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Lombok Medical Journal
Published by Universitas Mataram
ISSN : -     EISSN : 28277686     DOI : -
Core Subject : Health, Science, Engineering,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Mechanical Engineering Public Health
Lombok Medical Journal (LMJ) is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from basic sciences, clinical, community or public health research, and medical education to integrate researches in all aspects of human health. This journal publishes original articles, reviews, and case reports. Brief communications containing short features of medicine, latest developments in diagnostic procedures, treatment, or other health issues that is important for the development of health care system are also acceptable. Focus and Scope of Lombok Medical Journal (LMJ): Basic Science, Clinical Research, Community or public health research, Medical Education
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 156 Documents
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Mengenal Human Metha Pneumo Virus (HMPV) yang merebak di beberapa Negara Kadriyan, Hamsu
Lombok Medical Journal Vol. 4 No. 2 (2025): Lombok Medical Journal Volume 4 Nomor 2
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i2.6838

Abstract

Abstract Human Meta Pneumo Virus (HMPV) is a single strain virus identifies as a cause of upper airway infection. Recently, several new cases reported in some countries, including Indonesia. After the virus infected the epithelial cell, it will replicated exponentially and spreading to adjacent cells. As a result, it will break the tissue and lead to inflammation. In patient with immunocompromised, HMPV infection will continued to pneumonia and other serious complication. Therefore, it is necessary to inform this virus characteristics to the health care professionals to allow them can tackle the disease accurately. Finally, it could limiting the potency of the occurrence of epidemic in population.
A Description 0f the Level of Satisfaction of Family Planning (KB) Acceptors with Long-Term Contraceptive Method Services (MKJP)) Saimin, Juminten; Yulia, Andi; Assofi, A. Amanda Maharani
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.6217

Abstract

Abstract. The increasingly discussed contraceptive method is the long-term contraceptive method, which offers safety, effectiveness, and comfort. However, the implementation of family planning services is still not optimal, as can be seen from the low participation in the MKJP. The prevalence of MKJP usage according to SDKI baseline data in 2019 is 21.39% while the 2024 RPJMN target is 28.39%. The thing that affects participation in participating in family planning is the satisfaction of the acceptor with the services of health facilities. This study was conducted to find out the overview of the level of satisfaction of family planning acceptors with MKJP services. This study uses a type of quantitative descriptive research. The number of samples in this study was 56 respondents of Women of Childbearing Age (WUS), data collection was obtained using questionnaires distributed to WUS who received MKJP family planning services at the Poasia Health Center, the data obtained will be analyzed using SPSS version 24 in the form of a frequency distribution table. The study's findings included satisfaction levels in the "very satisfied" category for the reliability dimension (83.2%), Assurance dimension (85.4%), Tangibles dimension (86.9%), empathy dimension (85.5%), and responsiveness dimension (85%). Overall, mothers who received MKJP family planning services at the Poasia Health Center felt "very satisfied" (85.4%) with the services provided by paying attention to the five dimensions of service quality (Reliability, Assurance, Tangibles, Emphaty, Responsiveness). Keywords. Satisfaction Level, KB Acceptors, MKJP Abstrak. Metode kontrasepsi yang semakin banyak dibahas adalah metode kontrasepsi jangka panjang, yang menawarkan keamanan, efektivitas, dan kenyamanan. Namun, pelaksanaan pelayanan KB masih belum optimal, terlihat dari rendahnya partisipasi dalam MKJP. Prevalensi penggunaan MKJP menurut data baseline SDKI tahun 2019 sebesar 21,39% sedangkan target RPJMN tahun 2024 sebesar 28,39%. Hal yang mempengaruhi partisipasi dalam mengikuti KB adalah kepuasan akseptor terhadap pelayanan fasilitas kesehatan. Penelitian ini dilakukan untuk mengetahui gambaran tingkat kepuasan akseptor KB terhadap layanan MKJP. Penelitian ini menggunakan jenis penelitian deskriptif kuantitatif. Jumlah sampel dalam penelitian ini sebanyak 56 responden Putri Usia Subur (WUS), pengumpulan data diperoleh dengan menggunakan kuesioner yang dibagikan kepada WUS yang mendapatkan layanan KK berencana MKJP di Puskesmas Poasia, data yang diperoleh akan dianalisis menggunakan SPSS versi 24 berupa tabel distribusi frekuensi. Temuan penelitian ini mencakup tingkat kepuasan dalam kategori "sangat puas" untuk dimensi keandalan (83,2%), dimensi Jaminan (85,4%), dimensi Tangibles (86,9%), dimensi empati (85,5%), dan dimensi responsif (85%). Secara keseluruhan, ibu-ibu yang mendapatkan pelayanan KB MKJP di Puskesmas Poasia merasa "sangat puas" (85,4%) dengan pelayanan yang diberikan dengan memperhatikan lima dimensi kualitas pelayanan (Reliability, Assurance, Tangibles, Emphaty, Responsiveness). Kata kunci. Tingkat Kepuasan, Akseptor KB, MKJP
Analisis Kelayakan Integrasi Otopsi Virtual dalam Sistem Visum et Repertum di Indonesia: Perspektif Medis, Yuridis, dan Teknologis Utomo, Danesh Hadyljinan
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/c9mmqx15

