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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
RELATED FACTORS TO G IV ING OF IPV (INACTIVA TED POLIO VACCINE) P OLIO IMMUNIZATION TO BABY IN THE WORKING AREA OF THE PAUH HEALTH CENT ER, CENTER OF PARIAMAN D ISTRICT, PARIAMAN CI TY Lia Anggraini, Marisa; Manila, Hartati Deri; Jesica, Fanny
E-Jurnal Medika Udayana Vol 12 No 12 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i12.P09

Abstract

In the Indonesian context, the IPV polio immunization program has been introduced since 2015 as part of the national immunization program. However, even though this program has been running for several years, there are still challenges in increasing immunization coverage in infants. The urgency of this research, with the status of Indonesia being a Polio Outbreak (Extraordinary Incident) of Polio, it is important to pay attention to these factors in developing an immunization program and determine an effective strategy to increase immunization coverage. This research can also provide important information for health care providers, including doctors and nurses, to understand parents' perceptions of IPV polio immunization and how they can increase parental support and involvement in immunizing their children. This study aims to analyze the factors that influence parents' decisions to provide polio immunization using IPV to their children, which this study has not specifically investigated. The factors that will be analyzed in this study include knowledge, attitudes, motivation, accessibility of health services, availability of health services, role of health workers, family support, socio-culture. This type of research is analytic research with an observational study design, a cross sectional study approach. Data will be analyzed univariately, bivariately, and up to multivariate analysis. The results of this study can provide important information for the government and health institutions in developing an effective and efficient polio immunization program and increasing coverage in infants and toddlers. This research can also provide insight into the factors that influence parental non-adherence to vaccine side effects or their belief in alternative treatments that influence their decision not to give their children IPV polio immunization. In conclusion, this research is very important in increasing the coverage of IPV polio immunization in children under five and preventing the spread of polio in Indonesia.
FAKTOR-FAKTOR YANG MEMPENGARUHI KELUHAN MUSCULOSKELETAL DISORDERS PADA PENGRAJIN TENUN DI DIAN'S RUMAH SONGKET DAN ENDEK, DESA GELGEL, KABUPATEN KLUNGKUNG, BALI Anom Praba Arthasari, A.A.Sg.Istri; Ayu Widianti, I Gusti; ., Muliani; ., Yuliana
E-Jurnal Medika Udayana Vol 13 No 3 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i03.P16

Abstract

Latar Belakang: Musculoskeletal Disorders (MSDs) adalah rasa tidak nyaman yang dirasakan pada bagian otot skelet dengan variasi keluhan ringan hingga berat. Rasa tidak nyaman ini dapat diakibatkan oleh posisi statis yang diterima oleh otot. Sikap kerja statis pada pengrajin tenun dengan waktu lama dapat menimbulkan terjadinya keluhan pada otot di bagian tertentu. Tujuan: Mengetahui faktor-faktor yang mempengaruhi keluhan MSDs pada pengrajin tenun di Dian’s Rumah Songket dan Endek, Desa Gelgel, Kabupaten Klungkung, Bali. Metode: Metode penelitian ini adalah observasional analitik dengan rancangan desain studi potong lintang (cross sectional). Pengambilan data dilakukan hanya satu kali pada setiap responden. Hasil dan Kesimpulan: Hasil penelitian ini menunjukkan bahwa pengrajin tenun yang mengalami keluhan ringan sebanyak 35 responden (77,8%) dan keluhan sedang sebanyak 10 responden (22,2%). Dari hasil uji statistik menggunakan Chi Square pada pengrajin tenun didapatkan postur kerja (p=0,031), durasi kerja (p=0,040), usia (p=0,041), indeks massa tubuh (p=0,612), dan masa kerja (p=0,040). Keluhan MSDs pada pengrajin tenun di Dian’s Rumah Songket dan Endek, Desa Gelgel, Kabupaten Klungkung, Bali ini dipengaruhi oleh beberapa faktor yaitu postur kerja, durasi kerja, usia, dan masa kerja. Kata kunci : Pengrajin tenun, keluhan MSDs, Faktor-faktor yang mempengaruhi
THE EFFECT OF JOHAR PLANT FLOWER EXTRACT “CASSIA SIAMEA” ON THE DEGREE OF PLASMODIUM BERGHEI PARASITEMIA IN VIVO Pandango, Ivana Griselarosa Koni; Laksemi, Dewa Ayu Agus Sri; Sudarmaja, I Made; Diarthini, Ni Luh Putu Eka
E-Jurnal Medika Udayana Vol 13 No 3 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i03.P09

