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ANALISIS FAKTOR YANG MEMPENGARUHI TEKANAN DARAH TENAGA KERJA YANG TERPAPAR PANAS TAHUN 2017 Kharisma Amalia; Erna Triastuti; Suprijandani .
GEMA LINGKUNGAN KESEHATAN Vol 15, No 3 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i3.690

Tenaga kerja yang terpapar panas dapat mengalami peningkatan tekanan darah. Peningkatan tekanan darah juga bisa disebabkan oleh karakteristik individu tenaga kerja yaitu usia,masa kerja, status gizi, dan kebiasaan merokok. Penelitian ini bertujuan mempelajari pengaruh faktor yang mempengaruhi tekanan darah tenaga kerja yang terpapar panas.Jenis penelitian ini adalah penelitian analitik observasional dengan desain cross sectional. Prosedur pengumpulan data dilakukan dengan observasi lingkungan kerja, wawancara tenaga kerja, pengukuran tekanan darah (sistolik dan diastolik) sebelum dan sesudah bekerja, dan pengukuran tekanan panas dilakukan dengan metode Indeks Suhu Basah dan Bola (ISBB). Jumlah sampel sebanyak 36 tenaga kerja diambil secara simple random sampling. Selanjutnya data yang sudah dikumpulkan dianalisis dengan uji wilcoxon signed ranks dan uji kendall’s tau.Hasil penelitian pada pengukuran tekanan darah menunjukkan 77,8 % tenaga kerja mengalami peningkatan tekanan darah sesudah bekerja dan sebagian besar (91,7%) tenaga kerja terpapar tekanan panas 28oC. Sebagian besar (72,2%) berusia 40 tahun dengan masa kerja (86,1%) 5 tahun, dan (58,3%) memiliki status gizi normal, serta (69,4%) memiliki kebiasaan merokok.Kesimpulan dari penelitian ini adalah ada pengaruh antara tekanan panas, karakteristik individu (usia, masa kerja, dan kebiasaan merokok) terhadap peningkatan tekanan darah, p0,05. Tidak ada pengaruh antara status gizi terhadap peningkatan tekanan darah, p0,05. Disarankan perlu melakukan pengendalian teknik dengan menambahkan ventilasi alami berupa jendela, memperbaiki local exhaust ventilation yang tidak berfungsi dengan baik, serta menambahkan exhaust fan. Memberikan jam istirahat yang sesuai dengan SOP perusahan yang telah ditentukan dan memberikan tes kesehatan awal dan berkala. Alat pelindung diri khususnya baju kerja sebaiknya terbuat dari bahan katun. Kata Kunci : Karakteristik Individu, Tekanan Darah, Terpapar Panas

KUALITAS UDARA RUANG PERAWATAN PENYAKIT MENULAR DI RUMAH SAKIT PARU SURABAYA TAHUN 2016 Imro’atul Mufidah; Erna Triastuti; Ernita Sari
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.v14i3.255

Infectious disease treatment rooms are places with a high risk of the transmission of diseases and nosocomial infections. Therefore, there is a need for good environmental quality, either in terms of air quality, and room construction condition, cleaning process and number of occupant density. The study was a descriptive study aimed at describing the air quality of infectious disease treatment rooms in Lung Hospital Surabaya in 2016. Data were collected by means of observations, interviews, measurements and calculation of the airborne bacterial index. CFU/m3Results showed that the airborne bacterial index of inpatient rooms was 1030 CFU/m and 2628 CFU/m3 for Dahlia Room 1, Dahlia Room 2 and Pear Room, respectively. Room temperature was 29.8°C, 30.5°C and 30.9C for Dahlia Room 1, Dahlia Room 2 and Pear Room, respectively. Room humidity was 69%, 65% and 65% for Dahlia Room 1, Dahlia Room 2 and Pear Room, respectively. Room air velocity was eligible for Dahlia Room 1 and Dahlia Room 2 at 0.49 m/s and 2 0.18 m/s respectively, but It was not so for Pear Room at 0.89 m/s. Room lighting was 62 lux, 26 lux and 81 lux for Dahlia Room 1, Dahlia Room 2 and Pear Room, respectively. In conclusion, the airborne bacterial index, temperature, humidity and lighting in Lung Hospital Surabaya in 2016 did not meet the requirements as defined in Decree of the Minister of Health No. 1204/Menkes/SK/X/2004 on Hospital Environmental Health Requirements. It iis recommended to improve the cleaning and maintenance process of those rooms in accordance with health procedures and to improve construction of the rooms which do not meet the requirements. Keywords : Room air quality, Hospital

MICROBIOLOGICAL AIR QUALITY IN INTENSIVE NURSING WARDS, OF BRAWIlAYA HOSPITAL SURABAYA Septia Anggraini; Erna Triastuti; Moh. Muchson
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.v11i2.196

