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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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Faktor-faktor yang berhubungan dengan kejadian asfiksia neonatorum di RSUD Sanjiwani, Gianyar Made Ayu Cynthia Windasari; Dewa Ayu Ketut Oka Sadnyani
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Introduction: Asphyxia neonatorum is a condition in which the newborn does not breathe spontaneously, regularly and adequately. The incidence of asphyxia is one of the three leading causes of death in neonates in developing countries with an estimated 21-30%. Asphyxia can result. Asphyxia can cause a variety of adverse short-term and long-term complications. Objective: The aim of this study is to know the correlation between risk factors of asphyxia in Sanjiwani hospital, Gianyar.Methods: This research is a cross-sectional observational analytic study. Newborn who was diagnosed with asphyxia in Sanjiwani hospital between January 2019- December 2019 were included. Data, such as maternal age, mode of delivery, preeclampsia, premature rupture of membranes, prolong labor, low birth weight, premature and placental abnormalities were collected from medical record. The data were processed and analyzed univariate and bivariate using Chi-square test dan Fisher exact test to get prevalence ratio (PR). The value of p<0,05 was considered significant.Results: The results showed that out of 162 cases, 46.9% of newborns had asphyxia. A bivariate analysis showed significant correlation between asphyxia and premature rupture of membranes (PR=1,748, p=0,041, CI 95% 1,211 - 3,582)), mode of delivery (PR=1,975, p=0,039: CI 95% 1,032 – 3,780), low birth weight (PR=3,662, p=0.001; IK 95% 1,733 - 7,738), premature (PR=2,461, p=0.014; CI 95% 1,185 - 5,114) dan placental abnormality (PR=8,623, p=0,018; CI 95% 1,036 - 71,785).Conclusion: Premature rupture of membranes, mode of delivery, low birth weight, premature and placental abnormalities are risk factor that associated with neonatal asphyxia. Early detection in these risk factors was essential to decreased asphyxia. Pendahuluan: Asfiksia neonatorum merupakan suatu kondisi dimana bayi baru lahir tidak bernapas secara spontan, adekuat dan teratur. Kejadian asfiksia adalah salah satu dari tiga penyebab kematian terbanyak pada neonatus di negara berkembang dengan perkiraan sekitar 21-30%. Asfiksia dapat menimbulkan berbagai komplikasi jangka pendek dan jangka panjang yang merugikan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan asfiksia neonatorum di RSUD Sanjiwani GianyarMetode: Penelitian ini merupakan penelitian analitik observasional potong lintang. Sampel penelitian adalah bayi baru lahir yang terdiagnosis asfiksia neonatorum di RSUD Gianyar dalam kurun waktu Januari 2019 – Desember 2019. Data berupa usia maternal, metode persalinan, preeklampsia, ketuban pecah dini, partus lama, prematuritas, berat badan lahir rendah dan kelainan plasenta didapatkan dari rekam medis. Data kemudian dianalisis secara univariat dan bivariat dengan uji Chi-square dan Fisher exact, serta dilakukan analisis prevalence ratio (PR). Hubungan dikatakan signifikan apabila diperoleh nilai p<0,05.Hasil: penelitian menunjukkan dari 162 sampel, sebanyak 46,9% bayi baru lahir mengalami asfiksia. Berdasarkan hasil uji bivariat didapatkan hubungan yang bermakna antara kejadian asfiksia neonatorum dengan ketuban pecah dini (PR=1,748, p=0,041, IK 95% 1,211 - 3,582), metode persalinan (PR=1,975, p=0,039: IK 95% 1,032 – 3,780), berat badan lahir rendah (PR=3,662, p=0.001; IK 95% 1,733 - 7,738), prematur (PR=2,461, p=0.014; IK 95% 1,185 - 5,114) dan kelainan plasenta (PR=8,623, p=0,018; IK 95% 1,036 - 71,785).Simpulan: Ketuban pecah dini, metode persalinan, berat badan lahir rendah, prematuritas dan kelainan plasenta merupakan faktor risiko yang berhubungan dengan terjadinya asfiksia neonatorum. Deteksi dini terhadap faktor risiko ini diharapkan dapat membantu menurunkan terjadinya asfiksia.

