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Irawan Fajar Kusuma
Bagian Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Jember
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Education Health Professions Immunology & microbiology Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Other

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HUBUNGAN PENGETAHUAN IBU TENTANG STIMULASI DINI DENGAN PERKEMBANGAN MOTORIK PADA ANAK USIA 6-24 BULAN DI KECAMATAN MAYANG KABUPATEN JEMBER Kusuma, Irawan Fajar; Syamlan, Ramzi; Yoniko, Ayu
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

More than two third of toddler in some developing countries suffer from declining of their childhood development. In Indonesia, in 2003, Department of Health has conducted childhood development in 30 provinces and reported that 45,12 % of infant has suffered from growth and development disorder. One of factors that influence the development is early stimulation especially from people close to the toddler (mother and other family).The aim of this study is to analyze the relationship between mother’s knowledge about early stimulation and motoric development of toddlers. This is an observational study of case control design. To obtain the samples, the technique is non probability sampling with consecutive sampling. Motoric development of toddlers from 6 – 24 month old are observed by KPSP form. Data are analyzed using bivariate analysis of Marginal Homogeneity test and Conditional Regressiona Logistic (Confidence Interval 95%). The result shows that mother’s knowledge on early stimulation have significant effect to the motoric development of toddlers. The odds ratio shows 4,950 means that the lack of knowledge of the mother on early stimulation may increase the risk of motoric development disorder about nearly 5 times. It can be conclude that there is significant relationship between mother’s knowledge on early stimulation and motoric development disorder. Mother who is in the closest position of toddlers should be educated with this knowledge of education.
PROFIL KELAHIRAN BAYI PREMATUR DI RSUD DR. SOEBANDI JEMBER PERIODE 1 JANUARI 2003 – 31 DESEMBER 2005 Kusuma, Irawan Fajar
IKESMA Vol 5, No 1 (2009)
Publisher : FKM - UNEJ

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Abstract

The premature delivery is one of the main risk factors of low birth weight and perinatal mortality. In Indonesia, the incidence of premature delivery is 10% whereas it is just 4% in the developed countries. The mortality rate caused by low birth weight is increasing from 6.8 per 1000 in 2001 to 7 per 1000 in a year period.  Nowadays, the effort to reduce the perinatal mortality rate is still counting on neonatal intensive care which has highly cost. The aim of this study is to know profoundly about the attributes of premature deliveries at RSUD Dr Soebandi Jember between January 1st , 2003 and December 31st, 2005. The data were mainly obtained from the medical records of obstetry and ginaecology ward and 168 premature deliveries were included in this study. The result showed that among 168 premature deliveries, 75% of deliveries was conducted on indication. Factors that induced premature deliveries are placental dislocation, gestational hipertention, sistemic disturbance, pelvic head disproportion, and gemelli. The premature deliveries on gestational age were G1 / primigravida (43%), G2 (30%), G3 (11%), G4 (8%) and G5 or more (9%). The highest frequency of premature deliveries was on 20 - 35 year old women (70%). The most APGAR score of premature deliveries was 0 -3 (severe respiratory distress). Finally, the premature deliveries tend to be commonplace at woman with primigravida, 20-35 year old women and the outcome of them is generally worse to the baby. Keyword: premature deliveries, low birth weight, perinatal mortality
PENGARUH POSISI KERJA TERHADAP KEJADIAN LOW BACK PAIN PADA PEKERJA DI KAMPUNG SEPATU, KELURAHAN MIJI, KECAMATAN PRAJURIT KULON, KOTA MOJOKERTO Kusuma, Irawan Fajar; Hartanti, Ragil Ismi; Hasan, Muhammad
IKESMA Vol 10, No 1 (2014)
Publisher : FKM - UNEJ

