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Sutrisno
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Asian Journal of Health Research
Published by Ikatan Dokter Indonesia Wilayah Jawa Timur
ISSN : 28292979     EISSN : 28289269     DOI : https://doi.org/10.55561/ajhr
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Asian Journal of Health Research (AJHR) is an open access journal published by Ikatan Dokter Indonesia Wilayah Jawa Timur and launched in 2022. This journal is peer reviewed publishing to communicate high quality research, general articles, and all fundamental research/ clinical studies relevant to health science. The journal publishes articles Medical Sciences scope including (Obstetrics and Gynaecology, Pediatrics, Internal medicine, Ophthalmology, Surgery, Neurology, Otolaryngology, Cardiology and Vascular Medicine, Anaesthesiology and Reanimation, Dermatovenerology, Orthopaedics and Traumatology, Urology, neurosurgery, Cardiothoracic surgery, Orthopaedics and Traumatology, Plastic Reconstructive Surgery and Aesthetics, Pulmonology and Respiratory Medicine, Forensic Medicine, and Medicolegal, Psychiatry Medicine and Rehabilitation). AJHR journal is published three times per year in April, August, and December.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 174 Documents
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Coexistence of Umbilical Endometriosis and Sacrouterine Deep Endometriosis Sutrisno; Tatit Nurseta; Ferdinand Umbu Pati
Asian Journal of Health Research Vol. 5 No. 1 (2026): Volume 5 No 1 (April) 2026
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v5i1.325

Abstract

Introduction: Endometriosis is a chronic gynecological condition affecting +10% of women of reproductive age, characterized by endometrial-like tissue outside the uterus causing pelvic pain, dysmenorrhea, and infertility due to inflammatory pathogenesis. While typically pelvic, rare extrapelvic manifestations like primary umbilical endometriosis present as painful umbilical nodules often mistaken for abscesses or hernias. This report aims to increase awareness of this uncommon condition to improve its recognition and management in clinical practice. Case Presentation: A 41-year-old woman presented with cyclical umbilical bleeding and a tender 2 cm umbilical mass, alongside longstanding dysmenorrhea since menarche. She had no prior surgeries or significant medical history. Ultrasound revealed a 3.75 cm ovarian endometrioma, leading to clinical diagnosis of umbilical and ovarian endometriosis. Laparoscopy confirmed umbilical endometriosis (Villar's nodule) with more extensive pelvic disease than anticipated, including uterosacral ligament lesions and suspected adenomyosis. The umbilical nodule and ovarian endometrioma were resected; histopathology confirmed ectopic endometrial tissue in all specimens. Postoperatively, she received six months of Leuprolide Acetate and remained asymptomatic at follow-up, with no recurrence at one-year evaluation. Conclusion: This report describes coexisting sacrouterine and umbilical endometriosis in a 41-year- old woman. Imaging and histopathology confirmed diagnosis after nonspecific symptoms. Surgical resection was performed. The umbilical nodule indicated more extensive pelvic disease, supporting theories of lymphovascular dissemination or metaplasia. This case highlights the need for clinical vigilance and comprehensive evaluation in endometriosis patients.
Radiographic Differentiation of Tibiofemoral Joint Space Width in Kellgren–Lawrence Grade 2 and 3 Osteoarthritis in Malang Irma Darinafitri; Suaydiy Okdiyanzah
Asian Journal of Health Research Vol. 5 No. 1 (2026): Volume 5 No 1 (April) 2026
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v5i1.329

