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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. 2 (2024)" : 15 Documents clear
Massive Mature Mediastinal Teratoma With Malignant Transformation: An Unusual Case Report Kalua, Karla; Soewondo, Widiastuti
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.643

Abstract

Background: Teratoma is a type of germ cell tumor that is rarely found in the anterior mediastinum. Meanwhile, mature mediastinal teratoma with malignant transformation is rare and develops rapidly, with a poor prognosis. This article aims to report one of the uncommon cases of mature teratoma and discuss its imaging features thereby adding insight in providing an accurate diagnosis of this condition. Case Report: This study presents a case of a 26-year-old male patient who has complained of shortness of breath for 3 months and worsening in the last 3 days. The patient passed through a chest radiographic examination and was diagnosed with a mediastinal tumor. The contrast-enhanced chest computed tomography showed a huge mediastinal mass occupying the right and left hemithorax, measuring 16.9 cm x 20.5 cm x 20.9 cm and pressing against the chest wall, esophagus, trachea, great vessels, and the vital organs, lungs as well as heart, causing several complications in patients. Conclusion: Knowledge of the teratoma radiological appearance and the characteristics of the various subtypes is very important in the diagnosis of mediastinal teratoma diagnosis for immediate and appropriate treatment.
Implementation of School Exercise Training Program as Prevention of Musculoskeletal Disorders (MSDS) in Students Romadhoni, Dea Linia; Ramadhani, Alinda Nur
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.689

Abstract

Background: Musculoskeletal Disorders (MSDs) are a form of disorders that occurs in muscles, bones, joints, ligaments and tendons. Globally, Musculoskeletal Disorders are one of the most common health problems that occur in all ages and genders. Musculoskeletal pain is one of the most common problems in Musculoskeletal Disorders, which can cause various limitations in activity and participation. Musculoskeletal pain can occur in all ages and genders, including children and adolescents. Several studies show that musculoskeletal pain most commonly occurs in the vertebrae, trunk, neck, upper extremities and lower extremities. Musculoskeletal pain in MSDs can cause various negative impacts such as reduced learning motivation, academic failure and learning problems in student. The purpose of this study is to determine the effect of implementing a school exercise training program as a prevention of Musculoskeletal Disorders. Subjects and Method: This was  a quasi experiment with no control group. Total sample of 60 children was selected for this study. The dependent variables were spinal curve deformity, degree of forward head posture, and MSDs pain. The independent variable was school exercise program. Mean score before and after intervention were tested using Wilcoxon t test. Results: After implementing the school exercise program, spinal curve deformity (p=0.025), the degree of forward head posture (p=0.046), and MSDs pain (p=0.001) were all observed to decrease. Conclusion: Implementing exercise programs in schools can help prevent musculoskeletal disorders among school children.
Scoping Review: Why is Public Health Integrated into Medical Education? Duarsa, Artha Budi Susila; Anulus, Ayu; Zoraya, Sabrina Intan
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.693

Abstract

Background: Medical students who get community-involved medical education will be better equipped to address the health needs of their communities by integrating public health services into their practice. The importance of public health disciplines for physicians needs to be reinforced in the medical curriculum. Many studies, findings, and discussions report on the importance of this integration. This study aims to identify, decipher, and map the available scientific evidence regarding the importance of public health integration in medical education. Subjects and Method: This was a scoping review study using PUBMED, ProQuest, SCOPUS, Google Scholar, and other related sources. The keywords used in article searches are as follows: "public health" AND "medical education" OR "support" OR "against" OR "proportion" OR "role". From the database used, 1,775 articles were obtained and those who met the criteria were 45 articles. Results: The results were presented in three sub-discussions, namely role, perception, and form of integration. 1) Role: doctors are able to facilitate individual health and address public health problems through health promotion, health policy, evidence-based medicine practices, improving the quality of health data and health services; 2) Perception: Both positive and negative percep­tions were reported in these integration-related findings; and 3) Form of integration: public health collaboration in medical education is carried out at the academic and professional stages of doctors. Conclusion: The importance of integrating public health principles into medical education is to encourage the formation of doctors who act as doctors in the curative department as well as public health experts who understand community problems and can address them holistically and comprehensively. Keywords: perception, role, integration, public health, medical education, scooping review
Effectiveness of Manual Therapy on Function in Neck Pain Patients: A Systematic Review and Meta-Analysis Nashrillah Reyhana, Faizah; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.696

