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Berkala Ilmiah Kedokteran Duta Wacana
Published by Universitas Kristen Duta Wacana
ISSN : 24609684     EISSN : 24768863     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Berkala Ilmiah Kedokteran Duta Wacana is a Scientific Journal to publish medical research articles, and other scientific medical articles from Medical Faculty of Duta Wacana Christian University academic community and also receive articles from other resources with appropriate and related topics. The policies taken for the largest composition of articles are the results of research, but can also receive scientific articles in the form of literature review and case reports. To maintain the quality of writing, Berkala Ilmiah Kedokteran Duta Wacana also cooperate with other Medical Education Institutions, especially in the recruitment of reviewer partner to conduct a "review" of all incoming articles. Funding for publication is entirely sourced from the Faculty of Medicine and also from Duta Wacana Christian University.
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Articles 161 Documents
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CHEST IMAGING FOR EARLY DIAGNOSIS OF COVID-19 ON A PATIENT WITHOUT RESPIRATORY SYMPTOMS: A CASE REPORT Wahyu Widiastana; Teguh Kristian Perdamaian; Sutaryanu Dermoredjo
Berkala Ilmiah Kedokteran Duta Wacana Vol 5, No 2 (2020): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v5i2.188

Abstract

Background: The Coronavirus 2019 disease (COVID-19) is transmitted through droplet and aerosol from the respiratory tract of an infected person; and fomites from infected linen and surface. On August 1, 2020, in Yogyakarta, there were 741 confirmed positive cases of COVID-19, and it is still possible to increase. In the time of understanding COVID-19, there are many cases with atypical presentation, including gastrointestinal symptoms. Objective: To describe a COVID-19 case without respiratory symptoms and the role of radiology in detecting COVID-19. Case Description: A 55-year-old male patient came to the hospital complaining of nausea and loss of appetite. Based on the results of the physical examination, there was flatulence. Initial investigations revealed a non-reactive SARS CoV 2 IgG and IgM result. Further non-contrast MSCT Thorax showed infiltrates with bilateral sub-pleural posterolateral consolidation, particularly the left, showing typical pneumonia. Multiple blebs were also found, denoting bronchiectasis. Confirmatory RT-PCR result was positive for SARS CoV 2. Conclusion: COVID-19 usually presents with common respiratory symptoms. However, some patients also experience gastrointestinal symptoms that initially were not detected as COVID-19. In time of COVID-19 pandemic, persistent gastrointestinal symptoms in a high-risk patients warrant further chest imaging and RT-PCR of SARS CoV-2 to detect or exclude the possibility of COVID-19 diagnosis.
EATING HABITS OF OVERWEIGHT CHILDREN AT SEKOLAH DASAR BUDYA WACANA, YOGYAKARTA Raymond Dwi Prasetya; Yoseph Leonardo Samodra; Istianto Kuntjoro
Berkala Ilmiah Kedokteran Duta Wacana Vol 5, No 2 (2020): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v5i2.170

Abstract

Background: Childhood obesity is related to chronic diseases in the future, which could be prevented through changes in eating habit. Strategy in eating behaviour needs an in-depth understanding on contributing factors to unhealthy eating habits in school-age children. Meanwhile, evidence on those factors, especially related increased calorie intake, is still scarce in Indonesia. Objective: This study is aimed to explore the eating habit of primary school students with obesity in a private school in Yogyakarta. Method: A qualitative interview involving parents of obese children was performed at Sekolah Dasar Budya Wacana in January 2020. The transcripts were analysed using a thematic approach to acquire major themes related to the cause of unhealthy eating habits. Results: From 11 parents, there are two major themes developed, which are unhealthy eating habits and parental influences. There are two unhealthy eating habits discovered in this study, which are irregular mealtime and unhealthy food choices. Parental influence which commonly found in children with obesity is permissive parenting style. Conclusion: This study found similar result with previous studies on unhealthy food choices. However, irregular mealtime in this study is not consistent with other literatures which shows a lack of association with childhood obesity, hence need further research to explore the relationship. Permissive parenting style, which commonly found in younger population also play an important role in children unhealthy food choice. This study revealed that health behaviour change strategy in obese children should consider focussing on healthy food preferences with support from parents and family.
CIPLUKAN (PHYSALIS ANGULATA LINN.) EXTRACT AS A NATURAL ADJUVANT REMEDIES FOR SCLERODERMA Lintang Unggul Rini
Berkala Ilmiah Kedokteran Duta Wacana Vol 5, No 2 (2020): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v5i2.235

