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HUBUNGAN PAPARAN TOLUENE DENGAN GANGGUAN FUNGSI HATI PADA PEKERJA BAGIAN PENGECATAN SEBUAH INDUSTRI KAROSERI DI MAGELANG Mirror Sabda Mahendra Amien; Ari Suwondo; Siswi Jayanti
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.964 KB) | DOI: 10.14710/jkm.v3i1.11458

Abstract

Toluene was a volatile organic compound (VOC) or organic chemicals that very easy to vapor in room temperature. Toluene that fat soluble so easily accumulated in organs that contain lots of fat, one of them was liver. Liver was the main organ in the metabolism of toxic substances including toluene. Toluene metabolism produces reactive oxygen species (ROS) that was free radicals can damage cells. Indicator that used to detect the presence of liver damage was the levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in the blood. The purpose of this study was to determine the association between toluene exposure with liver dysfunction in workers painting. This research used analytic observational method with cross-sectional approach. The population of of this study was 26 people. Sampling technique used total sampling. Analysis of association between toluene concentration with levels of ALT and AST, working period with AST used Spearman Rank test, work period with ALT levels used Pearson Product Moment. The results of this current research showed no association between toluene concentration with levels of ALT and AST in the blood, there is a association between work period with ALT levels and there is no association between work period with AST levels in the blood. Advice given that workers should wear a mask a respiratory purifiying when did the painting to reduce the toluene exposure.
Faktor-Faktor Yang Berhubungan Dengan Kejadian Dermatitis Kontak Iritan Pada Pekerja Bagian Premix Di PT. X Cirebon Irvan Ade Indrawan; Ari Suwondo; Daru Lestantyo
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 2 (2014): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.827 KB) | DOI: 10.14710/jkm.v2i2.6385

Abstract

Irritant contact dermatitis is a local non-immunologic inflammatory reaction of the skin caused by contact with exogenous or endogenous factors. This disease is characterized by inflammation of the polymorphic skin traits that have broad identification, such as: itching, redness, scaling, vesicles, and crusting papulovesikel. PT X is an industry which is engaged in the production of animal feed in Cirebon City. The production process is divided into several stages, weighing ingredients according to recipe, coarse crushing raw materials, mixing all the ingredients according to recipe, pellet forming and crumble establishment. Before mixing the main ingredient there was a process of weighing chemicals and feed supplement as prescribed in premix company section. The purpose of this research was to analyze the factors associated with the occurrence of irritant dermatitis contact in Premix workers in PT X Cirebon. The type of the research is an observational study with cross sectional approach. The subjects were 40 workers as part of Premix respondents. The results of the chi square test statistic obtained contact with the chemical (p value = 0.0001), years (p value = 1.000), duration of exposure (p value = 0.003), age (p value = 0.003), gender (p value = 0.017), knowledge (p value = 1.000), use of personal protective equipment (p value = 0.369), personal hygiene (p value = 0.689). The conclusion of this study is in contact with chemicals, long exposure, age and gender, associated with the incidence of irritant dermatitis contact. While working life, knowledge, use of personal protective equipment, and personal hygiene are not associated with the incidence of irritant contact dermatitis
HUBUNGAN BEBAN KERJA, IKLIM KERJA, DAN POSTUR KERJA TERHADAP KELUHAN MUSCULOSKELETAL PADA PEKERJA BAGGAGE HANDLING SERVICE BANDARA (Studi Kasus di Kokapura, Bandara Internasional Ahmad Yani Semarang) Ayu Nidaan Khofiyya; Ari Suwondo; Siswi Jayanti
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 (104.96 KB) | DOI: 10.14710/jkm.v7i4.24970

Abstract

Musculoskeletal Disorders are accumulations of injuries and pain that occur in the musculoskeletal system which are characterized by injuries to muscles, tendons, cartilages, ligaments, skeletons, vascular system, and nerves. Factors causing MSDs include work factors including work posture, workload, work duration, frequency, repetitive motion, while environmental factors include work climate, vibration, and lighting. The purpose of this study was to analyze the relationship between workload, work climate, work posture with musculoskeletal disorders on baggage handling service workers at the airport. This type of research is an analytical analytic study using cross-sectional studies. The population in this study were 54 baggage handling service workers at Kokapura Ahmad Yani International Airport Semarang with a sample of 36 people. The instrument of this study was the Nordic Body Map questionnaire to determine musculoskeletal disorders. The results showed there was a relationship between work posture (r-value = 0.001) and work climate (r-value = 0.019) with musculoskeletal disorders. Efforts to reduce and prevent musculoskeletal disorders on baggage handling service workers should managers provide socialization related to work ergonomics, scheduled heating activities before work and during work breaks.
FAKTOR RISIKO PENINGKATAN AMBANG DENGAR PEKERJA PENGELASAN (STUDI OBSERVASIONAL PADA PT. X KOTA SEMARANG BERDASARKAN UMUR DAN RIWAYAT PENYAKIT) Wina Adelia Christi; Ari Suwondo; Baju Widjasena
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 (97.485 KB) | DOI: 10.14710/jkm.v5i1.15744

