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Dina Keumala Sari
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Sumatera Medical Journal
Published by Universitas Sumatera Utara
ISSN : 26229234     EISSN : 26221357     DOI : 10.32734
Core Subject : Health, Science,
Immunology & microbiology Medicine & Pharmacology
Sumatera Medical Journal (SUMEJ) provides a forum for publishing the full research articles in the area of Medical Science related to topics from the following subject areas: -Cancer and Related Aspects -Biomoleculer in Basic Sciences -Biomoleculer in Clinical Sciences -Tissue Engineering including Stem Cell -Medical and Health Sciences
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 182 Documents
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Obstructive Sleep Apnea in Patients with Heart Failure and Atrial Fibrillation Anggia Chairuddin Lubis; Yuke Sarastri; Cut Aryfa Andra; Nadiah Masyab; Hana Fauziyah
Sumatera Medical Journal Vol. 8 No. 3 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i3.16701

Abstract

Background: Obstructive sleep apnea (OSA) is an independent risk factor for heart failure and atrial fibrillation. Therefore, effective detection and management of OSA are essential. Objective: The study aimed to determine how common obstructive sleep apnea is among patients with heart failure and atrial fibrillation. Methods: We performed a cross-sectional study assessing the prevalence of OSA in hospitalized patients with both conditions, following the latest European Society of Cardiology Guidelines for heart failure assessment and using polysomnography to evaluate OSA. Results: The study included 30 subjects; 22 (73.3%) were men, and 18 (60%) were over 60 years old. Polysomnography revealed that 23 (80.0%) had OSA, with 4 (23.5%) in the severe category and an average AHI of 18.3 ± 14.7. Among participants, 11 (65%) with ejection fraction ≤ 40%, 12 (40%) had obesity, 11 (36.7%) had Type 2 diabetes, 19 (63.6%) had hypertension, 20 (66.7%) had coronary artery disease, and 3 (10%) had a history of stroke. Most participants (60%) had a history of smoking. Conclusion: This study shows a high prevalence of OSA among patients with heart failure and atrial fibrillation, especially in men and those with reduced ejection fraction.
The Relationship Between Knowledge Level and Attitude Toward the Use of Analgesic Drugs in the Community in East Medan Tasia Dewi Cintoro; RR Sinta Irina
Sumatera Medical Journal Vol. 8 No. 3 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i3.17876

Abstract

Background: Pain, a common medical complaint, prompts many individuals to seek relief. Among the most frequently purchased drugs for self-medication are those from the analgesic-antipyretic group. The American Pain Society even designates pain as the 'fifth vital sign' due to its significance. Unfortunately, inadequate education provided by health professionals and a substantial number of untreated pain cases contribute to this situation. When used irrationally, analgesics can lead to various side effects, including stomach and intestinal disorders, hypersensitivity reactions, and damage to the kidneys and liver. Research from the Rational Use of Medicines in the ASEAN Region 2017 reveals that irrational drug use persists across all levels of health facilities in Indonesia. Objective: To investigate the relationship between analgesic knowledge and the utilization of analgesics in East Medan. Methods: This research constitutes an observational analytic study with a cross-sectional design. Respondents completed a questionnaire regarding their knowledge and usage of analgesics. Data were collected through consecutive sampling until 100 residents of East Medan were included. Subsequently, all the data were analyzed using Chi-Square analysis. Results: There was a relationship between analgesic knowledge and the utilization of analgesics (p=0.004). Conclusion: There exists a relationship between analgesic knowledge and the utilization of analgesics.
Overview of Knowledge Levels and Risk Factors for Scabies and Pediculosis capitis among Female Students in Darularafah Raya Islamic Boarding School Bella Yofrisanda; Dewi Saputri; Makmur Sitepu; Milahayati Daulay
Sumatera Medical Journal Vol. 8 No. 3 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i3.19069

Abstract

Background: Scabies and pediculosis capitis infections remain common parasitic issues, particularly in densely populated living environments such as boarding schools. The high incidence of these infections is influenced by the level of knowledge and risk-related behaviors within the population. Objective: This research was conducted to understand the level of knowledge and risk factors for scabies and pediculosis capitis infections among female students at Darularafah Raya Islamic Boarding School. Methods: This descriptive research was conducted with eleventh-grade female students, with a sample size of 58 participants selected using systematic random sampling techniques. Data were collected through questionnaires assessing knowledge levels and risk factors. Results: Research data indicate a prevalence of scabies of 22.4% and pediculosis capitis of 55.4%. A total of 31 respondents (53.4%) demonstrated a good level of knowledge about scabies, while 52 respondents (89.7%) showed a good level of knowledge about pediculosis capitis. The primary risk factors for scabies observed among respondents were sharing clothing and sharing beds. For pediculosis capitis, the prevalent risk factors include using communal prayer garments and sharing bedding equipment. Conclusion: Most respondents possess good knowledge; however, the incidence of scabies and pediculosis capitis infections remains relatively high.
Prevalence of Anemia in Pregnant Women at Medan Tuntungan Health Center Medan City in 2023 Aidina Fitri Sirait; Muliawan Tantriady; Zachrani Aprilia Azzura; Ega Florence Bernadette Sihombing; Marco Sutanto; Juliandi Harahap
Sumatera Medical Journal Vol. 8 No. 3 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i3.19074

