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FAKTOR YANG BERHUBUNGAN DENGAN KADAR CHOLINESTERASE DARAH PEKERJA BAGIAN PENYEMPROTAN PT. ANGLO EASTERN PLANTIONS Dian Maya Sari Siregar
Jurnal Mutiara Kesehatan Masyarakat Vol 6 No 1 (2021): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v6i1.1917

ABSTRACT The spraying process is a condition where workers are very likely to be exposed to toxic chemicals contained in pesticides. Problems encountered in the field, workers do not spray with the correct method and do not use a complete PPE. The danger that can occur when spraying is a disturbance in the enzyme Cholinesterase (CHE) in the blood. CHE is an enzyme that is in the body's tissues has a role to keep nerve cells, muscles and glands working properly. The purpose of this study was to determine the factors related to CHE levels in spraying workers. The research design used analytical research with cross sectional approach. The population was 30 spraying workers. The sampling technique used a total population of 30 people. Data analysis used univariate and bivariate analysis tested by Fisher Exact Test statistical test. Data obtained by questionnaire and examination of CHE levels through blood samples. The results with bivariate analysis revealed p-value of each variable, namely age .143>.05, gender 1,000>.05, education level .374>.05, years of service .071>.05, duration of exposure .02<.05, spraying method 0,000<.05, the last spraying time was .210>.05 and PPE .001 <.05. The conclusion shows that there is a relationship between the length of exposure to pesticides, how to spray and PPE with CHE levels. Keywords: Related Factors, Cholinesterase Levels, Spraying Workers

Analysis of the Use of WhatsApp in Food Processing Behavior Changes in Entrepreneurs RONI GUNAWAN; Dian Maya Sari Siregar; Arifah Devi Fitriani; Muchti Yuda Pratama
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 10 No. 1 (2022): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V10.I1.2022.65-72

Background: Food and beverage sanitation hygiene really needs to be guaranteed of its safety, including the sanitation hygiene of home-made snacks produced by food entrepreneurs. Poor food sanitation hygiene can cause food poisoning, which is bad for buyers. Especially during the COVID-19 pandemic, food sanitation hygiene in small and medium businesses must be considered to avoid transmission while maintaining an entrepreneurial image in the midst of the pandemic. Objective: This study aims to analyze behavior changes including knowledge, attitudes, and entrepreneurial actions in food and beverages processing through mentoring using WhatsApp messenger media. Methods: This study used a quasi-experimental approach. The population of this study was small and medium entrepreneurs specializing in food and beverage processing accompanied by an incubator in North Sumatra with as many as 35 entrepreneurs. The samples of this study amounted to 29 food entrepreneurs who were selected using the purposive sampling technique. The time of the study was in July and August 2020. Data were obtained by giving questionnaires before mentoring, two weeks after mentoring, and four weeks after mentoring. The variables consisted of knowledge, attitudes, and actions, as well as assistance to use WhatsApp messenger media. The collected data were then analyzed using the Wilcoxon and Friedman test. Results: The results showed that the mentoring using WhatsApp messenger media could increase knowledge (P value = 0.000), attitudes (P value = 0.000) respondents' actions (P value = 0.015). Conclusion: The role of health workers was very necessary for the use of WhatsApp messenger based social media, including as assistants who present health promotion content, annul negative content, and make positive efforts to reconcile if there be bad communication in the WhatsApp messenger social media group.

Determinan Kejadian Demam Berdarah Dengue (Dbd) Di Kecamatan Medan Tembung Dian Maya Sari; Sori Muda Sarumpaet; Hiswani Hiswani
Pena Medika Jurnal Kesehatan Vol 8, No 1 (2018): PENA MEDIKA JURNAL KESEHATAN
Publisher : Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/pmjk.v8i1.745

