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All Journal Acta Interna : The Journal of Internal Medicine Jurnal Kansasi : Jurnal Pendidikan Bahasa dan Sastra Indonesia
Marcellus, Marcellus
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology

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Correlation Between the Presences of Ascites with MELD-Na Scoring in Liver Cirrhosis Patients Marcellus, Marcellus; Ratnasari, Neneng; Indrarti, Fahmi
Acta Interna The Journal of Internal Medicine Vol 12, No 2 (2023): Acta Interna The Journal of Internal Medicine
Publisher : Faculty of Medicine Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/actainterna.98482

Abstract

Background. Global prevalence of liver cirrhosis (LC) ranges from 4.5% to 9.5% of the general population amounting to more than fifty million people in the world. The Model for End Stage Liver Disease (MELD-Na) is commonly used to determine the prognosis and survival of liver cirrhosis patient. MELD-Na scoring consists of creatinine, bilirubin, international normalized ratio (INR), and serum sodium. Ascites is one of the clinical signs of decompensated liver cirrhosis, as well as present in Child Turcotte Pugh (CTP). The purpose of this study was to investigate the association between the presence of ascites and MELD-Na scores of LC patients.Methods. This cross-sectional study was performed in LC patients who met the inclusion without exclusion criteria. The study was conducted at RSUP Dr. Sardjito, Yogyakarta, Indonesia during 2017-2018 periods. The MELD-Na value was calculated using the following equation:MELD-Na = 9.57 ln (creatinine mg/dL) + 11.2 ln (INR) + 3.78 ln (bilirubin mg/dL) + 1.59 (135-Na [mEq/L]) + 6.43. Differences of mean MELD-Na scores based on presenting of ascites were tested by independent T-tests. The cut-off value of MELD-Na was determined through the Receiver Operating Characteristic (ROC) curve. The relationship between the presence of ascites and the MELD-Na value was determined by the Fisher exact test; the correlation strength was determined by Phi and Crammer's V test. Prevalence ratio (PR) was calculated for determining the predictor factors. The results were considered statistically significant when the probability value p <0.05 was obtained.Results. There were 59 subjects (41 male and 18 female). The mean age of subjects was 52.05 years old. The 39 patients were found ascites and 20 patients were not. Based on independent T test results there was a significant difference in mean values of MELD-Na (p=0.006). Based on the ROC curve result, a cut-off point of 20.7 (95% specificity, 35% sensitivity) with Area under the Curve (AUC) was 0.662 (p=0.042). Based on the cut-off, Fisher test with 2x2 tables, Phi and Cramer's V test were done with p value 0.022; 0.015; 0.015 respectively. The PR value was 1.607 (95% CI: 1.203-2.145).Conclusion. There was a significant correlation between the presences of ascites with MELD-Na scoring using cut-off point of 20.7 and value of Prevalence Ratio of 1.6.
EKSISTENSI BUDAYA BEKANA DAYAK DESA DALAM GAWAI SEBAGAI UNGKAPAN SYUKUR KEPADA PETARA PENGUASA ALAM Samson, Samson; Marcellus, Marcellus; Johan, Hadep
Jurnal Kansasi: Jurnal Pendidikan Bahasa Indonesia dan Sastra Indonesia Vol 10, No 2 (2025): Jurnal Kansasi: Jurnal Pendidikan Bahasa dan Sastra Indonesia
Publisher : PBSI STKIP Persada Khatulistiwa Sintang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31932/jpbs.v10i2.6128

Abstract

Gawai merupakan ritual adat yang memiliki peran sentral dalam kehidupan masyarakat Dayak Desa sebagai bentuk ungkapan syukur atas hasil panen dan keberlangsungan hidup. Salah satu unsur penting dalam pelaksanaan Gawai adalah ritual Bekana yang sarat dengan makna simbolik, spiritual, dan sosial. Penelitian ini bertujuan untuk mengkaji Bekana sebagai ekspresi eksistensi budaya Dayak Desa serta sebagai media ungkapan rasa syukur kepada Petara, yang dipahami sebagai penguasa alam dan tanah. Penelitian ini menggunakan metode kualitatif dengan pendekatan etnografi melalui observasi lapangan, wawancara mendalam dengan tokoh adat, dan studi dokumentasi. Hasil penelitian menunjukkan bahwa Bekana tidak hanya berfungsi sebagai ritual keagamaan, tetapi juga sebagai sarana pelestarian identitas budaya, penguatan solidaritas sosial, serta manifestasi relasi harmonis antara manusia, alam, dan kekuatan adikodrati. Dengan demikian, ritual Bekana menjadi simbol keberlanjutan budaya Dayak Desa di tengah dinamika perubahan sosial. Kata kunci: Bekana, Dayak Desa, Gawai, ekspresi budaya, Petara
Co-Authors Fahmi Indrarti Johan, Hadep Neneng Ratnasari Samson, Samson