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INDONESIA
ISM (Intisari Sains Medis) : Jurnal Kedokteran
Published by Universitas Udayana
ISSN : 25033638     EISSN : -     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology
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 1,063 Documents
 103   104   105   106   107 
The Fundamental Concepts of High SMAS Facelift: Literature Review Gede Wara Samsarga; I Made Suka Adnyana; Astrinita Lestari Suyata; Shita Diwyani Sudarsa; Dewa Ayu Agung Anggita Ningrat
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1548

Abstract

A number of facelift procedures have been introduced by many surgeons but there is no consensus has yet been established to carry. Since the first description of superficial musculoaponeurotic system (SMAS), it is used as the basis for many facelift methods that produce superior result in rejuvenation compared to traditional skin only facelift. Extended SMAS facelift becoming SMAS modification techniques that is still being developed. It produces two different vector of subcutaneous and SMAS flap, that is essential to restore drooping deep facial tissue with natural appearance. Despite the beneficial use of extended SMAS flap, most of plastic surgeons still traditionally incise the SMAS under the zygomatic arch. However, the low SMAS incision results only on rejuvenation of the lower face and is not sufficient to correct mid-facial aging. Fundamental concepts of high SMAS facelift by  reviewing some literatures explain that high SMAS flap transection allowing the surgeon to achieve greater vertical elevation of the deep structures of the face by undermining the middle face, combined with fixation to a fixed structure produces lasting results and oblique vector of skin envelope creating no tension look. Incision above zygomatic arch turns out to be safely performed without facial nerve injury thorough knowledge of the anatomy. The final result is a balanced and harmonious elevation of sagging tissues of the midface, cheek, and jawline, to such an extent that high SMAS facelift becomes optimal, durable, technically simple, reproducible and with a comparatively high safety margin in facelift procedures.
Faktor risiko kejadian ileus paralitik patologis pasca laparotomi dengan reseksi dan anastomosis pada traktus gastrointestinal Mira Dewi Prawira; Made Agus Dwianthara Sueta; Nyoman Golden
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1549

Abstract

Background: Postoperative paralytic ileus is a physiological response of the intestine to surgical stress. However, if this condition lasts more than 3 days, it is pathological. Some factors related to postoperative ileus have been identified, but the results are still confusing. This study aimed to identify risk factors of postoperative ileus following laparotomy for anastomosis and resection of the gastrointestinal tract at Prof. Dr. I.G.N.G. Ngoerah Hospital. Method: This was a retrospective cohort study between January 2019 until July 2020. The subjects were recruited consecutively, which included adult patients who had undergone laparotomic surgery with anastomosis and resection. Data was taken in Prof. Dr. I.G.N.G. Ngoerah Hospital until the needed samples were fulfilled. Data were analyzed using SPSS version 24 for Windows. Result: There were 50 subjects aged from 32 to 74 years old in this study. About 62% of subjects were female. Analysis showed a correlation between postoperative ileus occurrence and Age; it also correlates with the operation duration. Multivariate analysis found that patients aged 65 years and older have a 5.96 greater risk of developing postoperative ileus than younger patients (95% CI 1.55-22.99; p=0.010). This study also found that an operation lasting 180 minutes or more had a 6.14 greater risk of postoperative ileus than a shorter surgery duration (95% CI 1.57-24.05; p=0.009). Conclusion: Age over 65 years old and duration of operation more than 3 hours were associated with postoperative paralytic ileus in adult patients who had undergone laparotomy for anastomosis and resection of the gastrointestinal tract.   Latar Belakang: Ileus paralitik pasca operasi merupakan sebuah respon fisiologis usus terhadap stress pembedahan. Namun ketika ileus yang terjadi berlangsung lebih dari 3 hari maka kondisi ini masuk dalam kondisi patologis. Beberapa faktor sudah diidentifikasi untuk memprediksi kejadian ileus post operasi namun hasilnya masih ambigu. Penelitian ini bertujuan mengetahui faktor risiko ileus paralitik patologis pasca operasi pada populasi pasien laparatomi reseksi dengan anastomosis di RSUP Prof. Dr. I.G.N.G. Ngoerah. Metode: Penelitian ini menggunakan pendekatan kohort retrospektif yang berlangsung sejak Januari 2019 hingga Juli 2020. Pengambilan data dilakukan dengan metode konsekutif sampling pada pasien dewasa. Pengambilan data dilakukan di RSUP Prof. Dr. I.G.N.G. Ngoerah sampai jumlah sampel terpenuhi. Data dianalisis dengan SPSS versi 24 untuk Windows. Hasil: Sebanyak 50 subjek diikutsertakan dalam penelitian ini dengan rentang usia 32 hingga 74 tahun. Sebanyak 62% adalah perempuan. Pada analisis ditemukan adanya hubungan usia dan durasi operasi dengan kejadian ileus post operasi. Pada analisis multivariat ditemukan bahwa usia di atas 65 tahun memiliki risiko mengalami ileus post operasi 5,96 kali lebih besar dibanding usia yang lebih muda (95% IK=1,55-22,99; p=0,010). Selain itu juga ditemukan operasi yang berlangsung selama 180 menit atau lebih memiliki risiko 6.14 kali lebih besar mengalami ileus post operasi dibanding durasi operasi yang lebih singkat (95% IK=1,57–24,05; p=0,009). Simpulan: Usia pasien di atas 65 tahun dan durasi operasi lebih dari 3 jam berhubungan dengan kejadian ileus paralitik patologis paska operasi pada pasien yang menjalani operasi laparotomi dengan reseksi dan anastomosis.
Hubungan hipertensi dengan kejadian presbikusis di Poliklinik THT-KL RSUP Sanglah Denpasar Agus Santosa; Pande Ayu Naya Kasih Permatananda; I Putu Wirasatya Eka Putra
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1451

