bluuebunny/crossref_metadata_2025 huggingface dataset:
Utilisation of interactive media as health promotion in preventing and controlling blood sugar levels among type 2 diabetes mellitus patients: a systematic review
Authors: Dinatha Ngurah Mahendra
Published: April 2020

Background: The use of interactive media as a health promotion media has continued to develop in the past few decades. This technology is used to manage various acute and chronic diseases, one of which is diabetes mellitus. This systematic review aims to describe an intervention that utilises technology as a tool in the form of interactive media in conducting preventative health promotion and glucose control for type 2 diabetes.Methods: The databases used include ProQuest, PubMed, Science Direct and Google Scholar. The keywords used in article search are research, interactive media, type 2 diabetes, health promotion, telemedicine, web-based, obesity, diabetes exercise, walking, glucose control. Inclusion criteria are 1) articles published in 2014-2018 in English, 2) articles which the main content is about using interactive media for diabetes type 2 problems. Exclusion criteria are 1) literature that is not relevant to the purpose of writing, 2) researching the interactive media but not applied to the problem of type 2 diabetes, 3) duplication, and 4) published articles incomplete. Thus, there were 1442 articles and only 12 articles that were used in accordance with the inclusion and exclusion criteria.Results: This systematic review found that the effective results in the implementation of preventive health promotion and glucose control of type 2 diabetes by utilising technology particularly interactive media.Conclusion: The 12 articles used in this study revealed that the implementation of preventive health promotion by utilising technology particularly interactive media was sufficient to control the glucose levels of among patients with type 2 Diabetes Mellitus.
Perbedaan manifestasi klinis dan laboratorium kolestasis intrahepatal dengan ekstrahepatal pada bayi di RSUP Sanglah Denpasar periode Januari 2015 - Desember 2018
Authors: Putra Pande Putu Agung Willa Kesawa , Putra IGN Sanjaya , Hartawan I Nyoman Budi
Published: April 2020

Introduction: Physiological jaundice found in infants and most symptoms are often mild. In conjugated jaundice defects in intra-hepatic production, transmembran transport from bile, i.e. cholestasis intrahepatic, or extra-hepatic obstruction/cholestasis occur, resulting in bile barriers. This study was conducted to look at the differences in the clinical and laboratory manifestations of IH and EH cholestasis in infants.Method: A descriptive retrospective study was performed on 102 infants with cholestasis who came to Sanglah Hospital Denpasar, during the period of January 2015 â€“ December 2018. Data analysis was performed with pearson Chi-square test and independent t-test.Result: Subjects consisted of 60 infants boys and 42 infant girls, intrahepatic cholestasis were 79 and extra-trahepatic cholestasis were 42. Significant differences in characteristic of nutritional status with intrahepatic and extra-hepatic cholestasis were found (p=0,015), but there isnâ€™t significant differences in age, birth weight, gestational age were observed. On examination of stool color, there was a significant difference (p<0,001), as well as laboratory results of SGOT, SGPT (p<0,05) between intra and extra-hepatic cholestasis. Meanwhile there isnâ€™t significant differences in GGT, total bilirubin, direct bilirubin, indirect bilirubin, and ALP.Conclusions: There were differences in the characteristics of nutritional status, differences in laboratory results of SGOT, SGPT, and fecal clinics between intrahepatic and extrahepatic cholestasis.
Ascites permagna caused by large mesenteric cyst in 2 years old male: A case report
Authors: Saputra I Made Yullyantara , Karyana Putu Gde , Putra Sanjaya , Nesa Metriani , Dharmajaya Made , Arianta Kadek Deddy
Published: April 2020

Background: Mesenteric cysts are documented as a rare entity in the pediatric population. They are considered as benign intraabdominal tumors with an unknown etiology and may occur anywhere in the mesentery of the gastrointestinal tract from the duodenum to the rectum. They are most commonly located in the mesentery of the ileum followed by localization in the sigmoid mesocolon. Approximately one-third of mesenteric cysts occur in children younger than 15 years of age and are slightly more common in males. The surgery is the common methods to remove the cyst.Case presentation: A 2-year-old boy was hospitalized with a history of the bloated abdomen and dull achy pain on the left side of the abdomen since I year before admitted. Physical examination revealed distended of abdomen and ascites. Laboratory investigation showed normal limit; ultrasonography investigation showed cystic lesion and fluid collection in the cavum abdomen. It was confirmed with a CT scan. We diagnosed the patient with ascites permagna et causa suspected mesenteric cyst. After the diagnosis, a laparoscopic exploration and drainage ascites and total resection of the cyst were performed. Seven days after surgery, the patient was in good condition and discharged from the hospital â€” no distention in the abdomen.Conclusion: The mesenteric cyst can be the cause of ascites and can be well treated with laparoscopic modalities; the outcome is excellent with no malignancy founded.
Hubungan antara kadar albumin dengan penyembuhan luka pada pasien pasca bedah di Rumah Sakit Umum Pusat Sanglah Denpasar
Authors: Pararesthi Ni Luh Gede Apsari , Putra Kadek Agus Heryana , Kurniyanta Putu
Published: April 2020

