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Strategi Penurunan Angka Stunting Melalui Peningkatan Ketahanan Pangan di Dusun Pengalusan Desa Ban Karangasem Masyeni, Sri; Permatananda, Pande Ayu Nayakasih; Mangku, I Gede Pasek; Dinar, I Gusti Ayu Agung Gita Pritayanti; Rajistha, I Gusti Ngurah Adi; Dewi, Saraswati Laksmi; Miyazawa, Naori
Jurnal Abdimas Kartika Wijayakusuma Vol 6 No 4 (2025): Jurnal Abdimas Kartika Wijayakusuma
Publisher : LPPM Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jakw.v6i4.723

Abstract

Stunting masih menjadi salah satu permasalahan kesehatan global yang perlu mendapat perhatian serius. Kondisi ini dapat bermula sejak masa kehamilan, berlanjut pada periode pertumbuhan anak, khususnya dalam 1000 hari pertama kehidupan. Penanggulangan stunting memerlukan pendekatan komprehensif yang menyasar berbagai faktor penyebabnya. Kegiatan pengabdian masyarakat ini bertujuan menekan prevalensi stunting di Desa Ban, Kecamatan Kubu, Kabupaten Karangasem, Bali. Metode yang diterapkan meliputi edukasi mengenai pencegahan dan penanganan stunting, praktik penyusunan menu bergizi seimbang melalui konsep “Isi Piringku”, serta penyaluran bantuan pangan berupa ayam buras, telur ayam, dan beras organik. Selain aspek kesehatan, kegiatan ini juga mencakup penyuluhan terkait perlindungan hukum bagi perempuan, pelatihan singkat Bahasa Inggris, serta pelatihan pembuatan pakan ternak ayam. Hasil kegiatan menunjukkan adanya peningkatan keterampilan ibu dalam menyiapkan makanan bergizi seimbang berbasis “Isi Piringku” sebesar 49,8%. Oleh karena itu, dukungan dan partisipasi masyarakat secara berkelanjutan sangat diperlukan untuk menurunkan angka kejadian stunting.
CHARACTERISTICS OF HYPERTENSION IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS Danti, Ida Ayu Mahari; Masyeni, Sri; Dewi, Saraswati Laksmi; Lestarini, Asri
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7871

Abstract

Hypertension in Chronic Kidney Disease (CKD) remains a global health issue, often presenting as resistant hypertension even with multiple antihypertensive medications. This study aims to describe the characteristics of hypertension in CKD patients undergoing hemodialysis at Sanjiwani Regional Hospital. A descriptive observational study with a cross-sectional design was conducted using secondary data from medical records of CKD patients with hypertension who underwent hemodialysis from January 2022 to December 2023, involving 100 patients. The study found that the highest proportion of hypertensive CKD patients were aged 46-65 years (60%), predominantly male (63%), with grade 1 hypertension (69%). The majority had CKD for ≥5 years (60%) and were taking ≤3 antihypertensive medications (72%). The commonly used antihypertensive drug class was calcium channel blockers (68%), with diabetes mellitus identified as the primary etiology (45%). Many CKD patients experience resistant hypertension, primarily affecting males aged 46-65 years.
CHARACTERISTICS OF PATIENTS WITH SNAKEBITES AT SANJIWANI HOSPITAL, BALI Nindyaswari, Raka Dyah; Masyeni, Sri; Dewi, Saraswati Laksmi; Juwita, Dewa Ayu Putu Ratna
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.8235

Abstract

Snakebites are a common occurrence in tropical regions, including Indonesia. This study aims to determine the demographic and clinical characteristics of patients bitten by snakes. It employs a descriptive, cross-sectional approach to analyze cases at Sanjiwani General Hospital. The sample includes all snakebite cases from January 2021 to December 2022, totaling 192 cases. The results indicate that the majority of snakebite incidents occurred in individuals aged 40-49 years (25.0%), predominantly among males (69.3%), and that most cases originated in Gianyar District (26.6%). The most frequently reported clinical symptom was pain (96.9%), with 91.1% of cases graded 2. Most patients did not experience complications (97.9%). Fang marks were the most common type of wound (96.9%), with the upper extremities being the most frequent bite site (51.6%). Laboratory examinations revealed that the average complete blood count was within the normal range, although prothrombin time (PT) and activated partial thromboplastin time (APTT) were prolonged. The treatments administered included antivenom (99.0%), Human Tetanus Immunoglobulin (94.3%), and antibiotics (99.5%). Notably, all patients in the study survived. The findings highlight the urgent need for targeted public health interventions to educate high-risk populations about snakebite prevention and the importance of seeking prompt medical treatment. Additionally, this study emphasizes the need for improved healthcare resources and training for medical personnel to manage snakebite cases effectively, thereby improving outcomes and reducing complications.
COMPARISON OF HBA1C LEVELS AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS WITH AND WITHOUT CHRONIC COMPLICATIONS AT BALI ROYAL GENERAL HOSPITAL Wulandari, Christina Nyoman; Atmaja, Kadek Surya; Masyeni, Sri Masyeni; Yudistira, Komang Aditya
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8188

