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Dina Keumala Sari
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sumej@usu.ac.id
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Jl. Dr. T. Mansur No. 9 Padang Bulan, Kecamatan Medan Baru, Kota medan, Sumatera Utara, Indonesia
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Kota medan,
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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 190 Documents
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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; Harris Hasan; Abdul Halim Raynaldo; Cut Aryfa Andra; Teuku Bob Haykal; Kamal Kharazzi Ilyas
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.
Patient Specific Titanium Implant Post Maxillectomy: The Evolution of Surgical Reconstruction Jeeven Velayutham; Liew Yew Toong; Sakina Ghauth
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.19953

Abstract

Background: Malignancies arising from paranasal sinus account for 0.2-0.8% of all malignant neoplasms and 3% of the malignant neoplasms occurring in the head and neck. Surgical treatment of maxillary sinus carcinoma often consists of an open sub-total or total maxillectomy with a subsequent significant defect. Besides, the proximity of the maxillary sinus with complex anatomical structures make reconstruction a major challenge for head and neck surgeons. Reconstruction with temporalis myofascial flap along with titanium implant have proven to be a reliable reconstruction technique. Objective:The objective of this case report is to highlight our surgical management and reconstruction method for maxillary sinus cancer. Methods: We present a case of maxillary sinus squamous cell carcinoma in a 69 years old patient, who underwent total maxillectomy and reconstruction of surgical defect with 3D printed patient specific titanium implant and temporalis myofascial flap. Results: The patient had adequate postoperative functional and aesthetic outcome. The objective of this case report is to highlight our surgical management and reconstruction method for maxillary sinus cancer. Conclusion: The reconstruction method brings reliable and satisfactory functional result and quality of life with minimal complications.
Differentiating Pleural Fluid Cytology, Abrams Biopsy, and Pleuroscopy In Malignant Pleural Effusion Aznan Arrazi; Nurul Aini; Delyuzar; Devi Nafilah Yuzar
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.21090

Abstract

Introduction: Malignant pleural effusion (MPE) frequently occurs in advanced-stage malignancies and is typically associated with symptoms such as dyspnea and thoracic pain. Accurate diagnosis is essential for establishing prognosis and directing suitable oncological treatment. Objective: This literature review aims to compare pleural fluid cytology, Abrams needle biopsy, and pleuroscopy for diagnosing malignant pleural effusion, focusing on diagnostic sensitivity, advantages, limitations, and clinical applications. Methods: This study involved a narrative literature review of published research assessing the diagnostic efficacy of pleural fluid cytology, closed pleural biopsy with the Abrams needle, and medical thoracoscopy (pleuroscopy) in patients with suspected malignant pleural effusion. Results: Pleural fluid cytology exhibited a diagnostic sensitivity that varied between approximately 40% and 70%, showing increased yields in adenocarcinoma and reduced sensitivity in mesothelioma. Abrams needle biopsy demonstrated a moderate sensitivity ranging from 60% to 80%, especially when conducted with image guidance. Pleuroscopy demonstrated the highest diagnostic yield, surpassing 90%, owing to direct visualization of the pleura and the capacity to acquire targeted biopsies. Conclusion: Pleuroscopy provides the highest diagnostic accuracy for malignant pleural effusion when resources and expertise are accessible. Pleural fluid cytology and Abrams needle biopsy are important diagnostic methods, particularly in resource-constrained environments.
Evolution and Implications of the Secondary School Physical Education Curriculum in Sri Lanka: A Qualitative Investigation Thanuja Prabashani Liyanage; Walter Senevirathne; Godwin Kodithuwakku; Tharindi Wijerathne
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.21332

