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INDONESIA
ISM (Intisari Sains Medis) : Jurnal Kedokteran
Published by Universitas Udayana
ISSN : 25033638     EISSN : -     DOI : -
Core Subject : Health, Science,
Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and Theory. We also publish cases from third world country, that is considered very rare and special cases.
Arjuna Subject : -
Articles 1,063 Documents
Hubungan kualitas hidup dan faktor resiko pada usia lanjut di wilayah kerja puskesmas Tampaksiring I Kabupaten Gianyar Bali 2015 Gede Wikananda
Intisari Sains Medis Vol. 8 No. 1 (2017): (Available online: 1 April 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.874 KB) | DOI: 10.15562/ism.v8i1.112

Abstract

Aging is a process characterized by a wide range of changes that occur in an individual, both mentally, socially, and physically. Along with increasing age, it is associated with changes in the quality of life of the individual. Unfortunately, these changes tend to be associated to a less good. It is associated with various factors, such as changes in socio-economic environment in the sense to stop working due to retirement, the inability to take part in society, loss of family and friends, the dependence of physical needs, a decrease in physical conditions, and lack of attention from people around, especially families in meeting the needs of physically and mentally the elderly. This condition can cause severe morbidity for the elderly if not handled properly, causing a bad impact on quality of life for the elderly which leads to increased morbidity and mortality. Based on these problems, the authors conducted a study to determine the level of quality of life for the elderly associated with various risk factors in the elderly in Puskesmas Tampaksiring I as a step advocacy in improving the programs of promotion and prevention in dealing with problems of the elderly in Puskesmas Tampaksiring I.                This study is a cross - sectional descriptive study . Samples are elderly aged 60 years and older with a sample size of 90 people selected randomly in Tampaksiring Village and Village Sanding District Tampaksiring Gianyar regency using multistage random sampling technique. Data were obtained through interviews with respondents using a structured questionnaire.                The results showed that the lack or poor quality of life associated with the age group > 70 years, male gender, low education levels, status is not married or a widow / widower, did not work, the level of monthly income is low, and the presence of > 2 chronic disease.
Karakteristik kasus kecelakaan di UPT kesmas Tegallalang I Kabupaten Gianyar Bali 2014 Ida Bagus Candra Pranadhita
Intisari Sains Medis Vol. 8 No. 1 (2017): (Available online: 1 April 2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (897.384 KB) | DOI: 10.15562/ism.v8i1.113

Abstract

Accidents are unpredictable and can not be anticipated by someone. Generally, accidents can be divided into traffic accidents and occupational accidents. In Indonesia, the mortality rate of traffic accidents are 120 people per day. Meanwhile the current global mortality rate reached 1.24 million per year. In Bali, by the Central Bureau of Statistics of Bali Province in 2013 occurred approximately 2166 cases of accidents with fatalities reached 578 victims and material losses of approximately four billion rupiahs. In 2013, accidents placed at first rank of 10 major diseases by 5579 the number of cases with details of 210 cases of occupational accidents and 5369 cases of traffic accidents. No studies have argued about the characteristics of the cases of accidents, so UPT Kesmas Tegallalang I readiness in handling of accident cases is unknown. This study was descriptive quantitative approached using cross-sectional methode. This research was conducted in the region of UPT Kesmas Tegallalang I on December 2014 – Januray 2015. Population in this study were all accident’s victims were brought to Emergency Room of UPT Kesmas Tegallalang I. The sampling technique used was total sampling with a sample of 1131 people. The instrument used wassecondary data of pattient’s register were brought to Emergency Room of UPT Kesmas Tegallalang I at 2014. Data analysis techniques with descriptive which presented in narrative with table or chart. Characteristic of patients most of this research on male sex (64.8 %), group of young adults age ( 30.8 % ), originated from the village of tegallalang (39.9 %) , with the diagnosis stab wound (28.8 %), did not have the medical intervention (50.4 %) , received antibiotics amoxicilin (67.7 %) .The number of the most cases is in November (104 cases) , the number of cases referred is highest in january (8 cases) .The use of amoxicilin is highest in November , the use of erythomicin is highest in December , the use of anti rabies vaccine is  highest in february (13 cases). The emergency department at puskesmas requires the readiness of good in providing services to patients accident victims.
Intervensi koroner perkutan pada infark miokard akut disertai elevasi segmen ST awitan lebih dari 12 jam dengan penyulit syok kardiogenik I Gusti Bagus Aginda Dwipawana; Vireza Pratama; Mia Amira Callista
Intisari Sains Medis Vol. 8 No. 2 (2017): (Available online: 1 August 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.273 KB) | DOI: 10.15562/ism.v8i2.114

