Bali Medical and Wellness Journal
The Bali Medical and Wellness Journal is an internationally open-access, peer-reviewed journal that aims to disseminate high-quality research and knowledge related to medical sciences and wellness practices fostering a holistic approach to health, integrating physical, mental, and social well-being. The journal accepts manuscript in English. Each manuscript is peer-reviewed by two reviewers independent on each other; the process is double-blind. All articles are published open access. The journal publishes original research articles, review articles, case reports, and clinical studies in all areas of medicine and wellness. It encourages submissions from a wide range of medical and health disciplines, including but not limited to general medicine, public health, traditional medicine, integrative medicine, wellness tourism, health economics, patient care, nursing best practices, midwifery practice, nutrition science, dietetics, population health, health policies, epidemiology, preventive medicine, and environmental health. Journal Insight The subject categories for the Bali Medical and Wellness Journal could encompass a wide range of topics within the medical wellness domain. Here are some categories: Preventive Medicine: Research on health screenings, vaccinations, and lifestyle interventions to prevent disease. Integrative Health Practices: Studies on the integration of traditional medicine with alternative therapies. Nursing in Wellness: This category would cover research on nursing practices that contribute to patient wellness, including preventive care, patient education, and chronic disease management. It would also explore the role of nurses in implementing wellness programs and interventions. Midwifery and Holistic Care: Articles in this category would focus on the holistic approach midwives take in prenatal, childbirth, and postnatal care. It would highlight the importance of midwifery in promoting natural and wellness-oriented childbirth experiences. Nutrition and Dietetics: Articles on the role of nutrition in maintaining health and preventing illness. Physical Activity and Fitness: Insights into exercise regimens and their impact on health and wellness. Mental Health: Exploration of mental health’s influence on physical well-being and vice versa. Environmental Health: Examination of how environmental factors affect health. Healthcare Policy and Management: Discussions on healthcare systems, policies, and their impact on public health. Medical Tourism: Analysis of the growing field of medical tourism and its implications for healthcare delivery. Quality of Life and Wellness: Research on factors that contribute to a high quality of life and overall wellness. Education and Training: This would include advancements in medical and health professional education that align with medical wellness principles, ensuring that future professionals are equipped with the knowledge and skills to support holistic care. These categories reflect the journal’s commitment to a holistic view of health, considering a variety of factors that contribute to medical wellness. Our journal is committed to: Promoting Preventive Healthcare: Encouraging early detection and prevention strategies through regular health screenings and check-ups. Integrating Holistic Practices: Combining traditional medical treatments with wellness therapies such as yoga, meditation, and nutrition to support comprehensive patient care. Advocating Lifestyle Changes: Supporting research on diet, exercise, and stress management to prevent and manage diseases. Fostering Mental and Emotional Well-being: Publishing studies that explore the connection between mental health and physical health, and the impact of emotional well-being on overall health. Understanding Community and Environmental Influences: Recognizing the significance of social and environmental determinants in health outcomes and promoting sustainable healthcare practices. Encouraging Interdisciplinary Collaboration: Bridging various disciplines to provide a multifaceted understanding of health and wellness. Our journal aims to cater to a diverse audience, including healthcare professionals, researchers, policymakers, and educators, who are engaged in the pursuit of enhancing health and wellness at both individual and community levels.
