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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
Usia dan obesitas berhubungan terhadap penyakit batu saluran kemih di RSUP Sanglah Denpasar periode Januari 2014 sampai Desember 2014 Nurfitriani Nurfitriani; Anak Agung Gde Oka
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.53 KB) | DOI: 10.15562/ism.v10i2.186

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Introduction: Urinary Stone Disease is the process of forming stones caused by the deposition of a substance with excess amounts of urinary or due to other factors that affect the solvency of substance. Urinary Stone Disease is frequently   found on adults between 15-59 years old. Total patient who diagnosed by Urinary Stone Disease in Indonesia is too high. Many things associated against the onset of this disease, such as age and obesity. Therefore the research to examine which factors cause the occurrence of Urinary Stone Disease is necessary in order to raise the early prevention.Method: Research design is descriptive analytic. Using consecutive sampling method. Data will be analyzed in univariate and bivariate using statistical test of chi-square with a level of significance of α < 0.05. Place of research in Sanglah Denpasar Bali Subject of research are men and women above 15 years old, diagnosed with Urinary Stone Disease. Subject research are urology unit visiting patient also patient being hospitalized at Sanglah General Hospital.Result: The research results showed that the age has become risk factors which closely related with Urinary Stone Disease, value of p = 0.002. Obesity does not have significant relations against the occurrence of Urinary Stone Disease with value of p = 0,564.Concluison: Age has close relation with the occurrence of Urinary Stone Disease, while obesity has no relation towards the occurrence of Urinary Stone Disease diseases.
Hasil tajam pengelihatan pasca operasi katarak senilis di RSUP Sanglah Denpasar periode Oktober 2016 - Juni 2017 Anak Agung Gde Arisena Asmara; Putu Budhiastra; Ni Ketut Niti Susila
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.685 KB) | DOI: 10.15562/ism.v10i2.187

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Introduction: Cataract is a type of eye disease that occurs in the lens of the eye. Cataract occurs not only due to the age factor, but also can occur in children born with these conditions or congenital factors. This study aimed to find out visual acuity outcome after senile cataract surgery at RSUP Sanglah Denpasar on October 2016 - June 2017 period.Method: The type of this research was descriptive cross-sectional conducted at RSUP of Sanglah Denpasar using the medical records of the period of October 2016 - June 2017. The sampling technique used the total sampling, with the number of samples of 32 subjects. The result of this research was processed by using a computer software.Result: The postoperative patients with poor outcome tended to be experienced by the senile cataract of mature group compared to the immature that was around 9.1%, borderline outcome tended to be experienced by group with immature senile cataract of 23.8% while the dominant senile cataract outcome was 81.8%. Patients undergoing SICS procedures tended to have a poor outcome compared to those undergoing a phacoemulsification procedure of 16.7%. Borderline outcome tended to the group undergoing phacoemulsification procedures, and 83.3% of the good outcome tended to be experienced by the group undergoing SICS procedures.Conclusion: This research concludes that good outcome come from cataract senile mature group (81.8%) and the group that doing SICS procedure (83.3%)
Hubungan insomnia dengan depresi pada lanjut usia di Sesetan Kecamatan Denpasar Selatan Tahun 2017 Luh Putu Mettary Yasoda Gera; Anak Ayu Sri Wahyuni; IGA Indah Ardani
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.492 KB) | DOI: 10.15562/ism.v10i2.188

Abstract

Introduction: Insomnia is difficulty falling or maintaining sleep that often experienced by general population. Insomnia mostly experienced by elderly woman, people with low education and low economy and in people  who  have  chronic  disease.  Insomnia  is  risk  factor  from  psychiatric  disorder  especially depression. Insomnia increase the risk in depression development. Depression is disorder on personal, interpersonal  and social that affecting general population. The purpose of this study is to know the relationship between insomnia and depression in elderly.Method: The type of this study is analytical observational (Cross-sectional)  study with amount of sample 32 respondents that conducted in Banjar Gaduh and Banjar Tengah in Sesetan, South Denpasar District in elderly in 2017. This study is using the primary data obtained through questionnaire and interview (GDS and ISI) and analyzed through SPSS 21.0.Result: This study found that from 32 respondents experienced insomnia (50%), not experienced Insomnia   (50%),  experienced   depression   (28.1%)  and  no  experience   depression   (71.9%)  and relationship insomnia with depression on eldery obtained value p < 0.05 . The R-square value indicates value of 0.673 which means that role variable independent in explain variable dependent only of 67.3%, could be concluded that still there are 24.6% other variables outside the research variables that affect insomnia.Conclusion: There were a significant relationships between depression and insomnia.
Uji efektivitas ekstrak etanol air kelopak bunga Hibiscus sabdariffa linn terhadap profil lipid tikus hiperlipidemia Ode Mahesa Putra; I Made Jawi; Bagus Komang Satriyasa
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (431.449 KB) | DOI: 10.15562/ism.v10i2.189

