VISIKES: Jurnal Kesehatan Masyarakat
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EFEKTIFITAS PENGGUNAAN LIDAH MERTUA DALAM RUANGAN TERTUTUP UNTUK MENGURANGI KADAR COHB DAN CO LINGKUNGAN AKIBAT ASAP ROKOK
Get PDFKarbon monoksida (CO) adalah gas yang tidak berwarna, tidak berasa, tidak mengiritasi dan tidak berbau.Gas ini dihasilkan melalui pembakaran gas, minyak, petrol, bahan bakar padat atau kayu. Terbentuknya gas CO berasal dari kebakaran, tungku, pemanas, oven dan mesin Bahaya utama terhadap kesehatan adalah mengakibatkan gangguan pada darah. Batas pemaparan karbon monoksida yang diperbolehkan oleh OSHA (Occupational Safety and Health Administration) adalah 35 ppm untuk waktu 8 jam/hari kerja. Pada ruang tertutup , tingkat polusi berasal dari asap rokok. Pekerja di ruang tertutup berptensi terpapar gas CO yang terperangkapdalam ruangan selama bekerja. Gas Co dihirup akan membentuk COHb dalam darah, penelitian ini bertujuan Efektivitas lidah mertua dalam mengurangi kadar COHb dan CO lingkungan. Penelitian ini merupakan penelitian deskriptif desain cross sectional menggunakan 7 responden yang ada diruangan tertutup tersebut. Pengukuran gas CO menunjukan dibawah baku mutu 25 PPM. Mayoritas pekerja memiliki karakteristik jenis kelamin perempuan (57,14%), Laki-Laki( 42,86), berumur ≤ 40 Tahun (85,71 %) dan lebih dari ≥ Tahun (16,67%) dan memiliki kebiasan merokok sebanyak (42,86%). Disimpulkan bawah kadar CO dibawah baku mutu sedangkan untuk kadar COHb melebihi baku mutu 3,5% . disarankan untuk mengurangi kebiasaan merokok dan memberi ventilasi yang baik.Kata kunci : Lidah mertua, kabon monoksida, ruang tertutu
Rancangan Bridging Sistem Informasi Primary Care (P-Care) pada Dokter Praktik di Kota Semarang
Get PDFApplications P-Care (primary care) is an information system of patient care participants BPJS computer-based and online via the Internet. There are some problems encountered in the use of p-care applications in clinic. Patients who visit private doctors have not been entirely entered into BPJS participants so that there are two kinds of membership, namely patient based on the patient BPJS and general patients. Difficulties experienced was when combining patient visitation reports BPJS participants and general patients. The purpose of this study was to produce a draft bridging medical record information system that can bridge the gap between the general patient care with patients BPJS. This research was a case study with observational approach.Object of this research were the components of the p-care information systems. Subjects were the operators, doctors, and owners of primary health care facilities. Data collection were interviews and observations to gain condition p-care information system is running and the user’s expectations for efficiency p-care services. Problems on the clinic services was the difficulty in finding the patient’s medical record card, and there were multiple medical record card. Solutions do is arrange medical record card with the number system, making treatment of identity cards, and establish procedures medical record service. To expedite the necessary service bridging primary care information system designed according to the needs of the clinic management information. The database that corresponds to bridging p-care were patient identity, health care visit, health service, and diagnosis. The design of the interface (interface)generated registration menu, service, and reporting. It was necessary to cooperate with BPJS IT to build bridging systems for ease of service and clinical reporting.Keywords: briding, information system, primary care, clinic, design of information syste
ANALISIS DETERMINAN KEPATUHAN PEGAWAI TERHADAP KAWASAN TANPA ROKOK DI DINAS PENDIDIKAN PROVINSI SULAWESI SELATAN
Get PDFThe policy to implement a Smoking Area (KTR) has been agreed as the main intervention strategy to control non-communicable diseases. Regulations in the form of Non-Smoking Regional Law (KTR) have also been approved in various countries as an embodiment of tobacco regulation in the world. Implementation of issued regional policies must be carried out by all Local Governments in Indonesia. This study discusses the determinants associated with employees in the Non-Smoking Area in the Education Office of South Sulawesi Province. This research is a type of quantitative research using Cross-Sectional Studies. The population in this study was 183 people. Sampling was done using the Total Sampling method so that a total sample of 183 people were obtained. Data processing and analysis using the SPSS program. Data analysis is based on the Chi-Square Test statistical test. The results showed there was a relationship between smoking relationships (p = 0,000), there was a relationship between attitudes (p 0,000), there was a relationship between social support (p = 0,000) and employee associations regarding smoking area regulations in the South Sulawesi Provincial Education Office and none the relationship between knowledge (p = 0.288) and employee associations regarding regional regulations in the South Sulawesi Provincial Education Office
