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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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Determinants of Socio-Demographic and Environmental Factors in Helicobacter Pylori Infection Hanif, Ihsan; 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.2024.9.2.721

Abstract

Background: Helicobacter pylori (H. pylori) infection ranks as one of most frequent human infections in the world. This study aimed to investigate the determinants of H. pylori infection in patients at Universitas Sebelas Maret Hospital. Sebjects and Method: This was an analytic observational with a cross-sectional design. The study was conducted at Universitas Sebelas Maret Hospital, Sukoharjo, Central Java, from November to Desember 2023. A sample of 199 patients was selected for  this  study  by  fixed  disease  sampling.  The  dependent  variable  was H. pylori infection. The independent variables were number of household members, source of water, toilet type, education level, family income, eating habits, smoking status, region type, and waste disposal.  The  data  were  taken  via surveys with questionairre.  Multiple logistic regression was employed for data analysis. Results: The risk of H. pylori infection increased with number of households member ≥5 (AOR= 4.52; 95% CI= 1.78 to 11.45; p = 0.001), water source from well (AOR= 3.74; 95% CI= 1.54 to 9.08; p = 0.003), habits of eating by bare hand (AOR= 4.71; 95% CI= 1.98 to 11.20; p= 0 < 0.001), smoking (AOR= 2.68; 95% CI= 1.11 to 6.49; p = 0.028), and living in urban area (AOR= 2.94; 95% CI= 1.10 to 7.80; p = 0.030). Meanwhile, it also decreased with having education level ≥ high school (AOR= 0.24; 95% CI= 0.10 to 0.57; p < 0.001), having family income ≥ 2,200,000 (AOR= 0.15; 95% CI= 0.06 to 0.37; p < 0.001), and implementing waste disposal system with collected by staff (AOR= 0.26; 95% CI= 0.10 to 0.65; p = 0.004). Conclusion: The risk of H. pylori infection is determined by number of household members, source of water, education level, family income, eating habits, smoking status, region type, and waste disposal. Keywords: determinants, environmental, helicobacter pylori, socio-demographic
Meta Analysis: Factors Affecting Implementation of Self-Care Practice in Diabetes Mellitus Patients Khairiyyah, Alimah Ulfah; Nazalah, Rajba; Aditya, Stefanus; Murti, Bhisma; Marsim, Etanaulia
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.2024.9.1.722

Abstract

Background: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels. If not controlled properly, diabetes mellitus can cause serious complications. Self-care practices are a very important factor in controlling the disease. This study aims to estimate the factors that influence self-care practices in diabetes sufferers.Subjects and Method: This was a systematic review and meta-analysis using PICO format. Population: diabetes patients. Intervention: having diabetes knowledge, high social support, female gender and presence of comorbidities. Comparison: no diabetes knowledge, low social support, male gender and no comorbidities. Outcome: self-care practices. The articles used in this research came from 5 databases, namely Google Scholar and Science Direct. The keywords of the article are "Diabetes Knowledge" AND "Social Support" AND "gender" AND "comorbidities" AND "diabetes" AND "Self-care practice behavior". The articles included in this research are full paper articles, cross-sectional study, publication year range 20172023, and reporting the aORs. Articles were analyzed using the Review Manager 5.4.Results: Female patients (aOR=1.56; 95% CI= 1.04 to 2.34; p= 0.030), high knowledge (aOR= 2.10; 95% CI= 1.27 to 3.46; p= 0.004), strong social support (aOR=1.73; 95% CI= 1.07 to 2.78; p= 0.020), and the presence of comorbidities (aOR=1.20; 95% CI= 0.67 to 2.16; p= 0.540) improved implementation of self-care practices.Conclusion: Female patients, high knowledge, strong social support, and the presence of comorbidities improve implementation of self-care practices. Keywords: factors, diabetes self-care practices, diabetes mellitus
Meta-Analysis: Effect of Hyperbaric Oxygen Therapy on Diabetic Foot Ulcer Recuperation Faried, Faried Effendi Surono; Tamtomo, Didik Gunawan
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.2024.9.1.723

