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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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POLA KEPEKAAN BAKTERI ACINETOBACTER BAUMANNII TERHADAP BEBERAPA ANTIBIOTIK PADA PASIEN RAWAT INAP DI RSUP PROF. DR. I.G.N.G NGOERAH DENPASAR TAHUN 2021 Yapson, Grace Yulia Alphani
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P06

Abstract

ABSTRAK Acinetobacter baumannii merupakan patogen utama penyebab infeksi nosokomial dengan prevalensi yang terus meningkat. Bakteri ini menjadi patogen oportunistik penyebab infeksi pada pasien imunosupresif yang menjalani perawatan jangka panjang di rumah sakit. Pasien rawat inap menjadi salah satu faktor risiko infeksi Acinetobacter baumannii. Peningkatan kasus infeksi Acinetobacter baumannii diikuti juga oleh peningkatan kejadian resistensi yang berdampak pada kegagalan terapi dan jumlah kematian tinggi. Oleh karena itu, data terbaru mengenai pola kepekaan bakteri terhadap antibiotik diperlukan untuk pembaharuan pertimbangan pilihan antibiotik sebagai terapi infeksi Acinetobacter baumannii kepada pasien rawat inap di RSUP Prof. Dr. I.G.N.G Ngoerah Denpasar. Penelitian ini bertujuan untuk mengetahui sensitifitas Acinetobacter baumannii terhadap beberapa golongan antibiotik pada pasien rawat inap di RSUP Prof. Dr. I.G.N.G Ngoerah. Penelitian ini menggunakan desain penelitian potong lintang dengan metode deskriptif retrospektif. Sampel penelitian diambil menggunakan metode total sampling berupa data sekunder hasil uji kepekaan Acinetobacter baumannii yang diisolasi dari spesimen klinis pasien terhadap beberapa antibiotik di Laboratorium Mikrobiologi Klinik RSUP Prof. Dr. I.G.N.G Ngoerah Denpasar periode Januari – Desember 2021. Identifikasi bakteri dan uji sensitivitas antibiotik dilakukan menggunakan alat VITEK 2. Data yang terkumpul dianalisis secara deskriptif menggunakan SPSS dan disajikan dalam bentuk distribusi frekuensi. Prevalensi infeksi Acinetobacter baumannii pada pasien rawat inap sebesar 7.1% dengan dominasi pasien dari ruang non – ICU. Isolat Acinetobacter baumannii terbanyak berasal dari sputum selang (30.5%) dan darah (20.2%). Dari data uji kepekaan terhadap 19 jenis antibiotik didapatkan Acinetobacter baumannii paling paling sensitif terhadap amikacin, trimethroprim/sulfamethoxazole, dan ampicillin/sulbactam dan paling resisten terhadap ceftriaxone, cefoperazone dan cefixime. Isolat Acinetobacter baumannii paling banyak berasal dari pasien rawat inap di ruang non – ICU dan berasal dari spesimen klinis sputum selang dengan antibiotik yang paling sensitif adalah amikacin dan paling resisten adalah ceftriaxone. Kata kunci : Acinetobacter baumannii, antibiotik, pola sensitivitas
Karakteristik Nyeri Kepala Tipe Tegang pada Perawat di Rumah Sakit Universitas Udayana Savitri, Ni Putu Sista Ijya; Wijayanti, Ida Ayu Sri; Widyastuti, Ketut; Indrayani, Ida Ayu Sri
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P12

