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The ASEAN Journal of Military and Preventive Medicine
Published by Universitas Pertahanan Republik Indonesia
ISSN : 30319447     EISSN : 3031870X     DOI : https://doi.org/10.47353/ajmpm
Core Subject :
The ASEAN Journal of Military and Preventive Medicine is an open-access, peer-reviewed scientific journal dedicated to advancing knowledge and innovation in the fields of military medicine, preventive medicine, biodefense, emergency medicine, disaster response, humanitarian health, and global public health. As one of the leading scholarly platforms in Indonesia and the ASEAN region, the journal provides an essential forum for researchers, military health professionals, clinicians, academics, and policymakers to disseminate high-quality research findings, emerging technologies, and interdisciplinary perspectives relevant to military and civilian healthcare systems. While military medicine remains the journal’s primary focus, contributions from allied disciplines with translational and practical impact are highly encouraged, particularly studies related to medical preparedness, humanitarian assistance, operational medicine, epidemiology, tropical diseases, public health resilience, and preventive healthcare strategies.
Arjuna Subject : -
Articles 32 Documents
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The Role of Speckle-Tracking Strain Echocardiography in the Clinical Evaluation and Follow-up of Myocarditis with Preserved Ejection Fraction: A Case Report Ardhestiro Hanindyo Putro
The ASEAN Journal of Military and Preventive Medicine Vol. 1 No. 2 (2024): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v1i2.13

Abstract

Introduction: Myocarditis has heterogeneous clinical manifestations and may be difficult to recognize when left ventricular ejection fraction is preserved. Speckle-tracking echocardiography may detect subtle myocardial dysfunction through global longitudinal strain (GLS) assessment. Case Illustration: A 30-year-old woman presented with exertional dyspnea and preceding sore throat, followed by chest pain radiating to the left shoulder. Electrocardiography showed sinus rhythm without acute ST-segment elevation, and conventional transthoracic echocardiography showed preserved LVEF (61%). Inflammatory markers and NT-proBNP were elevated. STE demonstrated markedly reduced GLS (-4.7%), especially in lateral, posterior, and anterior segments. Cardiac magnetic resonance imaging performed 10 days after symptom onset showed subepicardial late gadolinium enhancement in the basal lateral and inferolateral left ventricular walls, supporting myocarditis. Discussion: The regional distribution of impaired strain corresponded with cardiac magnetic resonance abnormalities, suggesting that STE may identify clinically relevant myocardial involvement despite normal LVEF. Serial STE showed improvement during follow-up after guideline-directed therapy and clinical stabilization. Conclusion: GLS assessment by STE is a useful non-invasive adjunct for diagnosis, risk evaluation, and follow-up of suspected myocarditis, particularly when conventional echocardiography appears normal.
The Effect of Intensive Medical Rehabilitation on the Functional Capacity of TNI Soldiers with Chronic Phase of Lower Extremity Injuries Rifqi Averrouza
The ASEAN Journal of Military and Preventive Medicine Vol. 1 No. 2 (2024): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v1i2.14

Abstract

Rehabilitation plays a crucial role in the recovery of patients, improving their quality of life and reducing the risk of complications by restoring a person's functional capacity after experiencing an injury. Chronic musculoskeletal injuries that are not handled optimally have the potential to cause disability for soldiers, making it impossible for soldiers to return to duty according to their main duties. Lower extremity injury is related to the potential reduction in a person's functional capacity, related to their functions, namely mobility, fitness, strength and agility. Active military soldiers with chronic lower extremity injuries underwent an intensive-structured medical rehabilitation program 3 times a week for 8 weeks. At the end of the rehabilitation program, statistically significant differences were found in the increase in cardiorespiratory fitness capacity and agility compared to pre-intervention. Even in chronic conditions, intensive medical and structural rehabilitation programs in cases of lower limb injuries can significantly increase functional capacity in assessing cardiorespiratory fitness and agility in accordance with TNI soldier fitness standards.
Stem Cell Transplantation Therapy in Systemic Sclerosis: A Systematic Review Arif Rachman; Prihati Pujowaskito; Arfiyanti Arfiyanti; Arya Duta Dharma; Dinda Puspa; Jafar Elyas; Ilham Syahputro; Nuzuludz Dzikra; Nabil Ramaseno; Ni Made Ayu Widiyasih; Muhammad Zhafran Maulana; Shalya Regita; Ruth Je Deborah Octavia
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 1 (2025): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i1.20

