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E-Jurnal Medika Udayana
Published by Universitas Udayana
ISSN : 23031395     EISSN : 25978012     DOI : -
Core Subject : Health,
Majalah ilmiah E-Jurnal Medika Udayana menerima naskah dari mahasiswa PSPD FK UNUD, baik berupa karangan asli atau laporan penelitian, ikhtisar pustaka, laporan kasus, maupun surat-surat untuk redaksi. Naskah yang dikirimkan untuk majalah ilmiah E-Jurnal Medika Udayana adalah naskah belum pernah atau tidak akan dikirim ke majalah lain. Bahasa yang digunakan adalah bahasa Indonesia
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PERBEDAAN JUMLAH TROMBOSIT KONSENTRAT TROMBOSIT PADA PENYIMPANAN HARI I, III, V DI UNIT DONOR DARAH PMI PROVINSI BALI/RSUP SANGLAH DENPASAR Ni Kadek Lestariyani; Sianny Herawati
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Abstract

Storage of platelet concentrate undergo some changes one of which is the count of platelet. The aim of study is to examine differences in the count of platelets concentrate on the day storage I, III, V. The study design was observational analytic which platelet concentrates obtain from volunteer donors who come to the unit donor darah PMI Provinsi Bali/RSUP Sanglah Denpasar. Platelet concentrate used as samples with the result HIV testing, Hapatitis B, Hepatitis C and VDRL are negative, without hemolysis and were prepared in June-August 2014. From 18 samples were used on the day I the mean value is 401.56±166.435, on the day III the mean value is 387.11±137.066 and on the day V the mean value is 338.00±106.536. Results of normality test p-value > 0,05. Which indicated hat Ho is accepted and normally distributed data. Results homegenitas test p-value 0,420 (p>0,05) indicating that Ho is accepted and data is homogeneous. ANOVA test showed p-value of 0, 362 so that significant difference in the average count of platelets in storage I, III, V. From this study it can be concluded that there is difference in platelet count is not significant. Some of the factors that caused are the presence of dextrose in anticoagulant were added to platelet concentrates, fragmentation on the platelet conncrates and good agitation during storage. Need for further research on the differences in the count of platelet concentrates with more sample.  
HUBUNGAN SUBTIPE IMUNOHISTOKIMIA DENGAN USIA PADA PASIEN KANKER PAYUDARA DI RSUP SANGLAH KOTA DENPASAR IGAN Ciptadi Permana Wijaya; Ida Bagus Tjakra Wibawa Manuaba
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Pemeriksaan imunohistokimia merupakan salah satu modalitas penting dalam menetukan terapi untuk pasien kanker payudara. Penelitian ini dilakukan untuk mengetahui hubungan antara subtipe imunohistokimia dengan usia pada pasien kanker payudara di RSUP Sanglah Kota Denpasar. Penelitian ini merupakan penelitian cross-sectional dengan menggunakan data rekam medis pasien kanker payudara di RSUP Sanglah dari bulan Januari 2010 sampai dengan bulan Agustus 2014. Data yang dicatat adalah usia dan subtipe imunohistokimia (luminal A, luminal B, HER2 positive, triple-negative). Dari 553 pasien kanker payudara periode 2010 sampai 2014 di RSUP Sanglah, 116 diantaranya telah melakukan pemeriksaan imunoshitokimia, namun 2 pasien memiliki data pemeriksaan imunohistokimia yang tidak lengkap. Didapatkan subtipe kanker payudara subtipe luminal A mempunyai insiden tertinggi pada kelompok usia 40-44 tahun, subtipe luminal B pada kelompok usia 35-39 tahun, subtipe HER2 positive pada usia 40-49 tahun, dan subtipe triple-negative pada usia 40-44 tahun. Dari hasil analisis statistik tidak didapatkan hubungan yang signifikan antara subtipe imunohitokimia dengan usia (p=0.742). Dapat disimpulkan bahwa tidak ada hubungan yang signifikan antara subtipe imunohistokimia dengan usia pada pasien kanker payudara di RSUP Sanglah Kota Denpasar.
