Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj <p style="text-align: justify;"><strong>AMJ (Aesculapius Medical Journal)</strong> is a peer-reviewed medical journal that published research articles and theoretical articles in medical science. This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge. It aims is to provide a place for academics and practitioners to publish original research articles, review articles, and book reviews. The scope of this journal area any topics concerning medical studies in all aspects. <strong>AMJ (Aesculapius Medical Journal)</strong> published by Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa 3 times a year in February, June and October. <strong>AMJ (Aesculapius Medical Journal)</strong> is available in print and online version. AMJ (Aesculapius Medical Journal) is Available online at <a href="https://www.ejournal.warmadewa.ac.id/index.php/amj/index">https://www.ejournal.warmadewa.ac.id/index.php/amj/index</a>, since Volume 1 No 1 October, 2021.&nbsp;</p> en-US aesculapiusmedicaljournal@gmail.com (Made Indra Wijaya) dikaedun@gmail.com (Gede Dika Pramana Jaya) Sun, 30 Jun 2024 18:32:46 +0700 OJS 3.1.2.4 http://blogs.law.harvard.edu/tech/rss 60 Karakteristik Pasien Otitis Media Akut di RSUD Sanjiwani Gianyar Tahun 2021 https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/7718 <p><em>[Characteristics of Acute Otitis Media Patients at The Regional Public Hospital Gianyar in 2021]</em></p> <p><em>Acute otitis media (AOM) is an acute infection of the middle ear mucosa caused by a virus or bacterial infection of the upper respiratory tract resulting in obstruction of the eustachian tube. Indonesia is ranked fourth as the country with the highest prevalence of ear disease (4.6%) in Southeast Asia. The purpose of this study was to determine the characteristics of acute otitis media patients at the Regional public Hospital Gianyar in 2021. The design used in this study was descriptive with a cross-sectional approach. The research was conducted at the ENT-HNS Polyclinic in Regional public Hospital Gianyar. The results obtained in this study are 48 patients who met the inclusion and exclusion criteria. So that some characteristics of AOM patients at Regional public Hospital Gianyar, including demographic characteristics are 47.9% aged 18-65 years and 66.6% were male, clinical characteristics, are 75% suffered from hyperemic stage and experienced ear pain and therapeutic characteristics, are 93,7 % of patients received medical therapy with a type of therapy dominated by antibiotics (95.8%).</em></p> Komang Vitri Apriliasari Apriliasari, Pande Ayu Naya Kasih Permatananda, Pt Amelia Agustini Siadja Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/7718 Fri, 28 Jun 2024 13:10:44 +0700 Hubungan Kedisiplinan Pemakaian Alat Pelindung Mata dengan Kelelahan Mata pada Pekerja Las di Sukawati https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/7838 <p><em>[</em><em>Correlation Between the Discipline of Using Eye Protective Equipment and Eye Fatigue in Welding Workers in Sukawati District</em><em>]</em></p> <p><em>Welding is a process of joining several metals to form an effective whole. Workers in welding industries can be exposed to high intensity of light welding radiation, which can have an impact on eye health, one of which causes eyestrain. According to several studies, the use of eye protective equipment (APM), such as welding goggles, can reduce eyestrain; however, the awareness of welders in using APM is relatively low. The aims of this study was to determine the relationship of the eyestrain of welding workers in Sukawati and their awareness of wearing APM. The sampling technique employed in this study was total enumeration, encompassing a total cohort of 105 individuals. Data was collected using a Visual Fatigue Index (VFI) questionnaire by looking at the symptoms of welders’ eyestrain. Relationships between variables were tested by data analysis using bivariate analysis through the computerized system of the SPSS program. The findings of this investigation reveal that a significant proportion of welders fall under the age category of &gt;31 years (53.3%), have work shifts lasting &gt;6 hours (64.8%), possess job tenure exceeding 3 years (61.9%), and abstain from utilizing APM (65.7%); eye fatigue is predominantly experienced by the participants (67.6%). The bivariate analysis outcomes suggest a correlation between the conscientiousness of welders in adopting APM and their susceptibility to eye fatigue, with a prevalence ratio of 4.770 (p = 0.001; CI: 2.445 - 9.305). It can be inferred that the diligence in employing APM is linked to the incidence of eye fatigue in welders within Sukawati District. Consequently, it is recommended that welders take periodic breaks using the 20:20:20 method to alleviate eye strain.