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Journal : aesculapius medical journal

Hubungan Vaksinasi Rotavirus Pentavalent dengan Kejadian Diare pada Anak Usia 6-24 Bulan di Denpasar I Made Dwiky Vinandyanata; Ni Putu Aniek Mahayani; Anak Agung Ayu Lila Paramasatiari
Aesculapius Medical Journal Vol 1 No 1 (2021): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.1.1.2021.20-26

Abstract

Abstrak Diare adalah penyakit yang banyak menimpa serta menjadi sebab kematian kedua tertinggi secara global pada anak yang berumur < 5 tahun. Prevalensi diare pada balita di Indonesia terus meningkat tiap tahunnya. Kota Denpasar adalah kabupaten dengan kasus diare tertinggi kedua di Provinsi Bali. Infeksi rotavirus menjadi sebab diare banyak menjangkiti bayi dan anak-anak di Indonesia bahkan dunia. WHO memiliki 7 poin pedoman yang paling efektif untuk mencegah diare pada anak, salah satunya adalah pemberian vaksin rotavirus. Maksud kajian ini ialah guna memahami kaitan vaksinasi rotavirus pentavalent terhadap kasus diare anak umur 6-24 bulan di Kota Denpasar. Kajian ini merupakan observasional analitik melalui desain penelitian case control. Peserta penelitian dipilih mempergunakan teknik consecutive sampling dengan jumlah 72 anak berusia 24-36 bulan yang datang ke praktik dokter spesialis anak wilayah Denpasar. Data penelitian didapatkan menggunakan instrumen kuesioner yang berikutnya akan dianalisis menggunakan aplikasi SPSS memakai uji chi-square dan regresi logistik. Kajian ini memperlihatkan pada kelompok yang tidak mengalami kejadian diare sebagian besar mendapatkan vaksin rotavirus pentavalent (66,7%). Pada uji chi-square diketahui bahwa adanya kaitan yang bermakna antara vaksinasi rotavirus pentavalent dengan kejadian diare dan vaksin rotavirus pentavalent mempunyai dampak protektif pada kasus diare anak (OR = 0,318, IK 95% = 0,121-0,843, dan nilai p = 0,018). Kata kunci: anak, diare, rotavirus, vaksin, pentavalent Abstract Diarrhea is a disease that afflicts many and is the second leading cause of death globally in children aged < 5 years. The prevalence of diarrhea in children under five in Indonesia continues to increase every year. Denpasar City is the district with the second highest diarrhea case in Bali Province. Rotavirus infection is the cause of diarrhea in many infants and children in Indonesia and even the world. WHO has 7 points of the most effective guidelines for preventing diarrhea in children, one of which is the provision of rotavirus vaccine. The purpose of this study is to understand the relationship between pentavalent rotavirus vaccination on cases of diarrhea in children aged 6-24 months in Denpasar City. This study is an analytic observational through case control research design. The study participants were selected using a consecutive sampling technique with a total of 72 children aged 24-36 months who came to the pediatrician's practice in the Denpasar area. Research data obtained using a questionnaire instrument which will then be analyzed using the SPSS application through chi-square test and logistic regression. The results of this study showed that in the group that did not experience diarrhea, most of them received pentavalent rotavirus vaccine (66.7%). In the chi-square test, it was found that there was a significant association between pentavalent rotavirus vaccination and the incidence of diarrhea and the pentavalent rotavirus vaccine had a protective effect on pediatric diarrhea cases (OR = 0.318, 95% CI = 0.121-0.843, and p value = 0.018). Keywords: children, diarrhea, rotavirus, vaccine, pentavalent
Gambaran Tingkat Stres Berdasarkan Karakteristik Mahasiswa Semester Awal Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Anak Agung Istri Shita Darmajayanti; Anak Agung Ayu Lila Paramasatiari; I Gusti Rai Tirta
Aesculapius Medical Journal Vol 2 No 2 (2022): Agustus
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.2.2.2022.97 - 104

Abstract

Stress is a psychiatric disorder that most often occurs among the community, including students. Early semester students will experience a period of change from the high school environment which can trigger stress. This study aims to identify stress levels based on characteristics including gender, reasons for choosing medical school, place of residence during lectures, high school origin, and academic achievement. The research method used is descriptive research. The population in this study were students in the first semester of the Faculty of Medicine and Health Sciences, Warmadewa University. The sample was determined using a total sampling technique of 157 people. The research took place in November 2021 - May 2022. The data was collected by distributing questionnaires consisting of the DASS-42 questionnaire and the Respondent Characteristics Questionnaire. The results showed that the first semester students of the Faculty of Medicine and Health Sciences, Warmadewa University experienced mild stress as many as 26 people (16.7%), who experienced moderate stress as many as 39 people (25%), who experienced severe stress as many as 15 people (9.6 people). %), and who experienced very severe stress as many as 7 people (4.5%). The results of the research based on the characteristics showed that most of the female respondents experienced moderate stress (27.9%), most of the respondents who chose the medical faculty with their own interests experienced moderate stress (29%), most of the respondents who lived with their parents experienced moderate stress (23.2%), most respondents from Denpasar school experienced mild stress (27.4%), and most respondents who received a very satisfactory rating experienced moderate stress (28.2%).
Gambaran Pengetahuan dan Sikap Ibu serta Peran Kelompok Pendukung ASI terhadap Pemberian ASI Eksklusif (Studi Kasus di Desa Kekeran Kecamatan Mengwi) Putu Sannia Dewi; Anak Agung Ayu Lila Paramasatiari; I Wayan Darwata
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.3.1.2023.1-9

