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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 210 Documents
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Characteristics of Loss to Follow-Up Patient in Drug-Sensitive Pulmonary TB in Medan Sari Mardia, Rina; Sinaga, Bintang YM; Siagian, Parluhutan; Taufik, Ashar
Journal of Society Medicine Vol. 3 No. 10 (2024): Oktober
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i10.166

Abstract

Introduction: Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis. Adherence to TB treatment is a complex and dynamic phenomenon with various interacting factors. The characteristics of loss to follow-up patients include social, clinical, and economic characteristics. The Aim of study was to identify characteristics of loss to follow-up patients in drug-sensitive pulmonary TB in Medan. Method: This research is a descriptive study using a cross-sectional approach. All variables were measured and observed at a time during the study. The study was conducted at RSUP Adam Malik Medan and Prof. Dr. Chairuddin P. Lubis USU Hospital in loss to follow-up TB patients diagnosed bacteriologically that meet the criteria of inclusion and exclusion. This study used data from medical records and questionnaires. Independent variables include age, gender, educational level, employment, marital status, family history of lung tuberculosis, attitudes to TB treatment, social support, health services, and reasons for loss to follow-up. Results: Out of 40 patients with loss to follow-up pulmonary tuberculosis, the majority were patients in the age range of 45-65 years (n=26.65%), male (n=31.77,5%), equal level of high school education (n = 24.60%) had a fixed job (n=33.82.5%), marital status (n=33.90%), had no family history of lung tuberculosis (n=36.90%), poor attitude to TB treatment (n=36.90%), received low social support (n=51.52,5%), and received less supported health care services (n<33.82,5%). Reasons patients TB SO quit taking medication presented in this study vary, among others due to the side effects of TB drugs, patients choosing herbal drugs, already feeling healthy, laziness consuming TB medication, being embarrassed with pulmonary TB disease, not taking lung TB drugs because no one carries or has no transportation costs. Conclusion: The majority of patients with drug-sensitive pulmonary tuberculosis who quit their medication in the fields are between 46 and 65 years of age, male sex, high school graduates of equal degree, have a fixed job, marital status, have no family history of TB, have an inferior attitude to TB treatment, receive low social support, and receive less supportive health services. Reasons for loss to follow-up for SO TB patients vary, including TB drug effects, clinical, and economic.
Correlation of Bronchoscopy Visualization With Cell Type in Lung Cancer Patients at Haji Adam Malik Hospital Medan 2023 Fachrina, Intan; Bihar, Syamsul; Syarani, Fajrinur
Journal of Society Medicine Vol. 3 No. 10 (2024): Oktober
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i10.167

Abstract

Introduction: Lung cancer is defined as a tumor that originates in the lung parenchyma or is located around the bronchi. The two main types are Non Small Cell Lung Carcinoma (NSCLC) and Small Cell Lung Carcinoma (SCLC). When carrying out the procedure, several bronchoscopy visualizations are assessed, such as the bronchial lumen, bronchial mucosa, secretions and bronchial anatomy. Timely bronchoscopic intervention is important for rapid and accurate diagnosis. To determine the relationship between bronchoscopic visualization and carcinoma cell type characteristics from histopathology. Method: This study was conducted with an observational analytic design conducted in a cross-sectional manner, from October 2023 to May 2024. The subjects of this study were taken from the population of lung cancer patients who were hospitalized and outpatient in the hospital, were found to be 67 samples of Non Small Cell Lung Carcinoma (NSCLC). Data included bronchoscopic visualization with lung carcinoma cell type from histopathology, were analyzed univariately and bivariately to assess the relationship between bronchoscopy visualization and lung carcinoma cell type. Results: All patients had Non Small Cell Lung Cancer (100%) are Adenocarcinoma as much as 63% and Squamous Cell Carcinoma as much as 37%. Bronchoscopy visualization shows a central location (62%), partially closed lumen (65%), smooth mucosa (64.5%), mucoid secretion (83.8%), and most often in the right main bronchus (32.2%). Conclusion: There was a significant relationship between bronchoscopy location and type of lung cancer cell (P value 0.001), as well as between mucosa and cell type (P value 0.001).
The Effect of Providing Education on the Use of Inhalers on Asthma Degrees Based on the Asthma Control Test (ACT) in Patients at Tanjungpura Hospital Bayani, Sri; Tarigan, Amira Permatasari; Pandia, Pandiaman; Amelia, Rina; Jefri, Budi
Journal of Society Medicine Vol. 3 No. 10 (2024): Oktober
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i10.168

Abstract

Introduction: The main goal of asthma treatment is to control symptoms and reduce emergency department (ED) visits due to acute exacerbations. Drug delivery through inhalation is an important component of asthma management. Patients with asthma should have a good knowledge of their disease to recognize signs of worsening that can be prevented by early detection. Asthma control can be evaluated using the Asthma Control Test (ACT). To determine the effect of providing education on the use of inhalers on the degree of asthma based on the ACT in patients at Tanjungpura Regional General Hospital. Methods: This quasi-experimental study conducted from March 2024 to May 2024, used a one-group pre-test and post-test design to evaluate the effect of education via smartphone applications on asthma control (ACT). Obtained 54 patients who were diagnosed asthma at Tanjungpura Regional General Hospital. The sample consisted of asthma patients using inhalers, selected consecutively based on inclusion and exclusion criteria. Results: Most patients were female (64.8%) with ages 18-60 years (83.3%). The majority were housewives (46.2%). Post-test showed that 75.9% of patients had partial asthma control. All patients (100%) used inhalers correctly after education. There was a significant difference in ACT results before and after education (P-value 0.001) and an increase in ACT scores after the first and second education (P-value 0.002 and 0.001, respectively). Conclusion: Providing education on the use of inhalers has a positive effect on ACT scores in asthma patients, with an increase in the mean ACT score from 15.67 before education to 17.11 after the first education, and 20.96 after the second education.
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%.
Relationship between Addiction to Online Video Games and Cognitive Function in Adolescents Imran, Yudhisman; Putri, Dian Maharani
Journal of Society Medicine Vol. 3 No. 9 (2024): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i9.170

