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Syarifuddin Wahid
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Green Medical Journal
Published by Universitas Muslim Indonesia
ISSN : -     EISSN : 26866668     DOI : https://doi.org/10.33096/gmj
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Public Health
Green Medical Journal (GMJ) is a peer-reviewed, open-access journal that publishes original research articles, review articles, and interesting case reports. The journal focuses on promoting medical and health sciences, derived from basic sciences, clinical and community health research, both in animal and human study. GMJ is published in April, August, and December and registered with e-ISSN 2686-6668. Green Medical Journal was founded in 2019 by Faculty of Medicine, Universitas Muslim Indonesia, Makassar. The mission of our journal is to provide biomedical scientists, clinical and public health researchers as well as other health care professionals with the media to publish their research works. Green Medical Journal (GMJ) is a field of health in the broadest sense such as medicine, public health, nursing, midwifery, pharmacy, health psychology, nutrition, biomedical sciences.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 119 Documents
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Factors Associated with Anxiety Level of Resident Doctors during The COVID-19 Pandemic Ilma Khaerina Amaliyah Bakhtiar; Saidah Syamsuddin
Green Medical Journal Vol 6 No 2 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i2.183

Abstract

Introduction: COVID-19 is an infectious disease that first appeared in Wuhan in December 2019. Indonesia as of January 2021 has reached more than one million cases, with more than 300 doctors dying. Resident doctors of Universitas Hasanuddin continue to provide services during the pandemic so that it is vulnerable to infection and anxiety. However, there is no clear data regarding this. Methods: Comparative research with a quantitative approach, conducted in October-December 2020 on resident doctors of Universitas Hasanuddin. A total of 399 residents filled out an anonymous questionnaire online, consisting of general data, PSS-10, and GAD-7. Data processing used Microsoft Excel and SPSS 24.0 to obtain the expected statistical results. Analysis used the chi-square test. Results: Almost 50% of resident doctors of Universitas Hasanuddin experienced anxiety (GAD-7: 49.6% mild-severe anxiety; PSS-10: 48.4% moderate-severe stress). Psychiatric history and COVID-19 confirmed history were associated with anxiety (p<0.05). Study period level and working hours also affected stress levels. Availability of personal protective equipment was associated with anxiety. Age, gender, marital status, financing, number of children, number of households, infectious work area and contact history had no effect on anxiety.Sources of anxiety included fear of infection, availability of PPE, transmission to family, continuity of study, continuity of incentives, and uncertainty of the end of the pandemic. Conclusion: Psychiatric history and COVID-19 diagnosis are factors associated with MPPDS anxiety during the COVID-19 pandemic.
Physical Activity and Sleep Quality in Relation to Academic Performance among Indonesian Physiotherapy Students: A Cross-Sectional Study Rabia Rabia; Baiq Dwi Kencana Wungu; Yery Mustari
Green Medical Journal Vol 6 No 2 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i2.184

Abstract

Introduction: The lockdown due to the COVID-19 leads to changes in health behaviors, including physical activity and sleep quality. The consequence of insufficient sleep among most university students is a decline in their learning ability. Furthermore, insufficient sleep and lack of physical activity can have detrimental impacts on students' physical well-being, such as increased risk of chronic diseases. This study aimed to explore the association between physical activity, sleep quality, and academic performance in Indonesian undergraduate physiotherapy students. Methods: This study used a cross-sectional design. One hundred and thirty-four students (Female, aged 18-25) were recruited from the Bachelor Program in Physiotherapy at a university in South Sulawesi, Indonesia. The Pittsburgh Sleep Quality Index was used to assess sleep quality. To assess physical activity level, The International Physical Activity Questionnaire-Short Form (IPAQ-SF) was used. Students' academic performance was evaluated based on the final grades of the selected course. Results: The majority (63%) of physiotherapy students had low physical activity levels. Almost all students (95.5%) suffered from poor quality of sleep. Sleep quality and academic performance were found to be positively correlated, indicating that students with good sleep quality performed better in school. It is noted that 64% of physiotherapy students with A and B grades had low physical activity. Conclusion: Academic performance is negatively correlated with poor sleep quality. High-achievement students typically have lower levels of physical activity. This study highlights the issue of insufficient sleep quality and the need for promotion of sleep hygiene.
Potential Drug Interaction on Bleeding Events in Stroke Recurrence Patients with Atrial Fibrillation Lailla Affianti Fauzi; Erna Kristin; Rizaldy Taslim Pinzon
Green Medical Journal Vol 6 No 2 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i2.185

