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.

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
2022-09-13

Articles

Struktur Biomolekul dan Mekanisme Aksi Vaksin Sars-Cov-2 Efektif dalam Melawan Covid-19

Purpose: The aim of this study is to deepen understanding of the structure of the vaccine against SARS-CoV-2 infection and the underlying mechanism so that its efficacy and effectiveness can be assessed. Method: used in this journal is a systematic literature review. References for this review were identified through searches of PubMed, Google Scholar, BioRxiv, MedRxiv, drug regulatory agencies, and pharmaceutical company websites. Results: Overall, all COVID-19 vaccines had high efficacy against the SARS-CoV-2 strain and were well tolerated. All vaccines appear to be a safe and effective strategy to prevent COVID-19 from getting worse. Limitations: Further research is needed to assess the magnitude of the risks of using the vaccine against its benefits in preventing SARS-CoV-2 infection. Contribution: By understanding the structure of the vaccine and its mechanism of action, it is hoped that the selection of the right vaccine can effectively suppress the pandemic.

Ruptur Perineum Grade 3A Post Trauma: Laporan Kasus

Purpose: This study aimed to summarize the general history, physical findings, and treatment of a patient with traumatic perineal tears grade 3A. Research Methodology: A case report from Obstetrics and Gynecology RSUD Abdoel Moeloek Lampung. The subject of this study is a 9-year-old girl, hospitalized in the hospital ward with traumatic perineal tears grade 3A. Result: A 9-year-old girl complaints of vaginal bleeding after an accident 4 hours before hospitalization. On physical examination, in perineum region found vulnus laceratum regio perineum size 4 x 1 cm to external anal sphincter <50%, hymen rupture (+), bleeding and blood clot (+), rectal touch revealed anal sphincter tone (+) decreased, laceration of anal sphincter <50%. The patient was clinically diagnosed with “Traumatic Perineal Tears Grade 3A”. Definitive management is operative to repair lacerations under general anesthesia. Limitations: This case is limited to traumatic perineal tears grade 3A cases which is a rare case in children. Contribution: This article can be helpful in medical education or as a reference in making relevant case reports.

Pentingnya Kewaspadaan Berinternet untuk Kesehatan Mental Anak dan Remaja

Purpose: To describe the ways in increasing the internet awareness for the mental health of the children and adolescent. Methodology/approach: It is a narrative literature review. Articles were taken from the Science Direct and Google Scholar databases. Inclusion criteria are review and research articles. The excluded articles that were not peer-reviewed and unavailable full-text paper. Articles were read twice to reduce the bias. The selected articles were summarized and narrated descriptively. Results/findings: Results revealed that cybersecurity awareness can be increased by digital literacy training. Children should be taught how to avoid risky online behaviour to increase the mental health of the children. The cybersecurity awareness program is good to be given to children in avoiding phishing, pornography, cyberbullying, identity theft, and breaking to privacy. Children must be taught how to keep their passwords safe and private. They also need to be more cautious when playing online games. Limitations: It is a narrative literature review, the result is not as accurate as a study. Contribution: The contribution is the digital literation and cyber security program can be taught to the children to keep the good mental health during the COVID-19 pandemic and the time beyond.  

Hubungan Persepsi Masyarakat Tentang Vaksin Covid-19 dengan Keikutsertaan Imunisasi Vaksinasi Covid-19 di Wilayah Kerja Puskesmas Gantiwarno Kecamatan Pekalongan Kabupaten Lampung Timur Provinsi Lampung Tahun 2022

Purpose: The purpose of this study was to examine relationship between public perception of the Covid-19 vaccine and the participation of the Covid-19 vaccine. Method: A Case control design with purposive sampling was employed and 60 participants were recruited from Ganti Warno Public Health Center in Pekalongan District, East Lampung, Lampung Province.  There were 30 participants’ people who did not follow the Covid-19 vaccination and 30 people took the Covid-vaccination. A perception questionnaire was carried out and data analysis used Chi Square test. Results: Negative perception of the case group (80.0%) while the control group (13.3%) and the positive perception of the case group (20.0%) while the control group (86.7%). A significant relationship was found between public perception of the Covid-19 vaccine and the participation of the Covid-19 vaccine (p value: 0.000, OR: 26.000). Limitations: The researcher did not examine other variables such as the characteristics of the respondents, such as the last education and employment status. For further research, it is expected to examine these variables so that more complete data can be obtained. Contribution: The results of this study are expected to be useful for Public Health Center as input for improving and improving the implementation of public perceptions about the Covid-19 vaccine with the participation of the Covid-19 vaccination immunization.

Vaksinasi COVID-19 ditinjau dari Perspektif Ekonomi Kesehatan

Purpose: To describe the COVID-19 vaccination from the aspects of cost-effectiveness, monetary benefit, fiscal modeling, and health efficacy. Method: It is a systematic literature review. This systematic review described COVID-19 vaccination effectiveness from health economic perspectives, cost-effectiveness, monetary benefit, fiscal modeling, and heath efficacy. Literatures were taken from PubMed and Science Direct. There were 10 papers from PubMed, 3 papers from Science Direct, and 186 from Google Scholar at the beginning. After being selected for title, abstract and full content, 11 journals were left. PRISMA guidelines were used. Inclusion criteria are review and research articles. The excluded articles that were not peer-reviewed and unavailable full-text paper. Articles were read twice to reduce the bias. The selected articles were summarized and narrated descriptively. Results: Results revealed that vaccination is cost-effective and cost-saving based on economic model analysis such as QALY rate, global COVID-19 VAR model, and ICER. The mortality and morbidity of the COVID-19 infection are depended on the vaccination program. Limitations: There were only some articles included in the systematic review. Therefore, the result might be not complete and comprehensive. Contribution: This paper can be used as a review for implementing the vaccination program based on the effectiveness from health economic perspectives.

Skrining Fitokimia Ekstrak Duri Landak Laut Api (Heterocentrotus Mamillatus) sebagai Antimikroba

Purpose: To determine the content of secondary metabolites in the spines of the fire sea urchin (Heterocentrotus mammilatus) as an antimicrobial agent. Method: This type of research is a quasi-laboratory experiment by taking samples of fire sea urchins, conducting phytochemical screening methods to determine the content of chemical compounds, and methods of extracting fire sea urchins with ethyl acetate solvent and testing antimicrobial properties against Escherichia coli. Results: Screening phytochemicals found in the spines of the fire sea urchin are alkaloids, flavonoids and glycosides. Fire sea urchin thorn extract has antimicrobial activity against E.coli of 5.5 mm. Limitations: Further research needs to be done on the content of primary metabolites present in sea urchins and their gonads Contribution: To avoid the level of extinction of the sea urchin species, the local government, especially North Buton Regency, needs to monitor the use that is not controlled by the local community.