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All Journal BALI MEDICAL JOURNAL (BMJ) Buletin Udayana Mengabdi INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES Paediatrica Indonesiana JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Jurnal Neuroanestesi Indonesia
Nyoman Golden
Departemen/ SMF Ilmu Bedah Universitas Udayana, RSUP Sanglah, Denpasar
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Faktor risiko kejadian ileus paralitik patologis pasca laparotomi dengan reseksi dan anastomosis pada traktus gastrointestinal Mira Dewi Prawira; Made Agus Dwianthara Sueta; Nyoman Golden
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1549

Abstract

Background: Postoperative paralytic ileus is a physiological response of the intestine to surgical stress. However, if this condition lasts more than 3 days, it is pathological. Some factors related to postoperative ileus have been identified, but the results are still confusing. This study aimed to identify risk factors of postoperative ileus following laparotomy for anastomosis and resection of the gastrointestinal tract at Prof. Dr. I.G.N.G. Ngoerah Hospital. Method: This was a retrospective cohort study between January 2019 until July 2020. The subjects were recruited consecutively, which included adult patients who had undergone laparotomic surgery with anastomosis and resection. Data was taken in Prof. Dr. I.G.N.G. Ngoerah Hospital until the needed samples were fulfilled. Data were analyzed using SPSS version 24 for Windows. Result: There were 50 subjects aged from 32 to 74 years old in this study. About 62% of subjects were female. Analysis showed a correlation between postoperative ileus occurrence and Age; it also correlates with the operation duration. Multivariate analysis found that patients aged 65 years and older have a 5.96 greater risk of developing postoperative ileus than younger patients (95% CI 1.55-22.99; p=0.010). This study also found that an operation lasting 180 minutes or more had a 6.14 greater risk of postoperative ileus than a shorter surgery duration (95% CI 1.57-24.05; p=0.009). Conclusion: Age over 65 years old and duration of operation more than 3 hours were associated with postoperative paralytic ileus in adult patients who had undergone laparotomy for anastomosis and resection of the gastrointestinal tract.   Latar Belakang: Ileus paralitik pasca operasi merupakan sebuah respon fisiologis usus terhadap stress pembedahan. Namun ketika ileus yang terjadi berlangsung lebih dari 3 hari maka kondisi ini masuk dalam kondisi patologis. Beberapa faktor sudah diidentifikasi untuk memprediksi kejadian ileus post operasi namun hasilnya masih ambigu. Penelitian ini bertujuan mengetahui faktor risiko ileus paralitik patologis pasca operasi pada populasi pasien laparatomi reseksi dengan anastomosis di RSUP Prof. Dr. I.G.N.G. Ngoerah. Metode: Penelitian ini menggunakan pendekatan kohort retrospektif yang berlangsung sejak Januari 2019 hingga Juli 2020. Pengambilan data dilakukan dengan metode konsekutif sampling pada pasien dewasa. Pengambilan data dilakukan di RSUP Prof. Dr. I.G.N.G. Ngoerah sampai jumlah sampel terpenuhi. Data dianalisis dengan SPSS versi 24 untuk Windows. Hasil: Sebanyak 50 subjek diikutsertakan dalam penelitian ini dengan rentang usia 32 hingga 74 tahun. Sebanyak 62% adalah perempuan. Pada analisis ditemukan adanya hubungan usia dan durasi operasi dengan kejadian ileus post operasi. Pada analisis multivariat ditemukan bahwa usia di atas 65 tahun memiliki risiko mengalami ileus post operasi 5,96 kali lebih besar dibanding usia yang lebih muda (95% IK=1,55-22,99; p=0,010). Selain itu juga ditemukan operasi yang berlangsung selama 180 menit atau lebih memiliki risiko 6.14 kali lebih besar mengalami ileus post operasi dibanding durasi operasi yang lebih singkat (95% IK=1,57–24,05; p=0,009). Simpulan: Usia pasien di atas 65 tahun dan durasi operasi lebih dari 3 jam berhubungan dengan kejadian ileus paralitik patologis paska operasi pada pasien yang menjalani operasi laparotomi dengan reseksi dan anastomosis.
PENYULUHAN KESEHATAN TENTANG PENTINGNYA MENGGUNAKAN HELM SAAT BERKENDARA DENGAN SEPEDA MOTOR S. Maliawan; N. Golden; T.G.B. Mahadewa; I.W. Niryana; D.P.W. Wardhana; S. Awyono; K.K. Putra
Buletin Udayana Mengabdi Vol 23 No 2 (2024): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/BUM.2024.v23.i02.p10

