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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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Circadian Rhythm Sleep Disorder among Nurses in Emergency Department: A Systematic Review Jadmiko, Arief Wahyudi; Firdausi, Rieh
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: Circadian Rhythm Sleep Disorders (CRSD) is a sleep pattern disorder that can be caused by a shift work system, especially the night shift. This disorder can cause various cardiovascular diseases, psychological, decreased concentration, even Alzheimer's. Some professions that demand high precision such as nurses who work with night shifts in the Emergency Room are very vulnerable to CRSD and if not handled, it can lead to work negligence. The purpose of this review is to review CRSD due to work shifts, possible risks to the ED nurse and how to overcome them.Subjects and Method: This article uses CRSD-related reviews published from 2000-2018 from various databases: PubMed, PMC Central and Elsevier open-access. The search was conducted on 1-14 July 2018 with keywords: "Circadian Rhythm Sleep Disorders", "treatment AND CRSD", "the effect of CRSD", "CRSD AND nursing, and" CRSD in night workers ".Results: Based on the 20 articles reviewed, CRSD is a sleep pattern disorder that can be caused by endogenous factors and exogenous factors. One exogenous factor is a disturbance due to working time with the shift work disorders (SWD) system. There are several ways to overcome CRSD due to working hours, including: taking a nap before work, modifying the environment by avoiding light if going to sleep, but approaching light if you have to wake up, resetting your sleep schedule, and giving melatonin.Conclusions: CRSD due to work disorders is called SWD which can be overcome by rearranging sleep, modifying the environment to fit the circadian rhythm, and consuming melatonin if needed.Keywords: Circadian rhythm sleep disorders, shift work disorders, nursesCorrespondence: Arief Wahyudi Jadmiko. Study Program of Nursing, Faculty of Health Sciences, Universitas Pembangunan Nasional Jakarta. Email: awjadmiko@upnvj.ac.id.Indonesian Journal of Medicine (2018), 3(1): 27-32https://doi.org/10.26911/theijmed.2018.03.01.04
Implementation Analysis of Early Detection and Intervention Program for Growth and Development of Children Under Five at Tegal Health Centers Naharani, Adrestia Rifki; Joebagio, Hermanu; Prayitno, Adi
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: The first five years of life is often considered as golden period,  critical period, or window opportunity. During this period there is maximal growth and development. Early Detection and Intervention Program for Growth and Development of Children Under Five (SDIDTK) is a program that aims to do early detection and intervention when there is an impairment in growth and development in children under five or pre-school children. Early detection allows early intervention. This study aimed to analyze the implementation of early detection and intervention program for growth and development of children under five.Subjects and Method: This was a qualitative study with case study approach, conducted in Tegal Health Centers, Tegal, Central Java. Nineteen key informants were selected purposely for this study, including health center midwife, midwife who were in charge of coordinating child and adolescents affair, head of the health center,  head of Children and Adolescents Division at District Health Office Tegal, and mothers who had children with growth disorder.Results: SDIDTK has been implemented since 2010. The communication aspect has not been implemented consistently. There was a lack in resources, including personnel, equipment, and  infrastructure. The attitude of the program implementer was not positive, because they considered that program was not effective. Guideline book and Standard Operating Procedure (SOP) were available. Growth examination activities were sufficient, but development examination activities were lacking. The reporting system was not sufficiently implemented.Conclusion: SDIDTK program was not been implemented optimally in Tegal. It is sugested to enhance the motivation of the program implementer and improve the equipment and they infrustructure for SDIDTK implementation.Keywords: implementation, SDIDTK program, growth, development, children under fiveCorrespondence: Adrestia Rifki Naharani. Masters Program in Public Health Sebelas Maret University, SurakartaIndonesian Journal of Medicine (2016), 1(3): 175-182https://doi.org/10.26911/theijmed.2016.01.03.05
The Relationship Between Maternal Education, Family Income, Parenting Style, and Language Development in Children Aged 3-4 Years in Boyolali, Central Java -, Muryanti; Dharmawan, Ruben; Murti, Bhisma
