Bali Medical Journal最新文献

{"title":"Bacterial colonization in atopic dermatitis","authors":"D. A. Paramita, Khairina, N. Z. Lubis","doi":"10.15562/bmj.v11i3.3811","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3811","url":null,"abstract":"Background: Atopic dermatitis (AD) is the most common skin disease in infants and children, influenced by hereditary and environmental factors and characterized by an inflammatory reaction in the skin. The increase in AD has been explained by two hypotheses: the \"hygiene hypothesis\" and the \"diet–microbiome hypothesis.\" AD is driven by a familial or personal predisposition to induce immunoglobulin E (IgE) antibodies and sensitize in response to stimuli. Microorganisms on the skin have been shown to play an important role in the pathogenesis of AD, and changes in the composition of the skin microbiome have been investigated in disease progression in pediatric AD patients.\u0000Method: This descriptive observational study with a cross-sectional approach aims to determine the bacteria found in AD. The samples were taken from both the lesion and non-lesion areas in children with AD, which grown anaerobically and aerobically in blood and Brucella agar at 37C. The bacteri then indentified by Vitek® 2 and the data presented in percentage.\u0000Result: Thirty-five pediatric patients (18 males and 17 females) with a mean age of 7.58 (0,17 – 16) years were diagnosed with AD and were examined for bacterial culture on lesions and non-lesions. A total of 4 types of bacteria were found on the neck, 20 on the forearm, 2 on hand folds, 2 on fingers, 1 on the knee, and 5 on the lower limbs.\u0000Conclusion: The most common bacteria were Gram-negative bacilli, namely, Acinetobacter baumannii (15%) and Burkholderia cepacian (14.3%), followed by the Gram-positive coccus Staphylococcus hominis (11.4%).","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48712249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of dermoscopic photoaging score among multiethnic in Medan, Indonesia","authors":"N. Jusuf, I. Putra, Medina Muslim","doi":"10.15562/bmj.v11i3.3810","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3810","url":null,"abstract":"Background: Skin is considered a reflection of a person's appearance, so it is normal if many people try to take care of their skin, especially facial skin, and retard the aging process. Dermoscopy is a quick, non-invasive technique that allows physicians to observe the skin. Different ethnic groups may show different signs of aging on the face. Medan is a multiethnic city and thus might show facial skin aging differently. This study aimed to evaluate facial skin aging through the Dermoscopic Photoaging Scale (DPAS) and assess the relationship between DPAS, Glogau and Fitzpatrick scales among various ethnic groups in Medan, Indonesia.\u0000Subjects and Methods: This cross-sectional study enrolled 155 subjects from 10 ethnicities in Medan. The examination of facial aging is based on DPAS using 11 criteria, the Glogau scale, and the Fitzpatrick skin type.\u0000Results: Malay and Karonese got the highest DPAS score. There was a significant difference between DPAS, Glogau, and Fitzpatrick in age (p = <0.001,<0.001 and 0.032), and Fitzpatrick scores in ethnicity (p <0.001). There was a strong and significant correlation between DPAS and Glogau scores (p < 0.001, r = 0.748), while DPAS and Fitzpatrick's scores showed a moderate and significant correlation (p < 0.001, r = 0.288).\u0000Conclusion: The highest DPAS scores were found in the Malay and Karonese ethnic groups. There were significant differences between DPAS, Glogau, and Fitzpatrick in age and Fitzpatrick scores in ethnicity. There was a strong and significant correlation between DPAS scores and the Glogau scale and a moderate and significant correlation between DPAS and Fitzpatrick scores in various ethnic groups.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42656639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improved abdomen muscle activity with interferential current therapy in cerebral palsy with constipation: a randomized controlled trial study","authors":"Shofie Sabatini Verayunia, Sri Mardjiati Mei Wulan, Noor Idha Handajani, Andriati, Martha Kurnia Kusumawardani, A. Darma, R. Ranuh, Soenarnatalina Melaniani","doi":"10.15562/bmj.v12i1.3819","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3819","url":null,"abstract":"Background: Children with cerebral palsy (CP) often experience many comorbidities, such as constipation. Pain and discomfort that often accompany constipation have an impact on behavior and decrease quality of life. Abdominal muscle weakness can cause a low increase in intra-abdominal pressure so that the expulsive force during defecation is not adequate. The aim of this study was to evaluate the addition of interferential current (IFC) therapy on standard therapy (lactulose) on abdominal muscle activity in children with cerebral palsy (CP) with constipation.