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Gema Lingkungan Kesehatan
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : 16933761     EISSN : 24078948     DOI : 10.36568
Core Subject : Health, Science, Social,
Environmental Science Health Professions Immunology & microbiology Public Health
Jurnal GEMA Lingkungan Kesehatan [e-ISSN: 2407-8948 | DOI: 10.36568] is a journal aims to be a leading peer-reviewed platform and an authoritative source of information. We publish original research papers, review articles and case studies focused on environmental health or public health as well as related topics that has neither been published elsewhere in any language, nor is it under review for publication anywhere. This following statement clarifies ethical behavior of all parties involved in the act of publishing an article in this journal, including the author, the editor, the reviewer, and the publisher (Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya).
Arjuna Subject : Ilmu Lingkungan (semua ketegori) - Kesehatan, Toksikologi dan Mutasi Gen
Articles 172 Documents
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PENERAPAN ISO 45001:2018 MENGGUNAKAN ANALISIS GAP : (Studi pada Klausul 5, 9, dan 10 di PT Tri Ratna Diesel Lamongan) Widiyanza Luthfi Yania; Winarko; Sahabat Sutanto
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.22

Abstract

PT Tri Ratna Diesel Lamongan is a pioneer company in Indonesia that produces various types of ships. Activities of the company can lead to various risks such as accidents and occupational disease, regarding that issue, the company needs to implement occupational health and safety management system that has been known globally. Therefore, PT. Tri Ratna Diesel implements ISO 45001:2018 to create safe and healthy working conditions for all workers. This study aimed to determine the quality of the OHS management system based on ISO 45001:2018 implemented at PT. Tri Ratna Diesel Lamongan. This research used a descriptive research method with a cross-sectional approach. Data were collected by interviews and observations. Interviews were conducted with the persons in charge of the OH&S section and the public relations section. The analysis was used to determine the quality of ISO 45001:2018 at PT. Tri Ratna Diesel Lamongan was gap analysis. The result of the assessment implementation of ISO 45001:2018 used gap analysis showed that the percentage of assessment in clause 5 about leadership and work participation was 93.75% (good), clause 9 about performance evaluation was 92.30% (good), clause 10 about continuous improvement was 100% (very good). These results indicate that the requirements and procedures of ISO 45001: 2018 have been implemented and well documented. PT. Tri Ratna Diesel Lamongan is advised to conduct a review process of the improvement recommendations that have been given and adjust them to the situation and condition of the company. The review process can be carried out to adjust to each department’s views in PT. Tri Ratna Diesel.
ALAT PELINDUNG TELINGA (EAR MUFF) DALAM MEREDUKSI TEKANAN DARAH TENAGA KERJA TERPAPAR KEBISINGAN: (Studi Kasus Pada Pekerja di Home Industri Terasi Palang Tuban) Ernita Sari; Demes Nurmayanti; Faizatul Ummah
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.24

Abstract

Noise is the presence of unwanted loud noises by workers that can be harmful and cause emotional stress and affect hormone production, resulting in increased blood pressure. Increased blood pressure can be reduced by wearing ear protection for workers who are exposed to noise. This study aims to analyze the use of ear protective equipment in an effort to reduce the blood pressure of workers who are exposed to noise. The method used in this research is a field experiment with the same subject (labor) as the unit of analysis, namely the process of comparing the blood pressure of workers before and after work and wearing ear protection. This study used Wilcoxon to analyze the difference in the blood pressure of workers before and after wearing ear protection, and the chi-square test was used with the aim of seing the effect of labor characteristics on increasing blood pressure. The results of this study showed changes in blood pressure, these changes can be seen by the difference between blood pressure before work and after work by wearing ear protection with a value of p= 0,000. and the results of the chi-square test obtained a value of p = 0.401 (p>0.05) which means that age has no effect on blood pressure, smoking habits (p= 0.693) which means that smoking has no effect on blood pressure and years of service (p=0,590) which means that years of service do not affect the blood pressure of workers. After the workers were treated by wearing ear protective equipment their blood pressure decreased, thus there was a difference in the blood pressure of the workers before and after treatment. But on the characteristics of the workforce there is no effect on the increase in blood pressure. Suggestions that can be given to the industry are socialization about the application of proper use of ear protective equipment and providing ear protection equipment (earmuffs) in the workplace. Keywords: Noise, Ear Protection, Blood Pressure
ULTRAVIOLET DOOR’S SEBAGAI DESINFEKTAN PADA PINTU KELAS UNTUK MENCEGAH PENYEBARAN VIRUS COVID-19 Dina Afkarina; Sudarti
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.25

