bluuebunny/crossref_metadata_2025 huggingface dataset:
Applications of photogrammetry to orthodontics
Authors: Thomann John Von , Rivett Leo J.
Published: January 2024

An investigation was conducted into the potential of utilizing standardized photogrammetry techniques to evaluate facial soft tissue morphology. A head holding device was used to provide a standardized reference system and the accuracy of repositioning for a second photographic recording was evaluated. Three dimensional co-ordinates of points on the facial surface were derived by analytical photogrammetry procedures from stereo photographs acquired via a pair of stereometrie cameras. These points were manipulated via computer programs to provide frontal and horizontal face contour plots. Quantitative volume measurements determined from the skin surface to a constructed datum plane provided assessment of facial asymmetry across a constructed reproducible frontal midline, the perpendicular bisector of the interpupillary line. Photogrammetry was found to be a versatile, non-contact and precise three-dimensional recording method, with potential application to basie research and to the clinical management of orthodontic and oral surgery patients.
Wither the dental specialties (9th Wilkinson Oration)
Authors: Howe Geoffrey L
Published: January 2024

*Ninth Stanley Wilkinson Oration delivered to the 9th Australian Orthodontic Congress, Hong Kong.
The long face and V.M.E.
Authors: Fitzpatrick Bany N.
Published: January 2024

The management of the long face patient usually requires the combined efforts of both orthodontist and surgeon. Vertical maxillary excess (V.M.E.) is a type of long face problem which necessitates special understanding and will be considered in some detail.
Functional appliances: Which one, When? Part 1 — Rationale for selection
Authors: Roberts Graeme L.
Published: January 2024

One current question is whether functional appliance therapy is capable of producing clinically significant changes in the human dento-facial complex under realistic treatment conditions. Another question is whether the different designs of functional appliances have differing modes of action, and, if so, how does the clinician select the one most appropriate for the requirements of the case in hand, and when?

Current knowledge of the responses elicited by functional appliances is reviewed.

Descriptions of the “ideal” patient for each appliance is given, along with indications and contraindications. Specific associations are emphasized, such as vertical control and Teuschers, decrowding and Fränkels, Herbst and breakage prevention, retention and Bionators. Case reports are also presented to help the selection process.
Experiences with Unerupted Anterior and Posterior Teeth
Authors: Goh Gek Kiow , Kaan Sheung K.
Published: January 2024

The causes of tooth impaction are as numerous as are ways to manage the problem. Treatment is usually instituted only after an unfavourable eruption prognosis of the impacted tooth has been established from radiographic and clinical examination. Advantages of guided eruption and surgical removal have to be weighed. Fifteen cases of various degrees of impaction, difficulty of treatment, complications and failures of eruption are discussed.
Case Report - Treatment of Anterior Open Bite with Tongue Thrust and Associated Temporo-Mandibular Joint Symptoms
Authors: Lee Brian W.
Published: January 2024

A case history describing a relatively new approach to treatment of anterior open bite.
The Rocky Mountain-Samuel Bulkley Travelling Fellowship
Authors: Collett Anthony
Published: January 2024

Rocky Mountain Orthodontics and The Australian Society of Orthodontists Foundation for Research and Education provide a Fellowship to enable a new orthodontic graduate the opportunity to spend time overseas engaged in research. The present discussion deals not so much with the details of the research (which are to be published ), but rather provides an overview of the Fellowship activities, and aims to encourage present postgraduate students to apply for the award.
Orchestrating Distributed Computing and Web Technology with Semantic Web and Big Data
Authors: Amanoul Sandy Victor , Abdulrahman Lozan M. , Abdullah Rozin Majeed , Qashi Riyadh
Published: January 2024

Complex data systems are incapable of processing large data volumes, rendering the task of retrieving pertinent information unattainable. The advent of the Internet has amplified the significance of accessible and readily available information. Additionally, it receives support from the World Wide Web Consortium (W3C) and global organizations responsible for establishing web standards, such as Web Ontology, Inc. It expands the functionality of the website to facilitate the retrieval, integration, and transmission of information. In recent years, several major organizations have shown a strong inclination towards using semantic technologies for the purpose of collecting Big Data. Undoubtedly, there are other advantages of integrating this into the Creative. It enhances the ability of end-users to manage data from many repositories, focuses on changing the corporate environment and the user experience, and incorporates individual definitions and integrates several data sources. Furthermore, the market’s evolving expectations and contemporary organizational practices require an adaptable but all-encompassing information strategy. Integration of data warehousing may be achieved by the use of scattered corporate ontologies. This study explores the impact of the Semantic Web on enhancing the intelligence of Big Data. It analyses the obstacles and opportunities associated with the integration of Big Data with the Semantic Web.
PERBANDINGAN PENDEKATAN BELAJAR (LEARNING APPROACHES) MAHASISWA TAHUN PERTAMA DAN TAHUN KETIGA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Sanjiwani Made Indira Dianti , Wardani Ni Putu , Diarthini Ni Luh Putu Eka
Published: January 2024

Learning approach is a method applied by individuals in studying material to achieve learning outcomes. Learning approaches can be classified into surface, deep, and strategic learning approach. Changes in the learning environment may affect the learning process of a student. This is prone to occur in first-year medical students who are experiencing a transition from high school education to university. The purpose of this study was to explore the comparison of the learning approaches used by first and third-year medical students. This study is an analytical study with a cross-sectional approach using the Indonesian version of The Approaches and Study Skills Inventory for Students (ASSIST) questionnaire. The sample collection technique used random sampling method with a sample size of 216 students. The collected data were analyzed in univariate and bivariate ways using a computer program. Respondents ranging from 18 to 22 years old and most of them were females (66.2%). First-year student respondents were 106 people (49.1%) and third-year students were 110 people (50.9%). Comparative analysis for categorical data was carried out using the chi-square test and obtained p-value = 0.011 (p <0.05), indicates that there is a significant difference between the types of learning approaches of first and third-year medical students. Third-year students were found to have a deep learning approach dominantly, while first-year students have a surface learning approach dominantly. Further research related to learning approaches should be carried out as a contribution to the curriculum formation process and may encourage students to adopt a good learning approach.
PENGARUH PEMBERIAN ASI EKSKLUSIF TERHADAP KEJADIAN DIARE PADA ANAK USIA 1-3 TAHUN
Authors: Wardani Ni Made Elsa , Witarini Komang  Ayu , Putra Putu Junara , Artana I Wayan Dharma
Published: January 2024

