2024-03-29T13:10:19Z
http://journal.wima.ac.id/index.php/index/oai
oai:ojs.jurnal.wima.ac.id:article/3712
2022-04-26T10:04:33Z
JWM:ART
nmb a2200000Iu 4500
"220426 2022 eng "
2623-2723
2338-0373
dc
THE EFFECT OF CINNAMALDEHYDE MEMBRANE APPLICATION ON THE NUMBER OF MACROPHAGES ON THE INFLAMMATION PROCESS OF LABIAL ULCUS OF WISTAR RATS
Sari, Chrisdina Puspita
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Purwanti, Nunuk
Biomedic Department, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
Ana, Ika Dewi
Biomedic Department, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
Array
Introduction: Macrophage is the inflammatory cell that dominates the chronic inflammation. Macrophage plays an important role in phagocytic process and secretion of chemical mediators in the early stage of inflammation. Cinnamaldehyde is the major constituent of cinnamon plant has an anti-inflammatory effect. Cinnamaldehyde can be delivered by membrane-shaped hydrogel polymer made from gelatin to maximize its anti-inflammatory effect.
Aim: The objective of this study was to investigate the effect of cinnamaldehyde membrane on the macrophage numbers on the labial ulcer of Wistar rats.
Methods: Thirty Wistar Rats were divided into 5 groups, 4 groups as treatment and 1 group as a control. An injury of the labial mucosa of Wistar Rat was made by the application of acetic acid glacial on the labial mucosal surface. The cinnamaldehyde membrane 1%, 4%, K-diclofenac membrane, and DMSO membrane were applied on the wound of the treatment groups, while the DMSO was applied on the control group at one day after injury. Three rats from each group were sacrificed on the 3rd and 6th day. The ulcerative mucosal tissues were collected and processed for histological preparation with Hematoksilin Eosin (HE) staining. The numbers of macrophage was counted in 6 fields using trinocular microscope. The data were analyzed using Two-way Analysis of Variance (Two-way Anova). Result: The result of Two-way Anova showed that there were significance differences between the treatment and control groups, so were the interaction of the treatment and the day. Conclusion: The application of cinnamaldehyde membrane has an effect on the numbers of macrophage on the labial ulcer of Wistar Rats.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-04-26 12:04:33
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3712
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): April
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1806
2018-10-10T08:47:36Z
JWM:ART
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"181010 2018 eng "
2623-2723
2338-0373
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Pengaruh Pemberian Kombinasi Metformin Dan Oksigen Hiperbarik Terhadap Jumlah Fibroblas Dan Ketebalan Kolagen Dalam Penyembuhan Luka Pada Tikus Putih
Tamayanti, Wahyu Dewi
Fakultas Farmasi, Universitas Katolik Widya Mandala Surabaya
Dewi, Bemadette Dian Novita
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Theodora, Imelda
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Metformin is used in patients with type 2 DM who had a chronic hyperglycemia caused by insulin resistance. DM patients also suffered from hypoxia condtion of lacking oxygen in the tissues.This study was aimed to identify the effect of combination therapy of metformin and hyperbaric oxygen to increase the number of fibroblasts and collagen thickness in thePseudomonas aeruginosa-infected tissue in male Wistar rats with hyperglycemia. This study used alloxan 8% (w/v) that was injected intramuscular, anaerobic bacteria Pseudomonas aeruginosa in the injured area, metformin of 45mg/kgBB dose, and hyperbaric oxygen therapy at 2.4 ATA given 3 times 30 minutes respectively with 5 minutes interval for 5 consecutive days. Male Wistar rats (Rattus norvegicus) were divided into five groups:KN- was the group of normal Wistar rats;KDM- was the group with alloxan induction;KI -was the group with alloxan induction and infected by Pseudomonas aeruginosawithout treatment;KU1 - was the group induced by alloxan, infected by Pseudomonas aeruginosa, and treated by metformin; and KU2 – was the group that induced by alloxan, infected by Pseudomonas aeruginosaand treated by combination therapy ofmetformin and hyperbaric oxygen. Skin tissue was taken on the termination and HE stained to analysed the number of fibroblast and sized the collagen. Data obtained was statistically analysed by One way anava with a significant level of 5%. The result confirmed that combination therapy of metformin and hyperbaric oxygen increases the number of fibroblasts and collagen thickness in the wound of male hyperglycemic Wistar rats that Pseudomonas aeruginosa-infected
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-10 10:32:08
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1806
JURNAL WIDYA MEDIKA; Vol 4, No 1 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1812
2018-11-07T13:21:23Z
JWM:ART
nmb a2200000Iu 4500
"181019 2018 eng "
2623-2723
2338-0373
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Distribusi dan Antibiogram MRSA dari Spesimen Darah selama Empat Semester di RSUD Dr. Soetomo Surabaya
Sutandhio, Silvia
Departemen Mikrobiologi dan Parasitologi, Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Widodo, Agung Dwi Wahyu
Departemen Mikrobiologi Kedokteran, Fakultas Kedokteran, Universitas Airlangga
Wasito, Eddy Bagus
Departemen Mikrobiologi Kedokteran, Fakultas Kedokteran, Universitas Airlangga
MRSA bloodstream infection is hospital-acquired problem that is difficult to treat. Bacteria spread to body organs, create multiple loci of infection, and survive in the presence of beta-lactam antibiotics. Study of distribution and antibiogram of MRSA from blood specimens was done in four semesters; i.e. July–December 2014, January–June 2015, July–December 2015, and January–June 2016. Blood of patients suspected for bloodstream infection was drawn aseptically, transferred into liquid medium, and sent to Clinical Microbiology Laboratory of Dr. Soetomo General Hospital. Medium with microbial growth was subcultured on solid medium, and incubated for 18-24 hours in aerobic condition. Identification and susceptibility test were done with BD Phoenix, and interpreted based on Clinical and Laboratory Standards Institute 2015. Of total 107 MRSA isolates; 23 isolates (22%) were collected on July–December 2014, 12 isolates (11%) on January–June 2015, 25 isolates (23%) on July–December 2015, and 47 isolates (44%) on January–June 2016. MRSA mostly isolated from internal disease wards (45%). Isolates are sensitive to linezolid (91%), quinupristin-dalfopristin (83%), fosfomycin (82%), and vancomycin (80%). Trend of MRSA bloodstream infection is increasing. Although antibacterial agents against MRSA are available, it is best to prevent MRSA transmissions and infections.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-19 11:49:59
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1812
JURNAL WIDYA MEDIKA; Vol 4, No 2 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4022
2022-08-31T05:27:30Z
JWM:ART
nmb a2200000Iu 4500
"220630 2022 eng "
2623-2723
2338-0373
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THE RELATIONSHIP LIFESTYLE AND CENTRAL OBESITY IN CLINICAL STUDENT FACULTY OF MEDICINE CHRISTIAN UNIVERSITY OF INDONESIA IN 2021
Risma, Sanggul Andriyani
Universitas Kristen Indonesia Jakarta
Array
Prevention and control of central obesity is very important to prevent cardiovascular
disease. Central obesity is a condition where there is an accumulation of excess fat in the abdominal
area so that it looks fat in the stomach and the body shape resembles an apple. Cardiovascular risk
increases because fat cells in the abdomen release their fat into the blood vessels. Lifestyle factors such
as consumption of fiber foods, physical activity and stress affect the occurrence of central obesity.
Objective: This study aims to determine the relationship between lifestyle and the incidence of central
obesity in clinical students faculty of medicine Christian University of Indonesia in 2021. Methods:
This study used a cross sectional analysis design. Primary data collection was carried out in December
2021-January 2022 in the form of questionnaires distributed to 254 clinical students faculty of medicine
UKI in 2021. A total of 156 samples met the inclusion criteria and had complete data and were included
in the analysis. The independent variables are age, sex, smoking, stress, diet and physical activity. The
dependent variable is central obesity. Results: In the univariate analysis, 72% less physical activity
was found, central obesity was 41% and smoking was 15.9%. A total of 95.3% of samples with central
obesity have a diet lacking in fiber. In the chi-square analysis, there was a significant relationship
between dietary patterns and central obesity (p=0.01). Conclusion: The conclusion of this study is that
if we consume less fiber, it will increase the risk of central obesity.
Keywords: Central Obesity, lack of fiber, cardiovascular disease
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-06-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4022
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): Supplement Juni
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1818
2018-10-19T09:49:59Z
JWM:ART
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"181019 2018 eng "
2623-2723
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Peran Intervensi Dalam Meningkatkan Pemahaman Tentang Dinamika Menyusui
Watimena, Inge
Faculty of Medicine, Widya Mandala Catholic University Surabaya
Introduction: WHO has not achieved its 50% exclusive breastfeeding target. To understand the causes, two different studies were conducted. Study 1: Performed a worldwide literature review of various breastfeeding reports, indexing: obtained through electronic media (International Breastfeeding Journals, Google Scholars) using guided keywords (breastfeeding, attitude, experience, intervention). Twenty articlesrepresenting countries with varying information were selected. Result: Breastfeeding was not properly understood.Study 2A: a one-shot case study design was performed on 110 pre-or several day post-natal women, who received verbal, written (reading a booklet), or verbal+written information. Subjects were contacted by mail approximately a year later to complete a quantitative and qualitative questionnaire, 45 responded. Result: 88.9% succeeded in breastfeeding longer than six months. No significant differences in knowledge attainment between the three methods of intervention were found. Qualitatively it was shown that the importance of breastfeeding was not sufficiently understood. Subjectshadbetter understanding after intervention, became more motivated, and experienced physical, psychological, and social wellbeing. Study also showed thatbreastfeeding was not actively promoted by the medical team and environment. Study 2B:a one-group pre-post-test design, performed on 30 pregnant and 30 post-natal women, each divided in three sub-groups. Each sub-group received either verbal, written, or verbal+written information. Result: all interventions had a larger influence on pregnant compared to post-natal women. Discussion and Conclusions: verbal and written intervention have positive effect on breastfeeding knowledge and attitude. Health Promotion should be actively performed or promoted, especially on pregnant women, ideally by a competent motivator for the welfare of family and nation as well.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-19 11:49:59
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1818
JURNAL WIDYA MEDIKA; Vol 4, No 2 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4021
2022-08-31T05:27:30Z
JWM:ART
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"220630 2022 eng "
2623-2723
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ARTIFICIAL INTELEGENCE TECHNOLOGY IS SHAPING THE WOUND CARE
Kartika, Ronald Winardi
FKIK UKRIDA, Arjuna Raya no 6, West Jakarta http://orcid.org/0000-0002-3462-3519
Ali, Soegianto
FKIK UKRIDA, Arjuna Raya no 6, West Jakarta
Array
Chronic wounds cause significant morbidity and mortality in the health care system.1 Patients with chronic wounds require frequent visits for evaluation by health professionals. The main indicator of healing is wound reduction surface area that helps doctors determine the progress of healing and choose the right therapy. conventional wound care using photo planimetry is the safest and most effective way to provide wound care and to ensure continuous monitoring; this. Telemedicine approaches that involve remote monitoring are more suitable from both an economic and patient experience point of view. However, prompt intervention is proving difficult, and healthcare professionals must be able to ensure a high standard of care. Several technological support tools for wound care professionals that have provided ulcer morphology
measurements are able to provide automatic diagnostic information through a standard wound classification scale using the Artificial Intelligence (AI) method.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-06-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4021
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): Supplement Juni
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1996
2019-04-05T12:27:17Z
JWM:ART
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"190405 2019 eng "
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Perbedaan Jumlah Trombosit Platelet Rich Plasma Yang Menggunakan Tabung Natrium Sitrat Dan Tabung ACD-A
Clarissa, Sheila
Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya
Nugraha, Jusak
Departemen Patologi Klinik Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya
Ruddy, Triagung
Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya
Background: PRP is a relatively new field and there is still minor researches that are usage. However, PRP can be applied to a lot of various fields. This study willmake a comparison between tubes that have sodium citrate anticoagulant and tubes that have ACD-A anticoagulants, to be able to find out which of the two are able to produce a higher number of PRPs. Objective: To obtain the anticoagulants that produce more platelet countsand to know the difference in the platelet counts in PRPs found in tubes that have sodium citrate anticoagulants and tubes that have ACD-A anticoagulants. Method: This study was an experimental laboratorium research with an equivalent control group design. Data is normally distributed, so that the parametic statistical analysis test uses Paired T-Test. Results: From 32 respondents, there was an increase in both anticoagulant tubes, where the average increase in platelet counts in PRP using sodium citrate tubes was 337593.75 / μl and the standard deviation was 158795.437 whereas, the average increase in platelet counts in PRP using ACD-A tubes was 909062.50 / μL and the standard deviation is. 284336.005. The difference in platelet counts in PRP using sodium citrate tubes and ACD-A tubes was stated to be significant because the result of the Paired T-Test analysis showed Sig (2-Tailed) = 0,000 (p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-04-05 14:27:17
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1996
JURNAL WIDYA MEDIKA; Vol 5, No 1 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4321
2022-11-27T14:08:35Z
JWM:ART
nmb a2200000Iu 4500
"221122 2022 eng "
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IMPACT OF DIABETES MELLITUS AS A COMORBIDITY OF COVID-19 PATIENTS TREATED AT PANTI NIRMALA MALANG: REVIEWED FROM COAGULATION PARAMETERS
Luminturahardjo, Winarko
Department of Public Health Sciences, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya,
Simamora, Hustorio Aliongko
Department of Public Health Sciences, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya
Gianto, Evan Kurniawan
Departemen of Patology Clinic, Widya Mandala Surabaya, Catolic University Surabaya
Array
Background: Treatment of COVID-19 patients with comorbid like diabetes mellitus as more consequences such as greater mortality risk and prolonged hospitalization. One of the reasons is caused by a hypercoagulable state. Aim: To prove the difference in coagulation parameters of platelet count, C-Reactive Protein, and D-dimer between Covid-19 patients with diabetes comorbidity and without diabetes, and to analyze the correlation between coagulation parameters with the stage of pneumonia caused by Covid19. Methods: The design is a cross-sectional study. The sample was collected from patients registered whose hospitalized in an isolation ward at Panti Nirmala Hospital Malang from April to October 2021. Coagulation parameters (platelet counts, C-reactive protein (CRP), and D-dimer level) were measured from 134 patients, divided between 40 patients with diabetes mellitus and 94 patients without diabetes mellitus. Statistical analysis was performed by software SPSS 24, the version year 2016. Results: Among 134 COVID-19 patients who had diabetes and no diabetes comorbidity, there are results: no significant difference in average platelet counts between the two groups (p=0.763), and the difference in C-reactive protein is significant between the two groups (p=0.076), and the difference of D-dimer level is not significant between them (p=0.593). There is a positive correlation between CRP and D-dimer level with the stage of COVID19 pneumonia (r=0.000 and r=0.134), and on the other hand, there is a negative correlation between platelet counts with the stage of pneumonia (r=-0.126). Conclusion: COVID-19 patients hospitalized with diabetes mellitus tend to have more severe conditions marked by a higher level of coagulation parameters and correlate with the severity of pneumonia.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-11-22 01:14:34
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4321
JURNAL WIDYA MEDIKA; Vol 8, No 2 (2022): October
eng
http://journal.wima.ac.id/index.php/JWM/article/download/4321/11515
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2001
2019-04-05T12:27:17Z
JWM:ART
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"190405 2019 eng "
2623-2723
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Exertional Heatstroke, Asesmen Cepat Dan Penatalaksanaan Tepat: Laporan Kasus
Melinda, .
National Hospital
Yofrido, Filipus Michael
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Setiawan, Philia
National Hospital
Heatstroke is the most severe heat illness which homeostatic thermoregulatory mechanism is failed, characterized by an elevation of the core body temperature above 40 oC, central nervous system dysfunction, and possible multi-organ failure. Heatstroke is the third leading cause of death among athletes. Exertional heatstroke (EHS) is exercise-induced; usually affects young healthy people during strenuous physical activity and have not acclimatized to environmental heat stress. Frequently encountered complications include encephalopathy, acute respiratory distress syndrome, myocardial injury, acute kidney injury, hypoglycemia, intestinal ishemia or infarction, pancreatic injury, rhabdomyolysis, disseminated intravascular coagulation (DIC), hypocalcemia, lactic acidosis, and hepatic failure. Immediate cooling is the cornerstone of treatment which evaporative cooling is preferred. Aspiration and seizure are common; airway management, oxygenation, and ventilation have to be adequately maintained. Crystalloid-fluid resuscitation is essential, averaging 1200 mL in first 4 hours. Systemic complications of heatstroke should be well-managed to prevent worse outcome. A case of 32-years-old man with no significant medical history was brought to emergency department after collapsing while running into the 20-kilometres marathon. He was unresponsive (GCS E1V2M1), had serial generalized seizure and hematemesis-melena. On primary survey, the patient was shocked (BP 67/24 mmHg, HR 165 bpm, cold extremity), tachypnea (41/min), hyperthermia (40.5oC rectally), SpO2 95% on simple mask 10 L/min. His laboratory results showed full-blown complications of heatstroke. Immediate rehydration therapy using saline solution and colloid solution intravenously was started, followed with blood or blood component transfusion. Tracheal intubation and mechanical ventilation were performed. During the intensive treatment, he became fully conscious and was extubated on hospital day 7. He was hemodynamically stable without any support, but developed multi-organ failure. Unfortunately, on twentieth day, he was cardiac arrest during hemodialysis and died four days later.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-04-05 14:27:17
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http://journal.wima.ac.id/index.php/JWM/article/view/2001
JURNAL WIDYA MEDIKA; Vol 5, No 1 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1618
2018-03-15T10:50:54Z
JWM:ART
oai:ojs.jurnal.wima.ac.id:article/4173
2023-12-21T03:06:09Z
JWM:ART
nmb a2200000Iu 4500
"230430 2023 eng "
2623-2723
2338-0373
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HYPOGLYCEMIC, ANTI-INFLAMMATORY EFFECT OF PORANG (AMORPHOPHALLUS ONCHOPYLLUS) ON ALLOXAN-INDUCED DIABETIC RATS
Young, Andre
Department of Surgery and Anesthesiology, Faculty of Medicine, Widya Mandala Surabaya Catholic University
Novita, Bernadette Dian
Department of Pharmacology
Faculty of Medicine
Widya Mandala Surabaya Catholic University
Ricardo, Evan
Undergraduate Program Faculty of Medicine, Widya Mandala Surabaya Catholic University
Dewi, I.G.A.P.D
Undergraduate Program Faculty of Medicine, Widya Mandala Surabaya Catholic University
Amadeo, Jovan
Undergraduate Program Faculty of Medicine, Widya Mandala Surabaya Catholic University
Dewi, Sianty
Department of Obstetrics and gynecology, Faculty of Medicine, Widya Mandala Surabaya Catholic University
Tahalele, Paul
Department of Surgery and Anesthesiology, Faculty of Medicine, Widya Mandala Surabaya Catholic University
Array
Introduction: Iles-iles / Porang is a tuber-producing plant that is commonly found in Indonesia. One of the most sought after content from Porang is Glucomannan. One of Porang’s health benefit is related to the effect of lowering blood glucose levels because it can prevent glucose absorption. These benefit is interesting to study because there has been no research linking the use of Porang to reduce inflammatory process in hyperglycmic conditions.
Purpose: This study aims to analyze the anti-inflammatory, anti-oxidant and hypoglycemis effects of Glucomannan from Porang (Amorphophallus onchophyllus) extract in experimental animals.
Method: The research design was a true experimental post-test only control group with random sampling to determine 5 white rats into the normal group, positive control group, negative control group and treatment 1, 2 and 3. The positive control group received Acarbose therapy thile the negative control group received carboxy-methyl-cellulose (CMC) therapy. This study used Porang extract (Amorphophallus onchophyllus) with concentrations of 200, 400 and 800 mg/Kg in hyperglycemic white rats that had been induced by Aloxan. The study was conducte for 50 days and then blood and serum samples were taken to assess the effect of hypoglycemia, anti-inflammatory and anti-oxidant using blood glucose, Malondialdehyde and C-reactiveprotein (CRP) measurement.
Result and Discussion: The results showed no significant difference between the groups of rats receiving Porang extract and the positive and negative control groups. However, the MDA levels after 50 days of intervention between the negative control group and the therapy with doses of 200, 400 and 800 mg/Kg showed significant differences. Similarly found for blood glucose levels after intervention between negative control group and the 200 and 400 mg/Kg therapy group. This results may be caused by the type of Porang used, the form of the Porang and the concentration level of the Porang extract.
Conclusion: Porang with the type of Amorphophallus onchophyllus can’t be used directly, but requires further processing to obtain the active substance Glucomannan.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-03-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4173
JURNAL WIDYA MEDIKA; Vol 9, No 1 (2023): April
eng
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3767
2023-10-26T07:56:07Z
JWM:ART
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"231021 2023 eng "
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FACTORS ASSOCIATED WITH THE PREVALENCE OF SARCOPENIA IN ELDERLY UNIVERSITY WORKERS
Kartika, Ronald Winardi
Faculty of Medicine, Krida Wacana Christian University http://orcid.org/0000-0002-3462-3519
Susanti, Yosephin Sri
Faculty of Medicine, Krida Wacana Christian University
Winata, Susanti Dewi
Faculty of Medicine, Krida Wacana Christian University
Array
The most common cause of sarcopenia is a lack of physical activity throughout the day. In addition, there are also other possibilities that could be the cause of this loss of muscle mass, namely: Decreased levels of certain hormones related to muscle.
