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I Nyoman Gede Wardana
Department Of Civil Engineering, Faculty Of Engineering, University Of Brawijaya
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PREVALENSI APENDISITIS AKUT BERDASARKAN POSISI ANATOMIS APENDIKS VERMIFORMIS, USIA, DAN JENIS KELAMIN DI RUMAH SAKIT STELLA MARIS MAKASSAR PERIODE 2018-2020 Akemah, Alden Jiraldi; Yuliana, Yuliana; Karmaya, I Nyoman Mangku; Wardana, I Nyoman Gede
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P01

Abstract

Apendisitis akut merupakan peradangan pada apendiks vermiformis yang merupakan kasus kegawatdaruratan abdomen dan menjadi salah satu penyebab nyeri akut abdomen yang paling umum. Keterlambatan dalam penegakan diagnosis dan tindakan apendektomi dapat mengarah ke perforasi dan subsequent abscess pada apendiks. Kemudian perforasi dapat menyebabkan peritonitis bahkan sepsis. Apendiks vermiformis merupakan bagian dari saluran pencernaan yang memiliki struktur menyerupai cacing dan terletak di kuadran kanan bawah abdomen. Pangkal apendiks terhubung langsung dengan sekum, namun bagian kepala apendiks dapat dikategorikan menjadi tujuh variasi, yaitu retrocecal, pelvic, post-ileal, subcecal, pre-ileal, paracecal dan ectopic. Tujuan dari penelitian ini adalah menghitung prevalensi kasus apendisitis akut berdasarkan posisi anatomis apendiks vermiformis, usia, dan jenis kelamin di Rumah Sakit Stella Maris Makassar tahun 2018-2020. Desain penelitian merupakan studi deskriptif dengan pendekatan potong lintang. Pemilihan sampel dari populasi dilakukan sesuai dengan kriteria inklusi dan eksklusi. Instrumen penelitian menggunakan data sekunder berupa rekam medis dan dokumentasi rekaman tindakan operasi apendektomi menggunakan prosedur laparoskopi/minimal invasif. Data sampel disajikan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan bahwa kasus apendisitis akut di Rumah Sakit Stella Maris Makassar pada tahun 2018-2020 paling banyak terjadi pada kelompok dewasa muda (25-44 tahun) sebesar 32,1%, pada laki-laki sebesar 58,5%, dan pada posisi apendiks retrocecal sebesar 24,5%.
RISK FACTORS FOR VARICOSE VEINS IN BLUE-COLLARED WORKERS AT THE GLODOK MAKMUR SHOPPING CENTRE JAKARTA Chandra, Indah Mutia; Wardana, I Nyoman Gede; Widianti, I Gusti Ayu; Muliani, Muliani
E-Jurnal Medika Udayana Vol 13 No 4 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i04.P07

Abstract

Varicose veins, apart from affecting daily activities such as walking, also impact aesthetics. Varicose veins are dilated veins characterized by the bulging of blood vessels. In Europe, varicose veins are experienced by 50% of the population, while in Indonesia, it is around 25-30% of the population. Although varicose veins have a low mortality rate, the discomfort, swelling, and hyperpigmentation they cause can progress to more complex health problems. This study aims to determine the risk factors for lower limbs varicose veins in blue-collar workers at the Glodok Makmur shopping centre Jakarta. A case-control design was used in this research. A total of 40 cases, namely male workers with lower limb varicose veins, and 40 controls, namely male workers without lower leg varicose veins, were selected using purposive sampling. Data from respondents were collected through questionnaires and analyzed using the Chi Square test with a significance of ? = 0.05. From the results of the analysis, it was found that lower limbs varicose veins had a significant relationship with high BMI (OR = 4.667, 95% CI = 1.507-14.455), dominant working position standing (OR = 7.071, 95% CI = 2.519-19.850), smoking habits (OR = 0.648, 95% CI = 0.503-3.018), and family history of varicose veins (OR = 6.000, 95% CI = 2.207-16.313). The results of this study indicate that high BMI, dominant working position standing, smoking habit, and family history of varicose veins are potential risk factors for the occurrence of lower leg varicose veins in blue-collar workers at the Glodok Makmur shopping centre Jakarta.
- TINGKAT PENGETAHUAN MENGENAI ANATOMI FISIOLOGI ANKLE, ANKLE SPRAIN DAN PENANGANANNYA PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA ANGKATAN 2020 Sitepu, Amanda Viani Maria; Karmaya, I Nyoman Mangku; Wardana, I Nyoman Gede; Widianti, I Gusti Ayu
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P02

