I Gede Budiarta, I Gede
Program Studi Ilmu Lingkungan, Universitas Udayana

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Suitability Evaluation of Land Use as Efforts to Improve Quality of Watershed Budiarta, I Gede
Media Komunikasi Geografi Vol 17, No 1 (2016)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (773.901 KB) | DOI: 10.23887/mkg.v17i1.8436

Abstract

In general, this paper aims to determine the mechanism for setting land capability and function of the area in a watershed, and to determine the suitability of land use and land cover index in a watershed. The design of writing used is descriptive design with descriptive qualitative data analysis techniques. The results of the research literature review showed that 1) the classification of land capability class in a category is based on the intensity of the inhibiting factors. Land classified into eight classes that are marked with the Roman numerals I to VIII. Increased threat of damage or straight down barriers of class I to class VIII; 2) the type of function of the area was determined based on the value of land ability scores and other special criteria. Area function is determined based on the Minister of Agriculture No. 837 / Kpts / Um / 11/1980 and No. : 683 / Kpts / Um / 8/198; 3) the suitability of land use (KPL) in a river basin is determined based on a formula derived from the Regulation of the Minister of Forestry of the Republic of Indonesia Number: P. 32 / MENHUT-II / 2009; 4) The index of land cover to note because it is an important element in the mechanism of the watershed. The goal is to find a permanent vegetated land area in the watershed. Key words: land capability, land penggulahan, watersheds.
LOW DOSE SPINAL ANESTHESIA FOR CESAREAN SECTION IN GRAVIDA WITH RHEUMATIC HEART DISEASE Senapathi, Tjokorda Gde Agung; Budiarta, I Gede; Astuti, Mira Kusuma
Bali Journal of Anesthesiology Vol 2, No 2 (2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v2i2.17

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Cardiac disease in pregnancy remains an important etiology of maternal and fetal morbidity and mortality.1 Mitral stenosis is the most commonly acquired valve lesion encountered in pregnant women and is almost invariably caused by Rheumatic Heart Disease (RHD).1 Pregnancy and peripartum period represent a physiologic burden that may worsen symptoms in even moderate degrees of cardiac disease.1 Consequently, many women are first diagnosed with cardiac disease during pregnancy.1 In this case report, we describe peripartum management of a 38 years old woman with Congestive Heart Failure functional class II, severe Mitral Stenosis, moderate Mitral Regurgitation, moderate Tricuspid Regurgitation because of Rheumatic Heart Disease. She successfully underwent cesarean section in low dose spinal anesthesia using 7 mg hyperbaric bupivacaine intrathecally. This report highlights that low dose spinal anesthesia remains a good option in anesthesia management for cesarean section in gravida with rheumatic heart disease, especially with severe mitral stenosis. 
Efficacy of Subcutaneous Morphine Patient Controlled Analgesia Compared to Intravenous Morphine Patient Controlled Analgesia on Cesarean Section Wiryana, Made; Sinardja, I Ketut; Budiarta, I Gede; Senapathi, Tjokorda Gde Agung; Widnyana, I Made Gde; Aribawa, I Gusti Ngurah Mahaalit; Nainggolan, Elisma
Bali Journal of Anesthesiology Vol 1, No 3 (2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v1i3.27

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Background: Cesarean section causes moderate to severe pain in the first 48 hours postoperatively, thus requiring an adequate perioperative pain management, not only so that the mother can be quickly discharged but also to perform daily activities after surgery such as breastfeeding and nurse the baby.Objective: To determine the efficacy of subcutaneous morphine patient controlled analgesia (SC-PCA) in lowering VAS (visual analogue score), total morphine consumption and postoperative side effect on cesarean section compared with intravenous morphine patient controlled analgesia (IV- PCA).Methods: This study is an experimental clinical trial using consecutive sampling technique. Sixty-four subjects were allocated into two groups of PCA morphine subcutaneously (SC-PCA) and the group PCA morphine intravenously (IV-PCA), each consisting of 32 subjects using permuted block randomization. Morphine concentration was 5 mg/ml (group SC-PCA) or the concentration of 1mg/ml (group IV-PCA). Both groups were then analyzed for VAS ratings, total morphine consumption, and adverse effects, post operatively at 4th, 8th, and 24th hour. Statistic analysis using repeated ANOVA test and t-test with p <0.05 onsidered significant.Result: Morphine consumption in IV-PCA group showed lower needs than SC-PCA (9.41 mg vs 4,9mg) p <0.001 24 at 24 hours postoperatively. The VAS at resting at 4th hours statistically significantly lower in IV-PCA group (1.06 ± 0.71 vs 0.81 ± 1.40, p=0.029) and at 8th hours (1.03 ± 0.59 vs 0.94 ± 0,9, p=0.048). The moving VAS at 4th hours statistically significant lower in IV-PCA group (2.31 ± 0.47 vs 1.45 ± 2.06, p=0.019) but the static or VAS at moving are not different clinically. Side effects of nausea and vomiting are more common in IV-PCA group. We conclude that SC-PCA provide analgesia more effective and decreases side effects in patients undergo sectio cesarea with spinal anesthesia.
REGIONAL ANESTHESIA IN MOLAR PREGNANCY WITH THYROTOXICOSIS IN A REMOTE HOSPITAL Ryalino, Christopher; Aryasa, Tjahya; Budiarta, I Gede; Senapathi, Tjokorda Gde Agung
Bali Journal of Anesthesiology Vol 1, No 3 (2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v1i3.22