Abstract

Malaria is a disease caused by a parasite of the genus Plasmodium sp. that spreads through the bite of the female Anopheles mosquito. Malaria is still a global problem because almost half of the world’s population is at risk of malaria which is endemic to 86 tropical and subtropical countries. In addition, resistance to antimalarial drugs that occur in some places makes many researchers try to find antimalarial drugs made from natural ingredients so that they can reduce the risk of resistance with minimal effects. One natural ingredient that is thought to be used as an antimalarial drug is the johar flower (Cassia siamea). The objective of this study is to determine the effect of johar flower extract (Cassia siamea) at doses of 10 mg/kgBW, 100 mg/kgBW, and 1000 mg/kgBW on the degree of parasitemia in male mice Balb/c strain infected with Plasmodium berghei. This study is an experimental study in vivo using the design of the Randomized Post-test Only Controlled Group method using 24 samples of mice which were divided into four groups, one negative control group and three treatment groups. The average degree of parasitemia was obtained in the control group of 24.9%, the 10 mg/kgBW dose treatment group of 13.4%, the 100 mg/kgBW dose treatment group of 10.3% and the 1000 mg/kgBW dose treatment group of 12.2%. Based on the results of the analysis with One-way ANOVA, an average difference was found between the control and treatment groups with a p-value <0.001. The result showed that giving johar flower extract (Cassia siamea) had an influence on antimalarial activity in reducing the percentage of parasitemia of mice infected with Plasmodium berghei by looking at the average difference between the control group and the treatment and obtained the average results of the treatment group of 100 mg/kgBW and 1000 mg/kgBW had the highest influence in reducing the degree of parasitemia. Keywords: Cassia siamea, Antimalaria, Plasmodium berghei, Degree of Parasitemia
CORRELATION OF DEGREE OF LUMBAR SPINAL CANAL STENOSIS BASED ON LEE CLASSIFICATION AND SCHIZAS CLASSIFICATION USING LUMBOSACRAL MRI TO OSWETRY DISABILITY INDEX (ODI) IN LOW BACK PAIN PATIENTS. Samban, Ida; Baan, Junus; Rauf, Rafikah; Zainuddin, Andi Alfian; Kaelan, Cahyono; Ilyas, Muhammad
E-Jurnal Medika Udayana Vol 13 No 6 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i06.P17

Abstract

The Lumbar spinal canal stenosis is one of the most common problems found representing the spine degenerative disease in the elderly population. Its prevalence is 5 out of 1000 people over the age of 50 years. The magnetic resonance imaging (MRI) examination is the gold standard in confirming the diagnosis of the lumbar spinal stenosis. The Oswetry Disability Index (ODI) is a questionnaire to assess the disability in the Low Back Pain (LBP) patients. The research aims at investigating the correlation between the degree of lumbar spinal canal stenosis based on Lee and Schizas's classification of ODI in LBP patients. This was the prospective research. The data were obtained through the PACS computer of Dr Wahidin Sudirohusodo Hospital Makassar and ODI questionnaire interview. The research results indicates that of 73 patients suffering from lumbar spinal canal stenosis, most of them are females comprising 41 people (56.2%). The most frequent age groups are 46-55 and 56-65 years old with 24 people (32.9%) in each group. The highest Body Mass Index (BMI) was Obesity I, 25 people (34.2%). The most commonly affected disc level is L4-L5 52 people (71.2%). The conclusion of the research is that there is the significant correlation between the degree of the lumbar spinal canal stenosis of Lee’s classification (p<0.001, r = 0.960) and Schizas’s classification (p<0.001, r = 0.948) with ODI. The higher the degree of lumbar spinal canal stenosis, the higher the patient's disability will be. Keywords:Low Back Pain (LBP), Lumbar spinal canal stenosis, Magnetic Resonance imaging (MRI), Schizas’s classification, Lee’s classification, Oswetry Disability Index (ODI)
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 12 No 10 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i10.P16

Abstract

Open tibial fracture is one of the most common lower extremity fractures in the world, especially in Denpasar City. Clinically, open tibial fracture grade III has higher risk of worse outcome, such as infection and bone healing complication than grades 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 open tibial fractures grade III in terms of clinical, radiological, and functional based on Johner-Wruhs criteria. This research used cross-sectional method and used patients with open tibial fracture grade III who underwent surgery at RSUP Sanglah Denpasar 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
PERBEDAAN SIKLUS MENSTRUASI BERDASARKAN INDEKS MASSA TUBUH PADA MAHASISWI PROGRAM STUDI SARJANA KEDOKTERAN FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA SEMESTER II-VI TAHUN AJARAN 2021-2022 Damarahayu, Putu Jegeg Shinta; Bayu Mahendra, I Nyoman; Agung Suwardewa, Tjokorda Gde; Fajar Manuaba, I.B.Gede
E-Jurnal Medika Udayana Vol 13 No 1 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i01.P14

