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FAKTOR YANG MEMPENGARUHI KEJADIAN DERMATITIS DI DESA PEMATANG JOHAR KECAMATAN LABUHAN DELI KABUPATEN DELI SERDANG Silalahi, Novrika; Malau, Pitto Pratiwi
Jurnal Penelitian Kesmasy Vol 7 No 2 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i2.2336

This study discusses the factors associated with the occurrence of dermatitis. Dermatitis is inflammation of epidermis and dermis which is characterized by objective symptoms of polymorphic lesions and symptoms subjective itching, it is caused by endogenous or exogenous factors. Globaly dermatitis affect 230 million peoples in 2016 or 3,5% of the world population, the incidence of dermatitis in pematang johar villages in November 2018 reached 453 cases while in Hamlet Gunung Sinar there were 153 cases. The type of quantitative research with the method that used was analytical survey with cross sectional approach. The research was conducted from April to June 2024 with a sample of global cases of dermatitis as many as 60 people, the study was carried out through interviews with questionnaires. The results of the study were 60 respondents with dermatitis as many as 31 peoples (51.7%). As many as two of the three factors studied with chi-square test was 95% confidence level it had a significant relationship with dermatitis, namely chemical contact with p-value 0.035, and environment conditions with p-value 0.001, while one factor namely personal hygiene did not indicate a meaningful relationship. So the researcher expects that the public must pay more attention and maintain environmental conditions, so that it is expected to prevent the occurrence of dermatitis.

Pengaruh Usia terhadap Pemahaman tentang Komunikasi Kesehatan melalui TANNITO pada Petani Tomat di Desa Semangat Kabupaten Karo annisa, Rizka; Malau, Pitto Pratiwi
Jurnal Penelitian Kesmasy Vol 7 No 2 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i2.2348

Communication is a way for humans to interact with other living things. Communication is used to convey information, messages, and news. Usually tomato farmers communicate with each other in coffee shops at night after returning from working in the garden. So far, communication between tomato farmers has been quite good, but tomato farmers only discuss plants, the economy, harvests and pesticides. No tomato farmers communicate about health news. Thus, this study aims to increase tomato farmers' awareness of the importance of health that starts from themselves. This study uses TANNITO (Tomato Farmers' Recommendation Response) as a message to be conveyed to tomato farmers in Semangat Village, Merdeka District, Karo Regency. TANNITO is five health messages that can help tomato farmers to be aware of the dangers of pesticide exposure when working in tomato gardens. The study was conducted on 40 tomato farmers in Semangat Village, Merdeka District by looking descriptively at the influence of age on tomato farmers' understanding of the health messages conveyed in TANNITO.

GERAKAN “SATU RUMAH SATU MASKER”: EDUKASI ETIKA BATUK DAN PENATAAN VENTILASI ALAMI UNTUK PENCEGAHAN TB DI KECAMATAN GUNUNG MERIAH KABUPATEN DELI SERDANG Silalahi, Novrika; Malau, Pitto Pratiwi; Annisa, Rizka
Jurnal Pengabdian Masyarakat Putri Hijau Vol 6 No 2 (2026): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i2.2902

Tuberculosis (TB) remains a public health problem that requires family- and environment-based prevention efforts. This community service activity aimed to improve the knowledge and awareness of TB patients regarding cough etiquette, mask use, and the arrangement of natural ventilation through the “One House, One Mask” movement. The activity was conducted on February 10–11, 2026, in Gunung Meriah District, Deli Serdang Regency, involving 50 respondents with TB. The implementation methods included health education, demonstrations, discussions, mentoring, and evaluation through pre-test and post-test. The results showed that 42 respondents (84%) understood and were able to correctly practice cough etiquette, 44 respondents (88%) understood the importance of wearing masks in the household, and 39 respondents (78%) understood the importance of healthy natural ventilation. In addition, there was an average increase of 24% in knowledge scores based on the pre-test and post-test results. Active participation reached 46 respondents (92%), while 41 respondents (82%) expressed willingness to apply TB prevention behaviors in their households. This activity was effective in improving respondents’ knowledge, awareness, and participation in efforts to prevent TB transmission.

FOOD BASKETS DAN EDUKASI KESEHATAN LINGKUNGAN DALAM PENINGKATAN GIZI PENDERITA TUBERKULOSIS PARU DI KOTA MEDAN Novrika Silalahi; Pitto Pratiwi Malau; Elmina Tampubolon; Rizka Annisa
Jurnal Penelitian Kesmasy Vol. 8 No. 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2592

Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, including in Medan City. Malnutrition among TB patients worsens prognosis and delays recovery. Nutrition-based interventions such as Food Baskets combined with environmental health education are expected to improve nutritional status while preventing TB transmission at the household level. This study applied a quasi-experimental design with a pre-post test control group. A total of 30 pulmonary TB patients were enrolled and divided into an intervention group (n=15; received Food Baskets + environmental health education) and a control group (n=15; standard care). Data collected included body weight, energy intake, protein intake, hemoglobin, albumin, knowledge score, and environmental health behavior score. Data were analyzed using paired t-tests and independent t-tests, with significance set at p < 0.05. The intervention group showed a significant increase in body weight (+2.6 ± 0.9 kg) compared to the control group (+1.0 ± 0.8 kg, p < 0.001). Energy intake increased by +370 kcal/day in the intervention group versus +110 kcal/day in the control (p < 0.001). Protein intake increased by +15 g/day in the intervention group versus +4 g/day in the control (p < 0.001). Knowledge scores improved from 58 to 82, while environmental health behavior scores increased from 60 to 83 (p < 0.001). Food Baskets combined with environmental health education are proven effective in improving nutritional status, knowledge, and health behavior of pulmonary TB patients. This intervention can serve as an additional strategy in community-based TB control programs.

