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PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID)
Published by Transpublika Publisher
ISSN : -     EISSN : 28099745     DOI : https://doi.org/10.55047/comorbid
Core Subject : Health, Science,
About the Journal PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID) is an international, modern, general medical publication that publishes research on all aspects of medicine, from fundamental research to significant clinical trials and cost-effectiveness analyses. We generally publish human research that contribute to our understanding of medical epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; clinical trials that evaluate the efficacy of particular therapies and comparative trials; and systematic reviews. We want to encourage the conversion of fundamental research into clinical trials and clinical evidence into therapeutic practice. When studies in animal models produce remarkable research findings that are extremely clinically relevant, we publish them on occasion. The international medical community, as well as educators, policymakers, patient advocacy groups, and other interested parties, are among our target audiences. The online edition of COMORBID is updated on a regular basis. Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Articles from all branches of medicine and associated subjects are published in PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID)
Articles 5 Documents
Search results for , issue "Vol. 4 No. 2 (2025): APRIL" : 5 Documents clear
The Rapport of Health Education Through Brainstorming Methods on Students' Knowledge and Attitudes About Sexuality Issues at the State Junior High School Darussalam District Banda Aceh Desreza, Nanda; Muntaza, Anjana; Sartika, Dewi
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 4 No. 2 (2025): APRIL
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v4i2.1531

Abstract

Sexual conduct is an activity motivated by sexual desire. Teenagers' attitudes will be influenced by their lack of understanding about premarital sex. Brainstorming approaches can also be used to address problems based on the ideas presented by pupils. The purpose of this study was to determine students' knowledge and attitudes toward sexuality issues before and after giving health education using the brainstorming approach at the State Junior High School 8 Darussalam district Banda Aceh. This investigation was a quasi-experiment. Data was collected from March 7 to April 6, 2023. This study used a sample of 15 brainstorming groups from State Junior High School. Data was collected via primary sources. The Wilcoxon test was employed in the analysis, which included univariate and bivariate approaches. The findings revealed variations in knowledge (p-value 0.001) and attitudes (p-value 0.001) among the brainstorming groups. The researchers determined that brainstorming had a considerable impact on pupils' knowledge and attitudes.
Legal Analysis of the Implementation of Doctors' Medical Services: (Study of the Decision of the Constitutional Court Number 82/PUU-XIII/2015 Which Revokes Article 11 (Paragraph 1 and Paragraph 2) That Medical Personnel Are Not Health Workers) Batmanlusi, Karel
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 4 No. 2 (2025): APRIL
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v4i2.1653

Abstract

The study conducted is a legal scrutiny concerning the provision of medical services by physicians, in accordance with the 2015 Constitutional Court ruling which invalidated the notion that medical staff are not considered healthcare professionals. The research methodology employed is normative law analysis. Information gathering is done primarily through library research. The research process comprises three main phases - preparation, fieldwork, and data analysis. Findings from this investigation suggest that clearly delineating job responsibilities for healthcare professionals can lead to the delivery of effective and high-quality healthcare services to the public. Because all health workers have service specialties in accordance with their profession. This is what is referred to as (the right man on the right place) so that it no longer generates counterproductive work behavior by medical personnel. As a recommendation, the formation of a legislation needs to pay attention to the hierarchy of laws and regulations so as not to cause erroneous legal interpretations, especially defining it using clear legal language so that it is easily understood and carried out by all citizens.
Comparing Robot-Assisted, Minimally Invasive, Transcervical, and Transhiatal Esophagectomy for Esophageal Cancer: A Causal Deep Learning Meta-Analysis with Neural Architecture Rafi, Muhammad Allam
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 4 No. 2 (2025): APRIL
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v4i2.1683