</em></p> <p>&nbsp;</p> Ni Made Maharani Dwimarthaswari, A.A. Sri Agung Aryastuti, Ni Nyoman Sunariasih Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/7838 Sat, 29 Jun 2024 13:35:04 +0700 Skrining Aktivitas Antibakteri Bacillus sp. PCAR1 dari Rumput Laut Eucheuma spinosum terhadap Bakteri Staphylococcus aureus https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9603 <p><em>[Antibacterial Activity Screening of Bacillus sp. PCAR1 from Seaweed Eucheuma spinosum against Staphylococcus aureus bacteria]</em></p> <p><em>Microorganisms associated with marine organisms have the potential to produce secondary metabolite compounds with strong antibacterial activity. Previous research has isolated Bacillus sp. bacteria encoded as PCAR1 from Eucheuma spinosum seaweed with antibacterial potential against Gram-positive and Gram-negative bacteria. However, the potential bioactivity produced by bacillus sp. PCAR1, especially as an antibacterial against Staphylococcus aureus, still needs to be explored using chemical extraction method. In this research, a total of 100 mL of sterile NB liquid media containing the cell mass of Bacillus sp. PCAR1 was fermented for 5 days and then shaken at 150 rpm. The supernatant was separated from the cell mass by filtration using Whatman filter paper no.1.The filtrate was extracted using ethyl acetate pro-analytics (1:1 v/v). The extracts were analyzed for antibacterial activity using the Kirby-Bauer method, while the chemical composition of the extracts was analyzed using gas chromatography-mass spectrometry (GC/MS) method. Antibacterial screening of ethyl acetate extract of Bacillus sp. PCAR1 showed an inhibition zone of 6.23±0.06 mm against Staphylococcus aureus ATCC 25293, which is classified as moderate antibacterial activity. GC/MS analysis showed that the ethyl acetate extract contained 10 chemical compounds that have potential as antibacterial, with four dominant active compounds namely p-Xylene (7.26%), Ethanol, 2-butoxy (5.36%), o-Xylene (3.14%), and mesitylene (3.41%). Overall, these results provide an initial overview of antibacterial compounds that can be synthesized by Bacillus sp. PCAR1.</em></p> <p>&nbsp;</p> Ni Made Alit Yulianti, Anak Agung Gede Indraningrat, Ni Wayan Widhidewi Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9603 Sat, 29 Jun 2024 15:09:44 +0700 Studi Case Control Pada Balita dengan Riwayat Berat Bayi Lahir Rendah (BBLR) terhadap Kejadian Kejang Demam di RSUD Provinsi NTB https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9645 <p><em>[Case Control Study on Toddlers with a History of Low Birth Weight (LBW) on the Incidence of Febrile Seizures at the NTB Provincial Regional Hospital]</em></p> <p><em>Febrile seizure is defined as an occuranse of seizure in children aged 6 months to 5 years associated by an increase in temperature above 38</em><em><sup>o</sup></em><em>C that is not caused by an intracranial process. Febrile seizures are influenced by risk factors from within the baby itself such as low birth weight babies (LBW). The condition of immature organs and body fat insufficiency, make babies with LBW have a higher tendency to experience exposure to infections, and are unable to maintain their body temperature properly, thereby increasing the risk of having a fever attack. This research is a case-control study design with&nbsp; an analytic observational study. Purposive Sampling is used as the sampling technique. The research was conducted at the RSUD Provinsi NTB on August 29 2022 – September 1 2022. The data obtained was then analyzed using univariate analysis, and statistically tested using the Chi-Square test, with another alternative Fisher Exact Analysis. The significance value limit is (p-value = ?0.05). The Chi-Square test cannot be continued because there are numbers &lt; 5 in a bivariate column. The alternative results of Fisher's test analysis showed that p-value = 0.311, H0 was accepted, there was no relationship between LBW history and the incidence of febrile seizures at the RSUD Provinsi NTB. The study concluded that statistically there was no significant relationship between LBW history and the incidence of febrile seizures at the RSUD Provinsi NTB.</em></p> <p>&nbsp;</p> Muhammad Hanif Imtiyaz, Rohmania Setiarini, Dewi Utary, Ananta Fittonia Benvenutto Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9645 Sat, 29 Jun 2024 15:13:38 +0700 Faktor Risiko Stunting Balita pada Masa New Normal Covid-19 di Puskesmas Sukawati I Kabupaten Gianyar, Bali https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9769 <p><em>[</em><em>Risk Factors For Stunting In Toddlers At The New Normal Covid-19 Period At Puskesmas Sukawati I Gianyar District, Bali</em>]</p> <p><em>Stunting is a growth problem due to lack of optimal nutrition. The world is facing the global COVID-19 pandemic affecting the increase in stunting cases because the fulfillment of basic and standard nutrition cannot be implemented during the pandemic. Because of this, eradicating stunting is one of the important agendas in the health sector in the era after the COVID-19 pandemic (new normal). The diagnosis of stunting is obtained if the Z-score of the length or height of the body to age is less than -2 SD (Standard Deviation) according to the World Health Organization (WHO) growth curve. The data for this study were obtained through direct clinical height measurements and filling out questionnaires. This study involved 60 children consisting of 30 children with stunting and 30 children without stunting. The results of the Chi-Square analysis showed that the low birth weight factor had a p-value of 0.002 which had a significant effect on stunting conditions with an OR value of 5,500 considered to be at greater risk of stunting (95% CI = 1,813 - 16,681), exclusive breastfeeding (p-value 0.003) had a significant effect on stunting with an OR value of 5,741 (95% CI = 1,724 - 18,994) considered to be at greater risk of stunting, feeding patterns (p-value 