JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga

Journal Information
ISSN / EISSN : 1907-3623 / 2684-9453
Published by: Universitas Airlangga (10.20473)
Total articles ≅ 60
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Khoirun Nada Salsabila, Khairina Khairina, Lilik Djuari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 48-53; https://doi.org/10.20473/juxta.v12i22021.48-53

Abstract:
Introduction: Risk factors for suicide ideation or suicide are the history of mental illness, family history with suicide or depression, and having suicide attempts. This study aimed to determine patients with mental disorder profiles that had suicide ideation and never had suicide ideation. This study also aimed to identify the intensity of suicide idea and history of suicide attempts at a subject that had suicide ideation.Methods: This was a descriptive observational study. This study was conducted using C-SSRS questionnaires and some additional interviews with chronic mental disorder patients in the Psychiatric Ward, Dr. Soetomo General Hospital, Surabaya.Results: Total patients that had suicide ideation were 11 patients, consisted of 8 patients with schizophrenia, and 2 patients with bipolar disorder. The mean length of illness was 16.55 years, GAF Scale when suicide ideation appeared was at range 40-31 until 60-51. GAF Scale got better in range 60-51 until 80-71, mostly in teenagers and adults when suicide ideation appeared, primarily women. Many of them were unemployed, had lower income, did not have income, and were non-college graduates. The total subjects that never had suicidal ideation were 23 patients, 2 of them with depression, mean age of illness onset was 12.04 years old, the balance between women and men, some of them were sellers and worked in a private field, with income range between 2 until 5-6 million, and few of them were college graduates.Conclusion: Suicide ideation was mostly found in some subjects with younger age, had longer length of illness, had lower GAF Scale, primarily women, unemployed, had lower income, and had lower education.
Fania Ayu Wardani, David Sontani Perdanakusuma, Diah Mira Indramaya
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 84-89; https://doi.org/10.20473/juxta.v12i22021.84-89

Abstract:
Introduction: Keloid and hypertrophic scar are pathological scars resulting from excessive accumulation of collagen in wound healing process. Data about profiles of keloid and hypertrophic scar are rarely found in Indonesia. Therefore, it is necessary to conduct research related to keloid and hypertrophic scar. This study aimed to provide valuable data for further research.Methods: This was descriptive retrospective study evaluating 105 patients treated for keloid and hypertrophic scar from 2014 to 2017 using medical records of working-age patients.Results: Mostly in patients between 17-25 years old (40%). Comparison between male and female patients were 1.07:1 (keloid) and 1.09:1 (hypertrophic scar). As many as 10.71% of patients of keloid and 17.39% patients of hypertrophic scar were private employees. 23.21% patients with keloid and 23.91% patients of hypertrophic scar were Javanese. 14.29% patients of keloid and 19.57% patients of hypertrophic scar tend to have daily indoor activities. 17.86% patients of keloid and 26.09% patients of hypertrophic scar felt dark-skinned toned. Most keloid scars were caused by traumatic lesions (32.14%), located on the chest (19.54%), and treated by corticosteroid injection. Hypertrophic scar mostly caused by burn injury (54.35%), located on the face (29.55%), and treated by excision surgery.Conclusion: Both keloid and hypertrophic scars were mostly developed in 17-25 years old, male, private employees, Javanese ethnic, dark skin tone patients, with daily indoor activities, caused by traumatic lesion and located on the chest, earlobe, and hand, treated by corticosteroid injection (keloid). Meanwhile, hypertrophic scars are mostly caused by a burn injury on the face and treated by excision surgery.
Haris Rasyid Ridho, , Widati Fatmaningrum,
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 66-71; https://doi.org/10.20473/juxta.v12i22021.66-71

