bluuebunny/crossref_metadata_2025 huggingface dataset:
Red meat intake as a suspicious factor of colorectal cancer at Sanglah General Hospital in 2017
Authors: Ganasan Ganeshwary Nishal , Sueta Made Agus Dwianthara , Adnyana Made Suka
Published: April 2020

Background: Colon and rectal cancer (colorectal cancer) is cancer with high morbidity and mortality. Colorectal cancer is the second leading cause of death among men and women. This cancer is also the third most common malignant neoplasm in the world, and its incidence has increased in recent years. A high diet of red meat is one of the risk factors that can increase the likelihood of colorectal cancer.Aim: The study aims to determine the relationship between red meat consumption on the incidence of colorectal cancer.Method: This study is an unmatched paired case-control study conducted in Sanglah Hospital using patient medical record data from 2016 to 2017. The number of colorectal cancer group and control group samples are 52 people, each group. Samples were then interviewed on the red meat diet using the questionnaire guidelines. Data on the diagnosis of colorectal cancer was obtained through the patient's medical record at Digestive Surgery Polyclinic, Sanglah Hospital, Denpasar.Result: About 76.9% of colorectal cancer patients consume a high intake of red meat. Patients with colorectal cancer have a history of higher red meat intake than patients without colorectal cancer (OR = 9.048; 95% CI 3.716-22.026; p<0.001).Conclusion: Red meat intake is a significant factor in the incidence of colorectal cancer in Sanglah Hospital. Limiting the consumption of red meat is recommended to reduce the risk of colorectal cancer.
Gambaran fraktur elbow pada anak-anak di RSUP Sanglah tahun 2012-2013
Authors: Pranata Ketut Arya Surya , Wien Arnaya IGST Ngurah
Published: April 2020

Introduction: Fracture is a loss of bone continuity, either total or partial, usually caused by trauma. Fractures in children are more common due to the immature musculoskeletal system, this is because the child is more susceptible to tears on joint surfaces, epiphyseal plates, aphophyseal insertion of large tendon muscle units. This study aims to determine the prevalence of elbow fracture in children at Sanglah Hospital Denpasar in 2012 until 2013.Method: Study design using cross-sectional method, evaluating the characteristics of elbow fracture in children at Sanglah General Hospital in the period 2012 to 2013.Results: Males tend to have more elbow fractures compared with females with a 73% proportion, based on the cause of overall fracture of the sample due to falling during activity, based on the fracture type Â more subjects experiencing fractures of the supracondylar humerus fracture compared with olecranon fractures as much as 93%.Conclusion: The prevalence of elbow fracture in children in Sanglah General Hospital in 2012-2013 is 15 cases, all caused by falling during the activity. The type of elbow fracture found in most children is a supracondylar humerus fracture.
Analisis kadar fetuin-A pada pasien dengan sirosis hati di RSUP Haji Adam Malik, Medan, Indonesia
Authors: Lubis Yuni Aflah , Lubis Zulfikar , Ilhamd Ilhamd
Published: April 2020

Background: Serum Fetuin-A is produced by hepatocytes in adults and its concentration decreases during acute phase reactions in patients with liver disease. Due to it is synthesized in the liver, in some chronic liver diseases the Fetuin A levels decrease as in hepatic cirrhosis. This study aims to determine the difference between Fetuin-A levels in each severity degree in liver cirrhosis patients (Child-Pugh Score).Methods: The study was conducted in the FK USU Clinical Pathology Department / RSUP H. Adam Malik Medan in collaboration with the Gastro Entero Hepatology Division of the Internal Medicine Department FK-USU / RSUP. H. Adam Malik, Medan for the period January to April 2018. An cross-sectional observational analytic method was conducted. There were 33 people with liver cirrhosis and based on Child pugh criteria consisted of 11 cirrhosis patients with liver cirrhosis, 11 class B people, 11 class C people fulfilling the criteria inclusion. The study sample was examined by Fetuin-A and analyzed using SPSS version 17.Results: There were significant differences in fetuin A levels between groups, namely in class A liver cirrhosis of 273.87 Â± 15.77 pg / ml, class B 247.43 Â± 4.69 and in class C 191 Â± 10.99 with a p-value was <0.000. In addition, there was a significant difference between the gender with the degree of liver cirrhosis (P <0.05) but not significantly different from the mean age and degrees of liver cirrhosis (P> 0.05)Conclusion: There were significant differences in Fetuin-A levels between patients in liver cirrhosis in all three groups based on Child-Pugh criteria. However, there was no significant difference in age between the three groups based on Child-Pugh criteria.
Efek latihan kesamaptaan terhadap kadar D-Dimer pada anggota militer Kodam I Bukit Barisan
Authors: Wiradharma R. Prathama , Akbar Nizam Zikri , Aman Adi Koesoema
Published: April 2020

Background: Several reports and experiences show that when doing heavy exercise often occur complaints which direct the diagnosis towards Venous Thrombo-Embolism (VTE) in the form of painful and swollen feet. This was due to hypercoagulation and resulted in VTE. The D-dimer level is a measure of clot formation and lysis resulting from the breakdown of fibrinogen and fibrin during fibrinolysis. Therefore this study aimed to see an increase in D-Dimer which is a marker of increased fibrinolysis.Method: This study took a sample of blood from 30 soldiers who were declared healthy. The sample was checked for D-Dimer 1 hour before and after the test. The physical readiness test is a standard for assessing the readiness of soldiers in carrying out tasks. The sample was evaluated whether there was an increase after the test. Examination using Coatron machine with the Immuno Turbidimetric Assay method.Result: 30 people are men with an average age of 19-22 years. D-Dimer showed a significant difference with a mean of 92.83 Â± 49.62 SD before the test and after the test found a mean of 127.53 Â± 57.75 SD with p = 0.001 (p <0.05).Conclusion: The increase in D-Dimer shows an increase in blood coagulation processes and fibrinolysis and can occur in individuals who often carry out heavy activities. D-Dimer and Dopler ultrasound screening should be carried out on a periodic check before carrying out the physical readiness test.
Interferensi sampel lipemik pada bayi dengan lipemia retinalis dikarenakan primary mixed hyperlipidemia: laporan kasus
Authors: Munawirah Andi , Muhiddin Habibah S. , Kurniawan Liong Boy , Pakasi Ruland DN
Published: April 2020