Abstract

Ankle sprain is a tear in the ankle ligaments which is usually caused by an inversion error that can cause movement disorders in the ankle. This study was conducted to determine the level of knowledge of students of the Faculty of Medicine, Udayana University batch 2020 regarding the anatomy and physiology of the ankle, as well as ankle sprains and their treatment. This research was conducted with a descriptive cross-sectional method. The sampling technique used was stratified random sampling method. The research subjects were 87 students from the 2020 Faculty of Medicine. Data collection process was conducted online to assess the level of knowledge about ankle sprains. Data were analyzed using SPSS version 20. The results showed that 28 students (32.2%) had a good level of knowledge, 54 students had a sufficient level of knowledge (62.1%), and 5 students had a low level of knowledge (5.7%). The knowledge level of the majority students of the Faculty of Medicine, Udayana University year 2020 regarding the anatomy physiology of the ankle, ankle sprain, and its management are in the sufficient category. Education through lectures, seminars, or workshop that aims to increase awareness of the importance of knowing ankle sprain and its management needs to be implemented. Keywords: ankle, ankle sprain, knowledge, medical students
PREVALENSI KELUHAN NYERI MUSCULOSKELETAL DISORDERS PADA PENENUN LEMBANG SALUALLO DI KECAMATAN SANGALLA’ UTARA KABUPATEN TANA TORAJA TAHUN 2021 Kurniawati, Agata; -, Yuliana; Karmaya, I Nyoman Mangku; Wardana, I Nyoman Gede
E-Jurnal Medika Udayana Vol 12 No 6 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i06.P01

Abstract

Keluhan nyeri musculoskeletal didorders (MSDs) merupakan salah satu gangguan kesehatan yang sering dialami oleh penenun. Keluhan ini dapat menurunkan fungsi anggota tubuh yang berakibat pada penurunan kualitas hidup para penenun, menurunnya produktivitas kerja, bahkan menurunkan tingkat kesejahteraan keluarga yang sumber utama penghasilannya dari kegiatan menenun. Penelitin ini bertujuan untuk mengetahui prevalensi keluhan nyeri MSDs pada penenun Lembang Saluallo di Kecamatan Sangalla’ Utara Kabupaten Tana Toraja tahun 2021. Penelitian ini merupakan penelitian deskriptif cross sectional yang diikuti oleh 85 penenun Lembang Saluallo di Kabupaten Tana Toraja. Sampel dipilih menggunakan teknik purposive sampling. Data yang dikumpulkan adalah data primer melalui wawancara langsung menggunakan kuesioner nordic body map. Penelitian dilaksanakan pada tanggal 23-30 November 2021. Data diolah dan dianalisis menggunakan Microsoft Office Excel 2013 dan SPSS 26. Didapatkan prevalensi sebesar 94,1% yaitu dari 85 penenun ditemukan 80 orang dengan keluhan nyeri MSDs. Dari 80 penenun, didapatkan bahwa keluhan didominasi oleh keluhan ringan (92,5%). Lokasi nyeri MSDs yang paling banyak dikeluhkan responden yaitu pada bagian bokong (67,1%), pinggang (61,2%), dan pantat (54,1%). Lokasi yang paling sedikit dikeluhkan adalah pada siku kanan dan siku kiri, masing-masing sebesar 2,4%. Prevalensi keluhan nyeri MSDs pada Lembang Saluallo tergolong tinggi. Maka, perlu dilakukan tindakan pencegahan dan intervensi yang tepat dengan menciptakan lingkungan dan cara kerja yang lebih ergonomis. Selain itu, perlu dilakukan penilaian nyeri MSDs yang lebih objektif melalui pemeriksaan kesehatan serta diperlukan penelitian analitik lebih lanjut mengenai karakteristik dan faktor-faktor risiko munculnya keluhan nyeri MSDs pada penenun.
Hubungan Smartphone Addiction Terhadap Text Neck Syndrome Pada Mahasiswa Program Studi Sarjana Kedokteran dan Profesi Dokter Fakultas Kedokteran Universitas Udayana Angkatan 2019 dan 2020 Laksmi, A. A. Ayu Widya; Wardana, I Nyoman Gede; Widianti, I Gusti Ayu; Muliani, Muliani
E-Jurnal Medika Udayana Vol 11 No 11 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i11.P05

