K Tangking Widarsa
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana

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Journal : WMJ (Warmadewa Medical Journal)

Perkiraan Tinggi Badan Berdasarkan Tulang Panjang Usia 17-22 Tahun I Gusti Ngurah Putu Sana; Dewa Ayu Agung Alit Suka Astini; I Ketut Tangking Widarsa; I Nyoman Sueta; I Wayan Suwitra; Komang Trisna Sumadewi
WMJ (Warmadewa Medical Journal) Vol 1 No 2 (2016): November 2016
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.1.2.29.66-70

Abstract

Perkiraan tinggi badan sangat penting pada antropologi forensik dalam identifikasi jenasah akan tetapi belum ada model yang baku untuk tujuan tersebut. Penelitian ini bertujuan mengembangkan model perkiraan tinggi badan dengan menggunakan tulang panjang sebagai prediktor. Metode penelitian dengan desain observasional melalui studi cross sectional dilakukan terhadap 96 sampel mahasiswa dipilih secara stratified random dari total 199 mahasiswa yang memenuhi kriteria inklusi, usia 17-22 tahun. Tinggi badan diukur menggunakan ZT-120 Health Scale dan panjang tulang humerus, radius, ulna, femur, tibia dan fibula diukur dengan menggunakan spreading caliper. Model estimasi tinggi badan menggunakan model regresi linier berganda dengan panjang tulang panjang sebagai prediktor. Untuk estimasi tinggi badan laki-laki terdapat tiga tulang sebagai prediktor yaitu tulang tibia kiri, humerus kanan, dan radius kanan dengan koefisien regresi 0,94 (±0,3), 0,82 (±0,3), dan 0,79 (±0.4) secara berurutan. Prediktor untuk tinggi perempuan adalah tulang fibula kiri, ulna kiri, dan humerus kiri dengan koefisien regresi 1,13 (±0,3), 1,20 (±0,4), dan 0,85 (±0,4) secara berurutan. Dari penelitian ini dapat disimpulkan bahwa tulang tibia kiri, humerus kanan, dan radius kanan dapat dipakai memperkirakan tinggi badan laki-laki dan tulang fibula kiri, ulna kiri, dan humerus kiri untuk tinggi badan perempuan.Kata kunci: tinggi badan, tulang panjang, tibia, fibula. [Estimated Stature Based on Long Bone Age 17-22 Years]             The estimation of stature is very important in forensic anthropology in the identification of bodies, but there is no standard model for the purpose. This study aims to develop a model estimated height, using a predictor of long bones. A total of 96 samples of randomly selected students from a total of 199 students, aged 17-22 years. Height was measured using ZT-120 Health Scale and the length of the humerus, radius, ulna, femur, tibia and fibula was measured by using a spreading caliper. Height estimation model using multiple linear regression model with long bone length as a predictor. to estimate the height of men there are three bones as predictors, the left tibia, right humerus and a right radius, with a regression coefficient of 0.94 (±0.3), 0.82 (±0.3), and 0.79 (±0.4) sequentially. Predictors for the high women are left fibula, left ulna and left humerus, with regression koefsien 1.13 (±0.3), 1.20 (±0.4), and 0.85 (±0.4) sequentially. From this study it can be concluded that the left tibia, right humerus and right radius can be used estimate the height of men, and left fibula, left ulna and left humerus can be used estimate the height of women.Keyword: stature, long bone, tibia, fibula.
Akurasi Total Hitung Leukosit dan Durasi Simtom sebagai Prediktor Perforasi Apendisitis pada Penderita Apendisitis Akut I Ketut Tangking Widarsa; Cokorda Istri Padmi
WMJ (Warmadewa Medical Journal) Vol 2 No 2 (2017): November 2017
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.2.2.446.71-76

