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All Journal Jurnal Sewaka Bhakti Aesculapius Medical Journal
Anak Agung Oka Lely
Universitas Warmadewa
Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Other

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PROGRAM KEMITRAAN MASYARAKAT KELOMPOK IBU BAYI BERAT BADAN LAHIR RENDAH DI RSUD SANJIWANI GIANYAR Made Ayu Cynthia Windasari; Anak Agung Oka Lely; Ni Komang Rani Juli Antari; Made Dwi Mahendra
JURNAL SEWAKA BHAKTI Vol 7 No 2 (2021): Sewaka Bhakti
Publisher : UNHI Press

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Low Birth Weight (LBW) babies have 20-fold higher risk to develop complications of disease and mortality. This condition causes babies to be treated in the Neonatal Intensive Care Unit (NICU) for a long time. Sanjiwani Hospital is a referral center for East Bali Region which has NICU facilities and provide health services for LBW babies. Growth and development disorders often experienced by these babies. The interviews result with mothers who have LBW babies in Sanjiwani haspital, there are problems that they do not have good ability to care LBW babies, to providing nutrition and stimulation for support normal growth & development and also do not have stimulation tools. Based on these problems, we provide counseling, interactive dialogue, training to increase their knowledge and skills, and also supporting developmental stimulation tools to them. After counseling, there are an increase knowledge of LBW infant care, breastfeeding techniques, catch-up nutrition and infant development for about 82%. The improvement of partner skills in performing the kangaroo method, baby massage and developmental stimulation are also increase for about 88%. This increase is quite significant and reach the expected target
Gambaran Faktor Risiko Penyakit Demam Berdarah Dengue pada Anak di Wilayah Kerja Puskesmas Tabanan I Desak Agung Indah Praharsini Dewi; Anak Agung Oka Lely; Sri Agung Aryastuti
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Dengue hemorrhagic fever (DHF) is one of the most concerning infectious disease problems. Tabanan regency has one of the highest case fatality rate (CFR) of dengue hemorrhagic fever with the Tabanan sub-district having a relatively high increase on 2018 – 2019 period. DHF tends to affect children and increasing its mortality rate. There are several risk factors contributing to the higher incidence of DHF such as human as its host-related risk factors, mosquito as its vector-related risk factors, and the environment itself as one of the risk factors. This study used descriptive methods with cross sectional study design. The data collected in this study is primary data gathered by questionnaire on October – Desember 2021. The subject were children under the age of 18 years in the Puskesmas Tabanan I with criteria qualified, as many as 90 peoples. Univariative sampling by frequency distribution table as its data analysis method. The result of this study indicates that the majority of the dengue hemorrhagic fever cases occurs in the age group of 10-14 years old (35,42 %) and occur mostly in men (58,33 %). Regarding host-related risk factors, children with more outdoor activity (68,75 %) and infrequent us of mosquito repellent (77,09 %) were associated with higher incidence of DHF and regarding the “PSN” activity, higher incidence was found in children/family with habitual garbage cleaning of only once in two weeks (95,82 %), keeping their garbage uncovered (66,67 %), and never recycled their garbage (50 %). Most of the children with DHF rarely used abate in their bathroom(68,75%) and not having the habit of hanging their clothes in the room (64,58 %). From the results of this study, it is hoped that it can give special attention to groups at risk and be used as a reference for further research.
