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The Indonesian Journal of General Medicine
Published by International Medical Journal Corp. Ltd.
ISSN : -     EISSN : 3048104X     DOI : -
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Public Health Veterinary
ims: The Indonesian Journal of General Medicine aims to advance the field of medicine by disseminating high-quality research findings that are accessible to a broad audience of healthcare professionals, researchers, and policymakers. The journal is committed to supporting the development of medical knowledge and practice in Indonesia and globally, fostering innovative research and evidence-based clinical practices. Scope: The journal covers a wide range of topics within the general medical field, including but not limited to: Clinical studies in various medical disciplines Epidemiological research and public health issues Innovations in diagnostic techniques and treatments Reviews on current practices and emerging trends in medicine Case studies and clinical trials Health policy and medical education The Indonesian Journal of General Medicine welcomes submissions from all areas of medicine, particularly those that have significant implications for patient care, public health, and policy-making. The journal encourages submissions that offer new insights, propose novel approaches, or address challenges pertinent to the Indonesian and international medical communities.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 190 Documents
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Faktor- Faktor yang Mempengaruhi Tingkat Keberhasilan Terapi pada Fraktur Tertutup dan Terbuka: Literature Review Nurfitriani S; Andi Dhedie Prasatia Sam; Fadil Mula Putra
The Indonesian Journal of General Medicine Vol. 13 No. 3 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/sh9eyv49

Abstract

Latar belakang: Fraktur adalah kondisi terjadinya diskontinuitas tulang dan atau tulang rawan, Fraktur dibagi atas fraktur terbuka dan fraktur tertutup. Keberhasilan terapi fraktur tidak hanya ditentukan oleh teknik bedah atau metode fiksasi yang digunakan, melainkan juga oleh berbagai faktor multifaktorial, baik yang berasal dari karakteristik fraktur itu sendiri maupun dari kondisi pasien dan pendekatan terapeutik yang dipilih Tujuan: Untuk memahami faktor- faktor yang mempengaruhi tingkat keberhasilan terapi pada fraktur tertutup dan fraktur terbuka Metode: Literature Review dengan desain Narrative Review. Hasil: Studi literatur menunjukkan bahwa usia, lokasi fraktur, komorbid, status gizi dan imobilisasi adalah faktor - faktor yang memengaruhi keberhasilan terapi pada fraktur tertutup dan terbuka Kesimpulan: Usia, lokasi fraktur, komorbid, status gizi dan imobilisasi adalah faktor - faktor yang memengaruhi keberhasilan terapi pada fraktur tertutup dan fraktur terbuka.
Etiologi, Gejala, Dan Faktor Risiko Terjadinya Atrofi Saraf Optik Pada Sindroma Foster Kennedy Rezky Muchlizah Darmadjid; Sri Irmandha Kusumawardhani; Lidya Paulina Christina
The Indonesian Journal of General Medicine Vol. 13 No. 4 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/q63vdz07

Abstract

Sindroma Foster Kennedy merupakan kondisi neurologis langka yang ditandai dengan atrofi saraf optik pada satu mata dan edema papil pada mata lainnya, serta seringkali diasosiasikan dengan adanya massa intrakranial seperti tumor lobus frontal. Atrofi saraf optik yang terjadi dalam sindrom ini disebabkan oleh tekanan langsung tumor terhadap saraf optik, sedangkan edema papil timbul akibat peningkatan tekanan intrakranial yang memengaruhi sisi kontralateral. Penelitian ini bertujuan untuk mengkaji secara mendalam etiologi, gejala klinis, serta faktor risiko yang berkontribusi terhadap terjadinya atrofi saraf optik pada pasien dengan Sindroma Foster Kennedy. Metode yang digunakan adalah kajian literatur (literature review) terhadap 12 artikel ilmiah yang bersumber dari database Scopus, PubMed, dan SINTA, yang diterbitkan dalam rentang lima tahun terakhir. Hasil telaah menunjukkan bahwa meningioma merupakan etiologi paling dominan, diikuti oleh glioma, schwannoma, dan prolaktinoma. Gejala seperti papiledema, atrofi optic unilateral, skotoma, penurunan tajam penglihatan, dan nyeri kepala merupakan tanda awal yang harus dikenali untuk mencegah progresivitas. Faktor resiko paling sering ditemukan adalah keterlambatan diagnosis, dan ukuran massa yang besar. Temuan ini menggarisbawahi pentingnya pemeriksaan neuro-oftalmologis dan pencitraan radiologis sebagai langkah diagnostik awal yang krusial dalam mengelola pasien dengan dugaan FKS.
Literature Review : Manifestation Ocular Pada Penyakit Tiroid Balgis Dhea Permatasari; Nur Aulia Amir; Andi Faridah Amien; Abdul Mubdi; Ratih Natasha
The Indonesian Journal of General Medicine Vol. 13 No. 4 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/rtk32413

