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Secondhand tobacco smoke in public venues in three Indonesian cities Byron, M. J.; Suhadi, Dollaris R.; Hepp, Lisa M.; Avila-Tang, Erika; Yang, Jingyan; Asiani, Gema; Rubaeah, Rubaeah; Tamplin, Stephen A.; Bam, Tara S.; Cohen, Joanna E.
Medical Journal of Indonesia Vol 22, No 4 (2013): November
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (873.1 KB) | DOI: 10.13181/mji.v22i4.606

Abstract

Background: The aim of this study was to measure secondhand tobacco (including kretek) smoke (SHS) concentrations in public places in Jakarta, Bogor, and Palembang before laws banning smoking in public spaces went into effect.Methods: Particulate matter (PM2.5) was measured in 15 hospitals, 15 government offices, 30 restaurants, and 26 entertainment venues throughout the three cities. Also, in Jakarta, vapor-phase nicotine was measured in 5 schools, 5 hospitals, 5 government offices, 9 restaurants, and 10 entertainment venues. Data were analyzed descriptively. Differences by city and venue characteristics were analyzed by Student’s t-test, ANOVA, and Bonferroni pairwise statistical tests.Results: Geometric mean PM2.5 levels were highest in entertainment venues (96 μg/m3), followed by restaurants (78 μg/m3), government offices (57 μg/m3), and hospitals (46 μg/m3). Air nicotine levels in Jakarta were highest in designated smoking areas (4.71 μg/m3) and designated non-smoking areas (1.55 μg/m3) of entertainment venues. These were followed by government offices (0.30 μg/m3), designated smoking areas (0.24 μg/m3) and designated non-smoking areas (0.19 μg/m3) of restaurants, hospitals (0.01 μg/m3), and schools (0.01 μg/m3).Conclusion: SHS was detected in all venues in the three cities in Indonesia. High levels of air nicotine were found in non-smoking areas of restaurants and entertainment venues, indicating that designated smoking areas are not an effective solution to eliminate SHS. There is no safe level of SHS exposure and thus SHS in these venues increases the risk of adverse health effects among children and adults. These findings support the need for 100% smoke-free laws covering all public venues in these and other Indonesian cities. (Med J Indones. 2013;22:232-7. doi: 10.13181/mji.v22i4.606) Keywords: Cigarettes, kretek, protection, protect, secondhand smoke, smoke-free policy, tobacco
ANALISIS PERILAKU PETUGAS TERHADAP PENGELOLAAN LIMBAH MEDIS PADAT DI RSUD TALANG UBI KABUPATEN PALI TAHUN 2023 afriyanti arfan; Arie Wahyudi; Gema Asiani
Avicenna: Jurnal Ilmiah Vol. 18 No. 2 (2023): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v18i2.5525

Abstract

Background: Solid medical waste, which includes infectious and pathological waste and is owned by public health agencies or private organizations, is a type of waste generated in sanitation facilities or laboratories. The goal is to find out the behavior of officers towards the management of solid medical waste at the Talang Ubi Hospital, Pali Regency, in 2023. Methods: Quantitative methods were used through a cross sectional research design, held at Talang Ubi Hospital, Pali Regency, in June 2023. The study sample was 74 respondents with using proportional random sampling technique to draw members of the population, while to determine the spatial sample using purposive sampling to select individuals in the population, but to use purposive sampling to determine the sample space. Data analysis using univariate, bivariate, and multivariable methods was obtained through interviews and questionnaires. Results: Management of solid medical waste that meets the requirements is 94.6%. There is no relationship between officers' knowledge, years of service and solid medical waste management. There is a significant relationship between the attitude of officers, the actions of officers using PPE and the management of solid medical waste. The results of the multivariate analysis, the variable that has a significant relationship, namely the actions of the cleaning staff and the greatest influence, namely solid medical waste management with good tenure will have good solid medical waste management by 5,520 times higher than those with less solid medical waste management. Conclusion: Hospital solid medical waste management training is needed for health workers to understand the importance of this aspect.   Keywords: Service Behavior, Solid Medical Waste Management, Hospital
Penanggulangan Penyakit Berpotensi Kejadian Luar Biasa Novana Fitriani; Dianita Ekawati; Gema Asiani; Chairil Zaman
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 8 No. 2 (2023): Cendekia Medika : Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v8i2.244

