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All Journal Medicina Sport and Fitness Journal Buletin Udayana Mengabdi E-Jurnal Medika Udayana Bali Journal of Anesthesiology Indonesian Journal of Medicine ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Keperawatan dan Fisioterapi (JKF) International Journal of Economic Research and Financial Accounting

I Ketut Suyasa

Departemen Ortopedi Dan Traumatologi, Universitas Udayana, Denpasar

Author-ID : 398082

Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Public Health Social Sciences Other

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Bacterial growth from the surgical wound base smear at the end of the operation and superficial surgical site infection in the administration of cefazolin single dose, ceftriaxone single dose, and ceftriaxone 3 days as prophylactic antibiotics in cases of Mario Daniel Simatupang; I Wayan Suryanto Dusak; I Ketut Suyasa; I Gede Eka Wiratnaya
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: The use of prophylactic antibiotics in hospitals still often found to be not in accordance with the guidelines of prophylactic antibiotics used and therapy published by the hospital itself. This study aims to compare the effectiveness of prophylactic antibiotics between cefazolin and ceftriaxone in single-dose administration in patients with closed long bone fractures after implant surgery in Sanglah General Hospital on the incidence of Surgical Site Infection (SSI) and germ growth on the base of the surgical wound.Methods: This study used a randomized clinical trial design from a population of closed long bone fracture patients who underwent implant surgery at Sanglah General Hospital. The sample selection was carried out by consecutive sampling during the period July-August 2020. The statistical test was the Chi-Square Test or Fisher Exact Test using the SPSS version 20 for Windows.Results It was found that there was no growth of germs, or in other words, negative culture results were obtained in all study subjects (growth of N (%) 0 (0%), p = -) bacteria in all three groups on a single dose and 3-days dose. SSI did not occur in all study subjects in the three groups so that it could automatically be concluded that there was no difference in the proportion of SSI incidents in the three groups (SSI incidence N (%) 0 (0%), p = -) on single-dose and 3 days dose antibiotics administration, so that the proportional comparison test, either the Chi-Square test or the Fisher Exact test, cannot be performed.Conclusion The prophylactic antibiotics (which are the cephalosporins, namely single dose generic cefazolin and single-dose generic ceftriaxone and 3 days dose) have the same effectiveness in preventing the growth of germs on the surgical wound base smear and prevent the occurrence of superficial SSI on the 30th postoperative day.

Cast immobilization and addition of platelet rich plasma in intraarticular distal radius fracture resulting a better functional outcome to the internal fixation and radius union scorings system Komang Indra Teguh Wisesa; I Ketut Siki Kawiyana; I Ketut Suyasa
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Introduction: Intra-articular distal radius fracture is one of the most frequent injuries, especially in adults (20%). In this condition, anatomic reduction is required to reduce the possibility of complications, either with internal plate screw fixation (ORIF-PS) or conservatives such as the use of casting. Giving Platelet Rich Plasma (PRP) as one of the biologic agents to conservative management is expected to improve the outcome and become a promising alternative therapy.Methods: This study was an experimental study with a post-test control only group design on patients with intra-articular radius fractures at Sanglah General Hospital Denpasar during the period September 2019 to March 2020. The samples were selected by random sampling. Evaluation of the functional outcomes of the therapy given through DASH and RUSS scores was evaluated twice, namely at week 6 and week 12 post-therapy. Descriptive data analysis, General Linear Model (GLM) test and post hoc test were also carried out.Results: There were 45 patients divided into 3 groups; the first group of a plaster cast therapy and PRP injection, the second group of only plaster cast and the third group of ORIF. The first group showed better in DASH scores than the second group but not better than the third group, both at week 6 and 12. The results of the GLM and post hoc analysis also showed that the first group showed better RUSS scores than the second group.Conclusion: The addition of PRP has a better result than conservative therapy without PRP but ORIF still was the best therapy.

