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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 6 Documents
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Search results for , issue "Vol.11 No.1 (2026)" : 6 Documents clear
Evaluation of Neutrophil-Lymphocyte Ratio and Platelet-Lymphocyte Ratio in Diabetic Kidney Disease Patients: A Hospital-Based Cross-Sectional Analysis I Made Satya Pramana Jaya; Lydia Tantoso
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.890

Abstract

Background: Diabetes mellitus represents a chronic metabolic disorder with globally increasing prevalence and is one of the leading causes of microvascular complications such as diabetic kidney disease (DKD). Chronic inflammation plays a crucial role in DKD pathogenesis, prompting exploration of simple inflammatory markers such as neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR). This study aimed to determine the relationship between NLR and PLR values with the incidence of DKD. Subject and Methods: This cross-sectional study employed consecutive non-random sampling technique. The study population consisted of all patients visiting Cinta Kasih Tzu Chi Cengkareng Hospital from January to April 2025, totaling 128 respondents. Secondary data from medical records were analyzed using Chi-Square test to determine associations between NLR and PLR (categorized as high vs low) with diabetic kidney disease incidence. Statistical analysis employed Chi-Square test with significance set at p<0.050. Results: Among 128 respondents, 64 (50.00%) were diagnosed with diabetic kidney disease. High NLR group comprised 101 respondents (78.90%), with 50 (39.10%) having DKD. High PLR group totaled 32 respondents (25.00%), with 19 (14.80%) having DKD. NLR demonstrated no significant association with DKD incidence (PR= 0.96; CI95% 0.48 to 1.41; p=0.828). PLR also showed no significant association with DKD incidence (PR= 0.89; CI95% 0.52 to 1.53; p=0.552). Conclusion: Neither NLR nor PLR demonstrates a significant relationship with diabetic kidney disease incidence at Cinta Kasih Tzu Chi Cengkareng Hospital. These findings suggest that NLR and PLR cannot be used as standalone predictors for DKD and should be considered alongside other clinical parameters in comprehensive diabetes management protocols.
Plasma Serotonin Levels and Depression Scores in Informal Caregivers of Patients with Dementia and without Dementia: A Systematic Review Widyadharma, I Putu Eka; Budaya, I Made Maha Candra; Widyastuti, Ketut
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.913

Abstract

Background: Depression frequently affects informal caregivers, particularly those caring for dementia patients due to greater emotional and caregiving burdens. This study aims to compare depression levels and plasma serotonin concentrations between dementia and non-dementia caregivers. Subjects and Method: A systematic review was conducted using PRISMA guidelines. Articles were searched from PubMed, ScienceDirect, and Google Scholar between 2015–2024 using the keywords: dementia caregiver, non-dementia caregiver, depression, and serotonin. Nine primary observational studies met the inclusion criteria: full-text availability, adult informal caregivers, and quantitative measurement of depression and/or serotonin. Data were synthesized narratively. Results: Most studies demonstrated higher depression levels among dementia caregivers compared to non-dementia caregivers. Emotional distress, patient behavioral symptoms, and caregiving duration were identified as major contributing factors. One study showed lower plasma serotonin associated with higher depressive scores, supporting possible biological involvement. Conclusion: Dementia caregivers exhibit greater depressive symptoms than non-dementia caregivers, potentially linked to caregiving burden and serotonin imbalance. Early psychological screening and targeted support interventions are recommended.
Early vs. Late Initiation of Hemodialysis: Early Initiation as a Life-Saving Option in Stage III Leptospirosis Induced Acute Kidney Injury Probowirasmi, Prasasti; Arifin; Aliyah Roselyn, Nadiya; Helmi Fakhruddin
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.892

Abstract

Background: Leptospirosis is a zoonotic disease endemic in tropical regions with a high burden among low-income populations. Its clinical spectrum ranges from mild illness to severe Weil’s disease, which may involve multiple organs with common and severe complication is acute kidney injury (AKI) with no specific therapy exists. In this report, we describe how early hemodialysis may improve outcomes. Case Presentation: A 60-year-old man presented with a 10-day history of fever. He also reported calf pain and jaundice that had appeared one week prior to admission. Over the past week, the patient experienced decreased urinary frequency, with urine becoming more concentrated in color. Laboratory tests revealed thrombocytopenia, leukocytosis, elevated SGOT and SGPT levels, hyperbilirubinemia, and azotemia. Leptospira IgM was positive. Urinalysis demonstrated proteinuria and bilirubinuria. The patient’s Modified Faine’s Criteria score was 34, and his SOFA score was 11. Results: Patient was diagnosed with Weil's disease with AKI III complicated by sepsis. The furosemide stress test was administered to the patient but the results was not favorable therefore hemodialysis was initiated leading to an improvement in the patient’s condition. Conclusion: Early initiation of hemodialysis in patients with leptospirosis induced AKI provides favorable immediate outcome and prevents them from falling into uremic syndrome leading to mortality.
Traditional Treatment Choices for Managing Dysmenorrhea Among Adolescent Girls: An Application of the Health Belief Model Khoiriyah, A'maliatul; Demartoto, Argyo; Murti, Bhisma; Novika, Revi Gama Hatta; Febrinasari, Ratih Puspita
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.907

