ANALISIS PERUBAHAN GARIS PANTAI DAN LAJU EROSI DI KOTA DENPASAR DAN KABUPATEN BADUNG DENGAN CITRA SATELIT SPOT

Analisa perubahan garis pantai dan laju erosi pantai sudah banyak menggunakan citra satelit. Pemanfaatan citra satelit dalam monitoring dan analisa perubahan garis pantai sudah banyak dilakukan, antara lain: Landsat, Quickbird, Allos dan IKONOS. Pada penelitian ini dilakukan analisa terhadap perubahan garis pantai dengan dengan membandingkan 2 (dua) buah citra satelit yaitu data citra satelit SPOT 5 pada tahun 2009 memiliki resolusi spasial 10 m (multispectral) dan SPOT 6/SPOT 7 pada tahun 2015 yang memiliki resolusi hingga 1.5 m untuk kawasan pantai di Kota Denpasar dan Kabupaten BulelengKabupaten Buleleng. Penelitian ini memberikan kontribusi kepada pemerintah daerah dan pemerintah pusat sebagai data dasar (data base) dalam pengambilan keputusan untuk penanganan kawasan pantai. Rata-rata perubahan garis pantai yang terjadi di Kota Denpasar adalah sebesar 7.46 m, sedangkan rata-rata perubahan garis pantai yang terjadi di Kabupaten Badung adalah sebesar 13.75 m. Rata-rata laju erosi pantai yang terjadi di Kota Denpasar adalah sebesar 1.07 m/tahun, sedangkan rata-rata laju erosi pantai yang terjadi di Kabupaten Badung adalah 1.96 m/tahun. Kata kunci: Badung, Denpasar, garis pantai, sateli

The early onset of Chronic Kidney Disease stage five in 11 years old boy with Autosomal Dominant Polycystic Kidney Disease due to PKD-1 mutation

Background: Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited kidney disease. Only a few renal cysts are detected in most affected individuals before 30 years of ages and only 2% of patients with ADPKD present with early clinical manifestations before 15 years old. The average age at onset of chronic kidney disease (CKD) was 50 years. ADPKD is caused by mutations in one of two genes, PKD 1 and PKD 2. PKD1 was associated with more severe disease than PKD2, with earlier age at diagnosis, higher number of kidney cysts, the earlier onset of hypertension and faster progression to CKD stage five.  Objective: To describe of the factors that caused early onset of CKD stage five in ADPKD.Case: An 11 years old boy diagnosed with CKD stage 5 caused by ADPKD with urinary tract infection. The patient complaint with fatigue, pale, fever, flank pain and cloudy urine. The grandfather got the renal failure history and aunty got hypertension since she was young. The parents of patient have consanguinous mating. In the physical examination has been found hypertension grade 1. The laboratory test has been shown decrease of glomerular filtration rate, anemia, imbalance electrolite and metabolic acidosis. Urine investigation  with leucosituria and positive E. Colli. Ultrasonography  and CT stonography showed bilateral multiple cysts in the kidneys with left kidney enlargement. His parents also got multiple cysts in both of kidneys with the normal size of kidneys. Gene analysis showed homozygous for missense mutations 11734insC, in exon 43 of the PKD 1 gene. The patient got regular hemodialysis and other supportive therapy.Conclusion: The early onset of CKD stage five in ADPKD is related to PKD 1 homozygous gene mutation, male gender and enlargement of kidney

Peningkatan Kesadaran Masyarakat Menghadapi Pandemi Covid-19 di Desa sukawati, Kabupaten Gianyar, Bali

Sukawati Village is one of the tourist villages located in Sukawati, Gianyar, Bali. Sukawati Village has the potential that can be developed optimally if the role of the community, Sukawati Village officials, village youths, and farmer groups can unite in carrying out and developing the existing potential. Before the KKN-T program which was carried out in Sukawati Village, several problems had not been resolved by the village and the community, such as the minimal publications regarding Sukawati Village, limitations in marketing and financial strategies, and the existence of the Covid-19 pandemic which was the biggest problem. hampers economic and tourism activities. The activities carried out during the KKN-T in Sukawati Village are based on the main problems faced. The activities carried out received appreciation and support from village officials, the community, and village youth. The activities carried out produce each output based on the intended target. Activities carried out are more focused on community empowerment, such as the implementation of training in the fields of economy, technology, and health. Activities in the health sector include training in making soap and hand sanitizers as a means of dealing with the Covid-19 pandemic situation. For the economic sector, namely the socialization of financial strategies and marketing strategies. Activities in the field of technology include training village officials in creating village websites. The results obtained from this activity are in the form of increased sensitivity to the environment and surrounding communities, caring for each other, helping each other to help advance Sukawati Village during the pandemic and post-Covid-19 pandemic. We pack the training provided and make it in the form of a learning video so that in the future it can be used as a reference by the community and can be accessed on YouTube, Whatsapp groups, and Facebook in Sukawati Village. Keywords: Sukawati Village, liquid soap, hand sanitizer, website, marketing, covid-1

