cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Dian Andriani RD
Contact Email
ajmpmjournal@gmail.com
Phone
+6281946311759
Journal Mail Official
ajmpmjournal@gmail.com
Editorial Address
Fakultas Kedokteran Militer, Universitas Pertahanan Republik Indonesia In collaboration with Perdokmil (Perkumpulan Kedokteran Militer)
Location
Kota bogor,
Jawa barat
INDONESIA
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 45 Documents
 1   2   3   4   5 
The Role of HIF-1α in Gingival Hypoxia Induced by Smoking: A Scoping Review Mutiara Yulina Putri; Siti Sopiatin; Amaliya Amaliya
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 1 (2026): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i1.40

Abstract

Background: Smoking is a well-established risk factor for periodontal disease, primarily due to its role in inducing hypoxia within gingival tissues. Hypoxia, defined as reduced oxygen supply, disrupts normal tissue homeostasis, exacerbates inflammation, and impairs healing. Chronic exposure to smoking-related toxins leads to microvascular dysfunction, reduced oxygen delivery, and an upregulation of hypoxia-inducible factor-1 alpha (HIF-1α). This molecular adaptation is associated with increased apoptosis, impaired angiogenesis, and delayed periodontal tissue regeneration, all of which contribute to disease progression. Understanding the role of hypoxia in smoking-related periodontal destruction is crucial for developing targeted therapeutic interventions. Methods: This scoping review followed the Joanna Briggs Institute (JBI) protocol and PRISMA-ScR guidelines. A comprehensive search was performed in PubMed, EBSCOhost, Scopus, ScienceDirect, Google Scholar, and Web of Science using Boolean operators related to hypoxia, gingival health, and smoking. The Population-Concept-Context (PCC) framework guided the eligibility criteria, including observational and experimental studies that compared smokers and non-smokers. Extracted data included study design, sample size, periodontal parameters, and molecular findings. Results: Out of 265 screened articles, 11 met the inclusion criteria. These included experimental, cross-sectional, cohort, and randomized controlled trial (RCT) studies involving 473 participants. Results demonstrated that smokers exhibited significantly higher levels of HIF-1α, VEGF, and inflammatory markers in periodontal tissues compared to non-smokers. Smoking-induced hypoxia disrupted angiogenesis, increased osteoclastogenesis, and altered vascularization, contributing to delayed healing and periodontal tissue degradation. Some studies reported no synergistic effect between smoking and periodontitis on HIF-1α expression; however, smoking independently impacted hypoxia-related pathways. Conclusion and Implications: Smoking significantly contributes to periodontal disease by inducing hypoxia, disrupting angiogenic and inflammatory pathways, and impairing tissue regeneration. The upregulation of HIF-1α plays a central role in these mechanisms. Given these findings, integrating smoking cessation into periodontal management is essential. Future research should explore targeted interventions modulating HIF-1α activity to mitigate smoking-induced periodontal damage and improve treatment outcomes.
Sutureless Electrocautery-Assisted Excision of a Recurrent Giant Earlobe Keloid Following Piercing: A Case Report Dian Andriani Ratna Dewi; Juliandra Firdaus; Khufitha Tasya
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 1 (2026): January
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i1.45

