Journal of Widya Medika Junior
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IMPROVEMENT OF FOOD INTAKE IN MALE VOLLEYBALL ATHLETES AFTER NUTRIRION COUNSELING
Introduction: Proper macronutrient intake, including carbohydrates, protein, and fat, is essential for promoting overall well-being and enhancing physical performance. Adequate food intake is helpful to replenish energy stores during physical activities such as training, competition, or recovering.Purpose: This study was conducted to investigate the energy and macronutrient intake habits of male volleyball players who received nutritional counseling as an intervention.Methods: This study was an experimental with one group pre and post test design, conducted on ten male volleyball athletes aged 16-22 years in Jember Regency. The data collection included anthropometric measurements, hydration state, biochemical status, and the the participant's food intake. Data of food intake was gathered on two occasions, specifically prior and following the intervention using 24-hour food recall questionnaire.Result: There was no significant difference in the mean intake of energy, protein, fa t, and carbohydrates before and after the intervention (p>0.05), however there was a tendency towards an increase in the mean intake of energy, protein, and carbohydrates after the intervention. Conclusion: Nutritional counseling proves beneficial in enhancing the energy and macronutrient consumption of male volleyball athletes, although not statistically significant
THE RELATIONSHIP OF LONG TIME SUFFERING FROM TYPE 2 DIABETES MELLITUS ON THE DEGREE OF PERIPHERAL NEUROPATHY AT GOTONG ROYONG HOSPITAL, SURABAYA
Background: Peripheral neuropathy is one of the most frequent complications in Diabetes Mellitus. The prevalence of diabetic neuropathy based on studies is 8% in newly diagnosed DM sufferers and 50% in patients who have long suffered from DM. Peripheral neuropathy is defined as damage to the peripheral nerves which can cause damage to sensory, motor and autonomic nerve function.Objective: This study aims to determine the relationship between the duration of suffering from Type 2 Diabetes Mellitus and the degree of peripheral neuropathy at the Gotong Royong Hospital in Surabaya.Method: This research is an observational analytical study with a cross-sectional design using an instrument in the form of a questionnaire on type 2 DM patients at the Gotong Royong Hospital in Surabaya from August to October 2023. The number of samples used in the research was 45 people.Results: The results of the analysis of the relationship between the duration of suffering from Type 2 Diabetes Mellitus and the degree of peripheral neuropathy using the Spearmen's test showed p = 0.023.Conclusion: There is a significant relationship between the duration of suffering from Type 2 Diabetes Mellitus and the degree of peripheral neuropathy at the Gotong Royong Hospital in Surabaya
ARE PROBIOTICS HELPFUL FOR ALLERGIES?
Abstracts: A hypersensitive reaction brought on by the body's immune system reacting to a particular antigen is called an allergy. Over the past few decades, allergy illness prevalence has significantly increased, particularly in Western countries. According to the hygiene hypothesis, a child's vulnerability to allergies may rise if they have less early exposure to microorganisms and/or parasites. Efforts to balance immune function using probiotics have been driven by the important function that the microbiota plays in the interaction between the human immune system and its environment. Research on the advantages of using probiotics to prevent or lessen allergy symptoms has significantly increased in the last few years. This paper discusses the safety of using probiotics as well as their potential to prevent or lessen allergy illnesses
PRIMARY ALLERGY AND ASTHMA PREVENTION: A REVIEW ARTICLE
The prevalence of asthma and other allergic diseases had been increasing over the last few decades in both industrialized and developing countries. It is generally recognized that asthma is disease caused by exposure of genetically predisposed individuals to environmental risk factor. Environmental variables might raise or reduce the likelihood of becoming asthma and allergies. These environmental factors can be managed as primary preventive actions by removing risk factors for asthma and allergie
CORRELATION OF STRESS LEVEL WITH MENSTRUAL CYCLE REGULARITY IN STUDENTS OF THE FACULTY OF MEDICINE, WIDYA MANDALA CATHOLIC UNIVERSITY, SURABAYA
