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Rachmat Hidayat
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INDONESIA
Open Access Indonesian Journal of Medical Reviews
Published by HM Publisher
ISSN : -     EISSN : 28076257     DOI : https://doi.org/10.37275/oaijmr
Core Subject : Health,
Health Professions Medicine & Pharmacology
Open Access Indonesian Journal of Medical Reviews (OAIJMR) is a bi-monthly, international, peer-review, and open access journal dedicated to various disciplines of medicine, biology and life sciences. The journal publishes all type of review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 193 Documents
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Averrhoa bilimbi L. Fruit Extract as a Potential Alternative Root Canal Irrigant: An In Vitro Evaluation against Staphylococcus aureus Daryono; Member Reni Purba; Dinda Rizky Aulia
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 2 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i2.704

Abstract

Staphylococcus aureus is a prevalent bacterium in root canal infections, contributing to treatment failure due to its persistence within dentinal tubules. Conventional root canal irrigants like sodium hypochlorite (NaOCl), while effective, can have cytotoxic effects on host tissues. Averrhoa bilimbi L. fruit, traditionally used for medicinal purposes, has shown promising antibacterial activity. This study aimed to evaluate the in vitro antibacterial effectiveness of A. bilimbi fruit extract against S. aureus and compare it with NaOCl. A. bilimbi fruits were extracted using ethanol. The antibacterial activity of the extract at varying concentrations (70%, 60%, and 50%) was assessed against S. aureus using the disc diffusion method. NaOCl (2.5%) served as the positive control, and dimethyl sulfoxide (DMSO) as the negative control. The diameter of inhibition zones was measured and statistically analyzed using Kruskal-Wallis and Mann-Whitney tests. A. bilimbi fruit extract demonstrated significant antibacterial activity against S. aureus at all tested concentrations. The diameter of inhibition zones increased with higher extract concentrations (70% > 60% > 50%). While NaOCl exhibited the largest inhibition zone, A. bilimbi extract showed comparable efficacy to NaOCl, and significantly greater efficacy than DMSO. A. bilimbi fruit extract exhibits promising antibacterial activity against S. aureus in vitro. Its efficacy, comparable to NaOCl at higher concentrations, suggests its potential as an alternative root canal irrigant. Further studies are warranted to explore its clinical application in endodontic treatment.
Green Tea Mouthwash as an Adjunctive Therapy for Gingivitis Management: A Quasi-Experimental Study Suci Erawati; Mangatas Halomoan Parluhutan Hutagalung; Angeline Fransisca Panjaitan
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 2 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i2.705

Abstract

Gingivitis, a prevalent inflammatory condition affecting the gums, is primarily caused by plaque accumulation. Green tea (Camellia sinensis) has demonstrated anti-inflammatory and anti-bacterial properties, suggesting its potential as an adjunctive therapy for gingivitis management. This study aimed to evaluate the effectiveness of green tea mouthwash in reducing gingival inflammation. This study employed a quasi-experimental design to investigate the effects of green tea mouthwash on gingival inflammation. A total of 30 participants with mild to moderate gingivitis were recruited from the GBI Miracle Service Medan church in Medan, Indonesia. The participants were instructed to rinse their mouths with green tea mouthwash twice daily, after breakfast and before bedtime, for a period of one week. The green tea mouthwash was prepared by steeping one tablespoon of dried green tea leaves in 250 ml of hot water for 5 minutes, and then cooled to room temperature before use. Gingival index (GI) scores were assessed at baseline and after one week of intervention, which involves examining each tooth at four sites (mesial, distal, facial, and lingual) and assigning a score of 0 to 3 based on the severity of inflammation. The study found a significant reduction in gingival inflammation after one week of using green tea mouthwash. The mean GI score decreased from 2.04 ± 0.401 at baseline to 0.91 ± 0.364 after the intervention, indicating a shift from moderate to mild inflammation (p < 0.05). This improvement in gingival health can be attributed to the anti-inflammatory and antibacterial properties of green tea, particularly its catechin content, which has been shown to inhibit the growth of oral bacteria and reduce inflammatory responses. In conclusion, the findings of this study provide further evidence supporting the use of green tea mouthwash as an adjunctive therapy for gingivitis management. Its efficacy in reducing gingival inflammation, coupled with its natural and readily available nature, makes it a promising option for improving oral health.
Red Betel Leaf (Piper crocatum) Mouthwash for Effective Plaque Control and Halitosis Prevention: A Pre-Experimental Study Suci Erawati; Susanto; Muhamad Wandy Arianto
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 2 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i2.706

