Lombok Medical Journal
type: channel
description: Lombok Medical Journal
publisher: Faculty of Medicine, Universitas Mataram
language: id
publication name: Lombok Medical Journal
issn: 2827-7686
items: Paradoxical Reactions in Tuberculous Meningitis : Clinical Insight and Management, a Literature Review
items: Analisis Faktor yang Berhubungan dengan Kejadian Seksio Sesarea Berulang di Rumah Sakit Umum Daerah Kota Kendari Periode 2023-2024
items: Oral Cancer and Reconstruction: A Serial Case Report
items: Diagnosis dan Tatalaksana Postherpetic Neuralgia
items: Mengenal Human Metha Pneumo Virus (HMPV) yang merebak di beberapa Negara
items: Klasifikasi dan Faktor Risiko Ruptur Aneurisma Intrakranial; Sebuah Tinjauan Pustaka
items: Analisis Kelayakan Integrasi Otopsi Virtual dalam Sistem Visum et Repertum di Indonesia: Perspektif Medis, Yuridis, dan Teknologis
items: Additionally, the Author Examines the Management, Prognosis, and Complications Associated with RBBB.
items: A Case Report Disfonia et causa Nodul Vocal Cords Bilateral
items: Analisis Faktor yang Berhubungan dengan Cara Persalinan pada Ibu Hamil Usia Dini
items: A Relationship Between Attitudes, Behaviors, and Knowledge of Preconception Nutrition Among Women Reproductive Age
items: A Description 0f the Level of Satisfaction of Family Planning (KB) Acceptors with Long-Term Contraceptive Method Services (MKJP))
items: Stroke Kardioemboli dan Faktor Risiko Atrial Fibrilasi ; Sebuah Tinjauan Pustaka
items: Manifestasi Kelainan Kulit dan Penyakit Menular Seksual Pada Pasien HIV/AIDS di Poli VCT RSUD Provinsi NTB Periode Januari 2023 – Juni 2024
items: Spesies Merkuri dan Manifestasi Klinis yang Ditimbulkannya di Daerah Pesisir yang Terdampak Pertambangan Emas Skala Kecil
items: Tinjauan Pustaka Epilepsi: Prevalensi, Faktor Risiko, dan Komplikasi
items: Hubungan antara Angka Kejadian Acute Kidney Injury dengan Infeksi Saluran Kemih di RSUD Provinsi NTB
items: Pulmonary Tuberculosis with Pneumonia, Pneumoconiosis, and Drug Induced Liver Injury (DILI)
items: Hyperthyroid Status with Glycemic Control in Patients with type 2 Diabetes Mellitus at Peripheral Hospital
items: Peran Insulin-like Growth Factor-1 (IGF-1) terhadap Penyakit Kardiovaskular
items: Kedaruratan Kesehatan Masyarakat akibat Cacar Monyet (Mpox)
items: Identifikasi Faktor Risiko Perforasi Gaster Pada Pasien Usia 18-33 Tahun di Rumah Sakit Umum Daerah Kabupaten Sumbawa Periode Tahun 2020
items: Perjalanan Udara pada Pasien Penyakit Paru ObstruktifF Kronik
items: A Gambaran Kadar Asam Urat pada Pasien Hemodialisis rutin di RSUD Provinsi NTB
items: Potensi Senyawa Bioaktif Xyloketal B dan Asperlin dalam Menghambat Proses Aterosklerosis pada Penyakit Jantung Koroner
items: Tenosynovial Giant Cell Tumor pada Wanita Usia 32 Tahun : Sebuah Laporan Kasus
items: Patofisiologi Ensefalitis pada Rabies
items: Visual Impairment in High Flow Carotid-Cavernous Fistula: Case Report
items: Tata Laksana Diabetes Melitus Tipe 1 dengan Ketoasidos Diabetik pada Anak 7 Tahun dengan Sindrom Down dan Gizi Buruk di Rumah Sakit dengan Layanan Terbatas: Case Report
items: Faktor Predisposisi Stigma dan Diskriminasi serta Upaya Peningkatan Kualitas Hidup Pasien terdiagnosis HIV/AIDS

Paradoxical Reactions in Tuberculous Meningitis : Clinical Insight and Management, a Literature Review
type: item
description: Tuberculous meningitis (TBM) is a type of TB with the most severe clinical symptoms of extrapulmonary tuberculosis, with high mortality and neurological morbidity rates. Paradoxical reactions are clinical symptoms characterized by the worsening of existing tuberculosis lesions or the emergence of new lesions despite receiving appropriate antituberculosis therapy (ATT), often leading to diagnostic confusion and management challenges for patients. This study aims to explain the definition, epidemiology, mechanism, clinical manifestations, diagnosis, and management of PR in TBM, based on various literature reviews. The main findings show that PR is triggered by complex immune mechanisms, often involving an excessive inflammatory response to mycobacterial antigens and known as Immune Reconstitution Inflammatory Syndrome (IRIS) in HIV patients. PR presents with varying clinical symptoms, including fever, headache, impaired consciousness, as well as hydrocephalus and tuberculoma on radiological examination. Therefore, clear clinical guidelines are needed to optimize the diagnosis and management of PR in TBM. Keywords: Tuberculous meningitis, paradoxical reaction, IRIS
subject: Articles
  topic: section
subject: Tuberculous meningitis
  topic: keywords
subject: paradoxical reaction
  topic: keywords
subject: IRIS
  topic: keywords
creator: Heni Haryani Heni
creator: Andriyani Andriyani
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-10-02
publication date: 2025-10-02
starting page: 122
ending page: 128
doi: 10.29303/lmj.v4i3.591

Analisis Faktor yang Berhubungan dengan Kejadian Seksio Sesarea Berulang di Rumah Sakit Umum Daerah Kota Kendari Periode 2023-2024
type: item
description: Cesarean section (CS) deliveries have increased globally to 30% and reached 25.9% in Indonesia. Kendari City Regional Hospital shows a higher rate of 37.5%, exceeding the WHO recommendation of 30%. This increase is associated with rising risks of morbidity and mortality in both mothers and babies. One of the main contributors is repeat cesarean sections, which account for more than one-third of all cesarean deliveries globally. Repeat cesarean sections carry higher risks of intraoperative complications and uterine rupture, making this group a high-risk category that requires special attention in efforts to reduce maternal and perinatal morbidity and mortality rates. Method. This was an analytical observational study using a cross-sectional design based on medical record data. The study population included all mothers who delivered via cesarean section at the Regional General Hospital of Kendari during 2023–2024. A total of 245 samples were selected using purposive sampling. Data were analyzed using the chi-square test, with a significance level set at > 0.05. Results. The study found 148 cases (60.4%) were repeat cesarean sections and 97 cases (39.6%) were primary cesarean sections. The analysis showed significant associations between maternal age (p=0.000) and PROM (p=0.000) with repeat CS. There was no significant association between cervical dilatation (p=0.172) and repeat CS. Conclusion. This study demonstrates significant associations between maternal age and premature rupture of membranes with the incidence of repeat cesarean section at Kendari General Hospital during 2023–2024.
subject: Articles
  topic: section
subject: maternal age
  topic: keywords
subject: cervical dilatation
  topic: keywords
subject: premature rupture of membrane
  topic: keywords
subject: repeat cesarean section
  topic: keywords
creator: Wa Ode Nurhiqmah Basri Wa Ode Nurhiqmah Basri
creator: Juminten Saimin
creator: Livy Leonard Lieswan
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-10-02
publication date: 2025-10-02
starting page: 104
ending page: 108
doi: 10.29303/lmj.v4i3.7920

