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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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Effect of Kinesiotaping in Reducing Low Back Pain in Pregnant Women: A Meta-Analysis Handariati, Atik; Pamungkasari, Eti Poncorini; Murti, Bhisma
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pregnancy causes physiological changes that affect the musculoskeletal system and usually poses a risk of low back pain. This study aims to analyze the effect of kinesiotaping on reducing low back pain in pregnant women based on the results of a number of previous primary studies.Subjects and Method: This study uses a meta-analysis method with articles searched using the search keywords "Low back pain" OR "pelvic girdle pain" AND "pregnancy" OR "kinesiotaping" OR "kinesio tape" AND "pain reduction" OR "VAS" AND " Randomized Controlled Trial” OR “RCT” from PubMed, google scholar and science direct and processed using RevMan 5.3. The independent variable is kinesiotaping and the dependent variable is low back pain.Results: 9 RCT articles that fit into the inclusion criteria, with a total of 572 samples. Pregnant women with low back pain who received kinesiotaping had an average VAS score of 1.23 units lower than those without kinesiotaping, and the effect was statistically significant (SMD= -1.23; 95% CI -2.30 to -0.16; p= 0.02). In other words, kinesiotaping is effective in reducing low back pain in pregnant women.Conclusion: Kinesio Taping has an effect on reducing low back pain in pregnant women.Keywords: kinesiotaping, low back pain, pregnancy, visual analogue scaleCorrespondence: Atik Handariati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: atikhanda14@gmail.com. Mobile: +628389­5940042.Indonesian Journal of Medicine (2022), 07(02): 161-171https://doi.org/10.26911/theijmed.2022.07.02.05 
Meta Analysis: Relationships of Risk Factors of Physical Activity and Obesity with Premenstrual Syndrome Husna, Erza; Murti, Bhisma; Adriani, Rita Benya
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Premenstrual syndrome is actually experienced by almost all women wherever they are, but most teenagers think the symptoms they feel do not require further intervention or treat­ment. This study aims to analyze the relationship between physical activity and obesity with pre­menstrual syndrome based on the results of several previous similar primary studies.Subjects and Method: This study was conducted using a meta-analysis study with PICO as follows: P= women aged 17-50 years, I= high physical activity and obesity, C= low physical activity and not obesity, O= premenstrual syndrome. Article searches were conducted using electronic data­bases, namely Pubmed, Google Scholar, Springer Link, Clinical Key, and Proquest. Article searches were conducted using keywords and the Mesh method as follows "physical activity and obesity and premenstrual syndrome", "physical activity and obesity and premenstrual syndrome and adjusted Odds Ratio", "physical activity and obesity and premenstrual syndrome and study cross sectional", " physical activity or obesity or premenstrual syndrome", "physical activity or obesity or premenstrual syndrome or adjusted odds ratio", "physical activity or obesity or premenstrual syndrome or study cross sectional". Articles were analyzed using the Review Manager 5.3 application.Results There are 13 articles from the continents of Africa, Asia, South America, and Europe which include Japan, Palestine, Arabia, Iran, Lebanon, Egypt, Brazil, and Turkey from 2000-2022 which were analyzed using PRISMA flow diagrams. Research studies show that women who do a lot of physical activity have a risk of developing premenstrual syndrome as much as 0.80 times compared to women who do less physical activity (aOR= 0.80; 95% CI = 0.51 to 1.25; p<0.001 ); and obese women had 1.03 times the risk of developing premenstrual syndrome compared with non-obese women (aOR = 1.03; 95% CI = 0.95 to 1.11; p = 0.49).Conclusion: Physical activity can reduce the risk of premenstrual syndrome and obesity can increase the risk of premenstrual syndrome.Keywords: physical activity, obesity, premenstrual syndromeCorrespondence: Erza Husna. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: erza.husna@gmail.com. Mobile: +6285747580999.Indonesian Journal of Medicine (2022), 07(02): 219-231https://doi.org/10.26911/theijmed.2022.07.02.10
Correlation between Mortality of COVID-19 Patients with Hypertension and Thorax Radiography Treated in the Intensive Care Unit of Dr. Moewardi Hospital Nurhidayati, Faiza Salsabila; Soewondo, Widiastuti; Dewi, Ratih Tri Kusuma; Putro, Prasetyo Sarwono
