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INDONESIA
Indonesian Journal of Medicine
ISSN : -     EISSN : 25490265     DOI : -
Core Subject : 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.
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Articles 407 Documents
The Diffrentiation of the Angles of Eustachian Tubes In the Patient Chronic Suppurative Otitis Media With and without Cholesteatoma Nasution, Rissa Ardika; Zahara, Devira; Aboet, Askaroellah
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Chronic Suppurative Otitis Media (CSOM) is one of the major health problems found in many populations in the world and a cause of high morbidity and high mortality. However, there is no single theory that explains how and why chronic otitis media occurs. There are many studies on the function of Eustachian tube. However, the role of the Eustachian tube angle and the relationship with the occurrence of CSOM has not been widely studied. This study aimed to evaluate the mean of Eustachian tube angle and to examine the diffrentiation between angle of Eustachian tube in Chronic Suppurative Otitis Media (CSOM) patient with and without cholesteatoma. Subjects and Methods: This research is a case-control study. Study group consist of 27 patients of CSOM with cholesteatoma and 27 patients of CSOM without cholesteatoma included as controlling. All patients are examined by using CT temporal and measured the angle of Eustachian tube using Multiplanar Reconstruction (MPR) technique on osirix program. The data was analyzed using independent T testResults: The mean of the Eustachian tube angle in CSOM with cholesteatoma in female patients was 28.690 and male 27.780 whereas in the CSOM group without cholesteatoma in female patients was 33.810 and men 31.870. The mean of Eustachian tube angle in CSOM patients with cholesteatoma is 28.220 and CSOM without cholesteatoma is 33.000. In independent T test, the result showed significant differentiation (p= 0.001) between the angle of Eustachian tube in patients CSOM with and without cholesteatoma.Conclusion: The advance of technology makes easier to measure of Eustachian tube angle. In men found that the Eustachian tube angle is more horizontal than women. There is diffrence between the angle of the Eustachian tube with the occurrence of cholesteatoma in CSOM.Keywords: angle of Eustachian tube, CSOM Correspondence: Rissa Ardika Nasution. RSUP H. Adam Malik, Medan.  FK USU, Jln. Sembada Pasar V no. 27 P. Bulan Medan. Email: nrissaardika@yahoo.com. Mobile: 082277767660.Indonesian Journal of Medicine (2017), 2(1): 73-78https://doi.org/10.26911/theijmed.2017.02.01.08
Factors Associated with Adherence to Blood Glucose Test among Diabetes Mellitus Patients at Prof. Dr. W. Z. Johannes Hospital, Kupang Timuneno, Dessy Nelciani; Tira, Deviarbi Sakke; Manurung, Imelda F.E
Indonesian Journal of Medicine Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Blood glucose level test for the Diabetes Mellitus patients is a procedure to monitor blood glucose level control and early detect complication of the disease. This study aimed to investigate the factors associated with adherence to blood glucose test among diabetes mellitus patientsat Prof. dr. W. Z. Johannes Hospital, Kupang.Subjects and Method: This was an analytic study withcross sectional study. A total of 93 Diabetes Mellitus patientswho had attended Internal Medicine Clinic at Prof. dr. W. Z. Johannes Hospital, Kupang, for at least 10 years, were sampled for this study. This sample consisted of 45 patients who adhered and 48 patients did not adhere to blood glucose test. Association of variables under study was analyze by chi square test.Results: There is a positive but weak relationship between adherence to blood glucose test and distance to health care facility (C=0.28; p=0.005), as well as family support(C=0.21; p=0.043).Conclusion: the health care authority should consider providing health care service for diabetes mellitus patients as close as possible to their home. In addition families of the patient are suggested to support their family members with diabetes mellitus in controlling blood glucose regularly.Keywords: adherence, blood – glucose level, diabetes mellitus.Correspondence: Dessy Nelciani Timuneno. Epidemiology and Biostatistics, School of Public Health, Nusa Cendana University, Kupang.Indonesian Journal of Medicine (2016), 1(1): 1-11https://doi.org/10.26911/theijmed.2016.01.01.02
