bluuebunny/crossref_metadata_2025 huggingface dataset:
Congenital syphilis in neonates: a case report
Authors: I Gede Yogi Priyatna Biantara  , Windiyanto Romy
Published: December 2022

Background: Congenital syphilis (CS) in neonates is diagnosed when Treponema pallidum was identified in a laboratory test of neonates infected by mothers with syphilis. Recently, CS is still a significant and growing health problem worldwide despite being preventable. This case report will provide an overview of CS management conducted at our center, Sanjiwani Hospital, Gianyar, Bali-Indonesia.
Case presentation: We report a case of CS in a newborn female neonate with the positive result of TPHA and VDRL titer 1/128 from a mother diagnosed with the latent phase of syphilis infection. On physical examination found subcostal retraction of the chest, grunting on auscultation, and jaundice. The treatments given include oxygen via cannula nasal with 2 liters per minute, intravenous access with dextrose 10%, the antibiotic combination of cefotaxime 125 mg every 12 hours and gentamicin 12.5 mg every 24 hours. For the management of CS, the patient was given Benzathine Penicillin G at a dose of 125,000 IU single dose intramuscularly. Phototherapy was assisted the patient for 48 hours to manage the hyperbilirubinemia. The patient was discharged on the eight days of treatment with oral antibiotic cefixime 12.5 mg every twelve hours for three days.
Conclusion: The entity of CS is a disease suffered by infants with clinical manifestations or examination supporting the diagnosis of syphilis. The mother should do a screening during her pregnancy to prevent untreated syphilis and its complications for her babies.
Chronic osteomyelitis treatment with PerOssal®: a literature review
Authors: Mardana I Kadek Riyandi Pranadiva , Kesuma Anak Agung Ngurah Ronny , Saputra I Komang Agus Krisna , Laksana I Komang Mahendra
Published: December 2022

Chronic osteomyelitis is an inflammatory process in the bone followed by bone destruction caused by microorganism infection. The annual incidence of osteomyelitis is approximately 21.8 cases per 100,000 person-years in the general population. Implanting antibiotic-loaded carriers directly at the site of infection becomes a promising treatment approach. PerOssal® is an osteoconductive synthetic bone substitute for restoring and filling bone defects. PerOssal® pellets contain 51.1% nanocrystalline hydroxyapatite and 48.5% calcium sulfate. It has a role as bone material to fill bone defects caused by dead bone in chronic osteomyelitis. The porosity of PerOssal® allows a high initial antibiotic release, then decreases to ensure a local concentration of the antibiotic. PerOssal® did not show any in vitro cytotoxicity and fatal adverse event as bone material. PerOssal® is a promising antibiotic-loaded carrier for the management of chronic osteomyelitis. It demonstrates good biocompatibility with initial high antibiotic release without in vitro cytotoxicity and fatal adverse event.
Inferior shoulder dislocation with greater tuberosity avulsion fracture treated with Traction-Countertraction method in a rural hospital: A case report and literature review
Authors: Kusuman Kevin , Wiryadana Kadek Adit , Rante Su Djie To
Published: December 2022

Introduction. Inferior shoulder dislocation is considered a rare event. Although there is a seemingly low chance of occurrence, this condition should not be prematurely ruled out in the presence of acute shoulder pain.
Case. A 45 years old woman complained of pain in her left shoulder and was unable to bring her arm lower than 90° after a car accident. The patient unintentionally put her left arm outstretched above her head to avoid head impact during the crash, causing hyperabduction of the shoulder. She experienced pain, numbness and could not move the ipsilateral hand. Her left arm was locked in hyperabduction (100°), and her elbow was extended. Close inspection showed a  loss of left shoulder contour. On palpation, the humeral head was palpable in the axilla. Anteroposterior X-ray view confirmed inferior dislocation of the left shoulder with associated greater tuberosity fracture. A closed reduction under general anesthesia with the traction-counter traction technique was conducted as commonly used in rural settings. After perfect anatomical reduction was obtained and confirmed with X-ray, the patient was immobilized using an arm sling. The shoulder was immobilized for three weeks in adducted position to support soft tissue healing. Physiotherapy was started after three weeks.
Conclusion. Inferior shoulder dislocation is a rare orthopedic pathology that should not be easily dismissed in post-traumatic shoulder pain. The mechanism of injury is characterized by downward force or lever mechanism on the hyperabducted arm. Orthopedic surgeons in rural areas could utilize the Traction-countertraction method.
Perpanjangan hasil Polymerase Chain Reaction (PCR) pada pasien Acquired Immunodeficiency Syndrome (AIDS): laporan kasus
Authors: Saputra Yoelius Wijaya , Parwata I Komang , Krisnawati Ni Komang
Published: December 2022

Background: Since its emergence in Wuhan in 2019, SARS-Cov-2 has become the virus that causes the ongoing pandemic situation. The number of infected humans continues to grow over time. Moreover, there is also the HIV virus which continues to be a global health problem. To date, the available data on the coinfection of SARS-Cov-2 with AIDS are limited.
Case Presentation: This patient was found to have prolonged positive results on the Polymerase Chain Reaction (PCR) examination for 113 days. Female patient, aged 48 years, with complaints of shortness of breath since 3 days before admission to the hospital. Physical examination of the patient was compos mentis with a pulse rate of 113 beats per minute and a body temperature of 37.40C. On auscultation, crackles were found in both lung fields. The patient had anemia, leucocytosis, neutrophilia, lymphopenia, and elevated D-dimer.
Conclusion: The destruction of CD4 and CD8 in AIDS patients can provide a protective effect against the inflammatory process and cytokine storm, but this milder symptom causes inadequate production of neutralizing antibodies. This low number of Neutralizing Antibodies causes prolonged PCR results in SARS-Cov-2 patients.
 
