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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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Surgical Management of Posterior Cruciate Ligament Avulsion Fracture: A Case Report Sadiwidayat, Komang Septian; Febyan; Dimitri, Dominicus
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.2024.9.1.710

Abstract

Background: Posterior Cruciate Ligament (PCL) avulsion fractures are relatively rare but significant injuries to the knee. The diagnosis and management of these injuries can be complex and require a comprehensive approach Case Presentation: A 24-year-old female presented to the emergency department following a motorbike fall. She experienced significant pain in her knee and had a swollen popliteal fossa. Imaging studies, including X-ray and CT scan, revealed an avulsion fracture at the PCL insertion. The patient underwent successful surgical fixation of the avulsed fragment, following a positive posterior drawer, sag, and dial test suggesting an isolated PCL avulsion. Conclusion: This case underscores the importance of a comprehensive and individualized approach to the management of PCL avulsion fractures. It further emphasizes the need for future research to delineate the long-term outcomes of different treatment strategies and to develop evidence-based guidelines for this unique and challenging injury. Keywords: posterior cruciate ligament, avulsion fracture, knee injury, surgical fixation.
The Effectiveness of Exercise Therapy in Reducing Pain, Joint Range of Motion and Functional Disability in Patients with Frozen Shoulder at Causa Primary Adhesive Capjualis: A Systematic Review: The Effectiveness of Exercise Therapy in Reducing Pain, Joint Range of Motion and Functional Disability in Patients with Frozen Shoulder at Causa Primary Adhesive Capjualis: A Systematic Review Dwi Aprilia Sari; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.711

Abstract

Background: Adhesive capelusitis is a condition of inflammation, adhesions and shortening of the joint capsule resulting in significant limitations in joint movement from active and passive movements, thus disrupting human mobility and activities. The severity of Adhesive Capjualitis varies from mild to severe pain. The prevalence of Adhesive Capjualitis is 2%-5% of the entire population and occurs more often in women than men. Adhesive Capjualitis treatment has many options, namely conservative and surgical. Exercise therapy has many benefits for the body, providing exercise therapy for Adhesive Capjualitis can improve disability, prevent increasing severity and optimize health status and motor function. This study aims to review the effectiveness of exercise therapy in reducing pain, increasing joint range of motion and functional ability in patients with primary adhesive capelusitis. Subjects and Methods: A literature search was carried out using three databases PubMed, Google Scholar and PEdro which recorded studies on exercise therapy in patients with Frozen Shouldet at causa Primary Adhesive Capjualis in the period 2013-2023. PRISMA was used as a writing rule and methodological quality was checked with the PEDro scale. Results: Seventeen studies describing Exercise Therapy in Adhesive Caplaluis were included in this study, the methodology assessment using the PEDro scale was obtained with a score in the range of 4-10/10 with 2 articles being perfect, 11 articles being good, and 4 articles being adequate. Conclusion: Exercise therapy appears to be able to effectively reduce pain, increase range of motion and functional ability in primary Adhesive Capjualitis Keywords: Frozen Shoulder, Adhesive Capjualitis, Exercise Therapy, ROM, Functional Disability
The Relationship between Social Capital and Burnout in Energy Health Professionals: A Meta-Analysis Adriani, Rita Benya; Sulistyowati, Dwi; Hapsari, Happy Indri; Adriana, Nadya Puspita
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.712

Abstract

Background: Social capital is referred to as public resources and capital that can be accessed through social relationships and social involvement of the community to work together to achieve common goals in various groups and organizations. Burnout Syndrome experienced by health workers is a situation when health workers show behavior such as giving unpleasant responses to patients, delaying work, getting easily angry when colleagues or patients ask simple questions, complaining of feeling tired and dizzy quickly and worse, not caring about work and surrounding conditions. This research aims to estimate the relationship between social capital and burnout in professional health workers. Subjects and Method: This research is a systematic review and meta-analysis research using the PRISMA diagram. Article searches were carried out based on the PICO Model eligibility criteria. P= Health workers; I= Social capital; C= Low social capital; O= Fatigue. The articles used come from 3 databases, namely: PubMed, Google Scholar, and ScienceDirect. With keywords including "social capital" AND "burnout" AND "health workers" AND "cross section study". Filtered articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 11 case-control observational research articles as a source for meta-analysis of the relationship between social capital and burnout in professional health workers. This research shows that health workers with low social capital have a risk of experiencing burnout 1.86 times compared to health workers with high social capital, and the results are statistically significant (aOR= 1.86; 95% CI= 1.09 to 3.17; p< 0.02). Heterogeneity of research data shows I2= 89% so that the data distribution is declared heterogeneous (random effect model). Conclusion: Meta-analysis of 11 cross-sectional studies concluded that social capital increases burnout in health workers. Keywords: Social capital, burnout, health workers.
Effects of Plyometric Zig-Zag Run and Single Leg Speed Hop Exercises on Agility and Leg Muscles Explosive Power in Football Players Fadhilah Ilmi, Dhiki; 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.2024.9.1.713

