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HUBUNGAN KONDISI LINGKUNGAN FISIK RUMAH DENGAN KEJADIAN PNEUMONIA PADA ANAK BALITA DI KECAMATAN PACITAN KABUPATEN PACITAN Delima Kurnia Sari; Mursid Rahardjo; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.145 KB) | DOI: 10.14710/jkm.v6i6.22157

Abstract

During the last 3 years the incidence of pneumonia in Pacitan District fluctuated. The highest pneumonia incidence in 2017 was in Pacitan subdistrict with 146 cases with incident rate in 2017 was 38 per 1000 children. This study aimed to analyze the physical environmental of house factors associated with pneumonia in under-five children in Pacitan district. This research used observational analytic study with case control design. Samples in this research were 80 children aged 12-59 months  consisting of 40 case groups and 40 control group with age and sex of the children matching. Analysis of data using chi square test and Odds Ratio (OR). The result showed the majority of respondents' houses had wall types, occupancy density, proportion of house ventilation that fulfilled the requirements. Respondent's house has a range of room temperature ranging from 26.3 ºC -32.8 ºC and room humidity level 47.5% -77%. There were 4 related variables from 9 variabels such as  the presence of family members who smoked (p-value=0,035; OR=3,116; 95%CI=1,184-8,200), use of mosquito coils (p-value=0,034; OR=9,750; 95%CI=1,158-82,108), type of floor (p-value=0,042; OR=3,400; 95%CI=1,156-9,996) and lighting intensity (p-value=0,001; OR=7,364; 95%CI=2,204-24,602). It can be concluded that there is a relationship between condition of physical environment at home with pneumonia in children under five years in Pacitan district.
PERBEDAAN KADAR ALBUMIN DALAM DARAH SEBELUM DAN SESUDAH PEMBERIAN AIR KELAPA HIJAU PADA PEKERJA PAINTING (ALBUMIN DIFFERENCES IN BLOOD BEFORE AND AFTER GIVING GREEN COCONUT WATER ON WORKERS PAINTING DEPARTEMENT) Budi Waloyo; Onny Setiani; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (79.856 KB) | DOI: 10.14710/jkm.v4i3.13507

Abstract

Background: Departement of painting on karoseri X industry potentially provided lead exposure to workers, because of lead that contained in paint raw materials used. The lead exposure lead into the liver and may causing disruption on the production of albumin. In the green coconut water contain tannins substance that serves as a binder for lead in the blood and body fluids. Methods: This research using a quasi-experimental design with one group pretest-posttest design. The treatment done with the provision of green coconut water for 5 days. Samples that used in this research were 32 workers painting in karoseri X. The measurement method using the albumin level hematology analyzer, at a wavelength of 546 nm. The level of albumin in the blood that is carried out in the laboratory using Spectrometer- Atomic Absorption (AAS) method. Results:  There was a differences between the levels of albumin with t-test significance value (p-value) = 0.013 (p <0.05). Conclusion:  Differences between the levels of albumin in the blood workers painting departement before giving green coconut water and after giving green coconut water.
HUBUNGAN PAPARAN PESTISIDA DENGAN TEKANAN DARAH DIASTOLIK PADA PETANI HORTIKULTURA DESA KAPUHAN KECAMATAN SAWANGAN KABUPATEN MAGELANG Siti Nurkhayati; Nurjazuli Nurjazuli; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.555 KB) | DOI: 10.14710/jkm.v6i6.22195

