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Prevalensi obesitas dengan disfungsi ereksi pada laki-laki lanjut usia di Kelurahan Padang Sambian Denpasar, Bali tahun 2018 I Putu Satrya Indrawangsa; I Nyoman Gede Wardana; I Nyoman Mangku Karmaya
Bali Anatomy Journal Vol 2 No 1 (2019): Bali Anatomy Journal (BAJ)
Publisher : Department of Anatomy, Medical Faculty, Universitas Udayana, Bali-Indonesia

Background: The high incidence of obesity in elderly men caused many risks, one of that risk is the occurrence of erectile dysfunction where this has not been widely recorded in Indonesia and Bali in particulary. Aim: The study aims to determine the prevalence of obesity with erectile dysfunction in elderly men in Padang Sambian Village, Denpasar, Bali. Method: This study is a descriptive cross-sectional study. The research subjects were 80 elderly men in Padang Sambian Village, Denpasar. Research data are primary data obtained from questionnaires and waist circumference measurements directly by researchers. Results and Conclusion: Elderly men who were obese were 78.8% while normal ones were only 21.3%. Samples with erectile dysfunction were 75 people (93.7%) and the remaining 5 people were normal. The mild erectile dysfunction is mostly suffered by people in the age of 50-54 , it’s around45.5%, the mild-moderate erectile dysfunction is the most suffered by people in the age of age 55-59 that is 47.1%, age 60-64 the most experienced mild and moderate-moderate erectile dysfunction of about 50%. In the age range of 65-69 mostly suffered mild-moderate erectile dysfunction, which is about 50%, and in the age range 70 years mostly suffered a mild erectile dysfunction, it’s around 100%. Most obese people with erectile dysfunction suffer a mild erectile dysfunction, which is around 44.4% while in normal samples most suffered a moderate erectile dysfunction which is as much as 47.1%.

Hubungan antara kebiasaan olahraga dengan dismenore primer pada mahasiswi pre-klinik Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Udayana tahun ajaran 2017 Ketut Anita Herdianti; Nyoman Gede Wardana; I Nyoman Mangku Karmaya
Bali Anatomy Journal Vol 2 No 1 (2019): Bali Anatomy Journal (BAJ)
Publisher : Department of Anatomy, Medical Faculty, Universitas Udayana, Bali-Indonesia

Primary dysmenorrhea is defined as a painful sensation during menstruation that is not associated with gynecological disorders or without the discovery of a pathological condition in the pelvis. Primary dysmenorrhea is the most common type of menstrual pain, which is experienced by more than 50% of women, so effective prevention with minimal side effects is needed, such as improvement in exercise habits. This study aims to determine the relationship between exercise habits with primary dysmenorrhea in female students of the Faculty of Medicine Unud academic year 2017. The type of research used is observational analytic with a cross sectional approach. The research subjects were 96 students from the Faculty of Medicine Unud academic year 2017. The research data were primary data in the form of questionnaires. Of the 96 samples examined, most of the students experienced primary dysmenorrhea with a proportion of primary dysmenorrhea is 86.5% and respondent with routine exercise habits less than respondent whose exercise habits were not routine with a proportion of 12.5% and 87.5% each. Students with regular exercise habits found a higher proportion of primary dysmenorrhea, 75% compared to 25% without primary dysmenorrhea. Based on the results of the chi-square test showed that there was no significant relationship between exercise habits with primary dysmenorrhea in Pre-Clinical Students of Medical Education Program Faculty of Medicine Udayana University Academic Year 2017 with p-value = 0.215.