0.004) had a significant effect on stunting, an OR value of 4,929 (95% CI = 1,612 - 15,071) was considered to be at greater risk of stunting, utilization of health services (p-value 0.003) had a significant effect on stunting, an OR value of 5,231 (95% CI = 1,657 - 16,515) was considered to be at greater risk of stunting, and history of infectious diseases The value (P-value 0.002) has a significant effect on stunting with an OR value of 6,000 (95% CI = 1,890 - 19,043) is considered to be more at risk of stunting. So it is concluded that the risk factors for stunting during the new normal period of COVID-19 at the Sukawati 1 Health Center, Gianyar, Bali with a p value &lt;0.05 which shows a significant relationship between exclusive breastfeeding factors, feeding patterns, utilization of health services, and history of infectious diseases with the incidence of stunting.</em></p> <p>&nbsp;</p> Dina Indira Amrita Dewi, Luh Gede Pradnyawati, Anny Eka Pratiwi Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9769 Sat, 29 Jun 2024 15:22:18 +0700 Hubungan Stres dengan Motivasi Belajar pada Siswa SMA Negeri 1 Ubud https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9912 <h1><em>[The Relationship between Stress and Learning Motivation in Ubud 1 Public High School Students]</em></h1> <p><em>Stress refers to&nbsp; mental and emotional disturbances that can arise from both&nbsp; internal and external factors. Learning motivation is a&nbsp; desire that oroginates within the student and&nbsp; lead to various&nbsp; learning activities.</em><em> Due to the lack of previous </em><em>&nbsp;research on this topic at SMA Negeri 1 Ubud, it is crucial to conduct this study&nbsp; in order to gather relevant , which could potentially benefit the school.&nbsp; This research can help the school prevent the factors that cause stress in students and increase the learning motivation. this study used descriptive analytic with a cross-sectional approach. This research was conducted at SMA Negeri 1 Data was collected using Perceived Stress Scale questionnaire (PSS-10) and Motivated Strategies for Learning Questionnaire (MSLQ-18). Furthermore, data analyzed both univariately and bivariately using the SPSS 25</em><em><sup>th</sup></em><em> version and Spearman test method, considering the analysis significant if the p value is less than 0.05. </em><em>The univariate analysis revealed that the majority of students were 16 years old (36.2%), with a majority of female students (55.7%) and a majority of class XI students (33.8%). </em><em>&nbsp;</em><em>The Spearman correlation test's bivariate analysis yielded a significance value of 0.000, with a significant level of 0.05. The correlation coefficient, which stands at 0.241, indicates a weak relationship.&nbsp; The negative correlation coefficient number indicates an opposite relationship between the two variables, suggesting that higher stress levels lead to decreased learning motivation among SMA Negeri 1 Ubud students.</em></p> <p>&nbsp;</p> Kadek Berliantara, Putu Asih Primatanti, Ni Wayan Armerinayanti Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9912 Sat, 29 Jun 2024 15:27:16 +0700 Tingkat Pengetahuan Dagusibu dalam Penggunaan Antibiotik pada Siswi Sekolah Menengah Atas https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/7879 <p><em>[Level of Dagusibu Knowledge as an Antibiotic in High School Students]</em></p> <p><em>Antibiotics in Healthcare Services is often utilized inappropriately, leading to ineffective treatment and an increased risk to patient safety. </em><em>DAGUSIBU is a Drug-Aware Family Movement Program aimed at achieving public understanding and awareness of proper drug usage through healthcare activities conducted by pharmaceutical professionals.</em> <em>Adolescents have an important role in supporting healthy adult development.</em><em> This research aims to determine the level of knowledge of DAGUSIBU in the use of antibiotics in high school students in Gianyar City. </em><em>This research utilizes an analytic observational research design and a non-probability sampling technique.</em><em> The instrument used in this research is a questionnaire consisting of 16 questions related to DAGUSIBU antibiotic knowledge. The research also utilized a sample size of 76 participants. </em><em>From the analysis, it was found that among the female high school students, the level of knowledge about DAGUSIBU resulted in the following distribution: 14 (18%) respondents were categorized as good, 50 (66%) respondents were categorized as fairly, 12 (16%) respondents were categorized as not enough in terms of DAGUSIBU antibiotic knowledge.</em><em> The results of the characteristics of the use of antibiotics through a questionnaire by high school students obtained information on the use of antibiotics from doctors and hat used the antibiotic amoxicillin.</em></p> <p>&nbsp;</p> I Putu Aris Septa Permana, Ni Putu Aryati Suryaningsih, I Putu Gede Adi Purwa Hita, Ida Ayu Manik Partha Sutema Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/7879 Sat, 29 Jun 2024 15:35:20 +0700 Tingkat Pemahaman dan Minat Wisatawan Domestik Terhadap Yoga Sebagai Aktivitas Pelayanan Pariwisata Wellness di Bali https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9922 <p><em>[Level of Understanding and Interest of Domestic Tourists in Yoga as a Wellness Tourism Service Activity in Bali]</em></p> <p><em>Based on the Global Web Index report (2019), it is said that health tourism travel has experienced growth of 15.3% every year from 2015 to 2017, reaching 830 million trips annually.