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Jurnal Widya Medika
Published by Universitas Katolik Widya Mandala Surabaya
ISSN : 23380373     EISSN : 26232723     DOI : https://doi.org/10.33508/jwm
Core Subject : Health,
Medicine & Pharmacology
Jurnal Widya Medika is the official publication media of Widya Mandala Surabaya Catholic University, Faculty of Medicine. Jurnal Widya Medika publishes original research articles, case reports, and literature reviews from scientists of various medical education and research institutions, including select scientific works from medical students. All articles published had undergone plagiarism checks, editorial review by the editorial board, and peer review by experts from their respective fields in order to maintain the high standard of articles published in Jurnal Widya Medika.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 177 Documents
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Diskusi Dilema Moral dalam Peningkatan Kemampuan Penalaran Etika B. Dian Novita; Soegianto Ali; Yeremias Jena
JURNAL WIDYA MEDIKA Vol. 1 No. 1 (2013)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v1i1.285

Abstract

Beberapa tahun terakhir, telah terjadi perubahan pada pendidikan dokter profesional. Saat ini, pendidikan menekankan tidak hanya untuk hard skills (kemampuan akademik), seperti pengetahuan dan keterampilan klinis, tetapi juga soft skills (keterampilan interaksi manusia), seperti keterampilan komunikasi, keterampilan menghadapi masalkondisi kritis, empati, penalaran etika, kemampuan sebagai pemimpin dan anggota tim dan banyak lagi. Keterampilan penalaran etika perlu dipelajari dan dipraktekkan dalam kondisi nyata. Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya, membuat program yang disebut "Diskusi Dilema Moral" (DDM) dalam bentuk diskusi kelompok dan kuliah pa kar. DDM dirancang selama bjuh semester atau selama pendidikan sarjana kedokteran. Tujuan program ini adalah untuk meningkatkan kemampuan penalaran etika sehingga mereka akan mampu mengelola dan membuat lebih baik 1 masalah keputusan terbaik terkait etika dan moral di masa depan. Penelitian ini untuk mengetahui " apakah model DDM efektif dalam meningkatkan kemampuan penalaran etika?
Eksplorasi faktor yang mempengaruhi penggunaan antibiotik di apotek K24 Wiyung dan Karah Agung Surabaya Bernadette Dian Novita; Wahyu Dewi Tamayanti; Eka Verlina Sugiarto
JURNAL WIDYA MEDIKA Vol. 2 No. 2 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i2.703

Abstract

Data on Riset Kesehatan Dasar (Riskesdas) 2013, 86,1% antibiotics were used and kept in houses without indication and prescription (Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Rl, 2013). This data supported WHO's study result in 2005 that 50% of the use of drugs in hospitals and health centers was antibiotics. Irrational use of antibiotics were disadvantaged, both, for health, which could induced bacterial resistance, and cost. Unfortunately, people were not yet informed properly. The study, using quantitative methods an interview, assessed the patients' knowledge of antibiotic, described and explored the factors that influence the use of antibiotics and determine the effect of patient education on the use of antibiotics in pharmacies K24Wiyung and Karah Agung Surabaya. The data obtained from the respondents were analyzed with Amos 18. O. From the results, the significant factors that influenced the consumption of antibiotics in pharmacies K24 Wiyung and Karah Agung Surabaya, among others: income (p = 0.031), complaints (p = 0.005), the reason consumption (0.000), resources of information (p = 0001). The factors that were not significant to the use of generic antibiotics include: age (p = 0791), patient knowledge regarding antibiotics (p = 0.404). Thus, information and education about rational use of antibiotics needs to involve these factors in order to be accepted by the patient. To support the rational antibiotic pharmacist should be bold and willing to remind the patient to consult a doctor before taking antibiotics.
Peran ketrampilan komukasi dokter, perawat dan apoteker pada penggunaan terapi rasional Bernadette Dian Novita Dewi; Endang lsbandiati Soediono; Wahyu Dewi Tamayanti; Kevin Anggakusuma; Paskalis Aditya
JURNAL WIDYA MEDIKA Vol. 1 No. 2 (2013)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v1i2.704

