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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 18 Documents
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Search results for , issue "vol 3 no 3 (2014):e-jurnal medika udayana" : 18 Documents clear
POST TRAUMATIC STRESS DISORDERS (PTSD) WITH SEVERE DEPRESSION SYMPTOMS WITH ACUTE PSYCHOTIC IN PATIENT WITH HISTORY AS A PEDOPHILE VICTIMS AND DOMESTIC VIOLENCE IN 22 YEARS OLD MAN : A CASE REPORT I Ketut Agus Indra Adhiputra
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Post traumatic stress disorders (PTSD) is a disorder that is fairly common in thecommunity. Every event in the life will have its own meaning in later, especially eventsthat occur in childhood. Data in the U.S. showed 60% men and 50% women have atraumatic experience, which develops into PTSD approximately 6.7% of the entirepopulation. While data from the Indonesian National Commission of Women, since 20072010there has been 91311 cases of sexual violence against women, as well as cases ofchild sexual abuse reported to reach 250 cases. Presenting symptoms can range fromanxiety disorders, depression, until psychotic. The severity of symptoms depends on eachself-defense mechanism thus the PTSD symptoms are very diverse.
HUBUNGAN ANTARA JENIS KELAMIN, INTENSITAS BISING, DAN MASA PAPARAN DENGAN RISIKO TERJADINYA GANGGUAN PENDENGARAN AKIBAT BISING GAMELAN BALI PADA MAHASISWA FAKULTAS SENI PERTUNJUKAN OLIVIA TANTANA
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Balinese Gamelan noise intensity in one of it is instrument generates noise 90-115 dB. High noise intensity can affect hearing function. The purpose of this study was to determine the relationship between the gender, noise intensity, and length of exposure with the risk of noise induced hearing loss due to Balinese Gamelan on the faculty of performing arts students.Design of the study was cross sectional, the examination was done in 16-27 September 2013, morning before practice in campus of ISI Denpasar. All subjects was interviewed, underwent vital sign and routine ENT examination, tympanometry and pure tone audiometry. Incidence of hearing loss assessed from the presence of the acoustic notch on frequency 3000-6000Hz. The influence of gender, noise intensity, and length of exposure were analyzed with logistic regression.The subject of this study were 166 people. Incidence of noise induced hearing loss due Gamelan Bali 39.20%. In the multivariate analysis, factors that influenced the occurrence of hearing loss due to noise Balinese gamelan was length of exposure. The length of exposure more than 10 years with a value of p <0.01 and odd ratio=13.43 with 95% confidence interval (3.44 to 52.34). The length of exposure 6-10 years was significantly influenced with the value of p = 0.01 and odds ratio of 5.14 with 95% confidence interval (1.32 to 19.93).The length of exposure increased the risk of noise induced hearing loss due to Balinese Gamelan at the Performing Arts Faculty, sex and noise intensity did not affect significantly at the risk of noise induced hearing loss due to Balinese Gamelan at Faculty of Performing Arts. Given the magnitude of the incidence of noise-induced hearing loss Gamelan it is important to raise awareness of the dangers of noise induced hearing loss due to Balinese gamelan and avoid risk factors for hearing loss.