Abstract

Hydatidiform mole or molar pregnancy is a benign Gestational Trophoblastic Disease (GTD) that originates from the placenta. Treatment consists of vacuum evacuation but rarely hysterectomy may be required. One common complication of molar pregnancy is hyperthyroid. Anesthetic management is often complicated by the associated systemic complications. These complications cannot be prevented, but with a better understanding of the disease, some measurements to avoid maternal mortality can be performed.  
The effectiveness of Patient Controlled Analgesia (PCA) morphine-ketamine compared to Patient Controlled Analgesia (PCA) morphine to reduce total dose of morphine and Visual Analog Scale (VAS) in postoperative laparotomy surgery Mahaalit Aribawa, I Gusti Ngurah; Agung Senapathi, Tjokorda Gde; Wiryana, Made; Sinardja, I Ketut; Budiarta, I Gede; Gede Widnyana, I Made; Aryabiantara, I Wayan; Parami, Pontisomaya; Nyoman Kurniasari, Pande; Putra Pradhana, Adinda
Bali Journal of Anesthesiology Vol 1, No 2 (2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v1i2.11

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Background: Laparotomy may cause moderate to severe after surgery pain, thus adequate pain management is needed. The addition of ketamine in patient controlled analgesia (PCA) morphine after surgery can be the option. This study aims to evaluate the effectiveness of PCA morphine-ketamine compared to PCA morphine in patient postoperative laparotomy surgery to reduce total dose of morphine requirement and pain intensity evaluated with visual analog scale (VAS). Methods: This study was a double-blind RCT in 58 patients of ASA I and II, age 18-64 years, underwent an elective laparotomy at Sanglah General Hospital. Patients were divided into 2 groups. Group A, got addition of ketamine (1mg/ml) in PCA morphine (1mg/ml) and patients in group B received morphine (1mg/ml) by PCA. Prior to surgical incision both group were given a bolus ketamine 0,15mg/ kg and ketorolac 0,5mg/kg. The total dose of morphine and VAS were measured at 6, 12, and 24 hours postoperatively. Result: Total dose of morphine in the first 24 hours postoperatively at morphine-ketamine group (5,1±0,8mg) is lower than morphine only group (6,5±0,9mg) p<0,001. VAS (resting) 6 and 12 hour postoperative in morphine-ketamine group (13,4±4,8 mm) and (10,7±2,6 mm) are lower than morphine (17,9±4,1mm) p≤0,05 and (12,8±5,3mm) p≤0,05. VAS (moving) 6, 12, and 24 hour postoperative morphineketamine group (24,8±5,1mm), (18±5,6mm) and (9±5,6mm) are lower than morphine (28,7±5,2mm) p≤0,05, (23,1±6,0mm) p≤0,05, and (12,8±5,3mm) p≤0,05. Conclusions: Addition of ketamine in PCA morphine for postoperative laparotomy surgery reduces total morphine requirements in 24 hours compared to PCA morphine alone.
Low Dose Ketamin Wiryana, Made; Sinardja, I Ketut; Budiarta, I Gede; Agung Senapathi, Tjokorda Gde; Widnyana, Made; Aryabiantara, I Wayan; Utara Hartawan, I Gusti Agung Gede; Parami, Pontisomaya; Novita Pradnyani, Ni Putu; Putra Pradhana, Adinda
Bali Journal of Anesthesiology Vol 1, No 1 (2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v1i1.4

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Ketamine binds non-competitive against a phencyclidine receptors bound N-methyl-D-aspartate (NMDA), a receptor that is involved in the pathophysiology of acute pain. Ketamine has been used as an intravenous anesthesia, analgesia for acute and chronic pain at a dose of subanaesthetic. Ketamine is a dissociative anesthetic produces a state with a characteristic strong analgesia, amnesia, and catalepsy. Dissociative components resulting from the effect on the limbic system and talamoneokortikal. Low-dose ketamine as known as analgesia dose ketamine or subanestesia dose is 0.2 to 0.75 mg / kg IV. At low doses, ketamine does not increase the effect psikomimetik like dissociation or deep sedation. The combination with midazolam provides satisfactory sedation, amnesia and analgesia without significant cardiovascular depression.
Effectiveness of Infusion Warmer Use to Prevent the Occurrence of Hypothermia and Shivering After General Anesthesia Action in General Hospital Center Sanglah Denpasar Wiryana, Made; Sinardja, I Ketut; Budiarta, I Gede; Agung Senapathi, Tjokorda Gde; Widnyana, Made; Aryabiantara, I Wayan; Utara Hartawan, I Gusti Agung Gede; Parami, Pontisomaya; Kusuma Wijaya, Andi; Putra Pradhana, Adinda
Bali Journal of Anesthesiology Vol 1, No 1 (2017)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bjoa.v1i1.3

