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Berkala Ilmiah Kedokteran Duta Wacana

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Published by Universitas Kristen Duta Wacana

ISSN : 24609684 EISSN : 24768863 DOI : -

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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OUTCOME BASED EDUCATION DALAM PENDIDIKAN KEDOKTERAN DI INDONESIA Yanti Ivana Suryanto
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

DIAGNOSTIC AND MANAGEMENT APPROACH ON ACUTE INTOXICATION PATIENTS IN EMERGENCY SETTING: A CASE REPORT Elfi Rahmi
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): 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.v4i2.143

Background: Acute intoxication is one common cause of loss of consciousness in emergency setting. However, its diagnosis and management usually neglected. In addition, multiple toxin might make etiological diagnosis and management more difficult. Aim: This report describes the approach to diagnose and manage acutely intoxicated patients with suspected multiple substance in emergency unit of Dr. Sardjito Hospital Case description: A 30-year-old male was admitted to emergency unit with loss of consciousness and return of spontaneous circulation after resuscitation prior to admission. He was comatose, with miosis and decreased physiological reflex. Further laboratory examination discovered decreased renal function and high level of serum alcohol. The patient regained his consciousness after he was given naloxone, dexamethasone, mecobalamin, and pantoprazole. Conclusion: In the future, there is a need to integrate substance intoxication management to the algorithm of loss of consciousness management to improve the quality of acute intoxication management.

SOCIO-ECONOMIC APPROACH AS A PROMISING INTERVENTION TO REDUCE LEPROSY-RELATED STIGMA Anindya Rahadyani Kristiansari
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

The context of the journal is about people with leprosy-related stigma have low self-esteem not only because their physical impacts such as deformity and the color of their skin, but also their psychological aspect like negative feeling and emotion about their body. In social aspect, they may feel rejection, discrimination, loneliness, and fear to interact with others. Further more, they may loose their job and make financial disruption. In this journal intervention research, the researchers have a goal to make a better life for people with leprosy and dissolve the stigma.

THE PERCEPTION OF MEDICAL AND PHARMACY UNDERGRADUATE STUDENTS IN YOGYAKARTA ON INTERPROFESSIONAL COLLABORATION CLASS Saverina Nungky Dian Hapsari; Ida Ayu Triastuti
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): 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.v4i2.147

Introduction: Improving the quality of health services requires collaborative work skills in managing health problems from health workers. An understanding about interdisciplinary collaboration needs to be given since students take theoretical education. Learning about interprofessional education (IPE) needs to be evaluated whether it provides benefits to students in achieving learning objectives. The purpose of this study was to determine student perceptions after participating in IPE collaborative learning. Method: This research is a descriptive cross-sectional quantitative study. Samples from this study were students of the UKDW Medical Faculty and the USD Pharmacy Faculty who participated in the IPE Communication Clinical Skills. A total of 269 students were given the Google Questionnaire IPE questionnaire, which was adapted from the Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE). The reliability of the questionnaire measured by Cronbach’s Alpha was 0.72. Results: The number of students who filled out the questionnaire was 176 people (response rate of 65.43%), consisting of 99 undergraduate students of the UKWD Faculty of Medicine and 170 students of the Faculty of Pharmacy. Students tend to choose to agree or strongly agree from all four research scales. Discussion: The instrument contains 10 questions and contains 3 factors that emphasize collaborative teamwork, roles and responsibilities of each profession, and patient outcomes. The total mean value of all questions shows that according to students' perceptions, interprofessional education sessions are beneficial for students in understanding these factors. The results of the study generally describe students having a positive perception about IPE learning. Conclusion: Students consider that the management of health by the interprofessional team can improve the health and satisfaction of patients, the importance of working with other professions, and understanding roles and responsibilities in collaborative practice.