Abstract

Background: Physical Education (PE) in Sri Lankan secondary schools has undergone significant changes over the decades, affecting its structure, content, delivery, and priority. These changes have contributed to reduced recognition and declining student interest. Objective: This qualitative, inductive study explores the evolution of the PE curriculum since independence, identifies key issues, and proposes recommendations for future development. Methods: Data were collected through questionnaires and semi-structured interviews with 25 experienced professionals in sports education. Results: Findings reveal that shifts in political and social contexts have reshaped the purpose and nature of PE. Conclusion: The study recommends making PE compulsory for O/Ls, revising assessment methods, enhancing teacher training, updating teaching practices, and forming a national advisory committee to lead long-term curriculum reform.
Impact of Smart Health Wearables on Lifestyle Sheetal Mahendher; Leonard L; Krithika G
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.21531

Abstract

Background: Smart health monitoring wearables, including fitness trackers and smartwatches, are increasingly used to monitor physical activity, sleep, heart rate, stress, and health metrics. These devices provide continuous feedback that may influence users’ lifestyle choices. Objective: This study aimed to analyze the impact of smart health monitoring wearables on lifestyle choices and behaviors and assess users’ satisfaction with these devices. Methods: A survey-based study was conducted among a diverse group of individuals who use smart health monitoring wearables. Data were collected through a structured questionnaire assessing users’ experiences, lifestyle changes, perceived benefits, satisfaction, and limitations of wearable device use. Results: The findings showed that smart health monitoring wearables positively influenced users’ lifestyle choices. Participants reported greater motivation to exercise and maintain healthy sleep patterns. Real-time feedback encouraged healthier daily decisions, including choosing stairs instead of elevators and maintaining healthier eating habits. However, participants also identified limitations, including inaccurate measurements, limited medical relevance, data security concerns, over-reliance on devices, and limited battery life. Most users considered the benefits to outweigh the potential drawbacks. Conclusion: Smart health monitoring wearables can support healthier lifestyle choices through continuous monitoring and real-time feedback. Nevertheless, users should recognize their limitations and avoid relying on these devices as substitutes for medical assessment.
Investigating the Effect of Different Culture Media on the Growth of Paramecium spp. as the First Food for Betta splendens Larvae W.A.N. Tahana; K.M.S.A.K Dehideniya; A.M.A.N. Adikari; K.L.W.T. Maduka
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.22022

Abstract

Background: Live feed is essential for the successful rearing of ornamental fish larvae because of its suitable size, digestibility, and nutritional value. Although Artemia is widely used, its high cost and limited availability encourage the search for affordable alternatives. Paramecium spp. is a promising live feed for early larval stages, but efficient and low-cost culture methods using locally available organic substrates remain insufficiently explored. Methods: Five organic materials (dry banana leaf, straw, banana peel, cabbage, and areca nut peel) were evaluated for Paramecium culture. Cell density was determined using a haemocytometer over four weeks, while pH, dissolved oxygen (DO), temperature, and light intensity were monitored. Results: Banana peel medium produced the highest Paramecium density (53,708 ± 15,471 cells mL⁻¹), significantly exceeding the other media (P < 0.05). Temperature, DO, and light intensity did not differ significantly among treatments (P > 0.05). Larvae fed Artemia showed the highest survival (54.17 ± 3.63%), final length (6.29 ± 0.10 mm), and weight (0.03 ± 0.00 mg), outperforming egg yolk and Paramecium. Conclusion: Banana peel is an effective, inexpensive substrate for culturing Paramecium spp. and represents a practical option for producing live feed as a supplementary feeding strategy in low-cost B. splendens larviculture.
Pulse Rate and SpO₂ in Prolonged Sitting versus Specific Isotonic Exercises Among Young Adults in UniKL RCMP Insyirah Arifah Binti Ismail; Khadijah Binti Mohamad Sukri; Muhammad Ar Rizq Bin Zainal; Nur Hasliana Fatiha Binti Hasfarizal; Nur Maisarah Binti Noorzaid; Syed Faris Danial Bin Syed Syahril Anuar; Noorzaid Bin Muhamad
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.22297