Comparison of Hemoglobin Concentration Before and After Trichuriasis Treatment with Albendazole among Primary School Children Sipayung, Novreka P; Arrasyid, Nurfida; Pasaribu, Ayodhia P
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Trichuriasis is a soil transmitted helminth that causes anemia and growth disturbance in children. This study aimed to compare hemoglobin concentration before and after Trichuriasis treatment with albendazole among primary school children.Subjects and Method: This was an experimental study with before and after quasi experiment design. This study was conducted at Medan Tembung Primary School, Medan, North Sumatera, from March to June, 2015. A total of 63 children were selected for this study. Blood sample was taken for hemoglobin concentration examination before and after the administration of albendazole. The treatment consisted of 400 mg albendazole that was administered in single dose 0nce a day for 3 days, both for single and mixed infection.Results: The prevalence of Trichuriasis among the school children under study was 33.3% (126/ 378), which was consisted of 37 children with single infection and 26 children with mixed infection. Albendazole increased hemoglobin concentration with mean= 11.88 g/dl; SD=1.26 before treatment and mean=12.53 g/dl; SD= 1.37 after treatment, among children with single infection, and it was statistically significant (p= 0.002). Albendazole increased hemoglobin concentration with mean= 11.69 g/dl; SD=1.04 before treatment and mean=12.36 g/dl; SD= 1.06 after treatment, among children with mixed infection, and it was statistically significant (p= 0.001).Conclusion: Albendazole is effective in increasing hemoglobin concentration among school children with anemia that is caused by Trichuriasis infection. Keywords: helminthiasis, trichuriasis, hemoglobin, anemia, albendazole, school childrenCorrespondence: Novreka Pratiwi Sipayung. Department Parasitology, Faculty of Medicine, HKBP Nommensen University, Medan. Email: ega_efq@yahoo.com. Mobile: 085261145049.Indonesian Journal of Medicine (2016), 1(4): 201-208https://doi.org/10.26911/theijmed.2017.02.01.08
Survival Predictors of People Living with HIV/ AIDS in Wamena, Papua Kogoya, Tena; Demartoto, Argyo; Murti, Bhisma
Indonesian Journal of Medicine Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Quality of life (QoL) is an important component in the evaluation of the well-being of people living with HIV and AIDS (PLWHA), especially with the appreciable rise in the longevity of PLWHA. The analysis of the quality of life is essential for the healthcare policies and services directed toward PLWHA, since this indicator values the perception of people about their own life and health. However, little is known about the determinant of QoL in PLWHA in Papua. The aim of this study was to analyze survival predictors of people living with HIV/ AIDS in Wamena, Papua, Indonesia.Subjects and Method: This was a retrospective cohort study conducted in Wamena Hospital, Papua, from December 2017 to February 2018. A cohort of 304 PLWHA was selected for this study from the medical record at Wamena Hospital. The dependent variable was survival. The independent variables were adherence to ART, nutritional status, age, and coinfection. The data were collected from medical record and questionnaire. The data were analyzed by Cox regression model.Results: The risk of dying of PLWHA if adherent to take the ART was lower than not adherent to take the ART (HR=0.45; 95% CI= 0.06 to 0.33; p= 0.002).The risk of dying of PLWHA with poor nutritional status was higher than good nutritional status (HR= 12.78; 95% CI= 6.81 to 23.98; p< 0.001). The risk of dying of PLWHA aged ?35 years was slightly higher than <35 years (HR= 1.47; 95% CI= 1.00 to 2.17; p= 0.050). The risk of dying of PLWHA with coinfected was higher than without coinfected (HR= 1.59; 95% CI= 1.15 to 2.23; p= 0.006).Conclusion: The risk of dying of PLWHA decreases if adherent to take the ART, but increases with poor nutritional status, age ?35 years, and coinfection.Keywords: survival, adherence to treatment, people living with HIV/ AIDS.Correspondence:Tena Kogoya. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: tena.kogoya76@gmail.com. Phone: +628198869665.Indonesian Journal of Medicine (2017), 3(2): 184-191https://doi.org/10.26911/theijmed.2017.02.03.06