Abstract

Background: Diabetes mellitus (DM) is a global phenomenon due to the high morbidity and mortality, especially in developing countries such as Indonesia. An ulcer is a wound and is usually found in patients who experience increased blood sugar and can cause peripheral blood vessel disorders, blood vessel disorders will result in peripheral neuropathy or a combination of both, diabetic ulcers are a condition often experienced by diabetes sufferers. Hyperbaric Oxygen Therapy (HBOT) is a therapy that is considered effective in healing diabetic ulcers and has been proven by many studies conducted. This study aims to analyze the effect of HBO therapy on the improvement of diabetic ulcer wounds. Subjects and Method: This was a systematic review and meta-analysis of primary studies. Article searches were carried out based on the PICO model. Population: diabetic ulcer patients. Intervention: Hyperbaric Oxygen Therapy. Comparison: placebo. Outcome: diabetic ulcers con­dition. Article searches were carried out from Google Scholar, MEDLINE/PubMed, Science Direct, Scopus, Hindawi, BMC, and Spinger Link databases. Keywords used "diabetic foot ulcers" AND "hyperbaric oxygen therapy". The inclusion criteria were full paper, RCT, and reporting risk ratio (RR). Selected studies were analyzed using the RevMan 5.3. Results: 9 RCTs from China, Canada, the Netherlands, Sweden, Egypt, Taiwan, England, and Turkey were selected for meta-analysis. HBO therapy increased diabetic ulcers condition (RR= 1.91; 95% CI= 1.17 to 3.12; p= 0.01). Conclusion: HBO therapy improves diabetic ulcers condition. Keywords: hyperbaric oxygen, diabetic foot ulcer, meta analisis.
The Influence of Working Posture on the Risk of Musculoskeletal Disorders in Batik Makers Aranti, Wulan Adis; Sumardiyono; Murti, Bhisma
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.2024.9.1.725

Abstract

Background: Complaints of musculoskeletal disorders (MSDs) such as feelings of pain, soreness or soreness in the skeletal muscles felt by batik makers both during work and after work. This study aimed to examine the influence of work posture on the risk of MSDs in batik craftsmen. Subjects and Method: This was a cross-sectional study. Total sample was 200 batik craftsmen was selected by cluster random sampling. The dependent variables were pain and musculoskeletal disorders. The independent variables were age, work posture, work duration, work period, and type of batik craftsmen. Pain was measured using visual analog scale (VAS). MSDs was measured using the Nordic Body Map (NBM). Other variables were collected using questionnaire. The data were analyzed using a multiple logistic regression. Results: Batik craftsmen with non-ergonomic working postures (OR= 2.98; 95% CI=1.27 to 6.99; p= 0.012), age ≥40 years old (OR= 3.45; 95% CI=1.28 to 10.49; p= 0.015), works ≥5 hours/day (OR= 3.52; 95% CI= 1.46 to 8.47; p= 0.012), tenure ≥5 years (OR= 7.04; 95% CI= 3.00 to 16.53; <0.001) significantly increased the risk of MSDs. There was no significant association between type of batik craftsmen and MSDs (OR= 2.76; 95% CI= 0.81 to 9.38; p= 0.102). Nagelkerke R2= 30.8%. Conclusion: Non-ergonomic working postures, age ≥40 years old, works ≥5 hours/day, tenure ≥5 years significantly increase the risk of MSDs. There is no significant association between type of batik craftsmen and MSDs. Keywords: musculoskeletal disorder, pain, work duration, work period, age, batik making
Effect of “Tell Show Do” Method on Dental Anxiety in Pediatrics Dentistry: A Meta Analysis Cahyani, Mey Ditaputri; Widyaningsih, Vitri; Prasetya, Hanung; Simatupang, Nanda Agustian
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.2024.9.1.726

Abstract

Background:  Anxiety in children will make it difficult for dentists to perform dental treatment. In dentistry, especially pediatric dentistry, children who are very anxious will avoid examinations and refuse dental treatment. This study aims to analyze the influence of the "tell show do" method in reducing dental anxiety in pediatric patients. Subjects and Method:  This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: Google Scholar, PubMed, and Springer Link by selecting articles published in 2016 and 2022. The keywords used are (“tell show do” OR “TSD”AND “dental anxiety” OR “anxiety” ) AND (“pediatric dentistry” OR “children”) AND (“RCT” OR “randomized control trial”). The inclusion criteria were full paper articles using the Randomized Controlled Trial (RCT) research method, the results of the analysis used the Mean SD value, the intervention provided was a tell show do, the study subjects were pediatric dental patients at the first visit, with dental anxiety as an outcome. Articles that met the requirements were analyzed using the Revman 5.3 application. Results:  The meta-analysis of 12 articles shows that there is an increasing effect using the tell show do method on reducing dental anxiety. Children who received the tell show do intervention had a dental anxiety level 0.54 units lower than those who did not receive the tell show do, and the effect was statistically significant (SMD 0.54; 95% CI= 0.23 to 0.85; p=0.0007). Conclusion:  The tell show do method has an effect on reducing anxiety in pediatric dental patients.   Keywords: tell show do, dental anxiety, meta-analysis
Meta-Analysis of Acupuncture Therapy for Blood Pressure Reduction in Pre-Elderly with Hypertension Prabowo, Danang Aji; Prasetya, Hanung; Murti, Bhisma
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.2024.9.1.727

