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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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Peranan Vaksinasi Human Papillomavirus (HPV) Sebagai Penatalaksanaan Pada Penderita Infeksi Human Immunodeficiency Virus (HIV), Bagian 1: Manifestasi Infeksi HIV Dan HPV Dave Gerald Oenarta
JURNAL WIDYA MEDIKA Vol. 5 No. 2 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v5i2.2206

Abstract

Human papillomavirus (HPV) and human immunodeficiency virus (HIV) both comprise global problems as these infections are widespread around the world and interplay with each other. HPV has many serotypes and it is known that serotypes 16 and 18 are the most common cause of cervical cancer. Cancer itself has been known to be strongly correlated to the host immune status. It is known that HPV infection indicates that the infected individuals are at risk of other sexually transmitted infections including HIV whilst HIV infection may increase the chance of someone to contract HPV and may propagate the HPV-related complication such as cancer. While there is no HIV vaccination yet in the market, HPV vaccination has become the norm to effectively prevent the acquisition of this virus. There are three available vaccine types in the market; the bivalent vaccine for HPV 16 and 18, the quadrivalent vaccine for HPV 6, 11, 16 and 18, and the most recent one the nonavalent vaccine for 9 different serotypes of the virus. Recent guidelines have recommended the use of HPV vaccines for HIV infected individuals both for the prevention of HPV infection and for the suppression of the increased HPV-related cancer incidence.
The Relationship Between Breastfeeding Patterns And Incidence Of Diarrhea In Children Aged 7–23 Months Filipus Michael Yofrido; Hanung Aryana; Jessica Hoetama Jaya; Rachmat Ageng Prastowo; Rynda Kirana Satwikaputri; Pirlina Umiastuti; Indawan Setyono Hadi
JURNAL WIDYA MEDIKA Vol. 5 No. 2 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v5i2.2207

Abstract

Breastmilk is the main source of nutrition for infants, giving protection through its immunity properties. Indonesian Ministry of Health targeted 80% coverage 6-months-exclusive-breastfeeding. However, it is very difficult to achieve, even the prevalence of exclusive-breastfeeding trends to decline from year to year. In Baturetno Village, Singosari District, Malang Regency, exclusive-breast feeding proportion is 59%. This research is aimed to analyze the relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Method: This was analytic-observational study with cross-sectional design. Sixty children aged 7 – 23 months were randomly included. 32 children (53%) were male. Their parent were interviewed based on questionaire about their breastfeeding patterns and last two weeks incidence of diarrhea. Results: The proportion of exclusive breastfeeding was 58.33% and the incidence of diarrhea in last 2 weeks was 31.67%. Chi-Square test result illustrates there was association between breastfeeding patterns and incidence of diarrhea (p=0.004, PR 0.33, 95%CI 0.145-0.748). Based on contingency coefficient, a strong relationship between breastfeeding patterns and the incidence of diarrhea in the last 2 weeks was 0.347 (moderate). Conclusion: There was relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Exclusive-breastfeeding children have 67% lower incidence of diarrhea.
Analysis Of Customer Satisfaction Level Of Quality Of Frontline Office Services Of BPJS Office Of Jambi Branch Renny Listiawaty; Sugiarto Sugiarto
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2427

Abstract

Customer satisfaction is important for service providers, customers will disseminate their satisfaction to prospective customers, thereby increasing the reputation of service providers. It is important for BPJS health, to continuously pay attention to the development of patient satisfaction. Of the 238 administrative complaints at the Jambi branch of the BPJS Health Office, there were 25 complaints of lack of information from frontline officers about the rights, obligations, and utilization of JKN cards so that customers felt less satisfied. This study aims to determine the level of satisfaction with the quality of frontline services at the Jambi Branch BPJS Health Office. The study was descriptive-analytic with a cross-sectional design. The sample of the study was 96 customers who visited the Jambi branch of the Health BPJS office and were taken by accidental sampling. The instrument is a questionnaire. Data were analyzed using Importance Performance Analysis (IPA). The study was conducted at the Jambi branch BPJS Office from January 26 to February 1, 2019. The level of customer satisfaction on tangible indicators was 84%, reliability was 83%, responsiveness was 88%, assurance was 92% and empathy was 88% and the average value - the suitability of all dimensions is 87%. Tangible and reliability indicators are still not satisfying customers. For this reason, it is hoped that the Jambi branch of BPJS Health will develop SOPs for frontline services and hold administrative service roleplay activities once a week.
Papillary Lesions In The Thyroid Gland - Interesting Facts Johanes Hadi Lunardhi
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2498

