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All Journal BALI MEDICAL JOURNAL (BMJ) Buletin Udayana Mengabdi E-Jurnal Medika Udayana The Indonesian Biomedical Journal JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Indonesian Archives of Biomedical Research (InABR) Cermin Dunia Kedokteran Jurnal Neuroanestesi Indonesia Physical Therapy Journal of Indonesia Cermin Dunia Kedokteran
Sri Maliawan
Department Of Neurosurgery, Faculty Of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : E-Jurnal Medika Udayana

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SEBACEOUS CYSTS MINOR SURGERY I Gusti Ayu Agung Laksemi; Sri Maliawan; Ketut Siki Kawiyana
E-Jurnal Medika Udayana vol 2 no 12 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Minor surgery is small surgery or localized example cut ulcers and boils, cyst excision, and suturing. Somethings that need to be considered in the preparation of the surgery is minor tools, operating rooms and operating tables, lighting, maintenance of tools and equipment, sterilization and desinfection equipment, preparation of patients and anesthesia. In general cysts is walled chamber that consist of fluid, cells and the remaining cells. Cysts are formed not due to inflammation although then be inflamed. Lining of the cysts wall is composed of fibrous tissue and usually coated epithelial cells or endothelial. Cysts formed by dilated glands and closed channels, glands, blood vessels, lymph channels or layers of the epidermis. Contents of the cysts wall consists of the results is serum, lymph, sweat sebum, epithelial cells, the stratum corneum, and hair.
PRESSING MORTALITY RATE THROUGH SCREENING oral cancer L. K. Widnyani Wulan Laksmi; I Gede Budhi Setiawan; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Based on World Health Organization (WHO) data, oral cancer is one of malignancy with the highest mortality. In USA, there are more than 30.000 new cases every year. We can find many risk factors of oral cancer in our daily living. Moreover, it’s easy to find the main risk factors in our society, they are smoking, alcohol consumption, tobacco consumtion, viral infection, and bad oral hygiene. For the early stadium, Five-years survival rate is about 82% and 61% for all stadium. But, more than 50% of oral cancer has been distributed (metastatic) regionally and also into the other organ far away from the oral itself when it’s detected. It will decrease 5-years survival rate to be less than 50%. So that, it’s really important to detect the oral cancer at the earlier stadium. Screening is the way to find the earlier stadium. Screening is done by some methods, start from the anamnesis, physical examination, toluidine blue staining, endoscopy, cytology, telomerase examination, and also PET-scan if it’s possible (because of the financial reasons).
WOUND HEALING PROCESS AND WOUND CARE Iwan Antara Suryadi; AAGN Asmarajaya; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no2 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Wound is a loss or discontinuity of tissue which happen because external factor disrupts the barrier of the body. Wound healing process can be classified into: hemostatic & inflammation phase, proliferation phase and remodelling phase. The physiological process of wound healing is influenced by some factors, abnormalities of this process will result in abnormal tissue. Wound care purpose is to assist these physiological process of wound healing effectifely in the shortest time possible. Wound care procedure vary based on the wound type but can be divided into two main point which is wound cleaning by irrigation or debridement and wound closure.
FRAKTUR PADA TULANG MAKSILA Ni Putu Enny Pratiwi Suardi; AA GN Asmara Jaya; Sri Maliawan; Siki Kawiyana
E-Jurnal Medika Udayana vol 2 no 12 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Trauma is the leading cause of death in human. Some human occasionally sustain severe injuries of the face which requires appropriate therapy. Maxillofacial trauma, is any physical trauma to the face. Facial trauma can involve soft tissue injuries such as burns, lacerations and bruises, or fractures of the facial bones such as nasal fractures and fractures of the jaw, as well as trauma such as eye injuries. Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the shape of facial structures.
CARDIAC MYXOMA Yutina Himawan; Ketut Putu Yasa; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Myxoma is a benign primary tumor of the heart which is usually occurred in adult, which usually develop in the left atrium of the heart. In 1845, Cardiac Myxoma is first described by the expert. Myxoma, an endocrine neoplasm which usually begins from the endocardium of the heart it self. Generally, the shape of myxoma are round, oval with a smooth or lobulated surface. The clinical finding of myxoma is determined by it’s location, size, and mobility. Most of the patient comes with one or more from the triad of embolism, intracardiac obstruction, and associated symptoms. Until now, operation is the only treatment for cardiac myxoma.