Latar Belakang: Sejak kemunculannya di Wuhan tahun 2019, SARS-Cov-2 telah menjadi virus yang menyebabkan situasi pandemik yang sedang berlangsung. Data manusia yang terinfeksi terus bertambah dengan sejalannya waktu. Disamping itu terdapat juga virus HIV yang terus menjadi masalah kesehatan global. Sampai saat ini, data yang tersedia tentang ko-infeksi penyakit SARS-Cov-2 dengan AIDS masih terbatas.
Presentasi Kasus: Pada pasien ini ditemukan perpanjangan hasil positif pada pemeriksaan Polymerase Chain Reaction (PCR) selama 113 hari. Pasien perempuan, usia 48 tahun dengan keluhan sesak nafas sejak 3 hari sebelum masuk rumah sakit. Pemeriksaan fisik pasien compos mentis dengan laju nadi 113 kali permenit dan suhu tubuh 37,40 C. Pada auskultasi ditemukan ronchi di kedua lapang paru. Pasien mengalami anemia, leukositosis, neutrofilia, limfopenia, dan peningkatan D-dimer.
Simpulan: Destruksi CD4 dan CD8 pada pasien AIDS dapat memberikan efek protektif terhadap proses inflamasi dan badai sitokin, akan tetapi gejala yang lebih ringan ini menyebabkan produksi Neutralizing Antibody yang terbentuk tidak adekuat. Jumlah Neutralizing Antibody yang kurang ini menyebabkan pemanjangan hasil PCR pada pasien SARS-Cov-2.
Hyperglycemic hyperosmolar state in children: a case series
Authors: Lukman Leni , Darma Yuda I Made , Arimbawa I Made
Published: December 2022

Background: Hyperglycemic hyperosmolar state (HHS) is a life-threatening rare acute complication of diabetes mellitus (DM). The condition should be distinguished from diabetic ketoacidosis (DKA) as the management differs significantly. HHS is classically associated with type 2 DM, but it has been increasingly reported in type I DM as well. The literature regarding HHS in children is still sparse. The management of HHS in children is extrapolated from the adult study.
Cases: The first case was male 5 years old, and the second case was female 15 years old. Both cases were typed 1 DM patient. The first case was newly diagnosed. Both of the patients came with general weakness, mild dehydration, overly high blood sugar, normal blood pH, hypocalcemia, glucosuria and only mild ketonuria. In the second case develop, both patients were rehydrated, given insulin and discharged in 7-10 days without any sequelae.
Conclusion: These case series emphasize the importance of recognizing HHS and differ it from DKA. These two cases prove that HHS is increasingly reported in children with clinical symptoms resembling DKA. It is also proven that with early diagnosis and correct management, children with HHS can be discharged home without any sequelae.
The role of Platelet-Rich Plasma (PRP) in burn wound healing: a literature-review
Authors: Pradnyandari Ni Kadek Parswa Diah , Natasha Ratna Rayeni
Published: December 2022

Burn-related morbidity and mortality are usually caused by secondary infection and long healing time. In these circumstances, the use of products that can accelerate and enhance the wound healing process is urgently needed. One breakthrough in wound healing therapy is platelet-rich plasma (PRP). Platelet-rich plasma is autologous plasma with a platelet concentration above the normal value. This study is a literature review aiming to describe the role of PRP in burn wound healing. PRP has various mechanisms in burn wound healing, such as increasing hemostasis, releasing growth factors, reepithelialization, inducing fibroblast proliferation in the extracellular matrix, and promoting angiogenesis which increases the rate of wound healing. In addition, it also has an antimicrobials effect. Previous studies have been done in animal models and humans to prove the efficacy of PRP in burn wound healing. Most studies have revealed that PRP can accelerate wound healing time and increase the quality of wound healing. So, using PRP in burns can be very useful for patients to reduce burn morbidity and mortality.
Meningioma pada akseptor kontrasepsi hormonal: laporan kasus
Authors: Saraswati Putu Ayu Kartika Putri , Sudiariani Ni Ketut Ayu , Astika I Made Dommy , Sukarini Ni Putu
Published: December 2022

Background: Meningiomas are the most common primary central nervous system (CNS) tumors. The incidence of meningioma is mostly found in women. There is an association between hormones and the incidence of meningioma. The symptoms of meningioma are unspecified and depend on the tumor's location. This case study aims to evaluate meningioma in the hormonal contraceptive acceptor.
Case Presentation: A 36-years-old female patient was hospitalized with a chronic progressive headache that occurred for approximately two months. It was a throbbing headache in the left area of the head that worsened in the lying position. The patients deny other symptoms, such as weakness on one side of the body, nausea, vomiting, blurred visions or double visions, or convulsions. The patient had a history of receiving hormonal contraception for over 10 years. CT with contrast reveals a strong contrast enhancement, a well-defined, round-shaped lesion in the left sphenoid wing. In this case, tumor resection was done. From the histopathological examination, chordoid meningioma was found. Based on WHO grading, chordoid meningioma belongs to WHO grade II.
Conclusion: The longer exposure to the exogenous progesterone injection, the lower the expression of Progesterone Receptors (PR) and mRNA Neurofibromatosis-2 (NF2) in the serum, and that lower expression of PR and NF2 was significantly and independently associated with a higher risk of females to suffer from meningioma.
 
