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INDONESIA
Indonesian Journal of Medicine
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490265     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Indonesian Journal of Medicine (IJM) is an international, open-access, and double-blind peer-reviewed journal, focusing on the intersection of biomedical science, clinical medicine, and community medicine. The journal began its publication on August 20, 2015, and is published online three times yearly. It is academically designed for all physicians, health researchers, and health care professionals, regardless of their medical specialties, or type of employment.
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Articles 8 Documents
 1 
Search results for , issue " Vol 1, No 3 (2016)" : 8 Documents clear
Difference in Anxiety between Left and Right Hemispheric Lesions of Ischemia among Patients with Stroke at Dr. Moewardi Hospital Shofri, M Maulana; Hartanto, O S; Murti, Bhisma
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The difference of lesion location and anxiety usually manifests into different signs and symptomps based on the patient’s lesion location. This study aimed to determine the difference in anxiety between left and right hemispheric lesions of ischemia among patients with stroke.Subjects and Method: This was an analytic observational study with cross sectional design. A total sample of 30 patients with stroke consisting of 15 patients with left hemisphere lesion and 15 patients with right hemisphere lesion of ischemia was selected by random sampling. Anxiety was assessed using Hamilton Rating Scale for Anxiety (HRSA) questionnaire. The data were analyzed by multiple linear regression.Results: After controlling for family supports as confounding factor, this study showed significantly lower anxiety in patients with left hemispheric lesion ischemia than patients right hemispheric lesion (b= -2.77; p = 0.039). Family support lessened anxiety among patients with stroke (b=-5.21; p=0.003).Conclusion: Anxiety in stroke patients with left hemispheric lesion of ischemia is lower than stroke patients with right hemispheric lesion.Keywords: anxiety, ischemic stroke, left hemispheric lesion, right hemispheric lesionCorrespondence: M. Maulana Shofri. Faculty of Medicine, Sebelas Maret University, Surakarta.Indonesian Journal of Medicine (2016), 1(3): 146-151https://doi.org/10.26911/theijmed.2016.01.03.01
Effect of Gestational Biological, Social, Economic Factors on Undernutrition in Infants 6-12 Months in Cilacap Septikasari, Majestika; Akhyar, Muhammad; Wiboworini, Budiyanti
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Undernutrition in children under five can cause disorder in the physical growth, mental development, low intellegence, or even death. This study aimed to test the hypothesis that under nutrition in infants aged 6-12 months is associated with gestational biological, social, and economic factors.Subjects and Method: This was an analytic and observational study with case control design. This study was conducted in Cilacap, Central Java. A total of 144 infants aged 6-12 months were selected by fixed disease sampling, consisting of 72 undernutrition cases and 72 control. The dependent variable was undernutrition. The independent variables were birthweight, breastfeeding complementary food intake, exclusive breastfeeding, maternal education, paternal education, family income, MUAC at pregnancy, intra-household food allocation, and rural-urban residence. The data were collected by questionnaire and anthropometry. The data were analyzed by multiple logistic regression.Results: Birthweight <2500 gram (OR=8.12; 95% CI=0.92 to 71.64; p=0.059), inadequate intake of breastfeeding complementary food (OR=3.93; 95% CI=1.59 to 9.75; p=0.003), and non-exclusive breastfeeding (OR=2.46; 95% CI=1.13 to 5.36;  p=0.023) increased the risk of undernutrition in infants aged 6-12 months. Paternal education (OR=1.50; 95% CI=0.61 to 3.71; p=0.377), family income (OR=2.54; 95% CI= 1.03 to 6.28; p=0.43), MUAC (OR=1.32; 95% CI=0.512 to 3.38; p=0.562), intra-household food allocation (OR=1.84; 95% CI=0.85 to 4.02; p=0.123), maternal education (OR=0.78; 95% CI=0.31 to 1.97; p=0.599) and rural-urban residence (OR=0.82; 95% CI= 0.36 to 1.85; p=0.630) had non-significant effect on the risk of undernutrition in infants aged 6-12 months.Conclusion: Birthweight <2500 gram, inadequate intake of breastfeeding complementary food, and non-exclusive breastfeeding increase the risk of undernutrition in infants aged 6-12 months. Paternal education, family income, MUAC, intra-household food allocation, maternal education and rural-urban residence have non-significant effect on the risk of undernutrition in infants aged 6-12 months.Keywords: birthweight, gestational, biological, social, economic factors, undernutrition, infants aged 6-12 monthsCorrespondence: Majestika Septikasari. School of Health Al-Irsyad Al-Islamiyyah Cilacap, Central Java. Email: jeaflava@gmail.comIndonesian Journal of Medicine (2016), 1(3): 184-194https://doi.org/10.26911/theijmed.2017.02.01.06