Abstract:
Introduction: One of the causes of acute kidney injury that is increasingly soaring is preeclampsia syndrome. Globally, the maternal mortality rate reaches 287,000 per year, and preeclampsia is a major contributor. From East Java Provincial Health Office data, per 100,000 pregnancies, 114 had preeclampsia syndrome. Anemia is one of the highest causes of maternal death, the global prevalence of anemia in pregnant women reaches 55.9%. There have not been many significant studies on the effect of anemia with the incidence of preeclampsia.Methods: This was observational analytic study with a case and control design which used a chi-square and fisher exact measurement tool. The data samples were patients of pregnant women who had preeclampsia syndrome categorized as cases, and those who did not have preeclampsia were categorized as controls. The data has been obtained from medical records; these include ages, the number of parities, the number of pregnancies, body mass index (BMI), the number of childbirths, types of preeclampsia, and hemoglobin levels. The data has been obtained from the result of the medical record observations that were processed and analyzed in descriptive of statistics which used percentage and cross tab.Results: The case study group or preeclampsia pregnant women who experienced anemia were 34 patients or 50% of 68 pregnant women and in the control group were 53 patients or 39% of anemia patients out of 136 patients. The chi-square statistical test obtained values (p = 0.133). The samples needed were 68 case groups and 136 cases as controls.Conclusion: There was no relationship between anemia and preeclampsia.
Ismi Masyithah, , Eko Budi Koendhori
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 57-60; https://doi.org/10.20473/juxta.v12i22021.57-60

Abstract:
Introduction: Ventilator-associated pneumonia (VAP) is one of the most common nosocomial infections in the intensive care unit (ICU). Mechanically, ventilated patients have a higher risk of VAP. VAP can increase morbidity, mortality, and treatment costs. However, Indonesia lacks data about VAP. The objective of this study was to find out the characteristics of VAP in Dr. Soetomo General Hospital, Surabaya, in the period of August 2017 until August 2018.Methods: This was a cross-sectional study by assessing medical records of the patients in ICU. The variables observed in this study were age, gender, outcome, length of stay in the ICU (LOSICU), and primary diagnosis. The inclusion criteria were the patients who have been using mechanical ventilation at least 2 x 24 hours in the ICU and confirmed VAP. The data were analyzed descriptively by using Microsoft Excel 2016.Results: A total of 18 VAP patients were diagnosed. VAP patients were dominated male (55.6%). The mean of LOSICU was 22.83 ± 11.24 days, and the mortality rate of VAP patients was high (55.6%). 30% of VAP patients had Guillain-Barre Syndrome (GBS) as the primary diagnosis, and 16.65% had Congenital Heart Disease (CHD).Conclusion: Most VAP patients were male and had prolonged stays. The mortality rate of VAP patients was still high. GBS was the most frequent of primary diagnoses in patients with VAP and also CHD.
Fajrinka Pralampito, Agus Sulistyono, Sri Purwaningsih
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 54-56; https://doi.org/10.20473/juxta.v12i22021.54-56

Abstract:
Introduction: Preeclampsia is a condition of hypertension that occurs after 20 weeks of gestation, followed by the detection of protein in the urine sample, and is one of the major causes of maternal mortality. It is categorized, based on time of gestation, into 2-stage are early and late-onset. One of the more accessible tools in diagnosing and also preventing preeclampsia is by its risk factors. The aim of this study was to observe the appearance of some of the risk factors in patients with late-onset preeclampsia and to allow a better approach in patients with said comorbidities.Methods: This was a descriptive observational study. The sample used was 35 patients diagnosed with late-onset preeclampsia in Dr. Soetomo General Hospital Surabaya from January to December 2016.Results: Among 35 patients diagnosed with late-onset preeclampsia, obesity (65.71%) appeared the most. Maternal age (37.15%) and primigravida (28.57%) appeared in second and third places. Chronic hypertension appeared only in 6 (17.14%) patients, whereas multiple pregnancies appeared in 3 (8.57%). Both patients with a history of previous preeclampsia and diabetes mellitus only appeared once (2.86%).Conclusion: Obesity has the most appearance in patients with late-onset preeclampsia, followed by maternal age and primigravida.
Rufina Adelia Widyatama, , Dwi Susanti
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 77-83; https://doi.org/10.20473/juxta.v12i22021.77-83

