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Contact Name
I Made Dwiki Arta Kusuma
Contact Email
dwikiarta29@gmail.com
Phone
082237782324
Journal Mail Official
info.jurnalkedokteranunwar@gmail.com
Editorial Address
Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Gedung F2 Lantai 3 Jalan Terompong Nomor 24, Tanjung Bungkak, Sumerta, Denpasar Timur, Bali
Location
Kota denpasar,
Bali
INDONESIA
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,
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
HUBUNGAN STATUS GIZI DENGAN KEBUGARAN PADA ANAK SEKOLAH DASAR DI PROVINSI BALI Cok Istri Dewiyani Cakrawati
WMJ (Warmadewa Medical Journal) Vol 5 No 1 (2020): Mei 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.1.1519.16-21

Abstract

Lack of physical activity and excess energy consumption have an impact on increasing the prevalence of obesi-ty in elementary school children. Furthermore, this condition is often associated with cardiorespiratory fitness. This condition certainly has an impact on increasing the risk of non-communicable diseases. It is necessary to know the nutritional status and physical fitness level in elementary school children so that early intervention can be done to prevent obesity among children. This study uses a cross-sectional study design. The population in this study were elementary school students aged 10-12 years in Bali Province. A total of 704 students were selected by purposive sampling. Data collected included the characteristics of respondents through interview methods, anthropometry measurements (BMI/Age), and fitness measurements. Fitness Tests are carried out using the single test method (a walk/run test as far as 1200 meters). Eligibility criteria are students aged 10-12 years, not in illness/disability, and willing to take a fitness test. Data were analyzed descriptively and analyti-cally using the chi-square method. This study found that nutritional status for very thin, thin, normal, over-weight, and obese were 3.6%, 19.5%, 46.1%, 29.6%, and 1.2%, respectively. Meanwhile fitness for less fit, quite fit and fit respectively were 64.1%, 22.7%, and 13.15%, respectively. There is a significant relationship obtained between age, sex, and nutritional status with fitness (p <0.05). It is recommended to improve the nu-tritional status of overweight and obese students as well as increase physical activity among students to im-prove their fitness.
Feasibility Study on the Implementation of Clinic SIM and ERM integrated Pcare as a BPJS Kesehatan Application at Udayana University Clinic luh sudiarmini; Fajar Manuaba Ida Bagus; Hariyasa Sanjaya I Nyoman
WMJ (Warmadewa Medical Journal) Vol 5 No 2 (2020): November 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.2.1636.60-69

Abstract

The development of an information system and communication technology has an impact on the health service sector in the form of electronic-health or e-health. One of the e-health applications is a Clinic SIM and electronic medical records. Not only provides information for the academic communities, but Udayana University Clinic also serves BPJS Kesehatan patients since 2014. After occupying a new building, there have been various obstacles related to the implementation of the management information system. Which it is still being done manually and limited space to store medical record files. One of the efforts to overcome this problem is by implementing a Clinic SIM and ERM. Before the implementation of these activities, a feasibility study was proposed on the application of CSIM and ERM integrated BPJS Healthcare. The purpose of this study was to determine the feasibility of implementing Clinic SIM and ERM which are integrated with Pcare-BPJS at Udayana University Clinic. This study used a qualitative research design. Data collection was started between December 2019 and January 2020 using the in-depth interview method on 9 informants. This study informs that the application of Clinic SIM and ERM integrated BPJS Kesehatan meets the feasibility aspect based on acceptance, demand, integration, and practicality. Conclusion: the obstacles in this study are related to the implementation aspect due to lack of human resources, infrastructure, implementation methods, budget, and minimal application of Clinic SIM and ERM. Keywords: feasibility study, Clinic SIM, ERM, Pcare BPJS Kesehatan
NOISE EXPOSURE DECREASES THE NUMBER OF SPERMATOZOA IN MALE MICE (Mus musculus L.) EVEN WITH GRAPE SEED EXTRACT (Vitis vinifera L.) ADMINISTRATION Ghestiara Siregar
WMJ (Warmadewa Medical Journal) Vol 5 No 2 (2020): November 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.2.1785.70-75

