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All Journal E-Jurnal Medika Udayana Jurnal Veteriner Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Prosiding Seminar Biologi JKG (Jurnal Keperawatan Global) Scientiae Educatia: Jurnal Pendidikan Sains Justek : Jurnal Sains Dan Teknologi JURNAL TEKNIK INFORMATIKA DAN SISTEM INFORMASI Journal of Aquaculture Science ISM (Intisari Sains Medis) : Jurnal Kedokteran Journal of Community Empowerment for Health Sapientia Et Virtus Bali Anatomy Journal Jurnal Bali Membangun Bali Lampung Journal of International Law (LaJIL) Journal of Sustainable Tourism and Entrepreneurship JAMI: Jurnal Ahli Muda Indonesia Prosiding Seminar Nasional Pendidikan Kepelatihan Olahraga Administrative and Environmental Law Review Jurnal Ilmu Medis Indonesia Sanitasi: Jurnal Kesehatan Lingkungan Tarling : Journal of Language Education Journal of Indonesian Economy and Business
Yuliana Yuliana
Universitas Udayana
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Faktor yang berhubungan dengan perilaku tes HIV pada ibu hamil di Puskesmas Abiansemal I Ni Luh Putu Suci Hary Purwani; Yuliana Yuliana; I Nyoman Gede Wardana
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.272 KB) | DOI: 10.15562/ism.v11i3.696

Abstract

Background: HIV transmission vertically within children or infants become essential point of view for reducing HIV cases. Aim: The study aims to find out the related factors of HIV test behavior among pregnant women in public primary healthcare Abiansemal I.Method: This study used analytical cross-sectional design and consecutive sampling among pregnant women who have routine examination in public primary healthcare Abiansemal I Badung, Bali. Respondents asked to fill a self-administered questionnaire from Health Belief Model to asses of respondent’s perception about HIV screening test.Result and conclusion: There are 43 pregnant women as respondents with mean age 27 years. Of 49 respondents, 71.4% is pregnant women with equal or below of high school education. 16.3% of respondents did not work and 51% have a good knowledge about HIV. Through bivariate analysis have found gestational age, education level, knowledge, and risk perception have significant associations that can included into multivariate analysis (p<0.25). From multivariate analysis, we found that risk perception have independent association to HIV test among pregnant women (p<0.05; OR 0.121; 95%CI 0.021 – 0.690). Penularan HIV kepada anak-anak atau bayi menjadi fokus permasalahan penting dalam program reduksi kasus HIV. Tujuan: Untuk mengetahui faktor yang berhubungan dengan perilaku tes HIV (human immunodeficiency virus) pada ibu hamil di Puskesmas Abiansemal I.Metode: Penelitian ini menggunakan desain cross-sectional analitik dengan purposive sampling pada sampel ibu hamil yang rutin melakukan pemeriksaan kehamilan di Wilayah Pelayanan Puskesmas Abiansemal I, Badung. Seluruh responden mengisi kuesioner adaptasi health belief model untuk menilai persepsi responden mengenai tes skrining HIV.Hasil dan simpulan: Total responden pada penelitian ini adalah 49 orang dengan rerata usia 27 tahun. Dari 49 responden tersebut, 71,4% memiliki riwayat pendidikan terakhir, yaitu di bawah atau sama dengan sekolah menengah atas (SMA). Terdapat 16,3% responden yang tidak bekerja dan 51% responden memiliki pengetahuan yang baik mengenai HIV. Melalui analisis bivariat, ditemukan bahwa usia kehamilan, tingkat pendidikan, pengetahuan, dan persepsi risiko memiliki hubungan yang dapat diinklusi dalam analisis multivariat (p<0,25).  Pada analisis multivariat, ditemukan bahwa persepsi risiko memiliki hubungan independen terhadap perilaku tes HIV ibu hamil (p<0,05; OR 0,121; 95%IK 0,021 - 0,690).
Perbandingan kapasitas vital paru dan FEV1 antara atlet olahraga aerobik dan nonatlet: sebuah tinjauan sistematik Anak Agung Ratih Kusumadewi Wiraputri; I Nyoman Gede Wardana; Yuliana Yuliana; Muliani Muliani
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2531.344 KB) | DOI: 10.15562/ism.v12i1.914

