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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 10 Documents
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Search results for , issue "vol. 12 no. 3 (2026): november" : 10 Documents clear
CHARACTERISTICS OF URINARY TRACT INFECTIONS IN PREGNANT WOMEN I Gusti Ngurah Bagus Aditya Tirtayasa; Ni Wayan Widhidewi; Dewa Ayu Putri Sri Masyeni
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8362

Abstract

Urinary Tract Infection (UTI) is a common pregnancy complication and can seriously impact the health of the mother and fetus if not managed properly. This study aims to determine the characteristics of UTI in pregnant women. The study design used was a retrospective descriptive study with a cross-sectional approach, with a minimum sample size of 59 samples. Data collected came from secondary data in the form of medical records of pregnant women suffering from UTI at Klungkung Regional Hospital in 2021-2025. The collected data were analyzed descriptively using SPSS version 25. The results showed that UTI occurred most frequently in 2023, especially in pregnant women aged >35 years (66.1%) and in the second trimester of gestation (45.8%), with the majority being unemployed (57.6%). The most common clinical symptoms were suprapubic pain (27.4%), abdominal pain (17.9%), and fever (15.4%), with dominant urinalysis findings being cloudy urine, positive leukocyte esterase, positive urine erythrocytes, and positive bacteria (94.9%), and the most common pharmacological treatment was antibiotics (50%). The conclusion of this study indicates that UTIs in pregnant women are more common in the elderly reproductive age group and in the second trimester of pregnancy.
CORTICOSTEROID-REFRACTORY SECONDARY IMMUNE THROMBOCYTOPENIA (ITP) ASSOCIATED WITH COVID-19 INFECTION: A CASE REPORT OF SUCCESSFUL RITUXIMAB SALVAGE THERAPY Ari Christy Muliono; Adhiwidnya Ananta
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8392

Abstract

Immune thrombocytopenia (ITP), also known as immune thrombocytopenic purpura, is classified into two types: primary and secondary. Secondary ITP has numerous causes, one of which is COVID-19. While research on COVID-19 was extensive during the 2019–2022 pandemic, particularly regarding its role in triggering secondary conditions, cases of COVID-19-induced secondary ITP remain underreported. Although current COVID-19 cases typically present with milder symptoms, it remains a crucial differential diagnosis in the post-pandemic era. This case report aims to provide insight into steroid-resistant secondary ITP resulting from a COVID-19 infection.
DEGREE OF GADGET USE AND SLEEP QUALITY AMONG FIRST-SEMESTER STUDENTS IN THE FACULTY OF PUBLIC HEALTH, NUSA CENDANA UNIVERSITY Maria Magdalena Dwi Wahyuni; Angelina Kathlen Susanto; Marshanda Ananda Pandie; Melania Alpiani Derang Pehan; Santaliana Pakae; Yurihany Selsalia Jelita Ndolu
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8583

Abstract

Quality of sleep is an essential aspect of health that is often compromised among first-year students due to lifestyle changes and excessive gadget use. This study aims to determine the relationship between gadget use intensity and sleep quality in first-year students at the Faculty of Public Health, Nusa Cendana University. An observational analytic study with a cross-sectional approach was conducted on 116 students from the class of 2025. Data were collected using validated questionnaires on gadget usage intensity (α = 0.872) and sleep quality (α = 0.795), analyzed using Spearman's Rho correlation. A positive and significant relationship was found between gadget usage intensity and sleep quality (r = 0.607; p < 0.001). Ordinal logistic regression showed that gadget usage intensity accounted for 50% of the variation in sleep quality. High gadget use intensity significantly correlates with poorer sleep quality. Academic institutions should implement digital curfews to help students manage sleep health during their academic transition.
PHENOMENOLOGICAL STUDY: THE DYNAMICS OF LIVED EXPERIENCES AND QUALITY OF LIFE CHANGES AMONG CANCER SURVIVORS IN THE KUPANG CANCER SUPPORT COMMUNITY Maria Magdalena Dwi Wahyuni; Adzhar Al-Aziz; Ergayona Purwaningsih Kensli Fernandez; Martina Wea; Desinta Bolang Sir
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8625

