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Perkiraan Tinggi Badan Berdasarkan Tulang Panjang Usia 17-22 Tahun I Gusti Ngurah Putu Sana; Dewa Ayu Agung Alit Suka Astini; I Ketut Tangking Widarsa; I Nyoman Sueta; I Wayan Suwitra; Komang Trisna Sumadewi
WMJ (Warmadewa Medical Journal) Vol 1 No 2 (2016): November 2016
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.1.2.29.66-70

Abstract

Perkiraan tinggi badan sangat penting pada antropologi forensik dalam identifikasi jenasah akan tetapi belum ada model yang baku untuk tujuan tersebut. Penelitian ini bertujuan mengembangkan model perkiraan tinggi badan dengan menggunakan tulang panjang sebagai prediktor. Metode penelitian dengan desain observasional melalui studi cross sectional dilakukan terhadap 96 sampel mahasiswa dipilih secara stratified random dari total 199 mahasiswa yang memenuhi kriteria inklusi, usia 17-22 tahun. Tinggi badan diukur menggunakan ZT-120 Health Scale dan panjang tulang humerus, radius, ulna, femur, tibia dan fibula diukur dengan menggunakan spreading caliper. Model estimasi tinggi badan menggunakan model regresi linier berganda dengan panjang tulang panjang sebagai prediktor. Untuk estimasi tinggi badan laki-laki terdapat tiga tulang sebagai prediktor yaitu tulang tibia kiri, humerus kanan, dan radius kanan dengan koefisien regresi 0,94 (±0,3), 0,82 (±0,3), dan 0,79 (±0.4) secara berurutan. Prediktor untuk tinggi perempuan adalah tulang fibula kiri, ulna kiri, dan humerus kiri dengan koefisien regresi 1,13 (±0,3), 1,20 (±0,4), dan 0,85 (±0,4) secara berurutan. Dari penelitian ini dapat disimpulkan bahwa tulang tibia kiri, humerus kanan, dan radius kanan dapat dipakai memperkirakan tinggi badan laki-laki dan tulang fibula kiri, ulna kiri, dan humerus kiri untuk tinggi badan perempuan.Kata kunci: tinggi badan, tulang panjang, tibia, fibula. [Estimated Stature Based on Long Bone Age 17-22 Years]             The estimation of stature is very important in forensic anthropology in the identification of bodies, but there is no standard model for the purpose. This study aims to develop a model estimated height, using a predictor of long bones. A total of 96 samples of randomly selected students from a total of 199 students, aged 17-22 years. Height was measured using ZT-120 Health Scale and the length of the humerus, radius, ulna, femur, tibia and fibula was measured by using a spreading caliper. Height estimation model using multiple linear regression model with long bone length as a predictor. to estimate the height of men there are three bones as predictors, the left tibia, right humerus and a right radius, with a regression coefficient of 0.94 (±0.3), 0.82 (±0.3), and 0.79 (±0.4) sequentially. Predictors for the high women are left fibula, left ulna and left humerus, with regression koefsien 1.13 (±0.3), 1.20 (±0.4), and 0.85 (±0.4) sequentially. From this study it can be concluded that the left tibia, right humerus and right radius can be used estimate the height of men, and left fibula, left ulna and left humerus can be used estimate the height of women.Keyword: stature, long bone, tibia, fibula.
Korelasi Antara Kadar Leptin dengan IMT, Lingkar Pinggang dan RLPP pada Orang Dewasa Obesitas Usia 19-25 Tahun di Universitas Warmadewa Komang Trisna Sumadewi
WMJ (Warmadewa Medical Journal) Vol 1 No 2 (2016): November 2016
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.1.2.30.71-82

