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INDONESIA
Indonesian Journal of Medicine
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490265     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Indonesian Journal of Medicine (IJM) is an international, open-access, and double-blind peer-reviewed journal, focusing on the intersection of biomedical science, clinical medicine, and community medicine. The journal began its publication on August 20, 2015, and is published online three times yearly. It is academically designed for all physicians, health researchers, and health care professionals, regardless of their medical specialties, or type of employment.
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Articles 13 Documents
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Search results for , issue "Vol 4, No 4 (2019)" : 13 Documents clear
Parenting Style in Early Marriage Mothers in Indonesia Irwanto, Irwanto; Ikhtiar, Ilham; Adi, Annis Catur; Putri, Andini Octaviana
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Mothers who were married too young have a higher risk of to experience psychological and emotional problems influencing parenting style, which may have an impact on child development. However, prevalence of parenting style in early marriage mothers in Indonesia is still unknown. This study aimed to determine the prevalence of adopted parenting style on early marriage mothers.Subjects and Method: A cross-sectional study was conducted in Martapura, Banjar Re­gency, South Kalimantan, Indonesia, from April 1 to May 30, 2018. Mothers who were married in early age (<21 years old) were enrolled using simple random sampling. The dependent variable was parenting style. The independent variables were education, family income, and number of children. Parenting style was measured by short version of parenting style and dimension questionnaire (PSDQ). The data were analyzed by Spearman test.Result: Authoritative parenting style is the most common parenting style (54.6%), followed by authoritarian (32.7%), and permissive (12.7%) parenting style. Education level (r= -0.07; p= 0.325) decreased parental parenting style, but it was statistically non-significant. Family income (r= 0.72; p= 0.302) and number of children (r= 0.27; p= 0.700) increased parental parenting style, but it was statistically non-significant.Conclusions: Education level decreases parental parenting style, but it is statistically non-significant. Family income and number of children increase parental parenting style, but it was statistically non-significant.Keywords: parenting style, early marriageCorrespondence: Irwanto. Department of Child Health, Faculty of Medicine, Universitas Airlangga. Jl. Prof. Dr. Moestopo 6-8, Surabaya, East Java, Indonesia. Email: Irwanto.idris@gmail.com. Mobile +62­816­500818.Indonesian Journal of Medicine (2019), 4(4): 313-320https://doi.org/10.26911/theijmed.2019.04.04.03
Factors Influencing Hyperuricemia: Evidence from Sukoharjo, Central Java, Indonesia Wulandari, Dewi
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hyperuricemia is an elevated serum uric acid level. It causes urate deposits in the joints, tendons, and other tissues as physiological prerequisites for gout. Hyperuricemia is also related to the existence and severity of several comorbidities, such as hypertension, cardio­vascular disease, diabetes, and metabolic syndrome. The result of basic health research in 2018 showed that the prevalence of joint disease in Indonesia based on a doctor's diagnosis was 7.3%. The highest prevalence was in Aceh (13.3%). The lowest prevalence was in West Sulawesi (3.2%). This study aimed to examine factors associated with hyperuricemia.Subjects and Method: This was an analytical observational study with a case control design. The study was conducted in Sukoharjo, Central Java, from January to April, 2018. A sample of 90 study subjects was selected by consecutive sampling. The dependent variable was hyper­uricemia. The independent variables were age, sex, stress, purine-rich foods intake, and family history of gout. Stress was measured by depression, anxiety, and stress scale (DASS 42). The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression.Results: Older age (OR= 13.80; 95% CI= 3.36 to 56.66; p<0.001), female (OR= 1.94; 95% CI= 3.36 to 7.62; p= 0.345), purine-rich foods intake (OR= 5.01; 95% CI= 1.48 to 16.97; p= 0.010), and stress (OR= 6.14; 95% CI= 1.83 to 20.60; p= 0.003) increased the risk of hyperuricemia. Family history of gout (OR= 1.47; 95% CI= 0.43 to 5.04; p= 0.537) increased the risk of hyperuricemia, but it was statistically non-significant.Conclusion: Age, female, purine-rich foods intake, and stress increase the risk of hyper­uricemia. Family history of gout increases the risk of hyperuricemia, but it was statistically non-significant. Keywords: hyperuricemia, purine-rich food, stressCorrespondence: Dewi Wulandari. School of Health Sciences Mitra Husada. Jl. Ahmad Yani 167, Gapura Papahan Indah, Papahan, Tasikmadu, Karanganyar 57722, Central Java. Email: mujahid­fiisa­biilillah­@gmail.com. Mobile: 089695098491.Indonesian Journal of Medicine (2019), 4(4): 321-328 https://doi.org/10.26911/theijmed.2019.04.04.04