Abstract

The Covid-19 virus (SARS Cov-2) is dangerous for humans because it can infect the respiratory tract. Currently, the case of the corona virus in Indonesia is indeed decreasing, so many activities can be carried out as usual, one of which is activities in the world of lectures. However, health protocols must still be adhered to so that the corona virus does not spread again. In addition to implementing health protocols, UV light devices can also be developed to sterilize classrooms from the corona virus. The purpose of this study was to design ultraviolet door's as a disinfectant on classroom doors to prevent the spread of the covid-19 virus. The method used in this research is a literature review or literature study. This study illustrates that UV light sterilization devices in the form of ultraviolet door's can be used as a disinfectant to prevent the spread of the covid-19 virus. This research is expected to be an innovation for students to design ultraviolet door's to prevent the spread of the covid-19 virus.
STRES BERKENDARA AKIBAT KEMACETAN LALU LINTAS DAN PERILAKU AGRESIF BERKENDARA Muhammad Iqramullah; Asmulyani Asri; Nurfitriany Fakhri
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.28

Abstract

Traffic jams that occur on the highway becomes an obstacle and problems for motorists who are driving and cause drivers to behave aggressively. The purpose of this study was to determine the relationship between driving stress caused by traffic jams and aggressive driving. The subjects in this study amounted to 143 students of the Faculty of Psychology, State University of Makassar in the second to eighth semesters who drive a motorized vehicle every day when they go to campus. The sampling technique in this research is accidental sampling, which is a non-probability sampling technique. The method used in this study is a quantitative method by using a traffic jam questionnaire and measuring a driving stress scale and an aggressive driving scale. The data analysis technique used in this research is Spearman Rho. Based on the results of data analysis, it was found that there was a significant positive relationship between driving stress due to traffic jams and aggressive driving. The higher the stress of driving due to traffic jams, the higher the aggressive driving. The results of the study can be used by the government as a reference in formulating programs and policies regarding the importance of mental health in driving, as well as for further researchers to develop this research using different and more varied demographic variables.
EFEKTIFITAS PISTIA STRATIOTES L. DAN ECHINODORUS PALAEFOLIUS DALAM PENYERAPAN FERRUM (FE) DALAM AIR SUMUR MENGGUNAKAN METODE FITOREMEDIASI Citra Mawar Pratiwi; Ferry Kriswandana; Iva Rustanti Eri Wardoyo
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.33

