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All Journal Archive of Community Health Medicina Buletin Udayana Mengabdi Kesmas: Jurnal Kesehatan Masyarakat Nasional Jurnal Media Gizi Indonesia (MGI) The Indonesian Journal of Occupational Safety and Health Jurnal Gizi Klinik Indonesia Journal of Health Sciences and Medicine Public Health and Preventive Medicine Archive

Kadek Tresna Adhi

Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana

Author-ID : 219074

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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LEVEL OF NUTTRITION ADEQUACY, PHYSICAL ACTIVITY AND NUTRITIONAL STATUS OF YOUNG MEN ATHLETES SOCCER SENIOR HIGH SCHOOL IN DENPASAR 2011 Karyamitha, Ni Luh Gede; Tresna Adhi, Kadek
Medicina Vol 43 No 2 (2012): Mei 2012
Publisher : Medicina

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Soccer is a favorite sport for people around the world including in Indonesia. Not only the method of training or talent that will determine the achievement, but the intake of daily nutrients directly proper also provide a positive influence on performance and achievements of athletes. The purpose of this study was to determine the adequacy of nutrition, physical activity, and nutritional status of young men athletes soccer. This study useds cross-sectional method. The number of samples taken as much as 96 athletes from all senior high schools in Denpasar and selected systematic random sampling. Results showed the average level of nutritional adequacy of athletes still in the category of less (<80%). Respectively for energy, carbohydrates, proteins, and fats are 75.95%, 77.24%, 78.96% and 75.83%. If seen the proportion of athletes that sufficient levels of nutrients in enough categories, then each for energy, carbohydrates, proteins, and fats are 58.3%, 57.3%, 51%, and 53.1%. Level of physical activity in athletes only low (56.3%) and moderate category (43.8%). Most athletes have normal nutritional status (94.8%), there was only 1% having thin status, and 4.2% had nutritional status of overweight. The advice can be given to provide knowledges that related with intake of nutrients for the coaches and athletes, increasing physical activity for athletes who have low physical activity, and can be the nutritional status as a selection soccer athletes. However, further research can be done is to measure the physical endurance athletes associated with the intake of nutrients or physical activity.

Private Midwives’ Perceptions on Barriers and Enabling Factors to Voluntary Counselling and HIV Test (VCT) in Bali, Indonesia Dinar Saurmauli Lubis; LPL Wulandari; Ni Luh Putu Suariyani; Kadek Tresna Adhi; Sari Andajani
Jurnal Kesehatan Masyarakat Nasional Vol 14, No 1 (2019): Volume 14, Issue 1, August 2019
Publisher : Faculty of Public Health Universitas Indonesia

In Indonesia, more than half of pregnant women seek antenatal care (ANC) at private midwifery clinics. The midwives play an important role in advocating for voluntary counseling and testing (VCT) uptake among pregnant women during ANC. This study examined midwives’ perception of barriers and enabling factors with regards to refer pregnant women for HIV testing. The study was conducted in Denpasar City and Badung District, two localities in Bali with high HIV prevalence. Two focus groups discussions with 15 private midwives and five in-depth interviews were conducted. Data were transcribed verbatim and thematic analysis methods were used to examine patterns emerging from the data. Results showed that private midwives face personal barriers in the form of stigma as well as institutional barriers such as VCT operational hours that limit how and when they refer women for VCT. Barriers are strengthened by lack of support or reward from the health office. However, opportunities for integrated and comprehensive support systems within the health system and supportive social environment which would make it easy and rewarding for midwives to refer women to VCT clinics were seen as enabling factors. Increasing uptake of VCT is a necessity for eliminating mother to child HIV transmission.

KECUKUPAN ASUPAN GIZI REMAJA VEGETARIAN DAN NONVEGETARIAN DI YAYASAN SRI SATHYA SAI BALI TAHUN 2011 Hildagardis Meliyani; Kadek Tresna Adhi; Ketut Sutiari
ARCHIVE OF COMMUNITY HEALTH Vol 1 No 1 (2012): Juni (2012)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Vegetarian diet tends to have nutrient de? ciencies in meat sources nutrient. The aim of this studywas to analyze the di? erences in the level of nutrient consumption among teens vegetarian andnon-vegetarian. This study was a cross sectional study.The sampling technique uses a consecutive sampling and consisting of 45 vegetarian and 51 nonvegetarianaged between11-19 years.Food consumption data warecollected by interview usingfoodrecall form.Theresults showedthat the levelof nutrient consumption (energy,protein, calcium, iron, zinc,andvitamin C) in the majority of vegetarianand non-vegetarianare categorised into the low category. There was no signi? cant di? erence in consumption levels of energy, protein, iron, zinc,and vitamin C among vegetarian and nonvegetarian (p>0,05). In addition, there was no signi? cantdi? erence in the level of calcium intake in vegetarians and non-vegetarian (p<0,05).

