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Indonesian Journal of Medicine
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.
Articles
60
Articles
Difference in Computer Vision Syndrome between Laptop and Desktop Computer Users

Anggrainy, Putri, Ashar, Taufik, Lubis, Rodiah Rahmawaty

Indonesian Journal of Medicine Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Occupational health is a key component of an industry. This is because a strong safety culture boosts productivity, employee morale, and employee retention. A strong ergonomics integration prevents injuries and increases productivity. They make the workplace safer and reduce costs. Ergonomics also must be incorporated and seen as a value. It needs to be built into a corporate culture and be integrated into everything any company does on a daily basis, including that in the administrative office where workers frequently use computers. This study aimed to analyze difference in computer-attributed vision problem between laptop and desktop computer users.Subjects and Method: This was a cross sectional study conducted in North Sumatera. A sample of 60 subjects consisting of 30 laptop users and 30 desktop users were selected for this study by purposive sampling. The dependent variable was vision problem. The independent variable was computer type. The data were collected by questionnaire and tested by Mann Whitney test.Results: Among the laptop users, 80% experienced neck pain, 77% eye strain, and 70% low back pain. Among the desktop-computer user, 50% experienced neck pain, 77% eye fatigue, and 33% eye irritation. Mean score of complaints in the laptop user group was 2.54 units higher than the desktop-computer user group (p= 0.001).Conclusion: Laptop users experienced more complaints than desktop-computer users. Workers using computers are suggested to have regular break to allow body organs to take a rest. Workers are also suggested to work at an ample distance between eyes and computer screen. Employers are responsible for providing a safe and healthful workplace for their workers.Keywords: vision problem, computer-attributed, laptop, desktop computer, agronomyCorrespondence: Putri Anggrainy. Department of Occupational Health and Safety, Faculty Public Health, Universitas North Sumatera. Email: putri.anggrainy@gmail.com. Mobile: +6285763191981.Indonesian Journal of Medicine (2018), 3(2): 65-70https://doi.org/10.26911/theijmed.2018.03.02.01

Association Between Exclusive Breastfeeding and the Risk of Tonsilitis in Children Under Five in Demak, Central Java

Wardhana, Hendra, Kharisman, Ibnu, Stella, Paramita

Indonesian Journal of Medicine Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Upper respiratory infection (URI) remains one of the primary causes of child mortality in Indonesia. Some studies have shown that exclusive breastfeeding can prevent various infectious diseases including URI. However, in some places the incidence of tonsilitis is still high although target of exclusive breastfeeding coverage has been met. This study aimed to determine association between exclusive breastfeeding and the risk of tonsillitis in children under five in Demak, Central Java.Subjects and Method: This was a cross sectional study conducted at 3 Community Health Centers, Demak, Central Java, from March to April 2017. A sample of 35 children under five years old were selected for this study. The dependent variable was the incidence of tonsillitis. The independent variable was history of exclusive breastfeeding. The data were collected by  questionnaire. Tonsillitis was determined by history taking and physical examination. The data were analyzed by Fisher exact test.Results: Children without history of exclusive breastfeeding had an increased risk of contracting tonsillitis (OR= 9.58; p= 0.015) compared to those with history of exclusive breastfeeding.Conclusion: Provision of exclusive breastfeeding is associated with lower risk of tonsilitis in children under five.Keywords: tonsillitis, exclusive breastfeeding, children under fiveCorrespondence: Paramita Stella. Indonesian Doctor Internship Program, Bagas Waras Hospital, Klaten, Central Java.Indonesian Journal of Medicine (2018), 3(2): 71-76https://doi.org/10.26911/theijmed.2018.03.02.02

Intraventricular Neurocysticercosis: A Case Report

Bahtiar, Ruzbih, Wijanarko, Ferry

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Neurocysticercosis is the most common parasitic disease of nervous system in humans and the single most common cause of acquired epileptic seizures in the developing country. But in Indonesia, it was rarely reported. It has wide variety of clinical manifestation due to its pleomorphic nature.Subjects and Method: We reported a case of a 12 years old male with seizure and hydrocephalus due to intraventricular neurocysticercosis. A ventriculoperitoneal shunt (V-P shunt) performed to reduce the intracranial pressure due to hydrocephalus and followed by endoscopic surgery to taking sample of the neurocysticercosis and reducing the mass.Results: Pathological anatomy examination of excised mass found worm eggs. The patient received medications of albendazole and metil prednisolon.Conclusion: Intraventricular neurocysticercosis causing hydrocephalus is the commonest surgical indication, with V-P shunt placement followed by endoscopic surgery as the procedure of choice as it minimally invasive.Keyword: Intraventricular neurocysticercosis, hydrocephalus, headache, V-P shunt, endoscopic surgery.Correspondence: Ruzbih Bahtiar. General Surgery Resident, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java.Indonesian Journal of Medicine (2018), 3(1): 56-64https://doi.org/10.26911/theijmed.2018.03.01.08

