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Jurnal MedScientiae
Published by Universitas Kristen Krida Wacana
ISSN : -     EISSN : 28291166     DOI : https://doi.org/10.36452/jmedscientiae
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Jurnal MedScientiae adalah jurnal yang dikelola oleh Fakultas Kedokteran dan Ilmu Kesehatan Universitas Kristen Krida Wacana. Jurnal ini mempublikasikan artikel-artikel secara open access dalam lingkup bidang kedokteran dan kesehatan seperti kedokteran dasar, bioetika kedokteran, biologi sel, biologi molekuler, genetika, fisiologi, biokimia, bioinformatika, anatomi, farmakologi, kesehatan masyarakat, dan ilmu biomedik lainnya. Tim editorial menerima naskah berupa artikel penelitian, literature dan systematic review, dan laporan kasus. Naskah yang dikirimkan hendaknya belum pernah diterbitkan sebelumnya di jurnal maupun media yang lain dan disiapkan sesuai dengan template atau format yang telah ditentukan. Setiap naskah yang memenuhi kriteria jurnal akan direview oleh pakar yang sesuai (peer reviewer). Jurnal MedScientiae tidak mengenakan biaya selama proses mulai dari penerimaan naskah hingga publikasi. Jurnal MedScientiae terbit 3 kali dalam satu tahun, yaitu pada bulan April, Agustus dan Desember dengan cakupan keilmuan yang telah disebutkan di atas. Edisi pertama jurnal akan diterbikan di bulan Mei tahun 2022 dengan nomor ISSN 2829-1166.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 249 Documents
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Menjembatani Teori dan Praktik: Tinjauan Naratif Early Clinical Exposure dalam Pendidikan Kedokteran Tahap Pre-Klinik Josephine, Jodie
Jurnal MedScientiae Vol 5 No 1 (2026): April
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i1.4250

Abstract

Early Clinical Exposure (ECE) has become an essential component of integrated medical curricula, aiming to bridge the long-standing divide between basic science teaching and clinical practice. This narrative review synthesised fourteen studies published in the past five years to examine the educational rationale, implementation models, and outcomes of ECE for undergraduate medical students. Evidence shows that ECE enhances integration of basic and clinical sciences, strengthens motivation, and supports early professional identity formation. Students also gain confidence and foundational clinical skills when ECE includes structured supervision and opportunities for guided practice. Different implementation models, hospital-based, classroom-integrated, community-based, and hybrid, offer distinct benefits aligned with specific learning mechanisms. However, substantial variability in programme design, supervision quality, and learning environments contributes to inconsistent outcomes. Common barriers include large cohort sizes, limited clinician availability, overcrowded clinical settings, and reliance on brief or observational exposure. These issues highlight a persistent gap between the strong theoretical foundations of ECE and its uneven practical execution. Optimising ECE requires intentional, longitudinal design; structured reflection; adequately prepared supervisors; and alignment with experiential, social, and contextual learning principles. When effectively implemented, ECE can serve as a transformative element of early medical training.
Association Between Online Gaming, Dietary Patterns, and Nutritional Status Among Medical Students Class Of 2024 Adi, Paul Immanuel; Rumiati, Flora; Rickie, Rickie; Heriyanto, Heriyanto
Jurnal MedScientiae Vol 5 No 1 (2026): April
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i1.4269

Abstract

The rapid expansion of online gaming among university students may influence dietary patterns, nutritional status, sleep patterns, and physical activity, which are critical for long-term health. This study was motivated by concerns that online game addiction could be associated with malnutrition and sedentary behavior among medical students. The aim of this research is  to determine the association between online game addiction and dietary patterns, nutritional status, sleep patterns, and physical activity among medical students of Universitas Kristen Krida Wacana class of 2024. An analytical cross-sectional study was conducted involving 80 medical students selected using nonprobability purposive sampling based on predefined inclusion criteria. Data were analyzed using univariate and bivariate methods with Chi-Square or Fisher Exact tests at a significance level of p<0.05. Online game addiction was not associated with meal frequency p 0.746, food variety p 0.896, or sleep patterns p=0.706. A borderline association was found with nutritional status p=0.051, and a significant association was observed with physical activity p=0.036. Online game addiction among these medical students appeared to be more closely related to nutritional status and physical activity than to dietary and sleep patterns.
Hubungan Kualitas dan Kuantitas Antenatal Care dengan Kejadian Stunting pada Anak Berusia 0-59 Bulan di Puskesmas Tambayoli Tahun 2023 Susanto, Inneke Kusumawati; Susanto, Djap Hadi; Dwiyanti, Friska
Jurnal MedScientiae Vol 5 No 1 (2026): April
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i1.4041