The relationship between bacterial types and antibiotic resistance with the clinical outcomes of sepsis patients in Pediatric Intensive Care Unit at Sanglah Hospital Denpasar, Bali-Indonesia

Background: Sepsis in children could significantly increase the morbidity and mortality rates particularly in the Pediatric Intensive Care Unit (PICU). Moreover, the prevalence of antibiotic resistance is continuously increasing around the world mainly caused by uncontrolled used of antibiotic. Henceforth, this study aimed to determine the relationship between bacterial type and the resistance with clinical outcome of sepsis patients in PICU.Methods: An observational analytic retrospective cohort study using medical record data from January 2015-April 2017 was conducted. All subjects were sepsis patients with positive blood cultures treated at PICU Sanglah Hospital. Factors related to mortality and relative risk (RR) were analyzed using Chi-Square Test with a significance value of p &lt;0.05 with 95% confidence interval (CI).Results: 75 subjects met the inclusion criteria, but only 63 subjects with complete data were enrolled. The gram-negative and MDR bacteria types were detected in 31 (49%) subjects and 33 (52.4%) subjects respectively. The number of deaths was 29 (46%). The most common types of gram-negative bacteria were Pseudomonas aeruginosa (16%) followed by gram-positive Staphylococcus hominis (25%). The most common multi-drug resistant (MDR) bacteria were Staphylococcus hominis. The presence of MDR bacteria significantly increase the mortality (p = 0.015, RR 2.02, 95% CI: 1.096-3.725), whereas gram-negative had no significant mortality impact (p = 0.891: RR 0.96; 95% CI: 0.564- 1.645). Compared to non-MDR bacteria, most MDR related mortality occurred during the first 10 days.Conclusion: MDR bacteria significantly increased the mortality rates in pediatric patient treated in PICU compared to non-MDR ones. </p

All In One Siap Uji Kompetensi Dokter Indonesia (UKDI) Dengan Soal-Soal Paling Update

Kebutuhan atas dokter saat ini baik dari segi kuantitas maupun kualitas makin meningkat. Paradigma pengelolaan pendidikan kedokteran pada saat ini semakin menuntut adanya standarisasi, akuntabilitas, inovasi/pengembangan, serta penjaminan kualitas proses dan lulusan pendidikan kedokteran di Indonesia. Dengan demikian saat ini dibuthkan suatu perangkat uji kompetensi dokter sebagai upaya dari aktualisasi berbagai peraturan praktik kedokteran tersebut dalam rangka peningkatan dan standarisasi kualitas dokter Indonesia. UKDI adalah uji kompetensi yang harus ditempuh oleh dokter yang baru lulus Fakultas Kedokteran atau Program Studi Pendidikan Dokter atau habis masa berlaku registrasinya sebagai salah satu syarat untuk mengurus registrasi di Konsil Kedokteran Indonesia (KKI). Buku UKDI ini memudahkan para mahasiswa kedokteran dalam mengenal jenis dan soal-soal UKDI. Buku ini disusun atas 3 paket soal objektif dan 1 paket soal OSCE. Paket soal 1 dan 2 dibuat bertopik untuk memudahkan mahasiswa kedokteran dalam mempelajari soal-soal UKDI. Paket soal 3 dibuat acak, seperti pada soal UKDI yang sebenarnya. Sehingga mahasiswa kedokteran lebih terlatih dalam menjawab soal-soal saat ujian yang sebenarnya.ix+ 480 hlm; 19x26 c

Aromaterapi Ginger Oil Efektif Mengurangi Rasa Mual dan Muntah pada Ibu Hamil Trimester I

