bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gambaran umum depresi pasca stroke di Poliklinik Neurologi RSUP Sanglah tahun 2015
Authors: Citrajaya Hilda , Wahyuni Anak Agung Sri 
Published: November 2020

Background: Nowadays, stroke is one of the leading causes of death globally. Defects caused by a stroke such as weakness or paralysis of the body cause the patient can not undergo normal daily activities. Depression can be a factor that slows the process of recovery or rehabilitation of stroke patients and it is very important to be prevented before it gets worse.Aim: To assess the general characteristics of post-stroke depression in Neurology Outpatient Clinic of Sanglah Hospital.Methods: The design of this research is descriptive with cross sectional study design. The Beck Depression Inventory (BDI) questionnaire was used as an instrument of data collection in this study. The study was carried out in Sanglah Hospital Neurological Clinic on 2015. Â Results: From 49 respondents, majority were female (29 subjects or 77.6%) and 15 were male (22.4%). The results showed that the prevalence of depression reached 34.7%.conclusion: Higher prevalence of depression was found in the sample group with age 56-87 (41.7%), working as a farmer (50%), with recent or non-school primary education (60%), income less than 1 million per month (52.9%), unmarried (100%), undergoing medical rehabilitation (38.9%), first episode of stroke (40%), last episode of stroke more than 180 days (38.4%) and being hospitalized more than 10 days (39.1%).Â Â Latar belakang: Dewasa ini, stroke menjadi salah satu penyebab kematian terbanyak secara global. Kecacatan yang diakibatkan oleh stroke seperti kelemahan atau kelumpuhan bagian tubuh menyebabkan pasien tidak dapat menjalani aktivitas sehari-hari dengan normal. Depresi dapat menjadi faktor yang memperlambat proses pemulihan atau rehabilitasi pasien stroke dan hal ini sangat penting untuk dicegah sebelum menjadi lebih parah.Tujuan: Untuk meneliti gambaran umum depresi pasca stroke di Poliklinik Neurologi RSUP Sanglah.Metode: Penelitian ini bersifat deskriptif dengan rancangan penelitian potong lintang (cross sectional). Kuesioner Beck Depression Inventory (BDI) digunakan sebagai instrumen pengumpulan data dalam penelitian ini di Poliklinik Neurologi RSUP Sanglah pada periode Maret-Agustus 2015.Hasil: Dari 49 orang responden, didapatkan mayoritas berjenis kelamin perempuan (29 orang atau 77,6%) dan 15 orang berjenis kelamin laki-laki (22,4%). Hasil penelitian menunjukkan bahwa prevalensi depresi mencapai 34,7%.Kesimpulan: Prevalensi depresi lebih tinggi ditemukan pada kelompok sampel dengan usia 56-87 (41,7%), bekerja sebagai petani (50%), dengan pendidikan terakhir SD atau tidak sekolah (60%), pendapatan kurang dari 1 juta per bulan (52,9%), belum menikah (100%), menjalani rehabilitasi medik (38,9%), mengalami stroke pertama kali (40%), waktu serangan stroke terakhir >180 hari (38,4%) dan lama rawat inap >10 hari (39,1%).
