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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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Case Report Diagnosis and Management of Essential Trombositosis in RSUD Sanjiwani Gianyar and RSUP Sanglah Ni Wayan Sri Wardani; I Ketut Ery Purnama Warsana Putra; Ni Made Renny A Rena
WMJ (Warmadewa Medical Journal) Vol 3 No 1 (2018): May 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.1.644.15-20

Abstract

Abstract. Essential thrombocythemia (ET) is a very rare disorder with 1- /100,000 population in the world. The incidence of this abnormality is still obscure in Indonesia. We report a case of ET, women of age 74 years old that came to Sanjiwani Hospital with gum bleeding. This case is confirmed based on WHO criteria of ET which are the increasing of thrombocyte of a number of increase >450 /µL3, proliferation of megakaryocyte cell on bone marrow biopsy, also not meeting any other WHO criteria for also not meeting any other WHO criteria for BCR-ABL1+CML, Polycythemia Vera, Chronic Myeloid Leukemia, Myelodysplastic Syndrome, or other myeloid neoplasm diseases. Management of this case is based on risk adapted treatment algorithm considering three major risk factors for thrombosis (history of thrombosis, JAK2/MPL mutations, and advanced age). This case is categorized as high risk patient for thrombosis, so that treated with antiplatelet aggregation (aspilets) and anagrelide after hydroxyurea clinically unresponsive.
Taeniasis in Karangasem Regency, Bali Ni Wayan Winianti; Elsa Herdiana M; Mahardika Agus Wijayanti; Putu Sutisna; I Nengah Kapti; I Wayan Sudiarta
WMJ (Warmadewa Medical Journal) Vol 3 No 1 (2018): May 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.1.651.1-5

Abstract

Abstract Taeniasis is an infectious disease caused by the tapeworm Taenia saginata (beef tapeworm), Taenia solium (pork tapeworm), and Taenia asiatica (Asian tapeworm). Purpose of the study was to determine the relationship between meat consumption, individual characteristics, and environmental factors with taeniasis. Case control study was used to identify taeniasis among two groups: people living at Datah village (personal livestock) and people living at Karangasem village (obtained their meat from traditional market or slaughterhouse). Each group consisted of 98 people. Two subjects from the case group were positive for taenia egg both by direct smear and Willy’s Malory floatation methods. Proportion of taeniasisinthe case group was 2.04%. The type of meat consumed, methods of meat processing, frequency of consumption, ways of obtaining meat, individual characteristics, and environmental factors which may contribute to Taenia infection could not be evaluated due to limited number of positive cases. Abstrak Taeniasis merupakan penyakit infeksi yang disebabkan karena adanya cacing pita Taenia saginata (beef tapeworm), Taenia solium (pork tapeworm), and Taenia asiatica (Asian tapeworm)di dalam tubuh manusia. Tujuan penelitian ini untuk mengetahui hubungan antara konsumsi daging, karakteristik individu dan faktor lingkungan dengan kejadian taeniasis. Jenis rancangan penelitian yang digunakan yaitu case control antar 2 kelompok (penduduk di Desa Datah dan Kelurahan Karangasem, Kabupaten Karangasem, Bali). Kelompok kasus yaitu penduduk Desa Datah yang memenuhi kriteria kasus (mengkonsumsi daging dari hewan ternak pribadi), sedangkan kelompok kontrol yaitu penduduk di Kelurahan Karangasem yang memenuhi kriteria untuk kontrol (mengkonsumsi daging dari membeli di pasar atau tempat pemotongan hewan). Tiap kelompok terdiri dari 98 orang. Metode pemeriksaan feses dengan metode langsung dan pengapungan. Terdapat 2 orang yang positif taeniasis dari kelompok kasus, dengan ditemukan telur Taenia sp. pada pemeriksaan langsung dan pengapungan. Hubungan jenis daging, cara pengolahan, frekuensi mengkonsumsi dan cara memperoleh daging, karakteristik individu dan faktor lingkungan dengan kejadian taeniasis tidak dapat dianalisis secara statistic.
ASSOCIATION BETWEEN OSTEOPOROSIS AND AGE, PHYSICAL ACTIVITY, AND OBESITY IN ELDERLY OF TULIKUP VILLAGE, GIANYAR Ratna Juwita
WMJ (Warmadewa Medical Journal) Vol 3 No 2 (2018): November 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.2.684.33-42

