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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. 4 No. 9 (2025): September" : 5 Documents clear
Accuracy of the Moyers 75% Probability Table in Predicting Dental Arch Space in Batak Ethnic Students at the University Sumatera Utara Arifa , Silvia; Bahirrah, Siti; Yusuf , Muslim; Sofyanti, Ervina
Journal of Society Medicine Vol. 4 No. 9 (2025): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i9.233

Abstract

Introduction: Accurate prediction of dental arch space is crucial for effective orthodontic treatment planning, particularly in mixed dentition analysis. The Moyers prediction table at 75% probability is widely used to estimate space requirements for unerupted canines and premolars, but its accuracy varies across populations due to ethnic differences in tooth size and arch dimensions. This study evaluates the accuracy of the Moyers 75% probability table in predicting dental arch space among Batak ethnic students at Universitas Sumatera Utara (USU). Methods: A cross-sectional study was conducted on 60 Batak ethnic USU students (30 males, 30 females, aged 18–25 years) with normal occlusion and no history of orthodontic treatment. Dental casts were obtained, and mesiodistal widths of mandibular incisors, canines, and premolars were measured using digital calipers (accuracy 0.01 mm). Actual measurements were compared with predicted values from the Moyers 75% probability table. Discrepancies were analyzed, and accuracy was assessed as the percentage of predictions within ±1 mm of actual measurements. Results: The Moyers table overestimated canine-premolar space by an average of 1.2 mm in males and 0.9 mm in females. Accuracy within ±1 mm was achieved in 65% of cases, with significant differences between predicted and actual values (p<0.05). Sexual dimorphism was observed, with larger discrepancies in males. Conclusion: The Moyers 75% probability table shows moderate accuracy in Batak ethnic students, suggesting the need for population-specific adjustments. Further studies should explore ethnic variations to enhance orthodontic prediction models.
A Review of Non-surgical Strategies for Managing Chronic Rhinosinusitis Setiawan , Gunawan Wijaya
Journal of Society Medicine Vol. 4 No. 9 (2025): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i9.234

Abstract

Chronic rhinosinusitis (CRS) remains a significant public health challenge, characterized by persistent inflammation of the sinonasal mucosa lasting at least 12 weeks, leading to symptoms such as nasal congestion, facial pain, rhinorrhea, and olfactory dysfunction. Affecting an estimated 5-12% of the global population, CRS imposes considerable economic and quality-of-life burdens. While surgical options like functional endoscopic sinus surgery (FESS) are effective for refractory cases, non-surgical management is the initial and often primary approach, emphasizing symptom control, inflammation reduction, and prevention of disease progression. This comprehensive review synthesizes evidence from recent guidelines, clinical trials, and observational studies on non-surgical strategies, including nasal saline irrigation, intranasal and systemic corticosteroids, antibiotics, biologics, and adjunctive therapies. Key advancements include precision medicine via endotyping and the integration of biologics for type 2 inflammation-dominant phenotypes, particularly in CRS with nasal polyps (CRSwNP). Drawing from updated 2024-2025 literature, we highlight personalized treatment algorithms to optimize outcomes, minimize adverse effects, and reduce the need for surgery.
Management of Septic Shock Secondary to Submandibular Phlegmon and Ventilator-Associated Pneumonia in the Intensive Care Unit Hutasuhut, Afrizal F.; Rismawan , Budiana
Journal of Society Medicine Vol. 4 No. 9 (2025): September
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i9.237