PENGARUH KONSUMSI PROTEIN DAN SENG SERTA RIWAYAT PENYAKIT INFEKSI TERHADAP KEJADIAN STUNTING PADA ANAK BALITA UMUR 24-59 BULAN DI WILAYAH KERJA PUSKESMAS NUSA PENIDA III Ida Ayu Kade Chandra Dewi; Kadek Tresna Adhi
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 1 (2016): Juni (2016)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

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Stunting is a growth retardation that is showed by short stature over -2SD deficit below the median of height. Stunting is a result of poor nutrition intake or recurrent infectious disease. The aim of this research was to know the influence of consuming energy, protein, zinc and history of infectious disease with stunting among children aged 24-59 months in the Area of Puskesmas Nusa Penida III. This research was held from January to May 2014 using a case-control design. Samples were 32 cases and 32 controls, selected by systematic random sampling. The analysis involved chi-square and logistic regression. Three variables significantly affected the occurrences of stunting namely protein consumption (p=0,0012), zinc consumption (p=0,0005) and history of infectious disease (p=0,0039). The dominant factor affecting stunting are zinc consumption (OR= 9,94) and history of the infectious disease (OR=5,41). Based on the results, the first 1000 days action program such as improved women awareness to fulfill micronutrients consumption like zinc from pregnant until the children have aged 1000 days and the prevention of infectious disease through clean and healthy living behavior to prevent stunting, is needed.

PEMBERDAYAAN ANAK SD DALAM UPAYA PENINGKATAN KONSUMSI GARAM BERYODIUM DI DESA APUAN KECAMATAN SUSUT KABUPATEN BANGLI Tresna Adhi K; N.P Widarini
Buletin Udayana Mengabdi Vol 10 No 2 (2011): Volume 10 No.2 – September 2011
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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Iodine deficiency disorder (IDD) is the most single common cause of preventable mental retardation and brain damage in the world. It decreases child survival, causes goiters, and impairs growth and development. Apuan Village, Bangli Regency is categorized as endemic areas (TGR=20,3%) according to the definition from Health Office reports of Bali Province in 2008. One of the approaches that might be worth considering in alleviating the problem is the empowerment of elementary school children in an effort to increase the consumption of iodized salt in household. This approach aimed at empowering children to provide information to their parents on iodized salt consumption. Community services activities were conducted from December 16 to 21 October 2010 in SD 1 and SD 3 Apuan involving 62 elementary school children. The main activities were the provision of knowledge and guidance to elementary school children about the benefits of iodized salt. The first phase of the activities consists of examining the level of iodine in salt. This phase was then followed by giving the students a pre-test prior to the guidance and a post-test after the guidance for measuring the level of improvement on knowledge of elementary school children about iodized salt. The second phase was conducted one week after the first phase by measuring the level of iodine in the household salt of the same respondents. Data were analyzed using descriptive and analytical by computer program. Results pre-test and post-tests showed an increase in the knowledge for good knowledge category (0% to 31%), and moderate knowledge category (3.2% to 40.3%) and while a decrease in the limited knowledge category (96.8% to 9.7%). Statistical analysis showed significant differences (p <0.05). Test results that contain iodine salt showed increased percentage of 72.6% in the first phase to 96.7% in the second phase. It can be concluded that elementary school children might become a good initiator to improve the consumption of iodized salt in household. It is recommended to use an interesting or entertaining media in order to conduct health education so that the information provided is more easily absorbed and understood.

PEMBERDAYAAN SISWA SD II SESETAN DALAM MENGURANGI KASUS PENYAKIT DEMAM BERDARAH DI KELURAHAN SESETAN DENPASAR 2012 D. S. Lubis; N. K Eka Wati; S. G. Purnama; K. Tresna Adhi; P. Suariani
Buletin Udayana Mengabdi Vol 12 No 1 (2013): Volume 12 No.1 – April 2013
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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This community service was conducted in SD N II Sesetan, Denpasar on 13 August 2012. The participants ofthis activity were 60 students from SD N II grade V Denpasar. Health education about the life span of denguefever mosquito and the common environment of the mosquito was delivered to the students. After being studiedin the class, the activity was continued by identification of jentik at the field. The aims of this activity are tostrengthen the role of students in reducing dengue fever cases in Sesetan village. Result of the pre-test and posttest showed an increase in knowledge of the students about dengue fever to overcome this disease. Statisticalanalysis showed a significant differences (P<0.05) between pre-test and post test. Students were asked to identifypotential container of mosquite which may be bred at home. There were 221 containers examined by students,and 26% of the containers have larva. It can be concluded that this activity can improve knowledge about denguefever and larva identification skill. This activity might become a good example to initiate elementary school basedprogram to eradicate dengue fever cases in Sesetan Village. It is recommended to scale up this activity to otherschool in order to strengthen the role of students in dengue fever prevention approach in Sesetan Village.

