cover
Contact Name
Vincentius Widya Iswara
Contact Email
vincentius@ukwms.ac.id
Phone
+6281331379070
Journal Mail Official
widyamedika@ukwms.ac.id
Editorial Address
Jl Raya Kalisari Selatan 1, Tower A Lt. 6, Pakuwon City Surabaya
Location
Kota surabaya,
Jawa timur
INDONESIA
Jurnal Widya Medika
ISSN : 23380373     EISSN : 26232723     DOI : https://doi.org/10.33508/jwm
Core Subject : Health,
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.
Articles 184 Documents
Women’s Contraception: A Minus Malum Inge W. Benjamin
JURNAL WIDYA MEDIKA Vol. 1 No. 2 (2013)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v1i2.861

Abstract

Berkontrasepsi adalah suatu cara yang dianjurkan oleh Pemerintah untuk membatasi pertumbuhan penduduk. Yang populer digunakan adalah sarana kontrasepsi yang ditujukan kepada perempuan. Sarana ini tidak bebas dari efek samping. Walaupun demikian, perempuan tetap meneruskan penggunaannya untuk sejahtera dalamrelasi seksual dengan suami tanpa beresiko suatu kehamilan, serta sejahtera dalam keluarga yang terencana. Stres akibat efek samping dikesampingkansebagai pilihan yang berani dalam konteks minus malum (yaitu pilihan terbaik di antara pilihan-pilihan yang jelek).
Menelusuri arus pemeriksaan kesehatan dan pengobatan ke luar negeri Inge W. Benjamin
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1646

Abstract

In recent years, a big flow of patients seeking health care abroad occurs in spite of the advancement of science and technology in the health sector in Indonesia, which is not much different than abroad. This situation is less supportive for the trust to the health care and science, and the growth of the domestic economy. To explore this phenomena, a qualitative survey was done to ten people who were pleased to give their written opinion for two open ended questions delivered by email. The results showed a dissatisfied and distrust to the nation’s health care in quality, teamwork, ethics, and facilities. These unfavorable conditions affect the patient’s as well as the family’s health and well-being. Professionalism, multidimensional modernization, and holistic health management are the foreign countries policy, which are respectable values to be considered of. These survey results are valuable inputs in developing the nation’s high quality health services.
A randomized controlled trial on the effectiveness and safety of tranexamic acid in decreasing blood loss in cesarean section Sianty Dewi
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1647

Abstract

Background: WHO reported more than 100,000 maternal death due to obstetric hemorrhage annually, in other hand Cesarean Section (CS) is a common surgery done to save mother and child with one of the complications is hemorrhage. tranexamic acid (TXA) as antifibrinolytic might improve maternal outcome by decreasing blood loss in CS. Objectives:Determine effectiveness and safety of tranexamic acid in decreasing blood loss in cesarean section. Method:A prospective, double blinded, randomized controled study in Obstetrics and Gynecology Department of Southern Philippines Medical Center. The participants are 124 women underwent CS, 62 women given tranexamic acid after cord cut compared to 62 given placebo. Estimated blood loss, cardiac rate, systolic blood pressure before and after CS, events during CS and additional medicines. Hemoglobin and hematocrit was taken before and after CS, course in the ward, blood transfusion, adverse events, mortality and length of hospital stay were compared. Results: Socio demographic, clinical profile, events after interventions, need of additional medicines and complications are similar for both group (p-value>0.05). The cardiac rate after CS is significantly higher in TXA group (tranexamic:85.1±11.5 placebo:80.1±15. 6, p-value=0.0441), but still in normal range. Conclusion: Tranexamic acid is not recommended to be given routinely to reduce blood loss in CS, instead its more beneficence to abort severe bleeding hence its should be available during CS. There was no adverse events recorded in both treatment and placebo group showed safety of tranexamic acid.
Peran ciri demografi, status gizi, lingkungan, tingkat pengetahuan, sikap dan tindakan masyarakat terhadap kejadian demam berdarah dengue di wilayah kerja puskesmas rangkah surabaya . Steven
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1648

