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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. 11 (2024): November" : 5 Documents clear
Comparison of Symptoms and Lung Function in Patients with Chronic Obstructive Pulmonary Disease (COPD) Receiving Monobronchodilators and Dual Bronchodilators Lingga, Elfia Damaiyanti Br; Pandia, Pandiaman; Pradana, Andika
Journal of Society Medicine Vol. 3 No. 11 (2024): November
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i11.169

Abstract

Introduction: In COPD treatment with a monobronchodilator or dualbronchodilator, can be assessed for the prognosis of therapy outcomes provided to monitor the impact of intervention and recovery of daily activities, prevent acute exacerbations, and improve the productivity of patient’s COPD. To determine the comparison between symptoms and lung function in patients with COPD disease receiving monobronchodilator and dual bronchodilator. Method: This study is a retrospective cohort study. The research sample consists of COPD patients undergoing treatment with monobronchodilator or dualbronchodilator for a minimum of 3 months or 3 treatment visits. Symptoms are measured using mMRC and lung function is measured using spirometry (FEV1). Results: The majority of patients are male (87.1%) and over 60 years old (62.4%), with the majority being smokers (84.7%), and the most common therapy being monobronchodilator (62.4%) and dual bronchodilator (37,6%). There are differences in symptoms and lung function in patients receiving monobronchodilator and dual bronchodilator. Conclusion: The dual bronchodilator is more effective in reducing mMRC values, improving by 96.3%, and increasing spirometry values. The average FEV1 value in spirometry for patients using the dualbronchodilator increased by 13,907%, while for the monobronchodilator, it decreased by 5.589%.
Factors Affecting Malnutrition in Parkinson's Disease Patients Using Mini Nutritional Assessment at H. Adam Malik Hospital and Network Hospitals Dwi Putri, Sabrina; Kadri, Alfansuri; Hutagalung, Haflin Soraya
Journal of Society Medicine Vol. 3 No. 11 (2024): November
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i11.174

Abstract

Introduction: Parkinson's Disease (PD) is a progressive neurodegenerative disorder characterized by the loss of motor control due to the degeneration of dopamine neurons in the brain and the formation of Lewy bodies. The exact cause of PD is still unknown, but factors such as free radicals, mitochondrial dysfunction, and protein degradation are believed to play a role. To identify the factors that influence malnutrition in patients with Parkinson's disease. Method: This study is an observational analytical study with a cross-sectional design, conducted at RSUP H. Adam Malik Medan and its hospital network. The subjects were 45 Parkinson's patients selected consecutively from March to June 2024. The data in this study used primary data using the Mini Nutritional Assessment (MNA) questionnaire obtained from anamnesis, physical examination and nutritional status examination using body weight, height, calf circumference and upper arm circumference. Results: Statistical analysis showed no significant results between gender, therapy regimen, and symptoms such as bradykinesia, rigidity, hyposmia, and dysphagia on malnutrition with values of p = 0.157, p = 0.377, p = 0.173, p = 0.173, p = 0.264, and p = 0.154, respectively. However, the results of the statistical analysis showed significant results between age and malnutrition with a p-value of 0.003 and a substantial relationship between disease duration, severity, and symptoms such as postural instability and constipation on malnutrition with the same p-value of p <0.001. Conclusion: There was an association between age, disease duration, severity, and symptoms such as postural instability and constipation in Parkinson's disease patients with malnutrition status.
Correlation Between Neutrophil to Lymphocyte Ratio (NLR) and Procalcitonin Levels in Sepsis Pneumonia Patients Purba, Angela Yurika; Bihar, Syamsul; Sinaga, Bintang Y.M.
Journal of Society Medicine Vol. 3 No. 11 (2024): November
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i11.175