Maternal Characteristics and the Effects of Early and Late-onset Types of Preeclampsia on Maternal and Perinatal Complications Damayanti, Sintia; Sulistyowati, Sri; Probandari, Ari Natalia
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Preeclampsia is still the main cause of morbidity and mortality not only for mothers but also for fetal. The concept of early and late-onset preeclampsia is a more modern concept, and it is stated that these two entities have different etiologies and must be considered as different forms of the disease. This study aims to analyzing differences in maternal characteristics (age, number of parity, history of hypertension and diabetes mellitus) and laboratory results (platelet, ewitz, Lactic Acid Dehydrogenase/LDH) and to analyzing differences in maternal complications (maternal death, eclampsia, impending eclampsia, pulmonary edema, (hemolysis, elevated liver enzyme levels, and low platelet levels/HELLP syndrome) and perinatal complications (peri­natal death, Intrauterine Growth Restriction/IUGR, fetal hypoxia and fetal distress) between early and late-onset preeclampsia. This study aimed to investigate the maternal characteristics and the effects of early and late-onset types of preeclampsia on maternal and perinatal complications.Subjects and Method: This was a retrospective cohort study. The study was carried out at Dr. Moewardi Hospital, Surakarta, from January 1, 2016, to December 31, 2017. A total of 548 pregnant mothers with preeclampsia was selected for this study. The dependent variable was the incidence of preeclampsia. The independent variables were age, parity, hypertension, diabetes Mellitus, platelets, LDH, and proteinuria. The data were obtained from the medical record and analyzed by a multiple linear regression.Results: The number of patients with early-onset (162) was less than late-onset (386). More patients have multiparity in early and late-onset. In early-onset preeclampsia, thrombocytopenia and LDH increase tend to be present, and ewitz >+1. Early-onset preeclampsia tends to result in more maternal and perinatal complications.Conclusion: The incidence of early-onset is less than late-onset, but early-onset provides worse complications for both maternal and perinatal.Keywords: Early-onset preeclampsia, late-onset preeclampsia, characteristics, maternal and perinatal complicationsCorrespondence: Sintia Damayanti. Department of Obstetrics and Gynecology, Dr. Moewardi Hospital/ Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia. Email: sintiadamayan­84@yahoo.co.id. Mobile: 082220020829.Indonesian Journal of Medicine (2019), 4(4): 329-338https://doi.org/10.26911/theijmed.2019.04.04.05
Potential Effect of Pitaya Fruit Juice (Hylocereus Polyrhizus) As an Anti-anemic Agent for Postpartum Anemia Rahmawati, Mufida Annisa; Supriyana, Supriyana; Djamil, Masrifan
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum mothers are susceptible to anemia, due to loss of blood during labor. Postpartum anemia causes uterine subinvolution which results in postpartum hemorrhage, puerperium infection, decreases in breastfeeding and mammae infection. One alternative to prevent the occurrence of anemia in post partum s to consume fruit that contains iron and vitamin C is one pitaya fruit juice. Pitaya fruit (Pitaya fruit) is part of the non-heme iron sources needed to supply hemoglobin, hematocrit and erythrocytes. This study aimed to examine the effect of pitaya fruit juice consumption on the increase of hemoglobin, hematocrit, and erythrocyte levels.Subjects and Method: This was a quasy experiment conducted at Bumiaji health center. A sample of 32 postpartum mothers with anemia was selected for this study. The dependent variable was hemoglobin, hematocrit, and erythrocyte levels. The independent variable was pitaya fruit juice administration. The data were analyzed by paired t-test.Results: Hemoglobin level in the intervention group (mean= 11.27; SD= 0.85) was higher than control group (mean= 10.34; SD= 0.94) and it was statistically significant (p<0.001). Hematocrit level in the intervention