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INDONESIA
E-Jurnal Udayana Medica
Published by Universitas Udayana
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Core Subject : Health,
E-Journal Udayana Medica is an electronic journal published at least three times a year (January, May and September). Containing of medical students articles, either an original paper or research report, literature review, case reports, and letters to the editor in English.
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Articles 10 Documents
Search results for , issue "vol 1no1 2013" : 10 Documents clear
INSOMNIA Nor Syazwani Binti Abdul Samad; Nyoman Ratep; Wayan Westa
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Insomnia is one of the more common complaints patients present to their physicians. Sleep problems affect up to one-third of all Americans, and the loss of workplace productivity. Patients with acute insomnia generally respond well to various sedative hypnotic medications, but chronic insomnia is a different challenge. Physicians and patients may raise concerns about the long-term use of sedative hypnotic medications. Even in light of these concerns, however, the chronic insomnia remains, ostensibly leaving the physician few choices. A number of promising nonpharmacologic strategies are available that physicians can easily implement. Through the use of selfrating instruments and a sleep log, physicians can bring the sleep problem into better focus and monitor the efficacy of clinical interventions. Certain behavioral techniques, such as sleep hygiene, stimulus control, and sleep restriction, can be effective remedies for chronic insomnia. The use of cranial electric stimulation for insomnia is also showing promising results. Through careful assessment and the adoption of simple nonpharmacologic strategies, the physician’s interventions may result in a good night’s sleep.
TREATMENT AND MANAGEMENT FOR SUICIDE ATTEMPT Yagatheeswaran Ketheeswaran
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Suicidal behavior is a leading cause of injury and death worldwide. Suicide attempt is more prevalent among men, whereas nonfatal suicidal behaviours are more prevalent among women and persons who are young, are unmarried, or have a psychiatric disorder. Despite an increase in the treatment of suicidal persons over the past decade, incidence rates of suicidal behavior have remained largely unchanged.
MULTI-INFARCT DEMENTIA Ayu Diandra Sari; Nyoman Ratep; Bagus Komang Satriyasa
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Dementia is a cognitive functional deficits that causes memory impairment with symptoms such as: aphasia, agnosia, apraxia or a disturbance in executive functioning (the ability to plan, sequence, and organize) that interferes with social, occupational, or interpersonal skills. Most of dementia among older people in Asia, especially Indonesia is Vascular dementia. Most of vascular dementia among older people in Indonesia is multi-infarct dementia (MID). Multi-infarct dementia (MID) is a disorder involving deterioration in mental function caused by changes or damage to the brain tissues from lack of oxygen as a result of multiple blood clots throughout the brain. Risk factor for MID include a history of: Hardening of arteries (arthrosclerosis), high blood pressure (hypertension), smoking, and stroke. In MID, disruption of blood flow leads to damaged brain tissue. For diagnose the patient with MID, the most important thing we must do is anamnesis. From anamnesis, we can get history of sufficient exposure, Onset of symptoms, checking sign and doing tests, and also ask whether the patient has risks factors about MID or not. There is no known definitive treatment for MID. Treatment is based on control of symptoms. Other treatments may be advised based on the individual condition.
RATIONAL MANAGEMENT OF PARKINSON’S DISEASE Mun Yin Yen; Ketut Tirtayasa; Dewa Putu Sutjana
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Parkinson’s disease is a chronic and progressive neurodegenerative disease which is characterized by motor and non-motor symptoms. The motor symptoms which are also known as cardinal features are resting tremor, bradykinesia, rigidity and postural instability. The etiology is unknown in most cases but there are findings that relate Parkinson’s disease to the genetics and environmental factors. The clinical course of Parkinson’s disease varies from patient to patient. Levodopa is still the main therapy of this disease although it leads to motor complications as the disease progresses.
THE CORRELATION OF TRANSAMINASES AND LIVER DISEASES Bastianus Alfian Juatmadja; I Wayan Putu Sutirta Yasa; DAP Rasmika dewi; Bagus Komang Satriyasa
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

