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BALI MEDICAL JOURNAL (BMJ)
Published by Universitas Udayana
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Bali Medical Journal (BMJ), P-ISSN 2089-1180, E-ISSN 2302-2914 is an international and peer-reviewed journal published quarterly in print and online by Sanglah General Hospital in collaboration to Indonesian Physician Forum and Indonesian College of Surgeon, Bali-Indonesia which was founded in 2011. The Journal aims to bridge and integrate the intellectual, methodological, and substantive diversity of medical scholarship, and to encourage a vigorous dialogue between medical scholars and practitioners. The Journal welcomes contributions which promote the exchange of ideas and rational discourse between practicing educators and medical researchers all over the world.
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Articles 9 Documents
 1 
Search results for , issue "Volume 2 Number 2, May-August 2013" : 9 Documents clear
MEDICATION AND APPROPRIATE PHYSICAL THERAPY OF COMPLEX REGIONAL PAIN SYNDROME PATIENTS AFTER TRAUMA Elizabeta, P. R.; Anastasika, P.; Leonid, and R.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
Publisher : BALI MEDICAL JOURNAL

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Abstract

Objective: Treatment of patients with complex regional pain syndrome (CRPS) after trauma needs a complex physical and medical therapy, according of the stage of condition. The patient with trauma is coming to rehabilitation department, after surgery treatment. The aim of our study is to represent the effect of complexity physical therapy and medical support in treatment of patients with CRPS with evaluation of decrease of pain and increase of function in affected region. Method: we are treating 35 patients overage 35-70 years with 2 including criteria, clinical reaction of CRPS and radiological changes of osteoporosis. Medication includes non steroidal anti-inflammatory drugs, tricycle anti-depressants, vasoactive drugs and calcitonin. Physical therapy is consisting of electro therapy, sonophoresis and paraffin. Results: The evaluation was made with observation and measurement of pain, swelling and color of skin and movements of the joint. Conclusion: the goodness of the condition with whole time of rehabilitation 3-6 months was significant p < 0.01.
CURRENT ISSUES ON JOB STRESS IN JAPAN AND WORKSITE MENTAL HEALTH APPLICATION AMONG JAPANESE COMPANY A Case Study Analysis Purnawati, S.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Background: Issues about job stress is more popular in the world currently. Not just for Japan, Korea and Taiwan, but also an important issue in EU countries, especially the UK and Finland Increase of awareness about job stress effects on work performance, productivity and mental health is as one reason of the phenomenon. Objective: The present study aimed to explore the issue of job stress in Japan for the reference of good practices to Indonesia. Methods: This study, based on observational studies in the period of September-December in year 2010 in Tokyo, Kawasaki and Kitakyushu Japan. Observations on Japanese Company and discussions with experts, such as: occupational physician of Riken Company, experts from:  Tokyo University and Tokyo University’s occupational physician, Department of ergonomics, the Institute of Industrial Ecological Sciences UOEH (University of Occupational and Environmental Health), Institute for Science of Labor, and researcher of Japan NIOSH. Two stress management training and occupational mental health’ application program were observed in the period of October-December. Result: The trend of current occupational mental health research in Japan has being moved from job stress to more advanced issues of work engagement and work-life balance. There are three approaches to prevention of job stress. Considering the three approach could improve of worker productivity and well-being. The training for Tokyo University’s staffs was as one session of individual-oriented stress prevention approach. It was conducted in very interactive class lecture. During 2 hours session, the participants learned some knowledge about job stress and its risk factors, exercised to construct better cognitive for stress prevention and productivity, practiced of progressive muscle relaxation technique, group work, did some home works and filled an evaluation sheet after the session was finish. We also observed the occupational mental health program at Riken Company that was covered of primary, secondary and tertiary prevention of occupational mental health program of workers mostly on job stress issue. Conclusion: It was concluded that although many efforts has made to anticipate the problem of job stress in Japan, it is still need further studies to find the most appropriate instruments for the indicator of job stress and methods of intervention which are most effective for employees and company, as well as general improvement for well-being of workers and their family as they are a part of community.
