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INDONESIA
ISM (Intisari Sains Medis) : Jurnal Kedokteran
Published by Universitas Udayana
ISSN : 25033638     EISSN : -     DOI : -
Core Subject : Health, Science,
Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and Theory. We also publish cases from third world country, that is considered very rare and special cases.
Arjuna Subject : -
Articles 51 Documents
Search results for , issue "Vol. 10 No. 1 (2019): (Available online 1 April 2019)" : 51 Documents clear
Analisis tingkat pengetahuan mahasiswa program studi pendidikan dokter tahun ajaran 2017-2018 Universitas Udayana tentang prescribing error Nabila Putri Rachmawati; Desak Ketut Ernawati; I Gusti Ayu Artini
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.127 KB) | DOI: 10.15562/ism.v10i1.197

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Introduction: Prescribing Errors is a failure in the treatment process leading to or potentially harmful to the patient, this error most often occurs although it can be prevented. The incidence of prescribing errors continues to increase from year to year, but data in Indonesia that discusses the level of knowledge of medical students about prescribing errors is still small. The purpose of this study is to determine the level of knowledge of medical student study program 2017-2018 academic year at Udayana University Denpasar about prescribing errors.Method: This research is a descriptive cross sectional study conducted at the Medical Faculty Udayana University Sudirman Campus Denpasar. Data obtained in the form of primary data questionnaire. Data were analyzed using software computer.Result: The results showed that the most gender are women of 68 students (66%). The largest proportion of age is 19-20 years old number of 52 students (52%). Groups of semesters 1, 3, 5 and 7 obatined a similar proportion of 25 students (25%). The level of students' knowledge of prescribing case study is classified into moderate category with mean 3,7-7,1 of 67 students (67%). The number of correct answers in identifying type of error from 3 prescriptions is in the case of the first prescription, the 3rd semester student who is able to identify the prescribing error, with the type of mistake that is wrong dose as many as 14 students (35,9%) with p value = 0,066 and wrong dosage form as 21 students (39,6%) with p value = 0.000. In the case of the second prescriptions, 7th semester students were able to identify the prescribing error, with the type of mistake that is wrong dose as many as 13 students (41,9%) with p value = 0,005 and wrong dosage form as 22 students (36,7%) with p value = 0.000. In the case of the third prescriptions, the 3rd semester students were able to identify the prescribing error, with the type of mistake that is the wrong indication of the drug as many as 15 students (62,5%) p value = 0.000.Conclusion: In this research, it can be concluded that the knowledge level of the majority students is in moderate levelabout 67 (67%). While the remaining respondents good knowledge level as much as 7 (7%) and bad knowledge is as much as 26 (26%).
Tingkat pengetahuan mahasiswa semester VI, Pogram Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana terhadap konjungtivitis bakteri tahun 2017 I Made Gede Dwipayana Putra; Putu Budhiastra; Ni Ketut Niti Susila
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.51 KB) | DOI: 10.15562/ism.v10i1.199

Abstract

Bacterial conjunctivitis is an infection of the eye caused by bacteria, such as Staphylococcus, Streptococcus, or Haemophilus. Based on 30% of visits in the Department of Eye Disease in the United States, 15% are conjunctivitis complaints caused by bacteria and virus, and 15% are conjunctivitis complaints caused by allergy. A common complication of conjunctivitis is the decreased visual acuity that greatly affects the patient in performing daily activities.Aim: This study aimed to determine the knowledge level of semester VI students of Doctor Education Study Program, Faculty of Medicine, Udayana University, toward conjunctivitis.Method: The samples were 70 people with 10% relative accuracy. Sampling was done by random sampling technique. The data were collected by using questionnaire technique. Data analysis was performed using descriptive statistics.Result: The result of the students' knowledge level on bacterial conjunctivitis was 62 respondents (89%) were in good category, 8 respondents (11%) were in moderate category, and none for poor category (0) as well. The knowledge level of the respondent toward bacterial conjunctivitis at the age of 21 years was quite good, that were 31 people (44.5%). Respondents with moderate knowledge level at the age of 21 years were 5 people.Conclusion: The result of the test shows that the level of students' knowledge on bacterial conjunctivitis is that 62 respondents (89%) are in good category. Therefore, to the management of Faculty of Medicine, Udayana University, this research is expected to be used as a reference in formulating various learning strategies, so the learning achievement can be improved.
Masalah ginekologi pasien remaja di RSUP Sanglah Denpasar pada April 2016 – Maret 2017 Demetria Jesica Lim; IBG Fajar Manuaba; I Gede Mega Putra; I Nyoman Gede Budiana
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.187 KB) | DOI: 10.15562/ism.v10i1.217