Oral Cancer and Reconstruction: A Serial Case Report
type: item
description: Introduction : The head and neck cancer are sixth most common cancers worldwide with cancer of oral cavity. The basic treatment modality for the carcinoma of oral cavity has been surgery and the large defects resulting from the ablation of the tumors require reconstruction. Reconstruction after wide excision of oral cancer challenge in itself, because it requires an appropriate method of reconstruction, in accordance with oncology rules and while maintaining the function . In this case serial, several methods of reconstruction from oral cancer are discussed. Case Report : We report 3 cases of patients female aged 48-71 years with complaints of lumps on the tongue. Patients with risk factors poor oral hygiene. On physical examination, cervical lymph node enlargement was found at levels I-IV. All patients underwent a CT scan of the head and neck. On histopathological examination, squamous cell carcinoma was found, the stage of oral cancer in this case series was stage I-III. The surgery was performed with a combined mandibular and neck dissection operation (Commando) with LD flap, and SCM flap. The patient is then treated in the intensive care unit for 1-2 days, then treated in the usual room and discharged on the 5-7th day of treatment without complications Discussion : Although there is increasing use of microvascular free flap in this era, however, conventional flap like LD and SCM still remains very reliable and versatile myocutaneous flap for primary as well as secondary reconstruction, In head and neck reconstruction, LD and SCM flap is used extensively due to its proven reliability and multipurpose nature . The main advantage of LD and SCM flap is that it can be used in a very wide range of defects in the head and neck region including the maxilla, neck as well as tempero-orbital area. Like the other myocutaneous flap, LD and SCM is harvested by single stage reconstructive procedure and does not require any flap delay or release. The morbidity of the donor site…
subject: Articles
  topic: section
subject: Head and neck cancer
  topic: keywords
subject: head and neck reconstruction
  topic: keywords
subject: oral cancer
  topic: keywords
creator: Lalu Fahril Ilham
creator: Made Agus Suanjaya
creator: Lalu Fauzan Adi Yuliansyah
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-10-02
publication date: 2025-10-02
starting page: 117
ending page: 120
doi: 10.29303/lmj.v4i3.7894

Diagnosis dan Tatalaksana Postherpetic Neuralgia
type: item
description: Postherpetic Neuralgia (PHN) is a chronic pain condition that occurs after the resolution of Herpes zoster, significantly affecting patients’ quality of life. PHN is characterized by spontaneous pain, hyperalgesia, allodynia, and paresthesia. Major risk factors include advanced age, severity of rash, and ophthalmic involvement. The pathophysiology involves reactivation of the varicella-zoster virus (VZV), leading to nerve inflammation and peripheral sensitization. Management of PHN includes analgesics, antiepileptic drugs (pregabalin, gabapentin), antidepressants, and topical therapies such as capsaicin and lidocaine. Prevention can be achieved through zoster vaccination. Combination therapy is often required to optimize treatment outcomes in PHN.
subject: Articles
  topic: section
subject: Postherpetic
  topic: keywords
subject: Neuralgia
  topic: keywords
subject: Herpes zoster
  topic: keywords
subject: Chronic Pain
  topic: keywords
subject: Treatmen
  topic: keywords
subject: Vaccination
  topic: keywords
creator: Ali Ramzi
creator: Fatimah Firza
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-10-02
publication date: 2025-10-02
starting page: 97
ending page: 103
doi: 10.29303/lmj.v4i3.7505

Mengenal Human Metha Pneumo Virus (HMPV) yang merebak di beberapa Negara
type: item
description: Abstract Human Meta Pneumo Virus (HMPV) is a single strain virus identifies as a cause of upper airway infection. Recently, several new cases reported in some countries, including Indonesia. After the virus infected the epithelial cell, it will replicated exponentially and spreading to adjacent cells. As a result, it will break the tissue and lead to inflammation. In patient with immunocompromised, HMPV infection will continued to pneumonia and other serious complication. Therefore, it is necessary to inform this virus characteristics to the health care professionals to allow them can tackle the disease accurately. Finally, it could limiting the potency of the occurrence of epidemic in population.
subject: Articles
  topic: section
subject: HMPV
  topic: keywords
subject: upper airway infection
  topic: keywords
subject: epidemy
  topic: keywords
creator: Hamsu Kadriyan
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-05-31
publication date: 2025-05-31
starting page: 75
ending page: 77
doi: 10.29303/lmj.v4i2.6838

Klasifikasi dan Faktor Risiko Ruptur Aneurisma Intrakranial; Sebuah Tinjauan Pustaka
type: item
description: Abstract: Intracranial aneurysms are cerebrovascular abnormalities resulting from structural weakness in the arterial wall, which may rupture and lead to aneurysmal subarachnoid hemorrhage (aSAH), a condition associated with high morbidity and mortality rates. The formation of aneurysms is a multifactorial process that culminates in degenerative changes within the vessel wall. Aneurysms are classified based on morphology (saccular, fusiform, dissecting), size (ranging from small to giant), and anatomical location. The mechanism underlying aneurysm rupture can be explained by the concept of wall shear stress (WSS) in cerebral vessels. Other critical risk factors for aneurysm rupture include aneurysm size and location. A thorough understanding of the classification and risk factors for aneurysm rupture is essential to improve preventive management strategies in clinical practice.
subject: Articles
  topic: section
subject: intracranial aneurysm
  topic: keywords
subject: rupture
  topic: keywords
subject: aSAH
  topic: keywords
subject: risk factors
  topic: keywords
subject: rebleeding
  topic: keywords
subject: pathophysiology
  topic: keywords
creator: Baiq Holisatul Ismiana
creator: Setyawati Asih Putri
creator: Raditya Rachman Landapa
creator: Lusye Diana Jacob
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-10-02
publication date: 2025-10-02
starting page: 109
ending page: 116
doi: 10.29303/lmj.v4i3.7014

