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[Body Mass Index and Postoperative Lumbar Pain Relief Following Surgery for Degenerative Lumbar Spine Disease: A Correlative Study ]]>
<![CDATA[Siallagan, Rini Martina]]>;
<![CDATA[Probosari, Enny]]>;
<![CDATA[Brotoarianto, Happy Kurnia]]>;
<![CDATA[Muis, Siti Fatimah]]>;
<![CDATA[Murbawani, Etisa Adi]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 2 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i2.33
<![CDATA[Background: The prevalence of obesity and overweight is consistently rising. An increase in body mass index (BMI) above the normal range heightens the risk of chronic diseases, including musculoskeletal conditions such as lumbar degeneration and low back pain. The association between elevated BMI and postoperative lumbar pain remains debated. Objective: This study aims to assess the correlation between BMI and the improvement of postoperative lumbar pain. Methods: In this correlational study, 48 adults meeting specific inclusion and exclusion criteria were observed at a spine surgery clinic in Semarang, Central Java, Indonesia. BMI was calculated by dividing weight (kg) by height squared (m²). Pain levels were assessed using a visual analogue scale (VAS). The study controlled for variables such as age, gender, diabetes mellitus, osteoporosis, and type of surgery. Results: A positive correlation exists between increased BMI and elevated pain scale scores post-lumbar surgery in patients with lumbar degeneration (r = 0.654, p = 0.001). Additionally, the type of surgery and the presence of osteoporosis were found to correlate with pain levels. Conclusion: Patients with higher BMIs exhibited more pronounced postoperative pain compared to those with lower BMIs.]]>
<![CDATA[Evaluation of the Effectiveness of Local Food-Based Supplementation (Pemberian Makanan Tambahan) in Improving the Nutritional Status of Underweight Children under Five at a Public Health Center ]]>
<![CDATA[Christiyanti, Ni Ketut Wenny]]>;
<![CDATA[Janendra, Putu Sathiya Adi]]>;
<![CDATA[Dwijayantari, Si Ayu Dinda]]>;
<![CDATA[Purnami, Kadek Ima]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 2 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i2.35
<![CDATA[Background: Malnutrition in children under five is a major public health concern in Indonesia. The government’s Supplementary Feeding Program or Pemberian Makanan Tambahan (PMT) aims to improve nutritional status, but its effectiveness needs further evaluation, especially in areas with persistent undernutrition. Aim: This study aimed to evaluate the effectiveness of the local PMT intervention in improving the nutritional status of undernourished children under five years old. Methods: An experimental one-group pre- and post-test design with a cross-sectional approach was used. The Wilcoxon Signed Rank Test facilitated statistical analysis. The study involved a total sample of 50 respondents who received locally sourced supplementary food over 60 days. Results: The study included 50 respondents, with a majority being male (26 toddlers, 52%) and female (24 toddlers, 48%). The findings revealed a statistically significant improvement (p <0.001) in the children's nutritional status, demonstrating the positive impact of the PMT intervention. Conclusion: Although the PMT program effectively enhanced nutritional status, its success is influenced by factors like adherence to dietary guidelines, parental involvement, and education. Integrating nutrition education and regular health monitoring is crucial to sustain long-term nutritional improvements in children.]]>
<![CDATA[Impact of Training on Local Food-Based Supplementary Feeding Knowledge of Posyandu Cadres for Undernutrition Management at Banjar 1 Public Health Center ]]>
<![CDATA[Christiyanti, Ni Ketut Wenny]]>;
<![CDATA[Dwijayantari, Si Ayu Dinda]]>;
<![CDATA[Janendra, Putu Sathiya Adi]]>;
<![CDATA[Purnami, Kadek Ima]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 2 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i2.36
<![CDATA[Background: Malnutrition remains a significant health challenge in Indonesia, especially among vulnerable groups like young children and pregnant women. Improving the skills and knowledge of posyandu cadres in preparing local food-based supplementary feeding (Pemberian Makanan Tambahan/PMT) can help address this issue effectively. Methods: This study used a quasi-experimental design with a one-group pre-test and post-test approach. A group of posyandu cadres was assessed before and after receiving training on making PMT from local food sources. The Wilcoxon Signed Rank test was used to analyze the significance of knowledge changes. Results: A total of 40 primarily female cadres participated, with age distribution showing 40% aged 36–45 years, 20% aged 26–35 years, 37% aged 46–55 years, and 3% aged 55–66 years. The training on local food-based PMT resulted in a significant increase in knowledge (p <0.001). Conclusion: Training on preparing and processing local food-based PMT effectively increased the knowledge of posyandu cadres. This improvement is essential for better management of malnutrition among toddlers and pregnant women in the Banjar 1 Public Health area.]]>
