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PEMBERDAYAAN PETANI DALAM PENCEGAHAN INFEKSI CACING YANG DITULARKAN LEWAT TANAH DI DESA GELGEL, KABUPATEN KLUNGKUNG putu indah budiapsari; Luh Gede Evayanti
Buletin Udayana Mengabdi Vol 19 No 2 (2020): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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Abstract

Abstrak Infeksi Soil Transmitted Helminth (STH) masih merupakan masalah di daerah endemis di berbagai belahan dunia, terutama di negara yang sedang berkembang dengan sanitasi lingkungan dan kebersihan diri yang sangat kurang. Menurut WHO pada tahun 2017, lebih dari 1,5 miliar manusia atau 24% dari total populasi seluruh dunia terinfestasi STH. Infeksi tersebar di daerah tropis dan subtropis termasuk Indonesia dengan jumlah terbanyak pada daerah sub-Sahara, Afrika, Amerika, China dan Asia. Petani merupakan populasi yang rentan terinfeksi STH oleh karena petani sangat jarang menggunakan alat pelindung diri yang benar, misalnya baju yang menutupi seluruh tubuh, sarung tangan dan alas kaki. Para petani juga tidak menggunakan sabun untuk cuci tangan setelah bekerja dan sebelum makan. Perilaku berisiko ini meningkatkan risiko infeksi STH, oleh karena itu perlu dilakukan upaya untuk meningkatkan pengetahuan dan pemahaman para petani agar dapat meningkatkan higienitas personal dan perilaku hidup bersih dan sehat. Metode yang digunakan dalam pengabdian ini adalah pelatihan dan penyuluhan mengenai cara penggunaan alat pelindung diri dan cuci tangan yang benar agar terhindar dari berbagai penyakit infeksi cacing yang ditularkan melalui tanah. Hasil pengabdian ini terdapat peningkatan pengetahuan dan keterampilan petani dalam menggunakan alat pelindung diri dan perilaku cuci tangan. Kata kunci: infeksi STH, alat pelindung diri, cuci tangan Abstract Soil Transmitted Helminth (STH) infections are still a problem in endemic areas in various parts of the world, especially in developing countries with poor environmental sanitation and personal hygiene. According to WHO in 2017, more than 1.5 billion people or 24% of the total world population were infected by STH. Infections are spread in the tropics and subtropics including Indonesia with the most numbers in sub-Saharan, Africa, America, China and Asia. Farmers are vulnerable to being infected with STH because farmers rarely use proper personal protective equipment, for example clothes that cover the entire body, gloves and footwear. Farmers also don't use soap to wash their hands after work and before eating. This risky behavior increases the risk of STH infection, therefore efforts should be made to increase the knowledge and understanding of farmers in order to improve personal hygiene and clean and healthy living behavior. The method used in this service was training and counseling on how to use personal protective equipment and wash hands properly to avoid various worm infections transmitted through the soil. As a result of this service, there was an increase in farmers' knowledge and skills in using personal protective equipment and hand washing behavior. Keywords: STH infection, personal protective equipment, washing hands
SUATU LAPORAN KASUS SKIZOFRENIA AKUT PADA ANAK USIA 12 TAHUN DENGAN RIWAYAT GANGGUAN PEMUSATAN PERHATIAN DAN HIPERAKTIVITAS Luh Gde Evayanti
E-Jurnal Medika Udayana vol 3 no 6 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Skizofrenia masa anak merupakan suatu gangguan psikiatrik berat yangmempengaruhi hampir seluruh aspek kehidupan anak. Adanya komorbiditas gangguankejiwaan yang lain juga dapat meningkatkan gejala-gejala skizofrenia pada anak.Seorang anak laki-laki umur 12 tahun dikeluhkan berbicara sendiri dan cenderungmengatakan hal-hal yang berhubungan dengan Dewa. Selain itu, pasien jugamenunjukkan sikap atau perilaku yang aneh. Pasien sempat melihat barong dikamarnya, yang membuat dirinya takut. Pasien juga dikatakan memiliki riwayatgangguan pemusatan perhatian dan hiperaktivitas atau ADHD saat berumur 7 tahun.Pada pemeriksaan fisik didapatkan dalam batas normal dan tidak ada tanda defisitneurologis. Status psikiatri didapatkan proses pikir pasien tampak kesan bentuk pikirnonlogis nonrealis, arus pikir inkoheren, isi pikir dengan waham bizarre. Disamping itu,pasien memiliki halusinasi auditorik dan visual disertai dengan raptus. Diagnosis klinispasien mengarah pada skizofrenia. Penatalaksanaan diharapkan dapat mencegahgangguan ini menjadi kronis.
Pengaruh tingkat pengetahuan, sikap dan perilaku dengan kejadian COVID-19 pada mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warwadewa Agus Santosa; Luh Gde Evayanti; Angga Priyana
Intisari Sains Medis Vol. 13 No. 3 (2022): (In Press 1 December 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/ism.v13i3.1450

