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Made Indra Wijaya
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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 : -
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 150 Documents
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Gambaran Faktor Risiko Penyakit Demam Berdarah Dengue pada Anak di Wilayah Kerja Puskesmas Tabanan I Desak Agung Indah Praharsini Dewi; Anak Agung Oka Lely; Sri Agung Aryastuti
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Dengue hemorrhagic fever (DHF) is one of the most concerning infectious disease problems. Tabanan regency has one of the highest case fatality rate (CFR) of dengue hemorrhagic fever with the Tabanan sub-district having a relatively high increase on 2018 – 2019 period. DHF tends to affect children and increasing its mortality rate. There are several risk factors contributing to the higher incidence of DHF such as human as its host-related risk factors, mosquito as its vector-related risk factors, and the environment itself as one of the risk factors. This study used descriptive methods with cross sectional study design. The data collected in this study is primary data gathered by questionnaire on October – Desember 2021. The subject were children under the age of 18 years in the Puskesmas Tabanan I with criteria qualified, as many as 90 peoples. Univariative sampling by frequency distribution table as its data analysis method. The result of this study indicates that the majority of the dengue hemorrhagic fever cases occurs in the age group of 10-14 years old (35,42 %) and occur mostly in men (58,33 %). Regarding host-related risk factors, children with more outdoor activity (68,75 %) and infrequent us of mosquito repellent (77,09 %) were associated with higher incidence of DHF and regarding the “PSN” activity, higher incidence was found in children/family with habitual garbage cleaning of only once in two weeks (95,82 %), keeping their garbage uncovered (66,67 %), and never recycled their garbage (50 %). Most of the children with DHF rarely used abate in their bathroom(68,75%) and not having the habit of hanging their clothes in the room (64,58 %). From the results of this study, it is hoped that it can give special attention to groups at risk and be used as a reference for further research.
Hubungan antara Dukungan Keluarga, Faktor Psikologis, Status Ekonomi dan Pengetahuan Tentang Perawatan Bayi dengan Kesuksesan Pemberian Air Susu Ibu Eksklusif di area Puskesmas I Denpasar Timur Angel Lim; Putu Indah Budiapsari; I Gusti Ngurah Suryantha
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract Exclusive breastfeeding is important to reduce infant mortality and morbidity which is still high in Indonesia. The coverage of exclusive breastfeeding in Bali Province has reached the target of the Ministry of Health's 2019 Strategic Plan, which is 59.7%. However, several regencies/cities, one of which is Denpasar (47.6%), still have not reached the Strategic Plan target of 50%. The purpose of this study was to determine the relationship between family support, psychological factors, economic status and knowledge about infant care with the success of exclusive breastfeeding in the Work Area of ​​Puskesmas I, East Denpasar. The design of this study was analytic with a cross-sectional approach. Population namely; There are 120 mothers who have babies aged 6-12 months in the working area of ​​Puskesmas I Denpasar Timur. Respondents were selected by purposive sampling as many as 65 people. The variables in this study were family support, psychological state, economic status, infant care, and mother's success in exclusive breastfeeding. Data were collected using a questionnaire and have been tested for validity and reliability. Univariate data analysis to determine the percentage of occurrence of each variable studied and bivariate analysis using the chi-square test with a significance degree of sig (p <0.05). The results of this study indicate that family support affects the success of exclusive breastfeeding, where p value = 0.000 <0.05, psychological factors affect the success of exclusive breastfeeding where p value = 0.000 <0.05, economic status does not affect the success of exclusive breastfeeding where p value = 0.692> 0.05, and knowledge about infant care affects the success of exclusive breastfeeding p value = 0.000 <0.05.
Hubungan antara Indeks Massa Tubuh dengan Derajat Akne Vulgaris Pada Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa I Putu Madhava Wardhi Gosa; Suyasning Hastiko Indonesiani; Rima Kusuma Ningrum
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Changes in the physiological condition of the body and various diseases can cause symptoms that manifest on the skin, one of those is acne vulgaris. Acne vulgaris is a condition of chronic inflammation of the sebaceous follicular unit one of it’s cause is Propionibactrium acnes infection and is very common in adolescence and can occur from pre-puberty to adulthood. Body Mass Index (BMI) is suspected to be one of the risk factors for acne vulgaris. This study aims to find the correlation between BMI and the incidence of acne vulgaris among Medical Faculty and Health Science Warmadewa University Students. The method of the study was analyzed observational which cross sectional approach. The BMI was measured by body weight (kg) devided by body height squared (m2) and incidence acne vulgaris by Global Acne Grading System. The samples were carried out on 120 students and the data were analyzed using SPSS 22. The results were showed as follows: there was a relationship between BMI and severity of acne vulgaris. The conclusion could be drawn that the relationship between BMI and acne vulgaris incidence was significant with p-value of 0,002 (p <0.05) and with Prevalence Risk (PR) of 1,19 (CI 95%, 1,003 – 1,413), thus students with underweight to normal BMI have risk of developing acne vulgaris with mild to moderate severity 1,19 times greater than students with overweight to obese BMI.. It could be recommended that students should be prevented from acne vulgaris by maintaining BMI in normal range . Key words: Acne Vulgaris, Body Mass Index (BMI), Pilosebaceous, Propionibacterium acnes.
