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Medicina
Published by Universitas Udayana
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Medicine & Pharmacology
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Articles 234 Documents
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GAY DALAM DRAMATARI ARJA MUANI Wedastra, I Made; Lesmana, Cokorda Bagus Jaya
Medicina Vol 46 No 1 (2015): Januari 2015
Publisher : Medicina

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Abstract

Aktivitas  seksual  dimana  pasangan  seksual  yang  dipilih  berasal  dari  sesama  jenis  yaitu  sesamalaki-laki disebut gay. Gay dalam masyarakat menjadi perdebatan, penolakan dan diskriminasi yangmenyebabkan gay lebih banyak menjadi depresi, cemas, dan menarik diri dari lingkungan sosial. Gayjuga  terdapat  pada  salah  satu  budaya Bali  yaitu  arjamuani. Tujuan  penelitian  ini  adalah untukmengetahui pengaruh kesenian arja muani terhadap psikologis gay sebagai penari dan tanggapanmasyarakat sekitar. Penelitian dilakukan dengan pendekatan kualitatif terhadap penari arjamuaniyang gay dan masyarakat sekitar. Hasil penelitian menunjukkan gay yang menjadi penari arja muanimampu mengeskpresikan  diri mereka  dan  terbuka kepada masyarakat  sekitar  serta mengurangirasa cemas dan depresi. Masyarakat menerima keberadaan gay dalam arja muani karena arja muanimerupakan bagian dari kebudayaan Bali. [MEDICINA 2015;46:9-11].Sexual activity in which the sexual partner was selected from the same sex or both are male called gay.Gay in community became controversial, rejection and discrimination which made the gay more likelyto have depression, anxious and draw their self from social environment. Gays have been developed inBalinese culture that called arjamuani. The purpose of the study is to understand the influence of arjamuani art to the psychologies condition of the gay performers and community?s perspective. The studyheld by qualitative approach to the arjamuani performers who is a gay and the community aroundthem.The results show that arjamuani performers who are gay can express and open their self to thecommunity and also decrease feeling of depression and anxiety. The communities accept the gay inarjamuani, because it is a part of Balinese culture that must be continue. [MEDICINA 2015;46:9-11].
THE INCIDENCE OF IN-HOSPITAL MALNUTRITION IN CHILDREN AT SANGLAH DENPASAR HOSPITAL Lanang Sidiartha, I Gusti
Medicina Vol 43 No 1 (2012): Januari 2012
Publisher : Medicina

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Abstract

In-Hospital Malnutrition cause by longer length of stay is still as a health problem. The objective of the study is to find out the incidence of In-hospital malnutrition and the association with sex, age, malnutrition on admission, diagnosis and length of stay. The cohort retrospective study was done based on the medical record from The Nutrition and Metabolic Disease Division, Department of Child Health, Udayana University/Sanglah Hospital Denpasar from June 2008 to February 2009 period. In-hospital malnutrition was confirmed if the body weight decreased ? 2% in a week or ? 5% in a month or ? 10% in 6 months during hospitalized. Statistical analysis was done to find out the association between In-hospital malnutrition and sex, age, diagnosis, malnutrition on admission, and length of  stay. The odds ratio was counted and the statistical significant was decided if p value < 0.05. There were 78 over 460 children (17%) met the criteria of In-hospital malnutrition. Logistic regression showed that after adjusting for sex, age, malnutrition on admission, and diagnosis; the length of stay longer than 7 days (OR = 3.7, CI 95% 2.1 – 6.4) was statistically associated with In-hospital malnutrition in the final model. The study concludes that the incidence of In-hospital malnutrition in Sanglah Hospital was still high and it was associate with length of stay longer than 7 days. (MEDICINA 2012;43:15-18).
Pengenalan makanan padat dini dan lambat pada bayi merupakan risiko gagal tumbuh pada masa toddler Sidiartha, I Gusti Lanang; Widianto, Romy
Medicina Vol 47 No 2 (2016): Mei 2016
Publisher : Medicina

