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Putranto Manalu
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INDONESIA
Jurnal Prima Medika Sains
Published by Universitas Prima Indonesia
ISSN : 26863502     EISSN : 27146707     DOI : https://doi.org/10.34012/jpms
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Prima Medika Sains adalah jurnal ilmiah di bidang kesehatan dan kedokteran yang terbit dua kali dalam setahun yaitu pada bulan Juni dan Desember. Diterbitkan oleh Universitas Prima Indonesia yang secara teknis dikelola Program Studi Magister Kesehatan Masyarakat Fakultas Kedokteran Universitas Prima Indonesia. Berisi tulisan hasil penelitian lapangan atau laboratorium maupun studi pustaka di bidang kesehatan dan kedokteran.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 18 Documents
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Search results for , issue "Vol. 7 No. 1 (2025): June" : 18 Documents clear
Association of perirenal fat thickness, abdominal subcutaneous fat thickness and renal sinus fat diameter with hepatic steatosis Ernes, Audrina; Ginting, Chrismis Novalinda; Pulungan, Ica Yulianti
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6758

Abstract

Hepatic steatosis (HS), characterized by the abnormal accumulation of triglycerides within hepatocytes, is a prevalent pathological condition. However, its detection rate often underestimates its true prevalence, particularly when assessed using abdominal computed tomography (CT) scans. This quantitative cross-sectional study, conducted from September 2024 to February 2025 at Royal Prima Hospital, aimed to investigate the associations of perirenal fat thickness (PrFT), abdominal subcutaneous fat thickness (ASFT), and renal sinus fat diameter (RSFD) with HS. A non-probability sampling method was utilized, and a total of 272 non-contrast abdominal CT scans were analyzed. Statistical analyses were performed using SPSS software. HS was defined as an average hepatic parenchymal Hounsfield Unit (HU) value at least 10 HU lower than that of the spleen, with an absolute hepatic HU attenuation of less than 40. The grading of HS was determined according to the CT liver-spleen (L-S) ratio: mild (0.7 < CT L-S < 1.0), moderate (0.5 < CT L-S < 0.7), and severe (CT L-S < 0.5). The results demonstrated a significant association between the mean right-left PrFT and the presence of HS (p = 0.007), suggesting that perirenal fat may contribute to the development of HS. In contrast, neither the mean right-left RSFD nor the ASFT showed a significant association with HS presence (p = 0.056 and p = 0.904, respectively). Furthermore, none of the fat measurements (PrFT, ASFT, and RSFD) were significantly associated with the grading of hepatic steatosis (p = 0.800, 0.288, and 0.996, respectively). These findings underscore the potential utility of PrFT as a non-invasive indicator for HS diagnosis. The study also highlights the importance of quantitative measurements, such as hepatic and splenic HU values and CT L-S ratios, for the accurate diagnosis of HS, as visual assessment alone may be insufficient.
Oral mucosal lesions associated with fixed orthodontic appliances: A review Kawono, Kawono; Chuan, How Kim; Halim, Susanna
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6764

Abstract

Orthodontic procedures enhance dental well-being, yet they can lead to painful sores due to irritation from devices. These sores, often found on the inner cheeks and lips, arise from friction caused by brackets, wires, and screws, resulting in discomfort and slow recovery. To prevent these issues, one can use orthodontic wax, materials that are friendly to the body, and make adjustments to the appliances. Innovative treatments like low-level laser therapy and personalized 3D-printed devices are proving to be promising options for relief. Regular check-ups and working together as a team are essential for providing effective care. Addressing issues early can lessen complications, boost comfort, and improve results of orthodontic care, emphasizing the importance of both preventive and treatment methods in practice.
The two way relationship between diabetes mellitus and periodontal disease Ongko, Darius Pranajaya; Chuan, How Kim; Halim, Susanna
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6765