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Abstract

Low Back Pain is the main symptom on the report it to health practitioners associated with decreased work productivity. Low Back Pain associated with frequent lifting, carrying, pushing and pulling of heavy goods, frequent or long to bend the body, bending, sitting or standing for long or other body posture is not natural. standing in the long term, the body can only tolerate stood with one position only for 20 minutes. If more than these limits, the elasticity of the tissue will decrease gradually and finally the pressure increased and muscle discomfort arises on the back. The ergonomics work positions be a deciding factor of occurrence of Low Back Pain. This research aims to know the influence of the working position of the genesis of Low Back Pain, and compare the influence of two working positions (standing and seated) against the occurrence of Low Back Pain. Based on data results showed that job position does have an impact on incidence of Low Back Pain. Evidenced by the results of the statistical test of Chi Square Test Crosstab values X2 count or value of the Pearson Chi-Square Test is 8,480 and the Degree of Freedom (df) is worth 3. And the value of Asymp. Sig (2-sided) is 0,037. The second comparison results analysis of the position of sitting and standing work, then both positions work  standing or sitting equally had a significant influence on the incidence of Low Back Pain. However, when compared in more detail, seated position has the more influence than the standing position , it can be proved by the results of Chi Square Test Crosstab, the value of X2 count on higher seating position work i.e. 14,267 compared with 13,467 standing work position. Keywords: working position, low back pain, ergonomy
INTERVENSI PENDIDIKAN KESEHATAN KOMUNITAS MENGENAI TUBERCULOSIS PARU PADA PAGUYUBAN PARU DESA PLEREAN, SUMBERJAMBE, JEMBER Kusuma, Irawan Fajar; Hartanti, Ragil Ismi
IKESMA Vol 3, No 2 (2007)
Publisher : FKM - UNEJ

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Abstract

Pulmonary TB is a chronic infectious disease and one of the most important health problems in the world, especially in developing countries such as Indonesia. Anti TB drugs resistance and how easy it spread because the lack of information and knowledge are the major constrains in TB eradication. Many efforts has been taken to  overcome this problems, however, its incidence and prevalence is still high. Health community education, including the spreading of pulmonary TB and how to recognize the clinical manifestations, is one of the effort to overcome this problem. The aim of this study was to know the effect of health community education about pulmonary TB to Paguyuban Paru Group at Plerean, Subdistrict Sumber Jambe, Jember. This is a quasi experimental study, using pre test and post test after a health community education has been given. By paired sample test, the result showed significant difference (p<0,05) in the knowledge about pulmonary TB among the member of Paguyuban Paru at Plerean, Subdistrict Sumber Jambe, Jember, before and after health community education has been given. The conclusión of this study is that health community education effectively increase the knowledge about pulmonary TB and, next, can compress the incidence of pulmonary TB in Indonesia   Key words : pulmonary TB, community, health education
Hubungan Pengetahuan Ibu tentang Stimulasi Dini dengan Perkembangan Motorik pada Anak Usia 6-24 bulan di Kecamatan Mayang Kabupaten Jember Ayu Yoniko Christiari; Ramzi Syamlan; Irawan Fajar Kusuma
Pustaka Kesehatan Vol 1 No 1 (2013)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Motoric development in the first two years is important for the children's cognitive function in the future. Mother has to know about the child development stage and early stimulation to optimalize child motoric development. The aim of the research was to assess the relationship between mother's knowledge of early stimulation and motoric development in 6 – 24 months old children. This research was conducted in Mayang sub-district of Jember in January until February 2013 by using the matched case control study. The respondents were 259 children in age of 6 – 24 months and their mother. Children with normal motoric development were included in the control group and children with suspected motoric development delay were included in the case group. Mother from both groups were examined retrospectively about their knowledge of early stimulation. Data were analyzed using Marginal Homogeneity test and Conditional Logistic Regression test. Bivariate analysis showed a significance value (p=0,000) and the Odds Ratio value 4,950. It was concluded that there was a significant relationship between mother's knowledge of early stimulation and motoric development in 6 – 24 months old children and children with low knowledge in early stimulation-mother have a higher risk of suspected motoric development delay. Keywords: child development, early stimulation, mother's knowledge, motoric development.  
Hubungan antara Obesitas dengan Derajat Nyeri pada Penderita Osteoarthritis Lutut di RS Bina Sehat Jember (Relationship between Obesity and Degree of Pain in Knee Osteoarthritis Patients at Bina Sehat Hospital, Jember) Rizka Kusumaningsih; Muhammad Hasan; Irawan Fajar Kusuma
Pustaka Kesehatan Vol 3 No 2 (2015)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Osteoarthritis (OA) is an abnormality of cartilage which is marked by clinical and radiological changes. The location OA is mostly at knee joint. In this study, the relationship between Waist-Hip Ratio (WHR) and Body Mass Index (BMI) with the degree of pain in patients with knee OA was investigated, measured by the Visual Analogue Scale (VAS). The study was conducted at Bina Sehat Hospital, Jember. Fifty two samples were taken by purposive sampling with established criteria. The statistical analysis to measure the relationship between BMI and VAS showed p= 0.000, which means there is a significant correlation between BMI and degree of pain in patients with knee OA. While, the relationship between WHR and VAS in male showed p= 0,095, which means there is no significant relationship between WHR and degree of pain in male patienst with knee OA. Analysis of WHR relationship with VAS in female showed p= 0,002, which means that there is a significant association between WHR and degree of pain in female patients with knee OA. It can be concluded that excess of BMI and WHR can increase the pain in patients with knee OA.   Keywords: Waist Circumference, Body Mass Index (BMI), Knee Osteoarthritis (OA)
Komplikasi pada Pasien Fraktur Klavikula Pasca Penatalaksanaan Operatif di RS Bina Sehat Jember periode 2007-2012 Adhitya Wicaksono; Muhammad Hasan; Irawan Fajar Kusuma
Pustaka Kesehatan Vol 2 No 2 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

