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All Journal Medicina Sport and Fitness Journal INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Jurnal e-Biomedik WMJ (Warmadewa Medical Journal) Indonesian Journal of Obstetrics & Gynecology Science ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Genta Kebidanan Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan Bali Anatomy Journal Indian Journal of Forensic Medicine & Toxicology Public Health and Preventive Medicine Archive

I Nyoman Mangku Karmaya

Departemen Anatomi Fakultas Kedokteran, Universitas Udayana

Author-ID : 5652333

Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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The prevalence of urinary incontinence in aged women in Peguyangan Village, District of Tag-Tag Kelod, Denpasar, Bali Diviya Batumalay; Yuliana Yuliana; I Nyoman Mangku Karmaya
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Urinary incontinence (UI) is a significant health problem with considerable social and economic impact. Distinguishing between prevalence and incidence of incontinence is important. There are significant variations in the severity and impact of incontinence, and its severity, frequency, and predictability all need to be considered when evaluating its effects on patients, the degree of bother is particularly significant when determining who will need treatment. Incontinence may be a result of bladder dysfunction, sphincter dysfunction, or a combination of both, but large-scale studies are not designed to determine the etiology. Aim: To know the prevalence of UI in aged women in Peguyangan village, Denpasar, Bali.Method: This is cross-sectional descriptive design conducted in Peguyangan Village Denpasar, Bali, in early July 2017. There were 79 of 94 aged women above 65 years involved in the survey using a questionnaire.Result: In young women, the prevalence of incontinence is usually low, but prevalence peaks around menopause, with a steady rise there-after into later life. Although the prevalence of stress and mixed (stress and urge) incontinence is higher than urge incontinence, the latter is more likely to require treatment. In women, moderate and severe bother have a prevalence ranging from about 3% to 17%. Severe incontinence has a low prevalence in young women but rapidly increases at ages 70 through 80.Conclusion: The prevalence is 0.076.

Major risk factors that are potential for infertility among male semester 3 and 5 medical students, Faculty of Medicine, Udayana University year 2017 Yashni Subramaniam; Nyoman Mangku Karmaya
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Introduction: A couple being unable to get pregnant result out of unprotected sex and have been trying for one year is defined as the inability to conceive or infertile. Other reasons can be due to the male lifestyle itself, for example obesity, alcohol consumption and also smoking. This study aims to look for various things that might be risk factors for infertility in male students of semester III and V, in the Faculty of Medicine of Udayana University in 2017.Method: This study used a descriptive cross-sectional design carried out during the 2017 period using the questionnaire given to respondents, a total of 116 male respondents in this study. Identification of lifestyle that can be a risk factor for infertility was assessed in all respondent.Result: Through this research, it can be known that lifestyle risk factors that cause infertility are using a laptop on the lap for hours (29.3%), injury in groin area (14,%), alcoholism (11.2%), continuous fast food consumption (12.1%), and obesity (6.9%), and active smoker (1.7%). In the other side of the person still doing a sedentary lifestyle and low physical activity.Conclusion: Sedentary lifestyles with low physical activity are common lifestyle finding among medical students so that this can be a lifestyle that becomes a risk factor for the onset of infertility.

Awareness of male infertility among the medical students in Udayana University of batch 2015 Omprakash Nanda Kumar; Yuliana Yuliana; I Nyoman Mangku Karmaya
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Infertility is defined as the inability to conceive after one year of unprotected sex which was affected eighty million people all over the world. Male infertility is involved in approximately 40% of the more than 2 million infertile married couples in the United States. Health promotion strategies are therefore recommended to begin with educational interventions to increased knowledge of infertility awareness. University years are a time for self-maturation which includes sexual exploration and pregnancy avoidance during this life-course transition to adulthood. There’s still no data about the awareness and knowledge about male infertility among university student especially medical student in Indonesia.Aim: The study aims to know the level awareness on male infertility among the medical students in Udayana University of batch 2015.Methods: This study was a descriptive cross-sectional design conducted on June 2018. The subjects were 102 medical students from regular and international class of Faculty of Medicine, Udayana University. The data derived with questionnaires and a preceding informed consent already had been gained from all the participants.Results: Most of the subjects were belong to the somewhat knowledgeable group (41.2%). English class and female students had the better awareness regarding the male infertility issue (36.8% and 46.7%). The highest percentages of correct answered subtheme questions were diagnosis (55%) subtheme.Conclusion: Infertility awareness, including knowledge of male risk factors, is a critical first step towards fertility preservation through lifestyle modification.

