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Luh Gede Pradnyawati
Universitas Warmadewa
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Faktor Risiko Stunting Balita pada Masa New Normal Covid-19 di Puskesmas Sukawati I Kabupaten Gianyar, Bali Dina Indira Amrita Dewi; Luh Gede Pradnyawati; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.179-188

Abstract

[Risk Factors For Stunting In Toddlers At The New Normal Covid-19 Period At Puskesmas Sukawati I Gianyar District, Bali] Stunting is a growth problem due to lack of optimal nutrition. The world is facing the global COVID-19 pandemic affecting the increase in stunting cases because the fulfillment of basic and standard nutrition cannot be implemented during the pandemic. Because of this, eradicating stunting is one of the important agendas in the health sector in the era after the COVID-19 pandemic (new normal). The diagnosis of stunting is obtained if the Z-score of the length or height of the body to age is less than -2 SD (Standard Deviation) according to the World Health Organization (WHO) growth curve. The data for this study were obtained through direct clinical height measurements and filling out questionnaires. This study involved 60 children consisting of 30 children with stunting and 30 children without stunting. The results of the Chi-Square analysis showed that the low birth weight factor had a p-value of 0.002 which had a significant effect on stunting conditions with an OR value of 5,500 considered to be at greater risk of stunting (95% CI = 1,813 - 16,681), exclusive breastfeeding (p-value 0.003) had a significant effect on stunting with an OR value of 5,741 (95% CI = 1,724 - 18,994) considered to be at greater risk of stunting, feeding patterns (p-value 0.004) had a significant effect on stunting, an OR value of 4,929 (95% CI = 1,612 - 15,071) was considered to be at greater risk of stunting, utilization of health services (p-value 0.003) had a significant effect on stunting, an OR value of 5,231 (95% CI = 1,657 - 16,515) was considered to be at greater risk of stunting, and history of infectious diseases The value (P-value 0.002) has a significant effect on stunting with an OR value of 6,000 (95% CI = 1,890 - 19,043) is considered to be more at risk of stunting. So it is concluded that the risk factors for stunting during the new normal period of COVID-19 at the Sukawati 1 Health Center, Gianyar, Bali with a p value <0.05 which shows a significant relationship between exclusive breastfeeding factors, feeding patterns, utilization of health services, and history of infectious diseases with the incidence of stunting.
Hubungan Dukungan Keluarga terhadap Kepatuhan Minum Obat Penderita Tuberculosis Paru di Wilayah Kerja UPTD Puskesmas Kuta Selatan Made Diah Padmawati; Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.217-227

Abstract

[The Relation between Family Support and Pulmonary Tuberculosis Drugs Compliance in Working Area of UPTD Puskesmas Kuta Selatan]. The high number of cases of pulmonary tuberculosis and the low success rate of treatment (success rate) caused by non-compliance with recommendations for taking medication can result in sufferers experiencing drug resistance. Family support is needed to ensure that sufferers take medication because the tuberculosis treatment process takes a long time so that the drug withdrawal rate can be reduced. The purpose of this research is to find out the family relationship to compliance with drug consumption in pulmonary tuberculosis victims in the working area of UPTD Puskesmas Kuta Selaran??. A cross-sectional design was used on 35 respondents using a sampling technique using consecutive sampling. Information was collected through the use of 2 types instruments, namely family support questionnaires and the Morisky Medication Adherence Scale-8 (MMAS-8) regarding adherence. The data collected was analyzed using univariate analysis and bivariate analysis using the chi square test. The results obtained that there was a relations between family support and drug compliance (? value=0.015, <0.05) and people through good family support are 9,500 times more compliant in taking medication than those with less support. Researchers recommend that health workers carry out outreach to increase family support with the target which not only affects the sufferer but also the family.
Hubungan Riwayat Atopi dengan Kejadian Dermatitis Kontak Akibat Kerja Pekerja Batik di Denpasar Barat Efrilia; Sayu Widiawati; Luh Gede Pradnyawati
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.287-292

