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All Journal E-Jurnal Medika Udayana Jurnal Kesehatan Andalas Mutiara Medika: Jurnal Kedokteran dan Kesehatan JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Global Health research Bali Anatomy Journal Essential: Essence of Scientific Medical Journal Pediatric Sciences Journal Eduvest - Journal of Universal Studies

Pande Putu Yuli Anandasari

Departement Of Radiology, Faculty Of Medicine, Universitas Udayana

Author-ID : 5274624

Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Correlation between Head Computed Tomography Scan Examination and Cranial Index Measurement in Pediatric Hydrocephalus Zulfariska, Nony; Anandasari, Pande Putu Yuli; Margiani, Ni Nyoman; Sitanggang, Firman Parulian; Patriawan, Putu; Widiana, I Gde Raka
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 22, No 1 (2022): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v22i1.12464

Hydrocephalus in children can inhibit child growth. However, if treated immediately, the patient will develop normal intelligence. In radiology, the most important problem is to detect hydrocephalus early. Currently, radiology examinations can detect hydrocephalus accurately with a CT scan to identify the presence of blockages and assess the degree. Skull radiography is used to assess the presence of advanced hydrocephalus. A comparison is carried out and assesses the relationship between hydrocephalus measurement on the ventricular and cranial index by scanogram. The study used a cross-sectional analytics design, using Picture Archiving and Communication System (PACS) data. There were 68 samples taken using consecutive sampling, obtaining ventricular index measurement results above 0.30, and patients under 12 years old. Spearman rank test showed a correlation between the ventricular index measurements and cranial index, with Spearmanâ€™s Rho (r) = 0.856 and p0.001 with linear equation Y= 2.973 + 0.005X. It revealed that the constant 2.973 indicated that if there is no B coefficient value, the participation value will be 2.973. Furthermore, regression coefficient X of 0.005 indicated that the participation value grows by 0.005 for every 1 addition of the B coefficient value with R2= 0.340.

Peripheral precocious puberty due to congenital adrenal hyperplasia with vanishing testis: a rare case in radiology Indira Prawita Martani; Pande Putu Yuli Anandasari; Dewa Gde Mahiswara Sudiatmika
Bali Anatomy Journal Vol 3 No 2 (2020): Bali Anatomy Journal (BAJ)
Publisher : Department of Anatomy, Medical Faculty, Universitas Udayana, Bali-Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36675/baj.v3i2.47

Background: Genetically, peripheral precocious puberty can be caused by congenital adrenal hyperplasia (CAH). Radiological examination is used for etiology findings and diagnostics. Peripheral precocious puberty of CAH generally affects girls with genitalia disambiguate, less common in boys. Incidence is I in 15.000 to 20.000 children with a female to male ratio of about 20:1. Case Report: A 5-year-old boy with voice change and hair growth in his penis. An immunoserology, endocrinology, electrolyte laboratory examination had been performed. Besides, some radiological tests of diagnostic bone age, upper abdominal ultrasound, and testicular ultrasound had been determined as confirmation of laboratory findings that support peripheral precocious puberty. In this case, an examination of human skeletal maturity was obtained according to the age of 14. Ultrasound examination showed adrenal enlargement with a size of 4 x 0.6 cm with a V-shaped and cribriform appearance. No testicular was found in the scrotum or the inguinal canal. Both 17-hydroxyprogesterone and testosterone level was increased subsequently. Conclusion: Bone age examination is needed to determine skeletal maturity. An ultrasound can be used to determine both etiology and concomitant abnormalities of the genital system. However, ultrasound can not detect the location of the testicle intraperitoneally. MRI examination is an imaging technique that is recommended if no testicles are found in the scrotum or inguinal.

Increase of Carotid Intima-Media Thickness and Reduction of Carotid Artery Lumen Diameter in Breast Cancer Patient Before and After Chemotherapy Inez Kartika; Made Widhi Asih; Elysanti Dwi Martadiani; Pande Putu Yuli Anandasari; Putu Patriawan; I Gde Raka Widiana
JBN (Jurnal Bedah Nasional) Vol 6 No 1 (2022): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2022.v06.i01.p02

