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All Journal Dharma Sastra Journal of Indonesia Vascular Access
I Wayan Sudarma
Institut Hindu Dharma Negeri Denpasar
Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Education Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology

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Eksistensi Cerita Cupak Gerantang Pada Masyarakat Bali dan Lombok Armini, I Gusti Ayu; Sudarma, I Wayan
Dharma Sastra : Jurnal Penelitian Bahasa dan Sastra Daerah Vol 3 No 2 (2023): Oktober
Publisher : Universitas Hindu Negeri I Gusti Bagus Sugriwa Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25078/ds.v3i2.2443

Abstract

The story of Cupak Gerantang is existence in Bali and Lombok society. This story is a continuation of Old Javanese literature which existed rapidly during the Majapahit Empire. In Bali, this story is written on palm leaves (called ntal) in geguritan form or song story. That’s a continuation of Old Javanese literature which developed rapidly during the glory of the Gelgel Kingdom era. In Lombok, the Cupak Gurantang story is also a continuation of Old Javanese literature, is written in palm leaves too (called takepan) in the Sasak language. The main problem that becomes the topic of discussion include three question. How are existed the Cupak Gerantang story in Bali and Lombok. How are similarties of the Cupak Gerantang story in Bali and Cupak Gurantang story in Lombok. How to use the Cupak Gerantang story for Balinese and Lombok people. Data collection used in-depth interviews, observation, and literature. This method is used to collect qualitative data from primary and secondary data. Based on the results of data collection, the Cupak Gerantang story in Bali and Lombok have similarities. The similarities appear in the origins, storylines, values, and moral messages. The difference lies in the location setting, the names of the supporting characters, and the method of staging. Both, in Bali and Lombok the Cupak Gurantang story used as entertainment, information media, suggestive function, and veiled resistance. In this story contain to as moral values ​​including the value of togetherness, mutual help, and ethics. That are used as a reference for human activity.
Mechanical and bioprosthetic valves in young women: a systematic review and meta-analysis of cardiac, maternal, and fetal outcomes Harta, I Komang Adhi Parama; Pertiwi, Putu Febry Krisna; Yasa, Ketut Putu; Sudarma, I Wayan
Journal of Indonesia Vascular Access Vol. 4 No. 2 (2024): Available online : 1 December 2024
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v4i2.70

Abstract

Valve replacement for the heart in young women, particularly those who are pregnant, is challenging. It requires finding the right balance between valve durability, managing anticoagulation, and ensuring positive reproductive outcomes. This systematic review and meta-analysis compared mechanical prosthetic (MP) and bioprosthetic valves (BP) across cardiac, maternal, and fetal outcomes. Nine studies were included following a comprehensive literature search. The analysis revealed MACE involving MP and BP were not significantly different (OR: 1.31, 95% CI: 0.82–2.09, p = 0.26). Thromboembolic events were significantly more frequent in the MP group (OR: 6.59, 95% CI: 3.41–12.74, p < 0.001), while structural valve deterioration (SVD) occurred more often in BP recipients (OR: 0.01, 95% CI: 0.00–0.70, p = 0.03). Maternal outcomes showed a higher risk of pregnancy loss in MP recipients (OR: 4.62, 95% CI: 1.87–11.40, p < 0.001). Preterm delivery was more common went down in the MP group, but it wasn't enough to warrant statistical analysis (OR: 2.20, 95% CI: 0.86–5.58, p = 0.10). For reoperation or redo surgery, MP had lower risk and showed superior results than BP (OR: 0.06, 95% CI: 0.01–0.32, p = 0.001). These findings highlight the complexities involved in choosing between valve types. Although MP valves last longer, they increase the likelihood of thromboembolic events and miscarriage. While improving results for both the mother and the unborn child, BP valves, are prone to structural deterioration, necessitating reoperation. Individualized treatment decisions that consider patient preferences, clinical context, and reproductive plans are essential to optimizing outcomes for young women requiring valve replacement.
Video-assisted thoracoscopic surgery vs. open thoracotomy in the management of empyema: A Meta-analytical perspective Sudarma, I Wayan; Yasa, Ketut Putu; Harta, I Komang Adhi Parama; Pertiwi, Putu Febry Krisna
Journal of Indonesia Vascular Access Vol. 4 No. 2 (2024): Available online : 1 December 2024
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v4i2.72

