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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 193 Documents
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The Correlation between Dehydration and Early Neurological Deterioration in Acute Hemorrhagic Stroke Purba, Siti Hasnita Oktavia; Nasution, Iskandar; Pujiastuti, R.A. Dwi
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.118

Abstract

Introduction: Early Neurological Deterioration (END) is a worsening of symptoms within a few hours or days after an acute stroke which occurs in around 25,5% of patients with intracerebral hemorrhage. Dehydration is one of the conditions that is widely observed as a non-neurological cause of END in acute ischemic stroke, but in hemorrhagic stroke the correlation is still unclear. The aim of this study was to determine the correlation between dehydration and END in acute hemorrhagic stroke. Method: In this cross-sectional study, we assessed acute hemorrhagic stroke patients within 72 hours of onset at Haji Adam Malik General Hospital Medan, Indonesia, from April to October 2023. Patients are categorized as dehydrated if BUN/Cr ≥15 and urine specific gravity >1,010. END was defined as an increase in National Institutes of Health Stroke Scale (NIHSS) score of ≥ 2 points on the total score, or ≥ 1 point on motor items. Bivariate analysis was carried out to determine the correlation between dehydration and END in acute hemorrhagic stroke using the contingency correlation test. Results: A total of 30 subjects were included, with a mean age of 56,47 ± 12,75 years and 53,3% women. In this study, END was identified in 11 (36,7%) patients and dehydration was detected in 13 (43,3%) patients. The results of statistical analysis found no significant correlation between dehydration and END in acute hemorrhagic stroke (p=0,88 and r=0,298). Conclusion: There was no significant correlation between dehydration and END in acute hemorrhagic stroke.
Association between Clinical Stage of HIV and Peripheral Sensory Neuropathy Sibarani, Riris; Fitri, Aida; Hutagalung, Haflin Soraya
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.119

Abstract

Introduction: Several factors that contributed in the incidence of peripheral sensory neuropathy in HIV patients, including the number of Cluster of Differentiation 4 (CD4) lymphocytes, high HIV viral load, opportunistic infections and clinical stage of HIV.5 The aim of this study was to analyze the association between clinical stage of HIV to peripheral sensory neuropathy. Method: This research was a descriptive study with a cross-sectional design, conducted in General Hospital of Haji Adam Malik Medan during June to October 2023. Brief Peripheral Neuropathy Screening tool validated by AIDs Clinical trial group was used for screening peripheral sensory neuropathy. The variable to be analyzed in this study was clinical stage of HIV disease. Research data were analyzed using the SPSS (Statistical Product and Science Service) program for Windows, version 26. Univariate, bivariate, and multivariate analyses were conducted. Univariate analysis aimed to obtain the characteristics of the study subjects. The chi square test was used to determine the association between clinical stage of HIV to peripheral sensory neuropathy. Results: There were 83 subjects eligible for this study, in which 62,7% were males, with the mean age of the patients was 39,4+9,6 years. A total of 47 subjects (56.6%) were stage III and 36 subjects (43.4%) were stage IV. There was a significant association between clinical stage of HIV and peripheral sensory neuropathy in HIV positive patients with p value <0.001. Conclusion: There was a significant association between clinical stage of HIV to sensory peripheral neuropathy.
Correlation between National Institute Health Stroke Scale and QT Dispersion In Acute Ischemic Stroke Siahaan, Widya Prawirani; Arina, Cut Aria; Iqbal, Kiki Mohammad
Journal of Society Medicine Vol. 3 No. 1 (2024): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.120

Abstract

Introduction: Stroke is a global health problemwhose incidence is increasing every year throughout the world. Stroke can cause disorders of the autonomic system in sufferers including cardiovascular disorders. Several studies examining cardiovascular disorders after acute stroke using electrocardiography (ECG), one of which is the QT Dispersion. The aim of this study was to examine the relationship between the National Institute of Health Stroke Scale and the QT Dispersion. Method: This research is analytic correlation with cross-sectional design. The study sample consisted of 50 acute ischemic stroke patients. QT Dispersion were assessed based on the results of the ECG examination on the first day of treatment. Stroke outcome assessment using the NIHSS score was assessed on the first day of treatment. Results: The mean age of the 50 subjects is 57,28±12,216. The majority were male (64%), the majority were Batak (72%), 58% Subjects graduated fromsenior high school and the majority works as housewives 32%. The mean NIHSS value obtained was 8,74±6,599.81 and the mean QTd value was 142,40±73,250 ms. The most common infarct site in this study were basal ganglia (21%). There was a significant correlation between NIHSS scores and QTd in acute ischemic stroke patients (r= 0,668, p<0.05). Conclusion: There was a significant relationship between NIHSS scores and QT dispersion in acute ischemic stroke patients (p<0.05).
Rabies Encephalitis: Fatal Yet Neglected, A Case Report F. A. Simarmata, Junius; Ritarwan, Kiking
Journal of Society Medicine Vol. 3 No. 2 (2024): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.121

