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Jurnal Kedokteran Methodist
Published by Universitas Methodist Indonesia
ISSN : 26847132     EISSN : 26847132     DOI : DOI: https://doi.org/10.46880/jkm.v20i1
Core Subject : Health, Science, Education, Agriculture, Social,
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary Other
Jurnal Kedokteran Methodist (JKM) is a peer-reviewed, open-access journal that welcomes manuscripts in basic and clinical research, encompassing all aspects of medicine, health sciences, and pharmacy. Reports on genomics, epigenetics, and stem cells are welcome as well. The journal covers original research articles, case reports, and review articles.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 91 Documents
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A Association of Knowledge, Behavior, and Environmental Sanitation with Helminthiasis among Children Aged 7–9 Years in Namo Sialang Village, 2024: Association of Knowledge, Behavior, and Environmental Sanitation with Helminthiasis among Children Aged 7–9 Years in Namo Sialang Village, 2024 Nova Apriliana Nainggolan
Jurnal Kedokteran Methodist Vol. 18 No. 1 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i1.5777

Abstract

Background: Intestinal worms are diseases caused by infections from worms that reside in the soil. Children's understanding of personal hygiene is crucial, as good knowledge about intestinal worms can promote preventive actions. The high prevalence of worm infections is influenced by factors affecting the life cycle of these worms, such as poor environmental sanitation, inadequate personal hygiene, and the socioeconomic conditions of the community. Objective: This study aims to identify the relationship between knowledge of intestinal worms, behavior, and environmental hygiene among children aged 7-9 years in Namo Sialang Village in 2024. Method: This research is a correlational study with a cross-sectional design. Result: The study involving 49 samples revealed a significant relationship between knowledge and the prevalence of worm infections (p = 0.003), as well as between behavior and worm infection occurrence (p = 0.002). Environmental sanitation also showed a significant correlation with worm infections (p = 0.010). Conclusion: This conclusion indicates a significant relationship between knowledge, behavior, and environmental sanitation with the occurrence of intestinal worms. In terms of distribution, the level of knowledge influences the prevalence of worm infections.
The Relationship Between Age, Smoking Habits, and Family History with Breast Cancer Incidence at Vina Estetica General Hospital in 2023 Jeffrey22 Chua
Jurnal Kedokteran Methodist Vol. 18 No. 1 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i1.5779

Abstract

Background: Breast cancer is one of the cancers that ranks first in Indonesia with 68,858 cases and is still a problem in the world of health. Increasing age, having a smoking habit and a history of breast cancer in the family are risk factors for breast cancer. However, there are several studies that say that age, smoking habits and family history do not increase the risk of breast cancer. Purpose: The purpose of this study was to determine the relationship between age, smoking habits and family history with the incidence of breast cancer at Vina Estetica General Hospital in 2023. Research Methods: This study used the Chi Square test and the Binomial Logistic Regression statistical test with a cross-sectional approach to see the relationship between age, smoking habits and family history with the incidence of breast cancer at Vina Estetica General Hospital in 2023 with a sample size of 65 respondents. Results: In this study, the most respondents were found based on age> 35 years as many as 43 respondents (66.2%), based on smoking habits as many as 42 respondents (64.6%) and based on family history as many as 41 respondents (63.1%). relationship between age ≥ 35 years with the incidence of breast cancer with p-value Chi Square table 0.05 (dk 1) 3.841; RP 3.18; 95% CI 1.5779 - 6.3086. There is a relationship between smoking habits and the incidence of breast cancer with p-value Chi Square table 0.05 (dk 1) 3.841; RP 3.38; 95% CI 1.6823 - 6.7790. There is a relationship between family history and the incidence of breast cancer with p-value Chi Square table 0.05 (dk 1) 3.841; RP 3; 95% CI 1.5972 - 5.6742 and in the multivariate results obtained the dominant factors are age p-value 0.003, smoking habits p-value 0.012 and family history p-value 0.018. Conclusion: The results of the study found a relationship between age, smoking habits and family history with the incidence of breast cancer. With the dominant factor being age Keywords: Breast Cancer, Age, Smoking Habits, Family History.
THE RELATIONSHIP BETWEEN STRESS LEVEL AND ANXIETY LEVEL WITH THE MENSTRUAL CYCLE OF GRADE XII STUDENTS OF METHODIST HIGH SCHOOL 1 MEDAN: THE RELATIONSHIP BETWEEN STRESS LEVEL AND ANXIETY LEVEL WITH THE MENSTRUAL CYCLE OF GRADE XII STUDENTS OF METHODIST HIGH SCHOOL 1 MEDAN Fevi Yolanda Siagian
Jurnal Kedokteran Methodist Vol. 18 No. 1 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i1.5781