PEMBINAAN PEDAGANG MAKANAN KAKI LIMA UNTUK MENINGKATKAN HIGIENE DAN SANITASI PENGOLAHAN DAN PENYEDIAAN MAKANAN DI DESA PENATIH, DENPASAR TIMUR I Nengah Sujaya; Ni Made Utami Dwipayanti; Ni Ketut Sutiari; L.P Lila Wulandari; Ni Kadek Tresna Adhi
Buletin Udayana Mengabdi Vol 9 No 1 (2010): Volume 9 No.1 – April 2010
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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Abstract Generally street vendor has little knowledge on hygiene and sanitation of food handling. Usually they trade in a night market or on street sides. There are two markets in Penatih Village that operate night market. Both markets located in a strategic location thus they have many visitors every day. In these two markets there are some vendors that need to be counseled and assisted in order to improve their knowledge on hygiene and sanitation of food handling. The counseling and assistance was conducted every week from 25 September to 10 October 2009, with 10 vendors as target participants. The venues were located in Penatih Market and Agung Market, Penatih Village, East Denpasar. The activities were conducted in the form of counseling and assisting during trading hours towards the participants in regards of hygiene and sanitation of food handling. In order to evaluate and measure the knowledge improvement of the participants, pre test and post test were carried out. The result shows that, most of participants have less knowledge on food additives in terms of usage, types and risk of usage. The participants have good knowledge on usage of clean water for utensil and food washing as well as knowledge on personal hygiene. It is recommended to conduct a continuous and regular counseling to street vendors with the involvement of local primary health care (puskesmas).

Factors Related to Work Stress among Health Office Employees during Covid-19 Pandemic Luga Rizqi Cristenzein; Kadek Tresna Adhi
The Indonesian Journal of Occupational Safety and Health Vol. 10 No. 3 (2021): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Introduction: Study related to work stress is usually more focused on the industrial sector. Meanwhile, workers in other sectors such as the government organization also have the potential to feel stressed due to their job. During the COVID-19 (Coronavirus Disease) pandemic, Health Office is one of the main stakeholders in handling and preventing COVID-19. The COVID-19 pandemic can cause work stress due to unachieved health programs and huge demands to develop programs related to this pandemic. This study analyzed the relationship between individual factors, work factors, and factors outside of work with level of work stress among Health Office employees. This study is expected to be able to analyze work stress and its determinant as early as possible. Methods: This study was a cross-sectional study using the Depression, Anxiety, Stress Scale 42 (DASS-42) and NIOSH (National Institute for Occupational Safety and Health) Generic Job Stress Questionnaire instrument. This study was conducted at the Public Health Office Bogor Regency April 2021. This study used total sampling method on employees of the Public Health Office Bogor Regency with total sample collected of 135 respondents. Data analysis in this study was performed using multiple logistic regression. Results: 86.67% of respondents did not experience work stress, 5.93% of respondents had mild work stress, and 7.41% of respondents experienced moderate work stress. Moreover, workload (p = 0.0001) and social support (p = 0.011) had a significant relationship in increasing work stress. Conclusion: Workload was the most dominant variable affecting work stress in which workers who had high subjective workload were 33.63 times more stressful compared to workers who had the appropriate workload. Prevention of occupational stress can be done by adjusting workloads and building a good social environment between colleagues.Keywords: factors outside of work, health office, individual factors, work factors, work stress

NUTRITIONAL INTERVENTION TRIALS MODEL IN POOR AREAS OF BALI PROVINCE Kadek Tresna Adhi; Ni Wayan Arya Utami; I Made Suka Adnyana
Journal of Health Sciences and Medicine Vol 1 No 1 (2017): JHSM (Febuary 2017)
Publisher : Institute for Research and Community Services Udayana University

Abstract The result from food utilization analysis in 2015 showed that a needed for a community based nutrition intervention model to decrease malnutrition cases among under five years children. This was non experimental study using pre-post test approached, conducted in Karangasem and Bangli regency. Samples were selected by purposive sampling method. Data were collected by questionnaire and observation. Nutrition intervention model was arranged in the form of training module given to society’s figure and integrated post service’s cadres. Result from trial of training module I showed no significant difference between means of knowledge before and after training with p-value (1,00) > ? (0,05), meanwhile in the trial of training module II showed significant difference between means of knowledge before and after training with p-value (0,048) < ? (0,05). Needed a model for socialization the nutrition intervention’s module which actively involved society’s figures and integrated post service’s cadre and ad vocation to policy maker thereby it can support the success of community nutrition improving program.