Abstract

Cultivated by farmers in Kapuhan Village is horticulture. The results of the preliminary study, the type of pesticide that is widely used is organophosphate class of insecticides which use exceeds the dose. When spraying, farmers also do not use complete personal protective equipment. Hypertension in the Kapuhan Village in 2017 was found as many as 426 cases with a prevalence of 10.02%. The purpose of this study is to determine the relationship of pesticide exposure with diastolic blood pressure to horticultural farmers in Kapuhan Village, Sawangan District, Magelang. This research is an analytic  observational study with a cross-sectional approach. The study was conducted in five hamlets in the Kapuhan Village with a total of 60 respondents determined by the proportional allocation method. Statistical test results showed that there was a relationship on the working period to diastolic pressure (p = 0,000), on the dose variable to diastolic pressure (p = 0.005), as well as the variable storage of pesticides against diastolic pressure ( p = 0.015). There is no correlation between the variable length of work on diastolic pressure (p = 0.145), the frequency of spraying variable on diastolic pressure (p = 0.059), the personal protective equipment variable on diastolic pressure (p = 0.335). From this study it can be concluded that blood pressure is influenced by working period,  pesticide doses, and storage of pesticides. It is recommended to have regular blood pressure checks on farmers by health workers.
PERBEDAAN KADAR HEMOGLOBIN (Hb) DALAM DARAH SEBELUM DAN SESUDAH KONSUMSI AIR KELAPA HIJAU (Green Coconut Water) PADA PEKERJA YANG TERPAPAR TIMBAL (Pb) DI KAROSERI X SEMARANG Qorina Sabila Fa&#039;iza; Onny Setiani; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.926 KB) | DOI: 10.14710/jkm.v4i3.13689

Abstract

Paint are one source of exposure lead. Lead used as a pigment in paint. The spray of paint is common in use on various industry, for example, painting car industry. Karoseri industry is the automotive industry engaged of making assemble bus and order, interior furnish, and sell it based of their companies. The study was taken at painting workers because it is often exposed lead from paint that used. Lead coming through the bronchi and the digestive tract could enter blood heme hinder the sites that might reduce the production of hemoglobin blood that led to the emergence of an impairment of health. The purpose of this research is to analyze the difference in the blood levels of hemoglobin before and after water consumption green coconut on workers painting exposed to lead in the karoseri industry. The study including research with the design study quasi experiment that uses one group pre test -- post test design. The data collected covering characteristics of respondents (age, discharging personal protective equipment, the activity of smoking, and length of employment), lead in blood levels, and the hemoglobin in blood before and after intervention. Analysis data using the Wilcoxon test shows meaningful differences (p value 0,001) between levels of hemoglobin in blood before and after the consumption of green coconut water. The conclusion is green coconut water able to improved workers who exposed lead industry. Advice for workers in painting, green coconut water good consumed each day during work to reduce the effects of exposure to lead in the blood to improve levels hemoglobin (Hb) in blood and avoid interference effects health.
EVALUASI PENGELOLAAN LIMBAH BAHAN BERBAHAYA DAN BERACUN (B3) DI RUMAH SAKIT ROEMANI MUHAMMADIYAH SEMARANG Vinidia Pertiwi; Tri Joko; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.77 KB) | DOI: 10.14710/jkm.v5i3.17260

Abstract

Roemani Muhamadiyah Semarang Hospital is special type hospital grade “C”. As the hospital, the operational produces hazardous and toxic waste that its should be managed. The purpose of this study is to evaluate the hazardous and toxic waste management in Roemani Muhammadiyah Semarang Hospital according to Minister of Environment and Forestry Regulation No. 56 in 2015 about regulation of hazardous and toxic waste management in health service. Type of reseach is descriptive method with qualitative approach with primary and secondary data. Primary data obtained using the technique of indepth interview against the selected informants and observartin, the secondary data obtained from a review of the documents. Based on this research hazardous and toxic waste come from 7 hospitalcare with various types of hazardous and toxic waste such syringes, infusion hoses, tissue and fluids body. The average amount of hazardous and toxic waste generated as much as 1672,1 kg/month and managed by third-party. Overall medical waste management in Roemani Muhammadiyah Semarang Hospital not yet appropriate the regulation of hazardous waste management in health service according to regulation. There are some missmatch at each process of management, such as mistake in warehousing, reduction process not yet applied in medical waste management, hazardous and toxic waste disposal in the inpatient room is under standard, reduction process not yet applied in medical waste management, unoptimal policies and operating procedur, mistake in stroge and transportation.
PERBEDAAN EFEKTIVITAS CONSTRUCTED WETLANDS RECIRCULATING FREE WATER SURFACE DAN SUBSURFACE FLOW SYSTEM ECHINODORUS PALAEFOLIUS UNTUK MENURUNKAN FOSFAT LIMBAH CAIR RUMAH TANGGA (GREYWATER) Studi Kasus : Kelurahan Gedawang, Kecamatan Banyumanik, Shofa Rakhmatika; Tri Joko; Nurjazuli Nurjazuli
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.48 KB) | DOI: 10.14710/jkm.v5i1.15800