Indonesian Journal of Medicine Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Early childhood is a unique period where development proccess such as language development occurs rapidly.  Speech and language disorders are two among the most common problems in children. The first years of life form critical period in children’s life. Maximum brain plasticity occurs during the initial years of life and continues to develop for a few years with slower pace. Sensorik experience, stimulation, and language exposure during this period determine the synaptogenesis, myelinisation, and synaptic relation. National Center for Health Statistics (NCHS) reported that speech disorder ocurred approximately 0.9% in children under five, and 1.94% in children aged 5-14 years old. The purpose of this study was to determine the relationship between maternal education, family income, parenting style, and language development in children aged 3-4 years.Subjects and Method: This was an analytic observational study with cross sectional design. This study was conducted at Kindergarten Nogosari Sub-district, Boyolali, Central Java. A sample of children aged 3-4 years old were selected for this study. The dependent variable was language development. The independent variables were maternal education, family income, and parenting style. The data were analyzed by multiple logistic regression. Results: Maternal education ≥ high school (OR= 25.74; 95% CI= 1.80 to 367.62; p= 0.017), family income ≥ minimum regional wage (OR= 32.98; 95% CI= 2.93 to 370.52; p= 0.005), and democratic parenting style (OR= 20.19; 95% CI= 1.83 to 222.82; p= 0.014), had positive and statistically significant relationships with language development in children aged 3-4 years old.Conclusion: Maternal education ≥ high school, family income ≥ minimum regional wage, and democratic parenting style, have positive and statistically significant relationships with language development in children aged 3-4 years old.Keywords: maternal education, family income, parenting style, child language developmentCorrespondence: Muryanti. School of Health Polytechnics, Poltekkes Surakarta. Email: muryanti.tw@gmail.comIndonesian Journal of Medicine (2016), 1(2): 100-107https://doi.org/10.26911/theijmed.2016.01.02.03
The Effectiveness of Adding Probiotic to Antimicrobial Agents for the Treatment of Bacterial Vaginosis: A Systematic Review Darmayanti, Aquartuti Tri; Murti, Bhisma; Susilawati, Tri Nugraha
Indonesian Journal of Medicine Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Common antimicrobial regimens for treating bacterial vaginosis often cause recurrence and bacterial resistance. Previous studies have reported that a combination of antimicrobial and probiotic consisting of Lactobacillus spp. Is an effective treatment for recurrent bacterial vaginosis. Lactobacillus plays an important role in vaginal health by replacing the pathogenic colonies in vagina. This study aimed to determine the effectiveness of adding probiotic to antimicrobial therapeutic for the prevention of  bacterial vaginosis(BV) recurrence.Subjects and Method: A systematic review was conducted by searching the following databases: PubMed, Science Direct, Web of Science, Springer Link and the Cochrane. The review included randomized controlled trials (RCTs) conducted in primary hospitals and private clinics. The Amsel criteria and Nugent score were used for diagnosis appraisal of bacterial vaginosis. were included in this systematic review consisting of the two types of bacterial vaginosis treatment.  All pooled data analyses were based on random-effects models and intention to treat (ITT). Data were analyzed using Rev Man 5 software.Results: The review included 5 RCTs involving 692 women on reproductive age underwent treatment of BV for 5 days or more.The studies showed that combination of probiotic and antimicrobial treatment reduced the risk of bacterial vaginosis recurrence a half time compared to antimicrobial treatment alone(RR= 0.49; 95% CI= 0.17 to 1.44).Conclusion: Adding probiotic to antimicrobial regimens is more effective than antimicrobial regimens alone for treating bacterial vaginosis recurrence.Keywords: probiotic, antimicrobial, bacterial vaginosis recurrence, randomized controlled trialCorrespondence: Aquartuti Tri Darmayanti. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: tutiaquar@gmail.com. Mobile: +6281329380114.Indonesian Journal of Medicine (2017), 2(3): 161-168https://doi.org/10.26911/theijmed.2017.02.03.03 
The Effects of Glucomannan Hydrolysates and BV Gel on Nugent Score, Treg Cell Percentage, and TGF-? level in Bacterial Vaginosis Retnoningrum, Ambar Dwi; Nurseta, Tatit; Prawiro, Sumarno Reto; Endharti, Agustina Tri; Wahyuni, Endang Sri
