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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 15 Documents
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Search results for , issue "Vol. 9 No. 1 (2024)" : 15 Documents clear
Comparison of Jack Knife Stretching and Miofacial Decompression on Increasing Hamstring Muscle Flexibility in Futsal Players Arsifanto, Achid Muyassar; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.664

Abstract

Background: Flexibility plays an important role for athletes, especially football players. The greater a person's level of muscle flexibility, the lower the risk of injury. Jack Knife Stretching (JKS) and Myofascial Decompression (MD) are treatments that help promote flexibility, particularly for the hamstring muscles. This study aimed to eaxamine the effect of Jack Knife Stretching and Myofascial Decompression in enhancing hamstring muscular flexibility in futsal players.Subjects and Method: This was a randomized controlled trial. The study was conducted at the Kendal Football Club, Kendal, Central Java, Indonesiea, on June 2023. A sample of 20 football players was selected and divided into two groups randomly. The dependent variable was hamstring muscle flexibility. The independent variables were Jack knife stretching and myofascial decompression. Hamstring muscle flexibility was examined using V sit and reach test. Data were compared using independent t test.Results: Before intervention, hamstring muscle flexibility score between groups were comparable (p= 0.708). After intervention, hamstring muscle flexibility score in the MD group (Mean= 22.41; SD= 0.61) was higher than JKS group (Mean= 20.42; SD= 1.36), and it was statistically significant (p= 0.026).Conclusion: Myofascial decompression is more effective to increase hamstring muscle flexibility than Jack knife stretching. Keyword: muscle flexibility, Jack knife stretching, myofascial decompression
Correlation between HbA1c Levels and Red Distribution Cell Width in Type 2 Diabetes Mellitus Patients Rahma, Hadiyatur; Siregar, Jelita; Syafril, Santi; Ganie, Ratna Akbari; Siregar, Dewi Indah Sari; Ginting, Almaycano
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.684

Abstract

Background: HbA1c is used as a parameter for diagnosis and monitoring of diabetes mellitus (DM). Apart from that, HbA1c, red blood cells also experience changes which result in changes in erythrocyte structure and hemodynamic characteristics. The parameter that changes in this case is red cell distribution width (RDW). This study aimed to analyze correlation between HbA1c levels and RDW in type 2 DM patients. Subjects and Method: This a cross sectional study conducted at H. Adam Malik General Central Hospital, Medan, North Sumatera, Indonesia, from December 2022-April 2023. Total sample of 75 type 2 DM patients was selected consecutively. The dependent variable was RDW. The independent variable was HbA1c. Data of RDW and HbA1c were collected from complete blood count test. Data were analyzed using the Spearman correlation. Results: HbA1c was negatively associated with RDW, but it was statistically non-significant (r= -0.08; p= 0.508). Conclusion: HbA1c is negatively associated with RDW, but it is statistically non-significant.   Keywords: diabetes melitus, HbA1c, red cell distribution width
Surgical Management of Posterior Cruciate Ligament Avulsion Fracture: A Case Report Sadiwidayat, Komang Septian; Febyan; Dimitri, Dominicus
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.710

Abstract

Background: Posterior Cruciate Ligament (PCL) avulsion fractures are relatively rare but significant injuries to the knee. The diagnosis and management of these injuries can be complex and require a comprehensive approach Case Presentation: A 24-year-old female presented to the emergency department following a motorbike fall. She experienced significant pain in her knee and had a swollen popliteal fossa. Imaging studies, including X-ray and CT scan, revealed an avulsion fracture at the PCL insertion. The patient underwent successful surgical fixation of the avulsed fragment, following a positive posterior drawer, sag, and dial test suggesting an isolated PCL avulsion. Conclusion: This case underscores the importance of a comprehensive and individualized approach to the management of PCL avulsion fractures. It further emphasizes the need for future research to delineate the long-term outcomes of different treatment strategies and to develop evidence-based guidelines for this unique and challenging injury. Keywords: posterior cruciate ligament, avulsion fracture, knee injury, surgical fixation.
Effects of Plyometric Zig-Zag Run and Single Leg Speed Hop Exercises on Agility and Leg Muscles Explosive Power in Football Players Fadhilah Ilmi, Dhiki; Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.713

