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Journal : Aesculapius Medical Journal

Perbedaan Rasio Neutrofil per Limfosit, Rasio Platelet per Limfosit dan Volume Platelet Rata-Rata pada Kehamilan dengan Preeklampsia dan Kehamilan Normal di RSUD Sanjiwani Gianyar Ni Komang Surya Sanistiasih Budaya; I Made Pariartha; I Ketut Tangking Widarsa
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.3.2.2023.261-266

Abstract

Preeclampsia is an idiopathic multisystem disorder that affects 2-8% of pregnancies worldwide. It usually occurs after 20 weeks of pregnancy and affects both the mother and fetus. This study aims to determine the difference in the value of neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), and mean platelet volume (MPV) between women with preeclampsia and normotensive pregnant women. This is a cross-sectional comparation study using patient’s medical record conducted in Sanjiwani Gianyar Public Hospital. The sampling technique used in this study is purposive sampling, with 60 samples in each group. The data collected then analyzed using SPSS for Windows by independent sampled-t-test. The result shows that the NLR, PLR and MPV values in women with preeclampsia were significantly different from normotensive pregnant woman. The NLR, PLR, and MPV values were found higher in women with preeclampsia, with mean difference value of 0.93 for the NLR variable (p=0.011), 21.97 for the PLR variable (p=0.011) and 0.47 for the MPV variable (p=0.008). The predictive value is seen from the effect size (Cohen's delta) where the three variables are included in the moderate category.
Perbedaan antara Kadar Leukosit Maternal pada Ketuban Pecah Dini Persalinan Preterm dengan Aterm di Rumah Sakit Umum Daerah Sanjiwani Gianyar Komang Putri Indrasuari; I Made Pariartha; Made Dharmesti Wijaya
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.3.2.2023.247-253

Abstract

Premature rupture of membranes (PROM) is the rupture of the membranes before delivery. PROM occurs at 37 weeks gestation or more and PPROM occurs before 37 weeks gestation. One of the risk factors for PROM is infection that begins with the entry of bacteria into the intraamnion from the ascending urogenital tract or infection of systemic origin. Elevated leukocyte levels are a sign of infection. This study aims to determine the difference between maternal leukocyte levels of PROM and PPROM. The research design used was descriptive analytic method with a cross sectional approach. The sampling technique used is simple random sampling method. Data were analyzed using the Saphiro Wilk test for normality and the Independent Sample T Test to compare the difference in the mean of the two different groups. The results of the Saphiro Wilk test obtained values of 0.107 and 0.086, respectively (P>0.05), which means that the data is normally distributed. The results of the independent sample t-test showed a significance value of p=0.008. Therefore, it can be concluded that there is a difference in the number of leukocytes between PROM and PPROM at the Sanjiwani Regional General Hospital, Gianyar.
Hubungan Kualitas Tidur dengan Tingkat Prestasi Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Made Fernanda Arya Dharma; I Made Pariartha; Ni Wayan Diana Ekayani
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.4.1.2024.62-68

Abstract

[The Relationship between Sleep Quality and Student Achievement Level of the Faculty of Medicine and Health Sciences, Warmadewa University] Medical students have a higher prevalence rate of poor sleep quality than the rest of the student population. The existence of abnormal sleep times can be related to academic stress. Seeing the large influence of a person's sleep quality on academic achievement, it is therefore necessary to conduct a study that examines this condition in a more specific scope, such as at the Faculty of Medicine and Health Sciences, Warmadewa University. The purpose of this study was to determine the relationship between sleep quality and achievement levels of FKIK Warmadewa University students in 2019, 2020 and 2021. This research is an analytical study using a Cross Sectional Study design. Data collection was carried out using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data will then be analyzed using the SPSS application with the Spearman Rank correlation statistical test method. The results of the study illustrate that the quality of sleep in each class is dominated by poor sleep quality with details of 65.6% in the 2019 class, 75.4% in the 2020 class and 73.7% in the 2021 class. The student achievement level in the 2019 class is dominated by excellent indicators (56 .6%), class of 2020 with excellent indicators (60.8%), and class of 2021 with very good indicators (71.8%). The results of the correlation analysis stated that there was a significant positive correlation between the two variables in the 2019 class (r = 0.242; p<0.01), 2020 (r = 0.247; p<0.01), and 2021 (r = 0.216; p<0.01).
Persepsi Mahasiswa terhadap Pembelajaran COME 1000 HAK di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa De Luh Pratiwi Angganing Lestari; I Made Pariartha; Ni Wayan Diana Ekayani
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.4.1.2024.136-143