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: Bacterial vaginosis is commonly experienced by women of reproductive age. The Nugent score is the gold standard for diagnosing bacterial vaginosis. Prebiotic Glucomannan hydrolysates (GMH) as a therapy in the treatment of bacterial vaginosis and has an immunomodulatory effect on the immune system and provides cellular immunity. The purpose of this study was to examine the effects of GMH and BV Gel on Nugent scores, Treg cell presentation, and TGF ? levels in bacterial vaginosis of women of childbearing age.Subjects and Method: This was an experimental study. A sample of 24 women aged 20 to 45 years old with bacterial vaginosis (Nugent score ?7) was divided into 4 groups: oral antibiotic group metronidazole (500mg), combination of GMH (300mg) and metronidazole, 5 ml BV Gel tube, and combination of GMH and BV Gel scores. The dependent variables were GMH and BV Gel administrations. The independent variables Nugent score, Treg presentation, and TGF-? level. Nugent score, Treg cell presentation, and TGF ? level were measured on day-0, day-11, and day-22. The data were analyzed by one way Anova.Results: The results of the analysis after treatment on day 22 showed that the GMH and BV gel were able to reduce Nugent scores, increase Treg cell presentation and TGF ? levels in bacterial vaginosis of women of childbearing age.Conclusion: GMH as an alternative therapy for bacterial vaginosis compared with antibiotic treatment can improve normal vaginal flora and stimulate the immune system in vitro and in vivo significantly.Keywords: Glucomannan Hydrolysates, BV Gel, Nugent sel Treg score, TGF ?Correspondence:Ambar Dwi Retnoningrum. Masters Program of Midwifery, Universitas Brawijaya, Malang, East Java. Email: adreambar@gmail.com. Mobile: +6281335743696.Indonesian Journal of Medicine (2018), 3(1): 33-43https://doi.org/10.26911/theijmed.2018.03.01.05
The Difference of Work Posture in Musculo-skeletal Disorder Symptoms among Sales Women in the Department Store Nadrah, Nailatun; Silaban, Gerry; Ashar, Taufik
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: Musculoskeletal complaints often occur in saleswomen who do awkward standing during work. Repair of standing position can reduce the risk of musculoskeletal pain. This study aimed to examine the effectiveness of corrective work posture on alleviating musculoskeletal disorder (MSD) symptoms among saleswomen in the department store.Subjects and Method: This was a quasi experiment before and after with no control design conducted in Rantauprapat department store, North Sumatera. A sample of 30 sales women from the department store was selected for this study. The dependent variable was MSD scores as measured by Nordic Body Map (NBM). The independent variables were corrective work posture. The data before and after corrective work posture were compared and tested by t-test.Results: There was a difference between poor and good posture in MSD symptoms among saleswomen in the Department Store. Saleswomen with poor posture had higher MSD symptoms (mean 64.45) than those with good posture (53.39), and it was statistically significant (p= 0.001).Conclusions: Saleswomen with poor posture has higher MSD symptoms than those with good postureKeywords: musculoskeletal disorders, work posture correction, Nordic Body MapCorrespondence:Nailatun Nadrah. Department of Occupational Health and Safety, Faculty of Public Health, Universitas Sumatera, Medan, North Sumatera. Email: nailatunnadrah@gmail.com. Mobile: +6281360661677Indonesian Journal of Medicine (2018), 3(1): 44-48https://doi.org/10.26911/theijmed.2018.03.01.06
Intraventricular Neurocysticercosis: A Case Report Bahtiar, Ruzbih; Wijanarko, Ferry
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: Neurocysticercosis is the most common parasitic disease of nervous system in humans and the single most common cause of acquired epileptic seizures in the developing country. But in Indonesia, it was rarely reported. It has wide variety of clinical manifestation due to its pleomorphic nature.Subjects and Method: We reported a case of a 12 years old male with seizure and hydrocephalus due to intraventricular neurocysticercosis. A ventriculoperitoneal shunt (V-P shunt) performed to reduce the intracranial pressure due to hydrocephalus and followed by endoscopic surgery to taking sample of the neurocysticercosis and reducing the mass.Results: Pathological anatomy examination of excised mass found worm eggs. The patient received medications of albendazole and metil prednisolon.Conclusion: Intraventricular neurocysticercosis causing hydrocephalus is the commonest surgical indication, with V-P shunt placement followed by endoscopic surgery as the procedure of choice as it minimally invasive.Keyword: Intraventricular neurocysticercosis, hydrocephalus, headache, V-P shunt, endoscopic surgery.Correspondence:Ruzbih Bahtiar. General Surgery Resident, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java.Indonesian Journal of Medicine (2018), 3(1): 56-64https://doi.org/10.26911/theijmed.2018.03.01.08
Difference in Computer Vision Syndrome between Laptop and Desktop Computer Users Anggrainy, Putri; Ashar, Taufik; Lubis, Rodiah Rahmawaty