Abstract

The proportion of elderly population in Tulikup Village, Gianyar Regency is 0.72%. One of the potential disease affecting this aging population is osteoporosis. Morbidity of osteoporosis could impose future burden to community and government in term of medical, social and financial implications. The present study determined prevalence and risk factors of osteoporosis to provide solid basis for the development of screening model. Cross sectional study was conducted and 221 of 649 people aged ≥45 were randomly sampled by multi-stage random sampling method. Examined variables were osteoporosis treated as dependent variable and several independent variables: age groups, gender, personal history of fracture, dietary calcium intake, physical activity, alcohol & phosphorus intake, body mass index (BMI), parental history of fracture, diabetes mellitus, and smoking habit. Data was analyzed statistically by univariate, bivariate (chi square), and multivariate (logistic regression) analysis. The prevalence of osteoporosis in eldery was 28.1% (26.0% in women and 30.6% in men) and the rest was osteopenia (54.3%). Multivariate analysis showed that prevalence ratio (PR) of osteoporosis in relation to obesity, elderly group, post elderly group, and vigorous physical activity were 0.3 (CI 95%: 0.1-0.9), 4.5 (CI 95%: 1.4-1.9), 6.2 (CI 95%: 1.8-20.9), and 0.5 (CI 95%: 0.2-0.9), respectively. In general, obesity and vigorous physical activity significantly decreased the risk of osteoporosis. Obesity decreased the risk of having osteoporosis by 70% and vigorous physical activity deceased the risk of osteoporosis by 50% . Being elderly and post elderly increased the risk of having osteoporosis significantly. Elderly group was 4.5 times more likely to have osteoporosis, furthermore post elderly group increased the risk of by 6.2 times.
TUMOR NECROSIS FACTOR ALPA (TNF-α) LEVEL IN DENGUE FEVER (DF) PATIENS AND DENGUE HEMORRHAGIC FEVER (DHF) PATIENTS Ayu Savitri Siskayani
WMJ (Warmadewa Medical Journal) Vol 3 No 2 (2018): November 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.2.685.61-64

Abstract

Dengue virus infection is still one of the health problems in tropical and subtropical regions. In its pathogenesis, some cytokines play an important role in the natural and adaptive immune response to the severity of dengue virus infection. Replication of dengue virus that activates macrophages will release cytokines for tumor necrosis factor (TNF-α), interleukin-1 (IL-1) and interleukin-12 (IL-12). This study aims to determine whether there are differences in mean TNF-α levels in DD and DHF patients. This study was an analytic observational study using cross sectional design, where blood samples were taken from 27 people with DD and 27 people with DHF. Serum TNF-α levels were analyzed by ELISA and TNF-α levels were analyzed statistically by Mann-Whitney test. The results showed the mean TNF-α level in DD patients was 76.82 ± 1.20 pg / mL and in DHF patients was 195.15 ± 30.30 pg / mL. This mean differed significantly (p
Role of Adolescents’ Reproductive Health Information and Counselling Program towards Knowledge and Attitude in Pregnancy Planning among Adolescent Female in Malang City Dini Eka Pripuspitasari
WMJ (Warmadewa Medical Journal) Vol 3 No 2 (2018): November 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.2.687.43-52