Abstract

Background: This study seeks to investigate the relationship between prolonged seated immobility and lower extremity circulation and to identify effective lower extremity exercises that can be performed in confined spaces to improve venous blood flow, with emphasis on isotonic exercises. Objective: To enhance health and well-being during prolonged sitting by implementing strategies that improve lower extremity circulation. Methods: This observational study investigates the physiological responses to prolonged sitting including and excluding isotonic exercises among medical students at UniKL RCMP. The study measured muscle activation patterns using electromyography (EMG) and a pulse oximeter for oxygen saturation (SpO₂). Results: After 60 minutes of uninterrupted sitting, PR showed a decline during extended sitting but increased following tiptoe exercises and squats. SpO₂ remained stable throughout, suggesting efficient oxygen transport. However, squats induced a greater cardiovascular response than tiptoe exercises. Conclusion: This study shows that lower limb isotonic exercises (tiptoes, squats) significantly improve lower limb circulation and venous return.
Overview of Kampung SAGU in Improving Knowledge and Self-Management of Diabetic Patients in Pakuan Baru Community Health Center Raodah; Chandra Pranata Salim; Assyifa Qalbiyah; Annisa Susanne Sarjono; Dhea Olivia Az Zahra
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.23286

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by elevated blood glucose levels. Indonesia ranks seventh in global diabetes prevalence, with approximately 10.7 million individuals affected. Community Health Center, as a primary healthcare provider, emphasizes promotive and preventive efforts to implement the 5 Pillars of DM. Kampung Sadar Gula (SAGU) is a program run by the Pakuan Baru Community Health Center that provides education, health examinations, and routine medication to improve the quality of life of people with DM within the community. Objective: to determine the impact of Kampung SAGU program in improving the knowledge and self-management of DM patients in Pakuan Baru Community Health Center in Jambi City. Methods: Descriptive research was conducted using purposive sampling and research instruments such as questionnaires and interviews with program implementers. Results: most of the population demonstrated good knowledge of DM (54.5%). However, a significant portion of respondents still showed low levels of self-care (45.4%), physical activity (54.5%), and medication adherence (45.4%). Conclusion: the level of achievement in independent eating, physical activity, and medication compliance is still low among the community of Kampung SAGU. Therefore, further monthly education for patients with uncontrolled blood sugar levels and their families is recommended.
Early Detection Screening for Congenital Heart Disease (CHD) in the Junior High School Student Population in the Coastal Area of Batu Bara Regency, North Sumatra Ali Nafiah Nasution; Refli Hasan; Muhammad Rusda; Mustafa Mahmud Amin; Rodiah Rahmawaty Lubis; Harisa Mardiah
Sumatera Medical Journal Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i3.24107

Abstract

Background: Congenital Heart Disease (CHD) is a leading contributor to pediatric morbidity globally. In remote coastal regions like Indonesia, the absence of routine screening often results in delayed diagnosis, leading to irreversible cardiovascular complications. Objective: This study aimed to implement a proactive CHD screening program for junior high school students in an underserved area as a vital preventive healthcare strategy. Methods: A descriptive cross-sectional study was conducted at SMP Negeri 1 Tanjung Tiram, Batu Bara Regency, North Sumatra. A total of 190 students (aged 10–15 years) underwent screening involving anamnesis, physical examination, 12-lead electrocardiography (ECG), and portable echocardiography. Data were analyzed to determine the prevalence of undetected CHD. Results: The screening identified one positive case of Atrial Septal Defect (ASD) in a previously asymptomatic student, yielding a prevalence of 0.5%. Statistical analysis showed that this finding is consistent with global epidemiological trends (p = 1.000). Despite 97.4% of participants being asymptomatic, the use of portable diagnostic tools proved essential for identifying structural anomalies. Conclusion: School-based screening utilizing portable echocardiography is a feasible strategy for early CHD detection in remote areas. Such initiatives are essential for bridging the diagnostic gap and reducing the incidence of late-onset complications.

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