Abstract

Background: Neck pain is a musculoskeletal disorder that occurs in the neck due to various factors such as incorrect ergonomic position when carrying out an activity. One intervention that can be carried out to improve the function of neck pain sufferers is by providing manual therapy. This study aims to determine the effectiveness of manual therapy for functional use in patients with neck pain. Subjects and Method: This was a meta-analysis study using PICO as follows, P=Patients with neck pain, I=manual therapy, C=non-manual therapy, O=functional improvement. The articles used in this research were obtained from several databases such as Google Scholar, NCBI, PubMed, Springer Link, Science Direct. The keywords used are "Randomized control trial" AND "neck pain" OR "cervical pain" OR "Cervicalgia" Upper cervical pain" AND "manual therapy" OR "Manipulation treatment" OR "thoracic manipulation in neck pain" OR "Cervical spine manipulation” OR “Passive therapy” OR “Ostheopathic” OR “neck pain rehabilitation” AND “Disability” OR “Functional” OR “Neck pain disability index”. The articles included in this research are full text articles with the study design used being a Randomized Controlled Trial. The full text review application uses PRISMA flow diagrams. Results: A total of 8 articles that have been analyzed come from Spain, the Netherlands, Minen­sota, Canada, Australia and Turkey. This study shows that there is an effect on neck pain sufferers who are given manual therapy intervention - 0.08 units of influence compared to non-manual therapy, this effect is not statistically significant on function and this effect has a statistically significant effect (SMD = - 0.08; CI 95% CI= -0.35 to 0.20; p= 0.590). Conclusion: The manual therapy has an impact on mobile range of motion of the joint in neck pain patients compared to those without manual therapy.
Effectiveness of Manual Therapy for Pain in Neck Pain Patients: A Systematic Review and Meta-Analysis Apriliyani, Yuyun; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.697

Abstract

Background: Neck pain (NP) is a musculoskeletal public health problem that is often experienced, especially by modern society, with a high prevalence that can cause disability. Neck pain can be treated with various physiotherapy modalities, one of which is manual therapy/manipulation of the cervical spine. This study aims to determine the effectiveness of manual therapy in reducing pain in neck pain patients. Subjects and Method: This research is a systematic review and meta-analysis study, using PICO as follows, P= neck pain patients, I= manual therapy, C= other than manual therapy, O= reduction in pain. The articles included in this research were articles taken from several databases including Google Scholar, PubMed, NCBI, Science Direct, Embase, and Springer Link between 2010 and 2023. The keywords used to search for articles were: "neck pain" OR " chronic neck pain” OR “cervical pain” OR “cervicalgia” OR “upper cervical pain” OR “nonspecific neck pain” OR “nonspecific chronic neck pain” AND “manual therapy” OR “mobilization” OR “musculoskeletal manipulation” OR “cervical manipulation ” AND “RCT” OR “randomized controlled trial” OR “randomized controlled trial”. This research analysis was carried out using the RevMan 5.3 application. The results of the meta-analysis were reported using PRISMA flow diagrams. Results: A total of 9 articles have been analyzed originating from Spain, Canada, Germany, Turkey, and Pakistan. The study showed that patients with neck pain who received manual therapy experienced -2.01 units lower pain than those who did not receive manual therapy (SMD=-2.01; 95%CI=-3.00 to -1.03; p=0.001). Conclusion: Manual therapy significantly reduces neck pain compared to usual care.
The Effectiveness of Exercise Therapy in Reducing Pain, Joint Range of Motion and Functional Disability in Patients with Frozen Shoulder at Causa Primary Adhesive Capjualis: A Systematic Review: The Effectiveness of Exercise Therapy in Reducing Pain, Joint Range of Motion and Functional Disability in Patients with Frozen Shoulder at Causa Primary Adhesive Capjualis: A Systematic Review Dwi Aprilia Sari; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.711