Abstract

Introduction: Efforts in preventing COVID-19 are carried out by increasing knowledge and improving attitudes and behavior. These three components affect the occurrence of COVID-19, especially among medical students. This study aimed to determine the relationship between knowledge, attitudes, and behavior and the incidence of COVID-19 in students of the Faculty of Medicine and Health Sciences (FKIK Unwar). Methods: Analytical design and a cross sectional study were used. The study was conducted from October – November 2021. Several 88 samples were selected by purposive sampling from 2018-2020 class students in the Unwar FKIK environment. Data were analyzed using Fisher Exact test (p<0.05). Results: Medical students have knowledge of 94.3% in the good category, 79.5% positive attitude and 55.7% positive behavior towards COVID-19, although there is no significant relationship (p>0.05). Conclusion: Education and implementation of strict health protocols at FKIK Unwar increase the knowledge, behavior, and attitudes of FKIK Unwar students. Those were related to the low incidence of COVID-19 at FKIK Unwar for the last 3 months.   Latar Belakang: Peningkatan pengetahuan, perbaikan sikap serta perilaku dilaksanakan dalam upaya pencegahan COVID-19. Ketiga komponen tersebut mempengaruhi kejadian COVID-19 terutama dikalangan mahasiswa kedokteran. Penelitian ini bertujuan mengetahui pengaruh tingkat pengetahuan, sikap dan perilaku dengan kejadian COVID-19 pada mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan (FKIK Unwar). Metode: Rancangan analitik ini menggunakan studi cross sectional dan dilaksanakan pada bulan Oktober – November 2021. Sebanyak 88 sampel dipilih dengan purposive sampling dari mahasiswa angkatan 2018-2020 di lingkungan FKIK Unwar. Data dianalisis sengan uji Fisher Exact (p<0,05). Hasil: Mahasiswa kedokteran memiliki pengetahuan persentase 94,3% dalam kategori baik, sikap positif 79,5% dan perilaku positif 55,7% terhadap COVID-19 meskipun tidak terdapat pengaruh bermakna (p>0,05). Simpulan: Edukasi dan penerapan protokol kesehatan yang ketat di FKIK Unwar meningkatkan pengetahuan, perilaku, dan sikap mahasiswa FKIK Unwar. Hal ini terkait rendahnya kejadian COVID-19 di FKIK Unwar selama 3 bulan terakhir.
Upaya Pencegahan Penyakit Kulit pada Kelompok Pemulung di Tempat Pembuangan Akhir (TPA) Suwung, Bali Pande Ayu Naya Kasih Permatananda; Luh Gde Evayanti; I Gede Suranaya Pandit
Jurnal Pelayanan Hubungan Masyarakat Vol. 1 No. 2 (2023): Juni : Jurnal Pelayanan Hubungan Masyarakat
Publisher : Universitas Katolik Widya Karya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/jphm-widyakarya.v1i2.477

Abstract

Suwung Garbage Landfill is the largest landfill in Bali with a land area of 32.48 hectares. Scavengers are a profession that is prone to skin diseases. Previous observational studies concluded that most of scavengers at the landfill had complaints of skin disease which might be caused by the scavengers’ low knowledge of personal hygiene. This community service was carried out in January-February 2023, starting with interview and dialogue with the Suwung Landfill manager, transfer the science and technology, and evaluate the activities. The activities carried out included: counselling on skin diseases and their prevention, socialization of personal protective equipment (PPE), demonstration and exercise 7 steps of hand washing, and providing personal hygiene and PPE assistance. The entire series of activities was attended by 20 scavengers with active participation. The results of posttest using 10 multiple choice questions showed that all participants were able to score more than 70. Through this community service, it is hoped that scavengers will be able to increase their awareness regarding of skin disease and be able to take appropriate precautions
THE EFFECT OF NOISE EXPOSURE ON THE AVERAGE NUMBER OF TEMPORAL LOBUS NEURONS IN ADULT WISTAR RATS Suka Astini, Dewa Ayu Agung Alit; Evayanti, Luh Gde; Witari, Ni Putu Diah; Sumadewi, Komang Trisna; Prima Dewi, A.A.A Asri; Anthony Kerans, Fransiscus Fiano; Kurniawati, Ida
E-Jurnal Medika Udayana Vol 13 No 07 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i07.P09

