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All Journal Archive of Community Health JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) The Indonesian Biomedical Journal Public Health and Preventive Medicine Archive Journal of Law, Poliitic and Humanities
I Wayan Gede Artawan Eka Putra
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana
Humanities Biochemistry, Genetics & Molecular Biology Health Professions Law, Crime, Criminology & Criminal Justice Public Health Social Sciences

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POLA MAKAN, AKTIVITAS FISIK, DAN STATUS GIZI SISWA SMA NEGERI 1 SINGARAJA DI MASA PANDEMI COVID-19 Kadek Dhiyo Mamhista Kumara; I Wayan Gede Artawan Eka Putra
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 1 (2022): April 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i01.p07

Abstract

The policy of learning from home as the effect of pandemic situation can change the diet, physical activity, and the nutritional status of students. This study is an observational study with a cross-sectional design used in SMA Negeri 1 Singaraja with a sample size of 283 students. This study was collecting diet, physical activity, and nutritional status data using an online questionnaire. Data were analyzed descriptively. The results showed that most of the students had a good diet (61,48%), did light physical activity (84,81%), and had normal nutritional status (77,74%). Most students often consume vegetables (>50%), but fruit consumption was still lacking (<10,00%). The consumption of sugary drinks and junk food in adolescents was quite high (>50%). We suggest students to apply a balanced nutritious diet and continue to do physical activity during the pandemic so that they can achieve optimal nutritional and health status. Keywords: Adolecent, Diet, Physical Activity, Nutritional Status
Shopping Dokter, Masalah Utama Pelaksanaaan TB-DOTS pada Dokter Praktek Swasta, Apakah Kader TB Desa Pakraman Bisa Menjadi Solusi? Gede Artawan Eka putra
ARCHIVE OF COMMUNITY HEALTH Vol 1 No 2 (2012): Desember (2012)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.912 KB) | DOI: 10.24843/ACH.2012.v01.i02.p01

Abstract

FENOMENA KEMATIAN BAYI DI DUSUN MUNTIGUNUNG, KARANGASEM, BALI, 2013 Yuli Kurniati; Wayan Septarini; Sri Nopiyani; Artawan Eka Putra; Lila Wulandari
ARCHIVE OF COMMUNITY HEALTH Vol 2 No 2 (2013): Desember (2013)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

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Abstract

The target to decrease Infant Mortality Rate (IMR) is one of the goals of the Millennium Development Goals (MDG`s) in 2015. Muntigunung`s village has a relatively high infant mortality rate (29.4 / 1,000 live births) compared by the infant mortality rate of Bali Province (8.19/1,000 live births). The area also have geographical conditions and different socio-cultural community with the surrounding area in Bali, so a more specific approach is required in handling the problems in the area. A qualitative study is needed to explore the factors underlying these conditions. The purpose of this study is to examine the behavior of mothers in Cangkeng Hamlet, Muntigunung in prenatal care practice, childbirth and puerperium. This study used the Rapid Assessment Procedure approach. The qualitative method was used in this study by interviewing 24 women participants and 10 man pasticipants. Participants were selected using purposive technique. The information gathered was analyzed using thematic analysis, and used triangulation of resources and method. The results of this study indicate that prenatal care, childbirth process and post-partum care in Cangkeng is still far from clean and safe criteria. Low education levels, lack of knowledge, negative attitudes towards health care, supernatural perception in the healthy concept of illness, difficult access, mother in-laws influence and lack of husband's role to be underlying conditions of infant morbidity and mortality in this region. This study suggests the existence of a partnership between goverment, NGOs or academic institutions in an effort to closer access to the health services such as forming “Posyandu” in this group;  increase knowledge about reproductive health (prenatal care, early sign of pregnancy, clean and save delivery, and infant care)  for  mother and husband.
GAMBARAN PENGETAHUAN, SIKAP, PERILAKU DAN KONVERSI PENDERITA TUBERKULOSIS PARU BAKTERI TAHAN ASAM (BTA) POSITIF DI KOTA DENPASAR TAHUN 2012 Ni Luh Nyoman Tri Astuti Pradnyadewi; I Wayan Gede Artawan Eka Putra
ARCHIVE OF COMMUNITY HEALTH Vol 2 No 1 (2013): Juni (2013)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

