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Effectiveness of Proton Pump Inhibitors as a Gastrointestinal Bleeding Prophylaxis in Intensive Care Unit: Systematic Review and Meta-Analysis Fonny Cokro; Jenny Jokimawidjaja
Journal of Urban Health Research Vol. 1 No. 1 (2022): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i1.3714

Introduction: GI bleeding is a serious illness that can lengthen the time spent in the Intensive Care Unit (ICU) and increase morbidity and death by up to four times. Proton Pump Inhibitors (PPIs) are agents commonly used in patients to prevent Gastrointestinal (GI) bleeding in ICU. However, nowadays, the use of PPIs to prevent GI bleeding is being concerned due to the emergence of various studies regarding the side effects caused by PPIs. We conducted a systematic review and meta-analysis to see the magnitude of the effectiveness and validate the safety of PPIs. Methods: We searched through PubMed, ScienceDirect, GARUDA Portal, Clinical Key, and Google Scholar databases to identify randomized controlled trials (RCTs) that compared the effects of PPI administration on the PPI and placebo groups in adults ICU patients. Results: From a total of 8 studies, this meta-analysis shows the effectiveness of PPIs as prophylactic GI bleeding significantly with p < 0.0001, RR = 0.52 (95% CI 0.38-0.71). Regarding safety, PPIs did not significantly increase the risk of pneumonia (p = 0.30, RR = 1.31 (95% CI 0.78-2.20)); and C. difficile infection (p = 0.90, RR = 0.91 (95% CI 0.21-3.85); and it does not impact on the mortality event (p = 0.78; RR 1.01 (95% CI 0.93-1.10). Conclusions: PPIs reduce GI bleeding in ICU patients over the age of 18. PPIs are also safe to use as preventative GI bleeding with no increased risk of pneumonia and C. difficile infection. PPI does not, however, significantly affect the death rates.

COVID-19-related Myocarditis: Current Issue in Pandemic Situation Steven Philip Surya; Rony Marethianto Santoso
Journal of Urban Health Research Vol. 1 No. 1 (2022): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i1.3763

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a worldwide medical issue since it is easily transmitted from human to human. The human angiotensin-converting enzyme-2 (hACE2) expression gives access to SARS-CoV-2 through its affinity with the spike protein of SARS-CoV-2. Right after the patient has been infected with SARS-CoV-2, subsequently, it may lead to COVID-19 related myocarditis. However, there is still no practical guideline and it significantly affects morbidity and mortality status of COVID-19 patient. In this case report, we are showing challenges in diagnose and treat COVID-19 related myocarditis. Case presentation: A-45 years old man was referred to our hospital from Emergency Hospital for COVID-19 Kemayoran Athletes Village with typical chest pain. He felt a crushing sensation in his chest and it was intensifying every minute. The ECG examination showed ST-segment elevation in all precordial lead and inferior lead. His laboratory work revealed a significant increase of inflammation and cardiac troponin marker. His angiography examination came up with non-significant lesion. Unfortunately, biopsy couldn’t be done due to pandemic limitation. We were diagnosing the patient with COVID-19 related myocarditis and one week after treatment he was discharged from hospital. Currently, there were no diagnostic and treatment guideline for COVID-19 related myocarditis. Conclusion: COVID-19 has become a novel glitch in medical practice situations. Not only lung, but it involves many other organs, and the heart is one of the most common organs involved. One of the cardiac complications of COVID-19 infection is COVID-19 related myocarditis. Currently, there is no guideline in diagnosing and treating COVID-19 related myocarditis and we are encouraging the international society to put an eye on it.

The Relationship Between Smartphone Addiction and Attention Among Medical Students at Atma Jaya Catholic University of Indonesia Amelia Prasetyadi; Lenny Gustaman
Journal of Urban Health Research Vol. 1 No. 1 (2022): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i1.3848

Introduction: Smartphone addiction is characterized by a strong attachment to the smartphone that allows the occurrence of social problems and difficulty in performing everyday activities. Cognitive function disruption is one of smartphone addiction’s negative effects, and one component of cognitive function is attention. The prevalence of smartphone addiction in adolescents and young adults was higher since they were relatively more familiar to technology and lacked self-control. The purpose of this study is to determine the relationship between smartphone addiction and attention among medical students at Atma Jaya Catholic University of Indonesia. Methods: An analytical, cross-sectional study was conducted with a total of 82 respondents. The respondents were from the 2016, 2017, and 2018 batch of medical students at Atma Jaya Catholic University of Indonesia and were selected by stratified random sampling. The data were gathered using Smartphone Addiction Scale Short Version (SAS-SV) questionnaire, in order to estimate the prevalence of smartphone addiction and the Stroop Test to measure attention. Results. The majority of the subject were female (70,7%) and aged around 17-21 years. The respondents who were addicted to smartphones were 48,8%, and most respondents who were addicted were using their smartphone for 5-≤7 hours/day (63,3%) and spent their time more on social media (56,7%). The mean attention score was 63,81. The mean attention score for non-smartphone addicts was higher than the addicted ones, but there is no statistically significant correlation between smartphone addiction and attention (p= 0,06). Conclusions. There is no significant correlation between smartphone addiction and attention.