Abstract

Introduction: Physical exercise, such as aerobic exercise, depends on the aerobic energy generation process or requires oxygen. One way to determine the benefits of physical activity in individuals is to look at the differences in lung function in the group who regularly exercise (athletes) with the sedentary group. This review will discuss further the comparison of vital lung capacity and Forced Expiratory Volume in 1 sec (FEV1), which is presented in the form of a systematic review.Methods: A search for journals published from 2015-2020 was conducted on the CENTRAL, ProQuest, Pubmed, and ScienceDirect databases that compared cardiorespiratory endurance values in athletes and non-athletes. The preparation of this systematic review is based on guidelines for writing systematic reviews by Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA).Results: The literature search results in 30 studies. These studies were analyzed based on the intervention or exposure to see the description and differences of lung function characteristics, especially vital capacity and FEV1 in aerobic and non-athletic athletes.Conclusion: Aerobic sports athletes tend to have better lung function than non-athletes, where lung function is assessed based on the higher FVC and FEV1 values in aerobic athletes. Several studies that showed insignificant differences on the lung function of aerobic athletes and non-athletes were caused by differences in the anthropometric characteristics of each group, which was a confounding factor in the study.  Pendahuluan: Latihan fisik seperti olahraga aerobik merupakan aktivitas fisik yang bergantung pada proses pembentukan energi secara aerob dan dapat memberikan efek positif terhadap sistem kardiovaskular dan respirasi. Salah satu cara untuk mengetahui manfaat aktivitas fisik pada individu adalah dengan melihat perbedaan fungsi paru pada kelompok yang rutin berolahraga (atlet) dengan kelompok sedenter. Dalam tinjauan ini akan dibahas lebih jauh mengenai perbandingan kapasitas vital paru dan Forced Expiratory Volume in 1 sec (FEV1) yang disajikan dalam bentuk tinjauan sistematik.Metode: Pencarian jurnal yang membandingkan nilai daya tahan kardiorespirasi pada atlet dan nonatlet yang diterbitkan dari tahun 2015-2020 melalui database CENTRAL, ProQuest, Pubmed, dan ScienceDirect. Penyusunan systematic review ini didasarkan pada pedoman penulisan tinjauan sistematik oleh Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).Hasil: Hasil pencarian literatur berupa 30 studi yang relevan dan kemudian dianalisis berdasarkan pada intervensi atau paparan yang dilakukan untuk melihat gambaran serta perbedaan karakteristik fungsi paru khususnya kapasitas vital dan FEV1 pada atlet aerobik dan nonatlet.Simpulan: Atlet olahraga aerobik cenderung mempunyai fungsi paru yang baik jika dibandingkan dengan non-atlet, dimana fungsi paru ini dinilai berdasarkan lebih tingginya nilai FVC dan FEV1 pada atlet aerobik. Beberapa studi yang menunjukkan hasil tidak signifikan terhadap fungsi paru atlet aerobik dan nonatlet disebabkan oleh adanya perbedaan karakteristik antropometri dari masing-masing kelompok dimana hal ini merupakan faktor perancu dalam penelitian.
Asam urat serum tinggi dan risiko mortalitas kardiovaskular: sebuah tinjauan sistematik penelitian kohort Anak Agung Gede Bilwa Bhavendra; Yuliana Yuliana; Muliani Muliani; I Nyoman Gede Wardana
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.193 KB) | DOI: 10.15562/ism.v12i1.945

