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JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Published by Universitas Airlangga
ISSN : 19073623     EISSN : 26849453     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health
Juxta (Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga) is a scientific peer-reviewed medical doctor which relevant to a medical doctor and other health-related professions by the Faculty of Medicine Universitas Airlangga, Indonesia. Juxta provides a forum for original article to the editor and it will be published Two-times a year. Studies that focus on evaluating and understanding the complex medical importance are welcomed in Juxta.
Arjuna Subject : -
Articles 191 Documents
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Nasal Symptoms of Chronic Rhinosinusitis were Related to Its Nasoendoscopic Findings: A Retrospective Cohort Study at Dr. Soetomo General Academic Hospital, Surabaya Chandra, Christopher Marcellino; Kristyono, Irwan; Soegiarto, Gatot; Nugroho, Puguh Setyo
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 15 No. 2 (2024): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V15I22024.83-87

Abstract

Highlights: Nasal congestion was the most common symptom presented in CRS patients. Nasal symptoms of CRS were positively associated with nasoendoscopic findings (Polyp, Edema, Secretions).   Abstract Introduction: Chronic rhinosinusitis (CRS) is often encountered in Indonesia. Nasal endoscopy, or nasendoscopy, is considered the gold standard for assessing the severity of CRS. However, as nasendoscopy is unavailable in Indonesia, only symptom assessments can be conducted at primary healthcare facilities. This study aimed to elucidate the relationship between nasoendoscopic findings based on the Lund-Kennedy score (LKS) and symptoms in CRS patients based on the visual analogue scale (VAS) score. Methods: This retrospective analytic study evaluated CRS cases identified in the Ear, Nose, and Throat (ENT) Outpatient Clinic of Dr. Soetomo General Academic Hospital, Surabaya, from July 2021 to July 2022.  Statistical analysis was conducted using Spearman’s rank correlation test to identify the correlation (r) between LKS and the VAS score. Statistical significance was achieved if p<0.05. All statistical tests were conducted using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26.0 for Windows. Results: A total of 57 CRS patients were included in this study, mostly females (64.9%) and those aged 50–59 years old (26.9%). Nasal congestion was the dominant nasal symptom (80.7%), with mostly moderate symptom severity (VAS 4-7) reported. Across both nasal cavities, the most frequent nasoendoscopic finding among CRS patients was nasal edema (82.4% and 93%). A positive and weak correlation existed between the total VAS score of all symptoms and the total LKS of both nasal cavities (r=0.387, p=0.003). Conclusion: The nasal symptoms of CRS patients were significantly associated with its nasoendoscopic findings (Polyp, Edema, Secretions).
Prevalence and Risk Factors of Latent Tuberculosis Infection (LTBI) at Madura Boarding School as a High-Risk Congregate Setting Ananto, Muhammad Arif; Setyoningrum, Retno Asih; Lestari, Pudji
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 15 No. 2 (2024): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V15I22024.76-82

Abstract

Highlights: Boarding school is a high-risk location for tuberculosis transmission. Therefore, stricter early prevention measures are required. Gender and knowledge level were significantly related to latent tuberculosis infection, but there was no significant relationship between age and nutritional status. Low level of knowledge was the highest risk factor compared to other factors, with a five times greater risk of contracting latent tuberculosis infection.   Abstract Introduction: Tuberculosis (TB), caused by Mycobacterium tuberculosis (MTB), is a highly contagious airborne disease. High-risk environments with frequent close interactions contribute to the spread of TB. This study examined latent TB infection (LTBI) epidemiology in such settings to inform public health interventions and strategies to curb TB transmission in similar environments. Methods: This cross-sectional observational study, conducted from January to August 2022 at two boarding schools in Bangkalan, involved 100 adolescents aged 10-18 years old tested for latent tuberculosis infection using interferon-gamma (IFN-γ) release assay (IGRA). Data were collected via questionnaires. Bivariate analysis was used to determine the correlation between latent tuberculosis infection prevalence and each research variable using Pearson Correlation and odds ratio (OR) to find risk factors for each variable. A p<0.05 was considered statistically significant. Results: This study found that 30% of 100 adolescents in boarding schools had latent tuberculosis infection. Risk analysis showed a significant association between gender and LTBI (p=0.000), with males having a higher risk with an odds ratio (OR) of 1.02 times. Additionally, lower education levels were significantly associated with a higher risk of LTBI (p=0.021) with an odds ratio of 5.2 times. Conclusion: Boarding schools pose a tuberculosis transmission risk. Early latent tuberculosis infection screening is essential for tuberculosis eradication in Indonesia, and these findings emphasize the need to improve latent tuberculosis infection detection and prophylaxis therapy as a preventive measure against tuberculosis outbreaks.
Front Matter Vol 15 No 2, 2024 Matter, Front
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 15 No. 2 (2024): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

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Abstract

Back Matter Vol 15 No 2, 2024 Matter, Back
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 15 No. 2 (2024): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

