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WMJ (Warmadewa Medical Journal)
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Published by Universitas Warmadewa
ISSN : 25274627     EISSN : 25799010     DOI : doi.org/10.22225/wmj
Core Subject : Health,
Health Professions Medicine & Pharmacology
WMJ (Warmadewa Medical Journal) is the Journal of Medicine & Health, contains scientific articles (Original/ Research Articles, Review Articles, Case Reports) by academic community of the Faculty of Medicine and Health Sciences Warmadewa University, other Faculties of Medicine and Health Sciences and other related Institutions. It is the medium for hardskill and softskills development as an integral part of the Tri Dharma Perguruan Tinggi (Education, Research, Public Service) and health services in the forms of media of communication, information, scientific education, as a subsystem of Medicine and Health holistic and comprehensive services.
Arjuna Subject : -
Articles 117 Documents
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Determinants Of Stunting Among Toddlers: A Systematic Literature Review Hesteria Friska Armynia Subratha; Km Tri Sutrisna Agustia
WMJ (Warmadewa Medical Journal) Vol 9 No 2 (2024): November 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.2.8067.50-56

Abstract

Stunting remains a significant public health challenge in Indonesia, with a prevalence of 24.4%, according to the 2021 Indonesia Nutrition Status Survey (SSGI). This high rate indicates the country's ongoing struggle to meet its 2024 target of reducing the stunting rate to 14%. Stunting, characterized by impaired growth and development due to chronic malnutrition, is influenced by various socioeconomic, environmental, and biological factors. Understanding these factors is essential for developing effective intervention strategies. This systematic literature review synthesizes current evidence on the determinants of stunting among toddlers in Indonesia, providing insights that can guide public health policies and programs. Using the PRISMA methodology, we comprehensively searched peer-reviewed articles published between 2018 and 2022 from databases such as Google Scholar and PubMed. The studies indicate that stunting is influenced by a complex interaction of factors, including maternal education, household income, sanitation practices, healthcare access, and the child’s age, gender, and health status. Notably, maternal education and household socioeconomic status emerge as critical determinants. The findings emphasize the need for multi-sectoral, community-based interventions that integrate these determinants. In conclusion, addressing these factors through integrated, community-based strategies is crucial for reducing stunting rates and improving child health outcomes in Indonesia.
Mother's Knowledge Levels on Baby Massage for 0-12 Months Old Babies at PMB Ni Kadek Kurniati, A.Md., Pemogan South Denpasar Made Pradnyawati Chania; Kadek Lisanita Dewi Swantari; Ni Wayan Sukma Adnyani
WMJ (Warmadewa Medical Journal) Vol 9 No 2 (2024): November 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.2.8303.43-49

Abstract

Baby massage is a tactile stimulation on the surface of the baby's skin. In order to increase the baby's growth and development optimally, performing the baby massage activities needs good knowledge of the mother. The purpose of this study was to describe the level of knowledge of mothers about infant massage aged 0-12 months at private midwive practice Ni Kadek Kurniati, A.Md.Keb Pemogan, South Denpasar. This study used a descriptive method with a cross sectional design. The samples were 30 mothers who had babies aged 0-12 months who met the inclusion criteria. Primary data retrieval using a questionnaire. The results obtained were; most of the respondets are aged 20-35 years, have a high school education level and have of the sources of information obtained through health workers (83.33%; 60%, and 36.67%, respectively). Most mothers who have good knowledge were in the age range of 20-35, have a high school education level, and obtain knowledge from health workers (88%; 88.89%, and 100%, respectively). In conclusion, almost all respondents have good knowledge about baby massage. It is expected that mothers who have babies aged 0-12 months to further increase their knowledge so that they can apply the practice of baby massage at home independently and for health workers to better educate the public and strengthen counseling, training and information dissemination, especially through social media so that the information provided becomes appropriate. and right on target.
Implementation of the Plate Meal Method towards Self-Management of Type 2 Diabetes Mellitus Patients: Plate Meal Method toward Self-management on Diabetes Mellitus Type 2 Rauza Alda; Riyan Mulfianda; Nanda Desreza
WMJ (Warmadewa Medical Journal) Vol 9 No 1 (2024): May 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.1.8388.29-36

