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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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KARAKTERISTIK KLINIKOPATOLOGI PENYAKIT HIRSCHSPRUNG DI RSUP SANGLAH DENPASAR TAHUN 2019-2020 Wilananda, Ida Bagus Ardya Kurnia; Dewi, I Gusti Ayu Sri Mahendra; Winari, Ni Wayan; Sriwidyani, Ni Putu
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.P18

Abstract

ABSTRACT Hirschsprung's disease is an abnormal condition of the colon with characteristics of the Meissneri submucosus, myenteric plexus and Aurbachi plexus without parasympathetic ganglion cells. Manifestations of Hirschsprung's disease are seen in the discharge of meconium that does not come out within 24 hours. Then there are signs of obstruction to the gastrointestinal tract, vomiting bile, constipation, and irregular bowel movements. In 2017, 2.5 million children died in the first month of life worldwide. 47% of deaths of children under the age of 5 years occur in newborns, which is about 7,000 deaths. Cases of Hirschsprung's disease itself occur in 1:5000-7000 births, with cases in boys 4 times more than girls. This study aims to determine the clinicopathological characteristics of Hirschsprung's disease at Sanglah Hospital Denpasar in 2019-2020 based on clinical symptoms, age, gender, and location of the aganglionic bowel segment. This study was carried out in 2021 at the Sanglah Hospital Denpasar Anatomical Pathology (PA) installation, using data from the years 2019-2020. It was conducted using a cross-sectional method, with secondary data in the form of patient data available at the Sanglah Hospital Denpasar PA Laboratory, and total sampling. SPSS version 26 was used to analyze the data. The results of this study showed that there were 78 patients with Hirschsprung's disease at Sanglah Hospital Denpasar in 2019-2020 and all of them met the criteria of inclusion. Most cases of Hirschsprung's disease in Sanglah Hospital Denpasar experienced the most flatulence, namely 38 cases with a percentage of 36.5%. Cases were dominated by patients within age of 0-12 months with total of 64 people with 82.1% percentage, and dominated by men as many as 50 people with 64.1% percentage. The aganglionic most frequently found in the rectum as many as 49 people with a percentage of 62.8%. It was concluded from the study result that Hirschsprung's disease patients at Sanglah Hospital in 2019-2020 were mostly male, mostly in the age range 0-12 months, with the most clinical symptoms being flatulence, and the most common aganglionic location found in the rectum. This result may then be used as a basis and also study material for further related research and learning Keywords : Hirschsprung's disease, congenital megacolon, aganglionic, clinicopathological characteristics
Karakteristik Hasil Pemeriksaan Hematologi dan Kecepatan Pemulihan Pasien DBD di RSUD Bali Mandara Tahun 2019-2020 Nugraha, Ketut Yoga Wira; Subawa, Anak Agung Ngurah; Herawati, Sianny; Mulyantari, Ni Kadek
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.P05

Abstract

ABSTRACT Dengue Hemorrhagic Fever (DHF) as one of the most common infectious diseases in the world is still a major concern even though the incidence and mortality rates have decreased. The study objective is to determine hematological examination results and the speed of recovery of DHF patients reviewed according to age, gender, BMI, degree of DHF, and duration of fever before being treated. This was cross-sectional study using secondary data from medical records of 193 DHF patients treated from year 2019 to 2020. In 193 patients, before being admitted to the hospital, the patient had an average fever for 4.12±1.16 days with an average 4.69±1.2 days of hospitalization. Hematological test on hospital admission showed the average platelet value was 83.06±28.74 x103 cells/µL with 187 (96.9%) patients had platelet values below the normal value. Average leukocyte count was 4.13±2.01 x 103 cells/µL with 126 (65.3%) patients having a leukocyte value below the normal value. Average hematocrit value was 40.31±4.96% with 113 (58.6%) patients had normal hematocrit values. The duration of hospitalization for DHF patients had a significant difference when viewed according to age (p=0.000), BMI (p=0.000), and duration of fever before being treated (p=0.000). The mean platelet values were significantly different when compared according to the duration of fever before being treated (p=0.018). The mean leukocyte values were significantly different when compared according to age (p=0.007) and gender (p=0.008). The mean hematocrit value was significantly different when compared according to age (p=0.000) and gender (p=0.008). Keywords: Dengue hemorrhagic fever, hematological examination, duration of hospitalization
EFEKTIVITAS JUS BUAH SEBAGAI TERAPI KOMPLEMENTER TERHADAP TEKANAN DARAH PASIEN HIPERTENSI : A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS Mahendra, Bayu; Surudarma, I Wayan; Wihandani, Desak Made; Ruma, I Made Winarsa
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.P17

