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Hotimah Masdan Salim, dr., Ph.D
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Faculty of Medicine, University of Nahdlatul Ulama Surabaya
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International Islamic Medical Journal
Published by Universitas Nahdlatul Ulama Surabaya
ISSN : 27162370     EISSN : 27162389     DOI : https://doi.org/10.33086/iimj
Core Subject : Religion, Humanities, Health,
Religion Humanities Health Professions Medicine & Pharmacology Public Health
The International Islamic Medical Journal (IIMJ) is the official journal of Faculty of Medicine, University of Nahdlatul Ulama Surabaya, Indonesia. It serves primarily as a forum for education and intellectual discourse for health professionals namely in clinical medicine but covers diverse issues relating to medical ethics, professionalism as well as medical developments and research in basic medical sciences (Anatomy, Histology, Physiology, Biochemistry and etc) . It also serves the unique purpose of highlighting issues and research pertaining to the Islamic medical in the world. IIMJ is an online journal published twice a year (June and December). This article should be written in academic English.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 103 Documents
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Primary Percutaneous Coronary Intervention in a 24-hour PCI Capable Hospital in Indonesia Laksono, Sidhi; Hosanna, Cliffian; Angkasa, Irwan Surya; Nurbaeti, Putri
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6531

Abstract

Introduction: Chest pain may be a symptom of a life-threatening disease such as S ST-Elevation Myocardial Infarction (STEMI). Immediate primary percutaneous coronary intervention (PPCI) is recommended for virtually all STEMI patients who present in a PCI-capable hospital. Objective: We would like to present data on Door-to-Balloon (DTB) times and the factors affecting it. Methods: This is a single-center retrospective study. Patients are STEMI patients, undergoing primary PCI from 1st January 2024 to 30th April 2024. Secondary data are obtained from the medical records and analyzed. Results: A total of 60 patients undergo PPCI during the study period. Patients are generally male patients, aged 53.67 years old, with 2 traditional cardiovascular risk factors, presenting to the emergency department (ED) with an average of 5.88 hours of chest pain. DTB time was 86.25 minutes during the study period. We identified the onset of chest pain and referred patients to be associated with DTB time. Referred patients had longer onset since chest pain but faster DTB time. We found no association between age, gender, presenting time, diagnosis, Killip class, and physician factor to significantly affect DTB time. Conclusions: We have identified factors that may help us improve our DTB time. Patient knowledge should also be improved to increase awareness of symptoms of chest pain, minimizing patient delay and improving total ischemic time. 
Risk Factors of Catheter-Associated Urinary Tract Infections in Hospitalized Patients in Internal Medicine Ward of Tertiary Referral Hospital in Indonesia Hana; Asmarawati, Tri Pudy; Juniastuti
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6974

Abstract

Introduction: Urinary Tract Infection (UTI) is the most common type of nosocomial infection. An increase of 80% of nosocomial urinary tract infections is caused by the usage of urinary catheters. Previous studies have found that inpatients are more susceptible to UTI than outpatients. Objective: The Objective of this study is to assess the prevalence and risk factors for internal medicine patients at tertiary referral hospitals in Surabaya with Catheter Associated Urinary Tract Infections (CAUTI). These findings may aid in strategies to minimize CAUTI occurrences. Methods: This study was a single-center cross-sectional study that obtained data from medical records. Data samples were tested using Chi-Square to find a correlation between UTI and age, gender, length of stay, and underlying disease or comorbidities with a p-value of p<0,05. Results: The proportion of patients who experienced CAUTI during May 2020-May 2021 was 32.8%. The characteristics of the sample in this study were in the age range of 28 to 78 years with an average of 54 years. There were four male patients and 17 female patients in the CAUTI group. The p-values for age, gender, duration of hospitalization, and underlying disease or comorbidities were 0.465 (p>0.05); 0.064 (p>0.05); 0.146 (p>0.05); and 0.064 (p>0.05). Conclusions: There was a reduction in the prevalence of CAUTI from 2018 compared to 2020-2021. There were no variables that were significantly associated as risk factors for CAUTI.
Correlation Between Workload and Burnout of Educational Staff Faculty of Medicine Universitas Nahdlatul Ulama Surabaya Azizah AS, Nur; Puspitarini, Marinda Dwi; Gumilang, Retna; Farikhah, Zumrotul; Nafisah, Irma Binti Roudlotul; Bariyah, Khadijah Khairul
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6489