Abstract

Background: Systemic sclerosis (SSc) is a chronic autoimmune disease characterized by systemic inflammation, vascular dysfunction, progressive fibrosis, multiorgan involvement, and impaired quality of life. Autologous hematopoietic stem cell transplantation (HSCT) has been investigated as an option for patients with severe SSc who respond inadequately to conventional immunosuppressive therapy. Methods: A systematic search was conducted in the Cochrane Library and PubMed using terms related to stem cell transplantation, hematopoietic stem cell transplantation, systemic sclerosis, stem cell therapy, immunomodulatory therapy, and cyclophosphamide. Eligible studies were randomized controlled trials involving adults with diffuse or limited SSc, autologous HSCT as the intervention, and cyclophosphamide or other immunomodulatory therapy as the comparator. Study selection, data extraction, and risk-of-bias assessment were performed systematically, and the selection process was documented using a PRISMA flow diagram. Discussion: Three randomized controlled trials involving 250 participants were included. Selective non-myeloablative HSCT improved event-free survival, while selective myeloablative HSCT showed benefits in survival analysis and skin-related outcomes. Quality-of-life improvements were reported with selective HSCT approaches. However, HSCT was associated with a higher risk of serious adverse events than cyclophosphamide. Conclusion: Autologous HSCT may provide clinical benefit in selected patients with severe SSc, but careful risk-benefit assessment, strict patient selection, and long-term monitoring are essential.
Exploring the Potential of Ultrasound-Guided 5% Dextrose Prolotherapy for Partial Achilles Tendon Tear: A Case Report Lita DN Tambunan; Widiya Rahmi
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 1 (2025): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i1.21

Abstract

Background: Partial Achilles tendon tear may cause persistent heel pain, gait disturbance, and functional limitation when tendon healing is incomplete. Conservative treatment is commonly selected for partial tears, while surgical repair is usually reserved for severe or refractory cases. This case report aims to describe the clinical outcome of ultrasound-guided 5% dextrose prolotherapy as an adjunctive non-surgical treatment for partial Achilles tendon tear. Case illustration: A 35-year-old man presented with sharp pain and tenderness in the left heel after approximately 30 minutes of walking. Ultrasound examination confirmed a partial Achilles tendon tear measuring 0.5 cm, located approximately 2 cm proximal to the calcaneal insertion. Conservative management was initiated within 48 hours after injury, including immobilization in plantarflexion, strict non-weight-bearing, and structured rehabilitation. The patient received three weekly sessions of ultrasound-guided 5% dextrose prolotherapy, with 3 cc injected per session into the margins and center of the tendon tear. Discussion: Pain and tenderness improved within two weeks, with the Visual Analog Scale score decreasing from 5/10 to 1/10. Follow-up ultrasound one month after the final injection showed a more well-defined Achilles tendon and reduction of the tendon gap from 0.32 cm to 0.24 cm. Conclusion: Ultrasound-guided 5% dextrose prolotherapy combined with structured rehabilitation may be a feasible adjunctive non-surgical option for partial Achilles tendon tear, although larger controlled studies are required.
The Relationship of Stress Level to Stress Level And Menstrual Cycle Among Military Medical Cadets Salsabila Azka; Trevicko Ardiansyah; Syahnadira Handadari; Adinda Suwarno; Mozart; Arief Setyawan; Rachma Hidana; Elies Fitriani
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 1 (2025): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i1.22

Abstract

Background: Menstrual cycle regularity is an important indicator of reproductive health. Stress may disrupt menstrual function through neuroendocrine pathways, and military medical cadets may be vulnerable to both academic demands and semi-military training. This study aimed to determine the relationship between stress level and menstrual cycle among female military medical cadets at the Republic of Indonesia Defense University. Methods: This analytical observational study used a cross-sectional design. Ninety-five female medical cadets were recruited, and 92 respondents met the inclusion and exclusion criteria. Data were collected using Google Forms with the Perceived Stress Scale and a menstrual cycle questionnaire. The association between stress level and menstrual cycle was analyzed using the Chi-Square test, with statistical significance set at p < 0.05. Results: Most respondents experienced moderate stress (61/92; 66.3%), while 31 respondents (33.7%) had mild stress. Normal menstrual cycles were reported by 71 respondents (77.2%), whereas 21 respondents (22.8%) had abnormal menstrual cycles. The Chi-Square test showed a significant association between stress level and menstrual cycle (p = 0.008). Conclusion: Stress level was significantly associated with menstrual cycle patterns among military medical cadets. These findings highlight the importance of stress management and reproductive health monitoring in military medical education settings.
Effective use of the Orticochea Flap in the Surgical Treatment of Non-Hodgkin Lymphoma : Case Report Anastasia Harsono; Metaudina Pratiwi; Dominic Tjokrovonco
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 1 (2025): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i1.23