Abstract

Abstract Each adolescent will experience changes related to reproductive health problems. The growth and sexual maturity drive happens earlier in women rather than in men. KPAI survey data in 2017 states that 97% of adolescents in Indonesia have watched pornographic films and 93.7% have ever done kissing, petting, and oral sex. Malang City Health Office noted in 2014, 139 teenagers aged less than 18 years have been pregnant and increased to 176 cases in 2015. This condition implies that adolescent in Malang city has a big risk of experiencing morbidity and mortality related to the condition of maternal pathology. Following this kind of problem, BKKBN established the Reproductive Health Information and Counselling Program (PIK-KRR) as a platform for young people to prepare for a family life. Through that program, each adolescent female will receive support to understand the substance of pregnancy planning, which includes the physical, psycho-social, and social economy aspects. The main objective is that each adolescent female will postpone the age of marriage and pregnancy before they are able to fulfill those essential aspects. The aim of this research is to understand the role of the Reproductive Health Information and Counselling Program in its relation to the knowledge and the attitude of adolescent females towards pregnancy planning in Malang city. This research applies the comparative observational design by using a proportional sampling technique for 350 students of selected high schools who provide such program and 350 students of selected high schools who do not provide such program. The instrument used for data collection is the questionnaire that has gone through validity and reliability tests. The research data are then analyzed and interpreted by SPSS window release computer program version 23. The results of the knowledge scoring with the category of lack of knowledge in the high school without PIK-KRR group showed the biggest difference compared to that of in the high school group with PIK-KRR. This proves that PIK-KRR contributes meaningfully to the knowledge of high school students. Likewise in the high school groups that have the PIK-KRR, the category of female students with a positive attitude is greater than that of high schools that do not have PIK-KRR. This proves that the presence of PIK-KRR has a significant influence on attitudes in pregnancy planning in adolescents in Malang City. This study shows that there is a significant difference in knowledge and attitude (p=0,00
Subgenual cingulate cortex activity in predicting risk factor and treatment response in depression Alva S. A. Supit; Ireine Roosdy
WMJ (Warmadewa Medical Journal) Vol 3 No 2 (2018): November 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.2.743.53-60

Abstract

Major depressive disorder (MDD) contributes significantly to morbidity, disability, and decreased quality of life, despite the expansion of treatment options. This, in part, is caused by a lack of valid, applicable, and reliable biomarkers to predict the risk, treatment response, and prognosis of depression. In recent years, the anterior cingulate cortex, in particular pars subgenual (sgACC), has received much attention due to its potential utilization as a neural endophenotype for depression. This essay will discuss the functional activity of sgACC, mostly by functional magnetic resonance imaging, in relation to predicting risk for developing depression, predicting patient response-to-treatment, and eventually, to create a platform for personalized psychiatric approach to each patient. The caveats and conditions need to be met will also be discussed, in order to firmly establish sgACC activity as a valid biomarker for depression.
The Effect of Relaxation Guided Imagery and Foot Massage Techniques on Anxiety Level in Stroke Patients Riena Edelweis
WMJ (Warmadewa Medical Journal) Vol 4 No 2 (2019): November 2019
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.4.2.803.44-46

Abstract

Stroke causes paralysis of one side of the body (hemiplegia). Powerlessness reduces the enthusiasm of life, causing emotional changes in the form of anxiety. Various interventions can be done to overcome this condition, including both pharmacological and non-pharmacological. Examples of the non-pharmacological interventions are the relaxation guided imagery and foot massage. This research design used an experimental study with non-equivalent control group design. The sample size of 60 respondents consisted of 3 groups and 1 control group with each group consisting of 15 respondents. This study used univariate data analysis with frequency distribution tables, bivariate analysis with paired t-test for paired groups and unpaired groups used independent t-test with significance level ≤ 0.05. The results showed that relaxation guided imagery or foot massage and the combination of both affected anxiety with p-value 0.01; there is a difference in the group before doing the treatment value ρ-value 0.812 Conclusion: stroke patients who are given an intervention for 30 minutes for 2 weeks along with standard treatment can reduce anxiety on a mild scale.
THE INFLUENCE OF ACUPRESSURE THERAPY AGAINST BLOOD GLUCOSE LEVELS IN PATIENTS OF DIABETES MELLITUS TYPE 2 IN THE PROLANIS PROGRAM (A STUDY ON HEALTH IN AMBALAWI) musmuliadin mustamin
WMJ (Warmadewa Medical Journal) Vol 3 No 2 (2018): November 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.2.804.65-72