Latar Belakang: Meningioma adalah tumor primer sistem saraf pusat (SSP) yang paling sering ditemukan. Insiden meningioma lebih banyak ditemukan pada wanita, dimana diduga ada keterkaitan hormon pada wanita dengan kejadian meningioma. Gejala meningioma seringkali tidak spesifik dan tergantung dari lokasi tumbuhnya tumor. Laporan kasus ini bertujuan mengevaluasi meningioma pada akseptor kontrasepsi hormonal.
Presentasi Kasus: Pasien wanita berusia 36 tahun dirawat dengan keluhan nyeri kepala kronik progresif yang dialami selama kurang-lebih dua bulan. Keluhan dirasakan seperti berdenyut di kepala sebelah kiri, memberat dengan posisi berbaring. Keluhan lain seperti lemah separuh tubuh, mual, muntah, pandangan kabur atau ganda, serta kejang disangkal oleh pasien. Pasien memiliki riwayat penggunaan kontrasepsi hormonal injeksi setiap 3 bulan selama lebih dari 10 tahun. Pada pemeriksaan CT kepala dengan kontras didapatkan gambaran lesi menyangat kontras berbentuk bulat, berbatas tegas pada sphenoid wing kiri. Dilakukan reseksi tumor serta dilakukan pemeriksaan histopatologis dengan hasil chordoid meningioma, yang merupakan WHO derajat II.
Simpulan: Semakin lama paparan terhadap progesteron eksogen injeksi, maka ekspresi Reseptor Progesteron (RP) dan mRNA Neurofibromatosis-2 (NF2) dalam serum akan semakin rendah yang secara signifikan dan independen berhubungan dengan risiko yang lebih tinggi bagi wanita untuk menderita meningioma.
Pengaruh tingkat pengetahuan, sikap dan perilaku dengan kejadian COVID-19 pada mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warwadewa
Authors: Santosa Agus , Evayanti Luh Gde , Priyana Angga
Published: December 2022

Introduction: Efforts in preventing COVID-19 are carried out by increasing knowledge and improving attitudes and behavior. These three components affect the occurrence of COVID-19, especially among medical students. This study aimed to determine the relationship between knowledge, attitudes, and behavior and the incidence of COVID-19 in students of the Faculty of Medicine and Health Sciences (FKIK Unwar).
Methods: Analytical design and a cross sectional study were used. The study was conducted from October – November 2021. Several 88 samples were selected by purposive sampling from 2018-2020 class students in the Unwar FKIK environment. Data were analyzed using Fisher Exact test (p<0.05).
Results: Medical students have knowledge of 94.3% in the good category, 79.5% positive attitude and 55.7% positive behavior towards COVID-19, although there is no significant relationship (p>0.05).
Conclusion: Education and implementation of strict health protocols at FKIK Unwar increase the knowledge, behavior, and attitudes of FKIK Unwar students. Those were related to the low incidence of COVID-19 at FKIK Unwar for the last 3 months.
 
Latar Belakang: Peningkatan pengetahuan, perbaikan sikap serta perilaku dilaksanakan dalam upaya pencegahan COVID-19. Ketiga komponen tersebut mempengaruhi kejadian COVID-19 terutama dikalangan mahasiswa kedokteran. Penelitian ini bertujuan mengetahui pengaruh tingkat pengetahuan, sikap dan perilaku dengan kejadian COVID-19 pada mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan (FKIK Unwar).
Metode: Rancangan analitik ini menggunakan studi cross sectional dan dilaksanakan pada bulan Oktober – November 2021. Sebanyak 88 sampel dipilih dengan purposive sampling dari mahasiswa angkatan 2018-2020 di lingkungan FKIK Unwar. Data dianalisis sengan uji Fisher Exact (p<0,05).
Hasil: Mahasiswa kedokteran memiliki pengetahuan persentase 94,3% dalam kategori baik, sikap positif 79,5% dan perilaku positif 55,7% terhadap COVID-19 meskipun tidak terdapat pengaruh bermakna (p>0,05).
Simpulan: Edukasi dan penerapan protokol kesehatan yang ketat di FKIK Unwar meningkatkan pengetahuan, perilaku, dan sikap mahasiswa FKIK Unwar. Hal ini terkait rendahnya kejadian COVID-19 di FKIK Unwar selama 3 bulan terakhir.
Personal hygiene genitalia wanita
Authors: Laksmi Made Hermina , Puspawati Ni Made Dwi , Stephanie Aurelia , Hariwangsa Putu Gde
Published: December 2022

Since the beginning, genital hygiene has become a concern for women susceptible to infections of the urinary tract and reproductive system where the vagina is an unsterile organ related to external exposure and close to the anus. Several problems related to the personal hygiene of female genitalia arise due to a lack of understanding and literature discussing this matter. This literature review will discuss the normal flora of the female genitalia and procedures for daily vaginal care, which aims to increase understanding of female genital personal hygiene.
 
Sejak dahulu hygiene genetalia sudah menjadi perhatian kaum wanita, karena wanita sangat rentan terkena infeksi traktus urinarius dan sistem reproduksi dimana vagina merupakan organ yang tidak steril yang berhubungan dengan dunia luar serta berdekatan dengan anus. Beberapa masalah terkait personal hygiene genitalia wanita timbul akibat kurang pemahaman dan sedikitnya literatur yang membahas tentang hal ini. Tinjauan pustaka ini akan membahas mengenai flora normal genitalia wanita dan tata cara perawatan vagina sehari-hari yang bertujuan untuk meningkatkan pemahaman terhadap personal hygiene genitalia wanita.
Gambaran tingkat kecemasan dalam menghadapi UTBK SBMPTN pada calon mahasiswa baru angkatan 2020/2021 di Denpasar
Authors: Putri Dhanira Mahaliana Bramantya Suanda , Adiputra Luh Made Indah Sri Handari , Tirtayasa Ketut , Juhanna Indira Vidiari
Published: December 2022

Introduction: Such tight competition is suspected to cause anxiety in prospective new students in facing the computer-based written examination of the joint selection to enter state universities (UTBK SBMPTN). Anxiety is a combination of various responses that include intense networking, feeling worried and disturbing. Preparation for exams can create a high level of anxiety. However, anxiety can also be a positive energy when it is still at a low level. So, it is important when knowing the level of anxiety in prospective students facing the UTBK SBMPTN
Methods: This study is a descriptive study with a retrospective approach. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS) questionnaire which was distributed to prospective students graduating from SMAN 4 Denpasar and SMA PGRI 2 Denpasar in 2021 who registered for the UTBK SBMPTN with a sample of 88 people.
Results: The level of anxiety of respondents in this study had a relatively mild level of anxiety, namely 35 people (28%), 25 people (28%) experienced moderate anxiety and only 2 people (2%) experienced severe anxiety. Symptoms experienced by many respondents were difficulty concentrating (55 people), easily distracted (72 people), lethargic (60 people), restless (65 people).
Conclusion: The level of anxiety of most of the respondents in this study had a relatively mild level of anxiety, namely as many as 35 people (40%).
 