Abstract

Incident rate of Dengue Hemoragic Fever (DHF) is still tendensious to increase every year in Indonesia, specially in Rangkah Health Centre, Surabaya, East Java. The goal of this research was to study the risk factor of demography, nutrition state, environment, knowledge, attitude, and community practices. The research is analitic observational research with case control study approach. The population of this study was people with DHF diagnosed in territory of Rangkah Health Centre both children and adults. Group cases was patient who have had letter of DHF diagnosis from doctor where the patient is treaded and laboratory test result showed amount of trombosit ≤ 100.000/mm3 The sample cases were taken from entire 61 cases. Group control was people around more than 200 m distance from the patient house with ratio 1: 3 and perform randomly. The total control group were 183 cases. The variable observed were age, sex, nutrition state, income, occupation, education, ventilation, population density, vector density, house lighting condition, the number of possible mosquito breeding container, knowledge, attitude, and community practices. The entire variable were analysed by logistic regression test. The study result showed that the risk factor of DHF cases are as follow: income factor (p= 0,01, CI 95%, OR= 4,04), ocupation (p = 0,03, CI 95%, OR= 1,8), population density (p = 0,001, CI 95%, OR= 1,58), house of lighting condition (p = 0,02, CI 95%, OR= 2,75), ventilation (P= 0,02, CI 95%, OR= 3,2), the number of possible breeding container ( = 0,001, Ci 95%, OR= 1,2), and community practices (P=0,001, CI 95%, OR= 2,21). The study conclude that income factor, occupation, population density, ventilation, house of lighting condition, the number of possible breeding container, and community practices had significant role toward DHF incidences.
The right to live and the right to die? Willy F. Maramis
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1649

Abstract

With the advance of medical science and technology, dying can be postponed now. For how long and how is the quality of life? Frequently modern medicine postpones death only, while leaving the quality of life of many patients in a questionable state. Do we have the right to live? Where do we get that right from? The right to live is inherent to our nature of being alive. With right comes obligation. What about the right to die? Some say if there is the right to live, there must also be the right to die. What is life and what is death anyway? Some say death is part of life. Death is in fact the absence of life. We can measure life, but we can not measure death. It’s like stating that darkness is part of light. Also, if there is the right to die, what obligations on earth does a dead person have? ‘The right to live’ excludes ‘the right to die’. This moral philosophical approach is only following our moral-ethical reasoning (not our emotions). If we have ‘the right to die’, it is not far from having ‘the right to kill’ or may be ‘the duty to die’. The battle between the pros and the cons on the right to die is not over yet. We may consider the transcendental approach. When curative medicine is of no benefit anymore, care giving and ministering medicine must take its place. The transcendental approach takes the dying person as a bio-psycho-socio-cultural-spiritual being with the belief in life after death, and the ‘exit’ is with faith, hope and love. It is much more optimistic and relieving than the worldly approaches with an ‘exit’ because of despair.
Depresi pada lanjut usia Margarita M. Maramis
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1650

Abstract

and significantly decreases quality of life in older adults. Depression is perceived as part of accelerated aging. Depressed individuals have a higher risk to get various diseases of aging. So that depressed elderly patients often have chronic comorbid conditions such as diabetes, hypertension, metabolic syndrome, coronary artery disease, cancer, asthma and cognitive impairment and dementia. The impact of late-life depression on mortality, morbidity, and function as well as service utilization is well known. Differential diagnosis of depression in late-life are dementia, delirium or behavioral and psychological symptoms of dementia (BPSD), and often as comorbidity in depression. Depression in late life should be treated as early as possible. The important to treat are avoid the progression of depression and other medical comorbidity. Selection of antidepressant medication should be based on the best side effect profile and the lowest risk of drugs interaction. Add-on treatments including other drugs and psychotherapy can be applied. Involving the caregiver and families in the treatment process is a key to reach optimal outcome.
Treatment options for severe pneumonia: focus on pseudomonas pneumonia Benjamin Margono
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1651

