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Pengelolaan Limbah Medis Padat Bahan Berbahaya dan Beracun pada Rumah Sakit Rujukan Covid-19 Zrimurti Mappau; Miftah Chairani Hairuddin; Fajar Akbar
Jurnal Kesehatan Manarang Vol 8 No 2 (2022): Agustus 2022
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v8i2.694

Waste generated by hospital is categorized as waste containing hazardous materials (B3) which can pose a hazard to the environtment, public health and other living things if disposed of directly into environtment. The purpose of this study was to describe the management of B3 solid medical waste at the Regional General Hospital of West Sulawesi Province as the Covid-19 Patient Referral Hospital. This research is a descriptive study with an observational approach. This research was conducted at the Regional General Hospital of West Sulawesi Province which is the only Covid-19 referral hospital in Mamuju Regency. The sample of this research is the person in charge of medical waste, waste transport officers and third-party medical waste transporters as special Covid-19 patient care rooms. Data collection was carried out by direct observation in the Covid-19 patient care room. The results show that the management has been running in accordance with the SOPs issued by the Ministry of Environmental and the Director of Environmental Health including the waste sorting process is not carried out because all solid waste resulting from the activities of Covid-19 patients is classified as B3 waste. The process of transporting solid waste from the officerâ€™s treatment room uses complete PPE. The waste treatment process is not carried out at the hospital but is handed over to a third party. The process of storing waste in a temporary storage place for B3 waste that has previously been packeged in a special container. The conclusion in this study is that the menagement of B3 solid medical waste at the West Sulawesi Provincial Hospital has been carried out in accordance with the guidlines for managing the waste of the Covid-19 referral hospital.

Pengelolaan Limbah Medis Padat Bahan Berbahaya dan Beracun pada Rumah Sakit Rujukan Covid-19 Zrimurti Mappau; Miftah Chairani Hairuddin; Fajar Akbar
Jurnal Kesehatan Manarang Vol 8 No 2 (2022): Agustus 2022
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v8i2.694

Waste generated by hospital is categorized as waste containing hazardous materials (B3) which can pose a hazard to the environtment, public health and other living things if disposed of directly into environtment. The purpose of this study was to describe the management of B3 solid medical waste at the Regional General Hospital of West Sulawesi Province as the Covid-19 Patient Referral Hospital. This research is a descriptive study with an observational approach. This research was conducted at the Regional General Hospital of West Sulawesi Province which is the only Covid-19 referral hospital in Mamuju Regency. The sample of this research is the person in charge of medical waste, waste transport officers and third-party medical waste transporters as special Covid-19 patient care rooms. Data collection was carried out by direct observation in the Covid-19 patient care room. The results show that the management has been running in accordance with the SOPs issued by the Ministry of Environmental and the Director of Environmental Health including the waste sorting process is not carried out because all solid waste resulting from the activities of Covid-19 patients is classified as B3 waste. The process of transporting solid waste from the officer’s treatment room uses complete PPE. The waste treatment process is not carried out at the hospital but is handed over to a third party. The process of storing waste in a temporary storage place for B3 waste that has previously been packeged in a special container. The conclusion in this study is that the menagement of B3 solid medical waste at the West Sulawesi Provincial Hospital has been carried out in accordance with the guidlines for managing the waste of the Covid-19 referral hospital.

Pengembangan Model Konstruksi Sumur Resapan dalam Menurunkan BOD dan COD pada Air Limbah Rumah Tangga Abdul Ganing; Zrimurti Mappau
Jurnal Kesehatan Manarang Vol 5 No 1 (2019): Juli 2019
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v5i1.135

The entry of domestic wastewater into the aquatic environment will result in major changes in the physical, chemical and biological properties of the waters such as temperature, turbidity, recruited oxygen concentration, nutrients, and production of toxic materials.The level and extent of the effect that is generated on these aquatic organisms is highly dependent on the type and amount of pollutants entering the waters. Changes in the balance between physical-chemical and biological factors in an environment due to the presence of polluting compounds that can affect organisms in that environment. One way to find out how far the pollution load on wastewater is by measuring BOD and COD. Efforts to process domestic waste (greywater) in a simple way, namely by processing aerobic and anaerobic biofilter. The purpose of this study is to develop a household wastewater treatment system with an infiltration well model. This type of research is experimental research with the method of one group post test. Analysis of laboratory tests conducted at the Mamuju Ministry of Health's Integrated Polytechnic Laboratory to determine the effectiveness of household wastewater treatment using the infiltration well construction model, in reducing BOD and COD levels. The wastewater treatment system with the approach of infiltration well construction model effectively decreases BOD by an average of 92.69% from the initial level of 287 mg/L to 20.97 mg/L and COD an average of 85.72% from the initial level of 562 mg/L to 80.25 mg/L. The results of the study were declared effective and fulfilled the quality standard requirements of PermenLHK No.P68 of 2008 concerning domestic waste quality standardsIt is recommended to do media types, and use variations in residence time.

