Articles
<![CDATA[Perceptions dynamics about antiretroviral treatment among HIV patients in Bali ]]>
<![CDATA[Anak Agung Sagung Sawitri]]>;
<![CDATA[I Nyoman Sutarsa]]>;
<![CDATA[Tuti Parwati Merati]]>;
<![CDATA[Made Bakta]]>;
<![CDATA[Dewa Nyoman Wirawan]]>
<![CDATA[ International Journal of Public Health Science (IJPHS) Vol 10, No 3: September 2021 ]]>
Publisher : <![CDATA[Intelektual Pustaka Media Utama ]]>
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DOI: 10.11591/ijphs.v10i3.20917
<![CDATA[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.]]>
<![CDATA[PENYULUHAN MENGENAI RABIES PADA SISWA SLTP KERTHA WISATA DI DESA TARO KECAMATAN TEGALALANG, KABUPATEN GIANYAR ]]>
<![CDATA[Ayu Kartika Sari]]>;
<![CDATA[I N. Sutarsa]]>;
<![CDATA[P. Aryani]]>;
<![CDATA[L. Seri Ani]]>;
<![CDATA[M. Dharmadi]]>
<![CDATA[ Buletin Udayana Mengabdi Vol 11 No 1 (2012): Volume 11 No.1 – April 2012 ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian kepada Masyarakat ]]>
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<![CDATA[The incidence of dog bite in Gianyar regency is tending to be increased for last two months. Based on the field observation and interview with some people in Taro Village, we may conclude that Taro Village has the high of dog population which are distributed in all area. Most of the people living there are keeping the dogs free. This is an indication the low level of community awareness regarding the risk of rabies transmission. This program is aimed to increase the level of knowledge and to increase the awareness of the community in Taro, especially high school youth regarding rabies transmission and an effort to prevent its transmission. Furthermore, they are expecting to be conducted the prevention activity for both family and community level. This program was conducted on Saturday, 18th of September 2010 with total participants were 56 students. They seemed very enthusiastic during the education program, especially when they watched the movie of rabies. Pre and post test were applied to evaluate the program effectiveness in increasing the level of knowledge of the students. The result shows that their level of knowledge are increased (21,4% participants had a good knowledge at pre test and 98,2% participants at post test). We may conclude that the program is well accepted and effective to improve the level of knowledge of the students.]]>
<![CDATA[PENGARUH TERAPI BEKAM TERHADAP TEKANAN DARAH PASIEN HIPERTENSI ESENSIAL DI RUMAH BEKAM DENPASAR MEI-JUNI TAHUN 2014 ]]>
<![CDATA[Bahar Sangkur G]]>;
<![CDATA[Dini Nurmuharomah]]>;
<![CDATA[Inge Nandya]]>;
<![CDATA[Ni Putu Diah]]>;
<![CDATA[Nurtyana Utami]]>;
<![CDATA[I Nyoman Sutarsa]]>
<![CDATA[ E-Jurnal Medika Udayana Vol 5 No 9 (2016): E-jurnal medika udayana ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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<![CDATA[Bekam adalah terapi yang bertujuan membersihkan tubuh dari darah yang mengandung toksin dengan penyayatan tipis atau tusukan-tusukan kecil pada permukaan kulit. Sejauh ini berkembang kepercayaan masyarakat khususnya umat Islam bahwa bekam dapat digunakan sebagai terapi hipertensi, hal ini dikarenakan bekam merupakan terapi yang dianjurkan Nabi Muhammad saw yang dapat mengatasi berbagai macam penyakit. Namun, hingga saat ini data obyektif tentang hal ini belum banyak diteliti lebih jauh. Oleh karena hal tersebut, penelitian ini dilakukan dengan tujuan untuk menggambarkan dampak terapi bekam terhadap penurunan tekanan darah pada pasien hipertensi esensial yang menjalani bekam di Rumah Bekam Denpasar dengan menggunakan pendekatan deskriptif kuantitatif. Penelitian ini melibatkan 27 sampel penelitian yang berlangsung pada bulan Mei sampai Juni 2014. Dilakukan pengukuran tekanan darah sebelum dan sesudah bekam dengan menggunakan dua jenis tensimeter yang berbeda untuk meminimalisir bias. Hasil yang didapatkan pada penggunaan tensimeter digital menunjukkan rata-rata penurunanan tekanan darah sistole sebesar 8,54 mmHg dan diastole sebesar 5,53 mmHg. Sedangkan pada penggunaan tensimeter air raksa, penurunan rata-rata tekanan darah sistole 7,44 mmHg dan diastole 4,59 mmHg. Kesimpulan pada penelitian ini menunjukkan bahwa bekam dapat menurunkan tekanan darah pada pasien hipertensi.]]>
