Articles
The Effects of Syphilis Infection on CD4 Counts and HIV-1 RNA Viral Loads in Blood: A Cohort Study Among MSM with HIV Infection in Sanglah Hospital Bali-Indonesia
Somia, I Ketut Agus;
Merati, Ketut Tuti Parwati;
Sukmawati, Dewi Dian;
Phanuphak, Nittaya;
Indira, IGAA Elis;
Prasetia, Made Yogi Oktavian;
Amijaya, Komang Agus Trisna;
Sawitri, AA Sagung
BALI MEDICAL JOURNAL Vol 5 No 3 (2016)
Publisher : BALI MEDICAL JOURNAL
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Background: Men who have sex with men (MSM), particularly those with HIV infection, are at high risk for contracting syphilis. However, little is known about the effect of syphilis on HIV-1 RNA and CD4 count among HIV infected MSM. Methods: MSM were enrolled into the MSM-VCT study cohort at Sanglah Hospital in Bali between June 22 nd 2011 to February 13 rd 2012. All participants had anti-HIV test and VDRL test at baseline, with TPHA confirmation for reactive VDRL results. Plasma HIV-1 RNA levels and CD4 counts were measured at baseline and month 6 visits. T-test or non-parametric Mann-Whitney test were used to compare changes in CD4 counts and HIV-1 RNA levels between those with and without syphilis. To analyze difference of baseline and 6 month visit in each group, we used paired students t-test. Results: HIV positive MSM with syphilis co-infection had significantly higher mean baseline CD4 count than those without syphilis (P=0.017). No difference was seen for median baseline plasma HIV-1 RNA between HIV positive MSM with and without syphilis (P=0.885). Mean change in CD4 count from baseline to month 6 was similar between HIV positive MSM with syphilis (n=11) and without syphilis (n=20) (P=0.860). Similarly, no significant difference in median HIV-1 RNA change was identified between those with (n=8) and without syphilis (n=11) (P=1.000). Conclusions: HIV positive MSM with syphilis co-infection had higher CD4 cell counts. However, syphilis influences the changes of CD4 cell count and HIV-1 RNA 6 months after HIV diagnosis, but not statistically significance.
PROPORSI STRES DAN GEJALA PSIKOSOMATIK PADA SISWA KELAS XII SEKOLAH MENENGAH ATAS DI KOTA DENPASAR
Deantri, Fanny;
Sawitri, Anak Agung Sagung
JURNAL BIOS LOGOS Vol 10, No 1 (2020): JURNAL BIOS LOGOS
Publisher : Universitas Sam Ratulangi
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DOI: 10.35799/jbl.10.1.2020.27465
PROPORSI STRES DAN GEJALA PSIKOSOMATIK PADA SISWA KELAS XII SEKOLAH MENENGAH ATAS DI KOTA DENPASAR(Proportion of Stress and Psychosomatic Symptoms in Twelfth Grade High School Students in Denpasar City)                                 Fanny Deantri*), Anak Agung Sagung Sawitri**)Program Studi Sarjana Kedokteran dan Profesi Dokter Fakultas Kedokteran Universitas Udayana, Denpasar*Email: deantrif@hotmail.com**Email: sawitri56@hotmail.com (Article History: Received 20-01-2020; Revised 25-02-2020; Accepted 27-02-2020) ABSTRAKSiswa kelas XII Sekolah Menengah Atas (SMA) memiliki kecenderungan untuk mengalami tekanan emosional dan psikologis atau stres yang disebabkan karena faktor akademis maupun faktor lainnya. Stres yang tidak ditangani dengan baik dapat bermanifestasi dalam bentuk gejala-gejala fisik yang disebut sebagai gejala psikosomatik. Gejala psikosomatik ini kerap kali tidak disadari sehingga sering terjadi berulang kali meski sudah diberikan pengobatan sebelumnya. Penelitian ini bertujuan untuk menghitung proporsi stres dan gejala psikosomatik pada siswa kelas XII SMA serta kedua keluhan tersebut pada saat yang bersamaan. Penelitian ini merupakan penelitian potong lintang deskriptif. Pengambilan data dilakukan dengan menggunakan kuesioner Depression Anxiety Stress Scale (DASS) 42 dan kuesioner yang diadaptasi dari Psychosomatic Symptoms Scale for Child and Adolescents yang dibagikan kepada subjek penelitian di SMA Negeri 1 Denpasar, SMA Negeri 2 Denpasar, dan SMA Negeri 3 Denpasar pada bulan Oktober–November 2019. Sebanyak 67 (32,2%) dari 208 sampel yang mengaku mengalami stres dan terdapat 158 (76%) subjek penelitian yang mengalami gejala psikosomatik. Subjek penelitian yang mengaku mengalami stres dan juga mengalami gejala psikosomatik dijumpai sebanyak 48 (71,6%).