Abstract

PT. X is one of the companies engaged in the construction and renovation of buildings that have high noise. Welding workers at PT. X has the risk of exposure to noise from machines cutting and welding metal. The research objective was to analyze the risk factors for the increase in the hearing threshold welding workers at PT. X Semarang based on the age and history of the disease. This study was an observational study with cross sectional analytic. Welding in the working population PT. X as many as 50 people with a sample of 33 people obtained using purposive sampling with inclusion criteria, age 35-70 years old, had no history of hearing, and willing to become respondents. The independent variable in this study is the hearing threshold, while the dependent variable is the age, working life, history of hypertension, history of diabetes mellitus. Methods of data collection using equipment Sound Level Meter to measure noise, Audiometer to measure the hearing threshold, Sphygmanometer to measure blood pressure, Nesco Multicheck to measure blood glucose, and questionnaires. Results of univariate analysis obtained the highest worker age ≤ 40 years (60.6%), working life > 10 years (87.9%), history of hypertension (24.2%), history of diabetes mellitus (21.2%). Bivariate analysis results obtained age (p = 0.435, OR = 0.571), age (p = 0.607, OR = 0.357), and diabetes mellitus (p = 0.203, OR = 4.000) is not a risk factor for the increase in the hearing threshold. While a history of hypertension (p = 0.012, OR = 14.875) is a risk factor for the increase in the hearing threshold. Workers need to maintain health and healthy lifestyle for patients with hypertension that do not have a hearing loss is more severe. In addition, the company is also required to provide a form of earmuff PPE for workers due to occupational noise range 110dB
FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN PENINGKATAN NILAI AMBANG DENGAR PADA PEKERJA DI BAGIAN PRODUKSI BODY MINI BUS PT. X MAGELANG Indriani Putri Kusumadewi; Ari Suwondo; Siswi Jayanti
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 (212.388 KB) | DOI: 10.14710/jkm.v6i5.22093

Abstract

Noises that exceeded the threshold value in production process could lead to work-related disease which is the increasing in hearing threshold value for factory workers. A research showed that noises sources were coming from the production process and the machineries such as las blender and las plasma. This research aimed to find out risk factor that related with the increasing of hearing threshold of  Body Mini Bus Production workers in PT. X Magelang. This research was an observational analitic study with a cross sectional study approach. The population from this research were 138 workers. The sample of this research was chosen from simple random sampling from 57 workers. The measurements done by the researcher to the workers were based on blood pressure with Sphygmomanometer, blood glucose levels with Nesco Multicheck, hearing threshold value with an audiometer, and interviews with questionaire. The results showed that noise intensity for individual worker in point 1 was 94 dB while individual worker in point 2 was 93 dB. According to analysist 91.2% of workers were categorized as of hearing threshold value were interrupted while Chi Square and Odd Ratio test resulted that noise intensty related with the hearing threshold value (sig = 0.011), working period related with increasing of hearing threshold value (sig = 0.006), and age related with the hearing threshold value (sig = 0.045). Cintructive input to PT. X was to give working rotation regularly, support protection for deaf caused working environment programs, and safety working equipment improvement. For workers it was highly recommended to wear earplug while working.
ANALISIS FAKTOR RISIKO GANGGUAN PENDENGARAN SENSORINEURAL PADA PEKERJA PT. X SEMARANG Sinta Marlina; Ari Suwondo; Siswi Jayanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.97 KB) | DOI: 10.14710/jkm.v4i1.11835