Abstract

Upaya yang dilakukan Dinas Kesehatan Provinsi Sumatera Selatan dalam rangka penanggulangan KLB di Provinsi Sumatera Selatan yang pernah terjadi meliputi penyelidikan epidemiologi, pengambilan sampel, penatalaksanaan penderita mengacu pada Peraturan Menteri Kesehatan (Permenkes) Nomor 1501/Menteri/Per/X/2010. Penelitian ini menggunakan desain penelitian analisis deskriptif dengan pendekatan kualitatif. Penelitian ini dilaksanakan pada tanggal 11 s.d 28 Juni 2021. Metode pengumpulan data melalui wawancara mendalam dengan 5 informan yaitu Kepala Dinas Kesehatan Kab. Ogan Ilir, Kepala Bidang P2P Dinas Kesehatan Prov. Sumsel, Kepala Bidang P2P Dinas Kesehatan Kab. Ogan Ilir, Sub Koordinator Surveilans dan Epidemiologi, Staf Seksi Surveilans dan Epidemiologi Pengelola Program Surveilans dan Epidemiologi dan Penunjang didukung dengan observasi. Hasil penelitian menunjukkan bahwa  Pelaksanaan Penanggulangan Kejadian Luar Biasa (KLB) di Kabupaten Ogan Ilir tahun 2023 sudah terlaksana dengan baik. Namun capaian masih kurang karena kader dan petugas masih mengalami hambatan dalam hal pendataan dan pemberian informasi kepada masyarakat. Kendala yang dijumpai adalah jumlah kader yang berganti-ganti, signal dan kuota yang kurang memadai dan sarana jalan yang kurang mendukung dan Program pengendalian penyakit (perencanaan, pengobatan dan pencegahan) yang berpotensi Kejadian Luar Biasa (KLB) di kabupaten Ogan Ilir Tahun 2023 telah dilakukan dengan tepat dan sebaik mungkin yaitu petugas segera melaporkan ke Puskesmas jika ada terjadi kasus Kejadian Luar Biasa (KLB)  di masyarakat. Hendaknya sarana dan prasarana penunjang dalam upaya peningkatan kinerja petugas terkait dengan kelengkapan data dan ketepatan waktu pengumpulan lebih ditingkatkan untuk lebih cepatnya penanggulangan penyakit.
ANALISIS FAKTOR RESIKO YANG BERHUBUNGAN DENGAN KARIES GIGI PADA ANAK SD DI WILAYAH KERJA PUSKESMAS SUNGAI BAUNG TAHUN 2023 Yulyananda Firasty; Dianita Ekawati; Gema Asiani
Jurnal Kesehatan Tambusai Vol. 4 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i3.17059

Abstract

Masalah kesehatan gigi dan mulut merupakan penyakit yang menjadi masalah dan dialami oleh masyarakat dunia. Karies gigi merupakan penyakit yang sering terjadi pada anak-anak yaitu suatu keadaan gigi yang berlubang dan menimbulkan rasa nyeri. Studi pendahulu menunjukkan tingginya angka karies gigi di kabupaten Penukal Abab Lematang Ilir sehingga perlu diteliti faktor yang berhubungan dengan kejadian karies di SD wilayah Puskesmas Sungai Baung tersebut. Penelitian ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan kejadian karies gigi pada anak SD diwilayah kerja Puskesmas Sungai Baung Kabupaten PALI tahun 2023. Metode dalam pengambilan sampel penelitian ini dengan teknik random sampling. Sampel penelitian yaitu siswa SD di wilayah kerja Puskesmas Sungai Baung Kabupaten PALI tahun 2023 sebanyak 86 responden. Penelitian ini telah dilaksanakan pada tanggal 25 Mei sampai dengan 31 Mei tahun 2023. Pengumpulan data dengan mnggunakan kuesioner.         Hasil analisis uji statistik dengan menggunakan uji chi-square dimana hasilnya menunjukkan ada hubungan bermakna (p < 0,05) untuk variabel kebiasaan sikat gigi ( p Value 0,003) dan peran ibu ( p Value 0,006). Dari hasil uji statistik multivariat diperoleh faktor yang dominan yaitu peran ibu (p Value = 0,002) dengan nilai OR ( 8.753).
ANALISIS PERILAKU KESEHATAN IBU YANG BERPENGARUH DENGAN KEJADIAN STUNTING DI WILAYAH KERJA PUSKESMAS PEMULUTAN KABUPATEN OGAN ILIR TAHUN 2023 Redi Kaswara; Erma Gustina; Gema Asiani; Dianita Eka Wati
Avicenna: Jurnal Ilmiah Vol. 18 No. 2 (2023): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v18i2.5563

