348 research outputs found

    STRES KERJA, GETARAN DAN KELELAHAN PADA PENGEMUDI TRANSPORTASI UMUM, STUDI KASUS PADA MASINIS KERETA API DAOP VI JOGJAKARTA

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    Nowadays competence and requirements for international standard make occupational safety and health problems as a crucial global issue. Minimum control to work environment leads to the incidence of health problems, the emergence of various diseases and occupational accident. Fatigue as one of declining physical condition symptoms and stamina commonly occurs to manpower. Working condition which is not supported by healthy, comfortable, and secure environment may trigger fatigue. Drivers of public transportation are most likely to encounter fatigue. Vibration on the time of driving have high risk to give on exposure to work environment. The study aimed to identify the relationship between work stress and vibration against fatigue. This was a survey which used cross sectional design with as many as 80 samples.The result of the study showed that work stress had relationship with fatigue (r=0.254, p=0.015), vibration had relationship with fatigue (r=0.260, p=0.023). The result of multivariable analysis showed that work stress and vibration were significant predictor to the incidence of fatigue with effective contribution as much as 12.61% for fatigue. There was a significant relationship between work stress and vibration against fatigue. Therefore there should be efforts to prevent fatigue and discomfort through monitoring of work environment, health check, and the implementation of occupational safety and health for train drivers in particular.   Keywords: work stress, vibration, fatigue, occupational health and safet

    PENGETAHUAN DAN SIKAP ODHA (ORANG DENGAN HIV DAN AIDS) TENTANG HIV DAN AIDS DAN PENCEGAHANNYA

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    AIDS is spreading both in numbers and geographic area, it is revewed as a major public health threat and stategies are underway to increase AIDS awareness and knowledge among general public include from PLHA.In Indonesia, HIV/AIDS programmes still less in PLHA included, because of stigma and discrimination in society.Included PLHA in intervention planning, is the efective strategy in reducing stigma and discrimination and increasing commitment to change policy and supporting environment in HIV/AIDS programmes. The aims of this research is analizing knowledge and attitudes of PLHA about HIV/AIDS and its prevention.Thisresearch used descriptivemethod. The population is PLHA in Banyuwangi Regency, and affordable target is PLHA who visit and get service in VCT of Genteng Hospital in Juni-July 2012. Sample is collected with consecuttve sampling to all subject compleded collection criteria. Collected data was analyzed descriptively with table and naration.This research showed  that the amount of respondents was men, aged more than 30years, have married, and graduated from senior and junior high shcool, and as PLHA  since 1-5 years, with risk factors from heterosex without condom, IDU, infant from the mother and homosex (gay/lesbian).All of respondents have high knowledge about HIV/AIDS and its prevention efforts, consist of meaning, causes, transmission, prevention and terapy of HIV/AIDS. The numbers of respondents have positive attitudes towards HIV/AIDS and its prevention efforts, showed by statement supported to prevention behaviour of HIV/AIDS, specifically: faith to one partner, use condoms in sexual intercourse, check to health provider, and HIV/AIDS can spread and cause death.The increasing of knowledge and attitudes about HIV/AIDS of PLHA and society is needed as involvement at HIV/AIDS prevention programme by behaviour change from risk to healthy behaviour in order to reduce stigma and discrimination in PLHA. Keywords : Attitudes, Knowledge, PLHA, HIV & AID

    COST BENEFIT ANALYSIS ANTARA PEMBELIAN ALAT CT-SCAN DENGAN ALAT LASER DIODA PHOTOCOAGULATOR DI RSD BALUNG JEMBER

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    Cost benefit analysis is an economic analysis that is used to evaluate economic resources usage so that the scarce economic resources can be used efficiently. In 2014, Balung General Hospital suggests some program to central government in order to support operational activity in Balung General Hospital. However, not all suggestions can be realized because the limitation of fund given by government. The purpose of the research is doing calculation of Cost benefit analysis between suggestion of CT-Scan device purchasing or suggestion of Laser dioda photocoagulator in Balung General Hospital of Jember. This research is quantitatif descriptive with analysis unit in Radiology Installation and Eye Poly. Based on the calculation of each step of Cost benefit analysis, we know that each suggestion has different Benefit-Cost Ratio (BCR) value where BCR value of Laser dioda photocoagulator device purchasing suggestion is 0,858 that is bigger than BCR value of CT-Scan device purchasing suggestion which is 0,078. Based on the BCR value, so the first prioritized suggestion is the Laser dioda photocoagulator that brings bigger benefit for Balung General Hospital of Jember.   Keywords: Cost Benefit Analysis, BCR (Benefit Cost Ratio), CT-Scan, Laser dioda photocoagulato

