Bali Medical Journal最新文献

{"title":"Complex distal radius fracture (CDRF) with median nerve injury management using one-stage distraction bridge plate fixation (DBPF) without nerve exploration allows nerve function recovery: a case report","authors":"Benedictus Anindita Satmoko, H. Suroto","doi":"10.15562/bmj.v11i3.3680","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3680","url":null,"abstract":"Background: Complex distal radius fracture (CDRF) associated with median nerve injury is rarely reported due to low incidence or low recognition rate. Thus, we reported the outcome of using distraction bridge plate fixation (DBPF) in managing CDRF associated with median nerve injury without volar nerve exploration.\u0000Case description: We reported a 67-years old male who sustained pain in the right wrist with dorsal angulated deformation following a fall on an outstretched hand two hours before being admitted to the emergency department. The patient also complained of numbness in all of the fingers except the little finger of the right hand. Posteroanterior (PA)/right lateral X-rays showed grossly dorsal displaced of the comminuted distal radius fracture associated with ulnar styloid avulsion. The diagnosis was a CDRF associated with median nerve injury. He underwent surgery in an emergency setting with DBPF on the dorsal side without opening the fracture site guided by an image intensifier. Early mobilization was started as the patient could tolerate the pain, and neuromuscular electrical stimulation was given twice a week after surgery. Plate removal was done six months after surgery and continued with a range of motion exercise of the right wrist.\u0000Conclusion: It is important to consider the anatomical reduction without additional soft tissue trauma by opening the fracture site and the early emergency surgery decision based on physical examination in CDRF management. The stable fixation allows axonal regeneration after median nerve injury, proved by good nerve functional outcomes. DBPF is suitable for post-operative wound care and decreases costs compared to staged fixation surgery and volar nerve exploration. However, we still need to further investigate this procedure through higher comparison studies.","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":"45880677","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":"Medico-socio-economic perspective of congenital hydrocephalus patients treatment in dr. Soetomo Academic General hospital, Surabaya, Indonesia","authors":"Heru Kustono, Muhammad Arifin Parenrengi, Arief Wibowo, Agus Turchan, Kurnia Kusumastuti, Asra Alfauzi","doi":"10.15562/bmj.v11i3.3586","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3586","url":null,"abstract":"Background: Hydrocephalus is a brain disease that requires prompt treatment. The outcome of hydrocephalus is dependent on early detection and treatment. This study was conducted to analyze the medico-socio-economic perspective on the delayed treatment of hydrocephalus patients, which aimed to advance the practice of neurosurgery in the socio-neurosurgery field, including both preventive and therapeutic aspects.\u0000Method: This was an observational analysis study. The study subjects were all patients with congenital hydrocephalus treated in dr. Soetomo Academic General Hospital between January 2017 and December 2019. The study was carried out on January 2017 to December 2019 at the Inpatient Surgery ward, dr Soetomo Academic General Hospital, neurosurgery outpatient unit, and home visits. Research data consists of both primary and medical record data. Data on patient characteristics were obtained through direct interviews with the sample using prepared questionnaires, medical record data, and radiological data of both patients examined at dr. Soetomo Academic General Hospital and other health services. Bivariate correlation analysis was performed to assess the effect of each risk factor on the incidence of delay in treatment, and multivariate logistic regression analysis was performed to assess the magnitude of the effect of risk factors.\u0000Result: The number of cases was 101 subjects. A total of 101 patients included as research samples were congenital hydrocephalus patients who received the first treatment at dr. Soetomo Academic General Hospital from January 2017 to December 2019. Up to 50 individuals (49.5%) were delayed in treatment. The data analysis with Chi-square did not reveal a statistically significant correlation between delay in treatment and level of parent's education (p=0.0951), delay in treatment and economic status ((p=0.4955). Delays in the treatment of congenital hydrocephalus were statistically significant and correlated with Posyandu's role (p=0.0012), health insurance ownership (p=0.0001), family support (p=0.0130), and professional medical decisions (p=0.0001). Health insurance ownership has the smallest p-value (0.000) and largest wald (16.545) in the multivariate logistic regression analysis calculation using the enter method. The insurance ownership variable has the most significant and largest partial influence on the delay in treating congenital hydrocephalus.