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INDONESIA
ISM (Intisari Sains Medis) : Jurnal Kedokteran
Published by Universitas Udayana
ISSN : 25033638     EISSN : -     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology
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
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Gambaran umum depresi pasca stroke di Poliklinik Neurologi RSUP Sanglah tahun 2015 Hilda Citrajaya; Anak Agung Sri Wahyuni
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.809 KB) | DOI: 10.15562/ism.v11i2.256

Abstract

Background: Nowadays, stroke is one of the leading causes of death globally. Defects caused by a stroke such as weakness or paralysis of the body cause the patient can not undergo normal daily activities. Depression can be a factor that slows the process of recovery or rehabilitation of stroke patients and it is very important to be prevented before it gets worse.Aim: To assess the general characteristics of post-stroke depression in Neurology Outpatient Clinic of Sanglah Hospital.Methods: The design of this research is descriptive with cross sectional study design. The Beck Depression Inventory (BDI) questionnaire was used as an instrument of data collection in this study. The study was carried out in Sanglah Hospital Neurological Clinic on 2015.  Results: From 49 respondents, majority were female (29 subjects or 77.6%) and 15 were male (22.4%). The results showed that the prevalence of depression reached 34.7%.conclusion: Higher prevalence of depression was found in the sample group with age 56-87 (41.7%), working as a farmer (50%), with recent or non-school primary education (60%), income less than 1 million per month (52.9%), unmarried (100%), undergoing medical rehabilitation (38.9%), first episode of stroke (40%), last episode of stroke more than 180 days (38.4%) and being hospitalized more than 10 days (39.1%).  Latar belakang: Dewasa ini, stroke menjadi salah satu penyebab kematian terbanyak secara global. Kecacatan yang diakibatkan oleh stroke seperti kelemahan atau kelumpuhan bagian tubuh menyebabkan pasien tidak dapat menjalani aktivitas sehari-hari dengan normal. Depresi dapat menjadi faktor yang memperlambat proses pemulihan atau rehabilitasi pasien stroke dan hal ini sangat penting untuk dicegah sebelum menjadi lebih parah.Tujuan: Untuk meneliti gambaran umum depresi pasca stroke di Poliklinik Neurologi RSUP Sanglah.Metode: Penelitian ini bersifat deskriptif dengan rancangan penelitian potong lintang (cross sectional). Kuesioner Beck Depression Inventory (BDI) digunakan sebagai instrumen pengumpulan data dalam penelitian ini di Poliklinik Neurologi RSUP Sanglah pada periode Maret-Agustus 2015.Hasil: Dari 49 orang responden, didapatkan mayoritas berjenis kelamin perempuan (29 orang atau 77,6%) dan 15 orang berjenis kelamin laki-laki (22,4%). Hasil penelitian menunjukkan bahwa prevalensi depresi mencapai 34,7%.Kesimpulan: Prevalensi depresi lebih tinggi ditemukan pada kelompok sampel dengan usia 56-87 (41,7%), bekerja sebagai petani (50%), dengan pendidikan terakhir SD atau tidak sekolah (60%), pendapatan kurang dari 1 juta per bulan (52,9%), belum menikah (100%), menjalani rehabilitasi medik (38,9%), mengalami stroke pertama kali (40%), waktu serangan stroke terakhir >180 hari (38,4%) dan lama rawat inap >10 hari (39,1%).
Karakteristik ibu hamil dengan hiperemesis gravidarum di RSUP Sanglah Denpasar tahun 2017 Luh Putu Mahatya Valdini Putri; A. A. Gede Putra Wiradnyana; I Made Darmayasa
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 (199.271 KB) | DOI: 10.15562/ism.v10i2.257