Abstract

Gangguan pendengaran sensorineural merupakan gangguan pada sistem sensor yang pada koklea. PT. X Semarang adalah perusahan manufaktur yang memproduksi lembaran baja seng. Di perusahaan tersebut, terdapat beberapa bagian kerja yang intensitas kebisingannya sudah melebihi NAB yaitu 86,9-93,6 dBA pada bagian produksi. Dari hasil audiometri, ditemukan 18 pekerja yang memiliki gangguan pendengaran sensorineural. Dari hasil medical checkup, diketahui terdapat 6 pekerja mengalami hipertensi, 6 pekerja mengalami diabetes mellitus, dan 15 pekerja mengalami hiperkolesterol.  Tujuan penelitian ini adalah untuk menganalisis faktor-faktor (intensitas kebisingan, usia, masa kerja, kedisiplinan penggunaan earplug, hipertensi, DM, dan hiperkolesterol) yang berpengaruh terhadap gangguan pendengaran sensorineural pada pekerja. Jenis penelitian ini observasional analitik dengan desain cross sectional. Populasi penelitian ini adalah 120 pekerja yang berasal dari bagian produksi, maintenance, dan administrasi. Sampel penelitian berjumlah 66 responden, dihitung secara proporsional sehingga didapatkan 29 responden berasal dari bagian produksi, 13 responden berasal dari bagian maintenance, dan 24 responden berasal dari bagian administrasi. Analisis multivariat dengan regresi logistik ganda menunjukkan bahwa variabel yang berpengaruh yaitu intensitas kebisingan (OR= 13,153: p= 0,002), usia (OR= 11,838: p= 0,033), dan riwayat hipertensi (OR= 14,368: p= 0,031). Disimpulkan bahwa intensitas kebisingan, usia, dan riwayat hipertensi merupakan faktor risiko gangguan pendengaran sensorineural pada pekerja di PT. X Semarang.
HUBUNGAN PAJANAN BENZENE DENGAN TEMUAN RETIKULOSIT, KADAR HEMOGLOBIN DARAH, DAN KADAR FENOL DALAM URINE PEKERJA INDUSTRI SEPATU X JAKARTA Chairul Anwar Nasution; Ari Suwondo; Siswi Jayanti
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.494 KB) | DOI: 10.14710/jkm.v3i1.11389

Abstract

Benzene exposure through the use of glue could cause serious risks for the human body. One of the target organ of benzene exposure was the bone marrow. Chronic effects of benzene exposure was damage to the blood formed system, such as damaged to the bone marrow, caused a decrease in blood cell counts. Phenol urine could be used as an indicator of exposure to benzene. The purpose of this study was to determine the correlation between  benzene exposure by reticulocytes, hemoglobin, and urine phenol shoe industry. This study used a quantitative method with cross sectional approach. Population and sample of 30 people who were determined by the total sampling method. The results of the study by Chi Square test showed that there was no correlation between the concentrations of benzene-reticulocytes (p-value = 1.000), work period-reticulocytes (p-value = 1.000), retikulosit- hemoglobin (p-value = 1.000), the concentration of benzene -hemoglobin (p-value = 0.304), work period-hemoglobin (p-value = 1.000), urine concentrations of benzene-phenol (p-value = 1.000), and work period-phenol urine (p-value = 1.000). Factors that determined the results of the study include the relatively concentrations of benzene, continuity of exposure, phenol urine test was not specific and sensitive. Researchers suggest that the industry owners should always use PPE at work, and conducted periodic health examinations. For further research to measured the concentration of benzene with personal sampling, use a urine test was more specific and sensitive, and use the study cohort in the study area.
FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KAPASITAS VITAL PARU PADA PEKERJA BAGIAN PRODUKSI DI INDUSTRI BATU KAPUR Febri Indra Pratama; Ari Suwondo; Bina Kurniawan
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (76.423 KB) | DOI: 10.14710/jkm.v4i1.11830