Abstract

Introduction: Cardiovascular disease is still the biggest cause of death in the world. Many factors that play a role in the development of this disease, one of them is Hiperlipidemia. The situation can be handled using conventional medicines, but there are concerns about the side effects of conventional medicines. Hibiscus Sabdariffa L. (roselle) is rich in polyphenols, anthocyanins, flavonoids which can be used as drugs for the prevention of cardiovascular diseases that have biological activities such as antihypertensive, antimutagenic, chemopreventive, antioxidant, anticonvulsant, anxiogenic, CNS-depressant, serotoninergic activity, reducing damage from oxidative liver, anti-inflammatory and hypoglycemic activity. This study aims to evaluate the effects of roselle ethanol extract as a hypolipidemic agent.Method: This study used an experimental design, using wistar mouse divided into five groups: C1 received aquadest intervention, C2 (simvastatin 0.2g / kg / day), I1 (100mg / kg / day roselle extract), I2 (200 mg / kg / day roselle extract), and I3 (300 mg / kg / day roselle extract) mice was given hypercholesterol oil feed for two weeks preceeding drugs intervention, then intervention was given for eight weeks and analyzed on mouse lipid profile component.Result: There were significant differences in total cholesterol, triglyceride, LDL, and HDL values among the intervention groups (p = 0.000). The lowest total cholesterol belonging to the C2 group (117.83 ± 6.36) was followed by I3 (143.66 ± 11.75), the lowest triglyceride belonging to the C2 group (284.83 ± 7.46) was followed by I3 (306.84 ± 8.61), the lowest LDL was owned by the group C2 (104.50 ± 4.37), followed by I3 (120.50 ± 2.42), the highest HDL belonging to the C2 group (44.80 ± 3.16 followed by I3 group (38.02 ± 3.40).Conclusion: The ethanol extract at 300mg / kg / day gave better improvement of lipid profile rather than roselle ethanol extract 100mg / kg / day, 200 mg / kg / day, and aquadest control, but still not able to provide better improvement than simvastatin.
Hubungan lingkar perut dengan kadar gula darah puasa pada mahasiswa Fakultas Kedokteran Universitas Udayana angkatan 2014 Alvin Wijaya; Nyoman Wande; Ida Ayu Putri Wirawati
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.618 KB) | DOI: 10.15562/ism.v10i2.191

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Introduction: Diabetes Mellitus is a metabolic disease characterized by elevated blood sugar levels, either caused by a disturbance of insulin secretion, insulin resistance or both. Obesity is one of the risk factors of diabetes mellitus. The incidence of diabetes mellitus increases from year to year, but the data that discusses the association of risk factors with diabetes mellitus itself, especially obesity is minimum. The purpose of this study is to determine the association of abdominal circumference with fasting blood sugar levels at students of Udayana University Faculty of Medicine class of 2014.Method: This research is an analytical research conducted at Udayana University Faculty of Medicine Campus, Denpasar. Data obtained in the form of primary data in the form of abdominal circumference to see the status of obesity and fasting blood sugar to see the status of diabetes mellitus. Data were analyzed using SPSS program.Result: The results showed that there was not significant negative association between abdominal circumference with fasting blood sugar levels at Udayana University, Faculty of Medicine students class of 2014. However, this association is not statistically significant because diabetes mellitus influenced by many factors other than obesity. In addition, it can be seen that the characteristics of the population did not describe the population of diabetes mellitus or obesity, thus affecting associations that have been described in some literature and the concept of author thinking. But indeed the association of anthropometric risk factors (abdominal circumference) has a greater value than other risk factors.Conclusion: There was a negative correlation between abdominal circumference and fasting blood sugar but not significant statistically
Karakteristik diare pada anak di RSUP Sanglah Denpasar tahun 2017 I Dewa Made Satrianjaya; Ni Nyoman Metriani Nesa; Dewi Sutriani Mahalini
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (779.152 KB) | DOI: 10.15562/ism.v10i2.194

