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Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)

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Published by TALENTA PUBLISHER

ISSN : 26860872 EISSN : 26860856 DOI : 10.32734

Core Subject : Health, Science,

Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Journal of Endocrinology, Tropical Medicine and Infectious Diseases (JETROMI) is an international peer-reviewed journal (February, May, August and November) published by TALENTA Publisher, Universitas Sumatera Utara and managed by Faculty of Medicine, Universitas Sumatera Utara. It is dedicated to interchange for the articles of high quality research in the field of Medical Science. The journal publishes state-of-art papers in fundamental theory, case report, experiments and simulation, as well as applications, with a systematic proposed method, sufficient review on previous works, expanded discussion and concise conclusion. As our commitment to the advancement of science and technology, the JETROMI follows the open access policy that allows the published articles freely available online without any subscription. Each publication contains 6 (six) research articles which will be published online.

Arjuna Subject : Kedokteran - Endokrinologi, Diabetes dan Metabolisme

Articles 145 Documents

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Correlation between IgG Anti-Toxoplasmosis Gondii Antibodies and Cognitive Function in Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS) Patients with Cerebral Toxoplasmosis Puspitasari, Carina Shelia; Fitri, Fasihah Irfani; Ritarwan, Kiking
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 3 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i3.12049

Background: Patients with HIV-AIDS are at increased risk for both opportunistic infections, such as cerebral toxoplasmosis, and cognitive impairment. IgG anti-Toxoplasmosis gondii (T.gondii) is a marker for latent infection. However, its role in cognition in HIV patients remains unclear. The study aims to determine the correlation between Ig-G anti-T.gondii and each domain cognitive function in HIV patients with cerebral toxoplasmosis. Method: This was a cross-sectional study involving 110 HIV patients with cerebral toxoplasmosis who met the inclusion and exclusion criteria. We assessed cognitive function using Montreal Cognitive Assessment Indonesian Version (MoCA-INA) and measured the IgG anti-T.Gondii using the ELISA method. The Spearman correlation test was used to determine the correlation between Ig-G anti-T.gondii with each cognitive domain. Results: There was a significant correlation between IgG anti-T.gondii and cognitive function. (p = 0.004, r = -0.275). There was also significant relation between IgG anti-T.gondii with attention (p = 0.046, r =-0.19), abstraction (p = 0.036, r = -0.2), and delayed recall (p = 0.047, r =-0.19). But there was no significant relation between Ig-G anti-T.gondii with visuospatial (p = 0.171), naming (p = 0.521), language (p = 0.810), and orientation (p = 0.11) Conclusion: Lower Level Of IgG Anti-Toxoplasmosis Gondii Antibodies Is Associated With Worse Cognitive Function In Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS) Patients with Cerebral Toxoplasmosis

Bacterial Contamination on The First-Year Internal Medicine Residentsâ€™ Scrubs at H. Adam Malik Medan General Hospital Lubis, Muhammad Allif Syafrin; Armon Rahimi; Restuti Hidayani Saragih; Putri Chairani Eyanoer
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 3 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i3.12490

Background: The doctorâ€™s white coat was known to be a source of nosocomial infection. Despite many studiesâ€™ results have shown the presence of bacterial contamination on the doctor's white coat, there was little research about bacterial contamination on the doctor's scrub. This study aims to investigate bacterial contamination on the scrubs of first-year residents of the Internal Medicine Department worn for one shift (17 hours). Method: This is a descriptive study on the first-year residents' scrubs which was conducted in January - February 2021 at H. Adam Malik Medan General Hospital. Samples were taken from the sleeves and pockets of the scrubs and programmed software was used to identify the amount, percentage of bacterial contamination, and bacterial species. Data were analyzed using the SPPS version 21. Result: Of the 31 first-year residents' scrubs that met the inclusion criteria, 79 colonies (50,6%) of bacterial contamination was found on the sleeves and 77 colonies (49,4%) in the pockets of the scrubs. Bacteria found on the scrubs are coagulase-negative Staphylococcus, Bacillus sp., Staphylococcus aureus, Acinetobacter Iwoffli, Pantoea sp., Acinetobacter baumanii, Klebsiella pneumaniae, Oligella ureolytica, and Pseudomonas stutzeri with the most common bacterial colonies found both in sleeves and pockets were coagulase- negative Staphylococcus (220.935 Â± 180.56 and 289.09 Â± 181.57). Conclusion: Bacterial contamination was found mainly on the sleeves of the scrubs with coagulase-negative Staphylococcus as the most contaminating bacteria and this should be taken into consideration as this strain could cause severe infection, especially in immunocompromised patients.