Abstract

Text neck syndrome in the 21st century has the risk of becoming a condition that needs more attention. The development of technology, such as computers, laptops, and smartphones, causes the text neck syndrome to arise. The use of smartphones is one of the important factors causing text neck syndrome. Intense smartphone use accompanied by poor posture when using a smartphone can indicate repetitive neck pain and stiffness. Based on those background, aim of this study is to determine the prevalence of text neck syndrome, smartphone addiction and relationship between smartphone addiction and text neck syndrome in students medicine graduate program of the Faculty of Medicine, Udayana University batch 2019 and 2020. This study was a descriptive analytic cross-sectional study. Sampling using purposive sampling technique. There are 489 respondents who are students of the 2019 and 2020 Bachelor of Medicine and Doctoral Profession Study Program. Data collection is done online through google from which is accompanied by NDI and SAS-SV questionnaires. Data analyzed, by Chi Square test and was processed using SPSS version 26. The results show prevalence of text neck syndrome are 183 (37.4%) and prevalence for smartphone addiction are 339 (69.3%). Chi square tests showed that there was a relationship between smartphone addiction and text neck syndrome (p=0.000) PR=3.670 (CI 95%; 2.310-5.832). Keywords : smartphone addiction, text neck syndrome, neck disability
HUBUNGAN DISMENORE PRIMER DENGAN AKTIVITAS AKADEMIK DAN NON AKADEMIK PADA MAHASISWI JENJANG SARJANA KEDOKTERAN ANGKATAN TAHUN 2019-2021 Pradnyandari, A. A. Ayu Vidya; Wardana, I Nyoman Gede; Widianti, I Gusti Ayu; Muliani, Muliani
E-Jurnal Medika Udayana Vol 13 No 4 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i04.P18

Abstract

Dismenore primer adalah masalah yang sering ditemukan ketika seseorang mengalami menstruasi. Dismenore primer menjadi salah satu kondisi yang dapat berpengaruh terhadap pelaksanaan aktivitas sehari-hari. Penelitian ini bertujuan untuk mengetahui prevalensi dismenore primer serta hubungan antara dismenore primer dengan aktivitas akademik dan non akademik pada mahasiswi jenjang Sarjana Kedokteran angkatan tahun 2019-2021. Desain penelitian ini menggunakan pendekatan cross sectional analitik. Sebanyak 228 mahasiswi sebagai subjek penelitian diambil melalui teknik purposive sampling kemudian dilakukan pengambilan data dalam bentuk survei dengan penyebaran kuesioner secara online. Variabel dependen pada penelitian ini adalah dismenore primer, sedangkan variabel independennya adalah aktivitas akademik dan non akademik. Analisis statistik menggunakan uji Chi Square dengan signifikansi ?=0,05. Hasil penelitian pada variabel aktivitas akademik maupun non akademik, didapatkan nilai p=0,001 dan p=0,004 yang menandakan bahwa terdapat hubungan antara dismenore primer dengan aktivitas akademik dan non akademik pada mahasiswi jenjang Sarjana Kedokteran angkatan tahun 2019-2021. Prevalensi dismenore primer paling banyak ditemukan pada angkatan 2020 yakni sebanyak 46,1%. Tidak didapatkan hubungan antara dismenore primer dengan usia menarche, indeks massa tubuh, riwayat keluarga, durasi menstruasi serta aktivitas fisik. Namun, dismenore primer berpengaruh terhadap aktivitas akademik dan non akademik mereka.
Association Between Andropause and Demographic Factors with Depression Among Police Officers In Bali Depa, Yosep Ardian; Pramesemara, I Gusti Ngurah; Negara, I Made Oka; Wardana, I Nyoman Gede
Indonesian Andrology and Biomedical Journal Vol. 5 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v5i1.53786

