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Siti Surasri
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Environmental Science Health Professions Immunology & microbiology Public Health

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PENGELOLAAN SAMPAH MEDIS DI RSU SURABAYA TAHUN 2017 Annisa’ Syarifah; Siti Surasri; Umi Rahayu
GEMA LINGKUNGAN KESEHATAN Vol 15, No 2 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i2.676

Abstract

Keberadaan Rumah Sakit selain membawa dampak positif, juga membawa dampak negatif yaitu adanya sampah yang dihasilkan dari kegiatan rumah sakit, yang jika tidak ditangani dengan baik akan menimbulkan dampak terhadap kesehatan masyarakat dan lingkungan. RSU Surabaya telah melakukan pengelolaan sampah medis, namun dirasa belum optimal. Penelitian ini bertujuan menganalisis pengelolaan sampah medis di RSU Surabaya.Jenis penelitian ini adalah deskriptif, yang dilakukan dengan survey penilaian. Jenis data yang digunakan adalah data primer dan sekunder. Penelitian ini menggunakan instrumen yang berupa kuesioner dan form observasi. Analisis dilakukan secara deskriptif dalam bentuk tabel yang kemudian dianalisis dan dibandingkan dengan literatur dan pedoman.Hasil penelitian di RSU Surabaya menunjukkan bahwa timbulan sampah medis terbesar berasal dari ruang rawat inap yaitu sebesar 10,45 Kg/hari/pasien. Sebagian besar kualifikasi petugas cleaning services telah memenuhi syarat yaitu sebesar 68%. Tingkat pengetahuan petugas cleaning services dalam hal pengelolaan sampah medis sebagian besar baik yaitu sebesar 69%. Tingkat pengetahuan perawat dalam hal pemilahan sampah medis seluruhnya yaitu sebesar 100%. Sebagian besar sarana prasarana dalam pengelolaan sampah medis telah memenuhi syarat yaitu sebesar 97,6%. Sebagian besar proses pengelolaan sampah medis telah memenuhi syarat untuk Rumah Sakit tipe B yaitu sebesar 96,7%.Disarankan untuk lebih meningkatkan dan mengoptimalkan proses pengelolaan sampah medis dengan baik agar tercipta lingkungan rumah sakit yang sehat. Kata kunci             : Pengelolaan, Sampah Medis, dan Rumah Sakit
STUDI KOMPARASI TEKANAN DARAH SEBELUM DAN SESUDAH TERPAPAR KEBISINGAN PADA TENAGA KERJA DI PT. ARTO METAL INTERNASIONAL SIDOARJO TAHUN 2012 Nabilah Zahidah; Siti Surasri; Hadi Suryono
GEMA LINGKUNGAN KESEHATAN Vol 11, No 1 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i1.176

Abstract

PT Arto Metal International is one of the companies that utilize production machineries capable ofproducing high-intensity noise. Among the impacts of such engines relate to various health problemsamong workers who work around noisy places such as increased blood pressure. Therefore it isconsidered necessary to learn the differences in blood pressure before and after exposure to occupationalnoise upon workers of the company.This research employed analytical approach, to study the dynamics between risk factors (exposureto noise) and effect (increased blood pressure), based on time. This is a cross-sectional study, since thevariables of risk factors and effects were observed simultaneously. Sampling is done by simple randomsampling, and data were analyzed for blood pressure before and after noise exposure, by way of Paired Ttests.Measurement of noise intensity results in an average of 94.9 dBA. This noise intensity exceeds theTLV (Threshold Limit Value) as designated by the Ministry Manpower No. 51/Men/1999 which is set at 85dBA for 8 hours/day or 40 hours/week. Results of the Paired T-tests, both for systolic and diastolic bloodpressure difference between blood pressure before and after exposure to noiseTherefore, it is suggested that the company execute noise control in technical, administrativeaspects, and provided a number of ear protective devices so that every worker will wear ear protectorswhen workingKeywords: blood pressure; noise.
FAKTOR RESIKO DAN KElADIAN LEPTOSPIROSIS DI KABUPATEN PONOROGO (Studi Kasus Di Wilayah Kecamatan Ngrayun Dan Kecamatan Badegan Tahun 2014) Rahma Ika Pratiwi; Siti Surasri; Koerniasari .
GEMA LINGKUNGAN KESEHATAN Vol 12, No 2 (2014): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v12i2.61