Abstract

[The Correlation Between The History of Atopy with The Incidence of Occupational Contact Dermatitis on Batik Workers in West Denpasar] The skin is the largest and most comprehensive organ that protects the body from exposure to diseases from outside the body. Occupational contact dermatitis (OCD) is a condition of skin disorders caused by substances or processes in the work environment. A history of atopy is a hypersensitivity reaction due to exposure to foreign objects in the environment that tends to be inherited or genetic. This study aims to determine the relationship between atopy history and the incidence of occupational contact dermatitis in batik workers in the West Denpasar sub-district. The research design was analytically observational with a cross-sectional approach conducted in 19 batik industries in the West Denpasar sub-district in June 2021. The number of research samples obtained was 108 people using consecutive sampling techniques. Data was collected by filling out a questionnaire through interviews. The results showed that 29 people (26.9%) experiencing OCD and 61 (56.5%) had a history of atopy. Based on this data, for batik workers who have a history of atopy, 21 people (17.0%) experience OCD, and 40 people (83.0%) do not experience OCD. In batik workers who do not have a history of atopy, 8 people (34.3%) experience OCD, and 39 workers (65.6%) do not experience OCD. The results of the bivariate analysis showed that there was a significant relationship between atopy history and the incidence of occupational contact dermatitis in batik workers in the West Denpasar sub-district (p-value = 0.043; PR = 2.023; 95% CI = 1.014-6.461). The conclusion is that there is a significant relationship between the history of atopy and the incidence of occupational contact dermatitis in batik workers in the West Denpasar sub-district.
Hubungan Tingkat Pengetahuan Ibu Tentang Gizi dengan Kejadian Stunting Balita 12-59 Bulan di Wilayah Kerja Puskesmas Tegallalang 1 Ni Made Ayu Novita Anugerah; Luh Gede Pradnyawati; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.275-281

Abstract

[The correlation between mother’s knowledge regarding nutrition with the prevalence of stunting among children aged 12-59 months within the area of Tegallalang I Primary Health Centre] Stunting is condition when a toddler exhibits a height or length that falls below the median standard growth set by WHO, with a deviation of more than minus two standard deviations. Stunting arises due to chronic malnutrition during the initial 1000 days of a child's life. The main aims of this research are to establish the correlation between the level of maternal comprehension regarding nutrition and the occurrence of stunting among toddlers aged 12-59 months within the jurisdiction of Tegallalang I Primary Health Centre, Gianyar Regency. The research methodology applied for this investigation is a quantitative analytical study with a case-control designs. The total sample size were 96 respondents, evenly divided between 48 cases and 48 controls. The sample technique employed is consecutive sampling for the control group and total sampling for the case group. The sampling methods was consecutive sampling to ensuring the inclusion of all qualifying subjects in attained the required sample size. Data were gathered through the assessment of height or length measurements and the completion of questionnaires. Data were analysed used chi-square analysis to examine the relationship between the mother’s knowledge of nutrition and stunting prevalence. The findings indicated a significant correlation betweens the mother knowledge about nutrition and the occurrence of stunting, with a significance level of < 0.001. As a result, mothers with inadequate nutritional knowledge may contribute to an increased risk of stunting in toddlers, as those with less knowledge experienced a 19.35-fold rise in stunting cases among toddlers aged 12 untill 59 months within the working area of Tegallalang I Primary Health Centre.
Hubungan Antara Rinitis Alergi dengan Kualitas Hidup pada Mahasiswa FKIK Universitas Warmadewa Anak Agung Gede Ngurah Agung Kesumaputra; Luh Gede Pradnyawati; I Wayan Suwandara
Aesculapius Medical Journal Vol 5 No 1 (2025): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.5.1.2025.31-39

Abstract

Allergic rhinitis one of allergic disease that has a high prevalence in the world, 400 million people suffer from allergic rhinitis, while in Indonesia the number is 24.3% of the total population.The purpose of this study was to determine the corelation between allergic rhinitis and quality of life in students at the Faculty of Medicine and Health Sciences, Warmadewa University. The analysis of this study uses cross sectional approach. The sampling technique used random sampling and of 49 sample size.  The instruments research used the SFAR questionnaire to assess allergic rhinitis and the WHOQOL-BREF questionnaire to assess quality of life. Data processing will be carried out using SPSS with bivariate analysis. There were total of 49 respondents who met the inclusion criteria. Majority of respondents had a previous history of allergic rhinitis (93.9%) with moderate quality of life (91.8%) and the other (8.2%) with high quality of life. The enviromental doimain was recorded with a high quality of life level of 10.2%, while the lowest quality of life was in the social domain. There was no corelation between allergic rhinitis and quality of life (p = 0.582, r = 0.081). The age of the majority of students with allergic rhinitis is in accordance with the atopic march theory where allergic rhinitis reaches its peak at the age of 20-40 years. Several previous studies also found that the most common symptom of a runny nose is that the most common trigger is house dust mites which have a habitat in urban areas. However, this study did not find a corelation between allergic rhinitis and quality of life, which may be due to student factors, research instruments that cause bias, and smaller study samples.  
Program Kemitraan Masyarakat Kelompok Pekerja di Rumah Sakit Umum Prima Medika Made Indra Wijaya; Luh Gede Pradnyawati; I Made Aditya Mantara Putra
Warmadewa Minesterium Medical Journal Vol. 2 No. 2 (2023): Mei 2023
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.2.2.2023.91-96