Abstract

Halitosis, or bad breath, is a prevalent oral health issue primarily caused by volatile sulfur compounds (VSCs) produced by the microbial breakdown of food particles in the oral cavity. The accumulation of dental plaque, a biofilm composed of bacteria and their byproducts, provides a conducive environment for VSC production. Red betel leaf (Piper crocatum) has been traditionally used for its medicinal properties, including its potential benefits for oral health. This study aimed to investigate the effectiveness of red betel leaf mouthwash in controlling plaque and preventing halitosis. A pre-experimental study design with a one-group pretest-posttest approach was employed. Participants were recruited from a high school student council, with a sample size of 20 students. The intervention involved the use of red betel leaf mouthwash over a period of one week. The plaque index was assessed using the Loe and Silness index before and after the intervention. Data were analyzed using the paired T-test to determine the significance of changes in the plaque index. The mean plaque index before using the red betel leaf mouthwash was 2.15 ± 0.676, which decreased significantly to 0.94 ± 0.562 after one week of intervention (p = 0.000; p < 0.05). This indicates a substantial reduction in plaque accumulation following the use of red betel leaf mouthwash. Red betel leaf mouthwash demonstrated significant efficacy in reducing plaque index, suggesting its potential as an effective natural alternative for plaque control and halitosis prevention. Further research with larger sample sizes and control groups is recommended to confirm these findings and explore the long-term effects of red betel leaf mouthwash on oral health.
Knowledge and Attitude Influence on Oral Hygiene Practices among University Dental Students with Fixed Orthodontic Appliances Davin; Maorina; Stevanus Daniel
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 2 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i2.707

Abstract

Fixed orthodontic appliances can complicate oral hygiene maintenance, increasing the risk of dental caries and periodontal diseases. This study aimed to assess the relationship between knowledge, attitude, and oral hygiene practices among university dental students undergoing fixed orthodontic treatment. A cross-sectional study was conducted among dental students at Universitas Prima Indonesia. Data were collected using a self-administered questionnaire that included questions on oral hygiene knowledge, attitude towards oral health, and oral hygiene practices. Descriptive statistics, Chi-square tests, and logistic regression were used to analyze the data. A total of 40 dental students participated in the study. The majority of the participants (95%) had good knowledge about oral hygiene. A positive correlation was found between knowledge and attitude (p=0.027), indicating that students with better knowledge exhibited more positive attitudes towards oral health. Furthermore, students with good knowledge were more likely to perform proper oral hygiene practices, including brushing twice daily (95%), using interdental brushes (97.5%), and visiting the dentist regularly (52.5%). In conclusion, this study highlights the importance of oral health knowledge and positive attitudes in promoting proper oral hygiene practices among dental students with fixed orthodontic appliances. Educational interventions aimed at improving knowledge and shaping attitudes may be beneficial in enhancing oral hygiene behavior and ensuring successful orthodontic treatment outcomes.
Delayed Traumatic Diaphragmatic Hernia Presenting as Pneumothorax: A Case Report Iman Hakim Wicaksana; Suryo Wahyu Raharjo
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 3 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i3.708

Abstract

Traumatic diaphragmatic hernias (TDHs) are a serious complication of both blunt and penetrating trauma, often requiring prompt surgical intervention. While most TDHs present acutely, a subset of cases may have a delayed presentation, posing diagnostic and management challenges. This case report describes a 66-year-old woman who developed a delayed left-sided TDH following a motor vehicle accident, initially misdiagnosed as pneumothorax. A 66-year-old female presented to our hospital with complaints of severe left-sided chest pain and progressive dyspnea four days after a motor vehicle accident. Initial assessment at another hospital revealed rib fractures and pneumothorax, for which a chest tube was inserted. However, her respiratory symptoms persisted, prompting further evaluation. A chest X-ray and subsequent thoracoabdominal CT scan revealed a large left-sided diaphragmatic hernia with herniation of abdominal viscera into the thoracic cavity. The patient underwent emergency laparotomy and diaphragmatic hernia repair with primary closure. Postoperatively, the patient's symptoms improved significantly, and she was discharged home with complete resolution of her complaints. In conclusion, this case highlights the importance of maintaining a high index of suspicion for TDH in patients with a history of trauma, even in the absence of initial suggestive findings. Delayed presentation of TDH can occur, and a thorough evaluation, including imaging studies, is crucial for accurate diagnosis and timely management.
Mahogany (Swietenia mahagoni) Leaf Extract Exhibits Strong Antibacterial Activity Against Enterococcus faecalis: A Promising Natural Alternative to Chlorhexidine for Root Canal Infections Firdha Muharraran; Mangatas H P Hutagalung; Ariska Putri Siregar
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 3 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i3.709

