bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dislipidemia pada penderita nefropati diabetik di Rumah Sakit Umum Pusat Sanglah Denpasar, Bali tahun 2018
Authors: Wijaya I Nyoman Santa , Santhi Desak Gde Diah Dharma , Lestari Anak Agung Wiradewi 
Published: November 2020

Background: Diabeticcnephropathy isaa commonacomplication of diabetes and the main cause of chronic kidney disease in developed countries. Diabetics develop toward nephropathy in about 40% of cases. This condition is characterized by increased albuminuria or decreased glomerular filtration levels. Patient with diabetic nephropathy and dyslipidemia have higher renal parameters such as blood ureum and serum creatinine.Aim: Â The study aims to determine gender, age, blood pressure, smoking habit, and lipid profile, ureum and creatinine characteristic in patients with diabetic nephropathy.Method: This research was descriptive cross-sectional approach applying 40 patient with diabetic nephropaty who visited Sanglah General Hospital Denpasar in Januari-Desember 2018. The sampling technique used consecutive sampling techniques and used secondary data in the form of medical records.Â Results and Conclusion: Most of diabetic nephropathy patients was male (55%), belong to age range of 51 to 60 years (50%), had hypertension (55%) and smoking history (15%).Â Lipid profile parameter found that diabetic nephropathy patients had 52% increase in triglycerides and 62.5% decrease in HDL levels.Â Results for urea levels found that 57.5% samples had urea levels >23 mg/dL and 80% had creatinine levels >0.90 mg/dL.Â Â Latar Belakang: Nefropati diabetik adalahh komplikasi umum dari diabetes dan penyebab utama penyakit ginjal kronis di negara maju. Sekitar 40% penderita diabetes berkembang ke arah nefropati, dimana kondisi ini ditandai dengan peningkatan albuminuria atau penurunan tingkat filtrasi glomerulus. Penderita nefropati diabetik dengan dislipidemia memiliki parameter ginjal seperti ureum darah dan serum kreatinin yang lebih tinggi.Tujuan: Untuk mengetahui untuk mengetahui gambaran jenis kelamin, usia, tekanan darah dan riwayat merokok serta profil lipid, ureum dan keratinin padaapenderitaadiabetes mellitusstipe 2 (DMT2)ddengan nefropatii diabetik.Metodee: PenelitianNini bersifat deskritif dengann metode crosss-sectional. Sampel penelitiann adalah 40 orang penderita nefropati diabetik yang mmelakukan perawatann di RumahSSakit UmumPPusat (RSUP) SanglahDDenpasar pada bulan jJanuari â€“ Desember 2018. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik consecutive samplingg dann menggunakann dataasekunder berupaarekam medis.Hasil dan Simpulan: Mayoritas pasien nefropati diabetik adalah berjenis kelamin laki-laki (55%), dengan umur bekisar 51 â€“ 60 tahun (50%), mengalami hipertensi (55%) dan memiliki riwayat merokok (15%). Gambaran profil lipid pasien nefropati diabetik didapatkan peningkatan trigliserida (52%) dan penurunan kadar HDL (62,5%). Hasil untuk parameter kadar ureum mendapatkan sebanyak 57,5% pasien memiliki kadar ureum >23 mg/dL dan sebanyak 80% memiliki kadar keratinin >0,90 mg/dL.
