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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. 2 (2024): February" : 5 Documents clear
Rabies Encephalitis: Fatal Yet Neglected, A Case Report F. A. Simarmata, Junius; Ritarwan, Kiking
Journal of Society Medicine Vol. 3 No. 2 (2024): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.121

Abstract

Introduction: Rabies is a zoonotic disease that can attack the central nervous system and can be fatal because it can cause death. Rabies is caused by an RNA virus of the genus Lyssavirus in the family Rhabdoviridae and can be transmitted to humans through contact with infected animals, particularly bites and scratches. Most cases (98%) were caused by dog   bites and the rest by other animals such as monkeys and cats. This disease has a very poor prognosis, but can be prevented by vaccination. Rabies virus is a neurotrophic virus that can infect humans and cause fatal encephalitis. Method: This was a retrospective case report, after analysis of patient clinical data. The patient’s family  provided written  informed  consent  to  publish  their  case  details  and  any accompanying images. Results: A 73-year-old man has clinical encephalitis with suspected viral EC with suspected rabies dd/non-specific viral dd bacterial. Patients complain of not being able to swallow and afraid  of water, restlessness, hypersalivation, patients are sensitive to  sound,  shortness  of  breath, difficulty  swallowing, fear  of  wind,  patients  want  to  bite  and  hydrophobia,  aerophobia  and hypersalivation. Conclusion: Rabies eradication is necessary because Indonesians are culturally close to animals, especially dogs, which are the main transmitters of rabies. In some areas, dogs are pets that are very close to their owners. Rabies is a neglected tropical disease. Most cases of rabies occur in Asia and Africa. There is no effective treatment to cure rabies but the disease can be prevented by handling rabies bite cases (GHPR) as early as possible.
Association between Systemic Inflammatory Immunity Index and Intracoronary Thrombus Burden in Acute Myocardial Infarction with ST Segment Elevation (IMA EST) Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Hospital Dhilion, Har Rawishwar Singh; Nasution, Ali Nafiah; Sitepu, Andika
Journal of Society Medicine Vol. 3 No. 2 (2024): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.122

Abstract

Introduction: Acute coronary syndrome (ACS) account for 30% of deaths worldwide. High peri-procedural intracoronary thrombus burden is a strong predictor of poor outcome. Inflammation plays an important role in the pathogenesis of intracoronary thrombus formation. The systemic inflammatory immunity index represents the immune responses to inflammation, which consist of neutrophilia, thrombosis and decreased lymphocytes. The previous study showed that systemic inflammatory immunity index predicted high intracoronary thrombus burden in STEMI patients. This study aimed to evaluate systemic inflammatory immunity index in predicting the incidence of high intracoronary thrombus burden in STEMI patients. Method: This research is a retrospective analytical observational study on 95 patients diagnosed with ACS in the period 1 January 2022-31 March 2023 at H. Adam Malik General Hospital, Medan. All patients involved had undergone primary percutaneous coronary intervention. Patient characteristics, risk factors, laboratory results and coronary angiography were recorded from the patient's medical record. Results: There was a significant relationship between the systemic inflammatory immunity index value and the incidence of high intracoronary thrombus burden in STEMI patients (P < 0.001). The systemic inflammatory immunity index cut off point value > 1108 has a sensitivity of 89.4% and a specificity of 89.7% which has a better accuracy in predicting high intracoronary thrombus burden in STEMI patients. Conclusion: Systemic inflammatory immunity index has a good accuracy to predict high intracoronary thrombus burden in STEMI patients.
Interleukin-6 Reduction as a Predictor of Functional Capacity Improvement after Phase II Cardiac Rehabilitation Programme in Coronary Artery Bypass Surgery Patients Ferhat E.S, Muhammad; Safri, Zainal; Sarastri, Yuke
Journal of Society Medicine Vol. 3 No. 2 (2024): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.126

