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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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ACHIEVEMENT OF COMPETENCY DURING PEDIATRIC ROTATION OF ANESTHESIOLOGY RESIDENTS ACCORDING TO THE EDUCATIONAL STANDARD OF ANESTHESIOLOGY IN FACULTY OF MEDICINE AIRLANGGA UNIVERSITY Meilissa Eka Susanti; Arie Utariani; Elizeus Hanindito
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.v7i1.2781

Abstract

Background: The advancement and development of science and technology in the field anesthesiology and intensive therapy, has become the basis for the need of quality national guideline that is ethically and professionally accountable. This operational guideline can serve as a national guideline in providing anesthesia and intensive therapy services to patients. Until today, there is still no standardize educational evaluation for the pediatric division of anesthesiology to assess whether it is following the expected standards. Aim: To analyze the competency of anesthesiology residents in the pediatric division based on logbook according to the type of cases and procedures, and the number of patients based on the standard curriculum of the pediatric division of anesthesiology Surabaya. Methods: This study was an observational study with retrospective design, evaluating the competency of anesthesiology residents of Airlangga University in pediatric rotation according to the type of cases and procedures, and the number of patients treated and recorded in residents’ logbook based on the standard curriculum of the pediatric division of anesthesiology Surabaya. Data collection was performed by taking secondary data from April 2018-April 2020. Result: Median total of eletive cases during rotation and emergency cases during shift treated by anesthesiology resident of pediatric division was 9 (5-13) neonates, 35 (26-44) infants, and 56 (48-62) children. Target of neonates cases was achieved by 35%, infants by 100%, and children by 95% residents. Target of caudal anesthesia was achieved by 100%, inhalation induction by 55%, and IV line insertion by 100%. No resident achieved target for CVC insertion. Conclusion: A more formal and comprehensive guideline to standardize log case recording can be beneficial as it can evaluate residents based on the data collected electronically.
Rupture of Anastomotic Pseudoaneurysm of Brachiocephalic Arteriovenous Fistula: A Case from West Java Rifqi Raihan Haris; Prasetyo Edi
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2782

Abstract

Background: Post-traumatic pseudo aneurysm development is very rare in the peripheral arteries and is generally a late sequela of trauma. Their diagnosis and surgical treatment are extremely important, because they can cause severe disability, including loss of upper extremity and hand. Objective: To describe the clinical presentation, intervention, and outcome of ruptured anastomotic pseudoaneurysm of brachiocephalic arteriovenous fistula which has undergone surgical procedure. Methods: A 29-years-old man presented with arm 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 surgery had been done. This patient underwent operation with general anesthesia. Proximal control was taken by tourniquet that maintained to inflate at 300 mmHg. The brachial artery is repaired using great saphenous vein patch plasty. 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: In our center, most of the cases of brachiocephalic AVF pseudoaneurysm are caused by trauma. MSCT angiography is sufficient for the diagnosis of this anomaly. All cases were managed by open surgery and resulted a good outcome.
The Effect Between Transverse Abdominis Plane Block And Quadratus Lumborum Block On Endorphin Beta Levels And Pain Scales In Post Cesarean Section Patients Rudyanto Wiharjo Seger; Christrijogo Sumartono; Puspa Wardhani; Aditiawarman Aditiawarman
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2783

Abstract

Background: Cesarean section is a surgical procedure that is often performed in labor and causes moderate to severe pain for 48 hours postoperatively. The provision of local anesthesia drugs post-cesarean section can be given by the Transverse Abdominis Plane (TAP) block and Quadratus Lumborum (QL) block. This study was to determine the effect of analgesia between the Transverse Abdominis Plane block and Quadratus Lumborum block on the scale of post-cesarean section pain and level of the beta-endorphin post-operative cesarean section under spinal anesthesia. Methods: An experimental randomized controlled clinical trial study was conducted on 30 pregnant women aged 18-45 years post-cesarean section who were treated electively with ASA I - II and anesthesia under spinal anesthesia. Patients who met the inclusion criteria were treated by dividing three groups randomly through the computer. In group A, control and Transverse Abdominis Plane Block are given; group B, given control and Quadratus Lumborum Block; and group C, given control (ketorolac and tramadol). Furthermore, it was recorded and measured the level of beta-endorphin, and the Wong Baker Faces Scale (WBFS) pain scale postoperatively and 6 hours postoperatively. Data collected then analyzed by SPSS’s computer program. Results: The effect of QL block administration helps relieve the WBFS pain scale by five times and decreases beta-endorphin level by 0.2 times compared to TAP block administration. The effect of QL block administration helped relieve the WBFS pain scale by 13.5 times and decreased beta-endorphin level by 5.4 times compared to standard therapy. The effect of TAP block administration helps to reduce the WBFS pain scale by 7.4 times and to reduce beta-endorphin level by 5.1 times compared to standard therapy. Conclusion: QL block relieves the WBFS pain scale and decreases the beta-endorphin level better than the TAP block. Keywords: Cesarean section, post-operative pain, beta-endorphin, Quadratus Lumborum block, Transversus Abdominis Plane block
Evaluation Of Surgical Induced Astigmatism In 2.75 Mm Temporal Clear Corneal Incision After Phacoemulsification Titiek Ernawati; Kevin Anggakusuma Hendrawan; Okky Imanuel Samantha; Kevin Samsudin
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2784