Relationship between cardiovascular fitness and academic achievement among medical students of Udayana University in batch 2018 Dashinnie Narasimhanaidu; I Nyoman Gede Wardana; I Nyoman Mangku Karmaya
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Physical fitness especially cardiovascular fitness is one of the important factors in medical students’ academic achievement which has been neglected by majority of the students. Through cardiovascular fitness the stress level could be reduced which will eventually help the students to achieve better academic results.Aim: This study aims to determine the relationship between the cardiovascular fitness and academic achievements by medical students of Medical Faculty of Universitas Udayana from batch 2018.Method: An experimental survey method has been used identify the relationship between cardiovascular fitness level and academic achievement. Respondents who attended this study were 79 students from the batch 2018. The cardiovascular fitness level will be measured by Fartlek training which is conducted in medical faculty campus parking area. The students’ academic achievement will be measured through their 1st biomedic exam results. Then, the pulse rate collected from the Fartlek training and the academic achievement from exam was compared to identify the relationship the cardiovascular fitness and academic achievement.Results: The data was not normally distributed from the normality test. Spearman’s rho test shows that the data is not significant with the (p = -0.056).Conclusion: There was no significant relationship between the level of cardiovascular fitness and the academic achievement of the medical students.

The effect of castration towards the microstructure of Hippocampus in Wistar rats Presanavathy P. Tharmalingam; Nyoman Mangku Karmaya; I Nyoman Gede Wardana
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: Male ageing is mostly referred to as the declining of the capacity of a man due to age. Even though the physical changes cause by ageing are noticeable, there are several effects of ageing in a male that are concealed by the physical appearance, such as a lower level of testosterone. This study aims to determine the effect of lower testosterone towards the neuron, neuroglia and vasculature of Hippocampus.Methods: An analytic observational study with two-group posttest-only randomized experiment with treatment was conducted among 10 Wistar rats (Rattus norvegicus). Variables assessed in this study were the number of neurons, neuroglia and vasculature of Hippocampus. Data were analyzed using SPSS version 17 for Windows.Results: The average number of neuron cells of Hippocampus was significantly lower in the treatment group compared with control (p=0.007). The significantly lower in the number of neuroglia and vasculature of Hippocampus was also found in the treatment group compared with the control group (p=0.014 and 0.004, respectively) following castration.Conclusion: Hence, we can conclude that the castration has a significant effect in lowering the level of testosterone, number of neurons, neuroglia and vasculature in the Hippocampus of Wistar rats.

PREVALENSI FLATFOOT PADA ANAK USIA 7-12 TAHUN DI SEKOLAH DASAR CIPTA DHARMA DENPASAR Anak Agung Sagung Karinia Jaya; I Nyoman Gede Wardana; I Nyoman Mangku Karmaya
E-Jurnal Medika Udayana Vol 9 No 9 (2020): Vol 9 No 09(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar

ABSTRAK Latar Belakang: Flatfoot adalah kondisi medis yang ditandai dengan hilangnya arkus longitudinalismedialis. Flatfoot biasanya disebabkan oleh obesitas, kelemahan ligamen, gangguan neurologi, kelainanotot, sindrom genetik, gangguan kolagen, iatrogenik, trauma. Flatfoot dapat menyebabkan komplikasiyang memiliki pengaruh terhadap kesehatan. Penelitian ini bertujuan untuk mengetahui prevalensi flatfootpada anak usia tujuh sampai dua belas tahun di Sekolah Dasar Cipta Dharma Denpasar. MetodePenelitian: Penelitian ini dilakukan dengan metode deskriptif menggunakan studi cross-sectional.Penelitian ini dilakukan pada 930 murid. Sampel penelitian dipilih berdasarkan total sampling. Hasil:Hasil penelitian ini mengungkapkan prevalensi flatfoot sebesar 53,3%. Prevalensi flatfoot tertinggiditemukan pada usia tujuh tahun. Simpulan: Flatfoot ditemukan pada anak usia tujuh sampai dua belastahun. Kata kunci : Flatfoot, Usia, Siswa sekolah dasar.

Cervical cancer screening among reproductive-aged women: a crossectional survey in Tabanan Regency Desak Gede Yenny Apriani; Ni Luh Putu Suariyani; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p04

Background and purpose: Cervical and breast cancers are the most common malignancies among women in Indonesia. The prevalence of cervical cancer in Bali was 0.6% in 2013. Screening coverage for cervical cancer in Tabanan district varies from 37% to 67%. This study aims to determine factors associated to cervical cancer screening uptake among reproductive-aged women. Methods: A cross-sectional survey was conducted at Baturiti Subdistrict, Tabanan Regency, Bali Province. This study involved 188 reproductive-aged women. Samples were randomly selected from all reproductive-aged women from two villages of Baturiti and Angseri. Data were collected using home interviews by a standardised questionnaire. Multivariate analysis was conducted using poisson regression model to determine factors associated to cervical cancer screening uptake. Results: This study showed that the proportion of cervical cancer screening was 38.83%. Variables associated to the uptake of cervical cancer screening were comprehensive knowledge about cervical cancer (APR=10.16; 95%CI: 4.33-24.76), insurance holder (APR=2.95; 95%CI: 1.38-6.64) and aged of ≥40 years (APR=1.26; 95%CI: 1.01-1.59). Education level, employment status and perceived benefits were not associated with the screening uptake among reproductive-aged women. Conclusions: Level of knowledge about cervical cancer, insurance ownership and aged over 40 years increase the cervical screening uptake among reproductive-aged women.

