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[Analysis of Outpatient Type 2 Diabetes Mellitus Treatment Patterns: A Four-Criteria Framework at Sanjiwani Hospital, Gianyar ]]>
<![CDATA[Widowati, I Gusti Ayu Rai]]>;
<![CDATA[Kusuma, Kadek Ari Teja]]>;
<![CDATA[Dewi, Dewa Ayu Putu Satrya]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 2 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v1i2.19
<![CDATA[Background: Diabetes mellitus is a chronic condition with high blood sugar levels caused by insufficient insulin production. Improper prescribing can lead to ineffective treatment, increased health risks, and resource wastage. Objective: This study aims to assess compliance with four essential criteria for rational drug use in treating Type 2 Diabetes Mellitus (DM2) patients at Sanjiwani Hospital in Gianyar. By examining these areas, the study seeks to identify opportunities for improving DM2 treatment and ensuring that practices align with established standards to enhance patient outcomes and safety. Methods: A cross-sectional survey was conducted from May to June 2024, analyzing purposively collected prescriptions. A total of 113 prescriptions were reviewed to assess prescribing practices. Results: The study evaluated prescribing accuracy based on four criteria: drug selection, dosage, indication, and timing. Results showed 100% accuracy in drug selection and indication, 76.1% accuracy in dosage, and 78.8% accuracy in timing. Conclusion: These findings suggest that medication practices at Sanjiwani Hospital for DM2 patients are generally satisfactory. However, pharmacists should play an active role in providing pharmaceutical information and counseling to achieve the best clinical outcomes. This includes ensuring correct dosage and timing to improve overall treatment effectiveness and patient safety.]]>
<![CDATA[Systematic Review: Effectiveness of Probiotic Giving as Additional Therapy in Atopic Dermatitis Patient ]]>
<![CDATA[Pangkahila, Evangelista Maria]]>;
<![CDATA[Dewi, Made Yudha Asrithari]]>;
<![CDATA[Harimawan, Agustinus I Wayan]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 2 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v1i2.21
<![CDATA[Background: Atopic dermatitis (AD), also known as eczema, is a chronic inflammatory skin condition affecting the epidermis and dermis. It is triggered by a combination of environmental and genetic factors, leading to symptoms such as polymorphic rashes and intense itching. Objective: This systematic review aims to evaluate the effectiveness of oral probiotic supplementation as an adjunct therapy for individuals with atopic dermatitis. Methods: The literature was reviewed by searching two electronic databases, Google Scholar and PubMed, resulting in the inclusion of eight studies that collectively involved 347 AD patients. Results: The findings indicate that probiotic supplementation can significantly reduce the severity and incidence of atopic dermatitis. This effect is attributed to the inhibition of Th2 cell activity and a reduction in pro-inflammatory cytokines, including TNF-α and IgE, which are known contributors to the pathophysiology of AD. Conclusion: Probiotics present a promising alternative for the prevention and management of atopic dermatitis, potentially enhancing patient outcomes.]]>
<![CDATA[The Anti-Viral and Cognitive Enhancement Properties of Edible Bird's Nest: A Narrative Review ]]>
<![CDATA[Yusnianingsih, Cuay]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 3 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v1i3.22
<![CDATA[Background: Edible bird's nest has been used as a traditional Chinese medicine since the 7th century. It is rich in protein, carbohydrates, moisture, ash, and fat. Recent research has focused on its potential health benefits, such as anti-viral properties, cognitive enhancement, and roles as an immunomodulator and antioxidant. Objective: This review explores the anti-viral and cognitive enhancement properties of edible bird's nest. Methods: This review followed the PRISMA Scoping Review (PRISMA ScR) guidelines. Relevant studies were systematically identified using PubMed and Google Scholar with keywords such as "edible bird's nest," "anti-viral," "cognitive enhancer," and "Alzheimer's disease." In vitro and in vivo studies published in peer-reviewed journals that focused on the anti-viral and cognitive effects of edible bird's nest were included. Articles were initially screened through titles and abstracts, and relevant studies were reviewed in full to extract key data on study design, methods, and outcomes. Results: Edible bird's nest enhances cell functions by increasing the density and number of lysosomes, reducing Rab5 protein activity, enhancing mucin production, and modulating Rhoa expression, which regulates actin cytoskeleton dynamics. These mechanisms inhibit the attachment, endocytosis, maturation, and release of influenza A virus particles. As a cognitive enhancer, edible bird's nest significantly improves memory and neuroprotective functions by inhibiting neuroinflammatory processes and oxidative stress. Additionally, it may enhance mitochondrial function and increase the number of active mitochondria. Conclusion: Edible bird's nest demonstrates anti-viral and cognitive enhancement effects with no reported side effects in vitro and in vivo. Further research should aim at clinical trials to establish effective and optimal dosages.]]>
