cover
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)
  • warmadewa_medical_journal
  • Website
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
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
The Maternal Serum Alpha-Fetoprotein for Congenital Anomalies Screening Patria Dewi Pande; Jusak Nugraha
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.8.1.6074.9-15

Abstract

Screening examination for maternal, especially serum, is a non-invasive examination of the fetus’s condition. During pregnancy, screening examinations are performed in women recommended for ultrasonography (USG), amniocentesis, or other obstetric interventions. There are three markers for maternal serum screening: alpha-fetoprotein, human chorionic gonadotropin (hCG), and unconjugated estriol. Maternal serum alpha-fetoprotein is useful for screening aneuploidies and neural tube defects. This examination, besides seeing congenital abnormalities, can be used for the risk of pregnancy complications such as placental insufficiency, intrauterine growth restriction, preeclampsia, and intrauterine fetal death. Laboratory methods for examining maternal serum alpha-fetoprotein are radioimmunoassay and microparticle capture enzyme immunoassay. Keywords: Screening, Pregnancy, Alpha-Fetoprotein, Laboratory
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 Erika Martining Wardani; Riezky Faisal Nugroho
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; Putu Indah Budi Apsari; 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.
Correlation of Neutrophil-Lymphocyte Ratio with the Evidence of Stroke Haemorrhagic at Tertiary Hospitals Made Wulan Utami Dewi; IB Kade Satyagraha; Ni Nyoman Wahyuni; Tjok Istri Parwati; Ratna Kartika
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.8.2.7988.58-63

Abstract

Stroke is the leading cause of death, disability, and morbidity in the world. Hemorrhagic stroke (HS) prevalence accounts for 10–20% of all strokes, whereas ischemic stroke accounts for 85 percent. Clinical manifestation and numerous biomarkers such as ferritin level, cholesterol level, and lately neutrophil-to-lymphocyte ratio have been suggested as a sign of HS prognosis. It’s also used as a modality for differentiating ischemia from hemorrhagic. The purpose of this study is to assess if there is a link between NLR and HS evidence. A retrospective cross-sectional study was conducted among the medical reports of patients treated with stroke at Sanjiwani Hospital Bali through 2018–2020. The inclusion criteria were complete medical reports in adults≥ 18 years old. Data obtained from the medical record include demographic data, including age, gender, chief complaint, stroke diagnoses based on clinical manifestations, data of leucocytes, neutrophils, lymphocytes, NLR, and results of computed-tomography scanning of the head. Data were analyzed with the Chi-Square test for nominal data and Spearman Correlation test to evaluate the correlation of the leucocyte, neutrophil, lymphocyte, NLR, with the diagnoses. Ninety-six patients’ medical records were evaluated in the current study. Age ≥ 50 years old (85.4%) with the oldest age was 91 years old. The top three chief complaints are hemiparesis (78.1%), a decrease of consciousness (7.3%), and facial palsy (5.2%). We also analyzed the correlation of inflammation parameters using the Spearman correlation test. There is a positive weak correlation between leucocyte count (r: 0.351; p<0.001) and NLR with evidence of HS (r = 0.371; p<0.001). The correlation between neutrophil counts and evidence of HS is a positive moderate correlation (r = 0.408, p<0.001). Lymphocyte count has a strong positive correlation with HS (r: 1.000, p = 0.017). The leucocyte, neutrophil, lymphocyte, and NLR are able to predict the evidence of hemorrhagic disease in resource-limited countries.
Nutrition Adequacy Level of Pregnant Women and Toddlers Aged 0 to 24 Months in Gianyar Regency Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Anak Agung Sagung Mirah Prabandari; 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.8.2.7990.41-48

Abstract

Stunting has become a national issue that has received a lot of attention recently, as stunting can affect the nation's productivity in the future. The adequacy of nutritional intake in months 0 up to 24 months, or 1000 days of life, is one of the key factors in preventing stunting. This study aims to determine the nutrition adequacy level of pregnant women and children aged 0 to 24 months in Gianyar Regency. This study was a household survey with a cross-sectional approach. The samples were households in Gianyar Regency in 2021 with pregnant women and young children (up to 24 months old), chosen using the cluster method with the census block serving as a cluster. From each selected census block, 5 samples of pregnant women, 5 samples of children aged 0–1 year, and 5 toddlers aged 1-2 years will be selected by a simple random method. Data was collected using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Data analysis was performed using the NutriSurvey application. The total energy of pregnant women was moderately deficient; protein and fat adequacy were normal, while carbohydrates, calcium, and iron were severely deficient. Nutritional adequacy for toddlers aged 0–1 year in the form of energy, protein, fat, carbohydrates, calcium, and iron was classified as normal. Nutritional adequacy for toddlers aged 1-2 years in the form of energy, protein, fat, calcium, and iron was classified as normal, while carbohydrates were moderately deficient. The presence of nutrition deficiencies among pregnant women indicates that a public health program regarding carbohydrate, calcium, and iron deficiencies is urgently needed.

Page 9 of 12 | Total Record : 117