<![CDATA[Penetrating Ocular Injury in a Young Child: A Case Report Highlighting the Urgency of Corneoscleral Repair ]]>
<![CDATA[Raule, Agnestya Christine Zely]]>;
<![CDATA[Mayangsari, Dian]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 2 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i2.37
<![CDATA[Introduction: Penetrating ocular trauma is an ophthalmologic emergency that can lead to significant vision loss, especially in children. This report describes the presentation and management of a severe case in a young child from a remote area. Case Description: A 3-year-old girl presented with a left eye injury after being struck by a nail. Examination revealed a superior eyelid laceration, a full-thickness corneal laceration with iris prolapses, and hyphema. Initial visual acuity in the affected eye was 1/300. The patient underwent immediate corneoscleral repair followed by postoperative treatment with systemic and topical antibiotics, corticosteroids, and tetanus prophylaxis. Discussion: Prompt surgical intervention is essential in cases of penetrating ocular trauma to preserve globe integrity and minimize the risk of complications such as endophthalmitis and amblyopia. Despite immediate surgical intervention, the patient's visual acuity remained poor two days post-surgery Conclusion: This case underscores the critical need for early recognition, timely surgical intervention, and diligent follow-up care in the management of pediatric penetrating ocular trauma, particularly in remote areas where access to specialized care may be limited.]]>
<![CDATA[Knowledge and Attitudes of Pregnant Women Regarding Triple Elimination Screening in Buleleng Regency, Bali, Indonesia ]]>
<![CDATA[Sulyastini, Ni Komang]]>;
<![CDATA[Sekarini, Ni Nyoman Ayu Desy]]>;
<![CDATA[Wilandari, Made Ririn Sri]]>;
<![CDATA[Pratiwi, Putu Irma]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 2 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i2.39
<![CDATA[Background: Triple elimination screening (for HIV, syphilis, and hepatitis) is a routine part of antenatal care, aimed at preventing transmission from mother to child. Objectives: This study investigated the relationship between pregnant women's knowledge and attitudes and their participation in triple elimination screening in Buleleng Regency, Bali. Methods: A cross-sectional, quantitative study was conducted with 371 pregnant women recruited from 36 midwife practices using cluster random sampling. Data on knowledge, attitudes, and screening participation were collected using a questionnaire. Chi-square tests were used to analyze the data. Results: Most participants were between 20 and 35 years old (84.6%), had a secondary education (60.1%), were multigravida (73.9%), and were in their third trimester (46.4%). Chi-square tests showed no significant relationship between knowledge and participation in screening for HIV (p = 0.25), syphilis (p = 0.10), or hepatitis (p = 0.06). However, a significant association was found between positive attitudes and screening participation for HIV (p = 0.04), syphilis (p = 0.05), and hepatitis (p = 0.04). Specifically, over 97% of women with positive attitudes underwent screening for HIV, syphilis and hepatitis. Conclusion: Positive attitudes are significantly associated with increased participation in triple elimination screening among pregnant women. Continued education from healthcare providers is important to improve screening rates.]]>
<![CDATA[The Role of Omega-3 Fatty Acids in Mitigating Metabolic Risk Factors Associated with Alzheimer's Disease: A Systematic Review and Meta-Analysis ]]>
<![CDATA[Harimawan, Agustinus I Wayan]]>;
<![CDATA[Yusnianingsih, Cuay]]>;
<![CDATA[Prabandari, Anak Agung Sagung Mirah]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 2 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i2.42
<![CDATA[Background: Alzheimer’s disease (AD) is linked to metabolic conditions like obesity and hypertension, which share inflammation and oxidative stress as common factors. Omega-3 fatty acids (EPA and DHA) may have neuroprotective and anti-inflammatory benefits. Objective: This study aims to review the effectiveness of omega-3 supplements in reducing metabolic risk factors and slowing cognitive decline in people with AD. Methods: Following PRISMA guidelines, a comprehensive search was conducted in PubMed, ScienceDirect, and Google Scholar for randomized controlled trials (RCTs) published until July 2025. Eligible studies included older adults (≥65 years) with AD or mild cognitive impairment (MCI) and assessed the impact of omega-3 supplements on cognitive and/or metabolic outcomes. The risk of bias was evaluated using the Cochrane ROB-2 tool. Data were analyzed with Review Manager 5.4 using fixed-effects models for continuous outcomes. Results: Five RCTs with a total of 490 participants were included. Meta-analysis of four trials (326 participants) revealed that omega-3 supplementation significantly improved Mini-Mental State Examination (MMSE) scores compared to placebo (mean difference: 0.21; 95% CI: 0.02–0.41; P = 0.03; I² = 0%). No significant effects were found for ADAS-Cog scores (mean difference: 0.11; 95% CI: –0.40 to 0.62; P = 0.68; I² = 46%) or IADL scores (mean difference: 0.48; 95% CI: –0.17 to 1.13; P = 0.15; I² = 36%). Conclusion: Omega-3 fatty acids may offer modest cognitive benefits in AD, though heterogeneity among studies limits general conclusions. Future well-designed RCTs should consider metabolic profiles and standardized dosing to identify populations most likely to benefit from omega-3 supplementation.]]>
