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All Journal E-Jurnal Medika Udayana MNJ (Malang Neurology Journal) Universa Medicina Bali Journal of Anesthesiology Callosum Neurology Journal : Jurnal Berkala Neurologi Bali ISM (Intisari Sains Medis) : Jurnal Kedokteran Kumawula: Jurnal Pengabdian Kepada Masyarakat
Ida Ayu Sri Wijayanti
Departemen Neurologi, Fakultas Kedokteran Universitas Udayana, Denpasar, Bali
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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Characteristics of cervical myofascial pain in medical students Samatra, Dewa Putu Gede Purwa; Widyadharma, I Putu Eka; Haditya, Yogi; Suryamulyawan, Kadek Adi; Devi, Gusti Ayu Putu Giti Livia; Lim, Demetria Jesica; Wijayanti, Ida Ayu Sri; Adnyana, I Made Oka; Purwata, Thomas Eko
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.851 KB) | DOI: 10.15562/bjoa.v3i2.188

Abstract

Background: Cervical myofascial pain or neck pain is in the fourth most disease that causes disability after back pain, depression, and other musculoskeletal diseases. Cervical myofascial pain is characterized by pain originating from a trigger point located in the skeletal muscle, commonly referred as myofascial trigger points (MTrPs).Methods: An observational study with a cross-sectional design, conducted on 3 to 9 of December 2018 with research subjects were medical students at Udayana University who undergoing 5th and 6th year in clinical clerkship at Sanglah General Hospital Denpasar. The data was taken using Google Form which was filled in online by the subject and then analyzed using SPSS version 21.Results: From 307 respondents, 62.2% stated experiencing neck pain (196 respondents) with the majority of women 65.4%, the duration of neck pain occurred for <24 hours with the most frequent frequency at least once per month (46.1%), and appeared most often at night (39.8%) and occurs after night shift in 106 subjects (55.5%). The pain was said getting worse by activity in 102 subjects (52.4%) and getting better when resting in 185 subjects (96.9%). Most of the subjects did not use pain relievers to treat neck pain experienced (84.3%). In subjects who use painkillers, Paracetamol is the most often drug of choice to relieve pain (11%). For non-pharmacological treatment, 53.4% of respondents chose to rest or sleep.Conclusion: Most of the respondents who were clerkship reported experiencing neck pain at least once a month and often felt after a night shift. Respondents who reported neck pain were mostly women.
PROPORSI DAN KARAKTERISTIK TENAGA MEDIS YANG MENGALAMI NYERI PUNGGUNG BAWAH DI RUMAH SAKIT UNIVERSITAS UDAYANA Naomi Valencia Simbolon; Ida Ayu Sri Wijayanti; I Putu Eka Widyadharma
E-Jurnal Medika Udayana Vol 10 No 5 (2021): Vol 10 No 05(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i5.P12

Abstract

ABSTRAK Nyeri punggung bawah merupakan salah satu masalah kesehatan yang sangat umum yang seringkali dikeluhkan oleh tenaga kesehatan. Penelitan yang telah dilakukan selama setahun melaporkan prevalensi nyeri punggung bawah pada tenaga kesehatan di negara Asia 36,8% - 69,7%. Angka prevalensi nyeri punggung bawah pada tenaga medis di Indonesia diperkirakan antara 7,6% sampai 37%. Penelitian ini bertujuan untuk mengetahui proporsi dan karakteristik Nyeri Punggung Bawah pada tenaga medis yang bekerja di Rumah Sakit Universitas Udayana. Penelitian ini merupakan penelitian deskriptif degan menggunakan metode cross-sectional serta melibatkan 80 responden. Hasil penelitian ini menunjukkan bahwa prevalensi kasus NPB pada tenaga medis yang bekerja di Rumah Sakit Universtias Udayana adalah 37,3%, dimana kasus tertinggi terjadi pada kelompok umur 25-30 tahun yaitu sebanyak 29,9% dan didominasi oleh jenis kelamin perempuan (19,4%). Kejadian NPB paling banyak dialami oleh tenaga medis yang status gizinya overweight (14,9%), jarang berolahraga (16,4%), beban kerjanya sebesar 10-20 kg (22,4%), dan berdasarkan kategori OWAS bekerja dengan posisi kerja kategori 2 (16,4%) Kata kunci : nyeri punggung bawah, tenaga medis, RS. UNUD
Peranan metode feldenkrais sebagai alternatif penatalaksanaan nyeri kronis Ida Ayu Sri Wijayanti
E-Jurnal Medika Udayana Vol 7 No 4 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.363 KB)

