Karangasem District Research Articles

TINGKAT KEPATUHAN PASIEN HIPERTENSI TERHADAP EDUKASI PENATALAKSANAAN HIPERTENSI OLEH PETUGAS KESEHATAN PUSKESMAS ABANG I, KABUPATEN KARANGASEM BALI PERIODE JANUARI-DESEMBER 2013

Hypertension is a disease which needs a life time management so that hypertensive patients’ blood pressure can be controlled. As a result, hypertensive patients’ compliance towards hypertensive management advice given to them becomes a crucial thing. A study by Kenny and Karisma in 2013 about hypertensive patients compliance in taking antihypertensive drugs in Denpasar shows only 29% of all samples has a good compliance. This study aims to make an overview of hypertensive patients’ compliance towards medical advice given by medical staff in Abang I health centre, Karangasem district, of January 2013 to December 2013. This is a quantitative descriptive study with a cross sectional approach with 79 samples. The samples are hypertensive patients in Abang I health centre’s working area of January 2013 to December 2013. Data is obtained by a structured interview with questionnaires help. The result of this study shows there are patients that don’t adhere towards medical advice about salt consumption (29,1%), alcohol consumption (10,1%), smoking (21,5%), physical activity (60,8%), medical check-up (32,9%), and pharmacological medication consumption (34,2%).Â

Swine cysticercosis in the Karangasem district of Bali, Indonesia: An evaluation of serological screening methods

A serological assessment was undertaken on pigs from the Kubu and Abang sub-districts of Karangasem on the island of Bali, Indonesia, where earlier studies had detected patients with cysticercosis. Antigens purified from Taenia solium cyst fluid by cation-exchange chromatography were used to evaluate antibody responses in the pigs and the serological tests were also evaluated using sera from pigs experimentally infected with T. solium eggs. A total of 392 serum samples from naturally exposed pigs were tested using an ELISA that could be read based on both a colour change perceptible by the naked eye and an ELISA based on absorbance values. Twenty six (6.6%) pigs were found seropositive by the naked-eye ELISA and were categorized into three groups: strongly positive (absorbance values >0.8, n=6), moderately positive (absorbance values between 0.2 and 0.8, n=7), and weakly positive (absorbance values <0.2, n=13). Necropsies performed on 11 strongly and moderately positive pigs revealed that six strongly positive pigs were infected either solely with T. solium cysticerci (n=3), or co-infected with both T. solium and Taenia hydatigena (n=3). Four moderately positive pigs were infected solely with T. hydatigena. No cysticerci were found in one pig that was moderately positive by the naked-eye ELISA. Two experimentally infected pigs became antibody positive by 6 weeks post-infection, whereas eight control pigs remained negative. An additional 60 pigs slaughtered at authorized abattoirs on Bali were tested using the same ELISA. All 60 pigs were seronegative with no evidence of Taenia infection at necropsy. The results confirm the presence of porcine cysticercosis on Bali and, while the serological responses seen in T. solium infected animals were much stronger than those infected with T. hydatigena, the diagnostic antigens are clearly not species specific. Further studies are necessary to confirm if it is possible to draw a cut off line for differentiation of pig infected with T. solium from those infected with T. hydatigena.

Analysis of Implementation The Policy on Malaria Elimination in Indonesia

Background: As a tropic country Indonesia still faces malaria problems. In Asean, indonesia is one of three countries with the highest malaria morbidity. In 2007, 396 (80%) of 495 districts/municipalities in indonesia are malaria. In 2009 the government issued a decree of the minister of health No 293 on malaria elimination. The study aimed to analyze the implementation decree of Ministry of Health No. 293/2009 on malaria elimination. Methods: It was a descriptive study. The study was conducted in 4 provinces, and 4 districts based on malaria elimination stages as in Bali province and Karangasem district, Riau islands province and Bintan district, West Nusa Tenggara province and west Lombok district, and Maluku province and South Halmahera district. The stakeholders were Heads and malaria programmers at province/district Health Offices and the related programs. Data were collected by focus group discussion and secondary data were taken. Data were collected by focus group discussion and secondary data. Analysis for Ministry of Health decree No.293 year 2009 on 1) Comphrehend, 2) Implementation, and, 3) Comittment, 4) Innovation intervension to support malaria elimination, 5) Sustainability of activity community empowerment, 6) Proportion of budget. Results: showed there was district that had not issued local policy on malaria elimination, the implementation with comittment especially that health centers in areas under study corfi rm diagnose by laboratory examination and malaria treatment by Artemisin Combined Therapy (ACT), although there were still treatment to clinical malaria, innovation activities were of bersifat local spesifi c, and reward for Juru Malaria Desa or malaria cadre to increase malaria suspect case detection, and with district budget for malaria program ranged 0,95-5,6% of the total budget. Recomendations: It suggested to advocate all malaria endemic areas to issue local policy on malaria elimination, decide intervension of the priority program with target and time schedule, enhance surveillance especially data analysis for malaria stability, and advocate local government to commit on malaria budgetting, distribution health workers, enhance health infrastructures, and also enhance health system for malaria program activities.

