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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 104 Documents
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Symptoms of Mental Health during Covid-19 Survivors: A Cross-Sectional Study in Indonesia Pharmasinta Putri Hapsari; Fatimatuz Zahra Oviary Satryo; Lily Aina; Nanda Ardianto; Melinda Putri Amelia Rachman; Fauzul Meiliani; Eunice Marlene Sicilia Kundiman
WMJ (Warmadewa Medical Journal) Vol 7 No 2 (2022): November 2022
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.7.2.5339.74-82

Abstract

Abstract The Covid-19 pandemic can influence the mental condition of patients and affect their immunity levels. This article aims to investigate the mental health symptoms and disorders of Covid-19 survivors. This was observational and cross-sectional research. A total of 175 respondents participated, 84% of them being women and 16% being men. Their work history includes health workers at 75.4% and others at 24.6%. Respondents who have experienced anxiety are 32%, sadness was 25.7%, fear was 22.9%, and panic was 14.3%. The logistic regression showed that all of the tested characteristics have no significant effect on the respondents’ mental states of anxiety, fear, and panic, with p-values ​​of 0.388, 0.893, and 0.166; 0.245, 0.691, and 0.353; 0.612, 0.410, and 0.828. However, from the test results, it was observed that gender has a significant effect on sadness with a p-value of 0.027 and OR value of 5.308 (CI = 1.204-23.399). The percentage of women respondents that experienced sadness was 29.3% and men respondents were 7.1%. Other characteristics, which are age and work history, have no significant effect on sadness, with p-values ​​of 0.650 and 0.844 respectively. There are no variables that affect anxiety, fear, and panic. Feelings of sadness in patients are influenced by gender. Keywords: anxiety; Covid-19; mental disorder; mental health
Predicting Factors for COVID-19 Infection: A Cross-Sectional Study in Indonesia Pharmasinta Putri Hapsari; Lily Aina; Nanda Ardianto; Eunice Marlene Sicilia Kundiman; Fatimatuz Zahra Oviary Satryo; Melinda Putri Amelia Rachman; Fauzul Meiliani; Farah Meutia; Arina Dery Puspitasari; Bambang Subakti Zulkarnain; Alfian Nur Rosyid; Tamara Nur Budiarti; Brigitta Dhyah Kunthi Wardhani; Dhieo Kurniawan
WMJ (Warmadewa Medical Journal) Vol 8 No 1 (2023): May 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.1.5329.34-40

Abstract

COVID-19 cases in Indonesia still remain a concern, particularly for public health. Several factors, such as gender, age, comorbidity, occupation, and vaccination status, might influence COVID-19 infection. Individuals who have many predicting factors have a higher risk of being infected by COVID-19. Other studies have not yet shown the significance of predicting factors for COVID-19 infection in Indonesia. The study explored the association between the predicting factors and COVID-19 infection in Indonesia. The study used a cross-sectional method with a population of all Indonesian communities. It was conducted in August 2021 by distributing a Google Form questionnaire in Indonesia. By a saturated sampling of the population in Jawa, Sumatera, Sulawesi, Kalimantan, and Papua, 776 Indonesians were selected; they were aged > 17 years and voluntarily completed the questionnaires. whereas respondents with incomplete data were excluded from this study. The data were analyzed using a binary logistic regression test in SPSS (version 21.0). The respondents include 134 men (17.3%) and 642 women (82.7%). The binary logistic regression analysis showed that COVID-19 infection was more common among respondents who were non-health-care workers (p 0.001) and less common among those who had been fully vaccinated (p 0.001). The COVID-19 infection was significantly associated with occupation and vaccination status. Keywords: COVID-19 Infection, Predicting Factors, Public Health, Health-Care Worker, COVID-19 Vaccination, Comorbidity
Changes in the Histological Appearance of White Fat in Young Rats as a Result of Different Exercise Intensities Ronny Lesmana; Diandra Syifa; Yuni Pratiwi; Aziiz Rosdianto; Siti Mukarromah; Hanna Goenawan; Putri Tessa
WMJ (Warmadewa Medical Journal) Vol 8 No 1 (2023): May 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.1.5819.27-33