Abstract

Introduction: Rabies is a zoonotic disease that can attack the central nervous system and can be fatal because it can cause death. Rabies is caused by an RNA virus of the genus Lyssavirus in the family Rhabdoviridae and can be transmitted to humans through contact with infected animals, particularly bites and scratches. Most cases (98%) were caused by dog   bites and the rest by other animals such as monkeys and cats. This disease has a very poor prognosis, but can be prevented by vaccination. Rabies virus is a neurotrophic virus that can infect humans and cause fatal encephalitis. Method: This was a retrospective case report, after analysis of patient clinical data. The patient’s family  provided written  informed  consent  to  publish  their  case  details  and  any accompanying images. Results: A 73-year-old man has clinical encephalitis with suspected viral EC with suspected rabies dd/non-specific viral dd bacterial. Patients complain of not being able to swallow and afraid  of water, restlessness, hypersalivation, patients are sensitive to  sound,  shortness  of  breath, difficulty  swallowing, fear  of  wind,  patients  want  to  bite  and  hydrophobia,  aerophobia  and hypersalivation. Conclusion: Rabies eradication is necessary because Indonesians are culturally close to animals, especially dogs, which are the main transmitters of rabies. In some areas, dogs are pets that are very close to their owners. Rabies is a neglected tropical disease. Most cases of rabies occur in Asia and Africa. There is no effective treatment to cure rabies but the disease can be prevented by handling rabies bite cases (GHPR) as early as possible.
Association between Systemic Inflammatory Immunity Index and Intracoronary Thrombus Burden in Acute Myocardial Infarction with ST Segment Elevation (IMA EST) Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Hospital Dhilion, Har Rawishwar Singh; Nasution, Ali Nafiah; Sitepu, Andika
Journal of Society Medicine Vol. 3 No. 2 (2024): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.122

Abstract

Introduction: Acute coronary syndrome (ACS) account for 30% of deaths worldwide. High peri-procedural intracoronary thrombus burden is a strong predictor of poor outcome. Inflammation plays an important role in the pathogenesis of intracoronary thrombus formation. The systemic inflammatory immunity index represents the immune responses to inflammation, which consist of neutrophilia, thrombosis and decreased lymphocytes. The previous study showed that systemic inflammatory immunity index predicted high intracoronary thrombus burden in STEMI patients. This study aimed to evaluate systemic inflammatory immunity index in predicting the incidence of high intracoronary thrombus burden in STEMI patients. Method: This research is a retrospective analytical observational study on 95 patients diagnosed with ACS in the period 1 January 2022-31 March 2023 at H. Adam Malik General Hospital, Medan. All patients involved had undergone primary percutaneous coronary intervention. Patient characteristics, risk factors, laboratory results and coronary angiography were recorded from the patient's medical record. Results: There was a significant relationship between the systemic inflammatory immunity index value and the incidence of high intracoronary thrombus burden in STEMI patients (P < 0.001). The systemic inflammatory immunity index cut off point value > 1108 has a sensitivity of 89.4% and a specificity of 89.7% which has a better accuracy in predicting high intracoronary thrombus burden in STEMI patients. Conclusion: Systemic inflammatory immunity index has a good accuracy to predict high intracoronary thrombus burden in STEMI patients.
Case Report of Management of Increased Intracranial Pressure in Epidural Hematoma Putra, Rikki Oktrian; Imran, Yudhisman; Rahmansyah, Mulia; Khusfiani, Triasti; Putri, Mustika Anggiane; Az zahra, Ainaya
Journal of Society Medicine Vol. 3 No. 3 (2024): March
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i3.123

Abstract

Epidural haematoma (EDH) is an abnormal collection of blood between the bone and the dura mater. A 26-year-old male was brought by his family to the Hospital Emergency Department with complaints of headache after a traffic accident. The patient was unconscious for 5 minutes and had one seizure. After the seizure, the patient regained consciousness and complained of headache and vomiting. Neurological status examination was within normal limits.  CT-Scan examination of the head found a linear fracture accompanied by a picture of epidural haemorrhage (EDH) 59.34 cc in the right parietal, and midline shift to the left. The patient received conservative management in the form of mannitol. The patient also underwent operative management in the form of decompressive craniotomy for haematoma evacuation. This case describes a patient with EDH with symptoms of increased intracranial pressure and received medical and operative management.
Interleukin-6 Reduction as a Predictor of Functional Capacity Improvement after Phase II Cardiac Rehabilitation Programme in Coronary Artery Bypass Surgery Patients Ferhat E.S, Muhammad; Safri, Zainal; Sarastri, Yuke
Journal of Society Medicine Vol. 3 No. 2 (2024): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.126

