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All Journal Journal Of Widya Medika Junior Jurnal Impresi Indonesia Jurnal Widya Medika
Fransiscus Arifin
FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA
Religion Economics, Econometrics & Finance Education Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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The Correlation Between Family History, Constipation, Defecation Position, And Defecation Time And Hemorrhoid On Patient In General Surgery Outpatient Clinic Dr. Mohamad Soewandhie Regional Public Hospital Surabaya Tevin, Lovita Roderica; Arifin, Fransiscus; Pramono, Adi
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 1, No 1 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.202 KB)

Abstract

Background: Hemorrhoid is one of the most common anorectal problem. Definite etiological cause(s) are still unknown but there are many risk factors that are found to be responsible for the development of hemorrhoid. Elimination and modification of these risk factors are the keys toward the effective control and prevention of hemorrhoid. Aim: This study aims to analyze the correlation between family history, constipation, defecation position, and defecation time and hemorrhoid among patient in general surgery outpatient clinic Dr. Mohamad Soewandhie Regional Public Hospital Surabaya. Methods: This was an analytic observational study with cross-sectional design. Sampling was conducted with purposive sampling technique. Coefficient contingency test was done to analyze correlation between bivariate variables. Fifty-six patients in June and July 2016 were given questionnaire and patient’s medical records were taken to know the presence of hemorrhoid. Results: There was a correlation, respectively, between family history and hemorrhoid (C=0,329; p=0,009), constipation and hemorrhoid (C=0,474; p=0,000), between defecation position and hemorrhoid (C=0,395; p=0,001), and between defecation time and hemorrhoid (C=0,448; p=0,000). Conclusion: The incidence of hemorrhoid could be affected by family history, constipation, defecation position, and defecation time.
The Correlation Between Total Calories And Protein Intake With Serum Albumin Level Of Post-Surgical Patients Saputra, Ivan; Arifin, Fransiscus; Suyono, Handi
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 1, No 1 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

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Introduction: Post-surgery diet is a set of foods that are given to patients after surgery. Nutritional management in post-surgical patients are often neglected despite the fact that patients require additional calories due to metabolic stress. Nutritional deficiency can impair wound healing since it is a process that requires protein to form collagen tissue. Aim: This study aims to determine the relationship between total calories and protein intake with serum albumin level of post-surgical patients. Methods: This study used an observational analytic design with cross-sectional approach. The sample was gathered using consecutive sampling technique. Study population were all post-surgical patients of Dr. Mohammad Soewandhie Hospital Surabaya aged 30-64 years whose medical records taken in June 2016. There are 32 respondents who met the inclusion criteria. Result: There was a significant correlation between the total calories intake with serum albumin level (r = 0.354; p = 0.047) and between total protein intake with serum albumin level (r = 0.545; p = 0.001). Conclusion: There is a positive correlation between total calories and protein intake with serum albumin level in post-surgical patients.
Correlation Of Body Mass Index With Prostate Volume In Benign Prostatic Hyperplasia Patients Tritanto, Rio; Arifin, Fransiscus; Prajitno, Subur
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 3, No 1 (2021): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v3i1.3005

Abstract

Introduction: Benign prostatic hyperplasia (BPH) is the most common prostatic disease inmen. Multiple factors influence the pathogenesis of BPH, and one of them is obesity. Variousstudies about the correlation between obesity and prostate volume show inconsistent results.Some studies reported that obesity correlates with prostate volume, whereas others didn't findthe correlation between obesity and prostate volume. Therefore, this study aims to find thecorrelation between obesity and prostate volume. Purpose: To find the relationship between body mass index (BMI) and BPH patients'prostate volume. Methods: BMI was measured by BMI formula, and prostate volume was measured bytransabdominal ultrasound (TAUS). This study was conducted in RSUD Ibnu SinaKabupaten Gresik by looking at medical records in January 2016-September 2017. This studywas an analytical observational study with a cross-sectional approach. This study uses LinearRegression Test to analyze the correlation of in-between variables. This study's populationwas patients with a diagnosis of BPH that undergo hospitalization in RSUD Ibnu Sina (273medical records). The study sample that corresponding to inclusion and exclusion criteria are27 medical records. Result: The average prostate volume in underweight criteria was 44,5 cm3, in normal criteriais 42,4 cm3. Highest average of prostate volume found in overweight criteria, which was 64,3cm3. In the obese criteria, the average prostate volume was 32,2 cm3. The average prostatevolume was 46,0 cm3. From the linear regression test, we found the value of p=0,881 andR2=0,01. Conclusion: There is no significant correlation between BMI and prostate volume in thisstudy
COMPARISON OF THE EFFECTIVENESS OF GIVING BINAHONG LEAF (Anredera cordifolia (Ten) Steenis) AND PAPAYA LEAF (Carica papaya) ON SKIN WOUND HEALING IN WHITE RAT (Rattus novergicus) Winarjo, Givenchy A; Arifin, Fransiscus; Oenarta, Dave G
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 3, No 2 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v3i2.3181