University workers who experience retirement often experience sarcopenia, because when they are still active, university workers are less active and have less protein intake. For this reason, it is necessary to pay attention to the activities of university workers while they are still active and productive at work
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-10-21 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3767
JURNAL WIDYA MEDIKA; Vol 9, No 2 (2023): October
eng
http://journal.wima.ac.id/index.php/JWM/article/download/3767/9812
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2204
2019-10-24T07:50:38Z
JWM:ART
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"191024 2019 eng "
2623-2723
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Staphylococcus Aureus Colonization On An Erythrodermic Psoriasis Patient
Oenarta, Dave Gerald
Department of Dermatology and Venereology, Faculty of Medicine, Widya Mandala Catholic University, Surabaya
Budayanti, NN Sri
Department of Clinical Microbiology, Faculty of Medicine, Udayana University, Sanglah General Academic Hospital, Denpasar
Fatmawati, NN Dwi
Department of Clinical Microbiology, Faculty of Medicine, Udayana University, Sanglah General Academic Hospital, Denpasar
Tarini, NM Adi
Department of Clinical Microbiology, Faculty of Medicine, Udayana University, Sanglah General Academic Hospital, Denpasar
Array
Skin plays an important role as the physical barrier and first-line immunological defense against dangerous stimuli, including bacteria. Erythroderma is a condition of excessive skin irritation causing extensive erythema and desquamation. Erythroderma itself is caused by various underlying conditions, one of them is psoriasis vulgaris. In erythroderma, there is an extensive disruption of physical barrier leading to the exposure of various bacteria, including Staphylococcus aureus. In human, this bacteria can either colonize or infect the host if exposed to open wound. It is essential to determine this as it will affect the necessity of administering antibiotics. Laboratory examinations such as complete blood count, Gram staining, and culture can help to determine the status of this bacteria. A correlation between clinical features and laboratory examinations is paramount in deciding patient management.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-10-24 09:50:38
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2204
JURNAL WIDYA MEDIKA; Vol 5, No 2 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/763
2018-09-04T13:09:09Z
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Medical Humanities In Medical Schools
Maramis, Willy F.
The reflections on education by John W. Alexander and UNESCO (United Nations Educatiol, Scientific and Cultural Organization), show that a “good doctor” and a medical specialist (including a psychiatrist), must not only be competent in empathic communication, clinical knowledge and clinical skills, but more so in humanities (especially in morals, ethics and bioethics) and soft skills. Humanities and soft skills education is therefore very important in medical schools. The main objectives in humanities education are mainly in the affective domain. Relevant and effective learning experiences must therefore be provided. For this, small group discussions is at present the most effective one, is not so difficult to do and also financially affordable. There is an added beneficial effect, this is that the fasilitators will also experience an enrichment in moral development. A model of a humanities curriculum and of a moral dilemma discussion group is presented. There are no principal differences between morals, ethics or bioethics education for undergraduates and that for residents (including psychiatric residents), only the moral dilemma cases may be adjusted to the level of education and more specific to the specialty.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2016-03-17 12:49:55
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http://journal.wima.ac.id/index.php/JWM/article/view/763
JURNAL WIDYA MEDIKA; Vol 3, No 1 (2015)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/774
2018-09-04T13:09:11Z
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Hubungan antara Kadar Mieloperoksidase (MPO) dan Kejadian Sindroma Koroner Akut (SKA)
Nugraha, Jusak
Setyaningrum, Citra Indah
Aminuddin, M.
Beberapa juta pasien nyeri dada dicurigai menderita Sindroma Koroner Akut (SKA) tetapi hanya sekitar 10% yang didiagnosis dengan Infark Miokard Akut (IMA). SKA merupakan kumpulan gejala akibat gangguan aliran darah ke jantung yang terdiri dari infark miokard akut (IMA) disertai peningkatan segmen ST (STEMI), IMA tanpa peningkatan segmen ST (NSTEMI) dan angina pektoris tak stabil (UA). Mieloperoksidase (MPO) merupakan suatu enzim yang berperan dalam terjadinya destabilisasi dan ruptur plak yang meningkat lebih dini dalam waktu 2 jam sesudah serangan IMA sehingga dapat dipakai sebagai penanda awal terjadinya SKA tanpa bergantung adanya bukti nekrosis miokard. Penelitian ini bersifat analitik observasional dengan rancangan cross sectional. Sampel penelitian berupa serum 40 pasien dengan keluhan utama nyeri dada yang datang ke UGD RSUD dr Soetomo Surabaya. Analisa data dilakukan dengan korelasi Pearson dan nilai diagnostik dengan tabel 2x2. Hasilnya diketahui pasien nyeri dada dengan dugaan SKA 27 orang (67,5%) sedangkan pasien nyeri dada yang non-SKA 13 orang (32,5%). Pasien SKA dengan jenis kelamin laki-laki 20 orang (74,07%), perempuan 7 orang (25,93%). Terdapat perbedaan yang signifikan kadar MPO antara kelompok pasien SKA (STEMI, NSTEMI, UA) yaitu sebesar 986,48 ng/ml dan non-SKA 381,08 ng/ml (p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2016-03-17 12:49:55
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http://journal.wima.ac.id/index.php/JWM/article/view/774
JURNAL WIDYA MEDIKA; Vol 3, No 1 (2015)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2499
2020-05-07T08:07:06Z
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Comparison General Anesthesia And Combined Scalp Block With Ropivacaine 0.5% On Mean Arterial Pressure, Heartrate And Fentanyl Consumption During Craniotomy.
Suryadani, Rudi Iskandar
Resident of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Hamzah, Hamzah
Staff of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Rehatta, Nancy Margarita
Staff of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Utariani, Arie
Staff of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Array
Surgical craniotomy such as skin incisions, head pinning, periosteal-dural contact, dura closure, bones and skin can cause of nociceptive stimulation. These actions are stimuli to the nerves that can stimulate stress response. The stress response to surgery is characterized by increased secretion of the pituitary hormone and activation of the sympathetic nervous system. Hypothalamic activation of the sympathetic autonomic nervous system results in increased secretion of catecholamines from the adrenal medulla and the release of norepinephrine from the presynaptic nerve terminal. Objectives: This study is a single blind experimental, 14 patients with ages 18-60 years physical status ASA (American Society of Anesthesiologists) 1-3, with elective craniotomy surgery. This study was divided into two groups of subjects, group A with seven craniotomy subjects with general anesthesia and group B with seven craniotomy subjects combined with scalp block using ropivacaine 0.5%. Data collected then analyzed with SPSS. We found a decrease in MAP (Mean Arterial Pressure) and heart rate in the scalp block group during scalp incision (MAP p=0.002; HR p=0.029), periosteal contact (MAP p=0.025; HR p=0.039) significantly, as well as the use of fentanyl during surgery was significantly decreased (p=0.0001). General anesthesia with scalp block is more effective in reducing the increase in MAP, heart rate and fentanyl consumption during craniotomy.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-04-30 00:00:00
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http://journal.wima.ac.id/index.php/JWM/article/view/2499
JURNAL WIDYA MEDIKA; Vol 6, No 1 (2020): April
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/843
2018-03-15T10:53:32Z
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Pengembangan Manajemen MRSA Pneumonia Nosokomial Hasil Uji ZEPHyR
Margono, Benyamin
Semua infeksi MRSA ditandai oleh genotip mecA, yang mengkode protein pengikat (PBP’s, PBP2A) di dinding sel, sehingga menimbulkan penurunan afinitas dalam mengikat penisilin anti staphylococus, fenotipik ini berlaku untuk semua antibiotik gol β-lactam, dan juga dapat menjadi resisten untuk kelas antibiotik seperti: macrolides, lincosamides, aminoglycosides, fluoroquinolones, tetracyclines, and sulfonamides. Faktor risiko independen terkait dengan infeksi MRSA adalah: rawat inap 12 bulan terakhir, onset lambat dari HAP, pembedahan, makanan enteral, dan pemberian antibiotik sebelumnya: aminoglycoside (7,9x), levofloxacine (7,2x), macrolide (5x), vancomycin (4.3x), dan βL/βLI (β-lactam/β lactamase inhibitor) (2,3 x). Kebanyakan pedoman infeksi mendukung penggunaan vancomycin atau linezolid jika dicurigai MRSA. Percobaan ZEPHyR adalah suatu studi acak terkontrol dengan rasio 1:1 linezolid q12h 600 mg IV vs vancomycin 15 mg / kg BB IV q12h selama 7-14 hari, Hasil klinis bermakna lebih baik linezolid daripada vancomycin, meskipun angka kematian pada 60 hari tidak menunjukkan perbedaan. Linezolid secara keseluruhan menunjukkan keamanan dan profil tolerabilitas yang memuaskan. Ringkasan: Indikasi linezolid adalah pneumonia dengan etiologi Staphylococus aureus nosokomial baik MSSA / MRSA atau Streptococus pneumoniae yang sensitif terhadap penisilin. Kombinasi terapi diberikan bila diduga gram negatif patogen. Dosis IV sama dengan dosis oral 600 mg BID, dosis pediatrik: 10 mg/kg/8 jam. Lama pengobatan 10-14 hari.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2013-05-28 14:17:43
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http://journal.wima.ac.id/index.php/JWM/article/view/843
JURNAL WIDYA MEDIKA; Vol 1, No 1 (2013)
eng
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oai:ojs.jurnal.wima.ac.id:article/2504
2020-05-06T06:41:40Z
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Chemoprophylaxis Versus Immunoprophylaxis In Tuberculosis And Leprosy Infection
Novita, Bernadette Dian
Department of Pharmacology and Therapy, Widya Mandala Catholic University Surabaya
Array
Tuberculosis (TB) and leprosy are mycobacterial diseases that still represent significant public health challenges. Bacille Calmette–Guérin (BCG), the only available TB and Leprosy vaccine use as Immunoprophylaxis and has already given in infants. However, the evidence of TB and Leprosy infection in Indonesia remain high. In the last 10 years, chemoprophylaxis for both TB and leprosy were extensively done. However the effectiveness between immunoprophylaxis and chemoprophylaxis remains unclear.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-04-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2504
JURNAL WIDYA MEDIKA; Vol 6, No 1 (2020): April
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/848
2018-03-15T11:09:00Z
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Studi kasus Osteosarkoma Metastase
Seger, Rudyanto Wiharjo
Osteosarkoma adalah tumor tulang ganas yang paling sering dijimpai.[1, 2] Penyakit ini diduga berasal dari sel-sel pembentuk tulang mesenkimal primitif, dan ciri histologisnya terdapat produksi osteoid ganas. Populasi sel lain juga dapat terlihat, karena jenis sel ini juga mungkin timbul dari sel-sel mesenkimal pluripotential, tetapi setiap tumor tulang ganas di diagnosis sebagai osteosarkoma. Terapi utama adalah operasi pengangkatan tumor ganas. Paling sering, dilakukan prosedur limb-sparing (limb-preserving). Kemoterapi juga diperlukan untuk mengobati penyakit mikrometastatik yang terjadi, tetapi sering tidak terdeteksi pada kebanyakan pasien (sekitar 80%) pada saat diagnosis.[3] Seorang wanita, nona YS, usia 21 tahun datang ke UGD RSK Marianum Halilulik-NTT dengan keluhan sesak nafas, nyeri telan, nyeri dada, panas, batuk, mual, 2 tahun yang lalu kaki kiri diamputasi dengan diagnosis patologi anatomi osteosarkoma. Pada pemeriksaan foto polos dada didapatkan gambaran suatu tumor paru dengan efusi pleura kanan. Pasien ini dirawat selama 6 bulan dengan terapi paliatif dan akhirnya meninggal dunia.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:34
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http://journal.wima.ac.id/index.php/JWM/article/view/848
JURNAL WIDYA MEDIKA; Vol 2, No 2 (2014)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2785
2020-10-31T21:14:48Z
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Histopathological Evaluation of Rabbit Hepatic Tissue Due to Remote Ischemic Reperfusion of Acute Limbs Injury Conducted with Ischemic Precondition and Hypothermic
Pardede, Marolop
1Departemen Bedah Toraks Kardiovaskular, RSUD Koja
Array
Acute limb ischemia (ALI) is an emergency that occurs due to a rapid decrease in perfusion to limbs which can result in mitochondrial dysfunction, causing disturbances in distant organs such as liver. There are various ways to reduce the effects including treatment of hypothermia and ischemic preconditions. So, this study was made to see any differences in liver tissue damage as a result of reperfusion distant ischemic injury between the untreated and treated groups of hypothermia and ischemic precondition in cases of acute limb ischemia. This study is a true-experimental, with the New Zealand White (NZW) male rabbits as the samples and it divided into three groups, untreated rabbit group (as a control), treated with ischemic preconditioning group and hypothermia group. The data were collected by taking rabbit liver biopsy samples and were analyzed in univariate and bivariate with Shapiro Wilk normality test, independent T-test and Mann Whitney. This study used 21 rabbits as sample, 3 were excluded and each group have 6 samples. Statistical analysis of the comparison of liver tissue damage scores between the control group and the ischemic precondition treatment group showed a significant difference with a p value 0.002 and the comparison of the liver tissue damage scores between the control group and the hypothermic treatment group showed significant differences with p value 0.004. It can be concluded that there are liver tissue damage as a result of ischemic reperfusion injury in experimental rabbits, and there are significant differences in liver tissue damage between the control group, the hypothermia and ischemic precondition group
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-10-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2785
JURNAL WIDYA MEDIKA; Vol 6, No 2 (2020): October
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2781
2021-04-30T08:28:19Z
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"210429 2021 eng "
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ACHIEVEMENT OF COMPETENCY DURING PEDIATRIC ROTATION OF ANESTHESIOLOGY RESIDENTS ACCORDING TO THE EDUCATIONAL STANDARD OF ANESTHESIOLOGY IN FACULTY OF MEDICINE AIRLANGGA UNIVERSITY
Susanti, Meilissa Eka
Faculty of Medicine, Airlangga University – Dr Soetomo General Academic Hospital
Utariani, Arie
Faculty of Medicine, Airlangga University – Dr Soetomo General Academic Hospital
Hanindito, Elizeus
Faculty of Medicine, Airlangga University – Dr Soetomo General Academic Hospital
Array
Background: The advancement and development of science and technology in the field anesthesiology and intensive therapy, has become the basis for the need of quality national guideline that is ethically and professionally accountable. This operational guideline can serve as a national guideline in providing anesthesia and intensive therapy services to patients. Until today, there is still no standardize educational evaluation for the pediatric division of anesthesiology to assess whether it is following the expected standards. Aim: To analyze the competency of anesthesiology residents in the pediatric division based on logbook according to the type of cases and procedures, and the number of patients based on the standard curriculum of the pediatric division of anesthesiology Surabaya. Methods: This study was an observational study with retrospective design, evaluating the competency of anesthesiology residents of Airlangga University in pediatric rotation according to the type of cases and procedures, and the number of patients treated and recorded in residents’ logbook based on the standard curriculum of the pediatric division of anesthesiology Surabaya. Data collection was performed by taking secondary data from April 2018-April 2020. Result: Median total of eletive cases during rotation and emergency cases during shift treated by anesthesiology resident of pediatric division was 9 (5-13) neonates, 35 (26-44) infants, and 56 (48-62) children. Target of neonates cases was achieved by 35%, infants by 100%, and children by 95% residents. Target of caudal anesthesia was achieved by 100%, inhalation induction by 55%, and IV line insertion by 100%. No resident achieved target for CVC insertion. Conclusion: A more formal and comprehensive guideline to standardize log case recording can be beneficial as it can evaluate residents based on the data collected electronically.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-04-29 19:44:18
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2781
JURNAL WIDYA MEDIKA; Vol 7, No 1 (2021): April
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/853
2018-03-15T11:08:34Z
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Perlunya Lex Spesialis bagi Pidana Kedokteran (Meninggalkan KUHP)
Sutanto, Djuharto S.
Saat ini perubahan status dunia medik dan kemajuan teknologi di Indonesia telah menjadikan masyarakat pengguna jasa medis menjadi “masyarakat yang mudah menuntut (litigious society)” sehingga dunia medis di Indonesia alami “krisis malpraktik”. Permasalahan ini perlu dicermati dan segera dicarikan jalan keluar. Salah satu solusi mengatasinya adalah dengan diterbitkannya suatu “lex spesialis” bagi sesuatu yang dianggap “pidana dokter”.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:34
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http://journal.wima.ac.id/index.php/JWM/article/view/853
JURNAL WIDYA MEDIKA; Vol 2, No 2 (2014)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/3166
2021-05-07T07:42:29Z
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MANAGEMENT OF PSEUDOANEURYSM ON ARTERIOVENOUS FISTULA: SERIAL CASES FROM WEST JAVA
Edi, Prasetyo
Division of Cardio-Thoracic and Vascular Surgery, Sentra Medika Hospital Cisalak
Utomo, Radityo
General Practicioner, Sentra Medika Hospital Cisalak
Array
Background: Pseudoaneurism is one of the many complications of dangerous AV shunt procedure. Their diagnosis and surgical treatment are important, because they can cause severe disability, including loss of upper extremity and hand. The usual techniques of pseudoaneurysm has 2 types, Ligation and patch with Fogarty thromboembolectomy. Objective: Here we reported 3 case of ruptured anastomotic and ruptured vein pseudoaneurysm of brachiocephalic arteriovenous fistula which has undergone surgical procedure. Methods: First case, a 29-years-old man presented with swelling and extreme pain in his right arm since 3 days ago. He had undergone AVF procedure 3 weeks ago. His right arm was accidentally squeezed by his mother 1 week after the surgery had been done. Second case, a 55-years-old patient presented with swelling, boils, and extreme pain in her left arm since 3 months ago. The patient's family said that the patient was often stabbed during multiple times of hemodialysis in the same place. Third case, a 65-year-old male patient, The patient fell from the motor 3 days ago, his right hand hit the motorcycle handlebar. The patient's AV fistula ruptured, was then taken to the hospital, the nurse dressing the wound, then planned for surgery. Results: Patient’s postoperative course went well and there was no sign of complication, such as ischemia. Arm swelling were reduced after 2 weeks follow up. Conclusion: The management of pseudoaneurysm can be done with different surgical methods depending on the cause and condition of the blood vessels. The management of pseudoaneurysm is not intended to save AVF but to save the patient from limb salvation and amputation.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-04-29 19:44:18
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3166
JURNAL WIDYA MEDIKA; Vol 7, No 1 (2021): April
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/859
2018-03-15T11:01:38Z
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The Need for Geriatric Palliative Care in Indonesia
Tejawinata, R. Sunaryadi
Sebagai hasil kemajuan dari berbagai aspek pengetahuan medis dan pelayanan medis di Indonesia, usia harapan hidup penduduk Indonesia menjadi lebih panjang. Jumlah lansia di Indonesia bertambah secara dramatis.
Sebagaimana kita ketahui bahwa pada lansia akan terjadi perubahan-perubahan bio-molekuler yang menyebabkan terjadinya perubahan fisiologi yang diikuti oleh degenerasi dari organ-organ dan sistem pada lansia. Semua ini akan membawa lansia kepada suatu keadaan “frailty”, yang jelas menyebabkan lansia itu membutuhkan berbagai dukungan.
Perawatan Paliatif, selain dapat diberikan kepada semua umur, dan menjadi lebih penting bagi lansia. Di dalam Surat Keputusan Menteri Keehatan Republik Indonesia, jelas dikatakan bahwa perawatan paliatif tidak hanya untuk penderita-penderita penyakit kanker, tetapi juga bagi mereka yang menderita karena penyakit non-kanker seperti penyakit-penyakit degeneratif. Sedangkan Paus Benedictus XVI mengatakan: “dewasa ini masyarakat yang didominasi oleh logika efisiensi dan keuntungan, sering tidak menerima apa adanya lansia. Kualitas masyarakat atau peradaban dapat dinilai dari bagaimana masyarakat itu memperlakukan lansia”
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:11
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http://journal.wima.ac.id/index.php/JWM/article/view/859
JURNAL WIDYA MEDIKA; Vol 1, No 2 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/3335
2021-10-31T08:48:52Z
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HEMATOLOGIC PARAMETERS AS PREDICTOR OF COVID-19 SEVERITY
Saputra, Angky
RS ADI HUSADA UNDAAN WETAN
Supit, Vincentius Diamantino
RS GOTONG ROYONG
Helena, Margaret Gabriele
PUSKEMAS TALISAYAN
Alfares, Margareth Ayuni Trinatha
PUSKESMAS BOGANATAR
Angky, Vicky Sanrio
RS MITRA KELUARGA KENJERAN
Array
Introduction: To this day, COVID-19 still cause high mortality and morbidity in most cases. The severity of COVID-19 can be detected by simple tests such as complete blood counts which available in most health facilities. Through early detection of the estimated severity of COVID-19, we may determine which patients need hospitalization or patients sufficient with self-isolation.
Methods: We conduct an analytical, cross-sectional, retrospective study that analyzed the hematological parameters of 97 patients with positive rRT-PCR swabs in the period of March to August 2020. Hematologic parameters of COVID 19 patients with mild and moderate-severe symptoms were compared. The receiver operating characteristic (ROC) curve, area under the curve (AUC), and Youden's index were created to determine the optimal cut-off value in predicting the degree of severity of COVID-19 patients.
Results: Statistically significant differences (p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-10-31 00:00:00
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http://journal.wima.ac.id/index.php/JWM/article/view/3335
JURNAL WIDYA MEDIKA; Vol 7, No 2 (2021): October
eng
http://journal.wima.ac.id/index.php/JWM/article/download/3335/8599
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1648
2018-04-05T10:36:11Z
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Peran ciri demografi, status gizi, lingkungan, tingkat pengetahuan, sikap dan tindakan masyarakat terhadap kejadian demam berdarah dengue di wilayah kerja puskesmas rangkah surabaya
Steven, .
Fakultas Kedokteran Unika Widya Mandala Surabaya
Incident rate of Dengue Hemoragic Fever (DHF) is still tendensious to increase every year in Indonesia, specially in Rangkah Health Centre, Surabaya, East Java. The goal of this research was to study the risk factor of demography, nutrition state, environment, knowledge, attitude, and community practices.
The research is analitic observational research with case control study approach. The population of this study was people with DHF diagnosed in territory of Rangkah Health Centre both children and adults. Group cases was patient who have had letter of DHF diagnosis from doctor where the patient is treaded and laboratory test result showed amount of trombosit ≤ 100.000/mm3 The sample cases were taken from entire 61 cases. Group control was people around more than 200 m distance from the patient house with ratio 1: 3 and perform randomly. The total control group were 183 cases.