GAMBARAN KUALITAS HIDUP LANSIA DENGAN HIPERTENSI DI WILAYAH KERJA PUSKESMAS RENDANG PADA PERIODE 27 FEBRUARI SAMPAI 14 MARET 2015

OUTLOOK ON QUALITY OF LIFE OF ELDERLY WITH HYPERTENSION IN PUSKESMAS RENDANG AREA DURING PERIOD 27 FEBRUARY TO 14 MARCH 2015ABSTRACTBackground: Hipertension is one of the biggest health problem faced in the world, especially in developing countries. According to data from Bali Province Health Service, patients suffering from hipertension in Bali in 2010 accounts to 8837 people. Whereas total visit of elderly with hypertension in 2013 sums up to 1354, which is 9,41% from total cases that visited Puskesmas Rendang in 2013. High number of hypertension cases especially in elderly affects their quality of life.Aim: To know the quality of life of elderly suffering from hypertension.Method: The type of study is descriptive quantitative. Study was conducted in elderly posyandu in Puskesmas Rendang, Karangasem district during period of 27 February till 14 March 2015. Sample was obtained through consecutive sampling technique with a total sample of 60 people. Instrument used in the form of questionnaire which was created by WHO that is World Health Organization Quality Of Life – Bref (WHOQOL-BREF). Data analysis technique used was univariate analysis and bivariate analysis.Result: Quality of life of elderly is generally good (58.3%), physical health quality of elderly is bad (71.7%), psychological quality is good (61.7%), personal social quality is not too influential (50.0%), and environment quality is bad (73.3%).Conclusion: Quality of life in elderly with hypertension is generally good, only physical health quality and environment quality is bad.

PENGETAHUAN DAN SIKAP IBU NIFAS TENTANG TANDA BAHAYA NEONATUS DI PUSKESMAS II KARANGASEM BALI TAHUN 2013

Neonatal mortality or high risk neonates in Karangasem is still high. The largest amount found in Karangasem District. Pneumonia, hipotermy, neonatal jaundice, neonatal tetanus are some causes ofneonatal mortality. The purpose of this research is to determine knowledge and attitudes of post partum women about danger signs of neonatal period. Cross sectional design is used in descriptive observational research. Number of samples were 43 people, with criteria 0 – 28 days post partum women who visit Puskesmas Karangasem II and post partum women who hospitalized at Puskesmas Karangasem II. This research were done for about 2 months, started from June until July 2013. Based on the results, knowledge of respondents had the most good knowledge, as much as 51,16%, respondents who had enough knowledge were 37,21% and respondents who had less knowledge were 11,63%. Specifically, knowledge of postpartum mother less on neonatal jaundice (69,77%) and neonatal tetanus (37,21%). Where as, attitude of respondents about danger signs of neonatal period which had a negative attitude as much as 41,86% respondents

PRODUKSI DAN KUALITAS HIJAUAN PAKAN PADA LAHAN PASCA TAMBANG DI KABUPATEN KARANGASEM

The side-effect of sand mining was disappearing of biomass which caused of land degradation. A study has been carried out to obtain the model legume association with superior grass plants that are adaptive to repair post-mining land on dry land. This research was desgined in association patern between grasses and legumes with manure application, using 8 combination of grasses herbaceous and tree legumse with 3 replications. This research was conducted at Sebudi village, Karangasem district. Panicum maximum var. Trichoglum, Paspalum atratum, Centrocema pubescens, and Clitoria ternatea were used for grasses and legumes respectively. Observed variables were quality and forage production. The results of this research showed that almost all association can be implemented at dryland, and association patern between Panicum and Paspalum with Clitoria gave extra biomass. This association also showed great potential to improve land quality. The quality and production of grasses were greatly influenced by the association of legumes. Panicum and Paspalum associated with both Clitoria or Centrocema gave highest yield. Various of manure showed a non significant difference on quality and production of grass associated with tree legumes, although it tend to increase both of growth and production of grasses.

INTERPOLASI SPASIAL DENGAN METODE ORDINARY KRIGING MENGGUNAKAN SEMIVARIOGRAM ISOTROPIK PADA DATA SPASIAL (Studi Kasus: Curah Hujan di Kabupaten Karangasem)

Spatial data is data that is presented in the geographic of an object, related to the location, shape and relationship of the earth in space. One of example of spatial data is rainfall. To determine the value of rainfall in an area, built to predict rain post information regarding rainfall. Spatial interpolation is used to estimate rainfall by collecting rainfall values held rain heading around. Assessment methods used in the estimate the rainfall in the Karangasem district is ordinary kriging using isotropic semivariogram that takes into account height on spatial data. Isotropic semivariogram which only takes into account the distance alone. Ordinary kriging method using isotropic semivariogram that takes into account height value estimated rainfall is much different to the values at the control points Amlapura and Besakih. Interpolation on 3D data are not suitable for use on ordinary kriging method, grouping should be done at the data into a few weeks to application of ordinary kriging interpolation method using anisotropic semivariogram on 3D data.

PENGELOMPOKKAN KABUPATEN DI PROVINSI BALI BERDASARKAN PERKEMBANGAN FASILITAS PARIWISATA

The development of tourism facilities in each district/city between districts with each district is different. The purpose of this study was to determine the grouping of several districts in the province of Bali is based on the number of tourism facilities as well as what the variable identifier of each group. The analysis used in this study is the analysis of clusters and Biplot. The data used is secondary data obtained from the Bali Tourism Office in 2011. Variables used are classified hotel, non-classified hotels, home stays, restaurants, bars, tourist destination, the area of ??tourism, water tourism and business. The results of this study formed three groups: group 1 Bangli, Buleleng, Jembrana District, Klungkung, Karangasem district and Denpasar City. Group 2 and group 3 Badung district of Gianyar district. Variable identifier is a restaurant for all variables.