Abstract

Papillary lesion in the thyroid gland is commonly a malignancy, and they are Papillary Thyroid Carcinoma (PTC)-2,3,4,9. Appropriate diagnosis and treatment of the disease almost demonstrates excellent survival-4,10. On the contrary, there are some other papillary lesions in the thyroid which are not PTC. Benign appearing encapsulated papillary lesion of the thyroid was formerly diagnosed as ‘papillary adenoma’, a benign neoplasm-5,8. If we look back several decades ago, we could find in textbooks the change of opinion that ‘papillary adenoma’ of the thyroid was considered malignant, and no more nomenclature of ‘papillary adenoma’ could be found in pathology textbooks after 19741,7. PTC has many variants in their morphologic presentation. The one interesting is the encapsulated follicular variant of papillary thyroid carcinoma (EFVPTC). This disorder had been treated as cancer for many years. Another change has occured a few years ago. This variant (EFVPTC) has now been proven a non-malignant disease; and a new name has been adopted for, as: non-invasive follicular thyroid neoplasm with papillary-like features (NIFTP); and has to be treated accordingly-6. The morphologic diagnostic features, classification of PTC and its variants, has been presented. Discussion is focused on the ‘encapsulated’ and the ‘follicular’ variants of PTC, to explain the connection on which site the NIFTP and the formerly named ‘papillary adenoma’, should be placed on or may arise from the new classification of thyroid neoplasm. There are other thyroid cancers which produce papillary-like structures, which are not PTC. It is also important to notice some focal papillary fronds/buddings or hyperplasia, found in non-neoplastic thyroid diseases. These changes are delivered briefly on closing this presentation.
Comparison General Anesthesia And Combined Scalp Block With Ropivacaine 0.5% On Mean Arterial Pressure, Heartrate And Fentanyl Consumption During Craniotomy. Rudi Iskandar Suryadani; Hamzah Hamzah; Nancy Margarita Rehatta; Arie Utariani
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2499

Abstract

Surgical craniotomy such as skin incisions, head pinning, periosteal-dural contact, dura closure, bones and skin can cause of nociceptive stimulation. These actions are stimuli to the nerves that can stimulate stress response. The stress response to surgery is characterized by increased secretion of the pituitary hormone and activation of the sympathetic nervous system. Hypothalamic activation of the sympathetic autonomic nervous system results in increased secretion of catecholamines from the adrenal medulla and the release of norepinephrine from the presynaptic nerve terminal. Objectives: This study is a single blind experimental, 14 patients with ages 18-60 years physical status ASA (American Society of Anesthesiologists) 1-3, with elective craniotomy surgery. This study was divided into two groups of subjects, group A with seven craniotomy subjects with general anesthesia and group B with seven craniotomy subjects combined with scalp block using ropivacaine 0.5%. Data collected then analyzed with SPSS. We found a decrease in MAP (Mean Arterial Pressure) and heart rate in the scalp block group during scalp incision (MAP p=0.002; HR p=0.029), periosteal contact (MAP p=0.025; HR p=0.039) significantly, as well as the use of fentanyl during surgery was significantly decreased (p=0.0001). General anesthesia with scalp block is more effective in reducing the increase in MAP, heart rate and fentanyl consumption during craniotomy.
Effects Of Regional Scalp Block With Ropivacaine 0.5% Preincision As A Preemptive Analgesia After Craniotomy Surgery R. Muhammad Aviv Pasa; Christrijogo Soemartono; Soni Sunarso Sulistiawan; Arie Utariani
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2500

Abstract

Studies reported that more than 55% of patients complained of moderate to severe pain up to 48 hours post craniotomy. Fentanyl is the drug of choice to manage acute pain with disadvantages. Regional scalp block (RSB) technique using local anesthesia may be an alternative for post craniotomy pain management. Objective: to analyze the effects of RSB using ropivacaine 0.5% before incision compared to general anesthesia alone on the pain scale and opioid requirements 24-hour post craniotomy. This is a single-blind randomized experimental study. 14 Subjects were divided into two intervention groups. Patients were 18–64 years, GCS (Glasgow Coma Scale) 15, physical status ASA (American Society of Anesthesiologists) 1–3, undergoing craniotomy. In this study, the mean of fentanyl dose in RSB group was smaller than the group without RSB, which was statistically significant (p=0.017). Pain was also significantly reduced in RSB group at 30 minutes (p=0.009), 1 hour (p=0.003), 2 hours (p=0.003), 4 hours (p=0.001), 8 hours (p=0.050), and 12 hours (p=0.003) post-surgery. There was no difference in pain scale between the two groups at 24 hours post-surgery (p=0.393). RSB using ropivacaine 0.5% preincision is more effective in reducing pain scale up to 12 hours and also reduced the requirement of fentanyl within 24-hours post craniotomy compared to general anesthesia alone.
Evaluation Of Traumatic Brain Injuries Due To Alcohol Intoxication: Study In Central Hospital In West Java Hendrikus Masang Ban Bolly; Agung Budi Sutiono; Ahmad Faried; Trajanus Laurens Yembise; Muhammad Zafrullah Arifin; Benny Atmadja Wirjomartani
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2501

