S.Ked. dr. Ni Made Sri Dewi Lestari .
Universitas Pendidikan Ganesha

Published : 142 Documents Claim Missing Document
Claim Missing Document
Check
Articles

KEHAMILAN EKTOPIK Widiasari, Kadek Resa; Dewi Lestari, Ni Made Sri
Ganesha Medicina Vol. 1 No. 1 (2021)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (442.664 KB) | DOI: 10.23887/gm.v1i1.31699

Abstract

Kehamilan ektopik merupakan suatu kehamilan yang terjadi di luar endometrium kavum uteri. Tujuan pembuatan artikel ini untuk mengetahui definisi, faktor risiko, tanda dan gejala, cara mendiagnosis, dan tatalaksana dari kehamilan ektopik sehingga dapat menghindari komplikasi yang mungkin terjadi. Berbagai faktor risiko kehamilan ektopik yaitu pernah mengalami kehamilan ektopik sebelumnya, operasi panggul sebelumnya, penggunaan alat kontrasepsi, riwayat penyakit radang panggul, dan merokok pada saat pembuahan. Kehamilan ektopik ini dapat diklasifikasikan berdasarkan tempatnya menempel dan paling sering terjadi di tuba fallopi khususnya bagian ampula dan diikuti oleh isthmus. Biasanya penderita tidak mengalami gejala yang khas, mirip seperti ibu hamil muda normal, tetapi terdapat trias gejala klinis kehamilan ektopik yaitu amenorea, nyeri abdomen, dan perdarahan pervaginam. Untuk mendiagnosis kehamilan ektopik diperlukan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang yang tepat. Tatalaksana yang dapat diberikan yaitu terapi medis dengan methotrexate, terapi expectant, dan terapi pembedahan yang terdiri atas laparoskopi, laparotomi, salpingotomi, dan salpingektomi yang dilakukan sesuai dengan indikasinya masing-masing dan yang paling sering dilakukan adalah laparotomi. Kehamilan ektopik tidak dapat dicegah tetapi komplikasi serius dapat dihindari dengan diagnosis dan perawatan dini serta faktor risikonya dapat dikurangi. Kata kunci: kehamilah ektopik, laparotomi, terapi expectant, methotrexate
Vitamin D supplementation and moderate intensity continuous training: Impact on leptin and anthropometric measures in obese individual Suputra, Putu Adi; Arsani, Ni Luh Kadek Alit; Wijaya, I Made Kusuma; Lestari, Ni Made Sri Dewi; Parwata, I Made Yoga
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 2, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss2.art3

Abstract

Background: Vitamin D may potentially have a significant influence in managing obesity-related risk factors. The current evidence suggests that observational studies have found a negative correlation between leptin levels and serum vitamin D, but heterogeneous intervention studies have not shown a significant effect. Objectives: This study aims to examine the effect of the combination of moderate-intensity continuous training (MICT) and vitamin D3 on leptin and anthropometry. Methods: A true experimental, randomized pre and post-test control group design were performed on 36 subject (18 male and female each) for 12 weeks. A treatment group received MICT and vitamin D3, control group only received MICT and placebo. Both groups received moderate-intensity exercise (64-75% HR Max) with a frequency of 3x/week and a time of 60 minutes, carried out. In the treatment group, 5000 IU vitamin D3 was administered daily for 12 weeks, while the control group only received a placebo. In this study, hypothesis testing was conducted to compare the means of two independent groups using an independent t-test or Mann-Whitney test. For comparisons between two related groups, a paired t-test or the Wilcoxon Signed Rank Test was used.Results: After conducting a test to compare two sample means from unrelated groups, statistically significant differences were observed between the treatment and control groups in this study. For the variables of BMI (p=0.025), waist circumference (p=0.042), body weight (p=0.008), leptin (p=0.015) and vitamin D3 (p<0.001). Conclusion: Combination of vitamin D3 supplementation and MICT significantly lowered leptin and anthropometry in obese individuals.
Co-Authors ., A. Rizal Zulmi ., Dejus Julyantara ., Gede Windu Sancaya ., I Kadek Artayasa ., I Kadek Parta Yoga ., I Ketut Bayu Japa Widnyana ., I Made Gde Sukadana ., I Made Semarawima Juliartha ., I Made Yudhi Purbadi ., I Md Trijatmika Y l ., I PT OFAN PATHYA S ., I Putu Bagus Indra Pramana ., I Putu Eka Yudantara ., I Putu Oka Martha Gunawan ., I Wyn Sunar Aditama ., Ida Bagus Bayu Putra Permana ., Made Adnyana ., Maulida Juliantini ., Ni Komang Ayu Devika Dewi ., Ni Luh Eka Wahyuningsih ., Ni Luh Karmila ., Ni Wayan Ayu Anggun Ratih Udayani ., Nurul Kholifatur R. ., Pratama Adhy Rusdyana ., Putu Agus Mena Setiawan ., Putu Agus Wipra Sanjaya ., Tri Aditya Pratama ., Valenthino Rimba Kase A. Rizal Zulmi . Artanayasa, Wayan Dejus Julyantara . Dinata, I Gede Surya Drs. I Made Danu Budhiarta,M Pd. . Gede Windu Sancaya . I Gst Lanang Agung Parwata I Kadek Artayasa . I Kadek ka Hendra Yoga Andika I Kadek Parta Yoga . I Ketut Bayu Japa Widnyana . I Made Ananta Budayasa . I Made Gde Sukadana . I Made Kusuma Wijaya I Made Semarawima Juliartha . I Made Yoga Parwata I Made Yudhi Purbadi . I Md Trijatmika Y l . I Nyoman Arimbawa . I Nyoman Duana Sutika I Nyoman Kanca I Nyoman Supatra I PT OFAN PATHYA S . I Putu Agus Dharma Hita I Putu Bagus Indra Pramana . I Putu Darmayasa I Putu Eka Yudantara . I Putu Oka Martha Gunawan . I Putu Panca Adi I Wayan Wikantara . I Wyn Sunar Aditama . Ida Bagus Bayu Putra Permana . Kadek Agus Putrawan . Komang Era Puspa Yanti . M.Or S.Pd I Ketut Budaya Astra . Made Adnyana . Maulida Juliantini . MS Prof. Dr. I Wayan Rai . Ni Komang Ayu Devika Dewi . Ni Luh Eka Wahyuningsih . Ni Luh Kadek Alit Arsani Ni Luh Karmila . Ni Nyoman Mestri Agustini Ni Wayan Ayu Anggun Ratih Udayani . Nurul Kholifatur R. . Pratama Adhy Rusdyana . Prof. Dr. I Wayan Rai, MS . Putu Agus Mena Setiawan . Putu Agus Wipra Sanjaya . Tri Aditya Pratama . Valenthino Rimba Kase . Widiasari, Kadek Resa Yoga Andika, I Kadek ka Hendra