Hubungan perilaku penggunaan gadget terhadap miopia pada anak sekolah dasar kelas 6 di Kota Denpasar
Authors: Permana Gede Anantha Restu , Sari Komang Ayu Kartika , Aryani Putu 
Published: November 2020

Introduction: Myopia is a state of vision in which light fall in front of retina that causes blurred appearance of distant objects. The prevalence of myopia in Indonesia reaches 25% in adults and 10-12% in children.Method: This study aimed to identify the relationship of gadget usage behavior and myopia on sixth grade of elementary school children in Denpasar. This study was conducted by analytical method with cross-sectional design. Gadget usage behavior included position, visibility, and duration of gadget usage which were measured by questionnaire. Myopia was measured by snellen chart.Â Samples of this study were 100 sixth grade children of Saraswati 2 Elementary School in Denpasar which were selected by simple random sampling technique.Result: Results of this study showed that there was no relationship between position of gadget usage and myopia (p value=0.059).Â There was a relationship between eye to gadget distance and myopia (p value=0.000). Â Duration of gadget usage per day was not related to myopia with (p value=0.490).Conclusion: The results of this study are useful for early prevention to children about risk factors of the gadget usage behavior towards myopia.Â Researchers suggest to other researchers to examine using other research methods and besides examining factors related to myopia such as genes, light intensity, and outdoor or indoor activities.Â Â Latar Belakang: Miopia merupakan keadaan penglihatan dimana cahaya jatuh di depan retina yang menyebabkan objek jauh terlihat kabur. Prevalensi miopia di Indonesia mencapai 25% pada orang dewasa dan 10-12% pada anak-anak. Penelitian ini bertujuan untuk mengidentifikasi dan menguraikan hubungan perilaku penggunaan gadget terhadap miopia pada anak sekolah dasar kelas 6 di Denpasar.Metode: Penelitian ini dilakukan dengan metode analitik menggunakan desain potong-lintang. Perilaku penggunaan gadget meliputi posisi, jarak pandang, dan durasi penggunaan gadget dinilai dengan menggunkan kuisioner. Status miopia sendiri diukur menggunakan snellen chart. Sampel penelitian adalah 100 orang anak kelas 6 di SD Saraswati 2 Denpasar yang dipilih melalui teknik simple random sampling.Hasil: Hasil penelitian ini menunjukkan bahwa tidak terdapat hubungan antara posisi penggunaan gadget terhadap miopia dengan nilai p=0,059. Terdapat hubungan antara jarak pandang penggunaan gadget terhadap miopia dengan nilai p=0,000. Durasi penggunaan gadget perhari tidak berhubungan terhadap miopia dengan nilai p=0,490.Simpulan: Hasil dari penelitian ini bermanfaat untuk melakukan pencegahan sejak dini kepada anak-anak tentang faktor risiko dari perilaku penggunaan gadget terhadap miopia. Peneliti menyarankan agar penelitian selanjutnya dilakukan dengan menggunakan metode penelitian lain serta meneliti pula faktor yang berhubungan dengan miopia seperti gen, intensitas cahaya, aktivitas luar ruangan dan dalam ruangan.
Acute thoracic aortic dissection: a case report
Authors: Dewi Dewa Ayu Ratna , Putra Ayusta Made Dwija 
Published: November 2020

Introduction: Aortic dissection (AD) is the most common aortic emergency, result in a catastrophic outcome. Patients usually asymptomatic, some of them present with sudden severe, tearing or sharp back or anterior chest pain and haemodynamic disturbance. Early and accurate diagnosis and treatment determine the patient outcome.Case Report: A case of 40 years old man complained of acute, sharp, chest pain since 4 days before admission which worsen instead of medical treatment, with a history of smoking since a few years ago. A vital sign was within normal limit. Laboratory result showed high CKMB, troponin T, LDH result. Occasional ventricular extrasystoles and inferior ischaemic was found in the ECG examination. From echocardiography, the patient suspected to have aortic dissection Stanford type A since an intimal flap on ascending aorta was found, with left ventricle hypertrophy, dilatation of right atrium and right ventricle, severe aortic regurgitation, moderate mitral regurgitation, severe tricuspid regurgitation, moderate pulmonary regurgitation and moderate pulmonary hypertension. From plain radiography, the patient showed mediastinum widening and cardiomegaly, CT angiography showed Stanford type A aortic dissection (DeBakey type I).Â The patient refused to seek further treatment for operation as suggested.Conclusion: It is still challenging to differentiate aortic dissection (AD) and another acute chest emergency. Since clinical presentation and laboratory result may be similar between those illnesses. Therefore careful history taking and further imaging examination should be considered to increase the patient outcome.
