{"title":"Effectiveness of Proton Pump Inhibitors as a Gastrointestinal Bleeding Prophylaxis in Intensive Care Unit: Systematic Review and Meta-Analysis","authors":"F. Cokro, Jenny Jokimawidjaja","doi":"10.25170/juhr.v1i1.3714","DOIUrl":"https://doi.org/10.25170/juhr.v1i1.3714","url":null,"abstract":"Introduction: GI bleeding is a serious illness that can lengthen the time spent in the Intensive Care Unit (ICU) and increase morbidity and death by up to four times. Proton Pump Inhibitors (PPIs) are agents commonly used in patients to prevent Gastrointestinal (GI) bleeding in ICU. However, nowadays, the use of PPIs to prevent GI bleeding is being concerned due to the emergence of various studies regarding the side effects caused by PPIs. We conducted a systematic review and meta-analysis to see the magnitude of the effectiveness and validate the safety of PPIs. \u0000Methods: We searched through PubMed, ScienceDirect, GARUDA Portal, Clinical Key, and Google Scholar databases to identify randomized controlled trials (RCTs) that compared the effects of PPI administration on the PPI and placebo groups in adults ICU patients. \u0000Results: From a total of 8 studies, this meta-analysis shows the effectiveness of PPIs as prophylactic GI bleeding significantly with p < 0.0001, RR = 0.52 (95% CI 0.38-0.71). Regarding safety, PPIs did not significantly increase the risk of pneumonia (p = 0.30, RR = 1.31 (95% CI 0.78-2.20)); and C. difficile infection (p = 0.90, RR = 0.91 (95% CI 0.21-3.85); and it does not impact on the mortality event (p = 0.78; RR 1.01 (95% CI 0.93-1.10). \u0000Conclusions: PPIs reduce GI bleeding in ICU patients over the age of 18. PPIs are also safe to use as preventative GI bleeding with no increased risk of pneumonia and C. difficile infection. PPI does not, however, significantly affect the death rates.","PeriodicalId":137933,"journal":{"name":"Journal of Urban Health Research","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131217886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19-related Myocarditis: Current Issue in Pandemic Situation","authors":"S. P. Surya, R. M. Santoso","doi":"10.25170/juhr.v1i1.3763","DOIUrl":"https://doi.org/10.25170/juhr.v1i1.3763","url":null,"abstract":"Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a worldwide medical issue since it is easily transmitted from human to human. The human angiotensin-converting enzyme-2 (hACE2) expression gives access to SARS-CoV-2 through its affinity with the spike protein of SARS-CoV-2. Right after the patient has been infected with SARS-CoV-2, subsequently, it may lead to COVID-19 related myocarditis. However, there is still no practical guideline and it significantly affects morbidity and mortality status of COVID-19 patient. In this case report, we are showing challenges in diagnose and treat COVID-19 related myocarditis. \u0000 Case presentation: A-45 years old man was referred to our hospital from Emergency Hospital for COVID-19 Kemayoran Athletes Village with typical chest pain. He felt a crushing sensation in his chest and it was intensifying every minute. The ECG examination showed ST-segment elevation in all precordial lead and inferior lead. His laboratory work revealed a significant increase of inflammation and cardiac troponin marker. His angiography examination came up with non-significant lesion. Unfortunately, biopsy couldn’t be done due to pandemic limitation. We were diagnosing the patient with COVID-19 related myocarditis and one week after treatment he was discharged from hospital. Currently, there were no diagnostic and treatment guideline for COVID-19 related myocarditis. \u0000Conclusion: COVID-19 has become a novel glitch in medical practice situations. Not only lung, but it involves many other organs, and the heart is one of the most common organs involved. One of the cardiac complications of COVID-19 infection is COVID-19 related myocarditis. Currently, there is no guideline in diagnosing and treating COVID-19 related myocarditis and we are encouraging the international society to put an eye on it.","PeriodicalId":137933,"journal":{"name":"Journal of Urban Health Research","volume":"641 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133102447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Smartphone Addiction and Interpersonal Communication among Preclinical Students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia","authors":"Margaret Clarissa Gunawan, Lenny Gustaman","doi":"10.25170/juhr.v1i1.3849","DOIUrl":"https://doi.org/10.25170/juhr.v1i1.3849","url":null,"abstract":"Introduction: The high number of smartphone usage throughout the world, including in Indonesia, can increase the likelihood of someone experiencing smartphone dependency. One impact of smartphone addiction is the decline in face-to-face interpersonal communication. \u0000Methods: The design of this study was analytic descriptive with a cross-sectional approach involving preclinical students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, who met the inclusion and exclusion criteria. Data was collected using the Smartphone Addiction Scale Short Version (SAS-SV) and the interpersonal communication scale questionnaire. \u0000Results: From a total of 135 respondents, it was found that there was a significant relationship between smartphone addiction and interpersonal communication, with a p-value of 0.029 (<0.05). \u0000Conclusions: Smartphone addiction has a significant influence on interpersonal communication","PeriodicalId":137933,"journal":{"name":"Journal of Urban Health Research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122543589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between Physical Activity Level and Sleep Quality in the Elderly","authors":"Nesya Kartika Dwi Cahya, Ignatio Rika","doi":"10.25170/juhr.v1i1.3853","DOIUrl":"https://doi.org/10.25170/juhr.v1i1.3853","url":null,"abstract":"Introduction: The increase in a person’s age may cause degeneration in their physiological system, and these