Abstract

Sepanjang tahun 2022, kasus COVID-19 masih dilaporkan terjadi di Bali, tetapi jumlah kasus dan tingkat keparahannya sudah tidak mengkhawatirkan lagi seperti tahun-tahun sebelumnya. Bali sudah terbuka untuk wisatawan, baik wisatawan domestik maupun wisatawan internasional. Pariwisata mulai bangkit dan perekonomian pun berangsur-angsur pulih. Berbagai kegiatan, yang dikenal dengan sebutan MICE (meeting, incentive, conference, and exhibition), marak diselenggarakan di Bali. MICE akan terus berlangsung hingga puncaknya pada pertemuan G20. Ubud, sebagai salah satu destinasi wisata di Bali, mulai bangkit. Tujuan program kemitraan masyarakat ini adalah mempersiapkan Rumah Sakit Umum Prima Medika untuk membuka klinik wisata (travel clinic), yaitu dengan memberdayakan kelompok pekerja sesuai dengan latar belakang mereka. Mitra pengabdiam masyarakat adalah kelompok pekerja, yang meliputi kelompok klinis dan non klinis. Kelompok klinis meliputi dokter umum, perawat, dan apoteker; sedangkan kelompok non klinis terdiri dari staf administrasi dan pemasaran. Mula-mula dilakukan telusur lapangan, telusur dokumen, dan wawancara kelompok pekerja untuk mendapatkan gambaran umum tentang pelayanan terhadap wisatawan yang sedang berjalan, sehingga masukan atau saran yang diberikan sesuai dengan keadaan di lapangan. Dari analisis situasi tersebut didapatkan bahwa praktik kedokteran pariwisata belum mengacu pada standar internasional. Selain itu, kelompok pekerja juga belum paham tentang kode etik rumah sakit sebagaimana yang ditetapkan oleh Perhimpunan Rumah Sakit Seluruh Indonesia (KODERSI). Berdasarkan hasil analisis tersebut, selanjutnya dilakukan bimbingan teknis kesehatan pariwisata dengan mengacu pada kerangka keilmuan yang dipublikasikan oleh The National Travel Health Network and Centre (NaTHNaC) bagi kelompok pekerja klinis dan KODERSI bagi kelompok pekerja non klinis.
PKM Kesehatan Pekerja Seks Perempuan dalam Penanggulangan IMS dan HIV/AIDS di Kecamatan Kuta, Kabupaten Badung Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Made Indra Wijaya; Komang Triyani Kartinawati
Warmadewa Minesterium Medical Journal Vol. 2 No. 2 (2023): Mei 2023
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.2.2.2023.97-102

Abstract

Bali adalah salah satu provinsi di Indonesia yang menjadi tujuan para traveler dari seluruh dunia, baik untuk berwisata, berbisnis, maupun bekerja yang rentan terhadap penyebaran dan penularan penyakit IMS dan HIV/AIDS. Lokalisasi Jalan Setia Budi adalah salah satu titik lokalisasi yang berada di Kecamatan Kuta, Kabupaten Badung. Lokalisasi ini sudah ada sekitar 10 tahun dan beroperasi 24 jam dan rentan penularan IMS dan HIV/AIDS. Minimalnya pengetahuan mitra PSP (Pekerja Seks Perempuan) mengenai penanggulangan IMS dan HIV/AIDS tersebut. Mitra yang dalam hal ini sebagai perpanjangan tangan dari tenaga kesehatan tidak memiliki gambaran mengenai pelaksanaan program penanggulangan IMS dan HIV/AIDS tersebut. Mereka tidak mengetahui hal-hal yang berbahaya dari IMS dan HIV/AIDS, faktor risiko, cara penularannya serta cara pencegahannya salah satunya adalah program VCT. Dengan terjadinya pandemi Covid-19 yang sudah berlangsung sejak 3 tahun lalu, membuat terjadinya penurunan pemasukan dari pelanggan yang berdampak pada perekonomian mereka. Sehingga mereka membutuhkan penghasilan tambahan selain dari memuaskan pelanggan. Dari permasalahan yang dihadapi, maka solusi yang dapat ditawarkan adalah melaksanakan focus group discussion mengenai pencegahan IMS dan HIV/AIDS dengan melibatkan mitra, mucikari dan PSP. Dari kegiatan ini telah meningkatkan pemahaman PSP serta orang-orang di sekitar lokalisasi mengenai pentingnya penanggulangan IMS dan HIV/AIDS. Peningkatan skill PSP melalui pelatihan bagi mitra dalam pembuatan APD seperti masker, handsanitizer, face shield. Pelatihan ini dilakukan untuk membantu PSP dalam mencari pemasukan tambahan selain bekerja di lokalisasi sehingga permasalahan perekonomian mereka terbantu di masa pandemi Covid-19. Kata Kunci : Pekerja seks perempuan, IMS, HIV/AIDS, Kecamatan Kuta
Pembinaan Ibu Balita dalam Pencegahan Stunting di Desa Kelusa, Payangan, Gianyar Komang Triyani Kartinawati; Luh Gede Pradnyawati; Ni Putu Diah Witari
Warmadewa Minesterium Medical Journal Vol. 2 No. 3 (2023): September 2023
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.2.3.2023.162-168