Latar Belakang: Kehamilan merupakan suatu proses fisiologis yang terjadi pada wanita yang dimulai dari konsepsi sampai lahirnya janin. Permasalahan awal kehamilan terjadi pada trimester pertama yaitu perasaan mual muntah akibat kadar estrogen yang meningkat, mual muntah yang terjadi secara terus menerus dapat menyebabkan dehidrasi. Muntah yang lebih dari sepuluh kali sehari yang terjadi selama 20 minggu terakhir kehamilan akan berlanjut menjadi Hiperemesis Gravidarum. Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui Pengaruh Aromaterapi Ginger Oil Terhadap Rasa Mual muntah Pada Ibu Hamil Trimester Satu. Metedologi: Penelitian menggunakan metode kuantitatif. Desain yang dilakukan ialah desain pre-eksperimental, rancangan penelitian ini menggunakan one group pre-test, post-test desain. Penelitian ini terdiri dari satu kelompok yaitu kelompok intervensi yang diberi intervensi Aromaterapi ginger oil. Dalam mengumpulkan data, penelitian ini menggunakan prosedur administrasi dan prosedur teknis. Dalam menganalisa data, penelitian ini menggunakan analisa univariat dan analisa bivariat. Instrumen penelitian ini terdiri dari kuisioner data demografi, 24-hour Pregnancy Unique Quantification of Emesis (PUQE-24) scale. Hasil: Hasil dari penelitian ini menunjukkan hasil uji Statistic Wilcoxson sign rank test yang di dapatkan menunjukan hasil P value =0.001 &lt; 0,05. Kesimpulan: Berdasarkan hasil analisa yang didapatkan, dapat disimpulkan bahwa ada pengaruh pengaruh pemebrian aromaterapi ginger oil terhadap rasa mual dan muntah pada ibu hamil trimester pertama

Pemberian Edukasi Audio Visual Meningkatkan Pengetahuan Dalam Mencegah Penularan Covid-19

Latar Belakang: COVID-19 belum mereda dan diperlukan pencegahan COVID-19 dengan Protokol 5M. Salah satu cara mensosialisasikan 5M yaitu menggunakan metode audio visual. Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis Pengaruh&nbsp;&nbsp; media edukasi audio visual terhadap peningkatan pengetahuan 5M&nbsp; dalam upaya mengatasi penularan COVID-19. Metedologi: Desain penelitian ini adalah pre experimental dengan desain One Group Pretest Posttest dengan jumlah sampel 41 orang yang dipilih melalui teknik purposive sampling. Hasil: Hasil uji analisis ditemukan bahwa tingkat pengetahuan tentang 5M sebelum di berikan edukasi mayoritas pada pengetahuan cukup sebanyak 29 responden (70,7%) dan setelah di berikan edukasi mayoritas menjadi pengetahuan baik&nbsp; sebanyak 33 responden (80,5%). Nilai mean rank sebelum 65,61, dan setelah diberikan edukasi meningkat menjadi 81.95 dengan selisih nilai 20.50. Hasil nilai p-value diperoleh 0,001 (p&lt;0,05), dan nilai Z hitung -5.638. Hal ini menunjukan bahwa&nbsp; ada pengaruh pemberian edukasi dengan media audio visual terhadap tingkat pengetahuan tentang 5M dalam upaya mengatasi penularan COVID-19. Kesimpulan: Hasil penelitian ini dapat disimpulkan pemberian edukasi dengan audio visual dapat mempengaruhi pengetahuan tentang 5M dan dilakukan untuk membantu meningkatkan upaya mengatasi penularan COVID-19

Kompetensi yang Dibutuhkan Perawat Saat Bekerja di Ambulans Pra-Rumah Sakit: Scoping Review