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Coronavirus 2019 or COVID-19, caused by the new SARS-CoV2 virus, has become a pandemic and attacked more than 200 countries, including Indonesia. The most comorbid disease in COVID-19 patients was hypertension. Chest radiography can predict prognosis and mortality in COVID-19 cases and one of the methods that can be used for chest radiographic assessment is the Brixia Score, specifically designed for COVID-19 patients to measure and analyze the severity of lung abnormalities in patients with COVID-19. This study aimed to find the correlation between the mortality of COVID-19 patients with hypertension and chest radiography using the Brixia Score treated in the intensive care unit (ICU) of Dr. Moewardi Hospital.Subjects and Method: This study used an analytic observational study with a cross-sectional approach. The subjects were 84 COVID-19 patients with hypertension who met the exclusion and inclusion criteria. The independent variable is chest radiography and dependent variable is mortality. Sampling was collected by purposive sampling and the data obtained were analyzed using the contingency coefficient test.Results: There was a significant correlation between the mortality of COVID-19 patients with hypertension and chest radiography as assessed using the Brixia Score (p<0.001). The youngest patient was 20 years old and the oldest was 87 years old.Conclusion: There was a correlation between the mortality of COVID-19 patients with hypertension and chest radiography treated in the ICU RSUD Dr. Moewardi, Surakarta.Keywords: COVID-19, mortality, hypertension, chest radiography, Brixia Score, intensive care unitCorrespondence: Widiastuti Soewondo. Faculty of Medicine Universitas Sebelas Maret Surakarta. Jl. Ir. Sutami 36A, Surakarta 57126, Indonesia. Email: Widiastuti.sprad56@staff.uns.ac.id. Mobile: 082134368592.Indonesian Journal of Medicine (2022), 07(03): 269-277https://doi.org/10.26911/theijmed.2022.07.03.03 
Atypical Spinal Tuberculosis of Upper Thoracic Spine: A Rare Case Report Wiguna, I Gusti Lanang Ngurah Agung Artha; Wondany, Ryan Putra; Arimbawa, Ida Bagus Gede
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculous infection is one of the most common pulmonary infection in developing countries, including Indonesia. Spinal tuberculosis is one of the most common extra¬pulmonary tuberculosis manifestation, accounting for 5% of all extrapulmonary spread, and 50% of all osteoarticular involvement. The aim of this study is to evaluate and how diagnosis and treatment to prevent over or under-diagnosis and explain about excellent management without any late complication further.Case Presentation: A 20-year-old male with a history of weakness of both of his leg for 20 days prior to admission. From these examinations, patient was then diagnosed with pathological fracture 2nd thoracic vertebral body suspected due to atypical spinal tuberculosis. Patient was then undergone surgical debridement, decompression, stabilization and fusion.Results: Patient was then undergone surgical debridement, decompression stabilization fusion. During the exposure at level C6 through Th4, no abscess was found. Transpedicular debridement at level Th2 was then done after the insertion of pedicle screws at level C6-Th1 and Th3-Th4, and again no abscess was present, however, a granulomatous mass was present on the location of 2nd thoracic vertebral body, located on the anterior right side of the spinal cord outside the dura mater.Conclusion: Atypical presentation of spinal tuberculosis with the sole clinical manifestation of neurological deficit below affected level. The definitive treatment such as surgical debridement, stabilization and fusion must be consider.Keywords: spinal, infection, tuberculosis, young patient.Correspondence: I Gusti Lanang Ngurah Agung Artha Wiguna. Division of Spine, Department of Orthopaedic & Traumatology, Prof. I.G.N.G Ngoerah Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia. Email:lanangwiguna20021979@gmail.com. Mobile: 0811388859.Indonesian Journal of Medicine (2022), 07(03): 289-297https://doi.org/10.26911/theijmed.2022.07.03.05
The Relationship between Self-Care Agency and the Level of Disability to Patient with Leprosy at Daha Husada Hospital, Kediri Widyowati, Agustin; Hapsari, Ika Ratna; Nuridayanti, Anik
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Leprosy has a tendency to have physical impacts with disability on sufferers so that it affects community stigma, social isolation, welfare to quality of life. One of the efforts to prevent disability with good self-care. The objective was to determine the relationship between self-care agency and the level of disability to patients with leprosy at Daha Husada Hospital Kediri.Subjects and Method: A cross sectional study was conducted in Daha Husada Hospital, Kediri, East Java, in March, 2021. A sample of 115 patients was selected by purposive sampling. The dependent variable was the level of disability. The independent variable was self-care agency. Data were collected using questionnaires and observation sheets with ordinal scale, then analyzed using statistical test of Spearman's Rho.Results: Less ability of leprosy patients in self care agency, the greater the level of disability (r= 0.62; p<0.001).Conclusion: Less ability of leprosy patients in self-care agency, the greater level of disability. Patient are needed to improve the awareness in self-care activities and follow counseling in health services.Keywords: self care agency, the level of disability, patient with leprosy.Correspondence: Agustin Widyowati. STRADA Indonesian Institute of Health Sciences Kediri. Jl. Manila No.37, Tosaren, Kec. Pesantren, Kota Kediri, East Java 64123. Email: agustwidy@gmail.com. Mobile: +62857-3539-9728.Indonesian Journal of Medicine (2022), 07(03): 344-349https://doi.org/10.26911/theijmed.2022.07.03.11
A Rare Case Of Retinal Arterial Microaneurysm: Clinical Features And Diagnostic Insights Yuna, Uray Nabila; Ihsan, Grimaldi; Virgana, Rova; Kartasasmita, Arief S.; Iskandar, Erwin; Widyanatha, Made Indra
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.773

