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 
Fluid Balance Profile in Patients Admitted to the Intensive Care Unit (ICU) of Haji Adam Malik Central General Hospital, Medan, January–June 2025 Ahmad Yafiz Hasby; Muhammad Shiddiq
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.v5i8.299

Abstract

Introduction: Fluid balance is a critical component of intensive care unit (ICU) patient management, and both positive and negative imbalances are associated with increased morbidity and mortality. Evidence regarding the cumulative fluid balance in Indonesian ICUs remains limited. To determine the fluid balance profile of ICU patients and its relationship with patient outcome and length of stay Methods: A descriptive-analytical observational study with a cross-sectional design was conducted at the ICU of Haji Adam Malik Central General Hospital, Medan, from January to June 2025. Of 222 patients screened, 64 adults (≥18 years) treated for ≥24 h were selected by total sampling from medical records. Cumulative fluid balance was categorized as positive or negative, and bivariate associations with outcome and length of stay were assessed using the chi-square test (p<0.05). Results: The majority of patients (59.4%) had a negative cumulative fluid balance. Negative balance predominated among patients aged 25–65 years, males, those with medical admissions, and obese patients, whereas positive balance predominated among those aged >65 years, females, those with surgical admissions, and underweight patients. Fluid balance was significantly associated with patient outcomes (p=0.003) and length of stay (p=0.001). Negative balance was associated with survival (79.3%) and a stay >7 days (80.5%), whereas positive balance was more frequent among deceased patients (57.1%) and those staying 1–3 days (81.8%). Conclusion: Negative cumulative fluid balance predominated and was associated with survival and a longer ICU stay. Close monitoring and individualized fluid management are essential for optimizing patient outcomes.
CONTINUOUS ADDUCTOR CANAL BLOCK IN A MORBIDLY OBESE HYPERTENSIVE PATIENT UNDERGOING POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: A CASE REPORT Yohanes Suandrianno; Aida Rosita Tantri
Journal of Society Medicine Articles in Press
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Morbid obesity with uncontrolled hypertension presents significant challenges in anesthetic management due to increased risks of perioperative respiratory complications and hemodynamic instability. This case report aims to describe the use of combined spinal anesthesia and continuous adductor canal block (ACB) in a morbidly obese patient undergoing posterior cruciate ligament reconstruction. A 31-year-old male weighing 130 kg with a height of 173 cm (BMI 43.4 kg/m²) was diagnosed with right posterior cruciate ligament rupture and had a preoperative blood pressure of 168/102 mmHg. Physical and laboratory examinations were otherwise unremarkable. Spinal anesthesia was performed using 15 mg of 0.5% hyperbaric bupivacaine at the L2–L3 interspace. Prior to surgical incision, ultrasound-guided ACB was performed and a continuous catheter was inserted. Postoperatively, a loading dose of 15 mL of 0.25% levobupivacaine was administered via the catheter, followed by continuous infusion of 0.125% levobupivacaine at 5 mL/hour for 48 hours. The three-hour surgery proceeded with stable hemodynamics and no vasopressor requirement. Postoperative pain scores ranged from NRS 1–2 without the need for rescue opioids and without complications. The combination of spinal anesthesia and continuous ACB provided hemodynamic stability and effective analgesia while preserving motor function and minimizing opioid use, suggesting its suitability for patients with similar risk profiles.
Immune-metabolic Failure in Fatal Septic Shock Caused by ESBL-producing Escherichia coli with a PICS-like Trajectory and Gastrointestinal Involvement: A Case Report Lundu Suhut Philip; Vera Irawany
Journal of Society Medicine Articles in Press
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Septic shock complicated by multiple organ dysfunction is a leading cause of death in critically ill patients. Infections caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli are particularly challenging because antimicrobial resistance may delay effective therapy. The gastrointestinal tract is increasingly recognized as an amplifier of systemic inflammation through barrier disruption and bacterial translocation, particularly in patients with chronic enteropathy and severe malnutrition. Case presentation: A 29-year-old man with a history of intestinal tuberculosis, inflammatory bowel disease, and recent nephrotic syndrome presented with chronic watery diarrhea, vomiting, oliguria, and scleral icterus. Admission findings included leukocytosis, lymphopenia, a neutrophil-to-lymphocyte ratio of 25.9, acute kidney injury, hyponatremia, profound hypoalbuminemia (12.1 g/L), and procalcitonin above 32 ug/L. His course progressed to