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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. 4 (2024)" : 15 Documents clear
Decline in Estrogen Levels and Its Impact on Muscle Strength in Elderly Women: A Systematic Review Cahyaningrum, Hapsari; Silanurrahmi, Athaya Zuhra; Hakim , Gamadhan Kholid Rahman
Indonesian Journal of Medicine Vol. 9 No. 4 (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.2024.9.4.755

Abstract

Background: In the musculoskeletal system, old age is closely related to a decline in muscle strength. Decreased muscle strength in women is caused by the influence of changes in estrogen hormone levels. Several studies were conducted to see how estrogen affects muscle mass, muscle function, muscle damage, muscle regeneration, inflammation in the body, mitochondrial funct¬ion, and substrate metabolism. Therefore, the study was carried out with the aim of conducting further study focusing on estrogen on muscle strength in elderly women.Subjects and Method: The study was conducted with a systematic review design. The study was carried out in accordance using PRISM guidelines with the PICO formula. Population: elderly women, Intervention: estrogen hormone, Outcome: muscle weakness. Article searches were carried out through several databases, namely PubMed, Cochrane Library, Scopus Database, and Physio-therapy Evidence Database (PEDro) with the keywords: estrogen OR "estrogen hormone" OR "muscle strength" OR "risk of falls" OR "menopause" OR "women elderly." Risk of bias assessment was carried out according to the study design of each article.Results: There were 10 articles involved in this study. The article has a cross-sectional and longitudinal study design. Articles had a low and medium risk of bias assessment. 6 articles stated that there was a relationship between changes in estrogen hormone levels and muscle weakness. 4 articles stated that there was no relationship between changes in estrogen hormone levels and muscle weakness. Conclusion: There is a inconsistent relationship between estrogen levels and muscle strength in elderly women.
Comparison of the Effects of Zig-Zag Run and Shuttle Run Exercises on Agility in Futsal Players Fahri, Ana Mustafiyah; Oktaviani, Vernanda; Asyhari, Atge Oktoreza
Indonesian Journal of Medicine Vol. 9 No. 4 (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.2024.9.4.828

Abstract

Background: Futsal players really need agility so that they can improve their performance and get maximum results as well as improve the body's physiological systems and functions. Physiotherapy plays a role in efforts to improve player achievement by optimizing physical capacity and functional abilities so that maximum achievement is achieved. Agility exercises that can be used to improve agility are obstacle runs, zig-zag runs, and shuttle runs. The purpose of this study is to find out which has a greater effect between the addition of zig-zag run and shuttle run exercises on the agility of futsal players.Subjects and method: This was an experimental study to compare the effect of zig-zag run and shuttle run on agility. 30 futsal players aged 18-23 years were divided into two groups, i.e. zig-zag run and shuttle run, randomly. The dependent variable was agility. The independent variables were zig-zag run and shuttle run. Difference of agility score before and after intervention between groups was tested using independent t-test.Results: There was no difference of agility level between zig-zag run (Mean= 10.06; SD= 0.49) and shuttle run (Mean= 10.02; SD= 0.74) groups before intervention, p= 0.315. After intervention, there was a slight difference of agility level between zig-zag run (Mean= 9.77; SD= 0.43) and shuttle run (Mean= 9.73; SD= 0.74) groups, and it was marginally significant (p= 0.052). Conclusion: After intervention, there is a slight difference of agility level between zig-zag run and shuttle run groups, and it is marginally significant.
Multilevel Analysis of Prognostic Factors for Cognitive Function in Post-Stroke Patients Utami, Sukandriani; Rahardjo, Setyo Sri; Murti, Bhisma; Novika, Revi Gama Hatta; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine Vol. 9 No. 4 (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.2024.9.4.829

