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The Journal of Society Medicine (JSOCMED)
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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 193 Documents
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Factor Influencing Mortality in Moderate - Severe Covid-19 Patients In Tertiary Hospital, Indonesia Faried, Mukhamad; Ginting, Franciscus; Kembaren, Tambar; Eyanoer, Putri Chairani
Journal of Society Medicine Vol. 2 No. 7 (2023): July
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.70

Abstract

Introduction: Covid-19 is highly contagious respiratory tract infection caused by infection of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This infection has a case fatality rate in those with moderate – severe case up to 30%. This study aims to analyse factor influencing mortality in moderate to severe Covid-19. Method: This study was conducted using retrospective cohort study on moderate - severe Covid-19 patients who were treated in tertiary hospital in Medan, Indonesia, in March 2020-June 2022. Results: From 180 moderate – severe Covid-19 inpatients, up to 37,8% died. Factor that influences the mortality is the presence of comorbidity (P=0,001), such as hypertension and chronic kidney disease (CKD), high levels of neutrophil-lymphocyte Ratio (NLR), procalcitonin, c-reactive protein (CRP), D-dimer, and low levels of albumin with P values 0,016, 0,036, 0,001, 0,001, 0,001, 0,003, and 0,006 consecutively. Conclusion: It can be concluded that the demographic factors that are significantly related to the death of Covid-19 patients are the presence of comorbidities such as hypertension and CKD.
Osmolarity Changes after Mannitol Administration in Cerebral Edema Patients Tampubolon, Monica; Iqbal, Kiki M.; Pujiastuti, R. A. Dwi
Journal of Society Medicine Vol. 2 No. 7 (2023): July
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.71

Abstract

Introduction: Cerebral edema is commonly associated with cerebral pathology, and the clinical manifestation is greatly influenced by the underlying damaged tissue. Mannitol is the most widely used osmotic agent to reduce intracranial pressure. Giving osmotic therapy with 20% mannitol has the benefit of reducing ICP but can increase plasma osmolarity which can increase the risk of kidney disorders in patients with cerebral edema. This study aimed to assess osmolarity changes after mannitol administration in cerebral edema patients. Method: This is a pre-experimental study with a one-group pretest-posttest design. The research subjects were taken from the patient population of H. Adam Malik General Hospital Medan and Network Hospitals. The determination of research subjects was carried out according to the non-random sampling method consecutively and obtained as many as 32 research samples conducted from December 2022-April 2023. To determine changes in plasma osmolarity, a paired t-test was performed. Results: The mean osmolarity before mannitol administration was 303.74±11.59 mOsm/L and after mannitol administration was 307.01±14.83 mOsm/L, with an average change in osmolarity was 3.27±12.19 mOsm/L. There were no significant changes in mean plasma osmolarity after administration of mannitol (p=0.139). Based on the analysis of laboratory components, a significant increase in BUN values was found after the administration of mannitol (p=0.003). Conclusion: In patients with cerebral edema, mannitol treatment is generally safe and does not result in clinically significant electrolyte abnormalities. But during and after mannitol therapy, electrolyte and renal function monitoring is required.
The Relationship between Cognitive Function and Quality of Life in Patient with Intracranial Tumors at Haji Adam Malik Hospital Medan Sari, Effi Rohani Nuzul; Rambe, Aldy Safruddin; Nasution, Irina Kemala
Journal of Society Medicine Vol. 2 No. 8 (2023): August
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i8.73

