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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 184 Documents
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EPIDEMIOLOGICAL SURVEILLANCE ON DIARRHEAL DISEASES AT PASIR PANJANG PRIMARY HEALTH CARE CENTER 2025 Wahyuni, Maria Magdalena Dwi; Weraman, Pius; Teuk, Maria; Pahul, Theresia Della; Lebangu, Yoseph Alvino Atu; Jeniut, Fransiska; Tari, Inri Welexrin
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7508

Abstract

Diarrheal disease remains a major public health concern in Kupang City, particularly in the service area of Pasir Panjang Public Health Center (PHC). Epidemiological surveillance plays a vital role in early detection and disease control. This study aims to describe the implementation of diarrheal disease surveillance at Pasir Panjang PHC. A descriptive qualitative approach involved in-depth interviews, observations, and document reviews. Informants included surveillance officers, health workers, and community health volunteers (cadres). Results showed that surveillance activities are conducted by trained personnel and supported by the Health Operational Assistance (BOK) program, which adequately funds promotive and preventive efforts. However, medicine procurement is managed by the District Health Office's Pharmacy Installation. Surveillance data are collected through reports from medical services, sub-health centers (Pustu), and cadres, with monitoring and reporting performed via the SIHEPI application. The surveillance targets all community members, especially vulnerable groups such as infants, toddlers, and the elderly. Notably, the highest incidence was found among children over five years old, potentially linked to school food hygiene, although further investigation has not been conducted. SWOT analysis revealed strengths in trained personnel and data completeness. Weaknesses include poor hygiene practices in the community (PHBS) and an increasing trend in cases. Opportunities lie in using digital media for health promotion and intersectoral collaboration to enhance surveillance efforts. These findings highlight the importance of strengthening health education and focusing on vulnerable groups to improve disease prevention and control strategies at the primary health care level.
DESCRIPTION OF CONGENITAL RUBELLA SYNDROME SURVEILLANCE SYSTEM BASED ON SYSTEM COMPONENTS AT PROF. DR. W. Z JOHANNES KUPANG REGIONAL HOSPITAL IN 2025 Wahyuni, Maria Magdalena Dwi; Weraman, Pius; Makara, Reskita Putri Ananda; Udin, Putri Emilia; Chelino, Anthonius Elsabertho; Tameno, Chaterinne Aprilia; Jehani, Claudia Margareth
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7510

Abstract

Congenital Rubella Syndrome (CRS) is a collection of symptoms that occur in infants due to rubella virus infection during pregnancy, which can cause heart defects, visual and hearing impairments, and developmental delays. This study aims to describe the implementation of CRS epidemiological surveillance at Prof. Dr. W. Z Johannes Kupang Regional General Hospital. The study was conducted through secondary data analysis and a review of CRS surveillance implementation documents from 2023 to 2025. It was found that 64 CRS cases had been recorded, consisting of 1 definite CRS case, 23 clinical cases, 4 suspects, and 17 discarded cases. Surveillance was carried out in a sentinel manner and supported by an electronic recording system integrated with the Health Office up to the central level. The implementing staff consisted of specialist doctors, public health workers, and midwives. The analysis showed that the strength of surveillance implementation lies in the existence of integrated guidelines and reporting systems. Still, obstacles were faced, such as the unavailability of eye examination equipment, responsible persons who did not comply with the guidelines, and non-routine health promotion. The primary priority issue was the lack of eye examination equipment, which resulted in delays in diagnosis and data collection. As a remedial measure, it is recommended that hospitals immediately procure such equipment and strengthen rubella health promotion. In conclusion, although CRS surveillance at regional hospitals has been well-implemented, optimization of diagnostic facilities and public education is still needed to support the comprehensive elimination of CRS.
THE ASSOCIATION OF CARBOHYDRATE AND PROTEIN INTAKE WITH THE INCIDENCE OF WASTING IN TODDLERS Herdiani, Novera; Sari, Aqilia Shofi Kurnia
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7550

Abstract

One of the most significant nutritional health problems in children is wasting. Inadequate carbohydrate and protein intake in toddlers is a leading cause of wasting. This study aimed to analyze the relationship between carbohydrate and protein intake and the incidence of wasting in the working area of the Driyorejo Gresik Health Center. The study employed a quantitative observational analytic cross-sectional approach. The sample consisted of 107 mothers with toddlers aged 12–59 months. Data were collected using questionnaires and 2x24-hour food recall. Multistage cluster random sampling was used for sample selection, and data were analyzed using the chi-square test. The results showed that nearly all toddlers (78.5%) had deficient carbohydrate intake, while most (69.2%) had deficient protein intake. Additionally, the majority of toddlers (81.3%) experienced wasting. The chi-square test revealed a significant relationship between carbohydrate and protein intake and the incidence of wasting (p-value = 0.000, <0.05). In conclusion, there is a significant association between inadequate carbohydrate and protein intake and wasting among toddlers in the Driyorejo Gresik Health Center area. To reduce the risk of wasting, mothers and caregivers are encouraged to ensure balanced nutrition, meeting the required carbohydrate and protein intake for toddlers.
COGNITIVE FUNCTIONS AND HIGH ORDER THINKING SKILLS IN MEDICAL EDUCATION Arifin, Fransiscus
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7614

