http://localhost:8080/xmlui/handle/123456789/5812 141 - 210 Sat, 18 Apr 2026 03:32:32 GMT 2026-04-18T03:32:32Z http://localhost:8080/xmlui/handle/123456789/5831 Title: A rare case of migration of ballistic projectile from left to right main bronchus Authors: Yosef Widjaja, Edwin; Jiwangga, Dhihintia; Nur Rachmi, Chikita Abstract: A rare case of migration of ballistic projectile from left to right main bronchus Edwin Yosef Widjaja,¹ Dhihintia Jiwangga,¹ Chikita Nur Rachmi² Case Report/Series ABSTRACT A foreign body in the bronchus due to a ballistic projectile is very uncommon. A 45-year-old man presented to the hospital after being accidentally shot. The initial radiographic assessment found a bullet in his left thoracic cavity. With the help of an X-ray, an urgent left posterolateral thoracotomy was conducted, but no foreign body was found. The foreign body had migrated to the contralateral chest cavity, as determined by the C-arm. On the following day, a thorax computed tomography scan was conducted, and it was discovered that the foreign body had already migrated to the right lower bronchus. A right thoracotomy was then performed to remove the foreign body. He was moved to the intensive care unit and discharged with a stable condition. In conclusion, migration of a foreign body in the bronchus is rare. A thorough strategy is required to prevent the object from migrating even further. KEYWORDS ballistic projectile, bronchus, foreign-body migration, thoracotomy Sat, 01 Jan 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/5831 2022-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/5830 Title: Carotid bypass surgery for a persistent neck tumor after multiple treatments: a case report Authors: Naomi Lumbantobing, Izry; Razif Mohamad Yunus, Mohd; Zaharil Mat Saad, Arman Abstract: Carotid bypass surgery for a persistent neck tumor after multiple treatments: a case report Izry Naomi Lumbantobing,¹ Mohd Razif Mohamad Yunus,² Arman Zaharil Mat Saad³ Medical Journal of Indonesia Case Report/Series ABSTRACT Carotid artery involvement in head and neck cancer is challenging for surgeons and oncologists, particularly in recurrence or residual disease following multiple treatments. However, carotid artery resection and reconstruction can be safely performed in a carefully selected patient with local and regional control benefits despite the potential morbidity and high-risk complications. We presented a case of primary laryngeal cancer treated with chemoradiotherapy, modified radical neck dissection type I for residual neck node disease, and further chemotherapy. Although the primary laryngeal cancer showed a complete response, the residual neck tumor was still unresolved and even involved the carotid artery. Therefore, carotid resection with a combined saphenous vein graft and free flap reconstruction was the treatment of choice for this patient. It is effective and safe, and the risk of morbidity has been accepted. KEYWORDS carotid artery, neck node metastasis, reconstructive surgical procedures, squamous cell carcinoma, vascular surgical procedures Sat, 01 Jan 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/5830 2022-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/5828 Title: Validity and reliability of the Indonesian version of the new brief job stress questionnaire (short version) for work-related stress screening among office workers Authors: Purwito Adi, Nuri; Azurit Virenti Paska Da Lopez, Ansgar; Diatri, Hervita; Asti Werdhani, Retno; Sumaryani Soemarko, Dewi; Yunia Fitriani, Dewi Abstract: Validity and reliability of the Indonesian version of the new brief job stress questionnaire (short version) for work-related stress screening among office workers Nuri Purwito Adi,1 Ansgar Azurit Virenti Paska Da Lopez,1 Hervita Diatri,2 Retno Asti Werdhani,1 Dewi Sumaryani Soemarko,1 Dewi Yunia Fitriani3 Community Research ABSTRACT BACKGROUND The short version of the new brief job stress questionnaire (SV-NBJSQ) that is originally in Japanese could evaluate work-related stress in Indonesian office workers. However, it has not been validated in Indonesian. Thus, this study aimed to test the validity and reliability of the Indonesian version of the SV-NBJSQ. METHODS This study was conducted by linguistic and cultural adaptation of the original Japanese questionnaire into Indonesian and continued with exploratory factor analysis, internal consistency, and reliability test of Cronbach’s alpha. Electronic and paper-based data were collected using total sampling from office workers at two companies in Jakarta from December 2017 to August 2018. RESULTS A total of 438 respondents filled the questionnaire. The final version of the questionnaire consisted of 63 items, screened based on a loading factor of >0.4 and 13 factors (dimensions). Each factor had a Cronbach’s alpha of 0.628–0.887, while the entire 63 had 0.904 with a total documented cumulative variation of 64.97%. CONCLUSIONS The Indonesian version of the SV-NBJSQ is valid and reliable. Thus, we may use it as a more suitable, updated, and comprehensive tool to evaluate work related stress among office workers. KEYWORDS Indonesia, reliability and validity, screening, translations, work-related stress, questionnaire Sat, 01 Jan 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/5828 2022-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/5827 Title: A randomized control trial of platelet-rich plasma in supporting the recovery of postpartum levator ani muscle trauma Authors: Moegni, Fernandi; Rachman, Andhika; Ibrahim Ilyas, Ermita; Harahap, Alida; Irianta, Trika; Hidayat, Ferry; Ocviyanti, Dwiana; Iman Santoso, Budi Abstract: A randomized control trial of platelet-rich plasma in supporting the recovery of postpartum levator ani muscle trauma Fernandi Moegni,1,2 Andhika Rachman,3 Ermita Ibrahim Ilyas,4 Alida Harahap,1 Trika Irianta,5 Ferry Hidayat,2 Dwiana Ocviyanti,2 Budi Iman Santoso2 Medical Journal of Indonesia Clinical Research ABSTRACT BACKGROUND Pelvic floor dysfunction (PFD) is mostly caused by childbirth levator ani muscle (LAM) trauma. We hypothesized that platelet-rich plasma (PRP) therapy could support the recovery of LAM in postpartum trauma. METHODS A prospective, single-blind, randomized control study was enrolled in primigravid women from November 2016 to July 2019 at 21 health facilities in Jakarta, Indonesia. Subjects were injected with autologous PRP or placebo at LAM during perineorrhaphy after childbirth. The primary outcome was regaining LAM strength and reducing levator hiatal area at 3 months postpartum. The LAM strength was examined by perineometer (cmH₂O), and levator hiatal area was examined by transperineal ultrasound (cm²) at antenatal and 3 months after delivery. Mann–Whitney U test and Wilcoxon signed-rank test were used for analysis. The study was registered in clinicaltrials.gov: NCT03021954. RESULTS Among 240 women, 58 were eligible for analysis. There were no differences in LAM strength and levator ani hiatal area at 3 months postpartum between the two groups (p = 0.583 and p = 0.185, respectively). CONCLUSIONS PRP therapy did not show a difference in the muscle recovery healing process. KEYWORDS obstetric labor complication, parturition, pelvic floor disorder, platelet-rich plasma, randomized controlled trial pISSN: 0853-1773 • eISSN: 2252-8083 https://doi.org/10.13181/mji.oa.226115 Med J Indones. 2022;31:186–92 Received: February 21, 2022 Accepted: December 02, 2022 Authors' affiliations: 1 Doctoral Programme in Medical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia, 2 Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia, 3 Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia, 4 Department of Physiology and Biophysics, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia, 5 Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia Corresponding author: Fernandi Moegni Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Building A, Sat, 01 Jan 2022 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/5827 2022-01-01T00:00:00Z