group (mean= 36.78; SD= 3.17) was higher than control group (mean= 34.98; SD= 2.32) and it was statistically significant (p<0.001). Erythrocyte level in the intervention group (mean= 4.28; SD= 0.26) was higher than control group (mean= 3.97; SD= 0.36) and it was statistically significant (p<0.001).Conclusion: Hemoglobin, hematocrit, and erythrocyte levels are higher in the intervention group than control group and they are statistically significant.Keywords: pitaya fruit juice, hemoglobin, hematocrit, erythrocyte, postpartum mother, anemia Correspondence: Mufida Annisa Rahmawati. Masters of Applied Midwifery, Health Polytechnics Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang 50239, Central Java. Mobile: +6281249674231.Indonesian Journal of Medicine (2019), 4(4): 293-299https://doi.org/10.26911/theijmed.2019.04.04.01  
Glasgow Coma Scale and Full Outline of Unresponsiveness Score Instruments to Determine Patient Outcome: A Systematic Review Silvitasari, Ika; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness Sco­re (FOUR score) are instruments to determine the level of patient consciousness. The­se instruments require good sensitivity and specificity, so that they can be used quickly and easily. This study aimed to determine the validity and reliability of GCS and FOUR sco­re instruments in determining adult patient outcome.Subjects and Method: This study was a systematic review study. The search for the articles involved the client population treated in the ICU, Emergency Installation and neu­rology room, patients who did not receive sedation or neuro blockers, were ob­ser­ved by health workers. The outcomes were in the form of death of patients in the hos­pi­tal, mRS, Glasgow outcome score, and APACHE II. This study were carried out using EBSCO, Sciencedirect, Pubmed, and Google Scholar, restricted articles from 2007-2017, and observational study. The number of articles that was in accordance with the in­clusion and exclusion criteria for this study was 9 articles. All articles found were used as sample.Results: The average sensitivity and specificity values of the GCS instrument and FOUR Score were close to 1 or 100%. From the 8 articles found, all got sensitivity and specificity values by >50%.Conclusion: The FOUR instrument score can be used as a substitute for GCS to assess the level of patient consciousness with patient outcomes (death) in ICU.Keywords: glasgow coma scale, full outline of unresponsiveness score, outcomeCorrespondence: Ika Silvitasari. School of Health Sciences Aisyiyah, Surakarta, Central Java. Jl. Ki Hajar Dewantara 10, Surakarta 57126, Central Java. Email: mouse_02april­@yahoo.com.Indonesian Journal of Medicine (2019), 4(4): 339-345https://doi.org/10.26911/theijmed.2019.04.04.06
Factors Associated with Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes Mellitus in Surakarta, Central Java Azmiardi, Akhmad; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Peripheral neuropathy is the most common chronic complication and often occurs in diabetes mellitus. Peripheral neuropathy can cause morbidity, decreased quality of life,and mortality. This study aimed to analyze the determinants of peripheral neuropathy in patients with type 2 diabetes mellitus in Surakarta, Central Java.Subjects and Method: This study was an observational analytic with cross sectional design. This study was conducted at Surakarta Regional Hospital, Central Java on July 2019. A total of 200 type 2 diabetes mellitus outpatients was selected by simple random sampling. The dependent variable was peripheral neuropathy. The independent variables were age, education level, income, self-efficacy, diet, medication adherence, physical activity, health literacy, duration of illness, and fasting blood sugar. Peripheral neuropathy was measured using the Michigan Neu-black Screening Instrument (MNSI). Other variable data were obtained using questionnaires. Analysis of data used multiple logistic regression.Results: The risk of peripheral neuropathy increased with age of  ?55 years (b = 3.61; 95% CI = 1.51 to 5.70; p= 0.001), duration of illness ? 5 years (b = 2.78; 95% CI = 0.51 to 5.04; p = 0.016 ), and fasting sugar ?110 mg / dL (b= 1.64; 95% CI= -0.01 to 3.03; p= 0.052). The risk of peripheral neuropathy decreased with education level ?senior high school (b= -2.41; 95% CI = -4.31 to -0.51; p= 0.013), income ? Rp 1,800,000 (b= -1.58; 95% CI= -3.12 to -0.04; p = 0.044), high self-efficacy (b= -1.67; 95% CI= -3.26 to -0.07; p= 0.040), controlled diet (b= -1.89; 95% CI= -3.64 to -0.14; p= 0.034), high medication adherence (b= -2.34; 95% CI= -4.13 to -0.56; p= 0.010), high physical activity (b= -2.33; 95% CI= -4.17 to -0.49; p = 0.013), and high health literacy (b= -1.52; 95% CI = -3.18 to 0.14; p = 0.073).Conclusion: The risk of peripheral neuropathy increases with age of ?55 years, duration of illness ? 