Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
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Related Factors of Carpal Tunnel Syndrome (CTS) among Onion Skin Peeler Worker at Segiri Samarinda, East Kalimantan
Various activities that involve hands repetitively are often associated with Carpal Tunnel Syndrome (CTS). CTS is defined by compression of the median nerve in the wrist. Peeling onion skin is a risk job which can be easily affected by CTS. The purpose of this study was to determine the relationship between repetitive motions, duration of work, work of service, the history of Illness and CTS among onion skin peeler workers at Segiri Market Samarinda. This research used a cross-sectional design to analyze the relationship among the variables. The subject of this study were people who work as peel onion in the Segiri Market Samarinda and the sampling method of this research using purposive sampling with 31 participants. Data was analysed using Chi-Square by SPSS 16 Program with significance level of 0.05 (5%). The results showed that there was a correlation between repetitive motions(p = 0.008),duration of work (p = 0.000), work of service (p = 0.034) and CTS; and there was no relationship between history of Illness and CTS (p = 1.000). The conclusion of the research that there was a relationship between repetitive motions, duration of work, work of service and Carpal Tunnel Syndrome (CTS); and there was no relationship between history of Illness and Carpal Tunnel Syndrome (CTS). Keywords : CTS, Duration of Work, Work of service, History of Disease, Repetitive Movemen
PENETAPAN KESADAHAN TOTAL (CaCO3) AIR SUMUR DI DUSUN CEKELAN KEMUSU BOYOLALI DENGAN METODE KOMPLEKSOMETRI
Background: Water is a basic requirement for human life, both in terms of quantity and quality have not been fulfilled can have a large impact on the problems that are often found in water service that the quality of groundwater and river water used by the people who are less qualified as clean water even in some places even unfit for use. One of the chemical parameters in terms of water quality is the number of the element content of Mg2+ and Ca2+ in the presence of water commonly called water hardness. Hardness in water is not desired either for domestic use or for industrial use. This study aims to determine the total hardness of water wells in the village Cekelan District of Kemusu Boyolali, whether in accordance with PERMENKES RI 416/Menkes/PER/IX/1990 on water quality standards. Methods: This was a descriptive observational study. The sample under study is taken directly from the existing wells in the village Cekelan random as many as 44 samples. Laboratory tests by the titration method complexometry. Results: The total hardness (CaCO3) water wells that have been examined is 2.0 mg/L to 520 mg/L. Conclusion: Total hardness (CaCO3) water wells in village Cekelan Kemusu Boyolali indicates that there are 11,36% samples were ineligible and 88,64% samples qualify. Keywords: Total hardness (CaCO3), Water well, Complexometr
ANALISIS KEMAMPUAN DAN KEMAUAN MEMBAYAR PASIEN RAWAT INAP DI RS PKU MUHAMMADIYAH BANTUL
AbstractBackground: The number of treatment options for making competition among hospitals increasingly stringent anyway though not the business competition. The amount of this option makes every hospital must calculate the unit cost of each so as to make the right policy in determining the hospital tariffs. PKU Muhammadiyah Bantul is one of the largest hospital in Bantul. The Muhammadiyah owned hospitals have a social mission in providing health services to the community. The social mission of making hospitals PKU Muhammadiyah Bantul in setting the rates must be in accordance with the ability of the community. This is because the target consumer PKU Muhammadiyah Bantul majority of the lower middle class people. Currently PKU Muhammadiyah Bantul is developing the building, including increasing the number of beds to 300. Increasing the number of beds will make PKU Muhammadiyah Bantul as the largest Muhammadiyah hospital in Yogyakarta. The existence of this development will be made possible due to changes in the level of rates increasing operational needs. Background of the researchers interested in studying the patient's willingness and ability to pay in PKU Muhammadiyah Hospital in Bantul.Methods: This research is analytic research. Using cross sectional study design. The sample in this study amounted to 87 respondents.Results: Based on the analysis that has been carried out showed that the patient has the ability to pay an average of 100 033. While the average willingness to pay of patients included in the high category in the amount of 71.26 percent.Conclusions: 1) The average ability to pay inpatients Rp 100 033, estimated for three days. 2.) In order to conduct the promotion of hospital managers in an appropriate manner, for example by offering affordable rates to the public. Keywords: willingness to pay, ability to pay Â
PENGARUH FREKUENSI PENGGORENGAN TERHADAP PENINGKATAN PEROKSIDA MINYAK GORENG CURAH DAN FORTIFIKASI VITAMIN A
