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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 148 Documents
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The Potential of Leukocyte Ratio to Differ Pediatric Tuberculosis from Bronchopneumonia Benita, Krist Nathania; Wulandari, Asih Retno; Purwaningtyas, Retno
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.136

Abstract

Introduction: Differentiating between TB and pneumonia is crucial to avoid treatment delays. Delayed diagnosis can result in reduced patient survival rates, increased treatment expenses and prolonged treatment durations. Several leukocyte ratios such as Neutrophil-lymphocyte ratio (NLR), lymphocyte-monocyte ratio (LMR), platelet-lymphocyte ratio (PLR), monocyte-lymphocyte ratio (MLR) will be compared to confirm whether it can be used to distinguished pulmonary tuberculosis from community-acquired pneumonia. Material and Methods: Retrospective study of 100 children aged 1-12 years who were treated at RSUD Dr. Haryoto Lumajang, period 1 January 2019 – 1 January 2023. Data on age, gender, diagnosis and laboratory results were obtained from medical records. Results: Of the 100 children included 50 had TB disease and 50 had pneumonia. The mean of neutrophil counts was significantly higher in the control group compared to the case group. NLR and MLR ratio were statistically significant. NLR were both statistically significant in both <5 years old and >5 years old, but MLR were not significantly different in both age groups. A significant but weak positive correlation was found between tuberculosis (case) group, pneumonia (control) group, and age of children (r=0.132; p=0.048). Younger children (less than 5 years old) had 0.571-fold odds for tuberculosis infection compared to the older children. Conclusion: NLR hold promise as readily accessible diagnostic biomarkers for distinguishing children with TB disease from those with pneumonia.
The Relationship Between Laparoscopic Cystectomy and Ovarian Reserve: A Systematic Review and Meta-Analysis Primarintan, Talita Nandia
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.137

Abstract

Introduction: Laparoscopic cystectomy is the first-line recommended treatment for different ovarian cysts. Several mechanisms have been proposed to explain the negative impact of laparoscopic cystectomy on ovarian reserves, including the loss of normal ovarian tissue during cyst stripping, heat damage from electrosurgery, inflammation, and edema. The purpose of this systematic review is to synthesize and quantify the currently available research on the effect of laparoscopic cystectomy on ovarian reserve using multiple indicators. Material and Methods: The PubMed database was searched using the keywords "laparoscopic cystectomy" and "ovarian reserve," which yielded 23 papers for the final review. The Cochrane Risk of Bias tool was used to assess potential bias. Results: AMH, FSH, reserve ovarian volume, and PSV all showed significant changes at different time points after surgery, although LH and estradiol did not. AMH is the most frequently utilized and sensitive method for evaluating ovarian reserve at various time periods. Conclusion: Laparoscopic cystectomy reduces ovarian reserve across various indicators.
Assessing The Knowledge, Attitude and Practices of Malaria Prevention and Treatment in Mansa District, Luapula Province, Zambia Lillian Mambwe Mutesu; Rodrick Sakamba; Stanley Nyirenda; Kingford Chimfwembe
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.140