Karakteristik Pasien Diare Anak Umur 2-5 Tahun di Rumah Sakit Umum Daerah Wangaya, Denpasar Ida Ayu Putu Pradnya Dewi; Anak Agung Ayu Lila Paramasatiari; Anak Agung Oka Lely
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Diare adalah buang air besar dengan frekuensi lebih sering dari biasanya (empat kali atau lebih) dalam sehari dan dapat disertai dengan perubahan konsistensi feses menjadi cair dengan atau tanpa lendir dan darah yang berlangsung kurang dari satu minggu. Berdasarkan data Riskesdas 2018 kejadian diare pada balita tertinggi di Kota Denpasar yakni sebesar 352 kasus. Berdasarkan data Rumah Sakit Umum Daerah (RSUD) Wangaya, Denpasar tahun 2018, penyakit diare termasuk ke dalam 10 besar penyakit terbanyak dan menempati urutan pertama yaitu dengan 842 kasus. Tiga faktor yang dapat mempengaruhi terjadinya diare, yaitu berdasarkan jenis kelamin, status gizi, serta imunisasi campak. Penelitian ini merupakan penelitian deskriptif dengan desain penelitian cross sectional. Pengumpulan data menggunakan data sekunder dari rekam medis pasien. Subjek dalam penelitian ini adalah sebanyak 106 orang pasien diare anak umur 2 - 5 tahun di Rumah Sakit Umum Daerah Wangaya, Denpasar. Analisis data dilakukan secara univariat dengan tabel distribusi proporsi. Hasil penelitian ini menunjukkan bahwa anak yang paling sering terjangkit penyakit diare adalah jenis kelamin laki-laki dengan presentase (54,7%) dibandigkan anak perempuan (45,3%). Presentase berdasarkan status gizinya, anak yang memiliki status gizi baik (46,2%) lebih dominan terjangkit penyakit diare dibandingkan gizi buruk (5.7%), serta berdasarkan riwayat imunisasinya, anak yang sudah mendapatkan imunisasi campak (95,3%) juga bisa terjangkit penyakit diare
Karakteristik Penderita Pneumonia Usia 1-59 Bulan yang Dirawat Inap di Rumah Sakit Made Kristya Pitaloka Gangga Dewi; Anak Agung Oka Lely; Anak Agung Ayu Lila Paramasatiari
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Pneumonia is an acute infectious ailment affecting the pulmonary parenchyma and caused by bacteria, viruses, or fungi. Denpasar stood out among the regions in Bali with the highest occurrence of pneumonia cases among children below the age of five, with a total of 631 individuals in 2021. The aim of this research is to establish the attributes of hospitalized pneumonia patients aged 1 to 59 months at Surya Husadha General Hospital Denpasar from 2020 to 2022. This study adopts a descriptive approach with a cross-sectional design. Data were procured through the utilization of complete sampling technique, involving 81 patients medical records. The results showed that the majorities of pneumonia patient were aged 1 - 23 months as many as 42 children (51.9%), 48 children (59.3%) were male, and 69 children (85.2%) had good nutritional status. All toddlers who became research subjects had received complete basic immunization, 90.1% of them were categorized as pneumonia and 67.9% of toddlers underwent hospitalization with a lengths of stay of more than five days. This indicates that toddlers with pneumonia who were hospitalized were mostly <2 years old, male, with good nutritional status, and had received complete basic immunization. Most toddlers did not suffer from severe pneumonia with an average length of stay of 5 days.
Hubungan antara Kadar Hemoglobin dengan Terjadinya Kejang Demam pada Anak Usia Balita Ruri Diptaswari Pratiwi; Anak Agung Oka Lely; Ni Made Hegard Sukmawati
AMJ (Aesculapius Medical Journal) Vol. 3 No. 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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[The Relationship Between Hemoglobin Levels With The Occurrence Of Fever Seizures In Toddler Age Children] Febrile seizures are neurological disorders commonly found in children. This disease can be caused by the level of hemoglobin. If the hemoglobin level is low, it can cause anemia. Anemia has an impact on decreasing the power of oxygen transportation to the tissues which disrupts the stability of the nerve cell membranes and triggers seizures. The purpose of the study was to find out the correlation of hemoglobin levels with the emergence of febrile seizures that attacked children under five years old at the Sanjiwani Hospital, Gianyar Regency for the 2017-2019 period. This study used secondary data obtained from the patient's medical history, with a cross-sectional design. The total sample is 96 respondents, obtained by simple random sampling. With statistical analysis, there was no significant difference regarding gender (p=0.636) and age (p=0.619) between the febrile seizure group and the febrile group without seizures. Unpaired t-test results show that the mean hemoglobin level in subjects with febrile seizures is 10.71gr/dl, whereas in subjects with fever without seizures, the average hemoglobin level is 12.02g/dl. This difference was statistically significant (p<0.001). In this study, the relationship between low Hb levels and the incidence of febrile seizures was analyzed. With the chi-square test (χ2), there was a significant correlation between patients with low Hb levels (Hb < 11 g/dl) and the occurrence of febrile seizures (p < 0.001, RP = 2.1 CI 1.531-2.893). It can be concluded in this study that there is a correlation between hemoglobin levels and the occurrence of febrile seizures that attack children under five years old at the Sanjiwani Hospital, Gianyar Regency. Keywords : febrile seizures, children under five, hemoglobin
Co-Authors Anak Agung Ayu Lila Paramasatiari Anak Agung Ayu Lila Paramasatiari Desak Agung Indah Praharsini Dewi Hegard Sukmawati, Ni Made Ida Ayu Putu Pradnya Dewi Made Ayu Cynthia Windasari Made Dwi Mahendra Made Kristya Pitaloka Gangga Dewi Ni Komang Rani Juli Antari Ruri Diptaswari Pratiwi Sri Agung Aryastuti