Gonadotropin Releasing Hormone Agonis (GNRH-A) vs Human Chorionic Gonadotropin (hCG) vs Gonadotropin Releasing Hormone Agonis (GNRH-A) + Human Chorionic Gonadotropin (HCG) sebagai stimulan pematangan oosit, tingkat pembuahan, kualitas embrio, tingkat keha Putu Nody Asta Kusuma; Jaqueline Sudirman; Made Suyasa Jaya; I Gede Ngurah Harry Wijaya Surya; Anak Agung Ngurah Anantasika; Ida Bagus Putra Adnyana
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: The stimulation of Human Chorionic Gonadotropin (hCG) vs. Gonadotropin-Releasing Hormone (GnRH) agonists vs. hCG + GnRH agonists plays an important role in influencing oocyte maturation, fertilization, embryo quality, pregnancy, live birth rates, and Ovarian Hyperstimulation Syndrome (OHSS) during IVF. This study aims to determine the effectiveness of hCG vs. GnRH agonist stimulation vs. hCG + GnRH agonists regarding oocyte maturation levels, embryo quality, fertilization, pregnancy, live birth rates, and OHSS while undergoing IVF program.Methods: This cross-sectional analytic study was conducted on 86 samples, including 33 hCG group, 12 GnRH agonist group, and 41 hCG + GnRH agonist group. The secondary data was obtained from the IVF clinical laboratory results at Puri Bunda Hospital and BROS hospital. Data were analyzed using SPSS version 20 for Windows.Results: There were no significant differences in age, duration of infertility, levels of Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), estradiol, duration of stimulation, level of oocyte maturation, fertilization, embryo quality, pregnancy, live birth rate and OHSS ( p> 0.05) in each group. However, there was a significant difference in the Body Mass Index (BMI) (p = 0.032) and the number of oocytes (p = 0.020) in each group.Conclusion: There were no significant differences in oocyte maturation, fertilization rates, embryo quality, pregnancy, live birth rates, and OHSS. Latar Belakang: Stimulasi Human Chorionic Gonadotropin (hCG) vs Gonadotropin Releasing Hormone (GnRH) agonis vs hCG+GnRH agonis berperan penting dalam mempengaruhi pematangan oosit, pembuahan, kualitas embrio, kehamilan, tingkat kelahiran hidup, dan Ovarian Hiperstimulation Syndrome (OHSS) pada saat menjalani program bayi tabung. Penelitian ini bertujuan untuk mengetahui efektifitas dari stimulasi hCG vs GnRH agonis vs hCG+GnRH agonis mengenai tingkat pematangan oosit, kualitas embrio, pembuahan, kehamilan, kelahiran dan OHSS saat menjalani program bayi tabung.Metode: Penelitian potong lintang analitik ini dilakukan terhadap 86 sampel meliputi 33 kelompok hCG, 12 kelompok GnRH agonis, dan 41 kelompok hCG+GnRH agonis. Data sekunder diperoleh dari hasil laboratorium klinik IVF Rumah Sakit Puri Bunda dan rumah sakit BROS. Data dianalisis dengan SPSS versi 20 untuk Windows.Hasil: Tidak terdapat perbedaan bermakna pada usia, durasi infertilitas, kadar Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), estradiol, durasi stimulasi, tingkat pematangan oosit, pembuahan, kualitas embrio, kehamilan, tingkat kelahiran hidup dan OHSS (p>0,05) pada masing-masing kelompok. Namun, terdapat perbedaan bermakna pada Indeks Massa Tubuh (IMT) (p=0,032) dan jumlah oosit (p=0,020) pada masing-masing kelompok.Kesimpulan: Tidak ditemukannya perbedaan yang bermakna pada tingkat pematangan oosit, pembuahan, kualitas embrio, kehamilan, tingkat kelahiran hidup dan OHSS.

