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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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Hubungan antara nyeri punggung dan penggunaan tas punggung pada siswa di SDN 23 Dangin Puri Denpasar Kadek Puja Asmara Miranda; Sri Yenni Trisnawati; Ida Ayu Sri Wijayanti
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.322 KB) | DOI: 10.15562/ism.v10i3.504

Abstract

Background: Back pain is the third most common event after selfagia and migraine. The use of the backpack is one of the factors causing back pain. The aim of this study was to find out the correlation between back pain and backpack use.Methods: Analytical research with cross sectional method and using primary data. Data collection was carried out at SDN 23 Dangin Puri Denpasar from October to December 2018.Results: The subjects of the study consisted of 54% female and 46% male. Age range in samples ranges from 9 to 12 years. Male and female sex did not have a significant effect on complaints of back pain. Positive correlation between back pain and backpack use (p = 0.004). Backpack weight has a correlation with back pain.Conclusions: Back pain has a positive correlation with the use of backpackLatar Belakang: Nyeri punggung merupakan kejadian terbanyak ketiga setelah selfagia dan migraine. Penggunaan tas punggung adalah salah satu factor penyebab nyeri punggung. Tujuan studi ini adalah mengetahui hubungan antara nyeri punggung dan penggunaan tas punggung.Metode: penelitian analitik dengan metode cross sectional (potong lintang) dan menggunakan data primer.  Pengambilan data dilakukan di SD N 23 Dangin Puri Denpasar dari Oktober sampai dengan Desember 2018.Hasil: Subjek penelitian terdiri atas 54% perempuan dan 46% laki – laki. Jangkauan usia pada sampel berkisar antara 9 hingga 12 tahun. Jenis kelamin laki – laki dan perempuan tidak memiliki perbedaan yang signifikan terhadap keluhan nyeri punggung. Korelasi positif antara nyeri punggung dan penggunaan tas punggung (p = 0.004). berat tas memiliki hubungan dengan nyeri punggung.Simpulan: nyeri punggung ada korelasi positif dengan penggunaan tas punggung.
Korelasi kadar laktat dengan Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE II) pada neonatus yang dirawat di NICU RSUP Sanglah, Bali, Indonesia I Gede Deden Susma Sugara; I Wayan Dharma Artana; Ketut Suarta; Soetjiningsih Soetjiningsih; Ni Putu Siadi Purniti; Dyah Kanya Wati; Made Sukmawati; Made Kardana
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 (423.462 KB) | DOI: 10.15562/ism.v10i2.505

Abstract

Background: Infant mortality rate is one of the indicators of public health degree that determines the human development index. Various attempts were made to early detect the problems, one of which was by assessing the severity of neonatal disease using Score for Neonatal Acute Physiology Perinatal Extension-II (SNAPPE II) which was associated with lactate levels as a metabolic response and organ dysfunction due to critical illness that were suffered at the Neonatal Intensive Care Unit (NICU).Methods: A cross-sectional analytic study was conducted among 48 critically ill neonates treated at the Sanglah Hospital Denpasar NICU. Samples were selected from affordable populations by consecutive sampling. Data analysis was performed by Saphiro-Wilk data normality test, correlation analysis using the Pearson correlation coefficient, significant results if the value of p <0.05. Data were analyzed using SPSS version 17 for Windows.Results: Most of the respondents were males (67%), the mean of neonatal gestational age was 33 (± 3,2) weeks with the median neonatal age at lactate sampling being 24 (24-48) hours. The average age of the mother at delivery was 24 (21-40) years. The mean lactate level in critically ill neonatal patients admitted to the NICU was 3.2 (± 0,5) mmol / L. The mean SNAPPE II score on the subject was 32 (20-42). There was a significant positive correlation between the levels of lactate and the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II (r = 0.45; p = 0.004).Conclusion: Lactate levels has a moderate positive correlation with the severity of the disease in critically ill neonates in the NICU assessed by SNAPPE II
Therapeutic approaches for pusher syndrome after a stroke: a literature review Sayu Aryantari Putri Thanaya; Putu Eka Mardhika
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 (335.533 KB) | DOI: 10.15562/ism.v10i2.507