Pendahuluan: Persaingan yang begitu ketat diduga menimbulkan rasa cemas pada calon mahasiswa baru dalam menghadapi ujian tulis berbasis komputer seleksi bersama masuk perguruan tinggi negeri (UTBK SBMPTN). Kecemasan merupakan kombinasi dari berbagai respon mencakup ketakutan yang intens, merasa khawatir dan bersifat mengganggu. Persiapan untuk ujian dapat menciptakan tingkat kecemasan yang tinggi. Namun, kecemasan juga bisa menjadi energi positif ketika masih pada tingkatan rendah. Maka, penting mengetahui tingkatan kecemasan pada calon mahasiswa ketika menghadapi UTBK SBMPTN
Hasil: Tingkat kecemasan responden dalam penelitian ini memiliki tingkat kecemasan yang tergolong ringan yaitu sebanyak 35 orang (40%), 25 orang (28%) mengalami cemas sedang dan hanya 2 orang (2%) yang mengalami cemas berat. Gejala yang banyak dialami oleh responden adalah sulit konsentrasi (55 orang), mudah terganggu (72 orang), lesu (60 orang), gelisah (65 orang).
Simpulan: Tingkat kecemasan sebagian besar responden dalam penelitain ini memiliki tingkat kecemasan yang tergolong ringan yaitu sebanyak 35 orang (40%).
Right femur malunion treated with open osteotomy and open reduction with internal fixation percutaneous surgery (ORIF PS): A case report
Authors: Putra Pande Putu Agung Willa Kesawa , Kesuma Anak Agung Ngurah Ronny
Published: December 2022

Introduction: Fracture femur distal third is a common orthopedic problem in patients of all ages. Malunion is common due to neglected conditions; an osteotomy plus ORIF PS procedure is required in the management. Surgery is currently the treatment of choice for distal femoral malunion fractures. Malunion requires deep fixation of compression using lag screws, cortical screws or cancellous screws depending on the type of fracture. Patients with distal femoral malunion are also treated with grafting using bone graft, allograft, autograft, synthetic graft and blade plate with screws in combination with a safe quadriceps approach.
Case description: A 16-year-old female patient complained of unbalanced walking and cramps in the right leg for the last 3 months. The patient had a history of traffic accidents and then suffered  femur fracture 9 months ago, debridement and a plaster cast. The physical examination found that the right leg was shorter than the left, and the  AVN and active ROM distal right leg were still good. Then X-Ray examination obtained the results of his Malunion fracture of the middle 1/3 right femur and then decided to do an osteotomy + ORIF PS. The patient returned home in good condition and then controlled through the outpatient polyclinic.
Conclusion: In most malunion patients, osteotomy and PS ORIF are surgical methods. Corrective osteotomy with ORIF PS should be regarded as a salvage procedure for treating distal third malunion.
Ekstrak etanol daun pandan wangi (pandanus amaryllifolius r.) 10% menurunkan immobility time dan kadar kortisol tikus jantan galur wistar yang depresi
Authors: Puspitasari Lia
Published: December 2022

Depression is an emotional and soul disorders that occurs due to abnormality of serotonine, norepinephrine, dopamine and cortisol levels in blood, urine and cerebrospinal fluid. Herb that assumed have antidepresant activity and able to normalise this abnormality condition is pandan leaf (Pandanus amaryllifolius R) with some secondary metabolites. The purpose of this reseach is to investigate the effect of pandan leaf extract in decreasing immobility time and cortisol levels in male wistar induced depression.This research used experimental laboratory pretest and posttest control group design, with 24 sample that divided into four group. Depression was inducted with tail suspention test method for 3 minutes a day in 10 days. Antidepressant activity observed by measurement of immobility time in forced swimming test method and analysis of cortisol levels with ELISA method. Based on the results of this research, ethanol extract of pandan leaves 10% able decreased immobility time for 45,26% (p<0,05) and decreased cortisol level for 33,24% (p<0,05). In t-paired test analysis, extract ethanol of pandan leaves 10% showed that there was an influence with this treatment in immobility time and cortisol level pretest and posttest data (p<0,05). Another result from this research showed that ethanol extract of pandan leaves 10% did not decrease immobility time and cortisol levels more better than positive control (amitriptilin treatment) p<0,005. It can be concluded that administration of extract ethanol pandan leaves 10% decreased immobility time and cortisol levels in depression male wistar rats.Â Â
Pemodelan perhitungan biaya pengadaan persediaan bahan baku menggunakan metode EOQ di perusahaan kosmetika
Authors: Agung Dewantara I Gusti Ngurah , Wijayanti N. P. A. D. , Yastawa A. A.
Published: December 2022

Background: The process of procurement of supplies is a very important in manufacturing company, without supplies, the company will face a difficult continuity of the production process. Aim: This research is to compare the amount of raw material purchase, frequency of purchase of raw materials, the frequency of delivery of raw materials, and the total cost of procurement of raw material inventories carried out using traditional methods and modeling methods EOQ in Cosmetics Company. Method: Data were collected using the data of the company in 2014-2015 and interviews with the owners and employees of the Company Cosmetics. Results: From this research is obtained the comparison of traditional methods and modeling EOQ ie the amount of raw material purchases in one message 1000kg: 8.440kg increased by 8.44 times, frequency of purchase of raw materials 24: 6 times, frequency of delivery of raw materials 24: 6 times. Conslusions: Total savings cost of raw material inventory control 70% of the total cost of procurement of raw material inventory by the company using traditional methods.
Gambaran status gizi balita pada penggunaan garam beryodium di Desa Sangkan Gunung Kecamatan Sidemen, Kabupaten Karangasem
Authors: Uvaraju Thivyadharshini , Pinatih G.N. Indraguna
Published: December 2022

