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Teikyo Medical Journal


Journal ID : TMJ-07-08-2021-10563
Total View : 473

Title : Effect of Knowledge and Attitude toward Sun Exposure Related Vitamin D to Lung Function

Abstract :

Indonesia is a country with a tropical climate with sun exposure throughout the season, because sunlight is the largest source of vitamin D. The risk of vitamin D deficiency can lead to respiratory problems. With good self-management, of course, adequate knowledge and attitudes are needed in overcoming various individual health problems. The purpose was to influence knowledge and attitudes towards sun exposure in meeting the need for vitamin D to improve lung function in healthy respondents without chronic respiratory disorders. The research will be conducted using a cross sectional design, in May-August 2019. The variables were knowledge and attitudes towards sun exposure related to the risk of vitamin D deficiency and lung function by forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Respondents used in this study were 168 respondents. Most of the respondents had good level of knowledge (97 of 168), and most of the respondents had good level of attitude (115 of 168). There was relationship between the level of knowledge (p=0.000) and attitude (p=0.000) toward sun exposure levels related to vitamin D and lung function. And there was relationship between the level of knowledge to attitude on sun exposure levels related to vitamin D (p=0.000). Therefore, knowledge and attitudes on sun exposure related to vitamin D were important concerns to maintain healthy lung function.

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Journal ID : TMJ-06-08-2021-10546
Total View : 453

Title : THE EFFECT OF ADJUVANT THERAPY WITH POLYHERBAL FORMULAS ON IMPROVING THE mMRC SCORE OF PATIENTS WITH MODERATE-GRADE SARS COV-2 PNEUMONIA

Abstract :

Natural Medicines with anti-inflammatory and anti-oxidant potentials act as adjuvant therapy to increase the effectiveness of standard COVID-19 treatment. The combination of Channa striata, Curcuma xanthorriza, and Moringa oleifera (Onoiwa Mx) administration can complement the treatment of COVID-19 as adjuvant therapy, especially for patients with mild and moderate pneumonia. Therefore, this study aims to assess the combined administration of Channa striata, Curcuma xanthoria, and Moringa Oliefera extracts as adjuvant therapy in standard COVID-19 treatment. The benefits and efficacy to improve the C reactive protein value, length of stay, and better scoring of the shortness scale were provided, and clinical observation was conducted with a prospective cohort study design. Furthermore, the subjects were patients with probable/positive PCR confirmation with moderate COVID-19 pneumonia after fulfilling the inclusion criteria. A total of 48 subjects were obtained and divided into control and treatment groups of 24 patients each. Three variables were analyzed bivariately, namely the LOS, MMRC, and CRP. The results showed that males (62.5%) had the most characteristic of the sample characteristics with an average age of 50.-54 years old, accompanied by symptoms of cough (91.7%), fever (77.1%), and shortness of breath ( 75%). Furthermore, the most common comorbid disease of the two groups was hypertension (47.9%). In conclusion, each fever symptom in the treatment group had a median of 3, which means, 50% recovered after experiencing fever symptoms for 3 days. Meanwhile, the control group had a median of 4, which means, 50% recovered after experiencing fever symptoms for 4 days. Shortness of breath and cough each had a median of 4, which means 50% recovered after 4 days of symptoms. Therefore, the improvement in fever is consistent with that of CRP value, which increases the lymphocyte in the treatment group

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Journal ID : TMJ-05-08-2021-10545
Total View : 483

Title : The impact of medical and social rehabilitation on the adaptation of the elderly to modern social and legal processes

Abstract :

The article is devoted to the peculiarities of the process of medical and social rehabilitation of the elderly, which an increasing number of people of this age category requires. The paper examines the main causes and problems in the lives of the elderly, leading to their loss of physical and social activity, and subsequently to social isolation and misadaption of representatives of the specified age category. The article explores the relationship between the medical and social rehabilitation of the elderly and their participation in social and legal processes. The results of the most highly-publicized studies of scientists from different countries of the world concerning the problems of medical and social rehabilitation of the elderly and the importance of this process for society have been analyzed. Recommendations on the introduction of effective technologies of medical and social rehabilitation of the elderly, their impact on social and legal processes have been proposed.