The variable observed were age, sex, nutrition state, income, occupation, education, ventilation, population density, vector density, house lighting condition, the number of possible mosquito breeding container, knowledge, attitude, and community practices. The entire variable were analysed by logistic regression test.
The study result showed that the risk factor of DHF cases are as follow: income factor (p= 0,01, CI 95%, OR= 4,04), ocupation (p = 0,03, CI 95%, OR= 1,8), population density (p = 0,001, CI 95%, OR= 1,58), house of lighting condition (p = 0,02, CI 95%, OR= 2,75), ventilation (P= 0,02, CI 95%, OR= 3,2), the number of possible breeding container ( = 0,001, Ci 95%, OR= 1,2), and community practices (P=0,001, CI 95%, OR= 2,21).
The study conclude that income factor, occupation, population density, ventilation, house of lighting condition, the number of possible breeding container, and community practices had significant role toward DHF incidences.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-04-05 12:23:28
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1648
JURNAL WIDYA MEDIKA; Vol 2, No 1 (2014)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3516
2021-10-31T08:48:52Z
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COMPLETE REPAIR OF TETRALOGY OF FALLOT (TOF) ON BEATING HEART SURGERY WITHOUT AORTIC CROSS CLAMPING : REPORT OF A CASE
Laksono, Gerardo AK
Surgery Department, Faculty of Medicine, Widya Mandala Surabaya Catholic University
Soebroto, Heroe
Thoracic, Cardiac and Vascular Surgery Department, Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Hospital Surabaya Indonesia
Tahalele, Paul L
Surgery Department, Faculty of Medicine, Widya Mandala Surabaya Catholic University
Array
Introduction: Reperfusion injury is a well-known phenomenon that occurred in cardioplegic techniques with cardiopulmonary bypass. Therefore great effort is made to prevent reperfusion injury. Beating Heart Continuous Coronary Perfusion (BHCCP) surgery is one of the alternative techniques to improve an ischemic reperfusion injury in open-heart surgery, either in pediatric or in adult. This technique can be done in complete repair of tetralogy of Fallot (TOF). Purpose: To report our first experience in doing complete repair of TOF using beating heart technique without aortic cross-clamping Case Report: A five-year-old boy came on to ER on January 6th, 2012, with a history of cyanotic since birth. His echocardiography and catheterization concluded a tetralogy of Fallot with a McGoon ratio of 1.95 (the diameter of RPA and LPA were 9.14 mm and 8.79 mm, respectively). A complete repair of TOF was done using beating heart surgery without aortic cross-clamping technique. One month post-surgery evaluation, there weren't any neurological or motor disorders. Echocardiography results showed no residual pulmonary stenosis, but 0.2 mm residual VSD was found. Conclusion: This heart rate technique is an alternative method of myocardial protection in cardiac surgery. In several cardiac centres globally, this technique is relatively safe and can be used during surgery, especially in the total correction of TOF.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-10-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3516
JURNAL WIDYA MEDIKA; Vol 7, No 2 (2021): October
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1653
2018-04-05T10:36:12Z
JWM:ART
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"140405 2014 eng "
2623-2723
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Penyelesaian gugatan malpraktek
Sutanto, Djuharto S.
Fakultas Kedokteran Unika Widya Mandala Surabaya
Several unsuccessful effort of any doctor in overcoming disease in patients, in this era of “litigious society” tends to encourage some patients in resolving their problems at the green table with a malpractice lawsuit. However, the case settlement outsidethe court of justice is much more efficient and affordable. The ability of a doctor in court to face the judge or opposing patient legal counsel or attorney is very weak. Doctors who will go on trial should also be prepared emotionally and psychologically
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-04-05 12:23:28
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http://journal.wima.ac.id/index.php/JWM/article/view/1653
JURNAL WIDYA MEDIKA; Vol 2, No 1 (2014)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3551
2022-04-26T10:04:33Z
JWM:ART
nmb a2200000Iu 4500
"220426 2022 eng "
2623-2723
2338-0373
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SARCOPENIA IN THE ELDERLY: PATHOGENESIS, DIAGNOSIS AND TREATMENT
Djaputra, Edith Maria
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Array
‘Sarcopenia’ involves a progressive age-related loss of muscle mass and associated muscle weakness that renders frail elders susceptible to serious injury from sudden falls and fractures and losing their functional independence This disease has a complex multifactorial pathogenesis, which involves not only age-related changes in neuromuscular function, muscle protein turnover, and hormone levels and sensitivity, but also a chronic pro-inflammatory state, oxidative stress, and behavioral factors – in particular, nutritional status and degree of physical activity. In the previous definition by the European Working Group on Sarcopenia in Older People (EWGSOP) in 2010, the diagnosis of sarcopenia requires the presence of both low muscle mass and low muscle function. Since the 2010 definition is difficult to be translated to clinical practice, the EWGSOP uses low muscle strength as the primary parameter of sarcopenia in the 2018 definition; sarcopenia is probable when low muscle strength is detected. A sarcopenia diagnosis is confirmed by the presence of low muscle quantity or quality. When low muscle strength, low muscle quantity/quality and low physical performance are all detected, sarcopenia is considered severe. According to the pathophysiological factors involved in the pathogenesis of sarcopenia, different treatment strategies against sarcopenia are resistance exercise training, increase essential amino acids intake, vitamin D supplementation for those with vitamin D deficiency, polyunsaturated fatty acids (PUFAs) supplementation, testosterone supplementation, angiotensin-converting enzyme inhibitor administration.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-04-26 12:04:33
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3551
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): April
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1807
2018-10-10T08:47:37Z
JWM:ART
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"181010 2018 eng "
2623-2723
2338-0373
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Antimikroba: Magic Bullet Versus Superbugs
Sutandhio, Silvia
Departemen Mikrobiologi dan Parasitologi, Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Alimsardjono, Lindawati
Departemen Mikrobiologi Kedokteran, Fakultas Kedokteran, Universitas Airlangga
Wasito, Eddy Bagus
Departemen Mikrobiologi Kedokteran, Fakultas Kedokteran, Universitas Airlangga
Magic bullet is a terminology used by Paul Ehrlich to refer to substance that selectively attacks microbes that cause infection without affecting human tissues. The concept of magic bullet is adopted in attempts to find antimicrobial drugs that is safe to human. Improper and excessive use of antimicrobial drugs has caused the emergence ofmicrobes that are resistant to various antimicrobial drugs (superbugs). Superbugs are recent healthcare and public health issues. This condition is exacerbated bythe discovery void of effective antimicrobial drug against superbugs. Health practitioners must perform prudent use of antibiotics in order to prevent transmission of and infection by superbugs.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-10 10:32:08
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http://journal.wima.ac.id/index.php/JWM/article/view/1807
JURNAL WIDYA MEDIKA; Vol 4, No 1 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1813
2018-10-22T07:57:56Z
JWM:ART
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"181019 2018 eng "
2623-2723
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Pemakaian Nitroglycerin Intravena Invivo Sebagai Antidotum Efek Heparin
Jiwangga, Dhihintia
SMF Ilmu BedahThoraks, Kardiak dan Vaskular RSUD Dr. Soetomo / Fakultas Kedokteran, Universitas Airlangga
Tahalele, Paul L.
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Basori, Achmad
SMF Ilmu BedahThoraks, Kardiak dan Vaskular RSUD Dr. Soetomo / Fakultas Kedokteran, Universitas Airlangga
Introduction: intravenous nitroglycerin, if given simultaneously with heparin, can obstruct the heparin's anticoagulant effect, but it still remains controversy. This statement underlies researcher to authenticate whether intravenous nitroglycerin can neutralize heparin
Aim: to find out if intravenous nitroglycerin can neutralize heparin
Method: this research is an in vivo experiment with a rabbit as the experimental subject at The Pharmacology Department of The Medical Faculty of The Airlangga University. The experimental subjects are divided into a control group and a treatment. The control group is only given a dose of heparin, while the treatment is given a dose of heparin and some doses of intravenous nitroglycerin. Each of this experimental subjects will be examined its activated clotting time (ACT) score with a hemochrone. The statistical test that will be used is the normality test with one sample kolmogorov smirnov test
Result: the administration of 3 mg/kg dose of intravenous glyceryl trinitrate after the administration of 3 mg/kg heparin can reduce the ACT value or neutralize the heparin's anticoagulant effect significantly with the value p= 0,001 (pc0,005). The group that receives 6 mg/kg glyceryl trinitrate, if compared to the prior ACT before the administration of 6 mg/kg glyceryl trinitrate, has a change with the value p= 0,001 (PO, 05). The group that receives 9 mg/kg glyceryl trinitrate, if compared to the prior ACT before the administration of 9 mg/kg glyceryl trinitrate, has a significant change with p=0,010 (P
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-19 11:49:59
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http://journal.wima.ac.id/index.php/JWM/article/view/1813
JURNAL WIDYA MEDIKA; Vol 4, No 2 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4023
2022-08-31T05:27:30Z
JWM:ART
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"220831 2022 eng "
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THE ROLE OF THE DOCTOR STILL NEEDS IN THE DEVELOPMENT OF THE ARTIFICIAL INTELLIGENCE ERA
Jaelani, Fitriana
Faculty of Medicine, Pattimura University, Ambon
Tomu, Sitri Djuma R.
Faculty of Medicine, Pattimura University, Ambon
Array
The role of doctors is often questioned as a result of the development of the Artificial Intelligence Era as if the Artificial Intelligence Era will be able to replace the role of doctors. Based on this phenomenon, the research team wishes to conduct research on whether the role of doctors is still necessary in the development of the Artificial Intelligence Era. This research was conducted using qualitative research methods, namely by interviewing informants from several doctors, clinical and pre-clinical students.
Data collection techniques by means of in-depth interviews. Sampling by means ofpurposive sample. This study aims to reveal that the role of doctors is still very important in the midst of the development of the Artificial Intelligence Era. The results show that the role of doctors in the development of the Artificial Intelligence Era has a positive role in that Artificial Intelligence is more sophisticated and makes it easier for doctors to carry out their duties. The Artificial Intelligence Era cannot replace the
role of doctors, but the Artificial Intelligence Era supports the role of doctors in carrying out their duties.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-06-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4023
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): Supplement Juni
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1819
2018-10-19T09:49:59Z
JWM:ART
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"181019 2018 eng "
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Kuku Sebagai Petunjuk Penyakit Lain
Anggowarsito, Jose L.
Departemen Dermatovenereologi, Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Changes in the color and texture of the surface of the nail can reflect a variety of medical conditions. We can notice subtle change as variations, and often these imperfections form will not mean much to some people, but for the trained eye, nail conditions can provide valuable clues about the health, though often not be the first hint of a serious illness. Healthy nails have a smooth texture with flat surface, without pits or grooves. They are uniform in color and consistency and free of spots or discoloration. Provided diligently observe this section, some of diseases can be identified from some of anomalies and unusual things. On the other hand, lack of proper treatment of the nail can also cause some health problems. Good habits of nail care can avoid the risk of health problems and the threat of some diseases
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-19 11:49:59
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1819
JURNAL WIDYA MEDIKA; Vol 4, No 2 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4020
2022-08-31T05:27:30Z
JWM:ART
nmb a2200000Iu 4500
"220630 2022 eng "
2623-2723
2338-0373
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OVERVIEW OF THE FIRST 1000 DAYS OF LIFE FOR EXPECTANT MOTHERS AND TODDLERS AGED 0-2 YEARS IN GIANYAR REGENCY, BALI, INDONESIA
Pradnyawati, Luh Gede
Department of Public Health, Faculty of Medicine Warmadewa University
Juwita, Dewa Ayu Putu Ratna
Department of Public Health, Faculty of Medicine Warmadewa University
Array
Introduction: The first 1000 days of life are the most critical period in children’s physical and cognitive development. Nutritional status in the first 1000 days of life in expectant mothers and children under five will affect the quality of health, intellectual, and productivity in the future. According to the Basic Health Research of Bali Province, the prevalence of stunting in Bali is 32.6%, with the most cases, one of which is in Gianyar Regency. Objectives: To present an overview of the first 1000 days of life in
expectant mothers and toddlers aged 0-2 years. Materials and Methods: This study uses a descriptive research design with a household survey using a cross-sectional approach to 30 clusters. From each selected census block, 5 expectant mothers, 5 toddlers aged 0-1 years and 5 toddlers aged 1-2 years were selected as samples using simple random method from 450 respondents in the total sample. Results: The incidence of stunting in toddlers aged 1 year is 12% and in toddlers aged 2 years is 17%
with a total rate of 19% in Gianyar Regency. In terms of gender of those who experience stunting, most of them are female with a percentage of 20%. In the implementation of the first 1000 days of life, especially in the level of achievement of specific interventions, there are expectant mothers who are exposed to cigarette smoke or as passive smokers with a percentage of 42%. At the level of achievement of sensitive indicators, especially the provision of clean water and sanitation, it is found that only 5.1% has access to clean water. Conclusions: There are 19% stunting toddlers in Gianyar Regency. Further research is needed, which adds or expands other variables and develops research methods.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-06-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4020
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): Supplement Juni
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1997
2019-04-05T12:27:17Z
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"190405 2019 eng "
2623-2723
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Asosiasi Antara Situasi Emosi, Kepatuhan Pada Oral Anti Diabetes, dan Hemoglobin Terglikasi Pada Penyandang Diabetes Mellitus Tipe 2
Wattimena, Inge
Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Katolik Widya Mandala Surabay
Prawesti, Galuh Nawang
Departemen Farmasi Klinik dan Komunitas, Fakultas Farmasi Universitas Katolik Widya Mandala Surabaya
The problem of diabetes, which is predicted to increase in number of people suffering from diabetes in the upcoming years, needs to be examined from a bio-psycho-social perspective. This chronic illness which is difficult to be cured, affects the emotional situation and also the adherence to oral anti-diabetes (OAD). The objective of this study is to examine the relationship between bio-physiology of the body (measured by the glycated hemoglobin level of HbA1c) and the emotional situation and adherence to OAD. Observational research with a cross-sectional approach was carried out on 76 type 2 diabetics who were treated at the Gotong Royong Hospital (RSGR) Surabaya. Research data was taken through a valid and reliable questionnaire about emotional situation and adherence to OAD. The glycated hemoglobine was measured in the RSGR laboratory. Inferential analysis was tested using Spearman correlation test. The results showed a significant negative correlation power between the emotional situation and the level of HbA1c (r = -0.256, p = 0.026), as well as between the level of adherence to OAD and the level of HbA1c (r = -0.402, p = 0.000). Those outcomes indicated that the more positive the emotional situation, as well as the higher the level of adherence to OAD, the better health outcome of the diabetic patient. These results enrich the educational material in health promotion. Enhancing the positive emotional situation and the level of adherence to OAD will decrease the morbidity and mortality rates due to diabetes, and optimize the welfare of the patient.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-04-05 14:27:17
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1997
JURNAL WIDYA MEDIKA; Vol 5, No 1 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4322
2022-11-27T14:08:35Z
JWM:ART
nmb a2200000Iu 4500
"221122 2022 eng "
2623-2723
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SARS-COV-2 (COVID-19) EXAMINATION USES ANTIGEN SWAB FOR COMPANY’S EMPLOYEES IN SURABAYA ON JULY – AUGUST 2021
Riadi, Lukas Slamet
Department of Public Health Sciences, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya
Sincihu, Yudhiakuari
Department of Public Health Sciences, Faculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya
Dinata, Mulya
Departemen of Patology Klinik, Widya Mandala Surabaya, Catolic University Surabaya
Supit, Vincentius Diamantino
Departemen of Neurology, Gotong Royong Hospital Surabaya
Harrisa, Juanita
Profesi of Ners, Universitas Muhammadiyah Surabaya
Lisdiyanti, Putri
Profesi of Ners, Universitas Muhammadiyah Surabaya
Array
Background of the problem: Since 2020, all the countries in the world has been rocked by Covid-19 (Sars-Cov-2) pandemic. Since July 2021, Indonesia became Covid-19 epicentrum with the highest mortality 2.048 people in the world on 10th August 2021. Covid-19 supporting diagnosis checkup uses RT-PCR and Antigen rapid test, this was based on the Indonesian Health Minister instruction about the uses of antigen test for 2019 Corona Virus Disease checkup. Method: This research uses cross sectional, retrospective analytic study by seeing the data that was taken from SARS-Cov-2 antigen rapid test from some location of companies in Surabaya. The swab data is from Sentra Medika Clinic Surabaya by using nasopharyngeal and nasal antigen SARS-CoV-2 rapid test kit (immunochromatography method). Result: The main data of labor’s characteristics is 6033 people. The highest number was on July to August 2021 on the age range of 30-39 years old (39,70%), meanwhile at the age of 60-69 years old is 0,45%. In the case of Covid-19 virus infection, the highest number of positive antigen was at the age range of 30-39 years old was 64 people (41,30%), whereas 2 people (1,30%) were at the age range of 60-69 years old. At the age more than 60, the number of case is not many but the statistic analytic result shows that age influences P0,05 (P 0,260) Covid-19 Antigen swab test result. The case spike happened on July 2021, 153 people were positive of Antigen swab test: 141 people were men (92,16%) and 12 people were women (7,84%). On August 2021, 2 men were positive (100%). Conclusion: The result of the research in July 2021 shows that the highest numbers of labor are at the age of 30-39 years old. The risk of Covid-19 infection mostly at men. Whereas Covid-19 infection risk is at the age of 60-69 years old are in small amount. Age influences the result of Covid-19 Antigen swab test. Meanwhile, gender does not influence the result of Covid-19 Antigen swab test.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-11-22 01:14:34
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http://journal.wima.ac.id/index.php/JWM/article/view/4322
JURNAL WIDYA MEDIKA; Vol 8, No 2 (2022): October
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4230
2023-12-21T03:06:09Z
JWM:ART
nmb a2200000Iu 4500
"230430 2023 eng "
2623-2723
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CORRELATION OF SERUM ZINC LEVELS WITH SEVERITY AND DISEASE ACTIVITY IN VITILIGO PATIENTS AT SANJIWANI GIANYAR HOSPITAL
Widiawati, Sayu
Sanjiwani Regional General Hospital, Gianyar
Budiani, Made
Sanjiwani Regional General Hospital, Gianyar
Iswara, Pradnya
Warmadewa University
Array
Vitiligo is autoimmune disease, characterized by well defined milky-white macule, caused by destruction of melanocyte selectively. Management of vitiligo is still challenging due to the pathogenesis is not yet fully understood, and vitiligo can caused significant psychological distress to the patients. Several studies reveal the role of zinc as an important element in the prevention and treatment of vitiligo based on zinc's function as an antiapoptotic, as a bull against free radicals, and as an important element in melanogenesis by stimulating cell mediated immunity activity, zinc and alpha melanocyte stimulating hormone. We conducted an analytical cross-sectional study that aims to determine the correlation between plasma zinc levels and the severity of vitiligo using the VASI score and vitiligo disease activity calculated based on the VIDA score. The results showed that there was a strong negative correlation between serum zinc levels and the VASI score, with a correlation coefficient or r = -0.668 and p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-03-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4230
JURNAL WIDYA MEDIKA; Vol 9, No 1 (2023): April
eng
http://journal.wima.ac.id/index.php/JWM/article/download/4230/11089
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2200
2019-10-25T14:04:06Z
JWM:ART
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"191024 2019 eng "
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When Do We Need Pleural Surgery?
Tahalele, Paul L
Department of Surgery Faculty of Medicine Widya Mandala Catholic University Surabaya
Dwintasari, Merlinda
Department of Surgery Faculty of Medicine Widya Mandala Catholic University Surabaya
Motulo, Y
Division of Thoracic, Cardiac & Vascular-Endovascular PHC Teaching Hospital Surabaya
Sembiring, Yan Efrata
Department of Thoracic, Cardiac, & Vascular Surgery Faculty of Medicine Universitas Airlangga Surabaya
Suta, Dhihintia Jiwangga
Department of Thoracic, Cardiac, & Vascular Surgery Faculty of Medicine Universitas Airlangga Surabaya
Array
Pleural sac is an enclosed sac covering the lung that consist of two membranes, i.e. parietal and visceral pleura. It has a cavity filled with small amount fluid that plays important role to provide smooth sliding of lung during respiration. Change or disturbance in the pleural cavity and or the pleura itself may result in restriction of lung expansion causing ventilation compromise.
Pathology of pleura may result from varying etiology. It may present as inflammatory pleural effusion, non-inflammatory pleural effusion, pneumothorax, hematothorax, fibrothorax, pleural tumors, and cylothorax. Diagnostic tool for pleural diseases may be made from the simplest chest x-ray, ultrasound, computed tomography, MRI and histopathological studies.
There are several treatment options for managing pleural diseases. It consist non operatif treatment, pleural drainage, decortication or pleurectomy, pleurodesis, and/ or resection of pleural tumor through procedure VATS, or open thoracotomy. Indications for surgery are traumatic or spontaneous pneumothorax, hematothorax, cylothorax, failure of non operatif treatment, fibrothorax or schwarte limiting lung expansion, mesothelioma, and recurrent pneumothorax or malignant pleural effusion. Decision for surgery need appropriate timing and planning regarding different pathology and different etiology.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-10-24 09:50:38
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2200
JURNAL WIDYA MEDIKA; Vol 5, No 2 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/764
2018-09-04T13:09:00Z
JWM:ART
oai:ojs.jurnal.wima.ac.id:article/765
2018-09-04T13:09:09Z
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Pemeriksaan Imunofluoresen Direk pada Henoch Schonlein Purpura
Sandhika, Willy
Rimadhani, Marina
Suyoso, Sunarso
Henoch-Schönlein purpura (HSP) is an acute immunoglobulin A (IgA)–mediated vasculitis involving the small vessels. This disease cause systemic involvement of many organ especially the skin, the gastrointestinal (GI) tract and the kidneys.
The etiology of HSP is not clear. Precipitating factors include drugs, chemicals, viruses and bacteria. Pathogenesis of HSP involve Ig A–mediated immune complex that are circulated in blood vessel and deposited in many organs. The presence of IgA-mediated immune complex deposits will activate the complement system, causing inflammation in the form of vasculitis that damage the small blood vessels in many organs.