    KERUSAKAN SEL HATI DAN PENINGKATKAN KOLESTEROL SERUM MENCIT AKIBAT PEMBERIAN MINYAK GORENG BEKAS PAKAI

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    The purpose of this study were to prove that the administration of heated palm oil can cause hepatocytes damage and cholesterol serum level incerase in mouse. This research was an experimental research using 38 male Mus musculus, Swiss derived. They were divided into 3 groups; 9 were the first negative control by aquadest administration, 9 were the second negative control by fresh palm oil administration, and 20 were intervention by 27-times heated palm oil administration. The dose of administration was 1 ml/100 gram body weight, every day for 14 days. Parameter used in examining liver microscopically was the percentage of hepatocytes getting degeneration of each vision field by 100-times magnificence. The result of microscopic examination were normal hepatocytes for aquadest administration group, fatty degeneration for fresh palm oil administration group, fatty degeneration and central zone necrosis for 27-times heated palm oil group. The average value of cholesterol serum level in aquadest administration group was 101,44 ± 8,71 mg/dl, in fresh palm oil administration group was 104,66 ± 7,75 mg/dl, and in 27-times heated palm oil group was 130,15 ± 12,26 mg/dl. It could be concluded that administration of 27-times heated palm oil for 14 days can cause degeneration of hepatocytes (p<0,05) and cholesterol serum level increase (p<0,05). Keyword: heated palm oil, fatty degeneration, necrosis hepatocyte, cholestero

    FAKTOR YANG BERHUBUNGAN DENGAN HAMBATAN DIET DIABETES MELLITUS PADA PASIEN DIABETES MELLITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS WONOSARI KABUPATEN BONDOWOSO

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    Diabetes mellitus type 2  (DM type 2) is chronic disease that needed long term treatment. Diet plays an important role in the management of diabetes, and a suboptimal diet is a commonly identified problem. The objectives of the research are analized factors that related to diet barrier on diabetic patient tipe 2 (individual characteristic, family function and family support). The research is corelational study with 30 outpatient in Wonosari Public Health Center, Bondowoso District.  Patients reported on their perception of family functioning, family support for diet, and barriers to diet self-care.The Result of the study indicated, family functioning and  family support for diet self-care was related to perceived barriers to diet  with negative correlation. (R value = 0,899, double correlation family functioning and family support with perceived barriers to diet).  Adjusted R value = 0,794, indicated family functioning and family support contributed 79,4 % to perceived barriers to diet. F value 0,00 <0,05  on double regression explained that  family functioning and family support,  had influence to perceived barriers to diet. Although individual characterictic have correlation with perceived barriers to diet, but it is not significant (p value > 0,05). The conclusions of the research are family functioning and family support have negative correlation with perceived barriers to diet. As family support for diet increased, perceived barriers to diet decreased. Family approach on diabetic management, especially diet DM education can improve patient self care diabetic management and their family

    HUBUNGAN PENGETAHUAN IBU TENTANG STIMULASI DINI DENGAN PERKEMBANGAN MOTORIK PADA ANAK USIA 6-24 BULAN DI KECAMATAN MAYANG KABUPATEN JEMBER

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    More than two third of toddler in some developing countries suffer from declining of their childhood development. In Indonesia, in 2003, Department of Health has conducted childhood development in 30 provinces and reported that 45,12 % of infant has suffered from growth and development disorder. One of factors that influence the development is early stimulation especially from people close to the toddler (mother and other family).The aim of this study is to analyze the relationship between mother’s knowledge about early stimulation and motoric development of toddlers. This is an observational study of case control design. To obtain the samples, the technique is non probability sampling with consecutive sampling. Motoric development of toddlers from 6 – 24 month old are observed by KPSP form. Data are analyzed using bivariate analysis of Marginal Homogeneity test and Conditional Regressiona Logistic (Confidence Interval 95%). The result shows that mother’s knowledge on early stimulation have significant effect to the motoric development of toddlers. The odds ratio shows 4,950 means that the lack of knowledge of the mother on early stimulation may increase the risk of motoric development disorder about nearly 5 times. It can be conclude that there is significant relationship between mother’s knowledge on early stimulation and motoric development disorder. Mother who is in the closest position of toddlers should be educated with this knowledge of education

    PENGARUH PENURUNAN KUALITAS UDARA TERHADAP FUNGSI PARU DAN KELUHAN PERNAFASAN PADA POLISI LALU LINTAS POLWILTABES SURABAYA