Abstract

The Indonesian government is targeting a reduction in the prevalence of stunting in children under 5 years of age to 14% by 2024. The Ministry of Health is focusing on eleven stunting intervention programs, one of which is antenatal care (ANC) services. Central Sulawesi Province recorded a stunting prevalence of 28.2%, with a coverage of six ANC visits reaching 70.67%. This study aims to analyze the relationship between risk factors for ANC quality and quantity and the incidence of stunting in children aged 0-59 months in the Tambayoli Community Health Center (Puskesmas) working area during 2023. This observational, analytical study with a cross-sectional design used a purposive sampling technique. Data were collected through questionnaires. Data analysis used the Spearman Rank correlation test with a significance level of p<0.05. The study findings indicate a significant association between ANC quality and stunting incidence (p=0.000; OR 11.28; 95%CI 3.74-33.97). Similarly, the quantity of ANC visits was also significantly associated with stunting (p=0.001; OR 5.46; 95%CI 2.02-14.78). There was a significant association between the quality and quantity of ANC visits and the incidence of stunting in children under 5 years of age in the Tambayoli Community Health Center (Puskesmas) work area. This finding supports stunting intervention programs that emphasize optimizing ANC services. Several previous studies have examined the relationship between ANC visits and stunting, but there has been a paradigm shift from the standard minimum of four to six visits.
Hubungan antara Komorbiditas dan Mortalitas dengan Analisis Survival pada Pasien Kanker Payudara Stadium IV di RSUD Dr. Soetomo Cahyani, Maria Benedictin Sandhi; Purba, Abdul Khairul Rizki; Wihandono, Asdi; Purwaningsih, Sri
Jurnal MedScientiae Vol 5 No 1 (2026): April
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i1.4158

Abstract

Breast cancer is a major global health concern, having the highest prevalence and ranking fifth in cancer-related mortality worldwide. However, data regarding mortality among breast cancer patients with and without comorbidities remain limited. Therefore, this study aimed to determine the association between comorbidities and mortality, as well as to analyze the survival of stage IV breast cancer patients at Dr. Soetomo General Hospital during the period 2020–2022. This study employed an observational analysis with a retrospective case–control design. Bivariate statistical analyses were performed using the Chi-square test, Fisher’s exact test, and the Mann–Whitney U test. Survival analysis was performed using the Kaplan–Meier method and the log-rank test. There were 271 samples that met the inclusion criteria. The majority of patients were early elderly (46–55 years old) and female. Based on the Charlson Comorbidity Index (CCI), most patients had severe comorbidities with a CCI score ≥ 5 (65,7%), and 48,3% of patients experienced mortality. The results showed a significant association between comorbidities and mortality in stage IV breast cancer patients (ρ = 0,00), with survival probability decreasing over time (ρ = 0,00). Patients without comorbidities had a higher probability of survival compared to those with comorbidities.
Viskositas Darah dan Plasma Pada Talasemia Mayor Korwa, Daniela Dirgantari; Timan, Ina Susianti; Sinsanta, Sinsanta; Sari, Dominica Pita
Jurnal MedScientiae Vol 5 No 2 (2026): August
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i2.3601

