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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 407 Documents
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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.
Comparison of Jack Knife Stretching and Miofacial Decompression on Increasing Hamstring Muscle Flexibility in Futsal Players Arsifanto, Achid Muyassar; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 1 (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.2024.9.1.664

Abstract

Background: Flexibility plays an important role for athletes, especially football players. The greater a person's level of muscle flexibility, the lower the risk of injury. Jack Knife Stretching (JKS) and Myofascial Decompression (MD) are treatments that help promote flexibility, particularly for the hamstring muscles. This study aimed to eaxamine the effect of Jack Knife Stretching and Myofascial Decompression in enhancing hamstring muscular flexibility in futsal players.Subjects and Method: This was a randomized controlled trial. The study was conducted at the Kendal Football Club, Kendal, Central Java, Indonesiea, on June 2023. A sample of 20 football players was selected and divided into two groups randomly. The dependent variable was hamstring muscle flexibility. The independent variables were Jack knife stretching and myofascial decompression. Hamstring muscle flexibility was examined using V sit and reach test. Data were compared using independent t test.Results: Before intervention, hamstring muscle flexibility score between groups were comparable (p= 0.708). After intervention, hamstring muscle flexibility score in the MD group (Mean= 22.41; SD= 0.61) was higher than JKS group (Mean= 20.42; SD= 1.36), and it was statistically significant (p= 0.026).Conclusion: Myofascial decompression is more effective to increase hamstring muscle flexibility than Jack knife stretching. Keyword: muscle flexibility, Jack knife stretching, myofascial decompression
Anticoagulant Management of Mechanical Heart Valve Patients During Perioperative Surgery: A Case Report Wasyanto, Trisulo; Yudhistira, Yoga; Anggraini, Nutria; Yasa, Ahmad; Irnizarifka, Irnizarifka
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.667

Abstract

Background: Patients with mechanical heart valves require lifelong oral anticoagulation. It will be a dilemma if a patient with a mechanical heart valve has surgery. This case report aims to discuss how to interrupt oral anticoagulants and bridging therapy in patients with mechanical heart valves who will be undergoing non-cardiac surgery. Case Report: A 26-year-old pregnant woman, G1P0A0, aterm with a mechanical mitral valve, will have elective Sectio Caesarian Transperitonealis (SCTP) surgery and Intra Uterine Device (IUD) insertion. The patient had a history of mitral valve replacement surgery (MVR) in 2014 and was routinely treated with 4 mg of warfarin at night. From the examination, blood pressure was 120/80 mmHg, heart rate was 90 beats per minute, and pulse rate was 90 beats per minute. The ECG examination found sinus rhythm with 1st-degree atrioventricular block, right axis deviation, 90 beats per minute, and left atrial enlargement. We decided to have oral anticoagulant interruption and bridging therapy by stopping warfarin three days before surgery. When the international normalized ratio (INR) falls <2, patients are given heparin injections (UFH) with an APTT target of 1.5-2.0 times from basic APTT. When the patient was about to be operated on, UFH was stopped 6 hours before surgery and resumed 12 hours after surgery. Warfarin was given one day postoperatively. Patients were adjusted to the dose of UFH according to the target. This patient had no thromboembolic events or bleeding before, during, or after surgery. The patient was allowed to be an outpatient and was given home therapy with Warfarin 5 mg at night. Results: We report a case of a 26-year-old female patient with a mechanical mitral valve who was going to undergo elective SCTP surgery and an IUD insertion. Patients at high risk of thrombo¬embolism due to surgery with a high risk of bleeding. Bridging therapy was performed using UFH. In the perioperative period, the patient did not experience thromboembolic events, and bleeding before, during, and after surgery could be well controlled. Conclusion: Perioperative management of patients with mechanical heart valves must be done carefully. Interruption of oral anticoagulants should be carefully considered considering the risk of thromboembolism and bleeding during the perioperative period. Guidelines recommend that in patients with mechanical heart valves, anticoagulation interruption for minor surgeries is avoided. Whereas in patients with major surgery, it is necessary to do bridging therapy with fast-acting anticoagulants such as UFH or LMWH. Keywords: mechanical heart valve, anticoagulant interruption, perioperative, bridging therapy Correspondence: Trisulo Wasyanto. Department of Cardiology and Vascular Medicine, Faculty of Medicine, Sebelas Maret University / Dr. Moewardi Hospital. Jl. Kol. Sutarto 132, Surakarta 57126, Central Java, Indonesia. Email: trisulo.wasyanto@staff.uns.ac.id. ORCID ID: 0000-0001-9900-0497. Mobile: +62811294225.
Meta-Analysis: Application of Theory of Planned Behavior on Acupuncture Therapy Utilization in Cancer Patients with Pain Rahmawati, Fatimah; Demartoto, Argyo; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.673

