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Empowerment of Health Cadre in Managing Antenatal Class in Tulikup Village, Gianyar-Bali Aryastuti, Sri Agung; Ratna Juwita, Dewa Ayu Putu; Cahyawati, Putu Nita; Witari, Ni Putu Diah; Pradnyawati, Luh Gede
International Journal of Community Service Learning Vol 4, No 4 (2020): November 2020
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.348 KB) | DOI: 10.23887/ijcsl.v4i4.22284

Abstract

Lack of public awareness and knowledge of pregnant women in maintaining their health during pregnancy was one of the problem found in Tulikup Village, Gianyar-Bali. The limited number of health workers in Puskesmas has resulted in the lack of information obtained by the community regarding pregnancy, childbirth and the puerperium. Therefore, cadre empowerment programs as a driving force in managing antenatal classes for pregnant women are expected to overcome these problems. This activity was held in  Tulikup Village Hall, and was attended by 6 cadres and 6 pregnant women. The counseling, training and simulation method was used to increase their knowledge and skills about the antenatal class. At the end of the activity, it was found that there was an increase in knowledge regarding the antenatal class. Cadres were able to design an antenatal class, arrange the material that could be given and become a facilitator in activities in it.
Hubungan Frekuensi Gen Knock-Down Resistance (KDR) V1016G, V410L, dan F1534C dengan Tingkat Resistensi Populasi Aedes aegypti di Denpasar, Bali Erly Sintya; Kartika Sari; Ni Wayan Widhidewi; Ni Made Hegard Sukmawati; Ni Putu Diah Witari; Tangking Widarsa
Jurnal Vektor Penyakit Vol 15 No 2 (2021): Edisi Desember
Publisher : Balai Penelitian dan Pengembangan Kesehatan Donggala, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/vektorp.v15i2.4907

Abstract

ABSTRACT Insecticides are used to reduce the number of Aedes aegypti mosquitoes, a vector of the dengue virus that causes dengue hemorrhagic fever in Indonesia, including in Bali. However, in recent years, the resistance of the Ae. aegypti mosquito to insecticides has been reported in Bali. In addition, Ae. aegypti is also identified to be resistant to several types of insecticides whose resistance mechanism is not yet clear. Several studies have stated that the KDR genes are one of the causes of resistance to pyrethroid insecticides. Therefore, a study was conducted to determine the frequency of the KDR genes in the Ae. aegypti population in Denpasar, Bali which had been previously shown resistance to permethrin (type of pyrethroid). Forty-three females Ae. aegypti specimens from bioassay testing using permethrin stored in tubes containing 100% ethanol were used in this study. Each mosquito is put in a different tube. The mosquito DNA was then extracted. Three KDR genes, V1016G, V410L, and F1534C, were analyzed using the quantitative-PCR melt curve method at the Biomolecular Laboratory, FKIK Unwar. In this study, the mutation frequency of 1016G was 98%, 410L was 50%, and 1534C was 3.4%. The 410L mutant gene was shared by all specimens, although only in one allele (heterozygous). Of the 43 specimens, 39 had homozygous mutant V1016G, heterozygous V410L, and wild typehomozygous F1534C. It indicated that the frequency of the 1016G and 410L mutant genes is quite high, while the 1534C gene is low. The combination of the KDR 1016G and 410L genes was the most dominant found in permethrin-resistant Ae. aegypti specimens. Therefore, it is assumed that these two KDR genes play a role in forming permethrin resistance in Ae. aegypti. ABSTRAK Insektisida digunakan untuk menurunkan jumlah nyamuk Aedes aegypti yang merupakan vektor virus dengue penyebab penyakit demam berdarah dengue di Indonesia, termasuk di Bali. Namun, dalam beberapa tahun terakhir, resistensi nyamuk Ae. aegypti terhadap insektisida dilaporkan sudah terjadi di Bali. Selain itu, Ae. aegypti juga dilaporkan resisten terhadap beberapa jenis insektisida yang mekanisme terjadinya resistensi belum diketahui. Beberapa penelitian menyebutkan bahwa gen KDR menjadi salah satu penyebab terjadinya mekanisme resistensi terhadap insektisida golongan peritroid. Oleh sebab itu, dilakukan penelitian untuk mengetahui frekuensi gen KDR pada populasi Ae. aegypti di Denpasar, Bali yang sebelumnya telah terbukti memiliki resistensi permetrin (insektisida golongan peritroid). Sebanyak 43 spesimen Ae. aegypti betina hasil dari pengujian bioassay yang tersimpan dalam tabung yang berisi etanol 100% digunakan dalam penelitian ini. Tiap nyamuk dimasukkan dalam tabung yang berbeda. Selanjutnya dilakukan ekstraksi DNA nyamuk. Tiga jenis gen KDR, yaitu V1016G, V410L, and F1534C, dianalisis dengan metode quantitative-PCR melt curve di Laboratorium Biomolekuler FKIK Unwar. Dalam penelitian ini ditemukan frekuensi mutasi 1016G sebesar 98%, 410L 50%, dan 1534C sebesar 3,4%. gen mutan 410L dimiliki oleh seluruh spesimen walaupun hanya pada salah satu alel (heterozigot). Dari 43 spesimen yang diteliti, terdapat 39 spesimen yang memiliki profil genotip V1016G homosigot mutan, V410L heterosigot, dan F1534C homosigot wild type. Sehingga dapat disimpulkan bahwa frekuensi gen mutan 1016G dan 410L cukup tinggi, sedangkan gen 1534C rendah. Kombinasi gen KDR 1016G dan 410L paling dominan ditemukan pada spesimen Ae. aegypti resisten permetrin. Kedua gen KDR diasumsikan berperan dalam pembentukan resistensi permetrin pada Ae. aegypti.
PEMBERDAYAAN KELOMPOK IBU YANG MEMILIKI BALITA BERISIKO STUNTING DI BANJAR TRIWANGSA-PAYANGAN GIANYAR BALI Ni Putu Diah Witari; Anak Agung Istri Aryastuti; Ni Wayan Rusni
JURNAL SEWAKA BHAKTI Vol 5 No 2 (2020): Sewaka Bhakti
Publisher : UNHI Press