Background: Increasing number of cancer survivor motivates clinical practitioner to focus on chronic effect of chemotherapy agent, especially those with vascular toxicity effect, which may attenuate the incidence of thrombosis and atherogenesis. Ultrasonography examination on carotid intima media thickness (C-IMT) provides acurate result in evaluating atherosclerotic. The purposes of this research are to find out any structural changes of carotid artery, especially atheroclerosis changes in breast cancer patient after chemoteraphy. Methods: Analytic cross sectional study using a pre post test group design in breast cancer patients. Eligible subjects undergo carotid ultrasonography examination prior to chemoteraphy and after they had completed the 3 cycles of chemoteraphy for the second exam. The examination was perfomed with the same USG machine, high frequency linier transducer (>7mHz) in B-mode under the auspecies of two reputable radiologist consultant. Results: Total patients are 26, mean of age (year) is 47.15 ± 8.11. Most dominant histopathology finding is invasive carcinoma nonspecific type, in 24 patients (92.4%) and the disease stage is in stadium III in 14 patients (53.9%). Mean C-IMT (mm) prior chemotherapy is 0.51 ± 0.06 and after chemotherapy is 0.58 ± 0.05, there is an increase of 0.07 ± 0.06 (p<0.0001). Carotid artery lumen diameter (mm) before chemotherapy is 4.05 ± 0.66 and after chemotherapy is 3.90 ± 0.73, so there is a decrease of 0.16 ± 0.40 (p =0.057). Conclusion: There is a statistically significant increase in intima media thickness of carotid wall of breast cancer patients after chemotherapy, consisted with chemoteraphy induced atherosclerosis.

Diagnostic Value of Gynecologic Ultrasonography as A Malignancy Predictor in Children's Ovarian Tumor Ni Made Putri Suastari; Pande Putu Yuli Anandasari; Putu Patriawan; Ni Nyoman Margiani; Firman Parulian Sitanggang; I Gde Raka Widiana
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 22, No 2 (2022): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v22i2.14389

The incidence of ovarian malignancy is rare in children, with proportions between 16-55%. A gynecologic ultrasonography score is expected to increase accuracy and be able to diagnose malignancy earlier. By using a retrospective cross-sectional study design, this study is a diagnostic test to assess ultrasonography examination as a predictor of malignancy with histopathological examination as the gold standard. The study subjects were 45 children admitted from July 2017 to December 2020. Characteristics of the subjects were obtained from medical records, gynecologic ultrasonography images were accessed from PACS, and histopathological results were obtained from SIMARS. The gynecologic ultrasonography images were scored by two observers using a scoring table. Variables assessed consisted of inner wall structure, wall thickness, septa, morphology, tumor vascularization and ascites. The data will then be analyzed, determining the optimal cut-off score, sensitivity, specificity, accuracy, and positive and negative predictive value. AUC value of 0.92 using a cut-off ≥14 obtained 15 malignant subjects and 1 benign subject and resulted in a sensitivity of 78.9%, specificity of 96.2%, a positive predictive value of 93.8%, a negative predictive value of 86.2%, and accuracy of 88.89%. It can be concluded that the diagnostic value of gynecologic ultrasonography examination as a predictor of malignant ovarian tumors in children was remarkable.

Ginjal tapal kuda dengan hidronefrosis unilateral sekunder akibat atresia ureter: laporan kasus Putu Kurnia Darma Pratama; Gede Wirya Kusuma Duarsa; Gusti Ayu Putu Nilawati; Pande Putu Yuli Anandasari
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Total prevalence of multiple congenital anomalies (MCA) was 15.8 per 10,000 births. Genitourinary anomalies were associated with MCA cases about 43.8% of the cases. The horseshoe kidney is one example of genitourinary anomalies related to the high incidence of MCA and up to one third also had hydronephrosis thought to be secondary to ureteric atresia.Case: A 10-month-old boy presented with a 5-month history of abdominal distention. On physical examination, there was a large non-tender cystic mass in the right upper abdomen extending down to the right lower abdomen. The other congenital anomalies on this patient were hydrocephalus, hypospadias, and bilateral undescended testis. Abdominal CT showed a significant right hydronephrosis with megaureter and mesenteric cyst. The horseshoe kidney was unclear. The surgical approach to the kidney was via a transverse upper abdominal transperitoneal incision. Exploration revealed a horseshoe kidney with cystic mass situated retroperitoneally on the right side, massive dilatation of renal pelvis and proximal ureter 3 cm from UPJ. The distal ureter was markedly atresia. It was decided to perform nephroureterectomy on the right side considering its thin renal cortex. The postoperative average urine production is 25 ml/hour, no bleeding from surgical wound, BUN 10.7 mg/dL, and serum creatinine 0.37 mg/dL.Conclusion: The horseshoe kidney is one example of genitourinary anomalies related to the high incidence of MCA. Up to one third with horseshoe kidney had hydronephrosis secondary to ureteric atresia, which can be managed by reconstruction surgery or nephroureterectomy considering the function of the affected side of kidney.Â