Hubungan Aktivitas Merokok Dengan Penuaan Dini Kulit Pada Kelompok Masyarakat Usia 20-40 Tahun Di Universitas Udayana
Sanusi, Fedisa Ergarizkia;
Sawitri, Anak Agung Sagung;
Putri, Wayan Citra Wulan Sucipta
JURNAL BIOS LOGOS Vol 10, No 1 (2020): JURNAL BIOS LOGOS
Publisher : Universitas Sam Ratulangi
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DOI: 10.35799/jbl.10.1.2020.27318
Hubungan Aktivitas Merokok Dengan Penuaan Dini Kulit Pada Kelompok Masyarakat Usia 20-40 Tahun Di Universitas Udayana  (The Relationship Of Smoking Activities With The Early Aging Of The Skin In The Age Of 20-40 Years In Udayana University) Fedisa E. Sanusi*), Anak Agung Sagung Sawitri **), Wayan Citra Wulan Sucipta Putri Program Studi Sarjana Kedokteran Dan Profesi DokterFakultas Kedokteran Universitas Udayana, Denpasar*Email:  fedisa190201@icloud.com**Email: sawitri56@hotmail.com  (Article History: Received 17-01-2020; Revised 04-03-2020; Accepted 06-03-2020)  ABSTRAKMerokok dipercaya dapat menyebabkan berbagai kondisi pada kulit. Smoker’s face merupakan temuan yang khas pada kulit wajah perokok yang ditandai dengan garis atau kerutan pada wajah seperti ujung kanan bibir atas dan bawah atau sudut mata, atau pada beberapa bagian wajah lainnya. Penelitian ini bertujuan untuk menganalisis hubungan aktivitas merokok dengan timbulnya tanda penuaan dini kulit wajah pada masyarakat di wilayah Kampus Sudirman Universitas Udayana kelompok usia 20-40 tahun. Penelitian ini merupakan penelitian deskriptif. Subjek penelitian adalah masyarakat di wilayah Kampus Sudirman Universitas Udayana kelompok dengan usia 20-40 tahun berjumlah 133 orang. Pengambilan data dilakukan dengan menggunakan data primer melalui pengisian kuesioner dan foto responden. Hasil penelitian ditemukan bahwa dari 133 responden, didapatkan 60.90% merokok dan 39.10% tidak merokok. Berdasarkan tanda penuaan dini, responden dikategorikan sesuai skor yang didapat dari klasifikasi Smoker Face. Kategori 0 sebesar 42.11%, kategori 1 sebesar 35.34%, kategori 2 yaitu 21.8% dan kategori 3 sebesar 0.75%. Hsil penelitian dapat disimpulkan bahwa terdapat hubungan yang signifikan antara aktivitas merokok dengan penuaan dini kulit wajah pada masyarakat di wilayah Kampus Sudirman Universitas Udayana kelompok usia 20-40 tahun. Hal ini ditunjukkan dengan koefisien korelasi (r) sebesar 0,731. Pada penelitian ini, faktor eksternal seperti aktivitas outdoor serta perawatan kulit tidak mempunyai hubungan yang kuat dengan penuaan dini.
