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A Cross-sectional Study of Correlation Between Andropause and Anxiety Disorders Among Police Officers in Bali Aprilio, Sendi; Pramesemara, I Gusti Ngurah; Negara, I Made Oka
Indonesian Andrology and Biomedical Journal Vol. 5 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v5i1.53055

Abstract

Background: Andropause is a clinical and biochemical syndrome associated with increasing age characterized by a decreased testosterone level. Anxiety disorders are mental disorders that differ from normal feelings of nervousness or anxiousness and involve excessive fear or anxiety. Police officers has a high risk of experiencing andropause and anxiety disorders because of the andropause. Objective: This research aims to determine the correlation between andropause and anxiety disorders in Bali police officers. Methods: This research was carried out with a cross-sectional analytic design. Andropause was measured using an ADAM questionnaire. Anxiety disorder was measured using a BAI questionnaire. The sample for this research was male police officers aged between 35-58 years who worked at the Ditreskrimsus Polda Bali. The sample was determined using a purposive sampling technique. The sample for this research consisted of 50 people. Results: The results showed that 60% of samples were positive for andropause and 62% of samples were positive for anxiety disorders. There are 52% sample that tested positive for both andropause and anxiety. There is a significant correlation between andropause and anxiety disorders with p value <0.001. Calculated Odds Ratio (OR 95% CI) between andropause and anxiety disorders was 19.5 (4.527-83.992). Police officers that experiencing andropause have a 19.5 times higher risk of experiencing anxiety disorders compared to police officers that not experiencing andropause. Conclusion: There is a significant correlation between andropause and the occurrence of anxiety in police officers in Bali.
Association Between Andropause and Demographic Factors with Depression Among Police Officers In Bali Depa, Yosep Ardian; Pramesemara, I Gusti Ngurah; Negara, I Made Oka; Wardana, I Nyoman Gede
Indonesian Andrology and Biomedical Journal Vol. 5 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v5i1.53786

Abstract

Background : Andropause is a health problem in men caused by a decrease in free testosterone levels. Depression is a mental disorder that happens with a person that is related to mood.Objective : This research aims to determine the relationship between Andropause and Depression in police officers in Polda Bali in 2023. Methods : This research is a descriptive-analytical study with a cross-sectional study design. Andropause was assessed using the ADAM questionnaire, and depression was assessed using the PHQ- 9 questionnaire. The sample was selected using a purposive sampling technique. Results : There were 60 respondents in this study. A total of 31 people (51.7%) respondents were positive for Andropause, and 29 people (48.3%) were negative for Andropause. Meanwhile, 12 people (20.0%) of respondents experienced mild depression, and 48 people (80.0%) did not experience depression. Ten (10) respondents experienced Andropause with Depression. There is a significant relationship between Andropause and Depression (p=0.003). The odds ratio (OR 95% CI) obtained was 6.429 (1.270-32.541). Also there is a significant relationship between Stress and Depression with p<0,001 (0,000), with OR 21 (4,4-100,1) Conclusion : The majority of police officers in Polda Bali were found to experience Andropause and Depression, as many as 10 people (32.3%). As age increases, the incidence of Andropause increases, and in the respondent population, most of whom are in the mid-life crisis period, it increases the possibility of depression. Police officers in Polda Bali with Andropause have a 6.429 times greater risk of experiencing depression
PENERAPAN E-PEER KONSELOR SEBAGAI UPAYA MENINGKATKAN PENGETAHUAN REMAJA TENTANG TRIAD KESEHATAN REPRODUKSI REMAJA DI MASA PANDEMI COVID-19 Pramitaresthi, I Gusti Ayu; Sanjiwani, Ida Arimurti; Pramesemara, I Gusti Ngurah
Coping: Community of Publishing in Nursing Vol 12 No 2 (2024): April 2024
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2024.v12.i02.p12

Abstract

TRIAD Kesehatan Reproduksi Remaja (TRIAD KRR) yaitu seksualitas, HIV/AIDS, dan NAPZA merupakan permasalahan remaja yang terjadi saat ini. Konselor sebaya atau peer konselor sebagai pengelola pusat informasi dan konseling remaja berperan penting dalam peningkatan pengetahuan remaja tentang TRIAD KRR. Remaja banyak menghabiskan waktu dengan teman sebaya serta pengaruh teman sebaya dapat membawa akibat positif maupun negatif. Peer konselor adalah program pemberdayaan teman sebaya untuk dapat memberikan informasi dan pengetahuan kesehatan serta konseling bagi remaja. Pada saat ini, dengan masih berlangsungnya pandemi Covid-19, maka akses pertemuan langsung masih terbatas sehingga peer konselor dilakukan secara online dengan memanfaatkan teknologi yang berkembang saat ini. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh E-Peer Konselor terhadap peningkatan pengetahuan remaja tentang TRIAD KRR di masa pandemi. Metode penelitian ini yaitu secara kuantitatif dengan quasi eksperimental. Desain penelitian yang digunakan adalah one group pre-test post-test design. Analisis bivariat dilakukan dengan uji non parametrik karena data terdistribusi tidak normal, diuji dengan uji Wilcoxon untuk menganalisis tingkat pengetahuan sebelum (pretest) dan setelah (posttest). Penelitian dilaksanakan pada bulan Agustus-Oktober 2021 di SMA Negeri 4 Denpasar. Sampel sebanyak 30 siswa-siswi yang mengikuti ekstrakulikuler KSPAN. Hasil yang didapatkan bahwa E-Peer Konselor terhadap peningkatan pengetahuan remaja tentang TRIAD KRR di masa pandemi (p<0,05).
A Improved Sexual Satisfaction Following Hyaluronic Acid Penile Filler Injection: A Case Report I Kadek, Aribowo; Pramesemara, I Gusti Ngurah
Indonesian Andrology and Biomedical Journal Vol. 6 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v6i1.72538