Dengue Hemorrhagic Fever (DHF) is a contagious disease without special antivirus to stamp out the virus causing it. DHF is spread by dengue virus through the bites of Aedes aegypti and Aedes albopictus. According to WHO (2010), DHF is endemic in Southeast Asia and Indonesia was noted as a country with the highest case of DHF from 1968 to 2010. Medan is an area with the adequately high DHF case annualy and in 2011 it had 2,384 cases. In 2011 and 2012, the case of DHF in Medan Tembung Subdistrict was 152 and 60 respectively.The purpose of this analytical observational study with case control design was to analyze the determinants influencing the incidence of DHF in Medan Tembung Subdistrict. The sample were 86 persons for case group and 86 persons for control group. The data were obtained through observation and questionnaire-based interview. The data were analyzed through univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with Multiple Logistic Regression test.The result of bivariate analysis showed that the variables playing a role as the determinants of DHF were the presence of mosquito larvae, house layout, non Garbage Dump Site, vegetation, cleaning Garbage Dump Site, hanging clothes, sleeping habits, and using repellent. The result of multivariate analysis showed that the most influencing variable was non Garbage Dump Site.The community members are suggested to reuse, reduse, and recycle their used goods. Puskesmas improve the DHF mosquito breeding place eradication program through extension, 3M Plus, and Clean Friday activities.Keywords: Dengue Hemorrhagic Fever, DeterminantPenyakit Demam Berdarah Dengue (DBD) merupakan penyakit menular yang belum ada antivirus khusus untuk membasmi virus penyebabnya. DBD disebabkan oleh virus dengue melalui gigitan nyamuk Aedes aegypti dan Aedes albopictus. Gejalanya berupa demam, perdarahan, dan syok. Menurut WHO (2010), DBD endemik di Asia Tenggara. Sejak 1968-2010, WHO mencatat Indonesia dengan kasus DBD tertinggi di Asia Tenggara. Kota Medan merupakan wilayah dengan kejadian DBD yang cukup tinggi setiap tahun dan tahun 2011 mencapai 2.384 kasus (IR=113/100.000 penduduk). Tahun 2011 dan 2012, kasus DBD di Kecamatan Medan Tembung masing-masing sebanyak 152 dan 60 kasus.Penelitian ini bertujuan menganalisis determinan yang memengaruhi kejadian DBD di Kecamatan Medan Tembung. Metode penelitian adalah analitik observasional dengan desain case control. Sampel penelitian sebanyak 86 orang kasus dan 86 orang kontrol. Pengumpulan data melalui wawancara dan observasi yang berpedoman pada kuesioner. Analisis data dilakukan secara univariat, bivariat mengggunakan uji Chi-Square, dan multivariat menggunakan uji Regresi Logistik Berganda.Hasil analisis bivariat menunjukkan bahwa variabel yang merupakan determinan kejadian DBD adalah keberadaan jentik, tata rumah, non TPA, tanaman hias/tumbuhan, membersihkan TPA, menggantung pakaian, kebiasaan tidur, dan menggunakan anti nyamuk/repellent. Hasil analisis multivariat menunjukkan variabel yang paling berpengaruh terhadap kejadian DBD adalah non TPA.Disarankan kepada masyarakat agar mau dan mampu melakukan reuse, reduse, dan recycle terhadap barang-barang bekas; Puskesmas Sering dan Mandala tetap mempertahankan bahkan meningkatkan program Pemberantasan Sarang Nyamuk (PSN) DBD melalui kegiatan penyuluhan, 3M Plus, dan Jumat Bersih.Kata Kunci : Demam Berdarah Dengue, Determinan

Faktor-Faktor Yang Berhubungan Dengan Pernikahan Dini Pada Wanita Di Desa Serbananti Kecamatan Sipispis Kabupaten Serdang Bedagai Dian Maya Sari; Gina Novita Saragih
Pena Medika Jurnal Kesehatan Vol 8, No 1 (2018): PENA MEDIKA JURNAL KESEHATAN
Publisher : Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/pmjk.v8i1.746

