms. A sensitivity test was conducted to get detection limit of deoxyribonucleic acid (DNA). Forty-five whole blood specimens were tested by PCR, and positive results were confirmed by the DNA sequencing.Results: The assay could detect at least 4,400 DNA copy number and showed no cross reaction with other microorganisms used in the specificity test. A total 13 of 45 whole blood specimens were PCR positive for T. pallidum, and no single mutations (either A2058G or A2059G) were detected. Two positive specimens were confirmed by the DNA sequencing and showed no mutation.Conclusion: Nested multiplex PCR developed in this study showed a specific and sensitive test for the detection and identification of A2058G and/or A2059G mutations of 23S rRNA T. pallidum gene.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1543
      Issue No: Vol. 26, No. 2 (2017)
  • Prevalence and pattern of domestic violence at the Center for Forensic
           Medical Services in Pekanbaru, Indonesia

    • Authors: Dedi Afandi, Mohammad T. Indrayana, Iriandanu Nugraha, Dinda Danisha
      Pages: 97 - 101
      Abstract: Background: Domestic violence (DV) is still a significant public health problem, especially in women’s health. Few studies have reported the prevalence and domestic violence in Indonesia. The aim of this study was to identify the prevalence, type of violence, and forensic examination on domestic violence victims in emergency departments.Methods: This study was a retrospective analysis of domestic violence victims observed in the Emergency Department at the Bhayangkara Hospital, Pekanbaru, Indonesia, between 2010 and 2014. The determinations of DV cases are based on the medico-legal reports (visum et repertum) and the police’s official inquiry letters.Results: Out of 6,876 medico-legal injury reports of living victims were reviewed, and 755 (10,9%) cases were DV. The majority of victims in DV were women (93.8%) with childbearing age group as the highest frequency (77.9%). Most of the DV victims were housewives (67.0%). Moreover, physical assault was the most common DV types (98.7%). Bruise was the predominant type of wound among the DV victims (76.2%), and almost half of the victims had abrasions (48.1%). Head and limbs were the predominant sites of wound. Blunt injury was found in more than three-quarters of the victims (88.5%).Conclusion: The prevalence of domestic violence was high among living victims in the emergency department, with women as the majority of victims.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1865
      Issue No: Vol. 26, No. 2 (2017)
  • Can glycated hemoglobin act as a reliable glycemic indicator in patients
           with diabetic chronic kidney disease' evidence from the Northeast of

    • Authors: Sojib Bin Zaman, Naznin Hossain, Ahmed E. Rahman, Sheikh M.S. Islam
      Pages: 102 - 8
      Abstract: Background: Chronic kidney diseases (CKD) is a common microvascular complication in patients with diabetes mellitus (DM) which requires adequate glycemic control. Glycated hemoglobin (HbA1c) is a conventional biomarker to estimate glycemic status, but its role in diabetic CKD patients is unclear. Therefore, this study aimed to determine whether patients with high HbA1c are associated to develop diabetic CKD.Methods: Data were obtained from a clinical registry of diabetic patients who were treated in a district hospital in the Northeast of Thailand. CKD was defined according to the estimated glomerular filtration rate (eGFR<60mL/min/1.73m2). Anthropometric and biochemical measurements of the patient were taken by review of medical records. Multiple logistic regression analysis was used to determine the likelihood of the association between HbA1c and CKD.Results: Among 4,050 participants, 1,027 (25.3%) developed diabetic CKD. Older age (adjusted odds ratio (AOR): 4.88, 95% confidence interval (CI): 3.71–6.42, p<0.05), female (AOR: 1.38, 95% CI: 1.05–1.73, p<0.05), and hypertension (AOR: 1.52, 95% CI: 1.21–1.91, p<0.05) were found as the risk factors of diabetic CKD. However, patients with high HbA1c (>6.5%) were negatively associated with diabetic CKD (AOR: 0.66, 95% CI: 0.51–0.86, p<0.05). Conclusion: This study found patients with higher HbA1c level were not associated with diabetic CKD. Therefore, using the conventional cut-off values of HbA1c in diabetic CKD patients may be problematic in the clinical settings. Enhanced detection of glycemic status in patients with diabetic CKD is warranted to improve the outcome.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1995
      Issue No: Vol. 26, No. 2 (2017)
  • Assessment of the nutrient intake and micronutrient status in the first
           trimester of pregnant women in Jakarta