The Effect of Depression on the Quality 0f Life of Patient with Cervical Cancer at Dr. Moewardi Hospital in Surakarta Adriani, Rita Benya; -, Martono; Sulistyowati, Endang Caturini
Indonesian Journal of Medicine Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The share of cervical cancer of all types of cancer was  37.65% (9.113 cervical cases of the total 24,204 cancer cases) in Central Java in 2009. Cancer deteriorates physical, psychological, social, and spiritual states of the persons affected, especially in patients of terminal stage. Depression may interfere the quality of life of the affected. This study aimed to determine the effect depression on the quality life of patients with cervical cancer.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from May to August 2014. A total of 36 patients with cervical cancer at Dr. Moewardi Hospital were selected for this study. The independent variables were age, education, employment status, duration of illness, and depression. The dependent variable was quality of life. The depression was measured by Beck Depression Inventory (BDI). The quality of life was measured by European Organization for Research and Treatment of Cancer (EORTC) QOQ-C30 and EORTC QOQ-CX24. The data were analyzed by logistic regression analysis.Results: After controlling for age, education, employment status, and duration of illness, depression showed strong effect (OR= 14.83; p= 0.005) on the quality of life of patients with cervical cancer. Patients with severe depression were 14.83 times more likely to have poor quality of life than those with moderate or mild depression.Conclusion: Depression affects the quality of life in patients with cervical cancer. Patients with severe depression were more likely to have poor quality of life than those with moderate or mild depression.Keywords: depression, quality of life, cervical cancerCorrespondence: Rita Benya Adriani. School of Health Polytechnics, Poltekkes Surakarta. Email: benyaadriani@gmail.com. Mobile: 08122617033Indonesian Journal of Medicine (2016), 1(2): 121-128https://doi.org/10.26911/theijmed.2016.01.02.06
Risk Factors Associated with Prostate Hyperplasia at Prof. Dr. W.Z. Johannes Hospital Misnadin, Indri W.; Adu, Apris A.; Hinga, Indriati A. Tedju
Indonesian Journal of Medicine Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The increase of Indonesia’s population life expectancy causes the increase of advanced age people. This issue resulted in increasing of degenerative diseases such as Hyperplasia Prostate which is the second biggest disease in urology clinic in Indonesia. This study aimed to determine the risk factors in the form of age, smoking, alcoholic consumption, physical exercise, cholesterol, and diabetes mellitus associated to hyperplasia prostate cases at Prof.Dr. W. Z. Johannes, Hospital Kupang.Subjects and Method: This was an observational analytic study with case-control design. A total of the samples were 68 men were collected by random sampling technique. Dependent variable was prostate hyperplasia. Independent variables were age, smoking, phisycal exercise, alcohol consumption and diabetes mellitus. The data were analyzed by Chi-Square.Results: This research showed that risk associated the risk factors were age (OR=12.63; 95% CI= 2.60 to 61.37; p<0.001), smoking (OR=3.52; 95% CI=1.27 to 9.7; p=0.026), physical exercise (OR=3.38; 95%CI=1.25 to 9.16; p=0.014), and cholesterol level (OR=3.88; 95%CI= 1.41 to 10.66; p=0.007). There was no association on alcohol consumption (OR= 1.33; 95% CI= 0.47 to 3.78; p=0.595) and diabetes mellitus (OR=0.88; 95% CI=0.32 to 2.39; p=0.798).  Conclusion: Increase prevention efforts such as screening prostate-specific antigen socialization and non-communicable diseases as a prevention in the future.Keywords: prostate hyperplasia, risk factorsCorrespondence: Indri W. Misnadin, Apris A. Adu, Indriati A. Tedju Hinga. Epidemiology and Biostatistics, School of  Public Health, Universitas Nusa Cendana, KupangIndonesian Journal of Medicine (2016), 1(1): 50-57https://doi.org/10.26911/theijmed.2016.01.01.07
Effect of Probiotic Giving on Digestive Function in Patients Post-Perforated Colorectal Cancer surgery Hutapea, Impol; Bagus B.S.A, Ida; Alfianto, Untung
