cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Farida Rusnianah
Contact Email
farida_rusnianah@ub.ac.id
Phone
+62811360875
Journal Mail Official
altera.fk@ub.ac.id
Editorial Address
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.
Location
Kota malang,
Jawa timur
INDONESIA
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 63 Documents
 3   4   5   6   7 
Pulmonary Tuberculosis and Microcytic Hypochromic Anemia in a 10- Year-Old Girl : A Family Medicine Approach Wynne Deanita, Teresa; Nurrakhma Arum Kurnia, Siti; Rosita, Rita
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/zz5jcs24

Abstract

Pulmonary tuberculosis (TB) in children remains a significant public health problem, particularlyin low- and middle-income countries, where it often coexists with malnutrition and anemia. Thiscase report presents a 10-year-old girl with pulmonary TB and hypochromic microcytic anemia,exacerbated by poor nutritional intake, inadequate parenting supervision, exposure to cigarettesmoke, and suboptimal environmental conditions. The patient’s condition was complicated byrecurrent weakness, weight loss, and palpable lymphadenopathy. Laboratory results confirmedsevere anemia, while chest radiography revealed infiltrates consistent with TB. A holistic familymedicine assessment identified biomedical, psychosocial, environmental, and behavioral riskfactors. Comprehensive management included pharmacological therapy (first-line anti-tuberculosis drugs, iron, folic acid, multivitamins), nutritional interventions, health education, andfamily counseling. Family-focused and community-oriented strategies were emphasized,including TB contact screening, parental smoking cessation, and community health workerinvolvement. This case highlights the importance of holistic and comprehensive care in managingTB and comorbid anemia in children, underlining the role of family medicine in addressing bothclinical and contextual determinants of health.
A 69-Year-Old Woman with Diabetes Mellitus, Hypertension, Knee Osteoarthritis, Dyslipidemia, and Obesity with Genetic and Lifestyle Factors: A Family Medicine Case Report Kuntadi, Muhammad
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/4v9yq814

Abstract

Background: Multimorbidity in older adults is commonly driven by overlapping biological, behavioral, familial, and social determinants. Type 2 diabetes mellitus, hypertension, dyslipidemia, obesity, and knee osteoarthritis frequently coexist through shared mechanisms involving insulin resistance, chronic low-grade inflammation, endothelial dysfunction, oxidative stress, and mechanical joint loading. Case: A 69-year-old woman presented for routine primary care follow-up with bilateral plantar tingling, intermittent occipital headache, and chronic bilateral knee pain. She had been diagnosed with type 2 diabetes mellitus and hypertension since 2016 and later developed dyslipidemia, grade I obesity, symptoms suggestive of diabetic peripheral neuropathy, and bilateral knee osteoarthritis. Her body weight was 69 kg, height 150 cm, and body mass index 30.7 kg/m². Initial blood pressure was 159/80 mmHg and fasting blood glucose was 215 mg/dL. Previous laboratory examination showed HbA1c 9.3%, total cholesterol 201 mg/dL, triglycerides 293 mg/dL, HDL cholesterol 30.5 mg/dL, and LDL cholesterol 106 mg/dL. Family history revealed diabetes mellitus and hypertension in both parents, stroke in paternal relatives, hypertension in her husband and second child, and hypercholesterolemia in two siblings. Intervention and follow-up: Three home visits were conducted on 10 February, 16 February, and 17 April 2025. Interventions included medication adherence education, dietary counseling, family conference, reduction of sweetened beverages, fried foods, organ meats, and fatty foods, activity modification for knee osteoarthritis, and family involvement in symptom, blood pressure, and glucose monitoring. Blood pressure improved from 160/94 mmHg during the first home visit to 135/80 mmHg during the second visit and 138/72 mmHg during the third visit. Random blood glucose decreased from 153 mg/dL to 122 mg/dL and then 110 mg/dL. Tingling improved but persisted, while knee pain during prayer remained functionally relevant. Conclusion: This case illustrates that multimorbidity in older adults cannot be addressed by biomedical treatment alone. A family medicine approach, including family assessment, home visits, behavioral negotiation, and community-oriented follow-up, is essential for improving metabolic control and supporting sustainable lifestyle change.
Rapid-Onset Heart Failure in a 44-Year-Old Man with Suspected Obstructive Sleep Apnea: A Missed Cardiometabolic Link Rosita, Rita
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/n59dqz93

Abstract

Background: Obstructive sleep apnea is increasingly recognized as a clinically important, yet still underdetected, contributor to cardiovascular disease. Recurrent upper-airway collapse during sleep causes intermittent hypoxemia, sleep fragmentation, sympathetic surges, marked swings in intrathoracic pressure, and downstream inflammatory and hemodynamic stress, all of which may accelerate cardiac remodeling and worsen heart failure.  Case presentation: We report the case of a 44-year-old Indonesian man who presented to primary care with a two-month history of progressive exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, and fatigue. He had no known diabetes, smoking history, or previously diagnosed heart disease, but did have a paternal history of premature cardiac death. Examination revealed tachypnea, bibasal crackles, an S3 gallop, and mild hepatomegaly. Chest radiography showed cardiomegaly with pulmonary vascular congestion, and electrocardiography demonstrated left ventricular hypertrophy. His sleep history was notable for habitual snoring, fragmented sleep, short sleep duration, unrefreshing sleep, and daytime somnolence, raising strong suspicion for sleep-disordered breathing. Because of financial constraints, transthoracic echocardiography, natriuretic peptide testing, and formal sleep testing were deferred. He was treated empirically for newly recognized heart failure with congestion and improved clinically after one week of therapy.  Conclusion: This case highlights two practical messages for family medicine. First, sleep-disordered breathing should be considered in relatively young adults presenting with otherwise unexplained cardiopulmonary symptoms. Second, in low-resource settings, structured symptom inquiry and simple screening tools can identify high-risk patients and support timely referral, even when definitive testing is delayed.

Page 7 of 7 | Total Record : 63

 3   4   5   6   7 

Filter by Year

2022 2026


Reset
Filter By Issues
All Issue Vol. 5 No. 1 (2026): July 2026 Vol. 4 No. 2 (2025): December 2025 Vol. 4 No. 1 (2025): Juni 2025 Vol. 3 No. 2: December 2024 Vol. 3 No. 1: July 2024 Vol. 2 No. 2: December 2023 Vol. 2 No. 1: June 2023 Vol. 1 No. 2: December 2022 Vol. 1 No. 1: July 2022