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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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KINERJA CT DALAM MENDETEKSI TRAUMA USUS BESAR Ariwangsa Asbita
Intisari Sains Medis Vol. 5 No. 1 (2016): (Available online: 1 April 2016)
Publisher : DiscoverSys Inc.

Relevansi dan reliabilitas gambaran CT pada trauma usus besar, sangat menentukan kemampuan CT dalam mendeteksi trauma usus dan mencari pengaruh tingkat pendidikan ahli radiologi terhadap kemampuan CT.112 CT scan abdomen pada pasien dengan trauma tumpul abdomen yang diikuti secara prospektif dan retrospektif . 50 pasien terbukti trauma usus (dengan atau tanpa trauma organ lain), sedangkan 62 pasien tidak terbukti trauma injuri usus dibandingkan dengan kelompok kontrol. 31 dari 62 pasien pada kelompok kontrol mengalami pembedahan abdomen tetapi bukan trauma mesenterik. Peninjauan secara retrspektif pada 112 CT scan telah diacak oleh sembilan ahli radiologi tanpa melihat diagnosis, termasuk tiga stap pengajar ahli radiologis, tiga residen senior, tiga residen junior. Kemampuan individual dan grup telah dievaluasi. Gambaran sebuah CT sebagai prediktor yang relevan dari trauma usus telah diidentivikasi dengan regresi logistik.Prediktor yaag relevan pada tauma usus besar termasuk infitrasi mesenterik, penebalan diding usus, extravasasi pembuluh darah atau bahan contraha enterik dan adanya udara bebas. Pada peninjauan retrospectif blinded , CT bagus untuk diagnosis trauma usus besar dan trauma viscera. Stap pengajar radiologi cenderung lebih akurat dalam mendiagnosis trauma dibandingkan residen. Untuk prospektif CT dalam mendignosis trauma usus, CT mempunyai sensitivitas 64%, akurasi 82% dan spesifisitas 97%.Â Trauma usus besar hÃ¡dala tantangan untuk didiagnosis dengan CT. Ahli radiologi dengan tingkat pengalaman dan keahlian yang berbeda dapat mencapai hasil yang akurat menggunakan kriteria CT.

KRITERIA DIAGNOSIS DAN PENATALAKSANAAN OTITIS MEDIA SUPURATIF KRONIS Fairuziah Bader Alkatiri
Intisari Sains Medis Vol. 5 No. 1 (2016): (Available online: 1 April 2016)
Publisher : DiscoverSys Inc.

Introduction: Otitis media is an inflammation of part or all of the mucosa of the middle ear, Eustachian tube, mastoid antrum, and mastoid cells. Patients with middle ear disease often comes as a chronic stage that causes hearing loss and expense secretions. Patients complain of hearing loss that disrupt the function of the social, educational and professional. School-age children may show poor results at school. One type of otitis media is chronic suppurative otitis media (CSOM), which is a chronic infection of the middle ear with tympanic membrane perforation and discharge of secretions from the middle ear continuous or intermittent, usually accompanied by hearing loss. Secretions may be thin or thick, clear or in the form of pus. CSOM formerly called otitis media with perforated. Diagnosis is made by history, physical examination. Two types of classification that is often used is CSOM types of benign and malignant types, and based on the activity of secretions out. Management of sudden deafness include conservative with some medical therapy depends on the type of CSOM and accompanying complications.Case: Male patient, 47 years old, came with complaints of discharge from the left ear since 1 month ago. Discharge yellowish-white, slightly viscous, odorless, out a little, and not itchy. Patients with a history of diabetes. Patients admitted before the water could get into the ear while swimming in the sea. At the present status and status generalist within normal limits. On the left ear found mucopurulent secretions. On the left tympanic membrane perforation in the visible region of the central part postero superior.Â

MORBILI PADA ANAK DALAM PENGOBATAN ANTI RETRO VIRAL (ARV) Surya Dipta Nugraha
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

Introduction: Morbili is an acute viral infectious disease caused by a virus transmitted morbili. Morbili is a contagious acute viral infectious disease that is characterized by three stages: catarrhal stage, eruption stage and convalence stage. Another name morbili is measles, measles, or rubeola. Morbili caused by a virus that is classified as Family paramyxovirus, the virus genus morbili contained in nasopharyngeal secretions and blood during the prodromal period until 24 hours after the onset of spots.Case: Patient male, 6 years old, Hindu, Balinese tribe, came with complaints of febris since 5 days ago. Febris is not measured with a thermometer. The heat is felt up and down, getting better with medicine. Complaints red spots felt since 1 day ago. Originally discovered red spots appear in the neck area and then to the face and chest. The incidence of rash accompanied by itching and heat. This complaint is accompanied with nosebleeds 1 day ago, cough with sputum since 5 days ago and the red eye from one day ago. Patients feel the first time such complaints. Having a history of antiretroviral use regularly since 1.5 years old.