The prevalence of clavicle fracture is 5 % out of all fractrues. The most common cause of clavicle fracture is shoulder trauma due to an accident because of a fall or a traffic accident, but sometime non traumatic factor can cause clavicle fracture. Management of clavicle fracture is operative or non-operative treatment, both has a possible complications. The study aimed to find out the complication of clavicle fracture after operative treatment, compared to its contralateral. This was an analytical survey study, using saturated sampling system. There were 16 samples according to the inclusion criteria. The result revealed that a comparison of the ROM value, muscle strength, shortened-bone, and muscle atrophy were p>0.05 meaning no significant difference between 2 groups. A compariosn of NRS value, touch sensation, and deformity were p<0.05 meaning there is a significant difference between 2 groups. It can be concluded that in post clavicle fracture patient treated with operative therapy there was no complication on shoulder joint ROM, shoulder muscle strength, shortened-bone, and muscle atrophy, but a complication can be found on NRS clinical examination, touch sensation and deformity.   Keywords: clavicle fracture, operative, complications.
Pengaruh Posisi Kerja terhadap Kejadian Low Back Pain pada Pekerja di Kampung Sepatu Kelurahan Miji-Prajurit Kulon-Mojokerto Khulaida Fatila Hayati; Irawan Fajar Kusuma; Muhammad Hasan
Pustaka Kesehatan Vol 2 No 3 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Low Back Pain merupakan gejala utama yang dilaporkan kepada praktisi kesehatan berkaitan dengan menurunnya produktivitas kerja. Posisi kerja yang ergonomi menjadi faktor penentu terjadinya Low Back Pain. Penelitian ini bertujuan mengetahui adanya pengaruh posisi kerja terhadap kejadian Low Back Pain. Sebanyak 60 responden dibagi menjadi 2 kelompok kerja: berdiri dan duduk. Indeks nyeri diukur dengan Visual Analog Scale (VAS) diikuti dengan Pain Assessment Scale. Data dianalisis dengan Chi Square Test dan didapatkan nilai 0,037. Nilai X2 hitung pada posisi kerja duduk lebih tinggi yaitu 14,267  dibandingkan dengan posisi kerja berdiri yaitu 13,467. Kedua posisi kerja baik berdiri maupun duduk sama-sama mempunyai pengaruh yang signifikan terhadap kejadian Low Back Pain. Namun posisi kerja duduk lebih tinggi pengaruhnya dibanding dengan posisi kerja berdiri. Berdasarkan data hasil penelitian menunjukkan bahwa posisi kerja memang memiliki pengaruh terhadap kejadian Low Back Pain. Kata kunci: posisi kerja, low back pain, kampung sepatu, ergonomi
PROFIL KELAHIRAN BAYI PREMATUR DI RSUD DR. SOEBANDI JEMBER PERIODE 1 JANUARI 2003 – 31 DESEMBER 2005 Irawan Fajar Kusuma
Jurnal Ilmu Kesehatan Masyarakat Vol 5 No 1 (2009)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The premature delivery is one of the main risk factors of low birth weight and perinatal mortality. In Indonesia, the incidence of premature delivery is 10% whereas it is just 4% in the developed countries. The mortality rate caused by low birth weight is increasing from 6.8 per 1000 in 2001 to 7 per 1000 in a year period.  Nowadays, the effort to reduce the perinatal mortality rate is still counting on neonatal intensive care which has highly cost. The aim of this study is to know profoundly about the attributes of premature deliveries at RSUD Dr Soebandi Jember between January 1st , 2003 and December 31st, 2005. The data were mainly obtained from the medical records of obstetry and ginaecology ward and 168 premature deliveries were included in this study. The result showed that among 168 premature deliveries, 75% of deliveries was conducted on indication. Factors that induced premature deliveries are placental dislocation, gestational hipertention, sistemic