</em><em><sup> (8)</sup></em> <em>Indonesia is in the 19th position out of 20 countries as a wellness tourism destination, according to the Global Wellness Tourism Economy 2020 report.</em><em><sup> (14)</sup></em><em> Currently, research related to wellness tourism has been intensively carried out, however research specializing in yoga has not been widely studied. This research aims to explore domestic tourists' understanding and interest in yoga as a wellness tourism service activity in Bali. This research is a descriptive study with a cross-sectional design. Implementation in December 2023 – March 2024 with a simple random sampling method. The data analysis used was univariate analysis. The number of samples in this study was 80 people. The research results showed that the characteristics of the respondents were dominated by 47 people (58.8%) who are female, 45 people aged 15 - 25 years (56.3%), 14 people from Jakarta (17.5%), and 37 students (46.3%). A total of 44 respondents really understood the general description of yoga (55.0%), and research respondents were dominated by respondents who often did yoga (more than once a week), as many as 29 people (36.3%). The level of understanding of yoga among research respondents was dominated by 51 respondents (63.8%) who understood yoga. The level of interest in yoga among research respondents was dominated by respondents who had a high level of interest in yoga, with 42 people (52.5%). This research is expected to provide information regarding domestic tourists' understanding and interest in yoga as a wellness tourism service activity&nbsp;in&nbsp;Bali.</em></p> <p>&nbsp;</p> Gustu Rama Bhaskara Putra, Dewa Ayu Putri Sri Masyeni, I Made Indra Wijaya Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9922 Sat, 29 Jun 2024 19:32:35 +0700 Hubungan Lemak Subkutan dengan Kebugaran Jasmani Daya Tahan Otot pada Mahasiswa FKIK Universitas Warmadewa https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9718 <p><em>[The Relationship between Subcutaneous Body Fat and Physical Fitness Muscle Endurance in Students of the Faculty of Medicine and Health Sciences, Warmadewa University]</em></p> <p><em>Physical fitness is a collection of physical activities related to health or skills, where the level of fitness can be measured by certain physical tests. Muscular endurance is the ability of muscles to perform repeated contractions within a certain period of time. Fat content also has an important role in physical fitness, namely subcutaneous fat content. This is very necessary in daily activities, including medical students who need good physical fitness, especially when carrying out activities such as providing basic life support. This study aims to determine the relationship between subcutaneous fat levels and muscle endurance in students of the Faculty of Medicine and Health Sciences, Warmadewa University Batch 2021. This study used a correlational analytic research method with a cross-sectional study design. Subcutaneous fat content data was measured through measurements using a skinfold caliper which was carried out at four body locations, namely biceps, triceps, subscapula and suprailiac, while muscle endurance was measured using the sit up test and push up test. This study used a minimum sample size of 92 students who were taken using simple random sampling technique. Samples were analyzed using univariate analysis techniques and bivariate analysis using Spearman's test. The results showed that the correlation coefficient (r) was 0.395 (p=0.000) for the relationship between subcutaneous fat and muscle endurance sit-ups and the correlation coefficient (r) was 0.467 (p=0.000) for the relationship between subcutaneous fat content and muscle power. The conclusion of this study is that there is a relationship between subcutaneous body fat and physical fitness and muscle endurance in students of the Faculty of Medicine and Health Sciences, Warmadewa University batch 2021. It is recommended for batch 2021 student to control their subcutaneous body fat and performing exercise such as muscle endurance training in order to be able to perform cardiorespiratory rescucitation.</em></p> <p>&nbsp;</p> I Gede Mandra Adnyana, Tanjung Subrata, Anny Eka Pratiwi Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9718 Sat, 29 Jun 2024 19:37:39 +0700 Hubungan Dukungan Keluarga terhadap Kepatuhan Minum Obat Penderita Tuberculosis Paru di Wilayah Kerja UPTD Puskesmas Kuta Selatan https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9909 <p><em>[</em><em>The Relation between Family Support and Pulmonary Tuberculosis Drugs Compliance in Working Area of UPTD Puskesmas Kuta Selatan</em><em>].