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Komang Aditya Yudistira
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Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Gedung F2 Lantai 3, Jl. Terompong No.24 , Sumerta Kelod, Kec. Denpasar Tim., Kota Denpasar, Bali 80239
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Aesculapius Medical Journal
Published by Universitas Warmadewa
ISSN : 28290712     EISSN : 28086848     DOI : https://doi.org/10.22225
Core Subject : Health, Science, Education,
Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
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.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 12 Documents
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Search results for , issue "Vol. 3 No. 3 (2023): October" : 12 Documents clear
Hubungan antara Kadar Asam Urat dengan Profil Lipid pada Pasien Sindrom Koroner Akut di RSUD Sanjiwani Gianyar I Gusti Ngurah Bayu Paramartha; I Gede Bagus Gita Pranata Putra; Sri Ratna Dewi
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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AbstractThe Correlation Between Uric Acid and Lipid Profile in Acute Coronary Syndrome Patient of Sanjiwani Hospital GianyarSeveral studies show that high uric acid levels is linking to the incidence of acute coronary syndromes and dyslipidemia that leads to heart disease. The aim of this study is to determine the association between uric acid and lipid profile in acute coronary syndrome patients of Sanjiwani Hospital Gianyar. Cross-sectional analysis is the type of data analysis that is being used in this study and was conducted at the Sanjiwani Hospital, Gianyar, with a total of 45 subjects involved. Spearman correlation test showed that there was a significant positive correlation between uric acid levels and Total Cholesterol (TC) (r = 0.467 and p = 0.001). There was a significant positive correlation between uric acid levels and Low Density Lipoprotein (LDL) (r= 0.348 and p value = 0.019). There was a significant negative correlation between uric acid levels and High Density Lipoprotein (HDL) (r= -0.445 and p = 0.002). There was no significant correlation between uric acid levels and Triglycerides (TG) (r = 0.232 and p = 0.124). It was also found that more than 50% of subjects had uric acid levels in the high category (53.3%), optimal Total Cholesterol (TC) levels (80%), normal High Density Lipoprotein (HDL) levels (57.8%), and optimal Triglycerides (TG) levels (71.1%). Meanwhile, 46.7% of subjects had optimal Low Density Lipoprotein (LDL) levels.
Gambaran Kejadian Diare pada Balita di Rumah Sakit Umum Daerah Wangaya Denpasar Komang Yasmika Utami; Ni Wayan Armerinayanti; Anak Agung Oka Lely
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract [Overview of the Diarrhea Incidence in Toddlers at the Wangaya Regional General Hospital, Denpasar] Diarrhea is a bowel disease with a frequency of 3 or more times per day which is soft, liquid and can be accompanied by blood, mucus, fat, or undigested food particles. Diarrhea is the main cause of death for children under the age of 5 years in Indonesia, due to malnutrition. The severity of diarrheal disease is determined by nutritional status, duration of diarrhea, degree of dehydration, comorbidities and length of stay in hospital. In the province of Bali, the incidence of diarrhea in children under five years includes 1,275 cases and the highest case finding of diarrhea in children under five years is in the city of Denpasar. This study aims to determine the description of diarrheal disease in children under five years at Wangaya General Hospital Denpasar from January 2020 - July 2021. This study is a descriptive study with a cross sectional design. The research subjects were toddlers aged 12-60 months who were selected based on the purposive sampling method. Collecting data using secondary data from the medical records of the Wangaya Regional General Hospital Denpasar, then analyzed using a univariate test through the SPSS computer program. The results showed that all children under five years with diarrhea in Wangaya General Hospital Denpasar experienced acute diarrhea. The majority of toddlers with diarrhea at the Wangaya General Hospital Denpasar experienced mild or moderate dehydration, received less than 5 days of treatment, experienced symptoms of watery bowel movements, vomiting and fever when they entered the hospital and improved when they were brought home. Keywords : diarrhea, duration of diarrhea, degree of dehydration, length of stay in hospital
Hubungan Aktivitas Fisik dengan Keluhan Dismenore Primer pada Mahasiswi Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Ni Made Ayu Pratiwi Wedantari; Komang Trisna Sumadewi; I Gusti Ngurah Suryantha
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Dysmenorrhea is a gynecological health complaint. The incidence of dysmenorrhea was 1,769,425 people, 90% of women. The highest prevalence of dysmenorrhea was experienced by female students with a percentage of 34.2% including severe pain; 36.6% had moderate pain; and 29.2% had mild pain. In previous studies, the majority of medical students had lack of physical activity due to tight lecture schedules. Physical activity is known to have a role in producing endorphins which are the body's natural painkillers. This study aims to determine whether there is a relationship between physical activity and primary dysmenorrhea in female students of the Faculty of Medicine and Health Sciences, Warmadewa University. Sampling was carried out at the Faculty of Medicine and Health Sciences, Warmadewa University, Denpasar City, Bali Province. The time for the research is on October 2022. This research used analytic method with cross sectional design. The sampling technique for this study used simple random sampling amounted 100 respondents. Data collection used the International Physical Activity Questionnaire (IPAQ) and dysmenorrhea questionnaire. Data analysis used the Chi Square test. The results showed that the prevalence of low physical activity was 43% and primary dysmenorrhea was 75%. The results of the Chi Square test obtained p-value = 0.000 so that it can be concluded that there is a significant relationship between physical activity and complaints of primary dysmenorrhea in female students of the Faculty of Medicine and Health Sciences, Warmadewa University.