Abstract

Chronic pain is a multidimensional problem and conditions are common in society, complex and challenging. It is important to understand the biological, social, physical and psychological context to provide an effective management. The management of chronic pain focuses on the rehabilitation program and the quality of life of the sufferers, because chronic pain usually associated with anxiety, depression and psychosocial disorders that accompany persistent physical pain. The alternative therapy in the management of chronic pain is the Feldenkrais method. The Feldenkrais method is an integrated approach technique to provide learning and enhancement of functionality to individuals based on their abilities over the life span and aims to improve human ability to regulate their own behavior. This method includes simple motion exercises and awareness training through movement patterns as well as thinking, sensing, which can improve mentally positive and help reduce chronic pain complaints. Keyword: Feldenkrais Method, Chronic pain, Alternative Medicine
HUBUNGAN TERAPI OBAT ANTIEPILEPSI TERHADAP FUNGSI KOGNITIF PADA PASIEN EPILEPSI ANAK DI RUMAH SAKIT UMUM PUSAT SANGLAH PERIODE MARET 2016-NOVEMBER 2016 Nanda Putri Chintia; Ida Ayu Sri Wijayanti; Dewi Sutriani Mahalini
E-Jurnal Medika Udayana Vol 9 No 7 (2020): Vol 9 No 07(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2020.V09.i7.P13

Abstract

ABSTRAK Epilepsi merupakan penyakit kronis dengan angka insiden yang tinggi pada anak-anak.Epilepsi merupakan masalah kesehatan dan sosial, dimana masalah kesehatan ini dapatberdampak pada gangguan kognitif. Tujuan penelitian ini untuk mengetahui hubungan obatantiepilepsi terhadap fungsi kognitif pada pasien epilepsi anak di Rumah Sakit Umum PusatSanglah Denpasar.Penelitian ini menggunakan desain penelitian analitik potong lintang.Selama 9 bulan periode penelitian, didapatkan 69 sampel yang masuk dalam kriteria inklusi..Data penelitian ini disajikan dalam bentuk tabel. Dari data penelitian ini didapatkan hasilberupa proporsi pasien yang mendapatkan terapi obat antiepilepsi dengan satu macam obatantiepilepsi (monoterapi) yaitu 85,5%, dan 14,5% pasien mendapatkan terapi obatantiepilepsi dengan dua macam obat antiepilepsi (politerapi). Proporsi pasien yang sudahmendapatkan terapi obat antiepilepsi kurang dari dua tahun yaitu 84,1% dan sebanyak 15,9%sudah mendapatkan terapi obat antiepilepsi lebih dari sama atau sama dengan dua tahun.Didapatkan juga proporsi fungsi kognitif kategori average (60,9%) yang lebih tinggidibanding kategori below average (21,7%) dan above average (17,4%). Terdapat hubunganyang signifikan antara jumlah macam obat antiepilepsi dengan fungsi kognitif (p=0,000).Terhadap lama pengobatan obat antiepilepsi didapatkan hubungan yang signifikan terhadapfungsi kognitif (p=0,000). Dapat disimpulkan bahwa terdapat hubungan yang signifikan darijumlah macam obat antiepilepsi dan lama pengobatan terhadap fungsi kognitif.Kata kunci: epilepsi anak, obat antiepilepsi, fungsi kognitif ABSTRACTEpilepsy is a chronic disease with high incidence rates in children. Epilepsy is a health and social problems, those health problems can have an impact on cognitive function. Thepurpose of this study to determine the relationship of antiepileptic drugs on cognition inchildren patients with epilepsy at the General Hospital Sanglah. The purpose of this studywas to determine the association of antiepileptic drugs on cognition in children with epilepsypatients at the General Hospital Center Sanglah. This study used an analytical cross-sectionalstudy design. During 9 months of the study period, obtained 69 samples which are includedin inclusion criteria. The research data were then presented in tabular form. From the studydata, obtained the proportion of patients who have received antiepileptic drug therapy with asingle antiepileptic drug (monotherapy) is 85.5%, and 14.5% patients received antiepilepticdrug therapy with two kinds of antiepileptic drugs (polytherapy). The proportion of patientswho have received an antiepileptic drug therapy less than two years is 84.1% and 15.9% havereceived an antiepileptic drug therapy more or equal to two years. Also obtained the proportion of average category of cognitive function (60.9%) higher than the below average(21.7%) and above average (17.4%). There is a significant association of the number ofantiepileptic drugs with cognitive function (p = 0.000). For the duration of antiepileptic drugtherapy is found a significant association to cognitive function (p = 0.000). It can beconcluded that there is a significant association of the number of antiepileptic drugs andduration of treatment on cognitive function. Keywords: epilepsy, children, antiepilepsy drug, cognitive function
KARAKTERISTIK KLINIS PASIEN EPILEPSI DI POLIKLINIK SARAF RSUP SANGLAH PERIODE JANUARI – DESEMBER 2016 Izzati Shoba Maryam; Ida Ayu Sri Wijayanti; Kumara Tini
Callosum Neurology Vol 1 No 3 (2018): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.632 KB) | DOI: 10.29342/cnj.v1i3.29

