Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb <p>Jurnal Kedokteran Brawijaya, ISSN (online): 2338-0772, is a communication media and a scientific publication in the field of medical science published by Faculty of Medicine, Universitas Brawijaya.</p><p>Jurnal Kedokteran Brawijaya is a <strong>B accredited national journal</strong> (2014-2019) based on the Decree of the Directorate General of Strengthening Research and Development of the Ministry of Research, Technology, and Higher Education Republic of Indonesia No. <strong>040/P/2014 dated February 14, 2014. </strong></p><p>The accreditation status has been renewed base on the Decree of Director General on Strengthening Research and Development of the Ministry of Research, Technology, and Higher Education Republic of Indonesia <strong>23/E/KPT/2019, August 8, 2019</strong>, accredited as <strong>SINTA 2.</strong></p><p>Jurnal Kedokteran Brawijaya contains articles from research focused on basic medicine, clinical medicine, epidemiology, and preventive medicine (social medicine).</p><p>Jurnal Kedokteran Brawijaya is regularly published twice in one year (at the end of February and at the end of August). Jurnal Kedokteran Brawijaya was first published in April 1984.</p><p>Brawijaya Medical Journal has been indexed in <a title="Google Scholar" href="/index.php/jkb/manager/setup/Jurnal%20Kedokteran%20Brawijaya%20is%20published%20twice%20a%20year,%20at%20the%20end%20of%20February%20and%20at%20the%20end%20of%20August.%20Jurnal%20Kedokteran%20Brawijaya%20was%20first%20published%20in%20April%201984.%20ISSN%20(print)%200216-9347,%20ISSN%20(online)%202338-0772.">Google Scholar</a>, <a title="Portal Garuda/Inonesian Publication Index (IPI)" href="http://id.portalgaruda.org/?ref=browse&amp;mod=viewjournal&amp;journal=4387">Portal Garuda / Indonesian Publication Index (IPI)</a>, <a title="SINTA" href="http://sinta2.ristekdikti.go.id/journals/detail?id=759">SINTA Science and Technology Index</a>, and <a title="CrossReff" href="https://search.crossref.org/?q=jurnal+kedokteran+brawijaya">CossReff</a>.</p><p>Citation Profile at <a title="Google Scholar" href="https://scholar.google.co.id/citations?user=SEmvMR4AAAAJ&amp;hl=id&amp;authuser=1">Google Scholar</a> as of January 2020:</p><p>• Number of citations: 1720</p><p>• h-index: 15</p><p>• index i10: 37</p> en-US Authors who publish with this journal agree to the following terms:<br /><br /><ol><li>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a <a href="http://creativecommons.org/licenses/by/3.0/" target="_new">Creative Commons Attribution License</a> that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</li><li>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li><li>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See <a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new">The Effect of Open Access</a>).</li></ol> jkb@ub.ac.id (Dr. dr. Viera Wardhani, M.Kes) jkb@ub.ac.id (Dini Suryaning Mentari) Mon, 28 Feb 2022 16:03:57 +0000 OJS http://blogs.law.harvard.edu/tech/rss 60 Effectiveness of 0.1% Retinol Serum and Astaxanthin Gel on Skin Photoaging https://jkb.ub.ac.id/index.php/jkb/article/view/3011 <p>Skin photoaging is cumulative skin damage due to chronic environmental exposure, especially ultraviolet (UV) light, which interferes with the keratinocyte and fibroblast syntheses by matrix metalloproteinases (MMP). Retinol can improve wrinkles, pigmentation, elasticity, firmness, brightness, and various signs of photoaging on the skin. Astaxanthin is a powerful antioxidant that protects the skin from UV rays, inhibits MMP, and stimulates collagen production. This case report presents 2 cases of women complaining about deep skin wrinkles, dullness, and looseness. Physical examination in the facial region revealed wrinkles when resting in the first patient and wrinkles during motion in the second patient. The first patient was diagnosed Glogau III photoaging, while the second patient was diagnosed Glogau II photoaging. Both patients received astaxanthin gel therapy and SPF 33 sunscreen cream every morning, as well as 0.1% retinol serum every night. There was an improvement after six weeks. Astaxanthin and retinol 0.1% can be used as photoaging therapy. Adequate use of photoprotection is also necessary to prevent the worsening of photoaging.