Perbedaan kadar seng serum dan kadar c-reactive protein pada anak balita dengan kadar serum retinol normal dan tidak normal Kadek Tresna Adhi; Bambang Wirjatmadi; Meriyana Adriani
Jurnal Gizi Klinik Indonesia Vol 7, No 2 (2010): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17737

Background: Vitamin A Defciency (VAD) is one of the major nutritional problem, and many occur in developing countries. VAD occurs when serum retinol concentration <20 tg / dl (0.07 μmol / L). Serum retinol levels will decrease during the acute phase response (elevated CRP) and also caused by zinc defciency. This interaction causes inhibition of linear growth.Objective: The objective of this research is to study the differences in levels of serum zinc and CRP levels in infants and children with normal serum retinol (≥ 20 tg / dl) and abnormal (≥ 20 tg / dl) in the Village of Mojo, District Gubeng, Surabaya.Method: Results of the analysis was divided into two categories: 1) normal serum retinol (≥ 20 tg / dl), and 2) abnormal levels of serum retinol (<20 tg / dl). For serum zinc levels, laboratory examination was performed by AAS method (Atomic Absorption Spectrophotometry). CRP level was done by agglutination test method (CRP latex) with results in the form of semi-quantitative analysis. The collection of data includes the frequency characteristic of children and the sick for a month with interviews conducted using a questionnaire. Consumption data using dietetic (2x24-hour recall). Analysis of data using two independent samples t test.Results: The results showed that there was no difference in characteristics, levels of consumption and CRP levels of children under fve (p> 0.05). While there are differences in the frequency of pain and zinc (p <0.05).Conclusion: No difference in zinc levels in both groups, whereas CRP levels did not show different results. It was recommended that further research on the interaction of research results with linear growth as well as environmental factors and personal hygiene to prevent infection that can affect serum retinol.

Co-Authors Adriani, Meriyana Alex Pangkahila Anak Agung Ngurah Kusumajaya ariesthi, kadek dwi Bambang Wirjatmadi Bambang Wirjatmadi D. S. Lubis Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi, Manik Ulan Dewianti Dewianti Dewianti, Dewianti Dinar Lubis Dyah Pradnyaparmita Duarsa Gde Ngurah Idraguna Pinatih Handayani, Ni Made Astini HARA, MARIA KARERI Hertog Nursanyoto Hildagardis Meliyani I Gusti Lanang Sidiartha I Gusti Ngurah Edi Putra I Made Ady Wirawan I Made Suarjana I Made Suka Adnyana I Nengah Sujaya I Wayan Weta I.M.S. Adnyana Ida Ayu Kade Chandra Dewi Imtihanatun Najahah Imtihanatun Najahah, Imtihanatun Iwan Abdi Suandana J. A. Pangkahila Kadek Dwi Ariesthi LPL Wulandari Luga Rizqi Cristenzein Luh Putu Lila Wulandari Luh Putu Sinthya Ulandari Luh Sudemi Luky Adrianto Manik Ulan Dewi Maria Kareri Hara Meriyana Adriani Muhammad Junaedi N. K Eka Wati Ni Kadek Lilis Erismawati Ni Ketut Sutiari Ni Luh Gede Karyamitha Ni Luh Partiwi Wirasamadi Ni Luh Putu Suariyani Ni Made Astini Handayani Ni Made Utami Dwipayanti Ni Putu Ayu Wulan Noviyanti Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Noviyanti, Ni Putu Ayu Wulan Olwin Nainggolan P. Suariani Pande Putu Januraga Pande Putu Januraga Pinatih, Gede Ngurah Indraguna Putra, I Gusti Ngurah Edi Putra, I Gusti Ngurah Edi Putu Ayu swandewi astuti R. A.T. Kuswardhani Rofingatul Mubasyiroh sang gede purnama Sari Andajani Sawitri, Anak Agung Sagung Sudemi, Luh Sudikno Wirasamadi, Ni Luh Partiwi

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