Indonesian Journal of Medicine Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: One of the goals of colorectal cancer surgery is to facilitate the digestive tract to function properly. Surgery performed can lead new problems such as infection, sepsis, postoperative pain, and nausea vomiting.  Modulation of perioperative nutrition of intestinal microbiota such as probiotics is more and more applied as a strategy to reduce complications of elective surgical infection and accelerate the improvement of gastrointestinal symptoms such as flatus and defecation. The purpose of this study was to analyze the effect of giving probiotics on digestive function in patients after colorectal cancer surgery.Subjects and Methods: The subjects of this study were postoperative patients with colorectal cancer, with a total sample of 20. The sampling technique used non-random sampling. This type of the study is quasi experimental design with Post-test Only Control Design method. In this design, the sample is divided into two groups namely, group I was given probiotics and group II was not given probiotics then the follow up treatmen was conducted to assess the effect on the digestive function of patients after colorectal cancer surgery.Results: The majority of post-operative colorectal cancer patients were> 50 years (85%). The sex of post operative patients with colorectal cancer balanced between men and women, which was equally 50%. There was a significant difference between intestinal bowel surgery after colorectal cancer surgery which was given probiotics with no probiotics given (p <0.05). Similarly, post operative flatus colorectal cancer patients also had significant differences with the values (p <0.05). As for the defecation patients of post-surgery colorectal cancer , there was also a significant difference between the defecation patients of post-surgery of colorectal cancer surgery given probiotics and those not given probiotics with values (p <0.05).Conclusion: statistically, there was an effect of giving probiotics to digestive function including bowel sound, flatus, and defecation of post-surgery patient of colorectal cancer.Keywords: Probiotics, digestive function, colorectal cancerCorespondence: Impol Hutapea. Masters Program in Family Medicine, Sebelas Maret University. Email: papihamora@gmail.comIndonesian Journal of Medicine (2017), 2(2): 107-115https://doi.org/10.26911/theijmed.2017.02.02.05
Estradiol and Leptin in Women with Obesity, Overweight, and Normal Body Weight Fitri, Yulia; Tann, Gino; -, Rusdiana
Indonesian Journal of Medicine Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Prevalence of obesity on women was higher than men. Obesity was related to the resistance of leptin hormone. Estradio hormone also played an important role in energy  metabolism and body weight control. The study aimed to discover the relationship between estradiol  concentration with leptin concentration on women with obesity, overweight and normal body weight in Banda Aceh City.Subjects and Method:  The study was an analytic observational study with case control design. There were a total of 75 women of 20-40 year- old who were selected as research subjects by using purposive sampling. The research subjects were divided into 3 groups, namely obesity, over weight, and normal body weight. The study was conducted in Banda Aceh City in July – October 2014.  Dependent variable of the study was women’s body weight. Independent variables were leptin concentration which was investigated by using ELISA technique and estradiol concentration which was investigated by using AxSYM Estradiol Assay. The data was analyzed by using Spearman correlation test.Results: The result of the study obtained the median value of estradiol concentration on normal group was higher than on obesity and overweight group, that was 63 Pg/mL (18-420). The average concentration of leptin on normal group is higher than obesity and overweight group, that was 4.56 ng/mL (up to ± 3.48). However, it did not find any correlation between the concentration of  estradiol and the concentration of leptin on women with obesity, overweight and normal weight (R= 0.03; p= 0.121;).Conclusion: The study showed that women with obesity experienced the decreasing concentration of estradiol and leptin, however it did not find significant correlation between estradiol and leptin.Keywords:  estradiol, leptin, women with obesity, overweight, normal body weightCorrespondence: Yulia Fitri. Health Polytechnic, Poltekkes of Aceh, Banda Aceh.Indonesian Journal of Medicine (2017), 2(1): 36-41https://doi.org/10.26911/theijmed.2017.02.01.04