Abstract

Obesitas berdampak secara fisik maupun psikologis yang berkaitan dengan sindrom metabolik dan penyakit kardiovaskuler. Pengukuran antropometri seperti Indeks Massa Tubuh (IMT), lingkar pinggang, lingkar panggul dan rasio lingkar pinggang panggul (RLPP) digunakan untuk identifikasi obesitas. Leptin berasal dari jaringan adiposa yang dapat mengindikasikan banyaknya timbunan lemak yang terdapat dalam tubuh. Leptin dapat bekerja secara sentral sebagai hormon metabolik melalui mekanisme umpan balik negatif untuk menekan nafsu makan dan meningkatkan pembakaran kalori melalui peningkatan aktivitas tubuh. Penelitian ini bertujuan untuk membuktikan adanya korelasi antara kadar leptin dengan IMT, lingkar pinggang, RLPP pada orang dewasa obesitas usia 19-25 tahun di Universitas Warmadewa. Penelitian ini merupakan penelitian analitik korelasi dengan teknik pengambilan data cross sectional. Pengambilan 52 sampel darah baik laki-laki maupun perempuan yang mengalami obesitas dilakukan di Universitas Warmadewa dan diperiksa di Laboratorium Biologi Molekuler Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa. Setiap sampel diperiksa tinggi badan, berat badan, lingkar pinggang, lingkar panggul dan kadar serum leptinnya dengan metode sandwich ELISA. Selanjutnya dilakukan analisis deskriptif dan korelasi. Hasil yang didapatkan, leptin berkorelasi signifikan dengan IMT (p=0,000; r=0,871 untuk perempuan; p=0,001; r=0,549 untuk laki-laki), lingkar pinggang (p=0,001; r=0,695 untuk perempuan; p=0,003; r=0,490 untuk laki-laki); RLPP (p=0,041; r=0,485 untuk perempuan; p=0,019; r=0,401 untuk laki-laki). Interval kepercayaan sebesar 95%. Kadar serum leptin memiliki korelasi positif dan signifikan dengan IMT, lingkar pinggang dan RLPP.Kata kunci: Leptin, IMT, lingkar pinggang, RLPP, obesitas. [Positive Correlation between Leptin Concentration, Body Mass Index, Waist Circumference and Waist-Hip Circumference Ratio in Obese Adults Aged 19-25 Years Old at Warmadewa University].Obesity causes negative impacts both psychologically as well as physically related to metabolic syndrome and cardiovascular diseases. Anthropometric measurements such as Body Mass Index (BMI), waist circumference, hip circumference, waist-hip circumference ratio (WHR) are used to identify obesity. Leptin originates from adipose tissue which can be used to identify obesity. Leptin works centrally as metabolic hormone through feedback negative mechanism to inhibit appetite and to increase calorie combustion along with increased body activity. This study aimed to confirm the correlation between leptin concentration and BMI, waist circumference, and WHR in adult obese individuals aged 19-25 years old at Warmadewa University. This study was an analytic correlation study carried out with a cross sectional data collection technique. Fifty two blood samples were collected from adult obese individuals at Warmadewa University, which were examined in Biomolecular Laboratory, Faculty of Medicine Warmadewa University. Fifty two adult obese individuals aged 19-25 years old, male and female, were measured for their height, weight, waist circumference, hip circumference and leptin concentration, by using sandwich ELISA method. Data were analyzed descriptively as well as statistically to assess the correlation. From this study, it was found that serum leptin concentration had a correlation with BMI (r=0.871 in females; p=0.001; r=0.549 in males), waist circumference (p=0.001; r=0.695 in females; p=0.003; r=0.490 in males); WHR (p=0.041; r=0.485 in females; p=0.019; r=0.401 in males). Confidence Interval (CI) 95%. Serum leptin concentration has significant positive correlation with BMI, waist circumference and WHR.Keywords: Leptin, BMI, waist circumference, WHR, Obesity.
The Correlation of Body Composition and Fitness Level of Students in Medical Faculty Unwar Wayan Rusni; Komang Trisna Sumadewi; Tanjung Subrata
WMJ (Warmadewa Medical Journal) Vol 4 No 2 (2019): November 2019
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.4.2.1044.61-65

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Medical students beside they are as a member of the medical rescuer, the team is also to have good physical fitness due to consider that Indonesia involves a disaster drawn area. The study was conducted on a member of Tim Bantuan Medis (Medical Rescuer Team) of FKIK Warmadewa University. This simple random sampling was carried out to choose the sample. The data was analyzed using the Spearman correlation test to find out the correlation between body composition and physical fitness. The result from body composition showed that the highest percentage is in the average category (40.7%) and the smallest percentage is in the fair category (3.35%). Whereas the level of physical fitness that assessed through muscle endurance and cardio-respiratory endurance show a level in the poor as follow 38,5% and 85,7%. The conclusion is a significant correlation (relatively strong)between body composition and physical fitness (muscle endurance and cardio-respiratory endurance ) (r=0.30 dan r=0.18)
PELATIHAN PEMBINA UKS UNTUK MENINGKATKAN PERAN UKS DI SDN 5 SUMERTA DENPASAR Komang Trisna Sumadewi; Desak Putu Citra Udiyani; D.A.A.A Suka Astini
JURNAL SEWAKA BHAKTI Vol 4 No 1 (2020): Sewaka Bhakti
Publisher : UNHI Press

