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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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Unveiling the Shadows: Understanding Urban Perspectives on Cervical Cancer Sheetal Mahendher; Leonard L; Aprajitha R
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.v9i1.21440

Abstract

Background: Cervical cancer remains a significant public health concern in India, including urban regions like Bangalore, where awareness of HPV and its vaccination is still limited. Despite the availability of effective vaccines, uptake remains low due to misinformation, stigma, and inadequate health education. Objective: This study aims to assess the awareness, perceptions, and acceptance of cervical cancer vaccination among individuals aged 18 and above in Bangalore South, and to identify key barriers influencing vaccination uptake. Methods: A quantitative, inductive research approach was employed using a structured survey administered to 51 purposively selected participants. The survey captured awareness of HPV, vaccination, Pap smear screening, and prevalent myths. Descriptive statistics and Pearson’s chi-square tests were conducted using SPSS to examine associations between demographic factors and vaccine-related attitudes. Results: Findings revealed substantial gaps in awareness and several misconceptions regarding HPV and vaccination. Chi-square results indicated no significant associations between awareness levels and age, gender, or income, while education showed a significant relationship with perceived vaccine safety. Conclusions: Despite urban residency, awareness and uptake of cervical cancer vaccination remain low. Targeted education, myth-busting campaigns, and improved accessibility are crucial to enhancing vaccination acceptance and preventing cervical cancer in urban communities.
Factors Contributing to Sphenoid Sinus Volume and Its Relation to Isolated Fungal Sphenoid Sinusitis Jasmine Pei Ying Kho; Chae-Seo Rhee
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.v9i1.22475

Abstract

Background: Isolated Sphenoid Sinus disease is an uncommon entity, with fungal sinusitis being identified as its most common cause. Objective: We investigate factors affecting sphenoid sinus volume (SSV), its pneumatization type, aeration path to the SS ostium, and its relation to isolated fungal sphenoid sinusitis (IFSS). Methods: A total of 43patients with a mean age of 66.6years, histopathologically diagnosed with IFSS, were included in this study. Demographics recorded were age and gender, parameters affecting sinus volume, obstruction of the pathway to the SS ostium, and types of SS pneumatization. The SSV of the pathological and normal sides of the patients was compared. Parameters affecting the incidence of IFSS were evaluated. Results: Presence of lateral recess pneumatization (LRP) and post-sellar type of SS pneumatization significantly increases SSV(p<0.05). There is no significant correlation between SSV and the incidence of IFSS (p=0.815). Obstruction of the airway path to the SS ostium and post-sellar type of SS pneumatization significantly increases the incidence of IFSS (OR = 21.021, p = 0.014; OR =13.59, p=0.02). Conclusion: SSV increases in the presence of LRP, sellar, and post-sellar type of pneumatization. Incidence of IFSS is independent of SS volume. Post-sellar type of SS pneumatization and an obstructed path to the SS ostium increase incidence of IFSS.
Gadget Usage and Its Relationship with Mental and Emotional Health in Early Childhood (3–6 Years) at Puskesmas Medan Tuntungan Arlinda Sari Wahyuni; Timotius Pratama; Maranatha Duva Siahaan; Nabila Febrina Salamah; Venessa Wongso; Arridho Anwar Dalimunthe; Muhammad Irzi; Evelyn; Siti Nurkholilah; Ryann Setiawan
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.v9i1.22796

Abstract

Introduction: Excessive gadget use in early childhood is increasingly associated with cognitive, behavioral, and emotional problems. Preschool-aged children are particularly vulnerable as this period involves rapid socio-emotional and motor development. Objective: This study aimed to determine the association between gadget use and mental and emotional health among children aged 3–6 years at Puskesmas Medan Tuntungan. Methods: A cross-sectional study was conducted involving 105 children selected through consecutive sampling. Data on gadget use (duration, type, ownership, and age of first exposure) were collected using parent-reported questionnaires. Mental and emotional status was assessed using the KMME instrument. Bivariate analysis was performed using the Chi-square test with a significance level of p < 0.05. Results: Most children (61.90%) used gadgets for more than one hour per day, exceeding recommended limits. A total of 64 children (60.95%) screened positive for mental and emotional problems. Screen time >1 hour was significantly associated with mental–emotional problems (p = 0.001). No significant relationship was found between personal gadget ownership and mental–emotional problems (p = 0.729). Conclusion: Longer screen time, particularly >1 hour per day, was significantly associated with mental and emotional problems in preschool-aged children. Further longitudinal studies with larger samples are needed to strengthen causality and generalizability.
Renal Function and Left Ventricular Ejection Fraction in Diabetic Patients with Acute Heart Failure Mery Natalia Hutapea; Refli Hasan; Abdul Halim Raynaldo; Abdullah Afif Siregar; Teuku Bob Haykal; Yuke Sarastri; Tengku Winda Ardini; Andre Pasha Ketaren; Joy Wulansari Purba; Nizam Zikri Akbar; Cut Aryfa Andra
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.v9i1.22989

