bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perbandingan outcome penanganan pembedahan dan tanpa pembedahan pada fraktur radius distal di RSUP Sanglah periode April 2016-Agustus 2017
Authors: DwiKrisna Putu Prabhawati , Subawa I Wayan , Agung Artha Wiguna IGL Ngurah 
Published: December 2022

Background: Fracture of the distal radius is one of the most common fractures of the wrist. The incidence of fracture of the distal radius increases in each year. Management on the fracture of the distal radius can be grouped into two ie surgery and without surgery.Aim: This study aims to determine the comparison of successful treatment between fracture of distal radius surgically and without surgery.Method: This research used descriptive cross-sectional approach which is conducted at Sanglah General Hospital (RSUP) Denpasar. Data obtained was secondary data in the form of patient's medical record from April 2016 - August 2017 as well as primary data from patient interview. Data were analyzed using SPSS program.Result: This study indicated that the most involved gender was men classified as adult (25-59 years). The incidence of most fracture of distal radius was caused by traffic accidents. It also obtained that there were no different outcomes between surgical and non-surgical therapy in patients with fracture of distal radius.Conclusion: The comparison of surgical and non-surgical outcome at distal radius do not show significant differences statistically. Fraktur radius distal adalah salah satu dari macam fraktur yang biasa terjadi pada pergelangan tangan. Angka kejadian fraktur radius distal meningkat di setiap tahunnya. Penatalaksanaan pada fraktur radius distal dapat dikelompokan menjadi dua yaitu pembedahan dan tanpa pembedahan.Tujuan: Tujuan penelitian ini yaitu untuk mengetahui perbandingan keberhasilan terapi penanganan fraktur radius distal dengan pembedahan dan tanpa pembedahan.Metode: Penelitian ini menggunakan metode penelitian deskriptif dengan pendekatan cross-sectional yang dilakukan di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. Data yang diperoleh berupa data sekunder rekam medis pasien periode April 2016 – Agustus 2017 dan data primer dari wawancara pasien. Data dianalisis dengan menggunakan program SPSS.Hasil: Penelitian ini menunjukkan bahwa jenis kelamin terbanyak yaitu pada laki-laki tergolong dewasa (25-59 tahun). Insiden fraktur radius distal terbanyak disebabkan oleh kecelakaan lalulintas. Penelitian ini juga mendapatkan hasil tidak terdapat perbedaan hasil outcome terapi pembedahan dan tanpa pembedahan pada pasien fraktur radius distal.Kesimpulan: Perbandingan outcome penanganan pembedahan dan tanpa pembedahan pada fraktur radius distal tidak menunjukan perbedaan yang signifikan secara statistic.
Weightlifting-related injuries
Authors: Peter Jonathan David Rajaratnam , Griadhi I Putu Adiartha 
Published: December 2022

Background: Each year, more and more athletes partake in weightlifting, aiming to outperform their predecessors and achieve new records of feats of strength. However, even despite the newer knowledge of biomechanics, and the safety precautions taken to prevent injury, such events still do take place.Aim: The study aims to determine the sources of these injuries, as well as the more frequent parts of the body that get injured, those more prone to it.Conclusion: The numerous injuries that can be sustained during weightlifting has been noted including its causes, as well as its effect on an individual and the incidence rate of the occurrence in professional weightlifters.
Analisis kesesuaian pemakaian obat pada pasien asma dewasa dengan Peraturan Menteri Kesehatan Nomor 5 tahun 2014 di Badan Rumah Sakit Umum Daerah Kabupaten Tabanan tahun 2018
Authors: Gita Desak Gede Vicsilia Mahambara , Ernawati Desak Ketut , Mahendra Agung Nova 
Published: December 2022

