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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 12 Documents
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Search results for , issue "Vol 4, No 2 (2019)" : 12 Documents clear
Cardiopulmonary Resuscitation Guideline Update: A Systematic Review Atmojo, Joko Tri; Widiyanto, Aris; Handayani, Rina Tri
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Every five years, the American Heart Association (AHA) releases new guidelines on CPR. Previous guidelines have focused on Airway-Breathing-Circulation (ABC) advocacy. However, in 2010 guidelines for CPR recommended changes in the sequence of BLS steps to CAB (chest compression, airway, and breathing) for adults, children and infants (excluding newborns). The purpose of this review is to explain the reasons and provide scientific evidence about the results of CAB actions compared to ABC.Subjects and Method: Systematic reviews were done by searching the database through PubMed, Google Scholar, and Science Direct. Key words for this review include: AHA Guideline AND CPR 2010, CAB in CPR, CAB, and RCT (Randomized Controlled Trial) guidelines and why does ABC turn into CAB? The inclusion criteria are systematic reviews, clinical reviews and guidelines.Results: The results are in the form of 3 review articles and 1 RCT study. The basic reasons for changing ABC to CAB are (1) The most common case of cardiac arrest in adults, and the initial element of critical BLS (basic life support) is chest compression and early defibrillation by changing sequentially to CAB, chest compression will start faster; (2) Most victims of cardiac arrest outside the hospital do not get CPR observers, this is an obstacle to opening the airway and exhaling; and (3) Chest compression provides vital blood flow to the heart and brain. One RCT study showed that the time to do the first resuscitation with the CAB technique (mean = 25; SD = 10) was faster than the ABC technique (mean = 32; SD = 12) and statistically significant (p = 0.002).Conclusion: Chest compression is the most important aspect of heart attack management because airway maneuver takes a long time. The time to complete the first resuscitation cycle on CAB action is shorter than using ABC actions.Keywords: ABC, CAB, CPR guidelines, systematic reviewCorrespondence: Joko Tri Atmojo. School of Health Sciences Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: jokotriatmojo1@gmail.com. Mobile: +6281393319000Indonesian Journal of Medicine (2019), 4(2): 82-87https://doi.org/10.26911/theijmed.2019.04.02.01
Pulse Pressure Initial and Arterial Pressure Mean as A Prognostic Death Information in Acute Myocardial Infarction Patients Meilus, Budi Patria; Aji, Kuncoro Bayu; Wasyanto, Trisulo
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Arterial blood pressure is an easily get variable, including systolic blood pressure, diastolic blood pressure, mean arterial pressure (MAP) and pulse pressure (PP). Although the variable blood pressure has clinical importance in many cardiovascular diseases, the variable that has become the best predictor in clinical practice cannot be determined. The purpose of this study is to determine the prognostic value of PP and MAP at the start of hospitalization in patients with acute myocardial infarction (IMA).Subjects and Method: This was a retrospective cohort study conducted at cardiovascular intensive care unit, Dr. Moewardi Hospital, Surakarta, Central Java. A sample of 150 IMA patients from July 2013 to December 2013 was selected for this study. Blood pressure was measured the first time the patient arrives at the emergency unit to determine the value of PP and MAP. Then the patient was observed by looking at mortality during hospitalization as a final result. Basic characteristics data were analyzed using logistic regression and displayed in quartile form. The Kaplan-Meier curve was used to see mortality in each quartile. Cox proportional regression analysis was used to see the magnitude of the risk of variable PP, MAP and other variables on mortality.Results: The highest mortality was found in the first quartile group of PP (OR= 1.81; p<0.001) and MAP (OR= 1.69; p<0.001). The Kaplan-Meier curve showed the first quartile of the two groups had the lowest survival, while the third highest quartile (p <0.001). The results of the cox analysis showed a decrease in mortality risk of 0.49 per increase in PP by 10 mmHg (95% CI= 0.07 to 1.00; p= 0.044) and 0.31 each increase in MAP by 10 mmHg (95% CI= 0.09 to 0.53; p= 0.003).Conclusions: Blood pressure measurement can produce two variables as predictors of mortality in IMA patients, namely PP and MAP. Low PP and MAP are associated with higher mortality during hospitalization in IMA patients.Keywords: Pulse pressure, mean arterial pressure, acute myocardial infarction, mortalityCorrespondence: Budi Patria Meilus. Department of Cardiovascular, Faculty of Medicine, Universitas Sebelas Maret, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java.Email: budipatriamp­@gmail.com. Mobile : +6281228355615.Indonesian Journal of Medicine (2019), 4(2): 88-95https://doi.org/10.26911/theijmed.2019.04.02.02