Abstract

Noise is defined as unwanted and disruptive sound, considered an environmental stressor and disturbance. Noise encompasses many aspects of modern communities, including work environments. The damaging effects of noise primarily result from the unrestricted production of free radicals into the auditory organs. Exposure to noise causes various health problems, such as hearing impairment, sleep disturbances, and interference with individual performance. Reactive oxygen species (ROS), also known as free oxygen radicals, are normal by-products of cellular aerobic metabolism. These unstable molecules can damage cellular lipids, proteins, and nucleic acids in DNA if the antioxidant balance is disrupted. Acute and chronic exposure to loud noise generates excessive free radicals and disrupts extra-auditory organs such as the nervous, endocrine, and cardiovascular systems. The purpose of this study is to analyze the relationship between noise exposure and the number of neurons in the temporal lobes of Wistar rats. The research design used is a laboratory experimental design, specifically a pure experimental design, implemented with the randomized posttest-only control group design. The research sample consists of 30 male Wistar rats randomized into 2 groups, control and treatment. The treatment group is exposed to 95dB noise for 4 hours per day for 14 days. The rats are then euthanized, and their brain tissue is fixed with 10% neutral buffered formalin. Assessment is performed using Hematoxylin Eosin staining, and analysis is conducted blindly on the average number of neurons in the rat's temporal lobes. Data is subjected to normality testing using the Shapiro-Wilk test and analyzed using independent t-tests for parametric comparison. The results show a significant difference in the mean number of neurons in the temporal lobes between rats exposed to noise and the control group (p <0.005). The conclusion of this study is that noise affects neuron cells in the temporal lobes. Keywords : noise, temporal lobe, neurons.
EVALUATING THE EFFECTIVENESS OF ANATOMY AND HISTOLOGY PRACTICUM DURING COVID-19 PANDEMIC AT FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS WARMADEWA Evayanti, Luh Gde; Sumadewi, Komang Trisna; Witari, Ni Putu Diah; Suka Astini, Dewa Ayu Agung Alit; Kerans, Fransiscus Fiano Anthony; Dewi, A.A.Ayu Asri Prima; Ekayani, Ni Wayan Diana
E-Jurnal Medika Udayana Vol 13 No 6 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i06.P11

Abstract

The implementation of anatomy and histology practical sessions at Fakultas Kedokteran dan Ilmu Kesehatan (FKIK) Universitas Warmadewa during the Covid-19 pandemic still has many variations. This difference in implementation will have an influence on the achievement of student learning. This research aims to evaluate the knowledge of anatomy and histology among students by giving asynchronous learning, pre-test, post-test and practicum exam. This study using cross-sectional approach. 124 participants are 3th semester students whose active status at FKIK Universitas Warmadewa. The primary data were collected directly from practical sessions and practicum exam. The pre-test and post-test data were analyzed using paired-T test (p<0.05). The post-test and practicum exam were analyzed using Spearman rho (p<0.05). In anatomical practicum, there is an increase in post-test scores when compared to pre-test although not significant (p = 0.119). Anatomical practicum exam results have a meaningful positive correlation with post-tests (p = 0.013, r = 0.22). In histological practicum there was a significant increase in post-test scores when compared to pre-tests (p = 0.013), although practicum exam results were not significantly correlated with post-test (p = 0.410). Based on this study, improvements are needed related to technical of anatomical and histological practicums, as well as provisions related to practicums so that activities are structured
Hematology Profiles in Colorectal Cancer Patients in Bali Kurniawati, Ida; Dewi, Anak Agung Ayu Asri Prima; Kerans, Fransiscus Fiano Anthony; Witari, Ni Putu Diah; Adyasputri, A A I Ayesa Febrinia; Sueta, Made Agus Dwianthara; Sumadewi, Komang Trisna; Evayanti, Luh Gde; Astini, Dewa Ayu Agung Alit Suka
Jurnal Ilmiah Kesehatan Vol 18 No 01 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i01.6936