Abstract

Background: viscosity or viscosity is a physical property that characterizes the resistance to a fluid flow. Fluids have both Newtonian and non-Newtonian properties. Viscosity is divided into blood and plasma viscosity. One of the pathological conditions that can affect blood and plasma viscosity is thalassemia. Thalassemia is a disorder of imperfect globin chain formation resulting in imperfect erythrocyte formation. In 2021, 10,670 cases of thalassemia were reported. The viscosity value in the thalassemia group currently does not have a definite value. Objective: to determine the value of blood and plasma viscosity in children with thalassemia major at Ciputra Tangerang Hospital in 2024 - 2025. Method: this study involved 57 people who were divided into a control group and a thalassemia group. The control group samples will undergo 5 cc of venous blood sampling for a complete hematology and viscosity examination, but the thalassemia group samples will be taken from the remaining blood for hematology examination before transfusion and viscosity examination. Data analysis was carried out univariately and bivariately using t – test and Mann Whitney test with p < 0.05. Results: it was found that the thalassemia group had a blood viscosity value of 5.67 ± 1.72 cP and plasma viscosity of 3.29 ± 1.2 cP Conclusion: blood viscosity and plasma viscosity in the thalassemia group were higher compared to controls.
Faktor-Faktor Yang Memengaruhi Kejadian Astigmatisme Pada Anak di SDN 11 Pagi dan 17 Kebon Jeruk Jabet Purbaya, Rikky; Farfar, Inggrid Osya; Indrajanti, Mirza
Jurnal MedScientiae Vol 5 No 2 (2026): August
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i2.3952

Abstract

Astigmatisme is one of the most common refractive error in elementary school-aged childern and can affect visual acuity and academic performance. This study aims to identify the factors influencing the incidence of astigmatism among students at SDN 11 Pagi and SDN 17 Kebon Jeruk, West Jakarta, in 2025. An analytical study with a cross-sectional design was conducted, involving 363 students as the sample. Data were collected through visual acuity tests using trial lenses and structured questionnaires. The results showed significant associations between the incidence of astigmatism and the intensity of gadget use (p=0.018), lighting conditions during gadget use (p=0.034), and reading distance (p=0.037). Meanwhile, other variables such as family history, gender, television viewing habits, and lighting during reading did not show significant associations. This study highlights the importance of monitoring children's visual habits to prevent refractive disorders, particulary astigmatism.
Pigment Epithelial Detachement: Patofisiologi, Diagnosis, dan Tatalaksana Anugrahsari, Santi; Sunur, Cornelia Louisa Maria; Usfunan, Margie Adelila Apriliani
Jurnal MedScientiae Vol 5 No 2 (2026): August
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i2.4275

Abstract

Pigment epithelial detachment (PED) is an important manifestation in various retinal diseases, particularly age-related macular degeneration (AMD), and has a significant impact on visual function decline. PED is associated with structural alterations of the retinal pigment epithelium (RPE) and plays a crucial role in determining visual prognosis. This study was conducted as a systematic literature review using 15 scientific articles published within the last five years, retrieved from databases including PubMed, Google Scholar, ScienceDirect, and SpringerLink. Articles were selected based on the inclusion criteria of peer-reviewed English-language studies focusing on PED. PED demonstrates diverse morphological types, including serous, drusenoid, fibrovascular, and hemorrhagic forms. It primarily results from degenerative processes, lipid accumulation, and choroidal neovascularization. Parameters such as size, composition, and variability are associated with visual outcomes. Optical Coherence Tomography (OCT) serves as the primary diagnostic modality, supported by OCT-A, fluorescein angiography (FA), and indocyanine green angiography (ICGA). PED is a significant biomarker in the diagnosis and prognosis of retinal diseases, particularly AMD. Anti-vascular endothelial growth factor (anti-VEGF) therapy improves anatomical features of PED, although functional visual improvement is not always observed. Therefore, a comprehensive approach with regular monitoring using advanced imaging modalities is essential to optimize clinical management and visual outcomes.
Keefektifan Bruckner Test dalam Deteksi Dini Kelainan Refraksi dan Potensi Ambliopia pada Anak Usia 7 – 18 Tahun di RS Citra Husada Jember Ramadhan, Lea Anugrah; Lesmana, Michael Indra
Jurnal MedScientiae Vol 5 No 2 (2026): August
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i2.4315

