M. Arie Wuryanto
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PERBEDAAN BATUK EFEKTIF METODE PURSED LIP BREATHING TERHADAP KUALITAS SPUTUM Haryanto -; Praba Ginanjar; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat Indonesia Volume 2. No. 2. Tahun 2005
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6955.649 KB) | DOI: 10.26714/jkmi.2.2.2005.%p

Abstract

Latarbelakang: Tuberkulosis paru (TB paru) adalah penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis atau disebut basil tahan asam (BTA). Diagnosis TB paru ditegakkan dengan menemukan BTA dalam pemeriksaan sputum. Husil pemeriksaan sputum sangat ditentukan oleh kualitas sputum. Sputum yang dihasilkan dapat berkualitas baik jika penderita melakukan batuk yang efektif, antara lain dengan metode pursed lip breathing.Tajuan: Penelitian ini bertujuan untuk mengetahui perbedaan cara batuk efektif menggunakan metode pursed lip breathing dengan kualitas sputum. Metode penelitian yang digunakan adalah eksperimen kuasi dengan post test only with control group design. Subyek penelitian adalah suspek TB paru yang dipilih dengan teknik consecutive sampling. Suspek TB paru dibagi menjadi dua kelompok yaitu kelompok perlakuan yang diberi perlakuan cara batuk efektif menggunakan metode pursed lip breathing dan kelompok kontrol. Jumlah suspek TB paru seluruhnya 120 orang, dibagi 60 orang pada masing-masing kelompok. Hasil penelitian menunjuklcan terdapat 11,7% kasus BTA positif dari 120 suspek yang diperiksa. Proporsi sputum berkualitas baik pada kelompok kontrol (41,7%) jauh lebih rendah dari kelompok perlakuan (83,3%). Analisis dengan chi-square membuktikan ada perbedaan antara carabatuk efekttf metode pursed lip breathing terhadap kualitas sputum yang dihasilkan (p<0,0001). Pada kelompok kontrol tidak ada kasus BTA positif yang berhasil ditemukan pada pemeriksaan sputum pertama (0,00'%,).Sebaliknya, seluruh kasus dengan BTA positif pada kelompok perlakuan (100,0%) dapat ditemukan pada pemeriksaan sputum pertama. Simpulan: cara batuk efektif menggunakan metode pursed lip breathittg berhubungan erat dengan kualitas sputum yang dihasilkan pada pemeriksaan sputum sewaktu I. Disarankan agur metode tersebutdigunakan untuk meningkatkan efektivitas pemeriksaan sputum suspek TB paru.Kata kunci: tuberkulosis, batuk, sputunt
GAMBARAN KEJADIAN OBESITAS, ASUPAN GIZI DAN AKTIVITAS FISIK BERDASARKAN STATUS ANDROPAUSE PADA PRIA USIA 30-50 TAHUN (Studi di Kecamatan Tembalang Kota Semarang) Rofida Ulinnuha; Ari Udiyono; Mateus Sakundarno Adi; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.435 KB) | DOI: 10.14710/jkm.v6i1.19883

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Andropause is a syndrome caused by reduction of testosterone level followed by decline of physical, psychological and sexual abilities in older men. Reduction of testosterone is accelerate by external factors such as the increase of body fat or commonly called obesity. In addition, nutritional intake and physical activity affect to body fat, it also known affect testosterone level through hormone circulation. The purpose of this study is to describe obesity incidence, nutritional intake and physical activity based on andropause status among men 30-50 years old in Tembalang District. The type of this research is descriptive study with cross sectional design. The sample size in this study are 100 men among 30-50 years old selected by criterias of study. Sample size divide by population among men 30-50 years old in each sub-district using proportional stratified random sampling, then it selected using purposive sampling. The resultshowed that based on andropause status, respondent who had andropause are 56%, 60% of them had BMI classified as obesity, 61,7% had body fat percentage classified as obesity, 66.7% had waist circumference classified as central obesity, 57,4% had less energy intake, 71.4% had excessive protein intake, 59.4% had normal fat intake, 58% had less Zinc intake and 67.8% had low physical activity. It is recommended to control weight and physical activity regularly.
Rat Density of Leptospirosis Case in Puskesmas Ngemplak Boyolali Regency Muhamad Zulfikar Firdaus; Retno Hestiningsih; Martini Martini; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.669 KB) | DOI: 10.14710/jkm.v7i4.24897