Abstract

Background: Stunting is a chronic malnutrition problem caused by a lack of nutritional intake for a long time, this causes future problems, namely experiencing difficulties in achieving optimal physical and cognitive development. Children with stunting have a lower Intelligence Quotient (IQ) than the average IQ of normal children. This study aims to determine the Analysis of Maternal Health Behavior Affected by Stunting Incidents in the Pemulutan Health Center Work Area, Ogan Ilir Regency in 2023. Methods: The design of this study used Cross Sectional, where the population in this study was 206 respondents, with a sample of 67 respondents who visited. The sampling method in this study was purposive sampling. This research was carried out on June 15-20 in 2023. Data collection and retrieval using questionnaires and observation. Results: The results of the statistical test analysis using the Chi-Square statistical test and logistic regression where the results showed that there was a significant relationship (p value <0.05) for the variables age (p value 0.032), mother's education (p value 0.016), mother's occupation (p value 0.024) mother's knowledge (p value 0.026), exclusive breastfeeding (p value 0.027) ANC visits (p value 0.041), smoking behavior (p value 0.001) and defecation behavior (p value 0.011) while the unrelated variables are type sex (p value 0.562). From the results of the multivariate statistical test, it was found that the dominant factor in the incidence of stunting was ANC visits (p= 0.007; OR= 108.598). Conclusion: It is hoped that health workers can improve nutritional status checks, immunization checks on pregnant women, nursing mothers so that the risk of stunting can be prevented as early as possible so that no more toddlers will be stunted.   Keywords: Toddlers, Behavior, Stunting
ANALISIS DETERMINAN KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA PUSKESMAS MAKRAYU KOTA PALEMBANG TAHUN 2023 Yuniartina; Nani Sari Murni; Gema Asiani; Arie Wahyudi
Avicenna: Jurnal Ilmiah Vol. 18 No. 2 (2023): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v18i2.5600