Abstract

Introduction: Cognitive function, which is also known as the higher cortical function, is the most important aspect in determining the independence of patient. In patients with intracranial tumors, the presence of a tumor can directly affect cognitive function which affects quality of life. Quality of life is an important component in clinical neurooncology, especially intracranial tumors in determining the independence and choice of therapeutic approach. However, research related to the relationship between cognitive function and quality of life is still minimal. Method: This study used a cross-sectional method using an observational analytic approach in patients with intracranial tumors. The study subjects were 30 intracranial tumor patients and the MoCA-INA and Barthel Index were assessed. Results: Of the 30 research subjects, the majority were female (60.0%), average age 49.8 years, university education (50.0%), and Javanese ethnicity (53.3%). Headache is the most common manifestation (83.3%). Most of the patients had tumor involvement of one lobe (63.3%), and located in the parietal lobe (63.3%). There is a significant relationship between cognitive function and quality of life of intracranial tumor patients (p = 0.012). Conclusion: There is a relationship between cognitive function and quality of life of intracranial tumor patients.
Relationship between Stage of Chronic Kidney Disease with Cardiomegaly Imaging in Posteroanterior Chest X-Ray at Haji Adam Malik Hospital Medan Retno, Adi; Harahap, Evo Elidar; Nasution, Bayu Rusfandi
Journal of Society Medicine Vol. 2 No. 8 (2023): August
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i8.77

Abstract

Introduction: Chronic kidney disease (CKD) is one of the most serious health problems still faced globally. Cardiovascular complications are a major cause of morbidity and mortality in patients with chronic kidney disease. In general, cardiomegaly is found in patients with uremia which causes dysregulation of calcium and phosphate levels and increases the development of cardiovascular disease in hemodialysis patients. The aim of this study was to analyze the relationship between stages of chronic kidney disease with cardiomegaly imaging in posteroanterior  chest x-ray at H. Adam Malik Hospital Medan. Method: This study was an observational analytic study with a cross-sectional design on 78 CKD patients who underwent posteroanterior chest x-ray at H. Adam Malik Medan General Hospital from January to December 2022. Results: Of the 78 patients studied, the subjects were female (56.4%) with a mean age of 50.94 ± 12.80 years. The mean weight and BMI of the subjects were 70.49 ± 9.01 and 24.80 ± 2.82kg/m2, respectively. The mean creatinine and GFR were 7.91 ± 4.22 mg/dl and 16.08 ± 15.22 mL/min/1.73m2, respectively. The majority of subjects had creatinine >2.5 mg/dl in as many as 72 subjects (92.3%) and GFR <60 ml/min/1.73m2 as many as 62 subjects (79.4%). Most of the subjects were in CKD stage 5, as many as 59 people (75.6%). There was a positive and significant correlation between the stages of chronic kidney disease and cardiomegaly imaging in posteroanterior chest x ray with p-value <0.001. Subjects with GFR < 60 mL/min/1.73m2 and overweight BMI status (25.0 - 29.9 kg/m2) had a greater risk factor for cardiomegaly. Conclusion: There is a positive and significant correlation between the stages of chronic kidney disease with cardiomegaly imaging in posteroanterior chest x-ray at H.Adam Malik General Hospital Medan with p value <0.001.
Correlation between Serum Fibrinogen Level and Acute Ischemic Stroke Severity Rambe, Avie Hanindya Dwiyanti; Batubara, Chairil Amin
Journal of Society Medicine Vol. 2 No. 8 (2023): August
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i8.79

Abstract

Introduction: Indonesia still has a high burden for stroke, and stroke became the number one cause of mortality, in which the condition caused 328,5 thousand deaths (21,2% of death from all cause) in 2012 according to WHO. Until now, there are multiple parameters that can be used to determine the severity of an acute ischemic stroke event, one of the laboratory parameters being serum fibrinogen level. The aim of this study was to find the relationship between serum fibrinogen level and the severity of acute ischemic stroke. Method: The study used a cross-sectional design from acute ischemic stroke patients in the inpatient wards of H. Adam Malik Medan Hospital and network hospital. We used contingency coefficient correlation analysis test to determine the relationship between serum fibrinogen level and the severity of acute ischemic stroke. This study involved 40 acute ischemic stroke patients. Results: The results of statistical analysis found a significant positive correlation between serum fibrinogen level and acute ischemic stroke severity with weak correlation strength (p=0.028; r= 0.328) with the median NIHSS score of the subject 6,5 and median serum fibrinogen level being 320,9mg/dL (87 – 881mg/dL). Conclusion: There was a significant relation between serum fibrinogen level and acute ischemic stroke severity. The result of this study proved that a higher serum fibrinogen level is associated with increased stroke severity.
Correlation Between Pursuit Score And Severity Of Coronary Artery Lesion Assessed by Syntax Score Among Non-ST-Segment Elevation Myocardial Infarction (NSTEMI) Patients in Adam Malik Hospital Medan Indra, Ridho Kurnia; Ketaren, Andre Pasha; Putra, Hilfan Ade
Journal of Society Medicine Vol. 2 No. 8 (2023): August
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i8.80