Abstract

Leptospirosis is a zoonotic disease with rodents (rat), pigs, cows, goats, sheep, horses, dogs, cats,birds, insectivores (hedgehogs, bats, squirrels) acting as the reservoir that have been infected by theagent of the disease leptospiroses leptospira bacteria. leptospiroses outbreak in Ponorogo namely inNgrayun Sub District in 2011 until 2013 marked the highest the number of cases. In 2013 an incident ofleptospiroses involved 20 patients in Ngrayun sub district and 7 people in the district Badegan subdistrictand in 2013 leptospiroses appeared for the first time in Badegan. The purpose of this study was todetermine the risk factors and the occurrence of leptospirosis cases in Ngrayun and Badegan subdistrictsof Ponorogo in 2014.The type of this research is descriptive with case study design to assessand describe the conditionof the cases and the associated risk factors . The research subjects were leptospiroses patients and theirhomes. Research variables in this study were the physical environment, biological environment, socialenvironment, and behavioral factors.Results of the observations and interviews using Guttman scale factors included the state of thephysical environment, poor water storage, poor use of river/weill, and the distance of the waste collection.Biological environment factors included the presenceof rats, the presence of farm animals or pets. Socialenvironmental factors included the level of education and type of occupation, they were also poor.Behavioral factors which included the habit of bathing, washing hands, use of footwear, treatment ofwounds, were all in poor state.The final conclusion is that the state of the risk factors, that include the physical environment.biological/ social and behavioral factors are in poor state. These call for counseling and testing of ROTtoimprove knowledge and insiqhts and to change people's behavior and to review the leptospirosesprevention program
TEST OF COPPER WIRE DOSE EFFECTIVENESS ON LARVAL MORTALITY OF Aedes Aegypti MOSQUITO IN 2015 Pristiana Rahayu; Winarko .; Siti Surasri
GEMA LINGKUNGAN KESEHATAN Vol 13, No 2 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i2.84

Abstract

Control of Aedes aegypti mosquito population still leaves problem that needs to be addressed. Theuse of copper wire as an alternative of  larvicide has been studied yet it has not shown asatisfactory result. This is study pure experimental research using research design post test only control group designwith larvae of Aedes aegypti third instar as samples. Methods of data analysis were descriptiveanalysis and analytical analysis.Experiment result shows that based on the success criteria for effective control and safe for health,this research has not found an effective dose of copper wire to kill larvae of Aedes aegyptimosquito that is safe for health for the percentage of larval mortality with concentration of 38.7%Cu was still below 2 ppm.It is recommended that governments and communities use and promote copper wire as analternative larvicide for vector eradication of dengue with predetermined limit of use that is safe forhealth. Further research can be also carried out with media source of water and variety of concentration.
GAMBARAN KEJADIAN SKABIES DI PONDOK PESANTREN TRADISIONAL DAN PONDOK PESANTREN MODERN Ella Elzatillah S; Siti Surasri; Sri Mardoyo
GEMA LINGKUNGAN KESEHATAN Vol 17, No 1 (2019): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v17i1.1054

