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The Journal of Society Medicine (JSOCMED)
Published by PT. CoinReads Media Prima
ISSN : -     EISSN : 29645565     DOI : https://doi.org/10.47353/jsocmed.v2i1
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
The Journal of Society Medicine (JSOCMED) | ISSN (e): 2964-5565 is a leading voice in the Indonesia and internationally for medicine and healthcare. Published continuously, JSOCMED features scholarly comment and clinical research. JSOCMED is editorially independent from and its The Editor-in-Chief (EIC) is Prof. dr. Aznan Lelo, PhD, SpFK. JSOCMED offers many attractive features for authors, including free online access to all research articles, online publication ahead of print, and online responses to articles published as Quick Comments. In addition, as befitting a publication of the Journal of Society Medicine, JSOCMED implements best practice in scientific publishing with an open peer review process, declarations of competing interests and funding, full requirements for patient consent and ethical review, and statements of guarantorship, contributorship, and provenance.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 6 Documents
 1 
Search results for , issue "vol. 5 no. 6 (2026): june" : 6 Documents clear
Relationship Between Platelet Distribution Width and the Number of Coronary Artery Lesions in Patients with Acute Coronary Syndrome Citra Ulina Sitorus; Rahmad Isnanta; Naomi Niari Dalimunthe
Journal of Society Medicine Vol. 5 No. 6 (2026): June
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i6.277

Abstract

Introduction: Acute coronary syndrome (ACS) results from atherosclerotic plaque and thrombosis, with inflammation and platelet activation involved. Platelet distribution width (PDW), a marker of platelet activation, may reflect involvement. Study evaluated association with diseased vessels in ACS. Methods: This cross-sectional study with retrospective data collection analyzed 111 patients admitted with ACS to H. Adam Malik General Hospital, Medan, between January and December 2024. Demographic, laboratory, and coronary angiographic data were retrieved from medical records. Patients were classified as having single-vessel or multi-vessel disease. Comparisons used the chi-square or Fisher exact test, the independent t-test, and the Mann–Whitney U test as appropriate; a receiver operating characteristic (ROC) curve was constructed to derive the optimal PDW cut-off. Analyses were performed in SPSS version 29, with significance set at p < 0.05. Results: Of the 111 patients, 47 (42.3%) had single-vessel disease and 64 (57.7%) had multi-vessel disease. PDW was significantly higher in the multi-vessel disease group (median 11.0 vs. 10.7 fL; p = 0.002). ROC analysis yielded an area under the curve of 0.68 (95% CI 0.57–0.78) at a PDW cut-off of 10.25 fL, with a sensitivity of 95% and a specificity of 43%. A PDW ≥ 10.25 fL was significantly associated with multi-vessel involvement (p = 0.001). Conclusion: PDW was associated with the number of diseased coronary vessels in patients with ACS. As an inexpensive routine blood count parameter, PDW may serve as an adjunctive marker of coronary lesion complexity; however, modest specificity limits its use as a stand-alone diagnostic tool.
Risk Factors For Recurrence In Epilepsy Patients Yudhisman Imran; Reza Naulla
Journal of Society Medicine Vol. 5 No. 6 (2026): June
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i6.282

Abstract

Epilepsy is a chronic neurological disorder characterized by recurrent seizures resulting from abnormal electrical activity in the brain. It remains a significant global health concern, particularly in low- and middle-income countries (LMICs). The recurrence of seizures in patients with epilepsy is influenced by multiple clinical and nonclinical factors involved in epileptogenesis. This literature review aims to summarize the risk factors for recurrent seizures in patients with epilepsy based on recent scientific evidence. The literature was obtained from PubMed, Google Scholar, and manual searches and included articles published in English and Indonesian between 2010 and 2026. The study designs included meta-analyses, systematic reviews, cohort studies, case-control studies, cross-sectional studies, and case reports. The findings indicate that seizure recurrence is associated with the etiology of epilepsy (structural, genetic, infectious, metabolic, immunological, and idiopathic), as well as with lifestyle and behavioral factors such as sleep deprivation, psychological stress, alcohol consumption, smoking, and non-adherence to antiepileptic drugs. Abnormal MRI findings also increase the risk of disease recurrence. Furthermore, neuroinflammatory mechanisms, particularly microglial activation and proinflammatory cytokine release, contribute to increased neuronal excitability. In conclusion, recurrent seizures in epilepsy result from complex interactions among biological, clinical, and behavioral factors. Early identification and management of these risk factors are essential to reduce seizure recurrence and improve the quality of life of patients.
Bronchoscopy, Ultrasound, and Video Laryngoscopy as Guidelines for Percutaneous Dilatation Tracheostomy (PDT) in Patients with Difficult Airway Suspected of Laryngeal Tumor Sutan Syarif Muda Dalimunthe; Edi Daramawan; Rizki Taufiqurrahman; Bastian Lubis; Andriamuri Primaputra Lubis; Rommy Fransiscus Nadeak; Dis Bima Purwaamidjaja; Ferdinand Chandra
Journal of Society Medicine Vol. 5 No. 6 (2026): June
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i6.283