Abstract

Introduction: Shivering and hypothermia after general anesthesia is a common complication in the recovery room. Heating methods and drugs  widely used, but not yet effective. The purpose of this study was to evaluate the effectiveness of using the infusion warmer in maintaining normal core temperature and prevent shivering. Materials and Methods: The study was a non blindnes randomized control trial study. This study aimed to compare the effectiveness of the use of infusion warmer in preventing the incidence of hypothermia and shivering after general anesthesia. Research conducted at the Sanglah Hospital in October 2016, with sample calculations 58 people who meet the inclusion and exclusion criteria. Both were divided into 2 groups, 29 groups of infusion warmer and 29 people without the infusion warmer Recording the results of assessing multiple parameters vital signs, hemodynamic, aldrette score, body temperature, and shivering from the beginning, after induction, and minutes to 5, 15, 30 , 60 in the recovery room. The data obtained were analyzed with SPSS software with a significance level of p <0.005 expressed significantly, with a relative risk <1 as a preventive. Results: From a comparative picture of events shivering and hypothermia in minutes to 5, 15, 30, 60 in the recovery room seen that the treatment group based on the group lower warmer than in the non warmer. This shows that the use of warmer can prevent the incidence of shivering and hypothermia in patients after general anesthesia. In test statistically significant with p <0.05. Conclusions: The use of infusion warmer can help reduce the incidence of hypothermia and shivering after general anesthesia action.
ANALISIS KEBUTUHAN SUMBER DAYA MANUSIA PADA ROOM DIVISION DI HOTEL LE MERIDIEN BALI JIMBARAN Budiarta, I Gede; susanto, budi; Kanca, I Nyoman
MEDIA BINA ILMIAH Vol 12, No 11: JUNI 2018
Publisher : BINA PATRIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.917 KB) | DOI: 10.33758/mbi.v12i11.93

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Human resources is a fundamental element in every company, foremost in room division at the hotel of  Le Meridien Bali Jimbaran. Many things can impact the human resources necessity such as working load, attendance race, and labour turn over. Therefore human resources need analysis is a must to know how many employees required, and to know if the actual resources match with the total of human resources necessity in a period of time. This study aims to determine the total of human resources necessity in 2017and also to compare the actual and the necessity to know the conformity of the human resources need in room division at Le Meridien Bali Jimbaran hotel. Observation, interview, and literature review is used to collect data on this study, and using linier trend method, meanwhile to know human resources necessity is used workload analysis and workforce analysis. Based on analysis the working load increasing up to 1,03 times from the prefious years 2016,the result also influenced by attendance race and working load in 2016. The workforce analysis determine how many empoyes should in 2017, therefore in some sections are required additional employes which is 3 person at GSC, 4 person at concierge, 1 person at publick area, 2 person at laundry, 2 person at florist, 3 person at recreation , but about 6 pax in other section exceeds the necessity 4 person coming from GSA and 2 person coming from room attendant
ANALISIS KEMAMPUAN LAHAN UNTUK ARAHAN PENGGUNAAN LAHAN PADA LERENG TIMUR LAUT GUNUNG AGUNG KABUPATEN KARANGASEM-BALI Budiarta, I Gede
Media Komunikasi Geografi Vol 15, No 1 (2014)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.389 KB) | DOI: 10.23887/mkg.v15i1.11420