Abstract

Otopsi virtual (virtopsi) menawarkan alternatif non-invasif untuk otopsi konvensional dengan memanfaatkan teknik pencitraan radiologi. Integrasinya ke dalam sistem visum et repertum Indonesia, yang berfungsi sebagai kerangka pelaporan mediko-hukum utama, menjanjikan tetapi tertantang oleh keterbatasan hukum, pendidikan, dan infrastruktur. Makalah ini mengulas kelayakan dan prospektus penerapan virtopsi di Indonesia dari empat perspektif—medis, hukum, pendidikan, dan teknologi—yang didukung oleh studi kasus internasional. Penelitian ini mengkaji integrasi virtopsi ke dalam pendidikan kedokteran dan praktik forensik, menganalisis kelayakan, manfaat, dan kendalanya dalam konteks mediko-hukum Indonesia. Penulis berpendapat bahwa meskipun virtopsi, yang memanfaatkan teknik pencitraan canggih seperti CT dan MRI, menawarkan alternatif minimal invasif dan meningkatkan presisi diagnostik dan penerimaan budaya, reformasi regulasi, program pelatihan, dan investasi dalam infrastruktur pencitraan sangat penting untuk keberhasilan penerapannya.
Klasifikasi dan Faktor Risiko Ruptur Aneurisma Intrakranial; Sebuah Tinjauan Pustaka Baiq Holisatul Ismiana; Putri, Setyawati Asih; Landapa, Raditya Rachman; Jacob, Lusye Diana
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.7014

Abstract

Abstract: Intracranial aneurysms are cerebrovascular abnormalities resulting from structural weakness in the arterial wall, which may rupture and lead to aneurysmal subarachnoid hemorrhage (aSAH), a condition associated with high morbidity and mortality rates. The formation of aneurysms is a multifactorial process that culminates in degenerative changes within the vessel wall. Aneurysms are classified based on morphology (saccular, fusiform, dissecting), size (ranging from small to giant), and anatomical location. The mechanism underlying aneurysm rupture can be explained by the concept of wall shear stress (WSS) in cerebral vessels. Other critical risk factors for aneurysm rupture include aneurysm size and location. A thorough understanding of the classification and risk factors for aneurysm rupture is essential to improve preventive management strategies in clinical practice.
Diagnosis dan Tatalaksana Postherpetic Neuralgia Ali Ramzi; Firza, Fatimah
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.7505

Abstract

Postherpetic Neuralgia (PHN) is a chronic pain condition that occurs after the resolution of Herpes zoster, significantly affecting patients’ quality of life. PHN is characterized by spontaneous pain, hyperalgesia, allodynia, and paresthesia. Major risk factors include advanced age, severity of rash, and ophthalmic involvement. The pathophysiology involves reactivation of the varicella-zoster virus (VZV), leading to nerve inflammation and peripheral sensitization. Management of PHN includes analgesics, antiepileptic drugs (pregabalin, gabapentin), antidepressants, and topical therapies such as capsaicin and lidocaine. Prevention can be achieved through zoster vaccination. Combination therapy is often required to optimize treatment outcomes in PHN.    
Oral Cancer and Reconstruction: A Serial Case Report Ilham, Lalu Fahril; Suanjaya, Made Agus; Lalu Fauzan Adi Yuliansyah
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.7894