Abstract

Introduction: Improved functional capacity is a good prognostic value in patients after CABG. Phase II cardiac rehabilitation provides beneficial effects on physical function, cardiopulmonary function, inflammatory response, autonomic function, and improves functional capacity, and there is a significant decrease in Interleukin-6 values in patients after CABG. Several studies have selected Interleukin 6 as an inflammatory cytokine that can be used to assess the beneficial effects of cardiac rehabilitation in coronary heart disease conditions. The aim of the study was to determine the relationship of Interleukin-6 value as a predictor of functional capacity improvement after phase II cardiac rehabilitation in patients undergoing CABG. Method: This study was analytic observational study conducted retrospectively on 31 CABG patients who underwent phase II cardiac rehabilitation. Data collection on functional capacity, Interleukin-6 examination before and after phase II cardiac rehabilitation. Data were analyzed univariately and bivariately to assess the relationship between Interleukin-6 and functional capacity. Multivariate analysis will then be performed using linear regression. The relationship test will be performed with Pearson correlation test. Statistical data analysis using SPSS software, p value <0.05 is statistically significant. Results: There were 29 samples. The results of the cardiac exercise test showed an increase in distance at the end of phase II cardiac rehabilitation compared to the initial examination (457,655 ± 24,346 vs 180,482 ± 13,941). At the end of the examination there was a decrease in the average Interleukin-6 level from 24.412 ± 2.516 to 13.647 ± 1.413. There was a significant relationship between improvement in functional capacity and Interleukin-6 (p=0.032, r=0.40). An increase of 1 MET will decrease Interleukin-6 by 2.238 pg/mL. There was a decrease in mean Interleukin-6 from 24,412±2,516 to 13,647±1,413 at the end of phase II with p value <0.001. Conclusion: Interleukin-6 can be a predictor of improved cardiac functional capacity after phase II cardiac rehabilitation program in patients undergoing CABG.
Management of Peripartum Cardiomyopathy in Severe Preeclampsia Patients in ICU Mulyawan, Dadang; Pison, Osmond M.
Journal of Society Medicine Vol. 3 No. 2 (2024): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.127

Abstract

Introduction: Peripartum cardiomyopathy (PPCM) is a life-threatening cardiomyopathy with left ventricular systolic dysfunction, in late pregnancy, during delivery, or in the first months postpartum, in women who have no previously identifiable cause of heart failure. Case: A 25-year-old primigravida woman with a pregnancy of 35 weeks came to the Emergency Department (ER) with symptom of severe pre eclampsia, and pulmonary edema and later underwent a cesarean section. After surgery, the patient is admitted to the ICU , and then became worsening. Echocardiography was then performed and found a decrease in left ventricular systolic function, EF 35%, posterior anterior acinetics, mild MR. The diagnosis of PPCM was established. The therapy given is drugs and a negative fluid balance is created for this patient. On day 10, the patient showed improvement in left ventricular function with EF 48%. The patient is extubated from a mechanical ventilator and moved to the internal medicine inpatient room. Conclusion: I Early diagnosis with supporting echocardiography as well as appropriate management in PPCM cases greatly determines the success of therapy in patients in the ICU.
The Use of NIHSS as an Assessment of Acute Stroke Severity Imran, Yudhisman; Zahra, Ainaya Az
Journal of Society Medicine Vol. 3 No. 2 (2024): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.128

Abstract

Stroke is a neurological emergency that is characterized by sudden neurological deficits caused by vascular injury (infarction, hemorrhage) in the brain. In Indonesia, stroke is the main cause of disability and mortality. The mortality rate of stroke patients is closely related to the severity of the stroke experienced by the patient. Therefore, a scoring system is needed to assess the severity of acute stroke. The National Institutes of Health Stroke Scale (NIHSS) is used as the gold standard for assessing stroke severity. NIHSS also helps the treatment plan of stroke patients and determine the patient’s prognosis. The use of NIHSS in assessing the severity of acute stroke deserves further attention because it has a significant impact on the outcome of stroke patients during the treatment period.

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