Abstract

Scleroderma or systemic sclerosis is a rare connective tissue autoimmune disorder.1 Its prevalence in Indonesia is not well recorded but scleroderma is listed as the third most common disease in rheumatology outpatient clinic in Hasan Sadikin Hospital, Bandung, West Java, Indonesia.2,3 Scleroderma is characterized by skin fibrosis, small vessel vasculopathy, and immune system abnormality. The cutaneous lesion of scleroderma is presenting with excessive collagen type-1 production and deposition, as well as exaggerated inflammatory process. There is no specific diagnosis test is available, but in most cases, there are some laboratory findings which support the diagnosis of scleroderma, such as elevated erythrocyte sedimentation rate (ESR), B lymphocyte stimulator (BAFF), C-Reactive Protein (CRP), Soluble Cd40 Ligand (sCD40L), and Procollagen Type-1 N-Terminal Propeptide (P1NP).3-6 The treatment of this autoimmune disease remains a challenge for clinicians. The current treatment for scleroderma is expensive and some side effects as well as drug resistance are reported. Some new medicines are still under research, not accessible, and too expensive for most Indonesian communities. Hence, new therapeutic options are constantly sought.7 Ciplukan herb (Physalis angulate Linn) is a medicinal plant which grows in Indonesia. It has been known for its efficacy and safety as long-term anti-inflammatory, anti-proliferative, and anti-angiogenesis agent.7 Dewi et al conducted a double –blind, randomized clinical trial using ciplukan herb extract as an adjuvant treatment for scleroderma. The clinical trial was performed in Jakarta and Bandung, Indonesia for 2 years. There are 59 scleroderma patients, age 15-60 years old, had stable treatment for at least 3 months, who randomly divided into treatment group (29 people) and control group (30 people). The treatment group received 250 mg ciplukan herb extract three times a day and the control group received 250 mg amylum three times a day for 12 weeks. A 35,9% skin thickness reduction was found in treatment group. It is greater than control group which only gained 6,3% reduction (p
THE POTENTIAL OF RETICULOCYTE HAEMOGLOBIN EQUIVALENT (RET-HE) IN IRON DEFICIENCY ANAEMIA SCREENING AT BETHESDA HOSPITAL, YOGYAKARTA fenty fenty fenty
Berkala Ilmiah Kedokteran Duta Wacana Vol 5, No 2 (2020): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v5i2.177

Abstract

Background: Traditionally, iron deficiency anaemia (IDA) is diagnosed with iron and ferritin status. Ret-He measurement is a promising parameter to detect iron depletion in earlier stages. Previous studies recommended Ret-He examination as IDA screening. Objective: Compare the Ret-He level and iron status of patients with and without IDA at Bethesda Hospital, Yogyakarta. Method: This is a cross-sectional study using laboratory record of haematological examination at Bethesda Hospital from march to August 2019. Erythrocyte indices, iron status and Ret-He measurement was further examined between IDA and non-IDA group by ANOVA, t-test or non-parametric tests. Results: There were 105 samples, where 22 (20.95%) had complete result of Ret-He and iron status, and 10 (45.45%) diagnosed with IDA. The Ret-He level in IDA group is significantly lower than non-IDA group (17.53 ± 2.43 vs 31.50 ± 4.03, p < 0.001). Conclusion: Ret-He level is lower in IDA group, consistent with other biochemical parameters (Serum iron, Serum ferritin, TIBC, and TSAT). This finding might lead to future research on the potential of Ret-He for early detection of IDA in high-risk populations.
STURGE-WEBER SYNDROME IN AN EPILEPTIC CHILD: A CASE REPORT Christofer Sathya Wijaya Budi Sarwono
Berkala Ilmiah Kedokteran Duta Wacana Vol. 6 No. 1 (2021): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v6i1.218