<![CDATA[Prediktor immunological failure pada pasien HIV/AIDS di Yayasan Kerti Praja, Bali : studi kohort retrospektif ]]>
<![CDATA[Ni Putu Ayu Astri Prana Iswara]]>;
<![CDATA[I Nyoman Sutarsa]]>;
<![CDATA[Anak Agung Sagung Sawitri]]>
<![CDATA[ E-Jurnal Medika Udayana Vol 7 No 3 (2018): E-Jurnal Medika Udayana ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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<![CDATA[The occurrence of immunological failure (IF) in HIV/AIDS patients undergoing antiretroviral treatment at clinic Kerti Praja Foundation (YKP) Bali has never been evaluated. This study aimed to determine predictors of the occurrence IF in HIV/AIDS patients undergoing antiretroviral therapy. This study was an observational study with retrospective cohort design that used secondary data. Secondary data was obtained from medical records of 549 HIV/AIDS patients undergoing antiretroviral therapy in 2002-2012 period in YKP. The majority of patients in YKP are female sex workers, injecting drug users (IDUs), homosexual and bisexual. This study analyzes sociodemographic and clinical predictors influence on the IF. Analysis data using univariate, bivariate (chi-square) and multivariate was conducted. Only 205 patients of the total data that was eligible for analysis. A total of 61.0% of population are men with the dominant age 18-32 years (63.9%), and 13.7% experienced IF.. Multivariate analysis of the sexes, the supervisor taking medication, transmission lines infected with opportunistic infection, and CD4 counts baseline, showed only CD4 counts baseline variable is significant as a predictor of the occurrence IF. The results of this study indicate that baseline of CD4 counts plays an important role in the success of antiretroviral therapy in HIV / AIDS patients. Keywords: HIV/AIDS, ARV therapy, immunological failure, kerti praja foundation]]>
<![CDATA[PENGALAMAN REMAJA PUTRI SELAMA KEHAMILAN DI WILAYAH KERJA PUSKESMAS KLUNGKUNG I ]]>
<![CDATA[Monica Monica]]>;
<![CDATA[I Nyoman Sutarsa]]>
<![CDATA[ E-Jurnal Medika Udayana vol 4 no 10(2015):e-jurnal medika udayana ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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<![CDATA[EXPERIENCE OF YOUNG WOMEN WITH PREGNANCY IN KLUNGKUNG I PRIMARY HEALTH CARE COVERAGEThe high proportion of pregnancies at an early age greatly impact in the field of health and social teenagers. Visits cases of pregnant women with age less than 20 years in the health center Klungkung I kept popping with proportion range of 3.9% -5.17% per year since 2010. This research was conducted to find out how young women experience during pregnancy in Puskesmas Klungkung I. This study used a qualitative descriptive research design. Samples were selected purposively. Data were collected through interviews. Analysis of data using thematic analysis method. Research conducted at the health center first Klungkung on August 7 to September 6, 2014. A total of 6 respondents follow research by the characteristics of the age of 17, 18, 19 years with the last education elementary, junior high and high school. The results showed young women experiences during pregnancy were diverse and depend on the situation experienced by each adolescent. How young women to learn first pregnancy affects young women experience, personal stress, self-confidence and social pressure during pregnancy. Experience of adolescents is diverse and influenced by how the situation of young women learn their first pregnancy.]]>
<![CDATA[GAMBARAN PENGETAHUAN DAN PERILAKU PENGGUNAAN ALAT PELINDUNG DIRI PADA PENGRAJIN DI DESA TEGALLALANG, GIANYAR TAHUN 2015 ]]>
<![CDATA[I Putu Surya Abidharma]]>;
<![CDATA[I Nyoman Sutarsa]]>