Abstract

Background: Auricular keloids represent challenging fibroproliferative scars frequently induced by ear piercing and are characterized by a high recurrence rate, especially following repeated surgical interventions. In cases of recurrent earlobe keloids, minimizing further trauma and wound tension is critical to reducing the likelihood of subsequent recurrence. Case illustration: A 22-year-old woman presented with a recurrent, giant keloid on the right earlobe subsequent to ear piercing. The lesion had progressively enlarged over a 10-year period, despite four prior surgical interventions and corticosteroid injections. Clinical examination identified a firm, raised, pinkish keloidal mass measuring 7 × 5 × 3 cm. Electrocautery-assisted excision and debulking were performed under local and tumescent anesthesia. The wound was deliberately left unsutured to prevent additional puncture trauma, foreign-body reaction, and wound-edge tension. Postoperative care included local wound management, topical antibiotic and tulle dressings, and pressure therapy, facilitating healing by secondary intention. Discussion: Electrocautery enabled controlled tissue removal with simultaneous hemostasis and minimal manipulation of surrounding skin. Avoiding primary suturing was considered important because suture-related dermal trauma and tension may reactivate abnormal fibroblast activity in keloid-prone tissue. Combined with pressure therapy, this sutureless approach supported gradual wound remodeling. Conclusion: Electrocautery-assisted sutureless excision, followed by secondary intention healing and pressure therapy, may serve as an alternative strategy for selected cases of recurrent giant earlobe keloids. No clinical recurrence was observed at 12-month follow-up.
Vaccination programs and infectious disease burden among military personnel: a systematic review with pathogen-specific quantitative synthesis Muhammad Sobri Maulana; Dwitia Pratiwi; Arditya Prayogi
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.17

Abstract

Introduction: Military personnel are highly exposed to vaccine-preventable infections because of close living conditions, rapid mobilization, deployment to endemic areas, and intense training schedules. This systematic review and meta-analysis evaluated whether vaccination programs reduce infectious disease burden among military personnel. Methods: PubMed/MEDLINE, Embase, Cochrane Library, ProQuest, and Scopus were searched from database inception to 16 May 2026 for comparative studies of vaccination programs in military populations. Eligible outcomes were laboratory-confirmed infection, clinical disease, acute respiratory illness, meningococcal disease, or program-defined infectious disease burden. Random-effects meta-analysis was performed using log risk ratios. Results: Sixteen studies were included in the qualitative synthesis and 13 contributed quantitative data. Across adenovirus, meningococcal, influenza, and COVID-19 vaccination programs, the pooled risk ratio was 0.19 (95% confidence interval 0.11-0.32), corresponding to an approximate 81% reduction in infectious disease burden. Subgroup effects were strongest for adenovirus and meningococcal vaccination programs and more moderate for influenza vaccination. Discussion: The findings support vaccination as a high-impact readiness intervention in military settings, especially for pathogens amplified by recruit training environments. Certainty was limited by heterogeneity, pre-post designs, historical evidence, and inconsistent reporting of denominators. Conclusion: Vaccination programs substantially reduce infectious disease burden among military personnel. Future research should use prospective surveillance, standardized case definitions, pathogen-specific laboratory confirmation, and transparent reporting of denominators and person-time.
Fixed-Wing Aeromedical Evacuation of a Child With a Subtrochanteric Femur Fracture Immobilized Using Static Splints in a Resource-Limited Setting: A Case Report Ghani Abdurahim
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.33

Abstract

Background: Subtrochanteric femur fractures are serious injuries associated with significant morbidity and, occasionally, mortality. Appropriate pre-hospital immobilization is essential to prevent secondary injury during patient transport. In resource-limited, geographically isolated settings, the success of immobilization depends not on device sophistication but on the correct application of available materials. Case Illustration: A 7-year-old female sustained a subtrochanteric right femur fracture following a high-energy motor vehicle accident on Natuna Island, Indonesia. The patient underwent aeromedical evacuation via military fixed-wing aircraft. The injured limb was immobilized using static rigid splints spanning the hip and knee joints, with the patient secured supine on a semi-rigid mattress using multi-point bandage fixation. Following an approximately two-hour flight, post-arrival radiographs confirmed no fracture displacement or new injury. The patient remained stable with no worsening pain, and subsequently underwent successful open reduction and internal fixation. Discussion: Fracture stability was maintained through immobilization spanning both the hip and knee joints, which neutralizes the deforming muscular forces acting on the proximal femoral fragment. Four technical elements were critical: splint length sufficient to bridge both joints, bilateral medial and lateral placement, padding at bony prominences, and five-point bandage fixation. Traction splinting was intentionally avoided given its recognized aeromedical contraindications. Conclusion: Properly applied static rigid splinting can maintain fracture stability throughout fixed-wing aeromedical evacuation in resource-limited settings. Correct execution of technique, rather than sophistication of materials, is the primary determinant of safe transport outcomes.
Medical Cadets as Force Multipliers: Operational Readiness from the Sumatra Disaster Relief Task Force Angki Perdiyana; AJ Didy Surachman
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.46

