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Accuracy of STRONGKids to Identify Risk of Children Malnutrition in Sanjiwani General Hospital Gianyar, Bali Dewa Ngakan Putu Yogi Astika; Putu Triyasa; Rima Kusuma Ningrum
WMJ (Warmadewa Medical Journal) Vol 6 No 1 (2021): Mei 2021
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.6.1.2490.1-6

Abstract

Malnutrition in the hospital is a condition that needs to be watched out for because it affects the journey and healing process of hospitalized patients. Until now, the prevalence of malnutrition in the hospital is still high in both adult and pediatric patients. Medical usually focuses only on the diagnosis and treatment of the patient. Medical staff rarely pay attention to the nutritional status of patients who are hospitalized so that malnutrition in the hospital often goes undetected. Malnutrition screening is required while the patient will be hospitalized. It is necessary to do research to test the accuracy of STRONGKids as a malnutrition filter test in pediatric patients in hospitals, especially at Sanjiwani General Hospital Gianyar and the percentage of malnutrition in hospitals at Sanjiwani Gianyar Hospital so that they receive early treatment. The purpose of this study was to determine the accuracy of STRONGKids as a screening test for malnutrition in the hospital for children at Sanjiwani General Hospital Gianyar. This research uses design cross sectional by the diagnostic test method. Samples were taken by method consecutive sampling. The number of samples is 40 people. The data analysis technique used the SPSS computer program. STRONGKids data are presented in 2 x 2 table form Chi square. The results obtained were the percentage of hospital malnutrition of 9.8%. STRONGKids with a cutoff value of 1 had a sensitivity of 100% and a specificity of 35.1%. So the STRONGKids score has a fairly high sensitivity. So that the use of the STRONGKids score in combination with anthropometric measurements can be used to detect malnutrition in hospitals. Key words: sensitivity, STRONGKids, child malnutrition in hospital
Hubungan Lama Pemakaian Soft Contact Lens dengan Keluhan Sindrom Mata Kering Putu Febi Apriliona; Nyoman Sunariasih; Rima Kusuma Ningrum
Aesculapius Medical Journal Vol 1 No 2 (2022): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.1.2.2022.51-57

Abstract

Contact Lenses are one of the popular specialized innovations in the field of ophthalmology which very common in society. This is supported by the large number of contact lens wearers worldwide, which has reached 125 million people, while the prevalence of eyeglass/contact lens wearers in Indonesia reaches 2.9% between the 15–24-year age group. Now contact lenses are not only seen as health aids but also as products that can support the lifestyle and the cosmetic field. The type of contact lens that is widely used is Soft Contact Lens (SCL) with various lengths of use ranging from daily to yearly. The purpose of this study was to determine the relationship between the duration of wearing soft contact lenses with complaints of dry eye syndrome. This study was a quantitative analytic study with a cross-sectional approach using purposive sampling. The research was conducted on 2017-2020 students at the Faculty of Medicine and Health Sciences, Warmadewa University with a total of 68 respondents. The data collection method used the Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) questionnaire. Data were analyzed univariate and bivariate using chi-square statistical test and then followed by Spearman's rank correlation test to determine the degree of relationship. The average duration of daily use of soft contact lenses is 7.58±2.711 hours. The study found that the P-value exceeded the significance level of 0.05 (P = 0.965) and the r-value was 0.005. The conclusion is there is no relationship and very weak correlation between the length of using soft contact lenses and complaints of dry eye syndrome.
Hubungan antara Indeks Massa Tubuh dengan Derajat Akne Vulgaris Pada Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa I Putu Madhava Wardhi Gosa; Suyasning Hastiko Indonesiani; Rima Kusuma Ningrum
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.19-24

