cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
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)
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 245 Documents
 21   22   23   24   25 
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
Publisher : CoinReads Media Prima

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
Publisher : CoinReads Media Prima

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
Publisher : CoinReads Media Prima

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.
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
Publisher : CoinReads Media Prima

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
Publisher : CoinReads Media Prima

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.
Antibiotics versus Surgery for Uncomplicated Acute Appendicitis in Adults: A Meta-Analysis of Randomized Controlled Trials Heri Gunanti Surbakti; Atikah Najla Rodhiah
Journal of Society Medicine Vol. 5 No. 8 (2026): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i8.287

Abstract

Introduction: Appendectomy has been used to treat appendicitis for a century, but randomized controlled trials (RCTs) have challenged its efficacy in uncomplicated disease. We performed a meta-analysis to quantify 1-year antibiotic-first efficacy and compare complications with appendectomy in adults. Methods: Following PRISMA 2020, MEDLINE, Embase, CENTRAL, and trial registries were searched to June 2026 for RCTs comparing antibiotics with appendectomy in adults (≥16 years) with imaging- or clinically diagnosed uncomplicated appendicitis. The co-primary outcomes were overall treatment-related complications (risk ratio [RR], random-effects DerSimonian–Laird model) and pooled 1-year efficacy of antibiotics (proportion avoiding appendectomy, logit-transformed model). Heterogeneity (I²), leave-one-out sensitivity analyses, subgroup analysis by diagnostic modality, and Egger’s test were performed; bias was assessed with RoB 2. Results: Eight RCTs (3,202 participants) were included. Pooled 1-year efficacy of antibiotics was 70.9% (95% CI 65.3–76.0%; I²=43%), consistent across imaging-confirmed (71.4%) and clinically diagnosed (70.0%) appendicitis. For complications, the pooled RR was 0.91 (95% CI 0.19–4.48; I²=90%), with very high heterogeneity explained by trial design: omitting the single trial using open appendectomy reversed the estimate and removed heterogeneity (RR 2.25, 95% CI 1.39–3.64; I²=4%), indicating that antibiotics do not reduce, and may increase, complications versus contemporary laparoscopic surgery, particularly with an appendicolith. Conclusion: An antibiotics-first strategy allowed seven of ten adults to avoid appendectomy at one year and is reasonable for uncomplicated appendicitis. However, it does not reduce complications compared to laparoscopic appendectomy and carries recurrence. Shared decision-making, appendicolith exclusion, and follow-up are essential.
Prophylactic Antibiotic Efficacy and Factors Associated with Surgical Site Infection in Complicated Appendicitis Undergoing Appendectomy: A Systematic Review and Meta-Analysis Herdi Gunanta Syaiful; Amir Fajar; Ahmad Muhtadi
Journal of Society Medicine Vol. 5 No. 8 (2026): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i8.289

Abstract

Introduction: Surgical site infection (SSI) is the leading preventable complication after appendectomy for complicated (gangrenous, perforated, or abscess-forming) appendicitis. Perioperative antibiotic prophylaxis is established; however, whether prolonging postoperative antibiotics adds benefit and which patient- and operation-related factors drive SSI remain contested. We synthesized the efficacy of prolonged versus short-course prophylaxis and the factors associated with SSI. Methods: Following PRISMA 2020, we searched MEDLINE, Embase, and CENTRAL to July 2026 for studies of patients undergoing appendectomy for complicated appendicitis that reported SSI. Randomized and cohort studies comparing short versus extended postoperative antibiotics were pooled as risk ratios (RR); adjusted odds ratios (OR) for factors associated with SSI were pooled by inverse-variance random-effects (DerSimonian–Laird) models. Heterogeneity (I²), prediction intervals, leave-one-out analyses, and Egger's test were assessed. Results: Eleven studies (4,135 patients) were included in the analysis. Prolonging antibiotics beyond a short course did not reduce incisional SSI (randomized trials: RR 1.91, 95% CI 0.90–4.03; all studies: RR 1.12, 95% CI 0.54–2.36, I²=34%) or intra-abdominal abscesses (RR 1.00, 95% CI 0.71–1.42, I²=0%). Three factors were independently associated with SSI: complicated/perforated pathology (OR 4.75, 95% CI 2.81–8.04), open versus laparoscopic approach (OR 2.41, 95% CI 1.22–4.77), and prolonged operative duration (OR 2.68, 95% CI 1.75–4.11). Conclusion: Prophylaxis is essential in complicated appendicitis, but it need not be prolonged; extending beyond a course does not reduce SSI or intra-abdominal abscesses, supporting stewardship. The SSI burden reflects disease severity, open approach, and prolonged operations, guiding risk-adapted prevention over longer courses.
Bullous Pemphigoid Suspected to Be Caused by COVID-19 Vaccine: A Case Report Cut Putri Hazlianda; Rinda C. Risanti Risanti
Journal of Society Medicine Vol. 5 No. 8 (2026): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i8.290