Abstract

Introduction: The incidence of acute and chronic injuries increases every year. Most injuriesin the world population, as many as 48%, are caused by trauma or surgery. the highestincidence of wounds in the world based on the etiology was from surgery, which was 110.30million cases. One of the handlings of wounds on the skin can be done by giving herbalmedicines, which can be easily accessed by the public, such as binahong leaves and papayaleaves. Purpose: To analyze the effectiveness of giving 40% binahong leaf extract cream and 40%papaya leaf extract cream on the wound distance in the white rat wound healing process. Method: this study is an experimental study with post-test only control group designapproach. The sampling technique used in this study was a random sampling method wherethe number of samples was calculated using the Federer formula, with a total sample of 28white rats. The distance of the wound was measured using a micrometer. Results: Twenty-eight wound distance on rats were measured as subjects of the study andthen treated with binahong leaf extract cream and papaya leaf extract cream, then the wounddistance of each treatment was measured using a micrometer. According to the results, 40%binahong leaf extract cream and 40% papaya leaf extract cream showed better effectivenessin reducing the wound distance of white rat incision than the negative control group (creambase) and positive control group (gentamicin ointment). According to the Mann Whitney testcomparing the P1 group (40% binahong leaf extract cream) and P2 (40% papaya leaf extractcream), p-value >0.05, which is 0.543, which means that P1 has no significant meandifference with P2. Conclusion: There was no significant difference in effectiveness between the treatment of40% binahong leaf extract cream and 40% papaya leaf extract cream.
DIFFERENCE OF BREAST CANCER ESTROGEN RECEPTOR (ER) BETWEEN OBESE PRE-MENOPAUSE WOMEN AND OBESE POST-MENOPAUSE WOMEN Viqi Vincentius Julio; Sindrawati Sindrawati; Fransiscus Arifin
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 5, No 3 (2023): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v5i3.4853

Abstract

Background: One of the risk of breast cancer is Obesity (BMI > 23Kg/m2) related to estrogen production between pre-menopause and post-menopause.Aim: To investigate the difference of breast cancer estrogen receptor (ER) in obese women based on menopausal status.Methods: This study was retrospective cross-sectional from secondary data (Medical Records) from Poliklinik Onkologi Satu Atap (POSA) RSUD Dr. Soetomo (ICD-10 C50) from 2013-2017 with inclusion criteria was BMI >23Kg/m2. Data were analyzed using Chi-Square.  Results: There were 138 patient medical records collected which is 63 were obese pre-menopause and 75 were obese post-menopause. There were statistically a significant difference (p<0,05) based on Chi square test of breast cancer estrogen receptor for obese post-menopause women (66,7%) to obese pre-menopause (39,7%). Obese post-menopause women have 1,68 times greater risk factor to become estrogen receptor positive (ER+) compared to obese pre-menopause women. (PR = 1,68; 95% CI = 1,191-2,370)  Conclusion : There is a significant difference of breast cancer estrogen receptor in obese post-menopause women more frequent than obese pre-menopause women.
COGNITIVE FUNCTIONS AND HIGH ORDER THINKING SKILLS IN MEDICAL EDUCATION Arifin, Fransiscus
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.v11i2.7614