SURVEY KEPADATAN LARVA AEDES AEGYPTI DI KECAMATAN MAMUJU KABUPATEN MAMUJU Zrimurti Mappau; Siti Rahmah; Ridhayani Adiningsih
Jurnal Kesehatan Manarang Vol 2 No 2 (2016): Desember 2016
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v2i2.23

Aedes aegypti is a vector of dengue fever. Vector density may be effect of disease incidence because of the high density and highly resistant to increase of the disease. Larvae density in an area influenced by availabiloty of kontainers. The objective of this study to determine of larvae density of Aedes aegypti mosquito in endemic and non endemic area in Mamuju District based on House Index value, Kontainer Index value, Breteau Index value, and Density Figure level. We did observasional study with cross sectional by collected data and observation to larvae density of Aedes aegypti in its kontainers. Sample size determination using simple random sampling Lemeshow formula as much as 340 in endemic area and 295 in non endemic area. Based on density figure level, endemic and non endemic area included in average category so that area potential for the occurance of infection.

EFEKTIFITAS JERUK NIPIS (CITRUS AURANTIFOLIA) DALAM MEMATIKAN LARVA NYAMUK ANOPHELES SP Fajar Akbar; Zrimurti Mappau; Fitriani S Fitriani S
Jurnal Kesehatan Manarang Vol 3 No 2 (2017): Desember 2017
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v3i2.38

Anopheles Sp mosquitoes around the world contain about 2000 species, while those that can transmit malaria are about 60 species. According to observations in Indonesia found 80 species Anopheles Sp, while the vector malaria is 22 species with different breeding places. This study aims to determine the effectiveness of leaf, skin, and lemon juice on the death of Anopheles Sp larvae. This study is an experimental study to determine the effectiveness of lime in deadly mosquito larvae Anopheles Sp. The samples used in this research are Anopheles Sp instar III and IV mosquito larvae. This test is done every 3 times for 6 hours and observed every 1 hour. The results of this study showed that lime by comparing leaf, skin, and lime juice for 6 hours with 20 Anopheles Sp mosquito larvae in each experiment showed that using lemon leaf solution the highest number of deaths on 6 hours observation 16,7 tail (83,5%), lemon peel solution highest average death rate at 6 hours observation as much as 19,3 tails (96,5%), and lime juice the average number of death highest at 6 hours of observation of 19 tails (95%). Based on the research results, it can be concluded that lime is able to kill Anopheles Sp mosquito larvae with effective comparison is lime skin with percentage of death of 96%. Should approach the community and socialize the potential of natural resources, in this case the use of lime as a natural larvacide to reduce the number of larval populations and can be applied as a method of overcoming malaria and can develop penilitian utilization of lime.

HUBUNGAN HIGIENE PERSONAL DENGAN INFEKSI KECACINGAN PADA SISWA SD BONE-BONE KABUPATEN MAMUJU SULAWESI BARAT Ridhayani Adiningsih; Zrimurti Mappau; Nunik Desitaningsih
Jurnal Kesehatan Manarang Vol 3 No 1 (2017): Juli 2017
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v3i1.31

Worm infection causes a big loss for patients. Approximately 60-90 percent of the Indonesian population is still suffering from worm infestation. Mamuju District Health department figures show Infection worm disease in 2012 reached 7188 inhabitants and in 2013 reached 6143 inhabitants, while in 2014 reached 4734 people. The purpose of this study to determine the relationship of personal hygiene by Infection Helminthiases. This study was an observational study with this type of cross-sectional study with data collection and observation. The sample size was 115 with technique research sampling is done with simple random sampling. Based on the results of statistical analysis known that there was no correlation between worm infection Infection with custom cut nails with sig = 0.278, use of footwear with sig = 0.119, washing habits hands with sig = 0697, Bathing regularly with sig = 0499 and the use of latrines with sig = 0872. Infection incidence Helminthiases have no connection with personal hygiene, there are many factors that can cause infections Helminthiases include socio-economic factors, knowledge, and sanitation facilities.

Effectiveness Of Gray Water Mud And Cow Dung Weight Variations As Activators For Organic Waste Decomposition Ganing, Abdul; mappau, zrimurti; Saddania, Sitti; Suaebu, Syamsuddin
Jurnal Kesehatan Manarang Vol 10 No 2 (2024): August 2024
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v10i2.1358