Abstract

Village of Kelusa is located in the district of Payangan, region of Gianyar, province of Bali. Geographically, the majority of Kelusa’s area is utilized for agriculture with irrigation as the water system. This agriculture is the source of local-based products for daily consumption of Kelusa’s population. Food security is one essential factor to prevent the nutritional disorder, such as in stunting. However, regarding the report from Public Health Office of Gianyar in the 2022, there was still 278 stunted toddlers (13,7%) and 173 stunted in below two years of age children (21,5%) in the area of Payangan. Through analysis and observation, there were some problems found in the village of Kelusa, including the lack of mother’s knowledge on stunting and its prevention, processing healthy weaning food, also preparing and serving weaning food to increase appetite when the child is sick. Regarding these problems, an empowerment was conducted to the community partners, which were the toddlers’ mothers, about stunting and its prevention, also the management of weaning food which is suited to the child’s age. The empowerment was integrated with the faculty students’ learning activites called Community Oriented Medical Education, in which every toddler’s family was accompanied by one faculty student continuously during the first 1000 days of life. After the health education was given, there was a 44% increase in post-test score compared to the pretest. Regarding this result, there was a significant rise of knowledge in toddlers’ mothers after the implementation of health education. Health promotion can give an impact in the mother’s knowledge about stunting, preventing stunting, and managing weaning food. These increase of knowledge and perspective would construct positive attitude and behavior in preventing stunting and managing healthy weaning food. The continuity of health education and workshop on the management of healthy weaning food to optimize the first 1000 days of life should be integrated to the community-based health effort (UKBM), such as in Posyandu and Poskesdes. Moreover, these programs can be implemented to the targeted population, such as pregnant mother and toddler’s mother, as well as the posyandu and village cadres to increase their competencies in preventing stunting on toddlers.
Penyuluhan Kader Dasawisma Mengenai Tertib Kelola Pangan dengan Metode Food Preparation di Masa Pandemi Covid-19 di Desa Dangintukadaya Ni Made Hegard Sukmawati; Anny Eka Pratiwi; Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita
Warmadewa Minesterium Medical Journal Vol. 3 No. 1 (2024): Januari 2024
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.3.1.2024.1-7

Abstract

Survey terhadap ibu-ibu PKK di Banjar Sebual, Desa Dangintukadaya, Kabupaten jembrana, diketahui bahwa permasalahan yang dihadapi oleh masyarakat selama pandemi Covid-19 adalah perekonomian dan kemampuan daya beli. Penurunan aktivitas pariwisata di Bali berimbas kepada budget pembelanjaan pangan bagi keluarga, dan penyediaan makanan bergizi dan seimbang. Adanya pembatasan sosial dan kekhawatiran akan risiko terinfeksi virus Covid-19 juga menyulitkan para ibu-ibu untuk berbelanja bahan pangan secara rutin. Kegitan Penyuluhan Tertib Kelola Pangan dengan Metode Food Preparation di Masa Pandemi Covid-19 bagi kader Dasawisma di Desa Dangintukadaya diharapkan mampu meningkatkan pengetahuan kader PKK di banjar ini mengenai kelola pangan selama masa pandemi. Pelaksanaan kegiatan dalam program ini meliputi presentasi materi, pemutaran video peraga, dan tanya jawab terkait dengan teknik Food prep. Evaluasi kegiatan dilakukan melalui evaluasi kehadiran, partisipasi aktif kader, pre-test dan post-test untuk mengukur pemahaman peserta terkait materi yang disampaikan. Hasil: berjalan dengan lancar dan peserta telah memiliki pengetahuan yang cukup untuk melakukan pengelolaan pangan dengan metode food preparation. Hasil evaluasi terhadap pengetahuan peserta terkait metode food preparation menunjukkan peningkatan pengetahuan yang terukur dari kenaikan rerata skor awal 22 (pre-test) menjadi 79 (post-test). Kepuasan peserta terhadap keberlangsungan program diukur secara kualitatif melalui penyampaian feedback dari peserta dan peserta menyatakan puas dengan kegiatan ini dan menyatakan manfaat dari informasi yang disampaikan.
Pelatihan pada Kader Posyandu dalam Deteksi Dini Perkembangan Balita Usia 0-2 tahun di Desa Bukian, Payangan Anny Eka Pratiwi; Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Made Indra Wijaya
Warmadewa Minesterium Medical Journal Vol. 3 No. 1 (2024): Januari 2024
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.3.1.2024.39-44

