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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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Articles 206 Documents
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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.
CORRELATION OF BODY MASS INDEX WITH MENARCHE AGE IN ELEMENTARY SCHOOL STUDENTS IN KRIAN Icha, Icha; Dewi, Sianty; Sudewi, Ni Putu
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 1 (2024): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i1.5368

Abstract

Introduction: Early menarche is increasing throughout the world, including in Indonesia. The average age of early menarche in Indonesia is less than 10 years based on the results of Riset Kesehatan Dasar or Basic Health Research 2013. Early menarche can cause stress, cardiovascular disease, and the risk of breast cancer. Early menarche can be influenced by various factors, one of which is nutritional status which can be assessed by body mass index.Objective: To determine the relationship between Body Mass Index and Menarche Age in elementary school “X” in Krian.Method: This study used a cross-sectional research design, conducted on a population of elementary school children in grades IV-VI aged 9-12 years at primary school “X” in Krian with the inclusion criteria being School Health Unit (Unit Kesehatan Sekolah or UKS) data and the exclusion criteria being having chronic diseases. Data analysis was carried out using the Spearman Correlation test.Results: 49 samples were obtained consisting of 7 people in class IV, 14 people in class V, and 28 people in class VI. From the sample, 8 children had a low BMI (16.3%), 30 children had a normal BMI (61.3%), and 11 children had a high BMI (22.5%). Meanwhile, for early menarche 6 people (12.2%), normal menarche 43 people (87.8%), and no late menarche (0%) obtained a p-value = 0.616 (p>0.05). The percentage of early menarche in obese BMIs is higher than in other BMIs with a percentage of 6.1%.Conclusion: There is no significant correlation between body mass index and age at menarche due to the small number of samples.
CORRELATION OF PHYSICAL FUNCTIONAL CAPACITY AND SLEEP QUALITY IN THE ELDERLY AT GOTONG ROYONG HOSPITAL Sugiyanto, Calista Sekar Langit Acintya; Wijono, Steven; Christy, Ari
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 1 (2024): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i1.5375

Abstract

Introduction: Old age is a period that indicates a process of physical, mental, and social deterioration over time. There are several things that concern health in old age, one of which is functional status which is a major health problem in the elderly. A person's ability to perform daily activities can be assessed by their functional capacity. Physical functional capacity can be measured using the six-minute walk test (6MWT). There have been many studies that discuss the 6MWT, but none have specifically looked for the relationship between physical functional capacity and sleep quality in the elderly.Purpose: This study was conducted with the aim of knowing the relationship between physical functional capacity and sleep quality in the elderly at Gotong Royong Hospital.Methods: This study used an analytic observational research design with a cross sectional approach. Data were collected from demographic questionnaires, Pittsburgh Sleep Quality Index (PSQI), and direct 6MWT measurements. Data analysis in this study used univariate and bivariate analysis.Results: In this study, the results obtained p = 0.000 (p < 0.05) indicate that there is a significant relationship between physical functional capacity and the quality of sleep of the elderly at Gotong Royong Hospital.Conclusion: There is a relationship between physical functional capacity and elderly sleep quality at Gotong Royong Surabaya Hospital.
RELATIONSHIP BLOOD TRIGLYCERIDE LEVELS WITH ACNE VULGARIS IN YOUNG ADULTS Febianingrum, Adhani; Anggowarsito, Jose L.; Tahalele, Paul L.
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 2 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i2.5483

Abstract

Introduction: Acne vulgaris (AV) is a chronic inflammation of the pilosebaceous follicles. The four main pathologies underlying the occurrence of acne vulgaris are follicular epidermal hyperproliferation, increased sebum production, colonization of Propionibacterium acnes and inflammatory processes. Triglycerides are a component of sebum which plays an important role in the inflammatory process.Objective: to determine the relationship between triglyceride levels in the blood and acne vulgaris in young adults.Method : this research is analytic. The research design used was cross sectional. The population of this study were all patients who came to the clinic. The sample in this study used an accidental sampling technique.Results: The study showed that the characteristics of the respondents based on the Chi-Square test for the relationship between triglyceride levels and the incidence of Acne vulgaris showed that there was a statistically significant relationship between triglyceride levels and the incidence of Acne vulgaris.Conclusion: There is a relationship between triglyceride levels in the blood and the incidence of acne vulgaris in young adults.
THE RELATIONSHIP OF LONG TIME SUFFERING FROM TYPE 2 DIABETES MELLITUS ON THE DEGREE OF PERIPHERAL NEUROPATHY AT GOTONG ROYONG HOSPITAL, SURABAYA Kamilah, Hurriyatul; Muliono, Ari Christy; Anggriani, Tabita Novita
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 2 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i2.5493

