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E-Jurnal Medika Udayana
Published by Universitas Udayana
ISSN : 23031395     EISSN : 25978012     DOI : -
Core Subject : Health,
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
The QUALITY OF LIFE IN ADOLESCENT DURING COVID 19 PANDEMIC Setiyawan, I Made Karma; Apsari, Ni Luh Sri; Saputra, I Made Yullyantara; Sindhughosa, Wega Upendra; Sinardja, Siska Permanasari; Mayangsari, Ayu Setyorini Mestika; Witarini, Komang Ayu; Dewi, Ida Ayu Made Ratna
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.P13

Abstract

Background : Assessment of quality of life in children is a useful indicator of overall health because it encompasses information about children's physical and mental health. Managing the existing environment and adhering to current constraints due to Covid-19 can be especially difficult for children and adolescents because these conditions can be regarded as incompatible with their developmental tasks. The Pediatric Quality of Life Inventory (PedsQL) is a tool designed to assess children's quality of life based on age, maturity, and cognitive development. While self-report is the gold standard for measuring perceived PedsQL, there may be occasions when the kid is too young, too sick, or too tired to complete PedsQL instrument, in which case a parent-proxy report may be required. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The research was conducted at Udayana University Hospital in July 2022. Detailed explanations about the context and how to fill out the PedsQL form were given to students and their parents. The students and parents fill out PedsQL forms in separate rooms. The PedsQL questionnaire used was the Indonesian version. Concordance between self-report and parent-proxy was evaluated using the Wilcoxon paired sign rank test. Intraclass correlation coefficients (ICC) to assess parent and child agreement. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was no difference in PedsQL between self-report and parent-proxy in overall and subscales functioning domain. Physical, emotional, social, and school functioning all had intraclass correlation coefficients of 0.85, 0.83, 0.79, and 0.88, respectively. Low energy (physical functioning), feel afraid or scared and feel angry (emotional functioning), and can’t do things that children his age do (social functioning) were found different among factor loadings. School functioning factor loadings were found similar. Conclusion : This study shows a good agreement and no significant difference in overall and subscale scores between children's self-report and parent-proxy reports. Although significant differences were found when examining each factor loadings in each component.
Hubungan Antara Pola Makan dan Tingkat Stres terhadap Kejadian Dispepsia pada Mahasiswa Fakultas Kedokteran Universitas Udayana Angkatan 2019 Prasetyo, Aizar Vesa; 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.P04

Abstract

Dyspepsia is one of the digestive tract disorders that is often complained of and suffered by the community. According to WHO, the prevalence of dyspepsia in the world is 13-40% every year, while in Indonesia it reaches 40-50%. Students tend to have difficulty in adapting to a very dense routine that results in stress and a tendency not to maintain a diet, which then triggers the emergence of symptoms of dyspepsia. While not fatal, dyspepsia in students can have a negative impact on study habits, ability to concentrate, and performance on exams. This study was conducted to determine the correlation between dietary habits and stress levels on the incidence of dyspepsia. This study is a descriptive study with a cross-sectional analytics approach with a total sample of 268. The analysis techniques used in this research were univariate, bivariate, and multivariate analysis. The results of this study showed that 75.4% of respondents experienced symptoms of dyspepsia. It was also found from the bivariate analysis that there was a significant correlation between dietary habit and stress levels on the incidence of dyspepsia (p<0.005) and from multivariate analysis there was a significant partial effect between stress levels and dyspepsia (p<0.005). It can be concluded that diet and stress levels are associated with the appearance of dyspepsia symptoms and can be considered risk factors for dyspepsia. However, only stress level had an independent effect on the incidence of dyspepsia. It is hoped that the results of this study can be a reference for further research on risk factors for dyspepsia..
PREVALENS DAN KARAKTERISTIK BAYI DENGAN SINDROM GAWAT NAPAS DI UNIT PERAWATAN INTENSIF NEONATUS RSUP SANGLAH TAHUN 2020 Sukarta, Ni Kadek Yusthiani; Wati, Dyah Kanya; Cempaka, Putu Mas Vina Paramitha; Witarini, Komang Ayu; Mayangsari, Ayu Setyorini Mestika
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.P10