Abstract

Background : Stress is an individual's response to stress that can disrupt physical or psychological balance. Stress and anxiety play a role in disrupting the menstrual cycle, with cortisol as an indicator of stress levels. Research shows that stress and anxiety can affect menstrual irregularities, especially in adolescent girls who are prone to hormonal and emotional changes during puberty. Objective : To determine the relationship between stress levels and anxiety levels with menstrual cycles in grade XII students of SMA Methodist 1 Medan. Method : Type This research was conducted by descriptive correlation method with a Cross Sectional approach.Results: The results of this study showed that there was a significant relationship between stress level and menstrual cycle with a p value of < 0.05 and there was a significant relationship between anxiety level and menstrual cycle with a p value = 0.05.Conclusion : Based on the results of the research that has been carried out, it can be concluded that in grade XII students of SMA Methodist I Medan, there is a significant relationship between the level of anxiety and stress with the menstrual cycle. Keywords : Stress, Anxiety, Menstrual Cycle
COMBINATION EFFECT OF MANGO LEAF WATER EXTRACT (Mangifera indicaL.) AND CHINESE BETEL LEA VES (Peperomia pellucidaL. Kunth) ON BLOOD SUGAR LEVELS OF MALE WHITE RATS (Rattus norvegicus) DIABETES MELLITUS TYPE 2: COMBINATION EFFECT OF MANGO LEAF WATER EXTRACT (Mangifera indicaL.) AND CHINESE BETEL LEA VES (Peperomia pellucidaL. Kunth) ON BLOOD SUGAR LEVELS OF MALE WHITE RATS (Rattus norvegicus) DIABETES MELLITUS TYPE 2 Penina Triyanti Simalango
Jurnal Kedokteran Methodist Vol. 18 No. 1 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i1.5782

Abstract

BackgroundDiabetes mellitus (DM) is a disease caused by a metabolic disorder that occurs in the pancreatic duct. DM is characterized by elevated blood sugar levels (BGD), often referred to as hyperglycemia. This condition occurs when the pancreas reduces total insulin production. Research methods: this observation is of an experimental laboratory character using a research designpost test only controlled group designin male white mice with type 2 diabetes mellitus (DMT2). Results: The p-value for the initial KGD was <0.138, the p-value for the KGD in the first week of HFD administration was <0.310, the p-value for the KGD in the 2nd week of HFD administration was <0.378, the p-value for the KGD in the 3rd week of HFD administration was <0.333, the p-value for the KGD in the 4th week of HFD administration was <0.241. Conclusion: The combination of mango leaf water extract at a dose of 200 mg/kgBW and Chinese betel leaf at a dose of 200 mg/kgBW was more effective in reducing blood glucose compared to the other groups. Keywords: Diabetes Mellitus, Blood Sugar Levels, High Fatty Diet BackgroundDiabetes mellitus (DM) is a disease caused by a metabolic disorder that occurs in the pancreatic duct. DM is characterized by elevated blood sugar levels (BGD), often referred to as hyperglycemia. This condition occurs when the pancreas reduces total insulin production. Research methods: this observation is of an experimental laboratory character using a research designpost test only controlled group designin male white mice with type 2 diabetes mellitus (DMT2). Results: The p-value for the initial KGD was <0.138, the p-value for the KGD in the first week of HFD administration was <0.310, the p-value for the KGD in the 2nd week of HFD administration was <0.378, the p-value for the KGD in the 3rd week of HFD administration was <0.333, the p-value for the KGD in the 4th week of HFD administration was <0.241. Conclusion: The combination of mango leaf water extract at a dose of 200 mg/kgBW and Chinese betel leaf at a dose of 200 mg/kgBW was more effective in reducing blood glucose compared to the other groups. Keywords: Diabetes Mellitus, Blood Sugar Levels, High Fatty Diet
Surgical Management of Acute Cholecystitis: Early versus Delayed Laparoscopic Cholecystectomy M Fadillah Tarigan
Jurnal Kedokteran Methodist Vol. 18 No. 1 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i1.5811