Introduction: The impact of irregular menstruation can be serious if not treated quickly. Irregular menstruation can be a sign that the cycle they are going through is not ovulating so a woman who experiences this tends to have difficulty having children. The cause of irregular menstrual cycles can be due to several factors, including hormonal changes caused by stress.Objective: To determine the relationship between stress levels and menstrual cycle regularity in female students at the Faculty of Medicine, Widya Mandala Catholic University, Surabaya.Method: The design used in this research is observational analytic with a cross-sectional study approach. The total sample for this study was 116 respondents taken using simple random sampling techniques. Data collection was carried out online using a Google form which contained a questionnaire related to stress levels and menstrual cycle regularity.Results: Most respondents experienced moderate stress, 49.1%, and 50.9% experienced irregular menstrual cycles. Based on the results of statistical tests using the Spearman correlation test, the values obtained were p = 0.000 and r = - 0.938, which shows that there is a negative and significant correlation between stress levels and menstrual cycle regularity in female students at the Faculty of Medicine, Widya Mandala Catholic University, Surabaya.Conclusion: There is a relationship between stress levels and menstrual cycle regularity in female students at the Faculty of Medicine, Widya Mandala Catholic University, Surabaya
THE RELATIONSHIP OF BODY MASS INDEX (BMI) LEVEL AND SEVERITY OF PULMONARY TUBERCULOSIS IN PATIENTS AGED 18-64 YEARS AT GOTONG ROYONG HOSPITAL SURABAYA
Background: Tuberculosis (TB) infection remains a concern for developing countries especially Indonesia due to its high prevalence and mortality rate. Malnutrition is often observed in TB patients. Malnutrition can be assessed through the Body Mass Index (BMI) level. Low BMI levels can increase the progression of pulmonary TB and resulting more severe manifestations in chest X-ray. The severity of pulmonary TB is determined based on the assessment of chest X-ray lesions, which categorized as mild, moderate, and severe.Objective: The aim of this study is to analyze the relationship between BMI levels and the severity of pulmonary TB in patients aged 18-64 years at Gotong Royong Hospital, Surabaya.Method: The method of this research is observational analytical with a cross-sectional design on pulmonary TB patients who underwent chest X-ray examinations before treatment. The study utilizes secondary data from the patient’s medical records, including weight, height, and chest X-ray images. Additional supporting data which is not available in the medical records were obtained through the patient responses using Google Form. Samples were taken according to the inclusion criteria and all data were collected at Gotong Royong Hospital from July to September 2023.Results: There are 39 samples collected in this research, consisted of 17 men and 22 women. The result based on Spearman correlation analysis revealed that the correlation between BMI levels and the severity of pulmonary TB has a p-value=0,397 (p > 0,05).Conclusion: There is no significant relationship between BMI levels and the severity of pulmonary TB in patients aged 18-64 years at Gotong Royong Hospital Surabaya
CORRELATION OF THE FLAT FOOT AND THE SEVERITY OF SCOLIOSIS IN ELDERLY PATIENTS AT PHC HOSPITAL SURABAYA
Background: The main symptoms of Scoliosis are changes in body posture, such as unlevel shoulders, rib prominence, or waistline asymmetry. Some previous studies have shown major role of feet a in supporting the body weight support and providing dynamic balance in gait function. Moreover, flat foot (pes planus) may cause lower limb rotation and low back pain possibly due to altered postural reactions and subsequent compensatory patterns between the spine and lower extremitiesObjective: To explain the correlation between the incidence of pes planus and the severity of scoliosis in elderly patients (≥60 y.o) at PHC Surabaya Hospital.Method: This research is an analytical research using a cross sectional study, used probability sampling with purposive sampling. The minimum number of samples required in this research was calculated using the Lemeshow formula, resulting in 69 samples. Data were collected in the form of primary data (Clarke's angle measurement results in the medial longitudinal arch [MLA]) and secondary data (medical records) from 69 patients with a history of scoliosis (using the Cobb Angle Criteria) at PHC Surabaya Hospital in August – October 2023 by Specialist in Orthopedics and Traumatology. Then tested with the Spearman Correlation test using the Statistical Package for the Social Sciences (SPSS) version 29.Results: Of the 69 patients diagnosed with flat foot (pes planus) studied, it was found that 57 patients (82.6%) had scoliosis, but based on the results of statistical analysis of the two variables these were not significantly correlated (p = 0.932).Conclusion: There were no significant results regarding the correlation between the incidence of flat foot (pes planus) and the severity of scoliosis at PHC Surabaya Hospital. This is related to the inclusion and exclusion criteria set by researchers, such as age, BMI, and past medical history
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY IN SUBCLAVIAN VEIN STENOSIS CAUSED BY CENTRAL VENOUS CATHETERIZATION FOR HEMODIALYSIS ACCESS IN CHRONIC KIDNEY DISEASE PATIENTS