Abstract

Introduction: Septic shock secondary to submandibular phlegmon, a severe deep neck infection, is a life-threatening condition requiring urgent intervention in the intensive care unit (ICU). When complicated by ventilator-associated pneumonia (VAP), a common nosocomial infection, it significantly increases morbidity and mortality risks. Effective management necessitates rapid source control, targeted antimicrobial therapy, and comprehensive supportive care to address the complex pathophysiology of septic shock and prevent further complications. This case report elucidates the clinical approach to managing septic shock due to submandibular phlegmon complicated by VAP in the ICU. Case Description: A 62-year-old male presented with septic shock secondary to a submandibular phlegmon, characterized by neck swelling, fever, and hemodynamic instability. Initial management included fluid resuscitation, norepinephrine, and empirical antibiotics (meropenem and vancomycin). Surgical drainage of the phlegmon was performed within six hours of admission, revealing extensive purulent material. On day three of ICU care, the patient developed VAP, confirmed by chest X-ray and endotracheal aspirate cultures positive for Pseudomonas aeruginosa. Antibiotic therapy was adjusted based on susceptibility, and lung-protective ventilation was employed. Multidisciplinary care, including fluid optimization, analgesia, and nutritional support, facilitated recovery, with extubation on day seven and ICU discharge on day ten. Conclusion: Successful management of septic shock due to submandibular phlegmon and VAP hinges on early source control, tailored antimicrobial therapy, and meticulous ICU supportive care. This case underscores the importance of multidisciplinary strategies to mitigate complications and improve outcomes in critically ill patients.
Management of Intra-Abdominal Infection Patients with Septic Shock in the ICU Ariaty, Geeta Maharani; Rismawan, Budiana
Journal of Society Medicine Vol. 4 No. 9 (2025): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i9.238

Abstract

Introduction: Intra-abdominal infections (IAIs) complicated by septic shock pose a critical challenge in intensive care units (ICUs) due to high morbidity and mortality. Effective management requires rapid diagnosis, source control, and optimized antimicrobial therapy. This case report describes the multidisciplinary approach to managing IAI with septic shock, highlighting evidence-based strategies. Case Description: A 59-year-old male presented with septic shock secondary to generalized peritonitis caused by an incarcerated hernia. Initial management included fluid resuscitation with 1,500 mL Ringer’s lactate, norepinephrine, and broad-spectrum antibiotics (meropenem and metronidazole). Emergency laparotomy within 4.5 hours achieved source control by evacuating 300 mL of purulent peritoneal fluid. ICU care involved mechanical ventilation, analgesia (fentanyl, paracetamol), sedation (midazolam, transitioned to dexmedetomidine), and enteral nutrition starting on day three. Multidisciplinary collaboration facilitated hemodynamic stabilization, extubation on day five, and transfer to the high-care unit on day six, with significant clinical improvement. Conclusion: Successful management of IAI with septic shock hinges on timely source control, appropriate antimicrobial therapy, and comprehensive ICU care. The absence of microbiological cultures, a key limitation, underscores the need for improved diagnostic access in resource-limited settings. Adherence to evidence-based protocols and multidisciplinary expertise are critical to improving survival. Future efforts should focus on enhancing diagnostics to optimize therapy and reduce antimicrobial resistance.
Prenatal Diagnosis, Neonatal Outcomes, and Management of Pregnancies Complicated by Gastroschisis Rajuddin, Rajuddin; Meutia, Inong Indira
Journal of Society Medicine Vol. 4 No. 9 (2025): September
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i9.244

Abstract

Introduction: Gastroschisis, a congenital abdominal wall defect, causes external protrusion of intestines and organs due to incomplete wall closure near the umbilicus. Accurate prenatal diagnosis through ultrasonography requires skilled operators to detect the defect and guide management. Early identification enables perinatal care planning to minimize complications, such as organ perforation, and optimize neonatal outcomes. This case report examines the prenatal diagnosis and management of gastroschisis in a primigravida, highlighting ultrasonography's role in clinical decision-making. Case Description: A 26-year-old primigravida at 34–35 weeks gestation was referred from Zubir Mahmud Regional Hospital with a prenatal diagnosis of gastroschisis. She reported severe abdominal pain and vaginal spotting for three weeks. Physical examination indicated stable hemodynamics, with obstetric findings including a fundal height of 26 cm, estimated fetal weight of 2015 g, left-sided fetal back, fetal heart rate of 142 beats/min, breech presentation, and no contractions. Speculum examination revealed a closed external cervical os, no dilation, negative fluxus, positive flour, protruding amniotic membranes, and a positive nitrazine test. Vaginal examination showed a posterior, soft cervix with no dilation or palpable fetal parts. The pregnancy was diagnosed with congenital gastroschisis, and a cesarean section was planned to prevent abdominal organ perforation. Conclusion: Gastroschisis, identified at 34–35 weeks gestation, necessitates early prenatal diagnosis to prepare for appropriate perinatal care. Cesarean delivery is a preferred strategy to reduce risks of organ damage, supporting improved neonatal outcomes in affected pregnancies.

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