</em></p> <p><em>The high number of cases of pulmonary tuberculosis and the low success rate of treatment (success rate) caused by non-compliance with recommendations for taking medication can result in sufferers experiencing drug resistance. Family support is needed to ensure that sufferers take medication because the tuberculosis treatment process takes a long time so that the drug withdrawal rate can be reduced. The purpose of this research is to find out the family relationship to compliance with drug consumption in pulmonary tuberculosis victims in the </em>working<em> area of </em>UPTD Puskesmas Kuta Selaran<em>??. A cross-sectional design was used on 35 respondents using a sampling technique using consecutive sampling. Information was collected through the use of 2 types instruments, namely family support questionnaires and the Morisky Medication Adherence Scale-8 (MMAS-8) regarding adherence. The data collected was analyzed using univariate analysis and bivariate analysis using the chi square test. The results obtained that there was a relations between family support and drug compliance (? value=0.015, &lt;0.05) and people through good family&nbsp; support are 9,500 times more compliant in taking medication than those with less support. Researchers recommend that health workers carry out outreach to increase family support with the target which not only affects the sufferer but also the family.</em></p> <p>&nbsp;</p> Made Diah Padmawati, Luh Gede Pradnyawati, Dewa Ayu Putu Ratna Juwita Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9909 Sat, 29 Jun 2024 19:43:33 +0700 Hubungan antara Kecanduan Media Sosial dengan Kecemasan pada Siswa SMA Negeri 4 Denpasar https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9934 <p><em>[The Relationship between Social Media Addiction and Anxiety of SMA Negeri 4 Denpasar]</em></p> <p><em>As technology and information develop, humans cannot be separated from social media. Currently, social media addiction is something experienced by teenagers, they are willing to spend their time which can have a negative impact on psychological conditions, one of which is anxiety. There are many health problems experienced by adolescents, one of which is anxiety. This study aims to determine the relationship between social media addiction and anxiety in students of SMA Negeri 4 Denpasar. This study used an analytic observational method with a cross-sectional approach. The study was conducted at SMA Negeri 4 Denpasar with the study population including all students totaling 1466 students and responded by 258 students.&nbsp; Data collection was conducted using the Social Media Addiction questionnaire adapted from the Internet Addiction Test (IAT) and the Hamilton Anxiety Rating Scale (HARS) questionnaire. Furthermore, the data will be analyzed bivariate using the IBM application SPSS</em><em><sup>25</sup></em><em> and with the Spearman test method. The analysis result is said to be significant if the p-value &lt;0.05. The results showed that most respondents did not experience anxiety (62%). In level of social media addiction are mostly at a moderate level (65.1%). The value Spearman test obtained is 0.388 which indicates the strength of the correlation is low and unidirectional. This means that there is a relationship between social media addiction and anxiety in students of SMA Negeri 4 Denpasar.</em></p> <p>&nbsp;</p> Kadek Agus Wirya Sanjaya Putra, Putu Asih Primatanti, Dewa Ayu Agung Alit Suka Astini Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9934 Sat, 29 Jun 2024 19:47:03 +0700 Hubungan Tingkat Stres dengan Kadar Glukosa Darah Puasa pada Pasien DM Tipe 2 di RSUD Sanjiwani Gianyar https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9936 <p><em>[Relationship between Stress Levels and Fasting Blood Glucose in Type 2 DM Patients at Sanjiwani Hospital Gianyar]</em></p> <p><em>Diabetes mellitus is a chronic dissease that causes effects on the metabolic system. In a stressful situation, there is excessive production of the cortisol, which reduces the body's sensitivity to insulin. Cortisol can make glucose difficult to enter cells and accumulate in the blood, increasing blood glucose levels. The purpose of this research is to analyze the correlation between stress levels and fasting blood glucose levels in type 2 diabetes mellitus patients at Sanjiwani Hospital, Gianyar. The method used analytical observational with a cross sectional approach using 95 sample of patients with type 2 diabetes mellitus in Sanjiwani Hospital and using a consecutive sampling technique. Data collection using primary sources : a diabetic distress scale questionnaire and secondary data (medical records). Data analysis by spearman test. The characteristics of the research subjects were that the majority the late elderly age range (44.2%), the majority of patients were male (53.7%), their highest education was high school (44.2%), as many as (31.6%) worked as self-employed, and patients had no family history of DM (69.5%). The stress level of the subjects in this study was dominated by severe stress levels (45.3%) almost of subjects' glucose was high (74.7%). The results of the Spearman correlation test analysis obtained a significance value of 0.00 with a significance level of 0.05, which means there is a correlation between stress levels and fasting blood sugar levels in type 2 DM patients at Sanjiwani Hospital. The correlation coefficient figure shows 0.373, meaning the strength of the relationship is weak. The correlation coefficient positive so that the corellation between the variables is one direction, meaning the stress can increase the blood glucose levels.