Abstract

Acupressure lowers the blood glucose level through a massage at the point of the meridian, which can trigger the calming and uplifting response in the body, having a positive effect on emotions, and causing relaxation and normalizing the body functions. However, the great influence of acupressure in the Prolanis Program has not been seen. This study aims to analyze the effect of acupressure therapy against blood glucose levels in patients of diabetes mellitus (DM) type 2, who joined a program of chronic diseases management called Prolanis Program. With quasi-experiment research design, the study was conducted at the Clinic of Ambalawi, Bima District-Indonesia. As many as 34 patients with DM type 2 who have joined the Prolanis Program were selected as participants in this study, using a purposive sampling method. These participants were divided into two groups: experiment group and control group. Acupressure therapy was given 3 times during 3 weeks. Each group was measured for blood glucose levels on day 6, day 12, and day 18. The data were analyzed using t-test (p= 0.05). Giving therapy for three weeks to people with diabetes mellitus type 2 has a positive effect on lowering their blood sugar levels. Acupressure therapy and Prolanis Program for 3 weeks effecttively lowered the blood glucose levels in patients of type 2 of DM. Acupressure therapy has a more significant effect with p value < 0.005. There are significant differences between the experiment group and the control group by p value (p = 0.00).
Empowering Students as Health Ambassadors in SMA Negeri 1 Kuta Utara Putu Nita Cahyawati
WMJ (Warmadewa Medical Journal) Vol 4 No 1 (2019): May 2019
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.4.1.805.1-9

Abstract

SMA Negeri 1 Kuta Utara is one of the senior high schools located in North Kuta District, Badung Regency. This school does not only focus on the academic field but also non-academic sector. It is approved by the diverse extracurricular activities at this school. Some of them are student council (OSIS), Paskibraka, scouts, Red Cross youth volunteer (PMR), school security, the student association of environmental and adventure activities, and sports clubs (volleyball, basketball, karate, table tennis, tennis). On the other hand, the tight schedule of the extracurricular activities causes many students to have dense activities after school which often leads to various health issues including fainting caused by fatigue and swelter. Based on that situation, this activity aims to empower students together with the teachers who are involved in the PMR as health ambassadors for handling minor health problems in the form of early injury management and minor injuries which commonly occur in schools. This program included a talk from an expert, interactive discussions, pretest and posttest, simulations, training and mentoring which in its implementation; we were assisted by medical assistance team (TBM) from Faculty of Medicine and Health Sciences, Warmadewa University. Participants have played an active role in each activity with a percentage of attendance and active participation of 100% as the results of this program. The training and mentoring activities have been able to increase students' knowledge as it was shown in the increasing average value of post-test and pre-test by 77%. Through this activity, participants were expected to be able to train and transfer the skills acquired to other team members so that a sustainable process occurs.
Empowering Groups of Farmer Exposed to Pesticides Pollution in Jembrana District Ratna Juwita
WMJ (Warmadewa Medical Journal) Vol 4 No 1 (2019): May 2019
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.4.1.971.30-38

Abstract

Pesticides are chemicals that are regularly used by farmers to manage pests. The adverse effects of pesticides affect not only pests but also farmers working without proper and correct personal protective equipment (PPE). The Eastern (Kangin) and Western (Kauh) groups of local farmer association, called the Tegal Wani Subak, in the Jembrana sub-district are farmer the groups that use pesticides regularly. Several health symptoms related to pesticides/ organophosphates exposure such as skin redness, eye irritation, dry throat and dizziness have frequently occurred. Based on field observation and discussion with participants, none of the farmers completely equipped with PPE and the farmers was exposed to pesticides contamination. Occupational Health and Safety (OHS) induction program was conducted to increase awareness, knowledge and practices of the farmers on the hazards of pesticides, early detection of pesticide poisoning and preventive interventions based on OHS approach. This program was an interventional study with a pre-post test approach which was participated by seven farmers and evaluated for one month. The pre-test results showed an improvement in the participants’ knowledge from 28.7 %, to 84.3 %. The general results of Focused Group Discussion (FGD) revealed that participants had a good understanding of pesticides; however, the understanding of PPE remained low. Weekly observations and assessments showed that the use of PPE had increased by 100%, except for boots use (71% ); all health symptoms decreased to 0%, except those related to nervous systems which actually increased from 71% to 76% (45% reported of hyperhydration/hypersalivation and 71% reported of headaches). The sustainable and active involvement of OHS officers in primary health centre (Puskesmas) is very important to overcome the problem of organophosphate use in a wider population of farmers.

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