Articles
28 Documents
<![CDATA[Urinary Tract Infections and Inadequate Insulin Therapy as a Precipitating for Diabetic Ketoacidosis in Type 1 Diabetes Mellitus: A Case Report ]]>
<![CDATA[Astari, Anak Agung Ayu Mita]]>;
<![CDATA[Wulandari, Dewi Catur]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i1.5
<![CDATA[Background: Diabetic ketoacidosis (DKA) is a severe acute metabolic complication associated with diabetes mellitus. It is particularly prevalent in patients with Type 1 diabetes, where inadequate insulin therapy can lead to significant morbidity and mortality. Case: We present the case of an 18-year-old girl diagnosed with Type 1 diabetes mellitus. She arrived at the hospital exhibiting shortness of breath and was found to have a C-peptide level of 0.33, which, alongside her history of irregular insulin injections, indicated poor adherence to insulin therapy. Upon physical examination, the patient appeared lethargic, had apathetic consciousness, a tachycardic heart rate of 127 beats per minute, and an elevated axillary temperature of 37.8°C. Notably, Kussmaul breathing was also observed. Results: Laboratory findings revealed elevated white blood cell count (15,950/μL), hyperglycemia (blood sugar level of 379 mg/dL), and severe metabolic acidosis, as indicated by arterial blood gas analysis (pH 6.89, HCO3 1 mmol/L). Urinalysis demonstrated the presence of albumin (+1), glucose (+2), ketones (+3), leukocytes (+3), and bacteria. The patient required intensive care monitoring for five days before being transitioned to the general ward for an additional three days of treatment. Conclusion: DKA is characterized by hyperglycemia, hyperketonemia, and metabolic acidosis, all of which are indicative of insufficient insulin therapy in patients with Type 1 diabetes. This case highlights the critical importance of adherence to insulin therapy for achieving optimal glycemic control. Effective management and discipline in treatment are essential to prevent DKA and reduce its associated mortality.]]>
<![CDATA[Acupuncture for Postoperative Neuropathic Pain: A Case Report ]]>
<![CDATA[Nugraha, Deity]]>;
<![CDATA[Fitriani, Elies]]>;
<![CDATA[Srilestari, Adiningsih]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i1.6
<![CDATA[Introduction: Postoperative neuropathy can result from nerve transection, bruising, stretching, or inflammation. Chronic Post-Surgical Neuropathic Pain (CPSNP) refers to pain persisting for at least three months after surgery, distinct from preoperative pain and localized to the surgical site or referral area. Acupuncture, a therapeutic technique for acute and chronic pain, has shown promise in managing CPSNP. In this case report, we explore the use of acupuncture to alleviate chronic pain following hand surgery. CPSNP poses significant challenges for patients recovering from surgical procedures. Acupuncture, with its potential to modulate nerve activity and activate pain control systems in the brain, offers an alternative approach to pain management. Case Report: Patient Profile: A 37-year-old woman presented to the medical acupuncture polyclinic with complaints related to her left hand. Specifically, she experienced numbness, heat, and pain in the tips of fingers 2, 3, 4, and 5. Occasionally, the discomfort extended to her elbow. Medical History: The patient had undergone Carpal Tunnel Syndrome (CTS) surgery on her left hand approximately one year ago. The diagnosis of CTS was established in 2021, leading to open surgery on the wrist. Current Pain Assessment: The patient reported a Numeric Rating Scale (NRS) pain score of 5. Physical Examination: Examination revealed pain and limited range of motion (ROM) in her hand. Acupuncture Treatment: Manual acupuncture therapy was administered, targeting specific body acupuncture points and utilizing ear acupuncture. Outcome: After six therapy sessions, the patient experienced a reduction in pain intensity and an improvement in overall quality of life. Conclusion: Acupuncture shows promise as an adjunctive therapy for managing chronic post-surgical neuropathic pain. Further research is warranted to explore its efficacy and long-term effects in similar cases.]]>
<![CDATA[Assessing the Effectiveness of Hormonal Aromatase inhibitors (AI) Therapy in Hormone Receptor Positive Post-Menopausal Breast Cancer Patients: A Systematic Review ]]>
<![CDATA[Perdiyana , Angki]]>;
<![CDATA[Lesmana , Agri]]>;
<![CDATA[Sitompul , Dea Syafira Alamsyah]]>;
<![CDATA[Wijayanti , Fakhira Ayu]]>;
<![CDATA[Alrasyid , Miko Dharma]]>;
<![CDATA[Wiguna , Naufal Yafi Rais]]>;
<![CDATA[Sutomo , Tharisa Novianti Syabania]]>;
<![CDATA[Nugraha, Deity]]>;
