bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aspek laboratorium pemeriksan keton pada kasus preeklamsia berat: laporan kasus
Authors: Perdana I Gede Sukma Okta , I Nyoman Gde Sumardika  , Made Dharma Pramana  , Ni Luh Putu Siska Kahari Sari  
Published: November 2023

Background: Ketones are the product of fat metabolism, consisting of 20% aceto-acetic acid, 78% β-hydroxy butyrate and 2% acetone. Aceto-acetic acid and acetone that experience an increase is called ketosis while ketosis that occurs in the urine is called ketonuria. This case report aims to evaluate the laboratory aspects of ketone testing in cases of severe preeclampsia.
Case Presentation: Increased levels of ketonuria in the body can cause ketoacidosis and a decrease in blood pH if not treated immediately, in pregnant women it can cause fetal death and ketoacidic coma. A 30 year old female patient with a diagnosis of G4P3003 UK 26 mg T/IUFD accompanied by ketonuria and severe preeclampsia. At the diagnostic examination, blood pressure was found: 170/100 mmHg, urine examination: protein 1+ and ketones 2+. The patient was treated with MgSO4, nifedipine, drip transamin 1 ampoule 28 tpm, cefotaxime and observation for bleeding.
Conclusion: During early pregnancy, there were persistent complaints of nausea and vomiting where laboratory tests, especially urine for remote areas and blood ketone examination for urban areas, were needed in early pregnancy to prevent preeclampsia.

Latar Belakang: Keton merupakan produk hasil dari metabolisme lemak, terdiri dari 20% asam aseto-asetat, 78% β-hidroksi butirat dan 2% aseton. Asam aseto-asetat dan aseton yang mengalami peningkatan disebut ketosis sedangkan ketosis yang terjadi di dalam urin disebut Ketonuria. Laporan kasus ini bertujuan untuk mengevaluasi aspek laboratorium pemeriksan keton pada kasus preeklamsia berat.
Presentasi Kasus: Peningkatan kadar ketonuria didalam tubuh dapat menyebabkan ketoasidosis dan penurunan pH darah jika tidak segera mendapatkan penanganan, pada ibu hamil dapat menyebabkan kematian janin serta ketoacidic koma. Pasien perempuan umur 30 tahun dengan diagnosis G4P3003 UK 26 mg T/IUFD disertai ketouria dan Preeklamsia Berat. Pada pemeriksaan penegakan diagnosis didapatkan tekanan darah: 170/100 mmHg, Pemeriksaan urin : protein 1+ dan keton 2+. Pasien diterapi dengan MgSO4, nifedipine, drip transamin 1 ampul 28 tpm, cefotaxime dan observasi perdarahan.
Kesimpulan: Pada masa kehamilan awal didapatkan keluhan mual muntah terus menerus dimana pemeriksaan laboratorium khususnya urin untuk daerah terpencil dan pemeriksaan keton darah untuk daerah perkotaan pada awal kehamilan diperlukan untuk mencegah preeklamsia.
Knowledge regarding cervical cancer and HPV vaccination in adolescent girls
Authors: Jodjana Mikael Stevan , Windiani I Gusti Ayu Trisna , Adnyana I Gusti Agung Ngurah Sugitha , Pratiwi Ni Luh Sukma , Soetjiningsih  
Published: November 2023

Introduction: Cervical cancer is the second most common cancer in women worldwide. The highest cancer incidence in women in Indonesia is cervical cancer, with a total of 17 cases per 100,000 female population. Human papillomavirus (HPV) is the main cause of cervical cancer. Acceptance of this vaccine is related to the level of knowledge about the virus and the vaccine itself. Previous systematic studies revealed that most women do not have a sufficient level of knowledge about the relationship between HPV virus infection and cervical cancer. This study aims to know the level of knowledge about cervical cancer and HPV vaccination in an adolescent girl
Methods: This research was conducted with a cross-sectional design. This study uses primary data in the form of answers to questionnaires distributed to respondents, where the questionnaire has been tested for validity and reliability in previous studies. The subjects were girl students aged 14 to 18 years at the senior high school level in the city of Denpasar.
Results: Most of the research subjects (95,3%) had fairly good-sufficient knowledge about cervical cancer, with a median value of 8 (4-10) of the assessment result. However, the majority of the research subjects (50,4%) had a low level of knowledge about HPV vaccination, with a median value of 11 (0-22) of the assessment result.
Conclusion: This study shows that the majority of students in senior high school have good knowledge about cervical cancer but a lack of knowledge about HPV vaccination.
Evaluasi Kemampuan Komunikasi dan Kerjasama Tim dalam Pelaksanaan Interprofessional Education (IPE): Sebuah Tinjauan Literatur
Authors: Manuaba Ida Bagus Amertha Putra , Yani Made Violin Weda 
Published: November 2023