Abstract

Background: Percutaneous coronary intervention (PCI) is the primary therapy in patients with acute myocardial infarction with-ST Segment Elevation (AMI-STE) in the first 12 hours of onset of symptoms. However PCI still needs to be done in patients with onset more than 12 hours who still showed prolonged ischemia process. Case: A man, 49 years old came to the emergency room Central Army Hospital Gatot Subroto (RSPAD) with chest pain  typically infarction angina since 6 days ago. Patient was referred from Islamic Hospital with anterior AMI-STE-onset 2 hours TIMI 7/14 Killip Class IV without revascularization and acute renal failure. Patient determined to be referred after treated in ICVCU Islamic Hospital, but patient had a progressive chest pain and hemodynamic disturbances. After revascularization in the RSPAD Hospital, clinical and hemodynamic conditions of this patient slowly improved. Discussion: Reperfusion therapy should be given if there is clinical evidence or evidence which showed prolonged ischemic ECG, even if the patient according to the symptoms have lasted more than 12 hours. It is because the onset of actual attack is certainly known. AMI-STE guidelines by ESC and AHA also recommend PCI procedure in patients with signs of prolonged ischemia process. Conclusion: Revascularization in patients with AMI-STE onset more than 12 hours should be performed in patients who still show a prolonged ischemia process and hemodynamic disturbances.
Pengaruh partisipasi masyarakat dalam pencegahan demam berdarah dengue (DBD) terhadap peningkatan kejadian DBD di Wilayah kerja Puskesmas Tegallalang I Norhara Noorsham Kamal; Made Dharmadi
Intisari Sains Medis Vol. 8 No. 1 (2017): (Available online: 1 April 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.702 KB) | DOI: 10.15562/ism.v8i1.115

Abstract

This study was conducted to determine the image's participation in the prevention of DHF carried by people in Puskesmas Tegallalang I and prove that the participation of poor people prevention has experienced a higher risk for suffering from DHF. Methods: This was an analytic observational study with case control design. In this study, the researchers distinguish the population into two, namely the population of cases and population control / comparator (not the case). Samples in the case group number of 28 cases were determined by quota sampling technique selected and adapted to the proportion of each banjar in that village. The instrument used was a questionnaire. Results: The results showed as many as 60.7% had poor participation (value score of questionnaire 0-18). While in the control group, only 37.5% had poor participation. From 84 research samples, amounting to 45.2% or 38 people have poor participation on the prevention of DHF. Results showed the value of the odds ratio (OR) of 2.57 with a 95% confidence interval (1.01 to 6.53). Hypothesis test Chi Square shows the results of p = 0.04. It showed statistically with the participation of poor groups will have the possibility of 2.57 times to suffer from DHF than either group participation. Conclusion: Overview of participation in dengue prevention is done by people in Puskesmas Tegallalang I mostly included the participation of both groups. There are significant community participation in prevention of DHF to the increased incidence of DHF in Puskesmas Tegallalang I.
Gambaran status gizi balita pada penggunaan garam beryodium di Desa Sangkan Gunung Kecamatan Sidemen, Kabupaten Karangasem Thivyadharshini Uvaraju; G.N. Indraguna Pinatih
Intisari Sains Medis Vol. 8 No. 1 (2017): (Available online: 1 April 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (723.904 KB) | DOI: 10.15562/ism.v8i1.116

