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Medicosphere
Published by Universitas Pembangunan Nasional Veteran Jawa Timur
ISSN : -     EISSN : 30639433     DOI : https://doi.org/10.33005
Core Subject : Health, Science, Social, Engineering,
Immunology & microbiology Mechanical Engineering Medicine & Pharmacology Public Health Social Sciences
Journal of Diverse Medical Research is an open access and peerreviewed journal published every month by Faculty of Medicine Universitas Pembangunan Nasional Veteran Jawa Timur. This journal is a dissemination medium for research result from various areas in medical science.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 87 Documents
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Chemical Exposure, Public Health, and Environmental Justice Among Populations Residing Near Industrial Areas: A Literature Review Aulia Fahira; Fatin Nisrina Athirah
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 6 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i6.184

Abstract

Background: Industrial chemical exposure has emerged as a critical environmental and public health concern, particularly in Indonesia. Communities residing near industrial zones face heightened risks due to direct and prolonged exposure to hazardous substances. Numerous studies have documented the detrimental health and environmental effects of such exposure, including respiratory illnesses, cancer, and ecological degradation. Socioeconomic disparities further exacerbate these impacts, with marginalized populations often bearing a disproportionate burden of pollution-related consequences. Methods: This study adopts a literature review approach, synthesizing findings from peer-reviewed academic journals, institutional reports, and relevant research to evaluate the health and environmental implications of chemical exposure in industrial areas. Results and Discussion: The review reveals consistent evidence of significant adverse effects stemming from industrial pollution, particularly on vulnerable populations living in proximity to industrial facilities. The compounded risks include both acute and chronic health outcomes and degradation of environmental quality. Conclusion: The implementation of effective mitigation strategies and the enforcement of regulatory policies are essential to reduce chemical exposure risks. Strengthening environmental governance and prioritizing public health in industrial planning are critical steps toward protecting communities in affected areas.
Early Warning System for Disaster Preparedness in Local Flood Management: A Literature Review Tedjaprasadja, Leonardo
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 6 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i6.187

Abstract

Background: Flooding remains one of the most recurrent and devastating natural hazards, disproportionately impacting low-lying and poorly drained areas, particularly in developing countries. Exacerbated by rapid urbanization, climate change, and inadequate infrastructure, flood-related disasters increasingly affect socioeconomically vulnerable populations. Despite the predictable nature of such events, local-level disaster preparedness remains insufficient, largely due to the absence or inefficiency of Early Warning Systems (EWS). Methods: This paper investigates the role of EWS in strengthening community-based flood preparedness by applying the United Nations Office for Disaster Risk Reduction (UNDRR) four-component framework: risk knowledge, monitoring and warning service, dissemination and communication, and response capability. Using a qualitative, framework-based methodology, the study assesses each component through case study analysis, technological review, and institutional mapping. Result and Discussions: Findings indicate that while EWS provides a robust conceptual tool for flood risk mitigation, their implementation is frequently hindered by technical, institutional, social, and financial barriers. These include unreliable monitoring infrastructure, fragmented governance, inequitable communication access, and unsustainable funding mechanisms. Moreover, the study reveals that the success of EWS hinges not merely on technological sophistication, but on their alignment with local contexts, community participation, and cross-sectoral coordination. Conclusion: This concludes that for EWS to be effective and equitable, they must be embedded within broader resilience strategies that emphasize localized governance, long-term capacity building, and inclusive risk communication. By reorienting EWS toward community-driven models, stakeholders can enhance flood preparedness and reduce disaster vulnerability amid escalating climate threats. Keywords: EWS, Disaster Preparedness, Flood Management, Local Context
Pulmonary Tuberculosis in a Child with Mediastinal Inflammatory Myofibroblastic Tumor : a Rare Case: A Literature Review Siti Wahyu Windarti
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 6 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i6.188