The Association between Knowledge, Family Support, and Blood Sugar Level in Type 2 Diabetes Mellitus Patients

Herawati, Ratna, Pamungkasari, Eti Poncorini, Sugiarto, Sugiarto

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes mellitus (DM) is a group of metabolic diseases characterized by hypergly­cemia. The incidence of DM has increased due to lack of knowledge about DM and changes in lifestyle. The purpose of this study was to analyze the relationship of knowledge about DM, family support, and blood sugar levels in type 2 DM patients in Jebres health center, Surakarta.Subjects and Method: A cross sectional study was conducted at Sibela and Ngoresan Sura­kar­ta health center. The study subjects were 100 DM patients selected by purposive sampling. Socio-economic data, knowledge and family support were measured by questi­onnaires. Blood sugar levels were measured using a spectrophotometer. The data were analyzed using a multiple logistic regression.Results: A total of 66 DM patients had a high level of knowledge, 58 patients received strong family support, and 76 people had normal blood sugar levels. High knowledge about DM (OR= 0.87; p= 0.001) and strong family support (OR= 0.99; p= 0.017) lowered blood sugar levels in DM patients.Conclusions: High knowledge about DM and strong family support reduce blood sugar levels in DM patients.Keywords: knowledge about DM, family support, blood sugar level, type 2 diabetes mellitusCorrespondence: Ratna Herawati. Masters Program in Family Medicine, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java. Email: ratna_herawati_dokter@yahoo.co.id.Indonesian Journal of Medicine (2018), 3(1): 49-55https://doi.org/10.26911/theijmed.2018.03.01.07

The Effects of Glucomannan Hydrolysates and BV Gel on Nugent Score, Treg Cell Percentage, and TGF-β level in Bacterial Vaginosis

Retnoningrum, Ambar Dwi, Nurseta, Tatit, Prawiro, Sumarno Reto, Endharti, Agustina Tri, Wahyuni, Endang Sri

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Bacterial vaginosis is commonly experienced by women of reproductive age. The Nugent score is the gold standard for diagnosing bacterial vaginosis. Prebiotic Glucomannan hy­dro­ly­sates (GMH) as a therapy in the treatment of bacterial vaginosis and has an immunomo­dulatory effect on the immune system and provides cellular immunity. The purpose of this study was to examine the effects of GMH and BV Gel on Nugent scores, Treg cell presentation, and TGF β levels in bacterial vaginosis of women of childbearing age.Subjects and Method: This was an experimental study. A sample of 24 women aged 20 to 45 years old with bacterial vaginosis (Nugent score ≥7) was divided into 4 groups: oral antibiotic group metronidazole (500mg), combination of GMH (300mg) and metronidazole, 5 ml BV Gel tube, and combination of GMH and BV Gel scores. The dependent variables were GMH and BV Gel administrations. The independent variables Nugent score, Treg presentation, and TGF-β level. Nugent score, Treg cell presentation, and TGF β level were measured on day-0, day-11, and day-22. The data were analyzed by one way Anova.Results: The results of the analysis after treatment on day 22 showed that the GMH and BV gel were able to reduce Nugent scores, increase Treg cell presentation and TGF β levels in bacterial vaginosis of women of childbearing age.Conclusion: GMH as an alternative therapy for bacterial vaginosis compared with antibiotic treatment can improve normal vaginal flora and stimulate the immune system in vitro and in vivo significantly.Keywords: Glucomannan Hydrolysates,  BV Gel, Nugent sel Treg score, TGF βCorrespondence: Ambar Dwi Retnoningrum. Masters Program of Midwifery, Universitas Brawijaya, Malang, East Java. Email: adreambar@gmail.com. Mobile: +6281335743696.Indonesian Journal of Medicine (2018), 3(1): 33-43https://doi.org/10.26911/theijmed.2018.03.01.05

The Difference of Work Posture in Musculo-skeletal Disorder Symptoms among Sales Women in the Department Store

