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Faktor-faktor yang Mendukung dan Menghambat Dilakukannya Versi Luar pada Kehamilan dengan Presentasi Bokong di Yogyakarta Pariartha, I Made; Siswishanto, Rukmono; Pangastuti, Nuring
JURNAL KESEHATAN REPRODUKSI Vol 7, No 2 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.59811

Background: Guidelines recommend that external cephalic version (ECV) should be offer to all women with fetus in breech presentation at term. Many literature show external cephalic version can lowering c-section rate caused by breech presentation.Objective: To explore the determinants (barriers and facilitators) affecting obstetricians and gynaecologists to do external cephalic version at Yogyakarta.Method: Explanatory mixed methods design with quantitative-qualitative model. Survey with validated questionnaire and in-depth interview with semi-structured question was done January 2019 until August 2019.Results and Discussion: 72 respondents (83.7%) was responded to questionnaire and in-depth interview was done to 12 respondents. Adherence to ECV guideline was varied: counselling (20.8%), advising for ECV (15.3%), and arranged for ECV to for (almost) all their clients (16.6%). Although 76.4% of respondents considered ECV to be an effective treatment for preventing caesarean childbirth, only 18.1% respondents agreed that every client with breech presentation should undergo ECV. Self-efficacy was the most important determinant influencing adherence. In-depth interview shows several determinants to performed or did not performed ECV: skill of clinicians, guideline for ECV, facility to emergency c-section, ECV characteristic, cost, other methods for breech presentation, perception about ECV in lowering c-section rate, perceived ECV risk and patient preferences.Conclusion: Most respondents agreed that ECV was effective intervention to reduce caesarean childbirth, but adherence to counselling, advising and arranging ECV for clients still very low. Several determinants influenced obstetrician and gynaecologists to perform or did not perform ECV.Keywords: External cephalic version; breech presentation; determinants.

Faktor-faktor yang Mendukung dan Menghambat Dilakukannya Versi Luar pada Kehamilan dengan Presentasi Bokong di Yogyakarta I Made Pariartha; Rukmono Siswishanto; Nuring Pangastuti
JURNAL KESEHATAN REPRODUKSI Vol 7, No 2 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.59811

Background: Guidelines recommend that external cephalic version (ECV) should be offer to all women with fetus in breech presentation at term. Many literature show external cephalic version can lowering c-section rate caused by breech presentation.Objective: To explore the determinants (barriers and facilitators) affecting obstetricians and gynaecologists to do external cephalic version at Yogyakarta.Method: Explanatory mixed methods design with quantitative-qualitative model. Survey with validated questionnaire and in-depth interview with semi-structured question was done January 2019 until August 2019.Results and Discussion: 72 respondents (83.7%) was responded to questionnaire and in-depth interview was done to 12 respondents. Adherence to ECV guideline was varied: counselling (20.8%), advising for ECV (15.3%), and arranged for ECV to for (almost) all their clients (16.6%). Although 76.4% of respondents considered ECV to be an effective treatment for preventing caesarean childbirth, only 18.1% respondents agreed that every client with breech presentation should undergo ECV. Self-efficacy was the most important determinant influencing adherence. In-depth interview shows several determinants to performed or did not performed ECV: skill of clinicians, guideline for ECV, facility to emergency c-section, ECV characteristic, cost, other methods for breech presentation, perception about ECV in lowering c-section rate, perceived ECV risk and patient preferences.Conclusion: Most respondents agreed that ECV was effective intervention to reduce caesarean childbirth, but adherence to counselling, advising and arranging ECV for clients still very low. Several determinants influenced obstetrician and gynaecologists to perform or did not perform ECV.Keywords: External cephalic version; breech presentation; determinants.

