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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 PASIEN KARSINOMA NASOFARING DI POLIKLINIK TELINGA HIDUNG TENGGOROKKAN-KEPALA LEHER RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR PADA BULAN NOVEMBER-DESEMBER 2014 Ferdinand Maubere; I Gde Ardika Nuaba
E-Jurnal Medika Udayana vol 4 no 5(2015):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Karsinoma nasofaring (KNF) merupakan tumor ganas kepala leher yang paling banyak di Indonesia.Prognosis pasien KNF sangat bergantung pada diagnosis dan terapi pada stadium dini.Namun demikian, perhatian dan pengetahuan dokter umum di Indonesia mengenaiKNFmasih kurang memadai untuk mendukung penapisan dan pendeteksian sedini mungkin. Penelitian ini bertujuan meninjau karakteristik khusus pada pasien KNF yang nantinya dapat dijadikan dasar penelitian selanjutnya sebagai salah satu alat bantu penapisan dan deteksi dini. Rancangan penelitian ini adalah deskriptif kuantitatif dan dilaksanakan di poliklinik THT-KL RSUP Sanglah Denpasar pada bulan November hingga Desember 2014.Jumlah sampel 68 pasien dengan diagnosis karsinoma nasofaring yang sudah ditentukan stadiumnya, baik pasien yang baru terdaftar ataupun pasien lama. Hasil penelitian ini menunjukkan rasio pasien KNF laki-laki berbanding perempuan adalah 2,78 : 1. Rerata umur responden adalah 50,01 ± 10,10tahun dan sebanyak 51,5% responden berusia 30-50 tahun.Sebanyak 63,3%responden mulai berobat pada stadium IV dan 20,6% pada stadium III. Pada variabel host, sebanyak 13,2% memiliki riwayat penyakit kanker pada keluarga, 22,1% memiliki riwayat penyakit THT kronik selama lebih dari 3 minggu,dan 67,6% memiliki ?1 gigi yang bermasalah. Pada variabel perilaku, 57,4% mengkonsumsi ikan asin ?3kali per bulan, 47.1% adalah perokok, dan 10,3% jarang menyikat gigi. Pada variabel lingkungan, 75,0% terpapar asap kayu bakar selama >10 tahun, 42,6%terpapar zat kimia inhalasi, dan 30,9% terpapar debu kayu.    
HUBUNGAN RIWAYAT PEMBERIAN ASI DAN DURASI PEMBERIAN ASI DENGAN KEJADIAN OBESITAS PADA ANAK SEKOLAH DASAR Ayu Putri Satyawati; I Gusti Lanang Sidiartha
E-Jurnal Medika Udayana vol 4 no 9(2015):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

RELATIONSHIP BETWEEN HISTORY OF BREASTFEEDING AND DURATION OF BREASTFEEDING WITH INCIDENCE OF OBESITY IN ELEMENTARY STUDENTThe rate of obesity in children globally increased, that caused by many factors such as genetic and environment. The purpose of this research was to discover the relationship between the history of breastfeeding with obesity in children. This study was descriptive analytic study with cross sectional approach. This study uses 128 samples. Obesity in children was determined using body mass index for age and obesity stated if measurement exceed ?95th percentile based on CDC 2000.Data were analyzed using chi-square test, estimated risk and logistic regression.This study found9 from 31 children that have exclusive breast-feeding for at least 6 months (29 %) were obese, and 34 from 97 children who did not receive exclusive breastfeeding (35.1 %) were obese.In terms of duration of breast feeding, 16 from 55 children who were breastfed more than 1 year (29.1 %) were obese. Twenty one of 60 children who were breastfed less than or equal to 1 year (35 %) were obese. Sixof 13 children who were not breastfed at all (46.2 %) were obese. Result of bivariate analysisis of history of breastfeeding found p value is 0.537, odd ratio (OR) 0.758, Confident Interval (CI) (0.314;1.829) and in term of duration of breastfeeding found p value was 0.479. This study couldn’t prove there was significant relationship between a history of breastfeeding and duration of breastfeeding with the incidence of obesity in elementary school children.
POTENSI EKSTRAK ETANOL DAUN PANDAN WANGI (PANDANUS AMARYLLIFOLIUS ROXB.) SEBAGAI LARVASIDA ALAMI BAGI AEDES AEGYPTI Maretta Rosabella Purnamasari; I Made Sudarmaja; I Kadek Swastika
E-Jurnal Medika Udayana Vol 6 No 6 (2017): E-Jurnal Medika Udayana
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Abstract