Abstract

Latar Belakang: Jumlah kasus epilepsi di Indonesia cukup tinggi dengan prevalensi 8,2 per 1.000 penduduk dan insiden 50 per 100.000 penduduk. Data demografi dapat digunakan sebagai pertimbangan klinisi dalam mendiagnosis serta menentukkan penanganan lanjutan yang tepat. Tujuan: Mengetahui karakteristik klinis pasien epilepsi di Poliklinik Saraf Rumah Sakit Umum Pusat (RSUP) Sanglah periode bulan Januari hingga Desember 2016. Metode Penelitian: Penelitian deskriptif observasional menggunakan data rekam medis pasien epilepsi yang berobat di Poliklinik Saraf RSUP Sanglah bulan Januari hingga Desember 2016. Hasil: 70 pasien epilepsi memiliki rerata usia 35 tahun dengan laki-laki sebanyak 55,7%. Rerata usia awitan bangkitan 29 tahun. Jenis bangkitan terbanyak adalah bangkitan umum dan mayoritas etiologinya simtomatik. 77,1% pasien menggunakan monoterapi dan 72,9% berobat kurang dari dua tahun. Fenitoin merupakan OAE utama dalam monoterapi maupun sebagai kombinasi dengan OAE yang lain. Simpulan: Kasus epilepsi didominasi oleh pasien laki-laki dengan rerata usia 35 tahun. Awitan bangkitan ditemukan pada dekade kedua. Bangkitan umum merupakan gejala paling banyak ditemukan dengan fenitoin sebagai OAE utama. Kata Kunci: Karakteristik, Epilepsi, Obat Anti Epilepsi
TATA LAKSANA PEMERIKSAAN NEUROLOGIS VIRTUAL DI ERA PANDEMI CORONA VIRUS DISEASE 2019 Ni Made Susilawathi; Kumara Tini; Ida Ayu Sri Wijayanti; Putu Lohita Rahmawati; Putu Gede Sudira; Dewa Putu Wisnu Wardhana; Dewa Putu Gde Purwa Samatra
Callosum Neurology Vol 3 No 3 (2020): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29342/cnj.v3i3.119

Abstract

Latar Belakang: Pandemi Corona Virus Disease 2019 (COVID-19) dengan penularannya yang sangat cepat di seluruh dunia berdampak terhadap perubahan pelayanan kesehatan di bidang neurologi sebagai upaya mendukung program pengendalian penyakit ini. Tujuan: Merumuskan rekomendasi panduan pemeriksaan neurologis untuk pelayanan teleneurologi.   Diskusi: Penyesuaian dalam pelaksanaan pelayanan neurologi perlu segera dilakukan dengan mengadopsi metode pelayanan dengan telemedicine terutama dalam tata cara pemeriksaan pasien dengan pembatasan fisik dan sosial sebagai salah satu langkah pencegahan infeksi SARS-CoV-2. Simpulan: Layanan teleneurologi perlu dikembangkan dalam pelayanan neurologi termasuk pengembangan prosedur pemeriksaan neurologis secara virtual. Kata kunci: COVID-19, Pemeriksaan Neurologi, Pemeriksaan Virtual, Pembatasan Fisik
MANIFESTASI NYERI KEPALA PADA PASIEN COVID-19 Adrean Hartanto Halim; Ida Ayu Sri Wijayanti
Callosum Neurology Vol 4 No 1 (2021): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29342/cnj.v4i1.122