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Abstract

Besides functioning as a place to study, schools are also at risk as a place for disease transmission if not managed properly. Primary school age children are vulnerable to infectious or non-communicable diseases such as accidents when playing. Therefore, the inculcation of values ​​of healthy and clean living behavior from an early age is very important to avoid various disease risks, one of which is through the School Health Efforts (UKS) approach. The partner in this service is the Trustee of UKS in SDN 5 Sumerta. So far the partners have never received any explanation regarding the implementation of the UKS. The method that will be used is focus group discussion (FGD), interactive dialogue, training methods and mentoring. FGD aims to find problems faced by partners. Training and mentoring are carried out on an ongoing basis accompanied by monitoring and evaluation which is carried out regularly every month to partners in accordance with the form that has been prepared and carried out by the service team. This program has been implemented well judged by the implementation of activities on time, good involvement and cooperation on the part of SDN 5 Sumerta.
PEMBERDAYAAN TEMPAT PENITIPAN ANAK (TPA) DALAM PENGELOLAAN PENYAKIT MENULAR SERTA SKRINING TUMBUH KEMBANG ANAK DI TPA PURI RARE KOTA DENPASAR Ni Putu Diah Witari; Anny Eka Pratiwi; Ni Komang Trisna Sumadewi
JURNAL SEWAKA BHAKTI Vol 6 No 1 (2021): Sewaka Bhakti
Publisher : UNHI Press

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Abstract

Day care centers are currently experiencing significant developments with the many needs of the community and demands of parents to work. So that many parents leave their children in child care centers (TPA). Puri Rare Day Care is one of the TPAs in the city of Denpasar. Several toddlers and children were sent there. Toddlers and children are vulnerable to infection in TPA, so the aim of this Service is to provide knowledge about infectious diseases and their prevention and training to use self-protection tools and screening for child development. Mita's participation reached 100% and there was an increase in partners' knowledge about child infectious diseases and how to prevent them as well as child growth and development from 53.33 to 86.67% and monitoring and evaluation every 2 weeks to see the ability of partners in screening growth and development and prevention of infection. After carrying out PKM activities, it can be concluded that there is an increase in partners' knowledge about infectious diseases and their prevention and how to screen children's growth and development.
Simvastatin Memperbaiki Degerasi Hidropis dan Nekrosis Sel Hepatosit Mencit Subtotal Nefrektomi I Dewa Gede Amara Putra Wibawa; Komang Trisna Sumadewi; Putu Nita Cahyawati
JBN (Jurnal Bedah Nasional) Vol 6 No 1 (2022): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2022.v06.i01.p04

Abstract

Latar belakang: Gagal ginjal kronik (GGK) merupakan salah satu penyakit dengan tingkat mortalitas yang tinggi. Pada pasien GGK, golongan obat statin digunakan untuk mengatasi kondisi dislipidemia dan mencegah kelainan kardiovaskular. Selama ini banyak penelitian lebih terfokus meneliti efek pemberian statin terhadap kondisi ginjal dibandingkan dengan kondisi hepar. Penelitian ini bertujuan untuk mengetahui efek simvastatin terhadap perubahan pada degenerasi hidropis dan nekrosis sel hepatosit mencit model subtotal nefrektomi. Metode: Lima belas ekor mencit (Mus musculus L.) jantan, galur Swiss, umur 3 bulan, berat badan 30-40 gram digunakan pada penelitian ini. Mencit dibagi menjadi 3 kelompok perlakuan secara random yaitu kelompok subtotal nefrektomi (SN, n=5), kelompok simvastatin dosis 5,2 mg/kgBB (S5, n=5), dan kelompok simvastatin dosis 10,4 mg/kgBB (S10, n=5). Hasil: Hasil pemeriksaan histopatologi menunjukkan bahwa rerata degenerasi hidropis pada kelompok SN (1,240,19), kelompok S5 (0,640,11), dan kelompok S10 (0,920,41). Terdapat perbedaan signifikan pada penilaian degenersi hidropis pada kelompok SN dan kelompok S5 (p<0,05). Rerata degenerasi hidropis pada kelompok SN (1,240,19), kelompok S5 (0,640,11), dan kelompok S10 (0,920,41). Terdapat perbeda an signifikan antara kelompok hewan yang memperoleh simvastatin (S5 dan S10) dengan kelompok SN (p<0,05). Simpulan: Simvastatin memperbaiki degerasi hidropis dan nekrosis sel hepatosit mencit subtotal nefrektomi.
Hubungan Pemberian ASI dengan Kejadian ISPA pada Bayi Usia 4-6 Bulan di RSUD Sanjiwani Gianyar dan BRSUD Tabanan Tahun 2016-2020 Ni Putu Eka Gloria Puspawan; Ni Kadek Elmy Saniathi; Komang Trisna Sumadewi
AMJ (Aesculapius Medical Journal) Vol. 1 No. 1 (2021): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

