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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 200 Documents
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Hubungan Leukopenia dengan Tingkat Keparahan Demam Berdarah Dengue pada Anak di RSUD Wangaya Denpasar pada Januari-Agustus 2021 Anak Agung Ngurah Arya Yugadhyaksa; Ni Kadek Elmy Saniathi; Ni Wayan Widhidewi
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.4.1.2024.129-135

Abstract

[The Correlation Between Leukopenia and The Severity of Dengue Hemorrhagic Fever in Paediatric Patients of RSUD Wangaya Denpasar from January 2021-August 2021] Dengue Hemorrhagic Fever (DHF) is one of the most concerning diseases to look out for each year especially on paediatric patients because pediatric patients are more susceptible to severe dengue infection. This is presumably because the microvasculature in children is more prone to plasma leakage. To measure the severity of DHF, a classification by World Health Organization (WHO) in 2011 is used mainly as the standards. This study aims to determine the relationship between leukopenia and the severity of dengue fever in children treated at Wangaya Regional Hospital, Denpasar. The methods this study used is an observational analytic method with cross sectional study by using medical reports as secondary data from January-August 2021 in RSUD Wangaya Denpasar. Subjects are obtained by consecutive sampling with 92 subjects. This study used chi-square analysis (x2) with 95% confidence interval (CI) and P-value of 5%. Data was analyzed using univariate and bivariate model through Statistical Package for the Social Sciences for Windows. The results of this study indicates that the number of subjects with non-shock hemorrhagic dengue fever which is 68.5% appears to be greater than subjects with shock dengue hemorrhagic fever which is 31.5%. The average leukocyte level in the subjects obtained was still in the normal range, namely 4,803 µL. Chi square (x2) distribution table analysis (p=0,092), there is no significant correlation between the leukopenia with the severity of dengue hemorrhagic fever in paediatric patients of RSUD Wangaya Denpasar.
Identifikasi Keluhan Computer Vision Syndrome (CVS) Pada Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Sonia Fillani Indah; Ni Wayan Winianti; Ni Wayan Sedani
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.3.2.2023.233-239

Abstract

Computer Vision Syndrome (CVS) is a collection of symptoms in the eyes and neck caused by excessive use of computers or monitors. Complaints of CVS become a health problem that needs attention because it can reduce productivity and quality of life in the future. The purpose of this study was to determine the most common CVS and CVS complaints among medical students at the Faculty of Medicine and Health Sciences, University of Warmadewa (FKIK Unwar) based on the identification carried out. This research is a descriptive observational study with a cross sectional research design. The study was conducted at FKIK Unwar with a sample of 123 people in January 2022. Data were obtained by filling out online questionnaires and interviews and then univariate analysis. The results showed that the most common complaint of asthenopia symptoms was eye fatigue 101 respondents (82.1%). On the symptoms on the ocular surface, the most common complaint is watery eyes with a frequency of 56 respondents (45.5%). In visual symptoms, the most common complaint is sensitivity to light with a frequency of 64 respondents (52%) and in esctarocular symptoms the most common complaint is back pain with a respondent frequency of 80 people (65%). The conclusion in this study is that the most common CVS complaints felt by FKIK Unwar students were asthenopia symptoms with complaints of tired eyes with a respondent frequency of 101 people (82.1%) and visual symptoms with complaints of double vision were the complaints that were most rarely felt by FKIK Unwar students with a frequency of respondents 15 people (12.2%)
Gambaran Penggunaan Terapi Kombinasi Oral Metformin-Sulfonilurea pada Pasien DM Tipe 2 di Denpasar Ida Ayu Amanda Dewi Wikannanda; Ni Luh Putu Eka Kartika Sari; Anak Agung Sri Agung Aryastuti
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.3.2.2023.224-232