Abstract

Background: Diarrhea is one of the most common diseases affecting children around the world. In Indonesia, the national rate of diarrhea prevalence is 9% where 16.7% of cases occur at 1-4 years old and 16.5% of cases at under one year old. In addition, dehydration causes most mortalities. Aim: This study aims to determine the characteristics of diarrhea in children in Sanglah General Hospital, Denpasar. Method: Thisstudyis a cross-sectional study design using secondary data from the register data in the Pediatric Division of Sanglah General Hospital Denpasar from January to November 2017. Of the 170 data, there were 165 survival samples. Characteristics of diarrhea in children are described using tables, pie charts, and graphs.Result: Most of the sample were males (56.5%), infants (40%), patients from Denpasar (55.3%) and those with good nutritional status (60%). The mean age of the patient was 26.6 months, the mean body weight was 10.6 kg, and the mean height was 79.8 cm. Most of them were diagnosed with acute diarrhea (98%), where the most common cause is a viral infection (75%). The most common comorbid diseases are congenital heart disease and neurological disease (10.6%). Most patients have only mild dehydration (57%). Long term treatment of diarrhea patient in child wards mostly for 2-3 days.Conclusion: Diarrheain children in Sanglah Denpasar Hospital period January-November 2017 most suffered by men and babies, mostly from Denpasar. Most of them have acute diarrhea that is mainly caused by a viral infection.
Karakteristik penderita tuberkulosis paru di Poli Paru RSUP Sanglah Denpasar pada bulan Januari 2016-Juli 2017 I Putu Govinda Orna Jaya; I Made Bagiada; Pande Ketut Kurniari
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.962 KB) | DOI: 10.15562/ism.v11i3.195

Abstract

Background: Tuberculosis (TB) is a global infectious disease was ranked at the second position caused died after HIV. This disease was caused by Mycobacterium tuberculosis that was attacked pulmonary organ or extrapulmonary organ. One of the countries that has a high incidence of tuberculosis is Indonesia. Indonesia was ranked at  the second position as the country with the most top tuberculosis cases in the world after India.Objective: This research was aimed to know the characteristic of patients with pulmonary tuberculosis in Pulmonary Poly of RSUP Sanglah.Methods: This research was a observational descriptive study with cross-sectional approach. The subjects were 43 patients diagnosed with pulmonary tuberculosis and did the treatment in Pulmonary Poly of RSUP Sanglah from January 1, 2016 until July 31, 2017. This research is using primary data from the interview, measurement, and direct observation.Results: The results showed patients with pulmonary tuberculosis was 88.4% in productive age group; 69.8% men; educational background of subjects was 39.5% senior high school; 30.2% private employee; Socioeconomic level of 65.1% subjects was low category; 39.5%, not an active smoker; 60.5% subjects had TB contact history; 81.4% HIV negative; 95.3% subjects didn’t have DM history; 67.4% of subjects had normal body mass index; 67.4% of subjects had qualify of ventilation (large ventilation ?10%); 67.4% subjects didn’t have qualify of house humidity (humidity <40% or >70%); 55.8% subjects didn’t have qualify of house lighting (lighting <60 lux or >300 lux); 81.4% subjects had house wall which is waterproof;  all of the subjects had house floor which is waterproof. Latar Belakang: Tuberkulosis (TB) merupakan penyakit infeksi global yang menduduki posisi kedua penyebab kematian setelah HIV. Penyakit ini disebabkan oleh bakteri patogen Mycobacterium tuberculosis yang menyerang organ paru atau ekstra paru seseorang. Salah satu negara yang memiliki angka kejadian tuberkulosis yang cukup tinggi adalah Indonesia. Indonesia menduduki posisi kedua sebagai negara dengan kasus TB tertinggi di dunia setelah India.Tujuan: Penelitian ini bertujuan untuk mengetahui karakteristik penderita tuberkulosis paru di Poli Paru RSUP Sanglah.Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan rancangan penelitian cross sectional. Subjek penelitian adalah 43 pasien yang terdiagnosis menderita tuberkulosis paru dan melakukan pengobatan di Poli Paru RSUP Sanglah pada rentang waktu 1 Januari 2016 s.d. 31 Juli 2017. Data penelitian adalah data primer yang diperoleh dari wawancara, pengukuran, dan observasi langsung.Hasil: Hasil penelitian menunjukkan bahwa pasien TB paru terbanyak terdiri dari 88,4% memiliki usia produktif; 69,8% jenis kelamin laki-laki; 39,5% memiliki tingkat pendidikan SMA; 30,2% pegawai swasta; 65,1% berstatus sosial ekonomi kategori rendah; 39,5% bukan perokok aktif; 60,5% memiliki riwayat kontak TB; 81,4% HIV negatif; 95,3% tidak memiliki riwayat diabetes melitus; 41,8% memiliki indeks massa tubuh normal; 67,4% memiliki ventilasi rumah yang memenuhi syarat (luas ventilasi ?10%); 67,4% memiliki kelembaban rumah yang tidak memenuhi syarat (kelembaban <40% atau >70%); 55,8% memiliki pencahayaan rumah yang tidak memenuhi syarat (pencahayaan <60 lux atau >300 lux); 81,4% memiliki dinding rumah kedap air; dan seluruh pasien memiliki jenis lantai kedap air.
Laporan Kasus: Perimortem Sectio Caesarean pada Ibu Hamil dengan Henti Jantung Yanti Permatasari; Willy Yant Kartolo
Intisari Sains Medis Vol. 9 No. 2 (2018): (Available online: 1 August 2018)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (664.238 KB) | DOI: 10.15562/ism.v9i2.196