Abstract

Sturge Weber Syndrome (SWS) is a congenital neurocutaneous disorder with a facial capillary malformation Port-wine stains (PWS), abnormal blood vessels of the brain (leptomeningeal angioma), or abnormal blood vessels in the eye predisposing to glaucoma. The incidence of Sturge Weber Syndrome (SWS) is a rare entity that accounts about 3 of 1000 births with PWS, 5% of them suffer SWS. We report a case of 5-years-old girl who presented with a three-days history of muscle weakness of right upper and lower limb followed by headache, loss of consciousness, dizziness, with history of hemangioma facial without any symptoms like fever, nausea, vomit, and dysarthria. Patient was a refferal patient from Sarila Husada Hospital Sragen. Head CT-Scan was performed on the admission day on Sarila Husada Hospital Sragen and confirmed by Bethesda Hospital Radiologist revealed a subcortical calcification at frontal lobe and parietal sinistra with mild atrophy at bifrontalis lobes that support SWS.
THE DEVELOPMENT OF AN ALTERNATIVE GROWTH CHART FOR ESTIMATED FETAL WEIGHT IN THE ABSENCE OF ULTRASOUND: APPLICATION IN INDONESIA Felicia Beta Papilaya
Berkala Ilmiah Kedokteran Duta Wacana Vol. 6 No. 1 (2021): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v6i1.281

Abstract

Various development of fetus can be monitored by ultrasound, including estimated fetal weight. Estimated fetal weight is used to estimate the expected (normal) birth weight and it is also one of the critical indicators for assessing fetal risk during pregnancy. Meanwhile, ultrasound is not always available in health care centers in Indonesia. In this journal, Anggraini et al conducted a study to develop growth chart used to predict fetal weight in the absence of ultrasound. The study consists of several steps. The first step is a comparison study that took place in South Kalimantan, Indonesia, involving 19 pregnant women. This was carried out between the existing and the proposed models. The existing models were developed based on data recorded within one week of delivery and within 14 days of the last ultrasound scan, while the proposed model: EFW (g) = 109.16FH -272 [Eq.1] was developed based on FH measurement recorded between 35 and 41 weeks (before delivery) and actual birth weight. The results show that the proposed model is significantly more capable (less error) than the existing models in predicting fetal weight during pregnancy, even at earlier GAs. It also can be seen that the prediction errors are less pronounced when the pregnancy reaches advanced GAs. The second step is a study that aims to develop an alternative fetal growth chart for EFW that does not use an ultrasound-based weight prediction model, the proposed clinical model, based only on FH measurement [Eq (1)], was used to estimate the fetal weight at a given GA. A total of 402 women are participating in this study. In this research, the proposed clinical quadratic EFW-GA model: EFW = 137.173GA - 1:035 GA2 - 675:199 [Eq.2] was used to develop the chart. This model was compared with the existing model through several analysis. Overall, this study shows that the proposed clinical model is more reliable than the existing model in predicting fetal weight. It is even more effective at earlier GAs than the existing models. Therefore, the proposed model could be an alternative model to estimate fetal weight and develop a suitable fetal growth chart. This alternative chart is going to be significantly useful for health care workers to do fetal risk assessment during pregnancy in rural areas with low resources, so that fetal growth abnormalities can be reduced. At this point, this study will also help the government to reduce neonatal mortality.
ADVANCED RADIOLOGY METHOD FOR MONITORING PROGRESSIVITY OF PAEDIATRIC MENINGOENCEPHALITIS: A CASE REPORT Novia Bella Rianto
Berkala Ilmiah Kedokteran Duta Wacana Vol. 6 No. 1 (2021): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v6i1.220

Abstract

Introduction Meningitis is a disease characterized by infection and inflammation of the meninges, caused by microorganisms. Encephalitis is inflammation of brain. Meningoencephalitis is inflammation of the meninges and brain. The microorganisms that most often cause meningoencephalitis are viruses and bacteria. Bacterial meningitis has more severe clinical manifestations and is fatal if not treated effectively. The Global Burden of Disease study showed that meningitis caused 318,000 deaths each year worldwide. Aim The aim of this case study is to report a case of meningoenchepalitis in a 7 year old girl. Case Description A 7 year old girl presented with recurrent seizures within 24 hours and seizures for 3 hours. The patient has a history of fever, runny nose and sore throat. The results of physical examination showed nuchal rigidity, right side hemiparesis. The patient was conducted to a head MSCT examination without contrast on September 24 and 28, 2020 and cerebrospinal fluid examination to determine the microorganism. The patient was given treatment and then an MRI examination of the head was carried out on October 5, 2020. Conclusion Meningoenchepalitis is a disease characterized by infection and inflammation of the meninges and brain. Symptoms associated with meningitis include fever, headache, stiff neck. One of the supporting tests that can be done is head MSCT. Neuroimaging meningitis examination in children can identify predisposing factors and complications that occur. Keywords: meningitis, children, computed tomography, magnetic resonance image
DIAGNOSTIC CHALLENGE OF LEFT-SIDE APPENDICITIS DUE TO SITUS INVERSUS TOTALIS IN A LIMITED SETTING: A CASE REPORT Hartanto Hartanto
Berkala Ilmiah Kedokteran Duta Wacana Vol. 6 No. 1 (2021): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v6i1.224

