WMJ (Warmadewa Medical Journal)

Pull and Push Factors for Tourists to Choose Wellness Tourism in Bali Eling Spirit

Sat, 30 Nov 2024 16:16:25 +0700

Wellness tourism is a tourist activity that has become popular in society nowadays as an alternative to carrying out non-pharmacological therapy to achieve body balance, mind, and spirit. Bali is a popular destination for wellness activities such as SPAs, yoga, and meditation. This research aims to analyze the pull and push factors influencing tourists’ choice of wellness tourism in Bali. This cross-sectional descriptive research uses yogists who come to Bali Eling Spirit as samples. The target population was all yogis in Bali Eling Spirit Yoga Centre. The sample was selected by consecutive sampling; all yogists were recruited as samples and met inclusion criteria. This research used a questionnaire method to collect data. The measuring indicators in this questionnaire use a Likert scale. This study adopted a questionnaire that existed in previous research. The location of this research was Gianyar Regency, namely Bali Eling Spirit. The results show that most samples were women who chose yogas as wellness tourism, and push and pull factors were in high classification. Yoga is the type of wellness that respondents most frequently practice. Respondents chose Yoga in Bali Eling Spirit because of its simple technique and cheap price. Pull and push factors for tourists choosing wellness tourism in Bali Eling Spirit receive high scores for healing, Bali's natural beauty, and various types of wellness. Further research must be conducted to apply this pull and push factor in other wellness types.

Mother's Knowledge Levels on Baby Massage for 0-12 Months Old Babies at PMB Ni Kadek Kurniati, A.Md., Pemogan South Denpasar

Made Pradnyawati Chania, Kadek Lisanita Dewi Swantari, Ni Wayan Sukma Adnyani — Sat, 30 Nov 2024 16:20:01 +0700

Baby massage is a tactile stimulation on the surface of the baby's skin. In order to increase the baby's growth and development optimally, performing the baby massage activities needs good knowledge of the mother. The purpose of this study was to describe the level of knowledge of mothers about infant massage aged 0-12 months at private midwive practice Ni Kadek Kurniati, A.Md.Keb Pemogan, South Denpasar. This study used a descriptive method with a cross sectional design. The samples were 30 mothers who had babies aged 0-12 months who met the inclusion criteria. Primary data retrieval using a questionnaire. The results obtained were; most of the respondets are aged 20-35 years, have a high school education level and have of the sources of information obtained through health workers (83.33%; 60%, and 36.67%, respectively). Most mothers who have good knowledge were in the age range of 20-35, have a high school education level, and obtain knowledge from health workers (88%; 88.89%, and 100%, respectively). In conclusion, almost all respondents have good knowledge about baby massage. It is expected that mothers who have babies aged 0-12 months to further increase their knowledge so that they can apply the practice of baby massage at home independently and for health workers to better educate the public and strengthen counseling, training and information dissemination, especially through social media so that the information provided becomes appropriate. and right on target.

Determinants Of Stunting Among Toddlers: A Systematic Literature Review

Hesteria Friska Armynia Subratha, Km Tri Sutrisna Agustia — Sat, 30 Nov 2024 16:21:13 +0700

Stunting remains a significant public health challenge in Indonesia, with a prevalence of 24.4%, according to the 2021 Indonesia Nutrition Status Survey (SSGI). This high rate indicates the country's ongoing struggle to meet its 2024 target of reducing the stunting rate to 14%. Stunting, characterized by impaired growth and development due to chronic malnutrition, is influenced by various socioeconomic, environmental, and biological factors. Understanding these factors is essential for developing effective intervention strategies. This systematic literature review synthesizes current evidence on the determinants of stunting among toddlers in Indonesia, providing insights that can guide public health policies and programs. Using the PRISMA methodology, we comprehensively searched peer-reviewed articles published between 2018 and 2022 from databases such as Google Scholar and PubMed. The studies indicate that stunting is influenced by a complex interaction of factors, including maternal education, household income, sanitation practices, healthcare access, and the child’s age, gender, and health status. Notably, maternal education and household socioeconomic status emerge as critical determinants. The findings emphasize the need for multi-sectoral, community-based interventions that integrate these determinants. In conclusion, addressing these factors through integrated, community-based strategies is crucial for reducing stunting rates and improving child health outcomes in Indonesia.

Profile of Healthcare Workers Infected by Covid-19 Admitted to Udayana University Hospital in April - June 2020

Sat, 30 Nov 2024 16:18:42 +0700

Due to repetitive exposure to COVID-19 patients, healthcare workers are always at a high risk of contracting COVID-19. Hence, a study of the COVID-19 profile among healthcare workers might minimize morbidity and mortality. We conducted a cross-sectional study using medical records of healthcare workers positive for COVID-19 treated at Udayana University Hospital from April to June 2020. We excluded the medical records with missing data. Afterward, we characterized the age, symptoms, gender, comorbidities, and other variables written on the existing medical records.Patients admitted mainly were at their peak age (33.75 ± 12.241 years old) and were primarily male (62.5%). Three main professions were a doctor (58.3%), nurse (28.2%), and laboratory analyst (8.3%). The mean interval between the onset of symptoms and testing was 3.54 days, with varied lengths of stay, at most about two weeks (18.67 ± 10.357 days). Most health workers experience symptoms such as fever (66.7%), cough (58.3%), sore throat (25%), chest tightness (25%), and cold (20.8%). Only hypertension (12.5%) and DM (8.3%) were comorbidities identified. Immense exposure to the virus does increase the risk of contracting COVID-19. However, fast recognition leads to more rapid diagnosis and treatment, preventing abundant virus replication and substantially shortening the isolation period (18.67 ± 10.357 days). With only relatively young healthcare workers stationed, severe conditions requiring ventilator use were seldom seen. Constant exposure to a highly contaminated environment with insufficient protection, exacerbated by the escalated number of COVID-19 patients, negatively impacted healthcare workers. Regular testing and testing as soon as symptoms appear can shorten the length of stay and reduce the risk of COVID-19 progressing to severe symptoms.