\u0000Methods: This research is a true experimental study with pre and post-test randomized control group design. Subjects were 18 children with CP who were constipated according to the ROMA IV criteria, which were divided into two groups, namely the control group who received standard therapy (lactulose) and the intervention group who received lactulose plus IFC therapy with a frequency of 4000-4100 Hz, duration 20 minutes, 3 times a week for 1 month. The parameters evaluated in this study were the value of abdominal muscle activity at rest and during contraction. Measurements were carried out twice, before and one week after the completion of the IFC therapy series. Data were analyzed computerized with SPSS v20.0.\u0000Results: There was a significant decrease in abdominal muscle activity at rest (P= .024) in the treatment group, while there was an insignificant increase in the control group (P= 0,266).\u0000The abdominal muscle activity during contraction in the treatment group showed a greater increase (P= 0.730) than in the control group (P= 0.831). The effect size in the treatment group is 0.2, which means it has a small effect, while in the control group is 0.1, which means it has no effect.\u0000Conclusion: The addition of IFC to standard therapy (lactulose) can improve abdominal muscle activity so that IFC can be an alternative supporting therapy in cerebral palsy with constipation to provide a good clinical response.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49085625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic balance in obese subjects: before and after telerehabilitation weight-bearing exercise for better balance","authors":"Astika Cahya Noviana, Meisy Andriana, I. P. A. Pawana, D. Tinduh, H. Novida, Soenarnatalina Melaniani","doi":"10.15562/bmj.v12i1.3726","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3726","url":null,"abstract":"Background: People with obesity tend to have balance disturbance and a higher fall risk than those with normal BMI. The Weight-bearing Exercise for Better Balance (WEBB) is an exercise program that could improve balance in the elderly population, but no study implementing the WEBB program on obese subjects. This study aims to analyze the effects of the telerehabilitation WEBB program on dynamic balance in obese subjects, measured by Maximized Reach Distance (%MAXD) and a composite score of the Modified Star Excursion Balance Test (mSEBT).\u0000Methods: Ten male participants aged 18-30 were recruited. Participants underwent the WEBB program 3 times a week for 8 weeks in their own homes under the supervision of the researchers. The intensity of the exercise was increased every 2 weeks. For the analysis, %MAXD and composite score mSEBT were used to assess the dynamic balance before and after the WEBB program.\u0000Results: There was a significant increase (p < 0.05) in %MAXD of both sides and all directions. The mSEBT composite score of both sides also significantly increased (p < 0.05). All the statistical results showed large effect sizes.\u0000Conclusion: The WEBB program through telerehabilitation is proven to significantly improve dynamic balance, as indicated by an increase in %MAXD and mSEBT composite scores in obese subjects.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45205260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot study of new scoring system severity of striae distensae","authors":"I. Putra, N. Jusuf, Alviera Yuliandra Amal","doi":"10.15562/bmj.v11i3.3968","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3968","url":null,"abstract":"Background: Striae distensae (SD) is a common skin disorder in the form of linear atrophy, which arises due to stretching and is one of the most common cosmetic problems. There is no scoring system to assess the severity of striae distensae that is easy to use, non-invasive, and consistent and can be used to evaluate SD treatment. This study formulated and validated a scoring system to assess the severity of striae distensae.\u0000Methods: This study was a descriptive observational study with a cross sectional approach involving 30 female health workers at the Universitas Sumatra Utara Hospital. Assessment of SD severity in six regions using four parameters.\u0000Results: A scoring system for the severity of striae distensae has been formulated, named the INA score, to assess the severity of SD in six regions; mammae, axilla, abdomen, femur, gluteus and poplitea using four parameters; the number of lines, the size of the longest striae distensae line, color, and itchy. The results of the validation test are statistically valid (r-value>0.361), and the reliability test is found to be reliable (Cronbach's Alpha>0.361).