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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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Gambaran biaya rawat inap pengobatan pneumonia pada pasien anak di RSUP Sanglah tahun 2018 A.A Ngurah Yamananda; Wayan Citra Wulan Sucipta Putri; Putu Cintya Denny Yuliyatni
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Introduction: Pneumonia is the leading cause of death on children in Indonesia with a percentage reaching 21%, especially in infants aged less than 2 months. In the world, this disease is the number one killer of children where more than two million children have died from it, or causes one in five under-five deaths worldwide every year. High pneumonia morbidity and mortality rates are closely related to the quality of services, and the quality of resources in a health facility, up to the cost of treatment.Method: This research is an observational research with descriptive research design, and uses crossectional data collection methods (cross section). This study aims to determine the description of pneumonia treatment consisting of direct medical costs, direct non-medical costs, and indirect costs of the average cost therapy for pneumonia in pediatric patients at the Sanglah Hospital inpatient care in 2018.Result: Data were obtained from 21 samples of children with pneumonia. The average direct medical cost of patients was Rp. 3,838,270, the average direct non-medical cost is Rp. 1,443,076, and the average indirect cost is Rp. 941.905.Conclusion: The average direct medical cost of a patient is Rp. 3,838,270, room costs are the largest component, 26.9% of the average total medical costs. The average direct non-medical cost of patients is Rp. 1,443,076, consumption costs are the largest component of non-medical costs, 51.3% of the average total non-medical costs. Average patient indirect costs are Rp. 941.905, maternal productivity costs are the largest indirect cost component, 67.8% of the average total indirect costs.Latar Belakang: Pneumonia merupakan penyebab utama kematian pada balita di Indonesia dengan persentase mencapai 21%, terutama pada bayi yang berumur kurang dari 2 bulan. Di dunia, penyakit ini menjadi pembunuh nomor satu balita dimana lebih dari dua juta balita telah meninggal karenanya, atau penyebab satu dari lima kematian balita di seluruh dunia setiap tahunnya. Angka kesakitan dan kematian pneumonia yang tinggi sangat terkait dengan mutu layanan dan kualitas sumber daya di suatu fasilitas kesehatan, sampai dengan pembiayaan terapinya.Metode: Penelitian ini merupakan jenis penelitian observasional dengan rancangan penelitian deskriptif, dan menggunakan metode pengambilan data crossectional (potong lintang) untuk mengetahui gambaran pengobatan pneumonia yang terdiri dari biaya medis langsung, biaya non medis langsung, dan biaya tidak langsung dari rata-rata biaya terapi pneumonia pada pasien anak di instalasi rawat inap RSUP Sanglah pada tahun 2018.Hasil: Data dari 21 sampel pasien pneumonia anak, rerata biaya medis langsung pasien adalah sejumlah Rp. 3.838.270, rerata biaya non medis langsung adalah sejumlah Rp. 1.443.076, dan reratabiaya tidak langsung adalah sejumlah Rp. 941.905.Simpulan: Rerata biaya medis langsung pasien adalah sejumlah Rp. 3.838.270, biaya kamar adalah komponen terbesar, 26.9% dari rerata total biaya medis. Rerata biaya non medis langsung pasien adalah Rp. 1.443.076, biaya konsumsi adalah komponen biaya non medis terbesar, 51.3% dari rerata total biaya non medis. Rerata biaya tidak langsung pasien adalah Rp. 941.905, biaya produktifitas ibu adalah komponen biaya tidak langsung terbesar, 67.8% dari rerata total biaya tidak langsung.

Gambaran sindrom metabolik pada pasien gangguan jiwa yang dirawat di rumah sakit jiwa provinsi Bali I Putu Arya Giri Prabawa; Putu Kristalina Witari; I Wayan Yuna Ariawan
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Introduction: Metabolic syndrome (MS) is a constellation of various disorders that can increase the risk of heart disease. MS is known to increase morbidity and mortality rates in psychiatric patients. However, MS in the population of mental disorders, especially in Bali, is still not well known.Methods: A cross-sectional analytic descriptive study was conducted in psychiatric patients treated at Bali Provincial Mental Hospital from January 2018 to February 2018. Inclusion criteria included inpatients who diagnosed with mental disorders based on DSM-IV criteria and those who had MS based on the National Cholesterol Education Program Adult Treatment Panel (NCE ATP III) criteria.Results: A total of 245 samples were included in this study with the prevalence of MS was 48.6%. According on sex, female had higher proportion among MS patients than male (42.8% vs 60.7%). In addition, the age group > 65 years had the highest frequency (75%) suffered from MS followed by age group of 45-65 years (54,9%). Based on the class of antipsychotic administered, MS patients with typical antipsychotic drug classes had the highest frequency, followed by the atypical group and combination of atypical and typical (49.4%, 49.3%, and 46.2%, respectively). Among MS patients, most of them had obesity (87.3%), followed by dyslipidemia, hypertension and impaired fasting glucose (76.4%, 65.5%, and 60.4%, respectively).Conclusion: There is a high prevalence of metabolic syndrome among patients with mental disorder admitted to the Mental Hospital of Bali Province. Comprehensive multidisciplinary co-operation is required in the treating those with metabolic syndrome as comorbid.