BIOFILM FORMATION AND ANTIBIOTIC SUSCEPTIBILITY OF STROKE PATIENT’S URINARY CATHETER ISOLATES AT BETHESDA HOSPITAL, YOGYAKARTA Christofer Sathya Wijaya Budi Sarwono
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Background: Antibiotic resistance currently challenges infectious disease management, specifically in combating biofilm formation. Biofilm might be developed on urinary catheter, in which stroke patients with urinary tract problem have higher risk of catheter associated urinary tract infection and problems related to antibiotic resistance. Aim: This study describes the microbe types from catheter isolates, measuring the antibiotic susceptibility and biofilm formation, especially in stroke patients at Bethesda Hospital, Yogyakarta. Method: This is a cross-sectional study, describing findings of specimens from stroke patients at Bethesda Hospital, since December 2018 to January 2019. The isolates were identified with standard method, the antibiotic susceptibility were tested with antibiotic disc on MHA medium, and the biofilm formation were assessed using tissue culture plate method. All procedure were done in Microbiology Laboratorium, FK UKDW. Result: Thirty three microbes were isolated from 30 specimens of urinary catheter (63,3% male, 36,3% female). There is 76% isolates incapable of developing biofilm, while 15% is moderate biofilm producer and 9% is strong biofilm producer. The susceptibility test showed 100% resistancy of ampicillin-sulbactam, tetracyclin, ketoconazole, itraconazole, and terbinafine. Around 50% of E. coli and 57% of K. pneumonias isolates is MDR, and 75% of A. baumanii is XDR. Conclusion: Isolated microbes from urinary catheter of stroke patients at Bethesda Hospital is dominated by E. coli, K. pneumoniae, and A. baumanii. Some of the microbes could form strong biofilm, and some of the antibiotics could not be used in the future due to their 100% resistancy on all specimens.

FEEDBACK THAT AFFECTS FIRST YEAR MEDICAL STUDENT’S LEARNING IN HIGH POWER DISTANCE & COLLECTIVISM CULTURE Ida Ayu Triastuti; Gandes Retno Rahayu; Yoyo Suhoyo
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Background: Constructive feedback is an essential component of learning for medical undergraduate. Communication culture of high-power distance and collectivism might have influence in shaping students' perception of the benefit of feedback. Aim: This study is aimed to identify feedback characteristic which associated with students' perception of learning benefit, and further explored the mechanism feedback influence on students learning process. Method: This is a mixed method study, with explanatory sequential approach. The setting is first-year medical undergraduate students at FK UKDW who enrolled in skill lab class (pulmonary physical examination). The first phase is a quantitative study using questionnaire on feedback characteristics and student’s perception of feedback benefits, further analysed with linear regression methods. The next phase is an interview study on selected students with semi-structured questions, and further analysed with thematic analysis. Result: There are 82 students who returned the questionnaire. Quantitative analysis showed that feedback including comparison to standard (B=2,26; p = 0,003) and follow-up planning (B=3,47; p < 0,001) are associated with perceived benefit by students. Further interview of 11 students discovered that students have received clear and concise outline through the feedback process. On the other hand, the communication culture, poor execution of feedback process, and interconnectedness between each characteristic may influence the students' perception of benefits. Conclusion: Feedback is beneficial for medical undergraduate students in high power distance and collectivist culture, specifically feedback with comparison to standard and follow-up planning.

IMMUNOPROTECTIVE EFFECT OF MELATONIN ADMINISTRATION ON METHYLPREDNISOLONE-TREATED WISTAR MALE RAT (RATTUS NORVEGICUS) Widya Christine Manus; Wimpie Pangkahila; I Gusti Made Aman
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Background: Immune system function decreases with age. Steroid use might accelerate this process, especially in adults in Indonesia. Melatonin is a natural hormone which show antioxidant effect and immunoprotective effect. Melatonin administration might help in reviving humane immune system due to aging and exogenous steroid exposure. Objective: This experiment is aimed to determine the effect of melatonin on leukocyte and lymphocyte count of methylprednisolone-induced immunosuppression on Wistar rat. Method: This study was true experimental with post-test only control group design using 32 male rats. Rats were divided into control and the intervention group. Control group was given methylprednisolone 0.144 mg/200 g rat 3 times a day and distilled water. The treatment group was given methylprednisolone 0.144/200 g rat 3 times a day and 0.054 mg/200 g melatonin once daily. The blood was taken after 14 days of treatment. Results: Intervention group shows higher lymphocytes count (4.95 ±1.58x103/L) compared to the control group (3.091.33x103/L), with p < 0.01. The intervention group also has higher leukocyte count (8.37± 2.02x103/L) compared to the control group (6.70 ± 1.96x103/L), with p

VERTIGO IN MULTIPLE MYELOMA PATIENT: A CASE REPORT Rangga Wisnu Wardhana
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): 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.v4i2.142