Abstract

Background : Cataract is still one of the eye health problem. Blindness due to cataract can be prevented with cataract surgery so the vision can be corrected. Cataract surgery have huge development and now phacoemulsification is used widely. Surgically induced astigmatism is one of many tools to evaluate the success of cataract surgery. Surgically induced astigmatism will affect visual acuity. There are many factors contributing the incident of surgically induced astigmatism such as size of incision, location of incision, and pre surgery astigmatism. Objective : to analyze surgically induced astigmatism after cataract surgery with 2.75 mm temporal clear corneal incision phacoemulsification technique. Material and Methods : Cross-sectional studies has been conducted on 92 subject. Astigmatism were evaluated in every subject before and after cataract surgery. Surgically induced astigmatism were evaluated by evaluating keratometry before and after cataract surgery. Comparative statistics were used to evaluate comparison between variable. Result : The mean pre-operative astigmatism were 0.88 D, and mean of post-operative astigmatism were 0.81 D. Decreased in post-operative astigmatism found in 41 subject (44.6%), increased in 31 subject (33.7%), and 20 subject (21.7%) had no changes in astigmatism. There was no statistically significant difference between pre and post-operative astigmatism (p = 0.214). Conclusion : There was no significant surgically induced astigmatism in patients undergo phacoemulsification with 2.75 mm temporal clear corneal incision.
Histopathological Evaluation of Rabbit Hepatic Tissue Due to Remote Ischemic Reperfusion of Acute Limbs Injury Conducted with Ischemic Precondition and Hypothermic Marolop Pardede
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2785

Abstract

Acute limb ischemia (ALI) is an emergency that occurs due to a rapid decrease in perfusion to limbs which can result in mitochondrial dysfunction, causing disturbances in distant organs such as liver. There are various ways to reduce the effects including treatment of hypothermia and ischemic preconditions. So, this study was made to see any differences in liver tissue damage as a result of reperfusion distant ischemic injury between the untreated and treated groups of hypothermia and ischemic precondition in cases of acute limb ischemia. This study is a true-experimental, with the New Zealand White (NZW) male rabbits as the samples and it divided into three groups, untreated rabbit group (as a control), treated with ischemic preconditioning group and hypothermia group. The data were collected by taking rabbit liver biopsy samples and were analyzed in univariate and bivariate with Shapiro Wilk normality test, independent T-test and Mann Whitney. This study used 21 rabbits as sample, 3 were excluded and each group have 6 samples. Statistical analysis of the comparison of liver tissue damage scores between the control group and the ischemic precondition treatment group showed a significant difference with a p value 0.002 and the comparison of the liver tissue damage scores between the control group and the hypothermic treatment group showed significant differences with p value 0.004. It can be concluded that there are liver tissue damage as a result of ischemic reperfusion injury in experimental rabbits, and there are significant differences in liver tissue damage between the control group, the hypothermia and ischemic precondition group
Early Breastfeeding Initiation And Exclusive Breastfeeding Impact On Growth Of Baby From One To Six Months Of Age Lisa Pangemanan; Benedictus Triagung Ruddy Prabantoro; Susan Susan
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2786

Abstract

Early breastfeeding initiation is provision of mother’s breast milk to infant within one hour of birth. It is used to promote breastfeeding. Breastfeeding has many health benefit for infant because of its important nutritional contribution. Studies in developing countries has found that frequent breastfeeding is associated with greater linear growth. However, rate of exclusive breastfeeding is still low in many countries, among others, Indonesia (
Hyper-coagulation and The Used of Anticoagulant for Patient with COVID-19 Alyssa Claudia V. Gunawan; Bernadette Dian Novita
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2787

Abstract

Coronavirus SARS-CoV-2 (COVID-19) infection has become a global infection with high mortality and morbidity rate. The pathophysiology of COVID-19 has not yet clear but associated with increasing proinflammatory cytokines and chemokines that leads to cytokine storm. Cytokine storm leads to increasing coagulation that defined by increasing D-dimer, Prothrombin Time (PT), and activated partial thromboplastin time (aPTT). The use of anticoagulant in patient with COVID-19 decrease the mortality rate and become one of the recommended therapy.
Multisystem Inflammatory Syndrome In Children:Literature Review Dominicus Husada
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2788