Background: Interference is a condition of which sample components cause an error in the analyte measurement in the analyzer.Â  The most common cause of interference is lipemic sample. Lipemic sample is characterized by turbidity of the serum or plasma caused by an accumulation of lipoprotein particles. Primary mixed hyperlipidemia (PMH) is a cause of primary hypertrigliseridemia with lipemia manifestation.Case report: A three month-old baby boy was admitted to a hospital, having white spots in his black eyes. The spots were seen clearer at light exposure, and ophthalmologic examination indicated lipemia retinalis. Patientâ€™s sample was lipemic and its laboratory analysis resulted in as follow: WBC 13.103/Î¼L, Hb 15.6 gr/dL, RBC 2.99 106/Î¼L, triglyserida 10.435 mg/dL, total cholesterol 631 mg/dL, HDL 12 mg/dL, LDL 195 mg/dL, and apoprotein B 196 mg/dL. Due to a significant interference, SGOT, SGPT, ureum and creatinin were not obtained. Immunologic serum analysis of the patient and his mother showed an increasing of antibody IgG CMV: 28 dan 20 IU/ml, respectively.Conclusion: Lipemic samples could directly affect most of laboratory examination methods. Laboratory results with such lipemia interferences shoud be interpretated critically and accurately to produce precise diagnosis, and in turn, monitoring of patient with lipemia.
Hubungan kadar ferritin dengan TSH dan FT4 akibat transfusi berulang pada penderita thalassemia di RSUP Dr. Kariadi, Semarang, Indonesia
Authors: Delpita Ade , Rachmawati Banundari
Published: April 2020

Background: Thalassemia is a genetic disease that results in abnormal formation of globin chains. Patients with thalassemia led to thyroid dysfunction. Levels of Thyroid Stimulating Hormone (TSH) and Free T4 (FT4) were used to determine the function of the thyroid particularly in a repeated transfusions of thalassemia patients. This study aim to analyze the correlation of ferritin with TSH and FT4 levels due to repeated transfusion in thalassemia patients.Methods: Retrospective study of analytic observational design, a cross sectional study of 33 thalassemia patients in Kariadi Hospital Semarang during the period from September to Oktober 2018. Correlation analysis with Spearman test. Ferritin levels, TSH an FT4 were used Elisa method. The data were analysed with the SPSS program using the Spearman correlation test Results: No Correlation analysis between Ferritin levels with TSH levels (r=-0,087; p=0,630)Â  and there is weak positive correlation between ferritin levels with FT4 levels (r=0,390; p=0,025)Conclusion: There is no correlation between ferritin levels and TSH levels, but there is correlation between ferritin levels and FT4 levels, but Further research is needed to analyze the factors affecting thyroid dysfunction and required additional screening for other thyroid function.
Hubungan kadar troponin I dan high-sensitivity troponin I dengan angiografi koroner pada pasien suspek coronary artery disease: studi di Rumah Sakit Umum Pusat dr.Wahidin Sudirohusodo Makassar-Indonesia tahun 2017
Authors: Iriana Dessy , Nurulita Asvin , Rauf Darmawaty
Published: April 2020

Background: Coronary artery disease (CAD) is a narrowing of blood vessels due to the formation of atherosclerotic plaques which can cause disruption of oxygen supply to the heart. High sensitivity troponin I (hs-TnI) is a diagnostic tool for detecting heart disorders with minimal injury to the heart muscle.Aim: The study aimed to compare and observe the relationship of troponin I (TnI) and hsTnI with /RSUP dr.WahidinÂ  Sudirohusodo Makassar.Methods: The design of the study was cross-sectional study, using primary data of blood samples from 31 suspected CAD patients who underwent coronary angiography examination at RSUP Dr.Wahidin Sudirohusodo Makassar. Samples were taken from a population of subjects who met the inclusion criteria by using consecutive sampling technique in the period of September 2018. Statistical analysis were done using descriptive statistical calculations, frequency distribution and, Spearmanâ€™s correlation test. The test results were considered significant if p<0.05.Results: CAD was more common in men at the age of 50-69 years. Data analysis showed a significant correlation between TnI, hsTnI, and the degree of stenosis (p<0.001). The correlation coefficient of TnI and degree of stenosis was 0.707, hsTnI with degree of stenosis was 0.877, and TnI with hsTnI was 0.804.Conclusion: Higher levels of TnI and hsTnI are related to the severity of stenosis in CAD.
Acquired hemophilia â€“ A pada penderita Waldenstromâ€™s Macroglobulinemia: laporan kasus
Authors: Alamsyah Alamsyah , Wulanjani Herniah Asti
Published: April 2020