Introduction: Wound healing is influenced by various factors, one of which is nutritional status. Nutritional status itself is often detected by one of the important signs of serum albumin. Albumin is a protein in human plasma that is soluble in water and high in concentration in blood plasma. Low albumin levels as an estimate of the causes of malnutrition and also associated with increased complications and postoperative death. Serum albumin less than 3.5g / dL is recognized by the patient as hypoalbuminemia.Methods: This research was conducted with the aim of analyzing the relationship between albumin levels and wound healing in postoperative patients. This study used a cross sectional observational analytic method by taking secondary data from medical records of postoperative patients (disgestif surgery, neurosurgery, orthopedic surgery, oncology surgery) at Sanglah General Hospital.Result: Of the 60 patients involved in this study, patients with abnormal albumin levels were 36.7% and patients with normal albumin levels were 63.3%. The chi-square test results showed that postoperative patients who had the last abnormal albumin level before surgery 5.1 times more with unrecover wound compared to patients with normal albumin levels (PR = 5.182; 95% CI = 2.181-12.310, p = 0.00001).Conclusion: There is a significant relationship between albumin levels and wound healing.Latar Belakang: Penyembuhan luka dipengaruhi oleh berbagai faktor, salah satunya adalah faktor status nutrisi. Status nutrisi sendiri sering dideteksi oleh salah satu tanda penting yaitu serum albumin. Albumin merupakan protein dalam plasma manusia yang larut dalam air dan tinggi konsentrasinya dalam plasma darah. Kadar albumin yang rendah sebagai perkiraan penyebab malnutrisi dan juga berhubungan dengan peningkatan komplikasi serta kematian postoperasi. Serum albumin yang kurang dari 3.5g/dL diakui pasien tersebut hipoalbuminemia.Metode: Penelitian ini dilaksanakan dengan tujuan untuk menganalisis hubungan kadar albumin dengan penyembuhan luka pada pasien pasca bedah. Penelitian ini menggunakan metode observasional analitik cross sectional dengan mengambil data sekunder dari rekam medis pasien pasca bedah (bedah disgestif, bedah saraf, bedah ortopedi, bedah onkologi) di RSUP Sanglah.Hasil: Dari 60 pasien yang terlibat dalam penelitian ini didapatkan pasien dengan kadar albumin tidak normal sebesar 36.7% dan pasien dengan kadar albumin normal sebanyak 63.3%. Hasil uji chi-square menunjukkan bahwa pasien pasca bedah yang sebelum operasi memilki kadar albumin terakhir tidak normal 5.1 kali lebih banyak mengalami luka tidak sembuh dibanding pasien dengan kadar albumin normal (PR=5.182; 95% CI=2.181-12.310, p=0.00001).Simpulan: Terdapat hubungan yang signifikan antara kadar albumin dengan penyembuhan luka.
Karakteristik klinikopatologi karsinoma kolorektal di RSUP Sanglah, Bali, Indonesia tahun 2013-2017
Authors: Gunasekaran Venosha , Ekawati Ni Putu , Sumadi I Wayan Juli
Published: April 2020

Background: Colorectal cancer is the third most common cancer in the world and the fourth leading cause of cancer death. The etiology of colorectal carcinoma is an unhealthy lifestyle and a poor diet such as excessive consumption of fat. This study aims to determine the characteristic of the clinicoopatological on colorectal carcinoma patients at Sanglah Hospital Denpasar 2013-2017.Methods: A cross-sectional study was conducted with a purposive sampling technique, on all patients who met the inclusion criteria. The tools used in data collection are medical records and their complaints that are found in the Anatomy Department of Sanglah Hospital. Data recorded includes age, grade, stage, and histopathology. The data analysis method uses SPSS version 17 for Windows.Results: A total of 121 cases were collected where most were in the age range of 50-60 years, as many as 48 cases (39.7%). In addition, Grade 2 was 98 cases (81.0%), followed by histopathological type with adenocarcinoma not otherwise specified as many as 118 cases (97.5%). Stadium 2 cases were 65 cases (53.7%), and 72 cases (59.5%) were males.Conclusion: Most cases are in the range of 50-60 years of age which is followed by Grade 2, histopathological type of adenocarcinoma not otherwise specified, stage 2 and male sex
The level of knowledge regarding breast cancer among female high school students at Santo Yoseph School, Denpasar, Bali, Indonesia
Authors: Thiruchelvam Hemalatha , Dewi Ni Nyoman Ayu , Wiryanthini Ida Ayu Dewi
Published: April 2020

Background: Breast cancer is the second leading cause of death among women around the world. In Indonesia, breast cancer is the leading cause of death among women. Previous studies have shown that female students have limited knowledge of breast cancer. This study is aimed at assessing the level of breast cancer knowledge among female high school students in Santo Yoseph School, Denpasar.Methods: A cross-sectional survey of 96 female high school students in Santo Yoseph School, Denpasar, was conducted using a self-administered questionnaire.Â  Questions asked in the questionnaire were about general knowledge of breast cancer, risk factors towards breast cancer, signs and symptoms of breast cancer and knowledge of Breast Self-Examination. The data was tabulated by scoring only the correct answers and analysed using SPSS version 17 for Windows.Results: The result of the study showed that high school female students had moderate to good knowledge of breast cancer. Fifty-three (55.2%) female students had average knowledge and forty-three (44.8%) female students had good knowledge of breast cancer. The majority of the participants, seventy-five (78.1%) of them, knew that breast cancer was the leading cause of death among women in Indonesia.Conclusion: The recent findings showed that female high school students had good knowledge of breast cancer. Good knowledge of breast cancer is important for girls and women equally.
Gambaran fungsi paru pengrajin kayu di Desa Petulu Gianyar, Bali-Indonesia Asshiddiqie Chirac Sepakat Purba1, Luh Made Indah Sri Handari Adiputra2, I Made Muliarta2
Authors: Purba Asshiddiqie Chirac Sepakat , Adiputra Luh Made Indah Sri Handari , Muliarta I Made
Published: April 2020