Identifikasi low back pain dan kadar asam laktat pada komunitas ojek online di Yogyakarta Rizky Wulandari; Riska Risty Wardhani
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Occupational diseases are caused by work and work attitudes. One of the spine's occupational diseases is low back pain (LBP), which arises because of a static position in work and is continuous. Fatigue at work can be detrimental to both the workforce and the company. One of the risks of work fatigue is the occurrence of work accidents. Increased pain in low back pain in workers is accompanied by an increase in lactic acid so that the pain is felt related to the level of fatiguePurpose: The study aimed to identify Low back pain and lactic acid levels in the online motorcycle taxi community and to determine the characteristics of Low Back Pain, types of pain, risk factors and levels of lactic acid.Methods: This research is descriptive-analytical using a retrospective approach with total sampling, which describes the socio-demographic percentage of online motorcycle taxis, external factors, LBP characteristics, pain type, and lactic acid levels. We excluded sample with spine dislocation or fracture. LBP specific test was used for LBP examination and lactic acid was measured by Roche Accutrend Plus. The data analysis test was in the form of univariate and bivariate analysis with Kendall's tau-b. P-value <0.05 was significant.Results: The incidence of non-specific LBP was 64.7% and myogenic LBP was 35.3%. There was an increase in lactic acid levels in the online motorcycle taxi community with a mean and standard deviation of 5.19 ± 1.92.Conclusion: The occurrence of LBP and increased levels of lactic acid in the online motorcycle taxi community. For further research, it is hoped that it can add to the respondents' characteristics and the number of respondents more so that a higher correlation relationship is obtained. Latar belakang: Pekerjaan dan sikap selama bekerja dapat menimbulkan penyakit akibat kerja. Nyeri punggung bawah merupakan salah satu penyakit akibat kerja. Nyeri punggung bawah mengenai tulang belakang akibat posisi statis dalam bekerja dan bersifat berkepanjangan. Penyakit akibat kerja akan meningkatkan risiko terjadinya kelelahan kerja. Adanya kelelahan kerja dapat berisiko terjadinya kecelakaan akibat kerja, sehingga merugikan tenaga kerja itu sendiri maupun perusahaan. Peningkatan nyeri punggu bawah pada pekerja disertai dengan peningkatan asam laktat sehingga nyeri dirasakan berhubungan dengan tingkat kelelahanTujuan: Tujuan penelitian yaitu mengidentifikasi nyeri punggung bawah (low back pain) dan kadar asam laktat pada komunitas ojek online di Yogyakarta serta untuk mengetahui karakteristik low back pain (LBP), tipe nyeri, faktor resiko dan kadar asam laktat.Metode: Penelitian deskriptif analitik dengan menggunakan pendekatan retrospektif dengan total sampling, yang menggambarkan persentase sosio-demografis ojek online, faktor ekternal, karakteristik LBP, tipe nyeri, dan kadar asam laktat. Responden dengan riwayat dislokasi atau patah tulang belakang tereksklusi. Tes spesifik LBP untuk memeriksa LBP dan kadar asam laktat diuji menggunakan alat Accutrend Plus Merk Roche. Analisis data berupa analisis univariat dan bivariat dengan kendall’s tau-b. Nilai p<0.05 bernilai signifikan.Hasil: Adanya kejadian LBP non spesifik sebesar 64,7% dan LBP Miogenik sebesar 35,3%. Adanya peningkatan kadar asam laktat dalam komunitas ojek online dengan rerata dan simpangan baku 5,19±1,92.Kesimpulan: Adanya kejadian LBP dan peningkatan kadar asam laktat dalam komunitas ojek online. Untuk penelitian selanjutya diharapkan dapat menambah karakteristik responden dan jumlah responden yang lebih banyak agar diperoleh hubungan korelasi lebih tinggi.

