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The Relationship between Scar BCG and the Incidence OF Tuberculosis (TB) in TB Patients at the Basuki Rahmad Health Center, Bengkulu City, Indonesia Yenni Sri Handayani; Ririn Arminsih Wulandari
JUMP Health (Journal of Ultimate Public Health) Vol. 3 No. 2 (2019): November 2019
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.325 KB) | DOI: 10.22236/jump-health.v3.i2.p%p

Abstract

Background: Mycobacterium tuberculosis is the bacterium that causes tuberculosis. WHO said the world TB rate had increased since 2014-2017. TB is a world health problem today. Bengkulu Province experienced an increase in the number of TB cases from 2015-2017. Objectives: This study aims to determine the relationship between Scar BCG and the incidence of tuberculosis in TB patients. Methods: This study uses a case control method. The population is all patients visiting the Basuki Rahmad Health Center in 2016-2017. Sample random sampling technique. Calculation of sample size of 2 proportions with previous P1 researchers using the Lemeshow formula obtained sample results 126 1: 1. Results: Of the 126 TB patients who did not have Scar as many as 54 (42.9%) and there were 72 (57.1%) Scar BCG, 69 (54.8%) male sex and 57 female sex (45.2%) people, patients who have a lack of nutritional status as many as 38 (30.2%) people and good nutritional status as many as 88 (69.8%) people, TB patients who have low education as much as 50 (39.7% ) people and those who have higher education are 76 (60.3%) people, 58 patients (46.0%) who contact home and 68 (54.0%) non-contact patients, patients <15-50 year as many as 111 (88.1%) people and patients aged> 50 years 15 (11.9%) people. There is a significant relationship between Scar BCG, nutritional status, gender with the incidence of pulmonary tuberculosis in 2016-2017 with p = 0,000 p = 0,000 and p = 0,000. And there is no significant relationship between age, education, household contact with TB incidence in 2016-2017. Counfounding Scar BCG for TB incidence is nutritional status, gender, age and household contact. Conclusion: There is a relationship between Scar BCG, nutritional status, gender with the incidence of pulmonary tuberculosis and counfounding Scar BCG with TB incidence there are 4 variables in the Basuki Rahmad Community Health Center, Bengkulu City. Recommendation: Prevention of TB can be carried out by BCG immunization, taking medication regularly.
Acute Breathing Infection (ARI) in the Toddlers in the Working Area of Pancasan Health Center, Bogor City, Indonesia Fathimi Fathimi; Ririn Arminsih Wulandari
JUMP Health (Journal of Ultimate Public Health) Vol. 3 No. 2 (2019): November 2019
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (500.825 KB) | DOI: 10.22236/jump-health.v3.i2.p%p

Abstract

Introduction: ARI is often misinterpreted as upper respiratory tract infection, whereas ARI does not only attack the upper respiratory tract but also includes the lower respiratory tract. Infection is the entry of germs or microorganisms into the human body and proliferates to cause respiratory tract diseases ranging from the nose to the alveoli and their adnex such as the sinuses, middle ear cavity and pleura. Objective: This study aims to determine the effect of individual and environmental characteristic factors on the incidence of ARI in infants. Method: This study used a cross sectional study design, the number of samples of 163 toddlers, the study location in the work area of the Pancasan Health Center, the time of the study from 27 April to 30 May 2019. Results: The results showed 41.1% of children under five suffered ARI, statistically the variables associated significantly with the incidence of ARI were gender (OR: 2.89) and age (OR: 2.04). Conclusion: Many factors can influence the incidence of ARI in infants, both from the characteristics of children under five, parental characteristics, characteristics of the physical environment of the home and the health service facilities themselves. The next researcher can add research variables, the importance of the role of health workers especially to increase public awareness/ parents in maintaining and maintaining children's health and the existence of cross-program and cross-sector cooperation.
HEALTH RISK ANALYSIS OF LEAD LEVELS (Pb) IN GREEN LEAFY VEGETABLES FROM TRADITIONAL MARKETS AND SUPERMARKET IN SEMARANG CITY: A PRELIMINARY STUDY Puteri Inandin Nabiha; Ririn Arminsih Wulandari
Jurnal Riset Kesehatan Vol 9, No 1 (2020): MAY 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (456.972 KB) | DOI: 10.31983/jrk.v9i1.5736