Abstract

[Student Perceptions of COME Learning in the Early 1000 Days of Life at the Faculty of Medicine and Health Sciences, University of Warmadewa] Community Oriented Medical Education (COME) is an educational program with the aim of producing doctors who are able to serve the public at the primary, secondary and tertiary level health problems. COME 1000-HAK learning has been going on for a long time, but there has been no assessment of student perceptions of this program. Perception assessment is very important because it affects the success of implementing a program. The general objective of this study was to determine students' perceptions of COME 1000 HAK learning at the Faculty of Medicine and Health Sciences, Warmadewa University. This research is a quantitative descriptive research with a cross sectional research design using a survey method with a questionnaire. The population in this study were 2019 and 2020 FKIK UNWAR students with a total of 223 respondents (85.1%). Data was processed by univariate analysis. The results showed that 80% of respondents perceive the benefits aspect positively, the lecturer role aspect 84% perceive positively, the preparation aspect 71%, the implementation aspect the majority of 60% of respondents have a positive perception, and on the assessment aspect 67% of respondents have a positive perception. The results of this study indicate that the perceptions of students on the aspects of benefits, the role of the lecturer, and the COME 1000-HAK learning mechanism are mostly positive.
Hubungan Keikutsertaan Senam Hamil dengan Tingkat Kecemasan Pada Primigravida Trimester III di BPM Widiasih Kadek Yoga Wiratama; I Made Pariartha; Anny Eka Pratiwi
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.4.1.2024.47-52

Abstract

Anxiety levels during pregnancy can fluctuate as in the first trimester, anxiety begins to occur, then decreases in the second trimester, and increases again in the third trimester. Anxiety during pregnancy until the third trimester if not addressed immediately will have an impact on fetal growth and development, increase in MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate), can cause premature birth, low birth weight (LBW), old age labor, as well as mental and motor disorders of children. Anxiety due to pregnancy tends to often occur in primigravida due to pregnancy and childbirth because they have never experienced something similar. The purpose of this study was to determine the relationship between participation in pregnancy exercise and anxiety levels in third trimester primigravida mothers at IPM (Independent Practice Midwife) Widiasih, Batubulan region, Gianyar in the face of childbirth. This research uses analytical research method with cross sectional study design. Sampling in this study using accidental sampling technique and total sampling method. The sample consisted of 55 third trimester primigravida mothers who had met the inclusion and exclusion criteria. The data collection instrument used the HARS (Hamilton Rating Scale for Anxiety) questionnaire via the google form link. Data analysis was carried out univariate and bivariate. The results obtained in this study were that there was a relationship between participation in pregnancy exercise and the level of anxiety in third trimester primigravida mothers at BPM (Independent Practice Midwife) Widiasih, Batubulan, Gianyar
Gambaran Pasien Miopia di Rumah Sakit Mata Bali Mandara Tahun 2022 Gst Ayu Kade Devina Muryantisa; Putu Nita Cahyawati; I Made Pariartha
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.4.2.2024.261-269