Tingginya kasus demam berdarah dengue disertai munculnya resistensi terhadap temephos, menjadikan penggunaan larvasida alami mulai dipertimbangkan. Salah satu bahan alam yang dapat digunakan adalah daun pandan wangi. Penelitian ini dilakukan pada bulan Maret tahun 2016 sampai bulan Agustus tahun 2016 dan bertujuan untuk mengetahui efektivitas, LC50, dan LC90 dari ekstrak etanol daun pandan wangi sebagai larvasida bagi Aedes aegypti. Studi ini merupakan murni eksperimental dan memakai post test only control group design. Subjek dibagi menjadi kelompok kontrol (konsentrasi 0%) dan 7 kelompok perlakuan (konsentrasi 0,05%, 0,125%, 0,25%, 0,5%, 1%, 2%, 4%). Replikasi dilakukan empat kali dengan menggunakan 25 larva Aedes aegypti instar III/IV pada tiap-tiap kelompok. Data kematian larva dikumpulkan setelah 24 jam dan didapatkan tidak ada kematian pada kelompok kontrol. Rerata persentase kematian larva pada kelompok perlakuan berturut-turut dari konsentrasi perlakuan terkecil ke terbesar adalah 2%, 5%, 7%, 11%, 14%, 36%, 99%. Uji Kruskal Wallis memperoleh p<0,05 yang artinya diperoleh perbedaan bermakna pada kematian larva antar kelompok. Hasil dari uji Mann Whitney menunjukkan p<0,05 pada konsentrasi 0,125%, 0,25%, 0,5%, 1%, 2%, dan 4%, yang masing-masing dibandingkan dengan kontrol. Uji probit memperlihatkan nilai LC50 dan LC90 berturut-turut 2,113% dan 3,497%. Disimpulkan bahwa ekstrak etanol daun pandan wangi (Pandanus amaryllifolius Roxb.) konsentrasi 0,125%, 0,25%, 0,5%, 1%, 2%, dan 4% efektif sebagai larvasida alami bagi Aedes aegypti, dengan nilai LC50 sebesar 2,113% dan nilai LC90 sebesar 3,497%.
Hubungan kadar troponin t (TnT) dan creatinin kinase-myocardial band (CK-MB) pada pasien infark miokard akut (IMA) di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar Ni Gusti Ayu Putu Lestari Santika Dewi; AA Wiradewi Lestari; I Wayan Putu Sutirta Yasa
E-Jurnal Medika Udayana Vol 7 No 1 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Acute Myocardial Infarction (AMI) is a condition of myocardial necrosis due to the imbalance between supply and demand of oxygen to the heart muscle. The increases level of cardiac biomarkers such as troponin T (TnT) and creatinin kinase-myocardial band (CK-MB) are important criteria in diagnosing patients with AMI particularly in patients with atypical chest pain and difficulty avoiding the bias of the recording and ECG reading. The purpose of this study is to determine the correlation between TnT and CK-MB levels in AMI patients. This study was a cross sectional observational analytic study that enrolled 153 patients with AMI by consecutive sampling period January 1st, 2014 – December 31th, 2014. The data that obtained in this research were secondary data of AMI patients who checks TnT and CK-MB from patient’s medical record and clinical pathology laboratories Sanglah Hospital, Denpasar. In this study showed that AMI is more common in men (85%) and most at the age of 55-64 years (37,3%) with elevated levels of TnT (77,8%) and CK-MB(73,9%). From the analysis of Spearman correlation test showed a significant correlation between TnT and CK-MB levels with p = 0.0001 and the correlation coefficient (r) is 0.622. Therefore, this study concludes that there is a significant correlation between TnT and CK-MB levels in patients with AMI at Sanglah Hospital, Denpasar. Keywords: Acute Myocardial Infarction, Troponin T (TnT), Creatinin Kinase-Myocardial Band (CK-MB)
CRYOSURGERY FOR TREATMENT OF CUTANEOUS WARTS I Made Bagus Adhi Paramitha; Putu Anda Tusta Adiputra
E-Jurnal Medika Udayana vol 2 no1 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Minor surgery is a general surgical procedure that applied with minimally invasive procedures and short duration, done in a superficial or just the affected tissue.  This technique is normally only requires a local anaesthetic and only has minimal  risk or complications. There are many cases that could be dealt with minor surgery one is veruka. Veruka or known as cutaneous warts is a disease that is often complained in children and adults. Veruka being estimated to occur until over 10% in children and young adults. Largest incident occurred in range of age 12 to 16 years. Veruka occurs more frequently in women than men. The peak incidence occur of age 13 years on women and 14.5 years in males. Salicylic acid and cryosurgery therapy are two of the most frequently performed in the treatment of cutaneous warts. Salicylic acid is therapy  for cutaneous warts who recently had already started replaced by cryosurgery because it is relatively easy to do and faster recovery.  
SEPARATION OF MECHANICAL VENTILATION Ida Bagus Wisnu Parbawa Kusuma; I Nengah Kuning Atmajaya
E-Jurnal Medika Udayana vol 3 no 3 (2014):e-jurnal medika udayana
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Abstract