    • Authors: Noroyono Wibowo, Saptawati Bardosono, Rima Irwinda, Inayah Syafitri, Atikah S. Putri, Natasya Prameswari
      Pages: 109 - 15
      Abstract: Background: Maternal nutrition before and during pregnancy is important for a healthy pregnancy outcome. According to National Basic Health Research (Riskesdas) 2013, 24.2% of pregnant women are at risk of chronic malnutrition and 37.1% of them suffer from anemia. The aim of this study was to obtain information about the nutrient intake and serum micronutrient status in the first trimester of pregnant women in Jakarta.Methods: A descriptive study was conducted towards 234 pregnant women with gestational age no more than 14 weeks. The nutrient intake data was obtained from the conversion of frequency food questionnaire (FFQ) which was semi quantitative data using a Nutrisurvey application. The maternal serum was examined to obtain data about nutrient level.Results: The mean of daily maternal energy intake was 1,256.1 kcal. Most subjects had nutrient intake below the recommendations of Institute of Medicine (IOM) and recommended dietary allowances (RDA), i.e. energy (88.9%), protein (80.8%), iron (85%), folic acid (74.8%), calcium (90.6%), and zinc (94.9%). However, they showed a high intake level of vitamin A (70.5%). Most subjects had deficiency in vitamin A (69.7%), vitamin D (99.6%), and zinc (81.2). No correlation was found between the maternal nutrient intake and nutritional status.Conclusion: Most of the first-trimester-pregnant-women in Jakarta had low maternal energy and nutrient intake, except for vitamin A, as well as low serum vitamin A, vitamin D, and zinc level.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1617
      Issue No: Vol. 26, No. 2 (2017)
  • Cardiovascular response and backward, upward, right push maneuver during
           laryngoscopy: comparison between CMAC® video laryngoscopy and
           conventional Macintosh

    • Authors: Arif H.M. Marsaban, Aldy Heriwardito, I G.N.A.D. Yundha
      Pages: 116 - 21
      Abstract: Background: Increased blood pressure and heart rate are the most frequent response to laryngoscopy which sometimes causes serious complications. Laryngoscopy technique and tools modification lessen the nociceptive stimulation, thus preventing hemodynamic response. BURP maneuver is used to lower Cormack-Lehane level, but it can cause additional pain stimulation during laryngoscopy. The aim of this study was to compare the cardiovascular response and the need of BURP maneuver during laryngoscopy between CMAC® and conventional Macintosh.Methods: A randomized, single blinded, control trial was performed to 139 subjects who underwent general anesthesia with endotracheal tube. Subjects were randomised into a control group (conventional Macintosh) and an intervention group (CMAC®). The cardiovascular parameters (systolic, dyastolic, mean arterial pressure, and heart rate) were measured prior to induction (T1). Midazolam 0.05 mg/kg and Fentanyl 2 micrograms/kg were given 2 minutes before the induction. Moreover, they were given propofol 1 mg/kg followed by propofol infusion of 10 mg/kg/hour and Atracurium 0.8–1 mg/kg. After TOF-0 cardiovascular parameters (T2) were remeasured, it was proceeded to laryngoscopy. When Cormack-Lehane 1–2 was reached (with or without BURP maneuver), cardiovascular parameters were measured again (T3).Results: Unpaired T-test showed that cardiovascular response during laryngoscopy were significantly lower in the intervention group compared to the control group (p<0.05). The need of BURP maneuver was significantly lower in the CMAC® group compared to the Convensional Macintosh group (13.9% vs 40.3%; p<0.05).Conclusion: Cardiovascular response and BURP maneuver during laryngoscopy with CMAC® were significantly lower compared to conventional Macintosh.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1505
      Issue No: Vol. 26, No. 2 (2017)
  • Additional diagnostic value of digital radiology in plantar fasciitis

