About

Sapporo Medical Journal

Sapporo Medical Journal is an open access, monthly, peer reviewed International Medical Journal with focuses on publishes research conducted in all fields of medical, medicine. There is no restriction on the length of research papers and reviews, although authors are encouraged to be concise. Sapporo Medical Journal is a scopus indexed International Medical Journal that wants to publish original articles, research articles, review articles with top-level work from all areas of Medicine, General Medicine, Medical Science Research and their application including Aetiology, bioengineering, biomedicine, cardiology, chiropody etc.
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal
Sapporo Medical Journal

Sapporo Medical Journal aims to distribute and expand medical data to the World as well as build a supportive and vibrant community of researchers to connect and explore ideas by publishing articles related to all fields of medicine. Sapporo Medical Journal believes that quality and ethical research. The journal seeks to publish original research articles that are hypothetical and theoretical in its nature and that provide exploratory insights in the following fields but not limited to:

Medicine Microbiology Biochemistry Pharmacology Pathology Forensic medicine Internal Medicine Physiology Anatomy Obstetrics and Gynecology Radiology Community Medicine Otorhinolaryngology Infectious Diseases General Surgery Cancer research Pulmonary Dermatology and Venereal diseases Orthopedics Neurology Anaesthesia Medical education Infectious Diseases and Vaccinology Neurosurgery Gastroenterology Nephrology Paediatrics Reproduction Dental Cardiology Surgery Nursing Otolaryngology Dermatology Diabetes Orthopaedics Hepatology Urology Psychology Anesthesiology Endocrinology Biotechnology Venereology ENT Psychiatry Pharmaceutical Analysis Pharmacy Pharmaceutical Chemistry Pulmonology Pharmaceutics Pharmaceutical Pharmacognosy Biopharmaceutics Phatmaceutical Technology Quality Assurance Pharmacodynamics Pharmacokinetics Drug Regulatory Industrial Pharmacy Pharmaceutical Nanotechnology Drug Design Affairs Phytochemistry Drug Delivery Systems Drug Discovery Pharmaceutical Microbiology Pharmacy Practice Hospital Pharmacy Clinical Pharmacy Pharmacogenomics Drug Metabolism Pharmacovigilance Toxicology Clinical Research Microbiology Phrmacoinformatics Life Sciences like Chemistry Epidemiology Biomedical Sciences Immunology Dentistry Oncology Biomedicine Physiotherapy Sexology Neuroscience Gynaecology Dermatoepidemiology Pharmacy and Nursing Angiology/Vascular Medicine Osteology Ophthalmology Haematology Kinesiology Critical care Medicine Pharmacognosy and Phytochemistry Clinical immunology Bariatrics Genomics and Proteomics Clinical and Hospital Pharmacy Radiobiology Cell Biology Geriatric Medicine Healthcare Services Healthcare Management Bioinformatics and Biotechnology
Paper ID : SMJ0310215510388

Abstract : Telemedicine is defined as the utilization of medical information that is transmitted electronically from one location to another to improve patient health. To improve the quality of health services in Indonesia is to reduce the gap in access to health, so that it is available to all people equally. Telemedicine is one of the modalities that can be used to achieve this goal. This study aim is descibe the development of telemedine in Indonesia especially in National Health Insurance System (JKN). From the Literature review, we can find although the telemedicine provided by JKN provides significant convenience to access to health services, there are limitations in the implementation of telemedicine, both as a whole and the obstacles faced by JKN. Doctors and patients who conduct teleconsultation have limitations only on history taking and physical examination, while doctors are taught to do a thorough physical examination before making a diagnosis and providing therapy for patients. This obstacle poses a greater risk of misdiagnosis compared to direct examination. Supportive examinations and therapies other than drugs still need to come to health facilities, so telemedicine cannot completely replace conventional health services. Telemedicine cannot stand alone because it still requires adequate facilities to access adequate health services. Advances in infrastructure and human resources in particular have an important role in the smooth operation of telemedicine.