Abstract

Respiratory distress syndrome (RDS) is a cause of respiratory distress in baby that occurs several hours after newborns and can cause respiratory arrest and even death. This study aims to provide an overview of the prevalence and characteristics of infants with RDS in neonatal intensive care unit of Sanglah Hospital in 2020. This study used a cross-sectional descriptive approach with retrospective data. The study sample was infants aged 0-28 days with RDS in the neonatal intensive care unit of Sanglah Hospital who were recorded in complete medical records from January 1, 2020 to December 31, 2020. The prevalence of infants with RDS in the neonatal intensive care unit of Sanglah Hospital in 2020 was 10.9%. All of them were singleton pregnancies with a magnitude of 0 days (63.9%), female (52.8%), and second children (50%). Most of the mothers had done prenatal care (91.7%), without a history of disease (75%), primipara (50%), and ruptured membranes <24 hours (75%). Babies born with very premature gestational age (61.1%), by cesarean section (55.6%), low birth weight (30.6%), and APGAR score 7-10 (75%). A total of 36.1% of infants used a breathing apparatus in CPAP and received first-line antibiotics (94.4%). Infants with RDS have a high variability of characteristics including the general characteristics of the history of pregnancy and childbirth. The recommendation for other researchers are expect to conduct further analytical studies in the future.
FAKTOR-FAKTOR YANG BERHUBUNGAN TERHADAP DERAJAT BERAT INFEKSI VIRUS DENGUE PADA PASIEN DEWASA YANG DIRAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR BALI Made Wulan Utami Dewi; Sianny Herawati; A.A. Ngurah Subawa
E-Jurnal Medika Udayana Vol 6 No 8 (2017): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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

Abstract

Dengue virus belongs to the genus Flavivirus that can be transmitted to humans by the bite of the Aedes aegypti mosquito. Dengue virus infection has a high mortality and morbidity rates almost throughout the world. Diagnosis has been classified by degree of clinical manifestation according to WHO 1997, confirmed through clinical signs and symptoms and laboratory tests The aim of this study was to examine the relationship between leukocyte count, lymphocyte count, hematocrit and platelet count with a severity degree of dengue virus infections, according to WHO criteria in 1997 in adult patients admitted to the General Hospital Sanglah 2015. This study was cross-sectional analytic study on 90 patients with dengue infection using secondary data. Samples are adult patients with dengue infection aged > 12 years in the medical records contained the results of the leukocyte count, lymphocyte count, hematocrit and platelet count were treated at Sanglah Hospital in Bali on the period January 1 to December 31, 2015. The results showed that there is no significant relationship between the number of leukocytes with the lowest degree of severe dengue infection (p = 0.354; r = -0.099), there is no significant relationship between low lymphocyte count with severity of dengue infection (p = 0.636, r = -0.051), there is no significant relationship between hematocrit value with the highest degree of severe dengue infection (p = 0.293; r = 0.112), and obtained negative relationship weak significant between platelet counts with the lowest degree of severe dengue infection (p = 0.009; r = -, 0275). Our results suggest that effort on early prevention and detection of dengue infection is important to reduce morbidity and mortality cause by Dengue Infection. Keywords: Leukocyte count, lymphocyte count, platelet count, hematocrit and severity of dengue infection.
The Incident of People with Severe Mental Disorders: A 5 Years Epidemiology at Nusa Penida I Public Health Center Kusuma, I Made Peri Ardiana
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.P13