Abstract

Periodontitis and diabetes mellitus are common chronic diseases with an established bidirectional relationships. Epidemiological studies have clearly identified that diabetes is a major factor for periodontitis, increasing the risk approximately three-fold compared to non-diabetic individuals, particularly if glycemic control is poor. This article discusses the possibility impact of diabetes on the periodontal patient and the ways in which untreated periodontitis may influence the course of diabetes. Diabetes mellitus is considered a risk factor and associated with an increased prevalence and severity of gingivitis and periodontitis. Inflammation plays an obvious role in periodontal diseases, evidence in literature also supports the role of inflammation as a major component in the pathogenesis of diabetes and diabetes complications. There is also evidence that periodontal disease can worsen a patient’s control of diabetes mellitus and proper management of periodontal disease can improve control of diabetes mellitus. The association between diabetes mellitus and periodontal diseases is clear that glycemic control improves periodontal conditions, while the management of periodontal infection improves glycemic control of diabetic patients (HbA1c reduction approximately 0,4%). Periodontal assessment is as important in people with diabetes as it is in people who do not have diabetes and people with diabetes should be made aware of their increased risk for periodontal disease.
Factors associated with nephrolithiasis at Royal Prima General Hospital Suryamin, Ricky; Pulungan, Ica Yulianti
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6770

Abstract

The high incidence of kidney stones, or nephrolithiasis, at Royal Prima General Hospital in Medan, affecting 234 patients, constitutes a significant problem requiring resolution. The varied nature of nephrolithiasis presentations observed is attributable to numerous influencing factors. Potential causes of kidney stones include inadequate fluid intake, excessive or insufficient physical activity, obesity, high salt consumption, and other unhealthy behaviours. Furthermore, underlying medical conditions such as diabetes, obesity, and hypertension can elevate the risk of kidney stone formation. This research aimed to analyse the factors associated with nephrolithiasis at Royal Prima General Hospital in Medan. This study employed an observational analytical design with a retrospective approach. The study population comprised the medical records of 234 patients diagnosed with nephrolithiasis who sought treatment at Royal Prima General Hospital in Medan between August 2023 and August 2024. Total sampling was utilised, resulting in a sample size of 234. Data analysis involved univariate, bivariate, and multivariate methods. The results revealed that the majority of patients were aged 46-60 years (n=99, 42.3%) and were male (n=147, 62.8%). Significant associations were found between blood pressure, body mass index (BMI), age, and nephrolithiasis at Royal Prima General Hospital in Medan. However, no significant association was observed between gender and nephrolithiasis. Age (X4) was identified as the variable most strongly associated with nephrolithiasis at Royal Prima General Hospital in Medan.
Factors associated with uric acid levels in elderly: A cross-sectional study Sinurat, Suryati; Simanjuntak, Maestro Bina Utama; Siahaan, Jekson Martiar; Hutagalung, Mangatas Halomoan Parluhutan; Daulay, Agus Husein; Tarigan, Leonardo; Sihotang, Ruth Wydia Wati; Sembiring, Bob Agustinus; Nababan, Titus Imanuel; Tampubolon, Ruth Septianna Br.; Salamon, Yuda Monang; Ainun, Nur Azizah; Nainggolan, Serevina
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6809

Abstract

Sustained elevated blood uric acid levels can lead to gout, a chronic inflammatory disease characterized by the deposition of uric acid crystals in the joints. Factors contributing to hyperuricemia include insufficient knowledge of risk factors and management, consumption of high-purine diets, and inadequate uric acid monitoring. Overweight and obesity are also frequently associated with increased uric acid production and reduced renal excretion. The aging process contributes to declining renal function, essential for uric acid elimination. This observational analytic cross-sectional study investigated the relationships between knowledge, nutritional status, and physical activity with blood uric acid levels in 30 elderly individuals at Hamparan Perak Health Center from March 5-19, 2025. Data were collected via questionnaires and analyzed using Chi-Square or Fisher Exact tests. The majority of respondents were female (73.3%) and aged 60-69 years (63.3%). Most had poor knowledge (56.7%) and high uric acid levels (63.3%). A significant relationship was found between knowledge (p=0.002) and nutritional status (p=0.000) with blood uric acid levels. However, no significant relationship was observed between physical activity levels and uric acid levels (p=0.125).
Public perception of air quality in Aceh District’s border areas Fazira, Aulya; Kiswanto, Kiswanto; Siahaan, Perry Boy Chandra; Murdani, Ihsan; Saputra, Firman Firdauz
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6813