Abstract

Thyroid Eye Disease (TED) atau oftalmopati Graves merupakan manifestasi okular dari gangguan tiroid autoimun, terutama pada penyakit Graves. Kajian ini bertujuan untuk mengidentifikasi karakteristik klinis, faktor risiko, dan penatalaksanaan pada TED melalui tinjauan terhadap lima studi primer. Hasil menunjukkan bahwa manifestasi TED dapat terjadi pada pasien hipertiroid maupun eutiroid, dengan gejala seperti proptosis, retraksi kelopak mata, dan gangguan motilitas okular. Kadar TRAb tinggi dan aktivitas penyakit terbukti berhubungan erat dengan keparahan TED, sementara faktor klasik seperti usia, jenis kelamin, dan merokok tidak selalu signifikan. Penatalaksanaan yang efektif termasuk pemberian metilprednisolon intravena, dengan tambahan terapi multimodal pada kasus berat atau refrakter. Hasil tinjauan ini menekankan pentingnya pendekatan diagnostik dan terapetik yang terintegrasi serta deteksi dini untuk mencegah komplikasi penglihatan.
How do Different Nutritional Approaches Impact Quality of Life and Disease Symptoms in Parkinson's Disease Patients over A 12-Month Period? : A Systematic Review Muhammad Jabbar Rahman Tapiheru; Maysaroh Ritonga; Yoga Reza Fauzi
The Indonesian Journal of General Medicine Vol. 13 No. 4 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/s20c8992

Abstract

Introduction: Parkinson's disease (PD) is a progressive neurodegenerative disorder where motor and non-motor symptoms significantly impact quality of life. While pharmacological treatments are standard, they have limitations, prompting interest in complementary strategies like nutrition. This systematic review evaluates the impact of various nutritional approaches on quality of life and disease symptoms in PD patients. Methods: Adhering to PRISMA guidelines, we systematically reviewed literature from PubMed, Semantic Scholar, Springer, and Google Scholar. The review included randomized controlled trials, systematic reviews, and meta-analyses evaluating nutritional interventions in adults with PD over a 12-month period, focusing on quality of life and disease symptom outcomes. A narrative synthesis was conducted due to the heterogeneity of the studies. Results: Sixteen studies were included, comprising ten trials and six systematic reviews. Promising interventions that significantly improved motor symptoms included the Mediterranean diet, protein redistribution diet, and supplements like probiotics, niacin, hydrogen water, and fermented papaya. Probiotics and niacin also demonstrated significant benefits for non-motor symptoms and quality of life. Discussion: The findings suggest that certain nutritional strategies, particularly the Mediterranean diet and supplementation with probiotics and niacin, hold significant potential as adjunct therapies in PD management. Conclusion: Nutritional interventions show considerable promise for improving both motor and non-motor symptoms in Parkinson's disease. Probiotics, the Mediterranean diet, and niacin appear particularly beneficial.
How do Different Surgical Techniques for Cataract Removal Impact Quality of Life And Functional Vision in Elderly Patients? : A Systematic Review Roysam Azmal sitanggang; Sita Pradjnadewi
The Indonesian Journal of General Medicine Vol. 13 No. 5 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/rxw4w903