Abstract

Background: Stroke is the leading cause of disability and the second leading cause of death worldwide. Post-stroke disability can be in the form of motor, sensory, autonomic, or cognitive impairments. Impaired cognitive function is the leading cause of death and pain in post-stroke patients in the world. Decreased cognitive function is present in more than 70% of post-stroke patients and is associated with disability, independence, and pain. This study aims to analyze the prognosis factors of cognitive function in post-stroke patients.Subjects and Method: This study used a cross-sectional design conducted in 7 hospitals on the island of Lombok from July to August 2024. A total of 200 post-stroke patients were selected using stratified random sampling. The dependent variable in this study was cognitive function examined using the Mini Mental State Examinatio (MMSE) questionnaire. Other independent variables such as age, gender, marital status, pension fund, complications, comorbidities and stroke type were collected using a questionnaire. The data were analyzed using a multilevel double-linear regression model.Results: The prognosis factor of cognitive function in post-stroke patients was age (b=-0.19; CI 95%=-0.29 to -0.10; p=<0.001), marital status (b=-3.80; CI 95%=-6.72 to -0.88; p=0.011), pension fund (b=-5.88; CI 95%= -8.35 to -3.42; p=<0.001), complications (b=-5.37; CI 95%= -7.34 to -3.39; p=<0.001). While sex, comorbidities, and stroke type did not show a significant relationship with the cognitive function of post-stroke patients. Conversely, there was an influence of doctors treating post-stroke patients on cognitive function (ICC=8.76%).Conclusion: Age, marital status, pension funds, and complications are prognostic factors in cognitive function of post-stroke patients. Conversely, there is an influence of doctors who treat post-stroke patients on cognitive function.
Factors Influencing Cervical Cancer Screening Participation in Female: Systematic Review Hastuti, Sri; Wulan, Suryati Kumoro; Widyawati, Melyana Nurul
Indonesian Journal of Medicine Vol. 9 No. 4 (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.2024.9.4.801

Abstract

Background: Cervical cancer is the second leading cause of morbidity and mortality in the world. This can be influenced by several things such as lack of willingness to participate in cervical cancer screening. This review aims to explore factors that influence participation in cervical cancer screening. Subjects and Method: This study is a systematic review with PICO covering: (1) Population: women; (2) Intervention: factors influencing participation; (3) none; (4) level of participation in cervical cancer screening. The databases used are PubMed and JSTOR. Inclusion criteria include full text in Indonesian and English with research subjects in women with cervical cancer. Exclusion criteria in this study were articles published less than five years ago. Results: A total of 21 articles stated that several factors such as interpersonal, intrapersonal, community, organizational, and public policy can influence participation in cervical cancer screening. Conclusion: Intervention strategies based on the reviewed factors need to be improved to reduce cervical cancer morbidity and mortality rates.
Comparison of HbA1c Levels in Normal-Weight and Obese Type 2 Diabetes Mellitus Patients at Dr. Pirngadi General Hospital, Medan, North Sumatra, Indonesia Sagala, Daniela; Nainggolan, Ranatha NH; Sinurat, Suryati; Butar-Butar, Harry; Siahaan , Jekson Martiar
Indonesian Journal of Medicine Vol. 9 No. 4 (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.2024.9.4.802

Abstract

Background: Diabetes mellitus is a collection of metabolic diseases caused by impaired insulin secretion, insulin action, or both so that it has the characteristics of hyperglycemia. Increased will cause a decrease in glucose delivery to the plasma membrane, resulting in insulin resistance in muscle and adipose tissue. This study aimed to compare HbA1c in normal weight and obese individuals with type 2 DM at Dr. Pirngadi hospital.Subjects and Method: This was a cross-sectional study was conducted at Dr. Pirngadi Hospital, Medan, North Sumatera, Indonesia, on May 2022. A sample of 50 patients diagnosed with Type 2 Diabetes Mellitus (T2DM, HbA1c ≥6.5%). The study variables were HbA1c and body mass index (BMI). Independent t-test was used to compare HbA1c levels between normal weight and obese participants.Results: HbA1c in type 2 DM patients with obesity (Mean= 11.49; SD= 0.60) is higher than those with normal weight (Mean= 8.71; SD= 0.34), with p= 0.002.Conclusion: HbA1c in type 2 DM patients with obesity is higher than those with normal weight.

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