Hubungan antara Postur dan Beban Kerja dengan Kelelahan Kerja pada Pegawai Mekanik Bengkel Motor di Denpasar Putu Ananda Angelita; Ni Wayan Rusni; Putu Nita Cahyawati
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Kelelahan kerja merupakan salah satu faktor penyebab terjadinya kecelakaan kerja. Beberapa faktor yang mempengaruhi kelelahan kerja di antaranya adalah aktivitas kerja fisik, stasiun kerja tidak ergonomis, sikap paksa, pekerjaan yang monoton, kebutuhan kalori yang kurang, dan waktu kerja-istirahat yang kurang tepat. Pekerja mekanik di bengkel sepeda motor melakukan pekerjaan fisik yang lebih dominan dengan beban kerja yang tidak ringan serta risiko ergonomi seperti postur tubuh yang tidak nyaman. Penelitian ini bertujuan untuk mengetahui hubungan antara postur dan beban kerja dengan kelelahan kerja pada pegawai mekanik bengkel motor di Denpasar. Sampel penelitian adalah pegawai mekanik bengkel motor di Denpasar yang berjumlah 50 orang. Penelitian ini menggunakan metode analitik observasional dengan pendekataan cross sectional. Hasil penelitian menunjukkan seluruh pekerja adalah laki-laki, mayoritas termasuk kategori usia muda (13-25 tahun), dan bekerja >8 jam per hari. Mayoritas pekerja (76%) memiliki IMT normal dan 64% memiliki masa kerja ≤5 tahun. Hasil analisis uji Spearman Correlation menunjukkan adanya hubungan bermakna antara postur kerja dengan kelelahan kerja (p<0.05, r = 0.364) serta beban kerja dengan kelelahan kerja (p<0.05, r = 0.378) pada pegawai mekanik bengkel motor di Denpasar. Dengan demikian dapat disimpulkan bahwa terdapat hubungan antara postur dan beban kerja dengan kelelahan kerja pada pegawai mekanik bengkel motor di Denpasar. Kata kunci: kelelahan kerja, postur kerja, beban kerja
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
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Kondisi yang sering dialami pasien gagal ginjal kronis yang sedang melakukan hemodialisis yakni penurunan status gizi seiring dengan lamanya pasien tersebut menjalani terapi. Penelitian ini bertujuan untuk mengetahui hubungan lama menjalani hemodialisis dengan status gizi pasien gagal ginjal kronis yang menjalani hemodialisis reguler di RSUD Sanjiwani Gianyar. Metode penelitian yang dipakai merupakan analitik secara cross-sectional. Data diambil di RSUD Sanjiwani Gianyar dari pencatatan data rekam medis. Subjek penelitian yakni pasien yang tengah melaksanakan hemodialisis reguler di unit hemodialisis RSUD Sanjiwani, Gianyar berdasarkan kriteria pengambilan sampel yang sudah ditetapkan secara purposive sampling. Data yang telah diperoleh lallu diannalisis dengan Uji Chi-Square. Didapatkan hasil kebanyakan pasien gagal ginjal kronis yang menjalani hemodialisis reguler di RSUD Sanjiwani Gianyar melakukan terapi hemodialisis selama ≤3 tahun sejumlah 52,2%. Pasien gagal ginjal kronis yang menjalani hemodialisis reguler di RSUD Sanjiwani Gianyar memiliki status gizi normal sejumlah 40%, status gizi underweight sejumlah 26,7%, status gizi pre-obesity sejumlah 20%, status gizi obesity I sejumlah 11,1%, dan status gizi obesity II sejumlah 2,2%. Hasil uji Chi-Square menunjukan terdapat hubungan yang bermakna antara lama menjalani hemodialisis dengan status gizi pasien gagal ginjal kronis yang menjalani hemodialisis reguler di RSUD Sanjiwani 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
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Penyakit ginjal kronik (PGK) masih menjadi masalah kesehatan dunia yang ditandai dengan peningkatan prevalensi setiap tahunnya. PGK menyebabkan terjadinya kerusakan ginjal yang dinilai dengan peningkatan kadar kreatinin dan ureum. Masalah kesehatan yang dapat terjadi pada pasien PGK salah satunya adalah anemia. Penelitian ini bertujuan untuk mengetahui hubungan kadar kreatinin dan ureum dengan derajat anemia, dengan menggunakan metode penelitian analitik dengan rancangan studi cross-sectional. Metode pengumpulan data menggunakan data sekunder dari rekam medis. Sampel penelitian adalah pasien PGK di RSUD Sanjiwani Gianyar yang memenuhi kriteria inklusi dan eksklusi dengan teknik consecutive sampling sebanyak 80 sampel. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa penderita PGK didominasi oleh laki-laki (60%), dengan rentang usia 50-59 tahun (55%), serta didominasi oleh PGK stadium V (78,8%). Rerata kadar kreatinin dan ureum tertinggi ditemukan pada PGK stadium V, yaitu sebesar 11,41 mg/dL dan 143,72 mg/dL, sedangkan rata-rata kadar hemoglobin terendah didapatkan pada PGK derajat V (9,07 g/dL). Hasil uji One way anova menunjukkan nilai p=0,003 untuk kreatinin dan p=0,001 untuk ureum (p < 0,05). Berdasarkan hasil tersebut, dapat disimpulkan bahwa terdapat hubungan yang bermakna antara kadar kreatinin dengan pasien anemia sedang (p=0,003) dan pasien anemia berat (p=0,003) yang menggunakan uji post hoc Bonferroni, serta terdapat hubungan yang bermakna antara kadar ureum dengan pasien anemia sedang (p=0,022) dan pasien anemia berat (p=0,022) yang menggunakan uji post hoc Games-Howell.