</p> Boedhy Setyanto, Sinta Murlistyarini, Dea Florensia Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3011 Sat, 09 Apr 2022 00:00:00 +0000 Epidermoid Cyst of Sole https://jkb.ub.ac.id/index.php/jkb/article/view/3037 <p>An epidermoid cyst is benign cystic tumor coated with squamous epithelium and contains keratin. It generally appear on the body parts which have pilosebaceous follicles, such as head, neck, and body. The manifestation of the disease is a skin-colored, mobile, painless nodule with a punctum in the center. Epidermoid cyst of sole is often similar to clavus, callus, and verruca plantaris. However, epidermoid cyst of sole is rare because the area is without pilosebaceous follicles. The etiopathology is believed due to trauma that causes implantation of epidermal cells into the dermis layer, thus triggering the formation of epidermoid cysts. This case report a girl with an epidermoid cyst of sole that was initially thought as a verruca plantaris and clavus. A 14-year-old girl complained about a bump on her right foot that got bigger during nine months. The lesions surface was slippery, and the patient felt pain when walking. The patient denied any trauma or changing footwear with friends or relatives. Examination in the right lateral plantar pedis region, a nodule was found skin-colored, round, measuring 2x2 cm, and solitary. The patient was planned to undergo excochleation, but since a white cystic mass was found during the operation, it was continued with extirpation surgery. The histopathological examination results showed a stroma with keratin, which was concluded as an epidermoid cyst. In the case of epidermoid cysts with atypical clinical symptoms and unusual lesion locations, histopathological examination is required for a definite diagnosis.</p> Wuriandaru Kurniasih, Arif Widiatmoko Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3037 Mon, 11 Apr 2022 00:00:00 +0000 Risk Factors for Mortality Due to Covid-19: A Case Study at a Distric Hospital in March-September 2020 https://jkb.ub.ac.id/index.php/jkb/article/view/3019 <p>The Covid-19 pandemic, which becomes a global health problem, has widely impacted not only health but also social, economic, and politics in Indonesia. Previous studies have indicated that the patient's prognosis is influenced by the degree of disease, age, gender, and comorbidities. District hospital in Bojonegoro is a Covid-19 referral hospital and 37,1 % of patients who died in march-september 2020. This study was conducted to identify risk factors for death in patients with Covid-19 in hospital so we can reduce casa fatality rate in district hospital in Bojonegoro. The independent variables in the study were age, gender, and comorbid status, while the dependent variable was the output status (recovered or deceased). The study was conducted at a private hospital in East Java in October 2020 on 104 patients as subjects. Data were analyzed using the chi-square test. The results show that all the factors studied, age p = 0.006, gender p = 0.050, and comorbid status p = 0.001, have a statistically significant relationship with mortality. In short, at this hospital, advanced age, male gender, and comorbidities are the risk factors for Covid-19 death.</p> Luthfiana Husnaini Utami, Dyah Yulia Ariani, Oskar Renagalih Amarta Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3019 Mon, 11 Apr 2022 00:00:00 +0000 Restraint Stress Impacts on Behavioral Changes and Adrenal and Kidney Tissue Histopathology of Adult Mice https://jkb.ub.ac.id/index.php/jkb/article/view/3041 <p>Restraint stress causes changes in the brain parameters. Little research has been done on the impact of restraint stress on other tissues, including adrenal glands and kidneys. This study aimed to determine the effect of restraint stress on eating behaviors, depressive-like, anxiety-like behaviors, weight gain as well as histopathological changes in the kidneys and adrenal glands. Twenty adult BALB/c mice were assigned into control male, stressed male, control female, and stressed female. Restraint stress was applied two hours/day for 14 days. Tail suspension and open field tests were carried out to perform behavior analyses. Adrenal and kidney histological slides were observed under an Olympus CX-31 microscope and visualized using an Olympus E330 camera. The two-way ANOVA test was used for statistical analysis using GraphPad Prism 9.0.0 software. We found that restraint stress defeat appetite and reduces weight gain particularly in stressed female. However, depressive- and anxiety-like behavior were demonstrated in both sexes. Adrenal and kidney tissues of stressed mice demonstrated a higher number of necrotic cells than control. The pyknosis phase was more common than the karyorrhexis and karyolitic phases. Interestingly, male mice were more receptive to stress than female mice. These findings indicate that restraint stress leads to behavioral changes and cellular defects in the adrenal glands and kidneys, particularly in male mice. The sympathetic activation and hypothalamus-pituitary-axis stimulation are assumed as the underlying stress effect of the restraint procedure. The restraint stress method has the potential to be used in future research on stress-responsive target organs.