Garuda - Garba Rujukan Digital

p-Index From 2021 - 2026

0.61

P-Index

This Author published in this journals

All Journal Medicina Folia Medica Indonesiana Sari Pediatri Paediatrica Indonesiana Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan ISM (Intisari Sains Medis) : Jurnal Kedokteran

I Wayan Dharma Artana

Department Of Pediatrics, Faculty Of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia

Author-ID : 3474399

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health Other

Published : 19 Documents Claim Missing Document

Claim Missing Document

Articles

1 2

Cognitive, Motor, and Language Assessment in Children with Human Immunodeficiency Virus Putu Indah Budi Apsari; I Nyoman Supadma; Ketut Dewi Kumara Wati; I Wayan Dharma Artana
Folia Medica Indonesiana Vol. 58 No. 2 (2022): June
Publisher : Universitas Airlangga

Highlights: HIV-infected children had lower capute scores than normal children. HIV child age range 12-24 months almost suffer delayed speech, and were in suspect criteria was founded. Abstract: The cognitive, motor and language aspect of HIV-infected children is an important issue affecting their quality of life. The capute scale, divided into Cat and Clams scores, is commonly used to assess children's cognitive, motor, and language functions. This study assessed Cat and Clams’ scores of HIV-infected children. We performed Cat and Clams assessment on 136 children consisting of 68 HIV-infected children and 68 normal children as control aged 0-36 months. The Capute scale examined both groups at the first meeting (first month), and for the rest six months, we evaluated the progress of cognitive, motor, and language development. In the first meeting, we found that HIV-infected children had significantly low capute scores than the control group. The sixth-month Capute score in HIV-infected children was also significantly lower than the control group. HIV-infected children had lower Capute scores than normal children.

The risk of atopic dermatitis in post-term gestational age at Sanglah Hospital Denpasar: A preliminary study Made Ardinata; Ketut Dewi Kumara Wati; Wayan Dharma Artana; Hendra Santosa; Komang Ayu Witarini
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Backgrounds: Several studies reported that Atopic Dermatitis (AD) increases with gestational age. Prolong dominancy of Th2 activity during gestation might contribute to the risk of atopic disease in infancy or beyond the period. This study aimed to evaluate the risk AD in post-term gestational age.Methods: A prospective observational study was conducted among 73 living births at Sanglah Hospital Denpasar from December 2015 to January 2016 period. Infants were classified into 2 such as exposed (post-term) and non exposed (term and preterm) group. Parents-follow up by phone was carried out in 1 until 2 months interval. The study was finished once AD diagnosed, subject died or lost to follow up. Statistical analysis was carried out using SPSS ver. 20 software whereas P-value > 0.05 was considered significant.Results: About 20 (233%) infants were preterm, 36 (49.3%) a term, and 17 (23,3%) post-term. The median value of follow up duration was 28 (14-35) days. Based on AD, there were total 24 cases which divided into 15(62.5%), 8(33.3%) and 1(4.17%) cases of AD in post-term, aterm, and preterm respectively. The incidence rate of AD in post-term was 88.2% while in non-post-term the incidence rate was 16.1%. The relative risk (RR) of AD in post-term was 5.47 (95% CI 2.94-10.23; P = 0.001)Conclusion: Post-term is 5.47 times more likely to develop AD compared with aterm and preterm infant. In addition, the incidence rate of AD in post-term infant was 88.2% at Sanglah Hospital Denpasar