Abstract

Background: Peripheral neuropathy is one of the most frequent complications in Diabetes Mellitus. The prevalence of diabetic neuropathy based on studies is 8% in newly diagnosed DM sufferers and 50% in patients who have long suffered from DM. Peripheral neuropathy is defined as damage to the peripheral nerves which can cause damage to sensory, motor and autonomic nerve function.Objective: This study aims to determine the relationship between the duration of suffering from Type 2 Diabetes Mellitus and the degree of peripheral neuropathy at the Gotong Royong Hospital in Surabaya.Method: This research is an observational analytical study with a cross-sectional design using an instrument in the form of a questionnaire on type 2 DM patients at the Gotong Royong Hospital in Surabaya from August to October 2023. The number of samples used in the research was 45 people.Results: The results of the analysis of the relationship between the duration of suffering from Type 2 Diabetes Mellitus and the degree of peripheral neuropathy using the Spearmen's test showed p = 0.023.Conclusion: There is a significant relationship between the duration of suffering from Type 2 Diabetes Mellitus and the degree of peripheral neuropathy at the Gotong Royong Hospital in Surabaya.
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.
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY IN SUBCLAVIAN VEIN STENOSIS CAUSED BY CENTRAL VENOUS CATHETERIZATION FOR HEMODIALYSIS ACCESS IN CHRONIC KIDNEY DISEASE PATIENTS Laksono, Gerardo; Motulo, Yosis Y; Tahalele, Paul L
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 1 (2024): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i1.5390

Abstract

Introduction: The increased of central vein access for hemodialysis in chronic kidney disease patients has led to increase of side effect in clinically relevant stenosis of subclavian vein. One of therapeutic options to solve stenosis of subclavian vein is endovascular treatment Percutaneous Transluminal Angioplasty (PTA) .Objectives: To show our experience in treating subclavian vein stenosis using Endovacular treatment Percutaneous Transluminal Angioplasty (PTA). Materials and Methods: A retrospective study in 62 chronic kidney disease patients who undergo hemodyalisis with stenosis of subclavian vein treated with PTA in 3 hospitals in Surabaya from October 2017-October 2020 with range age 18-70 years was conducted .Results: We performed PTA for subclavian vein stenosis in 62 cases. Partial stenosis was found in 35 cases and total occlusion in 27 cases. For 27 total occlusion cases, 19 cases can still be opened, but 8 cases can’t be opened or recanalization and we drop out these patient. 54 cases (87%) were good and 8 cases (13%) can’t be open. The result of PTA in treating stenosis of subclavian vein was good. The result of reduced in arm swelling and using doppler USG follow up are 100%(54/54) after 1 month, 100%(54/54) after 3 months, 90.7% (49/54) after 6 months.Conclusion: Percutaneous Transluminal Angioplasty (PTA) is effective in treating subclavian vein stenosis reliefe its symptomps. The patency rate is 90.7% after 6 months post procedure of PTA.
HASHIMOTO THYROIDITIS IN 7-YEAR-OLD CHILDREN: A CASE REPORT Sunardi, Wenny; Dateng Beyeng, Rosalia Theodosia; Parama Siwi, Putu Ianta
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 1 (2024): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i1.5372

Abstract

Hashimoto thyroiditis (AIT) is a common cause of hypothyroidism that can occur in childhood and adolescence (ages six to sixteen years) and often occurs in women. AIT can be determined by increases in TSH with normal thyroid hormone serum levels. The diagnosis of AIT based on clinical symptoms of hypothyroid, biochemical results, and ultrasound images. Treatment is carried out by administering levothyroxine at an initial dose of 1 – 2 g/weight/day. This case report aims to show that AIT can show a wide range of symptoms and effects from the treatment that given to patient.

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