Abstract

Latar Belakang: Nyeri kepala adalah salah satu gejala yang dapat timbul pada Pasien COVID-19. Tujuan: Membahas nyeri kepala sebagai gejala infeksi COVID-19. Diskusi: Gejala ini dapat muncul selama pasien terinfeksi virus dan disertai dengan gejala khas COVID-19 lainnya seperti demam, batuk kering, sesak napas, sakit tenggorokan, dan nyeri otot. Peran infeksi COVID-19 dan reseptor enzim Angiotensin-Converting 2 (ACE2) di dalam sistem saraf pusat dan sistem saraf perifer sangat berhubungan pada munculnya manifestasi nyeri kepala karena terjadinya efek badai sitokin. Beberapa pasien dengan stroke iskemik, migrain, dan ensefalitis mengeluhkan nyeri kepala. Simpulan: Nyeri kepala dengan berbagai intensitas dan lokasi merupakan kondisi yang harus diwaspadai karena merupakan salah satu indicator keterlibatan sistem saraf dalam perjalanan penyakit COVID-19. Kata Kunci: COVID-19, Nyeri kepala, Reseptor ACE2
The correlation of anxiety disorders and tension-type headache among medical students of Udayana University Christine Kathy Putri Sari; Sri Yenni Trisnawati GS; Ida Ayu Sri Wijayanti; AA Bagus Ngurah Nuartha
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.678 KB) | DOI: 10.15562/ism.v10i2.407

Abstract

Introduction: a Tension-type headache (TTH) is a headache that is commonly happened in almost two-thirds of the world population, especially in medical students. Psychosocial factors, such as anxiety, is often contributed to the incidence of a tension-type headache.Method: The research was using a cross sectional design study to prove the correlation of anxiety disorders and TTH in medical students. Samples were collected by a consecutive method from medical students on second semester, fourth semester, and sixth semesters of Udayana University study year 2017/2018. TTH was diagnosed based on Konsensus Nasional IV PERDOSSI 2013 and anxiety was scored by Hamilton Rating Scale for Anxiety (HARS). Lambda test was used to prove the correlation between anxiety disorders and TTH.Result: There were 300 subjects with dominant age was between 19-20 years old (60.7%) and mostly woman (56.7%). The proportion of TTH was 85.3% while anxiety disorders were 66.7%. The incidence of TTH was found more commonly happened in a subject with anxiety disorders (94.5%) and statistically significant (p=0.001) with weak correlation (r=0.153).Conclusion: These data show a correlation of anxiety disorders and TTH with weak correlation.
Hubungan antara nyeri punggung dan penggunaan tas punggung pada siswa di SDN 23 Dangin Puri Denpasar Kadek Puja Asmara Miranda; Sri Yenni Trisnawati; Ida Ayu Sri Wijayanti
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.322 KB) | DOI: 10.15562/ism.v10i3.504

Abstract

Background: Back pain is the third most common event after selfagia and migraine. The use of the backpack is one of the factors causing back pain. The aim of this study was to find out the correlation between back pain and backpack use.Methods: Analytical research with cross sectional method and using primary data. Data collection was carried out at SDN 23 Dangin Puri Denpasar from October to December 2018.Results: The subjects of the study consisted of 54% female and 46% male. Age range in samples ranges from 9 to 12 years. Male and female sex did not have a significant effect on complaints of back pain. Positive correlation between back pain and backpack use (p = 0.004). Backpack weight has a correlation with back pain.Conclusions: Back pain has a positive correlation with the use of backpackLatar Belakang: Nyeri punggung merupakan kejadian terbanyak ketiga setelah selfagia dan migraine. Penggunaan tas punggung adalah salah satu factor penyebab nyeri punggung. Tujuan studi ini adalah mengetahui hubungan antara nyeri punggung dan penggunaan tas punggung.Metode: penelitian analitik dengan metode cross sectional (potong lintang) dan menggunakan data primer.  Pengambilan data dilakukan di SD N 23 Dangin Puri Denpasar dari Oktober sampai dengan Desember 2018.Hasil: Subjek penelitian terdiri atas 54% perempuan dan 46% laki – laki. Jangkauan usia pada sampel berkisar antara 9 hingga 12 tahun. Jenis kelamin laki – laki dan perempuan tidak memiliki perbedaan yang signifikan terhadap keluhan nyeri punggung. Korelasi positif antara nyeri punggung dan penggunaan tas punggung (p = 0.004). berat tas memiliki hubungan dengan nyeri punggung.Simpulan: nyeri punggung ada korelasi positif dengan penggunaan tas punggung.
The correlation between location and size of infarction toward the quality of life in acute ischemic stroke patients at Sanglah General Hospital, Bali, Indonesia Mirani Ulfa Yusrika; Anak Agung Bagus Ngurah Nuartha; Ida Ayu Sri Wijayanti; Made Widhi Asih; Skolastika Savitri Sujatmiko
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.507 KB) | DOI: 10.15562/ism.v11i2.675