Abstract

Background: Headache is the most common complaint experienced by people in the world with the highest prevalence spesifically tension-type headache. Nurses are one of the professions with the risk of experiencing tension-type headache that can affect performance, costs, and work results. The purpose of this study was to determine the prevalence and characteristics of tension-type headache among nurses who work in the hospital. Method: This research is a cross-sectional descriptive study with consequtive sampling technique involving 89 nurses at Udayana University Hospital using primary data obtained from questionnaires (google form) and then analyzed by using SPSS 26. Results: The results showed that the prevalence of tension-type headache in nurses was 46.1%. Based on the most common characteristic in nurses, spesifically within the age of 26-35 years about 80.5%, female gender about 65.9%, obesity category about 39%, no stress category about 95.1%, sleep duration > 6 hours about 58.5%, shift nurses about 92.7%, nurses in inpatient room about 70,7%, and below 3 years duration of work about 80.5%. Conclusion: The prevalence of tension-type headache in nurses is 46.1% with the most characteristics at the age of 26-35 years (early adulthood), female gender, dominated by obesity category, no stress category, sleep duration > 6 hours, dominant in shift nurses, mostly in inpatient room nurses and below 3 years duration of work. Keywords: Tension-type headache, characteristics, nurse
PERBANDINGAN EFEKTIVITAS MENCUCI TANGAN DENGAN AIR, SABUN ANTISEPTIK, HAND SANITIZER GEL, DAN ALKOHOL 70% TERHADAP JUMLAH BAKTERI PADA TANGAN Dhyana Ratmaja, I Gusti Agung Ngurah; Darwinata, Agus Eka; Pinatih, Komang Januartha Putra; Fatmawati, Ni Nengah Dwi
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P09

Abstract

Background: Hand washing is an activity that has to be achieved by everyone, by washing hands with excellent and correct techniques, able to make hands clean and of course can kill germs on the hands, good and proper hand washing can be done using soap and also running water or handwashing can also be done using alcohol or alcohol-based hand rubs. Methods: This research is an experimental study, One Group Pretest-posttest Design, taking primary data by taking samples from palms before and after washing using water, antiseptic soap, hand sanitizer gel, and alcohol 70%. Results: This study found that the effectiveness of washing hands with alcohol at 70% showed a decrease in bacterial number by 99%. In antiseptic soaps, there was a decrease in bacterial number by 86%. The use of hand sanitizer gel decreased bacterial number by 96%, and in water use, there was a decrease in bacterial number by 61%. Conclusion: alcohol 70% has the most significant effect in decreasing the number of bacterial colonies among other hand washing materials.
Efek Pemberian Kulit Buah Naga merah (Hylocereus polyrhizus) terhadap Tebal Endometrium dan Miometrium Tikus Model Menopause Wong, Ferdinand; Sugiritama, I Wayan; Ratnayanti, I Gusti Ayu Dewi; Wahyuniari, Ida Ayu Ika; Wiryawan, I Gusti Nyoman Sri
E-Jurnal Medika Udayana Vol 12 No 6 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i06.P15

Abstract

ABSTRACT Effects of Giving Red Dragon Fruit Skin (Hylocereus polyrhizus) as Phytoestrogens on Endometriak Thickness and Myometrium of Menopausal Model Rats Background: Menopause is a condition in which the body experiences a lack of estrogen due to decreased ovarian function. Decreased estrogen levels result in particular changes in the thickness and shape of the uterus. Phytoestrogens are herbal compounds that have several similarities to the functions and structures of estrogen. Phytoestrogens also can be an alternative as a therapeutic option when they need a substitute for estrogen. Among several types of phytoestrogens, anthocyanin is one of the potential. Anthocyanins are mostly found in the red dragon fruit, Hylocereus polyrhizus. Red dragon fruit skin contains anthocyanins. Anthocyanins compounds have the potential to overcome the symptoms caused by menopause through their phytoestrogens and antioxidant activity.Objective: The main purpose of this study is to determine the effect of red dragon fruit skin extract (Hylocereus polyrhizus) on the thickness of the endometrium ad myometrium in menopausal model rats. Methods: This study applied a randomized post-test only control group design using a sample of 30 female wistar rats that met the inclusion and exclusion criteria. The sample was divided into 3 (three) treatment groups where a group was consisted of 10 female wistar rats. The treatment group 1 was the control group, while the treatment group 2 was the group given the ethanol extract of red dragon fruit skin at a dose of 60 mg/200 grBW/day for 30 days, and the treatment group 3 was the group given the ethanol extract of red dragon fruit skin at a dose of 90 mg/200 grBW/day for 30 days. Results: The study signified an increase in the endometrial thickness after being given red dragon fruit extract (Hylocereus polyrhizus) at a dose of 60 mg/200 grBW and 90 mg/200 grBW in menopausal model rats. In the single-lane ANOVA test, the thickness of the endometrium found a significance value of 0.038 (p<0.05), while the thickness of the myometrium found a significance value of 0.000 (p<0.05).
- TINGKAT PENGETAHUAN MENGENAI ANATOMI FISIOLOGI ANKLE, ANKLE SPRAIN DAN PENANGANANNYA PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA ANGKATAN 2020 Sitepu, Amanda Viani Maria; Karmaya, I Nyoman Mangku; Wardana, I Nyoman Gede; Widianti, I Gusti Ayu
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P02

