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

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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
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.
Co-Authors A Swandewi A. A. Ayumi Witantri 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 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 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