VISIKES: Jurnal Kesehatan Masyarakat
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    Studi Keluhan Musculoskeletal Disorder (MSDs) di UD. Berkah Alam Tahun 2021

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    The rapid progress in the industrial sector has an important role in growing the economy. Without the industrial sector, growth in developing countries will be slower than in previous years. UD. Berkah Alam is one of the informal industrial sectors that focuses on coconut management. The types of jobs available at UD. The blessings of Nature are the pacak part, the scrap part, the daily part and the copra part. This type of work has a risk of musculoskeletal disorders. The study was conducted with the aim of knowing the prevalence of complaints of Musculoskeletal Disorders (MSDs) in each work section. The method used is a survey using a nordic body map using a questionnaire. The results showed that 59% of all workers experienced complaints of pain or pain, especially in the musculoskeletal system. Workers who experience complaints on the musculoskeletal system are highest in the copra (100%). Complaints of disorders experienced by workers of the right shoulder, left shoulder, buttocks, buttocks, right forearm and left forearm

    Perubahan Kualitas Air Sungai Dan Waterborne Diseases Di Kabupaten Boyolali (Studi Air Sungai Gandul, Sungai Cemoro, Dan Sungai Pepe)

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    Pencemaran lingkungan dapat terjadi akibat dari kegiatan industri, peternakan, pertanian dan aktivitas domestik. Terdapat beberapa parameter yang mengidentifikasikan pencemaran dan merugikan masyarakat serta ekosistem perairan antara lain BOD, COD, DO, Deterjen dan Fecal Colifrom. Pencemaran lingkungan pada air dapat menimbulkan berbagai macam penyakit di masyarakat yang tinggal sekitarnya. Penelitian data sekunder ini menganalisis parameter kualitas air sungai (BOD, COD, DO, Deterjen dan Fecal Coliform) dengan kejadian Waterborne diseases di Kabupaten Boyolali tahun 2017 – 2019. Penelitian ini merupakan penelitian jenis time series dengan rancangan penelitian data sekunder. Jenis data yang digunakan adalah data sekunder kualitas air sungai (Sungai Gandul di daerah Cepogo, Sungai Pepe di daerah Boyolali, dan Sungai Cemoro di daerah Simo) dan kejadian waterborne diseases di Kabupaten Boyolali. Data yang digunakan merupakan data tahunan selama 3 tahun yaitu dari 2017 hingga 2019. Data kualitas diolah dengan metode indeks pencemaran kemudian di analisis uji beda berpasangan wilcoxon serta pemetaan cluster – outlier Moran’s. Hasil perhitungan indeks pencemaran yang diperoleh kondisi dalam status tercemar ringan namun beberapa titik sungai mengalami kondisi cemar sedang.  Terdapat perbedaan yang signifikan antara kualitas air sungai saat musim hujan dengan musim kemarau. Risiko penyebaran waterborne diseases  tertinggi di  Kecamatan Wonosegoro dan Kecamatan Klego

    THE CORRELATION THE ROLE OF SUPERVISOR TAKING MEDICINE WITH THE SUCCESS OF TREATMENT OF LUNG TB IN PUBLIC HEALTH CENTER GERAK MAKMUR SAMPOLAWA, SOUTH BUTON

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    Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterum Tuberculosis which can spread through droplets that have been infected with TB bacilli. In 2018, there was increasing case of lung TB about  33 people (4 people is broken up treatmment and failed, 29 is healed). The purpose of this study was to determine the relationship between the assistance of taking medication with the success of the treatment of pulmonary TB patients and the relationship of mentoring for repeat treatment at the puskesmas with the success of the treatment of pulmonary TB patients at Gerak Makmur Puskesmas, Sampolawa Subdistrict, South Buton District. This type of research is quantitative research using cross sectional design. The number of samples in this study were 33 people. Sampling in this study uses total sampling, which is the sample taken entirely from the population who finished treatment at the prosperous Gerak Community Health Center. Data analysis performed was univariate and bivariate analysis with chi square test. The results showed that there was a relationship between the role of the supervisor of taking drugs with the success of pulmonary TB treatment in the working area of Gerak Makmur Selatan Buton South Puskesmas with a value (p = 0,000<0,05) and there is a relationship between medical assistance and the success of pulmonary TB treatment in the working area of Gerak Makmur Selatan Buton Puskesmas with a value (p = 0.008<0,05). shows that there is a relationship between the role of the supervisor of taking drugs with the success of pulmonary TB treatment and there is a relationship between the assistance of taking drugs with the success of pulmonary TB treatment, and there is a relationship between mentoring repeat treatment with the success of pulmonary TB treatment at Gerak Makmur Selatan Buton Selatan health center.Keywoard: pulmonary TB successful treatment, supervision of taking medicatio