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Remaja adalah masa peralihan dari anak-anak ke dewasa atau tumbuh menjadi dewasa. Remaja belum dapat dikatakan sebagai dewasa namun juga sudah tidak dapat dikatakan sebagai anak – anak. Definisi remaja menurut WHO adalah seseorang dengan usia 10-19 tahun. Pada masa remaja ini sudah mulai muncul ciri-ciri perkembangan seks primer maupun sekunder seperti tumbuhnya payudara dan menstruasi pada wanita. Proses perkembangan seks sekunder ini tidak semuanya berjalan dengan lancar pada setiap wanita. Sangat mungkin untuk terjadi masalah-masalah pada proses perkembangan ini yang berhubungan dengan kesehatan reproduksi. Tujuan: Untuk mengetahui masalah ginekologi remaja yang berkunjung di RSUP Sanglah Denpasar. Metode: Penelitian ini dilakukan dengan teknik total sampling untuk mendapat angka kejadian gangguan menstruasi, keputihan, tumor ovarium, Polycystic Ovary Syndrome, infeksi Human Papilloma Virus dan kehamilan yang tidak diinginkan pada remaja wanita yang memeriksakan diri di RSUP Sanglah dalam periode April 2016 – Maret 2017. Hasil: Dari 49 sampel yang didapat terdapat 53,06% kasus keputihan, 38,78% kasus gangguan menstruasi dan 8,16% kasus kanker ovarium. Kesimpulan: Tidak ditemukan pasien dengan infeksi Human Papilloma Virus (HPV), Polycystic Ovary Syndrome (PCOS) dan kehamilan yang tidak diinginkan pada periode April 2016 – Maret 2017. 
The prevalence of urinary incontinence in aged women in Peguyangan Village, District of Tag-Tag Kelod, Denpasar, Bali Diviya Batumalay; Yuliana Yuliana; I Nyoman Mangku Karmaya
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.298 KB) | DOI: 10.15562/ism.v10i1.224

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Background: Urinary incontinence (UI) is a significant health problem with considerable social and economic impact. Distinguishing between prevalence and incidence of incontinence is important. There are significant variations in the severity and impact of incontinence, and its severity, frequency, and predictability all need to be considered when evaluating its effects on patients, the degree of bother is particularly significant when determining who will need treatment. Incontinence may be a result of bladder dysfunction, sphincter dysfunction, or a combination of both, but large-scale studies are not designed to determine the etiology. Aim: To know the prevalence of UI in aged women in Peguyangan village, Denpasar, Bali.Method: This is cross-sectional descriptive design conducted in Peguyangan Village Denpasar, Bali, in early July 2017. There were 79 of 94 aged women above 65 years involved in the survey using a questionnaire.Result: In young women, the prevalence of incontinence is usually low, but prevalence peaks around menopause, with a steady rise there-after into later life. Although the prevalence of stress and mixed (stress and urge) incontinence is higher than urge incontinence, the latter is more likely to require treatment. In women, moderate and severe bother have a prevalence ranging from about 3% to 17%. Severe incontinence has a low prevalence in young women but rapidly increases at ages 70 through 80.Conclusion: The prevalence is 0.076.
Karakteristik pasien retinoblastoma di RSUP Sanglah pada bulan April 2015 – Desember 2017 Monika Nur Indah Pawana; Ni Putu Ekawati; Luh Putu Iin Indrayani Maker
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (863.592 KB) | DOI: 10.15562/ism.v10i1.228