Abstract

The use of rational therapy is defined as "patient receive medications appropriate to their clinical needs, in doses which meet their own needs as an individual, for a long enough time. and at the lowest cost for them and the community." This study, using quantitative and qualitative methods to explore and develop an effective training program to re-inspire the functions oj communication skills to enhance the ability of physicians, nurses and pharmacists to support the use of rational therapy. The results of the needs assessment conducted showed that direct communication to patients done by nurses, because they are located at close proximity to the patient during the inpatient stay. Therefore, it is felt necessary to train nurses to do a good communication skills. The expected communication is communication that support the use oj rational therapy, hence it provides sufficient knowledge on mailers relating to therapy should be given as well. In this study, we used training as a model to deliver information about the communication skills and pharmacology. This study located is PHC Hospital Surabaya. This study begins with a needs assessment done through interviews with nurses and pharmacists. Based on the results oj the needs assessment, communications and pharmacological training of diabetes mellitus conducted. Questionnaires were distributed before and after training to determine the condition of pre-and post-training. Preliminary results show that: through the interviews we obtained information that the rational use oj therapeutic preceded by the explanation of the use of the drug. We also conducted pre and post test to measure the knowledge of the training participants about pharmacologic of diabetes mellitus. The average yield was 4.8 on the pre test while the post test was 7.5. Through pre and post test results, can be seen that the training participants still need more in-depth information about diabetes mellitus drug pharmacology. This research resulted in communication skills training module and the rational use of therapeutic distributed to trainees. Post-training observation result conducted at training participants shows that: 1) the charge nurse in ward are motivated to actuate the nurses to more actively communicate with the doctors and pharmacists for the good of the patient, 2) need for ongoing training primarily related to the rational use oj drugs. Also found through observation three months post training improvement especially in drug delivery timeline.
Medical Humanities In Medical Schools Willy F. Maramis
JURNAL WIDYA MEDIKA Vol. 3 No. 1 (2015)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v3i1.763

Abstract

The reflections on education by John W. Alexander and UNESCO (United Nations Educatiol, Scientific and Cultural Organization), show that a “good doctor” and a medical specialist (including a psychiatrist), must not only be competent in empathic communication, clinical knowledge and clinical skills, but more so in humanities (especially in morals, ethics and bioethics) and soft skills. Humanities and soft skills education is therefore very important in medical schools. The main objectives in humanities education are mainly in the affective domain. Relevant and effective learning experiences must therefore be provided. For this, small group discussions is at present the most effective one, is not so difficult to do and also financially affordable. There is an added beneficial effect, this is that the fasilitators will also experience an enrichment in moral development. A model of a humanities curriculum and of a moral dilemma discussion group is presented. There are no principal differences between morals, ethics or bioethics education for undergraduates and that for residents (including psychiatric residents), only the moral dilemma cases may be adjusted to the level of education and more specific to the specialty.
Pemeriksaan Imunofluoresen Direk pada Henoch Schonlein Purpura Willy Sandhika; Marina Rimadhani; Sunarso Suyoso
JURNAL WIDYA MEDIKA Vol. 3 No. 1 (2015)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v3i1.765

Abstract

Henoch-Schönlein purpura (HSP) is an acute immunoglobulin A (IgA)–mediated vasculitis involving the small vessels. This disease cause systemic involvement of many organ especially the skin, the gastrointestinal (GI) tract and the kidneys. The etiology of HSP is not clear. Precipitating factors include drugs, chemicals, viruses and bacteria. Pathogenesis of HSP involve Ig A–mediated immune complex that are circulated in blood vessel and deposited in many organs. The presence of IgA-mediated immune complex deposits will activate the complement system, causing inflammation in the form of vasculitis that damage the small blood vessels in many organs. Hsp is a self-limiting disease that require supportive therapy. The problem that arises is how to distinguish HSP with other vasculitis diseases. A skin biopsy in patients with hsp will reveal leukocytoclastic vasculitis in small vessel. That kind of vasculitis are also found in urticarial vasculitis, hypersensitivity vasculitis and vasculitis due to cryoglobulinemia. Direct Immunofluorescence test from skin biopsy tissue will help to make the diagnosis of HSP. The presence of IgA deposits in small blood vessels wall can distinguish HSP from other vasculitis.
Hubungan Pola Tidur dengan Kualitas Hidup Orang Lanjut Usia di Griya Usia Lanjut St. Yosef Surabaya Stephanie Pereira; Slamet Riyadi; Margarita M. Maramis
JURNAL WIDYA MEDIKA Vol. 3 No. 1 (2015)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v3i1.766