EYE TUMOR PATIENTS AT TUMOR DIVISION EYE CLINIC SANGLAH GENERAL HOSPITAL BALI-INDONESIA Yuliawati, P.; Piliantari-Meigawati, and N. L.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Objective: Tumors in the eye are type of tumors that could afflict eyeball and adnexa. Even though, the incidence is rare, these tumors that usually are secondary tumors cause by cancer spread from other parts of the body, especially the breast, lung, bowel or prostate. Two types of primary tumors arise within the eye itself are known as retinoblastoma in children and melanoma in adults. This study aims to obtain basic figure of eye tumor patients at Sanglah General Hospital Bali-Indonesia, in which these data can be used as a reference for further research. Methods: Descriptive and retrospective methods were applied to observe the patient who came during the period of 1 January 2005 until 30 September 2010. The numbers were taken from the medical records. Results: There were 44 patients recruited, consisting of 59.1% male and 40.9% female. A number of 29.5% of them are between 61-70 years old, 34.1% are from Denpasar, and 34.1% are farmers. There were 95.5% of the patients suffered from an eye lump, and 40.9% of them came with 0.00 logMar of visual acuity. About 47.7% of the tumor grew in the superior palpebra. Pathology anatomy test shows 20.5% Squamous Cell Carcinoma (SCC), 11.4% Basal Cell Carcinoma (BCC), and 11.4% papilloma. Conclusions: The patients at tumor division, eye clinic of Sanglah General Hospital were mostly male, with major age range of 61-70 years old that mainly live in Denpasar as farmers. Their major complaint was the eye lump, which mainly found in the superior palpebra. The pathology anatomy result shows that SCC and BCC was the top and second most found illness. This study can be used as a reference for future research.
SERUM HOMOCYSTEINE CONCENTRATIONS INVERSELY CORRELATES TO INTIMA-MEDIA THICKNESS OF CAROTID ARTERIES: AN IMPACT TO ENVERSE EPIDEMIOLOGY IN PRE-DIALYTIC CHRONIC KIDNEY DISEASE Raka-Widiana, I G.; Suwitra, K.; Elyshanti, E.; Sutarka, and N.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Background: In normal population, serum homocysteine (Hcy) is considered as a marker of atherosclerotic and cerebro-cardiovascular diseases.  It is not clear whether this phenomenon also occurs in chronic kidney disease particularly among pre-dialytic population. This study aims to determine relationship between serum Hcy concentrations and carotid arteries intima-media thickness (CA-IMT) of pre-dialytic chronic kidney disease (CKD) patients. Method: A cross-sectional study was carried out on pre-dialytic CKD patients. Morning fasting blood samples were taken for lipid profile, blood sugar, blood urea nitrogen, serum creatinine concentrations. Total fasting serum Hcy concentrations were measured using chemiluminescent assay. CA-IMT of patients were measured by USG B-Mode Logiq-5 (General Electric), with 7.5 MHz linear transducer at both left and right, common and bifurcation of carotid arteries. Results: Ninety (74 males, 16 females) of pre-dialytic patients, age 54 ± 7 years, SBP 137±20 mmHg, DBP 78±13 mmHg, BMI 23.9±4.4 kg/m2 FBS 94±16 mg/dL and 2h pp BS 125±31 mg/dL, total-C 201±65 mg/dL, LDL-C 129±62 mg/dL, HDL-C 40±13 mg/dL, TG 144±81 mg/dL, phosphate 3.8±1.3 mg/dL, calcium 8.7±1.1, and CaXP 32±8, and total serum Hcy 17.11±6.91 µmol/L, e-GFR (CG formula) 36±17 ml/minutes were included in this study.  There were significant negative correlation between Hcy concentrations and left common CA-IMT (r = 0.28; B = -11.01; p = 0.02) and right bifurcation CA-IMT (r =0.26; B = -11.01; p=0.042). While there were a trend of negative correlation between total serum Hcy and right common CA-IMT (r= 0.21; B = -8.27; p=0.10) and left bifurcation CA-IMT (r= 0.20; B=-6.69; p=0.11). Conclusion: There is a negative association between total serum Hcy concentrations and atherosclerotic process in carotid arteries. The inverse relationship may support phenomenon of inverse epidemiology among pre-dialytic CKD patients and seemed that serum Hcy reflects nutritional marker rather than a marker of cardiovascular disease.
