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Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia

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Published by Pengurus Besar Ikatan Dokter Indonesia

ISSN : 20891067 EISSN : 26543796 DOI : http://dx.doi.org/10.47830

Core Subject : Health, Science, Education,

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

Journal Of The Indonesian Medical Association (JInMA) / Majalah Kedokteran Indonesia (MKI) adalah Jurnal yang berada di bawah naungan Pengurus Besar Ikatan Dokter Indonesia (PB IDI) dan sebagai Kanal InformasiIlmiah di Kalangan Dokter Umum dan Dokter Spesialis serta Profesi Terkait.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 428 Documents

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Efektivitas Penambahan Terapi Laser Intensitas Tinggi (High-Intensity Laser Therapy / HILT) terhadap Latihan Fisik dalam Mengurangi Nyeri, Meningkatkan Kekuatan Otot, dan Memperbaiki Kemampuan Fungsional pada Pasien dengan Osteoartritis Lutut: Suatu Uji A Rizki, Laksmana; Z. Tamin, Tirza; Anestherita, Fitri; Handoko, Harrison
Majalah Kedokteran Indonesia Vol 75 No 3 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.3-2025-1895

Introduction: Osteoarthritis (OA) is a leading cause of disability worldwide, impacting patient’s daily functional abilities as well as quality of life due to chronic pain associated with joint damage. High-Intensity Laser Therapy (HILT) has been proven effective in reducing pain and improving function in patients with knee OA. Despite its recognition as a safe and effective modality, standardized protocols for its use in knee OA are lacking. This study aims to evaluate the effectiveness of incorporating HILT in addition to physical exercise programs for patients with knee OA.Methods: 30 patients with knee OA were randomized into 2 groups, HILT + physical exercise (intervention group), and physical exercise only (control group). Visual Analogue Scale (VAS), quadriceps and hamstring muscle strength using exercise testing, and functional ability using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire were measured and compared.Result: Both groups displayed statistically significant improvement in pain, muscle strength, and functional ability by the end of the program (week 4) compared to the initial examination (p less than 0.05). When compared, there was a significant difference in pain reduction and functional ability in favor of the intervention group (p less than 0.05). However, there were no significant differences in quadriceps and hamstring muscle strength between the groups (p=0.148 and p=0.345, respectively).Conclusion: In this study, it was shown that the combination of HILT and physical exercise was more effective in alleviating pain and enhancing functional ability in patients with knee OA compared to physical exercise alone.

Manajemen Disfungsi Otonom Terbaru pada Penyakit Parkinson Nugraha, Priya; Puspamaniar, Vania Ayu
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1526

Since James Parkinson's 1817 initial description of Parkinson's disease (PD), autonomic dysfunction has been identified in PD patients. Parkinson disease (PD) is clinically heterogeneous due to motor and nonmotor symptoms, disease progression, and treatment responses. Autonomic dysfunction can cause a variety of symptoms, such as gastrointestinal, cardiovascular, urogenital, thermoregulatory, irregular pupillary movements, respiratory, and sleep symptoms. The idea that autonomic dysfunction may have a major role in PD patients' mobility, cognition, and health-related quality of life (HRQoL) is supported by several studies. Current management, as determined by the most recent guidelines, is crucial for updating physician expertise. Appropriate care is contingent upon a correct and timely diagnosis which will enhance the quality of life for PD patients. A thorough discussion of the clinical symptoms and current therapy will be provided in this article.

Distribusi dan Prevalensi Infeksi Oportunistik pada Orang dengan HIV/AIDS di RSUD Gambiran, Kediri, Jawa Timur Novrindo Sidjabat, Forman; Lestari Nur Jannah, Fitria Pratama
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1631

Introduction: HIV/AIDS remains a global health problem with opportunistic infections (OIs) contributing to increased mortality. As a referral center for HIV/ AIDS services in Kediri City, Gambiran Hospital has reported a rising prevalence of HIV/AIDS and associated OIs. This study aimed to determine the prevalence and distribution of OIs among HIV/AIDS patients at Gambiran Hospital, Kediri, East Java.Method: This study involved adult patients diagnosed with HIV/AIDS and OIs during the period 2019–2021. Sampling from medical records was performed using a proportional random sampling method. Data were analyzed descriptively.Results: Of the total subjects (n = 59), the highest proportion of HIV/AIDS patients with OIs was found in group age of 26–45 years (62.7%). Most were male (66.1%), married (71.2%), actively employed (66.1%), and had completed high school (45.8%). The majority of subjects had a single OI (61%), with tuberculosis being the most common (34.9%).Conclusion: HIV/AIDS patients with OIs at Gambiran Hospital were predominantly aged 26–45 years, male, married, actively employed, and had completed high school, with tuberculosis being the most common OI.

