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Vincentius Widya Iswara
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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 5 Documents
 1 
Search results for , issue "Vol. 12 No. 2 (2026): July" : 5 Documents clear
OVERVIEW OF TUBERCULOSIS SURVEILLANCE STAGES AT THE OEBOBO COMMUNITY HEALTH CENTER Wahyuni, Maria Magdalena Dwi; Landi, Soleman; Ardiansyah, Dimas Rohman; Lewar, Benedicta Sabu; Kadek, Triya Tabita; Adu, Petronela Adelfin; Mau, Yohana; Azizah, Nur Asma
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.7975

Abstract

Tuberculosis (TB) remains a serious public health challenge in Indonesia, placing community health centers at the forefront of epidemiological surveillance. This qualitative study, utilizing a descriptive thematic analysis design, was conducted from October to November 2025 to evaluate the TB surveillance stages, case-finding mechanisms, and the internal strengths and weaknesses of the Oebobo Community Health Center. Data were collected from 12 informants, comprising TB program management, the surveillance team, and 10 TB patients, through in-depth and structured interviews, supplemented by a review of monthly health center reports. The findings indicate that while the surveillance stages (collection, processing, analysis, interpretation, and dissemination) are systematically implemented, case-finding relies heavily on contact investigation, active screening, and the optimization of TB cadres. The primary strengths of the program include its proactive, community-based approach and the use of periodic data analysis to guide interventions. However, the lack of adequate laboratory facilities for diagnosis remains a significant barrier. Ultimately, while TB surveillance at the Oebobo Community Health Center is operational and well-integrated into the community, it is not yet fully effective due to these infrastructure limitations.
EVALUATION OF THE INTEGRATED EPIDEMIOLOGICAL SURVEILLANCE SYSTEM FOR DISEASES AT THE ALAK COMMUNITY HEALTH CENTER, KUPANG CITY Landi, Soleman; Wahyuni, Maria Magdalena Dwi; Duli, Maria Alfonsia Deran; Pandie, Erlian Mariana; Setiawan, Thirza Khalilah Putri; Wellem, Tamariska Priscilla Pristin Wellem
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8016

Abstract

An integrated epidemiological surveillance system plays a crucial role in supporting early detection and public health response at the primary healthcare level. This study aimed to describe the implementation of the Integrated Epidemiological Surveillance System for diseases at Alak Primary Health Center, Kupang City, in 2025. The study employed a qualitative descriptive approach using in-depth interviews with five purposively selected informants, consisting of three key informants (the epidemiological surveillance program officer and two surveillance staff) and two supporting informants (a health information system officer and a laboratory officer). Data were analyzed through the stages of data reduction, data presentation, and conclusion drawing. Key findings indicate that the implementation of surveillance was supported by the availability of trained surveillance personnel, adequate operational funding, and the utilization of supporting facilities such as electronic medical records, surveillance applications, and manual reporting forms. The system has integrated indicator-based surveillance and event-based surveillance for communicable diseases, as well as the use of the ASIK application for monitoring non-communicable diseases. Data processing and analysis were conducted routinely based on person, place, and time variables and were utilized in monthly evaluations. Surveillance information was disseminated through weekly bulletins, reports to the District Health Office, and information media at the primary health center. The main challenge identified was the limited availability of supporting equipment, particularly computers, which affected the timeliness of reporting. Strengthening infrastructure and technical capacity is essential to enhance the effectiveness of surveillance in supporting early detection and public health response.
COMMUNICABLE DISEASE SURVEILLANCE IN POST-FLOOD SETTINGS: LESSONS FROM THE LITERATURE Landi, Soleman; Wahyuni, Maria Magdalena Dwi; Niron, Maissie Ginaninta Charoline; Loe, Wahyunita Euniche Elizabeth; Tabun, Kornelia; Huky, Stella Elsha Putri Rihi; Sabakodi, Dwi Andika Umbu Gauka; Dimu, Rivaldo Deljunior
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8041

