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ISM (Intisari Sains Medis) : Jurnal Kedokteran

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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.

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Articles 1,063 Documents

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Study of knowledge in diarrhea and personal hygiene among students below 10 years old in SD Santo Yoseph 2, Denpasar in 2016-2017 Karthigeyan Manogaran; I Made Gede Dwi Lingga Utama; I Wayan Gustawan
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: The lack of basic knowledge of diarrhea and also poor self-hygiene might be the risk factors of diarrhea.Aim: The study aims to identify the knowledge of diarrhea and personal hygiene among student below 10 years old in SD Santo Yoseph 2, Denpasar, Bali. Method: This cross sectional study was conducted on students below 10 years old in SD Santo Yoseph 2, Denpasar. Fifty students participated in this study, and they were divided into two groups. Of total study participants, 25 were from 8 years old, and 25 were from 9 years old. They were asked to fill up a self-administered questionnaire. The variables assessed were their knowledge of diarrhea (definition, etiology, risk factors, sign and symptoms, complications, treatment and management, and prevention) and application of personal hygiene.Result: About 34% of 50 students below 10 years old in SD Santo Yoseph respectively had good knowledge of diarrhea. However, 66% of students had very less knowledge about diarrhea where they get below. For the application of personal hygiene, 24% of students managed to get a good score while 74% of them failed to get a good score. The vast majority had adequate knowledge of the definition of diarrhea. At the same time, the majority of the students was unable to know that dehydration is the complication of diarrhea due to the loss of a large amount of water and salt in the body.Conclusion: Though the overall knowledge in diarrhea and application of hygienic lifestyle among the students were poor, few minorities of the students had a good understanding of both these variables. There is a strong need for early childhood education about knowledge in diarrhea and personal hygiene in school level itself as a method of prevention.

Displasia ektodermal tipe hipohidrotik pada seorang anak bayi tiga tahun I Putu Arie Sasmita; Luh Made Mas Rusyati
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

ABSTRACTIntroduction: Ectodermal dysplasia (ED) is a rare genetic disorder characterized by defect in two or more ectodermal structures such as teeth, hair, nails and sweat glands. Ectodermal dysplasia divided into 2 types, which is hidrotic and hypohidrotic. The hypohidrotic type was found in 80% of cases. There is no specific treatment for this disorder, which is more of a symptomatic measures depends on the structure involved.Case: A 1 year old male, Balinese, consulted from Department of Pediatrics to Department of Dermatovenereology with the chief complaint of dry skin, absence of sweat, teeth, scalp hair and eyebrow since birth. Recurrent fever present especially in hot climates. No growth abnormalities. No history of incest between parents. His grandfather also complained about the same symptoms, which are sparse hair and decreased sweating. General examination revealed frontal bossing, saddle nose, prominent chin and anodontia. Dermatologic examination revealed multiple hypopigmented macules, well defined margin, oval-round shaped, size Ã¸ 0,5-1 cm, distributed over entire skin and anhidrosis. Department of Dermatovenereology gives moisturizer every 12 hours topically. Department of Pediatrics gives zinc tablets, 20 mg every 24 hours orally.Conclusion:The diagnosis of ED was mainly clinical. Treatment is symptomatic and effective education is needed to increase patient's quality of life. Early fetal detection can be performed if there is a risk in the family. Currently, there is a team joined under SIDIC program in Sanglah Hospital whose main purpose is to detect and prevent congenital disorders early.