Abstract

Exclusive breastfeeding is not giving other food or drink (including water) to the baby for six months. From the predetermined target (60%), the coverage of exclusive breastfeeding at the Mengwi I Health Center was 53.69% (2019). This figure changes each year, so improvements in nutritional status must be carried out and maintained continuously. In order to realize the exclusive breastfeeding target of 60%, the government has provided many programs, one of which is the Breastfeeding Support Group (KP-ASI). KP-ASI is a group of pregnant women who exchange information to optimize breastfeeding. Based on the 2019 activity report in Kekeran Village, Mengwi I Health Center, the intensity of breastfeeding has increased from 87% to 96%. This study was done to describe the knowledge and attitudes of mothers and the role of KP-ASI in exclusive breastfeeding in Kekeran Village, Mengwi District. The design of this research is descriptive quantitative with case study method. The population is the mothers of KP-ASI participants in Kekeran Village, Badung Regency. The results showed that all subjects in this study (100.0%) generally had a good knowledge of exclusive breastfeeding. Most of the subjects in this study had a good attitude in exclusive breastfeeding, as many as 18 people (66.7%). Most of the subjects in this study have a good role of KP-ASI, as many as 26 people (96.3%).
Karakteristik Penderita Pneumonia Usia 1-59 Bulan yang Dirawat Inap di Rumah Sakit Made Kristya Pitaloka Gangga Dewi; Anak Agung Oka Lely; Anak Agung Ayu Lila Paramasatiari
Aesculapius Medical Journal Vol 3 No 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.3.2023.316-322

Abstract

Pneumonia is an acute infectious ailment affecting the pulmonary parenchyma and caused by bacteria, viruses, or fungi. Denpasar stood out among the regions in Bali with the highest occurrence of pneumonia cases among children below the age of five, with a total of 631 individuals in 2021. The aim of this research is to establish the attributes of hospitalized pneumonia patients aged 1 to 59 months at Surya Husadha General Hospital Denpasar from 2020 to 2022. This study adopts a descriptive approach with a cross-sectional design. Data were procured through the utilization of complete sampling technique, involving 81 patients medical records. The results showed that the majorities of pneumonia patient were aged 1 - 23 months as many as 42 children (51.9%), 48 children (59.3%) were male, and 69 children (85.2%) had good nutritional status. All toddlers who became research subjects had received complete basic immunization, 90.1% of them were categorized as pneumonia and 67.9% of toddlers underwent hospitalization with a lengths of stay of more than five days. This indicates that toddlers with pneumonia who were hospitalized were mostly <2 years old, male, with good nutritional status, and had received complete basic immunization. Most toddlers did not suffer from severe pneumonia with an average length of stay of 5 days.
Hubungan Intensitas Penggunaan Gawai dengan Kejadian Speech Delay pada Anak Usia 2-5 Tahun di RSUD Sanjiwani Gianyar Tahun 2021-2023 Rika Wulandari; Anak Agung Ayu Lila Paramasatiari; Ni Putu Indah Kusumadewi Riandra
Aesculapius Medical Journal Vol 5 No 2 (2025): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.5.2.2025.159-169

Abstract

Perkembangan bahasa anak merupakan aspek penting dalam tumbuh kembang yang dapat dipengaruhi oleh pola asuh dan paparan teknologi. Penggunaan gawai pada usia dini cenderung meningkat dan diduga berperan terhadap terjadinya speech delay. Namun, bukti ilmiah yang membahas hubungan antara intensitas penggunaan gawai dan keterlambatan bicara masih terbatas. Penelitian ini merupakan studi observasional analitik dengan desain case–control yang bertujuan untuk mengetahui hubungan intensitas penggunaan gawai dengan kejadian speech delay pada anak usia 2–5 tahun di RSUD Sanjiwani Gianyar. Sampel terdiri dari 98 responden (49 anak speech delay dan 49 anak tanpa speech delay) yang dipilih dengan teknik purposive sampling. Data primer diperoleh melalui kuesioner mengenai karakteristik anak dan kebiasaan penggunaan gawai, sedangkan data sekunder berasal dari rekam medis. Analisis data dilakukan menggunakan uji Chi-square dengan nilai signifikansi p < 0,05 serta perhitungan odds ratio (OR) dan interval kepercayaan 95%. Sebanyak 50% responden mengalami speech delay. Berdasarkan intensitas penggunaan gawai, 12,2% memiliki intensitas ringan, 49% sedang, dan 38,8% berat. Hasil analisis menunjukkan bahwa intensitas penggunaan gawai berat berhubungan signifikan dengan peningkatan risiko speech delay (OR = 4,24; 95% CI: 1,77–10,18; p = 0,01). Terdapat hubungan bermakna antara intensitas penggunaan gawai dan kejadian speech delay pada anak usia 2–5 tahun. Penggunaan gawai dengan durasi dan frekuensi tinggi meningkatkan risiko keterlambatan bicara, sehingga pengawasan dan pembatasan waktu penggunaan gawai oleh orang tua sangat dianjurkan.