Abstract

Background : Andropause is a health problem in men caused by a decrease in free testosterone levels. Depression is a mental disorder that happens with a person that is related to mood.Objective : This research aims to determine the relationship between Andropause and Depression in police officers in Polda Bali in 2023. Methods : This research is a descriptive-analytical study with a cross-sectional study design. Andropause was assessed using the ADAM questionnaire, and depression was assessed using the PHQ- 9 questionnaire. The sample was selected using a purposive sampling technique. Results : There were 60 respondents in this study. A total of 31 people (51.7%) respondents were positive for Andropause, and 29 people (48.3%) were negative for Andropause. Meanwhile, 12 people (20.0%) of respondents experienced mild depression, and 48 people (80.0%) did not experience depression. Ten (10) respondents experienced Andropause with Depression. There is a significant relationship between Andropause and Depression (p=0.003). The odds ratio (OR 95% CI) obtained was 6.429 (1.270-32.541). Also there is a significant relationship between Stress and Depression with p<0,001 (0,000), with OR 21 (4,4-100,1) Conclusion : The majority of police officers in Polda Bali were found to experience Andropause and Depression, as many as 10 people (32.3%). As age increases, the incidence of Andropause increases, and in the respondent population, most of whom are in the mid-life crisis period, it increases the possibility of depression. Police officers in Polda Bali with Andropause have a 6.429 times greater risk of experiencing depression
Pb Adsorption of Coffee Peel Derived Activated Carbon by Varying KOH Concentration Dwidiani, Ni Made; Wardana, I Nyoman Gede; Suardana, Ngakan Gede Putu; Santhiarsa, I Gusti Ngurah Nitya; Sibarani, Relius Zakaria
EPI International Journal of Engineering Vol 7 No 1 (2024): Volume 7 Number 1, February 2024
Publisher : Center of Techonolgy (COT), Engineering Faculty, Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25042/epi-ije.022024.01

Abstract

Turning biomass waste into added value product is crucial as it is not only beneficial to the environment but also to the economy. Coffee peel is a waste that has excellent potential to produce activated carbon. Activated carbon is carbon that has gone through an activation process and has a large surface area and higher adsorption rate. The high need for activated carbon in overcoming waste problems makes it useful to reduce its environmental impact. Activated carbon is widely used in water filtration including heavy metal Pb and Cd. The aim of this research is to study the impact of KOH concentration on Pb adsorption of activated carbon derived from coffee peel. KOH activator could enhance the performance of the activated carbon. The KOH activator concentration is varied to obtain the best-surface structure in activated carbon. The KOH concentration is 2,3 and 4 molars. Each specimen will undergo the same carbon activation process by maintaining the carbonization and drying temperature. Then at the activation stage, variations of KOH concentration will be mixed with the activated carbon and soaked for 24 hours with a weight ratio of KOH to charcoal of 1,5 to 1. The result shown that fixed carbon of 2,3,4 molar KOH concentration are 45.99%, 58.22%, 42.99% respectively, while Pb adsorption are 96.56%, 98.34% and 96.45%. In addition, the adsorption rate of activated carbon is proportional to the concentration level of the KOH solution. However, there is a limit on adsorption concentration, so there is a significant decrease when KOH exceeds the saturation point. Based on this research, Pb adsorption of coffee peel derived activated carbon is quite significant even though the amount of fixed carbon relatively low. Keywords: Activated carbon; coffee peel; KOH; Pb
Pengaruh Ekstrak Etanol Kubis Ungu terhadap Kadar Malondialdehida, Superoksida Dismutase dan Derajat Steatosis Hati pada Tikus Model NAFLD Dewi, Ni Made Gita Kusuma; Sugiritama, I Wayan; Widianti, I Gusti Ayu; Wardana, I Nyoman Gede; Ernawati, Desak Ketut; Mayura, I Putu Bayu
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43013

