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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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Analysis of Risk Factors for the Quality of Health Services in Primary Health Facilities: An Observational Study in North Bengkulu Regency, Indonesia Venasari; Yunita Theresiana; Hartian Pansori
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.v5i3.606

Abstract

Primary health care (PHC) is crucial for overall health system performance, particularly in developing nations. However, variations in the quality of PHC services in Indonesia, particularly in North Bengkulu Regency, raise concerns. This study aimed to identify and analyze risk factors associated with suboptimal quality of health services in these facilities. This observational, cross-sectional study was conducted in 20 primary health centers (PHCs) in North Bengkulu Regency. A multi-stage random sampling technique was used to select 400 patients and 80 healthcare providers. Data were collected using validated questionnaires assessing various dimensions of service quality (tangibles, reliability, responsiveness, assurance, and empathy), patient satisfaction, and potential risk factors (socio-demographic, facility-related, and provider-related). Descriptive statistics, bivariate analysis, and multivariate logistic regression were used for data analysis. The study found a significant association between perceived service quality and patient satisfaction. Socio-demographic factors (lower education and income), facility-related factors (inadequate staffing and lack of essential medicines), and provider-related factors (insufficient communication and perceived lack of empathy) were identified as risk factors for lower service quality. The quality of health services in North Bengkulu PHCs is influenced by a complex interplay of patient, facility, and provider factors. Interventions targeting these risk factors, such as community education, capacity building for providers, and improvements in resource allocation, may improve PHC service quality and patient satisfaction in this region.
Impact of Delayed Cord Clamping on Neonatal Hemoglobin Levels in Term Infants: An Observational Study in Purwakarta Regency, Indonesia Nurfitri, Tia
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.607

Abstract

Delayed cord clamping (DCC) is associated with improved iron stores and neurodevelopment in infants. This study investigates the impact of DCC on neonatal hemoglobin levels in term infants within Purwakarta Regency, Indonesia. An observational study was conducted on term infants born at two hospitals in Purwakarta Regency, Indonesia. One hospital routinely practiced immediate cord clamping (ICC, within 30 seconds), while the other practiced DCC (3 minutes after birth). Hemoglobin levels were measured within 24 hours of birth. A total of 200 infants (100 ICC, 100 DCC) were enrolled. The mean hemoglobin level in the DCC group was significantly higher than in the ICC group (17.5 g/dL vs. 16.2 g/dL, p < 0.001). Fewer infants in the DCC group required iron supplementation within the first six months (10% vs. 25%, p = 0.01). In conclusion, DCC is associated with higher hemoglobin levels in term infants in Purwakarta Regency, Indonesia. This practice may reduce the need for iron supplementation and improve early infant health outcomes.
The Impact of Continuous Labor Support on Cesarean Section Rates among Nulliparous Women: A Randomized Controlled Trial Hermatuti, Hermatuti
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.608

Abstract

Cesarean section (CS) rates are increasing globally, raising concerns about maternal and neonatal morbidity. Continuous labor support (CLS) has been shown to reduce CS rates in some settings, but its impact in Indonesia remains understudied. This study aimed to evaluate the effect of CLS on CS rates among nulliparous women in Purwakarta Regency, Indonesia. A randomized controlled trial was conducted at the Purwakarta Regional Hospital from January 2022 to December 2023. Eligible nulliparous women in labor were randomized to receive either CLS (n=210) from a trained midwife or standard care (n=205). The primary outcome was the rate of CS. Secondary outcomes included duration of labor, use of analgesia, maternal satisfaction, and neonatal outcomes. The CS rate was significantly lower in the CLS group (18.1%) compared to the standard care group (29.3%) (p=0.02). Women in the CLS group also reported higher satisfaction with their birth experience. No significant differences were found in other secondary outcomes. Continuous labor support provided by a trained midwife significantly reduces CS rates among nulliparous women in Purwakarta Regency, Indonesia. Implementing CLS as a routine practice may help address the rising CS rates and improve maternal birth experiences in this setting.
Empowering Pregnant Women: A Community-Based Health Education Intervention to Promote Healthy Behaviors Tyas, Dina Ayuning; Yulia Vivra Rahayu Putri
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.609

Abstract

Pregnant women in rural areas like Lubuk Alung often face barriers to accessing quality health information and care, leading to suboptimal health behaviors during pregnancy. This study aimed to evaluate the impact of a community-based health education intervention on pregnant women's knowledge, attitudes, and practices regarding healthy behaviors in Lubuk Alung. A quasi-experimental study was conducted with 150 pregnant women (75 intervention, 75 control) in Lubuk Alung. The intervention group received a 12-week program of structured health education sessions delivered by trained community health workers. Sessions covered topics such as nutrition, exercise, antenatal care, childbirth preparation, and breastfeeding. The control group received standard antenatal care. Pre- and post-intervention surveys assessed knowledge, attitudes, and self-reported practices related to healthy behaviors. The intervention group demonstrated significant improvements in knowledge about healthy behaviors (p<0.001), more positive attitudes towards these behaviors (p<0.01), and increased adoption of practices like consuming a balanced diet, engaging in regular physical activity, attending antenatal care visits, and exclusive breastfeeding (p<0.05). The control group showed minimal changes. In conclusion, community-based health education interventions are effective in empowering pregnant women in rural settings. They increase knowledge, shift attitudes, and promote the adoption of healthy behaviors during pregnancy. Such programs should be integrated into routine antenatal care services in areas like Lubuk Alung.
Analysis of Risk Factors Related to Quality of Life in Kidney Failure Patients Undergoing Hemodialysis: A Single-Center Observational Study at Besemah Regional Hospital, Pagaralam, Indonesia Rustandi, Handi; Danur Azissah Roesliana Sofais; Yalta Hasanuddin
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.611