Abstract

Background: Futsal is a ball game played by each of 5 people. With the aim of putting the ball into the opponent's goal. Agility and explosive power are required, plyometrics are used to increase lower body muscle power and increase explosive power by training muscles to perform more movements in a shorter time. This study aimed to determine the effects of plyometric zig-zag run and single leg speed hop exercises on increasing agility and leg muscle explosive power in futsal players. Subject and Method: This was a quasi experiments with no control group. The study was carried out in Kendal, Central Java, from May to June 2023. Total sample of 21 futsal players was selected simple random sampling. The dependent variable was leg muscle agility and explosive power. The independent variables were plyometric zig-zag run and single leg speed hop exercises. Leg muscle agility was measured using the agility t-test. Leg musce explosive power was measured using standing broad jump test. The data were tested using paired t-test. Result: Mean score of leg muscle agility after plyometric zig-zag run was faster (Mean= 9.86 sec.; SD= 0.58) than before (Mean= 10.03 sec.; SD= 0.53), p<0.001. Mean score of leg muscle explosive power after single leg speed hop exercises was higher (Mean= 217.05 cm; SD= 12.46) than before (Mean= 200.67 cm; SD= 10.89), p<0.001.Conclusion: Plyometric zig-zag run improves leg muscle agilty. Single leg speed hop exercises improves leg muscle explosive power. Keyword: exercise, plyometric, zig-zag run, single leg speed hop, agility, muscle explosive power
Is Effleurage Massage Effective to Reduce Menstrual Pain in Female Students? Wanda Indriya Pramesti; Sudaryanto, Wahyu Tri
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.2024.9.1.714

Abstract

Background: Menstrual pain, or dysmenorrhoea, is common in young women worldwide under 25 years old. Elevated levels of prostaglandins in menstrual fluid induce contractions in the myometrium, leading to a decrease in uterine blood flow and resulting in uterine hypoxia. This hypoxia is the underlying cause of the painful cramping observed in primary dysmenorrhea. Massage is a non-pharmaceutical therapy that is hypothesized to be easily adoptable, with no side effects, and to have beneficial effects on pain. This study aimed to evaluate the effectiveness of effluerage massage in reducing menstrual pain in female students. Subjects and Method: A randomized controlled trial was conducted at Junior High School 23 of Surakarta in July 2023. Total sample of 50 2nd grade female student was selected by purposive sampling and divided into two groups. Intervention  group received effluerage massage and control group received usual care. The dependent variable was menstrual pain. The independent variable was effleurage massage. Menstrual pain was measured using Numeric Ranting Scale (NRS). Pain difference between groups after intervention was examined using independent t test. Results: At the 6th follow-up period, the mean of menstrual pain score in the effleurage massage group (Mean 3.52; SD= 1.01) was significantly lower compared to the control group (Mean= 4.40; SD= 0.76), with a p-value of 0.001. Conclusion: Effleurage massage is effective to reduce menstrual pain in Junior High School female students. Keywords: effleurage massage, primary dysmenorrhea, menstrual pain, female adolescents
Correlation between the Characteristics of Chronic Kidney Disease Patients Undergoing Hemodialysis and Erythropoietin Stimulating Agent Therapy and Hemoglobin Levels Zainal, Dwi Trisnawati; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.715

Abstract

Background: Chronic Kidney Disease is one of the deadliest diseases in the world with a high prevalence. Hemodialysis is believed to increase the survival of chronic kidney disease patients. This study aims to analyze the relationship between condition factors in patients with chronic kidney disease undergoing hemodialysis and erythropoietin stimulating agent therapy with hemoglobin levels. Subjects and Method: This research is a quantitative study with a cross-sectional study design carried out at the Madiun City Regional Hospital. Data was taken from June 1, 2022 to June 30, 2022. The population in this study were patients who received hemodialysis services and erythropoietin stimulating agent therapy. The sample was 101 patients with total sampling technique. The independent variables in this study are age, gender, duration of hemodialysis, while the dependent variable is hemoglobin level. Data collection techniques were carried out using patient medical record data. Data analysis used multiple linear regression with Stata 17. Results: The results of multiple linear regression analysis of the relationship between duration of hemodialysis, gender, age, hemoglobin levels before and hemoglobin levels after chronic kidney disease patients undergoing hemodialysis with erythropoietin stimulating agent therapy show that every 1 month increase in hemodialysis will be followed by an increase in hemoglobin of 0.02g/dL (b =0.02 CI95% 0.01 to 0.03 p=0.018). Every 1g/dL increase in hemoglobin levels before hemodialysis will be followed by hemoglobin levels after hemodialysis of 0.7 g/dL (b=0.7 CI 95% 0.6 to 0.8 p<0.001). Gender (b=-0.06 CI 95% -0.7 to 0.6 p=0.857). Age (b=-0.01 CI 95% -0.03 to 0.03 p=0.833). Conclusion: There is a positive relationship between the duration of hemodialysis and hemoglobin levels after chronic kidney disease patients undergo hemodialysis with erythropoietin stimulating agent therapy. There is no statistically significant difference between men and women, age in hemoglobin levels after undergoing hemodialysis with erythropoietin stimulating agent therapy in patients with chronic renal failure. Keywords: chronic kidney disease, hemodialysis, erythropoietin stimulating agent, hemoglobin
Meta Analysis: Determinants of Dental Caries in Children Siregar, Attila Yulaicha Advendila; Dewanti, Rosalia Indri; Khulwani, Qumara Wilda; Murti, Bhisma; Aqsyari, Riski
Indonesian Journal of Medicine Vol. 9 No. 2 (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.2024.9.2.716