Abstract

Background: Cancer is a health disorder caused by the formation of abnormal cells that grow past the normal cell cycle limit and can attack and spread to other parts of the body. In the Theory of Planned Behavior, one's behavior can be influenced by three main aspects, including attitudes, subjective norms, and behavioral control. The purpose of this study was to estimate perceived benefits, perceived barriers, and subjective norms regarding the use of acupuncture therapy in cancer patients with pain. Subjects and Method: This was a systematic review and meta-analysis. This study uses the PICO model. The meta-analytic study was carried out by searching for articles from databases in electronic form using Google schoolar, PubMed, and Elsevier. Article searches were conducted from 05 February to 10 March 2023. The keywords used were “Theory of Planned Behavior” OR “TPB” AND “Acupuncture” OR “Complemantary Alternative Medicine” AND “Cancer” OR “Pain” AND “Cancer Pain” OR “Cross-Sectional”. The inclusion criteria for this study were complete articles using cross-sectional research, published years from 2007-2022. Analysis of the articles in this study used RevMan 5.3 software. Results: 8 cross sectional studies from North United States and Asia (Korea and Malaysia) were selected for meta-analysis. High perceived benefit (aOR= 1.20; 95% CI= 1.09 to 1.33; p<0.001) and strong subjective norm (aOR= 1.05; 95% CI= 1.01 to 1.08; p= 0.005) increased acupuncture utilization to reduce pain. High perceived barrier reduced acupuncture utilization (aOR= 0.94; 95% CI= 0.91 to 0.97; p < 0.001). Conclusion: High perceived benefit and strong subjective norm increase the use of acupuncture. Strong perceived barrier reduces the use of acupuncture. Keywords: Theory of Planned Behavior, cancer patients with pain, acupuncture therapy
Effect of Social Cognitive Therapy on Mental Improvement in Post Traumatic Stress Disorder: A Meta-Analysis Ariska, Yovita Galuh Eka; Prasetya, Hanung; Murti, Bhisma
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.674

Abstract

Background: Post Traumatic Stress Disorder (PTSD) is a mental disorder that develops after experiencing a very threatening or horrific event. Cognitive behavioral therapy or Cognitive Behavior Therapy (CBT) is one of the most popular therapies. The purpose of this study was to analyze the effect of cognitive behavioral therapy on mental improvement in Post Traumatic Stress Disorder patients. Subjects and Method: This study is a systematic review and Meta-analysis using PICO model. Population: Post Traumatic Stress Disorder patients. Intervention: cognitive behavioral therapy. Comparison: no cognitive behavioral therapy. Outcome: Mental Improvement. The online databases used are Google Scholar, PubMed, and Sience Direct with keywords (“Post Traumatic Stress Disorder” OR “PTSD”) AND (“Cognitive Behavioral Therapy” OR “Cognitive Behavioral Therapy” OR “CBT”) AND (“Randomized controlled trial” OR “RCT”). There were 9 randomized controlled trial studies published in 2005-2023 that met the inclusion criteria. Analysis was performed using RevMan 5.3. Results: A Meta-analysis conducted using 9 RCTs from the United States, Australia, the Netherlands, Sweden, and Thailand. A total sample was 6,088 health workers. Cognitive behavioral therapy reduced PTSD (SMD= -6.32; p= 0.020). Forest plots showed high heterogeneity (I2=73%; p= 0.003), so analysis was conducted using the random effect model. Conclusion: CBT reduces PTSD. Keywords: cognitive behavior therapy, mental improvement, post-traumatic stress disorder, randomized controlled trial
Meta-Analysis the Effects of Hypertension, High Density Lipoprotein, and Diabetes Mellitus on the Risk of Stroke Amalia, Najlah; Widyaningsih, Vitri; Ichsan, Burhannudin
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.675