Abstract

Ankle sprain is a tear in the ankle ligaments which is usually caused by an inversion error that can cause movement disorders in the ankle. This study was conducted to determine the level of knowledge of students of the Faculty of Medicine, Udayana University batch 2020 regarding the anatomy and physiology of the ankle, as well as ankle sprains and their treatment. This research was conducted with a descriptive cross-sectional method. The sampling technique used was stratified random sampling method. The research subjects were 87 students from the 2020 Faculty of Medicine. Data collection process was conducted online to assess the level of knowledge about ankle sprains. Data were analyzed using SPSS version 20. The results showed that 28 students (32.2%) had a good level of knowledge, 54 students had a sufficient level of knowledge (62.1%), and 5 students had a low level of knowledge (5.7%). The knowledge level of the majority students of the Faculty of Medicine, Udayana University year 2020 regarding the anatomy physiology of the ankle, ankle sprain, and its management are in the sufficient category. Education through lectures, seminars, or workshop that aims to increase awareness of the importance of knowing ankle sprain and its management needs to be implemented. Keywords: ankle, ankle sprain, knowledge, medical students
Karakteristik Ambliopia Pada Anak Strabismus di RSUP Prof. Dr. I.G.N.G. Ngoerah Tahun 2021 Mahesadhana Ardika, Putu Abhinaya; Surasmiati, Ni Made Ayu; Kusumadjaja, Made Agus; Juliari, I Gusti Ayu Made
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P11

Abstract

Mata merupakan salah satu organ yang digunakan manusia untuk berinteraksi dengan sesama manusia. Apabila terjadi penurunan visual, maka salah satu faktor resiko yang muncul adalah strabismus. Strabismus umum terjadi pada anak-anak dan menjadi salah satu faktor umum penyebab ambliopia. Oleh karena itu penulis ingin mengetahui apa karakteristik ambliopia pada anak strabismus di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar pada tahun 2021. Desain penelitian ini adalah deskriptif dengan pendekatan cross sectional. Pengumpulan sampel dilakukan dengan total sampling dengan melihat rekam medis di RSUP Prof. Dr. I.G.N.G. Ngoerah periode Januari 2021 sampai dengan Desember 2021. Terdapat 18 pasien yang didiagnosis strabismus dengan adanya penurunan visus. Jumlah laki-laki 11 (61,1%) dan perempuan 7 (38,7). Sebagian besar pasien berada pada rentang usia 6-11 dan 12-17 tahun (n=8, 44,4%). Sebagian besar pasien berdomisili di daerah Badung (n=5, 83,3%). Terdapat 15 pasien (83,3%) tidak dijelaskan mengenai adanya riwayat keluarga dalam lembar rekam medis. Sebagian besar pasien memiliki arah deviasi keluar atau eksotropia (n=10, 55,6%). Sebagai kesimpulan, terdapat 18 kasus strabismus dengan ambliopia. Sebagian besar adalah laki-laki dengan kelompok usia 6-11 dan 12-17 tahun, memiliki arah deviasi eksotropia, berdomisili di Badung, dan tidak dijelaskan adanya riwayat keluarga pada rekam medis
KORELASI CT SCAN KEPALA DAN ULTRASONOGRAFI SELUBUNG SARAF OPTIK DENGAN SKOR GLASGOW COMA SCALE PADA PASIEN TRAUMA KAPITIS Pramono, Rufik Tejo; Murtala, Bachtiar; Ilyas, Muhammad
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P17