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Journal ID : TMJ-05-08-2021-10544
Total View : 420

Title : Effect of Interval Tourniquet Use on MDA Levels and Liver Histopathological Damage in the Management of Long Bone Fractures

Abstract :

The use of arterial tourniquets as a tool for maintaining hemostasis in trauma has been widely used. The use of tourniquet serves to allow and accelerate operative procedures in musculoskeletal and vascular cases. In addition, torniquet is generally used to aid hemostasis in trauma cases. Providing torniquet perfusion time interval is known to reduce ischemic injury. However, the effect of reperfusion on the MDA level and histopathological damage of the liver has never been identified, thus requiring further research. This study determines the effect of the reperfusion interval in tourniquet use that causes reperfusion ischemic injury on the MDA level and histopathological damage of the liver in the management of long bone fracture. This study employed the true experimental method involving fractured Wistar rats. The Wistar rats were divided into 3 groups, group without reperfusion (P1), group with reperfusion of 10 minutes (P2), and group with reperfusion of 20 minutes. P1 ware treated with a tourniquet without being given a reperfusion interval for 3 hours. The rats in the P2 group were given a tourniquet with a reperfusion interval of 10 minutes after 2 hours. The rats in the P3 group were treated with a tourniquet with a reperfusion interval of 20 minutes after 2 hours of using the tourniquet, then the tourniquet was re-inflated for one hour. After 14 days, the rats were put down and analyzed for their MDA levels and their liver’s histopathological damage. The statistical analysis used one-way ANOVA and Kruskal–Wallis with a significance level of p < 0.05. There was a difference in the reperfusion interval between P1, P2, and P3 groups regarding the MDA levels in the liver (p < 0.05). The reperfusion intervals of 10 and 20 minutes showed a higher reduction of the MDA level in the liver, compared to the group without reperfusion (p <0.05). The reperfusion interval of 20 minutes showed a higher reduction of the MDA levels in the liver compared to P1 group (p < 0.05). There was a difference in the reperfusion interval between the group without reperfusion and the group with reperfusion regarding the liver’s histopathological damage (p < 0.05). The use of reperfusion intervals of 10 and 20 minutes showed a higher reduction of cell ischemia and hepatic necrosis compared to the P1 group. The reperfusion interval of 20 minutes showed a higher reduction of the hepatic cell necrosis compared to the reperfusion interval of 10 minutes (p < 0.05). The reperfusion interval in tourniquet use has an effect on reducing MDA levels and decreasing the number of ischemic and necrosis cells in the liver. There are differences in the duration of the reperfusion interval in the use of tourniquets in preventing ischemic injury.

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Journal ID : TMJ-05-08-2021-10543
Total View : 355

Title : Periluminar Fluids in Abdominal Ultrasounds As A Predictor of Intestinal Viability in Pediatric Patients With Intussusception at Saiful Anwar Hospital Malang

Abstract :

Pediatric intussusception is the most common cause of intestinal obstruction in children between 4 and 10 months old. Ultrasound examination (USG) is the preferred examination in diagnosing intussusception. Periluminar fluid around the area of intussusception is associated with a failure of enema reduction and intestinal ischemia. Intestinal viability can determines whether to perform bowel resection at the time of intervention. The aim of this study is to test whether the periluminar fluid around the area of intussusception is associated with the presence of necrotic intestinal tissue. This study is a retrospective clinical observational analytic study, involving 30 pediatric patients with intussusception who had undergone surgery in the Pediatric Surgery section of the Dr. Saiful Anwar Malang Hospital, who previously had the results of an abdominal ultrasound examination evaluation with intussusception images. The parameters of intestinal viability in surgical findings are by looking at mucosal color, contractility, and vascularity of the intussusception area, which related to venous static and arterial pulsation. The data analysis used was correlation test with discriminative analysis. The spearman correlation test showed a significant relationship between the length, width and broad of the luminar fluid and viability, that is the higher of the length, width, and area of the luminar fluid, hence the lower viability. Based on the results of the unpaired t-test, the cut off point value for the length of the luminar fluid is 2.187, the width of the luminar fluid is 1.931, and the area of the luminar fluid is 13.259. Ultrasound periluminar fluid images can be considered as a predictor of intestinal viability in pediatric intussusception.

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