    • Authors: Marcel Prasetyo, Thariqah Salamah, Trifonia P. Siregar
      Pages: 122 - 7
      Abstract: Background: Ultrasonography (USG) is regarded as the gold standard to differentiate normal plantar fascia and plantar fasciitis. Conventional radiography or plain X-ray is typically used to exclude differential diagnosis. Lately, conventional radiography has been digitalized and leads to better visualization of the soft tissue. However, it is not known whether digital radiography evaluation for calcaneus area, both qualitative and quantitative, has a similar diagnostic value as USG findings. Therefore, this study aimed to evaluate whether there is a strong correlation between digital radiographic and USG findings for diagnosing plantar fasciitis.Methods: This is a cross sectional study examining adult patients (>18 years old) presenting with inferior heel pain. Plantar aponeurosis thickness was measured by digital radiography and ultrasonography; measurement was performed three times in each modality, and the average value was recorded. Fat stranding, presence of calcaneal enthesophyte, and microfracture were also evaluated in digital radiography. Measurement results were classified into plantar fasciitis diagnosis using the cut-off value 4 mm.Results: There was no significant correlation between plantar aponeurosis thickness measured by digital radiography and by ultrasonography (r=0.069, p=0.688). There was no significant association between plantar fasciitis diagnosis by digital radiography and ultrasonography (p=0.162). However, digital radiography showed good sensitivity to detect plantar fasciitis using a cut-off value of >4 mm plantar fascia thickness.Conclusion: Digital radiography might be used to aid definitive diagnosis for plantar fasciitis.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1514
      Issue No: Vol. 26, No. 2 (2017)
  • Management of bladder stones: the move towards non-invasive treatment

    • Authors: Isaac A. Deswanto, Ari Basukarno, Ponco Birowo, Nur Rasyid
      Pages: 128 - 33
      Abstract: Background: Bladder stone accounts for 5% of all cases of urolithiasis. Bladder stones management has evolved over the last decades from open bladder surgery (sectio alta) to intracorporeal cystholithotripsy as well as extracorporeal shock wave lithotripsy (ESWL). ESWL presents to be a promising modality in the management of bladder calculi due to its simplicity and well tolerability. This study is thus conducted to present data on the safety and effectiveness of ESWL in the management of bladder stone patients.Methods: This is a retrospective study evaluating the medical records of 92 bladder calculi patients admitted to Cipto Mangunkusumo General Hospital (RSCM) from January 2011 to April 2015. Patient’s age, gender, type of stone and procedure being done, status of stone disintegration, length of hospital stay, and any complications that may occur are noted down and statistically analyzed using SPSS v. 20.Results: Majority of the patients underwent ESWL (49 out of 92, 53.3%). The stone free rates for ESWL, intracorporeal lithotripsy, and sectio alta are 93.9%, 97.0% and 100% respectively. One patient had to repeat ESWL. The ESWL group had the smallest stone size average compared to the intracorporeal lithotripsy and section alta group (2.5 cm±2.0 cm vs 4.8 cm±3.7 cm vs 7.4 cm±5.4 cm respectively). The ESWL sessions were conducted in the outpatient clinic, and thus no hospital stay was required.Conclusion: ESWL can be suggested as an effective non-invasive approach in the disintegration of bladder stone of ≤25 mm with a promisingly high stone-free rate (93.9%) Furthermore, ESWL can be performed on an outpatient basis with minimal complications.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1602
      Issue No: Vol. 26, No. 2 (2017)
  • The effect of balanced electrolyte solution versus normal saline in the
           prevention of hyperchloremic metabolic acidosis in diabetic ketoacidosis
           patients: a randomized controlled trial

    • Authors: Dita Aditianingsih, Anne S. Djaja, Yohanes W.H. George
      Pages: 134 - 40
      Abstract: Background: In resuscitation, normal saline could cause hyperchloremic metabolic acidosis, while balanced electrolyte solution is a crystalloid fluid resembling blood plasma with lower chloride content. This study compared the effect of normal saline and balanced electrolyte solution Ringerfundin (BES) as the resuscitation fluid in diabetic ketoacidosis (DKA) patients. Parameters applied in this study were standard base excess (SBE) as resuscitation’s result indicator and strong ion difference (SID) to measure chloride’s influence in developing hyperchloremic acidosis.Methods: A prospective, randomized, single blind controlled trial was conducted at the Emergency Department of Cipto Mangunkusumo Hospital. Thirty subjects with blood sugar >250 mg/dl, arterial pH <7.35 mg/dl, and positive blood ketone were randomly allocated to receive either normal saline (NS) or RingerfundinÒ (BES) as the standardized resuscitation protocol. Data analysis was performed using the unpaired T-test and the Mann Whitney test to compare the SBE and the SID means between both groups. Additional parameters were the level of consciousness, blood sugar level, vital signs, blood gas analysis, lactate, electrolyte, and blood ketone.Results: The mean SID in the BES group was significantly greater than the NS group of all measurements (p<0.05). The BES group had significantly higher mean SBE compared to the NS group at 18 hours (-4.88±5.69 vs -9.68±5.64; p=0.009), 24 hours (-3.99±4.27 vs -8.7±5.35; p=0.023), and 48 hours (-4.06±4.11 vs -7.01±5.46; p=0.009). BES resulted in non-significant higher delta SBE and SID than NS. Additional parameters were not different between both groups.Conclusion: This study showed that fluid resuscitation of DKA patients with BES resulted in slightly but not significantly higher mean actual SBE and SID than NS. suggesting that BES as an alternative fluid resuscitation to prevent hyperchloremic acidosis in diabetic ketoacidosis patients was not superior to NS.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1542
      Issue No: Vol. 26, No. 2 (2017)
  • Does the establishment of universal health coverage drive the foundation
           of postgraduate education for primary care physicians'

