https://ejournal.ukrida.ac.id/index.php/Meditek/issue/feedJurnal Kedokteran Meditek2025-03-11T00:00:00+00:00Adit Widodo Santosomeditek@ukrida.ac.idOpen Journal Systems<p><span style="font-weight: 400;">Jurnal Kedokteran Meditek (</span><em><span style="font-weight: 400;">J Kedokt Meditek</span></em><span style="font-weight: 400;">) (</span><a href="https://portal.issn.org/resource/ISSN/2406-8799"><span style="font-weight: 400;">e-ISSN: 2686-0201</span></a><span style="font-weight: 400;">, </span><a href="https://portal.issn.org/resource/ISSN/2087-7811"><span style="font-weight: 400;">p-ISSN: 2686-1437</span></a><span style="font-weight: 400;">) is a peer-reviewed journal that publishes open access articles. The journal is managed by Faculty of Medicines and Health Sciences, Krida Wacana Christian University. Start from 2025 Jurnal Kedokteran Meditek publishes six issues annually in January, March, May, July, September, and November.</span></p> <p><span style="font-weight: 400;">This journal's focus and scope encompass medical and health fields such as clinical medicine, community medicine, medical biology and biochemistry, molecular biology, bioinformatics, pharmacy and other biomedical sciences. This journal welcomes authors from the medical field or other health fields that are in line with the aim and scope of the journal.</span></p> <p><span style="font-weight: 400;">Jurnal Kedokteran Meditek holds a Third Grade (Sinta 3) of accreditation from National Journal Accreditation Board managed by the Ministry of Research, Technology and Higher Education, Republic of Indonesia Decree No 204/E/KPT/2022, since volume 28 Number 1 of 2022.</span></p>https://ejournal.ukrida.ac.id/index.php/Meditek/article/view/3303Pemakaian Flat Shoes dan Indeks Massa Tubuh Berhubungan dengan Gejala Plantar Fasciitis pada Mahasiswi Trisakti2024-09-02T05:30:57+00:00Intania Yulizahintania030002000056@std.trisakti.ac.idLie Tanu Merijantiliemerijanti@trisakti.ac.id<p><strong><em>Introduction:</em></strong><em> 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. <strong>Purpose:</strong> 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. <strong>Methods:</strong> 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. <strong>Results</strong>: 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). <strong>Conclusion</strong>: 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.</em></p>2025-03-11T00:00:00+00:00Copyright (c) 2025 Intania Yulizah, Lie Tanu Merijanti https://ejournal.ukrida.ac.id/index.php/Meditek/article/view/3478Dampak Depresi Terhadap Intensitas Nyeri dan Disabilitas pada Pasien dengan Chronic Low Back Pain2024-12-24T04:01:23+00:00Ivana Feliciaivana.405210230@stu.untar.ac.idArwinder Singharwinder@fk.untar.ac.id<p>Introduction: Low back pain (LBP) is a common health issue<br />experienced by nearly 80% of people throughout their lives. This<br />condition often recurs and can become chronic low back pain (CLBP) if<br />it lasts for more than 3 months, with a prevalence of approximately 23%<br />and causing disability in about 11-12% of the population. CLBP is often<br />associated with depression, which can worsen pain intensity, function,<br />and patient recovery. Purpose: This study aims to analyze the<br />relationship between depression and CLBP, as well as the factors that<br />influence it. Methods: The study uses a cross-sectional analytical<br />observation method with consecutive sampling of 170 respondents. Data<br />were collected through interviews and questionnaires, including pain<br />intensity measurement using the Numeric Rating Scale, depression levels<br />using the Beck Depression Inventory-II, and disability levels using the<br />Oswestry Disability Index. Data collection was conducted at Sumber<br />Waras Hospital and dr. Mintohardjo Naval Hospital. Results: The study<br />results show the highest prevalence of LBP in individuals over 65 years<br />old (47.65%), and the majority of respondents were female (70.59%).<br />There is a significant relationship between pain intensity and depression<br />(p < 0.001) and between disability and depression (p < 0.001). Pain<br />duration was not significantly associated with depression (p = 0.211).