Background: Acquired hemophilia A (AHA) is a rare acquired bleeding disease, characterized by autoantibody against factor VIII. Bleeding usually in the skin and mucosal. AHA frequently in the elderly, in male and female and is associated with several conditions, such as autoimmune, pregnancy, drug reactions, solid tumor and monoclonal gammopathy. Half of patients are idiopathic. AHA is diagnosed in patients without previous personal or family bleeding history in which prolonged aPTT is not corrected after mixing and accompanied by a decrease in FVIII levels. Specific antibody that plays a role in inhibiting FVIII activity can be seen from the immonotyphing examination. Waldenstromâ€™s Macroglubulinemia (WM) is a one of disorders that can cause AHA.Case Description: A 56-year-old man came with a weak and pale 10 days of hospitalized. Physical examination shown anemia, gum bleeding, lien palpable in Shuffner-1. Laboratory shown bisitopenia and leukocytosis, prolonged aPTT is not corrected after mixing with decrease FVIII levels. (BMP) support Chronic Lympocytic Leukemia/Lymphoma/ Smoldering Myeloma. SPE M-Spike with Immunotyphing examination of IgM lamda monoclonal. History, physical examination, laboratory, BMP, SPE, and immunotyping shown monoclonal gammophaty which cause Acquired Hemophilia A. Bethesda assay examination recommended if FVIII therapy is not responding. Lymphoplasmasitoid cells infiltration and monoclonal IgM production establishes diagnosis of WM.Conclusion: Spontaneous hemorrhage without prior history with prolonged aPTT is not corrected after mixing and followed by a decrease in FVIII leves can lead to (by the presence inhibitor factors) coagulation disorders.
Entitas histopatologi penderita perdarahan uterus terkait gangguan hormonal di Laboratorium Patologi Anatomi Rsup Sanglah tahun 2014 -2018
Authors: Blanco Oka Ida Ayu Eugenia Natasha , Dewi IGA Sri Mahendra , Saputra Herman , Pinatih Indraguna , Pinatih Indraguna
Published: April 2020

Introduction: Dysfunctional uterine bleeding (DUB) is a major cause of a significant burden of health care for women, their families, and the community as a whole, leading to high morbidity for women who experience it. The purpose of this study is to determine the prevalence, characteristics of patients, and histopathological description in patients with DUB. Method: This study uses a secondary data analysis method in the medical record data of patients with DUB who has been histopathologically examined at the Anatomy Pathology Laboratory, Sanglah General Hospital Denpasar in the period 2014 to 2018.Result: From the period 2014 to 2018, 24 cases of DUB were found, the highest number was found in the pre menopause age (41-50 years) in 15 cases (62.5%), based on the type of estrogen related bleeding hormonal disorders in 17 cases (70.8%), and 7 cases of progesterone related bleeding (29.2%). The most histopathological type in the estrogen related bleeding group was 13 disordered proliferative phases (54.2%). In the group with progesterone related bleeding, the highest histopathological picture was irregular shedding in 5 cases (20.8%).Conclusion: Estrogen related bleeding pattern still dominating the histopatological pattern in the dysfunctional uterine bleeding at Pathology Anatomy Laboratory, Sanglah General Hospital period 2014-2018.
The association between wasting nutritional status and delayed of child development in children age 12 â€“ 60 months in Wangaya General Hospital, Denpasar, Bali
Authors: Husin Michelle , Wikananda Gede , Suryawan I Wayan Bikin
Published: April 2020

Background: Sub-optimal nutritional status in Indonesia is still a continuing problem. There is no significant change in the prevalence of sub-optimal nutritional status. First 1000 days of life is a golden period of brain development. Failure of providing adequate nutrition can lead to the deviation of child development.Objective: To investigate the association between wasting nutritional status and delayed child developmentMethods: A cross sectional study was conducted in this study. Fifty eligible subjects were taken from April 2018 to July 2018 using consecutive sampling methods. Characteristics such as child age, sex, exclusive breastfeeding status, birth weight, birth height, current weight, current height, nutritional status, prematurity, and motherâ€™s working status recorded. Child nutritional status was recorded and assessed with the WHO growth chart. Child developmental status was measured with the pre-screening development questionnaire (KPSP). Score â‰¤ 8 was assumed as a deviation in child developmental status.Results: Wasting nutritional status is significantly associated with child development (p=0.041, CI -0.013-0.096). Prevalence ratio is 3.5 shows that wasting nutritional status is a risk factor for delayed child development. Domain for child developmental delay was 54,5% has language & speech delay, 36,4% has a gross motor delay, and 9,1% has social & independency delay.Conclusion: There is an association between wasting nutritional status and delayed child development. The most often child developmental delay found is speech delay.
Karakteristik penderita tuberkulosis paru relapse yang berobat di poli paru RSUP Sanglah Denpasar Bali periode Mei 2017 hingga September 2018
Authors: Widyastuti Ni Nyoman Adi , Bagiada I Made , Andrika Putu
Published: April 2020