<![CDATA[Fitriani, Elies]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 2 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i2.7
<![CDATA[Background: Endocrine therapy is a cornerstone in the treatment of breast cancer for patients who are hormone receptor-positive (HR+). Aromatase Inhibitors are a key option for managing HR+ breast cancer in postmenopausal women. Objective: This study investigates the efficacy of Aromatase Inhibitors in postmenopausal women with HR+ breast cancer, focusing on their therapeutic benefits and associated risks. Methods: A comprehensive literature review was conducted using the Cochrane, Google Scholar, PubMed, Science Direct, ClinicalTrials.gov, and Scopus databases, adhering to PRISMA guidelines. Study quality was evaluated using the Risk of Bias for Randomized Trials (RoB 2.0) tool. Results: Aromatase Inhibitors function by inhibiting the aromatase enzyme, effectively reducing estrogen production. While they can be used with other therapies such as metformin or saracatinib, these combinations are not significantly more effective. Aromatase Inhibitors have been shown to enhance cognitive function and alleviate some depressive symptoms, although they may increase the risk of depression and anxiety in some patients. Conclusion: Aromatase Inhibitors are an effective treatment for HR+ breast cancer in postmenopausal women. However, the potential psychological side effects, such as depression and anxiety, require careful management during therapy.]]>
<![CDATA[Analysis of Prevalence and Contributing Factors for Advanced HIV Disease at Wangaya Denpasar General Hospital: January 2022 to December 2023 ]]>
<![CDATA[Astari, Anak Agung Ayu Mita]]>;
<![CDATA[Suryana, Ketut]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i1.8
<![CDATA[Background: Advanced HIV disease (AHD) remains a significant health concern and a leading cause of mortality among individuals living with HIV/AIDS. Understanding the psychosocial factors influencing AHD, such as social support, access to healthcare resources, and mental health conditions like depression, is vital for effective intervention. Aim: This study aimed to determine the prevalence of AHD and identify the factors associated with it at Wangaya Denpasar General Hospital from January 2022 to December 2023. Methods: A cross-sectional study was conducted involving all newly diagnosed AHD patients at the Merpati clinic, Wangaya General Hospital, during the specified period. Participants were selected based on inclusion and exclusion criteria, and data were collected through a comprehensive review of patients' medical records. Results: Out of 128 newly diagnosed individuals living with HIV/AIDS (PLWHA), 84 (65.6%) were classified as having AHD. The majority of PLWHA with AHD were male (73.8%), under 50 years of age (82.1%), without a college education (94.0%), unemployed (83.3%), married (54.8%), had medical insurance (90.5%), contracted HIV through heterosexual contact (90.5%), were referred from other medical facilities (82.1%), and reported having social support (98.8%). Significant factors associated with AHD included lack of college education (p=0.000), unemployment (p=0.000), marital status (p=0.037), and referral source (p=0.010). Conclusion: The findings indicate that lack of college education, unemployment, marital status, and being referred from other medical facilities are significant factors associated with AHD. To mitigate AHD-related morbidity and mortality, it is essential to enhance education and training programs focused on HIV/AIDS and to promote provider-initiated HIV testing and counseling. This approach could facilitate earlier prevention and diagnosis of HIV.]]>
<![CDATA[The Importance of Husband Support in Exclusive Breastfeeding: A Cross-Sectional Study ]]>
<![CDATA[Prabandari, Anak Agung Sagung Mirah]]>;
<![CDATA[Krishnandita, Maria]]>;
<![CDATA[Yunanda, Suyasa Adryan]]>;
<![CDATA[Wijaya, Made Indra]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i1.10
<![CDATA[Introduction: Despite the significant benefits of breastfeeding, the proportion of exclusive breastfeeding in Indonesia remains low. Husbands, being one of the closest persons to breastfeeding mothers, might be an appropriate target for breastfeeding promotion. This study aims to investigate husband support in exclusive breastfeeding. Methods: A cross-sectional study was conducted in the working area of Dawan II Community Health Center from October to December 2018. Data was collected using questionnaires given to mothers with babies aged 6-24 months who had a husband. Analysis was performed using chi-square test and logistic regression on SPSS version 21. Results: The proportion of exclusive breastfeeding was 55.8%. Chi-square test revealed that husband support has a significant association with exclusive breastfeeding, with a PR of 3.6 (p<0.001; 95%CI= 1.48-8.73). Other associated variables were mother's educational level and parity. Multivariate analysis confirmed the association of husband's support with exclusive breastfeeding (AOR=14.22; p=0.004). Conclusion: Husband support is crucial in exclusive breastfeeding, and husbands should also be targeted for health promotion regarding exclusive breastfeeding.]]>