Abstract

Background : Tuberculosis is one of the most important global health problems in children. Mediastinal masses in pediatric age patients have a wide range of differential diagnoses, including benign and malign tumors and chronic infectious process. Mediastinal mass is a rare presentation of tuberculosis in children. Objective : To report a rare case of pulmonary tuberculosis in a child with mediastinal inflammatory myofibroblastic tumor. Case Report : A 4 year 2 month-old boy with chief complaint of cough since less than one month before admission. The cough accompanied with greenish yellow sputum, no coughing of blood, the cough during morning, noon, or night, and did not affected by cold air and there were no causative factors causing of coughing. The coughing did not improve by taking medication. The patient also complained of shortness of breathing since three days before admission accompanied by chest pain in the right side. The initial examination of the patient alert with a weakness of general condition and dypneu. Anthropometric examination obtained patient weight 13 kg, height 97 cm (WAZ =-2, LAZ >-2, WLZ > -2, WHO Child Growth Standards). Laboratory result on admission were leukocytes 10.120/uL, hemoglobin 11,3g/dL, hematocrit 36,9%, trombocyte 517.000, BUN 5mg/dL, SCr 0,36mg/dL, ALT 46U/L, AST 41U/L, Na 136nmol/L, K 4,3mmol/L, Cl 104mmol/L, Ca 8,7mmol/L, CRP 14,8mg/L. The thoracic MSCT result showed the tuberculosis process. The Gene X-pert examination revealed MTB detected positive rifampicin susceptable The guiding Thoracic CT Scan FNAB result showed mediastinal mass with size 4.6 x 5.5 cm (benign spindle mesenchymal tumor, according with inflammatory myofibroblastic tumor). The patient given first line tuberculosis treatment, for a while the mediastinal inflammatory myofibroblastic tumor not be treated, will be reevaluated after the tuberculosis treatment was completed. Conclusions : This case report describes a pulmonary tuberculosis with mediatinal inflammatory myofibroblastic tumor
Femoral Neck Fracture in Geriatri Patient: A Case Studies and Approaches to Post-Operative Rehabilitation: A Literature Review Winata, Lionesya Sukma; Prawiragara, Fachrizal Arfani
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 6 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i6.195

Abstract

Introduction: Femoral collum fractures are a common injury in the geriatric population, particularly postmenopausal women with osteoporosis. The intracapsular location of the fracture and proximity to the blood supply of the femoral head increases the risk of complications such as non-union and avascular necrosis. Early and appropriate treatment is essential to minimize long-term functional impact. Case Illustration: A 67-year-old woman experienced severe pain in the right hip after slipping while mopping the floor. The patient was unable to stand or walk after the incident. History showed osteoporosis which was not treated regularly. Radiologic examination revealed a right collum femur fracture with Garden type IV classification. The patient underwent arthroplasty bipolar and a gradual physiotherapy rehabilitation program for six months. Discussion: This case illustrates a common pattern of osteoporotic fractures in the elderly, where minor trauma can cause severe damage to the bone. The selection of arthroplasty is appropriate to the patient's bone condition and fracture type, providing stability and allowing early mobilization. Intensive rehabilitation has been shown to support functional recovery. Long-term management of osteoporosis with antiresorptive therapy such as zoledronate, patient education, and environmental modification are also important for the prevention of recurrent fractures. Conclusion: A comprehensive approach that includes surgery, early rehabilitation, and management of osteoporosis can result in a better.
The Correlation of Landslide Disaster with Increased Cases of Atopic Dermatitis in Disaster Victims : A Literature Review Carissa Aulia Ramadhani Sutopo; Seliana, Irma; Durry, Fara Disa; Tedjaprasadja, Leonardo; Verawaty, Liana
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 7 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