Collaboration is needed to provide comprehensive services in dealing with complex health problems. However, collaboration in the world of health in Indonesia is still not optimal. So early learning is needed to increase the effectiveness of collaboration, one of which is by organizing interprofessional education (IPE). IPE is a collaborative learning process that involves educators and students from two or more health professions and basic disciplines. IPE can provide various benefits, including training cooperation, communication, leadership, and respect for other professions. With the implementation of the IPE program since college, it is hoped that it will be a provision for students when carrying out professional activities. This study aims to assess communication and teamwork's ability to implement IPE. The method in this study was a literature review, with 19 articles that met the inclusion criteria. Based on a review of several literatures, it was found that implementing IPE can improve communication skills and teamwork.

Dalam menghadapi permasalahan kesehatan yang kompleks, diperlukan kolaborasi guna memberikan pelayanan yang komprehensif. Namun, kolaborasi di dunia kesehatan Indonesia masih belum maksimal. Sehingga diperlukan pembelajaran sejak dini untuk meningkatkan efektivitas kolaborasi, salah satunya dengan penyelenggaraan interprofessional education (IPE). IPE merupakan proses pembelajaran kolaboratif yang melibatkan pendidik dan peserta didik dari dua atau lebih profesi kesehatan dan disiplin dasar. IPE dapat memberikan berbagai manfaat mulai dari melatih kerjasama, komunikasi, kepemimpinan, dan menghormati profesi lain. Dengan penerapan program IPE sejak kuliah, diharapkan dapat menjadi bekal mahasiswa saat menjalani kegiatan profesi. Penelitian ini bertujuan untuk menilai kemampuan komunikasi dan kerjasama tim dalam pelaksanaan IPE. Metode pada studi ini adalah tinjauan literatur, dengan 19 artikel yang memenuhi kriteria inklusi. Berdasarkan kajian terhadap beberapa literatur, didapatkan bahwa pelaksanaan IPE dapat meningkatkan kemampuan komunikasi dan kerjasama tim.
Gambaran karakteristik pasien balita dan faktor resiko merokok di pkm manggar periode bulan februari sampai maret 2022
Authors: Prahasari Wismawan Made Nindya , Isdiawati  , Kurniati Ida 
Published: November 2023

Introduction: Acute respiratory infection (ARI) is still a major health problem in Indonesia. Parents' smoking habit is a risk factor for the incidence of ARI in children under five. This study aims to assess the relationship between the incidence of ISPA in toddlers and the smoking habits of parents who come to the Manggar Health Center.
Methods: This descriptive observational study was conducted using a cross-sectional method in the period February - March 2022 at PKM Manggar. The independent variable includes the degree of parental smoking behavior. While the dependent variable is the visit of pediatric patients with a diagnosis of ISPA.
Results: Fifty visits of toddler patients during the study period were dominated by ARI patients (52%). As many as 64% of patients were passive smokers with 62% getting exposure to cigarette smoke of more than 5 cigarettes per day. Most of the patients were males with normal birth weight and aged between 2-5 years.
Conclusion: Further analytical exploration to determine the relationship between parents' smoking habits and the incidence of ARI in toddlers is needed.