Abstrak

Diare adalah suatu penyakit yang ditandai dengan adanya perubahan bentuk dan konsistensi tinja yang lembek sampai mencair dan bertambahnya frekuensi buang air besar yaitu 3 kali atau lebih dalam sehari yang dapat disertai dengan muntah atau tinja yang berdarah. Kejadian diare pada anak dapat terjadi akibat pemberian susu formula sebagai pengganti ASI. Penelitian ini bertujuan untuk dapat mengetahui pengaruh pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun. Penelitian ini dilakukan dengan metode analitik menggunakan studi kasus kontrol dengan sampel yang sesuai dari populasi berdasarkan kriteria inklusi dan eksklusi. Data dianalisis menggunakan software SPSS versi 26 untuk mendapatkan pengaruh pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun dan dengan memperhatikan faktor lain seperti keberadaan toilet, berat bayi saat lahir, tingkat pendidikan ibu, sumber air minum, kebersihan diri, kebersihan lingkungan dan status gizi. Hasil menunjukkan tidak terdapat hubungan yang signifikan antara pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun. Saran yang diberikan yaitu melakukan penelitian kembali dalam rentang waktu yang singkat sehingga memudahkan dalam mengingat kembali hal-hal yang telah dialami saat wawancara. Selain itu juga perlu memperhatikan berbagai faktor lain seperti kebersihan lingkungan, kebersihan diri, dan juga kebersihan peralatan makan dan botol susu sebelum digunakan.

Kata Kunci: Diare, ASI Eksklusif, pengaruh
HUBUNGAN FAKTOR LINGKUNGAN DAN PERILAKU MASYARAKAT DENGAN RIWAYAT KEJADIAN DEMAM BERDARAH DENGUE (DBD) DI LINGKUNGAN CANDI BARU GIANYAR
Authors: Divya Nirmala Putu Ayu , Swastika I Kadek , Sudarmaja I Made , Ariwati Ni Luh , Ariwati Ni Luh
Published: January 2024

Demam berdarah dengue merupakan salah satu penyakit yang disebabkan oleh infeksi virus dengue. Bali merupakan salah satu daerah endemis dengue, dimana Gianyar merupakan kabupaten dengan tingkat kasus yang tinggi. Faktor-faktor yang dapat memicu demam berdarah dengue adalah faktor lingkungan dan perilaku masyarakat. Sehingga penelitian mengenai faktor lingkungan dan perilaku masyarakat terhadap kejadian demam berdarah dengue perlu dilakukan. Penelitian ini merupakan penelitian analitik observasional dengan metode pendekatan cross-sectional dengan mengambil data primer pada Juli – Agustus 2019 dari kepala keluarga yang berdomisili di Lingkungan Candi Baru Gianyar. Teknik pengumpulan sampel adalah minimum sampling dengan hasil 94 kepala keluarga atau yang mewakili sebagai responden. Analisis data dilakukan secara bertahap dengan analisis univariat dan bivariat. Hasil uji chi-square menunjukkan hubungan tidak bermakna antara faktor lingkungan yaitu kepadatan rumah (p value = 0,296, OR = 4,941, CI = 0,494 – 49, 429) serta kondisi tempat penampungan air (p value = 1,000, OR = 0,918, CI = 0,206 – 4,093) dan perilaku masyarakat yaitu pengetahuan responden (p value = 0,508, OR = 1,625, CI = 0,436 – 6,056), sikap responden (p value = 0,289, OR = 1,624, CI = 0,701 – 3,761) serta dan tindakan responden (p value = 0,353, OR = 0,471, CI = 0,119 – 1,868) dengan riwayat kejadian demam berdarah dengue.

Kata kunci :  demam berdarah dengue, faktor lingkungan, perilaku masyarakat
KARAKTERISTIK PASIEN KISTA OVARIUM DI RSUP SANGLAH DENPASAR PERIODE JANUARI 2019 - DESEMBER 2019
Authors: Dewi Putu Itta Sandi Lesmana
Published: January 2024

ABSTRACT

Ovarian cyst is gynecological tumors that are often found in women of childbearing age. The formation of ovarian cyst is influenced by the risk factors such as reproductive age, family history, nulliparous, and hormonal therapy. The purpose of this study is to determine the characteristics of ovarian cyst patients being treated in Sanglah General Hospital. The research design of this study is cross sectional design with retrospective descriptive research. Data were taken by using a total sampling method from the medical records of ovarian cyst patients during the period of January 2019 – December 2019. The research subjects were patients who had been diagnosed with ovarian cyst and recorded in the medical record of Sanglah General Hospital. The patients’ characteristics were described based on age, parity, menstrual status, cyst classification, cyst location, and medical management. The finding of this study is that out of the total sample of 67 medical records of the ovarian cyst patients, there were patients with the majority categories of age at 36-50 years old (37,3%), being dominated by women who had menstruation (67,2%), and mainly found in multiparous women (41,8%). The ovarian cyst was mostly found with benign type (52,2%), which was more common in the right ovary (49,3%). The medical management that was given in Sanglah General Hospital was mostly in the form of operative measures (74,6%). From this study, it can be concluded that ovarian cysts are most often found in women at childbearing age who have experienced menstruation. Ovarian cysts are more common in multiparous women with predominantly benign ovarian cyst type. Ovarian cysts are more common in the right ovary and predominantly performed by surgery.