Introduction: Relapse pulmonary tuberculosis (TB) is a TB patient who has previously received TB treatment, and has been declared cured or complete treatment, was re-diagnosed with positive smear TB based on swab examination or culture. In Indonesia there are many cases of repeat treatment. 70% of them are relapse cases. So that research on the characteristics of pulmonary TB patients relapse is important.Â Method: This research is a cross sectional descriptive study where the source of the data comes from secondary data, namely medical records of patients with pulmonary TB patients relapse in pulmonary outpatient clinics at Sanglah General Hospital period May 2017 until September 2018.Result: The results of this study showed that there were 40 patients proven to have pulmonary TB relapse. Most of the patients have ages of 50 to 59 years (25.0%), male sex (55.0%), last education in high school (57.5%), as many as 27.5% of them work as entrepreneurs and 27.5% do not work , the range of BMI in relapse pulmonary TB patients is 13-31 kg / m2 to 28.04 kg / m2 with an average of 19.54 + 3.03 kg / m2, the most clinical complaints are cough (80%), the most common comorbidities are pneumonia (15%) and based on thorax X-ray results found that the most finding was a picture of pleural effusion (22.5%).Conclusion: Based on demographic characteristics, relapse pulmonary TB patients were dominated by age + 50 years with male sex, highschool education status, dominant in patients who did not work and had a low BMI. Based on clinical symptoms, coughing up phlegm, coughing up bleeding and chest tightness are common symptoms. Based on the accompanying comorbidities, pneumonia and heart failure that most often accompanying disease. The most common X-ray image found in relapse pulmonary TB patients is the presence of pleural effusion.
Hubungan berat tas dengan gangguan muskuloskeletal pada siswa SMAN 4 Denpasar, Bali-Indonesia
Authors: Wiguna I Putu Putrayasa , Adiatmika I Putu Gede
Published: April 2020

Introduction: Several major subjects contained in the current curriculum in high school that make students must bring a lot of book. This causes the bag used by high school students become heavier, which can cause musculoskeletal disorders in high school. This research aims to find the relationship between the weight of bags used to school with musculoskeletal disorders in high school students.Method: This research is an analytic cross-sectional design of the high school students from October to December 2015. The level of musculoskeletal disorders was obtained using a Nordic Body Map questionnaire. Pearson Correlation test used to find out the relationship between weight bag with musculoskeletal disorders.Result: The result was found that the weight of bags have a relationship with musculoskeletal disorders in high school students. Results of the analysis of 91 samples showed a p-value = 0.02, which means that there is a statistically significant relationship (p<0.05).Conclusion: Weight bag has a relationship with musculoskeletal disorders in high school students, where the increasing weight bag will affect the severity of musculoskeletal disorders that appear on the subject.
Proporsi gangguan tidur pada mahasiswa program studi pendidikan dokter semester satu dan semester tujuh Fakultas Kedokteran Universitas Udayana, Bali, Indonesia
Authors: Kumara I Nyoman Andika , Aryani Luh Nyoman Alit , Diniari Ni Ketut Sri
Published: April 2020

Background: Higher education changes status from student into college-student. In Indonesia, it is regarded more than just student, which make college student have more higher demands. Academic demands they face become their stressor. And this stressor itself can trigger sleep disturbance, especially in medical students.Objective: This research was aimed to determine the proportion of sleep disturbance among medical students in the first and seventh semester at the Medical Faculty of Udayana University.Methods: A cross-sectional descriptive study was conducted to know the proportion of sleep disturbance among medical students in first and seventh semester at Medical Faculty of Udayana University, as much as 140 college students used as samples and chosen by stratified random sampling method and using Pittsburgh Sleep Quality Index (PSQI) as an instrument for sleep disturbance measurement. Data were analyzed using SPSS version 17 for Windows.Results: The results of the study found that 81 students experience sleep disturbance, and found more in student in the first semester at about 33,5% than in seventh semester student which only approximately 24,2 %. Other results based on ages and sex concluded students with the age of 18 experience sleep disturbance the most and dominantly by female students.Conclusion: Most first semester students experience sleep disorders where the highest rate is at the age of 18 years and female sex
Prevalensi dan karakteristik obesitas pada anak di Sekolah Dasar Saraswati V Kota Denpasar tahun 2016
Authors: Suryamulyawan Kadek Adi , Arimbawa I Made
Published: April 2020

Introduction: One of the problems of excess nutrients that occur in children and received special attention in the world of health is obesity. Obesity itself can be defined as the accumulation of excess fat raises the risk of health problems. The prevalence of obesity in children in the world between 1980 and 2013 increased by 47.1%. Childhood obesity has both immediate effects and long-term health. This study aims to determine the prevalence and characteristics of obesity in children at elementary school.Method: This research is a descriptive cross sectional study, conducted in Saraswati V Denpasar elementary school, November - December 2016, by taking samples of obese children in Saraswati V elementary school Denpasar 2016.Result: From the results, 17.2% children with obese, 18.2% children with overweight, 54.6% children with normal BMI, and 10.0% children with underweight from total students many as 1003 children. While the characteristics of obese children obtained: 62.2% of obese children aged <9 years, 73.4% of obese children of boy, 86.7% of obese children have birth weight â‰¥2500 gram, 62.9% do breakfast, 98,6% escorted to school, 67.8% had obese father and 34.3% had obese mothers, 99.3% had educated father and 97.2% had educated mother.Conclusion: The high prevalence of obesity, which is 17.2%, is a focus that should be of a better concern than parents, and the government.
The effect of young pepaya leaf ethanol extract (Carica papaya L.) with concentration variants on the growth of pathogenic Streptococcus pyogenes bacteria causing pharyngitis through in vitro testing
Authors: Putra Yasa I Gede Krisna , Mahendra Agung Nova , Satriyasa Bagus Komang
Published: April 2020