Abstract

Background: Adhesive capelusitis is a condition of inflammation, adhesions and shortening of the joint capsule resulting in significant limitations in joint movement from active and passive movements, thus disrupting human mobility and activities. The severity of Adhesive Capjualitis varies from mild to severe pain. The prevalence of Adhesive Capjualitis is 2%-5% of the entire population and occurs more often in women than men. Adhesive Capjualitis treatment has many options, namely conservative and surgical. Exercise therapy has many benefits for the body, providing exercise therapy for Adhesive Capjualitis can improve disability, prevent increasing severity and optimize health status and motor function. This study aims to review the effectiveness of exercise therapy in reducing pain, increasing joint range of motion and functional ability in patients with primary adhesive capelusitis. Subjects and Methods: A literature search was carried out using three databases PubMed, Google Scholar and PEdro which recorded studies on exercise therapy in patients with Frozen Shouldet at causa Primary Adhesive Capjualis in the period 2013-2023. PRISMA was used as a writing rule and methodological quality was checked with the PEDro scale. Results: Seventeen studies describing Exercise Therapy in Adhesive Caplaluis were included in this study, the methodology assessment using the PEDro scale was obtained with a score in the range of 4-10/10 with 2 articles being perfect, 11 articles being good, and 4 articles being adequate. Conclusion: Exercise therapy appears to be able to effectively reduce pain, increase range of motion and functional ability in primary Adhesive Capjualitis Keywords: Frozen Shoulder, Adhesive Capjualitis, Exercise Therapy, ROM, Functional Disability
The Relationship between Social Capital and Burnout in Energy Health Professionals: A Meta-Analysis Adriani, Rita Benya; Sulistyowati, Dwi; Hapsari, Happy Indri; Adriana, Nadya Puspita
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.712

Abstract

Background: Social capital is referred to as public resources and capital that can be accessed through social relationships and social involvement of the community to work together to achieve common goals in various groups and organizations. Burnout Syndrome experienced by health workers is a situation when health workers show behavior such as giving unpleasant responses to patients, delaying work, getting easily angry when colleagues or patients ask simple questions, complaining of feeling tired and dizzy quickly and worse, not caring about work and surrounding conditions. This research aims to estimate the relationship between social capital and burnout in professional health workers. Subjects and Method: This research is a systematic review and meta-analysis research using the PRISMA diagram. Article searches were carried out based on the PICO Model eligibility criteria. P= Health workers; I= Social capital; C= Low social capital; O= Fatigue. The articles used come from 3 databases, namely: PubMed, Google Scholar, and ScienceDirect. With keywords including "social capital" AND "burnout" AND "health workers" AND "cross section study". Filtered articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 11 case-control observational research articles as a source for meta-analysis of the relationship between social capital and burnout in professional health workers. This research shows that health workers with low social capital have a risk of experiencing burnout 1.86 times compared to health workers with high social capital, and the results are statistically significant (aOR= 1.86; 95% CI= 1.09 to 3.17; p< 0.02). Heterogeneity of research data shows I2= 89% so that the data distribution is declared heterogeneous (random effect model). Conclusion: Meta-analysis of 11 cross-sectional studies concluded that social capital increases burnout in health workers. Keywords: Social capital, burnout, health workers.
Correlation between the Characteristics of Chronic Kidney Disease Patients Undergoing Hemodialysis and Erythropoietin Stimulating Agent Therapy and Hemoglobin Levels Zainal, Dwi Trisnawati; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.715

Abstract

Background: Chronic Kidney Disease is one of the deadliest diseases in the world with a high prevalence. Hemodialysis is believed to increase the survival of chronic kidney disease patients. This study aims to analyze the relationship between condition factors in patients with chronic kidney disease undergoing hemodialysis and erythropoietin stimulating agent therapy with hemoglobin levels. Subjects and Method: This research is a quantitative study with a cross-sectional study design carried out at the Madiun City Regional Hospital. Data was taken from June 1, 2022 to June 30, 2022. The population in this study were patients who received hemodialysis services and erythropoietin stimulating agent therapy. The sample was 101 patients with total sampling technique. The independent variables in this study are age, gender, duration of hemodialysis, while the dependent variable is hemoglobin level. Data collection techniques were carried out using patient medical record data. Data analysis used multiple linear regression with Stata 17. Results: The results of multiple linear regression analysis of the relationship between duration of hemodialysis, gender, age, hemoglobin levels before and hemoglobin levels after chronic kidney disease patients undergoing hemodialysis with erythropoietin stimulating agent therapy show that every 1 month increase in hemodialysis will be followed by an increase in hemoglobin of 0.02g/dL (b =0.02 CI95% 0.01 to 0.03 p=0.018). Every 1g/dL increase in hemoglobin levels before hemodialysis will be followed by hemoglobin levels after hemodialysis of 0.7 g/dL (b=0.7 CI 95% 0.6 to 0.8 p<0.001). Gender (b=-0.06 CI 95% -0.7 to 0.6 p=0.857). Age (b=-0.01 CI 95% -0.03 to 0.03 p=0.833). Conclusion: There is a positive relationship between the duration of hemodialysis and hemoglobin levels after chronic kidney disease patients undergo hemodialysis with erythropoietin stimulating agent therapy. There is no statistically significant difference between men and women, age in hemoglobin levels after undergoing hemodialysis with erythropoietin stimulating agent therapy in patients with chronic renal failure. Keywords: chronic kidney disease, hemodialysis, erythropoietin stimulating agent, hemoglobin
Meta Analysis: Determinants of Dental Caries in Children Siregar, Attila Yulaicha Advendila; Dewanti, Rosalia Indri; Khulwani, Qumara Wilda; Murti, Bhisma; Aqsyari, Riski
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.716