Abstract

Background: Stroke is defined as an interruption of the blood supply to the brain which is usually caused by a blockage by a blood clot. This causes disruption of the supply of oxygen and nutrients to the brain resulting in damage to brain tissue. This study aims to analyze and estimate the effect of hypertension, high-density lipoprotein, and diabetes mellitus on the risk of stroke. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: adults. Intervention: hypertension, high-density lipoprotein, and diabetes mellitus. Comparison: normal blood pressure, normal HDL, and normal blood sugar. Outcome: strokes. The databases used were PubMed, Google Scholar, Science Direct, and Proquest with keywords (hypertension OR "diabetes mellitus" OR "high-density lipoprotein") AND stroke AND ("cross-sectional" OR "case-control") AND aOR. There were 9 Case-Control studies and 4 Cross-Sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: 13 studies from Oman, Iran, Lebanon, Ghana, Finland, Nigeria, China, Japan, and Saudi Arabia were selected for meta-analysis. Total sample was 71,037. Had history of hypertension (aOR= 5.48; 95% CI = 2.26 to 13.32; p= 0.002) and diabetes mellitus (aOR = 1.93; 95% CI= 1.45 to 2.57; p< 0.001) increased the risk of stroke. High HDL levels reduced the risk of stroke (aOR = 0.46; 95% CI = 0.27 to 0.79; p= 0.004). Conclusion: History of hypertension and diabetes mellitus increase the risk of stroke. However, high HDL levels reduce the risk of stroke. Keywords: hypertension, high-density lipoprotein, diabetes mellitus, stroke.
Effect of Theraband Exercise on Knee Pain Reduction in Osteoarthritis Patients Ramona, Dela; Sudaryanto , Wahyu Tri
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.676

Abstract

Background: Osteoarthritis (OA) is a degenerative joint disease associated with damage to joint cartilage, where a complex joint degradation process occurs, consisting of a repair process in the cartilage, bone, and synovium, followed by a secondary component of the inflammatory process. The primary cause of osteoarthritis is still not known for certain, but there are several risk factors that play a role, namely: age, gender, genetics, obesity, metabolic diseases, and other factors. This study aimed to examine the effect of theraband exercise on reducing knee pain in OA patients. Subjects and Method: This was a quasy experiment study conducted at Dr. Soedjono Hospital, in Magelang, Central Java, from May to June 2023. A sample of 33 knee osteoarthritis patients was selected using purposive sampling. Intervention group (n= 17) received Theraband exercise and control group (n= 16) received usual care. The dependent variable was knee pain. The independent variable was Theraband exercise. Knee pain was measured using a visual analogue scale (VAS). The data were tested using independent t test. Results: After intervention, mean of VAS score in the intervention group (Mean= 5.25; SD= 1.57) was slightly higher than control group (Mean= 5.13; SD= 1.75), but it was statistically non-significant (p= 0.848). Conclusion: Mean of VAS score in the intervention group is slightly higher than control group, but it is statistically non-significant. Keywords: theraband exercise, pain, osteoarthritis knee. Correspondence: Dela Ramona. Study Program of Physiotherapy, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta. Jl. A. Yani Kartasura, Sukoharjo, Central Java, 57162 Email: delaramona26@gmail.com. Mobile: +6281347988116.
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.
Pulmonary Hypertension in Pregnancy: A Case Report Wasyanto, Trisulo; Anggraini, Nutria Widya Purna
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.683