<![CDATA[Harnessing Mycoprotein: Unravelling Its Impact on Skeletal Muscle Health Through Systematic Review and Meta-Analysis ]]>
<![CDATA[Dewi, Made Yudha Asrithari]]>;
<![CDATA[Pangkahila, Evangelista Maria]]>;
<![CDATA[Dananjaya, I Made Dwi]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 3 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v1i3.23
<![CDATA[Background: Mycoprotein, a fungal-derived protein from Fusarium venenatum, has gained attention for its potential benefits in muscle health, particularly as an alternative to traditional animal-based proteins. Objectives: This systematic review and meta-analysis aimed to evaluate the effects of mycoprotein intake on skeletal muscle protein synthesis, plasma branched-chain amino acids (BCAAs), and post-prandial insulin response in healthy adults. Methods: The study followed the PRISMA guidelines and was registered in PROSPERO (CRD42024602558). A comprehensive search of the PubMed, Scopus, EuropePMC and Cochrane Library databases was conducted to identify randomized controlled trials comparing mycoprotein interventions with non-mycoprotein control groups. Trials were included if they reported outcomes related to muscle protein synthesis, plasma amino acid levels, or post-prandial insulin response. Risk of bias was assessed using the Cochrane risk-of-bias tool. Meta-analyses were performed using an inverse-variance–weighted, random-effects model. Results: Four randomized controlled trials involving 82 participants were included. Mycoprotein intake significantly increased muscle protein synthesis rates, with a fractional synthetic rate (FSR) increase of +0.01% per hour (95% CI: 0.01% to 0.02%, P < 0.001) compared to control groups. There was no significant difference in plasma BCAA levels between mycoprotein and control groups (mean difference: 2.83 µmol/L, 95% CI: -84.93 to 90.58, P > 0.05). However, post-prandial insulin response was significantly higher in the mycoprotein group at 30 minutes post-ingestion (mean difference: 8.15 mU/L, 95% CI: 5.70 to 10.59, P < 0.001). Conclusions: Mycoprotein intake shows potential benefits for increasing muscle protein synthesis and enhancing post-prandial insulin response. However, the limited sample sizes and short durations of the included trials suggest the need for larger, long-term studies to confirm these findings.]]>
<![CDATA[Evaluating the Therapeutic Impact of L-Carnitine on Postoperative Left Ventricular Ejection Fraction in Patients Undergoing Coronary Artery Bypass Grafting: A Meta-Analysis ]]>
<![CDATA[Pangkahila, Evangelista Maria]]>;
<![CDATA[Dewi, Made Yudha Asrithari]]>;
<![CDATA[Harimawan, Agustinus I Wayan]]>;
<![CDATA[Silitonga, Josua]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 1 No. 3 (2024): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v1i3.24
<![CDATA[Background: L-Carnitine (LC) plays a crucial role in transporting long-chain fatty acids into mitochondria for oxidation, which is particularly important for the heart and skeletal muscles. Additionally, it acts as an antioxidant and anti-inflammatory agent, helping to protect tissues from damage caused by reactive oxygen species (ROS). This study aims to evaluate the effect of LC on postoperative left ventricular ejection fraction (LVEF) in patients undergoing coronary artery bypass grafting (CABG). Methods: This systematic review adhered to PRISMA guidelines and searched Google Scholar, PubMed, and ScienceDirect for randomized controlled trials (RCTs) comparing L-Carnitine to placebo in CABG patients. We focused on outcomes related to left ventricular ejection fraction (LVEF) and serum creatine kinase-MB (CK-MB) levels. Data were analyzed using a random-effects model, with results reported as weighted mean differences (WMD) and 95% confidence intervals (CI), considering statistical significance at p < 0.05. Results: The analysis included five RCTs involving 365 CABG patients, with LC doses ranging from 2 to 6 g per day, administered from one month before to 180 days after surgery. The results showed that LC significantly improved LVEF (Weighted Mean Difference [WMD]: 3.22%, 95% Confidence Interval [CI]: 0.28 to 6.16, P = 0.0001). Additionally, LC treatment resulted in a reduction of serum creatine kinase-MB (WMD: -12.75, 95% CI: -22.46 to -3.05, P = 0.01). However, there was no significant difference in cardiopulmonary bypass time between the LC and control groups (WMD: 0.78%, 95% CI: 0.37 to 1.20, P = 0.51). Conclusion: L-Carnitine is effective in improving LVEF and reducing serum CK-MB levels in patients with heart disease undergoing CABG. This suggests it may contribute to a more favorable postoperative recovery.]]>
