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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.
Arjuna Subject : -
Articles 15 Documents
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Search results for , issue "Vol. 9 No. 2 (2024)" : 15 Documents clear
Effect of Ethanol Extract of Suruhan Leaves (Peperomia Pellucida L. Kunth) on Blood Sugar Levels and Macroscopic Wounds in Male White Rats of the Wistar Strain (Rattus norvegicus) Diabetic Ulcer Model Hakim, Enggrek Pelita; Siahaan, Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
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.2024.9.2.733

Abstract

Background: High blood sugar levels can cause diabetes mellitus (DM), which currently means more than one in 10 adults live with diabetes, with the biggest risk factor being obesity. Wound healing in DM patients will be hampered and increase the incidence of diabetic ulcers in Indonesia by 12% and the risk of developing diabetic ulcers by 55.4%. Diabetic ulcers and gangrene cases in Indonesia are the most common cases found in hospitals. Mortality due to ulcers and gangrene ranges from 17-23%, while the amputation rate ranges from 15-30%. Therapeutic potential in the treatment of diabetic ulcers is possessed by suruhan leaves which have anti-inflammatory, antipyretic, antimicrobial and anticancer effects, as well as having analgesic effects. Subjects and Method: A total of 30 male white rats of the Wistar strain (Rattus norvegicus) were divided equally into control groups, negative control (STZ induction 40mg/kgBW), positive control (STZ induction 40mg/kgBW with metformin 50mg/kgBW/day), treatment group I (STZ induction 40mg/kgBW with ethanol extract of shrike leaves 40mg/kgBW), and treatment group II (STZ induction 40mg/kgBW). kgBB with ethanol extract of 80 mg/kgBB leaves). Next, blood sugar levels (KGD) and macroscopic examination of diabetic ulcer wounds are carried out. Data were analyzed using the Anova test. Results: The lowest blood sugar levels (183.83 ± 11.39), the lowest wound area (6.89 ± 0.86), and the highest percentage of excision wound healing (89.67 ± 1.37) were found in the positive control group. There was a significant relationship between groups of mean blood sugar levels, between groups of wound area, and between groups of healing percentage of excision area (P<0.05). Conclusion: Administration of ethanol extract of suruhan leaves (Peperomia pellucida L. Kunth) had an effect on reducing blood glucose levels and healing diabetic ulcer wounds in STZ-induced diabetic ulcer model mice.
The Impact of Inducing Compelled Body Weight Shifts in Improving Dynamic Balance on Non-Hemorrhagic Stroke Patients Anugrah, Welya Nesvi; Sudaryanto, Wahyu Tri
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.2024.9.2.734

Abstract

Background: Stroke is a brain attack that occurs suddenly where there is partial or complete disruption of brain function as a result of disruption of blood flow due to blockage or rupture of certain blood vessels in the brain, causing brain cells to lack blood, oxygen or nutrients and ultimately can cause These cells die in a relatively short time. In general, strokes are divided into 2, namely hemorrhagic and non-hemorrhagic strokes. Balance disorders due to loss or decreased motor function make stroke patients vulnerable to falls. The aim of this research is to determine the effect of giving Compelled body weight shift on non-hemorrhagic stroke to improve dynamic balance. Subjects and Method: This research was a quasi experiment conducted in Sri Meranti Village, Rumbai, Pekanbaru, Indonesia, from June 2023. 12 non-hemorrhagic stroke patients were selected using purposive sampling. The dependent variable was dynamic balance. The independent variable was compelled body weight shift. Body dynamic balance was measured using Berg balance scale. Body dynamic balance before and after intervention was examined using . Results: There was a significant increase in balance between the control group and the experi­men­tal group in non-hemorrhagic stroke sufferers after the compelled body weight shift was carried out (p<0.001). Conclusion: Compelled body weight shift balance training can be used to improve the body dynamic balance in non-hemorrhagic stroke patients.
Relationship between Pregnancy and Lactation Status and De Quervain's Syndrome Naim, Karimatun; 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.2024.9.2.735