Abstract:
Introduction: Fastest developmental period of infants is on their first six months of life. However, smoking is a habit in Indonesia, done mostly by adult male (47.5%) on 30-34 years old group (33.4%) which can harm others, especially their family. Secondhand smoke, defined as environmental smoke that contains more than 4,000 dangerous chemicals, is the major cause of cigarette exposure, and home is the main place where children get exposed. Exposure of secondhand smoke can affect fetal brain, specifically on neurodevelopment stage, which can affect infant development.Methods: This study used analytic observational with cross sectional approach. Sampling method of the study was cluster sampling. This study involved 103 subjects who came to the selected primary health center. Data of smoking family was collected by interview, and infant’s development examination was done by the screening tool Pre-Screening Development Questionnaire (KPSP). Data were analyzed by chi-square correlation test between smoking habit and infant's development.Results: Number of infants in families with smoking habit were dominant which exposed by father is dominant (28.1%), followed by exposure by father and other family members (25.2%), and other family members (7.8%). Infants that were not exposed by secondhand smoke tend to pass the development test (67.5%). There was no significant relationship between infant’s development and smoking family habit (p = 0.128).Conclusion: Although the correlation is insignificant, parents should consider family smoking habit due to infants’ health and development.
Niki Kusuma Bangsa, Rochmad Romdoni, Subagyo Subagyo
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 61-65; https://doi.org/10.20473/juxta.v12i22021.61-65

Abstract:
Introduction: Heart failure (HF) has emerged as a cardiovascular disease with high prevalence in developing countries. The highest number was expected to increase over the next few decades. Moreover, most people with HF do not show specific symptoms earlier, thus death often occurs. This study was undertaken to give an insight into the clinical symptoms and risk factors of HF.Methods: This cross-sectional study utilized medical records from Dr. Soetomo General Hospital between 6 months (July-December 2016). Eligibility criteria included female patients diagnosed with HF at the hospital with a classification of NYHA I-IV. Risk factors data from the participants such as hypertension, diabetes mellitus, dyslipidemia, body mass index (BMI), smoking status, and history of cardiovascular disease were collected. Clinical symptoms were reported descriptively.Results: From 84 patients admitted with HF in the hospital from July until December 2016, 53 were males (63.1%). In all groups, hypertension (35.6%) was the highest prevalence risk factor, followed by diabetes mellitus (25.3%), and a history of cardiovascular disease (17.2%). In this study, the most common symptom was shortness of breathing, contributing to 72.6%, followed by chest pain (10.7%), and body weakness (6%).Conclusion: This study concluded that most of the respondents were male, aged 46-65 years old. The highest risk factor that contribute to an HF was hypertension. The most common symptom in patients with HF in the hospital was shortness of breathing. Studies further emphasize the need for primordial prevention related to symptoms and risk factors of HF.
Monica Tiara Arum Kinanthi, Mira Irmawati, Dwi Aprilawati
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 90-93; https://doi.org/10.20473/juxta.v12i22021.90-93

Abstract:
Introduction: Bulak Banteng sub-district is one of the slums in Surabaya. In a study in Bulak Banteng sub-district in 2015, 6.6% of children experienced malnutrition and 3% of children with Lower Red Line status. The highest number of children with Lower Red Line status was in RW 08. This study aimed to determine the nutritional status of children aged 0-2 years old in RW 08 Bulak Banteng sub-district, Surabaya, in 2018.Methods: This study used a cross-sectional descriptive study from primary data conducted by anthropometric measurement directly on toddlers and interviews with caregivers. Assessment of four anthropometric indices includes weight-for-age, height-for-age, weight-for-height, and head circumference-for-age. A sample of 50 toddlers was taken by proportional random sampling technique.Results: 31 children (62%) aged 0-2 years old in RW 08 Bulak Banteng sub-district had normal growth status based on weight-for-age, height-for-age, weight-for-height, and head circumference-for-age. The remaining growth status of 27 children (54%) is as follows. Based on the weight-for-age index, a child (2%) was severely underweight, and 7 children (14%) were underweight. Based on the height-for-age index, 4 children (8%) were severely stunted, and 7 children (14%) were stunted. Based on the index of weight-for-height, a child (2%) was severely wasted, and 5 children (10%) were wasted. Based on the index of head circumference-for-age, there were 1 child (2%) microcephaly and 3 children (6%) macrocephaly.Conclusion: This study found that many children aged 0-2 years old in the slum area of RW 08 Bulak Banteng sub-district in Surabaya experienced growth delays.
Lutfi Dewanda Nugroho, Soebagijo Adi Soelistijo,
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 72-76; https://doi.org/10.20473/juxta.v12i22021.72-76