Abstract

Introduction: Serum uric acid has been reported as a predictor of cardiovascular mortality, but there are many debates regarding this finding. This systematic review will analyze and discuss about serum uric acid as an indicator of cardiovascular mortality risk.Methods: A literature search was carried out on the PubMed and ProQuest databases for publication that focused on the association of serum uric acid and cardiovascular mortality risk within 2015-2020. The preparation of this systematic review is based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Results: In this review, four studies were relevant and met the selection criteria. All studies were prospective cohort studies. There were a total of 668,768 participants involved, with a slight female majority (55%). Participants involved in this study were aged 35 years or older. Three of the studies examined showed an association between high serum uric acid levels and cardiovascular disease mortality. Only one study did not show a statistically significant relationship. Each study used a different cut-off point for serum uric acid categories, making the uric acid indicator difficult to apply in clinical practice. The three studies conducted in Asia provide a more practical result that is relevant to the Indonesian population. In all three studies, results were consistent, showing elevated serum uric acid increases cardiovascular mortality risk.Conclusion: Serum uric acid level can predict the risk of death from cardiovascular disease. The study conducted in Asia is quite relevant to the Indonesian population, where the results of the study significantly and consistently found that high serum uric acid levels can increase the risk of cardiovascular mortality.  Pendahuluan: Asam urat serum dilaporkan dapat memperkirakan risiko dari mortalitas kardiovaskular, akan tetapi masih terdapat banyak perdebatan terkait temuan tersebut. Dalam tinjauan ini akan dibahas lebih jauh mengenai hubungan asam urat serum terhadap risiko mortalitas kardiovaskular yang disajikan dalam systematic review.Metode: Pencarian literatur dilakukan pada database PubMed dan ProQuest dengan mengidentifikasi jurnal yang diterbitkan dari tahun 2015-2020 yang berfokus pada topik asam urat serum dan hubungannya terhadap risiko mortalitas kardiovaskular. Penyusunan systematic review ini disusun berdasarkan pedoman Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Hasil: Dalam tinjauan ini terdapat 4 studi yang relevan dan memenuhi kriteria seleksi. Seluruh studi merupakan studi kohort prospektif. Terdapat total 668.768 partisipan yang terlibat dengan persentase perempuan sebesar 55%. Partisipan yang terlibat dalam studi ini berusia 35 tahun atau lebih. Tiga dari empat penelitian yang ditinjau menunjukan adanya hubungan antara kadar asam urat serum yang tinggi dengan kematian akibat penyakit kardiovaskular. Hanya satu penelitian yang tidak menunjukan hubungan yang bermakna secara statistik. Masing-masing penelitian menggunakan titik potong kategori asam urat serum yang berbeda-beda yang menyebabkan efektivitas indikator asam urat serum sulit untuk diaplikasikan. Tiga studi yang dilakukan di Asia memberikan gambaran yang lebih sesuai untuk aplikasi di Indonesia karena populasi partisipannya lebih mendekati keadaan populasi Indonesia.  Pada ketiga studi tersebut diperoleh hasil yang konsisten menunjukan peningkatan asam urat serum meningkatkan risiko mortalitas kardiovaskular.Kesimpulan: Kadar asam urat serum dapat dapat memperkirakan risiko mortalitas akibat penyakit kardiovaskular. Studi yang dilakukan di Asia, cukup relevan dengan populasi Indonesia, dimana hasil studi ini secara signifikan dan konsisten mendapatkan kadar asam urat serum yang tinggi dapat meningkatkan risiko mortalitas akibat penyakit kardiovaskular.
Pentingnya Kewaspadaan Berinternet untuk Kesehatan Mental Anak dan Remaja Yuliana Yuliana
Jurnal Ilmu Medis Indonesia Vol. 2 No. 1 (2022): September
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jimi.v2i1.1218

Abstract

Purpose: To describe the ways in increasing the internet awareness for the mental health of the children and adolescent. Methodology/approach: It is a narrative literature review. Articles were taken from the Science Direct and Google Scholar databases. Inclusion criteria are review and research articles. The excluded articles that were not peer-reviewed and unavailable full-text paper. Articles were read twice to reduce the bias. The selected articles were summarized and narrated descriptively. Results/findings: Results revealed that cybersecurity awareness can be increased by digital literacy training. Children should be taught how to avoid risky online behaviour to increase the mental health of the children. The cybersecurity awareness program is good to be given to children in avoiding phishing, pornography, cyberbullying, identity theft, and breaking to privacy. Children must be taught how to keep their passwords safe and private. They also need to be more cautious when playing online games. Limitations: It is a narrative literature review, the result is not as accurate as a study. Contribution: The contribution is the digital literation and cyber security program can be taught to the children to keep the good mental health during the COVID-19 pandemic and the time beyond.  
The Challenges Of Implementing Medical Practice In The Artificial Intelligence Era Yuliana Yuliana
JATISI (Jurnal Teknik Informatika dan Sistem Informasi) Vol 10 No 2 (2023): JATISI (Jurnal Teknik Informatika dan Sistem Informasi)
Publisher : Lembaga Penelitian dan Pengabdian pada Masyarakat (LPPM) STMIK Global Informatika MDP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35957/jatisi.v10i2.5340