Abstract

Background: Public Health Center (PHC) is responsible for carrying mental health effort through promotive, preventive, curative and rehabilitative approach. Nusa Penida, an archipelago area included in the Klungkung Regency, has problems in providing advanced (specialist) level health services related to mental health because infrastructure and human resources are not yet available. The aim of this study is to determine the prevalence and characteristic of PWSMD in the NP I PHC area so that it can provide data estimates related to mental health services. Patients and Methods: This study is a retrospective, single-center observational study from 2017 to 2021 with non-probability sampling technique in a consecutive manner. All data was collected and recorded, then processed and displayed in the form of proportion (percentage), sum, mean (standard deviation), and median (minimum-maximum). Results: During the study period from 2017 to 2021, a total of 105,137 patient visits were obtained, with 456 visits being PWMD (0.43%) and 370 visits being PWSMD (0.35%). The proportion of PWSMD from PWMD was 81.1%. Sixty five patients were obtained from the total visits of PWSMD with male and the 26-45 year age group had the highest number of percentage (56.7% and 29.2%). Batununggul Village, which is the closest working area to the NP I PHC, has the highest number of patient visits Conclusion: This study showed that the prevalence of PWSMD in the working area of the NP I Public Health Center was quite high with the majority being diagnosed as paranoid schizophrenia. Most of the patient visits were from Batununggul village. Keywords: severe mental disorder, public health care, schizophrenia, nusa penida
PERUBAHAN JUMLAH SEL PURKINJE SEREBELUM TIKUS WISTAR JANTAN SETELAH PEMAPARAN ROKOK ELEKTRIK Rambung, Etha
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.P12

Abstract

Design, taste, marketing and perceptions of safety from e-cigarettes have increased the appeal of e-cigarettes to young people around the world so that their use continues to increase. This is one of the threats in efforts to reduce the prevalence of smokers aged 10-18 years in Indonesia. Electric cigarettes cause oxidative stress while the brain is vulnerable to oxidative stress because it requires large amounts of oxygen. This experimental study with a posttest only control design aimed to determine changes in histological structure and number of male Wistar rat cerebellum Purkinje cells after exposure to electric cigarettes. This study used a sample of 32 male wistar rats (Rattus norvegicus) which were divided into 4 treatment groups: group A (without treatment), group B (put in an exposure cage), group C (given exposure to electric cigarettes 15 times in a cage exposure), and group D (given exposure to e-cigarettes 30 times in the exposure cage). Exposure to e-cigarettes was given for 50 days, then sacrificed and samples were made with Hematoxylin Eosyn (HE) staining. The results showed that the number of cerebellar purkinje cells in male Wistar rats exposed to electric cigarettes decreased significantly and there was a significant difference in the number of cells between 15 and 30 exposures and karyolysis occurred in the cells. E-cigarettes cause core damage and decrease in the number of Purkinje cells in the cerebellum of male wistar rats.
Formulasi Emulgel Antiinflamasi Ekstrak Kulit Batang Jambu Mete (Anacardium occidentale L.) DAUD, NUR SAADAH; Angraeni, Ni Kadek Ayu; ., Karmilah; Fauziah, Yulianti
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.P17

Abstract

Inflamasi merupakan suatu respons protektif normal terhadap luka jaringan yang disebabkan oleh trauma fisik, zat kimia yang merusak atau zat-zat mikrobiologik. Salah satu tanaman yang dapat digunakan sebagai antiinflamasi yang berasal dari alam adalah jambu mete (Anacardium occidentale L.). Kulit batang jambu mete mengandung senyawa fenolik menghambat inflamasi dengan mekanisme penangkapan radikal bebas dan menghambat enzim siklooksigenase. Ekstrak kulit batang jambu mete dapat diformulasi menjadi sediaan emulgel untuk memudahkan pemanfaatannya sebagai antiinflamasi topikal. Carbomer 980 0,5% digunakan sebagai gelling agent dengan beberapa varian konsentrasi ekstrak yaitu 2,5 % (Formula A), 5 % (Formula B) dan 7,5 % (Formula C). Bahan tambahan lain terdiri atas parafin cair, span 80, tween 80, propilenglikol, nipagin, nipasol, trietanolamin dan akuades. Evaluasi fisik sediaan dilakukan setiap 3 hari sekali sebanyak 4 kali pengujian. Hasil evaluasi fisik menunjukkan ketiga formula menghasilkan sediaan berbentuk massa emulgel yang berwarna coklat muda, bau khas, homogen, rata-rata pH 5,0 dan daya sebar berkisar antara 5,15 - 5,56 cm. Sedangkan hasil uji stabilitas, formula A dengan konsentrasi ekstrak 2,5 % adalah yang paling stabil setelah dilakukan uji sentrifugasi dan cycling test.
KESESUAIAN PERESEPAN ANTIBIOTIKA PADA BERBAGAI TINGKAT KEPARAHAN COVID-19 DI PELAYANAN KESEHATAN RUJUKAN Diaz, Leonardo Alpha; Jawi, I Made; Widhiartini, Ida Ayu Alit; Aman, I Gusti 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.P09

