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Archives of The Medicine and Case Reports
Published by HM Publisher
ISSN : -     EISSN : 27472051     DOI : https://doi.org/10.37275/amcr
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Archives of The Medicine and Case Reports (AMCR) is a broad scope journal aims to publish the most exciting Case studies/reports in Clinical and Medical Sciences. AMCR aims to provide an excellent platform for Clinical Practitioners, medical/ health practitioners, students, professionals, researchers in medicine. AMCR accept any original case report that expands the field of general medical knowledge, and original research relating to case reports including report of the symptoms, diagnosis, treatment, and follow-up of an individual patient. The journal covers all medical specialties including : • Oncology • Paediatrics • Respiratory disorders • Allergy • Radiology • Nephrology • Neurology • Haematology • Immunology • Radiology • Nuclear medicine • Medical imaging • Audiovestibular medicine • Cardiology and cardiovascular systems • Critical care medicine • Dermatology • Emergency medicine • Endocrinology and metabolism • Gastroenterology and hepatology • Geriatrics and gerontology • Infectious diseases and treatment • Medical disorders in pregnancy • Medical ophthalmology • Sports Medicine • Substance abuse • Palliative medicine • Psychiatry • Rheumatology • Sexual and reproductive health
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 217 Documents
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Effectiveness of Neutrophil-Lymphocyte Ratio (NLR) as a Marker of Delirium Tremens in Alcohol Use Disorder Patients: A Meta-Analysis Kusumadewi, Andrian Fajar; Aditya Humar Pradipta
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.587

Abstract

Delirium tremens (DT) is a serious complication of alcohol use disorder (AUD) with a poor prognosis. Early identification of DT is essential for appropriate clinical management. Neutrophil-lymphocyte ratio (NLR) has been proposed as a potential inflammatory biomarker for DT. This study aims to evaluate the effectiveness of NLR as a marker of DT in AUD patients through meta-analysis. A literature search was conducted in the PubMed, Scopus, and Web of Science databases to identify observational studies evaluating NLR in AUD patients with and without DT. Studies that met the inclusion criteria had their data extracted and analyzed using a random effects model. Subgroup analyzes were performed based on gender, age, and AUD severity. Twenty studies (n=2850 patients) were included in the meta-analysis. Results showed that NLR was significantly higher in AUD patients with DT compared with AUD patients without DT (standardized mean difference [SMD] = 1.45; 95% confidence interval [CI] = 1.12-1.78; p < 0.001). Subgroup analyzes showed that these effects were consistent across subgroups. NLR is an effective inflammatory marker for identifying AUD patients with DT. The use of NLR can help in early diagnosis and better management of DT, thereby improving the prognosis of AUD patients.
Complete Atrioventricular Block in Acute Rheumatic Fever with Clinical Presentation of Syncope and Abdominal Pain: A Case Report Trisna Ardani, Nyoman Intan; Gede Aditya
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.594

Abstract

Acute rheumatic fever (ARF) is a systemic inflammatory disease following group A streptococcus infection that can affect various organs, including the heart. The most common cardiac manifestation is pancarditis, which can cause various arrhythmias. Complete atrioventricular (AV) block is a rare cardiac complication of ARF, especially in adult patients. We report the case of a 30 year old man who came to the emergency room with the main complaint of abdominal pain, nausea, vomiting, and a history of syncope. He also had a history of fever and joint pain. Physical examination and electrocardiogram (ECG) showed complete AV block. The patient was admitted to the ICU and given medical therapy for ARF and complete AV block. After several days of treatment, his complete AV block recovered to sinus rhythm, and his clinical symptoms improved. This case report highlights the importance of considering ARF as a differential diagnosis in young adult patients with complete AV block and systemic symptoms. Fast and appropriate treatment can improve the patient's prognosis.
Prepregnancy Body Mass Index and Risk of Preeclampsia: A Meta-Analysis Suwarsa, Nurul Azizah; Fadli Ananda; H. Muh Nur Abadi
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.595

Abstract

Preeclampsia is a serious complication of pregnancy and is associated with an increased risk of maternal and fetal morbidity and mortality. Body mass index (BMI) before pregnancy has been identified as a potential risk factor for preeclampsia. This study aims to conduct a meta-analysis to evaluate the relationship between BMI before pregnancy and the incidence of preeclampsia, as well as identify effective prevention strategies. A literature search was conducted on the PubMed, Scopus, and Web of Science databases to identify observational studies published between 2018 and 2024. Studies that met the inclusion criteria had their data extracted and analyzed using a random effects model. Heterogeneity between studies was evaluated using the I2 statistic. Subgroup analyzes were performed based on geographic region and study design. A total of 25 studies with 534,000 respondents were included in this meta-analysis. The results of the analysis showed that increasing BMI before pregnancy was significantly associated with an increased risk of preeclampsia 2.22 (95% CI: 1.72-3.35). Subgroup analyzes revealed that these associations were consistent across geographic regions and study designs. This meta-analysis provides strong evidence that BMI before pregnancy is an independent risk factor for preeclampsia. Interventions to optimize BMI before pregnancy, such as nutritional counseling and promotion of physical activity, may be an effective preventive strategy to reduce the risk of preeclampsia.
The Role of Branched-Chain Amino Acids and Eicosapentaenoic Acid in Improving Body Composition and Functional Capacity in Nasopharyngeal Carcinoma Patients with Cancer Cachexia: A Case Report K.N, Beta Novianti; Krisadelfa Sutanto; Nurul Ratna Mutu Manikam
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.596

