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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. 3 (2024)" : 15 Documents clear
Nutrition Disc as Media for Increasing Skills of Integrated Health Post Cadres at Jaten II Community Health Center, Karanganyar, Central Java, Indonesia Dewi, Annita Viesta Nirmala; Kharisma, Alya Ayu; Khasanah, Agustina Hidayatul; Maharani, Alvina Dewi; Annisa, Aninditya Choirun; Habiba, Chusna; Dinanti, Dara; Azzahra, Gading Nasywaa Aji; Andayani, Nita Diah Putri; Husna, Rachma Nadza Alfia; Novika, Revi Gama Hatta
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.661

Abstract

Background: Stunting is the main nutritional problem faced by children in Indonesia. Nutrition discs can be used as one of the first steps to detect children with stunting. This study aimed to find whether nutrition discs are an effective medium for improving the measurement skills of health cadres to detect stunting early. Subjects and Method: This was a quasi-experimental study conducted in the Jaten II Community Health Center, Karanganyar, Central Java, from September 2022 to February 2023. A sample of 33 health cadres was selected using total sampling. The dependent variable was cadre skills. The independent variable was nutritional disc media. The instrument in this study used a questionnaire sheet containing 10 numbers regarding stunting knowledge and 25 numbers regarding anthropometric measurement skills. The data were examined using Wilcoxon sign rank test run on SPPS IBM 25. Results: The results of the univariate analysis showed that most of the respondents were aged 40-60 years (78.8%) with a high school educational background, 18 people (54.5%), 18 people (54.5%) had been cadres for 2-10 years and 24 people (72.7%) were not working. Bivariate analysis using the Wilcoxon sign rank test showed p=0.001 (OR=0.35; RR= 0.77 to 1.11; CI 95%). Conclusion: Nutrition discs are an effective medium for improving the measurement skills of health cadres to detect stunting early.
Buteyko Breathing Technique Effectively Improves Cardiorespiracy Endurance in Students Kusumaningtyas, Mei; Handari, Herdianty K
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.679

Abstract

Background: As many as 51.32% of students from the Department of Physiotherapy at the Health Polytechnic of the Ministry of Health fell into the category of cardiorespiratory endurance (VO2max) less than normal. The VO2max value is influenced by breathing, physical activity and hemoglobin levels. There has not been much research on the influence of breathing without physical activity, so it is necessary to conduct research on the influence of breathing on cardiorespiratory endurance. The aim of this research was to determine the effect of Buteyko Breathing Technique on cardiorespiratory endurance. Buteyko Breathing Technique can significantly increase cardiorespiratory endurance. The breath-holding effect of the Buteyko Breathing Technique is the condition of maintaining high carbon dioxide levels all the time which can lower blood pH, causing more oxygen to be released into the tissues and cardiorespiratory endurance to increase. Subjects and Method: Randomized Control Trial research design, Buteyko Breathing Technique treatment group (n=29) and group II was the control group (n=30). Havard Step Test research measuring tool. The research subjects were students majoring from the Department of Physiotherapy at the Health Polytechnic, Ministry of Health, Surakarta. Results: The results of the paired sample t test in the treatment group obtained a value of p=0.027 (p<0.05), meaning that Buteyko Breathing Technique can increase cardiorespiratory endurance, while in the control group, a value of p=0.425 (p>0.05) was obtained, meaning there was no change in cardiorespiratory endurance. in the control group.        Conclusion: Buteyko Breathing Technique can significantly increase cardiorespiratory endurance.
Spinal Tuberculosis: Spectrum of MR Findings with Laboratory Evaluation Sutanto, Ratna; Pratama, Teodorus; Koesbandono, Koesbandono; Chandra, Yohanes
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.702