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Abstract

Background landslides not only bring physical damage, but also trigger various health problems, including an increase in cases of atopic dermatitis. The post-landslide environment conditions that are humid, dusty, and limited access to clean water in evacuation centers worsen the skin health of the survivors. Exposure to allergens from soil, mold, and disaster stress further increases the risk of skin inflammation. Purpose from this literature is to analyze the relationship between landslide disasters and the increase in atopic dermatitis cases through environmental factors and explore the effect of limited sanitation and allergen exposure on the increase in atopic dermatitis cases after landslide disasters. Method this study uses Literature Review with data obtained from the databases Science Direct, Elsevier, Open Exploration, Research Gate, Pubmed, Taylor and Francis, Proquest, and SINTA with a total of 10 national journal articles, 20 international journal articles, and 5 theses. Result some studies show that landslides can increase cases of atopic dermatitis due to exposure to dust, mold, poor sanitation, and stress in evacuation camps. Changes in microbiota and the immune system are also implicated in aggravating symptoms, and microbiota manipulation is a suggested therapeutic strategy. Other studies have shown that such an impact does not necessarily take place, especially where quality emergency sanitation and adequate access to health care services exist. Conclusion environmental, sanitation, and microbiota factors play a role in the severity of atopic dermatitis, especially in areas affected by landslides. Exposure to dust, mold, and limited clean water in evacuation camps can worsen skin conditions, while post-disaster stress also weakens the immune system, so health, hygiene, and environmental management education is needed for more effective prevention. However, some studies argue that not all landslide events increase atopic dermatitis, especially in regions with adequate emergency sanitation and health services.
The Relationship between Age and Working Period with the Incidence of Myalgia in Mojokerto City : Original Research Ksatria, Abdillah Budi
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 7 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

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Abstract

Background: Myalgia is a common complaint among many workers, especially in the informal sector. This study aims to analyze the relationship between age and work duration with the incidence of myalgia in patients at Puskesmas Wates, Kota Mojokerto. Methods: This quantitative research collected data through questionnaires filled out by respondents. Data analysis was conducted using statistical tests to examine the relationship between variables. Results: The results showed a significant relationship between age and the incidence of myalgia with a p-value of 0.035, indicating that patients aged ≥45 years had a higher prevalence of myalgia, with 25 samples. Additionally, a higher incidence of myalgia was found among workers with a work duration of ≥20 years, with 21 respondents experiencing high myalgia and a p-value of 0.014. Patients aged ≥45 years had a 6.571 times greater risk of experiencing high myalgia compared to patients aged <45 years, while patients with a work duration of ≥20 years had an 11.667 times higher risk compared to those with a work duration of <20 years. Conclusions: These conclusions highlight the importance of paying special attention to age and work duration factors in efforts to prevent and manage myalgia among workers.
Optimizing Acute Pain Management After Trauma in the Emergency Department: the Role of Regional Nerve Blocks by Anesthesiologists: A Literature Review Agastya, Wayan Dhea; Rahmadinie, Amalia
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 7 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

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Abstract

Abstract Background: Acute pain management remains a critical challenge in emergency departments (EDs), particularly in trauma cases. Traditional systemic analgesics, especially opioids, pose risks of adverse effects and dependency. Regional nerve blocks (RNBs), administered by anesthesiologists, offer a promising alternative. This literature review explores the efficacy, safety, and practical considerations of RNBs in trauma-related acute pain within ED settings. Evidence suggests that RNBs significantly reduce pain scores and opioid consumption while maintaining a favorable safety profile. Collaborative implementation of RNBs in EDs can improve patient outcomes and reduce opioid-related risks. Method: This research employs a literature analysis approach by reviewing relevant theoretical and empirical sources, including Google Scholar, PubMed, and ScienceDirect. Discussion: The findings reveal that RNBs, particularly when guided by ultrasound and performed by anesthesiologists, significantly reduce pain scores, opioid use, and side effects compared to systemic analgesia. Despite logistical barriers in ED settings, collaborative approaches between emergency physicians and anesthesiologists enhance feasibility and patient outcomes. Conclusion: Regional nerve blocks by anesthesiologists offer fast, targeted, and safer pain relief in trauma care, reducing opioid dependence and improving outcomes. Integrating RNBs into emergency protocols enhances patient care and should be prioritized. Keywords: Regional Nerve Block, Trauma Pain, Emergency Department, Anesthesiologist
Natural History of Subarachnoid Hemorrhage - A Case Report in Developing Country: A Case Report Makkiyah, Feda Anisah; Ayu Devania Dipta Gayatri, Gusti; Napitupulu, Partogi
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 7 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