Abstract

Background: Dental caries in children occurred when one or more teeth that are decayed (lesions), missing (due to caries), or filled tooth surfaces in primary teeth experienced by children. The aim of this study is to analyze the influence of dental caries factors in children based on the results of several previous studies using meta-analysis. Subjects and Method: This study is a systematic review and meta-analysis based on data obtained through various databases including Google Scholar and PubMed. This study used articles that were published from 2016 to 2022. The article search was carried out by considering the eligibility criteria defined using the PICO model. Population: children. Intervention of chocolate, candy, biscuits, soft drinks. Comparison: free sugar intake. Outcome: dental caries. This article was collected within 1 month with the following keywords used: "Chocolate" AND "Candy" AND "Biscuit" AND "Soft Drink" AND "Children" OR "Dental Caries" AND "Cross Sectional Study". The articles included in this research are full text articles with a cross-sectional study design. This article was collected by using a PRISMA flow diagram and analyzed by using the Review Manager 5.3 application. Results: Meta-analysis of 8 cross-sectional studies from Egypt, Romania, Iran, Australia, Poland, Vietnam, Saudi Arabia, and China. Total sample was 19,514 children. The results of the meta-analysis showed that dental caries in children will increase significantly by consuming chocolate (aOR= 0.84; 95% CI= 0.57 to 1.26; p= 0.410), candy (aOR= 1.34; 95% CI= 0.37 to 4.88; p= 0.660), biscuit (aOR= 0.97; 95% CI= 0.67 to 1.42; p= 0,890), and soft drink (aOR= 1.42; 95% CI= 1.25 to 1.61; p<0.001). Conclusion: Dental caries in children is increased by consuming chocolate, candy, biscuits and soft drinks. Keywords: dental caries, children, chocolate, candy, biscuit, soft drink
Effect of Ethanol Extract of Rosella Flower Petals (Hibiscus sabdariffa L.) on Healing Cut Wounds in White Rats (Rattus norvegicus) Pratiwi, Ade Dwi; Siahaan , Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
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.2024.9.1.718

Abstract

Background: Wounds are skin disorders in the form of damage to continuity due to a pathological process, if not treated properly it can cause serious complications such as failure to heal and chronic problems due to untreated wound infections, especially post-operative infections and scar tissue. The next problem is that excessive antibiotics can cause side effects and increase the risk of antimicrobial resistance and delay wound healing. So a new strategy is needed with herbal-based therapy that has the effect of treating infections and does not cause side effects in patients. Subjects and Method: The research was conducted with a post test only randomized control group design to test macroscopic observations of the average size of the wound length, hyperemia and swelling in 30 white Wistar rats (Rattus norvegicus) after receiving ethanol extract of rosella petals (Hibiscus sabdarifa L.). The dependent variables of the study were wound closure time, hyperemia and wound swelling. The independent variable of the research was varying doses of ethanol extract of rosella flower petals (Hibiscus sabdarifa L.) 6%, 12% and 15%. The parameters assessed are the length of the wound and the macroscopic assessment of the wound. Data were analyzed using the Kruskal-Wallis test, p<0.05 was considered statistically significant. Results: Administration of Hibiscus sabdariffa L. 6%, 12% and 15% ethanol extract gel on the 12th day resulted in a significant acceleration of the wound healing process (p=0.024). There was a significant difference between negative control (Mean=3,281 mm ; SD=1,681 mm), positive control (Mean=2,813 mm ; SD=1,106 mm), 6% Rosella flower petal extract gel (Mean=2,916 mm ; SD=1,224 mm ), 12% (Mean=1,290 mm ; SD=1,098 mm), and 15% (Mean=1,035 mm ; SD=0.952 mm) (p=0.024), in the macroscopic assessment there was no significant difference in the wound healing process on day 3, 6, 9, 12 and 15 except for signs of swelling on days 6 (p=0.038) and 9 (p=0.038) which had a significant difference compared to controls. Conclusion: Administration of Hibiscus sabdariffa L. 15% ethanol extract gel had the fastest time in wound closure and healing (Mean=1.035 mm ; SD=0.952 mm) for 12 days (p=0.024), the longest time in wound closure and healing was the negative control (gel placebo) (Mean=0.976 mm ; SD=1.103 mm) namely for 15 days (p=0.158). Keywords: Wound healing, Roselle, Gel Ekstrak Etanol, Hyperemia
Effectiveness of Acupuncture on the Quality of Life in Allergic Rhinitis Patients: Meta Analysis Widiatmaja, I Gusti Bagus Panji; Raharjo, Setyo Sri; Widyaningsih, Vitri
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.2024.9.1.719