ABSTRAK Infeksi Saluran Pernapasan Akut (ISPA) termasuk masalah utama bagi kesehatan anak dibawah lima tahun di Negara Indonesia. Persentase balita dengan ISPA menurut Kemenkes RI (2019) didapatkan 56,51%. ISPA dapat dicegah melalui pemberian ASI khususnya bagi anak umur 0-6 bulan karena kandungan zat antibodi yang mampu melindunginya dari beragam penyakit seperti ISPA dan diare. Penelitian bertujuan untuk mengetahui korelasi antara pemberian ASI dan kejadian ISPA yang menyerang anak umur 4-6 bulan di RSUD Sanjiwani Kabupaten Gianyar dan BRSUD Tabanan tahun 2016-2020. Desain penelitian adalah analitik observasional dengan pendekatan cross-sectional. Adapun populasi penelitian yaitu semua bayi usia 4-6 bulan dengan ISPA yang datang atau di rawat di RSUD Sanjiwani Gianyar serta BRSUD Tabanan dari bulan Januari 2016 - Desember 2020 dengan teknik pengambilan sampel Consecutive- sampling yang memenuhi syarat inklusi serta eksklusi. Instrumen yang dipergunakan ialah rekam medis, analisis data menerapkan analisis univariat, bivariat yaitu pengujian Chi- square serta multivariat yaitu pengujian regresi logistik biner. Dari 102 total sampel didapatkan hasil pengujian bivariat p=0,048 yang selanjutnya dilakukan uji statistik multivariat dan diperoleh p=0,035 yang merepresentasikan pemberian ASI mempunyai korelasi signifikan pada kejadian ISPA. Sehingga dari penelitian ini dapat disimpulkan adanya korelasi antara pemberian ASI dan kejadian ISPA bagi bayi umur empat sampai enam bulan yang ada pada RSUD Sanjiwani Kabupaten Gianyar dan BRSUD Tabanan tahun 2016-2020. Kata kunci: Infeksi Saluran Pernapasan Akut (ISPA), Air Susu Ibu (ASI), bayi usia 4-6 bulan ABSTRACT Acute Respiratory Infection (ARI) is a major problem for the health of children under five years old in Indonesia. The percentage of children under five with ARI according to the Indonesian Ministry of Health (2019) was 56.51%. ARI can be prevented through breastfeeding, especially for children aged 0-6 months because it contains antibodies that can protect them from various diseases such as ARI and diarrhea. This study aims to find out the correlation between breastfeeding and the incidence of ARI that attacks children aged 4-6 months in Sanjiwani Hospital, Gianyar Regency and BRSUD Tabanan in 2016-2020. The research design is analytical observational with a cross-sectional approach. The study population was all infants aged 4-6 months with ARI who came or were treated at the Sanjiwani Hospital Gianyar and BRSUD Tabanan from January 2016 - December 2020 with a Consecutive-sampling sampling technique that met the inclusion and exclusion requirements. The instruments used are medical records, data analysis applies univariate analysis, bivariate Chi-square testing and multivariate binary logistic regression testing. Of the 102 total samples, the results of the bivariate test were p = 0.048 which was then carried out by multivariate statistical tests and obtained p = 0.035 which represented that breastfeeding had a significant correlation on the incidence of ARI. So from this study it can be concluded that there is a correlation between breastfeeding and the incidence of ARI for infants aged four to six months in Sanjiwani Hospital, Gianyar Regency and BRSUD Tabanan in 2016-2020. Keywords: Acute Respiratory Infection (ARI), breastfeeding, infants aged 4-6 months
Hubungan antara Self Efficacy dengan Tingkat Stres Mahasiswa Baru FKIK Universitas Warmadewa Angkatan 2020 Putu Ayu Pradnya Paramita; Sagung Putri Permana Lestari Murdhana Putere; Komang Trisna Sumadewi
AMJ (Aesculapius Medical Journal) Vol. 1 No. 2 (2022): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract [The Relationship between Self Efficacy and Stress Levels in New Students of the Faculty of Medicine and Health Sciences, Warmadewa University Class of 2020] Stress is a psychological problem that many children, adolescents and adults encounter. In Riskesdas (2018), 9.8% of the 15-year-old Indonesian population has emotional problems such as stress. Freshmen will face various difficulties due to different learning situations from the past. This will affect the psychological status of students, one of which is characterized by stress, which interferes with daily activities or leads to suicidal ideation. Self-efficacy is an internal factor that affects the level of stress. When