Abstract

Increased intracranial pressure is a complication in patients who experience head trauma. Increased intracranial pressure can cause loss of consciousness and even death. The Glasgow coma scale (GCS) is a rating scale that has a purpose as an assessment of the patient's consciousness. Computed Tomography (CT) Scan is one of the modalities used in head trauma patients to see intracranial lesions as the cause of increased intracranial pressure. Transocular ultrasound can be used to detect elevated intracranial pressure. Changes in the diameter of the optic nerve sheath are directly caused by changes in increased intracranial pressure. This study is a cross-sectional study with patients diagnosed with head trauma who were referred to the Radiology Installation of Dr. Wahidin Sudirohusodo Hospital for CT Scan of the head and transocular ultrasound examination from July to December 2021. All study subjects were assessed for GCS, the appearance of intracranial lesions on examination. CT scan of the head and measurement of the diameter of the optic nerve sheath with transocular ultrasound examination were then analyzed. There were 32 research subjects with head trauma. There is a correlation between the degree of consciousness and the CT scan of the head, namely intracranial hemorrhage and basal cistern compression with p values of 0.045 (r=0.357) and 0.005 (0.480), respectively, while the midline shift and cerebral edema variables have no correlation (p>0, 05). There was a correlation between the degree of consciousness and the diameter of the right and left optic nerve sheaths with p-values of 0.006 (r=-0.472) and 0.011 (-0.442). There was a relationship between the diameter of the right and left optic nerve sheaths and the head CT scan, namely midline shift, cerebral edema and basal cistern compression (p<0.05) while there was no relationship between intracranial bleeding variables (p>0.05). Keywords: CT scan of the head, transocular ultrasound, GCS, head trauma.
PERBANDINGAN PENGARUH PEMBERIAN JUS BUAH NAGA MERAH(HYLOCEREUS POLYRHIZUS) DENGAN OBAT SIMVASTATIN TERHADAP PENURUNAN KADAR KOLESTEROL DARAH MENCIT (MUS MUSCULUS) DENGAN KONDISI HIPERKOLESTEROLEMIA Nabasa, Gayus Erino; Jawi, I Made; Satriyasa, Bagus Komang
E-Jurnal Medika Udayana Vol 12 No 9 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i09.P05

Abstract

This study aims to determine the effect of giving red dragon fruit juice with graded doses on reducing total cholesterol levels of mice with hypercholesterolemic conditions. This research was conducted to prove the anti-cholesterol effect of red dragon fruit juice with a dose variation of 0.39 gr / 30grBB 0.65 gr / 30grBB and 0.91 gr / 30grBB in Swiss male mice with high cholesterol conditions. The subjects of this study were 30 Swiss mice which were divided randomly into 5 groups. This study was an experimental study with a pre-test and post-test control group design. Group 1 as a negative control (high cholesterol diet), group 2 as a positive control. (high cholesterol diet and simvastatin drug), and group 3 (high cholesterol diet and red dragon fruit juice 0.39 gr / 30grBB), group 4 (high cholesterol diet and red dragon fruit juice 0.65 gr / 30grBB), group 5 (high cholesterol diet and red dragon fruit juice 0.91 gr / 30grBB).The parameters measured were the total cholesterol level of mice using the easy touch GCU tool. The data of the results of the study were analyzed by one way ANOVA test with a significance level of ? = 5% with multiple comparisons (Post Hoc Test) LSD type. The results of the study with various doses showed a decrease in total cholesterol levels by 10%; 11%; 15%. The dose variation in this study gave the best results to reduce total cholesterol levels, namely at a dose of 0.91 gr / 30grBB.Based on the result of the study, shows that he administration of red dragon fruit juice showed a significant difference in total cholesterol blood levels of mice. Keywords : Red dragon fruit juice , Cholesterol , Antosianin , Total cholesterol
HUBUNGAN PROFIL LIPID LOW-DENSITY LIPOPROTEIN PENDERITA OBESITAS TERHADAP KEJADIAN INFARK MIOKARD AKUT PADA PASIEN RUMAH SAKIT UMUM PUSAT PROF. DR. I.G.N.G. NGOERAH DENPASAR TAHUN 2016-2021 Priambodo, Abiyyuda Naufal; Muliani, Muliani; Yuliana, Yuliana; Karmaya, I Nyoman Mangku
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P02