Effectiveness of Infant Massage on Strengthening Bonding and Improving Sleep Quality Hartanti, Ainurrizma Tri; Salimo, Harsono; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Baby massage is the oldest and most popular touch therapy known to mankind, which is also the art of health care and treatment that has been practiced for centuries. This study aims to determine the effect of infant massage on bonding attachments between mother and baby and the quality of infant sleep.Subjects and Method: This was experimental study with Randomized Controlled Trial (RCT) design conducted in five health centers in Ponorogo Regency, East Java in March to April 2019. The total sample was 120 mothers and infants aged 3 to 6 months divided between massage groups (treatment) and not massage (control) based on The dependent variable of this study was bonding attachment and sleep quality. The independent variable in this study was infant massage. Data collection was using questionnaires and checklists. This study used the Mann-Whitney testResult: Infant massage effectively increased bonding attachment (effect size = 6.19; p <0.001), increased infant sleep duration (effect size= 2.79, p <0.001), decreases the number of baby awakened (effect size = -2.78; p <0.001), decreased duration awakened (effect size= -0.80; p= 0.001), Conclusion: Baby massage effectively increased bonding attachment and sleep duration, and effectively decreased the number of awakenings and the duration of awakening.Keywords: baby massage, bonding attachment, sleep qualityCorrespondence: Ainurrizma Tri Hartanti, Public Health Postgraduate Program, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ainurrizma.th@yahoo.co.id. Mobile: 085784939555Indonesian Journal of Medicine (2019), 4(2): 165-175https://doi.org/10.26911/theijmed.2019.04.02.10
The Difference of Stroke Risk Factor between Bataknese and Non-Bataknese at H. Adam Malik General Hospital Medan Tambunan, Laura Panca Susila; Sjahrir, Hasan; Arina, Cut Aria
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke risk factors disparities in race-ethnic. Bataknese is the most stroke rates compared to non-Bataknese at H. Adam Malik General Hospital Medan. This may be due to genetics and lifestyles that have a link to increase stroke risk factors in Bataknese. Bataknese has a characteristic lifestyle that are more eating, typical foods also contain lots of cholesterol, and have a habit of drinking traditional alcoholic beverages.Subjects and Method: This was a cross-sectional study selected by consecutive sampling tech­niques, clinically proven stroke patients and computed tomography (CT) scan studied at H. Adam Malik General Hospital Medan from June to November 2018. This study aimed to know the difference of stroke risk factor between stroke patient of Bataknese and non-Bataknese.Results: This study recruited 70 samples consisting of 45 Bataknese and 25 non-Bataknese. There were no significant differences in risk factors for hypertension, dyslipidemia, heart disease, dia­betes mellitus, smoking, and obesity among stroke patients in the Bataknese and non-Bataknese. But the distribution of hypertension was higher in Bataknese (50%) compared non-Bataknese (30%) (PR=0.67, 95%CI= 0.19 to 2.40, p= o.755). Dislipidemia was higher in Bataknese (38.6%) compared non-Bataknese (18.6%) (PR=1.39, 95% CI= 0.52 to 3.71, p=0.692). Heart disease was higher in Bataknese (17.1%) compared non-Bataknese (8.6%) (PR=1.15, 95% CI= 0.37 to 3.57, p=1.000).  