Abstract

Background: Head and neck non-Hodgkin lymphoma may clinically and radiologically mimic inflammatory disease, sarcoma, or other malignant tumors, creating diagnostic and reconstructive challenges. Large occipital scalp defects require vascularized, hair-bearing tissue coverage. This case series aims to describe the role of the Orticochea flap for reconstruction of large occipital scalp defects after tumor excision, with emphasis on diagnostic uncertainty, operative management, and postoperative wound outcome. Case illustration: The complete available case involved a 55-year-old immunocompetent woman with a rapidly enlarging painless mass extending from the posterior neck to the occipital scalp over four months, accompanied by an axillary lump. Magnetic resonance imaging suggested a soft tissue malignancy, initially considered liposarcoma. Wide excision with a 5-mm margin produced a 20 x 20 cm scalp defect, reconstructed using an Orticochea flap. Histopathology suggested non-Hodgkin lymphoma, although the final immunohistochemical subtype requires completion by the authors. Additional cases should be inserted before final submission. Discussion: The Orticochea flap provides broad local scalp advancement while preserving vascularity and hair-bearing coverage. In the available case, early wound healing was satisfactory, but delayed occipital wound dehiscence occurred and was managed conservatively with daily pure honey dressing during chemotherapy. Conclusion: The Orticochea flap may be useful for large occipital scalp defects requiring local hair-bearing coverage, but complete oncologic diagnosis, additional cases, and longer follow-up are needed before final case-series submission.
Mosquito Shield-Transfluthrin Spatial Repellents Against Malaria-Transmitting Anopheles: A Systematic Review and Meta-Analysis Dinda Nurhanifah; Dian Dewi; Anggie Azzura; Hanum Fadhilah; Fitrawan Alfiansyah; Anastasia Renate; Prihati Pujowaskito
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 1 (2025): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i1.24

Abstract

Background: Malaria remains a major mosquito-borne disease in tropical and subtropical regions. Although insecticide-treated nets and indoor residual spraying have contributed to malaria control, residual transmission and pyrethroid resistance require complementary vector control strategies. Mosquito Shield™ is a transfluthrin-based passive spatial repellent designed to reduce human–Anopheles contact. This systematic review and meta-analysis aimed to evaluate the effectiveness of Mosquito Shield in reducing exposure to malaria-transmitting Anopheles mosquitoes. Methods: A systematic literature search was conducted in November 2024 using Medline/PubMed, Scopus, ScienceDirect, and Cochrane for studies published between 2019 and 2024. Eligible studies were randomized or cluster-randomized controlled trials conducted in malaria-endemic or epidemic-prone areas that evaluated transfluthrin-based Mosquito Shield compared with placebo. Outcomes included Human Landing Catch, incidence rate ratio or risk ratio, and protective efficacy. Risk of bias was assessed using RoB 2.0, and meta-analysis was performed using Review Manager 5.4.1 with a random-effects model. Discussion: Two studies met the inclusion criteria. Mosquito Shield reduced Anopheles landing rates compared with placebo, with protective efficacy ranging from 34.2% to 70%. The pooled risk ratio was 0.45 (95% CI: 0.21–0.98; p = 0.04), indicating a significant reduction in mosquito exposure. However, heterogeneity was high (I² = 95%). Conclusion: Mosquito Shield™ may reduce exposure to malaria-transmitting Anopheles mosquitoes, but evidence remains limited by the small number of studies and substantial heterogeneity.
Effect of Filler and Slip Casting Methods with Nano TiO2 Anastase as Anti-Candida Albicans on Extraoral Maxillofacial Prostheses: A Laboratory Experiment Teguh Widodo; Silvia Indrawati
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 1 (2025): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i1.25