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
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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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.
Hubungan antara Anemia dengan Kejadian Ketuban Pecah Dini di Rumah Sakit Sanjiwani Tahun 2020 Sintya Sevadani; Asri Lestarini; Anak Agung Gede Raka Budayasa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Prelabor rupture of membranes (PROM) is a condition rupture of the membranes before the time of labor. The prevalence of PROM that occurs in Indonesia is still high. Anemia as one of the factors causing PROM. The purpose of this study to determine the relationship between anemia and the incidence of prelabor rupture of membranes at the Sanjiwani Hospital in 2020. This study used a cross-sectional and using secondary data from medical records from January 2020-December 2020. The study sample size was 96 samples obtained using the consecutive sampling method. Data analysis was carried out univariate and bivariate with chi-square test with a significance level (α) of 0.05. The data will be analyzed using SPSS. The result of this study obtained the number of prevalence of PROM in pregnant women with anemia is 26,9 with a significance level is 0,412. The result of this study is that there is no significant relationship between anemia and the incidence of prelabor rupture of membranes at the Sanjiwani Hospital in 2020. A non significant result can occur because the antenatal care (ANC) carried out by the mother during pregnancy has been good. Pregnant women are expected to carry out ANC properly to prevent anemia. Keywords: Premature rupture of membranes, Anemia, Sanjiwani Hospital
Gambaran Pengetahuan dan Sikap Ibu serta Peran Kelompok Pendukung ASI terhadap Pemberian ASI Eksklusif (Studi Kasus di Desa Kekeran Kecamatan Mengwi) Putu Sannia Dewi; Anak Agung Ayu Lila Paramasatiari; I Wayan Darwata
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Exclusive breastfeeding is not giving other food or drink (including water) to the baby for six months. From the predetermined target (60%), the coverage of exclusive breastfeeding at the Mengwi I Health Center was 53.69% (2019). This figure changes each year, so improvements in nutritional status must be carried out and maintained continuously. In order to realize the exclusive breastfeeding target of 60%, the government has provided many programs, one of which is the Breastfeeding Support Group (KP-ASI). KP-ASI is a group of pregnant women who exchange information to optimize breastfeeding. Based on the 2019 activity report in Kekeran Village, Mengwi I Health Center, the intensity of breastfeeding has increased from 87% to 96%. This study was done to describe the knowledge and attitudes of mothers and the role of KP-ASI in exclusive breastfeeding in Kekeran Village, Mengwi District. The design of this research is descriptive quantitative with case study method. The population is the mothers of KP-ASI participants in Kekeran Village, Badung Regency. The results showed that all subjects in this study (100.0%) generally had a good knowledge of exclusive breastfeeding. Most of the subjects in this study had a good attitude in exclusive breastfeeding, as many as 18 people (66.7%). Most of the subjects in this study have a good role of KP-ASI, as many as 26 people (96.3%).
Hubungan Kadar Hb-A1c (Glikosilasi Hemoglobin) dengan Komplikasi Makrovaskular pada Penderita Diabetes Melitus tipe 2 di RSUD Sanjiwani Gianyar I Gede Ari Purnama Putra; Anak Agung Gede Budhitresna; Suka Astini
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Several studies have stated that HbA1c levels are known to be associated with the incidence of macrovascular complications in patients with type 2 diabetes. Patients often have higher HbA1c levels than non-diabetic patients, so it is used as a way to test blood sugar control for patients with type 2 diabetes. 2 to prevent complications. This study was done to assess the relationship between HbA1c levels and macrovascular complications so that HbA1c levels can be used to predict the prognosis and the main controller in preventing macrovascular complications. Analytic method was used and the design was cross-sectional. The research was done at the Sanjiwani Hospital Gianyar with a total sample of 53 people. The results of the chi-square test showed that t a significant relationship was found between Glycosylated Hemoglobin (HbA1c) levels and the incidence of macrovascular complications with p value = 0.021 with HbA1c levels as a risk factor with POR value = 1.705. The conclusion was that there was a significant relationship between HbA1c levels and the occurrence of macrovascular complications in patients with type 2 diabetes.

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