Abstract

Introduction : The head and neck cancer are sixth most common cancers worldwide with cancer of oral cavity. The basic treatment modality for the carcinoma of oral cavity has been surgery and the large defects resulting from the ablation of the tumors require reconstruction. Reconstruction after wide excision of oral cancer challenge in itself, because it requires an appropriate method of reconstruction, in accordance with oncology rules and while maintaining the function . In this case serial, several methods of reconstruction from oral cancer are discussed. Case Report : We report 3 cases of patients female aged 48-71 years with complaints of lumps on the tongue. Patients with risk factors poor oral hygiene. On physical examination, cervical lymph node enlargement was found at levels I-IV. All patients underwent a CT scan of the head and neck. On histopathological examination, squamous cell carcinoma was found, the stage of oral cancer in this case series was stage I-III. The surgery was performed with a combined mandibular and neck dissection operation (Commando) with LD flap, and SCM flap. The patient is then treated in the intensive care unit for 1-2 days, then treated in the usual room and discharged on the 5-7th day of treatment without complications Discussion : Although there is increasing use of microvascular free flap in this era, however, conventional flap like LD and SCM still remains very reliable and versatile myocutaneous flap for primary as well as secondary reconstruction, In head and neck reconstruction, LD and SCM flap is used extensively due to its proven reliability and multipurpose nature . The main advantage of LD and SCM flap is that it can be used in a very wide range of defects in the head and neck region including the maxilla, neck as well as tempero-orbital area. Like the other myocutaneous flap, LD and SCM is harvested by single stage reconstructive procedure and does not require any flap delay or release. The morbidity of the donor site is surprisingly low, however, few patients may complain pain. It is also very useful in the patients with poor clinical conditions as well as for elderly patients. This flap can be used in the cases where there is inadequate recipient vessels for microanastomosis in the neck of the patients who underwent high dose radiotherapy or when there is contraindication to free flap such as medical conditions that make the patients unable to tolerate long surgical procedures or can be used as a salvage procedure after necrosis of free flap. wound dehiscence, infection, vascular rapture with marked increase in the morbidity. There is less mentioning of the incidence of recurrence at flap harvesting site however, few cases are reported in the literature. Conclusion : Reconstruction of composite oro mandibular defects of oral malignancy is a challenging problem for oncology surgeons. LD and SCM myocutaneous flap was found to be a versatile flap for reconstruction of large defects in the head and neck region with minimal complication rate. In today’s world of micro vascular flaps, in spite of associated complications, loco regional flaps play a crucial role at oncology centers. LD and SCM offer a faster, easier and reliable option for reconstruction in post-ablative head and neck surgery.
Analisis Faktor yang Berhubungan dengan Kejadian Seksio Sesarea Berulang di Rumah Sakit Umum Daerah Kota Kendari Periode 2023-2024 Wa Ode Nurhiqmah Basri, Wa Ode Nurhiqmah Basri; Juminten Saimin; Livy Leonard Lieswan
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.7920

Abstract

Cesarean section (CS) deliveries have increased globally to 30% and reached 25.9% in Indonesia. Kendari City Regional Hospital shows a higher rate of 37.5%, exceeding the WHO recommendation of 30%. This increase is associated with rising risks of morbidity and mortality in both mothers and babies. One of the main contributors is repeat cesarean sections, which account for more than one-third of all cesarean deliveries globally. Repeat cesarean sections carry higher risks of intraoperative complications and uterine rupture, making this group a high-risk category that requires special attention in efforts to reduce maternal and perinatal morbidity and mortality rates. Method. This was an analytical observational study using a cross-sectional design based on medical record data. The study population included all mothers who delivered via cesarean section at the Regional General Hospital of Kendari during 2023–2024. A total of 245 samples were selected using purposive sampling. Data were analyzed using the chi-square test, with a significance level set at > 0.05. Results. The study found 148 cases (60.4%) were repeat cesarean sections and 97 cases (39.6%) were primary cesarean sections. The analysis showed significant associations between maternal age (p=0.000) and PROM (p=0.000) with repeat CS. There was no significant association between cervical dilatation (p=0.172) and repeat CS. Conclusion. This study demonstrates significant associations between maternal age and premature rupture of membranes with the incidence of repeat cesarean section at Kendari General Hospital during 2023–2024.
Paradoxical Reactions in Tuberculous Meningitis : Clinical Insight and Management, a Literature Review Heni, Heni Haryani; Andriyani, Andriyani
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/pn1yg591

Abstract

Tuberculous meningitis (TBM) is a type of TB with the most severe clinical symptoms of extrapulmonary tuberculosis, with high mortality and neurological morbidity rates. Paradoxical reactions are clinical symptoms characterized by the worsening of existing tuberculosis lesions or the emergence of new lesions despite receiving appropriate antituberculosis therapy (ATT), often leading to diagnostic confusion and management challenges for patients. This study aims to explain the definition, epidemiology, mechanism, clinical manifestations, diagnosis, and management of PR in TBM, based on various literature reviews. The main findings show that PR is triggered by complex immune mechanisms, often involving an excessive inflammatory response to mycobacterial antigens and known as Immune Reconstitution Inflammatory Syndrome (IRIS) in HIV patients. PR presents with varying clinical symptoms, including fever, headache, impaired consciousness, as well as hydrocephalus and tuberculoma on radiological examination. Therefore, clear clinical guidelines are needed to optimize the diagnosis and management of PR in TBM. Keywords: Tuberculous meningitis, paradoxical reaction, IRIS
Komorbid Diabetes Melitus pada Pasien COVID-19 Meningkatkan Keparahan: Sebuah Tinjauan Pustaka Jayawardhana, I Ketut Wisnuaji; Cut Warnaini
Lombok Medical Journal Vol. 2 No. 2 (2023): Lombok Medical Journal Volume 2 Nomor 2
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v2i1.978

