The quality of education is still a benchmark of human resources (HR) in each country. The current era of revolution 4.0 requires a curriculum that is innovative, creative, and based on the needs of market share and the world of work with the addition of several new literacies. This study aims to identify and evaluate the tertiary curriculum (higher education curriculum) that has been applied in a higher education institution of health sciences in Buleleng, which refers to the national standard of higher education no. 44 of 2015. The evaluation was based on input, process, and output. The method used was the mixed method by using questionnaires and focus group discussions on 32 lecturers from the three knowledge fields of midwifery, nursing, and pharmacy. The results show that of the four standards evaluated, the learning process standard and assessment standard need to get priority in improving the academic system at the institution. Both of these components must be immediately improved in terms of concepts and understanding so that the goals, achievements, and quality of graduates can still be improved and maintained. Internal discussions and workshops should be done regularly each semester to refresh pedagogical ability and understanding of the regulatory faculty curriculum.

Introduction: The death of HIV/AIDS patients after receiving therapy in Bali is the seventh highest percentage of deaths in Indonesia. LTFU increases the risk of death in PLHA, given the saturation of people with HIV taking medication. The level of consistency in the treatment is very important to maintain the resilience and quality of life of people living with HIV. This study aims to determine the incidence rate, median time and predictors of death occurring in LTFU patients as seen from their sociodemographic and clinical characteristics.Methods: This study used an analytical longitudinal approach with retrospective secondary data analysis in a cohort of HIV-positive patients receiving ARV therapy at the Buleleng District Hospital in the period 2006-2015. The study used the survival analysis available within the STATA SE 12 softwareResults: The result showed that the incidence rate of death in LTFU patients was 65.9 per 100 persons, with the median time occurrence of 0.2 years (2.53 months). The NNRTI-class antiretroviral evapirens agents were shown to increase the risk of incidence of death in LTFU patients 3.92 times greater than the nevirapine group (HR 3.92; p = 0.007 (CI 1.46-10.51). Each 1 kg increase in body weight decreased the risk of death in LTFU patients by 6% (HR 0.94; p = 0.035 (CI 0.89-0.99).Conclusion: An evaluation and the monitoring of patient tracking with LTFU should be undertaken to improve sustainability. Furthermore, an observation of the LTFU patient's final condition with primary data and qualitative research needs to be done so then it can explore more deeply the reasons behind LTFU.

Background: Mortality in people living with HIV/AIDS is one of measures to the success of its treatment. Study related to their deaths seen from gender is still very limited.Objective: The aim of this study was to determine the incidence rate of mortality between men and women living with HIV/AIDS and receiving antiretroviral therapy.Methods: This was a retrospective study using secondary data of HIV/AIDS-infected patients in Buleleng District Hospital in the period of 2006-2015. This research used Survival analysis, Kaplan-meier, incident rate comparison and logistic regression with STATA SE 12.Results: A total of 1204 HIV/AIDS-infected patients data was included. The incidence of total mortality rates was 27.7 per 1000 person-years. Based on gender, the mortality in men (35 per 1000 person-years) was higher than women (14 per 1000 person-years) with the incidence rate ratio (IRR) of 2.39 (p 0.01).  Fifty percent of cases of mortality occured at 0.15 years of observation. The median time of mortality in men was 0.14 years (1.7 months) and in women was 0.15 years (1.8 months). The poor clinical condition was seen from a body weight <50 kg, which increased the risk of death with aOR 3.85 (p 0.01 CI 2.40-6.16). Nevirapine increased the risk of mortality (aOR 2.18; p 0.01; CI 1.18-4.03). and CD4 cell counts of ≤ 200 cells / mm3 reduced the risk of death by 69% (AOR 0.31; p 0.01; CI 0.18-0.53).Conclusion: The incidence of mortality in men was greater than it in women, which is caused by poor clinical conditions. It is better to evaluate the success of antiretroviral therapy by considering the needs of patients according to their gender. Further research is needed in regard to adherence of treatment and loss to follow-up events.

ABSTRAK Latar Belakang Kelainan letak pada kehamilan menjadi kondisi patologi yang sering terabaikan pada kehamilan. Traumatik dan risiko kesakitan seperti partus lama, ketuban pecah dini sangat mungkin terjadi pada kondisi kelainan letak.Tujuan untuk menganalisis karakteristik gestasi yang paling dominan meningkatkan risiko kelainan letak pada ibu hamil.Metode Penelitian analitik dengan pendekatan secara retrospektif dan pengambilan secara crossectional.Penelitian ini menggunakan data sekunder dari ibu yang melahirkan di Rumah Sakit Kertha Usada pada  periode waktu Januari – Juni 2016.Analisis yang digunakan adalah regresi logistic menggunakan STATA SE versi 12. Sampel berjumlah 718 orang menggunakan data sekunder.Hasil penelitian ini menunjukkan bahwa kelainan letak 7.94%, tidak mengalami placenta previa 98.19%, multipara 68.06%, gestasi lebih dari 37 minggu 93.72 % dan berat badan lahir 89.97%. Paritas dalam kategori multipara yaitu melahirkan lebih dari satu kali meningkatkan risiko kelainan letak hingga 5 kali lebih besar dibandingkan primipara (p value 0.01). paritas dengan kategori multipara sebagai faktor yang paling dominan meningkatkan risiko kelainan letak pada ibu hamil dengan nilai aOR 2.33 (CI 1.15-4.70 p value 0.01)Kesimpulan faktor yang paling dominan meningkatkan risiko kelainan letak pada ibu hamil adalah paritas multiparaSaran Sebaiknya deteksi dini tentang kelainan letak ini rutin dilakukan selama proses kehamilan teruatam pada ibu multipara. Kata Kunci : Paritas, Gestasi, Kelainan Letak

Stunting merupakan masalah yang sangat penting untuk segera ditanggulangi. Prevalensi stunting saat ini masih diatas dari target WHO. Sehingga hal inilah yang memerlukan sebuah pengabdian masyarakat terkait dengan deteksi dini stunting di TK Negeri Surapati Buleleng. Tujuan dari pengabdian ini adalah melakukan deteksi dini stunting pada anak TK sehingga penanganan lebih dini dapat dilakukan. Metode dari pengabdian masyarakat adalah tahap perencanaan, pelaksanaan, monitoring dan evaluasi. Sasaran dari pelaksanaan pengabdian ini adalah seluruh siswa di TK Negeri Surapati Buleleng sejumlah 64 siswa. Pelaksanaan ini dibantu oleh berbagai pihak meliputi Kepala Sekolah, Guru dan mahasiswa untuk melaksanakan pengabdian masyarakat selama rentang waktu bulan Agustus-Desember 2019. Deteksi ini dilakukan secara berkala untuk menilai tinggi badan dan berat badan. Hasil dari pengabdian menemukan bahwa rata-rata berat badan dan tinggi badan meningkat secara signifikan selama waktu pengabdian dilakukan. Walaupun nilainya tidak besar. Kesimpulannya adalah pengabdian masyarakat yang dilakukan berhasil untuk meningkatkan rata-rata berat dan tinggi badan siswa TK Negeri Surapati Buleleng.