A teenager who is 20 years old and married can be called an early marriage. It is known that 10 women in Serbananti Village have been married at an early age, 7 of them married because of socio-cultural factors, economic factors, and educational factors. This study aims to know the factors associated with early marriage in women at Serbananti Village, Sipispis District, Serdang Bedagai in 2017. The type of research is analytical research with cross sectional design, the population is all women who have been married from 2012-2017 as many as 93 person. The entire population is sampled. Data were analyzed univariat and bivariate (with chi-square test). The results showed that there was a correlation between education, income, and trust (p-value of each variable = 0.000, 0.016 and 0.004) and there was not a correlation between profession and ethnic group (p-value of each variable = 0.124 and 0.143) with early marriage in Serbananti Village, Sipispis District, Serdang Bedagai in 2017. It is expected that the early marriage that occurs in the community is not increasing. Local Government to work with local health authorities to review and provide counseling and direct action on the community to prevent early marriage, and to provide knowledge about the dangers of early marriage to parents and young women.Keywords : Related Factors, Early Marriage, WomenSeorang remaja yang berusia antara 10-19 tahun dan telah melakukan ikatan lahir batin sebagai pasangan suami isteri dengan tujuan membentuk keluarga dikatakan sebagai pernikahan dini. Diketahui bahwa 10 orang wanita di Desa Serbananti telah menikah pada usia dini, 7 diantaranya menikah karena faktor sosial budaya, faktor ekonomi, dan faktor pendidikan.Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pernikahan dini pada wanita di Desa Serbananti Kecamatan Sipispis Kabupaten Serdang Bedagai Tahun 2017. Jenis penelitian analitik dengan desain cross sectional, dengan populasi seluruh wanita yang sudah melakukan pernikahan dari tahun 2012-2017 yaitu sebanyak 93 orang. Seluruh populasi dijadikan sampel. Data dianalisis secara univariat dan bivariat (dengan uji chi-square).Hasil penelitian menunjukan ada hubungan pendidikan, pendapatan, dan kepercayaan (nilai p-value masing-masing = 0,000; 0,016; dan 0,004) dan tidak ada hubungan pekerjaan dan suku (nilai p-value masing-masing = 0,124 dan 0,143) dengan pernikahan dini pada remaja di Desa Serbananti Kecamatan Sipispis Kabupaten Serdang Bedagai Tahun 2017.Diharapkan agar pernikahan dini yang terjadi di masyarakat tidak semakin meningkat. Pemerintah Daerah setempat agar bekerja sama dengan Dinas Kesehatan setempat untuk meninjau dan memberikan penyuluhan dan tindakan langsung pada masyarakat agar tidak lagi terjadi pernikahan dini, serta memberikan pengetahuan tentang bahaya menikah dini kepada para orang tua dan remaja putri.Kata Kunci : Faktor-Faktor yang Berhubungan, Pernikahan Dini, Wanita

FAKTOR YANG BERHUBUNGAN DENGAN GEJALA NEUROTOKSIK AKIBAT PAPARAN PESTISIDA PADA PETANI SAYURAN, DESA SUGIHARJO, KECAMATAN BATANG KUIS, KABUPATEN DELI SERDANG Dian Maya Sari Siregar; Nurfadilah Nurfadilah
JURNAL MEDIA KESEHATAN Vol 15 No 1 (2022): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 15 No 1 Juni 2022
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v15i1.723

Problems: Pesticides are the main choice for controlling pests, diseases and weeds. The use of pesticides is widespread throughout the world. Pesticides used by farmers if not used correctly will have a negative impact on farmers' health. Based on the preliminary survey, 5 out of 10 vegetable farmers showed neurotoxic symptoms. The Aim Of The Research: This research aims to determine the factors associated with neurotoxic symptomps on vegetable farmers in Sugiharjo Village, Batang Kuis District, Deli Serdang Regency. Research Method: This study used an observational quantitative design with a cross sectional approach. The population in this study were all vegetable farmers in the research location were all 37 people. Because the total population is only 37 people, all of them are used as samples (total sampling). The tools for data collection are questionnaires (to measure the variables of working period, age, and neurotoxic symptoms) and observation sheets (to measure the variables of PPE use and pesticide type). Data analysis was univariate and bivariate analysis (using chi-square test) through SPSS version 17.0 program. The Results: The chi-square test show the p-value of each variable is PPE usage = 0.002, pesticide type = 0.127, working period = 0.028 and age = 0.001. Conclusions: There is a relationship between the use of PPE, working period, and age with neurotoxic symptoms due to pesticide exposure while pesticide type is not associated with neurotoxic symptoms due to pesticide exposure. Keywords: Neurotoxic, Pesticides, Vegetable Farmers

Keluhan Musculoskeletal Disorders (MSDs) pada Pekerja Pengguna Komputer di badan Pusat Statistik Provinsi Sumatera Utara Agnes Ferusgel; Annisa Anjanny; Dian Maya Sari Siregar
Jurnal Kesehatan Global Vol 2, No 1 (2019): Edisi Januari
Publisher : Program Studi Magister Kesehatan Masyarakat Institut Kesehatah Helvetia