Efektivitas Tanaman Kayu Apu (Pistia stratiotes L.) Terhadap Penurunan Kadar COD dan BOD Menggunakan Metode Fitoremediasi pada Limbah Cair Industri Tahu Tahun 2025 Bahtera Bindavid Purba; Ripando Jon Satria Sembiring; Pitto Malau
Jurnal Penelitian Kesmasy Vol. 8 No. 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2607

Liquid waste from tofu industries contains high levels of organic matter, as indicated by COD (Chemical Oxygen Demand) and BOD (Biochemical Oxygen Demand) values that exceed environmental quality standards. This can lead to water pollution and harm aquatic ecosystems. This study aims to determine the effectiveness of water lettuce (Pistia stratiotes L.) in reducing COD and BOD levels in tofu industry wastewater through the phytoremediation method. The research was conducted using a post-test only experimental design. The Treatments were applied by placing 500 grams of water lettuce into the wastewater for durations of 3, 6, and 9 days. The results showed that COD levels decreased from 784 mg/L to 132 mg/L on the 9th day (a reduction of 83.16%), and BOD levels decreased from 272 mg/L to 41 mg/L (a reduction of 84.92%). The findings indicate that water lettuce is effective in lowering COD and BOD levels, and the duration of exposure significantly affects the level of effectiveness. Phytoremediation using water lettuce can be a simple, environmentally friendly, and cost-effective alternative for treating liquid waste, especially in small-scale or household tofu industries.

STUDI ERGONOMI TERHADAP POSTUR, BEBAN KERJA, DAN FAKTOR LINGKUNGAN PADA PETANI TOMAT: LITETRATUR REVIEW Rizka Rizka Annisa; Fithri Handayani Lubis; Herlina J. EL-Matury; Pitto Pratiwi Malau
Jurnal Penelitian Kesmasy Vol. 8 No. 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2687

Tomato cultivation is an intensive agricultural activity that demands high physical exertion and exposes workers to considerable ergonomic and environmental risks. Most cultivation processes including planting, maintenance, and harvesting are still performed manually, often involving prolonged bending, squatting, and static standing postures. These conditions substantially increase the risk of work-related musculoskeletal disorders (MSDs). This literature review aims to integrate recent findings on the interrelationships among working posture, physiological workload, and environmental factors affecting the health and productivity of tomato farmers. The synthesis revealed a high prevalence of MSDs among agricultural workers, particularly affecting the lower back, neck, and shoulders, primarily due to repetitive and static working postures (Widyanti, 2018; Akbar et al., 2023). Physiological workload studies demonstrated that workers in greenhouse environments experienced elevated body temperatures and fatigue correlated with work intensity and ambient heat (Silalahi et al., 2017; Jung & Kim, 2022). Environmental stressors especially heat and humidity further exacerbate these conditions, leading to heat stress that compromises physical performance and health (FAO, 2018; El Khayat et al., 2022). Furthermore, improper postures during manual harvesting negatively affect both worker well-being and tomato fruit quality, whereas ergonomic practices enhance both efficiency and yield quality (Kuta et al., 2023). Recommended interventions include improved tool and workplace design, task rotation, adequate ventilation and shaded rest areas, and training on ergonomic harvesting techniques (FAO, 2018; Ahamed et al., 2023). The review also highlights research gaps, notably the lack of longitudinal studies and intervention evaluations within smallholder tropical farming contexts. Future research should adopt mixed-method approaches combining physiological, postural, and environmental assessments to develop sustainable, safe, and efficient agricultural work systems.

Literature Review: Inovasi Teknologi Ergonomis dalam Peningkatan Efisiensi dan Kesehatan Pekerja di Era Industri 4.0 Pitto Pratiwi Pratiwi; novrika silalahi; Rizka Annisa; Muhraza Siddiq; Fithri Handayani Lubis
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2888

The Fourth Industrial Revolution has significantly transformed workplace ergonomics through the integration of advanced technologies such as wearable sensors, artificial intelligence (AI), exoskeletons, and markerless motion capture systems. This literature review aims to examine recent innovations in ergonomic technologies that enhance work efficiency while safeguarding workers’ health and safety. Findings from studies published between 2023 and 2025 indicate that these technologies substantially reduce the risk of work-related musculoskeletal disorders, improve productivity, and enable real-time monitoring of workers’ physical conditions. Wearable sensors and AI-based systems play a crucial role in detecting hazardous postures and providing corrective feedback, whereas exoskeletons effectively reduce biomechanical strain during physically demanding tasks. Despite these promising outcomes, several challenges remain. The adoption of ergonomic technologies is often hindered by limited technical validation, inadequate user training, and ethical issues concerning worker data privacy. Moreover, user acceptance is influenced by factors such as comfort, trust, and perceived usefulness of the technology. Emerging debates also highlight potential risks of workplace discrimination associated with data-driven systems. Consequently, a human-centered design approach is essential to ensure that ergonomic innovations prioritize human well-being rather than solely focusing on operational efficiency. This study concludes that the success of ergonomic technologies in the Industry 4.0 era should be evaluated not only by their contribution to productivity but also by their ability to promote long-term occupational health, safety, and overall worker well-being.