disturbance, pelvic head disproportion, and gemelli. The premature deliveries on gestational age were G1 / primigravida (43%), G2 (30%), G3 (11%), G4 (8%) and G5 or more (9%). The highest frequency of premature deliveries was on 20 - 35 year old women (70%). The most APGAR score of premature deliveries was 0 -3 (severe respiratory distress). Finally, the premature deliveries tend to be commonplace at woman with primigravida, 20-35 year old women and the outcome of them is generally worse to the baby. Keyword: premature deliveries, low birth weight, perinatal mortality
PENGARUH POSISI KERJA TERHADAP KEJADIAN LOW BACK PAIN PADA PEKERJA DI KAMPUNG SEPATU, KELURAHAN MIJI, KECAMATAN PRAJURIT KULON, KOTA MOJOKERTO Irawan Fajar Kusuma; Ragil Ismi Hartanti; Muhammad Hasan
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 1 (2014)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Low Back Pain is the main symptom on the report it to health practitioners associated with decreased work productivity. Low Back Pain associated with frequent lifting, carrying, pushing and pulling of heavy goods, frequent or long to bend the body, bending, sitting or standing for long or other body posture is not natural. standing in the long term, the body can only tolerate stood with one position only for 20 minutes. If more than these limits, the elasticity of the tissue will decrease gradually and finally the pressure increased and muscle discomfort arises on the back. The ergonomics work positions be a deciding factor of occurrence of Low Back Pain. This research aims to know the influence of the working position of the genesis of Low Back Pain, and compare the influence of two working positions (standing and seated) against the occurrence of Low Back Pain. Based on data results showed that job position does have an impact on incidence of Low Back Pain. Evidenced by the results of the statistical test of Chi Square Test Crosstab values X2 count or value of the Pearson Chi-Square Test is 8,480 and the Degree of Freedom (df) is worth 3. And the value of Asymp. Sig (2-sided) is 0,037. The second comparison results analysis of the position of sitting and standing work, then both positions work  standing or sitting equally had a significant influence on the incidence of Low Back Pain. However, when compared in more detail, seated position has the more influence than the standing position , it can be proved by the results of Chi Square Test Crosstab, the value of X2 count on higher seating position work i.e. 14,267 compared with 13,467 standing work position. Keywords: working position, low back pain, ergonomy
Co-Authors Adelia Handoko Adhitya Wicaksono Aisya, Meutia Citra Alami, Eqiel Navadz Akthar Ancah Caesarina Novi Marchianti Andriani, Made Prasanti Angga Mardro Raharjo Angga Mardro Raharjo, Angga Mardro Aprilia, Annisa Nadya Aris Prasetyo Arsyzilma Hakiim Ayu Yoniko Ayu Yoniko Christiari Bagus Hermansyah Dini Agustina Dwita Aryadina Rachmawati Erma Sulistyaningsih Erwin Nur Rif'ah Ghaiska Najma Amnur Ida Srisurani Wiji Astuti Jauhar Firdaus Khoiruddin, Mukhammad Arif Hadi Kholifaturrohmah, Sakinatus Sariroh Kholifaturrohmy, Muhammad Rizqi Khulaida Fatila Hayati Leersia Yusi Ratnawati Luthfiyyah, Nur Atikah M. Ali Shodikin Marchianti, Ancah C N Muhammad Hasan Muhammad Hasan Muhammad Hasan Nurmaida, Eny Pradewi, Ranny Tandria Putra, Muhamad Dwi Eka Putri, Elvia Rahmi Marga Ragil Ismi Hartanti Rahma, Nafisah Hani Asyifah Ramzi Syamlan Rizka Kusumaningsih Roan Pratama Putra Rosita Dewi Sa’diyah, Nindya Audatus Setyoadji, Winnie Almira Sheilla Rachmania, Sheilla Sillehu, Sahrir Sudarmanto, Yohanes Sulistyaningsih , Erma Suyani Indriastuti Tantut Susanto Tartila, Jasmine Wiwien Sugih Utami Yunita Armiyanti Zahniar, Zahniar