</p> Davy Reyhanditya, Viona Faiqoh Hikmawati, Nia Kurnianingsih, Fatchiyah Fatchiyah Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3041 Thu, 14 Apr 2022 00:00:00 +0000 Combination of Vitamin C and E Improves Spermatogenesis of White Male Rat Model of Paradoxical Sleep Deprivation Stress https://jkb.ub.ac.id/index.php/jkb/article/view/2969 <p>Paradoxical Sleep Deprivation (PSD) elevates glucocorticoid and Reactive Oxygen Species (ROS) levels that cause oxidative stress, trigger spermatogenic cells damage, and reduce the number of sertoli cells. Vitamin C and E are antioxidants that could prevent spermatogenesis damage by preventing free radical formation. The study aimed to determine the effect of single and combined doses of vitamin C and E in improving spermatogenesis of white male rats (Rattus norvegicus) model of PSD. This is experimental research with post-test only and control group design on 28 white male rats distributed into four groups, i.e. group I (control, PSD), group II (PSD+vitamin C), group III (PSD+vitamin E), and group IV (PSD+a combination of vitamin C and E). Testicular preparations were stained using Hematoxylin-Eosin staining, quantitative scores of spermatogenic cells were measured using the Johnsen method, and the number of sertoli cells was counted in 10 seminiferous tubules in each of the three testicular sections. Group I has the lowest mean of Johnsen score (5.27±0.28), and group IV has the highest mean score (8.95±0.62), while the Mann-Whitney test showed a significant difference (p&lt;0.05) between group II, III and IV compared to group I (control group). Mean sertoli cells number of group I is the lowest (10.66±1.04), and group IV has the highest sertoli cells number. The post-hoc LSD test showed a significant difference (p&lt;0.05) between group IV and the other groups. Thus, the combination of vitamins C and E improves Johnsen score and sertoli cells number of male rats (Rattus norvegicus) experiencing PSD.</p> Fitranto Arjadi, Mustofa Mustofa, Yudhi Wibowo, Nur Signa Aini Gumilas, Dzicky Rifqi Fuadi Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/2969 Mon, 11 Apr 2022 00:00:00 +0000 Evaluation of the Antifertility Effect and Toxicity of Areca nut as Oral Contraceptive: Study on Male Rats https://jkb.ub.ac.id/index.php/jkb/article/view/3104 <p class="Englishversionofabstract">Currently, very few male contraceptive methods are available. Areca nuts are known to have an antifertility effect, but the effective, safe dose is not certainly known. Data on its effectiveness and safety are needed to develop the potential of the areca nuts as an herbal contraceptive in men. This study determines the antifertility effect of areca nut administration at doses of 40, 30, and 20 mg/kgBW and their safety on the kidneys and liver. The green-colored raw areca nuts were used. The treatment groups were male rats whose fertility status was known before treatment. The control group were given distilled water. The treatment were given one dose a daily dissolved for 28 days of treatment, then male rats were bred again. Rats were terminated for histopathological examination of liver, kidneys, testes, and for analysis of spermatozoa. The administration of areca nuts caused a decreasing number of litters, but only the group given 40 mg/kgBW dose had a significant decrease (p&lt;0.05). There were a damaged testes, a decreasing number and motility of spermatozoa as well as increasing spermatozoa abnormalities. There were no changes in liver tissue, but there was a mild grade cast in kidney tissue. Areca nut have antifertility effect in male rats with dose dependent manner, histopathological examination revealed cast nephotoxic but not hepatotoxic.