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Background: Retinoblastoma is one of the intraocular tumors originate from the lining of the retinal eye layer component. This disease is more common in children. Retinoblastoma incidence rate tend to be constant every year, but epidemiological data about retinoblastoma in Indonesia not yet available.Aim: this study aims to determine the characteristics of patients with retinoblastoma at RSUP Sanglah Denpasar from April 2015 till December 2017.Method: The study was a descriptive cross sectional design which was conducted at RSUP Sanglah Denpasar. Data obtained was in the form patient’s medical records registered between April 2015 – December 2017.Results: Of the 22 patients, the age average was 5.06 ± 3.06 years with the highest gender proportion was male (55%). Leukokoria (68%) was the main complaint. Most sites were unilateral (59%). Staging for unilateral was Group D (47%) and for bilateral was OD Group D, OS Group E (25%) and OD Grup E OS Grup C (25%) There were two patients had family history of retinoblastoma (18%). Histopathological finding showed only 4.54% with typical appearance of Flexner Wintersteiner Rossete, 36% of patients showed pseudorossete, and the remains classified as undifferentiated type. Almost half of the patients have a tumor invation, and most of them have necrosis in their tumor. The most common management for retinoblastoma is chemotherapy (52%) followed by enucleation (48%). Conclusion: There’re variety in characteristics of retinoblastoma. Further research needed to know the characteristic of retinoblastoma significantly.
Karakteristik temuan radiologis pada pasien low back pain di RSUP Sanglah Denpasar periode Maret 2016-Oktober 2017 Komang Mila Triana Sari; Elysanti Dwi Martadiani; Made Widhi Asih
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (856.619 KB) | DOI: 10.15562/ism.v10i1.235

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Background: Low back pain (LBP) is a common problem in almost all parts of the world. It may cause disability and a huge social and economic burden in the community. Radiological examination is often necessary to help the doctor in evaluating LBP.Aim: The study aims to find out the radiological characteristics of LBP as a preventive effort against those case.Method: The study was descriptive cross-sectional design involved 65 LBP patients as study respondents in Sanglah General Hospital from March 2016-October 2017.Result: Characteristics of LBP patients are male patients and patients aged 50-59 years. Both are the most frequent sample which were found out in the study.Conclusion: The most common radiological findings in each examination modality are as follows: osteophytes on Radiographic examination, burst fracture, compression fracture and fractures of spinous process on CT scan, and spinal canal stenosis on MRI examination.
Isolasi bakteri Escherichia coli pada lawar merah babi di kota Denpasar Dennis Yulianto; I Dewa Made Sukrama; Made Agus Hendrayana
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (400.254 KB) | DOI: 10.15562/ism.v10i1.238

Abstract

Background: An alarming incidence rate of food-borne diseases in Indonesia become more worrible, especially the one which is caused by Escherichia coli. Based on Food and Drug Supervisory Agency or Badan Pengawas Obat dan Makanan (BPOM) in Indonesia, there are 18.144 people who got infected by food-borne illnesses in 2011. These facts are quite alarming for the people who live in Bali and they are more likely to consume lawar merah babi.  Lawar merah babi is a traditional Balinese food made from the mix of vegetable, meat, and some other ingredients as well as it is usually mixed by hand which make it susceptible to be contaminated by bacteria such as Escherichia coli. Aim: The study aims to investigate the E. coli contamination within lawar merah in Denpasar. Method: This descriptive cross-sectional study was conducted using 12 samples of lawar merah babi which were sold in 12 different places all across the Denpasar City. These samples were taken to Microbiology Laboratorium at Medical Faculty, Udayana University. There are three variants of dilution for each sample which are 10-1, 10-2, and 10-3. Each sample was cultured using eosin methylene blue agar as the media. Some of the sample without clear representation in the media will go through further identification. The results of Escherichia coli colonization were counted by the total plating count method to produce them in CFU/g for each of the samples.Result: Some of the samples have been contaminated by Escherichia coli (67%) approximately 17x104 CFU/g contamination average level.Conclusion: The samples exceed the contamination limit which is permitted by the BPOM recommendation, where the maximum Escherichia coli contamination level should not exceed over than 3 CFU/g.
Microbiota-based therapies for chronic kidney disease Dessy Natasha Ade Putri; Chika Christianne Moreen Nababan
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (753.462 KB) | DOI: 10.15562/ism.v10i1.239