Introduction: The woodworking industry is experiencing very rapid growth. Petulu Village is a village famous for its wood crafts. The working environment in Petulu village has risk factors in the form of physical factors (dust, noise, heat, lighting), chemical factors, and the most important is Dust. The purpose of this study was to describe the description of lung function of wood craftsmen including (Gender, Age, Nutritional Status, Working Period, Smoking History and Use of Personal Protective Equipment) in Petulu Village, Gianyar, Bali.Method: This study is a descriptive study with a Cross-Sectional approach which aims to describe the lung function of woodworkers in Petulu Gianyar Village. The sample in this study was taken using the simple random sampling method. The number of samples in this study consisted of 31 respondents. Primary data collection using a questionnaire and measuring lung function using spirometry.Results: The results of this study indicate that the respondents were 16 men (51.61%) and 15 women (48.39%). Respondents aged over 30 years were 25 people (80.65%) and aged under 30 years as many as 6 people (19.35%). Respondents with underweight nutritional status 1 person (3.23%), normal 15 people (48.39%) and fat 15 people (48.39%). Respondents with a working period of more than 5 years were 25 people (80.65%) and tenure under 5 years was 6 people (19.35%). Respondents who have smoking habits as many as 12 people (38.71%) and do not have smoking habits as many as 19 people (61.29%). Respondents who did not use personal protective equipment were 6 people (19.35%) and respondents who used personal protective equipment were 25 people (80.65%). The results of lung function measurements found that respondents who experienced restrictive pulmonary function disorders were 18 people (58.06%) and respondents with normal pulmonary function were 13 people (41.94%).Conclusion: Based on the results of the study showed that as many as 18 people (58.06%) wood craftsmen in Petulu Gianyar Village experienced restrictive lung function disorders.
Remaja pria 18 tahun dengan hipogonadotropik-hipogonadisme dan postur tubuh pendek: sebuah laporan kasus
Authors: Sukmawati Metanolia , Wahyudi Antonius , Hartono Judie , Tanojo Tjahjo Djojo
Published: April 2020

Background: Hypogonadotropic hypogonadism (HH) is congenital or acquired disease affects hypothalamus or pituitary, so the secretion of GnRH, FSH, LH, and testosterone are inadequate. Clinical manifestations both physical and psychological impair patientâ€™s quality of life, so authors try to report this case.Case description: An 18 years old man complained about a small penis. Small penis cause patient had introvert personality and problems in social relations. On anthropometric status, body weight was below 3rd percentile, height was below 3rd percentile, and body mass index (BMI) was thin. The genital examination was 2nd-grade tanner, penis with 3 cm length and 3 cm circumference, minimal little pubic hair, and testicular volume <2 cc. Ultrasound examination showed no presence of testes in the right or left scrotum fossa, inguinal, and lumbar region. Chromosome analysis showed 46 XY, and hormones analysis found FSH, LH, and testosterone below the normal limit. The patient was given 2000 unit HCG injection and after that FSH, LH, and testosterone hormone increase compared before HCG injections.Conclusion: HH can impair physical and psychological patientâ€™s quality of life through delays in sexual maturation and bone maturation. Strategies to recognize symptoms in early childhood and puberty induction on time can significantly improve the sexual and reproductive function of HH patients.
Perbedaan hitung trombosit, Mean Platelet Volume (MPV), dan Platelet Distribution Width (PDW) antara pasien dengan infeksi Helicobacter pylori positif dan negatif di RSUP H. Adam Malik, Medan, Indonesia
Authors: Lubis Fauzan Indra M , Loesnihari Ricke , Sungkar Taufik
Published: April 2020

Background: H. Pylori cause one of the most common human infections, being present in the gastric mucosa of more than a half of the world population. H. pylori infection can be detected by testing antibodies (IgA and IgG) in serum or saliva. Platelets play an important role in the pathogenesis of abnormalities associated with local or systemic inflammation through the release of thrombotic and inflammatory agents. Mean Platelet Volume (MPV) has long been known as a marker of inflammation and this role has been shown previously in various gastrointestinal disorders. Platelet distribution width (PDW) is a platelet index that reflects variations in platelet size.Methods: Thirty-two consecutive dyspepsia patient who fulfilled the criteria were included. Platelet levels, MPV, PDW, are promising in each patient. We changed the differences in platelets, MPV, PDW patients, dyspepsia with positif and negatif H. pylori infection. Data were analyzed using SPSS version 20 for windows.Results: Most of respondents were females (71.9%) and 56Â±17.45 years old for the average age. The mean of hemoglobin level was 13.47Â±1.59 g/dL, followed by 11,33Â±1,71 fL for MPV, 10,7Â±0,75fL for PDW, and positif H.pylori infection in 56,3% of respondents. There were no differences in platelets, MPV, PDW significantly between the population groups of H. pylori positif and H. pylori negatif (P>0.05)Conclusion: There were no differences in platelets, MPV, PDW significantly between the population group H. pylori positif and H. pylori negatif.
Hubungan antara perilaku duduk pengrajin ukir kayu dengan nyeri punggung bawah di Kecamatan Tegallalang, Gianyar, Bali
Authors: Wirakesuma Pande Nyoman Dhandy , Sawitri Anak Agung Sagung , Sari Komang Ayu Kartika
Published: April 2020

