Journal of Widya Medika Junior
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THE DIFFERENCE RATE PRESSURE PRODUCT (RPP) BEFORE AND AFTER PARTICIPATING PHASE II CARDIOVASCULAR REHABILITATION PROGRAM IN PATIENTS WITH CORONARY HEART DISEASE
No full textBackground: Coronary heart disease (CHD) is a cardiovascular disease with the highest mortality rate in the world representing 16% of the total population deaths worldwide. Phase II cardiovascular rehabilitation program is known to reduce the risk of complications and death from CHD by controlling the modifiable risk factors. Objective: To study the diffferences between RPP before and after participating phase II cardiovascular rehabilitation program in CHD patients. Method: This research uses analytical observational studies, cross-sectional approaches, and total sampling techniques. Statistical analysis of RPP using t-tests of paired samples. Statistical analysis of the RPP using a marked rank paired t test. Result: There were 67 rehabilitation patients who experienced an increase in their RPP value with a mean value of 2071.01 ± 1674.54 or 19.61%, while there were 30 patients who experienced a decrease in their RPP value with a value of 2032.30 ± 15.18.28 or 15. 85 %. The results of statistical analysis on the test of the difference in the value of the increase in RPP before and after the program showed a value of p = 0.00 (p < 0.05), as well as the test of the difference in the value of the decrease in RPP before and after the cardiovascular rehabilitation program of p = 0.00 (p < 0 .05) while statistical analysis of the difference test in total RPP values before and after the phase II cardiovascular rehabilitation program showed significant results with a value of p = 0.0019 (p < 0.05). Conclusion: There are differences in RPP before and after participating in the phase II cardiovascular rehabilitation program in CHD patients. The target of the phase II cardiovascular rehabilitation program has still not been achieved because it is still dominated by the increase in RPP values after the phase II cardiovascular rehabilitation program
THE RELATIONSHIP BETWEEN THE DEGREE OF HYPERTENSION AND COGNITIVE FUNCTION IN THE ELDERLY AT THE BALEMEDIKA CLINIC IN TULUNGAGUNG
Full text linkBackground: An elderly person is someone who is older than or equal to 50 years and above. The prevalence of elderly people in Indonesia has increased every year. The decrease in functional capacity both at the cellular level and at the organ level that occurs in elderly people results in decreased internal or external stimuli. Elderly people have a tendency to be vulnerable to various diseases, one of which is hypertension. One of the risks of hypertension is decreased cognitive function caused by decreased blood supply and nutrients in the brain. Research Objective: To determine the correlation between the degree of hypertension and cognitive status. Research Methods: The research subjects were 51 elderly people between the ages of 50 - 74 years. The place of research was at Balemedika Tulungagung Clinic. The variables studied were the degree of hypertension (measuring blood pressure) and cognitive status (MMSE test). Correlation analysis between variables (ordinal - ordinal status) was performed with Kendall tau-c correlation test. Results: The largest distribution of subjects was at the age of 50-55 years, had grade 2 hypertension, and normal cognitive status. Correlation analysis of two variables showed significant results (p=0.0001). Conclusion: There is a significant relationship between the degree of hypertension and cognitive status in the elderly at Balemedika Tulungagung Clinic. Taking into account these results, hypertension needs to be controlled for good cognitive status, so that the quality of life of the elderly can be optimize
THE CORRELATION BETWEEN EATING PATTERNS AND CONSTIPATION IN THE ELDERLY AT THE GOTONG ROYONG HOSPITAL IN SURABAYA
No full textBackground: Constipation is defined as a decrease in the frequency of bowel movements (BAB) that occurs in less than three times a week, pushing during defecation, hard stool consistency, and the pain that accompanies when defecating. Constipation is one of the most digestive tract complaints in the elderly. As the age of constipation prevalence increases, this will increase because in the elderly there is a decrease in the function of the gastrointestinal system, so constipation is often complained of the elderly. Complications of constipation are Fecal Impaction, which is interpreted as obstruction caused by hardened feces. As a result, the elderly cannot feel and respond to the existence of faeces in the rectum, which must be watched by the elderly.Purposes: Knowing the dietary patterns that influence the incidence of constipation in the elderly at the Gotong Royong Hospital in Surabaya.Methods: In the study the cross sectional research method is used. The research instruments used in this study were the Food Frequency Questionnaire (FFQ) questionnaire and the constipation questionnaire. The sample of this study was a portion of the elderly population that meets the inclusion and exclusion criteria that seek treatment at all polys at the Gotong Royong Hospital in Surabaya on September 1 - November 4, 2023. After the data was collected, the data was then analyzed using the Fisher Exact Test using SPSS.Result: In the results of the Fisher Exact Test analysis shows the relationship between eating patterns and constipation in the elderly at Gotong Royong Hospital in Surabaya obtained Exact Sig = 0,585> 0,05 which means there is no correlation between eating patterns and constipation in the elderly at Gotong Royong Hospital in Surabaya.Conclusion: There is no correlation between eating patterns and constipation in the elderly at Gotong Royong Hospital in Surabaya
CORRELATION BETWEEN TSH LEVELS AND THE DEGREE OF ACUTE EXACERBATION IN COPD PATIENTS AT GOTONG ROYONG HOSPITAL
Full text linkBackground: Chronic Obstructive Pulmonary Disease (COPD) is a heterogeneous lung condition characterized by chronic respiratory symptoms, such as shortness of breath, cough, sputum production and/or exacerbation. Thyroid stimulating hormone (TSH) is a hormone that secretes two major metabolic hormones. Thyroid hormone plays an important role in lung development and pulmonary surfactant maturation.