The symptoms of liver diseases are very diverging, from the mild one till the severe one. Sometimes we may find that severe heart disorders but the symptoms are too less. We need some tools to make a good diagnosis. We can not only use a good anamnesis, but also have to use good physical examination and the other support test. Transaminase also called aminotransferase. This aminotransferase catalyzes the transfer of the amino group (?NH2) of an amino acid to a carbonyl compound. The liver contains specific transaminases for the transfer of an amino group from glutamic acid to ?-keto acids that correspond to most of the other amino acids. Other transaminases catalyze reactions in which an amino group is transferred from glutamic acid to other compounds. Transamination is one of the principal mechanisms for the formation of necessary amino acids in the metabolism of proteins. Transaminase as a sign to cell damage may divided into Serum Glutamic Oxalocetic Transaminase (SGOT), Serum Glutamic Pyruvic Transaminase (SGPT), and Lactic Dehydrogenase (LDH). Gamma GT and alkali fosfatase correlate with cholestasis. Cholinestrase correlate with liver synthesis capacity.
OBSESSIVE COMPULSIVE DISORDER Revathee Ramasamy; Wayan Westa; Nyoman Ratep
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Obsessive compulsive disorder (OCD) is an anxiety disorder characterized by intrusive thoughts that produce uneasiness, apprehension, fear, or worry, by repetitive behaviors aimed at reducing the associated anxiety, or by a combination of such obsessions and compulsions. OCD sufferers generally recognize their obsessions and compulsions as irrational, and may become further distressed by this realization. An Epidemiological Catchment Area (ECA) study showed a lifetime prevalence of OCD of 2.5%. Biological, psychological and psychosocial all play a role in causing the disorder. A diagnosis of OCD is drawn from its clinical presentations. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV- TR) is used to aid the diagnosis of OCD. Therapies for OCD are in the form of psychotherapy and psychopharmacology. OCD symptoms persist at moderate levels even following adequate treatment course and a completely symptom-free period is uncommon.
LABORATORY DIAGNOSIS OF HEPATITIS B Haneetha Yogarajah; AA Wiradewi Lestari; IWP Sutirta Yasa
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Hepatitis B is a liver disease caused by a virus known as Hepatitis B virus (HBV) and is a major global health probelm. The liver is susceptible to a wide variety of adverse effects caused by an excess of alcohol, drugs, infections such as viral health department. Vaccination for children, adolescents and high-risk adults could also prevent hepatitis B. The prognosis is variable hepatitis, cancer and other metabolic disorders. Hepatitis B is the causative agent and belongs to the hepadnaviridae family of viruses. Transmission of HBV virus is through exposure to infected blood and body fluids. One of the important diagnostic criteria of Hepatitis B is by performing a thorough laboratory investigation.
OCCUPATIONAL CONTACT DERMATITIS Saravanan Krishnan; I Gusti Ketut Darmada; Luh Made Mas Rusyati
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Occupational contact dermatitis is one of the most common work-related illnesses in many developed countries, accounting for up to one third of all occupational diseases. A high prevalence has been documented in specific occupational groups, such as construction workers, nurses, hairdressers, food processing workers and metal workers. Irritant contact dermatitis and allergic contact dermatitis are known as the two type of occupational contact dermatitis. Reddening of skin, blister, itchiness are symptoms of these dermatitis. Knowledge of the factors which predispose to occupational contact dermatitis is useful in occupational health practice for the application of preventive measures and for career guidance for workers in high risk occupations. Thus to maintain an effective work flow and good health status of the workers both the company and the workers should consider manipulating the risk factors and try to decrease or prevent the occupational contact dermatitis from getting worst.
IMMUNOPATHOGENESIS OF DENGUE SHOCK SYNDROME Karta Sawenda; I Wayan Putu Sutirta Yasa; DAP Rasmika Dewi; Bagus Komang Satriyasa
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

Dengue is the most important emerging tropical viral disease of humans in the world today. It is estimated that there are between 50 and 100 million cases of dengue fever (DF) and about 500.000 cases of dengue haemorrhagic fever (DHF) each year which require hospitalization. Persons of all ages can be infected and develop dengue fever. However, children younger than 15 years typically present with only a nonspecific self-limited febrile illness. Untreated dengue hemorrhagic fever mostly likely progresses to dengue shock syndrome which is defined as dengue fever with signs of circulatory failure. The prognosis depends on prevention or early recognition and treatment with case fatality rate is as high as 12% to 14% once shock has set in. Management of dengue fever requires rest, oral fluids to compensate for losses via diarrhoea or vomiting, antipyretics and analgesics. Patients who present with shock may require central venous pressure monitoring. An arterial line may be required in unstable patients for the assessment of blood gases, electrolytes, and coagulation profile to help identify patients needing ventilatory support.
PARAGARD AND MIRENA AS MODERN INTRAUTERINE DEVICES Theiva Amirta Sukantan; I N Toya; I G M Adioka
Bali Journal of Medical and Health Sciences vol 1no1 2013
Publisher : Faculty of Medicine, Udayana University

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Abstract

There are two kinds of modern IUDs: Copper-bearing and progestin-releasing. IUD stands for IntraUterine Device, a T-shaped piece of plastic that is placed inside the uterus. The most common copper-bearing IUD is the Paragard[R] Copper T 380A. The only progestin- releasing IUD now available is Mirena[R]. The copper IUD, ParaGard, works for as long as 12 years. Copper based intrauterine devices are toxic to sperms and are also known as non- hormonal intrauterine devices. The hormonal IUD, Mirena, must be replaced after 5 years. This device functions by releasing levonorgestrel, a progestin that helps in contraception. This type of IUDs prevents the fertilization of the egg by causing sperms to become ineffective and also makes the mucus in the cervix sticky and almost impermeable. Both types make it more difficult for sperm to fertilize the egg.

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