Prehospital care has historically provided medical care with the aim of saving lives and preventing disability. Prehospital services that are accommodated by ambulances have complex and unpredictable care arrangements, so ambulance personnel, namely nurses, must prepare themselves to deal with all situations and conditions. This study aims to describe the competencies possessed by nurses while on duty in prehospital ambulances. This research is a literature study from several databases, and we obtained 20 articles for analysis. The results of the article analysis show that nurses who work in prehospital ambulances must have the competence to be able to save patients' lives, which is formed from knowledge, attitudes, and skills. Knowledge that must be possessed by ambulance nurses includes assessment, triage, and situation analysis. The positive attitudes of ambulance nurses include decision-making, communication, collaboration, caring, ethics, and culture. The skills possessed by ambulance nurses are BHD, intubation, examination of vital signs, interpretation of supporting examinations, and drug management. Ambulance nurses can improve their emergency care competencies through continuous education and training.Pelayanan pra-rumah sakit secara historis memberikan perawatan medis dengan tujuan menyelamatkan nyawa dan mencegah kecacatan. Layanan pra-rumah sakit yang diwadahi ambulans memiliki pengaturan perawatan yang kompleks dan tidak dapat diprediksi. Perawat yang telah teregistrasi memiliki seluruh tanggung jawab untuk melakukan perawatan dan pengobatan, yang meliputi pengkajian pasien, pengambilan keputusan dan melakukan evauasi terhadap kondisi pasien. Sehingga personel ambulans yaitu perawat harus mempersiapkan diri untuk menghadapi segala situasi dan kondisi. Penelitian ini bertujuan untuk memaparkan kompetensi-kompetensi yang dimiliki perawat saat bertugas di ambulans pra-rumah sakit. Penelitian ini merupakan studi literatur dari beberapa database yang meliputi&nbsp; Science Direct, ProQuest, SpringerLink and EbscoHost. artikel ini menggunakan boolean yang dikombinasikan beberapa kata kunci dan&nbsp; memperoleh 410 artikel. Penelitian ini menggunakan alur analisis Prisma dalam memilih artikel dan dipilih 20 artikel untuk dianalisis. Hasil dari analisis artikel menunjukkan Perawat yang bertugas di ambulans pra-rumah sakit harus memiliki kompetensi untuk dapat menyelamatkan nyawa pasien yang dibentuk dari pengetahuan, sikap dan keterampilan. Pengetahuan yang harus dimiliki perawat ambulans meliputi pengkajian, triase, dan analisis situasi. Sikap positif yang dimiliki perawat ambulans diantaranya pengambilan keputusan, komunikasi, kolaborasi, kepedulian, etik dan budaya. Keterampilan yang dimiliki perawat ambulans yaitu BHD, intubasi, pemeriksaan tanda vital, interpretasi pemeriksaan penunjang dan manajemen obat. Perawat ambulans dapat meningkatkan kompetensi perawatan gawat darurat melalui Pendidikan dan pelatihan secara berkesinambungan

Sanksi Hukum terhadap Anggota Polisi yang Melakukan Tindak Pidana Pembunuhan

The police are essentially government institutions and functions that are engaged in maintaining public security and order. The number of temptations causes the police to commit violations or criminal acts. This study aims to understand the legal arrangements against police officers who commit crimes and examine legal sanctions and legal rules that regulate problems in legal arrangements against police officers who commit criminal acts and forms of legal sanctions against the crime of murder. The research method uses normative legal research with a statutory and conceptual approach. Sources of legal materials consist of primary legal materials and secondary data. Data collection is done by reading the law on the police. Data analysis was carried out by case studies namely; the legal materials obtained in the research were processed and analyzed, and presented in a descriptive-analytical manner. The results of the study indicated that legal arrangements for police officers who commit murder crimes, where violations of the code of ethics have consequences, will be tried by the commission of the professional code of ethics. The legal sanction is that a police officer who commits a crime will be processed through a general court trial, undergo sanctions, and undergo a code of ethics trial with dishonorable dismissal. The imposition of disciplinary sanctions is decided in a disciplinary hearing for members of the police who violate police discipline and code of ethic

Green Tourism-Based Food and Beverage Service to Increase Customer Satisfaction at Four Points By Sheraton Bali Kuta

Purpose: This study to determine the application of green tourism based service by the food and beverage service department at Four Points By Sheraton Bali Kuta and how it impact on customer satisfaction. Research methods: The research sample was determined by the incidental sampling method with a sampe of 80 guest who had received service from the food and beverage service department at Four Points By Sheraton Bali Kuta as respondents. The data collection method used in a questionnaire. The data analysis technique is descriptive qualitative analysis with descriptive statistics on a likert scale range using microsoft excel 2010. Findings: The results show that the application of green tourism-based services on green service and energy-saving variables according to customers is not good. The variables of green product, green design and consumption reduction according to customers are good. &nbsp; Implications: The impact of green tourism-based services on customer satisfaction at The Eatery Restaurant is that customers agree to take actions such as buying back products and services, recommending products and services to others, buying other types of products from The Eatery Restaurant, being interested in buying food and beverage products from The Eatery Restaurant. &nbsp