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Pengaruh Kebisingan Terhadap Tekanan Darah dan Nadi pada Pekerja Pabrik Kayu PT. Muroco Jember Mukhlish, Wahyu Ikhwan Nanda; Sudarmanto, Yohanes; Hasan, Muhammad
Jurnal Kesehatan Lingkungan Indonesia Vol 17, No 2 (2018): Oktober 2018
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.17.2.112-118

Abstract

Latar belakang: Kebisingan merupakan bunyi yang memiliki intensitas di atas batas normal dan dapat mengganggu kesehatan pada orang yang terpapar. Paparan kebisingan terjadi dalam proses produksi pada industri pabrik kayu, sehingga pekerja menjadi pihak utama yang terdampak. Dampak yang terjadi utamanya pada sistem kardiovaskular. Penelitian ini bertujuan untuk menganalisis pengaruh kebisingan terhadap tekanan darah dan denyut nadi pada pekerja pabrik kayu PT. Muroco Jember.   Metode: Penelitian ini berjenis analitik observasional dengan desain penelitian cross sectional. Responden penelitian berjumlah 24 orang yang diambil dengan teknik total sampling. Pengukuran kebisingan menggunakan alat sound level meter. Pengumpulan data karakteristik pekerja menggunakan kuesioner. Responden penelitian diukur sebelum dan setelah bekerja, dengan menggunakan sphygmomanometer air raksa untuk tekanan darah dan penghitungan manual denyut nadi pada arteri brachialis. Analisis data menggunakan uji komparasi paired t-test pada level signifikansi 5%.  Hasil: Intensitas kebisingan dari 4 sektor kerja menunjukkan hasil yang beragam. Intensitas kebisingan terendah pada sektor produksi A yaitu 82,9 dB(A), sedangkan tertinggi pada sektor sawmill B yaitu 98,1 dB(A). Sebagian besar responden (66,7%) berusia 29-40 tahun dengan masa kerja responden (62,5%) kurang dari 2 tahun. Sebanyak 91,7% responden tidak memakai APT pada saat bekerja. Berdasarkan uji komparasi paired t-test, didapatkan pengaruh paparan kebisingan akut antara sebelum dan setelah bekerja terhadap tekanan darah sistolik (p= <0,001), diastolik (p=0,049), dan denyut nadi (p=0,020).Simpulan: Terdapat peningkatan yang signifikan terhadap tekanan darah sistolik, diastolik, denyut nadi antara sebelum dan setelah bekerja dalam paparan kebisingan akut pada pekerja pabrik kayu PT. Muroco Jember. Diperlukan penelitian dengan mengendalikan variabel lain yang mengganggu untuk kesempurnaan penelitian selanjutnya. ABSTRACT Title: The Effect of Noise on Blood Pressure and Pulse Rate in Workers at PT. Muroco Jember Wood FactoryBackground: Noise is a sound that has an intensity above the normal limit and may interfere with the health of the exposed person. Exposure to noise often occurs in the production process at the wood processing factory, so that workers become the main person affected. The impact mainly occurs in cardiovascular system. This study aims to analyze the effect of noise on blood pressure and pulse rate in workers at PT. Muroco Jember wood factory.Method: This is an observational analytic research with cross sectional design. The respondents amounted to 24 people taken with total sampling technique. The measurement of noise intensity was using sound level meter. Data collecting of worker characteristics was using questionnaires. Respondents were measured before and after work, using a mercury sphygmomanometer for blood pressure and manual palpation of pulse rate in the brachial artery. Data was analyzed with paired t-test comparative at 5% significance level.Result: The noise intensity of 4 sectors of the factory showed diverse results. The lowest noise intensity is in production sector A, 82.9 dB (A), while the highest is in sawmill B sector, 98.1 dB (A). Most of the respondents (66.7%) were 29-40 years old with respondents working period (62.5%) were less than 2 years. As many as 91.7% of respondents did not use ear protection device while working. Based on paired t-test, there was an effect of acute exposure between before and after working on systolic blood pressure (p < 0,001), diastolic (p = 0.049), and pulse rate (p = 0.020)Conclusion: There was a significant increase in systolic, diastolic blood pressure, and pulse rate between before and after work in an acute noise exposure in worker at PT. Muroco Jember wood factory. Further research is required by controlling other disturbing variables for a better research.
Efek Pati Resisten Singkong (Manihot esculenta Crantz) terhadap Indeks HOMA-IR dan HOMA-B Tikus Model Diabetes Maria Ulfa; Elly Nurus Sakinah; Yohanes Sudarmanto; Jauhar Firdaus
Pustaka Kesehatan Vol 7 No 1 (2019): Volume 7 No. 1, 2019
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v7i1.17586