<![CDATA[ E-Jurnal Medika Udayana vol 4 no 9(2015):e-jurnal medika udayana ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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<![CDATA[DESCRIPTION OFKNOWLEDGEANDBEHAVIORINUSEPERSONAL PROTECTIVE EQUIPMENT FORCRAFTSMEN IN TEGALLALANGVILLAGE ,GIANYAR2015Tegallalang Village,Gianyar is known as the producer of handicrafts include wood crafts, paintings, handmade glass and other crafts. Based on the data obtained from the Public Health Unit Tegallalang I in 2012, 2013 and 2014, the case of accidents which consists of work accidents tend to increase. The use of personal protective equipment (PPE) is expected to minimize accidents arising out of work. This study aimed to determine the knowledge and behavior of the use of PPE. This study used a descriptive cross-sectional design with, the sample in this study were the craftsmen in the districtTegallalang, a sample size of 100 people.Results obtained most respondents description of knowledge about the time of use, usefulness and impact when not using PPE is good, more than 50% of respondents knew the use or benefit of the use of PPE, more than 80% of respondents already knew the impact if not using PPE. The overall behavior of the use of PPE was poor with only 13% of respondents always use PPE which in this week is the most widely used mask (15%). It could be concluded that the knowledge of the use of PPE was good but the behavior in the use of PPE was still low.]]>
<![CDATA[Pengaruh Terapi Bekam Terhadap Tekanan Darah Pasien Hipertensi Esensial di Rumah Bekam Denpasar Mei-Juni Tahun 2014 ]]>
<![CDATA[Bahar Sangkur G Sangkur G]]>;
<![CDATA[Dini Nurmuharomah]]>;
<![CDATA[Inge Nandya]]>;
<![CDATA[Ni Putu Diah]]>;
<![CDATA[Nurtyana Utami]]>;
<![CDATA[I Nyoman Sutarsa]]>
<![CDATA[ E-Jurnal Medika Udayana Vol 6 No 11 (2017): E-Jurnal Medika Udayana ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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<![CDATA[Cupping is a therapy that aims to rid the body of blood containing toxins by slicing thin or small punctures on the skin surface. So far growing public confidence especially Muslims that cupping could be hypertension therapy based on reason that cupping was the recommended therapeutic from Prophet Muhammad can cope with various diseases. However, nowadays, there is not may evidence based data that support this matter. Regarding of this matter, the study was conducted with the aim to illustrate the impact of cupping therapy on reduction of blood pressure in patients with essential hypertension who underwent cupping at Rumah Bekam Denpasar by using quantitative descriptive approach. This research involving 27 samples from May until June 2014. The blood pressure measurements were taken before and after cupping using two different types of sphygmomanometer to minimize bias. The result showed that there is a decrease in blood pressure in hypertensive patients undergoing cupping, where the use of digital sphygmomanometer blood pressure decrease of 8.54 mmHg for systole and 5.53 mmHg for diastole. While the use of mercury sphygmomanometer, a decrease in blood pressure were obtained at 7.44 mmHg for systole and 4.59 mmHg for diastole. Conclusion on this study showed that cupping can decrease the blood pressure on patients with hypertension. Keyword : Cupping, hypertension, blood pressure reduction]]>
<![CDATA[COVID-19 Pandemic: Opportunity to Accelerate e-Health in Indonesia ]]>
<![CDATA[Nyoman Sutarsa]]>;
<![CDATA[Putu Ayu Swandewi Astuti]]>;
<![CDATA[Melinda Choy]]>;
<![CDATA[Malcolm Moore]]>
<![CDATA[ Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020) ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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DOI: 10.53638/phpma.2020.v8.i1.p01
<![CDATA[The COVID-19 pandemic has catalysed the transformation of health care provision across the globe, including Indonesia. However, adopting and implementing e-health technologies in health care system has to be done gradually with careful planning and assessment to minimise negative consequences and to ensure equity. Strategies are required to address availability of basic infrastructure, broadband internet access, health system preparedness and acceptability from the community and health professionals. Promoting e-health also means transforming the overall landscape of health systems and the societal culture around health-seeking behaviour. It will not happen overnight, it takes time and substantial investment; but the process has to start now to leverage the ‘magic’ momentum presented by the COVID-19 pandemic.]]>