Abstract

Leptospirosis is a disease caused by bacterial infection of Leptospira sp and a animals disease that can be transmitted to humans. Bacteria Leptospira live in the body of an infected animal and will come out with the animal's urine. Rats as a host acts as a reservoir plays an important role in the epidemiology of disease transmission and its close to human life that can be deadly, namely leptospirosis. This research is a descriptive study with a cross-sectional case study method. The variables of this study are the type of rat, sex of the rat, trap success, number of rats, density of Rats. Sampling by placing live-trap in a place that has sign traces of rats in 4 houses of leptospirosis patients and 14 houses around each house of leptospirosis patients. Sample size depends on the number of rats that are caught during this study. The results of the study showed that 14 male rats and 27 female rats were caught. Total number of rats caught was 41 rats with a success trap of 17.1% in dense category. Rats were caught from two types, namely Rattus tanezumi (rat's house) as many as 15 with an average weight of 202 gram and Rattus norvegicus (sewer rat) as many as 26 with an average weight of 239 gram.
HUBUNGAN AKTIVITAS FISIK, SCREEN BASED ACTIVITY DAN SLEEP HYGIEN DENGAN KUALITAS TIDUR PADA REMAJA USIA 15-18 TAHUN (Studi pada Siswa di SMA Negeri 1 Ungaran) Anisa Ayu Yolanda; M. Arie Wuryanto; Nissa Kusariana; Lintang Dian Saraswati
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.464 KB) | DOI: 10.14710/jkm.v7i1.22861

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Sleep as basic human needs that must be fulfilled based on quality and quantity. Health problems related to sleep in a long period in adolescence will have an impact on health status in adulthood.The purpose of the study to analyze physical activies, screen based activity, and sleep hygiene to sleep quality in adolescent. Analytical research with cross sectional approach. research conducted in June to December 2017 in SMA Negeri 1 Ungaran with total sample 102 students, selected by multistages random sampling. Data collection was conducted through interviews used a questionnaire Adolescent Sleep Hygiene Scale (ASHS) and Pittsburgh Sleep Quality Index (PSQI). Respondents with low physical  activities (63,7%), have bad habit of screen based activity (93,1%), bad sleep hygiene (54,9%) and bad sleep quality (76,5%). Based on analysis bivariat test Rank Spearman, there was relationship between sleep hygiene with sleep quality (p=0,003). Meanwhile, there was no relationship between physical activity (p=0,927) and screen based activity (p=0,216) with sleep quality.
GAMBARAN PENGETAHUAN, SIKAP, DAN PERILAKU PEMAKAIAN KELAMBU BERINSEKTISIDA TAHAN LAMA (KBTL) (STUDI DI WILAYAH KERJA PUSKESMAS KALIGESING KABUPATEN PURWOREJO) Dina Dwi Septiyani; M. Arie Wuryanto; Ari Udiyono
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.175 KB) | DOI: 10.14710/jkm.v6i5.22020