Abstract

Background: Makrayu Community Health Center data for 2022, 98% of household heads with access to proper sanitation facilities (healthy latrines), 94.96% of residents with sustainable access to quality (proper) drinking water and households washing hands with soap (CTPS) is 96%. Diarrhea is a condition in which individuals experience an increase in the frequency of defecation three or more times a day accompanied by changes in the concentration of stool in liquid form with or without mucus or blood. The incidence of diarrhea can be seen from the use of clean water supply, provision of family latrines, provision of landfills and provision of waste water disposal. This study aims to find out the analysis of the determinants of the incidence of diarrhea in toddlers in the working area of ​​the Makrayu Public Health Center, Palembang City in 2023. Methods: The study design was case control. The population in the study were diarrhea patients in toddlers in the Working Area of ​​the Makrayu Health Center as many as 245 toddlers. The sample in the study amounted to 71 toddlers. The sampling technique used proportional random sampling and continued with purposive sampling. Data collection was carried out on June 5-21, 2023. The research instruments were questionnaires and observation sheets. Bivariate analysis used the chi-square test, while multivariate analysis used multiple logistic regression tests. Results: The results of the bivariate analysis showed that there was a relationship between knowledge (p value 0.032), attitude (p value 0.016), Stop BABs (p value 0.000), CPTS (p value 0.000) and PSRT (p value 0.002), while there was no relationship between PAM- RT (p value 0.116) with diarrhea as a determinant. The results of multivariate analysis showed that the dominant factor determining the incidence of diarrhea was household waste management (p value 0.003; OR= 0.171). Conclusion: Based on the results of the research, it is hoped that it will increase knowledge by means of public health counseling and seminars, especially regarding the incidence of diarrhea, such as continuing to provide education to the public in protecting the environment so that they are protected from various types of diseases, especially diarrhea.   Keywords: Diarrhea, Incidence, Toddlers
Analisis Kepuasan Pasien Terhadap Pelayanan Keperawatan di Unit Rawat Jalan Poloklinik Orthopedi dan Traumalogi 2023 Syiska Yuniarti; Arie Wahyudi; Gema Asiani
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol. 6 No. 2 (2023): Jurnal Kesehatan Saelmakers PERDANA (JKSP)
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/jksp.v6i2.1003

Abstract

Analisis Faktor Yang Berhubungan Dengan Kunjungan Antenatal Care (ANC) di Puskesmas Mariana Tahun 2023. Rika Victoria; Ali Harokan; Gema Asiani
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol. 6 No. 2 (2023): Jurnal Kesehatan Saelmakers PERDANA (JKSP)
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/jksp.v6i2.1008

Abstract

Antenatal Care (ANC) is a health service for pregnant women in the months and weeks before birth which aims to develop pregnant women and their fetuses. This study aims to determine the factors of age, parity, occupation, knowledge, attitudes and family support related to Antenatal Care (ANC) visits at the Mariana Health Center in 2023,. The research design is quantitative with a cross sectional approach. The population in this study is pregnant women seeking treatment at Mariana in 2022, which is 16354 respondents. Sampling using slovin theory. The sample in this study amounted to 99 people. How to take samples using purposive sampling. Data collection for this research was carried out from June 05 2023 to June 19 2023. Data collection was carried out using a Likert scale questionnaire. Bivariate data analysis using the Chi-Square test. The results showed that there was a relationship between parity (p value 0.035), knowledge (p value 0.022), family support (p value 0.011) and Antenatal Care (ANC) visits at the Mariana Health Center in 2023. There was no relationship between age (p value 0.801), occupation (p value 0.423) and attitudes (p value 0.190) with Antenatal Care (ANC) visits at the Mariana Health Center in 2023. There is a need for efforts to increase knowledge and motivation for family participation in antenatal care visits.
Hubungan Cara Berkumur Dan Cara Menyimpan Sikat Gigi Terhadap Karies Gigi Di Sekolah Dasar Wilayah Kerja Puskesmas Nagaswidak kota Palembang Asiani, Gema; Wahyudi, Arie
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 6 (2024): Volume 11 Nomor 6
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i6.14747

Abstract

Sebanyak 2 miliar orang di seluruh dunia mengalami karies gigi, 26% diantaranya adalah karies gigi susu. Pada tahun 2023 kasus karies gigi anak di wilayah kerja Puskesmas Nagaswidak sebanyak 2.153 atau 56.11%. Kejadian karies gigi berhubungan dengan cara menyikat gigi, termasuk cara berkumur dan cara menyimpan sikat gigi. Penelitian ini bertujuan untuk menganalisa hubungan cara berkumur dan cara menyimpan sikat gigi terhadap kejadian karies gigi di sekolah dasar wilayah kerja Puskesmas Nagaswidak Palembang. Metode penelitian menggunakan Desain penelitian observasional analitik dengan pendekatan cross sectional. Populasi yaitu semua siswa kelas V dan VI di sekolah dasar wilayah kerja Puskesmas Nagaswidak Palembang berjumlah 1.200. Sampel berjumlah 300 yang diambil teknik Stratified Proporsional Random Sampling. Hasil penelitian didapatkan Uji chi square dengan tingkat kemaknaan α ≤ 0.05. Hasil penelitian hubungan cara berkumur dengan kejadian karies gigi diperoleh p value=0.032 dan hubungan cara menyimpan sikat gigi dengan kejadian karies gigi diperoleh p value=0.001. Kesimpulan didapatkan ada hubungan antara cara berkumur dan cara menyimpan sikat gigi dengan kejadian karies gigi pada anak sekolah dasar di wilayah kerja Puskesmas Nagaswidak Palembang tahun 2024.
ANALISIS KEJADIAN KEKURANGAN ENERGI KRONIS (KEK) PADA IBU HAMIL Simanjuntak, Ferdi Marulitua; Asiani, Gema; Zaman, Chairil; Ekawati, Dianita
Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Vol 16, No 1 (2024): Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan
Publisher : STIKES 'Aisyiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/bi.v16i1.1210

