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All Journal SOCA: Jurnal Sosial Ekonomi Pertanian Bumi Lestari Jurnal Agribisnis dan Agrowisata (Journal of Agribusiness and Agritourism) JURNAL MANAJEMEN AGRIBISNIS Damianus Journal of Medicine MNJ (Malang Neurology Journal) Syntax Literate: Jurnal Ilmiah Indonesia DWIJENAGRO: JURNAL ILMIAH Cermin Dunia Kedokteran AKSONA

I WAYAN WIDYANTARA

Program Studi Agribisnis Fakultas Pertanian Universitas Udayana

Author-ID : 416520

Agriculture, Biological Sciences & Forestry Humanities Earth & Planetary Sciences Economics, Econometrics & Finance Education Energy Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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STRATEGI PETANI BAWANG MERAH DALAM USAHA MEMPEROLEH LABA PADA AGRIBISNIS BAWANG MERAH DI LOKASI SPESIFIK, DESA BUAHAN KECAMATAN KINTAMANI KABUPATEN BANGLI Wayan Widyantara
SOCA: Jurnal Sosial Ekonomi Pertanian Vol.12, No.2, 2018
Publisher : Program Studi Agribisnis, Fakultas Pertanian, Universitas Udayana Jalan PB.Sudirman Denpasar, Bali, Indonesia. Telp: (0361) 223544 Email: soca@unud.ac.id

Bawang merah yang diusahakan oleh petani di Kintamani Kabupaten Bangli Provinsi Bali dibudidayakan pada lahan yang sangat berbeda dengan lahanpertanian pada umumnya. Daerah ini merupakan lahan spesifik lokasi, merupakan lahan yang berpasir bekas eropsi gunung Batur. Pada lahan yang demiukian cendrung memerlukan saprodi yang tinggi, sementara produksinya rendah. Tujuan penelitian dilakukan adalah untuk mengetahui: (1) laba yang diperoleh oleh petani dalam berusahatani bawang merah, dan (2) strategi yang mesti dilakukan oleh petani dalam mengalokasikan input agar petani memperoleh profit maksimum. Hasil penelitian menunjukan bahwa usahatani bawang merah dispesifik lokasi relatif sangat boros dalam menggunakan sarana produksi. Dilihat dari produkstivitas biaya (AVC), maka laba/AVC sebesar 0,12. Setiap satu rupian biaya (pengeluaran) hanya mampu menghasilkan laba 0,12 rupiah. Jumlah ini merupakan jumlah yang sangat rendah. Dari penggunaan input, input secara bersamaan dinaikkan 10%, hanya akan dapat meningkatkan produksi sebesar 8%. Bibit berpengruh positif terhadap hasil, sedangkan tenaga kerja sewaan dan pertisida berpengaruh negative terhadap produksi bawang merah. Untuk memperoleh laba maksimum, banya input bibit yang bisa ditambahkan, sedang factor lainnya harus dikurangkan.

PNEUMONIA IN ICU HOSPITALIZED NEUROLOGIC PATIENTS: THE RELATIONSHIP BETWEEN C-REACTIVE PROTEIN AND PROCALCITONIN LEVELS WITH THE RESULTS OF BLOOD AND SPUTUM CULTURES Indah, Carolin Tiara Lestari; Widyantara, I Wayan; Putra, Ida Bagus Kusuma; Tini, Kumara
MNJ (Malang Neurology Journal) Vol. 10 No. 1 (2024): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.01.7

Background: Pneumonia is often experienced by neurology patients, especially in the intensive care unit (ICU). Culture and antibiotic sensitivity tests as the gold standard of pneumonia require a long time, then other examinations are needed, namely C-reactive protein markers (CRP), and procalcitonin (PCT). Objective: To determine the relationship between CRP and PCT levels with the results of blood and sputum cultures in ICU hospitalized neurologic patients Prof I.G.N.G. Ngoerah General Hospital, Denpasar, Bali. Methods: A cross-sectional study that includes all neurology patients with pneumonia in the ICU of Prof I.G.N.G. Ngoerah General Hospital in 2018-2022. The required examination data are demographic data, CRP and procalcitonin levels, and blood and sputum culture results. Data analysis using SPSS Version 24 qualitatively. Results: We identified 121 ICU hospitalized neurologic patients with pneumonia involving 59 blood and 85 sputum culture-positive and 15 isolated pathogens. The leading pathogens were Klebsiella pneumoniae, Acinetobacter baumanii, Pseudomonas aeuroginosa, Escherichia coli, Staphylococcus aureus, Candida albican, Streptococcus suis, and Staphylococcus haemolyticus, and other pathogens which were isolated in 31 (19,7%), 25 (15.9%), 20 (12.7%), 11 (7%), 10 (6.4%), 4 (2.5%), 3 (1.9%), and 1 (0.6%) cases, respectively, however Klebsiella pneumoniae has the highest number of resistance cases, especially ESBL. There was a significant relationship between high CRP (>97.9) and blood culture (OR 6.42, p <0.03). Conclusion: CRP can be considered as a fast and appropriate examination to establish an early diagnosis of pneumonia in patients.