Abstract

Introduction: Pusher syndrome is a disorder that is clinically present in 5-52% of stroke patients, characterized by active pushing using the non-paretic side towards the paretic side, and resistance to the passive correction of posture. This disorder can pose an unfavorable effect on the rehabilitation of stroke patients. Hence, finding effective therapeutic approaches for pusher syndrome is crucial. This study aimed to identify the existing therapeutic approaches for pusher syndrome and investigate their effectiveness.Methods: A literature review was carried out, where studies were identified through searching the PubMed database from database inception to 2019 using the keywords: “pusher syndrome”, “pusher behaviour”, “contraversive pushing”, “ipsilateral pushing”, “lateropulsion”, “physiotherapy”, “physical therapy”, “treatment”, “therapeutic approach”, “therapy” and “training”.  The literatures were analyzed systematically based on the results of previous studies.Results: Several approaches were identified for treating pusher syndrome post-stroke, including robot-assisted gait training (RAGT), galvanic vestibular stimulation (GVS), visual feedback (VF), and physiotherapy with additional components such as relaxation therapy in the prone position and lateral stepping with body weight–supported treadmill training (LS-BWSTT). RAGT and VF training appear to be promising adjunctive approaches for treating pusher syndrome. Conventional physiotherapy with additional components such as relaxation therapy and LS-BWSTT have also led to positive effects. However, the effect of GVS has not been established.Conclusion: There is evidence that some therapeutic approaches can be beneficial for improving pusher syndrome and outcomes of stroke patients, in particular when combined with conventional physiotherapy. However, the number of studies is still very limited. Further research with methodological rigor is needed.
A large-liver abscess with severe anaemia in 6 years-old patient: a case report I Gusti Istri Agung Widnyani; I Putu Gede Karyana; I Gusti Ngurah Sanjaya Putra; Nyoman Metriani Nesa
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 (1032.244 KB) | DOI: 10.15562/ism.v11i1.508

Abstract

Background: Liver abscess are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amoebic. A pyogenic liver abscess (PLA) is a potentially lethal condition. This study aims to describe the signs, symptoms, and prognosis of pyogenic liver abscess in children with severe anaemia.Case Description: Six years old boy complained about abdominal pain for 4 months before admitted to the hospital. The abdomen began to stiff 23 days before. Since 4 weeks, there was several episodes of fevers, more than 4 times but not more than 3 days, relieved by antipyretic. Every fever followed by a stomachache. His parents said he looked paler than before and his activities decreased, was sleepy and irritable. In physical examination, we found the patient looked anaemic, with a distended abdomen with hepatomegaly. Routine CBC revealed: WBC was 16.99, Hemoglobin was 5.45g/dL platelet was 796.20, iron parameters was: iron serum: 11.27 ug/dL (normal: 50-120 ug/dL) TIBC: 180 ug/dL(normal 225-450 ug/dL). A liver abscess 4.5 cm x 5.1 cm with liquefaction was obtained by ultrasound and confirmed by abdomen MSCT with contrast 4,4 x 4,3 x 6,1 cm. The patient family refused abscess draining surgery, so only conservative therapy by antibiotics was given and further followed up in polyclinic. Nine-month after therapy, follow up by ultrasound was normal.Conclusion: The sign and symptom of pyogenic LA were non-specific; abdomen MSCT confirmed the diagnosis with contrast. The prognosis was good.
Prevalence of risk factors associated with hypertension at Sanglah General Hospital, Bali Mahen Isaac Pannir Chelvam; I Wayan Sugiritama; I Gusti Nyoman Kamasan Arijana
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 (274.516 KB) | DOI: 10.15562/ism.v11i1.510