Abstract

Background: As an archipelagic territory highly vulnerable to severe weather anomalies, Indonesia requires prompt multi-sectoral deployment and flexible civil-military medical protocols to mitigate post-disaster health crises; hence, this study evaluates the operational integration, health service support, and health risks of military medical cadets serving in the Sumatra Disaster Relief Task Force. Methods: This study utilizing a descriptive field report with a narrative review component of disaster healthcare guidelines from 2016–2026, this research evaluated operational logbooks spanning November 30 to December 17, 2025. Results: The mission successfully achieved five strategic milestones, including logistical readiness, shipboard surgical assistance, management of an internal Typhoid Fever case, evacuation recovery, and multi-sectoral water purification installations. Frontline operations in Aceh Tamiang managed a high-throughput volume of 586 acute civilian cases over two days (n=305 on December 16; n=281 on December 17), where waterborne gastroenteritis, post-flood infectious dermopathy, and neglected chronic pathologies represented the primary clinical burden. Conclusion: Ultimately, deploying supervised senior military medical student volunteers functions as a vital mechanism to reinforce overloaded health infrastructures, though sustaining operational durability strictly depends on mandatory pre-deployment vaccinations, clear boundaries of practice, and rigid compliance with Incident Command Systems.
Pretreatment Reversal Reaction in Borderline Tuberculoid Leprosy Presenting as a Unilateral Anesthetic Plaque on the Dorsum of the Foot: A Case Report Juliandra Firdaus; Khufitha Tasya; Randy Nugraha
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.48

Abstract

Background: Leprosy is a chronic infectious disease caused by Mycobacterium leprae, primarily affecting the skin and peripheral nerves. Type 1 leprosy reaction, also known as reversal reaction, is an acute immunological event commonly observed in borderline forms of leprosy. Although reversal reactions frequently occur during treatment, they may also develop before the initiation of multidrug therapy. Early recognition is essential to prevent nerve damage and disability. This report describes a case of borderline tuberculoid leprosy with a pretreatment reversal reaction and peripheral nerve involvement. Case illustration: A 50-year-old woman presented with progressive redness on the dorsum of the left foot for one week, accompanied by pain and numbness persisting for one month. The lesion initially appeared as a small hypopigmented patch one year earlier, subsequently enlarging and becoming elevated, erythematous, warm, and painful. Dermatological examination revealed unilateral, well-defined erythematous anesthetic plaques on the dorsum of the left foot and toes. Neurological assessment demonstrated enlargement of the left common peroneal nerve, impaired pain and touch sensation, and reduced motor strength. Slit-skin smear examination was negative, with a bacterial index of 0/3. Discussion: The clinical findings supported a diagnosis of borderline tuberculoid leprosy with a pretreatment reversal reaction. A negative slit-skin smear was consistent with paucibacillary disease. Early initiation of corticosteroid therapy was essential for controlling inflammation and preventing irreversible nerve impairment. Conclusion: Pretreatment reversal reaction should be considered in patients with borderline tuberculoid leprosy, even before the initiation of multidrug therapy. Early recognition and prompt corticosteroid treatment are essential to prevent irreversible nerve damage.
Tactical Combat Casualty Care (TCCC): Historical Evolution, EvidenceBased Development, And Contemporary Applications In Modern Warfare Nizamuddin Ubaidillah
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.57

