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Budi Santoso
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INDONESIA
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Published by Universitas Airlangga
ISSN : 19073623     EISSN : 26849453     DOI : -
Core Subject : Health, Science,
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
Risk Factor Pattern of Graves’ Ophthalmopathy at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia Akbar, Royhan; Mudjanarko, Sony Wibisono; Komaratih, Evelyn; Ardiany, Deasy
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I22025.162-167

Abstract

Highlights: Female patients are more likely to suffer from GO. Most GO patients have high thyroid levels (hypothyroidism).   Abstract Introduction: Graves' ophthalmopathy (GO) is an autoimmune condition that extends beyond the thyroid gland. The development of GO may be influenced by various risk factors, some of which may interact with each other. This study aimed to identify the most prevalent risk factors for patients with GO from 2019 to 2022 at Dr. Soetomo General Academic Hospital, Surabaya. Methods: This study employed a descriptive cross-sectional design, examining 150 patients who met the inclusion and exclusion criteria. This study measured the age, gender, and systemic thyroid status of all patients. This study used Microsoft Word and Microsoft Excel for Mac version 16.87 to process data. Results: Between 2019 and 2022, 150 patients were diagnosed with GO at Dr. Soetomo General Academic Hospital, Surabaya. The condition was more prevalent in females than males, and the most common age group affected was between 30 and 50 years old. Additionally, 72% of patients with GO also had hyperthyroidism. Conclusion: Graves' ophthalmopathy was more prevalent in female patients, aged between 30 and 50 years old, with the majority having hyperthyroidism. Future studies should be conducted on the patterns of GO risk factors on a larger scale to more accurately represent the disease in the general population.
The Permethrin Use and Personal Hygiene Practices on the Incidence of Recurrent Scabies in the Regional Technical Implementation Unit (UPTD) X Trenggalek, Indonesia Ayuningtyas, Aulia Putri; Tunjungsari, Feny; Handaja, Djaka
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I22025.168-172

Abstract

Highlights: Scabies is ranked third out of the 12 most common skin diseases in Indonesia. The main assessments for scabies, based on the World Health Organization (WHO), include the use of 5% permethrin cream.   Abstract Introduction: Scabies is an infectious skin disease caused by infection with the parasite Sarcoptes scabiei var. hominis. This study examined the relationship between permethrin use and personal hygiene practices on the incidence of scabies in the Regional Technical Implementation Unit (UPTD) X Trenggalek, Indonesia. Methods: This was an observational analytic study with a cross-sectional design, utilizing medical records and questionnaires collected from July to August 2023 in Trenggalek, Indonesia. The samples were the medical records of UPTD X Trenggalek, Indonesia. Results: Twenty-seven respondents were employed in this study. The highest number of respondents was males, totaling 63% of all respondents. The age of the majority of respondents ranged from 2 to 11 years old, with 48.1% of all respondents. The majority of respondents (74.1%) use permethrin as recommended. There was a significant relationship (p=0.000) between the personal hygiene variable and the incidence of scabies, with a correlation coefficient between the two variables (r=0.581). There was a significant relationship (p=0.001) between the personal hygiene variable and the incidence of scabies, with a correlation coefficient between the two variables (r=0.537). Conclusion: A significant relationship was found between permethrin use and personal hygiene on the incidence of scabies, which was observed simultaneously with a strong correlation.
Changes in Antibiotic Resistance Patterns Before and During the COVID-19 Pandemic in Hospitalized Children at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia Kitty, Winnie; Iriani, Yulia; Karmila, Ariesti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I22025.173-179

Abstract

Highlights: Antibiotic resistance patterns before and during COVID-19 have changed. There was an increase in MDR, MRSA, ESBL, and CRE isolates.   Abstract Introduction: The coronavirus disease (COVID-19) pandemic has influenced antibiotic usage patterns due to overlapping clinical symptoms between viral and bacterial infections. This may lead to inappropriate antibiotic prescriptions, thereby increasing antimicrobial resistance. This study examined antibiotic resistance patterns in hospitalized children before and during the COVID-19 pandemic, highlighting their clinical and epidemiological significance. Methods: This was a retrospective cross-sectional study using secondary data from the Central Laboratory Installation at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. All patients aged 1 month to 18 years old with blood cultures and antibiotic sensitivity test results were included. The data were analyzed using Chi-square and linear regression in Microsoft Excel and the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26.0 for Windows. Results: The proportion of Gram-positive bacterial isolates increased from 66% before the pandemic to 75% during the pandemic. The proportion of multidrug-resistant (MDR) isolates rose from 71.7% to 74.3%. Methicillin-resistant Staphylococcus aureus (MRSA) isolates rose from 20.6% to 25.8%. The proportion of extended-spectrum beta-lactamase (ESBL) isolates increased from 81.8% to 88.9%. All Enterobacteriaceae isolates were carbapenem-resistant Enterobacteriaceae (CRE). Significant resistance changes were observed in S. aureus to oxacillin. Conclusion: There was a change in antibiotic resistance patterns during the pandemic. These findings are crucial for antibiotic stewardship and clinical policy-making.
E-Learning Readiness and Anxiety Levels among Preclinical Medical Students during the COVID-19 Pandemic Wahyudi, Dery; Pratiwi, Sari Eka; Armyanti, Ita
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I22025.180-185