Abstract

The improvement of cognitive functions and higher-order thinking skills (HOTS) is fundamental to the development of competent and adaptive medical professionals. As medical education evolves to meet the demands of complex healthcare systems, there is an increasing emphasis on nurturing analytical reasoning, clinical judgment, problem-solving, and metacognitive awareness among students. This review explores the integration of cognitive science principles and Bloom’s taxonomy of higher-order thinking skills. We evaluate the literature on the connections between memory, attention span, and metacognition with higher-order thinking skills such as problem-solving and creativity. We suggest that daily classroom teaching and medical curriculum design should focus on strengthening cognitive functions such as memorization and attention span, as well as promoting metacognition.
CLINICAL SPECTRUM AND PATIENT CHARACTERISTIC OF CONDYLOMA ACUMINATA: A TWO-YEAR RETROSPECTIVE REVIEW AT DR. MOHAMAD SOEWANDHIE GENERAL HOSPITAL Suryani Novelita Sutrisno, Christine; Hinda Pramita, Desy; Puspita Dewi, Ita
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7654

Abstract

Condyloma acuminata (CA), primarily caused by low-risk human papillomavirus (HPV) types 6 and 11, is among the most common sexually transmitted infections (STIs) worldwide. Despite its public health importance, local epidemiological data in Indonesia remain limited. This study aimed to describe the demographic characteristics, lesion distribution, and comorbidities of CA patients in a tertiary dermatology outpatient clinic. A retrospective descriptive study was conducted using electronic medical records of patients with confirmed CA at Dr. Mohamad Soewandhie General Hospital, Surabaya, Indonesia, between January 2023 and December 2024. Extracted variables included demographic characteristics, clinical presentation, and comorbidities. Seventy-five patients met the inclusion criteria, consisting of 38 females (50.7%) and 37 males (49.3%). The majority were adults aged 19–59 years (n=71, 94.7%), with smaller proportions of adolescents (n=3, 4.0%) and elderly patients (n=1, 1.3%). Genital lesions were the predominant manifestation across both sexes, whereas anal lesions occurred more frequently in males. HIV was the most common comorbidity, emphasizing the overlap between CA and other STIs. In conclusion, CA primarily affects young adults in their reproductive years, with HIV co-infection representing a major clinical concern. These findings underscore the importance of early detection, comprehensive STI screening, and consideration of gender-neutral HPV vaccination in Indonesia.
AKINETIC MUTISM AS A NEUROPSYCHIATRIC SYMPTOM OF PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY : A COMPLICATIONS OF HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION Kartikasari, Desy; Tamasse, Jumraini; Joewana, Patricia GT; Putri, Maria PD
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7714

Abstract

Progressive Multifocal Leukoencephalopathy (PML) is a rare complication of Human Immunodeficiency Virus (HIV) infection.  The disease carries a poor prognosis, with rapid progression and death usually occurring within 6 months. Mental disorders are a fairly common symptom in patients with PML (1/3 of cases). A 39-year-old male came with akinetic mutism. He has difficulty communicating, is unwilling to speak, has lost voluntary movements, and lacks motivation and initiative to perform daily activities. Managing this case is quite challenging, requiring careful history taking, physical examination, and selecting appropriate supporting tests. The management of this case involves a neurologist, internist, psychiatrist, and nutritionist. Correct diagnosis and treatment lead to clinical improvement. On the 15th day of treatment, the patient began to speak briefly with his family. Furthermore, his sleep has improved. Recognising this rare case earlier can be a clinical experience if at some point a similar case is found. 
NEUTROPHIL TO LYMPHOCYTE RATIO MEAN DIFFERENCE AMONG PEDIATRIC COVID-19 PATIENTS IN BALI: PRELIMINARY STUDY Maharani, Ni Luh Putu Silfia; Masyeni, Sri; Trisnia, Putu Ayunda; Paramasatiari, Anak Agung Ayu Lila
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7703