Abstract

Hypertension treatment can be helped through complementary therapies, one of which is fruit juices. This study aimed to systematically review the evidence from various study regarding the effect of fruit juices on blood pressure in hypertensive patients and the types of fruit juices that are proven to be effective in reducing hypertension.This study is systematic review. Literature searching was conducted in four electronic databases, namely CINAHL, EMBASE, Pubmed, and Sciencedirect with the phrase fruit juices AND (hypertension OR blood pressure). Studies obtained from searching will be selected based on a screening title and abstract, eligibility criteria, and assesment risk of bias. The results of the study obtained 21 final studies with RCT research designs that passed the screening with complete eligibility criteria. However, the studies with valid results only amounted to 8 studies. These data show that as many as 5 studies prove fruit juices can reduce blood pressure in hypertensive patients and 3 other studies have stated the opposite. Thus, it can be concluded that there is strong evidence that fruit juices has a significant effect on reducing blood pressure in hypertensive patients. Fruit juices that have been shown to be effective are orange juice and queen garnet plum juice
Hubungan Smartphone Addiction Terhadap Text Neck Syndrome Pada Mahasiswa Program Studi Sarjana Kedokteran dan Profesi Dokter Fakultas Kedokteran Universitas Udayana Angkatan 2019 dan 2020 Laksmi, A. A. Ayu Widya; Wardana, I Nyoman Gede; Widianti, I Gusti Ayu; Muliani, Muliani
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.P05

Abstract

Text neck syndrome in the 21st century has the risk of becoming a condition that needs more attention. The development of technology, such as computers, laptops, and smartphones, causes the text neck syndrome to arise. The use of smartphones is one of the important factors causing text neck syndrome. Intense smartphone use accompanied by poor posture when using a smartphone can indicate repetitive neck pain and stiffness. Based on those background, aim of this study is to determine the prevalence of text neck syndrome, smartphone addiction and relationship between smartphone addiction and text neck syndrome in students medicine graduate program of the Faculty of Medicine, Udayana University batch 2019 and 2020. This study was a descriptive analytic cross-sectional study. Sampling using purposive sampling technique. There are 489 respondents who are students of the 2019 and 2020 Bachelor of Medicine and Doctoral Profession Study Program. Data collection is done online through google from which is accompanied by NDI and SAS-SV questionnaires. Data analyzed, by Chi Square test and was processed using SPSS version 26. The results show prevalence of text neck syndrome are 183 (37.4%) and prevalence for smartphone addiction are 339 (69.3%). Chi square tests showed that there was a relationship between smartphone addiction and text neck syndrome (p=0.000) PR=3.670 (CI 95%; 2.310-5.832). Keywords : smartphone addiction, text neck syndrome, neck disability
KEAMANAN DAN EFEKTIVITAS E-CIGARETTE SEBAGAI ALTERNATIF ROKOK KONVENSIONAL TERHADAP PARU BERDASARKAN PERBANDINGAN TES SPIROMETRI: A SYSTEMATIC REVIEW Elkurnia, Raymond Timothy; Rai, Ida Bagus Ngurah; Candrawati, Ni Wayan; Sajinadiyasa, I Gede Ketut
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.P11