\u0000Conclusion: The formulation of a valid and reliable scoring system, named the INA score, has been obtained to assess the severity of striae distensae measured at six locations and four parameters.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45686880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ameliorative effect of 50% ethanol extract of moringa leaves (Moringa oleifera Lam.) on lead-induced oxidative stress in the liver of male wistar rat model","authors":"A. Laksana, Lily Kusumasita, Falah Faniyah","doi":"10.15562/bmj.v11i3.3728","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3728","url":null,"abstract":"Purpose: This study aimed to examine the ameliorative effect of 50% ethanol extract of Moringa leaves on lead-induced oxidative stress in the liver of male Wistar rat model.\u0000Experimental Animal and methods: In this study, adult male Wistar rats were divided into 4 groups, consists of one control group (Kn) and three experimental groups (P1, P2 and P3). All group received Pb-acetate 750 mg/kgBW/day for 7 days. After that, control groups received 1 ml aqua for 14 days, and 3 experimental groups received 1 ml volume of 250, 500 and 1.000 mg/kgBW/day of 50% ethanol extract of moringa leaves orally for 14 days, respectively. Methods measured liver level of GSH, GPx, SOD, CAT and MDA describes by Hernayanti and Simanjuntak (2018) and Ratnaningtyas et al (2022). GSH was measured by a method described by El Shater et al (2016). Data were analyzed with ANOVA and Tukey HSD post hoc test.\u0000Results: Study results demonstrated that there was significant elevation of liver level of GSH, GPx, SOD, and CAT (p<0,05), and significant decreased of MDA levels (p<0,05) in all experimental groups. Significant amelioration of oxidative stress (p<0,05) were found in groups received 250, 500 and 1.000 mg/kgBW/day orally for 14 days.\u0000Conclusion: In conclusion, 50% ethanol extract of moringa leaves doses 250, 500 and 1.000 mg/kgBW/day orally for 14 days ameliorates lead-induced oxidative stress in rat liver. The most effective dose was 1.000 mg/kgBB/day orally for 14 days.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44604557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Circumcision in Bali? a survey of knowledge and attitude of Balinese parents toward their son’s circumcision in elementary school Denpasar, Bali","authors":"I. W. J. Junior, Rizky Darmawan, Dhanu Aryawangsa, Adi Satrya Palguna, Nindya Prahasari, Anak Agung Gde Oka","doi":"10.15562/bmj.v11i3.3516","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3516","url":null,"abstract":"Background: Many factors were involved performing circumcision such as knowledge, religion, or culture. Circumcision was the most common surgical procedure, but considered low in Bali. This study aims to determine the general knowledge and attitudes of parents towards the decision to make circumcision in children in the city of Denpasar.\u0000Methods: A study in Denpasar area involving 1655 questionnaires was filled out by one parent who had at least one son in the Denpasar elementary school.\u0000Results: The response rate was 86.5% (1655); Most respondents were fathers (55.3%), Hinduism (66,8%), and educational level was high school (45%). 70,5% respondents didn’t circumcise their sons. 51% respondents believe that circumcision was necessary. Most reason to circumcision was better hygiene (52.3%). The best age for circumcision was Elementary School (76.4%). Most reason for not being circumcision was didn’t know medical benefits (30.6%). It was found that most respondents had good knowledge (71.9%). Parents with a high level of education were more positive in responding to circumcision in their sons (P <0.05). Mothers were more positive in responding to circumcision (P <0.05). no significant differences were found in the respondents of father and mother to level of knowledge about circumcision.\u0000Conclusion: This study concluded that most respondents had well knowledge about circumcision but majority didn’t circumcise their son. More future research is needed to describe the condition of circumcision in some regions in Indonesia and it’s important to both children and parents know about advantage and disadvantage of circumcision.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46681345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of outcomes between a ruptured and unruptured intracranial aneurysm: results from an Indonesian cohort study","authors":"Julius July, Patrick P. Lukito, V. Angelica, J. H. Wijaya, Audrey Hamdoyo, Nyoman Aditya Sindunata, Rusli Muljadi","doi":"10.15562/bmj.v11i3.3725","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3725","url":null,"abstract":"Purpose: A ruptured intracranial aneurysm has a high mortality rate. Moreover, many of its surviving patients have to live with severe disabilities. Therefore, surgical or endovascular treatment is recommended in some patients with a known aneurysm and a high risk of rupture. However, many patients are reluctant to undergo treatment, fearing its complications. This study aimed to evaluate the treatment outcomes and safety in patients with a ruptured and unruptured intracranial aneurysm.