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Jurnal Kedokteran Meditek
Published by Universitas Kristen Krida Wacana
ISSN : 26861437     EISSN : 26860201     DOI : https://doi.org/10.36452/jkdoktmeditek
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health
Jurnal Kedokteran MEDITEK merupakan jurnal ilmiah yang mempublikasikan artikel-artikel dalam lingkup bidang kedokteran dan biomedik secara open access. Proses publikasi artikel melalui proses penelaahan oleh pakar sebidang (peer-review) secara double-blind. Jurnal Kedokteran Meditek berafiliasi pada Fakultas Kedokterandan Ilmu Kesehatan Universitas Kristen Krida Wacana, dengan misi mendorong penyebarluasan perkembangan ilmu kedokteran & biomedis di Indonesia maupun secara global dengan menerbitkan 3 edisi dalam setahun, yaitu: Januari, Mei dan September.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 4 Documents
 1 
Search results for , issue "Vol 32 No 1 (2026): Januari" : 4 Documents clear
Moyamoya Disease dan Neuromyelitis Optica: Sebuah Laporan Kasus Langka dengan Tantangan Diagnosis dan Tata Laksana Hardiati, Rahmi Hijriani; Kholida, Baiq Hilya Kholida; Arigi, Lalu Ahmad Gamal
Jurnal Kedokteran Meditek Vol 32 No 1 (2026): Januari
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i1.3769

Abstract

Introduction:  Moyamoya disease is a cause of stroke in young people with a low prevalence. Neuromyelitis optica (NMO) is also a rare disease with a low incidence.This combination of the two is extremely rare, making it an interesting case. This case report aims to report an incident of Moyamoya Disease that occurred together with Neuromyelitis optica (NMO). Case Illustration: A 37-year-old female patient presented with slurred speech, facial asymmetry, vertigo, blurred vision, and strabismus, all of which occurred suddenly. An MRI revealed partial stenosis of the right vertebral artery, right ACA, right and left MCA arteries, as well as total stenosis of the right and left ACA, right and left MCA arteries. White matter lesions were also found in the right frontal lobe, left parietal lobe, internal capsule, anterior commissure, pons, pontine tegmentum, mesencephalon, and substantia nigra. Hyperintensity lesions were also found in the spinal cord at levels C2-C6. CSF examination revealed a predominance of PMN cells. Based on the history and examination, the patient was diagnosed with Moyamoya Disease and NMO. Treatment consisted of several oral therapies, which showed improvement in complaints of limb weakness, but other complaints did not improve. After several days, the patient's condition worsened so IVIG was planned for treatments. Discussion: There are only three case reports documenting the occurrence of both diseases. The mechanism involved is antibodies, specifically anti-SSA, which contribute to the coexistence of NMO and moyamoya disease. Clinical implications, NMO make accelerating progression of moyamoya disease and leading to ischemic. Conclusion: The patient in this report was diagnosed with moyamoya and NMO. The coexistence of these two diseases necessitates a thorough examination and consideration of the coexistence of multiple diseases in patients with multiple neurological symptoms.
Perbandingan Kualitas Hidup Pasien Hemorhoid Sebelum dan Sesudah Laser Hemorrhoidopexy (LHP) di Rumah Sakit Sekunder Multisentra Jakarta Megatia, Ika
Jurnal Kedokteran Meditek Vol 32 No 1 (2026): Januari
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i1.3996

Abstract

Laser hemorrhoidopexy (LHP) is a minimally invasive technique increasingly used for hemorrhoid management. This retrospective cohort study evaluated changes in HEMO-FISS-QoL scores among patients with internal hemorrhoids, with or without external components, before and after LHP. Patients completed the questionnaire pre-procedure and at 2 and 6 weeks post-procedure. Data were analyzed using repeated measures ANOVA with Bonferroni post-hoc testing. A total of 69 patients were included, with a mean age of 40 ± 13 years; 42 (60.9%) were female. The total HEMO-FISS-QoL score significantly decreased from baseline to 2 and 6 weeks after treatment (60.83 ± 4.11 vs. 27.01 ± 3.03 vs. 8.27 ± 2.95; p < 0.001). Significant improvements were also seen across all domains from baseline to 6 weeks: physical discomfort (61.89 ± 7.21 vs. 9.25 ± 5.06; p < 0.001), psychological impact (52.43 ± 5.49 vs. 4.15 ± 3.44; p < 0.001), defecation (79.84 ± 11.29 vs. 12.68 ± 6.66; p < 0.001), and sexuality (59.60 ± 12.53 vs. 12.32 ± 8.97; p < 0.001). In conclusion, LHP significantly improved patients’ quality of life across physical, psychological, defecation, and sexual domains, highlighting its effectiveness as a minimally invasive treatment for hemorrhoids. Keywords Hemorrhoids, laser hemorrhoidoplasty, quality of life, HEMO-FISS-QoL
Perbandingan Fungsi Ginjal dan Parameter Klinis pada Ibu Hamil Primipara dan Multipara dengan Preeklamsia Berat Banjarnahor , Dharma Putra; Siahaan, Salmon Charles Pardomuan Tua Siahaan; Idarto , Areta; Yuwono , Natalia; Suryadarma , Antonius Yansen
Jurnal Kedokteran Meditek Vol 32 No 1 (2026): Januari
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i1.4009