Indikasi ibu melakukan persalinan seksio sesarea di RSUP Sanglah Denpasar tahun 2018
Authors: Wiguna Tamara Olivia , Surya I Gede Harry Wijaya , Manuaba Ida Bagus Gde Fajar , Sudirman Jaqueline 
Published: November 2020

Background: Sectio caesarea is a method of labor in which a fetus with a capability to live (along with placenta and amniotic membrane) transabdominally via uterine incision. Caesarean section is usually done whether there is any medical indication and a final choice for difficulty on laboring.Aim: The study aims to know the indications of caesarean section that is done in RSUP Sanglah Denpasar in 2018.Â Method: This descriptive qualitative study was conducted using total sampling method. About 205 pregnant ladies had undergone caesarean section among a total of 914 patients who were in labour in RSUP Sanglah Denpasar in 2018, and around 157 of them have underlying medical indication that they couldnâ€™t perform normal labour.Result and Conclusion: The rupture membrane was the most frequent indication (18,7%), previous scar (13,9%), PEB (8,3%).Â Â Latar Belakang: Seksio sesarea merupakan melahirkan janin yang sudah mampu hidup (beserta plasenta dan selaput ketuban) secara transabdominal melalui insisi uterus). Seksio sesarea pada umumnya dilakukan apabila terdapat indikasi medis sebagai tindakan akhir dalam mengakhiri kesulitan persalinan.Tujuan: Untuk mengetahui indikasi seksio sesarea dari total persalinan di RSUP Sanglah Denpasar pada tahun 2018.Metode: Penelitian deskriptif dengan pendekatan kualitatif ini dilakukan dengan metode total sampling. Sebanyak 205 wanita hamil menjalani persalinan seksio sesarea dari total persalian sebanyak 914 kejadian persalinan di RSUP Sanglah, dan 157 di antaranya memiliki indikasi medis sehingga persalinan normal tidak memungkinkan.Hasil dan Simpulan: Ruptur membran atau pecahnya ketuban merupakan indikasi yang paling sering muncul (18,7%), lalu disusul oleh riwayat operasi sesar sebelumnya atau previous scar (13,9%), PEB (8,3%),
Factors associated with unfavourable outcome after Burr Hole drainage in Subdural Hematoma (SDH) at Sanglah General Hospital, Bali, Indonesia
Authors: Purnomo I Gusti Ngurah , Niryana I Wayan , Golden Nyoman 
Published: November 2020

Background: Subdural hematoma is a neurosurgical disorder that often occurs in the elderly with simple, relatively fast and minimally invasive surgical therapy, but has a high postoperative mortality rate due to unfavourable outcome. This study aims to evaluate factors associated with unfavourable outcome after burr hole drainage in a subdural hematoma (SDH) at Sanglah General Hospital, Bali, Indonesia.Method: A prospective cohort study was conducted among 60 respondents to determine factors influencing the outcome of patients with subdural hematoma after burr hole drainage.Â The independent variables in this study included age, comorbid factors, trauma onset, GCS, hematoma thickness, and midline shift.Â Dependent variables include the Glasgow Outcome Scale (GOS), which is divided into 2 groups, favourable outcome, and unfavourable outcome. Data were analyzed using SPSS version 17 for Windows.Results: There were 19 respondents (31.7%) had unfavourable outcomes and 41 respondents (68.3%) had favourable outcomes.Â From the bivariate analysis, significant associated risk factors were found in the onset of trauma (p=0.048), GCS (p=0.000), hematoma thickness (p = 0.000), and midline shift (p=0.000).Â From the multivariate analysis, it was found that low GCS was the most dominant risk factor for the unfavourable outcome following burr hole drainage (OR=22.30; 95% CI= 2.22-223.80; p=0.008) Conclusion: This study concludes that low GCS was the most dominant risk factor for unfavourable outcome in patients with subdural hematoma after burr hole drainage
Potential combinations of Platelet Rich Plasma (PRP) and chitosan in burn wound management: a review
Authors: Samsarga Gede Wara , Sanjaya I Gusti Putu Hendra , Hamid Agus Roy Rusly Hariantana , Pinatih Komang Januartha Putra , Dewi Ni Made Ratih Purnama 
Published: November 2020

Background:Â The development of new modality for burn wound healing is necessary to reduce morbidity and mortality of burn injury. PRP (Platelet Rich Plasma) is one of potential modality for burn injury because of its ability to deliver various growth factors to initiate and accelerate tissue healing and regeneration. Clinical efficacy of PRP is frequently disturbed because inconsistency and inefficiency of growth factor release in PRP. To increase the effectiveness of PRP in wound healing and increase the bioavailability of growth factor, PRP can be combined with a carrier that can control continuous release of growth factors. Chitosan is one of biomaterial that potential to use because of its biodegradability characteristic and biological activity that important for burn wound healing and prevent the formation of scar tissue in a burn injury. Researches have shown that chitosan is an effective carrier to facilitate growth factor release continuously to burn wound.Aims: This review aims to review potential Combinations of PRP (Platelet Rich Plasma) & Chitosan in Burn WoundConclusion:Â With chitosan ability to facilitate burn wound healing and as an effective carrier, combination of PRP and chitosan is a promising modality for burn wound healing.