Abstract

Abstract Komplikasi perforasi pada penderita apendisitis akut cukup tinggi, yang ditandai dengan demam yang tinggi dan peningkatan leukosit. Tujuan penelitian ini adalah untuk mengetahui akurasi total leucocyte count (TLC) dan symptom duration (SD) sebagai prediktor perforasi pada penderita apendisitis akut. Penelitian cross-sectional retrospektive dilakukan terhadap 96 pasien apendisitis akut, yang dipilih secara konsekutif dari register rawat inap pasien apandisitis akut di RSUD Sanjiwani Gianyar tahun 2014-2015. Identitas, SD,TLC dikumpulkan dari catatan medis sampel. Penegakan diagnose perforasi didasarkan kepada hasil pemeriksanan patogi anatomi. Uji chi-square dan regresi Poisson dipakai menganalisis hubungan TLC dan SD dengan kejadian perforasi, sedangkan kemampuan prediksi dinilai dari nilai duga positif (PPV) dan negatif (NPV). Dari hasil penelitian didapatkan Risiko Relatif (RR) dari TLC (>18.000/ml:≤18.000/ml) adalah 2,9 (1,2 – 6,7) dan SD (>24jam:≤24jam) adalah 2,3 (1,1 – 4,9). PPV/NPV dari TLC, SD dan kombinasi TLC&SD adalah 59,4/93,8; 52,9/91,9; dan 82,4/88,4 secara berurutan. Dari penelitian ini disimpulkan bahwa kombinasi TLC&SD mempunyai tingkat prediksi yang baik sebagai prediktor kejadian perforasi pada penderita apendisitis akut. Kata kunci: Apendisitis perforasi, Total Leucocyte Count, Time Duration Abstract Perforation is frequently observed among acute appendicitis patients, which characterized by high fever and increased leucocyte level. The aim of this study is to determine the accuracy of total leucocyte count (TLC) and symptom duration (SD) as predictors of perforation in acute appendicitis patients. A retrospective cross sectional study was conducted and 96 acute appendicitis patients were enrolled in the study. The subjects were selected based on consecutive method taken from inpatient register of 2014 -2015 of Sanjiwani Hospital at Gianyar. Demographic data, SD and TLC were collected from medical record. Perforation was diagnosed based on the result of pathology and anatomy examinations. Chi square test and Poisson regression method were performed to analyze the association between TLC, SD and incidence of perforation. Positive predictive value (PPV) and Negative predictive value (NPV) were also calculated to measure the level of accuracy of the predictors. Results show that Relative Risk (RR) of TLC (>18.000/ml:≤18.000/ml) was 2.9 (1.2 – 6.7) whereas RR of SD (>24hours:≤24hours) was 2.3 (1.1 – 4.9). PPV/NPV of TLC, SD and TLC&SD combination were 59.4/93.8; 52.9/91.9; and 82.4/88.4, respectively. As conclusion, TLC&SD combined has high accuracy as predictor of perforation in acute appendicitis patients. Key word: Apendisitis perforation, Total Leucocyte Count, Time Duration
Tingkat Pengetahuan Tentang Rokok dan Kawasan Tanpa Rokok Mahasiswa yang Merokok di Kampus Dwi Masu Putra; I Ketut Tangking Widarsa
WMJ (Warmadewa Medical Journal) Vol 3 No 1 (2018): May 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.1.643.27-32

Abstract

Abstrak Pemerintah Daerah Provinsi Bali telah menetapkan Peraturan Daerah tentang Kawasan Tanpa Rokok (KTR) di Bali dan kampus ditetapkan sebagai salah satu KTR termasuk kampus Universitas Warmadewa (Unwar), akan tetapi masih banyak mahasiswa merokok pada KTR di kampus. Penelitian ini bertujuan untuk mengetahui pengetahuan mahasiswa yang merokok pada KTR terhadap rokok dan KTR. Wawancara dilakukan terhadap 95 mahasiswa yang biasa merokok pada KTR di kampus Unwar yang dipilih dengan cara snow ball sampling. Hasil penelitian menunjukan bahwa sebanyak 89,5% sampel adalah laki-laki, 84,2% tergolong perokok ringan-sedang, dan mereka merokok karena faktor lingkungan. Selain itu, sekitar 12,6% sampel memiliki pengetahuan baik tentang rokok, bahaya rokok, dan KTR. Jadi dapat disimpulkan bahwa kebanyakan mahasiswa yang merokok pada KTR di kampus memiliki pemahaman yang kurang tehadap rokok, bahaya rokok, dan KTR yang menyebabkan mereka tidak peduli terhadap KTR sehingga mereka bebas dan tanpa beban merokok pada KTR di kampus. Sosialisasi tentang rokok dan KTR perlu ditingkatkan khusunya kepada mahasiwa perokok. Selain itu, perlu diperbanyak jumlah ruangan tempat merokok di kampus yang mudah diakses oleh perokok. Abstract [Knowledge of at-Campus-Smoker Students about Cigarett and No-Smoking Areas] The Bali provincial government has enacted a regulation of smoke-free areas in Bali, and campus is one the public place with the restriction. However, there are many college students who smoke on the campus, including students of Warmadewa University. The aim of this study was to investigate the knowledge of smoker students about smoking and the smoking ban areas. A total of 95 students who smoked at Warmadewa campus were sampled by snowball method and were interviewed. The study showed that the at-campus smokers were mostly male students (89.5%) and 84.2% of them was mild-to-moderate smokers who smoked because of environmental factor. Only around 12.6% of the samples had good knowledge about cigarette, the harms of cigarette, and smoke-free area regulation. In conclusion, the students who smoked at the campus were mostly students who were not knowledgeable about the cigarette, the harms of cigarette, and smoke-free areas regulation, thus they felt free and were not guilty of smoking at no-smoking areas at the campus. Information dissemination on the harms of smoking and no-smoking areas are needed, especially for the smoking students. Additionally, more of accessible smoking spaces are needed at the campus for the smoker students.
Community Survey on Blood Pressure and Levels of Blood Glucose, Cholesterol and Uric Acid Among People 45 Years and Above in Rural Villages of Bali Putu Sutisna (Scopus ID: 6506044199); I Ketut Tangking Widarsa; I Wayan Darwata; I Nengah Kapti
WMJ (Warmadewa Medical Journal) Vol 7 No 2 (2022): November 2022
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.7.2.4903.47-54