Nutritional status is one indicator of growth, nutritional status is a result of any use, absorption, and utilization of food. Iodine is needed in the body growth during gestation and early life, because iodine is an essential component in the formation of thyroid hormones. Thyroid hormone deficiency can reduce the activity of growth hormone such as (insulin growth hormone), which resulted in a number of developmental abnormalities and other functional. Toddlers (under five years) are one of age group in society most likely to suffer from nutritional disorders (susceptible nutrition) Methods: This study was a quantitative descriptive to describe the nutritional status of children in the use of iodized salt Sangkan Mountain Village district of Sidemen Karangasem regency. The target population was all Toddler Village Sangkan Mountains with a population of affordable homes that were accessible to researchers and have a toddler. This study used a total of 57 samples. Sample collection technique used is non-random consecutive sampling. Results: Nutritional Status based on Upper Arm Circumference (UAC), 5.3% Toddlers in the village Sangkan Gunung experiencing Malnutrition, and no toddlers (under 5 years old) were suffering Malnutrition. At 6 households using iodized salt, 5 infants (83%) with good nutrition and 1 infants (16.7%) with malnutrition. Meanwhile, from 51 families to use non-iodized salt, 49 infants (96.1%) with normal nutrition and 2 infants (3.9%) with malnutrition. Conclusion: The family of children who used iodized salt has the higher proportion of stunting than the family of children who did not use iodized salt.Â
Gambaran umum tingkat kepuasan masyarakat terhadap upaya pelayanan kesehatan di wilayah kerja upt kesmas Gianyar II
Authors: Krishnan Vinothini , Dharmadi Made
Published: December 2022

Latar Belakang:. Kualitas pelayanan kesehatan akan berdampak pada kepuasan pasien. Namun berdasarkan data jumlah kunjungan pasien di UPT Kesmas Gianyar II menunjukkan terdapat penurunan jumlah pada tahun 2012 dan 2013 yakni dari 27.505 menjadi 25.572 sehingga hal tersebut menjadi indikator untuk dilakukan ulang penilaian kepuasan terhadap kinerja Puskesmas Gianyar II. Metode: Jenis penelitian ini deskriptif kuantitatif dengan pendekatan potong lintang (cross sectional) untuk mengetahui gambaran umum kepuasan pasien terhadap pelayanan kesehatan yang diberikan oleh UPT Kesmas Gianyar II.Penelitian ini dilakukan di kawasan wilayah kerja UPT Kesmas Gianyar II pada bulan agustus 2015. Populasi penelitian ini adalah semua masyarakat yang pernah mendapatkan pelayanan kesehatan serta bertempat tinggal di wilayah kerja UPT Kesmas II Gianyar. Teknik pengambilan sampel menggunakan metode consequtive sampling dengan jumlah sampel 100 orang.Â  Instrumen pengumpulan data adalah kuisioner dimana berisikan pernyataan seputar 5 dimensi kualitas pelayanan yang telah diuji validitas dan reliabilitasnya pada penelitian sebelumnya. Teknik analisis data dengan analisis univariat dan bivariat. Hasil: Karakteristik responden pada penelitian ini menunjukkan bahwa berdasarkan jenis kelamin paling banyak adalah perempuan sebesar 57%. Kelompok usia 26-45 tahun paling banyak yakni sebesar 48%. Berdasarkan kelompok pendidikan terakhir maupun tertinggi diketahui bahwa pendidikan SMA/Sederajat menempati jumlah terbanyak yakni 50%. Jenis pekerjaan bervariasi namun paling banyak pada kelompok yang tidak berkerjaÂ  sebesar 26%. Tingkat pendapatan masyarakat paling tinggi berada pada kelompok pendapatan di bawah Rp 1.543.000,00. Berdasarkan persentase diperoleh 67% masyarakat memberikan penilaian sangat memuaskan.Berdasarkan dimensi kualitas pelayanan jika diurutkan penilaian tertinggi ke terendah diantaranya: dimensi Tangibles (88,6), Reliability (86,88), Empathy (86,64),Responsiveness (86,16), dan Assurance (85,96). Simpulan: Sebagian besar masyarakat yang pernah memperoleh pelayanan kesehatan di UPT Kesmas Gianyar II mengatakan pelayanan kesehatan yang diberikan telah sangat memuaskan
Gambaran karakteristik penderita hipertensi dan tingkat kepatuhan minum obat di wilayah kerja puskesmas Kintamani I
Authors: Hazwan Azri , Pinatih Gde Ngurah Indraguna
Published: December 2022

Hipertensi merupakan penyakit yang sering ditemukan di Indonesia. Seseorang itu dikatakan menderita hipertensi apabila tekanan darah sistolik >140 mmHg dan tekanan diastolik >90 mmHg. Pada penderita hipertensi harus menjalani terapi dengan minum obat untuk mengontrol tekanan darah agar tidak tercetus komplikasi dari penyakit hipertensi. Dari data yang terdapat di Puskesmas Kintamani I masih terdapat banyak warga di wilayah Kintamani yang menderita hipertensi. Kepatuhan dalam menjalani pengobatan hipertensi sangat penting agar gejala hipertensi dapat dikontrol. Adapun beberapa faktor yang dapat mempengaruhi kepatuhan pasien minum obat seperti tingkat pengetahuan, pendidikan, dan demografi. Tujuan penelitian ini dilaksanakan agar dapat melihat gambaran kepatuhan minum obat hipertensi pada penderita hipertensi di wilayah Kintamani I.Penelitian ini adalah deskriptif cross-sectional. Responden yang menjadi subjek penelitian ini merupakan penduduk yang menderita hipertensi di wilayah kerja Puskesmas Kintamani I. Pengambilan data dilakukan pada tanggal 22 - 29 Mei 2015. Teknik sampling yang digunakan merupakan teknik simple random sampling dengan jumlah sample sebanyak 50 orang.Hasil penelitian ini secara umum menunjukkan sebanyak 30% pasien mempunyai kepatuhan tinggi terhadap minum obat hipertensi sedangkan sisanya sebesar 70% pasien mempunyai kepatuhan rendah. Untuk mendukung angka keberhasilan pengobatan hipertensi dapat dilakukan dengan adanya penyuluhan penyakit hipertensi sehingga kepatuhan minum obat penderita hipertensi dapat meningkat.
Hubungan pola jajan kariogenik dengan karies pada siswa sekolah dasar di wilayah kerja Puskesmas III Denpasar Selatan, Bali 2016
Authors: Sirat Ni Made , Senjaya Asip Arifin , Wirata I Nyoman
Published: December 2022

