Sulistiyani Sulistiyani
Magister Kesehatan Lingkungan Program Pascasarjana Universitas Diponegoro

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Hubungan Kadar Timah Hitam (Pb) Dalam Darah Dengan Profil Darah Studi Pada Petugas Pengujian Emisi Gas Buang Dinas Perhubungan Kabupaten Purbalingga dan Banjarnegara Ratih Hafsari Purwindah; Sulistiyani Sulistiyani; Budiyono Budiyono
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.38-42

Abstract

Background : Fuel oil in Indonesia is still using of leaded gasoline, so that 70% of Pb from the burning will be emitted to the air. The official exhaust emission testing have a high risk, exposure to which continue to cause health problems, one of which is a disorder of the blood profile. The purpose of this study was to analysis the relationship between blood lead and blood profiles in exhaust emissions testing officer department of Transportation District Purbalingga and Banjarnegara. Methods : This research method was an observational analytic research with a cross sectional study design.Subjects were official exhaust emission testing with the inclusion criteria.Variables examined in this study are blood lead and blood profiles in the official exhaust emission testing. Data was collected through interviews, observation and measurement. Analysis of data using univariate analysis, bivariate analysis with spearman rank correlation. Results : The study found the average lead was 13.362 µg/dl, which means it was under the toxic threshold (40 ug/dl) and the average of blood profiles consisting of hemoglobin, erythrocytes, leukocytes, platelets, hematocrit was 15.737 ug/dl; 5.210.106/ml; 8.0723.103 / ml; 220.06.103/ml; 45.383%, 87.31 fl; 30.297pg; 34.685 fl. Bivariate analysis showed that there was a relationship between blood lead and blood profile (erythrocytes and hematocrit ), with  p-value and sequentially rho 0.018; 0.397 and 0.039; 0.35 (p-value <0.05). Conclusions : The conclusion of this study, although the value level of blood lead below the threshold toxic but are at risk in blood profile (decrease the number of erythrocytes and hematocrit levels) so that there is need for an appeal to the official testing of exhaust emissions in order to use Personal Protective Equipment (PPE) like a respirator, to reduce customs cigarette consumption, routine doing check-ups, increase the consumption of foods containing iron and vitamin C as well as expand the ventilation in the testing room, install exhaust and greenery around the testing room exhaust emissions. Keywords: blood lead, blood profiles, the official exhaust emission testing
Beberapa Faktor Yang Berhubungan Dengan Fungsi Tiroid Pada Pasangan Usia Subur (PUS) di Kecamatan Kersana Kabupaten Brebes Ratnasari Kusumawati; Suhartono Suhartono; Sulistiyani Sulistiyani
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.15-21

Abstract

Background  : Pesticide exposure on women who live in agricultural areas can cause health problems such as disruption of thyroid function. Pesticides can inhibit the binding of iodine by the body. Hypothyroidism can cause disturbances in female reproductive system, including disorders of puberty and menstruation, pre menstrual syndrome, sexual disfunction, birth defects and low birth weight infant. Goiter are usually be found in mountainous or highland areas but now mostly found in the lowlands. This is probably due to the exposure to heavy metals such as Pb, the use of hormonal contraceptives, and consumption of thiocyanate.  The purpose of this study was to identify some factors associated with thyroid function on child bearing age woman in  Kersana Subdistrict,  district of Brebes Method  : It was an observational research using cross-sectional design. Research was conducted in 4 villages namely Kemukten, Limbangan, Sutamaja and Kubangpari Kersana Brebes District. The subjects were 87 women. Data obtained from TSH, FT4 serum, Pb in blood, kholinesterase in blood, urinary iodine excretion, thiocyanate, measurement of nutritional status, the interview to find out the type of contraception used by couples. Data were analyzed using chi square test. Result  : The results showed that there was no correlation between levels of kholinesterase, Pb in blood, urinary iodine excretion, urinary thiocyanate, the type of contraception, age and BMI with thyroid function on child bearing age woman in Sub district of Kersana. There was no association between exposure of pesticides and Hypothyroid cases occured in Kersana Sub district. It was recomended that women of childbearing need to reduce the adverse impacts of pesticides by using personal protective equipment in agricultural activities and improve health and clean living, and  health department should monitor and regular inspection for kholinesterase levels in women of childbearing age who live in agricultural areas. Keywords : Pesticides expose, thyroid disfunction, child bearing age woman.
Faktor Risiko Lingkungandan Kebiasaan Penduduk Berhubungan Dengan Kejadian Filariasis di Distrik Windesi Kabupaten Kepulauan Yapen Provinsi Papua Yulius Sarungu Paiting; Onny Setiani; Sulistiyani Sulistiyani
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.76-81

Abstract

Background : Regency of Kepulauan Yapen through Finger Blood Survey in 2006 was established as a filariasis endemic region. In 2007 started the implementation of mass treatment was held once a year for 5 years. Based on the survey of microfilaria at January 2010, the microfilaria ratewas 2.06%, where the largest number of people was in the District Windesi. Method : The study was an analytic survey with a case control approach. Population was resident in the village of Saruman and Windesi. The determination of the cases and control was done trough screening tests and found 10 cases of Wuchereria bancrofti.The ratio 1: 2, then the number of samples was 30, which was matched by age, sex and type of work. Result : The results were characteristics of filariasis patients, 30% in ≤ 20 year age group (≥ 15 years) and 21-30 years, 50% as farmers, 70% low income level (<Rp. 500,000) and 60% low level education (elementary school). Physical environmental conditions (average temperature of 26.75 0C, humidity of 83.61%, and 275.5 mm of rainfall and wind speed 4.07 knots). Chemical environmental conditions had the average pH of 6.69 and 1.14% salinity.There was significant correlation between presences of a pool of water with the incidence of filariasis.There was not significant correlation between presencesof aquatic plants, habits of using musquito net, hanging clothes, outside the house at night, and conduct environmental management with the incidence of filariasis. The dominant risk factor are existence of forest/bush  (p value: 0.027, OR: 9.727; 95% CI: 1.290 to 73.333) and completeness of clothing when tappingof sago (p value: 0.045, OR: 7.327; 95 % CI: 1.048 to 51.213). Someone who lived in a house close to bushes/forest and has a habit of not using fully clothed when tapping of sago, the probability of suffering from filariasis of 79.43%. Keywords : filariasis, environmental risks, habit, Saruman, Windesi