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Background. In 2017, the event who named Pekan Kelambu Anti Nyamuk Massal di daerah Fokus (PKMF) was implemented to achieve the target of malaria elimination in 2030. A total of 8 villages in Kaligesing Health Center, Purworejo District received the highest number of 11,302 Long Lasting Insecticidal Net‟s (LLIN‟S) with a total of 5,531 households. From 2015-2016, Kaligesing Health Center had received LLIN‟s for 218 malaria patients but had not changed the status of endemicity with API of 2015-2017 is 6,16, 4,75, 1,24. The purpose of this study was to describe knowledge, attitude and the usage behavior of Long Lasting Insecticidal Net‟s (LLIN‟S).Methods. Descriptive research with cross sectional approach. A total of 100 respondents of 5.531 households who received bed nets that met the criteria to be the subject of research. The sampling method used was simple random sampling with a proportion formula for 8 villages. These villages were Jatirejo, Somongari, Donorejo, Tlogoguwo, Pandanrejo, Kaligono, Kaliharjo and Sudorogo.Results. There was 69% of respondents had good knowledge. The percentage of good and bad attitudes towards received LLIN’s programs was almost the same (1.3:1). 63% of respondents were disposed to set LLIN’s and 53% slept in LLIN’s every night. Conclusion. From this study it can be concluded that the level of good knowledge was more often found in respondents from college/academy graduates, as well as respondents who did not work, and respondents who had good knowledge and attitude to slept more in LLIN’s every night.
PEMETAAN KEPADATAN JENTIK DAN KASUS DBD DI WILAYAH KERJA PUSKESMAS MERTOYUDAN I KABUPATEN MAGELANG Irva Rahmi Yuliasari; Mateus Sakundarno Adi; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 3 (2019): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.465 KB) | DOI: 10.14710/jkm.v7i3.25758

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The Mertoyudan I health center area is an endemic area of dengue. One of factors that influence the incidence of DHF are density larvae. There is no mapping of density larvae and DHF cases in the work area of the Mertoyudan Health Center I. The purpose of this study is to describe and map the density of larvae and DHF case in the working area of Mertoyudan I health center. This study is a descriptive study using  cross sectional study design with a spatial approach. Samples taken 100 houses using sampling with probability proportional to size method. The mapping results, 2 villages had medium larvae density, 2 villages had medium larvae density and 1 village had  high larvae density. Suggestions for the community to pay more attention to cleanliness of water reservoirs in the area around the house that are potential for breeding larvae Aedes sp.
SURVEI KANDUNGAN RESIDU OKSITETRASIKLIN PADA HATI AYAM YANG DIJUAL DI PASAR TRADISIONAL KECAMATAN BANYUMANIK KOTA SEMARANG sheila choirunnisa; M. Arie Wuryanto; Nissa Kusariana; Lintang Dian Saraswati
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.818 KB) | DOI: 10.14710/jkm.v7i4.24886

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OTC is commonly used in medicine and is one of the main antibiotics used in zootech-nical and veterinary practices as feed additive to ensure wellness of farmed. Antibiotic commonly used in livestock industry to prevent disease amd as feed additive. However, the use of antibiotics can cause residues in livestock products that produced by antibiotics used not in accordance with the rules. The purpose of this study is to determine the description of the presence of oxytetracycline antibiotic residues in chicken liver sold in the traditional market of Banyumanik District, Semarang City. The type of this study used is descriptive study. The sample taken is chicken liver which is sold in Rasamala and Damar traditional markets while sample testing is carried out in Boyolali BALIVET laboratory. The number of samples issued amounted to 23 samples, namely 21 samples of liver broiler chicken and 2 samples of kampong chicken. The results showed that all samples of chicken liver did not contain oxytetracycline residues. The trial of antibiotic residue uses Bioassay method to know residue of oxytetracycline in the sample. The result showed that chicken liver which sold in Rasamala and Damar traditional market is secure from the presence of oxytetracycline antibiotic residue.
STATUS KERENTANAN NYAMUK ANOPHELES SPP TERHADAP LAMBDACYHALOTHRIN 0.05% DI KECAMATAN PITURUH KABUPATEN PURWOREJO Angelia Galuh Ningtyas; M. Arie Wuryanto; Lintang Dian Saraswati; Praba Ginandjar
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 2 (2019): APRIL
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.59 KB) | DOI: 10.14710/jkm.v7i2.24695