Karies gigi merupakan salah satu penyakit gigi dan mulut yang paling sering dijumpai di masyarakat. Karies gigi erat hubungannya dengan konsumsi makanan yang kariogenik. Pola jajan terdiri dari jenis dan frekuensi konsumsi makanan. Anak-anak memiliki kegemaran untuk mengkonsumsi jenis makanan jajanan manis secara berlebihan, khususnya anak-anak usia sekolah dasar (6-12 tahun). Tujuan penelitian yaitu untuk menganalisis hubungan pola jajan kariogenikÂ  dengan karies pada siswa sekolah dasar di wilayah kerja Puskesmas III Denpasar Selatan Tahun 2016. Desain penelitian observasional dengan pendekatan cross sectional. Sampel diambil dengan teknik simple random sampling yang berjumlah 550 responden. Analisis data menggunakan uji Chi Square. Hasil penelitian diperoleh 363 orang kariogenik (66%) dan tidak kariogenik 187 orang (34%), Rerata pola jajan kariogenik sebesar 1,93 Â± 3,02 jajan setiap hari, 369 orang karies (67,1%) dan 181 orang tidak karies (32,9%) serta Rerata karies gigi sebesar 3,20 Â± 3,45 karies. Kesimpulan yaitu terdapat hubungan antara konsumsi makanan kariogenik dengan karies gigi dengan p = 0,000. Diharapkan pihak sekolah mengetahui dampak dari konsumsi makanan kariogenik dan mengurangi penjualan makanan yang bersifat kariogenik di area sekolah
Correlation between clean and healthy lifestyle behavior of mother with the incident of diarrhea in toddlers at working area of Puskesmas I Negara, Jembrana - Bali
Authors: Rajan Inderan Sharrmila , Weta Wayan
Published: December 2022

Background: Diarrhea defines as the increase of defecation frequency more than usual, which is more than three times per day, accompanied by the change of fecesâ€™ consistency become way waterier with or without blood and mucus. Risk factors that can cause diarrhea included the transmission of bacteria, immune deficiency from the host increases the vulnerable towards diarrhea and environment factor along behavior. The combination of unhealthy environmental factors because of tainted diarrhea bacteria and bad human behavior was the main cause of diarrhea. This research aims to know the correlation between clean and healthy lifestyle behavior of mother with the incidents of diarrhea in toddlers.Methods: This research is an analytic study with cross-sectional approach. The data of this study were collected through questionnaire. The data were analyzed by univariate and bivariate.Results: 50 samples were included in this study with 58% aged 20-30 years old. Bivariate analysis showed that clean and healthy lifestyle behavior category of mother, washing hand, and toilet usage were correlated with the incidence of diarrhea in toddlers with PR (p-value) consecutively 1,9 (p=0.028); 3.9 (p=0.004); and 6.25 (p=0.002).Conclusions: Majority of respondents have bad clean and healthy lifestyle behavior (CHLB) category, and the incidence of diarrhea in toddler tends to be more in mothers with bad clean and healthy lifestyle behavior (CHLB) category.
Ethanolic extract cream of red cabbage (Brassica oleracea L. var. capitata f.rubra) on the epidermal thickness in Wistar rats (Rattus norvegicus) after ultraviolet-B exposure
Authors: Rajappan Yogarani V.C , Arijana I Gusti Kamasan , Sugiritama I Wayan , Ratnayanti IGA Dewi
Published: December 2022

Background: UV exposure is related to oxidative stress and also as an essential factor in skin photoaging. Several antioxidants are widely used in preventing skin photoaging by influencing epidermal skin layer. High concentrations of antioxidant properties in red cabbage are known to have these effects. This study aims to determine the role of ethanolic extract cream of red cabbage on the epidermal thickness in Wistar rats after UV-B exposure.Methods: An experimental study was carried out among 25 Wistar rats which divided into 5 groups as follows: P1 as control (only exposed to UB-B), P2 (placebo and UV-B), P3 (5% ethanolic extract cream and UV-B), P4 (10% ethanolic extract cream and UV-B), and P5 (20% ethanolic extract cream and UVB). The UV-B dosage applied for each group was 65 mJ/cm2. The thickness of epidermis is calculated by direct measurement using Image Raster software from basal membrane to stratum corneum. The statistical analyses were performed using SPSS ver. 20.0.Results: There was a significantly different in the epidermal thickness among groups (P < 0.05). The mean of epidermal thickness in the control group (P1) was 36.00Â±1.08 Âµm, followed by 27.66Â±0.87 Âµm in the treatment group I (P2), 26.76Â±1.02 Âµm in the treatment group II (P3), 24.94Â±1.25 Âµm in the treatment group III (P4), and 20.24Â±1.47 Âµm in the treatment group IV (P5).Conclusion: The ethanolic extract cream of red cabbage (Brassica oleracea L.Var. capitata f. rubra) in different doses have a statistically significant impact on the epidermal thickness in Wistar rats after UV-B exposure.
Characteristic of thyroid carcinoma based on age, sex and histology type at Sanglah General Hospital, Bali, Indonesia, 2016
Authors: Arrumugam Kishan , Ekawati Ni Putu , Gotra I Made
Published: December 2022

