Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
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    Worker Posture and Fatigue Assessment of Manual Handling Reject Sample in Sample House of Nickel Extraction Process

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    Background: One of the important nickel extraction processes is mixing nickel ore into Dry Ore Storage (DOS) material as the main intake of Kiln Reduction. To ensure mixed material quality, DOS Sample House operators regularly takes sample and test the homogeneity of samples manually. Material handled by lifting some buckets moved to be mixed, then 1/8 of mixed sample tested and 7/8 disposed. This test activity takes 15 minutes each for 35 samples in one shift. The aim of this study was to evaluate posture, determine the prevalence of work-related musculoskeletal disorder and fatigue of DOS Sample House II workers. Method: A random sampling method according to mining work activity type was used to obtain the sample. Total of seven workers data was collected by using Nordic Body Map for symptoms and subjective workload using Rating of Perceived Exertion (RPE) questionnaire; after they finished all tasks of their shift. Four out of 25 tasks in one test were selected (reject sample removal tasks) and assessed using Rapid Entire Body Assessment (REBA). Results: The mean age of seven workers was 37,4 years, all men, and they worked for 4,2 years on average. In one sample test, material needed to be lift were average 28,81 kg which above the recommended weight. The highest prevalence of work-related musculoskeletal disorder symptoms were lower back, right forearm, buttock, right shoulder and hip. RPE scored range was 4 to 7 that their work makes them sweat a lot and REBA scored range 8 to 10, which the risk is high, need investigation and immediately implement changes. Conclusion: The overall finding indicated that the process of selected tasks, reject sample removal task, will contribute to musculoskeletal disorder either for a short or long time exposure. Future research regarding this section needed to prevent or reduce the occurrence of musculoskeletal disorder

    Hubungan Tingkat Pengetahuan, Sikap dengan Perilaku Warga dalam Pemenuhan Komponen Rumah Sehat

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    Introduction: Health development directed to increased awareness, willness and ability to live healthy for every single people so that public health can be realized. In line with Health Ministry of Republic Indonesia, Puskesmas has aimed to support development of national health. According to information from Puskesmas Sukorejo in Kelurahan Sukorejo, Kecamatan Bojonegoro there are only 17% healthy house from 1.412 families and most of them throw away household waste to the river. Method: This research used an observational analytic study with cross sectional design. The population in this research was rural people in Sukorejo Village, Kecamatan Bojonegoro, which were 60 people. Data analysis has been done by using univariate analysis and bivariate analysis. The study was conducted in March 2015. Results: Based on statistical test table showed correlation coeffisien that is 0.414 with value Significant (Ï) that is 0.000 which show that value of Ï<0.05. Conclusion: There was a strong and positive relationship between attitudes with the behavior of citizens in the fulfillment of healthy house components. The attitude contributed to the incidence of citizen behavior in the fulfillment of healthy house components of 0.414 or 41.4%

    Hubungan Pengetahuan, Budaya, Lingkungan Tempat Tinggal dan Sosial Ekonomi dengan Pernikahan Dini pada Wanita

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    Background: Cases of early marriage in Semarang Regency still occurred. The region with the highest number of early marriages in Semarang Regency is Bandungan District with a percentage of women as much as 23.75% and men as much as 46%. This study aims to analyze the relationship of knowledge, culture, environment and socio-economic with early marriage. Method: This research was an explanatory research with a cross-sectional design. The population was all married women recorded at religion affair office in Bandungan Subdistrict from January to December 2017 as many as 259 people. A sample of 74 people was selected by means of proportional random sampling. Data were analyzed with percentage values, Chi-square test and logistic regression. Results: There was a correlation between knowledge (p-value=0.001; Exp (B)=11.141), culture (p-value=0.026; Exp (B)=5.206) and parent income (p-value=0.003; Exp (B)=7.509), with early marriage. Conclusion: There was a correlation between knowledge, culture and income of parents with early marriage. The biggest influence was knowledge, followed by parental income and culture. To reduce early marriage, it is necessary to improve knowledge, income of parents and culture. Knowledge improvement is a priority, it can be done through the Youth Reproductive Health program at junior and senior high school

    HUBUNGAN RIWAYAT KONTAK PENDERITA TUBERKULOSIS PARU (TB) DENGAN KEJADIAN TB PARU ANAK DI BALAI PENGOBATAN PENYAKIT PARU-PARU (BP4) PURWOKERTO