Abstract

Sedentary lifestyle can cause the accumulation of energy reserves in the form of lipids in white adipose cells. Lifestyle modification by means of exercise is done to reduce fat reserves in white adipose tissue (WAT). This study aims to determine the effect of exercise in various intensities on the histological changes of white adipose cells. Research method exploratory with Federer formula to determine the number of samples carried out. Using 28 Wistar rats located at the Central Laboratory of Padjadjran University, Sumedang from May to June 2022. The data taken were the average diameter ± standard error (SEM) of the inguinal white adipose cells of the experimental rats. Data analysis using Microsoft Excel 2016 and SPSS v.28 software. Of the 28 samples studied, only 25 samples met the inclusion criteria. Group K is 0.15% (p = 0.024) greater than P2, and 0.25% (p 0.001) is greater than P3. The P1 group had a value of 0.17% (p = 0.025) greater than P3. Moderate and vigorous exercise can be used to reduce the size of white adipose cells. While low-intensity exercise is considered ineffective. Further research can be carried out to assess changes in white adipose cells based on exercise intensity from other sides besides their morphology. Keywords: Histological, White Adipose Tissue, Exercise
Characteristics of the Health Problems Among International Travelers Visiting International Hospital in Bali Putu Indah Budi Apsari; Putu Arya Suryanditha; Ni Wayan Widhidewi; Dewa Ayu Putri Sri Masyeni
WMJ (Warmadewa Medical Journal) Vol 8 No 1 (2023): May 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.1.5869.23-26

Abstract

Bali is one of the most popular tourist destinations in Indonesia. As one of the islands in a tropical country, Bali has its own risk of disease transmission. The increasing number and pattern of international travelers can affect morbidity and mortality. Research on disease problems among international travelers in travel destination countries is rarely reported. This study examines health problems concerning foreign tourists visiting hospitals in Bali. This cross-sectional study used total sampling on all medical records of international travelers visiting an international hospital in Bali. A total of 999 medical records were analyzed in this study. The mean age of the patients was 35.55 years. Most patients were female (53.9%) and used travel insurance (55.3%). Most health problems are complaints in the gastrointestinal system (22.3%). The primary health problem is the gastrointestinal system. Most patients use insurance to finance their health. Keywords: Health Problems, Travelers, Infectious and Non-Infectious
Antibacterial Activity of Honey Pineapple Peel Extract (Ananas comosus [L] Merr.) against MethicillinResistant Staphylococcus aureus Imraatul Husniah; Tri Umiana Soleha
WMJ (Warmadewa Medical Journal) Vol 8 No 1 (2023): May 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.1.5918.16-22

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) infection is a global health problem that needs to be answered by developing a synthetic or natural antibacterial to overcome the problem. The honey pineapple peel contains potentially antibacterial compounds such as bromelain and flavonoid. This study aims to determine the antibacterial activity of honey pineapple peel extract (Ananas comosus [L] Merr.) against MRSA. The design of this study was a true experimental study with a post-test control group design. This study examined the antibacterial activity of honey pineapple peel extract at concentrations of 100%, 50%, 25%, 12.5%, 6.25%, 3.125%, and 1.56% against MRSA bacteria by measuring minimum inhibitory concentration (MIC) with dilution method and minimum bactericidal concentration (MBC). The results of this study show that MIC was obtained at concentrations of 50 % and MBC at extract with a concentration of 100 %. There is an antibacterial activity of honey pineapple peel extract (Ananas comosus [L] Merr.) against MRSA. Keywords: Antibacterial Activity, Honey Pineapple Peel, MRSA
COVID-19 Traveler Policy in Migrant Worker: How it Helped Shape Distinct Clusters During the Early Phases of the Pandemic Saktivi Harkitasari; Richard Christian Suteja; Giovanca Verentzia Purnama; I Komang Hotra Adiputra; Jerry; I Gede Purna Weisnawa; Cokorda Agung Wahyu Purnamasidhi
WMJ (Warmadewa Medical Journal) Vol 8 No 1 (2023): May 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.1.6214.1-8