Abstract

Introduction: Improved functional capacity is a good prognostic value in patients after CABG. Phase II cardiac rehabilitation provides beneficial effects on physical function, cardiopulmonary function, inflammatory response, autonomic function, and improves functional capacity, and there is a significant decrease in Interleukin-6 values in patients after CABG. Several studies have selected Interleukin 6 as an inflammatory cytokine that can be used to assess the beneficial effects of cardiac rehabilitation in coronary heart disease conditions. The aim of the study was to determine the relationship of Interleukin-6 value as a predictor of functional capacity improvement after phase II cardiac rehabilitation in patients undergoing CABG. Method: This study was analytic observational study conducted retrospectively on 31 CABG patients who underwent phase II cardiac rehabilitation. Data collection on functional capacity, Interleukin-6 examination before and after phase II cardiac rehabilitation. Data were analyzed univariately and bivariately to assess the relationship between Interleukin-6 and functional capacity. Multivariate analysis will then be performed using linear regression. The relationship test will be performed with Pearson correlation test. Statistical data analysis using SPSS software, p value <0.05 is statistically significant. Results: There were 29 samples. The results of the cardiac exercise test showed an increase in distance at the end of phase II cardiac rehabilitation compared to the initial examination (457,655 ± 24,346 vs 180,482 ± 13,941). At the end of the examination there was a decrease in the average Interleukin-6 level from 24.412 ± 2.516 to 13.647 ± 1.413. There was a significant relationship between improvement in functional capacity and Interleukin-6 (p=0.032, r=0.40). An increase of 1 MET will decrease Interleukin-6 by 2.238 pg/mL. There was a decrease in mean Interleukin-6 from 24,412±2,516 to 13,647±1,413 at the end of phase II with p value <0.001. Conclusion: Interleukin-6 can be a predictor of improved cardiac functional capacity after phase II cardiac rehabilitation program in patients undergoing CABG.
Management of Peripartum Cardiomyopathy in Severe Preeclampsia Patients in ICU Mulyawan, Dadang; Pison, Osmond M.
Journal of Society Medicine Vol. 3 No. 2 (2024): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.127

Abstract

Introduction: Peripartum cardiomyopathy (PPCM) is a life-threatening cardiomyopathy with left ventricular systolic dysfunction, in late pregnancy, during delivery, or in the first months postpartum, in women who have no previously identifiable cause of heart failure. Case: A 25-year-old primigravida woman with a pregnancy of 35 weeks came to the Emergency Department (ER) with symptom of severe pre eclampsia, and pulmonary edema and later underwent a cesarean section. After surgery, the patient is admitted to the ICU , and then became worsening. Echocardiography was then performed and found a decrease in left ventricular systolic function, EF 35%, posterior anterior acinetics, mild MR. The diagnosis of PPCM was established. The therapy given is drugs and a negative fluid balance is created for this patient. On day 10, the patient showed improvement in left ventricular function with EF 48%. The patient is extubated from a mechanical ventilator and moved to the internal medicine inpatient room. Conclusion: I Early diagnosis with supporting echocardiography as well as appropriate management in PPCM cases greatly determines the success of therapy in patients in the ICU.
The Use of NIHSS as an Assessment of Acute Stroke Severity Imran, Yudhisman; Zahra, Ainaya Az
Journal of Society Medicine Vol. 3 No. 2 (2024): February
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i2.128

Abstract

Stroke is a neurological emergency that is characterized by sudden neurological deficits caused by vascular injury (infarction, hemorrhage) in the brain. In Indonesia, stroke is the main cause of disability and mortality. The mortality rate of stroke patients is closely related to the severity of the stroke experienced by the patient. Therefore, a scoring system is needed to assess the severity of acute stroke. The National Institutes of Health Stroke Scale (NIHSS) is used as the gold standard for assessing stroke severity. NIHSS also helps the treatment plan of stroke patients and determine the patient’s prognosis. The use of NIHSS in assessing the severity of acute stroke deserves further attention because it has a significant impact on the outcome of stroke patients during the treatment period.
Role of Intravenous Immunoglobulin (IVIG) in Patients with Guillain Barre Syndrome with Severe Community Pneumonia in The Intensive Care Unit (ICU) Giovanni, Cindy; Sitio, Nurita Dian Kestriani Saragi
Journal of Society Medicine Vol. 3 No. 3 (2024): March
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i3.129

Abstract

Guillain-Barré syndrome (GBS) is an acute flaccid polyneuropathic disease that occurs after infection and is caused by an immune system response. GBS patients often experience acute respiratory distress that requires mechanical ventilation. Nerve impairment in GBS can lead to various problems such as difficulty breathing, ineffective coughing, and difficulty swallowing, increasing the risk of lung infection. Community acquired pneumonia (CAP) is a lung infection acquired outside the hospital. The severity of CAP is directly proportional to the mortality rate. Appropriate antibiotic therapy can reduce the duration of treatment and mortality in CAP. The case report involves a 50-year-old man with GBS and CAP who required treatment in the Intensive Care Unit (ICU). The management of GBS included the use of mechanical ventilation, antibiotics, and intravenous immunoglobulin (IVIG), resulting in improvement after 19 days, with the patient eventually being discharged from mechanical ventilation. It is necessary to describe the management of GBS and CAP cases so that further management can be better and in accordance with existing literature.

Page 9 of 20 | Total Record : 193

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