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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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Predictors of Success of Ablation Procedures in Patients with Non-Structural Premature Ventricular Contraction at Adam Malik Hospital Asepty, M. Rizky Priyanka; Lubis, Anggia Chairuddin; Mukhtar, Zulfikli
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.v3i9.176

Abstract

Introduction: According to previous research, catheter ablation reduces premature ventricular contractions and improves heart function more than pharmaceutical treatment. Gender, age, LVEF, and premature ventricular contraction origin are utilized to predict ablation success. This study aims to determine the predictors of success of the ablation procedure in patients with non-structural premature ventricular contractions. Method: This study is an observational analytical study with a retrospective cohort design to assess predictors of success of the ablation procedure in patients with non-structural premature ventricular contractions at H Adam Malik General Hospital, Medan. Results: There were 55 research subjects and the majority of patients were female, 37 people (67.3%) with an average age of 47.2 ± 12.39 years. There was a significant relationship between premature ventricular contractions originating from the RVOT and the success of the ablation procedure (p < 0.001), but there were no significant differences in ablation therapy based on gender, age and LVEF (p > 0.05). Conclusion: The origin of premature ventricular contraction from the RVOT is a predictor of the success of the ablation procedure in patients with non-structural premature ventricular contact.
Management af a Patient with Guillain-Barré Syndrome Miller Fisher Type and Hospital-Acquired Pneumonia in the Intensive Care Unit : a Case Report Suwarman; Natapraja, Tresna Kusumah
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.v3i11.177

Abstract

Introduction: Guillain-Barré Syndrome (GBS) is an acute, flaccid polyneuropathy that occurs following an infection and is mediated by an autoimmune process. Patients with GBS frequently experience respiratory complications that necessitate mechanical ventilation. Neurological impairments associated with GBS, such as decreased airway patency, ineffective cough, and difficulty swallowing, increase the risk of pulmonary infections like hospital-acquired pneumonia (HAP). Case Report: We present the case of a 59-year-old woman who experienced respiratory failure due to GBS and HAP and required treatment in the Intensive Care Unit (ICU). The patient was managed with Therapeutic Plasma Exchange (TPE), which resulted in clinical improvement. It took 18 days for the patient to be weaned off mechanical ventilation. Conclusion: A detailed review of the management strategies for GBS and HAP is essential to enhance future treatment approaches and ensure they align with current literature.
Epidural Anesthesia with Eissenmenger Syndrome Undergoing Caesarean Section : a Case Report Kurnia, Fentti selli; Natapraja, Tresna Kusumah
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.v3i11.178

Abstract

Introduction: Heart disease in pregnant women can cause both morbidity and mortality. Eissenmenger syndrome is a pulmonary hypertension due to high pulmonary vascular resistance with a right-to-left or bidirectional shunt at the aortopulmonary, ventricular, or atrial level. To prevent hemodynamic instability and hypoxemia, it is essential to maintain a balance between PVR and SVR. Case Report: We reported the case of a 28-year-old pregnant woman with a gestational age of 34-35 weeks, diagnosed with Eissenmenger syndrome due to shortness of breath and cyanosis in the extremities, classified as ASA III E. After epidural anesthesia was administered, a 1.5 hour cesarean section was performed and a male baby was born. Postoperatively, the patient was transferred to the ICU. Conclusion: This case highlights the importance of maintaining a balance SVR and PVR, and continuous monitoring in pregnancy patient complicated by Eissenmenger syndrome. It requires a multidisciplinary approach involving obstetricians, anesthesiologists, and pediatricians.
A Study of Relationship Between Asthma Control Test, Lung Function, & Hospitalization Putra, M Yusuf Adira; Tarigan, Amira Permatasari; Pradana, Andika; Resti, Riska; Ramadhani, Adini Arifah; Nasution, Syafiah Amalina
Journal of Society Medicine Vol. 3 No. 12 (2024): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i12.179

Abstract

Introduction: The Asthma Control Test (ACT), developed in 2004, is a crucial tool for assessing asthma control. It facilitates discussions between patients and healthcare providers, guiding treatment decisions based on symptom severity. ACT evaluates symptoms over the past four weeks, while pulmonary function tests like forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) provide objective measures of airway function, offering complementary insights. Method: This cross-sectional study was conducted at Prof. Chairuddin Panusunan Lubis USU Hospital. Asthma patients were recruited, their characteristics documented through interviews, and spirometry was performed to assess lung function. Results: A significant proportion of patients had uncontrolled asthma based on ACT scores, which correlated with decreased lung function and higher risks of exacerbations. The study also explored characteristics of lung adenocarcinoma patients. Most were male (76.4%), heavy smokers (70.6%), and aged over 60 (52.9%). A majority (70.6%) were at Stage IVA, with pleural metastases being the most common. ALK mutations were detected in 5.8% of cases using immunohistochemistry. Conclusion: Achieving optimal asthma control remains a priority to reduce exacerbation risks and improve outcomes. ACT is a practical, patient-centered tool for identifying uncontrolled asthma and guiding management strategies. The adenocarcinoma findings highlight the need for early detection and targeted therapies in lung cancer care. These results reinforce the value of combining patient-reported outcomes and objective tests in disease management.
The Relationship Between ICS LABA Administration and Blood Eosinophil Levels in COPD Patient at USU General Hospital Deneuve, Olivia Monica; Pradana, Andika; Tarigan, Amira P
Journal of Society Medicine Vol. 3 No. 12 (2024): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i12.180