Abstract

Background: Hyperemesis gravidarum is severe and over vomiting suffered as of early in pregnancy until 20 weeks of gestation. It may be harmful to the mother's health that can lead to weight loss of more than 5% and cause metabolic disorders. If it does not get proper treatment, it affects complications, even maternal and fetal deaths.Aim: The study aims to generalize the characteristic of pregnant patients who suffered hyperemesis gravidarum in Sanglah General Hospital.Method: This study is a cross sectional retrospective descriptive study with data retrieval on patient records for one year in 2017. This research was conducted at Space Cempaka Obstetrics and Medical Record Division Sanglah Hospital Denpasar.Result and Conclusion: pregnant women with hyperemesis gravidarum based on mother’s age is highest experienced by pregnant women in the age group 20-35 years as many as 6 people (75%). Based on maternal age, pregnant women with hyperemesis gravidarum is highest experienced by pregnant women in the first trimester as many as 5 people (62.5%). As regard with the parity,  it was highest experienced by pregnant women in the parity group nullipara as many as 4 people (50%). Moreover, maternal education is highest academic of pregnant women who have junior high and high school education, each of them as many as 3 people (37.5%). Based on the job status is highest experienced by pregnant women who work as many as 5 people (62.5%).
Pengaruh personal hygiene terhadap timbulnya akne vulgaris pada mahasiswa Program Studi Pendidikan Dokter angkatan 2014 di Fakultas Kedokteran Universitas Udayana I Putu Indra Ardhiyana Putra; Ketut Kwartantaya Winaya
Intisari Sains Medis Vol. 9 No. 2 (2018): (Available online: 1 August 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.614 KB) | DOI: 10.15562/ism.v9i2.258

Abstract

Latar Belakang: Akne vulgaris (AV) merupakan penyakit kulit yang meradang berasal dari folikel pilosebasea. Ada beberapa Faktor yang mempengaruhi terjadinya akne vulgaris antara lain terdapat peningkatan produksi sebum, penyumbatan folikel pilosebasea, peningkatan kolonisasi bakteri Propionibacterium acnes. Personal hygiene dapat berpengaruh terhadap timbulnya keluhan penyakit kulit seperti personal hygiene. Kebersihan yang baik adalah kebersihan yang menghilangkan kelebihan sebum tanpa merusak lipid pelindung kulit, dan menghilangkan bakteri dari permukaan kulit. Kebanyakan remaja khususnya pelajar SMA seringkali mengabaikan tentang pentingnya menjaga kebersihan wajah mereka. Penelitian ini bertujuan mengetahui hubungan antara personal hygiene terhadap keluhan acne vulgaris.  Metode: Penelitian ini merupakan jenis penelitian crossectional analitik untuk mencari hubungan antara personal hygiene dengan acne vulgaris. Data dari penelitian ini menggunakan data primer yang didapat dari hasil kuisioner  Dengan jumlah sampel sebanyak  43. Sampel penelitian adalah mahasiswa program studi pendidikan dokter angkatan 2014 di Fakultas Kedokteran Universitas Udayana.Hasil: Berdasarkan hasil uji chi square antara tingkat personal hygiene dan kejadian akne vulgaris menunjukkan hasil yang signifikan (p=0,020) sehingga terdapat hubungan yang signifikan antara tingkat personal hygiene  dengan kejadian akne vulgaris.Simpulan: Dapat disimpulkan bahwa Mahasiswa yang memiliki tingkat personal hygiene buruk lebih banyak mengalami acne vulgaris. Terdapat hubungan yang signifikan antara menjaga personal hygiene dengan timbulnya akne vulgaris (p=0,020).   
Level of awareness of alzheimer’s disease among elderly people in Denpasar, Bali Sabrina Annamma Philip; Desak Made Wihandani; Ni Nyoman Ayu Dewi
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.64 KB) | DOI: 10.15562/ism.v11i1.260