encephalopathy, recurrent seizures, upper gastrointestinal bleeding, coagulopathy, and vasopressor-dependent shock with anuric renal failure requiring continuous renal replacement therapy. Blood cultures grew ESBL-producing E. coli, and contrast-enhanced abdominal computed tomography showed diffuse bowel wall thickening. Serial biomarkers revealed progressive lymphopenia, persistent hypoalbuminemia, and rising lactate (10.5 mmol/L), consistent with immune-metabolic failure and a persistent inflammation, immunosuppression, and catabolism syndrome (PICS)-like trajectory. He died on the intensive care unit on day 10 due to refractory multiorgan failure. Conclusion: In vulnerable hosts with chronic enteropathy and malnutrition, marked gastrointestinal involvement combined with serial immune-metabolic biomarkers may help identify early high-risk deterioration and support repeated source reassessment and timely antimicrobial optimization.
Integrated Masimo and MostCare Monitoring in Pediatric Kidney Transplantation: A Case Report Listyo Lindawati Julia; Andi Ade Ramlan
Journal of Society Medicine Articles in Press
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Pediatric kidney transplantation poses major hemodynamic challenges; donor–recipient size mismatch means the graft demands roughly 25% of the recipient's cardiac output, so accurate assessment is essential to protect graft perfusion and prevent delayed graft function. We demonstrate the value of integrating noninvasive (Masimo Root) and invasive (MostCare PRAM) monitoring to optimize goal-directed anesthesia. Case Description: A 10-year-old boy (24 kg) with end-stage kidney disease underwent living-related kidney transplantation using combined monitoring. Masimo Root provided continuous hemoglobin (SpHb), volume status (Pleth Variability Index), and sedation depth (Patient State Index, PSI); MostCare PRAM provided beat-to-beat stroke volume variation (SVV), cardiac output, and arterial elastance (Ea). Real-time integration guides precise fluid titration. Adequate sedation (PSI 25–50) and stable hemodynamics (SVV <10%, Ea 1.19 mmHg/mL) were maintained, and the crystalloid was restricted to 700 mL. The patient remained stable throughout the 8-hour procedure and was extubated in the operating room with prompt urine output and immediate graft function. Conclusion: Integrated Masimo Root and MostCare PRAM monitoring enables individualized goal-directed anesthesia, balancing hypovolemia and fluid overload risks, enhancing intraoperative stability, optimizing graft perfusion, minimizing fluid-related complications, and facilitating rapid recovery with early graft function in high-risk pediatric kidney transplant recipients.
Primary Closure and Local Flap Reconstruction in a Neonate with Giant Meningoencephalocele: A Case Report and Technical Considerations Risa Anggia; Imam Hidayat; Syamsul Rizal
Journal of Society Medicine Articles in Press
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Meningoencephalocele is a rare congenital neural tube defect with herniation of meninges and brain tissue through a skull defect. Large occipital meningoencephaloceles in neonates pose surgical challenges due to fragile tissues, limited physiological reserve, and high risk of CSF leakage and infection. While neurosurgical principles are established, optimal soft-tissue reconstruction in neonates is underreported. Objective: This case report describes a multidisciplinary surgical approach and reconstructive strategy for a neonatal occipital meningoencephalocele, emphasizing plastic and reconstructive considerations supporting neurosurgical objectives. Method: An 11-day-old female neonate presented with a large midline occipital mass noted since birth. Examination revealed a soft, fluctuant, skin-covered lesion without neurological deficit or infection. Imaging showed an occipital skull defect with herniation of meninges and brain tissue, consistent with occipital meningoencephalocele. After evaluation, staged surgical management was performed. Neurosurgical excision of non-functional herniated tissue and watertight dural closure was followed by scalp reconstruction using a local occipital flap for tension-free coverage. Result: The patient underwent staged neurosurgical excision and watertight dural repair followed by tension-free scalp reconstruction using a local occipital rotation flap. The post-excisional soft-tissue defect measured approximately 8 × 6 cm. Total operative time was about 180 minutes. No intraoperative complications occurred. Postoperatively, the neonate showed stable wound healing without CSF leakage, wound dehiscence, infection, or neurological deterioration during early follow-up. Conclusion: A staged, multidisciplinary approach combining precise neurosurgical repair with local flap reconstruction can achieve safe closure, protect neural structures, and provide durable functional and aesthetic outcomes in neonatal occipital meningoencephalocele.

Page 25 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