Abstract

This paper aims to describe the challenges of healthcare practice in the artificial intelligence era. This is a narrative literature review. Literature was searched from Science Direct, Google Scholar, and PubMed. The inclusion criteria are research and review. The exclusion criteria are unavailable in full-text journals. Artificial intelligence (AI) is applied in large activities of daily life. However, besides the positive sides of AI, there are still many concerns about implementing AI in medical practice and healthcare services. The sources of the problems are uneasiness at the beginning, lack of understanding, the position of the physicians and patients, the decision-making process, reliability of the data, and accountability. AI has some gaps in handling the privacy of the data. On the other side, the system should be updated for monitoring functions. Therefore, the challenge in implementing AI in the healthcare practice is the integrated work of the AI developer, clinicians, regulators, and researchers. This paper is a narrative literature review, therefore the information would not be as complete as a research study. The contribution of the paper is to the healthcare practice and research development in artificial intelligence. Novelty: This paper includes the development and challenges of artificial intelligence in medical science and healthcare practice.
Legal Consideration in Implementing Artificial Intelligence when Dealing with Patients in Healthcare Services Yuliana Yuliana
SAPIENTIA ET VIRTUS Vol 8 No 1 (2023): March
Publisher : Darma Cendika Catholic University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37477/sev.v8i1.416

Abstract

Artificial intelligence (AI) is applied in large activities of daily life. However, besides the positive sides of AI, there are still many legal concerns about implementing AI in medical practice and healthcare services. Ethical consideration needs legal background involvement. This paper aims to describe the legal consideration in implementing Artificial Intelligence (AI) when dealing with patients in healthcare services. This is a narrative literature review. Literature was searched from Science Direct, Google Scholar, and PubMed. The inclusion criteria are research and review. The exclusion criteria are unavailable in full-text journals. The articles were read twice to reduce the possibility of bias. Finally, the selected articles were summarized and narrated in a review. Possible pitfalls in legal concerns when using Artificial Intelligence when dealing with patients include patient privacy, data sharing, rigorous testing procedure, and expensive process. Unification and harmonization of legal regimes have to be applied for legal regulation. Non-discriminative principles are required to ensure legal liability. Legal concerns about implementing Artificial Intelligence (AI) in healthcare services include patient privacy, data sharing, and testing procedure. Legal liability should be ensured by non-discriminative principles.
The critical role of informed consent for doctors and patients in the community Yuliana Yuliana
Journal of Community Empowerment for Health Vol 7, No 3 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.95638

Abstract

Introduction: Malpractice and medical case disputes are commonly found in the community. It was caused by misperception between patients and doctors in a medical case. Therefore, the informed consent role is essential for patients and doctors. This paper aims to describe the role of informed consent for patients and doctors. Methods: This is a narrative literature review. Literature was taken from PubMed, Google Scholar, and ScienceDirect. The selected journals were published within 10 years. Results: Informed consent is a sign of approval for any medical procedure that might cause disputes. On the doctors’ side, informed consent is a legal protection. On the other side, informed consent is an explanation for the patient in helping decide on approval or rejection of any medical procedure. An informed consent paper has legal protection for the attending physician. Doctors must give accurate and complete information about the procedure before it is done. Patients have the right to have an explanation, give consent, or rejection regarding any procedure. When a doctor does a medical procedure before giving informed consent, it is considered malpractice. Informed consent is related to human rights fulfillment. Patients have the right to accept or reject any medical procedure after the doctors explain thoroughly about the procedure. Conclusion: In conclusion, the role of informed consent for doctors is legal protection and obligation. Meanwhile, the role of informed consent for the patients is to fulfill human rights.
Co-Authors . Muliani Agus Indra Yudhistira Diva Putra Anak Agung Gede Bilwa Bhavendra Anak Agung Ratih Kusumadewi Wiraputri Diviya Batumalay Feliani Sanjaya Gede Wiranatha I Nyoman Gede Wardana I Nyoman Mangku Karmaya Ida Ayu Dewi Wiryanthini K Tangking Widarsa Luh Dindi Ayu Surya Kanti Mugiillan Sathival Ni Luh Putu Suci Hary Purwani Ni Made Hita Husmarika Omprakash Nanda Kumar Putu Paramita Primadevi Pramana Raoulian Irfon Sianny Herawati