Organic waste from household activities and traditional markets causes large volumes of waste to be generated every day at the Mamuju landfill. To reduce the volume of organic waste, efforts need to be made to minimize generation through innovation. This research aims to determine the effectiveness of differences between variations of gray water mud and cow dung on physical quality of compost (pH, temperature, humidity), macro elements (Nitrogen, Carbon, Phosphorus, C/N ratio , Kalium) in the decomposition of organic waste. This research involves conducting quasi experimental research on organic waste using bioactivators made from gray water sewer mud and cow dung. This research consisted of 6 (six) treatments and 1 control, so 7 (seven) composters were made. The final result of composting after analyzed for N content after 28 days are K (0,54), GW100(0,6), GW200(0,53), GW300(0,62), KS100(0,61), KS200(0,59), KS300(0,58). For P content are K(0,14), GW100(0,15), GW200(0,2), GW300(0,18), KS100(0,18), KS200(0,20), KS300(0,23). For K content are K(0,36), GW100(0,26), GW200(0,47), GW300(0,4). KS100(0,44), KS200(0,42), KS300(0,51). C/N ratio are K(70,7), GW100(58,06), GW200(87,1). GW300(56,54), KS100(60,85), KS200(58,87), KS300(60,08). And for C Organic content are K(38), GW100(35), GW200(46), GW300(35), KS100(37), KS200(35), KS300(35). The final results of composting showed that the quality of the compost with the addition bio activator of gray water mud and cow dung for 28 days is not eligible of SNI 19-7030-2004. This is due to husks have a fairly high carbon value, so 28 days is not enough to decompose into good quality compost.

Diarrhea Prediction Model of Children Under Five Based on Sanitation Means Erlani, Erlani; Sulasmi, Sulasmi; Akbar, Fajar; Mulyadi, Mulyadi; Haderiah, Haderiah; Mappau, Zrimurti
Jurnal Kesehatan Manarang Vol 10 No 3 (2024): December 2024
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v10i3.1520

The Lamuru Health Center area has the highest number of diarrhea sufferers and is included in the top 10 most common diseases. The sanitation conditions of the house still need to be improved, as well as health requirements, such as clean water facilities, wastewater, family toilets, and waste management. The study aims to determine the prediction model of diarrhea in children under 5 years of age based on sanitation facilities in the village of Massenreng Pulu, Lamuru district, Bone Regency. This type of research is analytical and observational. The population in the study were all housewives who had toddlers in Massenreng Pulu Village, Lamuru District, Bone Regency, totaling 120 people. The study sample was mothers with toddlers as respondents, totaling 120 people, using the selection method selected by total sampling—data analysis with logistic regression test. The results show that there are three insignificant variables: clean water facilities (p-value= 0.500 (OR=0,652), toilet facilities p-value=0.808 (OR=0,895), and waste disposal facilities p-value= 0.922 (OR=0,928), meaning that the three variables do not affect the incidence of diarrhea toddlers. While the variable wastewater disposal facilities are significant, with a p-value=0.004 (OR=3,320), there is an influence on the incidence of diarrhea. This study concludes that clean water, toilets, and waste disposal facilities do not affect the incidence of diarrhea, so they cannot be included in the prediction model. Meanwhile, the variable sewerage facilities can enter predictive models with the incidence of diarrhea. There is a possibility of diarrhea occurring if the recommended wastewater conditions do not meet the requirements. It should make wastewater drainage channels that meet the requirements through government programs and with the help of local communities so that the sewerage is made permanently, waterproof, closed, and not humid.

SURVEY KEPADATAN LARVA AEDES AEGYPTI DI KECAMATAN MAMUJU KABUPATEN MAMUJU Zrimurti Mappau; Siti Rahmah; Ridhayani Adiningsih
Jurnal Kesehatan Manarang Vol 2 No 2 (2016): Desember 2016
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Aedes aegypti is a vector of dengue fever. Vector density may be effect of disease incidence because of the high density and highly resistant to increase of the disease. Larvae density in an area influenced by availabiloty of kontainers. The objective of this study to determine of larvae density of Aedes aegypti mosquito in endemic and non endemic area in Mamuju District based on House Index value, Kontainer Index value, Breteau Index value, and Density Figure level. We did observasional study with cross sectional by collected data and observation to larvae density of Aedes aegypti in its kontainers. Sample size determination using simple random sampling Lemeshow formula as much as 340 in endemic area and 295 in non endemic area. Based on density figure level, endemic and non endemic area included in average category so that area potential for the occurance of infection.

HUBUNGAN HIGIENE PERSONAL DENGAN INFEKSI KECACINGAN PADA SISWA SD BONE-BONE KABUPATEN MAMUJU SULAWESI BARAT Ridhayani Adiningsih; Zrimurti Mappau; Nunik Desitaningsih
Jurnal Kesehatan Manarang Vol 3 No 1 (2017): Juli 2017
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Worm infection causes a big loss for patients. Approximately 60-90 percent of the Indonesian population is still suffering from worm infestation. Mamuju District Health department figures show Infection worm disease in 2012 reached 7188 inhabitants and in 2013 reached 6143 inhabitants, while in 2014 reached 4734 people. The purpose of this study to determine the relationship of personal hygiene by Infection Helminthiases. This study was an observational study with this type of cross-sectional study with data collection and observation. The sample size was 115 with technique research sampling is done with simple random sampling. Based on the results of statistical analysis known that there was no correlation between worm infection Infection with custom cut nails with sig = 0.278, use of footwear with sig = 0.119, washing habits hands with sig = 0697, Bathing regularly with sig = 0499 and the use of latrines with sig = 0872. Infection incidence Helminthiases have no connection with personal hygiene, there are many factors that can cause infections Helminthiases include socio-economic factors, knowledge, and sanitation facilities.

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