Abstract

Background: Pleural empyema is a serious condition requiring surgical intervention in advanced stages. This systematic review and meta-analysis compared the outcomes of video-assisted thoracoscopic surgery (VATS) and open thoracotomy in the management of pleural empyema. Method: After performing a systematic search on electronic databases, 15 studies were included with a total of 1,795 patients. Result: The results demonstrated that VATS was associated with significantly shorter chest tube duration (MD: −2.68 days, 95% CI: −4.22 to −1.13, p < 0.001), reduced rates of prolonged air leak (OR: 0.44, 95% CI: 0.26 to 0.74, p = 0.001), and lower total complications (OR: 0.62, 95% CI: 0.44 to 0.87, p = 0.006). Mortality, reoperation rates, and recurrence rates were comparable between VATS and open thoracotomy, indicating similar efficacy for long-term disease resolution. In conclusion, this analysis highlights the advantages of VATS as a minimally invasive approach, particularly in reducing postoperative morbidity and complications. Conclusion: Open thoracotomy remains crucial for complex or advanced cases requiring extensive decortication. The findings underscore the importance of individualized surgical decision-making based on disease stage and patient characteristics.
Sternal resection and reconstruction due to sternal destruction caused by malignancy: a case report Imam Cesyo, Giadefa; Sudarma, I Wayan
Journal of Indonesia Vascular Access Vol. 5 No. 1 (2025): Available online : 1 June 2025
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v5i1.60

Abstract

Introduction: Sternal resection and reconstruction are uncommon chest wall procedures but can pose significant challenges in their management. Sternal resection may lead to thoracic cavity instability, making careful patient selection followed by an appropriate reconstruction technique. Case: We report a case of sternal resection and reconstruction using reconstruction plates and hernia mesh. A 21-year-old male presented with a rapidly growing anterior chest wall mass, increasing in size over three months prior to surgery. The mass measured 15 x 10 x 8 cm, was firm, and fixed. A CT scan revealed an irregular solid mass originating from the sternum, with destruction of the sternal bone. A procedure was performed involving the resection of anterior chest wall and reconstruction using reconstruction plates and hernial mesh. The resection of large portions of the chest wall poses complex challenges due to technical difficulties, surgical complications, and respiratory failure caused by chest wall instability and paradoxical movements. Four types of sternal defects are generally defined: partial longitudinal sternectomy > 75% of the sternal width, subtotal lower, subtotal upper, and subtotal mid sternectomy. Full reconstruction is generally indicated for resections involving the entire width of the sternum. Various techniques have been proposed, including myocutaneous flaps, the use of mesh and patches supplemented with methacrylate composites, titanium mesh, autograft or allograft bone, and prosthetics. However, no standardized technique exists. The choice of technique is largely based on the surgeon’s experience. This report describes a relatively simple technique using readily available and economical prostheses to achieve a functionally stable chest wall. In this case, total mid-sternectomy was performed, followed by reconstruction using two reconstruction plates placed transversely on the second and third ribs, with hernia mesh beneath. The patient was extubated 24 hours postoperatively, although minimal paradoxical movements were observed without accompanying respiratory difficulty. Conclusion: Reconstruction plates and hernia mesh can maintain respiratory mechanics but require refinement to improve chest wall stability and protective function against external trauma.
Co-Authors Armini, I Gusti Ayu Harta, I Komang Adhi Parama Imam Cesyo, Giadefa Ketut Putu Yasa Pertiwi, Putu Febry Krisna