Abstract

Introduction: Age-related cataracts significantly impair vision and diminish the quality of life in elderly individuals worldwide. Cataract surgery is the primary intervention to restore vision and improve daily functioning, but the variety of surgical techniques and intraocular lens (IOL) options necessitates understanding their impact on patient outcomes. This systematic review evaluates the impact of different cataract surgery techniques on the quality of life and functional vision of elderly patients, synthesizing evidence from recent clinical trials and observational studies to identify optimal surgical approaches. Methods: This systematic review adhered to the PRISMA 2020 guidelines. We included studies focusing on patients aged 60 and older with age-related cataracts, evaluating surgical techniques like phacoemulsification, MSICS, or ECCE. Eligible studies were primary research (RCT, cohort, case-control) or systematic reviews/meta-analyses, measuring both quality of life and functional vision outcomes with at least a 3-month follow-up. Data extraction by a large language model focused on study design, setting, participant demographics, surgical technique, and visual performance/quality of life outcomes. The search strategy utilized Boolean MeSH keywords across databases like PubMed, Semantic Scholar, Springer, and Google Scholar. Results: Out of 1538 initial records, 14 studies were included. Visual acuity improved in 13 out of 14 studies, with 10 showing statistically significant improvement. All 14 studies reported improved functional vision or patient-reported outcomes, with 10 achieving statistical significance. Six studies found significant quality of life improvement after intervention. Comparisons revealed no significant difference between femtosecond laser-assisted and standard phacoemulsification, while multifocal/trifocal IOLs improved intermediate/near vision but increased dysphotopsia. Second eye surgery showed additional gains. MSICS was found to be cost-effective with comparable outcomes to phacoemulsification in resource-limited settings. Active-fluidics systems may offer faster early recovery. Discussion: The studies consistently show significant improvements in visual function and quality of life across various cataract surgery techniques, including phacoemulsification and MSICS. Second eye surgery further amplifies these benefits, encompassing socioemotional well-being. While advanced technologies like femtosecond laser-assisted phacoemulsification offer precision, they may not yield significantly better clinical or quality of life results compared to standard methods. The choice of IOL significantly impacts vision, with multifocal and trifocal lenses improving intermediate and near vision but potentially increasing dysphotopsia. MSICS provides a cost-effective alternative in certain settings , and active-fluidics systems may enhance early recovery. Patient-reported outcomes are crucial for capturing the real-world impact of surgery. Conclusion: Cataract surgery is highly effective in restoring vision and enhancing quality of life for elderly patients, with consistent improvements across various techniques. Phacoemulsification remains widely adopted, and advanced IOLs expand visual optimization. Bilateral surgery maximizes functional and emotional gains. Cost-effectiveness of MSICS and the promise of emerging technologies like active-fluidics systems underscore the need for individualized care based on patient needs, cost, and potential side effects.
Literature Review : Hubungan Preeklamsia Dengan Persalinan Preterm Sitti Syafirah Amaliyah Syarief; Masita Fujiko; Kartika Handayani
The Indonesian Journal of General Medicine Vol. 14 No. 1 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/txd0mv82

Abstract

Preeklamsia merupakan salah satu komplikasi kehamilan yang ditandai dengan hipertensi dan proteinuria setelah usia kehamilan 20 minggu, dan menjadi faktor risiko utama terjadinya persalinan preterm. Kondisi ini tidak hanya membahayakan kesehatan ibu, tetapi juga berdampak serius pada kelangsungan hidup dan perkembangan janin. Tujuan penelitian ini adalah untuk menganalisis hubungan antara preeklamsia dan kejadian persalinan preterm. Metode penelitian adalah literature review dari 8 artikel jurnal yang dipublikasikan antara tahun 2020 hingga 2025 dengan fokus pada desain penelitian kuantitatif seperti studi observasional dan analitik. Hasil analisis menunjukkan bahwa preeklamsia berkontribusi signifikan terhadap meningkatnya angka kelahiran prematur, baik secara spontan maupun indikasi medis. Faktor determinan yang ditemukan gangguan pertumbuhan janin (IUGR), ketuban pecah dini, dan gawat janin yang menyebabkan tenaga medis mengambil keputusan mempercepat persalinan untuk keselamatan ibu dan bayi. Berdasarkan temuan ini, disimpulkan bahwa deteksi dini dan penanganan preeklamsia secara tepat sangat penting dalam menurunkan risiko persalinan preterm dan komplikasi lanjutannya.
Katarak Pada Pasien Diabetes Mellitus Brigischa Febrilia AP; Suliati P Amir; Nur Aulia Amir; Zulfikri Khalil Novriansyah; Ariyanie Nurtania
The Indonesian Journal of General Medicine Vol. 14 No. 1 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/d6kpjm10

