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Journal Of Widya Medika Junior
Published by Universitas Katolik Widya Mandala Surabaya
ISSN : -     EISSN : 26561409     DOI : https://doi.org/10.33508/jwmj
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Widya Medika Junioris our faculty's very first project in publishing the students' research, making them available for both students and faculty members to read. It is an endeavour to nurture our students' passion in doing scientific research through which process they will be encouraged to develop critical thinking, academic writing, an in-depth analysis of a particular topic using scientific method, and eventually produce knowledge.
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Search results for , issue "Vol 6, No 3 (2024): July" : 10 Documents clear
CLINICAL PROFILE OF STROKE PATIENTS IN GOTONG ROYONG HOSPITAL Supit, Paulus; Kurniawati, Nita; Kartikasari, Desy; Raymond Desun, Evander Aloysius; Erwin, Ferdinand
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5781

Abstract

Background: Stroke is a global health issue due to its high prevalence, mortality, and associated disabilities. The Global Burden of Disease Study identifies ischemic and hemorrhagic strokes as significant contributors to global health burdens. Understanding these factors in different populations is crucial for developing targeted interventions and improving patient outcomes.Methods: This retrospective descriptive study analyzed medical records of stroke patients at Gotong Royong Hospital from January to December 2023. Patients aged 18 years or older with acute stroke confirmed by CT or MRI were included.Results: Out of 224 stroke patients, 58% were male and 42% female. Most patients were over 70 years old (31.7%), with 29% aged 51-60 and 26.3% aged 61-70. Ischemic stroke was predominant (91.5%), while 8.5% had hemorrhagic stroke. Many patients (40.2%) arrived at the emergency department more than 24 hours after symptom onset. Hypertension was present in 68.8% of patients, diabetes in 36.6%, and dyslipidemia in 24.1%. The average length of stay was 4.13 days. Blood pressure measurements showed high prevalence of Grade 2 hypertension in systolic (37.05%) and prehypertension in diastolic (30.80%). Laboratory results revealed mean random blood glucose of 174.3 mg/dL, fasting blood glucose of 110.42 mg/dL, HbA1C of 8.06%, LDL cholesterol of 120.31 mg/dL, and triglycerides of 151.26 mg/dL.Conclusion: The majority of acute stroke patients at Gotong Royong Hospital are male, over 60, with ischemic stroke, and present more than 24 hours post-onset. These patients typically have a history of hypertension but no previous strokes, with an average hospital stay of 4 days. Many exhibit Grade 2 hypertension in systolic blood pressure and prehypertension in diastolic pressure. Understanding these profiles can guide better management and preventive strategies for stroke patients.
GERIATRIC ANESTHESIA: EVALUATING THE IMPACT OF AGE-RELATED PHYSIOLOGICAL CHANGES ON ANAESTHETIC PRACTICES Edi, Reno Laksono
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5764

