Nommensen Journal of Medicine

Gambaran Kecemasan Sosial Pada Remaja SMA Negeri Di Kecamatan Medan Kota Pada Masa Pandemi COVID-19 Tahun 2022

Hanna Nathalyna, Henny Erina Saurmauli Ompusunggu, Ita L. Roderthani — Tue, 05 Aug 2025 11:30:09 +0700

Background: Anxiety disorders are a type of mental health condition that is common in society. One of the most common types of anxiety is social anxiety (SA), which is a condition in the form of a real and persistent fear of social situations. Nearly 70% of people had received the vaccine during the Covid-19 pandemic and had begun to actively conduct out their activities outside, which led to an increase in social anxiety.

Objective: The purpose of this research was to characterize social anxiety in senior high school students in the Medan City District in 2022 during the Covid-19 pandemic.

Methods: This study used a cross-sectional design and was descriptive in nature. There was 130 respondents in senior high school at Medan Kota District in 2022 who were chosen by the cluster selection technique.

Results: In this study obtainbed 130 respondents, the level of social anxiety in senior high school adolescents at Medan City District were mild 45.4%, moderate 50,8% and severe 3.8%.

Conclusion: The majority level of social anxiety in senior high school adolescents at Medan City District during the Covid-19 pandemic were mild to moderate in both male and female genders.

Keywords: social anxiety, adolescent.

Ischemic Stoke as the Initial Presenting Feature for Acute Myeloid Leukemia with Thrombocytosis

Eunike Firyanti Tampubolon, Febri Sri Astuti — Tue, 05 Aug 2025 11:30:54 +0700

Background : Acute myeloid leukemia (AML) is known to confer complications mainly due to their underlying disease or chemotherapy. Although they are at high risk for a wide variety of hemorrhagic and thrombotic complications, thrombotic vascular complication as an initial manifestation is less common. Cerebral involvement in patients with AML is associated with a five times higher mortality risk.

Case : 54-year-old male patient, presenting with left-sided hemiparesis, fever, decreased appetite and laboratory findings showed leukocytosis (40,990/mm³) and thrombocytosis (814,000/mm³). Computed tomography showed a right infarct in the middle cerebral artery territory. The diagnosis of AML emerged during investigated. While conservatively managed, he developed a loss of consciousness and was admitted to the intensive care unit.

Discussion : In a case series of 24 patients, thrombotic events were the first clinical manifestation of leukemia in only 3.4% of cases. The association of thrombocytosis with AML is unusual, a few cases have been described with chromosome 3 abnormalities, however, we could not perform a genetic analysis of this case. Pathogenic mechanism in several studies demonstrated a causal relationship between elevated platelet count are associated with an increased risk of vascular occlusion and leukocytosis in the acute phase of the disease produces hyperviscosity causing blood stasis.

Conclusion : Thrombotic events in the cerebrovascular system in early cases of AML may occur possibly due to hyperviscosity, and this may increase the risk of death. Lack of facilities in peripheral hospitals causes limited management.

Keywords : Ischemic stroke; Acute myeloid leukemia (AML); Thrombocytosis

Variasi Bentuk Lengkung Longitudinal Medial Kaki pada Laki-Laki dan Perempuan Dewasa Muda

Tue, 05 Aug 2025 11:31:32 +0700

The medial longitudinal arch is a part of the plantar foot with clinical significance. Three variations of the medial longitudinal arch consist of normal, low, and high arches. These variations are caused by intrinsic factors such as gender. Failure to form the normal medial longitudinal arch leads to poor posture and balance. Variation in the shapes of the medial longitudinal arch can be assessed using footprints, namely the arch index. This study aims to identify the variations in the medial longitudinal arch between young adult males and females. The research is descriptive-analytic with a cross-sectional study design. The subjects are young adults aged 18-22 years. Sampling using the simple random sampling technique with a sample size of 54 participants. The medial longitudinal arch shape was evaluated using the footprint method with the arch index. The majority of participants (72.2%, 39 participants) were female, according to the results. The most age group was 21 years old 23 participants (42.6%). The highest average arch index (0.29) was in the male participants. The most prevalent normal medial longitudinal arch shape was observed in females 28 participants (71.8%). In males, the low arch was most common among 11 participants (73.35%), while the high arch was found in 5 female participants (12.8%). The Mann-Whitney statistical test showed p < 0.05. This study concludes that the medial longitudinal arch forms vary between young adult males and females.

