cover
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 210 Documents
Maternal Knowledge of Exclusive Breastfeeding and Nutritional Status of Children Under Two Years During the COVID-19 Pandemic Fairuz SMW, Amirra; Fadilah, Tubagus Ferdi
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.v4i1.189

Abstract

Introduction: Breast milk is the ideal source of nutrition for infants, especially during the first six months of life, as it supports optimal growth and development. A mother's knowledge of exclusive breastfeeding plays a crucial role in ensuring a child's nutritional status. Insufficient maternal knowledge can negatively impact breastfeeding practices and lead to poor nutritional outcomes.  According to the World Health Organization (WHO), 161 million children under five experienced nutritional deficiencies globally in 2014. Disruptions in healthcare services during the COVID-19 pandemic further exacerbated these challenges, making it more difficult for mothers to access the information and support they needed for successful breastfeeding. Methods: This cross-sectional analytic observational study was conducted at Posyandu Cempaka A and B in Tanah Baru sub-district, Bogor City, during the COVID-19 pandemic. A total of 53 mothers with children under two years old were selected using consecutive non-random sampling. Data were collected through validated questionnaires assessing maternal knowledge of exclusive breastfeeding and direct anthropometric measurements of the children. Data were analyzed using Fisher's exact test. Results: The study found a significant relationship (p = 0.038) between maternal knowledge of exclusive breastfeeding and the nutritional status of children under two years old. Mothers with better knowledge were more likely to have children with normal nutritional status. Conclusion: Maternal knowledge of exclusive breastfeeding is significantly associated with the nutritional status of children under two years old, even during the COVID-19 pandemic. These findings highlight the importance of maternal education to improve child health outcomes.
Alteration of Right Ventricular-Pulmonary Arterial Coupling Before and After Decongestion in Non-Preserved Fraction Acute Heart Failure Patients at Adam Malik Hospital Medan Brahmana, Andrew Timanta; Ketaren, Andre Pasha; Andra, Cut Aryfa; Lubis, Anggia Chairuddin; Haykal, Teuku Bob; Siregar, Yasmine Fitrina; Lubis, Hilfan Ade Putra; Purba, Joy Wulansari; Akbar, Nizam Zikri
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.v4i1.190

Abstract

Objective: To assess whether there is right ventricular-pulmonary artery (RV-PA coupling by tricuspid annular plane systolic excursion/pulmonary artery systolic pressure TAPSE/PASP) changes in determining the clinical results of decongestion in patients with acute heart failure (AHF) with non-preserved ejection fraction (non-HFpEF) before and after decongestive at Adam Malik Hospital Medan. Methods: This study is an observational study with a prospective approach and consecutively collected, in patients AHF with non-HFpEF at Adam Malik Hospital Medan in the period from September 2023 until November 2024d. The sample is an eligible population that meets the inclusion and exclusion criterias. Results: This study consisted total 44 subjects with majority of 37 men (75%), an average age of 61 years old. A total of 28 subjects (63.6%) had hypertension as comorbid. There were 33 people (75%) who had sinus rhythm. The most acute heart failure phenotype commonly found was acute decompensated heart failure (ADHF) with 21 subjects. The longest length of stay AHF was cardiogenic shock with a median of 9 days. A significant decrease in median heart (p 0.0001), tricpuspid valve gradient (TVG) examination showed a significant decrease in (p 0.0001), PASP examination had a significant decrease in the average (p 0.0001), RV-PA coupling showed a significant increment (p 0.0001). A significant relationship was found between RV-PA coupling changes and decongestion in all acute heart failure groups (p 0.005). No significant relationship between RV-PA coupling ratio with length of stay was found. Conclusion: There were differences found in RV-PA coupling as increment with significant value in complete and partial decongestion groups, with a RV-PA coupling cut-off value of 0.65 and sensitivity and specificity of 68.8% and 67.9%, respectively.
The Role of Herbal Medicine for Hypertrophic Scars Management Mendrofa, Ira; Putra, Imam Budi
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.v4i1.191

