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All Journal Medicina E-Jurnal Medika Udayana Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) ANUBHAVA: Jurnal Ilmu Komuniksi Hindu Journal of Global Pharma Technology
Ida Bagus Putra Adnyana
Bagian/SMF Obstetri Dan Ginekologi Fakultas Kedokteran Universitas Udayana/ Rumah Sakit Umum Pusat Sanglah Denpasar Bali
Religion Humanities Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Social Sciences

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JUMLAH CD4+ ABSOLUT IBU HAMIL YANG TERINFEKSI HUMAN IMMUNODEFICIENCY VIRUS PADA TRIMESTER III LEBIH RENDAH DIBANDINGKAN SAAT PASCA-PERSALINAN Widianti, Lidia; Suwiyoga, Ketut; Adnyana, Ida Bagus Putra
Medicina Vol 46 No 3 (2015): September 2015
Publisher : Medicina

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.774 KB)

Abstract

Human immunodeficiency virus (HIV) merupakan penyakit infeksi yang hingga saat ini masihmemiliki insidens yang cukup tinggi dikalangan wanita hamil. Wanita hamil yang terinfeksi HIVakan lebih rentan mengalami kematian langsung maupun kematian obstetric seperti perdarahan postpartum,sepsis puerpuralisdan komplikasi dari sectiocaesaria.Kematian yang disebabkan oleh karenaAIDSbisa terjadi secara langsung saat kehamilan maupun sebagai penyebab tidak langsung akibatdariinfeksi opportunistik. Penelitian ini bertujuan untuk membuktikan bahwa jumlah clusterofdiffrentiation+ (CD4+) absolut ibu hamil yang terinfeksi HIV saat trimester III lebih rendah dari padasaatpasca-persalinan. Metode penelitian ini adalah studi longitudinaldi Poliklinik PMTCT KebidanandanKandungan Rumah Sakit Umum Pusat (RSUP) Sanglah, Denpasar yang dilakukan mulai bulanAgustus2011 hingga Desember 2013 dengan sampel penelitian sebanyak 20 pasien. Sampel adalahibuhamil terinfeksi HIV saat trimester III. Kemudian dilakukan perhitungan kadar CD4+ absolut,dandilakukan pengukuran CD4+ absolut kembali saat 7 hari pasca-persalinan. Analisis data dilakukandenganuji t-paireddenganbantuan SPSSfor windows 17.0 versiondengan batas kemaknaan (P)<0,05.Ujit-pairedsaattrimester III mendapatkan rerata jumlah CD4+ absolut sebesar 357,90 (SB 238,81)dandibandingkan dengan saat 7 hari pasca-persalinan dengan rerata jumlah CD4+ absolut sebesar421,50(SB 213,57) [beda rerata -63,60 (IK 95% -122,8 sampai -4,4), P= 0,037]. Disimpulkan bahwajumlahCD4+ absolut pada wanita hamil terinfeksi HIV saat hamil trimester III lebih rendahdibandingkansaat pasca-persalinan. [MEDICINA2015;46:166-9].Human immunodeficiency virus (HIV) is an infectious disease that still have high incidence amongpregnancy women. Pregnancy women with HIV infection are more vulnerable to direct mortality eitherobstetric mortality such as haemoragic post-parturition, septic puerpuralis and caesarean sectioncomplication. Mortality due to AIDS could become direct cause due to obstetric complication or indirectcause due to opportunistic infection. The aim of this study was to prove that CD4+ absolute level inpregnancy infected by HIV in third trimester is lower than on post-parturition. The study method waslongitudinal study that conducted in PMTCT Clinic Obstetrics and Gynecology, Sanglah Hospital,Denpasar, which was taken from August 2011 to December 2013 with a sample of 20 patients. Sampleswere pregnant women infected with HIV during the third trimester. Then calculate the absolute levelsof CD4 + and the measurements of CD4 + absolute were repeated at 7 days post-parturition. Dataanalysis was wearing paired t-test using SPSS for windows version 17.0 with significance value (P)<0.05.Analysis result showed that mean CD4+ absolute levels that were obtained on third trimester was357.90 (SD 238.81) and compared with the 7 days after delivery was 421.50 (SD 213.57) with meandifferences -63.60 (95% CI -122.8 to -4.4), P= 0.037. It was concluded that CD4+ absolute levels inpregnant women with HIV during the third trimester of pregnancy is lower than on post-parturition.[MEDICINA 2015;46:166-9].
PERBANDINGAN EFEKTIVITAS TERAPI ORAL DAN INTRAVENA PADA IBU HAMIL DENGAN ANEMIA DEFISIENSI BESI: SEBUAH SYSTEMATIC REVIEW Putu Pandu Eka Setiawan; Ida Bagus Putra Adnyana; I Gede Ngurah Harry Wijaya Surya; I Nyoman Hariyasa Sanjaya
E-Jurnal Medika Udayana Vol 10 No 8 (2021): Vol 10 No 08(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i8.P03

