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All Journal Archive of Community Health Prosiding Seminar Nasional MIPA Jurnal Vektor Penyakit WMJ (Warmadewa Medical Journal) JBN (Jurnal Bedah Nasional) Jurnal Kesehatan Medika Udayana Aesculapius Medical Journal Public Health and Preventive Medicine Archive Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Ilmu Kesehatan Masyarakat
K Tangking Widarsa
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana
Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Hubungan Lama Penggunaan Gadget dengan Gangguan Pola Tidur pada Anak Sekolah Dasar Kelas 4 Sampai 6 di Denpasar A. A. Ayumi Witantri; Sagung Putri Permana Lestari MP; I Ketut Tangking Widarsa
AMJ (Aesculapius Medical Journal) Vol. 2 No. 2 (2022): August
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Gadget adalah satu dari sekian perkembangan teknologi masa kini yang diminati seluruh kalangan usia tak terkecuali anak sekolah dasar. Gadget dapat memberi dampak negatif jika digunakan dalam durasi yang lama, yakni gangguan pola tidur. Tujuan penelitian yakni mengidentifikasi mengenai hubungan lama penggunaan gadget dengan gangguan pola tidur pada anak sekolah dasar kelas 4 sampai 6 di Denpasar. Desain yang dipakai yakni analitik korelasi dan rancang cross sectional, dengan subjek seluruh anak sekolah dasar kelas 4 sampai 6 di Denpasar yang telah memenuhi kriteria. Penelitian dilakukan dari bulan September 2021 sampai bulan Mei 2022 dengan teknik pengambilan data purposive sampling dan instrumen penelitian berupa kuesioner. Data dianalisis dengan univariat distribusi frekuensi serta analisis bivariat chi-square. Hasil akhir bivariat mendapatkan nilai p = 0,00 dengan nilai r = 0,4 (koefisien korelasi), menjelaskan bahwa nilai kolerasi linear variabel lama penggunaan gadget pada pola tidur memiliki korelasi positif dan hubungannya rendah. Berdasarkan hasil nilai korelasi dapat diketahui nilai koefisien determinasi (r2 = 0,16), hal ini menunjukkan bahwa sebesar 16% variabel lama penggunaan gadget mempengaruhi gangguan pola tidur, sisanya sebanyak 84% dipengaruhi oleh faktor lain yang tidak ada dalam model penelitian.
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.
Anemia among pregnant women first and second trimester increases risk for low birth weight babies in Wangaya Hospital, Denpasar I Ketut Labir; I Ketut Tangking Widarsa; Ketut Suwiyoga
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p05

Abstract

Low birth weight is one of the major contributors to infant mortality rate (IMR). One of the dominant risk factors for the low birth weight is anemia. This study aimed to investigate the effect of anemia in pregnant women at first and second trimester to the incidence of low birth weight at Wangaya Hospital Denpasar. This study is a retrospective cohort design. The total samples were 150 respondents; 50 pregnant women with anemia in the first trimester, 50 pregnant women with anemia in the second trimester and 50 pregnant women without anemia. Samples were taken from medical records at Wangaya Hospital Denpasar using simple random sampling method. Data were collected by documentation study and data analysis was done using logistic regression. The results showed that pregnant women with anemia in the first trimester were having a risk of 10 times to give low birth weight compared to pregnant women who are not anemia [RR=10.29; 95%CI: 2.21-47.90], whereas pregnant women with anemia in the second trimester were at risk 16 times greater of having a low birth weight baby compared to pregnant women who are not anemia [RR=16; 95%CI: 3.49-73.41]. There was no difference in the incidence of low birth weight among anemia first and second trimester [p=0.297]. We can conluded that anemia among pregnant women in the first and second trimester increased the risk of low birth weight. The results of this study can be used by policy makers to planning prevention strategies to reduce the incidence of low birth weight babies including intensify the antenatal care program for pregnant women.
Factors related to parent’s participation in child dental health care in Tegallalang I Public Health Centre Vivin Sumanti; I Ketut Tangking Widarsa; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p08

Abstract

The public health centre reports showed that the level of parent’s participation in children dental health care in Tegallalang I Public Health Centre was low (31.7%-35.1%). This study aims to determine the relationship between parent’s knowledge, attitudes, motivation and transportation accessibility to parent’s participation in child dental health care in Tegallalang I Public Health Centre. A cross-sectional study was conducted to 100 parents whose children were referred to undergo dental health examinations in Tegallalang I Public Health Centre using a systematic random sampling method. Data of knowledge, attitudes, motivation and transportation accessibility were collected using an interview guide, while parent’s participation was obtained from dental care registration. The data were analised by logistic regression. The results showed that level of parent’s participation in child dental health care was low (41%). Variables that were significantly associated with level of parent’s participation in child dental health care were knowledge [OR=7.35; p=0.001], motivation [OR=4.89; p=0.028] and attitudes [OR=4.19; p=0.039). Transport accessibility was not associated with parent’s participation [OR=2.35; p=0.123]. The conclusion of this study is that parent’s participation in child dental health care was influenced by parent’s knowledge about oral health, motivation and attitudes towards child dental health care. It is recommended to upscale health promotion related to dental health and the benefits of treatment in order to encourage parent’s participation in children dental health care.
Risk factors of type 2 diabetes mellitus of outpatients in the community health centres of South Denpasar Subdistrict Sri Trisnawati; I Ketut Tangking Widarsa; Ketut Suastika
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p14

