The Journal of Society Medicine (JSOCMED)
The Journal of Society Medicine (JSOCMED) | ISSN (e): 2964-5565 is a leading voice in the Indonesia and internationally for medicine and healthcare. Published continuously, JSOCMED features scholarly comment and clinical research. JSOCMED is editorially independent from and its The Editor-in-Chief (EIC) is Prof. dr. Aznan Lelo, PhD, SpFK. JSOCMED offers many attractive features for authors, including free online access to all research articles, online publication ahead of print, and online responses to articles published as Quick Comments. In addition, as befitting a publication of the Journal of Society Medicine, JSOCMED implements best practice in scientific publishing with an open peer review process, declarations of competing interests and funding, full requirements for patient consent and ethical review, and statements of guarantorship, contributorship, and provenance.
Articles
65 Documents
<![CDATA[Early Continuous Renal Replacement Therapy In Patients With St-Elevation Myocardial Infarction And Covid-19 After Percutaneous Coronary Intervention: A Case Report ]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 2 (2022): November ]]>
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DOI: 10.47353/jsocmed.v1i2.2
<![CDATA[Background: Currently, there is no standardized approach to managing critically ill COVID-19 patients with acute kidney injury and ST-elevation myocardial infarction. Continuous renal replacement therapy is a routinely used technique in managing critical patients in the intensive care unit. This procedure is applicable in patients with unstable hemodynamic, renal, or non-renal indications, such as removing the excess urea and creatinine from patients with acute kidney injury or clearing the tumor necrosis factor from patients with systemic inflammations. Method: This was a retrospective case report, after analysis of patient clinical data. The patient provided written informed consent to publish their case details and any accompanying images. The study protocol complies with the requirements of the institute’s committee of Haji Adam Malik Hospital, Medan, Indonesia. Results: This report presents a case of ST-Elevation myocardial infarction with COVID-19 infection and acute kidney injury who successfully managed by percutaneous coronary intervention and continuous renal replacement therapy. This patient was prepared for percutaneous coronary intervention and intubated with consideration of strict infection control. To improve the outcomes, we performed continuous renal replacement therapy with continuous venovenous hemodiafiltration mode. The patient improved with a stable hemodynamic and better renal function after 24 hours of continuous renal replacement therapy. Conclusion: Early continuous renal replacement therapy might be beneficial in treating COVID-19 patients with AKI, who previously underwent percutaneous coronary intervention for ST-elevation myocardial infarction.]]>
<![CDATA[Catecholamine Toxicity After Craniotomy Evacuation Craniotomy and Evacuation of The Abscess ]]>
<![CDATA[Ongta Gibson Sirait]]>;
<![CDATA[Wulan Fadinie]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 2 (2022): November ]]>
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DOI: 10.47353/jsocmed.v1i2.3
<![CDATA[Increasing levels of endogenous catecholamines occur acutely to provide short-time adaptation to stressful conditions, known as the fight-or-fly response. Catecholamine toxicity requires multidisciplinary management. In this case, the patient is diagnosed with a brain abscess since birth. According of the history, physical examination and investigations, it was concluded that the diagnosis of epidural abscess with abscess evacuation craniotomy and PS ASA 2 (leukocytosis) with GA-ETT anesthesia. The operation is carried out with a duration of 4 hours. Vital sign monitoring obtained blood pressure sp108 – 125 62 - 90 mmHg, heart frequency 90 - 120 times per minute, 99% oxygen saturation. When in the recovery room, the patient experiences cardiac arrest, this is thought to result from catecholamine toxicity. Patients are treated as resuscitation in accordance with the algorithm of cardiac arrest in children. Patients experienced a response of spontaneous circulation (ROSC) and performed vital sign monitoring.]]>
<![CDATA[E-Claim System For Health Insurance And Social Security (BPJS) Types In Indonesia: Innovation And Effectiveness Of Services ]]>
<![CDATA[Wachyoe Hadi Saputra]]>;
<![CDATA[Agus Prima]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 1 (2022): October ]]>
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DOI: 10.47353/jsocmed.v1i1.4