Objective: To determine the relationship between TSH levels and the degree of acute exacerbation of COPD.
Method: The study used an observational analytical study with a cross-sectional method with a simple random sampling technique. The results of the data will be analyzed with SPSS using the Fisher’s Exact Test to see the correlation between TSH levels and the degree of acute exacerbation of COPD.
Results: There was no significant correlation between TSH levels and the degree of acute exacerbation of COPD at Gotong Royong Hospital with p = 1,00.
Conclusion: There was no significant correlation between TSH levels and the degree of acute exacerbation of COPD
THE IMMUNOMODULATORY ROLE OF INULIN AND GLUCOMANNAN IN OBESITY-RELATED SYSTEMIC INFLAMMATION: CD3CD4 ANALYSIS IN HFHS-FED C57BL/6 MICE
Full text linkBackground: Obesity is a global health burden and one of the risk factor for non- communicable disease such as cardiovascular disease and type 2 diabetes mellitus. Western diet characterized by consumption of high-fat high-sucrose (HFHS) leads to gut microbiota dysbiosis and metabolic endotoxemia, which can cause chronic inflammation. This condition can affect the immune systems, including an increase of CD3+CD4+ splenocyte populations. The consumption of dietary fibers such as inulin and glucomannan, which has prebiotic function, is considered to play a role as antiinflammatory and antiobesity agents.
Objective: This research aims to investigate the effects of inulin, glucomannan, and combination of inulin-glucomannan on the CD3+CD4+ splenocyte populations in HFHS diet- induced obese mice.
Methods: This research uses a true experimental with a post-test only control group design. A total of 20 male C57BL/6 aged 6 weeks mice were randomized into five groups consist of standard diet (AQ), HFHS diet (KN), HFHS diet with inulin (IO), HFHS diet with glucomannan (GO), HFHS diet with combination of inulin-glucomannan (IG) for 56 days. Body weight was measured weekly, and CD3+CD4+ splenocyte populations was measured on the final day of intervention using the FACS method.
Results: This research proves HFHS diet increased both body weight and CD3+CD4+ splenocyte populations. All fiber treatments significantly prevented weight gain. Glucomannan significantly reduced the CD3+CD4+ splenocyte populations in obese mouse model. However, the combination of inulin and glucomannan did not exhibit a synergistic effect in reducing the CD3+CD4+ splenocyte populations.
Conclusion: Inulin, glucomannan, and the combination of inulin-glucomannan prevented weight gain and reduced the CD3+CD4+ splenocyte populations in the HFHS diet-induced obese mice
EFECTIVITY OF ANTIBACTERIAL PROPERTIES OF MANIHOT ESCULENTA CRANTZ PEEL EXTRACT AGAINST STAPHYLOCOCCUS AUREUS
No full textBackground: Staphylococcus aureus is a common commensal and pathogenic bacteria found on human skin that can cause various diseases. Soaps and alcohol-based hand sanitizers contain chemicals that can negatively affect skin health, causing irritation and dryness, especially in individuals with risk factors like eczema. Studies have shown that cassava peels extract contains active metabolite compounds that exhibit antibacterial properties.
