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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 1,956 Documents
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PENGARUH MAKANAN CEPAT SAJI TERHADAP KONSENTRASI BELAJAR Aulia, Zabrina; Adiatmika, I Putu Gede; Tirtayasa, Ketut; Purnawati, Susy
E-Jurnal Medika Udayana Vol 11 No 10 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i10.P12

Abstract

The trend of changing eating patterns in today's adolescents cannot be separated from the influence of increasing socio-economic conditions and the number of interesting restaurants. With an unbalanced diet, eating fast food on a regular basis allows teens to develop anemia. Adolescents who suffer from anemia can experience growth disorders, decreased learning concentration, and lack of enthusiasm in carrying out activities because they feel tired quickly. This study aims to determine the effect of fast food on learning concentration in adolescents who regularly consume fast food. This study was an observational analytic study using a cross-sectional method and involved 106 samples. Based on the bivariate analysis using Chi-square correlation that has been carried out on the two variables, the interpretation of the final result of this study is that the frequency of fast food consumption per week has no correlation on learning concentration. This is because the analysis results obtained show a significant value between the frequency of consumption of fast food per week with a learning concentration of 0.875 and the odd ratio shows a value of 0.939. In this study, there is no effect of fast food on learning concentration in adolescents who regularly consume fast food. Keywords: fast food, learning concentration, anemia, correlation
HUBUNGAN NLR, KADAR CRP DAN D-DIMER TERHADAP DERAJAT KEPARAHAN PENYAKIT PASIEN COVID-19 DI RSUD WANGAYA DENPASAR Wayan, Sunardiasih
E-Jurnal Medika Udayana Vol 11 No 12 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i12.P03

Abstract

Abstract Coronavirus disease 19 (COVID-19) is a contagious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus. The virus originated from the Coronaviridae family and is responsible for acute atypical respiratory disease that started in Wuhan, Hubei Province, China. Since it was declared as pandemic by WHO on March 11 2020, COVID-19 infection has become a big threat for human health because this disease consumes many health care resources. The increasing cases and death in Indonesia dramatically occured in June 2021. Increasing case numbers dramatically lead to increased health care resources, therefore disease severity evaluation becomes important in situations where resource is limited during this pandemic. The aim of this research is to know the relationship between NLR, CRP level, and D-dimer toward disease severity of COVID-19 patients. This research is observational analytic with retrospective design in confirmed COVID-19 patients (rRT-PCR method) that also underwent complete laboratorium examination. This study used 80 samples that were hospitalized during the period June until August 2021 in Wangaya Public Hospital Denpasar. The sample of patients with severe grades then compared with non-severe grades. From the results of the analysis, the P values ??of the NLR were <0.001, CRP <0.001, and D-dimer 0.004, so there were significant differences in NLR, CRP and D-dimer levels in patients with severe and non-severe disease severity. Keywords : COVID-19, NLR, CRP, D-dimer
GAMBARAN TINGKAT DEPRESI MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS BAITURRAHMAH ANGKATAN 2017 Anissa, Mutiara; Akbar, Resti Rahmadika
E-Jurnal Medika Udayana Vol 11 No 8 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i8.P16

Abstract

Depression is a mental disorder that is mostly found in the general population. Medical education in Indonesia aims to produce doctors based on the needs of public health services. This process causes medical students to face various kinds of stressors, such as a large academic load, time pressure, adjustment to the campus environment, and relationships with peers. If exposure to stress continues for a long period, this condition can lead to depression. If medical students experience depression, this condition can certainly affect their academic performance and their ability to become prospective general practitioners. Methods: This research is a descriptive study with consecutive sampling. The research respondents were 83 students of the Faculty of Medicine at Baiturrahmah University Class of 2017. Respondents will fill out the Depression, Anxiety, and Stress Scale (DASS) 21 questionnaire to measure depression symptoms. Results: In the study, it was found that 75.9% of respondents were women, most of the respondents (80.7%) entered the medical faculty at their own will and during the education period, 90.4% of respondents lived alone either in boarding houses or rented houses. Conclusions: This questionnaire has been validated in Indonesian. Respondents experienced the most depressive symptoms and were at the level of mild depression. Based on the above results, a better educational atmosphere that supports the educational process is very important to prevent depression in students.
KORELASI ASPECT SCORE DENGAN NIHSS, GCS, DAN LAMA DIRAWAT PADA PASIEN STROKE NON HEMORAGIK AKUT DI RSUP SANGLAH Juniada, Putu Herry; Asih, Made Widhi; Margiani, Ni Nyoman; Eka Putra, I Wayan Gede Artawan; Martadiani, Elysanti Dwi; Mahendra Wijaya, I Gusti Agung Gede
E-Jurnal Medika Udayana Vol 11 No 10 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i10.P02