Abstract

The Neutrophil-to-Lymphocyte Ratio (NLR) is a significant prognostic marker in COVID-19, reflecting the body's inflammatory immune response. This study aimed to analyze differences in mean NLR among paediatric COVID-19 patients in Bali, stratified by age and gender. A cross-sectional analytic study was conducted using data from 56 hospitalized paediatric patients at Sanjiwani Gianyar and Wangaya Hospitals. The sample comprised patients aged 0–18 years, distributed as follows: 0–5 years (41.1%), 5–10 years (32.1%), 10–15 years (21.4%), and 15–18 years (5.4%). The cohort included 31 males (55.4%) and 25 females (44.6%). Statistical analysis using the Kruskal-Wallis test revealed a significant difference in mean NLR across age groups (p = 0.037). Similarly, the Mann-Whitney test indicated a significant difference in mean NLR between genders (p = 0.004). These findings suggest that the inflammatory response to COVID-19 varies among paediatric patients by both age and gender. Consequently, clinicians should consider these demographic factors, as they may indicate a need for tailored therapeutic and monitoring strategies.
57-YEAR-OLD WOMAN WITH OESOPHAGEAL VARICES AND SUSPECTED NON- CIRRHOTIC PORTAL HYPERTENSION Muliyanto, Jovan Amadeo; Christopher; Utami, Karina Saraswati; Margovio; Rencong, Gunady Wibowo; Susatyo, Jeffry Adijaya
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7707

Abstract

Non-cirrhotic portal hypertension (NCPH) is characterized by portal hypertension, splenomegaly, hypersplenism, and pancytopenia without histological evidence of cirrhosis. Causes include chronic infection, toxin exposure, thrombophilia, immunological disorders, and genetic abnormalities. The diagnosis of NCPH remains challenging because symptoms often mimic cirrhotic portal hypertension and access to definitive tests such as liver biopsy is limited. We report the case of a 57-year-old woman with upper gastrointestinal bleeding and oesophageal varices without clinical or radiological signs of cirrhosis. Conservative management with variceal ligation and beta-blockers was used because advanced procedures such as transjugular intrahepatic portosystemic shunt (TIPS) were not available. This case demonstrates the challenges in diagnosing and treating NCPH in resource-limited settings and the importance of supportive care and early detection.
MANAGEMENT OF UROSEPSIS COINCIDENT WITH HYPERTHYROIDISM: A CASE REPORT Papeo, Dizky Ramadani Putri; Marhaba, Zulkarnain; Upara, Nana Nurindah; Yusuf, Siti Rahmatia; Az-zahra, Vivilia; Delia, Faizha Putri; Kuengo, Gerrald Hariyawan
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7852

Abstract

Urosepsis is a life-threatening infection originating from the urinary tract and can trigger systemic inflammation. The presence of hyperthyroidism can worsen the prognosis due to increased metabolic rate and hemodynamic instability. This case reports a 54-year-old man who presented to the emergency department with generalized weakness since the previous day, accompanied by nausea without vomiting and intermittent fever that appeared one month after being discharged from the hospital. The patient was subsequently diagnosed with urosepsis with comorbid hyperthyroidism, indicating that the urinary tract infection had progressed to sepsis, further complicated by the pre-existing thyroid condition. Combination therapy with meropenem, levofloxacin, propylthiouracil, and propranolol with supportive therapy showed improvement in clinical condition and laboratory parameters, including a decrease in the leukocyte count and normalization of body temperature. Multidisciplinary management involving infection control and thyroid regulation was effective in stabilizing the patient's condition. This case report aims to describe the management of urosepsis in a patient with comorbid hyperthyroidism using the SOAP approach as a clinical summary.
UNRAVELING THE KNOT: DISTINGUISHING HOMICIDE FROM SUICIDE IN LIGATURE NECK CASES Purwanti, Tutik; Morina, Shella; Gilberta, Caecilia Clarissa; Tanto, Stefen Kristian; Hartono, Jennifer Meredith; Angeline, Jessica; Pramudyo, Laurensius Raka Dewantara; Mawi, Loysa Maria Melitry
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7870

Abstract

Suicide remains a major public health concern worldwide, with hanging being the most common method of self-inflicted death, particularly among adolescents and young adults. In Indonesia, similar patterns are observed among youth, driven by psychosocial stressors, academic pressure, and untreated psychiatric disorders. This case report presents a hanging incident involving a 20-year-old female found suspended by a scarf in her dormitory room, and emphasizes the medicolegal standpoint required to distinguish suicidal hanging from homicidal strangulation. Findings included full suspension from a door frame using a single-looped scarf with a square knot positioned at the high posterior neck, an oblique, non-continuous ligature mark, pale conjunctiva and lip mucosa, cyanosis of the lips and nail beds, livor mortis and rigor mortis consistent with suspension, and absence of defensive injuries. Internal examination and toxicological analysis were not conducted. The external examination findings strongly support ante-mortem hanging as the mechanism of death due to asphyxia from neck compression, with the manner of death most consistent with suicide. The presence of prior self-harm scars and the absence of features suggestive for homicidal strangulation further support this interpretation. This case illustrates a typical presentation of high-point full-suspension suicidal hanging. However, the absence of internal examination limits definitive confirmation of the cause of death. Accurate medicolegal standpoint requires a scene investigation, external and internal examinations, and toxicological analysis, to reliably distinguish suicide from homicide and accidental hanging.

Page 18 of 19 | Total Record : 184

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