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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 3 Documents
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Search results for , issue "Vol. 5 No. 2 (2026): February" : 3 Documents clear
Comprehensive Management of Septic Shock Secondary to Intra-Abdominal Infection Complicated by Acute Respiratory Distress Syndrome: A Case Report Sahat , David; Kestriani , Nurita Dian
Journal of Society Medicine Vol. 5 No. 2 (2026): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i2.263

Abstract

Introduction: Septic shock is a life-threatening complication frequently encountered after major abdominal surgery and is associated with substantial morbidity and mortality in the intensive care unit (ICU). Intra-abdominal infection following laparotomy is a common precipitating source of sepsis that may rapidly progress to circulatory failure. The development of acute respiratory distress syndrome (ARDS) further exacerbates disease severity and necessitates early recognition and coordinated multidisciplinary management. Case Description: We report the case of a 65-year-old man who developed septic shock secondary to postoperative peritonitis following a laparotomy. The patient had previously undergone low anterior resection for rectal carcinoma. On intensive care unit (ICU) admission, the patient presented with severe hemodynamic instability requiring aggressive fluid resuscitation, vasopressor support, and invasive mechanical ventilation. On ICU day three, the patient developed ARDS, characterized by persistent fever, marked leukocytosis, worsening hypoxemia, and bilateral pulmonary infiltrates on chest radiography. Management included early goal-directed resuscitation, vasopressor therapy, and empiric broad-spectrum antibiotics (meropenem and levofloxacin). Lung-protective ventilation strategies were implemented in close collaboration with intensivists, surgeons, and anesthesiologists. The patient showed gradual clinical improvement and was successfully extubated on ICU day ten. Conclusion: This case underscores the critical importance of rapid recognition and meticulous management of septic shock secondary to intra-abdominal infection complicated by ARDS. Optimal outcomes depend on timely resuscitation, appropriate empiric antimicrobial therapy, early identification of ARDS, implementation of lung-protective ventilation, and a coordinated multidisciplinary approach to critical care management.
Pharmacologic Management of Hypertensive Disorders of Pregnancy and Postpartum Hypertension: Current Evidence and Clinical Implications Tona , Azwar Iwan
Journal of Society Medicine Vol. 5 No. 2 (2026): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i2.264

Abstract

Hypertensive disorders of pregnancy remain a major cause of preventable maternal morbidity and mortality worldwide, encompassing a spectrum of conditions from chronic and gestational hypertension to severe hypertensive crises associated with preeclampsia and eclampsia. Severe elevations in blood pressure (systolic ≥160 mmHg and/or diastolic ≥110 mmHg) markedly increase the risk of stroke, cardiovascular complications, and adverse perinatal outcomes, underscoring the need for prompt and appropriate pharmacological intervention. This review synthesizes contemporary evidence regarding treatment thresholds, target blood pressure goals, and the comparative efficacy and safety of commonly used antihypertensive agents, including labetalol, nifedipine, hydralazine, and methyldopa, in both antepartum and postpartum settings. Emerging randomized trials and meta-analytic data supporting earlier intervention in non-severe chronic hypertension are discussed, along with clinical considerations unique to the postpartum period, during which blood pressure instability and stroke risk remain elevated. Therapeutic decision-making must balance maternal cardiovascular protection with fetal and neonatal safety, considering placental drug transfer and the relative scarcity of long-term outcome data. An individualized, evidence-based, and multidisciplinary approach throughout the antepartum and postpartum continuum is essential to prevent severe hypertension, minimize end-organ injury, and improve immediate and long-term maternal cardiovascular outcomes.
Zero Prevalence of Soil-Transmitted Helminth Infections among Students with Disabilities and Symptoms of Attention-Deficit/Hyperactivity Disorder in Bengkulu City, Indonesia Gunasari, Lala Foresta Valentine; Mufra, Rizki Nurul Hidayah; Sudjatmoko, Andri; Triana, Dessy; Nurmansyah, Dian
Journal of Society Medicine Vol. 5 No. 2 (2026): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i2.274

Abstract

Introduction: Soil-transmitted helminth (STH) infections remain a significant public health concern in Indonesia, particularly among children living in suboptimal sanitation environments. Children with disabilities, especially those exhibiting symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD), are theoretically considered more vulnerable to STH infection because of behavioral factors that may interfere with personal hygiene. However, epidemiological data on STH infections in this population in Bengkulu City are limited. Methods: This descriptive cross-sectional study was conducted among students with disabilities enrolled in special schools (Sekolah Luar Biasa) in Bengkulu. A total of 70 students were selected using proportional stratified random sampling method. ADHD symptoms were assessed using the Indonesian Hyperactive Child Behavior Assessment Scale (SPPAHI), which was completed by parents or guardians. Stool samples were collected and examined for STH infections using the Kato–Katz technique. Results: All 70 stool samples examined were negative for STH infection, indicating a prevalence of zero. Based on the SPPAHI assessment, 56 students (80.0%) were identified as having ADHD symptoms, while 14 students (20.0%) were classified as suspected ADHD. Conclusion: No STH infection was detected among students with disabilities or ADHD symptoms in special schools in Bengkulu City. This zero prevalence may be associated with enhanced parental supervision, limited exposure to high-risk environments, and the effectiveness of the national mass drug administration deworming program in the country.

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