\u0000Conclusion: There were 101 patients included, and up to 50 individuals (49.5%) were delayed in treatment. Parents' education level and socioeconomic status were not associated with delayed treatment of congenital hydrocephalus. Delays in managing congenital hydrocephalus were influenced by Posyandu's role, health insurance ownership, family support, and professional medical decisions.           ","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":"44633814","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":"Aloe vera and its potency as antituberculosis against strains of Mycobacterium tuberculosis that is resistant to some tuberculosis drugs","authors":"H. Mawarti, Mukhamad Rajin, Zulfa Khusniyah, Zulfikar Asumta, Khotimah, Christina Destri Wiwis Wijayanti","doi":"10.15562/bmj.v11i3.3644","DOIUrl":"https://doi.org/10.15562/bmj.v11i3.3644","url":null,"abstract":"Introduction: Aloe vera has anti-bacterial ability against Gram-positive and Gram-negative bacteria; however, anti-bacterial study, especially in multidrug resistant strain of Mycobacterium tuberculosis, has not been evaluated yet. This study aims to determine the potential of Aloe vera as an antituberculosis against drug-resistant strains of tuberculosis.\u0000Method: Stages of research include the production of ethanol extract of Aloe vera, then testing the phytochemicals (identification of alkaloids, steroids/triterpenoids, anthraquinone, flavonoids, saponins, tannins) and chemical content testing by thin layer chromatography (TLC). The anti-bacterial test for Mycobacterium tuberculosis was performed on the Lowenstein Jensen media.\u0000Results: Test results showed the qualitative identification, and TLC contains alkaloids, steroids/triterpenoids, anthraquinone, flavonoids, saponins, and tannins. Antioxidant activity against DPPH radical shows an IC50 value of 6927.133 ppm. Test of anti-bacterial activity to Mycobacterium Tuberculosis H37Rv and MDR TB strains HE (resistant to INH and Ethambutol), and SR (resistant to streptomycin and Rifampicin) showed inhibition ranging concentration of 50 mg/mL in all extracts as well as to test the sensitivity, a sensitive start to a concentration of 50 mg/mL in all extracts.\u0000Conclusions: Aloe vera contains alkaloids, steroids/triterpenoids, anthraquinone, flavonoids, saponins, and tannins that act as antioxidants and antituberculosis against strains of Mycobacterium tuberculosis that are not resistant and resistant to anti-tuberculosis drugs.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45799874","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":"Daya Tarik Lembu Putih dalam Pengembangan Pariwisata Berkelanjutan","authors":"Ni Wayan Desi, I. Sutama, Ninik Ernawati, I. G. Mudana, I. K. Suja","doi":"10.51172/jbmb.v3i3.234","DOIUrl":"https://doi.org/10.51172/jbmb.v3i3.234","url":null,"abstract":"Purpose: This study is to determine the current development of sacred Lembu Putih (White Cow) tourist attraction as well as the strategy for developing such a tourist attraction as a sustainable tourism. \u0000Research methods: The data collection used is participatory observation, structured interviews, documentary study, and questionnaires. The analysis technique used is the mix methods. \u0000Results and discussion: Internal factors that influence the development of white bull tourist attraction as Sustainable Tourism are attractions, facilities, accessibility, human resources and prices, while external factors are political factors, economic factors, social factors, technological factors. \u0000Implication: A priority tourist attraction development strategy is obtained, namely expanding networks, promoting, and maintaining cooperation with the government and the private sector to support improving the quality of facilities and infrastructure.