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All Journal Majalah Kedokteran Bandung Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Damianus Journal of Medicine The Indonesian Journal of Infectious Diseases Jurnal Respirologi Indonesia Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Mario Steffanus
Department Of Internal Medicine, Faculty Of Medicine, Atma Jaya Catholic University Of Indonesia, Jakarta
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Impact of Classic Music Intervention on Anxiety Levels of Medical Students during Online Learning on COVID-19 Pandemic Vanessa, Irene; Suryani, Eva; Steffanus, Mario
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 13, No 1 (2024): March
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.82313

Abstract

Background: Situation of COVID-19 pandemic has become a global health problem and has caused public health anxiety, especially for medical students. Anxiety disorder experienced by a person can be treated by pharmacological or non-pharmacological therapy. One of many procedures of non-pharmacological treatments that can be done is by intervening in western classical instrumental music. According to existing studies, music interventions are known to have the effect of providing calm, elevating mood, and making a person feel more relaxed. This study aimed to determine the effectiveness of receptive western classical instrumental music intervention in overcoming anxiety disorders in preclinical medical students of FKIK Atma Jaya University during online classroom learning during the COVID-19 pandemic.Methods: This study was an experimental study composed of a single group with a research design of pre-test and post-test done by 78 medical students from FKIK UnikaAtma Jaya Batch 2021. The measuring instrument used was the GAD-7 questionnaire. The data analysis performed was univariate, bivariate, and multivariate analysis.Results: There were 78 respondents, with the majority aged 17-18 years old. The majority gender was female (61.54%). Most of the respondents were in the upper socioeconomic class (84.62%). The 78.21% of students live with their parents. Bivariate analysis showed a decrease in student anxiety before and after the music intervention. Multivariate analysis showed a significant relationship between anxiety level and place of residence.Conclusion: Western instrumental classical music can reduce anxiety in medical students of FKIK UnikaAtma Jaya Batch of 2021 during online learning.
Korelasi Nilai Laju Endap Darah dengan Gambaran Luas Lesi Radiologi Toraks Pada Pasien Tuberkulosis Paru Di Rumah Sakit Atma Jaya Regina Pebriana; Steffanus, Mario; Budiman, Yanto
The Indonesian Journal of Infectious Diseases Vol. 10 No. 2 (2024): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v10i2.189

Abstract

Latar belakang: Tuberkulosis (TB) merupakan salah satu masalah kesehatan masyarakat yang penting di dunia, sepertiga penduduk dunia telah terinfeksi kuman TB. Dalam upaya menanggulangi penyakit TB, dibutuhkan diagnosis yang dapat ditegakkan melalui pemeriksaan bakteriologi, radiologi, dan pemeriksaan penunjang lain, seperti pemeriksaan nilai laju endap darah (LED). Infeksi TB berpengaruh terhadap peningkatan nilai LED dan pembentukan lesi radiologi pada TB Paru. Tujuan: untuk mengetahui korelasi nilai LED dengan gambaran luas lesi radiologi toraks pada pasien TB Paru di RS Atma Jaya Jakarta. Metode: Desain dalam penelitian ini adalah korelatif analitik dengan pendekatan cross-sectional. Sampel penelitian ini yaitu pasien TB paru dewasa baru aktif yang melakukan pengobatan di RS Atma Jaya sebanyak 68 pasien yang diambil dengan teknik consecutive sampling. Pengolahan data menggunakan metode korelasi Pearson dengan interval kepercayaan 95%, dilanjutkan dengan metode analisis regresi linear. Hasil: Penelitian menunjukan hubungan yang bermakna antara nilai laju endap darah (LED) dengan luas lesi radiologi toraks dengan koefisien korelasi 0,452  (p = 0,0001), artinya mempunyai kekuatan korelasi sedang. Hasil dari faktor perancu usia (p=0,906), jenis kelamin (p=0,887), dan gula darah sewaktu (p=0,056) tidak bermakna terhadap hubungan nilai LED dengan luas lesi radiologi toraks. Kesimpulan: Penelitian ini menunjukkan adanya hubungan bermakna antara nilai LED dengan luas lesi radiologi toraks pada pasien TB paru di RS Atma Jaya.
Penurunan Rasio Neutrofil terhadap Limfosit pada Pasien Tuberkulosis Sesudah Terapi Intensif Caroline Ciptasari; Mario Steffanus; Stefanus Lembar
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 6 No 1 (2018): JIMKI : Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 6.1 Edisi April - Sep
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