Profil dermatitis seboroik pada pasien di Poliklinik Rawat Jalan Kulit dan Kelamin RSUD Wangaya Denpasar periode Oktober 2017-Oktober 2018 Elisia Elisia; Tjokorda Dalem Pemayun
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Introduction: Seborrheic dermatitis is a chronic superficial skin disorder occurs in 2-5% of population with the symptom of erythematous plaque with slightly yellowish scaling and without clear border, it caused by multifactorial etiopathogenesis includes sebaceous gland secretion, Malassezia fungi colonization, and immune response. This disease is higher in rich sebaceous gland area, is mostly found in the face, upper trunk, and intertriginous (inguinal, inframammary, and axilla).Aim: This study aimed to know the profile of seborrheic dermatitis patients in dermatovenereology outpatient clinic of Wangaya General Hospital in October 2017-October 2018 period.Methods: This study is a retrospective study based on the number of cases, sex, age group, location of lesion, and type of treatment from patient medical records of dermatovenereology outpatient clinic in Wangaya General Hospital in 2017-2018 period.Results: Seborrheic dermatitis mostly found in men (64,2%) with the adult age group is the highest number (77,6%). This disease often affected the face area in 36 patients (53,7%). The most frequent treatment used was anti-inflammation agent in 41 samples (61,2%). In this study, anti-inflammation used were topical corticosteroids (64,2%), there were betamethasone for adults and hydrocortisone for children.Conclusion: Seborrheic dermatitis were mostly found in male, occurred in the age group â‰¥35 years. The location of lesion is higher found in face area and mostly treated with corticosteroidÂ

Pengaruh waktu simpan Packed Red Cells (PRC) terhadap perubahan kadar hemoglobin, hematokrit, dan glukosa plasma di RSUP H. Adam Malik, Medan, Indonesia Pesalmen Saragih; Ida Adhayanti; Zulfikar Lubis; Herman Hariman
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Someone who approves the PRC must have been transfused no more than 24 hours after the creation of the PRC; some also apply 3 days. But there are also those that apply up to 1 week. PRC is still feasible to be transfused immediately by seeing changes that occur in the value of hemoglobin (Hb), hematocrit (Ht), and plasma needed when storing.Methods: 30 whole blood bags (WB) were taken for this study. The WB is at the request of the doctor for the manufacture of PRC. The blood bag is rotated at a speed of 4,000 RPM for 15 minutes. From the PRC, 3 cc of blood was taken on 1,3,5,7 days for hemoglobin (Hb), hematocrit (Ht), and glucose plasma. Data were analyzed using SPSS version 21 software for Windows.Results: After 1-day taking 3 cc of blood, PRC was stored at 4 Â° C, and then 3cc was taken also on days 3, 5, 7. The results showed that hemoglobin (Hb), hematocrit (Ht) increased from day 1 until day 7 but not significant (P> 0.05), plasma plasma showed a decrease from day 1 to day 7 and significant (P <0.001) but the value was still within normal limits. Correlation value between Hb and PRC retention time; r = 0.127, Ht with the shelf life of PRC, r = 0.160, plasma glucose with the length of time the PRC is stored; r = -0,844.Conclusion: PRC stored for 7 days is still feasible to use. There was a decrease in plasma glucose but still within normal limits.

Gambaran karakteristik fraktur radius distal di RSUP Sanglah Tahun 2013-2017 Irene Natalia Tantri; A. A. Gde Yuda Asmara; Agus Roy Rusly Hariantana Hamid
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Radius distal fracture is the most common fracture seen in emergency department which involves the upper extremity. Radius distal fracture can occur in any age, ranging from children, teenager until elderly patients. There is an increasing trend of radius distal fracture. However, the research on radius distal fracture characteristic, especially in Bali, is still limited.Method: This study was a descriptive-retrospective study which aims to find out the characteristic of radius distal fracture at Sanglah General Hospital, Denpasar, Bali. For data collection, we used total sampling technique using secondary data from patientsâ€™ medical records. The study sample was all patient diagnosed with radius distal fractures between the year 2013-2017 with incomplete medical record as the exclusion criteria.Result: This study obtained 677 radius distal fracture samples. Most of the patients were male [434 cases (64,1%)] with the most common age range was between 20-29 years old [147 cases (21,7%)]. The most common etiology of radius distal fracture was traffic accident [322 cases (47,6%)]. Fracture of the other upper extremity parts, in addition to radius distal, was the most common complaints accompanying radius distal fractures [333 cases (49,2%]. Based on the length of stay, 84% patients were hospitalized less than 5 days.Conclusion: Distal radial fracture was commonly seen in men with the age range between 20-29 years old. Traffic accident was the most common cause of distal radial fracture with the average length of stay less than 5 days.