HUBUNGAN POLA AKTIVITAS FISIK DENGAN STATUS NUTRISI PADA SISWA KELAS X TAHUN AJARAN 2014-2015 DI SEKOLAH MENENGAH KEJURUAN NEGERI 5 DENPASAR Gede Andrewartha; Made Ratna Saraswati
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Abstract

Obesity or overweight is a condition accumulation of excess fat in the body that can interfere health. Overweight by category Overweight, Obese I, II and Obese caused by many factors such as genetics, diet, physical activity, and environmental factors. Physical activity is one of the factors trigger more nutrition. The pattern of sedentary life (mild physical activity) caused by increasingly advanced technology led to a decrease in physical activity in adolescents. Assessment of physical activity patterns is important to note because some studies have demonstrated an association between physical activity and obesity. The purpose of this thesis is to determine whether there was a relationship between physical activities with body mass index in adolescents. This study used a cross-sectional design with a sample size of n = 100 samples. The results showed respondents with low levels of physical activity were 68% and respondents with moderate physical activity was 32%. Respondents with a body mass index was classified as overweight and 22% of respondents with non-obese body mass index is 68%. The result of the chi-square statistical analysis on the relationship of physical activity with body mass index shows the value of p = 0.116. From the results of this study concluded that the majority of respondents have a light physical activity. And the prevalence of overweight among respondents was 22%. These results suggest there is no relationship between physical activity and nutritional status of the respondents
PERBEDAAN KADAR GLUKOSA KONSENTRAT TROMBOSIT PADA PENYIMPANAN HARI I, III, V DI UNIT DONOR DARAH PMI PROVINSI BALI / RSUP SANGLAH DENPASAR Luh Putu Sukma Diyanti; Sianny Herawati; I Wayan Putu Sutirta Yasa
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Abstract

Stored platelets undergo a series of shape and functional modifications, which are commonly referred to as platelet storage lesions (PSLs). One of theparameters testedwereglucose. This study is to determinethe difference in averageglucose levelsof plateletconcentratesonthestorageI,III, V in  Unit Donor Darah PMI Privinsi Bali/ RSUP Sanglah Denpasar werepreparedJune-August 2014. The design isobservational analytic study. Samples weretaken usingsampling techniquesconsecutive sampling. Samplestested byClinical ChemistryEquipment(ROCHE, Cobas6000). From 18samples, obtained an averageglucose level on day I is 457.50 ± 37.57 g/dL. The averageglucose level on dayIII is 461.91±43.55 g/dLand the averageglucose levels on dayV is 460.91±40.56 g/dL. Data were analyzed usingOne WayANOVAshowedsignificantvalues(p-value) is 0.943, which means p>0.05. It showsthatH0 is acceptedthatthere is nodifference in averageglucose levelsof plateletconcentratesonthestorage on day I, III, and  V. Need futher research about factor affecting not significant differences from glucose level of platelet concentrate during storage
POTENSI EKSTRAK ETANOL DAUN PANDAN WANGI (PANDANUS AMARYLLIFOLIUS ROXB.) SEBAGAI LARVASIDA ALAMI BAGI AEDES AEGYPTI Maretta Rosabella Purnamasari; I Made Sudarmaja; I Kadek Swastika
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Abstract

Tingginya kasus demam berdarah dengue disertai munculnya resistensi terhadap temephos, menjadikan penggunaan larvasida alami mulai dipertimbangkan. Salah satu bahan alam yang dapat digunakan adalah daun pandan wangi. Penelitian ini dilakukan pada bulan Maret tahun 2016 sampai bulan Agustus tahun 2016 dan bertujuan untuk mengetahui efektivitas, LC50, dan LC90 dari ekstrak etanol daun pandan wangi sebagai larvasida bagi Aedes aegypti. Studi ini merupakan murni eksperimental dan memakai post test only control group design. Subjek dibagi menjadi kelompok kontrol (konsentrasi 0%) dan 7 kelompok perlakuan (konsentrasi 0,05%, 0,125%, 0,25%, 0,5%, 1%, 2%, 4%). Replikasi dilakukan empat kali dengan menggunakan 25 larva Aedes aegypti instar III/IV pada tiap-tiap kelompok. Data kematian larva dikumpulkan setelah 24 jam dan didapatkan tidak ada kematian pada kelompok kontrol. Rerata persentase kematian larva pada kelompok perlakuan berturut-turut dari konsentrasi perlakuan terkecil ke terbesar adalah 2%, 5%, 7%, 11%, 14%, 36%, 99%. Uji Kruskal Wallis memperoleh p<0,05 yang artinya diperoleh perbedaan bermakna pada kematian larva antar kelompok. Hasil dari uji Mann Whitney menunjukkan p<0,05 pada konsentrasi 0,125%, 0,25%, 0,5%, 1%, 2%, dan 4%, yang masing-masing dibandingkan dengan kontrol. Uji probit memperlihatkan nilai LC50 dan LC90 berturut-turut 2,113% dan 3,497%. Disimpulkan bahwa ekstrak etanol daun pandan wangi (Pandanus amaryllifolius Roxb.) konsentrasi 0,125%, 0,25%, 0,5%, 1%, 2%, dan 4% efektif sebagai larvasida alami bagi Aedes aegypti, dengan nilai LC50 sebesar 2,113% dan nilai LC90 sebesar 3,497%.
