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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. 3 No. 1 (2024): January" : 5 Documents clear
Short-Term Prognostic Model for Non-Traumatic Intracerebral Hemorrhage Patients: A Combination of Four Score, FUNC Score, and ICH Score Saragih, Nurvira Annisa; Alfansuri Kadri; Chairil Amin Batubara
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.114

Abstract

Introduction: Currently, the Functional Outcome in Patients With Primary Intracerebral Hemorrhage (FUNC) score, Full Outline of UnResponsiveness (FOUR) score, and Intracerebral Hemorrhage (ICH) score are utilized to predict outcomes in non-traumatic intracerebral hemorrhage (ICH) patients. The high mortality rate in non-traumatic ICH patients emphasizes the importance of scoring systems as predictive models for mortality prognosis. The aim of this study was to determine a short-term prognostic model for non-traumatic ICH patients by combining FUNC score, FOUR score, and ICH score. Method: This observational cohort study took place at the neurology ward and Intensive Care Unit of RSUP H. Adam Malik – Medan, from March to September 2023. Subjects meeting the study criteria were observed for 30 days to assess short-term outcomes (mortality). Multivariate logistic regression analysis was then conducted for the combined scores. Results: Significant effects were found between FUNC score, FOUR score, and ICH score on short-term mortality in non-traumatic ICH patients, each with a p-value < 0.001. However, the multivariate logistic regression analysis yielded statistically non-significant results (p > 0.05). Conclusion: While FUNC, FOUR, and ICH scores individually show a significant correlation with short-term mortality in non-traumatic ICH patients, their combination is ineffective for predicting mortality in this group.
Management of Guillain-Barré Syndrome with Respiratory Distress in a Pregnant Woman: A Case Report Wahyu Wardana, Artha; Erlangga, Muchammad Erias
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.115

Abstract

Guillain-Barré Syndrome (GBS) is a rare neurological disorder characterized by the immune system's attack on the peripheral nerves. It is typically preceded by an infection, such as a respiratory or gastrointestinal infection, although the exact cause is still unknown. While GBS can occur in anyone, its occurrence during pregnancy poses unique challenges and considerations. GBS in pregnancy is relatively uncommon, but it is a critical condition that requires careful management due to the potential risks to both the mother and the developing fetus. Pregnant women with GBS may present with a variety of symptoms, including muscle weakness, tingling sensations, and loss of reflexes. These symptoms often start in the legs and can progress to the arms and upper body. Early diagnosis and early definitive treatment has promising outcome for GBS in pregnancy. We report this case to review management of GBS in pregnancy.
The Correlation between Dehydration and Early Neurological Deterioration in Acute Hemorrhagic Stroke Purba, Siti Hasnita Oktavia; Nasution, Iskandar; Pujiastuti, R.A. Dwi
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.118

Abstract

Introduction: Early Neurological Deterioration (END) is a worsening of symptoms within a few hours or days after an acute stroke which occurs in around 25,5% of patients with intracerebral hemorrhage. Dehydration is one of the conditions that is widely observed as a non-neurological cause of END in acute ischemic stroke, but in hemorrhagic stroke the correlation is still unclear. The aim of this study was to determine the correlation between dehydration and END in acute hemorrhagic stroke. Method: In this cross-sectional study, we assessed acute hemorrhagic stroke patients within 72 hours of onset at Haji Adam Malik General Hospital Medan, Indonesia, from April to October 2023. Patients are categorized as dehydrated if BUN/Cr ≥15 and urine specific gravity >1,010. END was defined as an increase in National Institutes of Health Stroke Scale (NIHSS) score of ≥ 2 points on the total score, or ≥ 1 point on motor items. Bivariate analysis was carried out to determine the correlation between dehydration and END in acute hemorrhagic stroke using the contingency correlation test. Results: A total of 30 subjects were included, with a mean age of 56,47 ± 12,75 years and 53,3% women. In this study, END was identified in 11 (36,7%) patients and dehydration was detected in 13 (43,3%) patients. The results of statistical analysis found no significant correlation between dehydration and END in acute hemorrhagic stroke (p=0,88 and r=0,298). Conclusion: There was no significant correlation between dehydration and END in acute hemorrhagic stroke.
Association between Clinical Stage of HIV and Peripheral Sensory Neuropathy Sibarani, Riris; Fitri, Aida; Hutagalung, Haflin Soraya
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.119

Abstract

Introduction: Several factors that contributed in the incidence of peripheral sensory neuropathy in HIV patients, including the number of Cluster of Differentiation 4 (CD4) lymphocytes, high HIV viral load, opportunistic infections and clinical stage of HIV.5 The aim of this study was to analyze the association between clinical stage of HIV to peripheral sensory neuropathy. Method: This research was a descriptive study with a cross-sectional design, conducted in General Hospital of Haji Adam Malik Medan during June to October 2023. Brief Peripheral Neuropathy Screening tool validated by AIDs Clinical trial group was used for screening peripheral sensory neuropathy. The variable to be analyzed in this study was clinical stage of HIV disease. Research data were analyzed using the SPSS (Statistical Product and Science Service) program for Windows, version 26. Univariate, bivariate, and multivariate analyses were conducted. Univariate analysis aimed to obtain the characteristics of the study subjects. The chi square test was used to determine the association between clinical stage of HIV to peripheral sensory neuropathy. Results: There were 83 subjects eligible for this study, in which 62,7% were males, with the mean age of the patients was 39,4+9,6 years. A total of 47 subjects (56.6%) were stage III and 36 subjects (43.4%) were stage IV. There was a significant association between clinical stage of HIV and peripheral sensory neuropathy in HIV positive patients with p value <0.001. Conclusion: There was a significant association between clinical stage of HIV to sensory peripheral neuropathy.
Correlation between National Institute Health Stroke Scale and QT Dispersion In Acute Ischemic Stroke Siahaan, Widya Prawirani; Arina, Cut Aria; Iqbal, Kiki Mohammad
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.120

Abstract

Introduction: Stroke is a global health problemwhose incidence is increasing every year throughout the world. Stroke can cause disorders of the autonomic system in sufferers including cardiovascular disorders. Several studies examining cardiovascular disorders after acute stroke using electrocardiography (ECG), one of which is the QT Dispersion. The aim of this study was to examine the relationship between the National Institute of Health Stroke Scale and the QT Dispersion. Method: This research is analytic correlation with cross-sectional design. The study sample consisted of 50 acute ischemic stroke patients. QT Dispersion were assessed based on the results of the ECG examination on the first day of treatment. Stroke outcome assessment using the NIHSS score was assessed on the first day of treatment. Results: The mean age of the 50 subjects is 57,28±12,216. The majority were male (64%), the majority were Batak (72%), 58% Subjects graduated fromsenior high school and the majority works as housewives 32%. The mean NIHSS value obtained was 8,74±6,599.81 and the mean QTd value was 142,40±73,250 ms. The most common infarct site in this study were basal ganglia (21%). There was a significant correlation between NIHSS scores and QTd in acute ischemic stroke patients (r= 0,668, p<0.05). Conclusion: There was a significant relationship between NIHSS scores and QT dispersion in acute ischemic stroke patients (p<0.05).

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