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Karakteristik Keluarga dan Balita Stunting Kusumadewi, Ni Nyoman Sri; Trisnia, Putu Ayunda; Sumadewi, Komang Trisna
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i3.3747

Stunting merupakan perawakan pendek atau sangat pendek dilihat dari kurva pertumbuhan WHO panjang badan atau tinggi badan menurut umur menunjukkan kurang dari -2 standar deviasi. Wilayah kerja Puskesmas Kediri I memiliki prevalensi stunting yaitu 7,1% dan merupakan daerah dengan jumah balita stunting terbanyak di Kabupaten Tabanan. Penelitian ini dilakukan untuk mengetahui karakteristik stunting di wilayah kerja Puskesmas Kediri I Kabupaten Tabanan berdasarkan pendapatan keluarga, jumlah anggota keluarga, usia ibu pada saat hamil, tingkat pendidikan ibu, pekerjaan ibu, prematur, BBLR, ASI eksklusif, infeksi berulang, dan pemberian MPASI. Desain penelitian menggunakan studi observasional deskriptif. Responden yang digunakan sebanyak 94 orang yang didapatkan menggunakan teknik purposive sampling. Analisis data dilakukan dengan analisis univariat. Berdasarkan hasil penelitian, didapatkan di wilayah kerja Puskesmas Kediri I Kabupaten Tabanan lebih banyak keluarga dari balita stunting memiliki pendapatan di bawah UMR (51,1%), dan mayoritas memiliki jumlah anggota keluarga 4 orang atau lebih (87,2%). Mayoritas balita stunting memiliki riwayat infeksi berulang (83%). Dari penelitian ini dapat disimpulkan bahwa pendapatan di bawah UMR, dan jumlah anggota keluarga 4 orang atau lebih merupakan karakteristik keluarga balita stunting serta infeksi berulang merupakan karakteristik balita stunting di wilayah kerja Puskesmas Kediri I.

Female gender and time from injury to surgery as risk factors for decreased knee functions in ACL injury survivors Kurniawati, Ida; Witari, Ni Putu Diah; Dewi, Anak Agung Ayu Asri Prima; Kerans, Fransiscus Fiano Anthony; Sumadewi, Komang Trisna; Astini, Dewa Ayu Agung Alit Suka; Evayanti, Luh Gde
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.247

Background: Anterior cruciate ligament (ACL) injuries are serious orthopedic conditions that require long-term recovery and significant costs. This study aimed to assess the risk of decreased knee function among ACL injury survivors in the Indonesian ACL community. Methods: This study used a prospective observational cohort design with a population of all members of the Indonesian ACL community who experienced ACL injury. The primary outcome of this study was a decrease in knee function was measured using the Lysholm knee score. We calculated univariate and multivariate analyses using logistic regression for each variable. Results: The results showed that female gender and time from injury to surgery were significant factors that influenced poor knee function after ACL reconstruction. Women had a significantly higher risk (odd ratio (OR) = 15.28; adjusted OR (AOR) = 23.47; p-value < 0.010). In addition, the time between injury and surgery significantly affected postoperative knee function (AOR = 1.05; p-value = 0.049). Other factors such as age and body mass index did not show significant associations in either univariate or multivariate analyses. Conclusion: This study confirmed that female gender and time from injury to surgery were important factors influencing poor knee function after ACL reconstruction. Timely intervention and focused rehabilitation programs are key steps to improve patient functional outcomes.

The Relationship Between Body Mass Index And Hand Grip Strength In Adolescents Aged 13-16 Years Sumadewi, Komang Trisna; Adri, Nyoman Ayu Paramita; Wijaya, Putu Austin Widyasari
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.23530

Nutritional status is of particular concern in both developed and developing countries. The prevalence of overnutrition and obesity, especially in adolescents, continues to increase. Various parameters can be used to assess a person's physical fitness. Hand grip strength is one of the parameters used to evaluate nutritional status and physical fitness and predict various metabolic diseases. This study aims to determine the relationship between Body Mass Index (BMI) and hand grip strength in adolescents aged 13-16. The research design was analytic observation with a cross-sectional approach at SMP Negeri 7 Denpasar—sampling technique with simple random sampling of as many as 100 respondents based on inclusion and exclusion criteria. The nutritional status criteria are guided by the Indonesian Ministry of Health, namely underweight (-3SD to -2SD), normal (-2SD to +1SD), overweight (+1SD to +2SD), and obesity >+2SD. The classification of hand grip strength that we use includes Weak (< 26.6 kg), normal (26.6 kg), and strong (> 26.6 kg) for men, while for women, they are weak (< 27.1 kg), normal (27.1 kg), strong (> 27.1 kg). Data were analyzed using the Chi-Square Test. The results obtained in this study include the majority of 13-year-olds (55%), male gender (56%), weak hand grip strength (54%), and normal BMI (43%). The mean BMI was 20.49±4.24, and the mean hand grip strength was 26.74±9.33. Based on the Chi-Square test, there was a significant relationship (p<0.001) between BMI and hand grip strength. Thus, this study can conclude that a substantial relationship exists between BMI and hand grip strength in adolescents aged 13-16.