Constipation that needs attention: late Hirschsprung disease Kristin Agustina; Ni Nyoman Margiani; Pande Putu Yuli Anandasari; Ni Made Mahastuti
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Hirschprung disease (HD) or congenital aganglionic megacolon is an intestinal motor disorder that occurs in approximately 1 in 5000 live births. It makes colon fail to relax, mainly producing the symptoms of constipation. Approximately 90% of cases are diagnosed in the first year of life. Most of the remaining 10% are made in early childhood, with less than 1% being made in teenagers or adulthood.Case report: A 13 years old girl reported to the pediatric surgical outpatient department complaining constipation since birth. There was no history of delayed passage of meconium. A contrast enema study with water-soluble contrast showed high probability of ultrashort segment HD. Histopathological examination revealed neither nerve fibers with ganglion cells nor hypertrophy of nerve fibers were seen confirming the aganglionosis. Surgical treatment was performed with good clinical progression. Conclusion: Despite of its rarity, the possibility of HD should be considered in teenagers with chronic refractory constipation, especially when there was a history of delayed or non-passage of meconium after birth. An accurate diagnosis is mainly based on collective assessment of medical history, clinical examination, contrast enema study, and rectal biopsy as a gold standard.

Temuan radiologi dalam kelainan kongenital atresia jejunum: serial kasus Listyani Gunawan; Pande Putu Yuli Anandasari; Putu Patriawan
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Background: Jejunoileal atresia is an emergency due to mechanical gastrointestinal obstruction, a rare case with a prevalence rate of 1-3 per 10,000 births. There is no difference in incidence by gender. Delay in treatment results in huge losses in terms of malnutrition, failure to thrive, and even death. These case series aim to evaluate radiological findings in congenital jejunal atresia.Case Presentation: There were 3 patients with the main complaint of bilious vomiting. These three patients underwent a plain abdominal x-ray examination, obtained a picture of a high total obstruction with a triple bubble picture, or had a dilated picture of the proximal obstruction. Partial obstruction based on plain radiographs in one of the patients was found, followed by an examination of contrast meal which filled smoothly up to the jejunum segment with a windsock appearance. The three cases have been proven through surgery, various types of jejunal atresia were obtained. Intestinal resection was performed, followed by an end-to-end jejunal anastomosis.Conclusion: Correct diagnosis determines the appropriate treatment for the patient. Plain abdominal radiograph as an initial examination in assessing total or partial obstruction in the jejunum, with a typical triple bubble or dilated bowel segment proximal to the obstruction. The windsock appearance of the jejunal segment on the contrast meal confirms the diagnosis of the jejunal web. Latar Belakang: Atresia jejunoileal merupakan kegawatdaruratan akibat obstruksi mekanik gastrointestinal, yang merupakan kasus jarang dengan angka prevalensi 1-3 per 10000 kelahiran, tidak ada perbedaan insiden berdasarkan gender. Terlambatnya tatalaksana mengakibatkan kerugian yang besar baik malnutrisi, gagal tumbuh, hingga kematian. Laporan kasus ini bertujuan untuk mengevaluasi temuan radiologi dalam kelainan kongenital atresia jejunum.Laporan Kasus: Terdapat 3 pasien dengan keluhan utama muntah bilosa. Kemudian dari pemeriksaan foto polos abdomen didapatkan gambaran obstruksi total letak tinggi dengan gambaran triple bubble atau memiliki gambaran dilatasi dari proksimal obstruksi. Obstruksi parsial berdasarkan foto polos pada salah satu pasien, dilanjutkan pemeriksaan contrast meal yang mengisi lancar hingga segmen jejunum dengan windsock appearance. Ketiga kasus tersebut telah terbukti melalui hasil operasi, didapatkan atresia jejunum berbagai tipe. Dilakukan reseksi usus dilanjutkan anastomosis end-to-end jejunal.Kesimpulan: Diagnosis yang tepat, menentukan tatalaksana yang sesuai bagi pasien. Foto polos abdomen sebagai pemeriksaan inisial dalam menilai obstruksi total atau parsial pada jejunum, dengan gambaran khas triple bubble atau dilatasi segmen usus proksimal dari obstruksi. Windsock appearance segmen jejunum pada contrast meal mempertajam diagnosis jejunal web.