Abstract

Introduction: Osteoarthritis (OA) is a leading cause of disability worldwide. Although the Kellgren–Lawrence (KL) grading system is widely used, it remains subjective. Quantitative fixed joint space width (fJSW) offers a more objective assessment of structural severity, and is particularly relevant in populations such as Javanese communities, where habitual squatting may influence knee joint loading patterns, making evaluation in Malang, East Java, of specific interest. Material and Methods: This study analyzed 111 knees (KL grade 2 or 3) at Saiful Anwar Hospital in 2024. Medial and lateral fJSW were measured on standardized weight-bearing radiographs using a perpendicular subchondral technique. Results: The participants were predominantly female (69.86%) and aged 40-60 years (47.95 %). KL grade 2 was more frequent than grade 3 (56.76% vs. 43.24%), with more bilateral involvement observed (52.05%). Mean medial fJSW are 3.55 ± 1.72 mm in KL 2 and 3.12 ± 1.89 mm in KL 3, while mean lateral fJSW are  4.47 ± 1.26 mm in KL 2 and 5.15 ± 2.27 mm in KL 3. An optimal medial cutoff of 5.03 mm demonstrated high sensitivity (93.8%) but low specificity (25.4%) for disease staging. Despite limited specificity, this threshold may be useful as a screening tool to reduce underdiagnosis of KL grade 3 osteoarthritis by prioritizing sensitivity in detecting more advanced disease. Conclusion: Findings confirm a pattern of medial narrowing and lateral preservation characteristic of varus-driven attrition. However, the low specificity of fJSW suggests that quantitative narrowing alone is insufficient for grading; it must be integrated with other structural domains, such as osteophyte formation, to differentiate KL2 from KL3.
Case Report: Psoriasis Pustulosa Generalisata in A Patient with Primary Hypothyroidism Sri Adila Nurainiwati; Prajnamita Manindhya El Farah; Isbandiyah; Jodii Arlan Kurnia
Asian Journal of Health Research Vol. 5 No. 1 (2026): Volume 5 No 1 (April) 2026
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v5i1.334

Abstract

Introduction: Psoriasis is a chronic relapsing pathological skin condition with a genetic basis. Generalized pustular psoriasis (GPP) is the most severe type with an incidence rate of 0.9%. Psoriasis can be associated with various other diseases, one of which is hypothyroidism. Case Presentation: A 47-year-old woman presented with red patches, scaling, pustules on her face spreading throughout the body accompanied by pruritus, burning sensation, and fever. The patient had a 10-year history of recurrent erythematous scaly skin lesions and a known history of primary hypothyroidism treated with levothyroxine. Management given ceftriaxone IV 2x1g, diphenhydramine IV 2x10mg, ondansetron IV 3x4mg, paracetamol IV 1g PRN, methotrexate tablet 2x2.5mg, inbion tablet 1x1, euthyrox tablet 1x100mg. Conclusion: GPP is a rare and potentially severe form of psoriasis that requires early recognition and comprehensive management. This case highlights the coexistence of GPP and primary hypothyroidism, suggesting the importance of evaluating thyroid dysfunction and other comorbidities in patients with severe psoriasis. Multidisciplinary management, systemic therapy, laboratory monitoring, and regular follow-up are essential to improve clinical outcomes and prevent complications.
Postpartum Depression and Breastfeeding Success among Postpartum Mothers: A Systematic Review Maharani
Asian Journal of Health Research Vol. 5 No. 1 (2026): Volume 5 No 1 (April) 2026
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v5i1.345

Abstract

Introduction: Postpartum depression is a frequent maternal mental health concern that can disrupt confidence, responsiveness, and daily care during the early postpartum period. Breastfeeding success is not limited to exclusive breastfeeding, but also includes early initiation, continuation, maternal satisfaction, and breastfeeding self-efficacy. This systematic literature review synthesized recent evidence on the relationship between postpartum depression and breastfeeding success among postpartum mothers.    Methods: A PRISMA-guided review was conducted using Scopus as the target database. The search combined terms for postpartum depression, postnatal depression, maternal depression, breastfeeding, exclusive breastfeeding, lactation, breastfeeding self-efficacy, mother, maternal, and postpartum. English language open-access articles published from 2020 to 2026 were screened. Forty-five studies met the eligibility criteria and were synthesized narratively.     Results: The evidence consistently indicated that postpartum depressive symptoms were associated with lower exclusive breastfeeding, early cessation, reduced breastfeeding self-efficacy, and more negative breastfeeding experiences. Longitudinal, cross-sectional, review, and intervention studies also showed that social support, maternal stress, breastfeeding pressure, prenatal planning, and midwife-led support shaped this association.    Conclusion: Postpartum depression and breastfeeding success should be addressed as integrated maternal outcomes. Midwifery practice needs routine psychological screening, lactation counseling, partner involvement, and non-judgmental support for mothers who breastfeed, combine feeding, or discontinue breastfeeding. 

Page 18 of 18 | Total Record : 174

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