Abstract

Introduction: Repeated pregnancies (multiparity) can result in cumulative physiological changes that adversely affect maternal kidney function, notably through increased risk of recurrent preeclampsia, which may contribute to long-term renal impairment. This study provides a comparative analysis of kidney function parameters between primiparous and multiparous pregnant women, focusing on how glomerular filtration rate (GFR) relates to other clinical indicators. Since current data on how multiparity impacts renal function are limited, this research addresses that gap. Purpose: The study aims to compare renal function parameters in primiparous versus multiparous pregnant women and assess the direction and strength of associations between GFR and key clinical variables. Methods: This quantitative cross-sectional study involved primiparous and multiparous pregnant women (n = 100) during routine examinations at Hospital X between January 3 and July 2025. Clinical data included age, body weight, hemoglobin, leukocytes, blood urea nitrogen (BUN), serum creatinine (SCr), and GFR (estimated by the Cockcroft–Gault formula). Statistical analyses compared groups and used correlation coefficients to quantify the direction and strength of relationships between GFR and clinical variables. Results: Primiparous and multiparous groups differed significantly in age, body weight, SCr, and GFR (p < 0.05). Multiparous women were older and had higher SCr, while primiparous women had higher body weight and GFR. GFR showed a positive correlation with body weight (r > 0, p < 0.05) and a negative correlation with age and SCr (r < 0, p < 0.05). SCr positively correlated with both BUN and body weight (r > 0, p < 0.05). Conclusion: Multiparity is associated with modest declines in kidney function, reflected by higher SCr and lower GFR relative to primiparous women. These findings underscore the need for early assessment and ongoing renal monitoring in multiparous mothers to help prevent nephrological complications and optimize clinical care throughout pregnancy.
Peran Ultrasonografi (US) dalam Pemeriksaan Post-Mortem: Sebuah Studi Literatur Yen, Liauw Djai; Saputro, Alexandra Ambar; Suwito, Michelle Margaretha; Damanik, Eunike Marshya Easter; Hadiwinata, Evellyn; Anastasia, Cindy; Sinurat, Radinka Genevieve Theopilia
Jurnal Kedokteran Meditek Vol 32 No 1 (2026): Januari
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i1.4011

Abstract

Introduction: The global decline in autopsy rates has raised concerns about its consequences for education and research. Virtual autopsy offers a non-invasive alternative to conventional procedures, avoiding tissue destruction and gaining wider family acceptance. Ultrasonography (US) is widely available, relatively inexpensive, and has emerging potential in post-mortem evaluation. Purpose: To review the role of US as a post-mortem imaging modality as an alternative method to conventional autopsy. Methods: A literature search was conducted in PubMed, Google Scholar, and the Journal of Forensic Sciences for studies published between 2019 and 2025. Eligible designs included prospective diagnostic studies, case reports, systematic reviews, and descriptive observational research. Reported statistical analyses involved sensitivity and specificity calculations, logistic regression, diagnostic accuracy meta-analyses, and Fisher’s exact test (p<0.05). Results: With the advancement of technology, virtual autopsy can provide important information that helps determine the cause and manner of death. Early post-mortem US has been shown to identify aortic dissection, pericardial and pleural effusions, pneumothorax, deep vein thrombosis (DVT), and pulmonary embolism. In forensic practice, US is used as a complementary technique, reducing the need for extensive autopsy exploration and limiting biological exposure risks to forensic staff. Conclusion: Post-mortem US is a practical and effective tool for detecting pathological findings, particularly in resource-limited settings or when infection risk is high. However, its diagnostic performance is constrained by gas artifacts, tissue cooling, and limited access to internal organs. Further research is needed to standardize techniques and validate diagnostic accuracy.

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