GERAKAN “SATU RUMAH SATU MASKER”: EDUKASI ETIKA BATUK DAN PENATAAN VENTILASI ALAMI UNTUK PENCEGAHAN TB DI KECAMATAN GUNUNG MERIAH KABUPATEN DELI SERDANG Novrika Silalahi; Pitto Pratiwi Malau; Rizka Annisa
Jurnal Pengabdian Masyarakat Putri Hijau Vol. 6 No. 2 (2026): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i2.2902

Tuberculosis (TB) remains a public health problem that requires family- and environment-based prevention efforts. This community service activity aimed to improve the knowledge and awareness of TB patients regarding cough etiquette, mask use, and the arrangement of natural ventilation through the “One House, One Mask” movement. The activity was conducted on February 10–11, 2026, in Gunung Meriah District, Deli Serdang Regency, involving 50 respondents with TB. The implementation methods included health education, demonstrations, discussions, mentoring, and evaluation through pre-test and post-test. The results showed that 42 respondents (84%) understood and were able to correctly practice cough etiquette, 44 respondents (88%) understood the importance of wearing masks in the household, and 39 respondents (78%) understood the importance of healthy natural ventilation. In addition, there was an average increase of 24% in knowledge scores based on the pre-test and post-test results. Active participation reached 46 respondents (92%), while 41 respondents (82%) expressed willingness to apply TB prevention behaviors in their households. This activity was effective in improving respondents’ knowledge, awareness, and participation in efforts to prevent TB transmission.

Survival Analysis of Tuberculosis in Children: Environmental and Family Behavior Factors in Medan Tuntungan Subdistrict Novrika Silalahi; Pitto Pratiwi Malau
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4ffswc96

Tuberculosis (TB) in children remains a significant public health issue, particularly in the context of household transmission. This study aimed to analyze the time-to-event of TB incidence among children and to identify environmental and family behavioral factors influencing its occurrence in Medan Tuntungan District, Medan City, in 2025. This study employed an analytical observational design with a retrospective cohort approach and survival analysis. A total of 40 children aged 6–10 years were selected using purposive sampling. Data were analyzed using Kaplan-Meier methods, Log-Rank tests, and Cox proportional hazards regression. The results showed that the median time to TB incidence was 8 months. Significant factors associated with TB incidence in children included exposure to cigarette smoke (HR=3.12; p<0.05), poor household ventilation (HR=2.78; p<0.05), household crowding (HR=2.15; p<0.05), and inadequate family preventive behavior (HR=2.40; p<0.05). In conclusion, environmental and family behavioral factors play a crucial role in determining the timing of TB incidence in children. Survival analysis provides a more comprehensive understanding of risk periods and determinants. TB prevention strategies should focus on improving household environmental conditions and family health behaviors.

Implementation of Eco-Wetland Phytoremediation Technology to Support Cleaner Production and Waste Load Reduction in Tofu Factories Nada Amirah; Pitto Pratiwi Malau; Nurul Dahlia Harahap
Jurnal Pengabdian Nusantara Vol. 4 No. 4 (2026)
Publisher : Konsorsium Nasional Pengelola Jurnal Pengabdian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/jpn.v4i4.270

The small-scale tofu industry Tahu Sumedang Putri Deli generates large volumes of wastewater that have been discharged directly into the drainage channel without treatment, causing odor, turbidity, and blockage that disturb the surrounding settlement. This community service program aims to implement an eco-wetland phytoremediation technology using water lettuce (Pistia stratiotes) and water jasmine (Echinodorus palaefolius) equipped with a coarse screen, as well as to strengthen the partner's capacity in wastewater management and cleaner production practices. The method consisted of socialization, training, technology implementation, mentoring and evaluation, and sustainability planning, supported by the environmental group Klinik Reboisasi. Results showed a 77.8% plant survival rate on day 7, with all water jasmine plants surviving while water lettuce reached 66.7%. Over six days of operation, wastewater pH increased from 4.76 to 7.3–7.4, TDS decreased by 43.3–49.9%, and dissolved oxygen increased by 29.6–48.1%. Partner knowledge scores rose from an average of 55.0 to 86.25, with 87.5% of partners able to operate the system independently. These improvements were also supported by routine cleaning of the channel and plants, as well as the selection of water jasmine seedlings with well-developed root systems. The program indicates that eco-wetland is one of the least expensive and viable solutions for small-scale tofu industries, though it requires source reduction for wastewater management to remain sustainable.

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