Karakteristik kasus otitis eksterna di RSUP Sanglah Denpasar periode April 2015-April 2016
Authors: Wulandari N.P Mirah Ayunda Kartika , Sudipta I Made 
Published: November 2020

Background: External Otitis (OE) is one of the most common cases in ENT. There are an estimated 8.1 visits with an OE diagnosis per 1,000 annually. The low understanding of the community about OE caused the cases to become frequent. This study aims to increase public understanding of OE by knowing the characteristics of OE in Sanglah Hospital.Methods: A study with descriptive cross sectional method. Samples were taken from Sanglah Hospital's medical record data on period 2015-2016 with total sampling method.Results: A total of 84 samples were successfully analyzed, and found: OE was most common in the 15-49 years age group (55.9%). Gender dominating is female (52.4%). The most clinical symptoms of OE patients were ear pain (67.9%), followed by ear discharge (55.9%), ear that felt full (22.6%), itchiness (20.2%), ringing (21.4%), hearing loss (15.5%), and accompanied (4.8%). The most frequent cause of OE is due to trauma (58.3%), followed by fungi or bacterial infection (20.3%), combined causes (11.9%), and the least caused by systemic disease (9.5%).Conclusions: The OE case at Sanglah Hospital is most commonly found in the female population, age group 15-49 years, with the most common symptom of earache and caused by mechanical trauma.Â Latar Belakang: Otitis Eksternal (OE) merupakan salah satu kasus yang sering ditemukan dalam bidang THT. Diperkirakan terdapat 8.1 kunjungan dengan diagnosis OE per 1.000 per tahunnya. Rendahnya pemahaman masyarakat mengenai OE menyebabkan kasus ini menjadi sering terjadi. Studi ini bertujuan untuk meningkatkan pemahaman masyarakat mengenai OE dengan mengetahui gambaran kejadian OE di RSUP Sanglah.Metode: Sebuah studi dengan metode deskriptif potong lintang. Sampel diambil dari data rekam medis RSUP Sanglah pada periode 2015-2016 dengan metode total sampling .Hasil: Sebanyak 84 sampel berhasil di analisis, dan ditemukan: OE paling sering terjadi pada kelompok umur 15-49 tahun, (55,9%). Jenis kelamin yang mendominasi adalah perempuan (52,4%). Gejala klinis penderita OE terbanyak adalah nyeri telinga (67,9%), diikuti berair atau keluar cairan dari telinga (55,9%), terasa penuh (22,6%), rasa gatal (20,2%), berdenging (21,4%), gangguan pendengaran (15,5%), dan yang disertai (4,8%). Penyebab OE terbanyak adalah karena trauma (58,3%), diikuti karena jamur atau bakteri (20,3%), penyebab gabungan (11,9%), dan paling sedikit disebabkan oleh penyakit sistemis (9,5%).Simpulan: Kasus OE di RSUP Sanglah paling sering ditemui pada populasi wanita, kelompok umur 15-49 tahun, dengan gejala tersering berupa nyeri telinga dan disebabkan oleh trauma mekanis. Â
Anemia and metabolic acidosis are a predictor for mortality in children with severe acute malnutrition at Sanglah General Hospital, Bali
Authors: Kluniari Ni Putu Andina , Sidiartha I Gusti Lanang 
Published: November 2020

Background: Severe acute malnutrition (SAM) is one of the leading causes of morbidity and mortality in children in developing countries.Â Nutritional disorders are frequent in hospitalized patients, of which malnutrition is the most prevalent Anemia and PH disturbance was commonly found in this condition. This study aims to determine the association between anemia and metabolic acidosis with the mortality among children with severe acute malnutrition.Methods: A retrospective cohort study was conducted among 135 severe acute malnutrition children in the pediatric care unit of Sanglah General Hospital from the 2017-2018 period. The inclusion criteria were children aged 1 month to 18 years diagnosed with SAM. Exclusion criteria were a patient diagnosed with a hematological disorder or renal disorder. Data were analyzed using SPSS version 20 for Windows.Results: Anemia was diagnosed in 89 (65.9%) subjects in this study. Anemia increases the risk of death significantly by 3.98 times (95% CI 2.167-10.389; p<0.001). Metabolic acidosis was found in 35 (25.9%) subjects; this condition was also shown to significantly increase the risk of death by 1.5 times (95% CI 1.005-2.145; p=0.018).Conclusion: Anemia and metabolic acidosis can be used as predictors for mortality in severe acute malnutrition patient significantly.
Steven-Johnson Syndrome associated with anti-tuberculosis drugs: a case reports
Authors: Pramita I Gusti Ayu Risma , Pemayun Tjokorda Dalem 
Published: November 2020

Introduction: Steven-Johnson syndrome (SJS) is an acute reaction to the skin and mucous membranes that is characterised by damage and flaking of the skin, accompanied by pain and can cause death. Treatment with anti-TB drugs sometimes results in side effects including SJS Â as one of the skin rash reaction and liver dysfunction. Steven-Johnson syndrome incidence and mortality due to anti-TB is quite rate and here we present a case with SJS and some other drugs side effect symptoms who passed away on the ninth day of treatment.Â Case description: A 53-year-old woman admitted to our emergency department with dyspnea, fatigue, erosion on oral mucosa, and erythema appears in the whole body accompanied by itch since two weeks ago, she also has yellowish sclera. She is in ongoing therapy of anti-tuberculosis drugs. History of hepatitis B, on admission there was marked elevation of leukocyte and liver function test (AST and ALT). Systemic corticosteroid was given as characterised therapy with topical steroid and antibiotics regimen for maculopapular rash.Conclusion: SJS is an emergency requiring high attention and intensive care evaluation with administration of intravenous systemic steroids as primary immunosuppressive therapy.