Abstract

Background: Alzheimer’s disease (AD) is a chronic, irreversible, progressive, neurodegenerative that slowly impair memory and thinking skills especially in elderly people. This study aims to determine the level of awareness of AD among elderly people in Denpasar, Bali.Methods: A descriptive cross-sectional study was conducted by using self–administered validated questionnaire to determine the level of awareness of Alzheimer’s disease among the elderly people in Denpasar, Bali. The level of awareness could be classified into high awareness (>80%), moderate awareness (50-79%) and low awareness (<50%)Results: There were 50 subjects with 50 years old or above enrolled in this study. Most of the respondents had low awareness (82%) to the AD. About 38% of elderly people knew about AD and 58% of respondents said losing memory is a common thing in old age. Low education was said responsible increasing the risk of AD (30%). Only about 24% answered depression was prone to AD. In addition, about 34% said there was no cure for Alzheimer’s disease.Conclusion: Level of awareness among elderly people towards Alzheimer’s disease was low and needed improvement. Development and execution of educational programs should be carried out to the public to expand knowledge and understanding about Alzheimer’s disease.
Profil efek samping minor pada penggunaan OAT Kategori I pada pasien tuberkulosis paru di Poliklinik Paru RSUP Sanglah Oktober 2017 – Februari 2018 Gusti Ngurah Bagus Wira Gunawan; Agung Nova Mahendra; Ni Wayan Sucindra Dewi
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.769 KB) | DOI: 10.15562/ism.v11i3.261

Abstract

Background: Tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis. Indonesia is one of the countries with a high incidence of tuberculosis. Indonesia adopted DOTS as TB control with the use of OAT. Long-term treatment with OAT can cause mild or severe side effects.Aim: This research aimed to determine the minor side effects profile of ATT category I in patients with pulmonary tuberculosis in Pulmonary Poly of RSUP Sanglah.Methods: This research was a retrospective descriptive study with a cross-sectional approach. The subjects were 35 patients diagnosed with pulmonary tuberculosis and did treatment in Pulmonary Poly of RSUP Sanglah from October 1, 2017, until January 31, 2018. This research is using primary data the questionnaire that has been validated and then adopted by the authors and secondary data using medical records obtained at Pulmonary Poly of RSUP Sanglah.Results and Conclusion: Patients with pulmonary tuberculosis was 94.3% experience sweat or urine in orange; 54.3% experienced nausea with or without vomiting, and 48.6% experienced no appetite. Adults experienced 3 to 4 minor side effects.  Latar Belakang: Tuberkulosis (TB) merupakan penyakit yang disebabkan oleh bakteri Mycobacterium tuberculosis. Salah satu negara yang memiliki angka kejadian tuberkulosis yang cukup tinggi adalah Indonesia. Indonesia mengadopsi DOTS sebagai penanggulangan TB dengan penggunaan OAT. Pengobatan jangka panjang dengan OAT dapat menimbulkan efek samping yang ringan ataupun berat.Tujuan: Penelitian ini bertujuan untuk mengetahui profil efek samping minor penggunaan OAT kategori 1 pada pasien TB paru di Poliklinik Paru RSUP Sanglah.Metode: Penelitian ini merupakan penelitian deskriptif retrospektif dengan rancangan penelitian cross sectional. Subjek penelitian adalah 35 pasien yang terdiagnosis menderita tuberkulosis paru dan melakukan pengobatan di Poli Paru RSUP Sanglah pada rentang waktu 1 Juli 2017 s.d. 31 Januari 2018. Data penelitian adalah data primer yang diperoleh dari kuisioner yang sudah tervalidasi dan kemudian diadaptasi oleh penulis dan data sekunder yang menggunkan Rekam Medis yang diperoleh di Poliklinik Paru RSUP Sanglah.Hasil dan Kesimpulan: Hasil penelitian menunjukkan bahwa pasien TB paru mengalami keringat atau urin berwarna oranye (94,3%), mual dengan atau tanpa disertai muntah (54,3%), dan mengalami tidak nafsu makan (48,6%). Lalu responden kategori umur dewasa mengalami 3 sampai 4 efek samping minor.
Hubungan asupan serat dengan angka kejadian kanker kolorektal di RSUP Sanglah Denpasar tahun 2016 - 2017 Rani Pradnya Swari; Made Agus Dwianthara Sueta; Made Suka Adnyana
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 (199.798 KB) | DOI: 10.15562/ism.v10i2.262