Keywords: Ovarian cyst, characteristics, Sanglah General Hospital
Gambaran Tingkat Kecemasan Pasien Pre Operasi Pembedahan Ortopedi di Rumah Sakit Umum Pusat Sanglah
Authors: Sitinjak Melisa Patricia , Dewi Dewa Ayu Mas Shintya , Sidemen I Gusti Putu Sukrana
Published: January 2024

ABSTRAK

Tindakan pembedahan dapat menimbulkan kecemasan bagi pasien, khususnya pada periode pre operasi. Kecemasan yang dirasakan dapat berhubungan dengan prosedur pembedahan maupun anestesi yang akan dilakukan. Beberapa penelitian menemukan bahwa jenis kelamin, tingkat pendidikan, dan pengalaman operasi dapat memberikan pengaruh terhadap tingkat kecemasan pasien. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan pasien pre operasi pembedahan ortopedi. Penelitian ini merupakan penelitian deskriptif cross-sectional dan menggunakan data primer dari hasil kuesioner Hamilton Anxiety Rating Scale sebagai alat ukur tingkat kecemasan pasien. Data dikumpulkan pada periode Oktober hingga November 2020 di Rumah Sakit Umum Pusat Sanglah. Subjek penelitian didapatkan sebanyak 26 pasien. Hasil penelitian terdapat 88.5% pasien tidak merasakan kecemasan. Baik berdasarkan jenis kelamin, pengalaman operasi, dan tingkat pendidikannya, tidak menunjukkan adanya perbedaan terhadap tingkat kecemasan pasien pada penelitian ini.

Kata kunci: Kecemasan, pre operasi, pembedahan ortopedi
Gambaran Karakteristik Kanker Payudara Metastasis Berdasarkan Subtipe Molekuler di RSUP Sanglah Tahun 2014- 2019
Authors: Bernadette Natasha Lumongga , Setiawan I Gede Budhi , Suryawisesa IB Made Made , Wetan Ni G.A.A. Manik Yuniawaty
Published: January 2024

ABSTRAK

Angka kejadian kanker payudara meningkat setiap tahunnya. Subtipe molekuler merupakan prediktor yang baik dalam memprediksi kejadian metastasis. Studi Epidemiologi ini dilakukan untuk mempelajari karakteristik pasien kasus kanker payudara di Indonesia, khususnya di Rumah Sakit Umum Pusat Sanglah, Denpasar selama periode 2014-2019. Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan potong lintang. Penelitian ini menggunakan data sekunder Cancer Registry Perhimpunan Ahli Bedah Onkologi Indonesia (PERABOI), Divisi Bedah Onkologi RSUP Sanglah. Metode pengambilan sampel adalah total sampling. Dari 161 sampel kasus kanker payudara metastasis diperoleh hasil kejadian metastasis kanker payudara paling banyak mengalami metastasis ke paru-paru yaitu sebanyak 108 kasus (48,9%). Kejadian metastasis kanker payudara paling banyak dialami oleh pasien dengan subtipe molekuler Luminal B-positif yaitu sebanyak 45 kasus (28%). Pasien dengan metastasis tulang cenderung memiliki subtipe molekuler Luminal B-positif yaitu sebanyak 19 (32,2%). Pasien dengan metastasis paru-paru cenderung memiliki subtipe molekuler HER2+ yaitu sebanyak 28 (14,2%). Pasien dengan metastasis otak cenderung memiliki subtipe molekuler HER2+ yaitu sebanyak 6 (50%). Pasien dengan metastasis liver, cenderung memiliki subtipe molekuler HER2+ dan Luminal B-positif yaitu sebanyak 11 kasus (26,2%). Hasil penelitian ini dapat digunakan sebagai dasar penelitian lebih lanjut untuk mempelajari kejadian kanker payudara metastasis.

Kata kunci :  Kanker Payudara Metasasis, Organ Metasastasis, Subtipe Molekuler
PERBEDAAN POLA LUKA PADA KORBAN KECELAKAAN LALU LINTAS ANTARA DEATH ON ARRIVAL (DOA) DAN YANG DIRAWAT MENINGGAL DI RSUP SANGLAH TAHUN 2015
Authors: Ardhenariswari Ni Putu , Putu Alit Ida Bagus
Published: January 2024

Kecelakaan lalu lintas merupakan masalah kesehatan yang cukup serius karena dapat mengakibatkan kerugian material, kecacatan, bahkan kematian. Pola luka merupakan gabungan dari beberapa luka. Penelitian ini bertujuan untuk mengetahui perbedaan pola luka pada korban kecelakaan lalu lintas antara death on arrival (DOA) dan yang dirawat meninggal di RSUP Sanglah tahun 2015. Penelitian ini menggunakan jenis penelitian analitik dengan rancangan penelitian cross-sectional. Data-data didapatkan dari data sekunder yaitu laporan visum et repertum (VeR). Jumlah total sampel penelitian yaitu 84 sampel (42 sampel DOA dan 42 sampel rawat meninggal). Analisis data dengan analisis univariat dan bivariat dengan menggunakan uji chi-square dan manual untuk jenis luka. Hasil menunjukkan regio luka tungkai atas pada DOA (55,4%) dan rawat meninggal (44,6%) berbeda signifikan secara statistik (P<0,05) tetapi tidak berbeda signifikan secara klinis. Jenis luka terbuka terbanyak yaitu kepala leher pada DOA (73,8%), rawat meninggal (30,9%). Jenis luka memar terbanyak DOA yaitu tungkai atas (47,6%), rawat meninggal yaitu kepala leher (57,1%). Jenis luka lecet terbanyak korban DOA yaitu tungkai atas (83,3%), rawat meninggal yaitu tungkai bawah (78,6%). Fraktur basis cranii pada DOA (65,5%) rawat meninggal (34,5%), patah tulang wajah pada DOA (85,2%) rawat meninggal (14,8%), patah tulang dada pada DOA (88,9%) rawat meninggal (11,1%), berbeda signifikan (P<0,05). Dapat disimpulkan bahwa terdapat perbedaan pola luka pada korban kecelakaan lalu lintas antara DOA dan yang dirawat meninggal di RSUP Sanglah tahun 2015.

