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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 236 Documents
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Response-Guided Low-Temperature Radiofrequency Ablation Without Escalation Above 60°C for Trigeminal Neuralgia: Two Case Reports Rizky Ramadhana; Rahendra Rahendra
Journal of Society Medicine Vol. 5 No. 7 (2026): July
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i7.301

Abstract

Introduction: Radiofrequency ablation (RFA) is an established interventional treatment for trigeminal neuralgia refractory to pharmacotherapy. Conventional protocols often escalate the temperature stepwise to 70–80°C; however, higher temperatures increase the risk of sensory complications. Whether selected patients can achieve pain control without escalation above 60°C remains clinically relevant. Case Description: We report two patients with idiopathic trigeminal neuralgia of the mandibular (V3) division treated using a response-guided, low-temperature, fluoroscopy-guided RFA strategy. A 58-year-old man (baseline Numeric Rating Scale [NRS] 8) received two lesions at 50°C for 60 seconds each; a 63-year-old woman (baseline NRS 10) received two lesions at 60°C for 60 seconds each. Both had persistent pain despite paracetamol and pregabalin. Needle placement through the foramen ovale toward Meckel's cave was confirmed fluoroscopically, with sensory and motor testing. Both patients achieved complete pain relief immediately after the procedure (NRS 0), sustained at the three-month follow-up, without corneal complications, dysesthesia, motor deficits, or other adverse events. Conclusion: Response-guided low-temperature RFA without escalation above 60°C may provide effective short-term pain relief in selected patients with idiopathic trigeminal neuralgia while minimizing unnecessary thermal exposure to healthy tissues. Prospective studies are needed to define the optimal patient selection, temperature, and long-term durability.
Polycystic Ovary Syndrome (PCOS) as a Risk Factor for Preeclampsia and Cognitive Dysfunction Ira Febri Yani; Irmiya Rachmiyani; Yudhisman Imran; Triasti Khusfiani; Dina Putri Nasution; Emad Yousif
Journal of Society Medicine Vol. 5 No. 5 (2026): May
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i5.302

Abstract

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. PCOS is associated with various metabolic disturbances, such as insulin resistance, obesity, dyslipidemia, and chronic inflammation, which may increase the risk of pregnancy complications, such as preeclampsia. In addition to increasing the risk of preeclampsia, PCOS has also been linked to a decline in cognitive function resulting from the effects of hyperandrogenism, insulin resistance, and systemic inflammation on neuronal function. Therefore, PCOS not only increases the risk of developing preeclampsia but may also play an indirect role in cognitive dysfunction. This narrative review discusses the role of PCOS as a risk factor for preeclampsia and cognitive impairment and the interconnected pathophysiological mechanisms linking these conditions.
Clinicopathological Profile of Colorectal Cancer Patients at Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia: A Single-Center Retrospective Study Nanda Subhan; Khalikul Razi; Maria Meildi; Darul Ilham; T. Fenny Novhera
Journal of Society Medicine Vol. 5 No. 5 (2026): May
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i5.303

Abstract

Introduction: Colorectal cancer (CRC) is a major global malignancy and a growing issue in Southeast Asia, with limited data from Indonesian hospitals outside Java. This study described demographic, anatomical, pathological, staging, and surgical characteristics of CRC patients at Dr. Zainoel Abidin General Hospital, Banda Aceh, in 2024. Methods: This retrospective study reviewed records of histopathologically confirmed CRC patients treated between January and December 2024. Incomplete records were excluded. Variables included age, sex, tumor location, AJCC stage, histological subtype, and surgical procedure. Continuous variables are mean ± standard deviation; categorical variables are frequencies and percentages with 95% confidence intervals. Statistical comparisons used chi-square goodness-of-fit, one-sample t-test, and proportion tests, with p < 0.05 significant. Results: Fifty-seven patients were included. Mean age was 49.37 ± 12.4 years, significantly younger than the global reference of 60 years (p < 0.001). Most were aged 46–65 years (57.9%), with males slightly predominating (54.4%). The rectum was the most common tumor site (56.1%), and stage III was most frequent (40.4%). Advanced-stage disease (stage III–IV) was observed in 52.6%. Adenocarcinoma accounted for 91.2%. Open laparotomy was the most common surgical approach (70.2%), followed by abdominoperineal resection, low anterior resection, and Hartmann procedure. Conclusion: CRC patients at RSUDZA in 2024 presented younger, with rectal predominance, frequent advanced-stage disease, and a dominance of open surgery, highlighting the need for earlier detection and surgical capacity in Aceh, Indonesia.
Academic Stress as a Trigger Factor for Migraine in College Students: A Literature Review Yudhisman Imran; Akialyn Naznin Sorfina
Journal of Society Medicine Vol. 5 No. 7 (2026): July
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i7.304