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Abstract

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Sucessful treatmentof pulmonary TB does not only depend on medical aspects but also social aspects such as lack of knowledge, attitude, and behavior of TB patients. Denpasar has the lowest success conversion rate of new smear-positive Pulmonary TB from the year 2008 to 2010 compared to otherdistrictspulmonary TB patients and its relation to the conversion of smear-positive pulmonary TB inDenpasar 2012.This study was a descriptive cross sectional study. The samples were 82 smear-positivepulmonary TB patients that has been treated according to DOTS strategy in Denpasar in 2012.Samples were selected by cluster random sampling. Data were collected through interviews witha questionnaire and analyzed by descriptive and chi-square test with 5% signifi cance.The results indicated the majority (89%) of patients with pulmonary TB have high knowledge about TB and with mostly good attitudes (78%). However, pateints who have good behavior regarding TB disease is about 46.3%. The conversion rate of TB patients in the city of Denpasaris 68.3%. In addition, there was a signifi cant relationship between behavior to conversion smearpositivepulmonary TB (p = 0.004, CI 95% = 1.548 – 12.761).IEC is needed targeting the pulmonary TB patient about the TB disease, transmission mode,prevention and transmission to change the current behavior regarding TB treatment.
Purple Sweet Potato Reduces Malondialdehyde and TNF-a, Increases p53, and Protects Histopathological Appearance in Formaldehyde-induced Nasopharyngeal Carcinoma Rats Ni Ketut Susilawati; I Wayan Putu Sutirta Yasa; Wayan Suardana; Sri Maliawan; I Made Jawi; Achmad Chusnu Romdhoni; Hamsu Kadriyan; I Wayan Gede Artawan Eka Putra; I Gusti Kamasan Nyoman Arijana
The Indonesian Biomedical Journal Vol 14, No 2 (2022)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v14i2.1906

Abstract

BACKGROUND:Purple sweet potato tuber ethanol extract (PSPTEE) has been known to have benefits in various disease, including to prevent nasopharyngeal carcinoma (NPC). However, there has been no research on PSPTEE in preventing the proliferation of nasopharyngeal mucosal epithelial cells induced by formaldehyde through the oxidative stress mechanisms and inflammatory process. Studies have proven the effect of PSP on various cancer cells, but the carcinogenesis process of the nasopharyngeal mucosal epithelium is still limited. Hence, this study aimed to demonstrate the mechanism for preventing histopathology changes with PSPTEE due to formaldehyde exposure.METHODS: Thirty-two formaldehyde-induced Wistar rats were treated with or without 1g/kgBW/day PSPTEE for 16 weeks. Malondialdehyde (MDA) level were examined with spectrophotometry method, while tumor necrosis factor (TNF)-α and p53 with enzyme linked immunosorbent assay (ELISA) method. The histopathology appearance of the nasopharyngeal epithelium was observed with hematoxylin-eosin (HE) staining.RESULTS: MDA and TNF-α levels in control and treatment group were 22.89±2.84 μM; 9.83±0.89 μM and 84.18±11.58 ng/L; 73.92±10.59 ng/L, respectively, and they showed significant difference. Meanwhile, the level of p53 showed no significant difference. Histopathology appearance showed a significant difference. Path analysis for MDA, TNF-α and p53 levels contributed 28.7% to histopathology appearance. MDA have an effect on significant direct effect on TNF-α. TNF-α has a significant direct effect to histopathological appearance. Indirect influence MDA on histopatological appearance were smaller than the direct effect. TNF-α has the greatest influence on histopatological appearance.CONCLUSION: Formaldehyde induces the histopathology appearance in nasopharyngeal epithelium. This study also demonstrates the mechanism to prevent the nasopharynx epithelial histopathology appearance by administration of PSPTEE.KEYWORDS: PSP, MDA, TNF-α, p53, nasopharynx epithelial
Predictors of treatment interruption among tuberculosis patients in public health centres in Bali, Indonesia Putu Ika Farmani; Dewa Nyoman Wirawan; Anak Agung Sagung Sawitri; I Wayan Gede Artawan Eka Putra
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p11