Abstract

Cancer survivors experience various physical, psychological, social, and functional changes throughout diagnosis, treatment, and recovery. Understanding cancer survivors' lived experiences is essential for describing changes in their perceived quality of life. This study aimed to explore these experiences from the time of the initial cancer diagnosis throughout the entire treatment process. The data were analyzed using thematic analysis based on the participants lived experiences. Data were collected through in-depth interviews with five cancer survivors residing at the Cancer Patient Shelter of the Cancer Support Community in Kupang City. Participants were selected using purposive sampling. The findings revealed that all participants experienced emotional responses, including fear, anxiety, stress, and uncertainty, following their cancer diagnosis. Participants also reported physical changes, such as pain, fatigue, weight loss, and limitations in performing daily activities. Treatments, including surgery, chemotherapy, radiotherapy, and regular medical follow-up, contributed to improvements in participants' health despite persistent treatment-related side effects. Family support emerged as the primary source of motivation, enabling participants to continue their treatment. Furthermore, the experience of living with cancer encouraged healthier lifestyle changes, increased awareness of the importance of early detection, and strengthened participants' ability to adapt to their illness. The lived experiences of cancer survivors demonstrate that quality of life is influenced by physical condition, psychological responses, social support, treatment adherence, and lifestyle changes. Continuous support from family members and healthcare providers is essential for helping cancer survivors maintain their quality of life throughout the treatment journey.
SURVEY OF FAST FOOD CONSUMPTION PATTERNS AND HYPERTENSION RISK AMONG PRODUCTIVE-AGE INDIVIDUALS IN KAYU PUTIH VILLAGE, 2026 Maria Magdalena Dwi Wahyuni; Tanti Rahayu; Karmelo Askeri Sogen; Iffah Atiqah Sari; Maria Yuliana Mina Wora; Marshanda Ananda Pandie; Vincentia Yunita Dania Moghu
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8664

Abstract

Hypertension is rising among the productive-age population, with fast food consumption being a significant modifiable factor. This study aimed to provide a descriptive overview of fast food consumption patterns and the hypertension risk profile in Kayu Putih Village in 2026. This quantitative, descriptive cross-sectional study (rapid survey) involved 210 respondents selected via simple random sampling. Data were collected through face-to-face interviews using a structured questionnaire. Fast food consumption habits were categorized as “good” or “bad” based on a composite score of frequency, food type, and portion size, using the median as the cut-off point. Hypertension risk was determined based on self-reported medical history and symptomatic assessment rather than direct clinical measurement. Results showed that 44.76% of respondents consumed fast food 1–2 times per week, with instant noodles (56.19%) and fried chicken (52.86%) being the most preferred types. While 68.57% were categorized as having bad consumption habits, only 4.76% were identified as being at risk for hypertension. It is concluded that while fast food consumption is common, the perceived hypertension risk remains low. Strengthening health promotion regarding balanced nutrition is necessary for prevention.
A DESCRIPTION OF KNOWLEDGE, ATTITUDES, AND BEHAVIOUR REGARDING BREAST SELF-EXAMINATION AMONG ADOLESCENT GIRLS IN NAIKOLAN SUBDISTRICT, KUPANG CITY Maria Magdalena Dwi Wahyuni; Wiliam Jordan Takesan; Aletha Anasthasya Litelnoni; Santaliana Albania Pakaer; Theresia Melania Wonga; Arias Umbu Amas
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8673

Abstract

Breast cancer is the top cause of illness and death among women globally. Breast Self-Examination (BSE) is a method for early detection that can be done independently; yet, its practice among teenage girls is still not ideal. This research seeks to outline the understanding, perceptions, and practices related to BSE among teenage girls in Naikolan Village, Maulafa Sub-district, Kupang City. The research utilized a quantitative descriptive approach through a quick survey method and a two-phase cluster random sampling strategy, with 210 female adolescent participants aged 15–24 years. Data were gathered through interviews utilizing a structured questionnaire entered through the Epi Collect 5 application. The results indicated that most respondents (76.19%) lacked adequate knowledge of BSE, especially concerning when to perform the examination and signs of breast irregularities. A total of 56.19% of participants showed negative sentiments, particularly concerning their faith in the long-term advantages of BSE. At the same time, 73.81% of participants showed behavior deemed as supportive of BSE. These results reveal a disparity between awareness and beliefs versus actions, highlighting the necessity for organized and ongoing health education initiatives to bolster the cognitive and emotional bases of adolescent girls in conducting self-examinations for early breast cancer detection.
SPONTANEOUS HEMOPNEUMOTHORAX ASSOCIATED WITH CLINICALLY DIAGNOSED PLEUROSILICOSIS: A RARE CASE REPORT Reza Muliyanto; Arief Bakhtiar; Mohamad Rizki
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8807

Abstract

Hemopneumothorax usually occurs following trauma, whereas spontaneous hemopneumothorax associated with pleurosilicosis is extremely rare. We report the case of a 23-year-old man who presented with shortness of breath and right-sided chest pain. He had worked in the steel-cutting section for eight months, during which he was exposed to steel-cutting dust daily without wearing a mask. Chest X-ray showed an air-fluid level in the right hemithorax, and pleural fluid analysis revealed a pleural fluid hematocrit greater than 50% of the peripheral blood hematocrit, confirming hemopneumothorax. The patient underwent chest tube insertion and received a packed red blood cell (PRBC) transfusion. After several days, the right lung had fully re-expanded, and pleural fluid drainage became minimal, allowing chest tube removal. Contrast-enhanced chest computed tomography (CT) revealed a pulmonary nodule in the right lung. The Nucleic Acid Amplification Test (NAAT) for Mycobacterium tuberculosis performed on sputum was negative. Pleural fluid mineral analysis revealed a silica concentration of 268.68 ppm (SiO₂). Based on these findings, the patient was clinically diagnosed with pleurosilicosis associated with spontaneous right-sided hemopneumothorax. This case highlights pleurosilicosis as a rare occupational condition associated with spontaneous hemopneumothorax. It emphasizes the importance of thoroughly investigating the underlying cause, including occupational silica exposure, to ensure accurate diagnosis and appropriate management.
MANAGEMENT OF ESSENTIAL TREMOR: EVIDENCE-BASED THERAPY IN THE ERA OF PRECISION NEUROMODULATION Edith Maria Djaputra
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8903