Abstract

Background: Tuberculosis infections are endemic diseases in Asian countries. Although the incidence is rare, tuberculous spondylitis manifests as a severe and life-threatening disease. This study aims to correlate the abnormal result of erythrocyte sedimentation rate (ESR) and magnetic resonance (MR) imaging findings. Subjects and Method: MR imaging of 60 patients with characteristics of spinal tuberculosis in 4-year 5 month period (January 2019 – May 2023) from Siloam Lippo Village is retrospectively analyzed and reviewed. Data were collected from Infinitt PACS and analyzed by SPSS. Dependent variables in this study are clinical suspicion for tuberculosis infection, erythrocyte sedimentation rate (ESR), and tuberculosis infection in different organs. Meanwhile, the independent variables in this study are multilevel vertebral involvement, multilevel disc involvement, abscess formation, and myelopathy. Results: Association with elevated ESR (erytrocyte sedymentation rate) are seen in 11 out of 31 patients aged >40 (OR=0.45; CI 95%= 0.16 to 1.26; p=0.120), 19 out of 37 patients with clinically suspected for tuberculosis infection (OR=1.98; CI 95% 0.68 to 5.78; p=0.210); 27 out of 55 patients with multilevel vertebral body involvement (OR=0.8; CI 95%= 0.12 to 5.17); p=1); 13 out of 30 patients with intervertebral disc involvement (OR=0.87; CI 95% 0.32 –to2.42); p=0.8); 20 out of 50 patients with abscess formation(OR=0.29; CI 95%=0.66 to 1.24; p=0.08); 5 out of 12 patients with tuberculosis infection on other organs(OR=0.84; CI 95%=0.24 – 3.04; p=0.8); and 5 out of 6 patients with myelopathy(OR=7.3; CI95%=0.79 TO 66.6; p=0.04). Conclusion: MR has an important role in detecting extrapulmonary tuberculosis lesions, especially in the spine. Elevated ESR results play important roles for physicians in identifying patients with the possibility of spondylitis TB.
Systematic Review of Electromyography for Assessing Physiotherapy Outcomes in Children with Cerebral Palsy Rendranandini, Widya; widodo, agus
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.703

Abstract

Background: Cerebral palsy is a disorder that affects the movement and posture of the brain of a developing fetus or baby. The prevalence is around 1-4 per 1000 live births globally, with 9 birth cases in Indonesia. CP children experience various sensory and motor disorders. Various interventions require a tool that can reliably detect the success of therapy. Electromyography (EMG) is an objective method for understanding muscle activity, helps in determining the muscles involved in movement, and provides related information about muscle activity in response to therapy. This study aimed to determine EMG in evaluating the results of therapy. Subjects and Method: A literature search was carried out using 2 databases, namely PubMed and Google Scholar regarding the use of EMG to assess or analyze physiotherapy interventions given to children with CP from the period 2018 - 2023. Using PRISMA as a writing rule. Results: 8 studies described the use of EMG in physiotherapy, 3 articles looked at muscle activity, 3 articles assessed muscle activation, 1 article assessed spastic responses, and 1 article looked at motor neuron excitatory pools. Conclusion: EMG helps physiotherapy in seeing muscle activity, muscle activation, seeing the spastic response of a muscle, and measuring the collection of excitatory motor neurons.
A Rare Case Report of Gastric Adenocarcinoma with Pneumoperitoneum after Jejunostomy Feeding Sukmagautama, Coana; Asaduddin, Aiman Hilmi; Syahrizal, Maulana Firdaus; Khasan, Arif Nur; Putri, Desy Puspa
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.704

Abstract

Background: Gastric cancer is the third highest cancer mortality globally. This malignancy can result in emergency complications such as gastric perforation which results in pneumo­peritoneum. Currently, there are not many case reports which describe pneumoperitoneum in gastric cancer. In this report, we describe a gastric adenocarcinoma with pneumoperitoneum following jejunostomy feeding. Case Presentation: A 54 years old male presented with abdominal pain, black-colored feces, and body weight decrease as much as 22 kg within a month. The physical examination revealed anemic conjunctiva, distended abdomen with abdominal pain, and pale skin. On the lab examination, the hemoglobin level was 9.9 mg/dL. The peripheral blood smear showed signs of iron deficiency anemia caused by chronic process. An endoscopic examination and biopsy showed a gastric mass with well-moderately differentiated gastric adenocarcinoma. The three positions abdominal x-ray incidentally found that the patient had pneumoperitoneum. Results: Patient was diagnosed with Adenocarcinoma Gaster based on a gastric mass biopsy with hematoxylin-eosin staining. Then, the patient was treated with jejunostomy feeding. Thoracic and 3-position abdominal X-ray examinations revealed incidental findings of pneumoperitoneum and small bowel obstruction. Conclusion: Jejunostomy feeding in gastric cancer patient may result in pneumoperitoneum as a complication. Gastric adenocarcinoma followed by iron deficiency anemia from chronic process post jejunostomy feeding was found with pneumoperitoneum complication.
Effect of Exercise on Cognitive Ability, Cardiovascular Fitness, and Quality of Life in Post-Stroke Patients: Systematic Review and Meta-Analysis Maingu, Bertha Sylvester; Murti, Bhisma; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.737