Abstract

Introduction: Stroke is a major complication of atrial fibrillation, carries a high risk of recurrence. The likelihood of adverse effects from warfarin-drug interactions increases with the number of concurrent medications. Identifying these potential interactions is crucial. This study aimed to evaluate the impact of drug interactions on bleeding events and the incidence of recurrent stroke in patients with atrial fibrillation. Methods: This retrospective study tracked 314 stroke patients with atrial fibrillation at Dr. Sardjito and Dr. Moewardi General Hospital over one year who received warfarin at two hospitals from January 2015 to December 2019. Using purposive sampling, 50 patients were analyzed and divided into two groups, 11 with stroke recurrence and 39 without recurrence in one year of treatment. Statistical analyses, including chi-square tests and odds ratio calculations, were performed to assess factors influencing stroke recurrence. Results: In addition, major, moderate, and minor drug interactions were not significantly different p>0,05. Meanwhile, minor drug interaction correlated with bleeding event (p<0,05) and OR 0,1. The study underscored an elevated risk of bleeding associated with combinations such as warfarin-amiodarone, warfarin-clopidogrel, and various NSAIDs in major interaction analysis. Conclusion: The research highlights an increased risk of bleeding caused by interaction in combinations therapiest such as warfarin-amiodarone, warfarin-clopidogrel, and various NSAIDs. These findings stress the importance of careful evaluation and management of drug interactions to reduce adverse effects and enhance outcomes for patients with recurrent strokes with atrial fibrillation.
Legal Protection for Health Workers against Occupational Safety and Health Standards in Hospital Ayu Yunita Ratnaningrum; Oktaviana Maharani; Deny Agus Yudiarto
Green Medical Journal Vol 6 No 2 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i2.186

Abstract

Introduction: The implementation of Occupational Safety and Health (OHS) is a form of effort to make a workplace that is safe, healthy, free from environmental pollution, so that it is free from work accidents and occupational diseases that can increase work efficiency and productivity. This study aims to analyze how legal protection for health workers against occupational safety and health standards in hospitals and how obstacles and solutions for legal protection for health workers against occupational safety and health standards at RSJ Grhasia Yogyakarta, RS JIH Yogyakarta, and RS Paru Respira Yogyakarta. Methods: The approach of this research is empirical juridical, the research specification is descriptive-analytical with qualitative data analysis. Results: Legal protection for health workers against occupational safety and health standards in hospitals has been implemented by the Law and Regulation of the Minister of Health. The obstacle faced by the hospital is the lack of hospital human resources whose duties are still concurrent so the OHS program is not optimal. The solution to these obstacles is that every month monitoring is always carried out for work programs and work reports even though human resources are limited but the occupational safety and health program continues to run optimally. Conclusion: The hospital can add human resources so that the OHS program in the hospital runs perfectly, giving sanctions to health workers who do not use PPE, making the OHS program in the hospital as a separate agency.
Reducing Soil-Transmitted Helminths Infection in Children: The Best Outcome of The COVID-19 Pandemic Sri Hardianty Putri; Bahrul Fikri; Nadirah Rasyid Ridha; Muhammad Nasrum Massi; Setia Budi Salekede; Aidah Juliaty; Hamsu Kadrian; Deasy Irawati
Green Medical Journal Vol 6 No 3 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i3.189

Abstract

Introduction: Soil-transmitted helminths (STH) infection remains a significant health challenge in developing countries, including Indonesia, with an incidence of around 28.9%. During the COVID-19 pandemic, there have been some changes in society’s habits. Therefore, this study aimed to confirm how the pandemic affects the STH infection prevalence in high-risk children. Methods: This study, designed as a cross-sectional analysis, was conducted across multiple orphanages in Makassar, Indonesia. The sample population was healthy children aged 1–18 years old diagnosed with iron deficiency. Stool samples were collected and analyzed using the Kato-Katz technique to detect STH infection. The data was analysed with SPSS version 26 and presented in diagrams and tabulations. Results: A total of 545 children 1-18 years old participated in this study, with 144 (26%) suffering from iron deficiency; 89 (61.4%) girls, and 56 boys (38.6%). The soil-transmitted helminth’s prevalence in children with iron deficiency was 6.9%, with A lumbricoides infection at 2.06% (3/144), T. trichiura infection at 2.7% (4/144), and both infections at 2.06% (3/144). Conclusion: The prevalence of soil-transmitted helminth infections among children in Indonesia significantly decreased during the COVID-19 pandemic.
A Comprehensive Review of HLA-DPB1 *05:01 in Hepatitis B: Cases and Sequencing Methods Adika Zhulhi Arjana; Ninda Devita; Dwi Aris Agung Nugrahaningsih
Green Medical Journal Vol 6 No 3 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i3.194