Abstract

Introduction: The PURSUIT score is a practical risk score for patients with acute coronary syndromes to assess prognosis and risk stratification. Prognosis and revascularization options in patients with multivessel disease can be determined based on the severity of coronary lesions based on angiography. However, only a few studies have investigated the association of this score with coronary lesion severity. This research is aim to evaluate correlation between PURSUIT score and severity of coronary artery lesions assessed by SYNTAX score in patients with NSTEMI at H.Adam Malik General Hospital Medan. Method: This research was a cross-sectional study in which the sample was taken by consecutive sampling at H. Adam Malik General Hospital in Medan on 70 patients diagnosed with NSTEMI. The hypothesis was evaluated using Pearson's correlation test for normally distributed numerical data or Spearman's correlation test for abnormally distributed data. The p value of 0.05 indicates statistical significance. Results: Mean PURSUIT score in this research was 11.0 + 3.31, while mean SYNTAX score was 25.6 + 10.8. A positive correlation was found between the PURSUIT score and the SYNTAX score with a low strength level (r = 0.258). Conclusion: The PURSUIT score has a weak correlation in predicting the complexity of coronary angiography among NSTEMI patients
Effect of Glycemic Parameters on Mortality of Type 2 Diabetes Mellitus Patients with COVID-19 Infection in Haji Adam Malik Hospital Medan Pangaribuan, Jessica Patricia; Syafril, Santi; Lubis, Dian Anindita; Isnanta, Rahmad; Rey, Imelda
Journal of Society Medicine Vol. 2 No. 8 (2023): August
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i8.81

Abstract

Introduction: Diabetes Mellitus Type 2 (DM T2) is a major health problem, especially in people in developing countries. DM T2 is the most frequently reported comorbid disease in patients with COVID-19. The relationship between DM T2 and poorer outcome in COVID-19 infection is thought to be because hyperglycemia and chronic inflammation impair control of viremia and inflammation by weakening the immune response. This research aim to determine the effect of glycemic parameters on the mortality of DM T2 patients with COVID-19. Method: This research is a descriptive analytic study with a retrospective design which was carried out at the H. Adam Malik General Hospital in Medan. The data obtained was analyzed statistically and said to be statistically significant if p <0.05. Results: Based on the results of the study, there were significant differences in the values of inflammatory markers such as leukocytes, neutrophils, NLR, PCT, LDH, D-dimer, ferritin, SGOT, urea and creatinine in the severity of COVID-19 patients and there were significant differences in the mean fasting blood sugar, blood sugar 2PP, in moderate, severe and critical COVID-19 patients. Conclusion: Glycemic parameters in patients who died were worse than patients who recovered, although the statistical results were not significantly different.
Relationship between Hypertension and Aorta Arch Calcification on Chest X-Ray Photos of Ischemic Stroke Patients at The General Hospital Haji Adam Malik Medan 2022 Muhammad, Mufti; DL, Netty; AB, Chairil
Journal of Society Medicine Vol. 2 No. 9 (2023): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i9.84