KARAKTERISTIK IMAGING CT-SCAN PADA PENDERITA BATU GINJAL DAN BATU SALURAN KEMIH DI RSUP PROF NGOERAH TAHUN 2021-2022 I Gede Agus Pradana; Pande Putu Yuli Anandasari; Ni Nyoman Margiani; Dewa Gde Mahiswara Suadiatmika
Essence of Scientific Medical Journal Vol 21 No 2 (2024): Volume 21 No. 2 (Juli - Desember 2023) Essential: Essence of Scientific Medical
Publisher : Kelompok Ilmiah Hippocrates Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/essential.v21i2.109214

ABSTRAK Pendahuluan: Batu ginjal atau dikenal dalam dunia kedokteran sebagai nefrolitiasis adalah kondisi terbentuknya batu di pelvis renalis. Batu yang masuk ke dalam sistem pengumpulan urin meliputi ureter, vesika urinaria, dan uretra disebut dengan urolitiasis. Gold standar untuk menegakkan diagnosis batu ginjal dan batu ureter adalah CT-Scan dengan parameter penilaian densitas jenis batu yang digunakan adalah Hounsfield unit (HU). Metode: Penelitian ini menggunakan desain deskriptif retrospektif dengan rancangan cross-sectional. Sampel dipilih berdasarkan kriteria inklusi dan eksklusi. Tempat penelitian di RSUP Prof Ngoerah selama 6 bulan menggunakan teknik total sampling. Pengolahan data menggunakan SPSS ver. 25 dengan analisis univariat. Hasil: Data sekunder rekam medis CT-Scan pada Penderita Batu Ginjal dan Batu Saluran Kemih di RSUP Prof Ngoerah Tahun 2021-2022 didapatkan 123 sampel dan 89 sampel memenuhi kriteria inklusi Pembahasan: Berdasarkan kelompok jenis kelamin paling banyak ditemukan yaitu jenis kelamin laki-laki sebanyak 55 pasien (61.8%). Berdasarkan kelompok usia, paling banyak ditemukan pada kelompok usia 51-60 tahun sebanyak 27 pasien (30.3%). Berdasarkan Lokasi batu, terbanyak ditemukan di kaliks bawah sebanyak 33 pasien (37.1%). Berdasarkan ukuran batu paling banyak yaitu < 5 mm sebanyak 24 pasien (27.0%). Berdasarkan pelebaran calyces, mayoritas tidak ditemukan sebanyak 51 pasien (57.3%). Berdasarkan pelebaran ureter, mayoritas tidak ditemukan sebanyak 68 pasien (76.4%). Kesimpulan: karakteristik dominan ditemukan pada jenis kelamin laki-laki, kelompok usia 51-60 tahun, lokasi kaliks bawah, densitas HU 200-450, ukuran batu < 5 mm, tidak ditemukan pelebaran calyces dan ureter. Kata kunci : Batu ginjal, Batu ureter, CT-Scan

GAMBARAN FOTO TORAKS DAN GEJALA KLINIS PENDERITA TB PARU ANAK DI RSUP PROF. DR. I.G.N.G NGOERAH PERIODE JANUARI 2021 – JUNI 2022 Angelina, Vioreli; Ayusta, I Made Dwijaputra; Anandasari, Pande Putu Yuli; Patriawan, Putu
E-Jurnal Medika Udayana Vol 12 No 12 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i12.P01

Tuberculosis (TB) is an infectious disease whose incidence is still quite high in Indonesia. The increasing incidence of pediatric pulmonary TB is still happening today. The diagnosis of pediatric pulmonary TB is still a hot topic because the chest radiograph and clinical symptoms are not typical and are often found in other diseases. The aim of the research is to know the overview of chest radiograph and clinical symptoms of pediatric pulmonary TB patients. This research was conducted at Prof. RSUP. Dr. I.G.N.G Ngoerah January 2021 – June 2022 using a cross-sectional descriptive method and medical record data as source with total sample is 30 people. Univariate analysis was performed using the Statistical Package for the Social Science (SPSS) version 26.0 for MacOS. The results of the study are majority of pediatric pulmonary TB patients at RSUP Prof. Dr. I.G.N.G Ngoerah January 2021 – June 2022 is female (60%), age group 11-16 years (50%), abnormal chest radiograph (96.7%), asymptomatic (63.3%), lymphadenopathy of hilar/paratracheal lymph nodes with/without parenchymal consolidation (96.7%), cough symptoms (30%). Children with pulmonary TB at RSUP Prof. Dr. I.G.N.G Ngoerah January 2021 – June 2022 is dominated by female gender, age group 11-16 years, abnormal chest radiograph, asymptomatic, lymphadenopathy of hilar/paratracheal lymph nodes with/without parenchymal consolidation and symptoms of cough.