Analisis nilai diagnostik C-reactive protein pada pasien pediatrik dengan apendisitis di RSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia Hermawan Hermawan; Darwati Muhadi; Ibrahim Abdul Samad
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background : Acute appendicitis associated with acute phase reaction is the most prevalent disease which requires emergency surgery. Its delayed diagnosis and unnecessarily performed appendectomies lead to numerous complications. In our study, we aimed to detect the role of C-reactive protein (CRP) in the exclusion of acute and complicated appendicitis and diagnostic accuracy in pediatric age group.Methods : A retrospective analytic observational study with cross-sectional design was performed on 69 children with definitive appendicitis. Appendectomized patient groups were constructed based on the results of histopathological evaluation. The area under a receiver operating characteristic (ROC) curve (AUC) was performed to examine diagnostic accuracy.Results : Based on cut-off values of â‰¥ 22,6 mg/dL for CRP level, diagnostic parameters were as follow : sensitivity 97,4%, specificity 80,0%, PPV 97,4%, NPV 80,0%, and diagnostic accuracy 89,9%. AUC values were 0,98 (95% CI 0,96 â€“ 9,99) for CRP.Conclusion : For complicated appendicitis, CRP has the highest degress of diagnostic accuracy. The diagnosis appendicitis should be made primarily based on clinical examination, and obviously more specific and systemic inflammatory markers are needed. Cut-off values of CRP â‰¥ 22,6 mg/dL provides discrimination values for complicated appendicitis.

Kehamilan usia dini di wilayah kerja UPT Kesmas Tegalalang I Kabupaten Gianyar, Bali-Indonesia Raka Mery Hardiani; Daondy Friarsa; Aswin Panji; Luh Seri Ani
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Introduction: Early pregnancy events are predicted to increase globally by 2030. Early pregnancy is a global problem that occurs in countries with high, middle, and low economic status. Pregnant women aged 10-19 years are at high risk of eclampsia, puerperal endomtritis and systemic infections. This study aims to determine the description of early pregnancy at the UPT of the Primary Health Care Center Tegallalang I Gianyar-Bali.Methods: Descriptive research using cross-sectional design was carried out on 22 pregnant women in the Primary Health Care Center Tegallalang I Gianyar, Bali. The sample was selected using the total sampling method. Data collection was conducted in May 2018. Early pregnancy data along with respondent characteristics were collected by interview method. Early pregnancy is determined based on the age of adolescents when <20 years pregnant. Data were analyzed descriptively to obtain proportions and trends in the incidence of early pregnancy.Results: The prevalence of pregnancy at an early age was 13.6%. Early pregnancy is more prevalent in mothers who do not work (22.2%) and education levels are low (25%). All pregnant women early in the second trimester of pregnancy (100%), have performed ANC services and consume blood boosting tablets (Fe). In this study it was also found that one person had not received Tetanus Toksoid (TT) immunization, was in an abnormal BMI and blood pressure. There are no early pregnant women who have anemia.Conclusion: The prevalence of early pregnancy is relatively high, so primary and secondary prevention efforts need to be intensified to reduce the incidence of early pregnancy and its negative effects.