Abstract

This meta-analysis evaluates the effectiveness of four esophagectomy procedures—Robot-Assisted Minimally Invasive Esophagectomy (RAMIE), Minimally Invasive Esophagectomy (MIE), Transcervical Esophagectomy (TCE), and Transhiatal Esophagectomy (THE)—for treating esophageal cancer, utilizing causal deep learning techniques to assess key clinical outcomes. Data from 70,102 patients were analyzed, focusing on operative time, postoperative complications, mortality, hospital stay, and lymph node retrieval. Unlike traditional statistical methods, deep learning models capture non-linear relationships and adjust for multiple confounders, providing more accurate and reliable predictions. The results show RAMIE to be the most effective procedure, with an average operative time of 350 minutes, reduced blood loss (250 mL), and fewer complications (24%). MIE follows closely with 300 minutes of operative time, 200 mL of blood loss, and a 30% complication rate. TCE and THE have higher complication rates (up to 40% and 42%, respectively), alongside longer recovery times. THE, although less effective in clinical outcomes, proved to be more cost-efficient. SUCRA rankings confirmed RAMIE’s superiority (88%), compared to MIE (83%), TCE (76%), and THE (66%). Additionally, decision tree analysis with 95.63% accuracy and 96.17% cross-validation performance supported RAMIE as the optimal choice, highlighting its precision, fewer complications, and faster recovery, despite higher costs. This study underscores the significance of deep learning, enhancing surgical decision-making and optimizing patient outcomes, with machine learning offering a more robust and nuanced approach compared to traditional methods.
Evaluation of Health Screening for Hajj Pilgrims at Hajj Dormitory in Preventing the Spread of Infectious Diseases Widowati, Ade Triana; Astari, Lina Fitria; Milliana, Alvi
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 4 No. 2 (2025): APRIL
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v4i2.1716

Abstract

Coronavirus disease 2019 (COVID-19) is a pneumonia caused by a new type of coronavirus, named Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The risk of spreading infectious diseases during Hajj is very high, given the mass migration of pilgrims from different countries. In the process of receiving pilgrims at the Sukolilo Hajj Dormitory in Surabaya, efforts to screen for COVID-19 and other infectious diseases are carried out by monitoring temperature using a thermal scanner. This study aims to evaluate the effectiveness of health screening of pilgrims at the Sukolilo Surabaya Hajj Dormitory in preventing the spread of infectious diseases, especially COVID-19. In addition, this study identifies factors that influence pilgrims' compliance with screening procedures as well as policy implications in improving health surveillance in the future. This study used a descriptive method with an observational approach to assess the health screening process of pilgrims arriving at the Sukolilo Hajj Dormitory in Surabaya in 2024. The research sample was selected using purposive sampling technique, involving pilgrims who had a body temperature ≥37.5°C or experienced respiratory symptoms. The results showed that most pilgrims who underwent body temperature screening and follow-up examinations complied with the established procedures. However, several factors were found to influence compliance, such as the level of understanding of the importance of screening, fear of the swab procedure, and post-travel fatigue factors. In this case, education provided by health workers is proven to increase pilgrims' compliance with the screening.
Differences in Lactate Dehydrogenase (LDH) Levels in Packed Red Cells (PRC) with Various Storage Times Ersanto, Novi; Harmoko, Deni; Lukiyono, Yauwan Tobing
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 4 No. 2 (2025): APRIL
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v4i2.1756

Abstract

This research seeks to analyze the storage duration effect on PRC (Packed Red Cell) quality by assessing changes in LDH (Lactate Dehydrogenase) levels on storage days 1, 10, 20, and 30. This research is an observational analytical study with a time series design. The research was conducted at the Blood Transfusion Installation of Dr. Soetomo General Hospital Surabaya as the sampling site and the Clinical Laboratory of the Faculty of Health Sciences, Maarif Hasyim Latif University, Sidoarjo as the place for measuring research variables. The research sample consisted of fifty PRC bags from voluntary donors. LDH levels were examined with a Semi-Automatic Chemistry Analyzer Sinnowa BS-3000P Photometer (Sinnowa Medical Science & Technology Co., Ltd., China) and measured on days 1, 10, 20, and 30. The research data were analyzed using SPSS 25 statistical software. Data normality was analyzed using the Shapiro-Wilk test. Comparison of PRC quality was analyzed using repeated measure ANOVA analysis (same object analysis) if the data were normally distributed, or the Freedman test if the data distribution was not normal. The findings revealed that there was an increase in mean LDH levels with increasing PRC storage duration over 30 days. Repeated Measure ANOVA test and the Post Hoc Bonferroni test for LDH levels showed that there were statistically significant differences with a significance value of p < 0.001 at all observation times. In conclusion, there are significant differences in LDH levels during Packed Red Cell (PRC) storage from day 1, day 10, day 20, and day 30.

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