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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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KARAKTERISTIK HISTOLOGIS, STADIUM KLINIS, DAN TERAPI KANKER KOLON PADA PASIEN LANJUT USIA DI RSUP SANGLAH Komang Ayu Vitriana Gamayanti; Sri Maliawan; Ketut Siki Kawiyana
E-Jurnal Medika Udayana vol 3 no 11(2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Kanker kolon merupakan jenis kanker yang umum dijumpai pada populasi geriatrik. Namun, penelitian mengenai karakteristik histopatologi, stadium klinis, dan terapi kanker kolon pada populasi geriatrik masih sangat terbatas. Penelitian ini bertujuan mendeskripsikan karakteristik histologi, stadium klinis, dan terapi kanker kolon pada kelompok pasien geriatri di RSUP Sanglah selama periode 2009-2013. Penelitian ini merupakan penelitian epidemiologi deskriptif yang menggunakan data register kanker kolon RSUP Sanglah selama periode tahun 2009-2013. Data mengenai jenis kelamin, tingkat pendidikan, tipe histologi, stadium, dan jenis terapi yang diperoleh dianalisis berdasarkan kelompok usia (<60 tahun vs. ?60 tahun). Sebanyak 97 pasien terdiagnosis kanker kolon berdasarkan hasil pemeriksaan histopatologi selama periode tahun 2009-2013, 68 (70,1%) diantaranya berusia di bawah 60 tahun sedangkan 29 (29,9%) pasien berusia 60 tahun ke atas. Adenokarsinoma merupakan tipe histologi yang paling umum dijumpai pada kedua kelompok usia. Proporsi kasus adenokarsinoma lebih tinggi pada kelompok pasien geriatrik (96,5% vs. 82,4%). Kelompok usia muda memiliki proporsi kasus mucinous adenocarcinoma, signet-ring cell carcinoma, small cell carcinoma, dan malignant GIST (gastrointestinal stromal tumor) yang lebih tinggi. Kelompok pasien geriatrik memiliki proporsi kasus dengan stadium dini yang lebih rendah (stadium in situ, I, dan II: 41,4% vs. 51,5%) dan proporsi kasus dengan stadium lanjut yang lebih tinggi (stadium IV: 20,7% vs. 13,2%). Proporsi kasus yang menerima pembedahan kuratif lebih rendah pada kelompok pasien geriatrik (75,9% vs. 80,9%). Dapat dimpulkan bahwa pasien geriatrik dengan kanker kolon cenderung memiliki stadium tumor yang lebih lanjut dan dengan demikian, kurang representatif untuk menerima terapi pembedahan kuratif. Faktor-faktor yang berkontribusi terhadap fenomena ini harus ditelaah lebih jauh pada penelitian selanjutnya.
LUMBAR SPINAL CANAL STENOSIS, DIAGNOSTIC AND MANAGEMENT Putu Indah Budi Apsari; I Ketut Suyasa; Sri Maliawan; Siki Kawiyana
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Lumbar spinal canal stenosis is a narrowing of the osteoligamentous vertebral canal and/or the intervertebral foramina causing compression of the thecal sac and/or the caudal nerve roots. The prevalence are five per 1000 person over 50 years old in USA. Male more than female, the most affect L4 -L5 and L3-L4. Low back pain is the most symptom. Routine diagnostic examination can be done plain x-ray lumbosacral, CT scan, and MRI. Management therapy can divide to two conservative and operative therapy. Complication of operative therapy is infection, vacular injury, cardiorespiratory disturbance due to embolization and death. The prognosis related with severity of symptom, degree of stenosis, surgical procedure and comorbid conditions.
BREAST CORE NEEDLE BIOPSY Reni Widyastuti; 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