Hsp is a self-limiting disease that require supportive therapy. The problem that arises is how to distinguish HSP with other vasculitis diseases. A skin biopsy in patients with hsp will reveal leukocytoclastic vasculitis in small vessel. That kind of vasculitis are also found in urticarial vasculitis, hypersensitivity vasculitis and vasculitis due to cryoglobulinemia. Direct Immunofluorescence test from skin biopsy tissue will help to make the diagnosis of HSP. The presence of IgA deposits in small blood vessels wall can distinguish HSP from other vasculitis.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2016-03-17 12:49:55
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/765
JURNAL WIDYA MEDIKA; Vol 3, No 1 (2015)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/5060
2023-10-26T07:56:07Z
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"231021 2023 eng "
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THE USE OF BASEL SCORE IN EARLY DETECTION OF CORONARY LESION SEVERITY IN NON-ST SEGMENT ELEVATION MYOCARDIAL INFARCTION AND UNSTABLE ANGINA PECTORIS
Sunardi, Andrew Eka Pramudita
Faculty of Medicine, Sam Ratulangi University, Manado
Djafar, Dewi Utari
Faculty of Medicine, Sam Ratulangi University, Manado
Jim, Edmond Leonard
Faculty of Medicine, Sam Ratulangi University, Manado
Langi, Fima Lanra Fredrik Gerald
Faculty of Medicine, Sam Ratulangi University, Manado
Array
Early diagnosis of cardiac ischemia is crucial for effective management of acute myocardial infarction. The BASEL (Better Analysis of ST-segment Elevations and Depressions in a 12-leads-ECG) score has been shown to provide additional diagnostic value to the established electrocardiographic (ECG) criteria. This study aimed to evaluate the use of BASEL score to determine the severity of coronary lesions in patients with non-ST segment elevation acute coronary syndrome. This study used a cross-sectional approach and was conducted from January 2021 to January 2022.
From a total of 90 subjects, more than three-quarters were male, while the mean age was 60.3 years. The median BASEL score was 2.3 (1–4.2). GRACE 2.0 score had a mean of 97.3±26. The SYNTAX I score had a mean of 25±15.6, the SYNTAX II – PCI median score was 34.5 (25.9-42.4), and the SYNTAX II-CABG mean score was 23.4±11.9. The BASEL score showed a significant association with the SYNTAX I score both in univariate 2.60 (2.60-3.59), p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-10-21 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/5060
JURNAL WIDYA MEDIKA; Vol 9, No 2 (2023): October
eng
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2205
2019-10-24T07:50:38Z
JWM:ART
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"191024 2019 eng "
2623-2723
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Intravascular Lymphoma, Jenis Limfoma Yang Jarang Dijumpai Dengan Prognosis Buruk
Sandhika, Willy
Department of Anatomic Pathology Faculty of Medicine, Universitas Airlangga/ Dr.Soetomo General Hospital, Surabaya
Sasongko, Aries
Faculty of Medicine, Widya Mandala Catholic University, Surabaya
Parengkuan, Irene Lingkan
Faculty of Medicine, Widya Mandala Catholic University, Surabaya
Array
Intravascular lymphoma is a rare type of lymphoma with some fundamental differences compared to other types of non–Hodgkin lymphoma in general. Its clinical manifestations vary greatly and depend on the affected organs. There is no pathognomonic signs of intravascular lymphoma, either in clinical, laboratory or radiological findings. This case is challenging to detect and often misdiagnosed because it does not show symptoms that are commonly found in other types of lymphoma, such as mass or nodules formation. The treatment is relatively similar to other lymphoma in general, but the prognosis is worse because it was mostly diagnosed in the advanced stage. These specific conditions become the main reason to separate this case as a special entity of lymphoma.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-10-24 09:50:38
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2205
JURNAL WIDYA MEDIKA; Vol 5, No 2 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/775
2018-09-04T13:09:11Z
JWM:ART
nmb a2200000Iu 4500
2623-2723
2338-0373
dc
Distribusi Dan Pola Kepekaan enterobacteriaceae Dari Spesimen Urin Di RSUD DR. Soetomo Surabaya Periode Januari – Juni 2015
Sutandhio, Silvia
Alimsardjono, Lindawati
Lusida, Maria Inge
Latar Belakang: Bakteri penyebab infeksi saluran kemih (ISK) didominasi oleh Enterobacteriaceae. Idealnya, setiap rumah sakit memiliki peta kuman dan pola kepekaan sendiri untuk digunakan sebagai panduan terapi empirik dan monitor penyebaran bakteri multiresisten. Hasil kultur urin, yang merupakan pemeriksaan penunjang untuk diagnosis dan pemilihan terapi antimikroba definitif, dapat dimanfaatkan untuk tujuan tersebut. Metode: Spesimen urin dikultur pada media isolasi primer, lalu diidentifikasi secara manual dan sistem semi-otomatis, yaitu BD Phoenix dan Vitek 2, yang telah dikonfirmasi dengan Clinical and Laboratory Standards Institute 2015. Hasil: Sebanyak 57.2% dari 1983 isolat hasil kultur teridentifikasi sebagai Enterobacteriaceae, dengan spesifikasi: 59.6%, 18.1%, 0.1%, 10.0%, dan 3.8%, berturut-turut untuk Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Enterobacter spp., dan Proteus spp. Lebih dari 50% isolat Escherichia coli, Klebsiella pneumoniae, dan Klebsiella oxytoca merupakan penghasil Extended-Spectrum Beta Lactamase (ESBL). Kesimpulan: Enterobacteriaceae yang diisolasi umumnya resisten terhadap Ampisilin dan Sefalosporin generasi I, tetapi masih sensitif terhadap antimikroba golongan Karbapenem dan Aminoglikosida. Antimikroba golongan Karbapenem, yang merupakan pilihan terakhir pada kasus infeksi oleh Enterobacteriaceae multiresisten, hanya boleh diresepkan bila sesuai dengan indikasi, untuk mencegah timbulnya organisme resisten Karbapenem.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2016-03-17 12:49:55
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/775
JURNAL WIDYA MEDIKA; Vol 3, No 1 (2015)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2500
2020-05-06T06:41:40Z
JWM:ART
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"200505 2020 eng "
2623-2723
2338-0373
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Effects Of Regional Scalp Block With Ropivacaine 0.5% Preincision As A Preemptive Analgesia After Craniotomy Surgery
Pasa, R. Muhammad Aviv
Resident of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Soemartono, Christrijogo
Staff of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Sulistiawan, Soni Sunarso
Staff of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Utariani, Arie
Staff of Department/SMF of Anesthesiology and Intensive Therapy, Faculty of Medicine, Airlangga University – RSUD Dr. Soetomo Surabaya
Array
Studies reported that more than 55% of patients complained of moderate to severe pain up to 48 hours post craniotomy. Fentanyl is the drug of choice to manage acute pain with disadvantages. Regional scalp block (RSB) technique using local anesthesia may be an alternative for post craniotomy pain management. Objective: to analyze the effects of RSB using ropivacaine 0.5% before incision compared to general anesthesia alone on the pain scale and opioid requirements 24-hour post craniotomy. This is a single-blind randomized experimental study. 14 Subjects were divided into two intervention groups. Patients were 18–64 years, GCS (Glasgow Coma Scale) 15, physical status ASA (American Society of Anesthesiologists) 1–3, undergoing craniotomy. In this study, the mean of fentanyl dose in RSB group was smaller than the group without RSB, which was statistically significant (p=0.017). Pain was also significantly reduced in RSB group at 30 minutes (p=0.009), 1 hour (p=0.003), 2 hours (p=0.003), 4 hours (p=0.001), 8 hours (p=0.050), and 12 hours (p=0.003) post-surgery. There was no difference in pain scale between the two groups at 24 hours post-surgery (p=0.393). RSB using ropivacaine 0.5% preincision is more effective in reducing pain scale up to 12 hours and also reduced the requirement of fentanyl within 24-hours post craniotomy compared to general anesthesia alone.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-04-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2500
JURNAL WIDYA MEDIKA; Vol 6, No 1 (2020): April
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/844
2018-03-15T10:53:56Z
JWM:ART
nmb a2200000Iu 4500
2623-2723
2338-0373
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Optimalisasi Penggunaan Antibiotik Pada Pneumoni Nosokomial : Applikasi Klinik
Margono, Benyamin
Mengoptimalkan hasil terapi antibiotik perlu penggunaan yang tepat waktu dan tepat dosis, sedangkan penjabaran terapi antibiotik yang tidak aktif terhadap organisme sasaran, inisiasi terapi yang tertunda, perubahan rejimen yang tidak perlu dapat menyebabkan peningkatan jumlah pasien yang harus dirawat di rumah sakit, peningkatan kematian, lama rawat inap, durasi penggunaan antibiotik, semua mengarah pada peningkatan biaya. Strategi pada infeksi berat adalah terapi dini, empiris, tepat, adekuat, dapat mengurangi kematian sebanyak 50%. Pilih antibiotik yang paling tepat dan tidak menunda penggunaan antibiotik yang tepat sehingga terjadi kematian. Awal pengobatan empiris menggunakan dosis tinggi, antibiotik spektrum luas, kemudian dilakukan penilaian klinis setelah hasil pemeriksaan kultur dan sensitivitas didapat, dilakukan perubahan pemberian antibiotik dengan spektrum yang lebih sempit (de-eskalasi) untuk meminimalkan resistensi, toksisitas dan biaya. Dianjurkan tidak memulai dengan antibiotik dengan aktifitas dan dosis rendah, kemudian baru melakukan peningkatan ketika efek klinis tidak memuaskan. Antibiotik β-lactam adalah yang paling sering diresepkan pada infeksi, sebesar 54,4% dari semua antibiotik. Aktifitas β-lactam tergantung pada waktu, artinya waktu di atas MIC (T> MIC) sangat penting dalam menentukan terapi yang memadai. Untuk efektivitas klinis: T> MIC adalah> 40% dari interval dosis, sedangkan maksimum untuk dapat membunuh infeksi berat Gram (-) patogen: disarankan T> MIC lebih dari 70%, pemberian obat dengan cara infus kontinyu dimaksudkan untuk mempertahankan kadar tunak pada ≥ 50% sepanjang interval dosis (8-10 x MIC). Infus kontinyu Cefepime dapat dengan cara mengencerkan 3-4 gram cefepime dalam 1 L Dextrose 5% dan diberikan laju aliran konstan. Cefepime memiliki aktivitas antimikroba terhadap spektrum luas Gram (+) dan Gram (-) patogen, juga aktivitas anti pseudomonas. Sehubungan dengan hal tersebut di depan direkomendasikan sebagai monoterapi pada infeksi berat bila diduga Psudomonas aerugenosa terlibat, tetapi bila terbukti infeksi disebabkan Pseudomonas aerugenosa dianjurkan kombinasi, baik Aminoglycosida (Amikin) atau Quinolon (Cipro atau Levofloksasin).
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2013-05-28 14:17:43
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/844
JURNAL WIDYA MEDIKA; Vol 1, No 1 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2427
2020-05-06T06:41:40Z
JWM:ART
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"200430 2020 eng "
2623-2723
2338-0373
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Analysis Of Customer Satisfaction Level Of Quality Of Frontline Office Services Of BPJS Office Of Jambi Branch
Listiawaty, Renny
STIKES Harapan Ibu Jambi
Sugiarto, Sugiarto
STIKES Harapan Ibu Jambi
Array
Customer satisfaction is important for service providers, customers will disseminate their satisfaction to prospective customers, thereby increasing the reputation of service providers. It is important for BPJS health, to continuously pay attention to the development of patient satisfaction. Of the 238 administrative complaints at the Jambi branch of the BPJS Health Office, there were 25 complaints of lack of information from frontline officers about the rights, obligations, and utilization of JKN cards so that customers felt less satisfied. This study aims to determine the level of satisfaction with the quality of frontline services at the Jambi Branch BPJS Health Office. The study was descriptive-analytic with a cross-sectional design. The sample of the study was 96 customers who visited the Jambi branch of the Health BPJS office and were taken by accidental sampling. The instrument is a questionnaire. Data were analyzed using Importance Performance Analysis (IPA). The study was conducted at the Jambi branch BPJS Office from January 26 to February 1, 2019. The level of customer satisfaction on tangible indicators was 84%, reliability was 83%, responsiveness was 88%, assurance was 92% and empathy was 88% and the average value - the suitability of all dimensions is 87%. Tangible and reliability indicators are still not satisfying customers. For this reason, it is hoped that the Jambi branch of BPJS Health will develop SOPs for frontline services and hold administrative service roleplay activities once a week.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-04-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2427
JURNAL WIDYA MEDIKA; Vol 6, No 1 (2020): April
eng
http://journal.wima.ac.id/index.php/JWM/article/download/2427/5766
http://journal.wima.ac.id/index.php/JWM/article/download/2427/5767
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/849
2018-03-15T11:06:00Z
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Evaluasi Kegiatan PBL Menurut Persepsi Mahasiswa FK UKWM dengan Analisis Importance and Performance Model Tahun 2014
Rihadi, Lukas Slamet
Metode Problem-Based Learning yang lebih dikenal dengan sebutan PBL merupakan metode pembelajaran yang saat ini banyak diterapkan diberbagai fakultas kedokteran di Indonesia bahkan di dunia. Ciri-ciri utama dari PBL adalah pendekatan pembelajaran yang berfokus pada siswa (student centered learning).
Mahasiswa menggunakan “trigger material” berupa kasus atau skenario untuk didiskusikan dalam kelompok kecil, sedangkan dosen berperan sebagai learning fasilitator dan knowledge transmission. Diskusi tutorial dalam PBL menggunakan
metode “tujuh langkah” atau yang biasa disebut seven jumps yang dikembangkan Maastricht, Belanda. Tujuan dari penelitian ini adalah menganalisis masalah yang ada pada kegiatan PBL serta yang menjadi prioritas utama untuk ditingkatkan
menurut persepsi mahasiswa. Penelitian ini menggunakan pendekatan Importance and performance model dan melibatkan 179 mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Katolik Widya Mandala semester gasal (semester tujuh, lima dan tiga) tahun akademik 2014-2015. Hasil penelitian menunjukkan 96,13 % mahasiswa menyatakan sangat setuju dan setuju bahwa kegiatan PBL bermanfaat dalam proses pembelajaran di FK UKWM. Variabel-variabel yang menjadi masalah pada kegiatan PBL dan menjadi prioritas utama untuk ditingkatkan atau diperbaiki menurut persepsi mahasiswa adalah variabel skenario, tutor, dan mahasiswa (three critical elements of PBL) serta variabel efektifitas dari diskusi pleno.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:34
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/849
JURNAL WIDYA MEDIKA; Vol 2, No 2 (2014)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2786
2020-10-31T21:14:48Z
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"201031 2020 eng "
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Early Breastfeeding Initiation And Exclusive Breastfeeding Impact On Growth Of Baby From One To Six Months Of Age
Pangemanan, Lisa
Pediatric Department, Faculty of Medicine, Widya Mandala Catholic University, Surabaya
Prabantoro, Benedictus Triagung Ruddy
Obstetric Gynecology Department, Faculty of Medicine, Widya Mandala Catholic University, Surabaya
Susan, Susan
Medical Staff of Gotong Royong Hospital Surabaya
Array
Early breastfeeding initiation is provision of mother’s breast milk to infant within one hour of birth. It is used to promote breastfeeding. Breastfeeding has many health benefit for infant because of its important nutritional contribution. Studies in developing countries has found that frequent breastfeeding is associated with greater linear growth. However, rate of exclusive breastfeeding is still low in many countries, among others, Indonesia (
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-10-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2786
JURNAL WIDYA MEDIKA; Vol 6, No 2 (2020): October
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2815
2021-04-29T17:44:18Z
JWM:ART
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"210429 2021 eng "
2623-2723
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MANAGEMENT OF EARLY GRAFT FAILURE POST CORONARY ARTERY BYPASS GRAFTING: A CASE REPORT
Napitupulu, Heston
Siloam Heart Institute
Namretta, Lisca
Siloam Heart Institute
Giusti, Sheila
Siloam Heart Institute
Anwar, Maizul
Siloam Heart Institute
Array
Background: Early postoperative graft failure after coronary artery bypass grafting (CABG) is still a significant problem that results in high morbidity and mortality. It is associated with early graft thrombosis, anastomotic stenosis, bypass kinks, overstretching or tension, significant spasm, and incomplete revascularization.
Case Report: 67 years-old male with Coronary Artery Disease involving three vessels (CAD 3VD) underwent CABG surgery. Direct post-operation electrocardiograph (ECG) shown changes in ST segments (elevation on anterior leads and depression on inferior leads) with a significant increase of cardiac markers level. Post-operative coronary angiography revealed an occluded left internal mammary artery (LIMA) graft and native left anterior descending artery (LAD) blockage. Patients’ hemodynamics was not stable, and was urgently underwent an off-pump redo CABG. Intraoperatively we found thrombus at LIMA and saphenous vein graft (SVG) – right coronary artery (RCA) grafts that were caused by atheroma and dissection on anastomotic side. Discussion: The diagnosis of myocardial infarction (MI) remains a clinical challenge since patients are unable to express classic clinical symptoms. Routine ECG combined with cardiac biomarkers are beneficial in diagnosing MI post CABG, and percutaneous coronary angiography (PTCA) is useful in detecting the patency of the grafts. Although percutaneous coronary intervention (PCI) is preferable in the case of anastomosis problem with stable hemodynamic, redo CABG shows more benefit in salvaging infarcted myocardium in patients with unstable hemodynamic. Conclusion: Redo CABG surgery with new or additional grafting may save myocardium and preserve its function in perioperative infarct caused by graft failure.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-04-29 19:44:18
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2815
JURNAL WIDYA MEDIKA; Vol 7, No 1 (2021): April
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/855
2018-03-15T11:00:20Z
JWM:ART
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2623-2723
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The Spirituality Augmented Cognitive Behavioural Therapy- evidence based meaning therapy for depression and demoralisation
D’Souza, Russell F.
Mathew, Mary
Objective: To explore and describe the Spiritually Augmented Cognitive Behaviour Therapy and its applications
Method: The background on the need for incorporating spirituality in to therapy is considered. The SACBT, A meaning therapy for sustaining mental health and functional recovery is described with the cognitive components and behavioural components including the use of existential techniques in discovering meaning. The use of meditation, together with the validation and incorporation of the appropriate belief system of patients into their treatment is described. The use of rituals that are practised are incorporated in to the treatment in the form of a ritual monitoring sheet
Result: Open randomised controlled studies have demonstrated the 16 session SACBT to be significantly beneficial in not only extinguishing hopelessness and despair, but are also found to improve treatment collaboration and reduce relapse thus increasing time to next relapse and improving functional recovery
Conclusion:
This meaning based therapy that incorporates appropriately a person belief system, which often might be the core that helps the patient and family cope, is an adjunct therapy that has been shown to improve function outcomes. Thus this evidence based adjunct therapy has an important and useful role in enhancing functional recovery and whole person care – an area that has had less attention given to in conventional psychiatric treatment.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:11
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/855
JURNAL WIDYA MEDIKA; Vol 1, No 2 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/3167
2021-04-29T17:44:18Z
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"210429 2021 eng "
2623-2723
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EPIDEMIOLOGIC STUDY OF ENDOMETRIAL LESION CHARACTERISTICS BY AGE IN PATHOLOGY DIAGNOSTIC CENTER IN SURABAYA 2015-2017
Dewi, Sianty
Faculty of Medicine of Widya Mandala Catholic University Surabaya
Theodora, Imelda
Faculty of Medicine, Widya Mandala Catholic University Surabaya
Novita, Bernadette Dian
Widyasari, Yulia
Alumni of Faculty of Medicine Widya Mandala Catholic University Surabaya
Gunadi, Ricardo
Alumni of Faculty of Medicine Widya Mandala Catholic University Surabaya
Suhardi, Maria Amelia
Alumni of Faculty of Medicine Widya Mandala Catholic University Surabaya
Supit, Vincentius Diamantino
Gotong Royong Hospital Surabaya.
Array
Background: The etiology of endometrial lesions varies from benign to malignant. Early detection and management of malignancy give the best prognosis for the patient. While studies in America and Europe report a 3-5% risk of malignancy in women below 50 years and a significant increase up to 75-80% in postmenopausal, the availability of national epidemiologic data is limited, therefore the study is held.Method: A descriptive- retrospective study. Total sampling obtained from endometrial specimens in Pathology Diagnostic Center-Prof JH Lunardhi, Sp.PA(K) from 2015 to 2017, while gestation-related, inadequate sample, and incomplete report are excluded. Data analyzed by IBM SPSS 23.0 version. Result: Data of 560 samples, 90% from curettage, 8% hysterectomy, and 2% hysteroscopy. The majority belonged to the 40-49 age group (44.3%). Secretory phase endometrium is the most common finding in the age group of 20-29 years (26.9%). Proliferative phase endometrium is the most common finding. The highest incidence of endometrial hyperplasia occurred in the age group of 40-49 years, for both typical and non-atypical. Endometrial malignancy was found mostly in the 50-59 years (37.03%). Conclusion: The prevalence of endometrial lesions differed according to age groups, with physiological changes, endometritis, polyps, and hyperplasia were most common under 50 years old and the risk of malignancy increased 4.39 times (p.00) beyond 50 years old.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-04-29 19:44:18
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3167
JURNAL WIDYA MEDIKA; Vol 7, No 1 (2021): April
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/860
2018-03-15T11:02:24Z
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2623-2723
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Perbedaan Fungsi Air Mata Antara Mata dengan Pterygium dan Mata Normal pada Pasien di Puskesmas Belang Kabupaten Minahasa Tenggara Propinsi Sulawesi Utara
T.F., Metaputra
D.J., Siegers
J.S.M., Saerang
L
atar Belakang:
Abnormalitas fungsi air mata telah dinyatakan memiliki hubungan dengan pterygium. Penelitian ini bertujuan untuk mengamati perbedaan fungsi air mata antara mata normal dan mata dengan pterygium pada pasien mata di Puskesmas Belang, Kabupaten Minahasa Tenggara, Propinsi Sulawesi Utara.