<![CDATA[There are four situations in the use of Hospital Information Technology applications or better known as SIMRS in Indonesian hospitals, first, the hospital has not had SIMRS yet, second, the hospital already has SIMRS but it has not been integrated, third, the hospital has an integrated SIMRS based on non-web service but has not bridged with E-claim application, and fourth, the hospital already has SIMRS based on Web Services and bridged with INA-CBG's E-Claim Application. The purpose of this study was to discuss the effectiveness of the National Health Insurance ( JKN ) Inpatient Claim using an integrated SIMRS web-based (Bridging System) with the INA-CBG'S E-Claim application Version 5.2 at Indonesia. Electronic Claims (E-Claims) or the INA-CBG's application is one of the patient data entry tools used to group rates based on data derived from medical resumes. The INA-CBG's E-Claim application has been installed in hospitals that serve JKN participants.]]>
<![CDATA[Catechol-O-Methyltransferase (COMT) Enzyme Level In Preoperative Anxiety Patients ]]>
<![CDATA[Akhyar Hamonangan Nasution]]>;
<![CDATA[Aznan Lelo]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 1 (2022): October ]]>
Publisher : <![CDATA[PT CoinReads Media Prima ]]>
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DOI: 10.47353/jsocmed.v1i1.5
<![CDATA[Background: Incidence of perioperative anxiety is very high, many preoperative patient experience anxiety . Thiamine acts as an essential nutrition funtionate as cofactor enzyme in most of mitochondria in brain. Brain is very susceptible to thiamine deficiency because its dependency on mitochondrial ATP production. Decreased ATP production result in inhibition of COMT activity. Low COMT levels indicated tendency for anxiety. The aim of this study is to determine the effect of thiamine in increasing COMT enzyme levels in patient with preoperative anxiety Methods : A true experiment with pretest-posttest control group and double-blind design conducted at the Department of Anesthesia and Intensive Care of University of North Sumatra in August 2019. The 60 patients were analyzed which were planned for and done an elective surgery under general anesthesia. Preoperative anxiety was measured with Amsterdam Preoperative Anxiety and Information Scale (APAIS) and COMT enzyme level measured by ELISA assays. Results : The results showed that from 64 patients had incidence of preoperative anxiety in this study was 48.3%. We found that there is significant differences in COMT enzyme levels in thiamine group compared to control (p value = 0.001). In addition, it was seen that in thiamine group had an increased COMT levels from 0.96 ng/dL to 1.78 ng/dL, while in control group there also slight increasing from 0.44 ng/dL to 0.78 ng/dL. This show that increase in COMT levels is greater in thiamine group than control group. Conclusion : Thiamine can cause increasing COMT enzyme levels in patients scheduled for elective surgery with preoperative anxiety under general anesthesia]]>
<![CDATA[The Medical Perspective of Dry Cupping and Wet Cupping: Effects and mechanisms of action: The Medical Perspective of Dry Cupping and Wet Cupping ]]>
<![CDATA[Qadri Fauzi Tanjung]]>;
<![CDATA[Hendi Ishadi]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 1 (2022): October ]]>
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DOI: 10.47353/jsocmed.v1i1.6
<![CDATA[This therapy is a method of cleaning the blood and wind by sucking. remove residual toxins in the body through the skin surface by sucking. Cupping is divided into two types, that’s wet cupping and dry cupping. Dry cupping includes slide cupping, fire cupping, and pull cupping. The difference between wet cupping and dry cupping is the presence or absence of blood. Cupping is an alternative method that involves placing a cup on the skin using heat or suction for a few minutes. This will pull the tissue under the skin and form a blood pool so that a localized healing process occurs. Cupping is very beneficial for these patients although the benefits may not be felt in the short term. The side effects caused by cupping are not severe, only cause discomfort due to cupped and incision on the skin. Cupping plays a role in reducing inflammatory mediators formed due to cell inflammation. This substance serves to send pain signals to the brain. Cupping can be used for diseases that are local or systemic. Cupping can be used to reduce pain such as headaches, carpal tunnel syndrome and some other local disease.]]>
<![CDATA[Comparison of Pre-Loading Fluid With Norepinephrine Toward Mean Arterial Pressure (MAP) In Sepsis Patients In Intensive Care Unit (ICU) of Haji Adam Malik General Hospital, Medan: Pre-Loading Fluid With Norepinephrine ]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 2 (2022): November ]]>