</p> Ave Olivia Rahman, Hasna Dewi, Billi Brian Geniro, Easti Vishiara Amdely Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3104 Mon, 11 Apr 2022 00:00:00 +0000 Validation of TWIST (Testicular Workup for Ischemia and Suspected Torsion) Score System for Differential Diagnosis in Acute Scrotum in Tertiary Teaching Hospital https://jkb.ub.ac.id/index.php/jkb/article/view/2991 <p class="TM">The acute scrotum is a common urological emergency and has a broad differential diagnosis. There is no clear consensus on a particular algorithm to follow in the diagnosis of testicular torsion. Testicular Workup for Ischemia and Suspected Torsion (TWIST) Score, a risk scoring system based on signs and symptoms, can be invaluable in managing patients with the acute scrotum, specifically testicular torsion. This study aimed to evaluate the effectiveness of the TWIST scoring system for differential diagnosis of acute scrotal patients. The study was conducted using secondary data, medical records from 111 male patients diagnosed with acute scrotum in Saiful Anwar General Hospital Malang between January 2015 and December 2018. Data about the onset of pain, first contact, history, physical examination findings, any adjunct test performed, and intra-operative findings were collected. The effectiveness of the TWIST score in diagnosing testicular torsion was determined by calculating the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Of the 111 patients, 43 patients (38.7%) had testicular torsion. The mean age was 17.49 (6.69) years. A total of 39 patients were classified as high risk as per the TWIST Score with cut point 5 had 83.7% sensitivity, 95.6% specificity, 92.3% positive predictive value (PPV), and 90.3% negative predictive value (NPV). The area under the curve was 0.93. The use of the TWIST Score in clinical practice can accurately determine high-risk patients who can proceed straight to the operating theatre without the need for an ultrasound.</p> Nyoman Gede Prayudi, Besut Daryanto, Taufiq Nur Budaya Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/2991 Sat, 09 Apr 2022 00:00:00 +0000 Effectiveness of Hyaluronic Acid Nasal Drops in Post Functional Endoscopic Sinus Surgery https://jkb.ub.ac.id/index.php/jkb/article/view/3051 <p>Functional Endoscopic Sinus Surgery (FESS) is commonly performed on patients with chronic rhinosinusitis (CRS) that has not improved through medical treatment. Hyaluronic acid (HA) has a vital role in wound healing and mucosa repair. This study aimed to determine the effectiveness of nasal drops using HA on clinical symptom scores, quality of life, and endoscopic features in post-FESS patients. This study was conducted with a pre- and post-test randomized control group design in 50 CRS patients undergoing FESS (25 males, 25 females, aged 18 to 55 years) at Dr. Kariadi General Hospital Medical Center Semarang from May to November 2019. The treatment group received additional HA therapy, while the control group only received standard therapy. Subjects were assessed with clinical symptom scores, quality of life, and endoscopic features before and after treatment. The statistical analysis was performed between the control and treatment groups using the Mann-Whitney test. There were significant differences between the control and treatment groups on clinical symptom scores (nasal congestion p = 0.001, runny nose p = 0.027) and endoscopic features (edema p = 0.001, secret p = 0.001, crusts p = 0.001). The therapy in post-FESS patients was using nasal drops, the treatment group was given HA, and the control group was given a placebo. Nasal drops using HA in the treatment group show improvement in clinical symptom scores of nasal congestion and runny nose, as well as the endoscopic appearance of edema, secret, and crusts.</p> Dian Yusnita, Anna Mailasari Kusuma Dewi, Riece Hariyati Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3051 Tue, 12 Apr 2022 00:00:00 +0000 Baseline Stroke Severity as a Predictor of 30-Day Post-Ischemic Stroke Disability Outcome https://jkb.ub.ac.id/index.php/jkb/article/view/3000 <p>More than 50% of patients who survived stroke have a chronic disability. The National Institute of Health Stroke Scale (NIHSS) is a scoring system to determine the neurologic deficit of a stroke patient. This study analyzed stroke severity based on baseline NIHSS score as a determinant for 30-day post-ischemic stroke disability. This study method uses a retrospective cohort design based on medical records and stroke registry of ischemic stroke patients in Bethesda Hospital Yogyakarta. During admission, the predictive factors for the disability of the study subjects were evaluated. The baseline NIHSS assessment score was measured at 1x24 hours after admission. Disability was measured using a simplified modified Rankin Scale questionnaire (smRSq) Indonesian version at 30-day post-ischemic stroke. Statistical analysis includes univariate, bivariate, and logistic regression multivariate data analysis. The subjects were 84 patients with ischemic stroke. Disability at 30-day post-ischemic stroke occurred in 22 patients (26.2%). Logistic regression multivariate analysis show that Neutrophil to Lymphocyte Ratio (NLR) (RR: 4.488, CI: 1.873–10.756, p: 0.001) and baseline NIHSS score (RR: 28.563, CI: 2.891–282.181, p: 0.004) together significantly affect the mRS of 30-day post-ischemic stroke. Patients admitted with a higher baseline NIHSS score have a 28.5 fold risk for a worse functional outcome than those with lower baseline NIHSS scores. Stroke severity based on baseline NIHSS score is a determinant factor for disability in patients at 30-day post-ischemic stroke.