Abstract

Background:Armed conflict has historically been a major driver of advances in trauma surgery and emergency medicine. Despite remarkable progress in weapons technology during the twentieth century, prehospital combat casualty care evolved more slowly, resulting in a substantial number of preventable battlefield deaths before casualties reached definitive medical treatment. These challenges prompted the development of Tactical Combat Casualty Care (TCCC), an evidence-based combat trauma system specifically designed to integrate medical priorities with tactical realities. Objective:This review aims to describe the historical evolution of Tactical Combat Casualty Care, summarize the scientific evidence supporting its development, and discuss its implementation and continuing adaptation in contemporary armed conflicts. Methods:A narrative literature review was conducted using landmark publications, military trauma registries, clinical practice guidelines, and peer-reviewed articles indexed in PubMed, Scopus, and military medical literature. Historical developments from World War I through modern conflicts in Iraq, Afghanistan, Ukraine, and the Middle East were critically analyzed to identify major milestones in battlefield trauma care. Results:The historical evolution of combat casualty care demonstrates a progressive transition from conventional battlefield first aid to an integrated evidence-based military trauma system. Landmark studies from Iraq and Afghanistan established that approximately one-quarter of battlefield deaths were potentially survivable, with uncontrolled hemorrhage representing the predominant preventable cause of death. These findings fundamentally reshaped combat casualty management through the introduction of the MARCH algorithm, widespread tourniquet application, hemostatic agents, tranexamic acid, damage control resuscitation, and prolonged casualty care. Contemporary conflicts further highlight the need to integrate force protection, drone awareness, tactical evacuation, and operational security into modern battlefield medicine. Conclusion:Tactical Combat Casualty Care has evolved from a protocol developed for United States Special Operations Forces into the international standard for battlefield trauma care. Continuous refinement through military trauma registries, operational experience, and evidence-based research ensures that TCCC remains a dynamic combat casualty care system capable of adapting to the changing nature of modern warfare while substantially reducing preventable battlefield mortality.
Angsana sap vs. povidone-iodine for wound healing in tropical and military settings Tessalonika Shinta Ratriani; Astheria Eryani; Surachman AJ Didy; Dian Andriani Ratna Dewi
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.62

Abstract

Background: Wound infection remains a significant cause of morbidity in trauma patients, especially in battlefield and tropical settings where access to standard antiseptics is limited. Povidone-iodine 10% is commonly used due to its broad-spectrum antimicrobial activity; however, concerns about cytotoxicity and logistical constraints necessitate alternative antiseptic options. Methods: A narrative review was conducted using literature from PubMed, Scopus, and Google Scholar databases. Relevant studies were identified using combinations of MeSH terms and free-text keywords related to Pterocarpus indicus, natural antiseptics, povidone-iodine, wound infection, and trauma care. Findings were synthesized through thematic analysis. Discussion: Angsana (Pterocarpus indicus) sap contains bioactive compounds such as flavonoids, tannins, and terpenoids with antimicrobial and anti-inflammatory properties. These compounds may contribute to bacterial inhibition and enhanced tissue healing. Compared with povidone-iodine, which offers a broader antimicrobial spectrum, angsana sap may provide supportive effects on wound repair with potentially lower cytotoxicity. Evidence suggests it could serve as an alternative or adjunct in resource-limited environments, particularly in tropical and military contexts. Conclusion: Angsana sap demonstrates promising potential as a natural antiseptic for wound management. However, it cannot yet replace povidone-iodine due to limited clinical evidence. Further well-designed studies are needed to confirm its safety, efficacy, and applicability in clinical practice. Keywords: Pterocarpus indicus, angsana sap, povidone-iodine, wound infection, wound healing.
Cooper Test Performance and Total Flight Hours as Predictors of Hypoxia Tolerance Among Indonesian Air Force Pilots Bimo Wiratomo Baskoro; Nurfanida Librianty; Haneng Marissangan; Prihati Pujowaskito; Andri Welly
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.65