Family support and quality of life of schizophrenia patients
Ni Made Setiawati;
Anak Agung Sagung Sawitri;
Cokorda Bagus Jaya Lesmana
International Journal of Public Health Science (IJPHS) Vol 10, No 3: September 2021
Publisher : Intelektual Pustaka Media Utama
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DOI: 10.11591/ijphs.v10i3.20915
Schizophrenia remains a global issue. More than half of those living with schizophrenia have yet to receive appropriate treatment that led to the impeded of their recovery and the low quality of life. This study aimed to understand the relationship between familial supports with the quality of life (QOL) of persons with schizophrenia. The cross-sectional study was conducted on randomly selected 161 outpatients at 13 community health centers (puskesmas). Family support and quality of life data were collected by interviewing the respondents with the Friedman’s family support questionnaire and WHO quality of life (WHOQOL-BREF) questionnaire. Subsequently, data was analyzed using logistic regression. The respondents have a mean age of 45 years, mostly males, have completed high school, mostly unemployed and unmarried. Instrumental (AOR=3.177; 95%CI 1.01-9.91) and appraisal support (AOR=7.620; 95%CI 2.83-20.4) were significantly associated with QOL. Conversely, no significant relationship was found between emotional (AOR=1.345; 95%CI 0.46-3.88) and informational (AOR=2.515; 95%CI 0.85-7.42) support toward QOL. Employment, being married and not experiencing relapse were significantly related to QOL. Instrumental support and appraisal support are important factors in determining the quality of life of persons with schizophrenia. Hence, the government needs to expand the roles of family and community to support these roles.
Perceptions dynamics about antiretroviral treatment among HIV patients in Bali
Anak Agung Sagung Sawitri;
I Nyoman Sutarsa;
Tuti Parwati Merati;
Made Bakta;
Dewa Nyoman Wirawan
International Journal of Public Health Science (IJPHS) Vol 10, No 3: September 2021
Publisher : Intelektual Pustaka Media Utama
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DOI: 10.11591/ijphs.v10i3.20917
Perceptions of people living with HIV and AIDS (PLHIV) about antiretroviral treatment (ART) is crucial for improving adherence. This study aims to examine the dynamics of perceptions during the early phase of ART. A longitudinal study involving newly diagnosed PLHIV was conducted. Interviews were carried out at the time of HIV diagnosis and at three months after ART initiation. Data were analyzed by comparing proportion of good perception across the continuum of HIV diagnosis, ART initiation and threemonths follow-up, and were tested using Chi-square. From 170 PLHIV participated in the study, 81.76% had initiated ART and 73.4% remained on ART at three-months of follow-up. Several positive perception items were significantly decreased: ability to take ART at work and ability to continue treatment if experiencing side effects, effectiveness of ART, confidentiality, unwanted disclosure, and level of support from outreach workers. Ability to follow instruction from physician was significantly increased, and negative attitudes toward ART were decreased across the continuum. Adherence to ART is a continuous process, and is influenced by the dynamics perceptions among PLHIV. Understanding these dynamics is crucial to formulate strategies that can promote and maintain positive attitudes toward ART as well as living with HIV more broadly.
Periode Waktu Inisiasi Anti-Retroviral Terapi (ART) Berhubungan dengan Perbedaan Outcome dan Tingkat Kadar CD4 pada Kasus HIV Positif
Wayan Citra Wulan Sucipta Putri;
Anak Agung Sagung Sawitri;
Komang Ayu Kartika Sari
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 3: SEPTEMBER 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar
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DOI: 10.30597/mkmi.v14i3.4123
Early ART (Anti Retroviral Therapy) treatment at higher CD4 levels is believed to provide better outcomes.This study aims to determine the differences in outcomes and levels of CD4 levels based on the initiation periodof ART in HIV positive patients. This is a retrospective study, using secondary data to see differences in outcomes(CD4, morbidity, morbidity, lost to follow-up) of patients based on time-span status of ART initiation. The studypopulation was all HIV-positive patients who were or had undergone antiretroviral therapy in Denpasar City. Atotal of 312 patients were included in the study according to the criteria. The results showed that the proportionof subjects who had a CD4 cell rise of only 0-99sel/mm3 tended to be greater in the group who started ART morethan 12 weeks compared to those who started ART 12 weeks down (44.7% vs 36.7%). Vice versa, the proportionof subjects who had a CD4 increase ≥100 cells/mm3 was greater in the ART initiation group ≤12 weeks (73.3% vs55.3%) p=0.046. The proportion of subjects who died and lost to follow up was greater in the subjects who startedART over 12 weeks than the opposite (respectively 11% and 24.2% vs 5% and 12.7%, p=0.003). Significant differenceswere also seen, the proportion of subjects who were still on HAART was greater in the group of subjects whoinitiated HAART ≤12 weeks (64.8% vs 82.4%, p=0.003).
