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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 142 Documents
 11   12   13   14   15 
THE CORRELATION OF LEFT VENTRICULAR MECHANICAL DISPERSION AND LEFT VENTRICULAR EJECTION FRACTION WITH QT DISPERSION IN END-STAGE RENAL DISEASE PATIENTS ON HEMODIALYSIS BEFORE AND AFTER DIALYSIS Harry Pribadi; Agnes Lucia Panda; Benny Mulyanto Setiadi
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.4152

Abstract

Background: Ventricular arrhythmias (VA) is common in dialytic patients. Left Ventricular Mechanical Dispersion (LVMD) could provide an inhomogeneous of left ventricular myocardium contraction lead to VA. Reduced Left Ventricular Ejection Fraction (LVEF) and QT Dispersion (QTd) are well-known VA predictors in dialytic patients. This study aimed to determine the relationship between LVMD and LVEF on QT dispersion in ESRD patients before and after dialysis. Methods: This cross-sectional study was conducted in November 2021 - February 2022. All study subjects who met the inclusion criteria underwent history taking and physical examination including age, sex, body weight, body height, electrocardiography, echocardiography, and routine laboratory studies. Results: Among 43 subjects, 24 (55.8%) were male, with mean age of 51,14±11,6 was conducted in this study. The most common comorbidities were hypertension (79%) and diabetes mellitus (44.19%). Pre-dialysis LVMD mean was 28.99±15.98 ms and significantly decrease to 24.16±15.77 ms after dialysis (p
PANCOAST TUMOR : A CASE REPORT Epriyanto Tri Darmadi; Ivan Tjokrowinoto
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.3864

Abstract

Introduction: Pancoast tumor, or superior sulcus tumor, is defined as a tumor that grows on the thoracic inlet or grows on a pleuropulmonary peak that is found beyond the initial cost. These tumors may invade upper ribs, muscle, vertebral, subclavian vessels, the inferior portion of brachial plexus, sympathetic nervous system, and stellate ganglion. Pancoast tumors are mostly caused by non-small cell lung cancer. Case description: A 59-year-old man came to the emergency room with complaints about a lack of pain in his left chest. Other symptoms reported by the patient include chest discomfort, stiffness, pain rising and subsiding on the left arm that may spread back and forth, and weight loss. Chest CT Scan with contrast shows a heterogeneous mass appears at the tip of the left lung, pushing the upper lobe of the left lung, bronchiectasis at the lower lobe of the left lung, destruction of the left coastal bones 1, 2, and 3, and tracheobronchial supero-inferior lymphadenopathy. Anatomical pathology results round cell tumors favor adenocarcinoma with poorly differentiated metastasis Discussion: Diagnosis of Pancoast tumor is supported by patient symptoms, imaging results, and biopsies. This patient's complaints and symptoms are unusual, leading doctors to believe that the cause is not a Pancoast tumor. Keep in mind that Pancoast Tumors aren't the only thing that can cause Pancoast syndrome, though they are the most common. The results of this patient's biopsy rule out other causes of Pancoast tumor and are consistent with the cause of Pancoast tumors, namely adenocarcinoma, a type of non-small cell lung cancer. Conclusion: Chronic and progressive complaints and unintentional weight loss become "red flags" that may indicate the start of the malignancy process. A good clinical approach can help detect these tumors early, improving the patient's prognosis.
IMPACT OF DIABETES MELLITUS AS A COMORBIDITY OF COVID-19 PATIENTS TREATED AT PANTI NIRMALA MALANG: REVIEWED FROM COAGULATION PARAMETERS Winarko Luminturahardjo; Hustorio Aliongko Simamora; Evan Kurniawan Gianto
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.4321