Nowadays, there are many kinds of biopsy. One that can be done in breast is core needle biopsy. Core needle biopsy is a tissue sampling procedure using hollow core needle size 11-16 gauge. The operator can direct the needle directly into the palpable lesion or by using imaging. This is a safe, effective, time efficient, and less costly. The disadvantage among others, can lead to infection, scarring at the biopsy area, and spread of malignant cells in the needle route.
SKIN CANCER Made Putri Hendaria; AAGN Asmarajaya; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no2 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Skin is an organ which protect the human body from the environment. It was build by milion cells. According to the changes in human lifestyle which tends to unhealthy life, increasing ultraviolet radiation, toxins, and genetics makes the cells who build the skin do the abnormal growth being cancer cells. Classification of skin cancer is according the most common three types, they are Basal Cell Carcinoma, Squamous Cell Carcinoma, and Malignant Melanoma. More than 3,5 milion skin cancer cases was happened in United States, which makes it become the most common cancer type in that country. Skin cancer diagnosis is build from anamnesis, physic examination about skin eufloressence, using dermoscopy, and histopatologic examination as the gold standar. Therapy for skin cancer is classified to surgery and non surgery therapy and its prognostic is depend to the types of the skin cancer itself.
DIAGNOSIS AND TREATMENT OF URETHRAL STRICTURE A.A. Ngr. Agung Wistara Widya; A.A. Gde Oka; Ketut Siki Kawiyana; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Retention of urine is the lower urinary tract obstruction caused by the inability of squirting urine, so that the urine collected in the bladder exceeds the maximum limit. One reason is due to narrowing of the lumen of the urethra, called urethral stricture. The diagnosis of urethral stricture can we enforce by way of history, physical examination, and investigation. Curative treatment of this disease is surgery, but not as rare as some surgical techniques can lead to high disease recurrence for patients.. Thus the proper and adequate treatment is necessary to avoid the risk of recurrence of urethral stricture disease.
MANAGEMENT OF INTERNAL HEMORRHOID WITH RUBBER BAND LIGATION PROCEDURE I Made Arya Winangun; Putu Anda Tusta Adiputra; Sri Maliawan; Ketut Siki Kawiyana
E-Jurnal Medika Udayana vol 2 no 10 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Hemorrhoid is regarded as the cases most seen in population. The prevalence of this cases about 4,4% with the incidence 12 of 1.000 patient. The current management of hemorrhoid is lifestyle modification, conservative management such as farmacology, minimally invasive treatment and more aggressive therapy using surgical procedure. Rubber band ligation was one of the minimally invasive procedures. This procedure was easy, inexpensive, and can be done outpatient using simple tools without complicated procedure like hemorrhoidectomy. Some studies explained rubber band ligation effectively done in internal hemorrhoid grade II and grade III even this procedure still had minimal complication such as bleeding and unpleasentness
RESUSITASI OTAK PADA PASIEN CEDERA KEPALA BERAT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR TAHUN 2020 Dwikinta, Made Anindya; Mahadewa, Tjokorda Gde Bagus; Maliawan, Sri; Niryana, I Wayan
E-Jurnal Medika Udayana Vol 13 No 2 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i02.P15

Abstract

ABSTRACT Head injury is a serious problem worldwide and causes morbidity and mortality at a young age. The increase in the number of severe head injuries continues to occur along with the number of accidents. This study aimed to examine the characteristics of brain resuscitation in patients with a severe head injury. Descriptive research with cross-sectional research method and the data obtained as many as 35. Data processing using SPSS and displayed in a distribution table according to the variables. This study found that patients with severe head injuries were most often at the age of >45 years, namely 18 people (51.4%), and male sex was more common than women as many as 24 people (68.6%). The most common GCS was found with GCS 3-5 as many as 21 people (60%). The brain resuscitation regimen in patients with a severe head injury was given crystalloid solution (0.9% NaCl, Ringer's lactate) in 35 people (100%), mannitol 20% in 22 people (62.9%), and phenytoin in 33 people (94.3%). The GOS value of all patients with severe head injury with a GOS value of 1 or died (100%). Most deaths from severe head injury patients were in the first <48 hours as many as 27 people (77.1%) Keywords : brain resuscitation, traumatic brain injury, severe head injury.
KARAKTERISTIK HIDROSEFALUS PADA USIA DEWASA Arasy, Mohd Firdaus; Mahadewa, Tjokorda Gde Bagus; Niryana, , I Wayan; Maliawan, Sri
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.P09