Abstract

Background: Alcohol intoxication is one of the predisposing factors for the incidence of traumatic brain injury (TBI). At present, there are no hospital-based specific data that provide TBI prevalence rates due to alcohol intoxication, especially in West Java. Objective: This study aims to make descriptive observations about the incidence of TBI due to alcohol intoxication in one of the central referral hospitals in West Java. Method: A retrospective cross-sectional study was carried out involving 10,662 TBI patients recorded in the emergency department database and the Department of Neurosurgery daily case database in the period 2012 to 2018. All data relating to the two items were analyzed. Alcohol intoxication is known from a history of autoanamnesis, alloanamnesis, and the subjective identification of the examiner of alcohol odor on the breath in TBI patients who enter the emergency room. Statistical cross-tabulations were performed to present clinical and demographic phenomena in TBI cases due to alcohol intoxication. Results: The analysis showed that the prevalence of alcohol intoxication in TBI cases was 4.77% (N = 507), all of which were due to motor vehicle accidents. Mean age of 26.44 ± 9.32 years (median 24 and range 12-64). The predominant age in TBI cases due to alcohol intoxication was in the age range of 20-30 years (44.2%), and male sex 92.7%. Most cases occurred in May (12%) and on Saturdays. Based on the consciousness assessment, initial Glasgow Coma Scale in emergency department were 14 (35.9%) and classified as mild TBI (69.2%). Subarachnoid hemorrhage and cerebral contusion are predominantly lesions found on CT scans of patients (2.2%), anterior skull base fractures of 8.1%, and linear fractures (5.1%) are the dominant extracranial lesions. Soft tissue lacerations are found in 16% of all cases. Craniotomy surgery was performed in 3.6% of patients for epidural, intracerebral, and subdural hemorrhage lesion evacuation as well as correction of depressed skull fractures. About 45% were treated for a minimum of three days to observe changes in their consciousness status before discharge. Conclusion: Alcohol consumption before the head injury in motor vehicle accidents has a relationship with various complications. Alcohol intoxication is a complex issue, and more research needs to be done to create comprehensive prevention programs and regulations.
The Effect Of 1,25-dihydroxyvitamin D To The Phagositosis Activity Of Children Macrophage In Tuberculosis Infection Rosi Esa Gustina
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2502

Abstract

Introduction: Children infected with TB do not always experience TB pain, depending on the number of bacteria that enter and the amount of endurance the child has. 1,25-dihydroxyvitamin D (1,25 (OH) 2D) is a function modulator for macrophages. Objective: This study aims to determine the effect of giving 1,25 (OH) 2D on the phagocytic activity of macrophages in children infected with TB. Methods: This study was an experimental Post Test Only Control Group Design study of 27 samples of children infected with TB. The 1,25 (OH) 2D concentration used was 10-8M and the concentration of 10-7M. Examination of phagocytic activity is carried out using latex beads. Results: One Way ANOVA analysis showed a significant difference in the percentage of macrophages that phagocyte latex and the average number of latex phagocytes by each macrophage between the control group and the treatment group (p
Idiopathic Juvenile Osteoporosis with Progressive Kyphoscoliosis: A Case Report Nunung Nugroho; Muhammad Faris; Albert Setiawan
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2503

Abstract

Introduction: Osteoporosis is a common disease in elderly patients, but rarely found in children. Idiopathic juvenile osteoporosis (IJO) is one of the primary causes of childhood osteoporosis and it is a rare disease. The prevalence and pathogenesis of the disease is still not well-understood. Disease progressions may occur in patient’s without treatment causing impairment, disability and handicap to the patient. Case description: A ten-year-old boy came to specialist doctor’s clinic with pain on his back, had difficulties in wearing his pants, and a humped back posture came for a medical examination. The symptoms appeared 2 months after falling on sitting position. Radiology examinations showed progressive corpus vertebrae compression with kyphoscoliosis, no significant abnormalities in the laboratory findings. Discussion: Causes of osteoporosis were excluded through history taking, physical examination, laboratory and radiology results. Treatment of idiopathic juvenile osteoporosis still have controversies. In this case the patient showed significant improvements of symptoms after per oral vitamin D, exercises, and Jewett brace was given as the treatment. Conclusion: In this case after 1 year of treatment in physical and rehabilitation department, there is an improvement in kyphotic Cobb’s angle from 90o to 40.2o, the patient has no more limitation in doing his activities of daily living and able to do light sport activities.
Chemoprophylaxis Versus Immunoprophylaxis In Tuberculosis And Leprosy Infection Bernadette Dian Novita
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2504

Abstract

Tuberculosis (TB) and leprosy are mycobacterial diseases that still represent significant public health challenges. Bacille Calmette–Guérin (BCG), the only available TB and Leprosy vaccine use as Immunoprophylaxis and has already given in infants. However, the evidence of TB and Leprosy infection in Indonesia remain high. In the last 10 years, chemoprophylaxis for both TB and leprosy were extensively done. However the effectiveness between immunoprophylaxis and chemoprophylaxis remains unclear.

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