VISIKES: Jurnal Kesehatan Masyarakat
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The Implementation of ISO 14001 In Developed Countries: Literature Review
No full textBackground: The implementation of ISO 14001 has become increasingly important in addressing global challenges related to sustainability and environmental management. Developed countries have demonstrated strong commitment to this standard as a means to enhance environmental performance, operational efficiency, and industrial competitiveness. Objective: This article explores the similarities and differences among various studies regarding the impact of ISO 14001 implementation, with a focus on both environmental and economic benefits. Methods: This study employed a qualitative descriptive method through a literature review guided by the PRISMA framework. Articles were sourced from Google Scholar using keywords related to ISO 14001, and were then screened and selected based on predefined inclusion and exclusion criteria. Out of 1,650 articles initially identified, 16 were selected for further analysis. Results: The findings indicate that ISO 14001 generally contributes positively to carbon emission reduction and profitability improvement, particularly in countries with high environmental awareness. These studies also emphasize the importance of contextual factors such as company size, market pressure, and national culture in determining the effectiveness of certification. Although most studies employed quantitative methodologies, there was variation in geographical and industrial focus, as well as in adoption motivations, ranging from export advantages to internal company improvements. Conclusion: The success of ISO 14001 implementation is not universal and depends on the specific conditions of each company and country. Therefore, a more tailored approach and adequate policy support are necessary to encourage broader and more effective adoption of this standard
Climate Change, Environmental Components And Media, Climate Village Program (PROKLIM) And Covid-19
Full text linkBackground: In early January 2020, the COVID-19 pandemic affected all countries globally. The resulting reduction in vehicular mobility during the pandemic period temporarily eased pressure on the environment by lowering greenhouse gas emissions. Consequently, attention to environmental components-particularly the physical and biological aspects of water and air media-has become increasingly important.Methods: This study employed a quantitative approach, gathering data through surveys distributed to participants of a webinar attended by 500 individuals. The survey was disseminated via a Google Form shared through the Zoom chat feature. Data were analyzed using SMART PLS Version 4 to determine the relationship between environmental components and environmental media.Results: Analysis of responses from 500 participants indicated that the majority prioritized water and air environmental media. This was supported by high loading factor values for the water environment (0.782) and air environment (0.760). The Structural Equation Modeling (SEM) analysis revealed that environmental components significantly influence environmental media, with a T-statistic value of 64.119 and a p-value of 0.000 (T > 1.96, p < 0.05).Conclusion: Environmental components have a significant effect on environmental media, underscoring the importance of environmental management. The Climate Village Program (Program Kampung Iklim) emerges as a potential community-based initiative to mitigate climate-related diseases, including airborne transmission of COVID-19
Systematic Literature Review: Consumption Of Sugary Foods And Beverages In Children And The Increased Risk Of Type 2 Diabetes Mellitus
Full text linkType 2 diabetes mellitus (T2DM) in children is becoming an increasing global concern due to its rising prevalence, primarily caused by unhealthy dietary patterns. This study aims to systematically review scientific evidence regarding the relationship between the consumption of sugary foods and beverages and the increased risk of T2DM in children. The method used is a Systematic Literature Review of publications from 2016 to 2025, obtained from databases such as PubMed, ScienceDirect, and Google Scholar. The article selection process followed Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and resulted in seven studies that met the inclusion and exclusion criteria. The review findings indicate that excessive consumption of sugar-sweetened beverages is strongly associated with an increased risk of T2DM. These findings highlight the importance of early intervention through nutrition education, family involvement, and stricter regulation of unhealthy food and beverage marketing to prevent the development of T2DM in children
EVALUASI SISTEM PENDUKUNG KEPUTUSAN TUBERKULOSIS DI PUSKESMAS BERBASIS KEWILAYAHAN: STUDI CROS-SECTIONAL DI SUKOHARJO, JAWA TENGAH, INDONESIA
Full text linkThe lack of a decision support system for the Tuberculosis or TB Program implemented in the Sukoharjo Regency Office has resulted in a gap or mismatch between the estimated number of TBC cases and the discovery of TBC cases in the field so that the decisions taken so far are only based on the discovery of existing TBC cases. The purpose of this study was to evaluate the use of SPK-TB in supporting the village-based Tuberculosis Suspect Screening Program. The research method used the Mix-method method which combines qualitative and quantitative research types. The research subjects consisted of 12 TBC information system users at the public health center and the Health Office. The results showed that the system that had been developed and tested at each user level, especially the head of the health centre, was well accepted and used as intended. This shows that system acceptance before and after testing with the TAM method has increased the average value. It is recommended that this SPK-TB be implemented immediately so that the effectiveness and efficiency of the performance of TBC officers and the Health Office can be known