Abstract

Highlights: The e-learning readiness measurements were positive, and the level of anxiety was found to be relatively low. Many factors can affect both aspects of e-learning readiness and anxiety among medical students.   Abstract Introduction: The Coronavirus Disease (COVID-19) pandemic has had a significant impact on all sectors, including education. The change from conventional learning systems to e-learning during the pandemic could affect students' mental health, such as the emergence of anxiety. Therefore, this study focused on the relationship between e-learning readiness and anxiety levels, a topic that has not been previously studied in Indonesia. Methods: This was an observational analytic study with a cross-sectional approach. A total of 132 preclinical medical students were chosen through a stratified random sampling technique. Variables were measured using the e-learning readiness (ELR) and Zung Self-Rating Anxiety Scale (SAS) questionnaires. Bivariate analysis using Spearman's rho correlation test was performed using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) for Windows version 24.0, with a p<0.05 considered statistically significant. Results: The results showed that the sample was ready to run e-learning but needed minor improvement (55.3%) and had low anxiety levels (87.1%). Spearman's rho correlation test showed no significance, with p=0.545 (p>0.05; r=-0.053). Conclusion: There was no statistically significant relationship between e-learning readiness and anxiety levels of preclinical medical students during the COVID-19 pandemic. These results are crucial for evaluating the ongoing implementation of e-learning as a form of innovation in medical education, even after the COVID-19 pandemic has ended.
Front Matter Vol 16 No 2, 2025 Matter, Front
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

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Abstract

Back Matter Vol 16 No 2, 2025 Matter, Back
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

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Abstract

Prevalence and Risk Factors of Giardia lamblia Infection among Kindergarten Students in Mandangin Island, Sampang, Indonesia Gunawan, Inggil Mukti; Athiyyah, Alpha Fardah; Arwati, Heny
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.1-7

Abstract

Highlights: Low prevalence of giardiasis among kindergarten students. Good level of knowledge and personal hygiene practices of kindergarten children.   Abstract Introduction: Giardiasis is a gastrointestinal disease caused by the parasite Giardia lamblia and affects many individuals in developing countries. Kindergarten children are at risk of Giardia infection due to limited knowledge and inadequate personal hygiene. This study aimed to determine the prevalence of G. lamblia infection among kindergarten children on Mandangin Island, Sampang, Indonesia. Methods: A cross-sectional study was performed between January and March 2023. Stool samples and questionnaires were collected from 37 participants to obtain data on their demographics, socioeconomic status, and behavioral risk factors. Giardia infection was diagnosed through direct stool examination and rapid antigen testing. The data were analyzed statistically using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26, with p>0.05 considered statistically non-significant. Results: A total of 37 subjects were enrolled in this study. The prevalence of giardiasis was 5.4% (n=2) among the study population. There was no significant correlation between Giardiasis infection and the risk factors examined (p>0.05). Conclusion: The low prevalence of giardiasis in this study might be related to the relatively good level of knowledge and personal hygiene practices among the kindergarten children. In addition, the majority of residents of Mandangin Island, Sampang, Indonesia, used boiled rainwater for drinking. Access to safe drinking water, along with good personal hygiene practices, especially handwashing, can reduce the risk of giardiasis.
Profile of Analgesics in Toddler Patients Undergoing Surgery at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, January 2021-December 2021 Hernando, Devin; Maulydia, Maulydia; Qorib, Mohammad Fathul; Santoso, Kohar Hari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.8-14

Abstract

Highlights: Pain is the most common complaint in every medical procedure. Pain management in toddlers requires special attention due to the need to consider various factors.   Abstract Introduction: Pain is the most frequent complaint in all medical procedures. Managing procedures in toddlers requires special attention due to various influencing factors. The 19th century witnessed significant advancements in analgesics. Analgesics help manage pain that may arise from procedures performed on toddlers. Methods: This study identified the analgesic profile in toddlers undergoing surgery at the Integrated Surgery Center (GBPT) of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January to December 2021. It was a retrospective descriptive study using medical records. The sample included toddlers who had surgery and received analgesics at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. The sampling technique used was total sampling. Results: During the period from January to December 2021, a total of 451 pediatric patients underwent surgery at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. A total of 232 patients were excluded due to incomplete medical records. A total of 219 patients met the criteria. The majority were 1-year-old (32.42%), with male patients being predominant (58.9%). Most toddlers had a normal body mass index (BMI). The majority of surgeries lasted 1-3 hours (64.38%). The most common procedures were debridement and wound dressing (11.87%). Opioids were the most frequently used analgesics (41%), with fentanyl being the most common (71.85%), while paracetamol was the primary non-opioid analgesic (43.33%). The most common pain intensity before and after surgery was no pain. Conclusion: Analgesics help manage pain from procedures in toddlers. Opioids were the most frequently used, with fentanyl being the most common.
Profile of Patients with Chronic Obstructive Pulmonary Disease (COPD) in Pulmonology Clinic, Universitas Airlangga Hospital, Surabaya, Indonesia, for the Period of January-December 2022 Susila, I Made Dwi Yudiartana Putra; Rosyid, Alfian Nur; Umiastuti, Pirlina; Bakhtiar, Arief
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.15-21