Abstract

Samples of Green Spinach (Amaranthus gangeticus) Kale or Water Spinach (Ipomoea aquatica) and Green Mustards (Brassica rapa I. Subsp. Perviridis Bayley) were collected from three traditional markets and one supermarket in Semarang City, Central Java. The purpose of this descriptive study was to assess lead (Pb) contamination on raw and boiled vegetables and the health risks for residents in Semarang. The Pb of the samples was measured using atomic absorption spectrophotometer (AAS). The result showed Pb in all samples exceeded the standard values from WHO/FAO (0,3mg/kg), Indonesian National Standard (SNI) limit for Heavy Metals on Food (0,5 mg/kg) and The National Agency of Drug and Food Control of the Republic of Indonesia (BPOM) (0,2 mg/kg). The highest accumulation of Pb found in kale from ‘B’ Traditional Market with 6,123 mg/kg and the lowest was kale from supermarket 0,25 mg/kg. The boiling process for vegetables may increase the Pb concentration, considering the cookware materials. Results revealed that there is no risk of potential health problems for residents in the city with current Pb concentration.
Hubungan Tingkat Kebisingan dengan Gangguan Pendengaran Penduduk di Sekitar Terminal Pakupatan Linardita Ferial; Laila Fitria; Ririn Arminsih Wulandari
Faletehan Health Journal Vol 9 No 01 (2022): Faletehan Health Journal, Maret 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i01.311

Abstract

Activities at the bus station may cause environmental pollution, including noise. High noise levels can cause human health problems, especially hearing loss. This study aims to determine the correlation between noise level and hearing loss of the population around Pakupatan Bus Station. This study used an analytical observational approach with a cross sectional design. The survey was conducted in six residences around Pakupatan Bus Station in Serang City, Banten from January to May 2018. The samples of this study were 100 respondents selected by proportional random sampling technique. The noise level of residents around Pakupatan Bus Station reached 81.09 decibels which exceeded the noise quality standard of 55 decibels in 1996 No. 48 of the Ministry of Environment. The confounding variables included age, sex, health history, type of work, smoking, drinking, and length of stay of the respondents. Type of work and length of stay were the confounding variables of the correlation between noise level and hearing loss. The odd ratio of the type of work was 0.267 and the length of stay was 0.365, so it was necessary to apply green lines or to plant trees. The residents who were exposed to noise >70dB had a risk of 4.673 times higher than the noise level 70dB after being controlled by the variable length of stay and variable work.
Studi Ekologi Hubungan Kejadian Demam Berdarah Dengue (DBD) dengan Faktor Iklim di Kota Administrasi Jakarta Pusat, Indonesia Tahun 1999-2018 Fajar Nugraha; Budi Haryanto; Ririn Arminsih Wulandari; Tiffany Tiara Pakasi
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 03 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i03.923

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Demam Berdarah Dengue (DBD) merupakan vector-borne disease dengan tingkat prevalensi tertinggi di dunia. Jumlah kasus DBD telah meningkat di sejumlah negara dalam 10 tahun terakhir. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor iklim dengan kejadian DBD di Kota Administrasi Jakarta Pusat dalam periode 20 tahun, dari Januari 1999-Desember 2018. Penelitian ini menggunakan data sekunder dari Direktorat Pencegahan dan Pengendalian Penyakit Tular Vektor dan Zoonosis (P2PTVZ) Kementerian Kesehatan Republik Indonesia dan Badan Meteorologi, Klimatologi dan Geofisika (BMKG). Penelitian ini menggunakan disain studi ekologi dan dianalisis bivariat dengan uji korelasi Spearman. Hasil analisis bivariat menunjukkan bahwa variabel curah hujan (Pv=0,0001; r=0,448) dengan lag 2 bulan, suhu udara (Pv=0,0001; r=-0,27) dengan lag 1 bulan, dan kelembaban relatif (Pv=0,0001; r=0,329) dengan lag 2 bulan, secara signifikan berhubungan positif dengan kasus DBD. Kasus DBD secara signifikan dipengaruhi curah hujan, suhu udara, dan kelembaban relatif dengan lag bulan tertentu, oleh karena itu upaya pencegahan dan mitigasi epidemi DBD di Kota Administrasi Jakarta Pusat dapat dilakukan sejak bulan Januari dalam rangka mengantisipasi puncak kasus DBD di periode bulan Maret-April.
PEMODELAN FAKTOR YANG BERKONTRIBUSI TERHADAP STUNTING PADA BADUTA DI WILAYAH PKGBM KALIMANTAN BARAT TAHUN 2017 Zakiah Dianah; Laila Fitria; Ririn Arminsih Wulandari
JOURNAL OF BAJA HEALTH SCIENCE Vol 1 No 01 (2021): Journal of Baja Health Science
Publisher : Universitas Banten Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47080/joubahs.v1i01.1174