Abstract

Penyakit kulit scabies dapat ditularkan secara langsung melalui berjabat tangan, tidur bersama, dan melalui hubungan seksual, dan tidak langsung melalui bergantian pakaian, bergantian handuk, personal hygiene yang jelek dan sanitasi yang jelek, penyakit scabies juga dapat menular dengan cepat pada suatu komunitas, seperti dipondok pesantren. Dalam penelitian Mushallina Lathifa dinyatakan 76,7% santriwati pada PPM diniyyah pasia sebagai suspect scabies, dan berhubungan dengan faktor personal hygiene, kepdatan hunian.Jenis penelitian deskriptif dengan pendekatan cross sectional bertujuan mengetahui gambaran faktor-faktor terjadinya penyakit scabies di PPT Gading Mangu Perak Jombang dan PPM Surabaya. Populasi penelitian adalah santri PPT Gading Mangu Perak Jombang dan PPM Surabaya, sampel sebesar 72 santri (PPT) dan 27 santri (PPM) diambil secara random.Hasil penelitian di Pondok Pesantren Tradisional Gading Mangu Perak Jombang terdapat 52 santri (72,2％) yang mengalami kejadian skabies, 19 santri (26,3％) yang memiliki pengetahuan rendah, 40 santri (55,5％) yang bergantian pakaian, 42 santri (58,3％) yang bergantian handuk, 50 orang (69,4％) yang tidur berhimpitan, dan di Pondok Pesantren Modern Mahasiswa Surabaya terdapat 3 santri (11,1％) yang mengalami kejadian skabies, 2 santri (7,4％) yang memiliki pengetahuan rendah, 3 santri (11,1％) yang bergantian pakaian, 1 santri (3,7％) yang bergantian handuk, 0 orang (0％) yang tidur berhimpitan. Tidak ada hubungan faktor dengan kejadian scabies.Pondok Pesantren dan santri supaya meningkatkan perilaku hidup bersih dan sehat, terutama menjaga kebersihan lingkungan dan individu, tidak melakukan bergantian pakaian, tidak melakukan bergantian handuk, tidak melakukan tidur berhimpitan. Kata kunci: Skabies, Pondok Pesantren, pengetahuan, perilaku
UJI POTENSI BOTOl PLASTIK BEKAS AIR MINERAL SEBAGAI MEDIA lEKAT PADA PROSES ANAEROBIK BIOFllTER DAlAM MENURUNKAN KONSENTRASI COD, BOD, DAN TSS L1MBAH CAIR RUMAH TANGGA Diana Mega Pertiwi; Didik Sugeng P; Siti Surasri
GEMA LINGKUNGAN KESEHATAN Vol 11, No 2 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i2.197

Abstract

Treatment of household wastewater could be difficult because of the high cost andland requirement. An alternative solution to wastewater treatment is the Up Flow AnaerobicBiofilter system. Commonly, Up Flow Anaerobic Biofilter treatment system use bioball asattached growth media. This study did not use bioball media due to the high cost, instead ituse discarded plastic mineral water bottles as an attached growth media. The purpose of thisstudy was to measure the removal efficiency of COD, BOD, and TSS concentrations followingtreatment with anaerobic biofilter system.This study was a quasi-experiment and using a pre-post test design. The studycompared domestic wastewater quality before and after processing with anaerobic biofiltersystem using discarded plastic mineral water bottles as an attached growth media. The depthof the attached growth media in the reactor was 33 cm and the diameter was 30 cm.Acclimatization process was performed for 14 days and operated for 24 days. Samples weretaken six times every four days to examine the COD, BOD, and TSS concentrations.The results obtained of this study are : The average influent COD concentration was254.76 mgjl, effluent COD concentration was 143.57 mgjl and the COD removal efficiency was43.52%. The average influent BOD concentration was 151.01 mgjl, effluent BODconcentration was 109.71 mgjl and the BOD removal effiCiency was 27.21%. The averageinfluent TSS concentration was 43.3 mgjl, effluent TSS concentration was 11.67 mgjl and theTSS removal efflciencv was 72.5%. Based on one sample t-test, the average removalefficiency of COD, BOD, and TSS concentrations were significantly different from thedeslqnated criteria for organic removal efficiency. In other words, it is not efficient (p0,05).It was so because of the operational duration of the anaerobic biofilter was not long enough(24 days) and the initial organic concentration was low.The suggestions for further research are: Controlling influent concentration at stablelevel during operation, controlling the ratio of media and water volume, and calculatingnutrients needed (C, N, P).Keywords: anaerobic biofilter, plastic media, domestic wastewater
ANALISIS KEJADIAN DIARE BERDASAR KEADAAN SARANA SANITASI DASAR RUMAH DAN PERILAKU PENGHUNI DI DESA GISIK CEMANDI SIDOARJO TAHUN 2016 Firdha Rizkhy Asedha; Siti Surasri; Sudjarwo .
GEMA LINGKUNGAN KESEHATAN Vol 14, No 2 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i2.252