Abstract

Menstruasi merupakan suatu tanda awal dimana fungsi reproduksi wanita telah matang, menstruasi normalnya terjadi secara periodik setiap bulan yang disebut dengan siklus menstruasi.Terdapat beberapa faktor yang mempengaruhi siklus menstruasi salah satunya adalah indeks massa tubuh(IMT) yang merupakan hasil ukur yang menggambarkan status gizi seseorang.Lemak dalam tubuh berperan dalam pembentukan hormon estrogen dimana gambaran lemak dalam tubuh dapat dinilai dengan IMT.Oleh karena itu, dilakukan penelitian untuk mengetahui perbedaan siklus menstruasi berdasarkan indeks massa tubuh.Penelitian ini menggunakan rancangan analitik observasional dengan pendekatan potong lintang dimana sampel pada penelitian ini merupakan mahasiswi sarjana kedokteran semester II-VI di FK UNUD melalui kuisioner dan pengukuran indeks massa tubuh.Indeks massa tubuh dikategorikan underweight,normal,overweight dan obesitas berdasarkan kategori WHO dan siklus menstruasi dikageorikan normal atau tidaknya dari lamanya siklus yang normalnya 21-35 hari.Hasil analisis data menemukan tidak adanya hubungan signifikan antara IMT dengan siklus menstruasi (p>0.05) berdasarkan hasil uji statistik chi-square test.Dari hasil tersebut dapat disimpulkan bahwa tidak terdapat perbedaan antara IMT normal maupun tidak dengan normal tidaknya siklus menstruasi.
KARAKTERISTIK FERITIN SERUM PADA PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS DI RSUP PROF. DR. I.G.N.G. NGOERAH Wikananda, Made Argyanta; Herawati, Sianny; Mulyantari, Ni Kadek; Subawa, Anak Agung Ngurah
E-Jurnal Medika Udayana Vol 13 No 5 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i05.P04

Abstract

Penyakit ginjal kronik (PGK) sebagai permasalahan kesehatan global dengan resiko terjadinya kematian. Abnormalitas pada struktur ginjal menyebabkan adanya penurunan fungsi ginjal dengan kerusakan pada histologi dan penurunan laju filtrasi glomerulus. Faktor yang mempengaruhi terjadinya PGK antara lain usia tua, diabetes, hipertensi, obesitas, penyakit kardiovaskular dan pola hidup tidak sehat. Perkembangan medis telah mengembangkan pergantian fungsi ginjal dengan menggunakan alat berfungsi sebagai ginjal buatan yang dinamakan hemodialisis. Pemeriksaan feritin serum dan saturasi transferin menjadi parameter laboratorium paling umum. Rancangan penelitian deskriptif observasional dengan menggunakan metode potong lintang. Sampel total dipilih sebagai metode pengambilan sampel. Subjek PGK pada penelitian ini berjumlah 143 orang dengan feritin serum tinggi yaitu 113 orang (79%) distribusi pasien terbanyak ditemukan pada jenis kelamin perempuan yaitu 58 orang (40.6%), Pada kelompok usia dengan feritin serum tinggi terbanyak pada kelompok lansia awal (46-55 tahun) berjumlah 31 orang (21,7%). Berdasarkan lama menjalani hemodialisis terbanyak menjalani hemodialisis >5 tahun yaitu 57 orang (39,9%), Riwayat penyakit terdahulu didapatkan banyak mengalami hipertensi yaitu 29 orang (20,3%). Seluruh pasien mengalami derajat PGK yang sama yaitu stadium 5. Pasien PGK yang menjalani hemodialisis dominan mengalami feritin serum tinggi. Ditemukan pada jenis kelamin perempuan, kelompok usia lansia dewasa dengan lama menjalani hemodialisis >5 tahun dan memiliki riwayat penyakit terdahulu yakni hipertensi. Kata kunci : feritin serum, PGK, Hemodialisis
GAMBARAN TINGKAT STRESS, EMOTIONAL EATING DAN AKTIVITAS FISIK MAHASISWA SEMESTER AKHIR SARJANA KEDOKTERAN UNIVERSITAS UDAYANA YANG SEDANG MENGERJAKAN SKRIPSI Dhumaranang, Hyangayu Dedari; Weta, I Wayan; Pinatih, Gde Ngurah Indraguna; Pradnyaparamita, Dyah
E-Jurnal Medika Udayana Vol 12 No 11 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i11.P18

