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Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia

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Published by Pengurus Besar Ikatan Dokter Indonesia

ISSN : 20891067 EISSN : 26543796 DOI : http://dx.doi.org/10.47830

Core Subject : Health, Science, Education,

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

Journal Of The Indonesian Medical Association (JInMA) / Majalah Kedokteran Indonesia (MKI) adalah Jurnal yang berada di bawah naungan Pengurus Besar Ikatan Dokter Indonesia (PB IDI) dan sebagai Kanal InformasiIlmiah di Kalangan Dokter Umum dan Dokter Spesialis serta Profesi Terkait.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 7 Documents

Search results for , issue "Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo" : 7 Documents clear

Uji Jalan Enam Menit Sebagai Indikator Prognosis Pada Pasien CHF Kronik Stabil Pada Rehabilitasi Jantung Fase II Deddy Tedjasukmana Basuni; Fitria Fitria
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.2-2023-786

Intorduction: Congestive heart failure is a complex clinical syndrome that may result from disturbances in myocardial function (systolic and diastolic function) leading to decreased perfusion of cardiac blood flow. The main goals in treating patients with heart failure are to improve functional capacity and quality of life, as well as to reduce mortality and morbidity. Cardiac rehabilitation is one of many forms of treatment recommended by the American Heart Association and has been proven safe and effective in patients with heart failure.Case: This case report consists of three patients undergoing phase two cardiac rehabilitation.Case Discussion: Each patient underwent several examinations consisting of recollection of previous medical history and current complaints. Vital signs and Borg Scale were checked before and after the walking test. The 6-Minute Walk Test was carried out according to the standard protocol on a 30-meter flat track.Conclusion: From a series of 6-minute walking trials conducted on three patients, there was a significant increase in mileage since cardiac rehabilitation phase I, early phase II, and four weeks of phase II exercise.

Carotid-Cavernous Fistula: Manifestasi Klinis dan Tatalaksana Nadira Deanda Putri; Bambang Tri Prasetyo; Ricky Gusanto Kurniawan; Beny Rilianto; Pratiwi Raissa Windiani; Abrar Arham
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.2-2023-880

Carotid-cavernous fistula (CCF) is a vascular abnormality that occurs between the internal or external carotid artery and veins within the cavernous sinus. CCFs can be classified as direct (Barrow type A) or indirect CCFs (Barrow types B, C, and D). The causes of direct CCFs are trauma and vascular rupture, whereas indirect CCFs are commonly found in patients with hypertension, connective tissue disorders, pregnancy, and dissection of the internal carotid artery. Signs and symptoms of CCF vary widely, ranging from acute-onset headache, proptosis, diplopia, ophthalmoplegia, conjunctival chemosis, orbital bruit, and blindness, but it can solely manifest as conjunctival redness. Patients with suspected CCF should undergo neuroradiology imaging, followed by endovascular intervention to close the fistula and keep the carotid artery open. With appropriate treatment, complete resolution is expected to occur in all patients.

Indonesia Prevalensi dan Komponen Sindrom Metabolik pada Pekerja Pria di Indonesia Leli Hesti Indriyati; Irena Ujianti; Betty Semara Lakhsmi
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.2-2023-886

Introduction : Metabolic syndrome (MetS) has emerged as one of the world’s major public health issues and the prevalence of this syndrome varies among population. There is a little of information on the epidemiology of MetS in male workers in Indonesia. Therefore, this study aims to determine the prevalence, its component and risk factors of MetS in Indonesian’s male working population. Methods : This was a cross sectional study of 1298 workers (median age, IQR 41,37-48 years) who underwent a routine Medical Check Up (MCU). The metabolic syndrome is diagnosed using the criteria established by the revised National Cholesterol Education Program-Adult Treatment Panel-III definition (2005 ATP III). Results : Metabolic syndrome prevalence was 13.9% in male workers. The most common abnormalities among all participants were hypertriglyceridemia (94.5%) and abdominal obesity (80.6%) [p<0.001]. Multivariable logistic regression analysis revealed that obesity (OR: 9.29; 95% CI: 5.56-15.54), overweight (OR: 2.15; 95% CI: 1.11-4.18), increasing age (OR: 2.39; 95% CI: 1.36-4.21), white blood cells/WBC or leukocyte (OR: 1.13; 95% CI: 1.04-1.24) and exercise (OR: 1.51; 95% CI: 1.06-2.15), were associated with a higher risk of developing MetS in the working population. Conclusion : The most common component of MetS in workers is hypertriglyceridemia followed by abdominal obesity. As a result, it is possible that these are the first detectable component of MetS in the working population. Early detection of MetS components, especially in obese workers, could be effective way to prevent the development of the syndrome.

Korelasi Tingkat Pengetahuan Hoaks Vaksin COVID-19 dengan Sikap Masyarakat pada Program Vaksinasi di Samarinda Rudi Saputra; Muhammad Khairul Nuryanto; Rahmat Bakhtiar; Yadi Yasir; Ronny Isnuwardana
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.2-2023-932

Introduction: The COVID-19 pandemic problem was followed by the development of an infodemic supported by advance technologies. This development has an impact on how quickly information spreads throughout society. Different types of COVID-19 information are very accessible to the public. However, some of the information received by the public contained hoaxes. The purpose of this research is to know the correlation between the level of knowledge COVID-19 vaccine hoax and people’s attitudes toward the vaccination program.Methods: This research was conducted online in Samarinda using a cross-sectional research design with voluntary response sampling. The minimal sample was 147 respondents, which was distributed through social media. This research using Spearman Rank correlation test, Mann-Whitney test, and Kruskal-Wallis test with 95% level of confidence.Result: The results showed there was a significant correlation between people’s attitudes about the vaccination program and their level of knowledge COVID-19 vaccine hoax (p < 0,001). Furthermore, it was discovered that people who were > 35 years old (p = 0.011), had a recent education history at college (p < 0.001), and were married (p = 0.001) were disagree with the COVID-19 vaccination program. There was no significant differences on gender (p = 0.076) and a positive history of COVID-19 (p = 0.702).Conclusion: There is a significant correlation between the level of knowledge COVID-19 vaccine hoax and people’s attitudes toward the vaccination program.