Abstract

Enterococcus faecalis is a prevalent bacterium in root canal infections, exhibiting high resistance to conventional antibacterial agents. Mahogany (Swietenia mahagoni) leaf extract, rich in flavonoids, saponins, and tannins, has demonstrated promising antibacterial properties. This study investigated the antibacterial efficacy of mahogany leaf extract against E. faecalis and compared its effectiveness to chlorhexidine, a commonly used root canal irrigant. A laboratory experimental study was conducted using the disk diffusion method on Mueller Hinton Agar (MHA). Mahogany leaf extract was prepared at concentrations of 25%, 50%, and 70%. Chlorhexidine (0.2%) served as the positive control, and dimethyl sulfoxide (DMSO) as the negative control. The diameter of inhibition zones was measured after 24 hours of incubation. Statistical analysis was performed using One-Way ANOVA and Post Hoc LSD tests. All concentrations of mahogany leaf extract exhibited significant antibacterial activity against E. faecalis (p < 0.05). The 70% concentration produced the largest inhibition zone (20.39 ± 1.38 mm), followed by 50% (18.67 ± 1.12 mm) and 25% (17.28 ± 0.60 mm). The inhibition zones of the 50% and 70% mahogany leaf extract were comparable to those of chlorhexidine (19.40 ± 0.70 mm). In conclusion, mahogany leaf extract demonstrates strong antibacterial activity against E. faecalis, suggesting its potential as a natural alternative to chlorhexidine for root canal infections. Further research is warranted to explore its clinical application in endodontic treatment.
Successful Management of Esophageal Atresia with Tracheoesophageal Fistula in a 7-Day-Old Male Infant Rizky Ardiansyah Sipayung; Thomas Aribowo Kristianto; Suwardi
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 3 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i3.710

Abstract

Esophageal atresia (EA) with tracheoesophageal fistula (TEF) is a rare congenital anomaly characterized by an incomplete esophagus and an abnormal connection between the trachea and esophagus. This condition occurs in approximately 1 in 3000 to 5000 live births and requires prompt diagnosis and surgical intervention to prevent life-threatening complications. The most common type of EA with TEF involves a proximal esophageal atresia and a distal TEF (Type C). Early diagnosis is crucial to prevent complications such as aspiration pneumonia. Surgical repair is the definitive treatment for EA with TEF, and the surgical approach involves thoracotomy, fistula ligation, and end-to-end esophageal anastomosis. This report describes the case of a 7-day-old male infant who presented with respiratory distress, excessive oral secretions, and an inability to pass a nasogastric tube. Radiographic imaging confirmed the diagnosis of EA with TEF Type C. The infant underwent successful surgical repair, including thoracotomy, fistula ligation, and end-to-end esophageal anastomosis. The postoperative course was complicated by minor wound dehiscence, which healed with secondary intention. The infant was discharged on the 10th postoperative day with no further complications. In conclusion, This case highlights the importance of a multidisciplinary approach involving neonatologists, pediatric surgeons, anesthesiologists, and nurses in the successful management of EA with TEF. Early diagnosis, prompt surgical intervention, and comprehensive postoperative care are essential for achieving favorable outcomes in infants with this condition. With appropriate management, most infants with EA with TEF can achieve normal growth and development.
Two Cases of Acute Urinary Retention in Early Pregnancy: A Rare Obstetric Emergency I Putu Adigama; Gede Indra Pratama
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 3 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i3.711