5 years, and fasting blood sugar ? 110 mg/dL. The risk of peripheral neuropathy decreases with a high education level, income of ?1,800,000, high self-efficacy, controlled diet, high medication adherence, high physical activity, and high health literacy.Keywords: peripheral neuropathy, diabetesCorrespondence: Akhmad Azmiardi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: aazmiardi@gmail.com.Mobile: 085245412021 Indonesian Journal of Medicine (2019), 4(4): 300-312https://doi.org/10.26911/theijmed.2019.04.04.02
Association between Resistin and High Sensitive Troponin I in St Elevation Myocardial Infarction and Systolic Heart Failure Wasyanto, Trisulo; Febrilia, Laurent
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Nearly half of all patients with acute myocardial infarction (AMI) have left ventri­cular systolic dysfunction and one-third have symptoms of heart failure (HF). In patients with AMI the resistin level correlated inversely with left ventricular ejection fraction (LVEF). Increased levels of high sensitive (hs) troponin I are associated with poorer prognosis. This study aimed to deter­mine the association between levels of resistin and hs troponin I in ST elevation myocardial infarc­tion (STEMI) patients with systolic HF.Subjects and Method: This was a cross-sectional study was conducted at Dr. Moewardi Gene­ral Hospital, Surakarta, from April 1 to May 31, 2018. A sample of 32 patients who admitted which diagnosed with STEMI was selected for this study. They were divided into two group according to result of LVEF measurement, LVEF < 40% and LVEF ? 40%. Blood examination and transthoracic echocardiography were performed to all patients. Correlation test using partial and multiple correlation test. To different 2 mean using Mann Whitney test.Results: Mean of patient age was 59.5 years old. Resistin decreased LVEF (r= -0.41; p= 0.009), and it was statistically significant. Hs troponin I decreased LVEF (r= -0.25; p= 0.081), but it was marginally significant. Resistin level and hs troponin I increased LVEF (r= 0.47; p= 0.025), and it statistically significant.Conclusion: There was an association between resistin and hs troponin I level together in STEMI patients with systolic HF. There was an association of resistin levels in STEMI patients with systolic HF. There was no association of hs troponin I levels in STEMI patients with systolic HF.Keywords: Resistin, hs troponin I, STEMI, systolic heart failure.Correspondence: Trisulo Wasyanto. Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sebelas Maret / Dr. Moewardi Hospital. Jl. Kol. Sutarto 132, Surakarta 57126, Central Java, Indonesia. Email: trisulo.wasyanto@gmail.com.Indonesian Journal of Medicine (2019), 4(4): 346-354https://doi.org/10.26911/theijmed.2019.04.04.07 
RELATIVE EFFICACY OF PROBIOTICS COMPARED WITH ORAL REHYDRATION SOLUTION FOR DIARRHEA TREATMENT IN CHILDREN UNDER FIVE YEARS OLD: A META-ANALYSIS FROM DEVELOPING COUNTRIES Saputri, Nurul Aini Suria; Susilawati, Tri Nugraha; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Children under five experience an average of three episodes of diarrhea each year in developing countries. Based on World Health Organization (WHO) guidelines, therapy for acute diarrhea is oral rehydration fluid and zinc to treat fluid and electrolyte loss. But unfortunately, this therapy does not reduce the duration of diarrhea without the intestinal barrier function of pathogenic microorganisms. The ability to inhibit pathogens is one of the three main mechanisms of probiotics. This study aims to examine the efficacy of using probiotics compared to oral rehydration solution (ORS) in the treatment of acute diarrhea in children under five in developing countries.Subjects and Method: This study is a meta-analysis conducted using PRISMA systematic guidelines. The process of searching for articles was carried out between 2009 and 2019 using a database search engine consisting of PubMed, British Medical Journal (BMJ), CAB Direct, Oxford Academy, Clinical Key, ScienceDirect, and Scopus. Based on a database search, six articles that meet the criteria of the Randomized Controlled Trial (RCT) and research conducted in developing countries were found. The study involved 1234 children who were divided into two groups: 762 probiotic groups and 472 ORS groups. The analysis was performed with the Review Manager (RevMan) software 5.3. The results were assessed using Standardized Mean Difference (SMD).Results: There was heterogeneity between experiments (I2 = 91%; p <0.001) so Random Effects Model (REM) was used. Probiotics could reduce the duration of acute diarrhea in infants rather than just ORS, with a pooled estimate of 1.13 (SMD = -1.13; 95% CI = -1.54 to -0.72; p <0.001).Conclusion: Probiotics can reduce the duration of acute diarrhea in infants in developing countries rather than just the administration of ORS.Keywords: Diarrhea, probiotics, oral rehydration solution, meta-analysis.Correspondence:Nurul Aini Suria Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ainisuriasaputri@gmail.com. Mobile: 085­743401971Indonesian Journal of Medicine (2019), 4(4): 354-363https://doi.org/10.26911/theijmed.2019.04.04.08 
THE EFFECTIVENESS OF GOAT MILK TO INCREASE THE VOLUME OF BREAST MILK AND PROTEIN CONTENT AMONG LACTATING WOMEN: RANDOMIZED CONTROLLED TRIAL EVIDENCE Reviana, Prita Alvina; Dewi, Yulia Lanti Retno; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast milk is a natural food to fulfill the nutritional needs of infants during the first 6 months of life. Nutrition is one of the factors that influence milk production. Protein is one of the most important nutrient factors needed by nursing mothers to increase milk production. This study aimed to analyze the effectiveness of giving goat milk to increase breast milk production.Subject and Method: A randomized controlled trial (RCT) was conducted in Madiun, East Java, in October 2019. A sample of 100 lactating mothers who had infants aged 1-3 months was selected by purposive sampling and divided into 2 groups. The dependent variables were an increase in milk production and protein intake. The independent variable was the effectiveness of giving goat milk. The data were collected by observation and 24-hour food recall sheets. The data were analyzed by t test run on Stata 13 program.Results: After having goat milk, the average of breast milk production in the intervention group (Mean= 121.5; SD= 12.81) was higher than in the control group (Mean= 97.06; SD= 13.59), (ES= 0.81; p<0.001). Protein intake after having goat milk was higher in the intervention group (Mean= 92.60; SD= 4.54) than control group (Mean 83.36; SD= 4.26), (ES= 2.10; p < 0.001).Conclusion: Goat milk is effective for increasing milk production and protein intake in lactating mothers.Keywords: goat milk, breast milk, proteinCorrespondence: Prita Alvina Reviana, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: pritasessy@gmail.com. Mobile: +6282334673976Indonesian Journal of Medicine (2019), 4(4): 364-370https://doi.org/10.26911/theijmed.2019.04.04.09
OBESITY AND DIABETES MELLITUS AS PREDICTORS OF MORTALITY IN PATIENTS WITH STROKE: A META ANALYSIS Karlinda, Karlinda; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke is the leading cause of death and disability throughout the world. Based on studies in the United States (US), a person experiences a stroke every 40 seconds and every 4 minutes someone dies. The problem of comorbidity or the presence of more than one disease is the risk of stroke. This causes a person with comorbidities to have a higher risk of mortality than stroke patients without comorbidities. This study aims to examine the effect of obesity and diabetes mellitus as predictors of mortality in stroke patients.Subjects and Method: This was a meta-analysis and systematic review. The articles were obtained from Google Scholar, PubMed, Springer Link, Clinical key, and ProQuest databases. The articles have been published from 2010-2019. Keywords to search for articles are as follows: "comorbidity and stroke", "comorbidity and mortality and stroke and cross sectional study", "comorbidity and mortality and stroke and adjusted odd ratio", "comorbidity or stroke", "comorbi­dity or mortality or stroke or cross sectional study ", "comorbidity or mortality or stroke or adjusted odd ratio". The articles studied are full text articles with observational study design. Articles are collected using PRISMA diagram, and analyzed using the Review Manager application 5.3.Results: Obesity (aOR = 1.51; 95% CI = 1.03 to 2.21; p = 0.030) and diabetes mellitus (aOR = 1.75; 95% CI = 1.33 to 2.29; p <0.001) are predictors of mortality in stroke patients.Conclusion: Obesity and diabetes mellitus are predictors of mortality in stroke patients.Keywords: obesity, diabetes mellitus, strokeCorrespondence: Karlinda. Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: karlindalinda8@gmail.com. Mobile: +6282278924093Indonesian Journal of Medicine (2019), 4(4): 383-393https://doi.org/10.26911/theijmed.2019.04.04.12

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