Abstract

Introduction: Percutaneous dilatational tracheostomy (PDT) is the preferred technique for elective tracheostomy in critically ill patients. However, a laryngeal or cervical mass is a relative contraindication because landmark puncture is unreliable, bleeding risk increases, and the airway may be lost when the endotracheal tube is withdrawn. Evidence on the safe extension of PDT to such airways is limited. Case Description: A 72-year-old man was admitted to H. Adam Malik General Hospital, Medan, Indonesia, with decreased consciousness after being struck by a motorcycle. Tracheal intubation was unexpectedly difficult and required a video laryngoscope and bougie. After eight days of ventilation, weaning failed, and tracheostomy was indicated. Pre-procedural neck ultrasound showed peritracheal soft-tissue thickening suspicious for a laryngeal tumor without compression of the tracheal lumen and identified a puncture interspace free of large vessels. Open tracheostomy was initially considered because of anticipated bleeding; however, bedside PDT was performed under triple guidance: ultrasound for site selection, video laryngoscopy to inspect the larynx and confirm endotracheal tube position, and flexible bronchoscopy through the tube for continuous intraluminal vision during needle puncture, guidewire passage, dilatation with the Ciaglia Blue Rhino system, and cannula insertion. The correct position was confirmed bronchoscopically before fixation. Conclusion: Combined ultrasound, video laryngoscopic, and bronchoscopic guidance eliminated every blind step and converted a tracheostomy that would conventionally have been performed openly into a controlled bedside intervention. This strategy may be considered an adjunct to standard PDT in selected high-risk patients provided adequate equipment and at least two trained operators are available.
Lymph Node Enlargement as a Manifestation of Systemic Venous Congestion in Patients with High VExUS Scores: A Case Series Rizki Taufiqurrahman; Edi Darmawan; Sutan Syarief Muda Dalimunthe; Bastian Lubis; Andriamuri Primaputra Lubis; Rommy Fransiscus Nadea; Septian Adi Permana
Journal of Society Medicine Vol. 5 No. 6 (2026): June
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i6.285

Abstract

Introduction: Fluid overload in critically ill patients increases central venous pressure (CVP) and induces systemic venous congestion, a recognized contributor to organ dysfunction. The Venous Excess Ultrasound Score (VExUS) is a bedside ultrasonographic method that grades venous congestion by integrating inferior vena cava (IVC) diameter with hepatic, portal, and renal venous Doppler patterns. Because the major lymphatic vessels drain into the central venous circulation through the thoracic duct, sustained elevation of CVP may also impede lymphatic outflow and cause reactive enlargement of regional lymph nodes. To describe supraclavicular lymph node enlargement as a clinical manifestation of systemic venous congestion in critically ill patients with high VExUS scores. Methods: This case series included five mechanically ventilated patients with respiratory failure and fluid overload admitted to the intensive care unit of H. Adam Malik General Hospital, Medan. Bedside ultrasonography assessed the IVC diameter and hepatic, portal, and renal venous Doppler to determine the VExUS grade, together with the evaluation of the subclavian vein and supraclavicular lymph nodes. Results: The five patients (aged 57–77 years) had a mean IVC diameter of 2.14 ± 0.21 cm. Four patients had a VExUS grade of 3, and one had a grade of 2. All patients demonstrated supraclavicular lymph node enlargement (10.3–17.6 mm), with larger nodes tending to occur in patients with higher VExUS grades. Conclusion: Supraclavicular lymph node enlargement may represent a reactive manifestation of systemic venous congestion in critically ill patients with high VExUS scores and could serve as an adjunctive parameter for assessing fluid overload in the intensive care unit setting.
Thoracic Spinal Anesthesia in a Patient with Peritoneal Tuberculosis with Massive Ascites and Bilateral Pleural Effusion for Laparotomy Dwi Lunarta Docterina Sutanti Siahaan; Jadeny Sinatra; Ronald T.H. Tambunan; Agus Prima
Journal of Society Medicine Vol. 5 No. 6 (2026): June
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i6.286