Abstract

Essential tremor is the most common involuntary movement disorder in neurology and substantially impairs quality of life and activities of daily living. The understanding and management of this disorder have changed considerably in recent years. This review aims to provide a comprehensive overview of contemporary management strategies for essential tremor. A narrative literature review was conducted by searching databases such as PubMed, Scopus, and Cochrane Library for English-language randomized controlled trials, meta-analyses, and clinical guidelines published up to 2026. The review analyzed the 2026 Movement Disorder Society Evidence-Based Medicine guideline, recent randomized clinical trials of precision pharmacological therapies, and comparative studies evaluating neuromodulation and surgical interventions. Current evidence indicates that the long-term effectiveness of conventional pharmacological therapies, including propranolol and primidone, remains uncertain because previous studies were limited by short follow-up periods and subjective outcome measures. In contrast, targeted pharmacological therapy with ulixacaltamide demonstrated significant improvements in tremor severity and functional outcomes in phase III clinical trials. Non-invasive neuromodulation using transcutaneous afferent patterned stimulation has also emerged as an effective therapeutic option for selected patients. Among surgical interventions, magnetic resonance-guided focused ultrasound provides substantial and durable tremor reduction comparable to deep brain stimulation while offering a less invasive alternative, although it is associated with a distinct profile of neurological adverse events. Contemporary management of essential tremor is shifting from empirical pharmacological treatment toward precision medicine, evidence-based neuromodulation, and individualized therapeutic strategies that optimize clinical outcomes and patient quality of life.
ANTIBACTERIAL ACTIVITY OF ETHANOLIC MORINGA OLEIFERA FLOWER EXTRACT AGAINST STAPHYLOCOCCUS AUREUS USING THE DISC DIFFUSION METHOD Ulfi Diah Fatmawati; Nugroho Eko Wirawan Budianto; Sianny Suryawati
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8763

Abstract

Staphylococcus aureus is a pathogenic bacterium that can cause various serious infections. The increasing prevalence of antibiotic resistance has encouraged the search for alternative antibacterial agents derived from natural resources. One promising source is Moringa oleifera, particularly its flowers, which contain various bioactive compounds. This study aimed to evaluate the antibacterial activity of Moringa oleifera flower extract against Staphylococcus aureus. This true experimental study employed a post-test-only control group design using the disc diffusion method. The extract was tested at concentrations of 25%, 50%, and 75%. Inhibition zones were observed at all extract concentrations, with mean diameters of 13.85 mm, 24.56 mm, and 28.67 mm at concentrations of 25%, 50%, and 75%, respectively. The positive control, ampicillin, produced an inhibition zone with a mean diameter of 9.46 mm, whereas the negative control (sterile water) showed no inhibition zone. Moringa oleifera flower extract demonstrated antibacterial activity against Staphylococcus aureus. The 75% concentration exhibited the strongest inhibitory effect, indicating its potential as a natural antibacterial agent.
SERUM IMMUNE-REGULATORY BIOMARKERS IN BETA-THALASSEMIA: A CASE-CONTROL STUDY OF SOLUBLE HUMAN LEUKOCYTE ANTIGEN G, CD4, CD8, AND INTERLEUKIN-17A Noor Abbas Fadhil
JURNAL WIDYA MEDIKA Vol. 12 No. 3 (2026): NOVEMBER
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i3.8943

Abstract

There is chronic antigenic stimulation, repetitive transfusion exposure, iron overload, and immune dysregulation associated with beta-thalassemia. Regarding soluble immune-regulatory markers, there are insufficient data in Iraqi patients. To compare the serum concentrations of soluble human leukocyte antigen G (HLA-G), soluble CD4, soluble CD8, and interleukin-17A (IL-17A) in patients with beta-thalassemia and healthy controls. The present case-control study was conducted in Diyala Province, Iraq, and included 60 persons diagnosed with beta-thalassemia and 30 apparently healthy persons as controls. The concentrations of serum HLA-G, CD4, CD8, and IL-17A were assessed using a sandwich enzyme-linked immunosorbent assay. Haematological parameters and serum ferritin level were assessed as auxiliary clinical parameters. An independent-samples t-test was used for the between-group comparisons, and t-test or analysis of variance, as appropriate, for sex and age-group comparisons. Mean serum CD8 was higher in patients than controls, as were IL-17A و HLA-G, whereas CD4 did not differ significantly. Severe anemia, leukocyte-profile changes, and significantly increased levels of ferritin were also observed in patients. HLA-G levels were significantly higher in males and varied with age in patients but not in the other immune markers. In the crude between-group comparisons, there were significant differences in the serum sCD8 and IL-17A levels between beta-thalassemia patients and healthy controls.

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