Hubungan Berat Badan Lahir dengan Status Gizi Stunting pada Anak Usia 2-59 Bulan Yasmin Dewantari , Aulia; Annisa, Annisa; Umam Kurniawan, Nurcholid
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1764

Introduction: Stunting remains a major global nutritional challenge for children, with a prevalence of 21.3% in 2019. Low birth weight (LBW) has been recognized as one of the risk factors for stunting. Despite various interventions, stunting continues to be a major public health concern because of its long-term impact on child growth and development. This study was conducted to evaluate the association between birth weight and stunting status in children aged 2-59 months, and to describe their characteristics in the working area of Samigaluh 1 Health Center.Method: This case-control study utilized secondary data obtained from children’ growth monitoring records at the Integrated Healthcare Center and Maternal and Child Health (MCH) handbooks.Results: Among the 80 subjects, 27 children (67.5%) were stunted at the ages of 2-24 months, and 13 children (32.5%) were stunted at ages 25-59 months. Stunting occurred in 21 boys (52.5%). Bivariate analysis using the Chi-square test revealed a significant relationship between LBW and stunting status (p value = 0.009; OR = 13.000; CI = 1.576-107.228).Conclusion: The study established a significant association (p less than 0.05) between LBW and stunting status. Children with LBW were at 13-fold increase of stunting than normal birth weight. Stunting was also more prevalent among boys.

Hubungan Antara Derajat Depresi Dan Kecemasan Dengan Beban Pengasuh Penderita Kanker Yang Mendapatkan Kemoterapi Hadiati, Titis; Setiarini, Natalia Kus; Asikin, Hang Gunawan
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1812

Introduction: Cancer causes a significant physical and emotional burden, not only for patients, but also for caregivers. Caregiver’s burden is associated with caring for a chronically ill family member, which would increase if role tensions and concerns related to cancer are high and/or if they are in poor physical and emotional health, such as depression or anxiety. This study aims to determine the relationship between depression and anxiety with the burden of caregivers of cancer patients receiving chemotherapy.Method: A cross-sectional study with consecutive sampling involving caregiver of cancer patients who met the inclusion and exclusion criteria. The sample filled out the DASS-21 and ZBI questionnaires to determine the degree of depression, anxiety, and caregiving burden. The relationship between variables was obtained using the Spearman test.Results: From 30 caregivers of cancer patients who received chemotherapy, 3 experienced mild depression, 1 experienced moderate depression, 7 experienced severe depression, and 2 experienced very severe depression. While 5 experienced mild anxiety, 3 experienced moderate anxiety, 4 experienced severe anxiety, and 5 experienced very severe anxiety. ZBI showed 18 with little or no burden, 3 with mild to moderate burden, 4 with moderate to severe burden, and 5 with severe burden. There is a significant correlation between the degree of depression and anxiety with the burden of caring for cancer patients who receive chemotherapy (p less than 0,001).Conclusion: Depression and anxiety are associated with the burden of caring for cancer patients who receive chemotherapy due to the tension and worry related to cancer with various symptoms and chemotherapy side effects.

Pentingnya Pemeriksaan Kehamilan (ANC) di Puskesmas Pasar Rebo: Studi Potong Lintang Deskriptif Krista Alya, Ravi; Albab, Ulul; Komarunisa, Komarunisa
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1835