Abstract

Background: Futsal is a ball game played by each of 5 people. With the aim of putting the ball into the opponent's goal. Agility and explosive power are required, plyometrics are used to increase lower body muscle power and increase explosive power by training muscles to perform more movements in a shorter time. This study aimed to determine the effects of plyometric zig-zag run and single leg speed hop exercises on increasing agility and leg muscle explosive power in futsal players. Subject and Method: This was a quasi experiments with no control group. The study was carried out in Kendal, Central Java, from May to June 2023. Total sample of 21 futsal players was selected simple random sampling. The dependent variable was leg muscle agility and explosive power. The independent variables were plyometric zig-zag run and single leg speed hop exercises. Leg muscle agility was measured using the agility t-test. Leg musce explosive power was measured using standing broad jump test. The data were tested using paired t-test. Result: Mean score of leg muscle agility after plyometric zig-zag run was faster (Mean= 9.86 sec.; SD= 0.58) than before (Mean= 10.03 sec.; SD= 0.53), p<0.001. Mean score of leg muscle explosive power after single leg speed hop exercises was higher (Mean= 217.05 cm; SD= 12.46) than before (Mean= 200.67 cm; SD= 10.89), p<0.001.Conclusion: Plyometric zig-zag run improves leg muscle agilty. Single leg speed hop exercises improves leg muscle explosive power. Keyword: exercise, plyometric, zig-zag run, single leg speed hop, agility, muscle explosive power
Is Effleurage Massage Effective to Reduce Menstrual Pain in Female Students? Wanda Indriya Pramesti; Sudaryanto, Wahyu Tri
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.714

Abstract

Background: Menstrual pain, or dysmenorrhoea, is common in young women worldwide under 25 years old. Elevated levels of prostaglandins in menstrual fluid induce contractions in the myometrium, leading to a decrease in uterine blood flow and resulting in uterine hypoxia. This hypoxia is the underlying cause of the painful cramping observed in primary dysmenorrhea. Massage is a non-pharmaceutical therapy that is hypothesized to be easily adoptable, with no side effects, and to have beneficial effects on pain. This study aimed to evaluate the effectiveness of effluerage massage in reducing menstrual pain in female students. Subjects and Method: A randomized controlled trial was conducted at Junior High School 23 of Surakarta in July 2023. Total sample of 50 2nd grade female student was selected by purposive sampling and divided into two groups. Intervention  group received effluerage massage and control group received usual care. The dependent variable was menstrual pain. The independent variable was effleurage massage. Menstrual pain was measured using Numeric Ranting Scale (NRS). Pain difference between groups after intervention was examined using independent t test. Results: At the 6th follow-up period, the mean of menstrual pain score in the effleurage massage group (Mean 3.52; SD= 1.01) was significantly lower compared to the control group (Mean= 4.40; SD= 0.76), with a p-value of 0.001. Conclusion: Effleurage massage is effective to reduce menstrual pain in Junior High School female students. Keywords: effleurage massage, primary dysmenorrhea, menstrual pain, female adolescents
Effect of Ethanol Extract of Rosella Flower Petals (Hibiscus sabdariffa L.) on Healing Cut Wounds in White Rats (Rattus norvegicus) Pratiwi, Ade Dwi; Siahaan , Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.718