Asosiasi sikap dan pengetahuan orang tua terhadap perilaku dalam menangani anak saat diare di Kecamatan Seririt, Kabupataen Buleleng, Bali tahun 2018
Authors: Setiawan Putu Andrie , Tan Ryan , Putra Derryl Komala , Halim Andy , Ginting Nelvina , Siboe Maria Pricilla , Wati Dyah Kanya 
Published: November 2020

Introduction: To date, diarrhea is still a global burden that implicate children especially in development country. Seririt, as aÂ peripheral subdistrict in Buleleng regency, Bali face this problem also. The knowledge and the attitude of parents is really important to reduce morbidity and mortality of dehydration to be caused by diarea.Objective: This research was aimed to knowing the association of parents knowledge and attitude to behaviour when facing diarrhea.Method: Cross-sectional method with consecutive sampling method was used to answer the objective. This research has done in 2018 of August at community health canter (Puskesmas) Seririt 1, Buleleng Regency, Bali Province. Collected data was analysed with SPSS version 17 for Windows.Result: A statistically significant result was found between attitude and behaviour (p= 0,000; 95%CI=1,484-9,387). Contrary, insignificant result was found among attitude and parent behaviour when face diarrhea (p=0,093; 95% CI=0,900-3,155).Conclusion: Parrents knowledge associate to parent behaviour, in other hand attitude does not associate to parent behaviour.Â Â Pendahuluan: Diare saat ini masih merupakan permasalahan utama pada balita. Hal ini juga merupakan masalah yang diahadapi didaerah perifer utamanya di Kecamatan Seririt, Kabupaten Buleleng, Bali. Pengetahuan dan sikap orang tua saat menangani diare berperan untuk mengurangi kesakitan dan kematian utamanya akibat dehidrasi.TujuanÂ : Tujuan dari penelitian ini adalah untuk mencari tahu asosiasi pengetahuan dan sikap terhadap perilaku orang tua saat anak mengalami diare di Kecamatan Seririt, Kabupaten Buleleng, Bali.MetodeÂ : Metode potong lintang dan consecutive sampling diterapkan pada penelitian ini. Penelitian dilaksanakan pada bulan Agustus 2018 di Puskesmas Seririt 1, Buleleng. Data yang Â sudah dikumpulkan dianalisis dan disajikan dalam tabel dan narasi menggunakan perangkat lunak SPSS 17 for Windows.HasilÂ : Secara statistik terdapat perbedaan antara tingkat pengetahuan dengan perilaku (p= 0,000; IK=1,484-9,387). Sedangkan, tidak didapatkan perbedaan antara sikap dan perilaku subjek sehari-hari (p=0,093; IK=0,900-3,155).KesimpulanÂ : Terdapat hubungan yang bermakna antara tingkat pengetahuan orang tua terhadap perilaku saat menghadapi anak dengan diare. Namun, hal ini berbanding terbalik dengan sikap orang tua yang dinyatakan tidak berhubungan secara statistik terhadap perilaku saat anak mengalami diare.
Hubungan antara persepsi mutu layanan kesehatan dengan kepuasan pasien rawat inap medis di RSU GMIM Pancaran Kasih Manado
Authors: Patodo Jessiliani Arvianesta , Rampengan Starry H , Umboh Jootje M.L. 