Abstract

The prevalence of Diabetes Mellitus (DM) is increasing throughout the world particularly type 2 DM. The changes in people’s lifestyle and diets are assumed to play major roles. This study aimed to examine the relationships between the risk factors such as obesity based on body mass index (BMI) and waist circumference (WC), hypertension, inactivity, smoking, and age ≥50 years with the incidence of type 2 DM. A matched case-control design involving of 136 pairs of men with family history of diabetes was used in this study. Cases and controls were selected from outpatients at the South Denpasar Sub-District Public Health Center. Data from outpatients were collected by interviewing, physical and laboratory examinations. Data were analyzed using McNemar and logistic regression. Based on the statistical analysis the Odds Ratio (OR) of the factors such as obesity (based on waist circumference) was 5.2 [95%CI: 2.31-11.68] with p=0.001 and age ≥50 years was 4 [95%CI: 1.74-9.21] with p=0.001. It can be concluded that patients with obesity (based on waist circumference) and age of ≥50 years have a higher risk for type 2 DM. It suggested that the occurrence obesity in the community can be reduced by modifying the lifestyle and eating patterns of the community.
Risk factors of maternal mortality due to complications in pregnancy, delivery and postpartum in Bima Regency 2011–2012 Sri Juharni; I Ketut Tangking Widarsa; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p05

Abstract

The maternal mortality rate (MMR) in West Nusa Tenggara Province in 2010 is about 350/100,000 live births. This figure is higher than national and other provincial figures. Bima that constitutes a regency of West Nusa Tenggara Province has high maternal mortality cases for period of 2011-2012, namely 20 cases. The Ministry of Health classified 3 factors that affect maternal mortality, namely: medical, non-medical and health service factors. The study was aimed at finding out the risk factors that affect maternal mortality. This study is a case control study with the total samples of 20 cases and 60 controls. The data were collected through interviews by using the questionnaires. The collected data were then cross-checked with the registers existing at midwives, health record cards of pregnant women and verbal autopsy documents. The univariate, bivariate and multivariate analyses were done. Bivariate analysis was using chi square test and multivariate analysis was using logistic regression. The study revealed that factors which increase the maternal mortality rate are the level of Hb<10 gr% (OR=15.19; 95%CI: 3.25–70.97), delayed decision-making (OR=9.28; 95%CI: 2.15–84.80) and delayed medical treatment at referral facilities (OR=13.16; 95%CI: 2.28–104.86). As conclusion, the most contributing factor to maternal mortality is the level of Hb<10 gr%. The efforts to reduce mortality rate should be conducted including increasing Hb level of pregnant women, improving basic obstetric emergency handlings at community health centres for midwives/medical doctors and to improve better referral systems.
Determinant factors of infant mortality in Bima District in 2012 Rini Hendari; I Ketut Tangking Widarsa; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p09