Keluhan (MSDs) adalah keluhan pada bagian-bagian otot skeletal yang dirasakan oleh seseorang mulai dari keluhan sangat ringan sampai sangat sakit. Tujuan untuk mengetahui hubungan posisi duduk, lama kerja dan masa kerja keluhan MSDs pada pekerja pengguna komputer di Badan Pusat Statistik Provinsi Sumatera Utara. penelitian ini menggunakan metode penelitian survey analitik dengan desain penelitian cross sectional.Populasi dalam penelitian ini yaitu pekerja penguna komputer di Badan Pusat Statistik Provinsi Sumatera Utaradan sampel yang digunakan adalah seluruh populasi yaitu sebanyak 74 pekerja pengguna komputer. pekerja pengguna komputer yang berisiko posisi duduk dengan keluhan musculoskeletal disorder pada taraf signifikan dengan nilai p-value = (0,042 0,05), demikian juga variabel lama kerja dengan keluhan musculoskeletal disorder pada taraf signifikan dengan nilai p-value = (0,044 0,05) dan variabel masa kerja dengan keluhan musculoskeletal disorder pada taraf signifikan dengan nilai p-value = (0,702 0,05). terdapat hubungan posisi duduk dan lama kerja dengan keluhan musculoskeletal disorder namun tidak terdapat hubungan masa kerja dengan keluhan musculoskeletal disorder pada pekerja pengguna komputer di Badan Pusat Statistik Provinsi Sumatera Utara.

FAKTOR YANG BERHUBUNGAN DENGAN KADAR CHOLINESTERASE DARAH PEKERJA BAGIAN PENYEMPROTAN PT. ANGLO EASTERN PLANTIONS Dian Maya Sari Siregar
Jurnal Mutiara Kesehatan Masyarakat Vol 6 No 1 (2021): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v6i1.1917

ABSTRACT The spraying process is a condition where workers are very likely to be exposed to toxic chemicals contained in pesticides. Problems encountered in the field, workers do not spray with the correct method and do not use a complete PPE. The danger that can occur when spraying is a disturbance in the enzyme Cholinesterase (CHE) in the blood. CHE is an enzyme that is in the body's tissues has a role to keep nerve cells, muscles and glands working properly. The purpose of this study was to determine the factors related to CHE levels in spraying workers. The research design used analytical research with cross sectional approach. The population was 30 spraying workers. The sampling technique used a total population of 30 people. Data analysis used univariate and bivariate analysis tested by Fisher Exact Test statistical test. Data obtained by questionnaire and examination of CHE levels through blood samples. The results with bivariate analysis revealed p-value of each variable, namely age .143>.05, gender 1,000>.05, education level .374>.05, years of service .071>.05, duration of exposure .02<.05, spraying method 0,000<.05, the last spraying time was .210>.05 and PPE .001 <.05. The conclusion shows that there is a relationship between the length of exposure to pesticides, how to spray and PPE with CHE levels. Keywords: Related Factors, Cholinesterase Levels, Spraying Workers

Faktor Yang Memengaruhi Perilaku Merokok Pada Remaja Di SMA 2 Dan SMK 8 Muhammadiyah Tanjung Sari Kecamatan Medan Selayang solihin; Mappeaty Nyorong; Nur’aini; Dian Maya Sari Siregar
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 1 (2023): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Smoking behavior is something that someone does in the form of burning and smoking it and causing smoke that people around him can inhale. Smoking behavior is indeed difficult to avoid in adolescents, and this caused by several factors such as behavior that is still very difficult to change and the environment around adolescents. The aim of the study was to determine the factors that influence smoking behavior in adolescents at SMA 2 and SMK 8 Muhammadiyah Tanjung Sari, Medan Selayang District. The research design uses a quantitative method which is carried out by an analytical survey with a Cross Sectional Study approach. The population in this study were all male students at SMA 2 and SMK 8 Muhammadiyah, with a total of 559 students. The sample used the Purposive Sampling technique, as many as 85 male students. Data analysis used univariate, bivariate and multivariate analysis. The results showed that there was an influence of knowledge, beliefs, exposure to cigarette advertisements, the availability of cigarettes, the role of parents, the role of teachers, the role of peers on smoking behavior in adolescents at SMA 2 and SMK 8 Muhammadiyah Tanjung Sari, Medan Selayang District. While the most dominant factor is knowledge. The study concludes that all variables influence smoking behavior in adolescents at SMA 2 and SMK 8 Muhammadiyah Tanjung Sari, Medan Selayang District. It is suggested to the school to overcome smoking habits among adolescents that it is hoped that the school will conduct counselling about the dangers of smoking, implement KTR and carry out routine raids for smokers throughout the school environment.