Abstract

Non-Alcoholic Fatty Liver Disease (NAFLD) adalah gangguan hati kronis yang ditandai dengan akumulasi lemak berlebih dalam hepatosit dan berkaitan dengan sindrom metabolik. Stres oksidatif berperan dalam progresi NAFLD, dengan kadar malondialdehida (MDA) dan aktivitas superoksida dismutase (SOD) sebagai biomarker. Kubis ungu (Brassica oleracea var. capitata L.) memiliki kandungan antosianin tinggi yang bersifat antioksidan, namun efek hepatoprotektifnya terhadap NAFLD masih perlu diteliti lebih lanjut. Penelitian ini bertujuan untuk mengevaluasi efek hepatoprotektif ekstrak etanol kubis ungu terhadap kadar MDA dan SOD serta derajat steatosis hati pada tikus Wistar jantan yang diinduksi dengan diet tinggi lemak dan karbon tetraklorida (CCl₄). Studi ini menggunakan desain post-test only control group dengan empat kelompok: kontrol negatif dan tiga kelompok perlakuan yang menerima ekstrak etanol kubis ungu dengan dosis 100 mg/kg BB, 200 mg/kg BB, dan 400 mg/kg BB. Analisis menggunakan ANOVA dan uji post-hoc Tukey HSD menunjukkan bahwa ekstrak kubis ungu secara signifikan mencegah peningkatan kadar MDA (p < 0,05), mencegah penurunan aktivitas SOD (p < 0,05), serta mencegah peningkatan derajat steatosis, dengan dosis paling efektif 200 mg/kg BB. Hasil ini menunjukkan bahwa ekstrak etanol kubis ungu memiliki efek hepatoprotektif dan berpotensi sebagai agen terapeutik alami untuk pencegahan NAFLD.
The Correlation Between Erectile Dysfunction and Coronary Heart Disease in Men at RSUP. Prof. Ngoerah Wangsadinata, Stanislaus Clifton; I Gusti Ngurah Pramesemara; I Made Putra Swi Antara; I Nyoman Gede Wardana
Indonesian Andrology and Biomedical Journal Vol. 6 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v6i1.65603

Abstract

Background : Coronary heart disease (CHD) has become one of the major economic burdens globally, as CHD has been the leading cause of mortality worldwide for the past 25 to 30 years. One of the factors that plays a role as a predictor of coronary heart disease is erectile dysfunction. Objective : To investigate the correlation between erectile dysfunction and coronary heart disease in male patients at RSUP Prof. Ngoerah. Methods : This research is an observational analytic study with a case-control design. Erectile dysfunction was measured using the IIEF-5 questionnaire, which consists of 5 items. Other risk factors were measured using a patient data questionnaire. The study sample consisted of 50 participants, divided into 25 cases and 25 controls. The case samples were male patients aged 25–60 with a history of coronary heart disease who were visiting or receiving treatment at the Cardiology Outpatient Clinic, Integrated Cardiac Services Building, RSUP Prof. Ngoerah, Denpasar. The control samples had the same criteria as the case samples but had no history of coronary heart disease. Results : A significant relationship was found between erectile dysfunction and coronary heart disease (p=0.049), with an OR of 9.33 (95% CI 1.05–82.8). Conclusion : There is a significant relationship between erectile dysfunction and coronary heart disease. Patients with erectile dysfunction have a 9.33 times higher likelihood of having coronary heart disease.
Co-Authors Agoes Soehardjono Agung Sugeng Widodo Akemah, Alden Jiraldi Akhlis Rizza, Muhammad Alamsyah, Ajib Zaim Amiruddin, Muhammad Agung Anas Mukhtar Arief Rahmansyah Basthiyan Sidqi Fidari Rosyadi Cahyani, A.A. Istri Nanda Pramesthi Chandra, Indah Mutia Denny Widhiyanuriyawan Depa, Yosep Ardian Desak Ketut Ernawati Dewi, Ni Made Gita Kusuma Dwidiani, Ni Made Evedore Fredo de Fretes Hendro Suseno I Gusti Ketut Puja I Gusti Ngurah Nitya Santhiarsa I Gusti Ngurah Pramesemara I Made Putra Swi Antara I Nyoman Mangku Karmaya I Putu Bayu Mayura, I Putu Bayu I Wayan Sugiritama Kurniawati, Agata Laksmi, A. A. Ayu Widya Mega Nur Sasongko Muliani Muliani, Muliani Negara, I Made Oka NPG Suardana Nurkholis Hamidi Pradnyandari, A. A. Ayu Vidya Pramesemara, I Gusti Ngurah Purnami Purnami Shenqyang (Steven) Shy Si Putu Gede Gunawan Tista Sibarani, Relius Zakaria Sitepu, Amanda Viani Maria Suardana, Ngakan Gede Putu Tulus Subagyo, Tulus Wangsadinata, Stanislaus Clifton Wayan Nata Septiadi Widianti, I Gusti Ayu Widya Wijayanti Willy Satrio Nugroho Wiraputri, A. A. Wulanatalia Yudy Surya Irawan YULIANA - Yuliana Yuliana