Objective: This study aims to evaluate the antibacterial efficacy of cassava (Manihot esculenta crantz) peel extract by assessing its inhibitory and bactericidal effect against Staphylococcus aureus.
Methods: This research is an in vitro experimental study with a non-equivalent control group design. The extraction of cassava peel is conducted using a maceration method with a 96% ethanol solvent. The antibacterial activity test is performed using the broth microdilution method on 96-well microplate. The test solution employed is cassava peel extract (Manihot esculenta crantz) at concentrations of 100%, 50%, 25%, 12,5%, 6,25%, and 3,125%. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) values are measured using a microplate reader and obtained as optical density (OD) values.
Result: The cassava (Manihot esculenta crantz) peel extract exhibited antibacterial effects against Staphylococcus aureus. The MIC value of cassava (Manihot esculenta crantz) peel extract was found at a concentration of 6,25%. While the MBC value of cassava (Manihot esculenta crantz) peel extract was found at a concentration of 25%.
Conclusion: Cassava peel has been shown to possess antibacterial effects against
Staphylococcus aureus
DIFFERENCE IN THE DEGREE OF LEG EDEMA IN PATIENTS WITH DEEP VEIN THROMBOSIS BEFORE AND AFTER THE ADMINISTRATION OF TOPICAL ZINC SULFATE AT ADI HUSADA HOSPITAL SURABAYA FROM 2020 TO 2023
Full text linkBackground: Deep Vein Thrombosis (DVT) is a condition characterized by the formation of a thrombus accompanied by an inflammatory response in the deep veins. In addition to using compression therapy to reduce the degree of edema in the lower limbs in patients with deep vein thrombosis, topical therapy using Zinc Sulfate can also be employed
Purposes: To determine the effect of topical administration of Zinc Sulfate on the degree of edema in the form of a decrease in cruris and femoris diameter in deep vein thrombosis patients at the surgical clinic of Adi Husada Hospital Undaan Surabaya in the period 2020-2023
Methods: Retrospective research with an observational analytical design using a cross-sectional approach, involving a sample of 40 patient medical records. Probability random sampling was employed as the sampling technique in this study. The medical records of deep vein thrombosis (DVT) patients who received compression bandage therapy with Topical Zinc Sulfate were analyzed for the diameter of the femoris and cruris before and after the treatment, and then compared. The Shapiro-Wilk test was used for statistical analysis since the data set did not exceed 50.
Result: The research results indicate a significant difference between the outcomes before and after patients were treated with compression therapy using topical zinc sulfate. In the Paired T Test, the pre-test femoris data was 0.150 > 0.05, post-test femoris was 0.108 > 0.05, pre-test cruris was 0.087 > 0.05, and post-test cruris was 0.110 > 0.05.
Conclusions: There was a decrease in the degree of leg edema in the form of a significant reduction in cruris and femoris diameter in deep vein thrombosis patients at the Adi Husada Hospital Surabaya Surgery Clinic in 2020-2023 after being given compression splint therapy with topical zinc sulfate
CORRELATION OF ONLINE GAMES ADDICTION WITH SYMPTOMS OF DEPRESSION AMONG COLLEGE STUDENTS
Full text linkBackground: The development of gaming technology that occurred in this era of globalization can give rise to the behavior of addiction. Addiction online games can cause depression, as well as depression is one of the risk factors that cause depression, and college students is a group that is prone to experience both of these things because it often faces problems that cause stress, and if untreated will cause depression. To overcome his depression one of them by playing online games.Purpose: To find out the correlation between addiction playing online games with symptoms of depression among college students at Widya Mandala Catholic University Surabaya.Method: This research is observationally analytical with a cross sectional research design. The sampling method used in this study is non probability sampling, i.e. consecutive sampling.Results: This research found as many as 87.8% of college students experienced addiction online games, with the most experiencing the addiction of online games at a moderate level, which is as much as 43.4%. In addition, 24.3% of college students experienced depression, and as many as 9.1% experienced the borderline clinical depression. The results of the spearmen correlation method analysis showed that there was a significant relationship between the addiction of online games and the level of depression because the value p < 0.05 (p= 0.024), and the correlation of the two variables belonged to the weak category (value r= 0.227).Conclusion: There is a significant relationship but with a weak correlation between online gaming and depression.Keywords: Addiction online games, College Students, Depressio