Abstract

Peritoneal tuberculosis is an extrapulmonary form of tuberculosis with nonspecific clinical manifestations, such as ascites and abdominal pain, often leading to delayed diagnosis. In advanced conditions, massive ascites combined with bilateral pleural effusion may significantly impair respiratory function and increase perioperative risk. General anesthesia, commonly used for laparotomy, may further worsen pulmonary complications in such high-risk patients. We report a case of a 23-years-old female with peritoneal tuberculosis complicated by massive ascites and bilateral pleural effusion who underwent laparotomy under thoracic spinal anesthesia. The patient presented with abdominal distension, dyspnea, anemia, and hypoalbuminemia, indicating a compromised physiological status. Considering the risks associated with general anesthesia, thoracic spinal anesthesia was selected. The procedure was successfully performed with stable intraoperative hemodynamics and no significant respiratory complications. Thoracic spinal anesthesia is a feasible regional technique for abdominal surgery, offering better respiratory outcomes and recovery compared to general anesthesia. This case demonstrates its potential as a safe alternative in high-risk patients undergoing laparotomy.
Acute Exercise-Induced Hypoalgesia and Chronic Training Adaptations in Pain Perception Among Athletes: A Systematic Review, Meta-Analysis, and Meta-Regression Muhammad Aldi Rivai Ginting; Armansyah Maulana Harahap; Yulia Putri; Herviani Sari
Journal of Society Medicine Vol. 5 No. 6 (2026): June
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i6.300

Abstract

Introduction: Pain perception is a key determinant of athletic performance and injury rehabilitation. Acute exercise attenuates nociception via exercise-induced hypoalgesia (EIH), whereas sustained training elicits neuroplastic adaptations in pain modulation. Objective: To quantitatively appraise effects of acute and chronic exercise on experimentally evoked pain in athletes versus non-athlete controls and elucidate effect moderators. Methods: We systematically searched PubMed/MEDLINE, Scopus, Web of Science, SPORTDiscus, Cochrane, PsycINFO, and CINAHL from the publication dates to January 31, 2026, following the PROSPERO  CRD42025XXX) guidelines. We included studies that appraised pressure pain threshold (PPT), tolerance, intensity, or unpleasantness between athletes and controls, or within athletes, pre- and post-exercise. We conducted random-effects meta-analyses and yielded Hedges' g with 95% CIs; heterogeneity was indexed using I². We assessed the risk of bias using RoB 2 and ROBINS-I, and rated certainty using GRADE. Results: Forty-six studies (n = 2,418; 1,289 athletes and 1,129 controls) were included. Compared to controls, athletes showed elevated tolerance (g = 0.86, 95% CI: 0.62–1.10), heightened threshold (g = 0.42, 95% CI: 0.21–0.63), and attenuated intensity ratings (g = −0.72, 95% CI: −0.98 to −0.46). Acute exercise elicited moderate hypoalgesia in PPT (g = 0.52; 95% CI: 0.36–0.68). Endurance athletes showed superior tolerance gains over team-sport athletes (g = 1.04 vs. 0.71), and moderate-to-vigorous intensity protocols surpassed low-intensity protocols (g = 0.71 vs. 0.18). Training volume and competitive calibre were robust moderators. Conclusion: Athletes exhibit recalibrated pain perception, substantiating exercise as a non-pharmacological pain-modulatory strategy that warrants longitudinal investigation.

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