Abstract

Domestic wastewater was one source of water pollution potential. Constructed wetlands system is recognized as one of the technologies that can be used in conjunction with traditional wastewater treatment technology as a cost effective waste water management options in both developed and developing countries. The purpose of this study was to determine differences in the effectiveness of constructed wetlands system of continuous type Free Water Surface and Subsurface Flow System to removal levels of phosphate in domestic wastewater (greywater) in the sub Gedawang, Banyumanik subdistrict, Semarang. This research was a quasi experimental research with nonrandomized pretest posttest design. Processing using constructed wetlands with a residence time of 5 days with 16 repetitions. The results showed a decrease in the average efficiency of phosphate to the type of Free Water Surface and Subsurface Flow System, respectively 69.07% and 71.86%. Independent T -Test results different from test obtained p-value 0.876 (p value> 0.05) showed no difference in phosphate levels decrease the effectiveness of domestic wastewater (gray water). It was concluded that the phosphate content is appropriate quality standards, but the method of Free Water Surface and Subsurface Flow System did not show a difference. Further research is needed with a variety of other plant species, variation of media, and variations in residence time.
HUBUNGAN JARAK TEMPUH DENGAN KADAR SISA CHLOR BEBAS DAN MPN COLIFORM DI PDAM RESERVOIR MEDINI KUDUS Noor Zahrotul Muniroh; Nurjazuli Nurjazuli; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.151 KB) | DOI: 10.14710/jkm.v6i6.22189

Abstract

Clean Water as main source to all living thing. Getting clean water which having good quality close to drink water quality must having treatment before. PDAM Kudus as a water provider company based on drink water quality according to the policy of Minister of Health Regulation No.492 of 2010 about requirements and supervision drink water quality. The aims of this study is to knowing the relation between water mileage to free chlorine residual level and MPN Coliform in PDAM Undaan District Medini’s reservoir region.The design of this study was Cross Sectional with the type of observational analytic (quantitative) with affordable population and Lemeshow formula technique got 42 customers sample plus 1 Medini reservoir. Normality test used Shapiroo Wilk, then to analyze the relation used Rank Spearman because unnormal distribution. The result showed that there were 13 samples (30,2%) positive contained coliform bacteria. 2 (two) samples of them containing coliform for about ≥240 per 100 ml at 7650 meters and 8000 meters. The level of free chlorine residual was over at ≥7000 meter. The average of free chlorine residual was 0,22 mg/l with maximum value was 0,9 mg/l, while pH and temperature each of them were 7,3 and 29,3 ͦC. Statistic test with significant α: 0,05 and p value was 0,0001 showed that there was a relation between water mileage to free chlorine residual and there was a relation between free chlorine residual to MPN Coliform in PDAM Undaan district Medini’s reservoir region. Suggestion advice may be giving optimal chlorine and provide chlorination pos in certain distance to reach fartest region distribution.
EVALUASI SANITASI DAN KEBERADAAN VEKTOR PADA KAPAL BARANG DAN KAPAL PENUMPANG DI PELABUHAN TANJUNG EMAS SEMARANG Intan Aulia Putri; Tri Joko; Niki Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.314 KB) | DOI: 10.14710/jkm.v5i5.19190