Prediktor Klinis dan Pencitraan Hematoma Subdural Kronik pada Pasien Lanjut Usia di Instalasi Gawat Darurat Vania, Aurelia; Arimbawa, I Komang; Laksmidewi, Anak Agung Ayu Putri; Putra, Ida Bagus Kusuma; Widyantara, I Wayan
Bahasa Indonesia Vol 23 No 3 (2024): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v23i3.5416

Pendahuluan: Subdural hematoma kronik (cSDH) merupakan salah kasus emergensi neurologi yang sering terjadi yang lebih sering terjadi pada lansia. Diagnosis cSDH memiliki kesulitan tersendiri pada pasien lansia. Studi ini bertujuan untuk mempelajari karakteristik klinis pasien lansia yang dapat menjadi prediktor adanya cSDH dan derajat keparahan gambaran cSDH yang ditemukan pada hasil CT-scan kepala. Metode: Penelitian ini merupakan studi kasus-kontrol yang dilakukan di Instalasi Gawat Darurat Neurologi RSUP Prof. dr. I.G.N.G. Ngoerah dalam periode 3 tahun. Studi melibatkan 85 pasien lansia cSDH dan 85 kontrol yang terbukti tidak ada perdarahan intrakranial dari data imaging. Pengumpulan dan pengolahan data yang dilakukan meliputi variabel karakteristik demografi, faktor risiko, presentasi klinis, dan karakteristik cSDH pada gambaran computed-tomography scan (CT-scan) kepala. Hasil: Studi ini menemukan pasien cSDH dengan rata-rata usia 72,9±8.1 tahun dan 75,3% laki-laki. Penurunan kesadaran dan defisit fokal merupakan presentasi klinis yang paling sering ditemukan dengan median onset 3 hari (rentang 1-30 hari). Usia lebih tua, laki-laki (RO=2,84, 95% IK 1,45-5,45, p=0,001), hipertensi (RO=3,66, 95% IK 1,89-7,06, p=0,000), dan gangguan ginjal kronik (RO=2,77, 95% IK 1,34-5,72, p=0,005) merupakan faktor risiko terjadinya cSDH yang signifikan. Efek massa dan Glasgow Coma Scale (GCS) yang rendah lebih sering terjadi pada cSDH dengan midline shift (MLS) >5mm. Simpulan: Adanya cSDH perlu dipertimbangkan pada pasien lansia yang datang dengan onset manifestasi neurologis akut-subakut terutama pasien laki-laki, mengalami penurunan kesadaran dengan atau tanpa defisit fokal, disertai adanya komorbid hipertensi dan gangguan ginjal. Penurunan GCS dan efek massa dapat memperkirakan adanya MLS pada CT-scan kepala.

Atypical Presentation of Rheumatic Fever: Isolated Hemichorea with Subclinical Carditis and No Joint Involvement Pikatan, Orlando; Putri, Dian Kusumastuti Anggraeni; Trisnawati, Sri Yenni; Widyantara, I Wayan; Lavenia, I Gusti Agung Ayu Gita
AKSONA Vol. 6 No. 1 (2026): JANUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v6i1.71139

Highlight: The clinical manifestation of the Sydenham chorea The mechanism of hemichorea in Sydenham chorea involves the antigen found throughout the body. ABSTRACT Introduction: Rheumatic fever (RF) is an autoimmune inflammatory disease that develops as a complication of a previous infection with group A beta-hemolytic Streptococcus (GABHS), typically following episodes of tonsillopharyngitis. Although its prevalence has decreased due to advances in medical treatment and improved living conditions, RF remains a major health issue in developing countries. Sydenham chorea (SC) is a well-known neurological complication of RF, which occasionally presents as hemichorea, a rare condition affecting only one side of the body. Therefore, early identification is important for initiating treatment promptly and preventing further complications. Case: A 12-year-old boy presented with involuntary, dance-like movements on the left side, following a fever. Laboratory tests showed elevated inflammatory markers and ASTO titers, suggesting a prior streptococcal infection. Imaging revealed left-sided pneumonia. Brain scans were normal, but echocardiography revealed mild mitral regurgitation, indicating subclinical carditis. The patient was diagnosed with RF complicated by hemichorea and was subsequently treated with benzathine penicillin, ceftriaxone, haloperidol, and valproic acid. Increasing the valproic acid dosage effectively resolved the symptoms. Conclusion: Rheumatic fever should be considered in children presenting with hemichorea, even in the absence of joint involvement or overt cardiac symptoms. Early diagnosis, adherence to the 2015 revised Jones criteria, and long-term antibiotic prophylaxis are crucial to prevent disease recurrence and complications.