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Abstract

Stunting is still a major nutritional problem in Indonesia and Bali. One district that has a fairly high stunting rate is Bresela Village, Payangan District. Triwangsa is one of the district located in Bresela village, based on a quick survey conducted on pregnant women and mothers who have babies under two years old in Triwangsa district, Bresela Village, Payangan, low knowledge and bad attitudes and behavior towards stunting prevention especially in terms of time, type and form of complementary feeding as a nutritional intake for the first 1000 days of life. The service implementation method is in the form of interactive dialogue and a demonstration of making balanced solid food. This activity succeeded in increasing partners' knowledge by 75% regarding stunting and balanced complementary foods of breast milk. After the assistance is carried out, it can be seen that the behavior changes of partners in providing balanced complementary foods to toddlers.
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.
Empowerment of Health Cadre in Managing Antenatal Class in Tulikup Village, Gianyar-Bali Sri Agung Aryastuti; Dewa Ayu Putu Ratna Juwita; Putu Nita Cahyawati; Ni Putu Diah Witari; Luh Gede Pradnyawati
International Journal of Community Service Learning Vol. 4 No. 4 (2020): November 2020
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.348 KB) | DOI: 10.23887/ijcsl.v4i4.22284

Abstract

Lack of public awareness and knowledge of pregnant women in maintaining their health during pregnancy was one of the problem found in Tulikup Village, Gianyar-Bali. The limited number of health workers in Puskesmas has resulted in the lack of information obtained by the community regarding pregnancy, childbirth and the puerperium. Therefore, cadre empowerment programs as a driving force in managing antenatal classes for pregnant women are expected to overcome these problems. This activity was held in  Tulikup Village Hall, and was attended by 6 cadres and 6 pregnant women. The counseling, training and simulation method was used to increase their knowledge and skills about the antenatal class. At the end of the activity, it was found that there was an increase in knowledge regarding the antenatal class. Cadres were able to design an antenatal class, arrange the material that could be given and become a facilitator in activities in it.
In Situ Hybridization PADA KANKER PAYUDARA Ni Putu Diah Witari
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 6, No 3, (2014)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Abstract