Abstract

Background: Pulmonary Hypertension (PH) is a disease characterized by distressing symptoms and decreased life expectancy due to the narrowing of the blood vessels of the lungs, which often leads to right heart failure. The prevalence of PH in women is 97 cases per million, with 64% of the main causes of PH in pregnancy congenital heart defects, resulting in a very high maternal and fetal mortality rate. Case Report: A 38-year-old G4P1A2 31-week gestational age complained of shortness of breath for 5 days. Physical examination revealed blood pressure was 107/62 mmHg, Heart Rate was 98 beats per minute, respiration 40x per minute, and SpO2 88% with NRM 10 Lpm. The heart examination obtained heart sound I -II regular and a systolic murmur was heard between the left 2nd ribs. Abdominal examination was single fetus, intrauterine, breech presentation, His (+), fetal heart rate 160 beats per minute. vaginal toucher 2 cm in labour. ultrasound examination singles fetal, transverse lies, with an estimated fetal weight of 1600 grams. Echocardiography finding: ASD II L to R shunt with LV EF 60%(T), 62% (S), dilated RA-RV, TR severe, MR mild, High Probability of Pulmonary Hypertension. The patient was diagnosed with Dyspnea, Pulmonary edema caused by cardiogenic, ASD II, High probability of PH, NYHA IV, and Breech presentation in labor. Decided to perform a caesarian section and sterilization. The Male baby was born with 1570 grams Apgar Score 3-5-7. post operation patient was admitted to ICU. Twelve hours after the operation the patient had decreased control and became a PH crisis then the patient was declared dead. Results: The death of the patient, in this case, was caused by cardiogenic shock due to Pulmonary Hypertension Crisis. Conclusion: Early diagnosis along with collaborative and comprehensive management of pulmonary hypertension is needed for good maternal and fetal outcomes. Keywords: pulmonary hypertension, pregnancy, heart disease. Correspondence: Trisulo Wasyanto. Department of Cardiology and Vascular Medicine, Faculty of Medicine, Sebelas Maret University / Dr. Moewardi Hospital. Jl. Kol. Sutarto 132, Surakarta 57126, Central Java, Indonesia. Email: trisulo.wasyanto@staff.uns.ac.id.  Mobile: +62811294225.  
Correlation between HbA1c Levels and Red Distribution Cell Width in Type 2 Diabetes Mellitus Patients Rahma, Hadiyatur; Siregar, Jelita; Syafril, Santi; Ganie, Ratna Akbari; Siregar, Dewi Indah Sari; Ginting, Almaycano
Indonesian Journal of Medicine Vol. 9 No. 1 (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.2024.9.1.684

Abstract

Background: HbA1c is used as a parameter for diagnosis and monitoring of diabetes mellitus (DM). Apart from that, HbA1c, red blood cells also experience changes which result in changes in erythrocyte structure and hemodynamic characteristics. The parameter that changes in this case is red cell distribution width (RDW). This study aimed to analyze correlation between HbA1c levels and RDW in type 2 DM patients. Subjects and Method: This a cross sectional study conducted at H. Adam Malik General Central Hospital, Medan, North Sumatera, Indonesia, from December 2022-April 2023. Total sample of 75 type 2 DM patients was selected consecutively. The dependent variable was RDW. The independent variable was HbA1c. Data of RDW and HbA1c were collected from complete blood count test. Data were analyzed using the Spearman correlation. Results: HbA1c was negatively associated with RDW, but it was statistically non-significant (r= -0.08; p= 0.508). Conclusion: HbA1c is negatively associated with RDW, but it is statistically non-significant.   Keywords: diabetes melitus, HbA1c, red cell distribution width

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