<br />Conclusion: In conclusion, pain intensity and disability level are<br />significantly associated with the incidence of depression in CLBP<br />patients.</p>2025-03-11T00:00:00+00:00Copyright (c) 2023 Ivana Felicia, Arwinder Singhhttps://ejournal.ukrida.ac.id/index.php/Meditek/article/view/3539Perbandingan Penanda Inflamasi dan Elastisitas Vaskular antara Mahasiswa Kedokteran Prehipertensi dan Normotensi di Jakarta2025-02-02T15:38:08+00:00Naufal Rafi Kusuma Wibowo2110211080@mahasiswa.upnvj.ac.idNurfitri Bustamamnurfitri.bustamam@upnvj.ac.idMeiskha Baharmeiskhabahar@upnvj.ac.idDiana Agustini Purwaningastutidianaagustini@upnvj.ac.id<p>Introduction: An unhealthy lifestyle among medical students may<br />contribute to inflammation, reduced vascular elasticity, and<br />increased blood pressure. However, cardiovascular risk in these<br />young adults remains less explored compared to hypertensive<br />patients. Purpose: This study compares inflammatory markers and<br />vascular elasticity in prehypertensive and normotensive medical<br />students. Methods: A case-control study utilizing simple random<br />sampling was conducted in the medical student population, included<br />54 prehypertensive or normotensive subjects with no history of<br />hematological disorders, autoimmune diseases, cancer, diabetes<br />mellitus, or cardiovascular medication use. Vascular elasticity,<br />blood pressure, and inflammatory markers were assessed using an<br />accelerated photoplethysmograph, a digital sphygmomanometer,<br />and a hematology analyzer. Results: A total of 25 subjects (46.3 %)<br />had suboptimal vascular elasticity, 30 (55.6%) had a high<br />neutrophil-to-lymphocyte ratio (NLR), and 40 (74.1%) exhibited a<br />low-risk platelet-to-lymphocyte ratio (PLR). The Chi-square test<br />revealed a significant difference in NLR between prehypertensive<br />and normotensive students (p = 0.000; OR = 7.0; CI = 2.3–20.7),<br />while no significant difference was observed in PLR (p = 0.525).<br />Vascular elasticity also differed significantly between groups (p =<br />0.000; OR = 5.2; CI = 2.0-13.2). Conclusion: Prehypertensive<br />subjects had higher NLR, and those with suboptimal vascular<br />elasticity had higher prehypertension risk. These findings highlight<br />the need for cardiovascular risk assessment in young adults.</p>2025-03-13T00:00:00+00:00Copyright (c) 2025 Naufal Rafi Kusuma Wibowo, Nurfitri Bustamam, Meiskha Bahar, Diana Agustini Purwaningastutihttps://ejournal.ukrida.ac.id/index.php/Meditek/article/view/3463Prediksi Gangguan Kognitif Ringan Menggunakan Pencitraan Resonansi Magnetik dan Deep Learning: Sebuah Studi Meta-Analisis2024-12-10T03:21:23+00:00Budi Setiawandr.budi_setiawan@outlook.comWindy Mariane Virenia Warikiwwariki@unsrat.ac.idFinny Warouwfinnywarouw@unsrat.ac.idAnsye Grace Nancy Momoleansyemomole@dosenlb.unsrat.ac.idRizal Tumewahrizaltumewah@dosenlb.unsrat.ac.idJunita Maja Pertiwijunitamaja@unsrat.ac.id<p><strong><em>Introduction:</em></strong> 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.<strong> Purpose: </strong>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. <strong><em>Methods:</em></strong> 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. <strong>Results:</strong> 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. <strong>Conclusion:</strong> 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.</p>2025-03-28T00:00:00+00:00Copyright (c) 2025 Budi Setiawan, Windy Mariane Virenia Wariki, Finny Warouw, Ansye Grace Nancy Momole, Rizal Tumewah, Junita Maja Pertiwi https://ejournal.ukrida.ac.id/index.php/Meditek/article/view/3479Serial Kasus : Presentasi Klinis dan Tata Laksana Nodul Endometriosis Subkutan2025-01-08T04:46:18+00:00Shelly FranciskaShelly.franciska@ukrida.ac.idAchmad Kemal Harzifachmadkemalharzif@gmail.comShindie Dona Kezia Lethulurshindiedkezial2345@gmail.com<p>Introduction: Subcutaneous endometriosis is a rare condition with <br />endometrial tissue localized outside the pelvis and often mimics general <br />endometriosis. The novelty of this study is an in-depth understanding of <br />the specific