Jurnal Kedokteran Meditek

Pemakaian Flat Shoes dan Indeks Massa Tubuh Berhubungan dengan Gejala Plantar Fasciitis pada Mahasiswi Trisakti

2024-09-02T05:30:57+00:00

Introduction: Flat Shoes are shoes that female students often wear. However, the flat model does not provide adequate support for the feet, which increases the risk of plantar fasciitis. Research on plantar fasciitis is more often associated with high heels. In contrast, many women now wear flat shoes daily, most of which are worn by medical students. Purpose: This research aims to assess the relationship between the duration of flat shoe use and Body Mass Index with the occurrence of plantar fasciitis symptoms in female students. Methods: The design of this study is an observational analytic with a cross-sectional approach, using the consecutive non-random sampling method, the sample size consisted of 162 female respondents from the Faculty of Economics and Business at Trisakti University. Data was collected using a questionnaire to determine the duration of shoe use, the Pain Scale for Plantar Fasciitis questionnaire for plantar fasciitis symptoms, also weight and height measurements to obtain the Body Mass Index value. Data analysis using Chi-Square with a significance level of p<0.05. Results: The prevalence of plantar fasciitis symptoms was 18.5%. There was relationship between BMI and the duration of flat shoe use with plantar fasciitis symptoms (p=0.026 and p<0.001). Conclusion: This study concludes a significant relationship between the duration of wearing flat shoes and nutritional status with the symptoms of plantar fasciitis. This research is useful for providing information on risk factors for plantar fasciitis.

Dampak Depresi Terhadap Intensitas Nyeri dan Disabilitas pada Pasien dengan Chronic Low Back Pain

2024-12-24T04:01:23+00:00

Introduction: Low back pain (LBP) is a common health issue
experienced by nearly 80% of people throughout their lives. This
condition often recurs and can become chronic low back pain (CLBP) if
it lasts for more than 3 months, with a prevalence of approximately 23%
and causing disability in about 11-12% of the population. CLBP is often
associated with depression, which can worsen pain intensity, function,
and patient recovery. Purpose: This study aims to analyze the
relationship between depression and CLBP, as well as the factors that
influence it. Methods: The study uses a cross-sectional analytical
observation method with consecutive sampling of 170 respondents. Data
were collected through interviews and questionnaires, including pain
intensity measurement using the Numeric Rating Scale, depression levels
using the Beck Depression Inventory-II, and disability levels using the
Oswestry Disability Index. Data collection was conducted at Sumber
Waras Hospital and dr. Mintohardjo Naval Hospital. Results: The study
results show the highest prevalence of LBP in individuals over 65 years
old (47.65%), and the majority of respondents were female (70.59%).
There is a significant relationship between pain intensity and depression
(p < 0.001) and between disability and depression (p < 0.001). Pain
duration was not significantly associated with depression (p = 0.211).
Conclusion: In conclusion, pain intensity and disability level are
significantly associated with the incidence of depression in CLBP
patients.

Perbandingan Penanda Inflamasi dan Elastisitas Vaskular antara Mahasiswa Kedokteran Prehipertensi dan Normotensi di Jakarta

2025-02-02T15:38:08+00:00

Introduction: An unhealthy lifestyle among medical students may
contribute to inflammation, reduced vascular elasticity, and
increased blood pressure. However, cardiovascular risk in these
young adults remains less explored compared to hypertensive
patients. Purpose: This study compares inflammatory markers and
vascular elasticity in prehypertensive and normotensive medical
students. Methods: A case-control study utilizing simple random
sampling was conducted in the medical student population, included
54 prehypertensive or normotensive subjects with no history of
hematological disorders, autoimmune diseases, cancer, diabetes
mellitus, or cardiovascular medication use. Vascular elasticity,
blood pressure, and inflammatory markers were assessed using an
accelerated photoplethysmograph, a digital sphygmomanometer,
and a hematology analyzer. Results: A total of 25 subjects (46.3 %)
had suboptimal vascular elasticity, 30 (55.6%) had a high
neutrophil-to-lymphocyte ratio (NLR), and 40 (74.1%) exhibited a
low-risk platelet-to-lymphocyte ratio (PLR). The Chi-square test
revealed a significant difference in NLR between prehypertensive
and normotensive students (p = 0.000; OR = 7.0; CI = 2.3–20.7),
while no significant difference was observed in PLR (p = 0.525).
Vascular elasticity also differed significantly between groups (p =
0.000; OR = 5.2; CI = 2.0-13.2). Conclusion: Prehypertensive
subjects had higher NLR, and those with suboptimal vascular
elasticity had higher prehypertension risk. These findings highlight
the need for cardiovascular risk assessment in young adults.

Applying Project Management to Establish an Academic Health System: A Participatory Action Research

2025-04-13T14:22:31+00:00

Introduction: Academic Health Systems (AHS) integrate healthcare, education, and research to enhance medical training and patient care. However, initiating AHS in institutions without an existing framework presents challenges in aligning stakeholder expectations and organizational structures. Purpose: This study aims to initiate and establish an appropriate AHS model for Ukrida AHS through Project Management (PM) principles and highlight the importance of PM principles in healthcare organizations. Methods: A qualitative research design was employed using semi-structured interviews with six key stakeholders. Thematic analysis identified recurring patterns in stakeholder perceptions, expectations, and challenges regarding AHS implementation. Data triangulation through a Focus Group Discussion (FGD) refined the findings. Results: The findings are categorized into three phases: Inquiry, which identified three key themes—stakeholder perceptions of their organization, understanding of AHS, and perceived benefits and challenges; Action, which translated these insights into concrete steps, including goal-setting, developing a Gantt chart, and an AHS model; and Reflection, which assessed the research process and emphasizing the benefits of using PM principles in healthcare organizations. Conclusion: Integrating PM with PAR facilitated AHS initiation at Ukrida, revealing benefits, challenges, and key priorities: leadership alignment, financial sustainability, faculty development, stakeholder collaboration, and data systems to ensure long-term success and scalability.