Abstract

Diabetes mellitus (DM) remains a major public health problem globally. Glycated hemoglobin (HbA1c) is widely used to assess long-term glycemic control in type 2 diabetes mellitus (T2DM), and persistent poor control may precipitate chronic microvascular and macrovascular complications. However, HbA1c profiles among hospitalized T2DM patients with established chronic complications in tertiary referral settings are still limited. This study compared HbA1c values between hospitalized T2DM patients with and without chronic complications at Bali Royal General Hospital. A cross-sectional analytic observational study was conducted using 130 inpatient T2DM medical records from 2022–2024 obtained through consecutive sampling. Descriptive variables included sex, age, antidiabetic regimen (oral vs injectable), and hypertension status. Chronic complications were categorized as macrovascular or microvascular based on clinical diagnoses documented in the medical records. Most patients were women (57.7%), with a mean age of 60.57 ± 10.41 years. Injectable therapy predominated (66.2%), and 58.5% had no documented hypertension. Patients with chronic complications had a higher median HbA1c than those without complications (8.60% [5.0–15.0] vs 7.50% [4.9–15.0]; p = 0.040). Overall, HbA1c levels were frequently above common treatment targets, indicating suboptimal long-term glycemic control in this inpatient cohort. Among hospitalized T2DM patients in a tertiary referral hospital, chronic complications were associated with significantly higher HbA1c levels, reflecting poorer long-term glycemic control. These findings highlight the need for sustained HbA1c optimization alongside comprehensive risk-factor management to mitigate long-term complication risk in referral settings.
The role of mediator suppressor of cytokine signaling (SOCS), toll-like receptor 3 (TLR-3) and nuclear factor kappa B (NFκB) on cytokine production during dengue virus infection Sri Masyeni; Kuntaman Kuntaman; Aryati Aryati; Muchlis AU. Sofro; Usman Hadi; Gondo Mastutik; Windu Purnomo; Agus Santosa; Muhammad Iqhrammullah; Benediktus Yohan; Erni J. Nelwan; R. Tedjo Sasmono
Narra J Vol. 3 No. 2 (2023): August 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i2.167

Abstract

Inability to understand the pathogenesis of severe dengue, in particular the control mechanism of immune responses, has led to high mortality rate for patients with dengue shock syndrome (DSS). The aim of this study was to determine the control mechanism of cytokine production by mediator suppressor of cytokine signaling (SOCS), toll-like receptor 3 (TLR-3) and nuclear factor kappa B (NFκB) during DENV infection. Peripheral blood mononuclear blood cells (PBMC), isolated from healthy individuals, were infected with dengue virus (DENV)-2 strain SJN-006 Cosmopolitan genotype (isolated from Bali, Indonesia). The relative gene expression of SOCS-3, TLR-3, NFκB, and the cytokine genes (interleukin (IL)-6, IL-8, interferon inducible protein 10 (IP-10), and macrophage inflammatory protein-1 beta (MIP-1β)) were measured using qRT-PCR at 6, 12 and 24 hours post infection (hpi). Student t-test and Mann-Whitney test were used to compare the gene expressions while causal correlations were analyzed using regression test and path analyses. DENV-2 infection increased the gene expression of SOCS-3, TLR-3, and NFκB after 12 and 24 hpi. The expression of IL-6, IL-8, IP-10, and MIP-1β genes was increased and peaked at different times post-infection. NFκB and SOCS-3 genes likely have role in the upregulation of IL-8 and IL-6 gene expression, respectively. MIP-1β gene expression was significantly induced by both NFκB and SOCS-3. In conclusion, our study suggested that SOCS-3, TLR-3, and NFκB are important in regulating the production of IL-6, IL-8, IP-10, MIP-1β during early phase of DENV-2 infection. This enriches our understanding on pathogenesis pathway of DENV-associated cytokine storm.
Pemberdayaan masyarakat sebagai pendamping keluarga diabetes melitus untuk mencapai Sustainable Development Goals ketiga Masyeni, Sri; Dewi, Saraswati laksmi; Prebawa, Arya Giri; Dinar, Gita Pritayanti
KACANEGARA Jurnal Pengabdian pada Masyarakat Vol 9, No 2 (2026): Mei
Publisher : Institut Teknologi Dirgantara Adisutjipto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28989/kacanegara.v9i2.2880