Background: Thyroid cancer is one of the most common malignancies in the endocrine system whereas the annual mortality rate is increasing each year in Indonesia. This study aims to determine characteristic of thyroid carcinoma based on age, sex, and histology type at Sanglah General Hospital, Bali, Indonesia, 2016.Methods: A cross-sectional study was carried out among 84 patients with thyroid carcinoma at Sanglah General Hospital during January-December 2016. Data were analyzed using secondary data from medical record based on age, sex, and histology type by SPSS ver. 16.Results: The highest prevalence of thyroid carcinoma based on age was found in the 50-54 years group (17.86%). Females were predominant that attributed to 73.8% compared with males (26.2%). In addition, papillary thyroid carcinoma has the highest prevalence in both sexes that is 75% among other types.Conclusion: A 50-54 years-age group, females, and papillary thyroid carcinoma types were predominant at Sanglah General Hospital in 2016.
The effect of red-cabbage (Brassica oleracea L. var. capitata f. rubra) ethanolic extract in cream preparation on dermis-elastic fibre thickness in male Wistar rats after ultraviolet-B rays exposure
Authors: Bt Abdul Rauap Intan Syahirah , Sugiritama I Wayan , Linawati Ni Made , Arijana I Gusti Kamasan
Published: December 2022

Background: Ultraviolet B (UV-B) rays exposure is a leading cause of sunburn, skin dryness and skin aging by influencing the dermal elastic fibers. This photoaging effect was caused by damage of fibrillin-1 as a microfibrillar network. This study aims to evaluate the effect of red-cabbage (Brassica oleracea L. var. capitata f. rubra) ethanolic extract in cream preparation on dermis-elastic fibers thickness in male Wistar rats after UV-B exposure.Methods: A randomized post-test only control group design was conducted among 25 male Wistar rats during 2 weeks. They were divided into 5 groups as follows: control group (P1), basic cream (P2), 5% ethanolic extract of red cabbage cream (P3), 10% ethanolic extract of red cabbage cream (P4), and 20% ethanolic extract of red cabbage cream (P5). The UV-B dosage used are 325 mJ/cm2 among groups prior to study. The dermis-elastic fiber thickness was assessed by Image Raster software. Statistical analysis was carried out using SPSS version 20 in measuring normality test, mean, and ANOVAResults: There was a statistically significant difference of dermal-elastic fibers thickness among groups (P < 0.05). The mean of dermis-elastic fiber thickness was 6.125Â±0.376 Âµm in P5 group, followed by 4.075Â±0.266 Âµm in P4 group, and 3.114Â±0.290 Âµm, 2.109Â±0.420 Âµm, and 1.907Â±0.454 Âµm in P3, P2, and P1 group respectively.Conclusion: Ethanolic extract of red-cabbage in a different dose of cream preparation have a statistically significant difference on the dermis-elastic fibers thickness after UV-B exposure
Pola penggunaan insulin pada pasien diabetes mellitus tipe 2 di poli penyakit dalam RSU Negara Periode Juli - Agustus 2018
Authors: Gamayanti Komang ayu Vitriana , Ratnasari Ni Luh Made Novi , Bhargah Agha
Published: December 2022

Aim: This study aims to determine the pattern of insulin therapy in type 2 Diabetes Mellitus patient in Internal Medicine Policlinic Negara Hospital, Bali.Method: This research was an observational study with cross-sectional design at Internal Medicine Policlinic Negara Hospital, Bali period August 2018. A total of 177 samples were selected by total sampling technique.Result: According to the duration of action, majority of insulin usage was rapid acting insulin in 93 patients (52,5%). The most frequent combination of two insulin types was long-acting with rapid-acting insulin in 30 patients (33,7%), meanwhile the Â most frequent combination of insulin and OHD was premixed insulin with gluconeogenesis inhibitor in 43 patients (48,9%). Fasting Plasma Glucose mean was 185,12 mg/dL, Post Prandial Plasma Glucose mean was 252,9 mg/dL. This study also found the Fasting Plasma Glucose â‰¥ 126 mg/dL count in 129 patients (72,9%), Post Prandial Plasma Glucose â‰¥ 180 mg/dl count in 133 patients (75,1%). The mean of systolic blood pressure was 128,81/ 78,53 mmHg, patients with targeted blood pressure <140/90 mm/Hg count in 110 patients (62,1%).Conclusion: The profile of insulin therapy in patients with Type 2 DM at Internal Medicine Polyclinic, Negara Hospital varies according to the indication in each patient. The most frequent type of insulin use is rapid acting insulin. Most patients with insulin therapy have not achieved targeted glycemic control, but have achieved the targeted blood pressure according to the PERKENI.
Sistem skoring faktor risiko sebagai model prediktor kejadian cedera sfingter ani obstetrik
Authors: Mochtar Arufiadi Anityo , Hakim Surahman , Priyatini Tyas , Tunggadewi Shirley Anggraini , Erwinanto Erwinanto , Arifin M Thohar
Published: December 2022