Analisis Kelayakan Integrasi Otopsi Virtual dalam Sistem Visum et Repertum di Indonesia: Perspektif Medis, Yuridis, dan Teknologis
type: item
description: Otopsi virtual (virtopsi) menawarkan alternatif non-invasif untuk otopsi konvensional dengan memanfaatkan teknik pencitraan radiologi. Integrasinya ke dalam sistem visum et repertum Indonesia, yang berfungsi sebagai kerangka pelaporan mediko-hukum utama, menjanjikan tetapi tertantang oleh keterbatasan hukum, pendidikan, dan infrastruktur. Makalah ini mengulas kelayakan dan prospektus penerapan virtopsi di Indonesia dari empat perspektif—medis, hukum, pendidikan, dan teknologi—yang didukung oleh studi kasus internasional. Penelitian ini mengkaji integrasi virtopsi ke dalam pendidikan kedokteran dan praktik forensik, menganalisis kelayakan, manfaat, dan kendalanya dalam konteks mediko-hukum Indonesia. Penulis berpendapat bahwa meskipun virtopsi, yang memanfaatkan teknik pencitraan canggih seperti CT dan MRI, menawarkan alternatif minimal invasif dan meningkatkan presisi diagnostik dan penerimaan budaya, reformasi regulasi, program pelatihan, dan investasi dalam infrastruktur pencitraan sangat penting untuk keberhasilan penerapannya.
subject: Articles
  topic: section
subject: virtual autopsy
  topic: keywords
subject: visum et repertum
  topic: keywords
subject: forensic medicine
  topic: keywords
subject: medico-legal imaging
  topic: keywords
subject: indonesia
  topic: keywords
creator: Danesh Hadyljinan Utomo
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-10-02
publication date: 2025-10-02
starting page: 129
ending page: 134
doi: 10.29303/lmj.v4i3.6997

Additionally, the Author Examines the Management, Prognosis, and Complications Associated with RBBB.
type: item
description: Right Bundle Branch Block (RBBB) is an abnormality in the physiological electrical conduction system of the heart, resulting from a blockade of the right bundle branch. The global incidence of RBBB is estimated to be approximately 0.8% annually. Typically, RBBB is considered a mild finding that does not increase the risk in otherwise healthy individuals without structural heart disease. However, RBBB may also be indicative of myocardial disease and has been identified as a predictor of mortality in certain populations. This literature review aims to summarize the pathophysiology and clinical approach to RBBB, with a particular focus on echocardiography (ECG) examinations, based on literature sourced from PubMed, Google Scholar, and additional manual searches conducted between 2016 and 2021. Additionally, the author examines the management, prognosis, and complications associated with RBBB.
subject: Articles
  topic: section
subject: Right Bundle Branch Block
  topic: keywords
subject: pathophysiology
  topic: keywords
subject: diagnosis
  topic: keywords
subject: clinical approach
  topic: keywords
creator: Lalu Fahril Ilham
creator: Pendy Wastu Haribowo
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-05-31
publication date: 2025-05-31
starting page: 70
ending page: 74
doi: 10.29303/lmj.v4i2.6636

A Case Report Disfonia et causa Nodul Vocal Cords Bilateral
type: item
description: Dysphonia is a commonly used term for any voice disorder resulting from abnormalities in the organs of phonation, especially the larynx, whether organic or functional. Vocal cord nodules or often known as “singer's nodes”, “screamer's nodes” or “teacher's nodes” are one of the most common causes of dysphonia in children. It is known that vocal cord nodules are a condition where there is swelling of the bilateral vocal cords of varying sizes, which can generally be found in the center of the vocal cord membrane. These nodules are characterized by epithelial thickening with different levels of inflammatory reaction in the superficial layer of the lamina propia. In this case report will discusses abouta 49-year-old woman who came to the ENT clinic of the NTB Provincial Hospital with a chief complaint of hoarseness. Furthermore, from the anamnesis, physical examination and supporting examination, the patient was diagnosed with dysphonia ec bilateral vocal cord nodules.
subject: Articles
  topic: section
subject: Dysphonia
  topic: keywords
subject: Nodule
  topic: keywords
subject: Vocal cords
  topic: keywords
subject: Hoarseness
  topic: keywords
creator: Siti Jaisy Millah Hadaina
creator: Dita Mutia
creator: Nafatasya Ayu Rahmansyah
creator: Latifa Intan Rahma
creator: Haldy Dwi Febrian
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-05-31
publication date: 2025-05-31
starting page: 65
ending page: 69
doi: 10.29303/lmj.v4i2.6350

Analisis Faktor yang Berhubungan dengan Cara Persalinan pada Ibu Hamil Usia Dini
type: item
description: Abstract: Adolescent pregnancy refers to pregnancy occurring in girls under the age of 20. This condition poses unique challenges due to the incomplete physical and psychological maturity of the adolescent. Determining the appropriate mode of delivery requires consideration of various factors, including maternal and fetal health, as well as patient preferences. This study aims to identify the factors influencing the mode of delivery among adolescent pregnancies. This research employed an observational analytic with a cross-sectional design. The study population included all adolescent pregnant individuals who delivered at RSAD dr. R. Ismoyo Kendari from 2022 to 2024. A total of 68 cases were examined using total sampling. Data collection was conducted through medical record reviews, and analysis was performed using Fisher’s Exact Test. The analysis revealed significant associations between age (p 0.015) and education level (p 0.028) with the mode of delivery among adolescent pregnancies. In contrast, place of residence (p 1.000) and occupation (p 1.000) showed no significant relationship with the mode of delivery. Age and education level are significant factors influencing the mode of delivery in adolescent pregnancies. However, place of residence and occupation do not appear to have a significant impact on the mode of delivery. Keywords: Adolescent, Mode of Delivery, Educational Level, Occupation, Place of Residence. Abstrak: Kehamilan usia dini merupakan kehamilan yang terjadi pada remaja putri berusia < 20 tahun. Kehamilan pada usia < 20 tahun dapat menimbulkan masalah, karena kondisi fisik dan psikis yang belum sepenuhnya berkembang. Setiap cara persalinan memiliki kelebihan, risiko, indikasi dan keputusan tentang cara yang akan digunakan biasanya bergantung pada kondisi medis ibu dan bayi serta preferensi pribadi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan cara persalinan pada ibu hamil usia dini. Penelitian ini menggunakan …
subject: Articles
  topic: section
subject: Adolescent
  topic: keywords
subject: Mode of Delivery
  topic: keywords
subject: Educational Level
  topic: keywords
subject: Occupation
  topic: keywords
subject: Place of Residence
  topic: keywords
creator: Arum Putri Ardiyan Hamzah
creator: Juminten Saimin
creator: Lianawati
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-01-31
publication date: 2025-01-31
starting page: 38
ending page: 44
doi: 10.29303/lmj.v4i1.6218