Railway Noise at Gubeng Station: Assessing Railway Noise at Gubeng Station: Assessing Sources, Levels, and Health Sources, Levels, and Health Implications for Passengers
No full textRail transportation is a preferred mode of transport for the public due to its various advantages; however, it creates environmental issues in the form of noise pollution, which has the potential to impact health and comfort. This study aimed to measure the noise levels at Gubeng Station in Surabaya and analyze their compliance with applicable quality standards. Using an observational quantitative method, measurements were taken at 10 representative points within the station on April 17, 2025, employing a Sound Level Meter (SLM) in accordance with SNI 8247:2017. The results indicate that noise levels varied, with the highest value of 89 dBA in the train engine area, exceeding the safe limit for an 8-hour work exposure stipulated by Minister of Manpower Regulation No. 13/MEN/X/2011. The majority of measurement points, such as the departure platform (78.5 dBA) and the waiting room (77 dBA), also surpassed the environmental quality standard of 60 dBA regulated by Minister of Health Regulation No. 2 of 2023, although they remained below the Threshold Limit Value (TLV) for workers. Only the Old Gubeng waiting room (58.2 dBA) met the Ministry of Health standard. This study concludes that while the noise at Gubeng Station remains safe for workers regarding short-term exposure, the conditions have the potential to cause discomfort and health risks for passengers and the general public. Comprehensive mitigation measures, including the installation of sound dampeners, waiting room zoning, and the use of Personal Protective Equipment (PPE), are required to create a healthier and more comfortable station environment
Risk Analysis of CO and CO₂ Exposure Before and After Practicum
Full text linkLaboratory air quality is an important factor affecting the health of laboratory users. The Chemistry Department of FMIPA UNSRI consist of biochemistry, analytical chemistry, physical chemistry, organic chemistry, and inorganic chemistry laboratories. This study aimed to evaluate the potential hazards caused by exposure to carbon monoxide (CO) and carbon dioxide (CO2) among the laboratory users in the Chemistry Study Program at FMIPA UNSRI. This study was an observational study using the Environmental Health Risk Analysis (EHRA) method. Measurements were taken before and after the practicum. The study was conducted in 5 laboratories within the Chemistry Study Program at FMIPA UNSRI. The concentrations of CO and CO2 showed that the conditions after the practicum were higher than before the practicum, CO reached 2.07 ppm and CO2 reached 631.69 ppm with the risk quotient (RQ) for both CO and CO2 both showing RQ > 1. Based on the EHRA calculation, it shows that the accumulation of CO and CO2 gases after the practicum suggest that continuous exposure for 8 hours per day over 5 consecutive days may have adverse health effects on laboratory users, including lecturers, students and analysts at FMIPA environment. Therefore, it is recommended to implement risk management, monitoring and use Personal Protective Equipment (PPE) whenever entering the laboratory.
Laboratory air quality is an important factor affecting the health of laboratory users. The Chemistry Department of FMIPA UNSRI consist of biochemistry, analytical chemistry, physical chemistry, organic chemistry, and inorganic chemistry laboratories. This study aimed to evaluate the potential hazards caused by exposure to carbon monoxide (CO) and carbon dioxide (CO2) among the laboratory users in the Chemistry Study Program at FMIPA UNSRI. This study was an observational study using the Environmental Health Risk Analysis (EHRA) method. Measurements were taken before and after the practicum. The study was conducted in 5 laboratories within the Chemistry Study Program at FMIPA UNSRI. The concentrations of CO and CO2 showed that the conditions after the practicum were higher than before the practicum, CO reached 2.07 ppm and CO2 reached 631.69 ppm with the risk quotient (RQ) for both CO and CO2 both showing RQ > 1. Based on the EHRA calculation, it shows that the accumulation of CO and CO2 gases after the practicum suggest that continuous exposure for 8 hours per day over 5 consecutive days may have adverse health effects on laboratory users, including lecturers, students and analysts at FMIPA environment. Therefore, it is recommended to implement risk management, monitoring and use Personal Protective Equipment (PPE) whenever entering the laboratory
HUBUNGAN PENGETAHUAN, SARANA PRASARANA DAN PERAN GURU TERHADAP PHBS PADA SISWA SMPIT AL-FITYAN KUBU RAYA KALIMANTAN BARAT