Abstract

Background : Sexual satisfaction is a fundamental human need, and penis size is often regarded as an important factor for sexual satisfaction among men. Research indicates that penis size can also play a significant role in sexual satisfaction for women. Case : This case report details the experience of a 37-year-old man who felt that his genital size was inadequate, leading to dissatisfaction during sexual intercourse.The patient underwent penile filler treatment using Hyaluronic Acid (HA), receiving a total of 12 cc. Following the injection, there was an increase in the circumference of his penis by 2 cm, resulting in improved patient satisfaction. Before the HA filler injection, the patient had an Index of Male Genital Image (IMGI) score of 58. A follow-up evaluation conducted one month later revealed an increase in the IMGI score to 70. Discussion : Non-surgical penis enlargement procedures are commonly performed because they have a lower risk compared to surgical options. The most popular method involves the injection of hyaluronic acid (HA) fillers. This procedure is effective in enhancing sexual satisfaction, as it leads to a noticeable increase in the circumference of the penis, resulting in more fulfilling sexual experiences. HA fillers are biocompatible, long-lasting, and have a low incidence of complications or serious side effects. Conclusion : This case demonstrates that Hyaluronic Acid is effective in enhancing the diameter of the penis and improving patient satisfaction.
PELAYANAN KESEHATAN “KOLOK” SEBAGAI UPAYA PREVENTIF PENYAKIT TIDAK MENULAR PADA MASYARAKAT DESA BENGKALA DI BULELENG Raya, Nyoman Agus Jagat; Sulistiowati, Ni Made Dian; Pramesemara, I Gusti Ngurah; Suarningsih, Ni Kadek Ayu; Kharan Deva, Komang Yoga; Hadi Nugraha, I Dewa Gede
Kumawula: Jurnal Pengabdian Kepada Masyarakat Vol 8, No 3 (2025): Kumawula: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/kumawula.v8i3.62924

Abstract

The lack of access to health services in several regions in Indonesia can have an impact on reducing knowledge and public health levels in the management of non-communicable diseases (NCDs). The community service programme through KOLOK (cholesterol, ear, throat, blood glucose) health services aims to provide health services to the people of Bengkala Village, which has a deaf community. The procedures carried out include checking weight and height to determine body mass index (BMI), blood pressure, blood glucose, and cholesterol levels, as well as ear and throat examinations. The subjects in this health service were Bengkala Village residents who were registered at the service location. Based on the evaluation results, the BMI showed obese (12.2%) and very obese (16.3%), hypertension (31.5%), high cholesterol (55.6%), and high blood glucose levels (54.5%). The number of people with ear and throat disorders was 35.9%, with the most common type of disorder being cerumen obturation. Overall, more than 50% of the community had normal BMI, blood pressure, and ear and throat conditions, but more than 50% of the community had high cholesterol and blood glucose levels. The community needs education to understand healthy lifestyle behaviours that impact nutritional, metabolic, and ear and throat health problems. Access to communication and the village’s distance from health facilities such as hospitals, health centres, and specialist services remain challenges. In addition, the development of a community health cadre programme and the integration of technology to improve effective communication to support the education process and the improvement of public health services are also needed by the village. Keterbatasan akses pelayanan kesehatan di beberapa wilayah di Indonesia dapat berdampak pada penurunan pengetahuan dan taraf kesehatan masyarakat dalam penanggulangan penyakit tidak menular (PTM). Program pengabdian masyarakat melalui pelayanan kesehatan KOLOK (kolesterol, telinga, tenggorokan, kadar glukosa darah) bertujuan untuk memberikan layanan kesehatan kepada masyarakat Desa Bengkala yang memiliki komunitas bisu-tuli. Prosedur yang dilakukan meliputi pemeriksaan berat badan, tinggi badan untuk menentukan indeks massa tubuh (IMT), tekanan darah, kadar glukosa darah, dan kolesterol, serta pemeriksaan telinga dan tenggorokan. Subjek dalam pelayanan kesehatan ini adalah masyarakat Desa Bengkala yang teregistrasi di lokasi pelayanan. Berdasarkan hasil evaluasi, menunjukkan IMT gemuk (12,2%) dan sangat gemuk (16,3%), hipertensi (31,5%), kolesterol tinggi (55,6%), dan kadar glukosa darah tinggi (54,5%). Masyarakat yang mengalami gangguan telinga dan tenggorokan sebanyak 35,9%, dengan jenis gangguan yang banyak ditemukan yaitu serumen obturan. Secara keseluruhan, lebih dari 50% masyarakat memiliki IMT, tekanan darah, dan teling-tenggorokan normal, namun lebih dari 50% masyarakat memiliki kadar kolesterol dan kadar glukosa darah yang tinggi. Masyarakat memerlukan edukasi untuk memahami perilaku gaya hidup sehat yang berdampak pada permasalahan kesehatan gizi, metabolisme, dan gangguan telinga dan tenggorokan. Akses komunikasi, lokasi desa yang jauh dari fasilitas kesehatan seperti rumah sakit, puskesmas, dan pelayanan dokter spesialis sangat diperlukan. Selain itu, pengembangan program kader kesehatan masyarakat dan integrasi teknologi dalam meningkatkan komunikasi yang efektif dalam mendukung proses edukasi dan peningkatan layanan kesehatan masyarakat juga sangat diperlukan oleh desa.