Abstract

Bahasa Indonesia : Abstrak Diabetes mellitus salah satu komorbid paling banyak pada pasien COVID-19. Komorbid DM meningkatkan keparahan pasien COVID-19. Penulis ingin mengetahui mengapa komorbid DM dapat meningkatkan keparahan pasien COVID-19. Metode yang digunakan adalah mengumpulkan literatur tahun 2020-2021 yang relevan dengan topik. Literatur dicari melalui mesin pencari PubMed dan Google Scholar dengan kata kunci pencarian Severity AND COVID-19 OR 2019-nCov OR "Coronavirus Disease 2019" AND Comorbid AND "Diabetes mellitus". Beberapa penelitian menyatakan bahwa pasien COVID-19 dengan komorbid diabetes mellitus meningkatkan keparahan yang berujung dengan kematian. Infeksi virus dengan kondisi hiperglikemia memudahkan virus menempel ke sel inang akibat meningkatnya reseptor ACE2. Imunitas seluler menurun akibat terganggunya fungsi sel T. Mediator inflamasi meningkat dan menyebakan terjadinya badai sitokin sehingga rentan mengalami ARDS. Komplikasi DM yang timbul bersamaan dengan infeksi virus menambah keparahan pasien. Kata Kunci : COVID-19, Diabetes Mellitus, Keparahan Bahasa Inggris : Abstract Diabetes mellitus is one of the most common comorbidities in COVID-19 patients. Comorbid DM increases the severity of COVID-19 patients. The author wants to know why comorbid DM can increase the severity of COVID-19 patients. The method used is to collect literature for 2020-2021 that is relevant to the topic. Literature was searched through the search engines PubMed and Google Scholar with keywords Severity AND COVID-19 OR 2019-nCov OR "Coronavirus Disease 2019" AND Comorbid AND "Diabetes mellitus". Several studies have shown that COVID-19 patients with comorbid diabetes mellitus have an increased severity that leads to death. Viral infections with hyperglycemic conditions make it easier for the virus to attach to host cells due to increased ACE2 receptors. Cellular immunity decreases due to disruption of T cell function. Inflammatory mediators increase and cause a cytokine storm so that they are susceptible to ARDS. Complications of DM that occur together with viral infection add to the severity of the patient. Keyword : COVID-19, Diabetes Mellitus, Severity
Pancreatic Cancer: A Holistic Review and Update Guideline Puspita, Ni Made Sri Padma
Lombok Medical Journal Vol. 2 No. 2 (2023): Lombok Medical Journal Volume 2 Nomor 2
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v2i1.1541

Abstract

Kanker pankreas merupakan salah satu kanker yang mematikan di dunia dengan prevalensi yang semakin meningkat beberapa tahun terakhir. Kanker ini diakibatkan adanya mutasi gen sehingga bersifat agresif dan dapat mengalami metastasis jauh. Sel pankreas tumbuh dan membelah secara tak terkendali sehingga membentuk tumor. Sebagian besar pasien tidak menunjukkan gejala yang khas selama perkembangan penyakit sehingga sulit untuk dilakukan diagnosis dini pada kanker ini. Kegagalan diagnosis menyebabkan pengobatan yang terlambat sehingga meningkatkan risiko mortalitas akibat kanker ini. Pasien yang terdiagnosis kanker pankreas sering mengalami kekambuhan bahkan setelah dilakukan terapi. Kanker pankreas berasal dari jaringan endokrin maupun eksokrin. Sekitar 9 dari 10 kasus berasal dari jaringan eksokrin pada adenoma ductus pankreatikus. Beberapa faktor risiko yang berkaitan dengan kanker ini yaitu usia, jenis kelamin, genetik, pola hidup tidak sehat, serta kondisi sosial ekonomi. Patogenesis kanker ini berawal dari perubahan genetik yang progresif pada epitel pankreas lalu berkembang menjadi lesi precursor yang spesifik dan berakhir pada keganasan invasif. Pasien dapat mengalami gejala klinis seperti ikterus, perut kembung dan terasa tidak nyaman, nyeri abdomen, mual muntah, kelelahan dan penurunan berat badan. Diagnosis kanker pankreas ini dapat ditegakkan melalui pemeriksaan histologi dan laboratorium. Berdasarkan NCCN Guidelines for Patiens Pancreatic Cancer tahun 2021, penatalaksanaan yang dapat dilakukan yaitu menentukan staging cancer, pembedahan, terapi sistemik, dan terapi radiasi. Prognosis kanker ini juga buruk dengan tingkat kelangsungan hidup 5 tahun hanya sekitar 20%.

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