Abstract

Changes in the physiological condition of the body and various diseases can cause symptoms that manifest on the skin, one of those is acne vulgaris. Acne vulgaris is a condition of chronic inflammation of the sebaceous follicular unit one of it’s cause is Propionibactrium acnes infection and is very common in adolescence and can occur from pre-puberty to adulthood. Body Mass Index (BMI) is suspected to be one of the risk factors for acne vulgaris. This study aims to find the correlation between BMI and the incidence of acne vulgaris among Medical Faculty and Health Science Warmadewa University Students. The method of the study was analyzed observational which cross sectional approach. The BMI was measured by body weight (kg) devided by body height squared (m2) and incidence acne vulgaris by Global Acne Grading System. The samples were carried out on 120 students and the data were analyzed using SPSS 22. The results were showed as follows: there was a relationship between BMI and severity of acne vulgaris. The conclusion could be drawn that the relationship between BMI and acne vulgaris incidence was significant with p-value of 0,002 (p <0.05) and with Prevalence Risk (PR) of 1,19 (CI 95%, 1,003 – 1,413), thus students with underweight to normal BMI have risk of developing acne vulgaris with mild to moderate severity 1,19 times greater than students with overweight to obese BMI.. It could be recommended that students should be prevented from acne vulgaris by maintaining BMI in normal range . Key words: Acne Vulgaris, Body Mass Index (BMI), Pilosebaceous, Propionibacterium acnes.
Emosi Negatif pada Pasien Diabetes Melitus di Puskesmas IV Denpasar Selatan Ida Ayu Nyoman Putri Bijayanti; Putu Asih Primatanti; Rima Kusuma Ningrum
Aesculapius Medical Journal Vol 2 No 3 (2022): Oktober
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.2.3.2022.150-154

Abstract

Health is a valuable and a highly expected thing by the community during their life. When a person is diagnosed with a disease, it could drive the feeling of anxiety, stress or depression. Diabetes mellitus is a disease with a fairly high prevalence in Indonesia. This study examined the negative emotions suffered by diabetic patients in Puskesmas IV Denpasar Selatan. The subjects were 100 number of the diabetic patients who had fulfilled the criteria. This is a descriptive study with a cross sectional design. The data processed using the Statistical Package for the Social Science (SPSS) with univariate analysis which presented in the table of frequency distribution. The research instrument used the Depression Anxiety Stress Scale 42 (DASS 42) questionnaires as a negative emotion measurement tool suffered by the diabetic patients. The results showed that all the diabetic patients did not experienced depression (100%). Based on the age, the most severe level of anxiety and stress were at >40 years, with severe-very severe anxiety (7%) and mild-moderate stress (27%). Based on the gender, the anxiety and stress were mostly found in the male diabetic patients, with experienced mild-moderate anxiety (25.8%), severe-very severe anxiety (7.6%) and experienced mild-moderate stress (30.3%).
Persepsi Mahasiswa Tahap Akademik Terhadap Pelaksanaan Progress Test di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Made Ilora Hiranandasastri; Rima Kusuma Ningrum; Saktivi Harkitasari
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.53-61

Abstract

[Student Perceptions of the Academic Stage on the Implementation of the Progress Test at the Faculty of Medicine and Health Sciences Warmadewa University] Medical education assesment requires a periodic comprehensive and measurement tool to assessing student competence. FKIK UNWAR holds a progress test at the end of every odd semester to evaluate competency in learning achievment. The purpose of this study to describe the perceptions of academic stage medical students towards the implementation of progress tests at FKIK UNWAR. This research is quantitative descriptive. Data used retrospective method. The population in this study were 2016, 2017, 2018 and 2019 FKIK UNWAR students. The sampling technique was total sampling. In 2020 students who have carried out the progress test will be given a self-evaluation questionnaire and an assessment of students at the academic stage of the implementation of the progress test. Data processing was performed using SPSS with univariate analysis. The results showed that the implementation of the progress test stated that 67.1% had good perceptions and 32.9% had poor perceptions. Preparation for the student progress test stated that 70.2% had a good perception and 29.8% had a bad perception. The progress test as a knowledge assessment stated that 67.4% had a good perception and 32.6% had a poor perception. It can be concluded, the results of the analysis in this study found that all respondents had a good perception of the implementation of the progress test, the preparation for the progress test, and the progress test as a knowledge assessment.
Hubungan antara Efikasi Diri dengan Indeks Prestasi Kumulatif Mahasiswa Tahun Pertama di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Ni Ketut Witri Nurcahyani; Rima Kusuma Ningrum; Dewa Ayu Agung Alit Suka Astini
Aesculapius Medical Journal Vol 4 No 3 (2024): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.3.2024.329-336