Korelasi Total Nasal Symptom Score (TNSS) dengan kualitas tidur penderita rhinitis alergi mahasiswa fakultas kedokteran Universitas Mataram Ni Made Metrya Savita Gera; Didit Yudanto; Muhammad Ghalvan Sahidu; Ilsa Hunaifi
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Introduction. Allergic rhinitis is a disease that is a worldwide concern because of its increasing prevalence and morbidity. Among the various symptoms of RA, nasal congestion is one of the most disturbing symptoms and is often associated with sleep problems. Sleep problems that occur will reduce the quality of sleep and then can cause other health problems. This study aims to determine the relationship between RA symptoms and the sleep quality of RA patients in students of the Faculty of Medicine, University of Mataram.Methods. This cross-sectional study involved students of the Faculty of Medicine, University of Mataram who met the inclusion criteria and did not meet the exclusion criteria. Data were collected by filling out the Total Nasal Symptom Score (TNSS) questionnaire to assess RA symptoms and the Pittsburgh Sleep Quality Index (PSQI) questionnaire to assess sleep quality using the google form application.Results. There were 50 respondents who filled out the questionnaire. Based on the results of the PSQI questionnaire, 98% had poor sleep quality and only 2% had good sleep quality. 46% of respondents with poor sleep quality had moderate RA, and 24% had severe RA. The Spearman rank correlation test showed a significant correlation (p value <0.05) between TNSS RA on sleep quality with a correlation coefficient (r) of 0.558.Conclusion. This shows that there is a moderate positive correlation between the TNSS and the sleep quality of students at the Faculty of Medicine, University of Mataram. Pendahuluan. Rhinitis alergi merupakan penyakit yang kini menjadi perhatian di dunia karena prevalensi dan morbiditasnya yang semakin meningkat. Dari berbagai gejala RA, kongesti hidung merupakan salah satu gejala yang sangat mengganggu dan sering dihubungkan dengan masalah tidur. Masalah tidur yang terjadi akan menurunkan kualitas tidur dan kemudian dapat menyebabkan masalah kesehatan lainnya. Penelitian ini bertujuan untuk mengetahui hubungan gejala RA dengan kualitas tidur penderita RA di mahasiswa Fakultas Kedokteran Universitas Mataram.Metode. Penelitian cross-sectional ini melibatkan mahasiswa Fakultas Kedokteran Universitas Mataram yang memenuhi kriteria inklusi dan tidak memenuhi kriteria eksklusi. Pengambilan data dilakukan melalui pengisian kuesioner Total Nasal Symptom Score (TNSS) untuk menilai gejala RA dan kuesioner Pittsburgh Sleep Quality Index (PSQI) untuk menilai kualitas tidur menggunakan aplikasi google form.Hasil. Terdapat 50 responden yang melakukan pengisian kuesioner. Berdasarkan hasil kuesioner PSQI, sebanyak 98% memiliki kualitas tidur buruk dan hanya 2% yang memiliki kualitas tidur baik. Sebesar 46% responden dengan kualitas tidur yang buruk memiliki RA derajat sedang, dan 24% memiliki RA derajat berat. Uji korelasi rank Spearman menunjukkan adanya korelasi yang signifikan (nilai p <0,05) antara TNSS RA terhadap kualitas tidur dengan koefisien korelasi (r) sebesar 0,558.Kesimpulan. Hal ini menunjukkan adanya korelasi positif yang cukup antara TNSS dengan kualitas tidur mahasiswa Fakultas Kedokteran Universitas Mataram.

Left scapulothoracic dissociation with floating shoulder and grade IIIC open left clavicle fracture with Ideberg type III scapula fracture: a rare case report Yohannes Sugiarto; Andri Ruliananto Winoto; Muhammad Ali Shodiq
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: A high-energy trauma can cause fractures involving clavicle, scapula, and scapulothoracic dissociation with floating shoulder and vascular injuries. Early and correct diagnosis of fracture with vascular injury should be performed to prevent the patient from mortality. This case report aims to evaluate the left scapulothoracic dissociation with floating shoulder and grade IIIC open left clavicle fracture with Ideberg type III scapula fractureCase Presentation: A 19 years old male was on a motorcycle-truck accident which was diagnosed with a rare left scapulothoracic dissociation with floating shoulder and grade IIIC open left clavicle fracture with Ideberg type III scapula fracture. The patient underwent arteriography, repair of the vascular injury, and open reduction internal fixation for the fracture.Conclusion: A rare and complex case of scapulothoracic dissociation with floating shoulder and traumatic subclavian artery injury and clavicle with scapula fractures require early recognition and a multi-disciplinary approach to manage the injuries.