<![CDATA[Assessing the Potential of Ethno-pharmaceutical Integration at Yoga Barn Ubud: A SWOT and Health Belief Model Analysis ]]>
<![CDATA[Febryanti, Ekanur]]>;
<![CDATA[Widowati, I Gusti Ayu Rai]]>;
<![CDATA[Hita, I Putu Gede Adi Purwa]]>;
<![CDATA[Setiawan, I Putu Yudhistira Budhi]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 1 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v1i3.26
<![CDATA[Background: Ethnopharmaceuticals is a diverse field that examines how individuals perceive and utilize traditional therapies, focusing on plant-based treatments and holistic health approaches typically passed down through generations. Objective: This research aims to analyze the potential of ethnopharmaceuticals at Yoga Barn Ubud using SWOT and Health Belief Model approaches. The goal is to identify the internal and external factors impacting performance and to understand how individual health beliefs influence participation in wellness activities. Method: A qualitative exploratory approach was employed, gathering primary data through in-depth interviews with 12 participants at Yoga Barn using purposive sampling. Results: SWOT analysis revealed Yoga Barn's strengths, such as its prime location, diverse yoga classes, and positive reputation. Weaknesses included limited awareness of ethnopharmaceutical services, competition, and a focus on seasonal tourists. Opportunities highlighted growing health campaigns and connections with global health networks, while threats included traditional practices being overshadowed by modern therapies. The Health Belief Model indicated that participants' beliefs about health risks and the benefits of yoga significantly influenced their engagement in wellness activities. Conclusion: Yoga Barn in Ubud effectively integrates local wisdom, traditional herbal medicine, and meditation, creating a holistic wellness experience that attracts tourists while preserving traditional knowledge.]]>
<![CDATA[Exploring Pharmaceutical Personnel’s Insight and Attitudes Toward Complementary and Alternative Medicine: Preferences for Common Cold Remedies ]]>
<![CDATA[Maheni, Ni Putu Asri Dewi]]>;
<![CDATA[Ardinata, I Putu Riska]]>;
<![CDATA[Rudiartha, I Gusti Lanang Made]]>;
<![CDATA[Widowati, I Gusti Ayu Rai]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 1 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v1i3.27
<![CDATA[Background: Pharmaceutical personnel are responsible for providing accurate advice and therapeutic options to ensure safe and effective treatments. Insufficient knowledge of medications can lead to inappropriate drug selections, adversely affecting patient outcomes. Objectives: This study aims to assess the knowledge of pharmaceutical personnel regarding complementary and alternative medicine (CAM) and their preferences for remedies used to treat the common cold. Method: A cross-sectional design was utilized, involving 35 respondents from selected chain pharmacies. Data were collected using a validated questionnaire that included the Guttman scale for knowledge assessment and the Likert scale for evaluating attitudes and behaviors. Descriptive analysis was performed using SPSS. Results: Most respondents were aged 17-25 years (60.0%), predominantly female (94.3%), held a diploma degree (65.7%), had a monthly income between 2.5-5 million rupiah (74.3%), and had less than three years of work experience (68.6%). Notably, 60.0% had not received training in CAM. The findings indicated that 54.3% of respondents had adequate knowledge of CAM, and 68.6% displayed a positive attitude toward selecting common cold remedies. Additionally, 62.9% recommended supplements or herbal products to patients for preventing or treating the common cold and provided guidance on their proper use. Conclusion: To enhance their knowledge and ensure evidence-based recommendations, pharmaceutical personnel could benefit from additional training on CAM. Furthermore, ongoing education about safe and effective cold remedies may improve patient care and promote better decision-making.]]>
<![CDATA[Evaluating the Role of Vitamin D Supplementation in Enhancing Muscle Strength Among Athletes ]]>
<![CDATA[Wulandari, Ni Komang Ayu]]>;
<![CDATA[Radhana, Putu Sukma]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 1 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i1.28