GAMBARAN KEBIASAAN MENGONSUMSI MAKANAN CEPAT SAJI DAN OBESITAS PADA MAHASISWA SEMESTER V PROGRAM STUDI KEDOKTERAN UMUM UNIVERSITAS UDAYANA TAHUN 2014 Ratih Pradnyandari Pemayun; Ratna Saraswati
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

Background : Obesity has been occured by deposit of fat in subcutaneous and intra abdominal tissue. The prevalance of obesity in Indonesian womens were 32,9% and mens is 19,7 % respectively. In general side, the prevalence of obesity in 18 years old adult peoples were 15,4%. The major risk factors for obesity including lifestyle dietary changes such as consuming fast food habit.Â Objective : to find out overview of consuming fast food habit and obesity in medical students.Â Method : This research was cross-sectional decriptive study. The respondens were 127 medical students on 5th semester in Udayana University on 2014. The qualitative data were be measured by questionnaires. The variables were including age, gender, general knowledge of parents, parental income monthy, body mass index (BMI), habit of consuming fast food, average outcome monlty of medical students, and daily frequency of consuming fast food.Result : the characteristic respondens including : a) mostly 20 years old, b).women more than men, c). level education of parents were university, d). monthly parental income more than 5 million rupiah, e). BMI in normal limit, f).degree of obesity were grade I, g).inconvience consuming fast food daily, h).monthy outcome of medical students were aproximately 500.000 rupiah, and i).regular consuming fast food mostly once weekly.Conclusion : mostly responden were women with normaly of BMI and inconvenience consuming fast food daily.Â

PEMBERIAN MP-ASI DAN STATUS GIZI BAYI USIA 6-24 BULAN BERDASARKAN INDEKS BB/U DI DESA BAN KECAMATAN KUBU TAHUN 2014 Muhammad Akmal Hakim
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

The provision of complementary foods (solids) early or too late will cause the baby susceptible to infectious diseases, allergies, nutritional deficiencies, and excess nutrients, which can lead to malnutrition and impaired growth. This research is to know the description the provision of complementary feeding and nutritional status of infants aged 6-24 months.This study was a cross sectional study in Public Healthcare Centre (Puskesmas) Kubu II with a sample of 81 people were selected by convenient sampling. As the sample is domiciled in infants Puskesmas Kubu II, and the exclusion criteria are infants with chronic infections, chronic diseases, congenital abnormalities and neurological defects. Data collection using questionnaires to a sample of parents selected as responders and weight measurements of the samples. Data analysis was performed univariate and bivariate. The result is from 81 samples obtained 59 samples were not given timely complementary feeding. Malnutrition status was found in 1 sample and 80 samples with good nutrition. Judging from the trend level of education and the provision of complementary feeding accuracy, the lower the level of research increasingly imprecise provision of complementary feeding. From the group of mothers with a high education level, 88.1% did not provide timely complementary feeding. In granting the accuracy of the distribution of complementary feeding on the nutritional status, the provision of timely complementary feeding not found one case of malnutrition (1.7%) and 58 well-nourished (98.3). While the provision of timely complementary feeding found 22 cases of good nutrition (100%).

GAMBARAN FAKTOR RESIKO PADA PENDERITA HIPERTENSI DI WILAYAH PUSKESMAS ABANG I, KABUPATEN KARANGASEM Wan Azren
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

From January to December in 2013, hypertension included in 10 most diseases in the Public Health Center Abang I, which ranks fifth in with 830 cases and 230 patient visits. No data about patient with risk factors of hypertension from Public Health Center Abang I. Risk factor for hypertension is needed to be obtained in order to prevent hypertension. This research covers only the risk factors of hypertension based on age, gender, Body Mass Index (BMI), family history, alcohol consumption and smoking habits.Â This research is using descriptive quantitative research study with cross-sectional approach is done once data collection. Collection of sample used is multistage sampling. The population in this study is the population diagnosed with hypertension in Public Health Center Abang I during period January â€“ December 2013.Â Sample used is 60 people. Respondents with age over 65 years old has the highest proportion (33.4%). Respondent who does not working have the highest proportion (41.7%) of hypertension. Among group with only obtain primary education has highest proportion (41.7%), with family history which has the highest proportion (63.3%). Respondents with obesity I have the highest proportion (56.7%). Males who are smoking has the highest proportion (88%). Alcohol consumer has the highest proportion of hypertension (72%).Researcher obtained a trend of increased blood pressure due to increase of age, female, low education level, do not working, family history of hypertension, obesity, smoking, and alcoholic consumer.

