Jurnal Kedokteran Meditek

Identifikasi Keberadaan Soil Transmitted Helminths pada Sayuran Lalapan di Warung Makan Grogol Petamburan

Inneke Kusumawati Susanto — 2025-08-08

Introduction: Soil Transmitted Helminths (STH) infection is a worm infection through the soil. Consumption of raw food such as fresh vegetables is a route of STH transmission to humans because soil is a growth medium for vegetables and an ideal place for worm development into an infective form so that there is a risk of contamination when the soil is contaminated with human feces containing worm eggs. Transmission through the use of vegetable fertilizers contaminated with human feces, vegetables that are not washed properly and poor food management. Research on STH eggs in fresh vegetables in Grogol Petamburan food stalls has never been conducted. Objective: The study aims to determine the presence or absence of STH, the prevalence of contamination, stages and types of STH eggs in fresh vegetables in Grogol Petamburan food stalls to provide the public with information to pay attention to the cleanliness of fresh vegetables. Method: The study was descriptive with microscopic examination using the sedimentation method. The sampling technique was a total sampling of 84 fresh vegetables samples taken from 38 Grogol Petamburan food stalls. Fresh vegetables samples, namely cabbage, lettuce and basil, were examined in the parasitology laboratory. Data on hygiene and sanitation practices were taken from interviews. Results: STH identification results in 9 samples (10.7%) were positive for STH contamination. Ascaris lumbricoides eggs were found in the contaminated samples, while Trichuris trichiura and Hookworm were not found. Conclusion: Based on the results of the study, the samples were positive for STH contamination in the Ascaris lumbricoides egg stage. The results indicate that the raw vegetables are not suitable for consumption.

Analysis of Intra-Articular Injection of Triamcinolone Acetonide on Changes in The Quality of Life of Patients With Knee Osteoarthritis

Dewi Lestari — 2025-07-15

Introduction: Knee osteoarthritis is the most common articular disease in developed countries that caused chronic disability and reduction of the quality of life in the elderly. Intra-articular (IA) injections are selected if other conservative therapies are ineffective. Purpose: This study aimed to measure the effect of IA injection of triamcinolone acetonide on the quality of life in knee osteoarthritis’s patients. Methods: This observational research was conducted in three steps: filling out questionnaires by patients, interviewing patients, and retrieving patients' data from medical records. The patients' quality of life scores measure before and 4 weeks after therapy, using the AIMS2-SF score, VAS EQ-5D-5L, and Indonesian EQ-5D-5L. The result will be declared statistically significant if p<0.05. Results: No statistically significant difference found in AIMS2-SF scores (p> 0.05) for Symptoms, Social, Occupational domains, and in VAS EQ-5D-5L (p> 0.05). A significant difference was found in AIMS2-SF scores for Physical, Emotional domains and in the EQ-5D-5l Score. Multivariate analysis showed that patients' characteristics and knee osteoarthritis disease did not affect the AIMS2-SF, EQ-5D-5L, and VAS score. Conclusion: IA injection of triamcinolone acetonide has a potential effect to increase the number of domains in the patient's quality of life after 4 weeks of therapy.

Hubungan Fungsi Ginjal dengan Kejadian Demensia Vaskular di RSPAD Gatot Soebroto 2023-2024

Aqila Fayza Afralia — 2025-08-19

Introduction: Vascular dementia is the second most common type of dementia in the world, following Alzheimer's dementia. One of the primary risk factors for vascular dementia is hypertension. Prolonged hypertension can impair kidney function, as indicated by the glomerular filtration rate (GFR). A decreased GFR can lead to vascular complications, such as endothelial dysfunction, which may result in brain tissue infarction and contribute to the development of vascular dementia in the future. Purpose: The purpose of this research is to examine the relationship between kidney function, measured through GFR values, and the incidence of vascular dementia at Gatot Soebroto Army Hospital during the 2023-2024 period. Methods : This study employed a cross-sectional design and conducted a bivariate test using the Chi-square method with a sample of 47 individuals. The research utilized a total sampling technique. Results: Among the 47 patients, 35 (74.5%) were diagnosed with vascular dementia, while 12 (25.5%) had different types of dementia. The majority of patients, 31 (66%), exhibited a mild decrease in GFR values. The analysis revealed a relationship between kidney function and the incidence of vascular dementia, with a p-value of 0.596. Conclusion: There was no significant relationship found between kidney function, as indicated by GFR values, and the incidence of vascular dementia. Future researchers can study larger populations.

Hubungan Psikopatologi dan Mekanisme Koping dengan Internet Gaming Disorder (IGD) pada Populasi Dewasa di Indonesia

Pratiwi Assandi — 2025-08-11

Introduction: Psychopathology and maladaptive coping can contribute to Internet Gaming Disorder (IGD) in adults, threatening productivity and life. Purpose: This study aimed to explore the associations between psychopathology and coping mechanisms with IGD in Indonesian adults. Methods: This cross-sectional study included 358 adults aged 18 to 59 who engaged in online gaming through consecutive sampling. Data were collected online using Symptoms Check List-90, Brief COPE, Ten-Item Internet Gaming Disorder Test, and sociodemographic questionnaire and were analyzed using chi-square, Kolmogorov Smirnov, Mann-Whitney, and logistic regression tests. Results: The IGD proportion was 16,5%. Psychopathology (somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoia, and psychotic), coping mechanisms (active-coping, use of instrumental support, humor, use of emotional support, positive reframing, self-distraction, denial, substance use, behavioral disengagement, venting, and self-blame), age, marital status, gaming duration, and Multiplayer Online Battle Arena games were significantly associated with IGD (p<0,05). Gaming duration exceeding three hours per day (OR=3,220, CI=1,574-6,588), dysfunctional coping (OR=1,154, CI=1,067-1,248), and hostility (OR=7,231, CI=3,038-17,213) identified as risk factors, while venting (OR=0,727, CI=0,533-0,991) served as protective factor. Conclusion: Psychopathology and dysfunctional coping are associated with IGD. Education on related factors, early detection of psychopathology, and identification of coping mechanisms support comprehensive IGD management.

Case Report: Aspiration Pneumonitis as a Rare Complication Following Hydrogen Peroxide Intoxication

Maulinda Putri — 2025-07-30

Introduction: Suicide rates continue to rise globally, with self-poisoning being a common method in some developing countries. This report reported a case of hydrogen peroxide ingestion leading to aspiration pneumonitis, a less-discussed complication compared to gastrointestinal toxicity. Case Illustration: A 41-year-old woman presented to the emergency unit 8 hours post-ingestion of a hydrogen peroxide-based toilet cleaner. Symptoms included vomiting, hoarseness, faintness, and frothing at the mouth. The physical examination revealed dyspnea, irritability, a cleaning solution odor in the oral cavity, rhonchi in the middle and lower lung fields, epigastric tenderness, and increased bowel sounds. Gastric lavage with 200 mL of saline was performed, and activated charcoal and sucralfate syrup were administered via a nasogastric tube. The patient had previously received ranitidine at another facility and was also treated with omeprazole and ondansetron. Laboratory results showed leukocytosis, and a chest x-ray indicated bilateral lung infiltration and increased broncho-vascular pattern. Discussion: Early and proper intervention by trained healthcare professionals, combined with preventive measures such as positioning the patient in a semi-upright position and avoiding emetogenic liquids, is essential. Conclusion: This case showed the importance of prompt management involving gastric lavage, mucosal protection, acid suppression, and absorption inhibition. Nonetheless, respiratory complications, such as aspiration pneumonitis, remain challenging to prevent.