The Relationship Between Smartphone Addiction and Interpersonal Communication among Preclinical Students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia Margaret Clarissa Gunawan; Lenny Gustaman
Journal of Urban Health Research Vol. 1 No. 1 (2022): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i1.3849

Introduction: The high number of smartphone usage throughout the world, including in Indonesia, can increase the likelihood of someone experiencing smartphone dependency. One impact of smartphone addiction is the decline in face-to-face interpersonal communication. Methods: The design of this study was analytic descriptive with a cross-sectional approach involving preclinical students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, who met the inclusion and exclusion criteria. Data was collected using the Smartphone Addiction Scale Short Version (SAS-SV) and the interpersonal communication scale questionnaire. Results: From a total of 135 respondents, it was found that there was a significant relationship between smartphone addiction and interpersonal communication, with a p-value of 0.029 (<0.05). Conclusions: Smartphone addiction has a significant influence on interpersonal communication

The Relationship of Mother’s Knowledge, Attitude, and Behavior Regarding Diarrhea with the Number of Diarrhea Toddlers Taken to The Health Facility Irin Irin; Angela Kurniadi
Journal of Urban Health Research Vol. 1 No. 1 (2022): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i1.3850

Introduction: Diarrhea is the second major cause of death in toddlers in developing countries, including Indonesia. The study aims to determine the relationship between knowledge, attitudes, and behavior of mothers regarding prevention and treatment of diarrhea with the number of toddlers taken to the health facility. Methods: A cross-sectional study was involving 120 mothers who have a child with a history of diarrhea and were recruited using a simple random sampling method. Data were collected using demographic and diarrhea-related questionnaires. Fisher-Exact test was used to analyze data in univariate and bivariate with p-value ≤ 0,05 as the level of significance. Results: Most of the mother’s knowledge, attitudes, and behavior regarding diarrhea were considered fairly good, with the percentage reaching 70,8%; 66,7%; 70,8%, respectively. However, knowledge, attitude, and behavior regarding giving ORS were low. There was a significant relationship between the attitude and behavior of the respondents with the number of diarrhea toddlers taken to health facilities (p = 0,010; p = 0,000), but there was no significant relation with the respondents’ knowledge (p = 0,065). Conclusions: The attitude and behavior of mothers regarding diarrhea significantly affect the number of diarrhea toddlers taken to the health facility. Although the overall knowledge, attitude, and behavior of the mother were considered fairly good, but the knowledge, attitude, and behavior regarding giving ORS were low. Keywords: knowledge – attitudes – behavior - diarrhea – toddlers - health facilities

Association between Physical Activity Level and Sleep Quality in the Elderly Nesya Kartika Dwi Cahya; Ignatio Rika
Journal of Urban Health Research Vol. 1 No. 1 (2022): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i1.3853

Introduction: The increase in a person’s age may cause degeneration in their physiological system, and these changes can affect various bodily functions, one of them is the sleep-wake cycle. The elderly usually have disturbed sleep-wake circadian rhythm that can cause sleep problems and decreased sleep quality. The action that can be done to increase sleep quality is doing physical activity. Methods: This research used cross-sectional study design. The respondents were people who reside in Komplek Taman Pulo Indah and Perumahan Aneka Elok aged 60 and older and were not included in the exclusion criteria (n = 204). The instruments used were the Baecke questionnaire to measure physical activity level and the PSQI questionnaire to measure sleep quality. Data analysis was done in univariate and bivariate using chi-square test with significance level of p<0.005. Results: The prevalence of elderly with low physical activity levels and good sleep quality was 33.8%. Meanwhile, elderly with moderate physical activity levels and good sleep quality was 50%, and elderly with high physical activity levels and good sleep quality was 64,7%. Chi-square test was carried out and resulted in p = 0.002 (p<0.005), which meant the null hypothesis was rejected. Conclusions: There was an association between physical activity level and sleep quality in the elderly.