Abstract

Stroke adalah kondisi medis mengancam nyawa, akibat terputusnya pasokan darah ke bagian otak tertentu, bisa diakibatkan oleh pembuluh darah otak yang pecah (stroke hemoragik), maupun tersumbat (stroke non hemoragik). Stroke Non Hemoragik (SNH) membutuhkan penanganan segera dengan terapi trombolisis (IV-rtPA) dalam 3-4,5 jam pasca awitan SNH untuk menurunkan angka morbiditas dan mortalitas. Salah satu metode penilaian kelayakan pasien SNH (melalui pencitraan otak) untuk menerima terapi trombolisis adalah dengan ASPECT Score. Namun IV-rtPA dan ASPECT Score masih sangat jarang diterapkan karena berbagai faktor, sehingga untuk saat ini kami memiliki gagasan untuk meneliti bagaimana korelasi ASPECT Score dengan NIHSS, GCS, dan lama dirawat pada pasien SNH akut. Harapannya dapat ikut mempromosikan ASPECT Score, agar semua stakeholder lebih akrab dengan ASPECT Score jika sudah siap dengan terapi IV-rtPA nantinya. Penelitian ini adalah penelitian observasional analitik dengan pendekatan cross-sectional prospektif. Pasien SNH yang masuk IGD RSUP Sanglah pada bulan Oktober 2021 – Januari 2022 yang memenuhi kriteria inklusi dan eksklusi dipilih secara consecutive sampling sebanyak 66 sampel. Hasil pemeriksaan CT scan kepala tanpa kontras diambil dari PACS dan dilakukan penilaian ASPECT Score oleh 2 orang radiolog secara terpisah. Terdapat Interobserver Agreement penilaian ASPECT Score yang tinggi dan bermakna antara observer 1 dan 2 (r = 0,905; p = 0,00; 95% Limits of Agreement = -1,161 – 0,889). Namun ternyata tidak terdapat korelasi yang bermakna antara ASPECT Score dengan NIHSS, GCS, dan lama dirawat, yaitu dengan nilai r dan p masing-masing adalah r = -0,144, p = 0,250; r = 0,069, p = 0,584; dan r = -0,111, p = 0,375. Perlu dilakukan perbaikan design penelitian, contohnya dengan pendekatan longitudinal untuk mengakomodasi progresivitas infark, dan dengan membandingkan antara penilaian ASPECT Score melalui pemeriksaan CT scan dengan MRI (DWI) yang dikenal lebih sensitif dalam mengidentifikasi perubahan iskemik tahap awal. Kata kunci : ASPECT Score, NIHSS, GCS
KARAKTERISTIK KLINIKOPATOLOGI LESI NEOPLASTIK TIROID DI RSUP SANGLAH DENPASAR BALI PERIODE 2016-2020 Dewi, Ida Ayu Krisna Cantika; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra; Winarti, Ni Wayan
E-Jurnal Medika Udayana Vol 11 No 11 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i11.P12

Abstract

Thyroid neoplastic lesion can be either benign or malignant/cancerous. Thyroid cancer is a type of cancer that is increasing worldwide and is the most common endocrine gland malignant in Indonesia. The purpose of this study is to determine the clinicopathological characteristics of thyroid neoplastic lesion at Sanglah General Hospital Denpasar Bali for the 2016-2020 period based on age, sex, histopathological type, and location of lesion. This research is a descriptive study with a cross sectional approach. The data used are secondary data of patients with thyroid neoplastic lesion that registered for histopathological examination at the Anatomical Pathology Laboratory of Sanglah Hospital Denpasar in 2016-2020. The data collection technique used was total sampling which result in of 407 data meeting the inclusion criteria. The results show that the most common thyroid neoplastic lesion is found in the age group of 41-50 years (25.3%), female sex (77.4%), histopathological type of papillary thyroid carcinoma (79.9%), and location of the lesion is multiple (combination of two or more locations) as much as 36.9%. The conclusions that can be drawn from this study are thyroid neoplastic lesion patients at Sanglah General Hospital Denpasar for the period 2016-2020 have the most clinicopathological characteristics aged 41-50 years, female sex, papillary thyroid carcinoma histopathology, and multiple lesion locations. The results of this study can be developed and become the basis for other research with more varied variables or other research methods such as analytical research. Keywords: Thyroid Neoplastic Lesion, Clinicopathological Characteristics, Histopathological Type
Prevalensi Dry Eye pada Pengguna Video Display Terminal: Studi Potong Lintang pada Mahasiswa Fakultas Kedokteran Universitas Udayana Brian, Nicholas; Triningrat, Anak Agung Mas Putrawati; Juliari, I Gusti Ayu Made
E-Jurnal Medika Udayana Vol 11 No 8 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i8.P07