The characteristic of neonatal hyperbilirubinemia before and after phototherapy at Sanglah Hospital, Denpasar, Bali in 2017 Wayan Sulaksmana Sandhi Parwata; Putu Junara Putra; Made Kardana; Wayan Dharma Artana; Made Sukmawati
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Hyperbilirubinemia is the most clinical problem in newborn babies.Â Hyperbilirubinemia occurs 60% in aterm babies and 80% in premature babies. This study aims to know the incidence of hyperbilirubinemia, characteristics of hyperbilirubinemia and effect of phototherapies to bilirubin levels.Methods: A cross-sectional retrospective study was conducted using medical records among 94 neonates with hyperbilirubinemia who treated with phototherapies at Sanglah hospital during 2017. Data regarding gender, gestational weeks, type of delivery, size for gestational age, the onset of hyperbilirubinemia, etiology, birth weight, maternal gravid status, and bilirubin levels were collected and analyzed using SPSS version 20 software descriptively.Results: From 94 neonatal hyperbilirubinemia that meet the inclusion criteria, 51 (54.3%) Â males and 43 (45.7%) females based on gender. Mean gestational ages were 36.35Â±2.921 weeks. The major etiology of neonatal hyperbilirubinemia were breastfeeding jaundice 33 (25.8%), Prematurity 23 (18.7%), ABO incompatibility 13 (10.6%), Breast milk jaundice 11 (8.9%), gastrointestinal malformation 6 (4.9%), G6PD deficiency 5 (4.1%), and sepsis 3 (2.4%). The mean total bilirubin prior to phototherapy was 15.6Â±4.11 mg/dL whereas the indirect bilirubin was 14.56Â± 3.55 mg/dL. The duration of phototherapy in this study was 2.8Â±0.65 days.Conclusions: The incidence of neonatal hyperbilirubinemia during 2017 at Sanglah Hospital were predominantly caused by breastfeeding jaundice, prematurity, and ABO incompatibility. There were decreased bilirubin levels following phototherapies.

Korelasi kadar laktat dengan Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE II) pada neonatus yang dirawat di NICU RSUP Sanglah, Bali, Indonesia I Gede Deden Susma Sugara; I Wayan Dharma Artana; Ketut Suarta; Soetjiningsih Soetjiningsih; Ni Putu Siadi Purniti; Dyah Kanya Wati; Made Sukmawati; Made Kardana
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Infant mortality rate is one of the indicators of public health degree that determines the human development index. Various attempts were made to early detect the problems, one of which was by assessing the severity of neonatal disease using Score for Neonatal Acute Physiology Perinatal Extension-II (SNAPPE II) which was associated with lactate levels as a metabolic response and organ dysfunction due to critical illness that were suffered at the Neonatal Intensive Care Unit (NICU).Methods: A cross-sectional analytic study was conducted among 48 critically ill neonates treated at the Sanglah Hospital Denpasar NICU. Samples were selected from affordable populations by consecutive sampling. Data analysis was performed by Saphiro-Wilk data normality test, correlation analysis using the Pearson correlation coefficient, significant results if the value of p <0.05. Data were analyzed using SPSS version 17 for Windows.Results: Most of the respondents were males (67%), the mean of neonatal gestational age was 33 (Â± 3,2) weeks with the median neonatal age at lactate sampling being 24 (24-48) hours. The average age of the mother at delivery was 24 (21-40) years. The mean lactate level in critically ill neonatal patients admitted to the NICU was 3.2 (Â± 0,5) mmol / L. The mean SNAPPE II score on the subject was 32 (20-42). There was a significant positive correlation between the levels of lactate and the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II (r = 0.45; p = 0.004).Conclusion: Lactate levels has a moderate positive correlation with the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II

The characteristics of neonatal sepsis in Low Birth Weight (LBW) infants at Sanglah General Hospital, Bali, Indonesia Novita Purnamasari Assa; I Wayan Dharma Artana; I Made Kardana; Putu Junara Putra; Made Sukmawati
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Backgrounds: Neonatal sepsis is a significant cause of mortality and long-term morbidity. The preterm infant has high-risk sepsis and its sequelae. Low birth weight infants were more susceptible to sepsis. Initial infections in neonates may not be identified due to non-specific symptoms and sign with the limited laboratory criteria. This study aims to describe the characteristics of neonatal sepsis in low birth weight infants in the neonatology intensive care unit of Sanglah Hospital.Methods: A retrospective cross-sectional study was conducted among 168 infants aged zero to 28 days with birth weights <2,500 grams from May 2017 â€“ April 2018 at Sanglah General Hospital, Bali, Indonesia using a purposive sampling technique. The inclusion criteria were sepsis infants who were hospitalized in neonatology care rooms during the study period at Sanglah General Hospital. Variables assessed in this study were sex, location and mode of delivery, birth weight, gestational age, number of parity, length of stay, the onset of sepsis, as well as the outcome. Data were analysed using SPSS version 17 for Windows.Results: The mortality rate of sepsis in low birth weight infants was 29.8%. Most of the subjects were male (53%), location of delivery at Sanglah Hospital (60.7%), born spontaneously (51.2%), birth weight were 1500-2499 grams (58,3%) and the most gestational ages were 32-36 weeks (44,6%). Early-onset neonatal sepsis (EONS) dominates patients with neonatal sepsis, with a mean length of stay was 23.27Â±20.32 days. The major infection risk factor was premature rupture membrane (PRM) >24 hours (14.9%), and minor infection risk factor was gestational age <37 weeks (78%), very low birth weight (44.6%) and asphyxia (41.1%). The total blood culture positivity was 38 (22.6%) cases, and Enterococcus faecalis was the most common organism in this study.Conclusion: The incidence and mortality of neonatal sepsis in LBW infants were still high. The importance of knowledge and awareness of pregnant women about danger signs and the risk of infection can reduce the incidence of early-onset neonatal sepsis. Prevention of healthcare-associated infections can reduce the incidence of late-onset neonatal sepsis.