Abstract

jangka panjang dan dapat menyebabkan 20% kematian anak balita. Sanitasi menjadi salah satu faktor yang berhubungan dengan stunting. Provinsi Kalimantan Barat mempunyai capaian yang buruk untuk akses sanitasi dasar yaitu 55,55%. Tujuan penelitian: menganalisis faktor yang berkontribusi terhadap stunting pada baduta di wilayah PKGBM (Proyek Kesehatan dan Gizi Berbasis Masyarakat) Provinsi Kalimantan Barat. Desain penelitian: cross sectional menggunakan data sekunder dengan jumlah sampel 375 baduta dan dianalisis dengan regresi logistik multivariat. Hasil penelitian didapatkan hubungan signifikan antara kasus stunting dengan akses sanitasi dasar (2,24; 1,39 – 3,59) dan berat lahir anak (4,88; 2,51–9,51). Faktor lain yang berhubungan yaitu Cuci Tangan Pakai Sabun (CTPS) (1,66; 0,90–3,06), infeksi cacing (1,38; 0,74 – 2,58), diare (1,32; 0,83 – 2,10), ISPA (1,44; 0,86–2,43), dan kunjungan ke Posyandu (1,40; 0,75 – 2,59). Model akhir dari penelitian ini adalah akses sanitasi dasar, berat lahir anak, dan CTPS berkontribusi terhadap stunting.
HUBUNGAN LINGKUNGAN FISIK DENGAN KEJADIAN ISPA PADA BALITA DI WILAYAH PERKOTAAN INDONESIA TAHUN 2018 (ANALISIS DATA RISKESDAS TAHUN 2018) Porman Tiurmaida Simbolon; Ririn Arminsih Wulandari
Jambura Journal of Health Sciences and Research Vol 5, No 2 (2023): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v5i2.18916

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Infeksi Saluran Pernapasan Akut (ISPA) merupakan salah satu penyakit yang sering terjadi pada balita di Indonesia, kejadian ISPA pada balita di Indonesia menurut hasil Riskesdas 2018 mencapai 20,06%. ISPA dapat disebabkan oleh beberapa factor salah satunya adalah factor lingkungan rumah yang tidak sehat, pengaruh tempat tinggal antara pedesaan dan perkotaan dihubungkan dengan jumlah penderita ISPA. Kebaruan penelitian ini karena peneliti menganalisis hubungan lingkungan fisik dengan kejadian ISPA. Tujuan penelitian ini adalah untuk mengetahui hubungan lingkungan fisik yang terdiri dari ventilasi, kebiasaan membuka jendela dan pencahayaan yang cukup di ruang tidur dengan kejadian ISPA pada balita di wilayah perkotaan Indonesia. Penelitian ini menggunakan desain studi ekologi multiple group dan dianalisis bivariat dengan uji korelasi pearson. Data yang digunakan adalah data sekunder dari hasil riset kesehatan dasar (Riskesdas) tahun 2018. Hasil analisis bivariat menunjukkan ada hubungan linier negatif dan berkekuatan sedang antara kebiasaan membuka jendela setiap hari (p=0,003;r=-0,493), ventilasi yang cukup (p=0,011;r=-0,432), dan pencahayaan yang cukup (p=0,007;r=-0,452) dengan kejadian ISPA pada balita. Dapat disimpulkan bahwa lingkungan fisik rumah berhubungan dengan kejadian ISPA pada balita di daerah perkotaan.
KORELASI AKSES SANITASI DAN AKSES AIR MINUM DENGAN KEJADIAN STUNTING PADA BALITA DI WILAYAH KABUPATEN SERANG TAHUN 2022 Adhika Paramasatya; Ririn Arminsih Wulandari
Jambura Journal of Health Sciences and Research Vol 5, No 2 (2023): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v5i2.19145