PROGRAM LAWAR MERAH BEBAS CACINGAN BAGI MASYARAKAT DESA ADAT L.G.M. Gutama; A. Salim; N.M. Jaya; I.K. Suyasa; M.R.S. Devinta; I.A.I. Wahyuniari
Buletin Udayana Mengabdi Vol 20 No 3 (2021): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Penyakit infeksi cacingan khususnya disebabkan oleh cacing pita Taenia solium (taeniasis) masih ditemukan di Indonesia hingga saat ini. Prevalensi taeniasis terbesar se-Provinsi Bali terletak di Kabupaten Karangasem. Taeniasis dapat terjadi jika masyarakat mengonsumsi daging babi yang terinfeksi Taenia solium, salah satunya lawar merah yang merupakan makanan khas Bali. Masyarakat Karangasem yang masih kental dengan tradisi makan lawar merah berisiko tinggi mengalami taeniasis apabila proses pembuatan lawar merah tidak dilakukan dengan baik dan benar. Program edukasi kepada masyarakat dibuat guna mencegah penyakit cacingan karena proses pembuatan yang kurang tepat. Metode yang diterapkan yaitu memberikan wawasan ilmu kesehatan mengenai taeniasis dan bagaimana cara membuat lawar merah yang bebas cacingan. Hasil menunjukkan bahwa program ini menarik perhatian masyarakat, mampu diikuti, dan bisa dimengerti masyarakat. Program ini juga telah direkomendasikan kepada kepala banjar dinas untuk dijadikan kebiasaan baru dalam memasak lawar merah. Kata kunci: Cacingan, Edukasi, Lawar merah, Masyarakat, Taeniasis.

Perbedaan Kadar Tumor Marker CEA dan CA 125 Antara Karsinoma Paru dengan Metastase Tulang dan Karsinoma Paru Tanpa Metastase Tulang di RSUP Sanglah Denpasar Tamzil, Kezia Aurelia; Wiratnaya, I Gede Eka; Astawa, Putu; Suyasa, I Ketut
E-Jurnal Medika Udayana Vol 11 No 11 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i11.P07

Lung carcinoma is one of the most common malignancies metastasized to bone, as much as 30-40% of lung malignancies metastasize to bone in the course of the disease. Carcinoembryonic Antigen (CEA) and Cancer Antigen 125 (CA 125) are tumor markers often used to assess lung malignancy. Eventhough the character of tumor markers are less sensitive and specific, some evidence address an increase in these tumor markers in the case of lung malignancies which metastasize to bone. The purpose of this study is to prove an increase in the levels of tumor markers CEA and CA 125 in lung carcinoma with bone metastases compare to lung carcinoma without bone metastases. A cross sectional study consecutively by reviewing lung carcinoma with bone metastases and without bone metastases in patient’s medical record between 2013-2021 at RSUP Sanglah Denpasar. Of 50 lung carcinoma patients (25 patients with bone metastases and 25 patients without bone metastases), levels CEA and CA 125 tumor markers were processed using SPSS. The results showed levels of CEA were significantly higher in lung carcinoma with bone metastases (p=0,028), but levels of CA 125 were not significantly higher in lung carcinoma with bone metastases (p=0,796). The results of the study concluded that levels of CEA could be used as a valuable marker to assess lung malignancy which metastasized to bone in clinical application. Keywords: Tumor Marker Levels, CEA, CA 125, Lung Carcinoma, Bone Metastases

PROFIL PENDERITA CHARCOT FOOT DENGAN DIABETES MELITUS DI POLI ORTHOPEDI RSUP PROF. DR. I.G.N.G NGOERAH TAHUN 2020-2021 Sitranata, Madeline Juliand; Subawa, I Wayan; Wiratnaya, Gede Eka; Suyasa, I Ketut
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P18

Latar belakang: Charcot foot merupakan proses inflamasi yang mengenai bagian sendi, tulang, dan jaringan lunak lainnya dan termasuk salah satu komplikasi dari diabetes melitus. Data profil penderita charcot foot dengan diabetes melitus masih belum ada hingga saat ini di Bali, termasuk di poli orthopedi RSUP Prof. Dr. I.G.N.G Ngoerah. Tujuan: Mengetahui distribusi profil penderita charcot foot dengan diabetes melitus di poli orthopedi RSUP Prof. Dr. I.G.N.G Ngoerah selama periode 2020-2021. Metode: Penelitian ini menggunakan metode deskriptif potong lintang dengan memakai data rekam medis penderita charcot foot dengan diabetes melitus di poli orthopedi RSUP Prof. Dr. I.G.N.G Ngoerah tahun 2020-2021 dengan sampel sebanyak 14 orang. Hasil penelitian: Didapatkan bahwa penderita charcot foot dengan diabetes melitus didominasi pada kelompok usia 40-44 tahun 28,6% dan berjenis kelamin perempuan 64,3% dengan status nutrisi obesitas 57,1%. Seluruh kasus menderita diabetes melitus tipe 2 dan kadar HbA1c ?6,5% sebanyak 78,6%. Kesimpulan: Profil penderita charcot foot dengan diabetes melitus di poli orthopedi RSUP Prof. Dr. I.G.N.G Ngoerah didominasi dari kelompok usia 40-44 tahun dan berjenis kelamin perempuan yang dimana seluruh kasus menderita diabetes melitus tipe 2 dengan status nutrisi obesitas dan kategori kadar HbA1c nya ?6,5%. Kata kunci : Profil, Charcot Foot, Diabetes Melitus