TINGKAT KECEMASAN IBU DENGAN ANAK TUNA GRAHITA BERDASARKAN HAMILTON ANXIETY RATING SCALE (HAM-A) DI SEKOLAH LUAR BIASA C DAN C1 NEGERI KOTA DENPASAR TAHUN 2014 Brilliana Firly Ariesti; Indah Ardani
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Anxiety disorders are among the most common mental disorders were found. Where substantial factors including gender, age, culture, conflict and economic status, and place of residence have a big impact. Parents, especially mothers with intellectual disability children have more problems and tend to have higher levels of anxiety than women with normal children. This study aims to determine the level of maternal anxiety with intellectual disability children and with the distribution by age group, marital status, educational status, and occupational status. This study has been done at Denpasar special schools C and C1 since August through October 2014. The research method is using observational descriptive method of research with cross sectional design. The result is analyzed by univariate and bivariate without statistic test using SPSS 17. According to 76 research subject, 55.3% with age between 41-50 years old, 46.1% high school graduated, 97.4% married, and almost equivalent of occupational status. Most of 77% mothers do not have anxiety, 16% mild anxiety, 3% moderate anxiety, and 4% severe anxiety. Highest anxiety symptom is shown as somatic muscle symptom as much as 50%. Higher level of anxiety is suffered by mothers with low level of intellectual disability children. Can be concluded that a lot of mothers are not anxious with her children condition. As for the distribution of anxiety level, the highest is on mothers with low level of intellectual disability children, mother with age between 41-50 years old, high school graduated, married, and not working.
POLA PEMBERIAN ANTIBIOTIKA UNTUK PASIEN COMMUNITY ACQUIRED PNEUMONIA ANAK DI INSTALASI RAWAT INAP RSUD BULELENG TAHUN 2013 Made Virgo Baharirama; I Gusti Ayu Artini
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Community acquired pneumonia is an infectious disease that very common and cause high number of deaths among children under five years old in developing countries, especially in Indonesia. Therefore, this study was conducted to determine the pattern of antibiotics treatment for patients with community acquired pneumonia in children at Instalasi Rawat Inap Rumah Sakit Umum Daerah Kabupaten Buleleng in 2013. The design of this study is a descriptive observational study with cross-sectional approach. The subjects are all children patients with community acquired pneumonia from June to September 2013 at Instalasi Rawat Inap Rumah Sakit Umum Daerah Kabupaten Buleleng which selected by total sampling method and analyzed by descriptive statistics. From 77 samples were obtained, the class of antibiotics that are given are third generations of cephalosporin, such as intravenous Cefotaxime (96.1%) and intravenous Ceftriaxone (3.9%). It can be concluded that the treatment of choice for community acquired pneumonia patients in children at Instalasi Rawat Inap Rumah Sakit Umum Daerah Kabupaten Buleleng in 2013 is cefotaxime.  