Hepcidin and Feritin Levels in Obese Pregnant Women and Normal Body Weight before Pregnancy Rahma, Hadiyatur; Lumbanraja, Sarma N; Lubis, Zulfikar
Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Obesity is associated with a decrease in iron status, possibly it is an increase in hepcidin, an inflammatory protein that reduces iron absorption. Hepcidin is associated with iron homeostasis and inflammation. This study aims to determine differences in levels of hepcidin and ferritin of obesity pregnant women and normal weight before pregnancy.Subjects and Method: This was an analytic observational study with a case control design. A total of 62 pregnant women was selected by consecutive technique sampling and divided into 2 groups, namely obesity and normal weight before pregnancy. The study was conducted at RSIA BadrulAini Medan and at RSUP H.Adam Malik Medan from September to December 2016. The dependent variable of this study was the weight before pregnancy. The independent variable washepcidin levels examined by ELISA method, ferritin content with Immunochemiluminescent method. The data analysis employed Mann Whitney's different test.Results: Median of hepcidin level in obese pregnant women before pregnancy was higher than pregnant mother with normal weight of 7.08 ng / mL (2.14 to 78.18). There was no difference in hepcidin level in both groups (p = 0.578). Median ferritin levels in obese pregnant women were higher than the normal weight of 20.57 ?g / L (3.66 to 102.25). There was no difference of ferritin levels in both groups (p = 0.598).Conclusion: This study showed no difference in hepcidin levels and ferritin levels in obese pregnant women and normal weight before pregnancy.Keywords: Feritin,hepcidin, obesity before pregnancy, normal body weight before pregnancyCorrespondence: Hadiyatur Rahma. Department of Pharmacology, Faculty of Medicine, Islam Sumatera Utara University, Medan. Email: rahmahadiyatur@gmail.com.Indonesian Journal of Medicine (2018), 3(1): 22-26https://doi.org/10.26911/theijmed.2018.03.01.03
The Relationship Between Parenting Style, Development Stimulation, and Gross Motoric and Language Ability in Children Under Five Wigati, Dhiyan Nany; Tamtomo, Didik; Retno Dewi, Yulia Lanti
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Children progress through growth and development process according to age. Child growth and development are influenced by genetic and environmental factors during antenatal, intranatal, and postnatal periods. Child development is optimalized if there is social interaction that fulfill the need of the child at different stages of development. This study investigated the relationship between parenting style, development stimulation, and gross motoric and language ability in children under five in Grobogan, Central Java.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted in Toroh I Health Center, Grobogan sub-district, Central Java, from  September, 17 to October, 17 2016. A total sample of 100 mothers and their children aged 1-5 years were selected for this study by cluster sampling. The dependent variable was gross motoric and language ability. The independent variables were parenting style and development stimulation. Gross motoric and language ability was measured by Denver II. Parenting style and development stimulation were collected by a set of questionnaire. The data were analyzed by multiple logistic regression.Results: There were positive and statistically significant relationships between democratic parenting style (OR= 3.73; 95% CI=1.16 to 12.00; p=0.027), development stimulation (OR= 5.37; 95% CI=1.75 to 16.47; p= 0.003), and better gross motoric ability. There were positive and statistically significant relationships between democratic parenting style (OR= 3.50; 95% CI=1.18 to 10.35; p=0.023), development stimulation (OR= 3.49; 95% CI=1.24 to 9.84; p= 0.018), and better language ability.Conclusion: Democratic parenting style and development stimulation are associated with both better gross motoric ability and better language ability.Keywords: parenting style, development stimulation, gross motoric ability, language abilityCorrespondence: Dhiyan Nany Wigati. An-Nur Midwifery Academy, Purwodadi, Central Java. Email: dhiyanwigati@gmail.comIndonesian Journal of Medicine (2016), 1(3): 169-174https://doi.org/10.26911/theijmed.2016.01.03.04

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