Abstract

Background: As the global population ages, the number of elderly patients undergoing surgical procedures increases, posing unique challenges for anesthetic management. Age-related physiological changes affect multiple organ systems, impacting the pharmacokinetics and pharmacodynamics of anesthetic agents. Understanding these changes is crucial for optimizing perioperative care in geriatric patients.Objective: This literature review aims to comprehensively evaluate the impact of age-related physiological changes on anesthetic practices and outcomes in geriatric patients. By synthesizing current research, the review seeks to provide insights into tailored approaches for anesthesia in the elderly population, encompassing hemodynamic management, ventilation strategies, drug selection and dosing, and postoperative care.Methods: A comprehensive literature search was conducted to identify studies on the impact of age-related physiological changes on aesthetic practices in geriatric patients. Electronic databases were searched using specific keywords. Inclusion criteria encompassed peer-reviewed articles focusing on anesthesia patients aged 65 and older, while exclusion criteria eliminated studies not published in English or those focusing solely on pediatric or adult populations under 65. Data extraction and synthesis involved organizing findings on cardiovascular, respiratory, renal, hepatic, and central nervous system changes, aesthetic implications, and strategies for perioperative management.Results: Age-related physiological changes significantly influence anesthetic practices in geriatric patients. These changes necessitate tailored approaches to hemodynamic management, ventilation strategies, drug selection and dosing, and postoperative care. Techniques such as regional anesthesia and multimodal analgesia mitigate risks and improve outcomes. Collaborative multidisciplinary care is essential for optimizing perioperative management in elderly patients.Conclusion: Optimizing anesthetic care in geriatric patients requires a comprehensive understanding of age-related physiological changes and their implications for perioperative management. Tailored approaches that consider these changes, utilize appropriate anesthetic techniques, and implement multidisciplinary care strategies are crucial for improving surgical outcomes and enhancing the quality of life in elderly patients. Ongoing research and education are essential for advancing geriatric anesthesia practice and addressing the evolving needs of this growing patient population.
DIFFERENCES IN SCORING OF THORACIC PHOTOGRAPHS BETWEEN MDR-TB AND DS-TB PATIENTS WITH PULMONARY TUBERCULOSIS Tridharmadi, Epriyanto; Wahyuni Widoretno, Elisabeth Tri; Tahalele, Paul L; M. Nahak, Belinda Peregrina
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5759

Abstract

Background: Tuberculosis (TB) is ranked as the second deadliest infectious disease in the world. There is a drastic increase in TB cases by 2023 with 92% of these cases being pulmonary TB infections. Thoracic photography is a standard examination performed to determine the development of tuberculosis disease through reviewing populations with TB risk factors, one of which is patients with MDR-TB (Multi-Drug Resistance) can result in increased opacity in the lower lung lobes with pulmonary, cavity, and parenchymal lesions. Thoracic photo scoring was performed to determine the severity of lesions in the thoracic photo images of TB patients with MDR (Multi-Drug Resistance) and DS (Drug-Sensitive).Objective: to compare the scoring of thoracic photographs between of TB patients with MDR-TB and DS-TB.Method: using observational analytic method with cross-sectional research design. The sampling technique used purposive sampling method through medical records with analysis using two tests, namely Wilcoxon and Mann-Whitney comparative test. Radiologic findings that we analyzed were infiltrate, consolidation, cavity, ground glass opacity, fibrosis, bronchiectasis, calcification, node, atelectasis, bullae, emphysema, and other nonlung parenchymal findings.Results: The samples to be analyzed were 55 samples had completed anti-tuberculosis therapy in the 6th month and had thoracic photographs. The Wilcoxon Comparative Test on two paired groups showed a significant difference between the TB group with MDR (p=0.008) and DS (p=0.000). In the Mann-Whitney comparative test on two unpaired groups, there were no significant results either TB groups with MDR and DS (p=0.282). Scoring results in MDR-TB patients after therapy showed mild (3.70%), moderate (44.44%), severe (51.85%) categories. In DS-TB patients, showed mild (37.03%), moderate (48.15%), severe (14.81%) categories.Conclusion: There is a significant difference between the severity of thoracic photographs in TB patients with MDR and without MDR (Drug-Sensitive).
ARE PROBIOTICS HELPFUL FOR ALLERGIES? Sultana, Andry
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5650

Abstract

Abstracts: A hypersensitive reaction brought on by the body's immune system reacting to a particular antigen is called an allergy. Over the past few decades, allergy illness prevalence has significantly increased, particularly in Western countries. According to the hygiene hypothesis, a child's vulnerability to allergies may rise if they have less early exposure to microorganisms and/or parasites. Efforts to balance immune function using probiotics have been driven by the important function that the microbiota plays in the interaction between the human immune system and its environment. Research on the advantages of using probiotics to prevent or lessen allergy symptoms has significantly increased in the last few years. This paper discusses the safety of using probiotics as well as their potential to prevent or lessen allergy illnesses.
THE RELATIONSHIP BETWEEN SMOKING HABITS AND THE INCIDENCE OF CHRONIC URTICARIA IN CIVITAS WIDYA MANDALA CATHOLIC UNIVERSITY SURABAYA Harijati, Erna; Dian Putri, Maria Patricia; Tahalele, Paul L; Khoesasih, Antonius Kevin
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5760

