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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
 1   2   3   4   5 
SIKAP DAN PERILAKU MASYARAKAT TERHADAP PENCEGAHAN PENYAKIT RABIES DI KECAMATAN BANJARANGKAN KABUPATEN KLUNGKUNG BALI TAHUN 2015 Kaviraj Mohan
Intisari Sains Medis Vol. 6 No. 1 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.763 KB) | DOI: 10.15562/ism.v6i1.21

Abstract

Pendahuluan:Kasus rabies pada manusia di seluruh dunia dilaporkan lebih dari 55.000 kasus setiap tahun. Bali dilaporkan tertular rabies sejak Desember 2008. Pemerintah Bali telah melakukan langkah-langkah dalam menanggulangi penyebaran penyakit rabies. 1-4Seluruh kabupaten di Bali dinyatakan terdapat penyebaran penyakit rabies, salah satunya di Kabupaten Klungkung. Berdasarkan data Program Pencegahan Rabies Puskesmas Banjarangkan II, terdapat 454 kasus gigitan pada tahun 2011 dan 459 kasus gigitan baru tahun 2014. Sedangkan dari bulan Januari hingga Agustus 2015 telah terdapat 183 kasus gigitan baru dengan satu mortalitas dari, Dusun Takmung Kangin, Desa Takmung pada bulan Juni 2015 di wilayah kerja Puskesmas Banjarangkan II. Metode penelitian:Penelitian penelitian ini adalah penelitian deskriptif yang bertujuan untuk memperoleh gambaran karakteristik masyarakat, yaitu umur, pendidikan, pendapatan, pengetahuan, dan sikap terhadap partisipasinya dalam program pencegahan penyakit rabies di Desa Takmung, Kecamatan Banjarangkan tahun 2015. Penelitian ini menggunakan pendekatan cross sectional, yaitu peneliti melakukan pengukuran variabel pada satu saat.Penelitian ini dilakukan di Desa Takmung yang merupakan wilayah kerja Puskesmas Banjarangkan II, Kecamatan Banjarangkan. Pemilihan Desa Takmung dari enam desa wilayah kerja Puskesmas Banjarangkan II, yaitu dengan pertimbangan terdapat satu mortalitas di Dusun Takmung Kangin, Desa Takmung akibat penyakit rabies. Pelaksanaan penelitian dimulai pada hari Selasa, 6 Oktober sampaiMinggu, 11 Oktober 2015.Setelah dilakukan koreksi sampel maka didapatkan sampel minimal berjumlah 90 sampel.Data yang dikumpulkan dianalisis secara deskriptif dan menggunakan software statistik SPSS windows versi 16.0 untuk analisis univariat.Hasil:Hasil penelitian didapatkan, bahwa sebanyak 5,6% responden penelitian ini berada dalam kelompok usia 17 – 23 tahun, 48,9% usia 24 – 49 tahun, dan 45,6% berusia ≥ 50 tahun. Usia termuda responden pada dalam penelitian ini adalah 20 tahun dan usia tertua adalah 72 tahun, dengan rata-rata usia responden adalah 46,27 tahun. Seluruh responden pada penelitian ini berjenis kelamin laki-laki (100%), yang sesuai dengan kriteria subjek penelitian berupa kepala keluarga. Berdasarkan data pendidikan yang ada, sebanyak 13,3% tidak sekolah/tidak tamat SD, 22,2% tamat SD, 22,2% tamat SLTP, 27,8% tamat SMA, dan 14,4% tamat D3/Sarjana. Simpulan: Tabulasi silang antara usia dengan tingkat pengetahuan didapatkan hasil, bahwa seluruh usia dewasa muda (17-23 tahun) memiliki tingkat pengetahuan baik, sedangkan usia dewasa tua (24-49 tahun) 58,8% berpengetahuan baik, 40,9% berpengetahuan sedang, dan 2,3% berpengetahuan buruk. Pada usia lansia (≥ 50) terdapat 31,7% berpengetahuan baik, 48,8% berpengetahuan sedang, dan 19,5% berpengetahuan buruk. Tabulasi silang antara pendidikan dengan tingkat pengetahuan, didapatkan hasil tingkat pengetahuan baik didominasi dari tingkat pendidikan tamat SMA (37,2%).. Berdasarkan data partisipasi, 64,1% keluarga yang memiliki anjing masuk dalam kategori baik, sedangkan 3,3% masuk dalam kategori sedang, dan 2,6% kategori partisipasi buruk. Pada keluarga yang tidak memiliki anjing, 91,6% masuk dalam kategori partispasi baik, 8,3% masuk dalam kategori sedang. 
PENGETAHUAN MENGENAI INSULIN DAN KETERAMPILAN PASIEN DALAM TERAPI Komala Appalanaidu
Intisari Sains Medis Vol. 6 No. 1 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.868 KB) | DOI: 10.15562/ism.v6i1.22