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Abstract

Pengenalan makanan padat pertama yang tidak tepat pada masa bayi merupakan faktor risiko timbulnya gagal tumbuh. Penelitian ini bertujuan untuk mencari hubungan antara pengenalan makanan padat pertama pada bayi dengan timbulnya gagal tumbuh pada masa toddler. Suatu penelitian potong-lintang analitik dikerjakan pada anak usia 1-3 tahun yang berkunjung ke Poliklinik Pediatrik RSUP Sanglah periode Desember 2009-Desember 2010. Dikatakan gagal tumbuh apabila berat menurut umur menyebrang 2 persentil mayor atau lebih. Pengenalan makanan padat dini bila <4 bulan, lambat bila >6-12 bulan dan sangat lambat bila >12 bulan. Hubungan variabel gagal tumbuh dengan pengenalan makanan padat diuji dengan Chi-Square dengan tingkat kemaknaan P <0,05, dihitung rasio prevalens dan IK95%. Dari 326 subjek penelitian terdapat 27 (8,3%) mengalami gagal tumbuh. Rasio prevalens gagal tumbuh pengenalan makanan padat dini 4,7 (IK95% 2,2 sampai 9,1), dan sangat lambat 3,6 (IK95% 1,1 sampai 11,8). Disimpulkan bahwa pengenalan makanan padat dini dan lambat pada masa bayi merupakan faktor risiko gagal tumbuh pada masa toddler. Inappropriately introduction of first solid food in infant is risk factor of failure to thrive (FTT). This study investigates the relationship between introduction of first solid food in infant and FTT in toddler. Cross-sectional analytical study was done on toddler whose came to the Pediatric Outpatient Clinic Sanglah Hospital in December 2009 to December 2010 period. FTT was defined if weight-for-aged was crossing two major percentile or more. Introduction of first solid food less than 4 months was called ‘too early’ and more than 12 months was called ‘too late’. The relation between variable was analyzed using Chi-Square test. Prevalence ratio with 95% confidence interval was calculated. Significances was defined if P value <0.05. There were 27 of 326 subject (8.3%) met the criteria of FTT. Prevalence ratio of FTT in ‘too early’ was 4.7 (95%CI 2.2 to 9.1), and ‘too late’ was 3.6 (95%CI 1.1 to11.8). It was concluded taht ‘too early’ and ‘too late’ introduction of first solid food in infant was risk factor of FTT in toddler.
MIXED GONADAL DYSGENESIS IN A SEVEN MONTH OLD BABY Krishna Levina, Made Ayu; Arimbawa, I Made
Medicina Vol 45 No 1 (2014): Januari 2014
Publisher : Medicina

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Abstract

Mixed gonadal dysgenesis is a very rare case with genital ambiguity as a clinical manifestation.Diagnosis of this condition is emerging due to proper gender assignment and  prompt treatment toachieve optimal physical and psychologic development. We reported a genital ambigous in a 7 month old baby, who was referred with enlargement of clitoris, an unpalpable testis, but with a highconcentration testosteron serum level, an uterus from genitography, and a mosaic karyotype 45,X/46,XY. The working diagnosis of this baby is mixed gonadal dysgenesis. Patients is being evaluated by a multidisciplinary team and planned having laparoscopy.  [MEDICINA 2014;45:52-57]
EFEK SAMPING KOSMETIK Sumendha Pindha, IGA
Medicina Vol 38 No 1 (2007): Januari 2007
Publisher : Medicina

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Abstract

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HIPERTERMI DALAM 72 JAM AWITAN SEBAGAI PREDIKTOR PERBURUKAN KLINIS PENDERITA STROKE ISKEMIK AKUT SELAMA PERAWATAN Adja, Yuliana Monika Imelda Wea Ora; Nuartha, Anak Agung Bagus Ngurah; Purwata, Thomas Eko
Medicina Vol 46 No 2 (2015): Mei 2015
Publisher : Medicina