Abstract

Insulin resistance is a condition in which target organs fail to respond normally to insulin. Cassava contains 9,69 percent starch that resist to digestive enzyme in intestine and has been shown to increase insulin sensitivity and enhance β cell function. The aim of this study was to analyze the difference effect of native cassava starch and cassava resistant starch consumption on insulin resistance and β cell function indexes. This study was quasy experimental research with post-test only control group design using 16 male wistar strain rats divided into four groups: K1 (normal rats with standard diet), K2 (diabetic rats with standard diet), P1 (diabetic rats with native cassava starch diet) and P2 (diabetic rats with cassava resistant starch diet). The rats were fed with high fat diet and injected with low-dose streptozotocin to mimic the patogenesis of type 2 diabetes. The rats were then fed with assigned diet for 28 days. The data collection was obtained from laboratory examination of fasting plasma glucose and fasting plasma insulin to determine HOMA-IR and HOMA-B indexes. Post Hoc analysis showed no difference in both indexes between native cassava starch and cassava resistant starch fed groups (p>0,05).
Pengaruh Hemodialisis terhadap Fungsi Diastolik Ventrikel Kiri pada Pasien Penyakit Ginjal Kronik Stadium V Rifqi Rahadian; Yuli Hermansyah; Yohanes Sudarmanto; Suryono Suryono
Pustaka Kesehatan Vol 7 No 1 (2019): Volume 7 No. 1, 2019
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v7i1.17584

Abstract

Stage V chronic kidney disease (CKD) patients need renal replacement therapy. Hemodialysis is main choice for renal replacement therapy and correlates with changes of left ventricular function. Left ventricular diastolic function is one parameter of left ventricular function. The aim of this study was to analyze the effect of hemodialysis towards left ventricular diastolic function in stage V CKD patients at RSD dr. Soebandi Jember. This study included 30 patients (17 female, age 48,20±8,02 years) and underwent echocardiography 30 min before and after a hemodialysis session. Sample characteristics were divided into sex, age, duration of hemodialysis, blood pressure before and after hemodialysis. Diastolic function was measured with E/E’ ratio. Diastolic function criteria of 16 samples (53,5%) were normal (E/E’ ratio <10) after doing a hemodialysis session. Mean ratio E/E’ was significantly reduced (13,09±4,55 vs 11,6±5,04, p<0,05). In conclusion, hemodialysis could increase left ventricular diastolic function in stage V CKD patients at RSD dr. Soebandi Jember.
HUBUNGAN PENGETAHUAN DAN SIKAP TERHADAP KEPATUHAN MINUM OBAT PASIEN TUBERKULOSIS PARU FASE LANJUTAN DI KECAMATAN UMBULSARI JEMBER Elita Ismi Mientarini; Yohanes Sudarmanto; M Hasan
Jurnal Ilmu Kesehatan Masyarakat Vol 14 No 1 (2018)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v14i1.10401

Abstract

Tuberkulosis (TB) is a infectious disease caused by t Mycobacterium Tuberculosis. Indonesia is the second country with highest number of TB cases in the world after India. Medication adherence is essential for successful TB treatment. One of the factors that can influence someone adherence to TB treatment is knowledge and attitude. This study aimed to know the correlation between knowledge and attitude towards the adherence of medication in tuberkulosis pulmonary patient on continuation phase in umbulsari jember. This study was an obsevational analytic using cross sectional with total sample technique method. Data were obtained through questionnaire (knowledge questionnaire, HRHS, and MMAS-8) then analyzed with Spearman correlation test (p= <0,05). The results showed a significant between compliance with knowledge at the level of know with the value of p = 0.041. While the results of the correlation of compliance with knowledge at the level of understanding and application and between attitudes and compliance obtained results not signifikan.
The Risk of Work Posture Did Not Affect on Worker’s Disability Index with Low Back Pain Complaints in PT Muroco Jember Anis Rahmawati; Yohanes Sudarmanto; Muhammad Hasan
Journal of Agromedicine and Medical Sciences Vol 5 No 1 (2019)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v5i1.6793

Abstract

The existence of various industrial centers in Jember Regency has an impact on the high absorption of labor coming from the local community, because most of the production activities are still done by using the power / physical strength of man. Low back pain (LBP) is one of the symptoms of musculoskeletal pain in the lower back, not a disease or diagnosis for a disease. The high risk factor of LBP complaints occurring in industrial workers is the work posture. Patients with chronic LBP complaints may experience affective disorders such as depression and psychosomatic disorders that will lead to a poorer prognosis, while also often experiencing disabilities that implicate the quality of life of patients. This study aims to determine the risk of work posture on worker’s disability index with low back pain complaints in PT Muroco Jember. The type of this research is observational analytic with cross sectional research design which conducted on 31 workers of PT Muroco which fulfill the criteria of inclusion and exclusion. The risk of work posture was obtained by employee observation and completion of the modified quick exposure check questionnaire while the disability index was obtained by filling the modified oswestry low back pain disability questionnaire. The result of the Gamma correlation between the two variables is p = 0,135. It shows that there is no correlation between risk of work posture and worker’s disability index with low back pain complaint in PT Muroco Jember.
Adenoid Cystic Carcinoma Nasal Sudarmanto, Yohanes; Soehartono; Angelina, Aina; Yudhanto, Hendy; Putri, Anggie
Jurnal Klinik dan Riset Kesehatan Vol 1 No 2 (2022): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (858.04 KB) | DOI: 10.11594/jk-risk.01.2.8