Abstract

ABSTRAK PERBANDINGAN EFEKTIVITAS TERAPI ORAL DAN INTRAVENA PADA IBU HAMIL DENGAN ANEMIA DEFISIENSI BESI Anemia defisiensi besi (IDA) utamanya lebih banyak terjadi pada wanita salah satu faktornya adalah kehamilan. Pilihan pertama dalam pengobatan anemia defisiensi besi untuk hampir semua pasien adalah terapi besi oral. Tujuan dari systematic review ini untuk mengetahui efektifitas terapi intravena dan terapi oral sebagai pengobatan untuk IDA pada Ibu Hamil. Penulisan systematic review ini dilakukan berdasarkan pedoman PRISMA. Pencarian artikel dilakukan pada database Pubmed dan Sciencedirect dari tahun 2016-2020 dengan kriteria inkulsi wanita hamil dengan IDA dan hasil mean Hb untuk setiap intervensi. Judul dan abstrak ditinjau berdasarkan relevansi penelitian. Penilaian kualitas studi menggunakan Cochrane Systematic Review ROB Tools. Pada tahap akhir didapatkan sebanyak enam artikel. Secara umum kualitas studi cukup baik. Berdasarkann Systematic review yang telah dilakukan menunjukan bahwa terapi besi intravena lebih unggul dalam hal tolerabilitas dan koreksi anemia bila dibandingkan dengan terapi oral. Terapi IV juga menghasilkan peningkatan Hb yang lebih cepat. Kata kunci: Kehamilan, Terapi, Anemia Defisiensi Besi
Bladder Endometriosis that Invisible to Repeated Cystoscopies: A Case Report Ida Bagus Putra Adnyana
Journal of Global Pharma Technology Volume 11 Issue 6.
Publisher : Journal of Global Pharma Technology