Abstract

Introduction: Bullous pemphigoid (BP) is the most common autoimmune subepidermal blistering disease caused by autoantibodies against hemidesmosomal proteins, BP180 and BP230. Although usually idiopathic, BP has increasingly been reported following COVID-19 vaccination, and early recognition of this association is clinically important. Case Description: A 64-year-old man developed widespread tense bullae over erythematous skin with pruritus and pain, sparing the face, two days after the first dose of an inactivated (Sinovac) COVID-19 vaccine. He had no history of drug or food allergy, prior skin disease, or relevant comorbidities. Dermatological examination revealed multiple tense bullae with papular and vesicular lesions over erythematous macules and plaques on the extremities and trunk, with erosions, excoriations, and crusts; Nikolsky’s sign was negative. Histopathology demonstrated subepidermal bullae with acanthosis and an inflammatory infiltrate rich in eosinophils, lymphocytes, and neutrophils, confirming BP suspected to be vaccine-induced. The patient was treated with systemic and topical corticosteroids, oral antibiotics, antihistamines, and supportive care. After one week, the lesions improved markedly, with no new bullae, and corticosteroids were gradually tapered. Conclusion: Bullous pemphigoid may develop shortly after COVID-19 vaccination. Although a causal relationship cannot be firmly established, clinicians should remain aware of this potential association, particularly in elderly patients presenting with new-onset blistering eruptions after vaccination, as early recognition enables prompt management and favorable outcomes.
Bullous Pemphigoid in a Young Female: A Case Report Cut P. Hazlianda; Elza Wahyuni
Journal of Society Medicine Vol. 5 No. 8 (2026): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i8.291

Abstract

Introduction: Bullous pemphigoid (BP) is the most common autoimmune subepidermal blistering disease, mediated by autoantibodies against hemidesmosomal proteins BP180 and BP230, which activate the complement system, recruit eosinophils and neutrophils, and produce subepidermal bullae. Although BP typically affects older adults, it can occasionally arise in young patients, and prompt recognition and objective monitoring of disease activity are important. Case Description: A 22-year-old woman presented with a two-week history of pruritic, fluid-filled tense bullae over the trunk, axillae, forearms, palms, and thighs, which were unresponsive to topical betamethasone and cetirizine. Examination revealed tense, clear, and hemorrhagic bullae on erythematous macules with a negative Nikolsky’s sign, and the initial Bullous Pemphigoid Disease Area Index (BPDAI) was 23 (moderate). Histopathological examination revealed subepidermal bullae with eosinophil- and neutrophil-rich infiltrates, confirming the BP diagnosis. Laboratory testing revealed thrombocytopenia underlying the hemorrhagic lesions, and oral mucosal involvement was observed during follow-up. She was treated with systemic and topical corticosteroids, an antihistamine, and supportive care. The BPDAI progressively decreased to 17 at two weeks and 7 at three weeks, with no new lesions. Conclusion: Oral and topical corticosteroids were effective in treating moderate bullous pemphigoid in this patient. Serial BPDAI scoring provides a practical and objective measure of treatment response and supports timely dose adjustment.
Gut-Origin Sepsis After Radical Cystectomy and Ileal Conduit: Early Intensive Care Unit Recognition and Targeted Management Leading to Rapid Recovery Ida Juita Halim; Vera Irawany
Journal of Society Medicine Vol. 5 No. 8 (2026): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v5i8.292