Pre-Procedure Intervention of Subclinical Hypothyroidism: Case Report Tantri, Anita Ratnasari; Santi Syafril
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 3 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i3.12701

Background: Subclinical hypothyroidism (SH) is a very common disorder in the general population. In patients with known hypothyroidism or hypothyroidism who have been undergoing treatment, a TSH test should be included in the preoperative assessment to determine the adequacy of treatment and to ensure that thyroid therapy is optimized before surgery. Case Presentation: A 39 years old woman complains about a weakness that has been 4 years interfering with activities. Shortness of breath if doing strenuous activities, walking long distances, and climbing stairs, and shortness of breath decreases after rest. Sore throat found since 1 week of hospitalization, and fever for 1 day. A lump in the neck is not found. Previously, the patient had been treated for 8 days in the Department of Cardiology and planned the installation of a temporary pacemaker due to bradycardia that persisted until cardiac arrest. Conclusion: Subclinical hypothyroid patients undergoing pre-procedure intervention are predisposed to anemia, electrophysiologic disturbances, and hypotension, all of which can precipitate cardiovascular collapse. The goal of therapy in the perioperative patient with thyroid dysfunction centers around the attempt to normalize hormone levels before surgical intervention whenever possible and, when that is not feasible, to use other measures that will maximize hemodynamic stability and prevent decompensation. Â

Demography and Clinical Characteristic COVID-19 with Diabetes Mellitus at the Universitas Sumatera Utara Hospital Mikhael Kurnia S.J. Situmorang; Brama Ihsan Sazli
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 3 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i3.12709

Background: COVID-19 is a disease caused by a virus called SARS-CoV-2. COVID-19 can infect almost all age groups, however, the elderly and those with co-morbidities such as diabetes mellitus can get worse complications from COVID-19. The study aims to find out the demographics and clinical characteristics of COVID-19 patients with diabetes mellitus treated at the Universitas Sumatera Utara Hospital. Method. This research is a descriptive study using retrospective data. The data used is secondary data taken from medical records. The number of samples that met the inclusion criteria was 37 people. Results. The majority of patients were dominated by the age group of 46-65 years (56.8%) and males (54.1%). The predominating clinical characteristics of COVID-19 with diabetes mellitus are cough (70.3%), shortness of breath (59.5%), and fever 51.4%. There was an increase in the laboratory results of COVID-19 patients with diabetes mellitus on blood sugar levels at admission, HbA1c, urea, creatinine, SGOT, SGPT, and d-dimer levels. The most treatment results were recovered by as many as 24 people (64.9%). Conclusion. The majority of patients are in the age group of 46-65 years and are male. The most common clinical characteristic is cough and there is an increase in laboratory results in patients

Gravesâ€™ Disease and Subdural Empyema Due to Pansinusitis: Case Report Harahap, Roni Ananda Perwira; Melati Silvanni
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 3 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i3.12735

Background: Graves' disease is an autoimmune disease that primarily affects the thyroid gland. It may also affect multiple other organs including eyes and skin. Brain abscess and subdural empyema are serious infections that can stem from chronic suppurative diseases, congenital cardiomyopathy, consequences of head injury, or neurosurgical intervention, but the most frequently from chronic sinusitis or otitis. Case Presentation: A woman, age 22 years old, unmarried, came to the hospital with the main complaint of persistent headaches. Headache since 2 weeks ago along with fever that disappears arises without seizures. There is a lump in the neck for 3 years, and it has grown larger measuring 1x3 cm, immobile and supple. Nausea, vomiting, and decreased appetite are found. Thyroid fungtion test FT4 7.52 (0.93-1.7) ng/dL and TSH 0.01 (0.270-4.20) mIU/L. Chest X-ray: Dextrocardia and Cardiomegaly; MSCT Scan Head/Brain: conclusion: Pansinusitis and Right &; Left Mastoiditis; Ultrasound: thyroid: bilateral diffuse struma. MRI of the BRAIN with IV contrast: illustrating the subdural empyema. Treatment: Meropenem injection 2 g/24 hours, Dexamethasone injection 5mg/8 hours, Amitriptyline 2x12.5 mg, Thiamazole 1 x 20 mg, Propranolol 2 x 10 mg, PCT 3x1000 mg with pain scale monitoring. Conclusion: After being treated at the hospital for 8 days, complaints of headache began to decrease, and if the general condition was stable, the patient would be planned for a craniotomy with evacuation of an abscess in the brain.