Nadrah, Nailatun, Silaban, Gerry, Ashar, Taufik

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Musculoskeletal complaints often occur in saleswomen who do awkward standing during work. Repair of standing position can reduce the risk of mus­culoskeletal pain. This study aimed to examine the effectiveness of corrective work posture on alleviating musculoskeletal disorder (MSD) symptoms among saleswomen in the department store.Subjects and Method: This was a quasi experiment before and after with no con­trol design conducted in Rantauprapat department store, North Sumatera. A sample of 30 sales women from the department store was selected for this study. The dependent variable was MSD scores as measured by Nordic Body Map (NBM). The independent variables were corrective work posture. The data before and after corrective work posture were compared and tested by t-test.Results: There was a difference between poor and good posture in MSD symptoms among saleswomen in the Department Store. Saleswomen with poor posture had higher MSD symptoms (mean 64.45) than those with good posture (53.39), and it was statistically significant (p= 0.001).Conclusions: Saleswomen with poor posture has higher MSD symptoms than those with good postureKeywords: musculoskeletal disorders, work posture correction, Nordic Body MapCorrespondence: Nailatun Nadrah. Department of Occupational Health and Safety, Faculty of Public Health, Universitas Sumatera, Medan, North Sumatera. Email: nailatunnadrah@gmail.com. Mobile: +6281360661677Indonesian Journal of Medicine (2018), 3(1): 44-48https://doi.org/10.26911/theijmed.2018.03.01.06

Circadian Rhythm Sleep Disorder among Nurses in Emergency Installation: A Systematic Review

Jadmiko, Arief Wahyudi, Firdausi, Rieh

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Circadian Rhythm Sleep Disorders (CRSD) is a sleep pattern disorder that can be caused by a shift work system, especially the night shift. This disorder can cause various cardiovascular diseases, psychological, decreased concentration, even Alzheimers. Some professions that demand high precision such as nurses who work with night shifts in the Emergency Room are very vulnerable to CRSD and if not handled, it can lead to work negligence. The purpose of this review is to review CRSD due to work shifts, possible risks to the ED nurse and how to overcome them.Subjects and Method: This article uses CRSD-related reviews published from 2000-2018 from various databases: PubMed, PMC Central and Elsevier open-access. The search was conducted on 1-14 July 2018 with keywords: "Circadian Rhythm Sleep Disorders", "treatment AND CRSD", "the effect of CRSD", "CRSD AND nursing, and" CRSD in night workers ".Results: Based on the 20 articles reviewed, CRSD is a sleep pattern disorder that can be caused by endogenous factors and exogenous factors. One exogenous factor is a disturbance due to working time with the shift work disorders (SWD) system. There are several ways to overcome CRSD due to working hours, including: taking a nap before work, modifying the environment by avoiding light if going to sleep, but approaching light if you have to wake up, resetting your sleep schedule, and giving melatonin.Conclusions: CRSD due to work disorders is called SWD which can be overcome by rearranging sleep, modifying the environment to fit the circadian rhythm, and consuming melatonin if needed.Keywords: Circadian Rhytme Sleep Disorders, shift work disorders, NursesCorrespondence: Arief Wahyudi Jadmiko. Study Program of Nursing, Faculty of Health Sciences, Universitas Pembangunan Nasional Jakarta.Indonesian Journal of Medicine (2018), 3(1): 27-32https://doi.org/10.26911/theijmed.2018.03.01.04

Hepcidin and Feritin Levels in Obese Pregnant Women and Normal Body Weight before Pregnancy

Rahma, Hadiyatur, Lumbanraja, Sarma N, Lubis, Zulfikar

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:Obesity is associated with a decrease in iron status, possibly it is an increase in hepcidin, an inflammatory protein that reduces iron absorption. Hepcidin is associated with iron homeostasis and inflammation. This study aims to determine differences in levels of hepcidin and ferritin of obesity pregnant women and normal weight before pregnancy.Subjects and Method: This was an analytic observational study with a case control design. A total of 62 pregnant women was selected by consecutive technique sampling and divided into 2 groups, namely obesity and normal weight before pregnancy. The study was conducted at RSIA BadrulAini Medan and at RSUP H.Adam Malik Medan from September to December 2016. The dependent variable of this study was the weight before pregnancy. The independent variable washepcidin levels examined by ELISA method, ferritin content with Immunochemiluminescent method. The data analysis employed Mann Whitneys different test.Results: Median of hepcidin level in obese pregnant women before pregnancy was higher than pregnant mother with normal weight of 7.08 ng / mL (2.14 to 78.18). There was no difference in hepcidin level in both groups (p = 0.578). Median ferritin levels in obese pregnant women were higher than the normal weight of 20.57 μg / L (3.66 to 102.25). There was no difference of ferritin levels in both groups (p = 0.598).Conclusion: This study showed no difference in hepcidin levels and ferritin levels in obese pregnant women and normal weight before pregnancy.Keywords: Feritin,hepcidin, obesity before pregnancy, normal body weight before pregnancyCorrespondence: Hadiyatur Rahma. . Department of  Pharmacology, Faculty of Medicine, Islam Sumatera Utara University, Medan. Email: rahmahadiyatur@gmail.com.Indonesian Journal of Medicine (2018), 3(1): 234-238https://doi.org/10.26911/theijmed.2018.03.01.03