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DOI: 10.47353/jsocmed.v1i2.7
<![CDATA[Introduction: Sepsis is a life-threatening organ dysfunction caused by dysregulation of the host response to infection. Sepsis and septic shock are major health problems, affecting millions of people worldwide each year and killing one in six people affected. Early identification and appropriate management in the early hours after the development of sepsis improves the patient's prognosis. Surviving Sepsis Campaign (SSC) 2021 recommends a fluid dose of 30mL/kgBW, but there are many studies stating that there is no difference in patient outcomes when we resuscitate patients with 10 or 20 mL/kgBW fluids. Norepinephrine is considered as the safest and most potent vasopressor agents than others. Methods: This study used a double-blind randomized clinical trial (RCT) design to assess MAP in sepsis patients in intensive care unit (ICU) of Haji Adam Malik General Hospital ,Medan. Results: There were more male (56.5%), than female (43.5%). In our study, administration of 10mL/kg and 20mL/kg fluid bolus with vasopressor resulted in increased MAP, and the differences were statistically significant (p < 0.05). Administration of 10 mL/kg fluid gave higher MAP values than the other groups, could be a consideration in choosing fluid in order to avoid fluid overload. Conclusion: There is a significant comparison in the ratio of norepinephrine pre-loading fluid toward MAP in sepsis patients. Comparison of the mean MAP value at 15, 20, 25 minutes was the highest in the 10 mL/KgBW group. Meanwhile, the lowest MAP was found in 30mL/KgBW the group.]]>
<![CDATA[Serum Procalcitonin (PCT) Level In Acute Kidney Injury (AKI) In Critical Patients: Acute Kidney Injury (AKI) In Critical Patients ]]>
<![CDATA[Azwar Iwan Tona]]>;
<![CDATA[Maimun Syukri]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 2 (2022): November ]]>
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DOI: 10.47353/jsocmed.v1i2.8
<![CDATA[Early prediction and avoidance of aggravation of AKI will be useful in identifying patients at risk of developing a higher degree of AKI. Many studies have been conducted to prevent AKI and find biomarkers to predict AKI. Many studies have identified biomarkers of AKI, such as neutrophil-associated lipocalin (NGAL), cystatin C, interleukin-18, and tissue inhibitors of metalloproteinase-2 (TIMP-2). Yet few have investigated the role of PCT as a predictor of AKI. The pathophysiological mechanisms that explain the association between serum PCT and AKI remain unclear. Various inflammatory responses are thought to play a role in the AKI development. PCT acts as a chemoattractant in the inflammation area and causes more monocytes to invade the inflammation. PCT is initially produced in adherent monocytes and then contributes to an increase in circulating PCT by attracting parenchymal cells as they attach directly to activated monocytes. High PCT levels ultimately act as a direct chemoattractant to monocyte counts.]]>
<![CDATA[Use of Chest X-Ray (CXR) in Covid-19 Screening as A Modalities: Covid-19 Screening ]]>
<![CDATA[Adityo Prabowo]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 2 (2022): November ]]>
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DOI: 10.47353/jsocmed.v1i2.9
<![CDATA[Background: As of March 11, 2020, the number of confirmed cases in China had reached 80,955 with the death toll reaching 3,162. So far, Covid-19 tends to infect people who have comorbid diseases such as heart disease, diabetes mellitus, cancer and chronic respiratory diseases as well as people over 60 years of age. Several cases of Covid-19 have also been reported in pregnant women. Method: Radiographic technologies and tools including chest X-Ray and Computed Tomography (CT) are applied for initial screening and the follow-up because they provide detailed diagnoses with specific pathological features for staging and treatment settings. Not infrequently cases of Covid-19 are found in pregnant women because during pregnancy women’s condition becomes very vulnerable to infection with pneumonia pathogens due to physiological changes during pregnancy that result in a decrease in the immune system. Although the clinical symptoms are the same as for non-pregnant women and there are no aggravating factors, pregnant women are prone to hypoxia. Results: Chest x-ray (CXR) is a radiographic projection tool that can help diagnose conditions or abnormalities in the thoracic cavity. Due to the spread of Covid-19, it is important to recognize the common Covid-19 imaging findings and the abnormal pneumonia that occurs over time on CXR results. CXR can be used to diagnose patients with acute respiratory distress as the first line of evaluation for Covid-19 patients 19. Conclusion: CXR can be a screening modality in Covid-19 patients including pregnant women. However, it is necessary to keep in mind that the CXR examination can have an impact on the fetus. Even though the risk is small, pregnant women who will undergo a Covid-19 examination or evaluation need special attention. In addition, it is necessary to consider other examinations that can be carried out especially on pregnant women, which do not have the effect of radiation]]>
