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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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Hubungan Efikasi Diri dengan Tingkat Kecemasan dalam Menghadapi Ujian Blok pada Mahasiswa Tahun Pertama Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Kadek Ananda Pratama Putra; Putu Asih Primatanti; Ni Putu Diah Witari
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Self-efficacy is an individual's belief in his ability to manage the situation experienced. Situations that often occur when facing exams are anxiety that occurs because of psychological and intrapsychic responses. The purpose of the study was to find out how the relationship between self-efficacy and level of anxiety in facing exams in early-level students of the Faculty of Medicine and Health Sciences, Warmadewa University. This study uses a correlational analytic with cross- sectional approach. The method of collecting data on respondents' self-efficacy was using the General Self Efficacy (GSE) questionnaire technique and the anxiety in facing the block exam was using the Hamilton Anxiety Rating Scale (HARS) questionnaire. Samples were analyzed using univariate and bivariate analysis techniques. It was found that respondents who did not experience anxiety in facing the block exam were 61.3%, those who experienced mild anxiety in facing the block exam were 18.7%, 9%, severe 9.7%, and very severe 1.3%. Respondents who have a very high level of self-efficacy 14.2%, high 85.2%, low 0.6%, and very low 0%. The p- value of this study is 0.000. Because the value (p) 0.00 <0.05, which indicates that there is a significant relationship between self-efficacy and anxiety levels. The value obtained is -0.612 which indicates the strength of its strength. This means that there is a relationship between self- efficacy and facing examinations for early-level students of the Faculty of Medicine and Health Sciences, Warmadewa University
Hubungan Antara Preeklampsia Dengan Kejadian Bayi Berat Lahir Rendah (BBLR) Di Rumah Sakit Umum Daerah Sanjiwani Gianyar I Made Adi Putra Wiguna; Ni Putu Diah Witari; Anak Agung Gede Raka Budayasa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Low birth weight (LBW) is a condition when babies are born below normal weight limits 2.500 grams and is the highest cause of death in neonates. One of the risk factors for LBW is preeclampsia. Preeclampsia is a common condition in pregnant women which is characterized by blood pressure of 140/90 mmHg and proteinuria, which is 300 mg or more of protein in urine per 24 hours or 30 mg/dL (1+ on the dipstick) according to the results of the urine sample test. Preeclampsia in pregnant women can affect the condition of the fetus conceived by pregnant women from the period of pregnancy, childbirth, and postpartum. The purpose of this study was to determine the relationship between preeclampsia and LBW at the Sanjiwani Regional General Hospital, Gianyar. This study used an analytic observational method with a cross sectional study design. This study is considered to be unpaired categorical scale. Research data collection is done through secondary data in the form of medical records between 2018 - 2020. Bivariate data analysis is done to determine the relationship between variables using the chi-square test with a significance level of 0.05. The results showed that the p value = 0.000 and the PR was 7.917 (95% CI =2,569-24,395). As such, there is a significant relationship between preeclampsia and the incidence of LBW. Keywords: low birth weight baby, preeclampsia, sanjiwani regional hospital gianyar
Perbedaan Rasio Neutrofil per Limfosit, Rasio Platelet per Limfosit dan Volume Platelet Rata-Rata pada Kehamilan dengan Preeklampsia dan Kehamilan Normal di RSUD Sanjiwani Gianyar Ni Komang Surya Sanistiasih Budaya; I Made Pariartha; I Ketut Tangking Widarsa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Preeklampsia adalah suatu gangguan multisistem yang mempengaruhi 2-8% kehamilan di seluruh dunia yang muncul pada usia kehamilan 20 minggu. Tujuan penelitian ini adalah untuk mengetahui perbedaan nilai rerata Neutrophil to Lymphocyte Ratio (NLR), Platelet to Lymphocyte Ratio (PLR), dan Mean Platelet Volume (MPV) pada kehamilan dengan preeklampsia dan kehamilan normal. Penelitian cross sectional komparasi dilakukan pada ibu hamil dengan preeklampsia dan ibu dengan kehamilan normal, usia kehamilan trimester II dan III di RSUD Sanjiwani Gianyar. Teknik pengambilan sampel yang digunakan adalah purposive sampling, masing-masing kelompok terdiri dari 60 sampel. Data NLR, PLR, dan MVP serta data lainnya dikumpulkan dari rekam medis. Analisis data dilakukan secara univariat dan bivariat menggunakan SPSS for windows version 25.0. Perbedaan nilai rerata NLR, PLR, dan MVP antara kelompok preeklampsia dan kelompok pembanding dianalisis dengan independent sampled t-test pada tingkat kemaknaan 5%. Hasil penelitian menunjukan terdapat perbedaan yang signifikan pada nilai rerata NLR, PLR dan MPV pada kedua kelompok. Nilai ketiga variabel ditemukan lebih tinggi pada kelompok preeklampsia dibandingkan kelompok normal. Perbedaan nilai rerata sebesar 0,93 untuk variabel NLR (p=0,011), 21,97 untuk variabel PLR (p=0,011) dan 0,47 untuk variabel MPV (p=0,008). Kekuatan prediksi dilihat dari effect size (delta Cohen's) dimana ketiga variabel termasuk dalam kategori sedang.