Abstract

Pneumonia due to Pseudomonas aeruginosa occurs in several distinct syndromes: 1/ Community Acquired Pneumonia (CAP) usually in patients with chronic lung disease e.g.: COPD / Cystic Fibrosis / bronchiectasis. Rather uncommon : 0.9%-1.9% of patients with CAP requiring hospitalization. 2/ Hospital Acquired Pneumonia (HAP), usually occurring in the ICU after day 4 or VAP. Much more common : 18%. 3/ bacteremic , usually in the neutropenic host e.g. hematologic malignancy, HIV ( Pre HAART : 8-25%; HAART era: 5-6.7%) P.aeruginosa. is a gram negative rod that is ubiquitous in nature and is an opportunistic pathogen in humans. It is a particularly virulent pathogen that produces many virulent factors, including exotoxins, enzymes and biofilms that protects it from host antibodies and phagocytes. Pseudomonas pneumonia carries a notably higher mortality rate than other pneumonia pathogens. Therapy has always been challenging magnified in recent years by the emergence of MDR (multi drug resistant) and PDR ( Pan drug resistant ) pathogen, compounded further by the diagnostic problem of differentiating between colonization and infection, as blood cultures are rarely positive and gram stains have not proven useful. Anti Pseudomonal antibiotics : Aminoglycosides; .β Lactam congeners; Monobactam; Extended spectrum penicillins e,g, piperacillin-tazobactam, Carbapenems; anti pseudomonal fluoroquinoles; Colistin. Combination antibiotic therapy may potentially broaden the antimicrobial spectrum, provide synergistic interaction, decrease emergence of antimicrobial resistance and minimize superinfection. Incombination antibiotic therapy the greatest synergy is obtained by combining an aminoglycoside(A) + antipseudomonal penicillin (~90%), followed in decreasing order A + cephalosporin (~ 80%) then A + carbapenem (~50%), while the interaction of a fluoroquinolone + A or βlactam is usually indifferent or autonomous. Given the nephrotoxicity of aminoglycosides the following algorithm is proposed : Combination of an anti-pseudomonal penicillin + an aminoglycoside for 3-5 days, then replace the aminoglycoside with an anti-pseudomonal fluoroquinolone for a total of 8-15 days.
Aspek fisiologi penuaan kulit Jose L. Anggowarsito
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1652

Abstract

Skin aging is multi-factorial phenomenon of reduction in size, number of skin cells, and alteration of many organic skin functions. Skin aging resulted from process deterioration of skin structures and reduction of the normal skin functions. The physiologic changes in aging skin are barrier function impairment, downtime of epidermal cells turnover, reduced vascular network around hair bulbs and glands, and declined functions of cell replacement, immune response, chemical clearance, sensory perception, thermoregulation, and decline production of sweat, sebum, and vitamin D. Xerotic skin is common among aging skin.
Penyelesaian gugatan malpraktek Djuharto S. Sutanto
JURNAL WIDYA MEDIKA Vol. 2 No. 1 (2014)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v2i1.1653

Abstract

Several unsuccessful effort of any doctor in overcoming disease in patients, in this era of “litigious society” tends to encourage some patients in resolving their problems at the green table with a malpractice lawsuit. However, the case settlement outsidethe court of justice is much more efficient and affordable. The ability of a doctor in court to face the judge or opposing patient legal counsel or attorney is very weak. Doctors who will go on trial should also be prepared emotionally and psychologically
Hubungan antara Kadar Soluble CD4O Ligand (sCD4OL) dengan Kejadian Sindroma Koroner Akut (SKA) Jusak Nugraha; Myrza Elita; M. Aminuddin
JURNAL WIDYA MEDIKA Vol. 4 No. 1 (2018)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v4i1.1781

Abstract

Introduction: Acute coronary syndrome (ACS) is manifestation of coronary heart disease (CHD), which is the leading cause of death in Indonesia. CD40 ligand (CD40L) stored in alpha granule of platelet will be translocated immediately to the surface when plaletet is active, and then released from the surface as soluble CD40 ligand (sCD40L). Soluble CD40 ligand (sCD40L) has role in connecting the inflammatory process, atherosclerosis, and thrombosis. The aim of this study is to study correlation between sCD40L level and ACS in patients with chest pain. Methods: Subject of this study was 40 patients with chest pain that came to emergency ward of RSUD dr. Soetomo Surabaya. Patients were divided into two groups based on the diagnosis ACS and non ACS, which was established with electrocardiography(ECG) and Troponin-T level. Patients’sera were examined sCD40L level using enzyme-linked immunosorbent assay (ELISA) kit from Quantikine®. Results: Twenty six (65%) were diagnosed as ACS, and 14 (35%) were non ACS. ACS diagnosis consists of ST-segmen elevation myocardial infarction (STEMI), non-ST-segmen elevation myocardial infarction (NSTEMI), and unstable angina (UA), with the highest proportion was STEMI in 15 (57%). The mean of sCD40L level in ACS patients (5.45 ± 3.70 ng/mL) was significantly higher compared with non ACS patients (1.97 ± 1.33 ng/mL) (p

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