DYNAMIC NEUROMUSCULAR STABILIZATION LEBIH MENINGKATKAN FLEKSIBILITAS LUMBAL DARIPADA STATIC STRETCHING PADA PENGRAJIN BATIK DI GIRILOYO
Gian Lisuari Adityasiwi;
I Made Krisna Dinata;
Wahyuddin Wahyuddin;
Ketut Tirtayasa;
Anak Agung Sagung Sawitri;
Gde Indraguna Pinatih
Sport and Fitness Journal Vol 9 No 1 (2021): Volume 9, No. 1, Januari 2021
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana
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DOI: 10.24843/spj.2021.v09.i01.p11
Latar belakang: Fleksibilitas lumbal sangat penting karena dapat membuat gerakan sehari-hari lebih mudah serta dapat melindungi seseorang terhindar dari cedera. Tujuan penelitian ini untuk membuktikan bahwa Dynamic Neuromuscular Stabilization (DNS) lebih meningkatkan fleksibilitas lumbal daripada static stretching pada pengrajin batik di Giriloyo. Metode penelitian: desain penelitian ini menggunakan randomized pre and post test design. Jumlah subjek penelitian ini 30 orang yang dibagi menjadi 2 kelompok. Kelompok I diberikan DNS dan Kelompok II diberikan static stretching. Masing-masing kelompok diberikan pelatihan 2 kali seminggu selama 4 minggu. Alat ukur yang digunakan modified-modified Schoober test (MMST). Variabel yang dikontrol pada penelitian ini adalah usia, lama bekerja, dan IMT. Hasil: Berdasarkan hasil paired sample t-test pada Kelompok I dan Kelompok II nilai p<0,05, yang menyatakan bahwa baik DNS maupun static stretching sama-sama berpengaruh signifikan dalam meningkatkan fleksibilitas lumbal pada pengrajin batik di Giriloyo. Uji perbandingan antara Kelompok I dan Kelompok II menggunakan independent sample t-test didapatkan hasil nilai p<0,05, artinya ada perbedaan pengaruh yang signifikan antara DNS dan static stretching. Simpulan: pemberian DNS lebih meningkatkan fleksibilitas lumbal daripada static stretching pada pengrajin batik di Giriloyo. Kata kunci : DNS, static stretching, fleksibilitas lumbal.
THE EFFECT OF SPORT MASSAGE TOWARD THE DECREASE OF FATIGUE
Ni Eka Dewi Ambarawati;
I Made Jawi;
I Made Muliarta;
Ni Made Linawati;
Anak Agung Sagung Sawitri;
I Made Krisna Dinata
Sport and Fitness Journal Vol 9 No 3 (2021): Volume 9, No. 3, September 2021
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana
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DOI: 10.24843/spj.2021.v09.i03.p02
ABSTRACT Background: Fatigue is a process of decreasing tolerance to physical activities. Metabolism burns energy where it breaks down carbohydrates to become lactic acid which results in fatigue. There are many ways to treat fatigue, such as sports massage. Objective: This research will guide the effect of sports massage on decreasing fatigue of Indonesia’s water ski athletes. Method: Research method Treatment By Subject Design. The population of this study were all Indonesian athletes in overall water skiing who were still active in 2019. The subjects of the study were 18 Indonesian athletes of overall water skiing and divided into two different treatment periods. Period 1 was given sports massage treatment and Period 2 was given active rest treatment, between treatments was given a break for 3 days, so the research lasted for 5 days. Lactic acid measurement is measured by taking a blood sample and measured using an accurted lactate tool. Result: Based on the test result, we find that the mean of lactic acid levels before sport massage was 7.2333 ± .99173, and after sport massage was 3.1333 ± .70711 mmol/L. Mean of lactic acid before active rest was 7.2889 ± .67116 mmol/L, and after active res was 4.4061 ± .82253 mmol/L. Differential test result of lactic acid levels before treatment in between the second period treatment with Paired sample t-test showed a significance value of the second period p=0.791 (p>0.05). The value stated there was no significant difference before treatment. Differential Test of Lactic Acid Level Reduction after treatment in between the Two Periods with Paired sample t-test showed that p=0.00 (p<0.05) which means that the two periods have a significant difference. When viewed from the average difference before and after sport massage treatment was 4.1000 ± .77763 mmol/L, while the difference before and after active resting treatment was 2.8828± .53714mmol/L can be concluded that the sport massage treatment is more effective in reducing levels of lactic acid compared to active rest. Conclusion: Sport massage and active rest can both reduce levels of lactic acid, but sport massage is more effective than active rest. Suggestion: The suggenstion in this study is that the trainers are expected to be able to provide a good recovery method after the athlete has done the exercise. Keywords: Fatigue, Sports Massage, Lactic Acid
