VISIKES: Jurnal Kesehatan Masyarakat
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    Manajemen Aktivitas Fisik dan Kepatuhan Minum Obat untuk Mencegah Terjadinya Hipertensi pada Penderita Diabetes Melitus Tipe II

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    Patients with type 2 DM are more at risk of developing hypertension. This study aims to explain the factors that afect the occurrence of hypertension in patients with type 2 diabetes in the work area of Pati Puskesmas during 2014. The study was conducted by observation using a case control study design in Puskesmas patients in Pati District. The case group was 57 patients with type 2 diabetes with hypertension while the control group was 57 patients with type 2 diabetes without hypertension. Data were obtained from observations of medical recordsand qualitative interviews. Chi-square test on bivariate analysis and multiple logistic regression on multivariate analysis. Factors afecting the occurrence of hypertension in patients with type 2 diabetes are less physical activity (OR = 6.4, 95% CI: 2.18 - 18.77, p = 0.001), long sufering DM ≥5 years (OR = 5, 4, 95% CI: 1,97 - 14,704; p = 0,001), and DM medication adherence (OR = 3,6; 95% CI: 1,32 - 9,83; p = 0,012). Factors that have no efect are: age ≥45 years,male gender, DM diet compliance, history of hypertension, smoking habits, salty eating habits, cofee drinking habits, and length of time to sleep. Type 2 diabetes mellitus patients> 5 years may reduce the risk of hypertension by performing physical activity management and medication adherence.Keywords: risk factor, hypertension, type 2 D

    Penerapan SMK3 Berdasarkan OHSAS 18001: 2007 di PT. APF Tbk

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    Based on data from Jamsostek, indicated that the number of occupational accidents that occurred in Indonesia was still very high, in 2013 had occurred as many as 103 285 cases of occupational accidents, based on the data is that the accident happened experienced an average increase of 1.76% annually. the accident number at PT. APF Tbk. Kendal in 2014 was 17 cases. The purpose of this research was to describe the application of SMK3 based on OHSAS 18001: 2007 in PT. Asia Paciic Fibers Tbk. Kendal. This research used descriptive research and design. Test the validity of the data using triangulation techniques. Results from this study PT. APF Tbk. has implemented the requirements 144 points of the overall 150 points SMK3 application based on OHSAS 18001: 2007, while the number of points that have not it as much as 5 points requirements and points requirements are not met by 1 pointKeywords: SMK3, OHSAS 18001, Managemen

    FAKTOR RESIKO ERGONOMI PADA KARYAWAN DI PABRIK PEMBUATAN MINUMAN KEMASAN, INDONESIA

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    Implementation of inappropriate ergonomics in worker can cause health problems. Musculoskeletal Disorders (MSDs) is one of the health problems that often occur due to improper application of ergonomics. Every step in this beverage factory mostly has the potential for ergonomic risk. This research is a quantitative research with cross sectional study design. The total sample size of 309 has been systematic randomly selected from each department with proportional to size of the population. Data collection tools using BRIEFTM Survey and analyze the data with STATA. BRIEFTM figured the risk associated with posture, force, duration and incidence frequency of nine areas of the body. The results showed the prevalence of ergonomic risk occurring on the left and right sides of the elbows (73.14%). The prevalence of middle ergonomic risk on the left side and wrist is 55.99% and right side 55.02% then the left side of the shoulder is 77.02% and the right side 63.11% after being behind is 55.02%. Suggestions for the company should perform particular program about the proper ergonomic position and working order in each department at the beverage factory

    Keterlambatan Pengobatan pada Penderita Leptospirosis di Kota Semarang

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    Leptospirosis is an infectious disease that is endemic in the population of workers related to land. Rate fatality leptospirosis reached 5%, meaning that 5 of each case could die. Mortality in patients with leptospirosis is caused by several factors, including delays in treatment. Semarang city was the region with the highest leptospirosis cases in Central Java (75 cases in 2014 with 13 deaths). Based on preliminary studies, 8 of 15 patients who died of leptospirosishas been delayed treatment. This type of research was descriptive analysis with cross sectional approach. The number of samples was 53 respondents selected by simple random sampling technique. The independent variables consist of the level of knowledge, attitudes of patients, health seeking behavior, perception of treatment, and motivation for treatment, with the dependent variable in the form of delays in the treatment of patients with leptospirosis. The results showed that the variables associated with treatment delay of leptospirosis is the level of knowledge (p = 0.017) and health seeking behavior (p = 0.0001). Suggested their eforts to increase public knowledge to enhance the implementation of promotional and educational programs through counseling, mass media or electronic media.Keywords: Delay, Treatment, Leptospirosi

    Deteksi Keterlambatan Bicara pada Anak Usia 48-72 Bulan Melalui Berbagai Faktor

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    Speech delay to children in recent years has always increased, the prevalence of speech disorders varies in numbers from 1 to 32% in the normal population. In social life will also be very influential, the child will always feel alone without being able to voice what is desired, and always not understood by others if he wants something with wrong language. This study aims to get the influence was maternal education, maternal employment status and family factor of speech delay  to children aged 48-72 months. Quantitative research with cross sectional design in samples of pre school children, the results with P value 0.582 for parent education variables, P value 0,245 for the variable work status of the mother, and P value 0.853for  the family history variable. All variables in this study that there was no influence between these variables with the delay in talking to children aged 48-72 months. actually, the development of speaking, speaking of children has begun to be stimulated since the baby, but the form of communication is different from each stage, and if the child is test earlier about their language it will prevent the child from late language development disorders, especially in normal children without history certain diseases from the womb and at birth