Abstract

Introduction: Gut-origin sepsis is an important but under-recognized source of postoperative systemic inflammation in critically ill patients. Disruption of the intestinal mucosal barrier after major surgery may facilitate bacterial translocation and trigger systemic inflammatory responses, even without overt intra-abdominal infection or positive blood culture. Early recognition remains challenging because clinical manifestations are often nonspecific, underscoring the value of simple, available biomarkers. Case Description: We report a 74-year-old man who developed early features suggestive of gut-origin sepsis after open radical cystectomy with ileal conduit for muscle-invasive bladder cancer. Despite stable macrocirculatory parameters and no vasopressor requirement, the patient exhibited persistent hyperlactatemia (6.1 mmol/L), lymphopenia (absolute lymphocyte count 711/µL), and an elevated neutrophil-to-lymphocyte ratio (NLR 16.9). Prompt admission to the intensive care unit and early targeted management—including optimized fluid resuscitation with albumin, broad-spectrum antimicrobial therapy, empirical antifungal coverage, and multimodal opioid-sparing analgesia—were followed by rapid clinical and laboratory improvement. Within 72 hours, serum lactate decreased to 2.8 mmol/L, the absolute lymphocyte count rose to 792/µL, and the NLR fell to 13.1. The patient was successfully extubated and discharged from the intensive care unit without progression to multiple organ dysfunction. Conclusion: This case underscores the clinical value of early intensive care recognition of gut-origin sepsis using simple, routinely available biomarkers, such as serum lactate, absolute lymphocyte count, and NLR. Optimal outcomes depend on a high index of suspicion and timely, physiology-based intervention delivered through a coordinated critical care approach in high-risk postoperative patients.

Page 24 of 25 | Total Record : 245

 21   22   23   24   25 

Filter by Year

2022 2026


Reset
Filter By Issues
All Issue Vol. 5 No. 8 (2026): August Vol. 5 No. 7 (2026): July Vol. 5 No. 6 (2026): June Vol. 5 No. 5 (2026): May Vol. 5 No. 4 (2026): April Vol. 5 No. 3 (2026): March Vol. 5 No. 2 (2026): February Vol. 5 No. 1 (2026): January Articles in Press Vol. 4 No. 12 (2025): December Vol. 4 No. 11 (2025): November Vol. 4 No. 10 (2025): October Vol. 4 No. 9 (2025): September Vol. 4 No. 8 (2025): August Vol. 4 No. 7 (2025): July Vol. 4 No. 6 (2025): June Vol. 4 No. 5 (2025): May Vol. 4 No. 4 (2025): April Vol. 4 No. 3 (2025): March Vol. 4 No. 2 (2025): February Vol. 4 No. 1 (2025): January Vol. 3 No. 12 (2024): December Vol. 3 No. 11 (2024): November Vol. 3 No. 10 (2024): Oktober Vol. 3 No. 9 (2024): September Vol. 3 No. 8 (2024): August Vol. 3 No. 7 (2024): July Vol. 3 No. 6 (2024): June Vol. 3 No. 5 (2024): May Vol. 3 No. 4 (2024): April Vol. 3 No. 3 (2024): March Vol. 3 No. 2 (2024): February Vol. 3 No. 1 (2024): January Vol. 2 No. 12 (2023): December Vol. 2 No. 11 (2023): November Vol. 2 No. 10 (2023): October Vol. 2 No. 9 (2023): September Vol. 2 No. 8 (2023): August Vol. 2 No. 7 (2023): July Vol. 2 No. 6 (2023): June Vol. 2 No. 5 (2023): May Vol. 2 No. 4 (2023): April Vol. 2 No. 3 (2023): March Vol. 2 No. 2 (2023): February Vol. 2 No. 1 (2023): January Vol. 1 No. 3 (2022): December Vol. 1 No. 2 (2022): November Vol. 1 No. 1 (2022): October More Issue