</em></p> <p>&nbsp;</p> Ni Luh Putu Dewi Pridani, Putu Asih Primatanti, Sri Ratna Dewi Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9936 Sat, 29 Jun 2024 19:50:20 +0700 Hubungan Lama Penggunaan Gadget terhadap Perkembangan Sosial pada Anak Prasekolah di TK Tunas Mekar Sari, Denpasar https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9924 <p><em>[The Relationship Between Duration of Gadget Use and Social Development in Preschool Children at Tunas Mekar Sari Kindergarten, Denpasar]</em></p> <p><em>The term "children's social development" describes how children change their behaviors as they grow to conform to the norms of their society. The social development of preschool children becomes complicated due to the effects of gadget use. In general, technology has the potential to enhance children's communication, social circles, and educational opportunities. However, children's social development may be negatively impacted by excessive gadget use. The objective of this study is to investigate the relationship between the duration of gadget use and the social development of preschool children. This research employs an analytical correlation with a cross-sectional approach, involving 82 parent respondents selected through consecutive sampling. Information was gathered by asking parents to complete a survey about their children's social development and the duration of their gadget use. The relationship between the length of gadget use and the social development of the children was analyzed using the chi-square test (p &lt; 0.05). The majority of children were 6 years old (57.3%), and most parents held a bachelor's degree (33.8%) and worked in the private sector (53.7%). Most children's social development was categorized as poor (65.9%), and they used gadgets for a long time (64.6%). The results of this study also indicate a statistically significant relationship between the length of gadget use and the social development of preschool children at Tunas Mekar Sari Kindergarten in Denpasar (p &lt; 0.001). The longer the children used gadgets, the poorer their social development. </em></p> <p>&nbsp;</p> Gusti Ayu Made Landhevi Paramasanthi, Ni Putu Diah Witari, Ni Putu Indah Kusumadewi Riandra Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9924 Sat, 29 Jun 2024 20:03:10 +0700 Hubungan antara Pengetahuan, Sikap, dan Perilaku mengenai Vulva Hygiene terhadap Kejadian Keputihan Patologis pada Siswi SMPN 1 Selemadeg Barat, Tabanan, Bali https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9929 <p><em>[</em><em>The Relation Between Knowledge, Attitude, and Behavior about Vulva Hygiene toward Pathological Vaginal Discharge in Female Students of SMPN 1 Selemadeg Barat, Tabanan, Bali</em><em>]</em></p> <p><em>Reproductive health refers to a healthy reproductive system on all levels, including physical, social, psychological, and spiritual. Poor reproductive health in women accounts for 33% of the overall disease burden affecting women worldwide. Up to 75% of women worldwide&nbsp; have experienced vaginal discharge at least once in their lifetime, with 45% experiencing it twice or more. There are two types of vaginal discharge: physiological and pathological. Infections of the reproductive organs lead to athological vaginal discharges.. </em>Vulva hygiene is one of the causes of infection. <em>The purpose of this study was to examine the association between knowledge, attitudes, and behavior about vulva hygiene and the incidence of pathological vaginal discharge in female students at SMPN 1 Selemadeg Barat. This research is a cross-sectional study. The subjects were&nbsp; female students at&nbsp; SMPN 1 Selemadeg Barat who met the inclusion and exclusion criteria. A questionnaire was used to collect data in November 2023 and analyzed univariately and bivariately using the chi-square method. This research involved 60 respondents with an age distribution of 37 people who are 13 years old (61.7%), then 21 people are 14 years old (35.0%) and 2 people who are 12 years old (3.3%). The result indicated that the majority of respondents had high knowledge (60%), attitudes (61.7%), and behavior (66.7%) about vulva hygiene. Up to 70% of respondents did not experience pathological vaginal discharge. The bivariate analysis found a significant association between vulva hygiene knowledge, attitudes, and behavior with the incidence of pathological vaginal discharge (p-value &lt; 0,05).</em></p> <p>&nbsp;</p> Dayana Puspawarna, Anak Agung Sri Agung Aryastuti, Sayu Widiawati Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9929 Sat, 29 Jun 2024 20:07:01 +0700 Hubungan Derajat Acne Vulgaris dengan Tingkat Ansietas pada Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9931 <p><em>[The Relationship between the Degree of Acne Vulgaris and the Level of Anxiety in Medical and Health Sciences Students of Warmadewa University]</em></p> <p><em>Acne vulgaris is the 8th highest disease in the world, with a prevalence of about 94% of the global population. According to the Global Burden of Disease (GBD) study, 85% of adolescents and young adults aged 12 to 25 years have the problem of Acne vulgaris. Acne vulgaris is one of the diseases of the skin with inflammation in the Pilosebaceous unit. The onset of Acne vulgaris can cause discomfort and a disturbance in an individual's realistic assessment of himself. This is what can trigger a sense of anxiety. The purpose of this study is to find out whether there is a relationship between the degree of Acne vulgaris and the level of anxiety in students of the Faculty of Medicine and Health Sciences, Warmadewa University. This study uses a quantitative approach through a cross-sectional design. The