Abstract

Background: Dysmenorrhea is a common reproductive health problem among adolescent girls and often interferes with daily activities. Various management strategies are used to alleviate dysmenorrhea, including the use of traditional medicine. This study aimed to examine the influence of Health Belief Model (HBM) constructs on the choice of traditional medicine for reducing dysmenorrhea among adolescent girls. Subject and Methods: This quantitative study employed a cross-sectional design carried out in Boyolali Regency, Central Java, Indonesia. A total of 200 female adolescents were selected using stratified random sampling. Data were collected using a standardized questionnaire that had been tested for validity and reliability. Multivariate data analysis was conducted using path analysis to identify both direct and indirect effects among variables. Results:  The selection of traditional medicine for dysmenorrhea management among adolescent girls was directly influenced by perceived benefits (b = 1.29; 95% CI= 0.61–1.97; p < 0.001) and perceived severity (b= −0.14; 95% CI= −0.71 to 0.43; p= 0.631). Meanwhile, perceived susceptibility (b= 0.81; 95% CI= 0.17–1.45; p= 0.013), perceived barriers (b= −1.53; 95% CI= −2.29 to −0.77; p < 0.001), cues to action (b= 1.44; 95% CI= 0.80–2.09; p < 0.001), and self-efficacy (b= −0.98; 95% CI= −1.61 to −0.34; p = 0.003) had indirect effects on the choice of traditional medicine. The resulting path model demonstrated good goodness-of-fit. Conclusion: Health Belief Model constructs can be effectively applied as a framework for understanding the selection of traditional medicine. HBM-based interventions that emphasize increasing perceived benefits and managing perceived barriers are recommended to support informed reproductive health decision-making among adolescents
Massage Therapy as a Strategy for Managing Stress and Physical Symptoms in Pre-Menopause Women Elok Mardliyana, Nova; Adyani, Asta; Puspita, Irma Maya
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.929

Abstract

Background: Pre-menopause is a transitional phase characterized by decreased estrogen and triggers various physical and psychological complaints, such as hot flashes, sleep disturbances, muscle pain, fatigue, and stress, that can reduce women’s quality of life and productiv ity. Massage therapy, as a non-pharmacological intervention, is known to reduce cortisollevels, increase endorphins, improve blood circulation, and promote musclerelaxation, potentially effectively reducing stress and physical complaints in premenopausal women at the community level. This study aims to analyze the effectiveness of massage therapy in reducing stress and physical symptoms among premenopausal women. Subjects and Method: This quasi-experimental study involved 64 premenopausal women members of Ibu Aisyiyah Mulyorejo group who were divided into an intervention group (n=32) who received massage therapy and a control group (n=32) without massage. Massage therapy was given twice a week for 30–45 minutes per session, while changes in physical and psychological complaints were measured using the Menopause Rating Scale (MRS) before and after the intervention and analyzed using the Wilcoxon and Mann–Whitney tests at a significance level of p<0.05. Results: Before the intervention, 97% of respondents in the intervention group were classified as having severe complaints, while 3% were in the moderate category. Following massage therapy, all respondents demonstrated improvement, with 75% categorized as having moderate complaints and 25% as having mild complaints, and no participants remaining in the severe category. The Wilcoxon test indicated a significant reduction in MRS scores within the intervention group (p = 0.002; r = 0.87), while the Mann–Whitney test showed that post-intervention MRS scores in the intervention group were significantly lower than those in the control group (p = 0.005). Conclusion: Massage therapy is effective in reducing psychological and physical complaints in premenopausal women and can be recommended as a community-based complementary strategy for managing stress and somatic symptoms in this group
Associations Between Non-Ergonomic Working Posture,Work-Related Stress, Smoking Habits, and Physical Activitywith Low Back Pain among Police Personnel in theSpecial Region of Yogyakarta Mahardhika, Viola Widyanita; Sumardiyono, Sumardiyono; Murti, Bhisma; Novika, Revi Gama Hatta; Demartoto, Argyo
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.941

Abstract

Background: Low back pain is one of the most common musculoskeletal complaints among police personnel. Several factors, including working posture, work-related stress, smoking habits, and physical activity, are presumed to be associated with the occurrence of low back pain. This study aimed to analyze factors associated with low back pain among police personnel. Subjects and Method: This analytic observational study with a cross-sectional design involved 226 male and female police personnel aged 20–40 years in the Special Region of Yogyakarta, selected using total sampling. The dependent variable was the occurrence of low back pain, while the independent variables included working posture, work-related stress, smoking habits, physical activity, age, and years of service. Data were collected using the Rapid Upper Limb Assessment (RULA) to assess working posture, the Police Stress Questionnaire–Operational (PSQ-Op) to measure work-related stress, and the Numeric Rating Scale (NRS) to assess low back pain intensity. Data were analyzed using the Chi-square test and path analysis. Results: Path analysis showed significant direct effects of non-ergonomic working posture (b = 0.19; 95% CI = 0.09 to 0.29; p < 0.001), work-related stress (b = 0.35; 95% CI = 0.23 to 0.46; p < 0.001), smoking habits (b = 0.17; 95% CI = 0.05 to 0.29; p = 0.007), physical activity (b = −0.16; 95% CI = −0.27 to −0.05; p = 0.006), and age (b = 0.11; 95% CI = 0.01 to 0.22; p = 0.034) on the occurrence of low back pain. Years of service had an indirect effect on low back pain through age (b = 0.99; 95% CI= 0.98 to 0.99; p < 0.001). Conclusion: Non-ergonomic working posture, work-related stress, smoking habits, physical activity, and age have direct effects on the occurrence of low back pain.

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