Abstract

Insulin adalah hormon peptida, yang diproduksi oleh sel beta pankreas, dan merupakan pusat metabolisme karbohidrat dan lemak dalam tubuh kita. Sebagian besar pasien diabetes bisa mengontrol kadar glukosa mereka selama bertahun-tahun dengan diet yang baik dan latihan rutin ditambah satu, dua atau bahkan tiga jenis obat. Namun, ada banyak obat ini tidak efektif atau tidak lagi aman bagi pasien, misalnya resiko penyakit ginjal dan penyakit hati. Pasien dengan komplikasi Diabetes seperti ketoasidosis atau hiperglikemia parah (gula darah > 500 mg / dL) merupakan indikasi untuk terapi insulin. Pasien dengan adanya infeksi serius seperti pneumonia dan pasien dengan penyakit bersamaan seperti serangan jantung harus mulai terapi insulin segera. Selain itu, pasien selama atau setelah operasi dan selama kehamilan harus mulai terapi insulin. Jika beban glikemik yang ideal yang gagal dicapai dengan dua atau tiga obat oral, pasien harus mulai terapi insulin. Tingkat A1C lebih dari 10 % atau 7,5 % dengan glukosa darah puasa lebih dari 250 mg / dL juga merupakan indikasi untuk menggunakan insulin.Sebagai akibatnya, insulin digunakan secara medis untuk mengobati beberapa bentuk diabetes mellitus. Pasien dengan diabetes tipe 1 bergantung pada insulin eksternal (paling sering disuntikkan subkutan) untuk kelangsungan hidup mereka karena hormon yang tidak lagi diproduksi secara internal. Pasien dengan diabetes tipe 2 sering resisten insulin dan, karena perlawanan tersebut, mungkin menderita kekurangan insulin "relatif". Beberapa pasien dengan diabetes tipe 2 mungkin akhirnya membutuhkan insulin jika obat lain gagal untuk mengontrol kadar glukosa darah secara memadai.Ada hubungan antara pengetahuan pada insulin dan keterampilan pasien dalam terapi insulin. Hal ini penting bagi pasien untuk mengetahui lebih banyak tentang penyakit mereka dan pengobatan untuk menghindari komplikasi dan juga risiko penyakit.
FAKTOR-FAKTOR YANG MEMPENGARUHI KETERLAMBATAN DIAGNOSIS DIABETES MELITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS ABANG I, KABUPATEN KARANGASEM BALI TAHUN 2015 Kumudini Subramaniam
Intisari Sains Medis Vol. 6 No. 1 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.89 KB) | DOI: 10.15562/ism.v6i1.23