ELEVATION OF SERUM C-REACTIVE PROTEIN AS A PREDICTOR FOR SYSTEMIC INFLAMMATORY RESPONSE SYNDROME IN CERVICAL SPINAL CORD INJURY PATIENTS Oliver, Stanley-Ketting; Mahadewa, T. G. B.; Maliawan, and S.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Objectives: Spinal cord injury has been an important medical issue with high incidence, complications, and mortality rate. For the past 2 decades, there have been a number of researches about the role of inflammatory mediators in trauma patients. However, up to now, there were limited references about the role of CRP as a predictor of SIRS in cervical spinal cord injury. Methods: This was an analytical prospective cohort study of 28 patients to determine the role of increase CRP serum as a predictor for SIRS in cervical spinal cord injury in Sanglah General Hospital, Bali-Indonesia. The data were descriptively analyzed by applying univariate and multivariate analysis to determine the role of increase CRP serum with SIRS in cervical spinal cord injury. Results were considered significant if p < 0.05. Results: From 28 samples collected, 18 samples (64.28%) were male, 12 samples were in >50 years old age group (42,86%), and the most frequent spinal cord injury scale was ASIA A (12 samples, 42,86%). Both univariate and multivariate analysis showed that increased serum CRP and ASIA Score were significant predictors of SIRS in cervical spinal cord injury patients. Conclusion: Increase in serum CRP value can be used as a reliable predictor for SIRS in cervical spinal cord injury patients.
OPERATION TECHNIQUE OF ANTERIOR MENINGOENCEPHALOCELE: Transcranial Combined with Anterior Resection (Case Report) Muhammad-Zafrullah, A.; Yudoyono, F.; Mirna-Sobana, A.; Faried, and A.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Meningoencephaloceles are a frequent condition characterized by protrusion of meningeal and brain tissue through a skull-base defect. Here, we report three cases of anterior meningoencephalocele operated on one-stage procedure, a combined of transcranial and anterior approach, for invagination removal of non-functional extracranial cerebral tissue with watertight closure of the dural defect; written consent was taken. All cases were nasoethmoid, the congenital anomalies between the nasal bones and the nasal cartilage.
PREVALENCE OF JAUNDICE BASED ON LIVER FUNCTION TEST IN WESTERN NEPAL Singh, P.; Khan, S.; Mittal, and R. K.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Objectives: The aim of this study was to evaluate the Prevalence of Jaundice Based on Liver Function Test in Patients Attending OPD of Nepalgunj Medical College and Teaching Hospital. Materials and Methods: A hospital based study was carried out in Nepalgunj Medical College, Kohalpur, Banke Nepal to determine prevalence of jaundice. A total of 4280 subjects females and males were included in this study. The study took place from February 2012 to January 2013. Liver function tests were performed using serum levels of bilirubin, total protein,  albumin,  serum  glutamate oxaloacetate transaminase  (SGOT),  serum glutamate pyruvate  transaminase  (SGPT), and alkaline phosphatase (ALP) as indicators of liver function .The results obtained from the above investigation were analyzed and expressed as mean ± SD by using Excel 2007. The comparison was done by student t test on no. of variable of each parameter using SPSS version 16. Results: We investigated the prevalence of jaundice in 4280 subjects on the basis of liver function test. Out of 4280 subjects, 152 patients (3.55%) were selectively diagnosed as jaundiced and another 152 healthy individuals have taken as control. The serum concentrations of all the parameters of liver function test in jaundiced patients were significantly higher (p<0.0001) than those of controls except total protein and albumin which was significantly lower in (p<0.0001) experimental group than the control group. Conclusions: Therefore, from the trend of our data, we can conclude that liver dysfunction is a very common feature in the population of western part of Nepal this may be due most of the people are addicted to alcohol consumption. This need to be stopped and continuous surveillance for bilirubin test is very important to diagnose the jaundice.
