Journal Of The Indonesian Medical Association <p>Journal Of The Indonesian Medical Association (JInMA) atau Majalah Kedokteran Indonesia (MKI) merupakan jurnal ilmiah kedokteran yang berada dibawah naungan Pengurus Besar Ikatan Dokter Indonesia (PB IDI) dan jurnal terakreditasi Kemenristek DIKTI.&nbsp;</p> <p>MKI JInMA memuat beberapa tipe artikel yaitu artikel penelitian, laporan kasus,<em> evidence-based case reports</em> (EBCR), tinjauan pustaka, dan editorial.</p> <p>MKI JInMA saat ini terbit dengan frekuensi per dua bulan.&nbsp;</p> <p>&nbsp;</p> en-US (Evi Suprapti, S.E) (Evi Suprapti, S.E) Fri, 06 Nov 2020 15:51:58 +0700 OJS 60 Hidden Threat During Quarantine and Transition Phase in Elderly: The Need for Special Precautions <p>A global pandemic, COVID-19, has struck 216 countries with more than 9 million cases and 420.000 deaths. In Indonesia alone, 49.000 people have been infected with more than 2.000 deaths. To reduce the transmission rate and break the chain of transmission, various countries in the world require people to limit and mitigate activities outside the house, especially for high-risk groups: the elderly and groups with comorbidities. Although there is no age group protected from SARS-CoV-2 infection, the elderly group shows significantly higher mortality and severity of the disease when compared with young and middle age. Case fatality rate in the elderly ranges between 8% in patients aged ≥80 years, 8% in patients aged 70-79 years, and up to 49% in critical cases. Other studies also show that the average age of patients who need the intensive care unit (ICU) is older than patients who do not require ICU.</p> Maggie Nathania, Diana Sunardi Copyright (c) 2020 Journal Of The Indonesian Medical Association Wed, 04 Nov 2020 17:08:01 +0700 Relationship between Chronic Heart Failure Functional Class and Anaemia Severity in Patients of Atma Jaya Hospital <p><em><strong>Introduction</strong>: There are 40 million people predicted to suffer from heart failure (HF), in Indonesia it is around 13% of the population. The incidence of anaemia in heart failure patients is estimated to be between 17-50%. AnGagal emia is known to increase mortality risk and worsening prognosis in HF patients and a better understanding of the mechanism will lead to better treatment effectiveness.</em><br><em><strong>Methods</strong>: The study uses analytical observational method and a cross-sectional design. Data are taken from medical records admitted in 2016 to 2018 and grouped based on New York Heart Association Functional Class (NYHA-FC) and anemia severity (WHO anaemia cut-off point). </em><br><em><strong>Results</strong>: Eighty-one anemic HF patients analyzed and consists of 34,57% NYHA II, 24,69% NYHA III, and 40,7% NYHA IV. A total of 50,6% patients are mildy anemic and 49,4% are moderately anemic. No severe anemia was found. Multivariate analysis shows chronic HF functional class did not have a significant relationship with anaemia severity (p = 0,179). </em><br><em><strong>Conclusions</strong>: There is no significant relationship between Chronic HF NYHA-FC and anaemia severity. Severe anemia are rarely found in HF patients without severe kidney failure.</em></p> <p>&nbsp;</p> Bryan Nathaniel, Luse, Febie Chriestya, Yunita Maslim Copyright (c) 2020 Journal Of The Indonesian Medical Association Thu, 05 Nov 2020 14:51:50 +0700 Work-Family Conflict and Mental Emotional Disorder in Female Nurses at National Referral Hospital in Jakarta <p><strong>Introduction</strong>: Emotional mental disorder (EMD) is a state of psychological distress that, if not handled properly, can lead to severe mental disorders. One potential psychosocial hazard that is thought to be related to mental health disorders is work-family conflict (WFC). The issue of family-work balance has become an important issue among Indonesian female workers, especially with the rapidly growing female worker society and the strong family culture. This study aimed to identify the association between work-family conflict and emotional mental disorder in female nurses. <br><strong>Methods</strong>: This cross-sectional study included 264 female nurses who work at national referral general hospital in Jakarta. Their emotional mental disorder was measured using Self-Reported Questionnaire 20 (SRQ-20) and the work-family conflict was measured using the Work-Family Conflict Scale (WCFS). <br><strong>Results</strong>: The prevalence of emotional mental disorder in female nurses was 23.5%. The most dominant factor associated with emotional mental disorder is work-family conflict (OR 2,40, CI 95% 1,32-4,35, p=0,004). <br><strong>Conclusion</strong>: There is a significant association between work-family conflicts and emotional mental disorders in female nurses in Indonesia. Nurses with work-family conflicts are more likely to have emotional mental disorders. Regular mental health checks and counseling should be performed along with periodic health checks.