Background: Regulation of the Minister of Health of the Republic of Indonesia No. 5 of 2014 concerning asthma mentions the presence of types of asthma, medication controller, alternatives such as drugs and substances that have been determined and also other alternatives such as additional drugs. The drugs used in the guidelines were glucocorticosteroids, theophylline, chromolin, leukotriene modifiers, ventolin, and formeterol. Nowadays, the number of asthmatic patients who received asthma therapy according to that regulations had not been clearly distributed.Aim: The study aims to describe the pattern of drug use in adult asthma patients in accordance with the regulations in Tabanan General Hospital.Methods: A retrospective observational study with medical record data without providing intervention or treatment to samples in the Tabanan General Hospital in March-June 2019 aged 18-65 years and receiving asthma medication.Results and Conclusions: The three types of asthma, based on the type of drug, dosage, and dosage form are not in accordance with Regulation of Minister of Health No. 5 of 2014. Peraturan Menteri Kesehatan (PMK) Republik Indonesia No 5 Tahun 2014 tentang asma menyebutkan adanya jenis asma, medikasi pengontrol, alternatif seperti obat dan zat yang telah ditentukan dan juga alternatif lain seperti tambahan obatnya. Obat yang digunakan pedoman PMK No 5 Tahun 2014 yaitu glukokortikosteroid, teofilin, kromolin, leukotrien modifiers, ventolin, formeterol. Sampai sekarang jumlah pasien asma yang mendapatkan terapi asma sesuai dengan PMK masih belum terdistribusi dengan jelas.Tujuan: untuk mendeskripsikan pola penggunaan obat pada pasien asma dewasa sesuai dengan PMK No 5 Tahun 2014 yang berlaku di Badan Rumah Sakit Umum Daerah (BRSUD) Kabupaten Tabanan.Metode: Penelitian observasional retrosprektif dengan data rekam medis tanpa memberikan intervensi atau perlakuan pada sampel di BRSUD Kabupaten Tabanan pada bulan Maret-Juni 2019 berusia 18-65 tahun dan mendapatkan terapi obat asma.Hasil dan Simpulan: Ketiga jenis asma, berdasarkan jenis obat, dosis, dan bentuk sediaan tidak sesuai dengan PMK No 5 Tahun 2014.
Dramatic improvement in severe-critical COVID-19 patient after tocilizumab administration: a clinical experience
Authors: Kurniawati Yesicha , Atmaja Kadek Surya , Suryana Ketut , Putra Wayan Wahyu Semara 
Published: December 2022

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in coronavirus disease 2019 (COVID-19) involve so many inflammatory cytokines, especially Interleukin-6 (IL-6). The usage of tocilizumab as an anti-IL-6 receptor antibody had been approved as COVID-19 medication.Case Presentation: This article reports a 51-year-old woman diagnosed with severe-critical COVID-19. The patient made significant progress after tocilizumab administration. The patient was hospitalized for 14 days before being discharged.Conclusion: Tocilizumab administration showed a significant improvement in COVID-19 patients. However, further investigations are needed to explain this further.
Surgical excision with paramedian forehead flap reconstruction in recurrent basal cell carcinoma of the nose
Authors: Willyanto Nathan Aditya , Huda Samsul 
Published: December 2022

Background: Basal cell carcinoma (BCC) is the most common malignancy worldwide, especially in fair-skinned people. Along with squamous cell carcinoma (SCC), these malignancies are grouped as non-melanoma skin cancer (NMSC). The nose is a common site for BCC because it is exposed to the sun. The rates of recurrence are variable in the literature, between 10% and 67%. The ideal surgical treatment for BCC is complete tumor removal with safety margins. Wide excision of the BCC will leave the nose with a soft tissue defect and sometimes part of cartilage or skeleton, which requires nasal reconstruction.Case presentation: An 80-year-old female was admitted to the General Surgery Department of Soebandi General Hospital Jember presenting with ulceration on the right side of her nose 4 months before admission. The patient had a previous history of surgical excision on the nose 15 years ago on the nose's left side.Conclusion: Recurrent cases of BCC are still the main issue in treating BCC. Wide excision of the BCC will leave the nose with a soft tissue defect, which requires nasal reconstruction. The paramedian forehead flap is recommended for defect closure in nasal reconstruction.
Prosedur tato kornea: sebuah laporan kasus
Authors: Alexander Tiara , Cahyaningsih Eunike 
Published: December 2022