Abstract

Gadgets with Video Display Terminals (VDT) are being used daily by students all over the world. One of the effects that may arise from VDT gadgets usage for a long duration of time is Dry Eye Syndrome (DES). Dry Eye Syndrome itself can cause discomfort and may hinder productivity. OSDI is one of the few diagnosis methods for DES which uses several sets of questions in the form of questionnaire (discomfort symptoms, visual acuity, and environmental factors). The purpose of this study is to observe DES prevalence and VDT gadgets usage behaviour among students of Udayana University, Faculty of Medicine. This study is a cross-sectional descriptive study. Research data is obtained from OSDI questionnaire that was made using online form and filled through the period of July to September 2020. The data was then processed using computer software. Sample amount that is being included in this study is 228 people. The prevalence of DES among Udayana University Faculty of Medicine students is 62,3% (142 people). DES prevalence by gender is 61,6% in male students and 62,7% in female students. Usage behaviour of VDT gadgets varies by duration per day; below two hours of usage (2 sample), two to four hours of usage (21 sample), four to six hours of usage (93 sample), and above six hours of usage (112 sample) with above six hours having the average of 9,9±2,4 hours. The most common gadget that is being used among the sample is smartphone (70,6%), and the main purpose of gadget usage is for doing study assignments (36,8%). The results of this study are useful for increasing information about prevalence data of DES among students. Further research is needed to conclude a more in-depth relationship between VDT gadgets usage and DES occurrence. Keywords: Dry Eye Synrome, Video Display Terminal, OSDI.
SKOR GLASGOW COMA SCALE (GCS) SEBAGAI FAKTOR RESIKO TERHADAP LAMANYA MASA RAWAT INAP PADA PASIEN EPIDURAL HEMATOMA (EDH) DI RSUP SANGLAH PERIODE 2018-2019 Mardliyah, Mumtazah; Niryana, I Wayan; Maliawan, Sri; Mahadewa, Tjokorda Gde Bagus
E-Jurnal Medika Udayana Vol 11 No 9 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i9.P11

Abstract

Cedera kepala merupakan salah satu masalah penting dalam dunia kesehatan yang harus dihadapi oleh petugas kesehatan. Epidural Hematoma (EDH) merupakan jenis yang paling banyak menjadi perhatian para klinisi dan peneliti karena frekuensi kejadiannya yang tinggi. Kondisi awal pasien pada saat datang ke rumah sakit akan mempengaruhi lamanya masa rawat inap pasien di rumah sakit, diantaranya tingkat kesadaran pasien yang dapat diukur dengan Glasgow Coma Scale (GCS). Penelitian ini bertujuan untuk mengetahui skor GCS sebagai faktor resiko terhadap lamanya masa rawat inap pada pasien Epidural Hematoma (EDH) di RSUP Sanglah periode 2018-2019. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan metode kohort retrospektif dengan jumlah sampel sebanyak 81 orang yang diambil dari data sekunder pasien EDH yang dirawat di RSUP Sanglah periode 2018-2019. Berdasarkan hasil penelitian, ditemukan adanya hubungan bermakna antara Skor GCS dengan lama masa rawat inap (p = 0.000), dengan relative risk ( RR= 3.385), dan adanya hubungan yang bermakna antara ada tidaknya tindakan operasi dengan lama masa rawat inap (p = 0.000), dengan relative risk ( RR= 5.288). Pada penelitian ini menunjukkan skor GCS beresiko mempengaruhi lama masa rawat inap pada pasien EDH. Kata kunci: GCS, EDH, lama masa rawat inap .
Efektivitas Kombinasi Masasse Effluerage dan Deep Back Masasse Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif Darma, Ika Yulia; Zaimy, Silvi
E-Jurnal Medika Udayana Vol 11 No 11 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i11.P08