Abstract

Background: Wounds are skin disorders in the form of damage to continuity due to a pathological process, if not treated properly it can cause serious complications such as failure to heal and chronic problems due to untreated wound infections, especially post-operative infections and scar tissue. The next problem is that excessive antibiotics can cause side effects and increase the risk of antimicrobial resistance and delay wound healing. So a new strategy is needed with herbal-based therapy that has the effect of treating infections and does not cause side effects in patients. Subjects and Method: The research was conducted with a post test only randomized control group design to test macroscopic observations of the average size of the wound length, hyperemia and swelling in 30 white Wistar rats (Rattus norvegicus) after receiving ethanol extract of rosella petals (Hibiscus sabdarifa L.). The dependent variables of the study were wound closure time, hyperemia and wound swelling. The independent variable of the research was varying doses of ethanol extract of rosella flower petals (Hibiscus sabdarifa L.) 6%, 12% and 15%. The parameters assessed are the length of the wound and the macroscopic assessment of the wound. Data were analyzed using the Kruskal-Wallis test, p<0.05 was considered statistically significant. Results: Administration of Hibiscus sabdariffa L. 6%, 12% and 15% ethanol extract gel on the 12th day resulted in a significant acceleration of the wound healing process (p=0.024). There was a significant difference between negative control (Mean=3,281 mm ; SD=1,681 mm), positive control (Mean=2,813 mm ; SD=1,106 mm), 6% Rosella flower petal extract gel (Mean=2,916 mm ; SD=1,224 mm ), 12% (Mean=1,290 mm ; SD=1,098 mm), and 15% (Mean=1,035 mm ; SD=0.952 mm) (p=0.024), in the macroscopic assessment there was no significant difference in the wound healing process on day 3, 6, 9, 12 and 15 except for signs of swelling on days 6 (p=0.038) and 9 (p=0.038) which had a significant difference compared to controls. Conclusion: Administration of Hibiscus sabdariffa L. 15% ethanol extract gel had the fastest time in wound closure and healing (Mean=1.035 mm ; SD=0.952 mm) for 12 days (p=0.024), the longest time in wound closure and healing was the negative control (gel placebo) (Mean=0.976 mm ; SD=1.103 mm) namely for 15 days (p=0.158). Keywords: Wound healing, Roselle, Gel Ekstrak Etanol, Hyperemia
Effectiveness of Acupuncture on the Quality of Life in Allergic Rhinitis Patients: Meta Analysis Widiatmaja, I Gusti Bagus Panji; Raharjo, Setyo Sri; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.719

Abstract

Background:  Allergic rhinitis (AR) is one of the most common health problems experienced by people around the world. WHO ARIA defines allergic rhinitis as a disorder of the nose accompanied by symptoms of sneezing, runny nose, itching, and nasal congestion e after the nasal mucosa is exposed to allergens mediated by immunoglobulin E (IgE). Many studies have proven the impact of acupuncture on the immune system. This study aims to examine and estimate the effectiveness of acupuncture therapy for allergic rhinitis patients based on the results of previous similar studies. Subject and Method: This study is a systematic review and meta-analysis, with PICO as the following Population: allergic rhinitis patients. Intervention: acupuncture therapy. Comparison: sham/placebo acupuncture. Outcome: quality of life. The articles used in this study were obtained from several databases including Google Scholar, MEDLINE/PubMed, Science Direct, Hindawi, Europe PMC and Springer Link. These articles were collected for 1 month. The keywords to search for articles are as follows: "acupuncture for allergic rhinitis" OR "acupuncture for seasonal allergic rhinitis" OR "acupuncture for parenial allergic rhinitis" AND "quality of life" AND “randomized controlled trial". The article included in this study were a full text article with a randomized controlled trial  (RCT)  study design. Quality of life was measured using the Rhinitis Quality of Life Questionnaire (RQLQ). Meta analysis was written using PRISMA flow diagram and analyzed using Review Manager 5.4. Result:  A total of 9 RCT articles with a sample size of 2542 from Germany, Queensland, Victoria, China, and Korea were reviewed in this meta-analysis study. The results of data processing using the RevMan 5.4 application showed the effect of acupuncture therapy on the quality of life of allergic rhinitis patients. Acupuncture was able to lower RQLQ scores (improve quality of life), although it was not statistically significant. Allergic rhinitis patients who obtained acupuncture on average had a quality of life with an RQLQ score of 0.17 units, it was better than those getting sham acupuncture (SMD = -0.17; CI 95% = -0.40 to 0.05; p = 0.120). Conclusion:  There is an effect of acupuncture on the quality of life of allergic rhinitis patients.   Keywords: acupuncture, allergic rhinitis, quality of life, randomized controlled trial
Relationship of Neutrophil Lymphocyte Ratio and Glomerulus Filtration Rate in Diabetic Nephropathy Patients at H. Adam Malik Hospital, Medan, Indonesia Merlin, Asri; Siregar, Jelita; Syafril, Santi
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.720