Background: Low back pain is one of the health problems that are often encountered in workers. Some risk factors for low back pain are non-ergonomic sitting position, duration of work, working period, and rest breaks. Woodcarving craftsmen in Pupuan Village have a risk to experiencing low back pain complaint. The purpose of this study is determine whether sitting behaviors is related to low back pain.Methods: An analytical observational study, designed in the form of a cross sectional study to determine the relationship between sitting behaviours with low back pain in Pupuan Village. Samples selected by a non-random consecutive sampling produced 69 samples and analysed using SPSS version 17.Results: Most respondents complained of back pain (89.1%), especially in the lower back (85.5%), after work (95.2%), and improved with changes in sitting position (95.2%). The results of the bivariate analysis showed a significant relationship between age, sitting position, duration of work, length of work, and rest periods with complaints of low back pain (P <0.05).Conclusion: There is a significant relationship between age, sitting position, duration of work, working period, and rest breaks with of low back pain complaint in wood carving craftsmen in Pupuan Village.
Karakteristik Penderita Kusta Multi Basiller (MB) dengan Reaksi Erythema Nodosum Leprosum (ENL) di Poliklinik Kulit dan Kelamin RSUP Sanglah selama Tahun 2016-2018
Authors: Saraswati Putu Ayu , Mas Rusyati Luh Made , Karmila IGAA Dwi
Published: April 2020

Introduction: Leprosy is still a burden on endemic countries such as Indonesia. As well as leprosy reaction is a problem associated with the cessation of treatment from leprosy patients. The purpose of this study was to do a description of the characteristics of leprosy patients with ENL reactions in the Skin and Sex Polyclinic of Sanglah Hospital Denpasar.Method: This study used a descriptive design with a retrospective approach conducted at the Skin and Sex Polyclinic of Sanglah General Hospital. A search related to the characteristics of leprosy patients who experienced an ENL reaction, then the data was presented in descriptive form.Results: Female gender tend to have more severe leprosy reactions (50%) compared to men. High income (50%), non-endemic area origin (44.8%), elementary school education level (44.4%), and active working (31.0%) tended to experience more severe leprosy reactions. And in this study more severe leprosy reactions were found in the multi-bacillary leprosy group (65.7%), whereas mild leprosy reactions were higher in the pauci-bacillary leprosy group (34.2%).Conclusion: The high rate of severe leprosy reaction requires special attention from both the government and health practitioners, so that there is an integrated management of leprosy, so that the population in Indonesia becomes healthier.
The level of knowledge and attitude towards dengue fever among medical students of Udayana University, Bali, Indonesia in 2018
Authors: Sethupathy Agilan , Sudarmaja I Made , Ariwati Luh
Published: April 2020

Background: There is a lot of impact of dengue among youngsters and also adults. The virus infects human blood and causes a migraine-like headache, rash, achiness, queasiness, tiredness and fever. Severe dengue can cause organ damage, severe bleeding, dehydration and even death. So, this study aims to know the level of knowledge and attitudes towards dengue infection among medical students from Faculty of Medicine, Universitas Udayana, Bali, IndonesiaMethods: A cross-sectional study was conducted among 99 respondents by using a valid and reliable self-questionnaires to assess the participantsâ€˜ knowledge and attitude about dengue fever. Knowledge is the ability to answer correctly towards Dengue related questions. Knowledge was evaluated based on 20 questions grouped under the following three categories. The attitude was assessed based on the ability of participants to give correct answers to 14 questions on attitude towards dengue. After that, the data were analysed using SAS software package version 9.1.Results: There was 43% were men and 56% of women enrolled in this study. Most of them are aged 18 years old (69.7%), followed by 19 years old (23.2%), and 17 years old (6.1%). The average age was 18.15 + 0.5 years old. All of the participants (100%) answered that they would go to the doctor they get the dengue infection. Around 94,9% of them stated that they would drink a lot of water if they get dengue fever, and 89,9% of them said they would get a lot of rest. The vast majority of participants use insecticide (86,9%), curtains (84,8%), mosquitoes net (81,8%), cover their water storage (98,0%) and try to not hoard stuff in their home (90,9%).Conclusion: The recent findings suggest that most students know the symptoms, transmission, and how to manage dengue fever. The attitudes of participants toward dengue infection have been assessed, and all answered that they would go to the doctor if they get the dengue infection
Pengaruh ekstrak krim Morinda citrifolia terhadap jumlah fibroblas pada penyembuhan luka tikus Wistar
Authors: Haestidyatami Vania Lannisa , Sugiritama I Wayan , Linawati Ni Made
Published: April 2020

Introduction. Wound healing is a complex biological process involving four stages, i.e., hemostasis, inflammation, proliferation, and remodeling. In the proliferation phase, there is an increase in the number of fibroblas cells. Morinda citrifolia is a fruit that contains the antioxidant compound, Quercetin. These antioxidant properties are thought to be able to accelerate the process of wound healing through the process of modulating the oxidative process and improving skin microstructure. The relationship of Quercetin to fibroblas cells which plays an essential role in the proliferation phase is not yet fully known. This study was conducted to determine the effect of Morinda citrifolia extracts on the number of fibroblas cells during the process of wound healing in Wistar rats.Method. Experimental, post-test with control group study was conducted using 24 rats divided into four groups. In group I, rats were treated with incisions and given a Placebo cream, groups II, III and IV were given incisions and cream containing ethanol extract of Morinda citrifolia 5%, 10%, and 20% respectively. The number of fibroblass was calculated using the digital analysis method using Image Raster 3 Software. The number of fibroblas cells was calculated as the percentage of fibroblas cells seen in the field of view. Data analysis conducted with the One-Way ANOVA and Post-Hoc LSD test.Results. The control group had an average number of fibroblas cells 23.3% Â± 1.9%. The mean fibroblas cells in the intervention group with extracts of 5%, 10%, 20% were 27.6% Â± 6.7%, 38.3% Â± 8.8% and 22.3% Â± 2.7%, respectively. The ANOVA test results showed a significant difference in the number of fibroblass between treatment groups (p<0.001). Post-hoc LSD test shown that only the treatment group with 10% extract showed a difference in the average number of fibroblas cells compared to the other groups.Conclusion. The highest number of fibroblas cells was found in the treatment group with 10% extract.
Implementasi lintas diare dan penggunaan obat antidiare pada anak dengan diare
Authors: Anbhuselvam Vidya Lakshmi , Karyana I Putu Gede , Purniti Ni Putu Siadi
Published: April 2020