Abstract

Quality of life is important to be recognized and Indonesia, as a developing country, has experienced the increment in the geriatric population from year to year. With this increment, the problems in the geriatric population and the number of the nursing home occupancy are also increasing simultaneously. One of the problems commonly affecting the geriatric population is sleep deprivation. The aim of this study is to find a relationship between the sleep pattern and the quality of life in the elderly in nursing home. This was an observational study with cross sectional design and purposive sampling method. There were 55 respondents in this study. The coefficient contingency was conducted to analyze the correlation between variables. There was no correlation between the sleep pattern and the geriatric quality of life in nursing home (p=0,582). There was also no correlation between the duration of sleep deprivation and the geriatric quality of life in nursing home (p=0,629). The physical aspect has the strongest correlation with the sleep pattern among the geriatric population in nursing home (r=0,359). The conclusion from this study is that even though there was no correlation between the sleep pattern and the duration of sleep deprivation with the geriatric quality of life in nursing home, the physical aspect among the elderly in nursing home should be considered as an important matter
Laporan Kasus Langka: Late Onset Post Partum Eclampsia P.Y. Kusuma Tirtahusada
JURNAL WIDYA MEDIKA Vol. 3 No. 1 (2015)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v3i1.767

Abstract

Perjalanan penyakit preklamsia /eklamsia biasa menunjukkan tanda-tanda yang mudah dideteksi, berlangsung secara bertahap, dimulai dengan kenaikan berat badan abnormal, kenaikan tekanan darah, adanya proteinuria. Baru kemudian terjadi Eklamsia. Sebagian besar Eklamsia terjadi sebelum persalinan. Namun dapat terjadi sesudah melahirkan, biasanya dalam 24 jam setelah melahirkan. Pada kasus ini, eklamsia terjadi pada hari ke lima sesudah melahirkan, tanpa didahului tanda-tanda yang mengundang kecurigaan adanya preeklamsia, kecuali kenaikan tekanan diastolik 15 mm Hg pada dua minggu sebelum persalinan, dan kenaikan 20 mm Hg sehari sebelum persalinan. Itupun 120 / 85, yang secara sepintas dipandang sebagai tekanan darah normal. Selama kehamilan tidak dilakukan pemeriksaan proteinuria . Perkembangan terakhir menyarankan pada awal kehamilan dilakukan pemeriksaan BMI (body mass index) ), MAP (mean arterial pressure), ROT (roll over test) dan anamnesa riwayat kehamilan sebelumnya dan faktor keturunan, untuk mencari potensi kemungkinan akan terjadinya Preeklamsia. Bila ada dua faktor yang positif, sebaiknya dilakukan pemeriksaan DVAUT ( doppler velocimetry arteria uterina). Bila abnormal, beri terapi aspirin dosis rendah.
Transverse Myelitis : Laporan Khusus Gunawan Budiarto
JURNAL WIDYA MEDIKA Vol. 3 No. 1 (2015)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v3i1.773

Abstract

Nn.J, 50 tahun, masuk dirawat karena persangkaan stroke yang dalam perkembangannya ternyata menderita transverse myelitis. MRI yang dibuat pada awalnya disimpulkan sebagai adanya aneurysma di basis cranii kiri, ternyata tidak dapat dikonfirmasi dengan CT angio. Diagnosa dibuat berdasar adanya kelumpuhan UMN yang disertai gangguan miksi dan defekasi, serta kelainan yang nampak pada MRI servikal. Pengobatan yang diberikan adalah dengan memberikan kortikosteroid dosis tinggi ditambah dengan antiviral dan antibiotika. Nn. J telah keluar dari RS dan sempat mengalami kemajuan yang memuaskan dan bisa berjalan tanpa bantuan. Ia masuk rumah sakit kedua kali, lima bulan setelah perawatan RS yang pertama karena “pneumonia”. Penyakit ini ternyata sangat resisten terhadap terapi hingga setelah melewati perjuangan yang sangat berat akhirnya membawa kematiannya. Pengobatan paru mencakup berbagai macam antibiotika, trakheostomi, bantuan respirator, pneumothoraks yang memerlukan pemasangan drainase Bulow, air-rescue ke RS di Singapore dan sebagainya. Disinggung juga secara sekilas diagnosa banding dengan sindroma GBS (Guillain-Barré Syndrome) : ciri utama adalah transverse myelitis suatu kelumpuhan UMN (upper motor neuron), sedangkan GBS adalah kelumpuhan LMN (lower motor neuron). Walaupun harus berakhir secara tragis saya berharap kasus ini berguna untuk bila menghadapi kelumpuhan yang progressif kita mau berfikir secara terbuka dan kritis.
Hubungan antara Kadar Mieloperoksidase (MPO) dan Kejadian Sindroma Koroner Akut (SKA) Jusak Nugraha; Citra Indah Setyaningrum; M. Aminuddin
JURNAL WIDYA MEDIKA Vol. 3 No. 1 (2015)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v3i1.774