Abstract

E-cigarette kerap dijadikan alternatif bagi orang yang ingin berhenti merokok, namun e-cigarette tidak dapat dipastikan kemananan serta efektivitasnya. Systematic review ini dibuat dengan tujuan untuk mengetahui keamanan penggunaan e-cigarette dibandingkan dengan rokok konvensional terhadap fungsi paru, serta efektivitas penggunaanya. Pencarian studi dengan karakteristik randomized controlled trial/RCT dilakukan sesuai dengan kaidah PRISMA dengan menggunakan kata kunci‘ electronic nicotine delivery system’, ‘e-cigarette’, ‘e-cig’, ‘lung function’, ‘spirometry’, ‘FEV1/FVC’. Dari 110 studi, didapatkan 5 studi RCT yang memiliki hasil yang bervariasi.
PREVALENSI FLATFOOT PADA ANAK USIA 7-12 TAHUN DI SEKOLAH DASAR CIPTA DHARMA DENPASAR Anak Agung Sagung Karinia Jaya; I Nyoman Gede Wardana; I Nyoman Mangku Karmaya
E-Jurnal Medika Udayana Vol 9 No 9 (2020): Vol 9 No 09(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Latar Belakang: Flatfoot adalah kondisi medis yang ditandai dengan hilangnya arkus longitudinalismedialis. Flatfoot biasanya disebabkan oleh obesitas, kelemahan ligamen, gangguan neurologi, kelainanotot, sindrom genetik, gangguan kolagen, iatrogenik, trauma. Flatfoot dapat menyebabkan komplikasiyang memiliki pengaruh terhadap kesehatan. Penelitian ini bertujuan untuk mengetahui prevalensi flatfootpada anak usia tujuh sampai dua belas tahun di Sekolah Dasar Cipta Dharma Denpasar. MetodePenelitian: Penelitian ini dilakukan dengan metode deskriptif menggunakan studi cross-sectional.Penelitian ini dilakukan pada 930 murid. Sampel penelitian dipilih berdasarkan total sampling. Hasil:Hasil penelitian ini mengungkapkan prevalensi flatfoot sebesar 53,3%. Prevalensi flatfoot tertinggiditemukan pada usia tujuh tahun. Simpulan: Flatfoot ditemukan pada anak usia tujuh sampai dua belastahun. Kata kunci : Flatfoot, Usia, Siswa sekolah dasar.
PREVALENSI HASIL POSITIF SIFILIS DENGAN METODE PEMERIKSAAN ELISA DAN CLIA DI UDD PMI KOTA DENPASAR PERIODE MEI -DESEMBER 2021 Pratiwi, Donna
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.P08

Abstract

Introduction. One of the sexually transmitted diseases is syphilis which is caused by the bacterium Treponema pallidum. Patients with syphilis can experience severe systemic symptoms and can cause disability. However, in latent syphilis the initial symptoms are minimal or even asymptomatic, so that undetected syphilis sufferers can still escape and can carry out blood donation activities. To meet the demand and need for blood in Denpasar City, the Indonesian Red Cross Blood Donor Unit Denpasar City conducted blood donation activities. However, due to the ongoing Covid 19 world pandemic, including Indonesia, the activities of mobile blood donor units are limited. Providing safe blood is the duty of the blood donor unit. Screening test is a way to detect the presence of Transmitted Infection Through Blood Transfusion (IMLTD). The techniques used are Enzyme-linked Immunoserbent Assay (ELISA) and Chemiluminescence Immunoassay (CLIA). Methods. This research is a retrospective descriptive type by taking secondary data from the screening laboratory of the Denpasar City PMI blood donor unit for the period May-December 2021. Results. There were 21 blood samples with reactive syphilis results from May to August which were performed using the ELISA method with a total of 831 donor bags. A total of 28 blood samples from 1,338 bags that were donated showed reactive results from September to December using the CLIA method. Keywords: Syphilis, ELISA, CLIA, blood donation, prevalence
Hubungan Usia, Jenis Operasi, dan Waktu Operasi dengan Outcome Pasca Operasi Fraktur Tibia Terbuka Derajat III di RSUP Sanglah Denpasar pada Tahun 2018-2020 Kesumaputri, Komang Diah Kurnia; Subawa, I Wayan; Dewi, Kadek Ayu Candra; Meregawa, Putu Feryawan
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.P17

Abstract

Open tibial fracture is one of the most common lower extremity fractures in the world, especially in Denpasar City. Clinically, grade III open tibial fracture has higher risk of worse outcome, such as infection and bone healing complication than grade I and II, thus it should be evaluated further regarding risk factors affecting that occurrence. This research aims to know the relationship between several risk factors, those are age, surgery type, and time to surgery with postoperative outcomes in grade III open tibial fractures in terms of clinical, radiological, and functional based on Johner-Wruhs criteria. This research used cross-sectional method and used patients with grade III open tibial fracture who underwent surgery at Sanglah Denpasar General Hospital in 2018-2020. Based on the data collection, there were 31 patients fulfilled the inclusion and exclusion criteria. The data collected were characteristics and postoperative outcome assessed using Johner-Wruhs criteria which consisted of 4 categories. From Kendall Tau correlation test, there was no significant relationship between age and outcome (p=0,215) and a significant relationship between time to surgery and outcome (p=0,021). Moreover, the results of Fisher’s Exact Test did not find significant relationship between surgery type and outcome (p=0,720). Based on the results, it can be concluded that time to surgery (debridement) has significant effect on postoperative outcome compared to age and surgery type. Time to debridement also has unidirectional relationship with outcome, which means the longer time to debridement, the worse outcome experienced by the patient. Keywords: open tibial fracture, surgery type, outcome, age, time to surgery
PROFIL UMUM AKNE VULGARIS PADA PELAJAR SEKOLAH MENENGAH ATAS NEGERI DENPASAR TIMUR Ni Made Sruti Mahaswari Soethama
E-Jurnal Medika Udayana Vol 9 No 4 (2020): Vol 9 No 04(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