Abstract

Nutritional status is one indicator of growth, nutritional status is a result of any use, absorption, and utilization of food. Iodine is needed in the body growth during gestation and early life, because iodine is an essential component in the formation of thyroid hormones. Thyroid hormone deficiency can reduce the activity of growth hormone such as (insulin growth hormone), which resulted in a number of developmental abnormalities and other functional. Toddlers (under five years) are one of age group in society most likely to suffer from nutritional disorders (susceptible nutrition) Methods: This study was a quantitative descriptive to describe the nutritional status of children in the use of iodized salt Sangkan Mountain Village district of Sidemen Karangasem regency. The target population was all Toddler Village Sangkan Mountains with a population of affordable homes that were accessible to researchers and have a toddler. This study used a total of 57 samples. Sample collection technique used is non-random consecutive sampling. Results: Nutritional Status based on Upper Arm Circumference (UAC), 5.3% Toddlers in the village Sangkan Gunung experiencing Malnutrition, and no toddlers (under 5 years old) were suffering Malnutrition. At 6 households using iodized salt, 5 infants (83%) with good nutrition and 1 infants (16.7%) with malnutrition. Meanwhile, from 51 families to use non-iodized salt, 49 infants (96.1%) with normal nutrition and 2 infants (3.9%) with malnutrition. Conclusion: The family of children who used iodized salt has the higher proportion of stunting than the family of children who did not use iodized salt. 
Extra virgin olive oil menurunkan kadar mda (Malondialdehyde) pada tikus (Rattus norvegicus) jantan galur wistar yang dipapar asap rokok Meilina Tan
Intisari Sains Medis Vol. 8 No. 2 (2017): (Available online: 1 August 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (524.953 KB) | DOI: 10.15562/ism.v8i2.117

Abstract

Aging is a physiological process that will be experienced by all living organism. In aging the accumulation of damage by free radicals in the cell all the time can cause cell damaging, disruption to cell death. Free radicals will attack cell membrane which is contain lipid bilayer (lipid peroxidation). In the state of oxidative stress, it required adequate and optimal antioxidant to the body. Smoking raises ROS which can cause oxidative stress through the mechanism of cell membrane lipid destruction. In this study use extra virgin olive oil (EVOO) contains phenolic, tocopherols, squalene, pigments and β- carotene which works to prevent oxidative stress from cigarette smoke. The aim of this study is to prove the effect of EVOO to decrease MDA level in male Wistar rats exposed by cigarette smokeThis experimental study has been conducted as pre-posttest control group design. 16 Wistar male rats used as a sample that was divided into 2 groups. Both group was exposed with cigarette smoke for 45 minute twice a day. Group 1 was the control group which were exposed to cigarette smoke and administered aquabides. Group 2 was the treatment group which were exposed to cigarette smoke and extra virgin olive oil oral dose 1cc (1gram/KgBW).Study result showed that MDA level pretest in control group was 9,3487 ± 0,69287 nmol/ml and treatment group was 8,8838 ± 0,63541 nmol/ml. Both group control and treatment of MDA level showed normal distribution and homogeneous. Comparability test for both group showed no significant differences MDA level between both group (p > 0,05). Result Posttest was, control group MDA level increased 10,2625 ± 0,53361 nmol/ml. This showed cigarette smoke in long term increased MDA level. Treatment group that was given extra virgin olive oil and cigarette smoke decreased MDA level into 3,4925 ± 0,85058 nmol/ml. This means statistically evaluated that the decrease of MDA in the treatment group was significantly different (p < 0,05). Paired T-test in control group pretest and posttest showed significant increased (p<0,05) and in treatment group pretest and posttest that was given extra virgin olive oil showed decreased of MDA level significantly (p<0,05). Independent T-test pretest between both group exposed by cigarette smoke showed no differences significantly (p>0,05) and for both group after given treatment EVOO showed significant differences (p<0,05).This study concluded that oral administration of extra virgin olive oil oral dose 1cc (1gram/KgBW) decreased MDA level in male Wistar rats exposed by cigarette smoke.
Ekstrak etanol buah naga merah (Hylocereus polyrhizus) memperbaiki profil lipid tikus (Rattus Norvegicus) wistar jantan dislipidemia sama efektif dengan statin Sharan Sharan
Intisari Sains Medis Vol. 8 No. 2 (2017): (Available online: 1 August 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (791.601 KB) | DOI: 10.15562/ism.v8i2.118