Introduction: Diarrhea is still a major problem that causes illness and death for children in Indonesia. Inappropriate care, both at home and in health agencies, is a major cause of deaths of children with diarrhea.Method: The design of this study was descriptive with a cross sectional study design. The design of this study aims to be able to describe the implementation of cross diarrhea and the use of antidiarrheal drugs for pediatric patients with diarrhea at RSUP Sanglah Denpasar. The data used in the form of secondary data obtained from the medical records of Sanglah Hospital RSUP patients Denpasar January 2017-April 2017. The technique of determining the sample used is total sampling where all target populations that meet the criteria are included as samples.Result: The most widely used cross group of diarrheas was ORS (Oral Rehydration solution) (17.9%). The most commonly used antidiarrhea drug is adsorbent (11.6%).Conclusion: The most widely used cross-diarrhea group was ORS (Oral Rehydration solution) followed by the antibiotic group and so on the zinc group. There are minority cases that have given negative results on antibiotics. The most widely used group of antidiarrheal drugs was the adsorbent followed by the class of antimotility drugs and so on other classes of drugs such as probiotics and herbal medicinesLatar Belakang: Diare masih menjadi masalah utama yang menyebabkan sakit dan kematian bagi anak-anak di Indonesia. Perawatan yang tidak tepat, baik dirumah maupun di instansi kesehatan, merupakan penyebab utama kematian anak-anak dengan diare.Metode: Rancangan penelitian ini bersifat deskriptif dengan rancangan penelitian cross sectional. Rancangan penelitian ini bertujuan untuk dapat menggambarkan implementasi lintas diare dan penggunaan obat antidiare terhadap pasien anak dengan diare di RSUP Sanglah Denpasar. Data yang digunakan berupa data sekunder yang didapat dari rekam medis pasien Anak RSUP Sanglah Denpasar bulan Januari 2017-April 2017. Teknik penentuan sampel yang digunakan adalah total sampling dimana seluruh populasi target yang memenuhi kriteria dimasukan sebagai sampel.Hasil: Golongan lintas diare paling banyak digunakan adalah cairan rehidrasi yaitu oralit sebanyak 34 (17,9%). Penggunaan obat antidiare paling sering digunakan adalah adsorben sebanyak 22 (11,6%).Simpulan: Golongan lintas diare paling banyak digunakan adalah cairan rehidrasi yaitu oralit diikuti oleh golongan antibiotik dan seterusnya golongan zink. Terdapat kasus minoritas yang telah memberi hasil negatif pada pemberian antibiotik. Golongan penggunaan obat antidiare paling banyak digunakan adalah adsorben diikuti oleh golongan obat antimotilitas dan seterusnya golongan obat lain-lain seperti probiotik dan obat herbal
Prevalensi hipertensi pada orang dewasa menengah dengan overweight di denpasar tahun 2018
Authors: Erdwin Wicaksana Komang , Surudarma I Wayan , Wihandani Desak Made
Published: April 2020

Background: Hypertension is an increase in systolic and diastolic blood pressure that exceeds the normal limit. Overweight in middle-aged adults is caused by excessive amounts of fat cells due to excessive calorie intake early.Methods: This type of descriptive research is carried out by using a retrospective approach. Data collection starting from events that have occurred or are ongoing to do a description of general characteristics and specific variables of the study to answer the research objectives. Variables that have been recorded will be determined by the prevalence of hypertension and overweight. The subjects of the study were hypertensive patients in middle-aged with overweight based on data obtained from East Denpasar Puskesmas I. Sampling was done using a random sampling method.Results: The prevalence of hypertension in middle-aged adults with overweight in Denpasar in 2018 there were 36.1% of respondents with stage 1 hypertension and 18% of respondents with stage 2 hypertension, with the incidence of hypertension with overweight is highest in the age group 56 - 60 years, with a percentage of 62.5%.Conclusions: The number of hypertensive patients in middle-aged adults with overweight in women is higher than in men.Latar Belakang: Hipertensi adalah peningkatan tekanan darah systolic dan diastolic yang melewati batas normal. Overweight pada dewasa menengah disebabkan oleh jumlah sel lemak yang berlebihan karena pemberian kalori yang berlebihan sejak dini.Metode: Jenis penelitian ini adalah deskriptif dilakukan dengan menggunakan pendekatan retrospektif. Subyek penelitian adalah penderita hipertensi pada dewasa menengah dengan overweight berdasarkan data yang diperoleh dari Puskesmas I Denpasar Timur. Pengambilan sampel dilakukan dengan menggunakan metode random sampling.Hasil: Prevalensi hipertensi pada orang dewasa menengah dengan overweight di Denpasar tahun 2018 terdapat 36,1% responden dengan hipertensi stadium 1 dan 18% responden dengan hipertensi stadium 2, dengan angka kejadian hipertensi dengan overweight paling tinggi pada kelompok umur 56 â€“ 60 tahun, dengan persentase sebesar 62,5%.Simpulan: Jumlah pasien hipertensi pada orang dewasa menengah dengan overweight pada wanita lebih tinggi dibandingkan pria.
Prevalensi penderita skizofrenia dengan riwayat kekerasan di Rumah Sakit Jiwa Bangli provinsi Bali
Authors: Pandita Made Bagus Ari , Lesmana Cokorda Bagus Jaya
Published: April 2020