Abstract

Though COVID-19 caught healthcare authorities worldwide off guard, several countries successfully dampened the morbidity and mortality curve by imposing strict biosecurity protocols. We would like to observe the effect of healthcare policies enforced in correlation to the formation of new clusters during early phases of the pandemic, thereby providing statistical justification for laws enforced by authorities. With access to medical records from Udayana University Hospital, a tertiary COVID-19 referral health center, we then observe epidemiological data of patients admitted and their admission date in correlation to dates where major changes in national COVID-19 protocols were established. We found a double distinctive curve that is mainly made of two distinct demographic groups: migrant workers and private employees. We found that during March 2020, when strict travel protocols are yet to be imposed, the viral introduction was mostly carried by returning migrant workers. Sporadic cases emerged, though soon vanishing due to the enforcement of quarantine protocols. Subsequently, in June 2020, a work-from-office setting was adopted, where some offices perform at a capacity higher than allowed. This incites the formation of new office-linked clusters. After this period, no recognizable pattern found due to massive local transmission affecting all layers of society. However, it can be concluded that COVID-19 law does shape the curve, and strict protocols may end the pandemic sooner. Keywords: COVID-19, Migrant Workers, Health Policy, Private Employee
Observation of Nutritional Status in Adolescents with HIV/AIDS Wardani, Erika Martining; Nugroho, Riezky Faisal
WMJ (Warmadewa Medical Journal) Vol 8 No 2 (2023): November 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.2.6511.64-68

Abstract

Adolescents with HIV/AIDS (Human Immunodeficiency Virus - Acquired Immunodeficiency Syndrome) continue to increase every year in line with the increase in sex behavior outside of marriage. One of the problems in adolescents with HIV / AIDS is malnutrition status. The purpose of the study was to observe nutritional status in adolescents with HIV / AIDS. The subjects were all adolescents with HIV/AIDS at the Kompeda Surabaya Foundation. The research design in this study is a time series, measuring nutritional status variables at some time using weight parameters according to age. Data collection was carried out on February-April 2022. The measurements were conducted using a bathroom scale. The number of subjects was 150 people with incidental sampling techniques. Inclusion criteria: adolescents diagnosed with HIV/AIDS, living in shelters, allowed by caregivers, ages 12-21, not being hospitalized during the study. Exclusion criteria: died, did not follow complete weight monitoring. During the study none of the subjects resigned nor were excluded from the study. The results of the study found that 90 had normal nutritional status and 60 were abnormal. There is a statistically significant difference in nutritional status between the first and second measurements. Foundation managers need to make efforts by paying more attention to adolescent nutritional intake so that nutritional status can improve.
Comparison of Cornell and Peguero-Lo Presti Criteria in Electrocardiography to Diagnose Left Ventricular Hypertrophy in Hypertensive Patients at RSUD Tabanan I Putu Gede Eka Ariawan Suyasa; Agus Prema Jaya Manik Artha; Made Harlina Purnama Sari
WMJ (Warmadewa Medical Journal) Vol 8 No 2 (2023): November 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.2.6823.78-89