\u0000Methods: We retrospectively reviewed the records of patients treated for intracranial aneurysms in our hospital between 2017 to 2021. Our primary outcome was discharge functional outcome. We also evaluated cerebral infarction, stay duration, and mortality. We used bivariate and multivariate analysis.\u0000Results: 85 patients were included in this study. 69 (77.5%) patients were treated after rupture. Most patients were treated with clipping (78.8%). Patients with a ruptured aneurysm significantly had a higher risk of poor discharge functional outcome (OR 5.708 [1.061 – 30.712]; p 0.042). Six patients with a ruptured aneurysm died. Patients with a ruptured aneurysm also spent more time at the hospital. There was no mortality or complication in patients with an unruptured aneurysm.\u0000Conclusion: Patients treated before their aneurysms ruptured had better outcomes with no complications. Therefore, treatment should be considered for high-risk patients.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41711009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Massive subdural empyema secondary to infectious parotitis: a case report","authors":"S. Maliawan, Steven Awyono, Eufrata Silvestris Junus, N. Golden","doi":"10.15562/bmj.v11i3.3582","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3582","url":null,"abstract":"Background: Subdural empyema is an intracranial focal collection of purulent material between the dura and arachnoid mater. The most common causes are purulent meningitis in infants and sinusitis and otitis media in older children through a direct extension of the infection. Although it is very rare, parotitis may also cause subdural empyema. This report presents our case of subdural empyema due to infectious parotitis in a pediatric patient.\u0000Case report: A 1-year-old boy was referred from other hospitals for multiple seizure episodes. He also had a complaint of vomit and fever 3 weeks ago. On the neurological examination, we found that he had a GCS of 8, no meningeal sign was found, and with dilated pupil on the right side. A contrast-enhanced head computed tomography (CT) scan revealed multiple hypodense masses with ring enhancement over the right hemisphere, and a severe midline shift suggested as subdural empyema. We then performed a craniotomy to evacuate the empyema. Two weeks after surgery, he was fully alert without any surgical morbidity.\u0000Conclusion: Although parotitis is the less likely disease that can cause subdural empyema, we should also include the disease as the possible cause before we examine the patient more thoroughly and exclude them as the disease that can cause subdural empyema.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42765020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Silver sulfadiazine as the topical treatment for giant omphalocele: a case report","authors":"Ni Luh Putu Herli Mastuti, R. Etika, M. T. Utomo, D. Angelika, K. Handayani","doi":"10.15562/bmj.v12i1.3620","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3620","url":null,"abstract":"Background: Major omphalocele is defined as an abdominal defect greater than 5 cm with the presence of the liver and most parts of the bowel in the sac. The management remains challenging for pediatricians and surgeons with remarkably high mortality. Reports about topical agents/dressing used as escharotic therapy, such as silver sulfadiazine, povidone-iodine, topical antibiotics, or honey, have been published with different results. Continued application of a thick layer of silver sulfadiazine on the omphalocele surface is needed to promote eschar formation and neo-epithelialization.\u0000Case description: A term, 2700-gram newborn male infant presented with abdominal defect and herniated abdominal contents covered by a membranous sac containing liver that is widely known as omphalocele. A thick layer of silver sulfadiazine was applied repeatedly onto the omphalocele sac to promote epithelialization and successfully reduce the sac diameter. The patient showed a positive outcome as it reduced the omphalocele size after nine days. The patient family has been educated about the continued application of silver sulfadiazine. Although non-operative delayed treatment has lower mortality rates and better clinical outcomes, the patients should wait for the reconstruction surgery for a long time.\u0000Conclusion: Conservative treatment with silver sulfadiazine is safe and shows satisfying results to the giant omphalocele.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46395628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}