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WMJ (Warmadewa Medical Journal)
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Published by Universitas Warmadewa
ISSN : 25274627     EISSN : -     DOI : -
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 97 Documents
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Case-Control Research on Hypertension Risk Factors in Karangasem Village, Karangasem Regency, Bali I Wayan Wayan Satwika Adhikara
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.5.1.1108.22-29

Abstract

Hipertensi telah menjadi salah satu masalah kesehatan publik utama secara global. Banyak faktor sebagai penyebab penyakit hipertensi di masyarakat. Di Karangasem belum diketahui faktor yang menjadi penyebab hipertensi, sehingga dilakukan sebuah penelitian dengan tujuan mengetahui hubungan dari berbagai faktor risiko hipertensi di Desa Karangasem tahun 2016. Penelitan ini merupakan jenis penelitian analitik dengan desain penelitian kasus-kontrol (case-control), penelitian dilakukan dengan jumlah sampel 100 yang terdiri dari 50 kasus dan 50 kontrol, dipilih secara non-random dengan teknik consecutive sampling. Hasil penelitian menunjukkan bahwa faktor risiko yang memiliki hubungan dengan kejadian hipertensi adalah usia (p = 0,047; OR = 2,452; 95% CI = 0,999-6,018), riwayat keluarga (p = 0,001; OR = 4,373; 95%CI = 1,854-10,316), BMI (p = 0,004; OR = 3,341; 95%CI = 1,440-7,753, merokok (p = 0,021; OR = 2,698; 95%CI = 1,148-6,341), konsumsi tinggi garam (p = 0,024; OR = 2,571; 95%CI = 1,122-5,895), konsumsi kopi (p = 0,016; OR = 3,451; 95%CI = 1,220-9,759). Sedangkan faktor risiko jenis kelamin (p = 0,476; OR = 0,712; 95% CI = 0,279-1,818), dan konsumsi alkohol (p = 0,548; OR = 0,786; 95%CI = 0,358-1,725) tidak memiliki hubungan dengan kejadian hipertensi. Didapatkan hubungan antara faktor risiko usia, riwayat keluarga, BMI, merokok, konsumsi tinggi garam, dan konsumsi kopi terhadap kejadian hipertensi, namun tidak ditemukan hubungan antara faktor risiko jenis kelamin dan konsumsi alkohol dengan kejadian hipertensi. Disarankan pada penelitian berikutnya yang membahas faktor risiko kejadian hipertensi agar meneliti jumlah paparan sehingga didapatkan hasil yang lebih baik dibandingkan penelitian ini.
Case Report: Exercise-Induced Supraventricular Tachycardia in a 16-Year-Old Boy with Tricuspid Regurgitation Putu Satya Pratiwi; Romy Windiyanto
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.5.1.1508.1-7

Abstract

Takikardia supraventrikel (SVT) adalah takidisritmia yang sering ditemukan pada pasien anak yang membutuhkan pengobatan. Berbeda dengan takikardia sinus, SVT bukan merupakan respon kompensatorik normal terhadap stres fisiologis. Artikel ini membahas tentang kasus takikardi supraventrikel pada anak laki-laki berusia 16 tahun yang muncul ketika berolahraga berat. Dalam kasus ini turut disajikan panduan dalam mengidentifikasi gambaran SVT, mengesklusi diagnosis banding untuk takikardia kompleks sempit, diikuti dengan panduan untuk tatalaksana takikardia pediatrik berdasarkan algoritme Pediatric Advanced Life Support.
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

Kurangnya aktifitas fisik dan konsumsi energi berlebih berdampak pada peningkatan prevalensi obesitas pada anak Sekolah Dasar (SD). Selanjutnya kondisi ini sering dikaitkan dengan tingkat kebugaran kardiorespirasi. Kondisi ini tentunya dapat berdampak pada meningkatnya risiko penyakit tidak menular, sehingga dirasakan perlu untuk mengetahui status gizi dan tingkat kebugaran jasmani pada anak sekolah dasar agar dapat dilakukan intervensi dini untuk mencegah peningkatan obesitas pada anak. Penelitian ini menggunakan rancangan cross sectional. Populasi dalam penelitian ini adalah siswa SD usia 10-12 tahun di Provinsi Bali. Sebanyak 704 siswa dipilih secara puposive sampling. Data yang dikumpulkan meliputi karakteristik responden melalui metode wawancara, pengukuran antopometri (IMT/U) dan pengukuran kebugaran. Tes Kebugaran dilakukan dengan metode single test (tes jalan/lari sejauh 1200 meter). Kriteria eligibilitas adalah siswa berusia 10-12 tahun, tidak dalam keadaan sakit/ cacat dan bersedia mengikuti tes kebugaran. Data dianalisa secara deskriptif dan analitik menggunakan metode chi square. Hasil penelitian menunjukan proporsi siswa sangat kurus sebanyak 3,6%, kurus 19,5%, normal 46,1%, overweight 29,6% dan obesitas 1,2%. Proporsi siswa yang hasil pengukurannya kurang bugar sebanyak 64,1%, cukup bugar 22,7%, dan bugar sebanyak 13,15%. Hasil uji chi square menunjukan terdapat hubungan yang signifikan antara umur, jenis kelamin dan status gizi yang ditandai dengan IMT/U dengan kebugaran (p<0,05). Perlu dilakukan identifikasi masalah status gizi pada anak Sekolah Dasar dan mengembangkan intervensi dini untuk meningkatkan aktivitas fisik pada anak-anak untuk meningkatkan kebugaran pada anak Sekolah Dasar
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.
External and Internal Customer Perceptions on Quality of Health Services at the Dental and Oral Hospital of Mahasaraswati University Denpasar Made Leonita Purnama Dewi; Rina Listyowati; Nyoman Mangku Karmaya
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.5.2.1379.48-59

Abstract

Oral and dental health problems in Bali are still relatively high at 57.6%. As the only specialized dental hospital in Bali, RSGM needs to always maintain and improve the quality of health services, so as to increase people's desire for dental and oral care. This research was conducted to determine the quality of health services at the RSGM Mahasaraswati University Denpasar from the perspective of external and internal customers based on the five dimensions of Dabholkar, to find out the differences perceptions of external and internal customers based on the five dimensins of Dabholkar and their individual characteristics. This research is a cross sectional analytic. The sample was measured using a questionnaire with sample size of 112 external customers and 129 internal customers. The perception of external and internal customers on the quality of health services at the RSGM Mahasaraswati University Denpasar was mostly good: external customers (50.9%) and internal customers (52.0%). The results of statistical test analysis using chi-square (α=5%; p-value ≤0.05) found that there were differences in perception between external and internal customers in physical aspects (0.04) and policy (0.00); there were differences in perception of the age characteristics (0,00) and the level of education (0,03). External customer perceptions on the physical aspects, reliability, personal interaction, and problem solving were good, but in the policy dimension they had poor perceptions. Internal customers had good perceptions on the aspects of reliability, personal interaction, problem solving and policies, but on the physical aspects they had poor perceptions. Based on the age characteristics, there was a difference in perception; aged <28 years had a good perception, while those aged ≥28 years had less perception. RSGM Mahasaraswati Denpasar University needs to improve the quality of health services, especially in the physical and policy aspects so that can meet customer expectations. Key words: External and internal customer perception, quality of health services.
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
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
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

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