DIAGNOSIS DAN PENATALAKSANAAN KATUP URETRA POSTERIOR Putu Primeriana Nugiaswari; Gede Wirya Kusuma Duarsa; Sri Maliawan
E-Jurnal Medika Udayana Vol 1 No 1 (2012): e-jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Katup uretra posterior merupakan penyebab utama kesakitan, kematian, dan kerusakanginjal berkelanjutan pada anak-anak. Kelainan ini berupa lipatan mukosa abnormalkongenital pada uretra pars prostatika yang menyerupai membran tipis yangmenghambat drainase kandung kemih. Katup uretra posterior mayoritas didiagnosis saatprenatal melalui penggunaan ultrasonografi maternal. Tingkat keparahan dan derajatobstruksi yang disebabkan oleh kelainan ini tergantung pada konfigurasi dari membranobstruktif dalam uretra. Keputusan untuk mengintervensi saat prenatal didasarkan padausia kehamilan, volume cairan amnion, dan fungsi renal pada aspirasi urin fetus. Ablasikatup dengan endoskopi merupakan standar emas penanganan katup uretra posterior.
LOW-MOLECULAR WEIGHT HEPARIN (LMWH) AS A PROPHYLAXISOF DEEP VEIN THROMBOSIS (DVT) IN TRAUMATIC PATIENTS Dian Megasafitri; Wiargitha **; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no 8 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Deep Vein Thrombosis (DVT) is the formation of a blood clot (thrombus) in a vein in which to channel blood back to the heart. Traumatic injury is one of the important risk factors for DVT formation. Thrombus formation involves three important factors include the blood flow, blood components, and blood vessels, known as Virchow's Triad. Classical findings of pain in the calf of foot at dorsiflexion position (Homans sign) is a sign of a specific but not sensitive and occurs in half of patients with DVT. A thorough history and physical examination is very important in the approach to patients with suspicion of having DVT. Radiological examination is an important examination in diagnosing DVT. Although there are many choices modality, the level 1 clinical evidence now supports the use of pharmacologic therapy with anticoagulants Low-Molecular Weight Heparin (LMWH) for primary DVT prophylaxis agent. Different types of LMWH have different indications approved by the Food and Drug Administration (FDA) as DVT prophylaxis based on the varieties of clinical evidence. Enoxaparin is the most widely indicated as a prophylaxis and treatment for DVT. Tinzaparin is indicated as a therapy, but not as a DVT prophylaxis in some groups of patients. Dalteparin is indicated as a prophylaxis, but not as a DVT therapy.
MANAGEMENT OF FRACTURE OF MUSCULOSCELETAL TRAUMA Gde Rastu Adi Mahartha; Sri Maliawan; Ketut Siki Kawiyana
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Fracture is a loss of continuity of bone, either total or partial, is usually caused by trauma. Overall incidence of fractures was 11.3 in 1,000 per year, in males was 11.67 in 1000 per year, whereas in 10.65 in 1,000 women per year. The classic symptom is a history of trauma fracture, pain and swelling in the broken bones, deformity, musculoskeletal dysfunction, breaking the continuity of the bone, and neurovascular disorders. Principles of fracture treatment is to restore the position of the fracture to its original position (reposition) and held that position during the healing of fractures (immobilization). Special in open fractures, must be considered the danger of infection, either general or local infection.
INTRACRANIAL PRESSURE MONITORING TECHNIQUE Ida Bagus Adi Kayana; Sri Maliawan; I Ketut Siki Kawiyana
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Head injury is the most significant cause of increased morbidity and mortality. An estimated 1.4 million head injuries occur each year, with and more than 1.1 million come to the Emergency Unit. On each patient head injury, an increase in intracranial pressure (ICP) related to poor outcomes and aggressive therapy to increased ICP can improve the outcomes. ICP monitoring is the most widely used because of the prevention and control of ICP as well as maintain the pressure increase perfusion of cerebral (Cerebral Perfusion Pressure/CPP) is the basic purpose of handling head injury. There are two methods of monitoring ICP that is an invasive methods (directly) and non-invasive techniques (indirectly). The method commonly used, namely intraventricular and intraparenkimal (microtransducer sensor) because it is more accurate but keep attention to the existence of the risk of bleeding and infection resulting from installation. Monitoring of ICT can determine the actions that avoid further brain injury, which can be lethal and irreversibel.