Abstract

Introduction: Adolescent is a particular transition phase especially in their development of cognitive function. Cognitive interpreted as an activity of brain which has a function to its external environment. In Pasific Asia, the prevalence of people with decreased cognitive function is 6,7%. One of the factors contributes to this problem is playing online video game. Many previous researches have analyzed the correlation between online video games and cognitive function but there is still pros and cons about this. The aim of this study is to assess the relationship between addiction to online video games and cognitive function in adolescents. Method: The method used in this study is a cross-sectional design of 56 adolescents who were selected using consecutive non-random sampling and met the inclusion criteria. Online video game addiction data is obtained from game addiction scale (GAS) questionnaire and Montreal Cognitive Assessment (MOCA-INA) is used to assess cognitive function. The relationship between two variables were analyzed using the Fisher's Exact. Results: From 56 respondents, 44,6% experienced a decrease in their cognitive function. Data shows the lowest score of domain are attention (64.3%) and memory (55.4%). The respondents who are addicted to online video games are 16.1%. Conclusion: In this study, there is no relationship between addiction to online video games and cognitive function in adolescents.
Factors Affecting Lung Function in Patients with Drug-Sensitive Tuberculosis after Treatment. Simbolon, Novery; Pandiaman, Pandia; Andika , Pradana
Journal of Society Medicine Vol. 3 No. 10 (2024): Oktober
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i10.171

Abstract

Introduction: Some studies show restrictive and obstruction disorders but still rarely describe factors such as the extent of lung lesions and the history of recurrent tuberculosis to pulmonary physology. To identify the factors affecting the lung function of patients suffering from tuberculosis sensitive to drug post-treatment in patients treated in Outpatient clinic USU Hospital and Adam Malik Hospital. Method: Data that has been collected and then processed and analyzed descriptively to see to see the frequency distribution of the subject of the study based on characteristics. Data in a categorical scale is displayed in percentages while data in a numerical  is shown in ratio values and standard deviations. The data will be processed through bivariate analysis using a chi-sqaure test with a degree of fertility p< 0.05 and be continued by multivariate analyses to find out which factor has the greatest role against the independent variable. Results: Using the enter method, it was found that only one significant independent variable influenced the lung function in patients with drug-sensitive pulmonary tuberculosis in this study is the area of the lesion (p = 0,014) with an Exp (B) value of 4,889 (95% IK = 1,386 – 17,241) which means that subjects with an advanced area of lesion would tend to be at a 4.899 times greater risk of developing an abnormal area of lung function than those with an unadvanced area. Conclusion: The extent of the lung lesion is the variable that most affects the lung function of patients with post-treatment tuberculosis in this study.
Percutaneous Coronary Intervention Literature Review Tona, Azwar Iwan
Journal of Society Medicine Vol. 3 No. 9 (2024): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i9.172

Abstract

This literature review examines the advancements and outcomes associated with Percutaneous Coronary Intervention (PCI), a minimally invasive procedure widely utilized to treat coronary artery disease. The review highlights key studies that evaluate the efficacy and safety of PCI, comparing it to traditional surgical options such as coronary artery bypass grafting (CABG). It explores the evolution of PCI techniques, including drug-eluting stents and optical coherence tomography, and their impact on patient outcomes, including rates of restenosis and major adverse cardiovascular events. Stents should be deployed to attain minimal residual stenosis, referred to as optimum stenting. The achievement of a substantial luminal diameter reduces the likelihood of stent thrombosis and restenosis. Patients receiving elective stent therapy are often discharged within 24 hours post-implantation, following overnight observation and monitoring. Same-day discharge may be suitable for elective patients who have an easy operation and possess a minimal risk of post-discharge complications.
Critically Ill Patients in The Emergency Department: Incidence of unconsciousness Subhan, Nanda
Journal of Society Medicine Vol. 3 No. 9 (2024): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i9.173

Abstract

Introduction: Critically ill or injured patients can be spared the high incidence of decreased awareness of entering an emergency room that is frequently associated with involvement in emergencies. Method: The emergency department (ED) of General Hospital Indonesia was the site of this prospective, observational cohort study. We comprised all consecutive patients admitted to the emergency department from February 15th to March 16th, 2019. Results: Nineteen patients (4.5%) required airway management, while 45 patients (10.7%) necessitated ICU admittance. In total, 422 patients required airway management. The anesthesiology department received 130 emergency patient visits (30.8%) that were referred due to loss of consciousness. In general, this investigation identified 234 non-surgical emergency cases (55.5%) and 188 emergency surgery cases (44.5%). 71 cases (37.8%) of the 130 patients with the most loss of consciousness required emergency surgery. Patients who experience loss of consciousness are at risk for ICU admission, airway management, pain management, and CVC installation, as evidenced by p values (0.001) that are less than 0.05. Conclusion: The prevalence of loss of consciousness was 30.8% (130), and patients experiencing loss of consciousness are risk factors for ICU admission, airway treatment, pain management, and central venous catheter insertion.
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).

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