Abstract

Introduction: Blood eosinophil count may predict treatment response in patients  with chronic obstructive pulmonary disease (COPD) during acute exacerbations. However,  the ability of blood eosinophil counts in stable status to predict eosinophilic. Method: This was a cohort retrospective study performed Juni-August 2022 to Juni-August 2023. Subject were COPD patients who were treated at the outpatient using ICS LABA therapy. Blood samples measured blood eosinophil levels first and control. Results: Based on Wilcoxon test test, there was a significant positive positive correlation of eosinophil counts between ICS LABA  Administration and Blood Eosinophil Levels in COPD Patient at USU General Hospital. Conclusion: We demonstrated association between ICS LABA Administration and Blood  Eosinophil Levels in COPD Patient (p value = 0.02).
Relationship Between Neutrophil-Lymphocyte Ratio Value And Severity of Mitral Stenosis Due to Rheumatic Heart Disease in Outpatients at H. Adam Malik General Hospital Medan Achmad, Aziz; Safri, Zainal; Haykal, Teuku Bob; Siregar, Abdullah Afif; Akbar, Nizam Zikri; Ardini, Tengku Winda; Andra, Cut Aryfa; Lubis, Anggia Chairuddin
Journal of Society Medicine Vol. 3 No. 12 (2024): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v3i12.183

Abstract

Introduction: Mitral stenosis (MS) is a heart valve disease characterized by narrowing of the mitral valve, commonly caused by rheumatic heart disease. Accurate evaluation of MS severity is crucial for management, with echocardiography being the gold standard. The Neutrophil-Lymphocyte Ratio (NLR), reflecting inflammation, may correlate with MS severity. This study aims to assess the relationship between NLR values and MS severity due to rheumatic heart disease. Method: This cross-sectional study was conducted at H. Adam Malik General Hospital Medan from January 2023 until the required sample size was achieved. Patients diagnosed with MS by echocardiography based on the American Society of Echocardiography (ASE) criteria were included. Echocardiographic parameters such as mitral valve area (MVA) and mean pressure gradient (MV mean PG), along with blood NLR values, were analyzed for associations. Statistical significance was set at P < 0.05. Results: Significant differences in NLR values were observed between mild-to-moderate MS (1.93; 0.82–10.64) and severe MS (3.56; 1.81–13.08) (P = 0.0001, Mann-Whitney test). An NLR threshold of 2.91 predicted severe MS with 82% sensitivity and 81.8% specificity (P = 0.0001; AUC 0.856; 95% CI 0.772–0.940). Conclusion: NLR strongly correlates with MS severity and serves as a reliable predictor for severe MS in patients with rheumatic heart disease. NLR offers a simple, cost-effective tool for assessing MS severity, complementing echocardiography in clinical practice.
Thoracic CT Scan Image in Transudate and Exudate Pleural Effusion Cases at Haji Adam Malik General Hospital Medan in January - September 2024 Lokman, Yovita Belva; Putra, Dedy Dwi; Tarigan, Setia Putra; Malisie, Ririe Fachrina
Journal of Society Medicine Vol. 3 No. 12 (2024): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v3i12.185