Metode:
Dua uji fungsi air mata, uji Schirmer 1 dan tear film break-up time, digunakan pada penelitian ini untuk menilai fungsi air mata pada 70 mata yang terdiri dari 45 mata dengan pterygium (grup pterygium) dan 25 mata normal (grup normal). Pengujian dilakukan dengan Student’s t-test untuk sampel individu untuk mengamati perbedaan fungsi air mata pada kedua grup, dengan menggunakan nilai signifikansi 0,05.
Hasil:
Penelitian kami menunjukkan bahwa tear film break-up time secara signifikan lebih rendah pada grup pterygium dibandingkan dengan grup normal (p=0,02). Namun, tidak ada perbedaan signifikan yang ditemukan dengan menggunakan uji Schirmer 1.
Kesimpulan:
Penelitian ini menunjukkan adanya disfungsi komponen lipid pada lapisan air mata. Namun, tidak ada perubahan yang ditemukan pada komponen air.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:11
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/860
JURNAL WIDYA MEDIKA; Vol 1, No 2 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/3307
2021-10-31T08:48:52Z
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"211031 2021 eng "
2623-2723
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MICROBIOLOGICAL ASPECT OF STAPHYLOCOCCAL INFECTION IN SEVERE DEGREE OF BURNS
Tandyono, Venny
Faculty of Medicine Widya Mandala Catholic University
Array
Introduction: Burns serve as one of the most common devastating forms of trauma. Significant thermal injuries induce skin disruption and immunosupression that predispose patients to infectious complication. The importance of sampling, detection, and proper treatment for wound infections will significantly increase the likelihood of clinical improvement of the patients. Case: A 44-years-old male came to hospital due to electrical shock. There were serious burns to his face, chest, arms, and legs, some of which were second- and third-degree burns. The patient was conscious, without problems on airway and breathing. Leukocytosis with neutrophilia was presented from laboratory examination, with an increase in liver enzymes and serum creatinine. The gram-positive cocci with leucocytes were revealed from gram examination, and colonization of Staphylococcus aureus was found. Intravenous cefazolin was administered according to the sensitivity test. Discussion: Infection causes the increase in morbidity and mortality of burn patients. Clinical diagnosis of infection must be supported microbiologically by gram examination and culture. One of the most common infectious agents in severe burns is Staphylococcus aureus. The significance of S.aureus as the leading cause of infection must be supported by microbiological data. Dominant growth in culture media and induction of host inflammatory response were indicated as significance of infection. Conclusion: Clinical and microbiological diagnosis of burns infection play important role to prevent complications in severe degree of burns.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-10-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3307
JURNAL WIDYA MEDIKA; Vol 7, No 2 (2021): October
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1649
2018-04-05T10:39:10Z
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"140405 2014 eng "
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The right to live and the right to die?
Maramis, Willy F.
Fakultas Kedokteran Unika Widya Mandala Surabaya
With the advance of medical science and technology, dying can be postponed now. For how long and how is the quality of life? Frequently modern medicine postpones death only, while leaving the quality of life of many patients in a questionable state.
Do we have the right to live? Where do we get that right from? The right to live is inherent to our nature of being alive. With right comes obligation. What about the right to die? Some say if there is the right to live, there must also be the right to die. What is life and what is death anyway? Some say death is part of life. Death is in fact the absence of life. We can measure life, but we can not measure death. It’s like stating that darkness is part of light. Also, if there is the right to die, what obligations on earth does a dead person have? ‘The right to live’ excludes ‘the right to die’. This moral philosophical approach is only following our moral-ethical reasoning (not our emotions). If we have ‘the right to die’, it is not far from having ‘the right to kill’ or may be ‘the duty to die’.
The battle between the pros and the cons on the right to die is not over yet. We may consider the transcendental approach. When curative medicine is of no benefit anymore, care giving and ministering medicine must take its place. The transcendental approach takes the dying person as a bio-psycho-socio-cultural-spiritual being with the belief in life after death, and the ‘exit’ is with faith, hope and love. It is much more optimistic and relieving than the worldly approaches with an ‘exit’ because of despair.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-04-05 12:23:28
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1649
JURNAL WIDYA MEDIKA; Vol 2, No 1 (2014)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3626
2022-04-27T10:39:36Z
JWM:ART
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"220426 2022 eng "
2623-2723
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THE EFFECTS OF PINUS MASSONIANA (PINE POLLEN) AS ADJUVANT THERAPY ON LEUKOCYTES, T LYMPHOCYTES, C-REACTIVE PROTEIN, AND D-DIMERS IN HOSPITALIZED COVID-19 PATIENTS
Melow, Prettysun Ang
Department of Internal Medicine, Faculty of Medicine, Widya Mandala Catholic University Surabaya
Suyono, Handi
Department of Physiology and Biochemistry, Faculty of Medicine, Widya Mandala Surabaya Catholic University
Djoka, Maria Magdalena Ano
Faculty of Medicine, Widya Mandala Catholic University Surabaya, Surabaya, East Java
Palupi, Agata Christi
Gotong Royong Hospital, Surabaya, East Java
Hermantoputra, Steven
Gotong Royong Hospital, Surabaya, East Java
Hariadi, Anton
Gotong Royong Hospital, Surabaya, East Java
Wulandari, Yudita
Department of Internal Medicine, Faculty of Medicine, Widya Mandala Surabaya Catholic University
Purwaningsih, Sri
Gotong Royong Hospital, Surabaya, East Java
Array
Introduction: SARS-CoV-2 infection has caused the Corona Virus Disease-19 (COVID-19) pandemic until present day. Pine pollen has been known and used as a medicine and has benefits for immunity.
Aim: To determine the effects of Pinus massoniana (pine pollen) as an adjuvant on leukocytes count, T lymphocytes (CD4, CD8) count, plasma C-reactive protein level, plasma D-dimer level in hospitalized COVID-19 patients with moderate-severe clinical manifestation.
Materials and Method: We used a double blind pretest-posttest control group design, with 2 groups, namely control (placebo) and treatment. The subjects were selected by simple random sampling, male and female patients aged 20-60 years. Peripheral blood samples were taken before and after treatment. Patients were given pine pollen or placebo 3 x 4 capsules (3 g / day) for 7 days. Data were analyzed by SPSS 23.0 t-test with significant value of p < 0.05.
Results: The patients of treatment group were 16 people (13 male, 3 female), average age 46,25 years and control 13 people (10 male, 3 female), average age 47,92 years. The leukocytes count increased not significantly in the treatment group (p=0.499; 8.03%) while control increased significantly (p=0.027; 36.42%). The leukocytes count of control was 4,5 times greater than treatment group. The CD4 count increased significantly in the treatment group (p=0.004; 73.44%) and control (p=0.048; 28.97%), and the it was 2,5 times greater than control. The CD8 count increased significantly in the treatment group (p=0.005; 72.90%) and control (p=0.033; 34.66%), and it was 2,1 times greater than control. CRP levels were significantly reduced in the treatment group (p=0.001; 71.61%) and control (p=0.001; 78.13%). D-dimer levels decreased significantly in the treatment group (p=0.048), while the control increased but not significantly (p=0.200). The D-dimer level in the treatment group decreased by 37.93%, while the control increased by 43.70%. Conclusion: Further research is still needed to explore the effect of pine pollen on cellular immunity which in this case is T lymphocytes, especially CD4 and CD8, and hemostasis (coagulation) especially D-dimer. Pine pollen is beneficial for immune modulation in COVID-19 patients.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-04-26 12:04:33
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http://journal.wima.ac.id/index.php/JWM/article/view/3626
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): April
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1781
2018-10-10T08:47:35Z
JWM:ART
nmb a2200000Iu 4500
"181010 2018 eng "
2623-2723
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Hubungan antara Kadar Soluble CD4O Ligand (sCD4OL) dengan Kejadian Sindroma Koroner Akut (SKA)
Nugraha, Jusak
Departemen Patologi Klinik, FK Unair/RSUD Dr. Soetomo Surabaya
Elita, Myrza
Departemen Patologi Klinik, FK Unair/RSUD Dr. Soetomo Surabaya
Aminuddin, M.
Departemen Kardiologi & Kedokteran Kardovaskuler FK Unair/RSUD Dr. Soetomo Surabaya
Introduction: Acute coronary syndrome (ACS) is manifestation of coronary heart disease (CHD), which is the leading cause of death in Indonesia. CD40 ligand (CD40L) stored in alpha granule of platelet will be translocated immediately to the surface when plaletet is active, and then released from the surface as soluble CD40 ligand (sCD40L). Soluble CD40 ligand (sCD40L) has role in connecting the inflammatory process, atherosclerosis, and thrombosis. The aim of this study is to study correlation between sCD40L level and ACS in patients with chest pain. Methods: Subject of this study was 40 patients with chest pain that came to emergency ward of RSUD dr. Soetomo Surabaya. Patients were divided into two groups based on the diagnosis ACS and non ACS, which was established with electrocardiography(ECG) and Troponin-T level. Patients’sera were examined
sCD40L level using enzyme-linked immunosorbent assay (ELISA) kit from Quantikine®. Results: Twenty six (65%) were diagnosed as ACS, and 14 (35%) were non ACS. ACS diagnosis consists of ST-segmen elevation myocardial infarction (STEMI), non-ST-segmen elevation myocardial infarction (NSTEMI),
and unstable angina (UA), with the highest proportion was STEMI in 15 (57%). The mean of sCD40L level in ACS patients (5.45 ± 3.70 ng/mL) was significantly higher compared with non ACS patients (1.97 ± 1.33 ng/mL) (p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-10 10:32:08
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1781
JURNAL WIDYA MEDIKA; Vol 4, No 1 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3825
2022-04-26T10:04:33Z
JWM:ART
nmb a2200000Iu 4500
"220426 2022 eng "
2623-2723
2338-0373
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RELATIONSHIP OF EPICARDIAL ADIPOSE TISSUE THICKNESS AND NEUTROPHIL TO LYMPHOCYTE RATIO WITH CORONARY LESION SEVERITY IN STABLE CORONARY HEART DISEASE
Indra, Darwin
Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Sam Ratulangi, Manado
Panda, Lucia
Department of Cardiology and Vascular Medicine, Prof. Dr. R. D. Kandou General Hospital, Manado
Jim, Edmond
Department of Cardiology and Vascular Medicine, Prof. Dr. R. D. Kandou General Hospital, Manado
Djafar, Dewi U.
Department of Cardiology and Vascular Medicine, Prof. Dr. R. D. Kandou General Hospital, Manado
Rooroh, Victor G. X.
Department of Cardiology and Vascular Medicine, Prof. Dr. R. D. Kandou General Hospital, Manado
Rotty, Monique P. F.
Department of Cardiology and Vascular Medicine, Prof. Dr. R. D. Kandou General Hospital, Manado
Array
Introduction: Stable angina pectoris (SAP) is the one of the leading causes of death in men and women from every major ethnic group. Several studies have shown that the neutrophil to lymphocyte ratio (NLR) is a systemic inflammatory marker associated with cardiovascular events. EAT has been considered to have an important role in cardiovascular physiology and pathogenesis. This study aimed to investigate the relationship of EAT thickness and NLR with coronary lesion severity in patients with stable coronary heart disease. Methods: This study was a cross-sectional study conducted at Department of Cardiology and Vascular of Kandou General Hospital, Manado, North Sulawesi, Indonesia, from May to August 2019. The population were patients with SAP who underwent coronary angiography procedures. The relationship between the EAT and NLR and the SYNTAX score were evaluated on a bivariate and multivariate level. Results: A significant linear relationship between EAT thickness and SYNTAX score was found (Pearson r = 0.32; p = 0.014). In addition, after controlling for sex and NLR, the correlation between EAT thickness and SYNTAX score increased to almost 0.7 points for each millimeter increase in EAT (95% CI 3.45 - 10.25; p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-04-26 12:04:33
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3825
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): April
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1810
2018-10-10T08:47:37Z
JWM:ART
nmb a2200000Iu 4500
"181010 2018 eng "
2623-2723
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Perbedaan Waktu Paparan Mengubah Pola Interaksi Molekular Antigen-Receptor-Antibodi – Sebuah Contoh Penggunaan Model Kompleks Glikoprotein Virus (Hhv-6b), Host Receptor Dan Monoklonal Antibodi
Dewi, Bernadette Dian Novita
Departemen Farmakologi dan Terapi, Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya
A binding interaction between a foreign glycoprotein molecule (antigen) and a receptor molecule on one or more antibodies (immunoglobulins) are the major soluble molecules produced to know the pattern of specific and avid of inhibition the antibody to virus replication, aseffective defensive role for the antibody response.This antibody also has molecular competitive pattern of antibody – receptor to antigen complexbind.However, incubation time differences could alter the patterns of those interaction. An antibody that has got neutralizing effect and high index of binding affinity could be considered asanti virus candidate.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-10 10:32:08
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http://journal.wima.ac.id/index.php/JWM/article/view/1810
JURNAL WIDYA MEDIKA; Vol 4, No 1 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1814
2018-10-22T07:59:38Z
JWM:ART
nmb a2200000Iu 4500
"181019 2018 eng "
2623-2723
2338-0373
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Terapi Oksigen Hiperbarik (TOHB) Pada Kasus Pasien Anak Tuli Mendadak Akibat Mumps
Suyono, Handi
Department of Physiology, Faculty of Medicine, Widya Mandala Catholic University Surabaya
Background
One of rare mumps sequalaein pediatric is deafness. Many treatments have been applied to sudden deafness including HBOT. HBOT is still useful and give good result eventhough it was delayed.
Subject and Method
The boy, 13 years old, was suddenly deaf of right ear 2 months ago. He got oral steroids from ENT specialist. There was no improvement after 2 months medications and then stopped the steroids. He had mumps 1 month before sudden deafness. The audiometry test showed hearing decreased 30-60 dB on frequency 125-8000 Hz. He had allergic rhinitis and tonsillitis in the past medical history, and tonsillectomy 6 years ago. HBOT was given 2.4 ATA 1 hour per session per day for 56 sessions (8 weeks). There are no barotrauma during and after HBOT.
Result
He felt hearing improvement after 44 sessions. The audiometry test showed improvement 10-20 dB.
Conclusion
HBOT is usseful and can give clinical improvement eventhough it was delayed.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-19 11:49:59
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1814
JURNAL WIDYA MEDIKA; Vol 4, No 2 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4024
2022-08-31T05:27:30Z
JWM:ART
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"220831 2022 eng "
2623-2723
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PHAGO PHARMACOLOGY ON THE GO. GAMIFICATION APPROACH IN CASE LEARNING PROCESS
Ongkodjojo, Evelyn
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Hartanti, F.V Lanny
Faculty of Pharmacy, Widya Mandala Surabaya Catholic University
Novita, Bernadette Dian
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Dewi, Sianty
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Sarvasti, Dyana
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Setiadi, Diga Albrian
Faculty of Pharmacy, Widya Mandala Surabaya Catholic University
Reynaldy, Fransiskus
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Priyantono, Ivan
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Rasyid, Shavna Arfi
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Adithia, Felix Kurniawan
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Djuanda, Iwan Satria
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Array
Learning process among medical students have developed along with technological advances so that it can be useful for users. One of the breakthroughs in the world of medical education is the development of serious games using multimedia technology that are relatively small in
size so that they can be accessed using computers or devices named Pharmacology on the Go (PHAGO). The implementation stage was done by testing prototype game on 88 users October 20, 2021. Evaluation was done by using a feedback questionnaire for PHAGO users, shows 79 (89.8%) users who agree and strongly agree that the PHAGO application helps users
understand the use of Pharmacology for clinical application. The results of the Wilcoxon test in evaluating the increase in students' knowledge with Pre Test and Post Test showed that there was a significant difference (p = 0.000). The existence of serious game stimulates an active learning process to create a learning environment that encourages the development of
interpersonal, communication and problem solving skills. PHAGO is expected to be a forum that supports students to be able to independently study pharmacology in a fun and easy-to-understand way.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-06-30 00:00:00
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http://journal.wima.ac.id/index.php/JWM/article/view/4024
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): Supplement Juni
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1817
2018-10-22T07:54:25Z
JWM:ART
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"181019 2018 eng "
2623-2723
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Oksigen Hiperbarik (OHB) Menyembuhkan Sel Melalui Spesies Oksigen Reaktif (SOR)
Suyono, Handi
Department of Physiology, Faculty of Medicine, Widya Mandala Catholic University Surabaya
In degenerative diseases, hypoxia is the fundamental mechanism. Hypoxia stimulates reactive oxygen species (ROS) production. ROS interacts with protein, lipid, DNA, and other cell’s components and cause damage. Hyperbaric oxygen (HBO) improves clinical outcomes but the exact mechanism is still debated. HBO reverses hypoxia state. HBO increases ROS production because of hyperoxia but it can heal the cell. HBO-induced ROS stimulates endogenous antioxidants, hypoxia-inducible factors, and heat shock proteins. ROS theoretically improves telomere length and telomerase activity. Superoxide is one of ROS which converted into hydrogen peroxide and it acts as signal transduction. ROS has positive outcomes in maintaining cell survival
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-19 11:49:59
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http://journal.wima.ac.id/index.php/JWM/article/view/1817
JURNAL WIDYA MEDIKA; Vol 4, No 2 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3588
2022-11-27T14:08:35Z
JWM:ART
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"221122 2022 eng "
2623-2723
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CORRELATION BETWEEN BODY MASS INDEX AND INTRAOCULAR PRESSURE AT PRIMASATYA HUSADA CITRA HOSPITAL, SURABAYA
Ernawati, Titiek
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Rofiq, Rofiqi
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya.
Samatha, Okky Imanuel
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya.
Diana, Lani
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya.
Array
Background: Obesity currently becomes a major public health problem globally with the increasing prevalence in most countries. In some studies, an increase in body mass index above normal values has been suggested as an independent risk factor associated with increased intraocular pressure, which can progress to glaucoma. Objective: To analyze the relationship between body mass index and intraocular pressure. Material and Method: The design of this study was cross-sectional with a observational analytic approach, which was conducted during the period September-October 2021, at Primasatya Husada Citra Hospital, Surabaya. The statistical analyses were done using SPSS 22.0. P value of 0.05 or less was considered statistically significant. Result: The study of 100 subjects found significant difference in intraocular pressure in both right and left eyes between subjects with normal, overweight, and obese. This study also found a positive correlation between BMI and intra-ocular pressure of the right eyes and left eyes. Conclusion: Our result show that there was a statistically significant relationship between increased BMI and intraocular pressure. An increase in BMI is associated with an increase in intraocular pressure.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-11-22 01:14:34
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http://journal.wima.ac.id/index.php/JWM/article/view/3588
JURNAL WIDYA MEDIKA; Vol 8, No 2 (2022): October
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1998
2019-04-05T12:27:17Z
JWM:ART
nmb a2200000Iu 4500
"190405 2019 eng "
2623-2723
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The Association Between Risk Factors And Ultrasound-Based Grades Of Non-Alcoholic Fatty Liver Disease In Type-2 Diabetes Patients
Jong, FX Himawan Haryanto
Department of Anatomy and Histology, Faculty of Medicine, Widya Mandala Catholic University Surabaya
Mellow, Prettysun Ang
Department of Internal Medicine, Faculty of Medicine, Widya Mandala Catholic University Surabaya
Background: Non-alcoholic fatty liver disease (NAFLD) has become more common as the cause of cirrhosis and liver cancer. The liver disease is highly prevalent in people with type-2 diabetes. Indonesia is not spared from the global epidemic of type-2 diabetes. The ultrasound examination is clinically easy-to-use, economical and non-invasive as a tool to detect NAFLD, compared to the gold standard, liver biopsy. To date, there has been no study in Indonesia to link risk factors and ultrasound-based severity grading of NAFLD. Aim: To understand the association between risk factors and ultrasound-based grades of NAFLD in patients with type-2 diabetes. Method: The present study was an observational study with a cross-sectional design (May-October 2018) that involved 82 type-2 diabetes outpatients of the internal medicine clinic in the Gotong Royong Hospital (Surabaya, Indonesia). The risk factors assessed were gender, age, diabetes duration, obesity (anthropometric measurement: body mass index/ BMI, waist circumference and waist-to-hip ratio), glycemic control (hemoglobin A1c/ HbA1c level) and dyslipidemia (lipid profile: total cholesterol, low-density lipoprotein/ LDL, high-density lipoprotein/ HDL and triglyceride). The ultrasound-based grades of NAFLD consisted of grade 0 (no NAFLD), grade 1 (increased liver echogenicity with normal images of intrahepatic vessel lines and diaphragm), grade 2 (blurred image of intrahepatic vessel lines) and grade 3 (blurred images of intrahepatic vessel lines and diaphragm). Statistical p-value was significant at ≤ 0.05. Results: Seventy-eight subjects (95,1%) had NAFLD. The ultrasound-based NAFLD grades were significantly different across age groups (Kruskal-Wallis) but the Spearman’s rank correlation test result was not significant. Body mass index and total cholesterol were positively correlated (r = 0.390 and 0.237, respectively) with the NAFLD grades. Conclusion: Higher BMI and total cholesterol are associated with increased ultrasound-based NAFLD grades.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-04-05 14:27:17
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JURNAL WIDYA MEDIKA; Vol 5, No 1 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3952
2022-11-27T14:08:35Z
JWM:ART
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"221122 2022 eng "
2623-2723
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CLINICIAN’S VIEW ON THE IMPORTANCE OF RADIOLOGY REPORT IN THEIR DAILY PRACTICE
Astawa, Gregorius Adista Enrico
Meilani, Yohana F. Cahya Palupi
Array
Bacground: A radiology report is a medicolegal document and formal communication between a radiology radiologist and referring physician/clinician. The failure of radiologists to communicate good quality reports often occurs in the process of patient diagnosis. This study aims to determine the clinician’s view on the importance of radiology reports in patient management of their daily practice in Papua and West Papua. Method: One hundred and eighty-four general practitioners and internship doctors answered an online questionnaire distributed randomly. Forty-five indicators assessed the accessibility to radiology reports, the importance of radiology reports, attached clinical information, clinician satisfaction, structure, and content of radiology reports. This study has seven variables with six paths tested using the Structural Equation Modeling (PLS-SEM) analysis method based on Partial Least Squares based using SmartPLS. Result: Data analysis showed that radiology reports, clinical information, clinician satisfaction, and structure of radiology reports had a positive and significant effect on patient management, while accessibility and content of radiology reports had no significant effect on patient management. Conclusion: Clinicians thought the radiology report was an important medical document that has a role in patient management of their daily practice.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-11-22 01:14:34
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http://journal.wima.ac.id/index.php/JWM/article/view/3952
JURNAL WIDYA MEDIKA; Vol 8, No 2 (2022): October
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4631
2023-12-21T03:06:09Z
JWM:ART
nmb a2200000Iu 4500
"230430 2023 eng "
2623-2723
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REPORTING THE DETECTION RESULT OF SARS-CoV-2 ANTIBODY RAPID TEST OF COMPANY’S EMPLOYEES IN SURABAYA AND PASURUAN, INDONESIA
Dinata, Mulya
Widya Mandala Surabaya Catholic University
Tulus, Angelina
Widya Mandala Surabaya Catholic University
Ongkodjodjo, Evelyn
Widya Mandala Surabaya Catholic University
Rihadi, Lukas Slamet
Widya Mandala Surabaya Catholic University
Dewi, Dewa Ayu Liona
Widya Mandala Surabaya Catholic University
Joewana, Gabrielle Tjipta
Widya Mandala Surabaya Catholic University
Wulansari, Nurlita
Occupational Health Manager of Main Clinical Sentra Medika Surabaya
Array
Background: Coronavirus (CoV) is a large family of viruses that causes illnesses ranging from mild to severe symptoms. Coronavirus Disease (Covid-19) is a new type of virus that has never been indentified in humans before.