</p> Diana Teresa, Rizaldy Taslim Pinzon, Sugianto Adisaputro Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3000 Sat, 09 Apr 2022 00:00:00 +0000 The Use of PILA-Pack: Differences in Length of Stay of Hemorrhoidal Patients https://jkb.ub.ac.id/index.php/jkb/article/view/3040 <p>Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) of hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared to a hemorrhoidectomy. This study consisted of 56 respondents who underwent hemorrhoidectomy, and the other 56 respondents experienced a modified combined method of rubber ligation and sclerotic injection using a PILA pack. Data showed the LOS's average of respondents who underwent hemorrhoidectomy was 47.33 hours or 1.97 days. Meanwhile, respondents' average length of stay who underwent a modified combined rubber ligation and sclerotic injection using a PILA pack was 20.44 hours or 0.85 days. Finally, the T-test results showed a p-value of 0.001 (p&lt;0.05), indicating that there was a statistically significant difference in the average LOS between hemorrhoidal patients who underwent hemorrhoidectomy and hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using PILA pack. Based on the result, it can be concluded that the mean LOS for hemorrhoidal patients receiving haemorrhoidectomy vs. hemorrhoidal patients undergoing a modified technique of rubber ligation and sclerotic injection utilizing the Paran Injection Ligation for Ambeien pack was significantly different.</p> Fadli Robby Amsriza, Rizka Fakhriani Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3040 Tue, 12 Apr 2022 00:00:00 +0000 Correlation between Nurse Practice and Pre-hospital Ambulance Service Satisfaction in Bali https://jkb.ub.ac.id/index.php/jkb/article/view/3014 <p>The pre-hospital emergency service was the first guard of nursing and treatment delivery. The pre-hospital ambulance service could be used to offer first aid to the patient or victim who experienced trauma or non-trauma with unpredictable condition. The improvement of service quality on emergency sector was required to assure that the health service was given and performed well. This research was aimed to analyze the correlation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The correlative analytic research method and cross sectional approach were exerted to accomplish this research. The total sample was 271 respondents which were consisted of 144 patients and 127 nurses. The result of Spearman-rank referred p value 0.024; r 0.189 which it was indicated a significant relation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The nurse practice was instituted through educational degree and training experience. The improvement of nurse practice value was in line with the pre-hospital ambulance service satisfaction value in Bali.</p> I Wayan Edi Sanjana, Titin Andri Wihastuti, Nurul Muslihah Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3014 Tue, 12 Apr 2022 00:00:00 +0000 Relationship of Depression and Sleep Quality among North Jakarta Medical Students during the COVID-19 Pandemic https://jkb.ub.ac.id/index.php/jkb/article/view/3070 <p class="Englishversionofabstract">Medical students with high academic load have had elevated baseline rates of depression and poor sleep quality. During the COVID-19 pandemic, medical students are more susceptible to depression and poor sleep quality. This study aimed to analyze depression and sleep quality among medical students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia (FKIK UAJ) during the COVID-19 pandemic. A cross-sectional study was conducted among pre-clinical and clinical students of FKIK UAJ academic year 2020/2021. Respondents were selected through proportional systematic random sampling to fulfill the Patient Health Questionnaire-9 (PHQ-9) and Pittsburgh Sleep Quality Index (PSQI) for depression and sleep quality. The data were analyzed using Mann Whitney U-Test. There were 63.3% of 635 respondents