CAKUPAN IMUNISASI BCG TERHADAP BAYI BARU LAHIR DI PROVINSI SUMATERA SELATAN
Get PDFBCG immunization is a basic immunization given to reduce the risk of pulmonary TB. Children who are not immunized are at a risk of 1.13 times greater than those immunized. BCG immunization coverage in South Sumatra is 98.9%. This means that not all babies born with medical help get BCG immunization. Therefore it is necessary to do a study of the coverage of BCG immunization for newborns in South Sumatra. The purpose of this study was to determine the increase in the number of babies born, and increase the coverage of BCG immunization, as well as the distribution of districts in South Sumatra that meet BCG immunization coverage based on the number of babies born. This study uses a quantitative approach using descriptive statistical analysis methods. The variables analyzed in this study were the number of births and BCG immunization coverage. Data analysis continued with quadrant analysis to find out the distribution of districts based on immunization coverage rates and the number of babies born. The number of births of infants receiving medical assistance in South Sumatra tends to be stable with an average number of 9492.82 babies per district per year. The average percentage of BCG immunization coverage in South Sumatra tends to decrease, reaching 91.99% per district per year. The number of births of infants assisted by medical personnel has a very small relationship to BCG immunization coverage in South Sumatra Province which indicates that not every baby born with medical assistance receives BCG immunization. Based on quadrant analysis, it was found that there were 9 districts / cities that were included in Quadrant I & II which showed low BCG immunization rates. More specifically, there are 4 districts (Quadrant II) which have high rates of birth, but coverage of BCG immunization is low
ANALISIS HASIL TREATMENT PLANNING SYSTEM TEKNIK PENYINARAN 3D CONFORMAL RADIOTHERAPY DENGAN 2 VARIASI 5 ARAH LAPANGAN RADIASI YANG BERBEDA PADA KASUS KANKER PROSTAT DI RSUPN DR. CIPTO MANGUNKUSUMO
Get PDFProstate cancer is a cancer or malignant tumor that develops in the prostategland. This gland is located under the male bladder as a function of removingand storing a type of fluid that produces semen. After a man aged 50 years,usually the prostate will gradually enlarge. Prostate enlargement in old age isnormal.To compare the results of TPS (treatment planning system) 3D CRT (ConformalRadiotherapy) irradiation techniques with 2 different 5-way radiation fieldvariations in cases of prostate cancer based on the dose received by the targetvolume, organ at risk and isodose curve.The type of research used in this study is a type of qualitative analysis. The placeof research was conducted at the radiotherapy installation at RSUPN Dr. CiptoMangunkusumo. The time of research applies from March to May 2017.From the results of the study, without optimization in the treatment planningsystem during planning, it was seen in the organ at risk of bladder, caput femurisdextra and the caput femuris sinistra received fewer doses using planning A(gantry angle: 00, 750, 1450, 2250, 2850).Planning A (gantry angle: 00, 750, 1450, 2250, 2850) is better for volume targetsand organ at risk such as bladder, caput femuris dextra dan caput femurissinistra.Keywords: Prostate cancer, TPS (treatment planning system), 3D CRT(Conformal Radiotherapy
FAKTOR-FAKTOR YANG MEMPENGHARUI KUNJUNGAN IBU HAMIL PADA TRIMESTER PERTAMA DI PUSKESMAS KAIRATU KABUPATEN SERAM BAGIAN BARAT TAHUN 2013