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Abstract

Background: Bladder endometriosis (BE) is a form of Deep Infiltrating Endometriosis (DIE) which affects approximately 1% of women with endometriosis. BE commonly presents with lower urinary tract symptoms such as frequency, dysuria, hematuria, and, less frequently, bladder pain and urgency. The diagnosis and treatment of this condition could be difficult and requires multidisciplinary care. Due to overall rare cases, BE might pose a challenge, both to diagnose and treat. This article aims to share an experience in order to increase awareness and insight about BE for practising gynaecologist and urologist. Case: A Thirty-one years old woman, nulligravida, complained of painful, bloody stained urine, which occurs during menstruation since married for the last 18 months. Previously patient had a regular menstruation cycle with moderate pain and normal menstrual volume and no history nor any specific symptoms of disease. Gynaecological examination showed no remarkable finding. Ultrasound scan (US) by gynaecologist showed a mass protruded from the posterior wall of bladder. Cystoscopic finding by a urologist showed an adenomatous reddish nodular mass, and TUR was conducted. Pathological examination showed a cystitic glandulare. After three months temporary improvement, the symptoms reoccur. The patient underwent US and CT scan, again showed a mass, and another two rounds of TUR were conducted, to remove all residual mass. After three surgeries with no significant improvement, a team of gynaecologist and urologist were set to conduct a laparoscopic partial cystectomy with cystoscopy guidance to achieve complete excision of the lesion. The modified technique, which results in symptoms-free recovery, will be described in detail. Conclusion: BE could be challenging both in diagnostic and treatment. Cystoscopy and TUR are not recommended to diagnose and manage the lesions. A multidisciplinary approach is needed, and concomitant Laparoscopy with cystoscopy for partial cystectomy might give a satisfying outcome.Keywords: Bladder Endometriosis, Deep Infiltrating Endometriosis, Cystoscopy, Laparoscopic partial cystectomy, Lower urinary tract symptoms.
Friedman Curve Positively Correlates with Cesarean Section and Oxytocin Augmentation in Active Phase Delivery as Compared to Partograph: Kurva Friedman Berkorelasi Positif dengan Seksio Sesarea dan Augmentasi Oksitosin pada Fase Aktif Persalinan dibandingkan Partograf Anak Agung Ngurah Anantasika; I Wayan Artana Putra; Ida Bagus Putra Adnyana; I Wayan Megadhana; Ryan Saktika Mulyana; Agustinus Darmawan Hariyanto
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1867

Abstract

Objective: To investigate the correlation between cesareansection and oxytocin augmentation in childbirth monitoredwith the Friedman curve compared to the World HealthOrganization (WHO) partographs.Methods: An analytic cross-sectional study was conductedfrom March to May 2021, involving mothers giving birthwhose delivery process was monitored using either theFriedman curve or the WHO partograph (n=28 for eachgroup) at Wangaya Hospital in Denpasar City. The durationof the active phase until delivery, occurrence of cesareansection, and administration of oxytocin augmentationwere assessed using the Friedman curve and the WHOpartograph. The normality of the data was tested using theKolmogorov-Smirnov test, and the Spearman correlationtest was employed to measure the direction and strengthof the correlation.Results: There was no signifi cant difference between thegroups in terms of monitoring the active phase until deliveryusing the Friedman curve compared to the WHO partograph(p=1.000 > 0.05). Maternal monitoring with the Friedmancurve showed a positive correlation with the occurrenceof cesarean section compared to the WHO partograph(r=0.296, p=0.027). Additionally, monitoring childbirth withthe Friedman curve exhibited a positive correlation with theadministration of oxytocin augmentation compared to theWHO partograph (r=0.298, p=0.026).Conclusion: The fi ndings suggest a stronger positivecorrelation between the incidence of cesarean section andthe administration of oxytocin augmentation in childbirthmonitored with the Friedman curve compared to the WHOpartograph.Keywords: cesarean section, Friedman curve, oxytocinaugmentation, WHO partograph.AbstrakTujuan: Untuk menentukan korelasi antara operasi sesardan augmentasi oksitosin pada persalinan yang dipantaudengan kurva Friedman dibandingkan dengan partografOrganisasi Kesehatan Dunia (WHO).Metode: Desain penelitian analitik potong lintangdilakukan pada Maret-Mei 2021, dengan melibatkan ibubersalin yang proses persalinannya dipantau menggunakankurva Friedman atau Partograf WHO (n=28 untuk setiapkelompok) di ruang bersalin di Rumah Sakit Wangaya,Kota Denpasar. Waktu fase aktif hingga kelahiran bayi,persalinan seksio sesarea, dan augmentasi oksitosin dinilaidengan menggunakan kurva Friedman dan Partograf WHO.Uji normalitas dilakukan dengan uji Kolmogorov-Smirnov,dilanjutkan dengan uji korelasi Spearman untuk mengukurarah dan kekuatan korelasi.Hasil: Pemantauan ibu bersalin dengan kurva Friedmandibandingkan dengan Partograf WHO dalam hal faseaktif-persalinan bayi menunjukkan tidak ada perbedaanyang signifi kan di antara kedua kelompok (p = 0,000 >0,05). Pemantauan ibu dengan kurva Friedman berkorelasipositif dengan kejadian bedah sesar dibandingkandengan Partograf WHO (r = 0,296, p = 0,027). Selain itu,pemantauan persalinan dengan kurva Friedman berkorelasipositif dengan pemberian oksitosin dibandingkan denganpartograf WHO (r = 0,298, p = 0,026).Kesimpulan: Terdapat korelasi positif yang lebih tinggiantara kejadian bedah sesar dan pemberian augmentasioksitosin pada proses persalinan yang dipantau dengankurva Friedman dibandingkan dengan partograf WHO.Kata kunci: augmentasi oksitosin, kurva friedman, partografWHO, seksio sesarea
The Communication Strategy in Resourced-Based Waste Segregation in Klungkung Subdistrict, Klungkung Regency: - Ida Bagus Putra Adnyana; I Nengah Lestawi; I Wayan Wastawa
Anubhava: Jurnal Ilmu Komunikasi HIndu Vol. 3 No. 2 (2023): Ethics and Communication Strategies
Publisher : Universitas Hindu Negeri I Gusti Bagus Sugriwa Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25078/anubhava.v3i2.2701