Abstract

Colorectal cancer is a leading cause of cancer-related deaths worldwide. This study explores blood profile and cancer staging in colorectal cancer patients in Bali. It was a descriptive-analytical study that collected demographic and clinical data from medical records of colorectal cancer patients at Prof. Dr. I.G.N.G. Ngoerah Hospital. The results of the study showed the basic characteristics and hematology profiles of 100 colorectal cancer patients. The average age of patients was 55.6 ± 11.4 years, with 54% of the total sample being male. The average body mass index (BMI) was 21.1 ± 3.6 kg/m², with an average height of 161.9 ± 6.1 cm and an average weight of 55.3 ± 10.0 kg. Laboratory tests revealed an average hemoglobin (Hb) level of 11.0 ± 3.6 g/dL, red blood cell count of 4.0 ± 0.9 million/μL, white blood cell count of 11.2 ± 7.3 thousand/μL, and platelet count of 302.8 ± 154.8 thousand/μL. The average hematocrit (HCT) level was 33.7 ± 6.6 L/L. Liver function parameters indicated average aspartate aminotransferase (AST/SGOT) levels of 45.6 ± 63.6 U/L and alanine aminotransferase (ALT/SGPT) levels of 24.6 ± 29.4 U/L. Renal function was described by an average blood urea nitrogen (BUN) level of 21.8 ± 21.0 mg/dL, urea levels of 21.9 ± 21.2 mg/dL, and creatinine levels of 2.3 ± 11.5 mg/dL. Our study highlights the importance of hematology profiles in colorectal cancer patients as part of cancer screening examination. Further study with a larger number of samples and more diverse populations is needed to analyze the relation between variables.
Female gender and time from injury to surgery as risk factors for decreased knee functions in ACL injury survivors Kurniawati, Ida; Witari, Ni Putu Diah; Dewi, Anak Agung Ayu Asri Prima; Kerans, Fransiscus Fiano Anthony; Sumadewi, Komang Trisna; Astini, Dewa Ayu Agung Alit Suka; Evayanti, Luh Gde
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.247

Abstract

Background: Anterior cruciate ligament (ACL) injuries are serious orthopedic conditions that require long-term recovery and significant costs. This study aimed to assess the risk of decreased knee function among ACL injury survivors in the Indonesian ACL community. Methods: This study used a prospective observational cohort design with a population of all members of the Indonesian ACL community who experienced ACL injury. The primary outcome of this study was a decrease in knee function was measured using the Lysholm knee score. We calculated univariate and multivariate analyses using logistic regression for each variable. Results: The results showed that female gender and time from injury to surgery were significant factors that influenced poor knee function after ACL reconstruction. Women had a significantly higher risk (odd ratio (OR) = 15.28; adjusted OR (AOR) = 23.47; p-value < 0.010). In addition, the time between injury and surgery significantly affected postoperative knee function (AOR = 1.05; p-value = 0.049). Other factors such as age and body mass index did not show significant associations in either univariate or multivariate analyses. Conclusion: This study confirmed that female gender and time from injury to surgery were important factors influencing poor knee function after ACL reconstruction. Timely intervention and focused rehabilitation programs are key steps to improve patient functional outcomes.
Correlation of Age, Tumor Size, and Histopathological Type with Indicator Tumor Progression of Penile Squamous Cell Carcinoma in Bali Astuti, Ni Luh Putu Vina Juni; Lestari, Desak Putu Oki; Sari, Ni Luh Putu Eka Kartika; Armerinayanti, Ni Wayan; Evayanti, Luh Gde; Perdana, I Gede Sukma Okta
Indonesian Journal of Cancer Vol 19, No 3 (2025): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i3.1340