Meningkatkan Kesiapsiagaan Karyawan Sektor Pariwisata Melalui Pelatihan Bantuan Hidup Dasar Sumadewi, Komang Trisna; Subrata, Tanjung; Yupardhi, Toddy Hendrawan; Harkitasari, Saktivi
Abdi Widya: Jurnal Pengabdian Masyarakat Vol 4 No 2 (2025): Abdi Widya: Jurnal Pengabdian Masyarakat
Publisher : Pusat Penerbitan LP2MPP ISI Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59997/awjpm.v4i2.5428

Program pengabdian masyarakat ini bertujuan untuk meningkatkan kesiapsiagaan karyawan sektor pariwisata, khususnya di Hotel Ibis Denpasar, dalam menghadapi situasi kegawatdaruratan, terutama yang berkaitan dengan risiko tenggelam. Masalah yang dihadapi mitra adalah pengetahuan mitra mengenai kegawatdaruratan medis masih terbatas khususnya yang berkaitan dengan henti nafas dan henti jantung, kurangnya pelatihan tentang Bantuan Hidup Dasar (BHD) di kalangan karyawan, dan mitra tidak memiliki keterampilan yang memadai untuk menangani keadaan darurat. Metode yang digunakan dalam pelatihan ini meliputi serangkaian tahapan, mulai dari koordinasi dengan manajemen hotel, pengadaan sarana dan prasarana, hingga pelaksanaan pelatihan. Perangkat yang digunakan dalam pelatihan ini termasuk manekin untuk latihan praktik serta alat presentasi dan video. Proses pengabdian melibatkan beberapa tahapan seperti persiapan, tahap pelaksanaan meliputi pretest, penyampaian materi, pelatihan praktik, dan post-test untuk mengevaluasi peningkatan pengetahuan peserta, serta tahap monitoring dan evaluasi. Indikator keberhasilan dievaluasi berdasarkan peningkatan pengetahuan peserta, kehadiran peserta, dan peningkatan keterampilan peserta. Implikasi dari kegiatan pengabdian ini adalah peningkatan pengetahuan sebesar 52,9% yang dilihat dari nilai pre-test dan post-test. Selain itu, juga didapatkan peningkatan keterampilan mitra dalam memberikan pertolongan pertama dan BHD, yang sangat penting untuk meningkatkan keselamatan tamu di hotel serta menciptakan lingkungan yang lebih aman di sektor pariwisata.

Strategi Edukasi Pola Asuh untuk Optimalisasi Tumbuh Kembang Balita di Desa Bresela Sumadewi, Komang Trisna; Yupardhi, Toddy Hendrawan; Suryadiningrat, Gede Wahyu
Jurnal Pengabmas Masyarakat Sehat Vol 6, No 4 (2024): OKTOBER
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v6i4.4893

The growth and development of children under five in Indonesia still faces significant challenges, mainly due to inadequate parenting and a lack of parental knowledge about the importance of early detection of child growth and development disorders. The high prevalence of stunting and developmental delays is an urgent problem to be overcome. Based on the interviews, priority problems were obtained, including lack of knowledge of parenting, monitoring of children's growth and development, and the skills of the family of toddlers related to the growth and development of children. The service team offers solutions through training for parents in Bresela Village, in order to improve understanding and skills in monitoring children's growth and development using KMS and KPSP as a guide. The implementation method includes pretests, providing educational materials, monitoring demonstrations, and posttests to assess knowledge improvement. The results of the activity showed an increase in parents' knowledge by 50% about parenting and 40% about the growth and development of children after training. In addition, there is an increase in family skills in monitoring growth and development independently. In conclusion, this program has succeeded in increasing the awareness and ability of parents to optimize children's growth and development, but it needs to be continued with continuous assistance and socialization to overcome existing problems. Keywords: Toddler Growth, Toddler Development, Parenting Style

Strategi Edukasi Pola Asuh untuk Optimalisasi Tumbuh Kembang Balita di Desa Bresela Sumadewi, Komang Trisna; Yupardhi, Toddy Hendrawan; Suryadiningrat, Gede Wahyu
Jurnal Pengabmas Masyarakat Sehat Vol 6, No 4 (2024): OKTOBER
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jpms.v6i4.4893