<![CDATA[Psychological Dynamics of Inmates with Amphetamine Dependence: A Case Study ]]>
<![CDATA[Wulandari, Putu Diana]]>;
<![CDATA[Widianti, Aritya]]>;
<![CDATA[Saraswaty, Ratih]]>;
<![CDATA[Astaningtias, Ni Made Irene Novianti]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 3 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i3.38
<![CDATA[Introduction: Substance dependence among inmates presents complex psychological challenges often rooted in personal history and environmental factors. This study aims to identify and analyze the specific psychological dynamics of an inmate diagnosed with amphetamine dependence to provide a basis for effective intervention. Case Description: This study utilized a qualitative case study approach involving "IK," a 25-year-old male inmate at Penitentiary X with a history of early-onset substance abuse. Data were collected through in-depth interviews, observation, and psychological assessments, including Graphic Tests (BAUM, DAP, HTP), SPM, Wartegg, and TAT. The subject presented with severe anxiety, moderate depression, and profound feelings of guilt and inferiority, exacerbated by a history of parental divorce and the loss of his partner and child during incarceration. Discussion: The analysis reveals that the subject's amphetamine dependence functions as a maladaptive coping mechanism stemming from a dysfunctional family history and childhood trauma. The prison environment has further intensified his psychological distress, particularly anxiety and internal conflict regarding his inability to take responsibility. Despite possessing average intelligence, the subject exhibits emotional repression and a low fighting spirit, which are critical factors influencing his recovery potential. Conclusion: The psychological dynamics of inmates with amphetamine dependence are deeply intertwined with past traumatic experiences and unsupportive environments. Understanding these underlying factors is crucial for correctional facilities and mental health practitioners to design personalized rehabilitation programs that address not only the addiction but also the root psychological vulnerabilities.]]>
<![CDATA[Progressive Muscle Relaxation (PMR) in Cancer Patients: A Scoping Review ]]>
<![CDATA[Gautama, Made Satya Nugraha]]>;
<![CDATA[Pitriyani, Kadek Dwi]]>;
<![CDATA[Winaryanta , Made Deisyana]]>;
<![CDATA[Widiarini, Luh Mutiara]]>;
<![CDATA[Sunday, Ni Kadek Mawar Aries]]>;
<![CDATA[Widyanata, Komang Agus Jerry]]>;
<![CDATA[Khalish, Gaviota]]>
<![CDATA[ Bali Medical and Wellness Journal Vol. 2 No. 3 (2025): Bali Medical and Wellness Journal ]]>
Publisher : <![CDATA[PT BMW Journal Sejahtera ]]>
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DOI: 10.71341/bmwj.v2i3.40
<![CDATA[Background: Cancer patients frequently endure a range of physical and psychological burdens during treatment. Progressive Muscle Relaxation (PMR) is utilized as a supportive intervention to address these symptoms, though its specific implementation and efficacy require synthesis. Objective: This scoping review aims to investigate the implementation strategies and the effects of PMR on physical and psychological outcomes in patients diagnosed with cancer. Methods: Following PRISMA and Joanna Briggs Institute (JBI) guidelines, a comprehensive literature search was conducted for articles published between 2019 and 2024. Inclusion criteria required studies to be in English or Indonesian and utilize specific designs, including quasi-experimental and randomized controlled trials (RCTs). Results: From a total of 792 initial records, 15 studies met the inclusion criteria. These studies, conducted across various countries, typically utilized PMR interventions lasting 15–25 minutes. The analysis indicated that PMR was associated with reductions in physical symptoms, such as pain, fatigue, nausea, vomiting, and dyspnea. Furthermore, significant improvements were noted in psychological symptoms, including anxiety, stress, and emotional distress, alongside positive effects on sleep quality, functional well-being, coping mechanisms, and resilience. Conclusion: PMR shows promise as a beneficial intervention for alleviating symptom burden in cancer patients. However, the limited number of studies and methodological heterogeneity suggest a need for further rigorous research to clarify the mechanisms of action and expand its clinical applications.]]>
