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INDONESIA
E-Jurnal Medika Udayana
Published by Universitas Udayana
ISSN : 23031395     EISSN : 25978012     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
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
Arjuna Subject : -
Articles 12 Documents
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Search results for , issue "vol 2 no 9 (2013):e-jurnal medika udayana" : 12 Documents clear
MANAGEMENT OF EXTRIMITY FRACTURE IN EMERGENCY DEPARTMENT Putu Sukma Parahita; Putu Kurniyanta
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Fracture injuries in the extremities are accounted for 40% of the incidence of fractures in the United States and causes high morbidity (physical suffering, lost time, and mental stress). High-energy fractures of the lower limbs can also cause life threatening condition like major vascular injury, crush syndrome, and compartment syndrome. Initial treatment in the emergency room is essential to save lives and to save the fractured extremities. Primary survey (securing the airway, breathing and circulation) and the secondary survey will be able to quickly and accurately identify dangerous early complication of fractures, such as major arterial injury, crush syndrome and compartment syndrome.
INTEGRATED PET-CT SCAN IN THE STAGING OF NON SMALL CELL LUNG CANCER I Made Ngurah Agus Surya Negara S
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Lung cancer is a common disease and is a leading cause of death in many countries. The most kind of lung cancer was Non Small Cell Lung Cancer. The management of lung cancer is directed by an optimal staging of the tumour. On 1998, integrated positron emission tomography (PET)-computed tomography (CT) was published. PET-CT is an anatomo-metabolic imaging modality that has recently been introduced to clinical practice and combines two different techniques: CT, which provides very detailed anatomic information; and PET, which provides metabolic information. One of the advantages of PET/CT is the improved image interpretation. There wasbetter results for PET/CT in the staging of non small cell lung cancer in comparison with CT nor PET alone.
PRESSING MORTALITY RATE THROUGH SCREENING oral cancer L. K. Widnyani Wulan Laksmi; I Gede Budhi Setiawan; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Based on World Health Organization (WHO) data, oral cancer is one of malignancy with the highest mortality. In USA, there are more than 30.000 new cases every year. We can find many risk factors of oral cancer in our daily living. Moreover, it’s easy to find the main risk factors in our society, they are smoking, alcohol consumption, tobacco consumtion, viral infection, and bad oral hygiene. For the early stadium, Five-years survival rate is about 82% and 61% for all stadium. But, more than 50% of oral cancer has been distributed (metastatic) regionally and also into the other organ far away from the oral itself when it’s detected. It will decrease 5-years survival rate to be less than 50%. So that, it’s really important to detect the oral cancer at the earlier stadium. Screening is the way to find the earlier stadium. Screening is done by some methods, start from the anamnesis, physical examination, toluidine blue staining, endoscopy, cytology, telomerase examination, and also PET-scan if it’s possible (because of the financial reasons).
PENUNDAAN PENJEPITAN TALI PUSAT SEBAGAI STRATEGI YANG EFEKTIF UNTUK MENURUNKAN INSIDEN ANEMIA DEFISIENSI BESI PADA BAYI BARU LAHIR Ida Bagus Rendra Kurniawan Artha; Ketut Putera Kemara; I Wayan Megadhana
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Iron Deficiency Anemia in infants is a health problem that is almost in the entire developed world. Iron Deficiency Anemia is an anemia that is common in babies with the highest incidence in 6 to 24 months. The high prevalence of anemia in infants aged 6-9 months is associated with insufficient backup storage of iron in the baby so that it can lead to impaired growth and development within the first 6 months of life. Time of Cord Clamping play an important role in determining the adequacy of iron in the newborn. Cord Clamping is one of active management of the third stage. Delayed Cord Clamping about 2-3 minutes can give the redistribution of blood between the placenta and the baby, giving assistance placental transfusion acquired by infants as much as 35-40 ml/kg and contains 75 mg of iron as sufficient hemoglobin, that fulfill the needs iron newborn babies in first three monthsof his life.
ANEMIA SEL SABIT Gede Agus Suwiryawan; I Wayan Putu Sutirta Yasa; DAP Rasmika Dewi
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Anemia is a form of blood disorder most often occurs in the community. Sickle cell anemia is anemia due to hemoglobinopathy caused by a change in the amino acid-6 of the ? globin chain. Sickle cell anemia is common in tropical areas of Africa and some parts of the region Saudi Arabia, India and the Mediterranean as well as black people in America. In addition there are also careers in various European countries. In pathophysiology, there are amino acid change from glutamic acid to valine in the ?-globin chain that causes red blood cells become sickle-shaped when deoxygenatied, but still be able to return to its normal shape when experiencing oxygenation. When the red blood cell membrane have been amended, the polymerization of red blood cells has become irreversible. Clinical picture seen in sickle cell anemia can be divided into two, namely: acute and chronic. Diagnosis can be done is to distinguish between heterozygous or homozygous sickle cell. Treatment provided in accordance with the clinical picture appears. Treatment that can be done is by blood transfusion, bone marrow transplant, anti-sickling drug delivery, and drug delivery to trigger the synthesis of HbF. Treatment still in the development stage is to use stem cells.
DETECTION OF Vibrio choleraeO1 SEROTYPE IN ICE PRESERVATIVES OF SEA PRODUCTS AT KEDONGANAN FISH MARKET, KUTA, BALI IGM Wijaya P; P Yuniadi A; IP Ananta WS; IGP Dhinarananta; M Agus Hendrayana
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Vibrio cholerae is one of gut attacking bacteria in which 20% of the victims suffered acute diarrhea and 10-20% of them were severe, in addition the mode of case in Indonesia are increasing. Bali is a threatened area especially by ice preservative of sea products investement since it has a tropical climate with tons of sea products, and one of most popular fish market is Kedonganan Fish Market. We were conducting a descriptive observational with explorative study which is aimed to detect V. cholerae investation in ice preservative. The samples are ice or melted ice which are used to preserve sea product at Kedonganan Fish Market and each were choosed randomly. The samples processed in Alkaline Peptone Water (APW) and planted on TCBS media for microbiological culture exploration which refer to Kobe University protocol of V. cholerae isolation from environment; painted for gram evaluation based on our departement’s procedures; and latex serology evaluation using tools of V. cholerae O1 AD ‘seiken’. Of 10 samples obtained, 21 single bacterial colonies were found, in which 8 of them were suspected as V. cholerae’s colonies based on microbiological culture and gram painting evaluation. The suspected colonies are then undergone latex serology test to make sure the existence of V. cholerae and knowing its serotype. Based on the result analysis and interpretation of microbiological culture test, gram painting, and serology exploration, its found that 50% of samples were invested by Inaba type of V. cholerae O1.
MANAGEMENT OF ACUTE PAIN IN PATIENT WITH PATIENT-CONTROLLED ANALGESIA Siska Permanasari Sinardja; IGN Mahaalit Aribawa
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Acute and chronic pain each has its own challenges because these patients are often dependent on opioids and have many psychosocial factors. None of these methods of pain control are superior than others. However, one method to gain control quickly to acute pain is to use a patient-controlled analgesia (PCA). PCA is generally assumed that intravenous opioid administration, on-demand, intermittent under the control of patients. There are some advantages and disadvantages of using PCA for acute or chronic pain management. Therefore shall consider pathways, opioid type, dose and dosage regimen initial adjustment, and management of side effects.
SAWAR DARAH OTAK Aluh Sri Yuliana Ulfa; Tjok Gde Bagus Mahadewa
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

