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Journal : aesculapius medical journal

Gambaran Faktor Risiko Penyakit Demam Berdarah Dengue pada Anak di Wilayah Kerja Puskesmas Tabanan I Desak Agung Indah Praharsini Dewi; Anak Agung Oka Lely; Sri Agung Aryastuti
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.3.1.2023.25-31

Abstract

Dengue hemorrhagic fever (DHF) is one of the most concerning infectious disease problems. Tabanan regency has one of the highest case fatality rate (CFR) of dengue hemorrhagic fever with the Tabanan sub-district having a relatively high increase on 2018 – 2019 period. DHF tends to affect children and increasing its mortality rate. There are several risk factors contributing to the higher incidence of DHF such as human as its host-related risk factors, mosquito as its vector-related risk factors, and the environment itself as one of the risk factors. This study used descriptive methods with cross sectional study design. The data collected in this study is primary data gathered by questionnaire on October – Desember 2021. The subject were children under the age of 18 years in the Puskesmas Tabanan I with criteria qualified, as many as 90 peoples. Univariative sampling by frequency distribution table as its data analysis method. The result of this study indicates that the majority of the dengue hemorrhagic fever cases occurs in the age group of 10-14 years old (35,42 %) and occur mostly in men (58,33 %). Regarding host-related risk factors, children with more outdoor activity (68,75 %) and infrequent us of mosquito repellent (77,09 %) were associated with higher incidence of DHF and regarding the “PSN” activity, higher incidence was found in children/family with habitual garbage cleaning of only once in two weeks (95,82 %), keeping their garbage uncovered (66,67 %), and never recycled their garbage (50 %). Most of the children with DHF rarely used abate in their bathroom(68,75%) and not having the habit of hanging their clothes in the room (64,58 %). From the results of this study, it is hoped that it can give special attention to groups at risk and be used as a reference for further research.
Gambaran Penggunaan Terapi Kombinasi Oral Metformin-Sulfonilurea pada Pasien DM Tipe 2 di Denpasar Ida Ayu Amanda Dewi Wikannanda; Ni Luh Putu Eka Kartika Sari; Anak Agung Sri Agung Aryastuti
Aesculapius Medical Journal Vol 3 No 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.2.2023.224-232

Abstract

Type 2 diabetes mellitus (T2DM) is a global health problem in the form of metabolic disorder characterized by hyperglycemia. Management of T2DM includes pharmacological therapy with oral antidiabetic drugs, either monotherapy or combination therapy. Metformin and sulfonylureas combination therapy is the most common therapy given to T2DM patients in Indonesia, but studies on the use of this combination are limited. This study aims to provide an illustration of the use of metformin-sulfonylureas oral combination therapy in T2DM patients in Denpasar. This is a descriptive cross-sectional study, which was conducted in RSUD Bali Mandara, RSUD Wangaya Denpasar, and RSU Puri Raharja, using data from medical records from January 2020 – August 2021. The total amount of sample is 80 samples. Data that has been analyzed univariately is presented as narratives and tables. The characteristic of the samples includes age 46-65 years (73.8%), female gender (51.2%), having high school education (58.8%), working as private employee (50%), DM duration of 1-4 years (56.3%), and having 2-3 comorbidities (62.5%) with the most common comorbidity being hypertension (58.8%). Result showed that metformin-glimepiride was the most used type of metformin-sulfonylurea combination therapy among samples (90%), with the most used doses were 500 mg of metformin twice daily and 2 mg of glimepiride once daily (17,5%). Most of the samples have controlled level of FBG (60%), dominated by samples who used metformin-glimepiride combination therapy (63,9%). Metformin-glimepiride combination is the most common oral combination therapy due to better safety profile and ability to manage glucose levels than other sulfonylureas.
Hubungan Stres dengan Kejadian Irritable Bowel Syndrome pada Mahasiswa Tahun Pertama Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Komang Rossa Triana Kusumadewi; Luh Gede Sri Yenny; A.A. Sri Agung Aryastuti
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.2.3.2022.195-199

Abstract

Faculty of Medicine has a variety of learning methods that can cause stress which can trigger a functional disorders in the digestive tract, namely irritable bowel syndrome (IBS). This research aims to determine the relationship between stress and the incidence of IBS in first year students of the Faculty of Medicine and Health Sciences, University of Warmadewa. This research was conducted from February to March 2022 using a cross-sectional study and simple random sampling technique. The subjects of this study were students of the Faculty of Medicine and Health Sciences, University of Warmadewa batch 2021 who met the inclusion and exclusion criteria, totaling 73 people. The instruments in this study were the Rome IV questionnaire for the incidence of IBS and the Perceived Stress Scale (PSS) questionnaire for stress levels. Data analysis in this research is Mann-Whitney test with a p value that considered significant, namely <0.05. Based on this study, the prevalence of mild stress was 9 people (12.3%), moderate stress was 61 people (83.6%), and severe stress was 3 people (4.1%). The prevalence of irritable bowel syndrome was 7 people (9.6%). Through the Mann-Whitney analysis, a significant p value of 0.015 (p<0.05) was obtained. The results showed that there was a relationship between stress and the incidence of IBS in first year students of the Faculty of Medicine and Health Sciences, Warmadewa University. Medical students are advised to care and be aware of the symptoms and body conditions that can occur due to stress.
Hubungan Kejadian Ibu Hamil yang Terinfeksi Covid-19 terhadap BBLR di UPT Kesmas Blahbatuh II Agung Aditya Dharmapatni; Komang Triyani Kartinawati; A.A. Sri Agung Aryastuti
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.3.1.2023.106-111

