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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 184 Documents
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MANAGEMENT OF EARLY GRAFT FAILURE POST CORONARY ARTERY BYPASS GRAFTING: A CASE REPORT Heston Napitupulu; Lisca Namretta; Sheila Giusti; Maizul Anwar
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.2815

Abstract

Background: Early postoperative graft failure after coronary artery bypass grafting (CABG) is still a significant problem that results in high morbidity and mortality. It is associated with early graft thrombosis, anastomotic stenosis, bypass kinks, overstretching or tension, significant spasm, and incomplete revascularization. Case Report: 67 years-old male with Coronary Artery Disease involving three vessels (CAD 3VD) underwent CABG surgery. Direct post-operation electrocardiograph (ECG) shown changes in ST segments (elevation on anterior leads and depression on inferior leads) with a significant increase of cardiac markers level. Post-operative coronary angiography revealed an occluded left internal mammary artery (LIMA) graft and native left anterior descending artery (LAD) blockage. Patients’ hemodynamics was not stable, and was urgently underwent an off-pump redo CABG. Intraoperatively we found thrombus at LIMA and saphenous vein graft (SVG) – right coronary artery (RCA) grafts that were caused by atheroma and dissection on anastomotic side. Discussion: The diagnosis of myocardial infarction (MI) remains a clinical challenge since patients are unable to express classic clinical symptoms. Routine ECG combined with cardiac biomarkers are beneficial in diagnosing MI post CABG, and percutaneous coronary angiography (PTCA) is useful in detecting the patency of the grafts. Although percutaneous coronary intervention (PCI) is preferable in the case of anastomosis problem with stable hemodynamic, redo CABG shows more benefit in salvaging infarcted myocardium in patients with unstable hemodynamic. Conclusion: Redo CABG surgery with new or additional grafting may save myocardium and preserve its function in perioperative infarct caused by graft failure.
EFFECTS OF ETHANOL-BASED ANTISEPTIC SOLUTIONS AGAINST GRAM NEGATIVE BACTERIA Laura Wihanto; Handi Suyono
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.2833

Abstract

Introduction : Gram-negative bacteria infections cause diseases namely skin infection until sepsis including nosocomial infection. Prevention by antiseptic application is the way to inhibit infection. Some antiseptic compounds that have been used show resistance according to some reports. Aim: Determine the efficacy of ethanol-based antiseptic solutions against Gram-negative bacteria Methods : Discs saturated with ethanol-based antiseptic solutions were affixed to Muller Hinton agar which had been smeared by Acinetobacter baumannii ATCC BAA-747, Pseudomonas aeruginosa ATCC 27853, Klebsiella pneumonia ATCC BAA-1706, Escherichia coli ATCC 25922, Salmonella sp. , and Proteus vulgaris ATCC 6380. The diameter of the inhibition zone was read after 24 hours. Solutions are considered sensitive if the zone of inhibition of growth diameter is more than 6 millimeters (Kirby-Bauer disc diffusion method). Result : Acinetobacter baumannii and Salmonella sp is sensitive to solution consisting of ethanol 80 % and ethanol 80 %+ H2O2 0,15% . Pseudomonas aeruginosa and Eschericia coli is sensitive only to solution consisting of ethanol 80 %+ H2O2 0,15% As for Klebsiella pneumonia and Proteus vulgaris, they are resistance to both solutions. Conclusion: The use of ethanol-based antiseptic solutions with or without H2O2 0.15% addition may not effectively eliminate all gram-negative bacteria from the environment. The addition of 0.15% H2O2 to the antiseptic solution showed a better barrier effect than the solution containing only 80% ethanol. Adding other additives needs to be investigated further to formulate a better antiseptic solution against Gram-negative bacteria.
A CASE REPORT OF 23-YEARS-OLD YOUNG WOMAN WITH PERICARDIAL EFFUSION IN SYSTEMIC LUPUS ERYTHEMATOSUS DIAGNOSED WITH ECHOCARDIOGRAPHY AND CT-SCAN Sidhi Laksono; Steven Philip Surya
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.2862

Abstract

Pericardial effusion is not daily case in emergency room (ER). It has wide spectrum of etiologies and one of them are autoimmune diseases like systemic lupus erythematosus. PE in SLE patient could increase morbidity and mortality rate. The clinical manifestation and laboratory finding might not specific. Imaging modalities, such emergency echocardiography and CT scan, are important to diagnose Pericardial Effusion (PE) and evaluation beyond to the adjacent structures. We presented a 23 years-old female with diagnosis of systemic lupus erythematosus (SLE) and cardiac involvement of PE that diagnosed with imaging modalities echocardiography and CT scan. In this case, echocardiography is the most available and reliable imaging modality for pericardial effusion and CT usually obtain to try and clarify or to rule out the cause of an effusion rather than just to confirm the diagnosis.
CORRELATION BETWEEN BREASTFEEDING AND 3 – 24 MONTHS OLD CHILDREN DEVELOPMENT IN KEPUTIH HEALTH CENTER SURABAYA Chatrine Evania Palangan Sangka; Sri Umijati; Nur Rochmah
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.2879

