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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. 1 No. 3 (2022): December" : 6 Documents clear
Renal Artery Caliber In Abdominal CT Scan With IV Contrast Based on Age and Gender Tarigan, Novrida Pratiwi; Daulay, Elvita Rahmi; Nasution, Syafrizal
Journal of Society Medicine Vol. 1 No. 3 (2022): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.039 KB) | DOI: 10.47353/jsocmed.v1i3.10

Abstract

Introduction: CT scan provides several three-dimensional images when reconstructed, high speed, accurate, less invasive, and relatively low cost. The size of renal arteries varies based on influencing factors such as age, gender, and  location. Several studies reported variations in the dimensions of the renal arteries based on sex, age, and variations of the arteries. The purpose of research objectives is to analyze factors affecting the caliber of the renal artery in patients with abdominal CT Scan with intravenous contrast procedure. Method: A case-control study in patients with abdominal CT Scan with intravenous contrast procedure. Data was secondary data obtained by medical records of patients who have undergone a CT scan of the Abdomen with intravenous contrast. Results: The caliber of the right renal artery in subjects ≤40 years (5.19±0.53 mm) was greater than those> 40 years (4.58±0.66 mm). Statistically, based on the Independent T-test, found that there was a significant difference in the mean caliber of the right renal artery (p <0.01) and the left renal artery (p=0.01). The mean of the caliber of the right and left renal arteries in male subjects (5.05±0.69 mm) was greater than women (4.7±0.60 mm). The results of the Independent T-test showed that there was a difference in male subjects than women with a p-value of the right renal artery caliber (p=0.04) and left (p=0.02). Conclusion: There was a difference in the mean caliber of the renal arteries by the CT scan of the abdomen with intravenous contrast based on age and gender.
Role of Chest Radiograph in Diagnosis of Acyanotic Congenital Heart Disease Siregar, Muhammad Harmen Reza; Daulay, Elvita Rahmi; Hasan, Refli
Journal of Society Medicine Vol. 1 No. 3 (2022): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (321.673 KB) | DOI: 10.47353/jsocmed.v1i3.12

Abstract

Background: Early diagnosis of acyanotic congenital heart disease could lead to early referral and treatment before the onset of irreversible sequelae. Despite the development of modern imaging methods, conventional chest radiographs remain an important component of diagnostic process in pediatric cardiology. The aim of this study is to determine the accuracy of the results of chest X-ray examination with echocardiography results in patients with suspected acyanotic congenital heart disease at H. Adam Malik General Hospital Medan in 2019-2020. Methods: This study was a retrospective cross-sectional analytical observational study with a diagnostic test design to compare the sensitivity and specificity of conventional chest radiography compared with echocardiography of patients with suspected acyanotic CHD with shunts. The sample population was all children <18 years with suspicion of cyanotic CHD who came for treatment at H. Adam Malik Hospital Medan in the period January 2019 - December 2020. The study used data from medical records at H. Adam Malik Hospital Medan. The collected data is then analysed for diagnostic tests. Results: This study had a sample of 64 people with the highest proportion of samples being women, the average age was 67.9±54.1 months, and the results of echocardiography of the ductus arteriosus were persistent. The results of the diagnostic test showed a sensitivity of 78% and specificity of 80%, 95% PPV value and 40% NPV value, LR+ 3.8 and LR- 0.2. Conclusions: chest X-ray is adequate as a diagnostic tool in acyanotic congenital heart disease with left-to-right shunt. Clinical suspicion accompanied by chest X-ray results suggesting acyanotic congenital heart disease should be further assessed.
Antisialogogue Effect of Atropine Sulfate at Dosages of 0.25 Mg and 0.5 Mg Under General Anesthesia with Ketamin Hasibuan, Muhammad Ramadhan; Lubis, Andriamuri Primaputra; Wijaya, Dadik Wahyu
Journal of Society Medicine Vol. 1 No. 3 (2022): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (374.362 KB) | DOI: 10.47353/jsocmed.v1i3.14

Abstract

Introduction: Excessive saliva production can becomes an airway problem in conditions of decreased consciousness where there is impaired swallowing function. It increases the risk of aspiration of saliva into the airways that can result in choking. The use of premedication drugs to reduce the incidence of drug-induced hypersalivation can be done as a prevention. The anticholinergic drug class is the drug of choice for the management of hypersalivation in general anesthesia patients who have been given ketamine and ether. Ketamine as a sedating agent will provide a side effect of hypersalivation, where hypersalivation can cause laryngospasm or aspiration, as a form of prevention, anticholinergic drugs such as atropine can be given. The aim of this research was to compare the effect of antisialagogue on the administration of atropine sulfate at a dose of 0.25 mg and 0.5 mg in intravenous general anesthesia patients without ETT with ketamine at Haji Adam Malik General Hospital Medan and Putri Hijau Hospital Medan. Method: This study used a double blind RCT design. A total of 60 patients with intravenous general anesthesia without ETT with ketamine (1-2 mg/kg BW) were divided into 2 groups of Atropine Sulfas doses (0.25 and 0.5 mg) then the total salivary volume of each patient was measured and analyzed. Results: There was a significant difference between the treatment groups of 0.25 mg and 0.5 mg in the volume of saliva that had been collected (P-value = 0.008). Conclusion: There was a significant comparison between the use of 0.25 mg and 0.5 mg atropine in patients at Haji Adam Malik Hospital and Putri Hijau Hospital Medan.
Single-Shot Thoracic Spinal Anesthesia (TSA) In Pediatric Patient Under Laparoscopic Cholecystectomy: A Case Report Ghozali, Imam; Hamdi, Tasrif; Yusmaidi, Yusmaidi; Sitepu, John Frans
Journal of Society Medicine Vol. 1 No. 3 (2022): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.059 KB) | DOI: 10.47353/jsocmed.v1i3.15