self-efficacy is high, stress levels are low. The purpose of this study is to understand the relationship between self-efficacy and freshmen's stress level. This study is an analytical observational study using a cross-sectional study model. The measurement tools used are the DASS-42 questionnaire to assess stress levels and the GSES questionnaire to measure self-efficacy. The sample used was a 2020 batch of 100 new FKIK University Warmadewa students, who were selected using simple random sampling. The collected data is analyzed using the SPSS application. The hypothesis test used is Spearman rank correlation test as a bivariate analysis, which shows that there is a significant negative effect between self-efficacy and stress level (r = -0.620 and p-value = 0.000) The chi-square test showed that compared with high self-efficacy, the risk of experiencing stress with low self-efficacy was 18.857 times higher (95% CI = 2,413 – 146,727 and p-value = 0.000). Keywords: stress level, self-efficacy
Hubungan Adiksi Internet dengan Depresi dan Kecemasan pada Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Angkatan 2018 dan 2019 Kadek Ayu Trishanti Devi; Komang Trisna Sumadewi; I Wayan Eka Arsana
AMJ (Aesculapius Medical Journal) Vol. 2 No. 3 (2022): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Excessive use of internet can cause internet addiction condition especially in students. Internet addiction has negative impact on the onset of psychiatric symptoms such as depression and anxiety. The aims of this research was to determine the relationship between internet addiction with depression and anxiety in medical students of the Faculty of Medicine and Health Sciences, Warmadewa University class of 2018 and 2019. The type of this research was an analytic correlation study with a cross-sectional design which conducted from November – December 2021 used simple random sampling for the sampling technique then obtained 80 samples. Data of internet addiction level, depression level and anxiety level collected by questionnaire. Data univariate analysis used frequency distribution and bivariate analysis used Spearman rank correlation test. The final result of bivariate analysis showed p value <0,05 which means there is a significant positive correlation between internet addiction with depression (p=0,003) and between internet addiction with anxiety (p=0,003). It also showed the correlation between internet addiction with anxiety (r=0,332) greater than the correlation between internet addiction with depression (r=0,323).
Hubungan Lama Kontak dengan Kejadian Dermatitis Kontak Akibat Kerja pada Karyawan Salon di Kota Denpasar I Gusti Ngurah Bagus Jaya Wisesa; Komang Trisna Sumadewi; Made Sudarjana
AMJ (Aesculapius Medical Journal) Vol. 2 No. 2 (2022): August
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Dermatitis kontak akibat kerja (DKAK) merupakan penyakit kulit yang timbul akibat kerja, yang secara umum disebabkan karena adanya riwayat kontak dengan bahan alergen dan iritan spesifik pada pekerjaan atau profesinya. Lama kontak merupakan satu dari faktor berpengaruh terhadap kejadian dermatitis kontak akibat kerja. Semakin lama kontak dengan bahan kimia, maka kecenderungan terjadi iritasi atau peradangan kulit lebih memungkinkan, sehingga akhirnya timbul gangguan pada kulit. Tujuan penelitian ini adalah untuk mengetahui hubungan antara lama kontak dengan kejadian dermatitis kontak akibat kerja (DKAK) pada karyawan salon di Kota Denpasar. Penelitian ini menggunakan rancangan desain studi analitik dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan teknik cluster sampling. Sampel pada penelitian ini adalah karyawan salon di Kota Denpasar dengan jumlah 38 orang. Kriteria Mathias dan NOSQ-2002 digunakan sebagai instrumen penelitian ini. Teknik analisis data menggunakan analisis univariat dan bivariat memakai uji Chi-Square. Hasil didapatkan karyawan salon mayoritas berumur 26–35 tahun (36,8%), gender perempuan (86,6%), dan memiliki lama kontak < 5 jam (52,6%). Hasil analisis bivariat didapatkan adanya hubungan antara lama kontak dengan kejadian dermatitis kontak akibat kerja (DKAK) pada karyawan salon di Kota Denpasar (p = 0,001). Sehingga dapat ditarik kesimpulan bahwa terdapat hubungan antara lama kontak dengan kejadian dermatitis kontak akibat kerja (DKAK) pada karyawan salon di Kota Denpasar.