Abstract

Increasing the number of human population, consumerism, and changes in modern activities directly proportional with the number amount of waste. As a tourist destination, Klungkung Regency occupies the second position as the largest waste producer in the Province of Bali and there are still 3,795.83 tons or 11.09% of unmanaged waste to total waste production in Klungkung Regency. Resourced-based waste management is the earliest or upstream handling of household waste which is the key to the success of the next steps. This study aims to analyze: (1) Communication pattern are implemented to change people's behavior; (2) Inhibiting factors of communication strategy; (3) Implications of communication strategy that applicated by local goverment. This study uses a descriptive research method with a qualitative approach. The research location is in Klungkung District, Klungkung Regency with a focus on Semarapura Kangin Village. Data collection was carried out through observation, interviews, and documentation studies. The theory used as the basis for the analysis is: (1) Persuasive Communication Theory; (2) Attitude Change Theory, (3) Social Judgement Theory; and (4) Diffusion of Innovations Theory. The findings in this study are: (1) The pattern of communication in the implementation of Tri Hita Karana uses group communication, while in the implementation of laws and regulations it uses patterns of interpersonal communication, group communication, and mass communication; (2) There are 3 (three) factors inhibiting communication, namely technical barriers (limited communication media used), semantic barriers (regional language) and human barriers (perception and time of visit); (3) The implications of a persuasive communication strategy consist of 3 (three) dimensions, namely cognitive, affective, and conative in the form of: increasing public awareness about the negative impacts of waste and the importance of waste segregation, changing attitudes, and changing behavior in sorting waste and becoming a customer of a waste bank. Strict application of real sanctions is needed for people who violate laws and regulations related to waste management and waste segregation according to the types listed in laws and regulations. The local government of Semarapura Kangin is expected to innovate more in reusing waste that is still economically valuable, reuse and recycle organic and inorganic waste through various methods involving the active role of the community, such as: optimizing the use of Waste Recycling Holes (Bang Daus), ecoenzymes, making and the use of organic fertilizers, as well as the development of a waste bank.
Co-Authors Agustinus Darmawan Hariyanto Anak Agung Ngurah Anantasika I Gede Ngurah Harry Wijaya Surya I Ketut Suwiyoga I Nengah Lestawi I Nyoman Hariyasa Sanjaya I Wayan Artana Putra I Wayan Megadhana I Wayan Wastawa Lidia Widianti, Lidia Putu Pandu Eka Setiawan Ryan Saktika Mulyana