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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 8 Documents
 1 
Search results for , issue "Vol. 7 No. 2 (2021): October" : 8 Documents clear
CLINICAL CHARACTERISTIC OF COVID-19 IN ELDERLY AND MIDDLE-AGE ADULT IN DR MOHAMMAD SOEWANDHI GENERAL HOSPITAL Yudita Wulandari; Vincentius Diamantino Supit; Henry Asaleo; Regita Marentek; Jansen Irawan; Rio Tritanto; Richard Hartanto; Steven Hermantoputra Halim
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3069

Abstract

Introduction: The different characteristics of the elderly and young people may provide different characteristics of COVID-19. This research aim is to provide information on the characteristics of COVID-19 patients, especially elderly patients. Aim: To analyzed comparisson of clinical characteristic COVID-19 in elderly and young age patients. Method: This study is a retrospective observational study with a cross-sectional approach in COVID-19 patients hospitalized at Soewandi General Hospital from May 1st 2020 until November 31th 2020. This study compared the characteristics of COVID-19 patients at elderly and young ages. Result: There were 368 COVID-19 patients with 95 elderly patients (25.81%) and 273 young patients (74.19%). The most frequent symptoms experienced by elderly patients in sequence are cough, gastrointestinal disturbances, fever, and fatigue. It was found that the proportion of COVID-19 patients with comorbid diabetes mellitus (DM) and hypertension (HT) was higher in elderly patients than in younger patients (p
MICROBIOLOGICAL ASPECT OF STAPHYLOCOCCAL INFECTION IN SEVERE DEGREE OF BURNS Venny Tandyono
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3307

Abstract

Introduction: Burns serve as one of the most common devastating forms of trauma. Significant thermal injuries induce skin disruption and immunosupression that predispose patients to infectious complication. The importance of sampling, detection, and proper treatment for wound infections will significantly increase the likelihood of clinical improvement of the patients. Case: A 44-years-old male came to hospital due to electrical shock. There were serious burns to his face, chest, arms, and legs, some of which were second- and third-degree burns. The patient was conscious, without problems on airway and breathing. Leukocytosis with neutrophilia was presented from laboratory examination, with an increase in liver enzymes and serum creatinine. The gram-positive cocci with leucocytes were revealed from gram examination, and colonization of Staphylococcus aureus was found. Intravenous cefazolin was administered according to the sensitivity test. Discussion: Infection causes the increase in morbidity and mortality of burn patients. Clinical diagnosis of infection must be supported microbiologically by gram examination and culture. One of the most common infectious agents in severe burns is Staphylococcus aureus. The significance of S.aureus as the leading cause of infection must be supported by microbiological data. Dominant growth in culture media and induction of host inflammatory response were indicated as significance of infection. Conclusion: Clinical and microbiological diagnosis of burns infection play important role to prevent complications in severe degree of burns.
HEMATOLOGIC PARAMETERS AS PREDICTOR OF COVID-19 SEVERITY Angky Saputra; Vincentius Diamantino Supit; Margaret Gabriele Helena; Margareth Ayuni Trinatha Alfares; Vicky Sanrio Angky
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3335

Abstract

Introduction: To this day, COVID-19 still cause high mortality and morbidity in most cases. The severity of COVID-19 can be detected by simple tests such as complete blood counts which available in most health facilities. Through early detection of the estimated severity of COVID-19, we may determine which patients need hospitalization or patients sufficient with self-isolation. Methods: We conduct an analytical, cross-sectional, retrospective study that analyzed the hematological parameters of 97 patients with positive rRT-PCR swabs in the period of March to August 2020. Hematologic parameters of COVID 19 patients with mild and moderate-severe symptoms were compared. The receiver operating characteristic (ROC) curve, area under the curve (AUC), and Youden's index were created to determine the optimal cut-off value in predicting the degree of severity of COVID-19 patients. Results: Statistically significant differences (p
THE CORRELATION BETWEEN APGAR SCORE AND GESTATIONAL AGE WITH NEONATAL SEPSIS AND ASSOCIATED MORTALITY Nabila Annisa Harum; Martono Tri Utomo; Aditiawarman -; Prastiya Indra Gunawan
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3388

Abstract

Background: Neonatal sepsis is increasingly recognized as an important global health problem that challenges neonatal survival. In 2018, sepsis caused approximately 15% of all neonatal deaths worldwide. Recent data regarding preterm birth and low Apgar score as risk factors for neonatal sepsis-related death have not been reported in Indonesia. Methods: This was a case-control study conducted in Dr.Soetomo General Hospital. A case group was obtained from medical records by a total sampling of all neonates diagnosed with neonatal sepsis in 2019, and a control group of non-neonatal sepsis cases was taken by random sampling. Chi-square test and logistic regression were used to analyze the data. Results: Statistical analysis showed a significant correlation between one and five-minute Apgar score
TELEMEDICINE AS AN OPTION FOR HEALTH SERVICE LIMITATIONS IN COVID-19 PANDEMIC ERA Bernadette Dian Novita; Sianty Dewi; Evelyn Ongkodjojo; Agatha Christi Palupi; Immanuel Michael; Paul L. Tahalele
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3430

Abstract

Coronavirus disease 2019 (COVID-19) pandemic era provides a new habit in form of self-quarantine or physical distancing. The recommendation is to delay visits to health facilities if it is not in the emergency condition to slow down the spread of COVID-19 transmission. This study aims to develop a telemedicine system that integrates three main components, namely doctors, patients, and hospital management in Gotong Royong Hospital Surabaya to minimize the transmission of COVID-19 while still provides comprehensive health services. The development of telemedicine service is divided into 3 stages. In the first stage, emergency screening was carried out by developing Frequently Asked Questions (FAQs). The second stage was continued with prototype testing and the last part was improving the system to create a better referral system. Gotong Royong Hospital telemedicine has been active since June 2021, within 2 months, 45 patients are willing to use telemedicine services. The results showed that telemedicine was easily accepted by patients in internal medicine clinic services (p
ATTENTION AND CONCENTRATION ABILITIES, THE DIFFERENCE BETWEEN STUDENTS WHO HAD BREAKFAST AND STUDENTS WHO DIDN’T HAVE BREAKFAST IN UPTD SMA NEGERI 2 NGANJUK Robertha Lutfi Andreani; Pauline Meryana
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3455