Abstract

Floods are natural disasters that frequently occur in Indonesia and contribute to an increased risk of communicable diseases due to environmental changes, poor sanitation, and limited access to clean water. This study aims to describe communicable diseases surveillance after floods based on findings from various studies in Indonesia. The method used was a literature review by searching for relevant scientific articles through the Google Scholar and PubMed databases for publications from 2018 to 2025. The articles included were selected based on topic relevance, availability of full text, and relevance to communicable diseases surveillance after flooding. The results of the study show that the most common communicable diseases that emerge after flooding include diarrhea, acute respiratory infections, dermatitis, dengue fever, leptospirosis, malaria, typhoid fever, and measles. The increase in cases of these diseases is related to water source contamination, damage to sanitation facilities, temporary housing density, and the formation of puddles that support the development of disease vectors. This study also shows that vulnerable groups, especially toddlers and the elderly, as well as productive age groups with high levels of environmental exposure, are at greater risk of contracting diseases after flooding. Integrated health surveillance, supported by public education and the implementation of Clean and Healthy Living Behaviors (PHBS), plays an important role in the early detection of increased cases, strengthening health responses, and controlling communicable diseases after flooding in affected areas.
A SILENT THREAT: VERY LATE STENT THROMBOSIS IN BARE METAL STENTS AFTER A DECADE Laksono, Sidhi; Zheng, Tonny; Angkasa, Irwan Surya
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8074

Abstract

Very late stent thrombosis (VLST) in bare-metal stents (BMS) is a rare but potentially life-threatening complication occurring more than one year after stent implantation. Traditionally, BMS were believed to achieve full endothelialization within months, thereby minimizing late thrombotic risk. However, emerging evidence highlights mechanisms such as neoatherosclerosis and neointimal proliferation as key contributors to VLST, which can present as acute coronary syndrome even many years post-implantation. We report on a 76-year-old male with a history of percutaneous coronary intervention (PCI) using a BMS in the left anterior descending artery (LAD) 10 years prior. He presented with sudden severe chest pain, nausea, and diaphoresis. Electrocardiography revealed an ST-segment elevation myocardial infarction (STEMI) in the inferior-anterior leads. Emergency coronary angiography demonstrated very late thrombosis within the BMS segment of the LAD, accompanied by significant in-stent restenosis. The patient underwent successful primary PCI with the implantation of a new drug-eluting stent overlapping the previous stent, restoring TIMI 3 flow. Notably, risk factors included advanced age, chronic kidney disease, active smoking, and dyslipidemia, despite the patient maintaining daily aspirin therapy. This case underscores that VLST in BMS, although uncommon, remains a critical cause of late myocardial infarction, primarily driven by neoatherosclerosis and neointimal changes within the stented segment. Prompt recognition and emergent PCI can achieve favorable outcomes. Moreover, continuous secondary prevention with long-term antiplatelet therapy and aggressive risk-factor modification is essential to mitigate the risk of VLST, even many years after initial stent placement. Ongoing vigilance is warranted in managing patients with historic BMS to improve prognosis and prevent fatal events.
THE RELATIONSHIP BETWEEN MATERNAL KNOWLEDGE AND ATTITUDE AND THE INCIDENCE OF STUNTING Riandra, Ni Putu Indah Kusumadewi; Wijaya, Putu Austin Widyasari; Trisnia, Putu Ayunda
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8206

Abstract

Children under five years old are the most vulnerable group to nutritional problems. Undernourished children are at risk of reduced intelligence quotient, decreased immunity, lower productivity, mental and emotional health problems, and growth failure. Various maternal factors, including knowledge, and attitude influence this nutritional problem among children under five. This study aimed to analyze the relationship between maternal knowledge level and attitude and the incidence of stunting among children under five in Bayung Gede Village, Kintamani District, Bangli, Bali. This observational study employed a cross-sectional design involving 48 mothers with children under the age of five, selected using consecutive sampling. Data were collected using a structured questionnaire to assess maternal knowledge and attitude toward stunting, while children’s nutritional status was determined based on height-for-age measurements. Statistical analysis was performed using the chi-square test. The results showed that 30 (62.5%) of mothers had good knowledge, and 29 (60.4%) demonstrated a positive attitude toward stunting prevention. A significant relationship was found between maternal knowledge and stunting incidence, with children of mothers who had poor knowledge being more likely to experience stunting. Maternal attitude was also significantly associated with stunting incidence, indicating that a negative attitude increased the likelihood of stunting. These findings suggest that maternal knowledge and attitude play important roles in the occurrence of stunting. Strengthening educational interventions and improving access to health information for mothers are essential strategies to reduce stunting incidence among children under five.

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