Abstract

Background: Treatment of COVID-19 patients with comorbid like diabetes mellitus as more consequences such as greater mortality risk and prolonged hospitalization. One of the reasons is caused by a hypercoagulable state. Aim: To prove the difference in coagulation parameters of platelet count, C-Reactive Protein, and D-dimer between Covid-19 patients with diabetes comorbidity and without diabetes, and to analyze the correlation between coagulation parameters with the stage of pneumonia caused by Covid19. Methods: The design is a cross-sectional study. The sample was collected from patients registered whose hospitalized in an isolation ward at Panti Nirmala Hospital Malang from April to October 2021. Coagulation parameters (platelet counts, C-reactive protein (CRP), and D-dimer level) were measured from 134 patients, divided between 40 patients with diabetes mellitus and 94 patients without diabetes mellitus. Statistical analysis was performed by software SPSS 24, the version year 2016. Results: Among 134 COVID-19 patients who had diabetes and no diabetes comorbidity, there are results: no significant difference in average platelet counts between the two groups (p=0.763), and the difference in C-reactive protein is significant between the two groups (p=0.076), and the difference of D-dimer level is not significant between them (p=0.593). There is a positive correlation between CRP and D-dimer level with the stage of COVID19 pneumonia (r=0.000 and r=0.134), and on the other hand, there is a negative correlation between platelet counts with the stage of pneumonia (r=-0.126). Conclusion: COVID-19 patients hospitalized with diabetes mellitus tend to have more severe conditions marked by a higher level of coagulation parameters and correlate with the severity of pneumonia.
CORRELATION BETWEEN BODY MASS INDEX AND INTRAOCULAR PRESSURE AT PRIMASATYA HUSADA CITRA HOSPITAL, SURABAYA Titiek Ernawati; Rofiqi Rofiq; Okky Imanuel Samatha; Lani Diana
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.3588

Abstract

Background: Obesity currently becomes a major public health problem globally with the increasing prevalence in most countries. In some studies, an increase in body mass index above normal values has been suggested as an independent risk factor associated with increased intraocular pressure, which can progress to glaucoma. Objective: To analyze the relationship between body mass index and intraocular pressure. Material and Method: The design of this study was cross-sectional with a observational analytic approach, which was conducted during the period September-October 2021, at Primasatya Husada Citra Hospital, Surabaya. The statistical analyses were done using SPSS 22.0. P value of 0.05 or less was considered statistically significant. Result: The study of 100 subjects found significant difference in intraocular pressure in both right and left eyes between subjects with normal, overweight, and obese. This study also found a positive correlation between BMI and intra-ocular pressure of the right eyes and left eyes. Conclusion: Our result show that there was a statistically significant relationship between increased BMI and intraocular pressure. An increase in BMI is associated with an increase in intraocular pressure.
SARS-COV-2 (COVID-19) EXAMINATION USES ANTIGEN SWAB FOR COMPANY’S EMPLOYEES IN SURABAYA ON JULY – AUGUST 2021 Lukas Slamet Riadi; Yudhiakuari Sincihu; Mulya Dinata; Vincentius Diamantino Supit; Juanita Harrisa; Putri Lisdiyanti
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.4322

Abstract

Background of the problem: Since 2020, all the countries in the world has been rocked by Covid-19 (Sars-Cov-2) pandemic. Since July 2021, Indonesia became Covid-19 epicentrum with the highest mortality 2.048 people in the world on 10th August 2021. Covid-19 supporting diagnosis checkup uses RT-PCR and Antigen rapid test, this was based on the Indonesian Health Minister instruction about the uses of antigen test for 2019 Corona Virus Disease checkup. Method: This research uses cross sectional, retrospective analytic study by seeing the data that was taken from SARS-Cov-2 antigen rapid test from some location of companies in Surabaya. The swab data is from Sentra Medika Clinic Surabaya by using nasopharyngeal and nasal antigen SARS-CoV-2 rapid test kit (immunochromatography method). Result: The main data of labor’s characteristics is 6033 people. The highest number was on July to August 2021 on the age range of 30-39 years old (39,70%), meanwhile at the age of 60-69 years old is 0,45%. In the case of Covid-19 virus infection, the highest number of positive antigen was at the age range of 30-39 years old was 64 people (41,30%), whereas 2 people (1,30%) were at the age range of 60-69 years old. At the age more than 60, the number of case is not many but the statistic analytic result shows that age influences P0,05 (P 0,260) Covid-19 Antigen swab test result. The case spike happened on July 2021, 153 people were positive of Antigen swab test: 141 people were men (92,16%) and 12 people were women (7,84%). On August 2021, 2 men were positive (100%). Conclusion: The result of the research in July 2021 shows that the highest numbers of labor are at the age of 30-39 years old. The risk of Covid-19 infection mostly at men. Whereas Covid-19 infection risk is at the age of 60-69 years old are in small amount. Age influences the result of Covid-19 Antigen swab test. Meanwhile, gender does not influence the result of Covid-19 Antigen swab test.
BODY IMAGE WITH EATING PATTERNS STUDENTS STIKES SANTA ELISABETH MEDAN Nagoklan Simbolon; Pomarida Simbolon
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.3748

