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Journal of Medicine and Health Technology
Published by Institut Teknologi Sepuluh Nopember Surabaya
ISSN : -     EISSN : 30466865     DOI : https://doi.org/10.12962/j30466865
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
The Journal of Medicine and Health Technology is a peer-reviewed, open access journal dedicated to the dissemination of innovative research and insights in the fields of medicine and health technology. Our aim is to publish original articles, case reports, and review articles that provide valuable information and stimulate interest among medical doctors, engineers, researchers, and health professionals. We seek to enhance practitioners understanding of medical and technological advancements, offering alternative solutions to challenges in diagnosis, therapy, and prevention. The scope of JMHT includes, but is not limited to, the following areas: medical technology and innovation, clinical medicine, health informatics, public health and epidemiology, health systems and policy, digital health records, telemedicine, remote patient monitoring, AI and predictive analytics, robotics, IoT, personalized medicine, drug development, medical imaging and diagnostics, rehabilitation and physiotherapy, pharmacology and therapeutics, global health and infectious diseases, preventive medicine, nutrition and dietetics, occupational health, geriatrics and palliative care, internal medicine, and environmental health.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 24 Documents
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The Anesthetic Technique for Clavicle Surgery in Remote Areas: Clavicopectoral Plane Block With Landmark Technique Zammara, Abdurrahman
Journal of Medicine and Health Technology Vol. 1 No. 1 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i1.1113

Abstract

Clavicopectoral plane block (CPB) is a relatively new regional anesthesia technique for clavicle fracture surgery. Methods: The study includes three cases of patients undergoing clavicle fracture surgery who received CPB in remote area. Results: The results show that CPB effectively prevents pain and provides high patient satisfaction. There were no complications during surgery, and pain scores remained low in the post-anesthesia care unit. Conclusions: This serial case reports suggest that CPB can be a safe and effective alternative to regional anesthesia for clavicle surgery, particularly in patients with midshaft clavicle fractures. However, further research with larger sample sizes is needed to confirm the effectiveness of CPB in clavicle surgery. Overall, CPB shows potential as a valuable technique in clavicle fracture surgery.
Case Report on the Efficacy of Transnasal Sphenopalatine Ganglion Block for the Treatment of Severe Post-Dural Puncture Headache after Failed Subarachnoid Block Indriani, Ratri Dwi; Nofiansyah, Rian; Kriswidyatomo, Prihatma
Journal of Medicine and Health Technology Vol. 1 No. 1 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i1.1115

Abstract

This paper presents a case report on the management of post-dural puncture headache (PDPH) after failed subarachnoid block anesthesia through trans-nasal sphenopalatine ganglion block (SPGB). PDPH, a distressing complication following procedures like lumbar punctures, can persist despite conservative management and usually happen in multiple or single attempts at successful subarachnoid injections. For a long period, the treatment for severe PDPH was an epidural blood patch. SPGB, targeting the sphenopalatine ganglion (SPG) involved in cranial pain transmission, has emerged as a promising intervention. The case involves a patient experiencing severe PDPH after failed subarachnoid block anesthesia. Although SPGB initially brought relief, a recurrence of headaches followed, highlighting the need for further optimization. The case shows that SPGB could be used as an extra treatment for PDPH that doesn't seem to be working, but more research is needed to find out how well it works in the long term and what the best technique is. The abstract emphasizes the importance of ongoing monitoring and intervention in managing PDPH, offering insights into the challenges and prospects of SPGB in clinical practice.
Panic Disorder with Agoraphobia in Post-Trauma Epilepsy Patient: a Case Report Fitriani, Fatimah; Ami Putra, Gumilar Fardhani; Syulthoni, Zain Budi
Journal of Medicine and Health Technology Vol. 1 No. 1 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i1.1116

Abstract

Epilepsy is a significant health problem in society. Epilepsy prominently affects a person's quality of life, including social and psychological aspects, with the community’s negative attitude and stigmatization also contributing to the decline of quality of life. Psychiatric comorbidities such as anxiety and mood disorders are found to be the most common comorbidities in epilepsy. We reported a 31-year-old male with anxiety, palpitations, headache, and nausea. These complaints were often felt by the patient in a crowded place and his wife did not accompany him. These complaints have been felt by the patient since his father died in 2014. He also had a history of seizures after an accident in 2008, although the seizures had been decreased to 3 to 4 times a month. The patient always worried that the seizure would recur. Examinations showed severe anxiety and moderate depression. EEG showed functional disturbances with epileptogenic potential. CT scan showed gliosis and temporal bone defect. The patient was diagnosed with post-trauma epilepsy and agoraphobia. The patient was treated with antiseizure, sleeping pills, antidepressants, cognitive behavioral therapy, psychotherapy, relaxation therapy, and family psychoeducation. 1 week after treatment, the headache was significantly reduced, and the patient reported sleeping better. This report showed the importance of assessing and treating psychiatric comorbidities in patients with epilepsy to improve their quality of life.
Successful Management of High-Risk Pregnancy with TORCH Infection History and Chronic Hypertension Karimah, Rumman; Fadli, Sonny; Eljatin, Dwinka Syafira; Indriastuti, Endah; Sari, Desiana Widityaning; Ridhoi, Ahmad
Journal of Medicine and Health Technology Vol. 1 No. 2 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i2.1129