Abstract

COVID-19 telah menghadapkan klinisi dengan sebuah tantangan baru dimana belum ditemukannya terapi definitif dalam penanganan penyakit tersebut hingga tahun 2021. COVID-19 dapat menyebabkan disregulasi daya tahan tubuh pada sebagian pasien, sehingga pasien tersebut menjadi lebih rentan terhadap koinfeksi bakteri. Antibiotika banyak diresepkan sebagai life-saving drugs dalam penanganan/pencegahan infeksi bakteri yang berpotensi meningkatkan morbiditas dan mortalitas pasien COVID-19. Pada penggunaan dalam keadaan darurat, terdapat potensi penggunaan antibiotika menjadi berlebihan dan tidak sesuai dengan pedoman terapi yang ada. Hal tersebut perlu mendapat perhatian lebih sebagai bahan evaluasi dalam pencegahan isu resistensi. Penelitian ini bertujuan untuk mendapatkan gambaran peresepan antibiotika dikaitkan dengan profil keparahan pasien COVID-19. Rancangan penelitian menggunakan desain deskriptif kuantitatif yang pengambilan datanya dilakukan secara retrospektif terhadap sampel rekam medis pasien terkonfirmasi COVID-19 yang dirawat inap pada sebuah rumah sakit rujukan COVID-19 di Provinsi Bali selama tahun 2021. Sampel diambil dengan menggunakan metode simple random sampling. Sebanyak 304 rekam medis dicantumkan dalam penelitian. Data diolah menggunakan statistik deskriptif. Mayoritas pasien berada dalam kelompok umur 25-34 tahun (23,1%), berjenis kelamin perempuan (51,6%) dan termasuk dalam COVID-19 derajat sedang (67,8%). Sebagian besar pasien yang tercatat tidak memiliki komorbid (54,3%). Azithromycin (55,6%), levofloxacin (25,8%), dan imipenem-cilastatin (8,2%) mendominasi peresepan antibiotika dalam penelitian ini. Sebagian besar pasien (62,5%) mendapat peresepan antibiotika yang sesuai dengan Buku Pedoman Tatalaksana COVID-19 Edisi 3. Tidak ditemukan adanya peresepan antibiotika yang masuk ke dalam kategori Reserve berdasarkan ‘AWaRe Classification’ dari WHO. Dapat disimpulkan, mayoritas pasien yang mendapat peresepan antibiotika telah mempertimbangkan buku pedoman yang ada dan klasifikasi aware WHO.
IMPACT OF LISTENING TO MUSIC ON THE PAIN INTENSITY OF TENSION TYPE HEADACHE IN PSSKPD STUDENTS FACULTY OF MEDICINE UDAYANA UNIVERSITY YEAR 2019-2020 Ramayanti, Ni Putu Nadia; Budiarsa, I Gusti Ngurah Ketut; Adnyana, I Made Oka; Wijayanti, Ida Ayu Sri; 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.P15