Abstract:
Introduction: Simvastatin is a primary pharmacological therapy for dyslipidemia (hypercholesterolemia). Virgin coconut oil (VCO) is a companion intake of statin drugs considered capable of lowering blood cholesterol levels. This study aimed to determine the combination effect of statin drug groups with VCO on total cholesterol.Methods: The stages of this study started with the adaptation process of animals, giving a high-fat diet (HFD), and treatment with simvastatin and VCO. The adaptation process was conducted where the experimental animals were fed pellets and drank clean water in a container. A HFD was given by mixing pork brains with distilled water with a ratio of 1:3 as much as 2 ml per day for 21 days. In simvastatin and VCO treatment for 7 days, the experimental animals were divided into 4 groups; group I was given aquades, group II was given VCO, group III was given simvastatin, and group IV was given simvastatin and VCO. The total cholesterol levels in the blood of albino rats were examined by employing a BS-300 Chemistry Analyzer through a spectrophotometric method. The total cholesterol levels data obtained were then examined for normality (Shapiro-Wilk test) and analyzed parametrically by utilizing One-way ANOVA.Results: The average total cholesterol level in the negative control group (being given a standard diet) was 45.57 mg/dL. The averages of blood total cholesterol levels were 47.28 mg/dL, 45.00 mg/dL, 46.85 mg/dL, 41.42 mg/dL, and 44.28 mg/dL in the positive control group (given an HFD), in the treatment group I, in the treatment group II, in the treatment group III, and in the treatment group IV, respectively. There were no significant distinctions in the statistical test on decreasing blood total cholesterol among the negative control group, positive controls I, II, III, and IV.Conclusion: Combination of simvastatin and VCO tends to reduce the total cholesterol level in albino rats. This is better than just giving VCO simvastatin alone.
Finna Permata Putri, Agus Turchan, Nurmawati Fatimah, Muhtarum Yusuf
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga, Volume 12, pp 94-97; https://doi.org/10.20473/juxta.v12i22021.94-97

Abstract:
Introduction: Traumatic brain injury (TBI) has a concerning incidence rate. One of the therapies for patients with TBI is non-steroidal anti-inflammatory drugs (NSAID) administration as an analgesic with proper adherence to achieve optimal therapy results. This research aimed to evaluate physicians’ NSAID administration adherence in patients with mild and moderate TBI in Dr. Soetomo General Hospital, Surabaya.Methods: This was an observational descriptive study with a retrospective design. NSAID administration adherence was graded by evaluating the dose, route, frequency, and interval of NSAID administration. The variables were evaluated by observing the medical records of inpatients with mild and moderate TBI from 1 January to 31 December 2018.Results: NSAIDs used for TBI management were metamizole, paracetamol, mefenamic acid, and ketorolac. Metamizole was administered in 10 patients (34.5%), paracetamol in 1 patient (3.4%), metamizole and paracetamol in 15 patients (51.7%), metamizole and mefenamic acid in 1 patient (3.4%), metamizole and paracetamol with mefenamic acid in 1 patient (3.4%), and metamizole and ketorolac in 1 patient (3.4%). Adherence of paracetamol, mefenamic acid, and ketorolac administration in patients with mild and moderate TBI were well-administered in every evaluated variable. Metamizole administration’s adherence was already well-administered in drug dosage and drug administration route, but it was not well-administered in drug administration interval and frequency.Conclusion: Physicians’ adherence to NSAID administration in patients with mild and moderate TBI in Dr. Soetomo General Hospital, Surabaya was well-administered, except for metamizole.
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