KADAR PHOSPHORYLATED INSULIN GROWTH FACTOR BINDING PROTEIN-1 YANG TINGGI PADA SEKRET SERVIKS MENINGKATKAN RISIKO PERSALINAN PRETERM Tjokorda Gde Agung Suwardewa
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Latar Belakang : Persalinan preterm adalah munculnya kontraksi uterus denganintensitas dan frekuensi yang cukup untuk menyebabkan penipisan dan dilatasiserviks sebelum memasuki usia gestasi yang matang, antara umur kehamilan 20sampai 37 minggu.Tujuan Penelitian : Untuk mengetahui risiko persalinanan preterm pada kadarphIGFBP-1 yang tinggi pada sekret serviks dengan tes partus Actim.Metode penelitian : Penelitian ini menggunakan desain case control analitik.Jumlah sampel sebesar 56 sampel, dimana 26 sampel kasus persalinan pretermdan 26 sampel kontrol kehamilan preterm, yang dipasangkan (matching) dalamhal umur ibu, umur kehamilan dan paritas. Pengambilan spesimen dari sekretserviks dengan menggunakan swab dacron, kemudian dimasukkan ke dalamlarutan ekstrak selama 10 detik. Larutan ph IGFBP-1 diuji dengan dipstik partusActim. Data yang terkumpul dianalisis menggunakan uji Chi-Square (p < 0,01).Rasio Odds digunakan untuk menilai besarnya risiko dan analisis multivariatdengan regresi logistik.Hasil : Uji Chi-Square antara phIGFBP-1 dengan risiko terjadinya persalinanpreterm didapatkan nilai p=0,001. Hal ini berarti kejadian persalinan preterm padakedua kelompok berbeda secara bermakna. Nilai Rasio Odds sebesar 10,39 (IK95% = 2,73-39,56, p=0,001) yang berarti bahwa kadar phIGFBP-1 yang tinggipada sekret serviks dapat meningkatkan risiko terjadinya persalinan pretermsebesar 10 kali.Simpulan : Kadar phIGFBP-1 yang tinggi pada sekret serviks meningkatkanrisiko persalinan preterm sebesar 10 kali dibandingkan dengan kontrol.
MASTALGIA Dwi Andhayani Kartikaputri; Ketut Widiana
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Mastalgia is painful symptoms in the absence of abnormalities in the breast physiologyand pathology of the breast parenchyma. More than 80% of all cases mastalgia is a mildcase. The exact causes of mastalgia has not yet been sufficiently studied, but few studiesrelate endocrine abnormalities, inflammation, pcyconeurosis, improper nutrition, andconsumption of certain drugs. Based on the occurrence, mastalgia divided into twocategories, namely mastalgia cyclic (related to the endocrine system) and mastalgianoncyclic (associated with the nonendokrin system). Noncyclic mastalgia conditionscan be divided into two categories, which comes from the breast (true noncyclic breastpain) and in addition breasts (extramammary pain). Each classification of mastalgia hadtypical clinical picture, so the majority mastalgia diagnosis can already be diagnosedthrough a complete clinical examination. The most important of mastalgia managementis reassurance. This method will greatly affect the psychology of patients and areassociated with the severity of symptoms and response to therapy received by patients. 1 Non-pharmacological and pharmacological therapies may be done in accordance withthe indications. Surgical treatment is not recommended unless there is a definiteindication.
SEPARATION OF MECHANICAL VENTILATION Ida Bagus Wisnu Parbawa Kusuma; I Nengah Kuning Atmajaya
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
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Abstract

The weaning from mechanical ventilation can be defined as the process of letting theventilator either directly or in stages. Indication of weaning from mechanicalventilation, seen from several parameters such as disease processes, PaO2, PEEP,FiO2, pH, Hb, awareness, body temperature, cardiac function, lung function, drugssedative agent or paralysis agent, and psicologic status of patient. Based on thelength of the weaning, can be devided into two, long-term weaning dan short-termweaning. Short-term weaning, such as T-Piece, CPAP, SIMV, and PSV. Long-termweaning, such as T-Piece and Intermitten Mandatory Ventilation. There are two thataffect the length of weaning, such as nonventilator factor and ventilator factor.Nonventilator factor such as sedation drug abuse, malnutision, lack of psychologicalsupport, and lack of support if there is damage to the left ventricle. Ventilator factorsuch as over ventilation and under ventilation. Factor that lead to failure in weaningaffected by respiratory control center, respiratory muscle strength, and load on therespiratory muscles.