Abstract

Background:  Allergic rhinitis (AR) is one of the most common health problems experienced by people around the world. WHO ARIA defines allergic rhinitis as a disorder of the nose accompanied by symptoms of sneezing, runny nose, itching, and nasal congestion e after the nasal mucosa is exposed to allergens mediated by immunoglobulin E (IgE). Many studies have proven the impact of acupuncture on the immune system. This study aims to examine and estimate the effectiveness of acupuncture therapy for allergic rhinitis patients based on the results of previous similar studies. Subject and Method: This study is a systematic review and meta-analysis, with PICO as the following Population: allergic rhinitis patients. Intervention: acupuncture therapy. Comparison: sham/placebo acupuncture. Outcome: quality of life. The articles used in this study were obtained from several databases including Google Scholar, MEDLINE/PubMed, Science Direct, Hindawi, Europe PMC and Springer Link. These articles were collected for 1 month. The keywords to search for articles are as follows: "acupuncture for allergic rhinitis" OR "acupuncture for seasonal allergic rhinitis" OR "acupuncture for parenial allergic rhinitis" AND "quality of life" AND “randomized controlled trial". The article included in this study were a full text article with a randomized controlled trial  (RCT)  study design. Quality of life was measured using the Rhinitis Quality of Life Questionnaire (RQLQ). Meta analysis was written using PRISMA flow diagram and analyzed using Review Manager 5.4. Result:  A total of 9 RCT articles with a sample size of 2542 from Germany, Queensland, Victoria, China, and Korea were reviewed in this meta-analysis study. The results of data processing using the RevMan 5.4 application showed the effect of acupuncture therapy on the quality of life of allergic rhinitis patients. Acupuncture was able to lower RQLQ scores (improve quality of life), although it was not statistically significant. Allergic rhinitis patients who obtained acupuncture on average had a quality of life with an RQLQ score of 0.17 units, it was better than those getting sham acupuncture (SMD = -0.17; CI 95% = -0.40 to 0.05; p = 0.120). Conclusion:  There is an effect of acupuncture on the quality of life of allergic rhinitis patients.   Keywords: acupuncture, allergic rhinitis, quality of life, randomized controlled trial
Relationship of Neutrophil Lymphocyte Ratio and Glomerulus Filtration Rate in Diabetic Nephropathy Patients at H. Adam Malik Hospital, Medan, Indonesia Merlin, Asri; Siregar, Jelita; Syafril, Santi
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.2024.9.1.720

Abstract

Background: Diabetic nephropathy is a serious complication of diabetes mellitus (DM). The neutrophil-lymphocyte ratio is the result of the relative count of neutrophils divided by the relative number of lymphocytes in diabetic nephropathy patients in % units obtained from routine hematology results using EDTA blood samples and measured by flow cytometry with Sysmex XN-1000, glomerular filtration rate was measured according to the Cockroft-Gault formula. This study aimed to determine the relationship between neutrophil lymphocyte ratio (NLR) and glomerular filtration rate in diabetic nephropathy patients. Subjects and Method:  This was a cross sectional study conducted at H. Adam Malik Hospital, Medan, North Sumatera, Indonesia, from November 2022 – January 2023. 30 diabetic nephropathy patients were selected for this study consecutively. The dependent variable was the glomerular filtration rate. The independent variable was the NLR. Blood sample was taken for a complete blood count and creatinine examination. Data were analyzed using the Spearman test. Results: NLR was negatively associated with eGFR in patients with diabetic nephropathy, but it was statistically non significant (r= -0.25; p= 0.186). Conclusion: NLR is negatively associated with eGFR in patients with diabetic nephropathy, but it is statistically non significant.  Keywords: neutrophil lymphocyte ratio, glomerular filtration rate, diabetic nephropathy

Page 33 of 41 | Total Record : 407

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