Abstract

Background: Blood pressure tends to increase with age. Hypertension or high blood pressure often occurs in pre-elderly individuals, who are aged between 45-59 years. Acupuncture is one of the therapies with mild side effects that can reduce blood pressure in pre-elderly individuals. This study aims to evaluate the effectiveness of acupuncture therapy in lowering blood pressure in pre-elderly individuals with hypertension based on similar previous research.Subjects and Methods: This study employed a systematic review and meta-analysis based on PICO framework: Population: Pre-elderly individuals with hypertension. Intervention: Acupunc-ture therapy. Comparison: Non-acupuncture therapy. Outcome: Blood pressure. Data were obtained from the PubMed, MEDLINE, Science Direct, BMC, and Google Scholar databases. The search process utilized keywords such as "acupuncture", "hypertension", "Pre elderly", "acupunc-ture for hypertension", AND "acupuncture for blood pressure". Article selection was performed using the PRISMA flowchart, and the results were analyzed using Review Manager 5.3 software.Results: A total of 9 articles originating from the United States, Germany, South Korea, China, India, and Taiwan, with a sample size of 492 subjects, indicated that acupuncture therapy for blood pressure reduction in pre-elderly individuals was not significant for systolic blood pressure (SMD= -0.00; 95% CI= -0.81 to 0.81; p=1.00), but it was significant for diastolic blood pressure (SMD= -1.33; 95% CI= -2.60 to -0.05; p= 0.04).Conclusion: Acupuncture therapy for blood pressure reduction in pre-elderly individuals is not significant for systolic blood pressure, but it is significant for diastolic blood pressure. Keywords: acupuncture, hypertension, pre-elderly, blood pressure, meta-analysis
Effect of Manual Therapy in Reducing Neck Pain in Patients with Hernia Nucleus Polposus Cervicalis Putro, Dimas Liwung Sasongko; 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.2024.9.1.730

Abstract

Background: Herniated Nucleus Pulposus Cervicalis (HNPC) is a medical condition characte­rized by the posterior or posterolateral protrusion of the intervertebral disc, resulting from the degeneration of the fibrous annulus. This protrusion exerts pressure on the nerve roots and spinal cord, leading to the development of neurological disorders. The objective of this study was to assess the efficacy of manual therapy in alleviating neck pain among patients diagnosed with cervical herniated nucleus pulposus. Subjects and Method: A randomized controlled trial was carried out at JIH Hospital in Yogyakarta from August to September 2023. Fourteen patients diagnosed with cervical herniated nucleus pulposus (HNPC) were purposively sampled for the study. Seven patients underwent manual therapy as an intervention, while the remaining seven received standard treatment as the control group. The dependent variable assessed was neck pain, measured using a visual analogue scale (VAS). The independent variable was orthopedic manual physical therapy. The differences in neck pain scores between the two groups were analyzed using an independent t-test. Results: Following the intervention, the pain score in the intervention group (Mean 2.43; SD= 1.13) exhibited a significant reduction compared to the control group (Mean= 4.86; SD= 0.90), with a p-value of 0.001. Conclusion: Orthopedic manual therapy effectively alleviates neck pain in individuals with cervical herniated nucleus pulposus.
Effect of Ethanol Extract of Suruhan Leaves (Peperomia Pellucida L. Kunth) on Blood Sugar Levels and Macroscopic Wounds in Male White Rats of the Wistar Strain (Rattus norvegicus) Diabetic Ulcer Model Hakim, Enggrek Pelita; Siahaan, Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
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.2024.9.2.733