Abstract

Hemodialysis significantly impacts the quality of life (QoL) of patients with kidney failure. Identifying modifiable risk factors is crucial for targeted interventions to improve QoL. This study aimed to analyze the risk factors associated with QoL in hemodialysis patients at Besemah Pagaralam Regional Hospital, Indonesia. This single-center observational study included 150 hemodialysis patients. Sociodemographic data, clinical characteristics, laboratory parameters, and QoL (measured using the Kidney Disease Quality of Life-36 Short Form questionnaire - KDQOL-36 SF) were collected. Univariate and multivariate analyses were performed to identify independent predictors of QoL. The mean age of participants was 55.2 ± 12.3 years, with 62% being male. The mean duration of hemodialysis was 3.8 ± 2.5 years. Factors independently associated with lower QoL included older age (OR 1.04, 95% CI 1.01-1.07, p=0.01); Lower hemoglobin level (OR 0.92, 95% CI 0.87-0.97, p=0.003); Presence of comorbidities (diabetes, cardiovascular disease); Depression symptoms (OR 0.85, 95% CI 0.79-0.92, p<0.001). This study identifies several modifiable risk factors associated with impaired QoL in hemodialysis patients. Interventions targeting anemia management, comorbidity control, and mental health support may be beneficial in improving the overall well-being of these patients.
Prevalence of Enterotoxigenic Escherichia coli -LT Gene Expression in Pediatric Diarrhea Patients in Makassar City, Indonesia: A Cross-Sectional Study Alydrus, Nur Laela; Ka’bah; Kasmuddin; Prelly Loupatti
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.612

Abstract

Enterotoxigenic Escherichia coli (ETEC) is a significant cause of diarrheal disease worldwide, particularly in children. The heat-labile toxin (LT) is a crucial virulence factor encoded by the LT gene. This study investigated the prevalence of ETEC LT gene expression in children with diarrhea in Makassar City, Indonesia. A cross-sectional study was conducted from January 2023 to December 2023. Rectal swabs were collected from children under five years of age presenting with diarrhea at outpatient clinics in Makassar. DNA was extracted, and the presence of the ETEC LT gene was detected using polymerase chain reaction (PCR). Demographic and clinical data were collected via questionnaires. The ETEC LT gene was detected in 81 (18%) children. The prevalence was significantly higher in children under one year of age (51%) compared to older age groups. ETEC LT positive children were more likely to experience vomiting and fever. ETEC expressing the LT gene contributes to a significant proportion of pediatric diarrhea cases in Makassar. The higher prevalence in younger children highlights the vulnerability of this age group. These findings emphasize the need for improved sanitation and hygiene practices to reduce ETEC transmission.
Analysis of Risk Factors Related to Nurses' Attitudes and Patient Safety Culture Implementation Hendriyani, Rida; Muhammad Arief Wijaksono; Angga Irawan; Subhannur Rahman
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.614

Abstract

Patient safety is a critical global concern, with millions of adverse events occurring annually. Nurses' attitudes towards patient safety culture are pivotal in its successful implementation. This study aimed to assess the risk factors related to nurses' attitudes towards patient safety culture and its relationship with the implementation of patient safety culture in a public hospital dr. H. Moch. Ansari Saleh in Banjarmasin, Indonesia. A cross-sectional study was conducted among nurses working in a public hospital dr. H. Moch. Ansari Saleh in Banjarmasin, Indonesia. Data were collected using a questionnaire adapted from the National Patient Safety Guidelines and the AHRQ Hospital Survey on Patient Safety. The questionnaire assessed nurses' attitudes towards patient safety, the implementation of patient safety culture, and potential risk factors such as age, gender, years of experience, and workload. Data were analyzed using descriptive statistics, Spearman's rank correlation coefficient, and multivariate logistic regression. A total of 85 nurses participated in the study. The majority of nurses (81.2%) exhibited a moderate attitude towards patient safety, while 83.5% reported a moderate level of patient safety culture implementation. Spearman's rank correlation analysis revealed a weak positive correlation (rho = 0.417, p = 0.01) between nurses' attitudes and the implementation of patient safety culture. Multivariate logistic regression analysis identified age (OR = 1.12, 95% CI = 1.01-1.24) and workload (OR = 1.18, 95% CI = 1.05-1.33) as significant risk factors associated with a less positive attitude towards patient safety culture. In conclusion, while there is a positive relationship between nurses' attitudes and patient safety culture implementation, the relationship is weak. Age and workload were identified as significant risk factors for a less positive attitude towards patient safety culture. These findings highlight the need for targeted interventions to address these risk factors and enhance nurses' attitudes, thereby strengthening patient safety culture in the hospital.
The Unseen Threat: Evaluating the Efficacy of Immunochromatographic HIV Screening in a Low-Resource Setting Andirwana, Andirwana; Evi Hudriyah Hukom; Grecia Felicia Lopulalan
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.615