Abstract

Introduction: High workload among educational staff may adversely impact mental health, leading to stress, fatigue, and anxiety. In academic settings, particularly in medical faculties, complex task demands often result in psychological pressure. This study is essential to understand whether workload influences the mental health of educational staff at the Faculty of Medicine Universitas Nahdlatul Ulama Surabaya (FK UNUSA). Objective: This study aims to analyze the relationship between workload and mental health (burnout) among educational staff at the FK UNUSA. Methods: This quantitative study employed a survey approach. Data were collected using standardized questionnaires measuring two main variables: workload (NASA-TLX) and burnout (Maslach Burnout Inventory). A total of 21 educational staff members participated. Statistical analysis was conducted using the Spearman Rank correlation test to examine the relationship between the two variables. Results: The findings indicate a significant correlation between workload and mental health (p = 0.016). Educational staff with higher workloads tended to experience burnout. However, at the FK UNUSA, most educational staff reported mild to moderate workloads, while their mental health conditions were generally categorized as low to moderate burnout. Conclusions: A significant relationship exists between workload and burnout among educational staff at the FK UNUSA (p-value = 0.016). Although workload is an important factor, it does not act alone. Other contributing factors, such as social support, emotional stress, and work environment, also play critical roles in determining burnout levels.
Mapping Intestinal Worm Infections and Their Relationship with Nutritional Status and Personal Hygine of School Age Children in Wori District, North Minahasa Regency Lalangpuling, Indra Elisabet; Pascoal, Kevin G.; Rantesalu, Agnes; Sula, Ibrahim Pandu
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6622

Abstract

Introduction: Parasitic infections cause health problems, including diarrhea, abdominal pain, malnutrition, general malaise and weakness, as well as impaired physical growth and development. These parasitic infections are generally higher in countries with high Factors that influence public health problems include weak economic conditions, limited access to sanitation and clean water, high rates of malnutrition among the population, population density, community habits that do not meet hygiene standards, low levels of education, and mothers' minimal insight into health. Objective: This study aims to identify the distribution of intestinal worm infections in school-age children in Wori District, North Minahasa Regency, and to analyze the relationship between these infections and children's nutritional status and the implementation of clean and healthy living behaviors (PHBS). Methods: A quantitative approach was used, integrating statistical analysis and distribution mapping. The study took place from January 2023 to May 2024, involving 14 elementary schools and 309 students selected via random sampling. Statistical analysis assessed the relationship between worm infections, nutritional status, and PHBS indicators. Results: The study results indicated that respondents were infected with Ascaris lumbricoides and hookworm. Statistical tests showed a statistically significant association between infection incidence and handwashing habits and twice-daily bathing frequency, with a p-value <0.005. Conclusions: Based on research findings, intestinal worm infections in elementary school children were identified in all village areas in Wori District, with the exception of Lansa Village which did not show any cases of infection. No significant association was found between intestinal worm infections and children's nutritional status. However, there was a statistically significant association between infection incidence and handwashing and bathing twice daily.
Anemia Gravis Caused by Chronic Multiple Infection of Helminthiasis on Geriatric: An Evidence-Based Case Report Trasia, Reqgi First; Dua, Muhammad Yugo Hario Sakti; Desyana, Rizqia Meta Fairuz; Akmaluddin, Muhammad; Kamila, Muthia Dwifitri
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6629

Abstract

Introduction: Soil-transmitted helminth (STH) infections remain the most prevalent parasitic diseases globally. In elderly individuals, such infections can lead to significant morbidity, including anemia, fatigue, decreased activity levels, cognitive impairment, nutritional deficiencies, and gastrointestinal disturbances. This case report aims to highlight a rare instance of severe anemia caused by worm infestation in an elderly patient. Case: A 57-year-old male presented with a 7-day history of fatigue, dizziness, and marked pallor, accompanied by worsening abdominal pain over the past 5 days. Physical examination revealed moderate illness with pale conjunctiva, a mildly distended abdomen, and hyperactive bowel sounds. Laboratory tests showed a significant drop in hemoglobin, hematocrit, erythrocyte count, serum iron, TIBC, and ferritin levels. Endoscopic evaluation revealed esophagitis, a Forrest III gastric ulcer, and multiple worms in the duodenum, later identified macroscopically as Ascaris lumbricoides. Discussion: Worm infection is the most recent known diagnosis. The patient has undergone a complete stool analysis, but no worm eggs were found microscopically. This condition is very likely a false negative due to various factors, such as a less fresh stool sample (not examined immediately within 30 minutes) and human error by the analyst. The diagnosis was made after an endoscopic examination and multiple worms were found in the duodenum. When viewed from the large number of worms, it is likely that the patient has a severe and chronic worm infection. This is what causes the patient to suffer from anemia gravis with Hb 5.9. Conclusions: Initial clinical and laboratory assessments led to a diagnosis of anemia gravis. The patient received three units of packed red cells. Further investigations confirmed microcytic hypochromic anemia due to iron deficiency and chronic inflammation, with parasitic infection as the underlying cause. Treatment with a single 400 mg dose of albendazole resulted in clinical improvement, allowing for safe discharge.
Hemoglobin Levels in Pregnant Women: A Cross-Sectional Study at Puskesmas Purwokerto Timur II, Indonesia ROHMAH, JAZILATUR; WARDANI, DITA PRATIWI KUSUMA; AMBARWATI, DEWI; SUDARSONO, TANTRI ANALISAWATI
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6978