Penyuluhan Tentang Pengelolaan Sampah dan Saluran Pembuangan Air Limbah (SPAL) di Dusun Pajak Desa Teluk Dian Maya Sari Siregar; Audri Anta Perkasa
Jurnal Pengabdian Masyarakat Ilmu Kesehatan Vol 1, No 2 (2020): Edisi Juli
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/.v1i2.5449

Dusun Pajak Kecamatan Secanggang Kabupaten Langkat terdiri dari 308 warga dan 75 KK. Seluruh masyarakat di Dusun Pajak mengolah sampah dengan cara dibakar. Masyarakat tidak megetahui jika perilaku membakar sampah sembarangan dapat berdampak negatif bagi kesehatan masyarakat. Selain itu, diketahui bahwa pembuangan air limbah rumah tangga seluruhnya tanpa saluran pembuangan air limbah (100% dibuang ke got). Keadaan air got tergenang karena lahan sempit dan tidak ada penampungan khusus untuk air limbah rumah tangga serta seluruh masyarakat tidak mengetahui tentang pengelolaan air limbah. Kegiatan pengabdian kepada masyarakat ini adalah sebagai aplikasi dari ilmu pengetahuan di bidang Kesehatan Lingkungan, pencegahan penyakit berbasis lingkungan, dan aplikasi dari ilmu Promosi Kesehatan. Sasaran pengabdian ini adalah seluruh masyarakat, khususnya kepala keluarga dan ibu rumah tangga di Dusun Pajak. Metode kegiatan berupa penyuluhan. Data yang digunakan adalah data primer, sekunder dan tersier dengan analisis data menggunakan analisis deskriptif. Kegiatan ini berjalan dengan lancar, dimulai dari tahap analisis masalah, penentuan prioritas masalah dan intervensi. Kegiatan dilakukan pada hari Minggu tanggal 15 Maret 2020 mulai pukul 14.00 WIB s.d. selesai dan dihadiri sebanyak 15 orang. Kesimpulan yang dapat diambil adalah secara umum masyarakat di Dusun Pajak merasa bahwa penyuluhan yang diberikan sangat bermanfaat, mereka sangat antusias mengikuti kegiatan. Disarankan kepada Kepala Dusun Pajak agar senantiasa memotivasi warganya untuk melakukan pengelolaan sampah dan SPAL sesuai standar kesehatan.

Pengaruh promosi kesehatan menggunakan media leaflet terhadap pengetahuan masyarakat tentang diabetes melitus tipe-2 di Puskesmas tahun 2024 Crystandy, Muhammad; Siregar, Dian Maya Sari; Nisa, Khatrun
Jurnal Kesmas Prima Indonesia Vol. 8 No. 2 (2024): Edisi Juli
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v8i2.5534

Introduction: Diabetes Mellitus is a disease that can kill a person slowly and still occurs in Indonesia, including in one of the community health centers in North Aceh Regency. Indonesia is in 7th place in the top 10 countries with a total of 10.7 million Diabetes Mellitus sufferers.: this research is to determine the effect of health promotion using leaflet media on public knowledge about Type 2 Diabetes Mellitus at the Lhoksukon Health Center, North Aceh in 2024. Type of research: this uses quantitative research with Pre-Experimental Design with a One Group Pretest-Posttest research design . The population in this study were people aged >40 years who were at risk of developing type 2 diabetes mellitus with a sample size of 15 respondents using the purposive sampling technique. Data analysis used univariate and bivariate analysis with the Normality Test and Paired Sample T-Test. The results of the analysis show that the respondent's answer value or mean for pretest knowledge is 7.33, for posttest knowledge it is 10.60. The probability value of knowledge before and after being given health promotion using leaflet media is (sig-p) 0.000 < 0.05. This means that there is an influence of leaflet media on public knowledge about Type 2 Diabetes Mellitus. The conclusion of this research is that there is an influence of leaflet media on public knowledge about Type 2 Diabetes Mellitus at the North Aceh Lhoksukon Community Health Center in 2023, with a sig-p value = 0.000. . It is recommended that local health centers utilize leaflets in selecting health promotion media

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