ABSTRACTIntroduction: anal sphincter injury is one of the complications that often occur in vaginal delivery. The impact of anal sphincter injury after vaginal delivery can reduce quality of life by causing various complaints such fecal incontinence, voiding disorders, sexual dysfunction, perineal pain and rectovaginal fistula. Assessment of risk factors is important to watch out for patients who are more prone to injury to the anal sphincter. This study aims to obtain a scoring system of various antenatal risk factors that can be used to predict the incidence of obstetric anal sphincter injury.Methods: This study is a diagnostic test that uses predictive factors for various risk factors for anal sphincter injury in vaginal delivery. The research was carried out in maternity service at Dr. Cipto Mangunkusumo General Hospital and Fatmawati General Hospital in the period February - July 2016. Analysis of the data in this study uses SPSS version 21.0. The analysis test used in this study is the calculation of odds ratio, logistic regression test, ROC curve analysis test to assess sensitivity and specificity of the scoring system.Results: Nulliparous, estimated fetal weight â‰¥ 3,500 gr, perineum length â‰¤ 25 mm, estimated head circumference â‰¥33.5 were risk factors for obstetric anal sphincter injury (OR> 1; p <0.05). Through the scoring modeling system all risk factors can be converted into scores 1. The probability values of scores 1, 2, 3, 4 are 7%, 30%, 70% and 90% respectively. The sensitivity and specificity of the scoring system developed were 61.3% and 91.3% with a cut-off score of 2.Conclusion: By knowing the prediction score before delivery, action can be taken to prevent the possibility of sphincter injury in obstetrics.
Association between eating pattern and food neophobia in children with Autism Spectrum Disorder (ASD): Parents' perceptions
Authors: Oewen Roosje R. , Latifa Witriana , Triani Rini , Anisyah Ika , Syahrir Syakriani
Published: December 2022

Objective: To explain the correlation between cariogenic (high sugar diet) with Food Neophobia (FN) in Autism Spectrum Disorder (ASD) children. 

Material and Methods: This type of research is analytically observational with a cross-sectional design. Sampling technique purposive sampling, number of samples 65 respondents of parents/caregivers in LRD community members of suar autism. Data collection with a questionnaire for five eating patterns and FN three questions in the form of a Google Form. The data were analyzed descriptively, and the spearman rank correlation test was used to analyze the difference between diet and FN. 

Results: Children consume one to two spoons of sugar per day 95.4%; like sweet food 80%, sweet food between meals 80%; soft drinks 49.2%; non-sweet snacks 56.9%. Based on the category of the frequency distribution of neophobia food levels in children with ASD were light 32.31%, moderate 30.77%, and heavy 36.92%. Spearman rank correlation test r=0.06 p>0.05 was 0.36%. 

Conclusion: This research shows that diet pattern has a very low association with FN in children with autism spectrum disease.
Willingness to pay for dengue vaccine among parents of elementary school students in Denpasar
Authors: Indraswari Ni Luh Astri , Wirawan Dewa Nyoman , Kardiwinata Made Pasek , Januraga Pande Putu
Published: December 2022

Background and purpose: The incidence of Dengue Hemorrhagic Fever (DHF) in Bali, especially in Denpasar, remains high. Efforts to eradicate mosquito nests have been carried out but did not give a significant reduction in the incidence number. The dengue vaccine is now available and can be a way of prevention. The dengue vaccine has not been included in the mandatory immunization program by the government so people who want to get vaccinated have to pay for it by themselves. This study aims to determine the relationship between socio-demographic factors and perceptions with the willingness to pay for the dengue vaccine among parents of elementary school students in Denpasar.Methods: This study used a cross sectional design involving 100 mothers of students from grade 3 to grade 6 at Dauh Puri 5 Elementary School and Dauh Puri 6 Elementary School who were selected with systematic random sampling. Data collected included education level, income, respondents' perceptions and willingness to pay for dengue vaccine. Data were collected by interview using a questionnaire, the results were analyzed using a multivariate logistic regression.Results: The average willingness of parents to pay for the dengue vaccine per dose was IDR 131,170. Percentage of respondents who were willing to pay for the dengue vaccine was 31%. The results of analysis showed that variables associated with parents’ willingness to pay for the dengue vaccine were education level (OR=4.06; 95%CI: 1.19-13.76), perceived susceptibility (OR=1.59; 95%CI: 0.58-4.37) and perceived benefits (OR=2.60; 95%CI: 1.00-6.81).Conclusion: Parents' willingness to pay for the dengue vaccine remains very low compared to the current price of vaccine per dose. The government needs to provide subsidies so that the dengue vaccine can be included in the national immunization program and be accessed by all people. Further research is needed with a broader scope and more varied population’s characteristics to obtain a willingness to pay value that can represent society in general.
Transformational Change: Challenges and Development Prospects. The Case of Ukraine
Authors: Nosova Olga
Published: December 2022

Background: The basic system transformation approaches can be described by definition of the main and decisive factors of transformational change.

Research objectives: The aim of the study is to estimate how the GDP in Ukraine depends on the degree of economic, political, social transformation, as well as the overall indicators (market and democratic) reforms.

Research design and methods: The source of information is the World Bank database, Heritage Foundation, and national statistics. The research methods include descriptive analysis, economic and statistical methods, and correlation analysis.

Results: The study results identify factors which positively impacts the formation of new and renewed institutions and contribute to a more balanced political, social and economic growth.

Conclusions: Development vector designation allows formulating a state development strategy by estimating the factors that might lead to a more sustainable strategy of political and social-economic development.
Producers Involvement – the Next Stage of Fair Trade Development. The Case of Poland
Authors: Śmigielska Grażyna
Published: December 2022

Background: The idea of this paper is to show how countries from so call so-called Eastern Block could contribute to the development of Fair Trade (FT). Poland, as a leader in political and economical changes in Eastern Europe, as well as being a very fast-developing country, could be considered a good representative for all states belonging to this Block.

Research objectives: The goal of this paper is to assess the market for Fair Trade  products in Poland and identify the tools which could speed up its development.

Research design and methods: It is a conceptual paper, based on the literature review and thus secondary data. A literature review is used to determine the contemporary character of FT  as well as identify the stages of its development.

Results: It was the case in Poland where in 2018 the wholesale of FT products started its boom. Before, due to some obstacles, which were also identified, the sales had been marginal.

Conclusions: It is suggested that a new stage of FT development is coming, in which its growth is sped up by engaging companies to produce goods which have the FT component.