Abstract

Type 2 diabetes mellitus (T2DM) is a global health problem in the form of metabolic disorder characterized by hyperglycemia. Management of T2DM includes pharmacological therapy with oral antidiabetic drugs, either monotherapy or combination therapy. Metformin and sulfonylureas combination therapy is the most common therapy given to T2DM patients in Indonesia, but studies on the use of this combination are limited. This study aims to provide an illustration of the use of metformin-sulfonylureas oral combination therapy in T2DM patients in Denpasar. This is a descriptive cross-sectional study, which was conducted in RSUD Bali Mandara, RSUD Wangaya Denpasar, and RSU Puri Raharja, using data from medical records from January 2020 – August 2021. The total amount of sample is 80 samples. Data that has been analyzed univariately is presented as narratives and tables. The characteristic of the samples includes age 46-65 years (73.8%), female gender (51.2%), having high school education (58.8%), working as private employee (50%), DM duration of 1-4 years (56.3%), and having 2-3 comorbidities (62.5%) with the most common comorbidity being hypertension (58.8%). Result showed that metformin-glimepiride was the most used type of metformin-sulfonylurea combination therapy among samples (90%), with the most used doses were 500 mg of metformin twice daily and 2 mg of glimepiride once daily (17,5%). Most of the samples have controlled level of FBG (60%), dominated by samples who used metformin-glimepiride combination therapy (63,9%). Metformin-glimepiride combination is the most common oral combination therapy due to better safety profile and ability to manage glucose levels than other sulfonylureas.
Hubungan Lama Menjalani Hemodialisis Dengan Status Gizi Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis Reguler di RSUD Sanjiwani Gianyar Dewa Gde Agung Wikananda Besang; Anak Agung Gede Budhitresna; Putu Arya Suryandhita
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.81-85

Abstract

One of the most often seen condition in Chronic Kidney Failure patients that undergo regular hemodialysis is decreasing nutritional status with the length of time these patients underwent therapy. This study aims to determine the relationship between the duration of undergoing hemodialysis and nutritional status of chronic kidney failure patients undergoing regular hemodialysis at the Sanjiwani Hospital, Gianyar. This study uses analytical method and a cross-sectional approach. Data was taken at Sanjiwani Hospital, Gianyar with a medical record data recording form. The sample were patients that underwent hemodialysis regularly at hemodialysis unit of the Sanjiwani Hospital Gianyar using a criterion that had been chosen using the sampling technique, which is purposive sampling. Chi-Square Test was used to assess the relationship of the variables. The results showed that most of the chronic kidney failure patients who underwent regular hemodialysis at the Sanjiwani Hospital, Gianyar, in this study underwent hemodialysis for less than 3 years, which is 52.2%. Chronic kidney failure patients who underwent regular hemodialysis at the Sanjiwani Hospital Gianyar in this study had a normal nutritional status of 40%, 26,7% patients are underweight, 20% patients are pre-obesity, 11,1% patients are obesity I, and 2,2% patients are obesity II. Chi-Square test result showed that there was a significant relationship between length of time undergoing hemodialysis and nutritional status of chronic kidney failure patients undergoing regular hemodialysis at the Sanjiwani Hospital, Gianyar (p = 0.011).
Hubungan Kadar Kreatinin dan Ureum dengan Derajat Anemia pada Pasien Penyakit Ginjal Kronik di RSUD Sanjiwani Gianyar Ni Wayan Ayu Maha Dewi; Luh Gede Sri Yenny; Putu Nita Cahyawati
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.74-80

Abstract

Chronic kidney disease (CKD) is still a world health problem, that showed by an increasing prevalence every year. CKD causes kidney damage which is assessed by increased levels of creatinine and urea. One of the health problems that can occur in CKD patients is anemia. The purpose of this study is to determine the relationship between creatinine and urea levels with the degree of anemia, by using analytical research methods with a cross-sectional study design. The data collection method used secondary data from medical records. The research samples are 80 CKD patients at the Sanjiwani Hospital, Gianyar who qualified the inclusion and exclusion criteria with consecutive sampling techniques. Data were analyzed by univariate and bivariate analysis. The results showed that patients with CKD were dominated by men (60%), with an age range of 50-59 years (55%), and dominated by CKD stage V (78.8%). The highest average creatinine and urea levels were found in CKD stage V, which was 11.41 mg/dL and 143.72 mg/dL, while the lowest average of hemoglobin level was found in CKD grade V (9.07 g/dL). The results of the analysis of the One way annova test showed that the value of p=0.003 for creatinine and p=0.001 for urea (p<0.05). Based on these results, it can be concluded that there is a significant relationship between creatinine levels with moderate anemic patients (p=0.003) and severe anemic patients (p=0.003) using the Bonferroni post hoc test, and also there is a significant relationship between urea levels with moderate anemic patients (p=0.022) and severe anemic patients (p=0.022) using the Games-Howell post hoc test.
Hubungan Faktor-Faktor Pemilihan Metode Kontrasepsi dengan Pemakaian Alat Kontrasepsi pada Program 1000 Hari Awal Kehidupan di Payangan Gianyar Putu Niara Vinayah; I Gusti Ngurah Made Bayuningrat; Luh Gede Pradnyawati
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.3.2.2023.217-223