The weaning from mechanical ventilation can be defined as the process of letting theventilator either directly or in stages. Indication of weaning from mechanicalventilation, seen from several parameters such as disease processes, PaO2, PEEP,FiO2, pH, Hb, awareness, body temperature, cardiac function, lung function, drugssedative agent or paralysis agent, and psicologic status of patient. Based on thelength of the weaning, can be devided into two, long-term weaning dan short-termweaning. Short-term weaning, such as T-Piece, CPAP, SIMV, and PSV. Long-termweaning, such as T-Piece and Intermitten Mandatory Ventilation. There are two thataffect the length of weaning, such as nonventilator factor and ventilator factor.Nonventilator factor such as sedation drug abuse, malnutision, lack of psychologicalsupport, and lack of support if there is damage to the left ventricle. Ventilator factorsuch as over ventilation and under ventilation. Factor that lead to failure in weaningaffected by respiratory control center, respiratory muscle strength, and load on therespiratory muscles.
ALLERGIC CONTACT DERMATITIS Trisna Yuliharti Tersinanda; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 2 no 8 (2013):e-jurnal medika udayana
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Abstract

Allergic contact dermatitis is an immunologic reaction that tends to involve the surrounding skin and may even spread beyond affected sites. This skin disease is one of the more frequent, and costly dermatologic problems. Recent data from United Kingdom and United States suggest that the percentage of occupational contact dermatitis due to allergy may be much higher, thus raising the economic impact of occupational allergic contact dermatitis. There is not enough data about the epidemiology of allergic contact dermatitis in Indonesia, however based on research that include beautician in Denpasar, about 27,6 percent had side effect of cosmetics, which is 25,4 percent of it manifested as allergic contact dermatitis. Diagnosis of allergic contact dermatitis is based on anamnesis, physical examination, patch test, and this disease should be distinguished from other eczematous skin disease. The management is prevention of allergen exposure, symptomatic treatment, and physicochemical barrier
KONDILOMA AKUMINATA PADA ANUS I Gede Wahyu Toya Pratama; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 3 no 11(2014):e-jurnal medika udayana
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Abstract

Kondiloma Akuminata di sebabkan oleh Human Papillomavirus (HPV).HPV6dan11yangberisiko rendahuntuk menyebabkankanker, tetapimenyebabkan90% dariKondiloma akuminata. Kondiloma Akuminata di tularkan melalui hubungan sexual yang berganti-ganti pasangan.Dilaporkan kasus seorang laki-laki berumur 19 tahun dengan diagnosis Kondiloma Akuminata pada anus. Gambaran klinis di temukan papul multipel dengan batas tegas dan berbentuk bulat seperti jengger ayam . Ukuran servariasi 3cm-2x3 cm dengan konsistensi padat dan permukaan verukosa.Penatalaksanaan yang di lakukan adalah Tutul TCA (TRICHLORACETIC ACID 80%). Prognosis pasien ini baik.
SPEKTRUM INFEKSI OPORTUNISTIK PADA KLIEN KLINIK MERPATI RSUD WANGAYA PERIODE JANUARI - FEBRUARI 2014 Luh Nyoman Arya Wisma Ariani; Ketut Suryana
E-Jurnal Medika Udayana vol 4 no 7(2015):e-jurnal medika udayana
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Abstract

Infeksi Oportunistik (IO) merupakan penyebab utama morbiditas dan mortalitas Orang dengan HIV/AIDS (ODHA). Untuk mengelola IO dengan baik, praktisi kesehatan memerlukan data epidemiologis mengenai spektrum IO. Penelitian ini bertujuan untuk mengetahui spektrum IO pada klien ODHA di klinik Merpati RSUD Wangaya. Penelitian ini menggunakan metode studi potong-lintang. Data diperoleh dari rekam medis pasien periode Januari - Februari 2014 dan kemudian dilihat spektrum IO pada klien ODHA. Penelitian ini mendapatkan hasil prevalensi IO sebesar 118 kasus (15%), diantaranya TB Paru 67 kasus (8,5%), Toksoplasmosis 20 kasus (2,5%), Kandidiasis Oral 19 kasus (2,4%), IO multiple 8 kasus (1,1%), Pneumonia 2 kasus (0,3%), Sitomegalovirus 1 kasus (0,1%), dan TB Ekstra Paru 1 kasus (0,1%).    
PREVALENSI KOMPLIKASI KARDIOVASKULER PADA PASIEN DIABETES MILITUS DI DENPASAR Robby Paguh Tarigan
E-Jurnal Medika Udayana vol 5 no 2(2016):e-jurnal medika udayana
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Abstract

PREVALENCE OF CARDIOVASCULAR COMPLICATIONS IN DIABETES MILITUS PATIENTS AT DENPASARThe alteration of human life to modern lifestlyle had influenced many developing countries, included Indonesia. Beside it took positive effects, it also took some negatif effects, and on of it was increasing the case of degenerative disease, included the case of Diabetes Militus (DM). One of the DM complication that had a high number of morbidity and mortality is cardiovasculer complication. The purpose of this research is to observe the prevealance of cardiovascular complication among DM patient and the influence of glikemic control and risk factors that induce complication occured. The sample were collected from DM patients who joined to world diabetic celebration in 24 November 2013 that qualify including and excluding criteria. 41 samples are collected, 23 man and 18 woman. The average age is 60,78 years old. Data were collected based on measuring of BMI, random blood glucose, and quisoner. The result, 20 samples had got cardiovaskuler disease. When it was grouped, 3 cases were got before DM and 17 cases were got after DM. From 17 cases, it was found 14 cases of heart disease & hipertention,  and 13 cases of angina.

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