Karakteristik klinikopatologi karsinoma kolorektal di RSUP Sanglah, Bali, Indonesia tahun 2013-2017 Venosha Gunasekaran; Ni Putu Ekawati; I Wayan Juli Sumadi
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Colorectal cancer is the third most common cancer in the world and the fourth leading cause of cancer death. The etiology of colorectal carcinoma is an unhealthy lifestyle and a poor diet such as excessive consumption of fat. This study aims to determine the characteristic of the clinicoopatological on colorectal carcinoma patients at Sanglah Hospital Denpasar 2013-2017.Methods: A cross-sectional study was conducted with a purposive sampling technique, on all patients who met the inclusion criteria. The tools used in data collection are medical records and their complaints that are found in the Anatomy Department of Sanglah Hospital. Data recorded includes age, grade, stage, and histopathology. The data analysis method uses SPSS version 17 for Windows.Results: A total of 121 cases were collected where most were in the age range of 50-60 years, as many as 48 cases (39.7%). In addition, Grade 2 was 98 cases (81.0%), followed by histopathological type with adenocarcinoma not otherwise specified as many as 118 cases (97.5%). Stadium 2 cases were 65 cases (53.7%), and 72 cases (59.5%) were males.Conclusion: Most cases are in the range of 50-60 years of age which is followed by Grade 2, histopathological type of adenocarcinoma not otherwise specified, stage 2 and male sex

The level of knowledge regarding breast cancer among female high school students at Santo Yoseph School, Denpasar, Bali, Indonesia Hemalatha Thiruchelvam; Ni Nyoman Ayu Dewi; Ida Ayu Dewi Wiryanthini
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Breast cancer is the second leading cause of death among women around the world. In Indonesia, breast cancer is the leading cause of death among women. Previous studies have shown that female students have limited knowledge of breast cancer. This study is aimed at assessing the level of breast cancer knowledge among female high school students in Santo Yoseph School, Denpasar.Methods: A cross-sectional survey of 96 female high school students in Santo Yoseph School, Denpasar, was conducted using a self-administered questionnaire.Â Questions asked in the questionnaire were about general knowledge of breast cancer, risk factors towards breast cancer, signs and symptoms of breast cancer and knowledge of Breast Self-Examination. The data was tabulated by scoring only the correct answers and analysed using SPSS version 17 for Windows.Results: The result of the study showed that high school female students had moderate to good knowledge of breast cancer. Fifty-three (55.2%) female students had average knowledge and forty-three (44.8%) female students had good knowledge of breast cancer. The majority of the participants, seventy-five (78.1%) of them, knew that breast cancer was the leading cause of death among women in Indonesia.Conclusion: The recent findings showed that female high school students had good knowledge of breast cancer. Good knowledge of breast cancer is important for girls and women equally.

Faktor resiko gangguan pertumbuhan pada anak usia balita (1-5 tahun) di Rumah Sakit Ibu dan Anak (RSIA) Pucuk Permata Hati, Bali-Indonesia Made Diah Ari Bestari; I Wayan Weta; Putu Aryani
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Impaired growth is still a problem that is encountered in children, so the search for factors related to growth disorders is important to evaluate in order to make an early anticipation.Method: This study used a case-control design conducted at Pucuk Permata Hati Child and Mother Hospital during the period February to April 2019. Sample search was done through consecutive methods. The search was carried out on the variables of child birth weight, maternal age at pregnancy, gestational age, hypertension conditions during pregnancy, history of abortion, maternal hemoglobin during pregnancy, placental disease (placental abruption or placenta previa), and breastfeeding. Data analysis using the help of SPSS version 25.0 software, chi-square test, logistic regression, and odds ratio calculation.Results: This study found that there was a significant relationship between maternal age â‰¤ 20 years, preterm pregnancy, hypertension during pregnancy, and placental disease during pregnancy as a risk factor that contributed to the occurrence of growth disorders in children (OR> 1; p <0.05). Then placental disease during pregnancy was the most important risk factor for growth disorders in children (aOR: 7.79; 95% CI: 1.79-75.97; p = 0.037).Conclusion: Age of preterm pregnancy, history of hypertension during pregnancy, and placental disorders are factors that play a role in the occurrence of growth disorders in children.