    Efektivitas Penggunaan Kartu Menuju Sehat Lansia di Posyandu Lansia Wilayah Kerja Puskesmas Cepiring Kabupaten Kendal

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    The health services for Elderly-Integrated Health Post (IHP) include physical and emotional mental health checks that are recorded and monitored with Elderly-Growth Chart. This study aims to know the efectiveness of the use of Elderly-Growth Chart.This was qualitative research. Data collected by in-depth interviews, used interview guidelines, to the elderly-Growth Chart users, the main informants were elderly IHP health workers and triangulation informant were elderly ad elderly families.The results showed that the use of elderly-Growth Chart was not efective because since 2013 elderly-Growth Chart had not been used anymore because Elderly-Growth Chart were often lost and not taken during the elderly-IHP, tables in forms that were too small that cause diiculty to write and read and there was an additional workload on health workers to do the recording, because there were 3 reports that must be made.The recomendation is developing the recording system of health examination result of elderly IHP to help health workers, elderly and elderly families to monitor, and do early detection diseases and improve the elderly healthKeywords: elderly, elderly IHP, elderly growth char

    Penerapan Aspek Keselamatan Perkeretaapian pada PT.KAI (Persero) Daop IV Semarang

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    Railways is everything related to facility, infrastructure, human resource and train supporting facility for the operation of railway transport. The production of passenger trains during the years 2010-2014 in the Java island has increased by 8.29% annually. The railway accidents frequency are inluenced by: human factors, infrastructure factors, facility factors, operational factors, and external factors. This research aims to know the description of the aspects of railwaysafety application at PT. KAI (Persero) DAOP IV Semarang. This was evaluative research.The result showed that of the 253 points of the aspects of railways safety, as much as 235 (93%) points were accordance to standard, 13 (5%) points were not accordance tostandard, and 5(2%) did not conform to standard.The recommendation are fulillments of the safety railway aspects such as: increase the crossing-guard offifcer who have a competency certiicate, provide training and education for certiication of compentence for pcrossing-guard oicer that have not been certiied, facilitating the station with ire protection system, awarding and recoloring of secure border from railways on the station platform, and marking the installation of portable ire extinguisher.Keywods : railway, safet

    Peran Kelas Ibu Balita Terhadap Praktik Pemberian ASI Ekslusif

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    Toddler’s Mother Class has an important role in improving the coverage ofexclusive breast feeding. The purpose of this study was to describe the role of theToddler’s Mother Class with exclusive breast feeding practice in Public HealthCenter of Godong I.This study used qualitative methods with snowball sampling techniques. Theinformant of the study are toddler’s mother who have a child aged 6-12 months withtotal informant are ten informant. Collecting data technique with in-depth interviewsand used interview guidelines.The results showed that implementation of Toddler’s Mother Class was donethree times a year by the facilitator, consists of a village midwives, public healthcenters midwives, and a nutritionist or dental expert or infectious disease controlofficer. Source of funding the activities derived from Special Operational Assistance(BOK), media health promotion used a sheet back, and targets were not grouped byage, but focused on toddlers who haved growing hibicus problems. Most ofinformants have knowledgeable about exclusive breast feeding and have agreed togive exclusive breast feeding. However, only a portion (50%) the informant canprovide exclusive breast feeding to her baby, because the lack of support from thehusband and family.Toddler’s Mother Class at Public Health Center of Godong I wasimplemented in all of the village, but there was still mother of a baby who does notprovide exclusive breast feeding

    Mobile Health Intervensi untuk Peningkatan Perawatan Ibu Hamil di Kota Semarang

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    Mobile health with its popularity and availability has considerable potential to increase access to health care, especially in improving maternal health. Mobile health-based interventions are used to spread health information because of its availability, cheap and does not require large technological expertise, can be accessed at any time. Previous research has proven that periodic message reminders using cellphones effectively encourage and strengthen healthy behavior. This research is part of a health promotion intervention for pregnant women based on mobile health which aims to evaluate the use of mobile health to promote the health of pregnant women qualitatively.Descriptive qualitative research design with an observational approach from the results of the intervention of pregnant women groups conducted in April - July 2018. A purposive sampling technique, the number of samples 102. Qualitative data analysis in this study.The number of respondents using whatsapp application 102 people, 47% active respondents. Mobile health for effective health promotion (97%) and acceptable. Interesting content (98%) in general assessment of positive content: increasing knowledge of pregnant women (68%). The most questions about the daily care of pregnant women, the response to the intervention: can continue until the respondent gives birth.Mobile health for health promotion of pregnant women is effective and acceptable

    Penggunaan Jahe Merah untuk Menurunkan Intensitas Nyeri Haid pada Remaja

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    Menstrual pain is a symptoms and was not a diseases caused by hiperkontraktilitas the uterus caused by prostaglandins. Research purposes is identified influence of red ginger water towards the intensity of menstrual pain. Research purposes is identified influence of red ginger water towards the intensity of menstrual pain on students D3 midwifery second semester. This research uses quasi-experiment method. The population is that suffer from menstrual pain as many as 26 people. The sampling method is total population. The analysis is bivariate analysis using wilcoxon test. Based on the results of the statistics got that on respondents the intervention group were given before treatment (61,5%) or 8 people suffer from mild pain, after given treatment (46,2%) or 6 people did not experience pain, respondents group controls on first observation (69,2%) or 9 people suffer from mild pain, on second observation (69,2%) or 9 people suffer from mild pain. The result of the statistic test using wilcoxon test in the intervention group shows the p-value = 0,001 with CI of 95% (α = 0,005) it can be said that p-value <αso that Ho is rejected and H1 is accepted

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    VISIKES: Jurnal Kesehatan Masyarakat
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