Histopathological Study of Wistar Rat Liver Infected with Schistosoma japonicum

Sat, 30 Nov 2024 16:12:11 +0700

Schistosoma, including Schistosoma japonicum (S. japonicum), can live with an intermediate host, such as rats, and infect mammals, such as humans and rats. We can use a rat model to understand the pathophysiology of Schistosoma. The aim of this study is to describe the histopathological changes of Wistar rat liver infected with S. japonicum. This is a quasi-experimental study that employs a descriptive qualitative approach. The samples were 8-week-old male Wistar rats with an average weight of 250 to 350 g. The whole sample was made up of 16 rats that were given S. japonicum cercaria intraperitoneally. The rats were then split into 4 groups: the control group (C) ended on day 0, the T1 group ended on day 14, the T2 group ended on day 42, and the T3 group ended on day 60. We necropsied the liver, examined it histopathologically using hematoxylin eosin staining, and conducted a qualitative analysis. In the control group, we observed normal liver structure; in the T1 group, we observed hepatocyte degeneration, dilatation of liver sinusoids, and accumulation of inflammatory cells; in the T2 group, we observed similar conditions to the T1 group, including hepatocyte apoptosis; in the T3 group, we observed hepatocyte degeneration, hepatocyte necrosis, infiltration of inflammatory cells (PMNs), and thickening of connective tissue. In conclusion, there was gradual liver damage over the period of time in animal models, and the worst is in chronic conditions, which are dominated by fibrotic tissue, but no granulomas have been found.

Demographical and Clinical Characteristic of Urolithiasis Inpatient in Buleleng District General Hospital on 2021

I Gde Arie Kusuma Wijaya, Made Suadnyani Pasek, I Gede Surya Dinata — Sat, 30 Nov 2024 16:13:44 +0700

Urolithiasis is the most common emergency condition in urology and is often diagnosed in urology centers. It is important to know the epidemiology of urolithiasis to help improve medical services for urolithiasis patients. Urolithiasis prevalence has increased in the world. Bali Province occupies the fourth rank with a prevalence of kidney stones of 0.7%, and Buleleng Regency is included in the top five cases of urolithiasis in Bali with a 0.9% prevalence. Unfortunately, data in Buleleng Regency has not been tabulated in detail in terms of demographic and clinical characteristics. The purpose of this research was to observe and analyze the demographic and clinical characteristics of inpatients with urinary tract stones at Buleleng District Hospital in 2021. This research is a descriptive cross-sectional study using secondary medical record data with a total sampling method. The data were analyzed using descriptive statistics. Of the 45 samples, the dominant result in the age group of 15-64 years was 86.7%, male (75.6%), employee occupation group (64.4%), and Buleleng district (31.1%). The dominant clinical symptoms are back pain (82.2%), nephrolithiasis (68.8%), size > 20 mm (93.3%), enforced by BOF (86.7%), urinalysis (95.6%), managed by URS flexible lithotripsy (73.3%), urinary tract infection as a complication (53.3%), and no comorbidities (80.1%). Most of the urolithiasis patients are male office workers in the productive age group, predominating in Buleleng District, and managed with URS flexible lithotripsy with predominant complications of UTI (urinary tract infection) and no comorbidities.

Correlation between History Early Breastfeeding Initiation and Exclusive Breastfeeding among Mothers of Infants Aged

Ni Wayan Novi Hardiyani, Ni Made Dwi Mahayati, Gusti Ayu Eka Utarini — Sat, 30 Nov 2024 16:15:07 +0700

This study investigates the relationship between early initiation of breastfeeding (EIBF) and exclusive breastfeeding to mothers in the Banjarangkan II Public Health Center, Regional Technical Implementation Unit (RTIU). This study employs the correlative analytical method of cross-sectional design, utilizing a retrospective approach. This study lasted from February to April 2024. The random proportional sample method consists of 58 individuals. We collected data through questionnaires and used the Fisher exact test for data analysis. The results of the study showed that the majority (89.7%) of mothers of babies aged 7–12 months had EIBFs, and most (82.8%) had exclusive breastfeeding. Studies show that mothers who perform EIBF in the Banjarangkan II Public Health Center's Regional Technical Implementation Unit work area and have babies aged 7–12 months are more likely to provide breast milk as the only source of nutrition for babies, often called exclusive breastfeeding. The results indicate a correlation between the history of EIBF and exclusive breastfeeding among mothers, with a contingency coefficient value of 0.597. To implement EIBF, midwives must continue to promote pregnant mothers’ health.