Introduction: The increased of central vein access for hemodialysis in chronic kidney disease patients has led to increase of side effect in clinically relevant stenosis of subclavian vein. One of therapeutic options to solve stenosis of subclavian vein is endovascular treatment Percutaneous Transluminal Angioplasty (PTA) .Objectives: To show our experience in treating subclavian vein stenosis using Endovacular treatment Percutaneous Transluminal Angioplasty (PTA). Materials and Methods: A retrospective study in 62 chronic kidney disease patients who undergo hemodyalisis with stenosis of subclavian vein treated with PTA in 3 hospitals in Surabaya from October 2017-October 2020 with range age 18-70 years was conducted .Results: We performed PTA for subclavian vein stenosis in 62 cases. Partial stenosis was found in 35 cases and total occlusion in 27 cases. For 27 total occlusion cases, 19 cases can still be opened, but 8 cases can’t be opened or recanalization and we drop out these patient. 54 cases (87%) were good and 8 cases (13%) can’t be open. The result of PTA in treating stenosis of subclavian vein was good. The result of reduced in arm swelling and using doppler USG follow up are 100%(54/54) after 1 month, 100%(54/54) after 3 months, 90.7% (49/54) after 6 months.Conclusion: Percutaneous Transluminal Angioplasty (PTA) is effective in treating subclavian vein stenosis reliefe its symptomps. The patency rate is 90.7% after 6 months post procedure of PTA
THE RELATIONSHIP OF SMOKING HABITS WITH HBA1C LEVELS IN TYPE TWO DM PATIENTS AT GOTONG ROYONG HOSPITAL
Background: Diabetes Mellitus (DM) is a disease whose prevalence continues to increase every year. In 2019, Indonesia was ranked number 7 with the highest number of DM sufferers, namely 10.7 million. Diabetes mellitus is a chronic metabolic disease characterized by increased blood glucose levels, this occurs because there is not enough insulin produced by the pancreas or a condition where the body cannot use the insulin produced effectively. One examination that can be used to assess a patient's glycemic control is the Glycated Hemoglobin (HbA1c) examination. Smoking habit is known to be a risk factor for diabetes mellitus. Even though there are many disadvantages, the number of smokers in Indonesia is still difficult to reduce due to the lack of education and control regulations that suppress smoking behavior in society. This causes smoking to become a risk factor for many uncontrolled diseases in the world of health.Objective: The aim of this study was to analyze the relationship between smoking habits and HbA1c levels in male patients with type two DM at the Gotong Royong Hospital.Research method: This research uses observational analytical research with a case control study approach. In the research sample, namely type two Diabetes Mellitus patients who had their HbA1c levels checked at the Gotong Royong Hospital, a questionnaire was completed regarding the patient's smoking habits. From the results of the questionnaire, patients will be classified into non-smokers, light smokers, moderate smokers, and heavy smokers.Result: There is no significant relationship between smoking habits and HbA1c levels in type two diabetes mellitus patients at Gotong Royong Hospital with a P-value = 0.681
DIFFERENCES IN SCORING OF THORACIC PHOTOGRAPHS BETWEEN MDR-TB AND DS-TB PATIENTS WITH PULMONARY TUBERCULOSIS
Background: Tuberculosis (TB) is ranked as the second deadliest infectious disease in the world. There is a drastic increase in TB cases by 2023 with 92% of these cases being pulmonary TB infections. Thoracic photography is a standard examination performed to determine the development of tuberculosis disease through reviewing populations with TB risk factors, one of which is patients with MDR-TB (Multi-Drug Resistance) can result in increased opacity in the lower lung lobes with pulmonary, cavity, and parenchymal lesions. Thoracic photo scoring was performed to determine the severity of lesions in the thoracic photo images of TB patients with MDR (Multi-Drug Resistance) and DS (Drug-Sensitive).Objective: to compare the scoring of thoracic photographs between of TB patients with MDR-TB and DS-TB.Method: using observational analytic method with cross-sectional research design. The sampling technique used purposive sampling method through medical records with analysis using two tests, namely Wilcoxon and Mann-Whitney comparative test. Radiologic findings that we analyzed were infiltrate, consolidation, cavity, ground glass opacity, fibrosis, bronchiectasis, calcification, node, atelectasis, bullae, emphysema, and other nonlung parenchymal findings.Results: The samples to be analyzed were 55 samples had completed anti-tuberculosis therapy in the 6th month and had thoracic photographs. The Wilcoxon Comparative Test on two paired groups showed a significant difference between the TB group with MDR (p=0.008) and DS (p=0.000). In the Mann-Whitney comparative test on two unpaired groups, there were no significant results either TB groups with MDR and DS (p=0.282). Scoring results in MDR-TB patients after therapy showed mild (3.70%), moderate (44.44%), severe (51.85%) categories. In DS-TB patients, showed mild (37.03%), moderate (48.15%), severe (14.81%) categories.Conclusion: There is a significant difference between the severity of thoracic photographs in TB patients with MDR and without MDR (Drug-Sensitive)