</p> Dewi Yunia Fitriani, Dewi Sumaryani Soemarko, Indra Hardjono, Astrid Sulistomo, Aria Kekalih Copyright (c) 2020 Journal Of The Indonesian Medical Association Wed, 04 Nov 2020 17:33:02 +0700 Depression and Sleep Quality in Outpatients attending Penjaringan Primary Health Care, North Jakarta: A Cross-sectional Study <p><em><strong>Introduction</strong>: Depression is the most common mental disorder. Depression of outpatients in primary health care is frequently unrecognized. It might affect sleep quality, which is associated with worse quality of life, poor medication adherence, higher morbidity, and mortality. The study aimed to determine the association between depression and sleep quality of outpatients in Penjaringan Primary Health Care, Jakarta. </em><br><em><strong>Method</strong>: This research was observational analytic using a cross-sectional approach involving 434 outpatients in Penjaringan Primary Health Care, Jakarta. The study was conducted from August until September 2019. Instruments used in this research were the demographic questionnaire, the Zung Self-Rating Depression (SDS) questionnaire, and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analytics were bivariate. </em><br><em><strong>Results</strong>: There were 19.1% of respondents had depression, including 12.2% mild depression, 5.8% moderate depression, and 1.2% severe depression. There were 53.5% of respondents had poor sleep quality. There was a significant relationship (p&lt;0.001, OR=7.814) between depression and sleep quality in outpatients. The results also showed that depression scores were moderately correlated with sleep disturbances (r=0.434). </em><br><em><strong>Conclusion</strong>: This study showed a high prevalence of depression and poor sleep quality among outpatients. Depression was associated with a 7.8 times higher risk of having poor sleep quality and also correlated with the components of sleep quality especially sleep disturbance.</em></p> <p>&nbsp;</p> Felicia Handoko, Surilena Hasan, Erfen Gustiawan, Nelly Tina Widjaja Copyright (c) 2020 Journal Of The Indonesian Medical Association Thu, 05 Nov 2020 15:23:22 +0700 Risk Factors of Empirical Antibiotic Treatment Failure in Childhood Pneumonia: Retrospective Study <p><em><strong>Introduction</strong>: The aetiologies of childhood pneumonia were varies. Initial therapy of pneumonia based on clinical assessment, empirical antibiotic is unavoidable. Observation of the responses to empirical antibiotic therapy are needed, because not all children showed good response to those therapy. Objective to analyse the risk factors associated with empirical antibiotic treatment failure of childhood pneumonia.</em><br><em><strong>Methods</strong>: The study was conducted as observational analytic study with a retrospective research approach from 1 January 2014 - 31 December 2016 in the inpatient ward of Dr. Soetomo Hospital. Subjects were children aged 2-59 months with initial therapy of ampicillin and gentamicin, then assessed at 2-3 days of treatment.</em><br><em><strong>Results</strong>: There were 297 children with pneumonia aged 2-59 months, 42 (14%) subjects had empirical antibiotic treatment failure. The nine of variables studied, multivariate logistic regression analysis obtained pleural effusion (PR 7.25; p &lt;0.001), atelectasis (PR 4.56; p 0.008), and thrombocytosis (PR 3.32; p 0.008) statistically significantly affected responses failure to empirical antibiotic.</em><br><em><strong>Conclusion</strong>: Pleural effusion, atelectasis and thrombocytosis are associated with the empirical antibiotic treatment failure in childhood pneumonia in Dr. Soetomo Hospital.</em></p> Retno Asih Setyoningrum, Dewi Rahmawati Copyright (c) 2020 Journal Of The Indonesian Medical Association Fri, 06 Nov 2020 10:08:19 +0700 The Relationship of Whole Body Vibration with Low Back Pain Incidence of Online Ojek Drivers <p><em><strong>Introduction</strong>: Low back pain is a condition characterized by pain and stiffness on lumbosacral region. Whole body vibration is a mechanical vibration transmitted to whole body. Whole body vibration is a risk factor for low back pain. To determine the relationship of whole body vibration with low back pain.</em><br><em><strong>Method</strong>: Using cross-sectional method for 27 online ojek driver in Jakarta. Respondent filled the Nordic Musculoskeletal Questionnaire (NMQ). Vibration from the motorcycle measured with smartphone application. Data analysis using Fisher Exact test.</em><br><em><strong>Result</strong>: There are seven respondent with LBP and vibration exceeding ELV, four respondent with LBP and vibration not exceeding ELV, four respondent without LBP and vibration not exceeding ELV and 12 respondent without LBP and vibration not exceeding ELV.</em><br><em><strong>Conclusion</strong>: There is correlation between whole body vibration and low back pain.</em></p> <p>&nbsp;</p> Tena Djuartina, Anthony Yauwono, Robi Irawan, Andreas Steven Copyright (c) 2020 Journal Of The Indonesian Medical Association Fri, 06 Nov 2020 11:26:23 +0700 Vaccine for SARS-CoV-2: A Review <p><em>The pandemic of Systemic Acute Respiratory Syndrome-coronavirus-2 (SARS-CoV-2) could not be stopped until mid-June 2020. The difficulty in finding a panacea for this disease made the vaccine very valuable. At present there are more than 100 vaccine candidates worldwide, with at least 10 have begun undergoing clinical trials in humans. The vaccine at its farthest stage is from the University of Oxford, which has entered phase 3. There are multiple approaches in vaccine research, and some methods have never been used before. Some of the vaccines in the study were originally intended for the previous SARS-CoV and Middle East Respiratory Syndrome-coronavirus (MERS-CoV). The main target in general is the protein spike S. Several obstacles need to be considered, such as the absence of a vaccine for the corona virus, the antibody-dependent enhancement (ADE) mechanism, and the possibility of immunopotentiation. In Indonesia there are 4 teams with vaccine research, and 3 other companies that work with international institutions abroad to directly enter the clinical trial phase 2 or 3. After the vaccine has been found, it is necessary to guarantee equality in gaining access among various countries.</em></p> <p>&nbsp;</p> Dominicus Husada Copyright (c) 2020 Journal Of The Indonesian Medical Association Fri, 06 Nov 2020 00:00:00 +0700