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Abstract

Profile of Patients with Decreased Bone Density Aged Over 50 Years Old with Cases of Femoral Neck Fracture, Thoracic Vertebral Compression Fracture, Lumbar Vertebral Compression Fracture, and Distal Radius Fracture in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, in 2019-2020 Pratama, Arlingga; Sari, Gadis Meinar; Utomo, Dwikora Novembri
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.1-6

Abstract

Highlights: Decreased bone density often progresses to osteoporosis, where osteoporosis is a degenerative disease characterized by low bone mass, bone tissue damage, and bone microarchitecture disorders that can lead to an increased risk of bone fracture. Fractures often found in low bone density consist of fractures of the femoral neck, the thoracic and lumbar vertebrae, and distal radius fractures.   Abstract Introduction: Human life expectancy will increase over time, as will various chronic degenerative diseases, one of which is fracture caused by decreased bone mass density. This study described fracture features associated with decreased bone mass density in patients over 50 years old. Methods: This study took place at the Polyclinic of Orthopaedics and Traumatology Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, using a quantitative design with a cross-sectional approach. The sample in this study consisted of 56 medical records collected using a questionnaire processed with Microsoft Excel. Results: This study used 56 samples. Femoral neck fractures had the highest number of decreased bone mass density fractures (69.7%). The most common body mass index (BMI) found with fractures was obese patients (32.2%). Most fractures were experienced by females (64.3%). The location of the highest incidence of fractures was found in domestic accidents (66.1%) with low-energy trauma (67.9%). Conclusion: Most of the fractures caused by decreased bone density in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, were femoral neck fractures, with females being the most common gender. These fractures were also the most common in obese patients, and the highest incidence was found in domestic accidents with low-energy trauma.
Profile of Elderly COVID-19 Patients at Indrapura Field Hospital, Surabaya Mahdian, Haidar; Triyono, Erwin Astha; Handajani, Noor Idha; Kartina, Leny
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.7-13

Abstract

Highlights: Elderly patients with comorbidities are more vulnerable to coronavirus disease (COVID-19) because it can cause a higher mortality rate and a poor prognosis. Most of the elderly COVID-19 patients who were given symptomatic treatment were cured.   Abstract Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a pathogen that causes coronavirus disease (COVID-19). The elderly, especially those with comorbidities, are vulnerable to COVID-19. This study aimed to determine the profile of elderly patients with COVID-19 and to provide valuable data for further research. Methods: This was a retrospective descriptive study of 132 (n=132) elderly COVID-19 patients at Indrapura Field Hospital, Surabaya, between April and October 2021. The clinical profile was determined by collecting medical record data from Indrapura Field Hospital, Surabaya. All statistical data analyses were conducted using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) for Macintosh version 25.0. Results: This study indicated that among 132 (n=132) elderly patients, the predominated age range was 61–63 years old (37.12%), and most of the patients were males (57.6%). The majority of the patients' occupations were private employees, and hypertension was the main comorbidity in elderly patients (52.3%). Most patients experienced mild symptoms (46.2%), with the most common complaint being a productive cough (42.4%). All of the patients had no antiviral, antibacterial, or corticosteroid therapy. There were 73 patients (55.3%) who had been hospitalized for less than 10 days, with most of the patients (78.79%) cured and allowed to go home. Conclusion: The majority of patients at Indrapura Field Hospital, Surabaya, were elderly male patients, with hypertension being the most common comorbidity. Most patients exhibited mild symptoms, mainly a productive cough, and showed significant improvement with symptomatic, isolation, relaxation, nutrition, and observation (SIRNO) therapy, resulting in a high recovery and discharge rate.
Obesity and Clinical Outcomes of Acute Decompensated Heart Failure Nuvus, Alviyatul Ainin; Andrianto, Andrianto; Mudjanarko, Sony Wibisono
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.70-75

Abstract

Highlights: Clinical outcomes in obese acute decompensated heart failure patients were found to be better than those of non-obese patients but not statistically significant. Acute decompensated heart failure patients were dominated by males.   Abstract Introduction: Obesity is an independent risk factor that raises the prevalence of heart failure, but it is paradoxically associated with a better prognosis. This study examined the relationship between obesity and clinical outcomes of acute decompensated heart failure at Dr. Soetomo General Academic Hospital, Surabaya. Methods: This was an analytic observational study using a prospective cohort design. Patients with acute decompensated heart failure who were admitted to the inpatient care unit of Dr. Soetomo General Academic Hospital, Surabaya, from December 2021 to July 2022 were chosen using a purposive sample technique. The data were analyzed using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) version 26.0. Results: There were 58 patients (n=58) representing different categories, with an average age of 55 years old, and were predominately males (58.6%). This study found that clinical outcomes in obese acute decompensated heart failure patients were better than those of non-obese patients in terms of shorter lengths of stay (p=0.825), lower rates of rehospitalization (p=0.458), and lower rates of all-cause mortality (p=0.673). Conclusion: The difference between the clinical outcomes in obese acute decompensated heart failure patients and non-obese patients was not statistically significant.
BCG Vaccination and Spinal Tuberculosis in Non-Malnourished and/or Non-HIV Infected Children at Dr. Soetomo General Academic Hospital, Surabaya Albarok, Muhammad Abdir Rahman; Faris, Muhammad; Endaryanto, Anang; Setyoningrum, Retno Asih
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.83-88