Abstract

ABSTRAK Tension Type Headache (TTH) merupakan kejadian yang paling sering terjadi di kalangan mahasiswa kedokteran (64,7%). Terapi musik secara reseptif (mendengarkan musik) dikatakan dapat menurunkan skor nyeri pada pasien dengan nyeri kronis. Sebuah penelitian mendapatkan korelasi yang signifikan antara penerapan terapi musik dengan pengurangan intensitas nyeri dan keparahan pada TTH serta migrain. Penelitian ini bertujuan untuk mengetahui dampak mendengarkan musik terhadap intensitas nyeri TTH pada mahasiswa PSSKPD Fakultas Kedokteran Universitas Udayana angkatan 2019-2020. Penelitian ini merupakan penelitian observasional analitik menggunakan metode cross sectional yang diikuti oleh 119 mahasiswa PSSKPD angkatan 2019-2020. Pengumpulan data diambil secara online dengan mengisi kuesioner berdasarkan kriteria diagnosis menurut International Headache Society (2018) dan kuesioner berdasarkan kriteria terapi musik yang telah divalidasi. Dari total 119 mahasiswa ditemukan 65 mahasiswa dengan TTH dan mendengarkan musik setelah menerapkan kriteria inklusi. Hasil uji chi-square menunjukan tidak terdapat dampak (p>0,05) mendengarkan musik terhadap intensitas nyeri Tension Type Headache. Hal ini dapat dipengaruhi beberapa faktor lain seperti tipe musik, durasi mendengarkan musik, genre musik, dan faktor lainnya. Perlu dilakukan penelitian lebih lanjut untuk menganalisis mengenai karakteristik musik sebagai manajemen nyeri. Kata Kunci: Intensitas nyeri TTH, Mendengarkan musik, Mahasiswa kedokteran
HUBUNGAN SINDROMA MATA KERING / DRY EYE SYNDROME (DES) DENGAN GEJALA DEPRESI PADA MAHASISWA PROGRAM STUDI SARJANA KEDOKTERAN DAN PROFESI DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Widiastuti, Ni Sayu Putu Ayu; Sutyawan, I Wayan Eka; Andayani, Ary; Djelantik, AAA Sukartini
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.P03

Abstract

Sindroma mata kering merupakan kumpulan gejala pada lapisan air mata yang mengakibatkan penurunan produksi air mata ataupun penguapan air mata secara berlebihan. Kondisi ini belum mempunyai data pasti mengenai berapa jumlah penderitanya di masyarakat, akibat sulitnya menegakkan diagnosis sehingga pengobatannya menjadi terhambat. Gejala depresi merupakan gangguan yang menunjukan perasaan cemas, bingung serta panik secara simultan. Penelitian ini bertujuan untuk mengetahui hubungan sindroma mata kering dengan gejala depresi pada Mahasiswa Program Studi Sarjana Kedokteran dan Profesi Dokter Fakultas Kedokteran Universitas Udayana (PSSKPD FK UNUD). Penelitian dilakukan di Fakultas Kedokteran Universitas Udayana dalam rentang waktu Januari – November 2020. Penelitian merupakan penelitian analitik observasional dengan menggunakan metode cross-sectional serta menggunakan 217 responden yang dipilih dengan metode konsekutif sampling yang mengisi kuesioner OSDI (Ocular Surface Diseases Index) serta kuesioner BDI-II (Beck’s Depression Inventory II). Hasil penelitian ditemukan adanya hubungan bermakna antara sindroma mata kering terhadap gejala depresi (p = 0.001) dengan hubungan lemah (r = 0.251). Hal ini disebabkan karena sindroma mata kering bersifat kronis sehingga dapat menurunkan kualitas hidup seseorang. Sehingga menyebabkan adanya suatu korelasi negatif antara sindroma mata kering dengan gejala depresi yang muncul. Perlu dilakukan penelitian lebih lanjut terkait faktor lainnya yang dapat mempengaruhi gejlaa depresi yang muncul pada penderita mata kering. Kata Kunci: sindroma mata kering, OSDI, BDI-II, gejala depresi

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