Abstract

Background: The human leukocyte antigen (HLA) system is critical in mediating immune responses by presenting peptides to T cells. Among the HLA loci, HLA-DPB1 is noteworthy for its role in immune regulation and disease susceptibility. The HLA-DPB1*05:01 allele, in particular has been associated with various immunological outcomes and disease processes, including hepatitis B virus (HBV) infection. Objective: This review aims to explore the association of HLA-DPB1*05:01 with HBV infection, disease progression, and vaccine response, while also discussing the methodologies employed for sequencing this allele. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive literature search was conducted across PubMed, ScienceDirect, Wiley, and Google Scholar. Studies included in this review focused on HLA-DPB1*05:01 in the context of HBV, encompassing epidemiological research, clinical outcomes, and sequencing techniques. Results: The HLA-DPB1*05:01 allele plays a significant role in HBV infection, with its effects varying across different populations. In Caucasians, it is associated with spontaneous clearance of HBV, suggesting a protective role. Conversely, in East Asian and Chinese populations, it is linked to increased susceptibility to chronic HBV infection. This allele also influences disease progression, slowing progression to severe liver diseases in some populations but increasing risk in others. Additionally, HLA-DPB1*05:01 affects antiviral treatment efficacy and is associated with a higher likelihood of non-response to the hepatitis B vaccine. Conclusion: The HLA-DPB1*05:01 allele significantly impacts HBV infection outcomes, highlighting the complex interplay between genetic and environmental factors. While sequencing techniques provide detailed genetic analysis, variability in study methodologies and population-specific effects present challenges. Future research should address these limitations to enhance understanding of HLA-DPB1*05:01 and its role in HBV infection.
Correlation between Triglyceride Glucose Index and Diabetic Kidney in Type 2 Diabetic: Literature Review Rizki Fajar Utami; Atien Nur Chamidah
Green Medical Journal Vol 6 No 3 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i3.195

Abstract

Introduction: One marker of insulin resistance in type 2 diabetes is the triglyceride index (TyG), which has been studied to predict the development of diabetic kidney disease (DKD). This study investigates the correlation between the triglyceride glucose index and diabetic kidney disease in type 2 diabetes mellitus. Methods: A comprehensive search was conducted in PubMed, Proquest, ScienceDirect, Taylor and Francis, Cochrane Library and Google Scholar search using search terms including (‘‘Triglyceride Glucose Index or TyG’’) and (‘‘Diabetic Kidney or Diabetic Nephropathy’’) and ("Diabetes Mellitus" OR "Diabetes Mellitus Type II" OR "Type 2 Diabetes Mellitus"). Results: A total of 8 studies were screened based on titles and abstracts, of which 7 studies were included in the analysis of TyG and DKD. A prediction model including the TyG index demonstrated excellent calibration and discrimination for the probability of DKD in research involving patients recently diagnosed with type 2 diabetes mellitus (T2DM). This approach has potential applications in clinical practice. DKD and metabolic diseases are independently correlated with the TyG index. Recently, one sensitive method for identifying DKD with insulin resistance has been the TyG index. The TyG index is a readily available, affordable, and simple marker for identifying of microvascular problems in T2DM patients. Conclusion: In our review, TyG and DKD were significantly positively correlated in patients with type 2 diabetic mellitus. TyG index has potential as a practical tool for determining insulin resistance and predicting the probabilities that individuals with type 2 diabetes are related to diabetic kidney disease.
The Relationship of Aggressiveness and Depression during the COVID-19 Pandemic: A Literature Review Ressa Nurzakiyah Zaenudin; Oktaviana Maharani
Green Medical Journal Vol 6 No 2 (2024): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v6i2.196