ABSTRAK Akne vulgaris (AV) adalah penyakit peradangan menahun folikel pilosebasea yang umumnya terjadi pada masa remaja dan dapat sembuh sendiri. Gambaran klinis akne vulgaris sering polimorfi, terdiri atas berbagai kelainan kulit berupa komedo, papul, pustule, nodus, dan jaringan parut yang terjadi akibat kelainan aktif tersebut, baik jaringan parut yang hipotrofik maupun hipertrofik. Prevalensi kejadian akne vulgaris yaitu sebesar 96% dan meningkat sesuai usia, dimana didapat sebagain besar pelajar di atas 14 tahun pernah mengalami akne vulgaris. Penelitian ini bertujuan untuk mengetahui profil umum akne vulgaris melalui beberapa karakteristik pada pelajar SMA Negeri Denpasar Timur. Metode penelitian yang diterapkan adalah studi deskriptif cross-sectional dengan teknik pengumpulan sampel yaitu cluster sampling. Sampel dalam penelitian ini adalah pelajar di SMA Negeri Denpasar Timur, yaitu SMA Negeri 1 Denpasar dan SMA Negeri 3 Denpasar. Penelitian ini menggunakan kuesioner dan pemeriksaan langsung pada area wajah dan leher untuk mendiagnosis akne vulgaris berdasarkan grading Indonesian Acne Expert Meeting (IAEM) 2012. Data yang diperoleh melalui penelitian ini kemudian dianalisis secara deskriptif. Hasil penelitian ini menunjukkan bahwa 244 dari 458 pelajar menderita AV (53,3%). Data menggambarkan bahwa 121 siswa menderita AV derajat ringan (49,6%), 103 siswa menderita AV derajat sedang (42,2%), dan 20 siswa menderita AV derajat berat (8,2%). Karakteristik responden menunjukkan bahwa 156 orang adalah perempuan (63,9%) dan 88 orang adalah laki-laki (36,1%). Siswa dengan AV didominasi oleh siswa berusia 16 tahun (53,3%). Kata kunci : akne vulgaris, profil umum, IAEM 2012
Gambaran Klinikopatologik Lupus Nefritis di RSUP Sanglah Denpasar tahun 2016-2020 Nariswari, Ida Ayu Ista; Winarti, Ni Wayan; Sriwidyani, Ni Putu; Dewi, I Gusti Ayu Sri Mahendra
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.P14

Abstract

ABSTRACT Systemic lupus erythematosus (SLE) is one of the most common autoimmune diseases in the community. One of common clinical manifestations of SLE is Lupus Nephritis (LN). The World Health Organization (WHO) notes that there are five million people with lupus in the world and there are 100,000 more new sufferers every year. In Indonesia in 2016 it was reported that 2,166 patients were hospitalized with a diagnosis of SLE and 550 of them died. This study aims to determine the characteristics of LN patients at Sanglah Hospital Denpasar in 2016-2020 based on age, gender, histopathological class (categorized according to ISN/RPS), and proteinuria level and to determine the relationship between proteinuria level and histopathological class and the relationship between age and histopathological class. This research was conducted at the Anatomical Pathology (PA) laboratory of Sanglah Hospital Denpasar in 2021 with a cross-sectional method, using secondary data that available at the PA laboratory of Sanglah Hospital Denpasar, then processed using SPSS ver. 26. The results showed that the total number of LN patients at Sanglah Hospital Denpasar in 2016-2020 was 28 cases. Most cases were found at age range of 26-35 years (11 cases or 39.3%) and most were female (23 cases or 82.1%). The most common proteinuria level found was +3 (8 cases or 28.6%) and the most common histopathological class was class IV (13 cases or 46.4%). Chi square test showed no significant relationship between proteinuria level and LN histopathological class (p=0.069) nor between age and LN histopathological class (p=0.202). It was concluded that LN patients at Sanglah Hospital in 2016-2020 were mostly women, aged 26-35 years, with a proteinuria level of +3 and included class IV LN. Since there is no correlation between age or proteinuria level with histopathological class, it is recommended that histopathological biopsy be performed in all cases of suspected LN so that patients receive adequate therapy based on the level of kidney damage. Keywords : Lupus nephritis, age, gender, proteinuria level, histopathological class according to ISN/RPS

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