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All Journal Jurnal Cendekia Ilmiah Jurnal Widya Medika
Muliyanto, Jovan Amadeo
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Humanities Medicine & Pharmacology Social Sciences

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57-YEAR-OLD WOMAN WITH OESOPHAGEAL VARICES AND SUSPECTED NON- CIRRHOTIC PORTAL HYPERTENSION Muliyanto, Jovan Amadeo; Christopher; Utami, Karina Saraswati; Margovio; Rencong, Gunady Wibowo; Susatyo, Jeffry Adijaya
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7707

Abstract

Non-cirrhotic portal hypertension (NCPH) is characterized by portal hypertension, splenomegaly, hypersplenism, and pancytopenia without histological evidence of cirrhosis. Causes include chronic infection, toxin exposure, thrombophilia, immunological disorders, and genetic abnormalities. The diagnosis of NCPH remains challenging because symptoms often mimic cirrhotic portal hypertension and access to definitive tests such as liver biopsy is limited. We report the case of a 57-year-old woman with upper gastrointestinal bleeding and oesophageal varices without clinical or radiological signs of cirrhosis. Conservative management with variceal ligation and beta-blockers was used because advanced procedures such as transjugular intrahepatic portosystemic shunt (TIPS) were not available. This case demonstrates the challenges in diagnosing and treating NCPH in resource-limited settings and the importance of supportive care and early detection.
The Influence of Patient Numbers, Working Hours, and Length of Service on Hospital Nurses’ Fatigue Levels in the Inpatient Unit Aziza, Atika; Muliyanto, Jovan Amadeo; Reinard, Michael Reinard; Ipung, Betshebha
J-CEKI : Jurnal Cendekia Ilmiah Vol. 5 No. 3: April 2026
Publisher : CV. ULIL ALBAB CORP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/j-ceki.v5i3.14060

Abstract

Workload and working hours are critical factors in evaluating workforce effectiveness, particularly in healthcare settings. Nurse fatigue can adversely affect performance and professionalism, as reflected in decreased concentration, alertness, and overall work efficiency in hospital environments. This study aims to examine the relationship between burnout levels and the number of patients handled, working hours, and length of employment among nurses. A quantitative approach was employed using an analytical survey with a cross-sectional design. Data were collected using the Maslach Burnout Inventory–General Survey and analyzed through Spearman correlation tests. The findings indicate that all respondents experienced burnout symptoms with varying levels of severity. Further analysis reveals a significant negative relationship between burnout levels and both age and length of employment. At the dimensional level, emotional exhaustion and depersonalization are negatively associated with length of employment, while depersonalization also shows a negative correlation with age. These findings suggest that work experience and individual maturity play an important role in mitigating burnout. Therefore, adaptive workload management and more balanced working hour arrangements are essential to maintain the performance and professionalism of healthcare workers.
Co-Authors Aziza, Atika Christopher Ipung, Betshebha Margovio Reinard, Michael Reinard Rencong, Gunady Wibowo Susatyo, Jeffry Adijaya Utami, Karina Saraswati