Overview of drugs used for the treatment of hypertension for elderly patients in Sanglah General Hospital, Denpasar, Bali Archana Laxmi Pathmanathan; I Nyoman Gede Wardana; I Gusti Ayu Widianti
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Hypertension is one of the most common diseases among elderly patients and it is also known as a silent killer. It could be due to excessive stress which causes the blood pressure to rise. The symptoms could appear, and people could go on for years without having any awareness of their disease. Aim: This research was conducted to determine the prevalence of hypertension cases of elderly patients and the drugs used as a treatment for hypertension in Sanglah Hospital, Denpasar, Bali. The research was carried on in the Sanglah Hospital, Denpasar, Bali as of January until June 2017. Method: In this study, a descriptive cross sectional study method was being used. Result: As the age increases, the number of individuals with hypertension increases. In gender, we could see that the female has a higher prevalence compared to male. In Sanglah, we found that the mostly given drugs are amlodipine and captopril for elderly people as this drug works effectively for the patients. Other drugs such as valsartan, furosemide, and bisoprolol are also offered to patients with hypertension depending on their associated diseases.

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.

Faktor yang berhubungan dengan perilaku tes HIV pada ibu hamil di Puskesmas Abiansemal I Ni Luh Putu Suci Hary Purwani; Yuliana Yuliana; I Nyoman Gede Wardana
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: HIV transmission vertically within children or infants become essential point of view for reducing HIV cases. Aim: The study aims to find out the related factors of HIV test behavior among pregnant women in public primary healthcare Abiansemal I.Method: This study used analytical cross-sectional design and consecutive sampling among pregnant women who have routine examination in public primary healthcare Abiansemal I Badung, Bali. Respondents asked to fill a self-administered questionnaire from Health Belief Model to asses of respondent’s perception about HIV screening test.Result and conclusion: There are 43 pregnant women as respondents with mean age 27 years. Of 49 respondents, 71.4% is pregnant women with equal or below of high school education. 16.3% of respondents did not work and 51% have a good knowledge about HIV. Through bivariate analysis have found gestational age, education level, knowledge, and risk perception have significant associations that can included into multivariate analysis (p<0.25). From multivariate analysis, we found that risk perception have independent association to HIV test among pregnant women (p<0.05; OR 0.121; 95%CI 0.021 – 0.690). Penularan HIV kepada anak-anak atau bayi menjadi fokus permasalahan penting dalam program reduksi kasus HIV. Tujuan: Untuk mengetahui faktor yang berhubungan dengan perilaku tes HIV (human immunodeficiency virus) pada ibu hamil di Puskesmas Abiansemal I.Metode: Penelitian ini menggunakan desain cross-sectional analitik dengan purposive sampling pada sampel ibu hamil yang rutin melakukan pemeriksaan kehamilan di Wilayah Pelayanan Puskesmas Abiansemal I, Badung. Seluruh responden mengisi kuesioner adaptasi health belief model untuk menilai persepsi responden mengenai tes skrining HIV.Hasil dan simpulan: Total responden pada penelitian ini adalah 49 orang dengan rerata usia 27 tahun. Dari 49 responden tersebut, 71,4% memiliki riwayat pendidikan terakhir, yaitu di bawah atau sama dengan sekolah menengah atas (SMA). Terdapat 16,3% responden yang tidak bekerja dan 51% responden memiliki pengetahuan yang baik mengenai HIV. Melalui analisis bivariat, ditemukan bahwa usia kehamilan, tingkat pendidikan, pengetahuan, dan persepsi risiko memiliki hubungan yang dapat diinklusi dalam analisis multivariat (p<0,25). Pada analisis multivariat, ditemukan bahwa persepsi risiko memiliki hubungan independen terhadap perilaku tes HIV ibu hamil (p<0,05; OR 0,121; 95%IK 0,021 - 0,690).