Abstract

Beberapa juta pasien nyeri dada dicurigai menderita Sindroma Koroner Akut (SKA) tetapi hanya sekitar 10% yang didiagnosis dengan Infark Miokard Akut (IMA). SKA merupakan kumpulan gejala akibat gangguan aliran darah ke jantung yang terdiri dari infark miokard akut (IMA) disertai peningkatan segmen ST (STEMI), IMA tanpa peningkatan segmen ST (NSTEMI) dan angina pektoris tak stabil (UA). Mieloperoksidase (MPO) merupakan suatu enzim yang berperan dalam terjadinya destabilisasi dan ruptur plak yang meningkat lebih dini dalam waktu 2 jam sesudah serangan IMA sehingga dapat dipakai sebagai penanda awal terjadinya SKA tanpa bergantung adanya bukti nekrosis miokard. Penelitian ini bersifat analitik observasional dengan rancangan cross sectional. Sampel penelitian berupa serum 40 pasien dengan keluhan utama nyeri dada yang datang ke UGD RSUD dr Soetomo Surabaya. Analisa data dilakukan dengan korelasi Pearson dan nilai diagnostik dengan tabel 2x2. Hasilnya diketahui pasien nyeri dada dengan dugaan SKA 27 orang (67,5%) sedangkan pasien nyeri dada yang non-SKA 13 orang (32,5%). Pasien SKA dengan jenis kelamin laki-laki 20 orang (74,07%), perempuan 7 orang (25,93%). Terdapat perbedaan yang signifikan kadar MPO antara kelompok pasien SKA (STEMI, NSTEMI, UA) yaitu sebesar 986,48 ng/ml dan non-SKA 381,08 ng/ml (p
Distribusi Dan Pola Kepekaan enterobacteriaceae Dari Spesimen Urin Di RSUD DR. Soetomo Surabaya Periode Januari – Juni 2015 Silvia Sutandhio; Lindawati Alimsardjono; Maria Inge Lusida
JURNAL WIDYA MEDIKA Vol. 3 No. 1 (2015)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v3i1.775

Abstract

Latar Belakang: Bakteri penyebab infeksi saluran kemih (ISK) didominasi oleh Enterobacteriaceae. Idealnya, setiap rumah sakit memiliki peta kuman dan pola kepekaan sendiri untuk digunakan sebagai panduan terapi empirik dan monitor penyebaran bakteri multiresisten. Hasil kultur urin, yang merupakan pemeriksaan penunjang untuk diagnosis dan pemilihan terapi antimikroba definitif, dapat dimanfaatkan untuk tujuan tersebut. Metode: Spesimen urin dikultur pada media isolasi primer, lalu diidentifikasi secara manual dan sistem semi-otomatis, yaitu BD Phoenix dan Vitek 2, yang telah dikonfirmasi dengan Clinical and Laboratory Standards Institute 2015. Hasil: Sebanyak 57.2% dari 1983 isolat hasil kultur teridentifikasi sebagai Enterobacteriaceae, dengan spesifikasi: 59.6%, 18.1%, 0.1%, 10.0%, dan 3.8%, berturut-turut untuk Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Enterobacter spp., dan Proteus spp. Lebih dari 50% isolat Escherichia coli, Klebsiella pneumoniae, dan Klebsiella oxytoca merupakan penghasil Extended-Spectrum Beta Lactamase (ESBL). Kesimpulan: Enterobacteriaceae yang diisolasi umumnya resisten terhadap Ampisilin dan Sefalosporin generasi I, tetapi masih sensitif terhadap antimikroba golongan Karbapenem dan Aminoglikosida. Antimikroba golongan Karbapenem, yang merupakan pilihan terakhir pada kasus infeksi oleh Enterobacteriaceae multiresisten, hanya boleh diresepkan bila sesuai dengan indikasi, untuk mencegah timbulnya organisme resisten Karbapenem.

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