Abstract

Latar Belakang: Kekurangan energi kronis (KEK) merupakan kurangnya konsumsi pangan sumber energi yang mengandung energi zat gizi makro, yang ditandai dengan LiLA < 23.5 cm. KEK dapat berisiko melahirkan bayi premature, BBLR, dan meningkatkan risiko kesakitan dan kematian bagi ibu dan bayinya. Tujuan: untuk menganalisis kejadian KEK pada ibu hamil di wilayah kerja Puskesmas Pembina Palembang Tahun 2024. Metode: penelitian kuantitatif dengan pendekatan analisis observasi dengan pendekatan cross sectional. Jumlah sampel dalam penelitian ini berjumlah 100 ibu hamil di wilayah kerja Puskesmas Pembina Palembang pada bulan Januari-Februari 2024. Pengukuran dengan cara mengukur LiLA dan mengisi kuisoner yang telah divalidasi, analisa data menggunakan analisis multivariat. Hasil: usia tidak berisiko KEK, paritas rendah, pendidikan tinggi, pengetahuan baik, asupan gizi cukup, dan dukungan suami mendukung. Kejadian KEK sebanyak 25 orang (25%) dan tidak KEK 75 orang (75%). Ada hubungan antara variabel pendidikan, pengetahuan, asupan gizi, dan dukungan suami dengan nilai p Value 0.00 atau p Value <0.05. Hasil analisis multivariat yaitu tidak ada variabel yang paling dominan yang berhubungan dengan kejadian KEK di Wilayah Kerja Puskesmas Pembina Palembang. Saran: agar melakukan penyuluhan terkait KEK dan upaya pencegahan bagi ibu hamil, pemberian makanan tambahan (PMT) selama 120 hari serta pemeriksaan berkala terhadap status gizi, dan diberikan motivasi terhadap keluarga agar selalu memberikan semangat terhadap ibu hamil.Kata Kunci: Ibu Hamil, LiLA, KEK
Co-Authors Abdillah, Novandra afriyanti arfan Ali Harokan Anggreny, Dian Eka Arie Wahyudi Chairil Zaman Dianita Eka Wati Dianita Ekawati Dianita Ekawati Dianita Ekawati Dollaris R. Suhadi Erika Avila-Tang Erma Gustina Ersita, Ersita Roully Fanada, Merry Febrina, Rinda Jingyan Yang Joanna E. Cohen Linda Marni Lisa M. Hepp M. J. Byron marlina, kiki ayu Murni, Nani Sari Nani Sari Murni Nani Sari Murni Novana Fitriani Nusilawati, Nini Putri, Anisia Ayunda Rahutami, Syntia Randana, Muhammad Prima Cakra Rane, Silvia Redi Kaswara Rika Victoria Rubaeah Rubaeah Simanjuntak, Ferdi Marulitua Stephen A. Tamplin Suri, Artha Syafriati, Nyayu Eka Syiska Yuniarti Tania Ovelina Tara S. Bam Triani, Novi Vivi Yanti Wahyudi, Arie Yulizah, Yulizah Yulyananda Firasty Yuniartina Zaman, Chairil