Perbandingan kapasitas vital paru dan FEV1 antara atlet olahraga aerobik dan nonatlet: sebuah tinjauan sistematik Anak Agung Ratih Kusumadewi Wiraputri; I Nyoman Gede Wardana; Yuliana Yuliana; Muliani Muliani
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Introduction: Physical exercise, such as aerobic exercise, depends on the aerobic energy generation process or requires oxygen. One way to determine the benefits of physical activity in individuals is to look at the differences in lung function in the group who regularly exercise (athletes) with the sedentary group. This review will discuss further the comparison of vital lung capacity and Forced Expiratory Volume in 1 sec (FEV1), which is presented in the form of a systematic review.Methods: A search for journals published from 2015-2020 was conducted on the CENTRAL, ProQuest, Pubmed, and ScienceDirect databases that compared cardiorespiratory endurance values in athletes and non-athletes. The preparation of this systematic review is based on guidelines for writing systematic reviews by Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA).Results: The literature search results in 30 studies. These studies were analyzed based on the intervention or exposure to see the description and differences of lung function characteristics, especially vital capacity and FEV1 in aerobic and non-athletic athletes.Conclusion: Aerobic sports athletes tend to have better lung function than non-athletes, where lung function is assessed based on the higher FVC and FEV1 values in aerobic athletes. Several studies that showed insignificant differences on the lung function of aerobic athletes and non-athletes were caused by differences in the anthropometric characteristics of each group, which was a confounding factor in the study. Pendahuluan: Latihan fisik seperti olahraga aerobik merupakan aktivitas fisik yang bergantung pada proses pembentukan energi secara aerob dan dapat memberikan efek positif terhadap sistem kardiovaskular dan respirasi. Salah satu cara untuk mengetahui manfaat aktivitas fisik pada individu adalah dengan melihat perbedaan fungsi paru pada kelompok yang rutin berolahraga (atlet) dengan kelompok sedenter. Dalam tinjauan ini akan dibahas lebih jauh mengenai perbandingan kapasitas vital paru dan Forced Expiratory Volume in 1 sec (FEV1) yang disajikan dalam bentuk tinjauan sistematik.Metode: Pencarian jurnal yang membandingkan nilai daya tahan kardiorespirasi pada atlet dan nonatlet yang diterbitkan dari tahun 2015-2020 melalui database CENTRAL, ProQuest, Pubmed, dan ScienceDirect. Penyusunan systematic review ini didasarkan pada pedoman penulisan tinjauan sistematik oleh Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).Hasil: Hasil pencarian literatur berupa 30 studi yang relevan dan kemudian dianalisis berdasarkan pada intervensi atau paparan yang dilakukan untuk melihat gambaran serta perbedaan karakteristik fungsi paru khususnya kapasitas vital dan FEV1 pada atlet aerobik dan nonatlet.Simpulan: Atlet olahraga aerobik cenderung mempunyai fungsi paru yang baik jika dibandingkan dengan non-atlet, dimana fungsi paru ini dinilai berdasarkan lebih tingginya nilai FVC dan FEV1 pada atlet aerobik. Beberapa studi yang menunjukkan hasil tidak signifikan terhadap fungsi paru atlet aerobik dan nonatlet disebabkan oleh adanya perbedaan karakteristik antropometri dari masing-masing kelompok dimana hal ini merupakan faktor perancu dalam penelitian.