Korelasi antara Kolesterol Total dengan Kadar HbA1c pada Pasien Diabetes Mellitus Tipe 2 di RSUD Tabanan Tahun 2021 Ni Nyoman Trisna Haryanti; Sri Ratna Dewi; Putu Nia Calista Santoso
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Diabetes mellitus (DM) is chronic disease associated with various complications. Measurement of glycosylated hemoglobin (HbA1c) can be used as a standard for monitoring and risk indicators for DM complications. Increased levels of Free Fatty Acid (FFA) cause total cholesterol in type 2 DM to increase. Several studies have shown different results regarding the relationship between total cholesterol and HbA1c levels, so researchers are interested in re-examining the correlation of total cholesterol with HbA1c in type 2 DM patients. This research re-examined the correlation of total cholesterol and HbA1c levels in type 2 DM patients. The research was carried out which aimed to determine the correlation of total cholesterol with HbA1c in type 2 DM patients at Tabanan Hospital in the period January 1st – December 31st, 2021. This type of research is cross-sectional analytic observational research from secondary data sources (medical records) taken by consecutive sampling. Then the data was analyzed using the Pearson test through Statistical Product and Service Solutions (SPSS). Based on research starting in August-November 2022, samples that met the inclusion and exclusion criteria were 54 samples. From these samples, the average total cholesterol level was 225 mg/dl and the average HbA1c level was 8.8%. Pearson correlation test results obtained r = 0.371 (weak positive correlation) and p-value = 0.006, therefore it can be stated that total cholesterol and HbA1c levels have a significant relationship in type 2 DM patients.
Hubungan Tingkat Pengetahuan dengan Perilaku Pemeriksaan Inspeksi Visual Asam Asetat pada Wanita Usia Subur yang Sudah Menikah di Wilayah Kerja Puskesmas Sukawati II Luh Gde Sita Maharani; Dewa Ayu Putu Ratna Juwita; Anny Eka Pratiwi
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Cervical cancer is the growth of abnormally dividing cells that can invade the tissue (epithelium) of the cervix due to a virus. Early detection of the human papilloma virus plays an important role. Acetic acid visual inspection is an examination by observing the cervix with a speculum, then applying acetic acid. The aim of this study was to determine the relationship between married women of reproductive age's knowledge level and the behavior of acetic acid visual inspection as an early detection of cervical cancer in the Sukawati ll community health center working area. This study used an analytic method design with a cross sectional approach, which used 126 samples using consecutive sampling technique. Data were collected using questionnaires and then analyzed univariate, bivariate and multivariate using IBM SPSS® version 25. Based on the Chi-Square test, there was a significant relationship between the level of knowledge (p < 0.01), attitude (p < 0.01), latest education (p < 0.01), family support (p < 0.02), residential access (p < 0.03), affordability (p < 0.01), and friend support (p < 0.01). While the variables of health worker support and access to information did not have a significant relationship. This study concluded that the level of knowledge has a significant relationship with acetic acid visual inspection inspection behavior (p < 0.01).
Kualitas Hidup Lansia di Desa Subamia Wilayah Kerja Puskesmas Tabanan II tahun 2022 Panca Tri Pramana; Luh Gede Pradnyawati; Made Indra Wijaya
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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The elderly are considered a group of people over the age of 60 who are susceptible to age-related diseases. The number of elderly in the world is predicted to increase from 962 million elderly in 2017 to 1.4 billion elderly in 2030, 2.1 billion elderly in 2050 and by 2100 to reach 3.1 billion elderly. A person in old age will show signs of decline in physical, mental and social aspects. As a result of the problems that occur, an elderly person must be considered for their quality of life. A high quality of life indicates that a person reaches perfection at the end of his life, while a low quality of life can lead to despair in the elderly. The purpose of this study was to measure the level of quality of life of the elderly in Subamia Village in 2022. This study was conducted in November 2022. Sampling was conducted in Subamia Village, Tabanan Regency, Bali Province. The research method used is a quantitative descriptive method with a research design, namely a cross-sectional design. The data collection technique used consecutive sampling with a total of 80 respondents. Data collection was carried out during elderly posyandu activities using WHOQOL-BREFF with interview-based questionnaire techniques. Data were collected sequentially until the minimum number of samples was reached. Data analysis using univariate analysis.The results of the research on the quality of life of the elderly in Subamia Village based on physical obtained moderate criteria (65%), based on psychological obtained moderate criteria (50%), based on social relations obtained moderate criteria (63.7%), and based on environmental obtained moderate criteria (63.7%).
