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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 154 Documents
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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.

Page 16 of 16 | Total Record : 154

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