PREVALENSI GEJALA DEPRESI PADA IBU-IBU PKK YANG SUDAH MENOPAUSE DI DESA PEGUYANGAN KAJA DENPASAR TAHUN 2016 Made Paramartha Kesuma; I Dewa Ayu Inten Primayanti; I Made Krisna Dinata
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Abstract

Menopause merupakan proses fisiologi pada wanita yang ditandai dengan berakhirnya periode menstruasi. Pada wanita menopause didapatkan kejadian untuk mengalami gejala depresi semakin meningkat, sedangkan data mengenai prevalensi gejala depresi pada wanita menopause masih terbatas. Tujuan studi ini untuk mengetahui prevalensi gejala depresi pada wanita menopause. Desain penelitian ini adalah deskriptif cross-sectional menggunakan kuisioner.Penelitian ini menggunakan metode non random konsekutif. Sampelnya adalah ibu-ibu PKK yang sudah menopause di Peguyangan Kaja tahun 2016 dan memenuhi kriteria inklusi. Data yang diperoleh  dari kuisioner antara lain karakteristik sosiodemografi meliputi usia, status perkawinan, pekerjaan, pendidikan, paritas, riwayat pemakaian kontrasepsi dan rerata usia menopause, pengetahuan tentang menopause dan interpretasi gejala depresi.Pada penelitian ini terdapat 100 orang yang memenuhi kriteria inklusi. Dari 100 orang sampel didapat rerata usia yaitu 56,73 (±5,581), Status Perkawinan paling banyak adalah kawin dengan jumlah 87 orang (87%), Jenis pekerjaan paling banyak 46 orang (46%) ibu rumah tangga, 81 orang (81%) memiliki paritas multipara, dan 46 orang (46%) tidak memiliki riwayat pemakaian kontrasepsi. Pada pengetahuan tentang menopause didapatkan 74 orang (74%) tidak mengetahui apa definisi dari menopause. Prevalensi gejala depresi pada wanita menopause adalah 29 orang (29%).Dari hasil penelitian didaptkan kesimpulan bahwa prevalensi gejala depresi pada wanita menopause di desa Peguyangan Kaja Denpasar tergolong cukup tinggi yaitu 29%, diharapkan petugas kesehatan atau puskesmas lebih memberikan edukasi mengenai dampak-dampak yang terjadi saat terjadi menopause, sehingga mengurangi angka kejadian depresi.
KARAKTERISTIK PENDERITA AIDS DAN INFEKSI OPORTUNISTIK DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR PERIODE JULI 2013 SAMPAI JUNI 2014 Putri Uli Saktina; Bagus Komang Satriyasa
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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AIDS is a set of symptomps due to the decreased of immune system caused by HIV. Opportunistic infections are infections caused by the decrease in the immune system. This study aims to know the description of individual characteristic and opportunistic infections in people with AIDS at Sanglah Hospital Denpasa period July 2013 – June 2014. This study is observational descriptive. The sampel in this study were all patients with AIDS who are hospitalized in Sanglah Hospital period July 2013 – June 2014 that has a complete data. One hundred and seventy nine AIDS patients consist of 121 males (67.6%), mostly between 30-39 years old (39.7%), majority were private employes (43%), Hinduism (74.3%), married (73.7%), and lived in Bali (98.3%). The highest OI type is Candidiasis (28.3%). It is hoped this study ca be useful for management of HIV/AIDS in the future.  
PROFIL PASIEN KANKER OVARIUM DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR – BALI PERIODE JULI 2013 – JUNI 2014 Ida Ayu Dhitayoni; I Nyoman Gede Budiana
E-Jurnal Medika Udayana Vol 6 No 3 (2017): E-jurnal medika udayana
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Ovarian cancer is the most deadly gynecological cancer with the lowest five year survival rate among other gynecological cancers in the world, it happens because early diagnosis for ovarian cancer is arduous. Nowadays, early diagnosis depends largely on knowledge about the profile of the patient in a region. This research carried out to know ovarian cancer patients’ characteristic in RSUP Sanglah in the period of July 2013 until June 2014. In this research, medical record of patients who came in this period acquired from medical record installation are used to obtain data. Next, data is processed and served in descriptive manner as mean, median, and average. From this research, there are 73 (15.33%) ovarian cancer patients from 476 cases of gynecological cancers in RSUP Sanglah in this research period. Most of patients are 41 – 50 years old (38.4%), 50.7% diagnosed in IIIC stage, 87.67% with epithelial type, 24.66% with serous subtype and 79% has parity  ? two. The mean for body mass index is 22.77 kg/m2.As much as 17.8% patient used hormonal contraception. Thus, this research obtained ovarian cancer has the second highest prevalence of gynecological cancers in RSUP Sanglah after cervical cancer, with patient profile as follow: prominent in 4th to 5th decade of life, mostly diagnosed in stage IIIC, has serous epithelial subtype, parity ? two, and normal body mass index. The use of hormonal contraceptives in patients is low.

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