Pendahuluan: Infeksi saluran pernapasan akut (ISPA) masih menjadi masalah kesehatan besar di Indonesia. Kebiasaan merokok orang tua merupakan faktor risiko kejadian ISPA pada balita. Penelitian ini bertujuan untuk menilai hubungan kejadian ISPA pada balita dengan kebiasaan merokok orang tua yang datang ke Puskesmas Manggar .
Metode: Penelitian observasional deskriptif ini dilakukan menggunakan metode potong lintang pada periode Februari - Maret 2022 di PKM Manggar. Variabel bebas meliputi derajat perilaku merokok orang tua. Sementara variabel terikat adalah kunjungan pasien anak dengan diagnosis ISPA.
Hasil: Lima puluh kunjungan pasien balita selama periode penelitian didominasi oleh pasien ISPA (52%). Sebanyak 64% pasien merupakan perokok pasif dengan 62% mendapatkan pajanan asap rokok lebih dari 5 batang per hari. Sebagian besar pasien adalah laki-laki dengan berat badan lahir normal dan berusia antara 2-5 tahun.
Kesimpulan: Eksplorasi lebih lanjut secara analitik untuk mengetahui hubungan antara kebiasaan merokok orang tua dan kejadian ISPA pada balita diperlukan.
Peranan Magnetic Resonance Imaging (MRI) payudara pada kasus benign late peri- implant effusion pasca breast augmentation: laporan kasus
Authors: Lisniawan Perina Enri , Dewi Putu Utami , Margiani Ni Nyoman 
Published: November 2023

Background: Breast augmentation is a surgical procedure performed to increase breast size by implanting implants or through fat transfer. MRI is the gold standard for evaluating the integrity of breast implants, with a sensitivity of 80–90% and a specificity of 80–90% for detecting implant rupture. In this case report, we will discuss the role of breast MRI in cases of benign late peri-implant effusion after breast augmentation.
Case Presentation: A 49-year-old female patient has complained of a lump in her left breast since 2017. The patient had surgery to insert right and left breast implants in 2004. The patient underwent ultrasound and MRI examinations at Prof. I.G.N.G Ngoerah Hospital and obtained results in the form of an anechoic area, with internal echo and a solid component in it in the submamary of the left breast, susp. infectious process, and multiple non-suspicious left axillary lymphadenopathy. Meanwhile, no nodules, masses, or cysts were found in the right breast, and no enlarged lymph nodes in the right axilla were found. The patient was diagnosed with benign late peri-implant effusion after breast augmentation and underwent implant removal and capsulectomy after seeing the results of the MRI examination.
Conclusion: An MRI examination can help identify an implant effusion after a breast augmentation procedure.

Latar belakang: Breast augmentation merupakan prosedur pembedahan yang dikerjakan untuk meningkatkan ukuran payudara melalui penanaman implan maupun melalui transfer lemak. MRI merupakan baku emas standar untuk mengevaluasi integritas dari implan payudara, dengan sensitivitas mencapai 80-90%, dan spesifisitas 80-90% untuk mendeteksi adanya ruptur implan. Pada laporan kasus ini akan dibahas mengenai peranan MRI payudara pada kasus benign late peri- implant effusion pasca breast augmentation.
Presentasi Kasus: Pasien perempuan 49 tahun datang dengan keluhan benjolan pada payudara kiri sejak tahun 2017. Pasien pernah melakukan operasi pemasangan implant payudara kanan kiri pada tahun 2004. Pada pasien dilakukan pemeriksaan ultrasonografi dan MRI di RSUP Prof. I.G.N.G Ngoerah didapatkan hasil berupa area anechoic, dengan internal echo dan komponen solid didalamnya pada submamary payudara kiri, susp. proses infeksi dan multiple non suspicious lymphadenopathy axilla kiri. Sedangkan tidak ditemukan adanya nodul, massa, maupun kista pada payudara kanan serta tidak ditemukan adanya pembesaran kelenjar getah bening pada axilla kanan. Pasien didiagnosis dengan benign late peri- implant effusion pasca breast augmentation dan dilakukan tindakan implant removal dan kapsulektomi setelah melihat hasil dari pemeriksaan MRI.
Simpulan: Pemeriksaan MRI dapat membantu mengidentifikasi suati efusi perimplan pasca tindakan breast augmentation.
Laringomalasia: sebuah laporan kasus dan telaah pustaka
Authors: Surjotomo Hendradi , Siregar Solita Vasya 
Published: November 2023