PERBEDAAN PENGARUH BACK STRENGTHENING EXERCISE DAN PILATES EXERCISE TERHADAP AKURASI TENDANGAN PADA PEMAIN SEPAK BOLA
Deasy Virka Sari;
I Putu Gede Adiatmika;
M. Ali Imron;
Ni Wayan Tianing;
Anak Agung Sagung Sawitri;
S. Indra Lesmana
Sport and Fitness Journal Volume 7, No.2, Mei 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana
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DOI: 10.24843/spj.2019.v07.i02.p04
Background: Kick accuracy is a person's ability to control free movements against a target. Kick accuracy are influenced by core muscles, concentration and dynamic balance. Back strengthening exercise and Pilates exercise was given by the researcher to improve the accuracy of kicking among soccer players. Purpose: The difference effect of back strengthening exercise and Pilates exercise on kick accuracy among soccer players. Methods: This study was quasi-experimental with a pre-test and post-test group design. There were 22 subjects divided randomly into 2 groups. Group I with back strengthening exercise and group II Pilates exercise. Exercise was given 3 times a week for 5 weeks. Kick accuracy measurement tool used plywood target measurement. Result: research shows that the intervention that was given to groups I and II could improve kick accuracy in soccer players. The effect test are using paired sample t-test in group I with mean pre and post test, obtained (p=0.004) and in group II obtained (p=0.011). The different test among two groups are using independent sample t test with post treatment data in each group, obtained (p=0.100). Conclusion: There is no difference in the effect between giving back strengthening exercise and Pilates exercise to the accuracy of kick on the soccer player.
KEBUGARAN FISIK SISWA RETARDASI MENTAL RINGAN SEKOLAH DASAR LUAR BIASA KUNCUP BUNGA DENPASAR LEBIH TINGGI SESUDAH MELAKUKAN PELATIHAN SENAM PINGUIN DARI PADA SENAM RIA ANAK INDONESIA
I Putu Eka Jaya;
Nyoman Mangku Karmaya;
Made Jawi;
Wayan Weta;
Ida Bagus Ngurah;
Anak Agung Sagung Sawitri
Sport and Fitness Journal Volume 6, No.2, Mei 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana
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DOI: 10.24843/spj.2018.v06.i02.p07
Physical fitness is ability to perform the activity or activities without feeling tired excessively. Physical fitness associated with a person`s organs to carry out its tasks properly every day without experiencing significant fatigue. In a child’s mental retardation with a les mobile lifestyle that will affect his physical fitness. The purpose of this study to determine which type of gymnastic exercise better to the physical fitness on the students in Sekolah Dasar Luar Biasa Kuncup Bunga Denpasar.This research used experimental method using Randomized study Pre and Post Test Group Design. The subjects in this study were students in Sekolah Dasar Luar Biasa Kuncup Bunga Denpasar. There were 18 students which is divided into two groups: group-1 is senam penguins and group-2 is senam ria anak Indonesia. Data were obtained after a six-week training analyzed by paired t-test and unpaired t-test.The results of physical fitness test before training with Senam Penguins was 23.39 ± 1.69 and the test results after the training was 27.87 ± 3.28. the physical fitness test in group-2 before training with Senam Ria anak Indonesia was 22.69 ± 1.76 and the results after training was 24.64 ± 2.11. Paired t-test in both group before and after training showed significant differences after training in group-1 and group-2 with a value of p > 0.05 with an increase in physical fitness test results of (19.15) in group-1 and (8.64) in group-2. The percentage increase physical fitness test results of group-1 with senam penguins is higher than those in group-2 with senam ria anak Indonesia.So we can conclude that the training of senam penguin in Sekolah Dasar Luar Biasa Kuncup Bunga Denpasar improved the physical fitness test results higher than senam ria anak Indonesia.