Abstract

Dampak kesehatan global dari diabetes melitus telah diterima secara luas di berbagai tempat. Program pelayanan masyarakat yang menangani diabetes memainkan peran penting dalam meningkatkan kesehatan masyarakat dengan mempromosikan kesadaran, pencegahan, pengelolaan penyakit, dan pencegahan komplikasi. Tujuan dari pelayanan masyarakat ini adalah untuk meningkatkan pengetahuan para mitra dalam membimbing pasien. Metode program ini meliputi diskusi kelompok fokus untuk mengidentifikasi masalah mitra, penyuluhan pendidikan, permainan peran dengan tes pra dan pasca untuk mengevaluasi peningkatan, dan evaluasi program. Hasilnya menunjukkan peningkatan pengetahuan mitra tentang diabetes melitus sebesar 80%. Dengan melibatkan masyarakat dalam langkah-langkah kesehatan proaktif, program-program ini tidak hanya bertujuan untuk mengurangi prevalensi diabetes tetapi juga berupaya meningkatkan kualitas hidup bagi mereka yang terkena dampaknya, yang pada akhirnya berkontribusi pada komunitas yang lebih sehat dan pencapaian SDGs ke-3.
Karakteristik Penderita dengan Infeksi Tuberkulosis di RSUD Sanjiwani Ni Kadek Kumara Aida; Dewa Ayu Putri Sri Masyeni; Rima Kusuma Ningrum
Aesculapius Medical Journal Vol 2 No 1 (2022): Juni
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.2.1.2022.1-7

Abstract

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. The incidence of TB in Indonesia (WHO 2018) is the third highest. Meanwhile in Bali, TB cases are increasing by 5% every year. This research is a non-experimental descriptive observational study with a cross sectional design. There are 73 medical record samples (2019-2020) in this study. The results showed that the majority of TB patients were new cases, were of productive age with male gender. There are 34% of patients are active smokers and 13.7% of patients have a family history of tuberculosis infection. There are about 6 patients with anemia and 5 other patients have a history of diabetes. The OAT treatment period, the majority of patients complained of side effects of nausea (64.4%), and dizziness (47.9%) with a success rate of around 78.1%. This research still requires further analysis to find out the relationship between the variables studied.
Characteristics of the Health Problems Among International Travelers Visiting International Hospital in Bali Putu Indah Budi Apsari; Putu Arya Suryanditha; Ni Wayan Widhidewi; Dewa Ayu Putri Sri Masyeni
WMJ (Warmadewa Medical Journal) Vol 8 No 1 (2023): May 2023
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.8.1.5869.23-26

Abstract

Bali is one of the most popular tourist destinations in Indonesia. As one of the islands in a tropical country, Bali has its own risk of disease transmission. The increasing number and pattern of international travelers can affect morbidity and mortality. Research on disease problems among international travelers in travel destination countries is rarely reported. This study examines health problems concerning foreign tourists visiting hospitals in Bali. This cross-sectional study used total sampling on all medical records of international travelers visiting an international hospital in Bali. A total of 999 medical records were analyzed in this study. The mean age of the patients was 35.55 years. Most patients were female (53.9%) and used travel insurance (55.3%). Most health problems are complaints in the gastrointestinal system (22.3%). The primary health problem is the gastrointestinal system. Most patients use insurance to finance their health. Keywords: Health Problems, Travelers, Infectious and Non-Infectious
PEMBERDAYAAN KELOMPOK IBU PKK DI DESA KERTA KECAMATAN PAYANGAN KABUPATEN GIANYAR BALI SEBAGAI PEMBANTU JUMANTIK UNTUK MENCEGAH INFEKSI DEMAM BERDARAH DENGUE Sri Masyeni; A.A.G Indraningrat; P.A Suryanditha; Agus Santosa
WICAKSANA: Jurnal Lingkungan dan Pembangunan Vol. 4 No. 1 (2020)
Publisher : Lembaga Penelitian, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wicaksana.4.1.2020.1-5