Background: Leukoma adherent is a condition where the formation of white cicatrix with iris incarceration involvement of the cornea. In addition to causing a decrease in visual acuity and blindness, leukoma adherent can also interfere with the appearance of the patient's eye. Corneal tattoo or keratopigmentation (KTP) is a procedure that disguises the color of the leukoma according to the color of the patient's eyes or irises. Corneal tattoo procedures can be performed superficially, intrastromal, or with a femtosecond laser. Corneal tattoo procedures can be carried out in various ways. It is necessary to study keratopigmentation thoroughly.Case: An 18-year-old male patient complained of white patches on his left eye, expanding for a year. The first spots appeared five years ago after being exposed to wood. On physical examination, visual acuity was 1/~ in the left eye and 20/20 in the right eye. The patient underwent a corneal tattoo on the left eye using Vicryl 7.0 with Chinese ink.Conclusions: Corneal tattoo with intrastromal technique is one of the commonly used techniques. This procedure can use a suture needle or an angled knife to introduce the ink. The results of this procedure are quite satisfactory. However, the patient must still be educated on the possibility of further action for color fading or other complications that can harm the eyes. Latar belakang: Leukoma adherent merupakan kondisi terbentuknya sikatriks berwarna putih dengan keterlibatan inkarserasi iris pada kornea. Selain menyebabkan penurunan tajam penglihatan dan kebutaan, leukoma adherent juga dapat mengganggu penampilan mata pasien. Tattoo kornea atau kerato pigmentasi (KTP) merupakan prosedur yang menyamarkan warna leukoma sesuai dengan warna mata atau iris pasien. Prosedur tato kornea dapat dilakukan superfisial, intrastromal, ataupun dengan femtosecond laser. Prosedur tattoo kornea dapat dilaksanakan secara beragam, maka diperlukan studi yang membahas prosedur tattoo kornea secara menyeluruh.Kasus: Pasien laki-laki usia 18 tahun mengeluhkan bercak putih pada mata kiri yang semakin meluas sejak setahun. Bercak pertama kali timbul sejak 5 tahun lalu, setelah mata kiri terkena kayu. Pada pemeriksaan fisik didapatkan tajam penglihatan 1/~ pada mata kiri dan 20/20 pada mata kanan. Pasien menjalani tindakan tattoo kornea pada mata kiri menggunakan vicryl 7.0 dengan tinta cina.Simpulan: Tattoo kornea dengan teknik intrastromal merupakan salah satu teknik yang umum digunakan. Prosedur ini dapat menggunakan suture needle ataupun angled knife untuk mengintroduksi tinta. Hasil dari prosedur ini cukup memuaskan namun pasien tetap harus diedukasi kemungkinan tindakan lanjutan atas peluruhan warna ataupun komplikasi lain yang dapat membahayakan mata.
Kadar 25(OH)D dan rasio HDL-LDL serum yang rendah sebagai faktor risiko terjadinya preeklamsia dengan gambaran berat
Authors: Lim Leony , Suwiyoga Ketut , Putra I Wayan Artana , Kusuma Anak Agung Ngurah Jaya , Putra I Gede Mega , Suardika Anom , Megadhana I Wayan 
Published: December 2022

Background: Preeclampsia is a health problem because it contributes to high rates of maternal and baby morbidity and mortality. The pathogenesis of preeclampsia is still unknown, but vitamin D deficiency and low HDL-LDL serum ratio are thought to play an important role. Therefore, a study was conducted on low 25(OH)D serum level and low HDL-LDL serum ratio as risk factors for preeclampsia with severe features.Methods: This study has a case-control design, conducted at Obstetric and Gynecology emergency room at Sanglah Hospital from January 2020 to June 2020. Subjects were 44 pregnant women, consisting 22 normal pregnant women as controls and 22 pregnant women with preeclampsia with severe features as cases, selected by purposive consecutive sampling and analyzed using SPSS 21.Results: Preeclampsia with severe features was found 5 times higher in pregnant women with low 25(OH)D serum level than in normal pregnant women (OR = 4,91, CI 95% = 1,33-18,21, p = 0,014). Preeclampsia with severe features was found 8 times higher in pregnant women with low HDL-LDL serum ratio than in normal pregnant women (OR = 7,88, CI 95% = 1,96-31,57, p = 0,002).Conclusion: Low 25(OH)D serum level and low HDL-LDL serum ratio are risk factors for Preeclampsia with severe features. Pendahuluan: Preeklamsia merupakan masalah kesehatan karena berkontribusi terhadap tingginya angka morbiditas dan mortalitas ibu dan bayi. Patogenesis preeklamsia sampai saat ini masih belum diketahui secara pasti, namun kadar vitamin D dan rasio HDL–LDL serum yang rendah diduga berperan penting dalam mekanisme terjadinya preeklamsia. Penelitian kemudian dilakukan terhadap kadar 25(OH)D dan rasio HDL-LDL serum yang rendah sebagai faktor risiko terjadinya preeklamsia dengan gambaran berat.Metode : Desain penelitian ini adalah kasus kontrol (case control) yang dilakukan di Instalasi Gawat Darurat Obstetri dan Ginekologi RSUP Sanglah, Denpasar mulai Januari 2020 sampai Juni 2020. Subyek penelitian berjumlah 44 orang ibu hamil, yang terdiri dari 22 ibu hamil normal sebagai kontrol dan 22 ibu hamil dengan preeklamsia dengan gambaran berat sebagai kasus, yang dipilih secara purposive consecutive sampling, dan dianalisis menggunakan SPSS 21.Hasil: Risiko terjadinya preeklamsia dengan gambaran berat adalah 5 kali lebih tinggi pada ibu hamil dengan kadar 25(OH)D serum yang rendah dibandingkan ibu hamil normal (OR = 4,91, IK 95% = 1,33-18,21, p = 0,014). Risiko terjadinya preeklamsia dengan gambaran berat adalah 8 kali lebih tinggi pada ibu hamil dengan rasio HDL-LDL serum yang rendah dibandingkan ibu hamil normal (OR = 7,88, IK 95% = 1,96-31,57, p = 0,002).Simpulan : Kadar 25(OH)D dan rasio HDL-LDL serum yang rendah merupakan faktor risiko preeklamsia dengan gambaran berat.
Penanganan inversio uteri: sebuah tinjauan pustaka
Authors: Widiyanti Endang Sri , Putra I Gede Mega 
Published: December 2022