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Abstract

Stroke merupakan penyebab utama kematian dan kecacatan di dunia yang membutuhkan pengobatandan perawatan jangka panjang. Stroke iskemik akut dengan defisit neurologi yang berat terjadikurang lebih 2-10% dan berhubungan dengan prognosis buruk baik jangka pendek ataupun jangkapanjang. Banyak faktor yang mempengaruhi luaran dan tingkatan perbaikan setelah mengalamistroke iskemik di antaranya peningkatan suhu tubuh. Penelitian ini bertujuan mengetahui hipertermidalam 72 jam awitan yang dihubungkan dengan prediktor perburukan klinis penderita stroke iskemikakut selama perawatan.Penelitian ini merupakan penelitian observasional analitik dengan rancangankohort prospektif. Prediktor perburukan digolongkan atas dua kelompok yaitu prediktor perburukanklinis dan prediktor perbaikan klinis melalui nilai NIHSS pada saat awal dan hari ke tujuh perawatan,dan juga di lakukan pengukuran suhu aurikula dalam 72 jam awitan stroke.Selama periode Januarisampai Maret 2015 didapatkan 88 penderita yang memenuhi kriteria eligibilitas. Data dianalisismenggunakan SPSS 20 for windows dengan menampilkan berbagai karakteristik subyek penelitianmeliputi usia, jenis kelamin, awitan stroke, jenis stroke iskemik, skor NIHSS awal, skor NIHSS harike-7, dan derajat hemiparesis. Hubungan antara hipertermi dengan perburukan klinis penderita diujidengan Chi-square, didapatkan hasil yang bermakna secara statistik (RR= 8,01;IK 95% 3,02 sampai21,25; P <0,0001). Dapat disimpulkan bahwa hipertermi merupakan prediktor perburukan klinispenderita stroke iskemik akut selama perawatan yang diukur dengan skala NIHSS. [MEDICINA2015;46:104-11].Stroke is a leading cause of death and disability in worldwide which need a long term care and treatment.Acute ischemic stroke reveal a severe neurological deficits occur approximately 2-10% in population. Itis associated with poor short and long term prognosis. Many factors influence outcomes and degree ofrepairing after ischemic stroke, in which increasing of body temperature is one of it. This study aim todetermine whether a hyperthermia occur in 72 hours is associated with predictor of clinical deteriorationof ischemic stroke patients during treatment.This was an analytic observational prospective cohortstudy design. Predictors of clinical deterioration measures with NIHSS score at baseline and seventhday of treatment and auricular temperature measured in 72 hours of stroke onset.There was 88 patientswith ischemic stroke during January to March 2015 met the eligibility criteria. Data were analyzedusing SPSS 20 for windows to display the various characteristics of the study subjects including age,sex, stroke onset, type of ischemic stroke, first and seventh day NIHSS score, and the degree ofhemiparesis. The relationship between hyperthermia and clinical deterioration tested with Chi-squaretest. The results obtained were statistically significant (RR= 8.01; 95%CI= 3.02 to 21.25; P<0.0001).Itwas concluded a 72-hour hyperthermia as a predictor of clinical deterioration of acute ischemic strokepatients during treatment measured with NIHSS. [MEDICINA 2015;46:104-11].
PERANAN PSIKOTERAPI PADA PROGRAM TERAPI RUMATAN METADON DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR N, Hanati
Medicina Vol 40 No 1 (2009): Januari 2009
Publisher : Medicina

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Abstract

Penyalahgunaan zat atau ketergantungan zat bukan merupakan sindrom tunggal tetapi merupakan gabungan berbagai sindrom patologis seperti depresi, kompulsivitas bahkan menyerupai psikosis dan cedera kepribadian. Dibutuhkan pemeriksaan dengan wawancara psikodinamik dan penanganan psikoterapi. Untuk mengetahui peran psikoterapi pada pasien  Program Terapi Rumatan Metadon (PTRM) di RSUP Sanglah Denpasar diadakan penelitian dengan membandingkan pasien yang menggunakan metadon yang mendapatkan psikoterapi dan pasien yang mendapatkan konseling obat. Penelitian ini merupakan studi klinis eksperimental. Pasien di kategorikan menjadi 2 kelompok. Sebanyak 142 orang yang terdiri dari 78 orang kelompok psikoterapi dan 64 orang kelompok konseling obat diamati dalam jangka waktu 6 bulan. Analisis data dilakukan dengan uji t-test. Hasil menunjukkan bahwa pasien yang mendapat psikoterapi hasil urinalisis opiate yang negatif lebih tinggi pada bulan VI dibandingkan dengan pasien yang mendapat konseling obat (p< 0,05), dosis rata-rata metadon yang dibutuhkan kelompok psikoterapi lebih rendah dibanding kelompok konseling obat (p<0,05), pasien dengan gejala psikiatri pada taraf gangguan yang berat menunjukkan perbaikan dibanding kelompok konseling obat(p<0,05). Disimpulkan bahwa psikoterapi berperan dalam pengurangan pemakaian opiate,  menekan kebutuhan dosis methadone, perbaikan hasil pada pasien dengan gejala gangguan psikiatri pada taraf berat.[MEDICINA 2009 ;40 :32-7].  
THE CHARACTERISTIC OF CYTOLOGICAL AND PCR TESTS RESULT OF FINE NEEDLE ASPIRATION (FNA) SPECIMEN FROM NECK LYMPH NODE/S ENLARGEMENT CLINICALLY DIAGNOSED AS TUBERCULOUS LYMPH ADENITIS Winarti, Ni Wayan; Sriwidyani, Ni Putu
Medicina Vol 43 No 3 (2012): September 2012
Publisher : Medicina