Abstract

Introduction: Laparoscopy is mostly performed under general anesthesia (GA) but laparoscopy using anesthesia such as thoracic spinal anesthesia (TSA) is mostly performed by some anesthesiologists and it is very useful when compared to GA. Method: This paper presents a case report of the use of TSA in healthy pediatric patients who administered anesthesia with TSA in the T10-T11 interspace, using 1 ml of hyperbaric Bupivacaine 5 mg/ml mixed with: 1 ml of Levobupivacaine isobaric 5 mg/ml, Fentanyl 50 μg, Ketamine 10 mg and Dexmedetomidine 10 μg mixed in 1 syringe. Results: During procedure, hemodynamically stable, no nausea, vomiting, or discomfort. Postoperative recovery process was very smooth, hemodynamically stable, no pain was reported or PDPH (Post Dural Puncture Headache) even though we used a 26G spinal needle. The use of TSA is considered very practical and more economical even though it is still carried out very carefully. Conclusion: This is only one single case report. TSA can be a better choice compare with general anesthesia. Stable hemodynamic during laparoscope and TSA can avoid systemic effect of general anesthesia like cognitive affect after general anesthesia, longer for recovery from anesthesia, nausea, vomiting, poor control pain and high cost.
Perioperative Nutritional Status of Digestive Surgery Laparotomy Surgery Iqbal, Aulia; Wijaya, Dadik Wahyu; Lubis, Bastian
Journal of Society Medicine Vol. 1 No. 3 (2022): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.759 KB) | DOI: 10.47353/jsocmed.v1i3.16

Abstract

Introduction: Laparotomy is one of the most frequently performed surgical procedures. Surgery causes a stress response that increases the risk of experiencing malnutrition, especially in patients undergoing laparotomy. Malnutrition can increase the risk of adverse outcomes in postoperative patients. This study aims to evaluate perioperative nutritional status in patients who will undergo laparotomy surgery at Haji Adam Malik General Hospital Method:This research is an observational study with a prospective design. This study involved 65 research subjects withthe sampling technique was carried out by non-probability sampling, namely consecutive sampling. Results:The majority of study subjects had BMI ≥18.5, without weight loss >3.6 kg in the last 6 months, without a history of food intake <50% portion in the last 1 week, and albumin value ≥3.0 pre- and post- operative. Postoperatively. The number of subjects with PONS value ≥1 changed from 33.85% before surgery to 52.31% after surgery. There was a significant change in PONS values ​​before and after laparotomy (p = 0.001). Conclusion:Statuspost-operative nutritional study subjects decreased compared to before surgery. A significant increase in PONS scores also occurred after laparotomy.
Patterns of Antibiotic Use in The One Hour Bundle Treatment of Sepsis Syaputra, Adhika; Wijaya, Dadik Wahyu; Hanafie, Achsanuddin
Journal of Society Medicine Vol. 1 No. 3 (2022): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.644 KB) | DOI: 10.47353/jsocmed.v1i3.17

Abstract

Introduction: Sepsis and septic shock are major health problems, affecting millions of people worldwide and a leading cause of death. Administration of broad-spectrum empiric antibiotics as a one hour sepsis bundle treatment is associated with antimicrobial resistance which has various adverse effects and reduces the quality of health services. The aim of this research was to determine the pattern of empiric antibiotic use in the management of one hour bundle of sepsis at Haji Adam Malik General Hospital Medan. Method: This study used a descriptive method from November 2022 to December 2022 in the Emergency Room (ER), Medical Inpatient Room, Surgical Inpatient Room, and Adult Intensive Care Unit (ICU) of Haji Adam Malik General Hospital Medan. This study used a consecutive sampling technique to recruit 42 sepsis patients who were given a one hour bundle of sepsis according to the inclusion and exclusion criteria. This descriptive analysis was used to determine the characteristics of the sample, namely age, sex, culture results, and antibiotic sensitivity test results. Results: The most common use of antibiotics in the one hour bundle sepsis strategy was ceftriaxone 1 gram in 20 patients (47.6%), Ampicillin-Sulbactam 1.5 grams in 10 patients (23.8%), Levofloxacin 750 mg in 6 patients (14.3%), Meropenem 1 gram in 4 patients (9.5%), and Ciprofloxacin 200 mg in 2 patients (4.8%). Conclusion: Antibiotic administration time is less than 1 hour in the one hour bundle strategy carried out in the ER. Most of the antibiotics given are in accordance with the antibiotic sensitivity test results, but there are still some patients who still experience resistance to the antibiotics.given so it is important to always or immediately carry out culture and sensitivity tests on patients so that the antibiotics given can be more optimal

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