Abstract

Clean water is a basic need for living things, one source of clean water is groundwater. The problem that is often encountered in groundwater from dug wells is the content of heavy metal Fe. The purpose of this study was to determine the effectiveness of the absorption of heavy metal iron (Fe) in well water with Pistia stratiotes L. and Echinodorus palaefolius for 14 days using a phytoremediation process. This type of research is an experimental design using a pretest-posttest model with a control group that compares the occurrence of differences in the decrease in iron (Fe) levels of 9.86 mg/l in well water by collecting data by examining the results of iron (Fe) levels in well water. before and after treatment. Analysis of the data using the Independent T-test. The results of the study showed a decrease in iron (Fe) levels in well water after the phytoremediation process for 14 days. In Pistia stratiotes L. the level of iron (Fe) in well water was 0.67 mg/l and Echinodorus palaefolius was 0.58 mg/l. The effectiveness of Pistia stratiotes L. was 92.85% and Echinodorus palaefolius was 93.81% in reducing iron (Fe) levels in well water. Phytoremediation using Pistia stratiotes L. and Echinodorus palaefolius is effective in reducing iron (Fe) levels according to Permenkes No. 32 of 2017. The phytoremediation process using Pistia stratiotes L. and Echinodorus palaefolius can be recommended to reduce iron (Fe) levels in well water so that it meets quality standards.
DETEKSI E. coli PENGHASIL Extended Spectrum Beta-Lactamase (ESBL) MENGGUNAKAN METODE PCR PADA SAMPEL AIR BERSIH Lella Rahmawati; Retno Sasongkowati; Anita Anggraini; Deddy Adam
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.35

Abstract

Escherichia coli is a normal flora in the human body that plays an important role in the digestive process. The presence of Escherichia coli ESBL (Extended Spectrum Beta-Lactamase) bacteria in clean water samples indicates environmental pollution originating from feces. The aquatic environment is the most influential ecosystem in human life. These contaminated ecosystems provide optimal conditions for antibiotic-resistant bacteria from various sources to mix and transfer their resistance genes to clinically important bacteria for the development of human pathogens with novel resistance mechanisms. This study aims to determine the percentage of ESBL-producing E. coli bacteria in clean water samples. This study uses a descriptive observational design. The total sampling is 195 clean water samples. After going through screening in the form of membrane filter tests, KIA, and IMVIC, 25 isolates were found which were declared as E. coli. Analysis of the ESBL-producing E. coli gene using conventional PCR. Analysis of the Molecular Weight value in the sample using the GelAnalyzer 19.1 application. Based on these calculations, it was found that samples of E. coli isolates containing the ESBL gene were 24% of the 25 E. coli isolates. This percentage indicates that there is a large enough contamination in clean water. The results of this study indicate a potential risk to public health. The participation of health workers, government and the community in maintaining sanitary hygiene is needed to avoid greater contamination of antibiotic-resistant bacteria.
Toxicity of Decolorized Batik Wastewater on Common Carp Using Combination of Chitosan and Spent Mushroom Substrate Swastika Oktavia; Nisa Haerunissa; Cory Novi
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.138

Abstract

Decolorization is a key treatment process in batik industry wastewater management, aimed at reducing color intensity. This study evaluates a decolorizing combination of chitosan from Litopennaeus vannamei (CLV) and spent mushroom substrate from Pleurotus ostreatus (SMSPO), examining its effect on the 96-hour LC50 value and scale structure of common carp. Using a completely randomized design, common carp was exposed to decolorized wastewater at concentrations of 0%, 1.875%, 3.75%, 7.5%, 15%, and 30%. Results show that decolorized wastewater at 7.5% concentration remains lethal to fish, while concentrations of 3.75% and below are non-lethal. Microscopic changes in fish scales indicate particle adhesion from the wastewater. The 96-hour LC50 for untreated wastewater is 5.663%, compared to 4.788% after decolorization, reflecting a slight decrease in toxicity. These findings suggest that C-LV and SMS-PO combination could contribute to sustainable wastewater treatment practices by reducing toxicity in batik industry effluent.
The Association Between Mental Health, Social-Emotional Health, And Child Development in Preschool Children: A Structural Equation Modelling Approach Chatarina Suryaningsih; Fides Adiviso; Esteve Adrian Estiva; Emerson Aliswag; Michael Aggari; Mark Santos
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.189