Perbedaan Efektivitas Diskusi Kelompok, Motivasi Intrinsik dan Nilai Modul dari Mahasiswa yang Difasilitasi Dosen dan Tutor Sebaya I Made Pariartha; Rossi Sanusi; Tridjoko Hadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 3, No 2 (2014): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Peer teaching is a teaching method that widely applied in many medical institutions. This research was designed to evaluate group discussion effectiveness, intrinsic motivation, and student achievement differences between peer tutor−facilitated students and faculty tutor−facilitated students.Method: This research is an experimental research using post−test only control group design during the implementation of third and fourth module of the Cardiovascular Block (consist of five modules). Fifty-nine third year students were randomly assigned into two groups. Three experimental groups (n= 30) was facilitated by peer tutors (PT) and three control groups (n= 29) was facilitated by faculty tutors (FT). Two students were randomly elected from each PT group as peer tutor. A six hour training was given to the peer tutors. In the end of the third and fourth module, group discussion effectiveness, intrinsic motivation, and student achievement in those modules were evaluated using Tutorial Group Effectivenes Instrument (TGEI) questionnaire, Intrinsic Motivation Inventory (IMI) questionnaire, and 20 multiple choice questions, respectively. Mean differences between groups were measured by Cohen's d with the practical significance at Cohen's d > 1.Results: There was no significant differences of group discussion effectiveness (Cohen’s d= -0.41) and intrinsic motivation (Cohen’s d= -0.83) between two groups. Significant difference in student achievement is found between those groups, peer tutor−facilitated students score higher than faculty tutor−facilitated students (Cohen’s d= 2.96). Peer tutors showed higher achievement than discussants (Cohen’s d= 1.86).Conclusion: The results showed that peer tutor can facilitated group discussion as well as faculty tutor in group discussion effectiveness, intrinsic motivation and student achievement paramaters. There was advantage for students who given role as peer tutor.

Perbedaan Rasio Neutrofil per Limfosit, Rasio Platelet per Limfosit dan Volume Platelet Rata-Rata pada Kehamilan dengan Preeklampsia dan Kehamilan Normal di RSUD Sanjiwani Gianyar Ni Komang Surya Sanistiasih Budaya; I Made Pariartha; I Ketut Tangking Widarsa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Preeklampsia adalah suatu gangguan multisistem yang mempengaruhi 2-8% kehamilan di seluruh dunia yang muncul pada usia kehamilan 20 minggu. Tujuan penelitian ini adalah untuk mengetahui perbedaan nilai rerata Neutrophil to Lymphocyte Ratio (NLR), Platelet to Lymphocyte Ratio (PLR), dan Mean Platelet Volume (MPV) pada kehamilan dengan preeklampsia dan kehamilan normal. Penelitian cross sectional komparasi dilakukan pada ibu hamil dengan preeklampsia dan ibu dengan kehamilan normal, usia kehamilan trimester II dan III di RSUD Sanjiwani Gianyar. Teknik pengambilan sampel yang digunakan adalah purposive sampling, masing-masing kelompok terdiri dari 60 sampel. Data NLR, PLR, dan MVP serta data lainnya dikumpulkan dari rekam medis. Analisis data dilakukan secara univariat dan bivariat menggunakan SPSS for windows version 25.0. Perbedaan nilai rerata NLR, PLR, dan MVP antara kelompok preeklampsia dan kelompok pembanding dianalisis dengan independent sampled t-test pada tingkat kemaknaan 5%. Hasil penelitian menunjukan terdapat perbedaan yang signifikan pada nilai rerata NLR, PLR dan MPV pada kedua kelompok. Nilai ketiga variabel ditemukan lebih tinggi pada kelompok preeklampsia dibandingkan kelompok normal. Perbedaan nilai rerata sebesar 0,93 untuk variabel NLR (p=0,011), 21,97 untuk variabel PLR (p=0,011) dan 0,47 untuk variabel MPV (p=0,008). Kekuatan prediksi dilihat dari effect size (delta Cohen's) dimana ketiga variabel termasuk dalam kategori sedang.

Perbedaan antara Kadar Leukosit Maternal pada Ketuban Pecah Dini Persalinan Preterm dengan Aterm di Rumah Sakit Umum Daerah Sanjiwani Gianyar Komang Putri Indrasuari; I Made Pariartha; Made Dharmesti Wijaya
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Premature rupture of membranes (PROM) is the rupture of the membranes before delivery. PROM occurs at 37 weeks gestation or more and PPROM occurs before 37 weeks gestation. One of the risk factors for PROM is infection that begins with the entry of bacteria into the intraamnion from the ascending urogenital tract or infection of systemic origin. Elevated leukocyte levels are a sign of infection. This study aims to determine the difference between maternal leukocyte levels of PROM and PPROM. The research design used was descriptive analytic method with a cross sectional approach. The sampling technique used is simple random sampling method. Data were analyzed using the Saphiro Wilk test for normality and the Independent Sample T Test to compare the difference in the mean of the two different groups. The results of the Saphiro Wilk test obtained values of 0.107 and 0.086, respectively (P>0.05), which means that the data is normally distributed. The results of the independent sample t-test showed a significance value of p=0.008. Therefore, it can be concluded that there is a difference in the number of leukocytes between PROM and PPROM at the Sanjiwani Regional General Hospital, Gianyar.