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":"74 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82291595","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":"Pendidikan Multikultural di Kampung Loloan, Jembrana","authors":"Solihin, Ida Ayu Ketut Sumawidari, I. P. Budiarta, I. G. M. Wendri, I. N. Kanca","doi":"10.51172/jbmb.v3i3.238","DOIUrl":"https://doi.org/10.51172/jbmb.v3i3.238","url":null,"abstract":"Tujuan: Studi ini bertujuan membahas bentuk kerukunan Umat Islam-Hindu di Kampung Loloan, Jembrana, Bali, dan pendidikan multikultural dalam kehidupan masyarakat setempat. \u0000Metode penelitian: Data penelitian diperoleh melalui kajian pustaka, observasi dan wawancara dengan pemerhati budaya Bali dan tokoh masyarakat Kampung Loloan. \u0000Hasil dan pembahasan: Bentuk kerukunan itu antara lain tercermin dalam kuatnya tradisi menyamebraya yang diwijudkan dalam bentuk silaturahmi, saling ngejot, pemakaian bahasa Loloan atau bahasa Melayu-Bali, serta kerjasama dalam pangan kehidupan sosial dan ekonomi. Kerukunan dan kehidupan multikultural dalam kehidupan masyarakat Kampung Loloan diperkuat dengan adanya model pendidilkan multikultural yang meliputi lima dimensi: menyadarkan generasi penerus tentang arti peting multikulturalisme; meningkatkan pengetahuan tentang keragaman budaya; menanamkan sikap toleransi, menumbuhkan sikap solidaritas (kerjasama) antar-umat; dan menanamkan sikap cinta damai. Implikasi: Proses sosialisasi dan enkulturasi nilai-nilai kerukunan kepada generasi berlangsung secara formal (di sekolah dasar dan menengah), semangat menyamebraya juga dipraktikkan langsung dakan kehidupan sehari-hari masyatakat Kampung Loloan, Jembrana.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":"10 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89798079","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":"Pregina Art & Showbiz Participation in the 14th Denpasar Festival Opening Ceremony","authors":"Aprildo Christofel Dapot Tua Parulian Gultom, Ketut Sumerjana, I. K. Darmayuda, N. Ardini","doi":"10.51172/jbmb.v3i3.236","DOIUrl":"https://doi.org/10.51172/jbmb.v3i3.236","url":null,"abstract":"Purpose: The purpose of this research is to find out the role of Pregina Art & Showbiz, e.g. the pre-production, production, and post-production processes, as well as the obstacles that occurred during the opening of the 14th Denpasar Festival on 10 December 2021 at Alaya Dharma Negara building, Denpasar. Research methods: the qualitative method used during this activity covers participant-observation, interview, and documentation. Results and discussion: Having participated at the activity, the writers knew what Pregina Art & Showbiz Art's role was. Pregina Art & Showbiz became the Event Organizer for this event and made a live stream. Implication: There are a special knowledge and skill on how to lead an event and how to market and sell it directly to clients via social media.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":"98 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83585243","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":"Distribution pattern and spatial analysis of factors for tuberculosis (TB) cases in Bandar Lampung City in 2022","authors":"Maria Tuntun, S. Aminah, Yusrizal CH","doi":"10.15562/bmj.v12i1.3918","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3918","url":null,"abstract":"Background: Indonesia will be free of TB (Tuberculosis) in 2050, and elimination will begin in 2030. TB cases are still high in Bandar Lampung City, so efforts are needed to solve the problem. Mapping of TB cases using a Geographic Information Spatial (GIS) approach was performed in this study to evaluate the spreading patterns of TB patients so that policies can be taken to deal with TB cases in an epidemiological manner.\u0000Methods: The research was conducted in 31 public health centers in Bandar Lampung City. The number of TB patients in this study was 879 people. Making maps for visualizing the spread of TB patients using Archgis software, data were analyzed with Geoda and Moran's Index to see the spatial relationship between variables.\u0000Results: The spatial analysis using Geoda found a spatial relationship between TB patients and population density (p=0.00079) and the distance between the TB patient's house and the health center (p=0.00000). However, there was a significant relationship between the underprivileged group (p=0.21682) and topography (p= 0.29139). The Z score for the 4 variables is quite large and >Z0.95, so the distribution pattern of TB patients is stated to be clustered (cluster).\u0000Conclusion: Based on the TB patients mapping and the spatial analysis, it is known that the distribution pattern of TB patients in Bandar Lampung City forms a clusters pattern, and there is an autocorrelation relationship between population density, underprivileged groups, height and distance from the TB patient's house to the health center.