Kata Kunci: Pola luka kecelakaan lalu lintas, DOA, rawat meninggal
PENGARUH PEMBERIAN SEDUHAN KOPI TERHADAP KADAR TRIGLISERIDA DAN KOLESTEROL TOTAL PADA MENCIT (Mus musculus L.) YANG DIBERI PAKAN TINGGI LEMAK
Authors: Noegroho Benediktus Brilian Chrisma , Dewi Wiryanthini Ida Ayu , Surudarma I Wayan , Kusmawati Amy Yelly
Published: January 2024

ABSTRAK

Hiperlipidemia merupakan kelainan metabolisme lipid. Fraksi lipid yang mengalami kenaikan adalah kolesterol total, trigliserida, LDL, serta penurunan HDL. Senyawa aktif berupa asam klorogenat, serta polifenol, dan flavonoid dalam kopi Arabika Kintamani dapat menghambat penyimpanan karbohidrat dan lipid. Penelitian ini merupakan penelitian eksperimental menggunakan metode True Experimental Post Test Only Control Group Design. Tiga puluh ekor mencit dibagi menjadi lima kelompok, yaitu kelompok control (diet standar), hiperlipid (diet tinggi lemak), dan kopi (diet tinggi lemak dan seduhan kopi 0,3ml/hari, 0,6ml/hari, 1ml/hari). Diet tinggi lemak yang diberikan terdiri dari minyak babi dan kuning telur bebek. Data dianalisis menggunakan SPSS. Kopi berpengaruh terhadap kadar kolesterol total mencit, didapatkan nilai P 0,02 (p<0,05). Kopi berpengaruh terhadap kadar kolesterol total, namun tidak berpengaruh terhadap kadar trigliserida mencit yang diberi pakan tinggi lemak.

Kata Kunci: Hiperlipidemia, Kolesterol total, Trigliserida, Seduhan Kopi
TINGKAT EFEKTIVITAS DAN KEAMANAN PROSEDUR DESENSITISASI PENISILIN PADA PASIEN SIFILIS : A SYSTEMATIC REVIEW
Authors: Ajisma Seva , Indira I Gusti Ayu Agung Elis , Karmila IGAA Dwi , Wiraguna A.A.G.P
Published: January 2024

Penisilin masih menjadi pilihan utama untuk terapi sifilis. Namun mulai didapatkan kasus alergi terhadap penisilin, sehingga CDC membuat rekomendasi untuk melaksanakan prosedur desensitisasi penisilin. Belum ada studi yang meninjau tingkat efektivitas dan keamanan dari prosedur ini dalam bentuk systematic review. Dalam tinjauan ini akan dibahas lebih jauh mengenai efektivitas dan keamanan prosedur desensitisasi penisilin pada pasien sifilis. Pencarian dilakukan pada  database Wiley Online Librabry, Sciencedirect dan Pubmed dengan mengidentifikasi jurnal yang diterbitkan pada Januari tahun 2015 hingga Januari tahun 2020 yang berfokus pada evaluasi tingkat efektivitas dan keamanan prosedur desensitisasi penisilin pada pasien sifilis. Penyusunan systematic review ini didasarkan pada guideline penulisan systematic review oleh Cochrane Textbook of Systematic Review. Terdapat 6 studi yang digunakan dalam penyusunan tinjauan ini. Partisipan yang terlibat adalah ibu hamil dengan sifilis, ibu hamil dengan sifilis laten, ibu hamil dengan sifilis latent dan sekunder, neuro sifilis dan okular sifilis serta sifilis kardiovaskuler. Seluruh pasien dilaporkan mengalami reaksi alergi terhadap penisilin dan mendapatkan intervensi prosedur desensitisasi. Penelitian dilakukan pada beberapa lokasi yaitu Brazil, Chile, Inggris dan 3 studi dari Amerika Serikat.  Terdapat 16 partisipan yang terlibat dengan rentang usia 21-50 tahun. Seluruh studi melaporkan respon yang baik dan tidak menimbulkan komplikasi yang fatal terhadap prosedur desensitisasi. Prosedur desensitisasi terbukti efektif dan cukup aman tanpa menghasilkan efek samping maupun komplikasi yang merugikan. Meskipun demikian prosedur ini memiliki risiko berupa reaksi anafilaksis saat menjalankan prosedur desensitisasi namun hal ini dapat ditangani dan tidak sampai menyebabkan kematian.

Kata Kunci : Sifilis, Alergi Penisilin, Desensitisasi
PENGARUH KONSUMSI LOLOH CEMCEM TERHADAP KADAR KOLESTEROL TOTAL PADA MENCIT (Mus Musculus L.) DENGAN DIET TINGGI LEMAK
Authors: Dewi Ayu Cahya , Wiryanthini Ida Ayu Dewi , Surudarma I Wayan
Published: January 2024

ABSTRAK

Dewasa ini perkembangan pola hidup masyarakat telah mengalami pergeseran khususnya dalam hal konsumsi makanan. Pola makan dengan mengonsumsi makanan kolesterol tinggi disertai dengan tingginya intensitas makan menyebabkan kolesterol dalam darah mengalami peningkatan. Peningkatan kolesterol di darah dapat menyebabkan penyempitan pembuluh darah atau disebut aterosklerosis. Oleh karena itu diperlukan pengendalian kolesterol dalam darah secara tepat, salah satunya dengan cara modifikasi diet dan mengonsumsi bahan makanan yang memiliki efek antihiperkolesterolemia atau menurunkan kolesterol dalam darah. Loloh cemcem dibuat dengan bahan-bahan herbal khas pulau dewata yaitu daun cemcem, daun jarak pagar, daun sirih, daun dadap, kayu manis, air kelapa serta gula aren, dimana diketahui bahan tersebut memiliki kandungan antioksidan yang mampu menghambat pembentukan kolesterol di dalam tubuh. Penelitian ini berupa penelitian eksperimental murni dengan jumlah sampel terdiri dari 4 kelompok yakni 2 kelompok kontrol baik negatif dan positif serta 2 kelompok perlakuan. Setiap kelompok terdapat 8 ekor mencit. Pada akhir penelitian dilakukan pengumpulan data yang kemudian akan dianalisis dengan SPSS. Berdasarkan hasil analisis data menggunakan SPPS yakni diperoleh nilai p yaitu 0,001 (p<0,05) pada One Way Anova Welch yang artinya loloh cemcem berpengaruh terhadap kadar kolesterol total mencit. Dapat disimpulkan bahwa pengaruh loloh cemcem terhadap kadar kolesterol total pada mencit yang diberi diet tinggi lemak yakni mampu menyebabkan penurunan kadar kolesterol total mencit.