Abstract

Excessive continuous noises exposure changes the male hormone system which leads to formation of oxidative stress and results in disrupt of semen quality. This condition can be reduced by the use of antioxidants. Grape seed is one of the antioxidants that contains phenol components that have Resveratrol compounds. This research aimed to observe the effect of noise exposure on the number of spermatozoa of male mice given grape seed extract. The method of the research was a post-test only control group design with research subjects of 30 male Mus musculus L. (Swiss Webster) mice divided into 5 groups: group A (treatment control) was not given noise exposure and grape seed extract, group B (negative control) was not given noise exposure and was given grape seed extract, groups C, D, E (treatment group) were given noise exposure with sequential intensities of 65 dB, 85 dB, 105 dB. The treatment was given for 33 days. The results showed that noise exposure with different intensities of 65 dB, 85 dB, 105 dB reduced the spermatozoa count of male Swiss Webster mice even with the administration of grape seed extract. One Way Anova test was used to analyze the data with p-value of 0.001. Conclusion: There were differences in spermatozoa count between the control group and the treatment group. Provision of noise exposure with a value above the threshold limit reduces the number of male Swiss Webster mice spermatozoa given with grape seed extract. Keywords: Number of Spermatozoa, Grape Seed Extract, Noise exposure
KUALITAS AIR DANAU BUYAN DAN TAMBLINGAN MENURUT PARAMETER FISIKA, KIMIA DAN BIOLOGI Ni Made Hegard Sukmawati (Scopus ID: 57189732715)
WMJ (Warmadewa Medical Journal) Vol 5 No 1 (2020): Mei 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.1.1793.8-15

Abstract

Buyan Lake and Tamblingan Lake are known as twin lakes in Bali which serve not only as water sources for agriculture and households, but also as tourist destinations. Infrastructure development and the up-surge of tourism activities potentially increase the contamination of lake water in Bali. The aim of this study was to investigate the quality of water in Buyan Lake and Tamblingan Lake based on physical, chemical, and biological parameters. Five sampling sites (stations) were purposively chosen in each of the lakes. Physical parameters (temperature and total dissolved solids) and chemical parameters (dissolve oxygen, biochemical oxygen demand, chemical oxygen demand, pH, phosphate, ammonia, nitrate, and heavy metal) were measured from each station. Coliform and fecal coli were also tested to assess biological contamination. The level of contamination were compared to the Bali Governor Regulation no 16 Year 2016 on Water Quality Manage-ment and Pollution Control. Among 14 parameters being measured on Buyan Lake water samples, two of them did not meet the standard water quality 1: BOD (2.19 ± 0.64 mg/l) and COD (49.18 ± 28.70 mg/l). While, wa-ter samples from Tamblingan Lake had 3 parameters above the standard water quality 1: COD (62.92 ± 17.93 mg/l), phosphate (0.23 ± 0.19 mg/l), and coliform (3319 ± 7090 MPN/100 ml). In general, water samples from both lakes did not meet the criteria for potable water neither for recreational activities. High COD in both lakes indicated high organic contaminants.
Strategi untuk Meningkatkan Kesehatan Fungsional dan Kesejahteraan Fakultas dan Staf Universitas Kamboja Lee Fergusson Fergusson
WMJ (Warmadewa Medical Journal) Vol 5 No 1 (2020): Mei 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.1.1795.30-47

Abstract

The range of outcomes and published record on the Transcendental Meditation technique across 50 years of research in education, business, and government makes its application unique. Its association with health and relation to an individual’s quality-of-life have also made the technique useful in some developing countries. Data related to application of the technique to higher education in Cambodia have been accruing since the early 1990s. The 26-year research program begun by these authors associated with Transcendental Meditation and non-verbal intelligence, post-traumatic stress disorder, anxiety, depression, learning, memory, and personality in university students, as well as its collective effects on economic and social indicators and reductions in socio-political violence and crime, makes for an uncommonly rich body of knowledge in a country where empirical research has been rare. Indeed, the early studies in this research program represented among the first published research on higher education since the 1960s, after which Cambodia was plunged into civil war, genocide, and ongoing social turmoil and political conflict until 1993. The present study, which is a modified version of a study previously published in ASEAN Journal of Education, extends this research program to include a preliminary investigation of the practice of Transcendental Meditation by faculty and staff in three regional Cambodian universities and examines its impact on health and well-being. Findings generated by a concurrent, quasi-experimental mixed methods design suggest the practice may be of benefit to university personnel as measured by physical mental and social health, perceived health, self-esteem, anxiety, and depression, among other quality-of-life variables, thereby adding to previous results associated with higher education in this increasingly important south-east Asian nation.
Perbedaan Karakteristik Sosiodemografi Pasien Skizofrenia antara Perdesaan dan Perkotaan di Kabupaten Badung Ni Made Setiawati
WMJ (Warmadewa Medical Journal) Vol 5 No 2 (2020): November 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.2.1831.76-84