Association Between Parental Education, Occupation, Income, Language Activity, and Language Proficiency in Children Aji Pratomo, Hafidz Triantoro; Adriani, Rita Benya; Akhyar, Muhammad
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Language proficiency should be mastered by children before school admision. The process of language development was affected by cognitive and neurologic maturity. Language proficiency determine communication foundation, social and academic interaction. Children with retardation in language proficiency may encounter problem in the social and academic relationship. This study investigated the association between parental education, occupation, income, language activity, and language proficiency in children.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted  in Gondangrejo sub-district, Karanganyar, Central Java. A total sample of 102 children aged 4 to 5 years were selected for this study. The dependent variable was language proficiency. The independent variables were parental education, occupation, income, and language activity. The data were collected by a set of questionnaire and analyzed by multiple logistic regression.Results: Parental education ≥ senior high school (OR= 2.95; 95% CI= 1.03 to 8.39; p= 0.043), employed parents (OR= 3.45; 95% CI= 1.27 to 9.39; p= 0.015), family income ≥ regional minimum wage (OR= 6.35; 95% CI= 2.02 to 19.93; p= 0.002), and intense language activity (OR= 4.32; 95% CI= 1.61 to 11.51; p= 0.003) were associated with better language proficiency.Conclusion: Parental education ≥ senior high school, employed parents, family income ≥ regional minimum wage, and intense language activity are associated with better language proficiency.Keywords: parental education, occupation, language activity, language proficiency, childrenCorrespondence: Hafidz Triantoro Aji Pratomo. School of Health Polytechnics, Poltekkes Surakarta. Email: hafidzpoltekkes@gmail.comIndonesian Journal of Medicine (2016), 1(3): 152-159https://doi.org/10.26911/theijmed.2016.01.03.02
Difference of Self Directed Learning Readiness Between Introvert and Extrovert Personality Type Among Medical Students Wijayanti, Nurlatifah Febriana; Irawanto, Muhammad Eko; Murti, Bhisma
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The paradigm of medical education has been changed from Teacher Centered Learning (TCL) to Student Centered Learning (SCL) that implemented through Problem-Based Learning (PBL) method. Medical students are expected to have the ability to learn independently or known as self-directed learning (SDL). This tendency then measured by a scale known as the Self Directed Learning Readiness Scale (SDLRS). Perso­nality is one of the influential factors in this case. Extrovert personality type is considered mo­re suitable to the SDL method. This study aimed to determine differences in self-direct­ed learning readiness between introvert and extrovert personality type among medical stu­dents.Subject and Methods: This was an observational analytic study with cross sectional design. The subjects were medical students at Sebelas Maret University in 2010, 2011, 2012 and 2013. This used random sampling method. The subjects were categorized into ready and not ready for SDL. Type of personality was divided into introvert, ambivert and extrovert. Motivation was selected as a confounding variable and divided into high and low motivation. Data were analyzed using multivariate regression analysis.Results:There were 69 students included in this study. We found that 25(36.2%) students were introvert, 16 (23.2%) students were extrovert and 28 (40.6%) students were ambivert. Based on SDLR scores, 23 (33.3%) students were ready for SDL and 46 (66.7%) students were not. Logistic regression analysis showed that extrovert students had chance to be ready for SDL 0.70 fold lower than introvert students (OR = 0.70; 95% CI= 0.18 to 2.74; p= 0.604). Otherwise, ambivert students 0.83 fold lower than introvert students (OR = 0.83; 95%CI= 0.26 to 2.64; p = 0.745) to be ready for SDL.Conclusion: There was no statistically difference of SDLR between personality types.Keywords: self-directed learning readiness, personality typeCorrespondence: Nurlatifah Febriana Wijayanti. Faculty of Medicine, Sebelas Maret University, Surakarta.Indonesian Journal of Medicine (2016), 1(3):194-200https://doi.org/10.26911/theijmed.2017.02.01.07
Effect of Captopril Rapid Uptitration to Plasma Aldosterone level in Patients with Acute Myocardial Infarction Sohan, Verry Gunawan; Purwaningtyas, Niniek; Probandari, Ari Natalia