Background: Laryngomalacia is a congenital disorder caused by collapse of the supraglottis structure that causes stridor in neonates and infants. The cause of laryngomalacia is still under further research but currently there are 3 theories that can cause laryngomalacia, namely neurological disorders, GERD and anatomical abnormalities. This case report aims to evaluate the laryngomalacia case in a child.
Case reports: A toddler aged 2 months with complaints of choking every time he eats and drinks followed by wheezing. The patient had previously been treated with the same complaint by the Pediatric Surgery Department and was diagnosed with pyloric stenosis, was given therapy and the complaint disappeared but reappeared so that a CT scan was carried out and found hydrocephalus and medulloblastoma. Then, on supporting examination, flexible laryngoscopy found an omega-shaped larynx, with a wide airway and an NGT tube.
Conclusion: In infant and toddler patients with complaints of frequent choking while eating and drinking can still be a clinical sign of laryngomalacia that needs to be proven by flexible laryngoscopy examination and periodic evaluation of clinical complaints and symptoms which are very important in determining further therapy

Latar Belakang: Laringomalasia adalah sebuah kelainan kongenital yang diakibatkan oleh kolaps dari struktur supraglotis, menyebabkan stridor pada neonatus dan bayi. Penyebab terjadinya laringomalasia masih dalam penelitian lanjutan, namun saat ini didapati 3 teori yang menyebabkan terjadinya laringomalasia yaitu gangguan neurologis, adanya GERD serta kelainan anatomis. Laporan kasus ini bertujuan untuk mengevaluasi kasus laringomalasia pada anak.
Presentasi Kasus: Seorang balita usia 2 bulan dengan keluhan tersedak setiap kali makan dan minum diikuti dengan nafas berbunyi. Pasien sebelumnya telah dirawat dengan keluhan yang sama oleh Bagian Bedah Anak dan didiagnosis dengan stenosis pylorus, diberikan terapi dan keluhan menghilang namun muncul kembali sehingga dilakukan pemeriksaan penunjang CT Scan ditemukan adanya hydrosephalus dan medulablastoma. Kemudian pada pemeriksaan penunjang laringoskopi fleksibel didapati gambaran laring berbentuk omega, dengan airway lapang dan tampak pipa NGT.
Kesimpulan: Pada pasien bayi dan balita dengan keluhan sering tersedak pada saat makan dan minum masih merupakan satu tanda klinis laringomalasia yang perlu dibuktikan dengan pemeriksaan laringoskopi fleksibel serta evaluasi berkala terhadap keluhan dan gejala klinis yang sangat penting dalam menentukan terapi lanjutan
Diagnosis dan penatalaksanaan osteosarkopenia pada penderita sistemik lupus eritematosus
Authors: Tejawati Dewa Ayu Kartika , Gunadi I Wayan Hendra , Kambayana Gede , Putrawan Ida Bagus Putu , Kurniari Pande Ketut 
Published: November 2023

The term osteosarcopenia has been coined to describe the concomitant occurrence of osteopenia/osteoporosis and sarcopenia. Osteosarcopenia can occur in patients with SLE due to the inflammatory process and long-term use of glucocorticoids which play a role in the pathophysiology of osteosarcopenia. Until now there is no definite recommendation regarding when to carry out early detection of osteosarcopenia in patients with SLE, but there is a recommendation to carry out screening after 3 months of long-term glucocorticoid use to determine the incidence of glucocorticoid-induced osteoporosis. The gold standard for assessing bone mass is dual X-ray absorptiometry (DXA). For prevention of osteosarcopenia, identification and treatment of modifiable risk factors such as endocrine disorders is essential. In addition, the risk of developing sarcopenia and osteopenia can be reduced through healthy lifestyle changes that optimize stem bone mass and maintain musculoskeletal health throughout life, including regular physical activity and adequate nutrition (intake of calcium, vitamin D and protein).