Methods: All antibody test methods and RT-PCR tests have an optimum time window in the incubation period or infection of a person. The antibody test method cannot be used as an early detection tool for people who are still on the first day of the incubation process. IgG and IgM antibody levels are still low on the first day of infection, even though the number of viral particles is very high at the beginning.
Result: Sars-Cov-2 (Covid-19) antibody examination sample was taken from Main Clinic of Sentra Medika Surabaya, from May to August 2020, with the age range of 18-65 old amounted to 1015 people. The number of samples with the age range of 40-49 is 404 people (39,90%), Production Department has 773 samples of people (76,16%), the number of security samples is 39 people (3,84%), and others have 109 samples of people (10,74%). The number of male samples is 666 people (65,62%) more than female 349 people (34,38%). Positive Covid-19 Antibody examination results for Office Department are IgM 3 people, IgG 3 people, and the total numbers are 6 people (21%). Positive Covid-19 Antibody examination results for the production department are IgM 14 people, IgG 1 person. So, the total numbers are 17 people (59%). The most positive Covid-19 antibody examination result is the production department namely 59% and including positive results for IgM and IgG. The condition above the production department has the most frequent because of the condition of employees including some companies which had overtime work or 2 shifts.
Conclusion: The highest number of Positive Covid-19 antibody examination result. The most department is the production department. The age range of 50-59 years old has a small number. At the time of being infected with Covid-19, IgG and IgM are negative, it needs time to get a positive examination result of IgG or IgM or both. The antibody examination method cannot be used as an early detection tool for Covid-19.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-03-31 00:00:00
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http://journal.wima.ac.id/index.php/JWM/article/view/4631
JURNAL WIDYA MEDIKA; Vol 9, No 1 (2023): April
eng
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2201
2019-10-24T07:50:38Z
JWM:ART
nmb a2200000Iu 4500
"191024 2019 eng "
2623-2723
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Pneumomediastinum
Tahalele, Paul L
Department of Surgery Faculty of Medicine, Widya Mandala Catholic University Surabaya
Dwintasari, Merlinda
Department of Surgery Faculty of Medicine, Widya Mandala Catholic University Surabaya
Motulo, Y
Division of Thoracic, Cardiac & Vascular-Endovascular, PHC Teaching Hospital Surabaya
Sembiring, Yan Efrata
Department of Thoracic, Cardiac, & Vascula r Surgery, Faculty of Medicine Universitas Airlangga Surabaya
Suta, Dhihintia Jiwangga
Department of Thoracic, Cardiac, & Vascula r Surgery, Faculty of Medicine Universitas Airlangga Surabaya
Array
Mediastinum is defined as the area demarcated by the thoracic inlet superiorly, the diphragm inferiorly, and the pleural cavities laterally. The mediastinum is a division of the thoracic cavity that contains thymus gland, the heart, trachea and portions of the seophagus, and other structures. Mediastinum divided into 3 region, anterior, posterior, superior, and middle regions.
Pneumomediastinum or emphysematous mediastinum is existence of free air in the mediastinum due to spontaneous or secondary reasons. That can be confirmed with thorax X-Ray or CT- Scan thorax. The symptomps are severe central chest pain, shortness of breath, subcutaneous emphysema, laboured breathing and voice distortion. In physical diagnosis, especially on auscultation, there is spesific sign called “Hamman’s Crunch” (crunching sound corresponding with the cardiac cycle (Hamman’s Crunch).
Pneumomediastinum can leadto pneumopericardium, pneumotoraks, penumoretroperitonium or penumoperitonium. Air in the mediastinal cavity can be absorbed by itself slowly, so penumomediastinum can treated non-operatively.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-10-24 09:50:38
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2201
JURNAL WIDYA MEDIKA; Vol 5, No 2 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/285
2018-03-15T10:50:51Z
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"130528 2013 eng "
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Diskusi Dilema Moral dalam Peningkatan Kemampuan Penalaran Etika
Novita, B. Dian
Ali, Soegianto
Jena, Yeremias
Beberapa tahun terakhir, telah terjadi perubahan pada pendidikan dokter profesional. Saat ini, pendidikan menekankan tidak hanya untuk hard skills (kemampuan akademik), seperti pengetahuan dan keterampilan klinis, tetapi juga soft skills (keterampilan interaksi manusia), seperti keterampilan komunikasi, keterampilan menghadapi masalkondisi kritis, empati, penalaran etika, kemampuan sebagai pemimpin dan anggota tim dan banyak lagi. Keterampilan penalaran etika perlu dipelajari dan dipraktekkan dalam kondisi nyata. Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya, membuat program yang disebut "Diskusi Dilema Moral" (DDM) dalam bentuk diskusi kelompok dan kuliah pa kar. DDM dirancang selama bjuh semester atau selama pendidikan sarjana kedokteran. Tujuan program ini adalah untuk meningkatkan kemampuan penalaran etika sehingga mereka akan mampu mengelola dan membuat lebih baik 1 masalah keputusan terbaik terkait etika dan moral di masa depan. Penelitian ini untuk mengetahui " apakah model DDM efektif dalam meningkatkan kemampuan penalaran etika?
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2013-05-28 14:17:43
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http://journal.wima.ac.id/index.php/JWM/article/view/285
JURNAL WIDYA MEDIKA; Vol 1, No 1 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/766
2018-09-04T13:09:09Z
JWM:ART
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2623-2723
2338-0373
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Hubungan Pola Tidur dengan Kualitas Hidup Orang Lanjut Usia di Griya Usia Lanjut St. Yosef Surabaya
Pereira, Stephanie
Riyadi, Slamet
Maramis, Margarita M.
Quality of life is important to be recognized and Indonesia, as a developing country, has experienced the increment in the geriatric population from year to year. With this increment, the problems in the geriatric population and the number of the nursing home occupancy are also increasing simultaneously. One of the problems commonly affecting the geriatric population is sleep deprivation. The aim of this study is to find a relationship between the sleep pattern and the quality of life in the elderly in nursing home.
This was an observational study with cross sectional design and purposive sampling method. There were 55 respondents in this study. The coefficient contingency was conducted to analyze the correlation between variables.
There was no correlation between the sleep pattern and the geriatric quality of life in nursing home (p=0,582). There was also no correlation between the duration of sleep deprivation and the geriatric quality of life in nursing home (p=0,629). The physical aspect has the strongest correlation with the sleep pattern among the geriatric population in nursing home (r=0,359).
The conclusion from this study is that even though there was no correlation between the sleep pattern and the duration of sleep deprivation with the geriatric quality of life in nursing home, the physical aspect among the elderly in nursing home should be considered as an important matter
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2016-03-17 12:49:55
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/766
JURNAL WIDYA MEDIKA; Vol 3, No 1 (2015)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/5061
2023-10-26T07:56:07Z
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"231021 2023 eng "
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POST COVID-19 SYNDROME EFFECT ON DAILY LIFE ACTIVITIES
Dewi, Sianty
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Dewi, Bernadette Dian Novita
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Suwasanti, Niluh
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Tahalele, Paul L
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Ongkodjojo, Evelyn
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Khudrati, Wilson Christianto
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Samsudin, Kevin
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Dharmapatni, Ni Nyoman Ratih
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Vorst, Delvi
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Limantoro, Theresia Cindy
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Array
The Covid-19 pandemic had a big impact on the world over the past two years., and it is estimated that 1 in 10 people have been infected. The development of prevention and treatment systems can reduce mortality, but a new problem has emerged in the group of survivors. New clinical complaints, Getting COVID-19 again or having ongoing symptoms of COVID-19 for four weeks after the first infection, can affect a wide variety of organ functions. The long-term effects of having COVID-19, like feeling tired, having trouble breathing, chest pain, difficulty thinking, and joint pain, can make life worse. The study was conducted using a qualitative descriptive method using an online questionnaire. The results showed that some residual symptoms that respondents still felt after four weeks since being infected with COVID-19, such as fatigue easily (80%), joint pain (63.3%), insomnia (56.7%), depressive symptoms (53.3%), shortness of breath (50%), impaired concentration and memory (50%), livelihood disorders (43.3%), cough (40%), respiratory disorders (36.7%), weight loss and appetite (33.3%), fever (26.7%). Overall, it was found that 20% of COVID-19 survivors experienced daily activity disruptions assessed using the Modifications of Barthel Index and EQ-5D-5L questionnaires.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-10-21 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/5061
JURNAL WIDYA MEDIKA; Vol 9, No 2 (2023): October
eng
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2206
2019-10-24T07:50:38Z
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"191024 2019 eng "
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Peranan Vaksinasi Human Papillomavirus (HPV) Sebagai Penatalaksanaan Pada Penderita Infeksi Human Immunodeficiency Virus (HIV), Bagian 1: Manifestasi Infeksi HIV Dan HPV
Oenarta, Dave Gerald
Department of Dermatology and Venereology, Faculty of Medicine, Widya Mandala Catholic University, Surabaya
Array
Human papillomavirus (HPV) and human immunodeficiency virus (HIV) both comprise global problems as these infections are widespread around the world and interplay with each other. HPV has many serotypes and it is known that serotypes 16 and 18 are the most common cause of cervical cancer. Cancer itself has been known to be strongly correlated to the host immune status. It is known that HPV infection indicates that the infected individuals are at risk of other sexually transmitted infections including HIV whilst HIV infection may increase the chance of someone to contract HPV and may propagate the HPV-related complication such as cancer. While there is no HIV vaccination yet in the market, HPV vaccination has become the norm to effectively prevent the acquisition of this virus. There are three available vaccine types in the market; the bivalent vaccine for HPV 16 and 18, the quadrivalent vaccine for HPV 6, 11, 16 and 18, and the most recent one the nonavalent vaccine for 9 different serotypes of the virus. Recent guidelines have recommended the use of HPV vaccines for HIV infected individuals both for the prevention of HPV infection and for the suppression of the increased HPV-related cancer incidence.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-10-24 09:50:38
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2206
JURNAL WIDYA MEDIKA; Vol 5, No 2 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/834
2018-03-15T10:51:28Z
JWM:ART
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Pengaruh Pemberian Zinc Pada Ibu Hamil Kek Trimester III Terhadap Kadar Zinc Dan Retinol Serum Saat Nifas Di Kabupaten Bojonegoro
Dewi, D.A. Liona
Wirjatmadi, Bambang
Adriani, Merryana
Defisiensi zinc pada ibu hamil telah dikaitkan dengan berbagai kondisi pada bayi baru lahir, antara lain bayi dengan berat badan lahir rendah. Suplementasi zinc pada ibu hamil dapat meningkatkan kadar zinc serum dan vitamin A dosis tinggi dapat meningkatkan kadar retinol serum. Tujuan penelitian ini untuk mengetahui pengaruh suplementasi zinc pada ibu hamil KEK trimester ketiga kehamilan terhadap kadar zinc serum dan retinol serum saat nifas. Populasi penelitian adalah seluruh ibu hamil trimester ketiga di lokasi penelitian. Terdapat 32 wanita hamil trimester ketiga dengan KEK berdasarkan kriteria lingkar lengan atas < 23,5 cm. Data dikumpulkan melalui kuesioner, food recall, food frequency questionnaire, antropometri, pengambilan sampel darah, dan tes laboratorium. Sampel diambil dari populasi berdasarkan kriteria inklusi. Sampel dibagi dalam 2 kelompok dengan alokasi random. Hasil penelitian ini menemukan bahwa ada perbedaan yang signifikan pada kadar serum zinc p = 0,000 < α (0,05) dan tidak ada perbedaan yang signifikan pada kadar serum retinol (p = 0,624 > α (0,05) pada kelompok perlakuan. Kadar zinc serum meningkat, namun terdapat penurunan kadar retinol serum setelah suplementasi. Kesimpulan dari penelitian ini adalah suplementasi zinc dapat meningkatkan kadar zinc serum tetapi diperlukan asupan protein yang cukup untuk meningkatkan kadar retinol serum.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2013-05-28 14:17:43
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/834
JURNAL WIDYA MEDIKA; Vol 1, No 1 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2501
2020-05-06T06:41:40Z
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"200505 2020 eng "
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Evaluation Of Traumatic Brain Injuries Due To Alcohol Intoxication: Study In Central Hospital In West Java
Bolly, Hendrikus Masang Ban
Departmen Bedah Saraf, Fakultas Kedokteran Universitas Padjadjaran – RSUP.Dr. Hasan Sadikin, Bandung
Sutiono, Agung Budi
Departmen Bedah Saraf, Fakultas Kedokteran Universitas Padjadjaran – RSUP.Dr. Hasan Sadikin, Bandung
Faried, Ahmad
Departmen Bedah Saraf, Fakultas Kedokteran Universitas Padjadjaran – RSUP.Dr. Hasan Sadikin, Bandung
Yembise, Trajanus Laurens
Departemen Bedah, Fakultas Kedokteran Universitas Cenderawasih, jayapura
Arifin, Muhammad Zafrullah
Departmen Bedah Saraf, Fakultas Kedokteran Universitas Padjadjaran – RSUP.Dr. Hasan Sadikin, Bandung
Wirjomartani, Benny Atmadja
Departmen Bedah Saraf, Fakultas Kedokteran Universitas Padjadjaran – RSUP.Dr. Hasan Sadikin, Bandung
Array
Background: Alcohol intoxication is one of the predisposing factors for the incidence of traumatic brain injury (TBI). At present, there are no hospital-based specific data that provide TBI prevalence rates due to alcohol intoxication, especially in West Java. Objective: This study aims to make descriptive observations about the incidence of TBI due to alcohol intoxication in one of the central referral hospitals in West Java. Method: A retrospective cross-sectional study was carried out involving 10,662 TBI patients recorded in the emergency department database and the Department of Neurosurgery daily case database in the period 2012 to 2018. All data relating to the two items were analyzed. Alcohol intoxication is known from a history of autoanamnesis, alloanamnesis, and the subjective identification of the examiner of alcohol odor on the breath in TBI patients who enter the emergency room. Statistical cross-tabulations were performed to present clinical and demographic phenomena in TBI cases due to alcohol intoxication. Results: The analysis showed that the prevalence of alcohol intoxication in TBI cases was 4.77% (N = 507), all of which were due to motor vehicle accidents. Mean age of 26.44 ± 9.32 years (median 24 and range 12-64). The predominant age in TBI cases due to alcohol intoxication was in the age range of 20-30 years (44.2%), and male sex 92.7%. Most cases occurred in May (12%) and on Saturdays. Based on the consciousness assessment, initial Glasgow Coma Scale in emergency department were 14 (35.9%) and classified as mild TBI (69.2%). Subarachnoid hemorrhage and cerebral contusion are predominantly lesions found on CT scans of patients (2.2%), anterior skull base fractures of 8.1%, and linear fractures (5.1%) are the dominant extracranial lesions. Soft tissue lacerations are found in 16% of all cases. Craniotomy surgery was performed in 3.6% of patients for epidural, intracerebral, and subdural hemorrhage lesion evacuation as well as correction of depressed skull fractures. About 45% were treated for a minimum of three days to observe changes in their consciousness status before discharge. Conclusion: Alcohol consumption before the head injury in motor vehicle accidents has a relationship with various complications. Alcohol intoxication is a complex issue, and more research needs to be done to create comprehensive prevention programs and regulations.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-04-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2501
JURNAL WIDYA MEDIKA; Vol 6, No 1 (2020): April
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/845
2018-03-15T10:54:19Z
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Pencegahan Penularan HIV Dari Ibu Ke Bayi (Prevention Of Mother To Child HIV Transmission/PMTCT)
Haryanti, Elizabeth
Merati, Tuty Parwati
Pelayanan prevention of mother
to child HIV transmission (PMTCT)
sangat penting karena epidemi human
immunodeficiency virus (HIV) dan
aquired immune deficiency syndrome
(AIDS) meningkat dengan cepat. Di
Indonesia jumlah kasus AIDS pada
Desember 2009 sebanyak 17,699 kasus
dan HIV sejumlah 6.668 kasus. Seiring
dengan bergesernya epidemi dari
kelompok berisiko ke kelompok
masyarakat umum, HIV dan AIDS pada
perempuan usia reproduktif dan anakanak
juga meningkat. Walaupun
prevalensi HIV pada perempuan di
Indonesia hanya 16%, tetapi karena
mayoritas (92,54%) orang dengan
HIV/AIDS (ODHA) berusia reproduksi
aktif (15-49 tahun) diperkirakan jumlah
kehamilan dengan HIV positif akan
meningkat (1,2). Di negara berkembang
tercatat sebesar 40% penularan dari ibu
ke bayi. Masa penularan ialah pada saat
dalam kandungan (intra uterine) 25-
35%, intrapartum (labor and delivery)
70-75% atau postpartum (breastfeeding)
14% (6). Di Uganda prevalensi
penularan dari ibu ke bayi tanpa
PMTCT sebesar 1,53%, akan tetapi
setelah pelayanan dan jangkauan oleh
PMTCT ditingkatkan hingga 80%
(dengan pemberian nevirapin 48%)
dapat mencegah sejumlah 13.000
infeksi selama 2005-2010, menurunkan
prevalensi HIV pada neonatal menjadi
1,19% hingga 2010 (3).
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2013-05-28 14:17:43
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/845
JURNAL WIDYA MEDIKA; Vol 1, No 1 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2782
2020-10-31T21:14:48Z
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"201031 2020 eng "
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Rupture of Anastomotic Pseudoaneurysm of Brachiocephalic Arteriovenous Fistula: A Case from West Java
Haris, Rifqi Raihan
General practitioner, Sentra Medika Hospital, West Java
Edi, Prasetyo
Division of Cardio-Thoracic and Vascular Surgery Sentra Medika Hospital, West Java
Array
Background: Post-traumatic pseudo aneurysm development is very rare in the peripheral arteries and is generally a late sequela of trauma. Their diagnosis and surgical treatment are extremely important, because they can cause severe disability, including loss of upper extremity and hand. Objective: To describe the clinical presentation, intervention, and outcome of ruptured anastomotic pseudoaneurysm of brachiocephalic arteriovenous fistula which has undergone surgical procedure. Methods: A 29-years-old man presented with arm swelling and extreme pain in his right arm since 3 days ago. He had undergone AVF procedure 3 weeks ago. His right arm was accidentally squeezed by his mother 1 week after surgery had been done. This patient underwent operation with general anesthesia. Proximal control was taken by tourniquet that maintained to inflate at 300 mmHg. The brachial artery is repaired using great saphenous vein patch plasty. Results: Patient’s postoperative course went well and there was no sign of complication, such as ischemia. Arm swelling were reduced after 2 weeks follow up. Conclusion: In our center, most of the cases of brachiocephalic AVF pseudoaneurysm are caused by trauma. MSCT angiography is sufficient for the diagnosis of this anomaly. All cases were managed by open surgery and resulted a good outcome.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-10-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2782
JURNAL WIDYA MEDIKA; Vol 6, No 2 (2020): October
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/850
2018-03-15T11:06:54Z
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Asupan Protein, Lemak, Karbohidrat dan Lama Hari Rawat Pasien Demam Tifoid di RSUD Dr. Moh. Soewandhie Surabaya
Umah, Anisah Khoirul
Wirjatmadi, R. Bambang
Diet menjadi hal yang penting dalam proses penyembuhan penyakit demam tifoid karena bila asupan makanan kurang akan menurunkan keadaan umum dan gizi penderita sehingga proses penyembuhan akan semakin lama. Tujuan umum dari penelitian ini adalah untuk mengetahui hubungan asupan nutrisi berupa asupan protein, lemak dan karbohidrat selama perawatan dengan lama hari rawat pasien demam tifoid
Penelitian ini merupakan penelitian observasional analitik dengan desain kohort prospektif. Variabel bebas dalam penelitian adalah asupan protein, lemak dan karbohidrat, sementara variabel terikat adalah lama hari rawat pasien. Sampel penelitian sebagian pasien rawat inap demam tifoid di RSUD Dr. Moh. Soewandhie Surabaya yang telah memenuhi kriteria inklusi sebanyak 26 pasien, dengan rincian 13 pasien dengan lama hari rawat ideal (4 hari). Analisis data menggunakan uji Chi Square untuk uji hubungan antar variabel.