Abstract

Several studies have found differences in the incidence of schizophrenia in rural and urban areas. Most of the studies found that schizophrenia incidence was higher in urban areas. The purpose of this study was to determine differences in sociodemographic characteristics of schizophrenic patients according to rural or urban conditions in their homes. An observational, cross-sectional analytic, study conducted. The sample in this study were 503 people who had been diagnosed with schizophrenia recorded at community health centres in Badung Regency until October 2019. Sociodemographic data of patients were observed and then grouped according to the residence of rural or urban patients. Chi-square test with a significant value of P <0.005 used to analyze the result. The proportion of schizophrenia is higher in urban than in rural areas (61.1%: 38.9%). There are differences in the incidence of men and women in villages and cities (p = 0.011), differences in rural and educational events low whereas in urban areas on the contrary (P <0.0001). More schizophrenic patients do not work and live in cities than in villages (p = 0.002) and that people who are not married and live in cities suffer more schizophrenia (p = 0.014), only the age group variable was no difference (p = 0.14). The incidence of schizophrenia is higher in urban areas with differences in characteristics found in variables of gender, education level, employment status and marital status. Thus, can be an input to the health department and staff so that psychological education and screening are more directed at urban communities. Keywords: Schizophrenia, rural, urban sociodemography
Association between Nutritional Status and Severity Of Pneumonia among Children under Five Years attending Wangaya District Hospital I Nyoman Warigardita Susila
WMJ (Warmadewa Medical Journal) Vol 6 No 1 (2021): Mei 2021
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.6.1.1964.30-36

Abstract

Pneumonia is still a major health problem in the world, with high morbidity and mortality rates among children under 5 years old, especially in developing countries. In Indonesia, especially Bali, nutritional problem is one of the infection risk factors in children, thus, it is necessary to know the correlation between nutritional status and severity of pneumonia among children under 5 years old at Wangaya District Hospital. This study was based on secondary data. The subjects of this study were paediatric patients diagnosed with pneumonia aged 2 months to 5 years who were treated in Kaswari Room of Wangaya District Hospital from July to December 2019, and were selected by consecutive sampling. The total subjects were 41children with male subjects were more than female (58.5% versus 41.5%). The subjects were mostly in the age groups of 2-10 and 11-20 months old (29.3%); 73.2% of the subjects had good nutrition status, and 73.2% of the cases were non-severe pneumonia. Bivariate analysis between nutritional status and severity of pneumonia obtained p=0.015 and PR of 3.27 (95% CI:1.247-8.590). This study concluded that there was association between nutritional status and severity of pneumonia among children under 5 years old attending Wangaya District Hospital. Keywords: Pneumonia, Nutritional Status, Children under Five Years
The Literature Review of Tools and Methods for Evaluating Physical Activity Program at Workplace Ni Made Hegard Sukmawati (Scopus ID: 57189732715)
WMJ (Warmadewa Medical Journal) Vol 5 No 2 (2020): November 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.2.2374.85-93