Abstract

Introduction: Malaria continues to be a major public health problem in Zambia with more than 16 million people at risk and 2015 estimates show that there were over 5 million malaria cases. Children under five years and pregnant women are at the greatest risk. Despite Zambia’s interventions including universal insecticide-treated bed-net (ITN) coverage and indoor residual spraying (IRS) in targeted areas strides in the fight against malaria, the situation in Luapula Province is totally different with the highest incidence in pregnancy, 131/1000 in 2013, 207/1000 in 2014, and 177/1000 in 2015. This research therefore assessed the knowledge, attitudes, and practices of malaria prevention and treatment in Mansa, Luapula province of Zambia. Material and Methods: A descriptive cross-sectional study design adopting both qualitative and quantitative study approaches was used on 270 study participants who included community members, pregnant women and health personnel in Mansa ward of Mansa district. The participants were sampled using simple random and purposive sampling techniques. Data was collected using questionnaires, interview guides, and focus group discussions. The quantitative data was analyzed using SPSS statistical software, while the qualitative was thematically analyzed. Results: Out of the 270 participants, knowledge of malaria transmission being due to mosquito vector was very high and seen in 270 (100%), however, other perceptions of transmission were; drinking contaminated water 3(1.1%), eating a lot of mangoes 7(2.6%) and coming in contact with a sick patient 207(76.7%). Participants negative attitudes stood at 196 (72.6%) and bad practices was 153(56.7%).  Education level was strongly associated with knowledge (p=0.000), attitudes (p=0.001) and practices (p=0.004). Conclusion: Even though knowledge levels on malaria were high and comparable to other studies, however, some attitudes and practices were negative among the participants. On the contrary, healthcare providers had the right attitude towards malaria prevention and control. Community Health Workers are very important in the fight against malaria. The study recommends that creating health promotion messages taking into account the illiterates, involvement of traditional leaders, and giving incentives to community health workers can help in the fight against malaria in Luapula Province.
Antioxidant Agent to Improve Endometriosis Related Pain (Dysmenorrhea, Dyspareunia, Pelvic Pain): A Systematic Review and Meta-Analysis Daud, Vanessa Pradna Adyana; Dyarma, Kadiota Rasika; Farida, Leny Silviana
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.142

Abstract

Introduction: Endometriosis is a chronic condition characterized by the presence of endometrial-like tissue outside the uterus, which causes estrogen-induced inflammation. Pelvic severe pain, dysmenorrhea, and dyspareunia are known as the most common symptoms in endometriosis patients. Antioxidants can help alleviate endometriosis-related pain. However, the mechanism is not fully understood. A study is needed to elucidate the inherent potential of an antioxidant in women with endometriosis. Material and Methods: The literature search was conducted in two databases. The outcome of interest is to measure mean changes based on pain severity using the VAS score in endometriosis-related pain, including dysmenorrhea, pelvic pain, and dyspareunia. Some of the antioxidant agents formed in this study are vitamin D, vitamin C, vitamin E, livergol (silymarin), garlic tablets, resveratrol, and melatonin compared to placebo. Meta-analysis was done using RevMan 5.4 using mean change from baseline data with their 95% confidence intervals (CI) provided. Results: Twelve studies meeting the inclusion criteria were considered relevant for assessing the potencies of antioxidants in endometriosis patients (n=695). The antioxidant group had significantly better pelvic pain improvement (MD: -2.21, 95%CI: -3.40 to -1.03, p=0.0003), reduction in dyspareunia symptoms (MD: -1.47, 95% CI: -2.68 to -0.27, p=0.02) as well as improvement in dysmenorrhea with a mean difference -1.92 (95% CI: -3.41 to -0.43, p=0.01) than the placebo group. Antioxidants showed excellent potential to be an alternative treatment in managing endometriosis-related pain, particularly pelvic pain, dyspareunia, and dysmenorrhea. Conclusion: The efficacy of antioxidant agents can be a potential treatment to alleviate pain associated with endometriosis, such as pelvic pain, dysmenorrhea, and dyspareunia.
Factors of Maternal Influence on Low Birth Weight Herwanto, Eko Setyo; Hudiyanto, Prima Sultan; Muhammad, Izbikavik
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.144