Abstract

A 41-year-old pregnant woman of Javanese ethnicity attended the outpatient clinic of a private hospital, presented with fifth pregnancy and no living children due to a history of ectopic pregnancy, two times IUFD, and one time neonatal death. The patient also had a history of chronic hypertension and asthma. The examination showed positive IgG Toxoplasma and CMV antibody levels. The patient's blood pressure also never touched the normal limit since the beginning of pregnancy. At the end of pregnancy, she had very high blood pressure and proteinuria. According to WHO Maternal Mortality Rate (MMR) is still very high, where two of the five highest causes are infection and hypertension in pregnancy. High risk pregnancies require special attention in monitoring during pregnancy and management. In a history of bad obstetrical history it is necessary to screen for infection which can be done by antibody serology testing. A positive IgG indicates immunity to the virus, if possible it is necessary to check IgG Avidity to determine whether therapy is still needed or can rely on the immune system that has been formed. Chronic hypertension (Systolic Blood Pressure (SBP) > 140 mmHg and / or Diastolic Blood Pressure (DBP) > 90 mmHg since < 20 Weeks Gestational Age (WGA) until 42 days after delivery). First-line Labetalol and Nifedipine or second-line Methyldopa and Hydrochlorothiazide should be considered depending on the condition and gestational age. If there are signs of preeclampsia, termination should be done if possible, along with antihypertensives and anticonvulsants such as MgSO4.
HIV and Cryptococcal Meningitis: A Case Report Djaputra, Edith maria
Journal of Medicine and Health Technology Vol. 1 No. 1 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i1.1130

Abstract

Cryptococcal Meningitis (CM) has caused high morbidity and mortality rate among people living with HIV infection (PLWH). This case report showed a 32 years old female with HIV infection who came with chief complaint headache since 1 month before hospital admission (SMRS). Her headache had become worse in the past 2 days SMRS. Had been taking antiretroviral (ARV) therapy for 2 weeks and anti-toxoplasmic therapy for 3 weeks SMRS could not alleviate her complaints. Although the cerebrospinal fluid (LCS) examination has shown high probable Tuberculosis and Cryptococcal meningitis, specific examination for these infections only showed a positive result for CM. Few days after hospital admission, the patient experienced generalized seizures, monoplegia and sixth nerve palsy. Two months after high dose fluconazole therapy, the specific examination for Cryptococcal infection in CSF showed a negative result. This case report will show the difficulties in diagnosing and managing CNS opportunistic infections. Diagnosing CNS opportunistic infections, such as CM, has been a great challenge because of the low sensitivity and positive prediction value of the tests available, especially among PLWH. Managing these infections also poses some limitations, especially for the availability of their medications. Time to start ARVs has also been a big issue since ARVs were being given before 1definite diagnosis was established. This case study also showed that fluconazole alone can be used as an alternative therapy to amphotericin B and flucytosine for C.M. Therefore, this case report has shown the difficulty in diagnosing and managing CM in Indonesia.
Interventional Pain Management in Degenerative Spine Disorders: A Case Report Hutagalung, Muhammad Bayu Zohari
Journal of Medicine and Health Technology Vol. 1 No. 2 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i2.1158

Abstract

Low back pain (LBP) is a common health issue affecting a significant portion of the population, particularly adults aged 35-55 years. Nearly 70-80% of individuals in developed countries experience LBP at some point in their lives. We reported a 54-year-old female presenting with LBP persisting for one year. Her pain predominantly occurs during walking, is limited to 100 meters, and is characterized by gripping sensations in the thigh and calf, exacerbated by positional changes but relieved with rest. Imaging revealed anterior listhesis of the L4 vertebral body relative to L5 (<25%) and multiple bulging discs at various lumbar levels, most notably severe at L4-5 with moderate central and severe bilateral neural foraminal stenosis. The patient underwent Selective Nerve Root Block (SNRB) and facet joint blocks with local anesthetic and steroid medication, resulting in a reduction of pain complaints and decreased leg numbness post-intervention. Understanding and addressing specific spinal pathologies in this case was expected to guide effective treatment strategies to alleviate symptoms and improve patient function.
CRISPR-Cas9 Genome Editing Technology for Zoonotic Disease Control in Indonesia: A Comprehensive Review Adnyana, I Made Dwi Mertha; Eljatin, Dwinka Syafira; Sudaryati, Ni Luh Gede; Adiwinoto, Ronald Pratama; Raza, Syed Meesam; da Cruz , Zito Viegas
Journal of Medicine and Health Technology Vol. 1 No. 1 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i1.1172

