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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. 7 (2023): July" : 5 Documents clear
Relationship between Homeostatic Model Assessment for Insulin Resistance and Waist Hip Ratio with Cognitive Function in Type 2 Diabetes Mellitus Fitri, Fasihah Irfani; Novita, Oriza; Hutagalung, Haflin Soraya
Journal of Society Medicine Vol. 2 No. 7 (2023): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.60

Abstract

Introduction: Cognitive impairment is a common complication of Type 2 Diabetes Mellitus (T2DM) in which the underlying mechanism are insulin resistance and associated central obesity. Homeostatic model assessment of insulin resistance (HOMA-IR) and waist-hip ratio (WHR) have been used as markers for insulin resistance and central obesity, respectively, but their direct association with cognition remains unclear. This study was conducted to determine the relationship between HOMA-IR and WHR with cognitive function in T2DM patients. Method: This was a correlative analytic study with a cross sectional design involving T2DM pateints. The HOMA-IR was assessed based on blood laboratory results, the WHR was measured by dividing circumference of the waist by the circumference of the hips and cognitive function was assessed using the Montreal Cognitive Assessment Indonesian Version (MoCA-INA). Results: : There were 56 patients included in the study. There was no significant relationship between HOMA-IR and cognitive function in T2DM patients (p=0.276; r=0.148). There was also no significant relationship between WHR and cognitive function (p = 0.499; r = 0.092). Conclusion: The HOMA-IR and WHR were not correlated with cognitive function in T2DM.
The Association Between ASPECTS Score and Dysphagia in Acute Ischemic Stroke Patients Saragih, Diko Hamonangan; Cut Aria Arina; Nasution, Iskandar
Journal of Society Medicine Vol. 2 No. 7 (2023): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.68

Abstract

Introduction: The Alberta Stroke Program Early CT Score (ASPECTS) is a scoring system assessed from CT scans to investigate the involvement of brain regions experiencing early ischemic changes. Lower scores are known to be associated with worse conditions and the occurrence of complications such as dysphagia. This study aimed to assess the relationship between ASPECTS scores and the occurrence of dysphagia in patients with acute ischemic stroke. Method: This cross-sectional analytical study was conducted at RSUP H. Adam Malik Medan from November 2022 to January 2023. ASPECTS scores were assessed based on CT scan results, while dysphagia was evaluated using the GUSS score. The Mann-Whitney U test was performed to assess the relationship between the two variables. Results: : A total of 34 subjects were included in this study. Among them, 11 (32.4%) subjects experienced dysphagia. The median ASPECTS score was 8 (range 3-9). The Mann-Whitney U test showed a significant association between ASPECTS scores and the occurrence of dysphagia (p<0.001). Conclusion: There is a significant relationship between ASPECTS scores and the occurrence of dysphagia.
Evan’s Index Values and Its Relationship with Individual Characteristics (Age and Gender) in Head CT-Scan Examination at Haji Adam Malik Hospital Medan 2021-2022 Zamzami, Muhammad Avicienna; Daulay, Elvita Rahmi; Indharty, Suzy
Journal of Society Medicine Vol. 2 No. 7 (2023): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.69