Abstract

Introduction: Fatty liver is a broad term for a condition in which there is an increase triglyceride level in hepatocyte. In Indonesia there is not much research about this condition. Fatty liver is a major health problem in West countries, and is slowly increasing in Asian countries. For many individual with fatty liver, have no specific complaint or can have no symptoms at all. The aim of this study was to analyzed the relationship between fatty liver images on abdominal CT scans with dyslipidemia. Method: This study is an observational analytic study with a case – control type of research with the aim of knowing the relationship between CT scan images of fatty liver and dsylipidemia. The data in this study were all medical records who went to the Radiology Department for abdominal CT Scan at the Haji Adam Malik General Hospital for a period of one year from January 1st, 2020 to December 31st 2020. Results: The subjects on the abdominal CT scan results with fatty liver and high triglyceride is 5 peoples out of 12 (41.7%). The test results obtained p value = 0.,688 (p>0,05), in other words there is no significant relationship between fatty liver and high triglyceride level. Conclusion: No significant relationship was found between the incidence of fatty liver and the incidence of dyslipidemia.
Relation between Parkinson's Disease Severity and Cognitive Function with Monstreal Cognitive Assessment Indonesia Nasution, Amalia Noor Zafira; Rambe , Aldy S; Hutagalung , Haflin Soraya
Journal of Society Medicine Vol. 2 No. 9 (2023): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i9.86

Abstract

Introduction: Parkinson disease is a wide-spectrum disease that can be accompanied by motor and non-motor symptoms. Non-motor symtoms can occurred before the existance of motoric symptoms until the terimal stage of the disease, where cognitive disturbance is one of the non-motor symptoms that can decrease patient’s quality of life and increase patient’s disability. Therefore, early detection of the cognitive function is important for patients with parkinson disease. The aim of this study was to find the association between the severity of Parkinson’s disease and cognitive disturbance using the Montreal Cognitive Assesment Indonesian version (MoCA-Ina) Method: This study used cross-sectional design. The research subject was a parkinson disease patients’ who went to Neurology Clinic at Haji Adam Malik General Hospital Medan and network hospital who met the inclusion and exclusion criteria of the study. The number of sample was 39 subjects. To determine the relationship between the severity of parkinson disease and cognitive function, the Gamma test was used. Results: There was a significant correlation between the severity of Parkinson's disease and cognitive function (p = 0.001, r = -0.858). There was a very strong correlation between the severity of Parkinson's disease and cognitive function, and the negative correlation means the higher the severity of disease, the lower the cognitive function. From this study, the most correlated domains were delayed memory, naming (r = 0.962), orientation (r = -0.944), visuospatial (r = -0.929), abstraction (r = -0.874), language (r = -0.674), attention (r = -0.592). Delayed memory could not be statistically analyzed because delayed memory were all impaired in all subjects. Conclusion: There was a correlation between the severity of Parkinson's disease and cognitive function with a very strong correlation strength. The cognitive function domains that correlate strongly with Parkinson's severity were delayed memory, naming, orientation, visuospatial and abstraction.
The Relationship Between Aerobic Physical Exercise to Functional Capacity in Heart Failure Patients at Haji Adam Malik General Hospital Medan Khairunnisah, Dina; Hasan, Harris; Reynaldo, Abdul Halim; Haykal, Teuku Bob; Sarastri, Yuke
Journal of Society Medicine Vol. 2 No. 9 (2023): September
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i9.87

Abstract

Introduction: The prevalence of heart failure is known to increase day by day, as well as the incidence of rehospitalization and death. One way that can be done is to optimize health status and perform cardiac rehabilitation. Aerobic exercise is recommended for patients with heart failure. Aerobic exercise has been shown to increase functional capacity in patient with heart failure. The aim of this study is to assess the relationship between aerobic exercise with functional capacity improvement in patient with heart failure in Haji Adam Malik General Hospital, Medan. Method: This study was conducted using prospective cohort method on 35 patients with heart failure in a cardiac rehabilitation program at Haji Adam Malik General Hospital, Medan. Functional capacity and 6-Minute Walk Test (6MWT) data were collected before and after aerobic exercise. Univariate and bivariate data analysis were performed using SPSS. Results: 35 samples were included in this study, with an average age of 54,57±1,28 years and dominated by male. The result showed an increase in distance after aerobic exercise program compared to the initial examination (373,6±133,64 vs 192,57±64,68) with p-value <0,001. There was an increase in functional capacity from 3,55±1,12 MET to 6,6±2,44 MET after aerobic exercise (P<0,001). Conclusion: There is a significant relationship between aerobic exercise and functional capacity improvement in patients with heart failure at Haji Adam Malik General Hospital, Medan.

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