cover
Contact Name
Dina Keumala Sari
Contact Email
dina@usu.ac.id
Phone
+6281397177693
Journal Mail Official
sumej@usu.ac.id
Editorial Address
Jl. Dr. T. Mansur No. 9 Padang Bulan, Kecamatan Medan Baru, Kota medan, Sumatera Utara, Indonesia
Location
Kota medan,
Sumatera utara
INDONESIA
Sumatera Medical Journal
ISSN : 26229234     EISSN : 26221357     DOI : 10.32734
Core Subject : Health, Science,
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
Articles 177 Documents
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; Mani, Suresh
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 Simanjuntak, Ikrar Rananta; Primaputra Lubis, Andriamuri; Winata, Ade; Wahyuni, Arlinda Sari
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; PGI, Dias
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.
SYNTAX Score II as a Predictor of One-Year Major Adverse Cardiovascular Events in Patients with Chronic Coronary Syndrome and Type 2 Diabetes Mellitus Undergoing Percutaneous Coronary Intervention Elsa Tamara Saragih; Hasan, Harris; Raynaldo, Abdul Halim; Andra, Cut Aryfa; Haykal, Teuku Bob; Ilyas, Kamal Kharazzi
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.v9i2.23616

Abstract

Background: The severity of coronary atherosclerotic lesions is an important determinant of cardiovascular events in patients with CAD. The SS-II (SYNTAX-II) score, which integrates anatomical characteristics with clinical variables, provides improved prognostic value compared with anatomical scoring alone. Objective: To determine whether the SS-II predicts one-year MACE in CCS patients with T2DM who undergo PCI. Methods: This observational analytic study employed a retrospective cohort design including patients treated from June 2023 to August 2024. A total of 128 CCS patients with T2DM who underwent PCI were enrolled. Bivariate and multivariate analyses were performed to examine the association between the SS-II and MACE. One-year MACE-free survival was analyzed using Kaplan–Meier curves.  Results: MACE occurred more frequently among patients with high SS-II scores (22 [34.4%], P < 0.001). Mortality and acute heart failure were both significantly associated with the SS-II (P = 0.042 and P = 0.03, respectively). Patients with high scores had significantly lower one-year MACE-free survival. Conclusion: The SS-II is a valuable predictor of one-year MACE in CCS patients with T2DM undergoing PCI.
Challenges in Diagnosing Leprosy Mimicking Tinea Versicolor Surender Benedict; Zulkifli Harun; Masri Quak Saifuddin
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.v9i2.25140

Abstract

Background: Leprosy is a significant concern within the medical fraternity due to its enduring prevalence across various countries. It is frequently misdiagnosed due to its clinical presentation, which can closely resemble that of tinea versicolor. Objective: This case report highlights a 26-year-old Orang Asli woman from Pekan, Pahang, who exhibited multiple hypopigmented lesions on her right flank for 1 year. Initially misdiagnosed as tinea versicolor by a general practitioner, her condition showed no improvement despite appropriate antifungal treatment. The patient’s history revealed close contact with persons with leprosy, and she resides in an endemic area. Methods: A clinical assessment was conducted, including medical history, contact history, and physical examination. A slit-skin smear was performed to establish the diagnosis. Results: A skin slit smear was performed, which yielded positive results and confirmed multibacillary leprosy. Consequently, multidrug therapy was promptly initiated in the primary care clinic. The lesions improved, indicating a positive response to multidrug therapy (MDT). Conclusion: This case underscores the critical importance of maintaining a high index of suspicion for leprosy in endemic regions, particularly when patients present with lesions that may masquerade as other dermatological conditions.