Abstract

Introduction: According to the World Health Organization's global health estimates, lower respiratory infections are the fourth leading global cause of deaths and the deadliest communicable disease, causative for three million deaths worldwide in 2016. Despite the introduction of antibiotic therapies in the 1950s, pneumonia mortality has not decreased substantially, and sepsis, septic shock or acute pulmonary failure (eg acute respiratory distress syndrome, ARDS) are frequent secondary complications. To improve management and treatment of pneumonia, supporting microbiological and virological tests from throat swabs, sputum or blood cultures might be indicated to identify the responsible pathogen(s) and to allow targeted antimicrobial or antiviral therapy. To determine the relationship between procalcitonin level and neutrophil to lymphocyte ratio in sepsis pneumonia patients. Method: This study was conducted with an observational analytic design conducted in a cross-sectional manner, from January 2023 to December 2023. The subjects of this study were taken from the population of sepsis pneumonia patients who were hospitalized at intensive care unit, were found to be 132 samples. Data included procalcitonin level and neutrophil to lymphocyte ratio from laboratory findings, were analyzed with univariate and bivariate method to assess the relationship between procalcitonin level and neutrophil to lymphocyte ratio. Results: In this study, white blood cell, neutrophil and neutrophil/lymphocyte ratio values were found to be significantly higher in patients with elevated procalcitonin. Among the 132 samples, the mean of procalcitonin level was between ≥ 2 to 10 (39,39%) and neutrophil to lymphocyte ratio was between ≥ 11 to 17 (50%). Conclusion: There was no significant relationship between procalcitonin level and neutrophil to lymphocyte ratio in sepsis pneumonia patient at intensive care unit in Adam Malik Hospital Medan (P value 0.816).
Management af a Patient with Guillain-Barré Syndrome Miller Fisher Type and Hospital-Acquired Pneumonia in the Intensive Care Unit : a Case Report Suwarman; Natapraja, Tresna Kusumah
Journal of Society Medicine Vol. 3 No. 11 (2024): November
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i11.177

Abstract

Introduction: Guillain-Barré Syndrome (GBS) is an acute, flaccid polyneuropathy that occurs following an infection and is mediated by an autoimmune process. Patients with GBS frequently experience respiratory complications that necessitate mechanical ventilation. Neurological impairments associated with GBS, such as decreased airway patency, ineffective cough, and difficulty swallowing, increase the risk of pulmonary infections like hospital-acquired pneumonia (HAP). Case Report: We present the case of a 59-year-old woman who experienced respiratory failure due to GBS and HAP and required treatment in the Intensive Care Unit (ICU). The patient was managed with Therapeutic Plasma Exchange (TPE), which resulted in clinical improvement. It took 18 days for the patient to be weaned off mechanical ventilation. Conclusion: A detailed review of the management strategies for GBS and HAP is essential to enhance future treatment approaches and ensure they align with current literature.
Epidural Anesthesia with Eissenmenger Syndrome Undergoing Caesarean Section : a Case Report Kurnia, Fentti selli; Natapraja, Tresna Kusumah
Journal of Society Medicine Vol. 3 No. 11 (2024): November
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i11.178

Abstract

Introduction: Heart disease in pregnant women can cause both morbidity and mortality. Eissenmenger syndrome is a pulmonary hypertension due to high pulmonary vascular resistance with a right-to-left or bidirectional shunt at the aortopulmonary, ventricular, or atrial level. To prevent hemodynamic instability and hypoxemia, it is essential to maintain a balance between PVR and SVR. Case Report: We reported the case of a 28-year-old pregnant woman with a gestational age of 34-35 weeks, diagnosed with Eissenmenger syndrome due to shortness of breath and cyanosis in the extremities, classified as ASA III E. After epidural anesthesia was administered, a 1.5 hour cesarean section was performed and a male baby was born. Postoperatively, the patient was transferred to the ICU. Conclusion: This case highlights the importance of maintaining a balance SVR and PVR, and continuous monitoring in pregnancy patient complicated by Eissenmenger syndrome. It requires a multidisciplinary approach involving obstetricians, anesthesiologists, and pediatricians.

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