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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.
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Articles 208 Documents
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Task-Shifting Echocardiography Training for Rheumatic Heart Disease Screening in Indonesia: A Feasibility Study Dian Paramita Kartikasari; Achmad Lefi; Irawati Hajar Kikuko; Asri Laksitarini; Pandit Bagus Tri Saputra; Mahendra Eko Saputra; Diar Pasahari; Emildha Dwi Agustina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I12026.93-99

Abstract

Highlights: Rheumatic heart disease remains a significant health concern in low-and middle-income countries, as it is often challenging to detect in its early stages due to subtle or absent symptoms, particularly during the subclinical phase. Task-shifting echocardiographic screening of RHD to GPs offers a scalable solution in low-resource settings.   Abstract Introduction: Rheumatic heart disease (RHD) remains a significant health burden in low- and middle-income countries. Early detection of RHD by trained general practitioners (GPs) enables earlier intervention to prevent disease progression. This study aimed to evaluate the feasibility and effectiveness of training non-expert health workers in Indonesia to perform echocardiographic screening for RHD, addressing the country’s unique challenges and bridging the gap in healthcare resources. Methods: A quasi-experimental pre-post intervention study was conducted involving 18 GPs with no prior echocardiography experience. The training consisted of one day of lecture-based instruction and six days of supervised hands-on practice. Knowledge was assessed using a newly developed RHD-echocardiography test that underwent face and content validation by two cardiologists and demonstrated good internal consistency (Cronbach’s alpha=0.82). Pre- and post-training knowledge was compared using paired t-tests. Diagnostic sensitivity and specificity were calculated using cardiologist-confirmed findings from a subsequent one-month school-based screening of 440 students. Results: The mean pre-test score was 64±11, significantly increasing to 95±7.5 after training (p<0.001). Image quality was diagnostically adequate in 97.7% of examinations. Sensitivity and specificity of GP-acquired screening echocardiograms were 41.4% (95% Confidence Interval/CI: 29.9%-53.0%) and 73.7% (95% CI: 69.1%-78.3%), respectively. No significant differences in scores were observed by gender or age group. Conclusion: Although participants initially had limited exposure to echocardiography, the structured short-term curriculum substantially improved knowledge, image acquisition skills, and screening capability. Task-shifting echocardiographic screening to mid-level providers appears feasible in Indonesia and warrants further refinement and scale-up.
Front Matter Vol 17 No 1, 2026 Front Matter
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

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Abstract

Back Matter Vol 17 No 1, 2026 Back Matter
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 1 (2026): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

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Abstract

First Line and Second Line Anti-Tuberculosis Drugs Resistance Patterns in Drug Resistance Tuberculosis Patients at Dr. Soetomo General Academic Hospital Surabaya Period 2019-2022 R. Mochammad Naufal Affan Hakim; Abdul Khairul Rizki Purba; Tutik Kusmiati; Ni Made Mertaniasih
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.100-104

Abstract

Highlights: This study covers the prevalent pattern of first-line and second-line anti-TB drugs. High-dose INH was the most prevalent pattern among DR-TB patients.   Abstract Introduction: Mycobacterium tuberculosis is the causative agent of tuberculosis (TB), with drug-resistant TB (DR-TB) posing a significant global health challenge. Drug-resistant TB is characterized by complex resistance patterns, leading to high morbidity and mortality rates. The lack of understanding regarding resistance to both primary and secondary anti-TB drugs contributed to the persistence of resistance. Methods: This was a retrospective, descriptive, observational study that used secondary data from the medical records of patients with DR-TB resistant to Rifampicin at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from 2019 to 2022. A total of 199 patient samples were included, selected using the total sampling technique and based on specific inclusion and exclusion criteria. Data analysis was performed using Microsoft Excel software. Results: The most prevalent resistance pattern observed was high-dose Isoniazid (30.7%). A case of cross-resistance between Bedaquiline and Clofazimine was found in a single DR-TB patient. Among patients with a history of diabetes mellitus (DM), 41% of those with DM and 39.8% without DM showed high-dose Isoniazid (INH) resistance. One case of extensively drug-resistant TB occurred in a patient without DM. Conclusion: Drug-resistant TB remained a major health issue due to its high prevalence and complex treatment. Understanding resistance patterns and managing comorbidities, such as DM, was crucial for improving treatment outcomes.
Five-Year Profile of Allergy Diseases in Adult Patients at the Outpatient Unit of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia Reza Affandi; Deasy Fetarayani; Damayanti Damayanti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.105-111