Abstract

Background: Acute heart failure (AHF) in patients with type 2 diabetes mellitus (T2DM) is frequently complicated by renal dysfunction, which may aggravate cardiac impairment. Serum creatinine may reflect this cardio–renal interaction, but its association with left ventricular ejection fraction (LVEF) in AHF patients with T2DM remains unclear. Objective: To investigate the correlation between serum creatinine and left ventricular ejection fraction (LVEF) in patients with acute heart failure (AHF) and type 2 diabetes mellitus (T2DM). Methods: A cross-sectional study of 52 hospitalized AHF patients with T2DM. Clinical data, serum creatinine, A1C, and echocardiographic LVEF (assessed by two independent consultants) were collected. Correlation and multivariable linear regression analyses were performed. Results: The patients were middle-aged and predominantly male. Mean LVEF was 33.2 ± 9.1%, and mean serum creatinine was 1.58 ± 0.31 mg/dL. Higher serum creatinine levels were strongly associated with lower LVEF. Glycemic status (A1C) and urea levels also showed negative associations with LVEF. After adjustment, serum creatinine and A1C remained independent predictors of reduced LVEF. Conclusion: In AHF patients with T2DM, higher serum creatinine and A1C levels are independently associated with reduced LVEF, underscoring the cardio-renal-metabolic interplay in this population and highlighting the need for integrated management strategies.
Integrating Digital Tools for Health Professional Education: A Case Study from the University of Peradeniya H.M. Sandali Sathma Illangakoon; K.S.H.M.V.W. Walter Senevirathne
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.21282

Abstract

Background: The integration of digital tools into medical education has accelerated in recent years, but their effective use remains uneven across contexts. Objective: To examine usage patterns, student perceptions, and challenges related to digital learning tools among undergraduate medical students at the University of Peradeniya. Methods: A mixed-method case study design was used. Quantitative data from a structured Google Form survey (n = 100) provided numerical trends on tool usage and perceived effectiveness. Qualitative data from informal interviews were analysed thematically to explain and elaborate on the survey findings. The two datasets were integrated during interpretation, where qualitative insights were used to clarify and contextualise the quantitative results. Results: Findings showed that while tools like Moodle, Zoom, WhatsApp, and YouTube are widely used, student engagement was mostly passive. Only a minority used interactive tools such as online quizzes or gamified apps. Over 70% of students reported that digital tools support their understanding and engagement. Major challenges included poor internet access, lack of awareness, and minimal faculty support. Conclusion: Although digital tools are common, their pedagogical potential remains underutilized. Improved infrastructure, awareness, and integration are needed to optimize their impact in medical education.
Implementation of the IPK® Esports Method in a Professional League of Legends Team: A Pilot Study on Circadian Monitoring, Neurofunctional Recovery, and Cognitive Performance Juan Carlos Andrade; Mikeldi Aguirre Berasategui
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.21428

Abstract

Introduction: Esports athletes are exposed to neurophysiological stress, irregular sleep patterns, and cognitive overload, which can impair performance and health. The IPK Esports® Method integrates daily wellness tracking, circadian rhythm monitoring, and neurofunctional physiotherapy. Objective: To describe the implementation of the IPK Esports® Method in a professional League of Legends team, highlighting a one-time 7-day circadian rhythm assessment with Kronowise® and the application of individualized neurophysiological interventions. Methods: This descriptive study was conducted during the preparation and regular competitive season. Players completed daily wellness questionnaires. Weekly neurotraining sessions were implemented to enhance motor control and cognitive performance. A single 7-day assessment with Kronowise® recorded circadian parameters and estimated sleep. Post-training, players underwent reaction tests. Based on data, customized physiotherapy interventions were applied. Results: Circadian analysis showed delayed sleep onset, fragmented sleep, and high pre-sleep blue light exposure, informing targeted sleep hygiene strategies. Participants with higher circadian stability tended to have lower reaction time variability. Given the pilot sample (n=2), findings are exploratory, and no inferential analysis was conducted. Conclusion: The IPK Esports® Method enables a personalized, data-driven approach to optimize health, recovery, and performance in esports athletes.
Clinical Efficacy of Repetitive Transcranial Magnetic Stimulation in Recovery of Hand Function Among Stroke Patients: A Scoping Review Gurav Pooja Ramesh; Manju Devi; Suresh Mani
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.21672

Abstract

Background: Delayed hand function recovery is common after stroke. Repetitive transcranial magnetic stimulation (rTMS) is an emerging non-invasive brain stimulation technique with potential for post-stroke recovery, particularly for hand function, an area with limited research. Objective: Therefore, the aim of this scoping review was to ascertain the clinical efficacy of rTMS in the recovery of hand function among stroke patients. Methods: A systematic search of PubMed, Cochrane, and ScienceDirect from 2005 to 2023 identified original research on rTMS, stroke, and hand function. The reviewers independently screened articles for eligibility, and data were extracted on rTMS intervention protocols and outcomes. Methodological quality was assessed using PEDro analysis. Results: Of 5423 titles screened, 13 studies met the inclusion criteria and were of excellent quality according to PEDro analysis. The studies used varied rTMS intervention parameters, such as frequencies (1 Hz to 20 Hz), stimulus duration (2 sec to 55 sec), numbers of stimuli (10-1000), and variable rest intervals. Conclusion: Overall, rTMS has a positive and clinically significant effect on hand function recovery, but its intervention parameters vary widely. Therefore, further research is needed to establish standardized treatment guidelines to determine the long-term effects of rTMS on motor hand function recovery.
STOP-Bang Criteria as a Difficult Airway Predictor in Surgical Patients at a Primary Referral Hospital in North Sumatra Ikrar Rananta Simanjuntak; Andriamuri Primaputra Lubis; Ade Winata; Arlinda Sari Wahyuni
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.21787