THE EFFECT OF GIVING PINEAPPLE JUICE ON PRIMARY DYSMENORRHEA IN FEMALE STUDENTS OF THE MEDICAL FACULTY OF CATHOLIC UNIVERSITY WIDYA MANDALA SURABAYA
Full text linkBackground: Dysmenorrhea (menstrual pain) is a gynecological complaint due to increased prostaglandin production resulting in uterine contractions and resulting pain. The body of women suffering from dysmenorrhea produces ten times more prostaglandins than women who do not experience dysmenorrhea. Dysmenorrhea is divided into primary and secondary dysmenorrhea. Primary dysmenorrhea is menstrual pain that occurs due to physiological processes. According to data from the World Health Organization (WHO) in 2020, the incidence of dysmenorrhea was 1,769,425 (90%), with 10-16% suffering from severe dysmenorrhea. The incidence of dysmenorrhea in Indonesia is 55%, and 15% of them experience disruption of activity patterns when dysmenorrhea occurs. The incidence of dysmenorrhea in East Java is 65.25%, consisting of 54.89% primary dysmenorrhea. Pharmacological management of dysmenorrhea includes nonsteroidal anti-inflammatory drugs (NSAIDs), hormonal therapy, nitric oxide, and calcium channel blockers (CCBs). Non-pharmacological management of dysmenorrhea uses herbal ingredients, one of which is pineapple juice. Pineapple fruit contains the bromelain enzyme which can reduce the level of menstrual pain by inhibiting the production of prostaglandins.
Objective: Analyzing the effect of pineapple juice consumption on reducing primary dysmenorrhea in female students of the Faculty of Medicine Widya Mandala Catholic University Surabaya.
Methods: This study is an experimental study with a cohort design. The sampling technique used purposive sampling technique. The number of samples was 41 people. The sample was divided into 4 groups, namely one control group (X0) and three treatment groups (X1, X2, X3) by examining before and after treatment using the Numeric Rating Scale (NRS). The data analysis technique used was the Wilcoxon-Mann Whitney test and the 2 independent samples T test.
Results: The results of data analysis using the Wilcoxon-Mann Whitney test and T test of 2 independent samples between group X0 to X1 obtained a value of P = 0.047; group X0 to X2 P = 0.012; and group X0 to X3 P = 0.000 (P < 0.05).
Conclusion: There was a significant reduction in primary dysmenorrhea after consumption of pineapple juice. Based on the significance value of the analysis test, the greater the dose of pineapple juice given, the greater the reduction in primary dysmenorrhea
CORRELATION OF STROKE SEVERITY WITH COGNITIVE FUNCTION OF ACUTE ISCHEMIC STROKE PATIENTS AGED 40-75 YEARS AT SURABAYA GOTONG ROYONG HOSPITAL
Full text linkBackground: Stroke is the second leading cause of death and disability worldwide. In addition
to motor and sensory disabilities, stroke can cause cognitive impairment. Impaired cognitive
function can worsen the clinical outcome of stroke patients. The National Institute of Health
Stroke Scale (NIHSS) is one of the tools to examine the severity of stroke, cognitive function
examination can use the Montreal Cognitive Assessment-Indonesia (Moca-Ina).
Objective: To Assess the correlation between stroke severity and cognitive function in acute
ischemic stroke patients, and to determine the cognitive areas that are often impaired.
Methods: The study used a cross sectional design. Data collection time for 3 months. Data
were obtained usine NIHSS, Moca-Ina, and medical records. Statistical analysis using the
spearman test.
Results: In this study there were 27 samples of acute ischemic stroke patients taken in the
inpatient ward of Surabaya Gotong Royong Hospital from August to October 2024. The
average age of samples was 57,48 years, and the majority of the samples were male. Eighty
nine percent of the samples had mild stroke severity, and 11% of the samples had moderate
stroke severity. Forty five percent of them had normal cognitive function, 44% had mild
moderate cognitive impairment, and 11% had severe cognitive impairment. The correlation
between stroke severity and cognitive function showed significant results (p<0,001) and the
correlation coefficient showed a result of 0,6 which means a strong relationship.
Conclusion: There is a significant correlation and strong relationship between stroke severity
and cognitive function of acute ischemic stroke patients, and the cognitive areas that are often
impaired are delayed recall, visuospatial, and abstraction