Hasil penelitian ini menunjukkan bahwa sebagian besar pasien demam tifoid berusia 5-12 tahun, berjenis kelamin perempuan dan berstatus gizi normal. Rerata asupan nutrisi adalah energi 825,9 kkal, protein 35,3 gram, lemak 23,38 gram dan karbohidrat 103,27 gram. Uji hubungan menunjukkan bahwa asupan energi (p=0,007), protein (p=0,00) dan karbohidrat (0,03) berhubungan dengan lama hari rawat, sementara
asupan lemak (p=0,3) tidak terdapat hubungan. Perlu adanya peningkatan asupan nutrisi berupa energi, protein dan karbohidrat pada pasien dengan demam tifoid
untuk mempercepat proses penyembuhan sehingga mempersingkat lama hari rawat.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:34
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/850
JURNAL WIDYA MEDIKA; Vol 2, No 2 (2014)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2787
2020-10-31T21:14:48Z
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Hyper-coagulation and The Used of Anticoagulant for Patient with COVID-19
Gunawan, Alyssa Claudia V.
Alumnus Faculty of Medicine Widya Mandala Catholic University Surabaya
Novita, Bernadette Dian
Department of Pharmacology and Therapy, Faculty of Medicine Widya Mandala Catholic University Surabaya
Array
Coronavirus SARS-CoV-2 (COVID-19) infection has become a global infection with high mortality and morbidity rate. The pathophysiology of COVID-19 has not yet clear but associated with increasing proinflammatory cytokines and chemokines that leads to cytokine storm. Cytokine storm leads to increasing coagulation that defined by increasing D-dimer, Prothrombin Time (PT), and activated partial thromboplastin time (aPTT). The use of anticoagulant in patient with COVID-19 decrease the mortality rate and become one of the recommended therapy.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-10-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2787
JURNAL WIDYA MEDIKA; Vol 6, No 2 (2020): October
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2862
2021-04-29T17:44:18Z
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"210429 2021 eng "
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A CASE REPORT OF 23-YEARS-OLD YOUNG WOMAN WITH PERICARDIAL EFFUSION IN SYSTEMIC LUPUS ERYTHEMATOSUS DIAGNOSED WITH ECHOCARDIOGRAPHY AND CT-SCAN
Laksono, Sidhi
Universitas Muhammadiyah Prof. DR. Hamka
Surya, Steven Philip
Army Hospital Kesdam Jaya Cijantung
Array
Pericardial effusion is not daily case in emergency room (ER). It has wide spectrum of etiologies and one of them are autoimmune diseases like systemic lupus erythematosus. PE in SLE patient could increase morbidity and mortality rate. The clinical manifestation and laboratory finding might not specific. Imaging modalities, such emergency echocardiography and CT scan, are important to diagnose Pericardial Effusion (PE) and evaluation beyond to the adjacent structures. We presented a 23 years-old female with diagnosis of systemic lupus erythematosus (SLE) and cardiac involvement of PE that diagnosed with imaging modalities echocardiography and CT scan. In this case, echocardiography is the most available and reliable imaging modality for pericardial effusion and CT usually obtain to try and clarify or to rule out the cause of an effusion rather than just to confirm the diagnosis.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-04-29 19:44:18
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2862
JURNAL WIDYA MEDIKA; Vol 7, No 1 (2021): April
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/856
2018-03-15T11:00:46Z
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Obesity An overview of the complex biological effects of expanding adipose tissue
Haeften, T.W. van
Obesity has a more complex biology than previously thought. Feeding behaviour is regulated via a integrative circuit of afferent input from the stomach, the pancreas and the intestines via hormonal influences and the vagal nerve, which affect hypothalamic nuclei. This will lead to satiety and inhibition of hunger combined with other effects such as energy expenditure and growth promoting effects. Moreover, upon sufficient caloric intake, triglycerides are taken up in adipocytes, which in their turn will produce more leptin which inhibits hypothalamic nuclei and which will add to these hypothalamic effects. It has been suggested that more macrophages enter the adipose tissue which would alter adipocyte secretion. Adipocytes are now known to produce an array of proteins with hormonal effects calledadipo(cyto)kines. In obesity, many of these adipokines are produced in substantially higher amounts with potentially deleterious effcets notably on the risk of atherosclerosis, type 2 diabetes and cancer.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:11
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/856
JURNAL WIDYA MEDIKA; Vol 1, No 2 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/3168
2021-04-29T17:44:18Z
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AN ANIMATED MODELS DEVELOPMENT OF CARDIOVASCULAR SYSTEM IN PHARMACOLOGY LEARNING MODULE FOR MEDICAL STUDENTS
Novita, Bernadette Dian
Faculty of Medicine, Widya Mandala Catholic University Surabaya
Tahalele, Paul L
Faculty of Medicine Widya Mandala Catholic University Surabaya
Laksono, Gerardo AK
Clinical Internship Program Faculty of Medicine Widya Mandala Catholic University Surabaya.
Array
Hypertension is the most known common cardiovascular disease. Based on the Indonesian Competency Standard of Medical Doctors (StandarKompetensiDokter Indonesia or SKDI), the management of essential hypertension is at 4A or the highest level. Therefore, doctors should be able to establish a complete and independent diagnosis and management. The student passing rate in the cardiovascular system at the undergraduate level of medical education of Faculty of Medicine Widya Mandala Catholic University (FK UKWMS) was around 60-70%. This study is an evaluation to develop learning methods that would improve student learning outcomes. The development of this animation model is aimed to increase the engagement process in Pharmacology learning, especially in the cardiovascular system. 98 active students participated in this study, divided into 74 undergraduate students and 24 clinical internship students. The evaluation was carried out using a pre-test and a post-test related to pharmacological animation video exposure. Using the Wilcoxon different test, there was a significant difference between the pre-test and post-test results, especially in the clinical internship program’s students. This animated model was expected to help students to determine the rational determination of hypertension therapy.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-04-29 19:44:18
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3168
JURNAL WIDYA MEDIKA; Vol 7, No 1 (2021): April
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/861
2018-03-15T11:02:40Z
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Women’s Contraception: A Minus Malum
Benjamin, Inge W.
Berkontrasepsi adalah suatu cara yang dianjurkan oleh Pemerintah untuk membatasi pertumbuhan penduduk. Yang populer digunakan adalah sarana kontrasepsi yang ditujukan kepada perempuan. Sarana ini tidak bebas dari efek samping. Walaupun demikian, perempuan tetap meneruskan penggunaannya untuk sejahtera dalamrelasi seksual dengan suami tanpa beresiko suatu kehamilan, serta sejahtera dalam keluarga yang terencana. Stres akibat efek samping dikesampingkansebagai pilihan yang berani dalam konteks minus malum (yaitu pilihan terbaik di antara pilihan-pilihan yang jelek).
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:11
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http://journal.wima.ac.id/index.php/JWM/article/view/861
JURNAL WIDYA MEDIKA; Vol 1, No 2 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/3388
2021-10-31T08:48:52Z
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"211031 2021 eng "
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THE CORRELATION BETWEEN APGAR SCORE AND GESTATIONAL AGE WITH NEONATAL SEPSIS AND ASSOCIATED MORTALITY
Harum, Nabila Annisa
Universitas Airlangga
Utomo, Martono Tri
Faculty of Medicine Universitas Airlangga - Dr. Soetomo Hospital, Surabaya, Indonesia
-, Aditiawarman
Faculty of Medicine Universitas Airlangga - Dr. Soetomo Hospital, Surabaya, Indonesia
Gunawan, Prastiya Indra
Faculty of Medicine Universitas Airlangga - Dr. Soetomo Hospital, Surabaya, Indonesia
Array
Background: Neonatal sepsis is increasingly recognized as an important global health problem that challenges neonatal survival. In 2018, sepsis caused approximately 15% of all neonatal deaths worldwide. Recent data regarding preterm birth and low Apgar score as risk factors for neonatal sepsis-related death have not been reported in Indonesia. Methods: This was a case-control study conducted in Dr.Soetomo General Hospital. A case group was obtained from medical records by a total sampling of all neonates diagnosed with neonatal sepsis in 2019, and a control group of non-neonatal sepsis cases was taken by random sampling. Chi-square test and logistic regression were used to analyze the data. Results: Statistical analysis showed a significant correlation between one and five-minute Apgar score
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2021-10-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3388
JURNAL WIDYA MEDIKA; Vol 7, No 2 (2021): October
eng
Copyright (c) 2021 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1650
2018-04-05T10:36:11Z
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"140405 2014 eng "
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Depresi pada lanjut usia
Maramis, Margarita M.
Fakultas Kedokteran Unika Widya Mandala Surabaya
and significantly decreases quality of life in older adults. Depression is perceived as part of accelerated aging. Depressed individuals have a higher risk to get various diseases of aging. So that depressed elderly patients often have chronic comorbid conditions such as diabetes, hypertension, metabolic syndrome, coronary artery disease, cancer, asthma and cognitive impairment and dementia. The impact of late-life depression on mortality, morbidity, and function as well as service utilization is well known.
Differential diagnosis of depression in late-life are dementia, delirium or behavioral and psychological symptoms of dementia (BPSD), and often as comorbidity in depression.
Depression in late life should be treated as early as possible. The important to treat are avoid the progression of depression and other medical comorbidity. Selection of antidepressant medication should be based on the best side effect profile and the lowest risk of drugs interaction. Add-on treatments including other drugs and psychotherapy can be applied. Involving the caregiver and families in the treatment process is a key to reach optimal outcome.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-04-05 12:23:28
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http://journal.wima.ac.id/index.php/JWM/article/view/1650
JURNAL WIDYA MEDIKA; Vol 2, No 1 (2014)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3827
2022-04-26T10:04:33Z
JWM:ART
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"220426 2022 eng "
2623-2723
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ACUTE DISSEMINATED ENCEPHALOMYELITIS FOLLOWING A DIPHTHERIA-PERTUSSIS-TETANUS VACCINATION: A CASE REPORT
Prijanto, Stephanie Angela
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Wahyono, Tikto
Division of Pediatrics, Dolopo General Hospital, Dolopo, East Java
Soesilowati, Pipit
Division of Neurology, Dolopo General Hospital, Dolopo, East Java
Array
Introduction: Acute disseminated encephalomyelitis (ADEM) is a rare, acute progressive autoimmune disease that occurs in the brain and spinal cord, in response to infection or immunization. Myelin autoantigens could share similar antigenic determinants with a pathogen and cross-react with a human’s antibody, causing demyelination of the nerve sheath. Identifying ADEM is essential to treat the patient and reduce any sequelae. Case description: An 11-year-old male was brought to the ER with one day of weakness of the face and the left side of the body. Along with that, the patient vomited, complained of headache and fever. One day prior, the patient received a Diphtheria-Pertussis-Tetanus Vaccination at his elementary school. A head computer tomography (CT) scan with contrast was done and showed multiple hypodense lesions in the bilateral internal capsule, bilateral lateral periventricular, subcortex of the right frontal lobe, and right cerebellum, with suspicion of ADEM. Discussion: There were many clinical signs of patients with ADEM, depending on the lesion. Brain and cerebellar lesions can cause irritability, confusion, coma, incoordination, and gait problems. Spine lesions can cause numbness and paralysis of the limbs. Lesions in the cranial nerve can cause dysarthria, blurry vision, double vision, and facial weakness. Conclusion: The prognosis for ADEM is good and often has improvement within a month. However, some patients need to undergo supportive therapy as appropriate. Further follow-up needs to be done to evaluate the disease progression, as ADEM may be manifesting as Multiphasic ADEM or any other demyelinating disease.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-04-26 12:04:33
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3827
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): April
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1782
2018-10-10T08:47:35Z
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"181010 2018 eng "
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Perbandingan Distribusi Dan Pola Kepekaan Acinetobacter baumannii Terhadap Antimikroba Di RSUD Dr. Soetomo Surabaya Periode Januari–Maret 2015, April–Juni 2015, dan Januari–Maret 2016
Sutandhio, Silvia
Program Pendidikan Dokter Spesialis-1 Mikrobiologi Klinik, Fakultas Kedokteran Universitas Airlangga
Widodo, Agung Dwi Wahyu
Departemen Mikrobiologi Klinik, Fakultas Kedokteran Universitas Airlangga
Alimsardjono, Lindawati
Departemen Mikrobiologi Klinik, Fakultas Kedokteran Universitas Airlangga
Wasito, Eddy Bagus
Departemen Mikrobiologi Klinik, Fakultas Kedokteran Universitas Airlangga
Acinetobacter baumannii is an environmental bacteria that can cause opportunistic infections such as ventilator-associated pneumonia, burn wound infection, urinary tract infection, and sepsis in immunocompromised patients. A. baumannii infections are troublesome because the bacteria resistance to many antimicrobial agents. Surveillance of distribution and sensitivity pattern of A. baumannii is best to be done frequently in hospitals.Venous blood as much as 10 milliliters was drawn aseptically and transferred into liquid medium Bactec® to be sent to Clinical Microbiology Laboratory of Dr. Soetomo General and Teaching Hospital. Medium that showed bacterial growth was subcultured on Blood Agar Plate and MacConkey Agar, and incubated for 18-24 hours in aerobic condition. Identification and susceptibility test were done with semi-automated system BD Phoenix, and interpreted based onClinical and Laboratory Standards Institute 2015.A. baumannii collected on trimester January-March 2015 were 30 isolates, with 19 isolates being Multidrug Resistant(MDR) A. baumannii (63%) and 6 isolatesPandrug Resistant(PDR)A. baumannii (20%). Isolates from trimester April-June 2015 were 32 isolates, with 21 isolates being MDR A. baumannii (66%) and 2 isolates PDR A. baumannii (6%). Isolates from trimester January-March 2016 were 40 isolates, with 22 isolates being MDR A. baumannii (55%) and 2 isolates PDR A. baumannii (5%).A. baumannii mostly isolated from Intensive Care Unit, followed by Internal medicine ward, Pediatric ward, Surgery ward and Emergency Department. High sensitivity of A. baumanniion trimester January-March 2016 was to imipenem (50%), meropenem (50%), amikacin (53%), cotrimoxazole (53%), dan cefoperazone-sulbactam (55%).. MDRA. baumannii mostly isolated from ICU, which reflects high burden of antimicrobial use. At this moment, antimicrobial agents that can be used as empirical therapy for A. baumannii infection are imipenem, meropenem, amikacin, cotrimoxazole, and cefoperazone-sulbactam. The entire hospital member must implement the Infection Control and Prevention and Antimicrobial Stewardship Program to preventnosocomial infections byA. baumanniiand the emergence of MDRA. baumannii.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-10 10:32:08
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1782
JURNAL WIDYA MEDIKA; Vol 4, No 1 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1808
2018-10-10T08:47:37Z
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"181010 2018 eng "
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Model Pembelajaran Moral dan Etika Kedokteran pada Mahasiswa, di F.K. Widya Mandala Surabaya
Tirtahusada, Kusuma
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Unika Widya Mandala Surabaya
Maramis, Willy F.
Departemen Psikiatri, Fakultas Kedokteran, Unika Widya Mandala Surabaya
The increasing conciousness on law and personal right among people, must be responded by medical doctors with increasing their attention on medical ethics when providing medical practice, to avoid malpractice. Ethics and medical law are closely related. Attention and learning medical ethics must begin early during medical study, and continue as long as the study. Widya Mandala medical faculty provide a programe called “Ethical Dilemma Discussion”. Begins from the first semester, designed for seven semesters. The programme consists of small group weekly discussions on moral dilemma cases, ten times for each semester, plus classes on morals, philosofy of man, bioethics, social ethics, behavioral sciences in medicine and medical law. Every student must be involved in each dilemma case discussion, express his/her opinion and the reasoning. The discussion attend to the six stages of L. Kohlberg’s moral development. Each dilemma case being analized according to the six principals of Beauchamp and Childress, those are personal autonomy, veracity, beneficence, nonmaleficence, confidentiality, justice. According to reports from students in internship, they feel at easy when discussing dilemma cases in hospital, because they are familiar with moral dilemma dialogues already
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-10 10:32:08
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1808
JURNAL WIDYA MEDIKA; Vol 4, No 1 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3615
2022-04-26T10:04:33Z
JWM:ART
nmb a2200000Iu 4500
"220426 2022 eng "
2623-2723
2338-0373
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ANALYSIS FACTORS OF BREAST LESION CASE IN RSUD DR. SOETOMO SURABAYA
Rachmadina, Wilda Fitria
Midwifery Program, Faculty of Medicine, Universitas Airlangga
Sandhika, Willy
Dr. Soetomo General Academic Hospital Surabaya
Fatmaningrum, Widati
Department of Public Health, Faculty of Medicine, Universitas Airlangga
Array
Introduction: Data from Indonesian Health Ministry stated that there was an increase in the prevalence of breast tumors in 2015 – 2017 by 1.8 per 100 to 21.3 per 100,000 women aged 30-50 years. The most common types of benign breast lesions found in women worldwide are fibrocystic changes of breast and fibroadenoma. Aim: This research aims to analyze the factors of age, age at menarche, parity, use of hormonal drugs, and family history with the incidence of benign breast lesions in RSUD Dr. Soetomo Surabaya. Methods: This research method is observational analytic with a case-control approach, consisting of a case group and a control group of 41 respondents in each group. The statistical test of the study used the Chi-Square Test, Independent t-test, Mann Whitney, and Odds Ratio (OR). Results: The results of statistical tests obtained age factor p(sig)=0.002, hormonal use p(sig) 0.000, family history p(sig) 0.016, age at menarche p(sig) 0,282, and parity p(sig) 0.568. Conclusion: Conclusion there is a relationship between age, use of hormonal drugs, and family history and there is no relationship between age at menarche and parity with the incidence of benign breast lesions in RSUD Dr. Soetomo Surabaya. Family history has an Odds Ratio (OR) of 4.796.