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Abstract

Stroke is the second leading cause of death and a significant factor in global disability. Its incidence is highest in developing nations, with ischemic strokes being the most prevalent. Only about 10% to 15% of first-time strokes are Intracerebral Hemorrhages (ICH). Primary hemorrhages make up the majority of strokes, while secondary hemorrhages account for roughly 10–25%. Hydrocephalus is a common complication of aneurysmal subarachnoid hemorrhage (aSAH). Additionally, the presence of hydrocephalus can indicate a greater likelihood of poor outcomes following an ICH. This case explains the natural history of subarachnoid and its management outside of developing countries. VP shunts are often used to treat post-hemorrhagic hydrocephalus, as was done in this case. Rebleeding after VP shunt placement is common. Therefore, appropriate management is needed to prevent increased mortality. Although proper management requires high costs in developing countries.
The Bronchiectasis in Geriatric Patients: Adaptation of Diagnosis and Management in the Context of Advanced Age: A Case Report Aulia, Khansa Tsabitah; Pratiwi, Prasetyaning Estu
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 7 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

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Abstract

Introduction: Bronchiectasis is an abnormal and permanent dilation of the bronchi caused by chronic inflammatory processes or recurrent infections. This condition can aggravate the patient's respiratory status, especially if it is accompanied by complications. Case Description: A 70-year-old man came in with complaints of chronic cough with phlegm and increasingly severe shortness of breath. No history of tuberculosis or other systemic diseases was found. Thoracic photos and CT scans show a picture of bronchiectasis with honeycombing leading to pulmonary fibrosis. Laboratory tests showed leukocytosis, increased urea and creatinine, and impaired liver function. The patient received injectable moxifloxacin antibiotic therapy followed by oral ciprofloxacin, as well as other supportive therapies. Clinical improvement begins to be seen after a few days of treatment. Discussion: Bronchiectasis in the elderly is often a challenge due to symptoms that overlap with other lung diseases as well as the presence of comorbidities. The absence of a definitive cause in these patients led to the diagnosis of idiopathic bronchiectasis. The honeycombing findings on imaging indicate the possibility of pulmonary fibrosis aggravating the condition. Prompt and appropriate management is essential to prevent disease progression. Conclusions: Idiopathic bronchiectasis with complications of pulmonary fibrosis is a rare and challenging case in diagnosis and management. A thorough radiological and laboratory examination is helpful in establishing the diagnosis and determining the optimal therapy.
The Effect of Education on the Identification of Pulmonary TB Case Findings in the Post-Covid-19 Era at Dukuh Kupang Public Health Center Surabaya: Original Research Rusdi, Muhammad Salsabeela; Rusdi, Warda Elmaida; Farindra, Irmawan; Artanti, Widyana Beta; Fahira, Aulia; Affrita, Tia Maya; Hanum, Laila
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 8 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

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Abstract

Indonesia is one of the countries affected by the COVID-19 pandemic. In the era of the COVID-19 pandemic, Tuberculosis disease is no longer in focus because the COVID-19 pandemic is the focus of the main problem. TB is one of the diseases that causes death in the world caused by bacterial infection Mycobacterium tuberculosis. TB in the pandemic era is very difficult to diagnose because the diagnosis of respiratory disease is directed at COVID-19 disease. Based on this, this study was conducted with the aim of knowing the impact of the COVID-19 pandemic on the findings of TB cases. The study was conducted using a cross-sectional observational analytic method at the Dukuh Kupang Community Health Center, Surabaya. The results showed a decrease in the number of pulmonary TB cases in recent years. This decrease is due to a decrease in screening and diagnosis of suspected TB, as well as an increase in better understanding in the community regarding the difference in symptoms of COVID-19 and TB and a decrease in the examination of TB sputum samples.

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