The Relationship between Excessive Daytime Sleepiness and Cumulative Achievement Index of Medical Student in Atma Jaya Faculty of Medicine Batch 2018 Jessica Clara Andriani; Jimmy Fransisco Abadinta Barus
Journal of Urban Health Research Vol. 1 No. 1 (2022): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i1.3857

Introduction: Excessive Daytime Sleepiness (EDS) is the inability to maintain wakefulness and alertness during the major waking episodes of the day, with sleep occurring unintentionally or at inappropriate times almost daily for at least three months. Poor concentration is commonly reported as a symptom of EDS and frequently disrupt academic performance in the learning activity. This study aims to determine the relationship between EDS and cumulative achievement index (GPA) among medical undergraduates at Atma Jaya Catholic University of Indonesia. Methods: This research is an analytic observation research with cross-sectional data collection on 180 respondents out of the 2018 class of preclinical students at the Faculty of Medicine of the Atma Jaya Catholic University of Indonesia. The data collection methods used were the ESS (Epworth Sleepiness Scale) and cumulative achievement index (IPK) questionnaires. Demographic variables were also measured. Data were analyzed using the statistic software SPSS with a chi-square test (α ≥0,05). Results: From 180 respondents, 52,8% had EDS, 25% of the total had mild EDS, 16,1% had moderate EDS, and 11,7% with severe EDS. The cumulative achievement index found in respondents mostly ranged from moderate (43,3%) to high (42,3%). The rest had low scores. Furthermore, 25% of respondents had a high IPK score with EDS, 22% had a moderate IPK score with EDS, 5,4% had a low IPK score with EDS, 18,5% had a high IPK score without EDS, 22% had a moderate IPK score without EDS, and the rest 7,1% had low IPK score without EDS. Analysis with chi-square showed no significant relationship between EDS and IPK (P=0,425). Conclusions: There was no relationship between excessive daytime sleepiness and cumulative achievement index of medical students in Atma Jaya Faculty of Medicine and Health Batch 2018.

The Association between Knowledge and Attitude of Ergonomic Sitting Position to Sitting Posture and Duration among Medical Students Gilbert Yavin Sutanto; Hadiyanto Usman; Ignatio Rika Haryono
Journal of Urban Health Research Vol. 1 No. 2 (2023): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i2.4088

Introduction: Medical students may spend more time sitting and learning. However, ignorance of the ergonomic sitting position and long sitting duration can lead them to an incorrect sitting position and high sedentary activity. Thus, this study investigated the association between knowledge and attitude towards ergonomic sitting position to sitting duration and posture among medical students. Methods: This cross-sectional study involved 30 students of the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. Data were obtained using a questionnaire. Questionnaires were distributed to participants and consisted of 2 parts, the first part included personal data, while the second part contained knowledge, attitude, and practice (sitting duration and posture). Fisher’s exact test and Fisher-Freeman-Halton were applied. The confidence interval was 95%, and the significance level (alpha) was 0.05. Results: 23.3% of the participants have good knowledge about ergonomics sitting position, 40% have adequate knowledge, and 56.7% have a positive attitude towards ergonomics sitting position. 60% of the participants spent sitting time more than 8 hours a day, and 43.3% of the participants had a straight sitting posture. Fisher’s test showed no significant association between ergonomic knowledge and chair sitting duration (p= 0.933) and ergonomic attitude and chair sitting duration (p= 0.711). Fisher-Freeman-Halton exact test showed no significant association between ergonomic knowledge and sitting posture on a chair (p= 0.699) and ergonomics attitude and chair sitting posture (p= 1.000). Conclusions: There was no association between knowledge of ergonomics sitting position with sitting duration and sitting posture and attitude of ergonomics sitting position with sitting duration and sitting posture. Keywords: knowledge – attitude - sitting duration - sitting posture - sitting ergonomics

The Effect of Snack Consumption on Body Mass Index and Body Fat Percentage in Students During the COVID-19 Pandemic Clemarie Tholib; Prissilia Nanny Djaya
Journal of Urban Health Research Vol. 1 No. 2 (2023): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i2.4089

