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Contact Name
Agus Prima
Contact Email
chairman@jsocmed.org
Phone
+6281269200232
Journal Mail Official
chairman@jsocmed.org
Editorial Address
Jl. DR. Wahidin Sudiro Husodo No.243B, Kembangan, Klangonan, Kec. Kebomas, Kabupaten Gresik, Jawa Timur 61124
Location
Kab. gresik,
Jawa timur
INDONESIA
The Journal of Society Medicine (JSOCMED)
ISSN : -     EISSN : 29645565     DOI : https://doi.org/10.47353/jsocmed.v2i1
Core Subject : Health, Science,
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.
Articles 5 Documents
Search results for , issue "Vol. 3 No. 5 (2024): May" : 5 Documents clear
Relationship between Atherogenic Index of Plasma (AIP) and Mayor Cardiovascular Event (MACE) in Patients with Acute Myocardial Infarction (IMA) with Percutaneous Coronary Intervention (PCI) in Haji Adam Malik Hospital Ramzi, Defriyan; Hasan, Refli; Safri, Zainal
Journal of Society Medicine Vol. 3 No. 5 (2024): May
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i5.139

Abstract

Introduction: Atherogenic index of plasma (AIP) is a new biochemical parameter closely related to lipid metabolism in the body as a risk factor in atherosclerosis and coronary heart disease. This study aimed to determine whether AIP values could be used to predict major cardiovascular events (MACE) in the treatment period of ACS patients undergoing primary percutaneous coronary intervention processes. Methods: This study was an observational analytical study with retrospective data collection method. Patients who experienced ACS  at RSUP Haji Adam Malik Medan and undergo IKP starting from April 2023 will be collected. Basic characteristic data including laboratory parameters and AIP values as well as MACE events were be collected. Data analysis were carried out whether there are differences in AIP values in MACE and Non-MACE patients, and predictive ability will be assessed through ROC/AUC curve analysis, and sensitivity and specificity values will also be obtained. Results: A total of 69 samples were obtained. A total of 25 patients (36.2%) experienced MACE. The most prevalent MACE in this study was death from all causes as many as 17 patients (24.6%). AIP value can be used as a predictor of MACE events:  Death of All Causes (Cut Off value: 0.505; AUC: 0.673; P = 0.033; 95% CI 0.537 – 0.809; Sensitivity 64.7%; Specificity 59.6%), Acute Heart Failure (Cut Off value: 0.502; AUC: 0.695; P = 0.029; 95% CI 0.551 – 0.839; Sensitivity 69.2%; Specificity 60.7%), and Malignant Arrhythmia (Cut Off value: 0.582; AUC: 0.758; P = 0.026; 95% CI 0.578 – 0.938; Sensitivity 71.4%; Specificity 75.8%). Conclusion: The AIP index can be a good predictor of the incidence of MACE in ACS patients undergoing primary percutaneous coronary intervention.
Monocyte to High-Density Lipoprotein Ratio (MHR) as A Predictor of Major Cardiovascular Events in Acute Myocardial Infarction Patients with ST-Segment Elevation in Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Central General Hospital Nikensari, Grace; Nasution, Ali Nafiah; Siregar, Abdullah Afif
Journal of Society Medicine Vol. 3 No. 5 (2024): May
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i5.140

Abstract

Introduction: IMA-EST is a cardiovascular disease with high mortality and morbidity. Therefore, tools (markers) to efficiently predict mortality rates are essential to reduce these rates for effective management. Since most of the available literature suggests that MHR value can be used as a predictor of MACE, we are interested in examining MHR as a predictor of MACE in IMA-EST patients undergoing primary PCIMethods: This type of study was an observational analytic study with the research design used is an ambispective cohort. namely assessing the role of MHR Ratio as a predictor of prognosis after primary MACE in IMAEST patients. This study was conducted at HAM Hospital Medan from April-June 2023. Patients who met the inclusion and exclusion criteria were assessed for laboratory parameters such as triglyceride levels and calculated MHR index, then MACE was observed in patients who underwent primary IKP. The MACE assessed was cardiovascular death, malignant arrhythmia, cardiogenic shock, and acute heart failure during hospitalisation and 30 days post-treatment either through control at the polyclinic or by telephone and interview. Results: A total of 55 samples were obtained. The GRACE Score and MHR parameters have an area under the ROC curve > 0.7. The MHR parameter had a sensitivity of 69.2% and specificity of 64.3% and a p value <0.05. Based on ROC curve analysis, the cut-off-point parameter for estimating predictors of MVC was 22.48. The GRACE Score coefficient is 0.466 with a significance value (p value) of 0.001 that there is a correlation between the GRACE Score parameters and MHR parameters. Conclusion: High monocyte counts have an association of low HDL-C levels in the development of atherosclerosis and MACE.
The Relationship between Age and Cerebral Atrophy on Head CT-Scan Examination at Haji Adam Malik General Hospital Medan Imansyah, Ade Nur; Daulay, Elvita Rahmi; Surbakti, Khairul Putra
Journal of Society Medicine Vol. 3 No. 5 (2024): May
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i5.142