Abstract

Latar Belakang: Diabetes Mellitus (DM) merupakan penyakit metabolik kronis yang berpotensi menimbulkan komplikasi mikrovaskular, salah satunya adalah katarak. Dibandingkan populasi non-diabetik, penderita DM memiliki risiko 2–5 kali lebih tinggi mengalami katarak, yang dapat berkembang lebih cepat dan pada usia yang lebih muda. Mekanisme utama yang mendasari pembentukan katarak pada DM antara lain adalah akumulasi sorbitol melalui jalur poliol dan stres oksidatif yang menyebabkan kerusakan serat lensa. Metode: Penelitian ini merupakan narrative literature review yang bertujuan mengidentifikasi dan menganalisis artikel ilmiah terkait hubungan antara diabetes mellitus dan risiko katarak. Literatur diperoleh melalui pencarian sistematis pada database ilmiah. Total 14 artikel dipilih berdasarkan kriteria inklusi, dengan lima artikel utama dianalisis lebih dalam. Hasil: Review menunjukkan prevalensi katarak yang tinggi pada pasien DM, berkisar antara 42–70%, dengan jenis katarak yang paling sering adalah subkapsular posterior dan kortikal. Faktor risiko yang konsisten ditemukan mencakup kontrol glikemik buruk (HbA1c tinggi), durasi DM lebih dari 10 tahun, usia lanjut, dan keberadaan retinopati diabetik. Studi juga menunjukkan hubungan antara hipertensi, hiperlipidemia, serta neuropati diabetik dengan kejadian katarak. Kesimpulan: Terdapat hubungan signifikan antara diabetes mellitus dan peningkatan risiko katarak. Faktor metabolik dan sistemik turut mempercepat proses kekeruhan lensa. Oleh karena itu, manajemen DM yang optimal, pemeriksaan mata berkala, serta edukasi pasien merupakan langkah penting untuk mencegah gangguan penglihatan yang lebih lanjut.
A Case Report of Malaria with Concurrent Dengue and Typhoid Fever Andi Kartini Eka Yanti; Andi Zul Tasyriq; Hendrian Chaniago
The Indonesian Journal of General Medicine Vol. 14 No. 1 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/a0e3x069

Abstract

Introduction: In Indonesia, malaria, dengue fever (DF), and typhoid fever are endemic infectious diseases that remain major public health concerns. Data from the Ministry of Health in 2025 show high incidence rates of these three diseases, especially in Papua, Bali, and urban areas, which increase the risk of coinfection and complicate diagnosis and treatment. Methods: A case is reported of an 18-year-old man presenting with high fever, headache, nausea, and thrombocytopenia. Initial serological and laboratory tests indicated dengue fever and typhoid infection. Routine monitoring and peripheral blood examination were performed and malaria co-infection was detected. Results: The patient's fever and platelets continued to decrease despite being given supportive therapy and antibiotics. Peripheral blood smear confirmed Plasmodium falciparum infection, prompting the addition of antimalarial therapy with dihydroartemisinin-piperaquine and primaquine. Following comprehensive treatment and close monitoring, the patient’s condition improved, with normalization of vital signs and increased platelet count. Conclusion: Coinfection of malaria, dengue fever, and typhoid in Indonesia is rare but requires special attention. Systematic diagnosis and intensive monitoring are essential for effective treatment and prevention of complications. Increased clinical awareness of possible multiple infections in febrile patients in endemic areas can improve prognosis and optimize patient management.
E-Cigarette Use and the Risk of Myocardial Infarction in Adults: A Systematic Review and Meta-Analysis Khairuman Fitrah Ananda Mamasta; Abigail Christine Sarumpaet; Agustina Sianturi
The Indonesian Journal of General Medicine Vol. 14 No. 2 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/d1e1f573