Abstract

Demam berdarah dengue (DBD) yang terjadi akibat infeksi virus Dengue merupakan penyakit yang mewabah tiap tahunnya di Bali dan Indonesia pada umumnya. Upaya menekan laju DBD khususnya melalui eradikasi vektor pembawa virus yaitu nyamuk Aedes aegypti perlu terus dilakukan dengan melibatkan peran serta masyarakat secara langsung. Penyuluhan mengenai DBD terhadap kelompok ibu PKK di Desa Kerta, Kecamatan Payangan, Kabupaten Gianyar, Provinsi Bali telah dilaksanakan dengan hasil yang memuaskan. Metode yang digunakan adalah presentasi dan diskusi melalui tatap muka. Hasil penyuluhan menunjukkan peningkatan pemahaman ibu-ibu PKK terhadap DBD dan upaya pencegahannya. Sebagai tindak lanjut kegiatan pengabdian ini, tim pembantu Jumantik dari anggota PKK Desa Kerta, Kecamatan Payangan telah dibentuk. Tim ini diharapkan berperan aktif dalam memonitoring dan meminimalisir tempat berkembang biak jentik nyamuk Aedes aegypti, serta secara aktif mensosialisasikan pencegahan DBD di lingkungan tempat tinggal mereka.
PEMBERDAYAAN KELOMPOK MASYARAKAT SEBAGAI PENGAWAS MINUM OBAT PASIEN GAGAL GINJAL KRONIS DI RS SANJIWANI D. G. A Budiyasa; Dewa Nyoman Sadguna; D. A. P Niti Widari; Sri Masyeni
WICAKSANA: Jurnal Lingkungan dan Pembangunan Vol. 5 No. 2 (2021)
Publisher : Lembaga Penelitian, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wicaksana.5.2.2021.65-69