Abstract

Background and purpose: Tuberculosis treatment interruption (TB TI) is one factor that leads to treatment failure, tuberculosis (TB) drug resistance and drop out. The purpose of this study is to identify the incidence and the predictors of TB TI in public health centres (PHCs) in Bali. Methods: A retrospective longitudinal study was conducted using secondary data of 644 cohorts of TB patients on the first regiment who enrolled in 11 PHCs in Denpasar Bali during 2011-2012. Information from TB program officers in PHCs was also obtained to determine the differences within the practical implementation of TB treatment. Data were analysed using Kaplan Meier and Cox Proportional Hazard Regression. Results: The study revealed that 378 patients experienced TB TI with the total events of 535. The incidence rate of TB TI event was 5.1 per 1.000 person days and the median time was 56 days (IQR: 56-57). Predictors of the TB TI were male (AHR=1.22; 95% CI: 1.02-1.45; p=0.027) and a more flexible schedule to take the medicine (AHR=1.47; 95%CI: 1.22-1.76; p<0.0001). Conclusions: The implementation of fixed schedule and shortened time lapse for patients to take TB drug will enable more close contact between patients and health providers. Intensive adherence counselling especially tailored for male patients is also required.
Risk factors of pulmonary tuberculosis among diabetes mellitus patients in Denpasar City Desak Putu Risna Dewi; I Wayan Gede Artawan Eka Putra; Anak Agung Sagung Sawitri; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p05

Abstract

Background and Purpose: Tuberculosis (TB) is more common in developing countries, including Indonesia. Denpasar City contributes the most on the total number of TB patients in Bali Province. There is evidence on increased burden of diabetes mellitus (DM) patients with TB comorbidity. This study aims to examine risk factors of TB among DM patients. Method: A case control study was conducted in Denpasar City. A total of 135 samples, 45 cases and 90 controls, were recruited to participate in the study. Cases were DM patients with TB comorbidity and were taken from patients register from 2013 to 2015. Controls were DM patients without TB comorbidity and were taken from Bali Province screening operational study. Data were collected using interviews, observations, measurements and document review. Data were analysed using bivariate analysis and multivariate with logistic regression model. Results: Demographic characteristics between cases and controls were comparable in sex and family income but not comparable in age groups, education, domicile, and employment. Risk factors of TB among DM patients were house density (AOR=36.11; 95%CI: 5.0-259.9), undernutrition (AOR=24.76; 95%CI: 3.7-162.3), inadequate glycemic control (AOR=12.64; 95%CI: 2.4-66.2), and being employed (AOR=10.55; 95%CI: 1.2-92.7). TB infection among DM patients was associated with aged<60 years (AOR=7.47; 95%CI: 1.2-44.3) and being male (AOR=5.42; 95%CI: 1.2-24.0). TB co-infection among DM patients was also associated with low education level (AOR=6.96; 95%CI: 1.0-48.6), contact with TB patients (AOR=5.84; 95%CI: 0.7-46.6) and inadequate house ventilation (AOR=2.92; 95%CI: 0.6-13.1). Conclusion: Socio-demographic characteristics, physical environments of the house and clinical conditions are risk factors of TB among DM patiens.
Risk factors for low birth weight infants in East Nusa Tenggara Khrispina Owa; I Wayan Gede Artawan Eka Putra; I Gusti Ayu Trisna Windiani
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p09

Abstract

Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara. Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (≥2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression. Results: This study found that risk factors of LBW include age of mother <20 or ≥35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), being employe (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3). Conclusions: Age of mother <20 or ≥35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.
Household Smoke Exposure as Risk Factor of Low Birth Weight among Infants in Gianyar Kadek Susiana Dwi Lestari; I Wayan Gede Artawan Eka Putra; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p03