Abstract

The COVID-19 pandemic is yet to be over. Although the number of pediatric patients is relatively small, their clinical manifestations differ from the adult group. Multisystem Inflammatory Syndrome in Children (MIS-C) is one of the most recently discussed clinical manifestations. The clinical features of this case resemble those of Kawasaki disease or toxic shock syndrome with limited diagnostic methods. Patients experience gastrointestinal, mucocutaneous, cardiovascular, hematological, and neurological symptoms. There was also an increase in inflammatory parameters and cardiac disorders, which will also be confirmed by electrophysiological and radiological examinations. Management consists of the administration of immunoglobulins, steroids, and some anti-cytokines. When the patient goes into shock, fluid resuscitation is the mainstay of therapy. Until now, the number of MIS-C patients is relatively small compared to the number of COVID-19 cases, and the number of deaths is very minimal as well.
Ence Of ESBL Bacteria In Baby Box Handle At Dr. Soetomo Hospital Manik Retno Wahyunitisari; Martono Tri Utomo; Nicholas Fernando Purnomo
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2789

Abstract

Health Associated Infection (HAI) in neonates can increase neonatal infection risk, which is a fairly frequent cause of neonatal death. Microorganisms that are quite often found to contaminate include gram-negative bacteria such as Escherichia coli and Klebsiella pneumoniae. Gram-negative bacteria are also quite often found to have resistance to antibiotic therapy that is usually given, especially actlactam, and will increase the degree of disease to mortality, this bacterium is called ESBL. The study was conducted to determine the level of ESBL bacterial contamination in health facilities at Dr. Soetomo general hospital. Swabs are taken and biochemical tests were done to identify pathogen species. These isolates were also tested for ESBL production by the double-disc synergy test (DDST). There were 30 samples that contaminate the handle of the baby box, 2 of which (6.67%) tested positive for ESBL. With good hand hygiene, the use of disinfectants in medical devices, floors, walls, and doors, maintenance and replacement of tap water filters, and regular monitoring can reduce the number of bacterial contamination.
THE EFFECTS OF ALCOHOL-BASED ANTISEPTIC SOLUTIONS AGAINST STAPHYLOCOCCUS AUREUS AND STREPTOCOCCUS PYOGENES Suyono, Handi; Wihanto, Laura
JURNAL WIDYA MEDIKA Vol. 10 No. 1 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v10i1.2810

Abstract

Introduction : Staphylococcus aureus and Streptococcus pyogenes are gram positive bacteria which can cause various diseases. The use of antiseptics is an effort that can be done in order to break the chain of transmission and reduce morbidity due to infection by microorganism. Alcohol as the main ingredients of antiseptics is probably the oldest and most widely used in various antiseptic products on the market. Despite their easy and practical use, reports of incidents of resistance to alcohol-based antiseptic agents to bacteria have been reported from several studies. Aim: Determine the inhibition of alcohol-based antiseptic solutions against Staphylococcus aureus and Streptococcus pyogenes bacteria. Methods : Kirby-Bauer disc-diffusion assays as susceptibility test. Zone of inhibition of growth diameter was performed in mm, with criteria resistance if ≤ 6 mm and sensitive if > 6 mm. We used 4 solutions namely A) ethanol 70%, B) ethanol 70% + H2O2 0,15%, C) ethanol 80%, D) ethanol 80% + H2O2 0,15%. Result : The assay results on Staphylococcus aureus showed the zone of inhibition of growth for solution ethanol 70%, ethanol 70% + H2O2 0,15%, ethanol 80%, and ethanol 80% + H2O2 0,15% are less than 6 mm which indicated that the antiseptic solution do not inhibit bacterial growth, as well as for all solutions against Streptococcus pyogenes. Different results were obtained from solution D (ethanol 80% + H2O2 0.15%) on S. aureus which indicate the zone diameter is 21 mm and classified having the ability to inhibit bacterial growth (sensitive). Conclusion: Exposure of gram positive bacteria, Staphylococcus aureus and Streptococcus pyogenes to clinically relevant concentrations of ethanol based antiseptic with or without hydrogen peroxide addition is not effective in inhibiting bacteria. Only an 80% alcohol-based antiseptic solution with the addition of H2O2 is still effective in inhibiting S. aureus . Further research needs to be done to review the recommended antiseptic formula and the need to add other ingredients to make an effective antiseptic in order to prevent infection.

Page 9 of 19 | Total Record : 184

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