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    Background: Tuberculosis (TB) is chronic communicable disease that caused byMycobacterium tuberculosis. Nowadays, TB still becomes an important health problem. In Indonesia, every year there are 1,3 million children under 15 years old have infected M. tuberculosis and 450.000 children died because of TB. Based on the age-based diagnose report, a percentage of TB patients on child group (0-14 years old) in year 2009 at BP4 Purwokerto was equal 26,42%. This condition was probably happened due to any contact inside a house with adult TB sufferers. The objective of this research is to find out the association between the contact history of TB and the occurrence of pulmonary TB on a child group at BP4 Purwokerto.Method : This was an observational analytic research with cases control approach. The numbers of samples are 76 children divided into 38 cases and 38 controls. Cases were children patients who were 0-14 years old, clinically diagnosed as TB sufferer and confirmed by the result of x-ray test that showed sugestif description at BP4 Purwokerto. Controls were children patients who were 0-14 years old, clinically diagnosed as not TB sufferer and confirmed by the result of x-ray test that not showed sugestif description at BP4 Purwokerto. Data were analyzed by using the methods of univariate, bivariate (Chi-Square test and Mantel Haenszel test).Result : The result of this research showed that the contact history of TB had a significant association with the occurrence of pulmonary TB on child group at BP4 Purwokerto without influenced by economic status, BCG scar status and availability of smoker inside a house (P = 0,001; OR = 6,378; 95%CI 2,151-18,918). To prevent the occurrence of pulmonary TB on a child, parents should keep away their children from direct contact with adult TB sufferers trough separating them temporarilly.Keywords : History of contact TB, Pulmonary TB on child Bibliography : 76 (1961-201

    HUBUNGAN SOSIODEMOGRAFI DENGAN KEJADIAN FILARIASIS DI KABUPATEN PEKALONGAN

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    Background: Glaucoma is characterized by significantly increase in eye pressure that can lead to order eye diseases including part or total blindness. Glaukoma is still the main eye health problem in Indonesia and Yogyakarta Special Teritory. Glaukoma causes permanen blindness. Based on data from medical records of glaucoma patients who seek treatment at hospital outpatient Eye Dr. Yap Yogyakarta in 2009 amounted to 1302 souls, while in the January to May 2010 amounted to 510 souls. This study aims to determine what factors are associated with the incidence of glaucoma in eye hospital Dr. Yap Yogyakarta.Methods: This was observational analytic study using case control design (case control) with a ratio of 1:2. Technique of sampling using the Non-Random Sampling, with purposive sampling approach, with a total sample of 105 respondents consisting of 35 cases and 70 controls, data collected by interview with questionnaire guidelines.Results: test results showed that three variables are not statistically significant and the two variables are statistically significant history of diabetes mellitus (OR = 0.624, p = 0.442, CI 95% = 0.185 to 2.097), history of hypertension (OR = 6.401, p-0, 000, 95% CI = 2.441 to 16.784), eye trauma (OR = 1.130, p = 0.839, CI 95% = 0.348 to 3.666), complication of eye surgery (OR = 3.463, p = 0.004, 95% CI - 1.444 to 8.306), and the use of corticosteroid drugs (OR-1, 130, p = 0.839, CI 95% = 0.348 to 3.666). Results of multivariat test surgery showed that the most dominant variables on the incidence of glaucoma in eye hospital Dr. Yap Yogyakarta is a history of hypertension with Sig = 0.001 Exp [3 = 5.675 (95% CI:2.105 to 15.301).Conclusion: There was two variables that is statistically significant, history of hypertension and complications of eye surgery. The most dominant variable with the incidence of glaucoma was a history of hypertension.Keywords: Glaucoma, Complications, Corticosteroid

    Peran Serta Masyarakat dalam Pengelolaan Sampah Domestik sebagai Upaya Pencegahan Penyakit Berbasis Lingkungan

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    Background: Domestic waste remains a problem in Indonesia. The more the population who were making the volume of domestic waste increase, including in Banyumas regency. The purpose of this study is to describe the knowledge, attitude, and practice of the community in the management of domestic waste as an environmental-based disease prevention. Method: The method that was used in this research is qualitative. The research subjects were obtained by using purposive sampling technique by interviewing 7 people as the main research subject and 3 midwives, Forum Kesehatan Desa (FKD) Chairman, and Tempat Pembuangan Akhir (TPA) Manager as the supporting research subject. How to collect data with observation, in-depth interview, literature study, and documentation. This model of analysis is an interactive analysis, through the process of collected data in the form of research findings that are relevant to the writing materials, and then presented in a narrative. Results: The results showed that the community has applied the knowledge about domestic waste as an environmental-based disease prevention. Conclusion: Environmental-based disease prevention requires policies and human resources in the application