Abstract

Background: In Retinal Arterial Macroaneurysms (RAM), the central retinal artery suffers from acquired focal hypertension. Clinical manifestations of the disease are diverse and easily misdiagnosed. Several imaging modalities may be used in order to confirm the diagnosis of RAM. This article aims to describe the clinical features and method of diagnosis of an uncommon case of retinal artery microaneurysm. Case report: A 57-year-old woman presented with a progressive loss of vision in her right eye months prior. Visual acuity in the right eye was 0.8 log 13. Upon funduscopic inspection of the right eye, firm exudates with low tortuosity and submacular hemorrhage were observed. The right eye’s OCTA revealed a localized expansion and significant constriction with twisted blood vessels on the reverse side of the deformed vessel, while the OCT of the macula revealed submacular hemorrhage. The patient was diagnosed with ruptured retinal Arterial Macroaneurysm or Macular Telangiectasia Type I and Retinopathy Hypertensive Grade II of both eyes, No Diabetic Retinopathy of both eyes with Diabetes Mellitus and Hypertension. The right eye of the patient received concentrated laser photocoagulation and an intravitreal injection of anti-VEGF. Conclusion: RAM is an acquired vascular disease defined by restricted, fusiform, or saccular dilation in the first three arteries of the main retinal artery. Retinal microaneurysms can be diagnosed with various imaging modalities. Ram may be treated with intravitreal anti-VEGF drugs, combination therapy, or laser photocoagulation.
Association of Antiretroviral Regimens and CD4 Counts with Dyslipidemia in HIV Patients: Implications for Metabolic Management Rosandy, Milanitalia Gadys; Candradikusuma, Didi; Yudha, Nyoman Satvika Dharma
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.797

Abstract

Background: Dyslipidemia, a key risk factor for cardiovascular disease, is prevalent among people living with HIV/AIDS receiving antiretroviral therapy. This study aims to evaluate the impact of different ART regimens on lipid profiles in HIV patients and identify regimens with better outcomes in lipid profile levels. Subjects and Method: An observational study was conducted from June to August 2024 at Dr. Saiful Anwar Regional General Hospital, Malang, Indonesia. Participants were recruited using consecutive random sampling, including HIV patients on ART for at least three months. Independent variables included ART regimens and CD4 counts, while the dependent variable was dyslipidemia status. Data were collected via demographic forms, medical record reviews, and lipid profile analysis. Statistical analysis was performed using chi-square and t-tests, with significance set at p < 0.05. Results: Of the 110 participants, 38.2% were identified with dyslipidemia. The highest dyslipidemia rates were observed in patients using the Duviral Alluvial regimen (80.0%), followed by Duviral Neviral (71.4%). Newer regimens, TLD and TLE, were associated with lower dyslipidemia rates (31.3% and 36.0%, respectively; p = 0.045). A significant association was also noted between dyslipidemia and CD4 counts, with dyslipidemic patients showing higher mean CD4 counts (560.29 cells/μL) compared to non-dyslipidemic individuals (378.40 cells/μL; p = 0.009). Conclusion: Newer ART regimens such as TLD and TLE are associated with better lipid profile outcomes and lower dyslipidemia risk compared to older regimens. Higher CD4 counts may reflect an increased risk of lipid abnormalities, emphasizing the need for lipid monitoring and regimen optimization in HIV care.
Risk Factors for Nasal Symptoms, Olfactory Disorders and Mucociliary Transport in Factory Workers Dewi, Anna Mailasari Kusuma; Kristyanto, Jarod Wahyu
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.800