Abstract

The Covid-19 pandemic may concern the birth rate that happens during the pandemic. Low birthweight is a baby that has birth weight of less than 2.500 grams. Indonesia currently stands at the 9th spot with the rate of 15,5% low birthweight out of the total birth each year. This research was held to find the correlation between pregnant mothers afflicted by Covid-19 with the low birthweight in the UPT Kesmas Blahbatuh II area. This research used the analytical quantitative method with the time series method along with the data gathering method of total sampling using medical record and Covid-19 incidents data. The result of this research was 15 total cases of pregnant mothers afflicted by Covid-19 between January 2020 and December 2021, with the peak of these cases was in April 2020. There were a total of 46 cases of low birthweight between January 2020 and December 2021, with the peak of these incidents in October 2021. According to the incident comparison of low birthweight, there is an increase in low birthweight happened within October of 2021 with the number of 6 incidents compared with the same month in 2019. Bivariate analysis shows that there was insignificant correlation between the incident of pregnant mothers afflicted by Covid-19 with the low birthweight incident (p=0,104). Prevention of low birthweight during the pandemic is an early intervention to stimulate a flourishing society.
Hubungan Kedisiplinan Pemakaian Alat Pelindung Mata dengan Kelelahan Mata pada Pekerja Las di Sukawati Ni Made Maharani Dwimarthaswari; A.A. Sri Agung Aryastuti; Ni Nyoman Sunariasih
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.157-164

Abstract

[Correlation Between the Discipline of Using Eye Protective Equipment and Eye Fatigue in Welding Workers in Sukawati District] Welding is a process of joining several metals to form an effective whole. Workers in welding industries can be exposed to high intensity of light welding radiation, which can have an impact on eye health, one of which causes eyestrain. According to several studies, the use of eye protective equipment (APM), such as welding goggles, can reduce eyestrain; however, the awareness of welders in using APM is relatively low. The aims of this study was to determine the relationship of the eyestrain of welding workers in Sukawati and their awareness of wearing APM. The sampling technique employed in this study was total enumeration, encompassing a total cohort of 105 individuals. Data was collected using a Visual Fatigue Index (VFI) questionnaire by looking at the symptoms of welders’ eyestrain. Relationships between variables were tested by data analysis using bivariate analysis through the computerized system of the SPSS program. The findings of this investigation reveal that a significant proportion of welders fall under the age category of >31 years (53.3%), have work shifts lasting >6 hours (64.8%), possess job tenure exceeding 3 years (61.9%), and abstain from utilizing APM (65.7%); eye fatigue is predominantly experienced by the participants (67.6%). The bivariate analysis outcomes suggest a correlation between the conscientiousness of welders in adopting APM and their susceptibility to eye fatigue, with a prevalence ratio of 4.770 (p = 0.001; CI: 2.445 - 9.305). It can be inferred that the diligence in employing APM is linked to the incidence of eye fatigue in welders within Sukawati District. Consequently, it is recommended that welders take periodic breaks using the 20:20:20 method to alleviate eye strain.
Co-Authors Agung Aditya Dharmapatni Agus Santosa Anak Agung Istri Kaila Kirtaniya Anak Agung Oka Lely Asri Lestarini Cahyawati, Putu Nita Citra Udiyani, Desak Putu D. Wijaya Datya , Aulia Iefan Desak Agung Indah Praharsini Dewi Desak Agung Indah Praharsini Dewi Desak Putu Citra Udiyani Dewi, Erly Sintya Dewi, Ni Wayan Erly Sintya Dwi Agustini, Desak Gede I Gde Suranaya Pandit I Gde Suranaya Pandit I Putu Gede Eka Ariawan Suyasa, I Putu Gede Eka Ariawan Ida Ayu Amanda Dewi Wikannanda Ida Ayu Amanda Dewi Wikannanda Indraningrat, Anak Agung Gede Komang Rossa Triana Kusumadewi Komang Rossa Triana Kusumadewi Komang Triyani Kartinawati Lestarini, Asri Luh Gde Evayanti Luh Gede Sri Yenny Made Dharmesti Wijaya Ni Luh Putu Eka Kartika Sari Ni Made Maharani Dwimarthaswari Ni Nyoman Sunariasih Ni Putu Diah Witari, Ni Putu Ni Wayan Rusni Ni wayan Sedani, Ni wayan Ningsih, Ni Luh Anik Puspa Nirmalasari, Ni Kadek Diah Ayu Nita Cahyawati, Putu Nur Habibah Pande Ayu Naya Kasih Permatananda Paramitha, I Gusti Ayu Mas Diah Pradnyawati, Luh Gede Purnami, Pande Putu Christine Putri Putra, Made Rangga Dwinanta Putu Nita Cahyawati Ratih, Gusti Ayu Made Ratna Juwita, Dewa Ayu Putu Ruspita Sari, Ni Ketut Adelia Sari, Made Harlina Purnama Sari, Ni Luh Putu Eka Kartika Suaridewi, I Gusti Agung Ayu Mas Sudiadewi, Ni Putu Eka Sumadewi, Komang Trisna Suryaningsih, Putu Ayu Tanjung Subrata Udiyani, Desak Putu Citra Wardana, Made Kusuma Wijaya, D. Wirajaya, Anak Agung Ngurah Mayun Wirajaya, Anak Agung Ngurah Mayun Yogiswara, Gde Candra