Abstract

Background: Anemia in pregnancy can have a negative impact on pregnant women and the fetus in the womb. Objective: This study aimed to determine the prevalence of anemia in pregnant women at the Medan Tuntungan Health Center in 2023. Methods: This research was conducted at the Medan Tuntungan Health Center with data for 2023. The research design was a cross-sectional, quantitative descriptive design. The research 8sample was pregnant women who carried out Antenatal Care (ANC) examinations at the Medan Tuntungan Health Center. Results: A total of 107 pregnant women met the inclusion criteria. The majority of pregnancies were in the second trimester (46,7%), primigravida (40,2%), good nutrition (88.8%), below middle school education (53,3%), and non-working (73,8%). The prevalence of anemia for pregnant women at the Medan Tuntungan Health Center in 2023 was 27,1% with an average Hb level of pregnant women experiencing anemia of 9,48 g/dL. Conclusion: The prevalence of anemia in pregnant women was 27,1%.
Unveiling the Link Between Low Testosterone and Worsening Heart Failure Symptoms: A Literature Review Ryan Ardiansyah; Akhmad Sandy Sauqy
Sumatera Medical Journal Vol. 8 No. 3 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i3.19752

Abstract

Background: Heart failure can result from a variety of factors, including hypertension, coronary artery disease, diabetes, obesity, smoking, and genetic predispositions. Research indicates that testosterone levels are markedly lower in patients with heart failure compared to healthy individuals, suggesting that low testosterone may play a role in the onset or progression of heart failure. Objective: This review endeavors to examine the impact of low testosterone levels on the clinical manifestations of heart failure patients. Methods: A literature review was conducted across three databases, Google Scholar, PubMed, and Science Direct, employing the keywords "testosterone" and "heart failure." The search was further refined through specific inclusion and exclusion criteria, culminating in data from eight international journals. Results: Testosterone deficiency was associated with deteriorated outcomes in men diagnosed with HFpEF, with lower testosterone levels corresponding to more severe symptoms and diminished quality of life. It influences myocardial contractility, energy metabolism, apoptosis, and cardiac remodeling processes. Conclusion: Men suffering from heart failure with concomitant low testosterone levels are generally observed to have increased mortality rates and less favorable prognoses.
The Relationships between Emotional Intelligence and Physical Activity Related to Gender among Undergraduates in the Colombo District Tharindi Wijerathne; Dina Keumala Sari; Thanuja Liyanage; Lakshika Liyanage
Sumatera Medical Journal Vol. 8 No. 3 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i3.20595

Abstract

Background: Emotions are dynamic aspects of human nature and serve as inspiration for behavior. Higher emotional intelligence (EI) is associated with greater resilience and lower levels of depression. Certain situations can increase physical activity (PA) among young people. This study examined gender differences in EI and PA among undergraduates at State Universities in Colombo District. Objective: To assess how emotional intelligence and physical activity differ between genders in this population. Methods: A descriptive, quantitative, correlational study was conducted with 397 undergraduates who completed the Wong and Low EI questionnaire and the International Physical Activity Questionnaire (IPAQ). Data analysis was performed using the Mann-Whitney U test. Results: Participants were from State Universities in Colombo District, mainly exhibiting moderate to low PA levels. Males showed significantly higher EI than females (z = -3.829, p = .001), while there was no significant difference in PA between genders (z = -.938, p = .348). Conclusion: Males demonstrate higher EI than females, but physical activity levels do not significantly differ by gender. Most participants had low to moderate PA levels, which can inform strategies for preventing non-communicable diseases among youth.
Correlation Between Physical Activity and Happiness: A Cross-Sectional Study in Medan Aufa Awalia Said; Eka Roina Megawati; Evita Mayasari; Farhat
Sumatera Medical Journal Vol. 9 No. 1 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i1.17213