Abstract

Introduction: Cancer cachexia is a debilitating syndrome characterized by involuntary weight loss, muscle wasting, and functional decline, negatively impacting quality of life and survival. Nutritional interventions, including branched-chain amino acids (BCAAs) and eicosapentaenoic acid (EPA), have shown promise in ameliorating cachexia. This case report illustrates the potential benefits of these nutrients in a patient with nasopharyngeal carcinoma. Case presentation: A 65-year-old female presented with severe fatigue, dysphagia, and significant weight loss (11 kg in 6 months) secondary to nasopharyngeal carcinoma (T1N3Mx, stage IV). She was diagnosed with cancer cachexia and severe malnutrition. Nutritional therapy included enteral nutrition with 1.5-2 g/kgBW/day protein, 11-12 g/day BCAAs, and 1-2 g/day EPA. Conclusion: This case report suggests that a nutritional approach combining high protein, BCAAs, and EPA may improve body composition and functional capacity in patients with cancer cachexia. Further research is warranted to confirm these findings in larger studies.
Analysis of Risk Factors of Husband's Readiness and Involvement in Accompanying Wives in Childbirth: An Observational Study in Bengkulu City, Indonesia Murwati; Tita Septi Handayani; Ida Samidah
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.597

Abstract

The husband's role in assisting wives in childbirth has a significant impact on the birth experience and the health of the mother and baby. This study aims to analyze the risk factors that influence the role of husbands in accompanying their wives in childbirth in Bengkulu City, Indonesia. Analytical observational research was conducted on 200 married couples who gave birth in health facilities in Bengkulu City. Data was collected through questionnaires, interviews, and participant observation. Data analysis was carried out using logistic regression to identify risk factors related to the husband's role in accompanying wives in childbirth. The results showed that significant risk factors related to the husband's role in assisting wives in childbirth were the husband's education level (OR = 2.34; 95% CI: 1.21-4.53), the husband's knowledge about childbirth (OR = 3.12; 95% CI: 1.68-5.79), husband's attitude towards the role of mentoring (OR = 2.87; 95% CI: 1.45-5.68), social support from the family (OR = 1.98; 95% CI: 1.05-3.73), and previous birth experience (OR = 2.15; 95% CI: 1.12-4.14). This research identifies several risk factors that influence the husband's role in assisting wives in childbirth. Interventions aimed at increasing husbands' education, knowledge, and positive attitudes towards the role of companionship, as well as strengthening social support from the family, can increase husbands' involvement in the childbirth process.
Prothrombin Complex Concentrate as a Key Adjunct in Massive Hemorrhage Management in Placenta Accreta Spectrum Disorder: A Case Report Pramana, Putu Bagus Gin Gin; Tjokorda Gde Agung Senapathi; Pontisomaya Parami; Tjahya Aryasa
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.599

Abstract

Placenta accreta spectrum disorder (PASD) is a severe obstetric complication associated with significant hemorrhage risk. This report highlights the successful use of prothrombin complex concentrate (PCC) as part of a multidisciplinary approach to managing a case of massive hemorrhage in PASD. A 36-year-old woman, G3P2002, at 33 weeks gestation, diagnosed with placenta previa totalis and suspected PASD, underwent a planned cesarean hysterectomy. The surgery was complicated by 5200 mL hemorrhage due to placental invasion and bladder injury. Hemodynamic instability was managed with massive transfusion protocol activation, including PCC, tranexamic acid, and packed red blood cells. Intra-abdominal packing was performed for hemostasis, and the bladder injury was repaired. Continued PCC administration in the ICU, along with other supportive measures, resulted in hemorrhage control and stabilization. The patient was successfully extubated and discharged after a second surgery to remove packing. This case emphasizes the vital role of PCC in the multidisciplinary management of massive hemorrhage in PASD. Early recognition of PASD risk factors and prompt intervention, including PCC administration, are crucial for optimal maternal outcomes.
Risk Factor Analysis of Maternal Compliance in Polio Immunization for Toddlers: An Observational Study in Padang Pariaman, Indonesia Tyas, Dina Ayuning; Ira Maulina Sa’danoer; Meli Sundari
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.601