Abstract

Istilah hidrosefalus berasal dari dua kata yaitu "hydro" dan "cephalous" yang masing-masing mewakili air dan otak. hidrosefalus adalah komplikasi ketika cairan dalam hal ini cairan serebrospinal (LCS) terbentuk di dalam rongga-rongga jauh di dalam otak, kelebihan cairan ini meningkatkan ukuran ventrikel sehingga meningkatkan tekanan keseluruhan pada otak. Cairan serebrospinal dalam keadaan normal akan mengalir melalui ventrikel dan serebral dan juga medula spinalis. Rangkuman menyeluruh dalam bentuk systematic review mengenai karakteristik pasien hidrosefalus pada usia dewasa. Protokol dalam studi ini menggunakan The Centre for Review and Dissemination and The Joanna Briggs Institute (JBI) Guideline sebagai panduan dalam asesmen kualitas dari studi yang akan dirangkum. Evaluasi dari systematic review akan menggunakan PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) checklist untuk menentukaan penyelesaian studi yang telah ditemukan dan disesuaikan dengan tujuan dari systematic review. Berdasarkan 9 artikel studi, gejala klinis yang sering ditemukan pada pasien hidrosefalus berdasarkan data yang terdapat pada 3 artikel studi adalah gangguan gaya berjalan. Berdasarkan data pada 3 artikel studi, komorbid yang sering ditemukan adalah hipertensi (1.503 pasien) yang diikuti dengan diabetes mellitus dalam 4 studi artikel dengan jumlah pasien sebanyak 893 pasien. Dalam 4 artikel studi, didapatkan bahwa jenis intervensi yang diberikan kepada pasien berupa shunt treatment dengan mayoritas adalah Ventriculoperitoneal shunt (VP shunt) sebanyak 1.563 pasien. Berdasarkan hasil dan pembahasan dalam systematic review ini, dapat disimpulkan bahwa karakteristik hidrosefalus pada usia dewasa didominasi oleh jenis kelamin laki-laki, dengan gejala klinis yang sering ditemukan berupa gangguan gaya berjalan. Kebanyakan pasien memiliki komorbid hipertensi dan mendapatkan intervensi berupa ventriculoperitoneal shunt (VP shunt).
SKOR GLASGOW COMA SCALE (GCS) SEBAGAI FAKTOR RESIKO TERHADAP LAMANYA MASA RAWAT INAP PADA PASIEN EPIDURAL HEMATOMA (EDH) DI RSUP SANGLAH PERIODE 2018-2019 Mardliyah, Mumtazah; Niryana, I Wayan; Maliawan, Sri; Mahadewa, Tjokorda Gde Bagus
E-Jurnal Medika Udayana Vol 11 No 9 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i9.P11

Abstract

Cedera kepala merupakan salah satu masalah penting dalam dunia kesehatan yang harus dihadapi oleh petugas kesehatan. Epidural Hematoma (EDH) merupakan jenis yang paling banyak menjadi perhatian para klinisi dan peneliti karena frekuensi kejadiannya yang tinggi. Kondisi awal pasien pada saat datang ke rumah sakit akan mempengaruhi lamanya masa rawat inap pasien di rumah sakit, diantaranya tingkat kesadaran pasien yang dapat diukur dengan Glasgow Coma Scale (GCS). Penelitian ini bertujuan untuk mengetahui skor GCS sebagai faktor resiko terhadap lamanya masa rawat inap pada pasien Epidural Hematoma (EDH) di RSUP Sanglah periode 2018-2019. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan metode kohort retrospektif dengan jumlah sampel sebanyak 81 orang yang diambil dari data sekunder pasien EDH yang dirawat di RSUP Sanglah periode 2018-2019. Berdasarkan hasil penelitian, ditemukan adanya hubungan bermakna antara Skor GCS dengan lama masa rawat inap (p = 0.000), dengan relative risk ( RR= 3.385), dan adanya hubungan yang bermakna antara ada tidaknya tindakan operasi dengan lama masa rawat inap (p = 0.000), dengan relative risk ( RR= 5.288). Pada penelitian ini menunjukkan skor GCS beresiko mempengaruhi lama masa rawat inap pada pasien EDH. Kata kunci: GCS, EDH, lama masa rawat inap .
KARAKTERISTIK KLINIS CEDERA KEPALA PADA PEDIATRI DI RSUP SANGLAH DENPASAR TAHUN 2020 Gunawan, Made Favian Budi; Maliawan, Sri; Mahadewa, Tjokorda Gde Bagus; Niryana, I Wayan
E-Jurnal Medika Udayana Vol 11 No 5 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i05.P16

Abstract

Head injury is one of many emergency cases in pediatric with high mortality cases. The incidence of pediatric head injury in the world, is in the range of 47-280 per 100,000 inhabitants and a total of more than 3 million cases of head injury in children occur each year. This study aims to find out more about the clinical characteristics of head injuries in children, especially patients treated at Sanglah Hospital Denpasar in 2020. This study was conducted using a cross-sectional descriptive method using secondary data in the form of patient medical records. From the results of the research conducted, it was obtained as many as 86 cases, with the conclusion that the most cases were in the group of adolescent patients, in the age range of 13-18 years (62.8%), with the most mechanism of injury due to traffic accidents without the use of helmets (47.7%), then the most frequent GCS values ??were in the range 14-15 which were classified as mild head injury (55.8%), the most common complaint was headache (79.1%), the most common skull fractures were linear fractures (41 ,9%) and intracranial lesions with the most frequency were epidural hematomas (46.5%). The findings of this study are expected to be used as a basis for further research in pediatric head injury and to increase community awareness about child safety.
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