Hubungan jumlah konsumsi jeruk terhadap kejadian batu ginjal di RSUP Sanglah Denpasar Made Wahyu Krisnandewi; I Wayan Gede Sutadarma; Desak Made Wihandani
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Latar Belakang: Batu ginjal merupakan penyakit ketiga terbanyak di bidang urologi setelah penyakit kelenjar prostat dan infeksi saluran kemih. sitrat merupakan salah satu inhibitor yang penting dalam pengumpulan kalsium oksalat dan berhubungan dengan kejadian batu ginjal. Tujuan studi ini adalah mengetahui hubungan jumlah konsumsi jeruk terhadap kejadian batu ginjalMetode: Penelitian analitik dengan metode cross sectional (potong lintang) dan menggunakan data primer dan sekunder.Â Pengambilan data dilakukan di Rumah Sakit Umum Pusat Sanglah dari Januari sampai dengan Oktober 2018. Sebanyak 93 data dikoleksi dan dianlisis univariat, bivariat dan multivariate. Univariat menggunakan uji frekuensi, normlaitas dan tabulasi silang. Uji korelasi dan chisquare sebagai uji bivariat dan uji multivarait menggunakan regresi logistikHasil: Subjek penelitian terdiri atas 66.7% laki-laki dan 33.3% perempuan. Jangkauan usia pada sampel berkisar antara 15 tahun hingga 87 tahun, dengan rerata usia 52.38 + 11.3 tahun. Jenis kelamin laki-laki menunjukkan kecenderungan untuk memiliki batu ginjal bilateral (r= -0,258; p= 0.019). Korelasi negatif antara konsumsi jeruk dan batu ginjal dan tidak signifikan secara statistik (r= -0.024; p=0.533). regresi logistic menunjukkan jenis kelamin memilki hubungan yang disignifikan (p=0.0021; IK95%: 0.07-0.83).Simpulan: Batu ginjal disebabkan multifaktorial dan konsumsi jeruk tidak berkorelasi secara stastitikIntroduction: Kidney stone is the third most common disease in the disease of urology after prostate gland disease and urinary tract infections. Citrate is one of the important inhibitors of accumulation of calcium oxalate and associated with the incidence of kidney stones. This study aimed to determine the relationship of the amount of orange consumption to the incidence of kidney stonesMethod: The research is an analytical study with the cross-sectional method and using either primary or secondary data. Data collection was collected at the Sanglah hospital from January until October 2018. 93 data were collected and analyzed by univariate, bivariate and multivariate. Univariate uses frequency test, normalization, and cross-tabulation. Correlation and chi-square test as a bivariate test and multivariate test using logistic regressionResult: The study subjects consisted of 66.7% men and 33.3% women. The age range in samples from 15 to 87 years, with mean 52.38 + 11.3 years. The male sex showed a tendency to occur bilateral kidney stones (r = -0.258; p = 0.019). The correlation between the consumption of oranges and kidney stones was negatively and not statistically significant (r = -0.024; p = 0.533). Logistic regression states sex was a significant relationship (p = 0.0021; IK95%: 0.07-0.83)Conclusion: Kidney stones were caused by multifactorial and consumption of citrus was not statistically correlated.

Gambaran persepsi ibu terhadap obesitas pada anak usia sekolah dasar di Kecamatan Canggu, Kabupaten Badung, Bali tahun 2018 Putu Eksa Bidja Yudha Putri; Komang Ayu Kartika Sari; Luh Putu Ariastuti
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Latar Belakang: Obesitas adalah suatu keadaan terjadinya penumpukan lemak tubuh yang berlebih, sehingga berat badan seseorang jauh melebihi norma. Pemasalahan gizi lebih di Indonesia harus mendapatkan perhatian, prevalensi obesitas pada anak di indonesia terus meningkat. Pada tahun 2007 sebesar 7,95%, di tahun 2013 meningkat menjadi 18,8%.Metode: Penelitian ini merupakan penelitian deskrtitif dengan rancangan penelitian cross sectional yang bertujuan untuk menggambarkan persepsi ibu terhadap obesitas pada anak usai sekolah dasar. Sempel dari penelitian ini adalah sebanyak 92 responden, dengan teknik pengambilan sempel random sampling dan penelitian ini menggunakan alat ukur kuesionerHasil: Ibu yang memiliki persepsi positif terhadap obesitas pada anak sebanyak 56,5% sedangkan ibu yang memiliki persepsi negatif terhadap obesitas pada anak sebanyak 43,5%Simpulan: Masih banyak ibu yang menganggap bahwa obesitas pada anak bukan maslah bagi ksehatan anak.Â Introduction: Obesity is a condition where there is excess body fat accumulation so that a person's weight is far above normal. The current problem of overnutrition in Indonesia must get attention; the prevalence of obesity in children in Indonesia continues to increase in 2007 by 7.95% and increased to 18.8% in 2013.Method: This study is a descriptive study with a cross sectional study design that aims to describe mothers' perceptions of obesity in children after primary school. The samples from this study were 92 respondents, with random sampling technique and the research using a questionnaire measuring instrument.Result: Mothers who have a positive perception of obesity in children as much as 56.5% while mothers who have a negative perception of obesity in children as much as 43.5%.Conclusion: Based on these results it can be concluded that there are still many mothers who consider that obesity in children is not a problem for children's health.