EFFECT OF PROPHYLACTIC ANTIBIOTIC ON SURGICAL SITE INFECTION AFTER TENSION-FREE HERNIOPLASTY Saskia-Javi, Y.; Sudartana, I K.; Raka-Widiana, and I G.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Objective: prophylactic antibiotics were remains applied for hernioplasty treatment at Sanglah General Hospital Bali-Indonesia. On the other hand, there were no comprehensive infection incidence data gathered. This research aims to determine incidence differences of post operative infection in patients underwent tension-free hernioplasty and received prophylactic antibiotics compared to those who received placebo. The general purpose of this research is to determine the necessity of prophylactic antibiotics in the hope of setting new procedural standards in elective hernia procedures thus reducing cost and bacteria resistance. Patients and Method: This was an open label randomized clinical trial conducted at Sanglah General Hospital Department of General Surgery from October 2011. The target population was all patients who underwent tension-free hernioplasty  procedure, in Sanglah General Hospital. The acquired data was analyzed after an independent t test was performed. a Mann-Whitney U test, Fisher’s exact test, and Two-Sample Kolmogorov-Smirnov test  were used to determine the correlations between variables, where p < 0.05 was regardless of significant. Results: From 54 subjects 3 (5.6%) of them were found to have a slight erythema around the operation wound, on the 7th,14th,21th, and 28th day no signs of erythema were found. From the three subjects two (7.4%) were from the placebo group and one (3.7%) from the antibiotic group. All clinical assessment of post operative wound was made using Southampton Wound Assessment Scale, where erythema is a grade 1C, all subjects healed primarily. Conclusion: An Open Label Randomized Clinical Trial comparing SSI in post tension-free hernioplasty patients who were given prophylactic antibiotics and placebo. No significant difference were found.
HIGH ARTERIAL BLOOD LACTATE AS SIRS PREDICTOR IN PATIENTS WITH SEVERE HEAD INJURY Lengkong, L. R. M.; Maliawan, S.; Mahadewa, and T. G. B.
BALI MEDICAL JOURNAL Volume 2 Number 2, May-August 2013
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Abstract

Objectives:  Lactate is one of the prognostic factor for evaluation of clinical severe head injury patients outcome. Lactate is also known as a factor to support diagnostic and prognosis of SIRS cases. Severe head injury is a head traumatic case frequently found in Emergency Units, where some cases result in mortality. Based on Glasgow Coma Scale (GCS), severe head injury is define as a head injury with GCS score between 3 and 8. This study aims to determine whether high arterial blood lactate can be used as predictor that causes the occurrence of SIRS. Method. A Cohort prospective study applied in this research to determine arterial blood lactate as a predictor that causes the occurrence of SIRS. This study was conducted at Sanglah General Hospital Bali-Indonesia from May 2013 to July 2013 with 40 patients who fulfilled the inclusive criteria. Data were presented in tables and analyzed by applying Chi Square Test with CI 95% and p <0.05 was considered significant. Results: From 40 samples, 27 were male (62.5%) and 17 female (37.5%) at the age of 0-10, 2 people (5%), 10-20 years 7 people (17.5%), 20-40 years 14 people (35%), 40-60 years 12 people (30%) and over 60 years 5 people (12.5%). On the first day, patients with normal level blood arterial lactate 2 (5%), and high 38 (95%) causing SIRS (+) 39 (97.5%) and SIRS (-) 1 (2.5%) samples to occur. Using bivariate analysis between arterial blood lactate level and the amount occurrence of SIRS, we obtain p < 0.05 and variable control using multivariate analysis we obtained variable of liver dysfunction that give significant value with level arterial blood lactate with p < 0.05). Conclusion: From 40 samples of Severe head injury, there were 38 (95%) whose blood arterial lactate level increased on the first day, 2 (5%) in normal limit and 39 (97.5%) with SIRS on the third day when p < 0.05) so that high level arterial blood lactate can be used as predictor that causes SIRS to occur.

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