Abstract

Latar belakang: Keganasan sinonasal memiliki angka kejadian yang jarang. Adenoid cystic carcinoma (ACC) merupakan tumor ganas tersering kedua di daerah sinonasal, memiliki karakteristik pertumbuhan lambat namun berpotensi metastasis jauh dan rekurensi yang tinggi. Tatalaksana utama penyakit adalah tindakan pembedahan radikal dilanjutkan radioterapi. Pemilihan pendekatan tindakan pembedahan bergantung pada stadium dan lokasi tumor. Prognosis keganasan sinonasal kurang baik, berhubungan dengan tipe histologis tumor, kejadian invasi perineural, perivaskular, dan metastasis jauh, lokasi tumor, usia pasien dan modalitas terapi. Tujuan: Melaporkan satu kasus ACC nasal dengan metastasis regional cervical yang dilakukan tindakan pembedahan dan dilanjutkan radioterapi. Laporan Kasus: Laki-laki, 70 tahun, datang ke klinik THTKL RSUD dr. Saiful Anwar Malang dengan keluhan benjolan di dalam hidung kanan disertai buntu hidung dan riwayat mimisan selama 1 tahun. Pasien dilakukan tindakan pembedahan dengan pendekatan rinotomi lateral menggunakan insisi Moure. Histopatologi jaringan operasi adalah ACC tipe cribiform. Kesimpulan: Tindakan pembedahan dilanjutkan radioterapi masih menjadi baku emas tatalaksanan ACC nasal. Evaluasi berkala jangka panjang harus dilakukan untuk deteksi dini rekurensi lokoregional dan kejadian metastasih jauh pasca tindakan pembedahan dan radioterapi.
Association of parental feeding styles and the nutritional status of children ages 2 to 5 years in Jember, East Java, Indonesia Marchianti, Ancah Caesarina Novi; Rachmawati, Dwita Aryadina; Astuti, Ida Srisurani Wiji; Raharjo, Angga Mardro; Kusuma, Irawan Fajar; Sudarmanto, Yohanes; Hakiim, Arsyzilma; Nurmaida, Eny
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p07

Abstract

Background and purpose: There is a great deal of mythical erroneous information regarding children's nutrition that can affect styles of parental feeding. If it is left uncontrolled, it may influence the nutritional status that led to malnutrition. The purpose of this study is to determine association between styles of parental feeding and nutritional status of children ages of 2 to 5 years old.  Methods: This was a cross-sectional study, conducted in November-December 2023 in Jember, East Java, Indonesia. Samples were 244 mothers who were selected purposively and satisfied the inclusion and exclusion criteria. Data was collected with interview which include parents’ and children’s characteristics, the feeding practices using a validated structured questionnaire (FPSQ-28), and children nutritional status. Descriptive analysis followed by correlation analysis were performed. Results: Most parents earn more than IDR 2,000,000 and work as self-employed, whereas more than half of the respondents, both fathers and mothers, had at least a high school education, and the majority of height in both were 150-170 cm with normal body mass index. There is a weak positive association between the styles of parental feeding with the body weight for age (r=0.183; p=0.040) while no significant association with body weight for height (r=0.08; p=0.216). Conclusion: Styles of parental feeding affected children's feeding and nutritional status, particularly when it comes to chronic conditions and in order to maintain children's nutrition or balanced nutrition, it is necessary to conduct education and evaluation of parental feeding styles.    
Efektivitas Penyuluhan Risiko Preeklampsia Pada Ibu Hamil di Patrang Kabupaten Jember Nurmaida, Eny; Rachmawati, Dwita Aryadina; Rachmania, Sheilla; Putri, Elvia Rahmi Marga; Hakiim, Arsyzilma; Marchianti, Ancah Caesarina Novi; Astuti, Ida Srisurani Wiji; Raharjo, Angga Mardro; Sudarmanto, Yohanes; Kusuma, Irawan Fajar
Jember Medical Journal Vol. 3 No. 1 (2024)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jembermedicaljournal.v3i1.936