Abstract

Preschool-aged children are particularly vulnerable to mental health disorders, which can significantly impact their social and developmental outcomes. This study aims to model the associations between mental health, social-emotional health, and child development in preschool children, emphasizing its relevance to child health policy and intervention strategies. Utilizing a quantitative, correlational, cross-sectional design with Structural Equation Modeling (SEM) analysis, the research involved 156 preschool children aged 72 months. SEM was chosen for its ability to assess complex relationships among multiple variables while controlling for measurement errors, making it more suitable than traditional regression methods. The findings indicate that the average levels of mental health and social-emotional health, as well as growth and development, were within normal limits. However, certain indicators revealed delays that warrant monitoring. A significant correlation was found between child development and both mental and social-emotional health, highlighting a predictive relationship that suggests mental health significantly influences child development. This supports the acceptance of the first hypothesis (H1) while rejecting the null hypothesis (H0). The implications of these results are critical for health workers and educators, suggesting the need for early detection programs for mental health issues in preschool settings. By integrating tools like the Strengths and Difficulties Questionnaire (SDQ) into routine assessments, this study provides actionable recommendations for improving child mental health interventions within educational policies.
Impact of Traffic Noise with Blood Pressure and Occupational Fatigue Juherah Juherah; Iwan Suryadi; Siti Rachmawati; Nurlaila Fitriani
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.196

Abstract

Noise can cause nuisance and significantly threaten people's health and well-being. This study aims to find the relationship between noise exposure with blood pressure and stress of traffic helper volunteers in Makassar City.  This study employed an analytic observational design with a cross-sectional approach. A total of 80 respondents were selected using purposive sampling technique. Traffic noise was measured using a sound level meter, blood pressure was measured using a tension meter and work stress was measured using a work stress questionnaire adapted from Permenaker No. 5/2018. Questions relating to sociodemographic information were also distributed for individual characteristic data. The results showed there was a significant influence between noise intensity and systolic blood pressure (p value = 0.001; r = 0.329), also with diastolic blood pressure (p value = 0.02; r = 0.230), noise also affects fatigue (p value = 0.016; r = 0.238), the value of r on the strength of the correlation shows a fairly strong correlation. Thus, exposure to traffic noise is associated with a high risk of blood pressure and fatigue.
Topical Antioxidant Potential of Telang Flower Extract (Clitoria ternatea L.) on IL-6 and VEGF Regulation in UV-B Exposure: An In Vivo Experimental Study Retno Adaninggar; Titiek Sumarawati; Chodidjah
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.204

Abstract

UVB radiation can penetrate the epidermis and can induce DNA damage in skin cells by increasing ROS concentrations. Apart from that, UVB radiation also increases melanocyte proliferation which can cause melasma. Skin damage due to UV exposure is caused by the generation of  ROS and various inflammatory factors. Telang flowers contain Glutathione, which is one of the main antioxidants in the body, which has a skin depigmentation function. One of the physiological effects of glutathione is to inhibit melanogenesis by suppressing tyrosinase activity. Experimental research with post test control group. Groups KN, P1 and P2 were each exposed to UVB at 302 nm with a MED of 160 mJ/cm2, while group K0 was a healthy group. P1 was given 5% butterfly pea flower gel and P2 was given 10% gel every day for 14 days, while KN received base gel. On the 21st day, the tissue was analyzed for IL-6 and VEGF level using ELISA. There was a significant difference in the mean levels of IL-6 between the four groups, with the One Way Anova test p = 0.000 (p <0.05). IL-6 levels decreased with increasing doses (P1=32.49±1.02, K4=27.82 ± 0.74) compared to the control (KN=61.89 ± 0.69, while K0=25.30 ± 0.55). Furthermore, the mean VEGF levels also had a significant difference between the four groups with the Kruskal Wallis test p = 0.000 (p <0.05) VEGF levels in the control group (KN = 37.44 ± 2.43) and followed by the healthy group (K0 = 23.47 ± 0.99), then in the P1 treatment group (K3 = 30.96 ± 0.57) were higher than the P2 treatment group (K4 = 27.00 ± 1.55). Administration of butterfly pea flower gel can reduce the level of the IL-6 gene and increase the level of the VEGF gene in the skin tissue of mice models of UVB light-induced hyperpigmentation.

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