    Implementasi Program “Santun Lansia†Puskesmas Kabupaten Sleman

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    Background: The elderly courtship program is a manifestation of the concern of the Sleman District Government to the elderly people who need special services because of their old physical structure, where the elderly have the same right to continuously improve their health so that they remain capable and active in the development, productive socially and economically. Method: The type of this research is descriptive by analyzing data of elderly program. The elderly data is obtained from the coverage report of puskesmas services, laws and regulations related to this issue and criteria of elderly mannered programs. Results: the elderly polite program is the government policy of Sleman Regency seen from the program facilities owned to the number of visits of elderly patients who receive health services. The total number of elderly in Sleman regency is 105.955 people. Primary Health Center (Puskesmas) visitors with strata I as many as 9,892 people, 2 Puskesmas with strata II amounted to 62,579. Primary Health Center (Puskesmas) with strata III amounted to 9,192 people and primary health center strata IV not yet exist in Sleman Regency. Conclusion: The elderly decentralized program refers to government policies that are set forth in laws and regulations. Continuous evaluation is required to improve the infrastructure and services of puskesmas in order for the elderly to obtain the same comfort as the general patient

    Penerapan Participatory Ergonomics dalam Perancangan Ulang Permainan Buggy untuk Meningkatkan Keselamatan bagi Pengguna: Studi Kasus di Kampung Gajah Wonderland

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    Background: The Gajah Wonderland Kampong is a recreation area offering various games that is located in Lembang, Bandung. The favorite game to be played in this park is the so-called Buggy Game. The results of in-depth observations and close examination indicate that this particular Buggy Game is not ergonomic and that path information is inadequate so that accidents often occur. In order to solve these problems, the Participatory Ergonomics (PE) method has been employed. Method: The implementation of PE involves key stakeholders, namely the management in charge, workers, designers, and ergonomics experts. The stakeholders have discussed these matters to reach an agreement in the shape of a design that suits the user. Results: This study resulted in a chair design concept that can be adjusted according to needs, a gas pedal limiting design, a track plan design and manufacturing directions, a speed sensor design and an emergency button, in addition to a head frame design, and a design for anti-heat material in the engine area. Conclusion: PE turns out to be the right method for repeated repairs or improvements made to the Buggy Game because it involves the main user so as to produce a design that is able to improve both the comfort and safety of the users

    Analisis Tingkat Kepatuhan Hand Hygiene Perawat dalam Pencegahan Infeksi Nosokomial

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    Background: Hospitals are required to provide good services matching with the given standards. People who received health services were faced with the risk of nosocomial infection. The incidence of infection was recorded in various countries nosocomial around 3.3%-9.2%. Hand hygiene was the most important thing to prevent the spread of infection. The purpose of this study was to determine nurse’s compliance with hand hygiene in effort of preventing efforts nosocomial in Ward Dahlia of RSUD Wonosari Yogyakarta. Method: This study was a qualitative descriptive study. The research subject was as many as 15 nurses with a total sampling, where as the interview with the head of the ward, nurses and other control and prevention of infection used purposive sampling. Collecting data was done by sheet checklist, interview and documents. Data were analyzed using Miles and Huberman. Results: The nurses in performing hand hygiene SOP have been appropriate but some not with the percentage of 80%. Nurse’s compliance in hand hygiene compliance based on five principles moment it was found that nurses in carrying out the moment 1 was by 66.7% and the moment 2 was 73.4%, the percentage was categorized as minimal compliance. Conclusion: Standard operating procedure of hand hygiene and infrastructure was well, the process of implementation of hand hygiene nurses have not all met the standards. Nurses mostly ignored the moment 1 and 2, the moment 3, 4 and 5 were in the category of good compliance. Monitoring and evaluation has been done

    Colorectal Cancer Prevalence in Palembang, South Sumatera, Indonesia

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    Background: Colorectal cancer is the third number of cancer diagnose worldwide. The incidence of this cancer is increasing year by year, particularly in developing countries. However, there is less known the number of CRC in Palembang, South Sumatera, Indonesia. Method: This study used a descriptive research design to describe the demography of epidemiology of CRC and the spread of colorectal cancer survivors in Palembang. This study used secondary data from 3 hospitals in Palembang municipality from 2013-2016. Results: The results of this study were found that the average age of CRC survivors 51,36 years which the number of CRC prevalence in a female was higher rather than male, rectal cancer was higher rather than colon cancer and the highest prevalence of this cancer is located at the sub-district of Seberang Ulu I (SU I). Conclusion: Determine the highest area of CRC could lead further action by related stakeholders on increasing healthy behavior of the community

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    Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
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