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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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Karakteristik Klinis pada Pasien Kanker Kolorektal yang Menjalani Kolonoskopi di RSUD Sanjiwani Gianyar Tahun 2019-2020 I Wayan Budhi Sanjaya; Asri Lestarini; Made Dwi Yoga Bharata
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.3.1.2023.43-48

Abstract

Colorectal cancer is cancer resulting from cumulative genetic mutations in the epithelial cells of the colon and rectum, resulting in excessive cell division, migration and differentiation and resulting in proliferation, invasion and metastasis of these cells. In 2020, the estimated incidence rate of colorectal cancer in the world will reach 19.5%. In Indonesia, the incidence of colorectal cancer in 2020 reached 34,189 (8.6%) cases. There is no research on the characteristics of colorectal cancer patients at the Sanjiwani Hospital, Gianyar. This study aims to determine the clinical characteristics of colorectal cancer patients who underwent colonoscopy at the Sanjiwani Hospital, Gianyar in 2020. This study uses a cross-sectional descriptive approach, to provide an overview of the characteristics of colorectal cancer patients undergoing colonoscopy at the Sanjiwani Hospital, Gianyar. The samples used were all patients diagnosed with colorectal cancer at the Sanjiwani Hospital, Gianyar for the period January 2019 to December 2020. The results of this study found that the prevalence of colorectal cancer undergoing colonoscopy at the Sanjiwani Hospital, Gianyar in 2019-2020 was 9.5%. The age group is more in the age group of more than 50 years, which is 72.4%. The majority of the research subjects were male with a percentage of 52.6%. 96.1% of the research subjects had no family history. Symptoms of bloody bowel movements were the most common complaints obtained by 22.4%. Adenocarcinoma was the most histopathological picture found, which was 47.4%. The majority of research subjects did not experience anemia by 64.5%. The rectum is the most common location of cancer found that is 72.4%. Stage III is the most common stage found, which is 44.7%. Keywords: Clinical characteristics, colorectal cancer, colonoscopy, Sanjiwani Hospital
Karakteristik Pasien Diare Anak Umur 2-5 Tahun di Rumah Sakit Umum Daerah Wangaya, Denpasar Ida Ayu Putu Pradnya Dewi; Anak Agung Ayu Lila Paramasatiari; Anak Agung Oka Lely
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.3.2.2023.180-187

Abstract

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
Faktor-Faktor yang Berhubungan Dengan Keluhan Muskuloskeletal Disorders (MSDs) pada Pekerja Pengangkat Ikan di Usaha Dagang Mina Karya Karangasem I Putu Ning Arya Dyana; Ni Wayan Rusni; Ni Made Hegard Sukmawati
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.3.1.2023.93-100

Abstract

MSDs complaints can reduce worker productivity, increase healthcare costs, slow performance, and miss work due to illness. This study aims to determine the factors associated with MSDs complaints at Usaha Dagang Mina Karya Karangasem. This is an observational analytic study with cross sectional design conducted in March-May 2022. Target population is fish carrier workers at Usaha Dagang Mina Karya Karangasem. Total sample was 30 people with total sampling. Independent variables are age, body composition, work posture, years of service, length of work, and workload while dependent variable is MSDs complaints. Data were collected with questionnaire to determine risk factors, a REBA questionnaire to determine work posture, and a Nordic Body Map questionnaire to determine musculoskeletal complaints. Data were analyzed using Spearman's test with SPSS application. Based on the results of the study, there was a strong relationship between workload and MSDs complaints (r=0.713; p<0.001) and a very strong relationship between work posture and MSDs complaints (r=0.926; p<0.001). No significant relationship was found between age, BMI, years of service, and length of work on MSDs complaints. Business owners should provide education about good work posture to reduce MSDs complaints to workers. The workload in one transport should also be reduced
Hubungan Aktivitas Fisik dengan Kejadian Obesitas pada Remaja SMAN 4 Denpasar Selama Masa Pandemi Covid-19 Komang Ayu Trisna Paramita; Suyasaning Hastiko Indonesiani; Luh Gede Pradnyawati
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.3.1.2023.117-123