<![CDATA[The Potential of Curcumin as Prevention and Alternative Treatment for Helicobacter Pylori Associated Diseases ]]>
<![CDATA[Prabandari, Anak Agung Sagung Mirah]]>;
<![CDATA[Sari, Ni Nyoman Shinta Prasista]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 3 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i1.13
<![CDATA[Introduction: Helicobacter pylori (H. pylori) is a pathogenic bacterium found in half of the world's population, causing gastrointestinal problems ranging from gastritis and peptic ulcers to gastric cancer. Current triple therapy treatment for H. pylori faces issues of resistance, side effects, and high cost, necessitating alternative therapies. Studies suggest that curcumin, a compound found in turmeric, may have antibacterial effects against H. pylori. Method: This literature review evaluated the potential of curcumin against H. pylori infection. Relevant articles were systematically searched in PubMed, Scopus, Web of Science, and Google Scholar databases using combinations of keywords including "curcumin," "turmeric," "Helicobacter pylori," "antibacterial," "anti-inflammatory," "antioxidant," and "bioavailability." Results: Curcumin, a polyphenol compound extracted from turmeric, possesses antibacterial, anti-inflammatory, anti-carcinogenic, and antioxidant properties. Turmeric is a natural, inexpensive, and readily available plant in Indonesia. Curcumin prevents H. pylori-associated diseases by inhibiting bacterial adherence to gastric cells and exhibiting bactericidal effects through disruption of bacterial metabolic enzymes and inhibition of ammonia production. Additionally, curcumin treats H. pylori-induced inflammation by suppressing inflammatory pathways such as NF-κB, AP-1, JNK, and MAPK. Conclusion: Curcumin shows potential as both a preventive and therapeutic agent for H. pylori-associated diseases. Further research should focus on improving curcumin's delivery system to enhance its efficacy in clinical applications.]]>
<![CDATA[The Comparison of Non-Silver-Based Treatment vs Silver-Based Treatment in Pediatric Burns: Meta-Analysis and Systematic Review ]]>
<![CDATA[Yatindra, Ida Ayu Cempaka Dewi]]>;
<![CDATA[Rooseno, Ratna Rayeni Natasha]]>;
<![CDATA[Tiaraningrum, R.Ratu Kania]]>;
<![CDATA[Dharmawan, Made Surya]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 2 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i2.14
<![CDATA[Background: Pediatric burn injuries are a significant global concern, caused by factors such as child maltreatment, fire accidents, and scalding. Effective treatment aims to enhance wound healing and re-epithelialization. Silver-based treatments are a standard approach for burn wounds, but new alternatives may offer improved outcomes. Objective: This study conducts a meta-analysis and systematic review to compare silver and non-silver treatments in pediatric burn care. Methods: A comprehensive literature review and meta-analysis were conducted using the PRISMA guidelines. Data from PubMed, Cochrane Library, and ScienceDirect were utilized. The study focused on children with burn injuries, comparing non-silver treatments (intervention) against silver treatments (control) and assessing outcomes like wound healing, dressing frequency, hospital stay length, complications, graft needs, and pain. Results: The review included 12 randomized controlled trials with 719 participants. Silver treatments served as controls against various non-silver options. Although many trials showed bias and varied quality, results indicated that non-silver treatments led to faster wound healing (mean difference: -0.86 days; 95% CI: −1.26, −0.46; p < 0.0001), fewer dressing changes (mean difference: -2.07 times; 95% CI: -3.39, -0.75; p = 0.0002), and reduced hospital stays (mean difference: −0.76 days; 95% CI: −1.57, 0.05; p = 0.07). No significant differences were found in infection rates or graft needs. Conclusion: Non-silver treatments in pediatric burns result in faster healing, fewer dressings, and shorter hospital stays compared to silver treatments. Further large-scale studies are necessary to confirm these findings.]]>
