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Farida Rusnianah
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Faculty of Medicine, Brawijaya University. Second floor of the Education Center Building (Gedung Pusat Pendidikan), Faculty of Medicine, Brawijaya University, Veteran street, postal code 65145, Malang city, East Java, Indonesia.
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Jurnal Ilmu Kedokteran Keluarga
Published by Universitas Brawijaya
ISSN : -     EISSN : 29646413     DOI : https://doi.org/10.56674/xxxx
Core Subject : Health, Science, Social,
Computer Science & IT Health Professions Physics Public Health Social Sciences
Jurnal Ilmu Kedokteran Keluarga is a journal managed by the Department of Family Medicine, Faculty of Medicine, Brawijaya University who has a mission to improves the health and well-being of individuals, families, and communities through leadership in education and clinical care. Jurnal Ilmu Kedokteran Keluarga is published regularly twice a year. Jurnal Ilmu Kedokteran Keluarga contains research articles on basic medical, clinical medicine, epidemiology, prevention, technology, social medicine, medicine in primary health settings related to family medicine. We accept all types of research articles, case reports, systematic reviews, meta-analyses, literature reviews, and letters to editors. The article review process will involve two reviewers in a double blind manner. Jurnal Ilmu Kedokteran Keluarga provides open access articles that can be accessed publicly and freely.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 47 Documents
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A Comparative Analysis of Medical and Islamic Sharia Perspectives on Underage Pregnancy Andriana, Kusuma; Putri Ayuningtyas, Aulia; Siti Nurzulia, Isnaini
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.53

Abstract

Pregnancy among females under 19 is a global health crisis impacting adolescents' biological, psychological, social, and spiritual well-being. It carries high risks of medical complications, such as anemia and preterm birth, alongside considerable emotional and social stress. Within Muslim societies, this issue also involves moral and Islamic legal dimensions, highlighting the necessity of preserving personal dignity and ensuring legitimate lineage. This systematic review, following PRISMA 2020 guidelines, collected literature from 2020–2025 using keywords "adolescent pregnancy," "medical approach," and "Islamic ethics." Results from 23 publications indicate that early pregnancy is a multidimensional issue. The medical approach focuses on biological risks and the importance of reproductive education. In contrast, the Islamic perspective emphasizes moral protection and preventing adultery through the principles of maqāṣid al-syarī‘ah (preservation of life, ḥifẓ al-nafs, and preservation of progeny, ḥifẓ al-nasl). The study concludes that integrating the bio-psycho-social model with Islamic bioethics provides a comprehensive, holistic approach. It is essential to implement religion-based reproductive education and policies aligned with Islamic ethical principles for effective prevention of early pregnancy
Acute Suppurative Otitis Media With Spontaneous Tympanic Membrane Perforation in a School-Aged Child : A Comprehensive Family Medicine Case Report Dasa Novita, Khuznita; Barasabha, Thareq; Ogan, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.54

Abstract

Background: Acute otitis media (AOM) is one of the most frequent infections in children and may progress to acute suppurative otitis media (ASOM) with tympanic membrane perforation when treatment is delayed. This report presents a holistic, family medicine–based assessment and management of a pediatric patient with ASOM complicated by spontaneous perforation, triggered by an antecedent upper respiratory tract infection. Case Presentation: An 8-year-old girl presented with acute left ear pain, irritability, reduced hearing, fever, and subsequently otorrhea occurring one day after symptom onset. The episode followed a week-long history of cough, rhinorrhea, and nasal obstruction. Examination revealed left-sided mucopurulent otorrhea, loss of light reflex, and clinical features consistent with ASOM in the perforation stage. Family, environmental, and behavioral factors, including cold exposure, crowded sleeping arrangements, and delayed healthcare seeking, contributed to disease progression. Treatment included amoxicillin, analgesics, antihistamines, an expectorant, and ear care education, accompanied by structured family-centered and community-oriented interventions. Rapid improvement was observed within three days. Conclusion: This case highlights the importance of early recognition of upper respiratory infections, timely management, and a comprehensive family medicine approach to prevent complications of ASOM in children.
Hypertension, Type 2 Diabetes Mellitus, and Stroke History in a 70-Year-Old Woman Dasa Novita, Khuznita; Zulfikri Febriansyah, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.56