Abstract

Evaluasi perkembangan seorang anak dapat dilakukan melalui pemantauan pertumbuhan dan perkembangannya, yang dipengaruhi oleh interaksi antara faktor genetik dan lingkungan. Untuk meningkatkan berbagai aspek kecerdasan selama masa pertumbuhan dan perkembangan anak, diperlukan tidak hanya faktor keturunan dan rangsangan dari lingkungan, tetapi juga pemenuhan tiga kebutuhan utama: fisik, emosional, dan stimulasi dini. Kegiatan ini difokuskan pada kelompok Posyandu di Desa Bukian, Kecamatan Payangan, Gianyar, dengan tujuan melatih para kader dalam melakukan stimulasi dan deteksi dini terhadap potensi penyimpangan pada anak usia 0-2 tahun. Metode yang digunakan adalah community development, melibatkan 10 kader posyandu dan 5 anak berusia 0-2 tahun. Proses pelaksanaan melibatkan pelatihan kepada kader mengenai stimulasi dan deteksi dini tumbuh kembang bayi dan balita, diikuti dengan pengukuran dan penilaian tumbuh kembang anak. Dari 5 anak yang terlibat, 4 anak (80%) menunjukkan perkembangan "Sesuai," menunjukkan kemampuan baik dalam aspek motorik kasar, motorik halus, bahasa, dan kemandirian. Satu anak (20%) termasuk dalam kategori "Meragukan," sementara tidak ada yang tergolong dalam kategori "Penyimpangan." Pelaksanaan Program Deteksi Dini Perkembangan Anak dilakukan dengan tujuan memantau perkembangan anak dan mendeteksi potensi gangguan atau penyimpangan dalam perkembangan mereka. Implementasi program ini telah sukses, mencapai tingkat keberhasilan sebesar 100%.
Co-Authors Anak Agung Gede Ngurah Agung Kesumaputra Anny Eka Pratiwi Anny Eka Pratiwi Bayuningrat I Gusti Ngurah Made Cahyawati, Putu Nita Cokorda Istri Swandewi Puspasari Putri Cokorda Istri Swandewi Puspasari Putri Desak Putu Citra Udiyani Dina Indira Amrita Dewi Efrilia Gede Nengah Osa Jayadiningrat Gede Nengah Osa Jayadiningrat Hegard Sukmawati Hegard Sukmawati, Ni Made I Kadek Indra Partawiguna I Made Aditya Mantara Putra I Wayan Suwandara Kadek Dwitya Widi Adnyani Dwitya Kadek Dwitya Widi Adnyani Dwitya Komang Ayu Trisna Paramita Komang Ayu Trisna Paramita Komang Trisna Sumadewi Komang Triyani Kartinawati Krisna Adwitya Sanjaya Made Diah Padmawati Made Indra Wijaya Made Indra Wijaya Made Sudarjana Ni Kadek Elmy Saniathi Ni Luh Anik Puspa Ningsih Ni Made Ayu Novita Anugerah Ni Made Diaris Ni Made Diaris Ni Putu Diah Witari, Ni Putu Ni Wayan Rusni Panca Tri Pramana Panca Tri Pramana Pande Ayu Naya Kasih Permatananda Pandit I Gde Suranaya Putu Krisna Adwitya Sanjaya Putu Niara Vinayah Putu Niara Vinayah Putu Nita Cahyawati Ratna Juwita Sayu Widiawati Suyasaning Hastiko Indonesiani