Abstract

Introduction: Low birth weight (LBW) is classified by World Health Organization (WHO) as a weight at delivery of under 2500 g. LBW has now become a substantial public health concern worldwide, and it is connected to a variety of short and long term outcomes. The goal of this study is to identify maternal variables that impact the occurrence of low birth-weight infants. Material and Methods: The research used a cross-sectional study design with descriptive analysis, aiming to explain the characteristics and maternal risk factors that influence low birth weight over a period of 1 year at Soedomo Trenggalek Regional Hospital. Research subjects were women that delivered due to infants weight fewer than 2500 grams at Soedomo Trenggalek Regional Hospital from July 2022 to June 2023. Results: A sample of 105 patients was obtained. The mean age of the mothers were 29, pregnancies at age <20 years (n=6), age >35 years (n=19), gestational ages were at term (n=64), vaginal delivery (n=80), anemia (n=32), preeclampsia (n=16), Oligohydramnios (n=18), premature rupture of membranes (n=30), miscarriage or stillbirth (n=22). Conclusion:: Clinicians are expected to detect early risk factors or comorbid conditions in the mother and carry out appropriate and immediate management to prevent babies from being born with small birth weight.
Emergency Caesarean Section in a Patient with HELLP Syndrome and Intramural Myoma: A Case Report Cholili, Muhamad Nofa
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.145

Abstract

Introduction: The syndrome of HELLP, often a complication of severe pre-eclampsia, is influenced by factors like multiparity, advanced maternal age, and potential genetic associations. Intramural Myoma have been linked to a 44% increased risk of hypertension in pregnant women, potentially contributing to the initiation and progression of pre-eclampsia, particularly due to their rapid expansion during pregnancy. This study reported a patient with intramural myoma and HELLP Syndrome in 35-36 weeks of gestation age. Case Presentation: A 40-year-old woman in her 35-36 weeks of gestation sought emergency care at General Hospital Dr. Saiful Anwar Malang due to escalating severe headaches. As a third-time expectant mother with a history of five antenatal visits, she presented with elevated blood pressure (219/110 mmHg), a BMI of 32 kg/m2, and various concerning findings, leading to a diagnosis of impending eclampsia, severe preeclampsia (HELLP syndrome), fetal distress, severe hypoalbuminemia, intrauterine growth restriction (IUGR), and other complications. The patient underwent an urgent cesarean section, revealing an intramural uterine myoma, followed by bilateral ligation of uterine arteries to address bleeding and myomectomy. Postoperatively, she received a magnesium sulfate infusion, her blood pressure stabilized at 143/92 mmHg and Hemoglobin 12,40 g/dl. Conclusion: Intramural myoma increases the risk of preeclampsia during pregnancy. Emergency C-section is an effective measure to address complications for both the mother and the baby, and bilateral ligation of uterine arteries can minimize surgical bleeding.
Is It Truly Myopia or Pseudomyopia?: A Case Report of a Pediatric Patient Intaniasari, Webby Bernica; Deneska, Ria Sandy
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.146

Abstract

Introduction: Pseudomyopia, resulting from excessive accommodation or nerve-related effects, creates false myopia corrected by cycloplegic refraction, which differs from secondary myopia caused by identifiable factors such as cataracts or trauma. If underlying hyperopia remains undetected, symptoms such as asthenopia and headaches occur, potentially resulting in conditions such as amblyopia. We presented a case of pseudomyopia in a pediatric patient to describe its clinical features and treatment. Case Presentation: A 7-year-old patient, who often uses smartphones for approximately 1–3 h daily in a well-lit room, initially reported blurry distant vision, headaches, eye discomfort, and difficulty reading from a distance. At the first visit, the visual acuity of the right (oculus dexter, OD) and left (oculus sinister, OS) eyes was 6/18 and 6/24, respectively. A cycloplegic was administered to both eyes, and subjective refraction of OD S +1.00 and OS S +1.25 was obtained. The patient was diagnosed with pseudomyopia and was administered glasses treatment and cycloplegic topical eye drops. After 12 weeks of treatment, the best-corrected visual acuity was 6/6. Conclusion: Pseudomyopia clinical features in pediatric patients could vary and should be distinguished from accommodative spasms. Treatment approaches vary widely, reflecting the lack of consensus on management despite consistent assessment and diagnostic approaches.
Health Promotion Quality Regarding Post-Placental IUDs in Malang Regency Henri Sulistiyanto; Soetrisno; Ahmad Arman Subiyanto; Retno Setyowati
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.147