Abstract

Background: Increasing prevalence of chronic kidney disease (CKD) worldwide has been concerned as a global public health issue because of the burden of adverse outcomes, including mortality. Gut microbiota can be used as a potential therapeutic target to slow the progression of CKD.Aim: This literature review aims to provide an in-depth review about the potency of microbiota-based therapy for CKD.Method: from 58 journals reviewed, 51 were found suitable as references for this paper. The keywords used are “gut microbiota,” “chronic kidney disease”, “prebiotic”, “probiotic” and “fecal microbiota transplantation” on selected search engines.Result: In general, it has shown that microbiota-based therapies do have potential therapeutic effect as it can improve inflammatory response, uremic toxin, insulin resistance and cardiovascular risk.Conclusion: Prebiotic, probiotic, fecal microbiota transplantation and novel therapies have shown beneficial effects in treating patients with CKD.
Karakteristik pasien dengan infeksi Burkholderia cepacia di RSUP Sanglah pada tahun 2014-2016 Dea Antariksa; Ni Nyoman Sri Budayanti; Ni Nengah Dwi Fatmawati
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.325 KB) | DOI: 10.15562/ism.v10i1.243

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Background: Burkholderia cepacia complex (Bcc) is a group of 17 species that are genetically and phenotypically similiar. Bcc is an opportunistic pathogen in which it will cause an infection in a person who has had a previous severe lung infection or a person with a weak immune system. Objective: This study aims to determine the characteristics of Burkholderia cepacia compleks patients at RSUP Sanglah Denpasar period 2014-2016 Sanglah Hospital. Methods: This was an observational descriptive study with a cross-sectional study design and a retrospective approach. The subjects were 29 patients diagnosed with Burkholderia Cepacia bacteria and performed bacterial culture at Sanglah Hospital on January 1, 2014 s.d. December 31, 2016. The research data is secondary data obtained from the book Microbiology section Sanglah Hospital. Results: The results showed that patients with isolated Burkholderia cepacia who were admitted to Sanglah Hospital consisted mostly of 37.9% old age categories (> 50 years) and adults (18-50 years); 65.5% male sex and 34.5% female gender; 62.1% were admitted to the ICU; 24.1% were diagnosed with sepsis;
Tingkat pengetahuan dokter umum mengenai bukti medis kekerasan seksual di RSUD se-Provinsi BALI tahun 2017 I Gusti Ayu Agung Dwijayanti; Dudut Rustyadi; Kunthi Yulianti
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.448 KB) | DOI: 10.15562/ism.v10i1.245

Abstract

Background: Sexual violence is a frequent criminal offense. Targets that become victims of the crimes can be women even today many occur in children. Medical evidence is the key to the proof of a case of sexual violence that is usually made by a forensic specialist. A general practitioner is expected to be able to examine the medical evidence of sexual violence considering the number of forensic specialists who are not comparable with the geographical area of Indonesia.Aim: The study aims to know the level of knowledge and relation between the variable of age, practice experience, and level of education related to the knowledge level of general practitioners about medical evidence of sexual violence.Method: This study is descriptive cross-sectional research located at Emergency Department all over General Hospital in Bali Province. The subject is general physician ≤60 years old. Data obtained use questionnaire containing a set of questions.Result: The results showed the general practitioner knowledge level about medical evidence of sexual violence was good. Of the 110 samples, 87.3% had a good level of knowledge, 11.8% was sufficient, and 0.9% had less knowledge level. One variable influenced the general physician's knowledge level was practical experience (p = 0.039). Moreover, the age (p = 0.908) did not have a significant relationship to the general practitioner knowledge level about medical evidence of sexual violence.Conclusion: It is essential that practical experience for a doctor's knowledge level about medical evidence of sexual violence is critically important.