Abstract

Diare merupakan penyakit endemis di Indonesia dan merupakan penyakit potensial KLB yang seringdisertai dengan kematian. Penelitian yang dilakukan di desa Gisik Cemandi ini bertujuan untuk menganalisisfaktor Diare yang mungkin menjadi penyebab, yaitu Sarana Sanitasi Dasar dan perilaku penghuni. Survey Cross Sectional dilakukan terhadap 84 sampel yang dipilih secara random dari 511 populasi.Data dikumpulkan dengan cara mengobservasi objek dan wawancara terhadap ibu Balita. Analisis Chi2 dilakukanuntuk menguji hipotesis. Hasil penelitian menunjukkan sebagian besar rumah memiliki sarana sanitasi dasar yang tidakmemenuhi syarat walaupun sebagian besar perilaku penghuni rumah masuk dalam kategori baik. Terbukti adahubungan antara keadaan sarana sanitasi dasar rumah dengan kejadian diare. Ada hubungan antara perilakupenghuni rumah dengan kejadian diare. Ada hubungan antara keadaan sarana sanitasi dasar dan perilakupenghuni rumah dengan kejadian diare. Karena ketiganya memiliki nilai p kurang dari α (0,05). Kesimpulan dari penelitian ini bahwa keadaan sarana sanitasi dasar dan perilaku penghuni rumahberhubungan dengan kejadian diare. Karena itu disarankan agar lebih meningkatkan keadaan sarana sanitasidasar, mempertahankan keadaan sarana sanitasi dasar yang telah memenuhi syarat, juga mempertahankanperilaku baik penghuni rumah supaya dapat mengurangi angka kejadian diare.Kata kunci: diare, faktor perilaku, sanitasi dasar rumah
KUALITAS PETIS HASIL INDUSTRI RUMAH TANGGA DI DESA SOCAH KECAMATAN SOCAH BANGKALAN MADURA TAHUN 2016 Dema Indah Sulistyorini; Sukiran Al Jauhari; Siti Surasri
GEMA LINGKUNGAN KESEHATAN Vol 15, No 1 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i1.578

Abstract

ABSTRACTPetis is a pasta-like food made of fresh fish/shrimp. Petis is usually produced by IRT innon sanitary way. These conditions allow the pollution/contamination of the petis production, eitherby microorganisms, physical objects, or chemicals. This study aims to determine the quality ofpetis production in Socah, Bangkalan, Madura.This research is a descriptive research. Data were collectetd by observations andlaboratory tests. There were 3 petis industries in Socah, where we took samples.The results showed that the quality of petis in physical aspects were not qualified, thechemical aspects were good, and microbiological aspects of two samples were not eligible. Sanitaryconditions of the production-sites were less than 53.4%, but the domestic industry‟s score were68%.The final conclusion is that petis production in Socah Madura is ineligible, on physical andmicrobiological aspect. Only in chemical aspect they were eligible. It is recomended to the peopleto be careful in buying any petis from Socah, test the smell and texture before used for dressing infood.Keywords : Petis, Physical, Chemical and Microbiological Quality.
DAUN ANGSANA SEBAGAI ALTERNATIF PEMBUATAN KOMPOS DENGAN METODE BIOPORI PADA KONDISI BANJIR TAHUN 2016 Fariani Pratiwi Putri; Siti Surasri; Sri Mardoyo
GEMA LINGKUNGAN KESEHATAN Vol 14, No 3 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i3.257