Abstract

Background: Colorectal cancer is one of the most common cancer in Indonesia. The etiology of colorectal cancer is still unknown, but many risk factors believed may causing colorectal cancer, one of them is fiber intake of foods consumed every day like vegetables, fruits, and peanuts. There is an instrument that can be used to assess fiber intake per day.Aim: The study aimed to know how the correlation between fiber intake and colorectal cancer patient are in Sanglah General Hospital.Method: The design is a case-control analytic study, obtained total of 104 samples that divided into case group (52 samples) and control group (52 samples), in which secondary data with medical record data and also primary data with questionnaire are collected. Data were analyzed using the SPSS program.Result: Of the 104 samples that divided into case group and control group with 1:1 ratio, patients who diagnosed with colorectal cancer had a history of low fiber intake higher 6.75 times than peoples who not diagnosed with colorectal cancer (OR=6.75; 95% CI 2.85-15.96; P<0.001).Conclusion: Patients who diagnosed with colorectal cancer had a history of low fiber intake per day higher 6.75 times than samples which did not diagnose with colorectal cancer.
Hubungan konsumsi snack, menyikat gigi dan kunjungan dokter gigi terhadap karies pada siswa kelas VII SMP Santo Yoseph Denpasar Patricia Eviana Cahyadi; Steffano Aditya Handoko; Ni Wayan Arya Utami
Intisari Sains Medis Vol. 9 No. 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.498 KB) | DOI: 10.15562/ism.v9i3.264

Abstract

Introduction : Dental caries is the most prevalent oral disease in Indonesia that could occur in all age groups. According to the WHO, about 60 - 90% school children worldwide have dental caries. The aims of this study were to analyze the correlation between snacking (consumption of snacks or sweetened drink), tooth brushing habit and dental visit with caries incidence.Method: Study design using a cross-sectional analytical study, sampled from one hundred and two seventh grade Santo Yoseph junior high school students. Samples were chosen using purposive random sampling. The data was analyzed using descriptive method and risk estimate with chi-square test.Result: The prevalence of caries observed in the samples was 52.0%. The results was statistically significant for correlation between tooth brushing habit and caries incidence (p= <0.001; OR= 7.44; CI 95%= 2.71 – 20.42). Consumption of snacks or sweetened drink (p= 0.25; OR= 1.58; CI 95%= 0.71–3.50) and dental visit (p=0.903; OR= 1.502; CI 95%= 0.46–2.37) were not statistically significant with caries incidence.Conclusion: Tooth brushing habit was concluded as the most significant factor in dental caries incidence. It is recommended for school to educate the student about how to brushing teeth properly in collaboration with the primary health care centers.
Determinan perilaku perawatan kesehatan gigi dan mulut pada anak usia 12 tahun di wilayah kerja Puskesmas I Baturiti Ni Nyoman Feby Wulandari; Steffano Aditya Handoko; Desak Putu Yuli Kurniati
Intisari Sains Medis Vol. 9 No. 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.175 KB) | DOI: 10.15562/ism.v9i3.265

