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All Journal Science Midwifery Muhammadiyah Medical Journal
Wirawan, Ady
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Risk Factors of Injury Severity Level in Foreign Tourists Visiting Bali Budiapsari, Putu Indah; Widhidewi, Wayan; Muliawan, Ketut Hari; Wirawan, Ady
Muhammadiyah Medical Journal Vol 4, No 1 (2023): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.4.1.25-31

Abstract

Background: Injuries are the highest cause of death for international tourists, especially injuries caused by traffic accidents. The severity level of injury is the most cause of death. It is necessary to analyze the risk factor of injury severity among international travelers visiting Bali. Purpose: This study aimed to investigate the risk factors for injury severity in foreign tourists visiting Bali. Methods: This cross-sectional analytic study used foreign tourists visiting an international hospital in Bali as the research sample. This research was conducted by analyzing medical records using Injury Severity Score. Data on respondent characteristics, including age, gender, and injury characteristics, including location, type of injury, degree of severity, and injury mechanism, were analyzed using cross-tabulation. Results: The most types of trauma were closed fractures, 49 people (45.4%), and the most common causes were traffic accidents, namely 39 (36.1%) people. Based on the injury region, the lower Extremity is 36 (33.3%) mostly. Conclusion: Age, gender, type of injury, and mechanism of the accident was significant factor influencing the severity of injury among travelers visiting Bali (p0.05).
Challenges and opportunities in HIV pre-exposure prophylaxis use among women globally: A systematic review Pradnyawati, Luh Gede; Wirawan, Ady; Januraga, Pande Putu
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1832

Abstract

Prevalence of HIV/AIDS remains high worldwide. Pre-exposure prophylaxis or PrEP is the use of an antiretroviral medication by HIV-negative people to reduce the risk of HIV acquisition. Ths systematic review aimed to analyse chalenge of hiv pre-exposure prophylactic use in low risk population. We conducted a search from the Scopus, Google Scholar, Science Directory and PubMed data bases. A total of 200 articles met the specified keywords, namely HIV, PreP, woman. In conclusion, PrEP is a highly effective HIV prevention tool for women when used consistently and as directed. Adherence, along with addressing behavioral, biological, and social factors, plays a crucial role in its effectiveness. Adherence to PrEP among women is influenced by a combination of factors related to healthcare access, support systems, individual perceptions, and daily routines. By addressing these factors and providing comprehensive support, healthcare providers can help maximize the effectiveness of PrEP in preventing HIV infection among women at risk. While HIV PrEP is highly effective when used correctly, the risk of drug resistance underscores the importance of regular monitoring, adherence support, and comprehensive counseling to maximize its effectiveness in HIV prevention efforts.
Co-Authors budiapsari, putu indah Muliawan, Ketut Hari Ni Wayan Widhidewi Pande Putu Januraga Pradnyawati, Luh Gede