Abstract

Background: Hypoxia remains one of the most significant physiological threats encountered by military pilots during flight operations, particularly at high altitudes. Reduced oxygen availability can impair cognitive performance, decision-making ability, and operational effectiveness, thereby increasing the risk of aviation incidents. Physical fitness and flight experience are considered important factors that may influence an individual's tolerance to hypoxic exposure. Objective: This study aimed to analyze the relationship between Cooper Test performance and total flight hours with hypoxia tolerance among Indonesian Air Force pilots at dr. Saryanto Institute of Aviation and Aerospace Medicine. Methods: A cross-sectional analytical study was conducted involving 142 Indonesian Air Force pilots who underwent Indoctrination and Aerophysiology Training (ILA) at dr. Saryanto Institute of Aviation and Aerospace Medicine. Secondary data were obtained from medical records, including Cooper Test scores, total flight hours, and hypoxia tolerance measured using Time of Useful Consciousness (TUC). Statistical analyses were performed using Spearman correlation and multivariate regression tests. Results:The mean Cooper Test score was 50.18 ± 7.80, while the mean total flight hours were 1,570.90 ± 1,728.50 hours. The average TUC was 171.27 ± 53.86 seconds. A significant positive correlation was observed between Cooper Test performance and hypoxia tolerance (p < 0.05). Total flight hours demonstrated a significant moderate negative correlation with hypoxia tolerance (p < 0.05). Multivariate analysis showed that total flight hours exerted a greater influence on hypoxia tolerance than Cooper Test performance. Conclusion: Both Cooper Test performance and total flight hours were significantly associated with hypoxia tolerance among Indonesian Air Force pilots. Flight experience demonstrated a stronger predictive value than physical fitness. These findings highlight the importance of maintaining optimal physical fitness and implementing appropriate flight-hour management strategies to improve hypoxia tolerance and aviation safety.
Sumatera Task Force - A Field Report of Final-Year Medical Student Deployment in Flash Flood Disaster Response Arohid Allatib; Hazel Fairuz Shidqi; Abdul Aziz Maulana Ilmi; Muhammad Rakan Kabbani; Rafif Muzakki; Dian Andriani Ratna Dewi
The ASEAN Journal of Military and Preventive Medicine Vol. 3 No. 2 (2026): July
Publisher : Perkumpulan Kedokteran Militer

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/ajmpm.v3i2.68

Abstract

Background: Flash floods are a recurrent public health crisis in Indonesia, causing acute morbidity in communities with limited healthcare access. Final-year medical students represent a potentially valuable yet underutilized workforce in disaster response. This study describes the deployment of the Padang Task Force—25 final-year medical students from Universitas Pertahanan Republik Indonesia (UNHAN)—during flash flood response in Aceh Tamiang, Aceh (11–18 December 2025). Methods: A qualitative descriptive field report with narrative literature review. Data were obtained from patient records, operational logbooks, and field observations during the 7-day deployment. Clinical activities were supervised by specialists from the National Defense Central Hospital (RSPPN) and Tri Matra military physicians. Results: Approximately 240 patients were treated daily (estimated 3,840 total encounters). Predominant conditions included upper respiratory tract infections (URTIs), dermatophyte infections, scabies, acute diarrhea, and traumatic wounds. Key challenges included infrastructure collapse, medication shortages, absent laboratory support, and regulatory gaps regarding unlicensed student practice. Conclusion: Supervised deployment of final-year medical students is feasible and effective in resource-constrained disaster settings. Formal regulatory frameworks, improved logistics planning, and integrated disaster medicine curricula are needed to optimize future responses.

Page 4 of 5 | Total Record : 45

 1   2   3   4   5 

Filter by Year

2024 2026


Reset
Filter By Issues
All Issue Vol. 3 No. 2 (2026): July Vol. 3 No. 1 (2026): January Vol. 2 No. 2 (2025): July Vol. 2 No. 1 (2025): January Vol. 1 No. 2 (2024): July Vol. 1 No. 1 (2024): January