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Agus Prima
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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 5 Documents
 1 
Search results for , issue "Vol. 2 No. 1 (2023): January" : 5 Documents clear
Thyroid Heart Disease in Young Male, a Case Report Sihite, Perdana Liansyah; Hambali, Abdullah; Kamil, Muhammad Firdaus; Muhsin, Muhsin; Gani, Azhari; Diah, Muhammad
Journal of Society Medicine Vol. 2 No. 1 (2023): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (347.182 KB) | DOI: 10.47353/jsocmed.v2i1.20

Abstract

Introduction: The thyroid gland produces thyroid hormones that affect all tissue's metabolic processes, including the heart. Disorders of thyroid hormones, both increasing and decreasing thyroid hormones, can cause similar symptoms to primary heart disease. Thyroid heart disease (THD) is a heart disease that occurs due to increasing (hyperthyroid) or decreasing (hypothyroid) thyroid hormones in the circulation. Hyperthyroidism can cause several types of heart disease, including mitral regurgitation, tricuspid regurgitation, cardiomyopathy, heart failure, mitral valve prolapses, atrial fibrillation or sinus tachycardia. Method: This was a retrospective case report, after analysis of patient clinical data. The patient provided written informed consent to publish their case details and any accompanying images. Results: Almost all cases of THD occur in middle-aged women. Here we presented a 32-year-old male patient diagnosed with THD caused by graves' disease. Patient was admitted to emergency department due to shortness of breath. Medical and non-medical treatments were administered to the patients, and patients experienced improvement after several days of hospitalization. Conclusion: In fact, the progression of hyperthyroidism is characterized by remission and long-term exacerbations. Although some patients can remain euthyroid for a long time after therapy, many eventually get into hypothyroidism. Therefore, lifetime follow-up is an indication for all patients with hyperthyroidism.
Correlation of Lacunar Infarct on Head Ct Scan with Dysarthria in Haji Adam Malik General Hospital in 2019 Asysyarif, Abdurrahman; Daulay, Elvita Rahmi; Ritarwan, Kiking
Journal of Society Medicine Vol. 2 No. 1 (2023): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.762 KB) | DOI: 10.47353/jsocmed.v2i1.23

Abstract

Introduction: Stroke is the main cause of mortality and morbidity in Indonesia. Dysarthria is a symptom that can be seen from stroke. These symptoms occur in 15% of stroke events. Dysarthria is a motor speech disorder. Atypical lacunar stroke (ALS) is a stroke subtype that rarely occurs in one in 14 lacunar strokes or occurs in 6.8% of lacunar strokes, where isolated dysarthria or dysarthria facial paresis is the most common form of presentation. Method: This study is an observational analytic study with a case-control type of research with the aim of knowing the relationship between CT scan images of lacunar infarcts and dysarthria in ischemic stroke patients. The population in this study were all medical records of stroke patients who went to the Department of Neurology at the Haji Adam Malik General Hospital (RSUPHAM) Medan for a period of one year from January 1, 2019 to December 31, 2019 who underwent a head CT scan for 18 patients. Results: The subjects on the CT scan results of lacunar infarction with dysarthria 18 people (72%), and 7 people (28%) on the CT scan results there is no lacunar infarction. The same number and percentage were also found in the non-chivalrous control group. The test results obtained p value = 1,000 and odd ratio = 1.00, in other words there is no significant relationship between lacunar infarct and dysarthria. Conclusion: No significant relationship was found between the incidence of lacunar infarction and the incidence of dysarthria. The population with the most lacunar infarcts is men, hypertension, obesity, hypercholesterolemia, smoking and diabetes.
The Association of Nutrition Status Towards The Outcome of Acute Ischemic Stroke Patients with Type-2 Diabetes Mellitus Chaniago, Siti Alimahtun Sodiah; Nasution, Iskandar; Nasution, Irina Kemala
Journal of Society Medicine Vol. 2 No. 1 (2023): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1083.117 KB) | DOI: 10.47353/jsocmed.v2i1.26