RETARDASI MENTAL RINGAN DENGAN EPISODE PSIKOSIS SEBUAH LAPORAN KASUS I Kadek Agus Setiawan
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Mental Retardation is the decrease of intellectual function thoroughly which occour in development phase and related with social adaptation disturbance. Whereas psychosis isdisturbance of personality (mental) function in assess reality, relationship, perception,persons perceptive and effective conception to certain standard, so that improbability togetting tasks done satisfyingly. Frequency of mental retardation occur approximately 1-3%in all population in United State. Although low of incident, investigation about mentalretardation is still needful. This report discuss about mental retardation with psychosisepisode at female 18 years old which show an eccentric and austistic. In psychiatryexamination found with general impression patient with unfair appearance, grimace, lessverbal and visual contact with examiner (no attention in anamnesis), autistic, purifyconsciousness, mood/affect inadequate/blunt. In sensorium examination and cognitionfound less concentration and attention with speak poorly and presence encouragementinstingtualy as hypobulia    
VALIDASI TEKNIK NOVEL TRIPLEX ALLELE SPESIFIC PCR UNTUK MENDETEKSI POLIMORFISME -1082 G>A GEN IL-10 DAN -308 G>A GEN TNF? I G K Nyoman Arijana
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
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Abstract

Penyakit Dengue merupakan penyakit endemis di daerah tropis dan subtropis, dimana terdapat tempat-tempat wisata yang ramai dikunjungi. Hal ini menyebabkan wisatawan yang berkunjung rentan terkena infeksi. Setiap tahunnya terjadi infeksi virus Dengue sebanyak 50 juta dengan Dengue Hemorraghic Fever (DHF) sebanyak 500 ribu kasus dan jumlah kematian sebanyak 22.000 terutama pada anak-anak.Infeksi virus Dengue mengakibatkan gejala yang berspektrum dan dipengaruhi oleh umur, genetik host dan status viremia. Patogenesis terjadinya DHF belum diketahui sepenuhnya, namun beberapa studi mendukung peran sitokin dimana sitokin memperantai terjadinya kebocoran plasma. Sitokin yang mengalami perubahan ekspresi pada DHF utamanya adalah IL10 dan TNF?. Beberapa studi menunjukkan adanya variasi (polimorfisme) dalam region promoter mempengaruhi ekspresi. Namun penelitian-penelitian tersebut masih menggunakan teknik mendeteksi polimorfisme seperti PCR-RFLP dimana dapat dikatakan menghabiskan waktu dan biaya. Hal dapat dihitung dari banyaknya produk PCR yang diperlukan untuk proses restriksi serta perlunya reagen enzim restriksi itu tersebut. Oleh karenanya dipandang perlu dikembangkan teknik yang dapat mendeteksi varian tersebut dengan menggunakan PCR konvensional yang lebih terjangkau oleh negara berkembang. Teknik yang tepat untuk dikembangkan adalah duplex allele spesific PCR karena dapat menghindari kesalahan post-PCR yang dapat terjadi pada PCR-RFLP. Selain itu pada duplex allele spesific PCR sudah terdapat kontrol internal untuk menghindari adanya kesalahan internal saat proses amplifikasi. Teknik ini bersifat murah, cepat dan dapat diaplikasikan pada tempat dengan fasilitas terbatas.Design penelitian adalah uji diagnostik. Darah vena dari 16 anak dengan DHF dikumpulkan secara konsekutif, dilakukan isolasi DNA dan disekuensing sebagai baku standar. Kemudian dikembangkan design primer secara trial and error untuk menghasilkan duplex allele spesific PCR. Selanjutnya dilakukan analisis untuk melihat sensitivitas dan spesifisitas teknik novel duplex allele spesific PCR untuk mendeteksi polimorfisme -1082 G>A gen IL-10 dan -308 G>A gen TNF?.
UPPER GASTROINTESTINAL MALIGNANCY IN PATIENTS UNDERGOING ESOPHAGOGASTRODUODENOSCOPY IN SANGLAH GENERAL HOSPITAL DENPASAR Putu Prathiwi Primadharsinni
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
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