Abstract

Background and purpose: The Bali Provincial Health Department reported that in 2013, 24 per 1000 live births were underweight, with the regency of Gianyar ranked 4th the highest (31 per 1000 births). Data from Riskesdas 2010 indicated that 31.0% of individuals 15 years and over smoked, 68.1% of them reported smoking in the household. This study aimed to investigate the relationship between household smoke exposure, pregnant women and low birth weight (LBW) in Gianyar. Methods: This study was a case control where low birth weight as a case and birth with normal weight as a control. Study sample was 116, consisting of 58 cases and 58 controls. Dependent variables were low birth weight, independent variables were smoke exposure. Data was obtained by interviewing the mothers, and secondary data was collected from community health centre records. Data was analysed using bivariate and multivariate analysis. Results: Bivariate analysis indicated that OR of 6.370 (95%CI: 2.836- 14.309) for exposure to husbands smoke and an OR of household smoke exposure was 6.577 (95%CI: 2.894-14.948). Multivariate analysis indicated that adjusted OR of exposure to husbands smoke was 7.479 (95%CI: 2.058-27.175), adjusted OR exposure to household smoke was 9.002 (95%CI: 9.002-33.286), and adjusted OR combined exposure to smoke from both husband and household members was 9.333 (95%CI: 3.417-26.201). Conclusion: Household smoke exposure significantly increased risk of low birth weight among infants in the regency of Gianyar.
Evaluation of Work Performance Two Types of Community Tuberculosis Workers in Gianyar Regency Anak Agung Gede Suputra; I Wayan Gede Artawan Eka Putra; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p10

Abstract

Background and purpose: One of the strategies adopted to improve coverage of TB patients (BTA+) in Gianyar Regency is to involve the pakraman (desa adat) TB cadres and the regular (PPTI) TB cadres with four tasks in order to help health care workers to trace and find tuberculosis suspect patients. The purpose of this study was to evaluate work performance between two types of community TB cadres in Gianyar Regency. Methods: This study was an observational research using secondary data of cadres work reports and interview to study participants to understand cadres characteristics and health workers supervision. Numbers of participants were all village TB cadres namely 29 pakraman and 88 regular TB cadres located in Gianyar Regency. Data collection was carried out using questionnaires and observation sheets. Univariate, bivariate and multivariate analysis was conducted. Results: The result shown that work performance of pakraman TB cadres was statistically better than regular TB cadres (adjusted RP=6.1; 95%CI: 3.3-11.2). Better work performance of pakraman TB cadres was found in all four tasks of cadres namely helping education (adjusted RP=7.8; 95%CI: 4.2-14.2), finding tuberculosis suspects (adjusted RP=7.4; 95%CI: 1.7-33.1), tracing of defaulters TB suspects (adjusted RP=17.1; 95%CI: 1.8-166.4) and tracing loss of follow up TB patients (adjusted RP=3.8x108; 95%CI: (1.6-8.9)x108). Conclusion: Work performance of pakraman TB cadres was better than regular TB cadres in all four tasks.
Co-Authors Anak Agung Gede Suputra Anak Agung Ngurah Subawa Anak Agung Wiradewi Lestari Desak Putu Risna Dewi Desak Putu Yulita Kurniati Dewa Nyoman Wirawan Dyah Pradnyaparmita Duarsa Gde Ngurah Idraguna Pinatih Hamsu Kadriyan Haryadi Hesteria Friska Armynia Subratha I Gusti Agung Trisna Windiani I Gusti Kamasan Arijana I Made Jawi I Made Jaya Widyartha I Made Suganda Yatra I MADE SUTARGA I Nengah Sujaya I Nyoman Bagiastra I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Wande I Wayan Putu Sutirta Yasa Ida Bagus Ngurah Rai Kadek Dhiyo Mamhista Kumara Kadek Susiana Dwi Lestari Ketut Dewi Kumara Wati Ketut Tuti Parwati Merati Khrispina Owa Luh Putu Lila Wulandari Luh Seri Ani Made Sukmawati N.P. Desy Aryantini N.W. Nursini Ni Kadek Mulyantari Ni Ketut Noriani Ni Ketut Susilawati Ni Luh Nyoman Tri Astuti Pradnyadewi Ni Luh Putu Karminiasih Ni Made Parwati Ni Made Septiari Maryani Ardi Ni Made Sri Nopiyani Ni Made Utami Dwipayanti Ni Nyoman Mahartini Ni Putu Meiliana Dewantari Ni Putu Sukma Sumantri Prabandari Ni Wayan Septarini Pande Putu Januraga Putu Ika Farmani Retno Adriyani Romdhoni, Achmad Chusnu S.Pd. M Kes I Ketut Sudiana . sang gede purnama Sawitri, Anak Agung Sagung Sri Maliawan Stefanie Juergens Viddina Xyquizintya Maroef Wayan Suardana Yuliani Yuneti Octavianus Nyoko