Abstract

Background: Penile cancer is a rare malignancy globally, but Bali accounts for approximately 40% of Indonesia’s cases. Age, tumor size, and histopathological type are recognized factors influencing penile cancer progression, with grade, depth of invasion, lymph node metastasis, and distant metastasis serving as key indicators. However, the prognostic value of these factors, particularly depth of invasion, remains debated. This study aimed to evaluate the correlation between age, tumor size, and histopathological type with indicators of tumor progression in penile squamous cell carcinoma (SCC) in Bali.Method: A cross-sectional analytical study was conducted on 160 cases of penile SCC. Dependent variables included tumor grade, depth of invasion, and lymph node metastasis, while independent variables were age, tumor size, and HPV status (inferred from histopathology). Age was categorized as 60 or ≥60 years, tumor size as 4 cm or ≥4 cm, and depth of invasion as T1–T4. Multivariate analysis using the chi-square test was performed to assess associations.Results:  Most patients were aged ≥ 60 years, had HPV-independent SCC, tumor size ≥ 4 cm, grade 2 tumors, and T1 depth of invasion, with lymph node metastasis observed in a minority. Multivariate analysis revealed significant correlations between age, tumor size, and histopathological type with grade (p = 0.026, R² = 0.056), depth of invasion (p 0.001, R² = 0.445), and lymph node metastasis (p = 0.004, R² = 0.075). Tumor size demonstrated the strongest association with depth of invasion (OR = 9.618, p 0.001) and lymph node metastasis (OR = 6.846, p 0.001).Conclusion: Tumor size is a significant predictor of both depth of invasion and lymph node metastasis in penile SCC. Clinical assessment of tumor size should be emphasized as a key prognostic factor to guide early intervention strategies in patients with penile SCC in Bali.
PELATIHAN KADER REMAJA DALAM MENINGKATKAN KESEHATAN MENTAL Ekayani, Ni Wayan Diana; Indiani, Ni Luh Putu; Ekayanti, Ni Wayan Sri; Wijaya, Putu Austin Widyasari; Evayanti, Luh Gde; Putra, Adi Pratama
JURNAL SEWAKA BHAKTI Vol 11 No 2 (2025): Sewaka Bhakti
Publisher : UNHI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32795/7922em07

Abstract

Adolescents are vulnerable to stress that can cause behavioral disorders, mental health problems, and self-harm. They undergo many changes physically, psychologically, and socially. The Community Partnership Development Team of the Faculty of Medicine and Health Sciences of Universitas Warmadewa trained adolescent cadres at one of the high schools as part of student empowerment in improving mental health. The training began with material on mental health disorders and self-management, discussion, and a post-test. Thirty participants attended the activity, but only 22 people completed it. The participants comprised 14 women (63.6%) and eight men (36.4%). There were six people (27.3%) who had experienced mental health problems. The mean of the post-test questions was 85.45. This evaluation showed that the participants' understanding of the topic was quite good. The trained youth cadres are expected to help conduct early detection of mental disorders and provide simple counseling to other students. Cooperation between schools and students needs to continue to increase awareness of the importance of adolescent mental health.
Co-Authors A A I Ayesa Febrinia Adyasputri A.A.Ayu Asri Prima Dewi Aanak Agung Ayu Asri Prima Dewi Adelia Putri Mas Agus Santosa Anak Agung Ayu Asri Prima Dewi Anak Agung Oka Lely Anak Agung Sri Agung Aryastuti Angga Priyana Asri Prima Dewi AA Ayu Astini, Dewa Ayu Agung Alit Suka Astuti, Ni Luh Putu Vina Juni budiapsari, putu indah Cahyawati, Putu Nita Desak Putu Oki Lestari Dewa Ayu Agung Alit Suka Astini Dewa Ayu Ratna Juwita Dewi, A.A.Ayu Asri Prima Dewi, Anak Agung Ayu Asri Prima Dewi, Ni Made Gita Kusuma Ekayani, Ni Wayan Diana Ekayanti, Ni Wayan Sri Fransiscus Fiano Anthony Kerans Gede Rizky Wismaya Pradipha I Gede Bagus Gita Pranata Putra I Gede Suranaya Pandit I Gusti Lanang Agung Wiradinata I Wayan Sudiarta I Wayan Sudiarta Ida Kurniawati Ida Kurniawati, Ida IGNP Sana Kadek Ayu Alit Sintyawati Kadek Ayu Alit Sintyawati Komang Trisna Sumadewi KT Sumadewi Manuaba, Ida Ayu Laxmi Ananda Dewi Ni Kadek Elmy Saniathi Ni Luh Putu Indiani Ni Putu Diah Witari Ni Putu Diah Witari, Ni Putu Ni Wayan Armerinayanti, Ni Wayan Ni Wayan Diana Ekayani NPD Witari Pande Ayu Naya Kasih Permatananda Perdana, I Gede Sukma Okta Prima Dewi, A.A.A Asri Putra, Adi Pratama Putu Ayu Kevin Komala Dewi Mahayuna Putri Putu Ayunda Trisnia Putu Diah Witari Ratna Juwita Rima Kusuma Ningrum Sagung Putri Permana Lestari Murdhana Putere Sari, Ni Luh Putu Eka Kartika Setiabudy, Marta Sri Ratna Dewi Sueta, Made Agus Dwianthara Suka Astini Dewa Ayu Agung Alit Suka Astini, Dewa Ayu Agung Alit Sumadewi, Komang Trisna Trisnia, Putu Ayunda Wijaya, Putu Austin Widyasari