Abstract

Diabetes Mellitus (DM) Type 2 is one of disease that has attraction around the world in which one of the main problem is the delay in the diagnosis of the disease. The delay in the diagnosis of DM can also be found in Abang I Health Centre. In the year of 2014, there is a total of 34 new cases of DM and 74% were diagnosed DM for the first time since has come with complications such as gangrene, retinopathy, and nephropathy. However, no information or previous research that may explain the reason why this delay occurred in Abang I Health Centre. This study aims to determine the factors that influence the delay in diagnosis of type 2 diabetes mellitus in the working area of Abang I Health Centre, Karangasem District. This study is a qualitative study with in-depth interviews among six patients that already had complication for the first time when diagnose with DM and focus group discussion (FGD) among four healthcare workers in Abang I Health Centre that has relationship with the service given to DM patient. The results showed that the factors affecting the delay in diagnosis of type 2 diabetes mellitus in the working area of Abang I health centre consists of limitation of knowledge among the community about diabetes mellitus, the negative perception of diabetes mellitus among the community, misperception of early medical examination, lack of trust among the community towards the quality of health care service, diabetes mellitus is not of the priority for health care and lack of recommendation for the early detection of diabetes mellitus from the health care workers. Based on the findings, the healthcare centre should increase the promotion of health about DM disease through media communication and education (KIE) that is easily accessed by the community besides adding non-infectious diseaseinto one the main priority work agenda in Abang I Health Centre 
HUBUNGAN STATUS DEPRESI TERHADAP KUALITAS HIDUP LANSIA DI WILAYAH KERJA PUSKESMAS PETANG II KABUPATEN BADUNG BALI TAHUN 2015 Sri Chandra Kumar Kathiravellu
Intisari Sains Medis Vol. 6 No. 1 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.403 KB) | DOI: 10.15562/ism.v6i1.24

Abstract

Pendahuluan: Fenomena population aging di wilayah kerja Puskesmas Petang II dapat menimbulkan masalah baru terkait kualitas hidup lansia. Berdasarkan penelitian yang telah dilakukan, diketahui beberapa faktor terkait seperti status depresi memiliki peran yang besar dalam mempengaruhi kualitas hidup lansia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara status depresi terhadap kualitas hidup lansia di wilayah kerja Puskesmas Petang II sehingga dapat dijadikan acuan dalam pengembangan program kesehatan lansia.Metodologi: Penelitian ini merupakan penelitian deskriptif cross-sectional analitik yang melibatkan 93 lansia yang tinggal di wilayah kerja Puskesmas Petang II sebagai responden. Data mengenai karakteristik sosiodemografi, dan penyakit kronis pada lansia diperoleh melalui wawancara terstruktur dengan kuesioner, data status depresi dan kualitas hidup didapatkan melalui wawancara dengan kuesioner yang spesifik yakni kuesioner GDS dan WHOQOL BREF. Data selanjutnya dianalisis secara univariat dan bivariat terstratifikasi dengan program komputer.Hasil: Kualitas hidup lansia di wilayah kerja Puskesmas Petang II secara umum telihat lebih banyak jumlah lansia memiliki kualitas hidup buruk (50,5%) namun dengan selisih yang kecil dibandingkan kualitas hidup baik. Hasil uji chi-square antara status depresi menunjukkan hubungan yang signifikan dengan kualitas hidup lansia. Simpulan: Hubungan yang bermakna ditunjukkan antara status depresi terhadap kualitas hidup lansia. Lansia yang tidak mengalami depresi memiliki kecendrungan tinggi untuk memiliki kualitas hidup yang baik. 
PREVALENSI PENURUNAN TAJAM PENGLIHATAN PADA SISWA KELAS 3-6 SEKOLAH DASAR NEGERI 1 MANGGIS, KARANGASEM BALI TAHUN 2014 Witantra Dhamar Hutami; Putu Asti Wulandari
Intisari Sains Medis Vol. 6 No. 1 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.667 KB) | DOI: 10.15562/ism.v6i1.25

Abstract

Background: Visual disturbance in school children can have impacts on long term health status, school performance, and emotional and social development of those children. Despite these facts, there are only few eye examinations performed to assess disturbance of visual acuity in elementary school children. This research aims to observe the prevalence of decreased visual acuity in 3rd-6th grade students of Manggis 1 State Elementary School, District of Manggis, Karangasem Regency, Bali Province year 2014.Method:This Study is a descriptive cross-sectional study with the sample of 120 school children from 3rd – 6th grade students of Manggis I State Elementary School. Data were collected from visual acuity examination using Snellen Chart at the distance of 6 metres and from interview guided by questionnaire form. Result:The prevalence of decreased visual acuity in both right and left eyes of 3rd–6th grade students of Manggis 1 State Elementary School is 70%. The values of decreased visual acuity of the subjects studied vary in the range of 6/30 up to 6/9. The majority of students found to have decreased visual acuity have a mild decreased visual acuity, and are found in the right eyes of 46 students (38,3%) and in the left eyes of 47 students (39,2%). There are some factors that tend to influence the value of visual acuity, they are duration of watching television, reading position, and duration of playing outdoor.Conclusion: There are some students of manggis 1 elementary school who suffer from unrecognized decreased visual acuity. Their parents are advised to bring their children to the nearest eye health care center to examine the visual acuity in order to acquire proper management regarding their decreased visual acuity.
MENGENALI FAKTOR-FAKTOR RISIKO PASIEN DIABETES MELITUS Bagus Prakasa Sentosa
Intisari Sains Medis Vol. 6 No. 1 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.482 KB) | DOI: 10.15562/ism.v6i1.26