Abstract

Self-efficacy is important for first year students because it can influence academic achievement as assessed through the grade point average. This study aims to analyze the relationship between self-efficacy and grade point average of first year students at the Faculty of Medicine and Health Sciences Warmadewa University. This research uses an analytical observational method with a cross-sectional approach with a population including all first year students in the 2022/2023 academic year. Data collection was carried out using the General Self Efficacy Scale questionnaire and secondary data on grade point average of first year students for two semesters. Next, the data will be analyzed univariately and bivariately using the IBM SPSS® version 26 application and tested with Spearman. The results showed that respondents had high self-efficacy (65.5%) and respondents had a GPA in the very satisfactory range (51.5%). The majority showed that respondents had high self efficacy and very satisfactory GPA range but the strength of the relationship between that is weak and showed in coefficient correlation is 0.212.
Karakteristik Penderita Penyakit Konjungtivitis pada Poliklinik Mata Rumah Sakit Umum Daerah Sanjiwani Gianyar Ni Kadek Intan Vitaloka; Rima Kusuma Ningrum; Ni Wayan Sedani
Aesculapius Medical Journal Vol 4 No 3 (2024): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.3.2024.337-343

Abstract

Conjunctivitis is an acute or chronic inflammation of the conjunctiva caused by microbial invasion or an immunological response. Conjunctivitis is considered one of the eye diseases with a high incidence, including in Bali. The objective of this study is to analyze the characteristics based on age, gender, address, location of eye complaints, and symptoms in patients with conjunctivitis. The method used in this research is a retrospective descriptive design through a cross-sectional approach, which is a research design that only describes secondary data obtained from data collection at one time. The data obtained were then tabulated and processed using the Statistical Package for Social Science (SPSS) for Windows. The results of the conjunctivitis study at the Eye Polyclinic of Sanjiwani Gianyar Regional General Hospital from June 2022 to June 2023 showed that the most cases (46%) were at the age of ?40 years, the majority (63%) occurred in men, with (44.33%) the most common clinical symptoms is red eyes, (51%) the location of bilateral eye complaints and the highest (37%) in Gianyar sub-district. Conjunctivitis can occur in everyone, both males and females, and can be found in various age groups with varying symptoms in each individual.
Hubungan antara Indeks Prestasi Kumulatif dan Nilai OSCE Komprehensif Mahasiswa Putu Ayu Jaya Switi; Rima Kusuma Ningrum; I Made Pariartha
Aesculapius Medical Journal Vol 4 No 3 (2024): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.3.2024.351-359

Abstract

Medical education is constantly evolving to suit the needs of students, faculty, and society. With the development of Miller's pyramid theory, since the mid-20th century Objective Structured Clinical Examination (OSCE) has become an assessment standard to measure the improvement of clinical skills in medical training. OSCE is an evaluation method to assess clinical skills in medical undergraduate stage in a structured manner, which tests several aspects, namely knowledge, psychomotor, and attitude aspects. Clinical reasoning ability is one of the indicators that can be seen in the Grade Point Average (GPA). The cognitive aspect includes all knowledge gained through lectures, self-study activities, and group discussions. This aspect is tested with a Multiple Choice Question (MCQ) in the exam at the end of the block. It is still unknown whether OSCE scores can reflect students' clinical reasoning skills, because only a few studies have explained the effectiveness of OSCE to evaluate medical students' clinical reasoning skills. The purpose of this study was to determine the relationship between GPA and comprehensive OSCE scores in 105 students of class 2018 of the Faculty of Medicine and Health Sciences, Warmadewa University. The results showed that most students had a GPA> 3.50 and OSCE scores of 80.00 - 100.00. Bivariate analysis showed a strong relationship between GPA and Comprehensive OSCE scores with a correlation coefficient of 0.796.
Perbedaan Pencapaian Kompetensi Farmakoterapi pada Ujian OSCE Mahasiswa FKIK Universitas Warmadewa Semester 7 dan 8 Adelia Putri Mas; Rima Kusuma Ningrum; Luh Gde Evayanti
Aesculapius Medical Journal Vol 5 No 1 (2025): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.5.1.2025.24-30