Abstract

Acute cholecystitis is a common surgical emergency, primarily caused by gallstones blocking the cystic duct. Even though laparoscopic cholecystectomy is universally regarded as the best treatment, the best time for surgery is still a matter of clinical and logistical concern. This narrative review assesses the existing evidence about early versus delayed laparoscopic cholecystectomy. Evidence from studies and guidelines consistently demonstrates suggesting early laparoscopic cholecystectomy yields superior results, including reduced total length of hospital stay and lower rates of recurrent biliary events, without increasing major morbidity, conversion to open surgery, or bile duct injury when conducted in accordance with safe surgical principles. Delayed laparoscopic cholecystectomy is still an option for some patients who are temporarily unsuitable for surgery, have uncontrolled sepsis, need their gallbladder drained, or can't get to the right surgical expert. Consequently, the time of intervention ought to be tailored to the patient's physiology, disease severity, and institutional capacity, rather than conforming to a predetermined temporal threshold. Early laparoscopic cholecystectomy needs to be considered the standard of treatment wherever possible, whereas delayed cholecystectomy management should be confined to meticulously chosen cases. Keywords: acute cholecystitis; laparoscopic cholecystectomy; early cholecystectomy; delayed cholecystectomy; gallbladder
A Literature Review on Central Compartment Atopic Disease as a Phenotype of Chronic Rhinosinusitis Type 2 Muhammad Fauzi Farhat
Jurnal Kedokteran Methodist Vol. 18 No. 1 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i1.5812

Abstract

Background: Central compartment atopic disease (CCAD) is a chronic rhinosinusitis phenotype characterized by polypoid inflammatory remodeling of the middle turbinates, superior turbinates, and posterosuperior nasal septum. Recent diagnostic proposals define CCAD by central sinonasal tissue remodeling in patients displaying features of an IgE-mediated allergic response, while classifying the condition as type 2 dominant and eosinophilic. Objective: This review synthesizes current evidence regarding CCAD as a distinct phenotype in type 2 chronic rhinosinusitis, emphasizing anatomy, allergies, inflammatory endotypes, radiography, differential diagnosis, and therapeutic implications. Methods: A narrative literature review was conducted using articles from 2016 to 2026 published in Scopus-indexed peer-reviewed journals. Results: Current studies demonstrate a significant association between CCAD and inhalant allergy or aeroallergen sensitization, although the strength of the relationship between systemic allergy and asthma varies among populations. Eosinophilia and a cytokine profile marked by IL-5 and IL-13 in central compartment chronic rhinosinusitis confirm type 2 characteristics. Conclusion: CCAD should be considered an anatomically oriented, allergy-related manifestation of chronic rhinosinusitis type 2, rather than simply a diffuse nasal polyp. Keywords: endoscopic sinus surgery, type 2 inflammation, nasal polyps, chronic rhinosinusitis, and allergic rhinitis.
Comparative Outcomes of Endourological Procedures in Urolithiasis: A Narrative Literature Review of PCNL, URS, and ESWL Muhammad Fauzan Farhat
Jurnal Kedokteran Methodist Vol. 18 No. 2 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i2.5817

Abstract

Urolithiasis remains a recurrent and resource-intensive condition, where endourological interventions are selected based on stone burden, location, anatomy, patient preference, stone-free rate, safety, retreatment, recovery, and cost. This narrative review assesses percutaneous nephrolithotomy (PCNL), ureteroscopy or retrograde intrarenal surgery (URS/RIRS), and extracorporeal shock wave lithotripsy (ESWL/SWL). PCNL consistently has the best chance of getting rid of stones, especially for bigger stones, stones in the lower pole, or complicated kidney stone burdens. However, these benefits come with more invasive procedures, longer hospital stays, and more bleeding-related illnesses. ESWL is still the least invasive and often the least expensive option, but the results depend more on the size, density, position, and the gap between the stone and the skin, as well as the need for repeat sessions. Recent evidence suggests that treatment selection should not be limited to a single efficacy hierarchy: PCNL, URS, and ESWL each serve distinct therapeutic functions, and optimal decision-making requires the alignment of procedural benefits with stone- and patient-specific priorities. Keywords: urolithiasis, PCNL, ureteroscopy, retrograde intrarenal surgery, ESWL
Benign Esophageal Stricture: Recent Advances in Endoscopic Dilation and Adjunctive Therapy Gunawan Wijaya Setiawan
Jurnal Kedokteran Methodist Vol. 18 No. 2 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i2.5818