Pulmonary Complications as Predictors of Weaning Outcomes in Myasthenic Crisis: A Systematic Review and Meta-analysis Rossyana Dewi, Putri; Surya Atmaja, Kadek; Widyantara, I Wayan; Harry Pranata, I Made
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar

Pulmonary complications are common during invasive mechanical ventilation in myasthenic crisis and may significantly influence extubation success. Although pneumonia, ventilator-associated pneumonia (VAP), and atelectasis are frequently reported, their quantitative association with weaning outcomes has not been systematically evaluated. The research aims to determine whether pneumonia/VAP and atelectasis are associated with poor weaning outcomes—including extubation failure, prolonged mechanical ventilation, or difficult weaning—in patients with myasthenic crisis. This systematic review and meta-analysis followed PRISMA 2020 guidelines and was registered in PROSPERO. Comprehensive searches of MEDLINE, Embase, Scopus, and CENTRAL were conducted through January 2025. Observational studies in adult myasthenic crisis were included. Risk ratios (RRs) were pooled using a random-effects model; risk of bias was assessed with ROBINS-I, and evidence certainty with GRADE. Of 1,246 records, 934 were screened after deduplication; 60 full-texts assessed; 4 studies included. Pneumonia/VAP was significantly associated with poor weaning outcomes (RR = 1.78, 95% CI 1.41–2.24; = 3%). Atelectasis showed a nonsignificant trend (RR = 1.28, 95% CI 0.93–1.75; = 35%). Evidence certainty was moderate for pneumonia/VAP and low for atelectasis. Publication bias was unassessable due to few studies. Pneumonia and VAP substantially increase extubation failure and weaning difficulties in myasthenic crisis. Atelectasis's role remains inconclusive. Aggressive pulmonary infection management may improve outcomes; prospective studies are needed

Co-Authors A. A. A. WULANDIRA SAWITRI DJELANTIK AHMAD MAULA ABIDIN Anak Agung Ayu Putri Laksmidewi Arimbawa, I Komang DEFRY SANJAYA GUNAWAN DEWA GEDE AGUNG DWI PUTRA DARMAWAN ELTA DINA PARTIWI GDE NUSHA SUPUTRA GUSTI AYU PUTU WIDHI ASTUTI GUSTI AYU WIDISATRIANI GUSTI MADE OFFAYANA, Harry Pranata, I Made I DEWA GEDE AGUNG I Dewa Gede Raka Sarjana I Gede Made Artha Sudewa Wijaya I GEDE WEGANANDA FAJAR SANGURJANA I GUSTI AGUNG AYU AMBARAWATI I GUSTI AYU AGUNG LIES ANGGRENI I MADE DODY DARMAWAN I MADE JUNI ADITYA I MADE PUTRA ARIMBAWA I MADE SUDARMA I Nyoman Gede Ustriyana I WAYAN BUDIASA I WAYAN WINDIA I.G.A.A.LIES ANGRENI Ida Ayu Listia Dewi IDA AYU PREMAYANTI Indah, Carolin Tiara Lestari KADEK AGUS DWISAPUTRA Kondra, I Wayan Lavenia, I Gusti Agung Ayu Gita M.TH. HANDAYANI NENGAH SUDIRTA YASA NGURAH ADI PUTRA MANDALA NI LUH PRIMA KEMALA DEWI NI LUH PUTU ERMA MERTANINGRUM NI LUH RISKA WIRYANTINI NI MADE ANGGA RIANTARI NI MADE NOVARINA DWITA LAKSMI NI WAYAN PUTU ARTINI Pikatan, Orlando Putra, Ida Bagus Kusuma Putri Rossyana Dewi Putri, Dian Kusumastuti Anggraeni Putu Udayani Wijayanti RANDA FAUSTIN SIMARMATA RATNA KOMALA DEWI Rustini, Made Sadguna, Dewa SANG AYU DYAH ORCHID WULANDARI STEVI VIONA LUMBANTORUAN Surya Atmaja, Kadek SUSANNA E.R. SIMAMORA Tini, Kumara Trisnawati, Sri Yenni Vania, Aurelia YOHANES FACRIS BANI

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