Abstract

Introduction: Enlargement of the ventricles caused by disturbances in the production, flow, and absorption of cerebrospinal fluid is known as hydrocephalus.Radiological examinations such as computed tomography (CT) play an important role in establishing the diagnosis of hydrocephalus. Assessment of ventricular enlargement in most cases is done subjectively and based on radiological experience. Objectively, ventricular size can be assessed by linear ratios on CT. Evan's index (EI) is the simplest and most reliable method for assessing ventricular size. Age and sex have an influence on the size of the ventricles. The aim of this study was to determine the average Evan's Index and its relationship with individual characteristics (age and sex) in patients who underwent head CT scans at H. Adam Malik General Hospital, Medan. Method: This study used a case series design to determine the relationship between individual characteristics (age and gender) with the Evan's Index value and to obtain an average normal Evan's Index value in patients who underwent head CT scans at the Haji Adam Malik General Hospital in Medan. Results: : The highest sample age was in the 19-30 year age group, namely 39 people (35%). In this study, there were more female subjects, namely 51% compared to males (49%). Mean + standard deviation and median (min-max) in Evan’s Index data were 0,26 + 0,03 and 0,25 (0,2-0,36). There was a significant correlation between age and the Evan's Index (p <0.001) with a moderate degree of correlation (0.442). There was no significant relationship between gender and Evan's Index (p=0,121; ηp2=0,022). There was no significant difference between education levels and the average Evan's Index (p=0.434). Conclusion: There is a relationship between the increase in the age group of the participants and the increase in the EI value which is linear and correlative. There was no difference in EI values between gender and level of formal education regardless of the age group of the individuals analyzed.
Factor Influencing Mortality in Moderate - Severe Covid-19 Patients In Tertiary Hospital, Indonesia Faried, Mukhamad; Ginting, Franciscus; Kembaren, Tambar; Eyanoer, Putri Chairani
Journal of Society Medicine Vol. 2 No. 7 (2023): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.70

Abstract

Introduction: Covid-19 is highly contagious respiratory tract infection caused by infection of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This infection has a case fatality rate in those with moderate – severe case up to 30%. This study aims to analyse factor influencing mortality in moderate to severe Covid-19. Method: This study was conducted using retrospective cohort study on moderate - severe Covid-19 patients who were treated in tertiary hospital in Medan, Indonesia, in March 2020-June 2022. Results: From 180 moderate – severe Covid-19 inpatients, up to 37,8% died. Factor that influences the mortality is the presence of comorbidity (P=0,001), such as hypertension and chronic kidney disease (CKD), high levels of neutrophil-lymphocyte Ratio (NLR), procalcitonin, c-reactive protein (CRP), D-dimer, and low levels of albumin with P values 0,016, 0,036, 0,001, 0,001, 0,001, 0,003, and 0,006 consecutively. Conclusion: It can be concluded that the demographic factors that are significantly related to the death of Covid-19 patients are the presence of comorbidities such as hypertension and CKD.
Osmolarity Changes after Mannitol Administration in Cerebral Edema Patients Tampubolon, Monica; Iqbal, Kiki M.; Pujiastuti, R. A. Dwi
Journal of Society Medicine Vol. 2 No. 7 (2023): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.71

Abstract

Introduction: Cerebral edema is commonly associated with cerebral pathology, and the clinical manifestation is greatly influenced by the underlying damaged tissue. Mannitol is the most widely used osmotic agent to reduce intracranial pressure. Giving osmotic therapy with 20% mannitol has the benefit of reducing ICP but can increase plasma osmolarity which can increase the risk of kidney disorders in patients with cerebral edema. This study aimed to assess osmolarity changes after mannitol administration in cerebral edema patients. Method: This is a pre-experimental study with a one-group pretest-posttest design. The research subjects were taken from the patient population of H. Adam Malik General Hospital Medan and Network Hospitals. The determination of research subjects was carried out according to the non-random sampling method consecutively and obtained as many as 32 research samples conducted from December 2022-April 2023. To determine changes in plasma osmolarity, a paired t-test was performed. Results: The mean osmolarity before mannitol administration was 303.74±11.59 mOsm/L and after mannitol administration was 307.01±14.83 mOsm/L, with an average change in osmolarity was 3.27±12.19 mOsm/L. There were no significant changes in mean plasma osmolarity after administration of mannitol (p=0.139). Based on the analysis of laboratory components, a significant increase in BUN values was found after the administration of mannitol (p=0.003). Conclusion: In patients with cerebral edema, mannitol treatment is generally safe and does not result in clinically significant electrolyte abnormalities. But during and after mannitol therapy, electrolyte and renal function monitoring is required.

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