Gambaran karakteristik kanker anak di RSUP Sanglah, Bali, Indonesia periode 2008-2017
Authors: Adinatha Yohannes , Ariawati Ketut 
Published: November 2020

Background: Childhood cancer is estimated to increase every year. Child cancer divided into leukemia and solid tumors. In RSCM Jakarta, the most common cancers are Acute Leukemia, Brain Tumor (10-15%), Retinoblastoma (10-12%), and other malignancies. This study aims to determine the characteristics of childhood cancer at Sanglah General Hospital Denpasar in the period 2008-2017.Method: A cross-sectional retrospective descriptive study was conducted by taking patient's medical records of leukemia and solid tumors data in children admitted to Sanglah General Hospital during 2008-2017. The parameters assessed in this study were the type of cancer in children, age, sex, or residence domicile. Data were analyzed with SPSS software version 17 for Windows.Results: The results obtained 410 pediatric cancer patients during the 2008-2017 time period, which consisted of 240 cases of leukemia (58.5%) and 170 cases of solid tumors (41.5%). Most cases were 0-5 years old (61.5%), males (50.7%), and domiciled in Bali (72.4%). Acute lymphoblastic leukemia (LLA) is the most common hematologic malignancy in children, which occupies 41.0% of total cancers proportion, followed by retinoblastoma (14.0%), malignant lymphoma (9.0%), and neuroblastoma (5.0%).Conclusion: Most cancers in children occur at the age of 0-5 years, male sex, and domicile in Bali. Besides, acute lymphoblastic leukemia (LLA) is the most common hematologic malignancy in children.Â Latar Belakang: Penyakit kanker anak diperkirakan meningkat setiap tahunnya. Kanker anak secara garis besar dibagi dua, yaitu keganasan darah (leukemia) dan tumor padat. DI RSCM Jakarta, kanker tersering yaitu Leukemia Akut, Tumor Otak (10-15%), Retinoblastoma (10-12%), dan keganasan lainnya.Penelitian ini bertujuan untuk mengetahui karakteristik kanker anak di RSUP Sanglah Denpasar dalam perioder 2008-2017.Metode: Penelitian deskriptif retrospektif potong lintang dilakukan dengan pengambilan data rekam medis pasien leukemia dan tumor padat anak yang menjalani perawatan di RSUP Sanglah Denpasar periode tahun 2008-2017. Parameter yang dinilai pada penelitian ini adalah jenis kanker pada anak, usia, jenis kelamin, maupun domisili tempat tinggal. Data dianalisis dengan piranti lunak SPSS versi 17 untuk Windows. Hasil: Hasil penelitian mendapatkan 410 pasien kanker anak selama rentang waktu 2008-2017 dimana terdiri atas 240 kasus leukemia (58,5%) dan 170 kasus tumor padat (41.5%). Sebagian besar kasus berusia 0-5 tahun (61,5%), berjenis kelamin laki-laki (50,7%), dan berdomisili di Bali (72,4%). Leukemia Limfoblastik Akut (LLA) merupakan keganasan hematologi tersering pada anak dimana menempati proposi 41,0% dari total kanker, diikuti Retinoblastoma (14,0%), Limfoma maligna (9,0%), dan Neuroblastoma (5,0%).Kesimpulan: Sebagian besar kanker pada anak terjadi pada usia 0-5 tahun, berjenis kelamin laki-laki, dan domisili di Bali. Di samping itu, Leukemia Limfoblastik Akut (LLA) merupakan keganasan hematologi anak tersering pada anak.