Indonesian Journal of Medicine Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Occupational health is a key component of an industry. This is because a strong safety culture boosts productivity, employee morale, and employee retention. A strong ergonomics integration prevents injuries and increases productivity. They make the workplace safer and reduce costs. Ergonomics also must be incorporated and seen as a value. It needs to be built into a corporate culture and be integrated into everything any company does on a daily basis, including that in the administrative office where workers frequently use computers. This study aimed to analyze difference in computer-attributed vision problem between laptop and desktop computer users.Subjects and Method: This was a cross sectional study conducted in North Sumatera. A sample of 60 subjects consisting of 30 laptop users and 30 desktop users were selected for this study by purposive sampling. The dependent variable was vision problem. The independent variable was computer type. The data were collected by questionnaire and tested by Mann Whitney test.Results: Among the laptop users, 80% experienced neck pain, 77% eye strain, and 70% low back pain. Among the desktop-computer user, 50% experienced neck pain, 77% eye fatigue, and 33% eye irritation. Mean score of complaints in the laptop user group was 2.54 units higher than the desktop-computer user group (p= 0.001).Conclusion: Laptop users experienced more complaints than desktop-computer users. Workers using computers are suggested to have regular break to allow body organs to take a rest. Workers are also suggested to work at an ample distance between eyes and computer screen. Employers are responsible for providing a safe and healthful workplace for their workers.Keywords: vision problem, computer-attributed, laptop, desktop computer, agronomyCorrespondence:Putri Anggrainy. Department of Occupational Health and Safety, Faculty Public Health, Universitas North Sumatera. Email: putri.anggrainy@gmail.com. Mobile: +6285763191981.Indonesian Journal of Medicine (2018), 3(2): 65-70https://doi.org/10.26911/theijmed.2018.03.02.01
Association Between Exclusive Breastfeeding and the Risk of Tonsilitis in Children Under Five in Demak, Central Java Wardhana, Hendra; Kharisman, Ibnu; Stella, Paramita
Indonesian Journal of Medicine Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Upper respiratory infection (URI) remains one of the primary causes of child mortality in Indonesia. Some studies have shown that exclusive breastfeeding can prevent various infectious diseases including URI. However, in some places the incidence of tonsilitis is still high although target of exclusive breastfeeding coverage has been met. This study aimed to determine association between exclusive breastfeeding and the risk of tonsillitis in children under five in Demak, Central Java.Subjects and Method: This was a cross sectional study conducted at 3 Community Health Centers, Demak, Central Java, from March to April 2017. A sample of 35 children under five years old were selected for this study. The dependent variable was the incidence of tonsillitis. The independent variable was history of exclusive breastfeeding. The data were collected by questionnaire. Tonsillitis was determined by history taking and physical examination. The data were analyzed by Fisher exact test.Results: Children without history of exclusive breastfeeding had an increased risk of contracting tonsillitis (OR= 9.58; p= 0.015) compared to those with history of exclusive breastfeeding.Conclusion: Provision of exclusive breastfeeding is associated with lower risk of tonsilitis in children under five.Keywords: tonsillitis, exclusive breastfeeding, children under fiveCorrespondence:Paramita Stella. Indonesian Doctor Internship Program, Bagas Waras Hospital, Klaten, Central Java.Indonesian Journal of Medicine (2018), 3(2): 71-76https://doi.org/10.26911/theijmed.2018.03.02.02
The Association between Knowledge, Family Support, and Blood Sugar Level in Type 2 Diabetes Mellitus Patients Herawati, Ratna; Pamungkasari, Eti Poncorini; Sugiarto, Sugiarto
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: Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia. The incidence of DM has increased due to lack of knowledge about DM and changes in lifestyle. The purpose of this study was to analyze the relationship of knowledge about DM, family support, and blood sugar levels in type 2 DM patients in Jebres health center, Surakarta.Subjects and Method: A cross sectional study was conducted at Sibela and Ngoresan Surakarta health center. The study subjects were 100 DM patients selected by purposive sampling. Socio-economic data, knowledge and family support were measured by questionnaires. Blood sugar levels were measured using a spectrophotometer. The data were analyzed using a multiple logistic regression.Results: A total of 66 DM patients had a high level of knowledge, 58 patients received strong family support, and 76 people had normal blood sugar levels. High knowledge about DM (OR= 0.87; p= 0.001) and strong family support (OR= 0.99; p= 0.017) lowered blood sugar levels in DM patients.Conclusions: High knowledge about DM and strong family support reduce blood sugar levels in DM patients.Keywords: knowledge about DM, family support, blood sugar level, type 2 diabetes mellitusCorrespondence:Ratna Herawati. Masters Program in Family Medicine, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java. Email: ratna_herawati_dokter@yahoo.co.id.Indonesian Journal of Medicine (2018), 3(1): 49-55https://doi.org/10.26911/theijmed.2018.03.01.07

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