Abstract

Introduction: Presbycusis or age-related hearing loss has several risk factors, with hypertension as one of them. Hypertension might cause presbycusis since it can interfere with nutrient and oxygen intake to the auditory nerve cells of the ear. This study aimed to determine the relationship between hypertension with the incidence of presbycusis at the Poliklinik THT-KL RSUP Sanglah Denpasar. Methods: This study used an analytic retrospective design and cross-sectional method. The study was conducted at the Poliklinik THT-KL RSUP Sanglah Denpasar with a sample of 60 people. Data were obtained using medical records and analyzed univariately and bivariate using SPSS for Windows with a p-value of 0.05. Results: Most subjects are 65-75 years old rather than >75, with male subjects of the same amount as female subjects. Chi-square test (x2) distribution table analysis demonstrated an association between hypertension and presbycusis incident in Poliklinik THT-KL RSUP Sanglah Denpasar with a p-value of 0,002. Conclusion: Most samples are in the 65-75 age range with the same proportionate amount of gender. There is an association between hypertension and presbycusis in Poliklinik THT-KL RSUP Sanglah Denpasar.   Latar Belakang: Presbikusis atau age related hearing loss memiliki beberapa faktor resiko dengan hipertensi sebagai salah satunya. Hipertensi dapat menyebabkan presbikusis karena dapat mengganggu asupan nutrisi dan oksigen sel-sel saraf auditori di telinga. Penelitian ini bertujuan mengidentifikasi hubungan hipertensi dan kejadian presbikusis di poliklinik Telinga, Hidung, Tenggorokan, Bedah Kepala dan Leher (THT-KL) RSUP Sanglah Denpasar. Metode: Desain yang digunakan yakni retrospektif analitik dan metode cross-sectional. Lokasi penenlitian yakni poliklinik THT-KL RSUP Sanglah Denpasar dan jumlah sampel 60 orang. Data diperoleh dengan menggunakan rekam medis dan dianalisis secara univariat dan bivariat melalui aplikasi SPSS dengan nilai p ≤ 0,05. Hasil: Didapatkan sampel lebih banyak berumur 65-75 tahun dibanding sampel berumur >75 tahun. Untuk jenis kelamin, ditemukan sampel dalam proporsi yang sama dan dari hasil uji chi square, didapat adanya korelasi antara hipertensi dengan kejadian presbikusis di Poliklinik THT-KL RSUP Sanglah Denpasar dengan nilai p = 0,002. Simpulan: Mayoritas sampel berumur 65-75 tahun dengan proporsi jenis kelamin yang sama. Diperoleh hubungan hipertensi dan kejadian presbikusis di poliklinik THT-KL RSUP Sanglah Denpasar.

Page 107 of 107 | Total Record : 1063

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