A Relationship Between Attitudes, Behaviors, and Knowledge of Preconception Nutrition Among Women Reproductive Age
type: item
description: Background. According to data from the Indonesian Ministry of Health in 2018, a significant proportion of women of reproductive age (15–24 years) in Indonesia experience nutritional deficiencies, particularly Chronic Energy Deficiency (CED), with prevalence rates of 36.3% among non-pregnant women and 33.5% among pregnant women. These findings highlight that non-pregnant women are at a higher risk of CED. This study aims to examine the relationship between attitudes and behaviors of women of reproductive age and their knowledge of preconception nutrition in Anduonohu Village. Method. This observational analytic study utilized a cross-sectional design and was conducted in Anduonohu Village. A total of 97 respondents were recruited using purposive sampling. The dependent variable in this study was knowledge of preconception nutrition, while the independent variables were attitudes and behaviors. Data were analyzed using chi-square tests and logistic regression, with a significance level set at p<0.05. Results.Bivariate analysis demonstrated a significant relationship between attitudes and knowledge of preconception nutrition (p=0.000) as well as between behaviors and knowledge of preconception nutrition (p=0.030). Multivariate analysis further confirmed a significant association between attitudes and behaviors of women of reproductive age and their knowledge of preconception nutrition (p=0.000). Conclusion. There is a significant relationship between the attitudes and behaviors of women of reproductive age and their knowledge of preconception nutrition in Anduonohu Village. Keywords: women of reproductive age, attitude, behavior, knowledge, preconception nutrition Latar Belakang. Berdasarkan data Kemenkes RI tahun 2018, di Indonesia masih banyak wanita usia subur usia 15-24 tahun yang mengalami masalah gizi seperti kekurangan energi kronis sebanyak 36,3% pada WUS tidak hamil dan 33,5% pada WUS hamil, dimana menurut data tersebut lebih banyak WUS yang tidak hamil mengal…
subject: Articles
  topic: section
subject: Women of reproductive age
  topic: keywords
subject: attiude
  topic: keywords
subject: behavior
  topic: keywords
subject: knowledge
  topic: keywords
subject: preconception nutrition
  topic: keywords
creator: Aria wati
creator: Juminten Saimin
creator: Nina Indriyani Nasruddin
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-05-31
publication date: 2025-05-31
starting page: 59
ending page: 64
doi: 10.29303/lmj.v4i2.6219

A Description 0f the Level of Satisfaction of Family Planning (KB) Acceptors with Long-Term Contraceptive Method Services (MKJP))
type: item
description: Abstract. The increasingly discussed contraceptive method is the long-term contraceptive method, which offers safety, effectiveness, and comfort. However, the implementation of family planning services is still not optimal, as can be seen from the low participation in the MKJP. The prevalence of MKJP usage according to SDKI baseline data in 2019 is 21.39% while the 2024 RPJMN target is 28.39%. The thing that affects participation in participating in family planning is the satisfaction of the acceptor with the services of health facilities. This study was conducted to find out the overview of the level of satisfaction of family planning acceptors with MKJP services. This study uses a type of quantitative descriptive research. The number of samples in this study was 56 respondents of Women of Childbearing Age (WUS), data collection was obtained using questionnaires distributed to WUS who received MKJP family planning services at the Poasia Health Center, the data obtained will be analyzed using SPSS version 24 in the form of a frequency distribution table. The study's findings included satisfaction levels in the "very satisfied" category for the reliability dimension (83.2%), Assurance dimension (85.4%), Tangibles dimension (86.9%), empathy dimension (85.5%), and responsiveness dimension (85%). Overall, mothers who received MKJP family planning services at the Poasia Health Center felt "very satisfied" (85.4%) with the services provided by paying attention to the five dimensions of service quality (Reliability, Assurance, Tangibles, Emphaty, Responsiveness). Keywords. Satisfaction Level, KB Acceptors, MKJP Abstrak. Metode kontrasepsi yang semakin banyak dibahas adalah metode kontrasepsi jangka panjang, yang menawarkan keamanan, efektivitas, dan kenyamanan. Namun, pelaksanaan pelayanan KB masih belum optimal, terlihat dari rendahnya partisipasi dalam MKJP. Prevalensi penggunaan MKJP menurut data baseline SDKI tahun 2019 sebesar 21,39% sedangkan target RPJMN tahun 2024 …
subject: Articles
  topic: section
subject: Tingkat Kepuasan
  topic: keywords
subject: Akseptor KB
  topic: keywords
subject: MKJP
  topic: keywords
creator: A. Amanda Maharani Assofi
creator: Juminten Saimin
creator: Andi Yulia
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-10-02
publication date: 2025-10-02
starting page: 90
ending page: 96
doi: 10.29303/lmj.v4i3.6217

Stroke Kardioemboli dan Faktor Risiko Atrial Fibrilasi ; Sebuah Tinjauan Pustaka
type: item
description: Abstract: Stroke merupakan manifestasi klinis akut akibat gangguan fungsi neurologis pada otak, medula spinalis, atau retina yang disebabkan oleh masalah pembuluh darah. Stroke iskemik, yang mencapai 80% dari semua kasus, sering dikaitkan dengan atrial fibrilasi (AF), suatu bentuk aritmia yang meningkatkan risiko stroke hingga lima kali lipat. AF menyebabkan stasis darah di atrium kiri, meningkatkan pembentukan trombus, yang dapat mengarah pada stroke emboli. Prevalensi AF meningkat dengan usia dan komorbiditas kardiovaskular, dan diperkirakan akan terus meningkat seiring bertambahnya usia harapan hidup. Diagnosis AF dilakukan dengan EKG, dan gejala stroke kardioemboli sering meliputi defisit neurologis mendadak. Pencegahan stroke pada pasien AF melibatkan pemberian antikoagulan berdasarkan stratifikasi risiko menggunakan skor CHA2DS2-VASc dan HAS-BLED. Penggunaan antikoagulan oral direkomendasikan untuk mengurangi risiko stroke pada pasien AF, namun dengan pengawasan untuk menghindari perdarahan.
subject: Articles
  topic: section
subject: Ischemic stroke
  topic: keywords
subject: Atrial fibrillation
  topic: keywords
subject: Cardioembolic
  topic: keywords
subject: Stroke prevention
  topic: keywords
subject: Anticoagulants
  topic: keywords
creator: Baiq Holisatul Ismiana
creator: Diayanti Tenti Lestari
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-05-31
publication date: 2025-05-31
starting page: 85
ending page: 89
doi: 10.29303/lmj.v4i2.6108