Abstract

Background: Students are individual figures who are in the process of changing from childhood to adulthood. These changes occur both physically, biologically as well as psychologically and socially. These physical changes depend on a person's diet which will build a body image or body image to a good or bad direction. This happened at STIKes Santa Elisabeth Medan, namely the eating pattern of 30% of STIKes students was not good. The purpose of the study was to determine the relationship between body image and diet in students at STIKes Santa Elisabeth Medan. Methods: the method used is descriptive analytic by using a cross sectional approach. The sample in this study amounted to 110 people with simple random sampling technique. Data analysis with chi-square test. Results: the results showed that the majority of respondents' body image was negative (71, 8%) and the majority of respondents' eating patterns are sufficient (54.6%). The results of the chi-square statistical test obtained p-value = 0.001 (p < 0.05), so there is a relationship between body image and diet in STIKes Santa Elisabeth Medan students. It is hoped that the campus will provide counseling to students so that body image is controlled.
CLINICIAN’S VIEW ON THE IMPORTANCE OF RADIOLOGY REPORT IN THEIR DAILY PRACTICE Gregorius Adista Enrico Astawa; Yohana F. Cahya Palupi Meilani
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.3952

Abstract

Bacground: A radiology report is a medicolegal document and formal communication between a radiology radiologist and referring physician/clinician. The failure of radiologists to communicate good quality reports often occurs in the process of patient diagnosis. This study aims to determine the clinician’s view on the importance of radiology reports in patient management of their daily practice in Papua and West Papua. Method: One hundred and eighty-four general practitioners and internship doctors answered an online questionnaire distributed randomly. Forty-five indicators assessed the accessibility to radiology reports, the importance of radiology reports, attached clinical information, clinician satisfaction, structure, and content of radiology reports. This study has seven variables with six paths tested using the Structural Equation Modeling (PLS-SEM) analysis method based on Partial Least Squares based using SmartPLS. Result: Data analysis showed that radiology reports, clinical information, clinician satisfaction, and structure of radiology reports had a positive and significant effect on patient management, while accessibility and content of radiology reports had no significant effect on patient management. Conclusion: Clinicians thought the radiology report was an important medical document that has a role in patient management of their daily practice.
CHARACTERISTICS OF MATERNAL PREGNANCY AND CHILDBIRTH IN PAYANGAN SUB-SUB-DISTRICT, BALI Anny Eka Pratiwi; Ni Made Hegard Sukmawati
JURNAL WIDYA MEDIKA Vol 9, No 1 (2023): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v9i1.4137

Abstract

Health and nutrition during pregnancy has a close relationship with child development. Poor nutritional status during pregnancy can have an impact on fetal growth restriction (FGR), low birth weight (LBW) and stunting. Efforts to reduce the prevalence of stunting in Indonesia are carried out through the 1000 days of life program. The Faculty of Medicine and Health Sciences (FKIK) of Warmadewa University integrates the first 1000 days program in the field of education through the implementation of community-oriented medical education. This study aims to provide an overview of the characteristics of pregnancy and childbirth obtained by the first 1000 days program in the Payangan Sub-District, Bali Province. This research was a descriptive study using secondary data sourced from the survey of the Community Oriented Medical Education 1000 Days Early Life education program conducted by FKIK Warmadewa University. The research subjects were pregnant women who lived in the Payangan sub-Sub-District, Gianyar Regency, Bali in 2019-2020. The total number of subjects in this study were 110 people. The data collected consisted of data on demographic characteristics, pregnancy, childbirth, and diet. Of 110 Pregnant women in Payangan Sub-District in 2019-2020, 48% showed an average normal body mass index, most (76%) pregnant women in this region had no history of disease and high and very high-risk pregnancy was found in 61% of the subjects. The diet, environment and family APGAR mostly were considered good, namely in 86%, 72%, and 100% respectively. Most deliveries were by cesarean section, i.e., 59% and most did not have delivery complications (85%).
GRAVES DISEASE Prettysun Ang Mellow
JURNAL WIDYA MEDIKA Vol 9, No 1 (2023): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v9i1.4510