Background: Schizophrenia is a psychotic disorder that is chronic and is most often found in the community. In the community, especially Indonesia there are still many who do not understand about psychiatric disorders schizophrenia, while the incidence rate in people with schizophrenia has begun to increase. Violence in schizophrenic patients in the form of physical, psychological, sexual and economic, or threats, deprivation of freedom results in the emergence of stressors that can trigger schizophrenia with a number that continues to increase every year.Methods: This research was conducted using descriptive study design. 206 research subjects meeting the inclusion criteria were included in the study. Data that has been collected using a questionnaire will be distributed specifically based on categories and processed using SPSS 17.00.Results: The prevalence of Schizophrenia patients caused by violence in Bangli Mental Hospital in Bali Province is 19.9% (41 patients) and 80.0% (165 sufferers) do not experience violence.Conclusions: 5.8% of patients had a history of physical violence, 13.1% of patients who had a history of psychological violence, 1.0% of patients who had a history of sexual violence, and 80.1% of patients who were not found has a history of violence.Latar Belakang: Skizofrenia merupakan gangguan psikotik yang bersifat kronis dan paling sering di temukan di masyarakat. Di masyarakat, kususnya indonesia masih banyak yang belum memahami tentang gangguan kejiwaan skizofrenia, sedangkan angka insiden pada penderita skizofrenia sudah mulai meningkat. Tindak kekerasan pada pasien skizofrenia berupa fisik, psikis, seksual dan ekonomi, ataupun ancaman, perampasan kebebasan mengakibatkan munculnya stressor yang bisa jadi pemicu skizofrenia dengan angka yang terus meningkat setiap tahunnya.Metode: Penelitian ini dilakukan dengan menggunakan desain studi deskriptif. 206 subjek penelitian memenuhi kriteria insklusi diikutsertakan dalam penelitian. Data yang telah di kumpulkan menggunakan kuisioner akan didistribusi secara spesifik berdasarkan kategori dan diolah dengan menggunakan SPSS 17.00.Hasil: Prevalensi pasien Skizofrenia yang di sebabkan oleh kekerasan di Rumah Sakit Jiwa Bangli Provinsi Bali adalah sebesar 19,9% (41 penderita) dan yang tidak mengalami kekerasan sebanyak 80,0% (165 penderita). Simpulan: 5,8% penderita yang memiliki riwayat kekerasan fisik, 13,1% penderita yang memiliki riwayat kekerasan psikis, 1,0% penderita yang memiliki riwayat kekerasan seksual, dan 80,1% penderita yang tidak ditemukan memiliki riwayat kekerasan.
Prevalence and clinical manifestations of patients with psoriasis in RSUP Sanglah from 2017 to 2018
Authors: Segar Daarshawnee , Praharsini IGAA , Indira IGAA Elis
Published: April 2020

Background: Psoriasis is a complex, multifactorial, inflammatory, chronic autoimmune disorder that changes the life cycle of skin cells. In countries around the world, the prevalence of psoriasis ranges from 0.09% to 11.43%.Objective: This study aims to determine the prevalence and clinical manifestations of patients with psoriasis in RSUP Sanglah Denpasar from the year 2017 to 2018.Method: The study used is a descriptive retrospective study design using total sampling with142 samples recorded.Results: The prevalence of psoriasis was 0.603% in 2017 and 0.708% in 2018. Between 2017 till 2018, a total of 142 patients reported having psoriasis with 73 patients (51.4%) in 2017 and 69 patients (48.6%) in 2018. The cases were dominated by males with 90 patients (63.4%) and females with 52 (36.6%) for both the years. Psoriasis patients between the ages of 36-45 years were reported the most with a proportion of 23.2%. The least number of patients were reported below the age of 5 years. There was a total of 63(44.4%) patients diagnosed with psoriasis vulgaris which is also the most common type of psoriasis case found in Sanglah. The least number of patients were psoriasis inverse and erythrodermic with 4(2.8%) patients each.Conclusion: The clinical manifestations used to diagnose psoriasis were red sharp boundaries erythematous plaque, covered with silver or scaly white squamae and geographic skin lesion. This clinical finding was used for almost all psoriasis diagnosis.
Perbedaan kadar protein C, protein S, dan antitrombin III pada pasien dengan Sindrom Koroner Akut (SKA) di RSUP H. Adam Malik, Medan, Indonesia
Authors: Saragih Maisyaroh Tiurma Anggraini , Aman Adi Koesoema , Akbar Nizam
Published: April 2020