<![CDATA[Renal Artery Caliber In Abdominal CT Scan With IV Contrast Based on Age and Gender ]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 3 (2022): December ]]>
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DOI: 10.47353/jsocmed.v1i3.10
<![CDATA[Introduction: CT scan provides several three-dimensional images when reconstructed, high speed, accurate, less invasive, and relatively low cost. The size of renal arteries varies based on influencing factors such as age, gender, and location. Several studies reported variations in the dimensions of the renal arteries based on sex, age, and variations of the arteries. The purpose of research objectives is to analyze factors affecting the caliber of the renal artery in patients with abdominal CT Scan with intravenous contrast procedure. Method: A case-control study in patients with abdominal CT Scan with intravenous contrast procedure. Data was secondary data obtained by medical records of patients who have undergone a CT scan of the Abdomen with intravenous contrast. Results: The caliber of the right renal artery in subjects ≤40 years (5.19±0.53 mm) was greater than those> 40 years (4.58±0.66 mm). Statistically, based on the Independent T-test, found that there was a significant difference in the mean caliber of the right renal artery (p <0.01) and the left renal artery (p=0.01). The mean of the caliber of the right and left renal arteries in male subjects (5.05±0.69 mm) was greater than women (4.7±0.60 mm). The results of the Independent T-test showed that there was a difference in male subjects than women with a p-value of the right renal artery caliber (p=0.04) and left (p=0.02). Conclusion: There was a difference in the mean caliber of the renal arteries by the CT scan of the abdomen with intravenous contrast based on age and gender.]]>
<![CDATA[The Effect of Online Learning on Compass And Steering System Learning at Politeknik Pelayaran Malahayati in The conditions of The Covid-19 Pandemic ]]>
<![CDATA[Fazri Hermanto]]>;
<![CDATA[Rispa Saeful Mu'tamar]]>
<![CDATA[ Journal of Society Medicine Vol. 1 No. 3 (2022): December ]]>
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DOI: 10.47353/jsocmed.v1i3.11
<![CDATA[Introduction: This pandemic has forced humans to look for solutions and alternatives to survive in various fields. Adaptation habit new (new normal) is a concepts that are applied so that humans still can operate activity without must sacrifice his safety and health. one applied concept in field education is with application online learning adopted by all level and type education around the world. Online learning is considered give solutions for the learning process still permanent can conducted in the midst of the COVID-19 pandemic . Method: With the Covid-19 pandemic, the task of educators in teaching students has become more difficult. It takes innovation and a more intense focus as well as great support from the Government, educational institutions, educators and parents to help the learning process for students well even in the conditions of the Covid-19 pandemic.The purpose of this study is to see how much influence online learning has on Compass Course Learning and the steering system during the Covid-19 Pandemic at the Malahayati Polytechnic so that educational institutions can make learning and coaching strategies that are more effective, measurable and continuous during the Covid-19 pandemic. The research method used is to use method type study descriptive with approach qualitative. Results: The presence of the Covid-19 pandemic that occurred in early 2020 to date has changed the pattern of life of people around the world, including Indonesia. With the Covid-19 pandemic, people are encouraged and even the government has issued a ban not to congregate, especially in public places. This also has an impact on new policies in the world of education, one of which is a prohibition on holding face-to-face learning in all schools and canceling all activities in schools. Conclusion: the average score obtained by the cadets of class IX semester II in the Compass and steering system courses on theory and practice scores an average of above 88, which means that all cadets get an A grade]]>