Prevalence and recurrence of hamstring injuries among professional soccer players in Petaling Jaya City Football Club (FC) Dharshinee Suresh Kumar; Ketut Tirtayasa; I Putu Adiartha Griadhi
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: There is considerable evidence that hamstring injuries are moderate among professional soccer players and that the rates continue to remain elevated when these professional soccer players play soccer avidly. This study aims to determine the prevalence and recurrence of hamstring injuries among professional soccer players in Petaling Jaya City FC.Methods: A simple random consecutive sampling research data is the past medical record of professional soccer players from Petaling Jaya City FC Physiology Centre. They suffer from hamstring injuries directly taken from Petaling Jaya City FC. Data were analyzed using SPSS version 23 for Windows.Results: There are 30 players in Petaling Jaya City FC and 5 of them had a developing Hamstring Injury case. Out of 5 players suffering from Hamstring Injury, 2 of them had a recurrence of Hamstring Injury and all of them were males (100.00%). Most of the soccer players have played for 10-12 years (60.00%).Conclusion: The risk of getting hamstring injury increases as the age increases because of the hip flexor and the years of playing soccer excessively. In conclusion, it is safe to say that as each player's age increases, the more the possibility of the player to have a hamstring injury.

Gambaran proporsi dan faktor resiko anemia pada pasien diabetes melitus di RSUP Sanglah, Bali, Indonesia Komang Satvika Yogiswara; Sianny Herawati; I Nyoman Wande
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Patients with Type 2 Diabetes Mellitus (T2DM) are known to suffer from anemia as a direct or indirect result of their diabetes. In Indonesia, there are no studies that have looked at anemia in DM patients and the risk factors that influence it. Therefore, this study aims to determine the proportion and risk factors for anemia in T2DM patients at Sanglah General Hospital, Bali, Indonesia.Methods: This study is a descriptive study with a cross-sectional approach that uses secondary data from medical records determined by the Purposive Sampling technique. The data obtained according to the inclusion and exclusion criteria were 100 data which were then processed with SPSS version 23 for Windows.Results: In this study, it was found that 15.00% of T2DM patients in Sanglah General Hospital suffered from anemia. It was found that the risk factor that influenced the occurrence of anemia in T2DM patients was Chronic Kidney Disease (CKD) (r=0.581; p=0.000). Variable gender, HbA1c levels, BMI, type of drug, and the number of drugs were not associated with anemia in T2DM patients (p> 0.05).Conclusion: The CKD condition was known significantly as a factor affecting the occurrence of anemia in T2DM patients at Sanglah General Hospital. Latar belakang: Pasien dengan Diabetes Melitus Tipe 2 (DMT2) diketahui dapat menderita anemia sebagai akibat langsung maupun tidak langsung dari diabetes yang mereka derita. Di Indonesia, belum ditemukan adanya penelitian yang melihat anemia pada pasien DM serta faktor resiko yang mempengaruhinya. Oleh karena itu penelitian ini bertujuan untuk mengetahui proporsi dan faktor risiko anemia pada pasien DMT2 di RSUP Sanglah, Bali, Indonesia.Metode: Penelitian ini merupakan penelitian deskriptif dengan pendekatan potong lintang dimana menggunakan data sekunder rekam medis yang ditentukan dengan teknik Purposive Sampling. Data yang didapat sesuai kriteria inklusi dan eksklusi adalah 100 data yang kemudian diolah dengan SPSS versi 23 untuk Windows.Hasil: Pada studi ini ditemukan bahwa 15,00% pasien DMT2 di RSUP Sanglah menderita anemia, ditemukan bahwa faktor resiko yang mempengaruhi terjadinya anemia pada pasien DMT2 adalah kondisi Penyakit Ginjal Kronis (PGK) (r=0,581; p=0,000). Variabel jenis kelamin, kadar HbA1c, IMT, jenis obat, dan jumlah obat tidak berhubungan dengan kondisi anemia pada pasien DMT2 (p>0,05).Kesimpulan: Keadaan PGK diketahui secara bermakna sebagai faktor yang mempengaruhi terjadinya anemia pada pasien DMT2 di RSUP Sanglah.