KARAKTERISTIK OSTEOSARKOMA DI RUMAH SAKIT UMUM PUSAT PROF. DR. I.G.N.G. NGOERAH DENPASAR Ghanaputri, Made Maharani Calistha; Eka Wiratnaya, I Gede; Suyasa, I Ketut; Yuda Asmara, Anak Agung Gde
E-Jurnal Medika Udayana Vol 12 No 10 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i10.P07

ABSTRAK Latar Belakang: Osteosarkoma adalah keganasan jaringan tulang yang dapat ditemukan pada anak-anak, remaja, serta lansia. Osteosarkoma memerlukan pendeteksian dan penanganan sejak dini. Tujuan: Mengetahui karakteristik penderita osteosarkoma di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar Tahun 2018 – 2020 berdasarkan usia, jenis kelamin, lokasi tulang, klasifikasi tipe lesi, dan penatalaksanaan. Metode: Sampel populasi penelitian ini adalah penderita osteosarkoma yang dirawat di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar pada tahun 2018 – 2020. Metode penelitian yang digunakan adalah deskriptif dengan lini waktu secara retrospektif. Teknik pengambilan sampel menggunakan total sampling. Hasil dan Kesimpulan: Sebagian besar penderita berada dalam kelompok usia 11-20 tahun. Sebagian besar penderita berjenis kelamin laki-laki. Sebagian besar lesi terjadi pada os femur. Lesi kebanyakan adalah osteosarkoma konvensional. Sebagian besar penderita menjalani perawatan kemoterapi. Hasil penelitian yang dilakukan sesuai dengan hasil penelitian-penelitian sebelumnya. Diperlukan penelitian lebih lanjut untuk mendapatkan gambaran yang lebih luas serta untuk menemukan hubungan antarvariabel dengan outcome penderita. Kata kunci : Karakteristik, Kemoterapi, Osteosarkoma, Tumor Tulang

Clinical Outcomes Comparison in Administration of Secretome vs Hyaluronic Acid in Patients with Knee Osteoarthritis Kellgren-Lawrence Grade I-III Aryana, I Gusti Ngurah Wien; Suyasa, I Ketut; Dharmayuda, Cokorda Gde Oka; Febyan; Gunawan, Dary
Indonesian Journal of Medicine Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.4.798

Background: The prevalence of OA in Indonesia is predicted to reach more than 20% of the population aged over 60 years in 2050, with a high risk of disability. So far, early treatment of osteoarthritis in the form of administering hyaluronic acid has not been completely satisfactory and tends to be progressive until ending in more invasive operative therapy. This study aimed to compare the clinical outcomes between secretome injection and hyaluronic acid in patients with Kellgren-Lawrence grade I-III knee osteoarthritis. Subjects and Method: This was a single-blind experimental study. This study was conducted in the orthopedic polyclinic at General Hospital Prof. Dr. I.G.N.G. Ngoerah Bali. A total sample of 36 knee osteoarthritis patients was selected using permuted block sampling with randomization. The sample was divided into two groups, (1) secretome (intervention group) and (2) hyaluronic acid (control group). The independent variables were secretome injection and hyaluronic acid injection. The dependent variable was pain. Pain was measured using Western Ontario and McMaster University (WOMAC), Knee Osteoarthritis Outcome Score (KOOS), Visual Analog Score (VAS), and Patient-Reported Outcome Measure (PROM). Results: Based on gender, there are more women than men and the right foot is more affected at 58.3%. Functional score parameters in each secretome and hyluronic acid group were compared between the 3rd and 6th months of follow-up. Pain in the hyaluronic acid group was lower than in the secretome group. Conclusion: Hyaluronic acid has better effect in pain reduction than secretome. Further studies could explore the underlying mechanisms and potential long-term effects to better understand these differences in pain outcomes.