Abstract

Background: High blood pressure, also called "hypertension," is a serious medical condition. It happens when the force of the blood pumping through the arteries is too strong. The World Health Organization rates hypertension as one of the most important causes of premature death worldwide, and the problem is growing. This study aimed to determine the risk factors affecting Hypertension at Sanglah general hospital.Methods: This study was a descriptive study with a cross-sectional approach. The data used in this study is a secondary data collected from medical record of the patients with Hypertension at Sanglah general hospital, Denpasar, Bali in the year of 2015 until 2016. The data was categorized based on Body Mass Index (BMI), gender, age, alcohol consumption, and history of cardiovascular diseases.Results: There are 73(60.83%) males and 47(39.17%) females, the majority of patients were in the age group of 18 – 70 years of age with the age group of 40 - 50 carrying a rather large quantity of 45.8% among the male gender and for the female gender the age group of 51 – 60 showed the highest percentage of 38.2%, the sample consists of 60.83% of males and 39.17 of females from the total 120 samples taken from Sanglah general hospital. As for Body Mass Index (BMI), 25 – 29.9 has the most significant value of 49 (40.83%) when compared to the other nutritional statuses present. The patients with the cardiovascular disease showed a very substantial amount of 69 (57.5%) among males and 41 (34.17%) among females. Patients with a history of alcohol consumption for the male gender had a value of 34 (28.30%), and for the female gender group, it carried an amount of 2 (1.70%).Conclusions: This study succeeded in identifying 120 samples of patients with hypertension and their contributing risk factors. The majority of the Samples were with body mass index (BMI) 25 – 29.9 (40.83%). The samples with a history of cardiovascular disease showed a value of 69 (57.5%) among males and 41 (34.17%) among females. Patients with a history of alcohol consumption for the male gender had a value of 34 (28.30%), and for the female gender group, it carried an amount of 2 (1.70%)
Pediatric amyand hernia : case report in Sanjiwani Gianyar Hospital Bali-Indonesia Luciana Luciana; Gede Eka Rusdi Antara; Made Dwi Yoga Bharatha
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 (932.848 KB) | DOI: 10.15562/ism.v10i2.511

Abstract

Introduction: Amyand’s hernia (AH) is defined as protrusion of the vermiform appendix in an inguinal hernia sac, and incidence was reported only 1% of all inguinal hernias. This study aimed to share the experience of inguinal hernia repair with appendectomy for Pediatric case with non inflamed appendices.Case: A 2-year-old male came to the emergency department with a history of irreponible lump along with right scrotal tender 6 hours before admission and progressively increased. There is no specific sign of obstruction,dehydration or infection. His lump already presented since new born but with age progression the reponible complain become more frequently. Based on clinical presentation this patient did open repair of hernia as diagnostic and therapeutic, identification of appendix was non-inflamed appendix inside right scrotum, no sign of incarcerated strangulated of perforated. No Complication was reported until two-month post-operative. Surgical correction is already done with non-complication post-operative care for 2 month period.Conclusion: Pediatric Amyand Hernia is rare case (1% from all inguinal hernia) diagnostic and therapeutic could be very challenging. Open herniotomy repair and appendectomy for this case was taken with satisfying outcome.Keywords: pediatric, inguinal hernia, appendectomy.
Profil penderita Diabetes Mellitus Tipe-2 (DM-2) dengan komplikasi yang menjalani rawat inap di Rumah Sakit Umum Daerah (RSUD) Klungkung, Bali tahun 2018 I Gede Restu Mahendra Sugiarta; I Gusti Ketut Darmita
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 (241.031 KB) | DOI: 10.15562/ism.v11i1.515