Abstract

Highlights: Chronic obstructive pulmonary disease mainly occurs in male patients, elderly patients, and ex-smokers. Classification of COPD patient therapy must be chosen individually for each patient, which sometimes does not comply with existing guidelines.   Abstract Introduction: Chronic obstructive pulmonary disease (COPD) is a disease-causing breathing issue characterized by persistent and progressive airflow obstruction in response to noxious particles or gases and influenced by host factors. This study aimed to describe the profile trends, including age, sex, body mass index (BMI), complaints, physical examination findings, comorbidities, smoking history, exacerbations, COPD assessment test (CAT) score, modified Medical Research Council (mMRC) dyspnea scale, the Global Initiative for Chronic Obstructive Lung Disease (GOLD)-ABE grouping, and pharmacological therapy. Methods: Data collection included variables such as age, sex, BMI, complaints, physical examination, comorbidities, smoking history, exacerbations, CAT score, mMRC dyspnea scale, GOLD-ABE grouping, and pharmacological therapy. Results: A total of 73 patients were included. The sample was dominated by male patients (84.93%), aged 61-70 years old (38.35%), had normal BMI (63.01%), most complained of persistent cough (57.53%), had normal physical examination (97.26%), had no comorbidities (82.19%), ex-smokers (63.01%), and had no exacerbations (39.72%). Most were classified as Group B (50.68%) in the GOLD-ABE Group, medium (54.79%) on the CAT Score, and grade 1 (42.47%) on the mMRC dyspnea scale. Most patients were treated with long-acting β2-agonist (LABA)+inhaled corticosteroid (ICS) (79.45%) and mucolytics (27.40%). Conclusion: Chronic obstructive pulmonary disease predominantly affected elderly male patients, especially aged 61-70 years old, with a history of smoking. Most had a normal BMI, reported persistent cough, and had no comorbidities. Patients were primarily classified under GOLD-ABE Group B with moderate symptoms, while severe exacerbations were rare. Treatment mainly involved LABA+ICS combinations, though adherence to updated guidelines varied. Further research is needed to refine treatment strategies and to explore additional variables to improve management.
Immunogenomic Phase-Based Differences in Complete Blood Count Profiles of COVID-19 Patients With and Without Comorbidities Yusuf, Ratu Diva Nuralifia; Rusli, Musofa; Kahar, Hartono
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): JANUARY 2026 (IN-PROGRESS ISSUE)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.22-28

Abstract

Highlights: Complete blood count profile represents the most frequently conducted laboratory test, pivotal for prognostic assessment, particularly in COVID-19 patients presenting with comorbidities. Significant differences exist within CBC profiles across various immunogenomic phases, notably leukocyte count, thrombocyte count, and NLR.   Abstract Introduction: The coronavirus disease (COVID-19) pandemic has resulted in significant mortality in Indonesia, particularly affecting those with comorbidities. Utilizing complete blood count (CBC) profiles can inform clinical management strategies and enhance patient care. This study examined the correlations among CBC profiles, immunogenomic phase, and disease pathophysiology. Methods: This was a cross-sectional, retrospective, observational study that used medical records from Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Demographic data from 134 COVID-19 patients were analyzed, focusing on differences in CBC profiles between patients with and without comorbidities across immunogenomic phases. Statistical comparisons were conducted using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 13, with significance set at p<0.05. Results: Most patients were male, with a mean age of 52.13 years old. Cardiovascular comorbidities were prevalent (36%) across all immunogenomic phases. Significant differences in leukocyte and platelet counts were observed among patients with comorbidities. The neutrophil-to-lymphocyte (NLR) ratio varied significantly between immunogenomic phases in both comorbid and non-comorbid groups. Additionally, significant variations in leukocyte and platelet counts were found in the comorbid group, along with differences in NLR in both groups (p<0.05). Conclusion: Variations in leukocyte count, platelet count, and NLR indicated that comorbidities and CBC profiles might contribute to the development of cytokine storm, acute respiratory distress syndrome, and multiple organ failure.