Abstract

Highlights: Notable findings include a substantial decline in the prevalence of adult allergic diseases between 2013 and 2017, attributed to the implementation of the JKN program in Indonesia. The effectiveness of the JKN in shifting allergy care from specialized to primary healthcare settings.   Abstract Introduction: Allergic diseases significantly impact global public health. These conditions, which include allergic asthma, rhinitis, atopic dermatitis, food, drug, and insect sting allergies, lead to a decline in quality of life and increase economic burdens. Despite their high prevalence, detailed epidemiological data on adult allergic diseases, particularly in the Eastern region of Indonesia, are lacking. Methods: This observational, descriptive study used a retrospective cross-sectional design to analyze 465,014 outpatient visits from 2013 to 2017 at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. It focused on adult patients diagnosed with various allergic diseases, examining their characteristics, clinical manifestations, risk factors, and treatment outcomes. Results: This study documented a significant 81.3% decline in the prevalence of adult allergic disease between 2013 and 2017, partly attributable to the implementation of the National Health Insurance (JKN) program in Indonesia. The prevalence among adults was 2.9%, with allergic asthma being most common. A marked gender disparity was observed, with females more frequently affected than males. The findings also underscored the critical role of comorbid conditions in the comprehensive management of these diseases. Conclusion: This study highlighted the profound influence of healthcare reforms on the accessibility and management of allergy care in Indonesia, underscoring the necessity for disease-specific diagnostic, treatment, and management strategies that account for gender and age differences. It also emphasized the importance of integrated care approaches for patients with comorbid conditions and calls for further longitudinal research to explore the dynamics of allergic diseases more deeply.
Clinical Profile of Burkholderia cepacia complex and Its Antibiotic Susceptibility Pattern in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia Sandi Dwi Prasetyo; Eko Budi Koendhori; Musofa Rusli; Pepy Dwi Endraswari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.112-118

Abstract

Highlights: Most Bcc-positive patients were adult females with pneumonia. Burkholderia cepacia complex showed resistance to many antibiotics, including reserve-group antibiotics. Burkholderia cepacia complex remains susceptible to Cotrimoxazole, Ceftazidime, and Tigecycline.   Abstract Introduction: Burkholderia cepacia complex (Bcc) is a group of Gram-negative bacteria that can cause opportunistic infections, especially in immunocompromised people. Its infections are associated with poor prognosis and high mortality rates. However, due to the low priority given to this pathogen, guidelines at both national and international levels remain limited. Furthermore, Bcc has developed dynamic resistance to various antibiotics, which requires periodic evaluation of antibiotic susceptibility patterns. Methods: This was a descriptive study using a retrospective approach, based on medical record data from Bcc-positive patients (n=89) at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January 2020 to December 2022. The data were then analyzed using descriptive statistical methods. Microsoft Excel 2024 was used for statistical analysis. Results: Among the 89 Bcc-positive patients, most were adults (57.3%) and females (50.56%), with pneumonia being the most common primary diagnosis (8.99%). A significant proportion of patients (40.45%) showed clinical improvement after treatment. Ceftriaxone (37.08%) was the most frequently used empirical therapy. Urine specimens (44.94%) were the most common source of Bcc isolates. Amoxicillin-clavulanic acid, Ampicillin, Ampicillin-sulbactam, Imipenem, Colistin, Nitrofurantoin, Piperacillin, and Cefazolin showed the highest resistance rates (100%) to Bcc. Meanwhile, Bcc isolates exhibited the highest susceptibility to Cotrimoxazole (68%), Ceftazidime (58%), and Tigecycline (58%). Conclusion: This study found that most Bcc-positive patients were adult females with a primary diagnosis of pneumonia. Bcc showed resistance to various antibiotics, with Cotrimoxazole showing the highest susceptibility rate.
Quality Profile of Antibiotic Use in Patients in the Low-Care Surgical Care Room of Universitas Airlangga Hospital, Surabaya, Indonesia Salsabillah Rojiqul Fitri; Brian Eka Rachman; Pepy Dwi Endraswari; Agung Dwi Wahyu Widodo
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.119-125