Peran Probiotik Terhadap Kadar Zonulin pada Penderita Obesitas Chaula Putri Rizkia
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.2-2023-964

The prevalence of obesity is increasing worldwide and is considered as epidemic. According to the 2018 Riskesdas data, the obesity rate in Indonesia has increased to 35.4% compared to 2007. Obesity is a risk factor for metabolic diseases due to chronic inflammatory conditions. This is associated with increased permeability of the intestinal wall which is characterized by increased levels of zonulin. Probiotics are known to reduce zonulin levels and improve intestinal integrity in obesity.

COVID-19 dan Tuberkulosis Paru, Antara Koinfeksi dan Reaktivasi dari Laten Tuberkulosis: Sebuah Kajian Sistematis Arya Marganda Simanjuntak; Indra Yovi; Patricia Dean Ully Marbun; Adinda Elisabet
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.2-2023-1006

Introduction: Globally, cases of pulmonary tuberculosis (PTB) are rising by 4%, while new cases have declined in many nations, most notably by 14% in Indonesia. During the COVID-19 pandemic, the number of undiagnosed and untreated PTB patients could rise and infect more people. In particular, CD8+ lymphocytes were decreased in COVID-19. Perhaps this is the cause of the rise in cases, but there is no data to show it. Aim: Determine current data about the PTB with COVID-19 coinfection and possible reactivation of PTB after COVID-19 infection in LTB patient. Methods: This systematic review is based on PRISMA statements using Pubmed, EBSCOHost, Science Direct and Cochrane from December 2019 to July 2022. Inclusion and exclusion criteria were set to select studies that included. We analyze risk of bias of all included studies with JBI critical appraisal tools. Results: This study had 107,425 patients in total from 20 studies. All studies were deemed to have low overall author bias risks. A critical component of PTB defense is CD8+. By reducing lymphocytes, COVID-19 can encourage the growth of PTB, which might therefore result in coinfection or the reactivation of existing PTB. Conclusion: COVID-19 possibly increase case of PTB in form of co-infection or reactivation of PTB in LTB patients. This needs special attention for patients that have infected by COVID-19 to followed up for risk developing PTB.

Kualitas Hidup Pasien Artritis Reumatoid dan Faktor-Faktor Yang Memengaruhi Rudy Hidayat; Nur Asicha; Dicky Levenus Tahapary; Suryo Anggoro Kusumo Wibowo
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.2-2023-1032

Introduction: Rheumatoid arthritis (RA) is a rheumatic disease that often results in functional disability and decreased health-related quality of life (HRQoL). This study aims to evaluate the HRQoL and related factors in patients with RA.Method: This study enrolled 152 patients from Rheumatology polyclinic at RSUPN Dr. Cipto Mangunkusumo Jakarta. Sosiodemographic, clinical, and laboratory data related to disease activity, functional status, psychological problems, and number of comorbidities were collected. Disease activity was assessed with cumulative Disease Activity Score-28 with erythrocyte sedimentation rate (DAS28 ESR) for the last 6 months. HRQoL was assessed using the Indonesian EuroQol five-dimensional questionnaire (EQ-5D) and EQ global health visual analogue scale (VAS). Univariate analysis, bivariate and multivariate analysis were employed to identify factors related to HRQoL.Result: Of the enrolled participants, 90.8% were female with a mean age of 49.41 ± 12.31 years. Majority of subjects had moderate disease activity and an independent functional status. Median duration of illness was 3 (0 – 34) years. The study also identified psychological disorders such as anxiety (11.2%) and depression (20.4%). The median EQ-5D index value was 0.84 (0.170 – 1.000), and the median EQ VAS was 70 (40 – 100). Functional disability, disease activity, and depression were independently associated with both the index EQ-5D score and EQ VAS, while anxiety and number of comorbidities were only independently associated with EQ VAS.Conclusion: Functional disability, disease activity, psychological disorders and number of comorbidities negatively impact the HRQoL of RA patients. Hence, evaluation of these factors should be considered in the standard of care for RA patients.

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Home Page

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Editorial Team

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Contact Name Ferius Soewito

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Phone +6221-31937910

Journal Mail Official jinma_mki@idionline.org

Editorial Address Jl. Dr. G. S. S. Y Ratulangie No. 29, Menteng, Jakarta Pusat 10350

Location Kota adm. jakarta pusat, Dki jakarta INDONESIA

Abstract

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Contact Name
Ferius Soewito

Contact Email
-

Phone
+6221-31937910

Journal Mail Official
jinma_mki@idionline.org

Editorial Address
Jl. Dr. G. S. S. Y Ratulangie No. 29, Menteng, Jakarta Pusat 10350

Location
Kota adm. jakarta pusat,

Dki jakarta

INDONESIA