Abstract

The Maternal Mortality Rate (MMR) describes the well-being in a country. MMR in Indonesia keeps on increasing, becoming a concern to lower the Total Fertility Rate (TFR) with efforts to use contraception. Preliminary surveys found that there are still a lot of mothers in this program who have not used contraceptive methods. This study aims to determine the relationship of contraceptive method selection factors with the use of contraception in the program 1000 days early in life in Payangan Gianyar. The design used was analytical research with cross sectional approach. The study was conducted in Payangan Gianyar which is where the program is carried out with a sample number of 161 people. The research time will be carried out from December 2021 to March 2022. The data is obtained through the primary data of the questionnaire. The data will be analyzed in univariate, bivariate and multivariate. The results of the study in the bivariate test showed that there was a significant relationship between age, education level, parity, knowledge level, and birth control acceptor attitude with the use of contraceptives in the 1000 Days Early Life Program in Payangan Gianyar. However, there is no significant relationship between work, birth control information, and husband support. The results of the multivariate test analysis showed that the variables of age, education, knowledge and attitude of birth control acceptors had a significant relationship with the use of contraceptives. The hope is to be more optimized quality and quantity regarding health promotion regarding the use of contraceptives.
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
Aesculapius Medical Journal Vol 3 No 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.3.2023.284-291

Abstract

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.
Karakteristik Ibu Hamil Trimester III yang Mengalami Kecemasan dalam Menghadapi Persalinan pada Masa Pandemi Covid-19 di Klinik Kesehatan dan Rumah Bersalin Dewi Laksmi Nabire Papua Ni Ketut Santhiyogi Visnu Wardani; Putu Asih Primatanti; Ni Wayan Armerinayanti
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.3.2.2023.207-216

Abstract

Covid-19 is an acute respiratory diseasse which was spread to all countries, one of which is Indonesia. One of the impact of this pandemic is causing many restrictions on almost all services, including health services. The maternal mortality rates (MMR) in Papua reached 200 per 100,000 live births. Anxiety is a problem that if not treated immediately can cause problems for the mother and baby, including the occurrence of resistance in the uterine arteries which causes stunted fetal growth. The purposes of this study is to determine characteristics of third trimester pregnant women who experience anxiety in dealing with childbirth during the COVID-19 pandemic at the Dewi Laksmi Nabire Maternity Health Clinic and Maternity Hospital, Papua. This research uses descriptive research method with cross sectional study design with non probability sampling technique purposive sampling method. The sample consisted of 195 third trimester pregnant women who had met the inclusion and exclusion criteria. The data collection instrument used a questionnaire in the form of a google form. Data analysis was performed univariately. The result showed majority of third trimester pregnant women experienced mild-severe anxiety in the age range of 20-35 years (29.3%), had sufficient knowledge (31.1%), received support from their husbands (11.9%), not working (54.3%), primigravida (43.2%), high education level (21.2%), and getting the COVID-19 issue (28.7%). For all pregnant women, it is hoped that this research can be used as informative material that can increase understanding regarding the description level of anxiety on pregnant women that will be giving birth during COVID-19.
Pengaruh Personal Hygiene dan Penggunaan Alat Pelindung Diri dengan Keluan Gangguan Kulit pada Pemulung di Pembuangan Akhir Suwung Ida Ayu Indira Meliana Putri Suteja; Luh Gede Evayanti; Made Sudarjana
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.49-55

Abstract

Scavengers work and often interact closely with trash and many other highly contaminated things. Thus, they are very prone to get infected by skin disease. It was all due to the lack of personal hygiene’s implementation and the use of personal protective equipment (PPE) which increase the risk of catching skin disease. This research was done to find out the relation between personal hygiene and the use of personal protective equipment with the number of scavengers infected with skin disease at Suwung’s landfills (TPA). This research was using an analytic research type with a cross sectional research design which was done during December 2021 to January 2022. The sampling technique was using purposive sampling with 161 respondents. The data collection was using questionnaire. The data analysis was using SPSS type 25 and Chi-square. The final result from the bivariate analysis showed a relation between personal hygiene and the use of PPE with the number of scavengers infected with skin disease at Suwung’s landfills (TPA) (P<0,005). In conclusion, poor personal hygiene and the lack of Personal protective equipment’s usage during work can increase the risk of these scavengers to get infected by skin disease. Keywords: personal hygiene, personal protective equipment, scavengers, skin disease.
Gambaran Kejadian Diare pada Balita di Rumah Sakit Umum Daerah Wangaya Denpasar Komang Yasmika Utami; Ni Wayan Armerinayanti; Anak Agung Oka Lely
Aesculapius Medical Journal Vol 3 No 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.3.2023.309-315

Abstract

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

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