Istilah osteosarkopenia telah diciptakan untuk menggambarkan kejadian bersamaan dari osteopenia/osteoporosis dan sarkopenia. Osteosarkopenia dapat terjadi pada pasien SLE akibat proses inflamasi dan penggunaan glukokortikoid jangka panjang yang berperan dalam patofisiologi osteosarkopenia. Sampai saat ini belum ada anjuran pasti mengenai kapan harus dilakukan deteksi dini osteosarkopenia pada pasien SLE, namun ada anjuran untuk melakukan skrining setelah 3 bulan penggunaan glukokortikoid jangka panjang untuk mengetahui kejadian osteoporosis akibat glukokortikoid. Standar emas untuk menilai massa tulang adalah dual X-ray absorptiometry (DXA). Untuk pencegahan osteosarkopenia, identifikasi dan pengobatan faktor risiko yang dapat dimodifikasi seperti gangguan endokrin sangat penting. Selain itu, risiko terjadinya sarkopenia dan osteopenia dapat dikurangi melalui perubahan gaya hidup sehat yang mengoptimalkan massa tulang induk dan menjaga kesehatan muskuloskeletal sepanjang hidup, termasuk aktivitas fisik secara teratur dan nutrisi yang cukup (asupan kalsium, vitamin D, dan protein).
Preventing mother-to-child transmission of human immunodeficiency virus (HIV), syphilis and hepatitis B: a secondary hospital approach in North Bali, Indonesia
Authors: Prabawa Aditya , Putu Sudarsana  , Setiawan Komang Hendra 
Published: November 2023

Background Mother-to-child transmission (MTCT) of human immune virus (HIV), syphilis, and hepatitis B can lead to significant health burdens and even mortality in children. This study aimed to evaluate the effectiveness of triple elimination of MTCT in a secondary hospital in Buleleng, North Bali
Method: This study conducted a retrospective review of 345 pregnancy case in Buleleng General Hospital from January to December 2022
Result: In this study, 98.5% of the 345 pregnant women seeking antenatal care were tested for HIV, syphilis, and hepatitis B. Among the tested patients, 100%, 99.7%, and 98.8% were tested for HIV and hepatitis B, HIV and syphilis, and syphilis and hepatitis B, respectively. The prevalence of HIV, syphilis, and hepatitis B was 1.4%, 2.1%, and 4.3 %, respectively. Antiretroviral therapy was administered to 80 % of HIV-positive patients, and 71.4 % of syphilis patients received benzathine penicillin G. Only 6.6% of hepatitis B patients received hepatitis B virus deoxyribonucleic acid (HBV DNA) & hepatitis B envelope antigen (HBeAg) examination followed by Lamivudine administration.
Conclusion: Early detection of HIV, syphilis, and hepatitis B in pregnant women is important for preventing MTCT. Coverage of triple elimination screening is in accordance with WHO targets, but further management of hepatitis B needs to be improved
Efek ekstrak umbi ubi jalar ungu (Ipomoea batatas) terhadap peningkatan ekspresi ABCA1 pada tikus model dislipidemia
Authors: Ardiana I Ketut Rama , Narayana Gede Setula , Pramartha I Nyoman Tri , Pinatih Gde Ngurah Indraguna , Duarsa Dya Pradnyaparamita 
Published: November 2023

Background: Maintaining the homeostasis of body fat levels is an important thing. ABCA1 is an important protein in cholesterol efflux function, which can maintain lipid profile homeostasis. Purple sweet potato (potato ipomoea batatas) is a Convolvulaceae plant with various biological functions, one of which is anthocyanin content known to prevent hyperlipidemia through ABCA1 synthesis. This study aims to examine the effect of purple sweet potato tuber extract on increasing levels of ABCA1.
Methods: Post-test-only study design with a control group using 50 male Wistar rats divided into 5 groups (n = 10). The negative treatment group (P0) was given standard feed, while the positive group (P4), treatment 1 (P1), treatment 2 (P2) and treatment 3 (P3) were given a hyperlipidemic diet for 8 weeks. The treatment group was then given purple sweet potato tuber extract with 3 doses, including 200mg/kg (P1), 400mg/kg (P2), and 800mg/kg (P3) for 2 weeks, and the food was returned to standard food.
Results: There was a significant increase in ABCA1 levels in P2 and P3 compared to negative controls (P <0.05), but the increase in ABCA1 in P3 was not different from positive controls.