Abstract

Introduction: Physical activity contributes to mental well-being by stimulating neurotransmitters associated with pleasure and positive mood. Understanding this relationship within specific populations is important for promoting community health. Objective: This study aimed to evaluate the correlation between physical activity and happiness among residents of Medan, Indonesia. Methods: This cross-sectional study was conducted in Medan from May to November 2021 and involved 260 participants. Physical activity was assessed using the International Physical Activity Questionnaire, while happiness and affect were measured using the Oxford Happiness Questionnaire and the Positive and Negative Affect Scale. Data were analyzed using Spearman’s rank correlation test. Results: Overall physical activity was positively correlated with happiness (r = 0.132; p = 0.034) and positive affect (r = 0.214; p = 0.001). Vigorous physical activity showed positive correlations with happiness (r = 0.185; p = 0.003) and positive affect (r = 0.244; p = 0.001). Walking was also positively correlated with happiness (r = 0.132; p = 0.034) and positive affect (r = 0.214; p = 0.001). Moderate physical activity was not correlated with happiness (r = –0.017; p > 0.05) or positive affect (r = 0.065; p > 0.05). No correlation was found between physical activity and negative affect. Conclusions: Physical activity is positively correlated with happiness among residents of Medan.
Correlation Between Platelet Distribution Width and Mean Platelet Volume with Hematocrit in Dengue Hemorrhagic Fever Patients at Prof. Dr. Chairuddin Panusunan Lubis Hospital Universitas Sumatera Utara Dewi Fortuna Chairiya; Almaycano Ginting; Aida Fitri; Bastian Lubis
Sumatera Medical Journal Vol. 9 No. 1 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i1.19186

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is a dengue virus (DENV) infection through the bite of an infected mosquito that manifests clinically in the form of high fever, headache, muscle pain, nausea, and rash. Research shows that several regions in Southeast Asia, including Indonesia, will experience an increase in the incidence of dengue infection in 2050 and 2080. Objective: This study aims to determine the correlation between platelet distribution width (PDW) and mean platelet volume (MPV) with hematocrit (Hct) in patients with Dengue Hemorrhagic Fever (DHF) at the Prof. Dr. Chairuddin Panusunan Lubis Teaching Hospital, Universitas Sumatera Utara. Methods: This study was conducted with a cross-sectional design. The subjects of this study were 142 DHF patients aged > 17 years obtained from medical record data at the Prof. Dr. Chairuddin Panusunan Lubis Hospital, Universitas Sumatera Utara. Statistical analysis using the Pearson Correlation Test. Results: In 142 study subjects, it was found that the majority of patients were in the age range of 18-39 years (83,8%) and were male (51.4%). The majority of patients had normal PDW values ​​(85.2%), normal MPV values ​​(91.5%), and normal hematocrit values ​​(59.1%). Conclusion: No significant correlation was found between PDW and MPV with Hct in DHF patients.
Late Detection with Claw Hand Deformity in a Leprosy Person: A Case Report Surender Benedict; Zulkifli Harun
Sumatera Medical Journal Vol. 9 No. 1 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i1.20279

Abstract

Background: Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It remains a major public health problem and is often neglected, especially in remote communities. Objective: This case report describes a patient with late detection of multibacillary leprosy who presented with advanced deformity, and highlights the factors contributing to delayed diagnosis. Methods: A clinical assessment and detailed history were conducted on a 78-year-old man from the Orang Asli community in Pekan, Pahang. The diagnosis was made clinically and later confirmed through a skin slit smear with acid-fast staining. Disability grading was performed according to the World Health Organization criteria. Results: The patient presented with a left claw hand deformity that had progressed for two years without treatment, accompanied by ulceration and sensory loss. He was classified as having grade 2 deformity. Multidrug therapy (MDT) was started promptly at the primary care clinic, and his symptoms improved after treatment initiation. Stigma and low awareness of leprosy were identified as the main factors contributing to the delay in seeking care. Conclusion: This case illustrates the consequences of late detection of leprosy, which can lead to permanent disability. Early recognition and prompt initiation of MDT remain essential to prevent progression and reduce disability, especially in underserved communities.
Effectiveness of School Feeding Programs on Student Participation and Academic Performance in Selected Schools of Sri Lanka Dileepa Thathsara Olokku Patabendige; K.S.H.M.Vihare Walawwe Walter Senevirathne
Sumatera Medical Journal Vol. 9 No. 1 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i1.21148

Abstract

Background: School nutrition programs are recognized for improving students’ health, yet their direct contribution to educational outcomes, particularly in remote and low-income junior secondary schools, remains insufficiently explored. Objective: This study investigates how school feeding programs influence student participation and academic performance. Methods: A mixed-methods explanatory design was used to compare schools with and without feeding programs. The sample consisted of 110 students, 25 teachers, and 20 parents from four socioeconomically diverse schools. Data were collected over three months through surveys, structured interviews, classroom observations, and analysis of attendance and academic records. Results: Findings indicated a 20% reduction in absenteeism and a 15% increase in average test scores in schools implementing nutrition programs. Students reported improved concentration and engagement, and teachers observed enhanced participation and fewer behavioural issues. Conclusions: School nutrition programs significantly support student learning and attendance. Integrating and expanding such initiatives, particularly in underserved areas, may further strengthen academic outcomes and overall student development.

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