Abstract

The improvement of cognitive functions and higher-order thinking skills (HOTS) is fundamental to the development of competent and adaptive medical professionals. As medical education evolves to meet the demands of complex healthcare systems, there is an increasing emphasis on nurturing analytical reasoning, clinical judgment, problem-solving, and metacognitive awareness among students. This review explores the integration of cognitive science principles and Bloom’s taxonomy of higher-order thinking skills. We evaluate the literature on the connections between memory, attention span, and metacognition with higher-order thinking skills such as problem-solving and creativity. We suggest that daily classroom teaching and medical curriculum design should focus on strengthening cognitive functions such as memorization and attention span, as well as promoting metacognition.
UNRELATED CANCER OR CHEMOTHERAPY-INDUCED MALIGNANCY: A CASE OF RECTAL ADENOCARCINOMA FOLLOWED BY PLASMACYTOMA Arifin, Fransiscus; Malonda, Franklin V.
JURNAL WIDYA MEDIKA Vol. 10 No. 2 (2024): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v10i2.5705

Abstract

Proper diagnosis is the mainstay of comprehensive cancer management. However, this process is not straightforward. Some types of cancers, such as intra-abdominal cancer, are anatomically challenging to sample. Even after proper resection, the pathological diagnosis may be uncertain and requires further immunohistochemical processing. We present a rare case in which a patient with adenocarcinoma of the colon was diagnosed, surgically resected, and received chemotherapy, in which the postoperative specimen was also diagnosed as adenocarcinoma. However, after five years, he was diagnosed with plasmacytoma of the right iliac wing. Here, we discuss the possibility of unrelated secondary cancer or chemotherapy-induced malignancy.
Faktor Yang Berpengaruh Terhadap Kesintasan Kanker Kolorektal di Rs.Dr. Soetomo Ledia, Ledia; Dwi Putro, Mamiek; S Budipramana, Vicky; Purwanto, Heru; Arifin, Fransiscus
Jurnal Impresi Indonesia Vol. 5 No. 2 (2026): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v5i2.7544

Abstract

Kanker Kolorektal (KKR) merupakan salah satu penyebab mortalitas tinggi, dengan berbagai faktor prognostik yang memengaruhi kesintasan pasien. Analisis kesintasan penting untuk meningkatkan kualitas pelayanan terapeutik. Penelitian ini bertujuan untuk mengetahui tingkat kesintasan 12, 36, dan 60 bulan serta menganalisis faktor prognostik yang memengaruhi kesintasan pasien KKR di RSUD Dr. Soetomo (RSDS) Surabaya. Metode yang digunakan adalah analitik observasional retrospektif (cross-sectional) terhadap rekam medis 681 pasien KKR yang didiagnosis periode 2012–2017. Data dianalisis secara statistik dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa kesintasan 12 bulan dipengaruhi secara signifikan oleh peningkatan CEA (HR 1,641) dan Ca19-9 (HR 2,167), jenis kelamin laki-laki (HR 1,747), serta diabetes tidak terkontrol (HR 3,096), sementara merokok berhubungan dengan peningkatan kesintasan. Pada kesintasan 36 bulan, faktor yang menurunkan kesintasan meliputi peningkatan CEA (HR 2,095), Ca19-9 (HR 2,743), BMI <18,5 (HR 4,9), serta stadium 3 (HR 11,6) dan 4 (HR 11,9). Sementara itu, pada kesintasan 60 bulan, hanya stadium 3 yang secara signifikan menurunkan kesintasan (HR 11,5). Implikasi dari penelitian ini adalah identifikasi faktor prognostik spesifik berdasarkan lokasi tumor dan waktu kesintasan dapat menjadi dasar klinis dalam penyusunan strategi pemantauan dan penatalaksanaan pasien KKR yang lebih personal dan efektif, khususnya dalam konteks sumber daya terbatas.
Co-Authors Dwi Putro, Mamiek Handi Suyono Heru Purwanto Ledia, Ledia Malonda, Franklin V. Oenarta, Dave G Prajitno, Subur Pramono, Adi S Budipramana, Vicky Saputra, Ivan Sindrawati Sindrawati Tevin, Lovita Roderica Tritanto, Rio Viqi Vincentius Julio Winarjo, Givenchy A