sampling technique of this study was carried out using the purposive sampling method. The research instrument used was the Hamilton Anxiety Rating Scale (HARS) questionnaire as a benchmark to assess the level of anxiety and Lehmann's classification to determine the severity of Acne vulgaris. Data processing was carried out by bivariate analysis using the Spearman correlation test. This study involved 63 respondents. Most of the respondents were</em><em> women (25.4%), 18 years old (52.4%), experiencing mild Acne vulgaris (68.3%) and mild anxiety (41.3%). From </em><em>the results of the analysis, it was found that the relationship between the degree of Acne vulgaris and the level of anxiety in students of the Faculty of Medicine and Health Sciences, Warmadewa University (p = 0.001; r = 0.650). </em><em>For the next research, it is recommended to be able to improve and improve the results of the research by looking for information related to other factors besides Acne vulgaris that can cause anxiety in medical students.</em></p> <p>&nbsp;</p> Ni Putu Ardiya Widasari, Sri Agung Aryastuti Anak Agung, I Gde Nengah Adhilaksman Sunyamurthi Wirawan Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9931 Sat, 29 Jun 2024 20:11:01 +0700 Gambaran Pasien Miopia di Rumah Sakit Mata Bali Mandara Tahun 2022 https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9703 <p><em>[Overview of Myopia Patients at Bali Mandara Eye Hospital in 2022] </em></p> <p><em>Myopia is the most common abnormal refractive&nbsp; that occurs with a prevalence of myopia in the world of 49.8%, in Indonesia around 25% and in the province of Bali 25%. The results of a survey conducted at the largest eye hospital in Eastern Indonesia, the Bali Mandara Eye Hospital, recorded a fairly high prevalence of myopia, namely 1,418 patients in 2022. This research aims to find out the picture of myopia patients at the Bali Mandara Eye Hospital in 2022. This research uses a descriptive method with a cross sectional approach. The sampling technique used in this research was simple random sampling with a total of 133 respondents. Data were processed using Statistical Product and Service Solution (SPSS) version 23 with univariate analysis. In this study, the description of myopia patients based on sociodemographics was dominated by the age group 12-25 years (41.4%), women (51.9%), students (41.4%), and those live in Bali (95%). Based on clinical symptoms, patients generally present with complaints of blurred vision (89.5%), mild myopia (54.9%) and lateralization in both eyes (83.5%). Based on the history of comorbidities, the results showed that only 2 (1.5%) had a history of diabetes mellitus and only 1 (0.8%) had a history of hypertension. Based on the type of management, the highest number was pharmacological and non-pharmacological management (82.7%).</em></p> <p>&nbsp;</p> Gst Ayu Kade Devina Muryantisa, Putu Nita Cahyawati, I Made Pariartha Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9703 Sat, 29 Jun 2024 20:16:10 +0700 Hubungan Kejadian Bullying dengan Gangguan Tidur pada Siswa SMA Negeri 1 Kuta Utara https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9923 <p><em>[</em><em>Correlation between Bullying and Sleep Disorder in students of SMA Negeri 1 Kuta Utara]</em></p> <p><em>Bullying often occurs in the school environment. Physical and non-physical bullying behavior will have an impact on emotional, social, physical, and psychological. The purpose of this research is to find out the relationship between bullying and sleep disorders for students of SMA Negeri 1 Kuta Utara. This research is an analytical type with a cross-sectional approach. The sample was determined by a simple random sampling method of 104 people. The implementation will be carried out in February-May 2024. Data analysis using Chi-Square showed a total p&lt; 0.05 (0.046) which means that there is a link between bullying and student sleep disorders. Students are expected to participate in bullying prevention efforts in schools and further research is expected to examine other factors that affect the relationship between bullying incidents and sleep disorders.</em></p> <p>&nbsp;</p> <p>&nbsp;</p> I Putu Satyawan Rama Natha, Putu Asih Primatanti, Ni Putu Diah Witari Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9923 Sun, 30 Jun 2024 14:11:14 +0700 Hubungan Tingkat Pengetahuan Ibu Tentang Gizi dengan Kejadian Stunting Balita 12-59 Bulan di Wilayah Kerja Puskesmas Tegallalang 1 https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9933 <p><em>[</em><em>The correlation</em> <em>between</em> <em>mother’s</em> <em>knowledge</em> <em>regarding nutrition with the prevalence of stunting among children aged 12-59 months within the area of Tegallalang I Primary Health Centre</em><em>]</em></p> <p><em>Stunting is condition when a toddler exhibits a height or length that falls below the median standard growth set by WHO, with a deviation of more than minus two standard deviations. Stunting arises due to chronic malnutrition during the initial 1000 days of a child's life. The main aims of this research are to establish the correlation between the level of maternal comprehension regarding nutrition and the occurrence of stunting among toddlers aged 12-59 months within the jurisdiction of Tegallalang I Primary Health Centre, Gianyar Regency. The research methodology applied for this investigation is a quantitative analytical study with a case-control designs. The total sample size were 96 respondents, evenly divided between 48 cases and 48 controls. </em><em>The sample technique employed is consecutive sampling for the control group and total sampling for the case group.