Abstract

Introduction: Community welfare is confronted with a substantial challenge by Indonesia's burgeoning population, and the government's principal aim is the promotion of Long-acting reversible contraceptives (LARC). Post-placental IUD is an efficacious method that incorporates health promotion by means of midwife-delivered contraceptive counseling. Counseling promotes the development of positive relationships, knowledge, attitudes, and behaviors, thereby fostering responsible behavior and individual agency in decision-making. Nevertheless, the low utilization rate of postpartum IUD contraception can be attributed to the scarcity of information regarding the mother. The objective of this study is to examine the level of health promotion regarding post-placental IUD family planning in Malang Regency. Material and Methods: Descriptive methods will be employed, including verbal and written observations of behavior and descriptive data on individuals. The interview-based data collection process spanned the months of June to August 2023. Results: The research results suggest that inadequate efforts to promote postpartum IUD contraception are due to a dearth of understanding, motivation, resources, geographical proximity, and community customs. The objective is to improve the existing insufficiency of post-placental IUD family planning promotion in Malang Regency. Conclusion: From the beginning of pregnancy onwards, expectant women must be consistently motivated and educated about health promotion and family planning in order to develop an interest in and understanding of the choice of post-placental IUD family planning.
Detecting Dental Caries Through Captured Images Using The Machine Learning Technology Teachable Machine Tran Tuan Anh; Nguyen The Huy; Nguyen Thi Hoai Nhi; Tran Hoang Anh
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.148

Abstract

Introduction: The aim is to apply artificial intelligence to identify deep tooth decay using the open-source tool Teachable Machine. Material and Methods: The study was conducted on 2063 digital images, including 1563 images with deep tooth decay and 500 images without deep tooth decay. Results: Out of the total 1563 images with deep tooth decay, when using the recognition tool, 1512 images were correctly identified (96%), and 51 images went undetected, accounting for 4%. Out of the total 2063 images, including both images with and without deep tooth decay, 1512 images were correctly identified (73.3%), and 551 images (26.7%) were not detected to have tooth decay. Conclusion: Through the study on 1563 images with deep tooth decay using the Teachable Machine learning tool, the results were promising with a high accuracy rate of 96%. However, on the mixed dataset of 2063 images, the accuracy rate for identifying images with tooth decay was only 73.3%. The difference is attributed to the early appearance of tooth decay, as its color closely correlates with normal tooth enamel. Therefore, the research team suggests the need for more data on this type of decay to enable more accurate classification and identification.
Combination Therapy of Prednisone, Azathioprine, and Hydroxychloroquine in Patient with Dermatomyositis Swanenghyun, Garnis; Yuniaswan, Anggun Putri
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.149

Abstract

manifestations of inflammatory myopathy accompanied by cutaneous involvement. In patients with cutaneous DM, for the first line of therapy can be given photoprotection, topical steroids, Hydoroxychloroquin (HCQ) or Chloroquine and Quinacrine, while the gold standard in DM myopathy is systemic corticosteroids. Inadequate therapeutic regimens can result in morbidity or complications, especially calcinosis. Case Presentation: A 29-year-old woman had reddish spots on her face and hands accompanied by pain in her hands, hips, knees and elbows making it difficult for the patient to walk. Found it exists Heliotrop sign, Gottron papule and Gottron sign. The main aim of providing therapy to DM patients is to reduce inflammation, such as minimizing symptoms, especially those related to muscle weakness and improving the patient's quality of life. Glucocorticoids remain the first line therapy option for DM with the choice of oral prednisone 1mg/kgBW/day. Meanwhile, moderate to severe DM specifically should be treated with a combination which contains steroids and immunosuppressants, such as Methotrexate (MTX), Azathioprine (AZA), or Mycophenolate Mofetil (MMF). The therapy regimen must be given appropriately and adequately to minimize the occurrence of complications. Conclusion: A combination of Prednisone, Azathioprine, andHydoroxychloroquin is effective as a therapy for Dermatomyositis. This can be proven by an increase in muscle strength and the red spots disappearing in this patient.

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