Diabetes mellitus was higher in Bataknese (17.1%) compared non-Bataknese (10%) (PR=1.10, 95% CI= 0.31 to 2.87, p=1.000). Smoke was higher in Bataknese (27.1%) compared non-Bataknese (14.3%)(PR= 1.59, 95% CI= 0.38 to 6.61, p=1.000). Obesity was higher in Bataknese (11.4%) compared non-Bataknese (4.3%) (PR=1.59, 95% CI= 0.38 to 6.61, p=0.735). There was significant differences in risk factors for alcohol consumption between stroke patients in the Bataknese and non-Bataknese, where alcohol consumption was higher in the Bataknese (15.7%) compared non-Bataknese (1.4%) (PR=7.77, 95% CI= 0.94 to 64.22, p=0.045).Conclusion: A significant difference in stroke risk factors between stroke patients in Bataknese and non-Bataknese was alcoholic consumption.Keywords: stroke, risk factor, Bataknese, Non-BatakneseCorespondence: Laura Panca Susila Tambunan. Neurology Resident, Department of Neurology, Faculty of Medicine, Universitas Sumatra Utara/H. Adam Malik General Hospital, Medan, North Sumatra, Indonesia. Email: oyamakmur@gmail.com. Mobile: 081361525456.Indonesian Journal of Medicine (2019), 4(2): 122-134https://doi.org/10.26911/theijmed.2019.04.02.06
The Effect of Patients’ Characteristics and the Dosage of Methadone Maintenance on Retention of Methadone Therapy in H. Adam Malik General Hospital, Medan Simangunsong, Dian Natalya; Juanita, Juanita; Rochadi, Kintoko
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The maintenance phase in methadone maintenance therapy required a long time un­til the patient was declared recovered, so that it often caused saturation and results in high drop­out rates. Therapy retention or survival of patients in the process of therapy was one indicator of the success of this methadone therapy. This study aims to determine the effect of patient charac­te­ris­tics and methadone maintenance therapy dose on the retention of methadone therapy at H. Adam Malik General Hospital Medan.Subjects and Method: This study used a cross sectional design and was carried out at H. Adam Malik General Hospital in Medan. The number of samples in this study was the total population of 63 patients in the maintenance phase January 2017 to January 2018. The dependent variable was the retention of methadone therapy and the independent variables included age, education level, ma­rital status, work status, domicile, and average maintenance dose even. The data in this study were obtained from the medical record data of maintenance phase methadone patients and the data analysis was done using multiple logistic regression tests.Results: The results showed that the average maintenance dose had an effect on retention of me­tha­done therapy (OR = 5.94, 95% CI 1.06 to 33.18, p = 0.042).Conclusions: The maintenance dose of ≥60 mg affects the retention of methadone therapy 6 times higher than the dose of <60 mg.Keywords: Therapy retention, patient characteristics, maintenance dosesCorrespondence: Dian Natalya Simangunsong, Master’s Program in Public Health of Uni­ver­si­tas Sumatera Utara, Jl. Jahe 7 No. 14 Simalingkar A, Medan Tuntungan District, Medan, Ema­il: dian_natalia2006@yahoo.co.id. Mobile: 0821-1133-5324Indonesian Journal of Medicine (2019), 4(2): 176-182https://doi.org/10.26911/theijmed.2019.04.02.11
Comparative Efficacy between Intravenous Iron and Oral Iron on Enhancing Hemoglobin Level among Pregnant Women with Iron Deficiency Anemia in Low and Middle Income Countries: A Meta-Analysis Ningrum, Fiki Cahya; Murti, Bhisma; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Iron deficiency was a major cause of anemia in pregnancy. The incidence of large de­ficiency anemia was mostly experienced in pregnancy which can result in general hematological disorders with considerable complications both for the mother and the fetus. This study aimed to com­pare the efficacy of intravenous iron administration and oral iron for the treatment of iron de­fi­ci­ency anemia in pregnancy. Subjects and Method: This was a meta-analysis conducted using PRISMA systematic guide­li­nes. The process of searching articles was carried out between 2000 and 2018 using a database se­arch engine consisting of; PubMed, Science Direct, Springer Link, and Google Scholar. Based on da­tabase searches, nine articles that met the Randomized Control Trial (RCT) criteria and study we­re conducted in lower middle income countries. This study involved 967 samples divided into two groups of 484 intravenous iron and 483 oral iron. The analysis was carried out with Review Ma­nager (RevMan) software 5.3. The results were assessed for Mean Difference (MD) and the analysis was carried out for heterogeneity.Results: There was a high heterogeneity between experiments (I2= 91%; p <0.001) so that Ran­dom Effects Model (REM) was used. Intravenous iron administration can increase hemoglobin levels 0.70 g / dL higher than oral iron administration, and it was statistically significant (MD 0.70; 95 % CI: 0.37 to 1.02; p<0.001).Conclusion: Intravenous iron administration was more effective than oral iron for the treatment of iron deficiency anemia in pregnancy. Pregnant women given intravenous iron more quickly reach the desired hemoglobin level target than oral iron.Keywords: anemia, iron deficiency, intravenous iron, oral iron, meta-analysis Correspondence: Fiki Cahya Ningrum. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ningrum.fiki@gmail.com. Mobile: 081­216494956.Indonesian Journal of Medicine (2019), 4(2): 135-144https://doi.org/10.26911/theijmed.2019.04.02.07