HUBUNGAN ANTARA LEUKOARAIOSIS DAN ATROFI KORTIKAL GLOBAL PADA LANSIA Eveline, Ency; Sitanggang, Firman Parulian; Ayusta, I Made Dwijaputra; Putra, I Wayan Gede Artawan Eka; Anandasari, Pande Putu Yuli; Margiani, Ni Nyoman
E-Jurnal Medika Udayana Vol 11 No 6 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i06.P14

ABSTRAK LATAR BELAKANG: Prevalens leukoaraiosis dan atrofi kortikal global (GCA) meningkat seiring dengan meningkatnya usia. Tujuan penelitian ini adalah untuk menentukan apakah leukoaraiosis merupakan faktor risiko terjadinya GCA dan derajat leukoaraiosis berapakah yang berhubungan dengan kejadian GCA. METODE: Penelitian ini melibatkan 100 lansia yang berobat ke IGD RSUP Sanglah Denpasar yang melakukan CT-Scan kepala dengan indikasi apapun pada periode Juli 2021 hingga Januari 2022. Pemilihan sampel dilakukan secara simple random sampling menggunakan aplikasi random number generator. HASIL: Rerata usia subjek didapatkan 71,7 ± 7,7 tahun, 59% berjenis kelamin perempuan, 52% memiliki riwayat hipertensi, 29% riwayat dislipidemia, dan 13% merokok. Mayoritas yaitu 72% subjek menderita leukoaraiosis dan 67% menderita atrofi. Uji perbandingan kejadian atrofi berdasarkan leukoaraiosis menunjukkan 80,6% lansia dengan leukoaraiosis menderita atrofi dengan prevalence ratio 2,5 dan nilai P<0,001. Lalu dilakukan analisis perbandingan proporsi yang membandingkan derajat leukoaraiosis dan skala atrofi dengan membuat tabulasi silang. Hasil uji linear by linear association didapatkan koefisien korelasi Spearman sebesar r=0,535 dengan nilai P<0,001 yang menunjukkan korelasi positif dengan kekuatan korelasi sedang antara derajat leukoaraiosis dan skala atrofi. Analisis multivariat menggunakan uji regresi Poisson menunjukkan adanya hubungan antara leukoaraiosis dan atrofi kortikal global setelah mengontrol variabel perancu by analysis dimana didapatkan hasil adjusted prevalence ratio sebesar 2,2 dengan nilai P=0,034. SIMPULAN: Leukoaraiosis secara independen memberikan peluang terjadinya atrofi sebanyak 2,2 kali pada lansia. Derajat leukoaraiosis yang mulai berhubungan dengan kejadian atrofi adalah sejak derajat ringan. Kata kunci: Leukoaraiosis, atrofi kortikal global, lansia

Co-Authors Agustina, Kristin Angelina, Vioreli Anggreini, Faradilla Novita Ayusta, I Made Dwijaputra Dewa Gde Mahiswara Suadiatmika Dewa Gede Mahiswara Suadiatmika Eka Gunawijaya Eka Putra, I Wayan Gede Artawan Elysanti Dwi Martadiani Eveline, Ency Fiona Fiona, Fiona Firman Parulian Sitanggang Gede Wirya Kusuma Duarsa Gusti Ayu Putu Nilawati I Gde Raka Widiana I Gede Agus Pradana I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka Indira Prawita Martani Inez Kartika Ketut Dewi Kumara Wati Kristin Agustina Listyani Gunawan Made Widhi Asih Mahendra, I Gusti Agung Gede Mukti, Kezia Sondang Ni Made Mahastuti Ni Made Putri Suastari Ni Nyoman Margiani Ni Putu Veny Kartika Yantie, Ni Putu Veny Kartika Patriawan, Putu Putu Kurnia Darma Pratama Ronaldi, Melissa Santoso, Ivon Indriyanti Sitanggang, Firman Parulian Zulfariska, Nony

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