    Kandungan Logam Berat (Pb dan Hg) pada Sayuran di Desa Kopeng Kabupaten Semarang dan Analisis Risiko Kesehatan Lingkungannya

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    Abstrak : Desa Kopeng, Kabupaten Semarang merupakan kawasan pertanian sayuran. Kegiatan pertanian seperti penggunaan pestisida dapat menyebabkan kontaminasi logam berat pada sayuran dan dapat mengganggu kesehatan yang bersifat karsinogenik pada logam berat timbal dan non-karsinogenik pada logam berat merkruri pada setiap orang yang mengkonsumsinya secara teratur. Penelitian ini bertujuan untuk mengetahui konsentrasi timbal dan merkuri pada sayuran di Desa Kopeng dan mengetahui risiko kesehatannya yang merupakan penelitian deskriptif kuantitatif dengan metode uji laboratorium menggunakan spektrometri serapan atom dan analisis risiko kesehatan lingkungan. Sampel penelitian sebanyak 15 diambil secara proporsional random sampling. Terdiri dari sayuran kubis, brokoli dan selada. Perhitungan risiko kesehatan non-karsinogenik dan karsinogenik meliputi estimated daily intake (EDI); hazard quotients (HQ) dan hazard index (HI); serta lifetime risk cancer (LCR) untuk logam berat Pb. Diperoleh rata-rata kandungan Pb pada seluruh sayuran sebesar 0,069 dan Hg <0,002 mg/kg. Hasil tersebut berada di bawah nilai ambang batas logam berat sayuran yaitu 0,5 untuk Pb dan 0,03 mg/kg untuk Hg. Perhitungan risiko kesehatan karsinogenik pada konsumsi kubis, brokoli dan selada di Desa Kopeng belum memberikan risiko kesehatan, namun pada perhitungan risiko kesehatan non-karsinogenik HI pada anak-anak sudah berisiko. Sebaiknya mengonsumsi sayuran dan buah-buahan yang beragam dan dan dicuci menggunakan air bersih dan mengalir sebelum dikonsumsi.Kata Kunci: sayuran; timbal; merkuri; risiko kesehatan; KopengAbstract: Kopeng in Distric Semarang is a vegetables agricultural area. Agricultural activities such as the use of pesticides can cause heavy metal contamination of vegetables and can cause health problems which are carcinogenic to heavy metal lead and non-carcinogenic to heavy metal mercury in everyone who consumes them regularly. This study aims to determine the concentration of lead and mercury in vegetables in Kopeng and to determine their health risks. This research is a quantitative descriptive study using laboratory test methods using atomic absorption spectrometry and environmental health risk analysis. The research sample 15 was taken by proportional random sampling. Consisting of cabbage vegetables, broccoli and lettuce. Calculations of non-carcinogenic and carcinogenic health risks include estimated daily intake (EDI); hazard quotients (HQ) and hazard index (HI); and lifetime risk cancer (LCR) for heavy metal Pb. Results an average Pb content in all vegetables of 0.069 and Hg <0.002 mg/kg. These results are below the threshold values for heavy metals in vegetables, namely 0.5 for Pb and 0.03 mg/kg for Hg. Calculation of carcinogenic health risks in the consumption of cabbage, broccoli and lettuce in Kopeng Village has not provided a health risk, but the non-carcinogenic health risk of HI in children is already at risk. We recommend that you eat a variety of vegetables and fruits and wash them using clean and running water before consumption.Keywords: vegetables; lead; mercury; health risk; Kopen

    Kelengkapan Informasi Medis Untuk Mendukung Kodefikasi Penyakit Jantung Guna Mewujudkan Kualitas Data Informasi Medis Di Rumah Sakit Islam Sultan Agung Semarang