Full text linkBackground: The proportion of PHBS (Clean and Healthy Living Behavior) implementation in West Kalimantan, particularly in Kubu Raya Regency, remains relatively low, reaching only 43% in 2021. Factors contributing to the lack of PHBS implementation include predisposing factors, enabling factors, and reinforcing factors. The inadequate application of PHBS can lead to diseases, one of which is hepatitis A. In 2023, an outbreak of hepatitis A occurred in a boarding school in Kubu Raya Regency, namely SMPIT Al-Fityan Kubu Raya, with a total of 136 affected students. This study aims to determine the relationship between knowledge, facilities and infrastructure, and the role of teachers with clean and healthy living behavior among students at SMPIT Al-Fityan Kubu Raya, West Kalimantan. Methods: This study used a Cross-Sectional research design with Chi-Square analysis. The sample of this study amounted to 148 people with purposive sampling techique. The instruments used were questionnaires and observation sheets. Results: The results show that students at SMPIT Al-Fityan Kubu Raya have a good level of knowledge (68.9%), good facilities and infrastructure (62.2%), a good role of teachers (60.1%), and a good level of PHBS (Clean and Healthy Living Behavior) (70.9%). There is a relationship between knowledge (p=0.005; OR=3.055), facilities and infrastructure (p=0.007; OR=2.882), and the role of teachers (p=0.000; OR=6.048) with clean and healthy living behavior among students at SMPIT Al-Fityan Kubu Raya, West Kalimantan. Conclusion: There is a relationship between knowledge, infrastructure and the role of teachers towards clean and healthy living behavior with clean and healthy living behavior in students of SMPIT Al-Fityan Kubu Raya West Kalimantan
PERSEPSI PERAWAT TERHADAP PEMANFAATAN REKAM MEDIS ELEKTRONIK DALAM MENDUKUNG MANAJEMEN PELAYANAN DI RSUD dr. REHATTA
Full text linkElectronic Medical Records (EMRs) are beneficial in improving patient care management in healthcare facilities. RSUD dr. Rehatta, Central Java Province, has implemented EMRs since 2023, but no evaluation has yet been conducted regarding nurses' satisfaction with their utilization. This study is descriptive with a qualitative approach. The research design is a case study, and data were collected through in-depth interviews with seven informants. The content dimension was rated as less satisfactory due to the complexity of the anamnesis module. The accuracy dimension did not fully meet user expectations. The format dimension was also rated as suboptimal due to inefficiencies. The timeline dimension was considered good, while the ease of use dimension was rated positively, as data entry was deemed simple. The implementation of the Inova system in the outpatient clinic of RSUD dr. Rehatta has shown benefits, but some user complaints remain. Immediate improvement strategies include simplifying content, reducing information delivery delays, and enhancing system usability
COST EFFECTIVENESS ANALYSIS NEUROPROTEKTIF CITICOLIN INJEKSI TUNGGAL DAN KOMBINASI PADA PASIEN STROKE ISKEMIK DI RUMAH SAKIT BHAKTI WIRA TAMTAMA SEMARANG
Full text linkNeuroprotective drugs are used to reduce the occurrence of cell damage due to obstruction of blood flow that supplies oxygen to the brain, thus limiting the tissue that experiences ischemia. However, the relatively high cost of treatment in ischemic stroke patients requires a cost-effectiveness analysis. The purpose of this study was to determine the characteristics of ischemic stroke patient treatment and the cost-effectiveness between the use of the neuroprotective drug citicoline and the combination of citicolin-piracetam injections at Bhakti Wira Tamtama Hospital Semarang. This study is a descriptive study with retrospective data collection techniques and purposive sampling. The effectiveness of neuroprotective drugs used in ischemic stroke patients was assessed from the average length of stay or LOS. The average LOS in the study was 3.17 days for a single citicolin injection and 3.7 days for a combination of citicolin-piracetam injections. Cost-Effectiveness Analysis was obtained by calculating the Average Cost Effectiveness Ratio (ACER) value of the average direct medical costs of using a single citicolin and a combination of citicolin-piracetam injections. Based on the ACER calculations, the most cost-effective neuroprotective drug is the combination of citicoline-piracetam injections with an ACER value of 1,651,786/day
How Social Factors Shape the Mental Health Impact of Social Media Among High School Students: Systematic Literature Review
Full text linkAdolescent mental health has emerged as a pressing global concern, particularly in light of the growing and intensive use of social media among high school students. While social media platforms offer avenues for communication and self-expression, they also contribute to adverse psychological outcomes, including anxiety, stress, and depression. This study explores the role of social determinants—such as socioeconomic status, family dynamics, peer support, and digital literacy—in shaping the mental health effects of social media use among adolescents. Employing a literature review methodology, the study analyzed 25 relevant national and international journal articles sourced via Google Scholar using the keywords: “social determinants,” “social media,” “mental health,” and “adolescents.” The findings reveal a strong correlation between frequent social media engagement and heightened mental health disorders, exacerbated by contextual factors such as inadequate parental supervision, limited emotional support, and peer norms that prioritize online validation. These insights underscore the urgent need for integrated, cross-sectoral interventions involving families, schools, and community stakeholders. Strengthening adolescents’ psychosocial resilience through targeted digital literacy education and robust social support systems is essential to mitigate the negative impacts of social media and promote overall mental well-being