Abstract

[Overview of Myopia Patients at Bali Mandara Eye Hospital in 2022] Myopia is the most common abnormal refractive that occurs with a prevalence of myopia in the world of 49.8%, in Indonesia around 25% and in the province of Bali 25%. The results of a survey conducted at the largest eye hospital in Eastern Indonesia, the Bali Mandara Eye Hospital, recorded a fairly high prevalence of myopia, namely 1,418 patients in 2022. This research aims to find out the picture of myopia patients at the Bali Mandara Eye Hospital in 2022. This research uses a descriptive method with a cross sectional approach. The sampling technique used in this research was simple random sampling with a total of 133 respondents. Data were processed using Statistical Product and Service Solution (SPSS) version 23 with univariate analysis. In this study, the description of myopia patients based on sociodemographics was dominated by the age group 12-25 years (41.4%), women (51.9%), students (41.4%), and those live in Bali (95%). Based on clinical symptoms, patients generally present with complaints of blurred vision (89.5%), mild myopia (54.9%) and lateralization in both eyes (83.5%). Based on the history of comorbidities, the results showed that only 2 (1.5%) had a history of diabetes mellitus and only 1 (0.8%) had a history of hypertension. Based on the type of management, the highest number was pharmacological and non-pharmacological management (82.7%).
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.
Hubungan Kecanduan Media Sosial Dengan Kualitas Tidur Mahasiswa Universitas Warmadewa Angkatan 2021 Ida Ayu Dinda Pradnyaswari Kartha; Ni Luh Putu Eka Kartika Sari; I Made Pariartha
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.5.1.2025.1-9

Abstract

Significant advancements have been made in the fields of technology, information, and communication throughout this millennium, particularly in the use of social media. The increased use of social media has led to addiction among adolescents, which affects their sleep quality, especially among university students. This study aims to evaluate the respondents' profiles, sleep quality, level of social media dependency, and the relationship between excessive social media use and sleep quality among students of Warmadewa University from the 2021 cohort. An analytical study with a cross-sectional design was employed. The research was conducted at Warmadewa University over a period of four months. A total of 387 participants were selected using purposive sampling. Data were analyzed using SPSS version 27 with Chi-square tests. The findings showed that the majority of respondents were 21 years old (39.0%), female (58.9%), and predominantly from the Faculty of Engineering and Planning (21.7%). Regarding sleep quality, most respondents had good sleep quality (77.0%). The level of social media addiction was dominated by the mild category (74.7%), followed by severe (15.8%) and moderate (9.6%) categories. The correlation analysis revealed a significant relationship between social media addiction and sleep quality (p < 0.05).
Perbedaan Tingkat Kecemasan Ibu Bersalin di RSD Mangusada setelah Pemberian Teknik Distraksi Musik Klasik Dewa Gede Adrian Harta Wiguna; I Gusti Ngurah Made Bayuningrat; Putu Indah Budi Apsari; I Made Pariartha; 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.5.2.2025.150-158

Abstract

The maternal mortality rate in Indonesia is one of the highest in the world. According to WHO, in 2017, 830 mothers in the world died due to complications that occurred during pregnancy and childbirth. One of the main factors causing maternal death according to WHO are prolonged labor. This research determine the differences in anxiety levels of mothers in the first stage of latent phase labor at the Mangusada Hospital after administering classical music distraction. Through this research, we can also determine the level of anxiety among mothers giving birth at the Mangusada Hospital using the PRAQ-R2 instrument which is valid and reliable. This research design uses quantitative research methods with an experimental and one group pretest posttest design. The sample in this study was all women giving birth in the first stage of the latent phase at the Mangusada Hospital from July to September with a total of 40 people. Univariate analysis showed that the majority of mothers were 25 years old, primiparous, with a gestational age of 38 weeks. Then the difference anxiety level measured using a non-parametric test, namely Wilcoxon Sign Rank Test. Wilcoxon showed a significant reduction in anxiety levels in mothers in the first stage of labor after being given treatment. This is proven by the value p < 0.001. Based on the results of the analysis, there were differences in the anxiety levels of mothers in the first stage of latent phase labor at the Mangusada Hospital after giving classical music distraction techniques.