Intensive nursing rooms is known high risk zone in which the quality of air should bekept up to the highest standard because it may result in various health disorders. Thisresearch aims to discover the quality of air within the intensive nursing rooms of the BrawijayaHospital in Surabaya in 2013 through comparison with designated standards set forth inhealth ministry decree No. 1204/MENKES/SK/X/2004 re: health requirements of for hospitals.This descriptive research has been conducted at Brawijaya Hospital Surabaya in May2013. There were 11 rooms under study to be represented by air samples taken from 3rooms, i.e. Nusa Indah Room, Dahlia Room, and Tulip Room. The variables to be studiedamong others were microbiological quality of air as shown by number of germs, physicalmeasurements consisting temperature and humidity, assessment of room construction, densityof occupation, and purifying process.Results indicated that the highest number of germ before purifying process was 444CFU/m3 while at the time of patient visitation the number was 672 CFU/m3 meaning that theydid not comply to the requirements stated in health ministry decree no.1204/MENKES/SK/X/2004 which stated that the number of germs in children nursing room is200 CFU/m3 and adult nursing room is 200-500 CFU/m3• The highest temperature recorded atthe time before purifying process was 30°C and the humidity was 57%; while at the time ofpatient visitation the measurements indicated a temperature of 32°C and humidity of 58%.Density assessment has complied to the designated requirements: for a children nursing roomis 2 m2/bed and adult nursing room is 4.5 m2/bed. Pertaining to room and buildingconstruction of the intensive nursing ward that did not comply to the requirement was 60%while the purifying proces which did not comply with the requirements was 54%.Research concluded that number of germs in Nusa Indah Room at the time beforepurifying process and in Tulip Room at the time of patient visitation were clearly not complyingto the requirements. The suggestion included monitoring the quality of air on a regular basisin accordance with the health minister decree No. 1204/MENKES/SK/X/2004.Keyword: Mikrobiological, Air Quality, Intensif Nursing Wards

KUALITAS MIKROBIOlOGI UDARA DI RUANG RAWAT INAP PENYAKIT MENULAR 01 RUMAH SAKlT PARU SURABAYATAHUN 2012 Kiki Ayu Pratiwi; Rachmaniyah .; Erna Triastuti
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.v11i1.172

Surabaya Lung Hospital is one of health care institutions classified as Special Hospital that providesprimary care to a field or against certain type of disease. In the space of infectious disease hospitalization hasnot been done since the establishment of air quality inspections ward inpatient hospitalization so that thespace of potentially infectious diseases as a cause of infection among patients with officers Silang, patientswith medical equipment and patient with visitors. The objective of the research was to examine themicrobiological air quality in the treatment ward for infectious disease at Surabaya Paru Hospital 2012.This was a descriptive study, conducted in May 2012, collecting data from observations, interviews, fieldmeasurements, and laboratory tests. Data were subsequently analyzed descriptively, with reference todesignations in the Ministry of Health Republic of Indonesia/Menkes/SK/X/2004 on the requirementspertaining to Hospital's Enviromental Health.The result indicated that the total number of microorganisms in the treatment ward for infectiousdiseaseswas 1860 CFU/m3 by category It was classified as non-compliance, level of lighting was 44.1 lux andconsidered non-compliance, air velocity was 0.53 m / DKT which was in compliance, temperaturemeasurement resulted in non-compliance figure of 25°C, humidity was 77% that means a non-compliance,assessment of building maintenance process in treatment ward for infectious diseases resulted in apercentage of 66.6% that was In compliance, While in terms of Construction the percentage was 55% thatmeans it was not in compliance.Based on these results, the study find it necessary to improve cleaning services in order to makeimprovements in accordance with the SOP(Standard Operating Procedure) which applicable and preferably toIPS (Installation of infrastructure and fadlities) non-medical need such as the improvement of buildingconstruction that needsto be improved.Keywords: microbiological air quality, infectlous diseas

PENANGANAN LIMBAH MEDIS DAN PERILAKU PETUGAS CLEANING SERVICE DI RSUD Dr. SOETOMO SURABAYA TAHUN 2016 Risca Anesea; Erna Triastuti; Ferry Kriswandana
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.v14i2.243