Latar Belakang : Menjaga homeostasis kadar lemak tubuh merupakan hal yang penting. ABCA1 merupakan protein yang penting dalam fungsi efluks kolestrol yang dapat menjaga homeostasis profil lipid. Ubi ungu (Ipomoea batatas) merupakan tanaman Convolvulaceae yang memiliki berbagai fungsi biologis, salah satunya kandungan Antosianin yang diketahui dapat mencegah hiperlipidemia melalui sintesis ABCA1. Penelitian ini bertujuan untuk menguji efek ekstrak umbi ubi jalar ungu terhadap peningkatan kadar ABCA1
Metode : Desain penelitian post test only dengan kontrol grup menggunakan 50 ekor tikus wistar jantan yang dibagi menjadi 5 kelompok (n=10). Kelompok perlakuan negatif (P0) diberikan pakan standar sedangkan kelompok positif (P4), perlakuan 1(P1), perlakuan 2(P2) dan perlakuan 3(P3) diberikan diet hiperlipidemia selama 8 minggu. Kelompok perlakuan kemudian diberikan ekstrak umbi ubi jalar ungu dengan 3 dosis, antara lain 200mg/kg(P1), 400mg/kg(P2), 800mg/kg(P3) selama 2 minggu dan makanannya dikembalikan ke makanan standar.
Hasil : Terdapat peningkatan kadar ABCA1 yang signifikan pada P2 dan P3 dibandingkan dengan kontrol negatif (P<0,05) tetapi peningkatan ABCA1 pada P3 tidak berbeda dengan kontrol positif.
The Phenomenon of Fishing in the Context of Human-Northern Nature Interaction: Network, Vitality, Communication
Authors: Sergeev Andrei M. , Voronov Vasilii M. , Kotkin Konstantin Ya. , Simonova Veronika V. 
Published: November 2023

The article analyzes the fishing phenomenon in the context of interaction between people and Northern nature. An attempt is made to move away from a purely social aspect of considering the phenomenon and come to a broader, namely, network-related context of its understanding. The theoretical and methodological approach (theoretical framework) of the research team is based on: (a) the actor-network theory of French sociologist Bruno Latour and his conceptual studies on the history of understanding of “nature” that serve, directly or indirectly, as the basis for the modern Western ecological discourse; (b) Vladimir V. Bibikhin’s phenomenological reception of the Aristotelian understanding of living nature as a kind of perfect automaton, i.e., self-moving order of living matter change; (c) Yan V. Chesnov’s conceptual understanding of the phenomenon of “vitality” as part of the development of Nikolay A. Nosov’s virtual paradigm. At the empirical level, the research used the method of in-depth and expert interviews. 27 semi-structured interviews were conducted in the spring and fall of 2022 in the Murmansk region. All the respondents were directly or indirectly connected with fishing practice: fishermen of the Murmansk region, including those who systematically violate fishing rules for the Northern Fishery Basin, employees of the territorial department of Rosrybolovstvo [Russian Federal Fisheries Agency], employees of Poliarnyi nauchno-issledovatel’skii institut morskogo rybnogo khoziaistva i okeanografii (PINRO) [Russian Federal Research Institute of Fisheries and Oceanography] named after N. M. Knipovich, representatives of local administration in the Tersky, Kola, and Kandalaksha districts of the Murmansk region, representatives of the tourist branch, etc. The interviews became the empirical basis of the research. This paper considers the popularity of informal fishing practices in the Murmansk region as an expression of existential and mental craving in response to the stimulating appeal, or even “challenge”, of nature. Accordingly, the researchers link the inherent desire of fishermen to catch fish for food, refreshment, and sale not so much with the sociocultural context, as with the natural (vital) desire to fulfill oneself as a natural being. The work understands the natural not as being in opposition to the social order, but as underlying and permeating that order.