changes can affect various bodily functions, one of them is the sleep-wake cycle. The elderly usually have disturbed sleep-wake circadian rhythm that can cause sleep problems and decreased sleep quality. The action that can be done to increase sleep quality is doing physical activity. \u0000Methods: This research used cross-sectional study design. The respondents were people who reside in Komplek Taman Pulo Indah and Perumahan Aneka Elok aged 60 and older and were not included in the exclusion criteria (n = 204). The instruments used were the Baecke questionnaire to measure physical activity level and the PSQI questionnaire to measure sleep quality. Data analysis was done in univariate and bivariate using chi-square test with significance level of p<0.005. \u0000Results: The prevalence of elderly with low physical activity levels and good sleep quality was 33.8%. Meanwhile, elderly with moderate physical activity levels and good sleep quality was 50%, and elderly with high physical activity levels and good sleep quality was 64,7%. Chi-square test was carried out and resulted in p = 0.002 (p<0.005), which meant the null hypothesis was rejected. \u0000Conclusions: There was an association between physical activity level and sleep quality in the elderly.","PeriodicalId":137933,"journal":{"name":"Journal of Urban Health Research","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121082318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship between Excessive Daytime Sleepiness and Cumulative Achievement Index of Medical Student in Atma Jaya Faculty of Medicine Batch 2018","authors":"Jessica Andriani, Jimmy Fransisco Abadinta Barus","doi":"10.25170/juhr.v1i1.3857","DOIUrl":"https://doi.org/10.25170/juhr.v1i1.3857","url":null,"abstract":"Introduction: Excessive Daytime Sleepiness (EDS) is the inability to maintain wakefulness and alertness during the major waking episodes of the day, with sleep occurring unintentionally or at inappropriate times almost daily for at least three months. Poor concentration is commonly reported as a symptom of EDS and frequently disrupt academic performance in the learning activity. This study aims to determine the relationship between EDS and cumulative achievement index (GPA) among medical undergraduates at Atma Jaya Catholic University of Indonesia. \u0000Methods: This research is an analytic observation research with cross-sectional data collection on 180 respondents out of the 2018 class of preclinical students at the Faculty of Medicine of the Atma Jaya Catholic University of Indonesia. The data collection methods used were the ESS (Epworth Sleepiness Scale) and cumulative achievement index (IPK) questionnaires. Demographic variables were also measured. Data were analyzed using the statistic software SPSS with a chi-square test (α ≥0,05). \u0000Results: From 180 respondents, 52,8% had EDS, 25% of the total had mild EDS, 16,1% had moderate EDS, and 11,7% with severe EDS. The cumulative achievement index found in respondents mostly ranged from moderate (43,3%) to high (42,3%). The rest had low scores. Furthermore, 25% of respondents had a high IPK score with EDS, 22% had a moderate IPK score with EDS, 5,4% had a low IPK score with EDS, 18,5% had a high IPK score without EDS, 22% had a moderate IPK score without EDS, and the rest 7,1% had low IPK score without EDS. Analysis with chi-square showed no significant relationship between EDS and IPK (P=0,425). \u0000Conclusions: There was no relationship between excessive daytime sleepiness and cumulative achievement index of medical students in Atma Jaya Faculty of Medicine and Health Batch 2018.","PeriodicalId":137933,"journal":{"name":"Journal of Urban Health Research","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114750741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Smartphone Addiction and Attention Among Medical Students at Atma Jaya Catholic University of Indonesia","authors":"Amelia Prasetyadi, Lenny Gustaman","doi":"10.25170/juhr.v1i1.3848","DOIUrl":"https://doi.org/10.25170/juhr.v1i1.3848","url":null,"abstract":"Introduction: Smartphone addiction is characterized by a strong attachment to the smartphone that allows the occurrence of social problems and difficulty in performing everyday activities. Cognitive function disruption is one of smartphone addiction’s negative effects, and one component of cognitive function is attention. The prevalence of smartphone addiction in adolescents and young adults was higher since they were relatively more familiar to technology and lacked self-control. The purpose of this study is to determine the relationship between smartphone addiction and attention among medical students at Atma Jaya Catholic University of Indonesia. \u0000Methods: An analytical, cross-sectional study was conducted with a total of 82 respondents. The respondents were from the 2016, 2017, and 2018 batch of medical students at Atma Jaya Catholic University of Indonesia and were selected by stratified random sampling. The data were gathered using Smartphone Addiction Scale Short Version (SAS-SV) questionnaire, in order to estimate the prevalence of smartphone addiction and the Stroop Test to measure attention. \u0000Results. The majority of the subject were female (70,7%) and aged around 17-21 years. The respondents who were addicted to smartphones were 48,8%, and most respondents who were addicted were using their smartphone for 5-≤7 hours/day (63,3%) and spent their time more on social media (56,7%). The mean attention score was 63,81. The mean attention score for non-smartphone addicts was higher than the addicted ones, but there is no statistically significant correlation between smartphone addiction and attention (p= 0,06). \u0000Conclusions. There is no significant correlation between smartphone addiction and attention.","PeriodicalId":137933,"journal":{"name":"Journal of Urban Health Research","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127194353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}