Abstract

Ship sanitation is very important because it can prevent and minimize the presence of vector as the cause of disease transmission like Leptospirosis and Cholera. A proper evaluation by the Port Health Office, especially the Environmental Risk Control Section as the technical implementation of of ship sanitation inspection. This study aims to determine the condition of hygiene, sanitation, and the presence of vector on the cargo and passenger ship in Tanjung Emas Port. This research was an observational study with cross sectional approach. The sample of this research was 16 ship consisting of 12 cargo ship and 4 passenger ship that have an inspection schedule on May 31 – June 11 2017. The results of this study indicate that there are some variables that unqualified, they are kitchen sanitation (6,25%), kitchen lighting (6,25%), washing facilities in the kitchen (100%), solid waste management (6,25%), and presence of vectors (14,5%). The conclusion of this study are there are ships that have unquilified room sanitation and solid waste management, also be found ships with high risk categories.
HUBUNGAN KARAKTERISTIK PEMULUNG DAN PENGGUNAAN ALAT PELINDUNG PERNAPASAN DENGAN KELUHAN GANGGUAN PERNAPASAN PADA PEMULUNG DI TPA JATIBARANG, SEMARANG Riska Triafryani Putri; Tri Joko; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.292 KB) | DOI: 10.14710/jkm.v5i5.19209

Abstract

Solid waste is a curious problem because of every person produce waste from daily activities. Jatibarang landfill beside as place to collect solid waste, it also become source of livelihood’s scavengers. Everyday scavengers’ job directly related with waste, bad smell spread in landfill, air contaminats gas, and vector which bring diseases. The purpose of this study is to analyze relationship between scavengers characteristic and use of respiratory protective equipment with disorders on scavengers at Jatibarang landfill. The type of this study is analytic descriptive using cross sectional approach. The data collection technique of this study is accidental sampling technique. The samples are 75 scavengers and microbial air count with the type of microbial. The research was conducted by and laboratory examination, and interviewing using questionaire then analyzing with univariate and bivariate using chi-square. The result of this study showed that 80% scavengers suffered complaints of respiratory disorder. Chi-square analyze showed that there are not correlation between age (p value=0,058), gender (p value= 0,163), duration of work (p value= 0,460) with complaints of respiratory disorder. While, there are correlation between the length of work (p value= 0,039), smoking habit (p value=0,006), and use of respiratory protective equipment (p value= 0,001) with scavengers complaints of respiratory disorder. Air microbial amount in active zone is 1480 CFU/m3, waste collected place is 1600 CFU/m3, and scavengers house is 2520 CFU/m3. Identified microbes are fungi as Aspergillus sp, Mucor sp, Manillia sp, Bacillus sp, Staphylococcus epidermidis, Klebsiella oxytoca, Enterobacter aglomerans, Klebsiella ozaenae, Klebsiella pneumoniae. The conclusion is characteristic between scavengers related with respiratory disorder are the length of work, smoking habit, and complaint of respiratory disorder.
HUBUNGAN KADAR TIMBAL (Pb) UDARA DENGAN KADAR TIMBAL (Pb) DALAM DARAH PADA PEKERJA PENGECATAN INDUSTRI KAROSERI DI SEMARANG Mustafiroh Kasanah; Onny Setiani; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.26 KB) | DOI: 10.14710/jkm.v4i3.13620

