Aesculapius Medical Journal
AMJ (Aesculapius Medical Journal) is a peer-reviewed medical journal that published research articles and theoretical articles in medical science. This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge. It aims is to provide a place for academics and practitioners to publish original research articles, review articles, and book reviews. The scope of this journal area any topics concerning medical studies in all aspects. AMJ (Aesculapius Medical Journal) published by Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa 3 times a year. AMJ (Aesculapius Medical Journal) is available in print and online version. AMJ (Aesculapius Medical Journal) is Available online at https://www.ejournal.warmadewa.ac.id/index.php/amj/index, since Volume 1 No 1 October, 2021.
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<![CDATA[Hubungan antara Usia, Usia Kehamilan, Kadar Leukosit, dan Paritas dengan Tingkat Keparahan Gejala Covid-19 pada Ibu Hamil di Rumah Sakit Umum Daerah Sanjiwani Gianyar pada Tahun 2020-2021 ]]>
<![CDATA[Ni Wayan Aurelia Niriswari Darmawan]]>;
<![CDATA[I Gusti Ngurah Made Bayuningrat]]>;
<![CDATA[Ni Putu Diah Witari]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Penyakit Coronavirus 2019 atau COVID-19 adalah penyakit pernapasan akut yang disebabkan oleh Sindrom Pernafasan Akut Parah Coronavirus tipe 2 (SARS-CoV-2) dan menyebar dengan cepat di seluruh belahan dunia. Ibu hamil merupakan salah satu kelompok yang rentan terkena covid-19. Hal ini dikarenakan ibu hamil memiliki sistem imunitas tubuh yang rendah. Perubahan fisiologis selama kehamilan memiliki dampak yang signifikan pada sistem kekebalan tubuh, sistem pernapasan, fungsi kardiovaskular, dan koagulasi. Penelitian ini bertujuan untuk mengetahui hubungan antara usia, usia kehamilan, kadar leukosit, dan paritas dengan tingkat keparahan gejala COVID-19 pada ibu hamil di Rumah Sakit Umum Daerah Sanjiwani Gianyar pada Tahun 2020-2021. Penelitian ini merupakan penelitian analitik korelasi dengan desain Cross Sectional. Data penelitian merupakan data sekunder, yaitu data rekam medis dari ibu hamil positif COVID-19 di Rumah Sakit Umum Daerah Sanjiwani Gianyar pada tahun 2020-2021. Hasil penelitian ini mendapati bahwa tidak terdapat hubungan antara usia (p > 0,05), kadar laukosit (p > 0,05), dan paritas (p > 0,05) dengan keparahan gejala COVID-19 pada perempuan hamil. Terdapat hubungan antara usia kehamilan terhadap keparahan gejala COVID-19 pada perempuan hamil (p < 0,05).]]>
<![CDATA[Hubungan Penurunan Fungsi Kognitif dengan Stroke Iskemik di RSUD Mangusada ]]>
<![CDATA[Anak Agung Ngurah Agung Bayu Sutha]]>;
<![CDATA[Saktivi Harkitasari]]>;
<![CDATA[Dewa Ayu Agung Alit Suka Astini]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Stroke is a neurological disorder that attacks central nervous system. Around 80-90% stroke patients suffer from ischemic stroke. Ischemic stroke is known to have higher potential of causing its sufferer disability. The decline of cognitive function is a condition that is caused by ischemic stroke. If someone experiences decline of cognitive function, it is hard for the person to live independently, reduces productivity, and lowers quality of life. The purpose of this research was to examine the correlation between the cognitive decline and ischemic stroke at Mangusada Regional General Hospital, Badung. This research was an analytical-observational study with cross-sectional design. The research subject sampling technique was consecutive sampling. The research subjects comprised of 70 people with 1:1 ratio, they are 35 ischemic stroke patients and 35 non-ischemic stroke patients who visited the neuro polyclinic at Mangusada Regional General Hospital in December 2021 until February 2022. The data sampling was performed using MoCA-Ina questionnaire. The data were processed and analyzed using contingency coefficient correlation test. The test obtained p value = 0,001 which implied 95% confidence level, it showed that there was significant correlation, and the correlation level is categorized low because the correlation coefficient was 0,378. The conclusion of this research is that there is significant correlation, and the correlation level is categorized low between the cognitive decline and ischemic stroke at Mangusada Regional General Hospital.]]>
<![CDATA[Gambaran Pasien Katarak dengan Riwayat Diabetes Melitus di Rumah Sakit Mata Bali Mandara ]]>
<![CDATA[I Gede Ananta Widjaksana]]>;
<![CDATA[Ni Putu Diah Witari]]>;