Abstract

Penyakit ginjal kronis (PGK) merupakan penyakit yang ditandai penurunan fungsi ginjal yang semakin progresif sehingga memerlukan bantuan berupa terapi pengganti mesin dialysis untuk menggantikan fungsi ginjal. Hemodialisis dengan mesin hemodialisis harus dilakukan secara rutin 2-3 kali seminggu dan berkesinambungan seumur hidup pasien. Selain hemodialisis atau cuci darah rutin, pasien PGK juga harus mengonsumsi obat dalam jumlah yang relatif banyak yang apabila tidak dikonsumsi secara rutin akan memicu kondisi akut yang mungkin akan memperburuk fungsi ginjal. Untuk mengantisipasi hal ini diperlukan bantuan keluarga terdekat untuk membantu mengawai pasien PGK untuk selalu mengonsumsi obat-obat sesuai dengan instruksi dokter. Kegiatan PKM ini bertujuan untuk membentuk kelompok Kader Siaga Minum Obat pada mitra yang akan memantau pasien mematuhi instruksi dokter. Kegiatan PKM dimulai dengan sosialisasi kegiatan, focus group discussion, pelaksanaan kegiatan serta evaluasi hasil kegiatan. Adapun outcome dari PKM ini adalah terdapat peningkatan pengetahuan mitra mengenai penyakit PGK, pencegahan perburukan serta peningkatan kualitas hidup pasien PGK sebesar 81% pada delapan mitra PKM. Output sementara, kegiatan dilakukan dengan observasi dan pengamatan frekuensi kejadian perburukan penyakit pada pasien sebagai hasil/peran dari fungsi kader Siaga Minum Obat.
Co-Authors A. Maheraditya A.A. Raka Budayasa AAG Indraningrat Adhiputra, I Ketut Agus Indra Agus Santosa Agus Santosa Agus Santosa Agus Santosa Ali A. Rabaan Anak Agung Gede Budhitresna, Anak Agung Gede Anak Agung Gede Indraningrat Ananda Maheraditya Andri Frediansyah Andri Frediansyah, Andri Arini, Ida A. Aryati , Aryati Aryati Aryati Aryati Aryati Aryati Aryati Atmaja, Kadek Surya Benediktus Yohan Benediktus Yohan Budhitresna, Anak AG. D. A. P. N. Widari D. G. A Budiyasa Danti, Ida Ayu Mahari Desak Putu Citra Udiyani Dewa Ayu Niti Widari Dewa Nyoman Sadguna Dewa Nyoman Sadguna Dewa Nyoman Sadguna Dewa P. Surawan DEWI, SARASWATI LAKSMI Diari, Padma Dinar, Gita Pritayanti Dinar, I Gusti Ayu Agung Gita Pritayanti Duwi Sumohadi ERLY SINTYA Erni J. Nelwan Erni J. Nelwan, Erni J. Erni Juwita Nelwan, Erni Juwita Fahriani, Marhami Firzan Nainu Firzan Nainu Francesco Rosiello Gondo Mastutik Gustu Rama Bhaskara Putra HANIFAH YUSUF Hanifah Yusuf Haypheng Te Helnida A. Maliga I Gede Pasek Mangku I Gusti Ngurah Adi Rajistha I Gusti Rai Tirta I Ketut Agus Indra Adhiputra I Komang Galih Vedanta Artana I Made Indra Wijaya I Made Sila Darmana I Made W. Wardhana Ida Bagus Semara Putra Ilmawan, Muhammad Ima Arum Lestarini Indraningrat, Anak Agung Gede Iqhrammullah, Muhammad Jonny K. Fajar Jonny K. Fajar Juwita, Dewa Ayu Putu Ratna K Irwan Setiawan Kadek Suryawan Kadriyan, Hamsu Kartika Dewi Kartika Dewi Keam, Synat Komang Aditya Yudistira Kuntaman Kuntaman Kuntaman Kuntaman Lestari, Putri P. Lestarini, Asri LUH VIDYA KENCANA S. ROBIN M Dharmesti Wijaya M. Indrawijaya MADE , SUHITA GIANI Made Dharmesti Wijaya Made Dharmesti Wijaya Maharani, Ni Luh Putu Silfia Mahardika, Wayan Gede Maliga, Helnida A. Margyaningsih, Nur Ita Marhami Fahriani Marta Setiabudy Md. Rabiul Islam Md. Rabiul Islam Miyazawa, Naori Muchlis AU Sofro Muchlis AU. Sofro Muhammad Amirul bin Abdul Rahman Muhammad Ilmawan Muhammad Iqhrammullah Ni Kadek Kumara Aida Ni Kadek Kumara Aida NI MADE DHANISWARA PUTRI WIRAWAN Ni Wayan Widhidewi Nindyaswari, Raka Dyah Nyoman Dian Permata Sari NYOMAN NGURAH PRIZKY ANGGRINA Ophinni, Youdiil P.A Suryanditha PA Suryandhita Paramasatiari, Anak Agung Ayu Lila Permana Lestari, Sagung Putri Permatananda, Pande Ayu Nayakasih Pinatih, Januartha Putra Prebawa, Arya Giri Purnomo, Windu Putri P. Lestari Putu Arya Suryanditha Putu Ayunda Trisnia Putu Indah Budi Apsari PUTU, ARYA SURYANDITHA R. Kartika R. Tedjo Sasmono R. Tedjo Sasmono Rabaan, Ali A. Rahman, Muhammad Amirul bin Abdul Ratna Kartika Retenra P. Suwari Rima Kusuma Ningrum Rismawaty, Ika Rosiello, Francesco Ruby Riana Asparini Salin Sirinam SANJAYA LIE, MIRACLE NYOMAN SARASWATI LAKSMI DEWI Sasmono, R. Tedjo Setiabudy, Marta Sirinam, Salin Sofro, Muchlis AU Sofro, Muchlis AU. SP Permana Lestari Sukma Sahadewa, Sukma Sumohadi, Duwi Surawan, Dewa P. Suryawan, Kadek Suwari, Retenra P. Synat Keam Te, Haypheng Trisnia, Putu Ayunda Usman Hadi Usman Hadi Vemi Hendrayani Wasudewa Wikananda Wedari, Niti Widari, DAP Niti Widhidewi, Ni W. Wijaya, Indra Wikananda, Wasudewa Windu Purnomo Wulandari, Christina Nyoman Yohan, Benediktus Youdiil Ophinni Yuniekawati, Yuyun