Background: Multiple myeloma is caused by pathological proliferation and inhibition of apoptosis of plasma cells inside bone marrow. There are several mechanisms which explains neurologic manifestations (peripheral and central) of multiple myeloma, such as neurologic infiltration, gamma globulin deposits, and metabolic changes. Aim: To describe vertigo syndrome in a multiple myeloma patient admitted to Sardjito Hospital. Case Description: A male, 60 years old, admitted to Sardjito hospital for severe dizziness in the past 24 hours before admission. This dizziness ameliorated after adequate rest. The patient experienced nausea and vomiting which was not worsen by positional changes. He was diagnosed with multiple myeloma since December 2015. The physical examination showed normal vital sign, without nystagmus. He showed an intentional tremor, dysdiadochokinesia, and dysmetria. The laboratory examination revealed anaemia, hypoalbuminemia, hyponatremia, and hyperglycaemia. Chest x-ray showed pulmonary infiltration on all lobes, with suspected osteoclastic bone metastases at left and right scapula, and the 11th right costae. Non-contrast head CT scan showed an osteoblastic skeletal metastatic at 3rd cervical vertebra. Audiometry with BERA indicated a bilateral peripheral lesion. The symptoms improved with flunarizine and diphenhydramine. Conclusion: Mixed central and peripheral vertigo is one of severe systemic manifestation of multiple myeloma.

CLINICAL CHARACTERISTICS OF PAEDIATRIC MEASLES PATIENTS AT MOJOWARNO CHRISTIAN HOSPITAL, JOMBANG, IN 2015-2016 Yuda Pradana
Berkala Ilmiah Kedokteran Duta Wacana Vol 5, No 1 (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.v5i1.139

Background: Measles is one of the main causes of child mortality. In 2016 there were 6,890 cases of measles with 4 patients died in Indonesia. There were 122 cases in Jombang, East Java in 2009. Aim: To describe the clinical characteristics of measles in children patients at Mojowarno Christian Hospital, Jombang, East Java. Methods: A cross sectional study using secondary data from medical records at Mojowarno Christian Hospital, Jombang, East Java, in 2015-2015. Demographic and clinical characteristics were described using tables. Results: There are 22 cases of measles in children, 3 of them had not taken measles vaccination. Most cases occurred in between 0 to 5 years old (59.1%). The proportion of measles were equal between male and female. There is a higher proportion of patients with normal nutrition status (59.1%) compared to other with malnutrition (40.9%). The most common symptoms and signs are fever (95.5%), cough (23.7%), and coryza (22.3%). The leukocyte examination mostly shows normal results for leukocyte (63.6%) and lymphocyte (50%). Conclusion: Most of the cases were presented with milder symptoms, signs and laboratory examination. There is a high prevalence of undernutrition among the subjects, which need further attention from local governments. In addition, there is a concerning high proportion of vaccinated children contracting the disease.

THE RISK FACTORS OF PRIMARY DYSMENORRHEA AMONG FEMALE MEDICAL STUDENTS IN UNIVERSITAS KRISTEN DUTA WACANA, YOGYAKARTA Ernestine Benita
Berkala Ilmiah Kedokteran Duta Wacana Vol 5, No 1 (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.v5i1.148

Background: Primary dysmenorrhea is menstrual pain which occurs without any underlying pelvic organ diseases. There are several risk factors of dysmenorrhea, which are BMI, age at menarche, smoking habit, and family history. Female medical students are one population with a high risk of having dysmenorrhea with debilitating effect. Objective: To test the association between several risk factors with primary dysmenorrhea in female medical students in Universitas Kristen Duta Wacana (UKDW). Method: This is a cross-sectional study, gathering data from 207 female medical students enrolled in UKDW between September 2018 and January 2019. Further bivariate analyses were performed to test the association between dysmenorrhea prevalence and some risk factors using Chi-square test or Fischer exact test. Results: Out of 207 participants, 158 (76.33%) are diagnosed with primary dysmenorrhea. 31.88 % of the samples are categorised into the underweight, overweight and obese group. The prevalence ratio of underweight and overweight group compared to the normal group resembles U-shape relationship, but not statistically significant (PR = 1.095; p = -.486, and PR 1.055; p = 0.826, respectively). Younger age at menarche (PR = 1.251, p = 0.014) and family history if dysmenorrhea (PR = 1.317; p = 0.002) show a higher prevalence rate compared to normal age group and no family history of dysmenorrhea. Conclusion: Younger age at menarche and family history of dysmenorrhea should be considered as important risk factors, although they are not modifiable. The relationship between body mass index and dysmenorrhea need further investigation with a prospective approach.

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