Abstract

Stunting adalah penggambaran status gizi kurang pada bayi sejak dalam kandungan hingga dilahirkan yang bersifat kronik pada masa pertumbuhan dan perkembangan. Namun, pada tahun 2022 prevalensi stunting di Kabupaten Serang mencapai 8.96% (11.534 balita menderita stunting). Kebaruan penelitian ini karena meneliti korelasi akses sanitasi dan akses air minum dengan kejadian stunting pada balita. Tujuan dari penelitian ini adalah untuk mengetahui korelasi akses sanitasi dan akses air minum dengan kejadian stunting pada balita di wilayah Kabupaten Serang tahun 2022. Desain studi pada penelitian ini adalah studi ekologi. Analisis korelasi dilakukan terhadap akses sanitasi dan akses air minum dengan angka kejadian stunting pada balita di 326 desa yang ada di Kabupaten Serang. Analisis data dilakukan secara univariat untuk mengetahui gambaran variabel independen dan dependen. Selanjutnya dilakukan analisis bivariat dengan menggunakan Uji Korelasi Spearman. Penelitian dilaksanakan selama bulan Desember 2022 – Februari 2023. Hasil penelitian berdasarkan hasil uji statistik Spearman didapatkan nilai P = 0,463 (P 0,05) sehingga tidak ada hubungan atau korelasi antara akses sanitasi dengan angka kejadian stunting pada balita di Kabupaten Serang. Sedangkan Hasil Hubungan akses air minum dengan kejadian stunting di Kabupaten Serang menunjukkan korelasi lemah dan memiliki arah negatif hal dapati dilihat dari nilai P = 0,038 (P 0.05) Kesimpulan Tidak ada hubungan atau korelasi antara akses sanitasi dengan angka kejadian stunting pada balita di Kabupaten Serang. Sedangkan hubungan akses air minum dengan kejadian stunting di Kabupaten Serang menunjukkan korelasi yang lemah dan memiliki arah negatif
BENZENE EXPOSURE ANALYSIS IN INFORMAL SHOE INDUSTRY WORKERS IN SUKAJAYA VILLAGE, WEST JAVA VIA LEUKOCYTE COUNT AND S-PHENYLMERCAPTURIC ACID MEASUREMENT IN URINE Agustina, Lora; Wulandari, Ririn Arminsih
Public Health of Indonesia Vol. 5 No. 4 (2019): October - December
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v5i4.300

Abstract

Background: Benzene is a hematotoxic and carcinogenic compound contained in the glue used in the shoe industry. This compound has been suspected of causing decreased leukocyte counts, which is one of the blood cell production disorders. Benzene exposure can be determined by measuring the concentration of S-phenylmercapturic acid (S-PMA) in urine.Objective: This study was conducted to determine the association between S-PMA urine concentration and the leukocyte count of shoe industry workers.Methods: The study design was cross sectional and the data were collected by conducting interviews, analyzing urine samples for S-PMA concentrations, and conducting blood examinations. Chi square and multiple logistic regression were used for the analysis.Results: The results showed there were no concentrations of S-PMA in urine that exceeded the Biological Exposure Index (BEI) value (≤25 μg/g creatinine). Higher S-PMA concentrations in this study show a higher risk of decreased leukocyte counts. When controlling for age, duration of work, history of infection, Body Mass Index (BMI), smoking, occupation, and exercise, workers with high S-PMA urine concentration were found to be at higher risk of a decreased leukocyte count.Conclusion: Although S-PMA urine concentrations were still below BEI values, workers with higher S-PMA urine concentration were more at risk of leukocyte counts of < 5.0 x 103/μL. The decrease in the minimum BEI S-PMA limit value was lower than the current standard may need to be considered.
FAKTOR CUACA TERHADAP KASUS TERKONFIRMASI AKTIF COVID-19 Azmy, Ariny Rosyada; Wulandari, Ririn Arminsih
Media Kesehatan Politeknik Kesehatan Makassar Vol 17, No 1 (2022): Media Kesehatan
Publisher : Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v17i1.2459

Abstract

Cuaca merupakan faktor penting dalam wabah penyakit menular. Indonesia merupakan salah satu negara dengan jumlah kenaikan kasus COVID-19 yang cukup signifikan. Tujuan penelitian ini untuk mengetahui hubungan faktor cuaca terhadap kasus terkonfirmasi aktif COVID-19 di Kota Bandung. Penelitian ini bersifat kuantitatif dan merupakan jenis penelitian epidemiologi deskriptif dengan desain studi ekologi. Penelitian ini menggunakan data sekunder selama kurun waktu 1 tahun (2020-2021). Berdasarkan hasil uji korelasi Spearman variabel cuaca terhadap COVID-19 pada lag 5 hari COVID-19 didapatkan hubungan yang signifikan pada suhu rata-rata (p value = 0.0001), kelembaban rata-rata (p value = 0.015), dan kecepatan angin rata-rata (p value = 0.001) terhadap kasus terkonfirmasi aktif COVID-19 di Kota Bandung. Dalam penelitian ini suhu rata-rata, kelembaban rata-rata, dan kecepatan angin berhubungan signifikan terhadap kasus COVID-19. Hasil ini dapat membantu para stakeholder untuk menyusun kebijakan yang efektif dengan mengetahui indikator meteorologi terhadap pola perilaku virus SARS-CoV-2.