The Blood–Brain Barrier (BBB) is a separation of circulating blood from the brain extracellular fluid (BECF) in the central nervous system (CNS). It is a physical barrier between the local blood vessels and most parts of the central nervous system itself, and stops many substances from travelling across it. The BBB is permeable to alcohol, and some heavy metals can cross the blood-brain barrier as well. The concept of the blood brain barrier was first introduced by Paul Ehrlich. He found that intravenous injection of dyes into the bloodstream stained all the tissues in most organs except the brain. Using electron microscopy and electron- dense tracers such as horseradish peroxidase (HRP) a group of scientists demonstrated that the blood- brain barrier is located in endothelial cells of capillaries of the brain.The BBB is to protecting the brain internally as the skull is to protecting it externally.
ASSESSMENT OF SERUM LEVELS AS SENSITIVE thyroid stimulating hormone EARLY DETECTION OF CANCER THYROID Prichilia Sarah Permadi; Made Ratna Saraswati
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Enlargement of thyroid or goiter is a general clinical problem. These cases are 5-10% may come to thyroid nodule. Thyroid cancer is thyroid gland malignancy in nodule formed. Clinically, benign thyroid nodule is difficult to thyroid nodule malignancy. The assessment of Thyroid Stimulating Hormone sensitive (TSHs) serum usually does as a screening tool to detect the enlargement and malignancy of thyroid gland which is suspected. Increases of TSH serum have a correlation with the prevalence of thyroid cancer.
MANAGEMENT OF BREAST CANCER WITH BRCA GENE MUTATION I Wayan Ari Sumardika; I Wayan Sudarsa
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

The management of individual who has a genetic predisposition for breast cancer requires careful planning. It is estimated that 5-10% of breast cancer in Western countries is a hereditary breast cancer and 80-90% of them is the result of BRCA1 and BRCA2 genes mutations. The individual with BRCA1 and BRCA2 gene mutations have a high risk for experiencing breast cancer and other types of cancer, especially ovarian cancer. Although there are some differences, management of patients with hereditary breast cancer in principle is equal to management of non-hereditary breast cancer. Contra lateral mastectomy surgery and/or oophorectomy may be considered as initial therapy. The uses of breast conserving surgery in patients with BRCA-positive status are still controversial because of the risk of recurrence on ipsilateral breast, so did the use of ionization radiation modalities. Post surgery follow up is an important aspect in the management of patients with mutations of these genes in which follow up aims to find local recurrence, secondary breast cancer, contra lateral breast cancer as early as possible

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