Abstract

Obesity defined as a description of fat accumulation in adipose that occurs because the entry of calories into the body exceeds the body's metabolic needs. The prevalence rate of obesity in adolescents aged 10 to 19 years in 2016 has increased by more than 18%. One of the factors that cause obesity in adolescents is the lack of physical activity. Physical activity is a physical movement or exercise that arises due to muscle movement. The coronavirus disease (Covid-19) pandemic has changed people's way of life such as to become a sedentary lifestyle This study aims to assess the relationship between phe method ysical activity and obesity in SMAN 4 Denpasar during the Covid-19 pandemic. The method used was an observational analytic research and cross sectional approach. This study was conducted on 117 samples who selected by random sampling, and involved in inclusive samples Physical sctivity was measured using Physical Activity Questionnaire Adolescents (PAQ-A) while obesity was measured using Body Mass Index(BMI). Data obtained was then analysed using SPSS 22. The results were showed as follow: the light and mild physical activity : 41.0% and 59.0 %, respectively; while non obesity and obesity ; 94.8%and 13.6 %, espectively. The relationship between physical activity and incidence of adolescence obesity was significantly ( p< 0.05) The conclusion could be drawn that there was significant relationship between both above. It was recommended that the adolescence pupils should improve their physical activity.
Hubungan antara Komposisi Tubuh dengan Laju Pernapasan Setelah Recovery Pasca Harvard Step Test pada Mahasiswa Kedokteran I Dewa Gede Yogananda; Tanjung Subrata; Made Dharmesti Wijaya
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.3.1.2023.66-73

Abstract

Abstract Empowering physical fitness becomes a challenge considering mobility restriction because Covid-19 pandemic situation which impacting the increasing of passive lifestyle. If such situation is not well handled, it could risk for obesity and cardiorespiratory disease. To prevent that, it’s crucial to find out the correlation between body composition towards someone respiratory rate recovery ability. This research was held to find out the correlation between body composition with after recovery respiratory rate on medical student that taking Harvard Step Test. This research was using correlative analysis method with cross-sectional design. Population from this research is Warmadewa Faculty of Medicine and Health Student (FKIK Unwar) that choosing Baswara Prada Medical Assistance Team (TBM-BP). The respondent was taken by total sampling method and recruiting 61 respondents. The results of univariate analysis using SPSS version 18 shows the highest proportion of body composition is in ‘fair’ category (55.7%). For initial respiratory rate, there is 8 people (13.1%) that having respiratory rate above normal range while for final respiratory rate the highest proportion is in 21-30 times/minute range (80.3%). The bivariate analysis result using Spearman correlation test shows positive but weak and insignificant correlation between body composition with after recovery respiratory rate (p = 0.097 and r = +0.215). It’s concluded that body composition could influencing physical fitness although it’s not the main factor. The students, public, and related institutions are expected to understand the important of physical exercise to empowering physical fitness and the next study also expected to more comprehensive to correlating various variable related to body composition and after recovery respiratory rate. Keywords: physical fitness, body composition, recovery of respiratory rate
A Case Report Traumatic Diaphragmatic Rupture with Visceral Herniation: Traumatic Diaphragmatic Rupture with Visceral Herniation Anak Agung Widia Trilaksana Kusuma; Wayan Sindhu; Yudha Prasista
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.3.1.2023.112-116

Abstract

The diaphragm is a dome-shaped respiratory muscle located near the lower ribs, the exact location is below the chest. Diaphragmatic rupture is a medical condition caused by blunt or penetrating trauma, which often leads to herniation of the abdominal viscera into the thoracic cavity. We presented a case in which a 39-year-old man complained of left chest pain and abdominal pain radiated to his back, after involed in a traffic accident. On physical examination, the left chest was left behind when breathing, a dull sound was found on percussion, with diffuse abdominal tenderness. Thoraco Abdomen CT-scan was performed and it concluded that there was a rupture of the left posterior diaphragm with a diameter of 15 cm which caused herniation of the gastric and intestines to the left of thoracic cavity, accompanied by a collapse of the left lung due to blunt trauma. The patient underwent an explore laparotomy with the aim of repairing his diaphragmatic rupture, and splenectomy procedure to remove the affected spleen. Surgery is a mandatory action in order to repair the diaphragm. The choice of the approach to be used, either laparotomy or thoracotomy depends on other organ abnormalities, acute or latent cases, stable or unstable condition of the patient and also depends on the experience of the operator.
Hubungan antara Kebiasaan Latihan Yoga terhadap Kualitas Tidur pada Komunitas Lansia Widya Werda Sentana Santi Kadek Dwitya Widi Adnyani Dwitya; Luh Gede Pradnyawati; Anny Eka Pratiwi
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.3.1.2023.56-65