The growth and development of children under five in Indonesia still faces significant challenges, mainly due to inadequate parenting and a lack of parental knowledge about the importance of early detection of child growth and development disorders. The high prevalence of stunting and developmental delays is an urgent problem to be overcome. Based on the interviews, priority problems were obtained, including lack of knowledge of parenting, monitoring of children's growth and development, and the skills of the family of toddlers related to the growth and development of children. The service team offers solutions through training for parents in Bresela Village, in order to improve understanding and skills in monitoring children's growth and development using KMS and KPSP as a guide. The implementation method includes pretests, providing educational materials, monitoring demonstrations, and posttests to assess knowledge improvement. The results of the activity showed an increase in parents' knowledge by 50% about parenting and 40% about the growth and development of children after training. In addition, there is an increase in family skills in monitoring growth and development independently. In conclusion, this program has succeeded in increasing the awareness and ability of parents to optimize children's growth and development, but it needs to be continued with continuous assistance and socialization to overcome existing problems. Keywords: Toddler Growth, Toddler Development, Parenting Style

Mesial Temporal Lobe Epilepsy as a Common but Elusive Case: A Case Report Junior, Darren; Wulandari, Putu Kintan; Harkitasari, Saktivi; Sumardika, I Wayan; Sumadewi, Komang Trisna
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.22259

Epilepsy is a common neuronal disorder that could include partial or generalized seizures due to abnormal brain electrical activity. A 32-year-old female patient was presented to the emergency room with a chief complaint of seizure. The seizure semiology started with epigastric pain, which then progressed into sudden speech arrest. Afterward, the patient experienced left-sided head movement followed by jerkings on the left hand. The patient then became unconscious and experienced full body rigidity. Physical examinations, vital signs, and laboratory results showed no abnormalities. Diagnostic assessments only showed unspecific signs of diffuse cerebral edema through a CT Scan and an atrophy of the right hippocampus with a slight increase in FLAIR signal intensity and dilatation of the right lateral ventricle pericornu through MRI. The patient was given phenytoin and folic acid twice daily. The presence of right mesial temporal sclerosis served as a possible cause of epilepsy in this patient despite having several obscurities. The patient showed atypical signs of generalized tonic seizure progression, adult-onset seizures, and increased MRI FLAIR signal intensity. More detailed examinations and constant reports of epilepsy cases are highly needed among physicians to provide more specific methods and tools to diagnose, classify, and treat epilepsy in the future.

Pelatihan Penanganan Cedera Leher dan Patah Tulang pada Petugas Puskesmas III Denpasar Selatan Lestarini, Asri; Sumadewi, Komang Trisna; Aryastuti, Sri Agung; Permatananda, Pande Ayu Naya Kasih
INCOME: Indonesian Journal of Community Service and Engagement Vol 2 No 4 (2023)
Publisher : EDUPEDIA Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56855/income.v2i4.814

Angka kejadian patah tulang maupun cedera leher pada kecelakaan lalu lintas di Indonesia masih tinggi. Puskesmas III Denpasar Selatan menjadi salah satu tempat penanganan pasien dengan cedera leher dan patah tulang. Masalah yang dihadapi Petugas Puskesmas di bagian gawat darurat adalah kurangnya pelatihan dan penyegaran kembali mengenai penanganan cedera leher dan patah tulang, serta kurangnya peralatan yang memadai. Solusi masalah tersebut yaitu penyuluhan, pelatihan dan pendampingan penanganan cedera leher dan patah tulang, serta pemberian peralatan. Kegiatan penyuluhan, pelatihan dan pendampingan dilakukan di Puskesmas III Denpasar Selatan, dengan 14 petugas gawat darurat Puskesmas III Denpasar Selatan. Hasil program ini adalah adanya peningkatan pengetahuan yang dilihat dari hasil rerata postest (85,86) lebih tinggi dari hasil rerata pretest (70,43). Setelah diobservasi, didapatkan peningkatan kemampuan peserta untuk penanganan cedera leher dan patah tulang. Diharapkan dapat dilakukan kegiatan yang serupa sehingga menyegarkan kembali petugas Puskesmas III Denpasar Selatan dalam penanganan cedera leher dan patah tulang.