Manifestasi Kelainan Kulit dan Penyakit Menular Seksual Pada Pasien HIV/AIDS di Poli VCT RSUD Provinsi NTB Periode Januari 2023 – Juni 2024
type: item
description: Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) merupakan masalah besar yang mengancam penduduk di seluruh dunia. Sejak pertama kali di temukan di Indonesia pada tahun 1987 penyakit menular ini terus meningkat dengan jumlah kumulatif sampai dengan tahun 2022 sebanyak 1,3 juta kasus baru HIV dilaporkan di seluruh dunia dan terdapat 39.9 juta orang yang mengidap AIDS pada tahun 2023. Penularan HIV terjadi dalam berbagai cara, baik melalui hubungan seksual, penggunaan jarum suntik yang sama secara bergilir pada pengguna narkotika, transfusi komponen darah, hingga penularan dari ibu yang positif HIV kepada bayi yang dilahirkannya. Penelitian ini bertujuan untuk mengevaluasi manifestasi kelainan kulit dan penyakit menular seksual pada pasien HIV/AIDS di poli VCT RSUD Provinsi NTB selama periode Januari 2023 – Juni 2024. Penelitian deskriptif retrospektif ini menggunakan data rekam medis dari 321 pasien HIV/AIDS. Hasil menunjukkan bahwa kelompok umur 24-44 tahun (61,9%) dan jenis kelamin laki-laki (74,5%) mendominasi kasus HIV/AIDS. Kandidiasis oral menjadi kelainan kulit terbanyak (26,8%), diikuti oleh dermatitis (3,4%). Pada penyakit menular seksual, sifilis (4%) dan kondiloma akuminata (1,9%) merupakan kasus terbanyak. Infeksi oportunistik yang dominan adalah tuberkulosis (19,9%). Pemeriksaan CD4 dilakukan oleh 32,7% pasien, dengan sebagian besar memiliki CD4 <100 sel/µL. Penelitian ini menggarisbawahi tingginya prevalensi kelainan kulit dan penyakit menular seksual pada pasien HIV/AIDS, menunjukkan perlunya deteksi dini dan tata laksana komprehensif untuk meningkatkan kualitas hidup pasien. Keywords: HIV/AIDS, kelainan kulit, penyakit menular seksual, kandidiasis oral, sifilis
subject: Articles
  topic: section
subject: HIV/AIDS
  topic: keywords
subject: kelainan kulit
  topic: keywords
subject: penyakit menular seksual
  topic: keywords
subject: sifilis
  topic: keywords
creator: I Wayan Hendrawan
creator: I Gusti Agung Ayu Ratna Medikawati
creator: Ayundha Rizky Lestary
creator: Nabila Indah Shofiyanti
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-05-31
publication date: 2025-05-31
starting page: 78
ending page: 84
doi: 10.29303/lmj.v4i2.6016

Spesies Merkuri dan Manifestasi Klinis yang Ditimbulkannya di Daerah Pesisir yang Terdampak Pertambangan Emas Skala Kecil
type: item
description: Gold mining that uses mercury in coastal areas exposes various mercury species to the environment and humans living in contaminated areas. The mercury species that reach the population in these areas include elemental mercury, inorganic mercury, and organic mercury. The mercury cycle from gold mining begins with the release of elemental and inorganic mercury into the sea. The bioaccumulation and biomagnification of organic mercury in the ocean will expose coastal populations to methylmercury. The exposure routes of mercury to humans from these different mercury species vary, including through the skin, respiratory system, and digestive system. Organ damage and clinical symptoms that appear depend on the affinity of the mercury species for specific organs. Symptoms of intoxication can range from central nervous system dysfunction, kidney damage, and a spectrum of disorders in other organs.
subject: Articles
  topic: section
subject: Small-scale gold mining
  topic: keywords
subject: coastal areas
  topic: keywords
subject: mercury species
  topic: keywords
subject: exposure routes
  topic: keywords
subject: intoxication
  topic: keywords
creator: Muhammad Abdurrosyid
creator: Ardiana Ekawanti
creator: Rahmah Dara Ayunda
creator: Triana Dyah Cahyawati
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-01-31
publication date: 2025-01-31
starting page: 31
ending page: 37
doi: 10.29303/lmj.v4i1.5838

Tinjauan Pustaka Epilepsi: Prevalensi, Faktor Risiko, dan Komplikasi
type: item
description: Epilepsy is one of the neurological diseases with increasing prevalence worldwide. Due to various factors, distribution of epilepsy is often observed to be higher in men, in children and the elderly, and in low-middle income countries. As a disease with heterogeneous etiology, the incidence of epilepsy is influenced by several risk factors that collaborate in the pathophysiological pathway of the disease. Head trauma, birth defects, central nervous system infections, and neurodegenerative diseases are associated with the incidence of epilepsy. With many obstacles to epilepsy management, the disease remains one of the causes of high mortality related to neurological diseases, especially in uncontrolled epilepsy conditions in patients who do not receive adequate treatment. This literature review aims to summarize the distribution of epilepsy cases from various countries in the world, including the associated risk factors reported in the period 2010-2024 using manual searching on PubMed and Google Scholar. Furthermore, the author discusses complications and prognostic factors in patients to emphasize the importance of comprehensive treatment to achieve remission and prevent relapse in patients.
subject: Articles
  topic: section
subject: epilepsy
  topic: keywords
subject: complication
  topic: keywords
subject: prevalence
  topic: keywords
subject: prognostic
  topic: keywords
subject: risk factor
  topic: keywords
creator: Ni Wayan Puspa Wijaya Suryantarini
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-01-31
publication date: 2025-01-31
starting page: 16
ending page: 30
doi: 10.29303/lmj.v4i1.5817

Hubungan antara Angka Kejadian Acute Kidney Injury dengan Infeksi Saluran Kemih di RSUD Provinsi NTB
type: item
description: Acute Kidney Injury (AKI) is a global health problem with high morbidity and mortality rates. The prevalence of AKI in hospitalized patients ranges from 2% to 5% increasing to 67% in intensive care units (ICU). A sudden decrease in kidney function characterizes acute kidney injury and is usually reversible, risk factors include pre-existing kidney disease, such as chronic kidney disease (CKD), and sepsis. The causes of AKI can be categorized into three groups: prerenal, which is caused by reduced blood flow to the kidneys; renal, associated with glomerular or tubular damage; and postrenal, which results from obstruction that disrupts the kidney's filtration system. Uncomplicated urinary tract infections (UTIs) are bacterial infections of the bladder and related structures, which occur frequently, especially in women. UTI can progress to sepsis. A systemic inflammatory response that can cause multi-organ dysfunction or failure, including AKI. Approximately 25% of sepsis cases originate from urogenital tract infections.
subject: Articles
  topic: section
subject: Urinary tract infection
  topic: keywords
subject: Acute Kidney Injury
  topic: keywords
subject: Incidence rate
  topic: keywords
creator: AGUNG JAYADI
creator: Pandu Ishaq Nandana
creator: Maz Isa Ansyori Arsatt
creator: Indah Sapta Wardani
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-01-31
publication date: 2025-01-31
starting page: 6
ending page: 15
doi: 10.29303/lmj.v4i1.5626

Pulmonary Tuberculosis with Pneumonia, Pneumoconiosis, and Drug Induced Liver Injury (DILI)
type: item
description: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. According to the World Health Organization (WHO), TB is one of the top 10 causes of death in the world. TB is divided into pulmonary TB and extrapulmonary TB. Extra-pulmonary TB is defined as TB involving organs other than the lungs (pleura, lymph nodes, abdomen, skin, joints, bones, and other organs). There were 10.4 million cases of TB globally in 2017, and it is estimated that there will be 845.000 new cases of pulmonary TB in Indonesia in 2019. In 2018 approximately seven million new and relapsed TB cases were reported worldwide. The death rate due to TB may reach 1.5 million cases. TB patients can develop several complications before, during or after treatment, including coughing up blood, pneumothorax, respiratory failure, and heart failure. TB patients may have several comorbidities, including pneumonia, pneumoconiosis, and drug induced liver injury (DILI).
subject: Articles
  topic: section
subject: Tuberculosis
  topic: keywords
subject: pneumonia
  topic: keywords
subject: pneumoconiosis
  topic: keywords
subject: pulmonary mycosis
  topic: keywords
subject: drug induced liver injury (DILI)
  topic: keywords
creator: Ni Kadek Mega Suryantini
creator: Gemilang Khusnurrokhman
creator: Salim Said Thalib
creator: Suryani Padua Fatrullah
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-05-31
publication date: 2025-05-31
starting page: 53
ending page: 58
doi: 10.29303/lmj.v4i2.5564