Background: Palm oil industry in Indonesia is divided into two there are cooking oil and branded cooking oil. Currently there are a variety of branded cooking oil advantages, one of which is the fortification of vitamin A. Based on previous research it is known that 90% of households do frying as much as 4-8 times per day. Cooking oil used repeatedly can oxidize (react with air) so increasing levels of peroxide. Consumption of cooking oil containing high peroxide can cause health problems such as gastrointestinal irritation, diarrhea, and cancer. This study aims to determine the effect of the increase in the frequency of frying peroxide on cooking oil and cooking oil fortification of vitamin A was used. Method: This was experimental research with quasy experimental design. The research object in this study was cooking oil and vitamin A fortification of cooking oil used to fry out. Peroxide measurements made on a grill to 0, 1, 2, 3,4 with three repetitions in each cooking oil. Result: On average the lowest peroxide contained in the zero frying process was equal to 5.27 Mek O2/Kg (cooking oil) and 0.83 Mek O2/Kg (vitamin A fortification of cooking oil) and continued to increase until the fourth frying at 18.86 Mek O2/Kg (cooking oil) and 17.48 Mek O2/Kg (vitamin A fortification of cooking oil). Cooking oil used repeatedly peroxide can affect the increase in cooking oil (P value 0.010) and vitamin A fortification of cooking oil (P value 0.012) and no differences peroxide between cooking oil and vitamin A fortification oil (p value  0.065). Conclusion: There were the influence of the frying process to the increased frequency of peroxide value on cooking oil. There were the effect of the increase in the frequency of peroxide value frying cooking oil fortification on vitamin A. There was no difference between the peroxide cooking oil and vitamin A fortification of cooking oil Keywords: Cooking oil, difference, fortification, peroxide value, fryin
Implementation of Patient Safety Program By Nurse at Hospital “X†in Samarinda and Factors Influence
Patient Safety is a system to prevent the occurrence of unexpected events due to actions taken or not even done by medical and non-medical personnel. Nurses are health workers, amounting at most and has a major role in the implementation of patient safety because the profession is to provide services for 24-hour nursing care. A cross-sectional descriptive study was performed on a total of 77 nurses in “X†Hospital. The objective of this study was determining the association between education level, work experience, perception of professionalism, knowledge and motivation with implementation of patient safety program. Data collection using a questionnaire and data analysis using Pearson’s product moment correlation and Chi Square test. The results indicated that work experience (p = 0.034), perception of professionalism (p = 0:03), knowledge of patient safety (p = 0.000) and motivation          (p = 0.000) influence to the implementation of patient safety.There was no significant influence of educational level on the implementation of patient safety program (p = 0.427). To improve the perception and knowledge, hospitals are advised to hold trainings related to patient safety regularly, and implement reward and funishment system to increase nurse motivation
Systematic Review : Occupational Stress And Related Factors Among Hospital Nurses
Stress is one of the factors that affect the performance of nurses. According to Nursing Times 2014, more than 60% of nurses say they have experienced effects of work-related stress, such as physical or mental health problem.This systematic review research aimed at exploring factors related to occupational stress among hospital nurses involved 16 research. This research consist of 8 research from Indonesia in the year 2000-2013 and another 8 research obtained from international journals in the year 2010-2015.The entire research using cross sectional study design, sample size ranged from 24 - 2613. There are differences in the average number of research samples in the Indonesian research and international research (pvalue = 0,004). Total number of variables studied were 70 independent variables. The number of variables studied ranged from 4-25 per study. The most studied variables were marital status, salary, age, education, job demands, length of employment, shift work, promotion, and gender. From 9 variables most studied, promotion variable has a significant percentage of the highest p value, while the gender variable has no significant. Reference number used ranged from 7-59 references. No difference reference amount between Indonesian research and international research (p value = 0.806)
SISTEM KONTRAK PENGOLAHAN LIMBAH PADAT RUMAH SAKIT PEMERINTAH
 AbstractBackground: Jogja Hospital is a Government-owned Hospital run by the Government of city of Jogyakarta. In its daily activities, the hospital produces waste which, if not properly discharged or burned, may cause adverse effect on workers as well as the surrounding area. Jogja hospital has Incinerator, thus simplifying the management such waste. The waste management including the rules, procedures and policymaking need to be explored to investigate the process of waste management of Jogja hospital. Methods: This study used a qualitative descriptive case study in order to get a clear picture or description about certain situation objectively. The unit analysis was the solid waste management in the Jogja Hospital. In-depth interviews were conducted with the Head of Environmental Health Installation and Waste Management Officer. Data were obtained through observation, in-depth interviews and document studies, as well as data in the form photos and recordings.Results: The process of solid waste management at the Jogja hospital was carried out by the hospital waste management officer under the direction of the Hospital Environmental Health Installation. Waste Management Officer was a by-contract employee financed by the Hospital. The Incinerator Facility helped the hospital in