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    Kelengkapan informasi medis yang terdapat dalam Dokumen Rekam Medis (DRM), khususnya padakasus penyakit jantung, sangat diperlukan karena kesinambungan informasi medis untuk melihatdiagnosis mana yang paling banyak menghabiskan resource selama episode perawatan di RumahSakit, dan selanjutnya untuk dasar penetapan kode diagnosis utama dengan menggunakan ICD-10.Hasil observasi di RS Islam Sultan Agung Semarang, ditemukan adanya informasi dalam lembaranamnesis yang tidak lengkap, serta dokter dalam melakukan pencatatan penulisan diagnosis utama,terdapat lebih dari satu diagnosis. Sehingga petugas coder harus melakukan analisis lembar-lembarrekam medis, untuk menentukan mana yang kode utama dan kode sekunder dengan menggunakanaturan re-seleksi jika dokter tidak dapat dikonfirmasi. Temuan tersebut dapat berdampak padapelaporan, dimana diagnosis utama hanya tertulis 1 diagnosis, sedangkan diagnosis sekunder bolehditulis lebih dari 1 diagnosis. Penelitian bertujuan untuk menganalisis kelengkapan dokumen rekammedis yang mendukung penetapan kode penyakit jantung di Rumah Sakit Islam Sultan AgungSemarang.Jenis penelitian deskriptif dengan pendekatan cross-sectional. Objek penelitian adalah dokumenrekam medis rawat inap pasien BPJS penyakit jantung, dan subyek penelitian adalah coder rawatinap. Pengumpulan data menggunakan teknik wawancara pada dan observasi DRM denganmenggunakan lembar checklist diagnosis jantung. Data dianalisis menggunakan teknik analisisdeskriptif yang didukung dengan teknik validitas konten.Hasil review analisis kuantitatif pada 27 sampel DRM pada pasien BPJS penyakit jantung,menunjukkan kelengkapan terbesar analisis kuantitatif terletak pada review identifikasi yaitu 22(81,5%) dokumen dan ketidaklengkapan terbesar pada review autentikasi yaitu 15 (55,6%) dokumen.Kekonsistenan terbesar pada analisis kualitatif terdapat pada review informed consent yaitu 27 (100%)DRM dan ketidakkonsistenan terbesar pada review konsistensi pencatatan hal-hal yang dilakukansaat pengobatan dan perawatan yaitu 7 (25,9%) DRM. Saran untuk tenaga medis sebagai pelaksanaasuhan kesehatan pada pasien, khususnya pasien BPJS, penyakit jantung, agar memperhatikanpengisian kelengkapan dokumen rekam medis untuk meningkatkan mutu pelayanan rekam medisdan menunjang pelaporan Rumah Sakit.Kata kunci: Dokumen Rekam Medis, Review Kuantitatif, Review Kualitatif, Penyakit Jantung, pasienBPJ

    HUBUNGAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) DENGAN KADAR SGOT DAN SGPT DALAM DARAH PADA PETANI PADI

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    The use of personal protective equipment (PPE) when spraying pesticides is a must in agricultural activities. It greatly affects the long-term health conditions of farmers. This study aimed to see the relationship between the use of PPE with SGOT and SGPT levels in the blood of rice farmers. This study used quantitative research with an analytic observational research design using a cross-sectional approach. Blood samples were taken for farmers and carried out the process of filling out questionnaires and observation sheets. The results of the questionnaire were processed with SPSS 16.0, with Fisher's exact test. The sample of the study was 40 rice farmers taken purposively. The results showed that the levels of SGOT and SGPT were more in the normal category. The analysis showed that there was no relationship between AST and ALT levels with the use of PPE. It can be seen from the significance value of more than 0.05. As many as 38.5% complained about recurring complaints. After spraying, dizziness, dizziness, watery eyes, frequent spitting, namely vision, coughing, and ergonomic complaints in the form of back pain and lumbago. The conclusion in this study is that there is no relationship between the use of PPE with AST and ALT levels in the blood

    HUBUNGAN KUALITAS TIDUR DENGAN 5 INDIKATOR SINDROMA METABOLIK PADA PERAWAT DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN

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     ABSTRACTHigh death rate caused by non-transmitted diseases in the world is begun with metabolic syndrome in human beings such the increase in IMT (Body Mass Index) to be obesity, the increase in blood pressure to be hypertension, the increase in blood glucose to be diabetes mellitus, and abnormality of triglycerides, and  HDL cholesterol. Many factors which trigger the indicator abnormality, and of them is bad sleep quality. The research used cross sectional design by analyzing the correlation between sleep quality and 5 metabolic syndrome indicator in female nurses in the operation room of Adam Malik Medan hospital. Sleep quality was measured by using questionnaire of Pittsburg Sleep Quality Index (PSQI), body height and weight were measured to get IMT value, blood pressure was measured by using tensimeter, blood glucose and blood lipid were measured by getting the respondent’s vena blood samples. The data were processed and analysis with independent t-test.The result with independent t-test showed that there was significant difference in IMT (sig=0,003), systolic blood pressure (sig=0,028), and fasting blood glucose content (sig=0,00). However, there was no significant difference in trigliyceride content (sig=0,519), HDL cholesterol content (sig=0,300),). The conclusion was that sleep quality was correlated with three metabolic syndrome indicators: IMT, blood pressure, and blood glucose content, but there was no correlation with trigliyceride and HDL cholesterol.Keywords: Sleep Quality, Metabolic Syndrome , T-Test,

    Pengaruh Pengetahuan dan Motivasi Kerja Terhadap Penerapan Early Warning Score System di RSUP H Adam Malik