Abstract

Hypertension and type 2 diabetes mellitus are major contributors to cardiovascular disease in older adults, especially when combined with multiple risk factors. This report describes a 70-year-old woman with uncontrolled hypertension, newly diagnosed type 2 diabetes mellitus, obesity, and a previous ischemic stroke eight months prior. A holistic assessment using the Family Health Care Project (FHCP) framework was performed to identify factors contributing to poor control, including dietary habits, physical activity, medication adherence, sleep quality, and family support. Although the patient believed she had adopted a healthier lifestyle, evaluation revealed excessive carbohydrate intake, irregular meal patterns, and inadequate sleep. Physical examination showed a BMI of 35.9 kg/m² and blood pressure of 166/76 mmHg, while laboratory results indicated elevated fasting glucose. Family assessment demonstrated strong emotional support but limited health literacy. Management focused on lifestyle counseling, medication review, stopping unnecessary allopurinol, and strengthening family involvement. Follow-up home visits showed improved understanding, better eating habits, and improved blood pressure control. This case highlights the importance of addressing multiple risk factors through a family medicine approach to optimize chronic disease management in elderly patients.
Case Report : Scabies in a Child with a History of Tuberculosis and Severe Short Stature with Environmental Risk Factors Aqil Fq Faerobby, Mohammad; Nurrakhma Arum Kurnia, Siti; Arifin, Samsul
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.58

Abstract

Background: Scabies is a contagious skin disease that is a public health problem, especially in environments with poor sanitation and high population density. The condition can be more complex in pediatric patients with comorbidities and significant environmental risk factors. Objective: This case report aims to describe the management of scabies in a 1-year and 7-month-old child with a history of tuberculosis and severe short stature, using a holistic family medicine approach. Method: This study is a case report. Data were obtained through heteroanamnesis with the mother, physical examination, and home visits. A comprehensive assessment was conducted using a holistic diagnosis (five axes), family assessment tools (Genogram, Family APGAR, SCREEM), and the Mandala of Health framework. Results: The patient was diagnosed with scabies (ICD-10 B86) and severe short stature (severely stunted). Significant risk factors identified included a crowded living environment in an extended family, poor housing conditions with inadequate ventilation and sunlight, low socioeconomic status, and exposure to passive smoking from three family members. Comprehensive management included pharmacotherapy (Permethrin 5% cream and Cetirizine syrup) and non-pharmacological interventions focused on the patient, family, and community, including simultaneous treatment for all family members and education on environmental hygiene. Follow-up during home visits showed significant clinical improvement. Conclusion: A holistic and comprehensive family medicine approach that addresses biomedical, individual, family, and environmental factors is essential for the effective management of scabies in vulnerable pediatric patients with complex health and social issues.
Management of Type 2 Diabetes Mellitus with Complications and Hypertension in a 62 Year Old Male Patient : A Family Medicine Approach Andarini, Sri; Bobby Christian, Samuel
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.59