Jejunal atresia in the newborn: three cases after resection and end-to-end anastomoses Ni Made Sukewanti; I Wayan Dharma Artana; Putu Junara Putra; I Made Kardana; Made Sukmawati; Kadek Deddy Ariyanta
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background:Â Intestinal atresia is a common cause of neonatal intestinal obstruction. Jejunal atresia occurs more frequent than duodenal or colonic atresias while single atresias are most commonly encountered. Jejunal atresia is classified into 4 types: Type I (a mucosal/septal), Type II (a fibrous cord/band), Type III (blind ends are entirely separated without a fibrous cord between them and a large mesenteric defect), and Type IV (combination of atresia type I to III). This study aims to elaborate jejunal atresia in the newborn after resection and end-to-end anastomoses.Case Description:Â We report three cases of jejunal atresia consists of different types: type IV (first case), type IIIa (second case) and type I (third case). Cases were neonates born with signs of upper gut obstruction. Bile-stained vomiting was reported a few hours after birth and failed to pass meconium in the first 24 hours. Postnatal abdominal X-ray showed dilatation of the gaster and no gas present in the pelvic floor. In the third case, it showed a triple bubble sign on abdominal x-ray and a laparotomy revealed the type of jejuno-ileal atresia. Also, the resection on the atresias and end to end anastomosis were performed. Cases were admitted to neonatal intensive care unit with total parenteral nutrition. The first two cases died due to sepsis, while the third case survived.Conclusion:Â Jejunal atresia is a rare disease among newborn. All of the patients have provided resection and end-to-end anastomoses, although 2 of them did not survive.Â

The characteristics of neonatal sepsis in Low Birth Weight (LBW) infants at Sanglah General Hospital, Bali, Indonesia in 2018 Ni Luh Gede Wahyuni Suismaya; I Wayan Dharma Artana
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: Sepsis is one of the most common causes of mortality and long terms morbidity among infants. It is known to be related to Low Birth Weight (LBW) due to the lack of immunity function to resist the infection. This study aims to identify the characteristics of neonatal sepsis in LBW infants in Sanglah General Hospital.Method: A retrospective cross-sectional study was conducted in the Neonatal Care Unit, Sanglah General Hospital, during January-December 2018 period among 135 neonates. Samples were taken using total sampling for neonates who had LBW and diagnosed with sepsis. Uncompleted data and voluntarily discharge patients were excluded from the study. Data regarding baseline characteristics of respondents, major and minor risk factors, laboratory results of sepsis, as well as blood culture, were analyzed using SPSS version 23 for Windows.Result: Most of respondents were male (54.1%), followed by bodyweight 1,500-2,499 grams (58.5%), and preterm labor (<32 weeks) (86.7%). The average length of stay was 21.30Â±19.28 days. The vast majority of infants diagnosed as Early Onset Sepsis (EONS) (89.6%). Most of the patients had normal leukocyte count (93.3%), neutrophilia (95.6%), low I/T ratio (70.4%), normal platelets (67.4%), and high procalcitonin (98.5%). The blood culture showed the most microorganism was Enterococcus faecalis (6.00%) in gram-positive bacteria.Conclusion: This study found that most of the respondents were male, followed by preterm labor, EONS, normal leukocyte count, low I/T ratio, high procalcitonin, as well as Enterococcus faecalis as the most common gram-positive bacteria.Â