Abstract

The increasing emergence of zoonotic diseases originating from vectors, rodents, mammals, and others has increased the potential for outbreaks of pandemics in the Indonesian territory. Although control and prevention have been implemented, these efforts have not yet revealed a bright spot; therefore, elaboration with advanced CRISPR-Cas9 technology is a way to accelerate efforts to control zoonotic diseases in Indonesia. However, there is limited literature on this topic. This review aims to comprehensively describe, identify, and summarize the application of CRISPR-Cas9 genome-editing technology in zoonotic disease control in Indonesia. Our findings show that CRISPR-Cas9 genome editing technology offers an innovative approach for zoonotic disease control by targeting disease vectors, modifying animal reservoirs, improving disease surveillance, enhancing vaccine development, and exploring traditional medicine candidates and immunotherapy. The high level of precision, efficiency, and versatility in targeting genomes capable of disrupting, damaging, and disrupting the disease transmission cycle in pathogens makes CRISPR-Cas9 highly effective. However, challenges such as off-target impacts, regulatory complexity, and ethical considerations must be overcome with inter- and multidisciplinary collaboration to promote transparency, equity, and public engagement throughout the process of implementing this technology in the field, especially in Indonesia.
Epilepsy or Eclampsia in Differential Diagnosis of Recurrent Seizures in Pregnancy Aisyiyah Bojonegoro Hospital: A Diagnostic Dilemma? A Case Report Khaidar, Reyfal; Fitri, Wafa Sofia; Sania, Hen; Rahman, Mafida Wida; Modjo, Annisa Afiyatushsholihah; Subiantoro, Andri; Indriani, Ratri Dwi; Zammara, Abdurrahman; Ridho, Muhammad Ainur Rosyid
Journal of Medicine and Health Technology Vol. 1 No. 2 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i2.1196

Abstract

Seizures in pregnancy can lead to adverse maternal and perinatal outcomes, often arising from various factors necessitating clear diagnosis for effective therapy. Concurrent occurrence of multiple causative factors can complicate diagnostic and therapeutic decisions. We present a case of a 32-week pregnant woman with poorly managed epilepsy who experienced eclampsia and recurrent seizures. Treatment involved multiple medications and emergency cesarean delivery with meticulous blood pressure control. Close monitoring and therapy adjustment were crucial. Managing seizures in such cases poses a dilemma, necessitating initial focus on airway, breathing, and circulation stabilization. Immediate delivery of a viable fetus and maternal health maintenance are paramount. Anesthetic goals encompass seizure and blood pressure control, hemodynamic stability, and intensive care support for potential complications. While eclampsia is a significant factor, seizures in pregnancy may arise from diverse causes, demanding early diagnosis and tailored treatment for optimal patient outcomes.
Corticosteroid Effect in Acute Spinal Cord Injury in the Rural Area Amir, Muhammad Rafif; Mahartha, Gde Rastu Adi
Journal of Medicine and Health Technology Vol. 1 No. 2 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i2.1198

Abstract

Spinal cord injuries (SCI) are devastating traumatic events in the lives of patients, often resulting in severe and/or permanent neurologic disabilities. Nearly half a million people are living permanently disabled in the United States due to traumatic SCI and 12,000–15,000 patients per year incur new injuries. A 78-year-old male patient came to the emergency room with a history of falling from a height with a pelvic position below exposed to trees 30 hours before admission, found weakness in the lower limbs, unable to urinate since yesterday. On radiologic examination, a burst fracture was found in the collumna of the 1st lumbar vertebra. The patient could not be examined for MRI due to limitations and unavailability of equipment at the hospital. The patient was given high dose of Methylprednisolone treatment for 3 days and there was no motoric improvement in the patient. Acute spinal cord injury is a very dangerous disease because it can cause patients both psychological and non psychological disorders. In areas that are left behind and do not have very good facilities and medical personnel to carry out this treatment. There is no treatment option other than using corticosteroids. However, the effect of corticosteroids still needs to be further developed and researched.
Strength Assessment of Prosthetic Pylon Considering the Geometric of Raw Material Syaifudin, Achmad; Suryandari, Dika Andini; Agustin, Helena Carolina Kis
Journal of Medicine and Health Technology Vol. 1 No. 1 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i1.1214

Abstract

Prosthetic limbs are crucial as assistive devices for individuals with lower limb amputations. This study focuses on designing and analysing prosthetic feet, specifically the telescopic tube component, to achieve optimal material strength and aesthetic appeal. Numerical simulations using ANSYS Workbench 19 are conducted to assess the total deformation and von Mises stress. Design iterations adjust the pylon tube thickness and material selection. Prototypes are developed using aluminium 6061 tube and rod materials for further testing. Various tests, including scanning electron microscopy, metallography, axial tensile testing, and tangential tensile testing (according to ASTM B 557M), are performed to evaluate the material properties. Results indicated that the axial and yield strengths of the aluminium 6061 rod are superior to the tube type. Conversely, the aluminium 6061 tube exhibits higher ultimate and yield stability in tangential testing. Ultimately, the study concludes that the aluminium 6061 tube material is more robust and suitable for prosthetic feet.

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