&nbsp;</em><em>The sampling methods was consecutive sampling&nbsp; to ensuring the inclusion of all qualifying subjects in attained the required sample size. Data were gathered through the assessment of height or length measurements and the completion of questionnaires. Data were analysed used chi-square analysis to examine the relationship between the mother’s knowledge of nutrition and stunting prevalence. The findings indicated a significant correlation betweens the mother knowledge about nutrition and the occurrence of stunting, with a significance level of &lt; 0.001. As a result, mothers with inadequate nutritional knowledge may contribute to an increased risk of stunting in toddlers, as those with less knowledge experienced a 19.35-fold rise in stunting cases among toddlers aged 12 untill 59 months within the working area of Tegallalang I Primary Health Centre.</em></p> <p>&nbsp;</p> Ni Made Ayu Novita Anugerah, Luh Gede Pradnyawati, Anny Eka Pratiwi Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9933 Sun, 30 Jun 2024 14:15:09 +0700 Pengaruh Latihan Peregangan terhadap Gangguan Muskuloskeletal dan Kelelahan Kerja pada Pengerajin Ukiran Kayu di Desa Siangan https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9128 <p><em>[The Effects of Stretching Exercises on Musculoskeletal Disorders and Work Fatigue among Woodcarvers in Siangan Village]</em></p> <p><em>Stretching training or stretching exercise is an administrative action to limit the danger of mischief in the workplace. The danger risk can be experienced by workers is musculoskeletal disorders and work fatigue. The motivation behind this investigation was to decide the impact of stretching exercises on musculoskeletal disorders and work fatigue on woodcarvers at Siangan Village. The assessment of musculoskeletal disorders and work fatigue was measured using Nordic Body Map questionnaire with Likert scales and 30 Items also with Likert Rating Scales. The technique for this examination was quassy trial with One Groups Pretest-Posttest Design. The examples were chosen by purposive inspecting strategy, and information were analyzed using SPSS 22. The data were normally distributed (p = 0.081) so that it could be continued for analysis by T-Paired test. The outcomes were as per the following: the normal pre and post musculoskeletal disorders and work fatigue were 97.55 plus</em> <em>minus 9.55 ; 66.plus</em> <em>minus&nbsp; 3.77&nbsp;&nbsp; and 59.53 plus minus 3.96 ; 5.06 plus minus 3.1 respectively. The conclusion could be drawn that there was critical impact of extending exercise on musculoskeletal disorders and work fatigue. It was recommended that ergonomics approach should be done to another labourS carvers.</em></p> <p>&nbsp;</p> I Kadek Indra Partawiguna, Luh Gede Pradnyawati, Ni Wayan Rusni Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9128 Sun, 30 Jun 2024 14:19:50 +0700 Hubungan Riwayat Atopi dengan Kejadian Dermatitis Kontak Akibat Kerja Pekerja Batik di Denpasar Barat https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9913 <p><em>[The Correlation Between The History of Atopy with The Incidence of Occupational Contact Dermatitis on Batik Workers in West Denpasar]</em></p> <p><em>The skin is the largest and most comprehensive organ that protects the body from exposure to diseases from outside the body. Occupational contact dermatitis (OCD) is a condition of skin disorders caused by substances or processes in the work environment. A history of atopy is a hypersensitivity reaction due to exposure to foreign objects in the environment that tends to be inherited or genetic. This study aims to determine the relationship between atopy history and the incidence of occupational contact dermatitis in batik workers in the West Denpasar sub-district. The research design was analytically observational with a cross-sectional approach conducted in 19 batik industries in the West Denpasar sub-district in June 2021. The number of research samples obtained was 108 people using consecutive sampling techniques. Data was collected by filling out a questionnaire through interviews. The results showed that 29 people (26.9%) experiencing OCD and 61 (56.5%) had a history of atopy. Based on this data, for batik workers who have a history of atopy, 21 people (17.0%) experience OCD, and 40 people (83.0%) do not experience OCD. In batik workers who do not have a history of atopy, 8 people (34.3%) experience OCD, and 39 workers (65.6%) do not experience OCD. The results of the bivariate analysis showed that there was a significant relationship between atopy history and the incidence of occupational contact dermatitis in batik workers in the West Denpasar sub-district (p-value = 0.043; PR = 2.023; 95% CI = 1.014-6.461). The conclusion is that there is a significant relationship between the history of atopy and the incidence of occupational contact dermatitis in batik workers in the West Denpasar sub-district.</em></p> Efrilia, Sayu Widiawati, Luh Gede Pradnyawati Copyright (c) 2024 Aesculapius Medical Journal https://www.ejurnal.warmadewa.ac.id/index.php/amj/article/view/9913 Sun, 30 Jun 2024 14:41:13 +0700