Abstract

Introduction: Stroke is a sudden-onset neurologic deficit and having a type 2 diabetes increases the risk of stroke twice as much. In addition to affecting physical and mental abilities, stroke can also lead to a decline in nutritional status. Malnutrition is associated with poor functional outcomes in all stroke subtypes. The Controlling Nutritional Status (CONUT) score is an objective nutritional marker and could reflects malnutrition due to its comprehensive assessment of nutritional status. This study aims to find the association between nutritional status towards the outcome of acute ischemic stroke patients with type 2 diabetes. Method: This was an observational analytic study with prospective cohort design using primary data collected consecutively from patients with both acute ischemic stroke and type 2 diabetes mellitus who were hospitalized in the Stroke Corner Room, Intensive Care Unit (ICU) and inpatient ward of Haji Adam Malik General Hospital who met the inclusion criteria. The nutritional statuses of patients were measured using the CONUT score and patients outcomes were measured by mRS score. Spearman correlation test was used to assess the association between nutritional status and outcome of acute ischemic stroke patients with type 2 diabetes mellitus. Results: There were 43 patients who met the inclusion criteria where the majority of patients were male 22 people (51.2%), in the age group 51-65 years 23 people (53.5%) with a mean age of 57.93 + 10.01, was a housewife 15 people (34.9%) and Bataknese 27 people (62.8%). The majority of patients in this study had mild malnutrition with a total of 15 people (34.9%) and a median CONUT score of 3 (0-11) and poor outcome as many as 29 people (67.4%) with mRS score median 4 (0-6). The result of  Spearman correlation test showed a significant correlation between nutritional status and the outcome of acute ischemic stroke patients with type 2 diabetes mellitus with a moderate correlation. Conclusion: There was a significant correlation between nutritional status and the outcome of acute ischemic stroke patients with type 2 diabetes mellitus with a moderate correlation
Relationship Blood Gas Analysis And Hemostasis Physics In Multiple Trauma Patients In Adam Malik Hospital Medan Karim, T. Abdul; Wijaya, Dadik Wahyu; Irina, Rr Sinta
Journal of Society Medicine Vol. 2 No. 1 (2023): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1036.501 KB) | DOI: 10.47353/jsocmed.v2i1.27

Abstract

Introduction: Trauma is currently the most common cause of death in the first four decades of life and is still a major public health problem in every country. Arterial blood gas analysis (AGDA) is known to be an important marker for poor patient outcomes and occult or compensatory hypoperfusion. This study also evaluated the relationship and influence of AGDA scores on the outcome and prognosis of patients with multiple trauma. The results of this study will be able to assist in the rapid triage of acute trauma patients, which will also help identify high-risk patients who develop severe complications. Method: This study assessed the relationship between initial arterial blood gas and initial hemostatic function in acute trauma patients who came to the emergency department at H. Adam Malik General Hospital Medan. This type of research is a retrospective analytic where data is taken from medical records to see the relationship between AGDA and coagulation profile in multiple trauma patients at H. Adam Malik General Hospital Medan. After recruiting research samples at Adam Malik Haji Center General Hospital Medan, it was found that 141 multiple trauma patients who underwent surgery at H. Adam Malik General Hospital Medan met the inclusion criteria and were not included in the exclusion criteria Results: In this study, there were significant results between the pH and the three hemostatic physiology, there were no significant results between pCO2 and the three hemostatic physiology, and there were significant results between the HCO3 value and the PT and INR values, but no significant results were obtained with the APTT. Some authors believe that arterial PCO2 at admission is a significant prognostic factor in patients with traumatic head injury, but several studies dispute the arterial blood gas (ABG) parameter as a reliable indicator of short-term outcome in these patients. The main goal of the management of critically ill patients is the maintenance and optimization of cellular (and organ) health. Conclusion: This goal can be achieved by maintaining oxygenation, perfusion, fluid, electrolyte, and acid-base balance. Acid-base and oxygenation disorders are also critical, especially when these disorders develop rapidly.
Transversus Abdominis Plane (TAP) Steroid Block for Chronic Abdominal Pain Caused by Chronic Postoperative Pain Hamdi, Tasrif
Journal of Society Medicine Vol. 2 No. 1 (2023): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i1.59

Abstract

Introduction: Various factors including surgical, psychological, amount of acute pain relief have been proposed as risk factors for developing CPSP. Different treatment modalities like nerve and plane blocks, psychiatric counselling have been described to counter this pain. Case: The patient was a 30-year-old female with complaints of severe pain in the right lower quadrant of the abdomen and found a surgical scar with hyperalgesia and a history of open appendicectomy surgery, two times section caesarean section surgery. The patient experienced pain after section caesarean section surgery 6 months ago. Because the pain was also felt in the right hypochondrium, the patient was unable to move his body, unable to sit and stand. The patient was diagnosed as a case of chronic post surgical pain syndrome (CPSP). We performed transversus abdominis plane block (TAP) with ultrasound guidance and lidocaine 15 ml combined with 40mg methylprednisolone. VAS scores showed significant improvement from 8/10 and 2/10 during the 10-day follow-up. We conclude that ultrasound-guided TAP block can be a treatment option for CPSP cases. Conclusion: Chronic post surgical pain (CPSP) is a definite clinical entity after laparatomy. We report a successful management of such a case with ultrasound guided transversus abdominis plane block. The patient had very significant pain relief after procedure follow up continue until today without any side effects.

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