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JURNAL WIDYA MEDIKA
Published by Universitas Katolik Widya Mandala Surabaya
ISSN : 23380373     EISSN : 26232723     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Arjuna Subject : -
Articles 8 Documents
 1 
Search results for , issue "Vol 7, No 1 (2021): April" : 8 Documents clear
MANAGEMENT OF PSEUDOANEURYSM ON ARTERIOVENOUS FISTULA: SERIAL CASES FROM WEST JAVA Prasetyo Edi; Radityo Utomo
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.v7i1.3166

Abstract

Background: Pseudoaneurism is one of the many complications of dangerous AV shunt procedure. Their diagnosis and surgical treatment are important, because they can cause severe disability, including loss of upper extremity and hand. The usual techniques of pseudoaneurysm has 2 types, Ligation and patch with Fogarty thromboembolectomy. Objective: Here we reported 3 case of ruptured anastomotic and ruptured vein pseudoaneurysm of brachiocephalic arteriovenous fistula which has undergone surgical procedure. Methods: First case, a 29-years-old man presented with 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 the surgery had been done. Second case, a 55-years-old patient presented with swelling, boils, and extreme pain in her left arm since 3 months ago. The patient's family said that the patient was often stabbed during multiple times of hemodialysis in the same place. Third case, a 65-year-old male patient, The patient fell from the motor 3 days ago, his right hand hit the motorcycle handlebar. The patient's AV fistula ruptured, was then taken to the hospital, the nurse dressing the wound, then planned for surgery. 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: The management of pseudoaneurysm can be done with different surgical methods depending on the cause and condition of the blood vessels. The management of pseudoaneurysm is not intended to save AVF but to save the patient from limb salvation and amputation.
MANAGEMENT OF EARLY GRAFT FAILURE POST CORONARY ARTERY BYPASS GRAFTING: A CASE REPORT Heston Napitupulu; Lisca Namretta; Sheila Giusti; Maizul Anwar
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.v7i1.2815

Abstract

Background: Early postoperative graft failure after coronary artery bypass grafting (CABG) is still a significant problem that results in high morbidity and mortality. It is associated with early graft thrombosis, anastomotic stenosis, bypass kinks, overstretching or tension, significant spasm, and incomplete revascularization. Case Report: 67 years-old male with Coronary Artery Disease involving three vessels (CAD 3VD) underwent CABG surgery. Direct post-operation electrocardiograph (ECG) shown changes in ST segments (elevation on anterior leads and depression on inferior leads) with a significant increase of cardiac markers level. Post-operative coronary angiography revealed an occluded left internal mammary artery (LIMA) graft and native left anterior descending artery (LAD) blockage. Patients’ hemodynamics was not stable, and was urgently underwent an off-pump redo CABG. Intraoperatively we found thrombus at LIMA and saphenous vein graft (SVG) – right coronary artery (RCA) grafts that were caused by atheroma and dissection on anastomotic side. Discussion: The diagnosis of myocardial infarction (MI) remains a clinical challenge since patients are unable to express classic clinical symptoms. Routine ECG combined with cardiac biomarkers are beneficial in diagnosing MI post CABG, and percutaneous coronary angiography (PTCA) is useful in detecting the patency of the grafts. Although percutaneous coronary intervention (PCI) is preferable in the case of anastomosis problem with stable hemodynamic, redo CABG shows more benefit in salvaging infarcted myocardium in patients with unstable hemodynamic. Conclusion: Redo CABG surgery with new or additional grafting may save myocardium and preserve its function in perioperative infarct caused by graft failure.
EPIDEMIOLOGIC STUDY OF ENDOMETRIAL LESION CHARACTERISTICS BY AGE IN PATHOLOGY DIAGNOSTIC CENTER IN SURABAYA 2015-2017 Sianty Dewi; Imelda Theodora; Bernadette Dian Novita; Yulia Widyasari; Ricardo Gunadi; Maria Amelia Suhardi; Vincentius Diamantino Supit
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.v7i1.3167

Abstract

Background: The etiology of endometrial lesions varies from benign to malignant. Early detection and management of malignancy give the best prognosis for the patient. While studies in America and Europe report a 3-5% risk of malignancy in women below 50 years and a significant increase up to 75-80% in postmenopausal, the availability of national epidemiologic data is limited, therefore the study is held.Method: A descriptive- retrospective study. Total sampling obtained from endometrial specimens in Pathology Diagnostic Center-Prof JH Lunardhi, Sp.PA(K) from 2015 to 2017, while gestation-related, inadequate sample, and incomplete report are excluded. Data analyzed by IBM SPSS 23.0 version. Result: Data of 560 samples, 90% from curettage, 8% hysterectomy, and 2% hysteroscopy. The majority belonged to the 40-49 age group (44.3%). Secretory phase endometrium is the most common finding in the age group of 20-29 years (26.9%). Proliferative phase endometrium is the most common finding. The highest incidence of endometrial hyperplasia occurred in the age group of 40-49 years, for both typical and non-atypical. Endometrial malignancy was found mostly in the 50-59 years (37.03%). Conclusion: The prevalence of endometrial lesions differed according to age groups, with physiological changes, endometritis, polyps, and hyperplasia were most common under 50 years old and the risk of malignancy increased 4.39 times (p.00) beyond 50 years old.
A CASE REPORT OF 23-YEARS-OLD YOUNG WOMAN WITH PERICARDIAL EFFUSION IN SYSTEMIC LUPUS ERYTHEMATOSUS DIAGNOSED WITH ECHOCARDIOGRAPHY AND CT-SCAN Sidhi Laksono; Steven Philip Surya
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.v7i1.2862