Abstract

Background: Following a stroke, cognitive ability, and cardiovascular fitness decline, exerting a substantial influence on physical rehabilitation and overall quality of life. Stroke management encompasses a multidisciplinary approach, with emerging studies highlighting the role of exercise in enhancing cognitive ability and cardiovascular fitness post-stroke. This study aims to analyze the effects of exercise on cognitive ability, cardiovascular fitness, and quality of life in stroke survivors, shedding light on potential therapeutic benefits. Subject and Methods: The PICO Model eligibility criteria were employed to execute the article search including P= post-stroke patients; I= exercises C= standard care, O= cognitive ability OR cardiovascular fitness OR quality of life. The study extracted articles from PubMed and Science­Direct databases, with keywords "exercises" AND "cognitive ability" OR "cardiovascular fitness" OR "quality of life" AND "post-stroke patients". Inclusion criteria required full-text articles with rando­mized controlled trial (RCT) designs, focusing on post-stroke patients and evaluating improve­ments in cognitive ability, cardiovascular fitness, or quality of life. PRISMA diagram and Review Manager 5.4.1 tool were used to analyse the selected articles. Results: 25 studies included in the review had 2,110 participants, across Asia; Australia, Europe, North America, and South America eligible for meta-analysis. The result indicated a positive effect of exercise on cognitive ability (SMD=0.68, CI 95% (0.21 to 1.16); p=0.005); cardiovascular fitness (SMD=0.63, CI 95% (0.17 to 1.08); p=0.007) and quality of life (SMD=0.60, CI 95% (-0.08 to 1.27); p=0.080). Conclusion: Engagement in diverse forms and durations of exercise emerges as a crucial element in post-stroke rehabilitation. This intervention signifies a promising avenue toward enhancing cognitive abilities, and cardiovascular fitness, and potentially elevating quality of life among stroke survivors.
The Role of Hypertonic Saline in Managing Malignant Cerebral Edema Due to Large Vessel Occlusion Stroke: A Case Report Zairinal, Ramdinal Aviesena; Malutfi, Chandrika Najwa; Hidayati, Diah Balqis Ikfi
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.738

Abstract

Background: Malignant cerebral edema (MCE) is a complication of large vessel occlusion stroke mainly treated by decompressive craniectomy. The aim of this case report is to demonstrate the efficacy of providing hypertonic saline (3% NaCl) as an alternative treatment for reducing intracranial pressure (ICP) in an MCE patient who refuses surgery. Case Presentation: A 66-year-old man went to the emergency department with unconsciousness, right-sided hemiplegia, and global aphasia for 4.5 hours before admission. His National Institutes of Health Stroke Scale (NIHSS) score was 12. The patient’s brain magnetic resonance imaging (MRI) revealed a large infarction on the left frontotemporoparietal lobe which caused a subfalcine herniation 1.4cm to the right side. He also suffered hyponatremia (115mmol/L). The family refused decompressive craniectomy. The patient received 200ml of 3% NaCl drip intravenous as an initial dose over 20 minutes every 6 hours. Subsequent administration is gradually reduced every 25ml with a distance adjusted to the patient’s condition up to 50ml as the last dose. The patient’s 90-day modified Rankin Scale (mRS) score was 4. Results: The patient with MCE in this case who was administered 3% NaCl as conservative therapy had satisfactory outcomes, as demonstrated by the improvement of the clinical neurological condition. Conclusion: In patients who decline surgery, 3% NaCl might be given as a conservative treatment option to reduce ICP while maintaining serum sodium levels under control. This case revealed a positive clinical result without complications.
Nurse’s Characteristics and Their Understanding Regarding the Compatibility of Mixing Intravenous Drug Preparations in Hospital Settings Rizky Wiharti, Irda; Karuniawati, Hidayah
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.744