Karakteristik faktor penyebab hiperbilirubinemia pada neonatus di RSIA Puri Bunda Tabanan, Bali Tahun 2021 Intan Astariani; I Wayan Dharma Artana; Ni Made Rini Suari
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Background: Neonatal hyperbilirubinemia is a clinical problem that often occurs in neonates, 60% occurs in term neonates and 80% in preterm neonates.. There are non pathological and pathological hyperbilirubinemia. Unconjugated hyperbilirubinemia caused by 4 board groups, which are increased bilirubin production, deficiency of hepatic uptake, impaired bilirubin conjugation, and increased enterohepatic circulation. The purpose of this study was to determine the characteristics of the factors causing hyperbilirubinemia.Methods: This study used a restrospective cross-sectional method by taking 1 year data, from June 2020 until May 2021. Amount of samples was 146 neonates with diagnosis of hyperbilirubinemia and receiving intensive phototherapy treatment in the Intermediate Room and Neonatal HCU at Puri Bunda Tabanan Mother and Child Hospital. The causative factors collected were ABO incompatibility, prematurity, neonatal asphyxia, breastfeeding jaundice, breastmilk jaundice, low birth weight baby, cephal hematome, and neonatal sepsis. Data collected through medical record and analyzed, subsequently explained descriptively with table.Result: The result show that from 146 samples that met the inclusion criteria, the most causative factor of hyperbilirubinemia was ABO incompatibility 29 (19.9%), prematurity 16 (11%), low birth weight 15 (10.3%), breastfeeding jaundice 15 (10.3%), neonatal sepsis 15 (10.3%), breastmilk jaundice 12 (8.2%), neonatal asphyxia 7 (4.8%), and no sample with cephal hematome.Conclusion: Factors causing hyperbilirubinemia found at Puri Bunda Tabanan Mother and Child Hospital were ABO icompatibility as the most common cause and neonatal asphyxia as the least cause. Pendahuluan: Hiperbilirubinemia neonatal merupakan permasalahan klinis yang sering terjadi pada neonatus, sekitar 60% terjadi pada neonatus aterm dan 80% pada neonatus preterm. Kernicterus sebagai komplikasi dari hiperbilirubinemia memiliki angka kematian 10% dan morbiditas jangka panjang 70%. Hiperbilirubinemia ada yang non patologis dan patologis. Unconjugated hyperbilirubinemia disebabkan oleh 4 kelompok besar yaitu peningkatan produksi bilirubin, defisiensi uptake hepar, gangguan konjugasi bilirubin, dan peningkatan sirkulasi enterohepatik. Tujuan dari penelitian ini adalah untuk mengetahui karakteristik faktor penyebab hiperbilirubinemia.Metode: Penelitian ini menggunakan metode cross-sectional retrospective dengan mengambil data selama 1 tahun yaitu periode Juni 2020-Mei 2021. Jumlah sampel sebanyak 146 neonatus dengan diagnosis hiperbilirubinemia dan mendapatkan tatalaksana fototerapi di ruang Intermediate dan HCU Neonatus di RSIA Puri Bunda Tabanan. Faktor penyebab yang dikumpulkan yaitu inkompatibilitas ABO, prematuritas, asfiksia neonatorum, breastfeeding jaundice, breastmilk jaundice, BBLR, cephal hematoma, dan sepsis neonatorum. Data dikumpulkan melalui rekam medis dan dianalisa untuk kemudian disajikan secara deskriptif.Hasil: Dari 146 sampel yang memenuhi kriteria inklusi, didapatkan penyebab pertama yaitu inkompatibilitas ABO sebanyak 29 (19,9%), prematuritas sebanyak 16 (11%), BBLR sebanyak 15 (10,3%), breastfeeding jaundice sebanyak 15 (10,3%), sepsis neonatorum sebanyak 15 (10,3%), breastmilk jaundice sebanyak 12(8,2%), asfiksia neonatorum sebanyak 7 (4,8%), dan tidak ada penyebab berupa cephal hematoma yang ditemukan.Simpulan: Faktor penyebab hiperbilirubinemia yang didapatkan di RSIA Puri Bunda Tabanan yaitu inkompatibilitas ABO sebagai penyebab terbanyak dan asfiksia neonatorum sebagai penyebab paling sedikit.