<![CDATA[Ni Nyoman Sunariasih]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[The condition in which the usually clear and clear lens of the eye turns cloudy is called a cataract. In Indonesia, cataracts are the main cause of blindness with a percentage of 77.7%. Data obtained from the Bali Mandara Eye Hospital in 2018 stated that the percentage of cataracts in the province of Bali was 2.7%. Various factors can cause cataracts, diabetes mellitus is one of them. Increased blood sugar levels in patients with diabetes mellitus will provide clearly visible changes in body tissues that are not dependent on insulin for glucose transport. This can occur in the lens of the eye which can cause cataracts. This study aims to determine the description of cataract patients with a history of diabetes mellitus at the Bali Mandara Eye Hospital. This research method is descriptive retrospective with a cross-sectional study design. The data collection method used secondary data from medical records. The research sample was all cataract patients who checked themselves at the Bali Mandara Eye Hospital and met the criteria set by the purposive sampling technique. The data obtained were analyzed univariately. In this study, it was found that patients with cataracts with a history of diabetes mellitus were dominated by female patients and patients with an age range of 50-60 years. Based on the classification suffered, patients with immature cataracts are the most common. Based on the blood sugar levels obtained during the examination, most of the patients had high blood sugar levels.]]>
<![CDATA[Karakteristik Penderita Diare pada Balita Yang Dirawat Inap di RSUD Tabanan Periode 2020 - 2021 ]]>
<![CDATA[I Nyoman Agung Triana Putra]]>;
<![CDATA[Ni Kadek Elmy Saniathi]]>;
<![CDATA[Putu Arya Suryanditha]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Tabanan Regency is one of the areas in Bali Province with a high case of diarrhea in children under five years old. The incidence of diarrhea in children is influenced by three risk factors: environmental, sociodemographic, and behavioral. This study aims to determine the characteristics of diarrhea in children under five who are treated at Tabanan Hospital in 2020 – 2021. This study uses a descriptive method with a cross-sectional design that uses secondary data from the hospital’s medical records. The subjects of this study were toddlers with diarrhea who were hospitalized at Tabanan General Hospital from 2020 – 2021. Sampling used a total sampling technique. The number of samples in this study was 55 toddlers. Data analysis in this study is univariate analysis. The results showed that the highest incidence of diarrhea occurred in the age group 1 – 12 months (45.5%), male (56.4%), and had normal nutritional status (96.4%). All toddlers had acute diarrhea (100%), mild-moderate dehydration (81.8%), most of them experienced diarrhea caused by an infectious process (81.8%), and as many as (69.1%) received antibiotics. The incidence of hypernatremia was 5.5%, and the remainder without complications, The length of treatment was primarily 1-3 days (56.4%).]]>
<![CDATA[Identifikasi Faktor Risiko Ergonomi pada Karyawan Minimarket di Denpasar ]]>
<![CDATA[I Gusti Agung Ayu Dwitya Asrinda Socha]]>;
<![CDATA[Ni Wayan Rusni]]>;
<![CDATA[Ni Wayan Winianti]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Minimarket employees are one of the examples of human labor who work manually and thus it often creates ergonomic problems that tend to have risks. The awkward work posture of minimarket employees can cause muscle and bone disorders or commonly referred to as musculoskeletal disorders. This condition can trigger the occurrence of impaired concentration and fatigue at work. This study aims to assess the ergonomic risk factors of minimarket employees in Denpasar. It includes awkward work posture, duration of work, forceful motion, and MSDs. The design used was descriptive study and a cross sectional approach. This study was done in several minimarkets in West Denpasar and South Denpasar for 4 months from March until June 2022. The samples used were minimarket employees in West Denpasar and South Denpasar based on predetermined criteria with a sampling technique of purposive sampling. This study was conducted among 96 employees of mini markets at West and South Denpasar. Data was obtained by filling out online questionnaires and interviews and then analyzed univariately. The results shows that 50 % of the minimarket employees in Denpasar had low risk work posture. About 68.8 % of the minimarket employed in Denpasar had complaints of musculoskeletal disorders in the low category, while 67.7 % of them experienced work exhaustion in the low category.]]>
<![CDATA[Hubungan Tingkat Kecemasan dengan Kualitas Tidur pada Mahasiswa Tahap Pre-Klinik dalam Menghadapi Ujian Blok di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa ]]>
<![CDATA[Ni Made Aninda Febriyanti]]>;
<![CDATA[Putu Asih Primatanti]]>;