Abstract

Plate meal is a diet therapy program for Diabetes Mellitus Type 2 patients, which may balance the blood glucose by dividing food on the plate. Improving patient self-management may difference the patients, especially those with Diabetes Mellitus type 2. This research aimed to determine the difference of the plate meal method with diet program implementation toward self-management among patients with Diabetes Mellitus type 2. This research was a quasi-experiment with pre and post-test equivalent control group methods. The population of this research was thirty patients with Diabetes Mellitus type 2 in Ulee Kareng Regional Technical Implementation Unit Health Community Center of Banda Aceh, which was divided into two groups, consisting of 15 respondents from the intervention group and 15 from the control group. The technique used in taking the samples was purposive sampling. This research was conducted in Ulee Kareng Regional Technical Implementation Unit Health Community Center from June 19 to 27, 2023. The data analysis used was a paired t-test and an independent t-test. The result of the research showed that the p-value of the paired t-test on the intervention group was 0.002. Therefore, there was a difference. The p-value of the control group was 0.369, which showed that there was no difference toward the control group, while the p-value of the independent t-test was 0.047 (p-Value ? 0,05), indicating that there was an difference between the intervention and control group after the treatment of the intervention group. The conclusion of this study is that there is a difference in the application of the plate meal method diet program towards self-management in Type 2 DM patients at the UPTD Ulee Kareng Community Health Center, Banda Aceh between the control and treatment groups.
Acupressure Therapy as a Complementary Method to Enhance Breast Milk Production in Postpartum Mothers: A Study Supporting the Success of Exclusive Breastfeeding Ni Made Diaris; Ni Made Umi Kartika Dewi
WMJ (Warmadewa Medical Journal) Vol 10 No 1 (2025): May 2025
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.10.1.8612.40-47

Abstract

Stunting is a problem that must be addressed immediately. One of the key interventions is to promote the success of exclusive breastfeeding. Insufficient breast milk production is one of the obstacles to achieving successful exclusive breastfeeding. This study examines research findings on the effects of complementary therapies, particularly acupuncture and acupressure, on increasing breast milk production. Research articles were collected from various online databases, including Google Scholar, PubMed, and ScienceDirect. Inclusion and exclusion criteria were applied to obtain original clinical research articles relevant to the desired topic, published within the last five years, and whose research methods and results were well explained and valid. In total, only five articles met the criteria for discussion. Accurate acupuncture interventions can enhance milk production in both postpartum mothers with a history of vaginal delivery and those who have undergone cesarean sections. Acupressure also increases milk production, particularly at points CV 18, ST 17, SI 1, ST 15, ST 16, and LI 4. Acupressure has the potential to serve as a complementary treatment for postpartum mothers to help improve breast milk production. However, acupuncture and acupressure therapies have not gained widespread popularity, especially at the international level, which presents significant opportunities for further research.
Cognitive Function of the Elderly in Banjar Busana, Desa Sibanggede, Badung Regency: A Descriptive Study Harry Bawana; Ni Nyoman Mestri Agustini; I Gede Surya Dinata; Ni Luh Kadek Alit Arsani
WMJ (Warmadewa Medical Journal) Vol 9 No 1 (2024): May 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.1.8657.5-10

Abstract

Countries around the world are currently entering an aging population era, where the number of elderly individuals is increasing. In the elderly, there is a decline in intrinsic capacities such as physical, mental, and cognitive capacities, which hampers their functional abilities. Cognitive function impairment is an early stage of cognitive decline and is a risk factor for dementia, which significantly disrupts daily activities. Banjar Busana, Desa Sibanggede, is one of the banjars with a relatively large elderly population, totalling 117 individuals. However, data on the cognitive function profile in Banjar Busana, Desa Sibanggede, is not yet definitively available. This study aims to determine the cognitive function profile of the elderly in Banjar Busana, Desa Sibanggede, Badung Regency. The population of this study comprises all elderly individuals in Banjar Busana in 2023, totalling 117 people. The sample size was calculated using the formula by Dean et al., 2013, with a 95% confidence level, resulting in a sample size of 90 individuals. The sample was then selected using simple random sampling. Cognitive function was measured using the MoCA-INA questionnaire. The data were analyzed descriptively and quantitatively. The results showed that the majority of respondents were aged 60-69 years (59%), with more male respondents (51%) than female respondents (49%). Respondents experiencing cognitive function impairment amounted to 47%, while those without cognitive function impairment were 53%. It is recommended to provide more education to the community regarding the dangers of cognitive function impairment and preventive efforts.
Angiography Scores Can Predict Amputation in Diabetic Feet Anak Agung Gede Budhitresna; Anak Agung Gede Agung Budhi Kesuma; Ketut Putu Yasa
WMJ (Warmadewa Medical Journal) Vol 9 No 1 (2024): May 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.1.8802.11-17