Abstract

Benign esophageal stricture is a clinically heterogeneous fibrostenotic condition that impedes swallowing, eating, medication intake, and overall health maintenance. Endoscopic dilation is still the best way to treat strictures, but many patients have them come back or don't respond to treatment, so they need to have the procedure done again and try different methods. This narrative literature review examines published evidence from the past decade regarding endoscopic dilation and alternative treatments for benign esophageal strictures. Evidence suggests that an etiology-based approach is optimal. For instance, peptic and inflammatory strictures necessitate vigorous intervention of the underlying inflammatory catalyst. Short anastomotic rings and focal mesh are good options for incisional therapy. Complex caustic, radiation-induced, and post-endoscopic resection strictures frequently require serial dilations in conjunction with alternative treatments. Recent advancements have improved patient selection instead of replacing dilation. There are still not many good comparative trials. Subsequent research ought to establish standardized definitions, document patient-reported outcomes, and develop risk-stratification algorithms for early adjunctive therapy. Keywords: esophageal dilation, esophageal stricture, incisional therapy, esophageal stent, mitomycin C
A Hubungan Indeks Massa Tubuh (IMT) dan Lingkar Pinggang terhadap Ketahanan Kardiorespirasi pada Siswa SMA Methodist 1 Medan, Sumatera Utara Tahun 2023–2024.: HUBUNGAN INDEKS MASSA TUBUH (IMT) DAN LINGKAR PINGGANG TERHADAP KETAHANAN KARDIORESPIRASI PADA SISWA SMA METHODIST 1 MEDAN SUMATERA UTARA 2023-2024 Jeremia Simanjuntak; Suryati Sinurat; Alexander Parlindungan Marpaung; Menang Bastanta Tarigan; Jekson Martiar Siahaan
Jurnal Kedokteran Methodist Vol. 17 No. 1 (2024): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACT Currently, modern life, especially in urban areas, promotes an instant consumption lifestyle, particularly among teenagers. With technological advancements, teenagers can easily order fast food through delivery apps, making fast food a common choice. In addition to fast food, school snacks are also highly favored by teenagers. This excessive consumption pattern, if sustained over time, can lead to fat accumulation that affects body mass index (BMI) and waist circumference. According to the 2019 health profile, 35.4% of teenagers experience obesity, with the highest prevalence in urban areas at 25.1%. Excess fat accumulation puts pressure on cardiorespiratory function, reducing lung capacity as reflected in VO2Max or cardiorespiratory endurance. This decline in cardiorespiratory endurance significantly affects a person's quality of life, causing them to feel fatigued easily and limiting their ability to engage in prolonged physical activities.Conclusion: There is a significant relationship between body mass index and waist circumference on cardiorespiratory endurance among students of Methodist 1 High School, Medan, North Sumatra..
A HUBUNGAN ANTARA TINGKAT PENGETAHUAN DAN SANITASI LINGKUNGAN TERHADAP KEJADIAN DIARE PADA BALITA DI PUSKESMAS SAWIT SEBERANG LANGKAT SUMATERA UTARA 2023-2024: HUBUNGAN ANTARA TINGKAT PENGETAHUAN DAN SANITASI LINGKUNGAN TERHADAP KEJADIAN DIARE PADA BALITA DI PUSKESMAS SAWIT SEBERANG LANGKAT SUMATERA UTARA 2023-2024 Christina Leony Sinaga; Surjadi Rimbun; Menang Bastanta Tarigan; Eka Samuel Parulian Hutasoit; Jadeny Sinatra
Jurnal Kedokteran Methodist Vol. 17 No. 1 (2024): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v17i1.5902

Abstract

ABSTRACT Diarrhea remains a global health issue, including in Indonesia. According to the 2020 Indonesian nutrition status survey, the prevalence of diarrhea was recorded at 9.8%. Various factors influence the occurrence of diarrhea in toddlers, with mothers playing a crucial role in prevention and treatment. Mothers with knowledge of the causes, symptoms, and prevention of diarrhea are key in maintaining hygiene and preventing disease. The mother's education level also plays a significant role, as higher-educated mothers tend to more easily receive information and apply preventive measures. With adequate knowledge, mothers can be more careful in caring for their children, from providing clean water to managing waste, thereby reducing the incidence of diarrhea in toddlers. Conclusion: there is a significant relationship between the mother's knowledge and environmental sanitation quality with the incidence of diarrhea in toddlers at Puskesmas Sawit Sebrang, Langkat, North Sumatra..

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