TUBERCULOUS MASTITIS Ni Wayan Ariani Vitriasari; Putu Anda Tusta Adiputra; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no2 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Tuberculous mastitis is a condition marked pathologyly with involvement extensively mamma lobules with epitheloid granuloma with various degree of caseation, what consist of Langhan's cells giant, cells of epiteloid, mononuclear cell infiltrate, with surrounding fibrosis, and with micro forming of abscess, which because of infection of Mycobacterium tuberculosis. Tuberculous mastitis happened more often at developing countries than developed countries, and especially happened at reproductive woman. The risk factors of this disease are lactation, multiparity, trauma, history of previous suppurative mastitis, and acquired immune deficiency syndrome (AIDS). Diagnose of tuberculous mastitis can be confirm by anamnesis, physical examination, and also some additional diagnostic test such as mammography, ultrasonography, computerized tomography scan (CT scan), scintimammography, magnetic resonance imaging (MRI), 3D magnetic resonance mammography, Gd-DTPA enhanced dynamic MRI, cytology, histopatology, culture, polymerase chain reaction (PCR), X-Ray, dan Mantoux skin test. Anti-tuberculous therapy forms the mainstay of treatment and conservative surgery is restricted to selected cases.
Co-Authors A.A. Gde Oka A.A. Ngr. Agung Wistara Widya AA GN Asmara Jaya AAGN Asmarajaya Agung Bagus S. Satyarsa Andi Asadul Islam Arasy, Mohd Firdaus Astawa N. M., Astawa N. Astawa P., Astawa B. Sinaga D.P.W. Wardhana Dewa Putu Wisnu Wardhana Dian Megasafitri Dwikinta, Made Anindya Eka J. Wahjoepramono Ekaputra Ekaputra, Ekaputra G. I. B Bomba Gatot S. Lowrence, Gatot S. Gde Rastu Adi Mahartha Gede Febby Pratama Kusuma Gede Wirya Kusuma Duarsa Gunawan, Made Favian Budi Hamsu Kadriyan I Dewa Made Sukrama I Gede Sutawan I Gusti Agung Bagus Krisna Wibawa I Gusti Ayu Agung Laksemi I Gusti Kamasan Arijana I Gusti Putu Hendra Sanjaya I Ketut Suyasa I Ketut Wiargitha I Made Arya Winangun I Made Bakta I Made Gotra I Made Jawi I Made Stepanus Biondi Pramantara I Nyoman Semadi I W. Sudarsa I Wayan Gede Artawan Eka Putra I Wayan Niryana I Wayan Putu Sutirta Yasa I. B. Tjakra Wibawa Manuaba Ida Bagus Adi Kayana Ilhamjaya Patellongi Iwan Antara Suryadi Johansyah, Theodorus Kevin Putra K.K. Putra Kadek Dede Frisky Wiyanjana Kadek Dede Frisky Wiyanjana Ketut Putu Yasa Ketut Siki Kawiyana Kevin Kristian Putra Koerniawan, Heru Sutanto Komang Ayu Vitriana Gamayanti L. K. Widnyani Wulan Laksmi L. R. M. Lengkong M Wiryana Made Agus Mahendra Inggas, Made Agus Mahendra Made Indra Erlangga Prathiwindya Made Putri Hendaria Mardliyah, Mumtazah Moses Kharisma Setyawan Ni Ketut Susilawati Ni Luh Putu Julita Yanti Ni Putu Enny Pratiwi Suardi Ni Wayan Ariani Vitriasari Niryana, , I Wayan Nyoman Golden Putu Anda Tusta Adiputra Putu Indah Budi Apsari Putu Pramana Suarjaya Putu Primeriana Nugiaswari Raka-Sudewi A. A. Reni Widyastuti Romdhoni, Achmad Chusnu S. Awyono Satoto D., Satoto Setiawan, I Gede Budhi Sista Satyarsa, Agung Bagus Sista Soetomo, Cindy Thiovany Stanley-Ketting Oliver Suryadi N. T., Suryadi N. Tiffany, Tiffany Tjokorda Gde Agung Senapathi Tjokorda Gde Bagus Mahadewa W. A., W. Wayan Suardana Willy Adhimarta Wiryana M., Wiryana Yutina Himawan