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Penelitian ini dilaksanakan di lereng sebelah timur laut Gunung Agung, Kabupaten Karangasem, Provinsi Bali. Daerah penelitian merupakan lahan kering dengan pola penggunaan lahan yang belum menunjukkan kesesuaian dengan potensi lahan yang ada. Di sisi lain, kemajuan teknologi dalam bidang pertanian telah berkembang pesat, salah satunya dengan melakukan analisis kemampuan lahan untuk mengetahui potensi sumberdaya lahan dan meminimalisir resiko kegagalan petani. Hasil analisis kemampuan lahan diharapkan dapat menjadi pedoman penggunaan lahan secara lebih optimal sesuai dengan harapan. Tujuan penelitian ini adalah untuk mengetahui potensi lahan dan merekomendasikan arahan penggunaan lahan berdasarkan kondisi kemampuan lahan eksisting pada daerah penelitian. Rancangan yang digunakan adalah rancangan deskriptif, dengan tujuan utama untuk memberikan gambaran atau deskripsi tentang kemampuan dan kesesuaian penggunaan lahan daerah penelitian. Pedoman analisis kemampuan lahan dalam penelitian ini mengacu kepada Arsyad (2006) dan Peraturan Mentari Negara Lingkungan Hidup Nomor 17 Tahun 2009 Tentang Pedoman Penentuan Daya Dukung Lingkungan Hidup Dalam Penataan Ruang Wilayah. Hasil penelitian menunjukkan bahwa 1) kelas kemampuan lahan pada daerah penelitian berkisar antara kelas III hingga kelas VI. Kemampuan lahan kelas III tersebar pada unit lahan 1, unit lahan 2, unit lahan 3, dan unit lahan 8. Kemampuan lahan kelas IV terdapat pada unit lahan 4, unit lahan 7, unit lahan 9, unit lahan 10, dan unit lahan 12, dan kemampuan lahan kelas VI terdapat pada unit lahan 5, unit lahan 6, dan unit lahan 11;  2) Nilai kesesuaian penggunaan lahan yang diperoleh adalah 92,85 %. Hal ini menunjukkan bahwa hampir seluruh wilayah penelitian (92,85 %) sudah sesuai antara kemampuan lahan dan penggunaannya. Selebihnya (7,15 %) tergolong tidak sesuai. Kesesuaian penggunaan lahandaerah penelitian masuk ke dalam kriteria tinggi; 3) Arahan penggunaan lahan disesuaikan dengan kondisi eksisting unit lahan. Pada lahan kelas III-IV yang belum sesuai penggunaannya atau belum dimanfaatkan secara optimal, pilihan penggunaan lahan yang dapat dilakukan yaitu: 1) tanaman semusim ; 2) tanaman perkebunan 3);  Sementara pada lahan kelas VI yang belum sesuai penggunaannya atau belum dimanfaatkan secara optimal, pilihan penggunaan lahan yang dapat dilakukan yaitu hutan produksi dan penggunaan lahan nonpertanian.
PENEGAKAN SANKSI TERHADAP PELANGGARAN BAKU MUTU LIMBAH CAIR HOTEL MENURUT UNDANG-UNDANG NOMOR 32 TAHUN 2009 SEBAGAI ANTISIPASI KEMEROSOTAN KUALITAS LINGKUNGAN PANTAI DI BALI Budiarta, I Gede
Media Komunikasi Geografi Vol 15, No 2 (2014)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.623 KB) | DOI: 10.23887/mkg.v15i2.11426

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Aturan mengenai standar baku mutu limbah cair untuk kegiatan hotel mengacu kepada Keputusan Menteri Negara Lingkungan Hidup Nomor 52 Tahun 1995 yang mengatur tentang Baku Mutu Limbah Cair Bagi Kegiatan Hotel. Sanksi terhadap pelanggaran baku mutu limbah cair bagi kegiatan hotel secara jelas telah dimuat dalam Undang-Undang Nomor 32 Tahun 2009 Tentang Pengelolaan dan Perlindungan Lingkungan Hidup. Namun realita di lapangan ternyata masih banyak ditemukan adanya pencemaran lingkungan yang disebabkan oleh limbah cair hotel. Berdasarkan fenomena tersebut maka penegakan hukum terhadap pelanggaran baku mutu air limbah hotel harus dilakukan dengan tegas sesuai ketentuan yang berlaku. Sanksi administrasi dalam UUPPLH mengatur tentang pelanggaran izin lingkungan, seperti termuat dalam pasal 76 sampai dengan pasal 83. Sedangkan sanksi pidana terkait pelanggaran baku mutu limbah cair bersifat lebih spesifik seperti termuat dalam pasal 100 UUPPLH. Pasal 100 menekankan batas maksimum pidana penjara dan denda bagi pelanggar baku mutu limbah cair, namun tidak menyebutkan batas minimumnya. Upaya penegakan hukum lingkungan, khususnya terkait dengan pelanggaran baku mutu limbah cair mutlak dilakukan untuk menekan laju kerusakan lingkungan, khususnya kerusakan lingkungan yang diakibatkan oleh kegiatan hotel di Bali. Berbagai upaya pengawasan, baik yang bersifat preventif, persuasif, maupun represif harus dilakukan dan disesuaikan dengan realita yang terjadi di lapangan. UUPPLH juga telah mengatur upaya pengawasan lingkungan seperti tercantun pada pasal 71 sampai dengan pasal 75. Upaya-upaya tersebut diharapkan menjadi pemicu menurunnya pelanggaran terhadap baku mutu limbah cair hotel, khususnya di daerah Bali, agar lingkungan dapat terjaga untuk menciptakan kehidupan yang lebih baik.