Abstract

Background: workplace is an important setting for health promotion on physical activity programs. Establishing PA intervention in workplace is believed to give more substantial impact than in many other communities. However, the effectiveness of the physical activity intervention in occupational space has been questioned. Physical activity is a convoluted and varying behavior, and the ability to measure the association between physical activity and chronic diseases is strongly dependent on the validity of the tools. Objective: The goal of this study is to review the type of measurements, reliability and validity of instruments/methods of measuring occupational PA. Method: Relevant peer-reviewed journals were collected from two electronic database, Medline and PubMed, using advanced search strategy and eligibility criteria. Results: The searching strategy has generated 413 articles in total and the criteria have narrowed the result to 12 relevant articles. The BRFSS, the IPAQ-L, the MOSPA-Q, the OSPAQ and the OPAQ have been proven to have good reliability. However, these questionnaires showed poor to moderate criterion validity, thus objective measures of occupational PA, such as accelerator, is still the best option. Keywords: physical activity, workplace, occupational, validity, reliability
Accuracy of STRONGKids to Identify Risk of Children Malnutrition in Sanjiwani General Hospital Gianyar, Bali Dewa Ngakan Putu Yogi Astika; Putu Triyasa; Rima Kusuma Ningrum
WMJ (Warmadewa Medical Journal) Vol 6 No 1 (2021): Mei 2021
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.6.1.2490.1-6

Abstract

Malnutrition in the hospital is a condition that needs to be watched out for because it affects the journey and healing process of hospitalized patients. Until now, the prevalence of malnutrition in the hospital is still high in both adult and pediatric patients. Medical usually focuses only on the diagnosis and treatment of the patient. Medical staff rarely pay attention to the nutritional status of patients who are hospitalized so that malnutrition in the hospital often goes undetected. Malnutrition screening is required while the patient will be hospitalized. It is necessary to do research to test the accuracy of STRONGKids as a malnutrition filter test in pediatric patients in hospitals, especially at Sanjiwani General Hospital Gianyar and the percentage of malnutrition in hospitals at Sanjiwani Gianyar Hospital so that they receive early treatment. The purpose of this study was to determine the accuracy of STRONGKids as a screening test for malnutrition in the hospital for children at Sanjiwani General Hospital Gianyar. This research uses design cross sectional by the diagnostic test method. Samples were taken by method consecutive sampling. The number of samples is 40 people. The data analysis technique used the SPSS computer program. STRONGKids data are presented in 2 x 2 table form Chi square. The results obtained were the percentage of hospital malnutrition of 9.8%. STRONGKids with a cutoff value of 1 had a sensitivity of 100% and a specificity of 35.1%. So the STRONGKids score has a fairly high sensitivity. So that the use of the STRONGKids score in combination with anthropometric measurements can be used to detect malnutrition in hospitals. Key words: sensitivity, STRONGKids, child malnutrition in hospital
Gastrointestinal Involvement in The Confirmed Covid-19 Patients Rachma Greta Perdana Putri
WMJ (Warmadewa Medical Journal) Vol 6 No 1 (2021): Mei 2021
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.6.1.2630.7-12

Abstract

The current pandemic of Coronavirus disease 2019, or known as COVID-19, has been claimed as Public Health Emergency of International Concern by WHO on 30 January 2020. According to WHO, there 47.362.304 confirmed cases and 1.211.986 deaths reported due to COVID-19 and still counting. This article investigates the involvement of gastrointestinal symptoms in COVID-19 related to the pathogenesis, transmission, and severity of the disease. The data was collected by keyword searching through EBSCO, PubMed, Google scholar, and additional references from retrieved articles. This article analyzes studies investigating gastrointestinal symptoms in Covid-19. The studies found gastrointestinal symptoms in COVID-19 confirmed patients such as abdominal pain, diarrhea, nausea, vomiting, constipation, and melena. Two studies showed that COVID-19 patients with gastrointestinal symptoms tended to have more severe disease. ACE2, as the receptor of S protein, was found abundantly in intestinal enterocytes besides in the respiratory system. Enterocyte abnormality induces decreased absorption of NA+, water, and mucosal disaccharides. It leads to increased undigested mono and disaccharides, carbohydrates, fats, and protein into the colon. As a result, the colon is unable to absorb sufficient water, leading to diarrhea. Gastrointestinal symptoms are commonly found in patients with COVID‐19, and the trend is increasing in the later stage of the epidemic. SARS‐CoV‐2 enters gastrointestinal epithelial cells and the feces of COVID‐19 patients are potentially infectious. The virus also found in wastewater system and may cause water pollution. Hence, further studies investigating gastrointestinal symptoms and possibility of fecal oral transmission should be conducted.

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