<![CDATA[Nutrigenomics: Understanding the Connection Between Nutrition and Genetics ]]>
<![CDATA[Saputra, I Putu Gede Windhu]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 2 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i2.15
<![CDATA[Nutrigenomics is a field that combines "nutrition" and "genomics." It focuses on how nutrients, both micronutrients and macronutrients, affect our genome. This includes understanding how nutrients interact with genes during transcription and gene expression, leading to varying responses based on different gene variants. One significant factor in this process is Transcription Factors (TFs), which are crucial for how nutrients influence gene activity. Several diseases, including cancer, diabetes, cardiovascular diseases, and dyslipidaemia, are linked to diet and nutrition. From a nutrigenomics perspective, conditions like diabetes and obesity often stem from an imbalanced diet that interacts with active genes. In daily life, nutrigenomics helps assess individual nutritional needs based on a person's genetic profile, which is sometimes referred to as personalized diet. This approach aims to prevent chronic diseases over time. However, nutrigenomics also raises ethical concerns, particularly regarding the privacy of individuals' genetic information and the need for further research in this area.]]>
<![CDATA[Physical Fitness Levels Based on the 12-Minute Running Test in Medical Undergraduate Cadets at the Republic of Indonesia Defense University, Cohort 4 of the Year 2023 ]]>
<![CDATA[Ardiansyah, Trevicko Mahottama]]>;
<![CDATA[Handandari, Syahnadira Puspita]]>;
<![CDATA[Suwarno, Adinda Ratulia]]>;
<![CDATA[Azka, Salsabila]]>;
<![CDATA[Mozart, Mozart]]>;
<![CDATA[Pratama, Vireza]]>;
<![CDATA[Nugraha, Deity]]>;
<![CDATA[Fitriani, Elies]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 1 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.1234/bmwj.v1i1.16
<![CDATA[Objective: Physical fitness plays a critical role in maintaining the health and performance of medical undergraduate students, particularly at the Republic of Indonesia Defense University (RIDU), where academic studies intersect with military training. This study aims to describe the physical fitness levels of medical undergraduate cadets based on the results of the 12-minute running test (Cooper Test) and their self-reported physical activity levels using the Global Physical Activity Questionnaire (GPAQ). Methods: We employed a descriptive survey research method. The study included 72 respondents from the 2023 cohort 4 student population. Results: Physical Activity Levels: The majority of respondents reported a heavy level of physical activity (87.5%). Physical Fitness Levels: Overall, respondents demonstrated a sufficient level of physical fitness (73.6%). Gender and Age: No significant differences were observed in the distribution of physical fitness levels based on gender or age. Conclusion: Most cadets enrolled in undergraduate medical study programs at RIDU exhibit an adequate level of physical fitness.]]>
<![CDATA[Implications of Integrating Nutrigenomic Aspects on Training Ability and Recovery in Athletes: A Literature Review ]]>
<![CDATA[I Putu Gede Windhu Saputra]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 3 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.71341/bmwj.v1i2.17
<![CDATA[Introduction: Nutrition impacts sports performance significantly, influencing each athlete differently. Factors such as age, ethnicity, and genetics affect how athletes respond to nutrition. This review investigates how incorporating nutrigenomics enhances training and recovery in athletes. Methods: A systematic search following PRISMA 2020 guidelines was conducted to find relevant studies that examine the impact of genetic variations on nutritional effects related to athletic performance and recovery. The included articles are non-observational studies selected based on specific inclusion and exclusion criteria and were qualitatively analyzed. Results: The review included nine studies, primarily clinical and randomized controlled trials, conducted in Iran, Brazil, and Canada. Most studies focused on male athletes aged 15 to 40 years. The studies suggest that caffeine and vitamin D effects on performance may vary based on individual genotypes, but specific genes do not consistently influence these effects. Conclusion: Adopting genetic-based nutrition and supplementation approaches holds promising potential for optimizing athletic performance by tailoring nutrient intake to individual genetic profiles.]]>