Abstract

Introduction: The COVID-19 pandemic has a significant impact on the mental health of people around the world, including increased levels of aggressiveness and depression. This study aims to identify the relationship between aggressiveness and depression during the COVID-19 pandemic. Methods: This research uses the literature review with the PICO method which selects relevant sources based on patient, population or problem, intervention, comparison, and outcome. Articles were collected using search engines such as EBSCO, Pubmed, ScienceDirect, and Proquest. The criteria for articles used were those published in 2019-2024. Results: The literature review conducted in this study identified 22 relevant articles addressing the issue of aggressiveness and depression during the COVID-19 pandemic. These articles provide critical insights into the complex relationship between these two mental health challenges, particularly in the context of the unique stressors introduced by the pandemic. The analysis of these sources highlights the significant increase in both depression and aggressive behaviors, emphasizing the need for comprehensive mental health interventions to address the dual impact of these conditions during global health crises. Conclusion: The pandemic has exacerbated mental health conditions, with depression becoming more prevalent and often leading to aggressive behavior due to impaired emotion regulation. Contributing factors include psychological distress, social isolation, economic uncertainty, and disrupted routines. The findings highlight the need for holistic mental health interventions and adequate social support to mitigate these effects.
Correlation of Myopia Degree with Central Corneal Thickness and Corneal Endothelial Density M Abrar Ismail; Wanty Burhanuddin; S Rukiah Syawal; Shelly Salmah
Green Medical Journal Vol 7 No 1 (2025): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v7i1.197

Abstract

Introduction: The anterior segment characteristics that may contribute to myopia are central corneal thickness and corneal endothelial cell density. The purpose of this study is to ascertain whether corneal endothelial density and central corneal thickness are associated with the degree of myopia. Methods: This cross-sectional observational analytical study was conducted from October to November 2018 at the Hasanuddin University Hospital in Makassar, Indonesia. Levior myopia (< -3.00 D) 61 eyes, moderate myopia (-3.00 D - -6.00 D) 30 eyes, and gravior myopia (> 6.00 D) 11 eyes comprised the 102 eyes of 65 myopic patients who participated in the study. The Snellen chart projector and trial lens set are used to test the refractive state of myopia. In contrast, the Nidek-CEM 530 specular microscope is used to measure the central corneal thickness and corneal endothelial cell density. Results: The high myopia group had the lowest CCT mean (521.3um; p: 0.199). The group with high myopia had the lowest mean ECD, 2777.6 (p<0.05). In cases of moderate myopia, a correlation between corneal ECD and CCT was found (p<0.05). Conclusion: The degrees of myopia and the CCT do not correlate. Reductions in corneal ECD are associated with myopia gravior. In moderate myopia, there is a strong positive relationship between corneal endothelial cell density and central corneal thickness.
Impact of Breast-Massage Training on Milk Formation among Third-Trimester Pregnant Women, Sulili Puskesmas-Pinrang 2024 A. Nur Asy Safitri Syapril; Ida Royani; Ratih Natasha Maharani; Nasrudin Andi Mappaware; Rizki Amalia Effendy
Green Medical Journal Vol 8 No 2 (2026): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/ecn77846

Abstract

Introduction: Suboptimal milk production is often the reason why mothers stop breastfeeding, one of which is due to the lack of proper stimulation of the breasts. Breast massage, such as lactation massage, has been proven to stimulate the prolactin and oxytocin hormones that play a role in milk production and secretion. This study aims to determine the impact of breast massage training on the process of breast milk formation in third trimester pregnant women. Methods: This study used a one group pre-test and post-test design with pre-experimental quantitative methods. The sample consisted of 23 third trimester pregnant women who were selected using purposive sampling technique. The research was conducted at the Sulili Health Center, Pinrang Regency, in August-September 2024. Data were collected through questionnaires, skill checklists, and observation of colostrum production before and after training. Data were analyzed using the Wilcoxon non-parametric test. Results: The results showed a significant increase in mothers' knowledge and skills after breast massage training. Before the training, all respondents had low knowledge and moderate skills. After the training, 100% of respondents reached the high knowledge and skill categories. In addition, colostrum production increased significantly, from 0% before training to 88% after training. Conclusion: Breast massage training is effective in improving knowledge, skills, and colostrum production in 3rd trimester pregnant women. It is expected that this training can be integrated in routine health education programs for pregnant women to support successful breastfeeding.

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