Abstract

Children's developmental disorders were increased in Indonesia. One of the factors affecting 3 – 24 months old children development is breastfeeding. However, in several studies, the correlation between the two was still uncertain. This study aimed to determine the correlation between breastfeeding and 3 – 24 months old children development with a cross-sectional study design. Randomly selected 78 mothers who had 3 – 24 months old children at the Keputih Health Center Surabaya. Researchers interviewed mothers about breastfeeding duration and breastfeeding method, as well as their children's development based on Prescreening Developmental Questionnaire (PDQ). Researchers also assessed children's development to answer PDQ. The correlation between breastfeeding and children’s development was then analyzed using the Chi-Square test. Exclusive breastfeeding was widely obtained in children with overall development (83.3%) and fine motor aspects (85.7%) at the appropriate age. Direct breastfeeding was widely obtained in children with speech and language development at the appropriate age (81.9%). Breastfeeding duration was related to overall children’s development (p=0.014) and fine motor aspect (p=0.025). The breastfeeding method was related to children's speech and language aspects (p=0.018). Breastfeeding duration was related to overall children’s development, particularly in the fine motor aspect. The breastfeeding method was related to children's speech and language aspects.
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
MANAGEMENT OF PSEUDOANEURYSM ON ARTERIOVENOUS FISTULA: SERIAL CASES FROM WEST JAVA Prasetyo Edi; Radityo Utomo
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.3166

Abstract

Background: Pseudoaneurism is one of the many complications of dangerous AV shunt procedure. Their diagnosis and surgical treatment are important, because they can cause severe disability, including loss of upper extremity and hand. The usual techniques of pseudoaneurysm has 2 types, Ligation and patch with Fogarty thromboembolectomy. Objective: Here we reported 3 case of ruptured anastomotic and ruptured vein pseudoaneurysm of brachiocephalic arteriovenous fistula which has undergone surgical procedure. Methods: First case, a 29-years-old man presented with swelling and extreme pain in his right arm since 3 days ago. He had undergone AVF procedure 3 weeks ago. His right arm was accidentally squeezed by his mother 1 week after the surgery had been done. Second case, a 55-years-old patient presented with swelling, boils, and extreme pain in her left arm since 3 months ago. The patient's family said that the patient was often stabbed during multiple times of hemodialysis in the same place. Third case, a 65-year-old male patient, The patient fell from the motor 3 days ago, his right hand hit the motorcycle handlebar. The patient's AV fistula ruptured, was then taken to the hospital, the nurse dressing the wound, then planned for surgery. Results: Patient’s postoperative course went well and there was no sign of complication, such as ischemia. Arm swelling were reduced after 2 weeks follow up. Conclusion: The management of pseudoaneurysm can be done with different surgical methods depending on the cause and condition of the blood vessels. The management of pseudoaneurysm is not intended to save AVF but to save the patient from limb salvation and amputation.
EPIDEMIOLOGIC STUDY OF ENDOMETRIAL LESION CHARACTERISTICS BY AGE IN PATHOLOGY DIAGNOSTIC CENTER IN SURABAYA 2015-2017 Sianty Dewi; Imelda Theodora; Bernadette Dian Novita; Yulia Widyasari; Ricardo Gunadi; Maria Amelia Suhardi; Vincentius Diamantino Supit
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.3167

Abstract

Background: The etiology of endometrial lesions varies from benign to malignant. Early detection and management of malignancy give the best prognosis for the patient. While studies in America and Europe report a 3-5% risk of malignancy in women below 50 years and a significant increase up to 75-80% in postmenopausal, the availability of national epidemiologic data is limited, therefore the study is held.Method: A descriptive- retrospective study. Total sampling obtained from endometrial specimens in Pathology Diagnostic Center-Prof JH Lunardhi, Sp.PA(K) from 2015 to 2017, while gestation-related, inadequate sample, and incomplete report are excluded. Data analyzed by IBM SPSS 23.0 version. Result: Data of 560 samples, 90% from curettage, 8% hysterectomy, and 2% hysteroscopy. The majority belonged to the 40-49 age group (44.3%). Secretory phase endometrium is the most common finding in the age group of 20-29 years (26.9%). Proliferative phase endometrium is the most common finding. The highest incidence of endometrial hyperplasia occurred in the age group of 40-49 years, for both typical and non-atypical. Endometrial malignancy was found mostly in the 50-59 years (37.03%). Conclusion: The prevalence of endometrial lesions differed according to age groups, with physiological changes, endometritis, polyps, and hyperplasia were most common under 50 years old and the risk of malignancy increased 4.39 times (p.00) beyond 50 years old.
AN ANIMATED MODELS DEVELOPMENT OF CARDIOVASCULAR SYSTEM IN PHARMACOLOGY LEARNING MODULE FOR MEDICAL STUDENTS Bernadette Dian Novita; Paul L Tahalele; Gerardo AK Laksono
JURNAL WIDYA MEDIKA Vol. 7 No. 1 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i1.3168

Abstract

Hypertension is the most known common cardiovascular disease. Based on the Indonesian Competency Standard of Medical Doctors (StandarKompetensiDokter Indonesia or SKDI), the management of essential hypertension is at 4A or the highest level. Therefore, doctors should be able to establish a complete and independent diagnosis and management. The student passing rate in the cardiovascular system at the undergraduate level of medical education of Faculty of Medicine Widya Mandala Catholic University (FK UKWMS) was around 60-70%. This study is an evaluation to develop learning methods that would improve student learning outcomes. The development of this animation model is aimed to increase the engagement process in Pharmacology learning, especially in the cardiovascular system. 98 active students participated in this study, divided into 74 undergraduate students and 24 clinical internship students. The evaluation was carried out using a pre-test and a post-test related to pharmacological animation video exposure. Using the Wilcoxon different test, there was a significant difference between the pre-test and post-test results, especially in the clinical internship program’s students. This animated model was expected to help students to determine the rational determination of hypertension therapy.
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

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