Kesulitan yang dijumpai pada penanganan kanker payudara adalah terjadinya kekambuhan atau relaps.  Deteksi status HER2 pada pasien merupakan salah satu upaya untuk mendeteksi terjadinya relaps dan juga untuk menentukan jenis terapi yang ada diberikan. Ekspresi protein HER2 dapat dideteksi dengan  immunohistochemistry  (IHC),  sedangkan mutasi  gen  HER2  dapat dideteksi dengan  teknik in situ hybridization baik berupa fluorescence in situ hybridization  (FISH) ataupun  chromogenic  in situ hybridization (CISH). Metode yang digunakan antara penggunaan CISH maupun FISH serupa. Hal yang membedakan antara keduanya adalah  pada CISH  pewarnaannya  bersifat permanen dan terdapat gambaran back-ground. Kelebihan lain yang diperoleh pada aplikasi CISH adalah reaksi peroksidase yang terjadi dapat divisualisasikan pada mikroskop cahaya.   Kata kunci: kanker payudara, HER2, in situ hybridization, CISH, FISH
Pendampingan Gizi Seimbang pada Kader Posyandu Banjar Tengah Desa Blahbatuh Gianyar Bali Ni Putu Diah Witari; Fransiscus Fiano Anthony Kerans; Komang Trisna Sumadewi; Anak Agung Ayu Istri Prima Dewi; Ni Luh Putu Putri
Jurnal Peduli Masyarakat Vol 5 No 1 (2023): Jurnal Peduli Masyarakat: Maret 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i1.1497

Abstract

Gizi adalah salah satu aspek yang digunakan dalam mengukur tingkat kesehatan suatu negara. Pemantauan gizi pada balita sangat penting untuk mengetahui kondisi pertumbuhan Balita. Salah satu kegitan yang dilakukan oleh posyandu adalah pemantauan gizi. Kegiatan pemantauan gizi juga dilakukan oleh Mitra PKM kader posyandu banjar tengah, Blahbatuh Gianyar. Permsalahan yang dihadapi mitra adalah kurangnya pengetahuan mengenai gizi seimbang dan pemantauan gizi balita seta kekurang sarana dan prasarana posyandu. Sehingga fokus PKM meliputi pendampingan mengenai gizi meliputi pemahaman gizi, pengukuran pertumbuhan (Berat dan tinggi badan). Metode PKM meliputi dialog interaktif, pelatihan dan pendampingan pengukuran pertumbuhan serta evaluasi kegiatan. Hasil kegiatan didapatkan peningkatan pengetahuan mitra mengenai gizi (pengertian, jenis, pegolahan) sebanyak 40% dan keterampilan menggunakan pengukuran pertumbuhan terjadi peningkatan sebanyak 50%. Evaluasi kegiatan dilakukan 1 kali dalam sebulan pada setiap akhir kegiatan posyadu.
Perilaku Hidup Bersih dan Sehat sebagai Upaya Pencegahan Stunting di SDN 2 Kerta, Kabupaten Gianyar Komang Trisna Sumadewi; Saktivi Harkitasari; Luh Gede Evayanti; Dewa Ayu Agung Alit Suka Astini; Ni Putu Diah Witari
Warmadewa Minesterium Medical Journal Vol. 2 No. 2 (2023): Mei 2023
Publisher : Warmadewa University Press