Kata kunci : Diet Tinggi Lemak, Loloh Cemcem, Kolesterol Total
Hubungan Vaksinasi Rotavirus dengan Kejadian Diare pada Anak Usia 6-24 Bulan di Kota Denpasar
Authors: Widiantari Ni Made , Cempaka Putu Mas Vina Paramitha , Nesa Ni Nyoman Metriani , Karyana I Putu Gede , Wati Ketut Dewi Kumara
Published: January 2024

Diarrhea constantly becomes an issue of health because of its high mortality and morbidity. Rotavirus infection is known as the predominant cause of acute diarrhea with severe dehydration and hospitalized diarrhea among children less than five years of age. Therefore, rotavirus vaccination is supposed to provide protective effect against the diarrhea cases. The study was implemented to prove the association between rotavirus vaccination and the diarrhea cases among children 6-24 months of age in Denpasar City. The study used an observation cross-sectional analytic design located at private pediatric clinic in Denpasar City and Puskesmas III Denpasar Utara from January to June 2020. The subjects selected by consecutive sampling technique were 104 children 24-36 months of age who divided into vaccinated and unvaccinated groups. The diarrhea cases were measured retrospectively from 6-24 months of age. The study data were derived through questionnaires, processed and analyzed through chi-square and logistic regression test on SPSS. In this study, the percentage of diarrhea cases in the vaccinated group (15,4%) was smaller than the unvaccinated group (36,5%). The statistical test showed PR = 0,42, 95% CI = 0,271-0,654, and p value = 0,001 (p<0,05) which means that rotavirus vaccination was significantly associated with the diarrhea cases and acts as a protective factor.

Keywords : Children, Diarrhea, Rotavirus, Vaccination
DOSIS OPTIMAL ANTI HIPERURICEMIA EKSTRAK ETANOL DAUN SALAM (SYZYGIUM POLYANTHUM) PADA TIKUS PUTIH GALUR WISTAR
Authors: Gumilang Retna , Farakhin Noer
Published: January 2024

Kadar asam urat yang tinggi akan menyebabkan peningkatan kristal asam urat yang berbentuk seperti jarum terutama di persendian yang akan menimbulkan rasa sakit pada persendian tersebut. Tumbuhan obat yang digunakan sebagai anti hiperurisemia sangat banyak. Salah satu tanaman yang digunakan sebagai obat tradisional untuk menurunkan kadar asam urat adalah tanaman salam (Syzygium polyanthum Wight). Tujuan penelitian ini adalah menganalisis dosis terapi ekstrak daun salam yang menunjukan efek maksimal dalam menurunkan kadar asam urat darah tikus putih galur wistar yang dibuat hiperurisemia dengan diinduksi jus hati ayam segar. Penelitian ini merupakan penelitian eksperimental labolatorik dengan desain post only control group design. Menggunakan 25 ekor tikus dibagi menjadi 5 kelompok terdiri dari; kontrol negative yaitu tikus putih diberi pakan standar, kelompok kontrol positif yaitu tikus putih yang dibuat hiperurisemia, kelompok perlakuan 1 yang diberi ekstrak daun salam 75 mg/kgBB, kelompok perlakuan 2 yang diberi ekstrak daun salam 150 mg/kgBB, dan kelompok perlakuan 3 yang diberi ekstrak daun salam 300 mg/kgBB. Analisis data dilakukan dengan uji ANOVA dan LSD (Least Significanly Difference) menggunakan program SPSS pada tingkat kepercayaan 95% untuk membandingkan antara kelompok kontrol positif, kelompok kontrol negatif, dan kelompok perlakuan. Hasil analisis statistika menunjukkan ada perbedaan signifikan antara kelompok control negative dengan kelompok control positif, kelompok control positif dengan kelompok perlakuan 2, dan kelompok control positif dengan kelompok perlakuan 3. Tetapi tidak menunjukkan perbedaan yang signifikan antara kelompok control positif dengan kelomok perlakuan 1.
HUBUNGAN PEMBERIAN ASI EKSKLUSIF ENAM BULAN DENGAN KEJADIAN OBESITAS PADA ANAK USIA PRASEKOLAH DI KOTA DENPASAR
Authors: Purwaningrum Ni Made Ari
Published: January 2024

Background : Obesity is the accumulation and excess storage of fat in the body. The prevalences of children obesity is increasing in worldwide. Obesity is influenced by several factors. Exclusive breastfeeding can be a protective factor for obesity. This study is to determine a relationship between six months of exclusive breastfeeding with incidence of obesity in preschool children in Denpasar city. Method : This study was conducted using a case-control method. The research subjects consisted of 84 children divided into case groups of 42 children and control groups of 42 children at TK Saraswati 3, TK Cipta Dharma, TK Santo Yoseph, TK Waturenggong, TK Saraswati 1, TK Kartika VII-13, TK Santo Yoseph 1 , and TK Harapan Bangsa. Result : Based on the results of the bivariate analysis showed that six months of exclusive breastfeeding and the incidence of obesity had a significant relationship with the p value of 0.001 (p?0.05, OR = 0,205). Conclusion : There is a relationship among six months of exclusive breastfeeding with the incidence of obesity in preschool children in Denpasar City.

 

Keywords : Obesity, exclusive breastfeeding, children
Hubungan Durasi Penggunaan Media Sosial dengan Gangguan Kualitas Tidur Remaja di SMP Negeri 1 Mengwi
Authors: Kusmarini Putu Elmamira , Indrasari Utami Desak Ketut , Witari Ni Putu , Eka Widyadharma I Putu
Published: January 2024

The use of social media does have many advantages. But there are some bad effects that accompany it, one of which is sleep quality disturbances. A study shows that use of social media at night affects the quality of sleep worse, causing anxiety disorders, depression and self-esteem. Diagnosis of sleep disorders in adolescents is difficult because it is not often complained about by adolescents. In addition, when adolescents sleep disorders are no longer a concern for parents. In a study conducted by Haryono on junior high school students with 140 respondents, it was found that 63.6% experienced sleep disorders. This study aims to prove that there is a relationship between social media use and adolescent sleep quality disorders at SMP Negeri 1 Mengwi.

This study used a cross sectional approach in which the independent and dependent variables were collected at one time and at the same time. The sample in this study amounted to 79 respondents who met the inclusion and exclusion criteria.