Abstract

Introduction: Obstructive sleep apnea (OSA) is a sleep disorder associated with snoring, morning drowsiness, and hypoxemia, leading to an increased risk of difficult airway management. Polysomnography (PSG) is the gold standard for diagnosing OSA, but its high cost and limited accessibility necessitate alternative screening methods, such as the STOP-BANG questionnaire. Objective: This study aimed to evaluate the relationship between STOP-BANG scores and difficult airway conditions in surgical patients. Methods: A cross-sectional study was conducted at H. Adam Malik Hospital involving 110 surgical patients. Demographic and clinical data, including body mass index (BMI) and neck circumference, were collected. STOP-Bang scores were assessed preoperatively, and difficult airway conditions were documented. Results: The average BMI of the participants was 25.03 ± 2.62 kg/m², and the mean neck circumference was 27.83 ± 3.91 cm. A total of 81 patients reported a history of hypertension, a comorbidity frequently associated with OSA. Statistical analysis indicated that higher STOP-BANG scores were significantly correlated with a greater incidence of difficult airway conditions (p = 0.015). Conclusions: This study demonstrates that the STOP-BANG questionnaire has potential as a practical and accessible predictive tool for identifying patients at risk of difficult airway management related to OSA.
Development and Characterization of Fermented Fat Spread from Cow Milk and Coconut Milk Creams Jayasooriya DGSC; Dias PGI
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.21934

Abstract

Background: Dairy alternatives that reduce unhealthy animal fat are an emerging food trend. Although plant-based fermented fat spreads are available globally, they remain limited in Sri Lanka. Objective: This study aimed to develop a fermented fat spread using cow and coconut milk creams. Methods: Five formulations were prepared: NFCC, NFCOC, FCC, FCOC, and a 1:1 fermented blend (FMC). Fermentation used mixed cultures of Lactobacillus spp., Streptococcus spp., and Bifidobacterium lactis. Analyses included yield, churning efficiency, composition, melting point, texture, sensory properties, and shelf stability. Results: FCOC showed significantly higher (p<0.05) churning efficiency, fat content, and unsaturated fatty acids, with a lower melting point (27.33 ± 0.50 °C). Blending fermented creams improved the melting point (30.67 ± 0.57 °C) and texture stability at room temperature. Coconut cream enhanced cohesiveness and spreadability. NFCC had the highest overall sensory acceptability, while FMC scored highest for appearance. FCOC exhibited superior shelf stability with lower peroxide values and microbial counts. Conclusion: The blended fermented spread offers a promising method for improving healthy fat while enhancing the texture stability and cost-effectiveness of the process. This method may avoid chemical hydrogenation-induced trans-fat formation in plant-based fat spreads.
Effect of Brisk-Walk on Heart Sounds and Blood Pressure in Young Adults Noorzaid Bin Muhamad; Ahmad Muhammad Bin Mohd Rosli; Dalili Auni Binti Muhammad Afandie; Muhammad Ihsan Syahidi Bin Abdul Latif; Nor Aqilah Binti Zaibudin; Nurul Alya Diana Binti Mohd Jusof; Siti Khadijah Binti Mohd Fuad; Syarifah Nor Amani Binti Sayed Azman; Nur Maisarah Binti Noorzaid; Yusuf Imran Noorzaid
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.22289

Abstract

Background: Despite the potential significance of heart sounds in medical diagnoses, their integration into routine clinical assessment remains limited.  Objective: This study aims to learn the effect of brisk walking on heart sound, focusing on intervals between S1 and S2, and S2 and S1, and blood pressure in healthy young adults. Methods: A convenience sampling method was used. Eight young adult subjects were asked to complete a brisk 30-minute walk on a treadmill. Heart sounds of each subject were recorded by using an electronic stethoscope, and a blood pressure monitor was used to record systolic and diastolic blood pressure before and after the 30-minute walk. The same activity was repeated two weeks after the initial study. Results: A varying degree of change in the S1-S2 interval and S2-S1 interval was found. Males exhibit an increase in SBP post-walk compared to the decrease observed in females. However, the diastolic blood pressure in both genders showed a reduction after walking, and it is consistent with the expected cardiovascular response to exercise. Conclusion: There were significant changes in S1-S2, S2-S1 interval, systolic and diastolic blood pressure after brisk walking among the subjects.

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