Tatalaksana peritonitis bakteri Staphylococcus Epidermidis pada seorang pasien dengan continuous ambulatory peritoneal dialysis (CAPD)
Authors: Dewi I Gusti Agung Ayu Indira Nirmala , Kandarini Yenny 
Published: November 2020

Background: Peritonitis is a common CAPD related infection. It can cause discontinue dyalisis peritoneal and conversion to hemodyalisis.Case description: This article reported a 54-year-old man on 5 years dialysis peritoneal with a complaint of abdominal pain since 1 week before admission. The complaint accompanied by fever and nausea. On abdominal examination there are mild distention, weak of bowel sound, pressure pain, and defans muscular. Dialisat examination found cloudy fluid, effluent white blood cell count 961 cells/mm3 composed of 85% polymorphonuclear leucocytes. Peritoneal dialysis effluent gram stain, routine culture found isolated Staphylococcus epidermidis with methicillin resistant, significant as infectious agent depend on patientâ€™s clinical and infectionâ€™s marker. Performed a definitive antibiotic with Linezolid 600 miligram intravena and Gentamicin 40 miligram intraperitoneal during 14 days showed clinical and laboratorium improvement.Conclusion: Peritonitis remains a major cause of technique failure in peritoneal dialysis and affects patientâ€™s morbidity and mortality. Management should be definitive antibiotic as dialysat culture result. Catheter removal indicated if there were refractory peritonitis, relapsing peritonitis, refractory exit-site and tunnel infection, fungal peritonitis.Â Latar belakang: Peritonitis merupakan komplikasi infeksi pada pasien CAPD yang umum terjadi. Peritonitis dapat menjadi penyebab utama penghentian dialisis peritoneal dan dikonversi ke hemodialisis.Deskripsi kasus: Laporan kasus ini melaporkan laki-laki berusia 54 tahun yang telah menjalani CAPD selama 5 tahun mengeluh nyeri perut sejak 1 minggu yang lalu SMRS. Nyeri perut disertai dengan demam dan mual. Pemeriksaan abdomen didapatkan distensi ringan, bising usus terdengar lemah, adanya nyeri tekan, dan defans muskuler. Pemeriksaan analisis cairan dialisat didapatkan warna keruh/berawan dengan jumlahÂ 961 sel/uL dengan dominan polymononuklear sebesar 85%. Pemeriksaan kultur/ biakan cairan peritoneum didapatkan terisolasi bakteri Staphylococcus epidermidis yang bersifat Methicillin resistant, significan sebagai agen penyebab infeksi tergantung keadaan klinis dan marker infeksi pasien. Dilakukan tatalaksana terapi antibiotik definitif dengan Linezolid 600 miligram setiap 12 jam intravena dan Gentamicin 40 miligram intraperitoneal, intermiten dose saat penggantian cairan malam hari. Pemberian terapi antibiotik definitif dan intraperitoneal dilanjutkan selama 14 hari dan pada pasien didapatkan perbaikan secara klinis dan laboratorium. Simpulan: Peritonitis merupakan penyebab utama kegagalan teknik pada dialisis peritoneal dan mempengaruhi morbiditas serta mortalitas pasien CAPD. Diagnosis peritonitis terkait CAPD sedini mungkin serta pemberian terapi yang cepat dan tepat dapat menghindarkan pasien dari komplikasi yang lebih berat dan kegagalan dialisis peritoneal.