Abstract

Background: Occupational exposure to a variety of individual chemicals has been associated with olfactory dysfunction, which is important for many occupational groups that rely on intact olfactory function to perform their jobs and for their safety. We aim to determine the risk factors for nasal symptoms, olfactory disorders and mucociliary transport in spice factory workers in Semarang. Subjects and Method: This was a cross-sectional study. A sample of 600 factory workers filled out the NOSE Scale and QOD-NS questionnaires, having their ears, nose, and throat examined, and calculated the time in which the participants tasted sweetness after being given saccharin to the inferior turbinate. The analysis used were univariate, bivariate and multivariate analysis. Results: Of 600 respondents, 52.2% were women, 87.8% had reported no nassal symptoms, 81.5% had normal NOSE scale, and 83.3% had normal mucociliary transport. Risk factors for nasal disorders, smell disorders, and mucociliary transport disorders were age ≥40 years old, male, smoking, longer exposure time, obesity, and PPE use. Conclusion: There is a significant association between occupational risk factors and nasal symptoms, olfactory disorders and mucociliary transport disorders. The most influential factor is discipline in using PPE to prevent nasal disorders, olfactory disorders and mucociliary transport disorders.
Duration vs Discipline: Uncovering Therapy Adherence Antiretrovirals in People with HIV Asmara, Yusuf Vindra; -, Evi Nurhayatun; - Putri, Desy Puspa
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.803

Abstract

Background: HIV is a retrovirus targeting the immune system, requiring continuous antiretro-viral therapy (ARVs) for effective management. In Indonesia, 329,581 HIV cases were documented from 1987 to 2022, with only 51% receiving ARVs. Adherence is crucial for treatment success, but prolonged therapy may impact medication compliance. This study investigates the correlation between ARV treatment duration and adherence levels at Dr. Moewardi Hospital. Subjects and Method: A cross-sectional observational study was conducted at the Voluntary Counseling and Testing (VCT) clinic, involving 60 HIV-diagnosed individuals selected through purposive sampling. Therapy duration was extracted from medical records, and adherence was assessed using the MMAS-8 questionnaire during June and July 2024. Bivariate analysis employed the Spearman correlation coefficient test. Results: The study sample predominantly consisted of individuals aged 36-45 years, with the majority having completed high school education. The mean therapy duration was 5.60 ± 3.64 years, ranging from 1 to 15 years. Adherence levels varied significantly, with 48.3% of patients demonstrating high adherence, characterized by a mean therapy duration (Mean= 6.86 years; SD= 3.62). Moderate adherence was observed in 16.7% of participants, with a mean therapy duration (Mean= 6.60 years; SD= 2.55). Low adherence was found in 35.0% of patients, associated with a shorter mean therapy duration (Mean= 3.38 years; SD= 3.14). There was a positive and sig¬nificant association between therapy duration and adherence level (r= 0.415; p= 0.001). Conclusion: The length of antiretroviral therapy (ART) exhibits a favorable correlation with adherence levels among individuals living with HIV. An extended duration of the therapeutic regimen is correlated with an enhanced adherence rate. This observation underscores the significance of sustained support, particularly during the initial years of the treatment course.
Application of Artificial Intelligence (AI) and Machine Learning (ML) in Health Applications for HIV/AIDS Prevention: A Systematic Review Aulia Dwi Yuliana; Majid, Nurholis; Auvaq, Ahnav Bil; Pertiwi, Eksa Satya; Immanuela, Jessica Febe
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.808

Abstract

Background: HIV/AIDS has become a global problem that continues to increase every year, despite various prevention efforts such as health education and HIV screening. To overcome this challenge, innovative strategies are needed by integrating artificial intelligence and digital technology to develop more effective HIV/AIDS prevention interventions.     Method: The research method used was a desk review or systematic review related to artificial intelligence and machine learning in HIV prevention and PrEP use. The databases used are PubMed, Science Direct, and Google Scholar with study criteria published in 2015-2024. The keywords used are “Artificial Intelligence and Machine Learning and HIV”,“Artificial Intelligence and HIV”, “Machine Learning and HIV, ‘Artificial Intelligence and HIV’ and Systematic Review”, “Artificial Intelligence and Machine Learning in HIV/AIDS Prevention”.                      Results: Based on the results of the review, AI and ML have proven to be effective in improving HIV/AIDS prevention programs. Benefits include the use of digital data to detect at-risk groups, virtual reality programs to help with status disclosure, chatbots for education, and data analysis to understand the causes of transmission and how to prevent it. An HIV prevention chatbot that can aid in prevention messaging, encourage self-testing, and personalized treatment strategies would be transformational in a low-resource setting. Conclusion: AI and ML approaches can be an important solution in improving the effectiveness of HIV/AIDS prevention programs, although they are still at an early stage and face various challenges. Future research should identify the potential of AI and ML to be developed and implemented more widely.          

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