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44744815","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":"Popularitas Empat Destinasi Wisata Pulau Terbaik Dunia Menggunakan Google Trends","authors":"I Gusti Bagus Rai Utama, I. Junaedi, Pancasila ' Putri, I. M. Sumartana","doi":"10.51172/jbmb.v3i3.229","DOIUrl":"https://doi.org/10.51172/jbmb.v3i3.229","url":null,"abstract":"Tujuan: Penelitian ini dilakukan untuk menganalisis popularitas empat destinasi wisata pulau di dunia yaitu Phuket, Bali, Hawaii, dan Langkawi. \u0000Metode penelitian: Penelitian ini menggunakan alat analisis statistik deskriptif dengan bantuan Google Trends untuk menentukan popularitas empat destinasi pulau tersebut. \u0000Hasil dan pembahasan: Analisis menunjukkan bahwa sejak awal tahun 2000 hingga akhir tahun 2021, destinasi Phuket sangat populer bagi wisatawan yang berasal dari Thailand sendiri, Russia, Turkey, Hong Kong, dan Singapore. Bali sangat populer di kalangan wisatawan Indonesia sendiri, Netherlands, India, Australia, dan Belgium. Hawaii sangat populer di kalangan wisatawan dari United States sendiri, Japan, Canada, Brazil, dan South Korea. Langkawi sangat populer di kalangan wisatawan yang berasal dari Malaysia sendiri, Singapore, Pakistan, Hong Kong, dan Egypt. \u0000Implikasi: Destinasi wisata yang paling populer adalah Hawaii, kemudian Bali, lalu Phuket, dan yang terakhir adalah Langkawi. Bali menduduki posisi kedua atau setelah Hawaii.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":"26 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74458263","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":"“Nataka Binna”: Karya Tari Fenomena Lintas-Gender dan Penolakan Perundungan","authors":"Anak Agung Bagus Harjunanthara, I. K. Sariada, Ida Ayu Wimba Ruspawati","doi":"10.51172/jbmb.v3i3.237","DOIUrl":"https://doi.org/10.51172/jbmb.v3i3.237","url":null,"abstract":"Purpose: This paper aims to discuss a new dance creation entitled \"Nataka Bhinna\" which comes from a cross-gender phenomenon. \u0000Research method: Using Balinese gamelan and MIDI (musical instrument digital interface), the dance is presented with stage choreography at Museum Puri Lukisan Ubud. Its analysis uses imagination theory, aesthetic theory, and semiotic theory. \u0000Results and discussion: The movement motifs used in \"Nataka Bhinna\" dance work using ngagem are created to follow the theme raised in the arrangement of the work. The tandang movement was developed without eliminating the grip of the away movement itself. The tangkep movement is developed according to the expression and emphasizes the characters used. \u0000Implication: This dance has a message related to how human should humanize humans.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":"9 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87510306","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":"Role of myostatin protein in sarcopenia (aging muscle) after conditioned medium umbilical cord mesenchymal stem cells (secretome) therapy: mini review","authors":"Ronald Winardi Kartika, Veronica Sidharta, Tena Djuartina, Ignatio Rika, Cynthia Retna Sartika, Kris Hemawan Timotius","doi":"10.15562/bmj.v12i1.3790","DOIUrl":"https://doi.org/10.15562/bmj.v12i1.3790","url":null,"abstract":"Umbilical Cord Mesenchyme stem cell (UC-MSCs) /secretome has been applied for treating several diseases, such as cardio-protection and diabetes. Secretome-derived paracrine modulating effects of various growth factors, cytokines, chemokines, angiogenic factors, and exosomes are used in aging therapy. In recent clinical trials on sarcopenia therapy such as pharmaceutical interventions, nutrition, and physical exercise are reported to be effective strategies to reduce sarcopenia.\u0000The pathomechanism of the secretome in the treatment of sarcopenia is unclear. This study looked into how secretome might affect myostatin, a biomarker of sarcopenia, at the molecular level. Myostatin, a member of the TGF-family, significantly increases muscle growth when it is absent while suppressing muscle growth when it is present. A bioactive substance called secretome is secreted by MSCs in conditioned conditions. It is rich in growth factors and cytokines, which are crucial for speeding up tissue regeneration. Secretome intervention is a promising approach for treating sarcopenia as showed by its ability to prevent muscle loss and to improve molecular biomarkers.","PeriodicalId":44369,"journal":{"name":"Bali Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45741602","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}