From the results of the Correlation analysis test, it got a p value <0.05 with a correlation coefficient of 0.633 which indicates a strong positive relationship between the duration of social media use and the quality of sleep of the respondents.

Based on the results of the research and discussion carried out, it can be concluded that there is a significant relationship between the duration of social media use and sleep quality in adolescents at SMP Negeri 1 Mengwi.

Keywords: Social media, sleep quality disturbance, adolescent sleep quality
Evaluasi Pencegahan dan Penanggulangan COVID-19 Pada Industri Petrokimia di Sumatera Selatan
Authors: Arinda Sri , Modjo Robiana
Published: January 2024

The COVID-19 pandemic has a global impact, not only on health but also on the economic sector. In order to support the sustainability of the economy, various industries continue to carry out business activities during the COVID-19 pandemic. To support this situation, various parties, both government and international institutions such as the International Labour Organization (ILO) have developed guidelines for preventing and controlling COVID-19 in the workplace. Further evaluation of the implementation of these guidelines is very important to determine the company's level of readiness in dealing with the COVID-19 pandemic. This study was conducted at PT X, one of the Petrochemical Companies in South Sumatra. This study was conducted in September 2021 – January 2022. This is a semi-quantitative study with a Cross Sectional design. Data were collected through direct observation and review of company documents based on Kepmenkes No. HK.01.07/Menkes/328/2020, SE Minister of Manpower No. M/7/AS.02.02/V/2020 and the 2020 ILO guidelines. Data triangulation was carried out by in-depth interviews with 7 key informants. The results showed that PT X has implemented the COVID-19 prevention and control programs with a readiness level of 91.3%. However, there are programs that have not been implemented (the prevention of stigma and discrimination, evaluation of worker's knowledge and behavior, and also the structure of the COVID-19 team has not been included in the P2K3 structure. It is recommended to PT X to implement these programs in order to optimize the efforts that have been made.

Keywords: COVID-19, Workplace, Prevention and Control
Prevalence of Lumbar Hyperlordosis in Dance Department Students, Faculty of Performing Arts, Indonesian Art Institutes Denpasar Bali Batch of 2018-2020.
Authors: Wiraputri A. A. Wulanatalia , Wardana I Nyoman Gede , Widianti I Gusti Ayu , Muliani Muliani
Published: January 2024

Background: The spinal curvature of an adult varies in normal range. Abnormal curvature of the spine is known as scoliosis, kyphosis, and lordosis. There areseveral factors that can cause spinal abnormalities, one of which is the continuous application of abnormal posture. Body posture during traditional Balinese dance is considered abnormal because it applies positions such as excessive curving of the spine and puffing out the chest towards the front so that the dancer's body curve is seen more clearly. Poor posture that is used continuously can affect the curvature of the spine.

Objective: The study was to identify the prevalence of lumbar hyperlordosis in Dance Department Students, Faculty of Performing Arts, Indonesian Arts Institute Denpasar Bali Batch of 2018-2020.

Method: This study is a descriptive quantitative study with a cross-sectional design. The research sample was 44 students of the Department of Dance. Allsamples were given a self-data questionnaire then the spinal curvature was measured with a flexicurve. Analysis of the data collected in univariate andbivariate analysis, processed using SPSS Version 26 using cross tabulation.

Result: The prevalence of students experiencing lumbar hyperlordosis was found more than normal lumbar lordosis, namely 35 people (79.5%) with hyperlordosis and 9 people (20.5%) with normal lumbar lordosis.

Conclusion: The prevalence of lumbar hyperlordosis was higher than normal lumbar lordosis in female students with Balinese dance activities.

Keywords : Balinese dancer, lumbar lordosis, flexicurve ruler
The Relationship between family function and hypertension management in Desa Tista, Puskesmas Kerambitan II Work Area.
Authors: Dewi Putu Adi Cahya
Published: January 2024

Background and Purposes: Elderly generally experience physical changes such as the cardiovascular system that causes hypertension. Hypertension is a disease that cannot be cured and will cause damage to arteries in the body, causing complications such as coronary heart disease, stroke and kidney failure if not treated in the long term, but hypertension can be controlled through hypertension management. Strategy to improve hypertension management is through family functions. This study aims to determine the relationship between family function and hypertension management in the elderly.

Methods: This type of research is correlational analytic, with a cross sectional approach and purposive sampling technique. The subjects of this study were elderly aged 60 years and over. Statistical test used Spearman Rank Correlation with p value < 0.05.

Results: From 46 samples, family function in the elderly were mostly in the good category with a total of 28 respondents (60.9%) and management of hypertension in the elderly were mostly in the good category with a total of 30 respondents (65.2%). Based on the results of statistical tests using Spearman Rank, the results obtained were p value 0.000 <0.05 and the correlation coefficient value was 0.606.

Conclusion: There is a significant relationship between family function and hypertension management in Desa Tista, Puskesmas Kerambitan II Work Area.

 

Keywords: Family Function, Management of Hypertension, Elderly
PREVALENSI KEJADIAN BURNOUT SYNDROME DAN HUBUNGAN DENGAN FAKTOR – FAKTOR YANG MEMPENGARUHI PADA DOSEN PRIA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Prasetya Sudarsana Mahaputra Dewa Made , Purnawati Susy , Indah Sri Handari Adiputra Luh Made , Tirtayasa Ketut
Published: January 2024

Workers who cannot handle the stress at work will result in burnout syndrome, especially men who work as lecturers. This study aims to determine the prevalence of burnout syndrome in male lecturers and the relationship with the factors that influence it. The analytical cross-sectional research design in this study involved 91 male lecturer respondents who worked at the Faculty of Medicine, Udayana University in 2021. The data were analyzed using Chi-Square and Spearman Rank. The frequency of occurrence of burnout syndrome were  62 (68.1%) respondents with no sign, 25 (27.5%) respondents with little sign, 3 (3.3%) respondents with severe risk  and  1 (1.1%) respondent with very severe sign. The study also showed that there was no significant correlation between age and burnout syndrome (p=0.238); there was a significant correlation between marital status and burnout syndrome (p=0.004); there was no significant correlation between years of service and burnout syndrome (p=0.428); there is a significant correlation of individual factors on burnout syndrome (p=0.000); there was no significant correlation of organizational factors on burnout syndrome (p=0.099); there was no significant correlation between work environment and burnout syndrome (p=0.301).
ANGKA KEBERHASILAN RESUSITASI JANTUNG PARU PADA PASIEN YANG MENGALAMI HENTI JANTUNG DI RUMAH SAKIT UMUM PUSAT SANGLAH
Authors: Cristy Nadia Assecia , Ryalino Christopher , Suranadi I Wayan , Hartawan I Gusti Agung Gede Utara
Published: January 2024