<![CDATA[Ni Luh Putu Eka Kartika Sari]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Anxiety is a mental problem that is often experienced by medical students which can be interpreted as feeling worried and unable to perform obligations. The academic obligations that medical students have to perform such as block exams encountered are the initial triggers for anxiety that affect sleep quality. Sustained anxiety will affect the quality of student sleep, resulting in impaired physiological and psychological balance. This research aims to analyze the correlation between anxiety level and sleep quality of pre-clinical students when facing block exams in the Faculty of Medicine and Health Science of Warmadewa University. This research applied analytical study design using cross-sectional approach. The sampling technique was using proportional random sampling approach. The sample of the research covered 227 students of medical education. The instruments of this research were Hamilton Anxiety Rating Scale (HARS) dan Pittsburgh Sleep Quality Index (PSQI). The data analysis techniques employed within this research were univariate and bivariate analyses using the Rank Spearman test. The result of the analysis shows that out of the 227 samples; 146 respondents (64.3) indicated no anxiety, 44 respondents (19.4%) indicated mild anxiety, 19 respondents (9.3%) indicated moderate anxiety, and 14 respondents indicated (6.2%) severe anxiety. In terms of sleep quality; 67 respondents (29.5%) indicated good sleep quality and 160 respondents (70.5%) indicated poor sleep quality. The results of the Rank Spearman test analysis showed the value of p = 0.006 which means that p<0.05. So it can be concluded that there is a significant correlation between anxiety level and sleep quality of pre-clinical students when facing block exams.]]>
<![CDATA[Karakteristik Pasien Diare Anak Umur 2-5 Tahun di Rumah Sakit Umum Daerah Wangaya, Denpasar ]]>
<![CDATA[Ida Ayu Putu Pradnya Dewi]]>;
<![CDATA[Anak Agung Ayu Lila Paramasatiari]]>;
<![CDATA[Anak Agung Oka Lely]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Diare adalah buang air besar dengan frekuensi lebih sering dari biasanya (empat kali atau lebih) dalam sehari dan dapat disertai dengan perubahan konsistensi feses menjadi cair dengan atau tanpa lendir dan darah yang berlangsung kurang dari satu minggu. Berdasarkan data Riskesdas 2018 kejadian diare pada balita tertinggi di Kota Denpasar yakni sebesar 352 kasus. Berdasarkan data Rumah Sakit Umum Daerah (RSUD) Wangaya, Denpasar tahun 2018, penyakit diare termasuk ke dalam 10 besar penyakit terbanyak dan menempati urutan pertama yaitu dengan 842 kasus. Tiga faktor yang dapat mempengaruhi terjadinya diare, yaitu berdasarkan jenis kelamin, status gizi, serta imunisasi campak. Penelitian ini merupakan penelitian deskriptif dengan desain penelitian cross sectional. Pengumpulan data menggunakan data sekunder dari rekam medis pasien. Subjek dalam penelitian ini adalah sebanyak 106 orang pasien diare anak umur 2 - 5 tahun di Rumah Sakit Umum Daerah Wangaya, Denpasar. Analisis data dilakukan secara univariat dengan tabel distribusi proporsi. Hasil penelitian ini menunjukkan bahwa anak yang paling sering terjangkit penyakit diare adalah jenis kelamin laki-laki dengan presentase (54,7%) dibandigkan anak perempuan (45,3%). Presentase berdasarkan status gizinya, anak yang memiliki status gizi baik (46,2%) lebih dominan terjangkit penyakit diare dibandingkan gizi buruk (5.7%), serta berdasarkan riwayat imunisasinya, anak yang sudah mendapatkan imunisasi campak (95,3%) juga bisa terjangkit penyakit diare]]>
<![CDATA[Hubungan antara Tingkat Stres dengan Tingkat Keparahan Akne Vulgaris pada Siswa Kelas XII SMA Negeri 5 Denpasar ]]>
<![CDATA[Gede Nengah Osa Jayadiningrat]]>;
<![CDATA[Luh Gede Pradnyawati]]>;
<![CDATA[Made Sudarjana]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Acne vulgaris is defined as an inflammation of the pilosebaceous follicles that generally occurs in adolescents and young adults. Stress is one of the causes that is multifactorial. Stress can increase androgen hormones as well as increased sebum production and also stimulates keratinocytes. Increased production of high sebum accompanied by an increase in keratinocytes can lead to the appearance of acne vulgaris. This study was aimed at determining the relationship between stress levels and the severity of acne vulgaris of SMA Negeri 5 Denpasar students. This study used a quantitative analysis method design with a cross sectional approach. Purposive sampling technique was used to select research subjects and 212 twelfth grade students of SMA Negeri 5 Denpasar were selected as the sample. Data was collected using the DASS-21 questionnaire and physical