Pengaruh Media Sosial, Persepsi Penyembuhan, dan Perilaku Self-Medication terhadap Terjadinya Akne Vulgaris

Joice Sonya Gani Panjaitan, Suhartomi Suhartomi, Rudyn Raymond Panjaitan — Tue, 05 Aug 2025 11:32:04 +0700

Latar belakang: Akne vulgaris sebagai suatu bentuk peradangan kronis pada kelanjar sebasea yang dapat terjadai pada kelompok usia produktif terutama mahasiswa. Pada era digitalisasi saat ini, aksestabilitas media sosial yang mudah dan cepat berkontribusi dalam peningkatan perilaku self medication.

Tujuan: Untuk menganalisis hubungan paparan media sosial, perilaku swamedikasi, dan persepsi kesembuhan swamedikasi terhadap kejadian akne vulgaris.

Metode: Penelitian obervasional ini menggunakan model case-control pada sekitar 190 orang mahasiswa maupun mahasiswi di Program Studi Pendidikan Dokter Umum Fakultas Kedokteran, Universitas HKBP Nommensen yang dipilih melalui simple random sampling. Variabel penelitian yang diukur dalam penelitian ini meliputi umur, jenis kelamin, paparan media sosial, Self-Medication, serta persepsi kesembuhan. Analisa data dalam penelitian ini diawali dengan analisa statistic deskriptid, kemudian diikuri dengan chi square dan data penelitian yang memiliki hubungan yang secara statistic signfikan pada chi square kemudian dimasukan dalam model regresi logistic.

Hasil: Paparan sosial media (Nilai P: 0.020; Unadjusted OR [IK95%]:2.357 [1.132-4.909]; Adjusted OR [IK95%]: 0.577 [0.262-1.270]), perilaku self medication (Nilai P: 0.001; Unadjusted OR [IK95%]: 3.272 [1.630-6.569]; Adjusted OR [IK95%]: 0.497 [0.175-1.414]), dan persepsi kesembuhan swamedikasi (Nilai P: 0.001; Unadjusted OR [IK95%]: 2.773 [1.509-5.099]; Adjusted OR [IK95%]: 0.633 [0.246-1.629]) secara terpisah menunjukkan hubungan yang signifikan terhadap terjadinya akne vulgaris. Namun, ketiga faktor tersebut tidak menunjukkan hubungan yang signifikan terhadap terjadinya akne vulgaris pada model regresi logistic

ICU dan Non-ICU MRSA: Kejadian dan Faktor Risiko di Rumah Sakit Tersier

Junita Tarigan, Maulinda Putri, Suhartomi Suhartomi, Owen Sitompul — Wed, 06 Aug 2025 09:57:27 +0700

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a major nosocomial pathogen that is resistant to penicillin-class antibiotics and poses a serious threat to healthcare facilities. Its global prevalence reached 30% in 2020, while in Indonesia it ranges from 0.3% to 52%, with the highest rate reported in Jakarta.

Objective: To compare the incidence and risk factors of MRSA among patients in the Intensive Care Unit (ICU) and general wards (non-ICU) at RSUP Haji Adam Malik Medan, during 2022–202.

Methods: A cross-sectional study was performed on 569 patients in ICU and non-ICU wards with culture examinations performed from January 2022 to December 2023. Bivariate analysis was conducted for nine independent variables, followed by multivariate logistic regression for variables with p-values < 0.25.

Results: From 18,121 culture examinations, 569 isolates of Staphylococcus aureus were identified. MRSA incidence was higher in non-ICU wards (246 of 441 isolates; 55.7%) than in the ICU (63 of 128 isolates; 49.2%). Statistically significant risk factors differed between the two groups: in ICU patients, only diabetes mellitus (OR 2.50; p = 0.017) was significant; while in non-ICU patients, chronic kidney disease (OR 0.644; p = 0.037) and a history of prior antibiotic use (OR 3.037; p = 0.011) were significant factors. Additionally, 4.21% of all isolates were confirmed as VRSA.