Abstract

The process of wound healing is intricate, involving highly coordinated and synchronized mechanisms. Deviations from normal physiological responses can result in hypertrophic scarring. In recent years, there has been a global resurgence of interest in herbal remedies. Many plant-derived compounds and extracts have demonstrated the capacity to inhibit hypertrophic scar formation. The primary mode of action involves inhibiting proliferation and/or triggering apoptosis in scar fibroblasts by modulating various pathways, including PI3K/AKT, VEGF, and TGF-Beta/SMAD. Advancing our comprehension of hypertrophic scar pathophysiology, conducting follow-up research, and pursuing future investigations will help overcome current challenges and lead to the development of promising therapeutic approaches.
Effectiveness of Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor (TKI) on Life Expectancy in Non-Small Cell Lung Cancer Patients in Medan City Harahap, Putri Wulandari; Tarigan, Setia Putra; Soeroso, Noni Novisari; Ashar, Taufik
Journal of Society Medicine Vol. 4 No. 2 (2025): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.193

Abstract

Introduction: Non-small cell lung cancer (NSCLC) is strongly linked to epidermal growth factor receptor (EGFR) mutations, with tyrosine kinase inhibitors (TKIs) serving as a primary treatment. While TKIs demonstrate substantial antitumor effects, resistance differs across generations. This study evaluates the impact of first- and second-generation EGFR TKIs on the survival outcomes of NSCLC patients in Medan. Method: A retrospective cross-sectional study was conducted on 67 EGFR-positive NSCLC patients treated with TKIs between 2017 and 2022. Medical records from four hospitals-Haji Adam Malik Hospital, Elisabeth Hospital, Prof. Dr. Chairuddin Panusunan Lubis USU Hospital, and Pirngadi Hospital-were analyzed. Patients aged >18 years with EGFR mutations (exon 18, 19, or 21) and complete records were included. Survival outcomes, including Progression-Free Survival (PFS), Median Survival Time (MST), and Overall Survival (OS), were compared using the Mann-Whitney test. Results: All 67 patients received either first- or second-generation TKIs. Statistical analysis revealed that patients treated with second-generation TKIs had significantly better PFS, MST, and OS than those receiving first-generation TKIs (p < 0.05). Conclusion: This retrospective study faced limitations due to incomplete data and did not assess adverse effects. However, findings indicate that second-generation EGFR TKIs provide superior survival benefits for NSCLC patients compared to first-generation TKIs. Further prospective studies are needed to validate these results and explore the impact of treatment-related toxicity.
Relationship Between Asthma Therapy Types, Pulmonary Function, and Asthma Control in Primary Healthcare Facilities in Medan Darmawan, Nengah; Tarigan, Amira Permatasari; Pradana, Andika
Journal of Society Medicine Vol. 4 No. 2 (2025): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.194

Abstract

Introduction: Asthma is a chronic respiratory disease that affects millions globally. Effective asthma therapy is essential for improving pulmonary function and achieving asthma control. However, many patients remain uncontrolled despite treatment. This study aims to evaluate the relationship between asthma therapy types, pulmonary function, and asthma control in primary healthcare facilities in Medan. Method: This retrospective descriptive study utilized medical records of asthma patients from May 2022 to May 2023 at several primary healthcare centers in Medan. Data collected included demographic characteristics, asthma therapy types (inhaler vs. inhaler + oral), pulmonary function (APE prediction), and asthma control levels. Chi-Square tests were performed to assess statistical associations. Results: The study found that most asthma patients were female (83.3%) and over 50 years old (62.5%). Regarding pulmonary function, 73.0% of patients had an APE prediction of ≥60%, indicating relatively good lung function. However, asthma control remained poor, with 68.8% of patients classified as uncontrolled. The majority of patients (68.8%) used inhalers as their primary therapy, while 31.2% received a combination of inhaler and oral medication. Statistical analysis showed no significant relationship between the type of asthma therapy and pulmonary function (p = 1.000), nor between the type of therapy and asthma control level (p = 0.067). Conclusion: The study found no significant relationship between asthma therapy type, pulmonary function, and asthma control level. These findings suggest that other factors, such as therapy adherence, proper inhaler technique, and medication adjustments, may contribute to asthma control.
Reduction of 75% in the Psoriasis Area and Severity Index (PASI) for Moderate-to-Severe Psoriasis Vulgaris Nahrisyah, Nahrisyah; Nababan, Kristo A.
Journal of Society Medicine Vol. 4 No. 2 (2025): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.195