Abstract

Diabetic foot is a complication of diabetes mellitus, with a risk of amputation. One of the risk factors for amputation is peripheral arterial occlusive disease. Angiography is a diagnostic method used to visualize blood vessels, plan therapeutic actions, and predict prognosis, including the likelihood of amputation. The validity of angiography scores in predicting amputation in diabetic foot patients is assessed. This study is a diagnostic test to determine the validity of angiography scores in predicting amputation in 23 diabetic foot patients at Prof. Dr. I.G.N.G. Ngoerah General Hospital. Data analysis used the Receiver Operator Curve (ROC) and diagnostic tests to obtain the Area Under the Curve (AUC), cutoff point, sensitivity and specificity, Negative Predictive Value (NPV), Positive Predictive Value (PPV), Positive Likelihood Ratio (PLR), and Negative Likelihood Ratio (NLR). The study results showed a cutoff point for angiography scores of 33% with an AUC of 0.9841 (>0.7) for the percent score and a cutoff point of 6 with an AUC of 0.9960 for the total score (>0.7). The sensitivity and specificity of the angiography scores were very good for predicting amputation in diabetic foot, at 92.9% and 88.9% (CI 95%), respectively. With PPV of 92.9% and NPV of 88.9%, the diagnostic value of angiography scores in predicting amputation in diabetic foot patients is supported. This study shows that angiography scores have good validity in predicting amputation in diabetic foot patients.
The Differences of 10% Neutral Buffered Formalin, 4% Paraformaldehyde, and Bouin Solution in Newborn Rat Brain Luh Gde Evayanti; Ni Putu Diah Witari; Komang Trisna Sumadewi; A.A.Ayu Asri Prima Dewi; Fransiscus Fiano Anthony Kerans; Dewa Ayu Agung Alit Suka Astini
WMJ (Warmadewa Medical Journal) Vol 9 No 1 (2024): May 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.1.9180.1-4

Abstract

Rats are widely used in the study of embryological development of the central nervous system and its congenital disorders. Therefore, tissue fixation is very important in obtaining a good picture of the central nervous system, especially in newborn rats. This study aims to determine the difference in fixation using a solution of 10% neutral buffered formalin, 4% paraformaldehyde, and Bouin solution in the brain tissue of newborn rats. This experimental study used a post-test only controlled-group design with 18 newborn rats aged zero day. After randomization, the pups were grouped into 3 treatment groups, namely: fixation with 10% neutral buffered formalin solution (P1, n = 6), and fixation with 4% paraformaldehyde solution (P2, n = 6), and fixation with Bouin solution (P3, n = 6). Assessment using Hematoxylin Eosin staining, and analyzed by blinding based on the histology of the cerebral tissue (cell nucleus staining, cytoplasmic staining, staining clarity, uniformity of staining). Five cerebrum fields were examined. Data analysis used Kruskall Wallis test and post hoc Mann Whitney test using SPSS. The result was a significant difference in the histology of the brain tissue of newborn rats with the fixation of a solution of 10% neutral buffered formalin, 4% paraformaldehyde and Bouin solution (p = 0.001). Brain tissue fixation using 10% neutral buffered formalin solution showed better quality of histological pictures compared to 4% solution of paraformaldehyde solution and Bouin solution (p <0.05).
Profile of Healthcare Workers Infected by Covid-19 Admitted to Udayana University Hospital in April - June 2020 Giovanca Verentzia Purnama; Cokorda Agung Wahyu Purnamasidhi; Saktivi Harkitasari; I Komang Hotra Adiputra; Richard Christian Suteja; Putu Kintan Wulandari; I Gede Purna Weisnawa; Jerry; Darren Junior; I Gusti Ngurah Ariestha Satya Diksha; Dewa Ayu Fony Prema Shanti
WMJ (Warmadewa Medical Journal) Vol 9 No 2 (2024): November 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.2.9324.57-63