Abstract

Latar Belakang: Dewasa ini epidemi obesitas menjadi salah satu tantangan terbesar kesehatan global dan tidak terkecuali di Indonesia. Obesitas dapat meningkatkan risiko penyakit kardiovaskular melalui beberapa faktor risiko yang diantaranya adalah peningkatan kadar profil lipid meliputi kolesterol total, LDL, HDL, dan trigliserida. Profil lipid LDL memegang peranan penting dalam proses aterogenesis dan berpotensi menyebabkan infark miokard akut. Tujuan: Penelitian ini dilakukan dengan tujuan untuk menggambarkan karakteristik pasien obesitas dan melihat hubungan profil lipid LDL terhadap kejadian infark miokard akut pada pasien obesitas RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar tahun 2016 - 2021. Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan potong lintang. Pengambilan sampel dilakukan dengan teknik random sampling dan didapatkan 141 data rekam medis pasien obesitas yang teregistrasi di instalasi rekam medis RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar dan telah memenuhi kriteria inklusi. Hasil: Hasil uji statistik menunjukkan rata-rata kadar profil lipid pasien obesitas meliputi kolesterol total (158,49 mg/dL), LDL (97,85 mg/dL), HDL (34,81 mg/dL), dan trigliserida (161,79 mg/dL). Hasil analisis chi-square menemukan nilai p ? 0,05 menunjukkan bahwa adanya hubungan signifikan antara profil lipid LDL terhadap kejadian infark miokard akut pasien obesitas RSUP Prof. Ngoerah Denpasar tahun 2016 - 2021. Simpulan: Terdapat hubungan signifikan antara profil lipid LDL terhadap kejadian infark miokard akut pasien obesitas RSUP Prof. Ngoerah Denpasar tahun 2016 - 2021. Kata kunci: Obesitas, Infark Miokard Akut, Profil Lipid, Low-Density Lipoprotein
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT PENGETAHUAN TENTANG KANKER KULIT DI DESA CIGADOG TAHUN 2020 Herdiana, Dian; Winata, Arif; Posumah, Wendy Marlin
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P07

Abstract

ABSTRACT Background: The prevalence of skin cancer in Indonesia is 5,9 to 7,9% of all cancers per year and is the the third most common type of cancer in Indonesia. Skin cancer is often diagnosed late due to a lack of knowledge about skin cancer. The purpose of this study was to identify factors related to the level of knowledge about skin cancer in Cigadog village in 2020. Methods: This study was an observasional analytic with a cross sectional design. Conducted in September 2020 in Cigadog village, Garut district, West Java by interviewing through a questionnaire in the form of g-forms to people living in Cigadog village who meet the research criteria. Results: From 90 respondents, it was found that the average age of respondents was 36,51 years with the most age group being 18-40 years (early adults). Most education graduates are junior high school with the highest level of education “formal Non-perguruan tinggi”. Many of the respondents work with type of works as household chores and many are not exposed information about skin cancer due to lack of education from health workers. Many respondents are highly knowledgeable. Conclusions: The factor related to the level of knowledge about skin cancer is education (p-value 0,040). Meanwhile, age occupation and information are meaningless. Its hoped that further research and refinement regarding factors related to knowledge of skin cancer are expected. Keywords: Skin Cancer, Knowledge.

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