Abstract

Introduction: Psoriasis vulgaris is a chronic inflammatory skin disorder characterized by the presence of scaly, red plaques. The severity of the condition is often evaluated using the Psoriasis Area and Severity Index (PASI), which quantifies the extent and severity of skin lesions. A treatment is considered successful when a PASI 75 is achieved, indicating a 75% reduction in the PASI score. Case: A 26-year-old female presented with itchy and scaly red plaques covering nearly her entire body for the past month. Upon examination, her initial PASI score was 21.8. The patient was treated with a combination of systemic and topical therapies, resulting in a significant clinical improvement. Within two months, the patient achieved a PASI 75, demonstrating a 75% reduction in the PASI score. Conclusion: This case underscores the importance of achieving PASI 75 as a critical treatment goal in both clinical practice and research. It highlights the potential of effective therapy in managing psoriasis vulgaris and serves as a guide for dermatologists in optimizing treatment strategies for psoriasis patient.
Management of A Preeclampsia Patient with Diabetic Ketoacidosis and Acute Pulmonary Edema : A Case Report Fransisca, Arna; Pison , Osmond Muftilov
Journal of Society Medicine Vol. 4 No. 3 (2025): March
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i3.196

Abstract

Introduction: Preeclampsia is a hypertensive disorder that develops after 20 weeks of gestation, often accompanied by proteinuria and maternal organ dysfunction, including pulmonary edema. Women with diabetes are at a higher risk for developing preeclampsia and its complications. Managing severe preeclampsia requires prompt monitoring and intervention, particularly when organ failure and metabolic disturbances are present. Case Report: A 25-year-old pregnant woman at 30-31 weeks of gestation presented with severe dyspnea, high blood pressure (185/105 mmHg), and metabolic disturbances, including diabetic ketoacidosis (DKA) and pulmonary edema. The patient had no prior history of hypertension or diabetes. Laboratory tests revealed elevated ketones, hyponatremia, and mild proteinuria. She was admitted to the ICU, where she received nitroglycerin infusion, fluid resuscitation, and blood glucose regulation. However, her condition worsened, and she required intubation and mechanical ventilation due to severe hypoxemia and respiratory failure. After stabilization, a cesarean section was performed, leading to improvements in her condition. The patient was extubated after three days, and her blood glucose levels were stabilized. Conclusion: This case highlights the complexities of managing severe preeclampsia complicated by pulmonary edema, diabetic ketoacidosis, and urinary tract infections. Early recognition, aggressive treatment, and multidisciplinary care are essential for improving outcomes and preventing further complications in high-risk pregnancies.
Blood Eosinophil Count as a Predictor of Asthma Exacerbation Damanik, Rizki amaliah; Pradana, Andika; Pandia, Pandiaman
Journal of Society Medicine Vol. 4 No. 2 (2025): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.197