Acute uterine inversion is a rare but life-threatening emergency in the field of obstetrics. The main signs and symptoms of acute uterine inversion are bleeding and shock. The accuracy and speed of diagnosis and case management will reduce morbidity and mortality due to uterine inversion. This literature review is expected to increase our knowledge as practitioners in dealing with uterine inversion cases. In principle, there are two goals for the treatment of acute uterine inversion, namely repositioning the uterus and treating the shock that occurs. The success of uterine inversion repositioning is highly dependent on the speed of early detection. The longer the uterus is inverted, the more difficult it will be to reposition it. There are several non-surgical techniques for repositioning the uterus, including: Johnson maneuver, Henderson and Alles maneuver, use of tocolytics, and repositioning with hydrostatic pressure. Surgical procedures can be performed abdominally, namely the Huntington's Procedure, with abdominal repositioning laparotomy and the Haultain's Procedure, with abdominal cervical repositioning-repositioning laparotomy. Kejadian inversio uteri akut merupakan kegawatdaruratan di bidang Obstetri yang jarang terjadi namun mengancam nyawa. Tanda dan gejala utama inversio uteri akut adalah perdarahan dan syok. Ketepatan dan kecepatan diagnosa dan penanganan kasus akan mengurangi morbiditas dan mortalitas akibat inversio uteri. Tinjauan pustaka ini diharapkan dapat menambah pengetahuan kita sebagai praktisi dalam menangani kasus inversio uteri. Pada prinsipnya ada dua tujuan penanganan inversio uteri akut, yaitu reposisi uterus dan penanganan syok yang terjadi. Keberhasilan reposisi inversio uteri sangat tergantung pada kecepatan deteksi dini. Semakin lama uterus terinversi akan semakin sulit melakukan reposisi. Terdapat beberapa teknik non-bedah untuk reposisi inversio uteri, antara lain: manuver Johnson, manuver Henderson dan Alles, penggunaan tokolitik, dan reposisi dengan tekanan hidrostatik. Prosedur pembedahan dapat dilakukan melalui abdominal, yaitu Prosedur Huntington, dengan laparotomi-reposisi melalui abdominal dan Prosedur Haultain, dengan laparotomi- insisi cincin servikalis-reposisi melalui abdominal.
Congenital syphilis in neonates: a case report
Authors: I Gede Yogi Priyatna Biantara  , Windiyanto Romy 
Published: December 2022

Background: Congenital syphilis (CS) in neonates is diagnosed when Treponema pallidum was identified in a laboratory test of neonates infected by mothers with syphilis. Recently, CS is still a significant and growing health problem worldwide despite being preventable. This case report will provide an overview of CS management conducted at our center, Sanjiwani Hospital, Gianyar, Bali-Indonesia.
Case presentation: We report a case of CS in a newborn female neonate with the positive result of TPHA and VDRL titer 1/128 from a mother diagnosed with the latent phase of syphilis infection. On physical examination found subcostal retraction of the chest, grunting on auscultation, and jaundice. The treatments given include oxygen via cannula nasal with 2 liters per minute, intravenous access with dextrose 10%, the antibiotic combination of cefotaxime 125 mg every 12 hours and gentamicin 12.5 mg every 24 hours. For the management of CS, the patient was given Benzathine Penicillin G at a dose of 125,000 IU single dose intramuscularly. Phototherapy was assisted the patient for 48 hours to manage the hyperbilirubinemia. The patient was discharged on the eight days of treatment with oral antibiotic cefixime 12.5 mg every twelve hours for three days.
Conclusion: The entity of CS is a disease suffered by infants with clinical manifestations or examination supporting the diagnosis of syphilis. The mother should do a screening during her pregnancy to prevent untreated syphilis and its complications for her babies.
Inferior shoulder dislocation with greater tuberosity avulsion fracture treated with Traction-Countertraction method in a rural hospital: A case report and literature review
Authors: Kusuman Kevin , Wiryadana Kadek Adit , Rante Su Djie To 
Published: December 2022