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Acute myocardial infarction is a myocardial necrosis associated with acute myocardial ischemia of which the incidence keeps increasing over time. Appropriate management of acute myocardial infarction is very important in order to determine the efficacy of the therapy and also to prevent further complications due to acute myocardial infarction. Captopril is essential in the management of acute myocardial infarction to inhibit the renin-angiotensin-aldosterone system whereby aldosterone may increase the probability of heart failure and increase mortality up to approximately 10 times compared to patients with acute myocardial infarction without heart failure. The administration of captopril should be uptitrated the doses in order to obtain optimal results, however there is no such fixed standard on how fast the doses of captopril should be uptitrated in order to obtain a more optimal effect, especially in order to suppress the plasma aldosterone level. This study examined the effect of rapid uptitration of captopril in the first 3 days of treatment of patients with acute myocardial infarction on plasma aldosterone levels compared to the increase in the captopril standard uptitration.Subjects and Method: This is an experimental research with Randomized Controlled Trial (RCT). 28 patients with Acute Myocardial Infarction on Cardiovascular Intensive Care Unit (ICVCU) and Cardiovascular wards of RSUD Dr. Moewardi hospital Surakarta were sequentially involved as research subjects and then randomly divided into a control group who received standard captopril uptitration and treatment group who received captopril rapid uptitration. The blood plasma was taken on the first day before the administration of captopril and on the last day of treatment. The plasma aldosterone level was tested by ELISA. Independent t-tests were carried out for data that qualified the normality test and mann whitney test if not qualified in the normality test with kolmogorov smirnov. It was considered statistically significant if the value of p < 0.05.Results: Plasma Aldosterone levels in treatment group was lower than control group and statistically significant (1133.54 ± 748.81 pg/dl vs 512.16 ± 444.81 pg/dl; p = 0.013 )Conclusion: Treatment with captopril rapid uptitration can decrease aldosterone plasma levels lower than captopril with standard uptitration in patient with acute myocardial infarction.Keywords: Acute myocardial infarction, plasma aldosterone, captopril, captopril rapid uptitation.Correspondence: Verry Gunawan Sohan. Master Program of Family Medicine, Sebelas Maret University, Surakarta.Indonesian Journal of Medicine (2016), 1(3): 160-168https://doi.org/10.26911/theijmed.2016.01.03.03
Comparison of Hemoglobin Concentration Before and After Trichuriasis Treatment with Albendazole among Primary School Children Sipayung, Novreka P; Arrasyid, Nurfida; Pasaribu, Ayodhia P
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Trichuriasis is a soil transmitted helminth that causes anemia and growth disturbance in children. This study aimed to compare hemoglobin concentration before and after Trichuriasis treatment with albendazole among primary school children.Subjects and Method: This was an experimental study with before and after quasi experiment design. This study was conducted at Medan Tembung Primary School, Medan, North Sumatera, from March to June, 2015. A total of 63 children were selected for this study. Blood sample was taken for hemoglobin concentration examination before and after the administration of albendazole. The treatment consisted of 400 mg albendazole that was administered in single dose 0nce a day for 3 days, both for single and mixed infection.Results: The prevalence of Trichuriasis among the school children under study was 33.3% (126/ 378), which was consisted of 37 children with single infection and 26 children with mixed infection. Albendazole increased hemoglobin concentration with mean= 11.88 g/dl; SD=1.26 before treatment and mean=12.53 g/dl; SD= 1.37 after treatment, among children with single infection, and it was statistically significant (p= 0.002). Albendazole increased hemoglobin concentration with mean= 11.69 g/dl; SD=1.04 before treatment and mean=12.36 g/dl; SD= 1.06 after treatment, among children with mixed infection, and it was statistically significant (p= 0.001).Conclusion: Albendazole is effective in increasing hemoglobin concentration among school children with anemia that is caused by Trichuriasis infection. Keywords: helminthiasis, trichuriasis, hemoglobin, anemia, albendazole, school childrenCorrespondence: Novreka Pratiwi Sipayung. Department Parasitology, Faculty of Medicine, HKBP Nommensen University, Medan. Email: ega_efq@yahoo.com. Mobile: 085261145049.Indonesian Journal of Medicine (2016), 1(4): 201-208https://doi.org/10.26911/theijmed.2017.02.01.08