Pelatihan Deteksi Stunting dan Pengelolaan Keuangan Keluarga Pada Kader Posyandu Banjar Tanjung Desa Sanur Kauh, Denpasar Putu Arya Suryanditha; I Made Pariartha; I Nyoman Sutapa
I-Com: Indonesian Community Journal Vol 3 No 4 (2023): I-Com: Indonesian Community Journal (Desember 2023)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33379/icom.v3i4.3380

Banjar Tanjung merupakan salah satu Banjar di Desa Sanur Kauh, Kota Denpasar, Propinsi Bali. Salah satu kelompok masyarakat di Banjar Tanjung adalah kader posyandu. Salah satu kegiatan posyandu kader adalah pengukuran antropometri bayi dan anak untuk mendeteksi permasalahan pertumbuhan pada anak. Masalah pertumbuhan anak yang menjadi perhatian desa adalah stunting. Beberapa permasalahan dari diskusi yaitu masih bervariasinya pengetahuan kader terkait dengan stunting dan isu pengelolaan keuangan di keluarga Solusi dari masalah tersebut adalah kegiatan pelatihan deteksi dan pencegahan stunting serta pelatihan pengelolaan budgeting keuangan keluarga. Pelaksanaan pengabdian masyarakat secara umum berjalan lancar. Evaluasi pelaksanaan pada pelatihan deteksi dan pencegahan stunting didapatkan peningkatan rerata pretest-posttest (46,25 menjadi 73,75). Pada pelatihan pengelolaan budgeting keuangan keluarga. didapatkan peningkatan rerata pretest-posttest (60,00 menjadi 70,00). Kesimpulan dari pelaksanaan kegiatan ini antara lain didapatkan peningkatan pengetahuan mitra terkait deteksi dan pencegahan stunting meningkat serta pengelolaan budgeting keluarga.

Hubungan Kualitas Tidur dengan Tingkat Prestasi Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Made Fernanda Arya Dharma; I Made Pariartha; Ni Wayan Diana Ekayani
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.62-68

[The Relationship between Sleep Quality and Student Achievement Level of the Faculty of Medicine and Health Sciences, Warmadewa University] Medical students have a higher prevalence rate of poor sleep quality than the rest of the student population. The existence of abnormal sleep times can be related to academic stress. Seeing the large influence of a person's sleep quality on academic achievement, it is therefore necessary to conduct a study that examines this condition in a more specific scope, such as at the Faculty of Medicine and Health Sciences, Warmadewa University. The purpose of this study was to determine the relationship between sleep quality and achievement levels of FKIK Warmadewa University students in 2019, 2020 and 2021. This research is an analytical study using a Cross Sectional Study design. Data collection was carried out using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data will then be analyzed using the SPSS application with the Spearman Rank correlation statistical test method. The results of the study illustrate that the quality of sleep in each class is dominated by poor sleep quality with details of 65.6% in the 2019 class, 75.4% in the 2020 class and 73.7% in the 2021 class. The student achievement level in the 2019 class is dominated by excellent indicators (56 .6%), class of 2020 with excellent indicators (60.8%), and class of 2021 with very good indicators (71.8%). The results of the correlation analysis stated that there was a significant positive correlation between the two variables in the 2019 class (r = 0.242; p<0.01), 2020 (r = 0.247; p<0.01), and 2021 (r = 0.216; p<0.01).

Persepsi Mahasiswa terhadap Pembelajaran COME 1000 HAK di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa De Luh Pratiwi Angganing Lestari; I Made Pariartha; Ni Wayan Diana Ekayani
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.136-143