Published: November 2020

Background: Hospitals are currently required to provide health services according to optimal service standards. In hospital health services, patient satisfaction is one indicator of the quality of health services. Service quality is contributed by 5 principles, such as Service Quality, namely Reliability, Assurance, Tangible, Emphaty, Responsivenses.Methods: The research used analytic survey method, with cross sectional design. The research was held at GMIM Pancaran Kasih Manado hospital in January-March 2019. Samples taken from 150 respondents who fulfilling research questionnaires. Data analysis is univariate, bivariate, multivariate using chi-square, with Î± = 0,05 dan CI = 95%.Results: The results of the research were, reliability (p=0,000), Assurance (p=0,530), Emphaty (p=0,028), Tangible (p<0,001) and Responsiveness (p=0,855).Conclusion: There was a relationship between reliability, empathy and tangible with patient satisfaction, while there was no relationship between assurance and responsiveness with satisfaction of medical inpatients at GMIM Pancaran Kasih General Hospital in Manado. Tangible factor became the most dominant variable associated with patient satisfaction.Â Latar belakang: Rumah sakit saat ini dituntut untuk memberikan pelayanan kesehatan yang sesuai standar pelayanan yang optimal. Pada pelayanan kesehatan dirumah sakit kepuasan pasien merupakan salah satu indikator mutu pelayanan kesehatan. Mutu pelayanan dibentuk berdasarkan 5 prinsip yang dikenal dengan Service Quality yaitu kehandalan (Reliability), jaminan (Assurance), bukti langsung/ berwujud (Tangible), empati (Emphaty), daya tanggap (Responsivenses).Metode: Penelitian ini menggunakan metode survei analitik, dengan rancangan cross sectional. Penelitian ini dilaksanakan di Rumah Sakit GMIM Pancaran Kasih Manado pada bulan Januari-Maret 2019. Sampel penelitian ini berjumlah 150 responden dengan melengkapi kuesioner. Analisis data berupa univariat, bivariat dan multivariat menggunakan uji chi-square, dengan Î± = 0,05 dan CI = 95%.Hasil: Hasil yang diperoleh dalam penelitian yaitu kehandalan (p=0,000), jaminan (p=0,530), perhatian (p=0,028), bukti fisik (p<0,001) dan daya tanggap (p=0,855). Kesimpulan: Terdapat hubungan antara kehandalan, perhatian dan bukti fisik dengan kepuasan pasien, sedangkan tidak ada hubungan antara jaminan dan ketanggapan dengan kepuasan pasien rawat inap medis di RSU GMIM Pancaran Kasih Manado. Variabel bukti langsung menjadi variabel yang paling dominan berhubungan dengan kepuasan pasien.
Prevalensi dan faktor penentu prediabetes pada wanita muda obesitas di Kota Denpasar tahun 2019
Authors: Sari Dinda Anggita Meiwita , Ernawati Desak Ketut , Mahendra Agung Nova , Weta I Wayan 
Published: November 2020

Background: The prevalence of prediabetic state in population is such a hard project to be confirmed within an increased number of obese population.Aim: The study aims to define the prevalence of prediabetes among obese young women (body mass index, BMI >25 kg/m2) in Denpasar.Methods: Research variables namely physical activity, food pattern, anthropometric values for identify level of obesity (light BMI 25-30, severe BMI >30 kg/m2), tipe of obesity (perifer obesity waist circumference <80 cm,Â and central obesity waist circumference â‰¥80 cm), as well as fasting blood glucose (normal <100 mg/dL, prediabetes -125 mg/dL).Results: the prediabetes prevalence of subjects is 38,1%. All subjects 42 (100%) have light daily physical activity, with high mean of cholesterol intake (more than 200mg) and low of PUFA intake (less than 10% of fat intake). Pre-diabetic subjects have higher waist circumference (visceral fat) than subjects with normal blood glucose (p=0.023). In contrary, that was no relationship between subcutaneous fat (bicep and tricep skinfold) to prediabetic state(p >0,05). Central obesity was significant OR 1,76 (1,33-2,33) risk of prediabetes compared to peripheral obesity (p= 0,023). However, there was not significant risk (OR 2,67 (0,738-9,63) (p= 0,130)) of severe obesity to be prediabetes compared to light obesity.