Hubungan Penerapan Perilaku KADARZI dengan Status Gizi Balita di Puskesmas Mengwi I Kabupaten Badung Anak Agung Istri Ardhia Pramesti Kiyanti; Anny Eka Pratiwi; Dewa Ayu Putu Ratna Juwita
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Lately, undernourished children coexist with toddlers with toddlers who are overnourished. To overcome these obstacles, the government has made various efforts to improve the nutritional status of Indonesian children. One of them is through the KADARZI (Keluarga Sadar Gizi) programme, which is defined as a family's awareness to detect, anticipate, and resolve any nutritional issues in each of its members. This research objective is to examine the association between the application of KADARZI behavior and the nutritional status of young children, using cross-sectional analytical approach. The participants in this research consist of 100 mothers and toddlers who are in the age range of 6 to 59 months, and live in the operational area of Puskesmas Mengwi I Badung. The respondent selection is done by using a consecutive sampling technique. After the data collection procedure was completed, each variable will be processed by using univariate and bivariate methods. Findings from this study reveal that the majority of toddlers are male (59%) in the age range of 36 to 47 months (35%), and do not experience any nutritional issues according to the TB/U and BB/U index (100% and 69%), also BB/TB index (88%). In addition, 54 out of 100 families did not implement the KADARZI behavior comprehensively. According to the result of chi-square analysis, p-value obtained is 0.005 (p ≤ 0.05). It indicates a significant correlation between the application of KADARZI behavior and the nutritional status of toddlers in the operational area of Puskesmas Mengwi I Badung. The value of prevalence ratio (PR) obtained is 9.370 with a 95% confidence interval between range 1.257 to 69.863. After this research is done, it is recommended to enhance collaboration between POKJA (Kelompok Kerja) IV and government institutions to raise public awareness regarding the implementation of KADARZI behavior.
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
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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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.
Karakteristik Kualitas Tidur pada Siswa SMA Negeri 1 Sukawati, Gianyar I Putu Palguna Ananta Kesuma; Putu Asih Primatanti; I Gusti Rai Tirta
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Sleep quality disturbances are quite common in high school students. This is due to them being in the late period of puberty that is causing changes in their sleep patterns. In general, sleeping quality of high school students can be influenced by various factors which can be divided into two, intrinsic factors that are based on the person themselves, and extrinsic factors that are based on that person’s surroundings or environment. This study employs a descriptive research design. The participants in this study consist of the students from SMA Negeri 1 Sukawati. The utilized tools encompass the PSQI and PSS-10 questionnaires. The sampling method employed is simple random sampling with a total of 735 respondents.. Data processing was carried out using SPSS with univariate and bivariate analysis. 59.5% of high school students were found to have poor sleeping quality by using univariate analysis. Using bivariate analysis using chi square, it was discovered that there are several characteristics that are related to sleep quality (P<0.05) namely gender, family situation, and number of close friends. In addition, stress levels were also found to have a significant connection with sleep quality (P <0.05). Based on the findings of this study, it can be inferred that a majority of students at SMA Negeri 1 Sukawati experience sleep disturbances, amounting to 59.5%. The variables, including gender, family environment, number of acquaintances, and stress levels, have demonstrated a statistically significant correlation with sleep quality, with a p-value of <0.05.
Karakteristik Vaginal Birth After Caesarean (VBAC) pada Ibu dengan Locus Minoris Resistentiae (LMR) Periode Januari 2017 - Desember 2020 Putu Ayu Bunga Aurellia; Pande Made Ngurah Geriawan; Ni Wayan Armerinayanti
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Vaginal Birth After Cesarean (VBAC) is a normal delivery process after having previously had a cesarean section. This process is carried out on mothers with former cesarean sections or Locus Minoris Resistant (LMR). The aim of this study was to find out the characteristics of Vaginal Birth After Caesarean (VBAC) in Mothers with Locus Minoris Resistance (LMR) for the period January 2017-December 2020. This study was a retrospective descriptive study with a sample of mothers with LMR who performed VBAC at the Sanjiwani Hospital. Gianyar, BRSUD Tabanan and RS Prima Medika Denpasar which were selected by purposive sampling method that met the inclusion criteria were then presented in tabular form. There were 37 patients out of 48 patients who underwent Trial of Labor After Caesarean (TOLAC) who successfully performed a VBAC with various characteristics, where as many as 32 people (86.5%) with age < 35 years, did not have a history of normal delivery as many as 24 people ( 64.9%), having a cesarean section frequency 1 time as many as 36 people (97.3%), patients with an indication of a previous cesarean section in a breech presentation as many as 14 people (37.9%), with a delivery distance of > 24 months as many as 37 people ( 100%) and gave birth to babies with a birth weight of 2500-4000 grams as many as 36 people (97.3%).

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