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E-Jurnal Udayana Medica
Published by Universitas Udayana
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
E-Journal Udayana Medica is an electronic journal published at least three times a year (January, May and September). Containing of medical students articles, either an original paper or research report, literature review, case reports, and letters to the editor in English.
Arjuna Subject : -
Articles 25 Documents
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RELATIONSHIP BETWEEN MATERNAL FIRST DAY POSTPARTUM BODY MASS INDEX AND LOW BIRTH WEIGHT NEONATE AT SANGLAH PUBLIC GENERAL HOSPITAL ON SEPTEMBER UNTIL NOVEMBER 2014 Tasa Riszkia; I Nyoman Hariyasa Sanjaya
Bali Journal of Medical and Health Sciences Vol 1 No 1 (2017): volume 1 no 1 Januari 2017
Publisher : Faculty of Medicine, Udayana University

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Abstract

Maternal nutritional status plays crucial role to ensure maternal and fetal well-being. The method that often used to determine someone’s nutritional status is by calculating the Body Mass Index (BMI). In developing countries, researches on the effects of body mass index on maternal and low birth weight neonate are still rare to be found, especially those using first day postpartum Body Mass Index. The aim of our study is to investigate the relationship between maternal first day postpartum body mass index and low birth weight neonate at Sanglah Public General Hospital on September until November 2014. This analytic observational study with cross sectional method used primary and secondary datas which have been taken from patient’s labor medical records in Sanglah Public General Hospital on September until November 2014. The samples are mothers who gave birth and were treated in Bakung Timur, Sanglah Public General Hospital who fulfilled the inclusion and the exclusion criteria. The data were described in the form of frequency tables and tested using a comparative test, Fisher Exact test. From 50 samples, there are 3 samples with low BMI (6%), 16 samples with normal BMI (32%), 12 samples with overweight BMI (24%), 14 samples with obesity I BMI (28%), 5 samples with obesity II BMI (10%). There are 6 neonates with LBW (12%), 42 neonates with NBW (84%), and 2 neonates with HBW (4%). On mothers with obesity II BMI, there are 5 neonates with NBW (100%). On mothers with obesity I BMI, there are 1 neonate with LBW (7.1%), 12 neonates with NBW (85.7%), and 1 neonate with HBW (7.1%). On mothers with overweight BMI, there are 1 neonate with LBW (8.3%), 10 neonates with NBW (83.3%), and 1 neonate with HBW (8.3%). On mothers with normal BMI, there are 2 neonates with LBW (12.5%) and 14 neonates with NBW (87.5%). On mothers with low BMI, there 2 neonates with LBW (66.7%) and 1 neonate with NBW (33.3%). By using Fisher exact test, the p value is less than the predetermined significance level (?= 0.05), it is 0.035. There is correlation between maternal first day postpartum BMI and low birth weight neonate. kaywords:body mass index, low birth weight, first day postpartum
DIAGNOSIS AND MANAGEMENT OF ANOREXIA NERVOSA Collin Peters; Nyoman Ratep; Wayan Westa
Bali Journal of Medical and Health Sciences vol 1no2 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Anorexia nervosa (AN) is a type of eating disorder, but it is more importantly a serious psychiatric illness associated with significant medical and psychiatric morbidity, psychosocial impairment and increased risk of death. The clinical features are characterized by deliberate weight loss, arising from food avoidance often in combination with self-induced vomiting, excessive exercise and using diuretics and appetite suppressants. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria is used to determine if the patient is suffering from anorexia nervosa. Anorexia can have dangerous psychological and behavioral effects if left untreated. The treatment of anorexia has to focus on more than weight gain and the physical damage caused by malnutrition. It must also focus on the psychological cause. Keyword: Anorexia nervosa, eating disorders, psychotherapy
IMMUNOPATHOGENESIS OF DENGUE SHOCK SYNDROME Karta Sawenda; I Wayan Putu Sutirta Yasa; DAP Rasmika Dewi; Bagus Komang Satriyasa
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Dengue is the most important emerging tropical viral disease of humans in the world today. It is estimated that there are between 50 and 100 million cases of dengue fever (DF) and about 500.000 cases of dengue haemorrhagic fever (DHF) each year which require hospitalization. Persons of all ages can be infected and develop dengue fever. However, children younger than 15 years typically present with only a nonspecific self-limited febrile illness. Untreated dengue hemorrhagic fever mostly likely progresses to dengue shock syndrome which is defined as dengue fever with signs of circulatory failure. The prognosis depends on prevention or early recognition and treatment with case fatality rate is as high as 12% to 14% once shock has set in. Management of dengue fever requires rest, oral fluids to compensate for losses via diarrhoea or vomiting, antipyretics and analgesics. Patients who present with shock may require central venous pressure monitoring. An arterial line may be required in unstable patients for the assessment of blood gases, electrolytes, and coagulation profile to help identify patients needing ventilatory support.
The Prevalence of Increasing Uric Acid and Blood Pressure in Elderly People at Panti Jompo Werdha Tresna in Gianyar Bali (Preliminary Studies) Dakshayani Vijayan; Linawati Ni Made
Bali Journal of Medical and Health Sciences Vol 1 No 1 (2017): volume 1 no 1 Januari 2017
Publisher : Faculty of Medicine, Udayana University

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Abstract

The prevalence of increasing of uric acid and blood pressure is high in elderly people. Most of old people who suffer from high uric acid also do suffer from high blood pressure. This will eventually lead to many diseases which may lead to chronic condition or even death. The purpose of this study was to know the prevalence of increasing uric acid and blood pressure in elderly people at Panti Jompo Werdha Tresna in Gianyar Bali. The method of research is cross sectional descriptive observational. The research sample is 20 people which consist of 5 male and 15 female from the Panti Jompo Werdha Tresna in Gianyar Bali who is aged from 60-80 years old. The individual was chosen randomly with their permission.Based on the research we found that the level of uric acid which was high is for 9 person (45%) and 11 person (55%) of them have normal range of uric acid level. The person who suffering from normotension is 9 person (45%), prehypertension is 6 person (30%) and lastly hypertension is only 5 person (25%). The number of population who suffer from hypertension and they also have elevated value of uric acid is 4 person (44.4%). It can be concluded that age was not a risk factor for the increasing level of uric acid and blood pressure because the sample that was very small .Old people should be given proper guidance to a healthy lifestyle.Keywords: uric acid, blood pressure, old people
PARAGARD AND MIRENA AS MODERN INTRAUTERINE DEVICES Theiva Amirta Sukantan; I N Toya; I G M Adioka
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

There are two kinds of modern IUDs: Copper-bearing and progestin-releasing. IUD stands for IntraUterine Device, a T-shaped piece of plastic that is placed inside the uterus. The most common copper-bearing IUD is the Paragard[R] Copper T 380A. The only progestin- releasing IUD now available is Mirena[R]. The copper IUD, ParaGard, works for as long as 12 years. Copper based intrauterine devices are toxic to sperms and are also known as non- hormonal intrauterine devices. The hormonal IUD, Mirena, must be replaced after 5 years. This device functions by releasing levonorgestrel, a progestin that helps in contraception. This type of IUDs prevents the fertilization of the egg by causing sperms to become ineffective and also makes the mucus in the cervix sticky and almost impermeable. Both types make it more difficult for sperm to fertilize the egg.

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