Faktor penyebab infertilitas pasien program IVF (In Vitro Fertilization) di Klinik Graha Tunjung RSUP Sanglah Ni Wayan Ariati Trisna Dewi; Anom Suardika; Ryan Saktika Mulyana
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Latar Belakang: Infertilitas adalah tidak mampu untuk hamil sesudah 12 bulan atau lebih tanpa menggunakan kontrasepsi dan bersifat primer dimana pasangan yang gagal untuk mendapatkan kehamilan untuk meneruskan keturunan. Infertilitas dapat disebabkan oleh faktor perempuan, laki-laki maupun keduanya. Sekitar 50-80 juta pasangan mengalami infertilitas di dunia, infertilitas di negara berkembang terjadi lebih tinggi yaitu sekitar 30%, di bandingkan negara maju hanya 5-8%.Metode: Penelitian ini merupakan suatu penelitian deskriptif cross sectional, Sumber data berasal dari data sekunder yaitu rekam medis pasien yang mengalami infertilitas di klinik graha tunjung RSUP Sanglah periode Januari 2016 -Desember 2017. Pengambilan data di ambil dengan metode Total Sampling. Distribusi variabel penelitian yaitu pada perempuan dengan faktor tuba, uterus dan ovarium sedangkan pada laki-laki yaitu faktor sperma.Hasil: Kejadian infertilitas di RSUP Sanglah Denpasar periode Januari 2016 -Desember 2017 sebanyak 38 kasus. Pada perempuan yaitu faktor satu tuba non-paten sebanyak 4 kasus (25,0%), dan responden dengan kedua tuba non-paten sejumlah 12 kasus (75,0%). Kasus denghan kelainan Faktor ovarium, yaitu Endometrioma sebanyak 2 kasus (12,5%). Tidak didapatkan kasus dengan kelainan faktor Uterus pada Perempuan. Infertilitas pada laki-laki berdasarkan faktor sperma: oligozoospermia 1 kasus (5,6%), Asthenozoospermia 2 kasus (11,1%), Teratozoospermia 1 kasus (5,6%), Oligo Astheno Teratozoospermia 11 kasus (61,1%) dan Azoospermia 3 kasus (16,7%).Simpulan: Faktor penyebbab infertilitas pada perempuan yang paling tinggi adalah kelainan pada tuba yaitu, kedua tuba non patten. Sedangkann penyebab infertilitas paling tinggi pada laki-laki yaitu kelainan pada sperma Oligo Astheno Teratozoospermia.Introduction: Infertility is the inability to get pregnant after 12 months or more without using contraception and is primary where the couple fails to get a pregnancy to continue the offspring. Infertility can be caused by factors of women, men or both. Around 50-80 million couples experience infertility in the world, infertility in developing countries is higher, which is around 30%, compared to developed countries, only 5-8%.Method: This research is a cross-sectional descriptive study. The source of the data comes from secondary data, namely medical records of patients experiencing infertility at the clinic visiting Sanglah Hospital for the period January 2016-December 2017. Data collection was taken by the Total Sampling method. The distribution of research variables is in women with tubal, uterine and ovarian factors whereas in men it is sperm factor.Result: Infertility events at Sanglah General Hospital Denpasar in January 2016 -December 2017 were 38 cases. In women, the factor of one non-patent tube were 4 cases (25.0%), and respondents with both non-patent tubes were 12 cases (75.0%). Ovarian factor abnormalities, Endometrioma were 2 cases (12.5%). There were no cases of Uterine factor abnormalities in Women. Infertility in men based on sperm factors: 1 case oligozoospermia (5.6%), Asthenozoospermia 2 cases (11.1%), Teratozoospermia 1 case (5.6%), Oligo Astheno Teratozoospermia 11 cases (61.1%) and Azoospermia 3 cases (16.7%).Conclusion: The highest factor of infertility in women is abnormalities in the tube, both tubal non-patent. The highest cause of infertility in men is an abnormality in sperm, Oligo-Astheno-Teratozoospermia.

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