Abstract

Polio remains a significant global health concern, with maternal compliance in immunization programs playing a crucial role in eradication efforts. This study aimed to identify risk factors associated with maternal compliance with polio immunization for toddlers in Padang Pariaman, Indonesia. A cross-sectional observational study was conducted among 350 mothers of toddlers (12-23 months) in Padang Pariaman. Data were collected using a structured questionnaire, including socio-demographic characteristics, knowledge and attitudes towards immunization, access to healthcare services, and perceived barriers. Compliance was assessed based on immunization card records and maternal recall. Multivariable logistic regression analysis was employed to identify independent risk factors. The overall compliance rate for polio immunization was 78.3%. Factors significantly associated with non-compliance included lower maternal education level (OR=3.12; 95% CI: 1.85-5.27), lack of knowledge about polio and its immunization (OR=2.65; 95% CI: 1.56-4.49), residing in rural areas (OR=2.08; 95% CI: 1.23-3.51), and perceived barriers to immunization (OR=4.78; 95% CI: 2.85-7.99). Several modifiable risk factors for non-compliance with polio immunization were identified. Targeted interventions addressing maternal education, knowledge enhancement, access to healthcare, and addressing perceived barriers could significantly improve polio immunization coverage in Padang Pariaman and similar settings.
The Effectiveness of Relaxation Meditation on Anxiety in Third Trimester Pregnant Women at Embung Fatimah Regional Hospital Batam, Indonesia: A Randomized Controlled Trial Gusmadewi; Sunesni; Elwitri Silvia; Marlena
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.602

Abstract

Anxiety during the third trimester of pregnancy can negatively impact both maternal and fetal well-being. Relaxation meditation has shown promise as a non-pharmacological intervention for anxiety reduction. This study aimed to evaluate the effectiveness of a structured relaxation meditation program on anxiety levels in third-trimester pregnant women at Embung Fatimah Regional Hospital Batam, Indonesia. A randomized controlled trial was conducted with 60 third-trimester pregnant women. Participants were randomly assigned to either an intervention group (n=30), receiving a six-week relaxation meditation program, or a control group (n=30) receiving standard prenatal care. Anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI) at baseline, after the intervention (week 6), and at a four-week follow-up. Significant reductions in both state and trait anxiety scores were observed in the intervention group compared to the control group at week 6 (p<0.001) and at the four-week follow-up (p<0.01). No adverse events were reported in either group. Relaxation meditation is an effective and safe intervention for reducing anxiety in third-trimester pregnant women. This study supports the integration of relaxation meditation into routine prenatal care at Embung Fatimah Regional Hospital Batam and potentially other healthcare settings.
The Role of the Massage Method with Deep Breathing Relaxation in Reducing the Intensity of Labor Pain: A Randomized Clinical Trial at Mukomuko Regional General Hospital, Indonesia Sulastri; Kartika Murya Nigrum
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.603

Abstract

Labor pain is a significant concern for expectant mothers, often leading to anxiety and potential complications. Non-pharmacological interventions like massage and deep breathing relaxation (DBR) have gained attention as safe and effective pain management options. This randomized clinical trial aimed to investigate the efficacy of combining massage and DBR in reducing labor pain intensity at Mukomuko Regional General Hospital, Indonesia. A randomized controlled trial was conducted with 100 pregnant women experiencing labor pain. Participants were randomly assigned to either the intervention group (massage + DBR) or the control group (standard care). Pain intensity was assessed using the Visual Analog Scale (VAS) before and after the intervention. Data were analyzed using appropriate statistical tests. The intervention group demonstrated a significantly greater reduction in VAS scores compared to the control group (p < 0.05). Participants in the intervention group reported higher satisfaction with pain management and a more positive childbirth experience. In conclusion, the combination of massage and DBR is a safe and effective non-pharmacological intervention for reducing labor pain intensity. This approach can be easily integrated into standard care practices, offering a valuable tool for improving maternal comfort and well-being during childbirth.
Risk Factors for Suboptimal Complementary Feeding Practices (MP-ASI) in Lubuk Alung, West Sumatra, Indonesia: An Observational Study Asmawati, Dewi; Ika Patrina
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.605

Abstract

Appropriate complementary feeding (MP-ASI) is crucial for infant growth and development. This study investigates risk factors associated with suboptimal MP-ASI practices in Lubuk Alung, West Sumatra. A cross-sectional study was conducted among 300 mothers of infants aged 6-23 months. Data on socio-demographics, feeding practices, maternal knowledge, and access to healthcare were collected. Suboptimal MP-ASI was defined using WHO indicators (minimum dietary diversity, minimum meal frequency, minimum acceptable diet). Logistic regression analysis was used to identify associated risk factors. The prevalence of suboptimal MP-ASI was 48%. Risk factors included lower maternal education (OR 2.6, 95% CI 1.4-4.9), low household income (OR 2.1, 95% CI 1.2-3.8), lack of antenatal care visits (OR 1.9, 95% CI 1.1-3.4), and inadequate maternal knowledge about MP-ASI (OR 3.2, 95% CI 1.7-6.0). In conclusion, suboptimal MP-ASI is prevalent in Lubuk Alung. Interventions should target mothers with lower education, low income, and limited healthcare access. Improving maternal knowledge about MP-ASI is crucial.

Page 15 of 22 | Total Record : 217

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