    • Authors: Indah S. Widyahening, Rodri Tanoto, Fedri Rinawan, Elsa P. Setiawati, Zorayda E. Leopando
      Pages: 141 - 51
      Abstract: Background: Studying the formation of postgraduate training in primary care within countries which has attained Universal Health Coverage (UHC) is important to support the development of similar training in low-and middle-income countries aiming to achieve UHC by 2030. This review aims to describe the state of postgraduate training for primary care physicians in UHC-attaining countries.Methods: A literature review of published literature and official documents from the websites of regional and global health/primary care organizations or societies such as World Health Organization (WHO), World Organization of Family Doctors (WONCA), European Forum for Primary Care, European Union of General Practitioners (GP)/Family Physicians (FP), European Academy of Teachers in GP/Family Medicine (FM), as well as the websites of GP/FP organizations in each of the respective countries. The list of UHC attained countries were identified through WHO and International Labor Organization databases.Results: A total number of 72 UHC-attained countries were identified. Postgraduate education for primary care physicians exists in 62 countries (86%). Explicit statements that establish primary care postgraduate training were corresponded with the policy on UHC is found in 11 countries (18%). The naming of the program varies, general practice and family medicine were the commonest. In 33 countries (53%), physicians are required to undertake training to practice in primary level. The program duration ranged from 2–6 years with 3 years for the majority.Conclusion: Although UHC is not the principal driving force for the establishment of postgraduate training for primary care physicians in many countries, most UHC-attaining countries make substantial endeavor to ensure its formation as a part of their health care reform to improve national health.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1857
      Issue No: Vol. 26, No. 2 (2017)
  • Targeting pro-protein convertase subtilisin kexin-9 as a novel therapy of

    • Authors: Bambang Dwiputra, Anwar Santoso, Kian K. Poh
      Pages: 152 - 7
      Abstract: Reducing low density lipoprotein (LDL) cholesterol level is an established primary and secondary prevention strategy for coronary heart disease. However, not all patients are able to achieve their LDL targets as recommended by the guidelines. Over the last 10 years, high plasma LDL level is known to be associated with a higher level of pro-protein convertase subtilisin kexin-9 (PCSK-9). Loss-of-function mutations in the PCSK-9 gene is associated with lower plasma LDL level and cardiovascular risk. Since its discovery in 2003, PCSK-9 has triggered many researchers to design a PCSK-9 inhibitor to reduce LDL cholesterol through competitive inhibition of this molecule. Some phase III clinical trials have showed promising results of PCSK-9 inhibitor efficacy in lowering LDL level and improving clinical outcome. This article aims to discuss the role of PCSK-9 in LDL metabolism and the efficacy of PCSK-9 inhibitor in reducing plasma LDL level.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1443
      Issue No: Vol. 26, No. 2 (2017)
  • Leadership in doctor-patient relationship: Implementation on patient’s
           case management in primary care

    • Authors: Retno A. Werdhani
      Pages: 158 - 66
      Abstract: As a care coordinator, primary care physicians (PCP) need planning, organizing, implementation, and evaluation. A model of leadership in medicine needs to be implemented in primary care. Transformational leadership is defined as a leadership style that is suitable for health services. It is similar to a patient-centered approach. Case management should be well prepared and explained in accordance with patient needs, can be agreed upon, as well as implemented with appropriate respective roles. A leader needs to do various aspects related to the managerial process for carrying out the required activities. The same process can also be done by PCPs to achieve patient’s target management. Such activities include planning up to building networks. PCPs are expected to have leadership competencies and transformational leadership to support their performance as care coordinators. This can be obtained through a holistic, comprehensive, integrated, and continuous approach, as well as building relationships with other stakeholders.
      PubDate: 2017-08-18
      DOI: 10.13181/mji.v26i2.1877
      Issue No: Vol. 26, No. 2 (2017)
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