Abstract

In the year of 2020, 100.028 cases of traffic accident were noted in Indonesia, according to data from the Traffic Corps of the Republic of Indonesia Police (Korlantas Polri). To reduce poor long-term outcome of head injury, a need of appropriate prevention is needed. One easy and effective way to do this is to drive safely according to the traffic guidelines to hinder accident and to wear a helmet. Usage of helmet could effectively protect agains severe and lethal head injury. The basis of university education is the tri dharma which includes education, research, and community service. Bedah Saraf Bersama Masyarakat held by Neurosurgery Residency Programme in FK UNUD / RSUP Sanglah created a health promotion as a form of community service. Health promotion on the importance of using helmet while riding a motorcycle was conducted at PRO 2 RRI FM. Our goal is to educate about the potential for head injuries while driving a motor vehicle and educate the public about the importance of using a helmet when riding a motorcycle. Keywords : Head injury, helmet, health promotion, motorcyc
Optic Nerve Pilocytic Astrocytoma in a Pediatric Patient: A Case Report Pramantara, I Made Stepanus Biondi; Niryana, I Wayan; Sista Satyarsa, Agung Bagus Sista; Golden, Nyoman; Mahadewa, Tjokorda Gede Bagus; Maliawan, Sri; Suarjaya, I Putu Pramana
Jurnal Neuroanestesi Indonesia Vol 13, No 3 (2024)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v13i3.594

Abstract

Pilocytic astrocytoma is a type of low-grade glioma that can develop in any part of the central nervous system. It primarily affects individuals in the pediatric and young adult age groups. Optic nerve pilocytic astrocytoma is an uncommon, gradually developing type of brain tumor known as a glioma. It is categorized as a grade I tumor by the World Health Organization (WHO). We aim to report rare optic nerve pilocytic astrocytomas and discuss their clinical findings and interconnection with the current literature. A 7-year-old male patient exhibited left-sided eye proptosis and complete loss of vision. A magnetic resonance imaging (MRI) performed before surgery showed the presence of a tumor in the left eye socket. The mass has a spherical shape and smooth boundaries, resulting in the compression of the left optic tract from behind. The left optic tract appears darker on T1-weighted images and brighter on T2-weighted images. On contrast administration, there is heterogenous contrast enhancement. A total resection of the mass was performed. Histopathology results show pilocytic astrocytoma (WHO Grade I). Optic nerve pilocytic astrocytoma is a tumor that can affect the optic nerve pathway. Early diagnosis and multidisciplinary team management are required. Treatment must be individualized, and the options include chemotherapy, radiotherapy, and surgical intervention. Surgery is only recommended in cases of painful or disfiguring proptosis and exposure keratopathy in eyes with severe vision impairment.
Co-Authors Ade-Chandra - Agus Kusumajaya D.P.W. Wardhana Danny Zefanya Mooy Desy Permatasari Dewi Prima Christian Gede Wirya Kusuma Duarsa Giovani Fatrio Odo I G. N. Pustaka I Gede Parwata I Gede Suwedagatha I Gusti Ngurah Purnomo I Ketut Mulyadi I Ketut Wiargitha I Made Bagus Wirawan I Made Darmajaya I Made Stepanus Biondi Pramantara I Made Sukarya I Putu Wijana I Putu Yuda Prabawa I W. Sudarsa I Wayan Niryana I.G. Darma-Kusuma Ida Bagus Mudita Ida Bagus Yudha Prasista J Sasongko K.K. Putra Kadek Adi Wiguna Ketut Sudartana Ketut Sudiasa Krishna Kurnia Pratama M.A. Keswara Made Agus Dwianthara Sueta Mira Dewi Prawira Nyoman Agus Bagiada Putu Eka Mardhika Putu Pramana Suarjaya S. Awyono Sajid Darmadipura Sista Satyarsa, Agung Bagus Sista Sri Maliawan Tjokorda Gde Bagus Mahadewa