Hyperthyroid Status with Glycemic Control in Patients with type 2 Diabetes Mellitus at Peripheral Hospital
type: item
description: By 2030, it is estimated that the number of patients with type 2 diabetes mellitus (T2DM) in Indonesia will increase from 8.4 million to 21.3 million. Thyroid dysfunction (TD) has an impact on the glycemic control of patients with T2DM. This case report explores a case of a T2DM patient, with hyperthyroidism and glycemic control in a peripheral hospital, including Pre Hospital, Intra Hospital, and Post Hospital status. In this case, a 25-year-old woman presented with typical thyroid symptoms accompanied by a significant increase in blood glucose, the patient was carried out strict glycemic control in the ward, although no treatment was carried out in the intensive care unit (ICU) due to limited facilities, but on the fourth day of treatment the patient's clinical condition improved and blood glucose level was controlled. In our report, in pre-, intra, and post-hospital, type 2 DM patients with hyperthyroid status, following glycemic control before, during, and after hospitalization, we found that routine blood glucose levels monitoring had a positive impact on the patient's clinical condition in these 3 time periods. Therefore, it is essential to screen for TD in T2DM patients as each of the high cardiovascular risks in patients with diabetes mellitus and thyroid.
subject: Articles
  topic: section
subject: hyperthyroidism
  topic: keywords
subject: Diabetes Mellitus Tipe 2
  topic: keywords
subject: Diabetes Melitus
  topic: keywords
creator: Jolanda Nahak
creator: Julency
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-01-31
publication date: 2025-01-31
starting page: 45
ending page: 52
doi: 10.29303/lmj.v4i1.5413

Peran Insulin-like Growth Factor-1 (IGF-1) terhadap Penyakit Kardiovaskular
type: item
description: Insulin-like growth factor 1 (IGF-1) is a major regulator of somatic growth that mediates the effects of growth hormone (GH). IGF-1 receptors are expressed by three major cells involved in the pathogenesis of atherosclerosis, namely endothelial cells, macrophages, and smooth muscle cells. Recent in vivo studies have discussed the effects of IGF-1 on the pathogenesis of atherosclerosis. This paper will discuss the relationship and role of IGF-1 in heart and blood vessel disease.
subject: Articles
  topic: section
subject: IGF-1
  topic: keywords
subject: kardiovaskular
  topic: keywords
subject: ateroprotektif
  topic: keywords
subject: atherosklerosis
  topic: keywords
subject: stroke
  topic: keywords
creator: Fitrianisa Faradina Zubadi
creator: Herpan Harahap
creator: Legis Saputri
creator: Arina Windri Rivarti
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-09-30
publication date: 2024-09-30
starting page: 105
ending page: 109
doi: 10.29303/lmj.v3i3.5379

Kedaruratan Kesehatan Masyarakat akibat Cacar Monyet (Mpox)
type: item
description: With the declaration of a public health emergency concerning Mpox (monkeypox), vigilance and mitigation measures are necessary to prevent the adverse effects of this condition. In Indonesia, 88 new cases have been reported, primarily of the Clade II variant. However, new Mpox variants, such as Clade Ia and Ib, have also been identified. This situation requires careful attention and multidisciplinary management to achieve optimal outcomes.
subject: Articles
  topic: section
subject: Cacar Monyet
  topic: keywords
subject: darurat
  topic: keywords
subject: kesehatan masyarakat
  topic: keywords
subject: Mpox
  topic: keywords
creator: Hamsu Kadriyan
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-09-30
publication date: 2024-09-30
doi: 10.29303/lmj.v3i3.5315

Identifikasi Faktor Risiko Perforasi Gaster Pada Pasien Usia 18-33 Tahun di Rumah Sakit Umum Daerah Kabupaten Sumbawa Periode Tahun 2020
type: item
description: Gastric perforation is the leakage of stomach acid into the abdominal cavity which will cause peritonitis and is an emergency. The risk of mortality due to the disease is 10 times greater than other acute abdominal diseases. One of the efforts to prevent gastric perforation is to know the risk factors that can increase the possibility of this disease. This study uses a retrospective descriptive method. Samples were taken using the total sampling technique. The data used are secondary data using medical record data from patients diagnosed with gastric perforation with an age range of 18-33 years in the 2020 period at the Sumbawa Regency Regional General Hospital. A total of 13 people suffered from gastric perforation at the age of 18-33 years with an average age of respondents of 23 years. All respondents were of different genders (100%). A total of 12 people (92.3%) had a smoking habit and 8 people (61.5%) consumed alcohol. There was 1 person (7.6%) with a history of Gastroesophageal Reflux Disease (GERD) and 5 people (38.4%) suffered from peptic ulcers disease. 15.4% of respondents had a history of consuming Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and 92.3% with a history of consuming traditional herbal medicine containing Curcumae rhizoma, Zingiberis rhizoma, Zingeberis aromaticae, and caffeine. In this study, all respondents were male and the average age was 23 years in the age range of 18-33 years. Risk factors found in respondents were smoking habits, alcohol consumption, history of Gastroesophageal Reflux Disease (GERD) and peptic ulcers disease, consumption of NSAIDs and traditional herbal medicine containing Curcumae rhizoma, Zingiberis rhizoma, Zingeberis aromaticae, and caffeine which have relaxing side effects and become addictive after consuming them.
subject: Articles
  topic: section
subject: Gastric perforation
  topic: keywords
subject: Risk factor
  topic: keywords
creator: Lalu Fahril Ilham
creator: Lalu Fauzan Adi Yuliansyah
rights: Hak Cipta (c) 2025 Lombok Medical Journal
date: 2025-01-31
publication date: 2025-01-31
starting page: 1
ending page: 5
doi: 10.29303/lmj.v4i1.4899