Background: Acute coronary syndrome (ACS) is a life-threatening condition where coronary artery blockage results from thrombosis and leads to ischemia. Individuals with partial deficiency of protein C, protein S or antithrombin III have been found to play a role in increasing the risk of thrombosis. This study aims to determine differences in levels of protein C, protein S and antithrombin III in patients with ACS.Methods: A cross-sectional study was carried out among 60 patients who were treated at H. Adam Malik General Hospital Medan and had fulfilled the inclusion and exclusion criteria through consecutive sampling techniques. Protein C, protein S and antithrombin III were examined with Coatron A4. Bivariate analysis was used to determine differences in the mean levels of protein C, protein S, and antithrombin III in ACS compared with healthy controls. Data were analyzed using SPSS version 17 for Windows.Results: There were a significant difference in S protein levels between the STEMI, NSTEMI, and control groups (P <0.05). S protein levels in the STEMI group were significantly lower compared to NSTEMI and control (P <0.05). However, there were no significant differences in levels of protein C and AT-III between the STEMI, NSTEMI and control groups (P> 0.05).Conclusion: There were no significant differences in ATIII and protein C levels between the STEMI, NSTEMI, and ATIII groups. However, in the S protein parameter, the S protein level was significantly different between STEMI, NSTEMI and the control group.
Hubungan antara nyeri punggung dan penggunaan tas punggung pada siswa di SDN 23 Dangin Puri Denpasar
Authors: Miranda Kadek Puja Asmara , Trisnawati Sri Yenni , Wijayanti Ida Ayu Sri
Published: April 2020

Background: Back pain is the third most common event after selfagia and migraine. The use of the backpack is one of the factors causing back pain. The aim of this study was to find out the correlation between back pain and backpack use.Methods: Analytical research with cross sectional method and using primary data. Data collection was carried out at SDN 23 Dangin Puri Denpasar from October to December 2018.Results: The subjects of the study consisted of 54% female and 46% male. Age range in samples ranges from 9 to 12 years. Male and female sex did not have a significant effect on complaints of back pain. Positive correlation between back pain and backpack use (p = 0.004). Backpack weight has a correlation with back pain.Conclusions: Back pain has a positive correlation with the use of backpackLatar Belakang: Nyeri punggung merupakan kejadian terbanyak ketiga setelah selfagia dan migraine. Penggunaan tas punggung adalah salah satu factor penyebab nyeri punggung. Tujuan studi ini adalah mengetahui hubungan antara nyeri punggung dan penggunaan tas punggung.Metode: penelitian analitik dengan metode cross sectional (potong lintang) dan menggunakan data primer.Â  Pengambilan data dilakukan di SD N 23 Dangin Puri Denpasar dari Oktober sampai dengan Desember 2018.Hasil: Subjek penelitian terdiri atas 54% perempuan dan 46% laki â€“ laki. Jangkauan usia pada sampel berkisar antara 9 hingga 12 tahun. Jenis kelamin laki â€“ laki dan perempuan tidak memiliki perbedaan yang signifikan terhadap keluhan nyeri punggung. Korelasi positif antara nyeri punggung dan penggunaan tas punggung (p = 0.004). berat tas memiliki hubungan dengan nyeri punggung.Simpulan: nyeri punggung ada korelasi positif dengan penggunaan tas punggung.
Berat badan lahir lebih dari 4000 gram merupakan faktor risiko kejadian mikropenis pada bayi baru lahir di Denpasar tahun 2019
Authors: Musti I Gusti Bagus Dharma Prakasa , Duarsa Gede Wirya Kusuma , Mahadewa Tjok Gde , Wirata Gede
Published: April 2020

Background: Standard values related to age for penis size can help for early diagnosis and treatment of potential diseases. Rapid changes in growth and interindividual differences can occur during infancy and puberty. Therefore, micropenis data during newborns are beneficial for clinical evaluation and prognosis.Aim: This study aims to find out whether birth weight > 4000 grams and testis size <0.52 cm are risk factors for micropenis prevalence in newborns.Methods: This study used a descriptive-analytical cohort study involving 85 research subjects, namely healthy newborn boys who did not experience hypospadias, severe chordae, ambiguous penises. Respondents contributed to physical examinations and investigations following the standard procedure in the analysis of the weight, gestational age, and size of the testis. The study also evaluated the risk factors for micropenis in the form of a history of maternal hormonal birth control.Results: The micropenis was categorised to be <1.8 cm, which was obtained from <2.5 SD mean where the size of penis length in this study was achieved with a mean of 2.08 cm. The results of the multi-variate test showed that birth weight> 4000 grams was the most dominant risk factor causing micropenis. The positive B value with a value of 5.13, which means birth weight> 4000 grams has a positive relationship with the incidence of micropenis. The newborn weight was obtained about p = 0,000 (95%CI: 11,29-2558,17) with OR 170 which mean that there was an effect of birth weight on the incidence of micropenis where birth weight> 4000 grams had a chance of micropenis by 170 times.Conclusion: Weight> 4000 grams became the most dominant risk factor for micropenis having probabilities for a micropenis approximately 170 times.
Diagnosis dan tatalaksana Sindroma Stevens-Johnson (SJS) pada anak: tinjauan pustaka
Authors: Witarini Komang Ayu
Published: April 2020

Background: Stevens-Johnson Syndrome (SJS) is an emergency situation with a fairly high mortality rate characterized by a triad of lesions on the skin, mucosa orifice, and eyes. In general, SJS is caused by a reaction to a drug. This literature review is trying to explain more in the effort to diagnose and manage SJS specifically in children.Methods: This literature review involved 14 relevant literature from 1990-2011 about SJS. Different data sources or manual literature search methods used to find articles related to the topic of literature.Results: The diagnosis of SJS is mainly based on clinical symptoms. The clinical picture of SJS is known to be very similar to Toxic Epidermolysis Necrotikans (TEN). Various efforts to stop all drugs given previously is the main treatment, supported by supportive treatment of accompanying symptoms. The mortality rate depends on the presence of severe complications and delay of treatment.Conclusion: Early diagnosis and prompt treatment are the key to the management of SJS in children.
The short-term disadvantageous of tension-suture and spica cast application in exstrophy-epispadias complex reconstruction: a case report
Authors: Pramana Ida Bagus Putra , Oka Anak Agung Gde , Duarsa Gede Wirya Kusuma , Santosa Kadek Budi , Yudiana I Wayan , Tirtayasa Pande Made Wisnu
Published: April 2020