<![CDATA[KESIAPAN PETUGAS PUSKESMAS RENDANG DALAM MENGIMPLEMENTASIKAN PROGRAM JAMINAN KESEHATAN NASIONAL(JKN) KABUPATEN KARANGASEM BALI 2014 ]]>
<![CDATA[Darma Putra Suryapranata]]>;
<![CDATA[Nyoman Sutarsa]]>
<![CDATA[ Intisari Sains Medis Vol. 3 No. 1 (2015) ]]>
Publisher : <![CDATA[DiscoverSys Inc. ]]>
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DOI: 10.15562/ism.v3i1.68
<![CDATA[Efforts to health insurance program for the community actually were pioneered by the government by some forms of social security in the health sector. In 2004, Issued the act no.40 about national social security system that regulates about the implementation of national health insurance (NHI) through a social insurance agent. The purpose of this research is to find readiness of primary health care officers rendang karangasem to implement it. Phenomenology design is used in descriptive qualitative research. Number of samples were 5 people, With the criteria of accuracy and validity of information obtained. This research were done for about 2 months, started from Februari until March 2014. Based on the result obtained discerned from the aspect of quality and quantity, from the perspective of puskesmas officers factors is considered sufficient human resources and infrastructure. Human resources is main pillars supporting areas and locomotion the organization. Good human resources, will become a strong pillars in implementing it. The building and an ambulance as infrastructure supporting the program implementation puskesmas and of these, is considered to be is quite sufficient from the perspective of puskesmas officers rendang.]]>
<![CDATA[The correlation between demography and clinical status based on WHO staging in MSM HIV patients at Bali Medical Centre ]]>
<![CDATA[Dhanesh Sukumar Nair]]>;
<![CDATA[I Nyoman Sutarsa]]>;
<![CDATA[A A Sagung Sawitri]]>;
<![CDATA[Komang Ayu Kartika Sari]]>
<![CDATA[ Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019) ]]>
Publisher : <![CDATA[DiscoverSys Inc. ]]>
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DOI: 10.15562/ism.v10i2.202
<![CDATA[Background: HIV stands for human immunodeficiency virus which is in the category of lentivirus (a subgroup of retrovirus) that causes HIV infection and can lead to acquired immunodeficiency syndrome (AIDS). HIV affects specific cells of the immune system, called CD4 cells, or T cells. Over time, if left untreated, HIV can destroy so many of these cells that the body would not be able to fight off infections and disease. However, with proper medical care, HIV can be controlled. Treatment for HIV is called antiretroviral therapy (ART). It involves taking a combination of HIV medicines (called an HIV regimen) every day. Today, a person who diagnosed with HIV before the disease is far advanced and who gets and stays on ART can live a nearly normal lifespan.Aim: This study aims to investigate and analyze the predictors that influence WHO staging of homosexual MSM HIV patients treated at the BMC hospital in Bali. Indonesia, and to determine the factors that lead to differences in the WHO staging in MSM patients with HIV.Method: This study used a retrospective cohort method using secondary data from BMC Hospital. The sample population for this research is MSM HIV patients treated at the BMC hospital in Bali. Using the total sampling method yielded 271 samples.Result and Conclusion: the HIV incidence is a serious matter in Indonesia. One of the underlying factors for the delayed diagnosis of HIV is the lack of knowledge about the improved prognosis of early ARV treatment and a fear of being stigmatized by the community. Increased availability of HIV testing at hospitals, combined with enhanced knowledge of the prognosis of HIV treatment among crucial affected population, and the community at large and may improve earlier testing.]]>