Introduction: Corona virus disease 2019 (COVID-19) is an infectious disease caused by SARS-CoV-2 and has been determined as a pandemic by the World Health Organization (WHO). As an effort to reduce transmission, the government has announced several policies that encourage working from home, which will increase snack time. This will have an impact on increased calorie intake and risk of obesity. Therefore, it is necessary to identify the effect in young adults that requires balanced nutrition. This study aims to understand whether snacks consumption has an effect on body mass index and body fat percentage in university students. Methods : A total of 76 pre-clinical students from Atma Jaya Catholic University of Indonesia participated in this cross-sectional study, which was conducted during the pandemic. The data was collected using anthropometric measurement, Snacks-Food Frequency Questionnaire, and body fat scale. Chi-square analysis was performed with Statistical Package for the Social Sciences (SPSS). Results : 52.9% of the subjects were female, 42.9% had normal body mass index, 48.6% had normal body fat percentage, 52.9% rarely eats healthy snacks, 51.4% often eats unhealthy snacks. According to statistical calculations, there are significant effects on unhealthy snacks consumption with body mass index (p=0.033) and body fat percentage (p=0.013). Conclusions : There are significant effects of snacks consumption on body mass index and body fat percentage in Atma Jaya Pre-clinical Students during COVID-19 pandemic. Keywords: Young Adult, COVID-19, Snacks Consumptions, Fat Mass, S-FFQ, Body Mass Index

Association between Excess Body Mass Index towards Excessive Daytime Sleepiness among Medical Students at the Atma Jaya Catholic University of Indonesia During the Post-COVID-19 Pandemic Denise Aurellia; Julia Rahadian Tanjung; Laurentius Aswin Pramono
Journal of Urban Health Research Vol. 1 No. 2 (2023): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v1i2.4157

Introduction: Social isolation during the COVID-19 pandemic brought several effects on one’s daily activity, such as reduced physical activity, increased anxiety and stress towards their environment, and a sleep disorder called Excessive Daytime Sleepiness. EDS is often found in undergraduate students. Many factors could cause EDS, one of which is excessive fat consumption. This study was conducted because of the significant impact that COVID-19 brought on EDS and BMI. In addition, due to the high prevalence of excess BMI, the researcher wanted medical students aged 18 years or above as the target. Methods: This study used observational analysis with a cross sectional method. It used Epworth Sleepiness Scale (ESS) questionnaire distributed online from October to November 2022. The respondents were 108 (46 male, 62 female) pre-clinical students from the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia (FKIK UAJ), who met the inclusion and exclusion criteria. A bivariate analysis test was conducted with a chi-square statistical test with p ≤ 0,05. Results: Seventy respondents (64,9%) had Excess Body Mass Index (BMI), thirty-six respondents (78,3%) were male, and thirty four respondents (54,8%) were female. Sixty-eight respondents (62,9%) experienced Excessive Daytime Sleepiness (EDS) post-COVID-19 pandemic; also, forty two respondents (67,7%) were female, and the rest (56,5%) were male. There is a significant association between excess Body Mass Index (BMI) towards Excessive Daytime Sleepiness (EDS). (p=0,002) Seventy respondents (64,9%) had Excess Body Mass Index (BMI), thirty-six of them (78,3%) were male, and the other thirty-four (54,8%) were female. Sixty eight respondents (62,9%) experienced Excessive Daytime Sleepiness (EDS) post COVID-19 pandemic; also, forty-two respondents (67,7%) were female, and the rest (56,5%) were male. A chi-square statistical test was used, and the results found that the p-value equals 0.002. Conclusions: There is a significant association between excess Body Mass Index (BMI) towards Excessive Daytime Sleepiness (EDS) in medical students of the Atma Jaya Catholic University of Indonesia post- COVID-19 pandemic. Keywords: Post COVID-19 - Excess Body Mass Index - Excessive Daytime Sleepiness – Medical Students – Pandemic

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Contact Name
Nawanto A. Prastowo

Contact Email
nawanto.agung@atmajaya.ac.id

Phone
-

Journal Mail Official
juhr@atmajaya.ac.id

Editorial Address
Kamous FKIK Atma Jaya, Pluit Selatan Raya no 19, gedung L lt 8

Location
Kota adm. jakarta selatan,

Dki jakarta

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Nawanto A. Prastowo

Contact Email nawanto.agung@atmajaya.ac.id

Phone -

Journal Mail Official juhr@atmajaya.ac.id

Editorial Address Kamous FKIK Atma Jaya, Pluit Selatan Raya no 19, gedung L lt 8

Location Kota adm. jakarta selatan, Dki jakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Nawanto A. Prastowo

Contact Email
nawanto.agung@atmajaya.ac.id

Phone
-

Journal Mail Official
juhr@atmajaya.ac.id

Editorial Address
Kamous FKIK Atma Jaya, Pluit Selatan Raya no 19, gedung L lt 8

Location
Kota adm. jakarta selatan,

Dki jakarta

INDONESIA