Abstract

Pharmacotherapy is a sub-discipline of pharmacology that studies the treatment of diseases through the use of medications. The use of drugs is considered rational when patients receive medications that suit their needs, for an adequate period of time, and at the most affordable cost for both the patient and society. Prescription writing falls under the competency of healthcare physicians, meaning that doctors are required to master the proper and correct way of writing prescriptions. The Objective Structured Clinical Examination (OSCE) is part of an assessment system aimed at evaluating the clinical competencies and skills of students objectively and systematically. This study aims to determine the differences in the achievement of pharmacotherapy competency during the OSCE among 7th and 8th-semester students of the Faculty of Medicine and Health Sciences, Warmadewa University. The method used in this research is a descriptive-analytic method to identify the relationship between variables through a cross-sectional approach. The target population in this study consists of all medical students of the Faculty of Medicine and Health Sciences at Warmadewa University who meet the inclusion and exclusion criteria. Data collection was based on OSCE scores from the 2019 cohort. A dependent t-test was then conducted, followed by determining Cohen's d. The dependent t-test results showed that the average OSCE scores in pharmacotherapy competence in the 7th and 8th semesters were significantly different, with a p-value of 0.000. This improvement from the 7th to the 8th semester reflects a deeper mastery of more complex pharmacotherapy scenarios.  
Hubungan Internet Addiction Dengan Motivasi Belajar Siswa SMA Negeri 1 Negara Gede Rizky Wismaya Pradipha; Luh Gde Evayanti; Rima Kusuma Ningrum
Aesculapius Medical Journal Vol 5 No 1 (2025): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.5.1.2025.75-82

Abstract

In the digital era, individuals find it easier to access information. The convenience provided by the internet often leads people to become complacent, resulting in excessive usage and potential addiction. Internet usage is common among students and significantly impacts their learning motivation. Learning motivation refers to the drive or enthusiasm that students exhibit in their educational pursuits, shaped by personal expectations, goals, and needs. When students possess positive motivation, they tend to demonstrate greater eagerness and enthusiasm for learning and are more actively engaged in class activities. This study aims to explore the relationship between internet addiction and the learning motivation of students at SMA Negeri 1 Negara. The sample consists of students who met the study's inclusion and exclusion criteria, selected through purposive sampling, totaling 178 respondents. This research adopts an observational analytic design with a cross-sectional approach. The results of the study show that the majority of students at SMA Negeri 1 Negara experienced a moderate level of internet addiction, accounting for 77.5%, followed by a severe level at 16.9%, and a mild level at 5.6%. Meanwhile, in terms of learning motivation, most students fell into the moderate category at 81.5%, followed by the high category at 16.9%, and the low category at 1.7%. The Spearman correlation test indicated a weak but significant negative relationship between the level of internet addiction and students' learning motivation, with a p-value of < 0.003 and a correlation coefficient of -0.222. This suggests that the higher the level of internet addiction experienced by students, the lower their learning motivation tends to be. These findings highlight that uncontrolled internet use can negatively impact students' enthusiasm and engagement in the learning process. Nevertheless, most students still demonstrated a moderate level of learning motivation, indicating an awareness and ability to self-regulate against the adverse effects of excessive internet use.