Muhammadiyah Medical Journal

Effectiveness of Dhikr Istighfar in Reducing OSCE-Related Anxiety among Medical Students

Imelda Purnama Sari — 2025-03-28

Background: The prevalence of anxiety among medical students is still relatively high, including in Objective Structured Clinical Examinations (OSCE). This anxiety will have an impact on students' academic achievement. Relaxation techniques can be used to overcome anxiety incidents, and dhikr is a form of relaxation activity. Purposes: This research aimed to determine the decrease in student anxiety about the OSCE exam by dhikr istighfar. Methods: The method used in this research was quasi-experimental research with a pre-posttest and control group design. The research subjects were students of the Muhammadiyah University Palembang first-semester medical study program who would undergo the OSCE block exam and were willing to participate in this research through informed consent. Result: Research data analysis showed that comparison between pretest and posttest for each group also showed significant differences (P < 0.001). It means that dhikr istighfar is significantly effective in reducing students’ anxiety, especially during OSCCE. Conclusion: In conclusion, Dhikr Istighfar may be used as an anxiety management tool in medical education to overcome the anxiety level of students who will take exams, especially OSCE.

Hemodynamic Monitoring of Transcatheter Closure in Patients with Patent Foramen Ovale: A Case Study

Anita Julianthi — 2025-03-28

Patent Foramen Ovale (PFO) is a congenital cardiac anomaly characterized by the persistent opening of the foramen ovale, resulting in a right-to-left shunt due to incomplete closure of the interatrial septum after birth. Incidences of PFO is about 25% or 1 in 4 people in the world's population. Methods: this case study aimed to assess hemodynamic changes during transcatheter closure of PFO in an adult patient. The procedure was monitored for changes in ECG, pulse rate, and blood pressure, highlighting potential risks such as puncture wounds. Findings suggest that comprehensive hemodynamic monitoring is essential during PFO closure procedures. A 66 years old man with a history of symptoms of slurred speech symptoms staggering and then fainting then the PFO closure that is taken during disease management during January - May 2024 at RSUPN Dr. Cipto Mangunkusumo (RSCM). Results: during the PFO Closure procedure, there were changes in the ECG rhythm from Sinus Rhythm to PVC Rythm, decrease pulse rate, decrease in the patient's blood pressure from 176/89 to 118/78 mmHg, as well as risks such as puncture wounds. Conclusion: hemodynamic monitoring during transcatheter closure of Patent Foramen Ovale (PFO) is crucial to detect potential changes and complications. Close surveillance is necessary to identify and promptly manage procedural risks.

Comparison of Thoracic Radiography in Patients with Moderate COVID-19 with Diabetes Mellitus and without Diabetes Mellitus at Jakarta Islamic Hospital Pondok Kopi

Reny Luhur Setyani — 2025-03-28

Background: Coronavirus Disease-19 (COVID-19) is still a health problem worldwide, including in Indonesia. Each individual's symptoms are different and can be affected by comorbidities such as Diabetes Mellitus (DM). Diabetes Mellitus is believed to worsen the COVID-19 disease. Therefore, an RT-PCR examination and radiological examination using the Brixia Score are needed to diagnose and evaluate COVID-19 disease. Purpose: To compare thoracic radiography in patients with moderate COVID-19 with DM and without DM at Jakarta Islamic Hospital Pondok Kopi in January – December 2021 by using Brixia Score as a tool to help determine the severity and prognosis of COVID-19 patients. Methods: This study uses analytic observational research, namely, a cross-sectional approach from secondary data using medical records. Statistical test analysis using the independent t-test. Result: From 54 samples of moderate-degree COVID-19 patients at RSIJ Pondok Kopi (24 people without DM and 30 people with DM), It was found that men and women have the same number, namely 12 people (50%). The majority of Brixia scores in the group without DM is 6 – 10, as many as 12 people (50%), while in the group with DM as 11 – 15, as many as 18 people (60%). The group with DM had a higher Brixia Score than those without DM. The thoracic radiography on the lower zone of the group with DM is dominantly alveolar infiltrate. Conclusion: There is a significant difference in the Brixia score of moderate degree COVID-19 patients without DM and with DM (p<0.001).

Work Duration and Working Posture on Musculoskeletal Disorders (MSDs) in Inter-City Inter-Provincial Bus Drivers at Mengwi Terminal

Dewa Gede Bagus Wira Laksana — 2025-03-28

Background: Every job has risks caused by the work environment, tools, and processes. One of the diseases resulting from work risks that most often appears among workers is Musculoskeletal Disorders (MSDs). One of the factors that can influence the occurrence of musculoskeletal complaints is work duration and work posture. MSDs complaints can be measured using the Nordic Body Map (NBM). This work posture is measured by the Rapid Upper Limb Assessment (RULA) questionnaire. Purposes: This study aims to determine the correlation between duration and work posture toward musculoskeletal disorders in inter-city inter-provincial bus drivers at Mengwi Terminal. Methods: This research uses an analytical design with a cross-sectional study or cross-sectional approach. Sampling was carried out by consecutive sampling. Based on the sample size formula, a minimum 30 plus 10% sample was obtained to make 33 respondents. In this research, the author will use 40 respondents. The data received will be analyzed univariately and bivariately using the SPSS version 25 application with the Spearman correlation test. The significance level is p < 0.05 with a CI of 95%. Results: The research results show the following: there is a significant correlation between work duration and attitude with MSDs (r=0.674) for work duration and (r=0.574) for working posture. Conclusion: It can be concluded that the correlation between duration and work attitudes and MSDs is strong. Employees are recommended to minimize work duration and have a work attitude with an ergonomic approach.