Asam urat serum tinggi dan risiko mortalitas kardiovaskular: sebuah tinjauan sistematik penelitian kohort Anak Agung Gede Bilwa Bhavendra; Yuliana Yuliana; Muliani Muliani; I Nyoman Gede Wardana
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Introduction: Serum uric acid has been reported as a predictor of cardiovascular mortality, but there are many debates regarding this finding. This systematic review will analyze and discuss about serum uric acid as an indicator of cardiovascular mortality risk.Methods: A literature search was carried out on the PubMed and ProQuest databases for publication that focused on the association of serum uric acid and cardiovascular mortality risk within 2015-2020. The preparation of this systematic review is based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Results: In this review, four studies were relevant and met the selection criteria. All studies were prospective cohort studies. There were a total of 668,768 participants involved, with a slight female majority (55%). Participants involved in this study were aged 35 years or older. Three of the studies examined showed an association between high serum uric acid levels and cardiovascular disease mortality. Only one study did not show a statistically significant relationship. Each study used a different cut-off point for serum uric acid categories, making the uric acid indicator difficult to apply in clinical practice. The three studies conducted in Asia provide a more practical result that is relevant to the Indonesian population. In all three studies, results were consistent, showing elevated serum uric acid increases cardiovascular mortality risk.Conclusion: Serum uric acid level can predict the risk of death from cardiovascular disease. The study conducted in Asia is quite relevant to the Indonesian population, where the results of the study significantly and consistently found that high serum uric acid levels can increase the risk of cardiovascular mortality. Pendahuluan: Asam urat serum dilaporkan dapat memperkirakan risiko dari mortalitas kardiovaskular, akan tetapi masih terdapat banyak perdebatan terkait temuan tersebut. Dalam tinjauan ini akan dibahas lebih jauh mengenai hubungan asam urat serum terhadap risiko mortalitas kardiovaskular yang disajikan dalam systematic review.Metode: Pencarian literatur dilakukan pada database PubMed dan ProQuest dengan mengidentifikasi jurnal yang diterbitkan dari tahun 2015-2020 yang berfokus pada topik asam urat serum dan hubungannya terhadap risiko mortalitas kardiovaskular. Penyusunan systematic review ini disusun berdasarkan pedoman Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Hasil: Dalam tinjauan ini terdapat 4 studi yang relevan dan memenuhi kriteria seleksi. Seluruh studi merupakan studi kohort prospektif. Terdapat total 668.768 partisipan yang terlibat dengan persentase perempuan sebesar 55%. Partisipan yang terlibat dalam studi ini berusia 35 tahun atau lebih. Tiga dari empat penelitian yang ditinjau menunjukan adanya hubungan antara kadar asam urat serum yang tinggi dengan kematian akibat penyakit kardiovaskular. Hanya satu penelitian yang tidak menunjukan hubungan yang bermakna secara statistik. Masing-masing penelitian menggunakan titik potong kategori asam urat serum yang berbeda-beda yang menyebabkan efektivitas indikator asam urat serum sulit untuk diaplikasikan. Tiga studi yang dilakukan di Asia memberikan gambaran yang lebih sesuai untuk aplikasi di Indonesia karena populasi partisipannya lebih mendekati keadaan populasi Indonesia. Pada ketiga studi tersebut diperoleh hasil yang konsisten menunjukan peningkatan asam urat serum meningkatkan risiko mortalitas kardiovaskular.Kesimpulan: Kadar asam urat serum dapat dapat memperkirakan risiko mortalitas akibat penyakit kardiovaskular. Studi yang dilakukan di Asia, cukup relevan dengan populasi Indonesia, dimana hasil studi ini secara signifikan dan konsisten mendapatkan kadar asam urat serum yang tinggi dapat meningkatkan risiko mortalitas akibat penyakit kardiovaskular.

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

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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.

Effectiveness Of Blended Learning In Human Anatomy Courses I Nyoman Gede Wardana
Jurnal Pendidikan Indonesia Vol. 2 No. 02 (2021): Jurnal Pendidikan Indonesia (Japendi)
Publisher : Publikasi Indonesia

It is very demanding to teach anatomy in the present curriculum of medical education. The amount of time allotted to teach and learn human anatomy is diminishing. The traditional teaching method is no longer effective in being able to provide vast amounts of human anatomy learning material. Besides, this method is also passive, which is not liked by the current generation of students. Various disciplines have widely used the learning approach with the blended learning method. This study aims to compare the effectiveness of the blended learning method (BL) with the traditional teaching (TT) method on the student's final grades and the percentage of graduation rates for the gross human anatomy courses. A total of 217 final student grades from Batch 2016 (69 students), Batch 2017 (69 students), and Batch 2018 (79 students) were collected and analyzed. Students in Batch 2018 received the blended learning (BL) method while the Batch 2016 and Batch 2017 received the traditional teaching (TT) method. The mean final scores between the BL and TT methods were compared, also the percentage of graduation rates between the two methods. There was a significant mean difference in the student's final grade (P <0.001) between the BL method (66.77) versus the TT method (47.84). The percentage of students who passed with the BL method (65.82%) is higher than the TT method (10.14%). The result concluded blended learning method is more effective in increasing the final grade and percentage of graduating students than the traditional teaching method for gross human anatomy courses.

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