Introduction: Antenatal care (ANC) is vital for ensuring maternal and fetal health. This study aims to describe the maternal and fetal characteristics of pregnant women attending ANC services at Puskesmas Pasar Rebo from June 2023 to June 2024. Methods: A descriptive cross-sectional study was conducted on 140 pregnant women. Data were collected on maternal sociodemographic characteristics, obstetric history, and fetal parameters.Results: The average maternal age was 27 ± 5,3 years, with a mean height of 157 ± 5,6 cm, an average body mass index (BMI) of 25.5 ± 4,9 kg/m2. The mean upper arm circumference was 27,47 ± 3,4 cm. Obstetric history showed an average gravida of 2, parity 1, abortus 0. On average, women attended 7,27 ± 3,13 ANC visits. Out of the 140 patients, 27 were referred: 9 cases of previous cesarean section, 2 with hypertension, 5 malpresentations, 2 cases of fetal growth restriction, 2 with placental problems, 2 cases of intrauterine fetal death (IUFD), 4 with hemmorhagic in early pregnancy, and 1 case of gemelli pregnancy. Fetal assessments indicated an average crown-rump length (CRL) of 4.8 ± 1,3 cm in the first trimester, an average fetal heart rate (FHR) of 170 ± 8 bpm in the first trimester, and 142 ± 7 bpm in the third trimester. The estimated fetal weight (EFW) averaged 2293 ± 452 grams, and the average amniotic fluid index (AFI) with a single deepest pocket (SDP) measured 4.5 ± 1,3 cm.Conclusion: Routine antenatal care visit correlated significant in detecting high risks pregnancy cases needed to be referred to obstetrician. This study highlights the importance of regular ANC visits in detecting maternal and fetal complications in first and third trimester at Puskesmas Pasar Rebo.

Laporan Kasus Berbasis Bukti: Dapatkah Indeks Mentzer Membimbing Diagnosis Anemia Mikrositik di Daerah Rural Indonesia? Vita, Angelica Diana; Bernardinus Realino Nara, Mario
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1930

Introduction: Indonesia, part of the “Thalassemia Belt,” carries a significant burden of hemoglobinopathies, with β-thalassemia trait (BTT) affecting up to 10% of the population. In rural settings with limited access to advanced diagnostics, distinguishing between BTT and iron deficiency anemia (IDA) using clinical and hematologic indices such as the Mentzer Index may aid early management.Method: A structured literature search was conducted in MEDLINE and EBSCO to identify diagnostic or cross-sectional studies comparing red blood cell indices, particularly the Mentzer Index, in differentiating IDA from BTT. Studies were selected based on inclusion and exclusion criteria, and full texts were critically appraised by three reviewers using criteria of validity, importance, and applicability.Results: Six studies with Level 4 evidence were included. The Mentzer Index was evaluated in all studies, with sensitivity ranging from 66% to 100% and specificity from 47.1% to 100%. Rashwan et al. and Jasim et al. reported perfect or near-perfect accuracy, while Indrasari et al., an Indonesian study, found more modest results (sensitivity 66%, specificity 62.5%). Variability in diagnostic performance may be influenced by population genetics, disease spectrum, and laboratory techniques.Conclusion: The Mentzer Index demonstrates promising diagnostic value, particularly in settings where advanced testing is unavailable. However, variability in its accuracy across populations suggests that clinical judgment remains essential. The Mentzer Index can be a useful preliminary tool but should not replace confirmatory tests when available.

Pneumonia Eosinofilik: Patofisiologi, Diagnosis Dan Tata Laksana Terkini Bagaskoro, Miraz Radhea; Nurwidya, Fariz
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1933

Eosinophilic pneumonia is a rare and heterogeneous group of lung diseases, comprising two main subtypes: acute eosinophilic pneumonia (AEP) and chronic eosinophilic pneumonia (CEP). Both are marked by eosinophilic infiltration into lung tissue and alveolar spaces, sharing similar pathophysiology but differing in clinical presentation and etiology. AEP is often linked to recent smoking or relapse in former smokers, while CEP commonly occurs in individuals with a history of atopy, such as asthma or allergic rhinitis. Diagnosis involves imaging and confirmation through bronchoscopy with bronchoalveolar lavage. Corticosteroids are the primary treatment, though relapses may occur, requiring long-term therapy. Biologic agents, particularly monoclonal antibodies, are being explored as alternative therapies. This review aims to summarize current knowledge on the clinical features, pathophysiology, diagnosis, and management of eosinophilic pneumonia.

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Home Page

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Contact Name Ferius Soewito

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Phone +6221-31937910

Journal Mail Official jinma_mki@idionline.org

Editorial Address Jl. Dr. G. S. S. Y Ratulangie No. 29, Menteng, Jakarta Pusat 10350

Location Kota adm. jakarta pusat, Dki jakarta INDONESIA

Abstract

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Contact Name
Ferius Soewito

Contact Email
-

Phone
+6221-31937910

Journal Mail Official
jinma_mki@idionline.org

Editorial Address
Jl. Dr. G. S. S. Y Ratulangie No. 29, Menteng, Jakarta Pusat 10350

Location
Kota adm. jakarta pusat,

Dki jakarta

INDONESIA