Background: Pharyngitis infection issues by Streptococcus pyogenes bacteria have been increasing worldwide, and antibiotic resistance to the bacterium treatment also continues to escalate. Young papaya leaves (Carica papaya L.) have a bactericidal and bacterostatic effect (include papain, flavonoids, alkaloids (karpain alkaloids), saponins, glycosides, phenols (tacophenol), and tannins) that can be an option for treatment of pharyngitis infections other than drugs. This study aims to determine the effectiveness of ethanol extract of young papaya leaves (Carica papaya L.) in inhibiting the growth of Streptococcus pyogenes bacteria through in vitro testing.Methods: This study was a true-post experimental study using control group design. The sample was divided into 2 groups: positive and negative control groups as well as treatment groups with concentration variants of 25%, 50%, 75%, and 100%. Data were analyzed using SPSS version 17 software for windows.Results: The result obtained from this study showed that papaya leaf extract (Carica papaya L.) was proven to significantly inhibit the growth of Streptococcus pyogenes bacteria at concentrations of 25% to 100% with an average diameter of the inhibition zone of 6.4 mm to 7.4 mm (P<0.05).Conclusion: This evidences that the ethanol extract of young papaya leaves (Carica papaya L.) with various concentrations does exhibit an influence on the growth of Streptococcus pyogenes bacteria.
The effect of femoral head size on volumetric wear rate following total hip joint replacement surgery
Authors: Ruslie Jason Rahmadi
Published: April 2020

Background: Numerous data records that the number of total hip joint replacement is increasing in many parts of the world which also indicates an increase demand for total hip joint replacement and revision surgery. The purpose of this paper is to review the literature regarding the size of femoral head and its relation to the volumetric wear rate of the polyethylene lining of the hipâ€™s acetabular component.Methods: A systematic literature search performed to identify relevant publications for this review in five databases: University of Melbourne Science, Medline/ Pubmed, Cochrane Library, and Ebsco. The search was completed on 6 October 2012 and again on 24 October 2012. The following keywords and phrases were used: total hip joint replacement, femoral head size, wear, polyethylene and arthroplasty.Results: The six studies are all prospective cohort studies with a follow-up time ranging between three to ten years at the minimum. One study conducted by Hammerberg et al. did not mention the minimum length of their follow up however they include a mean follow up period which is 3.6 years. Two studies did not mention the number of patients they are following up. Every other studies mention how many participants included in their study, but these two studies mention how many hips undergo the total hip joint replacement surgery. The number of patients mentioned in the studies vary from the minimum of 42 patients up until 200 patients. The number of hips in each study ranged from 45 hips to 385 hips.Conclusion: This review concludes that the use of larger femoral head size hastens the wear rate of the polyethylene lining of the acetabulum component.
Awareness of colorectal cancer risk factor among students at Faculty of Medicine, Udayana University, Bali
Authors: Varmma Rajamanickam Huthayan , Rusdi Antara Gede Eka
Published: April 2020

Introduction: Colorectal cancer is a major cause of morbidity and mortality throughout the world. To identify the presence of colorectal cancer, screening that is recommended can be carried out. Screening is an important process in every disease including colorectal cancer Method: This is crossectional-descriptive research. 100 samples that met inclusion criteria were included in the research. Samples obtained using consecutive sampling technique. The samples were interviewed to obtain the data used to fill out the questionnaireResult: 74% of the student has answered that a history of personal cancer are risk factors of colorectal cancer and also 88% of students have answered family history also a risk factor for colorectal cancer. The students have less knowledge on risk factors such as Inflammatory Bowel Disease (64%) and eating spicy food (60%). 87% of students agree that knowledge on colon and rectal cancer is important to prevent colorectal cancer.Conclusion: Good knowledge of colorectal cancer risk factors among students in medicine faculty, Udayana University.
Eating habits and knowledge of nutrition status among medical students of Medical Faculty, Udayana University
Authors: K Vijayan Dharsheinee , Seri Ani Luh
Published: April 2020

Introduction: Nutrition is the consumption of food, considered about the bodyâ€™s dietary essentials. Excellent nutrition is a sufficient, well-balanced diet joined with regular physical activity which is a foundation for satisfying health. On the other hand, poor nutrition can lead to low immunity, amplified susceptibility to diseases, impaired physical and mental development, and decreased productivity.Method: This cross-sectional study was conducted on students of the medical faculty in University Udayana. There were 100 students were participated in this study, and they were divided into two groups. Of the total study participants, 50 were male, and 50 were female. They were asked to fill up a self-administered questionnaire. The variables that will be seen in this research is as follows; age, gender, weight, height, nutrition status, eating habit and knowledge.Result: Majority of the respondents had fair to adequate knowledge of nutrition. However, the students have a poor eating habit.Conclusion: Though the overall knowledge and nutrition status among the students were good, few minorities of the students held some misconceptions. On the other hand, the students have poor eating habits.
The correlation of anxiety disorders and tension-type headache among medical students of Udayana University
Authors: Putri Sari Christine Kathy , Trisnawati GS Sri Yenni , Sri Wijayanti Ida Ayu , Nuartha AA Bagus Ngurah
Published: April 2020

Introduction: a Tension-type headache (TTH) is a headache that is commonly happened in almost two-thirds of the world population, especially in medical students. Psychosocial factors, such as anxiety, is often contributed to the incidence of a tension-type headache.Method: The research was using a cross sectional design study to prove the correlation of anxiety disorders and TTH in medical students. Samples were collected by a consecutive method from medical students on second semester, fourth semester, and sixth semesters of Udayana University study year 2017/2018. TTH was diagnosed based on Konsensus Nasional IV PERDOSSI 2013 and anxiety was scored by Hamilton Rating Scale for Anxiety (HARS). Lambda test was used to prove the correlation between anxiety disorders and TTH.Result: There were 300 subjects with dominant age was between 19-20 years old (60.7%) and mostly woman (56.7%). The proportion of TTH was 85.3% while anxiety disorders were 66.7%. The incidence of TTH was found more commonly happened in a subject with anxiety disorders (94.5%) and statistically significant (p=0.001) with weak correlation (r=0.153).Conclusion: These data show a correlation of anxiety disorders and TTH with weak correlation.
Neuroendocrine tumor of the gastrointestinal: report of two cases
Authors: Dwianthara Sueta Made Agus , Sastrawan Made Oka
Published: April 2020

