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All Journal Narra J Jurnal Abdimas Kartika Wijayakusuma Hang Tuah Medical Journal Paradharma: Jurnal Aplikasi IPTEK Jurnal Widya Medika
Masyeni, Sri
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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CHARACTERISTICS OF HYPERTENSION IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS Danti, Ida Ayu Mahari; Masyeni, Sri; Dewi, Saraswati Laksmi; Lestarini, Asri
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7871

Abstract

Hypertension in Chronic Kidney Disease (CKD) remains a global health issue, often presenting as resistant hypertension even with multiple antihypertensive medications. This study aims to describe the characteristics of hypertension in CKD patients undergoing hemodialysis at Sanjiwani Regional Hospital. A descriptive observational study with a cross-sectional design was conducted using secondary data from medical records of CKD patients with hypertension who underwent hemodialysis from January 2022 to December 2023, involving 100 patients. The study found that the highest proportion of hypertensive CKD patients were aged 46-65 years (60%), predominantly male (63%), with grade 1 hypertension (69%). The majority had CKD for ≥5 years (60%) and were taking ≤3 antihypertensive medications (72%). The commonly used antihypertensive drug class was calcium channel blockers (68%), with diabetes mellitus identified as the primary etiology (45%). Many CKD patients experience resistant hypertension, primarily affecting males aged 46-65 years.
CHARACTERISTICS OF PATIENTS WITH SNAKEBITES AT SANJIWANI HOSPITAL, BALI Nindyaswari, Raka Dyah; Masyeni, Sri; Dewi, Saraswati Laksmi; Juwita, Dewa Ayu Putu Ratna
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.8235

Abstract

Snakebites are a common occurrence in tropical regions, including Indonesia. This study aims to determine the demographic and clinical characteristics of patients bitten by snakes. It employs a descriptive, cross-sectional approach to analyze cases at Sanjiwani General Hospital. The sample includes all snakebite cases from January 2021 to December 2022, totaling 192 cases. The results indicate that the majority of snakebite incidents occurred in individuals aged 40-49 years (25.0%), predominantly among males (69.3%), and that most cases originated in Gianyar District (26.6%). The most frequently reported clinical symptom was pain (96.9%), with 91.1% of cases graded 2. Most patients did not experience complications (97.9%). Fang marks were the most common type of wound (96.9%), with the upper extremities being the most frequent bite site (51.6%). Laboratory examinations revealed that the average complete blood count was within the normal range, although prothrombin time (PT) and activated partial thromboplastin time (APTT) were prolonged. The treatments administered included antivenom (99.0%), Human Tetanus Immunoglobulin (94.3%), and antibiotics (99.5%). Notably, all patients in the study survived. The findings highlight the urgent need for targeted public health interventions to educate high-risk populations about snakebite prevention and the importance of seeking prompt medical treatment. Additionally, this study emphasizes the need for improved healthcare resources and training for medical personnel to manage snakebite cases effectively, thereby improving outcomes and reducing complications.
Co-Authors Agus Santosa Andri Frediansyah, Andri Arini, Ida A. Aryati , Aryati Aryati Aryati Budhitresna, Anak AG. Danti, Ida Ayu Mahari DEWI, SARASWATI LAKSMI Diari, Padma Dinar, I Gusti Ayu Agung Gita Pritayanti Erni J. Nelwan, Erni J. Erni Juwita Nelwan, Erni Juwita Fahriani, Marhami Firzan Nainu Gondo Mastutik Hanifah Yusuf I Gede Pasek Mangku I Gusti Ngurah Adi Rajistha I Made W. Wardhana Ilmawan, Muhammad Iqhrammullah, Muhammad Jonny K. Fajar Juwita, Dewa Ayu Putu Ratna Kartika Dewi Keam, Synat Kuntaman Kuntaman Lestari, Putri P. Lestarini, Asri MADE , SUHITA GIANI Mahardika, Wayan Gede Maliga, Helnida A. Md. Rabiul Islam Miyazawa, Naori Nindyaswari, Raka Dyah Ophinni, Youdiil Permatananda, Pande Ayu Nayakasih Purnomo, Windu PUTU, ARYA SURYANDITHA Rabaan, Ali A. Rosiello, Francesco SANJAYA LIE, MIRACLE NYOMAN Sasmono, R. Tedjo Sirinam, Salin Sofro, Muchlis AU Sofro, Muchlis AU. Sumohadi, Duwi Surawan, Dewa P. Suwari, Retenra P. Te, Haypheng Usman Hadi Widari, DAP Niti Widhidewi, Ni W. Wijaya, Indra Wikananda, Wasudewa Yohan, Benediktus