Paper ID : SMJ3009215509386
Sapporo Medical Journal
Author : Eka Pujiyanti, Ascobat Gani, Astuti Giantini, Indah Pratiwi Suwandi, Sri Rizki Novita Sejati,

Abstract : Pandemic turbulence in health services forces hospitals to be able to implement several areas of change. Universitas Indonesia Hospital as one of the covid-19 referral hospitals must respond to very dynamic changes, management must carry out financial management based on accurate financial information which is used as a basis for operational decisions designed to maintain the financial performance. This study aims to determine the pattern of hospital financial management in dealing with pandemic turbulence. The method used in this study is analysis of financial statements through trend analysis and common size analysis analysis. Highest number of visits in December 2020 was 8,949. The largest component of expenditure in November 2020 was 12% including employee costs and cost of goods sold which includes personal protective equipment, medicines, and others. The largest revenue for all services is in Covid inpatient services, and the highest in January 2021 was 22%. The higher number of visits will affect the hospital's cash flow in terms of income and expenses. Financial management strategy is needed to maintain the balance of cash flow, hospital income during the pandemic experienced an imbalance and tended to be more dependent on covid-19 services, while non-covid-19 services decreased.

Paper ID : SMJ2809215509384

Abstract : The aim of the study was to elucidate a plausible predictive value of the macrophage migration inhibitory factor (MIF) levels for one-year clinical outcomes in ST-segment elevation myocardial infarction (STEMI) patients underwent primary percutaneous coronary intervention (PCI). Materials and methods: 134 STEMI patients underwent PCI were enrolled in the study. The MIF levels were determined at baseline, directly prior and after PCI along with conventional observations. Results. During 1-year follow-up 37% of patients has reached the composite endpoint (all-cause mortality, non-fatal STEMI, and non-fatal stroke, hospitalization for unstable angina, heart failure decompensation, and PCI). We have found that pre-PCI MIF levels > 3934 pg/mL might be an independent predictor of composite endpoints with sensitivity 54% and specificity 82%. Positive correlation between MIF and inflammatory biomarkers was revealed. Adverse outcomes associated with higher pre- and post-PCI MIF levels (OR 1.0, 95% CI 1.0001–1.0008; p=0.013 and OR 1.0, 95% CI 1.0001–1.0009; p=0.019) and CRP that determined during the first week after the event (OR 1.0, 95% CI 1.005–1.2, p=0.03). Kaplan-Meier analysis has shown substantially lower long-term survival rate in patients with the MIF level > 3493 pg/ml when compared with the MIF level ≤ 3493 pg/ml. Conclusions: The MIF levels exceeded 3934 ng/ml were associated with the higher risk of one-year adverse clinical outcome in STEMI patients underwent primary PCI

Paper ID : SMJ2709215509382

Abstract : This study determines the prevalence and socio-demographic of HIV among tuberculosis patients and intravenous drug users (IDUs) in Hospital Universiti Sains Malaysia (HUSM), Kubang Kerian, Kelantan Malaysia. All the data collected was entered in MS Excel Database. Thereafter data entry and analysis were conducted using Statistical Packages for Social Sciences (SPSS) version 26. The continuous variables were expressed as mean (SD) and categorical variables were expressed as frequencies and percentages. The result showed that The mean age of HIV among tuberculosis patients was 33 years old. Most of the patients were male (82%), Malay (90%), non-Malay patients is 10% only, half of all HIV among TB patients have a low CD4 count of fewer than 200 cells/mm3, 24 percent of HIV cases are reported due to heterosexual, 3% of HIV among TB patients were infected through blood transfusions and most patients were smoker (65%). In conclusion, as the prevalence of TB/HIV coinfection is associated with the prevalence of HIV in the general population, and antiretroviral therapy is effective in treating both diseases, HIV-infected patients should begin treatment as soon as possible.

Paper ID : SMJ2309215509380
Sapporo Medical Journal
Author : Lisa Trina Arlym, Endang L. Achadi, Dwiana Ocviyanti,

Abstract : Globally, low birth weight (LBW) is still being a maternal public health problem. LBW is caused by various factors, which affect shorter gestation period, fetal growth restriction or both. Adequate frequency and quality of antenatal care (ANC) visits are recommended to identify problem as early as possible and to monitor the health of the mother and baby. ANC has been proofed as determinant to reduce the incidence of LBW. This study aims to identify whether adequate frequency and quality of ANC visits decrease the incidence of LBW in developing countries. The research was using systematic literature review which performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All references are managed using Mendeley software, then found 14 selected articles that meet the inclusion criteria and have high quality assessed by using critical appraisal tool from Centre for Evidence-Based Medicine (CEBM). The studies showed there were significant association between adequate frequency of ANC visits with the incidence of LBW. Other factors associated with LBW were socio-demographic factors and maternal factors. Frequency of ANC at least 4 times during pregnancy can still give positive effect towards low birthweight risk, however, it should be a quality service of ANC. Keywords— LBW, ANC, antenatal care, pregnancy, pregnant women