Abstract

Background: Acute appendicitis is an acute abdominal case with a high incidence and often requires emergency surgical intervention. Situs inversus totalis is a rare congenital abnormality in which the thoracic and abdominal organs are totally transposed. Left-sided acute appendicitis (LSAA) is common in patients with congenital abnormalities such as situs inversus totalis. Diagnosis of LSAA is even more challenging, especially in peripheral areas which can lead to misdiagnosis and complications such as perforation or abscess. Imaging modalities are usually required to confirm the diagnosis. Case Presentation: A 21 years old male patient came to the emergency department with chief complaint of severe abdominal pain, starting 3 days earlier, localized to the epigastric area and migrating to the left lower quadrant. The patient also demonstrates fever, nausea and vomiting. Physical examination revealed an increasing abdominal wall rigidity and tenderness in the left lower quadrant as well as rebound tenderness. Laboratory tests revealed leucocytosis and increased neutrophils count. The patient underwent 3-position abdominal radiograph after chest X-ray showed dextrocardia. Exploratory laparotomy was done in this patient, showing a perforated appendix and totally transposed abdominal organs. Conclusion: Imaging modalities such as ultrasonography and abdominal CT Scan can be helpful in determining the diagnosis of LSAA and reduce the likelihood of misdiagnosis and complication. The possibility of LSAA and situs inversus should be suspected in a patient presenting with left lower quadrant abdominal pain with proven dextrocardia from chest X-ray. Keyword: Left-sided acute appendicitis, situs inversus totalis, dextrocardia
DIAGNOSTIC VALUE OF MULTI-SLICE CT SCAN FOR RENAL ANGIO- MYOLIPOMA DETECTION: A CASE REPORT Kevin Wenardi
Berkala Ilmiah Kedokteran Duta Wacana Vol. 6 No. 1 (2021): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v6i1.226

Abstract

Background: Angiomyolipoma (AML) is a rare solid benign tumor that occurs at many sites, more commonly in the kidney, which arises from either the renal pelvis or the sinus, also referred to as renal hamartoma. AML is composed of blood vessels, smooth muscle cells, and fat hence the name. They are seen 80-90% as isolated lesions that occur sporadically and seen 25-50% of patients with tuberous sclerosis. AML may hard to be distinguished from renal cell carcinoma because of its presentation as enlarged lump. Computed tomography may help to diagnose AML. To get a definite diagnosis of AML, excision and histopathological examination is recommended in symptomatic patients, especially to prevent rupture hemorrhage. Objective: The purpose of this study was to evaluate multi-slice computed tomography with contrast in a male patient aged 49 years with Angiomyolipoma Case description: We herein present a case of renal AML in a 49 years old male patient, who presented with left flank pain for ~1 year. He has no history of hematuria and dysuria and tuberous sclerosis. Multi-slice computed tomography with contrast demonstrates a hypodense inhomogenous mass measuring 11x9,3 cm in the upper pole of the left kidney, hypertrophy of the left kidney, and hump sign of left kidney. At the later date, the patient underwent total left nephrectomy at another hospital and the postoperative histopathological examination confirmed the lesion as an AML. Conclusion: Angiomyolipoma is a rare benign tumor which usually occurs in the kidney that can be confused with malignant tumor. Ultrasonography and computed tomography can help to diagnose AML. The symptomatic patient requires surgical intervention.
PEDIATRIC HEALTHCARE SERVICE FOR AS A PART OF INDONESIAN FUTURE Lothar Matheus Manson Vanende Silalahi
Berkala Ilmiah Kedokteran Duta Wacana Vol. 6 No. 1 (2021): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v6i1.302

Abstract

Continuing and accelerating child health are issues stated in Sustainable Development Goals (SDG) by United Nation (UN). Targets in improving child health in SDG are by decreasing neonatal and pediatric mortality. Reducing risk and prevention of neonatal mortality may be achieved by monitoring intrauterine fetal development. High burden of pediatric mortality may be seen in pediatric genetic, neoplasm and infectious disease. In this COVID-19 pandemic era, SARS-COV2 infection in children add more challenge in improving child health. In this issue, we proudly present articles on pediatric genetic, neoplasm and infectious disease especially in clinical manifestation, diagnostic and therapeutic challenge.

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