Cardiometabolic Risk Assessment through Comprehensive Screening for Early Detection Andra, Cut Aryfa; Hasan, Refli; Khairul, Andi; Tamba, Ratna Mariana; Putra, Muhammad Hafiz Mahruzza
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 3 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i3.12818

Background: The development of cardiovascular disease (CVD) is influenced by many risk factors, such as tobacco use, an unhealthy diet, and physical inactivity, that could result in obesity, hypertension, dyslipidemia, and diabetes mellitus. Continuing exposure to these risk factors can be prevented by routine screening for populations without any clinical symptoms. This study was conducted to obtain data on cardiometabolic profiles of people who participated in the Community Service Program of the Department of Cardiology and Vascular Disease, University of Sumatera Utara. Method: This research was a descriptive study with a cross-sectional research design. The study aims to screen for the cardiometabolic profile in the people of Tebing Tinggi City.Â Cardiovascular risk factors were obtained from interviewing the participants and on-the-spot examination with validated measurement tools. All data were processed and analyzed statistically using SPSS ver.26. Categorical variables are presented with frequency (n) and percentage (%). Numeric variables are presented with mean and standard deviation (SD) values for normally distributed data. As for the normal non-distributed data numerical variables are presented with the middle value (median) and the interquartile range. Results: All subjects in this study (n= 102) are 39 male and 63 female. Most participants were in the 4th to 5th decade, with normal heart rates and normal sinus rhythm. Most female participants had a low risk for obstructive sleep apnea (OSA) and the male had intermediate risk. Most participants had normal random blood sugar and total cholesterol but mostly had obesity. Near 20-30% of participants were grade I and II systolic hypertensives but normally had diastolic blood pressure. Conclusion: In this study, most of the cardiometabolic risks of patients in the Community Service program were obesity, followed by hypertension.

Description of Clinical Severity, Laboratory Results, and ECG of COVID-19 Patients Who Received Doses I and II of the COVID-19 Vaccine at Haji Adam Malik General Hospital from April to August 2021 Shafira Pramesi Putri; Andika Sitepu; Yuke Sarastri; Setia Putra Tarigan
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 4 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i4.11000

Introduction: COVID-19 patients with comorbidities (hypertension or cardiovascular disease) have a high mortality rate and are at high risk of showing severe symptoms of COVID-19. One of the preventions to avoid COVID-19 is to vaccinate against COVID-19. The COVID-19 vaccine has proven safe and effective in patients with comorbidities because the vaccine can prevent severe symptoms of COVID-19. Aim: To describe the clinical severity, laboratory results, and ECG of COVID-19 patients with cardiovascular comorbidities who received the first and second doses of COVID-19 vaccination at Haji Adam Malik General Hospital from April to August 2021. Methods: A descriptive retrospective study using a cross-sectional study design. Total sampling was used, which fits the inclusion and exclusion criteria. Results: Out of the 71 COVID-19 patients with cardiovascular comorbidities, the majority were found to be male patients (57.7%), aged â‰¥ 65 years (22.5%), with comorbid hypertension (84.5%), and had received vaccine dose II (97.2%). Most patients had mild symptoms (47.9%), abnormal ECG results (73.2%), and varied laboratory results. Conclusion: Most patients had received the second COVID-19 vaccine, showing moderate symptoms of COVID-19, abnormal ECG results, and varied laboratory results.