with depression, in which 39.4% respondents had mild depression, 14.2% respondents with moderate depression, and 9.8% respondents with severe depression. There were 59,2% of respondents with poor sleep quality. Depression was highest in females (67.2%) and pre-clinical stage of 2020 intake year (74.6%), and among clinical level students of 2018 (56%) and 2019 (53.9%) intake year. Poor sleep quality was also highest in females (62.8%) and pre-clinical 2020 intake year (69.8%), and among clinical level students of 2018 (53%) and 2019 (51.9%) intake year. The Mann-Whitney U-test showed a significant difference between depression level and sleep quality in pre-clinical and clinical students of FKIK UAJ during the COVID-19 pandemic (p value=0.000). Depression and sleep quality among medical students of FKIK UAJ during the COVID-19 pandemic were significantly associated.</p> Annabella Naida Tanusetiawan, Surilena Surilena, Nelly Tina Widjaja, Dharmady Agus Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3070 Sat, 09 Apr 2022 00:00:00 +0000 Relationship between Nutritional Status, Frailty, and Cognitive Function among Elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin https://jkb.ub.ac.id/index.php/jkb/article/view/3045 <p>The elderly often have nutritional problems. The risk of malnutrition can stimulate the prevalence of frailty and declining cognitive function in the elderly. The study aimed to analyze the relationship between nutritional status, frailty, and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh Hospital Banjarmasin. This study was analytic observational using a cross-sectional method. A sample of 93 elderly was obtained using a total sampling technique according to the inclusion and exclusion criteria. The nutritional status assessment was done using the Mini Nutritional Assessment-Short Form (MNA-SF), the Edmonton Frailty Scale (EFS), and the Mini-Mental State Examination (MMSE). The results showed that the mean of Mini Nutritional Assessment score was 12.00±2.126, the average frailty score was 4.41±1.872, and the average value of cognitive function was 25.98±2.923. Data were analyzed using the Spearman's non-parametric correlation test with a 95% confidence level. The correlation test results between nutritional status and frailty obtained p=0.000 and r=-0.490. The correlation test results between nutritional status and cognitive function obtained p=0.000 and r=0.595. In short, there is a relationship between nutritional status on frailty and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin, it means that the good nutritional status in the elderly, the risk of frailty syndrome will decrease and improve cognitive function.</p> Wiwit Agung Sri Nur Cahyawati, Roselina Panghiyangani, Muhammad Syauqi Abid Muslim, Novia Belinda Rahman Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/3045 Mon, 11 Apr 2022 00:00:00 +0000 The Theory of Planned Behavior to Identify Out-of-Hospital Cardiac Arrest (OHCA) Bystanders' Intentions https://jkb.ub.ac.id/index.php/jkb/article/view/2999 <p class="Englishversionofabstract">The theory of planned behavior states that intention is the best predictor of behavior. The intention to perform a behavior is determined by a person's attitude, subjective norms, and perceived behavioral control. As volunteers in the health sector, volunteers of the Indonesian Red Cross (PMI) have been equipped with knowledge and skills regarding the role of an OHCA bystander. Besides, the intentions of PMI volunteers greatly affect a person's tendency to be willing or unwilling to become an OHCA bystander. This study aims to apply the theory of planned behavior in identifying the factors that influence the intentions of PMI volunteers in acting as OHCA bystanders and the dominant factors that affect intentions. This study used an observational research type with a cross-sectional approach. The respondents in this study were 105 PMI volunteer members in Tuban Regency, which were conducted using the purposive sampling technique. In determining the most dominant factor that influenced intention, ordinal logistic regression analysis was used in which it was shown that the variable used in the last modeling analysis stage was the subjective norm (OR= 6.19). Based on the results of the analysis, it can be concluded that subjective norms are the most predictor factor that influences intentions.</p> Zenita Habibatul Ilmiyah, Sri Andarini, Tony Suharsono Copyright (c) 2022 Jurnal Kedokteran Brawijaya https://jkb.ub.ac.id/index.php/jkb/article/view/2999 Mon, 11 Apr 2022 00:00:00 +0000