Abstract

Introduction: The proliferation of electronic cigarettes (e-cigarettes) has sparked a global debate regarding their cardiovascular safety, particularly their association with myocardial infarction (MI). While often perceived as a safer alternative to traditional cigarettes, their long-term effects on cardiac health are poorly understood, with existing evidence being conflicting and methodologically limited. This systematic review and meta-analysis aims to synthesize the available evidence on the relationship between e-cigarette use and the incidence of MI in adults. Methods: Following PRISMA 2020 guidelines, a systematic search was conducted across PubMed, Semantic Scholar, Springer, and Google Scholar. Studies were included if they were observational (cohort, case-control, cross-sectional) or systematic reviews examining e-cigarette use in adults and reporting MI as an outcome. Data on study design, population characteristics, exposure details, and MI risk estimates were extracted. A random-effects model was used for the meta-analysis to calculate a summarized hazard ratio (HR). Results: Thirty studies were included in the systematic review. The meta-analysis of four eligible studies revealed that e-cigarette use was associated with a statistically significant increase in MI risk (HR 1.66, 95% CI 1.22–2.25, p<0.05). However, significant heterogeneity was detected (I² = 93%). Dual use of e-cigarettes and traditional cigarettes conferred the highest risk (OR up to 4.62). Compared to traditional smoking, e-cigarette use was associated with reduced odds of MI (OR 0.61). Acute use of e-cigarettes consistently increased blood pressure and heart rate. Conclusion: E-cigarette use is associated with a significantly increased risk of myocardial infarction, although the evidence is highly heterogeneous. Dual use presents the greatest danger, while switching completely from traditional cigarettes may offer a degree of harm reduction. The low certainty of the current evidence, largely from cross-sectional studies, highlights an urgent need for long-term prospective research.
Gambaran Karakteristik Hipertensi Pada Lansia St. Khairunnisa Syarif; Darariani Iskandar; Hasan
The Indonesian Journal of General Medicine Vol. 14 No. 2 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/fr47sr52

Abstract

Hipertensi masih menjadi penyebab utama penyakit kardiovaskuler di seluruh dunia. Hipertensi merupakan suatu keadaan dimana seseorang mengalami peningkatan tekanan darah di atas normal. Seseorang dapat dikatakan mengalami peningkatan tekanan darah apabila tekanan darah sistolik ≥130 mmHg atau tekanan darah diastolik ≥ 80mmHg. Tinjauan literatur ini bertujuan menganalisis gambaran karakteristik hipertensi pada lansia. Metode yang digunakan adalah naratif deskriptif berdasarkan 10 artikel ilmiah terbitan 2020–2025 yang dipilih melalui penelusuran sistematis. Hasil menunjukkan bahwa karakteristik hipertensi pada lansia meliputi peningkatan tekanan darah sistolik dan diastolik di atas normal, yang seringkali disertai dengan komorbiditas seperti diabetes dan penyakit jantung. Hipertensi memiliki faktor risiko, yang dibagi menjadi dua kelompok: hipertensi yang tidak dapat diubah, dan hipertensi yang dapat diubah. Hipertensi yang tidak dapat diubah meliputi usia, jenis kelamin, etnis, dan faktor keturunan. Sementara itu, hipertensi yang dapat diubah antara lain obesitas, gaya hidup, kurangnya aktivitas fisik atau olahraga, minum kopi, merokok, sensitivitas natrium, kadar kalium yang rendah, alkohol, pekerjaan, pola makan, dan stres. Kesimpulannya, Karakteristik hipertensi pada lansia ditandai dengan peningkatan tekanan darah sistolik dan diastolik di atas normal, terutama pada usia di atas 60 tahun. Lansia rentan mengalami hipertensi karena penurunan elastisitas pembuluh darah seiring bertambahnya usia. Selain itu, memiliki faktor risiko, yang dibagi menjadi dua kelompok: hipertensi yang tidak dapat diubah, dan hipertensi yang dapat diubah.

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