Hubungan antara Stres dengan Motivasi Belajar pada Mahasiswa Tingkat Pertama Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Dita Martina Mahardhika; Sri Ratna Dewi; I Wayan Eka Arsana
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Stress is a mental health problem that can occur in medical students. Stress causes ineffective learning. Ineffective studies can lead to lower motivation and possible failure in education. The purpose of this study was to determine the relationship between stress and learning motivation in first-year students of the Faculty of Medicine and Health Sciences, Warmadewa University. This study uses an analytical method with a cross-sectional approach. The total sampling was based on the inclusion and exclusion criteria. Collecting data on stress levels and learning motivation using a questionnaire. Data analysis using univariate and bivariate analysis Spearman Rank Correlation test. The final result of the univariate analysis, most of the respondents experienced very severe stress levels (65.4%) and had low learning motivation (73.1%). Based on the bivariate analysis with the Spearman Rank Correlation test, it was found that there was a significant relationship between stress and learning motivation with p = 0.000 (p <0.05) and the correlation coefficient value is -0.423. Students are expected to be able to participate in stress prevention in the high school area and further researchers are expected to add other factors that influence the relationship between stress and learning motivation.
Perbedaan antara Kadar Leukosit Maternal pada Ketuban Pecah Dini Persalinan Preterm dengan Aterm di Rumah Sakit Umum Daerah Sanjiwani Gianyar Komang Putri Indrasuari; I Made Pariartha; Made Dharmesti Wijaya
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Premature rupture of membranes (PROM) is the rupture of the membranes before delivery. PROM occurs at 37 weeks gestation or more and PPROM occurs before 37 weeks gestation. One of the risk factors for PROM is infection that begins with the entry of bacteria into the intraamnion from the ascending urogenital tract or infection of systemic origin. Elevated leukocyte levels are a sign of infection. This study aims to determine the difference between maternal leukocyte levels of PROM and PPROM. The research design used was descriptive analytic method with a cross sectional approach. The sampling technique used is simple random sampling method. Data were analyzed using the Saphiro Wilk test for normality and the Independent Sample T Test to compare the difference in the mean of the two different groups. The results of the Saphiro Wilk test obtained values of 0.107 and 0.086, respectively (P>0.05), which means that the data is normally distributed. The results of the independent sample t-test showed a significance value of p=0.008. Therefore, it can be concluded that there is a difference in the number of leukocytes between PROM and PPROM at the Sanjiwani Regional General Hospital, Gianyar.
Gambaran Kualitas Tidur Penderita Hipertensi di Puskesmas II Denpasar Barat Bunganing Eswarya; I Gede Bagus Gita Pranata Putra; I Ketut Tangking Widarsa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Hypertension is a condition in which the blood pressure is above 140/90 mmHg. Hypertension could be prevented by controlling the sleep quality. Until now there has not been any studies to clearly depict sleep quality. This study aims to understand the description of sleep quality as well as its characteristic in Puskesmas II Denpasar Barat hypertension subjects. Observational descriptive study was used using cross sectional method and consecutive sampling. The study conducted at Puskesmas II Denpasar Barat with 96 total samples. Pittsburg Sleep Quality Index (PSQI) questionnaire was used to assess the quality of sleeps. Data gained from the questionnaire was analyzed bivariately and univariately. The results shows that more than a half (64%) hypertension patients are having a poor sleep quality with long sleep latency as the component with the highest proportion (57,3%). Poor sleep qualities are more frequent in patients within the age range of 18-39 years rather than older patients. This study also finds that higher hypertension grade appears more often as the sleep quality gets worse. With this study, hopefully Puskesmas II Denpasar Barat could emphasize the importance of sleep quality as a preventive act towards fighting hypertension. Keywords: Hypertension, Quality of Sleep
Identifikasi Keluhan Computer Vision Syndrome (CVS) Pada Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Sonia Fillani Indah; Ni Wayan Winianti; Ni Wayan Sedani
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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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
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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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 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
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Angka Kematian Ibu (AKI) menggambarkan kesejahteraan suatu negara. AKI di Indonesia terus mengalami peningkatan sehingga menjadi perhatian untuk menurunkan Total Fertility Rate (TFR) dengan upaya pemakaian kontrasepsi. Survei pendahuluan didapatkan masih banyak ibu di program ini belum memakai metode kontrasepsi. Penelitian ini bertujuan mengetahui hubungan faktor-faktor pemilihan metode kontrasepsi dengan pemakaian kontrasepsi pada program 1000 Hari Awal Kehidupan (HAK) di Payangan Gianyar. Desain yang dipergunakan yakni analitik observasional dengan pendekatan cross sectional. Penelitian dilakukan di Payangan Gianyar yang merupakan tempat dilaksanakannya program tersebut dengan jumlah sampel sebanyak 161 orang. Waktu penelitian akan dilaksanakan dari bulan desember 2021-Maret 2022. Data diperoleh melalui data primer kuisioner.Data akan dianalisis secara univariat, bivariat dan multivariat. Hasil uji bivariat mendapatkan bahwa terdapat hubungan yang signifikan antara usia, tingkat pendidikan, paritas, tingkat pengetahuan, dan sikap akseptor KB dengan pemakaian alat kontrasepsi pada Program 1000 HAK di Payangan Gianyar. Namun, tidak terdapat hubungan yang signifikan antara pekerjaan, informasi KB, dan dukungan suami. Hasil analisis uji multivariatmenunjukkan variabel usia, pendidikan, pengetahuan serta sikap akseptor KB memiliki hubungan signifikan dengan pemakaian alat kontrasepsi. Harapannya agar lebih dioptimalkan kualitas dan kuantitas mengenai promosi kesehatan mengenai pemakaian alat kontrasepsi.
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
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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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.

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