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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 no3 (2013):e-jurnal medika udayana" : 12 Documents clear
INTRACRANIAL PRESSURE MONITORING TECHNIQUE Ida Bagus Adi Kayana; Sri Maliawan; I Ketut Siki Kawiyana
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Head injury is the most significant cause of increased morbidity and mortality. An estimated 1.4 million head injuries occur each year, with and more than 1.1 million come to the Emergency Unit. On each patient head injury, an increase in intracranial pressure (ICP) related to poor outcomes and aggressive therapy to increased ICP can improve the outcomes. ICP monitoring is the most widely used because of the prevention and control of ICP as well as maintain the pressure increase perfusion of cerebral (Cerebral Perfusion Pressure/CPP) is the basic purpose of handling head injury. There are two methods of monitoring ICP that is an invasive methods (directly) and non-invasive techniques (indirectly). The method commonly used, namely intraventricular and intraparenkimal (microtransducer sensor) because it is more accurate but keep attention to the existence of the risk of bleeding and infection resulting from installation. Monitoring of ICT can determine the actions that avoid further brain injury, which can be lethal and irreversibel.
GUILLOTINE AND GOMCO CLAMP TECHNIQUE ON CIRCUMCISION Yusuf Alfi Mulia; Putu Anda Tusta Adiputra
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Circumcision is an action disposal of part or all prepusium dicks with a certain goal. Circumcision surgical procedure is most commonly done in men, because sirkumsisi done routinely for religious and culture reasons. Level circumcision occurs in among some races, 81 % in White; 65 % African-American, 54 % in Hispanic. Before doing an sirkumsisi, there are some stages covering preparation and anaesthetic. Techniques frequently used is guillotine and gomco clamp technique. On both this technique has advantages and disadvantages.
FACTORS LEAD TO DEPRESION DURING ANTENATAL CARE EVERY TRIMESTER OF PREGNANT MOTHER Eddy Surya Kurniawan; Nyoman Ratep; Wayan Westa
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

The most important factor in reducing maternal and infant mortality rates began during pregnancy. In 2000, one in twenty children die before reaching the age of five years and a mother died of childbirth out of every 325 live births. The death rate in research mainly indicated comparable levels of depression due to stress in pregnant women. The occurrence of symptoms of depression during the perinatal period can be easily recognized. Depression during pregnancy is a common mood disorder such as depression that occurs in the laity in general, where the incidence of depression will occur chemical changes in the brain. Each trimester of pregnancy are at risk of psychological disorders respectively. Antenatal care plays a very important for the safety of the mother and fetus, minimizing the risks of pregnancy, and reduce the number of neonatal deaths. Nursing antenatal care should have run in accordance with minimum standards for pregnant women to obtain a safe childbirth and satisfying.
DIAGNOSIS AND TREATMENT OF URETHRAL STRICTURE A.A. Ngr. Agung Wistara Widya; A.A. Gde Oka; Ketut Siki Kawiyana; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Retention of urine is the lower urinary tract obstruction caused by the inability of squirting urine, so that the urine collected in the bladder exceeds the maximum limit. One reason is due to narrowing of the lumen of the urethra, called urethral stricture. The diagnosis of urethral stricture can we enforce by way of history, physical examination, and investigation. Curative treatment of this disease is surgery, but not as rare as some surgical techniques can lead to high disease recurrence for patients.. Thus the proper and adequate treatment is necessary to avoid the risk of recurrence of urethral stricture disease.
PHARMACOTHERAPY ALOPECIA ANDROGENETIC IN MEN Riezky Januar Pramitha; I.G.N Sri Wiryawan; Ni Made Linawati
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Androgenetic alopecia is hair thinning due to the stimulation of hair follicles to androgens. Incidence in men is higher than in women, it is because men have a degree higher 5? reductase. This condition can cause both physical and psychological effects to the patient. Physical effects due to baldness cause hair loss as a function of protection against heat, cold and trauma. While psychologically can affect self-esteem and self-perception of the patient. Androgenetic alopecia in men influenced by the androgen dihydrotestosterone and genetic predisposition, although the physiology remains unclear. Modality in the management of androgenetic alopecia in males patients including pharmacotherapy, hair transplants and cosmetic approach. According to the Food and Drug Administration (FDA), there are two main drugs are safe and effective in the long term given to men with androgenetic alopecia are minoxidil and finasteride. Although the mechanism of action and route of administration are different, but both drugs have similar effectiveness in stopping the progression of androgenetic alopecia in men.