Perbedaan petanda osteoporosis dan inflamasi pada pasien diabetes melitus tipe 2 terkontrol dan tidak terkontrol
Authors: Setianingsih Emi , Budiwiyono Imam , Hendrianingtyas Meita 
Published: November 2020

Background: Prolonged hyperglycemia cause further complications in patients with Type 2 Diabetes Mellitus (T2DM). Examination of HbA1c as a glycemic control can determine the risk of complications. N-Mid osteocalcin (N-Mid Oc) is used as a marker for early detection of osteoporosis. Increased neutrophil lymphocyte ratio (NLR) is a sign of simple inflammation that contributes to the progression and chronic complications in T2DM. The aim of the study is to analyze the differences between osteoporosis and inflammation markers in controlled and uncontrolled T2DM.Methods: Analityc observational study withÂ cross sectional approach was conducted in June â€“ July 2019 involving 58 DMT2 patients at Diponegoro National Hospital Semarang. The level of N-Mid Oc level were measured by ELISA method and NLR was measured by hematology analyzer, NLR values were obtained after manually calculated. Different test between research variables were using Mann-Whitney U testResults: The median (min - max) N-Mid Oc levels of controlled and uncontrolled T2DM patients were 16.17 (4.98 â€“ 37.28) ng / ml and 12.29 (3.54 â€“ 37.28) ng/ml with a value of p = 0.004. Median (min - max) NLR of DMT2 patients controlled and uncontrolled were 1.82 (0.64 â€“ 3.94) and 2.41 (1.08 â€“ 6.46) with p = 0.007.Conclusion: There is a significant differences between N-Mid O level and NLR in controlled and uncontrolled T2DM patients.Â Latar belakang: Hiperglikemia berkepanjangan dapat menimbulkan komplikasi lebih lanjut pada pasien Diabetes Melitus Tipe 2 (DMT2). Pemeriksaan HbA1c sebagai kontrol glikemik dapat mengetahui risiko komplikasi. N-Mid osteocalcin (N-Mid Oc) dipakai sebagai salah satu petanda deteksi dini osteoporosis. Peningkatan neutrophil lymphocyte ratio (NLR) merupakan petanda inflamasi sederhana untuk memantau progresivitas dan komplikasi kronik pada DMT2. Tujuan dari penelitian ini adalah untuk membuktikan adanya perbedaan petanda osteoporosis dan inflamasi antara DMT2 terkontrol dan tidak terkontrol.Metode: Penelitian observasional analitik dengan pendekatan belah lintang dilakukan pada bulan Juni - Juli 2019 melibatkan 58 pasien DMT2 di Rumah Sakit Nasional Diponegoro Semarang yang memenuhi kriteria inklusi dan eksklusi. Pemeriksaan N-Mid Oc diperiksa dengan metode ELISA dan Pemerikasaan NLR menggunakan hematology analyser, nilai NLR didapatkan setelah dihitung secara manual. Uji beda antar variabel penelitian mengunakan Mann-Whitney U testâ€™s. Hasil: Median (min â€“ maks) kadar N-Mid Oc pasien DMT2 terkontrol dan tidak terkontrol berturut-turut adalah 16,17 (4,98 â€“ 37,28) ng/ml dan 12,29 (3,54 â€“ 37,28) ng/ml dengan nilai p=0,004. Median (min â€“ maks) NLR pasien DMT2 terkontrol dan tidak terkontrol berturut-turut adalah 1,82 (0,64 â€“ 3,94) dan 2,41 (1,08 â€“ 6,46) dengan nilai p=0,007.Simpulan: terdapat perbedaan bermakna dari N-Mid Oc dan NLR antara pasien DMT2 terkontrol dan tidak terkontrol.
Gambaran kepatuhan terapi antiretroviral pada lelaki-seks-lelaki di Klinik Bali Medika
Authors: Indriani Phebe , Yuliyatni Putu Cintya Denny , Ani Luh Seri , Weta I Wayan 
Published: November 2020

Background: HIV prevalence in Indonesia and Bali is quite large. The main factor in achieving success in the treatment of HIV / AIDS virus infections is compliance.Aim: This study aims to determine the adherence of ARV therapy to MSM based on the characteristics and clinical stage in one of the CST clinics, the Bali Medika clinic. This descriptive study with cross sectional design used simple random sampling from the register of HIV patients at the Bali Medika Clinic so as to get 90 MSM (male-sex-male) patients. Data sources were taken from medical records regarding the characteristics, clinical stage, and treatment compliance of the study subjects. The data obtained were analyzed and displayed in the form of frequency tables and cross tables.Results: The majority of MSM sufferers with HIV are less than 31 years old; single (95.6%); low education (52.2%); have a job (94.4%); are in clinical stage I (77.8%); do not have coinfection (86.7%); use FDC drugs (92.2%); and suffered side effects from dizziness (90.0%). Most (66.7%) adhere to the Bali Medika Clinic.Conclusion: MSM at the Bali Medika Clinic tend to have high compliance in carrying out ARV therapy.Â Latar Belakang: Prevalensi HIV di Indonesia dan Bali cukup besar. Faktor utama dalam mencapai keberhasilan pengobatan infeksi virus HIV/AIDS adalah kepatuhan.Tujuan: Penelitian ini bertujuan untuk mengetahui kepatuhan terapi ARV pada LSL (lelaki-seks-lekali) berdasarkan karakteristik dan stadium klinis di salah satu klinik CST, yaitu klinik Bali Medika.Metode: Desain penelitian dengan rancangan potong lintang ini menggunakan simple random sampling dari daftar register pasien HIV di Klinik Bali Medika sehingga mendapatkan 90 pasien LSL. Sumber data diambil dari rekam medis mengenai karakteristik, stadium klinis, dan kepatuhan terapi dari subjek penelitian. Data yang diperoleh dianalisis dan ditampilkan dalam bentuk tabel frekuensi dan tabel silang.Hasil: Sebagian besar LSL penderita HIV berusia kurang dari sama dengan 31Â tahun; belum menikah (95,6%); berpendidikan rendahÂ (52,2%); memiliki pekerjaan (94,4%); berada dalam stadium klinis I (77,8%); tidak memiliki koinfeksi (86,7%); menggunakan jenis obat FDC (92,2%); dan menderita efek samping pusing (90,0%). Sebagian besar (66,7%) patuh berkunjung ke Klinik Bali Medika.Simpulan: LSL di Klinik Bali Medika cenderung memiliki kepatuhan yang tinggi dalam menjalankan terapi ARV.