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    ABSTRACTThe national and international scaled-accreditation in a hospital should implement Early Warning Score System (EWSS) as procedure to do early detection of any changing in condition which shows alarm, especially for patients. The data from RSUP H. Adam Malik Medan, revealed that of the 44 medical records, in the inpatiens wards, 46 % of them were are not accordance with the standardized. This research used cross sectional design which was aimed to analyze the influence of knowledge and work motivation on the implementation EWSS. The sample were 89 nurses who worked in the surgery department. The data were analyzed by using multiple linear regression analysis by applying the assumption of multicolliniarity, heteroscedasticity, and normality data. The result showed that the variables of knowledge and work motivation had positive influence on the implementation of EWSS (P-Value 0,00) which indicated that Y model = 0,236 X1+ 0,535 X2 in which Y was EWSS implementation, X1 was knowledge, and X2 was work motivation. The conclusion was that increase in knowledge and work motivation would be followed by the increase in EWSS implementation. It is recommended that the hospital management maximize the implementation of EWSS by increasing the level of knowledge and work motivation. Key Word: Knowledge, Work Motivation, EWS

    Perbedaan Pengetahuan Anemia dan Tablet Tambah Darah (TTD) Sebelum dan Sesudah Pendidikan Kesehatan Melalui Media Video dan Aplikasi Quizlet

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    The problem of anemia in adolescent girls will have a negative impact on decreased learning concentration and later pregnancy. Based on data of Indonesian Demographic and Health Survey (SDKI) in 2017, only 8% of young women answered correctly about the meaning of anemia and 23.4% answered they did not know about the cause of anemia. This study aims to determine differences in students knowledge about anemia and Tablets Added Blood (TTD) before and after health education through video media and Quizlet Applications. This research uses Quasi Experimental Design with Pretest-Posttest with Control Group Design. The sampling technique used Stratified Random Sampling for the experimental group of 30 respondents and the control group of 30 respondents. The results of the T-Dependent and T-Independent tests showed that there were differences in students knowledge about anemia and Tablets Added Blood (TTD) before and after health education through video media and Quizlet Applications, with a Pvalue 0,000. It is expected that Health Center and Schools can work together in providing health education through video media and the Quizlet Application by holding a Healthy Friday Program and the Health Center can employ specialized human resources educated in Information Technology (IT) to develop video media and online-based applications

    HUBUNGAN PENGETAHUAN DAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) TERHADAP KEJADIAN SAKIT PADA ANAK USIA SEKOLAH DI KABUPATEN BANYUMAS

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    ABSTRAKMunculnya berbagai penyakit yang sering menyerang anak usia sekolah, umumnya berkaitan dengan pemahaman anak tentang apa itu hidup bersih dan sehat, serta penerapan perilaku hidup bersih dan sehatan (PHBS) dan pemahaman anak tentang apa itu hidup bersih dan sehat. Penelitian ini bertujuan untuk melihat hubungan antara pengetahuan dan PHBS anak sekolah dasar terhadap kejadian sakit yang di alami di  masa pandemi Covid-19 ini. Pendekatan kuantitatif dengan rancangan studi potong lintang dilakukan dengan melibatkan 58 anak sekolah dasar yang berada di wilayah perkotaan dan pedesaan Kabupaten Banyumas. Hasil penelitian menunjukkan, sebagian besar siswa memiliki pengetahuan tentang gizi dan kesehatan yang masih rendah (62,1%), meski demikian, siswa yang menerapkan PHBS dengan baik sudah lebih banyak (63,8%). Uji chi-square antara pengetahuan siswa dengan kejadian sakit diperoleh nilai p=0.051, dan antara penerapan PHBS siswa dengan kejadian sakit nilai p = 0.478. Dapat disimpulkan bahwa tidak ada hubungan yang signifikan antara pengetahuan dan PHBS terhadap kejadian sakit anak sekolah dasar di wilayah perkotaan dan pedesaan Kabupaten Banyumas.Kata kunci: Anak Sekolah Dasar, Perilaku Hidup Bersih dan Sehat, Pedesaan. ABSTRACTVarious diseases that often attack school-age children, are generally related to children's understanding of what is clean and healthy living, as well as the application of clean and healthy living habits (PHBS) and children's understanding of what is clean and healthy living. This study aims to see the relationship between knowledge and PHBS of elementary school children on the incidence of illness during the pancemic of Covid-19. A quantitative approach with a cross-sectional study design was carried out involving 58 elementary school children in urban and rural areas of Banyumas Regency. The results showed that most students had low knowledge of nutrition and health (62.1%), however, there were already more students who had implemented PHBS properly (63.8%). Chi-square test between students 'knowledge and the incidence of illness obtained p value = 0.051, and between the application of students' PHBS and the incidence of illness p = 0.478. It can be concluded that there is no significant relationship between knowledge and PHBS on the incidence of illness in primary school children in urban and rural areas of Banyumas Regency. Keywords: School-age children, Cleand and Healthy Living Habits (PHBS), urban, rural area.

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    VISIKES: Jurnal Kesehatan Masyarakat
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