Keywords: Breast Lesions, Reproductive Health
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-04-26 12:04:33
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3615
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): April
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1815
2018-10-19T09:49:59Z
JWM:ART
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"181019 2018 eng "
2623-2723
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Seorang Wanita dengan Straight Back Syndrome
Christine, Ika
Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Skeletal deformity may alter thoracic configuration, which leads to misdiagnosis of the cardiovascular system. An absence of normal thoracic kyphosis has been identified to be a cause of “pseudo-heart disease”. This deformity is characterized by a reduced antero-posterior diameter of chest that causing a compression of the heart and great vessel. It is well known as the Straight Back Syndrome. Although this abnormality is subtle, it may generate leftward displacement of the heart, resulting cardiac murmurs, chest pain, and tracheal compression. Straight back syndrome may closely mimicking several cardiac diseases, such as mitral valve prolapse, ventricle septal defect, and pericardial absence. Chest x-ray has been known to be the most convenient diagnostic tool for this syndrome. Careful clinical assessment of this syndrome may avoid patients from unnecessary medication. This literature presents a case of a 36 year-old woman who was misdiagnosed with ventricular septal defect from the physical examination, transthoracic echocardiography, and transesophageal echocardiography. However, the right and left diagnostic catheterization resulted normal findings. Consequently, the patient was suggested to discontinue completely her medication
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2018-10-19 11:49:59
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1815
JURNAL WIDYA MEDIKA; Vol 4, No 2 (2018)
eng
Copyright (c) 2018 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4025
2022-08-31T05:27:30Z
JWM:ART
nmb a2200000Iu 4500
"220831 2022 eng "
2623-2723
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MODIFIED BUTTERFLY ANTI-TENSION TAPE AS A PREVENTION OF HYPERTROPHIC SCAR IN FACIAL REGION MEASURED BY JAPANESE SCAR SCALE (JSS)
Laksono, Gerardo
Faculty of Medicine, Widya Mandala Surabaya Catholic University
Wihastyoko, Herman YL
Departemen Bedah Plastik, Rekonstruksi dan Estetika, RS Saiful Anwar Malang
Tahalele, Paul L
Departemen Bedah Plastik, Rekonstruksi dan Estetika, RS Saiful Anwar Malang
Array
Introduction: Abnormal scar remains an unsolved problem in some countries marked by an increase of prevalence of abnormal scar in the last 2 to 3 decades. Prevention of abnormal scar is essential but there aren't many therapy modalities as prevention followed by affordable prices to
all society groups for abnormal scar.Purpose: to determine the effect of anti-tension tape in the shape of a butterfly as a hypertrophic scar prevention measured by Japanese Scar Scale (JSS). Method: This is an analytic study with an observational study design and a cohort study method. Total sample used in this study is 80, divided into 2 groups contains 40 patients who got anti tension tape application and patient who didn't. The anti tension tape was used for 3 months. Chi-Square was used as a statistical analysis in this study. Results: From 40 samples in anti-tension tape application group, 33 patients have normal scar, 7 patients have hypertrophic scar. From 40 patients in control group, 11 patients have normal scar and 29 patients have hypertrophic scar. Statistical analysis using chi-square showed p=0.000. Conclusion: Modified butterfly anti-tension tape can be used as on therapy modality as a prevention of Hypertrophic scar measured by Japanese Scar Scale.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-06-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4025
JURNAL WIDYA MEDIKA; Vol 8, No 1 (2022): Supplement Juni
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1994
2019-04-05T12:27:17Z
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"190405 2019 eng "
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Evaluasi Status Fungsional Pasien Stroke Iskemik Di Ruang Rawat Inap Saraf RSUD Dr. Soetomo Menggunakan Instrumen Functional Independence Measure (FIM)
Suprijadi, Inez Anabela Suprijadi
Mahasiswa Fakultas Kedokteran Universitas Airlangga
Sustini, Florentina
Departemen Ilmu Kesehatan Masyarakat-Kedokteran Pencegahan Fakultas Kedokteran Universitas Airlangga,
Pawana, I Putu Alit
Departemen Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Airlangg
Sudibyo, Devi Ariani
Departemen Neurologi Fakultas Kedokteran Universitas Airlangga
Introduction: Stroke is a sudden and acute functional focal and global brain disorder that lasts more than 24 hours due to brain blood circulation disorders. Strokes can influence several aspects of life including ADL. Aim: To analyze the patients with ischemic stroke in Neurology Department of RSUD Dr. Soetomo by Functional Independence Measure (FIM) scale at the times of admission to hospital, discharge, and one month after follow-up. Methods: The design of study was cohort. Sample was 60 patients that suitable with the inclusion criteria and was selected by consecutive sampling. Patient’s age, sex, length of stay, nutritional intake, compliance of drugs intake, and the ability of physical activity were recorded. After that, motor assessment and daily activities skills were evaluated by FIM scale. Data was collected by interview and examination for 5 months. Data was analyzed by t-test. Results: A sum of 60 patients are studied. Most frequent genders are male (53,3%), age ranging from 60-69 years old (36,7%), length of stay mostly less than a week (88,3%), nutritional intake is mostly balanced (31,7%), most of the patients take their drugs regularly (66,7%), and most of the patients are only need supervision (45%). The FIM score at admission ranged between 54-71 (40%), at discharged ranged between 72-89 (46,7%), and after one month follow-up ranged between 72-89 (48,3%). There were significant change at p=0,001 between FIM Score at discharged and admission and also between FIM score after one month follow-up and discharged. Conclusion: All patients’ FIM scores were improved. There was a correlation between patient’s length of stay and FIM score at admission and also the ability of physical activity. Significant correlation was found between patient’s age and the ability of physical activity with the FIM score at discharge. Patient’s age, length of stay, and the ability of physical activity have significant correlation with The FIM score after one month follow-up.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-04-05 14:27:17
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1994
JURNAL WIDYA MEDIKA; Vol 5, No 1 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/3748
2022-11-27T14:08:35Z
JWM:ART
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"221122 2022 eng "
2623-2723
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BODY IMAGE WITH EATING PATTERNS STUDENTS STIKES SANTA ELISABETH MEDAN
Simbolon, Nagoklan
STIKes Santa Elisabeth Medan
Simbolon, Pomarida
STIKes Santa Elisabeth Medan
Array
Background: Students are individual figures who are in the process of changing from childhood to adulthood. These changes occur both physically, biologically as well as psychologically and socially. These physical changes depend on a person's diet which will build a body image or body image to a good or bad direction. This happened at STIKes Santa Elisabeth Medan, namely the eating pattern of 30% of STIKes students was not good. The purpose of the study was to determine the relationship between body image and diet in students at STIKes Santa Elisabeth Medan. Methods: the method used is descriptive analytic by using a cross sectional approach. The sample in this study amounted to 110 people with simple random sampling technique. Data analysis with chi-square test. Results: the results showed that the majority of respondents' body image was negative (71, 8%) and the majority of respondents' eating patterns are sufficient (54.6%). The results of the chi-square statistical test obtained p-value = 0.001 (p < 0.05), so there is a relationship between body image and diet in STIKes Santa Elisabeth Medan students. It is hoped that the campus will provide counseling to students so that body image is controlled.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-11-22 01:14:34
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/3748
JURNAL WIDYA MEDIKA; Vol 8, No 2 (2022): October
eng
http://journal.wima.ac.id/index.php/JWM/article/download/3748/11235
http://journal.wima.ac.id/index.php/JWM/article/download/3748/11236
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/1999
2019-04-05T12:27:17Z
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"190405 2019 eng "
2623-2723
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Efek Injeksi Plasma Kaya Platelet Terhadap Tenosinovitis Tendon Tibialis Posterior: Sebuah Studi Kasus
Handoyo, Henry Ricardo
Orthopedic surgeon of Surabaya Orthopedic and Traumatology Hospital and Faculty of Medicine of Widya Mandala Catholic University
Bakri, Andryan Hanafi
General practitioner of Surabaya Orthopedic and Traumatology Hospital
Primadhi, Andri
Orthopedic surgeon of Dr. Hasan Sadikin General Hospital, Bandung
Introduction: Posterior tibial tendon dysfunction is one of the most common, problems of the foot and ankle. Tenosynovitis of the posterior tibial tendon (PTT) is an often unrecognized form of PTT dysfunction. Case: A 54-year-old woman presented with left ankle pain that began while morning walk three days prior. She noted that the left ankle hurt with even light touch and the pain was unrelieved with sodium diclofenac. She denied any history of trauma. She was seen in the outpatient clinic for this condition. On examination, a three centimeter area of pain was found posterior to the medial malleolus and parallel to the PTT. She also had a stage I flat foot and mild soft tissue swelling around medial malleolus region on her radiograph examination. Ultrasound examination was done with the result of anechoic fluid visible in the peritendinous space around the PTT. The patient received diagnosis of PTT tenosynovitis, with the foot and ankle disability index (FADI) score was 58.7. Platelet rich plasma (PRP) injection was done twice with an interlude of two weeks. The pain subsided and the following FADI score was 84.6. Outcome: Patient showed improvement in her left ankle PTT tenosynovitis after two PRP injection. Conclusion: This case report highlights the efficacy of PRP as a modality in managing PTT tenosynovitis.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-04-05 14:27:17
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/1999
JURNAL WIDYA MEDIKA; Vol 5, No 1 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4152
2022-11-27T14:17:27Z
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"221031 2022 eng "
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THE CORRELATION OF LEFT VENTRICULAR MECHANICAL DISPERSION AND LEFT VENTRICULAR EJECTION FRACTION WITH QT DISPERSION IN END-STAGE RENAL DISEASE PATIENTS ON HEMODIALYSIS BEFORE AND AFTER DIALYSIS
Pribadi, Harry
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia
Panda, Agnes Lucia
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia
Setiadi, Benny Mulyanto
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia
Array
Background: Ventricular arrhythmias (VA) is common in dialytic patients. Left Ventricular Mechanical Dispersion (LVMD) could provide an inhomogeneous of left ventricular myocardium contraction lead to VA. Reduced Left Ventricular Ejection Fraction (LVEF) and QT Dispersion (QTd) are well-known VA predictors in dialytic patients. This study aimed to determine the relationship between LVMD and LVEF on QT dispersion in ESRD patients before and after dialysis.
Methods: This cross-sectional study was conducted in November 2021 - February 2022. All study subjects who met the inclusion criteria underwent history taking and physical examination including age, sex, body weight, body height, electrocardiography, echocardiography, and routine laboratory studies.
Results: Among 43 subjects, 24 (55.8%) were male, with mean age of 51,14±11,6 was conducted in this study. The most common comorbidities were hypertension (79%) and diabetes mellitus (44.19%). Pre-dialysis LVMD mean was 28.99±15.98 ms and significantly decrease to 24.16±15.77 ms after dialysis (p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2022-11-22 01:14:34
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4152
JURNAL WIDYA MEDIKA; Vol 8, No 2 (2022): October
eng
Copyright (c) 2022 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/4147
2023-12-21T03:06:09Z
JWM:ART
nmb a2200000Iu 4500
"230430 2023 eng "
2623-2723
2338-0373
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CRITICAL VALUE OF GLUCOSE USING CRITIVA 1.0 APPLICATION IN BALI MANDARA EYE HOSPITAL
Dewi, Pande Putu Ayu Patria
Department of Clinical Pathology Faculty of Medicine Udayana University
Ardhiana, Dewa Putu Yudhi
STMIK STIKOM Indonesia Informatics Engineering Program
Putra, I Dewa Putu Gede Wiyata
STMIK STIKOM Indonesia Computer System Program
Array
Critical value is very critical result in laboratory examination that can indication several emergency conditions. Reporting critical values are controversial between hospital management, clinicians, and laboratory. Reporting critical value required effective communication. Information technology has become one of the solution effective communication in reporting critical values. Critical values can occur in clinical chemistry, hematology, and other laboratory examination. Glucose is one of the clinical chemistry parameters which is often foound critical value and therapy must be given immediately. Aim of this research is to evaluated time reporting using Critiva 1.0 application in cellular phone of clinical pathologist Bali Mandara Eye Hospital. Samples were 50 times reporting the glucose critical value simulation using the Critiva 1.0 application and 50 times reporting the Standard Operating Operations (SPO) simulation at the Bali Mandara Eye Hospital. Simulation carried by laboratory techonology in charge. We used means to analyze time reporting and SPSS version 16. Mean reporting glucose critical value using Critiva 1.0 application was 12 seconds. Mean reporting glucose critical value using SPO Bali Mandara Eye Hospital was 720 seconds.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-03-31 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/4147
JURNAL WIDYA MEDIKA; Vol 9, No 1 (2023): April
eng
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2202
2019-10-24T07:50:38Z
JWM:ART
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"191024 2019 eng "
2623-2723
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Progress In Knowledge Of Microscopic Tuberculosis Diagnosis Laboratory Training Participants
Sutandhio, Silvia
Faculty of Medicine, Widya Mandala Catholic University Surabaya
Mertaniasih, Ni Made
Faculty of Medicine, Universitas Airlangga – Dr. Soetomo General Hospital Surabaya
Koendhori, Eko Budi
Faculty of Medicine, Universitas Airlangga – Dr. Soetomo General Hospital Surabaya
Kusumaningrum, Deby
Faculty of Medicine, Universitas Airlangga – Dr. Soetomo General Hospital Surabaya
Sulistyowati, Titiek
Balai Besar Laboratorium Kesehatan Surabaya
Alimsardjono, Lindawati
Faculty of Medicine, Universitas Airlangga – Dr. Soetomo General Hospital Surabaya
Endraswari, Pepy Dwi
Faculty of Medicine, Universitas Airlangga – Dr. Soetomo General Hospital Surabaya
Wahyunitisari, Manik Retno
Faculty of Medicine, Universitas Airlangga – Dr. Soetomo General Hospital Surabaya
Setiabudi, Rebekah Juniati
Faculty of Medicine, Universitas Airlangga – Dr. Soetomo General Hospital Surabaya
Array
Indonesia is the second highest tuberculosis (TB)-burden country in the world. TB affects men and women in productive ages. Early and accurate diagnosis of TB is crucial in TB management because it allows prompt treatment with appropriate regimen. Sputum smear microscopy is the most common method used in resource-limited laboratories. The aim of this study is to assess whether adult learning method with student-centered approach can improve knowledge in laboratory techniques in microscopic TB diagnosis. It was a quasi experimental research with one group pretest and posttest design. Pretest was conducted before the training started. During the training, participants attended lectures, discussion sessions, and hands-on laboratory activities. After training, participants were asked to respond to posttest. There were 33 participants of this training (n=33). Paired t-test analysis showed significant difference between pretest and posttest scores (p=6.5x10-9). Variance between pretest scores was 4.00 and variance between posttest scores were 1.34. Pearson correlation coefficient was 0.45. Regardless their level of knowledge before training, participants could achieve relatively equivalent results after training. Significant difference between pre- and post-training test scores indicated that the learning method was effective and the training could improve participants knowledge in laboratory techniques in microscopic TB diagnosis.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-10-24 09:50:38
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2202
JURNAL WIDYA MEDIKA; Vol 5, No 2 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/703
2018-03-15T11:05:33Z
JWM:ART
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2623-2723
2338-0373
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Eksplorasi faktor yang mempengaruhi penggunaan antibiotik di apotek K24 Wiyung dan Karah Agung Surabaya
Novita, Bernadette Dian
Tamayanti, Wahyu Dewi
Sugiarto, Eka Verlina
Data on Riset Kesehatan Dasar (Riskesdas) 2013, 86,1% antibiotics were used
and kept in houses without indication and prescription (Badan Penelitian dan
Pengembangan Kesehatan Kementerian Kesehatan Rl, 2013). This data supported
WHO's study result in 2005 that 50% of the use of drugs in hospitals and health
centers was antibiotics. Irrational use of antibiotics were disadvantaged, both, for
health, which could induced bacterial resistance, and cost. Unfortunately, people
were not yet informed properly. The study, using quantitative methods an interview,
assessed the patients' knowledge of antibiotic, described and explored the factors
that influence the use of antibiotics and determine the effect of patient education
on the use of antibiotics in pharmacies K24Wiyung and Karah Agung Surabaya.
The data obtained from the respondents were analyzed with Amos 18. O. From the
results, the significant factors that influenced the consumption of antibiotics in
pharmacies K24 Wiyung and Karah Agung Surabaya, among others: income (p
= 0.031), complaints (p = 0.005), the reason consumption (0.000), resources of
information (p = 0001). The factors that were not significant to the use of generic
antibiotics include: age (p = 0791), patient knowledge regarding antibiotics (p =
0.404). Thus, information and education about rational use of antibiotics needs to
involve these factors in order to be accepted by the patient. To support the rational
antibiotic pharmacist should be bold and willing to remind the patient to consult a
doctor before taking antibiotics.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2015-08-17 11:12:34
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/703
JURNAL WIDYA MEDIKA; Vol 2, No 2 (2014)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/767
2018-09-04T13:09:10Z
JWM:ART
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2623-2723
2338-0373
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Laporan Kasus Langka: Late Onset Post Partum Eclampsia
Tirtahusada, P.Y. Kusuma
Perjalanan penyakit preklamsia /eklamsia biasa menunjukkan tanda-tanda yang mudah dideteksi, berlangsung secara bertahap, dimulai dengan kenaikan berat badan abnormal, kenaikan tekanan darah, adanya proteinuria. Baru kemudian terjadi Eklamsia. Sebagian besar Eklamsia terjadi sebelum persalinan. Namun dapat terjadi sesudah melahirkan, biasanya dalam 24 jam setelah melahirkan. Pada kasus ini, eklamsia terjadi pada hari ke lima sesudah melahirkan, tanpa didahului tanda-tanda yang mengundang kecurigaan adanya preeklamsia, kecuali kenaikan tekanan diastolik 15 mm Hg pada dua minggu sebelum persalinan, dan kenaikan 20 mm Hg sehari sebelum persalinan. Itupun 120 / 85, yang secara sepintas dipandang sebagai tekanan darah normal. Selama kehamilan tidak dilakukan pemeriksaan proteinuria . Perkembangan terakhir menyarankan pada awal kehamilan dilakukan pemeriksaan BMI (body mass index) ), MAP (mean arterial pressure), ROT (roll over test) dan anamnesa riwayat kehamilan sebelumnya dan faktor keturunan, untuk mencari potensi kemungkinan akan terjadinya Preeklamsia. Bila ada dua faktor yang positif, sebaiknya dilakukan pemeriksaan DVAUT ( doppler velocimetry arteria uterina). Bila abnormal, beri terapi aspirin dosis rendah.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2016-03-17 12:49:55
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http://journal.wima.ac.id/index.php/JWM/article/view/767
JURNAL WIDYA MEDIKA; Vol 3, No 1 (2015)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/5063
2023-10-26T07:56:07Z
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"231021 2023 eng "
2623-2723
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COMPARISON OF THE STEP EXERCISE METHOD FOR RESTING PULSES AND RECOVERY PULSE RATES IN TBM FKIK WARMADEWA
Subrata, Tanjung
Faculty of Medicine and Health Sciences Warmadewa University
Rusni, Ni Wayan
Faculty of Medicine and Health Sciences Warmadewa University
Pradnyawati, Luh Gede
Faculty of Medicine and Health Sciences Warmadewa University
Array
Being a member of the Tim Bantuan Medis (TBM) is required not only to have excellent health but also to have optimal physical fitness, bearing in mind that Indonesia is a disaster-prone area where disasters can occur anytime and anywhere. The research was conducted on members of the TBM of Fakultas Kedokteran dan Ilmu Kesehatan (FKIK) Warmadewa, aiming to compare the step exercise (SE) method to the resting pulse rate and recovery pulse rate in TBM students. The research was conducted at the Physiology Laboratory of FKIK Warmadewa, with ethical clearance Number: 323/Unwar/FKIK/EC-KEPK/IV/2023. This study used 71 samples of TBM students who were divided into 3 groups using a simple random method. P1 group did SE at a frequency of 100 x/minute for 216 seconds, group P2 did SE at a frequency of 110 x/minute for 196 seconds, group P3 did SE at a frequency of 120 x/minute for 180 seconds, exercises were carried out 3 times per week, during 4 weeks. All subjects were tested for cardiorespiratory fitness with the Harvard Step Test and compared the pre and post exercise results. Data analysis was performed using the paired t test method to see a comparison of the step exercise method on resting pulse and recovery pulse rate. The results showed that at P1 and P3 there was no significant decrease in the pre-post resting pulse (p>0.05), whereas in the recovery pulse there was a significant decrease (p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2023-10-21 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/5063
JURNAL WIDYA MEDIKA; Vol 9, No 2 (2023): October
eng
Copyright (c) 2023 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/2207
2019-10-24T07:50:38Z
JWM:ART
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"191024 2019 eng "
2623-2723
2338-0373
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The Relationship Between Breastfeeding Patterns And Incidence Of Diarrhea In Children Aged 7–23 Months
Yofrido, Filipus Michael
Fakultas Kedokteran, Universitas Katolik Widya Mandala Surabaya
Aryana, Hanung
Department of Public Health and Preventive Medicine, Faculty of Medicine, Airlangga University
Jaya, Jessica Hoetama
Department of Public Health and Preventive Medicine, Faculty of Medicine, Airlangga University
Prastowo, Rachmat Ageng
Department of Public Health and Preventive Medicine, Faculty of Medicine, Airlangga University
Satwikaputri, Rynda Kirana
Department of Public Health and Preventive Medicine, Faculty of Medicine, Airlangga University
Umiastuti, Pirlina
Department of Public Health and Preventive Medicine, Faculty of Medicine, Airlangga University
Hadi, Indawan Setyono
East Java State Public Health Training Center, Lawang
Array
Breastmilk is the main source of nutrition for infants, giving protection through its immunity properties. Indonesian Ministry of Health targeted 80% coverage 6-months-exclusive-breastfeeding. However, it is very difficult to achieve, even the prevalence of exclusive-breastfeeding trends to decline from year to year. In Baturetno Village, Singosari District, Malang Regency, exclusive-breast feeding proportion is 59%. This research is aimed to analyze the relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Method: This was analytic-observational study with cross-sectional design. Sixty children aged 7 – 23 months were randomly included. 32 children (53%) were male. Their parent were interviewed based on questionaire about their breastfeeding patterns and last two weeks incidence of diarrhea. Results: The proportion of exclusive breastfeeding was 58.33% and the incidence of diarrhea in last 2 weeks was 31.67%. Chi-Square test result illustrates there was association between breastfeeding patterns and incidence of diarrhea (p=0.004, PR 0.33, 95%CI 0.145-0.748). Based on contingency coefficient, a strong relationship between breastfeeding patterns and the incidence of diarrhea in the last 2 weeks was 0.347 (moderate). Conclusion: There was relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Exclusive-breastfeeding children have 67% lower incidence of diarrhea.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2019-10-24 09:50:38
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2207
JURNAL WIDYA MEDIKA; Vol 5, No 2 (2019)
eng
Copyright (c) 2019 JURNAL WIDYA MEDIKA
oai:ojs.jurnal.wima.ac.id:article/835
2018-03-15T10:52:48Z
JWM:ART
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2623-2723
2338-0373
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Peningkatan Kepatuhan Pengobatan Akupunktur Berdasarkan Analisis Customer Value Di LP3A, Surabaya
Sincihu, Yudhiakuari
Supriyanto, Stefanus
., Ernawaty
SURABAYAABSTRAKAkupunktur sebagai terapi komplementer formal bagi kedokteran modern semakin dikenal dan diminati sebagai metode pengobatan. Metode ini mengadopsi prinsip keseimbangan Yin-Yang, sehingga mempunyai frekuensi pengobatan yang berbeda pada tiap kasus penyakit. Analisis Customer Value merupakan salah satu strategi pemasaran dalam upaya pencapaian kepuasan layanan dari sudut pandang pasien sebagai user, buyer dan payer, sehingga tercipta prilaku patuh. Kepatuhan pasien diklinik LP3A masih rendah.Diharapkan dengan upayaanalisis customer value ini dapat meningkatkan prilaku kepatuhanpengobatan.Penelitian ini bertujuanmenyusun rekomendasi peningkatan kepatuhan pasien dalam mengikuti seri pengobatan akupunktur berdasarkan analisis customer value yang memberi added value di Klinik LP3A, Surabaya. Merupakanpenelitian diskriptif dengan pendekatan kuantitatif dan rancang bangun penelitiannya yaitu cross sectional. Data hasil penelitian dijadikan sebagai isu strategis dan menjadi pokok bahasandalam FGD. Hasil pada penelitian ini emotional value terhadap aspek reliabilty, assurance, empathy dan responsiveness dalam kategori sangat baik, tetapi tidak maksimal pada aspek tangible, financing value dalam kategori sangat baik, dan personalization value dalam kategori sangat baik. Berdasarkan hasil FGD dan telaah peneliti maka dibentuklah sebuah rekomendasi peningkatan kepatuhan pasien akupunktur beserta rencana pelaksanaan kegiatan.
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2013-05-28 14:17:43
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/835
JURNAL WIDYA MEDIKA; Vol 1, No 1 (2013)
eng
Copyright (c)
oai:ojs.jurnal.wima.ac.id:article/2502
2020-05-08T07:53:53Z
JWM:ART
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"200505 2020 eng "
2623-2723
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The Effect Of 1,25-dihydroxyvitamin D To The Phagositosis Activity Of Children Macrophage In Tuberculosis Infection
Gustina, Rosi Esa
Program Studi Magister S2 Biomedik, Fakultas Kedokteran Universitas Andalas Padang
Array
Introduction: Children infected with TB do not always experience TB pain, depending on the number of bacteria that enter and the amount of endurance the child has. 1,25-dihydroxyvitamin D (1,25 (OH) 2D) is a function modulator for macrophages. Objective: This study aims to determine the effect of giving 1,25 (OH) 2D on the phagocytic activity of macrophages in children infected with TB. Methods: This study was an experimental Post Test Only Control Group Design study of 27 samples of children infected with TB. The 1,25 (OH) 2D concentration used was 10-8M and the concentration of 10-7M. Examination of phagocytic activity is carried out using latex beads. Results: One Way ANOVA analysis showed a significant difference in the percentage of macrophages that phagocyte latex and the average number of latex phagocytes by each macrophage between the control group and the treatment group (p
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
2020-04-30 00:00:00
application/pdf
http://journal.wima.ac.id/index.php/JWM/article/view/2502
JURNAL WIDYA MEDIKA; Vol 6, No 1 (2020): April
eng
Copyright (c) 2020 JURNAL WIDYA MEDIKA
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