Abstract

Acute urinary retention (AUR) is a rare but potentially serious complication in early pregnancy, characterized by the sudden inability to void, resulting in bladder distension and lower abdominal pain. The incidence of AUR in pregnancy is estimated to be around 1 in 3000 to 1 in 8000 pregnancies. While AUR can occur at any gestational age, it is most frequently encountered in the first and second trimesters. A retroverted uterus, where the uterus tilts backward instead of forward, is present in approximately 11-15% of women and is a major contributing factor to AUR. This case series presents two cases of AUR managed at our institution. The first case involved a 28-year-old woman, gravida 2, para 1, who presented at 14 weeks and 3 days gestation with continuous suprapubic pain and a sensation of incomplete bladder emptying. The second case involved a 38-year-old woman, gravida 6, para 3, who presented at 9 weeks and 2 days gestation with an inability to void since the previous night, along with suprapubic pain and a sensation of incomplete bladder emptying. Both women had a retroverted uterus on ultrasound. Successful management involved bladder decompression with a Foley catheter for 48 hours, followed by bladder training. In conclusion, AUR in early pregnancy necessitates prompt diagnosis and management to prevent maternal and fetal complications. A retroverted uterus is a significant risk factor. Catheterization and bladder training are effective in most cases.
Coiling Versus Stenting for Giant Cavernous Sinus Aneurysms: A Case Report on the Resolution of Oculomotor Nerve Palsy Nelsi Marintan Tampubolon; Geizar Arsika Ramadhana
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 3 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i3.712

Abstract

Giant intracranial aneurysms (GIAs), defined as those exceeding 25 mm, represent a subset of cerebrovascular lesions with significant potential for morbidity due to mass effect and rupture. Compression of cranial nerves, particularly the oculomotor nerve (N. III), by these aneurysms can lead to debilitating symptoms such as ptosis, ophthalmoplegia, and diplopia. Endovascular management, including coiling and stenting, offers minimally invasive treatment options, but the optimal approach remains a subject of ongoing investigation. We present a case of a 28-year-old male with a giant aneurysm of the right cavernous sinus who presented with progressive right oculomotor nerve palsy, characterized by marked ptosis and visual impairment. Initially scheduled for stent placement, the patient underwent endovascular coiling following diagnostic digital subtraction angiography (DSA). Serial neurological assessments and follow-up DSA evaluations were conducted to monitor treatment efficacy and aneurysm stability. In conclusion, this case demonstrates that endovascular coiling can be a valuable therapeutic strategy for giant cavernous sinus aneurysms manifesting with oculomotor nerve compression. Despite the theoretical advantages of stenting in promoting aneurysm obliteration and reducing mass effect, coiling facilitated significant and sustained clinical improvement, specifically the resolution of ptosis and amelioration of visual deficits in this patient. This case underscores the importance of individualized treatment planning in the management of complex intracranial aneurysms.
Unraveling a Thyroid Collision Tumor: A Rare Case of Concurrent Papillary and Follicular Carcinoma Gargarin Nabalah; Henky Agung Nugroho; Esti Yuniar Anggrimulya
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 3 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i3.713

Abstract

Papillary thyroid carcinoma (PTC) represents the most common thyroid malignancy, accounting for 70-80% of cases, while follicular thyroid carcinoma (FTC) constitutes the second most prevalent differentiated thyroid cancer, comprising 10-15% of thyroid malignancies. The concurrent occurrence of PTC and FTC within the same thyroid gland, known as a collision tumor, is a rare phenomenon, posing diagnostic and therapeutic challenges. This case report aims to describe a unique presentation of this rare entity and discuss its clinicopathological features. We present the case of a 61-year-old female with a history of left thyroidectomy 25 years prior, who presented to our surgical oncology department with a palpable right breast mass. The initial workup revealed metastatic papillary thyroid carcinoma in the breast. Subsequent evaluation of the thyroid bed, including neck ultrasound and fine needle aspiration biopsy (FNAB) of a right thyroid nodule, led to the suspicion of a thyroid malignancy. The patient underwent completion thyroidectomy and central neck dissection. Final histopathological examination of the surgical specimen confirmed the rare diagnosis of a collision tumor, revealing the simultaneous presence of both PTC and FTC within the right thyroid lobe remnant. Immunohistochemical staining further characterized the distinct tumor components. The patient received postoperative radioactive iodine (RAI) ablation and thyroid hormone suppressive therapy. In conclusion, this case underscores the importance of considering the possibility of thyroid collision tumors in patients with thyroid nodules, especially in those with a history of thyroid disease or presentations of metastatic disease from an unknown primary. A comprehensive diagnostic approach, integrating clinical findings, radiological imaging, cytological examination, and detailed histopathological analysis with immunohistochemistry, is crucial for accurate diagnosis.

Page 14 of 20 | Total Record : 193

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