Abstract

Latar Belakang: Kesehatan gigi dan mulut merupakan bagian fundamental dari kesehatan umum dan berpengaruh terhadap kesejahteraan secara keseluruhan. Para ahli sepakat bahwa penyakit gigi dan mulut merupakan “behavioral disease” atau penyakit terkait perilaku. Faktor yang mempengaruhi perilaku perawatan kesehatan gigi dan mulut belum diketahui, sehingga perlu dilakukan penelitian untuk melihat determinan yang paling berpengaruh terhadap perilaku perawatan kesehatan gigi dan mulut pada anak usia 12 tahun di wilayah kerja Puskesmas I Baturiti, Tabanan.Metode: Penelitian ini menggunakan desain cross sectional analitik. Sampel pada penelitian ini adalah anak sekolah dasar yang berusia 12 tahun yang berada di wilayah kerja Puskesmas I Baturiti, Tabanan tahun ajaran 2016 dengan teknik simple random sampling. Hasil: Penelitian ini menunjukkan hasil hubungan determinan dengan perilaku perawatan kesehatan gigi dan mulut pada anak usia 12 tahun berdasarkan pengetahuan yaitu p=0,007. Berdasarkan sikap dengan nilai p=0,033. Berdasarkan sumber informasi yaitu p=0,000. Berdasarkan dukungan orang tua yaitu p=0,028. Sedangkan berdasarkan dukungan guru diperoleh p=0,009.Simpulan: Adanya hubungan yang signifikan antara pengetahuan, sikap, sumber informasi, dukungan orang tua dan dukungan guru dan sekolah dengan perilaku perawatan kesehatan gigi dan mulut pada anak. Sumber Informasi merupakan faktor dominan dalam mempengaruhi perilaku perawatan kesehatan gigi dan mulut pada anak usia 12 tahun di wilayah kerja Puskesmas I Baturiti, Tabanan.
Management of dentoalveolar fracture by using rigid wire and composite splint: A case report Firstyananda W; Sjamsudin E
Intisari Sains Medis Vol. 9 No. 2 (2018): (Available online: 1 August 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (999.231 KB) | DOI: 10.15562/ism.v9i2.266

Abstract

Introduction: Dentoalveolar fractures in adults often occur in the context of daily activities and traffic accidents. Crown fracture is the most common type of lesion, followed by tooth mobility.Case: A 67-year-old woman came to the Emergency Department with bleeding from the mouth because she fells down and her lips hit the bathroom floor. There was no history of unconsciousness, vomiting, and bleeding from ear and nose. The extraoral examination found an asymmetrical face, hematoma on the right eye area, nasolabial region and chin. Edema and hematoma on the upper and lower lip. The intraoral examination was found generalized hyperemia gingiva. The diagnosis was dentoalveolar fracture 12, 22 with crown fracture of teeth 11, 21, 22 accompanied by mobility grade 2 of 12, 11. First treatments are wound debridement, splinting with rigid wire and composite splint, and selective grinding. Panoramic references and prescribing antibiotics and analgesics. Post-action instructions include maintaining oral hygiene, soft diet, radices removal, and return for splinting control. Treatment results show good soft and hard tissue healing. Conclusion: Rigid wire and composite splint are one of the most common and easy fixation techniques to treat dentoalveolar fractures. Simple tools and techniques make rigid wire and composite splint a good treatment for simple dentoalveolar fractures.
Comparison of three flap designs on postoperative complication after third molar surgery Pingky Krisna Arindra; Adyaputra Indrapradana
Intisari Sains Medis Vol. 9 No. 2 (2018): (Available online: 1 August 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (650.198 KB) | DOI: 10.15562/ism.v9i2.267

Abstract

Introduction: Third molar surgery can cause post-operative complications to the patient due to the presence of wound from the incision. The study aimed to compare modified triangular (triangular reverse) flap with triangular and envelope flap on postoperative complications by the measurements on post-surgical swelling, trismus, pain scale, wound dehiscence and the occurrence of alveolar osteitis.Methods: Study design using a single-blind randomized clinical trial. Each treatment group consisted of 10 patients. An assessment was performed on day 1, 7 and 14 after surgery. The swelling was measured using different anatomical points, and trismus was measured using the distance of inter-incisal opening. The occurrence of dehiscence was measured from the width of the incision line. Alveolar osteitis and pain scale was observed.Results: The results of one way ANOVA (p>0.05) shows there was no difference between treatment groups both for swelling and mouth opening, but there was a difference between treatment groups for dehiscence on days 7 and 14. The results of the Post Hoc test show that flap envelope differs from the other flap design, whereas triangular and triangular reverse flap showed no difference. Friedman test results (p>0.05) showed no difference in VAS score. There was no alveolar osteitis occurred in each treatment group during postoperative control. Kruskal Wallis test (p>0.05) showed that there was no difference of VAS score between treatment group during post-operative control.Conclusion: The triangular reverse flap design may decrease the occurrence of postoperative complication after mandibular third molar surgery. 

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