Introduction: Neuroendocrine tumors are malignancies that need special attention because they provide clinical manifestations that are not typical of excess gastrointestinal endocrine production. Case reports of neuroendocrine tumors are needed to be able to recognize the symptoms and determine the appropriate therapy.Case series: The first patient was 49 years old Balinese female, consulted from internist with right lower-quadrant tenderness with fever for three days before. The patient also had diarrhea for one week before. The patient has done an appendectomy, and the pathological result of the appendix specimen was Neuroendocrine Appendix. The second patient was 62 years old Balinese male, complained about intermittent diarrhea for two months. Patient has done laparotomy exploration and colostomy because of a transverse colon tumor. The pathological result of the specimen from transverse colon tumor was mixed adeno-neuroendocrine carcinoma. Both patients have been treating with hormonal therapy (somatostatin analogs) long-acting release (LAR); the second patient also had combined with folfox IV chemotherapy.Conclusion: The choice of therapy with somatostatin analogs in the first case and surgery in the second case gave a good response after treatment. However, in both cases, it does not guarantee the cure of this disease.Â
Korelasi kadar laktat dengan Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE II) pada neonatus yang dirawat di NICU RSUP Sanglah, Bali, Indonesia
Authors: Sugara I Gede Deden Susma , Artana I Wayan Dharma , Suarta Ketut , Soetjiningsih Soetjiningsih , Purniti Ni Putu Siadi , Wati Dyah Kanya , Sukmawati Made , Kardana Made
Published: April 2020

Background: Infant mortality rate is one of the indicators of public health degree that determines the human development index. Various attempts were made to early detect the problems, one of which was by assessing the severity of neonatal disease using Score for Neonatal Acute Physiology Perinatal Extension-II (SNAPPE II) which was associated with lactate levels as a metabolic response and organ dysfunction due to critical illness that were suffered at the Neonatal Intensive Care Unit (NICU).Methods: A cross-sectional analytic study was conducted among 48 critically ill neonates treated at the Sanglah Hospital Denpasar NICU. Samples were selected from affordable populations by consecutive sampling. Data analysis was performed by Saphiro-Wilk data normality test, correlation analysis using the Pearson correlation coefficient, significant results if the value of p <0.05. Data were analyzed using SPSS version 17 for Windows.Results: Most of the respondents were males (67%), the mean of neonatal gestational age was 33 (Â± 3,2) weeks with the median neonatal age at lactate sampling being 24 (24-48) hours. The average age of the mother at delivery was 24 (21-40) years. The mean lactate level in critically ill neonatal patients admitted to the NICU was 3.2 (Â± 0,5) mmol / L. The mean SNAPPE II score on the subject was 32 (20-42). There was a significant positive correlation between the levels of lactate and the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II (r = 0.45; p = 0.004).Conclusion: Lactate levels has a moderate positive correlation with the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II
Pediatric amyand hernia : case report in Sanjiwani Gianyar Hospital Bali-Indonesia
Authors: Luciana Luciana , Antara Gede Eka Rusdi , Bharatha Made Dwi Yoga
Published: April 2020

Introduction: Amyandâ€™s hernia (AH) is defined as protrusion of the vermiform appendix in an inguinal hernia sac, and incidence was reported only 1% of all inguinal hernias. This study aimed to share the experience of inguinal hernia repair with appendectomy for Pediatric case with non inflamed appendices.Case: A 2-year-old male came to the emergency department with a history of irreponible lump along with right scrotal tender 6 hours before admission and progressively increased. There is no specific sign of obstruction,dehydration or infection. His lump already presented since new born but with age progression the reponible complain become more frequently. Based on clinical presentation this patient did open repair of hernia as diagnostic and therapeutic, identification of appendix was non-inflamed appendix inside right scrotum, no sign of incarcerated strangulated of perforated. No Complication was reported until two-month post-operative. Surgical correction is already done with non-complication post-operative care for 2 month period.Conclusion: Pediatric Amyand Hernia is rare case (1% from all inguinal hernia) diagnostic and therapeutic could be very challenging. Open herniotomy repair and appendectomy for this case was taken with satisfying outcome.Keywords:Â pediatric, inguinal hernia, appendectomy.
Uji efektivitas ekstrak kunyit (Curcuma longa) terhadap daya hambat pertumbuhan bakteri Streptococcus mutans
Authors: Kumara I Nyoman Candra , Sri Pradnyani I Gusti Agung , Sidiarta I Gusti Ayu Fienna Novianthi
Published: April 2020

Background: Dental caries is a multifactorial disease characterized by dental tissue damage caused by the production of bacterial acids. The bacteria play the most role in the occurrence of caries is Streptococcus mutans. Turmeric extract (Curcuma longa) has been studied can inhibit bacterial growth because it contains essential oils and curcumin. The purpose of this study was to determine the inhibitory power of turmeric extract 5%, 10%, 20%, and 40% on the growth of Streptococcus mutans bacteria.Methods: Studies with true experimental design using a post test only control group design have been carried out on Streptococcus mutans bacteria. Turmeric extract was made by maceration method into 96% ethanol so that the required concentration was obtained (5%, 10%, 20%, dan 40%). The inhibition testing is done by the disk-diffusion method. Data were analyzed using the Kruskal-Wallis test on SPSS version 20 due to the data were not normally distributed.Results: The results showed that phytochemical assessment of turmeric extract showed positive results on phenol, essential oil, saponins, tannins, and flavonoids. The average value of the inhibitory zone diameter of Streptococcus mutans bacteria formed in turmeric extract concentrations of 5%, 10%, 20%, and 40% is 0 mm where there are significant differences compared to positive controls (P < 0.05)Conclusion: Various doses of turmeric extract couldnâ€™t inhibit the growth of Streptococcus mutans bacteriaÂ
Perbandingan Kadar NT-proBNP Serum Pasien PGK eGFR <60 Pre- Dialisis dengan dan tanpa Gagal Jantung di RSUD DR Soetomo Surabaya
Authors: Puspita Made Padma , Widodo Widodo , Subagio Agus
Published: April 2020