Abstract

Human immunodeficiency virus (HIV) continues to pose a significant global health challenge, particularly in low-resource settings where access to sophisticated diagnostic tools is limited. Early detection and diagnosis of HIV are crucial for timely initiation of antiretroviral therapy (ART), prevention of mother-to-child transmission (MTCT), and improved health outcomes. Immunochromatographic assays (ICAs) offer a rapid, point-of-care solution for HIV screening, but their efficacy in resource-constrained environments needs rigorous evaluation. This cross-sectional study assessed the performance of an ICA for HIV screening among pregnant women attending antenatal clinics in a rural district of Papua, Indonesia. The study enrolled 38 pregnant women who underwent both ICA and the gold standard enzyme-linked immunosorbent assay (ELISA) testing. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ICA were calculated. Additionally, a questionnaire was administered to assess knowledge, attitudes, and practices related to HIV and its screening. All 38 participants tested negative for HIV by both ICA and ELISA. The ICA demonstrated 100% sensitivity and specificity in this sample. The PPV and NPV were not calculable due to the absence of true positive cases. The questionnaire revealed limited knowledge about HIV transmission and prevention among the participants, highlighting the need for enhanced health education. The ICA demonstrated excellent performance in this low-resource setting, suggesting its potential as a valuable tool for expanding HIV screening coverage. However, further studies with larger sample sizes and inclusion of HIV-positive individuals are needed to confirm these findings. The study also underscores the importance of integrating health education with screening programs to empower individuals and communities in the fight against HIV.
Improving Maternal and Child Health Outcomes: A Community Midwifery Approach in Purwakarta, Indonesia Maryamah, Neneng
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.619

Abstract

Maternal and child health (MCH) remains a critical public health concern in Indonesia, particularly in rural areas. Community midwives play a pivotal role in addressing MCH challenges by providing accessible and culturally sensitive care. This study aimed to evaluate the impact of a community midwifery program on MCH outcomes in Purwakarta, Indonesia, focusing on antenatal care (ANC) utilization, stunting prevalence, and sanitation practices. A quasi-experimental study was conducted in Purwakarta, involving two villages: one intervention village receiving the community midwifery program and one control village with standard care. The program encompassed health education, ANC promotion, growth monitoring, and sanitation improvement initiatives. Data on ANC visits, child growth, and sanitation practices were collected at baseline and after one year. The intervention village demonstrated a significant increase in ANC attendance (p < 0.05) and a reduction in stunting prevalence (p < 0.01) compared to the control village. Improved sanitation practices were also observed in the intervention village. In conclusion, the community midwifery program effectively enhanced MCH outcomes in Purwakarta. The findings underscore the importance of community-based midwifery interventions in improving ANC utilization, reducing stunting, and promoting sanitation practices. Scaling up such programs can contribute significantly to achieving sustainable development goals related to MCH in Indonesia.
Chayote (Sechium edule) as a Galactagogue: A Quasi-Experimental Study in Postpartum Women Sa’idah, Silfia Nuzulus; Desy Qomarasari; Daris Yolanda Sari; Endah Paridayanti
Archives of The Medicine and Case Reports Vol. 5 No. 4 (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.v5i4.621

Abstract

The establishment of successful breastfeeding is crucial for both maternal and infant health. However, many women experience challenges with milk production, leading to supplementation or early cessation of breastfeeding. Chayote (Sechium edule), a widely available and nutrient-rich vegetable, has been traditionally used to support lactation. This study aimed to investigate the effect of chayote consumption on breast milk production in postpartum women. A quasi-experimental, one-group pretest-posttest design was employed. Thirty-five postpartum women who reported concerns about milk supply were recruited. Participants consumed 600 grams of steamed chayote daily for seven days. Breast milk production was measured before and after the intervention using a standardized breast pump. Additionally, maternal perception of milk supply and infant weight gain were assessed. The mean breast milk production increased significantly from 315 ml (SD = 45) at baseline to 480 ml (SD = 55) after the intervention (p < 0.001). The majority of participants (82.9%) reported a perceived increase in milk supply. Infant weight gain also showed a positive trend, although not statistically significant. The consumption of chayote appears to be effective in enhancing breast milk production in postpartum women. This readily available and affordable dietary intervention may offer a valuable strategy to support lactation and promote breastfeeding success.

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