processing the medical waste and it was also a source income for the hospital since many other parties (private hospitals, general practitioners, private maternity clinic, and midwives) process their waste in the hospital’s incinerator. The monitoring of the air quality, toxic gas and ashes emissions was carried out by the Board of Environmental Health and Contagious Disease Control (BBTKL-PPM) in Yogyakarta. Disposal of ash from burning in place in WWTP Hospital Yogyakarta. Conclusion: Hospital Policies Jogja by performing the contract system to facilitate the supervision of officers. The contract system makes the process of solid waste management to be more effective, because if the officer did a fatal mistake it can be terminated at any time by agreement is a contract. Keywords: Management, Treatment, Solid Waste, Hospital Yogyakart
The Correlation Factors of Washing Technique Equipment With Health Cutlery in Delicatessens In The Work Area Port Health Office Samarinda
Hygiene of food and beverages is influenced by cutlery. Behavioral factor related to the food management is an important factor in food hygiene. The purpose of this study is to determine the relationship of knowledge and washing techniques practice with the hygiene tableware at food stalls.The design of this study was Cross-sectional. The study was conducted in food stall at the Port Health Office Samarinda using observation method completed by cutlery hygiene inspection. The research samples were 4 to 5 tableware and 30 samples of food handlers. Mann Whitney test was used as the data analysis.The findings showed that there was no relationship between knowledge and hygiene of utensils (Ï value = 0370), while there was a relationship between the practice of cleanliness of cutlery (Ï value = 0.002) in food stall at The Port health Office area in Samarinda.Suggestions for food handlers are to soak the cutlery in advance so that the rest of the food stuck or the hardened part can be easily off and cleaned. Do the rinsing with the running water or frequently replace the rinse water. Re-clean the cutlery using a clean cloth or frequently replaced and keep cutlery in proper place, avoid the dust and dirt. To the related institutions are expected to do the regular inspection of the cutlery, do the monitoring and evaluation to coaching and training and the need of local regulations governing cleanliness of food stalls in the port authority. Keywords: the Health of Cutlery, Knowledge, Behavior, Practic
MEDICAL WASTE MANAGEMENT AND MINIMIZATION EFFORTS AT PUBLIC HOSPITAL. CASE STUDY: PUBLIC HOSPITAL IN EAST JAKARTA, INDONESIA
Medical waste is classified as hazardous waste and toxic materials. Equipped with various health facilities and visited by 1,267 people/day and occupancy rate is 68 percent in 2011, Public Hospital in East Jakarta generates a large number of medical wastes. Although medical waste generated less than domestic waste but potentially major cause of occupational accidents and illnesses transmission if not managed properly. This research aims to know how the hospital minimize and process the medical waste. Research methodology used in this research is qualitative approach from the aspect of the characteristics, effort minimization and management of medical waste. This research also used quantitative method by calculating the medical waste based on the occupancy rate and the service given. The results showed that the generation of medical waste as much as 0.9 pounds/ patient.days with 64 percent occupancy rate, while based on the type of service that is at most of the operating room of 0.67 pounds/ patient.days. Medical waste minimization efforts that have been done of segregation, housekeeping, preventive maintenance, clean technology, substitution of materials, and management of chemical and pharmaceutical, whereas only limited efforts to use waste reuse. The conclusion of this research was the minimization efforts do not do recycling and recovery, whereas the management of medical waste is not eligible especially separation, transport, storage, and management of ash from incineration of medical waste
PERILAKU MEROKOK PADA PENDERITA HIPERTENSI DI DESA SIDOKARTO KECAMATAN GODEAN, SLEMAN, YOGYAKARTA
AbstrakLatar Belakang: Penyakit hipertensi hampir selalu dikaitkan dengan perubahan gaya hidup atau pola hidup, salah satunya adalah merokok. Pencegahan terjadinya hipertensi salah satunya dengan mengendalikan faktor resiko. Hal ini juga dapat mengurangi resiko penderita untuk mengalami hipertensi lanjut dengan komplikasi.Metode: Jenis penelitian yang digunakan adalah deskriptif dengan jumlah sampel sebesar 30 orang yang memenuhi kriteria inklusi. Pada penelitian ini menggunakan instrumen penelitian berupa kuisioner yang berisi serangkaian pertanyaan tentang pengetahuan, sikap, nilai, kepercayaan dan perilaku yang berhubungan dengan kejadian hipertensi dan perilaku merokok.Hasil: Hasil penelitian menunjukkan bahwa sebagian besar (66,67%) perilaku merokok responden adalah kurang baik dan sebagian kecil (33,33% ) perilaku responden adalah cukup baik. Pengetahuan responden tentang perilaku merokok sebagian besar (46,67%) adalah cukup baik dan sebagian kecil (10%) adalah kurang baik. Sedangkan sikap responden terhadap perilaku merokok sebagian besar (63,33%) adalah negatif.Kesimpulan: Gambaran pengetahuan, sikap dan perilaku merokok pada penderita hipertensi khususnya yang merokok di Desa Sidokerto Kecamatan Godean Kabupaten Sleman Yogyakarta sebagian besar masih kurang baik. Kata kunci: pengetahuan, sikap, perilaku merokok, penderita hipertensi, slema