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Lantip Rujito
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Medical and Health Journal
Published by Universitas Jenderal Soedirman
ISSN : -     EISSN : 28073541     DOI : https://doi.org/10.20884/1.mhj.2023.2.2.8053
Core Subject : Health,
Medicine & Pharmacology
Medical and Health Journal (EISSN. 2807-3541) is containing various articles/ manuscripts in the forms of research article, systematic reviews, case reports in the field of medicine focusing on basic medicine, clinical medicine, biomedical sciences, medical biotechnology, and public health. This journal is published by Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 152 Documents
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Expectative Management of a Late-Diagnosis Twin Reversed Arterial Perfusion Sequences (TRAPS) - A Rare Case Report Devina, Velika; Sumawan, Herman; Aziz, Muhammad Alamsyah; Fakih, Mohamad
Medical and Health Journal Vol 5 No 2 (2026): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.5.2.19785

Abstract

Twin Reversed Arterial Perfusion Sequence (TRAPS) is a rare and severe complication unique to monochorionic twin pregnancies, characterized by retrograde perfusion of a nonviable acardiac twin by a structurally normal pump twin. Management of TRAPS diagnosed in late gestation remains controversial due to limited interventional options and an unpredictable clinical course. While early fetal intervention is generally recommended, evidence supporting expectant management in late-diagnosed cases, particularly in resource-limited settings, remains scarce. We report a 31-year-old gravida 2, para 1 woman with a monochorionic diamniotic twin pregnancy complicated by TRAPS, who was referred to a maternal–fetal medicine clinic at 29–30 weeks of gestation. Given stable pump twin hemodynamics, late gestational age, and unavailability of fetal therapy, expectant management with intensive ultrasound surveillance was pursued. At 32 weeks, signs of evolving cardiac compromise prompted delivery by cesarean section. The pump twin survived with prematurity-related complications and was discharged in stable condition. This case highlights that expectant management may be a reasonable option in carefully selected late-diagnosed TRAPS cases when fetal therapy is unavailable, provided that close surveillance and timely delivery are ensured.
The Role of Rumination in University Students’ Mental Health: A Mediation Analysis of Depression and Anxiety Maghfiroh, Nisaul; Oktavilia, Ernasiwi Astri; Hidayah, Arfi Nurul; Kamal, Isran; Mardihusodo, Hajid Rahmadianto; Syamsu Hidayat, Muhammad Zaenuri
Medical and Health Journal Vol 5 No 2 (2026): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.5.2.19800

Abstract

This study examined the relationship between rumination and mental health among university students by testing the mediating roles of depression and anxiety. Rumination refers to a repetitive and passive focus on negative experiences and emotions that may influence psychological functioning. A quantitative correlational design was employed. A total of 113 students completed the Ruminative Response Scale (RRS), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and General Health Questionnaire (GHQ-12). Parallel mediation analysis indicated that rumination significantly predicted depression (β = .6197, p < .001) and anxiety (β = .5830, p < .001). Depression significantly predicted mental health (β = .2893, p = .025), whereas anxiety was not a significant predictor (β = .1186, p = .343). The direct effect of rumination on mental health was not significant (β = −.0940, p = .427), nor was the total effect (β = .1544, p = .098). However, the indirect effect through depression was significant (β = .1793, p = .031; 95% CI [.00464, .0957]), whereas the indirect path through anxiety was not significant (β = .0692, p = .347). These findings indicate that depression fully mediates the relationship between rumination and mental health. Thus, the influence of rumination on students’ mental health primarily operates through increased depressive symptoms.

Page 16 of 16 | Total Record : 152

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