Abstract

Dyslipidemia is one of the risk factor causing atherosclerosis, which is the main cause of cardiovascular disease and later can leads to death. Proper balanced diet and exercise are the main way to lower down lipid level. If the nonpharmacolgy interventions doesn’t give satisfactory result, the use of  medicine such as statin, which is the gold standard for dyslipidemia can be applied. It is also important to find out  the effects of nature herbs such as red dragon fruit on dyslipidemia. Dragon fruit contains anthocyanin, which is one type of flavonoid found in many dragon fruits that can improve dislipidemic. The aim of this thesis is to prove the effect of red dragon fruit in improving serum lipid profile (total cholesterol, triglycerides, LDL cholesterol and HDL cholesterol) in male dyslipidemic rats as effective as Statin.This study was purely experimental  research by using pre-posttest control group design. This study used 24 male white rats (albino rat) with dislipidemia as a sample. For 28 days the entire male rats were given high-cholesterol diet. The male rats were randomly divided into 3 groups, each group consisted  of  eight rats. The First group were given a standard diet and placebo in the form of distilled water. The Second group were given a standard diet and dragon fruit extract  120 mg/ 200g body weight. The Third  group were given a standard diet  and statin 10mg/200g body weight. All the groups were given treatment once a day for 28 days. Result showed that there was significant reduction in lipid level in second and third group, total cholesterol level reduction of each 73,41mg/dl and 94mg/dl (p<0,05), Triglyceride level reduction of 25.38mg/dl and 53.13mg/dl (p<0,05), LDL level reduction of 20.39mg/dl and 47.96mg/dl (p<0.05), and increase in HDL level of 12.36mg/dl and 32.38mg/dl as compared to first group which was treated with distilled water.It can be concluded that dragon fruit extract and statins are equally effective to improved lipid profile level in male dyslipidemic witsar rats , but statin potency is more powerful than red dragon fruit extract in improving the lipid profile.
Prevalensi insomnia pada mahasiswa fakultas kedokteran universitas Udayana Dasheni Sathivel; Lely Setyawati
Intisari Sains Medis Vol. 8 No. 2 (2017): (Available online: 1 August 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (468.807 KB) | DOI: 10.15562/ism.v8i2.119

Abstract

Background: Insomnia is a sleep disorder that is very common among the people, especially students at this time. A common cause of insomnia is stress, anxiety, medical conditions, medications and others. Insomnia can be classified in several ways, based on the symptoms (difficulty staying asleep, difficulty sleeping, non-restorative sleep), duration (acute, chronic and transient) and based on the cause (primary, secondary). Symptoms of insomnia are less attentive, daytime sleepiness, daytime fatigue, anxiety and more. Insomnia already brought a lot of impact on our lives. If someone continues from suffering this problem, they will face many complications such as poor performance at work or school, irritability, psychiatric problems and more. This study aims to find out about the occurrence of insomnia among students of the Faculty of Medicine, University of Udayana. Methods: this study used descriptive method. Samples have been selected from the 50 semester students 1. Data were collected using a questionnaire. Results: From the results obtained, 20 (40%) of respondents have a sub-threshold insomnia, 28 (56%) of respondents suffer from insomnia clinical severity of moderate and 2 (4%) of respondents suffer from clinically severe insomnia. Conclusions: The majority of medical students suffer from insomnia.
Gambaran tingkat pengetahuan terhadap hipertensi dan kepatuhan minum obat pada penderita hipertensi di wilayah kerja Puskesmas kintamani I Jaeynisha Mathavan; Gde Ngurah Indraguna Pinatih
Intisari Sains Medis Vol. 8 No. 3 (2017): (Available online: 1 December 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.964 KB) | DOI: 10.15562/ism.v8i3.121