PREVALENSI DAN DISTRIBUSI OSTEOARTRITIS LUTUT BERDASARKAN KARAKTERISTIK SOSIO-DEMOGRAFI DAN FAKTOR RISIKO DI WILAYAH KERJA PUSKESMAS SUSUT I, KECAMATAN SUSUT, KABUPATEN BANGLI PADA TAHUN 2014 Wan Hasiibi
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

An aging process will increase human morbidity caused by degenerative diseases and disability. Based on data in Policlinic of Rheumatology Sanglah Hospital in 2001-2002, Osteoarthritis was the highest case (37%) with proportion of Knee Osteoarthritis was 97%. In Susut I Primary Health Care, which is located in Bangli, Rheumatic placed the second rank from the list of top 10 diseases in 2013.Â This research used cross sectional descriptive method. Sample were elderly who are more than 50 years old and total of sample was 78 which are taken by multistage random sampling method from Banjar Susut Kaja, Susut Village, Susut Subdisctric, Bangli Regency, April 2014.Â The prevalence of Knee Osteoarthritis in elderly who are more than 50 years old in Susut Village in April 2014 was 62,8%. According to socio-demography characteristic , knee osteoarthritis occured more in respondents who are 50-70 years old (61.2%), women (57.1%), and had physical job (farmer, cattleman, labor and army) (65.3%). While, according to risk factors, knee osteoarthritis occured more in respondents who had underweight-normal body mass index (59.2%), with history of workload due to medium-hard (71.4%), with biomechanics factors where respondents who bring goods while worked (71.4%), and the weight of goods estimated more than 25 kg (79.6%), work frequencies with goods more than 4 times a week (53.1%), respondents who had work duration more than 17 years (91.8%), and respondents who had up and down pathway and also using stairs (77.6%). Knee osteoarthritis occured more in respondents without history of knee trauma (87.8%).Â

PENILAIAN KEPARAHAN SERTA KOMORBIDITAS GANGGUAN PANIK Sivanesh Tamilselvan
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

Background: Panic disorder with or without agoraphobia is a common anxiety disorders. Panic disorder patients who seek medical attention complaining of different emerging and many patients also suffer from anxiety disorders / other psychiatric or substance abuse disorders.Methods: This was a cross sectional study conducted using DSM IV TR criteria for panic disorder. Then patients with a diagnosis of panic disorder, panic disorder severity scale measured by 7 items (PDSS) to assess the severity of panic disorder. Clinically evaluated for the presence of agoraphobia or not. Special attention is given to check whether the patients had other comorbid psychiatric disorders.Results: The majority of patients 65% were women, 52.5% were in the age group 15-24 years and the mean age of patients was 23.82 years. The mean age of onset of symptoms of panic disorder was 21.3 years. The most frequent use of a substance is tobacco in 30% of patients. The most frequent comorbidities are major depressive disorder in 40% of patients. Agoraphobia was found in 24 (60%) patients. PA is the average duration of 22.37 minutes. 60% experienced moderate PD. The majority of the patterns of symptoms 67.5% of patients experienced symptoms of cardiovascular system (CVS).Conclusion: panic disorder often found in the age group 15-24 years. Symptoms often appear are the symptoms of a cardiovascular system that needs to be distinguished carefully. Needed attention to the high rates of comorbid substance use and psychiatric disorders in patients with panic disorder.

GAMBARAN PERILAKU HIDUP SEHAT IBU YANG MEMILIKI BALITA DI WILAYAH KERJA PUSKESMAS UBUD I, KABUPATEN GIANYAR BALI TAHUN 2014 Yuhanantini Gopal Kishnam
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

10 diseases in Puskesmas Ubud I, which ranks 9th with a number of 687 cases. The prevalence of diarrhea in infants in Puskesmas Ubud I 220 children or 6,1%.Methods: This study used a descriptive cross-sectional design. Data were obtained from interviews with a structured questionnaire. Respondents were 45 mothers who has toddler chosen by simple random sampling. Data were analyzed using statistical program and presented in tabular form and narrative.Results: Most respondents (88.9%) already have hand washing behavior, but the method used is still much less good. Most respondents do not have a washing behavior as many as 73,3%. As many as 60% of respondents own behavior wash cutlery and most of the methods used is good. 68,9% of respondents have a water boiling behavior and methods are good. 82.2% respondents do not have a good food storage behavior.Conclusions: The majority of respondents do not have a washing behavior, as many as 73,3% of respondents do not have the habit of washing foods and most respondents do not have a good food storage behavior that 82,2% of respondents did not know how to store good food.

PREVALENSI HIPERTENSI PADA MASYARAKAT DI DESA TEMBUKU KABUPATEN BANGLI BULAN SEPTEMBER 2014 Riswandinatha Karyadi
Intisari Sains Medis Vol. 4 No. 1 (2015)
Publisher : DiscoverSys Inc.

Hypertension define as persistent elevation of blood pressure above normal range. Hypertension is chronic disease of cardiovascular system that can occur several severe complication including heart disease and stroke. About 40% of world population is suffering from hypertension. People who live in the rural area is very vulnerable to suffering more from hypertension due to lack of understanding and statistical information of hypertension. The shift from infectious disease to metabolic disease is happening in rural area and that should be considered as a problem and information of the real situation in rural area of hypertension should be done and to determine the risk factors of hypertension to decrease incidence of hypertension. This research is using descriptive quantitative method. Research is conducted with measurement of blood pressure from the randomly chosen 96 samples and investigation of hypertension risk factors. Risk factors such as gender, family history of hypertension, smoking habit, BMI (body mass index), physical activity, coffee consumption, and average of daily salt intake are questioned to the samples. This research found that 43% of people in Tembuku village is suffering from hypertension. Smoking and coffee consumption is considered as major risk factors in developing hypertension of people in Tembuku villageÂ

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