Biopsychosocial Factors on Infertility among Men in Surakarta, Central Java

Agustina, Devita, Budihastuti, Uki Retno, Murti, Bhisma

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Impaired fertility affects 7–17% of all couples. Isolated male factor infertility may occur in 20% of all infertile couples. One recent study demonstrated a high rate of erectile dysfunction, depressive symptoms, and dysfunctional sexual relationships among male partners of infertile couples. This study aimed to examine the biopsychosocial factors on infertility among men in Surakarta, Central Java.Subjects and Method: This was a cross-sectional study conducted at Sekar Clinic (Infertility Clinic), Dr. Moewardi Hospital, Surakarta, Central Java, from January to May 2018. A sample of 120 men was selected by fixed disease sampling. The dependent variable was infertility. The independent variables were age, body mass index (BMI), smoking, occupational radiation exposure, stress, and physical activity. Data on infertility were obtained from medical record. The other variables were measured by questionnaire. The data were analyzed by path analysis run on Stata 13.Results: Male infertility was directly and positively associated with age ≥40 years (b=1.45; 95% CI= 0.34 to 2.49; p=0.010), BMI ≥25 (b=0.98; 95% CI= -0.95 to 2.05; p=0.074), smoking (b=0.98; 95% CI= 0.57 to 1.91; p= 0.037), occupational radiation exposure (b=1.63; 95% CI= 0.52 to 2.75; p=0.004), and lack of physical activity (b=1.11; 95% CI= 0.13 to 2.09; p=0.027). Male infertility was indirectly associated with stress.Conclusion: Male infertility is directly and positively associated with age ≥40 years, BMI ≥25, smoking, occupational radiation exposure, and lack of physical activity. Male infertility is indirectly associated with stress.Keywords: infertility, male, smoking, body mass index, occupational radiation exposure, path analysisCorrespondence: Devita Agustina. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: inidevita@gmail.com.Indonesian Journal of Medicine (2018), 3(1): 226-233https://doi.org/10.26911/theijmed.2018.03.01.02

Predictors of Macro and Microvascular Complication in Type 2 Diabetes Mellitus Patients at Dr. Moewardi Hospital, Surakarta

-, Handoko, Rahardjo, Setyo Sri, Murti, Bhisma

Indonesian Journal of Medicine Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Type 2 Diabetes Mellitus (Type 2 DM) is one of the major causes of morbidity and mor­tality worldwide. Morbidity and mortality due to diabetes are associated with the development of various microvascular complications (retinopathy, nephropathy, and neuropathy) and macro­vascular complications (coronary heart disease, stroke, and peripheral vascular disease). This study aimed to examine the determinants of biopsychosocial macro and microvascular complications in pa­tients with type 2 DM at Dr. Moewardi Surakarta.Subjects and Method: This was an analytic observational with a case-control design. The study was conducted at Dr. Moewardi, Surakarta, Central Java, from January to March 2018. A sample of 75 Type 2 DM cases with complication and 75 Type 2 DM cases without complication was selected for this study by fixed disease sampling. The dependent variables were macro and microvascular com­plications. The independent variables were body mass index (BMI), blood pressure, quality of life, depression, duration of disease, physical activity, diet, medication adherence, health financing, and routine blood sample. Clinical data were taken from medical record. The data of other varia­bles were collected by a set of pre-tested questionnaire. Logistic regression was employed for data ana­lysis.Results: The risk of macro and microvascular complications in type 2 DM patients increased with high BMI (OR= 22.00; 95% CI= 7.50 to 64.52, p<0.001), poor quality of life (OR= 7.06; CI 95%= 3.51 to 14.16, p<0.001), depression (OR= 3.30; 95% CI= 1.39 to 7.79, p= 0.007), longer duration of disease (OR= 9.71; 95% CI= 2.79 to 33.71, p<0.001), lack of physical activity (OR= 8.16; 95% CI= 1.23 to 53.93, p=0.029), poor diet (OR= 3.58; 95% CI= 1.39 to 9.18, p=0.008), poor medication adherence (OR= 4.54; 95% CI= 1.71 to 12.05, p=0.002), and irregular blood sample control (OR= 5.80; 95% CI= 1.97 to 14.65, p=0.001).Conclusion: The risk of macro and microvascular complications in patients with type 2 DM is de­ter­mined by BMI, quality of life, depression, duration of disease, physical activity, diet, medication adhe­rence, and blood sample control.Keywords: biopsychosocial, macrovascular, microvascular, complications, type 2 DMCorrespondence: Handoko. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, Indonesia. Email: handhira83@yahoo.co.id. Mobile: +6285225591917.Indonesian Journal of Medicine (2018), 3(1): 213-225https://doi.org/10.26911/theijmed.2017.02.03.09