Â Latar Belakang: Peningkatan prevalensi obesitas bersamaan dengan prevalensi diabetes melitus tipe 2. Prevalensi prediabetes sangat susah dideteksi pada suatu populasi.Tujuan: untuk mengetahui prevalensi dan faktor penentu prediabetes pada wanita muda obese (indeks massa tubuh, IMT >25) di Denpasar.Metode: Penelitian ini termasuk studi cross-sectional dengan variabel penelitian, meliputi aktivitas fisik, pola makan, antropometri pada tingkat obesitas (obesitas ringan IMT 25-30 kg/m2, obesitas berat IMT>30 kg/m2) dan jenis obesitas (obesitas perifer lingkar perut <80 cm, obesitas sentral lingkar perut >80 cm), serta kadar glukosa darah puasa (normal <100 mg/dL, prediabetes -125 mg/dL).Hasil dan Simpulan: prevalensi prediabetes dari subjek adalah 38,1%. Semua subjek 42 (100%) memiliki aktivitas fisik harian yang ringan, dengan rata-rata asupan kolesterol yang tinggi (>200mg) dan asupan PUFA (pure unsaturated fatty-acid) yang rendah (<10% dari asupan lemak). Subjek dengan prediabetes mempunyai lingkar perut (lemak visceral) lebih besar dibandingkan dengan subjek dengan kadar gua darah normal (p=0,023). Sebaliknya, tidak didapat hubungan antara lemak subkutan (lipatan kulit bisep dan trisep) dengan kejadian prediabetes (p>0,05). Obesitas sentral bermakna berisiko menderita prediabetes OR 1,76 (1,33-2,33) dibandingkan dengan obesitas perifer (p= 0,023). Namun, tidak ada risiko yang signifikan [OR 2,67; (0,738-9,63) (p= 0,130)] obesitas berat menjadi prediabetes dibandingkan dengan obesitas ringan.Â
Gagal atrium kiri: terminologi yang perlu diketahui
Authors: Purwowiyoto Sidhi Laksono , Setianto Budhi , Wiryawan I Nyoman , Surya Steven Philip 
Published: November 2020

Heart failure is the terminal stage of all the heart pathological conditions. The common understanding in heart failure is always preceded by left ventricular dysfunction. There are several clinical studies that indicate heart failure might occur without prior left ventricular dysfunction. Left atrial dysfunction may have more important roles than we previously thought in the context of heart failure. The atrium has a unique and different anatomical structure and function compared to the ventricles. Left atrial failure can occur independently of left ventricular dysfunction or mitral valve abnormalities. Atrial failure, similar to ventricular failure, could also cause or initiate global heart failure. The mechanism of atrial failure can be caused by fibrosis, electrical and mechanical dysfunction. Through this article, we would emphasize that atrial failure also has clinical significance and may explain heart failure with the condition of the sustained ejection fraction.Â Gagal jantung adalah hasil akhir dari semua kondisi patologi di jantung. Terminologi umum dalam gagal jantung selalu didahului oleh disfungsi ventrikel kiri. Ada beberapa studi klinis yang menunjukkan gagal jantung mungkin terjadi tanpa disfungsi ventrikel kiri sebelumnya. Disfungsi atrium kiri mungkin memiliki peran penting lebih dari pada yang kita pikirkan sebelumnya pada kondisi gagal jantung. Berbeda dengan ventrikel, atrium memiliki struktur anatomis dan fungsi yang unik dan berbeda. Â Gagal atrium kiri dapat terjadi secara independen terhadap disfungsi ventrikel kiri dan kelainan katup mitral. Seperti halnya ventrikel kiri, gagal atrium dapat menyebabkan gagal jantung secara global. Mekanisme gagal ventrikel dapat disebabkan dari fibrosis, disfungsi elektrik dan mekanik. Melalui artikel ini, kami akan menjelaskan bahwa kegagalan fungsi atrium juga memiliki signifikansi klinis dan mungkin menjelaskan gagal jantung dengan kondisi fraksi ejeksi yang dipertahankan.