Abstract

Highlights: Ceftriaxone and Cefazolin were the most used antibiotics. The most common inappropriate prescribing practices were incorrect dosing intervals and antibiotic use without clear clinical indications.   Abstract Introduction: Inappropriate use of antibiotics can cause adverse side effects, such as the emergence of antibiotic resistance. The use of antibiotics without clear indications is common in surgical cases. Currently, data on the quality of antibiotic use in surgical cases remain widely unavailable. Methods: This study was a descriptive retrospective study using 136 medical records in the Inpatient Room at Universitas Airlangga Hospital, Surabaya, Indonesia. The subjects of this study were low-care surgical patients at Universitas Airlangga Hospital, Surabaya, Indonesia. The study variables included antibiotic use, length of hospital stay, sex, age, and type of surgery, and the data were entered into a Microsoft Excel spreadsheet to generate frequency distribution tables. Results: The quality of appropriate and rational antibiotic use (category 0) was 62.33%, inappropriate antibiotic use (category I) was 0.9%, inappropriate antibiotic use in terms of dose/interval/route of administration (category II) was 21.5%, inappropriate antibiotic use in terms of efficacy/some were less toxic/some were cheaper/some had a narrower spectrum (category IV) was 0.9%, antibiotic use without indication (category V) was 10.76%, and category VI was 2.2%. Conclusion: Antibiotic prescribing among low-care surgical patients at Universitas Airlangga Hospital, Surabaya, Indonesia, showed a moderate level of appropriateness according to the Gyssens criteria.
Body Mass Index and Visceral Adipose Tissue in Relation to Low-Density Lipoprotein to High-Density Lipoprotein Ratio among Adults Bungahati Kita; Marlina Dewiastuti; Melly Kristanti; Mila Citrawati; Tuty Rizkianti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.126-131

Abstract

Highlights: Visceral adipose tissue demonstrated a positive and significant correlation with the LDL-C to HDL-C ratio, with the majority of participants exhibiting elevated VAT levels also showing high LDL-C to HDL-C ratios. An increase in BMI tended to correspond with a rise in the lipid ratio.   Abstract Introduction: Cardiovascular diseases (CVDs) continue to be a leading cause of death worldwide. In Indonesia, factors contributing to CVDs, including obesity and abnormal lipid profiles, have been increasingly prevalent among adults. The low-density lipoprotein cholesterol (LDL-C)-to-high-density lipoprotein cholesterol (HDL-C) ratio is a well-established indicator used to assess the risk of CVD. This study examined how nutritional factors, particularly body mass index (BMI) and visceral adipose tissue (VAT), influence the LDL-C-to-HDL-C ratio in adults. Methods: This was a cross-sectional study comprising laboratory medical check-up results from employees of Universitas Pembangunan Nasional Veteran Jakarta, Jakarta, Indonesia. The bivariate analysis was conducted using logistic regression (significant at p<0.05). The data were analyzed statistically using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 27.0. Results: Among 56 participants (n=56), BMI was categorized as obese (48.2%), overweight (5.4%), and normal weight (46.4%), while VAT was categorized as high (69.6%), increased (21.4%), and normal level (8.9%). The analysis showed a positive but not significant association between BMI and the LDL-C-to-HDL-C ratio (Odds Ratio/OR=1.230; 95% Confidence Interval/CI=1.706-2.143; p=0.464). In contrast, there was a positive and significant relationship between VAT and the LDL-C-to-HDL-C ratio (OR=3.918; 95% CI=1.143-13.430; p=0.030). Conclusion: This study revealed a significant relationship between VAT and the LDL-C-to-HDL-C ratio, whereas no notable link was observed between BMI and the LDL-C-to-HDL-C ratio among the employees.
Age and Body Mass Index and the Incidence of Post-Mastectomy Pain Syndrome in Breast Cancer Patients Shofiyyah Usman; Eva Rachmi; Yudanti Riastiti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.132-138

