Jurnal Ilmu Medis Indonesia

Published by Penerbit Goodwood, Jurnal Ilmu Medis Indonesia (JIMI) is a peer-reviewed scholarly journal that publishes articles in the field of medical sciences in Indonesia. JIMI welcomes researchers, academicians, as well as practitioners to submit well-written manuscripts discussing contempory and interesting medical issues aimed at mediating the development of Indonesian medical sciences through a quality scientific publication.

Current Issue

Published by Penerbit Goodwood, Jurnal Ilmu Medis Indonesia (JIMI) is a peer-reviewed scholarly journal that publishes articles in the field of medical sciences in Indonesia. JIMI welcomes researchers, academicians, as well as practitioners to submit well-written manuscripts discussing contempory and interesting medical issues aimed at mediating the development of Indonesian medical sciences through a quality scientific publication.

Published
2025-05-16

Articles

Analisis Faktor yang Berhubungan dengan Perdarahan Postpartum RSUD Banten Tahun 2019-2023

Purpose: This study aimed to analyze the factors associated with postpartum hemorrhage (PPH) among postpartum mothers at RSUD Banten from 2019 to 2023, focusing on both causal and predisposing factors.. Methodology/approach: An observational analytic study with a cross-sectional and retrospective design was conducted using secondary data from medical records in the Obstetrics and Gynecology department. Independent variables included causal factors (uterine atony, retained placenta, lacerations, inversion, coagulopathy, rupture, and retained tissue) and predisposing factors (age, parity, prolonged labor, birth interval, and anemia). Data analysis was performed using SPSS 26.0 with chi-square, Fisher’s exact test, and logistic regression. Results/findings: Bivariate analysis showed significant associations between PPH and birth canal tears (p = 0.011; odds ratio [OR] = 2.594) and prolonged labor (p = 0.043; OR = 0.470). Other factors, such as uterine atony, placental retention, inversion, coagulopathy, age, parity, birth spacing, and anemia, were not significant. Multivariate analysis identified birth canal tear as the most dominant factor (p = 0.003; OR = 3.766; 95% CI: 1.558–9.102), emphasizing the need for better trauma prevention and labor management. Conclusions: Limitations include the cross-sectional design, which restricts causal interpretation, and the use of secondary data from a single hospital, which potentially affects accuracy and generalizability. Contribution: This study contributes to maternal health research by identifying the key risk factors for PPH. The findings can guide clinical practices, inform preventive strategies, and serve as a reference for future research on maternal morbidity and mortality.

Laboratory and Clinical Manifestation Correlation of Neonatal Sepsis in Abdul Moeloek Hospital

Purpose: The prognosis of neonatal sepsis critically depends on early detection; however, its nonspecific clinical signs and variable laboratory findings often complicate the timely diagnosis. This study aimed to assess the correlation between clinical manifestations and laboratory results in neonatal sepsis cases, focusing on patients at Abdul Moeloek Hospital. Methodology/approach: A cross-sectional approach was used to analyze the medical records of neonates diagnosed with sepsis between January and June 2024. All neonates admitted to the neonatal unit with suspected sepsis during this period were included in the study. Results/findings: The majority of patients were male (65.1%) and 1 week old (58.7%). Hyperthermia (44.4%) was the most common symptom, followed by a normal heart rate (68.3%) and respiratory rate (81%). Most patients had normal hemoglobin (55.6%) and leukocyte levels (71.4%), low platelet counts (50.8%), and negative culture results (74.6%). Statistically significant correlations were found between heart rate (OR=0.4) and respiratory rate (OR=0.3) and laboratory findings (p<0.05), although the strength was weak to moderate. No significant correlation was observed with body temperature (p=0.412). Conclusions: Heart and respiratory rates were significantly associated with sepsis-related laboratory results, whereas body temperature was not. Most affected neonates were male, one week old, and presented with hyperthermia but otherwise normal vital signs and blood cell counts. Limitations: The limited sample size and study duration suggest the need for further research. Contribution: These findings provide insights into improving the early detection and management of neonatal sepsis, particularly in pediatric care settings in Indonesia.

