No abstract

Employment in the garment industries involves a lot of human resources as workers, especially those in the sewing sector. Workers who work in the garment industry have higher possibility to suffer musculoskeletal disorders compared with those in other industries. Less ergonomic working postures is one of the factors that can affect the quality and quantity  of the tailor’s work. Lack of rest time and nutrition of the workers are also additional factor for the musculoskeletal complaints and fatigue in workers that will ultimately impact to the productivity. Therefore, ergonomic intervention is needed in forms of workplace stretching exercise and giving sweet tea to overcome the condition.   This research was an experimental study using treatment by subject design on 25 samples selected by simple random sampling method. Interventions given were WSE and sweet tea. Data were collected three times before and after intervention with washing out period for one day. The data collected comprised subjective fatigue using questionnaire of 30 items of fatigue, data for the musculoskeletal complaints used questionnaire of nordic body map, and also employ productivity by calculation partial productivity.   Data analysis was done initially by the descriptive analysis with the significance’s level ?=0.05 and the normality data tested with Shapiro-Wilk. Subsequently, the data with normal distribution were analyzed by t-paired, while the data with abnormal distribution analyzed be Wilcoxon test. The results showed, there was decrease of musculoskeletal complaints of 24.98%, decrease of fatigue 27.06%, and increase of labor productivity  66.67% all were significant (p<0.05).   Inconclusion, the ergonomic intervention with WSE and giving sweet tea can improve the physiologic response as shown decrease of fatigue and musculoskeletal complaints as well as increase of labor productivity of the tailors. It is recommended  that the study results be applied by tailors working in garment industry or individually.

The prevalence of stunting in Tabanan Regency, Bali Province in 2018 was 16.2%. One of the villages from Tabanan Regency that has stunting cases is Baturiti village, and one of the toddlers is from Banjar Baturiti Tengah. The risk factors for stunting found in the Banjar Baturiti Tengah community are the lack of knowledge, attitudes and behavior regarding good parenting for children and the difficulty of Posyandu cadres to carry out Posyandu activities for Toddlers due to the COVID-19 pandemic. These are the basis for counseling and assistance to Posyandu cadres in Banjar Baturiti Tengah regarding good parenting for children and providing health support equipment so that it supports Posyandu activities and can prevent stunting. The counseling activities will be carried out at the Banjar Baturiti Tengah Hall by involving about 6 participants who are cadres of Posyandu of the Banjar Baturiti Tengah. The result of this program is an increase in knowledge of posyandu cadres as indicated by an increase in posttest results (average 95) compared to pretest (mean 61.67). Posyandu cadres' skills appear to have improved from the results of observations in providing stunting prevention so that education can build community behavior in preventing stunting.

Although the CD4+ T-lymphocyte is considered the best HIV disease progression marker, in underdevelopment countries the measurement of CD4 is remaining a problem due to high expense and less availability of the tool. In contrast with the total lymphocyte count (TLC) that is widely available and less expensive is another way to assess the HIV disease progression. This study was an observational study to identify the correlation between CD4 cell count and TLC in HIV infected patient at Sanjiwani Hospital Bali during May through June 2016. A total of 33 serum sample was enrolled in the study. The TLC number was around 300-10.300 cells/μL and the mean TLC was 2.018,18 cells/μL (SD 1.871,91 cells/μL) Result showed that there is correlation between TLC and CD4 (r=0.811; p = 0.000). In conclusion, the TLC can therefore adequately serve as a surrogate marker for CD4 in HIV infected patient in order to ART initiation or to assess disease progression.

Stunting is a new problem commonly associated with toddler growth and development. It is found in several regions in Indonesia, especially Payangan Sub-district, Bali. Therefore, according to the Gianyar Regency Government to realize a child-friendly village, stunting cases in toddlers need to be addressed by all relevant parties. Before entering the stage of being able to cope, the ability to detect the case is needed. Efforts to detect possible cases at an early stage in the community is performed by the cadres of Integrated Healthcare Center (Posyandu) and Toddler Family Development (BKB) as the frontline for health services at the banjar level. These cadres need to possess adequate knowledge, skills and ability to detect stunting cases. Therefore, this research aims to improve the ability of cadres through the implementation of training for early stunting case detection. After the training is conducted, the cadres are expected to be able to assist in the faster detection of cases, and provide reports, thereby, leading to a rapid response by relevant parties simultaneously. The training participants' knowledge of stunting were assessed using the pretest and posttest methods. Data analysis showed that the average pretest and posttest values were 2.9 ± 1.02 and 7.6 ± 0.82, respectively. The results showed that there is a significant increase in the participants' knowledge by 61.84% (p = 0.000).