Abstract

The infant mortality is the death of a child before the age of one year, can be caused by endogenous and exogenous factors. The infant mortality rates influenced by family income, maternal age, birth spacing, the frequency of the ANC visits, the place of delivery, birth weight, breastfeeding, immunisation, maternal knowledge about infant care, clean water sources sanitationary and education related to infant mortality. The purpose of this research was to identify the determinant factors of infant mortality in Bima regency. The type of research is observational analytic, with a case-control study design. The cases were infant who died in January to December 2012, while the control were infant who still alive on the same period. Cases and controls were selected from the community of Bima District. They were selected by using stratified proportional sampling technique and in total they were 153 respondents with a ratio of 1 to 2. Data was collected through interviews and midwives registers documentation. Data were analysed using chi square test and logistic regression. The result showed that the birth weight <2500 gr OR=6.69 (95%CI: 2.11-21.16), birth spacing <24 months OR=6.69 (95%CI: 2.11-21.16), maternal age <20 or >35 years OR=6.63 (95%CI: 1.84-23.90), not exclusively breastfeeding OR=6.23 (95%CI: 2.10-18.46), education related to infant mortality OR=6.02 (95%CI: 2.17-16.65) and clean water sources sanitationary OR=3.72 (95%CI: 1.35-10.25). It can be concluded that birth weight <2500 gr, spacing births <24 months, maternal age <20 or >35 years, not exclusively breastfeeding, education related to infant mortality, clean water sources sanitationary were determinants of infant mortality with the overall contribution of 61.1%. Improving education and promotion related to nutritional requirement for pregnant women, delay in age of marriage, pregnancy planning and exclusive breastfeeding in Bima District are highly essential.
Gambaran Tingkat Pengetahuan Bantuan Hidup Dasar Tim Bantuan Medis Baswara Prada Universitas Warmadewa Kadek Dean Ariska Aryawangsa; Luh Gede Sri Yenny; I Ketut Tangking Widarsa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Knowledge of Basic Life Support (BLS) is considered basic knowledge for the medical team because it is needed to provide first aid to victims who experience cardiac arrest. The Baswara Prada Medical Assistance Team (TBM) is an organization engaged in medical emergencies under the auspices of the BEM-LM FKIK Warmadewa University. This study aims to analyze and describe the level of basic life support knowledge of the Baswara Prada Medical Assistance Team (TBM) at the Faculty of Medicine, Warmadewa University. This research is a descriptive study using a cross sectional approach. This research was conducted on 101 respondents of members of the Baswara Prada Medical Assistance Team, Warmadewa University. Data was collected by giving a questionnaire in the form of a google form containing questions about Basic Life Support (BLS) to members of the Baswara Prada Medical Assistance Team. The results of the research data were analyzed descriptively and presented in the form of tables or graphs. The results showed that the knowledge level of Basic Life Support (BLS) of the Baswara Prada Medical Assistance Team (TBM) of the Faculty of Medicine and Health Sciences, Warmadewa University was at a good level with a percentage of 95.1% and at an adequate level with a percentage of 4.9%.
Perbedaan Rasio Neutrofil per Limfosit, Rasio Platelet per Limfosit dan Volume Platelet Rata-Rata pada Kehamilan dengan Preeklampsia dan Kehamilan Normal di RSUD Sanjiwani Gianyar Ni Komang Surya Sanistiasih Budaya; I Made Pariartha; I Ketut Tangking Widarsa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Preeklampsia adalah suatu gangguan multisistem yang mempengaruhi 2-8% kehamilan di seluruh dunia yang muncul pada usia kehamilan 20 minggu. Tujuan penelitian ini adalah untuk mengetahui perbedaan nilai rerata Neutrophil to Lymphocyte Ratio (NLR), Platelet to Lymphocyte Ratio (PLR), dan Mean Platelet Volume (MPV) pada kehamilan dengan preeklampsia dan kehamilan normal. Penelitian cross sectional komparasi dilakukan pada ibu hamil dengan preeklampsia dan ibu dengan kehamilan normal, usia kehamilan trimester II dan III di RSUD Sanjiwani Gianyar. Teknik pengambilan sampel yang digunakan adalah purposive sampling, masing-masing kelompok terdiri dari 60 sampel. Data NLR, PLR, dan MVP serta data lainnya dikumpulkan dari rekam medis. Analisis data dilakukan secara univariat dan bivariat menggunakan SPSS for windows version 25.0. Perbedaan nilai rerata NLR, PLR, dan MVP antara kelompok preeklampsia dan kelompok pembanding dianalisis dengan independent sampled t-test pada tingkat kemaknaan 5%. Hasil penelitian menunjukan terdapat perbedaan yang signifikan pada nilai rerata NLR, PLR dan MPV pada kedua kelompok. Nilai ketiga variabel ditemukan lebih tinggi pada kelompok preeklampsia dibandingkan kelompok normal. Perbedaan nilai rerata sebesar 0,93 untuk variabel NLR (p=0,011), 21,97 untuk variabel PLR (p=0,011) dan 0,47 untuk variabel MPV (p=0,008). Kekuatan prediksi dilihat dari effect size (delta Cohen's) dimana ketiga variabel termasuk dalam kategori sedang.
Gambaran Kualitas Tidur Penderita Hipertensi di Puskesmas II Denpasar Barat Bunganing Eswarya; I Gede Bagus Gita Pranata Putra; I Ketut Tangking Widarsa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Hypertension is a condition in which the blood pressure is above 140/90 mmHg. Hypertension could be prevented by controlling the sleep quality. Until now there has not been any studies to clearly depict sleep quality. This study aims to understand the description of sleep quality as well as its characteristic in Puskesmas II Denpasar Barat hypertension subjects. Observational descriptive study was used using cross sectional method and consecutive sampling. The study conducted at Puskesmas II Denpasar Barat with 96 total samples. Pittsburg Sleep Quality Index (PSQI) questionnaire was used to assess the quality of sleeps. Data gained from the questionnaire was analyzed bivariately and univariately. The results shows that more than a half (64%) hypertension patients are having a poor sleep quality with long sleep latency as the component with the highest proportion (57,3%). Poor sleep qualities are more frequent in patients within the age range of 18-39 years rather than older patients. This study also finds that higher hypertension grade appears more often as the sleep quality gets worse. With this study, hopefully Puskesmas II Denpasar Barat could emphasize the importance of sleep quality as a preventive act towards fighting hypertension. Keywords: Hypertension, Quality of Sleep
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 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