Abstract

The complaint that is often experienced by the elderly is a decrease in sleep quality which has an impact on reducing welfare and productivity in the life of the elderly. Various efforts have been made to overcome the problem of decreasing sleep quality in the elderly, one of which is by practicing yoga. The preliminary survey found that there were differences in sleep quality between the elderly who regularly practiced yoga and those who did not practice yoga regularly. This study aims to determine the relationship between yoga practice habits and sleep quality in the elderly community of Widya Werda Sentana Santi. This research is descriptive research with a cross-sectional research design. The number of samples in this study was 50 elderly people from the Widya Werda Sentana Santi Community in Banjar Nyuh Kuning, Ubud District, Gianyar Regency who met the criteria. The time of research was carried out from July - September 2022. Data was obtained through primary data, namely the PSQI questionnaire and observation sheets. Data were analyzed univariately and bivariate using Statistical Product and Service Solutions (SPSS). The results of the univariate analysis showed that 84% of the elderly in the community practiced yoga actively and 8% passively. The results of the analysis on the bivariate test showed that there was a significant relationship between the length of time the elderly joined the community (p-value <0.05; 95% CI = 1.35-5.75), the duration of yoga practice (p-value <0.05; 95 % CI = 1.35-5.28), amount of yoga practice (p-value < 0.05; 95% CI = 1.36-4.98), and type of yoga practice (p-value < 0.05; 95% CI = 2.14-27.49) which was carried out on the sleep quality of the elderly. The elderly community is expected to optimize yoga practice as a form of effort to improve the health of the elderly and as a preventive measure to prevent disturbances in bodily functions.
Hubungan Pola Asuh dengan Masalah Emosi dan Perilaku pada Anak Kelas 4, 5, dan 6 di SD Negeri 2 Semarapura Tengah Kabupaten Klungkung Bali Gede Giofany Achaldy Indra Pradnya Rudi Suryantara; I Wayan Eka Arsana; Komang Trisna Sumadewi
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.3.1.2023.32-36

Abstract

In society there are norms that regulate the way children behave according to the stage of growth and development. However, if the child engages in behavior that is not in accordance with the expectations of the community, then the child is considered to have emotional and behavioral problems. Emotional and behavioral problems that occur have an impact on the increase in cases of delinquency and criminality of children. This is inseparable from the parenting pattern given by the parents to their children. This study aims to find out the relationship between parenting patterns and emotional and behavioral problems in grade 4, 5, and 6 children at SD Negeri 2 Semarapura Tengah Klungkung Regency, Bali. The research design used in this study is an analytical method with a cross sectional approach, as well as analyzed using the Contingency Coefficient. Simple random sampling with a sample count of 47 people. The results of the study obtained a p value is < 0,01 in parenting patterns with emotional and behavioral problems, thus having a significant relationship. In conclusion, there is a relationship between parenting patterns and emotional and behavioral problems in 4th, 5th, and 6th graders.
Hubungan Kejadian Ibu Hamil yang Terinfeksi Covid-19 terhadap BBLR di UPT Kesmas Blahbatuh II Agung Aditya Dharmapatni; Komang Triyani Kartinawati; A.A. Sri Agung Aryastuti
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.3.1.2023.106-111

Abstract

The Covid-19 pandemic may concern the birth rate that happens during the pandemic. Low birthweight is a baby that has birth weight of less than 2.500 grams. Indonesia currently stands at the 9th spot with the rate of 15,5% low birthweight out of the total birth each year. This research was held to find the correlation between pregnant mothers afflicted by Covid-19 with the low birthweight in the UPT Kesmas Blahbatuh II area. This research used the analytical quantitative method with the time series method along with the data gathering method of total sampling using medical record and Covid-19 incidents data. The result of this research was 15 total cases of pregnant mothers afflicted by Covid-19 between January 2020 and December 2021, with the peak of these cases was in April 2020. There were a total of 46 cases of low birthweight between January 2020 and December 2021, with the peak of these incidents in October 2021. According to the incident comparison of low birthweight, there is an increase in low birthweight happened within October of 2021 with the number of 6 incidents compared with the same month in 2019. Bivariate analysis shows that there was insignificant correlation between the incident of pregnant mothers afflicted by Covid-19 with the low birthweight incident (p=0,104). Prevention of low birthweight during the pandemic is an early intervention to stimulate a flourishing society.
Gambaran Tingkat Pengetahuan Bantuan Hidup Dasar Tim Bantuan Medis Baswara Prada Universitas Warmadewa Kadek Dean Ariska Aryawangsa; Luh Gede Sri Yenny; I Ketut Tangking Widarsa
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.3.1.2023.124-131

Abstract

Knowledge of Basic Life Support (BLS) is considered basic knowledge for the medical team because it is needed to provide first aid to victims who experience cardiac arrest. The Baswara Prada Medical Assistance Team (TBM) is an organization engaged in medical emergencies under the auspices of the BEM-LM FKIK Warmadewa University. This study aims to analyze and describe the level of basic life support knowledge of the Baswara Prada Medical Assistance Team (TBM) at the Faculty of Medicine, Warmadewa University. This research is a descriptive study using a cross sectional approach. This research was conducted on 101 respondents of members of the Baswara Prada Medical Assistance Team, Warmadewa University. Data was collected by giving a questionnaire in the form of a google form containing questions about Basic Life Support (BLS) to members of the Baswara Prada Medical Assistance Team. The results of the research data were analyzed descriptively and presented in the form of tables or graphs. The results showed that the knowledge level of Basic Life Support (BLS) of the Baswara Prada Medical Assistance Team (TBM) of the Faculty of Medicine and Health Sciences, Warmadewa University was at a good level with a percentage of 95.1% and at an adequate level with a percentage of 4.9%.

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