risk factors associated with subcutaneous endometriosis <br />after cesarean section and how optimal therapeutic approaches can <br />provide better outcomes in patients with a history of endometriosis. This <br />study aims to explore the clinical presentation, outcomes, and <br />managerial approaches to this condition, as well as provide evidencebased recommendations for its management. Case Illustration: This <br />study involved seven patients at Cipto Mangunkusumo Hospital (January <br />2022–December 2024). Data collected included demographics, age, BMI, <br />initial symptoms, time of symptom onset, history of cesarean section, <br />history of endometriosis, complications, nodule size, therapeutic <br />approaches, and clinical outcomes. Discussion: Of the seven patients, <br />three underwent one cesarean section, two underwent two operations, <br />and two underwent more than two cesarean sections. A history of diffuse <br />adenomyosis was found in three patients. Subcutaneous nodules located <br />mainly in the cesarean scar, had highly variable sizes and caused <br />significant pain (VAS 5–6). Dienogest therapy was given to three patients <br />and significantly reduced pain. Conclusion:Subcutaneous endometriosis <br />is often associated with a history of abdominal surgery, especially <br />cesarean section. Extrapelvic location can be mistaken for keloid or <br />fibroma, which hinders timely diagnosis. The novelty of this study lies in <br />emphasizing the importance of multidisciplinary collaboration in the <br />management of subcutaneous endometriosis, especially involving plastic <br />surgeons to improve aesthetic results and prevent recurrence. <br />Treatment involving hormonal therapy or surgery, based on the size and <br />location of the nodule, is essential for optimal results.</p>2025-03-11T00:00:00+00:00Copyright (c) 2025 Shelly Franciska, Achmad Kemal Harzif, Shindie Dona Kezia Lethulurhttps://ejournal.ukrida.ac.id/index.php/Meditek/article/view/3497Temuan Klinis dan Terapi Dini pada Anak dengan Sindrom Ramsay-Hunt2025-01-20T01:02:43+00:00Rahma Rafina Noerfanirahmarafina@gmail.comWindy Keumala Budiantiwkeumala@gmail.comNadya Aninditha Permatasarianinditha.nadya09@gmail.comFathya Nabila GifaniFngifani@gmail.com<p>Introduction: Ramsay-Hunt syndrome is a complication of the varicellazoster virus that causes inflammation of the geniculate ganglion cranial<br />nerve VII. This disease is a rare case in children. This case report aims to<br />highlight the importance of diagnosis, early examination, and<br />appropriate therapy to prevent complications and poor prognosis. Case<br />Illustration: A 9 year-old girl presented with clear fluid-filled blisters in<br />her left ear for four days before going to the hospital. Two days after the<br />lesions came out, she complained of her face feeling tilted to the right,<br />difficulty close her left eye, and the corner of her mouth being more<br />drawn towards the normal side. The left auricular helix fossa region<br />showed a rash of multiple vesicles in groups containing clear fluid with<br />an erythematous skin base, distributed unilaterally according to the<br />dermatome. The patient was diagnosed with Ramsay-Hunt syndrome.<br />She was treated with a combination of oral acyclovir and<br />methylprednisolone injections. Discussion: Antiviral therapy within 24–<br />72 hours after the onset of the rash is very effective for healing of the rash<br />and reducing the duration of pain. Corticosteroid as an antiinflammatory can reduce peripheral nerve damage and edema.<br />Combination of corticosteroid with acyclovir for 7 days in herpes zoster<br />accompanied by facial paralysis is very effective in significantly reducing<br />acute pain and reducing the risk of complications. Conclusion:The exact<br />diagnosis and combination of antiviral with corticosteroid therapy in<br />children can be beneficial in reducing the duration of lesions and pain as<br />well as the risk of complications.</p>2025-03-11T00:00:00+00:00Copyright (c) 2025 Rahma Rafina Noerfani, Windy Keumala Budianti, Nadya Aninditha Permatasari, Fathya Nabila Gifani