Abstract

Background: Location and size of infarction in acute ischemic stroke can cause different levels of neurological deficits and disabilities according to the function of the area of brain whose blood flow is disrupted, thus affecting the quality of life in patients. This study was aimed to explore the correlation between location and size of infarction toward the quality of life in acute ischemic stroke patients in SanglahเGeneralเHospitalเDenpasar.Methods: A cross-sectional study was conducted among 41 acute ischemic stroke patients at NeurologyเCare Unit, SanglahเGeneral Hospital Denpasar duringเMay-September 2019. The location of the infarct was grouped by the cerebral area. The largest diameter of infarction determined the size of the infarct. Data were taken from head ComputedเTomography (CT) scan results to assess the location and size of infarction and Barthel Index (BI) to measure the quality of life-based on Activity of Daily Living (ADL). Data were analyzed using univariate and bivariate analysisเ(Chi-SquareเtestเwithเCramer’sเV for location and BI scores, Spearmanเtest for size and BI scores) on SPSSเversion 23 for Windows.Results: Most of the respondents were males 59.0%, the average age of 60.03±14.4 years, ischemic thrombus stroke (71.8%), subcortical infarction (41.0%), small size (≤ 1.5 cm) of infarction (48.7%), and independent criteria for Barthel Index Scores (23.1%). There were significant correlations between the location of infarction and BI scores (r=0.636; p<0.000) and the size of infarction and BI scores (r=0.553; p<0.000).Conclusion: Infarct that located in the cortical area with small size are related to independent or mild dependency outcome. Conversely, infarct that located and associated with a subcortical area with larger size are related to severe or total dependency.
Co-Authors Adrean Hartanto Halim Anak Agung Bagus Ngurah Nuartha Apriyanti, Ni Putu Winda Budiarsa, I Gusti Ngurah Ketut Candra, Alamanda Christine Kathy Putri Sari Cokorda Istri Dyah Sintarani Sintarani Desak Ketut Indrasari Utami Devi, Gusti Ayu Putu Giti Livia Dewa Putu Gede Purwa Samatra Dewa Putu Wisnu Wardhana Dewi Sutriani Mahalini Dewi, Ni Putu Mira Kardila Dewi, Putu Utami Haditya, Yogi Hartadi, Putu Ardy I Gusti Ngurah Mahaalit Aribawa I Made Oka Adnyana I Putu Eka Widyadharma Ida Ayu Sri Indrayani Indah, Carolin Tiara Lestari Izzati Shoba Maryam Kadek Puja Asmara Miranda Krisnawardhani Kumbara, Cokorda Istri Yuliandari Kumara Tini Lim, Demetria Jesica Made Widhi Asih Mahadewi, Ni Putu Ayu Putri Meidiary, A. A. A. Mirani Ulfa Yusrika Nanda Putri Chintia Naomi Valencia Simbolon Ni Made Susilawathi Ni Putu Ayu Putri Mahadewi Pramaswari, Anak Ayu Agung Putu Gede Sudira Putu Lohita Rahmawati Putu Yogi Pramana Raka-Sudewi A. A. Ramayanti, Ni Putu Nadia Rismayanti, Ni Putu Samatra, Dewa Putu Gde Purwa Savitri, Ni Putu Sista Ijya Setiawan, Okky Yani Skolastika Savitri Sujatmiko Suryamulyawan, Kadek Adi Susilawathi, Ni Made Thomas Eko Purwata Tini, Kumara Trisnawati, Sri Yenni Widyastuti, Ketut