The awareness of low sexual desire in female among married women in Indonesia: a preliminary study Jivitha Munusamy; I Made Oka Negara
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Sexual dysfunction is difficulty experienced by any individual or a couple during any stage of normal sexual activity. Sexual dysfunction occurs among men and also women. This study aims to identify the level of awareness, knowledge, and attitude of married women towards hypoactive sexual desire disorder in their life.Methods: A cross-sectional descriptive study was conducted among 75 married women using a self-administered questionnaire through social media platforms to ensure easy accessibility to a wider participant. This study's inclusion criteria are married women from the age of 20-40 years old who volunteer themselves and take place in the survey. Factors that influence low sexual desire in married women, such as age, social life, hypoactive sexual desire, and the level of communications or understanding among their partners, are assessed in this study. Data were analyzed using SPSS version 20 for Windows.Results: From the total of 75 participants, a total of 56.00% haven't heard or came across the term low sexual desire in their life. Meanwhile, a total of have 32.00% came across this term. The survey shows that participants who have participated in this survey have a higher morbidity rate on pregnancy history with complications that represent 59.00% of them. Meanwhile, participants with a history of pregnancy without complications consist of 41.00%.Conclusion: There is still a more significant number of women still unaware of hypoactive sexual desire disorder. Most of them think that hypoactive sexual desire disorder is common.

Hubungan diabetes mellitus dengan obstructive sleep apnea (OSA) di Gedung Mario Tabanan, Bali-Indonesia Tince Sarlin Nalle; I Dewa Gede Arta Eka Putra
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Diabetes mellitus (DM) is a chronic case caused by the pancreas not being able to produce insulin and when there is insulin resistance. This disease is characterized by a lot of drinking, eating, weight loss and frequent urination. This drastic weight loss results in a decrease in body mass, one of which is the nasopharynx and oropharynx so that it can cause collapse and cause Obstructive sleep apnea (OSA). This study aims to determine whether there is a relationship between diabetes mellitus and OSA in the social service held at the Mario Tabanan building on June 16, 2008.Methods: An observational analytic study with cross sectional design with a sample of 110 people. This study was conducted at Mario Building, Tabanan, Bali, Indonesia.Results: A total of 110 samples were successfully collected in this study, with an age range of 50-70 years, 55 patients with diabetes mellitus (DM) and 55 patients without diabetes. From the research above, it was found that there were more men than women, namely 67 people (58.3%) and women amounting to 43 people (42.7%). The average age who received OSA was 57.35 ± 10.89. The results of the study of the prevalence of patient respondents who suffered from DM with OSA were 65 people (53.5%) and patients who did not suffer from DM were 45 (46.5) and patients who did not have DM with OSA were 46 people (47.8%), and those who did not have diabetes and no OSA were 64 people (52.2%). There was a significant relationship between OSA and DM with a p value <0.05 and the prevalence ratio value was the Prevalent Ratio (RP) 1.432 with a confidence interval (1.024 to 5.980).Conclusion: Diabetes is a risk factor for OSA, and there is a significant relationship between diabetes and the incidence of OSA. Latar Belakang: Diabetes mellitus (DM) merupakan kasus kronis yang diakibatkan pankreas tidak mampu memproduksi insulin dan ketika ada resistensi insulin. Penyakit ini ditandai dengan banyak minum, makan, berat badan turun drastis dan sering buang air kecil. Penurunan berat badan drastis ini mengakibatkan penurunan massa otot tubuh salah satunya adalah nasofaring dan orofaring sehingga dapat menyebabkan kolaps dan