Abstract

OBJECTIVE. To observe the proportion of high blood pressure and high blood glucose, cholesterol and uric acid among people aged 45 years and older at the rural villages of Pejeng, Samplangan and Petak, in Gianyar Regency, Bali. METHODS. The survey’s samples were all persons aged 45 years and over who came voluntarily to participate in the survey. Blood pressure was measured by mercury sphygmomanometer (Nova). Non-fasting levels of serum glucose, cholesterol, and uric acid were assessed by rapid test method using Easy Touch CGU apparatus. Each parameter studied was categorized as “high” and “normal” (blood pressure high: ≥140/90 mmHg; blood cholesterol high: ≥200mg/dl; blood glucose high ≥200mg/dl; blood uric acid high: >7.0 mg/dl, while other measurements below those values were categorized as normal. Data were analyzed descriptively and presented in tables of frequencies. RESULTS. A total of 650 people aged 45 years and above participated in the survey (Samplangan village: 157 people, Pejeng village: 168 people, Petak village: 225 people). Of 650 study subjects examined, 43.8% had high serum cholesterol, 22.8% had high blood pressure, 26.3% had high serum uric acid, and 9.8% had high blood glucose. According to gender, 49.5% males and 38.2% females had high blood cholesterol, 27.3% males and 20.5% females had high blood pressure, 38.4% males and 20.3% females had high blood uric acid, and 11.1% males and 9.4% females had high blood glucose, respectively CONCLUSIONS. In respective three villages greatest proportion of the study subjects had high serum cholesterol, followed in order of decreasing proportions by either high blood pressure or high blood uric acid, and the lowest proportion was with high blood glucose.
Co-Authors A Swandewi A. A. Ayumi Witantri Anny Eka Pratiwi Bharata, Made Dwi Yoga Bunganing Eswarya Cokorda Istri Padmi Desak Nyoman Widyanthini Dewa Ayu Agung Alit Suka Astini Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dwi Masu Putra Dyah Pradnyaparmita Duarsa Erly Sintya Febianingsih, Ni Putu Eka Gede Wiranatha Gusti Ayu Purnama Dewi Gusti Ayu Rusma Windiyana Putri HARI MULYAWAN Hegard Sukmawati, Ni Made Hendry Irawan I Gede Bagus Gita Pranata Putra I Gusti Ngurah Putu Sana I Ketut Labir I Ketut Labir I Ketut Suastika I Ketut Suwiyoga I Made Esa Sadana Yoga I Made Pariartha I Nengah Kapti I Nyoman Mangku Karmaya I Nyoman Sueta I W. Sudarsa I Wayan Darwata I Wayan Darwata I Wayan Suwitra I Wayan Weta I.A.A. Widhiartini Ida Ayu Dewi Wiryanthini Kadek Dean Ariska Aryawangsa Kadek Yulita Dewi Lestari Komang Trisna Sumadewi Luh Gede Sri Yenny Luh Putu Kartika Darmapadmi Maheswari, Luh Putu Dewanda Ni Ketut Sutiari Ni Komang Surya Sanistiasih Budaya Ni Luh Putu Eka Kartika Sari Ni Luh Putu Suariyani Ni Made Dian Kurniasari Ni Made Vidya Pratiwi Ni Putu Sri Widhi Andayani Ni Putu Widarini Ni Wayan Septarini Ni Wayan Widhidewi Nyoman Triana Ayati Putu Ayu swandewi astuti Putu Dwiki Damadita Putu Sutisna Rina Listyowati Rina Listyowati, Rina Rini Hendari Rini Hendari, Rini Sagung Putri Permana Lestari MP Seshia Arma Dwi Permata Sri Juharni Sri Juharni, Sri Sri Ratna Dewi Sri Trisnawati Sri Trisnawati Suryawisesa, Ida Bagus Made Viky Yudi Alvian Vivin Sumanti Vivin Sumanti Witari, Ni Putu Diah Yasa, I Nyoman Wawan Tirtha Yuliana Yuliana