Abstract

Introduction: Cerebral atrophy is a condition associated with brain volume reduction and is a common manifestation of aging. Age is an important factor in the incidence of cerebral atrophy. This research aims to know the relationship between age and the incidence of cerebral atrophy in patients at H. Adam Malik General Hospital Medan. Methods: This study is an observational analytic study with a cross-sectional design conducted at the Haji Adam Malik General Hospital Medan by collecting head CT scan data from the electronic medical records of 91 patients with the period January 1st 2021 to December 31st 2022. The research time will be carried out from October 2022 to December 2023. Results: Cerebral atrophy began to be found in the age group of 20-39 years, the largest gender was male (56%), the highest level of education in patients with cerebral atrophy was elementary school / equivalent (66.7%) and D1 to D3 (66.7%), and from the area of residence, patients who experienced cerebral atrophy mostly lived in urban areas (58.7%). The age of onset of cerebral atrophy was found to be 20 years old. The types of cerebral atrophy found in the study subjects were cortical atrophy as many as 49 people (53.8%) and global atrophy as many as 10 people (11%). There was no significant relationship between age and the incidence of cerebral atrophy in patients at H. Adam Malik General Hospital (p> 0.05), but there was a significant relationship between age group and the incidence of cerebral atrophy in patients at H. Adam Malik General Hospital (p < 0.05). Conclusion: There is no significant association between age and the incidence of cerebral atrophy in patients at Adam Malik General Hospital. Additional research is needed to gain a comprehensive understanding of cerebral atrophy and its relationship with other risk factors.
Management of Patients with Guillain Barre Syndrome Accompanied by Ventilator Associated Pneumonia Sihombing, Robert; Pison, Osmond Muftilov
Journal of Society Medicine Vol. 3 No. 5 (2024): May
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i5.144

Abstract

Introduction: Guillain-Barré syndrome (GBS) is one of the most common autoimmune diseases affecting the peripheral nervous system in the world. This disease has manifestations of weakness, progressive muscle areflexia and can cause weakness in the respiratory muscles. This causes the patient to need mechanical ventilation assistance. Pneumonia is one of the most common complications of GBS. Ventilator-Associated Pneumonia (VAP) is one of the common nosocomial infections in 10-20% of patients on mechanical ventilators in the Intensive Care Unit (ICU). The crude mortality rate in patients who develop VAP ranges from 30-70%. In addition, VAP can significantly increase the duration of hospitalisation, as well as the cost of care. Increasing bacterial resistance in today's world makes it difficult to treat VAP with empirical antibiotic therapy. Case: A 44-year-old man came to the hospital with complaints of weakness in four limbs. The patient had previously been treated at another hospital with a diagnosis of GBS, because the patient's Erasmus GBS Respiratory Insufficiency Score (EGRIS) assessment was 5 and required further treatment in the ICU, the patient was referred to the main hospital. The complaint of being unable to move all four limbs was felt since 5 days before admission. The patient was admitted to the previous hospital for two days and received Mecobalamin, Gabapentin, and Ceftriaxone therapy. Conclusion: GBS is a post-infectious autoimmune disease that results in nerve cell destruction. Severe muscle weakness can lead to respiratory failure resulting in the need for mechanical ventilation therapy. Nosocomial pneumonia is a common complication in patients in critical condition and the leading cause of death from nosocomial infections, especially ventilator-associated pneumonia in intubated patients.
The Relationship between LDL/ HDL Ratio and Coronary Lesion Severity Measured by Syntax Score in Patients with Non-Elevation Acute Myocardial Infarction at Hajj Adam Malik General Hospital, Medan Hashmi, T. Rifqi; Hasan, Harris; Lubis, Hilfan Ade Putra
Journal of Society Medicine Vol. 3 No. 5 (2024): May
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i5.146

Abstract

Introduction: Coronary artery disease (CAD), results from reduced myocardial perfusion leading to angina, myocardial infarction (MI), and/or heart failure. It accounts for one third to one half of cardiovascular cases. A higher SYNTAX score indicates a more complex condition and poorer prognosis in patients undergoing coronary revascularization especially with PCI. This study aims to determine how the LDL/HDL ratio relates to the complexity of coronary lesions (Syntax Score) in coronary heart disease based on characteristics. Methods: The type of this study was observational analytic retrospective with a cross sectional design. The study was conducted using secondary data through medical record data of patients diagnosed with NSTEMI. Results: The subjects were 60 people with an average age of  58,1±8,629. It was found that the mean value of the LDL/HDL ratio was 3,95±3,837, in patients with an LDL/HDL ratio ≥ 2.517 it was found that there were 40 sample(66.7%) of whom had a lesion severity level of Syntax score ≥23 ,27 samples (45%), and in patients with an LDL/HDL ratio < 2.517, 20 samples (33.3%) were found to have a lesion severity level of Syntax score ≥ 23 with 4 samples (6.7%). Conclusion: There is a relationship between the LDL/HDL ratio and the severity of CAD based on the Syntax score with LDL/HDL ratio values being higher in patients with moderate-severe CAD than in patients with mild CAD.

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