Molecular and Histological Changes in Airway Basal Stem Cells on Chronic Obstructive Pulmonary Disease Dewi, A. A. Ayu Asri Prima; Inayati, Rizqa; Sumadewi, Komang Trisna; Kerans, Fransiscus Fiano Anthony
Indonesian Journal of Multidisciplinary Science Vol. 2 No. 10 (2023): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v2i10.586

Airway basal stem cell changes in COPD including hyperplasia, squamous cell metaplasia, epithel-mesenchymal transision, impairment of cillia and secretoric non mucosal cell differentiation, and junctional barrier integrity disturbances that lead to histological changes. There are also molecular changes such as disturbances in gene expresion, cytokines, inflamation factor and dysregulation of basal cell transcriptome in locus 19q13.2. This article is aimed to review airway basal cell changes in COPD. By understanding initial changes of airway basal stem cell in COPD, hopefully can help to develop stem cell therapy in COPD treatment. The research aims to explore molecular and histological changes in airway basal stem cells on chronic obstructive pulmonary disease. The researchers used literature review as the way to verify their arguments on the issue discussed by analyzing the results of scientific sources, especially from trusted sources such as Google Scholar and Science Direct. The study continues by stating that regenerative therapy using stem cells has started to evolve with the advancement of stem cell technology and is anticipated to improve and treat this illness. Only preclinical and phase 2 clinical trials have seen recent advancements in the use of stem cells for treating COPD.

Penyuluhan Hipertensi dan Pemanfaatan Lahan Tanaman Pegagan (Centella asiatica) dan Kunyit (Curcuma longa) sebagai Teh Herbal dalam Pengendalian Hipertensi Sumadewi, Komang Trisna; Evayanti, Luh Gede; Witari, Ni Putu Diah
Paradharma: Jurnal Aplikasi IPTEK Vol. 6 No. 2 (2022): Paradharma: Jurnal Aplikasi IPTEK
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Dhyana Pura â€“ Bali

ABSTRAKHipertensi merupakan salah satu penyakit tidak menular yang menjadi ancaman kesehatan masyarakat karena berpotensi memicu komplikasi seperti serangan jantung, stroke, gagal ginjal bahkan kematian. Kebanyakan orang yang menderita hipertensi tidak menyadari penyakitnya, sehingga hipertensi sering disebut sebagai silent killer. Lansia merupakan kelompok umur yang paling rentan menderita hipertensi. Pengendalian hipertensi seringkali menghadapi masalah seperti rendahnya kepatuhan penderita hipertensi untuk melakukan pengobatan rutin serta gaya hidup yang tidak sehat. Dewasa ini ada banyak penelitian yang mengarah ke pemanfaatan bahan alam untuk tambahan terapi dalam mengendalikan tekanan darah, seperti pegagan (Centella asiatica) dan kunyit (Curcuma longa). Tujuan dari pengabdian masyarakat ini adalah meningkatkan pengetahuan mitra terkait pengendalian hipertensi, sekaligus meningkatkan keterampilan mitra dalam memanfaatkan lahan dan mengolah bahan alami untuk mengendalikan hipertensi. Metode yang digunakan yaitu pendidikan kesehatan melalui focus group discussion, penyuluhan, dialog interaktif, dan pelatihan kepada kader lansia serta lansia di Posbindu Lansia Banjar Batur. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan mitra serta keterampilan dalam memelihara dan mengolah tanaman obat keluarga (TOGA). Pemberdayaan mitra diharapkan dapat meningkatkan peran serta masyarakat dan kesadaran masyarakat dalam usaha pengendalian angka kejadian hipertensi. Sangat penting menggalakkan pemberdayaan masyarakat sebagai kader pemantau dalam mengendalikan hipertensi serta menyebarkan informasi mengenai hipertensi serta pemanfaatan TOGA untuk menurunkan prevalensi hipertensi.Kata kunci: hipertensi, Lansia, Posbindu, TOGAABSTRACTHypertension is one of the non-contagious diseases that pose a threat to public health because it has the potential to trigger complications such as heart attack, strokes, kidney failure, and even death. Most people who suffer from hypertension are unaware of the disease, therefore hypertension is often referred to as the "silent killer". The elderly is the age group most susceptible to hypertension. Hypertension control and treatment often face challenges, including the low compliance of hypertensive patients to take medication regularly as well as an unhealthy lifestyle. Currently, there are many studies that lead to the use of medicinal plants for additional therapy in blood pressure control, such as Gotu kola (Centella asiatica) and turmeric (Curcuma longa). The purpose of this community service is to improve participantsâ€™ knowledge of controlling hypertension as well as their skills in using medicinal plants to control hypertension. The methods used included health education through FGD, counseling, interactive dialogue, and training for elderly and elderly cadres at Banjar Batur Posbindu. The results showed that participants' knowledge of hypertension and skills in maintaining and processing medicinal plants have improved. The empowerment is expected to increase community participation and public awareness to reduce the prevalence of hypertension. It isvery important to promote community empowerment in hypertension control and disseminateinformation about hypertension as well as the use of medicinal plants.Keywords: hypertension, elderly, integrated service post, medicinal plants

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