Abstract

Background: Urticaria is a heterogeneous disease with multiple causative factors. A thorough literature research has revealed a very limited amount of evidence about the effects of smoking and alcohol consumption habits on the clinical characteristics of urticaria.. Atopic allergic which mean urticaria can affect all populations, but is most common in those aged between 20 to >60 years. Smoking has been reported to play a role in the onset of Urticaria. Substances in cigarette smoke can interact with body cells, resulting in the formation of free radicals or Reactive Oxygen Species (ROS).Objective: To see the relationship between smoking habit and the incidence of chronic urticaria among civitas at Widya Mandala Surabaya.Methods: The method used in this study was a case-control study by taking a population of civitas at the Widya Mandala Surabaya who had smoking history from 2020 to 2023. A sample of 94 people was obtained who had met the inclusion and exclusion criteria of the study. The sample of this study was divided into two groups consisting of a case group and a control group.Results: The results of the Contigency Coefficient Correlation test showed a significant p value of 0.031 <0.05, which means that there is an important correlation between smoking and the incidence of chronic urticaria among civitas at the Widya Mandala Surabaya.Conclusion: It is proven that there is a relationship between smoking and the incidence of chronic urticaria in civitas of Widya Mandala Surabaya.
CORRELATION OF THE FLAT FOOT AND THE SEVERITY OF SCOLIOSIS IN ELDERLY PATIENTS AT PHC HOSPITAL SURABAYA Arief, Teuku; Ricardo, Henry; Tahalele, Paul L; Huang, Velinda
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5765

Abstract

Background: The main symptoms of Scoliosis are changes in body posture, such as unlevel shoulders, rib prominence, or waistline asymmetry. Some previous studies have shown major role of feet a in supporting the body weight support and providing dynamic balance in gait function. Moreover, flat foot (pes planus) may cause lower limb rotation and low back pain possibly due to altered postural reactions and subsequent compensatory patterns between the spine and lower extremitiesObjective: To explain the correlation between the incidence of pes planus and the severity of scoliosis in elderly patients (≥60 y.o) at PHC Surabaya Hospital.Method: This research is an analytical research using a cross sectional study, used probability sampling with purposive sampling. The minimum number of samples required in this research was calculated using the Lemeshow formula, resulting in 69 samples. Data were collected in the form of primary data (Clarke's angle measurement results in the medial longitudinal arch [MLA]) and secondary data (medical records) from 69 patients with a history of scoliosis (using the Cobb Angle Criteria) at PHC Surabaya Hospital in August – October 2023 by Specialist in Orthopedics and Traumatology. Then tested with the Spearman Correlation test using the Statistical Package for the Social Sciences (SPSS) version 29.Results: Of the 69 patients diagnosed with flat foot (pes planus) studied, it was found that 57 patients (82.6%) had scoliosis, but based on the results of statistical analysis of the two variables these were not significantly correlated (p = 0.932).Conclusion: There were no significant results regarding the correlation between the incidence of flat foot (pes planus) and the severity of scoliosis at PHC Surabaya Hospital. This is related to the inclusion and exclusion criteria set by researchers, such as age, BMI, and past medical history.
THE CORELATION OF THE QUALITY OF ANTENATAL CARE VISITS WITH THE INCIDENT OF ASPHYXIA NEONATORUM AT PHC HOSPITAL SURABAYA Noorlaksmiatmo, Harno Prihadi; Budipramana, Edwin; Tahalele, Paul L; Merici, Angela
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5762