Perjalanan Udara pada Pasien Penyakit Paru ObstruktifF Kronik
type: item
description: ABSTRAK Melalui perkembangan tatalaksana yang memadai bagi pasien PPOK seperti rehabilitasi, terapi oksigen jangka panjang, dukungan oksigen rawat jalan, dan ventilasi non-invasif membantu pasien menjadi lebih aktif secara fisik dan bergerak. Alih-alih hanya berdiam diri di rumah, sebagian besar pasien PPOK biasanya tetap melanjutkan kehidupan sehari-hari, seperti pergi keluar, berolahraga, dan tentu saja bepergian. Dalam beberapa tahun terakhir, perjalanan udara menjadi moda transportasi pilihan pertama karena cepat, praktis, dan semakin murah. Menurut data Bank Dunia, 3,696 miliar orang menggunakan perjalanan udara komersial di seluruh dunia pada tahun 2016. Sekitar 2 miliar penumpang pesawat udara melakukan perjalanan udara setiap tahunnya dan 18-44% nya merupakan pasien PPOK. Sementara itu, efek dari peningkatan ketinggian dapat mengakibatkan hipoksia. Individu yang sehat merespons hipoksia dengan meningkatkan ventilasi, menyeimbangkan perubahan hipobarik tanpa gejala apa pun. Ventilasi dapat ditingkatkan dengan meningkatkan volume tidal dan/atau meningkatkan laju pernapasan. Namun, meningkatkan volume tidal untuk mereka yang menderita PPOK, merupakan tugas yang sulit karena mereka sering mengalami hiperinflasi. Ketinggian dan perjalanan udara bagi pasien PPOK dapat memicu munculnya gejala klinis yang mengganggu selama perjalanan terutama bagi penderita PPOK sedang hingga berat. Metode/tes yang paling umum digunakan untuk evaluasi sebelum penerbangan yaitu saturasi oksigen dengan pulse oximetry, analisis gas darah arteri (AGD), tes fungsi paru (spirometri), tes jalan 6 menit (6 minutes walking test) dan Hypoxic Challenge Testing (HCT). Pengukuran saturasi oksigen merupakan test yang paling mudah dilakukan dan dapat menjadi acuan awal. Menurut literatur jika saturasi oksigen pada penderita PPOK berada di bawah 92% maka harus diresepkan terapi oksigen tambahan. Selain menggunakan pulse oximetry, tes lanjutan yang dapat digunakan untuk menilai kelaikan terbang pada…
subject: Articles
  topic: section
subject: Perjalanan Udara, Penerbangan, PPOK, Hypoxic Challenge Testing
  topic: keywords
creator: widiasari Komang Sri Rahayu Widiasari
creator: Muhammad Mirsa Nidzarsyah
creator: Mc. Syaiful Ghazi Yamani
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-09-30
publication date: 2024-09-30
starting page: 91
ending page: 98
doi: 10.29303/lmj.v3i3.4624

A Gambaran Kadar Asam Urat pada Pasien Hemodialisis rutin di RSUD Provinsi NTB
type: item
description: According to the United States Renal Data System, there were 124,411 patients with end-stage renal disease (ESRD) in 2015, and the number is estimated to increase by 20,000 cases per year. The decline in kidney function in ESRD patients leads to various clinical conditions, one of which is an increase in blood uric acid levels. Studies on patients who have not undergone hemodialysis (HD) found that 86.7% of patients experienced hyperuricemia, compared to 73.3% of patients who had already undergone HD. This study aims to describe the uric acid levels in ESRD patients undergoing HD at the NTB Provincial Hospital. This research used an analytical observational method with a cross-sectional study design based on secondary data (medical records) of ESRD patients undergoing HD at the NTB Provincial Hospital from January to August 2021. The sampling technique used was consecutive sampling. The data obtained were then analyzed using the Statistical Package for Social Sciences (SPSS). Among the 127 samples, the average uric acid level in HD patients was found to be 8.0 mg/dl, with 83 patients (65.4%) having hyperuricemia. More male patients (43 or 51.8%) had hyperuricemia compared to female patients (40 or 48.2%), and the highest incidence of hyperuricemia was found in patients aged 40-59 years, accounting for 67.5%. Bivariate chi-square analysis showed no significant association between uric acid levels and gender (p=0,590), age (p=0,152), duration of HD (p=0,730), or history of anti hyperuricemic treatment (p=0,613). This study concludes that the incidence of hyperuricemia in HD patients is high. Uric acid levels are not associated with age, gender, duration of hemodialysis, or history of anti-hyperuricemic treatment.
subject: Articles
  topic: section
subject: End-Stage Renal Disease
  topic: keywords
subject: Hemodialysis
  topic: keywords
subject: Uric Acid
  topic: keywords
creator: Ni Komang Miraditi Miraditi
creator: I Gede Yasa Asmara
creator: Raehanul Bahraen
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-09-30
publication date: 2024-09-30
starting page: 79
ending page: 83
doi: 10.29303/lmj.v3i3.3716

Potensi Senyawa Bioaktif Xyloketal B dan Asperlin dalam Menghambat Proses Aterosklerosis pada Penyakit Jantung Koroner
type: item
description: Penyakit jantung koroner merupakan salah satu penyakit kardiovaskular yang memiliki angka kecacatan dan kematian yang tinggi di dunia. Penyebab paling umum yang mendasari penyakit ini adalah tersumbatnya arteri koroner yang menyuplai darah ke jantung akibat adanya penumpukan plak atau yang sering dikenal sebagai aterosklerosis. Saat ini, pilihan terapi konvensional yang tersedia memiliki banyak efek samping yang parah, seperti salah satunya statin yang memiliki efek samping terhadap liver. Banyaknya efek samping yang ditimbulkan memberikan celah untuk ditemukannya obat baru salah satunya yang berasal dari bahan alam laut. Bahan alam laut memiliki fungsi sebagai reservoir dalam metabolit bioaktif baru dengan berbagai aktivitas farmakologis di dalamnya seperti xyloketal B dan asperlin. Ulasan ini merangkum pemahaman kami mengenai manfaat xyloketal B dan asperlin dalam proses aterosklerosis pada penyakit jantung koroner.
subject: Articles
  topic: section
subject: Penyakit jantung koroner
  topic: keywords
subject: aterosklerosis
  topic: keywords
subject: sumber daya laut
  topic: keywords
subject: xyloketal B
  topic: keywords
subject: asperlin
  topic: keywords
creator: Ananda Rizkia
creator: Andhito Rafid Chusaeri
creator: Legis Ocktaviana Saputri
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-01-30
publication date: 2024-01-30
starting page: 15
ending page: 20
doi: 10.29303/lmj.v3i1.3188

Tenosynovial Giant Cell Tumor pada Wanita Usia 32 Tahun : Sebuah Laporan Kasus
type: item
description: Tenosynovial giant cell tumors are a group of benign soft tissue tumors of synovial origin with characteristic histologic features. In general, based on the growth pattern, it can be divided into local and diffuse types, and based on the location of the growth, it can be divided into intra-articular and extra-articular. Local type tumors generally develop slowly, while diffuse type tumors develop more aggressively and often affect the patient's quality of life. Recent developments show that tenosynovial giant cell tumor is a clonal neoplastic tumor driven by overexpression of Colony Stimifying Factor 1 (CSF1) in the synovial area, thus forming a mass. In this case report, we report a case of localized tenosynovial giant cell tumor and recent developments regarding its pathogenesis.
subject: Articles
  topic: section
subject: Tenosynovial Giant Cell Tumor
  topic: keywords
subject: Colony-stimulating Factor
  topic: keywords
creator: Lalu Fahril Ilham
creator: Lalu Fauzan Adi Yuliansyah
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-09-30
publication date: 2024-09-30
starting page: 84
ending page: 86
doi: 10.29303/lmj.v3i3.3655