Introduction. Inferior shoulder dislocation is considered a rare event. Although there is a seemingly low chance of occurrence, this condition should not be prematurely ruled out in the presence of acute shoulder pain.
Case. A 45 years old woman complained of pain in her left shoulder and was unable to bring her arm lower than 90° after a car accident. The patient unintentionally put her left arm outstretched above her head to avoid head impact during the crash, causing hyperabduction of the shoulder. She experienced pain, numbness and could not move the ipsilateral hand. Her left arm was locked in hyperabduction (100°), and her elbow was extended. Close inspection showed a loss of left shoulder contour. On palpation, the humeral head was palpable in the axilla. Anteroposterior X-ray view confirmed inferior dislocation of the left shoulder with associated greater tuberosity fracture. A closed reduction under general anesthesia with the traction-counter traction technique was conducted as commonly used in rural settings. After perfect anatomical reduction was obtained and confirmed with X-ray, the patient was immobilized using an arm sling. The shoulder was immobilized for three weeks in adducted position to support soft tissue healing. Physiotherapy was started after three weeks.
Conclusion. Inferior shoulder dislocation is a rare orthopedic pathology that should not be easily dismissed in post-traumatic shoulder pain. The mechanism of injury is characterized by downward force or lever mechanism on the hyperabducted arm. Orthopedic surgeons in rural areas could utilize the Traction-countertraction method.
Perpanjangan hasil Polymerase Chain Reaction (PCR) pada pasien Acquired Immunodeficiency Syndrome (AIDS): laporan kasus
Authors: Saputra Yoelius Wijaya , Parwata I Komang , Krisnawati Ni Komang 
Published: December 2022

Background: Since its emergence in Wuhan in 2019, SARS-Cov-2 has become the virus that causes the ongoing pandemic situation. The number of infected humans continues to grow over time. Moreover, there is also the HIV virus which continues to be a global health problem. To date, the available data on the coinfection of SARS-Cov-2 with AIDS are limited.
Case Presentation: This patient was found to have prolonged positive results on the Polymerase Chain Reaction (PCR) examination for 113 days. Female patient, aged 48 years, with complaints of shortness of breath since 3 days before admission to the hospital. Physical examination of the patient was compos mentis with a pulse rate of 113 beats per minute and a body temperature of 37.40C. On auscultation, crackles were found in both lung fields. The patient had anemia, leucocytosis, neutrophilia, lymphopenia, and elevated D-dimer.
Conclusion: The destruction of CD4 and CD8 in AIDS patients can provide a protective effect against the inflammatory process and cytokine storm, but this milder symptom causes inadequate production of neutralizing antibodies. This low number of Neutralizing Antibodies causes prolonged PCR results in SARS-Cov-2 patients.

Latar Belakang: Sejak kemunculannya di Wuhan tahun 2019, SARS-Cov-2 telah menjadi virus yang menyebabkan situasi pandemik yang sedang berlangsung. Data manusia yang terinfeksi terus bertambah dengan sejalannya waktu. Disamping itu terdapat juga virus HIV yang terus menjadi masalah kesehatan global. Sampai saat ini, data yang tersedia tentang ko-infeksi penyakit SARS-Cov-2 dengan AIDS masih terbatas.
Presentasi Kasus: Pada pasien ini ditemukan perpanjangan hasil positif pada pemeriksaan Polymerase Chain Reaction (PCR) selama 113 hari. Pasien perempuan, usia 48 tahun dengan keluhan sesak nafas sejak 3 hari sebelum masuk rumah sakit. Pemeriksaan fisik pasien compos mentis dengan laju nadi 113 kali permenit dan suhu tubuh 37,40 C. Pada auskultasi ditemukan ronchi di kedua lapang paru. Pasien mengalami anemia, leukositosis, neutrofilia, limfopenia, dan peningkatan D-dimer.
Simpulan: Destruksi CD4 dan CD8 pada pasien AIDS dapat memberikan efek protektif terhadap proses inflamasi dan badai sitokin, akan tetapi gejala yang lebih ringan ini menyebabkan produksi Neutralizing Antibody yang terbentuk tidak adekuat. Jumlah Neutralizing Antibody yang kurang ini menyebabkan pemanjangan hasil PCR pada pasien SARS-Cov-2.