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Abstract

Kesehatan merupakan salah satu indikator untuk menentukan kesejahteraan suatu bangsa. Salah satu masalah kesehatan yang saat ini menjadi fokus pemerintah adalah stunting. Untuk menurunkan angka kejadian stunting diperlukan suatu upaya yang dapat meningkatkan kesadaran, kemauan dan kemampuan masyarakat akan pentingnya perilaku hidup bersih dan sehat (PHBS). Usia sekolah dasar sangat baik dalam pemberian stimulus dan efektif untuk merubah perilaku yang lebih baik. Tujuan dari kegiatan pengabdian ini adalah untuk meningkatkan wawasan dan pemahaman siswa mengenai PHBS serta melatih siswa mencuci tangan yang benar. Berdasarkan wawancara bersama Kelian Banjar Pilan didapatkan permasalahan antara lain kurangnya pengetahuan siswa mengenai PHBS dan penerapannya karena keterbatasan informasi yang didapatkan serta keterampilan siswa dalam mencuci tangan yang benar juga masih rendah. Dari permasalahan tersebut, maka ditetapkan solusi berupa sosialisasi mengenai PHBS, simulasi mencuci tangan yang benar dan pendampingan kepada siswa dalam mencuci tangan dengan sabun dan air mengalir. Kegiatan ini dilaksanakan di SDN 2 Kerta dan diikuti oleh 35 orang siswa. Program pengabdian ini terlaksana dengan lancar dan seluruh siswa (100%) hadir saat kegiatan berlangsung. Seluruh siswa (100%) memiliki peningkatan pengetahuan setelah sosialisasi yang dilihat dari nilai pretest dan posttest. Rerata pretest sebesar 6,17 sedangkan untuk rerata posttest sebesar 9,66 (peningkatan pengetahuan sebesar 56,5%). Hasil observasi selama pendampingan menunjukkan peningkatan keterampilan siswa dalam mencuci tangan secara mandiri. Untuk meningkatkan perilaku hidup bersih dan sehat serta penyebaran informasi yang lebih luas, hendaknya kegiatan seperti ini dapat terus dilaksanakan dengan melibatkan peserta yang lebih luas.
Hubungan Efikasi Diri dengan Tingkat Kecemasan dalam Menghadapi Ujian Blok pada Mahasiswa Tahun Pertama Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa Kadek Ananda Pratama Putra; Putu Asih Primatanti; Ni Putu Diah Witari
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Self-efficacy is an individual's belief in his ability to manage the situation experienced. Situations that often occur when facing exams are anxiety that occurs because of psychological and intrapsychic responses. The purpose of the study was to find out how the relationship between self-efficacy and level of anxiety in facing exams in early-level students of the Faculty of Medicine and Health Sciences, Warmadewa University. This study uses a correlational analytic with cross- sectional approach. The method of collecting data on respondents' self-efficacy was using the General Self Efficacy (GSE) questionnaire technique and the anxiety in facing the block exam was using the Hamilton Anxiety Rating Scale (HARS) questionnaire. Samples were analyzed using univariate and bivariate analysis techniques. It was found that respondents who did not experience anxiety in facing the block exam were 61.3%, those who experienced mild anxiety in facing the block exam were 18.7%, 9%, severe 9.7%, and very severe 1.3%. Respondents who have a very high level of self-efficacy 14.2%, high 85.2%, low 0.6%, and very low 0%. The p- value of this study is 0.000. Because the value (p) 0.00 <0.05, which indicates that there is a significant relationship between self-efficacy and anxiety levels. The value obtained is -0.612 which indicates the strength of its strength. This means that there is a relationship between self- efficacy and facing examinations for early-level students of the Faculty of Medicine and Health Sciences, Warmadewa University
Hubungan Antara Preeklampsia Dengan Kejadian Bayi Berat Lahir Rendah (BBLR) Di Rumah Sakit Umum Daerah Sanjiwani Gianyar I Made Adi Putra Wiguna; Ni Putu Diah Witari; Anak Agung Gede Raka Budayasa
AMJ (Aesculapius Medical Journal) Vol. 3 No. 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Low birth weight (LBW) is a condition when babies are born below normal weight limits 2.500 grams and is the highest cause of death in neonates. One of the risk factors for LBW is preeclampsia. Preeclampsia is a common condition in pregnant women which is characterized by blood pressure of 140/90 mmHg and proteinuria, which is 300 mg or more of protein in urine per 24 hours or 30 mg/dL (1+ on the dipstick) according to the results of the urine sample test. Preeclampsia in pregnant women can affect the condition of the fetus conceived by pregnant women from the period of pregnancy, childbirth, and postpartum. The purpose of this study was to determine the relationship between preeclampsia and LBW at the Sanjiwani Regional General Hospital, Gianyar. This study used an analytic observational method with a cross sectional study design. This study is considered to be unpaired categorical scale. Research data collection is done through secondary data in the form of medical records between 2018 - 2020. Bivariate data analysis is done to determine the relationship between variables using the chi-square test with a significance level of 0.05. The results showed that the p value = 0.000 and the PR was 7.917 (95% CI =2,569-24,395). As such, there is a significant relationship between preeclampsia and the incidence of LBW. Keywords: low birth weight baby, preeclampsia, sanjiwani regional hospital gianyar