Abstract

Surabaya is one of frequently flooded city in Indonesia. The installation of box culvert and Angsana tree planting on the roadside are efforts to minimize flooding. The Angsana tree planting have an impact in the form of excessive leaf waste. Processing the leaves as compost is one effort to reduce the waste. Composting is carried out by using biopori method. Biopori method was chosen since it can be used for composting and serves as a rainwater catchment pit. This is a descriptive study which compare the results of composting by using biopori method on flood conditions and non-flood condition. The results were adjusted to SNI compost. The C/N ratio and composting time are two big considerations in this research. The survey results revealed that the average of C/N ratio was 48.43 before composting, 12.60 after composting in flood conditions and 18.06 in non-flooded condition. The average of temperature, humidity and pH after composting in flood condition were 38℃, 65% and 7 respectively, while after composting at non-flooding were 41°C, 55%, and 7 respectively. The physical condition after composting in flood and non-flood conditions was the same, dark brown-black, ground smell, and soft and easily crushed, yet on flood condition was more friable resembles soil more. The duration needed for the composting process in flood and non-flood condition was the same by 23 days. In flood condition, the shrinkage was faster than in non-flood conditions. In flood condition, the humidity was very high that sawdust was added little by little and the compost was stirred regularly to reduce humidity. Keywords : AngsanaLeaf, Biopori, Compost
ANALISIS RISIKO PAPARAN PB PAOA MAKANAN JAJANAN PINGGIR JALAN 01 SO PUCANG KOMPLEK KABUPATEN SIOOARJO Vivin Elvionita; Siti Surasri; Rachmaniyah .
GEMA LINGKUNGAN KESEHATAN Vol 11, No 3 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i3.198

Abstract

Roadsidefoods sold in Pucang complex elementary school pose risks of lead exposure,but children liked them. These childrena population at risk, in fact they have been exposed tolead, therefore their intellectual dexterity can be severely affected. The extent of lead exposurecan be analyzed to estimate whether or not such food is safe for consumption within a certainperiod of time. Therefore, this study aimed to carry out a risk analysis of lead exposure uponroadside food in SD PucangComplex Sidoarjo.This is an exploratory descriptive study. The population are all roadside foods sold inPucangelementary school especially beside JI. Ahmad Yani. Samplesconsisted of roadside foodthat has been exposed for 2 hours. Data were analyzed descriptively by finding RQvalues fromthe calculated intake.The results of lead examination in roadside food discovered as much as 8.288 ppm inbatagor, 6.637 ppm in siomay and 3.751 ppm in meatballs. Following analyses of theseexposures, a minimum intake of 20 mg/ kg.day and a maximum intake of 44.2 mg/ kg.day. Inthe risk characterization stage, RQminimum value of 2.108 and RQmaximum value of 4,42.108were obtained. The study concluded that the concentration were not safe for consumption. Riskmanagement strategy was carried out by calculating safe concentration limit of lead at theamount of 1,875. 10-8 mg/gr.day and the limit for safe consumption rate of lead at the amountof 1.8. 10-7 gr/ day. Meanwhile, the risk management means consisted of technologicalapproach, socia-economicapproach, and institutional approach.Therefore it is advisable to initiate training for vendors, use of food cover, conductfollow up research and disseminate information on the dangers of contaminated roadside foodto students of Pucangelementary school.Keywords : Lead, roadside foods, risk analysis, SO Pucang Complex
Co-Authors Annisa’ Syarifah Dema Indah Sulistyorini Diana Mega Pertiwi Didik Sugeng P Ella Elzatillah S Farhatul Latifah Fariani Pratiwi Putri Firdha Rizkhy Asedha Hadi Suryono Koerniasari . Madinatul Rahmah Nabilah Zahidah Pristiana Rahayu Rachmaniyah Rahma Ika Pratiwi Sri Mardoyo Sudjarwo . Sukiran Al Jauhari Umi Rahayu Vivin Elvionita Winarko, Winarko