ABSTRAK

Henti jantung adalah hilangnya fungsi jantung secara mendadak dan bisa terjadi pada seseorang yang memiliki penyakit jantung atau tidak. Penyebab kejadian henti jantung terbanyak adalah penyakit pada sistem kardiovaskular seperti bradikardia, takikardia, kardiomiopati. Resusitasi Jantung Paru merupakan tindakan pertolongan untuk mengembalikan fungsi pernapasan dan sirkulasi pada orang henti jantung. Peneliti tertarik memperluas informasi mengenai Angka Keberhasilan Resusitasi Jantung Paru Pada Pasien Yang Mengalami Henti Jantung di Rumah Sakit Umum Pusat Sanglah. Penelitian ini dilakukan dengan metode deskriptif potong lintang. Subjek penelitian dipilih menggunakan metode consecutive sampling berdasarkan kriteria inklusi terhitung sejak 1 Januari 2021 sampai 30 Juni 2021 di IGD dan ruang rawat inap RSUP Sanglah Denpasar. Variabel dalam penelitian ini meliputi: data demografi pasien berupa usia, jenis kelamin, luaran. Data dianalisis secara deskriptif. Sebanyak 294 pasien yang di RJP pada tahun 2019, dan 121 pasien yang di RJP pada tahun 2020. Subjek penelitian pada tahun 2019 terdiri dari 42,5% perempuan, dan 57,5% laki-laki. Pada tahun 2020 terdiri dari 41,3% perempuan dan 58,7% laki-laki. Usia subjek penelitian dibagi menjadi delapan kelompok, namun usia dengan persentase terbanyak pada tahun 2019 adalah >65 tahun sebanyak 29,9%. Pada tabel menunjukkan bahwa populasi laki-laki yaitu 57,8% dengan usia terbanyak >65 tahun sebanyak 29,4% mengalami henti jantung. Terdapat 68,0% yang meninggal selama dua tahun. Kejadian henti jantung diperoleh sebanyak 415 kasus di RSUP Sanglah. Diperoleh angka keberhasilan RJP pasien henti jantung sebesar 32%. Keberhasilan RJP ini dapat dipengaruhi oleh beberapa faktor seperti usia, jenis kelamin.

Kata kunci : angka keberhasilan, henti jantung, resusitasi jantung paru.
HUBUNGAN ANTARA LEUKOARAIOSIS DAN ATROFI KORTIKAL GLOBAL PADA LANSIA
Authors: Eveline Ency , Sitanggang Firman Parulian , Ayusta I Made Dwijaputra , Putra I Wayan Gede Artawan Eka , Anandasari Pande Putu Yuli , Margiani Ni Nyoman
Published: January 2024

ABSTRAK

LATAR BELAKANG: Prevalens leukoaraiosis dan atrofi kortikal global (GCA) meningkat seiring dengan meningkatnya usia. Tujuan penelitian ini adalah untuk menentukan apakah leukoaraiosis merupakan faktor risiko terjadinya GCA dan derajat leukoaraiosis berapakah yang berhubungan dengan kejadian GCA.

METODE: Penelitian ini melibatkan 100 lansia yang berobat ke IGD RSUP Sanglah Denpasar yang melakukan CT-Scan kepala dengan indikasi apapun pada periode Juli 2021 hingga Januari 2022. Pemilihan sampel dilakukan secara simple random sampling menggunakan aplikasi random number generator.

HASIL: Rerata usia subjek didapatkan 71,7 ± 7,7 tahun, 59% berjenis kelamin perempuan, 52% memiliki riwayat hipertensi, 29% riwayat dislipidemia, dan 13% merokok. Mayoritas yaitu 72% subjek menderita leukoaraiosis dan 67% menderita atrofi. Uji perbandingan kejadian atrofi berdasarkan leukoaraiosis menunjukkan 80,6% lansia dengan leukoaraiosis menderita atrofi dengan prevalence ratio 2,5 dan nilai P<0,001. Lalu dilakukan analisis perbandingan proporsi yang membandingkan derajat leukoaraiosis dan skala atrofi dengan membuat tabulasi silang. Hasil uji linear by linear association didapatkan koefisien korelasi Spearman sebesar r=0,535 dengan nilai P<0,001 yang menunjukkan korelasi positif dengan kekuatan korelasi sedang antara derajat leukoaraiosis dan skala atrofi. Analisis multivariat menggunakan uji regresi Poisson menunjukkan adanya hubungan antara leukoaraiosis dan atrofi kortikal global setelah mengontrol variabel perancu by analysis dimana didapatkan hasil adjusted prevalence ratio sebesar 2,2 dengan nilai P=0,034.

SIMPULAN: Leukoaraiosis secara independen memberikan peluang terjadinya atrofi sebanyak 2,2 kali pada lansia. Derajat leukoaraiosis yang mulai berhubungan dengan kejadian atrofi adalah sejak derajat ringan.