Karakteristik gambaran sitologi pap-smear sebagai tes skrining untuk lesi pra-kanker serviks di RSUP Sanglah, Denpasar, Bali Putu Risky Yoga Pradnyana; Anak Agung Ayu Ngurah Susraini; I Gusti Ayu Sri Mahendra Dewi
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Cervical cancer is the second most often cancer that occurs in women worldwide after breast cancer and as many as 84% of the cases occur in developing countries. Pap Smear is a screening method that widely used for cervical cancer screening. The aim of the study is to obtain the characteristic data of pap smear cytology as a pre-cervical cancer screening in Sanglah General Hospital 2016 â€“ 2017 period.Methods: This study was descriptive research with cross sectional study design. The sampling technique is total sampling where the research data comes from the cytology registration book results of the Anatomical Pathology Laboratory at Sanglah General Hospital Denpasar 1 January 2016 - 31 December 2017 period which has fulfilled the inclusion criteria and does not meet the exclusion criteria. Data were analyzed using SPSS version 20 for Windows.Results: This study collected as many as 590 samples. Most of the pap smear patients at Sanglah General Hospital Denpasar were 41-50 year old group as many as 188 people (31.86%), most of the patients parities were nullipara parities as many as 324 people (54.92%), most had no complaints as many as 261 people (44.24%) and most of the pap smear cytology description was Reactive Cellular Changes Associated with Inflammation (RCCI) as many as 261 people (44.64%).Conclusion: Most of the respondents who underwent pap-smear test as a screening step for pre-cancerous lesions had a cytological picture of Reactive cellular changes associated with Inflammation (RCCI)

The characteristic of tinea capitis in children among dermato-venereology outpatientsâ€™ polyclinic at Sanglah General Hospital, Denpasar from 2014-2017: a preliminary study Velava Kumar Gopal; Made Swastika Adiguna; Prima Sanjiwani Saraswati Sudarsa
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Tinea capitis is a type of dermatophytosis (skin disease) caused by the infection of dermatophytes. It is generally caused by the dermatophyte species of Microsporum and Trichophyton. It has been known to be able to spread human to human and animal to human. It is also almost commonly found in the prepubertal age and very rare among the adults of either gender. This study aims to determine the prevalence of Tinea capitis in children by age, sex, clinical manifestation, laboratory tests, and treatments.Methods: A cross-sectional observational study from the medical records of patients with Tinea capitis was conducted at Dermato-Venereology Outpatient Clinic RSUP Sanglah from 2014 to 2017. A total of 5 research variables were identified for this study: age, sex, clinical manifestation, laboratory tests, and treatment. The data was then analyzed and interpreted and further presented in forms of description, tables and graphs in this study by using SPSS version 17 for WindowsResults: A total of 32 patients were identified as having Tinea capitis from the period of 2014â€“2017. There was a slightly higher prevalence in the male gender (56.25%) compared with female gender (43.75%). The highest prevalence of the disease was found in the age groups of 1 â€“ 5 and 6 â€“ 10 years old with 43.75% respectively. Majority of the patients showed the presence of grey patch on their scalp on examination (53.13%). The dermatophyte Trichophyton rubrum had the highest isolation in comparison with other dermatophytes at 25.00%. The patients were almost all treated with oral Griseofulvin.Conclusion: The majority diagnosis of Tinea capitis was found in group 1-5 and 6-10 years old and had a grey patch appearance, whereas Trichophyton rubrum as the highest isolation in comparison with other dermatophytes