Difference in Satisfaction Levels of National Health Insurance Patients at Four Types of First Level Health Facilities Ni Made Widiastuti; Ni Made Sri Nopiyani; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p06

Backgrounds and purpose: The road map of the National Health Insurance Scheme (JKN) aims to ensure that 75% of patients are satisfied with the quality of health facilities. This study was designed to determine differences in patients’ satisfaction in general, as well as at each individual first-level health facility (FKTP) and based on dimensions of quality. Methods: Study was a cross-sectional sample survey with the respondents of 148 JKN patients selected consecutively from 4 types of FKTP. A total of 4 health centers, 3 government clinics, 4 private clinics and 4 general practitioners randomly selected from 11 health centers, 7 government clinics, 13 private clinics and 70 general practitioners in the city of Denpasar. Data were collected through interviews over March-April 2015 in each health facility using questionnaires by trained interviewers. Data were analyzed by univariate, bivariate and multivariate. Results: A total of 69,59% of JKN patients said that they were satisfied with the quality of FKTP services. This figure was lower than the target of JKN i.e. 75%. The highest satisfaction (90,00%) was in the general practitioners while lowest was in the private clinics (47,46%). Based on the dimensions of quality, JKN patients’ satisfaction in the four FKTPs was significantly different (p=0,008) in physical and empathic dimensions (p=0,013). In the multivariate analysis, variables found related to the satisfaction of the respondents were the FKTP of general practitioners (adjusted PR=1,91; 95%CI: 1,05-3,47) and health centers (adjusted PR=1,76; 95%CI: 1,04-2,97). Conclusion: In general, the patients’ satisfaction rate was still lower than the target of JKN and when viewed per care facilities, the highest satisfaction was found in FKTP of general practitioners and health centers.

Hormonal Contraceptive Use and History of Sexually Transmitted Infection as Risk Factors of the Pre‑Cancerous Cervical Lesions Ni Made Parwati; I Wayan Gede Artawan Eka Putra; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p09

Background and purpose: Screening for pre-cancerous cervical lesions is already being implemented in Bali. This study aims to determine hormonal contraceptives and STI history as risk factors of pre-cancerous cervical lesions. Methods: A case-control study was conducted involving 76 women of childbearing age diagnosed with pre-cancerous cervical lesions who screened at two health centers in Denpasar Bali from January to March 2015. Control was 76 women of childbearing age with no pre-cancerous cervical lesions who screened at the same period. Consecutive sampling was used to select cases and controls. Data were collected through interview using questionnaires and analyzed using logistic regression to calculate adjusted odd ratio of each risk factor. Results: Multivariate analysis indicated that the use of hormonal contraceptives over ≥5 or <5 years increase risk of pre-cancerous cervical lesions with OR=10,7 (95%CI: 1,04-108,17) and OR=3,0 (95%CI: 1,16-7,84) compared to those who were not using hormonal contraception. History of sexually transmitted infections also increases risk of pre-cancerous cervical lesions with OR=9,7 (95%CI: 3,83 24,18). Conclusion: The use of hormonal contraceptives and history of sexual transmitted infections increased risks of pre-cancerous cervical lesions.

Factors that Contribute to the Acceptance of Vasectomy as Contraception Option in East Lombok Regency Yudi Ardiana; Pande Putu Januraga; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p15

Background and purpose: The national family planning program currently promotes the role of husbands as acceptors of vasectomy as contraception. The Wanasaba Sub-district of the East Lombok Regency is one of the areas with a high number of acceptors. This phenomenon needs to be understood more deeply in order to increase vasectomy contraception uptake in other areas. This study aims to understand in depth the factors that contribute to the acceptance of vasectomy as contraception in the Sub-District of Wanasaba of East Lombok. Methods: The study used a qualitative design with phenomenology approach. The data were collected through in-depth interviews. The study was conducted among 20 participants consisting of five couples of vasectomy acceptors and five couples of non-vasectomy acceptors. Data were analyzed using thematic analysis. Results: Research showed that the decision to undergo vasectomy was voluntarily and swift without any pressure or coercion from providers or others. The main factor contributing to the acceptance of vasectomy was the availability of free, direct and fast services facilitated efficiently by providers and cadres. Another factor was economical owing to the fact that hormonal contraceptive was considered costly. The driving factor for the acceptance of vasectomy was active support from the spouse along with social acceptability of the process from the community. Conclusion: Service availability, in addition to the involvement from health workers and cadres were crucial in providing information on the procedure, and in promoting and facilitating vasectomy uptake. It is necessary to improve the capacity of cadres, family planning field workers and family planning motivators in order to increase the number of vasectomy acceptors.

