Defisiensi mikronutrien pada anak usia 12-59 bulan di Desa Lebih, Kabupaten Gianyar, Bali

Deficiency of micronutrients in children of age 12-59 months in Lebih Village, Gianyar District, BaliBackground: Lack of food intake, either in quantity or quality, will continuously cause children to get sick easily, such as being susceptible to infectious diseases and ultimately inhibiting the children’s growth.Objective: This study aimed to describe the status of micronutrients (zinc and iodine) and anemia status among children aged 12-59 months in Lebih Village. Methods: This analytic observational study used a cross-sectional design conducted in Lebih Village, Gianyar Regency. The study population was all children under five aged 12-59 months. In addition, 91 children under five were selected as research subjects using the probability proportional to size method. The data collected were the identity of the subjects (children under five and their mothers) using the interview method, serum zinc levels, urinary iodine excretion (EIU) levels, and Hb levels. Results: The results showed that the subjects’ mean age was 37.0±13.3 months, and most subjects (54.9%) were male. The biochemical examination showed that the mean serum zinc levels, the median urine iodine levels, and the mean Hb levels were 72.5±6.3 g/dL, 78.5 g/L, and 12.7±1.8 g/dL, respectively. 17.6% of the subjects had anemia, 14.3% had zinc deficiency, and 60.4% had iodine deficiency. Conclusion: Children under five aged 12-59 months in Lebih Village had micronutrient deficiencies such as zinc, iodine, and iron

Cholangiocarcinoma: Risk Factors, Diagnostic Tools, and Current Treatment Options

Cholangiocarcinoma is a disease caused by the differentiation of cells in the bile epithelium or liver parenchyma into malignant cells called cholangiocytes. This literature review presents the current risk factors, diagnostic tools, and treatment choices of cholangiocarcinoma. Publication about the current risk factors, diagnostic tools, and treatment choices of cholangiocarcinoma were collected from the Pubmed database until August 25, 2022. The keywords of the research were “cholangiocarcinoma”, “risk factor”, “diagnostic”, and “treatment”. Cholangiocarcinoma has many risk factors, from choledochal cysts, and primary sclerosing cholangitis, to asbestos exposure. The diagnosis of cholangiocarcinoma is difficult and requires the combined interpretation of different diagnostic modalities. Examinations that can be done for the diagnosis and staging of cholangiocarcinoma are MRI and CT. However, if the diagnosis remains uncertain, endoscopic examination and tissue sampling may be performed. After the diagnosis, there are several treatments, namely surgical therapy (surgical excision of bile duct tumors), endoscopic therapy (endoscopic biliary dilatation), radiological therapy (percutaneous transhepatic palliative biliary dilatation), chemotherapy and radiotherapy, and photodynamic therapy. Cholangiocarcinoma is a malignancy of cells in the biliary epithelium or liver parenchyma (cholangiocytes) that has many risk factors. The diagnosis of cholangiocarcinoma is difficult and requires a combined interpretation of the different diagnostic modalities, including MRI, CT, endoscopy, and tissue sampling. After the diagnosis, there are several treatments, namely surgical therapy, endoscopy, radiology therapy, chemotherapy and radiotherapy, and photodynamic therapy

Korelasi motivasi diri dengan perilaku kontrol tekanan darah penderita hipertensi di uptd puskesmas kerambitan i: Correlation between motivation and blood pressure control among hypertension patients at community health center regional technical implementation unit kerambitan i