Factors That Influence Behavior of Chronic Kidney Disease Prevention in Medan Citizens Muskita Nicholas; Muzasti Riri Andri
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 4 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i4.12133

Chronic kidney disease is defined as the abnormality of kidney structure and function., which stays for more than 3 months long, with health implications. Today, chronic kidney disease is giving a great contribution to the worldâ€™s burden. Chronic kidney disease also affects 8%-16% of the worldâ€™s population. The huge number of chronic kidney disease cases has proven to be caused by the lack of knowledge regarding the signs and risk factors of chronic kidney disease. This is observational analytical research with a cross-sectional design. The data used in this research are primary data, obtained from questionnaire instruments on Medan citizens. The data is analyzed univariately, bivariate, and multivariately. Out of 100 respondents, it is acquired that adult (p<0,001), male gender (p<0,001), and higher education (p<0,001) were the only factors significantly associated with good knowledge, good attitude, and positive behavior. Lastly, respondents with good knowledge (p=0,002) (PR = 8,017 (90% CI: 2,759-23,296)) and, good attitude (p<0,001) (PR= 13,668 (90% CI: 4,269-43,767)) will have a positive behavior

Clinical Profile of Diabetic Papillopathy Patients at a Tertiary Care Hospital in Indonesia Abdullah, Rizqy; Agustini, Lukisiari; Sunreza Millenia, Maasa; Susanto, Hermawan
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 3 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i3.13443

Background: Diabetic Papillopathy (DP) is a rare complication of Diabetes mellitus (DM) which affects visual function. The purpose of this study was to describe the profile of DP patients at a tertiary care hospital in Surabaya, Indonesia. Methods: A descriptive retrospective study using electronic medical records of DP patients at the eye outpatient unit of Dr. Soetomo General Hospital in Surabaya between 2017 and 2020. Demographic data such as clinical characteristics, and history of DM were included. Levels of fasting blood glucose (FBG), 2-hour post-prandial blood sugar (PPG), and HbA1c were taken. Examination of the optic disc and retina determines the diagnosis of DP. Results: There were 27 cases of DP with the mean age of the patients being 49.3Â±9.3 years, predominance in the 46-55 years group (59.26%). Patients with DP had average systolic and diastolic blood pressure was 131.74Â±21.94 mmHg, and 86.00Â±15.89 mmHg, and an average BMI of 24.6 Â±3.54 kg/m2 (62.96%). Most patients had a history of type 2 DM (96.29%), mean fasting blood sugar (FBG) and postprandial blood (PPG) was 225Â±83.3 mg/dL, and 147.81Â±59.72 mg/dL; and HbA1c 8.6Â±1.5 mg%. Conclusion: DP findings are relatively low in DM patients, however, DP could result in decreased visual acuity and quality of life so a proper ocular examination is important in DM patients.

The Relationship between Pandemic Fatigue and COVID-19 Protective Behavior Megawati, Eka Roina; Wibawa, Naura Fairuz Selma
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 3 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i3.13731

Background: Pandemic fatigue is a fatigue that can occur during a pandemic that can lead to reduced motivation to follow recommended infection prevention and decreased efforts to seek information related to COVID-19. COVID-19 protective behavior plays an important role in breaking the chain of spreading the COVID-19 virus. This study aimed to find the relationship between pandemic fatigue and COVID-19 protective behavior. Methods: This study used an analytical method with a cross-sectional design, using primary data obtained from questionnaires. The respondents of this study were medical students at Universitas Sumatera Utara and were selected using a stratified random sampling method. The obtained data was analyzed using the chi-square test. Result: Most of the subjects are 20 years old and female. The majority of the pandemic fatigue level was moderate (33%) and the COVID-19 protective behavior level was good (34%). This study found there was a relationship between pandemic fatigue and the protective behavior of COVID-19 infection (p-value = 0.022).

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Editorial Address Jalan Dr T Mansur No 9 Padang Bulan, Kecamatan Medan Baru, Kota Medan, Sumatera Utara, Indonesia

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Contact Name
Dharma Lindarto

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jetromi@usu.ac.id

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+6282168842564

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jetromi@usu.ac.id

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Jalan Dr T Mansur No 9 Padang Bulan, Kecamatan Medan Baru, Kota Medan, Sumatera Utara, Indonesia

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