Profil gangguan fungsi kognitif pada pasien pasca stroke iskemik di RSUP Sanglah Denpasar Bali, Indonesia periode 2019 Bimo Adi Laksono; Ketut Widyastuti; Sri Yenni Trisnawati
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Stroke is a disease that affects straightly to the brain. Stroke occured due to obstruction of blood vessel that contain blood-transportingÂ nutrients to the brain, which lead to impairment in brain function, as well as cognitive function. Because ofÂ unavailibility of data in Sanglah General Hospital, this research must be done. This study aims to determine the cognitive function profile of post ischemic stroke patient in Sanglah General Hospital based on 5 cognitive domains.Methods: This study is an observational study, collecting data by cross sectional. Data sources were obtained from primary data in the form of interview and MoCA-Ina Test with data retrieval methods using totally sampling technique. The accessible population was patients post ichemic stroke in Sanglah General Hospital that is in a good awareness and fit for MoCA-Ina test.Results: From 26 patients that are accessible, 21 patients were diagnosed with cognitive impairment, which the majority in 41-50 range of age with 9 patients, male with 14 patients, last education of Junior High School with 7 patients, and memory being a domain which is most impaired with mean of 55,38% score.Conclusion: The most affected domain is after an ischemic stroke is memory and visuospacial function

Gambaran fungsi paru pengrajin kayu di Desa Petulu Gianyar, Bali-Indonesia Asshiddiqie Chirac Sepakat Purba1, Luh Made Indah Sri Handari Adiputra2, I Made Muliarta2 Asshiddiqie Chirac Sepakat Purba; Luh Made Indah Sri Handari Adiputra; I Made Muliarta
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Introduction: The woodworking industry is experiencing very rapid growth. Petulu Village is a village famous for its wood crafts. The working environment in Petulu village has risk factors in the form of physical factors (dust, noise, heat, lighting), chemical factors, and the most important is Dust. The purpose of this study was to describe the description of lung function of wood craftsmen including (Gender, Age, Nutritional Status, Working Period, Smoking History and Use of Personal Protective Equipment) in Petulu Village, Gianyar, Bali.Method: This study is a descriptive study with a Cross-Sectional approach which aims to describe the lung function of woodworkers in Petulu Gianyar Village. The sample in this study was taken using the simple random sampling method. The number of samples in this study consisted of 31 respondents. Primary data collection using a questionnaire and measuring lung function using spirometry.Results: The results of this study indicate that the respondents were 16 men (51.61%) and 15 women (48.39%). Respondents aged over 30 years were 25 people (80.65%) and aged under 30 years as many as 6 people (19.35%). Respondents with underweight nutritional status 1 person (3.23%), normal 15 people (48.39%) and fat 15 people (48.39%). Respondents with a working period of more than 5 years were 25 people (80.65%) and tenure under 5 years was 6 people (19.35%). Respondents who have smoking habits as many as 12 people (38.71%) and do not have smoking habits as many as 19 people (61.29%). Respondents who did not use personal protective equipment were 6 people (19.35%) and respondents who used personal protective equipment were 25 people (80.65%). The results of lung function measurements found that respondents who experienced restrictive pulmonary function disorders were 18 people (58.06%) and respondents with normal pulmonary function were 13 people (41.94%).Conclusion: Based on the results of the study showed that as many as 18 people (58.06%) wood craftsmen in Petulu Gianyar Village experienced restrictive lung function disorders.

Remaja pria 18 tahun dengan hipogonadotropik-hipogonadisme dan postur tubuh pendek: sebuah laporan kasus Metanolia Sukmawati; Antonius Wahyudi; Judie Hartono; Tjahjo Djojo Tanojo
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Hypogonadotropic hypogonadism (HH) is congenital or acquired disease affects hypothalamus or pituitary, so the secretion of GnRH, FSH, LH, and testosterone are inadequate. Clinical manifestations both physical and psychological impair patientâ€™s quality of life, so authors try to report this case.Case description: An 18 years old man complained about a small penis. Small penis cause patient had introvert personality and problems in social relations. On anthropometric status, body weight was below 3rd percentile, height was below 3rd percentile, and body mass index (BMI) was thin. The genital examination was 2nd-grade tanner, penis with 3 cm length and 3 cm circumference, minimal little pubic hair, and testicular volume <2 cc. Ultrasound examination showed no presence of testes in the right or left scrotum fossa, inguinal, and lumbar region. Chromosome analysis showed 46 XY, and hormones analysis found FSH, LH, and testosterone below the normal limit. The patient was given 2000 unit HCG injection and after that FSH, LH, and testosterone hormone increase compared before HCG injections.Conclusion: HH can impair physical and psychological patientâ€™s quality of life through delays in sexual maturation and bone maturation. Strategies to recognize symptoms in early childhood and puberty induction on time can significantly improve the sexual and reproductive function of HH patients.

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