Abstract

Background Perimortem caesarean section (PMCS) was done in pregnant women with no hope for survival, and not responding to initial resuscitative maneuver. The primary aim of PMCS procedure is to empty the uterus to aid maternal resuscitation.Case Presentation We performed a PMCS after no response of cardiopulmonary resuscitation (CPR) in a 19 years old woman with severe preeclampsia, severe anemia, and acute lung edema.ConclusionThis is a case report of PMSC procedure performed in maternal cardiac arrest. The PMCS was done after no response of CPR with left uterine displacement (LUD). However, the outcome of maternal and neonatal deaths was unavoidable.
Analisis tingkat pengetahuan mahasiswa program studi pendidikan dokter tahun ajaran 2017-2018 Universitas Udayana tentang prescribing error Nabila Putri Rachmawati; Desak Ketut Ernawati; I Gusti Ayu Artini
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.127 KB) | DOI: 10.15562/ism.v10i1.197

Abstract

Introduction: Prescribing Errors is a failure in the treatment process leading to or potentially harmful to the patient, this error most often occurs although it can be prevented. The incidence of prescribing errors continues to increase from year to year, but data in Indonesia that discusses the level of knowledge of medical students about prescribing errors is still small. The purpose of this study is to determine the level of knowledge of medical student study program 2017-2018 academic year at Udayana University Denpasar about prescribing errors.Method: This research is a descriptive cross sectional study conducted at the Medical Faculty Udayana University Sudirman Campus Denpasar. Data obtained in the form of primary data questionnaire. Data were analyzed using software computer.Result: The results showed that the most gender are women of 68 students (66%). The largest proportion of age is 19-20 years old number of 52 students (52%). Groups of semesters 1, 3, 5 and 7 obatined a similar proportion of 25 students (25%). The level of students' knowledge of prescribing case study is classified into moderate category with mean 3,7-7,1 of 67 students (67%). The number of correct answers in identifying type of error from 3 prescriptions is in the case of the first prescription, the 3rd semester student who is able to identify the prescribing error, with the type of mistake that is wrong dose as many as 14 students (35,9%) with p value = 0,066 and wrong dosage form as 21 students (39,6%) with p value = 0.000. In the case of the second prescriptions, 7th semester students were able to identify the prescribing error, with the type of mistake that is wrong dose as many as 13 students (41,9%) with p value = 0,005 and wrong dosage form as 22 students (36,7%) with p value = 0.000. In the case of the third prescriptions, the 3rd semester students were able to identify the prescribing error, with the type of mistake that is the wrong indication of the drug as many as 15 students (62,5%) p value = 0.000.Conclusion: In this research, it can be concluded that the knowledge level of the majority students is in moderate levelabout 67 (67%). While the remaining respondents good knowledge level as much as 7 (7%) and bad knowledge is as much as 26 (26%).
Tingkat pengetahuan mahasiswa semester VI, Pogram Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana terhadap konjungtivitis bakteri tahun 2017 I Made Gede Dwipayana Putra; Putu Budhiastra; Ni Ketut Niti Susila
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.51 KB) | DOI: 10.15562/ism.v10i1.199

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Bacterial conjunctivitis is an infection of the eye caused by bacteria, such as Staphylococcus, Streptococcus, or Haemophilus. Based on 30% of visits in the Department of Eye Disease in the United States, 15% are conjunctivitis complaints caused by bacteria and virus, and 15% are conjunctivitis complaints caused by allergy. A common complication of conjunctivitis is the decreased visual acuity that greatly affects the patient in performing daily activities.Aim: This study aimed to determine the knowledge level of semester VI students of Doctor Education Study Program, Faculty of Medicine, Udayana University, toward conjunctivitis.Method: The samples were 70 people with 10% relative accuracy. Sampling was done by random sampling technique. The data were collected by using questionnaire technique. Data analysis was performed using descriptive statistics.Result: The result of the students' knowledge level on bacterial conjunctivitis was 62 respondents (89%) were in good category, 8 respondents (11%) were in moderate category, and none for poor category (0) as well. The knowledge level of the respondent toward bacterial conjunctivitis at the age of 21 years was quite good, that were 31 people (44.5%). Respondents with moderate knowledge level at the age of 21 years were 5 people.Conclusion: The result of the test shows that the level of students' knowledge on bacterial conjunctivitis is that 62 respondents (89%) are in good category. Therefore, to the management of Faculty of Medicine, Udayana University, this research is expected to be used as a reference in formulating various learning strategies, so the learning achievement can be improved.

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