<![CDATA[Background: Vitamin D is essential for musculoskeletal health, and a deficiency can affect muscle performance. Athletes, especially those training indoors or in areas with limited sunlight, may lack sufficient vitamin D. Aim: This review examines how vitamin D supplements affect muscle strength in athletes across different sports. Methods: A comprehensive literature search was conducted across PubMed, Scopus, and Science Direct for randomized controlled trials (RCTs) published between 2014-2024. Studies examining vitamin D supplementation in athletes and its impact on muscle strength outcomes were included. Data on dosage, duration, baseline vitamin D levels, and muscle strength assessments were extracted and analyzed. Results: Four RCTs were identified, with supplementation doses from 600 IU to 5000 IU daily. The results indicate that vitamin D supplements significantly improve lower limb strength, power, and recovery in athletes with initial vitamin D insufficiency (levels below 30 ng/mL). For athletes with sufficient vitamin D levels, supplements had little to no impact. Factors such as the length of the intervention and initial vitamin D levels were important in determining the outcomes. Conclusion: Vitamin D supplements can benefit athletes with a deficiency, enhancing muscle strength. However, they show limited effects on those with adequate vitamin D. Future research should focus on determining the ideal dosing and examining the long-term impact of supplements on athletic performance.]]>
<![CDATA[Integrating Aromatherapy for Enhanced Postoperative Recovery in Orthopedic Fracture Patients Experiencing Pain and Nausea: A Case Study ]]>
<![CDATA[Trisnayanthi, Gusti Ayu Putu Mira]]>;
<![CDATA[Raya, Nyoman Agus Jagat]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 1 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i1.32
<![CDATA[Introduction: Fractures are common injuries that often result in postoperative pain and nausea. Managing these symptoms effectively is important for patient recovery, and aromatherapy has emerged as a non-pharmacological option. Case Description: This study involved two adult patients who experienced pain and nausea following orthopedic fracture surgery. Each morning, the patients inhaled either lemon or lavender aromatherapy. The effects were assessed 15 minutes after administration over a period of four days using assessment and observation sheets. Discussion: The results showed that both patients experienced a reduction in pain and nausea levels. The first patient’s pain decreased from 6 to 2, and nausea from 5 to 0, while the second patient’s pain decreased from 5 to 1, and nausea from 3 to 0. These findings suggest that lemon and lavender aromatherapy may be effective in alleviating postoperative pain and nausea. Conclusion: The use of lemon and lavender aromatherapy appeared to reduce pain and nausea in these cases, indicating potential benefits as supportive nursing interventions. Further research with larger samples is needed to confirm these preliminary observations.]]>
<![CDATA[Ethnobotanical Insights and Quantitative Evaluation of Medicinal Plant Utilization in Traditional Cosmetic Practices: A Community-Centered Study ]]>
<![CDATA[Dewi, Ni Luh Kade Arman Anita]]>;
<![CDATA[Pendet, Ni Made Diah Pusparini]]>;
<![CDATA[Apriani, Rista]]>;
<![CDATA[Megawati, Fitri]]>;
<![CDATA[Udayani, Ni Nyoman Wahyu]]>;
<![CDATA[Sugijanto, Milyadi]]>;
<![CDATA[Agustini, Ni Putu Dewi]]>;
<![CDATA[Javandira, Cokorda]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 1 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i1.34
<![CDATA[Background: Indigenous knowledge about medicinal plants used in cosmetics is an important cultural heritage that needs scientific documentation and preservation. In Terunyan Village, Bali, Indonesia, traditional ethnobotanical practices have been passed down orally through generations. Objective: This study aims to systematically record, identify, and analyze the plant species used by the community for natural cosmetic purposes, and to assess their cultural significance using ethnobotanical indices. Methods: An ethnobotanical survey was carried out using semi-structured interviews with 328 informants selected through purposive sampling. Plant specimens were collected, identified, and voucher samples stored at the Herbarium Hortus Botanicus Baliense (THBB). Quantitative analysis used Use Value (UV) and Fidelity Level (FL) to measure cultural importance and consensus. Results: A total of 24 plant species from 18 plant families were documented for cosmetic use. The most frequently cited species were Aloe vera (UV = 0.180), Cocos nucifera (UV = 0.174), and Solanum lycopersicum (UV = 0.169). Leaves were the most used plant parts (40.85%), and pounding was the main processing method (20.43%). Six species had a fidelity level of 100%, indicating strong cultural agreement. The most common applications were for hair care (35.2%), skin moisturizing (28.7%), and skin brightening (24.1%). Conclusion: This research provides the first detailed documentation of traditional cosmetic plant use in Terunyan Village. It highlights significant ethnobotanical diversity and strong cultural consensus for key species. These findings support the preservation of indigenous knowledge and lay the groundwork for sustainable development of natural cosmetic products.]]>