DIAGNOSIS AND MANAGEMENT CHRONIC INSOMNIA G.A Dian Puspitha Candra
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Insomnia is defined as difficulty to start sleeping, maintain it, or low quality sleeping, if the condition persist for more than one month, it is called chronic insomnia. Diagnosis is made through anamnesa and sleep wake diaries, aktigraphy, polisomnography. Pharmachologycally drugs that have been used to treat insomnia are benzodiazepin reseptor agonis, antihistamine, antidepressant. Non pharmacological ways include behavioural intervention for insomnia, give significant result in decreasing sleep latency, reducing awakness duration during the night and improving total sleeping time.
SECONDARY BRAIN INJURY Ida Ayu Basmatika
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Secondary brain injury is a condision that occurs at some times after the primary impact and can be largely prevented and treated. Most brain injury ends with deadly consequences which is caused by secondary damage to the brain. Traumatic brain injured still represents the leading cause of morbidity and mortality in individuals under the age of 45 years in the world. The classification of secondary brain injured is divided into extracranial and intracranial causes. The cause of extracranial such as hipoxia, hypotensi, hyponatremia, hypertermia, hypoglycemia or hyperglycemia. The cause of intracranial such as extradural, subdural, intraserebral, intraventrikular, dan subarachnoid hemorrhage. Beside that secondary injury can also be caused by edema and infection. Post-traumatic cerebral injured is characterized by direct tissue damage, impaired regulation of cerebral blood flow (cerebral blood flow / CBF), and disruption of metabolism. Manifestations of secondary brain injured include increased intracranial pressure, ischemic brain damage, cerebral hypoxia and hypercarbi, as well as disruption of cerebral autoregulation. The first priority is to stabilize the patient's cervical spine injury, relieve and maintain airway, ensure adequate ventilation (breathing), and making venous access for fluid resuscitation pathways (circulation) and assessing the level of awareness and disability. This steps is crucial in patients with head injured to prevent hypoxia and hypotension, which is the main cause of secondary brain injury.
CARDIAC MYXOMA Yutina Himawan; Ketut Putu Yasa; Sri Maliawan
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Myxoma is a benign primary tumor of the heart which is usually occurred in adult, which usually develop in the left atrium of the heart. In 1845, Cardiac Myxoma is first described by the expert. Myxoma, an endocrine neoplasm which usually begins from the endocardium of the heart it self. Generally, the shape of myxoma are round, oval with a smooth or lobulated surface. The clinical finding of myxoma is determined by it’s location, size, and mobility. Most of the patient comes with one or more from the triad of embolism, intracardiac obstruction, and associated symptoms. Until now, operation is the only treatment for cardiac myxoma.
CHOLINESTERASE INHIBITORS IN THE TREATMENT OF DEMENTIA ALZHEIMER’S Prameidya Primaniar S
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Dementia is the loss of intellectual abilities which include decreased ability to think, remember,understand, calculate, concentrate, and find the right words. The causes of dementia areAlzheimer’s, vascular dementia, alcohol. Dementia Alzheimer’s is a dementia type that iscurrently the most commonly found. Cholinesterase inhibitors are one of the therapies used totreat symptoms of cognitive decline and reduce neuropsychiatric symptoms in patient dementiaAlzheimer’s. Several studies have been conducted to demonstrate how the effects of severalclasses of cholinesterase inhibitors in the treatment of dementia Alzheimer’s. Effective dose,dosage and side effects of cholinesterase inhibitors is important to know before deciding to usecholinesterase inhibitors in the treatment of dementia Alzheimer’s.
MASSIVE PLEURAL EFFUSION: A CASE REPORT Putu Bayu Dian Tresna Dewi
E-Jurnal Medika Udayana vol 2 no3 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Pleural effusion is abnormal fluid accumulation within pleural cavity between the parietal pleura and visceralis pleura, either transudation or exudates. A 47 year-old female presented with dyspneu, cough, and decreased of appetite. She had history of right lung tumor. Physical examination revealed asymmetric chest movement where right part of lung was lagged during breathing, vocal fremitus on the right chest was decreased, dullness at the right chest, decreased vesicular sound in the right chest, enlargement of supraclavicular and colli dextra lymph nodes, and hepatomegali. Complete blood count showed leukocytosis. Clinical chemistry analysis showed hipoalbumin and decreased liver function. Blood gas analysis showed hypoxemia. Pleural fluid analysis showed an exudates, murky red liquid color filled with erythrocytes, number of cells. Cytological examination showed existence of a non-small cell carcinoma tends adeno type. From chest X-ray showed massive right pleural effusion. Based on history, physical examination and investigations, she was diagnosed with massive pleural effusion et causa suspected malignancy. She had underwent pleural fluid evacuation and treated with analgesics and antibiotics.

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