Meta-Analysis on the Effect of Zinc on Reducing Diarrhea Episode in Toddlers Widayati, Purwika; Rahardjo, Setyo Sri; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diarrhea is a major cause of mortality and morbidity in toddlers in the world. A number of studies have shown that zinc supplements can reduce the severity and duration of diarrhea in toddlers. This study aimed to examine the effectiveness of zinc on reducing diarrhea episode in toddlers.Subjects and Method: This was a meta-analysis conducted using PRISMA systematic guideline. Articles published between year 2000 and 2019 were selected from PubMed, Science Direct, and Springer Link databases. Six articles met the Randomized Controlled Trial (RCT) criteria. These studies were conducted in developing countries. A sample of 692 children divided into two groups of 348 zinc and 344 placebo. The data were analyzed by Review Manager (RevMan) 5.3 program. The results were assessed for Mean difference (MD) and the analysis was carried out for heterogeneity.Results: There was a high heterogeneity between experiments (I2 = 91%; p <0.001) so that Random Effects Model (REM) was used. Zinc administration reduced the duration of diarrhea 0.89 days faster than placebo, and it was statistically significant (MD= -0.89; 95% CI= -1.52 to -0.26; p= 0.006).Conclusion: Zinc supplementation is more effective than placebo in reducing the duration of diarrhea in children.Keywords: effectiveness, zinc, diarrhea, toddlers, meta analysisCorrespondence: Purwika Widayati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: purwika15@gmail.com. Mobile: 081231153131.Indonesian Journal of Medicine (2019), 4(2): 183-191https://doi.org/10.26911/theijmed.2019.04.02.12
Determinants of the Quality of Life for Hemodialysis Patients Pratiwi, Danies Tunjung; Tamtomo, Didik Gunawan; Suryono, Arief
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Chronic kidney disease (CKD) is a major cause of changes in activity, psychology and life. Analysis of the use of hemodialysis on quality of life was carried out as a treatment eva­lu­a­tion to maintain the survival of CKD patients. This study aimed to determine the determinants qu­a­­lity of life among he­modialysis patients.Subjects and Method: This was a cross-sectional study conducted at the Hospital Hemodialysis Unit Dr. Hardjono, Ponorogo, East Java, in April 2019. A total sample of 200 hemodialysis patients we­­re selected using simple random sampling. The dependent variable was the quality of life of he­mo­­dialysis patients. The independent variables were age, gender, education, type of financing, fa­mi­ly­ income, stress, frequency of hemodialysis, level of physical dependence, comorbidity, and so­cial group. The data of life quality were collected using the Kidney Disease Quality of Life (KDQoL) SF-36 questionnaire and analyzed using multiple logistic regressions.Results: The quality of life of hemodialysis patients was affected by age ≥ 50 years (b = -1.40; CI 95% = -2.42 to -0.36; p = 0.008), severe stress (b = -1.73; CI 95% = -2.91 to -0.54; p = 0.004), had co­­­morbidity (b = -1.25; CI 95% = -2.29 to -0.23; p = 0.017), male sex (b = 1.48; CI 95% = 0.41 to 2.54; p = 0.007), education high (b = 1.46; 95% CI = 0.43 to 2.50; p = 0.006), family income ≥ mi­ni­­mum wage (b = 1.98; 95% CI = 0.75 to 3.20; p = 0.002), PBI financing type (b = 1.69; 95% CI = 0.40 to 2.98; p = 0.010), frequency of hemodialysis often (b = 1.21; 95% CI = 0.20 to 2.22; p = 0.019), independent physical dependence level (b = 1.41; 95% CI = 0.33 to 2.49 ; p = 0.011), and has a social group (b = 3.28; 95% CI = 1.12 to 9.65; p = 0.031).Conclusions: Age, gender, education, type of financing, family income, stress, frequency of he­mo­di­a­lysis, level of physical dependence, comorbidity, and social group affect the quality of life of he­mo­­dialysis patients.Keywords: Chronic kidney disease, quality of life, hemodialysis, social group.Correspondence: Danies Tunjung Pratiwi. STIKES Buana Husada, Jl. Gabah Sinawur 9A, Ponorogo 63411, Jawa Timur. Email: daniestunjung@gmail.com. Mobile: +6285229-209108Indonesian Journal of Medicine (2019), 4(2): 145-154https://doi.org/10.26911/theijmed.2019.04.02.08