Health workers who handle medical waste are at risk of the diseases faced because of germs from the skin infections, anthrax, meningitis, dengue, hepatitis A, Hepatitis B and C. The bacteria present in the blood are transmitted through blood. The highest risk of being infected by these diseases is when impaled by sharp or pointed object of the waste because it can damage the skin. The purpose of this study was to determine the behavior of CS officers (Cleaning Service) and the handling of medical waste in Dr. Soetomo hospital. This is a descriptive research with cross sectional approach. The collection of data was carried out through observation and interviews. The sample was 75 CS officers. Data were analyzed descriptively with table analysis.The results showed that Cleaning Services’ level of knowledge at Dr. Soetomo Hospital on handling medical waste with "Good" criteria was 90.8%. The CS attitude with "good" criteria was 88% and poor was 5.3%. CS’s behavior with "Good" criteria was 92% and "poor" was 6.7%. It can be concluded that of 75 Cleaning Service at Hospital Dr. Soetomo, most of them were well behaved and only a small proportion have poor behavior. The handling of medical waste in Dr. Soetomo hospital has been qualified in accordance with Kepmenkes No 1204 of 2004. It is recommended to conduct counseling on the importance of the use of personal protective equipment and the dangers of medical waste. Warning is also needed to officers whose work is not according to the rules. Keywords: CS Behavior, handling of medical waste

ANALISIS KANDUNGAN ZAT PEMUTIH “KLORIN” PADA IKAN ASIN DI PASAR TRADISIONAL (PABEAN) SURABAYA TAHUN 2015 Novi Alita Anuradha; AT. Diana Nerawati; Erna Triastuti
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.v13i2.86

Salted fish which uses Non Food Additives are often found in the community. Chlorine bleachmaterial is feared to be added to the salted fish sold in traditional markets. Chlorine is an importantchemical in water purification, disinfectant, bleach, and mustard gas.This is a descriptive research with the objective of determining the chlorine contained in somekinds of salted fish sold in "Surabaya PabeanMarket" by conducting laboratory tests and physicalquality assessment, as well as sellers level of knowledge about food bleaching agents. The resultindicated that 23 samples contained chlorine and 7 samples of salted fish dis not containchlorine.Quantitative laboratory test on salted fish samples showedthat out of 30 samples, allpositive contained chlorine (100%) with the highest level in medananchovies type of 9.335 ppmand the lowest was on the type of Gulama salted fish at 0.0103 (requirement of 0,00 or negative)that was banned to added to food by Permenkes 033 of 2012 on Food Additives. Measurementontraders’ level of knowledge on the production of salted fish shows that 9 out of 15sellerspossessed a good level of knowledge about the food bleach substance. To prevent salted fish containing chlorine, Department of Healthand other health institutions are suggested to conduct education to traders on the dangers of chlorine used in food by the that theydo not use chlorine as a bleaching agent.

EFEKTIVITAS TANAMAN MANGROVE DALAM MENURUNKAN KADAR DETERGEN DALAM AIR LIMBAH TAHUN 2017 Rizky Barka Prioko; Ferry Kriswandana; Erna Triastuti
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.v15i2.675

Semakin banyak macam jenis kegiatan yang berkembang di daerah perkotaan menyebabkan bertambahnya pula volume serta karakteristik air limbah, salah satunya adalah usaha jasa laundry. Penelitian ini bertujuan untuk mengetahui efektivitas tanaman mangrove jenis Rhizophora mucronata dalam menurunkan kadar detergen di dalam air limbah hingga sesuai dengan Peraturan Gubernur Jawa Timur Nomor 72 Tahun 2013. Penelitian ini merupakan penelitian Eksperimen Semu. Analisis data dilakukan secara analisis statistik ANOVA.Berdasarkan hasil penelitian dari beberapa reaktor dapat dinyatakan bahwa besaran tingkat penurunan kadar detergen bervariasi pada waktu 2 hari, 4 hari, dan 6 hari. Hal tersebut membuktikan bahwa akar tanaman mangrove jenis Rhizophora mucronata mampu menyerap kadar detergen yang terdapat pada media tanam dengan sangat efektif. Penurunan kadar detergen pada air limbah tidak hanya dipengaruhi oleh adanya tanaman mangrove, namun juga dipengaruhi oleh mikroorganisme yang terdapat pada susunan reaktor buatan yang berupa kerikil dan ijuk. Selain penyerapan oleh akar, bagian tanaman mangrove lain yang dapat menguraikan zat pencemar adalah bagian daun dan batang. Penurunan kadar detergen terbesar pada reaktor D dengan jumlah 4 tanaman dalam waktu tinggal selama 6 hari dengan penurunan hingga 6,4 mg/L. Sedangkan penurunan kadar detergen terkecil pada reaktor A dengan 0 tanaman dalam waktu tinggal selama 2 hari dengan penurunan hingga Perlu dilakukan penelitian lebih lanjut dengan jenis tanaman mangrove yang berbeda spesiesnya, misalnya Bruguiera gymnorrizha, Avicinea marina, Soniratia casularis. Kata kunci : mangrove, detergen, waktu detensi

HUBUNGAN KARAKTERISTIK INDIVIDU DENGAN NILAI AMBANG DENGARTENAGA KERJA (Studi Pada Ruang Produksi PT. Ispat Wire Products Sidoarjo) Oktavia Dwi Savitri; Erna Triastuti; SB. Eko Warno
GEMA LINGKUNGAN KESEHATAN Vol 13, No 1 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i1.82