Abstract

Type 2 Diabetes Mellitus (T2DM) and Hypertension are chronic diseases with complex risk factors requiring comprehensive management. A holistic family medicine approach is crucial for addressing biomedical, psychological, and socio-economic aspects. Objective: This case report aims to describe the holistic management of a 62-year-old male patient with uncontrolled T2DM with complications, primary hypertension, and cutaneous candidiasis using a family medicine approach. Method: This is a case report study. Data were collected through autoanamnesis, physical examinations, and home visits. A holistic diagnosis was established using the five-axis model. Family assessment was conducted using a genogram, APGAR, and SCREEM tools. Risk factors were visualized using the Mandala of Health. Interventions were patient-centered, family-focused, and community-oriented. Results: The patient was diagnosed with T2DM with peripheral circulatory complications, primary hypertension, and candidiasis intertriginosa. Multiple internal and external risk factors were identified, including genetics, obesity, diet, smoking, sedentary lifestyle, poor sleep patterns, personal hygiene, and physical environment. Comprehensive intervention resulted in improved clinical parameters, with random blood glucose decreasing from >600 mg/dL to 189 mg/dL and blood pressure improving from 145/76 mmHg to 128/85 mmHg. Conclusion: A comprehensive family medicine approach effectively improved clinical outcomes and self-management in a complex case with multiple comorbidities.
Diabetes and Hypertension as Comorbidities Worsening Musculoskeletal Disorders in a Seamstress Rusnianah, Farida; Nadya Syafitri, Wafa
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.72

Abstract

Musculoskeletal disorders like Frozen Shoulder (Adhesive Capsulitis) and Carpal Tunnel Syndrome (CTS) are common in the elderly, and their prognosis can be significantly worsened by the presence of uncontrolled chronic diseases and occupational risk factors. This case report highlights the complex interplay of these factors. This is a Family Medicine case report based on a holistic diagnosis approach. Data was collected through autoanamnesis, physical examination, and laboratory tests from a 61-year-old female patient. The assessment utilized the Family Genogram to identify genetic risk and the Family SCREEM to evaluate socioeconomic resources. The patient, a seamstress for over 40 years, presented with typical signs of Frozen Shoulder (limited Range of Motion, pain) and CTS (positive Tinel and Phalen tests). Her laboratory and physical findings showed uncontrolled chronic conditions, specifically a Random Blood Glucose of 311 mg/dL and Blood Pressure of 166/96 mmHg (HT Stage 2). Key risk factors identified were age (61 years), genetic predisposition (family history of DM and HT), and repetitive work activity combined with poor medication adherence. The conclusion is uncontrolled DM and HT are major risk factors contributing to the severity of musculoskeletal disorders in this patient. A patient-centered, family-focused, and community-oriented management plan is essential, involving strict pharmacotherapy adherence, lifestyle modification (ergonomics, exercise, diet), and ongoing family support to improve her functional status and prevent complications.
A 19-year-old woman with Irritable Bowel Syndrome with Constipation (IBS-C), Chronic Gastritis, Psychological Stress with Risk Factors of Unhealthy Diet, Vulnerable Economic Status, and Unhealthy Work Environment Kuntadi, Muhammad; Trsinawati, Heksa
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 2 (2025): December 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i2.78

Abstract

Background: Irritable Bowel Syndrome with Constipation (IBS-C), chronic gastritis, and insomnia are functional disorders frequentlyinfluenced by psychosocial stressors and unhealthy lifestyle. Case Presentation: A 19-year-old woman presented with left abdominal painpersisting since March 2025, worsening in the last four days, associated with constipation, nausea, and reduced oral intake. She alsoreported insomnia for the past four months, triggered by work-related stress and financial difficulties. Physical examination revealednormal findings except for tachycardia. Supporting examinations included IBS Symptom Severity Score 240 (moderate IBS), SRQ-20score 9/20 (suggestive of psychological distress), and Insomnia Severity Index 19 (moderate insomnia). Discussion: The patient wasdiagnosed with IBS-C, chronic gastritis, and psychological stress with insomnia. The interplay between gastrointestinal symptoms andpsychological stress highlights the biopsychosocial approach in family medicine. Non-pharmacological interventions such as dietmodification, sleep hygiene, and stress management were prioritized, complemented with pharmacological agents (hyoscine butylbromide,antacids, lactulose, PPI). Conclusion: Holistic management addressing biomedical, psychological, and social aspects is crucial inimproving outcomes in young patients with IBS-C, chronic gastritis, and insomnia

Page 5 of 5 | Total Record : 47

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