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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 273 Documents
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When the Eustachian Tube Is Normal: Selective Epitympanic Dysventilation Syndrome in Primary Acquired Cholesteatoma – An Evidence-Based Case Report Pratiwi, Dewi; Sudrajad, Hadi; Primadewi, Novi; Ramliana, Dienia Nop
Indonesian Journal of Medicine Vol.11 No.2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.2.953

Abstract

Background: Primary acquired cholesteatoma is a benign yet locally destructive middle ear lesion with an incompletely understood pathogenesis. While Eustachian tube dysfunction is commonly implicated, it does not explain cases with normal middle ear pressure. Selective epitympanic dysventilation syndrome (SEDS) has been proposed as an alternative mechanism involving localized ventilation impairment within the epitympanum. This study aims to provide a clearer understanding of the clinical features of cholesteatoma associated with SEDS, which may help clarify its etiopathogenesis, support earlier detection, limit disease progression, and guide more appropriate, individualized clinical decision-making. Case presentation A 55-year-old female presented with one year of persistent, malodorous left otorrhea and progressive hearing loss over three months. Otoscopy revealed mucopurulent discharge with an attic perforation. Nasoendoscopy showed a patent Eustachian tube. Audiometry demonstrated mild conductive hearing loss (31.25 dB), and tympanometry showed a Type A curve, indicating normal middle ear pressure. Mastoid MSCT revealed opacification of mastoid air cells and antrum with intact ossicles and no mesotympanic involvement, suggesting a localized ventilation disorder consistent with SEDS. Conclusion: SEDS is an important and underrecognized mechanism in primary acquired cholesteatoma. Its recognition is essential for early diagnosis and for guiding surgical strategies that restore epitympanic ventilation to prevent recurrence.
Identification of Physiotherapy Problems in Patients with Chronic Obstructive Pulmonary Disease at Respira Hospital Yogyakarta: An Observational Study Kusumaningtyas, Mei; Handari, Herdianty Kusuma; Prayitno, Prayitno
Indonesian Journal of Medicine Vol.11 No.2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed....955

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide. Common symptoms include dyspnea, chest pain, reduced thoracic expansion, and impaired pulmonary function. This study aimed to identify physiotherapy-related problems among patients with COPD at Respira Hospital Yogyakarta. Subject and Methods: This observational study was conducted from June to August 2025 at the Physiotherapy Outpatient Clinic of Respira Pulmonary Hospital, Yogyakarta. Physiotherapy-related problems were assessed using the modified Medical Research Council (mMRC) Dyspnea Scale, COPD Assessment Test (CAT), thoracic mobility measurements, Visual Analog Scale (VAS), Peak Flow Meter (PFM), and Incentive Spirometer. Results: A total of 102 patients with COPD participated in the study. Most participants were male (60.8%). Grade 2 dyspnea was reported by 50.0% of subjects, while 65.7% had moderate COPD symptoms. Impaired thoracic mobility was observed in 40.2%–47.1% of patients. Chest pain was reported by only one subject. Severe airflow obstruction was found in 60.8% of participants, with a mean peak expiratory flow of 52.08% of the predicted value. Impaired inspiratory capacity was identified in 48.0% of subjects. Conclusion: The main physiotherapy-related problems identified among patients with COPD at Respira Hospital Yogyakarta were dyspnea, COPD symptoms, impaired thoracic mobility, reduced peak expiratory flow, and decreased inspiratory capacity.
Association Between Early-Life Nutritional Practices and Children's Feeding and Swallowing Skills Putri, Anggi Resina; Mangunsong, Roy Romey Daulas
Indonesian Journal of Medicine Vol.11 No.2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.2.960

Abstract

Background: Children's feeding and swallowing abilities are vital functions that support optimal growth and development, involving the complex coordination of muscles and neural systems to ensure the safe and efficient consumption of food. This study aimed to analyze the role of early-life nutritional practices in the development of feeding and swallowing abilities among children in the Surakarta region using logistic regression analysis. Subjects and Method: This cross-sectional study was conducted in Surakarta, Central Java, from April to August 2025 and involved 50 children selected through purposive sampling. The indepen­dent variables were lactation-based early nutrition and post-lactation complementary nutrition practices, while feeding and swallowing abilities served as the dependent variables. Data were collected through interviews, observations, questionnaires, and the Dysphagia Disorder Survey (DDS). Associations between variables were analyzed using logistic regression in Stata 13. Results: The results of this study indicated that both a history of appropriate lactation-based early nutrition and appropriate post-lactation complementary nutrition practices were significantly associated with children's feeding and swallowing abilities. Children with a history of lactation-based early nutrition (b= 3.13; 95% CI= 0.97 to 4.27; p= 0.002) and appropriate post-lactation complemen­tary nutrition practices (b = 2.48; 95% CI = 0.49 to 4.23; p = 0.013) were more likely to demonstrate appropriate feeding abilities. Similarly, children with a history of lactation-based early nutrition (b = 3.11; 95% CI= 1.08 to 4.76; p= 0.002) and appropriate post-lactation complementary nutrition practices (b= 3.03; 95% CI= 1.10 to 5.18; p= 0.002) were more likely to exhibit appropriate swallowing abilities. Conclusion: This study concludes that both lactation-based early nutrition and appropriate post-lactation complementary nutrition practices are significant determinants of feeding and swallowing abilities in children.

Page 28 of 28 | Total Record : 273

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