Abstract

Graves' disease is one of the most common autoimmune diseases. The disease is named after the scientist Robert James Graves, who first described it in the 19th century as a syndrome with an enlarged and overactive thyroid gland (hyperthyroidism due to circulating autoantibodies), rapid heart rate, and eye abnormalities. graves’ disease is the most common cause of hyperthyroidism and affects more women than men. Graves’ disease can appear at any age, but it most commonly appears for the first time between the ages of 20 and 40. Factor is a predisposition that is more dominant than environmental factors. There are circulating autoantibodies produced by B lymphocytes induced by autoreactive T lymphocytes that recognize thyrotropin-stimulating hormone (TSH) receptors in thyroid tissue as self-antigens. These autoantibodies are also known as TSH receptor antibodies (TSH-R Ab), thyrotropin stimulating antibodies (TSI), or thyrotropin receptor antibodies (TRAb). TRAb acts like TSH to cause thyroid hyperplasia (diffuse goitre), increased synthesis, and excessive and uncontrolled secretion of thyroid hormones (T4: tetraiodothyronine T4 and T3: triiodothyronine T3). Investigations to confirm Graves’ disease show elevated thyroid hormones (T4 and T3) with very low TSH and increased TRAb. On thyroid ultrasound, the majority of patients have a hypervascular and hypoechoic diffusely enlarged thyroid gland. The treatment for graves’ disease is to reduce the synthesis of thyroid hormones using anti-thyroid drugs, or to reduce the amount of thyroid tissue with radioactive iodine (RAI) or total thyroidectomy. Methimazole is the first-choice antithyroid drug with good effectiveness and safety. Although the recurrence rate after stopping the drug is still quite high
HYPOGLYCEMIC, ANTI-INFLAMMATORY EFFECT OF PORANG (AMORPHOPHALLUS ONCHOPYLLUS) ON ALLOXAN-INDUCED DIABETIC RATS Andre Young; Bernadette Dian Novita; Evan Ricardo; I.G.A.P.D Dewi; Jovan Amadeo; Sianty Dewi; Paul Tahalele
JURNAL WIDYA MEDIKA Vol 9, No 1 (2023): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v9i1.4173

Abstract

Introduction: Iles-iles / Porang is a tuber-producing plant that is commonly found in Indonesia. One of the most sought after content from Porang is Glucomannan. One of Porang’s health benefit is related to the effect of lowering blood glucose levels because it can prevent glucose absorption. These benefit is interesting to study because there has been no research linking the use of Porang to reduce inflammatory process in hyperglycmic conditions. Purpose: This study aims to analyze the anti-inflammatory, anti-oxidant and hypoglycemis effects of Glucomannan from Porang (Amorphophallus onchophyllus) extract in experimental animals. Method: The research design was a true experimental post-test only control group with random sampling to determine 5 white rats into the normal group, positive control group, negative control group and treatment 1, 2 and 3. The positive control group received Acarbose therapy thile the negative control group received carboxy-methyl-cellulose (CMC) therapy. This study used Porang extract (Amorphophallus onchophyllus) with concentrations of 200, 400 and 800 mg/Kg in hyperglycemic white rats that had been induced by Aloxan. The study was conducte for 50 days and then blood and serum samples were taken to assess the effect of hypoglycemia, anti-inflammatory and anti-oxidant using blood glucose, Malondialdehyde and C-reactiveprotein (CRP) measurement. Result and Discussion: The results showed no significant difference between the groups of rats receiving Porang extract and the positive and negative control groups. However, the MDA levels after 50 days of intervention between the negative control group and the therapy with doses of 200, 400 and 800 mg/Kg showed significant differences. Similarly found for blood glucose levels after intervention between negative control group and the 200 and 400 mg/Kg therapy group. This results may be caused by the type of Porang used, the form of the Porang and the concentration level of the Porang extract. Conclusion: Porang with the type of Amorphophallus onchophyllus can’t be used directly, but requires further processing to obtain the active substance Glucomannan.

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