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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. 7 No. 3 (2022)" : 12 Documents clear
Atypical Spinal Tuberculosis of Upper Thoracic Spine: A Rare Case Report Wiguna, I Gusti Lanang Ngurah Agung Artha; Wondany, Ryan Putra; Arimbawa, Ida Bagus Gede
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculous infection is one of the most common pulmonary infection in developing countries, including Indonesia. Spinal tuberculosis is one of the most common extra¬pulmonary tuberculosis manifestation, accounting for 5% of all extrapulmonary spread, and 50% of all osteoarticular involvement. The aim of this study is to evaluate and how diagnosis and treatment to prevent over or under-diagnosis and explain about excellent management without any late complication further.Case Presentation: A 20-year-old male with a history of weakness of both of his leg for 20 days prior to admission. From these examinations, patient was then diagnosed with pathological fracture 2nd thoracic vertebral body suspected due to atypical spinal tuberculosis. Patient was then undergone surgical debridement, decompression, stabilization and fusion.Results: Patient was then undergone surgical debridement, decompression stabilization fusion. During the exposure at level C6 through Th4, no abscess was found. Transpedicular debridement at level Th2 was then done after the insertion of pedicle screws at level C6-Th1 and Th3-Th4, and again no abscess was present, however, a granulomatous mass was present on the location of 2nd thoracic vertebral body, located on the anterior right side of the spinal cord outside the dura mater.Conclusion: Atypical presentation of spinal tuberculosis with the sole clinical manifestation of neurological deficit below affected level. The definitive treatment such as surgical debridement, stabilization and fusion must be consider.Keywords: spinal, infection, tuberculosis, young patient.Correspondence: I Gusti Lanang Ngurah Agung Artha Wiguna. Division of Spine, Department of Orthopaedic & Traumatology, Prof. I.G.N.G Ngoerah Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia. Email:lanangwiguna20021979@gmail.com. Mobile: 0811388859.Indonesian Journal of Medicine (2022), 07(03): 289-297https://doi.org/10.26911/theijmed.2022.07.03.05
The Relationship between Self-Care Agency and the Level of Disability to Patient with Leprosy at Daha Husada Hospital, Kediri Widyowati, Agustin; Hapsari, Ika Ratna; Nuridayanti, Anik
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Leprosy has a tendency to have physical impacts with disability on sufferers so that it affects community stigma, social isolation, welfare to quality of life. One of the efforts to prevent disability with good self-care. The objective was to determine the relationship between self-care agency and the level of disability to patients with leprosy at Daha Husada Hospital Kediri.Subjects and Method: A cross sectional study was conducted in Daha Husada Hospital, Kediri, East Java, in March, 2021. A sample of 115 patients was selected by purposive sampling. The dependent variable was the level of disability. The independent variable was self-care agency. Data were collected using questionnaires and observation sheets with ordinal scale, then analyzed using statistical test of Spearman's Rho.Results: Less ability of leprosy patients in self care agency, the greater the level of disability (r= 0.62; p<0.001).Conclusion: Less ability of leprosy patients in self-care agency, the greater level of disability. Patient are needed to improve the awareness in self-care activities and follow counseling in health services.Keywords: self care agency, the level of disability, patient with leprosy.Correspondence: Agustin Widyowati. STRADA Indonesian Institute of Health Sciences Kediri. Jl. Manila No.37, Tosaren, Kec. Pesantren, Kota Kediri, East Java 64123. Email: agustwidy@gmail.com. Mobile: +62857-3539-9728.Indonesian Journal of Medicine (2022), 07(03): 344-349https://doi.org/10.26911/theijmed.2022.07.03.11

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