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Abstract

Diagnosis of Tuberculous (TB) lymph adenitis is still problematic due to paucibacillar. Since histopathological biopsy examination is relatively expensive and needs times, FNA is being more frequently chosen. The specimen from FNA can be processed for cytological and PCR tests, but there is no data available describe the characteristic of the result of both methods. Hence, study is needed in order to improve knowledge and health services. A cross sectional study had been conducted from January 1st   until December 31st   , 2011, at Anatomical Pathology Laboratory of Medical School of Udayana University/Sanglah Hospital and Biomolecular Laboratory of Medical School of Udayana University. The subjects were all patients with clinical diagnosis TB lymph adenitis who met the eligibility criteria. During 6 months, there were 46 patients included in the study. They were 65% female and 35% male. The age was ranging from 5 years old until 83 years old and 30-39 years old age group was the highest in number (39%). Positive cytology result was found in 22 cases (48%), while PCR test revealed no positive result. There was significant diference between positive and negative cytology test in pain sensation category, conversely in onset, number of enlarged lymph node/s, localization, conglomeration and fixation categories. If every single clinical character was marked with score 1, node/s with accumulative scores 4-6 showed no different cytology result with node/s with score 1-3. This study shows that in detecting TB lymph adenitis using FNA specimen, cytology test was be#er than PCR
Seorangwanitadengan penyakit trofoblas gestasionaldankrisis tiroid Mayura, I Gusti Ngurah; Saraswati, Made Ratna
Medicina Vol 47 No 3 (2016): September 2016
Publisher : Medicina

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Abstract

Penyakit trofoblas gestasional (PTG) merupakan sebuah kondisi yang terkait dengan adanya jaringan trofoblastikplasenta setelah fertilisasi normal atau abnormal yangspektrumnya dari mola hidatidosa sampai keganasan. Krisistiroid mencerminkan status ekstrim dari spektrum tirotoksikosis. Terjadinya PTG denganhipertiroid dapat menjadikrisis tiroid pasca-operasi atau kuretase. Subunit ? padahuman chorionic gonadotropin(hCG), mirip dengan subunit?luteinising hormone(LH) dandapat mengaktifkan reseptortyrotropin stimulating hormone(TSH)ketika diproduksidalam jumlahberlebihan dan menginduksi tirotoksikosis. Kasus adalah seorang wanita berusia 24 tahun datangdengan keluhan badan lemas, sesak napas, demam, dan batuk, denganriwayat mola hidatidosa. Pada pemeriksaan fisisdidapatkan takikardi, pireksia, dispne, ronki, dan massa abdominal. Dari toraks foto didapatkan gambaran metastasisparu dan infeksi paru, pada pemeriksaan penunjang didapatkan peningkatan penanda tumor, hipertiroid, danpeningkatan skor untuk krisis tiroid. Berdasarkan anamnesis, pemeriksaan fisis, dan pemeriksaan penunjangmendukung diagnosis PTG dengan metastasis paru, infeksi paru, dan krisis tiroid.[MEDICINA.2016;47(3):47-51].Gestasional trophoblastic disease (GTD) is a condition associated with the trophoblastic tissue of the placentaafter normal or abnormal fertilization, which the spectrum from hydatidiform mole to malignancy. Thyroid stormreflects the extreme state of thyrotoxicosis spectrum. The GTD with hyperthyroidism can be a thyroid storm postsurgeryorcurettage.The?subunitofhumanchorionicgonadotropin(hCG),similartothe?subunitofluteinisinghormone(LH) and can activate the receptor of tyrotropin stimulating hormone(TSH) receptor when producedexcessively and induced thyrotoxicosis. The case was a 24 year old women came with complaints of weakness,shortness of breath, fever, and cough, with a history of hydatidiform mole. On physical examination foundtachycardia, pyrexia, dyspnea, crackles, and abdominal mass. Obstained from thorax photo ilustration lung metastasisand pulmonary infection, from laboratorium found increase in tumor marker, hyperthyroidism, and increase score forthyroid storm. Base on history, physical examination, and laboratorium support the diagnosis of PTG with lungmetastasis, pulmonary infection, and thyroid storm. [MEDICINA.2016;47(3):47-51].
PLAGIARISME DI PERGURUAN TINGGI Darmayani, IGA Sri
Medicina Vol 45 No 3 (2014): September 2014
Publisher : Medicina

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Abstract

Plagiarisme semakin sering ditemukan pada mahasiswa di perguruan tinggi. Terdapat banyak faktoryang  berperanan  pada masalah  ini,  seperti  semakin mudahnya memperoleh  informasi  denganmenggunakan  teknologi  internet,  kurangnya  keterampilan menulis mahasiswa,  dan  lemahnyapengawasan dari  institusi pendidikan.Untuk mencegah  tindakan plagiarisme diperlukan peranandari mahasiswa, dosen, dan perguruan tinggi secara keseluruhan. Mahasiswa perlu diinformasikansejak  awal  tentang  plagiarisme  dan  cara-cara  pencegahannya. Mahasiswa  juga  harus  diberikanpelatihan untuk meningkatkan keterampilan menulis secara akademis.   Dosen memberikan tugasyang  berbeda  setiap  semester. Perguruan  tinggi mempunyai  tanggung  jawab untuk memberikanedukasi, sosialisasi tentang plagiarisme dan menyediakan software khusus untuk mendeteksi adanyaplagiarisme dari tulisan mahasiswa. [MEDICINA 2014;45:171-175].

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