Abstract

Migraine is a common primary headache disorder among college students and is strongly associated with impaired academic performance and a reduced quality of life. Students are a particularly vulnerable population owing to their sustained exposure to academic demands, irregular lifestyles, and poor sleep. Among the many reported precipitants, academic stress is one of the most frequently cited triggers of migraine attacks; however, its contribution is shaped by multiple interacting factors. This narrative literature review synthesizes the current evidence on the relationship between academic stress and migraine in college students, integrating epidemiological, pathophysiological, and psychosocial perspectives. The reviewed literature indicates that migraine is a multifactorial disorder involving neurovascular mechanisms, genetic predisposition, hormonal influences, lifestyle, and psychological factors. Academic stress arises from examinations, assignments, time pressure, and performance expectations, and higher stress levels are consistently associated with a greater frequency and severity of attacks. Prolonged stress may activate the sympathetic nervous system and hypothalamic–pituitary–adrenal axis, producing hormonal changes and heightened pain sensitization. Lifestyle factors common among students, such as poor sleep quality, irregular meals, dehydration, and limited physical activity, further amplify migraine vulnerability. However, some studies have reported inconsistent associations, indicating that academic stress is not an isolated determinant. Overall, academic stress contributes meaningfully to migraine, particularly when combined with poor sleep and unhealthy lifestyles; however, migraine ultimately results from complex biological, psychological, and environmental interactions. Therefore, preventive strategies should adopt a holistic approach encompassing stress management, lifestyle modification, and psychosocial support within academic settings.
The Benefit of Application-Based Education Using the Healthy Lungs Version 2.0 on Inhaler Adherence Among Patients with Chronic Obstructive Pulmonary Disease at RS Prof. Dr. Chairuddin P. Lubis Muhammad Pany Al-A’raf; Amira Permata Sari Tarigan; Andika Pradana
Journal of Society Medicine Vol. 5 No. 7 (2026): July
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i7.305

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. Inhalation therapy is central to management; however, suboptimal adherence and incorrect inhaler technique contribute to poor disease control and recurrent exacerbations. Application-based education provides continuous, standardized, accessible instruction that may improve adherence to inhaler therapy. The Healthy Lungs application 2.0 was developed in the Philippines for COPD patients to evaluate its educational effectiveness on inhaler adherence at RS Prof. Dr. Chairuddin P. Lubis, University of North Sumatra, Indonesia. Methods: An analytical study with a case–control approach enrolled 50 patients with COPD selected by consecutive sampling. Inhaler adherence was assessed with a structured questionnaire before and after the application-based intervention. Normality was examined with the Kolmogorov–Smirnov test, and pre- versus post-intervention adherence was compared using the Wilcoxon signed-rank test, with significance set at p < 0.05. Results: The respondents were predominantly elderly (43%) and male (58%). Before the intervention, low adherence predominated (50%); afterwards, the proportion with high adherence rose to 42%, with most respondents improving and few declining. The Wilcoxon test demonstrated a significant difference in adherence before and after the intervention (Z = –3.196; p = 0.001), with a large effect size (Cohen's d = 1.05). Conclusion: Education delivered through the Healthy Lungs app significantly improved inhaler adherence among patients with COPD, supporting its use as an adjunct to conventional inhaler counseling.
The Impact of Recurrent Seizures on Cognitive Functions in Epilepsy: A Literature Review Yudhisman Imran; Ainaya Az Zahra
Journal of Society Medicine Vol. 5 No. 7 (2026): July
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i7.309

Abstract

Epilepsy is among the most prevalent chronic neurological disorders, affecting more than 50 million people worldwide and contributing substantially to the global burden of neurological disease. Beyond the seizures themselves, recurrent epileptic activity is increasingly recognized as a driver of progressive cognitive decline; however, cognitive comorbidity remains under-addressed in routine clinical management. This literature review synthesizes current evidence on the mechanisms, clinical manifestations, and assessment of cognitive impairment associated with recurrent seizures. Recurrent seizures arise from an imbalance between excitatory (glutamate) and inhibitory (GABA) neurotransmission, producing neuronal hyperexcitability and hypersynchronization. During and after seizure episodes, cyclooxygenase-2–dependent cerebral vasoconstriction induces localized hypoperfusion and hypoxia; when repeated, these events accumulate, causing structural and functional brain injury. The hippocampus, essential for memory, is particularly vulnerable to hypoxic-ischemic damage, whereas temporal- and frontal-lobe involvement disrupts memory, language, attention, and executive function. Approximately 60–70% of patients with chronic epilepsy experience cognitive impairment, the severity of which is modulated by age at onset, seizure frequency, duration, and antiepileptic drug use. Practical screening tools such as the Montreal Cognitive Assessment (MoCA), including its validated Indonesian version (MoCA-Ina), demonstrate higher sensitivity than the Mini-Mental State Examination for detecting mild impairment, while brain-derived neurotrophic factor represents a promising biomolecular marker of cognitive dysfunction. Collectively, the evidence indicates that epilepsy management should extend beyond seizure control to incorporate routine cognitive surveillance. Early detection through sensitive screening instruments enables comprehensive, individualized treatment planning and may ultimately improve the long-term quality of life for people living with epilepsy.

Page 24 of 24 | Total Record : 236

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