Kata kunci: Leukoaraiosis, atrofi kortikal global, lansia
PROFIL PASIEN CEDERA OTAK YANG DIRAWAT DI RUANG TERAPI INTENSIF RSUP SANGLAH DENPASAR
Authors: Sutjipto Matthew Nathanael , Hartawan I Gusti Agung Gede Utara , Dewi Dewa Ayu Mas Shintya , Aryabiantara I Wayan
Published: January 2024

ABSTRAK
Latar Belakang: cedera otak dapat diklasifikasikan menjadi cedera otak traumatik dan cedera otak non traumatik. Cedera otak traumatik didefinisikan sebagai perubahan fungsi otak akibat rangsangan dari luar, sedangkan cedera otak non traumatik seringkali disebabkan oleh cedera serebrovaskular (CVA). Tingkat keparahan cedera otak diklasifikasikan menjadi cedera otak ringan, sedang, dan berat yang dinilai menggunakan skor GCS. Data primer mengenai pasien cedera otak di Indonesia khususnya di Denpasar masih terbatas. Keterbatasan informasi ini yang menjadikan penulisn tertarik untuk melakukan penelitian ini.
Tujuan: mendapatkan informasi lebih mengenai profil pasien cedera otak yang dirawat di RTI RSUP Sanglah Denpasar.
Metode: penelitian deskriptif potong lintang. Populasi target pada register pasien yang masuk dalam kriteria inklusi sejak 1 januari 2021 hingga 30 Juni 2021 di RTI RSUP Sanglah Denpasar. Variabel yang digunakan dalam penelitian ini meliputi: kondisi demografi berupa usia, jenis kelamin, alamat, skor GCS, diagnosis, trauma penyerta, komorbid, ventilator, masa hari bebas ventilator, dan angka mortalitas.
Hasil: Sampel total penelitian ini sebanyak 89 pasien, dengan 52,93% pasien merupakan pasien cedera otak traumatik. Rata-rata usia pasien cedera otak traumatik adalah 43 tahun, sedangkan rata-rata pasien cedera otak non traumatik adalah 59 tahun. Pada pasien cedera otak, laki-laki memiliki proporsi lebih besar yaitu 78,65% dan  sebesar 23,60% pasien cedera otak memiliki alamat tempat tinggal di Denpasar. Skor GCS masuk pada pasien cedera otak traumatik didapatkan sebagai berikut, Skor GCS 3-8 (50%), Skor GCS 9-12 (22,92%), Skor GCS 13-15 (27,08%). Sedangkan skor GCS masuk pada pasien cedera otak non traumatik didapatkan sebagai berikut, Skor GCS 3-8 (48,78%), skor GCS 9-12 (43,90%), skor GCS 13-15 (7,32%). Pada pasien cedera otak traumatik 62,50% pasien yang datang memiliki trauma penyerta dan pada pasien cedera otak non traumatik 85,73% pasien yang datang memiliki komorbid. Penggunaan ventilator pada pasien cedera otak traumatik yaitu sebesar 87,5% dan pada pasien cedera otak non traumatik sebesar 82,93%, dengan rata-rata penggunaan ventilator selama 5 hari. Angka mortalitas pada penelitian ini adalah 29,17% untuk pasien cedera otak traumatik dan 43,90% untuk pasien cedera otak non traumatik.
Simpulan: Cedera otak traumatik merupakan cedera otak terbanyak yang dirawat di RTI RSUP Sanglah Denpasar. Dan rata-rata penggunaan ventilator pada pasien cedera otak yang dirawat di RTI RSUP Sanglah Denpasar adalah 5 hari.
Kata kunci :  Cedera otak, Cedera otak traumatik, Cedera otak non traumatik, Skor GCS.
PREVALENCE AND CHARACTERISTIC OF REFRACTIVE ERRORS IN ADOLESCENT CHILDREN AT SMP NEGERI 3 DENPASAR IN 2021
Authors: Arianingtyas Ni Made Dwitya , Triningrat Anak Agung Mas Putrawati , Utari Ni Made Laksmi , Sutyawan I Wayan Eka
Published: January 2024

Refractive error is a condition in which a firm image is not formed on teh retina but on the front or back of the yellow spot and is not located at a sharp poiyn. There are three refractive errors, namely myopia, hypermetropia, astigmatism or a mixture of these disorders. Among these refractive errors, myopia is the most common. The purposes of this study was to find study was to find out how the prevalence and characteristik of refractive errors in adolescent children at SMP Negeri 3 Denpasar in 2021. The design of this study used a cross sectional method where the sample collection in this study was conducted non-randomly (non-probability sampling) with purposive technique sampling. Data analysis was carried out descriptively by looking at the percentageand frequency values. In this study, as many as 232 students filled out the questionnaire, but only 46 studentd uses glasses. The characteristics of adolescents with refractive error at SMP Negeri 3 Denpasar were 36 children (78.3%) aged 14 years, which weredominated by women as many as 27 children (58.7%). In children, refractive errors are more common in the growth period where increased activity coincides with increased eye activity through near vision activities. The conclusion of this study is that the prevalence of the use of glasses in adolescents with refractive errors at SMP Negeri 3 Denpasar is 46 children (19.8%) of the 232 adolescent students who filled out the questionnaire.
AN OVERVIEW OF THE LEVEL OF ADHERENCE TO HYPERTENSION TREATMENT IN THE ELDERLY AT PUBLIC HEALTH CENTER 1 EAST DENPASAR
Authors: Anom Swari I Gusti Ayu Anom Swari I Gusti Ayu
Published: January 2024

Background: Hypertension is a condition where blood pressure increases in patients, which usually occurs in elderly patients. According to several aspects, one of which affects the quality of life of people with hypertension is adherence to treatment. The purpose of this study was to describe the level of adherence to hypertension treatment in the elderly at Puskesmas I East Denpasar. This study used a cross-sectional descriptive design at Puskesmas I, East Denpasar. The research sample used was all elderly people who suffered from hypertension and had been diagnosed with hypertension and had undergone hypertension treatment at Puskesmas I East Denpasar. The sampling technique used is convenience sampling with a minimum of 32 samples. The research instrument used was the MMS-8 questionnaire and a questionnaire made by the researcher himself. The collected data will be processed descriptively with SPSS. Most of the respondents did not comply with hypertension treatment. Most of the obedient respondents were male (33.3%), education level graduated from elementary school (50%), civil servant occupation (100%), marital status (29.6%), no other diseases (30, 8%), taking medication >3 months (33.3%), taking 1 to 2 types of medicine (30.8%), not receiving family support (50%), having support from health workers (28.6%), the score of knowledge level about hypertension and its treatment is >4 (30.4%), and easy access to services (44.4%). can be concluded in this study that respondents have a low of compliance.

Keywords: Compliance, Treatment, Hypertension, Elderly