PT. Ispat Wire Products is a company that utilizes various machines in its operation and generate high level ofnoise intensity. This situation may eventually affect the health of workers, especially in relation to the hearingthreshold value. Therefore it is necessaryto launch an investigative inquiries on the relationship of individual'scharacteristics such as age, years of service and use of hearing protection devices with the threshold hearingamong noise-exposed workers.This type of analytical study involved with a sample of 60 workers. Sampling was done by simple randomsampling, while the chi-square test was used in the analysis to determine the relationship of individual'scharacteristics with the threshold hearing level among noise-exposedworkers using.Measurements resulted in an average noise intensity of 96.8 dBA. The measured threshold value exceededthe specified figure designated in the Minister of Manpower Decree No. 51/Men/1999, which designated avalue of 85 dBA for 8 hours/day or 40 hours/week. Results of the chi-square test proved the relationshipbetween individual's characteristics including age, years of service and usage of PPDwith hearing thresholdamong noise-exposed workers.Therefore, it was recommended that the company should initiate both noise control engineering andadministrative measures, and set local regulation designating penalties against workers who violated theprovisions of the company.

KADAR DEBU DAN KELUHAN PERNAFASAN TENAGA KERJA (Studi Kasus Pada Tenaga Kerja di Gudang dan Penyortiran Bahan Baku Produksi Tali Rfia PT. Hobab Perkasa di Jombang) Anjar Pra Setyaningati; Musta'in .; Erna Triastuti
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.v11i3.199

Impacts of dust exposure may disturb working enjoymeny and in longer priod may causedisturbances on respiratory passages and pulmonary functions. In addition to dust exposure,respiratory complaints may be caused by other factors relating to the workers, such as age,length of occupation that may explain how long was a worker was exposed to dust, smokinghabit and their habit in wearing protective masks to protect their respiration. The purposes ofthis research was to describe level of dust concentration and complaints relating to workers'respiration. The study also engaged in the assessment of controlling efforts that includetechnical, administrative controls and the use self-protective devicesThis was a descriptive study using a cross sectional approach. Data collection was doneby observation, interviews and measurements. Population under study was the entire workerswho worked at warehouses and raw material sorting division. The number of the sample wasthe total of population of workers that amounted to 30 workers. Data were analyzeddescriptively using cross tabulation which explained the object under study.Result of the study indicated that the dust level measured from 30 samples was incompliance to the TLV (57%) that was 0.15 mg/m3 • Most of workers (63%) aged ~ 40 yearsold. Most of workers (63%) have smoking habit. Most of worker (93%) did not wear maskswhile working. Most of the workers (60%) have moderate complaint. The efforts in controllingthe issue was not satisfactory. Respiration complaints more likely associated to length ofoccupation, smoking habit, and utilization of protective masks.The study suggested to install Local Exhaust Ventilation to reduce dust level in theworkplace; the company was encouraged to make cooperation with related institutions inconducting OSH or K3 training, and the company should give rigid penalties against workerswho wear their PPD reluctantly.Keywords : Dust level, respiration complaint, Hobab Perkasa

REKAYASA DISAIN GENERATOR OZON SEBAGAI STERILISATOR MIKROORGANISME DALAM AIR Ferry Kriswandana; Khambali .; Erna Triastuti
JURNAL PENELITIAN KESEHATAN Vol 12, No 1 (2014): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (488.167 KB)

Ozone gas can be produced by a generator with mengkontakkan molecular oxygen and atomic oxygen on wave ultra violet rays. In particular the rate of ozone gas can serve as a disinfectant microorganisms in the water. The purpose of this study was to produce ozone generators as sterilisator microorganisms in the water. The study was helpful in developing techniques to process drinking water sterilisator ozonisasi through appropriate technology options for more effective and efficient . This study is Jurnal Penelitian Kesehatan 48 a research experiment by type, where researchers are planning an ozone generator and make the treatment of the sample group, namely an input air and oxygen with different capacities for gas ozone as a disinfectant microorganisms in the water. Ozone generators are designed in the material stenless steel with a 3 inch diameter, length 2 x 100 cm with a source of electrical energy and use 40 watts of ultraviolet light 2,242 nm wavelength, the ultraviolet source inputs independent air containing oxygen and pure oxygen in order to produce ozone gas that can be used as drinking water sterilisator. In this research produced ozone levels of 0.5 ppm of ozone generator with pure oxygen mengkontakkan within 1.18 minutes (71 seconds). Ozone gas at the rate of 0.5 ppm can be sterilisator debit drinking water with large 1.2 liter/minute Keywords: ozone generator, ozone gas, oxygen, sterilizer.

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