Abstract

Medical students in their final year are faced with the obligation to do a thesis, including medical students. This obligation is a challenge for students and can certainly affect the psychological and physical health of students. Coping mechanisms to deal with stressful events that each individual carries out are different. This research was conducted to determine the description of stress, emotional eating, and physical activity of Udayana University medical students working on a thesis. The data were collected using the Depression, Anxiety and Stress Scale (DASS-14), DEBQ-13, and IPAQ-Short form questionnaires. The data obtained are, students who are in the nomal stress category are 43 respondents (41,7%), those who experience mild stress was 17 respondents (16.5%), moderate stress was 24 respondents (23.3%), severe stress was as many as 12 respondents (11.7%) and very heavy stress category as many as seven respondents (6.8%). Students who experience emotional eating are 52 respondents (50.5%). The level of physical activity in the light category was 36 respondents (35.0%), the medium category was 50 respondents (48.5%), and the high category was 17 respondents (16.5%).
UJI DAYA HAMBAT EKSTRAK ETANOL BASE GEDE TERHADAP PERTUMBUHAN BAKTERI Escherichia coli Wibisana, I Dewa Nyoman Adi Ningrat; Hendrayana, Made Agus; Sukrama, I Dewa Made; Budayanti, Ni Nyoman Sri
E-Jurnal Medika Udayana Vol 13 No 9 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i09.P01

Abstract

Foodborne disease is a condition in which food is contaminated by microorganisms or chemicals, causing disease. One of the microorganisms that most often causes this condition is Escherichia coli. There is an assumption which states that, base gede/base genep has antibacterial properties which inhibit the growth of bacteria in typical Balinese food such as lawar. Various studies have proven that the basic ingredients of base gede have antibacterial activity obtained from secondary metabolites. The purpose of this study was to determine the phytochemical compounds contained in the base gede and the inhibitory power of the base gede in inhibiting the growth of the Escherichia coli ATCC 25922. This study examined the content of secondary metabolites qualitatively and the experimental test was the true experimental posttest only control group design. The method used was the disk diffusion (Kirby Bauer) with variations in the concentration of ethanol extract base gede as many as four groups (25%, 50%, 75% and 100%) and the negative control group was 96% ethanol and the positive control group ciprofloxacin 5g. The results of the phytochemical test found that the base gede ethanol extract contained phenols, saponins, tannins, alkaloids, terpenoids, and flavonoids. Inhibition test results observed inhibition zones formed at concentrations of 50%, 75%, 100% and K+ with diameters respectively 5.65+/-0.65 mm ; 7.00+/-1.35mm ; 7.78+/-1.18 mm dan 34.52+/-1.49 mm. Kruskal wallis test showed a value of p = 0.001 (p <0.05) which showed that the concentration group had an effect on the inhibition of E.coli ATCC 25922. There was a significant difference between the 50% and 100% concentrations obtained from the Mann-Whitney analysis with value of p = 0.043 (p<0.05). Keywords : Inhibition test, base gede, Escherichia coli
INDENTIFIKASI PROTOZOA USUS PADA ANAK DI KELURAHAN PASIE NAN TIGO KECAMATAN KOTO TANGAH KOTA PADANG rahayu, yanti; Niken, ,
E-Jurnal Medika Udayana Vol 12 No 10 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i10.P11

Abstract

Infeksi protozoa usus masih menjadi masalah kesehatan utama pada anak-anak, karena anak-anak paling sering berkontak dengan tanah sebagai sumber infeksi dan merupakan ancaman yang signifikan, namun sering diabaikan terhadap kesehatan masyarakat sampai komplikasi parah atau kronis karena banyak dari mereka biasanya tanpa gejala atau hanya bermanifestasi gejala ringan saja. Tujuan penelitian ini yaitu untuk mengetahui angka kejadian infeksi protozoa usus pada anak di Kelurahan Pasie Nan Tigo Kecamatan Koto Tangah Kota Padang. Jenis penelitian ini adalah deskriptif kategorik, sampel berupa data primer dengan jumlah sampel 64 anak menggunakan teknik consecutive sampling. Penelitian ini dianalisis univariat dan disajikan dalam bentuk tabel distribusi frekuensi. Penelitian ini didapatkan hasil infeksi protozoa usus pada anak yang ditemukan Cyclospora Cayetanensis sebesar 63,6% dan Blastocyctis Hominis 36,4%. Infeksi protozoa usus lebih tinggi pada kelompok umur 5-9 tahun 31,0% dan lebih tinggi pada anak perempuan 37,1 %. Simpulan penelitian ini didapatkan bahwa angka kejadian infeksi protozoa usus cukup tinggi pada anak di Kelurahan Pasie Nan Tigo Kecamatan Koto Tangah Kota Padang. Oleh karena itu, anak-anak tersebut perlu mendapatkan perhatian khusus, dan dilakukan pengobatan secepatnya pada anak-anak yang terinfeksi serta penyuluhan mengenai edukasi dan pencegahan penyakit akibat protozoa usus. Kata kunci : Protozoa usus., C. Cayetanensis., Anak-anak

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