Get PDFABSTRAK Antenatal health services by pregnant women in the first trimester can make it difficult for health workers to provide comprehensive and comprehensive guidance and maintenance for the health of pregnant women, including early detection of risk factors. This is one of the results of the Maternal Mortality Rate in Indonesia (Peranginangin,2010). The purpose of this study was to obtain information about the factors that influence the visit of pregnant women in the first trimester. The research method used in this research is analytic survey research by studying "Cross Sectional". The samples used in this study were all pregnant women who did not carry out antenatal examinations in the first trimester at the Kairatu Health Center. The technique used was accidental sampling, which is the technique of taking the samples used available or available. Data analysis in qualitative research is in principle an induction process, conceptualization interpretation. The results of the study were obtained from interviews about the phenomenon of pregnant women in conducting antenatal care in the first trimester of pregnant women and midwives in the Kairatu Health Center area, namely pregnant women looking for purposes and considering examinations, pregnant women need financial assistance to conduct examinations, even though mothers Pregnants are aware of the importance of funded examinations, but they still believe in traditional birth attendants because they are easier to achieve. Get help with pregnancy related to antenatal care checks, diseases and complications that can occur during low socioeconomic pregnancies that do not require health facilities by making home visits in areas that are also active in promoting posyandu. Kata Kunci            : pregnant women, Knowledge, Economy,Social CultureÂ
ANALISIS PERSEPSI PETANI BAWANG MERAH DALAM PENGGUNAAN PESTISIDA SEBAGAI DASAR PENYUSUNAN POLICY BRIEF DI KABUPATEN BREBES
Get PDFThe improper use of pesticides that are not completely on target causes residues and adversely affects both health and the environment. The lack of knowledge of the dangers of pesticides causes farmers to ignore the risk in excessive use of pesticides. Preventive efforts are needed to reduce the impact of pesticide use. One of them is by organizing policy brief to provide input for the Regional Government regarding the use of pesticides to union farmers.This study uses descriptive analysis with a qualitative approach. Determination of the sample in this study uses purposive sampling technique so that the number of samples obtained by 3 informants. The research sample consisted of onion farmers, cadres of Pos UKK, and Secretary of farmer group.Farmers' perceptions regarding the use of pesticides are influenced by knowledge factors, personal factors, work environment factors, behavioral factors on risks and cultural safety and health factors at work. Many farmers do not pay attention to the risk factors for pesticide exposure, from mixing pesticides that are not in accordance with the dosage, storing pesticides in the open space, eating and drinking immediately after spraying pesticides, not washing hands and bathing after spraying and not using personal protective equipment when doing spraying pesticides. These behaviors can increase the risk of exposure to pesticides which will affect the health of farmers. Farmers' perceptions of the use of pesticides are still not optimal because even though farmers know the impact of inappropriate pesticide use, they still ignore it in its implementation.Keywords : Policy brief, Farmer perceptions, PesticidesÂ
ANALISIS PENGARUH CLINICAL AUTONOMY TERHADAP KEPUASAN KERJA DOKTER ERA JKN DI RSUD KOTA MAKASSAR
No full textServices provided by medical personnel or doctors are an integral part of health services in hospitals, which have a very strategic position in efforts to improve the quality of service and satisfaction of consumers or patients who come to the hospital, which results in the satisfaction of the organization or the hospital itself . In connection with the age of BPJS implementation in Indonesia, the researchers are interested in exploring clinical autonomy (clinical autonomy) for the work satisfaction of doctors in the JKN era based on the transformation of fee for services into the INA CBGs package in hospitals. The purpose of this study was to determine the effect of clinical autonomy on doctors job satisfaction of JKN Era at Makassar City Hospital. This type of research is quantitative research with cross sectional research design. The population is all doctors in Makassar City Hospital as many as 35 people. Data analysis techniques using Spearman correlation analysis. The results showed that Control over work and Prerogative obtain need services affect job satisfaction in Makassar City Hospital (p = 0.012 and p = 0.035). From the results of the study concluded that clinical autonomy consisting of Control over work and Prerogative obtain need services affect the job satisfaction of doctors in Makassar City Hospital.It is recommended to the leadership of Makassar City Hospital to create better Control Over Work in terms of communication between doctors and management, so as to increase job satisfaction