Abstract

Lead (Pb) is one of the pollutant in the air, in small quantities these particles can cause poisoned. Workers at painting section are very risky of lead exposure that contained in paint in the workplace. This study aims to determine the correlation of air lead (Pb) levels and blood lead (Pb) levels among workers in Karoseri industry Semarang. This study used observational research with cross sectional approach. The population study were workers at painting sector in Karoseri industry Semarang with sample of 34 workers. Data analysis using Rank Spearman correlation test. The measurement results showed that the mean of air lead (Pb) levels in the painting workplace section in Karoseri industry Semarang was within normal limits (0.05 mg/m3) is 0.00336 ± 0.00346 mg/m3. The mean blood lead (Pb) levels among workers has exceeded the normal limit (≤10 mg/dl) is 34.4 ± 16.7 mg/dl and 85.3% of respondents had higher blood lead (Pb) levels exceeded normal limit (≤10 mg /dl ). Statistical analysis showed no correlation between air lead (Pb) levels with blood lead (Pb) levels among workers at painting section in Karoseri industry Semarang (p value = 0.403). Suggestions for company, take measurement of the ambient air lead (Pb) levels and blood lead (Pb) levels on a regular basis, once a year. For workers are expected to use Personal Protective Equipment (PPE) in accordance with Indonesian National Standard (SNI).
Co-Authors - Suhartono Abdullah, Jilan Tsani Achmadi Priyatmojo Adi, Bayu Kusuma Aditya, Vanessa Rizky Agus Bintara Birawida Ahmad Zaerozi Ani Widiastuti, Ani Annisa Aulia Nurrohmah Anugrah Febrino Balwa Anwar, Wakhid Arif Wibowo Arlyna Budi Pustika Asma Afifah Astorina, Nikie Azmi Umi Anisyah Bariyadi Rifai Bella Arieza Andriyana Bibit Nasrokhatun Diniah Budi Waloyo Budiyono Budiyono Burhanuddin Thohir Candra Rulyana Charles foeh Foeh Choirul Luluk Fatimah Cornelius Saryadi Turnip Delima Kurnia Sari Devita Nur Aprilia Dwimartina, Fina Dyah Agustin Catur Putri Eka Luvita Sari Eko Handoyo Elisa Maharani Elzha Af’idatul Himmah Farida Sugiester S. Fianti andua Fitria, Ida Hanan Lanang Dangiran Hariyanti, Fika Harper, Stephen Haryudi Okta Sofiyanto Hidayanty, Healthy Ijaz ul haq Ilma, Hurin Nabila Aghnia Intan Aulia Putri Irawati, Roosdiana Jalaluddin Abdul Malek, Jalaluddin Abdul Jayawarsa, A.A. Ketut Karroghi, Silmi Aziza Lisa Okta Permatasari Maharani, Puti Maulida Khairunnisa McCann, Honour C. Mohammad Nasir, Mohammad Muhammad Addin Rizaldi Muhammad Habibullah Muhammad Nasir Mursid Rahardjo Mursid Raharjo Mustafiroh Kasanah Nabiha, Puteri Inandin Nabilah Nurhidayanti Nabilah Zahra Nasrokhatun Diniah, Bibit Ngazis, Muhammad Niki Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nila Himayati Nilna Fasyya Salsabila Noor Zahrotul Muniroh Nur Endah Wahyuningsih Nur Fajria Safarina, Ismi Nurdiyanto, Miftakhul Nurjazuli Nurjazuli Nurjazuli Nurjazuli Nurjazuli Onny Setiani Pratiwi, Annisa Hasta Purnomo Purnomo Putri, Novi Hervianti Qorina Sabila Fa&#039;iza Raharjo , Mursid Rahman, Muhammad Auliya Rahmi Nur Alifiani Restu Andri Setiyanto Riska Triafryani Putri Rozi, Choirul Ruba, Yohanes Emanuel S. Russeng, Syamsiar Sahiledengle, Biniyam Salahuddin, Nurul Syahriani Santya Nareswari Saraswati, Vivian Thea Savitri Rachmawati Septanti, Elza Muthia Shofa Rakhmatika Shrestha, Akina Sinta Nugraheni Dewi Siti Nurkhayati Siti Subandiyah Slamet Wardoyo Suhartono Sukri Palutturi SULISTIYANI SULISTIYANI Sundari, Dini Suriah Suriah Suryanti Susamto Somowiyarjo Tati Suharti Triwidodo Arwiyanto Turnip, Cornelius Saryadi Ulfah Rahmawati Vinidia Pertiwi Wahiduddin Wahiduddin Wakhid Anwar Wardana, Lalu Muhammad Fikri Wibowo, Eko Prasetyo Wisanggeni, Gen Adi Woldesenbet, Biruk Yuni Pradilla Fitri, Yuni Pradilla Yusniar Hanani Danudianti Yusniar Hanani Darundiati