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    Some of the air pollutants that may result in respiratory complaints are NO2, SO2, and dust particles. These pollutants may irritate respiratory tract, leading to lung function impairment and respiratory complaints. The objective of this study was to analyze the concentration of NO2, SO2, and dust in Surabaya. This was an observational analytic study conducted cross-sectionally among traffic policemen and staff policemen in Polwiltabes Surabaya. This study was conducted within the working area of Polwiltabes Surabaya from December 2007 to July 2008. Population of study group was the members of traffic policemen and control group was staff policemen who had met the given criteria. Sample size was 42 persons, 21 persons each from study group and control group. Data analysis used independent two sample t test and multiple logistic regression test. Mean of NO2 and dust levels had exceeded the established standard, while mean of SO2 level was still below its established standard. Mean of indoor NO2, SO2 and dust levels were still below the established standard. Lung function test revealed that 13 (61.9%) of study group had normal lung function and 8 (38.1%) had mild restrictive impairment. In control group, 19 (76.2%) had normal lung function and 2 (23.8%) had mild restrictive impairment. Study group had restrictive impairment 4 time higher risk and 1,4 time higher risk having obstruction impairment than control group. Study group had respiratory complaints 2 time higher risk than control group. Method of data analysis using multiple logistic regression test revealed that age and SO2 concentration had significantly affected lung function and respiratory complaints in study group. It must be consider that poor air quality have causative factor into lung function. It is recommended that local government increased public transportation service, provide additional air quality monitoring, transportation arrangement system, and motor exhaust gas should periodically be checked

    Penerapan Pendekatan Positive Deviance dalam Menanggulangi Masalah Malnutrisi pada Balita Melalui Program Pos Gizi

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    More than half of infant and under five children mortality is caused by malnutrition. Possitive deviance approach is widely used to increase nutrition status of children. This study was aimed to increase nutrition status among underfive children through â€Pos Gizi†intervention. This pre-experimental study design involved 20 mothers and their under five year children. â€Pos Gizi†intervention covered counseling, training and education. Data collection was used self-administered quetionnaires. After the intervention, the study found nutrion status of 70% children increases as well as knowledge of mothers. Home re-visitation should be regularly conducted to monitor and to motivate mothers in improving nutriotion status

    EVALUASI PELAKSANAAN MANAJEMEN PROGRAM ( PIK - KRR ) PUSAT INFORMASI DAN KONSELING KESEHATAN REPRODUKSI REMAJA OLEH PENYULUH KELUARGA BERENCANA DI KABUPATEN JEMBER TAHUN 2011

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    KRR problem in Jember (HIV/AIDS, drug, sexuality) and high early marriage. PIK-KRR program implementation by the extension of family planning has not reached all the targets, suspected cause is a commitment that is less optimal than the coach and cross-linked sectors that affect the provision of essential resources in the implementation of policy programs such as funding, infrastructure/facilities and equipment. This type of qualitative research is descriptive, cross sectional approach. Data collection is done by in-depth interview technique (indepth interviews) Analysis of data using the content description of processing methods (content analysis). The results of the implementation of the PIK-KRR is already support from the Regents muddy in the form of SK, but not yet supported by the funds, facilities/amenities are pretty as the motor of the implementation of programs, media campaigns and socialization in quality and quantity is inadequate, the empowerment of human resources by PKB has not been that affect the optimal promotional activities and socialization, yet comprehensive partnership both cross and cross-sectoral programs supported the MoU. Administration system in accordance with the guidelines, but the reporting system has not been routinely every month. Quantity and quality of coaching is less. The conclusion that the implementation of the PIK-KRR Program has not been done properly in accordance with guidelines. Based on this study then recommended continued policy of PIK-KRR and BPPKB need to advocate on policy makers, across sectors/programs on the strategic value of youth service.   Keywords : PIK-KRR, Implementation, PK

    HUBUNGAN ANTARA PERILAKU DENGAN GANGGUAN FUNGSI PARU PADA PEKERJA UNIT II PENGOLAHAN NPK DI INDUSTRI PT. PETROKIMIA GRESIKDust generated from processes of Nitrogen Phosphate Potassium (NPK) fertilizer production, can disperse in the workplace and harm to

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    Dust generated from processes of Nitrogen Phosphate Potassium (NPK) fertilizer production, can disperse in the workplace and harm to the workers. Generally, organic and inorganic dust exposure will cause obstruction of respiratory tract and  indicated by decreasing of %FEV1/%FVC level. Workers of NPK production section in PT. Petrokimia Gresik have high risk from dust deposition on their respiratory tract. This research purpose to analize  the assocation between behavior with lung function disorder on workers at Unit II NPK production section in industry PT. Petrokimia Gresik, in Gresik Regency. This research was an observational research with a cross cectional design and 30 samples were taken. Sampling was carried out by using a purposive sampling technique. Data were analyzed by chi-square and multivariate by regresi logistic technique. The result of the research showed that factors which were related to the lung function disorder were exposure the habit of using personal protective device (p=0,023). For factors smoking habits, continuity of the use of masks and exercise habits the analysis can not be done because of the constant variables. It can be concluded that there were relationship between habit of using personal protective devices of workers with lung function disorder.   Keyword : Lung Function Disorder, Workers, NPK ProductionÂ

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