Correlation between Schizas Score, Degree of Disability, and Neurogenic Claudication in Lumbar Spinal Stenosis Prasetya, Arief Indra Perdana; Gardjito, Fajar Baskoro; Prijosedjati, R. Andhi; Utomo, Pamudji; Handojo, Handry Tri
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Magnetic Ressonance Imaging (MRI) is one of modality to diagnosed lumbar spinal stenosis (LSS) however there were some mismatch between the degree of canal stenosis to functional score of LSS. There are some methods to measure the degree of canal stenosis, on of them is Schizas Score. To asses functional score of patients with LSS, there are some tools can be used. Oswesstry Disability Index (ODI) and Neurogenic Claudication Outcome Score (NCOS) are questionnaire commonly used in LSS. This study aimed to analyze the correlation between the degree of stenosis grading using Schizas Score to the degree of disability using ODI score and Neurogenic Claudication using NCOS.Subjects and Method: This was an analytic observational study conducted at Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Central Java. A sample of 35 patients with LSS in were assessed by filling ODI and NCOS questionnaire, then evaluate the lumbar axial MRI to identify the Schizas Score. The data were analyzed by Spearman test.Results: There was a significant correlation between Schizas Score to ODI score and NCOS. Schizas score increased ODI score (r= 0.91; p<0.001). Schizas score decreased NCOS (r= -0.90; p<0.001).Conclusion: Schizas score is correlated with ODI score and NCOS.Keywords: lumbar spinal stenosis, Schizas score, ODI, NCOSCorrespondence: Arief Indra Perdana Prasetya. Resident of Orthopaedic and Traumatology Specialist Program, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: absolu­telly­darkknight@gmail.com.Indonesian Journal of Medicine (2019), 4(2): 116-121https://doi.org/10.26911/theijmed.2019.04.02.05
Effect of Menopause on Quality of Life: Path Analysis from Ponorogo East Jawa Chintya, Shally Ayu; Budihastuti, Uki Retno; Adriani, Rita Benya
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Menopause is a biological process in women which is characterized by the cessation of menstruation and a decrease in hormone levels that cause symptoms that can affect quality of life. This study aims to determine the impact of menopause and other factors that influence the qu­a­lity of life in women.Subjects and Method: This study was observational analytic with a case control approach. The stu­dy was conducted in six health centers in Ponorogo Regency, East Java in March to April 2019. The total sample of 225 women aged 40 to 64 years was divided between 2 grou included menopausal as case group and non-me­nopausal as control groups based on purposive sampling. The dependent variable was quality of life. The independent variables were menopause, hot flush, an­­xi­ety, in­som­nia, vaginal dryness, and family intimacy. Quality of life is measured by the SF-36 (Short Form Health Survey). Anxiety was measured by Depression Anxiety Stress Scales. Insomnia was me­asured by the Pittsburgh Sleep Quality Index. The collection of other variables was conducted using ques­tion­naires and analyzed using path analysis.Results: The decrease in quality of life was directly and negatively affected by menopause (b = -0.72; 95% CI = -1.39 to -0.05; p = 0.034), hot flush (b = -0.72; 95% CI = -1.34 to -0.07; p = 0.028), in­­som­nia (b = -0.79; 95% CI = -1.43 to -0.16; p = 0.014), anxiety (b = -1.75; 95% CI = -3.09 to -0.47; p = 0.011), and drought vagina (b = -1.01; 95% CI = -1.65 to -0.37; p = 0.002). Women with high family intimacy can improve quality of life and are positive (b = 1.32; 95% CI = 0.69 to 1.95; p <0.001).Conclusions: The decreased quality of life in women is directly affected by menopause, hot flush, in­somnia, anxiety, and vaginal dryness. High family intimacy improves quality of life. Family flush, anxiety, and family intimacy have indirect effects on quality of life. Keywords: quality of life, menopause, path analysisCorrespondence: Shally Ayu Chintya, Public Health Master’s Program, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: shallyayuchintya@yahoo.co.id. Mobile: 087702640660Indonesian Journal of Medicine (2019), 4(2): 155-164https://doi.org/10.26911/theijmed.2019.04.02.09 

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