Abstract

Introduction: Asthma is a heterogeneous disease characterized by chronic airway inflammation, where eosinophils play a crucial role. Eosinophil levels are often considered a biomarker for asthma severity and treatment response. However, their relationship with asthma exacerbation severity remains unclear. This study aimed to evaluate the relationship between blood eosinophil levels and the severity of asthma exacerbations in patients at Prof. Dr. Chairuddin P. Lubis USU Hospital. Method: This study employed an analytic observational design with a retrospective cohort approach. Data were collected from 25 asthma patients through medical records, including demographic characteristics, blood eosinophil levels, and asthma exacerbation severity. The relationship between eosinophil levels and exacerbation severity was analyzed using the Whitney test. Results: The majority of asthma patients were in the 26-50 age group (44%) and predominantly female (80%). Most patients had blood eosinophil levels <100 (84%), and severe exacerbations were the most common (72%). Statistical analysis showed no significant relationship between blood eosinophil levels and asthma exacerbation severity (p = 0.976). Conclusion: This study found no significant correlation between blood eosinophil levels and asthma exacerbation severity. Other factors, such as corticosteroid use, delayed immune response, and non-eosinophilic asthma, may influence exacerbation severity. These findings emphasize the importance of a multidimensional evaluation in asthma management, including the identification of different asthma phenotypes to guide more precise treatment strategies.
Analysis of Blood Eosinophil Levels as an Indicator of Controlled Asthma Classification at the University of Sumatra Utara Hospital Damanik, Rizki Amaliah; Pradana, Andika; Pandia, Pandiaman
Journal of Society Medicine Vol. 4 No. 3 (2025): March
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i3.198

Abstract

Introduction: Asthma is a chronic inflammatory disease of the airways characterized by variable airflow obstruction. Eosinophils play a crucial role in airway inflammation and may serve as a biomarker for asthma control classification. This study aims to analyze the relationship between blood eosinophil levels and asthma control classification in patients at the University of Sumatra Utara Hospital. Methods: This was an analytical observational study with a retrospective cohort approach based on medical records. A total of 25 stable asthma patients who had been receiving inhaled corticosteroid-long-acting beta-agonist (ICS-LABA) therapy for at least one year were included. Data were analyzed using SPSS version 26, and the Kruskal-Wallis test was performed to assess the relationship between eosinophil levels and asthma control classification. Results: The majority of patients were aged 26-50 years (44%) and female (80%). Most patients had eosinophil levels <100 (84%), while 8% had levels between 100-300 and another 8% had levels >300. Regarding asthma control, 46.7% of patients were fully controlled, 43.3% were partially controlled, and 10% were uncontrolled. Statistical analysis showed a significant relationship between eosinophil levels and asthma control classification (p = 0.009), indicating that lower eosinophil levels are associated with better asthma control. Conclusion: The study found that lower eosinophil levels were associated with better asthma control. These findings suggest that blood eosinophil levels may serve as an indicator for assessing asthma control, though further research is needed to confirm this relationship.
Relationship Between Left Atrium Reservoir Strain and One-Year Mortality After Surgery in Patients with Severe Primary Mitral Regurgitation Undergoing Mitral Valve Replacement at Haji Adam Malik General Hospital, Medan Abimanyu, Roni; Ketaren, Andre Pasha; Nasution, Ali Nafiah
Journal of Society Medicine Vol. 4 No. 2 (2025): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.200

Abstract

Introduction: Severe primary Mitral Regurgitation (MR) is a public health program that continues to grow. Echocardiography is still a tool to assess the severity and prognostic of mitral valve disease. LASr assessment has the benefit of assessing the prognostic in patients who have undergone mitral valve replacement surgery. This study aimed to determine the relationship between LASr and mortality one year after surgery for severe primary MR undergoing valve replacement surgery Methods: This study is an analytic study with a cross-sectional design on 55 subjects with severe primary MR who met the inclusion and exclusion criteria at Haji Adam Malik General Hospital. LASr was measured before surgery and followed by the incidence of mortality one year after mitral valve replacement surgery. Data were analyzed univarite and bivariate as well by correlation tests to assess the relationship between LASr and one-year mortality in severe primary MR undergoing valve replacement surgery Results: The study subject totaled 55 patients with an average age of 39,35 ± 12,59 years, 28 patients (50.9%) were male and 11 patients (20%) experienced mortality. The main cause of mitral valve abnormalities in this study was rheumatic, namely 39 cases (70.9%). The LASr threshold value was found to be 18.8 (sensitivity: 90.9%; specificity: 70.5%). (AUC: 0.851; P = 0.0001 and 95% CI (0.751 – 0.952). Conclusion: LASr has a significant correlation to predict one-year mortality in patients with severe primary mitral regurgitation undergoing mitral valve replacement surgery.