Latar Belakang: Hipertensi sebagai salah satu gangguan kardiovaskuler dengan komplikasi berupa serangan jantung, stroke dan penyakit ginjal dengan angka kejadian yang terus meningkat. Ketidakpatuhan penderita dalam kontrol tekanan darah akan memicu terjadinya kekambuhan dan komplikasi. Tujuan: mengetahui korelasi antara motivasi diri dengan perilaku kontrol tekanan darah pada penderita hipertensi di Unit Pelaksana Teknis Daerah (UPTD) Puskesmas Kerambitan I. Metode Penelitian: penelitian ini menggunakan desain analitik korelasi dengan pendekatan cross sectional. Pemilihan sampel penelitian menggunakan Non probability sampling dengan metode pengambilan sampel consecutive sampling. Pengambilan data dilakukan secara luar jaringan (offline) dengan menerapkan protocol kesehatan secara ketat. Analisa data menggunakan uji statistik Spearman’s rho. Hasil penelitian: Hasil dari 125 responden, sebagian besar responden memiliki motivasi yang kurang yaitu sebanyak 81orang (64,8%) dan sebagian besar responden  memiliki perilaku kontrol kurang yaitu sebanyak 52 orang (41,6%). Hasil uji statistik didapatkan nilai p value 0,000 < α 0,05, nilai koefisien korelasi pada penelitian ini menunjukkan kekuatan korelasi antar kedua variabel dalam kategori sangat kuat yaitu 0,870 dengan arah korelasi positif. Simpulan: terdapat hubungan yang signifikan antara motivasi diri dengan perilaku kontrol tekanan darah pada penderita hipertensi di UPTD Puskesmas Kerambitan I.Latar Belakang: Hipertensi sebagai salah satu gangguan kardiovaskuler dengan komplikasi berupa serangan jantung, stroke dan penyakit ginjal dengan angka kejadian yang terus meningkat. Ketidakpatuhan penderita dalam kontrol tekanan darah akan memicu terjadinya kekambuhan dan komplikasi. Tujuan: mengetahui korelasi antara motivasi diri dengan perilaku kontrol tekanan darah pada penderita hipertensi di Unit Pelaksana Teknis Daerah (UPTD) Puskesmas Kerambitan I. Metode Penelitian: penelitian ini menggunakan desain analitik korelasi dengan pendekatan cross sectional. Pemilihan sampel penelitian menggunakan Non probability sampling dengan metode pengambilan sampel consecutive sampling. Pengambilan data dilakukan secara luar jaringan (offline) dengan menerapkan protocol kesehatan secara ketat. Analisa data menggunakan uji statistik Spearman’s rho. Hasil penelitian: Hasil dari 125 responden, sebagian besar responden memiliki motivasi yang kurang yaitu sebanyak 81orang (64,8%) dan sebagian besar responden  memiliki perilaku kontrol kurang yaitu sebanyak 52 orang (41,6%). Hasil uji statistik didapatkan nilai p value 0,000 < α 0,05, nilai koefisien korelasi pada penelitian ini menunjukkan kekuatan korelasi antar kedua variabel dalam kategori sangat kuat yaitu 0,870 dengan arah korelasi positif. Simpulan: terdapat hubungan yang signifikan antara motivasi diri dengan perilaku kontrol tekanan darah pada penderita hipertensi di UPTD Puskesmas Kerambitan I

Implementasi dan Pelatihan Agrowisata Virtual Tour dan Branding Pada Kelompok Tani Green Fresh Pelaga

Pelaga Village offers tourist attractions complete with their ecology. Pelaga Village has a large and diverse horticultural farm ranging from vegetables, flowers, and fruit. Pelaga Village has a Farmers Group called Pelaga Green Fresh with members spread throughout the Pelaga Village hamlets. Each member has a well-managed garden with the production of vegetable and fruit commodities. This potential makes Pelaga Village suitable as an agro-tourism location which is also one of the leading programs in the Pelaga Village RPJMDes. However, the Green Fresh Pelaga Farmer Group has not realized the potential of this agro-tourism due to a lack of knowledge and lack of information media to introduce the potential of this village. Therefore, branding and information media are needed so that the agro-tourism potential of Pelaga Village can be recognized by more people so that it can improve the welfare of the local community. In addition to using information media, the Green Fresh Pelaga Farmer Group also needs knowledge on how to brand and use this information media. This activity is carried out by creating information media in the form of a Virtual Tour which includes a garden atmosphere and agro-tourism video content. In addition, training was conducted on using the virtual tour website and socialization as well as training on Agro-tourism branding in the Pelaga village area, especially for the Pelaga Green Fresh Farmer Group. This is done to make the potential of Pelaga village more accessible and farmers understand about agro-tourism branding. Based on the results of the activity, members of the farmer groups have been able to understand the use of brands in the implementation of their products. In addition, the members of the Green Fresh farmer group also have a virtual tour website and are able to master the management of the virtual tour website

Precocious Puberty: Etiology and Current Treatment

Precocious puberty also known as premature puberty is an abnormal pubertal development that can affect a child's growth and development. The clinical manifestations of precocious puberty are generally diverse and based on etiology are classified into central precocious puberty (GnRH dependent) and peripheral precocious puberty (GnRH independent). The main concern with precocious puberty is that precocious puberty can be a clinical symptom of an underlying serious disease such as a brain tumor, adrenal or gonadal tumor and others. Early identification of etiology plays an important role in prevention, diagnosis, and treatment of this disease. This literature review aims to determine the etiology and current management of precocious puberty. This literature review uses the keywords "Precocious Puberty AND etiology AND treatment" through the National Center for Biotechnology Information (NCBI) and Google Scholar databases. This article uses 11 articles that were used as references in its preparation. In conclusion, it is necessary to know the etiology of precocious puberty using imaging examinations for optimal management and excluding malignant abnormalities. The current treatment for central precocious puberty is GnRH agonists (gold-standard) and surgery in cases of intracranial lesions and peripheral precocious puberty using a combination of androgen antagonists (spironolactone) and aromatase inhibitors (anastrozole, testolactone) and surgery is indicated for gonadal and adrenal tumors. The role of parents is very important in early detection of precocious puberty, because the earlier the therapy, the better the prognosis

PEMBINAAN PEDAGANG MAKANAN KAKI LIMA UNTUK MENINGKATKAN HIGIENE DAN SANITASI PENGOLAHAN DAN PENYEDIAAN MAKANAN DI DESA PENATIH, DENPASAR TIMUR

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). </em