Abstract

Pericardial effusion is not daily case in emergency room (ER). It has wide spectrum of etiologies and one of them are autoimmune diseases like systemic lupus erythematosus. PE in SLE patient could increase morbidity and mortality rate. The clinical manifestation and laboratory finding might not specific. Imaging modalities, such emergency echocardiography and CT scan, are important to diagnose Pericardial Effusion (PE) and evaluation beyond to the adjacent structures. We presented a 23 years-old female with diagnosis of systemic lupus erythematosus (SLE) and cardiac involvement of PE that diagnosed with imaging modalities echocardiography and CT scan. In this case, echocardiography is the most available and reliable imaging modality for pericardial effusion and CT usually obtain to try and clarify or to rule out the cause of an effusion rather than just to confirm the diagnosis.
AN ANIMATED MODELS DEVELOPMENT OF CARDIOVASCULAR SYSTEM IN PHARMACOLOGY LEARNING MODULE FOR MEDICAL STUDENTS Bernadette Dian Novita; Paul L Tahalele; Gerardo AK Laksono
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.v7i1.3168

Abstract

Hypertension is the most known common cardiovascular disease. Based on the Indonesian Competency Standard of Medical Doctors (StandarKompetensiDokter Indonesia or SKDI), the management of essential hypertension is at 4A or the highest level. Therefore, doctors should be able to establish a complete and independent diagnosis and management. The student passing rate in the cardiovascular system at the undergraduate level of medical education of Faculty of Medicine Widya Mandala Catholic University (FK UKWMS) was around 60-70%. This study is an evaluation to develop learning methods that would improve student learning outcomes. The development of this animation model is aimed to increase the engagement process in Pharmacology learning, especially in the cardiovascular system. 98 active students participated in this study, divided into 74 undergraduate students and 24 clinical internship students. The evaluation was carried out using a pre-test and a post-test related to pharmacological animation video exposure. Using the Wilcoxon different test, there was a significant difference between the pre-test and post-test results, especially in the clinical internship program’s students. This animated model was expected to help students to determine the rational determination of hypertension therapy.
EFFECTS OF ETHANOL-BASED ANTISEPTIC SOLUTIONS AGAINST GRAM NEGATIVE BACTERIA Laura Wihanto; Handi Suyono
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.v7i1.2833

Abstract

Introduction : Gram-negative bacteria infections cause diseases namely skin infection until sepsis including nosocomial infection. Prevention by antiseptic application is the way to inhibit infection. Some antiseptic compounds that have been used show resistance according to some reports. Aim: Determine the efficacy of ethanol-based antiseptic solutions against Gram-negative bacteria Methods : Discs saturated with ethanol-based antiseptic solutions were affixed to Muller Hinton agar which had been smeared by Acinetobacter baumannii ATCC BAA-747, Pseudomonas aeruginosa ATCC 27853, Klebsiella pneumonia ATCC BAA-1706, Escherichia coli ATCC 25922, Salmonella sp. , and Proteus vulgaris ATCC 6380. The diameter of the inhibition zone was read after 24 hours. Solutions are considered sensitive if the zone of inhibition of growth diameter is more than 6 millimeters (Kirby-Bauer disc diffusion method). Result : Acinetobacter baumannii and Salmonella sp is sensitive to solution consisting of ethanol 80 % and ethanol 80 %+ H2O2 0,15% . Pseudomonas aeruginosa and Eschericia coli is sensitive only to solution consisting of ethanol 80 %+ H2O2 0,15% As for Klebsiella pneumonia and Proteus vulgaris, they are resistance to both solutions. Conclusion: The use of ethanol-based antiseptic solutions with or without H2O2 0.15% addition may not effectively eliminate all gram-negative bacteria from the environment. The addition of 0.15% H2O2 to the antiseptic solution showed a better barrier effect than the solution containing only 80% ethanol. Adding other additives needs to be investigated further to formulate a better antiseptic solution against Gram-negative bacteria.
CORRELATION BETWEEN BREASTFEEDING AND 3 – 24 MONTHS OLD CHILDREN DEVELOPMENT IN KEPUTIH HEALTH CENTER SURABAYA Chatrine Evania Palangan Sangka; Sri Umijati; Nur Rochmah
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.v7i1.2879

Abstract

Children's developmental disorders were increased in Indonesia. One of the factors affecting 3 – 24 months old children development is breastfeeding. However, in several studies, the correlation between the two was still uncertain. This study aimed to determine the correlation between breastfeeding and 3 – 24 months old children development with a cross-sectional study design. Randomly selected 78 mothers who had 3 – 24 months old children at the Keputih Health Center Surabaya. Researchers interviewed mothers about breastfeeding duration and breastfeeding method, as well as their children's development based on Prescreening Developmental Questionnaire (PDQ). Researchers also assessed children's development to answer PDQ. The correlation between breastfeeding and children’s development was then analyzed using the Chi-Square test. Exclusive breastfeeding was widely obtained in children with overall development (83.3%) and fine motor aspects (85.7%) at the appropriate age. Direct breastfeeding was widely obtained in children with speech and language development at the appropriate age (81.9%). Breastfeeding duration was related to overall children’s development (p=0.014) and fine motor aspect (p=0.025). The breastfeeding method was related to children's speech and language aspects (p=0.018). Breastfeeding duration was related to overall children’s development, particularly in the fine motor aspect. The breastfeeding method was related to children's speech and language aspects.
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.

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