Abstract

Refractive errors and potential amblyopia in children are often detected late due to the lack of practical screening access. This study aims to evaluate the effectiveness of the bruckner test as a screening tool for early detection of refractive errors and potential amblyopia in school-aged children. An analytical observational study with a cross-sectional design was conducted on 50 children (aged 7–18 years) at Citra Husada Hospital, Jember, from October to November 2025. Each subject underwent a non-cycloplegic bruckner test and a subjective refraction examination as the gold standard. Data were analyzed using 2×2 contingency tables, statistical tests, and the Kappa coefficient via SPSS version 25 software. A total of 86% of subjects (43 children) showed a positive bruckner test result (asymmetric reflex), with the most dominant reflex pattern being a decentered crescent (40%). These findings were consistent with subjective refraction results, where 86% of subjects were initially identified with ametropia. The bruckner test demonstrated high diagnostic performance with a sensitivity of 95.56%, specificity of 100%, and an accuracy of 96%. Statistical analysis revealed an almost perfect agreement between the brckner test and the gold standard (κ = 0,811; p < 0,001). The Brückner test is highly effective and accurate as a screening tool for the early detection of refractive errors in school-aged children within secondary healthcare facilities. The implementation of this method is strongly recommended as part of routine screening to reduce the delay in managing visual impairments in children.
Gambaran Pengetahuan, Sikap, dan Perilaku Angkatan 2021 Terhadap Varises Tungkai di FKIK UKRIDA Siauta, Jeqcellin; Ruchika, Ruchika
Jurnal MedScientiae Vol 5 No 2 (2026): August
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i2.4317

Abstract

Lower limb varicose veins are abnormal dilations of veins caused by impaired venous return, which can lead to pain, a feeling of heaviness in the legs, and chronic complications. Risk factors include sex, age, and lifestyle factors such as prolonged static activities. Adequate knowledge plays an important role in shaping preventive attitudes and behaviors. University students, as a productive age group, engage in activities that may increase risk; therefore, it is important to assess their knowledge, attitudes, and behaviors regarding lower limb varicose veins. Objective to describe the knowledge, attitudes, and behaviors of FKIK UKRIDA students from the 2021 cohort regarding lower limb varicose veins. This study employed a descriptive research design, with the entire population of 160 students included as the sample. The majority of mahasiswats demonstrated good knowledge, particularly regarding risk factors; however, understanding of symptoms remained low. In terms of attitudes, most mahasiswats showed positive attitudes toward self-examination when symptoms arise. Regarding behavior, most mahasiswa had implemented preventive measures such as maintaining body weight, but routine medical check-ups were still low. These findings are consistent with previous studies indicating that good knowledge is associated with positive attitudes and preventive behaviors toward varicose veins, although awareness of symptoms and early examination still needs improvement. Students demonstrated good knowledge of lower limb varicose veins, with generally positive preventive attitudes and behaviors. However, understanding of symptoms and consistency in routine examinations need to be improved to support early detection and prevent complications.
Hubungan Miopia Dengan Amplitudo Akomodasi Pada Siswa SMPN 89 Jakarta Ramadani, Regita Azahra; Silaen, Desi Hartati; Bahasywen, Feiruz Hamid Umar
Jurnal MedScientiae Vol 5 No 2 (2026): August
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v5i2.4340

Abstract

Myopia is a refractive disorder that often occurs in school-aged children and can affect accommodation function, one of which is the amplitude of accommodation (AA). A decrease in AA is known to often accompany an increase in the degree of myopia, but research on the relationship between the two in junior high school students in Jakarta is still limited. This study aims to determine the relationship between the degree of myopia and the amplitude of accommodation in students of SMPN 89 Jakarta. The study used a quantitative method with a cross-sectional analytical design. The sample consisted of students in grades VII, VIII, and IX with myopia, selected using a purposive sampling technique. The degree of myopia was examined using an autorefractometer and subjective examination using a trial lens, while the amplitude of accommodation was measured using the push-up method with the RAF Rule tool. The results showed that most students had low myopia, but 60.9% experienced accommodative insufficiency. There was a significant relationship between the degree of myopia and the amplitude of accommodation (p = 0.003), where students with moderate to high myopia fully showed accommodative insufficiency. This finding indicates that increasing the degree of myopia is directly proportional to the decrease in accommodation ability. This study showed that the degree of myopia was significantly related to the amplitude of accommodation in students at SMPN 89 Jakarta. The higher the degree of myopia, the greater the likelihood of accommodative insufficiency.

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