Abstract

Introduction: Hemoglobin is a crucial protein in red blood cells responsible for transporting oxygen and carbon dioxide throughout the body. According to the World Health Organization (WHO), an estimated 41.8% of pregnant women worldwide experienced iron deficiency anemia in 2012. In Indonesia, the prevalence of anemia among pregnant women remains high at 37.1%, with Banyumas District reporting an even higher rate of 50.7% in 2016. Objective: This study aimed to assess hemoglobin levels in pregnant women attending the Puskesmas Purwokerto Timur II, Banyumas District. Methods: A descriptive observational study with a cross-sectional design was conducted from April to May 2021. Data collection included respondent identity and medical history through questionnaires, while hemoglobin (Hb) levels were measured using the Azidemet method with the POCT (Point of Care Testing) device. A purposive sampling technique was employed, enrolling 20 respondents. Results: The results showed that 95% (19 out of 20) of the participants had normal hemoglobin levels. The mean Hb levels were 13.929 ± 0.6047 mg/dL in the first trimester, 11.500 ± 1.7804 mg/dL in the second trimester, and 13.067 ± 0.8501 mg/dL in the third trimester. Conclusions: Overall, none of the pregnant women included in the study were diagnosed with anemia.
The Effect of Age and Gender on the Pain Scale of LBP Patients Aulia, Nurlisa Naila; Syifak, Shobihatus; Amsori, Anabela Amoret; Ramadhana, Ain Darojah Siddiq
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.7252

Abstract

Introduction: Low back pain (LBP) is a prevalent condition affecting people across various age groups and genders. Age-related degeneration and gender-specific hormonal factors are believed to influence pain perception in LBP patients. Objective: This study aims to examine the influence of age and gender on pain intensity in patients with LBP. Methods: A cross-sectional observational study was conducted on 47 patients diagnosed with LBP at RSI Jemursari Surabaya. Pain was assessed using the Numeric Rating Scale (NRS). Respondents were grouped by age (20–30, 31–40, 41–50, 51–60, >60 years) and gender (male, female). Pearson correlation and independent t-tests were used for statistical analysis. Results: Among the respondents, 89.4% were female, with the largest age group being 41–50 years (42.6%). There was a significant positive correlation between age and pain scale (r = 0.42, p = 0.003). Females reported significantly higher pain scores compared to males (p = 0.018). Conclusions: Age and gender are significantly associated with pain severity in LBP patients. Older individuals and females tend to report more intense pain. These findings highlight the importance of personalized pain management strategies considering demographic factors.
The Pro-Apoptotic Effect of Diallyl Trisulfide (DATS) on MDA-MB-231 Breast Cancer Cells Ailany, Erla Syah Dilla; Veterini, Lysa; Putri, Winawati Eka; Kurniasari, Diyan Wahyu
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.7314

Abstract

Introduction: Breast cancer is the most prevalent cancer globally, impacting almost 2.1 million people each year. The MDA-MB-231 exemplifies the aggressive nature of the triple-negative breast cancer (TNBC) subtype. Diallyl Trisulfide (DATS) in Allium sativum (garlic) demonstrates potential anticancer characteristics primarily by causing the generation of ROS that may trigger apoptosis. Objective: The study evaluates the effect of DATS on apoptosis in MDA-MB-231 cells via the ROS pathway. Methods: An in vitro study utilizing MDA-MB-231 cells, categorized into four groups: (1) Medium control, (2) Negative control, (3) 20 µM DATS after 24 hours, and (4) 40 µM DATS after 24 hours. The study used Annexin V-FITC/PI flow cytometry to measure apoptotic cell death, the MTT assay to measure cell viability, and DCFH-DA fluorescence to measure ROS production. Results: Cell viability was decreased after DATS treatment and a substantial increase in intracellular ROS production was observed that varies with time and dose (p < 0.001). In comparison to the other groups, the group that received 40 µM DATS for 24 hours had the highest rate of apoptosis and the largest accumulation of reactive oxygen species (ROS). Conclusions: DATS significantly elevates intracellular ROS levels to promote apoptosis in MDA-MB-231 cells as a pro-oxidant therapy for aggressive breast cancer.
Delivering Reality Therapy through Online Psychological Assistance for Healthcare workers during COVID-19 Pandemics A.S, Nur Azizah; Algristian, Hafid; Khamida, Khamida; Ayu, Friska; Khairul Bariyah, Khadijah
Jurnal Medis Islam Internasional Vol 7 No 2 (2025): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i2.6504