Abstract

Climate change and industrial activities have contributed to a decline in air quality in the border region between Aceh Barat and Nagan Raya Districts, adversely affecting public health, particularly through increased cases of Acute Respiratory Infections (ARI). This study aims to analyze community perceptions of air quality in this area. A qualitative approach was employed, utilizing in-depth interviews with residents of border villages who were purposively selected based on criteria including a minimum of five years of residency, experience of health impacts, and involvement in community activities. Data collection was supplemented by field observations and secondary documents obtained from relevant agencies. The findings indicate that local communities experience direct effects of air pollution, such as exposure to dust, eye irritation, and respiratory problems, especially during the dry season and periods of increased heavy vehicle activity. However, official government monitoring remains limited and does not include measurements of fine particulate matter (PM2.5 and PM10), resulting in a gap between technical data and community experiences. Residents also noted a lack of public awareness campaigns addressing the health risks associated with air pollution. The study concludes that community-based approaches and data transparency are essential for effective air quality management. A key policy recommendation is the adoption of a hybrid air monitoring system that integrates technical measurements with community-reported experiences, thereby informing more responsive environmental and public health interventions.
Incidental detection of Tietze syndrome with costochondritis: A case report Lister, Gilbert; Soekardi, Adi; Icksan, Aziza Ghanie
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6815

Abstract

Background: Tietze syndrome represents a rare and atypical source of anterior chest discomfort, distinguished by localized tenderness and non-suppurative swelling, typically centered around the 2nd or 3rd costal cartilages. Despite diligent investigation, the precise underlying causes of Tietze syndrome remain elusive. Case Report: We present a case of a 35 year old male patient with suspected Tietze syndrome with costochondritis. He came in with complaints of abdominal pain and frequent coughs. He has a history of ADPKD and thalassemia since age 12. Tietze syndrome was an incidental finding in this patient. A thorax scan showed multiple nodular and lobulated lesions in the medial mediastinum; additionally, an abnormal widening and flattening of the costochondral junction of the ribs bilaterally. The CT scan findings reveal notable deformities characterized by widened and irregularly shaped anterior rib masses spanning the 1st to the 4th ribs bilaterally. The USG scan of the thorax showed a hypogenic thickening of the costochondral junction with vascularization. Discussion: Tietze's syndrome presents a diagnostic challenge necessitating comprehensive imaging modalities for accurate diagnosis. Ultrasound imaging stands out as the primary approach, showcasing conspicuous soft tissue swelling indicative of the ongoing inflammatory process. While computed tomography often reveals subtle focal swellings or mild sclerosis in the affected joint. Conclusion: The clinical manifestations frequently encompass an abrupt onset of chest discomfort devoid of antecedent trauma, predominantly observed among younger cohorts with an otherwise clean bill of health. Ultrasound is an accurate and effective modality to diagnose Tietze syndrome. This disease is frequently associated with other comorbidities such as rheumetic and autoimmune disorders.
Incidental detection of achalasia in a patient with dyspnea Leslie, William; Soekardi, Adi; Icksan, Aziza Ghanie
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6816

Abstract

Background: The absence of progressive peristalsis in the esophageal body and aberrant relaxation of the LES are two characteristics of achalasia, which is a main motility disease of the esophageal body and lower esophageal sphincter (LES). The most typical signs of achalasia are dysphagia and recurrent regurgitation. Case report: We report a case of achalasia in a 54-year-old woman with the main complaint of dyspnea. Physical examination did not reveal any abnormalities. Chest x-ray results showed an enlarged upper mediastinal with air fluid level and superposition with the right border of the heart. The results of a chest computed tomography (CT) scan showed a dilated esophagus containing food material with air fluid levels. The patient then underwent an esophagostomy thoracotomy. Discussion: Primary achalasia is associated with inflammatory degeneration of the inhibitory ganglion cells of the esophageal myenteric plexus and LES. Dysphagia, regurgitation, problems swallowing food, chest pain, heartburn, and weight loss are the most common symptoms. Barium esophagram is the best diagnostic test for achalasia with "Rat Tail" or “bird’s beak” appearance. CT scan examination is not only less invasive and painful, but also has high sensitivity for achalasia. In addition, CT scan are useful for differentiating primary and secondary achalasia and for diagnosing complications of achalasia. Conclusion: Most cases of achalasia come with dysphagia, but some patients can come with respiratory problems or without complaints. CT scans can help identify achalasia in patients without complaints. Radiological examination plays an important role in detecting achalasia and reducing complications.

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