Abstract

Latar Belakang : .Menjelang persalinan, ibu hamil akan merasakan nyeri akibat kontraksi rahim yang semakin lama semakin kuat. Sebagian ibu ada yang bisa tahan dengan nyeri persalinan, namun ada pula ibu bersalin yang merasa sangat kesakitan saat persalinan. Masasse effluerage dan deep back masasse salah satu alternatif non farmakologi yang yang dapat digunakan dalam intervensi manajemen nyeri ibu bersalin yang mudah diaplikasikan. Tujuan :memaparkan efektifitas kombinasi masasse effluerage dan deep back masasse terhadap penurunan nyeri persalinan. Metode Penelitian :Jenis penelitian Quasy Experimental dengan rancangan one group pretest and posttest design. Sebanyak 24 ibu bersalin kala I fase aktif dengantingkat nyeri sedang - berat dipilih dengan metode purposive sample untuk studi ini, dikelompokan sebagai berikut kelompok kombinasi, kelompok dengan masasse effluerage dan kelompok deep back masasse. Penelitian ini dilakukan di PMB Sariguti, PMB Harti candra dan PMB Nurhaida. Hasil : Setelah dilakukan intervensi kelompok kombinasi terbukti efektif terhadap nyeri persalinan dengan nilai rerata lebih tinggi dibandingkan kelompok masasse efluerage dan kelompok deep back masasse, secara statistik deskriptif diperoleh rerata penurunan nyeri sebesar 3,66 ± 0,516 dengan signifikansi p value 0,000 ( p < 0,05). Kesimpulan : kombinasi metode masasse effluerage dan kelompok deep back masasse efektif terhadap penurunan nyeri ibu bersalin. Intervensi ini dapat digunakan sebagai penatalaksanaan manajemen nyeri ibu bersalin di praktik bidan mandiri maupun di klinik bersalin. Kata kunci : Masasse Effluerage , Deep Back Masasse, Nyeri Persalinan
PROFIL DERMATOFITOSIS DI POLIKLINIK KULIT DAN KELAMIN RSUP SANGLAH DENPASAR PERIODE 2017 -2018 Septiani Surya Puspita Sari, Kadek Ena
E-Jurnal Medika Udayana Vol 11 No 6 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i06.P18

Abstract

Abstract: Dermatophytosis is skin infection caused by dermatophytes colonization in keratinized tissue, such as stratum corneum of epidermis, nails and hair. The aims of study are to evaluate the characteristic of patients and species causing dermatophytosis in Mycology division Outpatient Clinic Sanglah General Hospital Bali in 2017 and 2018 periods. This descriptive retrospective study done by taking consecutive sampling in order to evaluate dermatophytosis characteristic according to diagnosis, age, sex, and organisms isolate from culture examination. Dermatophytosis new cases decreasing from 9,5% in 2017 to 7,9% in 2018. The most common diagnosis are tinea unguium (45,3%) and tinea cruris (25,7%) with Trichophyton rubrum (34,8%) and Trichophyton mentagrophytes (20,2%) species mostly isolated from culture examination. Male (59%) and 45-64 years old age group (35,8%) are the most common groups diagnose with dermatophytosis. Keywords: Dermatophytosis, tinea, descriptive retrospective study
Gambaran Pengetahuan Dokter PPDS di RSUP Sanglah terhadap Pengisian Kolom Penyebab Kematian Berdasarkan ICD-10 dan Prosedur Medikolegal Penerbitan Sertifikat Kematian di Indonesia Nathania, Nadia; -, Henky; Alit, Ida Bagus Putu; Yulianti, Kunthi
E-Jurnal Medika Udayana Vol 11 No 9 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i9.P02

Abstract

Sertifikat kematian adalah salah satu dokumen terpenting yang dikeluarkan oleh tenaga kesehatan. Namun, di Indonesia, sertifikat tersebut seringkali tidak memenuhi standar WHO. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan residen RSUP Sanglah tentang cara pengisian kolom sebab kematian pada sertifikat kematian menurut ICD-10 dan prosedur medikolegal di Indonesia. Studi yang dilakukan merupakan studi deskriptif potong lintang melalui kuesioner online dan offline dan data yang dikumpulkan kemudian disajikan dalam bentuk tabel dan analisis data dilakukan dengan analisis univariat. Dari total 196 responden, tidak ada responden yang memiliki tingkat pengetahuan baik, 10,71% memiliki tingkat pengetahuan cukup, dan 89,29% memiliki tingkat pengetahuan kurang. Ketika setiap bagian kuesioner dinilai secara individual juga ditemukan bahwa hanya 10,71% responden yang menunjukkan tingkat pengetahuan teoritis yang baik dan tidak ada responden yang menunjukkan tingkat pengetahuan praktis yang baik dengan “kesalahan diagnosis” sebagai kesalahan yang paling sering ditemukan.

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