Abstract

Highlights: The incidence of PMPS remained relatively high. Age was a preoperative risk factor for PMPS. Patients who experienced PMPS had higher BMI, although the association was not statistically significant.   Abstract Introduction: Surgical intervention is the primary treatment modality for breast cancer but frequently results in chronic neuropathic pain in the anterior chest wall, armpit, and medial upper arm, termed post-mastectomy pain syndrome (PMPS). Prior studies have yielded inconsistent results concerning the impact of age and body mass index (BMI) as preoperative risk factors on the incidence of PMPS. This study aimed to determine the association of age and BMI with the incidence of PMPS among breast cancer patients. Methods: An observational cross-sectional study was performed in the Chemotherapy Center Abdoel Wahab Sjahranie Regional Hospital, Samarinda, Indonesia, in September 2024. Thirty-two female patients who had undergone mastectomy were interviewed using the Pain Detect Questionnaire-Indonesia (PDQ-Ina). The data were analyzed statistically using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26.0. The Mann-Whitney test was used in bivariate analyses. Results: Post-mastectomy pain syndrome was identified in 34.4% of patients. The association between age and PMPS was significant (p<0.001). In contrast, no significant association of BMI with PMPS was identified (p=0.059). Conclusion: Post-mastectomy pain syndrome persisted in breast cancer patients who underwent mastectomy, with younger patients experiencing higher rates of PMPS. Although patients with PMPS had a higher BMI, this association was not statistically significant.
Body Mass Index and Herniation Degree based on Magnetic Resonance Imaging in Lumbar Herniated Nucleus Pulposus Patients at Abdoel Wahab Sjahranie Regional Hospital, Samarinda, Indonesia Arif Dwi Andika; Yetty Octavia Hutahean; Yudanti Riastiti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.139-144

Abstract

Highlights: This study analyzed the relationship between BMI and the herniation degree of lumbar HNP patients based on MRI. There was a significant relationship between BMI and the herniation degree in lumbar HNP patients.   Abstract Introduction: Lumbar herniated nucleus pulposus (HNP) is a localized displacement of disc material through the intervertebral disc space that occurs in the lumbar segment of the spine. One of the factors associated with lumbar HNP is body mass index (BMI), which can affect the incidence and severity. This study aimed to determine the relationship between BMI and the degree of herniation in patients with lumbar HNP. Methods: This was an observational cross-sectional study of 62 medical records of patients with lumbar HNP who underwent magnetic resonance imaging (MRI) at Abdoel Wahab Sjahranie Regional Hospital, Samarinda, Indonesia, selected using purposive sampling. The statistical analysis used was Fisher’s exact test with a Monte Carlo approach and Spearman’s correlation test, both performed using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 25.0. Results: Most patients were aged 31-40 years old (27.4%) and female (53.2%). The BMI was mostly in the underweight-normal range (45.2%), and the degree of herniation was mostly Grade II/protrusion (53.2%). The relationship between BMI and herniation degree showed a p-value of 0.044, indicating a significant association (p<0.05). Conclusion: Body mass index was associated with the degree of herniation.

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