Abstract

Background: Birth asphyxia is the one of the very common problem in neonatal health care. Its incidence is very high in the developing country where health facilities are restricted to urban area, and these factors can be prevented through standard Antenatal Care (ANC) visits. ANC is medical care provided by healthcare professionals to mothers during pregnancy, administered by medical personnel and conducted according to established standards. This ANC monitors the health and development of both the mother and the fetus for early detection of risks and health issues during pregnancy.Objective: To determine the relationship between the quality of ANC visits and the occurrence of Asphyxia Neonatorum at PHC Hospital Surabaya.Method: This research is an observational analytic study with a case-control study design, employing a retrospective approach. The sampling in the study utilized probability sampling, specifically employing the simple random sampling technique. The statistical method used to examine the relationship between the quality of ANC visits and Asphyxia (APGAR Score ≤3-6) through the analysis of odds ratio comparison using the Chi-square statistical test.Result: The statistical analysis of the relationship between the quality of ANC visits and the occurrence of Asphyxia shows significant results with a p-value of 0.001 (p < 0.05).Conclusion: The compliance of pregnant women in adhering to standard ANC visits ensures the health of both the mother and the baby during pregnancy.
PRIMARY ALLERGY AND ASTHMA PREVENTION: A REVIEW ARTICLE Sultana, Andry
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5766

Abstract

The prevalence of asthma and other allergic diseases had been increasing over the last few decades in both industrialized and developing countries. It is generally recognized that asthma is disease caused by exposure of genetically predisposed individuals to environmental risk factor. Environmental variables might raise or reduce the likelihood of becoming asthma and allergies. These environmental factors can be managed as primary preventive actions by removing risk factors for asthma and allergies
SEMI-OCCLUSIVE DRESSING FOR FINGERTIP INJURY: A CASE REPORT Young, Andre; Dian, Teuku Arief
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5763

Abstract

Introduction: A fingertip injury is an injury to the most distal part of the fingers. Anatomically, the fingertip can be defined as the part located distal to the insertion of the flexor digitorum superficialis and extensor digitorum tendons on the distal phalanx, or the interphalangeal joint if referring to the thumb.Case Report: A male patient, approximately 40 years old, with an Allen grade III fingertip injury on the right ring finger due to a work accident, was brought to the Emergency Department. The patient was informed that he would undergo an occlusive dressing procedure with local anaesthesia. Evaluation three months after injury showed optimal improvement in both the cosmetic appearance and function of the ring finger.Conclusion: Semi-occlusive dressing may be more feasible than operative treatment because of its simple technique while still be able to give satisfactory results for the patient. However, there are several conditions where operative treatment is more preferable than conservative treatment. The patient’s preferences, existing comorbidities, and the degree of injury should always be assessed before choosing any treatment option.
THE EFFECT OF SUBMAXIMAL EXERCISE ON THE ATTENTION OF HEALTHY ADULTS D, Kartikasari
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5645

Abstract

Introduction. Submaximal exercise uses intensity below 85% of the predicted maximum pulse for age. One example of a submaximal exercise is the Three-minutes step test (TMST) which is practical, easy to implement in the subject's routine, and has clear measurement standards. After TMST is done, VO2max can be calculated which is the main indicator used to determine cardiorespiratory capacity. There have been no studies evaluating the effect of submaximal exercise and VO2max on domain attention in healthy adults.Aim. This study aim to evaluate effect submaximal exercise on the attention of healty adults.Material and method. Using a controlled before-and-after study, sixty healthy adults, aged 25-40 years, were divided into control and intervention groups (TMST). Attention function was measured with SDMT (Symbol Digit Modalities Test) before and after TMST or 3 minutes rest.Result. There was a significant difference in the intervention and control groups (p values <0.001 and 0.0029). The values of SDMT in the intervention group with the control group were significant with the p-value is <0.0001. The effect of the TMST intervention on SDMT was significant, with p values <0.0001.Conclusion. Submaximal exercise can improve attention function in healthy adults.

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