[Student Perceptions of COME Learning in the Early 1000 Days of Life at the Faculty of Medicine and Health Sciences, University of Warmadewa] Community Oriented Medical Education (COME) is an educational program with the aim of producing doctors who are able to serve the public at the primary, secondary and tertiary level health problems. COME 1000-HAK learning has been going on for a long time, but there has been no assessment of student perceptions of this program. Perception assessment is very important because it affects the success of implementing a program. The general objective of this study was to determine students' perceptions of COME 1000 HAK learning at the Faculty of Medicine and Health Sciences, Warmadewa University. This research is a quantitative descriptive research with a cross sectional research design using a survey method with a questionnaire. The population in this study were 2019 and 2020 FKIK UNWAR students with a total of 223 respondents (85.1%). Data was processed by univariate analysis. The results showed that 80% of respondents perceive the benefits aspect positively, the lecturer role aspect 84% perceive positively, the preparation aspect 71%, the implementation aspect the majority of 60% of respondents have a positive perception, and on the assessment aspect 67% of respondents have a positive perception. The results of this study indicate that the perceptions of students on the aspects of benefits, the role of the lecturer, and the COME 1000-HAK learning mechanism are mostly positive.

Hubungan Keikutsertaan Senam Hamil dengan Tingkat Kecemasan Pada Primigravida Trimester III di BPM Widiasih Kadek Yoga Wiratama; I Made Pariartha; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.47-52

Anxiety levels during pregnancy can fluctuate as in the first trimester, anxiety begins to occur, then decreases in the second trimester, and increases again in the third trimester. Anxiety during pregnancy until the third trimester if not addressed immediately will have an impact on fetal growth and development, increase in MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate), can cause premature birth, low birth weight (LBW), old age labor, as well as mental and motor disorders of children. Anxiety due to pregnancy tends to often occur in primigravida due to pregnancy and childbirth because they have never experienced something similar. The purpose of this study was to determine the relationship between participation in pregnancy exercise and anxiety levels in third trimester primigravida mothers at IPM (Independent Practice Midwife) Widiasih, Batubulan region, Gianyar in the face of childbirth. This research uses analytical research method with cross sectional study design. Sampling in this study using accidental sampling technique and total sampling method. The sample consisted of 55 third trimester primigravida mothers who had met the inclusion and exclusion criteria. The data collection instrument used the HARS (Hamilton Rating Scale for Anxiety) questionnaire via the google form link. Data analysis was carried out univariate and bivariate. The results obtained in this study were that there was a relationship between participation in pregnancy exercise and the level of anxiety in third trimester primigravida mothers at BPM (Independent Practice Midwife) Widiasih, Batubulan, Gianyar

Pelatihan Kepemimpinan dalam Pengembangan Kualitas Personal Mahasiswa Kedokteran: Penilaian Fasilitator Ni Wayan Diana Ekayani; Rima Kusuma Ningrum; I Made Pariartha
eJournal Kedokteran Indonesia Vol. 12 No. 1 (2024): Vol 12, No. 1 - April 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.340.10-5

Mahasiswa kedokteran perlu mengembangkan kompetensi kepemimpinan untuk dapat berkontribusi dalam meningkatkan kualitas pelayanan kesehatan. Dampak pelatihan kepemimpinan sulit untuk dievaluasi karena lebih fokus pada peningkatan kemampuan secara kognitif. Penilaian beberapa perspektif merupakan salah satu cara untuk mengetahui dampak pelatihan kepemimpinan pada mahasiswa kedokteran. Penelitian ini bertujuan untuk mengeksplorasi pengaruh pelatihan kepemimpinan dalam mengembangkan kualitas personal mahasiswa kedokteran berdasarkan penilaian fasilitator. Penelitian deskriptif kualitatif ini berdasarkan penilaian empat fasilitator dalam pelatihan kepemimpinan daring. Pelatihan kepemimpinan didesain menggunakan domain demonstrasi kualitas personal dari Medical Leadership Competency Framework (mawas diri, manajemen diri, pengembangan diri berkelanjutan, dan integritas). Pelatihan dilaksanakan selama 15 hari yang terdiri atas sesi workshop dan student project. Setiap fasilitator memfasilitasi 8-10 orang mahasiswa dan mengisi tiga penilaian selama observasi pembuatan student project. Sebanyak 12 dokumen dianalisis menggunakan analisis tematik. Hasil penelitian mendapatkan 19 sub- tema berdasarkan elemen demonstrasi kualitas personal. Setiap subtema menggambarkan perkembangan kualitas personal mahasiswa saat mengikuti pelatihan kepemimpinan. Institusi perlu memfasilitasi pengembangan kepemimpinan mahasiswa secara berkelanjutan melalui aktivitas intrakurikuler maupun ekstrakurikuler.

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