Background: N-terminal-proBNP (NT-proBNP) is one of the most important biomarkers in diagnosing heart failure (HF). The excretion of NT-proBNP is affected by the decline of kidney function, thus the interpretation of serum levels of NT-proBNP in chronic kidney disease (CKD) patients to diagnose HF needs to be assessed carefully. Therefore, the purpose of this study is to investigated the difference between NT-proBNP levels in CKD patient with and without heart failure.Method: This observational analytic with cross-sectional study examined primary data of the serum level of NT-proBNP in predialyzed CKD patients with and without HF in outpatient clinic in Dr. Soetomo hospital, Surabaya between August and September 2018. Kidney function in predialyzed patients were classified into five stages using the Cockcroft Gault formula of estimated glomerular filtration rate (eGFR). Patients with eGFR <60mL/min/1.73m2 were included in this study. The differences between NT-proBNP levels in predialyzed CKD patients with and without heart failure were then analyzed using univariate and bivariate analysis.Results: The study population consisted of 50 predialyzed CKD patients which include 25 patients with HF and 25 patients without HF. The NT-proBNP mean in HF patients was [23,082 pg/mL (22,413)] and in patients without HF was [815 pg/mL (651)]. There was significant difference in NT-proBNP level between patients with HF and without HF (p<0,001).Conclusion: This study showed that there was significant increase in NT-proBNP level of predialyzed CKD patients with HF compare to patients without HF.
Hubungan jumlah konsumsi jeruk terhadap kejadian batu ginjal di RSUP Sanglah Denpasar
Authors: Krisnandewi Made Wahyu , Sutadarma I Wayan Gede , Wihandani Desak Made
Published: April 2020

Latar Belakang: Batu ginjal merupakan penyakit ketiga terbanyak di bidang urologi setelah penyakit kelenjar prostat dan infeksi saluran kemih. sitrat merupakan salah satu inhibitor yang penting dalam pengumpulan kalsium oksalat dan berhubungan dengan kejadian batu ginjal. Tujuan studi ini adalah mengetahui hubungan jumlah konsumsi jeruk terhadap kejadian batu ginjalMetode: Penelitian analitik dengan metode cross sectional (potong lintang) dan menggunakan data primer dan sekunder.Â  Pengambilan data dilakukan di Rumah Sakit Umum Pusat Sanglah dari Januari sampai dengan Oktober 2018. Sebanyak 93 data dikoleksi dan dianlisis univariat, bivariat dan multivariate. Univariat menggunakan uji frekuensi, normlaitas dan tabulasi silang. Uji korelasi dan chisquare sebagai uji bivariat dan uji multivarait menggunakan regresi logistikHasil: Subjek penelitian terdiri atas 66.7% laki-laki dan 33.3% perempuan. Jangkauan usia pada sampel berkisar antara 15 tahun hingga 87 tahun, dengan rerata usia 52.38 + 11.3 tahun. Jenis kelamin laki-laki menunjukkan kecenderungan untuk memiliki batu ginjal bilateral (r= -0,258; p= 0.019). Korelasi negatif antara konsumsi jeruk dan batu ginjal dan tidak signifikan secara statistik (r= -0.024; p=0.533). regresi logistic menunjukkan jenis kelamin memilki hubungan yang disignifikan (p=0.0021; IK95%: 0.07-0.83).Simpulan: Batu ginjal disebabkan multifaktorial dan konsumsi jeruk tidak berkorelasi secara stastitikIntroduction: Kidney stone is the third most common disease in the disease of urology after prostate gland disease and urinary tract infections. Citrate is one of the important inhibitors of accumulation of calcium oxalate and associated with the incidence of kidney stones. This study aimed to determine the relationship of the amount of orange consumption to the incidence of kidney stonesMethod: The research is an analytical study with the cross-sectional method and using either primary or secondary data. Data collection was collected at the Sanglah hospital from January until October 2018. 93 data were collected and analyzed by univariate, bivariate and multivariate. Univariate uses frequency test, normalization, and cross-tabulation. Correlation and chi-square test as a bivariate test and multivariate test using logistic regressionResult: The study subjects consisted of 66.7% men and 33.3% women. The age range in samples from 15 to 87 years, with mean 52.38 + 11.3 years. The male sex showed a tendency to occur bilateral kidney stones (r = -0.258; p = 0.019). The correlation between the consumption of oranges and kidney stones was negatively and not statistically significant (r = -0.024; p = 0.533). Logistic regression states sex was a significant relationship (p = 0.0021; IK95%: 0.07-0.83)Conclusion: Kidney stones were caused by multifactorial and consumption of citrus was not statistically correlated.
Gambaran persepsi ibu terhadap obesitas pada anak usia sekolah dasar di Kecamatan Canggu, Kabupaten Badung, Bali tahun 2018
Authors: Yudha Putri Putu Eksa Bidja , Sari Komang Ayu Kartika , Ariastuti Luh Putu
Published: April 2020