Abstract

Background: Diabetes Mellitus (DM) remains a health problem in Indonesia as well as in many other countries.According to Medical Record of Regional Hospital of Karangasem Bali Province, the incidence of DM still highamong endocrine, nutrition and metabolic diseases. About 188 cases of DM had recorded in the year 2003, 221case in the year 2004 and 158 case in 2005. One of the strategies to decrease and manage this disease is bythe screening risk factors besides an adequate therapy.Objective: To assess the risk factors for DM such as age, family history of diabetes, dietary habits, knowledge about DM and type of personality amongst patient with DM.Methods: A case-control study was conducted on 154 patient from Regional Hospital of Karangasem Bali Province. Cases included 79 patient identified as a DM and controls include 75 patient who did not suffer DM.Data of age, family history of diabetes, dietary habits and type of personality was taken by questionnairediabetes risk factors. Data of risk factors was obtained by a questionnaire given to 2 groups (case and controlgroup).Results: There was association between several risk factors and incidence of DM, include; age [odds ratio(OR) = 6, 45; p= 0,000, PAR= 0, 84], family history of DM (OR= 3, 75; p = 0,001, PAR= 0, 73), knowledge about DM(OR= 0, 13; p = 0,000, PAR= -6, 7/as a protective factor). However, there was evidence of a no associationbetween type of personality and incidence of DM (OR= 50.4; p = 0,479, PAR= 0, 98) and also dietary habits (OR=1, 06; p = 0,896, PAR= 0 06)Conclusion: These findings suggest a complex interaction among age factor, family history of diabetes, knowledgeabout DM, dietary habits and type of personality with the incidence of DM in Regional Hospital of Karangasem Bali Province.
PROSEDUR PENGGUNAAN ALAT PERLINDUNGAN DIRI DAN BIOSAFETY LEVEL 1 DAN 2 Amertha Putra Manuaba
Intisari Sains Medis Vol. 6 No. 1 (2016): (Available online: 1 August 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (474.345 KB) | DOI: 10.15562/ism.v6i1.27

Abstract

Implementation of the Occupational Health and Safety is one efforts to create a workplace that is safe, healthy, and free from environmental pollution, to reduce occupational accidents and disease, which in turn can improve the efficiency and productivity of labor. This is a descriptive explorative study that discuss about personal protective equipment procedures and biosafety level 1 and 2. Biosafety level is a combination of practice and application of procedures by workers at the laboratory facilities and safety equipment usage when working with dangerous infectious pathogenic agents. Biosafety level term is also used to describe the safe method in handling and managing materials that can infect a laboratory. It can be concluded that biosafety is a discipline in handling and containment system against infectious microorganisms and hazardous biological materials. The principles of biosafety cover the basics of the containment system, including the practice, and the correct laboratory techniques, safety equipment, laboratory facilities to protect workers, the environment and the public from exposure to infectious microorganisms.
PREVALENSI BENDA ASING PADA ESOFAGUS DAN BRONKUS DI BAGIAN/SMF THT-KL FK UNUD/ RSUP SANGLAH DENPASAR TAHUN 2010-2012 Bagus Rizky Kornia; Sari Wulan Sutanegara; Wayan Sucipta
Intisari Sains Medis Vol. 5 No. 1 (2016): (Available online: 1 April 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (395.454 KB) | DOI: 10.15562/ism.v5i1.28