Profil penderita katarak traumatika di Rumah Sakit Umum Pusat Sanglah Kota Denpasar, Bali-Indonesia
Authors: Aroean Maria Septiana Parmonang , Sutyawan I Wayan Eka , Budhiastra Putu , Jayanegara I Wayan Gede 
Published: November 2020

Background: Traumatic cataract is a cataract that occurs as a result of injury to the eye which can be a sharp or blunt trauma that is seen after a few days or several years. This traumatic cataract can occur acute, subacute, or residual symptoms of eye trauma, often due to an injury caused by a foreign object that hits the lens or blunt trauma to the eyeball. The purpose of this study was to determine the profile of traumatic cataract sufferers which included the characteristics of age, sex, and occupation at the Sanglah Central Hospital in Denpasar, Bali.Method: This study was descriptive with a cross-sectional study design. This research is retrospective and uses secondary data obtained from medical records.Result: Results of the study with cross sectional descriptive test showed that 58.3% of cases occurred in the male sex and 41.7% in women. The age ranges from 5 years to 69 years with an average sample age of 38.25 + 2.6 years. The occupations that dominated were students and farmers with a percentage of 25% each, followed by housewives with a percentage of 16.7%.Conclusion: In this study traumatic cataracts were found to be more common in male rice, with an average age of 38 years and occupations as students and farmers. Based on clinical characteristics, the eyes most affected by traumatic cataracts are the left eye and the most common cause is blunt trauma.Â Â Latar Belakang: Katarak traumatika merupakan katarak yang terjadi sebagai akibat cedera pada mata yang dapat merupakan trauma tajam ataupun tumpul yang terlihat sesudah beberapa hari ataupun beberapa tahun. Katarak traumatika ini dapat terjadi akut, subakut, atau pun gejala sisa dari trauma mata, sering terjadi karena adanya cedera yang disebabkan oleh benda asing yang mengenai lensa atau trauma tumpul pada bola mata. Tujuan penelitian ini adalah untuk mengetahui profil penderita katarak traumatika yang meliputi karakteristik usia, jenis kelamin, dan pekerjaan di Rumah Sakit Umum Pusat Sanglah Kota Denpasar, Bali.Metode: Penelitian ini adalah deskriptif dengan rancangan penelitian potong lintang (cross-sectional). Penelitian ini bersifat retrospektif Â dan menggunakan data sekunder yang diperoleh dari rekam medis.Hasil: Hasil penelitian dengan uji deskriptif cross sectional menunjukkan bahwa 58,3% kasus terjadi pada jenis kelamin laki-laki dan 41,7% pada perempuan. Usia berkisar dari 5 tahun hingga 69 tahun dengan usia sampel rata-rata 38,25 + 2,6 tahun. Pekerjaan yang mendominasi adalah siswa dan petani dengan persentase masing-masing 25%, diikuti oleh ibu rumah tangga dengan persentase 16,7%.Simpulan: Pada studi ini ditemukan katarak traumatika lebih sering terjadi padi laki-laki, dengan rata-rata usia 38 tahun dan pekerjaan sebagai pelajar dan petani. Berdasarkan karakteristik klinis, mata yang paling banyak terkena katarak traumatika adalah mata kiri dan penyebab tersering adalah trauma tumpul.