Abstract

Background: Polyurethane is widely used for extraoral maxillofacial prostheses because of its favorable elasticity, tear resistance, and tissue-like surface characteristics. However, polyurethane surfaces may support Candida albicans adhesion and biofilm formation, which may compromise prosthesis hygiene and durability. This study aimed to evaluate the antifungal effect of anatase titanium dioxide (TiO₂) nanoparticles applied to polyurethane plates using filler and slip-casting coating methods. Methods: This in vitro laboratory experimental study used 54 polyurethane plates divided into nine groups: one control group, four filler groups with 1%, 2%, 3%, and 4% TiO₂, and four slip-casting coating groups with 1%, 2%, 3%, and 4% TiO₂. Treated samples were irradiated with ultraviolet light at 366 nm for 1 hour, exposed to Candida albicans suspension, incubated for 48 hours at 37°C, cultured on Sabouraud Dextrose Agar, and counted as CFU/mL. Data were analyzed using the Kolmogorov-Smirnov test, Levene’s test, Welch-ANOVA, and Games-Howell post hoc test. Results: The 4% TiO₂ slip-casting coating group showed the lowest mean colony count (128.83 ± 7.96 CFU/mL), while the control group showed the highest count (272.00 ± 47.44 CFU/mL). Welch-ANOVA showed significant differences among groups (F = 37.664; p < 0.001). Conclusion: Surface coating with 4% anatase TiO₂ using slip casting produced the greatest inhibitory effect against Candida albicans on polyurethane plates in this laboratory model.
The Relationship Between Body Mass Index and Waist-to-Hip Ratio on Menstrual Cycle in Female Cadets of Cohort 4, Republic of Indonesia Defense University Tresnasih Nuraeni; Elies Fitriani; Flora Ekasari; Satria Pratama; Agus Sutarman
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 2 (2025): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i2.26

Abstract

Background: Women’s reproductive health may be influenced by anthropometric factors, including body mass index (BMI) and waist-to-hip ratio (WHR). Menstrual-cycle disorders are common in adolescent and young adult women and may be associated with nutritional status, central adiposity, hormonal imbalance, and lifestyle factors. This study aimed to analyze the relationship between BMI and WHR with menstrual cycle patterns among female cadets of Cohort 4 at the Republic of Indonesia Defense University. Methods: This observational analytic study used a quantitative cross-sectional design. Female cadets meeting the inclusion and exclusion criteria were recruited. Anthropometric measurements were performed to calculate BMI and WHR. Menstrual-cycle data were collected using a structured questionnaire and categorized as normal or abnormal. Fisher’s exact test was used to evaluate the relationship between BMI and menstrual cycle and between WHR and menstrual cycle with a significance level of p<0.05. Results: A total of 55 female cadets were included. Most respondents had normal BMI (78.2%), while 60.0% had WHR classified as at risk. Fisher’s exact test showed no significant association between BMI and menstrual cycle (p=0.164), whereas WHR was significantly associated with menstrual cycle pattern (p=0.000). Conclusion: BMI was not significantly associated with the menstrual cycle among female cadets, but WHR showed a significant relationship. Interventions focusing on healthy nutritional status, ideal fat distribution, and physical activity may support reproductive health in female cadets.
Effectiveness of the 20-20-20 Algorithm in Reducing the Risk of Computer Vision Syndrome (CVS) Among Military Medical Cadets at the Republic of Indonesia Defense University Muhammad Prasetyo; Nirawan Putranto; Satria Pratama; Elies Fitriani
The ASEAN Journal of Military and Preventive Medicine Vol. 2 No. 2 (2025): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v2i2.27

Abstract

Background: The digital era has changed many aspects of life, especially in education and professional fields, with increased reliance on computers and visual display terminals for work, communication, and learning. In academic environments, particularly among medical students, computers are essential for accessing information and completing assignments. However, excessive screen use can cause eye strain and visual discomfort. One common condition associated with prolonged screen time is computer vision syndrome (CVS). To reduce the risk of CVS, the 20-20-20 algorithm is recommended: taking a 20-second break every 20 minutes to look at an object 20 feet away. This study aimed to evaluate the effectiveness of the 20-20-20 algorithm among medical students at the Republic of Indonesia Defense University. Methods: This study used a one-group pretest-posttest design. A total of 77 cadets from the Military Medicine Study Program participated. Respondents underwent CVS symptom measurement before the intervention, applied the 20-20-20 algorithm for two weeks, and repeated symptom measurement after the intervention. Data were analyzed using the McNemar test. Results: There was a significant change in CVS symptoms after implementation of the 20-20-20 algorithm. Of 77 respondents, 34 respondents did not experience CVS symptoms at pretest and remained asymptomatic at posttest. A total of 25 respondents who previously experienced CVS symptoms no longer experienced CVS after intervention. Statistical analysis showed a p-value of 0.000, indicating a significant difference before and after intervention. Conclusion: The 20-20-20 algorithm was effective in reducing the risk of CVS among military medical students. With p < 0.05, this algorithm can be considered an effective, simple, and practical solution for computer users at risk of CVS

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