Latar Belakang: Obesitas adalah suatu keadaan terjadinya penumpukan lemak tubuh yang berlebih, sehingga berat badan seseorang jauh melebihi norma. Pemasalahan gizi lebih di Indonesia harus mendapatkan perhatian, prevalensi obesitas pada anak di indonesia terus meningkat. Pada tahun 2007 sebesar 7,95%, di tahun 2013 meningkat menjadi 18,8%.Metode: Penelitian ini merupakan penelitian deskrtitif dengan rancangan penelitian cross sectional yang bertujuan untuk menggambarkan persepsi ibu terhadap obesitas pada anak usai sekolah dasar. Sempel dari penelitian ini adalah sebanyak 92 responden, dengan teknik pengambilan sempel random sampling dan penelitian ini menggunakan alat ukur kuesionerHasil: Ibu yang memiliki persepsi positif terhadap obesitas pada anak sebanyak 56,5% sedangkan ibu yang memiliki persepsi negatif terhadap obesitas pada anak sebanyak 43,5%Simpulan: Masih banyak ibu yang menganggap bahwa obesitas pada anak bukan maslah bagi ksehatan anak.Â Introduction: Obesity is a condition where there is excess body fat accumulation so that a person's weight is far above normal. The current problem of overnutrition in Indonesia must get attention; the prevalence of obesity in children in Indonesia continues to increase in 2007 by 7.95% and increased to 18.8% in 2013.Method: This study is a descriptive study with a cross sectional study design that aims to describe mothers' perceptions of obesity in children after primary school. The samples from this study were 92 respondents, with random sampling technique and the research using a questionnaire measuring instrument.Result: Mothers who have a positive perception of obesity in children as much as 56.5% while mothers who have a negative perception of obesity in children as much as 43.5%.Conclusion: Based on these results it can be concluded that there are still many mothers who consider that obesity in children is not a problem for children's health.
Gambaran pemeriksaan IgM anti-Salmonella thypi 09 pada penderita demam dan gangguan pencernaan, dengan atau tanpa gangguan kesadaran di Puskesmas Denpasar Timur I
Authors: Ratih Pradnyadewi IGA Ayu , Mahartini Ni Nyoman , Sutirtayasa I Wayan Putu
Published: April 2020

Latar Belakang: Demam tifoid merupakan penyakit endemik Indonesia, yang disebabkan oleh infeksi dari bakteri Salmonella typhi. Bakteri ini dapat ditularkan melalui makanan dan juga minuman yang terkontaminasi bakteri tersebut, bisa juga akibat dari terkontaminasi dari tinja maupun urin dari orang yang telah terinfeksi bakteri tersebut. Penegakan untuk diagnosis demam tifoid saat ini dapat dilakukan secara klinis maupun dengan cara pemeriksaan laboratorium. Salah satunya ialah uji serologis yang dapat digunakan dalam demam tifoid meliputi tes Tubex.Metode: Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross-sectional. Data dalam penelitian ini berasal dari sumber data primer berupa pengambilan serum pasien di Puskesmas Denpasar Timur I sejumlah 33 sampel.Hasil: Pasien yang berobat ke Puskesmas Denpasar Timur I didapatkan kelompok yang paling banyak ialah perempuan 81,9% sedangkan laki-laki 18,1%. Sebanyak 100% datang dengan keluhan demam, sebanyak 63,7% datang dengan keluhan mual dan muntah 9,0%.Simpulan: Hasil IgM anti-Salmonella thypi 09 positif sebanyak 9,1% dan IgM anti-Salmonella thypi 09 negatif sebanyak 90,9%.Introduction: Typhoid fever is an endemic disease in Indonesia, which is caused by an infection of the bacterium Salmonella typhi. These bacteria can be transmitted through food and beverages contaminated with these bacteria, can also be caused by contamination of feces and urine from people who have been infected with these bacteria. Enforcement for the diagnosis of typhoid fever can now be done clinically or by laboratory examination. One of them is the serological test that can be used in typhoid fever including the Tubex test.Method: This research is a descriptive study with a cross-sectional approach. The data in this study came from primary data sources in the form of taking serum of patients in the East Denpasar Health Center I with 33 samples.Result: Patients who went to the East Denpasar Public Health Center I, found the most group was women 81.9% while men 18.1%. As many as 100% came with complaints of fever, 63.7% came with complaints of nausea and vomiting were 9.0%.Conclusion: The positive results of anti-Salmonella thypi 09 were 9.1% and negative IgM anti-Salmonella thypi 09 as much as 90.9%.
Perilaku hand hygiene tenaga kesehatan di RSUP Sanglah tahun 2018
Authors: Yogiswara Made Dwi Andhika , Ariastuti Ni Luh Putu , Aryani Putu
Published: April 2020

Background: Low hand hygiene behavior is a very detrimental and a cause of health care associated infection and is a problem faced by patients and the medical profession at this time. The purpose of this study was to find out the distribution of hand hygiene behavior among healthcare professionals in Sanglah General Hospital Denpasar.Method: This study was conducted using a descriptive method with a cross-sectional study design carried out in the polyclinic and inpatients ward at Sanglah General Hospital in September to November 2018.Results: From the 96 study samples, 82.3% had good compliance with hand hygiene standards and 68.7% had a positive perception of hand hygiene. Women are more obedient than men towards the implementation of hand hygiene and doctors is the lowest profession to have a level of adherence to hand hygiene.Conclusion: Perception and compliance with hand hygiene in medical personnel at Sanglah General Hospital Denpasar has been very good, but it still needs to be improved so that all medical personnel perform hand hygiene procedures as a routine practice for the sake of infection prevention and control.