Abstract

Subdistrict Rowokele Kebumen has some informal sector industries engaged in the processing of limestone or commonly known as tobong. Chalk dust is a byproduct of the processing of limestone. Vital lung capacity (VLC) can decrease pollution caused by dust particles, one of which is the chalk dust. Based on the survey conducted in July 2013 found 70% of respondents experienced a subjective complaint of respiratory-related such as shortness of breath, breathing a little heavy, and shortness of breath. The purpose of this study was to analyze the risk factors associated with lung vital capacity on the part of workers in the industrial production of limestone (tobong). This research is a quantitative type of explanatory research and cross sectional approach. Sample selection technique with a total sampling totaling 34 workers. Examination of lung vital capacity on each respondent performed officials Medical Center Pulmonary Disease (BP4) Kebumen. The results showed that there is a relationship between age, length of employment, length of exposure, smoking and exercise habits with lung vital capacity and there is no relationship between the history of the disease, the use of PPE, and the nutritional status of the lung vital capacity. Based on the results of the calculation of prevalence ratio (PR), it is known that workers with tenure ≥ 10 years 2.67 times greater risk of decreased VLC compared with workers with tenure <10 years; workers with long exposure to ≥ 8 hours 1,538 times greater risk of decreased VLC compared to workers with long exposure < 8 hours; workers who have the smoking habit at 3.68 times greater risk of decreased VLC compared to workers who do not have the habit of smoking; workers who did not exercise regularly 4.3 times greater risk of decreased VLC compared with workers who regularly exercise.
HUBUGAN PAPARAN DEBU KAPAS DAN KARAKTERISTIK INDIVIDU DENGAN GEJALA PENYAKIT BISINOSIS PADA PEKERJA SPINNING 1 PT. X KABUPATEN SEMARANG Robby Aditya Saputra; Ari Suwondo; Siswi Jayanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.937 KB) | DOI: 10.14710/jkm.v4i4.14333

Abstract

Cotton dust is a factor of air pollutants that cause disease byssinosis. In addition to cotton dust exposure byssinosis disease is also influenced by the characteristics of the individual. Based on the preliminary results of the survey 70% of workers in the spinning mills 1 PT. X has a cough, shortness of breath and respiratory symptoms suspected byssinosis disease. The purpose of this study was to analyze the relationship between exposure to cotton dust and characteristics of individuals with symptoms of the disease byssinosis on workers in the spinning 1 PT. X Semarang Regency. This type of research is observational analytic cross-sectional study design. The variables measured were cotton dust levels, age, gender, length of employment, nutritional status, use of masks, smoking, history of pulmonary disease and lung vital capacity. Determination of the sample using simple random sampling technique was followed by a minimum sampling techniques to obtain a total sample of 53 people. Univariate analysis showed that the prevalence of disease symptoms byssinosis by 62.3%. Statistical test results by using test Spearman rank correlation showed no relationship between levels of cotton dust with disease symptoms byssinosis (p = 0.019), tenure with the symptoms of the disease byssinosis (p = 0.001), As for the variables of sex, age, nutritional status, the use of masks, smoking, and a history of pulmonary disease there was no correlation with disease symptoms byssinosis. Suggestions in this research is to rotate the work to the worker who has symptoms byssinosis and has worked for over 5 years to the section that has a low dust content value.
FAKTOR RISIKO PAPARAN BISING TERHADAP NILAI AMBANG DENGAR PEKERJA DI TERMINAL KARGO BANDARA AHMAD YANI SEMARANG Hana Nuriy Rahmawati; Ari Suwondo; Siswi Jayanti
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 (84.819 KB) | DOI: 10.14710/jkm.v5i5.18930

Abstract

The increasing speed of threshold hearing value for each individual is determined by external factors and internal factors. The external factors are noise intensity, the frequency of sound, the distance between workers and noise source, years of work and exposure time. In other hands, the internal factors are the history of the illness which is related to a hearing system, the history of using ototoxicity medicine and also age. Cargo Terminal in Airport is a place to loading and unloading of cargo handling from consumers and then forwarded to ground handling Airport and vice versa. The design study that is conducted by quantitative with cross sectional approach. The total population in Cargo Terminal is 44 workers. The sampling method is conducted by purposive sampling with inclusive criteria, which produce 33 samples. Data collecting conducted by inquiries filled by the subjects and also measurement using Audiometer and Noise Dosimeter. Measurement of threshold hearing value using Audiometer shown that 36,4% out of 33 respondents experiencing hearing disorders. Thus, noise measurement using Noise Dosimeter in Cargo Terminal shown that theintensity exposure level of noise are 75,3 and 78,9 dB(A).  Results of statistical test using chi-square, the correlating factors are age (p-value=0,047,PR=2,800), ear trauma (p- value=0,040,PR =3,333), noise in residential environment (p-Value=0,040,PR =3,333).  Age, ear trauma and noise in residential environment are the correlating factor towards workers threshold hearing level in Cargo Terminal Ahmad Yani Semarang Airport. The management are suggested to regularly measure the intensity exposure of noise with minimal every 3 months and also provide a soundproof  rest area for workersto rest inside Cargo Terminal.