Abstract

Background: Diabetic nephropathy is a serious complication of diabetes mellitus (DM). The neutrophil-lymphocyte ratio is the result of the relative count of neutrophils divided by the relative number of lymphocytes in diabetic nephropathy patients in % units obtained from routine hematology results using EDTA blood samples and measured by flow cytometry with Sysmex XN-1000, glomerular filtration rate was measured according to the Cockroft-Gault formula. This study aimed to determine the relationship between neutrophil lymphocyte ratio (NLR) and glomerular filtration rate in diabetic nephropathy patients. Subjects and Method:  This was a cross sectional study conducted at H. Adam Malik Hospital, Medan, North Sumatera, Indonesia, from November 2022 – January 2023. 30 diabetic nephropathy patients were selected for this study consecutively. The dependent variable was the glomerular filtration rate. The independent variable was the NLR. Blood sample was taken for a complete blood count and creatinine examination. Data were analyzed using the Spearman test. Results: NLR was negatively associated with eGFR in patients with diabetic nephropathy, but it was statistically non significant (r= -0.25; p= 0.186). Conclusion: NLR is negatively associated with eGFR in patients with diabetic nephropathy, but it is statistically non significant.  Keywords: neutrophil lymphocyte ratio, glomerular filtration rate, diabetic nephropathy
Meta Analysis: Factors Affecting Implementation of Self-Care Practice in Diabetes Mellitus Patients Khairiyyah, Alimah Ulfah; Nazalah, Rajba; Aditya, Stefanus; Murti, Bhisma; Marsim, Etanaulia
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.722

Abstract

Background: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels. If not controlled properly, diabetes mellitus can cause serious complications. Self-care practices are a very important factor in controlling the disease. This study aims to estimate the factors that influence self-care practices in diabetes sufferers.Subjects and Method: This was a systematic review and meta-analysis using PICO format. Population: diabetes patients. Intervention: having diabetes knowledge, high social support, female gender and presence of comorbidities. Comparison: no diabetes knowledge, low social support, male gender and no comorbidities. Outcome: self-care practices. The articles used in this research came from 5 databases, namely Google Scholar and Science Direct. The keywords of the article are "Diabetes Knowledge" AND "Social Support" AND "gender" AND "comorbidities" AND "diabetes" AND "Self-care practice behavior". The articles included in this research are full paper articles, cross-sectional study, publication year range 20172023, and reporting the aORs. Articles were analyzed using the Review Manager 5.4.Results: Female patients (aOR=1.56; 95% CI= 1.04 to 2.34; p= 0.030), high knowledge (aOR= 2.10; 95% CI= 1.27 to 3.46; p= 0.004), strong social support (aOR=1.73; 95% CI= 1.07 to 2.78; p= 0.020), and the presence of comorbidities (aOR=1.20; 95% CI= 0.67 to 2.16; p= 0.540) improved implementation of self-care practices.Conclusion: Female patients, high knowledge, strong social support, and the presence of comorbidities improve implementation of self-care practices. Keywords: factors, diabetes self-care practices, diabetes mellitus
Meta-Analysis: Effect of Hyperbaric Oxygen Therapy on Diabetic Foot Ulcer Recuperation Faried, Faried Effendi Surono; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.723

Abstract

Background: Diabetes mellitus (DM) is a global phenomenon due to the high morbidity and mortality, especially in developing countries such as Indonesia. An ulcer is a wound and is usually found in patients who experience increased blood sugar and can cause peripheral blood vessel disorders, blood vessel disorders will result in peripheral neuropathy or a combination of both, diabetic ulcers are a condition often experienced by diabetes sufferers. Hyperbaric Oxygen Therapy (HBOT) is a therapy that is considered effective in healing diabetic ulcers and has been proven by many studies conducted. This study aims to analyze the effect of HBO therapy on the improvement of diabetic ulcer wounds. Subjects and Method: This was a systematic review and meta-analysis of primary studies. Article searches were carried out based on the PICO model. Population: diabetic ulcer patients. Intervention: Hyperbaric Oxygen Therapy. Comparison: placebo. Outcome: diabetic ulcers con­dition. Article searches were carried out from Google Scholar, MEDLINE/PubMed, Science Direct, Scopus, Hindawi, BMC, and Spinger Link databases. Keywords used "diabetic foot ulcers" AND "hyperbaric oxygen therapy". The inclusion criteria were full paper, RCT, and reporting risk ratio (RR). Selected studies were analyzed using the RevMan 5.3. Results: 9 RCTs from China, Canada, the Netherlands, Sweden, Egypt, Taiwan, England, and Turkey were selected for meta-analysis. HBO therapy increased diabetic ulcers condition (RR= 1.91; 95% CI= 1.17 to 3.12; p= 0.01). Conclusion: HBO therapy improves diabetic ulcers condition. Keywords: hyperbaric oxygen, diabetic foot ulcer, meta analisis.

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