Abstract

Background: DM is a metabolic disease with the characteristic of hyperglycemia due to insulin abnormality, insulin action, or a combination of insulin abnormality and insulin action. Klungkung accounted for the third-largest prevalence of DM after Jembrana and Buleleng with 1.6%. Preliminary survey in Klungkung’s Hospital 2019, shown that the number of patients with T2DM with a complication that hospitalized in 2018 were 253 people.Method: This was a cross-sectional descriptive study aimed to determine the proportion of T2DM patient with complication and average Length of Stay (LOS) T2DM patient with complication. This study was carried out at the medical record installation of Klungkung’s Hospital using secondary data obtained from medical record Klungkung’s Hospital. Samples were all T2DM patients with the complication that hospitalized with 253 samples using a total sampling method. Data were processed and analyzed using the SPSS version 21 for Windows.Result: The highest proportion of T2DM patient with complication based on age was 61 to 70 years old (36.0%), based on sex was men (54.5%), based on complication was diabetic foot (18.2%), based on treatment was insulin (83.4%), based on discharged from hospital was outpatient treatment (90.5%), and based on source of cost was BPJS (94.9%). The average LOS for patients T2DM with complication was 5.81 day.Conclusion: Effort needed to reduce the prevalence of T2DM with complication and needed maximum services in the management of T2DM with complication to prevent further worsening patient’s condition of T2DM with complication. One of them is giving strong education to patient regarding T2DM with complication. Latar Belakang: DM merupakan penyakit metabolik dengan karakteristik berupa hiperglikemia akibat kelainan insulin, kerja insulin, atau kombinasi dari kelainan insulin dan kerja insulin. Klungkung menyumbang prevalensi DM terbesar ketiga setelah Jembrana dan Buleleng sebesar 1,6%. Survei pendahuluan di RSUD Klungkung 2019, mendapatkan jumlah penderita DMT2 beserta komplikasi yang dirawat inap tahun 2018 sebanyak 253 orang.Metode :. Penelitian ini merupakan penelitian deskriptif cross sectional untuk mengetahui proporsi penderita DMT2 dengan komplikasi dan lama rawatan rata-rata penderita DMT2 dengan komplikasi. Penelitian dilaksanakan di instalasi rekam medis RSUD Klungkung menggunakan data sekunder yang diperoleh dari catatan rekam medis di RSUD Klungkung. Sampel adalah semua penderita DMT2 dengan komplikasi yang dirawat inap dengan jumlah 253 orang menggunakan metode total sampling. Data diolah dan dianalisis menggunakan program SPSS versi 21 untuk Windows.Hasil : Proporsi penderita DMT2 dengan komplikasi tertinggi pada umur 61 s/d 70 tahun (36,0%), jenis kelamin pada laki-laki (54,5%), komplikasi pada diabetic foot (18,2%), pengobatan pada insulin (83,4%), keadaan sewaktu pulang pada berobat jalan (90,5%), dan sumber biaya pada BPJS (94,9%). Lama rawatan rata-rata penderita DMT2 dengan komplikasi adalah 5,81 hari.Kesimpulan: Diperlukan suatu upaya untuk menurunkan angka kejadian DMT2 dengan komplikasi serta memaksimalkan pelayanan dalam penatalaksanaan DMT2 dengan komplikasi untuk mencegah perburukan komplikasi penderita yang lebih lanjut. Salah satunya berupa pemberian edukasi yang kuat kepada penderita mengenai DMT2 beserta komplikasi.
Perubahan tingkat pengetahuan pasca penyuluhan penyakit menular tuberculosis (TB) terhadap masyarakat di Desa Tojan, Klungkung, Puskesmas Klungkung I, Bali, Indonesia Sintia Sugiarta Rahmasari; I Wayan Weta
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 (261.763 KB) | DOI: 10.15562/ism.v11i1.516

Abstract

Background: Tuberculosis (TB) is one of the infectious diseases that still need attention, especially in developing countries where the prevalence is still high. Health promotion is a step that can be done to prepare citizens in terms of their abilities and knowledge regarding TB disease. This study aims to see changes in people's knowledge after health promotion about TB in the village of Trojan, Klungkung, Bali.Methods: A cross-sectional descriptive study has been conducted to assesses the knowledge responses before and after delivery of material on TB. Health promotion was carried out on April 2nd 2018 in Banjar Desa Trojan Klungkung. Before giving the material 3 questions were given to 3 participants randomly, then after giving the material for 30 minutes, 3 questions were given to 9 random communities. Data were analyzed using SPSS version 17 for WindowsResults: A total pre-test score was 44.4% while the post-test score was 88.9% where there was an increase of 44.5% after the material was given. In addition, all of the respondents showed a perfect post-test score (100,0%) both in the questions related to the symptoms of TB as well as the route of transmission for TB, respectively,Conclusion: This study shows that there is an increase in knowledge after the provision of health promotion through post-test evaluation. Latar Belakang: Tuberkulosis (TB) merupakan salah satu penyakit menular yang masih perlu diperhatikan terutama di negara berkembang dimana prevalensinya masih tinggi. Penyuluhan merupakan suatu langkah yang dapat dilakukan untuk mempersiapkan warga dalam hal kemampuan dan pengetahuan mengenai penyakit TB. Studi ini bertujuan untuk melihat perubahan pengetahuan warga setelah dilakukan penyuluhan mengenai TB di Desa Trojan, Klungkung, Bali.Metode: Sebuah studi potong lintang deskriptif telah dilakukan untuk menilai respon pengetahuan sebelum dan sesudah penyampaian materi penyuluhan mengenai TB. Penyuluhan dilakukan pada tanggal 2 April 2018 di banjar Desa Trojan Kelungkung. Sebelum pemberian materi diberikan 3 buah pertanyaan kepada 3 peserta secara acak, kemudian setelah pemberian materi selama 30 menit, diberikan 3 buah pertanyaan kepada 9 masayarakat acak. Data dianalisis menggunakan SPSS versi 17 untuk Windows.Hasil: Total nilai pre-test adalah 44,4% sedangkan nilai post-test adalah 88,9% dimana terjadi peningkatan sebesar 44,5% setelah pemberian materi. Di samping itu, seluruh responden menunjukkan hasil nilai post-test sempurna (100,0%) baik pada pertanyaan yang berhubungan dengan gejala TB maupun jalur transmisi TB, secara berturut-turut.Kesimpulan: Studi ini menunjukkan bahwa terdapat peningkatan pengetahuan setelah pemberian penyuluhan melalui evaluasi post-test.
Drug prescription pattern of hypertension patients at primary healthcare facilities in West Denpasar Kartiga Silvaraju; I Gusti Ayu Artini
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 (188.823 KB) | DOI: 10.15562/ism.v11i1.517