Abstract

Due to repetitive exposure to COVID-19 patients, healthcare workers are always at a high risk of contracting COVID-19. Hence, a study of the COVID-19 profile among healthcare workers might minimize morbidity and mortality. We conducted a cross-sectional study using medical records of healthcare workers positive for COVID-19 treated at Udayana University Hospital from April to June 2020. We excluded the medical records with missing data. Afterward, we characterized the age, symptoms, gender, comorbidities, and other variables written on the existing medical records.Patients admitted mainly were at their peak age (33.75 ± 12.241 years old) and were primarily male (62.5%). Three main professions were a doctor (58.3%), nurse (28.2%), and laboratory analyst (8.3%). The mean interval between the onset of symptoms and testing was 3.54 days, with varied lengths of stay, at most about two weeks (18.67 ± 10.357 days). Most health workers experience symptoms such as fever (66.7%), cough (58.3%), sore throat (25%), chest tightness (25%), and cold (20.8%). Only hypertension (12.5%) and DM (8.3%) were comorbidities identified. Immense exposure to the virus does increase the risk of contracting COVID-19. However, fast recognition leads to more rapid diagnosis and treatment, preventing abundant virus replication and substantially shortening the isolation period (18.67 ± 10.357 days). With only relatively young healthcare workers stationed, severe conditions requiring ventilator use were seldom seen. Constant exposure to a highly contaminated environment with insufficient protection, exacerbated by the escalated number of COVID-19 patients, negatively impacted healthcare workers. Regular testing and testing as soon as symptoms appear can shorten the length of stay and reduce the risk of COVID-19 progressing to severe symptoms.
The Roles of Parents, Health Workers, and Peer in Preventing Youth Premarital Sex Behaviour in Indonesia Mellysa Kowara; Anastasia Titisari; Luh Kadek Ratih Swandewi
WMJ (Warmadewa Medical Journal) Vol 9 No 1 (2024): May 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.1.9432.18-28

Abstract

Adolescents are a vital component in the nation's development for the future, comprising 10% of the total population aged 15-24 years old. However, many adolescents are engaging in premarital sex, which contributes to various adverse effects including an increased risk of contracting STIs, HIV/AIDS, unintended pregnancies, and more. This study aims to analyze the roles of parents, peers, and healthcare providers in providing sexual education to prevent premarital sex among adolescents. Using a cross-sectional approach, the study analyzed the role of parents, healthcare workers, and peers in sexual education and its influence on premarital sexual behavior. The research was conducted in nine districts in Bali Province, with a total sample size of 455 individuals. The results revealed that the majority of adolescents consider sexual and reproductive health education important but feel uncomfortable discussing it, particularly with their parents. The absence of parental involvement was indicated by other findings, as only the roles of healthcare workers and peers were significantly associated with a history of receiving sexual education. The role of parents as the primary source of sexual education and guidance can be enhanced through training and education to improve their understanding of adolescent reproductive counseling. This would foster a sense of comfort and openness in discussing the sexual and reproductive issues experienced by adolescents.
Pull and Push Factors for Tourists to Choose Wellness Tourism in Bali Eling Spirit I Gusti Agung Ngurah Wasudewa Wikananda; Putu Indah Budi Apsari; Made Indra Wijaya
WMJ (Warmadewa Medical Journal) Vol 9 No 2 (2024): November 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.2.9714.37-42

Abstract

Wellness tourism is a tourist activity that has become popular in society nowadays as an alternative to carrying out non-pharmacological therapy to achieve body balance, mind, and spirit. Bali is a popular destination for wellness activities such as SPAs, yoga, and meditation. This research aims to analyze the pull and push factors influencing tourists’ choice of wellness tourism in Bali. This cross-sectional descriptive research uses yogists who come to Bali Eling Spirit as samples. The target population was all yogis in Bali Eling Spirit Yoga Centre. The sample was selected by consecutive sampling; all yogists were recruited as samples and met inclusion criteria. This research used a questionnaire method to collect data. The measuring indicators in this questionnaire use a Likert scale. This study adopted a questionnaire that existed in previous research. The location of this research was Gianyar Regency, namely Bali Eling Spirit. The results show that most samples were women who chose yogas as wellness tourism, and push and pull factors were in high classification. Yoga is the type of wellness that respondents most frequently practice. Respondents chose Yoga in Bali Eling Spirit because of its simple technique and cheap price. Pull and push factors for tourists choosing wellness tourism in Bali Eling Spirit receive high scores for healing, Bali's natural beauty, and various types of wellness. Further research must be conducted to apply this pull and push factor in other wellness types.

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