Abstract

Hipertensi seringkali disebut silent killer karena tidak adanya gejala dan tanpa disadari penderita mengalami komplikasi pada organ-organ vital. Seseorang dikatakan menderita hipertensi apabila tekanan darah sistolik >140 mmHg dan tekanan diastolik >90 mmHg. Dari data di Puskesmas Kintamani I masih banyak terdapat warga yang menderita hipertensi, kebanyakan dari mereka adalah pasien yang sering berkunjung untuk melakukan kontrol. Kepatuhan dalam pengobatan hipertensi sangat penting untuk mengontrol gejala hipertensi dan komplikasi yang dapat ditimbulkannya. Pengetahuan pasien mengenai penyakitnya sangatlah berpengaruh terhadap keputusannya dalam menjalani pengobatan. Kepatuhan pasien dalam menjalani pengobatan juga dipengaruhi oleh faktor internal dan faktor eksternal pasien.  Tujuan penelitian ini dilaksanakan agar dapat melihat gambaran tingkat pengetahuan terhadap hipertensi dan kepatuhan minum obat pada penderita hipertensi di wilayah Kintamani I. Penelitian ini merupakan studi deskriptif cross-sectional. Jumlah sample pada penelitian ini sebanyak 50 orang responden yang merupakan penduduk penderita hipertensi di wilayah kerja Puskesmas Kintamani I. Teknik pengambilan sample yang digunakan merupakan teknik simple random sampling. Pengambilan data dilakukan pada tanggal 22 - 29 Mei 2015 menggunakan kuesioner kepatuhan minum obat Morisky Medicaton Adherence Scale (MMAS-8). Penelitian ini mendapatkan hasil, Responden dengan tingkat pengetahuan tinggi sebesar 48,0%, sedangkan tingkat pengetahuan rendah sebesar 52,0%. Sebanyak 70% pasien mempunyai kepatuhan rendah terhadap minum obat hipertensi, sedangkan 30% pasien mempunyai kepatuhan tinggi.  Untuk mendukung angka keberhasilan pengobatan hipertensi perlu dilakukan penyuluhan terkait penyakit hipertensi sehingga kepatuhan minum obat penderita hipertensi dapat meningkat.
Tingkat Kecemasan Antara Mahasiswa Kedokteran dari Universitas Udayana dan Implikasinya Pada Hasil Ujian Mirulalini Thinagar; Wayan Westa
Intisari Sains Medis Vol. 8 No. 3 (2017): (Available online: 1 December 2017)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.09 KB) | DOI: 10.15562/ism.v8i3.122

Abstract

Kecemasan merupakan masalah yang sering dihadapi individu di seluruh dunia. Namun kelompok yang menjalani pendidikan tinggi cenderung lebih rentan mengalami kecemasan karena stress yang dihadapi untuk menyelesaikan tugas tepat waktu. Kecemasan merupakan suatu proses yang normal namun akan menjadi masalah ketika kecemasan tersebut mengganggu kehidupan sehari-hari. Hal ini  harus segera diatasi karena dapat menyebabkan berbagai efek seperti menurunnya konsentrasi mahasiswa dalam proses pendidikan, hal ini juga berkaitan dengan pencapaian prestasi belajar yang rendah yang kemudian dapat memicu terjadinya depresi.  Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross-sectional. Subjek merupakan mahasiswa Fakultas Kedokteran Universitas Udayana yang berumur antara 20-22 tahun. Kuesioner GAD-7 digunakan untuk menilai adanya kecemasan pada mahasiswa. Dari 130 orang responden, didapatkan 76,9% mahasiwa mengalami kecemasan sedang dan 23,1% mengalami kecemasan ringan. Tidak ada mahasiwa dengan kecemasan berat. Proporsi kecemasan ringan lebih tinggi dibanding kecemasan sedang pada kelompok yang lulus ujian (92% dan 8%), sementara proporsi kecemasan ringan lebih rendah dibanding kecemasan sedang pada kelompok yang gagal dalam ujian (6,7% dan 93,3%). Hal ini menujukkan bahwa kecemasan merupakan salah satu faktor yang mempengaruhi hasil ujian. 

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