The Relationship Between Parenting Style, Development Stimulation, and Gross Motoric and Language Ability in Children Under Five Wigati, Dhiyan Nany; Tamtomo, Didik; Retno Dewi, Yulia Lanti
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Children progress through growth and development process according to age. Child growth and development are influenced by genetic and environmental factors during antenatal, intranatal, and postnatal periods. Child development is optimalized if there is social interaction that fulfill the need of the child at different stages of development. This study investigated the relationship between parenting style, development stimulation, and gross motoric and language ability in children under five in Grobogan, Central Java.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted in Toroh I Health Center, Grobogan sub-district, Central Java, from  September, 17 to October, 17 2016. A total sample of 100 mothers and their children aged 1-5 years were selected for this study by cluster sampling. The dependent variable was gross motoric and language ability. The independent variables were parenting style and development stimulation. Gross motoric and language ability was measured by Denver II. Parenting style and development stimulation were collected by a set of questionnaire. The data were analyzed by multiple logistic regression.Results: There were positive and statistically significant relationships between democratic parenting style (OR= 3.73; 95% CI=1.16 to 12.00; p=0.027), development stimulation (OR= 5.37; 95% CI=1.75 to 16.47; p= 0.003), and better gross motoric ability. There were positive and statistically significant relationships between democratic parenting style (OR= 3.50; 95% CI=1.18 to 10.35; p=0.023), development stimulation (OR= 3.49; 95% CI=1.24 to 9.84; p= 0.018), and better language ability.Conclusion: Democratic parenting style and development stimulation are associated with both better gross motoric ability and better language ability.Keywords: parenting style, development stimulation, gross motoric ability, language abilityCorrespondence: Dhiyan Nany Wigati. An-Nur Midwifery Academy, Purwodadi, Central Java. Email: dhiyanwigati@gmail.comIndonesian Journal of Medicine (2016), 1(3): 169-174https://doi.org/10.26911/theijmed.2016.01.03.04
Implementation Analysis of Early Detection and Intervention Program for Growth and Development of Children Under Five at Tegal Health Centers Naharani, Adrestia Rifki; Joebagio, Hermanu; Prayitno, Adi
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The first five years of life is often considered as golden period,  critical period, or window opportunity. During this period there is maximal growth and development. Early Detection and Intervention Program for Growth and Development of Children Under Five (SDIDTK) is a program that aims to do early detection and intervention when there is an impairment in growth and development in children under five or pre-school children. Early detection allows early intervention. This study aimed to analyze the implementation of early detection and intervention program for growth and development of children under five.Subjects and Method: This was a qualitative study with case study approach, conducted in Tegal Health Centers, Tegal, Central Java. Nineteen key informants were selected purposely for this study, including health center midwife, midwife who were in charge of coordinating child and adolescents affair, head of the health center,  head of Children and Adolescents Division at District Health Office Tegal, and mothers who had children with growth disorder.Results: SDIDTK has been implemented since 2010. The communication aspect has not been implemented consistently. There was a lack in resources, including personnel, equipment, and  infrastructure. The attitude of the program implementer was not positive, because they considered that program was not effective. Guideline book and Standard Operating Procedure (SOP) were available. Growth examination activities were sufficient, but development examination activities were lacking. The reporting system was not sufficiently implemented.Conclusion: SDIDTK program was not been implemented optimally in Tegal. It is sugested to enhance the motivation of the program implementer and improve the equipment and they infrustructure for SDIDTK implementation.Keywords: implementation, SDIDTK program, growth, development, children under fiveCorrespondence: Adrestia Rifki Naharani. Masters Program in Public Health Sebelas Maret University, SurakartaIndonesian Journal of Medicine (2016), 1(3): 175-182https://doi.org/10.26911/theijmed.2016.01.03.05

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