Abstract

Background: Dental caries in children occurred when one or more teeth that are decayed (lesions), missing (due to caries), or filled tooth surfaces in primary teeth experienced by children. The aim of this study is to analyze the influence of dental caries factors in children based on the results of several previous studies using meta-analysis. Subjects and Method: This study is a systematic review and meta-analysis based on data obtained through various databases including Google Scholar and PubMed. This study used articles that were published from 2016 to 2022. The article search was carried out by considering the eligibility criteria defined using the PICO model. Population: children. Intervention of chocolate, candy, biscuits, soft drinks. Comparison: free sugar intake. Outcome: dental caries. This article was collected within 1 month with the following keywords used: "Chocolate" AND "Candy" AND "Biscuit" AND "Soft Drink" AND "Children" OR "Dental Caries" AND "Cross Sectional Study". The articles included in this research are full text articles with a cross-sectional study design. This article was collected by using a PRISMA flow diagram and analyzed by using the Review Manager 5.3 application. Results: Meta-analysis of 8 cross-sectional studies from Egypt, Romania, Iran, Australia, Poland, Vietnam, Saudi Arabia, and China. Total sample was 19,514 children. The results of the meta-analysis showed that dental caries in children will increase significantly by consuming chocolate (aOR= 0.84; 95% CI= 0.57 to 1.26; p= 0.410), candy (aOR= 1.34; 95% CI= 0.37 to 4.88; p= 0.660), biscuit (aOR= 0.97; 95% CI= 0.67 to 1.42; p= 0,890), and soft drink (aOR= 1.42; 95% CI= 1.25 to 1.61; p<0.001). Conclusion: Dental caries in children is increased by consuming chocolate, candy, biscuits and soft drinks. Keywords: dental caries, children, chocolate, candy, biscuit, soft drink
Determinants of Socio-Demographic and Environmental Factors in Helicobacter Pylori Infection Hanif, Ihsan; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.721

Abstract

Background: Helicobacter pylori (H. pylori) infection ranks as one of most frequent human infections in the world. This study aimed to investigate the determinants of H. pylori infection in patients at Universitas Sebelas Maret Hospital. Sebjects and Method: This was an analytic observational with a cross-sectional design. The study was conducted at Universitas Sebelas Maret Hospital, Sukoharjo, Central Java, from November to Desember 2023. A sample of 199 patients was selected for  this  study  by  fixed  disease  sampling.  The  dependent  variable  was H. pylori infection. The independent variables were number of household members, source of water, toilet type, education level, family income, eating habits, smoking status, region type, and waste disposal.  The  data  were  taken  via surveys with questionairre.  Multiple logistic regression was employed for data analysis. Results: The risk of H. pylori infection increased with number of households member ≥5 (AOR= 4.52; 95% CI= 1.78 to 11.45; p = 0.001), water source from well (AOR= 3.74; 95% CI= 1.54 to 9.08; p = 0.003), habits of eating by bare hand (AOR= 4.71; 95% CI= 1.98 to 11.20; p= 0 < 0.001), smoking (AOR= 2.68; 95% CI= 1.11 to 6.49; p = 0.028), and living in urban area (AOR= 2.94; 95% CI= 1.10 to 7.80; p = 0.030). Meanwhile, it also decreased with having education level ≥ high school (AOR= 0.24; 95% CI= 0.10 to 0.57; p < 0.001), having family income ≥ 2,200,000 (AOR= 0.15; 95% CI= 0.06 to 0.37; p < 0.001), and implementing waste disposal system with collected by staff (AOR= 0.26; 95% CI= 0.10 to 0.65; p = 0.004). Conclusion: The risk of H. pylori infection is determined by number of household members, source of water, education level, family income, eating habits, smoking status, region type, and waste disposal. Keywords: determinants, environmental, helicobacter pylori, socio-demographic

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