Conclusion: MRSA incidence was higher among patients in non-ICU wards. The main risk factors differed between units: diabetes mellitus was prominent among ICU patients, whereas chronic kidney disease and previous antibiotic use played a role among non-ICU patients. These differences highlight the need for infection prevention and control strategies tailored to the specific risk profiles of each care unit.

Hubungan Antara Pola Tidur Dan Kesehatan Mental Pada Mahasiswa Kedokteran Selama Masa Studi Klinis

Julenda Irianti Br. Sebayang — Wed, 20 Aug 2025 15:20:01 +0700

Background: Sleep is an essential biological function crucial to mental health and cognitive performance. Medical students undergoing clinical rotations are often exposed to irregular schedules that impair sleep patterns. This disruption can exacerbate psychological distress and academic decline.

Objective: This study aims to explore the relationship between sleep patterns and mental health among medical students during clinical rotation periods.

Methods: A qualitative descriptive phenomenological approach was employed. Fifteen medical students in clinical rotations at the Faculty of Medicine, Universitas HKBP Nommensen Medan, were selected through purposive sampling. Data were collected using in-depth semi-structured interviews and analyzed using thematic analysis.

Results: The majority of participants reported significant disruption in sleep duration, quality, and rhythm. Most slept less than five hours on duty days, and experienced fatigue, mood disturbances, impaired concentration, and emotional instability. Several participants developed maladaptive coping mechanisms and reported symptoms of anxiety, depersonalization, and hopelessness. Disconnection from spiritual, social, and academic life was noted. Clinical rotation demands and unsupportive institutional environments were identified as key stressors affecting sleep and mental health.

Conclusion: Disturbed sleep patterns among medical students during clinical rotations are strongly associated with adverse mental health outcomes. Sleep deprivation acts as both a symptom and a contributing factor to psychological distress, calling for systemic awareness in medical education design.

Keywords: sleep quality, medical students, clinical rotation, mental health, psychological distress

ABSTRAK

Latar Belakang: Tidur merupakan fungsi biologis penting yang berperan besar dalam menjaga kesehatan mental dan fungsi kognitif. Mahasiswa kedokteran yang menjalani rotasi klinik sering menghadapi jadwal tidak teratur yang mengganggu pola tidur, sehingga meningkatkan risiko tekanan psikologis dan penurunan akademik.

Tujuan: Penelitian ini bertujuan untuk mengeksplorasi hubungan antara pola tidur dan kesehatan mental pada mahasiswa kedokteran selama masa rotasi klinik.

Metode: Penelitian ini menggunakan pendekatan fenomenologi deskriptif kualitatif. Sebanyak lima belas mahasiswa klinik Fakultas Kedokteran Universitas HKBP Nommensen Medan dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan melalui wawancara mendalam semi-terstruktur, kemudian dianalisis menggunakan teknik analisis tematik.

Hasil: Sebagian besar partisipan mengalami gangguan signifikan pada durasi, kualitas, dan ritme tidur. Mayoritas tidur kurang dari lima jam saat jadwal jaga, serta mengalami kelelahan, gangguan emosi, kesulitan konsentrasi, dan ketidakstabilan psikologis. Beberapa mengembangkan mekanisme koping maladaptif dan menunjukkan gejala kecemasan, depersonalisasi, serta kehilangan harapan. Terdapat keterputusan dari kehidupan spiritual, sosial, dan akademik. Tuntutan rotasi klinik serta kurangnya dukungan institusional menjadi pemicu utama gangguan tidur dan kesehatan mental.

Kesimpulan: Gangguan pola tidur pada mahasiswa kedokteran selama masa klinik memiliki hubungan erat dengan kemunduran kondisi kesehatan mental. Kurang tidur berfungsi ganda sebagai gejala dan faktor pemicu stres psikologis, yang menunjukkan pentingnya perhatian sistemik dalam desain pendidikan kedokteran.