Background: Exstrophy-epispadias complex (EEC) represents a spectrum of genitourinary malformations and associated with another congenital anomaly. EEC is a rare congenital disability. EEC affects the genitourinary system, anterior abdominal wall, musculoskeletal system, spine and anus. The surgical outcome has a lot of potential complications in patient with EEC. The decision to first approach is important for the next step. Herein, we reported a case of EEC with several anomalies. Case Description: A new-born male was born with section cesarean at 38 weeks of gestation from 34-year-old mother, and this is from the second pregnancy. The weight was 3300 grams, and the height was 48 centimetres. There was an abdominal wall defect with an exposed evaginated bladder plate with urine draining from the defect. A complete dorsally opened urethral plate was seen from the bladder neck down to the glandular grove. The patient was diagnosed with Exstrophy-epispadias complex (EEC). A 2 stage repair was conducted in this patient. After 10 days post-operation, the wound became dehiscence and got sepsis postoperatively as well as lead to die in the day 20.Conclusion: Wound dehiscence following reconstruction is very critical inpatient with EEC. Tension suture and spica cast application can be disadvantageous inpatient with EEC.
The suitability of sputum and blood culture in children with pneumonia at Sanglah General Hospital, Bali, Indonesia
Authors: Mayangsari Ayu Setyorini Mestika , Subanada Ida Bagus , Purniti Putu Siadi , Selumbung Wayan Agustini
Published: April 2020

Background: Pneumonia is one of the diseases in children with high morbidity, especially in children under 5 years old. In developing countries, the most common cause of pneumonia is bacteria. There is a newer method that gives a better reflection of the aetiology, which is the sputum examination. This study aims to determine the suitability of sputum and blood culture in children with pneumonia at Sanglah General Hospital, Bali.Methods: A cross-sectional study was conducted at Respirology Subdivision in Department of Child Health Sanglah Hospital from November 2016 until February 2017. A categorical comparative matching was carried out between 2 formula groups. The sputum culture and blood culture were obtained through Microbiology Laboratory at Sanglah General Hospital. Data were analysed using SPSS version 16 for Windows.Results: There were 50 children with pneumonia enrolled in this study. The children aged less than 1 years old were predominant (62%). There were a statistically systematic difference and only a fair agreement between blood and sputum culture (Ä¸=0.257; p= 0.004). In a subject with positive sputum culture, 90.9% had a better outcome than the positive blood culture even though no statistically significant (RR=0.23; 95%CI: 0.15-22.53)Conclusion: There is suitability between the culture of sputum and blood cultures in children with pneumonia. Sputum culture has a higher probability to reveal the microorganism compared to blood cultures.
Kompetensutveckling för professionella lärare?
Authors: Kirsten Nils , Carlbaum Sara
Published: April 2020

Begreppet ”kollegialt lärande” som myntades av Skolverket 2011 har fått ett betydande genomslag i svensk skola, både i form av den kompetensutvecklingsmodell genom vilken begreppet initierades (fortsättningsvis kollegialt lärande-modellen) och genom begreppets stora spridning i allmän skoldiskussion. Denna studie undersöker det tidiga formandet av kollegialt lärande-modellen 2011-2012 och belyser de antaganden modellen vilar på. Med utgångspunkt i Bacchis (2009) angreppssätt ”What’s the problem represented to be?” undersöker vi hur de problem som modellen förväntades lösa representeras i texter som omgärdar modellens framväxt. Kollegialt lärande-modellen analyseras även i ett professionsteoretiskt perspektiv, för att därmed utforska de förutsättningar som modellen ger för utveckling och utövning av lärarprofessionalism. Analysen visar att kollegialt lärande-modellen representerades som en lösning på bristfällig matematikundervisning och byggde på antaganden om att lokala aktörer inte förmådde hantera problemen. Myntandet av begreppet ”kollegialt lärande” framstår som ett sätt att framställa kompetensutvecklingsmodellen som underbyggd av forskning, utan att kräva förankring i specifika forskningsbaserade begrepp och modeller. En betoning på likvärdigt genomförande motiverade att modellen gavs ett standardiserat upplägg och innehåll. Denna standardisering möjliggjorde att en professionell kunskapsbas kunde erbjudas, samtidigt som lärargruppers möjligheter att utveckla och utöva professionell autonomi begränsades.
FISIOTERAPIA Y SU RETO FRENTE AL COVID-19: FISIOTERAPIA Y COVID-19
Authors: Pereira Rodriguez Javier Eliecer , Waiss Skvirsky Sandra Sharon , Velásquez Badillo Ximena , Lopez Florez Otilio , Quintero Gómez Juan Camilo
Published: April 2020

El nuevo coronavirus del síndrome respiratorio agudo severo (SARS-CoV-2), es la causa de una enfermedad de rápida propagación. La enfermedad por coronavirus 2019 (COVID-19), que afecta a miles de personas en todo el mundo. Actualmente, se reportan más de 2’500.000 casos en todo el mundo debido a COVID-19 y las estadísticas mencionan que el 5% de la población infectada por COVID-19 requiere unidades de cuidados intensivos con soporte de ventilación mecánica. Es por eso que se necesita orientación urgente para los médicos, fisioterapeutas y enfermeras que atienden a los pacientes más enfermos. Resaltando, que el presente documento se enfoca principalmente en los profesionales que ejercen la fisioterapia.