Abstract

Anopheles spp is a malaria mosquito vector in Purworejo Regency. The monitoring of the susceptibility status of Anopheles spp to insecticides not implemented. The purpose of this study was to determine the susceptibility status of Anopheles spp mosquitoes in Pituruh Subdistrict. The design of this study used quasi-experiment with samples of Anopheles spp mosquitoes as a result of F1 colonization The mosquitoes used for testing are female Anopheles spp mosquitoes. The total number of mosquitoes tested was 120 mosquitoes. Repetition was carried out 6 times with the details of 4 tubes as a treatment and 2 tubes as controls for each tube containing 20 mosquitoes. The results showed that the average knock down of Anopheles spp mosquitoes during the 60-minute exposure was 19 per repetition (92.5%). After a 24-hour holding, the average mortality of Anopheles spp mosquitoes was 20 per repetition (100%). Mosquito deaths reached 80 mosquitoes (100%) at 12 hours. In the control group, the number of mosquito deaths after 24 hours holding was 2 tails (0.5%), so there was no need to make corrections using the Abbots formula. Anopheles spp mosquitoes are said to be susceptible to lambdacyhalothrin so lambdacyhalothrin can still be used as vector control in Purworejo Regency.
Gambaran Densitas Mineral Tulang (DMT) pada Kelompok Dewasa Awal (19-25 Tahun) (Studi di Fakultas Kesehatan Masyarakat Universitas Diponegoro) Mega Nur Cahyaningsih; Lintang Dian Saraswati; Sri Yuliawati; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.844 KB) | DOI: 10.14710/jkm.v5i4.18525

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Bone mass density (DMT) accounts for the greatest contribution to bone strength. The decrease in DMT will affect bone strength and early predictors of future osteoporosis. Center for Research and Development of Nutrition and Food MOHRI showed that osteopenia has attacked young age aged under 25 years with prevalence 37,1%. This study was conducted on 95 active students of FKM UNDIP aged 19-25 years with accidentally sampling technique, consisting of 15 men and 80 women. The study design used was cross sectional. Bone mineral density is measured by densitometry, height using microtoa, and body weight is measured using digital scales, physical activity is measured using a 2x24 hour Recall, and interviews to determine the profiles of respondents, knowledge, family history of osteoporosis, and menstrual cycle for women. The picture of DMT of FKM UNDIP students is osteoporosis 22,1% and osteopenia 21,1%, and normal category 56,8%. The average for Bone Mineral Density is -1.17 SD with the highest score of 4.18 SD and the lowest value of -7.53 SD. The average knowledge level was good (58,9%), as many as 20% of respondents had family member ever had osteoporosis, the most normal respondent IMT (72,6%) with mean of IMT 21,2 kg / m2. The level of mild physical activity was 57.9% with PAL 1.67, and menstrual cycle was 93.75% at most normal. Occurrence of osteoporosis and osteopenia in early adulthood (19-25 years) of students who have occurred need to be addressed with effective preventive measures
FAKTOR PERILAKU DAN FAKTOR LINGKUNGAN YANG BERHUBUNGAN DENGAN KEJADIAN MALARIA DI WILAYAH KERJA PUSKESMAS GEBANG KABUPATEN PURWOREJO Laela Isnaeni; Lintang Dian Saraswati; M. Arie Wuryanto; Ari Udiyono
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 2 (2019): APRIL
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.04 KB) | DOI: 10.14710/jkm.v7i2.24707

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Malaria is an infectious disease and still become a public health problem in Indonesia. Malaria transmission is influenced by several factors such as the environment, agent, and host. Purworejo is one of sub-districts in Central Java that has the highest malaria rate. One endemic sub-district in Purworejo is Gebang with MOPi in the early quarter of 2018 at 1.3 ‰. The purpose of this study was to analyze the relationship between environmental factors of malaria incidence in Kecamatan Gebang. This study was an observational analytical with case control design. The sample of this study amounted to 106 respondents with details of 53 cases and 53 controls. The univariate and bivariate were used to analyze the data. The results showed that were a relationship between habit of going out at night (p = 0,000; OR = 10,513), use of mosquito repellent (p = 0,036; OR = 2,710), existence of breeding place (p = 0,000; OR = 5,077), distance of breeding place (p = 0.011 OR = 2.963), existence of resting place (p = 0.003; OR = 4.313), and livestock cage (p = 0,000; OR = 10,014). The conclusion of this study is that there is a relationship between  habit of going out at night, use of mosquito nets, existence of breeding places, distance of breeding places, existence of resting places, and existence of livestock cages related to malaria incidence in Gebang.