Abstract

Background: De Quervain's Syndrome is a collection of symptoms accompanied by inflamma­tion and pain in the tendon sheath that covers the extensor pollicis brevis and abductor pollicis longus muscles. These symptoms appear as a result of cumulative (repeated) microtrauma and overuse causing malfunction of the tendon sheath. Cause of De Quervain's Syndrome is still not known for certain. Due to hormonal factors, it is more common in pregnant women and most common in people aged 30 to 55 years. This study aimed to examine the relationship between pregnancy and lactation on the incidence of de Quervain' syndrome. Subjects and Method: This was an observational study conducted at the PDHI Islamic Hospital, Yogyakarta, from August to September 2023. Total sample of 70 third trimester of pregnant women or lactating mothers who had children aged 1 month to 1 year was selected purposively. The dependent variable was De Quervain's syndrome. The independen variable was pregnancy and lactation. The data were collected using a questionnaire and analyzed by Chi square test. Results: Pregnancy and lactation reduced the risk of de Quervain's syndrome (OR= 0.34; 95% CI= 0.125 to 0.907; p=0.029). Conclusion: Pregnancy and lactation reduced the risk of de Quervain's syndrome.  
Surgical Precision in Lumbar Spinal Canal Stenosis: Optimizing Outcomes in a Young Adult with Suspected Infection through Decompression-Stabilization-Fusion Putra, I Gusti Ngurah Paramartha Wijaya; Febyan; Ustriyana, Nyoman Gede Grenata Nanda
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.2024.9.2.747

Abstract

Background: This case report examines the uncommon occurrence of Lumbar Spinal Canal Stenosis (LSCS) in a 23-year-old male patient, highlighting the diagnostic challenges and unique aspects of managing this condition in young adults. Typically associated with aging and degenerative changes, LSCS poses a diagnostic dilemma when encountered in a young individual with nonspecific causation. Case Presentation: The patient reported persistent lower back pain since February 2023, primarily on the right side, escalating over the past three months. The pain intensified during prolonged sitting, standing, and walking, alleviated by lying down and analgesics. Radiating pain to both buttocks and legs, particularly on the right side, accompanied a four-month history of persistent right foot numbness. Referred from RS Siloam Kupang to RSAD Denpasar and subsequently to RSUP Prof IGNG Ngoerah, the patient received a diagnosis of Lumbar Spinal Canal Stenosis at L2-L3-L4, L5-S1, with suspected Spondylitis TB. Results: This case underscores the intricacies of diagnosing Lumbar Spinal Canal Stenosis in young adults, emphasizing the exploration of non-traditional causes. The patient underwent Debridement-Decompression-Stabilization-Fusion-Biopsy+Culture, experiencing postoperative improvement. Cultures showed no growth, and biopsy results were nonspecific. The final diagnosis was Lumbar Spinal Canal Stenosis at L2-L3-L4, L5-S1 due to Spondylitis TB dd/Pyogenic Infection, with bilateral Neural Foraminal Stenosis Grade III at L5. The discussion focuses on the rarity of this presentation in young individuals, challenges in diagnosis, and the efficacy of decompression-stabilization-fusion treatment for achieving positive outcomes in young adult patients. Conclusion: The case discussion emphasizes the complexity of managing Lumbar Spinal Canal Stenosis in a young adult, particularly when infection is suspected. The decision to pursue Decompression-Stabilization-Fusion was rooted in the patient's age, the need for structural stability, and the suspicion of infection.
Application of the Health Belief Model for Assessing Risk Behavior among Patients Experiencing Musculoskeletal Pain Treated with Acupuncture in Surakarta Aditya, Stefanus; Murti, Bhisma; Demartoto, Argyo
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.2024.9.2.752

Abstract

Background: Musculoskeletal pain is a complaint that occurs in parts of the skeletal muscles which is felt by a person ranging from mild complaints to very painful. This study aimed to analyze the effects of perceived vulnerability, perceived benefits, perceived barriers, and self-efficacy on risky behavior in patients complaining of musculoskeletal pain treated with acupuncture. Subjects and Method: This was a cross-sectional study conducted in Surakarta, from November-December 2023. A total of 200 patients were selected using fixed disease sampling. The dependent variable was risk behavior for musculoskeletal pain. The independent variables were perceived vulnerability, perceived vulnerability, perceived benefits, perceived barriers, cues to action, and self-efficacy. The data were analyzed using a multiple linear regression. Results: Musculoskeletal pain risk behaviors (MSDs) decreased with increasing perceived susceptibility (b= -0.22; 95% CI= -0.29 to -0.16; p<0.001), perceived benefit (b= -0.09; 95% CI= -0.13 to -0.05; p<0.001), and self-efficacy (b= -0.06; 95% CI= -0.11 to -0.01; p=0.015) and increased with increasing perceived barriers (b= 0.05; 95% CI= 0.02 to 0.09; p= 0.002). Conclusion: Perceived vulnerability, perceived benefits, and self-efficacy decrease risk behavior in musculoskeletal pain patients, and perceived barriers increase risk behavior in musculoskeletal patients.

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