Kontribusi Kader Posyandu dalam Intervensi Stunting: Kajian Literatur Tahun 2023–2025

Purpose: This research aims to examine how empowering Posyandu cadres through training in health status monitoring and nutrition counseling can contribute to reducing stunting rates among toddlers in Indonesia. Methodology/Approach: The study adopts a systematic literature review method, analyzing 35 relevant sources published between 2023 and 2025. The literature includes indexed journal articles, community service reports, government policy documents, theses, and dissertations. Databases such as Google Scholar, PubMed, DOAJ, SINTA, and Garuda Ristekbrin were used with keyword combinations like "Posyandu cadres," "cadre empowerment," "stunting prevention," and "toddler nutrition." Inclusion criteria were based on methodological quality, relevance to cadre empowerment, and contributions to the theme of stunting prevention. Thematic analysis was employed to extract key findings and identify trends and best practices. Results/Findings: The findings reveal that structured training programs, community-based education, and support from local health authorities significantly enhance Posyandu cadres’ abilities to monitor child growth and counsel families on balanced nutrition. Multisector collaboration and use of digital health tools also improve intervention efficiency. Empowered cadres play a crucial role in early detection of growth problems, improving family compliance with nutritional guidelines, and sustaining long-term stunting reduction efforts. Conclusions: Empowering Posyandu cadres is essential for effective stunting prevention. Investment in training, incentives, digital tools, and food-based local interventions should be prioritized. Limitations: The study only includes literature in Indonesian and English from the last three years and does not perform a quantitative meta-analysis. Contribution: This review offers a scientific basis for formulating community-based policies and strategies to strengthen Posyandu cadres’ capacity as frontline health workers.

Pola Kasus Onkologi-Ginekologi di Bangsal Ginekologi RSUD Zainoel Abidin 2021-2022

Purpose: This study aimed to determine the pattern of oncological and gynecological cases in the Gynecological Inpatient Room at RSUD Zainoel Abidin for the period June 2021-June 2022.. Methodology: This descriptive retrospective study obtained data from the inpatient register book by identifying age, domicile, diagnosis, action, length of treatment, and outcomes after treatment for the period June 2021-June 2022. Results: A total of 514 patients met the inclusion criteria, with 139 having oncology and the remaining gynecological issues. The largest age groups for oncology patients were 50-59 years (36.69%) and for gynecology, 40-49 years (42.40%), respectively. Most of the patients were from Aceh Besar (15.56%, 80 patients). Ovarian carcinoma was the most common oncology case (57.55%), whereas uterine myomas were the most common in gynecology (27.73%). Of these, 343 (66.73%) underwent laparotomy. The highest number of admissions occurred in January 2022 (11.48%), with an average hospital stay of 7.39 days for oncology and 6.43 days for gynecology. Of the patients, 87.94% were discharged alive and 1.17% died. Conclusion: This study found that most gynecological inpatients treated at RSUD Zainoel Abidin had leiomyoma utery (age range–40-49 and underwent laparotomy with an average length of stay of 13.35 days and good outcome. Limitations: The limitations of this study include the retrospective method, data coverage from only one hospital, and reliance on secondary records that may not always be complete or consistent. Contribution: This study can contribute to the optimization of hospital policies related to the management of oncology-gynecology patient care.

Tinjauan Literatur: Penerapan Nilai Islam pada Makanan dalam Ilmu Kesehatan

Purpose: This study aimed to conduct a comprehensive review of the existing literature on the relationship between Islamic values and dietary patterns, focusing on how these values affect individual and community health. Research methodology: A qualitative research methodology was employed using a literature review approach to analyze academic journal articles, books, and research reports published in the last five years. This method allows for an in-depth exploration of relevant studies and theoretical frameworks regarding Islamic dietary principles. Results: The findings indicate that the principles of halal and haram food significantly contribute to individual health by promoting cleanliness, preventing harmful substances, and fostering strong, social bonds. Halal food choices not only support physical health but also enhance spiritual well-being and social cohesion, especially through shared meals and communal eating practices. Conclusions: Overall, the application of Islamic values in food science offers strong potential to improve individual and public well-being. By adhering to halal principles and balanced eating, Muslims can achieve better physical and spiritual health outcomes. This review provides a solid foundation for developing programs and encouraging further research in the field. Limitations: This review is limited to literature published in the last five years, which may exclude older, but relevant, research on the topic. Contribution: Useful for education and socialization on healthy and halal food in the fields of health, social studies, and education, particularly for the younger generations.

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