Keluhan Kesehatan Pernafasan Pada Driver Ojek Online di Medan
Get PDFABSTRACT Objective : One of the groups of informal workers that is quite a trend now is being†ojek onlineâ€. In this case, as the driver, can face the of experiencing workplace accidents and work-related illnesses due to a disordered work system. The working environment of ojek online filled with dust, steam, and pollutant gases can risk disrupting health can has breathing disorders. The objektive of this research deal to describe the factors that influence respiratory complaints in “ojek online in Medan. Method : This research used quantitative method. Sample size in this study were 40 respondents. The Data was analyzed by using multiple logistic regression. Result : The results explained the factors affecting respiratory complaints on ojek online drivers in Medan were workload (sig= 0.017), duration of work (sig= 0.049) and mask use (sig= 0.023). It is expected to manage work time independently and always use a mask when working to reduce dust and air pollutant exposure while in the work environment. Keywords : workload, respitory complaints, ojek online driver
The Effect of Specialist Performance Factors on Outpatient Satisfaction at RSUD dr. Loekmonohadi Kudus
Get PDFABSTRAKKinerja dokter spesialis merupakan salah satu aspek yang mempengaruhi tingkat kepuasan masyarakat terhadap pelayanan di rawat jalan RSUD dr. Loekmonohadi Kabupaten Kudus. Indeks kepuasan masyarakat di pelayanan rawat jalan masih berada di bawah standar pelayanan minimal (SPM) dan menjadi pelayanan dengan IKM terendah. Tujuan dari penelitian ini untuk mengetahui pengaruh faktor kinerja dokter spesialis terhadap kepuasan pasien rawat jalan RSUD dr. Loekmonohadi Kudus.Metode penelitian yang digunakan yaitu penelitian kuantitatif dengan jumlah responden sebanyak 100 pasien yang berkunjung ke pelayanan rawat jalan dokter spesialis di RSUD dr. Loekmonohadi Kudus.Hasil penelitian menunjukkan bahwa kemampuan dan keahlian (p-value = 0,004), kepribadian (p-value = 0,001), lingkungan kerja (p-value = 0,001), loyalitas (p-value = 0,001), komitmen (p-value = 0,001), disiplin kerja (p-value = 0,003), komunikasi (p-value = 0,001), kecepatan (p-value = 0,003) dan inisiatif (p-value = 0,001) dokter spesialis berpengaruh terhadap kepuasan pasien di pelayanan rawat jalan RSUD dr. Loekmonohadi Kudus. Variabel lingkungan kerja dokter spesialis merupakan variabel yang pmemiliki pengaruh terbesar terhadap kepuasan pasien dengan Exp(B) 46,732.Berdasarkan hasil penelitian tersebut, RSUD dr. Loekmonohadi perlu melakukan evaluasi terhadap kinerja dokter spesialis di pelayanan rawat jalan serta melengkapi sarana dan prasarana terkait dengan pelayanan di rumah sakit.Kata kunci: kinerja, kepuasan, pasien dan rawat jalan ABSTRACTThe performance of a specialist is one aspect that affects the level of community satisfaction with outpatient services at the RSUD dr. Loekmonohadi. The community satisfaction index in outpatient services is still below the minimum service standard (SPM) and the service with the lowest IKM. The purpose of this study was to determine the effect of specialist performance factors on outpatient satisfaction at RSUD dr. Loekmonohadi Kudus.The research used quantitative method with the number of respondents as many as 100 patients who visit the outpatient services of specialists in RSUD dr. Loekmonohadi.The results showed that ability and expertise (p-value = 0.004), personality (p-value = 0.001), work environment (p-value = 0.001), loyalty (p-value = 0.001), commitment (p-value = 0.001 ), work discipline (p-value = 0.003), communication (p-value = 0.001), speed (p-value = 0.003) and initiative (p-value = 0.001) of specialists influence patient satisfaction in outpatient services at RSUD dr . Loekmonohadi. The working environment is a variable that has the greatest influence on the satisfaction of patients with Exp (B) 46,732.Based on the results, RSUD dr. Loekmonohadi needs to evaluate the performance of specialists in outpatient services and complete facilities and infrastructure related to hospital services.Keywords: performance, satisfaction, patient and outpatien