Prediksi Gangguan Kognitif Ringan Menggunakan Pencitraan Resonansi Magnetik dan Deep Learning: Sebuah Studi Meta-Analisis

2024-12-10T03:21:23+00:00

Introduction: Mild Cognitive Impairment (MCI) is a condition characterized by cognitive decline that does not interfere with daily activities but increases the risk of progressing to Alzheimer's Dementia (AD). Early detection of MCI progression to AD is crucial for early intervention. Purpose: The purpose of this meta-analysis to evaluate the performance of Convolutional Neural Networks (CNNs), an artificial intelligence used to analyze complex data such as images, in predicting the conversion of MCI to AD using MRI data. Methods: A meta-analysis was conducted following PRISMA guidelines, utilizing articles from PubMed and Wiley Online Library. Inclusion criteria focused on studies that used CNN in conjunction with MRI to diagnose MCI. A total of 39 articles with 40 comparative studies were analyzed. Results: The CNN showed an average accuracy of 0.7910 (p < 0.0001), sensitivity of 0.7698, specificity of 0.8467, and an Area Under the Curve (AUC) of 0.8063. High heterogeneity (I² = 90.90%) indicated significant variation across studies. Sub meta-analysis revealed consistent performance despite the heterogeneity. Conclusion: CNN is potentially useful for predicting the progression of MCI to AD. Further research is needed to address heterogeneity, improve algorithms, expand datasets, and include more diverse populations.

Serial Kasus : Presentasi Klinis dan Tata Laksana Nodul Endometriosis Subkutan

2025-01-08T04:46:18+00:00

Introduction: Subcutaneous endometriosis is a rare condition with
endometrial tissue localized outside the pelvis and often mimics general
endometriosis. The novelty of this study is an in-depth understanding of
the specific risk factors associated with subcutaneous endometriosis
after cesarean section and how optimal therapeutic approaches can
provide better outcomes in patients with a history of endometriosis. This
study aims to explore the clinical presentation, outcomes, and
managerial approaches to this condition, as well as provide evidencebased recommendations for its management. Case Illustration: This
study involved seven patients at Cipto Mangunkusumo Hospital (January
2022–December 2024). Data collected included demographics, age, BMI,
initial symptoms, time of symptom onset, history of cesarean section,
history of endometriosis, complications, nodule size, therapeutic
approaches, and clinical outcomes. Discussion: Of the seven patients,
three underwent one cesarean section, two underwent two operations,
and two underwent more than two cesarean sections. A history of diffuse
adenomyosis was found in three patients. Subcutaneous nodules located
mainly in the cesarean scar, had highly variable sizes and caused
significant pain (VAS 5–6). Dienogest therapy was given to three patients
and significantly reduced pain. Conclusion:Subcutaneous endometriosis
is often associated with a history of abdominal surgery, especially
cesarean section. Extrapelvic location can be mistaken for keloid or
fibroma, which hinders timely diagnosis. The novelty of this study lies in
emphasizing the importance of multidisciplinary collaboration in the
management of subcutaneous endometriosis, especially involving plastic
surgeons to improve aesthetic results and prevent recurrence.
Treatment involving hormonal therapy or surgery, based on the size and
location of the nodule, is essential for optimal results.

Temuan Klinis dan Terapi Dini pada Anak dengan Sindrom Ramsay-Hunt

2025-01-20T01:02:43+00:00

Introduction: Ramsay-Hunt syndrome is a complication of the varicellazoster virus that causes inflammation of the geniculate ganglion cranial
nerve VII. This disease is a rare case in children. This case report aims to
highlight the importance of diagnosis, early examination, and
appropriate therapy to prevent complications and poor prognosis. Case
Illustration: A 9 year-old girl presented with clear fluid-filled blisters in
her left ear for four days before going to the hospital. Two days after the
lesions came out, she complained of her face feeling tilted to the right,
difficulty close her left eye, and the corner of her mouth being more
drawn towards the normal side. The left auricular helix fossa region
showed a rash of multiple vesicles in groups containing clear fluid with
an erythematous skin base, distributed unilaterally according to the
dermatome. The patient was diagnosed with Ramsay-Hunt syndrome.
She was treated with a combination of oral acyclovir and
methylprednisolone injections. Discussion: Antiviral therapy within 24–
72 hours after the onset of the rash is very effective for healing of the rash
and reducing the duration of pain. Corticosteroid as an antiinflammatory can reduce peripheral nerve damage and edema.
Combination of corticosteroid with acyclovir for 7 days in herpes zoster
accompanied by facial paralysis is very effective in significantly reducing
acute pain and reducing the risk of complications. Conclusion:The exact
diagnosis and combination of antiviral with corticosteroid therapy in
children can be beneficial in reducing the duration of lesions and pain as
well as the risk of complications.