Abstract

Background: In the treatment of hypertension, investigating and monitoring the prescription patterns of antihypertensive medications time by time is essential to assess the adherence to treatment guidelines. Inappropriate prescribing negatively impacts on health and economy of individual and the society.Aim: The study aims to know the antihypertensive prescribing pattern of hypertension patients at primary healthcare facilities.Method: This studyis a descriptive study with cross sectional design as well as concern to the drug prescribing pattern of hypertension in both 1st and 2nd West Denpasar primary healthcare (PHC), Bali as many as 54 samples from January-December 2016.Result: Mean age is between 60-69 years old, and female were more prone to hypertension than male.Conclusion: The study revealed that the prescription of antihypertensive medication in West Denpasar primary healthcare was related to JNC guidelines, except monotherapy of diuretics.
Skin flap pattern in skin cancer at Sanglah General Hospital Denpasar, Bali-Indonesia Made Wardhana; IGN Darmaputra; I Gde Nengah Adhilaksman Sunyamurti Wirawan; Nyoman Yoga Maya Pramita; Rikcy Fernando Maharis; Ni Made Dwi Puspawati; IGAA Dwi Karmila; IGAA Praharsini
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (917.309 KB) | DOI: 10.15562/ism.v10i3.518

Abstract

Background: The prevalence of skin cancer is consistently increasing recently, an hence a more comprehensive management is necessary for patients’ satisfaction. Generally, skin cancer is categorized into several histological types, including melanoma, basalioma, squamous cell carcinoma (SCC), and several other less common types such as keratoacanthoma, pyogenic granuloma, and Bechet disease. In dermatology, the intervention is limited which only consists of infiltrative anesthesia, no involvement of other organs, and no attachment to the underlying tissue. Therefore, random skin flap frequently becomes the preferred option that involves advancement, rotation, transposition, and interpolation flap. This study aims to investigate the profile of skin cancer and flap pattern among patients undergoing skin flaps procedure at Dermatology and Venereology Department of Sanglah General Hospital, Denpasar. Method: This study included all skin cancer patients who underwent skin flap surgery. Samples collection was performed retrospectively using patients’ medical records from January 2015 - December 2018. Results: Over the study period, there were a total of 41 skin cancer patients who underwent skin flap surgery of whom 10 (54.6%) patients were diagnosed with melanoma, 16 patients with basalioma, 9 patients with SCC and the remaining included 3 cases of acanthoma and 1 Bechet disease. Regarding the flap types, simple advancement and its variances were performed in 6 melanoma, 11 basaliomas, 5 SCC and 4 keratoacanthoma cases. Transposition flap was performed in 2 melanoma, 3 basalioma, and 3 SCC cases; whereas rotation flap was performed in 2 melanoma and 2 basaliomas and SCC cases.Conclusion: From 41 skin cancer patients discovered, basalioma was the most frequent cases and advancement techniques were the most frequently performed flap surgery. Only 1 post-surgical infection was found after rotational flap procedure.   

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