Abstract

Prevalence of foreign body objects in the esophagus and bronchus at the Department of Otolaryngology Faculty of Medicine UNUD/RSUP Sanglah Denpasar in 2010-2012.ABSTRACTMost people have little attention on the problem of foreign bodies that enter organs, patients come to the hospital or to the doctor after the foreign bodies showed serious symptoms that make patients feel uncomfortable or feel pain. The purpose of this study is to obtain the characteristics of patients with foreign body objects in the esophagus and bronchus in the Department of Otolaryngology Faculty of Medicine UNUD/RSUP Sanglah Denpasar in 2010-2012. This research is a descriptive study with cross sectional (retrospective) design.From the 56 cases obtained, the majority of patients were male (31 person, 55,4%), and based on the age group, most of the patients are under 5 years of age ( 16 person, 28,6%). Most of the foreign body that was found are categorized organic (30 case, 50,36%). Metal coin as the majority foreign body acquired (17 case, 30,4%). According to the location of obstruction, the esophagus was the most frequent location that had a foreign body with 46 cases (82,1%).It’s recommended for parents to pay attention to their children while playing with the non-organic objects like metal coin potensial in entering body carity especially esophagus 
GAMBARAN TINGKAT SOSIAL EKONOMI DAN KEBIASAAN MEROKOK PADA SISWA LAKI-LAKI SMA NEGERI 1 PEKUTATAN, KECAMATAN PEKUTATAN, KABUPATEN JEMBRANA TAHUN 2014 Agus Satria Jayatama
Intisari Sains Medis Vol. 5 No. 1 (2016): (Available online: 1 April 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (437.209 KB) | DOI: 10.15562/ism.v5i1.29

Abstract

SMOKING HABIT AND SOCIAL ECONOMIC LEVEL IN MALE STUDENT OF SMA NEGERI 1 PEKUTATAN, PEKUTATAN DISTRICT JEMBRANA REGENCY IN 2014ABSTRACTBackground: Smoking is one of the health problems in the world are still trying to handle. Smokers usually begins inteenager. The results of the study by the Health Department in 2008 showed that prevalence of smokers in Jembrana was 38.2%. Age of first smoking was highest in the age group 15 to 19 years is 44.1%. The purpose of this study is to describe the smoking habbit of students of SMAN 1 Pekutatan, District Pekutatan, Jembrana Regency in 2014. Methodology: This study was a descriptive cross-sectional study. Using a sample of men as many as 75 people who are students of SMAN 1 Pekutatan. Data was obtained using a questionnaire.Results: The results of the study of demographic characteristics, respondents aged 15 to 19 years, started smoking since high school (62.1%). The reason smoking as invited friends (69%), with the average number of cigarettes per day 7.07 rods in suction and filter cigarette smoking entirely. Smoking is the most common time with friends, the most common is the stall hangout with friends. More often get by buying cigarettes, and most parents do not know if they smoke. Respondents who receive a stipend of more than or equal to Rp 10,000, - most do not smoke and who get an allowance of less than Rp 10,000, - entirely non-smoking. Respondents whose parents smoke are also most of the smoke, and the respondents whose parents do not smoke do not smoke too largely.Conclusion: The proportion of smoking male students of SMAN 1 Pekutatan is 38.7%. The results of this study show everyday friends have a high influence on smoking behavior in adolescents. Male students that smoking spend 52,05% of their money to buy cigarettes.
RABIES, PENYEBAB DAN MANAJEMEN PRA-PAJANAN SERTA PASCA-PAJANAN Hemavalli Ragunathan
Intisari Sains Medis Vol. 5 No. 1 (2016): (Available online: 1 April 2016)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.037 KB) | DOI: 10.15562/ism.v5i1.30

Abstract

Rabies is an acute viral disease that causes fatal encephalomyelitis in virtually all the warm-blooded animals including man. The virus is found in wild and some domestic animals, and is transmitted to other animals and to humans through their saliva (i.e. following bites, scratches, licks on broken skin and mucous membrane). Guidelines throughout worldwide quote that dogs are responsible for about 97% of human rabies, followed by cats (2%), jackals, mongoose and others (1%). The disease is mainly transmitted by the bite of a rabid dog.

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