Patofisiologi Ensefalitis pada Rabies
type: item
description: Rabies, disebabkan oleh Rabies Lyssavirus, virus neurotropik yang menargetkan neuron dan menyebar sepanjang sel saraf, menghasilkan disfungsi neuronal. Virus ini menunjukkan neurotropisme dan neuro-invasivitas yang kuat, menyebabkan manifestasi neurologis yang parah. Penularan penyakit ini biasanya melalui gigitan hewan yang terinfeksi, memungkinkan virus masuk ke dalam tubuh dan bereplikasi sebelum mencapai otak atau medula spinalis. Rabies muncul dalam dua bentuk yang berbeda, yaitu ensefalitik dan paralitik, dengan rabies ensefalitik lebih umum dan ditandai dengan gejala klasik seperti hidrofobia dan aerofobia. Tanda-tanda awal dapat mencakup kesemutan pada anggota tubuh tanpa gangguan kognitif. Pemahaman terhadap patofisiologi serta interaksi antara virus Rabies dan host, antara lain mekanisme masuknya virus, replikasi, dan penyebaran dalam sistem saraf sangat penting untuk menjelaskan tentang proses perjalanan penyakit, termasuk perubahan perilaku yang terjadi. Pencegahan rabies melibatkan vaksinasi yang tepat waktu setelah paparan, sementara pengobatan pasca-infeksi yang adekuat hingga saat ini masih menjadi tantangan.
subject: Articles
  topic: section
subject: Ensefalitis
  topic: keywords
subject: Rabies
  topic: keywords
creator: Safat Wahyudi
creator: Raditya Rachman Landapa
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-05-27
publication date: 2024-05-27
starting page: 74
ending page: 78
doi: 10.29303/lmj.v3i2.4527

Visual Impairment in High Flow Carotid-Cavernous Fistula: Case Report
type: item
description: Carotid-cavernous fistula (CCF) is the most common abnormal connection between the carotid artery and the cavernous sinus. There are 2 types of CCF: direct and indirect. Direct CCF is a high-flow fistula that occurs due to a tear in the carotid artery, most often caused by penetrating or nonpenetrating head trauma. Visual disturbances can be one of the symptoms of CCF in post-traumatic patients. With proper diagnosis and management, the patient's condition can significantly improve. A 22-year-old man came with symptoms of bilateral chemosis and bilateral proptosis, which had developed progressively for 1 month. The patient had a history of a traffic accident 2 months before with mandibular trauma. The patient had undergone mandibular surgery, but at that time, no neurological symptoms had appeared. Physical examination revealed bilateral chemosis, bilateral proptosis, blurred vision and oftalmoplegi with diplopia. Magnetic Resonance Angiography (MRA) of the head showed features that led to a diagnosis of carotid-cavernous fistula. Cerebral angiography was performed and confirmed there was a high-flow carotid-cavernous fistula. Endovascular intervention was performed, and a decision was made to perform balloon embolization. Four months after the procedure, the patient's complaints improved, blurred vision decreased, and proptosis disappeared. Based on this case report, carotid-cavernous fistula can be used as a differential diagnosis for the cause of visual impairment in post-head trauma patients. Appropriate management can treat the patient's clinical symptoms
subject: Articles
  topic: section
subject: CCF
  topic: keywords
subject: Cerebral Angiography
  topic: keywords
subject: Embolization
  topic: keywords
creator: Setyawati Asih Putri
creator: I Gusti Lanang Krisna Wiracakra
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-05-27
publication date: 2024-05-27
starting page: 70
ending page: 73
doi: 10.29303/lmj.v3i2.4499

Tata Laksana Diabetes Melitus Tipe 1 dengan Ketoasidos Diabetik pada Anak 7 Tahun dengan Sindrom Down dan Gizi Buruk di Rumah Sakit dengan Layanan Terbatas: Case Report
type: item
description: The incidence of children with Type-1 Diabetes Mellitus (T1DM) is increasing both worldwide and in Indonesia. The Indonesian Pediatric Society (IPS) recorded 1120 pediatric patient with T1DM in 2018. Potential complication of type 1 DM is Diabetic ketoacidosis (DKA). Diabetic ketoasidosis is a terminal condition in metabolic abnormalities caused by severe insulin deficiency. Patients with Down syndrome (DS) have an increased risk of developing autoimmune diseases such as Type 1 Diabetes Mellitus (T1DM). This is a rare case of a Down Syndrom patient with a clinical profile of severe malnutrition, which can lead to serious complication.
subject: Articles
  topic: section
subject: type 1 diabetes mellitus
  topic: keywords
subject: ketoacidosis
  topic: keywords
subject: pediatric
  topic: keywords
subject: Down’s syndrome
  topic: keywords
subject: severe malnutrition
  topic: keywords
creator: Ida Ayu Padmita Utami
creator: William Cheng
creator: Ni Made Reditya Noviani
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-05-26
publication date: 2024-05-26
starting page: 55
ending page: 60
doi: 10.29303/lmj.v3i2.3695

Faktor Predisposisi Stigma dan Diskriminasi serta Upaya Peningkatan Kualitas Hidup Pasien terdiagnosis HIV/AIDS
type: item
description: HIV/AIDS menjadi salah satu kondisi yang menemui hambatan dalam upaya peningkatan kualitas hidup pasien yakni dengan masih berkembangnya stigma dan diskriminasi HIV/AIDS di kalangan masyarakat. Di samping progresi penyakit yang berdampak terhadap kesehatan fisik dan kehidupan sosial pasien, tekanan akibat stigma dan diskriminasi mengisolasi pasien dengan perasaan takut dan stres yang berlebihan. Masyarakat memiliki sejumlah karakteristik yang menjadi faktor predisposisi munculnya stigma dan diskriminasi tersebut. Peran menyeluruh sektor kehidupan dalam memerangi gejolak stigma dan diskriminasi akan sangat membantu mempercepat penyembuan pasien termasuk memberikan kehidupan yang lebih baik bagi pasien terdiagnosis HIV/AIDS. Dukungan masyarakat dapat berupa peningkatan kesadaran dan pengetahuan melalui sosialisasi, komunitas, dan kampanye terkait HIV/AIDS. Tinjauan pustaka ini merangkum sejumlah bentuk stigma dan diskriminasi yang kerap dihadapi pasien terdiagnosis HIV/AIDS, faktor-faktor di masyarakat yang berhubungan dengan hal tersebut, serta faktor dan upaya peningkatan kualitas hidup pasien melalui penghapusan stigma dan diskriminasi dengan dukungan dari pemerintah, pelayanan kesehatan, dan masyarakat umum.
subject: Articles
  topic: section
subject: HIV
  topic: keywords
subject: AIDS
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subject: stigma
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subject: discrimination
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subject: society
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creator: Ni Wayan Puspa Wijaya Suryantarini
rights: Hak Cipta (c) 2024 Lombok Medical Journal
date: 2024-05-27
publication date: 2024-05-27
starting page: 61
ending page: 69
doi: 10.29303/lmj.v3i2.3990