Third-Party Interest Rate Spread Determinant of Bank in Indonesia Suyasa, I Ketut; Manurung, Adler; Usman, Bahtiar
International Journal of Economic Research and Financial Accounting Vol 3 No 2 (2025): IJERFA JANUARY 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijerfa.v3i2.248

This research examines the determinants of the banks’ third-party interest rate spread. The dependent variable of this research is the banks’ third-party interest rate spread. Independent variables include the bank-specific, macroeconomic, and global condition factors. The bank-specific factors include capital adequacy, unresolved credit, corporate value, operational inefficiency, non-interest income portion, and stocks’ total risk. The reference interest rate and saving propensity are part of macroeconomic factors. The global condition factor uses the COVID-19 pandemic as a dummy variable. The mediating variable uses the banks’ customer trust. The banks’ customer trust consists of depositor trust and debtor trust. The research uses panel data from banks' annual reports, the Indonesian Central Bank (Bank Indonesia), Indonesia's Central Bureau of Statistics (Badan Pusat Statistik), and Yahoo Finance from 2010 to 2022. According to the panel selection and classical test, the Generalize Leases Square Fix Effect Model was chosen for panel data estimation. This research found that unresolved credit, operational inefficiency, and saving propensity significantly affect depositor trust. Unresolved credit, operational inefficiency, saving propensity, and the COVID-19 pandemic significantly affect debtor trust. Capital adequacy, operational inefficiency, saving propensity, stocks’ total risk, the COVID-19 pandemic, depositor trust, and debtor trust significantly affect the third-party interest rate spread. Depositor trust and debtor trust as mediating variables successfully mediated some of the independent variables to influence third-party interest rate spread.

Intrafracture Recombinant Platelet-Derived Growth Factor Improves Fracture Healing Process on Wistar Rat Aryana, I Gusti Ngurah Wien; Giri, Kadek Gede Bakta; Suyasa, I Ketut; Lestari, Anak Agung Wiradewi
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.08.02.02

Background: Femoral fracture is associated with high morbidity and mortality, especially in young adults with high-energy injuries. Abnormal fracture healing presents as a significant matter in management of femoral fracture. Platelet Derived Growth Factor (PDGFBB) is proposed as potential agent in fracture healing. Up to this point, PDGF has been scientifically studied improve wound healing by enhancing fibroblast proliferation, extracellular matrix synthesis, and revascularization. This study aims to evaluate role of PDGF on fractured bone healing.Subjects and Method: This was a randomized controlled trial conducted at Animal and Biomedical Laboratory of Udayana University, from March to September 2022. 36 male and healthy Wistar Rats at 34 months old and weighs 140160 grams were selected for this study. The dependent variables were Allen score, type I and type III collagen levels. The independent variable was administration of 10 mcg PDGFBB following femoral osteotomy and intramedullary wire fixation. Type I and III collagen levels are assessed using ELISA methods. Statistical analysis is performed using independent T-test in SPSS ver 25.0 software.Results: Allen score in the PDGFBB group (Mean= 3.89; SD= 1.40) was higher than control group (Mean= 2.28; SD= 1.48), with p=0.002. Type I collagen in the PDGFBB group (Mean= 4.97; SD= 0.54) was higher than control group (Mean= 4.41; SD= 0.74), with p=0.014. Type III collagen in the PDGFBB group (Mean= 12.1; SD= 2.49) was higher than control group (Mean= 10.01; SD= 1.61), with p=0.005.Conclusion: In comparison to the nonPDGFBB group, Wistar rats that had their femurs osteotomized and joined with intramedullary wire in the PDGFBB group has higher mean of Allen score, type I and type III collagen levels.Keywords: femoral fracture, allen score, type I collagen, type III collagen, PDGFBBCorrespondence: IGN Wien Aryana, Consultant of Sports Medicine, Dept. Orthopaedic and Traumatology, Prof IGNG Ngoerah General Hospital, Faculty of Medicine, Udayana University. Jl. Diponegoro, Dauh Puri Klod. Denpasar City, Bali 80113. Email: wienaryanaortho@gmail.com. Mobile: +62811385263.Indonesian Journal of Medicine (2023), 08(02): 136141https://doi.org/10.26911/theijmed.2023.08.02.02