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Abstract

Background: Tuberculosis is a health problem with a high incidence rate in Indonesia. This disease caused by bacterial infection of Mycobacterium tuberculosis, Bacterial infection will activate the body's immune response that will induce inflammatory process. Inflammation caused by bacterial infection is characterized by an increase in the number of neutrophils (neutrophilia) and a decrease in the number of lymphocytes (lymphocytopenia). Therapy is done to reduce the incidence of TB. TB therapy is divided into 2 phases, an intensive and continuous phase. This therapy was use to killing bacteria and suppressing the inflammatory response that occurs as a result of the bacterial infection. Objective: The purpose of this study was to determine the improvement of the body's immune response through the neutrophil to lymphocytes ratio (NLR) before and after intensive therapy in patients with tuberculosis. Method: The study was conducted at Atma Jaya Hospital, taking data was held from January 2017 to May 2017 with a total of 44 patients as samples. Data were collected secondary through medical record. The results were obtained using the wilcoxcon test.Result: The results of this study was NLR decrease after therapy and this result are parallel with the decrease in the number of neutrophils and the increase in the number of lymphocytes after intensive therapy. Conclusion: There is an improvement in the condition of the patient after undergoing intensive TB therapy
Hubungan Kadar HBA1C dengan Albuminuria pada Pasien DM Tipe II di RS Atma Jaya Gracenidy Mutiara Hermawan; Luse Luse; Febie Chriestya; Mario Steffanus
Majalah Kedokteran Indonesia Vol 70 No 2 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.2-2020-171

Abstract

Introduction: World Health Organization (WHO) estimated the number of DM patients in Indonesia in year 2030 could reach up to 21,3 million people. This study was conducted to understand the correlation between HbA1c levels and albuminuria in DMT2 patients.Methods: Data included age, sex, levels of HbA1c, blood pressure, proteinuria, smoking habit, usage of ACE-Inhibitor and/or Angiotensin Receptor Blocker, and duration of treatment that was collected from the medical records of patients DMT2 in Atma Jaya Hospital according to certain inclusion and exclusion criteria using the cross-sectional study with the Spearman correlation method with 95% confidence interval (á = 0.05).Result: There’s a correlation between HbA1c levels and albuminuria (p less than 0,0001) with a quite strong correlation (r=0,439). There is also a relation between age (p less than 0.05), while blood pressure, smoking, and ACE-Inhobitor or Angiotensin Receptor Blocker consumption are not related significantly. Conclusion : This study showed a correlation between HbA1c levels and albuminuria in Type 2 DM patient in Atma Jaya Hospital.
Perbedaan Nilai Rasio Neutrofil Terhadap Limfosit Pada Pasien Tuberkulosis Dewasa Sebelum dan Setelah Terapi Fase Intensif di RS Atma Jaya Alius Cahyadi; Mario Steffanus
Majalah Kedokteran Indonesia Vol 68 No 10 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.10-2018-211

Abstract

Introduction: Tuberculosis (TB) is an important health problem in developing countries. This infection results neutrophilia and lymphopenia. The neutrophil to lymphocyte ratio (NLR) is an easy, inexpensive, and sensitive examination. The NLR result in tuberculosis patients showed higher compare to normal population, with cut off greater than 2.16. The aim of this study was to know the difference of NLR result in adult TB patients before and after the intensive phase treatment. Methods: We collected all new cases adult TB patients who came to out-patient department in Atma Jaya Hospital, without any HIV infection, chronic kidney disease, diabetes mellitus, chronic obstructive pulmonary disease, and bacterial pneumonia. Baseline characteristic, leukocyte count, neutrophil and lymphocyte count, also NLR were collected before and after intensive phase treatment, then were analyzed using SPSS. Results: There were 44 participants included in this study, 23 (52.3%) of them were male, with median age were 37 years old. Eighty eight percent of the subject had pulmonary tuberculosis. The NLR result before treatment (2.77) was higher compare with the NLR result (2) after intensive phase treatment (p less than 0.001). Conclusion: There was a statistically significant decrease in NLR result after intensive phase treatment of adult TB patients.
Anemia Penyakit Kronis Jessica Novia Hadiyanto; Margareth Gracia; Alius Cahyadi; Mario Steffanus
Majalah Kedokteran Indonesia Vol 68 No 10 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.10-2018-216

Abstract

Anemia is commonly found in patients with chronic diseases and causing increased in morbidity and mortality. The prevalence of anemia of chronic disease is the second highest after iron deficiency anemia. Anemia of chronic disease oftenly occurs with iron deficiency anemia therefore both of them showed low in serum iron level. However, we should differentiate these two kinds of anemia in order to give the specific treatment. Some iron parameters have to be extracted to differentiate them. The main management for anemia of chronic disease is to treat the underlying causes.
Co-Authors Alius Cahyadi Anastasia Pratiwi Fodianto Arif Sejati Caroline Ciptasari Cendana, Adrian Surya CINDY CINDY Cindy Cindy Eva Suryani Febie Chriestya Gracenidy Mutiara Hermawan Gracenidy Mutiara Hermawan Hadiyanto, Jessica Novia I Dewa Nyoman Wibawa I Ketut Badjra Nadha IDN Wibawa Jessica Novia Hadiyanto Jessica Novia Hadiyanto Jessica Novia Hadiyanto Kevin Tandarto Luse Luse Luse Marcella Adisuhanto Margareth Gracia Margareth Gracia MARIA BINTANG Maria Riastuti Iryaningrum Nadya Hanjani Regina Pebriana Riani, Mutiara Riki Tenggara Stefanus Lembar Vanessa, Irene Wiranatha, Jennifer Yanto Budiman Yudistira Panji Santosa Yudistira Panji Santoso Yusuf, Cindy Yuwono, Angelina