Kepuasan Orangtua Pasien Terhadap Pelayanan di Bangsal Anak Sebagai Salah Satu Indikator Keberhasilan Pelayanan RSUP Sanglah di Denpasar Leni Lukman; I Wayan Gustawan; I Wayan Dharma Artana; Ketut Ariawati
Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan Vol. 5 No. 2 (2021)
Publisher : Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan (Journal of Research and Development in Health Services)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jpppk.v5i2.5844

Abstrak Peningkatan permintaan pelayanan kesehatan di seluruh Indonesia menuntut rumah sakit pemerintah berbenah untuk mampu memberikan pelayanan terbaik pada masyarakat termasuk di RSUP Sanglah Denpasar, Bali. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan orangtua pasien BPJS terhadap pelayanan di bangsal anak RSUP Sanglah Denpasar. Penelitian ini merupakan penelitian deskriptif analitik dengan pengambilan data dilakukan dengan cara menyebar kuesioner dengan metode SERVQUAL. Model SERVQUAL yang digunakan terdiri dari lima dimensi yaitu: 1) Tangibles, 2) Reliability, 3) Responsiveness, 4) Assurance, dan 5) Empathy. Kuesioner telah melewati uji reliabilitas dan vailiditas. Penelitian ini mengambil sampel secara consecutive sampling yaitu salah satu orangtua dari seluruh pasien anak yang dirawat di Ruang Cempaka 3 pada bulan April sampai September 2020. Analisis gap dan kuadran menggunakan analisis Importance Performance Analysis dengan diagram Cartesian. Dari 151 sampel yang terkumpul, didapatkan perbandingan lelaki banding perempuan 1,25:1. Rata-rata usia pasien adalah 5,75 tahun dengan rata-rata lama perawatan 8,8 hari. Berdasarkan analisis Importance Performance, tidak ada satupun atribut dengan nilai kenyataan lebih tinggi daripada harapan. Dimensi SERVQUAL dengan jumlah gap tertinggi adalah Reliability/keandalan. Pada analisis kuadran didapatkan bahwa seluruh dimensi kecuali dimensi tangibles (nyata) perlu meningkatkan performa. Secara umum, orangtua pasien belum puas terhadap pelayanan di RSUP Sanglah Denpasar khususnya di bangsal Cempaka 3. Kata kunci: kepuasan pasien, pelayanan rumah sakit, pediatri, SERVQUAL Abstract Increasing demand of health care in Indonesia require government hospital to compete in giving the best care. The objective of this study is to determine satisfaction level of BPJS patient parents in Sanglah General Hospital Denpasar. This is an analytical descriptive study using valid and reliable SERVQUAL questionnaire to collect samples. SERVQUAL model consists of 5 dimensions: 1) tangibles, 2) reliability, 3) responsiveness, 4) assurance, and 5) empathy. The questionnaire passed reliability and validity test. Samples were parents of all children admitted to Cempaka 3 Ward from April to September 2020 and were taken consecutively. Gap and quadrant analysis using Importance Performance Analysis and Cartesian Diagram were done. From 151 collected samples, the ratio of boys and girls were 1.25:1. Mean age of samples was 5.75 years old and mean hospital stay was 8.8 days. Based on Importance Performance Analysis, all of the reality value fell below expectation value. SERVQUAL dimension with the highest gap was reliability. In quadrant analysis, all of the dimensions except tangible need improvement. In general, parents of patients was not satisfied with health care in Cempaka 3 ward, Sanglah General Hospital Denpasar. Keywords: patient satisfaction, hospital care, paediatrics, SERVQUAL

Co-Authors Chaliza Adnan Dyah Kanya Wati Ekawaty Lutfia Haksari Franky Luhulima Gusti Ayu Putu Nilawati Hendra Santoso I Gede Deden Susma Sugara I Gusti Lanang Sidiartha I Gusti Ngurah Sanjaya Putra I Made Kardana I Nyoman Supadma I Wayan Gustawan IKG Suandi IM Dharmajaya Intan Astariani K Nomor Aryasa Kadek Deddy Ariyanta Kadek Hartini Kardana I Md Ketut Ariawati Ketut Dewi Kumara Wati Ketut Suarta Ketut Suarta Komang Ayu Witarini Leni Lukman Made Ardinata Made Sukmawati Ni Luh Gede Wahyuni Suismaya Ni Luh Putu Maharani Ni Made Rini Suari Ni Made Sukewanti Ni Nyoman Metriani Nesa Ni Putu Siadi Purniti Novita Purnamasari Assa NP Veny Kartika Yantie Purwoko, Agus Putu Diah Pratiwi Putu Indah Budi Apsari Putu Junara Putra Soetjiningsih Soetjiningsih Sudaryat Suraatmaja Wayan Sulaksmana Sandhi Parwata Wiradharma Wiradharma Yoga Putra

Title

Found 19 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 19 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 19 Documents
Search