Bhisma Murti
Masters in Public Health, Universitas Sebelas Maret

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Workplace Noise Pollution and It's Correlation with Hypertension: A Meta-Analysis Muna Maimunah Salsabila; Bhisma Murti; Sumardiyono Sumardiyono
Journal of Epidemiology and Public Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.603 KB) | DOI: 10.26911/jepublichealth.2022.07.03.07

Abstract

Background: Noise is identified as one of the most widespread physical factors in occupational health and safety (OHS) and is a problem in all regions of the world. Noise can be pathogenic if there is continuous and repeated exposure causing a persistent upregulation of vascular autoregulation resulting in hypertension. Epidemiological studies report an association between occupational noise exposure and hypertension. This study aims to determine the effect of noise exposure in the workplace on hypertension.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, Population= workers, Intervention= occupational noise exposure ≥85 dBA, Comparison= occupational noise exposure <85 dBA, Outcome= hypertension. The meta-analysis was carried out using search articles from databases such as Google Scholar, PubMed, and Science Direct, published from 2012 to 2022. The keywords used in the article search were “Occupational Noise Exposure” OR “Occupational Noise” AND “Hypertension” OR "High Blood Pressure" OR "Primary Hypertension" AND "Workers" AND "Cross-Sectional Study". The included studies were full-text articles published in English, reporting the adjusted odds ratio (aOR) of the results of the multivariate analysis, and the study design was cross-sectional. The selection of articles was carried out using PRISMA flow-charts and analyzed using the Revie Manager 5.3 application.Results: A total of 10 cross-sectional studies were analyzed involving 12,437 workers covering Iran, Jordan, China, Indonesia, Tunisia, and Brazil. The results of the meta-analysis showed that workers exposed to noise 85 dBA had higher hypertension than workers exposed to noise <85 dBA (aOR= 1.96; 95% CI= 1.68 to 2.29; p< 0.001).Conclusion: Exposure to occupational noise ≥ 85 dBA increases hypertension compared to exposure to occupational noise <85 dBA. Keywords: occupational noise, noise exposure, hypertension, meta-analysis Correspondence:Muna Maimunah Salsabila. Masters’ Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: munamaimunahs@gmail.com. Mobile: +6285728565926.
The Effectiveness of Wearing Mask and Physical Distancing in Preventing the COVID-19 Transmission Tri Nyantosani Widyawardani; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.03.08

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The increase in the number of cases was rapid, and spread to various countries in a short time. Based on epidemiological and virological studies, it has been proven that COVID-19 is transmitted from symptomatic (symptomatic) people to other people who are in close proximity through droplets and aerosols. The application of health protocols is very effective in preventing transmission. Wearing masks, keeping a distance and washing hands are very important in preventing the spread of COVID-19.Subjects and Method: This study is a meta-analysis using the PICO model. The population is the general public (adults over 18 years), the intervention is to wear masks properly and keep a distance. The comparison is not wearing a mask properly and not keeping a distance. The outcome is prevention of the spread of COVID-19. The articles used in this study were obtained from three databases, namely Google Scholar, PubMed, and Science Direct. The keywords to search for articles were “mask” AND “covid transmission” “physical distancing” AND “cross sectional study”, from 2019 to 2021. The selection of articles was carried out using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 case studies from the African, American and Asian continents were selected for systematic review and meta-analysis. The results showed that the use of masks was 2.10 times effective in preventing transmission of COVID-19 and was statistically significant (aOR= 2.10; 95% CI= 1.54 to 2.85; p<0.001). Maintaining an effective distance of 2.35 times in preventing transmission of COVID-19 and statistically significant (Aor= 2.35; 95% CI= 1.44 to 3.83; p<0.001).Conclusion: Wearing a mask and keeping a distance is effective in preventing the spread of COVID-19. Keywords: mask, physical distancing, covid transmission Correspondence:Tri Nyantosani Widyawardani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nyantosani@gmail.com. Mobile: +62811284836.
Meta-Analysis the Impact of Social Restriction during COVID-19 Pandemic on Blood Glucose Control in Type 1 Diabetes Mellitus Patients Yeocelin Mega Pratiwi; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.647 KB) | DOI: 10.26911/jepublichealth.2022.07.03.11

Abstract

Background: The COVID-19 lockdown has an impact on the daily lives of people with type 1 diabetes, including restrictions on physical activity, changes in diet, difficulty contacting health care providers and concerns about drug supplies. The purpose of this study was to analyze the impact of the COVID-19 lockdown on blood sugar control in type 1 diabetes mellitus patients.Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The PICO model used is Population= type 1 diabetes mellitus patients. Intervention = COVID-19 lockdown. Comparison = before the COVID-19 lockdown. Outcome = HbA1c. The article search process was carried out between 2019 and 2022 using online databases from PubMed, Springer Link and Google Scholar. The keywords used in the article search were “Quarantine” OR “Quarantines” OR “Stay at Home Orders” OR “Health Lockdowns” OR “Self-Quarantine” OR “Self-Quarantine” AND “Diabetes Mellitus” OR “Diabetes Insipidus” OR “Diabetic” OR “Glucose Intolerance” AND “Glycemic Control” OR “Blood Glucose Control”. The inclusion criteria used in this study were full paper articles with cohort studies, using English or Indonesian, the intervention given was COVID-19 lockdown, and the outcome was blood glucose level (HbA1C) in diabetes mellitus patients.The analysis was performed using RevMan 5.3 software.Results: A total of 11 articles reviewed in the meta-analysis showed that the impact of the COVID-19 lockdown decreased HbA1c levels by 0.23 compared to before the COVID-19 lockdown in patients with type 1 diabetes mellitus and was statistically significant (SMD= -0.23; 95% CI -0.29 to -0.18; p<0.001).Conclusion: COVID-19 lockdown reduces HbA1c levels compared to before COVID-19 lockdown in type 1 diabetes mellitus patients. Keywords: COVID-19 lockdown, type 1 diabetes mellitus, HbA1c. Correspondence:Yeocelin Mega Pratiwi. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: yeocelinmega@gmail.com. Mobile: 082137652605.
Meta-Analysis: Effect of Oral Contraceptives on Breast Cancer Siti Nur Hanifah; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.945 KB) | DOI: 10.26911/jepublichealth.2022.07.03.12

Abstract

Background: Breast cancer is a disease characterized by abnormal cell growth in the breast. Until now, breast cancer is a life-threatening disease in women and is the main cause of death among the female population. Oral contraceptives or pills are one of the risk factors for women developing breast cancer. This study aims to determine the effect of oral contraceptives on the incidence of breast cancer.Subjects and Method: This research is a meta-analytical study and a systematic review. The articles used were obtained from several electronic databases including PubMed, Google Scholar and ScienceDirect. The keywords to search for articles were as follows: Determinant OR risk factor AND breast cancer AND hormonal contraceptive OR oral contraceptive AND case control study. The article under study is a full text article with an observational study design. Articles were collected using the PRISMA diagram, and analyzed using the Review Manager 5.3 application.Results: A total of 9 case control studies involving 6,811 women with breast cancer from several countries in Asia, Africa, and North America were selected for meta-analysis and systematic review. The data collected showed that women who used oral contraceptives had a risk of developing breast cancer as much as 1.82 times than those who did not use oral contraceptives (aOR= 1.82; 95% CI= 1.43 to 2.33; p<0.001).Conclusion: Use of oral contraceptives increases the risk of developing breast cancer. Keywords: oral contraceptives, breast cancer. Correspondence:Siti Nur Hanifah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sitinurhanifah21@yahoo.com. Mobile: 085204219736.