menimbulkan terjadinya Obstructive sleep apnea (OSA). Penelitian ini bertujuan mengetahui apakah ada hubungan antara diabetes mellitus dan OSA pada baksos yang diadakan di gedung Mario Tabanan pada tanggal 16 Juni 2008.Metode: Penelitian analitik observasional dengan rancangan cross sectional dengan sampel sebanyak 110 orang yang dilakukan di Gedung Mario Tabanan, Bali, Indonesia.Hasil: Total 110 sampel berhasil dikumpulkan dalam penelitian ini, dengan rentangan usia 50-70 tahun, 55 pasien dengan diabetes mellitus (DM) dan 55 pasien tidak DM. Dari penelitian diatas didapatkan laki-laki lebih banyak daripada perempuan yaitu 67 orang (58,3%) dan perempuan berjumlah 43 orang (42,7%). Rata rata umur yang mendapatkan OSA 57,35± 10,89. Hasil penelitian prevalensi responden pasien yang menderita DM dengan OSA adalah 65 orang (53,5%) dan, pasien yang tidak menderita DM adalah sejumlah 45 (46,5) dan pasien yang tidak DM dengan OSA adalah sejumlah 46 orang (47,8%) dan yang tidak DM dan tidak OSA adalah 64 orang (52,2%) Didapatkan adanya hubungan signifikan antara OSA dengan DM dengan nilai p<0,05 dan nilai rasio prevalens adalah Rasio Prevalen (RP) 1,432 dengan interval kepercayaan (1,024 sampai 5,980).Simpulan: Diabetes merupakan faktor risiko dari terjadinya OSA, dan didapatkan hubungan yang bermakna antara diabetes terhadap kejadian OSA.

Karakteristik presbikusis di Kecamatan Sukawati Kabupaten Gianyar tahun 2017 I Gusti Ayu Mahaprani Danastri; Made Wiranadha
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Introduction: Presbycusis is sensorineural hearing loss that related to age and the most common cause of hearing loss in elderly. Total population in Gianyar regency in 2010 is 445.031 and the population of people aged over 60 year old is 46.468 or 10.44% from total population.Method: This study was conducted in Sukawati district, Gianyar Regency on Saturday, September 30, 2017. The hearing threshold is measured one time by audiometric examination. This study used a descriptive cross sectional design and data analysis was carried out with the SPSS program.Result: The results of this study were presbycusis most prevalent in women (60%). Presbycusis most prevalent at ages 65-69 years old (48%). Most type of presbycusis was strial type (57.69%). The average hearing treshold on right ear was 51.86 dB and average hearing threshold on left ear was 53.95 dB. The highest level of education in this study was elementary school and is obtained in the age group of 65-69 years old.Conclusion: This study shows various degree of deafness, hearing acuity, age, sex and level of education so the possibility of presbycusis burden can increase later in the population. Latar belakang: Presbikusis merupakan gangguan pendengaran sensorineural yang dikaitkan dengan faktor usia dan merupakan penyebab terbanyak gangguan pendengaran pada orang tua. Jumlah penduduk Kabupaten Gianyar tahun 2010 sebesar 445.031 jiwa dan usia 60 tahun ke atas sebesar 46.468 jiwa atau 10,44%.Metode: Penelitian dilakukan di Kecamatan Sukawati, Kabupaten Gianyar pada hari Sabtu, 30 September 2017. Ambang dengar diukur sebanyak satu kali dengan pemeriksaan audiometri. Penelitian ini menggunakan rancangan penelitian deskriptif Cross sectional dan analisis data dilakukan dengan program SPSS 16.0.Hasil: Dari seluruh sample, didapatkan penderita perempuan 30 orang (60%) dan laki-laki 20 orang (40%). Rerata ambang dengar pada perempuan 49,67 dB, dan pada laki-laki 51,23 dB. Berdasarkaan kelompok umur, penderita terbanyak masuk ke kelompok umur 65-69 yaitu 24 penderita (48%). Tingkat pendidikan terbanyak pada penelitian ini yaitu sekolah dasar dan didapatkan pada kelompok umur 65-69 tahun. Rerata ambang dengar telinga kanan 51,86 dB dan telinga kiri 53,95 dB. Tipe presbikusis yang paling banyak ditemukan adalah tipe strial 57,69%.Simpulan: Presbikusis memperlihatkan variasi yang beragam pada derajat ketulian, ketajaman pendengaran, onset umur, jenis kelamin dan tingkat pendidikan sehingga kemungkinan beban presbikusis di populasi dapat meningkat di kemudian hari.

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