Abstract

Introduction: Pleural effusion is the most common pleural disease, typically diagnosed through thoracentesis. However, thoracentesis carries risks of complications. Chest CT scans offer a non-invasive alternative to assess pleural effusion and distinguish between exudate and transudate types. Methods: This retrospective cross-sectional study was conducted on patients with pleural effusion at Haji Adam Malik General Hospital, Medan. A total of 80 patients were included. Statistical analysis was performed to evaluate the correlation between demographic, clinical, and thoracic CT findings with the type of pleural effusion. The Mann-Whitney test determined the efficacy of attenuation values in differentiating exudate and transudate. Results: Of the 80 patients, 57 (71.3%) had exudative pleural effusion and 23 (28.7%) transudative. The sample comprised 43 males (53.8%) and 37 females (46.3%), with a mean age of 48.44 ± 18.532 years (range: 2–84 years). Significant correlations were found between the etiology of pleural effusion and pleural nodules with effusion type (p = 0.000 and p = 0.023, respectively). No significant correlations were observed between age, gender, or other CT findings with effusion type (p > 0.05). Attenuation values on CT scans effectively distinguished exudative from transudative effusion (p = 0.000). A cutoff attenuation value of 17.5 Hounsfield Units (HU) demonstrated an AUC of 0.887, with 84.2% sensitivity and 82.6% specificity. Conclusions: Thoracic CT scans are effective for differentiating exudative and transudative pleural effusion. Significant differences were identified in etiology, pleural nodules, and attenuation values, supporting the use of CT imaging as a non-invasive diagnostic method
Relationship Between Sleep Quality and Primary Headache Among Employees of PT. Valeo Ac Indonesia Simanjuntak, Harel Mega Serafine; Hutagalung, Haflin Soraya; Indri Adriztina; Sri Amelia
Journal of Society Medicine Vol. 3 No. 12 (2024): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v3i12.186

Abstract

Introduction: Primary headaches, including migraines and tension-type headaches (TTH), are characterized by pain in the head without any underlying health issues. Poor sleep quality is a significant factor contributing to the occurrence of these headaches. Despite the prevalence of these conditions, many individuals neglect them and fail to seek appropriate treatment. This study analyzed the relationship between sleep quality and primary headache. Methods: This analytical research utilized a cross-sectional approach. Primary data were collected directly from respondents using two validated questionnaires: the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and the Headache Screening Questionnaire (HSQ) to identify primary headache characteristics. The study included 92 employees of PT. Valeo AC Indonesia as respondents. Results: Among the 92 subjects, 32.6% were found to have poor sleep quality, while 35.9% experienced primary headaches. Tension-type headaches (TTH) were identified as the most common type of primary headache. Primary headaches were predominantly reported by individuals aged <30 years, male respondents, and those who were married. Bivariate analysis revealed a significant relationship between poor sleep quality and the occurrence of primary headaches, with a p-value of 0.015, indicating statistical significance. Conclusion: This study demonstrates a significant relationship between sleep quality and the prevalence of primary headaches among employees of PT. Valeo AC Indonesia. These findings highlight the importance of improving sleep quality as a potential strategy to reduce the occurrence of primary headaches, particularly among at-risk populations.
Cutaneous Disorder Associated Diabetes Mellitus Dina A, Dalimunthe; Dewi, Sisilia K
Journal of Society Medicine Vol. 4 No. 1 (2025): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i1.187

Abstract

Diabetes mellitus (DM) is a chronic disease that occurs in nearly all countries, with complications related to skin disorders affecting up to 30% of diabetic patients. Skin changes in DM or as a complication of DM represent a complex and multifactorial process. These changes can occur through various pathomechanisms due to pathological glucose levels, resulting in alterations to skin aspects and clinical manifestations. The skin changes arise from diverse factors, including lesions related to Diabetes Mellitus, infection, manifestations of Diabetes Mellitus complications, and lesions resulting from Diabetes Mellitus treatment. This review will examine the clinical manifestations, pathophysiology and general management of several skin manifestations in diabetic patients.
Comparison of Adiponectin Levels in Patients with Familial and Non-Familial Keloid History Finarsih ES, Ella; Putra, Imam Budi; Wardani, Meidina Kesuma
Journal of Society Medicine Vol. 4 No. 1 (2025): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i1.188

Abstract

Introduction: Keloid is an abnormal wound healing condition influenced by various factors, including adiponectin levels and genetic predisposition. The role of adiponectin in keloid formation, particularly concerning familial and non-familial history, remains unclear. This study aims to compare adiponectin levels in keloid patients with and without a familial history of keloid formation. To compare adiponectin levels in patients with familial and non-familial keloid history. Methods: This observational analytic study utilized a cross-sectional design involving 40 keloid patients. Participants underwent anamnesis, dermatological examination, and blood sampling to measure serum adiponectin levels using enzyme-linked immunosorbent assay (ELISA). Data were analyzed descriptively using IBM SPSS Statistics version 21. Results: Keloid was more frequently observed in female patients, particularly in the 18–25-year age group. The mean serum adiponectin level among all participants was 11.01±8.34 μg/ml. In patients with a familial history of keloid, 40.0% had low adiponectin levels, while 42.5% of those without a familial history also exhibited low levels. Statistical analysis revealed no significant difference in adiponectin levels between the two groups, suggesting that low adiponectin levels are a common feature in keloid patients regardless of genetic predisposition. Conclusion: Low adiponectin levels are prevalent among keloid patients, but they are not significantly associated with a familial history of keloid formation. Further research is needed to explore the mechanisms linking adiponectin to keloid development.

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