Relationship between Vitiligo Disease and Quality of Life of Patients at Sanjiwani Gianyar Regional General Hospital

Ratih Prasanthi Dewi — 2025-03-28

Background: Vitiligo is an idiopathic skin disorder of acquired depigmentation that burdens patients’ lives. This disorder often causes problems that can affect the psychological and social well-being of patients and ultimately affect their quality of life. Purposes: This study aims to determine the relationship between vitiligo disease and patients’ quality of life at Sanjiwani Gianyar Hospital. Methods: This type of research is analytically observational with a cross-sectional approach. Data were collected by filling out the DLQI questionnaire. All data collected was analyzed using univariate and bivariate analysis. The research results are declared significant if the p-value is <0.05 and not significant if the p-value is >0.05. Results: The results showed that most vitiligo patients were in the age range of 30-39 years (30%), female (26%), high school education level (28%), unmarried (38%), self-employed and traders (20%), and generalized vitiligo classification (80%). The PR value of 3.33 (95% CI: 1.614-6.879) indicates vitiligo patients have at least a moderate to considerable influence on their quality of life by three times and at most six times. Based on the results of bivariate statistical tests using chi-square, the p-value = 0.000 (p < 0.05), which means the result is significant. Conclusion: Vitiligo disease is significantly related to patients' quality of life at Sanjiwani Gianyar Regional General Hospital.

Analysis of Pain and Depression Level in Knee Osteoarthritis Patients at Islamic Hospital Siti Rahmah

Mutiara Anissa — 2025-03-28

Background: Knee osteoarthritis is a degenerative joint disease involving slow cartilage damage. Pain is the main symptom of osteoarthritis, and it causes patients to feel desperate, which further affects their emotional well-being, leading to depression. Purposes: This study aims to determine the relationship between the level of pain and the level of depression in knee osteoarthritis patients at RSI Siti Rahmah Padang. Methods: The materials used in this study are medical records, the Patient Health Questionnaire (PHQ)-9, and the Visual Analog Scale (VAS). This research uses univariate data analysis presented in the form of frequency distribution. Bivariate data analysis uses the chi-square, cross-sectional technique with 75 respondents. Results: Knee osteoarthritis patients with severe pain mostly also experience severe depression, with a percentage of 11%; patients with moderate pain mostly also experience moderate depression, with a rate of 14%; and patients with mild pain also experience mild depression, with a percentage of 10%. Bivariate analysis results show that there is a relationship between the level of pain and the level of depression with a value of p <0.05 (p = 0.000). Conclusion: This study found a relationship between the level of pain and the level of depression in knee osteoarthritis patients at RSI Siti Rahmah Padang.

Comparison of Depression Levels between Medical and Engineering Students at Universitas Muhammadiyah Jakarta

Riska Indri Nadila — 2025-07-17

Background: Medicine and engineering faculties are noted for their vigorous learning intensity and high degree of academic difficulty, making them vulnerable to mental health illnesses such as depression. Purpose: To compare depression levels between medical and engineering students at Universitas Muhammadiyah Jakarta. Method: This study employed a cross-sectional design. Medical and Engineering students were given the Beck Depression Inventory II (BDI-II) questionnaire. The sample size consists of 152 people, collected through purposive sampling. The Mann-Whitney test was used for analysis (p = 0.05, 95% CI). Result: Age 21 (25.0%) was the most frequent age, while age 17 (2.6%) was the least frequent. Based on gender, the male respondents consisted of 87 people (57.2%), and the female respondents consisted of 65 (42.8%). The medical and engineering student groups each had 76 respondents (50.0%). Only 40.8% of medical students reported depression, compared to 63.1% of engineering students (p = 0.001). Conclusion: Engineering students experience more depression than medical students.

Clinical Features of Pulmonary Tuberculosis Patients Performing Molecular Rapid Test at Jakarta Islamic Hospital Cempaka Putih

Fida Alia Shabrina — 2025-07-21

Background: Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. This germ has a dormant phase, which causes the healing process to take a long time, thereby increasing the risk of discontinuing drug consumption in TB patients. This has resulted in resistance to several types of anti-tuberculosis drugs, one of which is Rifampicin, a first-line drug in TB treatment. Rifampicin-resistant TB (RR-TB) requires rapid and precise diagnosis and treatment, namely the PCR method using the GeneXpert tool. Purposes: To find out the clinical features of pulmonary tuberculosis patients performing TCM GeneXpert at the Jakarta Islamic Hospital Cempaka Putih in January – June 2022. Methods: This study employs a descriptive observational method, which describes a clinical feature based on secondary data (medical records) from adult pulmonary TB patients undergoing TCM at RSIJ Cempaka Putih. Results: Among patients examined by Molecular Rapid Test, 64 individuals (59.3%) were MTB-detected, and among them, 12 individuals (18.8%) had rifampicin resistance. The highest positivity value from the results of MTB-detected was MTB-Medium Detected, namely 11 people (10.2%). The most common clinical symptom in pulmonary TB patients was cough with phlegm, which was 67 people (62%), and the comorbidity that most patients suffered was diabetes mellitus, which was 21 people (19.4%). Conclusions: The frequency distribution of the Molecular Rapid Test (MRT) results showed that 59.3% of the MTB-detected cases were rifampicin-resistant, with 18.8% of the total. Cough with phlegm is the most common clinical symptom experienced by TB patients, namely 62%.