The Addition Of Pressure Biofeedback Unit In Forward Head Exercise Is Better On Improving Neck Alignment Asymptomatic Forward Head Posture I Gede Eka Juli Prasana; I Nyoman Adi Putra; Wahyuddin; I Ketut Suyasa; Muliarta; I Made Krisna Dinata
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2212

Asymptomatic forward head posture is a chronic condition without symptoms. Improvement in neck alignment can be enhanced by adding a pressure biofeedback unit to forward head exercises. The aim of this study was to determine if the addition of a pressure biofeedback unit to forward head exercises is more effective in improving neck alignment in high school students with asymptomatic forward head posture compared to forward head exercises alone. This study was conducted at SMA N 1 Semarapura in April-May 2021, using a two-group pre-post test design with simple random sampling. There were two groups consisting of 14 samples each. Group I was given forward head exercises with the addition of a pressure biofeedback unit, and Group II was given forward head exercises alone. The outcome measure for neck alignment was the craniovertebral angle, measured using a goniometer. Analysis was performed using the Shapiro-Wilk test and Levene's test. The difference in mean neck alignment was tested using paired t-tests. An independent sample t-test showed an increased difference in neck alignment in both groups. In Group I, the mean pre-test score was 45.57±1.45 and the post-test neck alignment was 53.21±1.36, with a mean difference of 7.35±1.49 and a p-value of 0.000. In Group II, the pre-test score was 45.78±1.85 and the post-test score was 50.28±1.22, with a mean difference of 4.5±1.2 and a p-value of 0.000. A significant difference in neck alignment improvement was found based on the comparison test, with a p-value of 0.000. The study results indicate a significant difference in the improvement of neck alignment between the two groups. The addition of a pressure biofeedback unit to forward head exercises is effective in improving neck alignment in high school students with asymptomatic forward head posture at SMA N 1 Semarapura.

Co-Authors A. Salim Aakash Aakash Adler Manurung Agus Frandes Sariaman Anak Agung Gde Yuda Asmara Anak Agung Wiradewi Lestari Aryana, I Gusti Ngurah Wien Bahtiar Usman, Bahtiar Christopher Ryalino Dharmayuda, Cokorda Gde Oka Dwiwahyonokusuma Dwiwahyonokusuma Eka Wiratnaya Febyan Gede Agung Krisna Yudha Gede Ketut Alit Satria Nugraha Gede Parta Kinandana Ghanaputri, Made Maharani Calistha Giri, Kadek Gede Bakta Gunawan, Dary Herryanto Agustriadi Simanjuntak I Gede Eka Juli Prasana I Gede Ratnaya I Gusti Lanang Ngurah Agung Artha Wiguna I Gusti Ngurah Pramartha Wijaya Putra I Gusti Ngurah Wien Aryana I Made Ady Wirawan I Made Krisna Dinata I Nyoman Adi Putra I Nyoman Mangku Karmaya I Putu Adiartha Griadhi I Wayan Subawa I Wayan Suryanto Dusak Ivander Purvance Jonathan Pratama Swannjo Ketut Gede Mulyadi Ridia Ketut Siki Kawiyana Komang Indra Teguh Wisesa Komang Septian Sandiwidayat L.G.M. Gutama Luh Putu Ratna Sundari M.R.S. Devinta Made Bramantya Karna Made Priska Arya Agustini Made Wirabhawa Mario Daniel Simatupang Muhammad Irfan Muliarta N.M. Jaya Ni Made Puspa Dewi Astawa Pradnyani, Ni Putu Novita Putu Astawa Putu Indah Budi Apsari Putu Kermawan Sitranata, Madeline Juliand Sri Maliawan Stedy Adnyana Christian Tamzil, Kezia Aurelia Vidyaputra T.A. Wahyuddin Wahyuddin, Wahyuddin Wibowo T Wiguna I G.L.N.A.A Wiratnaya, Gede Eka Yuda Asmara, Anak Agung Gde Yudhi I GN

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