Abstract

Left ventricular hypertrophy (LVH) is characterized by an abnormal increase in the mass of the left ventricle due to chronic elevated cardiac workload. LVH serves as a preclinical indicator of cardiovascular disease and stands as a robust predictor of cardiovascular morbidity and mortality. Detecting LVH can be achieved through various methods, including electrocardiography (ECG), radiology, and echocardiography. However, the limited availability and affordability of echocardiography underline the crucial role of ECG, especially in healthcare facilities lacking echocardiography capabilities. The primary objective of this study was to establish more precise diagnostic criteria for identifying LVH in hypertensive patients at RSUD Tabanan. This research is an analytical observational study with a cross-sectional design conducted at RSUD Tabanan. The data were extracted from medical records of hypertensive patients who had received treatment at the hospital's cardiology clinic between 2020 and 2022. Among the patients who met the inclusion and exclusion criteria, ECG assessments were conducted to determine the presence of left ventricular hypertrophy (LVH) using the Cornell criteria and Peguero-Lo Presti criteria. Additionally, echocardiography results were reviewed in the patients' medical records. Of the 111 research subjects, 10 (15.15%) subjects had LVH detected based on the Cornell criteria, 30 (45.45%) subjects had LVH detected based on the Peguero - Lo Presti criteria and 66 subjects (59.46%) had LVH detected using the echocardiography examination. The Cornell Criteria had a sensitivity of 15.15%, a specificity of 93.33% and an accuracy of 59.9% while the Peguero–Lo Presti Criteria had a sensitivity of 45.45%, a specificity of 84.44% and an accuracy of 66.2% for diagnosing LVH. The Peguero – Lo Presti criteria have higher accuracy than the Cornell criteria in diagnosing left ventricular hypertrophy in hypertensive patients according to echocardiography.
Correlation of Knowledge and Attitude with the Use of a Travel Clinic for Pre-Travel Consultation Ni Ketut Tannis Lestari; Apsari, Putu Indah Budi; Made Indra Wijaya
WMJ (Warmadewa Medical Journal) Vol 8 No 2 (2023): November 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.2.7212.69-77

Abstract

Utilization of tourism clinics, particularly for pre-travel consultations, remains low among domestic tourists. The current study aims to examine the relationship between knowledge level and attitude towards the utilization of tourism clinics for pre-travel consultations in Bali Province. The study sample consisted of 106 domestic tourists who were present in Bali during the period of May-September 2022. Consecutive sampling was used, and the Chi-Square Test was executed for data analysis with the aid of the SPSS version 25.0 program. The research findings indicate that the majority of domestic tourists (50%) originated from Malang. Additionally, the study revealed that women accounted for a greater proportion (62.3%) of domestic tourists. The research results also showed that 60 tourists had a good level of knowledge and utilized the tourism clinic, while 59 tourists had an agreeable attitude towards the utilization of the tourism clinic. The results of the study demonstrate a significant relationship between knowledge level (p<0.001) and attitude (p<0.001) towards the use of tourism clinics for pre-travel consultations in Bali Province. Overall, tourists have a good level of knowledge and agreeable attitude towards the utilization of tourism clinics, indicating a positive trend towards the promotion of tourism clinics for pre-travel consultations.
Analysis of the Use of Sequence T2 SPACE Dark Fluid in MRI Brain Coronal Slice Examinations with Clinical Epilepsy at the National Brain Center Hospital Legia Prananto; Khairil Anwar; Riska Sekar Febriani
WMJ (Warmadewa Medical Journal) Vol 8 No 2 (2023): November 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.2.7776.64-68

Abstract

This research centers on Brain MRI examinations in patients with clinical epilepsy, featuring the incorporation of an additional T2 SPACE dark fluid sequence. Brain MRI examination with clinical epilepsy at National Brain Center Hospital is a frequent examination. Epilepsy is such a condition characterized by recurrent seizures caused by disturbances in the brain function. In relation to which, this research aims to analyze the use of dark fluid T2 SPACE sequences and analyze the results of MRI images on dark fluid T2 SPACE sequences for information on coronal MRI Brain anatomical images with clinical epilepsy at National Brain Center Hospital. As for the research design used was descriptive qualitative with a case study approach which was conducted starting from February up to May 2023 at National Brain Center Hospital using a Siemens Skyra MRI aircraft with a power of 3 Tesla. The populations of this research were the patients who had clinical Temporal Lobe Epilepsy (TLE) and the number of samples was 10 patients. The result of this study indicates that the use of the T2 SPACE dark fluid sequence produces more detailed images of the hippocampal structure in terms of slices. In addition, it provides good spatial resolution for assessing the hippocampal structure, allowing the visualization of abnormal signal intensities within the hippocampus, and facilitating the detection of hippocampal abnormalities. Therefore, it can be concluded that the use of T2 SPACE dark fluid sequence is very important and considerably quite informative in diagnosing epilepsy cases.

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