examination of the facial area. It was analysed using technique of univariate and bivariate analysis using the Spearman correlation test. Univariate results showed that the majority of students were female (65.1%), 18-year-old (53.5%), with mild stress level (63.2%), and having mild acne (81.6%). The results of the bivariate analysis showed that there was a relationship between stress levels and the severity of acne vulgaris of the twelfth grade students of SMA Negeri 5 Denpasar (p = 0.001) with a strong correlation level and a positive direction (r = 0.571). Therefore, it can be concluded that there is a relationship between stress levels and the severity of acne vulgaris of twelfth grade students of SMA Negeri 5 Denpasar.]]>
<![CDATA[Hubungan antara Sikap Kerja terhadap Keluhan Musculoskeletal Disorders pada Pekerja Angkat Angkut Penyuplai Minimarket Lely ]]>
<![CDATA[Nyoman Mery Arya Meiantini]]>;
<![CDATA[Ni Wayan Rusni]]>;
<![CDATA[Ni Wayan Winianti]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Musculoskeletal Disorders (MSDs) are a collection of conditions that affect musculoskeletal system at the extreme points of the body in the upper and lower extremities. Some of the main factors that trigger these complaints are overstretching the muscles, repetitive movements, and unnatural work attitudes. Lifting workers generally work using their bodies as a means of transportation. In addition, this work requires a large amount of energy, so workers are often more concerned with getting the job done quickly without considering work attitudes while working. The primary objective of this research is to examine how the work ethics of lift workers at Lely Minimarket are linked to the occurrence of musculoskeletal complaints. The research employed a cross-sectional observational analytic method. This study utilized a total sampling technique. Data analysis was carried out univariately and bivariate with the SPSS 25 version. According to the results that highest proportion of lift workers were male, in the early adult age category, and worked 7-12 hours per day. Most of the workers (72.5%) have a normal body mass index and 64% have a working period of <5 years. Based on the result, the most respondents (55%) had a very high risk work attitude in the form of a bent back, upper arms raised and away from the body, and neck flexion-extension. MSDs complaints experienced by the majority of respondents were in the high category, especially in the area of the waist (92.5%), back (87.5%) and upper arms (85%). The Spearman Correlation test analysis yielded results that indicated a significant correlation between work attitude and musculoskeletal complaints (r = 0.600, p <0.05) in lift workers supplying Lely Denpasar Minimarket. Based on the results acquired, it is important to improve the work attitude of workers as soon as possible so that there is a decrease in the level of MSD complaints, in the form of providing lifting aids aimed at business owners.]]>
<![CDATA[Identifikasi Risiko Ergonomi pada Pekerja Tenun di Kecamatan Dawan Kabupaten Klungkung ]]>
<![CDATA[Putu Santi Pridayanti]]>;
<![CDATA[Ni Wayan Rusni]]>;
<![CDATA[Putu Nia Calista Santoso]]>
<![CDATA[ AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June ]]>
Publisher : <![CDATA[Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa ]]>
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<![CDATA[Weaving is a job that requires high accuracy. Weaving workers work on problems such as sitting posture, repetitive worker movements, and non-ergonomic tool designs, which often cause fatigue and musculoskeletal disorders (MSDs). This study aimed to look at the risk description of work attitudes, workload, fatigue and MSDs complaints on weaving workers in Dawan District, Klungkung Regency. The subjects in this study were weaving workers in Dawan District, Klungkung Regency. This research was conducted using a descriptive observational study with a cross sectional study design. The research was conducted in June – August 2022 using purposive sampling technique and obtained 40 respondents of weaving workers in Dawan District, Klungkung Regency. Data were obtained through interviews, filling out questionnaires, and direct measurements. The data was analyzed using SPSS Type 26 with univariate analysis. The final results showed 57.5% of moderate risk work attitudes, 62.5% of light physical workloads, 52.5% of very high mental workloads, 50% had a moderate level of fatigue and 45% had a low level of MSDs. Ergonomics work attitude plays an important role in the condition and health of weaving workers. Therefore, it is necessary to evaluate the design of the work environment to minimize the occurrence of work fatigue and MSDs complaints.]]>