Abstract

Highlights: The Bacillus Calmette-Guérin (BCG) vaccination has been widely implemented in Indonesia, but cases of spinal tuberculosis (TB) in children can still be found. There are significant and moderate relationships between BCG vaccination and the occurrence of spinal TB in children.   Abstract Introduction: Spinal tuberculosis (TB) is an extrapulmonary form of TB that affects the spine. The Bacillus Calmette-Guérin (BCG) vaccination program, which has been implemented to prevent TB, should have prevented this type of TB. However, cases of this disease in children can still be found. This study aimed to determine whether there was a relationship between BCG vaccination and the occurrence of spinal TB in children. Methods: This case-control analytic observational study was performed based on medical record data. The study subjects of each group, both case and control, were taken from pediatric TB patients at Dr. Soetomo General Academic Hospital, Surabaya, from 2017 to 2021. Patients with malnutrition and/or human immunodeficiency virus (HIV) infection were excluded. Statistical analyses were performed using Fisher’s exact test. Results: There were 9 patients in total within each group. Most were 12-17 years old, and the ratio of male by female was 1.25:1. There were 4 out of 9 (44%) spinal TB patients and 9 of 9 (100%) patients with no spinal TB who all received BCG vaccination. The statistical test indicated a significant (p=0.029) and moderate (C=0.527) relationship between BCG vaccination and the occurrence of spinal TB in children. Conclusion: The Bacillus Calmette-Guérin vaccination should be able to prevent the new occurrence of spinal TB in children.
Knowledge of Teenagers in Surabaya about COVID-19 and Prevention Behavior Armyne, Amara Destania; Febriyana, Nining; Retnowati, Wiwin; Karimah, Azimatul
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.76-82

Abstract

Highlights: Most respondents had good knowledge and prevention behavior. No significant relationship was found between knowledge and behavior to prevent COVID-19.   Abstract Introduction: Coronavirus disease (COVID-19) is a newly discovered infectious disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), which can affect individuals of all ages. The high positive number of COVID-19 cases in Surabaya and the proportion of teenagers in society is quite large. This study examined the knowledge of teenagers in Surabaya about COVID-19 and prevention behavior. Methods: This descriptive study used a cross-sectional design and an online questionnaire (Google Forms). The target sample was teenagers aged 10-19 years old who live in Surabaya. A total of 122 respondents were involved (n=122). Sampling was performed using the consecutive sampling method, and the data was processed using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) version 19.0 using univariate and bivariate analysis (p=0.367). Results: The results showed that most respondents had good knowledge (72.1%) and good behavior (89.3%) regarding COVID-19. No significant relationship was found between knowledge and behavior to prevent COVID-19 among adolescents who live in Surabaya (p=0.367). Conclusion: This study revealed that most respondents had good knowledge and prevention behavior. Due to a limited number of samples, a larger sample would have provided a more thorough representation of the population and resulted in more accurate outcomes.
Risk Factors of Death in Chronic Obstructive Pulmonary Disease (COPD) Patients at Dr. Soetomo General Academic Hospital, Surabaya, in 2019 Wedhana, Hilmy Indra; Bakhtiar, Arief; Kusuma, Edward; Rosyid, Alfian Nur
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.14-20

Abstract

Highlights: The highest distribution of chronic obstructive pulmonary disease (COPD) patients’ age and gender was over 60 years old and males. The highest distribution of COPD patients’ comorbidity was infection, with pneumonia being the most common infection.   Abstract Introduction: The distribution of death and risk factors in chronic obstructive pulmonary disease (COPD) patients varies according to disease severity. This study aimed to determine the risk factors of mortality in COPD patients. Methods: This was a retrospective descriptive study with a total sampling method using inclusion and exclusion criteria. Data collection was performed on patients' medical records throughout 2019. The inclusion criteria for this study sample were patients diagnosed with COPD who died in 2019, aged over 25 years old (adults), both male and female. The exclusion criteria were COPD patients with incomplete medical record data. Results: The total number of samples obtained and included in this study was 31 COPD patients (n=31). The characteristics of the patients showed a predominance of males over females, with a ratio of 9:1. Seventeen samples (58.0%) out of 31 were patients aged >66 years old. Comorbidities accounted for 96.8% of the study population. The most prevalent comorbidity was infection (77.41%), with pneumonia accounting for 38.7% of all deaths. Eighteen patients (58.1%) reported having two or more comorbidities, whilst 28 patients (90.3%) scored 0-7 on the Modified Sequential Organ Failure Assessment (mSOFA) when admitted to the hospital. Conclusion: This study found that the group of patients with the mSOFA score of 0-7 with the characteristics of being aged >60 years old, males, and having pneumonia infection had the highest mortality rate among other COPD patients who died.

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