Abstract

Indonesia had the lowest position in cognitive skills and educational achievement according to the research of the Economist Intelligence Unit in 2014. Cognitive skills are the brain abilities to reach knowledges and understanding from experiences and information. Parts of cognitive domain are attention and concentration. Attention is the ability to focus on problems. Concentration is the ability to maintain the attention in the longer periode of time. The availibility of adequate nutrition can be achieved by consuming good and various foods, especially at the breakfast. This research aimed to study the difference of attention and concentration abilities between students who had breakfast and those who didn’t in UPTD SMA Negeri 2 Nganjuk. The subjective assessment used questionnaire and the objective assessment used Moca-Ina assessment. This was an analytic research with cross sectional research design applied to 42 eleventh grade students in UPTD SMA Negeri 2 Nganjuk. The sampling technique was Simple Random Sampling by distributing the questionnaire and performing Moca-Ina assessment grade students in UPTD SMA Negeri 2 Nganjuk. The data were processed with version 20 SPSS. The result showed that there were significant differences of the attention and subjective concentration abilities between students who had breakfast and students who didn’t have, based on the breakfast menus (p=0.012), breakfast calories (p=0.012), and breakfast time between who had breakfast at 06.00-06.59 AM and who didn’t have or had breakfast before 06.00 AM (p=0.004). Also, there were significant differences ot attention and objective concentration abilities among students who had breakfast and students who didn’t have (p=0.035) based on Moca-Ina assessment. The researcher could conclude that subjectively and objectively there were significant differences of attention and objective concentration abilities between students who had breakfast and those who didn’t. Respondents who had breakfast had better attention and concentration abilities than the ones who didn’t have.
ALCOHOL-BASED ANTISEPTIC SOLUTIONS ARE INEFFECTIVE IN INHIBITING PATHOGENIC FUNGI Handi Suyono; Laura Wihanto
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3515

Abstract

Introduction: Breaking the chain of transmission of infection using an antiseptic solution is an easy, inexpensive and effective method. The incidence of fungal infection is one of the global health problems that lead to severe complications even death, especially in patients with immunosuppressed or immunocompromised conditions and is reported to be increasing. Although alcohol-based antiseptic solutions are frequently used to prevent transmission of pathogenic organisms, these methods are rarely evaluated. Aim: Determine the susceptibility of three pathogenic fungi against alcohol-based antiseptic solutions with and without hydrogen peroxide addition. Methods: To determine the inhibition of the antiseptic solution against fungi, the Kirby & Bauer test disc diffusion method was used. After the petri dishes were incubated at 37° C for 24 hours, the diameter of the inhibition zones were measured using a caliper. The phenol coefficient test was carried out to compare the efficacy of an antimicrobial agent in this case alcohol-based antiseptic solutions against phenol. The phenol coefficient was applied as a test against Salmonella typhi, with a minimum score of 1, using the method according to SNI 1842: 2019. Result: The inhibition zone on Candida albicans ATCC 102231, Aspergillus niger, and Cryptococcus neoformans ATCC 14116 for solution A contains ethanol 80% v / v, glycerin 8% v / v, sterile water add 100% and solution B contains ethanol 80% v / v, H2O2 0.15% v / v, glycerin 8% v / v, add 100 sterile water % all were less than 6 mm which were classified as resistant. The result of the phenol coefficient test for solution A and B were 0.3 and 0.4 , which less than 1, indicated the antiseptic solutions were less effective than phenol. Conclusion: Antiseptic ethanol solution and a combination of ethanol + H2O2 were ineffective inhibits of pathogenic fungal growth. Further studies are needed to form a more potent antiseptic solution in order to improve management of fungal infections prevention.
COMPLETE REPAIR OF TETRALOGY OF FALLOT (TOF) ON BEATING HEART SURGERY WITHOUT AORTIC CROSS CLAMPING : REPORT OF A CASE Gerardo AK Laksono; Heroe Soebroto; Paul L Tahalele
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3516

Abstract

Introduction: Reperfusion injury is a well-known phenomenon that occurred in cardioplegic techniques with cardiopulmonary bypass. Therefore great effort is made to prevent reperfusion injury. Beating Heart Continuous Coronary Perfusion (BHCCP) surgery is one of the alternative techniques to improve an ischemic reperfusion injury in open-heart surgery, either in pediatric or in adult. This technique can be done in complete repair of tetralogy of Fallot (TOF). Purpose: To report our first experience in doing complete repair of TOF using beating heart technique without aortic cross-clamping Case Report: A five-year-old boy came on to ER on January 6th, 2012, with a history of cyanotic since birth. His echocardiography and catheterization concluded a tetralogy of Fallot with a McGoon ratio of 1.95 (the diameter of RPA and LPA were 9.14 mm and 8.79 mm, respectively). A complete repair of TOF was done using beating heart surgery without aortic cross-clamping technique. One month post-surgery evaluation, there weren't any neurological or motor disorders. Echocardiography results showed no residual pulmonary stenosis, but 0.2 mm residual VSD was found. Conclusion: This heart rate technique is an alternative method of myocardial protection in cardiac surgery. In several cardiac centres globally, this technique is relatively safe and can be used during surgery, especially in the total correction of TOF.

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