Garuda - Garba Rujukan Digital

Factors Influencing The Incidence Of Stress Fractures Based On The Characteristics of Command Education Students At The Special Forces Command Education And Training Center In Batujajar, West Java, Indonesia: A Retrospective Approach With Secondary Data claudiva kirana; Dian Andriani Ratna Dewi; Sissy chen; sausan maulida
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 1 (2026): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i1.34

Stress fractures caused by repetitive mechanical loading represent a significant threat to physical performance and operational readiness among military personnel. This study aimed to identify factors associated with stress fracture occurrence among command education students at the Special Forces Education and Training Center in Batujajar, West Java, Indonesia. A retrospective descriptive study was conducted using secondary data from forty-three documented stress fracture cases collected over a six-year period. The variables analyzed included age, body mass index (BMI), and anatomical location of the fracture. Data were analyzed using univariate and bivariate descriptive analysis to characterize the distribution of stress fractures based on the studied variables. The results showed that the majority of cases occurred in individuals aged 20–25 years (90.7%), with the left tibia being the most frequently affected anatomical site (34.9%). All subjects had BMI values within the normal range, indicating no significant association between abnormal BMI and stress fracture occurrence. These findings suggest that age and fracture location are key characteristics of stress fractures among command education students. The study provides evidence to support the development of targeted prevention and early intervention strategies aimed at reducing stress fracture incidence, improving training completion rates, and enhancing the operational readiness of special forces personnel.

Autoimmune Bullous Diseases In Pregnancy: A Systematic Review Of Clinical Presentation, Management, And Outcomes sausan maulida; Dian Andriani Ratna Dewi
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 1 (2026): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i1.36

Background: Autoimmune bullous diseases during pregnancy are rare but clinically significant conditions that require special attention due to pregnancy-related immunological changes and the potential risk of maternal and fetal complications. Objective: This systematic review aimed to summarize the clinical characteristics, management strategies, and maternal–fetal outcomes of autoimmune bullous diseases occurring during pregnancy. Methods: A systematic review was conducted in accordance with the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, Web of Science, Embase, and the Cochrane Library for studies published between January 2021 and January 2025. From the 309 articles initially identified, 10 studies met the inclusion criteria and were included in the qualitative synthesis. Results: Pemphigoid gestationis was the most frequently reported autoimmune bullous disease, with disease onset predominantly occurring during the second to third trimester of pregnancy. Clinical manifestations varied widely, ranging from mild localized lesions to generalized bullous eruptions. Systemic and topical corticosteroids were the mainstay of treatment and were associated with favorable maternal outcomes in most cases. Reported maternal complications included intrauterine growth restriction (33%), oligohydramnios, and gestational hypertension. Neonatal involvement was observed in approximately 10–17% of cases and was generally self-limiting with a good prognosis. Conclusions: The management of autoimmune bullous diseases during pregnancy requires a multidisciplinary approach to optimize both maternal and fetal outcomes. However, current evidence remains limited, highlighting the need for further studies to establish standardized and evidence-based management protocols.

Cutaneous Anthrax In The Era Of Biodefense: Clinical Recognition, Biosurveillance, And Biosecurity Implications For Modern Health Care Systems — A Systematic Review sausan maulida; Dian Andriani Ratna Dewi
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 1 (2026): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i1.38

Background: Cutaneous anthrax represents the most frequent clinical manifestation of Bacillus anthracis infection with dual threat as endemic zoonotic disease and potential bioterrorism agent, necessitating modern health systems to integrate proactive biosurveillance capabilities with robust biosecurity protocols for epidemiological and national security risk mitigation. Objective: To identify pathognomonic clinical characteristics and differential diagnostic algorithms, evaluate effectiveness of integrated biosurveillance platforms in detecting outbreak early warning signals, and formulate biosecurity implications for policy development and operational readiness of health facilities. Methods: Systematic literature review utilizing PubMed, Scopus, Web of Science, and Google Scholar databases covering 2015-2025 period with inclusion criteria of original research articles, systematic reviews, and clinical guidelines. Seven high-quality articles were analyzed using thematic narrative synthesis. Results: Identification of diagnostic complexity requiring laboratory confirmation through bacteriological culture or molecular testing, temporal gap in notification averaging 6.3 days, environmental pathogen persistence of 11.40% in soil samples, seroprevalence 9-11% in high-risk populations, and corticosteroid therapy efficacy in edema reduction (P<0.002). Conclusion: Optimization of clinical recognition through molecular diagnostic integration, strengthening biosurveillance architecture based on spatiotemporal One Health analysis, and formulation of responsive biosecurity policy represent essential pillars of preparedness against emergent biological threats. Keywords: Cutaneous Anthrax, Biosurveillance, Biosecurity

Sutureless Electrocautery-Assisted Excision of a Recurrent Giant Earlobe Keloid Following Piercing: A Case Report Dian Andriani Ratna Dewi; Juliandra Firdaus; Khufitha Tasya
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 1 (2026): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i1.45

Background: Auricular keloids represent challenging fibroproliferative scars frequently induced by ear piercing and are characterized by a high recurrence rate, especially following repeated surgical interventions. In cases of recurrent earlobe keloids, minimizing further trauma and wound tension is critical to reducing the likelihood of subsequent recurrence. Case illustration: A 22-year-old woman presented with a recurrent, giant keloid on the right earlobe subsequent to ear piercing. The lesion had progressively enlarged over a 10-year period, despite four prior surgical interventions and corticosteroid injections. Clinical examination identified a firm, raised, pinkish keloidal mass measuring 7 × 5 × 3 cm. Electrocautery-assisted excision and debulking were performed under local and tumescent anesthesia. The wound was deliberately left unsutured to prevent additional puncture trauma, foreign-body reaction, and wound-edge tension. Postoperative care included local wound management, topical antibiotic and tulle dressings, and pressure therapy, facilitating healing by secondary intention. Discussion: Electrocautery enabled controlled tissue removal with simultaneous hemostasis and minimal manipulation of surrounding skin. Avoiding primary suturing was considered important because suture-related dermal trauma and tension may reactivate abnormal fibroblast activity in keloid-prone tissue. Combined with pressure therapy, this sutureless approach supported gradual wound remodeling. Conclusion: Electrocautery-assisted sutureless excision, followed by secondary intention healing and pressure therapy, may serve as an alternative strategy for selected cases of recurrent giant earlobe keloids. No clinical recurrence was observed at 12-month follow-up.

Title

Found 4 Documents
Search

Abstract

Abstract

Abstract

Abstract

Title Search

Found 4 Documents Search

Abstract

Abstract

Abstract

Abstract

Title

Found 4 Documents
Search