Abstract

Introduction: Indonesia faces a critical situation with 8% of its COVID-19 deaths being healthcare workers (HCWs). These workers are highly susceptible to the virus due to contact with infected patients. Approximately 35.5% of HCWs treating COVID-19 patients develop symptoms within 14 days, and 7% test positive via PCR. Alarmingly, 36% of HCWs are asymptomatic, posing a significant risk of unknowingly spreading the virus. The pandemic has induced fear of death, infection, and transmitting the virus to family members among HCWs, necessitating psychological support to prevent burnout and maintain a functional healthcare system. Objective: This study aims to analyze the effectiveness of online psychological assistance for HCWs at the forefront of the COVID-19 battle. Methods: One of the psychological assistance methods offered is through social media applications. This type of psychological assistance can be considered the most practical and safe method because it prevents transmission between medical personnel. Results: The increasing number of COVID-19 patients has increased fatigue and infection rates among HCWs. They face uncertainty and feelings of loneliness during the pandemic. However, social support is crucial for psychological first aid and recovery. Misconceptions about COVID-19 being a conspiracy hinder HCWs' efforts. Promoting healthy behaviors such as hygiene practices and mask usage can mitigate the severity of the virus and improve survival rates. Conclusions: In 2020, the surge in COVID-19 cases has forced HCWs to adapt. Nonetheless, conspiracy theories about COVID-19 complicate their duties. Implementing an online psychological assistance application is essential to provide HCWs with the psychological support needed to adapt more effectively to the pandemic's challenges.
Association between HIV Clinical Stage and The Incidence of Opportunistic Infections among HIV/AIDS Patients at Banten Regional Hospital in 2020-2024 Trasia, Reqgi First; Safitri, Dina Lutfia; Irawati, Nur Bebi Ulfah
Jurnal Medis Islam Internasional Vol 7 No 2 (2025): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i2.7105

Abstract

Introduction: Untreated HIV conditions can progress to AIDS, which is the terminal phase of HIV infection, making the body more susceptible to other infections called opportunistic infections. Opportunistic infections are generally not dangerous for healthy people but can be fatal if they affect people with immunosuppression, such as HIV/AIDS patients. Objective: This study aims to determine the relationship between HIV clinical stage and the incidence of opportunistic infections among HIV/AIDS patients at Banten Regional Hospital in 2020–2024. Methods: This study is retrospective with a cross-sectional design. The sampling technique used was consecutive sampling, and the sample size calculation used the two-proportion comparison formula. The research data were analyzed univariate and bivariate using SPSS 26.0 Program. The research hypothesis was tested using the Chi-square statistical test and the Mantel-Haenszel Common Odds Ratio Estimate. Results: The respondents in this study were 242 HIV/AIDS patients. The results of the analysis showed that the prevalence of HIV/AIDS at Banten Regional Hospital in 2020-2024 was 0.06%, with the highest proportion being stage I (50.83%), stage III (26.45%), stage IV (14.88%), and stage II (7.85%). The prevalence of opportunistic infections was 45.45%. Of the 110 patients identified as having opportunistic infections, 141 infections were obtained. Some patients had one type of opportunistic infection (81.82%), two types of opportunistic infections (11.82%), and ≥ three types of opportunistic infections (6.36%). The proportion of opportunistic infections based on etiology was dominated by bacterial infections (73.76%), parasitic infections (13.48%), fungal infections (6.38%), and viral infections (6.38%). The most common opportunistic infections suffered by HIV/AIDS patients at Banten Regional Hospital were tuberculosis (44,68%) and toxoplasmosis (9,93%). Conclusions: Based on bivariate analysis, there was a significant relationship between the clinical stage of HIV and the incidence of opportunistic infections among HIV/AIDS patients at Banten Regional Hospital in 2020–2024.

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