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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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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.
The Accuracy of FNAB as Diagnostic Tool For Thyroid Cancer Compared to Anatomical Pathology Results as Gold Standard at Sanjiwani Hospital, Gianyar Yasa, I Nyoman Wawan Tirtha; Maheswari, Luh Putu Dewanda; Suryawisesa, Ida Bagus Made; Irawan, Hendry; Sudarsa, I Wayan; Bharata, Made Dwi Yoga; Widarsa, I Ketut Tangking
JBN (Jurnal Bedah Nasional) Vol 8 No 2 (2024): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2023.v08.i02.p02

Abstract

Aim: The aim of this study was to assess the accuracy of fine needle aspiration biopsy (FNAB) as a diagnostic tool for thyroid cancer in Sanjiwani Hospital, Gianyar. Methods: This study used a diagnostic test method with a retrospective cross-sectional design. A total of 138 cases of thyroid nodules that received FNAB and anatomical pathology examinations were selected consecutively. The level of accuracy was determined from the number of sensitivity, specificity, positive predictive value and negative predictive value. Results: The results of this study showed a low sensitivity 11.53%, but high specificity 100%, positive predictive value 100%, and negative predictive value 82.96% of FNAB. The accuracy of FNAB as diagnostic tools of thyroid cancer was 83,3% compared with anatomical pathology results as gold standard. Conclusion: FNAB is less accurate to diagnose thyroid cancer, but FNAB examination is accurate in differentiate benign and cancer lesion in thyroid nodule.
Pengaruh Pengetahuan dan Kepatuhan Ibu Hamil Minum Tablet Tambah Darah di Desa Selulung Kabupaten Bangli Anny Eka Pratiwi; Sri Ratna Dewi; Tangking Widarsa; I Wayan Darwata
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i2.5414

Abstract

Anemia in pregnant women is one of the contributing factors to stunting in toddlers. The consumption of iron (Fe) tablets by pregnant women requires supervision from family members to support the success of the stunting reduction program in Bangli Regency. Iron tablet intervention in pregnant women has been proven to reduce the risk of complications, lower the incidence of low birth weight in infants, and decrease maternal mortality during childbirth. This study used a cross-sectional survey design, involving 48 pregnant women. Data collection was conducted using total sampling during the period from January 2024 to January 2025 at Kintamani IV Public Health Center. Bivariate data analysis was carried out using the chi-square test. The results of the study showed that 68% of pregnant women experienced mild anemia. Most pregnancies were in the third trimester (39%), and 43% of the participants were in their first pregnancy. The majority of the pregnant women had good knowledge levels. There was a significant relationship between pregnant women’s knowledge and their adherence to consuming iron tablets, with a p-value of 0.019. The odds ratio (OR = 5.014) indicated that pregnant women with good knowledge were five times more likely to adhere to iron tablet consumption compared to those with limited knowledge. Support and monitoring of the nutritional status of pregnant women are essential to reduce the incidence of low birth weight and stunting among toddlers in Selulung Village, Kintamani District.  
Faktor Sosial Ekonomi Kematian Bayi di Dusun Muntigunung Kabupaten Karangasem Provinsi Bali Ni Luh Putu Suariyani; I Ketut Tangking Widarsa; Ni Putu Widarini; Ni Ketut Sutiari; Rina Listyowati
Jurnal Ilmu Kesehatan Masyarakat Vol. 1 No. 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Latar belakang: Dusun Muntigunung merupakan daerah kritis di Karangasem dengan jumlah penduduk miskin yang tinggi dan angka kematian bayinya paling tinggi di Karangasem. Sehubungan dengan masalah tersebut maka penelitian ini bertujuan untuk mengidentifikasi faktor determinan kematian bayi yang potensial di Muntigungung.Metode : Penelitian ini dirancang sebagai penelitian deskriptif ekploratif dengan pendekatan kualitatif berupa studi kasus Dusun Mutigungung dengan menggunakan keluarga yang memiliki kematian bayi satu atau lebih dalam 5 tahun terakhir sebagai kasus. Data kelahiran, kematian bayi, pendidikan, pekerjaan ibu, penghasilan keluarga serta keadaan geografis dikumpulkan dengan wawancara mendalam dan observasi. Hasil wawancara direkam dan dibuatkan transkripnya. Transkrip hasil wawancara dianalisis secara kualitatif sesuai konten factor determinan kematian bayi.Hasil : Dari 8 kasus kematian bayi dari 5 sampel keluarga, 6 meninggal waktu lahir, satu pada umur 2 hari dan satu lagi pada umur 2 bulan. Kemungkinan kematian tersebut disebabkan oleh aspiksia atau infeksi dan meninggal sebelum diobati ke dokter/bidan. Dimana keluarga tersebut memiliki faktor sosial ekonomi yang rendah.Kesimpulan: Faktor sosial-ekonomi keluarga yang meliputi pendidikan ibu dan suami serta pendapatan keluarga yang rendah kemungkinan salah satu faktor penyebab kematian bayi.Kata kunci: Sosial ekonomi, pendidikan, pendapatan, kematian bayi
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
Aesculapius Medical Journal Vol 2 No 2 (2022): Agustus
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.2.2.2022.105 - 110

Abstract

Gadgets are one of the most favored technological advancements by people of all ages, including elementary school student. Gadget can cause negative impacts if used at a long duration of time, which is sleeping disorders. This research studies about the Correlation of Gadget Usage Duration with Sleeping Disorders of 4th until 6th Grade Elementary School Student in Denpasar. This research used an analytical correlation and cross-sectional design. Subjects used was every 4th until 6th grade elementary school student in Denpasar who fit the criteria. The time of the research started from September 2021 until May 2022 using purposive sampling as the data gathering technique as well as questionnaire as the research instrument. Data analysis uses univariate frequency distribution and bivariate chi-square analysis. Final results of the bivariate shows that the p value is 0,00 with score of r = 0,4 (correlation coefficient), explains that the variable linear correlation value of gadget usage duration with sleeping disorders have a positive correlation and have low connection. Based off the correlation value results, the determinant coefficient value is (r 2 = 0,16). This shows that the gadget usage duration variable affects 16% of sleeping disorders, while the 84% are affected by other factors that are non available within a research model.
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.
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.
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
Aesculapius Medical Journal Vol 3 No 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.2.2023.261-266

Abstract

Preeclampsia is an idiopathic multisystem disorder that affects 2-8% of pregnancies worldwide. It usually occurs after 20 weeks of pregnancy and affects both the mother and fetus. This study aims to determine the difference in the value of neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), and mean platelet volume (MPV) between women with preeclampsia and normotensive pregnant women. This is a cross-sectional comparation study using patient’s medical record conducted in Sanjiwani Gianyar Public Hospital. The sampling technique used in this study is purposive sampling, with 60 samples in each group. The data collected then analyzed using SPSS for Windows by independent sampled-t-test. The result shows that the NLR, PLR and MPV values in women with preeclampsia were significantly different from normotensive pregnant woman. The NLR, PLR, and MPV values were found higher in women with preeclampsia, with mean difference value of 0.93 for the NLR variable (p=0.011), 21.97 for the PLR variable (p=0.011) and 0.47 for the MPV variable (p=0.008). The predictive value is seen from the effect size (Cohen's delta) where the three variables are included in the moderate category.
Co-Authors A Swandewi A. A. Ayumi Witantri A. A. Ayumi Witantri Anny Eka Pratiwi Bharata, Made Dwi Yoga Bunganing Eswarya 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 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 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 Diah Witari, Ni Putu 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 Yasa, I Nyoman Wawan Tirtha Yuliana Yuliana