Abstract

Background: High blood sugar levels can cause diabetes mellitus (DM), which currently means more than one in 10 adults live with diabetes, with the biggest risk factor being obesity. Wound healing in DM patients will be hampered and increase the incidence of diabetic ulcers in Indonesia by 12% and the risk of developing diabetic ulcers by 55.4%. Diabetic ulcers and gangrene cases in Indonesia are the most common cases found in hospitals. Mortality due to ulcers and gangrene ranges from 17-23%, while the amputation rate ranges from 15-30%. Therapeutic potential in the treatment of diabetic ulcers is possessed by suruhan leaves which have anti-inflammatory, antipyretic, antimicrobial and anticancer effects, as well as having analgesic effects. Subjects and Method: A total of 30 male white rats of the Wistar strain (Rattus norvegicus) were divided equally into control groups, negative control (STZ induction 40mg/kgBW), positive control (STZ induction 40mg/kgBW with metformin 50mg/kgBW/day), treatment group I (STZ induction 40mg/kgBW with ethanol extract of shrike leaves 40mg/kgBW), and treatment group II (STZ induction 40mg/kgBW). kgBB with ethanol extract of 80 mg/kgBB leaves). Next, blood sugar levels (KGD) and macroscopic examination of diabetic ulcer wounds are carried out. Data were analyzed using the Anova test. Results: The lowest blood sugar levels (183.83 ± 11.39), the lowest wound area (6.89 ± 0.86), and the highest percentage of excision wound healing (89.67 ± 1.37) were found in the positive control group. There was a significant relationship between groups of mean blood sugar levels, between groups of wound area, and between groups of healing percentage of excision area (P<0.05). Conclusion: Administration of ethanol extract of suruhan leaves (Peperomia pellucida L. Kunth) had an effect on reducing blood glucose levels and healing diabetic ulcer wounds in STZ-induced diabetic ulcer model mice.
The Impact of Inducing Compelled Body Weight Shifts in Improving Dynamic Balance on Non-Hemorrhagic Stroke Patients Anugrah, Welya Nesvi; Sudaryanto, Wahyu Tri
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.2024.9.2.734

Abstract

Background: Stroke is a brain attack that occurs suddenly where there is partial or complete disruption of brain function as a result of disruption of blood flow due to blockage or rupture of certain blood vessels in the brain, causing brain cells to lack blood, oxygen or nutrients and ultimately can cause These cells die in a relatively short time. In general, strokes are divided into 2, namely hemorrhagic and non-hemorrhagic strokes. Balance disorders due to loss or decreased motor function make stroke patients vulnerable to falls. The aim of this research is to determine the effect of giving Compelled body weight shift on non-hemorrhagic stroke to improve dynamic balance. Subjects and Method: This research was a quasi experiment conducted in Sri Meranti Village, Rumbai, Pekanbaru, Indonesia, from June 2023. 12 non-hemorrhagic stroke patients were selected using purposive sampling. The dependent variable was dynamic balance. The independent variable was compelled body weight shift. Body dynamic balance was measured using Berg balance scale. Body dynamic balance before and after intervention was examined using . Results: There was a significant increase in balance between the control group and the experi­men­tal group in non-hemorrhagic stroke sufferers after the compelled body weight shift was carried out (p<0.001). Conclusion: Compelled body weight shift balance training can be used to improve the body dynamic balance in non-hemorrhagic stroke patients.
Relationship between Pregnancy and Lactation Status and De Quervain's Syndrome Naim, Karimatun; 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.2024.9.2.735

Abstract

Background: De Quervain's Syndrome is a collection of symptoms accompanied by inflamma­tion and pain in the tendon sheath that covers the extensor pollicis brevis and abductor pollicis longus muscles. These symptoms appear as a result of cumulative (repeated) microtrauma and overuse causing malfunction of the tendon sheath. Cause of De Quervain's Syndrome is still not known for certain. Due to hormonal factors, it is more common in pregnant women and most common in people aged 30 to 55 years. This study aimed to examine the relationship between pregnancy and lactation on the incidence of de Quervain' syndrome. Subjects and Method: This was an observational study conducted at the PDHI Islamic Hospital, Yogyakarta, from August to September 2023. Total sample of 70 third trimester of pregnant women or lactating mothers who had children aged 1 month to 1 year was selected purposively. The dependent variable was De Quervain's syndrome. The independen variable was pregnancy and lactation. The data were collected using a questionnaire and analyzed by Chi square test. Results: Pregnancy and lactation reduced the risk of de Quervain's syndrome (OR= 0.34; 95% CI= 0.125 to 0.907; p=0.029). Conclusion: Pregnancy and lactation reduced the risk of de Quervain's syndrome.  

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