Co-Authors - Murtiananingsih, - - Saimi, - . Muliani A.A. Ketut Agung Cahyawan W Agus Arya Mahottama Akemah, Alden Jiraldi Alamsyah, Ajib Zaim Anak Agung Sagung Karinia Jaya Apriani, Desak Gede Yenny Ari Adiputri, Ari Aryaniti, Ni Nyoman Bagus Komang Satriyasa Dashinnie Narasimhanaidu Deni Witari, Deni Deny Sutrisna Wiatma Desak Gede Yenny Apriani Desak Made Puja Astuti Desak Made Sintha Kurnia Dewi Dewa Nyoman Wirawan, Dewa Nyoman Dewa Putu Gede Purwa Samatra Dewa Putu Sutjana Dewi, Mira Kristiani Dinar Lubis Diviya Batumalay Donal Syafrianto Dyah Pradnya P.D., Dyah Pradnya Dyah Pradnyaparamita D, Dyah Pradnyaparamita Dyah Pradnyaparmita Duarsa Edelweishia, Melissa Firdawsyi Nuzula Fransiska Nova Nanur Futi Nurul Destya Gede Parta Kinandana Gorintha, Adrian Wiryanata Haryani Haryani Hery Aryanti, Hery I Dewa Ayu Inten Dwi Primayanti I Dewa Sutjana I Gede Widhiantara I Gusti Agung Manik Karuniadi I Gusti Ayu Widianti I Ketut Suyasa I Ketut Tunas I Made Ady Wirawan I Made Bakta I Made Jawi I Made Krisna Dinata I MADE MULIARTA . I Nyoman Adi Putra I Nyoman Gede Wardana I Nyoman Gede Wardana I P G. Adiatmika I Putu Eka Jaya I Putu Satrya Indrawangsa I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Weta IB Putra Manuaba, IB Putra Ida Ayu Dewi Wiryanthini Ida Bagus Ngurah Ida Bagus Ngurah Rai J. A. Pangkahila K Tangking Widarsa Kadek Dwi Pradnya Andrastea Karjono M, Karjono Karminiasih, Ni Luh Putu Ketut Anita Herdianti Ketut Tirtayasa Koeswandi, Adiel Theodore Kurniawati, Agata Lestari, Kadek Susiana Dwi Luh Made Indah Sri Handari Adiputra Luh Putu Ratna Sundari Luh Putu Widiastini Luh Seri Ani Made Dwi Hendrayani Made Indra Prasetya Permana Made Leonita Purnama Dewi Mugiillan Sathival Muh. Ali Imron Muhamad Baidhowi Primadi Muliani . Muliani Muliani, Muliani Nazrina Zuryani Ni Ketut Noriani Ni Luh Putu Karminiasih Ni Luh Putu Suariyani Ni Made Ari Febriyanti Ni Made Parwati Ni Made Parwati Ni Made Rai Widiastuti Ni Made Rai Widiastuti Ni Made Sri Nopiyani Ni Made Widiastuti Ni Nyoman Budiani, Ni Nyoman Ni Putu Widarini Ni Putu Widya Astuti Ni Wayan Tianing Nitaya Putri Nur Hidayat Nurwiyanti, . Nyoman Suarjana Omprakash Nanda Kumar Pande Putu Januraga Prasetyo, Aizar Vesa Presanavathy P. Tharmalingam Priambodo, Abiyyuda Naufal Putu Astawa Putu Ayu Ratna Darmayanti Rai, Ida Bagus Ngurah Raoulian Irfon Rina Listyowati S. Indra Lesmana Sari, Komang Ayu Kartika Sawitri, Anak Agung Sagung Sengga, Agnes Simona Sitepu, Amanda Viani Maria Suariyani, Suariyani Suaryani, Ni Luh Putu Sugijanto - Suhartiningsih Suhartiningsih Susy Purnawati Upadana, Gede Ngurah Wahyuddin, Wahyuddin Widarini, Widarini Widiantari, Ni Ketut Nopi Widianti, I Gusti Ayu Widiastuti, Ni Made Widyastuti Widyastuti Wijaya Surya, I Gede Ngurah Harry Wijaya, I Putu Ganda Wimpie I Pangkahila Wulandari, Luh Putu Lila Yashni Subramaniam Yudi Ardiana Yudi Ardiana, Yudi YULIANA - Yuliana Yuliana Yuliana Yuliana

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