Abstract

Background: Drug incompatibility can occur in patients in hospital who receive one or more drugs at the same time due to incompatible drug mixing, and the mixture is said to be incompatible if there are precipitates, crystals, visual color changes. This research aims to determine the relationship between nurses' knowledge of incompatibility in mixing intravenous drug preparations, so that collaboration between nurses and pharmacists can occur in administering intravenous drugs and can reduce the occurrence of medication errors, especially when administering intravenous drugs. Subjects and Method: Cross sectional research was conducted in RSUD dr. Soeselo, Tegal, Central Java, November 2023. The research subjects were 152 nurses selected using purposive sampling technique. The dependent variable is knowledge. The independent variables are age, gender, length of work, duration of work, and training. Data was collected using a questionnaire and analyzed using multiple linear regression. Results: The number of survey respondents in this study was 152 people, with the majority being 73.7% female and 26.3% male. The average value of the nurses' age was 31.82 ± SD 5.09 and 6.14 ± SD 3.26 for the length of work of the nurses who took part in this study, and the average duration of work was 10.08 ± 2.00. In the multivariate analysis test, gender, last education, duration of work, length of work, age on knowledge had a p value of >0.005 so there was no significant effect. Conclusion: The majority of nurses still have a poor level of knowledge <75% on several questionnaire items. Apart from that, this research shows that there are still many nurses who do not understand intravenous stability and the stages of intravenous administration, which is shown in the question scores. So the role of clinical pharmacy in monitoring and providing education regarding nurse training regarding drug incompatibility is needed.  
The Effect of a Combination of Ultrasound and Stretching on the Pain Scores of Piriformis Syndrome Patients at the Padas Health Center, Ngawi Regency Imani, Kelvin Teguh; Fariz, Achmad; Hamidah, Nurul
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.746

Abstract

Background: Piriformis Syndrome is a pain in the pelvic area caused by prolonged or excessive contraction of the piriformis muscle so that the sciatic nerve is compressed or compressed. The physiotherapy treatment used is a combination of ultrasound and stretching. This study aimed to determine the effect of a combination of ultrasound and stretching in reducing pain in piriformis syndrome patients. Subjects and Method: The design of this study was a one-group pre-experimental and post-test design with 20 respondents who met the inclusion and exclusion criteria using a purposive sampling technique carried out in September-October 2023. Respondents had their pain scale measured using VAS (Visual Analog Scale) before and after physiotherapy treatment, namely; giving a combination of ultrasound and stretching 2 times a week for 4 weeks. Results: This study used the paired sample test hypothesis test with the median VAS value; (1) pre by 5.70; (2) posts by 3.35 and (3) P value by 0.00. Conclusion: It can be concluded that the combination of ultrasound and stretching is effective in reducing pain in cases of piriformis syndrome.
Unveiling Atopic Dermatitis: Exploring Smoking, Obesity, and Fast Food as Pivotal Risk Factors - A Systematic Review Hibatullah, Faiz Nur; Kalada, Elisabeth Chelsea Uma; Baita, Etina Noor; Putra, Fabianus Yvan Marino Cahaya; Adiwinoto, Ronald Pratama; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 9 No. 3 (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.2024.9.3.750

Abstract

Background: Atopic dermatitis (AD), also known as Eczema, is an inflammatory skin disease that causes dry, itchy skin. several risk factors for AD have been reported including demographics, socioeconomics, active and passive smoking, urbanization, diet, breastfeeding and timing of introduction of solid foods, obesity, physical exercise, fast food, and environmental air pollution. This study aims to better understand the effect of smoking, obesity, and fast food consumption as one of the risk factors of AD. Subjects and Method: Systematic review with the help of PICOs to search for eligible articles. Articles were searched from 3 different databases (PubMed, ScienceDirect, and Google Scholar) with the help of a search engine application, Publish or Perish (PoP), using the following keyword: “smoking AND atopic dermatitis”, “fast food AND atopic dermatitis”, “obesity AND atopic dermatitis”. Results: 10 articles matched the specified inclusion and exclusion criteria for this study. Whether or not smoking causes AD is still conflicting, few studies reported there is no correlation between smoking and AD, whereas other studies said otherwise. In contrast to that, second-hand smoke was found to be affecting AD conditions more (up to 2.320). Most of our eligible articles reported that obesity did cause severe reactions of AD up to 1.62 times. Frequent fast food consumption was also found to be causing severe AD conditions (OR=1.580). Conclusion: Obesity and fast food consumption are one of the causes of AD development and AD severity. The risk factor of cigarette smoking still conflicts with whether or not it affects AD conditions.

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