Abstract

Angka kematian ibu di Kabupaten Jember dan Jawa Timur masih tinggi.  Terjadipeningkatan kasus kematian ibu pada tahun 2018-2021. Preeklamsia merupakan salah satu penyebab utama kematian ibu hamil. Tindakan preventif seperti edukasi pada ibu hamil mengenai pentingnya pemeriksaan kehamilan pada kehamilan risiko tinggi perlu dilakukan agar tidak terjadi komplikasi. Tujuan penelitian ini adalah untuk mengetahui efektivitas penyuluhan risiko preeklamsia pada ibu hamil di Kecamatan Patrang Kabupaten Jember. Jenis penelitian ini adalah penelitian pra-eksperimental dengan desain penelitian one group pretest-posttest. Instrumen penelitian berupa kuesioner yang berisi 22 pertanyaan mengenai pengetahuan, faktor risiko, gejala dan komplikasi preeklamsia. Besar sampel sebanyak 30 responden (quota sampling). Uji normalitas data menggunakan uji Shapiro Wilk dan uji hipotesis menggunakan uji Wilcoxon Signed Rank. Nilai Sig uji Saphiro Wilk diperoleh 0,033 yang berarti data tidak berdistribusi normal. Dari hasil uji hipotesis diperoleh nilai Asymp. (2-tailed) 0,000 yang menunjukkan terdapat perbedaan yang signifikan antara nilai pretest responden sebelum diberikan penyuluhan dan posttest responden setelah diberikan penyuluhan.
Program Posyandu Virtual di Masa Pandemi Mampu Menjaga Tumbuh Kembang Anak: Virtual Posyandu Program during the Pandemic Maintained Children’s Growth and Development Marchianti, Ancah Caesarina Novi; Rachmawati, Dwita Aryadina; Kusuma, Irawan Fajar; Sudarmanto, Yohanes
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.461-467

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Background: Posyandu program suspension due to COVID-19 has resulted in a decrease in monitoring children’s growth, leading to undetected problems. Understanding mothers' eating behavior plays a crucial role in preventing malnutrition, we must continue the program as a health promotion medium to enhance mothers' understanding and track children's growth and development. Objectives: This research aimed to determine the effectiveness of virtual Posyandu program in strengthening cadre health promotion services for nutritionally vulnerable children in Jember Regency agricultural area during the absence of offline Posyandu. Methods: The research was carried out September 2022-January 2023, implementing a 21-day intervention on 169 respondents from Puskesmas Arjasa and Paleran (representing two different socio-cultures). The cadres utilized the application to enhance children's nutritional health and instruct parents on its usage. The success parameter is that there were significant differences between the growth and development of children pre- and post-program. Growth variables were assessed by measuring nutritional status according to Ministry-of-Health Regulation, before and after the intervention, while development variables were assessed using a Developmental Pre-Screening questionnaire (DPSQ). Results: The virtual Posyandu program in both Puskesmas demonstrated significant differences (p<0.001) in children's growth and development parameters, such as height-for-age, weight-for-height, and DPSQ, between the pre- and post-program periods. Despite the challenges posed by the pandemic, the program has effectively maintained children's growth and development. Conclusions: Balitagrow© Android-based application in virtual Posyandu program effectively maintained children’s growth and development in pandemic era and worth continuing to be developed according to user needs.
Impact of the User-Friendliness of BalitaGrow+ on Compliance with Children's Daily Nutrition Column Completing Pradewi, Ranny Tandria; Marchianti, Ancah C N; Shodikin, Muhammad Ali; Rachmawati, Dwita Aryadina; Kusuma, Irawan Fajar; Sudarmanto, Yohanes
Journal of Agromedicine and Medical Sciences Vol 10 No 3 (2024)
Publisher : Faculty of Medicine, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v10i3.46663

Abstract

Abstract Nutritional imbalances can lead to malnutrition which can affect children's physical and cognitive growth and development. Advances in science and technology have created opportunities for innovation in the form of health applications to help monitor children's growth and development, nutritional status, and children's daily nutritional intake. The factor that influences the intention to use technology is the ease of use. This indicates that the easier the application is to use, the higher a person's interest and compliance will be in using the application regularly. This research aims to determine the effect of ease of use of the BalitaGrow+ application on compliance with filling in the daily nutrition column for children in Rambigundam Village, Jember. This research was an analytical observational research with a cross sectional approach with a sample size of 35 people who meet the criteria. Data analysis used univariate tests and bivariate used the Spearman Rank correlation test. The results obtained from 35 respondents showed that 34 people (97.1%) found it easy to use the BalitaGrow+ application and 31 people (88.6%) had good compliance in filling in the child's daily nutrition column in the application. The results of statistical analysis showed a significance value of p value >0.05 (0.726). So it can be concluded that there was an insignificant influence between the ease of use of the BalitaGrow+ application on compliance with filling in the daily nutrition column for children in Rambigundam Village, Jember. It is suggested to increase the sample size and investigate other influenced factors for future study. Keywords: health application, ease of use, compliance of filling, children’s nutrition